MERCY HOSPITAL FORT SMITH: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- MERCY HOSPITAL FORT SMITH (EIN 71-0240352)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-12
- IRS object ID
- 201721329349307257
- Schema version
- 2015v3.0
- 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 | 2017-05-12T17:51:59-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | 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 | 1900 SCRIPPS CENTER 312 WALNUT ST | AddressLine1Txt |
| City | CINCINNATI | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | 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 | 2017-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JULIE L SPARKS | PreparerPersonNm |
| PTIN | P01268401 | PTIN |
| Phone | 5136121400 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | 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 | PO Box 17000 | AddressLine1Txt |
| City | Fort Smith | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 729177000 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $302,562,950 | 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 | 85 | TotalVolunteersCnt |
| Total Gross UBI | $5,273,518 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $24,705 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,647,792 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,596,387 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $263,076,649 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $293,322,811 | CYProgramServiceRevenueAmt |
| PY Investment Income | $343,158 | PYInvestmentIncomeAmt |
| CY Investment Income | $300,682 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,754,224 | PYOtherRevenueAmt |
| CY Other Revenue | $2,900,524 | CYOtherRevenueAmt |
| PY Total Revenue | $267,821,823 | PYTotalRevenueAmt |
| CY Total Revenue | $300,120,404 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $133,479 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $302,494 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $98,598,635 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $123,272,287 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $168,610,131 | PYOtherExpensesAmt |
| CY Other Expenses | $165,415,109 | CYOtherExpensesAmt |
| PY Total Expenses | $267,342,245 | PYTotalExpensesAmt |
| CY Total Expenses | $288,989,890 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $479,578 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $11,130,514 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $322,522,484 | TotalAssetsBOYAmt |
| Total Assets EOY | $269,239,914 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $131,738,353 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $69,302,282 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $190,784,131 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $199,937,632 | 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 | $15,993,491 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $47,863,845 | RevenueAmt |
| Desc | SURGERY THE SURGICAL AREA OF MERCY HOSPITAL FORT SMITH PERFORMED 16,606 PROCEDURES. MERCY HOSPITAL FORT SMITH HAD TAKEN STATE-OF-THE-ART TECHNOLOGY, STAFF EXPERIENCE, BEST PRACTICES, AND PATIENT SAFETY INITIATIVES AND CREATED AN EXCEPTIONAL SURGICAL SERVICES DEPARTMENT MAINTAINED WITHIN AN ATMOSPHERE OF CARING FOR THE PATIENT AND THEIR FAMILY. THE SURGERY UNIT OPERATES ON A TWENTY-FOUR (24) HOUR A DAY BASIS, 365 DAYS PER YEAR. THE SURGERY UNIT IS STAFFED WITH REGISTERED NURSES, LICENSED PRACTICAL NURSES, CERTIFIED SCRUB TECHNICIANS, OPERATING ROOM TECHNICIANS, AND OTHER SUPPORT STAFF. UTILIZING A COMBINED TWENTY-ONE (21) OPERATING SUITES, MERCY HOSPITAL FORT SMITH OFFERS A MULTITUDE OF SURGICAL PROCEDURES IN AN ARRAY OF SURGICAL SERVICE LINES INCLUDING, BUT NOT LIMITED TO: ENT, CARDIOVASCULAR, OBSTETRICS/GYNECOLOGY, AND NEUROSURGERY. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $8,023,161 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $34,658,958 | RevenueAmt |
| Desc | CARDIAC CATH LAB CARDIOVASCULAR IMAGING PROVIDES IMAGES OF THE HEART AND THE SURROUNDING ARTERIES THAT ARE USED IN DIAGNOSING DISEASE AND THE APPROPRIATE CARE TO FOLLOW. THE CATH LAB AT MERCY HOSPITAL FORT SMITH IS EQUIPPED WITH THE LATEST CARDIAC AND VASCULAR IMAGING TECHNOLOGY AVAILABLE. OUR CATH LABS WERE THE FIRST IN THE AREA TO UTILIZE "FLAT PLATE" DIGITAL TECHNOLOGY TO OBTAIN THE HIGHEST QUALITY IMAGES POSSIBLE. THIS COMBINED WITH OUR PROFESSIONAL CARING STAFF MAKES MERCY HOSPITAL FORT SMITH AND THE HEART CENTER THE HOSPITAL OF CHOICE FOR CARDIOVASCULAR SERVICES. 2,879 INPATIENT PROCEDURES AND 4,063 OUTPATIENT PROCEDURES WERE PERFORMED DURING FY2016. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,791,848 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $33,123,424 | RevenueAmt |
| Desc | INTENSIVE CARE UNIT (ICU) THE ICU AREA HAS 38 BEDS, AND HAD 7,776 DAYS OF PATIENT CARE. ALL ICU ROOMS ARE EQUIPPED FOR CARDIAC MONITORING AND PROVIDE MAXIMUM SURVEILLANCE, SUPPORT OF VITAL FUNCTIONS, AND DEFINITIVE THERAPY FOR SURGICAL, MEDICAL, CARDIAC, AND TRAUMA CRITICAL PATIENTS. MERCY HOSPITAL FORT SMITH UTILIZES MERCY SAFEWATCH. MERCY SAFEWATCH IS A TELEMEDICINE PROGRAM THAT CONNECTS CRITICAL CARE PATIENT ROOMS TO A CENTRALIZED INTENSIVE CARE UNIT (ELECTRONIC ICU). USING MICROPHONES, CAMERAS, AND HIGH-SPEED COMPUTER DATA LINES INSTALLED IN ICU PATIENT ROOMS, MERCY SAFEWATCH SUPPORTS THE PATIENTS PHYSICIANS AND BEDSIDE CARE TEAM AROUND-THE-CLOCK WITH BOARD CERTIFIED INTENSIVE CARE PHYSICIANS AND EXPERIENCED ICU NURSES WHO MONITOR MERCY HOSPITAL FORT SMITH. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $157,957,289 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $302,494 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $177,676,584 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $188,765,789 | 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 | 3145796100 | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (31 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 | $330,298 | $32,839 | ||||
| deMondesert Tony | ||||||||||
| Board member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Dupree MD Matthew | ||||||||||
| Physician & Board member | 5.0 | 55.0 | Yes (X) | $0 | $462,498 | $16,033 | ||||
| Echols Jr Walter | ||||||||||
| Board member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Hembree Lawson | ||||||||||
| Board member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Hendrickson MD Jon | ||||||||||
| 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 | ||||
| Phillips MD Don | ||||||||||
| Board member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Taylor MD Stephen | ||||||||||
| Physician & Board member | 5.0 | 55.0 | Yes (X) | $0 | $216,355 | $35,480 | ||||
| Gehrig Ryan | ||||||||||
| CEO & BOARD MEMBER | 25.0 | 35.0 | Yes (X) | $0 | $587,903 | $203,211 | Yes (X) | |||
| Reynolds Scott | ||||||||||
| CFO - Central Communities | 4.0 | 56.0 | $0 | $465,895 | $104,383 | Yes (X) | ||||
| Burke James | ||||||||||
| Regional VP-Legal | 5.0 | 55.0 | $0 | $359,195 | $61,541 | Yes (X) | ||||
| Hennessey III William | ||||||||||
| Reg. VP-Marketing | 5.0 | 55.0 | $0 | $252,013 | $71,756 | Yes (X) | ||||
| Hubbard Brent | ||||||||||
| Chief operating officer | 55.0 | 5.0 | $0 | $369,405 | $63,937 | Yes (X) | ||||
| Hunton David | ||||||||||
| Chief medical officer | 60.0 | 0.0 | $482,483 | $0 | $66,080 | Yes (X) | ||||
| Marion Tanya | ||||||||||
| Regional VP-Human Resources | 2.0 | 58.0 | $0 | $281,923 | $57,609 | Yes (X) | ||||
| Schreiber Martin | ||||||||||
| VP-Mission | 60.0 | 0.0 | $156,677 | $0 | $8,775 | Yes (X) | ||||
| Swope Jon | ||||||||||
| Pres. - Central Communities | 4.0 | 56.0 | $0 | $1,230,428 | $172,840 | Yes (X) | ||||
| Thomas Jennifer | ||||||||||
| Chief nursing officer | 60.0 | 0.0 | $249,292 | $0 | $29,482 | Yes (X) | ||||
| Wilcher Greta | ||||||||||
| VP-Finance | 25.0 | 35.0 | $0 | $280,033 | $35,539 | Yes (X) | ||||
| Adams Eric B | ||||||||||
| Pharmacist | 60.0 | 0.0 | $166,331 | $0 | $20,968 | Yes (X) | ||||
| Gusdorf Michael A | ||||||||||
| Pharmacist | 60.0 | 0.0 | $174,216 | $0 | $35,436 | Yes (X) | ||||
| Hawkins Andrea C | ||||||||||
| RN | 60.0 | 0.0 | $173,091 | $0 | $29,936 | Yes (X) | ||||
| Hill Charles D | ||||||||||
| Regional administrator - rural | 0.0 | 60.0 | $208,433 | $0 | $13,840 | Yes (X) | ||||
| Stec Julianne | ||||||||||
| Exec dir-post acute care svc | 60.0 | 0.0 | $170,270 | $0 | $19,876 | Yes (X) | ||||
| Johnston Jeffrey A | ||||||||||
| Former officer | 0.0 | 62.0 | $0 | $752,784 | $262,218 | Yes (X) | ||||
| Vitiello Jonathan | ||||||||||
| Sr VP fin ops & former officer | 0.0 | 60.0 | $0 | $716,408 | $103,683 | Yes (X) | ||||
| Bryson Jared | ||||||||||
| Former key employee | 0.0 | 60.0 | $0 | $210,730 | $24,340 | Yes (X) | ||||
| Rataj RN Marianne | ||||||||||
| Former key employee | 0.0 | 0.0 | $317,739 | $0 | $12,768 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,098,532 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $6,515,868 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,482,570 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 61 | 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 |
|---|---|---|---|---|---|
| DEWIT AND ASSOC | |||||
| PO BOX 3378 GS | SPRINGFIELD | MO | 65808 | CONSTRUCTION | $2,274,945 |
| AMEDISTAFF DBA THE RIGHT SOLUTIONS | |||||
| PO BOX 595 | TONTITOWN | AR | 72770 | AGENCY STAFF | $1,004,543 |
| MAYO MEDICAL LABS | |||||
| 200 SW FIRST STREET | ROCHESTER | MN | 55805 | LABORATORY SVCS | $892,552 |
| WEAR CONSTRUCTION MGMT | |||||
| PO BOX 3218 | FORT SMITH | AR | 72913 | CONSTRUCTION | $859,368 |
| SUPERIOR LINEN SERVICE | |||||
| 6959 E 12TH ST | TULSA | OK | 74112 | LINEN PROCESSING | $688,052 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 47 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $3,408,456 | RelatedOrganizationsAmt |
| Government Grants | $167,876 | GovernmentGrantsAmt |
| All Other Contributions | $20,055 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $3,596,387 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 900099 | $271,255,314 | $271,255,314 | $0 | $0 |
| REFERENCE LAB | 900099 | $3,843,024 | $0 | $3,843,024 | $0 |
| RENTAL INCOME FROM RELATED ORGS | 531120 | $3,031,092 | $3,031,092 | $0 | $0 |
| OTHER OPERATING REVENUE | 900099 | $15,193,381 | $15,193,381 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $293,322,811 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $298,582 | TotalRevenueColumnAmt |
| Exclusion | $298,582 | 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 | $1,635,054 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,937,058 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$302,004 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$302,004 | TotalRevenueColumnAmt |
| Exclusion | -$302,004 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,100 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,100 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,100 | TotalRevenueColumnAmt |
| Exclusion | $2,100 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
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 | $912,476 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $505,488 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $406,988 | TotalRevenueColumnAmt |
| Exclusion | $406,988 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| CAFE & VENDING | 900099 | $1,365,046 | $0 | $0 | $1,365,046 |
| FITNESS CENTER | 900099 | $1,430,494 | $0 | $1,430,494 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,795,540 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $300,120,404 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $289,479,787 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $5,273,518 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,770,712 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $302,494 | TotalAmt |
| Program Services | $302,494 | 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 | $1,073,844 | TotalAmt |
| Program Services | $877,449 | ProgramServicesAmt |
| Management And General | $196,395 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,644 | TotalAmt |
| Program Services | $69,981 | ProgramServicesAmt |
| Management And General | $15,663 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,593,683 | TotalAmt |
| Program Services | $80,285,426 | ProgramServicesAmt |
| Management And General | $18,308,257 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,329,055 | TotalAmt |
| Program Services | $3,607,120 | ProgramServicesAmt |
| Management And General | $721,935 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,042,536 | TotalAmt |
| Program Services | $10,863,920 | ProgramServicesAmt |
| Management And General | $2,178,616 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,147,525 | TotalAmt |
| Program Services | $5,120,223 | ProgramServicesAmt |
| Management And General | $1,027,302 | 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 | $189,335 | TotalAmt |
| Management And General | $189,335 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,000 | TotalAmt |
| Management And General | $1,000 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,871 | TotalAmt |
| Management And General | $21,871 | 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 | $9,540,680 | TotalAmt |
| Program Services | $8,016,447 | ProgramServicesAmt |
| Management And General | $1,524,233 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $353,482 | TotalAmt |
| Program Services | $18,953 | ProgramServicesAmt |
| Management And General | $334,529 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,109,758 | TotalAmt |
| Program Services | $2,882,268 | ProgramServicesAmt |
| Management And General | $3,227,490 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,110 | TotalAmt |
| Program Services | $90,298 | ProgramServicesAmt |
| Management And General | $23,812 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,892,067 | TotalAmt |
| Program Services | $107,628 | ProgramServicesAmt |
| Management And General | $3,784,439 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $539,848 | TotalAmt |
| Program Services | $366,319 | ProgramServicesAmt |
| Management And General | $173,529 | 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 | $18 | TotalAmt |
| Program Services | $18 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $459,967 | TotalAmt |
| Management And General | $459,967 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,922,878 | TotalAmt |
| Management And General | $30,922,878 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,082,920 | TotalAmt |
| Program Services | $6,591,637 | ProgramServicesAmt |
| Management And General | $6,491,283 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,918,257 | TotalAmt |
| Program Services | $133,909 | ProgramServicesAmt |
| Management And General | $1,784,348 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT | $7,482,427 | $7,482,427 | |
| REPAIRS & MAINTENANCE | $1,790,772 | $225,098 | $1,565,674 |
| SHARED SERVICE FEES | $28,462,178 | $1,904,568 | $26,557,610 |
| DRUGS & MEDICAL EXPENSES | $60,063,712 | $59,679,790 | $383,922 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $469,829 | TotalAmt |
| Program Services | $139,816 | ProgramServicesAmt |
| Management And General | $330,013 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $288,989,890 | TotalAmt |
| Program Services | $188,765,789 | ProgramServicesAmt |
| Management And General | $100,224,101 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,510,628 | BOYAmt |
| EOY | $7,869,528 | 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 | $21,549 | BOYAmt |
| EOY | $6,816 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,643,731 | BOYAmt |
| EOY | $29,395,780 | 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 | $5,632,505 | BOYAmt |
| EOY | $4,544,153 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,550,452 | BOYAmt |
| EOY | $6,819,716 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $407,646 | BOYAmt |
| EOY | $451,309 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $391,257,168 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $212,738,597 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $190,876,434 | BOYAmt |
| EOY | $178,518,571 | 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 | $3,521,755 | BOYAmt |
| EOY | $3,521,018 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,357,784 | BOYAmt |
| EOY | $38,113,023 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $322,522,484 | BOYAmt |
| EOY | $269,239,914 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,562,806 | BOYAmt |
| EOY | $9,825,448 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,312 | BOYAmt |
| EOY | $2,854 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,453 | BOYAmt |
| EOY | $11,608 | 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 | $6,076,236 | BOYAmt |
| EOY | $5,661,588 | 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 | $117,063,546 | BOYAmt |
| EOY | $53,800,784 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,738,353 | BOYAmt |
| EOY | $69,302,282 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $190,784,131 | BOYAmt |
| EOY | $199,937,632 | 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 | $190,784,131 | BOYAmt |
| EOY | $199,937,632 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $322,522,484 | BOYAmt |
| EOY | $269,239,914 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $11,130,514 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $0 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$1,977,013 | 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
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule 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 | $21,871 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $21,871 | 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 | 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, 2016, DUES WERE $78,720, $21,790, AND $42,032, RESPECTIVELY. APPROXIMATELY 20% OF ARKANSAS HOSPITAL ASSOCIATION DUES, 22.12% OF AMERICAN HOSPITAL ASSOCIATION DUES AND 3.11% 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 | $16,495,612 | OtherCostOrOtherBasisAmt |
| Book Value | $16,495,612 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $224,635,172 | OtherCostOrOtherBasisAmt |
| Depreciation | $89,649,445 | DepreciationAmt |
| Book Value | $134,985,727 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,158,729 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,657,886 | DepreciationAmt |
| Book Value | $500,843 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $141,382,065 | OtherCostOrOtherBasisAmt |
| Depreciation | $116,199,854 | DepreciationAmt |
| Book Value | $25,182,211 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,585,590 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,231,412 | DepreciationAmt |
| Book Value | $1,354,178 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $178,518,571 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (8 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| MISCELLANEOUS RECEIVABLES | $275,538 |
| EXCHANGE ACCOUNT | $709,021 |
| DUE FROM AFFILIATES | $4,437,905 |
| LAND FOR FUTURE DEVELOPMENT | $5,242,921 |
| INVESTMENT IN FORT SMITH EMS | $1,227,613 |
| INVESTMENT IN MERCY ASC | $3,135,315 |
| OTHER NON CURRENT ASSETS | $38,360 |
| INVESTMENT IN SUBSIDIARIES | $23,046,350 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $38,113,023 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES | $53,774,784 |
| OTHER NON CURRENT LIABILITIES | $26,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $53,800,784 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE D, PART X, LINE 2 | FormAndLineReferenceDesc |
| Explanation | ASC 740 FOOTNOTE Primarily all of the 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. | 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 | $9,021,817 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,021,817 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03200 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $33,239,357 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,359,016 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,880,341 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04580 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $42,261,174 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,359,016 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,902,158 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07780 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,340 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $17,340 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,555 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,555 | NetCommunityBenefitExpnsAmt |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,895 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $21,895 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $42,283,069 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,359,016 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,924,053 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07790 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $165,816 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $165,816 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,350 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,350 | NetCommunityBenefitExpnsAmt |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $289,122 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $289,122 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $456,288 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $456,288 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,346,106 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $93,117,216 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $95,318,875 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,201,659 | 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| 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 | WWW.OZARKSHEALTHCOMMISSION.ORG | 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 |
| Strategy Attached | false | StrategyAttachedInd |
| 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 |
| 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 |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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) across the ozarks came together to better understand the health status, behaviors and needs of the populations 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. Using a systematic, data-driven assessment to inform decisions and guide efforts to improve community health and wellness on a regional level. This larger 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 IN CONJUNCTION WITH THE FOLLOWING HOSPITAL FACILITIES: Burrell Behavioral Health, Citizens Memorial Healthcare, CoxHealth, 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., Taney County Health Dept. |
| 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 or 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 need, 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 need 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 has hired a community health worker to help serve as a liaison and facilitator between the patient, family, and staff to help foster and improve their healthcare experience. The chw identifies at-risk patients in the community in navigating them through needed healthcare and social services, works with a variety of community contacts to establish, maintain and foster community collaboration and develop partnerships to improve the health of the community. Also serves as a connector and resource for community agencies to connect low-income/underinsured clients to needed and appropriate services. 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 promote/develop 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 sheriffs department for the development of a stabilization unit to divert persons suffering from 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 legislatures and support the hope campus to ensure the homeless and underserved receive assistance in obtaining the appropriate level of care. 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 exercises 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/MERCY-FINANCIAL-ASSISTANCE. |
| FORM 990, SCHEDULE H, PART V, SECTION B, LINE 22 | ELIGIBILITY GUIDELINES FOR CHARITY CARE DISCOUNTS THE FEDERAL POVERTY GUIDELINES FOR INCOME ARE THE BASIS FOR DETERMINING ELIGIBILITY FOR CHARITY CARE DISCOUNTS. FOR EXAMPLE, INDIVIDUALS WITH INCOMES BELOW 100% OF THE FEDERAL POVERTY GUIDELINES WILL BE ELIGIBLE FOR FREE CARE. INDIVIDUALS WITH INCOMES GREATER THAN 100% OF THE FEDERAL POVERTY GUIDELINES MAY BE ELIGIBLE FOR CARE AT DISCOUNTED RATES DEPENDING ON THEIR INCOME LEVEL AND/OR THE AMOUNT DUE TO THE HOSPITAL. TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE, THE HOSPITAL FACILITY USES AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE. THE HOSPITAL USES A LOOK BACK METHOD THAT CONSIDERS DISCOUNTS ALLOWED TO MEDICARE AND ALL PRIVATE HEALTH INSURERS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| Mercy Sleep Center | ||||
| 5401 Ellsworth Road | Fort Smith | AR | 72903 | Sleep Center |
| Mercy Outpatient Surgery Center | ||||
| 3601 W E Knight Drive | Fort Smith | AR | 72903 | Other |
| Mercy OP Therapy Services | ||||
| 7610 Dallas Street | FORT SMITH | AR | 72903 | OTHER |
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 $288,989,890. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $7,482,427. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $281,507,463. |
| 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 | A FULL DESCRIPTION OF OUR COMMUNITY BUILDING ACTIVITIES CAN BE FOUND AT WWW.MERCY.NET/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 is 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 A 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 OCCURS 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 communitys needs. Therefore no further 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 accounts is placed for review. In addition, patient 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 2016 sg2 analytics data and sg2 insurance coverage estimates. The area's population is 445,498. 20% of the populations average household income is over $75,000. 43% of the population is 45 and older. 27% of the households are on medicare, 21% on medicaid, and 11% 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 communities it serves. |
| FORM 990, SCHEDULE H, PART VI, LINE 6 | 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, 2016, mercy facilities included 33 acute care hospitals, 3 managed hospitals, 4 heart hospitals, 2 children's hospitals, 2 orthopedic hospitals and 3 rehab hospitals. For the fiscal year ended june 30, 2016, mercy had more than 9.2 million outpatient and physician office visits, approximately 2,100 employed physicians, and approximately 40,000 full-time equivalent employees, making mercy the fifth 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 treasury, information technology, clinical quality management, legal and compliance counsel, compensation and benefits, consulting, performance management, revenue management, internal audit, accounting and reporting, capital management, clinical engineering, and clinical safety. 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 (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| UNITED WAY | |||||||
| 320 SOUTH 18TH | FORT SMITH | AR | 72901 | 710329530 | 501(c)(3) | $60,000 | TO SUPPORT ORGANIZATIONS MISSION |
| RMHC OF ARKOMA | |||||||
| 518 S THOMPSON STE G | SPRINGDALE | AR | 72764 | 731563945 | 501(c)(3) | $10,000 | TO SUPPORT ORGANIZATIONS MISSION |
| GOOD SAMARITAN CLINIC | |||||||
| 615 N B ST | FORT SMITH | AR | 72901 | 710863639 | 501(c)(3) | $50,000 | TO SUPPORT ORGANIZATIONS MISSION |
| CANCER SUPPORT FOUNDATION | |||||||
| 3324 SOUTH M ST | FORT SMITH | AR | 72903 | 710507617 | 501(c)(3) | $20,000 | |
| PARK PARTNERS OF FORT SMITH | |||||||
| PO BOX 934 | FORT SMITH | AR | 72902 | 262283356 | 501(c)(3) | $120,000 | TO SUPORT ORGANIZATIONS MISSION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 5 | Total501c3OrgCnt |
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 |
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 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 | $303,008 | $0 | $0 | $0 | $27,290 | $0 | $13,475 | $0 | $19,364 | $0 | $363,137 | $0 | $0 |
| Dupree MD Matthew | ||||||||||||||
| Physician & Board member | $0 | $408,138 | $0 | $27,090 | $0 | $27,270 | $0 | $12,786 | $0 | $3,247 | $0 | $478,531 | $0 | $0 |
| Taylor MD Stephen | ||||||||||||||
| Physician & Board member | $0 | $201,441 | $0 | $0 | $0 | $14,914 | $0 | $23,682 | $0 | $11,798 | $0 | $251,835 | $0 | $0 |
| Gehrig Ryan | ||||||||||||||
| CEO & BOARD MEMBER | $0 | $361,664 | $0 | $206,833 | $0 | $19,406 | $0 | $185,275 | $0 | $17,936 | $0 | $791,114 | $0 | $0 |
| Reynolds Scott | ||||||||||||||
| CFO - Central Communities | $0 | $317,099 | $0 | $93,883 | $0 | $54,913 | $0 | $89,876 | $0 | $14,507 | $0 | $570,278 | $0 | $0 |
| Burke James | ||||||||||||||
| Regional VP-Legal | $0 | $245,591 | $0 | $92,752 | $0 | $20,852 | $0 | $43,214 | $0 | $18,327 | $0 | $420,736 | $0 | $0 |
| Hennessey III William | ||||||||||||||
| Reg. VP-Marketing | $0 | $150,078 | $0 | $51,998 | $0 | $49,937 | $0 | $54,955 | $0 | $16,801 | $0 | $323,769 | $0 | $0 |
| Hubbard Brent | ||||||||||||||
| Chief operating officer | $0 | $265,146 | $0 | $85,148 | $0 | $19,111 | $0 | $46,323 | $0 | $17,614 | $0 | $433,342 | $0 | $0 |
| Hunton David | ||||||||||||||
| Chief medical officer | $363,506 | $0 | $89,683 | $0 | $29,294 | $0 | $48,305 | $0 | $17,775 | $0 | $548,563 | $0 | $0 | $0 |
| Marion Tanya | ||||||||||||||
| Regional VP-Human Resources | $0 | $185,233 | $0 | $59,500 | $0 | $37,190 | $0 | $39,676 | $0 | $17,933 | $0 | $339,532 | $0 | $0 |
| Schreiber Martin | ||||||||||||||
| VP-Mission | $100,631 | $0 | $11,058 | $0 | $44,988 | $0 | $0 | $0 | $8,775 | $0 | $165,452 | $0 | $0 | $0 |
| Swope Jon | ||||||||||||||
| Pres. - Central Communities | $0 | $651,753 | $0 | $524,380 | $0 | $54,295 | $0 | $153,276 | $0 | $19,564 | $0 | $1,403,268 | $0 | $0 |
| Thomas Jennifer | ||||||||||||||
| Chief nursing officer | $166,273 | $0 | $57,560 | $0 | $25,459 | $0 | $16,130 | $0 | $13,352 | $0 | $278,774 | $0 | $0 | $0 |
| Wilcher Greta | ||||||||||||||
| VP-Finance | $0 | $182,315 | $0 | $58,943 | $0 | $38,775 | $0 | $22,614 | $0 | $12,925 | $0 | $315,572 | $0 | $0 |
| Adams Eric B | ||||||||||||||
| Pharmacist | $113,875 | $0 | $40 | $0 | $52,416 | $0 | $13,954 | $0 | $7,014 | $0 | $187,299 | $0 | $0 | $0 |
| Gusdorf Michael A | ||||||||||||||
| Pharmacist | $134,223 | $0 | $40 | $0 | $39,953 | $0 | $18,383 | $0 | $17,053 | $0 | $209,652 | $0 | $0 | $0 |
| Hawkins Andrea C | ||||||||||||||
| RN | $161,794 | $0 | $40 | $0 | $11,257 | $0 | $17,699 | $0 | $12,237 | $0 | $203,027 | $0 | $0 | $0 |
| Hill Charles D | ||||||||||||||
| Regional administrator - rural | $147,777 | $0 | $33,740 | $0 | $26,916 | $0 | $6,680 | $0 | $7,160 | $0 | $222,273 | $0 | $0 | $0 |
| Stec Julianne | ||||||||||||||
| Exec dir-post acute care svc | $123,624 | $0 | $27,652 | $0 | $18,994 | $0 | $7,477 | $0 | $12,399 | $0 | $190,146 | $0 | $0 | $0 |
| Johnston Jeffrey A | ||||||||||||||
| Former officer | $0 | $471,888 | $0 | $260,656 | $0 | $20,240 | $0 | $243,132 | $0 | $19,086 | $0 | $1,015,002 | $0 | $0 |
| Vitiello Jonathan | ||||||||||||||
| Sr VP fin ops & former officer | $0 | $420,946 | $0 | $233,293 | $0 | $62,169 | $0 | $84,728 | $0 | $18,955 | $0 | $820,091 | $0 | $0 |
| Bryson Jared | ||||||||||||||
| Former key employee | $0 | $121,934 | $0 | $39,231 | $0 | $49,565 | $0 | $7,591 | $0 | $16,749 | $0 | $235,070 | $0 | $0 |
| Rataj RN Marianne | ||||||||||||||
| Former key employee | $44,792 | $0 | $53,563 | $0 | $219,384 | $0 | $9,564 | $0 | $3,204 | $0 | $330,507 | $0 | $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. 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 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 4A | THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT DURING CALENDAR 2015: Marianne Rataj, $124,546. 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, JAMES BURKE, BRENT HUBBARD, JEFFREY JOHNSTON, JONATHAN VITIELLO, TANYA MARION, WILLIAM HENNESSEY III, DAVID HUNTON, JON SWOPE, AND GRETA WILCHER. 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 (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| LEIGH HORN | |||
| FAMILY OF BOARD MEMBER | $52,606 | EMPLOYMENT | false |
| Nicole Thomas | |||
| FAMILY OF KEY EMPLOYEE | $33,038 | EMPLOYMENT | false |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 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, 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, 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 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 ($1,368,104) FOUNDATION CHANGE IN NET ASSETS ($608,909) -------------- TOTAL ($1,977,013) |
| 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 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, 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. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (70 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) |
| Jefferson Land Company Inc | ||||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 431330360 | HOLDING CO | MO | 501c2 | N/A | MH JFFRSON | Yes (true) |
| McAuley Portfolio Management Company | ||||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 261708048 | PORT MGMT | MO | 501c3 | 11b | Mercy Health | Yes (true) |
| Mercy ACO Clinical Services Inc | ||||||||||
| 14528 S Outer Forty Ste 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 | 9 | 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 Ste 2950 | Springfield | MO | 65804 | 431560263 | PHYS GROUP | MO | 501c3 | 3 | MH SF COMM | Yes (true) |
| Mercy Family Center | ||||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 721069468 | COUNSELING | MO | 501c3 | 7 | Mercy Health | Yes (true) |
| Mercy Health Foundation | ||||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 200901499 | Foundation | MO | 501c3 | 11b | Mercy Health | Yes (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 | Yes (true) |
| Mercy Health East Communities - Southern | ||||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 461412322 | HLTH SYSTEM | MO | 501c3 | 11b | MH EAST COMM | Yes (true) |
| Mercy Health Fort Smith Communities | ||||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72917 | 261318515 | HOLDING CO | AR | 501c3 | 11b | Mercy Health | Yes (true) |
| Mercy Health Foundation Ada | ||||||||||
| 430 N Monte Vista Street | Ada | OK | 74820 | 463596274 | Foundation | OK | 501c3 | 11a | MH ADA INC | Yes (true) |
| Mercy Health Foundation Ardmore | ||||||||||
| 1011 14th Avenue NW | Ardmore | OK | 73401 | 710962525 | Foundation | OK | 501c3 | 11a | MH ARDMORE | Yes (true) |
| Mercy Health Foundation Berryville | ||||||||||
| 214 Carter Street | Berryville | AR | 72616 | 710759301 | Foundation | AR | 501c3 | 11a | MH FT SMITH | Yes (true) |
| Mercy Health Foundation Fort Scott | ||||||||||
| 401 Woodland Hills Blvd | Fort Scott | KS | 66701 | 481077073 | Foundation | KS | 501c3 | 11c | M KS COMM | Yes (true) |
| Mercy Health Foundation Hot Springs | ||||||||||
| 300 Werner Street | Hot Springs | AR | 71913 | 710804718 | Foundation | AR | 501c3 | 11b | MC SRVCS | Yes (true) |
| Mercy Health Foundation Independence | ||||||||||
| 800 W Myrtle | Independence | KS | 67301 | 481079981 | Foundation | KS | 501c3 | 11a | M ST FRANCIS | Yes (true) |
| Mercy Health Foundation Jefferson | ||||||||||
| 1400 US Highway 61 South | Festus | MO | 63028 | 462797051 | Foundation | MO | 501c3 | 11b | MH E COMM SR | Yes (true) |
| Mercy Health Foundation Joplin | ||||||||||
| 100 Mercy Way | Joplin | MO | 64804 | 270906136 | Foundation | MO | 501c3 | 11a | MH SWMK COMM | Yes (true) |
| Mercy Health Foundation Lincoln | ||||||||||
| 1000 East Cherry Street | Troy | MO | 63379 | 811477159 | Foundation | MO | 501c3 | 11b | MH EAST COMM | Yes (true) |
| Mercy Health Foundation NW Arkansas | ||||||||||
| 2710 Rife Medical Lane | Rogers | AR | 72758 | 710601687 | Foundation | AR | 501c3 | 11c | MH ROGERS | Yes (true) |
| Mercy Health Foundation of Oklahoma | ||||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 454732301 | Foundation | OK | 501c3 | 11a | MH OK COMM | Yes (true) |
| Mercy Health Foundation Oklahoma City | ||||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 463184231 | Foundation | OK | 501c3 | 11a | MH OK COMM | Yes (true) |
| Mercy Health Foundation Springfield | ||||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 320195818 | Foundation | MO | 501c3 | 11b | MH SF COMM | Yes (true) |
| Mercy Health Foundation St Louis | ||||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 562410020 | Foundation | MO | 501c3 | 11b | MH EAST COMM | Yes (true) |
| Mercy Health Foundation Washington | ||||||||||
| 901 E Fifth Street | Washington | MO | 63090 | 562410022 | Foundation | MO | 501c3 | 11b | MH EAST COMM | Yes (true) |
| Mercy Health NW Arkansas Communities | ||||||||||
| 2710 Rife Medical Lane | Rogers | AR | 72758 | 621684203 | PHYS GROUP | AR | 501c3 | 9 | Mercy Health | Yes (true) |
| Mercy Health Oklahoma Communities Inc | ||||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 731453048 | HLTH SYSTEM | OK | 501c3 | 11b | 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 Southwest MOKS Communities | ||||||||||
| 100 Mercy Way | Joplin | MO | 64804 | 300584463 | HLTH SYSTEM | MO | 501c3 | 11b | Mercy Health | Yes (true) |
| Mercy Health Springfield Communities | ||||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 431856028 | HLTH SYSTEM | MO | 501c3 | 11b | Mercy Health | Yes (true) |
| Mercy Home Health Berryville | ||||||||||
| 804 W Freeman Suite 4 | Berryville | AR | 72616 | 870781247 | HOME HEALTH | AR | 501c3 | 11c | MM LAREDO | 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 | MO | 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 ARDMORE | Yes (true) |
| Mercy Hospital Jefferson | ||||||||||
| 1400 Highway 61 South | Festus | MO | 63028 | 430687077 | HOSPITAL | MO | 501c3 | 3 | MH E COMM SR | 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 Hosp | Kingfisher | OK | 73750 | 463433074 | HOSPITAL | OK | 501c3 | 3 | MH OK CITY | Yes (true) |
| Mercy Hospital Lebanon | ||||||||||
| 100 Hospital Drive | Lebanon | MO | 65536 | 431767432 | HOSPITAL | MO | 501c3 | 3 | MH 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 ARDMORE | 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 | ||||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 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 Research | ||||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 870796305 | HOSPITAL | MO | 501c3 | 4 | MH SF COMM | Yes (true) |
| Mercy Ministries of Laredo | ||||||||||
| 2500 Zacatecas | Laredo | TX | 78046 | 200198462 | HOSPITAL | TX | 501c3 | 7 | 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 Ste 100 | Chesterfield | MO | 63017 | 202553101 | CTRL SYS FUNC | MO | 501c3 | 11b | Mercy Health | Yes (true) |
| Mission Clinical Services | ||||||||||
| 300 Werner Street | Hot Springs | AR | 71913 | 134239691 | CHILD ADVOC | AR | 501c3 | 9 | Mercy Health | Yes (true) |
| St Edward Mercy Foundation | ||||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72917 | 237330425 | Foundation | AR | 501c3 | 7 | MH FT SMITH | Yes (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 | Yes (true) |
| The Sister M Cornelia Blasko Foundation | ||||||||||
| 100 W Highway 60 | Mountain View | MO | 65548 | 431873914 | Foundation | MO | 501c3 | 11a | M ST FRANCIS | 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 |
|---|---|---|---|---|---|---|---|
| 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 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 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 | ||||||||
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (12 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Mercy Clinic Fort Smith Communities | ||
| Q | $25,211,374 | FMV |
| Mercy Hospital Booneville | ||
| P | $2,113,684 | FMV |
| Mercy Hospital Ozark | ||
| P | $2,598,691 | FMV |
| Mercy Hospital Paris | ||
| P | $2,138,908 | FMV |
| Mercy Hospital Springfield | ||
| P | $53,538 | FMV |
| Mercy Hospital Waldron | ||
| P | $2,520,319 | FMV |
| Mercy Hospitals East Communities | ||
| Q | $122,194 | FMV |
| MHM Support Services | ||
| P | $179,246,358 | FMV |
| Mercy Hospital Oklahoma City | ||
| P | $291,473 | FMV |
| Mercy ACO Clinical Services Inc | ||
| P | $1,895,997 | FMV |
| Resource Optimization & Innovation LLC | ||
| P | $9,933,094 | FMV |
| St Edward Mercy Foundation | ||
| C | $1,221,964 | 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 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. |