2020-07-13T08:47:49-05:00 2019-06-30 ERNST & YOUNG US LLP 221 E 4TH ST SUITE 2900 CINCINATI OH 45202 990 2018-07-01 621684203 MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES % KELLI HUNTLEY MERC 3145796100 2710 Rife Medical Lane Rogers AR 72758 KELLI HUNTLEY VP - FINANCE 4793382903 2020-07-10 true JULIE L SPARKS P01268401 5136121400 108.206.163.59 34033020201955000007 2020-07-13 P 770194AAF055F9EA87E64CA02E08FE540289067F 47CCE9F19DA6832300AFC0DC75FEB109EC0143B4 2018 2021-01-29 14:40:06Z Eric Pianalto 2710 Rife Medical Lane Rogers AR 72758 119383766 false 0928 X www.mercy.net X 1997 AR AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. 16 16 0 17 0 0 11921 5362 100555815 119172916 3362 99220 2090782 106268 102661880 119383766 1000 820317 0 0 99388919 112812730 0 0 0 37139236 42464212 136529155 156097259 -33867275 -36713493 51630794 54180713 14235963 9086138 37394831 45094575 X AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING, MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. false false 44056005 0 37252527 FAMILY MEDICINE PHYSICIAN SERVICES: MERCY HEALTH SYSTEM OF NWA'S FAMILY MEDICINE PHYSICIAN SERVICES ARE COMPRISED OF 49 BOARD CERTIFIED FAMILY MEDICINE PHYSICIANS AND 33 APC PRACTITIONERS, WHO PROVIDED PRIMARY MEDICINE SERVICES TO PATIENTS RANGING FROM ONE YEAR OLD THROUGH ADULTHOOD. THESE SERVICES ARE OFFERED IN APPROXIMATELY 19 LOCATIONS THROUGHOUT BENTON COUNTY, ARKANSAS, AND THE SURROUNDING SERVICE AREA. DURING THE YEAR, 283,790 OFFICE VISITS WERE PROVIDED TO PATIENTS. 14142534 0 8281029 CARDIOVASCULAR PHYSICIAN SERVICES: MERCY HEALTH SYSTEM OF NWA'S CARDIOVASCULAR PHYSICIAN SERVICES ARE COMPRISED OF 7 CARDIOLOGISTS, 3 CARDIOVASCULAR SURGEONS, AND 10 APC PRACTITIONERS. THESE PROVIDERS SERVE PATIENTS IN 5 LOCATIONS THROUGHOUT BENTON COUNTY, ARKANSAS, AND THE SURROUNDING AREAS WHO HAVE HEART RELATED MEDICAL NEEDS. DURING THE YEAR, 29,926 OFFICE VISITS WERE PROVIDED TO PATIENTS. 9815284 0 7338684 ORTHOPEDIC PHYSICIAN SERVICES: MERCY HEALTH SYSTEM OF NWA'S ORTHOPEDIC PHYSICIAN SERVICES IS COMPRISED OF 7 BOARD CERTIFIED SURGEONS, 1 SPORTS MEDICINE PHYSICIAN AND 6 APC PRACTITIONERS, WHO PROVIDED SPECIALIZED CARE FOR A VARIETY OF MUSCULOSKETLAL DISORDERS AND INJURIES TO PATIENTS THROUGHOUT BENTON COUNTY, ARKANSAS, AND THE SURROUNDING SERVICE AREAS. OUR BOARD-CERTIFIED SURGEONS SPECIALIZE IN ORTHOPEDIC CARE, SPORTS MEDICINE, AND TREATMENT FOR ORTHOPEDIC TRAUMA WITH MOBILITY AS THEIR FOCUS. DURING THE YEAR, 30,843 OFFICE VISITS WERE PROVIDED TO PATIENTS. 62694962 66300676 130708785 true false false false false false false false false false true false false false true false false true false false false false false false false false false false false true false false false false false false true false false false false false true true true true false false true X 0 0 0 true true false false false false false false false false false false false X 16 16 false false false false true true true true true false false true true true true true true false true false X KELLI HUNTLEY 4793382903 2710 RIFE MEDICAL LANE ROGERS AR 72758 Bergant Paul Board Member 1.0 0.0 X 0 0 0 Burke RSM Sr Richard Mary Board Member 1.0 1.0 X 0 0 0 Callahan Wayne Board Member 1.0 1.0 X 0 0 0 Lawson Randy Board Member 1.0 1.0 X 0 0 0 Lee Mark Board Member 1.0 0.0 X 0 0 0 Lipscomb Tabitha Board Member 1.0 1.0 X 0 0 0 Massanelli Randy Board Member 1.0 0.0 X 0 0 0 Morales Herbert Board Member 1.0 0.0 X 0 0 0 Pollard Chip Board Member 1.0 0.0 X 0 0 0 Rivaldo Craig Board Member 1.0 1.0 X 0 0 0 Roberts Karen Board Member 1.0 0.0 X 0 0 0 Rogers Chris Board Member 1.0 0.0 X 0 0 0 Shewmaker Daniel Board Member 1.0 0.0 X 0 0 0 Simpson Shelley Board Member 1.0 0.0 X 0 0 0 Spragg Dawn Board Member 1.0 0.0 X 0 0 0 Trammel Dick Board Member 1.0 1.0 X 0 0 0 Pianalto Eric Chief Executive Officer 15.0 45.0 X 699965 0 102068 Reynolds Scott CFO - Central Communities 2.0 58.0 X 0 532036 109754 Stover Benny J VP-Finance 0.0 60.0 X 250881 0 29603 Goss Stephen Physician Executive 59.0 1.0 X 571861 0 96986 Marion Tanya Regional VP-Human Resources 3.0 57.0 X 0 368698 67324 Swope Jon President, Central Communities 2.0 58.0 X 0 1291161 173577 Aguilar-Guzman Orlando F Physician 60.0 0.0 X 1052390 0 21210 El-Shafei Amr Physician 60.0 0.0 X 1520915 0 22062 Randolph Gannon Physician 60.0 0.0 X 1024069 0 15810 Riley Philip Physician 60.0 0.0 X 918959 0 17551 Weathers Lance Physician 60.0 0.0 X 916118 0 15810 Stuppy Robert J Physician & BD Mbr THRU 9/18 59.0 1.0 X 723052 0 20666 Vitiello Jonathan Former Officer 0.0 60.0 X 0 982465 115819 7678210 3174360 808240 213 true true false CENTAUR BUILDING SERVICES 4401 RIDGEWOOD AVE ST LOUIS MO 63116 BUILDING SERVICES 983882 GE Med Syst Ultrasound PC Diagnosti 75 REMITTANCE DRIVE SUITE 1080 CHICAGO IL 606751080 Equipment/Supplies 155237 Comphealth PO Box 972651 DALLAS TX 753972651 On-call Phys Svcs 449555 M MODAL 5000 MERIDIAN BLVD FRANKLIN TN 37067 TRANSCRIPTION SVCS 199617 MEDPARTNERS LOCUM TENENS INC PO BOX 740478 ATLANTA GA 303740478 PATIENT CARE 113989 5 5362 5362 NET PATIENT SERVICE REVENUE 621111 107661043 107661043 RENTAL INCOME FROM RELATED ORGANIZATIONS 532000 6827566 6827566 OTHER OPERATING REVENUE 900099 2606558 2606558 CAPITATION BONUS 531120 2077749 2077749 119172916 441 441 0 0 106268 0 106268 0 106268 106268 98779 98779 98779 98779 0 0 0 0 0 0 0 0 0 0 119383766 112345350 7033054 820317 820317 0 0 0 8454927 7630073 824854 147602 133295 14307 87703372 78567879 9135493 2919609 2747856 171753 8666283 7403223 1263060 4920937 4460260 460677 0 0 0 0 0 0 5450469 2498968 2951501 574480 127932 446548 2546460 1106782 1439678 20301 2600 17701 0 13387435 8431181 4956254 291156 63912 227244 0 19294 5900 13394 0 0 6573010 1143193 5429817 1793808 696249 1097559 DRUGS & MEDICAL EXPENSES 14725721 14468302 257419 BAD DEBT 4497770 4497770 REPAIRS & MAINTENANCE 555972 194243 361729 SHARED SERVICE FEES -9046844 -4432954 -4613890 1075180 141804 933376 156097259 130708785 25388474 0 0 -21989 0 0 0 0 7993170 8403675 0 0 0 0 117839 0 761829 856405 28054 98172 74325278 29716853 42194429 44608425 0 0 0 0 0 0 0 0 535473 236025 51630794 54180713 10290384 6191104 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3945579 2895034 14235963 9086138 X 37394831 45094575 0 0 0 0 37394831 45094575 51630794 54180713 X -36713493 44413237 X X false true true false X 0 410060 491504 11921 5362 918847 89685382 91274066 93669107 100555815 119172916 494357286 0 0 0 89685382 91684126 94160611 100567736 119178278 495276133 0 0 0 495276133 230090 12960 13488 5855071 106709 6218318 0 230090 12960 13488 5855071 106709 6218318 0 5457354 1694152 1699415 2086437 0 10937358 95372826 93391238 95873514 108509244 119284987 512431809 0.96652 0.96120 0.01213 0.01349 X FORM 990, SCHEDULE A, PART III, LINE 12 OTHER INCOME INCLUDED SERVICES PROVIDED TO SUPPORT THE HOSPITAL. 8357439 8357439 43877465 15983453 27894012 4995758 4016531 979227 13827269 8891916 4935353 3267347 824953 2442394 44608425 0 DUE TO AFFILIATES 2895034 2895034 FORM 990, SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTES PRIMARILY ALL OF THE MERCY HEALTH 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. MERCY 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, 2019 OR 2018. X X true true false true false false false false false false false Aguilar-Guzman Orlando F Physician 982829 0 41497 0 28064 0 17550 0 3660 0 1073600 0 0 0 El-Shafei Amr Physician 1301486 0 175187 0 44242 0 12707 0 9355 0 1542977 0 0 0 Goss Stephen Physician Executive 379508 0 132507 0 59846 0 94590 0 2396 0 668847 0 0 0 Marion Tanya Regional VP-Human Resources 0 253097 0 81371 0 34230 0 49942 0 17382 0 436022 0 0 Pianalto Eric Chief Executive Officer 384254 0 279869 0 35842 0 84445 0 17623 0 802033 0 0 0 Randolph Gannon Physician 886066 0 118693 0 19310 0 12150 0 3660 0 1039879 0 0 0 Reynolds Scott CFO - Central Communities 0 373817 0 113290 0 44929 0 96403 0 13351 0 641790 0 0 Riley Philip Physician 784180 0 116176 0 18603 0 15495 0 2056 0 936510 0 0 0 Stover Benny J VP-Finance 192101 0 42103 0 16677 0 12272 0 17331 0 280484 0 0 0 Stuppy Robert J Physician & BD Mbr THRU 9/18 560243 0 116379 0 46430 0 17120 0 3546 0 743718 0 0 0 Swope Jon President, Central Communities 0 728214 0 507077 0 55870 0 155788 0 17789 0 1464738 0 0 Vitiello Jonathan Former Officer 0 567172 0 354458 0 60835 0 98030 0 17789 0 1098284 0 0 Weathers Lance Physician 780902 0 116176 0 19040 0 12150 0 3660 0 931928 0 0 0 FORM 990, SCHEDULE J, PART I, LINE 1 CHARTER TRAVEL IS PROVIDED TO CERTAIN EMPLOYEES AS AND WHEN APPROPRIATE, AND AS DEEMED NECESSARY FOR BUSINESS TRAVEL. AFTER CHARTER TRAVEL APPROVAL HAS BEEN GRANTED IN ACCORDANCE WITH THE FINANCIAL JUSTIFICATION PROCESS, THE APPROVED CHARTER TRAVEL FOR BUSINESS IS A REIMBURSABLE EXPENSE WHICH IS NOT TAXABLE TO THE EMPLOYEES. THERE WERE TWO INDIVIDUALS (BOTH KEY EMPLOYEES) THAT RECEIVED THIS BENEFIT DURING THE YEAR. FORM 990, SCHEDULE J, PART I, QUESTION 3 MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES 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 4B MERCY 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: ERIC PIANALTO, JONATHAN VITIELLO, STEPHEN GOSS, TANYA MARION, JON SWOPE, AND SCOTT REYNOLDS. THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C). Ashley Goss family member of key employee 141342 Employment false Lucy Swope family member of key employee 78357 Employment false FORM 990, PART III, QUESTION 4D MERCY MEDICAL CLINICS NWA AND BERRYVILLE (MMC) HEALTH CARE FACILITIES PROVIDE QUALITY CARE REGARDLESS OF RACE, CREED, GENDER, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. MMC PROVIDED 629,709 VISITS AT 29 LOCATIONS IN 9 CITIES THROUGHOUT NWA FOR PRIMARY CARE AND PEDIATRIC, OBSTETRICS, GYNECOLOGY, CARDIOLOGY AND CARDIOVASCULAR & THORACIC SURGERY, GASTROENTEROLOGY, UROLOGY, ORTHOPEDICS, RHEUMATOLOGY, GENERAL AND BARIATRIC SURGERY, PULMONOLOGY, NEUROLOGY, ENT AND AUDIOLOGY, BEHAVIORAL HEALTH, AS WELL AS RADIOLOGY/IMAGING AND LAB SERVICES. OF THE 629,709 VISITS, 67,355 WERE NEW PATIENT VISITS. MMC SERVICES WERE PROVIDED BY 136 PHYSICIANS AND 88 ADVANCED CARE PRACTITIONERS. IN ADDITION TO PRIMARY CARE, MEDICAL SPECIALTIES AND SURGICAL SERVICES, MMC HAS 28 HOSPITAL BASED PHYSICIANS AND 9 ADVANCED CARE PRACTIONERS THAT PROVIDED 43,959 VISITS IN THE HOSPITAL. AS A PART OF MERCY'S MINISTRY AND VALUES, RELIEF FROM THE FINANCIAL BURDEN OF MMC HEALTH CARE SERVICES TO THE INDIGENT CONSISTS OF CHARGES OF $274,021 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 THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH. THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED SOLELY UNTO THE CORPORATE MEMBER: -TO APPROVE AND ESTABLISH THE MISSION AND PHILOSOPHY ACCORDING TO WHICH THE CORPORATION AND ALL CORPORATIONS CONTROLLED BY THE CORPORATION SHALL OPERATE; -TO ADOPT OR AMEND THE ARTICLES OF INCORPORATION AND BYLAWS OF MERCY HOSPITAL ROGERS; -TO ADOPT OR AMEND THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION, EXCEPT THAT: -ANY AND ALL AMENDMENTS TO THE BYLAWS OF THE CORPORATION THAT MATERIALLY AFFECT THE EXISTENCE OR OPERATIONS OF THE MEDICAL GROUP BOARD, AS PROVIDED IN SECTION 8.2, MUST BE APPROVED BY THE MEDICAL GROUP BOARD, AND ANY AND ALL AMENDMENTS TO THE BYLAWS OF THE CORPORATION THAT MATERIALLY AFFECT THOSE POWERS RESERVED SOLELY TO THE MEDICAL GROUP, AS DESCRIBED IN SECTION 8.3, MUST BE APPROVED BY THE MEDICAL GROUP BOARD; -TO APPROVE AND APPOINT THE THREE (3) MEDICAL GROUP PHYSICIAN DIRECTORS AND ALL COMMUNITY REPRESENTATIVE DIRECTORS ON THE BOARD FROM NOMINATIONS SUBMITTED BY THE NOMINATING COMMITTEE; -TO APPOINT THE (2) MERCY HEALTH DIRECTORS ON THE BOARD; -TO APPOINT THE PRESIDENT/CEO OF THE CORPORATION, WHO SHALL SERVE AS AN EX-OFFICIO DIRECTOR ON THE BOARD WITH VOTE; -TO REMOVE ALL DIRECTORS ON THE BOARD WITH OR WITHOUT CAUSE; -TO APPROVE OR AMEND THE OVERALL STRATEGIC, LONG RANGE, AND HEALTH MANPOWER DEVELOPMENT PLANS, GOALS, AND OBJECTIVES OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO APPROVE THE CONSOLIDATED OPERATING, CAPITAL, AND CONSTRUCTION BUDGETS (INCLUDING AGGREGATE PHYSICIAN COMPENSATION LEVELS) FOR THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION AND CHANGES IN THE BUDGETS IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE CORPORATE MEMBER; -TO LEASE OR SELL ANY OF THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE CORPORATE MEMBER; -TO ENCUMBER ANY OR ALL OF THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO AUTHORIZE AND 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 OR ANY CORPORATION CONTROLLED BY 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 ACCOUNTING 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, QUESTIONS 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, 2019. 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 AND 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 XI, LINE 9 OTHER CHANGES IN NET ASSETS NET TRANSFERS TO/FROM AFFILIATES $ 44,413,237 FORM 990, PART XII, QUESTION 2C 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 2019 (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. Mercy NW Arkansas Ambulatory Serves LLC 2710 Rife Medical Lane Rogers AR 72758 822116964 Urgent care AR 751296 236025 MH NW AR COM Casa de Misericordia 1000 Mier Street Laredo TX 78040 742912461 SHELTER TX 501c3 7 MM LAREDO true McAuley Portfolio Management Company 14528 S Outer Forty Suite 100 Chesterfield MO 63017 261708048 PORT MGMT MO 501c3 12b Mercy Health true Mercy ACO Clinical Services Inc 14528 S Outer Forty Suite 100 Chesterfield MO 63017 464504901 VIRTUAL CARE MO 501c3 3 Mercy Health true Mercy Clinic East Communities 645 Maryville Ctr Ste 100 St Louis MO 63141 431771217 PHYS GROUP MO 501c3 10 MH EAST COMM true Mercy Clinic Fort Smith Communities 7301 Rogers Avenue Fort Smith AR 72903 261318597 PHYS CLINIC AR 501c3 3 MH FS COMM true Mercy Clinic Oklahoma Communities Inc 4300 W Memorial Road Oklahoma City OK 73120 270473057 PHYS GROUP OK 501c3 3 MH OK COMM true Mercy Clinic Springfield Communities 1965 Fremont Street Suite 2950 Springfield MO 65804 431560263 PHYS GROUP MO 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true Mercy Health Foundation Fort Scott 401 Woodland Hills Blvd Fort Scott KS 66701 481077073 Foundation KS 501c3 7 M KS COMM true Mercy Health Foundation Fort Smith 7301 Rogers Avenue Fort Smith AR 72917 237330425 Foundation AR 501c3 7 MH FS COMM true Mercy Health Foundation Jefferson 1400 US Highway 61 South Festus MO 63028 462797051 Foundation MO 501c3 12b MH JEFFERSON true Mercy Health Foundation Joplin 100 Mercy Way Joplin MO 64804 270906136 Foundation MO 501c3 7 MH SW MOKS true Mercy Health Foundation Lebanon 100 Hospital Drive Lebanon MO 65536 822514567 Foundation MO 501c3 12b MH LEBANON true Mercy Health Foundation Lincoln 1000 East Cherry Street Troy MO 63379 811477159 Foundation MO 501c3 12b MH EAST COMM true Mercy Health Foundation Nw Arkansas 2710 Rife Medical Lane Rogers AR 72758 710601687 Foundation AR 501c3 7 MH ROGERS true Mercy Health Foundation of Oklahoma 4300 W Memorial Road Oklahoma City OK 73120 454732301 Foundation OK 501c3 12a MH OK COMM true Mercy Health 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MO true Mercy Health SW MOKS Communities 100 Mercy Way Joplin MO 64804 300584463 HLTH SYSTEM MO 501c3 12b Mercy Health true Mercy Health Springfield Communities 1235 E Cherokee Street Springfield MO 65804 431856028 HLTH SYSTEM MO 501c3 12b Mercy Health true Mercy Home Health Berryville 804 W Freeman Suite 4 Berryville AR 72616 870781247 Inactive AR 501c3 12a MH SPRINGFLD true Mercy Hospital Ada Inc 430 N Monte Vista Street Ada OK 74820 462288155 Hospital OK 501c3 3 MH OK COMM true Mercy Hospital Ardmore Inc 1011 14th Avenue NW Ardmore OK 73401 731500629 Hospital OK 501c3 3 MH OK COMM true Mercy Hospital Aurora 500 Porter Avenue Aurora MO 65605 431936696 Hospital MO 501c3 3 MH SF COMM true Mercy Hospital Berryville 214 Carter Street Berryville AR 72616 710759299 Hospital AR 501c3 3 MH NW AK COM true Mercy Hospital Booneville 880 West Main Street Booneville AR 72927 463851119 Hospital AR 501c3 3 MH FT SMITH true Mercy Hospital Carthage 3125 Dr Russell Smith Way Carthage MO 64836 453808607 Hospital MO 501c3 3 MH SW MOKS true Mercy Hospital Cassville 94 Main Street Cassville MO 65625 431936699 Hospital MO 501c3 3 MH SF COMM true Mercy Hospital Columbus 220 Pennsylvania Avenue Columbus KS 66725 270842031 Hospital KS 501c3 3 MH SW MOKS true Mercy Hospital El Reno Inc 2115 Parkview Drive El Reno OK 73036 272716065 Hospital OK 501c3 3 MH OK City true Mercy Hospital Fort Smith 7301 Rogers Avenue Fort Smith AR 72903 710240352 Hospital AR 501c3 3 MH FS COMM true Mercy Hospital Healdton Inc 3462 Hospital Rd Healdton OK 73438 263173902 Hospital OK 501c3 3 MH ARDMORE true Mercy Hospital Jefferson 1400 Highway 61 South Festus MO 63028 430687077 Hospital MO 501c3 3 MH EAST COMM true Mercy Hospital Joplin 100 Mercy Way Joplin MO 64804 270814858 Hospital MO 501c3 3 MH SW MOKS true Mercy Hospital Kingfisher Inc 1000 Kingfisher Regional Hospital C Kingfisher OK 73750 463433074 Hospital OK 501c3 3 MH OK City true Mercy Hospital Lebanon 100 Hospital Drive Lebanon MO 65536 431767432 Hospital MO 501c3 3 MH SF COMM true Mercy Hospital Lincoln 1000 East Cherry Street Troy MO 63379 472219204 Hospital MO 501c3 3 MH EAST COMM true Mercy Hospital Logan County Inc 200 South Academy Guthrie OK 73044 452998842 Hospital OK 501c3 3 MH OK City true Mercy Hospital Oklahoma City Inc 4300 W Memorial Road Oklahoma City OK 73120 730579285 Hospital OK 501c3 3 MH OK COMM true Mercy Hospital Ozark 801 W River Street Ozark AR 72949 710689680 Hospital AR 501c3 3 MH FT Smith true Mercy Hospital Paris 500 E Academy Paris AR 72855 710655753 Hospital AR 501c3 3 MH FT Smith true Mercy Hospital Rogers 2710 Rife Medical Lane Rogers AR 72758 710294390 Hospital AR 501c3 3 MH NW AK COM true Mercy Hospital Springfield 1235 E Cherokee Street Springfield MO 65804 440552485 Hospital MO 501c3 3 MH SF COMM true Mercy Hospital Tishomingo Inc 1000 South Byrd Tishomingo OK 73460 274433830 Hospital OK 501c3 3 MH ADA Inc true Mercy Hospital Waldron 1341 W 6th Street Waldron AR 72958 710557895 Hospital AR 501c3 3 MH FT Smith true Mercy Hospital Watonga Inc 500 Clarence Nash Blvd Watonga OK 73772 455199762 Hospital OK 501c3 3 MH OK City true Mercy Hospitals East Communities 615 S New Ballas Road St Louis MO 63141 430653493 Hospital MO 501c3 3 MH EAST COMM true Mercy Kansas Communities Inc 401 Woodland Hills Blvd Ft Scott KS 66701 480956045 Hospital KS 501c3 3 MH SW MOKS true Mercy Ministries of Laredo 2500 Zacatecas Laredo TX 78046 200198462 Outreach TX 501c3 7 Mercy Health true Mercy Research 524 North Booneville Avenue Springfield MO 65802 870796305 Research MO 501c3 4 Mercy Health true Mercy St Francis Hospital 100 W Highway 60 Mountain View MO 65548 440607149 Hospital MO 501c3 3 MH SF COMM true MHM Support Services 14528 S Outer Forty Suite 100 Chesterfield MO 63017 202553101 CTRL SYS FUNC MO 501c3 12a Mercy Health true Mission Clinical Services 300 Werner Street Hot Springs AR 71913 134239691 CHILD ADVOC AR 501c3 3 Mercy Health true Mercy Hlth Fdn S-fka St Anthonys Ch FDN 10010 Kennerly Road St Louis MO 63128 261516789 Fundraising MO 501c3 12a MH SOUTH true MERCY HOSP SOUTH-FKA ST ANTHONY MED CTR 10010 Kennerly Road St Louis MO 63128 430980256 Hospital MO 501c3 3 MH EAST COMM true St Anthony's Physician Organization 10010 Kennerly Road St Louis MO 63128 431784536 Health care MO 501c3 3 MH SOUTH 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 true Unity Ambulatory Care 14528 S Outer Forty Suite 100 Chesterfield MO 63017 431861745 Inactive MO 501c3 12c MH EAST COMM true Fort Smith Emergency Medical Services 1701 S Greenwood FT SMITH AR 72901 710416615 Emergency Medical AR NA Mercy Ambulatory Surgery Center LLC 7301 Rogers FT SMITH AR 72917 710827721 AMBUL SURG CT AR NA Plaza Surgery Services Company LLC 12700 Southfork RD St Louis MO 63128 204709312 INACTIVE MO NA Resource Optimization & Innovation LLC 645 Maryville St Louis MO 63141 460468368 CENTRAL DIST. MO NA St Edward Mercy Med Ctr Multi-Purp BLDG 7301 Rogers FT SMITH AR 72903 710554050 OFFICE BUILDING AR NA 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 Health Network of the Southern Reg 14528 S Outer Forty Suite 100 Chesterfield MO 63017 731580607 HOLDING CO OK NA C-Corp Mercy Health Network Inc 14528 S Outer Forty Suite 100 Chesterfield MO 63017 731381689 HOLDING CO 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 false false false false false false false false false false false false false false true true false false Mercy Clinic Fort Smith Communities P 66442 FMV Mercy Health Foundation NW Arkansas P 104435 FMV Mercy ACO Clinical Services P 195216 FMV Mercy Hospital Berryville P 1023927 FMV MHM Support Services P 22853198 FMV Mercy Health East Communities Q 1198356 FMV Mercy Clinic Springfield Communities Q 1738606 FMV Mercy Hospital Rogers Q 25681069 FMV 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 VI 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.