2017-05-12T16:28:01-05:00 2016-06-30 ERNST & YOUNG US LLP 1900 SCRIPPS CENTER 312 WALNUT ST CINCINNATI OH 45202 990 2015-07-01 621684203 MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES % BENNY J STOVER CPA MERC 3145796100 2710 Rife Medical Lane Rogers AR 72758 BENNY J STOVER VP FINANCE 2017-05-12 true JULIE L SPARKS P01268401 5136121400 2015 2021-01-29 14:40:06Z Eric Pianalto 2710 Rife Medical Lane Rogers AR 72758 93391238 false 0928 X www.mercy.net X 1997 AR AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE 16 13 0 13 0 0 410060 89685382 91274066 11761 8727 5676683 1698385 95373826 93391238 1000 1000 0 0 84829338 89898203 0 0 0 31274743 31191835 116105081 121091038 -20731255 -27699800 21533410 20298683 145634645 13299956 -124101235 6998727 X AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING, MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL, SERVICE. false false 32995611 0 27963583 FAMILY MEDICINE PHYSICIAN SERVICES: MERCY HEALTH SYSTEM OF NWAS FAMILY MEDICINE PHYSICIAN SERVICES ARE COMPRISED OF 35 BOARD CERTIFIED FAMILY MEDICINE PHYSICIANS AND 21 APC PRACTITIONERS, WHO PROVIDED PRIMARY MEDICINE SERVICES TO PATIENTS RANGING FROM ONE YEAR OLD THROUGH ADULTHOOD. THESE SERVICES ARE OFFERED IN APPROXIMATELY 11 LOCATIONS THROUGHOUT BENTON COUNTY, ARKANSAS, AND THE SURROUNDING SERVICE AREA. DURING THE YEAR, 226,121 OFFICE VISITS WERE PROVIDED TO PATIENTS. 11967274 0 7260147 CARDIOVASCULAR PHYSICIAN SERVICES: MERCY HEALTH SYSTEM OF NWAS CARDIOVASCULAR PHYSICIAN SERVICES ARE COMPRISED OF 7 CARDIOLOGISTS, 3 CARDIOVASCULAR SURGEONS, AND 10 APC PRACTITIONERS. THESE PROVIDERS SERVE PATIENTS IN 5 LOCATIONS THROUGHOUT BENTON COUNTY, ARKANSAS, AND THE SURROUNDING AREAS WHO HAVE HEART RELATED MEDICAL NEEDS. DURING THE YEAR, 25,459 OFFICE VISITS WERE PROVIDED TO PATIENTS. 8008033 0 5996233 ORTHOPEDIC PHYSICIAN SERVICES: MERCY HEALTH SYSTEM OF NWAS ORTHOPEDIC PHYSICIAN SERVICES IS COMPRISED OF 7 BOARD CERTIFIED SURGEONS AND 4 APC PRACTITIONERS, WHO PROVIDED SPECIALIZED CARE FOR A VARIETY OF MUSCULOSKETLAL DISORDERS AND INJURIES TO PATIENTS THROUGHOUT BENTON COUNTY, ARKANSAS, AND THE SURROUNDING SERVICE AREAS. OUR BOARD-CERTIFIED SURGEONS SPECIALIZE IN ORTHOPEDIC CARE, SPORTS MEDICINE, AND TREATMENT FOR ORTHOPEDIC TRAUMA WITH MOBILITY AS THEIR FOCUS. DURING THE YEAR, 22,120 OFFICE VISITS WERE PROVIDED TO PATIENTS. 57072892 1000 51748255 110043810 true true false false false false false false false false true false false false true false false true false false false false false false false false false false false true false false false false false false true false false false false false false true true true false false true 0 0 0 false false false false false false false false false false X 16 13 false false false false true true true true true false false true true true true true true false true false X BENNY J STOVER CPA 4793382903 2710 RIFE MEDICAL LANE ROGERS AR 72758 X Bergant Paul Board member 1.0 0.0 X 0 0 0 Burke RSM Sr Richard Mary Board member 1.0 41.0 X 0 0 0 Callahan Wayne Board member 1.0 1.0 X 0 0 0 Donnell Hugh G Physician & Board member 55.0 5.0 X 466630 0 52837 Evans RSM Sr Gayle Board member 1.0 25.0 X 0 0 0 Ford Rollin Board member 1.0 0.0 X 0 0 0 Lawson Randy Board member 1.0 1.0 X 0 0 0 Lipscomb Tabitha Board member 1.0 0.0 X 0 0 0 Mahan Paul Board member 1.0 0.0 X 0 0 0 Morales Herbert Board member 1.0 0.0 X 0 0 0 Rivaldo Cragi Board member 1.0 0.0 X 0 0 0 Rogers Chris Board member 1.0 0.0 X 0 0 0 Shewmaker Daniel Board member 1.0 0.0 X 0 0 0 Stuppy Robert J Physician & Board member 60.0 0.0 X 765110 0 38325 Trammel Dick Board member 1.0 1.0 X 0 0 0 YOUNGBLOOD MD THOMAS PHYSICIAN + BOARD MEMBER 60.0 0.0 X 307298 0 51517 Pianalto Eric Chief executive officer 30.0 30.0 X 0 529772 203264 Reynolds Scott CFO - Central Communities 2.0 58.0 X 0 465895 104383 Burke James Regional VP-Legal 4.0 56.0 X 0 359195 61541 Goss Stephen Physician executive 60.0 0.0 X 458852 0 92747 Halstead John VP-Mission 20.0 40.0 X 0 178146 19844 Hughes Steven L Chief administrative officer 60.0 0.0 X 0 72034 12210 Marion Tanya Regional VP-Human resources 3.0 57.0 X 0 281923 57609 Stover Benny J VP-Finance 20.0 40.0 X 0 235804 27263 Swope Jon President, central communities 2.0 58.0 X 0 1230428 172840 Thompson Andrew COO 60.0 0.0 X 304514 0 56271 Chauvin Edgar J Physician 60.0 0.0 X 905624 0 36015 El-Shafei Amr Physician 60.0 0.0 X 1303627 0 24424 Randolph Gannon Physician 60.0 0.0 X 1038357 0 35686 Riley Philip Physician 60.0 0.0 X 808981 0 22668 Woodworth Philip A Physician 60.0 0.0 X 818037 22521 52428 Vitiello Jonathan Former officer 0.0 60.0 X 0 716408 103683 Barclay Richard F Former key employee 0.0 60.0 X 240940 0 29537 Stewart Michele Former key employee 0.0 60.0 X 0 366327 97555 7417970 4458453 1352647 169 true true false WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 PHISYCIAN STAFFING 350306 CENTAUR BUILDING SERVICES PO BOX 66726 ST LOUIS MO 63166 HOUSEKEEPING Svcs 310522 SELECT ORTHODOME SOLUTIONS 1635 N HOWE ST STE H SOUTHPORT NC 28461 REVENUE REVIEW SVCS 252811 M MODAL 9009 CAROTHERS PARKWAY SUITE C2 FRANKLIN TN 37067 TRANSCRIPTION SVCS 217812 SAS APN 5304 BRYANT PLACE SPRINGDALE AR 72764 ADV PRACTIONER SVCS 145036 5 0 410060 0 0 410060 NET PATIENT SERVICE REVENUE 621111 89648349 89648349 0 0 OTHER OPERATING REVENUE 900099 1625717 1625717 0 0 91274066 8727 8727 0 0 4233 4233 0 4233 4233 0 0 0 0 CAPITATION REVENUE 900099 1551973 1551973 0 0 HOSPITAL SUPPORT 900099 142179 142179 0 0 1694152 93391238 92968218 0 12960 1000 1000 0 0 0 2763860 2520218 243642 123348 112475 10873 73086712 67283725 5802987 2583924 2350412 233512 7780416 6460463 1319953 3559943 3211471 348472 0 59090 59090 0 0 0 0 2900049 2483512 416537 70007 66748 3259 1423670 1109061 314609 41430 27843 13587 0 5186995 4942073 244922 170532 134557 35975 0 0 0 0 1521408 1309360 212048 1667870 715179 952691 BAD DEBT 3734403 3734403 REPAIRS & MAINTENANCE 272171 261459 10712 SHARED SERVICE FEES 1257013 1142335 114678 DRUGS & MEDICAL SUPPLIES 11679501 11478904 200597 1207696 698612 509084 121091038 110043810 11047228 0 0 0 0 0 0 0 7866422 6933788 0 0 0 0 684019 346304 677183 788099 108642 383609 23201665 11396963 12153563 11804702 0 0 0 0 0 0 43581 38496 0 3685 21533410 20298683 7024095 9325605 0 0 0 0 0 0 0 0 0 0 779382 519588 0 0 137831168 3454763 145634645 13299956 X -124101235 6998727 0 0 0 0 -124101235 6998727 21533410 20298683 X -27699800 0 0 0 0 158799762 X X false true X true true true X 0 0 0 0 410060 410060 61696202 64599930 74225306 89685382 91274066 381480886 0 0 0 61696202 64599930 74225306 89685382 91684126 381890946 0 0 0 0 0 381890946 15342 64245 207407 230090 12960 530044 0 15342 64245 207407 230090 12960 530044 0 573879 1532178 921706 5457354 1694152 10179269 62285423 66196353 75354419 95372826 93391238 392600259 0.97272 0.97376 0.00135 0.00139 X FORM 990, SCHEDULE A, PART III, LINE 12 OTHER INCOME INCLUDED SERVICES PROVIDED TO SUPPORT THE HOSPITAL. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1828208 1828208 6035411 1750745 4284666 3090012 2016220 1073792 11322178 7341336 3980842 925856 288662 637194 11804702 0 DUE TO AFFILIATES 3454763 3454763 FORM 990, SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTES Primarily all of the Mercy Health entities are recognized by the Internal Revenue Service (IRS) as exempt from federal income tax under Section 501(a) of the Internal Revenue Code as charitable organizations qualifying under Internal Revenue Code Section 501(c)(3), by virtue of IRS determination letters or inclusion in the Official Catholic Directory. Mercy completed an analysis of its tax positions in accordance with applicable accounting guidance and determined that no amounts were required to be recognized on the consolidated financial statements at June 30, 2016 or 2015. X true true false true false false false false false false false Donnell Hugh G Physician & Board member 417802 0 11535 0 37293 0 28817 0 24020 0 519467 0 0 0 Stuppy Robert J Physician & Board member 585082 0 120000 0 60028 0 13749 0 24576 0 803435 0 0 0 Pianalto Eric Chief executive officer 0 338744 0 171265 0 19763 0 184521 0 18743 0 733036 0 0 Reynolds Scott CFO - Central Communities 0 317099 0 93883 0 54913 0 89876 0 14507 0 570278 0 0 Burke James Regional VP-Legal 0 245591 0 92752 0 20852 0 43214 0 18327 0 420736 0 0 Goss Stephen Physician executive 297694 0 115317 0 45841 0 78294 0 14453 0 551599 0 0 0 Halstead John VP-Mission 0 143150 0 34159 0 837 0 3501 0 16343 0 197990 0 0 Marion Tanya Regional VP-Human resources 0 185233 0 59500 0 37190 0 39676 0 17933 0 339532 0 0 Stover Benny J VP-Finance 0 171061 0 45092 0 19651 0 9643 0 17620 0 263067 0 0 Swope Jon President, central communities 0 651753 0 524380 0 54295 0 153276 0 19564 0 1403268 0 0 Thompson Andrew COO 206003 0 74989 0 23522 0 41274 0 14997 0 360785 0 0 0 Chauvin Edgar J Physician 762610 0 70000 0 73014 0 10866 0 25149 0 941639 0 0 0 El-Shafei Amr Physician 1058930 0 200000 0 44697 0 12203 0 12221 0 1328051 0 0 0 Randolph Gannon Physician 993032 0 25000 0 20325 0 10862 0 24824 0 1074043 0 0 0 Riley Philip Physician 656132 0 120000 0 32849 0 12282 0 10386 0 831649 0 0 0 Woodworth Philip A Physician 654730 22521 109143 0 54164 0 13982 13982 24009 455 856028 36958 0 0 Vitiello Jonathan Former officer 0 420946 0 233293 0 62169 0 84728 0 18955 0 820091 0 0 Barclay Richard F Former key employee 170124 0 45587 0 25229 0 16633 0 12904 0 270477 0 0 0 Stewart Michele Former key employee 0 259495 0 81352 0 25480 0 79737 0 17818 0 463882 0 0 YOUNGBLOOD MD THOMAS PHYSICIAN + BOARD MEMBER 250543 0 3403 0 53352 0 33839 0 17678 0 358815 0 0 0 FORM 990, SCHEDULE J, PART I, LINE 1 CHARTER TRAVEL IS PROVIDED TO CERTAIN EMPLOYEES AS AND WHEN APPROPRIATE, AND AS DEEMED NECESSARY FOR BUSINESS TRAVEL. AFTER CHARTER TRAVEL APPROVAL HAS BEEN GRANTED IN ACCORDANCE WITH THE FINANCIAL JUSTIFICATION PROCESS, THE APPROVED CHARTER TRAVEL FOR BUSINESS IS A REIMBURSABLE EXPENSE WHICH IS NOT TAXABLE TO THE EMPLOYEES. FORM 990, SCHEDULE J, PART I, QUESTION 3 MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTION 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS. FORM 990, SCHEDULE J, PART I, QUESTION 4B MERCY OFFERS SUPPLEMENTAL RETIREMENT PLANS TO CERTAIN EXECUTIVES WHICH PROVIDE BENEFITS UPON VESTING DATE BASED ON COMPENSATION, AGE AT THE TIME OF BENEFIT COMMENCEMENT, LENGTH OF SERVICE WITH THE COMPANY AND/OR ITS AFFILIATES, AND LENGTH OF TENURE IN THE PLAN. THE PLANS ARE CLOSED TO NEW ENTRANTS. THE INDIVIDUALS REPORTABLE ON THIS RETURN WHO PARTICIPATE IN THE SUPPLEMENTAL RETIREMENT PLANS INCLUDE: ERIC PIANALTO, JAMES BURKE, JONATHAN VITIELLO, STEPHEN GOSS, TANYA MARION, JON SWOPE, AND MICHELE STEWART. THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C). Ashley Goss Family of key employee 123348 Employment false FORM 990, PART III, QUESTION 4D MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES (MHNWAC) AND ITS MEMBER HEALTH CARE FACILITIES PROVIDE QUALITY CARE REGARDLESS OF RACE, CREED, GENDER, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. IN ACTIVE PURSUIT OF THE ABOVE STATED MISSION, MHNWAC PROVIDED 39,875 INPATIENT SERVICE DAYS OF ACUTE OR SUB-ACUTE CARE. MHNWAC HAD ACUTE NEWBORN DISCHARGES OF 1,646, NEWBORN PATIENT DAYS WERE 3,026, RESPONDED TO 57,147 EMERGENCY ROOM ENCOUNTERS, MADE 46,069 HOME HEALTH CARE VISITS AND COMPLETED 212,242 OUTPATIENT VISITS. COMMUNITY OUTREACH/BENEFIT PROGRAMS INCLUDE SUPPORT GROUPS FOR CURRENT AND PAST PATIENTS (DIABETIC, CARDIAC, ETC.), EXPECTING/NEW PARENTS (CHILD BIRTH CLASSES, VARIOUS SUPPORT GROUPS, ETC.), AND EMPLOYEES (EDUCATIONAL ASSISTANCE PROGRAMS, ETC.), AND LOCAL/SURROUNDING COMMUNITY (WELLNESS PROGRAMS, HEALTH FAIRS, HOME HEALTH PROGRAMS, ETC.). RELIEF FROM FINANCIAL BURDEN OF HEALTH CARE SERVICES TO THE INDIGENT CONSISTS OF CHARGES OF $18,307,303 FOR CHARITY CARE PROVIDED WITH A COST OF RELATED SERVICES. FORM 990, PART V, QUESTION 1A FORM 1099/1096 FILING VENDORS FOR THE FILING ORGANIZATION ARE PAID BY MERCY HEALTH (EIN 43-1423050). AS SUCH, ALL REQUIRED FORM 1099 AND FORM 1096 REPORTING IS MADE FOR THE ENTIRE MERCY HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN. FORM 990, PART V, QUESTION 2A W-3 FILING MOST EMPLOYEES ARE PAID BY A RELATED ORGANIZATION UNDER A COMMON PAYMASTER ARRANGEMENT. AS SUCH, REQUIRED PAYROLL FILING (INCLUDING W-2 AND W-3'S) IS REPORTED UNDER THE RELATED ORGANIZATION, MHM SUPPORT SERVICES, EIN 20-2553101. FORM 990, PART VI, LINE 6A, LINE 7A, 7B THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH. THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED SOLELY UNTO THE CORPORATE MEMBER: -TO APPROVE AND ESTABLISH THE MISSION AND PHILOSOPHY ACCORDING TO WHICH THE CORPORATION AND ALL CORPORATIONS CONTROLLED BY THE CORPORATION SHALL OPERATE; -TO ADOPT OR AMEND THE ARTICLES OF INCORPORATION AND BYLAWS OF MERCY HOSPITAL ROGERS; -TO ADOPT OR AMEND THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION, EXCEPT THAT: -ANY AND ALL AMENDMENTS TO THE BYLAWS OF THE CORPORATION THAT MATERIALLY AFFECT THE EXISTENCE OR OPERATIONS OF THE MEDICAL GROUP BOARD, AS PROVIDED IN SECTION 8.2, MUST BE APPROVED BY THE MEDICAL GROUP BOARD, AND ANY AND ALL AMENDMENTS TO THE BYLAWS OF THE CORPORATION THAT MATERIALLY AFFECT THOSE POWERS RESERVED SOLELY TO THE MEDICAL GROUP, AS DESCRIBED IN SECTION 8.3, MUST BE APPROVED BY THE MEDICAL GROUP BOARD; -TO APPROVE AND APPOINT THE THREE (3) MEDICAL GROUP PHYSICIAN DIRECTORS AND ALL COMMUNITY REPRESENTATIVE DIRECTORS ON THE BOARD FROM NOMINATIONS SUBMITTED BY THE NOMINATING COMMITTEE; -TO APPOINT THE (2) MERCY HEALTH DIRECTORS ON THE BOARD; -TO APPOINT THE PRESIDENT/CEO OF THE CORPORATION, WHO SHALL SERVE AS AN EX-OFFICIO DIRECTOR ON THE BOARD WITH VOTE; -TO REMOVE ALL DIRECTORS ON THE BOARD WITH OR WITHOUT CAUSE; -TO APPROVE OR AMEND THE OVERALL STRATEGIC, LONG RANGE, AND HEALTH MANPOWER DEVELOPMENT PLANS, GOALS, AND OBJECTIVES OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO APPROVE THE CONSOLIDATED OPERATING, CAPITAL, AND CONSTRUCTION BUDGETS (INCLUDING AGGREGATE PHYSICIAN COMPENSATION LEVELS) FOR THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION AND CHANGES IN THE BUDGETS IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE CORPORATE MEMBER; -TO LEASE OR SELL ANY OF THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE CORPORATE MEMBER; -TO ENCUMBER ANY OR ALL OF THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO AUTHORIZE AND APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTE ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; -TO MERGE, DISSOLVE, OR ABANDON THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION; AND, -TO APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION BY THE CORPORATION. FORM 990, PART VI, QUESTION 11B DSCR THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM, USING INFORMATION PROVIDED BY THE FILING ORGANIZATION. A DRAFT FORM 990 IS REVIEWED BY THE FILING ORGANIZATION'S FINANCE TEAM, INCLUDING THE DIRECTOR OF 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, 2016. THIS PROCESS IS ADMINISTERED AT THE MERCY HEALTH LEVEL BY MERCY'S BUSINESS RISK (INTERNAL AUDIT) 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 (FORMERLY FINANCE, AUDIT AND COMPLIANCE COMMITTEE) OF THE BOARD OF DIRECTORS. FORM 990, PART VI, QUESTIONS 15A & 15B FOR THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS), THE ORGANIZATION RELIES UPON MERCY HEALTH, WHICH USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT, AND REVIEW/APPROVAL OF COMPENSATION BY THE COMPENSATION COMMITTEE OF THE BOARD OF MERCY HEALTH. FOR THOSE CLASSIFIED AS KEY EMPLOYEES, THE ORGANIZATION USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, AND REVIEW/APPROVAL OF EXECUTIVE MANAGEMENT. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS AND A REVIEW WAS COMPLETED DURING THE REPORTING YEAR. FORM 990, PART VI, QUESTION 19 AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMT TO GEN PUBLIC GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST BUT ARE NOT PUBLISHED PUBLICLY. FORM 990, PART VII, SECTION A, COLUMN B AVERAGE HOURS PER WEEK THE HOURS PER WEEK DISCLOSED IN PART VII IS THE AVERAGE HOURS THE LISTED PERSON WORKED OR DEVOTED PER WEEK WHILE EMPLOYED OR ASSOCIATED WITH THE FILING ORGANIZATION AND RELATED ORGANIZATIONS (IF APPLICABLE). FORM 990, PARTI XI, LINE 9 OTHER CHANGES IN NET ASSETS NET TRANSFERS TO/FROM AFFILIATES $158,799,762 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 2016 (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 (FORMERLY FINANCE, AUDIT, AND COMPLIANCE COMMITTEE) OF THE MERCY HEALTH BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE. FORM 990, PART XII, QUESTION 3A & 3B SINGLE AUDIT ACT AND OMB CIRCULAR A133 MERCY HEALTH UNDERGOES A CONSOLIDATED A-133 AUDIT EVERY YEAR AND DID SO FOR THE FISCAL YEAR ENDING JUNE 30, 2016. 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, 2016, WAS INCLUDED ON THE MERCY HEALTH CONSOLIDATED SEFA, AND THEREFORE, WAS ALSO INCLUDED IN THE POPULATION AVAILABLE FOR AUDIT. Casa de Misericordia 1602 McClelland Street Laredo TX 78044 742912461 SHELTER TX 501c3 7 MM LAREDO true Jefferson Land Company Inc 14528 S Outer Forty Ste 100 Chesterfield MO 63017 431330360 HOLDING CO MO 501c2 N/A MH JFFRSON true McAuley Portfolio Management Company 14528 S Outer Forty Ste 100 Chesterfield MO 63017 261708048 PORT MGMT MO 501c3 11b Mercy Health true Mercy ACO Clinical Services Inc 14528 S Outer Forty Ste 100 Chesterfield MO 63017 464504901 VIRTUAL CARE MO 501c3 3 Mercy Health true Mercy Clinic East Communities 645 Maryville Center Drive Suite 1 St Louis MO 63141 431771217 PHYS GROUP MO 501c3 9 MH EAST COMM true Mercy Clinic Fort Smith Communities 7301 Rogers Avenue Fort Smith AR 72903 261318597 PHYS CLINIC AR 501c3 3 MH FS COMM true Mercy Clinic Oklahoma Communities Inc 4300 W Memorial Road Oklahoma City OK 73120 270473057 PHYS GROUP OK 501c3 3 MH OK COMM true Mercy Clinic Springfield Communities 1965 Fremont Street Ste 2950 Springfield MO 65804 431560263 PHYS GROUP MO 501c3 3 MH SF COMM true Mercy Family Center 14528 S Outer Forty Ste 100 Chesterfield MO 63017 721069468 COUNSELING MO 501c3 7 Mercy Health true Mercy Health Foundation 14528 S Outer Forty Ste 100 Chesterfield MO 63017 200901499 Foundation MO 501c3 11b Mercy Health true Mercy Health 14528 S Outer Forty Ste 100 Chesterfield MO 63017 431423050 CORP OFFICE MO 501c3 1 NA false Mercy Health East Communities 14528 S Outer Forty Ste 100 Chesterfield MO 63017 431718408 HLTH SYSTEM MO 501c3 11b Mercy Health true Mercy Health East Communities - Southern 14528 S Outer Forty Ste 100 Chesterfield MO 63017 461412322 HLTH SYSTEM MO 501c3 11b MH EAST COMM true Mercy Health Fort Smith Communities 7301 Rogers Avenue Fort Smith AR 72917 261318515 HOLDING CO AR 501c3 11b Mercy Health true Mercy Health Foundation Ada 430 N Monte Vista Street Ada OK 74820 463596274 Foundation OK 501c3 11a MH ADA INC true Mercy Health Foundation Ardmore 1011 14th Avenue NW Ardmore OK 73401 710962525 Foundation OK 501c3 11a MH ARDMORE true Mercy Health Foundation Berryville 214 Carter Street Berryville AR 72616 710759301 Foundation AR 501c3 11a MH FT SMITH true Mercy Health Foundation Fort Scott 401 Woodland Hills Blvd Fort Scott KS 66701 481077073 Foundation KS 501c3 11c M KS COMM true Mercy Health Foundation Hot Springs 300 Werner Street Hot Springs AR 71913 710804718 Foundation AR 501c3 11b MC SRVCS true Mercy Health Foundation Independence 800 W Myrtle Independence KS 67301 481079981 Foundation KS 501c3 11a M ST FRANCIS true Mercy Health Foundation Jefferson 1400 US Highway 61 South Festus MO 63028 462797051 Foundation MO 501c3 11b MH E COMM SR true Mercy Health Foundation Joplin 100 Mercy Way Joplin MO 64804 270906136 Foundation MO 501c3 11a MH SWMK COMM true Mercy Health Foundation Lincoln 1000 East Cherry Street Troy MO 63379 811477159 Foundation MO 501c3 11b MH EAST COMM true Mercy Health Foundation NW Arkansas 2710 Rife Medical Lane Rogers AR 72758 710601687 Foundation AR 501c3 11c MH ROGERS true Mercy Health Foundation of Oklahoma 4300 W Memorial Road Oklahoma City OK 73120 454732301 Foundation OK 501c3 11a MH OK COMM true Mercy Health Foundation Oklahoma City 4300 W Memorial Road Oklahoma City OK 73120 463184231 Foundation OK 501c3 11a MH OK COMM true Mercy Health Foundation Springfield 1235 E Cherokee Street Springfield MO 65804 320195818 Foundation MO 501c3 11b MH SF COMM true Mercy Health Foundation St Louis 14528 S Outer Forty Ste 100 Chesterfield MO 63017 562410020 Foundation MO 501c3 11b MH EAST COMM true Mercy Health Foundation Washington 901 E Fifth Street Washington MO 63090 562410022 Foundation MO 501c3 11b MH EAST COMM true Mercy Health Oklahoma Communities Inc 4300 W Memorial Road Oklahoma City OK 73120 731453048 HLTH SYSTEM OK 501c3 11b Mercy Health true Mercy Health Plans of Missouri Inc 3265 S National Avenue Springfield MO 65807 320481419 HMO MO 501c4 N/A Mercy Health true Mercy Health Plans Inc 3265 S National Avenue Springfield MO 65807 320486150 PPO MO 501c4 N/A MH PLANS MO true Mercy Health Southwest MOKS Communities 100 Mercy Way Joplin MO 64804 300584463 HLTH SYSTEM MO 501c3 11b Mercy Health true Mercy Health Springfield Communities 1235 E Cherokee Street Springfield MO 65804 431856028 HLTH SYSTEM MO 501c3 11b Mercy Health true Mercy Home Health Berryville 804 W Freeman Suite 4 Berryville AR 72616 870781247 HOME HEALTH AR 501c3 11c MM LAREDO true Mercy Hospital Ada Inc 430 N Monte Vista Street Ada OK 74820 462288155 HOSPITAL OK 501c3 3 MH OK COMM true Mercy Hospital Ardmore Inc 1011 14th Avenue NW Ardmore OK 73401 731500629 HOSPITAL OK 501c3 3 MH OK COMM true Mercy Hospital Aurora 500 Porter Avenue Aurora MO 65605 431936696 HOSPITAL MO 501c3 3 MH SF COMM true Mercy Hospital Berryville 214 Carter Street Berryville AR 72616 710759299 HOSPITAL AR 501c3 3 MH SF COMM true Mercy Hospital Booneville 880 West Main Street Booneville AR 72927 463851119 HOSPITAL AR 501c3 3 MH FT SMITH true Mercy Hospital Carthage 3125 Dr Russell Smith Way Carthage MO 64836 453808607 HOSPITAL MO 501c3 3 MH SWMK COMM true Mercy Hospital Cassville 94 Main Street Cassville MO 65625 431936699 HOSPITAL MO 501c3 3 MH SF COMM true Mercy Hospital Columbus 220 Pennsylvania Avenue Columbus KS 66725 270842031 HOSPITAL MO 501c3 3 MH SWMK COMM true Mercy Hospital El Reno Inc 2115 Parkview Drive El Reno OK 73036 272716065 HOSPITAL OK 501c3 3 MH OK CITY true Mercy Hospital Fort Smith 7301 Rogers Avenue Fort Smith AR 72917 710240352 HOSPITAL AR 501c3 3 MH NWAR COMM true Mercy Hospital Healdton Inc 3462 Hospital Rd Healdton OK 73438 263173902 HOSPITAL OK 501c3 3 MH ARDMORE true Mercy Hospital Jefferson 1400 Highway 61 South Festus MO 63028 430687077 HOSPITAL MO 501c3 3 MH E COMM SR true Mercy Hospital Joplin 100 Mercy Way Joplin MO 64804 270814858 HOSPITAL MO 501c3 3 MH SWMK COMM true Mercy Hospital Kingfisher Inc 1000 Kingfisher Regional Hosp Kingfisher OK 73750 463433074 HOSPITAL OK 501c3 3 MH OK CITY true Mercy Hospital Lebanon 100 Hospital Drive Lebanon MO 65536 431767432 HOSPITAL MO 501c3 3 MH SF COMM true Mercy Hospital Lincoln 1000 East Cherry Street Troy MO 63379 472219204 HOSPITAL MO 501c3 3 MH EAST COMM true Mercy Hospital Logan County Inc 200 South Academy Guthrie OK 73044 452998842 HOSPITAL OK 501c3 3 MH OK CITY true Mercy Hospital Oklahoma City Inc 4300 W Memorial Road Oklahoma City OK 73120 730579285 HOSPITAL OK 501c3 3 MH OK COMM true Mercy Hospital Ozark 801 W River Street Ozark AR 72949 710689680 HOSPITAL AR 501c3 3 MH FT SMITH true Mercy Hospital Paris 500 E Academy Paris AR 72855 710655753 HOSPITAL AR 501c3 3 MH FT SMITH true Mercy Hospital Rogers 2710 Rife Medical Lane Rogers AR 72758 710294390 HOSPITAL AR 501c3 3 MH NWAR COMM true Mercy Hospital Springfield 1235 E Cherokee Street Springfield MO 65804 440552485 HOSPITAL MO 501c3 3 MH SF COMM true Mercy Hospital Tishomingo Inc 1000 South Byrd Tishomingo OK 73460 274433830 HOSPITAL OK 501c3 3 MH ARDMORE true Mercy Hospital Waldron 1341 W 6th Street Waldron AR 72958 710557895 HOSPITAL AR 501c3 3 MH FT SMITH true Mercy Hospital Watonga Inc 500 Clarence Nash Blvd Watonga OK 73772 455199762 HOSPITAL OK 501c3 3 MH OK CITY true Mercy Hospitals East Communities 14528 S Outer Forty Ste 100 Chesterfield MO 63017 430653493 HOSPITAL MO 501c3 3 MH EAST COMM true Mercy Kansas Communities Inc 401 Woodland Hills Blvd Ft Scott KS 66701 480956045 HOSPITAL KS 501c3 3 MH SWMK COMM true Mercy Research 1235 E Cherokee Street Springfield MO 65804 870796305 HOSPITAL MO 501c3 4 MH SF COMM true Mercy Ministries of Laredo 2500 Zacatecas Laredo TX 78046 200198462 HOSPITAL TX 501c3 7 Mercy Health true Mercy St Francis Hopsital 100 W Highway 60 Mountain View MO 65548 440607149 HOSPITAL MO 501c3 3 MH SF COMM true MHM Support Services 14528 S Outer Forty Ste 100 Chesterfield MO 63017 202553101 CTRL SYS FUNC MO 501c3 11b Mercy Health true Mission Clinical Services 300 Werner Street Hot Springs AR 71913 134239691 CHILD ADVOC AR 501c3 9 Mercy Health true St Edward Mercy Foundation 7301 Rogers Avenue Fort Smith AR 72917 237330425 Foundation AR 501c3 7 MH FT SMITH true St Mary's Hospital of Enid Oklahoma 14528 S Outer Forty Ste 100 Chesterfield MO 63017 730614655 Inactive OK 501c3 3 MH OK COMM true The Sister M Cornelia Blasko Foundation 100 W Highway 60 Mountain View MO 65548 431873914 Foundation MO 501c3 11a M ST FRANCIS true MERC AMBU SURG CTR 7301 Rogers FT SMITH AR 72917 710827721 AMBUL SURG CT AR NA RES OPT & INNOV 645 MARYVILLE St Louis MO 63141 460468368 CENTRAL DIST. MO NA SO OK DIAG CTR 1011 14TH Ardmore OK 73401 431971232 MRI Services OK NA FORT SMITH EMS 1701 S GREENWOOD FT SMITH AR 72901 710416615 Emergency Medical AR NA ST ED MER MED MOB 7301 Rogers FT SMITH AR 72903 710554050 Office Building AR NA Frontenac Properties Inc 14528 S Outer Forty Suite 100 Chesterfield MO 63017 521914421 Holding 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 1011 14th Avenue NW Ardmore OK 73401 731580607 Holding company OK NA C-Corp Mercy Health Network Inc 4300 W Memorial Road Oklahoma City OK 73120 731381689 Holding company OK NA C-Corp Mercy Managed Care Corporation 4300 W Memorial Road Oklahoma City OK 73120 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 false false true false false false false false false false false false false false false true true false false Mercy Clinic Springfield Communities P 175522 FMV Mercy Health Springfield Communities P 85124 FMV MERCY HEALTH P 71458 FMV MERCY HOSPITAL ROGERS P 69731295 FMV MHM SUPPORT SERVICES Q 137574438 FMV Resource Optimization & Innovation LLC P 326969 FMV Mercy Health Foundation Northwest Arkansas C 410000 FMV Form 990, Schedule R, Part II MERCY HOSPITALS EAST COMMUNITIES MERCY HOSPITALS EAST COMMUNITIES CONSISTS OF MERCY HOSPITAL ST. LOUIS, EIN 43-0653493, AND MERCY HOSPITAL WASHINGTON, EIN 43-1066883. Form 990, Schedule R, Part 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 C, P AND Q.