MERCY HOSPITAL ROGERS: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- MERCY HOSPITAL ROGERS (EIN 71-0294390)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-05-13
- IRS object ID
- 201611349349302646
- Schema version
- 2014v6.0
- 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 | 2016-05-13T10:32:08-05:00 | ReturnTs |
| Tax Period End | 2015-06-30 | 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 | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 710294390 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mercy Hospital Rogers | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % BENNY J STOVER CPA | InCareOfNm |
| Business Name Control | MERC | BusinessNameControlTxt |
| Phone | 3145796100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2710 Rife Medical Lane | AddressLine1Txt |
| City | Rogers | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72758 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BENNY J STOVER | PersonNm |
| Person Title | VP FINANCE | PersonTitleTxt |
| Signature | 2016-05-12 | SignatureDt |
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 | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Eric Pianalto | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2710 Rife Medical Lane | AddressLine1Txt |
| City | Rogers | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72758 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $211,764,904 | 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 | 1995 | 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 | 3 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 2 | VotingMembersIndependentCnt |
| Total Employee | 1428 | TotalEmployeeCnt |
| Total Volunteers | 270 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $167,303 | PYContributionsGrantsAmt |
| CY Contributions Grants | $234,039 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $190,951,975 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $209,318,047 | CYProgramServiceRevenueAmt |
| PY Investment Income | $357,182 | PYInvestmentIncomeAmt |
| CY Investment Income | $48,442 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,121,655 | PYOtherRevenueAmt |
| CY Other Revenue | $2,164,376 | CYOtherRevenueAmt |
| PY Total Revenue | $193,598,115 | PYTotalRevenueAmt |
| CY Total Revenue | $211,764,904 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $158,865 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $235,559 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $61,752,524 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $69,590,943 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $111,023,300 | PYOtherExpensesAmt |
| CY Other Expenses | $116,123,540 | CYOtherExpensesAmt |
| PY Total Expenses | $172,934,689 | PYTotalExpensesAmt |
| CY Total Expenses | $185,950,042 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $20,663,426 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $25,814,862 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $244,038,853 | TotalAssetsBOYAmt |
| Total Assets EOY | $268,941,799 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,441,313 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,373,734 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $238,597,540 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $264,568,065 | 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 | $19,909,989 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $69,778,421 | RevenueAmt |
| Desc | INPATIENT HEALTHCARE: THE HOSPITAL IS A FULL SERVICE MEDICAL FACILITY THAT PROVIDES QUALITY INPATIENT HEALTHCARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE INPATIENT HOSPITAL IS LICENSED FOR 147 ACUTE BEDS AND 18 NEWBORN BEDS, FOR A TOTAL OF 165 BEDS. DURING THE FISCAL YEAR ENDED JUNE 30, 2015, ACUTE DISCHARGES WERE 10,065 AND ACUTE PATIENT DAYS WERE 35,099. NEWBORN DISCHARGES WERE 1,578 AND NEWBORN PATIENT DAYS WERE 2,728. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $16,682,134 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $68,324,731 | RevenueAmt |
| Desc | SURGICAL SERVICES: THE HOSPITAL PROVIDES A BROAD SCOPE OF SURGICAL SERVICES, ON BOTH AN INPATIENT AND AN OUTPATIENT BASIS. DURING THE FISCAL YEAR ENDED JUNE 30, 2015, THE HOSPITAL PERFORMED 2,490 INPATIENT SURGERIES AND 7,450 OUTPATIENT SURGERIES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,928,894 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $37,485,995 | RevenueAmt |
| Desc | CARDIOVASCULAR IMAGING PROVIDES IMAGES OF THE HEART AND THE SURROUNDING ARTERIES THAT ARE USED IN DIAGNOSING DISEASE AND THE APPROPRIATE CARE TO FOLLOW. DURING THE FISCAL YEAR ENDED JUNE 30, 2015, THE HOSPITAL PROVIDED 3,647 INPATIENT PROCEDURES AND 5,689 OUTPATIENT PROCEDURES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $96,631,451 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $235,559 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $33,728,900 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $139,152,468 | 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 | false | 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 | Yes (true) | 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 | 1428 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| 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 |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 3 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 2 | 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 | BENNY J STOVER CPA | PersonNm |
| Phone | 4793382903 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2710 Rife Medical Lane | AddressLine1Txt |
| City | Rogers | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72758 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Callahan Wayne | ||||||||||
| Board member | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| Donnell Hugh G | ||||||||||
| Physician & Board member | 5.0 | 55.0 | Yes (X) | $0 | $448,171 | $51,139 | ||||
| Lawson Randy | ||||||||||
| Board member | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| Pianalto Eric | ||||||||||
| Chief executive officer | 25.0 | 35.0 | $0 | $415,891 | $160,192 | Yes (X) | ||||
| Reynolds Scott | ||||||||||
| CFO - Central Communities | 2.0 | 58.0 | $0 | $335,307 | $57,174 | Yes (X) | ||||
| Barclay Richard F | ||||||||||
| VP-Support services | 60.0 | 0.0 | $0 | $204,677 | $28,247 | Yes (X) | ||||
| Burke James | ||||||||||
| Regional VP-Legal | 2.0 | 58.0 | $0 | $312,724 | $35,964 | Yes (X) | ||||
| Chase Brenda | ||||||||||
| COO - through 10/14 | 20.0 | 0.0 | $0 | $621,796 | $95,655 | Yes (X) | ||||
| Halstead John | ||||||||||
| VP-Mission | 40.0 | 20.0 | $0 | $154,238 | $19,128 | Yes (X) | ||||
| Hennessey III William | ||||||||||
| Regional VP-Marketing | 10.0 | 50.0 | $0 | $220,220 | $70,460 | Yes (X) | ||||
| Johnson Christopher | ||||||||||
| Chief of staff | 60.0 | 0.0 | $0 | $375,626 | $51,115 | Yes (X) | ||||
| Marion Tanya | ||||||||||
| Regional VP-Human resources | 3.0 | 57.0 | $0 | $225,754 | $55,433 | Yes (X) | ||||
| Rankin Charlotte | ||||||||||
| Chief nursing officer | 60.0 | 0.0 | $0 | $195,672 | $20,976 | Yes (X) | ||||
| Stover Benny J | ||||||||||
| VP-Finance | 30.0 | 30.0 | $0 | $194,277 | $26,694 | Yes (X) | ||||
| Swope Jon | ||||||||||
| President, central communities | 2.0 | 58.0 | $0 | $779,022 | $184,000 | Yes (X) | ||||
| Dunham Robert D | ||||||||||
| Director, pharmacy services | 60.0 | 0.0 | $165,058 | $0 | $33,622 | Yes (X) | ||||
| Gibbs Eric | ||||||||||
| Clinical pharmacist | 60.0 | 0.0 | $158,962 | $0 | $20,414 | Yes (X) | ||||
| Moore Richard E | ||||||||||
| Clinical pharmacist | 60.0 | 0.0 | $155,451 | $0 | $24,702 | Yes (X) | ||||
| Quam Mary E | ||||||||||
| Pharmacist | 60.0 | 0.0 | $142,435 | $0 | $31,631 | Yes (X) | ||||
| Slaba Sean M | ||||||||||
| Perfusionist | 60.0 | 0.0 | $145,202 | $0 | $23,404 | Yes (X) | ||||
| Street Scott | ||||||||||
| Former officer | 0.0 | 0.0 | $0 | $416,772 | $9,610 | Yes (X) | ||||
| Vitiello Jonathan | ||||||||||
| Former officer | 0.0 | 60.0 | $0 | $517,431 | $114,816 | Yes (X) | ||||
| Day Bradley Kim | ||||||||||
| Former key employee | 0.0 | 50.0 | $0 | $6,686,607 | $29,342 | Yes (X) | ||||
| Diedrich Michele | ||||||||||
| Former key employee | 0.0 | 0.0 | $0 | $351,912 | $48,896 | Yes (X) | ||||
| Stewart Michele | ||||||||||
| Former key employee | 0.0 | 60.0 | $0 | $326,828 | $113,549 | Yes (X) | ||||
| Treptow MD Douglas | ||||||||||
| Former key employee | 0.0 | 60.0 | $0 | $595,443 | $51,962 | Yes (X) | ||||
| Donnell Robert | ||||||||||
| Former highest compensated | 0.0 | 60.0 | $0 | $260,566 | $51,701 | Yes (X) | ||||
| Merritt James | ||||||||||
| Former highest compensated | 0.0 | 60.0 | $0 | $259,590 | $31,661 | Yes (X) | ||||
| Ritz Ralph | ||||||||||
| Former highest compensated | 0.0 | 60.0 | $0 | $256,700 | $22,415 | Yes (X) | ||||
| Wilson Cynthia R | ||||||||||
| Former highest compensated | 0.0 | 60.0 | $0 | $313,096 | $43,831 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $767,108 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $14,468,320 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,507,733 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 25 | 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 |
|---|---|---|---|---|---|
| DEWITT AND ASSOC INC | |||||
| PO BOX 3378 GS | SPRINGFIELD | MO | 65808 | CONSTRUCTION | $5,701,842 |
| SIEMENS MEDICAL SOLUTIONS USA | |||||
| 51 Valley Stream Pkwy | MALVERN | PA | 19355 | Construction | $2,386,946 |
| MAYO MEDICAL LABS | |||||
| 200 SW FIRST STREET | ROCHESTER | MN | 55805 | LABORATORY SERVICES | $1,234,308 |
| ANESTHESIA SERV BENTON COUNTY PA | |||||
| 3321 N Dixieland Rd | ROGERS | AR | 72756 | Anesthesia Services | $1,022,614 |
| PINNACLE RADIOLOGY PLLC | |||||
| 4500 S GARNETT STE 919 | TULSA | OK | 74146 | RADIOLOGY SERVICES | $698,300 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 31 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $69,014 | RelatedOrganizationsAmt |
| Government Grants | $151,925 | GovernmentGrantsAmt |
| All Other Contributions | $13,100 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $234,039 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621110 | $209,060,316 | $209,060,316 | $0 | $0 |
| OTHER OPERATING REVENUE | 900099 | $257,731 | $257,731 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $209,318,047 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $48,442 | TotalRevenueColumnAmt |
| Exclusion | $48,442 | 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 | $855,552 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $855,552 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $855,552 | TotalRevenueColumnAmt |
| Exclusion | $855,552 | ExclusionAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
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 |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| CAFE & VENDING | 900099 | $865,020 | $0 | $0 | $865,020 |
| GIFT SHOP REVENUE | 900099 | $443,804 | $0 | $0 | $443,804 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,308,824 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $211,764,904 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $209,318,047 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,212,818 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $178,094 | TotalAmt |
| Program Services | $178,094 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,465 | TotalAmt |
| Program Services | $57,465 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,538 | TotalAmt |
| Program Services | $52,099 | ProgramServicesAmt |
| Management And General | $6,439 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,929,206 | TotalAmt |
| Program Services | $49,018,888 | ProgramServicesAmt |
| Management And General | $5,910,318 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,549,926 | TotalAmt |
| Program Services | $2,281,311 | ProgramServicesAmt |
| Management And General | $268,615 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,144,240 | TotalAmt |
| Program Services | $7,267,925 | ProgramServicesAmt |
| Management And General | $876,315 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,909,033 | TotalAmt |
| Program Services | $3,497,233 | ProgramServicesAmt |
| Management And General | $411,800 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,820 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $14,820 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,738,977 | TotalAmt |
| Program Services | $10,142,247 | ProgramServicesAmt |
| Management And General | $2,596,730 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $230,626 | TotalAmt |
| Program Services | $44,980 | ProgramServicesAmt |
| Management And General | $185,646 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,683,362 | TotalAmt |
| Program Services | $973,306 | ProgramServicesAmt |
| Management And General | $1,710,056 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,234 | TotalAmt |
| Program Services | $41,925 | ProgramServicesAmt |
| Management And General | $1,309 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,671,178 | TotalAmt |
| Program Services | $66,798 | ProgramServicesAmt |
| Management And General | $1,604,380 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $324,571 | TotalAmt |
| Program Services | $282,294 | ProgramServicesAmt |
| Management And General | $42,277 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,048 | TotalAmt |
| Program Services | $23,557 | ProgramServicesAmt |
| Management And General | $29,491 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,287,203 | TotalAmt |
| Program Services | $4,594,454 | ProgramServicesAmt |
| Management And General | $5,692,749 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| BAD DEBT | $13,696,118 | $13,696,118 | $0 | $0 |
| REPAIRS & MAINTENANCE | $1,093,560 | $228,697 | $864,863 | $0 |
| SHARED SERVICE FEES | $30,700,893 | $4,574,904 | $26,125,989 | $0 |
| DRUGS & MEDICAL EXPENSES | $42,076,337 | $41,981,695 | $94,642 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $509,613 | TotalAmt |
| Program Services | $148,478 | ProgramServicesAmt |
| Management And General | $361,135 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $185,950,042 | TotalAmt |
| Program Services | $139,152,468 | ProgramServicesAmt |
| Management And General | $46,797,574 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Joint Costs TotalJointCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,425,840 | BOYAmt |
| EOY | $4,783,959 | 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 | $57,754 | BOYAmt |
| EOY | $37,725 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,278,244 | BOYAmt |
| EOY | $25,394,114 | 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 | $1,039,177 | BOYAmt |
| EOY | $519,588 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,921,511 | BOYAmt |
| EOY | $4,563,901 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,805 | BOYAmt |
| EOY | $152,395 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $240,955,292 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $107,202,700 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $129,765,791 | BOYAmt |
| EOY | $133,752,592 | 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 | $3,159,396 | BOYAmt |
| EOY | $2,802,637 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,359,335 | BOYAmt |
| EOY | $96,934,888 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $244,038,853 | BOYAmt |
| EOY | $268,941,799 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,418,759 | BOYAmt |
| EOY | $4,373,734 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,554 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | $0 | BOYAmt |
| EOY | $0 | 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 | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,441,313 | BOYAmt |
| EOY | $4,373,734 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $238,597,540 | BOYAmt |
| EOY | $264,568,065 | 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 | $238,597,540 | BOYAmt |
| EOY | $264,568,065 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $244,038,853 | BOYAmt |
| EOY | $268,941,799 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $25,814,862 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | $31,916 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $123,747 | 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 | false | FederalGrantAuditRequiredInd |
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 |
| Media Advertisements | $0 | MediaAdvertisementsAmt |
| Mailings Members | false | MailingsMembersInd |
| Mailings Members | $0 | MailingsMembersAmt |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Publications Or Broadcast | $0 | PublicationsOrBroadcastAmt |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $0 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Direct Contact Legislators | $0 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Rallies Demonstrations | $0 | RalliesDemonstrationsAmt |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $14,820 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $14,820 | 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, 2015, DUE WERE $50,460, $15,902 AND $36,985, RESPECTIVELY. APPROXIMATELY 20% OF ARKANSAS HOSPITAL ASSOCIATION DUES, 22.8% OF AMERICAN HOSPITAL ASSOCIATION DUES AND 2.98% 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 | $7,125,130 | OtherCostOrOtherBasisAmt |
| Book Value | $7,125,130 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $158,235,085 | OtherCostOrOtherBasisAmt |
| Depreciation | $57,265,675 | DepreciationAmt |
| Book Value | $100,969,410 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,479,117 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,075,097 | DepreciationAmt |
| Book Value | $404,020 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $68,621,054 | OtherCostOrOtherBasisAmt |
| Depreciation | $48,644,758 | DepreciationAmt |
| Book Value | $19,976,296 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,494,906 | OtherCostOrOtherBasisAmt |
| Depreciation | $217,170 | DepreciationAmt |
| Book Value | $5,277,736 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $133,752,592 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| MISCELLANEOUS RECEIVABLES | $282,787 |
| DUE FROM AFFILIATES | $96,559,635 |
| INVESTMENT IN UNITY | $92,466 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $96,934,888 | TotalBookValueOtherAssetsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | ASC 740 Footnote | FormAndLineReferenceDesc |
| Explanation | PRIMARILY ALL OF THE MERCY HEALTH ENTITIES ARE RECOGNIZED BY THE INTERNAL REVENUE SERVICE 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 IN THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2015 OR 2014. | 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 | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | false | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,497,170 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,497,170 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02610 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,351,319 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,090,013 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,261,306 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03050 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,848,489 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,090,013 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,758,476 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05660 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,848,489 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,090,013 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,758,476 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05660 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,436,356 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $57,387,838 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $52,307,869 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $5,079,969 | 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 | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mercy Hospital Rogers | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2710 Rife Medical Lane | AddressLine1Txt |
| City | Rogers | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72758 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| State License | AR 4797 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Childrens Hospital | Yes (X) | ChildrensHospitalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY HOSPITAL ROGERS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | 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 | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | 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 |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 14 | 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 |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| 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 | WWW.MERCY.NET | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.MERCY.NET | FAPAppAvailableOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5 | FormAndLineReferenceDesc |
| Explanation | IN CONDUCTING THE 2012 CHNA, MERCY HOSPITAL TOOK INTO ACCOUNT INPUT FROM LOCAL PUBLIC HEALTH EXPERTS AND REPRESENTATIVES OF THE COMMUNITY. THE BENTON COUNTY HEALTH DEPARTMENT PROVIDED ITS 2011 COMMUNITY ASSESSMENT DATA. OTHER PUBLIC HEALTH SOURCES OF DATA ARE DESCRIBED IN THE CHNA. COMMUNITY ROUNDTABLE EVENTS AND THE NORTHWEST ARKANSAS COUNCIL PROVIDED COMMUNITY INPUT. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 11 SIGNIFICANT NEEDS WERE IDENTIFIED IN FOUR PRIORITY AREAS IN THE 2012 CHNA. 1. ACCESS TO CARE. MERCY COLLABORATED WITH A COMMUNITY ENROLLMENT COUNSELOR TO ENROLL 140 ADDITIONAL LIVES IN THE ACA HEALTH PLAN AND PRIVATE OPTION PROGRAM AND RE-ENROLL 30 ADDITIONAL LIVES. MOBILE MAMMOGRAPHY SERVICE BEGAN TO RURAL AND UNDERSERVED POPULATIONS IN THE COUNTY. 304 WOMEN WERE SCREENED AT 5 LOCATIONS. NEW LOCATIONS WERE INVESTIGATED. THE NEED IDENTIFIED RELATED TO ACCESS TO CARE IN REGARDS TO SHIFTING LOWER LEVEL EMERGENCY DEPARTMENT PATIENTS AWAY FROM THE ED TO URGENT CARE CENTERS WAS NOT PURSUED DUE TO LACK OF URGENT CARE AND CONVENIENT CARE CAPACITY. 2. HEALTH LITERACY AND HEALTH EDUCATION. PLAN TO PARTNER WITH AREA SCHOOLS AND SERVE ON HEALTH CARE ADVISORY BOARDS WAS NOT PURSUED DUE TO LIMITED CAPACITY OF ADMINISTRATIVE PERSONNEL AND INSUFFICIENT TIME TO PURSUE THIS GOAL. 3. BEHAVIORAL HEALTH. MERCY HAS BEGUN TO EXPAND ITS BEHAVIORAL HEALTH SERVICES AND IS MAKING PLANS FOR SIGNIFICANT EXPANSION IN TAX YEAR 2015. MERCY HAS RECEIVED A $700,000 FOR PROGRAM EXPANSION AND AT THE END OF TAX YEAR 2014 HAD APPLIED FOR A LARGE GRANT TO STUDY MENTAL HEALTH SERVICES AND ACCESS TO MENTAL HEALTH IN 5 MAIN SCHOOL DISTRICTS IN THE AREA. 4. DEVELOPMENT OF COMMUNITY COLLABORATIONS/PARTNERSHIPS. COMMUNITY HEALTH SUBCOMMITTEE OF HOSPITAL BOARD WAS FORMED WHICH INCLUDES MEMBERS OF LOCAL ORGANIZATIONS WITH A FOCUS ON HEALTH AND CHILDREN'S ADVOCACY. ROLE OF SUBCOMMITTEE IS TO ADVISE THE BOARD AND OVERSEE UPCOMING COMMUNITY HEALTH NEEDS ASSESSMENT, IMPLEMENTATION STRATEGY DEVELOPMENT, AND TO ESTABLISH COMMUNITY PARTNERSHIPS. 28% OF LEADERS PARTICIPATED IN COMMUNITY BOARDS. THE GOAL FOR THIS TAX YEAR WAS 25%. COMMUNITY PARTICIPATION WILL CONTINUE TO BE ENCOURAGED FOR LEADERS. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 22 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. | ExplanationTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| CENTER FOR NON-PROFITS | ||||
| 1200 W WALNUT | ROGERS | AR | 72756 | HOME CARE |
| MERCY WOUND CARE | ||||
| 1194 W WALNUT | ROGERS | AR | 72756 | WOUND CARE |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE H, PART I, LINE 6A | FormAndLineReferenceDesc |
| Explanation | 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 WAS $185,950,042. THE BAD DEBT EXPENSE (CHARGES) INCLUDED IN THIS AMOUNT WAS $13,696,118. THE REMAINING EXPENSE OF $172,253,924 WAS UTILIZED FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F). 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 ALTHOUGH MERCY HOSPITAL PROVIDED SIGNIFICANT CHARITY CARE DURING TAX YEAR 2014 AND PARTICIPATED IN COMMUNITY EVENTS, THE HOSPITAL DID NOT PARTICIPATE IN ANY COMMUNITY BUILDING ACTIVITIES DURING THIS YEAR. 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 (REFER TO DISCLOSURE FOR PART III, #9B) 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 SYSTEM'S CHARITY CARE POLICY. THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES IS BASED UPON MANAGEMENT'S 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 MERCY'S 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 COVERAGES INCLUDING MEDICAID. IN THE EVENT AN ACCOUNT IS TURNED TO COLLECTIONS, AND IS IDENTIFIED IN NEED OF FINANCIAL ASSISTANCE DUE TO CIRCUMSTANCE CHANGES, OR 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; 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. 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 REVIEWS COMPLIANCE WITH POLICIES. FORM 990, SCHEDULE H, PART VI, LINE 2 MERCY BELIEVES THAT ITS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS IS COMPREHENSIVE ENOUGH TO CAPTURE SUBSTANTIALLY ALL OF THE COMMUNITY'S NEEDS. THEREFORE NO FURTHER STEPS WERE TAKEN TO IDENTIFY ADDITIONAL NEEDS. FORM 990, SCHEDULE H, PART VI, LINE 3 THE FILING ORGANIZATION HAS PRINTED MATERIAL AVAILABLE AT EACH POINT OF REGISTRATION IN OUR FACILITY, IN ADDITION TO ELECTRONICALLY AVAILABILITY AT OUR WEB SITE AT MERCY.NET ON HOW TO CONTACT CUSTOMER SERVICE FOR FINANCIAL ASSISTANCE. THE STATEMENT ALSO INCLUDES DIRECTION ON HOW TO REACH OUT TO MERCY FOR FINANCIAL ASSISTANCE AS WELL. FINANCIAL ASSISTANCE INFORMATION AS A PART OF OUR HEALING MINISTRY, THE FILING ORGANIZATION IS COMMITTED TO PROVIDING QUALITY HEALTHCARE SERVICES TO PATIENTS REGARDLESS OF THEIR FINANCIAL SITUATION. WE OFFER PAYMENT ASSISTANCE FOR THOSE WHO DO NOT HAVE INSURANCE OR WHO ARE IN FINANCIAL NEED. UNINSURED PATIENT DISCOUNTS A DISCOUNT FROM THE HOSPITAL'S REGULAR BILLED CHARGES WILL BE PROVIDED TO PATIENTS WHO DO NOT HAVE INSURANCE. THIS INCLUDES PATIENTS WHOSE FINANCIAL SITUATION NORMALLY WOULD NOT OTHERWISE QUALIFY THEM FOR CHARITY CARE DISCOUNTS. PATIENTS WITHOUT INSURANCE WHOSE FINANCIAL SITUATION QUALIFIES THEM FOR CHARITY CARE DISCOUNTS (SEE ELIGIBILITY GUIDELINES BELOW) ARE ASSISTED OR ASKED IN APPLYING FOR MEDICAID BEFORE APPLYING FOR FINANCIAL ASSISTANCE. MERCY WORKS TO EXHAUST ALL EFFORTS TO COORDINATE WITH THE PATIENT TO APPLY FOR MEDICAID, BUT DOES NOT PROHIBIT CHARITY CONSIDERATIONS IF DENIED NOR APPLIED. APPLICATIONS FOR CHARITY CARE DISCOUNTS WILL BE REVIEWED FOR ELIGIBILITY BASED ON THE APPLICANT'S INCOME, FAMILY SIZE, AMOUNT OF PAYMENT DUE AND AVAILABILITY OF OTHER ASSETS OR RESOURCES. PLEASE NOTE THAT CARE MUST BE MEDICALLY NECESSARY TO BE CONSIDERED ELIGIBLE FOR UNINSURED PATIENT DISCOUNTS. FORM 990, SCHEDULE H, PART VI, LINE 4 MERCY HOSPITAL ROGERS' PRIMARY SERVICE AREA INCLUDES FOUR COUNTIES IN NORTHWEST ARKANSAS (BENTON, CARROLL, WASHINGTON AND MADISON) AND TWO COUNTIES IN SOUTHWEST MISSOURI (BARRY AND MCDONALD). THE FOLLOWING INFORMATION IS DERIVED FROM 2015 Sg2 ANALYTICS DATA AND Sg2 INSURANCE COVERAGE ESTIMATES. THE AREA'S POPULATION IS 578,191. 28% OF THE POPULATION'S AVERAGE HOUSEHOLD INCOME IS OVER $75,000. 37% OF THE POPULATION IS 45 AND OLDER. 22% OF HOUSEHOLDS ARE ON MEDICARE, 18% ON MEDICAID, AND 11% UNINSURED. FORM 990, SCHEDULE H, PART VI, LINE 5 MERCY HOSPITAL, IN ACCORDANCE WITH ITS MISSION AND VALUES, PROVIDES QUALITY AND COMPASSIONATE HEALTH CARE TO PATIENTS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, DISABILITY, AGE OR ABILITY TO PAY. MERCY VIEWS ITS HEALTH CARE SERVICES AS A MINISTRY, WHETHER CARE IS PROVIDED IN THE ACUTE CARE, AMBULATORY, OR HOME-HEALTH ENVIRONMENT. MERCY IS GOVERNED BY A BOARD OF DIRECTORS COMPRISED OF COMMUNITY LEADERS AND REPRESENTATIVES OF THE COMMUNITY. THE MAJORITY OF THE BOARD MEMBERS RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA AND ARE NEITHER EMPLOYEES, INDEPENDENT CONTRACTORS, OR FAMILY MEMBERS OF EMPLOYEES OR INDEPENDENT CONTRACTORS. ALL BOARD MEMBERS COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY AND ANY POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED AND RESOLVED. MEDICAL STAFF PRIVILEGES ARE EXT | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| Tri State Family YMCA | |||||||
| 4701 Chouteau Avenue | Neosho | MO | 64850 | 431729473 | 501(c)(3) | $149,793 | FUNDING IS INTENDED TO BE USED FOR THE GENERAL OPERATING PURPOSES OF THE DONEE. THE USE OF FUNDS ARE NOT MOITORED AFTER GIVEN. |
| ROGERS LOWELL CHAMBER OF COMMERCE | |||||||
| 317 WEST WALNUT | ROGERS | AR | 72756 | 710029635 | 501(c)(6) | $15,000 | FUNDING IS INTENDED TO BE USED FOR THE GENERAL OPERATING PURPOSES OF THE DONEE. THE USE OF FUNDS ARE NOT MOITORED AFTER GIVEN. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | PATIENT ASSISTANCE - HOME HEALTH DIALYSIS | GrantTypeTxt |
| Recipient | 11 | RecipientCnt |
| Cash Grant | $57,465 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING USE OF GRANTS THE ASSISTANCE PROVIDED IS INTENDED TO BE USED FOR THE GENERAL OPERATING PURPOSES OF THE DONEE. THE USE OF GRANT FUNDS IS NOT MONITORED AFTER GRANTS ARE GIVEN. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | Yes (X) | FirstClassOrCharterTravelInd |
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| 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 | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (28 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Donnell Hugh G | ||||||||||||||
| Physician & Board member | $0 | $379,726 | $0 | $32,402 | $0 | $36,043 | $0 | $27,977 | $0 | $23,162 | $0 | $499,310 | $0 | $0 |
| Pianalto Eric | ||||||||||||||
| Chief executive officer | $0 | $321,256 | $0 | $61,685 | $0 | $32,950 | $0 | $142,068 | $0 | $18,124 | $0 | $576,083 | $0 | $0 |
| Reynolds Scott | ||||||||||||||
| CFO - Central Communities | $0 | $243,075 | $0 | $49,138 | $0 | $43,094 | $0 | $43,356 | $0 | $13,818 | $0 | $392,481 | $0 | $0 |
| Barclay Richard F | ||||||||||||||
| VP-Support services | $0 | $154,893 | $0 | $13,091 | $0 | $36,693 | $0 | $15,482 | $0 | $12,765 | $0 | $232,924 | $0 | $0 |
| Burke James | ||||||||||||||
| Regional VP-Legal | $0 | $240,363 | $0 | $22,754 | $0 | $49,607 | $0 | $19,698 | $0 | $16,266 | $0 | $348,688 | $0 | $0 |
| Chase Brenda | ||||||||||||||
| COO - through 10/14 | $0 | $175,158 | $0 | $300,595 | $0 | $146,043 | $0 | $83,833 | $0 | $11,822 | $0 | $717,451 | $0 | $0 |
| Halstead John | ||||||||||||||
| VP-Mission | $0 | $139,696 | $0 | $13,173 | $0 | $1,369 | $0 | $2,877 | $0 | $16,251 | $0 | $173,366 | $0 | $0 |
| Hennessey III William | ||||||||||||||
| Regional VP-Marketing | $0 | $145,094 | $0 | $25,283 | $0 | $49,843 | $0 | $53,779 | $0 | $16,681 | $0 | $290,680 | $0 | $0 |
| Johnson Christopher | ||||||||||||||
| Chief of staff | $0 | $294,108 | $0 | $28,059 | $0 | $53,459 | $0 | $27,992 | $0 | $23,123 | $0 | $426,741 | $0 | $0 |
| Marion Tanya | ||||||||||||||
| Regional VP-Human resources | $0 | $165,145 | $0 | $25,369 | $0 | $35,240 | $0 | $38,285 | $0 | $17,148 | $0 | $281,187 | $0 | $0 |
| Rankin Charlotte | ||||||||||||||
| Chief nursing officer | $0 | $153,734 | $0 | $15,209 | $0 | $26,729 | $0 | $13,825 | $0 | $7,151 | $0 | $216,648 | $0 | $0 |
| Stover Benny J | ||||||||||||||
| VP-Finance | $0 | $158,829 | $0 | $16,492 | $0 | $18,956 | $0 | $9,764 | $0 | $16,930 | $0 | $220,971 | $0 | $0 |
| Swope Jon | ||||||||||||||
| President, central communities | $0 | $612,178 | $0 | $115,050 | $0 | $51,794 | $0 | $165,114 | $0 | $18,886 | $0 | $963,022 | $0 | $0 |
| Dunham Robert D | ||||||||||||||
| Director, pharmacy services | $134,263 | $0 | $3,631 | $0 | $27,164 | $0 | $17,275 | $0 | $16,347 | $0 | $198,680 | $0 | $0 | $0 |
| Gibbs Eric | ||||||||||||||
| Clinical pharmacist | $143,989 | $0 | $0 | $0 | $14,973 | $0 | $7,984 | $0 | $12,430 | $0 | $179,376 | $0 | $0 | $0 |
| Moore Richard E | ||||||||||||||
| Clinical pharmacist | $137,622 | $0 | $0 | $0 | $17,829 | $0 | $7,984 | $0 | $16,718 | $0 | $180,153 | $0 | $0 | $0 |
| Quam Mary E | ||||||||||||||
| Pharmacist | $133,179 | $0 | $0 | $0 | $9,256 | $0 | $19,141 | $0 | $12,490 | $0 | $174,066 | $0 | $0 | $0 |
| Slaba Sean M | ||||||||||||||
| Perfusionist | $121,926 | $0 | $0 | $0 | $23,276 | $0 | $7,236 | $0 | $16,168 | $0 | $168,606 | $0 | $0 | $0 |
| Day Bradley Kim | ||||||||||||||
| Former key employee | $0 | $6,291,206 | $0 | $253,000 | $0 | $142,401 | $0 | $19,239 | $0 | $10,103 | $0 | $6,715,949 | $0 | $5,998,919 |
| Diedrich Michele | ||||||||||||||
| Former key employee | $0 | $79,415 | $0 | $148,494 | $0 | $124,003 | $0 | $40,428 | $0 | $8,468 | $0 | $400,808 | $0 | $0 |
| Donnell Robert | ||||||||||||||
| Former highest compensated | $0 | $200,132 | $0 | $22,220 | $0 | $38,214 | $0 | $42,544 | $0 | $9,157 | $0 | $312,267 | $0 | $0 |
| Merritt James | ||||||||||||||
| Former highest compensated | $0 | $196,522 | $0 | $22,220 | $0 | $40,848 | $0 | $12,394 | $0 | $19,267 | $0 | $291,251 | $0 | $0 |
| Ritz Ralph | ||||||||||||||
| Former highest compensated | $0 | $178,430 | $0 | $22,220 | $0 | $56,050 | $0 | $13,278 | $0 | $9,137 | $0 | $279,115 | $0 | $0 |
| Stewart Michele | ||||||||||||||
| Former key employee | $0 | $257,203 | $0 | $46,029 | $0 | $23,596 | $0 | $95,686 | $0 | $17,863 | $0 | $440,377 | $0 | $0 |
| Street Scott | ||||||||||||||
| Former officer | $0 | $0 | $0 | $156,044 | $0 | $260,728 | $0 | $9,610 | $0 | $0 | $0 | $426,382 | $0 | $0 |
| Treptow MD Douglas | ||||||||||||||
| Former key employee | $0 | $480,970 | $0 | $46,358 | $0 | $68,115 | $0 | $34,416 | $0 | $17,546 | $0 | $647,405 | $0 | $0 |
| Vitiello Jonathan | ||||||||||||||
| Former officer | $0 | $389,769 | $0 | $91,421 | $0 | $36,241 | $0 | $96,519 | $0 | $18,297 | $0 | $632,247 | $0 | $0 |
| Wilson Cynthia R | ||||||||||||||
| Former highest compensated | $0 | $255,890 | $0 | $26,260 | $0 | $30,946 | $0 | $20,989 | $0 | $22,842 | $0 | $356,927 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (6 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. TRAVEL FOR COMPANIONS IS PROVIDED IN RARE INSTANCES AND IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. WHERE COMPANION TRAVEL HAS RESULTED IN A TAXABLE EVENT, THE EMPLOYEES ARE TAXED FOR SUCH TRAVEL. 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 ROGERS 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 INDIVIDUALS RECEIVED A SEVERANCE PAYMENT DURING CALENDAR YEAR 2014: SCOTT STREET, $260,728; BRENDA CHASE, $38,164; MICHELE DIEDRICH, $100,469. |
| FORM 990, SCHEDULE J, PART I, QUESTION 4B | MERCY HEALTH OFFERS SUPPLEMENTAL RETIREMENT PLANS TO CERTAIN EXECUTIVES WHICH PROVIDE BENEFITS UPON VESTING DATE BASED ON COMPENSATION, AGE AT THE TIME OF BENEFIT COMMENCEMENT, LENGTH OF SERVICE WITH THE COMPANY AND/OR ITS AFFILIATES AND LENGTH OF TENURE IN THE PLAN. THE INDIVIDUALS REPORTABLE ON THIS RETURN WHO PARTICIPATE IN THE SUPPLEMENTAL RETIREMENT PLANS INCLUDE: ERIC PIANALTO, JAMES BURKE, JONATHAN VITIELLO, BRENDA CHASE, MICHELE DIEDRICH, TANYA MARION, WILLIAM HENNESSEY III, MICHELE STEWART, AND JON SWOPE. THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C). |
| FORM 990, SCHEDULE J, PART I, QUESTION 7 | MERCY HEALTH PROVIDES A NON-FIXED BONUS PLAN FOR WHICH CERTAIN TIERS OF ITS EMPLOYEES ARE ELIGIBLE. FOR FISCAL YEAR 2015 (JULY 1, 2014 - JUNE 30, 2015), PAYMENT OF ALL OR PART OF THE BONUS WAS CONTINGENT UPON ATTAINMENT OF CERTAIN FINANCIAL TARGETS AND NON-FINANCIAL GOALS DEEMED NECESSARY BY MERCY. PAYMENTS ARE MADE ANNUALLY IN OCTOBER FOLLOWING (I) THE CONCLUSION OF THE FISCAL YEAR AND (II) DETERMINATION OF GOAL ACHIEVEMENT. BONUS OPPORTUNITIES ARE TIERED PERCENTAGES AND ARE DEPENDENT UPON THE LEADERSHIP LEVEL AND ATTAINMENT PERCENTAGE. MERCY'S ATTAINMENT OF FINANCIAL TARGETS AND NON-FINANCIAL GOALS IS REVIEWED BY THE COMPENSATION COMMITTEE OF MERCY HEALTH AND IS TAKEN INTO ACCOUNT WHEN ANALYZING EXECUTIVE COMPENSATION FOR REASONABLENESS. |
| FORM 990, SCHEDULE J, PART II | THE AMOUNT REPORTED FOR BRADLEY (KIM) DAY IN COLUMN (F) IS INCLUDED IN COLUMN B (I) AS BASE COMPENSATION. THIS IS A PAYOUT OF THE SUPPLEMENTAL RETIREMENT PLAN AND WAS INCLUDED IN COLUMN (C) OF PREVIOUSLY FILED FORMS 990. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Carl Hogle | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Family of key employee | RelationshipDescriptionTxt |
| Transaction | $58,538 | TransactionAmt |
| Transaction | Employment | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, QUESTION 4D | MERCY HOSPITAL ROGERS (MHR) AND ITS MEMBER HEALTH CARE FACILITIES PROVIDE QUALITY CARE REGARDLESS OF RACE, CREED, GENDER, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. MHR PROVIDED 38,718 INPATIENT SERVICE DAYS OF ACUTE OR SUB-ACUTE CARE. MHR PERFORMED 1,609 DELIVERIES, RESPONDED TO APPROX. 53,492 EMERGENCY ROOM ENCOUNTERS, MADE APPROX. 42,319 HOME HEALTH CARE VISITS AND COMPLETED 175,377 OUTPATIENT VISITS. COMMUNITY OUTREACH/BENEFIT PROGRAMS INCLUDE SUPPORT GROUPS FOR CURRENT AND PAST PATIENTS (DIABETIC, CARDIAC, ETC), EXPECTING/NEW PARENTS (CHILD BIRTH CLASSES, VARIOUS SUPPORT GROUPS, ETC), EMPLOYEES (EDUCATIONAL ASSISTANCE PROGRAMS, ETC), AND LOCAL/SURROUNDING COMMUNITY (HEALTH AND WELLNESS PROGRAMS, HEALTH FAIRS, HOME HEALTH PROGRAMS, ETC). RELIEF FROM THE FINANCIAL BURDEN OF HEALTH CARE SERVICES TO THE INDIGENT CONSISTS OF CHARGES OF $18,089,985 FOR CHARITY CARE PROVIDED. |
| FORM 990, PART V, QUESTION 1A | FORM 1099/1096 FILING VENDORS FOR THE FILING ORGANIZATION ARE PAID BY MERCY HEALTH (EIN 43-1423050). AS SUCH, ALL REQUIRED FORM 1099 AND FORM 1096 REPORTING IS MADE FOR THE ENTIRE MERCY HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN. |
| FORM 990, PART VI, LINE 6A, LINE 7A, 7B | CLASSES OF MEMBERS OR STOCKHOLDERS THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES. THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED SOLELY UNTO THE CORPORATE MEMBER: A. TO APPROVE THE MISSION AND ESTABLISH THE PHILOSOPHY ACCORDING TO WHICH THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION SHALL OPERATE; B. TO AMEND THE ARTICLES OF INCORPORATION AND BYLAWS; C. TO APPOINT AND REMOVE MEMBERS OF THE BOARD; D. TO APPOINT AND REMOVE THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION; E. TO APPROVE OR AMEND THE STRATEGIC PLAN, GOALS, AND OBJECTIVES OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; F. TO APPROVE OR AMEND THE OPERATING, CAPITAL AND CONSTRUCTION BUDGETS FOR THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; G. TO LEASE OR SELL ANY OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION IN EXCESS OF ONE MILLION DOLLARS ($1,000,000); H. TO ENCUMBER ANY OR ALL OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; I. TO AUTHORIZE AND APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY ORGANIZATION 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; J. TO MERGE, DISSOLVE, OR ABANDON THE CORPORATION; AND, K. 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 MANAGER OF ACCOUNTING AND THE VICE-PRESIDENT OF FINANCE. THE DRAFT FORM 990 IS ALSO REVIEWED BY MERCY HEALTH'S TAX DEPARTMENT, TO ENSURE ACCURACY AND CONSISTENCY WITH OTHER RELATED ORGANIZATIONS' FORM 990S. 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, 2015. THIS PROCESS IS ADMINISTERED AT THE MERCY HEALTH LEVEL BY MERCY'S BUSINESS RISK (INTERNAL AUDIT) DEPARTMENT. THE QUESTIONNAIRES ARE REVIEWED WITH LEADERSHIP AT THE LOCAL LEVEL AND POTENTIAL CONFLICTS DISCUSSED AND RESOLVED. THE CONFLICTS AND THEIR RESPECTIVE RESOLUTIONS ARE SHARED AT THE MERCY LEVEL WITH A TEAM INCLUDING MERCY'S CHIEF FINANCIAL OFFICER, CHIEF COMPLIANCE OFFICER AND OTHER MEMBERS OF FINANCE, LEGAL AND HR. SUMMARY RESULTS ARE REVIEWED WITH MERCY'S STEWARDSHIP COMMITTEE (FORMERLY FINANCE, AUDIT AND COMPLIANCE COMMITTEE) OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, QUESTIONS 15A & 15B | OFFICERS & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FOR THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS), THE ORGANIZATION RELIES UPON MERCY HEALTH, WHICH USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT, AND REVIEW/APPROVAL OF COMPENSATION BY THE COMPENSATION COMMITTEE OF THE BOARD OF MERCY HEALTH. FOR THOSE CLASSIFIED AS KEY EMPLOYEES, THE ORGANIZATION USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, AND REVIEW/APPROVAL OF EXECUTIVE MANAGEMENT. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS, AND A REVIEW WAS COMPLETED DURING THE REPORTING YEAR. FORM 990, PART VI, QUESTIONS 16A & 16B PARTCIPATION IN JOINT VENTURE AGREEMENTS MERCY'S APPROACH TO JOINT VENTURES IS INFORMED BY A NUMBER OF COMPANY REQUIREMENTS, INCLUDING MERCY'S CODE OF CONDUCT AND THE ETHICAL AND RELIGIOUS DIRECTIVES IMPOSED BY THE U.S. CATHOLIC BISHOPS SPECIFICALLY GOVERNING HEALTHCARE BUSINESS RELATIONSHIPS WITH THIRD PARTIES. IN ADDITION TO THE FOREGOING, APPROPRIATE SAFEGUARDS ARE INCLUDED IN THE JOINT VENTURE OPERATING AGREEMENTS TO ENSURE COMPLIANCE WITH APPLICABLE LAW, CHURCH TEACHING AND PRESERVATION OF THE HOSPITAL'S TAX EXEMPT-STATUS. SUCH SAFEGUARDS INCLUDE BUT ARE NOT LIMITED TO: REQUIREMENTS THAT THE BUSINESS BE MANAGED IN A MANNER THAT PROMOTES THE BETTERMENT OF THE HEALTH OF THE CITIZENS OF NORTHWEST ARKANSAS, WHICH SHALL OVERRIDE ANY OBLIGATION TO MAXIMIZE PROFITS; CONTRACTS WITH MEMBERS MUST BE APPROVED AND PAYMENTS BASED ON ACTUAL EXPENSES REASONABLY INCURRED; AND, REQUIREMENTS THAT A CHARITY CARE POLICY BE ESTABLISHED AND EFFECTIVELY IMPLEMENTED. |
| FORM 990, PART VI, QUESTION 19 | AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMT TO GEN PUBLIC GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST BUT ARE NOT PUBLISHED PUBLICLY. |
| FORM 990, PART VII, SECTION A, COLUMN B | AVERAGE HOURS PER WEEK THE HOURS PER WEEK DISCLOSED IN PART VII IS THE AVERAGE HOURS THE LISTED PERSON WORKED OR DEVOTED PER WEEK WHILE EMPLOYED OR ASSOCIATED WITH THE FILING ORGANIZATION AND RELATED ORGANIZATIONS (IF APPLICABLE). |
| FORM 990, PART XI, LINE 9 | OTHER CHANGES IN NET ASSETS NET TRANSFERS TO/FROM AFFILIATES - 123,747 TOTAL CHANGES IN NET ASSETS - 123,747 |
| 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 2015 (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. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (69 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 | 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 Ctr Dr Ste 100 | 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 Suite 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 Bryville | 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 KS Comm | 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 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 | false |
| Mercy Health Oklahoma Communities Inc | ||||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 731453048 | Holding co | OK | 501c3 | 11b | Mercy Health | 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 | MH SF | 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 Fort Smith | ||||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72917 | 710240352 | Hospital | AR | 501c3 | 3 | MH FS COMM | 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 Drive | 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 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 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 Medical Research Institute | ||||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 870796305 | Research | MO | 501c3 | 4 | MH SF COMM | Yes (true) |
| Mercy Ministries of Laredo | ||||||||||
| 2500 Zacatecas | Laredo | TX | 78046 | 200198462 | outreach | TX | 501c3 | 7 | Mercy Health | Yes (true) |
| Mercy St Francis Hospital | ||||||||||
| 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 John's Children's Hospital Inc | ||||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | DSLVD 3/23/15 | MO | 501c3 | 3 | MH SF COMM | Yes (true) | |
| St Mary's Hospital of Enid Oklahoma | ||||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 730614655 | DSLVD 3/23/15 | 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) |
| Unity Ambulatory Care | ||||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 431861745 | DSLVD 3/23/15 | MO | 501c3 | 11c | MH East Comm | Yes (true) |
| Mercy Hospital Lincoln | ||||||||||
| 1000 East Cherry Street | Troy | MO | 63379 | 472219204 | Hospital | MO | 501c3 | 3 | MH EAST COMM | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|
| Merc Ambu Surg CTR | |||||||
| 7301 Rogers Av | Fort Smith | AR | 72903 | 710827721 | AMBUL SURG CT | AR | NA |
| RES OPT & INNOV | |||||||
| 645 Maryville Centre Dr 200 | St Louis | MO | 63141 | 460468368 | CENTRAL DIST. | MO | NA |
| SO OK DIAG CTR | |||||||
| 1011 14TH Ave NW | Ardmore | OK | 73401 | 431971232 | MRI Services | OK | NA |
| Fort Smith EMS | |||||||
| 1701 S Greenwood | Fort Smith | AR | 72901 | 710416615 | Emergency Med | AR | NA |
| St Ed Mer Med MOB | |||||||
| 7301 Rogers Ave | Fort Smith | AR | 72903 | 710554050 | Office Building | AR | NA |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (14 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| Frontenac Properties Inc | |||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 521914421 | HOLDING COMP | DE | NA | C-CORP | Yes (true) |
| Inveno Health Inc | |||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 264509571 | Product Commer | MO | NA | C-CORP | Yes (true) |
| Mercy Commercial Services Inc | |||||||||
| 14528 South Outer Forty Suite 100 | Chesterfield | MO | 63017 | 464953543 | Parent of VCC | MO | NA | C-CORP | Yes (true) |
| Mercy Community Services Inc | |||||||||
| 401 Woodland Hills Blvd | Fort Scott | KS | 66701 | 481078101 | RETAIL PHARMACY | KS | NA | C-CORP | Yes (true) |
| Mercy Health Center Condominium Inc | |||||||||
| 4300 W Memorial Rd | Oklahoma City | OK | 73120 | 680640970 | Real estate | OK | NA | C-CORP | Yes (true) |
| Mercy Health Network of the Southern Reg | |||||||||
| 1011 14th Avenue NW | Ardmore | OK | 73401 | 731580607 | HOLDING COMP | OK | NA | C-CORP | Yes (true) |
| Mercy Health Network Inc | |||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 731381689 | HOLDING COMP | OK | NA | C-CORP | Yes (true) |
| Mercy Managed Care Corporation | |||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 731441665 | HOLDING COMP | OK | NA | C-CORP | Yes (true) |
| UHL Corp Inc | |||||||||
| 645 Maryville Centre Drive Suite 1 | St Louis | MO | 63141 | 742499535 | HOLDING COMP | MO | NA | C-CORP | Yes (true) |
| Unity Support Services Inc | |||||||||
| 645 Maryville Centre Drive Suite 1 | St Louis | MO | 63141 | 431797042 | PRACTICE MGT | MO | NA | C-CORP | Yes (true) |
| The Apothecary Services Inc | |||||||||
| PO Box 350 | Crystal City | MO | 63019 | 431627267 | RETAIL PHARMACY | MO | NA | C-CORP | Yes (true) |
| St John's Mercy Mail Order Inc | |||||||||
| 13645 Shoreline Drive | Earth City | MO | 63045 | 431014222 | Mail Odr pharmacy | MO | NA | C-CORP | Yes (true) |
| St John's Mercy PBM Inc | |||||||||
| 13175 Lakefront Drive | Earth City | MO | 63045 | 743089567 | Pharmacy benefit | MO | NA | C-CORP | Yes (true) |
| UH Holdings Inc | |||||||||
| 645 Maryville Centre Drive Suite 1 | St Louis | MO | 63141 | 431845682 | HOLDING COMP | MO | NA | C-CORP | Yes (true) |
| 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 (15 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Mercy Health Northwest Arkansas Communities | ||
| p | $25,188,454 | FMV |
| Mercy Health Oklahoma Communities Inc | ||
| P | $146,396 | FMV |
| Mercy Kansas Communities Inc | ||
| p | $297,861 | FMV |
| Mercy Hospitals East Communities | ||
| P | $3,874,198 | FMV |
| Mercy Clinic East Communities | ||
| p | $1,017,962 | FMV |
| Mercy Clinic Fort Smith Communities | ||
| P | $145,724 | FMV |
| Mercy Hospital Springfield | ||
| Q | $473,599 | FMV |
| Mercy Clinic Oklahoma Communities Inc | ||
| P | $434,168 | FMV |
| Mercy Clinic Springfield Communities | ||
| P | $971,339 | FMV |
| Mercy Health | ||
| P | $241,483 | FMV |
| MHM Support Services | ||
| Q | $187,937,211 | FMV |
| Resource Optimization & Innovation LLC | ||
| P | $9,607,598 | FMV |
| Mercy Hospital Jefferson | ||
| P | $57,976 | FMV |
| Mercy Family Center | ||
| Q | $329,344 | FMV |
| Mercy Health Foundation Northwest Arkansas | ||
| C | $197,201 | 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 | MERCY HEALTH (MERCY) HAS MANY LEGAL ENTITIES WITHIN ITS STRUCTURE. LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY AND THE MAJORITY OF THE INTERCOMPANY/RELATED ORGANIZATION TRANSACTIONS ARE PROCESSED THROUGH LAWSON. WITH THE CURRENT DESIGN OF THE ERP SYSTEM, THERE ARE VARIOUS LIMITATIONS ON EXTRACTING THE RELATED ORGANIZATION INFORMATION FROM LAWSON. DUE TO THESE LIMITATIONS, MOST OF THE RELATED ORGANIZATION ACTIVITY FOR THE FILING ORGANIZATION HAS BEEN CLASSIFIED ON SCHEDULE R, PART V, IN LINES P AND Q AND THE INFORMATION INCLUDES RELATED PARTY TRANSACTIONS FOR ALL OF MERCY, RATHER THAN ONLY THE FILING ENTITY. |