2017-05-12T18:05:15-05:00 2016-06-30 ERNST & YOUNG US LLP 1900 SCRIPPS CENTER 312 WALNUT ST CINCINNATI OH 45202 990 2015-07-01 261318597 MERCY CLINIC FORT SMITH COMMUNITIES % GRETA WILCHER VP OF FINANCE MERC 3145796100 7301 ROGERS AVENUE FORT SMITH AR 72917 GRETA WILCHER VP OF FINANCE 2017-05-12 true JULIE L SPARKS P01268401 5136121400 2015 2021-01-29 14:40:06Z GRETA WILCHER VP OF FINANCE 7301 ROGERS AVENUE FORT SMITH AR 72917 47180354 false 0928 X www.mercy.net X 2007 AR AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. 10 0 154 0 0 0 0 69244055 47179511 8120 843 0 0 69252175 47180354 2000 7810 0 0 68588837 56663635 0 0 0 17918626 16154511 86509463 72825956 -17257288 -25645602 12150336 11200035 104984054 5972892 -92833718 5227143 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 18839003 0 14804529 FAMILY MEDICINE PHYSICIAN SERVICES: MERCY CLINIC FORT SMITH'S FAMILY MEDICINE PHYSICIAN SERVICES ARE COMPRISED OF 23 FAMILY MEDICINE PHYSICIANS AND 13 APC PRACTITIONERS, WHO PROVIDE PRIMARY MEDICINE SERVICES TO PATIENTS RANGING FROM ONE YEAR OLD THROUGH ADULTHOOD. THESE SERVICES ARE OFFERED IN APPROXIMATELY 12 LOCATIONS THROUGHOUT SEBASTIAN COUNTY ARKANSAS AND THE SURROUNDING SERVICE AREA. DURING THE YEAR, 117,404 OFFICE VISITS WERE PROVIDED TO PATIENTS. 10796600 0 7351701 CARDIOVASCULAR PHYSICIAN SERVICES: MERCY CLINIC FORT SMITH'S CARDIOVASCULAR PHYSICIAN SERVICES ARE COMPRISED OF 5 CARDIOLOGISTS, 2 CARDIOVASCULAR SURGEONS AND 4 APC PRACTITIONERS. THESE PROVIDERS SERVE PATIENTS THROUGHOUT SEBASTIAN COUNTY ARKANSAS AND THE SURROUNDING SERVICE AREA, WHO HAVE HEART RELATED MEDICAL NEEDS. DURING THE YEAR, 23,621 OFFICE VISITS WERE PROVIDED TO PATIENTS. 9654205 0 8097930 ORTHOPEDIC PHYSICIAN SERVICES: MERCY CLINIC FORT SMITH'S ORTHOPEDIC PHYSICIAN SERVICES ARE COMPRISED OF 9 BOARD CERTIFIED SURGEONS, 1 SPORTS MEDICINE PHYSICIAN AND 3 APC PRACTITIONERS, WHO PROVIDE SPECIALIZED CARE FOR A VARIETY OF MUSCULOSKELETAL DISORDERS AND INJURIES TO PATIENTS IN LOCATIONS THROUGHOUT SEBASTIAN COUNTY ARKANSAS AND THE SURROUNDING SERVICE AREA. OUR BOARD CERTIFIED SURGEONS SPECIALIZE IN ORTHOPEDIC CARE, SPORTS MEDICINE AND TREATMENT FOR ORTHOPEDIC TRAUMA WITH YOUR MOBILITY AS THEIR FOCUS. DURING THE YEAR, 34,291 OFFICE VISITS WERE PROVIDED TO PATIENTS. 22753775 7810 16925351 62043583 true false false false false false false false false false true false false false true false false true false false false false false false false false false false false true false false false false false false true false false false false false false true true true false false true X 0 0 154 true false false false false false false false false false false X 10 0 false false false false true true true true true false false true true true true true true false true false X GRETA WILCHER VP OF FINANCE 4793146104 7301 ROGERS AVENUE FORT SMITH AR 72917 X Bean MD Paul Physician & Board member 55.0 5.0 X 330298 0 32839 Blackwell MD Jeffry Physician & Board member 60.0 0.0 X 534035 0 27265 Coleman MD Christopher Physician & Board member 60.0 0.0 X 1166397 0 22316 Dudding MD William Physician & Board member 60.0 0.0 X 364251 0 31220 Dupree MD Matthew Physician & Board member 55.0 5.0 X 462498 0 16033 Smith MD Steven Physician & Board member 60.0 0.0 X 767502 0 30349 Stewart MD Rowland Physician & Board member 60.0 0.0 X 73512 250625 36542 Wilkinson MD Josh Physician & Board member 60.0 0.0 X 477761 0 31254 Gehrig Ryan CEO & BOARD MEMBER 10.0 50.0 X X 0 587903 203211 Goodman Raymond Cole Clinic Pres. & BOARD MEMBER 60.0 0.0 X X 0 493655 46942 Fore Amy Clinic operations officer 60.0 0.0 X 0 199594 21394 Keep Matthew Clinic operations officer 60.0 0.0 X 0 295752 15668 Reynolds Scott CFO - Central Communities 2.0 58.0 X 0 465895 104383 Burke James Regional VP-Legal 2.0 58.0 X 0 359195 61541 Marion Tanya Regional VP-Human Resources 2.0 58.0 X 0 281923 57609 Swope Jon President - Central Communitie 2.0 58.0 X 0 1230428 172840 Wilcher Greta VP-Finance 15.0 45.0 X 0 280033 35539 Bolyard Keith J Physician 60.0 0.0 X 783523 0 36702 Johnson MD Arthur Physician 60.0 0.0 X 853889 0 34337 McClanahan MD John D Physician 60.0 0.0 X 861360 0 27051 Nolewajka MD Andre Physician 60.0 0.0 X 756317 0 47364 Spann James C Physician 60.0 0.0 X 798808 0 24096 Johnston Jeffrey A Former officer 0.0 62.0 X 0 752784 262218 Vitiello Jonathan SR VP FINANCL OPS, FMR OFFICER 0.0 60.0 X 0 716408 103683 8230151 5914195 1482396 151 true true false CANCER CAREPOINT 17 EXECUTIVE PARK DR STE 520 ATLANTA GA 30329 PHYSICIAN STAFFING 423412 EMERGENCY STAFFING SOLUTIONS 17304 PRESTON RD SUITE 1400 DALLAS TX 75252 PHYSICIAN STAFFING 396257 FISHER ROBERT D 1701 S 66TH ST FORT SMITH AR 72903 PHYSICIAN STAFFING 356000 DELTA LOCUM TENENS 1755 WITTINGTON PLACE STE 800 FORT SMITH AR 75234 PHYSICIAN STAFFING 335548 WEATHERBY LOCUMS INC PO Box 972633 DALLAS TX 75397 PHYSICIAN STAFFING 261389 7 0 0 0 NET PATIENT SERVICE REVENUE 621110 45347498 45347498 0 0 CAPITATION BONUS 900099 869295 869295 0 0 MANAGEMENT FEES 900099 824639 824639 0 0 RENTAL INCOME FROM RELATED ORGS 531120 62488 62488 0 0 ALL OTHER PROGRAM SERVICE REVENUE 900099 75591 75591 0 0 47179511 843 843 0 0 0 0 0 0 0 0 0 0 47180354 47179511 0 843 7810 7810 0 0 0 0 0 0 4680291 4171829 508462 0 298970 266490 32480 0 43540744 39036524 4504220 0 1516937 1348741 168196 0 4525254 3811028 714226 0 2101439 1846691 254748 0 0 0 0 0 97874 561 97313 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 885075 832564 52511 23016 5191 17825 0 657091 464613 192478 0 30063 11125 18938 0 0 0 0 0 3009223 2575267 433956 0 182386 94377 88009 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1018028 912023 106005 0 757568 737852 19716 0 BAD DEBT 2229642 2229642 0 0 REPAIRS & MAINTENANCE 155899 134156 21743 0 SHARED SERVICE FEES 3384742 3384742 0 DRUGS & MEDICAL EXPENSES 3414632 3414141 491 0 309272 142958 166314 72825956 62043583 10782373 0 0 0 17635 0 0 0 0 7011315 4621628 0 0 0 0 0 0 0 0 923036 646297 8892209 3963587 3230121 4928622 0 0 0 0 0 0 969500 969500 16364 16353 12150336 11200035 2999914 4449790 4522 4522 0 0 0 0 0 0 0 0 0 0 0 0 101979618 1518580 104984054 5972892 X -92833718 5227143 0 0 0 0 -92833718 5227143 12150336 11200035 X -25645602 0 0 0 0 123706463 X X false true X true false X SCHEDULE A, ADDITIONAL INFORMATION THE FILING ENTITY'S PUBLIC CHARITY STATUS IS A HOSPITAL; HOWEVER, THE FILING ENTITY DOES NOT HAVE A LICENSE OR OPERATE A HOSPITAL FACILITY FOR SCHEDULE H REPORTING PURPOSES. 261545 79010 182535 132455 16102 116353 8025446 3862006 4163440 472763 6469 466294 4928622 0 DUE TO AFFILIATES 1518580 1518580 FORM 990, SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE 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 X true true true true false false false false false false false Bean MD Paul Physician & Board member 303008 0 0 0 27290 0 13475 0 19364 0 363137 0 0 0 Blackwell MD Jeffry Physician & Board member 506882 0 0 0 27153 0 9100 0 18165 0 561300 0 0 0 Coleman MD Christopher Physician & Board member 1155584 0 0 0 10813 0 2600 0 19716 0 1188713 0 0 0 Dudding MD William Physician & Board member 298928 0 26596 0 38727 0 13023 0 18197 0 395471 0 0 0 Dupree MD Matthew Physician & Board member 408138 0 27090 0 27270 0 12786 0 3247 0 478531 0 0 0 Smith MD Steven Physician & Board member 649340 0 79198 0 38964 0 17173 0 13176 0 797851 0 0 0 Stewart MD Rowland Physician & Board member 70053 187714 0 48097 3459 14814 12575 12575 4345 7047 90432 270247 0 0 Wilkinson MD Josh Physician & Board member 448215 0 0 0 29546 0 12188 0 19066 0 509015 0 0 0 Gehrig Ryan CEO & BOARD MEMBER 0 361664 0 206833 0 19406 0 185275 0 17936 0 791114 0 0 Goodman Raymond Cole Clinic Pres. & BOARD MEMBER 0 314724 0 144971 0 33960 0 32492 0 14450 0 540597 0 0 Fore Amy Clinic operations officer 0 129922 0 49199 0 20473 0 5168 0 16226 0 220988 0 0 Keep Matthew Clinic operations officer 0 25949 0 41629 0 228174 0 12107 0 3561 0 311420 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 Marion Tanya Regional VP-Human Resources 0 185233 0 59500 0 37190 0 39676 0 17933 0 339532 0 0 Swope Jon President - Central Communitie 0 651753 0 524380 0 54295 0 153276 0 19564 0 1403268 0 0 Wilcher Greta VP-Finance 0 182315 0 58943 0 38775 0 22614 0 12925 0 315572 0 0 Bolyard Keith J Physician 455976 0 97861 0 229686 0 17173 0 19529 0 820225 0 0 0 Johnson MD Arthur Physician 792110 0 0 0 61779 0 14573 0 19764 0 888226 0 0 0 McClanahan MD John D Physician 802224 0 45390 0 13746 0 7800 0 19251 0 888411 0 0 0 Nolewajka MD Andre Physician 643535 0 59616 0 53166 0 31913 0 15451 0 803681 0 0 0 Spann James C Physician 736606 0 50000 0 12202 0 9100 0 14996 0 822904 0 0 0 Johnston Jeffrey A Former officer 0 471888 0 260656 0 20240 0 243132 0 19086 0 1015002 0 0 Vitiello Jonathan SR VP FINANCL OPS, FMR OFFICER 0 420946 0 233293 0 62169 0 84728 0 18955 0 820091 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. HOUSING BENEFITS ARE PROVIDED THROUGH A RELOCATION PROGRAM IN ACCORDANCE WITH COMPANY POLICY. SUCH BENEFITS ARE SUBJECT TO TAX TO THE EMPLOYEE. PAYMENT BY THE COMPANY OF COSTS FOR TEMPORARY HOUSING BY EMPLOYEES FOR THE CONVENIENCE OF THE COMPANY IS MADE IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. AS A REIMBURSABLE EXPENSE, THIS TYPE OF LODGING IS NOT TAXABLE TO THE EMPLOYEE. FORM 990, SCHEDULE J, PART I, QUESTION 3 MERCY CLINIC FORT SMITH 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 4A THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT DURING CALENDAR 2015: Matthew Keep, $169,508. 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: RYAN GEHRIG, RAYMOND (COLE) GOODMAN, JAMES BURKE, JEFFREY JOHNSTON, JONATHAN VITIELLO, TANYA MARION, JON SWOPE, AND GRETA WILCHER. THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C). Ivelesse Dupree MD FAM MBR OF BOARD DIRECTOR 298970 Employment false FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES MERCY CLINIC FORT SMITH EMPLOYS AND CONTRACTS WITH PHYSICIANS WHOSE PRIMARY ROLE IS TO PROVIDE INPATIENT AND OUTPATIENT SERVICES. MERCY CLINIC FORT SMITH PROVIDES SERVICE THROUGH THE PRIMARY CARE, HOSPITAL BASED, SURGICAL AND MEDICAL SPECIALTIES DEPARTMENTS. MERCY CLINIC FORT SMITH IS AN INTEGRAL PART OF THE OVERALL HEALTH AND WELFARE OF THE FORT SMITH AREA AND SURROUNDING RURAL COMMUNITIES. 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 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: - ADOPT OR AMEND THE MISSION AND PHILOSOPHY OF THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - ADOPT OR AMEND THE OPERATING AND CAPITAL BUDGETS OF THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION AND ANY CHANGES IN SUCH BUDGETS IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE MEMBER; - REVIEW AND APPROVE ANY CAPITAL EXPENDITURES OR RECOMMENDATIONS NOT PREVIOUSLY APPROVED AS PART OF THE CORPORATION'S BUDGETS; - AUTHORIZE OR APPROVE THE ASSIGNMENT, TRANSFER, SALE OR LEASE OF ANY OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION OR INTEREST THEREIN IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE MEMBER; - AUTHORIZE OR APPROVE THE GRANT OF ANY PLEDGE, LIEN, ENCUMBRANCE, MORTGAGE, DEED OF TRUST OR OTHER SECURITY INTEREST IN ANY OR ALL OF THE ASSETS OF THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - AUTHORIZE OR APPROVE THE INCURRENCE OF DEBT (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) BY THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION AND THE GRANT ANY SECURITY INTERESTS, THE PLACEMENT OF ANY ENCUMBRANCES, THE ENTERING INTO ANY COVENANTS, AND THE EXECUTION OF ANY DOCUMENTS AND THE TAKING OF ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; - MERGE, DISSOLVE OR ABANDON THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - AMEND THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - APPOINT DIRECTORS; - ESTABLISH ALL COMPENSATION AND BENEFIT TERMS FOR PHYSICIANS AND OTHER MEDICAL PROFESSIONALS EMPLOYED OR OTHERWISE RETAINED BY THE CORPORATION; - REMOVE DIRECTORS WITH OR WITHOUT CAUSE; - APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH ANY OTHER ORGANIZATION CONTROLLED BY THE CORPORATION; - APPROVE CONTRACTS IN WHICH THE CORPORATION ASSUMES FINANCIAL RISK, INCLUDING BUT NOT LIMITED TO MANAGED CARE CONTRACTS, SUBJECT TO CONSULTATION WITH THE MANAGED CARE CONTRACTING COMMITTEE OF THE MEMBER; - APPROVE THE CORPORATION'S MANPOWER PLAN; - THROUGH THE SOLE ACTION OF THE PRESIDENT OF THE MEMBER (WITH THE APPROVAL OF THE PRESIDENT OF MH), APPOINT AND REMOVE THE PRESIDENT OF THE CORPORATION; AND - AUTHORIZE AND AMEND THE CHARITY CARE POLICY OF 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 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, THE FILING 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, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS NET TRANSFERS TO/FROM AFFILIATES $123,706,463 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. 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 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 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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 NW Arkansas Communities 2710 Rife Medical Lane Rogers AR 72758 621684203 PHYS GROUP AR 501c3 9 Mercy Health 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 false false false false false false false false false false false false false true true false false MERCY HOSPITAL BOONEVILLE P 194285 FMV MERCY HOSPITAL PARIS P 142927 FMV MERCY HOSPITAL OZARK P 107614 FMV MHM SUPPORT SERVICES Q 26784600 FMV MERCY HEALTH SPRINGFIELD COMMUNITIES P 196898 FMV Mercy Clinic Springfield Communities P 124704 FMV MERCY HOSPITAL FORT SMITH P 25211374 FMV MERCY HOSPITAL WALDRON P 65754 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 P AND Q.