MERCY CLINIC SPRINGFIELD COMMUNITIES: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- MERCY CLINIC SPRINGFIELD COMMUNITIES (EIN 43-1560263)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-13
- IRS object ID
- 202201339349309315
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-13T17:02:14-05:00 | 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 STREET STE 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 | 431560263 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY CLINIC SPRINGFIELD COMMUNITIES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % WILLIAM J ROBERTS | InCareOfNm |
| Business Name Control | MERC | BusinessNameControlTxt |
| Phone | 3145796100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1235 E Cherokee | AddressLine1Txt |
| City | Springfield | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 65804 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CRAIG MCCOY | PersonNm |
| Person Title | PRESIDENT SPRG COMM | PersonTitleTxt |
| Phone | 3145796100 | PhoneNum |
| Signature | 2022-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | CRAIG | PersonFirstNm |
| Person Last | MCCOY | 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 |
| Preparation | 2022-05-11 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | 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 | Craig McCoy | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1965 S Fremont Ave | AddressLine1Txt |
| City | Springfield | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 65804 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $290,486,116 | 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 | 1999 | FormationYr |
| Legal Domicile State | MO | 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 | 0 | VotingMembersIndependentCnt |
| Total Employee | 719 | TotalEmployeeCnt |
| Total Volunteers | 1 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $7,406 | PYContributionsGrantsAmt |
| CY Contributions Grants | $33,232 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $280,406,617 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $290,323,638 | CYProgramServiceRevenueAmt |
| PY Investment Income | $543,531 | PYInvestmentIncomeAmt |
| CY Investment Income | $117,124 | CYInvestmentIncomeAmt |
| PY Other Revenue | $9,931 | PYOtherRevenueAmt |
| CY Other Revenue | $12,122 | CYOtherRevenueAmt |
| PY Total Revenue | $280,967,485 | PYTotalRevenueAmt |
| CY Total Revenue | $290,486,116 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $260 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $294,952,886 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $281,868,853 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $117,454,120 | PYOtherExpensesAmt |
| CY Other Expenses | $115,463,765 | CYOtherExpensesAmt |
| PY Total Expenses | $412,407,266 | PYTotalExpensesAmt |
| CY Total Expenses | $397,332,618 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$131,439,781 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$106,846,502 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $37,444,929 | TotalAssetsBOYAmt |
| Total Assets EOY | $40,041,965 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $18,039,083 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $18,047,383 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $19,405,846 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $21,994,582 | 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 | $59,172,046 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $45,977,184 | RevenueAmt |
| Desc | MERCY CLINIC SPRINGFIELD COMMUNITIES PROVIDES HIGH-QUALITY, COMPASSIONATE, FAITH-BASED HEALTH CARE IN A VARIETY OF TRADITIONAL MEDICAL SETTINGS. THIS ORGANIZATION PROVIDES SERVICES TO THE COMMUNITIES WE SERVE, WITH PARTICULAR CONCERN FOR THE ECONOMICALLY POOR. MERCY CLINICS PROVIDED OVER 1 MILLION PATIENT VISITS IN FY21. THE FAMILY MEDICINE PROVIDES CARE FOR A VARIETY OF GENERAL HEALTH CARE ISSUES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $53,781,688 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $38,345,806 | RevenueAmt |
| Desc | MERCY CLINIC SPRINGFIELD COMMUNITIES PROVIDES HIGH-QUALITY, COMPASSIONATE, FAITH-BASED HEALTH CARE IN A VARIETY OF TRADITIONAL MEDICAL SETTINGS. THIS ORGANIZATION PROVIDES SERVICES TO THE COMMUNITIES WE SERVE, WITH PARTICULAR CONCERN FOR THE ECONOMICALLY POOR. MERCY CLINICS PROVIDED OVER 1 MILLION PATIENT VISITS IN FY21. THE SURGERY CENTERS PROVIDE A VARIETY OF INPATIENT AND OUTPATIENT SURGICAL PROCEDURES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $34,402,983 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $27,279,407 | RevenueAmt |
| Desc | MERCY HEALTH SPRINGFIELD COMMUNITIES AND ITS SUBSIDIARIES PROVIDE HIGH-QUALITY, COMPASSIONATE, FAITH-BASED HEALTH CARE IN A VARIETY OF TRADITIONAL MEDICAL SETTINGS. THIS ORGANIZATION PROVIDES SERVICES TO THE COMMUNITIES WE SERVE, WITH PARTICULAR CONCERN FOR THE ECONOMICALLY POOR. MERCY CLINICS PROVIDED OVER 1 MILLION PATIENT VISITS IN FY21. THE ORTHOPEDIC GROUPS PROVIDE CARE FOR A VARIETY OF MUSCULOSKELETAL SYSTEM ISSUES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $229,118,858 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $178,723,350 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $376,475,575 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | 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 | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | 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 | Yes (true) | 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 | 719 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| 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 | 0 | 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 | false | 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 | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WILLIAM J ROBERTS | PersonNm |
| Phone | 4178203666 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1235 E CHEROKEE | AddressLine1Txt |
| City | Springfield | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 65804 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (40 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Key EmployeeKeyEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Swope Jon | ||||||||||
| Former Officer | 0.0 | 0.0 | Yes (X) | $0 | $8,438,629 | $153,221 | ||||
| Scarrow MD Alan | ||||||||||
| Former Officer | 0.0 | 0.0 | Yes (X) | $2,388,267 | $0 | $35,581 | ||||
| Carver Adam A | ||||||||||
| Physician | 50.0 | 0.0 | $1,469,435 | $0 | $28,591 | Yes (X) | ||||
| Lee MD Sunghoon | ||||||||||
| Physician | 50.0 | 0.0 | $1,423,216 | $0 | $38,545 | Yes (X) | ||||
| Katz Barry | ||||||||||
| Physician | 50.0 | 0.0 | $0 | $1,357,692 | $22,545 | Yes (X) | ||||
| Coger Brenton R | ||||||||||
| Physician | 50.0 | 0.0 | $1,304,349 | $0 | $25,748 | Yes (X) | ||||
| Rocha Bernardino | ||||||||||
| Physician | 50.0 | 0.0 | $1,284,453 | $0 | $25,535 | Yes (X) | ||||
| Wyrsch MD Robert B | ||||||||||
| President | 30.0 | 30.0 | $1,205,469 | $0 | $46,341 | Yes (X) | ||||
| Reynolds Scott | ||||||||||
| Former Officer | 0.0 | 0.0 | Yes (X) | $0 | $948,096 | $97,853 | ||||
| Cochran MD David | ||||||||||
| Physician VP | 40.0 | 0.0 | $947,456 | $0 | $45,129 | Yes (X) | ||||
| Snider DO Jessica | ||||||||||
| Physician & Board Member | 50.0 | 0.0 | $896,105 | $0 | $28,519 | Yes (X) | ||||
| McCoy Craig | ||||||||||
| President - Springfield Comm | 1.0 | 54.0 | $0 | $819,408 | $49,299 | Yes (X) | ||||
| Khoshyomn MD Sami | ||||||||||
| Physician VP | 40.0 | 0.0 | $765,554 | $0 | $31,199 | Yes (X) | ||||
| VanEss DO Mark | ||||||||||
| Physician & Board Member | 1.0 | 44.0 | $680,056 | $0 | $25,328 | Yes (X) | ||||
| Marion Tanya | ||||||||||
| Regional VP - Human Resources | 1.0 | 50.0 | $0 | $623,563 | $61,668 | Yes (X) | ||||
| Ledger MD Gregory | ||||||||||
| Physician VP | 49.0 | 1.0 | $573,108 | $0 | $51,209 | Yes (X) | ||||
| Burson MD John | ||||||||||
| Physician VP | 40.0 | 0.0 | $555,021 | $0 | $40,980 | Yes (X) | ||||
| Barbe MD David O | ||||||||||
| Physician | 45.0 | 5.0 | $531,222 | $0 | $61,228 | Yes (X) | ||||
| Pinheiro A Daniel | ||||||||||
| Physician & Board Member | 50.0 | 0.0 | $550,364 | $0 | $32,758 | Yes (X) | ||||
| Allam MD Bala | ||||||||||
| Physician & Board Member | 50.0 | 0.0 | $550,190 | $0 | $28,646 | Yes (X) | ||||
| Neely MD Brian | ||||||||||
| Former Key Employee | 0.0 | 0.0 | Yes (X) | $522,220 | $0 | $22,091 | ||||
| Griesemer Mark V | ||||||||||
| Physician | 55.0 | 0.0 | $509,282 | $0 | $29,209 | Yes (X) | ||||
| Tompkins DO Dustin | ||||||||||
| Physician & Board Member | 40.0 | 0.0 | $495,623 | $0 | $28,833 | Yes (X) | ||||
| McNay MD Jennifer | ||||||||||
| Physician VP | 10.0 | 40.0 | $0 | $459,060 | $42,819 | Yes (X) | ||||
| Zhu Lirong | ||||||||||
| Physician & Board Member | 50.0 | 0.0 | $468,125 | $0 | $19,418 | Yes (X) | ||||
| Whitesell MD Angie | ||||||||||
| Physician & Board Member | 50.0 | 0.0 | $387,010 | $0 | $25,620 | Yes (X) | ||||
| Dent Ronald L | ||||||||||
| Former Key Employee | 0.0 | 0.0 | Yes (X) | $0 | $368,221 | $34,542 | ||||
| Andrews MD Elizabeth | ||||||||||
| Physician & Board Member | 50.0 | 0.0 | $336,130 | $0 | $57,392 | Yes (X) | ||||
| Stutzman Ted | ||||||||||
| VP Ops - Cardiology Thru 7/17 | 0.0 | 0.0 | Yes (X) | $0 | $326,302 | $21,827 | ||||
| Hannasch Susan | ||||||||||
| Former Officer | 0.0 | 0.0 | Yes (X) | $0 | $347,134 | $0 | ||||
| Vincent Jenine | ||||||||||
| Former Key Employee | 0.0 | 0.0 | Yes (X) | $0 | $291,331 | $11,648 | ||||
| Hopkins MD John Jack | ||||||||||
| Physician & Board Member | 50.0 | 0.0 | $259,051 | $0 | $36,677 | Yes (X) | ||||
| Earnest Linda L | ||||||||||
| Former Key Employee | 0.0 | 0.0 | Yes (X) | $0 | $270,665 | $21,105 | ||||
| Barnett MD W Mark | ||||||||||
| Physician & Board Member | 50.0 | 0.0 | $267,683 | $0 | $18,673 | Yes (X) | ||||
| Eckhardt Christie | ||||||||||
| VP/Ast Gen Counsel | 1.0 | 57.0 | $0 | $252,665 | $13,125 | Yes (X) | ||||
| Hover MD Alexander R | ||||||||||
| Former Key Employee | 0.0 | 0.0 | Yes (X) | $193,980 | $0 | $56,952 | ||||
| Carlson Aaron | ||||||||||
| VP-Operations | 40.0 | 0.0 | $0 | $217,217 | $20,425 | Yes (X) | ||||
| Whitten Adam | ||||||||||
| VP, Operational Excellence | 40.0 | 0.0 | $0 | $198,690 | $23,873 | Yes (X) | ||||
| Gooch Amanda | ||||||||||
| VP-Operations | 40.0 | 0.0 | $0 | $184,488 | $22,270 | Yes (X) | ||||
| St Clair Traci | ||||||||||
| Physician Asst & Board Member | 45.0 | 0.0 | $0 | $143,796 | $17,588 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $17,119,515 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $12,646,448 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,072,293 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 628 | 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 |
|---|---|---|---|---|---|
| COMPHEALTH MEDICAL STAFFING | |||||
| 7529 BINGHAM JUNCTION BLVD | MIDVALE | UT | 84047 | LOCUMS PROVIDER | $1,199,246 |
| AMN Healthcare Inc | |||||
| 8840 Cypress Waters Blvd Ste 300 | COPPELL | TX | 75019 | CONTRACT AGENCY | $661,341 |
| WEATHERBY LOCUMS INC | |||||
| 6451 N Federal Hwy Ste 700 | FORT LAUDERDALE | FL | 33308 | LOCUMS PROVIDER | $518,881 |
| Snyder Construction Co | |||||
| 4820 N Town Centre Dr | OZARK | MO | 65721 | Construction SVCS | $372,360 |
| CARDIOVASCULAR THORACIC SOLUTIONS | |||||
| 1349 E 600 Road | INOLA | OK | 74036 | LOCUMS PROVIDER | $303,272 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 8 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Related Organizations | $33,232 | RelatedOrganizationsAmt |
| Total Contributions | $33,232 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621110 | $281,912,829 | $281,912,829 |
| OTHER OPERATING REVENUE | 900099 | $7,382,705 | $7,382,705 |
| CAPITATION BONUS | 531120 | $1,028,104 | $1,028,104 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $290,323,638 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $117,124 | TotalRevenueColumnAmt |
| Exclusion | $117,124 | ExclusionAmt |
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 | $10,013 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $10,013 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,013 | TotalRevenueColumnAmt |
| Exclusion | $10,013 | 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 | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ALL OTHER REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $2,109 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,109 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,109 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $290,486,116 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $290,325,747 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $127,137 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
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 | $10,831,819 | TotalAmt |
| Program Services | $10,802,493 | ProgramServicesAmt |
| Management And General | $29,326 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $471,263 | TotalAmt |
| Program Services | $469,987 | ProgramServicesAmt |
| Management And General | $1,276 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $239,179,258 | TotalAmt |
| Program Services | $238,531,703 | ProgramServicesAmt |
| Management And General | $647,555 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,154,749 | TotalAmt |
| Program Services | $4,048,397 | ProgramServicesAmt |
| Management And General | $106,352 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,980,140 | TotalAmt |
| Program Services | $15,580,384 | ProgramServicesAmt |
| Management And General | $399,756 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,251,624 | TotalAmt |
| Program Services | $10,968,701 | ProgramServicesAmt |
| Management And General | $282,923 | 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 | $0 | TotalAmt |
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 | $1,856,402 | TotalAmt |
| Program Services | $1,851,579 | ProgramServicesAmt |
| Management And General | $4,823 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $204,704 | TotalAmt |
| Program Services | $204,704 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,964,587 | TotalAmt |
| Program Services | $3,962,032 | ProgramServicesAmt |
| Management And General | $2,555 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,209,931 | TotalAmt |
| Program Services | $22,154,858 | ProgramServicesAmt |
| Management And General | $55,073 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $233,380 | TotalAmt |
| Program Services | $233,380 | ProgramServicesAmt |
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 | $285 | TotalAmt |
| Program Services | $285 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,251,020 | TotalAmt |
| Program Services | $1,848,603 | ProgramServicesAmt |
| Management And General | $402,417 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,755,344 | TotalAmt |
| Program Services | $7,755,344 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DRUGS & MEDICAL EXPENSES | $37,795,802 | $37,795,802 | |
| SHARED SERVICE FEES | $30,039,663 | $11,114,676 | $18,924,987 |
| BAD DEBT | $7,775,609 | $7,775,609 | |
| REPAIRS & MAINTENANCE | $826,112 | $826,112 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $550,926 | TotalAmt |
| Program Services | $550,926 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $397,332,618 | TotalAmt |
| Program Services | $376,475,575 | ProgramServicesAmt |
| Management And General | $20,857,043 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,250 | BOYAmt |
| EOY | $91,072 | 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 | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,183,728 | BOYAmt |
| EOY | $24,016,397 | 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 | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,055,121 | BOYAmt |
| EOY | $1,208,867 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,438 | BOYAmt |
| EOY | $9,438 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $57,868,290 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $43,152,099 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,124,392 | BOYAmt |
| EOY | $14,716,191 | 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 | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,444,929 | BOYAmt |
| EOY | $40,041,965 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,556,841 | BOYAmt |
| EOY | $17,998,055 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | $0 | BOYAmt |
| EOY | $34,193 | 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 | $7,482,242 | BOYAmt |
| EOY | $15,135 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,039,083 | BOYAmt |
| EOY | $18,047,383 | 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 | $19,405,846 | BOYAmt |
| EOY | $21,994,582 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,405,846 | BOYAmt |
| EOY | $21,994,582 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,444,929 | BOYAmt |
| EOY | $40,041,965 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$106,846,502 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $109,435,238 | 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 |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | THE FILING ENTITY'S PUBLIC CHARITY STATUS IS A HOSPITAL; HOWEVER, THE FILING ENTITY DOES NOT HAVE A LICENSE OR OPERATE A HOSPITAL FACILITY FOR SCHEDULE H REPORTING PURPOSES. | ExplanationTxt |
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 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 | $4,116,298 | OtherCostOrOtherBasisAmt |
| Book Value | $4,116,298 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,126,032 | OtherCostOrOtherBasisAmt |
| Depreciation | $15,416,559 | DepreciationAmt |
| Book Value | $1,709,473 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $449,043 | OtherCostOrOtherBasisAmt |
| Depreciation | $187,393 | DepreciationAmt |
| Book Value | $261,650 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $35,500,104 | OtherCostOrOtherBasisAmt |
| Depreciation | $27,013,791 | DepreciationAmt |
| Book Value | $8,486,313 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $676,813 | OtherCostOrOtherBasisAmt |
| Depreciation | $534,356 | DepreciationAmt |
| Book Value | $142,457 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $14,716,191 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS LIABILITIES | Desc |
| Amt | $15,135 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $15,135 | 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 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 (40 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 | ||||||||||||||
| Former Officer | $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 |
| Scarrow MD Alan | ||||||||||||||
| Former Officer | $1,097,336 | $0 | $6,029 | $0 | $1,284,902 | $0 | $22,836 | $0 | $12,745 | $0 | $2,423,848 | $0 | $0 | $0 |
| Carver Adam A | ||||||||||||||
| Physician | $1,372,682 | $0 | $0 | $0 | $96,753 | $0 | $12,600 | $0 | $15,991 | $0 | $1,498,026 | $0 | $0 | $0 |
| Lee MD Sunghoon | ||||||||||||||
| Physician | $1,353,204 | $0 | $23,270 | $0 | $46,742 | $0 | $22,626 | $0 | $15,919 | $0 | $1,461,761 | $0 | $0 | $0 |
| Katz Barry | ||||||||||||||
| Physician | $0 | $1,299,356 | $0 | $11,569 | $0 | $46,767 | $0 | $9,800 | $0 | $12,745 | $0 | $1,380,237 | $0 | $0 |
| Coger Brenton R | ||||||||||||||
| Physician | $1,247,417 | $0 | $17,122 | $0 | $39,810 | $0 | $15,969 | $0 | $9,779 | $0 | $1,330,097 | $0 | $0 | $0 |
| Rocha Bernardino | ||||||||||||||
| Physician | $1,244,972 | $0 | $0 | $0 | $39,481 | $0 | $9,800 | $0 | $15,735 | $0 | $1,309,988 | $0 | $0 | $0 |
| Wyrsch MD Robert B | ||||||||||||||
| President | $1,129,675 | $0 | $28,026 | $0 | $47,768 | $0 | $30,603 | $0 | $15,738 | $0 | $1,251,810 | $0 | $0 | $0 |
| 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 |
| Cochran MD David | ||||||||||||||
| Physician VP | $889,150 | $0 | $9,528 | $0 | $48,778 | $0 | $39,929 | $0 | $5,200 | $0 | $992,585 | $0 | $0 | $0 |
| Snider DO Jessica | ||||||||||||||
| Physician & Board Member | $814,563 | $0 | $16,502 | $0 | $65,040 | $0 | $12,600 | $0 | $15,919 | $0 | $924,624 | $0 | $0 | $0 |
| McCoy Craig | ||||||||||||||
| President - Springfield Comm | $0 | $613,793 | $0 | $61,879 | $0 | $143,736 | $0 | $34,185 | $0 | $15,114 | $0 | $868,707 | $0 | $0 |
| Khoshyomn MD Sami | ||||||||||||||
| Physician VP | $708,280 | $0 | $14,223 | $0 | $43,051 | $0 | $18,526 | $0 | $12,673 | $0 | $796,753 | $0 | $0 | $0 |
| VanEss DO Mark | ||||||||||||||
| Physician & Board Member | $641,601 | $0 | $12,396 | $0 | $26,059 | $0 | $12,600 | $0 | $12,728 | $0 | $705,384 | $0 | $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 |
| Ledger MD Gregory | ||||||||||||||
| Physician VP | $529,451 | $0 | $16,314 | $0 | $27,343 | $0 | $38,216 | $0 | $12,993 | $0 | $624,317 | $0 | $0 | $0 |
| Burson MD John | ||||||||||||||
| Physician VP | $492,752 | $0 | $15,632 | $0 | $46,637 | $0 | $28,235 | $0 | $12,745 | $0 | $596,001 | $0 | $0 | $0 |
| Barbe MD David O | ||||||||||||||
| Physician | $416,766 | $0 | $62,225 | $0 | $52,231 | $0 | $49,314 | $0 | $11,914 | $0 | $592,450 | $0 | $23,266 | $0 |
| Pinheiro A Daniel | ||||||||||||||
| Physician & Board Member | $493,092 | $0 | $10,500 | $0 | $46,772 | $0 | $22,626 | $0 | $10,132 | $0 | $583,122 | $0 | $0 | $0 |
| Allam MD Bala | ||||||||||||||
| Physician & Board Member | $522,696 | $0 | $4,546 | $0 | $22,948 | $0 | $12,924 | $0 | $15,722 | $0 | $578,836 | $0 | $0 | $0 |
| Neely MD Brian | ||||||||||||||
| Former Key Employee | $513,048 | $0 | $8,471 | $0 | $701 | $0 | $5,600 | $0 | $16,491 | $0 | $544,311 | $0 | $0 | $0 |
| Griesemer Mark V | ||||||||||||||
| Physician | $469,747 | $0 | $0 | $0 | $39,535 | $0 | $12,993 | $0 | $16,216 | $0 | $538,491 | $0 | $0 | $0 |
| Tompkins DO Dustin | ||||||||||||||
| Physician & Board Member | $460,560 | $0 | $9,110 | $0 | $25,953 | $0 | $12,600 | $0 | $16,233 | $0 | $524,456 | $0 | $0 | $0 |
| McNay MD Jennifer | ||||||||||||||
| Physician VP | $0 | $322,888 | $0 | $31,548 | $0 | $104,624 | $0 | $32,796 | $0 | $10,023 | $0 | $501,879 | $0 | $0 |
| Zhu Lirong | ||||||||||||||
| Physician & Board Member | $424,100 | $0 | $4,550 | $0 | $39,475 | $0 | $12,600 | $0 | $6,818 | $0 | $487,543 | $0 | $0 | $0 |
| Whitesell MD Angie | ||||||||||||||
| Physician & Board Member | $359,929 | $0 | $7,239 | $0 | $19,842 | $0 | $16,209 | $0 | $9,411 | $0 | $412,630 | $0 | $0 | $0 |
| Dent Ronald L | ||||||||||||||
| Former Key Employee | $0 | $1,094 | $0 | $0 | $0 | $367,127 | $0 | $34,542 | $0 | $0 | $0 | $402,763 | $0 | $0 |
| Andrews MD Elizabeth | ||||||||||||||
| Physician & Board Member | $288,480 | $0 | $6,601 | $0 | $41,049 | $0 | $48,218 | $0 | $9,174 | $0 | $393,522 | $0 | $0 | $0 |
| Stutzman Ted | ||||||||||||||
| VP Ops - Cardiology Thru 7/17 | $0 | $296,015 | $0 | $14,003 | $0 | $16,284 | $0 | $5,815 | $0 | $16,012 | $0 | $348,129 | $0 | $0 |
| Hannasch Susan | ||||||||||||||
| Former Officer | $0 | $0 | $0 | $0 | $0 | $347,134 | $0 | $0 | $0 | $0 | $0 | $347,134 | $0 | $0 |
| Vincent Jenine | ||||||||||||||
| Former Key Employee | $0 | $88,594 | $0 | $9,847 | $0 | $192,890 | $0 | $7,649 | $0 | $3,999 | $0 | $302,979 | $0 | $0 |
| Hopkins MD John Jack | ||||||||||||||
| Physician & Board Member | $227,393 | $0 | $5,510 | $0 | $26,148 | $0 | $29,012 | $0 | $7,665 | $0 | $295,728 | $0 | $0 | $0 |
| Earnest Linda L | ||||||||||||||
| Former Key Employee | $0 | $83,855 | $0 | $9,906 | $0 | $176,904 | $0 | $17,231 | $0 | $3,874 | $0 | $291,770 | $0 | $0 |
| Barnett MD W Mark | ||||||||||||||
| Physician & Board Member | $231,122 | $0 | $5,480 | $0 | $31,081 | $0 | $12,591 | $0 | $6,082 | $0 | $286,356 | $0 | $0 | $0 |
| Eckhardt Christie | ||||||||||||||
| VP/Ast Gen Counsel | $0 | $232,443 | $0 | $12,107 | $0 | $8,115 | $0 | $6,935 | $0 | $6,190 | $0 | $265,790 | $0 | $0 |
| Hover MD Alexander R | ||||||||||||||
| Former Key Employee | $181,684 | $0 | $0 | $0 | $12,296 | $0 | $49,198 | $0 | $7,754 | $0 | $250,932 | $0 | $0 | $0 |
| Carlson Aaron | ||||||||||||||
| VP-Operations | $0 | $205,175 | $0 | $10,402 | $0 | $1,640 | $0 | $5,343 | $0 | $15,082 | $0 | $237,642 | $0 | $0 |
| Whitten Adam | ||||||||||||||
| VP, Operational Excellence | $0 | $171,232 | $0 | $9,197 | $0 | $18,261 | $0 | $8,506 | $0 | $15,367 | $0 | $222,563 | $0 | $0 |
| Gooch Amanda | ||||||||||||||
| VP-Operations | $0 | $164,868 | $0 | $8,666 | $0 | $10,954 | $0 | $12,902 | $0 | $9,368 | $0 | $206,758 | $0 | $0 |
| St Clair Traci | ||||||||||||||
| Physician Asst & Board Member | $0 | $116,310 | $0 | $12,668 | $0 | $14,818 | $0 | $8,599 | $0 | $8,989 | $0 | $161,384 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, SCHEDULE J, PART I, QUESTION 3 | MERCY CLINIC SPRINGFIELD COMMUNITIES RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTIONS 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 AS NOTED: JON SWOPE - $385,280 SCOTT REYNOLDS - $275,218 SUSAN HANNASCH - $347,134 RONALD DENT - $274,779 JENINE VINCENT - $131,403 LINDA EARNEST - $135,764 |
| 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 AND THE PLAN TERMINATED EFFECTIVE AS OF 11/1/2020. THE INDIVIDUALS REPORTABLE ON THIS RETURN WHO PARTICIPATE IN THE SUPPLEMENTAL RETIREMENT PLANS INCLUDE: TANYA MARION, JON SWOPE, SCOTT REYNOLDS, DAVID BARBE, RONALD DENT, SUSAN HANNASCH, CRAIG MCCOY, JENNIFER MCNAY, ALAN SCARROW AND TED STUTZMAN. 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 |
| FORM 990, SCHEDULE J, PART II | THE AMOUNTS REPORTED FOR JON SWOPE, SCOTT REYNOLDS, TANYA MARION AND DAVID BARBE 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 (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Meera Scarrow | |||
| FAMILY MEMBER OF FORMER OFFICER | $972,311 | Employment | false |
| Nathaniel Barbe | |||
| Family member of key employee | $185,192 | Employment | false |
| Cindy Hoovens | |||
| Family member of key employee | $31,335 | Employment | false |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4D | MERCY CLINIC SPRINGFIELD COMMUNITIES PROVIDES HIGH-QUALITY, COMPASSIONATE, FAITH-BASED HEALTH CARE IN A VARIETY OF TRADITIONAL MEDICAL SETTINGS THIS ORGANIZATION PROVIDES SERVICES TO THE COMMUNITIES WE SERVE, WITH PARTICULAR CONCERN FOR THE ECONOMICALLY POOR, IN THE WAY OF INPATIENT HOSPITAL SERVICES, OUTPATIENT SERVICES, HOME HEALTH SERVICES, AND PHYSICIAN CLINIC OFFICE VISITS. MERCY CLINICS PROVIDED OVER 1 MILLION PATIENT VISITS IN FY21. 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-3S) WAS 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 SPRINGFIELD COMMUNITIES. THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED SOLELY TO THE CORPORATE MEMBER: -TO APPROVE AND ESTABLISH THE MISSION AND PHILOSOPHY ACCORDING TO WHICH THE CORPORATION AND ALL ORGANIZATIONS CONTROLLED BY THE CORPORATION SHALL OPERATE; -TO ADOPT OR AMEND THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION IN ACCORDANCE WITH ARTICLE X OF THESE BYLAWS; -TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS OF THE CORPORATION; -TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; -TO APPROVE OR AMEND THE OVERALL STRATEGIC GOALS AND OBJECTIVES OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; -TO APPROVE OR AMEND THE CONSOLIDATED OPERATING, CAPITAL, AND CONSTRUCTION BUDGETS (INCLUDING AGGREGATE PHYSICIAN COMPENSATION MODELS) FOR THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION AND CHANGES IN BUDGETS IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE CORPORATE MEMBER; -TO AUTHORIZE AND APPROVE THE LEASE OR SALE OF ANY OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION IN EXCESS OF ANY AMOUNT ESTABLISHED FROM TIME TO TIME BY MERCY; -TO ENCUMBER ANY OR ALL OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; -TO AUTHORIZE AND APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY ORGANIZATION 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 OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION, SUBJECT TO APPROVAL BY THE BOARD AS REQUIRED PURSUANT TO CHAPTER 355 OF THE REVISED STATUTES OF MISSOURI FOR NONPROFIT CORPORATIONS; AND, -TO APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION CONTROLLED BY THE CORPORATION. |
| FORM 990, PART VI, QUESTION 11B | DSCR OF 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 MADE AVAILABLE TO THE FILING ORGANIZATION'S LEADERSHIP TEAM FOR THEIR REVIEW. THE FORM 990 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 | 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, THE ORGANIZATION RELIES UPON MERCY HEALTH, WHICH 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 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 IX | Community Benefit Mercy Clinic Springfield Communities provides financial assistance to patients in the form of charity care and the unpaid costs of Medicaid. This assistance is based on the financial assistance policy in place at hospitals in the health system. During FY21, Mercy Clinic Springfield Communities reported approximately $8.8 million of charity care and $15.4 million of unpaid costs of Medicaid which were a benefit to the patients served in its community. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS NET TRANSFERS (TO)/FROM AFFILIATES $ 109,435,238 |
| 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 Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY ACO LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15740 SOUTH OUTER FORTY | AddressLine1Txt |
| City | CHESTERFIELD | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63017 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 455410212 | EIN |
| Primary Activities | ACO | PrimaryActivitiesTxt |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MH SF CLINIC | BusinessNameLine1Txt |
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 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 Fort Smith | ||||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72903 | 710240352 | Hospital | AR | 501c3 | 3 | MH FS COMM | 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 |
|---|---|---|---|---|---|---|---|
| FORT SMITH EMS | |||||||
| 1701 S Greenwood | FT SMITH | AR | 72901 | 710416615 | EMERGENCY MEDICAL | AR | NA |
| 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 | NA |
| MERCY AMBU SURG CTR | |||||||
| 7301 ROGERS | FT SMITH | AR | 72903 | 710827721 | Ambul Surg Ct | AR | NA |
| 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 | false | 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 (10 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MHM Support Services | ||
| P | $565,814,694 | FMV |
| Mercy Health Springfield Communities | ||
| P | $26,421,780 | FMV |
| Mercy Health NW Arkansas Communities | ||
| P | $1,446,326 | FMV |
| Mercy Hospital Oklahoma City | ||
| P | $987,395 | FMV |
| Mercy Kansas Communities | ||
| Q | $674,138 | FMV |
| Mercy Hospital Springfield | ||
| Q | $536,551 | FMV |
| Mercy Hospital Berryville | ||
| Q | $456,689 | FMV |
| Mercy Health East Communities | ||
| Q | $234,958 | FMV |
| Mercy Hospital Joplin | ||
| Q | $186,198 | FMV |
| Mercy Clinic Fort Smith Communities | ||
| P | $71,604 | 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. |