MERCY HOSPITAL FORT SMITH: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- MERCY HOSPITAL FORT SMITH (EIN 71-0240352)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-12
- IRS object ID
- 202201329349307665
- Schema version
- 2020v4.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-12T17:26:37-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 221 E 4TH ST SUITE 2900 | AddressLine1Txt |
| City | CINCINNATI | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 710240352 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY HOSPITAL FORT SMITH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % GRETA WILCHER VP OF FINANCE | InCareOfNm |
| Business Name Control | MERC | BusinessNameControlTxt |
| Phone | 3145796100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 17000 | AddressLine1Txt |
| City | FORT SMITH | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 729177000 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GRETA WILCHER | PersonNm |
| Person Title | VP OF FINANCE | PersonTitleTxt |
| Phone | 4793146000 | PhoneNum |
| Signature | 2022-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | GRETA | PersonFirstNm |
| Person Last | WILCHER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JULIE L SPARKS | PreparerPersonNm |
| PTIN | P01268401 | PTIN |
| Phone | 5136121400 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Ryan Gehrig CEO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7301 Rogers Avenue | AddressLine1Txt |
| City | Fort Smith | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72903 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $448,666,971 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MERCY.NET | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1905 | FormationYr |
| Legal Domicile State | AR | LegalDomicileStateCd |
| Activity Or Mission | AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 71 | TotalVolunteersCnt |
| Total Gross UBI | $3,328,264 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,427,621 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,962,319 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $379,274,058 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $435,455,764 | CYProgramServiceRevenueAmt |
| PY Investment Income | $12,322 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,334,871 | PYOtherRevenueAmt |
| CY Other Revenue | $5,447,789 | CYOtherRevenueAmt |
| PY Total Revenue | $384,048,872 | PYTotalRevenueAmt |
| CY Total Revenue | $447,865,872 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $330 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $292,261 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $137,378,285 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $148,873,703 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $200,765,441 | PYOtherExpensesAmt |
| CY Other Expenses | $224,628,446 | CYOtherExpensesAmt |
| PY Total Expenses | $338,144,056 | PYTotalExpensesAmt |
| CY Total Expenses | $373,794,410 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $45,904,816 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $74,071,462 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $238,097,641 | TotalAssetsBOYAmt |
| Total Assets EOY | $222,761,334 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $24,791,534 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $30,203,523 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $213,306,107 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $192,557,811 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $28,272,824 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $49,657,131 | RevenueAmt |
| Desc | PHARMACY OUTPATIENT INFUSION THERAPY - THE PHARMACY OUTPATIENT INFUSION THERAPY DEPARTMENT OF MERCY HOSPITAL FORT SMITH FILLED 161,903 ORDERS. INFUSION THERAPY MAY BE NEEDED WHEN THE CONDITION CANNOT BE TREATED EFFECTIVELY BY PILLS OR OTHER ORAL MEDICATION. MOST OFTEN, THE DRUG IS DELIVERED DIRECTLY INTO THE VEINS BY IV, BUT INFUSION THERAPY MAY ALSO REFER TO SITUATIONS IN WHICH MEDICATIONS ARE PROVIDED THROUGH INTRAMUSCULAR INJECTIONS OR EPIDURAL ROUTES. INFUSION SERVICES INCLUDE CHEMOTHERAPY, COMPLEX BIOLOGICALS, BLOOD PRODUCTS, ANTIEMETICS, ANTIBIOTICS, ANALGESICS, IMMUNOTHERAPY, INJECTABLE MEDICATIONS, AND INVESTIGATIONAL THERAPIES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $17,805,660 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $19,085,661 | RevenueAmt |
| Desc | OPERATING ROOM - THE OPERATING ROOM PERFORMED 3,423 SURGERIES. THE INPATIENT OPERATING ROOM IS USED WHEN A PATIENT IS ALREADY ADMITTED, OR THE PATIENT REQUIRES MONITORING AFTER THE PROCEDURE. ROBOTIC-ASSISTED SURGERY IS ALSO PERFORMED IN THE INPATIENT OPERATING ROOM. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $14,797,498 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $14,045,843 | RevenueAmt |
| Desc | INTENSIVE CARE UNIT - THE ICU CARED FOR 863 PATIENTS, TOTALING 12,375 PATIENT CARE DAYS. THE INTENSIVE CARE UNIT IS LOCATED ON THE 3RD FLOOR OF THE MAIN HOSPITAL. THE CRITICAL CARE PATIENTS ARE USUALLY ADMITTED THROUGH THE EMERGENCY DEPARTMENT. THE ICU HAS 38 LICENSED BEDS. ALL ICU BEDS ARE IN PRIVATE ROOMS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $228,915,426 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $292,261 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $350,180,401 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $289,791,408 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GRETA WILCHER VP OF FINANCE | PersonNm |
| Phone | 4793146000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7301 ROGERS AVENUE | AddressLine1Txt |
| City | FORT SMITH | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72903 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Key EmployeeKeyEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Swope Jon | ||||||||||
| President -Central Communities | 2.0 | 48.0 | Yes (X) | $0 | $8,438,629 | $153,221 | ||||
| Gehrig Ryan | ||||||||||
| Chief Executive Officer | 2.0 | 48.0 | $0 | $1,652,609 | $76,643 | Yes (X) | Yes (X) | |||
| Reynolds Scott | ||||||||||
| Former Officer | 0.0 | 0.0 | $0 | $948,096 | $97,853 | Yes (X) | ||||
| Hubbard Brent | ||||||||||
| Former Key Employee | 0.0 | 50.0 | $0 | $961,313 | $82,716 | Yes (X) | ||||
| Hennessey III William | ||||||||||
| Former Key Employee | 0.0 | 60.0 | $0 | $671,862 | $53,931 | Yes (X) | ||||
| Marion Tanya | ||||||||||
| Regional VP - Human Resources | 1.0 | 50.0 | Yes (X) | $0 | $623,563 | $61,668 | ||||
| Hunton David | ||||||||||
| President - Clinic | 2.0 | 48.0 | Yes (X) | $0 | $646,091 | $26,660 | ||||
| Kiss Csaba | ||||||||||
| Physician & Board Member | 1.0 | 45.0 | $0 | $526,966 | $30,298 | Yes (X) | ||||
| Clayton Justin | ||||||||||
| Physician & Board Member | 1.0 | 45.0 | $0 | $501,121 | $22,968 | Yes (X) | ||||
| Wilcher Greta | ||||||||||
| VP OF FINANCE | 2.0 | 48.0 | $0 | $388,936 | $44,690 | Yes (X) | ||||
| Gaborni Pamela | ||||||||||
| Physician & Board Member | 1.0 | 45.0 | $0 | $258,684 | $30,795 | Yes (X) | ||||
| Phillips Mary C | ||||||||||
| Pharmacist | 40.0 | 0.0 | $0 | $236,765 | $14,795 | Yes (X) | ||||
| Stec Julianne | ||||||||||
| Chief Operating Officer | 25.0 | 25.0 | Yes (X) | $0 | $220,315 | $27,582 | ||||
| Gusdorf Michael | ||||||||||
| Pharmacist | 40.0 | 0.0 | $0 | $191,675 | $40,549 | Yes (X) | ||||
| Post Frank | ||||||||||
| Pharmacist | 40.0 | 0.0 | $0 | $194,320 | $23,618 | Yes (X) | ||||
| Davis Melinda | ||||||||||
| Registered Nurse | 40.0 | 0.0 | $0 | $189,478 | $21,009 | Yes (X) | ||||
| Thames Michael D | ||||||||||
| Director - Hospice/Pharmacy | 40.0 | 0.0 | $0 | $186,592 | $18,198 | Yes (X) | ||||
| Schreiber Martin | ||||||||||
| Former Key Employee | 0.0 | 0.0 | $0 | $102,941 | $12,939 | Yes (X) | ||||
| Atkins RSM Sr Lisa | ||||||||||
| Board Member | 1.0 | 2.0 | $0 | $0 | $0 | Yes (X) | ||||
| Bailey DDS Robbins | ||||||||||
| Board Member | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||||
| Echols Jr Walter | ||||||||||
| Board Member | 1.0 | 1.0 | $0 | $0 | $0 | Yes (X) | ||||
| Koorie RSM Sr Diane | ||||||||||
| Board Member | 1.0 | 2.0 | $0 | $0 | $0 | Yes (X) | ||||
| McClain DO Rance | ||||||||||
| Board Member | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||||
| McClellan David | ||||||||||
| Board Member | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||||
| Richardson MD Derrick | ||||||||||
| Board Member | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||||
| Woolley Eric | ||||||||||
| Board Member | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $16,939,956 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $840,133 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AMN HEALTHCARE ALLIED INC | |||||
| 12400 High Bluff Drive | SAN DIEGO | CA | 92130 | STAFF CONTRACT SVCS | $3,450,726 |
| Green Country Emergency Physicians | |||||
| 1145 S Utica Avenue Ste 365 | TULSA | OK | 74104 | EMERGENCY PHYS. COV. | $2,936,150 |
| Guardian Healthcare Providers Inc | |||||
| 105 W Park Drive Ste 100 | BRENTWOOD | TN | 37027 | STAFF CONTRACT SVCS | $2,207,771 |
| Wear Construction Management | |||||
| PO Box 3218 | FORT SMITH | AR | 72913 | CONSTRUCTION SVCS | $2,056,446 |
| SSI INCORPORATED | |||||
| 2817 S Yuma | FORT SMITH | AR | 72913 | CONSTRUCTION SVCS | $1,724,031 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 45 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Related Organizations | $1,111,084 | RelatedOrganizationsAmt |
| Government Grants | $5,815,018 | GovernmentGrantsAmt |
| All Other Contributions | $36,217 | AllOtherContributionsAmt |
| Total Contributions | $6,962,319 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621110 | $419,054,838 | $419,054,838 | |
| RENTAL INCOME FROM RELATED ORGANIZATIONS | 531120 | $7,156,592 | $7,156,592 | |
| REFERENCE LAB | 621511 | $2,486,728 | $2,486,728 | |
| LTACH REVENUE | 900099 | $163,991 | $163,991 | |
| OTHER OPERATING REVENUE | 900099 | $6,593,615 | $6,593,615 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $435,455,764 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $893,006 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $332,551 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $560,455 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $560,455 | TotalRevenueColumnAmt |
| Exclusion | $560,455 | ExclusionAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $749,717 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $468,548 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $281,169 | TotalRevenueColumnAmt |
| Exclusion | $281,169 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| CAFE & VENDING | 900099 | $1,002,210 | $1,002,210 | |
| ALL OTHER REVENUE | 900099 | $3,603,955 | $2,762,419 | $841,536 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,606,165 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $447,865,872 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $432,969,036 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $3,328,264 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,606,253 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $660 | TotalAmt |
| Program Services | $660 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $291,601 | TotalAmt |
| Program Services | $291,601 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,495 | TotalAmt |
| Program Services | $59,300 | ProgramServicesAmt |
| Management And General | $8,195 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,740,383 | TotalAmt |
| Program Services | $111,351,248 | ProgramServicesAmt |
| Management And General | $15,389,135 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,429,306 | TotalAmt |
| Program Services | $2,134,333 | ProgramServicesAmt |
| Management And General | $294,973 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,126,582 | TotalAmt |
| Program Services | $10,654,142 | ProgramServicesAmt |
| Management And General | $1,472,440 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,509,937 | TotalAmt |
| Program Services | $6,598,062 | ProgramServicesAmt |
| Management And General | $911,875 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,996 | TotalAmt |
| Management And General | $24,996 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,326,871 | TotalAmt |
| Program Services | $13,318,520 | ProgramServicesAmt |
| Management And General | $2,008,351 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,520 | TotalAmt |
| Program Services | $1,500 | ProgramServicesAmt |
| Management And General | $4,020 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,778,647 | TotalAmt |
| Program Services | $3,075,880 | ProgramServicesAmt |
| Management And General | $2,702,767 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $165,933 | TotalAmt |
| Program Services | $108,253 | ProgramServicesAmt |
| Management And General | $57,680 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,458,537 | TotalAmt |
| Program Services | $982,299 | ProgramServicesAmt |
| Management And General | $8,476,238 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,742 | TotalAmt |
| Program Services | $141,654 | ProgramServicesAmt |
| Management And General | $15,088 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $572,729 | TotalAmt |
| Management And General | $572,729 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,423,805 | TotalAmt |
| Program Services | $4,947,567 | ProgramServicesAmt |
| Management And General | $8,476,238 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $795,068 | TotalAmt |
| Program Services | $95,249 | ProgramServicesAmt |
| Management And General | $699,819 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DRUGS & MEDICAL EXPENSES | $94,010,254 | $93,261,582 | $748,672 |
| SHARED SERVICE FEES | $63,119,159 | $23,354,089 | $39,765,070 |
| BAD DEBT | $18,749,619 | $18,749,619 | |
| REPAIRS & MAINTENANCE | $2,901,902 | $585,524 | $2,316,378 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $138,664 | TotalAmt |
| Program Services | $80,326 | ProgramServicesAmt |
| Management And General | $58,338 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $373,794,410 | TotalAmt |
| Program Services | $289,791,408 | ProgramServicesAmt |
| Management And General | $84,003,002 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,340,221 | BOYAmt |
| EOY | $9,139,493 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $50,012 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,207,578 | BOYAmt |
| EOY | $36,641,328 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,225 | BOYAmt |
| EOY | $5,125 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,066,843 | BOYAmt |
| EOY | $6,360,631 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $491,809 | BOYAmt |
| EOY | $566,994 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $429,767,101 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $273,956,745 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $163,175,883 | BOYAmt |
| EOY | $155,810,356 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,534,427 | BOYAmt |
| EOY | $7,533,690 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,270,655 | BOYAmt |
| EOY | $6,653,705 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $238,097,641 | BOYAmt |
| EOY | $222,761,334 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,733,845 | BOYAmt |
| EOY | $26,324,414 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,947 | BOYAmt |
| EOY | $49,582 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,015,242 | BOYAmt |
| EOY | $3,419,527 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,500 | BOYAmt |
| EOY | $410,000 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,791,534 | BOYAmt |
| EOY | $30,203,523 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $212,754,051 | BOYAmt |
| EOY | $192,031,592 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $552,056 | BOYAmt |
| EOY | $526,219 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $213,306,107 | BOYAmt |
| EOY | $192,557,811 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $238,097,641 | BOYAmt |
| EOY | $222,761,334 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $74,071,462 | ReconcilationRevenueExpnssAmt |
| Donated Services And Use Fclts | $669,750 | DonatedServicesAndUseFcltsAmt |
| Other Changes In Net Assets | -$95,489,508 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $24,996 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $24,996 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE C, PART II-B, LINE 1(I) | FormAndLineReferenceDesc |
| Explanation | LOBBYING PORTION OF DUES THE FILING ORGANIZATION IS A MEMBER OF AND PAYS DUES TO THE FOLLOWING HOSPITAL ASSOCIATIONS: ARKANSAS HOSPITAL ASSOCIATION, AMERICAN HOSPITAL ASSOCIATION AND CATHOLIC HEALTH ASSOCIATION. FOR THE YEAR ENDED JUNE 30, 2021, DUES WERE $96,873, $29,641 AND $52,470, RESPECTIVELY. APPROXIMATELY 16% OF ARKANSAS HOSPITAL ASSOCIATION DUES, 25.56% OF AMERICAN HOSPITAL ASSOCIATION DUES AND 3.66% OF CATHOLIC HEALTH ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED BY THESE ASSOCIATIONS. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $20,696,511 | OtherCostOrOtherBasisAmt |
| Book Value | $20,696,511 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $266,551,763 | OtherCostOrOtherBasisAmt |
| Depreciation | $152,997,233 | DepreciationAmt |
| Book Value | $113,554,530 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,267,140 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,908,661 | DepreciationAmt |
| Book Value | $358,479 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $133,712,890 | OtherCostOrOtherBasisAmt |
| Depreciation | $112,952,971 | DepreciationAmt |
| Book Value | $20,759,919 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,538,797 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,097,880 | DepreciationAmt |
| Book Value | $440,917 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $155,810,356 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER NON CURRENT LIABILITIES | Desc |
| Amt | $410,000 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $410,000 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE D, PART X, LINE 2 | FormAndLineReferenceDesc |
| Explanation | ASC 740 FOOTNOTE PRIMARILY ALL OF THE HEALTH SYSTEM ENTITIES ARE RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS CHARITABLE ORGANIZATIONS QUALIFYING UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), BY VIRTUE OF IRS DETERMINATION LETTERS OR INCLUSION IN THE OFFICIAL CATHOLIC DIRECTORY. THE HEALTH SYSTEM COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED ON THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2021 OR 2020. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| Most Hospitals Policy | Yes (X) | MostHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,246,762 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,246,762 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03170 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $64,360,187 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $46,597,937 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,762,250 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05010 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $75,606,949 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $46,597,937 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $29,009,012 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08180 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $31,667 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $31,667 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,500 | NetCommunityBenefitExpnsAmt |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $36,167 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $36,167 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $75,643,116 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $46,597,937 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $29,045,179 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08190 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $35 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $35 | NetCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $35 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $35 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $6,496,756 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $115,778,163 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $116,712,726 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$934,563 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd |
|---|---|---|---|---|---|---|---|---|---|---|
| MERCY HOSPITAL FORT SMITH | ||||||||||
| 1 | 7301 ROGERS AVENUE | FORT SMITH | AR | 72903 | WWW.MERCY.NET | AR4941 | Yes (X) | Yes (X) | Yes (X) | A |
| Mercy Orthopedic Hospital Fort Smith | ||||||||||
| 2 | 3601 S79th Street | Fort Smith | AR | 72903 | WWW.MERCY.NET | AR5079 | Yes (X) | Yes (X) | A | |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 12 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300. | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE H, PART V, SECTION B, LINE 3E | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL FACILITY DID INCLUDE A PRIORITIZED LIST OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS IN ITS MOST RECENT CHNA REPORT. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 3J THE CHNA HAS ALL THE SECTIONS REFERENCED ABOVE AND INCLUDES AN EXECUTIVE SUMMARY, POTENTIALLY AVAILABLE RESOURCES, EVALUATION OF IMPACT, REFERENCES, AND APPENDICES. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5 IN 2019 THE HOSPITAL GATHERED DATA FOR ITS COMMUNITY HEALTH NEEDS ASSESSMENT. A SURVEY, AVAILABLE IN BOTH HARD COPY AND ON-LINE FORMATS, WAS DESIGNED BY QUALTRICS (DATA COLLECTION SOFTWARE APPLICATION) TO CAPTURE THE PERCEPTIONS AND THOUGHTS OF COMMUNITY MEMBERS REGARDING THEIR COMMUNITY'S HEALTH NEEDS. TO INCLUDE THE VOICES OF THOSE WHO MAY HAVE HAD LIMITED COMPUTER ACCESS, A CONCENTRATED EFFORT WAS MADE TO DISTRIBUTE PRINTED SURVEYS TO THE HOPE CAMPUS, COMMUNITY HEALTH COUNCIL PARTNER ORGANIZATIONS, SCHOOLS, AND MERCY COWORKERS. MERCY COLLABORATED WITH DIFFERENT COMMUNITY-BASED ORGANIZATIONS TO LISTEN TO CAPTURE THE VOICE OF THE VARIOUS ETHNIC GROUPS THAT WERE NOT REPRESENTED WITHIN THE SURVEY RESULTS. THE PARTICIPANTS WERE SELECTED BY CHURCH LEADERS THAT WERE DEEMED TO BE CIVICALLY ENGAGED MEMBERS OF THE COMMUNITY. FORT SMITH COMMUNITY HEALTH COUNCIL STEERING COMMITTEE MADE UP OF LEADERS WITHIN PUBLIC SAFETY, UNITED WAY, SOCIAL SERVICES AND CLINICAL ORGANIZATIONS. THIS GROUP COLLABORATED AND DISCUSSED THE MOST IMPACTFUL NEEDS OF THE REGION THAT WERE WITHIN SCOPE OF CHANGE. ALSO, THE OPIOID TASK FORCE WAS FORMULATED TO CREATE COLLABORATIVE STRATEGIES DUE TO THE OPIOID CRISIS WITHIN THE COMMUNITY. THIS TEAM IS HEADED BY THE COUNTY SHERIFF AND IS COMPOSED OF PHYSICIAN LEADERS, LOCAL LEGISLATORS, EDUCATION ADMINISTRATORS AND HEALTH CARE PROFESSIONALS. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 6A MERCY HOSPITAL FORT SMITH CONDUCTED THEIR CHNA AND ASSISTED MERCY HOSPITAL WALDRON, MERCY HOSPITAL PARIS, MERCY HOSPITAL OZARK, AND MERCY HOSPITAL BOONEVILLE. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 7A https://www.mercy.net/about/our-communities/community-benefits/ FORM 990, SCHEDULE H, PART V, SECTION B, LINE 10A https://www.mercy.net/about/our-communities/community-benefits/ FORM 990, SCHEDULE H, PART V, SECTION B, LINE 11 ANALYSIS OF DATA FROM STATE AND NATIONAL SOURCES WAS UTILIZED IN CONJUNCTION WITH LOCAL SURVEYS, FOCUS GROUPS AND STAKEHOLDER MEETINGS. PRIORITIZATION OF NEEDS WAS DETERMINED BY THE FORT SMITH COMMUNITY HEALTH COUNCIL, WHICH IS COMPRISED OF LOCAL COMMUNITY LEADERS. THE TOP HEALTH NEEDS TO THE FORT SMITH COMMUNITY ARE: ACCESS TO CARE, BEHAVIORAL HEALTH AND NUTRITION. ACCESS TO CARE: WHILE FACILITATING LOCAL COMMUNITY FOCUS GROUPS WITH OUR MARGINALIZED POPULATION WE DISCOVERED THAT MUCH OF THE COMMUNITY LACKED THE RESOURCES FOR OBTAINING HEALTH CARE SERVICES. THIS REMAINS AN ISSUE DUE TO THE UNDERINSURED OR COMPLETELY UNINSURED STATUS ALONG WITH OTHER OBSTACLES TO CARE LIKE TRANSPORTATION. THE SEBASTIAN COUNTY UNINSURED RATE OF 14 IS HIGHER THAN THE ARKANSAS RATE OF 12. ACCOMPANYING THE HEALTHCARE COVERAGE ISSUES ARE THE SOCIOECONOMIC BARRIERS. THE $50,354 MEDIAN FAMILY INCOME OF THE FORT SMITH COMMUNITY STANDS ABOUT THREE THOUSAND DOLLARS LESS THAN THE STATE. BEHAVIORAL HEALTH: LOCAL FOCUS GROUPS, MEETINGS AND SURVEYS ALONG WITH NATIONAL AND STATE DATA HIGHLIGHT THE NEED FOR BEHAVIORAL HEALTH. THERE IS AN INCREASING NUMBER OF YOUTH AND ADULTS IN THE COMMUNITY THAT ARE EXPERIENCING ANXIETY PROBLEMS, SUICIDAL THOUGHTS, AND SUBSTANCE ABUSE. THE STAKEHOLDER FOCUS GROUP DISCUSSION HIGHLIGHTED ACCESS MENTAL HEALTH SERVICES WAS LACKING, WHICH IS SUPPORTED BY THE DESIGNATION OF A MENTAL HEALTH PROVIDER SHORTAGE AREA BY THE HEALTH RESOURCES & SERVICES ADMINISTRATION. THESE COMMUNITY MEMBERS ALSO TALKED ABOUT HOW SUBSTANCE USE REMAINS THE TOP SOCIAL BEHAVIOR IMPACTING THE FORT SMITH REGION. WHILE SEBASTIAN COUNTY STANDS AS NUMBER ONE IN THE STATE FOR PRESCRIBING RATES, WITH 153 PRESCRIPTIONS PER 100 PERSONS AS SEEN FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION. THE SUBSTANCE ABUSE HEALTH CRISIS IS MAGNIFIED BY THE PREVALENCE OF FOSTER CARE AND HIGH RECIDIVISM WITHIN THE COMMUNITY. NUTRITION: THE COMMUNITY VOICE RAISED VARIOUS TIMES THAT NUTRITION REMAINS EXTREMELY IMPACTFUL. BOTH LOCAL SURVEYS AND FOCUS GROUPS PUT THAT POOR EATING HABITS WAS THE TOP RISK BEHAVIOR SEEN IN THEIR COMMUNITY AND HEALTHY COOKING CLASSES BEING UNAVAILABLE TO HELP FIND SOLUTIONS TO THESE HABITS. THE OBESITY AND DIABETES EPIDEMIC HITTING THE REGION HAS VARIOUS CAUSES, ONE OF WHICH IS HEALTHY EATING AND NUTRITION. THE ACCESS TO FAST FOOD AND HIGH-CALORIC/NUTRIENT-POOR OPTIONS ALSO CONTRIBUTES TO THE WEIGHT AND CHRONIC HEALTH CONDITION PREVALENCE IN FORT SMITH. THREE ASSESSED HEALTH ISSUES IDENTIFIED IN THE 2019 CHNA PROCESS-CANCER, HOUSING, UNEMPLOYMENT-WERE NOT CHOSEN AS PRIORITY FOCUS AREAS FOR DEVELOPMENT OF IMPLEMENTATION STRATEGIES DUE TO MERCY'S CURRENT LACK OF RESOURCES AVAILABLE TO ADDRESS THESE NEEDS. THESE ISSUES WILL BE ADDRESSED INDIRECTLY IN IMPLEMENTATION STRATEGIES DEVELOPED TO MEET THE PRIORITIZED NEEDS IN AREAS THAT MAY OVERLAP. FOR EXAMPLE, EFFORTS TO REDUCE THE INCIDENCE OF OBESITY IN THE COMMUNITY MAY ALSO REDUCE THE INCIDENCE OF CANCER. ADDITIONALLY, RELATED COMMUNITY PARTNERSHIPS, EVIDENCE-BASED PROGRAMMING, AND SOURCES OF FINANCIAL AND OTHER RESOURCES WILL BE EXPLORED DURING THE NEXT THREE-YEAR CHIP CYCLE. MERCY FORT SMITH WILL CONSIDER FOCUSING ON THESE ISSUES SHOULD RESOURCES BECOME AVAILABLE. UNTIL THEN, MERCY FORT SMITH WILL SUPPORT, AS ABLE, THE EFFORTS OF PARTNER AGENCIES AND ORGANIZATIONS CURRENTLY WORKING TO ADDRESS THESE NEEDS WITHIN THE COMMUNITY. MERCY FORT SMITH IS WORKING ON ACCESS TO CARE THROUGH OUR COMMUNITY HEALTH WORKER PROGRAM AND CONNECTING THE UNINSURED OR UNDERINSURED PATIENTS WITH COMMUNITY RESOURCES. BEHAVIORAL HEALTH IS WORKING WITH AN ASSESSMENT TO SEE THE BEST WAY TO ADDRESS THIS ISSUE IN THE COMMUNITY. NUTRITION WILL BE WORKED ON THROUGH HEALTH SEMINARS TO MAKE SURE THE COMMUNITY IS EQUIPPED WITH THE PROPER EDUCATION AND HELP RAISE AWARENESS TO THIS ISSUE. FORM 990, SCHEDULE H, PART V, SECTION B, LINES 16A, 16B, & 16C THE FINANCIAL ASSISTANCE POLICY, APPLICATION AND A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY ARE AVAILABLE ONLINE AT HTTPS://WWW.MERCY.NET/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/ FORM 990, SCHEDULE H, PART V, LINE 20, QUESTION E OTHER AREAS FROM A NOTICE PERSPECTIVE: FAP IS POSTED IN ALL REGISTRATION AREAS, FULL POLICY AND PLAIN LANGUAGE DOCUMENT POSTED ON WEBSITE, PLAIN LANGUAGE DOCUMENT IS AVAILABLE WHEN REQUESTED, THERE IS A NOTICE ON STATEMENT, AND ALL PATIENTS GET THREE STATEMENTS BEFORE THEY CAN GO TO A COLLECTION AGENCY. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 22 ELIGIBILITY GUIDELINES FOR CHARITY CARE DISCOUNTS THE FEDERAL POVERTY GUIDELINES FOR INCOME ARE THE BASIS FOR DETERMINING ELIGIBILITY FOR CHARITY CARE DISCOUNTS. FOR EXAMPLE, INDIVIDUALS WITH INCOMES 200 OR BELOW, THE FEDERAL POVERTY GUIDELINES WILL BE ELIGIBLE FOR FREE CARE IN ALL COMMUNITIES EXCEPT JOPLIN, MAUDE NORTON, CARTHAGE AND SOUTHEAST KANSAS. INDIVIDUALS WITH INCOMES GREATER THAN 200 OF THE FEDERAL POVERTY GUIDELINES FOR MOST COMMUNITIES, MAY BE ELIGIBLE FOR CARE AT DISCOUNTED RATES DEPENDING ON THEIR INCOME LEVEL AND/OR THE AMOUNT DUE TO THE HOSPITAL. TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE, THE HOSPITAL FACILITY USES AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE. THE HOSPITAL USES A LOOK BACK METHOD THAT CONSIDERS DISCOUNTS ALLOWED TO MEDICARE AND ALL PRIVATE HEALTH INSURERS. | ExplanationTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 5 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| Mercy Outpatient Surgery Center | ||||
| 3601 W E Knight Drive | Fort Smith | AR | 72903 | SURGERY CENTER |
| MERCY OP THERAPY SERVICES | ||||
| 7610 DALLAS STREET | FORT SMITH | AR | 72903 | PHYSICAL THERAPY CENTER |
| MERCY SLEEP CENTER | ||||
| 5401 ELLSWORTH ROAD | FORT SMITH | AR | 72903 | SLEEP CENTER |
| OP Wound and Hyperbaric Center | ||||
| 7306 ROGERS AVENUE | FORT SMITH | AR | 72903 | WOUND TREATMENT CENTER |
| MERCY HOME HEALTH | ||||
| 7301 ROGERS AVENUE | FORT SMITH | AR | 72903 | HOME HEALTH |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| IMPACT OF COVID-19 PANDEMIC | PLEASE SEE SCHEDULE O FOR INFORMATION RELATED TO COVID-19. FORM 990, SCHEDULE H, PART I, LINE 6A THE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS PREPARED BY ITS ULTIMATE PARENT ENTITY, MERCY HEALTH (EIN: 43-1423050). |
| FORM 990, SCHEDULE H, PART I, LINE 7, COLUMN F | TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) ARE $373,514,442. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $18,749,619. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $354,764,823. |
| FORM 990, SCHEDULE H, PART III, SECTION A, LINE 2 | TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE, AT COST, BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENT ACCOUNTS WAS MULTIPLIED BY A RATIO OF COST TO CHARGES. THE RATIO OF COST TO CHARGES USED WAS BASED ON DETAILED COST ACCOUNT, WHERE AVAILABLE. WHERE COST ACCOUNTING IS NOT AVAILABLE, COST REPORT COST TO CHARGE RATIOS WERE UTILIZED. |
| FORM 990, SCHEDULE H, PART III, SECTION A, LINE 3 | THE FILING ORGANIZATION DETERMINED THAT THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS $0. ALTHOUGH THE CHARITY CARE POLICY REQUIRES THE PARTICIPATION OF THE PATIENT REQUESTING ASSISTANCE, WE HAVE A PROCESS UNDER PRESUMPTIVE CHARITY TO ADDRESS ACCOUNTS FOR PATIENTS WHO DO NOT PROVIDE THE INFORMATION. WE BELIEVE THAT OUR CHARITY POLICY IS COMPREHENSIVE ENOUGH TO CAPTURE ALMOST ALL PATIENTS WHO QUALIFY FOR CHARITY CARE. |
| FORM 990, SCHEDULE H, PART III, SECTION A, LINE 4 | IN MAY 2014, THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) AND INTERNATIONAL ACCOUNTING STANDARDS BOARD ISSUED ACCOUNTING STANDARDS UPDATE (ASU) 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606). THE HEALTH SYSTEM ADOPTED ASU 2014-09 ON JULY 1, 2018 USING A FULL RETROSPECTIVE BASIS. UPON ADOPTION, THE MAJORITY OF WHAT WAS PREVIOUSLY CLASSIFIED AS PROVISION FOR UNCOLLECTIBLE ACCOUNTS AND PRESENTED AS A REDUCTION TO PATIENT SERVICE REVENUE ON THE CONSOLIDATED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS IS TREATED A PRICE CONCESSION THAT REDUCES THE TRANSACTION PRICE, WHICH IS REPORTED AS PATIENT SERVICE REVENUE. AS SUCH, BAD DEBT EXPENSE IS NOT REFERENCED IN MERCY HEALTH AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS. BAD DEBT EXPENSE IS TRACKED FOR FORM 990 REPORTING AS FOLLOWS: PATIENT ACCOUNTS RECEIVABLE THAT ARE DEEMED UNCOLLECTIBLE, INCLUDING THOSE PLACED WITH COLLECTION AGENCIES, ARE INITIALLY CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN ACCORDANCE WITH COLLECTION POLICIES OF THE HEALTH SYSTEM AND, IN CERTAIN CASES, ARE RECLASSIFIED TO CHARITY CARE IF DEEMED TO OTHERWISE MEET THE HEALTH SYSTEM'S CHARITY CARE POLICY. THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES BASED UPON THE PAYOR COMPOSITION AND AGING OF RECEIVABLES WITH CONSIDERATION OF THE HISTORICAL PAYMENT AND WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES. |
| FORM 990, SCHEDULE H, PART III, SECTION B, LINE 8 | IT IS THE POSITION OF MERCY THAT 100% OF ANY SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS AMOUNT REPRESENTS COST OF PROVIDING SERVICES THAT REMAIN UNCOMPENSATED TO THE PROVIDER. THE UNREIMBURSED COSTS OF MEDICARE IS CALCULATED BY THE GROSS CHARGES NET OF THE COST TO CHARGE RATIO LESS ANY PAYMENTS, DEDUCTIONS OR REIMBURSEMENTS USING THE ANNUAL MEDICARE COST REPORT (CMS FORM 2552-96). |
| FORM 990, SCHEDULE H, PART III, SECTION C, LINE 9B | MERCY'S COLLECTION POLICY PROVIDES THAT MERCY WILL PERFORM A REASONABLE COMMUNICATION AND/OR REVIEW OF PATIENT ACCOUNTS AS IT RELATES TO ANY SERVICE PROVIDED AT OUR FACILITIES BEFORE TURNING THE ACCOUNT TO BAD DEBT OR TAKING LEGAL ACTION FOR NONPAYMENT. MERCY ACTIVELY SCRUBS ACCOUNTS FOR PAYOR PLAN COVERAGE, INCLUDING MEDICAID. IN THE EVENT AN ACCOUNT IS TURNED TO COLLECTIONS AND IS IDENTIFIED IN NEED OF FINANCIAL ASSISTANCE DUE TO CIRCUMSTANCE CHANGES, OR IS NOW REQUESTING ASSISTANCE, THE ACCOUNTS ARE RETURNED BY THE AGENCY AND CONSIDERED FOR CHARITY IF THE PATIENT PROVIDES THE REQUESTED INFORMATION. IF THE PATIENT FAILS TO RETURN THE INFORMATION, THE ACCOUNT WILL QUALIFY FOR COLLECTIONS. MERCY UTILIZES THE EXPERIAN TOOL TO ENHANCE THE ABILITY TO DETERMINE THE CHARITY QUALIFICATION PRIOR TO TURNING TO BAD DEBT, A PROCESS KNOWN AS PRESUMPTIVE CHARITY FOR ALL COMMUNITIES EXCEPT JOPLIN, MAUDE NORTON, CARTHAGE AND SOUTHEAST KANSAS. THIS PRESUMPTIVE SCREENING PROCESS DETAILS EVALUATIONS THAT TAKE PLACE PRIOR TO PATIENT BILLING AND ADDITIONALLY PRIOR TO BAD DEBT PLACEMENT. THE PRESUMPTIVE SCREENING WAS PER ENCOUNTER AND DID NOT PROMOTE ANY LOOK-BACK ADJUSTMENTS. MERCY WILL GRANT CHARITY IN SITUATIONS WHERE THERE HAS BEEN AN INABILITY TO OBTAIN INFORMATION FROM PATIENTS OR THE INFORMATION PROVIDED IS NOT COMPLETE ENOUGH TO MAKE A CHARITY DETERMINATION WHEN A PATIENT HAS SUBMITTED AN APPLICATION. MERCY WILL PURSUE APPROPRIATE MEANS IN THE COLLECTION OF DELINQUENT ACCOUNTS FROM PATIENTS WITH AN ESTABLISHED ABILITY TO PAY OR AN UNWILLINGNESS TO COOPERATE IN VALIDATING ELIGIBILITY FOR FINANCIAL ASSISTANCE. THESE APPROPRIATE MEANS MAY INCLUDE LEGAL ACTION CONSISTENT WITH MERCY MISSION AND VALUES AFTER SENDING 3 MONTHLY STATEMENTS WITH THE FINAL INCLUDING NOTIFICATION; IF NO RESOLUTION THEY WILL BE TURNED TO COLLECTIONS. ADDITIONALLY, THEY MAY INCLUDE LIENS UPON REAL PROPERTY AND REASONABLE WAGE GARNISHMENTS. LEGAL ACTIONS WILL GENERALLY NOT INCLUDE BANK GARNISHMENTS, REPOSSESSION OF ASSETS OR FORECLOSURES TO ENSURE SATISFACTION OF A LIEN. MERCY HAS POLICIES AND PROCEDURES ESTABLISHED TO ADDRESS THE INITIATION OF LEGAL ACTION AND ANNUALLY REVIEW COMPLIANCE WITH POLICIES BUT ENSURE 120 DAYS OF BILLING AND COLLECTIONS OCCUR PRIOR TO ANY EXTRAORDINARY COLLECTIONS ARE PURSUED. |
| FORM 990, SCHEDULE H, PART VI, LINE 2 | MERCY HEALTH BELIEVES THAT ITS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS IS COMPREHENSIVE ENOUGH TO CAPTURE SUBSTANTIALLY ALL OF THE COMMUNITY'S NEEDS. THEREFORE, NO OTHER STEPS WERE TAKEN TO IDENTIFY ADDITIONAL NEEDS. |
| FORM 990, SCHEDULE H, PART VI, LINE 3 | MERCY INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY THROUGH SEVERAL MEANS. IF AT ANY TIME A PATIENT EXPRESSES HARDSHIP AND INABILITY TO PAY, THE ACCOUNT IS PLACED FOR REVIEW. IN ADDITION, PATIENTS HAVE SIGNAGE ABOUT THE POLICY AT THE ACCESS POINTS, AND ALL STAFF WORKING WITH THE PATIENT AT POINT OF SERVICE, SCHEDULING, CUSTOMER SERVICE, AND EVEN THROUGH THE MEDICAID ELIGIBILITY SCREENING HAVE THE MEANS TO SEND THE ACCOUNT FOR REVIEW. THERE IS THE PLAIN LANGUAGE SUMMARY THAT IS BEING PROVIDED TO ALL WHOM EXPRESS HARDSHIP, IN ADDITION TO THE WEB ADDRESS PROVIDING THE APPLICATION, POLICIES, AND EVEN HOW UNINSURED ACCOUNTS ARE HANDLED. LASTLY, THE STATEMENTS MESSAGE TO THE PATIENT THAT MERCY DOES HAVE A FINANCIAL ASSISTANCE PROGRAM AND TO CALL TO SEE IF THEY ARE ELIGIBLE. MERCY STAFF'S INTERNAL RESOURCES CERTIFIED TO ASSIST PATIENTS WITH MEDICAID APPLICATIONS AS WELL. |
| FORM 990, SCHEDULE H, PART VI, LINE 4 | THE PRIMARY SERVICE AREA FOR MERCY HOSPITAL FORT SMITH INCLUDES 114 ZIP CODES ACROSS THE BORDER OF ARKANSAS AND OKLAHOMA. THE FOLLOWING INFORMATION IS DERIVED FROM THE ADVISORY BOARD DEMOGRAPHICS AND 2020-2021 AHA ANALYTICS. THE AREA'S POPULATION IS 445,992. THE MEDIAN HOUSEHOLD INCOME IS $45,000. 43.7% OF THE POPULATION IS 45 AND OLDER. 84% OF THE POPULATION IS A HIGH SCHOOL GRAD OR GREATER AND THE MEDIAN AGE IS 40. 21.2% OF THE HOUSEHOLDS ARE ON MEDICARE, 30.9% ON MEDICAID, AND 13% UNINSURED. |
| FORM 990, SCHEDULE H, PART VI, LINE 5 | PROMOTION OF COMMUNITY HEALTH MERCY PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. MERCY IS A CATHOLIC HEALTH CARE CORPORATION THAT, PURSUANT TO THE ORGANIZATIONAL CORE BELIEF THAT HEALTH CARE SERVICES ARE A VITAL AND INTEGRAL PART OF THE CHURCH'S HEALING MISSION, ENGAGES IN A MINISTRY WHICH PROVIDES GENERAL ACUTE CARE, AMBULATORY, LONG-TERM AND HOME CARE HEALTH SERVICES TO INDIVIDUALS AND FAMILIES IN ITS SERVICE COMMUNITIES. MERCY OFFERS SERVICES AND PROGRAMS WHICH FURTHER HEALTH PROMOTION, MAINTENANCE AND CARE TO THE COMMUNITY. PROGRAMS PROVIDED TO MEET THE COMMUNITY NEEDS INCLUDE SUPPORT GROUPS FOR VARIOUS SITUATIONS, OUTREACH PROGRAMS, BLOOD DRIVES, ETC. MERCY IS GOVERNED BY A BOARD OF DIRECTORS WHICH INCLUDES REPRESENTATION FROM COMMUNITY LEADERS IN THE ORGANIZATION'S PRIMARY SERVICE AREAS. ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY. ANY POTENTIAL CONFLICTS OF INTEREST DISCLOSED BY BOARD MEMBERS ARE REVIEWED AND RESOLVED. THIS PROCESS ENSURES THAT PUBLIC, RATHER THAN PRIVATE, INTERESTS ARE SERVED BY MERCY. SURPLUS FUNDS AND UNRESTRICTED ASSETS HELD BY MERCY ARE REINVESTED IN PATIENT CARE, MEDICAL EDUCATION AND RESEARCH INITIATIVES WHICH SUPPORT THE ORGANIZATION'S MISSION TO DELIVER COMPASSIONATE CARE AND EXCEPTIONAL HEALTH CARE SERVICES TO THE COMMUNITY IT SERVES. |
| FORM 990, SCHEDULE H, PART VI, LINE 6 | AFFILIATED HEALTH CARE SYSTEM THE FILING ORGANIZATION IS PART OF MERCY HEALTH ("MERCY"). MERCY IS A MISSOURI NON-PROFIT CORPORATION WITH ITS HEADQUARTERS ("MINISTRY OFFICE") IN ST. LOUIS, MISSOURI. MERCY PROVIDES HEALTH CARE SERVICES IN FOUR STATES - ARKANSAS, KANSAS, MISSOURI, AND OKLAHOMA - AND HAS OUTREACH MINISTRIES LOCATED IN ARKANSAS, LOUISIANA, MISSISSIPPI, AND TEXAS. MERCY'S MISSION IS "AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE." AS OF JUNE 30, 2021, MERCY FACILITIES INCLUDED 30 ACUTE CARE HOSPITALS, 5 HEART HOSPITALS, 5 REHAB HOSPITALS, 2 CHILDREN'S HOSPITALS, 2 ORTHOPEDIC HOSPITALS, AND 1 VIRTUAL CARE COMMAND CENTER. FOR THE FISCAL YEAR ENDED JUNE 30, 2021, MERCY HAD MORE THAN 10.9 MILLION OUTPATIENT AND PHYSICIAN OFFICE VISITS, APPROXIMATELY 2,300 EMPLOYED PHYSICIANS, AND APPROXIMATELY 43,000 FULL-TIME EQUIVALENT EMPLOYEES, MAKING MERCY THE SIXTH LARGEST CATHOLIC HEALTH SYSTEM IN THE UNITED STATES. MERCY IS SPONSORED BY MERCY HEALTH MINISTRY, WHICH IS GOVERNED BY MEMBERS THAT INCLUDE SISTERS OF MERCY. MANY SERVICES THAT ARE ESSENTIAL TO FULFILLING MERCY'S MISSION ARE CENTRALIZED AT THE MINISTRY OFFICE. SUCH CENTRALIZED SERVICES INCLUDE: FINANCE (INCLUDING TREASURY, FINANCIAL ACCOUNTING AND REPORTING, REVENUE MANAGEMENT, INTERNAL AUDIT, ACCOUNTS PAYABLE AND PAYROLL OPERATIONS, ANALYTICS AND DECISION SUPPORT); ENVIRONMENTAL SERVICES SUPPORT; CLINICAL INTEGRATION; CARE MANAGEMENT; CLINICAL PERFORMANCE ACCELERATION; CLINICAL ENGINEERING; CLINICAL QUALITY MANAGEMENT; COMPLIANCE; GRANTS AND RESEARCH SERVICES; LEGAL AND COMPLIANCE COUNSEL; MARKETING AND COMMUNICATIONS; PLANNING, DESIGN AND CONSTRUCTION; PRODUCT DEVELOPMENT INFORMATICS; REAL ESTATE; SUPPLY CHAIN MANAGEMENT; MANAGED CARE STRATEGY SUPPORT; HUMAN RESOURCES (INCLUDING COMPENSATION, BENEFITS AND RECRUITING); MISSION SERVICES AND ETHICS; PHILANTHROPY SUPPORT; INFORMATION TECHNOLOGY; AND, COMMUNITY RELATIONS. THE CENTRALIZATION OF SUCH SUPPORT SERVICES ENABLES MERCY TO ENSURE THAT EACH OF ITS COMMUNITIES, WHETHER LARGE OR SMALL, HAS THE SERVICES IT NEEDS. |
| FORM 990, SCHEDULE H, PART VI, LINE 7 | STATE FILING OF COMMUNITY BENEFIT REPORT: N/A |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY HEALTH FOUNDATION FORT SMITH | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 17000 | AddressLine1Txt |
| City | FORT SMITH | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 729177000 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 237330425 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $291,601 | CashGrantAmt |
| Purpose Of Grant | TO SUPPORT ORG MISSION | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING USE OF GRANTS THE ASSISTANCE PROVIDED IS INTENDED TO BE USED FOR THE GENERAL OPERATING PURPOSES OF THE DONEE. THE USE OF GRANT FUNDS IS NOT MONITORED AFTER GRANTS ARE GIVEN. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Swope Jon | ||||||||||||||
| President -Central Communities | $0 | $394,020 | $0 | $2,376,256 | $0 | $5,668,353 | $0 | $144,559 | $0 | $8,662 | $0 | $8,591,850 | $0 | $5,727,225 |
| Gehrig Ryan | ||||||||||||||
| Chief Executive Officer | $0 | $411,162 | $0 | $682,782 | $0 | $558,665 | $0 | $60,706 | $0 | $15,937 | $0 | $1,729,252 | $0 | $499,228 |
| Reynolds Scott | ||||||||||||||
| Former Officer | $0 | $155,479 | $0 | $359,912 | $0 | $432,705 | $0 | $92,903 | $0 | $4,950 | $0 | $1,045,949 | $0 | $284,503 |
| Hubbard Brent | ||||||||||||||
| Former Key Employee | $0 | $492,599 | $0 | $371,434 | $0 | $97,280 | $0 | $66,798 | $0 | $15,918 | $0 | $1,044,029 | $0 | $198,101 |
| Hennessey III William | ||||||||||||||
| Former Key Employee | $0 | $183,479 | $0 | $49,398 | $0 | $438,985 | $0 | $38,630 | $0 | $15,301 | $0 | $725,793 | $0 | $0 |
| Marion Tanya | ||||||||||||||
| Regional VP - Human Resources | $0 | $277,995 | $0 | $195,306 | $0 | $150,262 | $0 | $49,098 | $0 | $12,570 | $0 | $685,231 | $0 | $140,147 |
| Hunton David | ||||||||||||||
| President - Clinic | $0 | $455,669 | $0 | $141,067 | $0 | $49,355 | $0 | $12,600 | $0 | $14,060 | $0 | $672,751 | $0 | $58,783 |
| Kiss Csaba | ||||||||||||||
| Physician & Board Member | $0 | $493,835 | $0 | $4,809 | $0 | $28,322 | $0 | $17,553 | $0 | $12,745 | $0 | $557,264 | $0 | $0 |
| Clayton Justin | ||||||||||||||
| Physician & Board Member | $0 | $481,176 | $0 | $0 | $0 | $19,945 | $0 | $9,800 | $0 | $13,168 | $0 | $524,089 | $0 | $0 |
| Wilcher Greta | ||||||||||||||
| VP OF FINANCE | $0 | $218,442 | $0 | $11,806 | $0 | $158,688 | $0 | $32,836 | $0 | $11,854 | $0 | $433,626 | $0 | $0 |
| Gaborni Pamela | ||||||||||||||
| Physician & Board Member | $0 | $209,767 | $0 | $4,217 | $0 | $44,700 | $0 | $14,670 | $0 | $16,125 | $0 | $289,479 | $0 | $0 |
| Phillips Mary C | ||||||||||||||
| Pharmacist | $0 | $188,501 | $0 | $640 | $0 | $47,624 | $0 | $13,809 | $0 | $986 | $0 | $251,560 | $0 | $0 |
| Stec Julianne | ||||||||||||||
| Chief Operating Officer | $0 | $179,592 | $0 | $9,500 | $0 | $31,223 | $0 | $15,728 | $0 | $11,854 | $0 | $247,897 | $0 | $0 |
| Gusdorf Michael | ||||||||||||||
| Pharmacist | $0 | $156,826 | $0 | $640 | $0 | $34,209 | $0 | $25,247 | $0 | $15,302 | $0 | $232,224 | $0 | $0 |
| Post Frank | ||||||||||||||
| Pharmacist | $0 | $161,580 | $0 | $640 | $0 | $32,100 | $0 | $11,884 | $0 | $11,734 | $0 | $217,938 | $0 | $0 |
| Davis Melinda | ||||||||||||||
| Registered Nurse | $0 | $160,163 | $0 | $640 | $0 | $28,675 | $0 | $6,237 | $0 | $14,772 | $0 | $210,487 | $0 | $0 |
| Thames Michael D | ||||||||||||||
| Director - Hospice/Pharmacy | $0 | $138,446 | $0 | $36,568 | $0 | $11,578 | $0 | $3,646 | $0 | $14,552 | $0 | $204,790 | $0 | $0 |
| Schreiber Martin | ||||||||||||||
| Former Key Employee | $0 | $67,691 | $0 | $0 | $0 | $35,250 | $0 | $6,652 | $0 | $6,287 | $0 | $115,880 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, SCHEDULE J, PART I, QUESTION 3 | MERCY HOSPITAL FORT SMITH RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTION 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS. |
| FORM 990, SCHEDULE J, PART I, QUESTION 4A | THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT DURING CALENDAR 2020: JON SWOPE - $385,280 SCOTT REYNOLDS - $275,218 FORM 990, SCHEDULE J, PART I, QUESTION 4B MERCY HEALTH OFFERS SUPPLEMENTAL RETIREMENT PLANS TO CERTAIN EXECUTIVES WHICH PROVIDE BENEFITS UPON VESTING DATE BASED ON COMPENSATION, AGE AT THE TIME OF BENEFIT COMMENCEMENT, LENGTH OF SERVICE WITH THE COMPANY AND/OR ITS AFFILIATES AND LENGTH OF TENURE IN THE PLAN. THE PLANS ARE CLOSED TO NEW ENTRANTS. THE INDIVIDUALS REPORTABLE ON THIS RETURN WHO PARTICIPATE IN THE SUPPLEMENTAL RETIREMENT PLANS INCLUDE: JON SWOPE, SCOTT REYNOLDS, RYAN GEHRIG, TANYA MARION, GRETA WILCHER, WILLIAM HENNESSEY III, BRENT HUBBARD AND DAVID HUNTON. THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C). THE FOLLOWING INDIVIDUAL RECEIVED PAYOUTS FROM THE PLAN DURING THE YEAR: JON SWOPE - $5,144,518 DAVID HUNTON - $9,643 FORM 990, SCHEDULE J, PART II THE AMOUNTS REPORTED FOR JON SWOPE, RYAN GEHRIG, SCOTT REYNOLDS, BRENT HUBBARD, TANYA MARION AND DAVID HUNTON IN COLUMN (F) ARE EITHER INCLUDED IN B(I) BASE COMPENSATION, B(II) AS BONUS AND INCENTIVE COMPENSATION, OR B(III) AS OTHER REPORTABLE COMPENSATION. THESE AMOUNTS ARE A PAYOUT OF THE SUPPLEMENTAL RETIREMENT PLAN AND EXECUTIVE RETENTION PLAN AND WERE INCLUDED IN COLUMN (C) OF PREVIOUSLY FILED FORMS 990. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LEIGH HORN | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | FAMILY OF BOARD MEMBER | RelationshipDescriptionTxt |
| Transaction | $54,767 | TransactionAmt |
| Transaction | EMPLOYMENT | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 6 | MERCY HOSPITAL FORT SMITH UTILIZES AN AUXILIARY PROGRAM FOR VOLUNTEERS TO PERFORM VARIOUS FUNCTIONS. SUCH FUNCTIONS INCLUDE FLOWER DELIVERY, INFORMATION DESK, AND PATIENT TRANSPORT. FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES OTHER SERVICES INCLUDE OUTPATIENT DIAGNOSTICS AND TESTING, SURGERY SERVICES, A WOMEN'S CENTER THAT PROVIDES NEONATOLOGY, OB ANESTHESIA, DIGITAL MAMMOGRAPHY, AND LABOR AND DELIVERY, A CANCER CENTER WITH A COMPREHENSIVE TREATMENT APPROACH INCLUDING RADIATION THERAPY, HOME CARE, HOSPICE, PALLIATIVE CARE, A SLEEP DISORDERS CENTER, AND WOUND CARE WITH HYPERBARIC MEDICINE. MERCY HOSPITAL FORT SMITH PROVIDED 75,899 INPATIENT SERVICE DAYS OF ACUTE OR SUB-ACUTE CARE, PERFORMED 2,535 DELIVERIES, RESPONDED TO 54,175 EMERGENCY ROOM ENCOUNTERS, AND COMPLETED 260,897 OUTPATIENT VISITS. MERCY HOSPITAL FORT SMITH PROVIDES QUALITY CARE REGARDLESS OF RACE, CREED, GENDER, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. RELIEF FROM THE FINANCIAL BURDEN OF HEALTH CARE SERVICES TO THE INDIGENT CONSISTS OF CHARGES OF $30,857,695 FOR CHARITY CARE PROVIDED. |
| FORM 990, PART V, QUESTION 1A | FORM 1099/1096 FILING VENDORS FOR THE FILING ORGANIZATION ARE PAID BY MERCY HEALTH (EIN 43-1423050). AS SUCH, ALL REQUIRED FORM 1099 AND FORM 1096 REPORTING IS MADE FOR THE ENTIRE MERCY HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN. |
| FORM 990, PART V, QUESTION 2A | W-3 FILING MOST EMPLOYEES ARE PAID BY A RELATED ORGANIZATION UNDER A COMMON PAYMASTER ARRANGEMENT. AS SUCH, REQUIRED PAYROLL FILING (INCLUDING W-2 AND W-3'S) IS REPORTED UNDER THE RELATED ORGANIZATION, MHM SUPPORT SERVICES, EIN 20-2553101. |
| FORM 990, PART VI, LINE 6A, LINE 7A, 7B | CLASSES OF MEMBERS OR STOCKHOLDERS THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH FORT SMITH COMMUNITIES. THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES ARE RESERVED SOLELY FOR THE SOLE CORPORATE MEMBER: - TO APPROVE THE MISSION AND ESTABLISH THE PHILOSOPHY ACCORDING TO WHICH THE CORPORATION SHALL OPERATE; - TO AMEND THE ARTICLES OF INCORPORATION AND BYLAWS; - TO APPOINT AND REMOVE MEMBERS OF THE BOARD; - TO APPOINT AND REMOVE THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION; - TO APPROVE OR AMEND THE STRATEGIC PLAN, GOALS, AND OBJECTIVES OF THE CORPORATION; - TO APPROVE OR AMEND THE OPERATING, CAPITAL, AND CONSTRUCTION BUDGETS OF THE CORPORATION; - TO LEASE OR SELL ANY OF THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION IN EXCESS OF ONE MILLION DOLLARS ($1,000,000); - TO ENCUMBER ANY OR ALL THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION; - TO AUTHORIZE OR APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTE ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; - TO MERGE, DISSOLVE OR ABANDON THE CORPORATION; AND, - TO APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION BY THE CORPORATION. |
| FORM 990, PART VI, QUESTION 11B | DSCR THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM, USING INFORMATION PROVIDED BY THE FILING ORGANIZATION. A DRAFT FORM 990 IS REVIEWED BY THE FILING ORGANIZATION'S FINANCE TEAM, INCLUDING THE DIRECTOR OF FINANCE AND THE VICE-PRESIDENT OF FINANCE. THE DRAFT FORM 990 IS ALSO REVIEWED BY MERCY HEALTH'S TAX DEPARTMENT, TO ENSURE ACCURACY AND CONSISTENCY WITH OTHER RELATED ORGANIZATIONS' FORMS 990. AFTER QUESTIONS ARISING FROM THE VARIOUS REVIEWS ARE ADDRESSED AND INCORPORATED INTO THE FORM 990, A REVISED DRAFT IS PROVIDED TO THE FILING ORGANIZATION'S LEADERSHIP TEAM, INCLUDING THE CFO AND CEO, FOR REVIEW. ONCE REVIEWED AND APPROVED BY THE FILING ORGANIZATION'S LEADERSHIP TEAM, THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW; IT IS THEN SIGNED AND FILED WITH THE IRS. |
| FORM 990, PART VI, QUESTION 12C | DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER DISQUALIFIED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY AND DID SO IN THE NORMAL COURSE FOR THE YEAR ENDED JUNE 30, 2021. THIS PROCESS IS ADMINISTERED AT THE MERCY HEALTH LEVEL BY MERCY'S CORPORATE COMPLIANCE DEPARTMENT. THE QUESTIONNAIRES ARE REVIEWED WITH LEADERSHIP AT THE LOCAL LEVEL AND POTENTIAL CONFLICTS DISCUSSED AND RESOLVED. THE CONFLICTS AND THEIR RESPECTIVE RESOLUTIONS ARE SHARED AT THE MERCY LEVEL WITH A TEAM INCLUDING MERCY'S CHIEF FINANCIAL OFFICER, CHIEF COMPLIANCE OFFICER AND OTHER MEMBERS OF FINANCE, LEGAL AND HR. SUMMARY RESULTS ARE REVIEWED WITH MERCY'S STEWARDSHIP COMMITTEE OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, QUESTIONS 15A & 15B | OFFICERS & POSITIONS FOR WHICH PROCESS WAS USED & YEAR PROCESS WAS BEGUN FOR THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS), THE ORGANIZATION RELIES UPON MERCY HEALTH, WHICH USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT, AND REVIEW/APPROVAL OF COMPENSATION BY THE COMPENSATION COMMITTEE OF THE BOARD OF MERCY HEALTH. FOR THOSE CLASSIFIED AS KEY EMPLOYEES, MERCY HEALTH USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, AND REVIEW/APPROVAL OF EXECUTIVE MANAGEMENT. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS AND A REVIEW WAS COMPLETED DURING THE REPORTING YEAR. |
| FORM 990, PART VI, QUESTION 19 | AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMT TO GEN PUBLIC GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST BUT ARE NOT PUBLISHED PUBLICLY. FORM 990, PART VII, SECTION A FORMER EMPLOYEE COMPENSATION IS REPORTED FOR THE CALENDAR YEAR ENDING WITHIN THE ORGANIZATION'S FISCAL YEAR WHILE AVERAGE HOURS ARE BASED ON THE FISCAL YEAR PERIOD FROM JULY 1, 2020 THROUGH JUNE 30, 2021. FORM 990, PART VII, SECTION B IT IS POSSIBLE THAT A PORTION OF THE AMOUNTS REPORTED FOR CONSTRUCTION SERVICES MAY INCLUDE EXPENSE REIMBURSEMENT, IN ADDITION TO AMOUNTS PAID FOR SERVICES. HOWEVER, THE AMOUNTS ARE NOT DISTINGUISHABLE. FORM 990, PART VIII IMPACT OF COVID-19 PANDEMIC Early in 2020, the Mercy Health System was called to serve as the COVID-19 pandemic swept across the world. During FY 2021, it continued to be a difficult time for all healthcare providers. All Mercy facilities adjusted operations for the impacts of the pandemic which meant making changes to patient care areas and cancelling most of our outpatient procedures for periods of time. In addition, Mercy foundations and outreach ministries experienced limitations in fundraising for program and capital support efforts that assist the underserved in our communities. Mercy's total system net patient revenues were reduced during the year due to surges in the communities we serve. Mercy did receive funding from the Coronavirus Aid Relief and Economic Security Act ("CARES Act"). Mercy received CARES Act funding across various entities for the year ended June 30, 2021 and recognized a portion of this funding in other operating revenue. These funds helped to offset revenue losses and additional expenses incurred due to the pandemic; however, these funds fell short of the system losses experienced since the start of the pandemic. The impact of COVID-19 was significant to our communities and coworkers as unemployment rates soared and Mercy acted quickly to provide continuous care to patients and the community. Mercy continues to monitor the impacts of the pandemic both to the health system and the communities served as we continue to provide assistance and maintain access to care within our communities. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS NET TRANSFERS (TO)/FROM AFFILIATES ($93,616,921) EMPLOYEE CRISIS FUND ($25,752) GRANTS AND OTHER CONTRIBUTIONS ($1,846,835) TOTAL ($95,489,508) FORM 990, PART XII, QUESTION 2C AUDIT OF FINANCIAL STATEMENTS THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN MERCY HEALTH AND SUBSIDIARIES ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 2021 (THE TAX YEAR CURRENTLY BEING REPORTED). HOWEVER, NO SEPARATE AUDIT OPINION WAS ISSUED ON THE FINANCIAL STATEMENTS OF THE FILING ORGANIZATION. THE ULTIMATE RESPONSIBILITY FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE EXTERNAL AUDITOR LIES WITH THE STEWARDSHIP COMMITTEE OF THE MERCY HEALTH BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE. FORM 990, PART XII, QUESTION 3A AND 3B SINGLE AUDIT ACT AND 2 CFR 200 AUDIT MERCY HEALTH UNDERGOES A CONSOLIDATED 2 CFR 200 AUDIT EVERY YEAR. THIS AUDIT IS UNDERWAY FOR THE FISCAL YEAR ENDING JUNE 30, 2021 AND WILL BE COMPLETED BY SEPTEMBER 30, 2022. EACH ENTITY THAT RECEIVES FEDERAL FUNDS DURING THE YEAR IS INCLUDED ON THE SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS (SEFA) AND IS ALSO INCLUDED IN THE POPULATION INCLUDED IN THE AUDIT. IF THE FILING ENTITY RECEIVED FEDERAL FUNDS DURING THE YEAR ENDED JUNE 30, 2021, IT WILL BE INCLUDED ON THE MERCY HEALTH CONSOLIDATED SEFA, AND THEREFORE, ALSO INCLUDED IN THE POPULATION INCLUDED IN THE AUDIT. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (71 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Casa de Misericordia | ||||||||||
| 1000 Mier St | Laredo | TX | 78040 | 742912461 | SHELTER | TX | 501c3 | 7 | MM LAREDO | Yes (true) |
| McAuley Portfolio Management Company | ||||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 261708048 | PORT MGMT | MO | 501c3 | 12b | Mercy Health | Yes (true) |
| Mercy ACO Clinical Services Inc | ||||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 464504901 | VIRTUAL CARE | MO | 501c3 | 3 | Mercy Health | Yes (true) |
| Mercy Clinic East Communities | ||||||||||
| 645 MARYVILLE CTR STE 100 | St Louis | MO | 63141 | 431771217 | PHYS GROUP | MO | 501c3 | 10 | MH EAST COMM | Yes (true) |
| Mercy Clinic Fort Smith Communities | ||||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72903 | 261318597 | PHYS CLINIC | AR | 501c3 | 3 | MH FS COMM | Yes (true) |
| Mercy Clinic Oklahoma Communities Inc | ||||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 270473057 | PHYS GROUP | OK | 501c3 | 3 | MH OK COMM | Yes (true) |
| Mercy Clinic Springfield Communities | ||||||||||
| 1965 Fremont St Suite 2950 | Springfield | MO | 65804 | 431560263 | PHYS GROUP | MO | 501c3 | 3 | MH SF COMM | Yes (true) |
| Mercy Family Center | ||||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | LA | 63017 | 721069468 | COUNSELING | LA | 501c3 | 7 | Mercy Health | Yes (true) |
| Mercy Health | ||||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 431423050 | CORP OFFICE | MO | 501c3 | 1 | NA | false |
| Mercy Health East Communities | ||||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 431718408 | HLTH SYSTEM | MO | 501c3 | 12a | Mercy Health | Yes (true) |
| Mercy Health Fort Smith Communities | ||||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72917 | 261318515 | HOLDING CO | AR | 501c3 | 12b | Mercy Health | Yes (true) |
| Mercy Health Foundation | ||||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 200901499 | Foundation | MO | 501c3 | 12b | Mercy Health | Yes (true) |
| Mercy Health Foundation Ada | ||||||||||
| 430 N Monte Vista Street | Ada | OK | 74820 | 463596274 | Foundation | OK | 501c3 | 12a | MH ADA INC | Yes (true) |
| Mercy Health Foundation Ardmore | ||||||||||
| 1011 14th Avenue NW | Ardmore | OK | 73401 | 710962525 | Foundation | OK | 501c3 | 12a | MH ARDMORE | Yes (true) |
| Mercy Health Foundation Berryville | ||||||||||
| 214 Carter Street | Berryville | AR | 72616 | 710759301 | Foundation | AR | 501c3 | 12a | MH BERRYVILL | Yes (true) |
| Mercy Health Foundation Fort Scott | ||||||||||
| 401 Woodland Hills Blvd | Fort Scott | KS | 66701 | 481077073 | Foundation | KS | 501c3 | 7 | M KS COMM | Yes (true) |
| Mercy Health Foundation Fort Smith | ||||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72917 | 237330425 | Foundation | AR | 501c3 | 7 | MH FS COMM | Yes (true) |
| Mercy Health Foundation Jefferson | ||||||||||
| 1400 US Highway 61 South | Festus | MO | 63028 | 462797051 | Foundation | MO | 501c3 | 12b | MH JEFFERSON | Yes (true) |
| Mercy Health Foundation Joplin | ||||||||||
| 100 Mercy Way | Joplin | MO | 64804 | 270906136 | Foundation | MO | 501c3 | 7 | MH SW MOKS | Yes (true) |
| Mercy Health Foundation Lebanon | ||||||||||
| 100 Hospital Drive | Lebanon | MO | 65536 | 822514567 | Foundation | MO | 501c3 | 12b | MH LEBANON | Yes (true) |
| Mercy Health Foundation Lincoln | ||||||||||
| 1000 East Cherry Street | Troy | MO | 63379 | 811477159 | Foundation | MO | 501c3 | 12b | MH EAST COMM | Yes (true) |
| Mercy Health Foundation NW Arkansas | ||||||||||
| 2710 Rife Medical Lane | Rogers | AR | 72758 | 710601687 | Foundation | AR | 501c3 | 7 | MH ROGERS | Yes (true) |
| Mercy Health Foundation of Oklahoma | ||||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 454732301 | Foundation | OK | 501c3 | 12a | MH OK COMM | Yes (true) |
| Mercy Health Foundation Oklahoma City | ||||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 463184231 | Foundation | OK | 501c3 | 12a | MH OK CITY | Yes (true) |
| Mercy Health Foundation Springfield | ||||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 320195818 | Foundation | MO | 501c3 | 12b | MH SF COMM | Yes (true) |
| Mercy Health Foundation St Francis | ||||||||||
| 100 W Highway 60 | Mountain View | MO | 65548 | 431873914 | Foundation | MO | 501c3 | 12a | M ST FRANCIS | Yes (true) |
| Mercy Health Foundation St Louis | ||||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 562410020 | Foundation | MO | 501c3 | 12b | MH EAST COMM | Yes (true) |
| Mercy Health Foundation Washington | ||||||||||
| 901 E Fifth Street | Washington | MO | 63090 | 562410022 | Foundation | MO | 501c3 | 12b | MH EAST COMM | Yes (true) |
| Mercy Health NW Arkansas Communities | ||||||||||
| 2710 Rife Medical Lane | Rogers | AR | 72758 | 621684203 | PHYS GROUP | AR | 501c3 | 10 | Mercy Health | Yes (true) |
| Mercy Health Oklahoma Communities Inc | ||||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 731453048 | HLTH SYSTEM | OK | 501c3 | 12a | Mercy Health | Yes (true) |
| Mercy Health Plans of Missouri Inc | ||||||||||
| 3265 S National Avenue | Springfield | MO | 65807 | 320481419 | HMO | MO | 501c4 | N/A | Mercy Health | Yes (true) |
| Mercy Health Plans Inc | ||||||||||
| 3265 S National Avenue | Springfield | MO | 65807 | 320486150 | PPO | MO | 501c4 | N/A | MH PLANS MO | Yes (true) |
| MERCY HEALTH SW MOKS COMMUNITIES | ||||||||||
| 100 Mercy Way | Joplin | MO | 64804 | 300584463 | HLTH SYSTEM | MO | 501c3 | 12b | Mercy Health | Yes (true) |
| Mercy Health Springfield Communities | ||||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 431856028 | HLTH SYSTEM | MO | 501c3 | 12b | Mercy Health | Yes (true) |
| Mercy Hospital Ada Inc | ||||||||||
| 430 N Monte Vista Street | Ada | OK | 74820 | 462288155 | Hospital | OK | 501c3 | 3 | MH OK COMM | Yes (true) |
| Mercy Hospital Ardmore Inc | ||||||||||
| 1011 14th Avenue NW | Ardmore | OK | 73401 | 731500629 | Hospital | OK | 501c3 | 3 | MH OK COMM | Yes (true) |
| Mercy Hospital Aurora | ||||||||||
| 500 Porter Avenue | Aurora | MO | 65605 | 431936696 | Hospital | MO | 501c3 | 3 | MH SF COMM | Yes (true) |
| Mercy Hospital Berryville | ||||||||||
| 214 Carter Street | Berryville | AR | 72616 | 710759299 | Hospital | AR | 501c3 | 3 | MH NW AK COM | Yes (true) |
| Mercy Hospital Booneville | ||||||||||
| 880 West Main Street | Booneville | AR | 72927 | 463851119 | Hospital | AR | 501c3 | 3 | MH FT SMITH | Yes (true) |
| Mercy Hospital Carthage | ||||||||||
| 3125 Dr Russell Smith Way | Carthage | MO | 64836 | 453808607 | Hospital | MO | 501c3 | 3 | MH SW MOKS | Yes (true) |
| Mercy Hospital Cassville | ||||||||||
| 94 Main Street | Cassville | MO | 65625 | 431936699 | Hospital | MO | 501c3 | 3 | MH SF COMM | Yes (true) |
| Mercy Hospital Columbus | ||||||||||
| 220 Pennsylvania Avenue | Columbus | KS | 66725 | 270842031 | Hospital | KS | 501c3 | 3 | MH SW MOKS | Yes (true) |
| Mercy Hospital El Reno Inc | ||||||||||
| 2115 Parkview Drive | El Reno | OK | 73036 | 272716065 | Hospital | OK | 501c3 | 3 | MH OK CITY | Yes (true) |
| Mercy Hospital Healdton Inc | ||||||||||
| 3462 Hospital Rd | Healdton | OK | 73438 | 263173902 | Hospital | OK | 501c3 | 3 | MH ARDMORE | Yes (true) |
| Mercy Hospital Jefferson | ||||||||||
| 1400 Highway 61 South | Festus | MO | 63028 | 430687077 | Hospital | MO | 501c3 | 3 | MH EAST COMM | Yes (true) |
| Mercy Hospital Joplin | ||||||||||
| 100 Mercy Way | Joplin | MO | 64804 | 270814858 | Hospital | MO | 501c3 | 3 | MH SW MOKS | Yes (true) |
| Mercy Hospital Kingfisher Inc | ||||||||||
| 1000 KINGFISHER REG HOSP | Kingfisher | OK | 73750 | 463433074 | Hospital | OK | 501c3 | 3 | MH OK CITY | Yes (true) |
| Mercy Hospital Lebanon | ||||||||||
| 100 Hospital Drive | Lebanon | MO | 65536 | 431767432 | Hospital | MO | 501c3 | 3 | MH FS COMM | Yes (true) |
| Mercy Hospital Lincoln | ||||||||||
| 1000 East Cherry Street | Troy | MO | 63379 | 472219204 | Hospital | MO | 501c3 | 3 | MH EAST COMM | Yes (true) |
| Mercy Hospital Logan County Inc | ||||||||||
| 200 South Academy | Guthrie | OK | 73044 | 452998842 | Hospital | OK | 501c3 | 3 | MH OK CITY | Yes (true) |
| Mercy Hospital Oklahoma City Inc | ||||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 730579285 | Hospital | OK | 501c3 | 3 | MH OK COMM | Yes (true) |
| Mercy Hospital Ozark | ||||||||||
| 801 W River Street | Ozark | AR | 72949 | 710689680 | Hospital | AR | 501c3 | 3 | MH FT SMITH | Yes (true) |
| Mercy Hospital Paris | ||||||||||
| 500 E Academy | Paris | AR | 72855 | 710655753 | Hospital | AR | 501c3 | 3 | MH FT SMITH | Yes (true) |
| Mercy Hospital Rogers | ||||||||||
| 2710 Rife Medical Lane | Rogers | AR | 72758 | 710294390 | Hospital | AR | 501c3 | 3 | MH NW AK COM | Yes (true) |
| Mercy Hospital Springfield | ||||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 440552485 | Hospital | MO | 501c3 | 3 | MH SF COMM | Yes (true) |
| Mercy Hospital Tishomingo Inc | ||||||||||
| 1000 South Byrd | Tishomingo | OK | 73460 | 274433830 | Hospital | OK | 501c3 | 3 | MH ADA INC | Yes (true) |
| Mercy Hospital Waldron | ||||||||||
| 1341 W 6th Street | Waldron | AR | 72958 | 710557895 | Hospital | AR | 501c3 | 3 | MH FT SMITH | Yes (true) |
| Mercy Hospital Watonga Inc | ||||||||||
| 500 Clarence Nash Blvd | Watonga | OK | 73772 | 455199762 | Hospital | OK | 501c3 | 3 | MH OK CITY | Yes (true) |
| MERCY HOSPITALS EAST COMMUNITIES | ||||||||||
| 615 S New Ballas Road | St Louis | MO | 63141 | 430653493 | Hospital | MO | 501c3 | 3 | MH EAST COMM | Yes (true) |
| MERCY KANSAS COMMUNITIES INC | ||||||||||
| 401 Woodland Hills Blvd | Ft Scott | KS | 66701 | 480956045 | Hospital | KS | 501c3 | 3 | MH SW MOKS | Yes (true) |
| Mercy Ministries of Laredo | ||||||||||
| 2500 Zacatecas | Laredo | TX | 78046 | 200198462 | Outreach | TX | 501c3 | 7 | Mercy Health | Yes (true) |
| Mercy Research | ||||||||||
| 524 North Booneville Avenue | Springfield | MO | 65802 | 870796305 | Research | MO | 501c3 | 4 | Mercy Health | Yes (true) |
| Mercy St Francis Hospital | ||||||||||
| 100 W Highway 60 | Mountain View | MO | 65548 | 440607149 | Hospital | MO | 501c3 | 3 | MH FS COMM | Yes (true) |
| MHM Support Services | ||||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 202553101 | CTRL SYS FUNC | MO | 501c3 | 12a | Mercy Health | Yes (true) |
| Mission Clinical Services | ||||||||||
| 300 Werner Street | Hot Springs | AR | 71913 | 134239691 | CHILD ADVOC | AR | 501c3 | 3 | Mercy Health | Yes (true) |
| Mercy Health Foundation South | ||||||||||
| 10010 Kennerly Road | St Louis | MO | 63128 | 261516789 | Fundraising | MO | 501c3 | 12a | MH SOUTH | Yes (true) |
| Mercy Hospital South | ||||||||||
| 10010 Kennerly Road | St Louis | MO | 63128 | 430980256 | Hospital | MO | 501c3 | 3 | MH EAST COMM | Yes (true) |
| St Anthony's Physician Organization | ||||||||||
| 10010 Kennerly Road | St Louis | MO | 63128 | 431784536 | Health care | MO | 501c3 | 3 | MH SOUTH | Yes (true) |
| St Mary's Hospital of Enid Oklahoma Inc | ||||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 730614655 | Inactive | OK | 501c3 | 3 | MH OK COMM | Yes (true) |
| Unity Ambulatory Care | ||||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 431861745 | Inactive | MO | 501c3 | 12c | MH EAST COMM | Yes (true) |
| MERCY SPECIALTY HOSPITAL SE KS | ||||||||||
| 14528 S OUTER FORTY SUITE 100 | CHESTERFIELD | MO | 63017 | 843730625 | Hospital | KS | 501c3 | 3 | MH SW MOKS | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FORT SMITH EMS | |||||||||||||
| 1701 S Greenwood | FT SMITH | AR | 72901 | 710416615 | EMERGENCY MEDICAL | AR | MERCY HOSP FS | Related | $0 | $1,228 | false | false | 0.50000 |
| PLAZA SURG SVCS CO | |||||||||||||
| 12700 SOUTHFORK RD | St Louis | MO | 63128 | 204709312 | Inactive | MO | NA | ||||||
| ST ED MER MED MOB | |||||||||||||
| 7301 ROGERS | FT SMITH | AR | 72903 | 710554050 | Office Building | AR | MERCY HOSP FS | Related | $0 | $15 | false | Yes (true) | 0.85960 |
| MERCY AMBU SURG CTR | |||||||||||||
| 7301 ROGERS | FT SMITH | AR | 72903 | 710827721 | Ambul Surg Ct | AR | MERCY HOSP FS | ||||||
| PLATINUM CPS HLDNGS | |||||||||||||
| 14528 S OUTER 40 | Chesterfield | MO | 63017 | 842493007 | Holding Company | MO | NA | ||||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Frontenac Properties Inc | |||||||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 521914421 | HOLDING CO | DE | NA | C-CORP | |||||
| Inveno Health Inc | |||||||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 264509571 | Product Commerce | MO | NA | C-CORP | |||||
| Mercy Commercial Services Inc | |||||||||||||
| 14528 South Outer Forty Suite 100 | Chesterfield | MO | 63017 | 464953543 | PARENT OF VCC | MO | NA | C-CORP | |||||
| Mercy Health Center Condominium Inc | |||||||||||||
| 4300 W Memorial Rd | Oklahoma City | OK | 73120 | 680640970 | Real estate | OK | NA | C-CORP | |||||
| Mercy Managed Care Corporation | |||||||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 731441665 | Holding co | OK | NA | C-CORP | |||||
| UHL Corp Inc | |||||||||||||
| 645 Maryville Centre Drive Suite 1 | St Louis | MO | 63141 | 742499535 | Holding co | MO | NA | C-CORP | |||||
| Unity Support Services Inc | |||||||||||||
| 645 Maryville Centre Drive Suite 1 | St Louis | MO | 63141 | 431797042 | Inactive | MO | NA | C-CORP | |||||
| ST ANTHONY'S PHYSICIAN ORG OF ILLINOIS | |||||||||||||
| 10010 Kennerly Road | St Louis | MO | 63128 | 320457168 | Health Care | MO | NA | C-CORP | |||||
| McAuley Insurance Company Ltd | |||||||||||||
| 000000000 | Inactive | NA | C-CORP | Aon House 30 Woodbourne Avenue | PEMBROKE | BD | HM 08 | BD | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (15 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MHM Support Services | ||
| Q | $157,613,609 | FMV |
| Mercy ACO Clinical Services | ||
| Q | $2,623,297 | FMV |
| Mercy Health Springfield Communities | ||
| Q | $1,314,859 | FMV |
| Mercy Hospital Booneville | ||
| P | $564,487 | FMV |
| Mercy Clinic Fort Smith Communities | ||
| P | $401,833 | FMV |
| Mercy Hospital Ozark | ||
| P | $278,322 | FMV |
| Mercy Hospital Paris | ||
| P | $265,731 | FMV |
| Mercy Health Fort Smith Communities | ||
| P | $169,906 | FMV |
| Mercy Hospital Waldron | ||
| P | $148,546 | FMV |
| Mercy Health Foundation Fort Smith | ||
| Q | $95,867 | FMV |
| Mercy Hospital Springfield | ||
| P | $89,291 | FMV |
| Mercy Hospital Oklahoma City | ||
| P | $57,120 | FMV |
| Mercy Hospital Joplin | ||
| P | $50,285 | FMV |
| MERCY HEALTH FOUNDATION FORT SMITH | ||
| C | $1,111,084 | FMV |
| MERCY HEALTH FOUNDATION FORT SMITH | ||
| B | $291,601 | FMV |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, SCHEDULE R, PART II | MERCY HOSPITALS EAST COMMUNITIES MERCY HOSPITALS EAST COMMUNITIES CONSISTS OF MERCY HOSPITAL ST. LOUIS, EIN 43-0653493, AND MERCY HOSPITAL WASHINGTON, EIN 43-1066883. |
| FORM 990, SCHEDULE R, PART V | LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY HEALTH SYSTEM, INC. AND SUBSIDIARIES. THE MAJORITY OF THE INTERCOMPANY/RELATED ORGANIZATION TRANSACTIONS ARE PROCESSED THROUGH LAWSON VIA INTERCOMPANY JOURNAL ENTRIES. WITH THE CURRENT DESIGN OF THE ERP SYSTEM, THERE ARE VARIOUS LIMITATIONS ON THE RELATED ORGANIZATION INFORMATION THAT CAN BE EXTRACTED FROM LAWSON. DUE TO THESE LIMITATIONS, MOST OF THE RELATED ORGANIZATION ACTIVITY FOR THE FILING ORGANIZATION HAS BEEN CLASSIFIED ON SCHEDULE R, PART V, IN LINES P AND Q. |