MERCY HOSPITAL FORT SMITH: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: MERCY HOSPITAL FORT SMITH (EIN 71-0240352)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-15
IRS object ID: 201931359349310463
Schema version: 2017v2.3
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-15T15:00:11-05:00	ReturnTs
Tax Period End	2018-06-30	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	950 MAIN AVENUE SUITE 1800	AddressLine1Txt
City	CLEVELAND	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44113	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	710240352	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MERCY HOSPITAL FORT SMITH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% GRETA WILCHER VP OF FINANCE	InCareOfNm
Business Name Control	MERC	BusinessNameControlTxt
Phone	3145796100	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 17000	AddressLine1Txt
City	FORT SMITH	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	729177000	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	GRETA WILCHER	PersonNm
Person Title	VP FINANCE	PersonTitleTxt
Signature	2019-05-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ERICA FERTELMES	PreparerPersonNm
PTIN	P01608257	PTIN
Phone	2168615000	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	164.57.159.254	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	34033020191355000012	FederalOriginalSubmissionId
Federal Original Submission Id	2019-05-15	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	B9A516278AD48F4D844B42D1646FDE330F1F8594	AtSubmissionCreationDeviceId
At Submission Filing Device Id	CF5840316F0E3F046F827FB6FB4C849B877BD126	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Greta Wilcher VP of Finance	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	7301 Rogers Avenue	AddressLine1Txt
City	Fort Smith	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	72903	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$362,903,008	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MERCY.NET	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1905	FormationYr
Legal Domicile State	AR	LegalDomicileStateCd
Activity Or Mission	AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	80	TotalVolunteersCnt
Total Gross UBI	$3,719,443	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,116,095	PYContributionsGrantsAmt
CY Contributions Grants	$824,637	CYContributionsGrantsAmt
PY Program Service Revenue	$309,139,060	PYProgramServiceRevenueAmt
CY Program Service Revenue	$357,184,172	CYProgramServiceRevenueAmt
PY Investment Income	$256,420	PYInvestmentIncomeAmt
CY Investment Income	$164,216	CYInvestmentIncomeAmt
PY Other Revenue	$2,346,638	PYOtherRevenueAmt
CY Other Revenue	$3,359,747	CYOtherRevenueAmt
PY Total Revenue	$312,858,213	PYTotalRevenueAmt
CY Total Revenue	$361,532,772	CYTotalRevenueAmt
PY Grants And Similar Paid	$421,676	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$293,455	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$126,316,050	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$144,371,841	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$177,338,764	PYOtherExpensesAmt
CY Other Expenses	$215,673,074	CYOtherExpensesAmt
PY Total Expenses	$304,076,490	PYTotalExpensesAmt
CY Total Expenses	$360,338,370	CYTotalExpensesAmt
PY Revenues Less Expenses	$8,781,723	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,194,402	CYRevenuesLessExpensesAmt
Total Assets BOY	$258,114,986	TotalAssetsBOYAmt
Total Assets EOY	$263,498,270	TotalAssetsEOYAmt
Total Liabilities BOY	$76,636,724	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$79,984,387	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$181,478,262	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$183,513,883	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	$1,081,773	ExpenseAmt
Revenue	$73,895,640	RevenueAmt
Desc	CT SCAN - THE CT SCAN DEPARTMENT OF MERCY HOSPITAL FORT SMITH PERFORMED 34,283 PROCEDURES. CT SCAN, OR COMPUTED TOMOGRAPHY, IS A DIAGNOSTIC TEST THAT USES SPECIAL X-RAY EQUIPMENT TO MAKE CROSS-SECTIONAL PICTURES OF YOUR BODY. ONE MAJOR ADVANTAGE OF CT IS ITS ABILITY TO IMAGE BONE, SOFT TISSUE AND BLOOD VESSELS ALL AT THE SAME TIME. DOCTORS USE CT SCANS TO LOOK FOR BROKEN BONES, CANCER, BLOOD CLOTS, SIGNS OF HEART DISEASE, INTERNAL BLEEDING AND TRAUMA, AND MUSCULOSKETAL DISORDERS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$2,949,382	ExpenseAmt
Revenue	$65,056,496	RevenueAmt
Desc	LABORATORY SERVICES - THE LABORATORY DEPARTMENT OF MERCY HOSPITAL FORT SMITH PERFORMED 867,797 TESTS. MERCY LABORATORY SERVICES IN FORT SMITH, AR, OFFERS A FULL RANGE OF LAB TESTING SERVICES. TEST RESULTS ARE IMMEDIATELY TRANSMITTED TO THE PATIENT'S PHYSICIAN'S OFFICE. PATIENTS MAY ALSO HAVE SPECIMENS COLLECTED AND TESTED HERE AND THE RESULTS SENT TO A SPECIALIST IN ANOTHER CITY. IN ADDITION TO ROUTINE LAB TESTS MOST OFTEN REQUESTED BY PHYSICIANS, OUR SERVICES ALSO INCLUDE PRE-EMPLOYMENT DRUG SCREENING OR SCREENING FOR WORKERS' COMPENSATION INJURIES, FEDERAL DRUG SCREEN COLLECTIONS FOR THE DEPARTMENT OF TRANSPORTATION, HEALTH SCREENS TO PROMOTE WELLNESS AND REDUCE HEALTH RISKS IN OUR COMMUNITY, AND OUTPATIENT TRANSFUSION SERVICES.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$6,598,185	ExpenseAmt
Revenue	$57,090,366	RevenueAmt
Desc	EMERGENCY DEPARTMENT - THE EMERGENCY DEPARTMENT OF MERCY HOSPITAL FORT SMITH HAD 36,596 VISITS. THE EMERGENCY DEPARTMENT AT MERCY HOSPITAL FORT SMITH IS A LEVEL III TRAUMA CENTER. WHILE MANY HOSPITAL EMERGENCY ROOMS TREAT ONLY MINOR INJURIES SUCH AS CUTS AND BREAKS, TRAUMA CENTERS ARE CAPABLE OF PROVIDING A HIGHER LEVEL OF CARE. AS A LEVEL III TRAUMA CENTER, MERCY HOSPITAL FORT SMITH PROVIDES 24-HOUR ACCESS TO AN IN-HOUSE EMERGENCY PHYSICIAN, TRAUMA SURGEON, AND ANESTHESIOLOGIST, IN ADDITION TO INTENSIVE CARE SERVICES AND ORTHOPEDIC SURGEONS. A PASTORAL CARE STAFF PROVIDES EMOTIONAL SUPPORT TO TRAUMA VICTIMS AND THEIR FAMILIES. MERCY HOSPITAL FORT SMITH IS ALSO ACTIVE IN TRAUMA PREVENTION. COMMUNITY OUTREACH CLASSES ON SUBJECTS LIKE FALL PREVENTION FOR THE ELDERLY AND DISTRACTED DRIVING FOR TEENS ARE OFFERED IN AN EFFORT TO HELP KEEP PEOPLE OUT OF THE EMERGENCY ROOM.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$227,486,918	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$293,454	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$161,141,670	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$238,116,258	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	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 With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	GRETA WILCHER VP OF FINANCE	PersonNm
Phone	4793146104	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	7301 ROGERS AVENUE	AddressLine1Txt
City	FORT SMITH	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	72903	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Atkins Lisa
Board member	1.0	1.0	Yes (X)	$0	$0	$0
Bean MD Paul
Physician & Board member	5.0	55.0	Yes (X)	$0	$406,069	$31,973
Coleman MD Christopher
Physician & Board member	5.0	55.0	Yes (X)	$0	$888,247	$18,344
Drolshagen Leo
Board member	1.0	0.0	Yes (X)	$0	$0	$0
Echols Jr Walter
Board member	1.0	1.0	Yes (X)	$0	$0	$0
Hembree Lawson
Board member	1.0	0.0	Yes (X)	$0	$0	$0
Koorie RSM Sr Diane
Board member	1.0	1.0	Yes (X)	$0	$0	$0
McClellan David
Board member	1.0	0.0	Yes (X)	$0	$0	$0
Wagner Kendal
Board member	1.0	0.0	Yes (X)	$0	$0	$0
Richardson MD Derrick
Board member	1.0	0.0	Yes (X)	$0	$0	$0
Mehl John
Physician & Board member	5.0	55.0	Yes (X)	$0	$551,789	$23,935
Gehrig Ryan
Chief executive officer	25.0	35.0	Yes (X)	$656,507	$0	$83,108	Yes (X)
Reynolds Scott
CFO - Central Communities	4.0	56.0		$0	$532,268	$106,770	Yes (X)
Burke James
Regional VP-Legal	5.0	55.0		$0	$355,737	$21,532		Yes (X)
Hunton David
Chief medical officer	60.0	0.0		$500,982	$0	$24,870		Yes (X)
Marion Tanya
Regional VP-Human Resources	2.0	58.0		$0	$329,347	$59,431		Yes (X)
Schreiber Martin
VP-Mission	60.0	0.0		$191,689	$0	$22,081		Yes (X)
Stec Julianne
Chief operating officer	60.0	0.0		$277,259	$0	$40,792		Yes (X)
Swope Jon
President - Central Comm.	4.0	56.0		$0	$1,207,500	$171,207		Yes (X)
Thomas Jennifer
Chief nursing officer	60.0	0.0		$264,252	$0	$49,342		Yes (X)
Wilcher Greta
VP-Finance	24.0	36.0		$261,418	$0	$36,640		Yes (X)
Hawkins Andrea C
Charge RN	60.0	0.0		$184,926	$0	$28,191			Yes (X)
Glander Robert E
Director Pharmacy Services	60.0	0.0		$175,505	$0	$31,251			Yes (X)
Adams Eric B
Pharmacist	60.0	0.0		$173,189	$0	$20,567			Yes (X)
Carpenter Larry D
Pharmacist	60.0	0.0		$171,485	$0	$43,282			Yes (X)
Frazier Marilynn J
Executive Director	60.0	0.0		$171,461	$0	$28,487			Yes (X)
Vitiello Jonathan
Sr VP Fin. Off. & Former Off.	0.0	60.0		$0	$857,053	$108,853				Yes (X)
Bryson Jared
Former key employee	0.0	60.0		$0	$196,284	$25,011				Yes (X)
Hennessey III William
Former key employee	0.0	60.0		$0	$242,284	$48,903				Yes (X)
Hubbard Brent
Former key employee	0.0	60.0		$0	$465,594	$69,034				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,028,673	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,032,172	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,093,604	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	80	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
CONEXUS SOLUTIONS
PO BOX 334	TONTITOWN	AR	72770	NURSING SERVICES	$4,859,406
MAYO MEDICAL LABS
200 SW FIRST STREET	ROCHESTER	MN	55805	LABORATORY SERVICES	$1,030,465
ROCHE DIAGNOSTICS CORP
MAIL CODE 5021 PO BOX 660367	DALLAS	TX	75266	LAB PURCHASED SRVCS	$959,848
FORT SMITH EMS
3417 DUKE AVE	FORT SMITH	AR	72908	ER TRANSPORT SRVCS	$819,157
GREEN CNTRY EMERGENCY PHYS GRP
1389 E 27th St	TULSA	OK	74114	ER Physician service	$1,028,139

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	39	CntrctRcvdGreaterThan100KCnt
Related Organizations	$577,683	RelatedOrganizationsAmt
Government Grants	$246,954	GovernmentGrantsAmt
All Other Contributions	$0	AllOtherContributionsAmt
Total Contributions	$824,637	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	621110	$336,393,136	$336,393,136
RENTAL INCOME FROM RELATED ORGS	531120	$4,709,675	$4,709,675
OTHER OPERATING REVENUE	900099	$12,564,069	$12,564,069
REFERENCE LAB	621511	$3,517,292	$1,055,188	$2,462,104

Field	Value	IRS element (for citing)
Total Program Service Revenue	$357,184,172	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$123,309	TotalRevenueColumnAmt
Exclusion	$123,309	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	$1,085,820	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$694,324	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$391,496	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$391,496	TotalRevenueColumnAmt
Exclusion	$391,496	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$40,907	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$40,907	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$40,907	TotalRevenueColumnAmt
Exclusion	$40,907	ExclusionAmt

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	$968,489	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$675,912	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$292,577	TotalRevenueColumnAmt
Exclusion	$292,577	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFE & VENDING	900099	$1,418,335	$1,418,335
FITNESS CENTER	900099	$1,257,339		$1,257,339

Field	Value	IRS element (for citing)
Other Revenue Total	$2,675,674	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$361,532,772	TotalRevenueColumnAmt
Related Or Exempt Func Income	$354,722,068	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,719,443	UnrelatedBusinessRevenueAmt
Exclusion	$2,266,624	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$293,455	TotalAmt
Program Services	$293,455	ProgramServicesAmt

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	$2,457,247	TotalAmt
Program Services	$2,051,016	ProgramServicesAmt
Management And General	$406,231	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$686,630	TotalAmt
Program Services	$573,117	ProgramServicesAmt
Management And General	$113,513	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$116,786,228	TotalAmt
Program Services	$95,635,784	ProgramServicesAmt
Management And General	$21,150,444	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,797,767	TotalAmt
Program Services	$3,169,922	ProgramServicesAmt
Management And General	$627,845	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$13,466,625	TotalAmt
Program Services	$11,240,328	ProgramServicesAmt
Management And General	$2,226,297	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,177,344	TotalAmt
Program Services	$5,990,788	ProgramServicesAmt
Management And General	$1,186,556	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	$11,190	TotalAmt
Management And General	$11,190	ManagementAndGeneralAmt

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	$27,265	TotalAmt
Management And General	$27,265	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$9,885,324	TotalAmt
Program Services	$8,178,489	ProgramServicesAmt
Management And General	$1,706,835	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$184,549	TotalAmt
Program Services	$12,904	ProgramServicesAmt
Management And General	$171,645	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,097,648	TotalAmt
Program Services	$3,692,331	ProgramServicesAmt
Management And General	$3,405,317	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$134,532	TotalAmt
Program Services	$97,831	ProgramServicesAmt
Management And General	$36,701	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,658,904	TotalAmt
Program Services	$104,190	ProgramServicesAmt
Management And General	$4,554,714	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$784,784	TotalAmt
Program Services	$499,042	ProgramServicesAmt
Management And General	$285,742	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$399,657	TotalAmt
Management And General	$399,657	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$39,931,262	TotalAmt
Management And General	$39,931,262	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$13,661,155	TotalAmt
Program Services	$6,502,241	ProgramServicesAmt
Management And General	$7,158,914	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,814,565	TotalAmt
Program Services	$83,752	ProgramServicesAmt
Management And General	$1,730,813	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
BAD DEBT	$25,046,291	$25,046,291
REPAIRS & MAINTENANCE	$1,977,074	$321,735	$1,655,339
SHARED SERVICE FEES	$36,211,392	$2,110,453	$34,100,939
DRUGS & MEDICAL EXPENSES	$73,323,495	$72,316,203	$1,007,292

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$523,987	TotalAmt
Program Services	$196,386	ProgramServicesAmt
Management And General	$327,601	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$360,338,370	TotalAmt
Program Services	$238,116,258	ProgramServicesAmt
Management And General	$122,222,112	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$6,534,902	BOYAmt
EOY	$6,561,189	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	$11,579	BOYAmt
EOY	$2,794	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$32,334,535	BOYAmt
EOY	$37,758,026	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	$3,455,801	BOYAmt
EOY	$20,425	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,986,476	BOYAmt
EOY	$5,524,547	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$626,887	BOYAmt
EOY	$627,938	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$417,585,477	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$242,078,810	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$173,627,411	BOYAmt
EOY	$175,506,667	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	$3,520,282	BOYAmt
EOY	$7,093,306	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$32,017,113	BOYAmt
EOY	$30,403,378	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$258,114,986	BOYAmt
EOY	$263,498,270	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$12,152,026	BOYAmt
EOY	$15,686,914	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$8,595	BOYAmt
EOY	$9,068	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$10,594	BOYAmt
EOY	$9,510	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	$5,913,274	BOYAmt
EOY	$5,353,458	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	$58,552,235	BOYAmt
EOY	$58,925,437	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$76,636,724	BOYAmt
EOY	$79,984,387	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$181,478,262	BOYAmt
EOY	$183,513,883	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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	$181,478,262	BOYAmt
EOY	$183,513,883	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$258,114,986	BOYAmt
EOY	$263,498,270	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$1,194,402	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$841,219	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$27,265	OtherActivitiesAmt
Total Lobbying Expenditures	$27,265	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE C, PART II-B, LINE 1(I)	FormAndLineReferenceDesc
Explanation	LOBBYING PORTION OF DUES THE FILING ORGANIZATION IS A MEMBER OF AND PAYS DUES TO THE FOLLOWING HOSPITAL ASSOCIATIONS: ARKANSAS HOSPITAL ASSOCIATION, AMERICAN HOSPITAL ASSOCIATION AND CATHOLIC HEALTH ASSOCIATION. FOR THE YEAR ENDED JUNE 30, 2018, DUES WERE $92,186, $25,780 AND $50,428, RESPECTIVELY. APPROXIMATELY 21.00% OF ARKANSAS HOSPITAL ASSOCIATION DUES, 22.98% OF AMERICAN HOSPITAL ASSOCIATION DUES AND 3.93% OF CATHOLIC HEALTH ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED BY THESE ASSOCIATIONS.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$24,921,806	OtherCostOrOtherBasisAmt
Book Value	$24,921,806	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$251,269,822	OtherCostOrOtherBasisAmt
Depreciation	$127,888,300	DepreciationAmt
Book Value	$123,381,522	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,158,729	OtherCostOrOtherBasisAmt
Depreciation	$1,739,670	DepreciationAmt
Book Value	$419,059	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$131,832,422	OtherCostOrOtherBasisAmt
Depreciation	$106,873,251	DepreciationAmt
Book Value	$24,959,171	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,402,698	OtherCostOrOtherBasisAmt
Depreciation	$5,577,589	DepreciationAmt
Book Value	$1,825,109	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$175,506,667	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
MISCELLANEOUS RECEIVABLES	$453,275
EXCHANGE ACCOUNT	$864,517
LAND FOR FUTURE DEVELOPMENT	$5,242,921
INVESTMENT IN FORT SMITH EMS	$1,227,613
INVESTMENT IN SATELLITE	$22,595,552
NON CURRENT DEFERRED EXPENSE	$19,500

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$30,403,378	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$58,905,937
OTHER NON CURRENT LIABILITIES	$19,500

Field	Value	IRS element (for citing)
Total Liability	$58,925,437	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 FOOTNOTES 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, 2018 OR 2017.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,908,548	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,908,548	NetCommunityBenefitExpnsAmt
Total Expense	0.00870	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$34,504,887	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,519,994	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,984,893	NetCommunityBenefitExpnsAmt
Total Expense	0.02980	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$37,413,435	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,519,994	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,893,441	NetCommunityBenefitExpnsAmt
Total Expense	0.03850	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$700,108	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$700,108	NetCommunityBenefitExpnsAmt
Total Expense	0.00210	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$294,600	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$294,600	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,214,050	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,214,050	NetCommunityBenefitExpnsAmt
Total Expense	0.00360	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$156,687	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$156,687	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,365,445	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,365,445	NetCommunityBenefitExpnsAmt
Total Expense	0.00710	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$39,778,880	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,519,994	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,258,886	NetCommunityBenefitExpnsAmt
Total Expense	0.04560	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$80,032	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$80,032	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$80,032	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$80,032	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$6,891,025	BadDebtExpenseAmt
Reimbursed By Medicare	$108,948,343	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$114,612,994	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$5,664,651	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
MERCY HOSPITAL FORT SMITH
1	7301 ROGERS AVENUE	FORT SMITH	AR	72903	WWW.MERCY.NET	AR4941	Yes (X)	Yes (X)	Yes (X)	A
Mercy Orthopedic Hospital Fort Smith
2	3601 S79th Street	Fort Smith	AR	72903	WWW.MERCY.NET	AR5079	Yes (X)	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	2	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.MERCY.NET/ABOUT/COMMUNITY-BENEFITS	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	See Part V, Section C	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.MERCY.NET/ABOUT/COMMUNITY-BENEFITS	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 3e	The hospital facility did include a prioritized list of the community's significant health needs in its most recent CHNA report. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5 IN 2015 A VARIETY OF ORGANIZATIONS (HEALTH DEPARTMENTS, HEALTH SYSTEMS, HOSPITALS AND OUTPATIENT BEHAVIORAL HEALTH SYSTEMS INCLUDING BURRELL BEHAVIORAL HEALTH, CITIZENS MEMORIAL HEALTHCARE, COX HEALTH, FREEMAN HEALTH SYSTEM, JASPER COUNTY HEALTH DEPARTMENT, JOPLIN HEALTH DEPARTMENT, MERCY, POLK COUNTY HEALTH CENTER, SPRINGFIELD-GREEN COUNTY HEALTH DEPARTMENT AND TANEY COUNTY HEALTH DEPARTMENT) ACROSS THE OZARKS CAME TOGETHER TO BETTER UNDERSTAND THE HEALTH STATUS, BEHAVIORS AND NEEDS OF THE POPULATION SERVED. UNDER THE UMBRELLA OF THE LOCAL OZARKS HEALTH COMMISSION THIS FIRST TIME COLLABORATION IS THE LARGEST IN THE REGION SPANNING FOUR STATES - MISSOURI, OKLAHOMA, ARKANSAS AND KANSAS. THE WORKING GROUP SAW THE VALUE OF USING A SYSTEMATIC, DATA-DRIVEN ASSESSMENT TO INFORM DECISIONS AND GUIDE EFFORTS TO IMPROVE COMMUNITY HEALTH AND WELLNESS ON A REGIONAL LEVEL. THIS LARGER, CONCERTED APPROACH WILL LEVERAGE COMMON STRENGTHS AND STRATEGIES TO MOVE IN THE SAME DIRECTION ON SIGNIFICANT HEALTH CONCERNS. THE PRIORITIES FOR EACH COMMUNITY EMERGED AS A RESULT OF DATA AND FEEDBACK COLLECTION FROM A VARIETY OF SOURCES INCLUDING: -A SURVEY OPEN TO MEMBERS OF THE PUBLIC AND PARTNER AGENCIES IN ALL COMMUNITIES; -SECONDARY DATA COLLECTED FROM COMMUNITYCOMMONS.ORG AND OTHER SOURCES; -FOCUS GROUPS TARGETING UNDERSERVED, CHRONICALLY ILL AND LOW-INCOME POPULATIONS IN EACH COMMUNITY; AND -EMERGENCY DEPARTMENT DATA FROM HOSPITAL PARTNERS. THESE SOURCES WERE COMBINED AND COMPARED TO DEVELOP COMMUNITY PRIORITIES WHICH WEIGHED MORBIDITY, MORTALITY AND A VARIETY OF OTHER FACTORS.
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 6A	THE CHNA WAS CONDUCTED FOR MERCY HOSPITAL FORT SMITH, MERCY HOSPITAL WALDRON, MERCY HOSPITAL PARIS, MERCY HOSPITAL OZARK, AND MERCY HOSPITAL BOONEVILLE. OTHER HOSPITAL FACILITY PARTNERS INCLUDED: BURRELL BEHAVIORAL HEALTH, CITIZENS MEMORIAL HEALTHCARE, COX HEALTH, AND FREEMAN HEALTH SYSTEM.
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 6B	THE CHNA WAS CONDUCTED IN CONJUNCTION WITH THE FOLLOWING NON-HOSPITAL FACILITIES: Jasper County Health Department, Joplin Health Department, Polk County Health Center, Springfield-Greene County Health Dept., and Taney County Health Dept. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 7B HTTP://WWW.OZARKSHEALTHCOMMISSION.ORG/fort-smith
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 11	MERCY HOSPITAL FORT SMITH IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA BY FOCUSING PROGRAMMING, SERVICES AND EDUCATION AND AWARENESS AROUND: (1) ACCESS TO CARE, (2) MENTAL HEALTH, AND (3) NUTRITION. THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) WILL DESCRIBE THE ACTIONS THAT THE HOSPITAL INTENDS TO TAKE TO ADDRESS THE HEALTH NEEDS, THE ANTICIPATED IMPACT OF THESE ACTIONS, AND THE PLAN TO EVALUATE SUCH IMPACT; IDENTIFY THE PROGRAMS AND RESOURCES THAT THE HOSPITAL PLANS TO COMMIT TO ADDRESS THE HEALTH NEEDS AND DESCRIBE ANY PLANNED COLLABORATION BETWEEN THE HOSPITAL AND OTHER AGENCIES IN ADDRESSING THE HEALTH NEED. THE FIRST IDENTIFIED NEED IS ACCESS TO CARE. WHILE HAVING ACCESS TO CARE IS VITAL TO IMPROVING TREATMENT AND HEALTH FOR PEOPLE, ACCESSING APPROPRIATE CARE IS EQUALLY IMPORTANT. THIS INCLUDES ENSURING INDIVIDUALS HAVE A PLAN TO COVER THE COST OF CARE AND MAKING SURE THAT THERE IS APPROPRIATE PROVIDER COVERAGE IN COMMUNITIES. ANOTHER IMPORTANT COMPONENT IS CHANGING THE CULTURE TO ACCESS CARE APPROPRIATELY. EFFORTS TO ADDRESS EACH HEALTH ISSUE SHOULD FOCUS ON IMPROVING THE SYSTEMS AROUND THE INDIVIDUAL TO IMPROVE HEALTH AND ACCESS TO APPROPRIATE CARE AND WORK TO MODIFY THE WAY THAT INDIVIDUALS CONSUME HEALTH SERVICES TO ENSURE CARE IS EFFECTIVE AND EFFICIENT. MERCY HOPE CLINIC OPENED IN SEPTEMBER 2017 AT THE HOPE CAMPUS TO SERVE THE MARGINALIZED AND HOMELESS IN THE COMMUNITY. MERCY FORT SMITH HAS PARTNERED WITH FIVE LOCAL ELEMENTARY SCHOOLS IN ECONOMICALLY AND MEDICALLY UNDERSERVED AREAS (ZIP CODES 72901 AND 72904) TO PROVIDE FREE KINDERGARDEN PHYSICALS TO ENSURE ENROLLMENT. MERCY IS PARTNERING WITH THE SISTERS OF MERCY MINISTRIES INTERNATIONALLY TO LEARN AND SHARE INFORMATION AND SERVICES ON WAYS TO SERVE THE MOST VULNERABLE POPULATIONS, PARTICULARLY IN AREAS OF PERU. THE SECOND IDENTIFIED NEED IS MENTAL HEALTH AWARENESS AND EMOTIONAL WELLBEING. MENTAL HEALTH IS A COMMON THREAD IN MANY CHRONIC HEALTH CONDITIONS. DEPRESSION HAS BEEN LINKED TO HIGHER RATES OF CARDIOVASCULAR DISEASE AND DIABETES. ADDITIONALLY, PERSONS WITH DEPRESSION TEND TO ENGAGE IN MORE RISK BEHAVIORS FOR THESE DISEASES SUCH AS SMOKING, POOR DIET OR LACK OF EXERCISE THAN PERSONS WITHOUT DEPRESSION. A 2006 STUDY SUGGESTS THAT 80% OF THOSE DIAGNOSED WITH SCHIZOPHRENIA USE TOBACCO PRODUCTS. A GROWING BODY OF EVIDENCE SUGGESTS THAT THE LACK OF SOCIAL CONNECTEDNESS, PARTICULARLY IN OLDER ADULTS, CONTRIBUTES TO POOR HEALTH OUTCOMES. MERCY WILL IMPLEMENT STRATEGIES TO PROMOTE IMPROVED MENTAL HEALTH AND EMOTIONAL WELLBEING BY IDENTIFYING GAPS AND PROMOTING/DEVELOPING STRATEGIES TO EVIDENCED BASED STRATEGIES TO CLOSE THE GAP; WORK TO INCREASE THE NUMBER OF PEOPLE ABLE TO ACCESS APPROPRIATE, QUALITY MENTAL HEALTH TREATMENT/CARE; ADVOCATE AND SUPPORT THE SEBASTIAN COUNTY SHERIFF'S DEPARTMENT FOR THE DEVELOPMENT OF A STABILIZATION UNIT TO DIVERT PERSONS SUFFERING FROM A MENTAL HEALTH CRISIS AND TO ENSURE APPROPRIATE LEVEL OF CARE IS RECEIVED; ADVOCATE FOR LEGISLATION TO IMPROVE MENTAL HEALTH SERVICE DELIVERY THROUGH OUR STATE REPRESENTATIVES AND LEGISLATURE AND SUPPORT THE HOPE CAMPUS TO ENSURE THE HOMELESS AND UNDERSERVED RECEIVE ASSISTANCE IN OBTAINING THE APPROPRIATE LEVEL OF CARE. MERCY IS ALSO WORKING WITH RESTORE HOPE, A TASK FORCE APPOINTED BY THE CURRENT ARKANSAS GOVERNOR, TO IDENTIFY AND ADDRESS THE HIGH RECIDIVISM RATES IN SEBASTIAN COUNTY AND THE INCREASING NUMBER OF CHILDREN ENTERING THE FOSTER CARE SYSTEM. THE THIRD IDENTIFIED NEED IS PHYSICAL ACTIVITY AND NUTRITION. REGULAR PHYSICAL ACTIVITY IMPROVES OVERALL HEALTH AND WELL-BEING AND REDUCES THE RISK OF CHRONIC DISEASES AND OBESITY. MORE THAN 80% OF ADULTS AND ADOLESCENTS DO NOT MEET THE GUIDELINES FOR PHYSICAL ACTIVITY. PEOPLE WHO ARE PHYSICALLY ACTIVE TEND TO LIVE LONGER AND HAVE LOWER RISK FOR CARDIOVASCULAR DISEASE, DIABETES, DEPRESSION AND CANCER. PHYSICAL ACTIVITY CAN ALSO HELP WITH WEIGHT CONTROL, AND INACTIVE ADULTS HAVE A HIGHER RISK FOR PREMATURE DEATH. POOR DIETS ARE NOT ONLY A RISK FACTOR FOR OBESITY, BUT FOR OTHER CHRONIC DISEASES AS WELL. FEWER THAN 1 IN 3 ADULTS AND AN EVEN LOWER PROPORTION OF ADOLESCENTS EAT THE RECOMMENDED AMOUNT OF FRUITS AND VEGETABLES EACH DAY. MERCY WILL WORK TO PROMOTE A HEALTHY LIFESTYLE AND IMPROVE ACCESS AND EDUCATION TO NUTRITIOUS FOODS AND PHYSICAL ACTIVITY TO INCREASE THE PERCENTAGE OF PEOPLE LIVING AT A HEALTHY WEIGHT BY EXPLORING FOOD SYSTEMS IN THE FORT SMITH COMMUNITY AND IDENTIFY PARTNERSHIP OPPORTUNITIES THAT INCREASE HEALTHY FOOD CHOICES AND ACCESS TO HEALTHY FOODS, ENGAGE AND EDUCATE MERCY FORT SMITH COMMUNITY EMPLOYEES TO HELP ADDRESS FOOD INSECURITIES AND OBESITY RATES IN THE COMMUNITIES THEY SERVE; SUPPORT AND COLLABORATE WITH LOCAL COMMUNITY GARDENS AND FOOD PANTRIES TO OFFER HEALTHY FOOD CHOICES IN TARGETED FOOD INSECURITY AREAS; PROVIDE COOKING CLASSES WITH FOOD PREPARED FROM THE COMMUNITY GARDENS AND FOOD PANTRIES AND CONTINUE TO SUPPORT LOCAL HEALTHIFICATION ACTIVITIES IN THE COMMUNITIES SERVED; AND PARTNER WITH THE FITNESS CENTER TO PROVIDE EXERCISE CLASSES OUT IN THE COMMUNITY. FOR ALL THESE IDENTIFIED NEEDS AND PRIORITIES, MERCY CONTINUES TO WORK CLOSELY WITH ITS LOCAL PUBLIC SCHOOL SYSTEMS, NONPROFIT ORGANIZATIONS, THE CHAMBER OF COMMERCE, AND PUBLIC OFFICIALS TO ENSURE WE ARE COLLABORATIVELY ADDRESSING THE NEEDS OF OUR COMMUNITY IN A MEASURABLE WAY.
FORM 990, SCHEDULE H, PART V, SECTION B, LINES 16A, 16B & 16C	THE FINANCIAL ASSISTANCE POLICY, APPLICATION AND A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY ARE AVAILABLE ONLINE AT HTTPS://WWW.MERCY.NET/OPEN-PAGES/MERCY-FINANCIAL-ASSISTANCE/

Field	Value	IRS element (for citing)
Facility	5	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Mercy Outpatient Surgery Center
3601 W E Knight Drive	Fort Smith	AR	72903	SURGERY CENTER
OP Wound and Hyperbaric Center
7306 Rogers Avenue	FORT SMITH	AR	72903	WOUND TREATMENT CENTER
MERCY SLEEP CENTER
5401 ELLSWORTH ROAD	FORT SMITH	AR	72903	SLEEP CENTER
MERCY OP THERAPY SERVICES
7610 DALLAS STREET	FORT SMITH	AR	72903	PHYSICAL THERAPY CENTER
OKLAHOMA HOME HEALTH HOSPICE
25520 OLD HIGHWAY 112	CAMERON	OK	74932	HOME HEALTH & OP HOSPICE

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, SCHEDULE H, PART I, LINE 6A	THE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS PREPARED BY ITS ULTIMATE PARENT ENTITY, MERCY HEALTH (EIN: 43-1423050).
FORM 990, SCHEDULE H, PART I, LINE 7, COLUMN F	TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) ARE $360,338,370. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $25,046,291. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $335,292,079.
FORM 990, SCHEDULE H, PART I, LINE 7G	THE ORGANIZATION DID NOT INCLUDE ANY PHYSICIAN CLINIC COSTS ON LINE 7G.
FORM 990, SCHEDULE H, PART II	COMMUNITY BUILDING ACTIVITIES INCLUDE HATS / GLOVES FOR MARGINALIZED CITIZENS, SUPPORT FOR THE DONALD W REYNOLDS CANCER SUPPORT HOUSE, SUPPLIES, BREAKFAST/DINNER FOR THE SPRADLING SCHOOL, AND A TASK FORCE FOR THE HISPANIC WOMEN'S GROUP. ADDITIONAL INFORMATION ON COMMUNITY BENEFITS CAN BE FOUND AT HTTP://WWW.MERCY.NET/ABOUT/COMMUNITY-BENEFITS/.
FORM 990, SCHEDULE H, PART III, SECTION A, LINE 2	TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE, AT COST, BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENT ACCOUNTS WAS MULTIPLIED BY A RATIO OF COST TO CHARGES. THE RATIO OF COST TO CHARGES USED WAS BASED ON DETAILED COST ACCOUNT, WHERE AVAILABLE. WHERE COST ACCOUNTING IS NOT AVAILABLE, COST REPORT COST TO CHARGE RATIOS WERE UTILIZED.
FORM 990, SCHEDULE H, PART III, SECTION A, LINE 3	The filing organization determined that the estimated amount of bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy is $0. Although the charity care policy requires the participation of the patient requesting assistance, we have a process under presumptive charity to address accounts for patients who do not provide the information. We believe that our charity policy is comprehensive enough to capture almost all patients who qualify for charity care.
FORM 990, SCHEDULE H, PART III, SECTION A, LINE 4	THE TEXT OF THE FOOTNOTE THAT IS INCLUDED IN MERCY HEALTH AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE IS AS FOLLOWS: "PATIENT ACCOUNTS RECEIVABLE THAT ARE DEEMED UNCOLLECTIBLE, INCLUDING THOSE PLACED WITH COLLECTION AGENCIES, ARE INITIALLY CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN ACCORDANCE WITH COLLECTION POLICIES OF THE HEALTH SYSTEM AND, IN CERTAIN CASES, ARE RECLASSIFIED TO CHARITY CARE IF DEEMED TO OTHERWISE MEET THE HEALTH SYSTEMS CHARITY CARE POLICY. THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES IS BASED UPON MANAGEMENTS ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES BASED UPON THE PAYOR COMPOSITION AND AGING OF RECEIVABLES WITH CONSIDERATION OF THE HISTORICAL PAYMENT AND WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES."
FORM 990, SCHEDULE H, PART III, SECTION B, LINE 8	IT IS THE POSITION OF MERCY THAT 100% OF ANY SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS AMOUNT REPRESENTS COST OF PROVIDING SERVICES THAT REMAIN UNCOMPENSATED TO THE PROVIDER. THE UNREIMBURSED COSTS OF MEDICARE ARE CALCULATED BY THE GROSS CHARGES NET OF THE COST TO CHARGE RATIO LESS ANY PAYMENTS, DEDUCTIONS OR REIMBURSEMENTS USING THE ANNUAL MEDICARE COST REPORT (CMS FORM 2552-96).
FORM 990, SCHEDULE H, PART III, SECTION C, LINE 9B	MERCYS COLLECTION POLICY PROVIDES THAT MERCY WILL PERFORM A REASONABLE COMMUNICATION AND/OR REVIEW OF PATIENT ACCOUNTS AS IT RELATES TO ANY SERVICE PROVIDED AT OUR FACILITIES BEFORE TURNING THE ACCOUNT TO BAD DEBT OR TAKING LEGAL ACTION FOR NONPAYMENT. MERCY ACTIVELY SCRUBS ACCOUNTS FOR PAYOR PLAN COVERAGE, INCLUDING MEDICAID. IN THE EVENT AN ACCOUNT IS TURNED TO COLLECTIONS AND IS IDENTIFIED IN NEED OF FINANCIAL ASSISTANCE DUE TO CIRCUMSTANCE CHANGES, OR IS NOW REQUESTING ASSISTANCE, THE ACCOUNTS ARE RETURNED BY THE AGENCY AND CONSIDERED FOR CHARITY IF THE PATIENT PROVIDES THE REQUESTED INFORMATION. IF THE PATIENT FAILS TO RETURN THE INFORMATION, THE ACCOUNT WILL QUALIFY FOR COLLECTIONS. MERCY UTILIZES THE EXPERIAN TOOL TO ENHANCE THE ABILITY TO DETERMINE THE CHARITY QUALIFICATION PRIOR TO TURNING TO BAD DEBT, A PROCESS KNOWN AS PRESUMPTIVE CHARITY. MERCY WILL GRANT CHARITY IN SITUATIONS WHERE THERE HAS BEEN AN INABILITY TO OBTAIN INFORMATION FROM PATIENTS OR THE INFORMATION PROVIDED IS NOT COMPLETE ENOUGH TO MAKE A CHARITY DETERMINATION WHEN A PATIENT HAS SUBMITTED AN APPLICATION. IN ADDITION, MERCY UTILIZES THE SAME TOOL TO QUALIFY ACCOUNTS PER THE PRACTICE OF PRESUMPTIVE CHARITY PRIOR TO BAD DEBT PLACEMENT FOR BALANCES IN EXCESS OF $6,500. ALL ACCOUNT BALANCES RELATING TO ACCOUNTS IDENTIFIED BY THE HIGHER BALANCES WILL BE CONSIDERED AND FLAGGED FOR CHARITY IF THERE IS AN INABILITY TO PAY AFTER A RETURN FROM THE COLLECTION AGENCY AT APPROXIMATELY 120 DAYS. MERCY WILL PURSUE APPROPRIATE MEANS IN THE COLLECTION OF DELINQUENT ACCOUNTS FROM PATIENTS WITH AN ESTABLISHED ABILITY TO PAY OR AN UNWILLINGNESS TO COOPERATE IN VALIDATING ELIGIBILITY FOR FINANCIAL ASSISTANCE. THESE APPROPRIATE MEANS MAY INCLUDE LEGAL ACTION CONSISTENT WITH MERCY MISSION AND VALUES AFTER SENDING 3 MONTHLY STATEMENTS WITH THE FINAL INCLUDING NOTIFICATION; IF NO RESOLUTION THEY WILL BE TURNED TO COLLECTIONS. ADDITIONALLY, THEY MAY INCLUDE LIENS UPON REAL PROPERTY AND REASONABLE WAGE GARNISHMENTS. LEGAL ACTIONS WILL GENERALLY NOT INCLUDE BANK GARNISHMENTS, REPOSSESSION OF ASSETS OR FORECLOSURES TO ENSURE SATISFACTION OF A LIEN. MERCY HAS POLICIES AND PROCEDURES ESTABLISHED TO ADDRESS THE INITIATION OF LEGAL ACTION AND ANNUALLY REVIEW COMPLIANCE WITH POLICIES BUT ENSURE 120 DAYS OF BILLING AND COLLECTIONS OCCUR PRIOR TO ANY EXTRAORDINARY COLLECTIONS ARE PURSUED.
FORM 990, SCHEDULE H, PART VI, LINE 2	MERCY HEALTH BELIEVES THAT ITS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS IS COMPREHENSIVE ENOUGH TO CAPTURE SUBSTANTIALLY ALL OF THE COMMUNITY'S NEEDS. THEREFORE NO OTHER STEPS WERE TAKEN TO IDENTIFY ADDITIONAL NEEDS.
FORM 990, SCHEDULE H, PART VI, LINE 3	Mercy informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organizations financial assistance policy through several means. If at any time a patient expresses hardship and inability to pay, the account is placed for review. In addition, patients have signage about the policy at the access points, and all staff working with the patient at Point of Service, Scheduling, Customer Service, and even through the Medicaid Eligibility Screening, have the means to send the account for review. There is the plain language summary that is being provided to all whom express hardship, in addition to the web address providing the application, policies, and even how uninsured accounts are handled. Lastly, the statements message to the patient that Mercy does have a Financial Assistance Program and to call to see if they are eligible. Mercy staffs internal resources certified to assist patients with Medicaid Applications as well.
FORM 990, SCHEDULE H, PART VI, LINE 4	Mercy hospital fort smith's primary service area includes 13 counties across the border of arkansas and oklahoma. These include crawford, franklin, johnson, logan, polk, scott, sebastian and yell in arkansas; and adair, haskell, latimer, le flore and sequoyah in oklahoma. THE FOLLOWING INFORMATION IS DERIVED FROM 2018 IBM/WATSONS DEMOGRAPHICS AND FY2018 DECISION RESOURCE GROUPS INSURANCE COVERAGE ESTIMATES. THE AREAS POPULATION IS 446,967. 23% OF THE POPULATIONS AVERAGE HOUSEHOLD INCOME IS OVER $75,000. 44% OF THE POPULATION IS 45 AND OLDER. 21% OF THE HOUSEHOLDS ARE ON MEDICARE, 25% ON MEDICAID, AND 12% UNINSURED.
FORM 990, SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH MERCY PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. MERCY IS A CATHOLIC HEALTH CARE CORPORATION THAT, PURSUANT TO THE ORGANIZATIONAL CORE BELIEF THAT HEALTH CARE SERVICES ARE A VITAL AND INTEGRAL PART OF THE CHURCH'S HEALING MISSION, ENGAGES IN A MINISTRY WHICH PROVIDES GENERAL ACUTE CARE, AMBULATORY, LONG-TERM AND HOME CARE HEALTH SERVICES TO INDIVIDUALS AND FAMILIES IN ITS SERVICE COMMUNITIES. MERCY OFFERS SERVICES AND PROGRAMS WHICH FURTHER HEALTH PROMOTION, MAINTENANCE AND CARE TO THE COMMUNITY. PROGRAMS PROVIDED TO MEET THE COMMUNITY NEEDS INCLUDE SUPPORT GROUPS FOR VARIOUS SITUATIONS, OUTREACH PROGRAMS, BLOOD DRIVES, ETC. MERCY IS GOVERNED BY A BOARD OF DIRECTORS WHICH INCLUDES REPRESENTATION FROM COMMUNITY LEADERS IN THE ORGANIZATION'S PRIMARY SERVICE AREAS. ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY. ANY POTENTIAL CONFLICTS OF INTEREST DISCLOSED BY BOARD MEMBERS ARE REVIEWED AND RESOLVED. THIS PROCESS ENSURES THAT PUBLIC, RATHER THAN PRIVATE, INTERESTS ARE SERVED BY MERCY. SURPLUS FUNDS AND UNRESTRICTED ASSETS HELD BY MERCY ARE REINVESTED IN PATIENT CARE, MEDICAL EDUCATION AND RESEARCH INITIATIVES WHICH SUPPORT THE ORGANIZATION'S MISSION TO DELIVER COMPASSIONATE CARE AND EXCEPTIONAL HEALTH CARE SERVICES TO THE COMMUNITY IT SERVES.
FORM 990, SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM AFFILIATED HEALTH CARE SYSTEM: THE FILING ORGANIZATION IS PART OF MERCY HEALTH ("MERCY"). MERCY IS A MISSOURI NON-PROFIT CORPORATION WITH ITS HEADQUARTERS ("MINISTRY OFFICE") IN ST. LOUIS, MISSOURI. MERCY PROVIDES HEALTH CARE SERVICES IN FOUR STATES - ARKANSAS, KANSAS, MISSOURI, AND OKLAHOMA - AND HAS OUTREACH MINISTRIES LOCATED IN LOUISIANA, MISSISSIPPI, AND TEXAS. MERCY'S MISSION IS "AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE." AS OF JUNE 30, 2018, MERCY FACILITIES INCLUDED 30 ACUTE CARE HOSPITALS, 5 MANAGED HOSPITALS, 4 HEART HOSPITALS, 2 CHILDREN'S HOSPITALS, 2 ORTHOPEDIC HOSPITALS AND 3 REHAB HOSPITALS. FOR THE FISCAL YEAR ENDED JUNE 30, 2018, MERCY HAD MORE THAN 10.3 MILLION OUTPATIENT AND PHYSICIAN OFFICE VISITS, APPROXIMATELY 2,400 EMPLOYED PHYSICIANS, AND APPROXIMATELY 45,000 FULL-TIME EQUIVALENT EMPLOYEES, MAKING MERCY THE SIXTH LARGEST CATHOLIC HEALTH SYSTEM IN THE UNITED STATES. MERCY IS SPONSORED BY MERCY HEALTH MINISTRY, WHICH IS GOVERNED BY MEMBERS THAT INCLUDE SISTERS OF MERCY. MANY SERVICES THAT ARE ESSENTIAL TO FULFILLING MERCY'S MISSION ARE CENTRALIZED AT THE MINISTRY OFFICE. SUCH CENTRALIZED SERVICES INCLUDE: FINANCE (INCLUDING TREASURY, FINANCIAL ACCOUNTING AND REPORTING, REVENUE MANAGEMENT, INTERNAL AUDIT, ACCOUNTS PAYABLE AND PAYROLL OPERATIONS, ANALYTICS AND DECISION SUPPORT); ENVIRONMENTAL SERVICES SUPPORT; CLINICAL INTEGRATION; CARE MANAGEMENT; CLINICAL PERFORMANCE ACCELERATION; CLINICAL ENGINEERING; CLINICAL QUALITY MANAGEMENT; COMPLIANCE; GRANTS AND RESEARCH SERVICES; LEGAL AND COMPLIANCE COUNSEL; MARKETING AND COMMUNICATIONS; PLANNING, DESIGN AND CONSTRUCTION; PRODUCT DEVELOPMENT INFORMATICS; REAL ESTATE; SUPPLY CHAIN MANAGEMENT; MANAGED CARE STRATEGY SUPPORT; HUMAN RESOURCES (INCLUDING COMPENSATION, BENEFITS AND RECRUITING); MISSION SERVICES AND ETHICS; PHILANTHROPY SUPPORT; INFORMATION TECHNOLOGY; AND, COMMUNITY RELATIONS. THE CENTRALIZATION OF SUCH SUPPORT SERVICES ENABLES MERCY TO ENSURE THAT EACH OF ITS COMMUNITIES, WHETHER LARGE OR SMALL, HAS THE SERVICES IT NEEDS.
FORM 990, SCHEDULE H, PART VI, LINE 7	STATE FILING OF COMMUNITY BENEFIT REPORT: N/A

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
Fort Smith Chamber of Commerce
612 Garrison Ave	Fort Smith	AR	72901	710029620	501 (C)(6)	$35,247	TO SUPPORT ORG MISSION
Fort Smith Public Schools
3205 Jenny Lind	Fort Smith	AR	72902	716020978	GOV'T	$6,500	TO SUPPORT ORG MISSION
United Way
PO Box 2300	Fort Smith	AR	72902	710329530	501 (C)(3)	$60,000	TO SUPPORT ORG MISSION
Good Samaritan Clinic
615 North B St	Fort Smith	AR	72901	710863639	501 (C)(3)	$29,167	TO SUPPORT ORG MISSION	615 North B St
Fort Smith Symphony
PO Box 3151	Fort Smith	AR	72913	710292138	501 (C)(3)	$15,000	TO SUPPORT ORG MISSION
Cancer Support Foundation
3324 South M St	Fort Smith	AR	72903	710507617	501 (C)(3)	$20,000	TO SUPPORT ORG MISSION
Park Partners of Fort Smith
3301 South M St	Fort Smith	AR	72903	262283356	501 (C)(3)	$86,041	TO SUPPORT ORG MISSION
CHAPAHEART
419 Natural Resources Dr	Little Rock	AR	72205	710292458	501 (C)(3)	$33,000	TO SUPPORT ORG MISSION

Field	Value	IRS element (for citing)
Total501c3 Org	6	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING USE OF GRANTS THE ASSISTANCE PROVIDED IS INTENDED TO BE USED FOR THE GENERAL OPERATING PURPOSES OF THE DONEE. THE USE OF GRANT FUNDS IS NOT MONITORED AFTER GRANTS ARE GIVEN.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Travel For Companions	Yes (X)	TravelForCompanionsInd
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	false	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 (22 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
Bean MD Paul
Physician & Board member	$0	$375,442	$0	$12,120	$0	$18,507	$0	$16,447	$0	$15,526	$0	$438,042	$0	$0
Coleman MD Christopher
Physician & Board member	$0	$887,437	$0		$0	$810	$0	$2,650	$0	$15,694	$0	$906,591	$0	$0
Mehl John
Physician & Board member	$0	$462,899	$0	$61,326	$0	$27,564	$0	$9,275	$0	$14,660	$0	$575,724	$0	$0
Gehrig Ryan
Chief executive officer	$393,026	$0	$245,037	$0	$18,444	$0	$67,493	$0	$15,615	$0	$739,615	$0	$0	$0
Reynolds Scott
CFO - Central Communities	$0	$358,736	$0	$114,156	$0	$59,376	$0	$94,698	$0	$12,072	$0	$639,038	$0	$0
Burke James
Regional VP-Legal	$0	$232,090	$0	$82,178	$0	$41,469	$0	$9,275	$0	$12,257	$0	$377,269	$0	$0
Hunton David
Chief medical officer	$369,662	$0	$89,155	$0	$42,165	$0	$9,275	$0	$15,595	$0	$525,852	$0	$0	$0
Marion Tanya
Regional VP-Human Resources	$0	$220,314	$0	$71,776	$0	$37,257	$0	$43,163	$0	$16,268	$0	$388,778	$0	$0
Schreiber Martin
VP-Mission	$143,334	$0	$36,338	$0	$12,017	$0	$6,772	$0	$15,309	$0	$213,770	$0	$0	$0
Stec Julianne
Chief operating officer	$203,538	$0	$45,799	$0	$27,922	$0	$29,204	$0	$11,588	$0	$318,051	$0	$0	$0
Swope Jon
President - Central Comm.	$0	$703,153	$0	$408,199	$0	$96,148	$0	$154,702	$0	$16,505	$0	$1,378,707	$0	$0
Thomas Jennifer
Chief nursing officer	$184,939	$0	$58,647	$0	$20,666	$0	$37,775	$0	$11,567	$0	$313,594	$0	$0	$0
Wilcher Greta
VP-Finance	$189,085	$0	$47,931	$0	$24,402	$0	$25,262	$0	$11,378	$0	$298,058	$0	$0	$0
Hawkins Andrea C
Charge RN	$173,357	$0	$40	$0	$11,529	$0	$18,557	$0	$9,634	$0	$213,117	$0	$0	$0
Glander Robert E
Director Pharmacy Services	$140,759	$0	$12,415	$0	$22,331	$0	$22,427	$0	$8,824	$0	$206,756	$0	$0	$0
Adams Eric B
Pharmacist	$128,398	$0	$40	$0	$44,751	$0	$14,716	$0	$5,851	$0	$193,756	$0	$0	$0
Carpenter Larry D
Pharmacist	$153,820	$0	$40	$0	$17,625	$0	$32,340	$0	$10,942	$0	$214,767	$0	$0	$0
Frazier Marilynn J
Executive Director	$128,850	$0	$21,055	$0	$21,556	$0	$16,987	$0	$11,500	$0	$199,948	$0	$0	$0
Vitiello Jonathan
Sr VP Fin. Off. & Former Off.	$0	$511,534	$0	$303,796	$0	$41,723	$0	$92,348	$0	$16,505	$0	$965,906	$0	$0
Bryson Jared
Former key employee	$0	$146,468	$0	$37,528	$0	$12,288	$0	$8,555	$0	$16,456	$0	$221,295	$0	$0
Hennessey III William
Former key employee	$0	$160,228	$0	$38,481	$0	$43,575	$0	$32,993	$0	$15,910	$0	$291,187	$0	$0
Hubbard Brent
Former key employee	$0	$344,272	$0	$101,927	$0	$19,395	$0	$52,659	$0	$16,375	$0	$534,628	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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. TWO LISTED INDIVIDUALS RECEIVED THIS BENEFIT DURING THE YEAR. IN ANY CIRCUMSTANCE IN WHICH CHARTER TRAVEL IS MADE AVAILABLE TO EMPLOYEES AND/OR SPOUSES/GUESTS FOR PERSONAL REASONS, MERCY POLICY REQUIRES TRACKING OF SUCH USE AND TAXATION OF THE EMPLOYEE(S) ACCORDINGLY. ONE LISTED INDIVIDUAL RECEIVED THIS BENEFIT DURING THE YEAR, TOTALING ONE TRIP.
FORM 990, SCHEDULE J, PART I, QUESTION 3	MERCY HOSPITAL FORT SMITH RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTION 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS.
FORM 990, SCHEDULE J, PART I, QUESTION 4B	MERCY HEALTH OFFERS SUPPLEMENTAL RETIREMENT PLANS TO CERTAIN EXECUTIVES WHICH PROVIDE BENEFITS UPON VESTING DATE BASED ON COMPENSATION, AGE AT THE TIME OF BENEFIT COMMENCEMENT, LENGTH OF SERVICE WITH THE COMPANY AND/OR ITS AFFILIATES AND LENGTH OF TENURE IN THE PLAN. THE PLANS ARE CLOSED TO NEW ENTRANTS. THE INDIVIDUALS REPORTABLE ON THIS RETURN WHO PARTICIPATE IN THE SUPPLEMENTAL RETIREMENT PLANS INCLUDE: RYAN GEHRIG, BRENT HUBBARD, SCOTT REYNOLDS, JONATHAN VITIELLO, TANYA MARION, WILLIAM HENNESSEY III, DAVID HUNTON, JON SWOPE, JULIANNE STEC, JENNIFER THOMAS, GRETA WILCHER AND JAMES BURKE. THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C).

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
LEIGH HORN
Family of board member	$53,913	EMPLOYMENT	false
Nicole Thomas
Family of key employee	$32,437	EMPLOYMENT	false
Teresa HUNTON
Family of key employee	$65,299	EMPLOYMENT	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 6	MERCY HOSPITAL FORT SMITH UTILIZES AN AUXILIARY PROGRAM FOR VOLUNTEERS TO PERFORM VARIOUS FUNCTIONS. SUCH FUNCTIONS INCLUDE FLOWER DELIVERY, INFORMATION DESK, AND PATIENT TRANSPORT. FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES OTHER SERVICES INCLUDE OUTPATIENT DIAGNOSTICS AND TESTING, SURGERY SERVICES, A WOMEN'S CENTER THAT PROVIDES NEONATOLOGY, OB ANESTHESIA, DIGITAL MAMMOGRAPHY, AND LABOR AND DELIVERY, A CANCER CENTER WITH A COMPREHENSIVE TREATMENT APPROACH INCLUDING RADIATION THERAPY, HOME CARE, HOSPICE, PALLIATIVE CARE, A SLEEP DISORDERS CENTER, AND WOUND CARE WITH HYPERBARIC MEDICINE.
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	W3 FILING MOST EMPLOYEES ARE PAID BY A RELATED ORGANIZATION UNDER A COMMON PAYMASTER ARRANGEMENT. AS SUCH, REQUIRED PAYROLL FILING (INCLUDING W-2 AND W-3'S) IS REPORTED UNDER THE RELATED ORGANIZATION, MHM SUPPORT SERVICES, EIN 20-2553101.
FORM 990, PART VI, LINE 6A, LINE 7A, 7B	CLASSES OF MEMBERS OR STOCKHOLDERS THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH FORT SMITH COMMUNITIES. THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES ARE RESERVED SOLELY FOR THE SOLE CORPORATE MEMBER: - TO APPROVE THE MISSION AND ESTABLISH THE PHILOSOPHY ACCORDING TO WHICH THE CORPORATION SHALL OPERATE; - TO AMEND THE ARTICLES OF INCORPORATION AND BYLAWS; - TO APPOINT AND REMOVE MEMBERS OF THE BOARD; - TO APPOINT AND REMOVE THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION; - TO APPROVE OR AMEND THE STRATEGIC PLAN, GOALS, AND OBJECTIVES OF THE CORPORATION; - TO APPROVE OR AMEND THE OPERATING, CAPITAL, AND CONSTRUCTION BUDGETS OF THE CORPORATION; - TO LEASE OR SELL ANY OF THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION IN EXCESS OF ONE MILLION DOLLARS ($1,000,000); - TO ENCUMBER ANY OR ALL OF THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION; - TO AUTHORIZE OR APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTE ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; - TO MERGE, DISSOLVE OR ABANDON THE CORPORATION; AND, - TO APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION BY THE CORPORATION.
FORM 990, PART VI, QUESTION 11B	DSCR THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM, USING INFORMATION PROVIDED BY THE FILING ORGANIZATION. A DRAFT FORM 990 IS REVIEWED BY THE FILING ORGANIZATION'S FINANCE TEAM, INCLUDING THE DIRECTOR OF FINANCE AND THE VICE-PRESIDENT OF FINANCE. THE DRAFT FORM 990 IS ALSO REVIEWED BY MERCY HEALTH'S TAX DEPARTMENT, TO ENSURE ACCURACY AND CONSISTENCY WITH OTHER RELATED ORGANIZATIONS' FORMS 990. AFTER QUESTIONS ARISING FROM THE VARIOUS REVIEWS ARE ADDRESSED AND INCORPORATED INTO THE FORM 990, A REVISED DRAFT IS PROVIDED TO THE FILING ORGANIZATION'S LEADERSHIP TEAM, INCLUDING THE CFO AND CEO, FOR REVIEW. ONCE REVIEWED AND APPROVED BY THE FILING ORGANIZATION'S LEADERSHIP TEAM, THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW; IT IS THEN SIGNED AND FILED WITH THE IRS.
FORM 990, PART VI, QUESTION 12C	DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER DISQUALIFIED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY AND DID SO IN THE NORMAL COURSE FOR THE YEAR ENDED JUNE 30, 2018. THIS PROCESS IS ADMINISTERED AT THE MERCY HEALTH LEVEL BY MERCY'S corporate compliance DEPARTMENT. THE QUESTIONNAIRES ARE REVIEWED WITH LEADERSHIP AT THE LOCAL LEVEL AND POTENTIAL CONFLICTS DISCUSSED AND RESOLVED. THE CONFLICTS AND THEIR RESPECTIVE RESOLUTIONS ARE SHARED AT THE MERCY LEVEL WITH A TEAM INCLUDING MERCY'S CHIEF FINANCIAL OFFICER, CHIEF COMPLIANCE OFFICER AND OTHER MEMBERS OF FINANCE, LEGAL AND HR. SUMMARY RESULTS ARE REVIEWED WITH MERCY'S STEWARDSHIP COMMITTEE OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, QUESTIONS 15A & 15B	OFFICERS & POSITIONS FOR WHICH PROCESS WAS USED & YEAR PROCESS WAS BEGUN FOR THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS), THE ORGANIZATION RELIES UPON MERCY HEALTH, WHICH USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT, AND REVIEW/APPROVAL OF COMPENSATION BY THE COMPENSATION COMMITTEE OF THE BOARD OF MERCY HEALTH. FOR THOSE CLASSIFIED AS KEY EMPLOYEES, MERCY HEALTH USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, AND REVIEW/APPROVAL OF EXECUTIVE MANAGEMENT. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS AND A REVIEW WAS COMPLETED DURING THE REPORTING YEAR.
FORM 990, PART VI, QUESTION 19	AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMT TO GEN PUBLIC GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST BUT ARE NOT PUBLISHED PUBLICLY.
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS NET TRANSFERS TO/FROM AFFILIATES: $841,219
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 2018 (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 OMB CIRCULAR A-133 MERCY HEALTH UNDERGOES A CONSOLIDATED A-133 AUDIT EVERY YEAR AND DID SO FOR THE FISCAL YEAR ENDING JUNE 30, 2018. 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 AVAILABLE FOR AUDIT. THE FILING ENTITY RECEIVED FEDERAL FUNDS DURING THE YEAR ENDED JUNE 30, 2018, WAS INCLUDED ON THE MERCY HEALTH CONSOLIDATED SEFA, AND THEREFORE, WAS ALSO INCLUDED IN THE POPULATION AVAILABLE FOR AUDIT.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (73 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
1602 McClelland Street	Laredo	TX	78044	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 Center Drive Suite 1	St Louis	MO	63141	431771217	PHYS GROUP	MO	501c3	10	MH EAST COMM	Yes (true)
Mercy Clinic Fort Smith Communities
7301 Rogers Avenue	Fort Smith	AR	72903	261318597	PHYS CLINIC	AR	501c3	3	MH FS COMM	Yes (true)
Mercy Clinic Oklahoma Communities Inc
4300 W Memorial Road	Oklahoma City	OK	73120	270473057	PHYS GROUP	OK	501c3	3	MH OK COMM	Yes (true)
Mercy Clinic Springfield Communities
1965 Fremont Street Suite 2950	Springfield	MO	65804	431560263	PHYS GROUP	MO	501c3	3	MH SF COMM	Yes (true)
Mercy Family Center
14528 S Outer Forty Suite 100	Chesterfield	MO	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 East Communities - Southern
14528 S Outer Forty Suite 100	Chesterfield	MO	63017	461412322	DSLVD 5/18	MO	501c3	12a	MH EAST COMM	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 FT SMITH	Yes (true)
Mercy Health Foundation Hot Springs
300 Werner Street	Hot Springs	AR	71913	710804718	DSLVD 6/18	AR	501c3	12a	MC SRVCS	Yes (true)
Mercy Health Foundation Jefferson
1400 US Highway 61 South	Festus	MO	63028	462797051	Foundation	MO	501c3	12b	MH E COMM SR	Yes (true)
Mercy Health Foundation Joplin
100 Mercy Way	Joplin	MO	64804	270906136	Foundation	MO	501c3	7	MH SWMK COMM	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 Home Health Berryville
804 W Freeman Suite 4	Berryville	AR	72616	870781247	Inactive	AR	501c3	12a	MH Springfie	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 SF COMM	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 SWMK COMM	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 SWMK COMM	Yes (true)
Mercy Hospital El Reno Inc
2115 Parkview Drive	El Reno	OK	73036	272716065	Hospital	OK	501c3	3	MH OK City	Yes (true)
Mercy Hospital Healdton Inc
3462 Hospital Rd	Healdton	OK	73438	263173902	Hospital	OK	501c3	3	MH ADA Inc	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 SWMK COMM	Yes (true)
Mercy Hospital Kingfisher Inc
1000 Kingfisher Regional Hospital C	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 SF 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 NWAR COMM	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 SWMK COMM	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 Hopsital
100 W Highway 60	Mountain View	MO	65548	440607149	Hospital	MO	501c3	3	MH SF 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)
St Anthony's Charitable Foundation
10010 Kennerly Road	St Louis	MO	63128	261516789	Fundraising	MO	501c3	12a	ST ANTHONY	Yes (true)
St Anthony's Medical Center
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	ST ANTHONY	Yes (true)
St Mary's Hospital of Enid Oklahoma I
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)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
Fort Smith Ems
1701 S Greenwood	FT SMITH	AR	72901	710416615	Emergency Medical	AR	MERCY HOS FT SM	RELATED	$0	$1,228,000	false	false	0.50000
Mercy Ambu Surg Ctr
7301 Rogers	FT SMITH	AR	72917	710827721	AMBUL SURG CT	AR	MERCY HOS FT SM	RELATED	$0	$368,000	false	false	0.52120
Plaza Surg SVCS CO
12700 Southfork RD	St Louis	MO	63128	204709312	INACTIVE	MO	NA
RES OPT & INNOV
645 Maryville	St Louis	MO	63141	460468368	CENTRAL DIST.	MO	NA
ST ED MER MED MOB
7301 Rogers	FT SMITH	AR	72903	710554050	OFFICE BUILDING	AR	MERCY HOS FT SM	RELATED	$0	$25,000	false	Yes (true)	0.85960

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt
Frontenac Properties Inc
14528 S Outer Forty Suite 100	Chesterfield	MO	63017	521914421	Holding company	DE	NA	C-Corp
Inveno Health Inc
1235 E Cherokee Street	Springfield	MO	65804	264509571	Product Commer	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 Community Services Inc
401 Woodland Hills Blvd	Fort Scott	KS	66701	481078101	Retail pharmacy	KS	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 company	OK	NA	C-Corp
Mercy Health Network Inc
14528 S Outer Forty Suite 100	Chesterfield	MO	63017	731381689	Holding company	OK	NA	C-Corp
Mercy Managed Care Corporation
14528 S Outer Forty Suite 100	Chesterfield	MO	63017	731441665	Holding company	OK	NA	C-Corp
UHL Corp Inc
645 Maryville Centre Drive Suite 1	St Louis	MO	63141	742499535	Holding company	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 Organization of
10010 Kennerly Road	St Louis	MO	63128	320457168	Health Care	MO	NA	C-Corp

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	false	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 (11 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Mercy ACO Clinical Services Inc
p	$2,382,834	FMV
MERCY CLINIC FORT SMITH COMMUNITIES
P	$9,711,781	FMV
MERCY HOSPITAL BOONEVILLE
P	$3,466,505	FMV
MERCY HOSPITAL OZARK
P	$2,916,806	FMV
MERCY HOSPITAL PARIS
P	$2,252,498	FMV
MERCY HOSPITAL WALDRON
P	$3,246,631	FMV
MERCY HOSPITAL SPRINGFIELD
P	$120,215	FMV
MHM SUPPORT SERVICES
Q	$82,914,749	FMV
MERCY HOSPITAL NORTHWEST ARKANSAS
P	$639,919	FMV
MERCY HOSPITAL OKLAHOMA CITY
Q	$604,585	FMV
MERCY FOUNDATION FORT SMITH
P	$571,113	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.