STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

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 ReturnHeader

FieldValueIRS element (for citing)
Return2016-05-13T10:32:08-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11900 SCRIPPS CENTER 312 WALNUT STAddressLine1Txt
CityCINCINNATICityNm
State AbbreviationOHStateAbbreviationCd
ZIP45202ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN710294390EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Mercy Hospital RogersBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% BENNY J STOVER CPAInCareOfNm
Business Name ControlMERCBusinessNameControlTxt
Phone3145796100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12710 Rife Medical LaneAddressLine1Txt
CityRogersCityNm
State AbbreviationARStateAbbreviationCd
ZIP72758ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBENNY J STOVERPersonNm
Person TitleVP FINANCEPersonTitleTxt
Signature2016-05-12SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJulie L SparksPreparerPersonNm
PTINP01268401PTIN
Phone5136121400PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerEric PianaltoPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12710 Rife Medical LaneAddressLine1Txt
CityRogersCityNm
State AbbreviationARStateAbbreviationCd
ZIP72758ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$211,764,904GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MERCY.NETWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1995FormationYr
Legal Domicile StateARLegalDomicileStateCd
Activity Or MissionAS 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 Body3VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee1428TotalEmployeeCnt
Total Volunteers270TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$167,303PYContributionsGrantsAmt
CY Contributions Grants$234,039CYContributionsGrantsAmt
PY Program Service Revenue$190,951,975PYProgramServiceRevenueAmt
CY Program Service Revenue$209,318,047CYProgramServiceRevenueAmt
PY Investment Income$357,182PYInvestmentIncomeAmt
CY Investment Income$48,442CYInvestmentIncomeAmt
PY Other Revenue$2,121,655PYOtherRevenueAmt
CY Other Revenue$2,164,376CYOtherRevenueAmt
PY Total Revenue$193,598,115PYTotalRevenueAmt
CY Total Revenue$211,764,904CYTotalRevenueAmt
PY Grants And Similar Paid$158,865PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$235,559CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$61,752,524PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$69,590,943CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$111,023,300PYOtherExpensesAmt
CY Other Expenses$116,123,540CYOtherExpensesAmt
PY Total Expenses$172,934,689PYTotalExpensesAmt
CY Total Expenses$185,950,042CYTotalExpensesAmt
PY Revenues Less Expenses$20,663,426PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$25,814,862CYRevenuesLessExpensesAmt
Total Assets BOY$244,038,853TotalAssetsBOYAmt
Total Assets EOY$268,941,799TotalAssetsEOYAmt
Total Liabilities BOY$5,441,313TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,373,734TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$238,597,540NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$264,568,065NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAS 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$19,909,989ExpenseAmt
Grant$0GrantAmt
Revenue$69,778,421RevenueAmt
DescINPATIENT 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

FieldValueIRS element (for citing)
Expense$16,682,134ExpenseAmt
Grant$0GrantAmt
Revenue$68,324,731RevenueAmt
DescSURGICAL 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

FieldValueIRS element (for citing)
Expense$5,928,894ExpenseAmt
Grant$0GrantAmt
Revenue$37,485,995RevenueAmt
DescCARDIOVASCULAR 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
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$96,631,451TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$235,559TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$33,728,900TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$139,152,468TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1428EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members3GoverningBodyVotingMembersCnt
Independent Voting Member2IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonBENNY J STOVER CPAPersonNm
Phone4793382903PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12710 Rife Medical LaneAddressLine1Txt
CityRogersCityNm
State AbbreviationARStateAbbreviationCd
ZIP72758ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Callahan Wayne
Board member1.01.0Yes (X)$0$0$0
Donnell Hugh G
Physician & Board member5.055.0Yes (X)$0$448,171$51,139
Lawson Randy
Board member1.01.0Yes (X)$0$0$0
Pianalto Eric
Chief executive officer25.035.0$0$415,891$160,192Yes (X)
Reynolds Scott
CFO - Central Communities2.058.0$0$335,307$57,174Yes (X)
Barclay Richard F
VP-Support services60.00.0$0$204,677$28,247Yes (X)
Burke James
Regional VP-Legal2.058.0$0$312,724$35,964Yes (X)
Chase Brenda
COO - through 10/1420.00.0$0$621,796$95,655Yes (X)
Halstead John
VP-Mission40.020.0$0$154,238$19,128Yes (X)
Hennessey III William
Regional VP-Marketing10.050.0$0$220,220$70,460Yes (X)
Johnson Christopher
Chief of staff60.00.0$0$375,626$51,115Yes (X)
Marion Tanya
Regional VP-Human resources3.057.0$0$225,754$55,433Yes (X)
Rankin Charlotte
Chief nursing officer60.00.0$0$195,672$20,976Yes (X)
Stover Benny J
VP-Finance30.030.0$0$194,277$26,694Yes (X)
Swope Jon
President, central communities2.058.0$0$779,022$184,000Yes (X)
Dunham Robert D
Director, pharmacy services60.00.0$165,058$0$33,622Yes (X)
Gibbs Eric
Clinical pharmacist60.00.0$158,962$0$20,414Yes (X)
Moore Richard E
Clinical pharmacist60.00.0$155,451$0$24,702Yes (X)
Quam Mary E
Pharmacist60.00.0$142,435$0$31,631Yes (X)
Slaba Sean M
Perfusionist60.00.0$145,202$0$23,404Yes (X)
Street Scott
Former officer0.00.0$0$416,772$9,610Yes (X)
Vitiello Jonathan
Former officer0.060.0$0$517,431$114,816Yes (X)
Day Bradley Kim
Former key employee0.050.0$0$6,686,607$29,342Yes (X)
Diedrich Michele
Former key employee0.00.0$0$351,912$48,896Yes (X)
Stewart Michele
Former key employee0.060.0$0$326,828$113,549Yes (X)
Treptow MD Douglas
Former key employee0.060.0$0$595,443$51,962Yes (X)
Donnell Robert
Former highest compensated0.060.0$0$260,566$51,701Yes (X)
Merritt James
Former highest compensated0.060.0$0$259,590$31,661Yes (X)
Ritz Ralph
Former highest compensated0.060.0$0$256,700$22,415Yes (X)
Wilson Cynthia R
Former highest compensated0.060.0$0$313,096$43,831Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$767,108TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$14,468,320TotReportableCompRltdOrgAmt
Total Other Compensation$1,507,733TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K25IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
DEWITT AND ASSOC INC
PO BOX 3378 GSSPRINGFIELDMO65808CONSTRUCTION$5,701,842
SIEMENS MEDICAL SOLUTIONS USA
51 Valley Stream PkwyMALVERNPA19355Construction$2,386,946
MAYO MEDICAL LABS
200 SW FIRST STREETROCHESTERMN55805LABORATORY SERVICES$1,234,308
ANESTHESIA SERV BENTON COUNTY PA
3321 N Dixieland RdROGERSAR72756Anesthesia Services$1,022,614
PINNACLE RADIOLOGY PLLC
4500 S GARNETT STE 919TULSAOK74146RADIOLOGY SERVICES$698,300
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K31CntrctRcvdGreaterThan100KCnt
Fundraising$0FundraisingAmt
Related Organizations$69,014RelatedOrganizationsAmt
Government Grants$151,925GovernmentGrantsAmt
All Other Contributions$13,100AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$234,039TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
NET PATIENT SERVICE REVENUE621110$209,060,316$209,060,316$0$0
OTHER OPERATING REVENUE900099$257,731$257,731$0$0
FieldValueIRS element (for citing)
Total Program Service Revenue$209,318,047TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$48,442TotalRevenueColumnAmt
Exclusion$48,442ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$855,552RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$855,552RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$855,552TotalRevenueColumnAmt
Exclusion$855,552ExclusionAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
CAFE & VENDING900099$865,020$0$0$865,020
GIFT SHOP REVENUE900099$443,804$0$0$443,804
FieldValueIRS element (for citing)
Other Revenue Total$1,308,824OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$211,764,904TotalRevenueColumnAmt
Related Or Exempt Func Income$209,318,047RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,212,818ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$178,094TotalAmt
Program Services$178,094ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$57,465TotalAmt
Program Services$57,465ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$58,538TotalAmt
Program Services$52,099ProgramServicesAmt
Management And General$6,439ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$54,929,206TotalAmt
Program Services$49,018,888ProgramServicesAmt
Management And General$5,910,318ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,549,926TotalAmt
Program Services$2,281,311ProgramServicesAmt
Management And General$268,615ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,144,240TotalAmt
Program Services$7,267,925ProgramServicesAmt
Management And General$876,315ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,909,033TotalAmt
Program Services$3,497,233ProgramServicesAmt
Management And General$411,800ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$14,820TotalAmt
Program Services$0ProgramServicesAmt
Management And General$14,820ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$12,738,977TotalAmt
Program Services$10,142,247ProgramServicesAmt
Management And General$2,596,730ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$230,626TotalAmt
Program Services$44,980ProgramServicesAmt
Management And General$185,646ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,683,362TotalAmt
Program Services$973,306ProgramServicesAmt
Management And General$1,710,056ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$43,234TotalAmt
Program Services$41,925ProgramServicesAmt
Management And General$1,309ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,671,178TotalAmt
Program Services$66,798ProgramServicesAmt
Management And General$1,604,380ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$324,571TotalAmt
Program Services$282,294ProgramServicesAmt
Management And General$42,277ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$53,048TotalAmt
Program Services$23,557ProgramServicesAmt
Management And General$29,491ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$10,287,203TotalAmt
Program Services$4,594,454ProgramServicesAmt
Management And General$5,692,749ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
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

FieldValueIRS element (for citing)
Total$509,613TotalAmt
Program Services$148,478ProgramServicesAmt
Management And General$361,135ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$185,950,042TotalAmt
Program Services$139,152,468ProgramServicesAmt
Management And General$46,797,574ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Joint Costs TotalJointCostsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$37,425,840BOYAmt
EOY$4,783,959EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$57,754BOYAmt
EOY$37,725EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$24,278,244BOYAmt
EOY$25,394,114EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$1,039,177BOYAmt
EOY$519,588EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,921,511BOYAmt
EOY$4,563,901EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$31,805BOYAmt
EOY$152,395EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$240,955,292LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$107,202,700LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$129,765,791BOYAmt
EOY$133,752,592EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$3,159,396BOYAmt
EOY$2,802,637EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$44,359,335BOYAmt
EOY$96,934,888EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$244,038,853BOYAmt
EOY$268,941,799EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,418,759BOYAmt
EOY$4,373,734EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$22,554BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,441,313BOYAmt
EOY$4,373,734EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$238,597,540BOYAmt
EOY$264,568,065EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$238,597,540BOYAmt
EOY$264,568,065EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$244,038,853BOYAmt
EOY$268,941,799EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$25,814,862ReconcilationRevenueExpnssAmt
Prior Period Adjustments$31,916PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$123,747OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Media Advertisements$0MediaAdvertisementsAmt
Mailings MembersfalseMailingsMembersInd
Mailings Members$0MailingsMembersAmt
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Publications Or Broadcast$0PublicationsOrBroadcastAmt
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Grants Other Organizations$0GrantsOtherOrganizationsAmt
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Direct Contact Legislators$0DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Rallies Demonstrations$0RalliesDemonstrationsAmt
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$14,820OtherActivitiesAmt
Total Lobbying Expenditures$14,820TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE C, PART II-B, LINE 1(I)FormAndLineReferenceDesc
ExplanationTHE 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

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,125,130OtherCostOrOtherBasisAmt
Book Value$7,125,130BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$158,235,085OtherCostOrOtherBasisAmt
Depreciation$57,265,675DepreciationAmt
Book Value$100,969,410BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,479,117OtherCostOrOtherBasisAmt
Depreciation$1,075,097DepreciationAmt
Book Value$404,020BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$68,621,054OtherCostOrOtherBasisAmt
Depreciation$48,644,758DepreciationAmt
Book Value$19,976,296BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,494,906OtherCostOrOtherBasisAmt
Depreciation$217,170DepreciationAmt
Book Value$5,277,736BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$133,752,592TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
MISCELLANEOUS RECEIVABLES$282,787
DUE FROM AFFILIATES$96,559,635
INVESTMENT IN UNITY$92,466
FieldValueIRS element (for citing)
Total Book Value Other Assets$96,934,888TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceASC 740 FootnoteFormAndLineReferenceDesc
ExplanationPRIMARILY 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

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailablefalseReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,497,170TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,497,170NetCommunityBenefitExpnsAmt
Total Expense0.02610TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,351,319TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,090,013DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,261,306NetCommunityBenefitExpnsAmt
Total Expense0.03050TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$22,848,489TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,090,013DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,758,476NetCommunityBenefitExpnsAmt
Total Expense0.05660TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$22,848,489TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,090,013DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,758,476NetCommunityBenefitExpnsAmt
Total Expense0.05660TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$3,436,356BadDebtExpenseAmt
Reimbursed By Medicare$57,387,838ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$52,307,869CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$5,079,969MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Mercy Hospital RogersBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12710 Rife Medical LaneAddressLine1Txt
CityRogersCityNm
State AbbreviationARStateAbbreviationCd
ZIP72758ZIPCd
FieldValueIRS element (for citing)
State LicenseAR 4797StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Childrens HospitalYes (X)ChildrensHospitalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MERCY HOSPITAL ROGERSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted12CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.MERCY.NET/ABOUT/COMMUNITY-BENEFITSOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt14ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLWWW.MERCY.NET/ABOUT/COMMUNITY-BENEFITSStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.MERCY.NETFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.MERCY.NETFAPAppAvailableOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE H, PART V, SECTION B, LINE 5FormAndLineReferenceDesc
ExplanationIN 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
FieldValueIRS element (for citing)
Facility2FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
CENTER FOR NON-PROFITS
1200 W WALNUTROGERSAR72756HOME CARE
MERCY WOUND CARE
1194 W WALNUTROGERSAR72756WOUND CARE

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE H, PART I, LINE 6AFormAndLineReferenceDesc
ExplanationTHE 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 EXTExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Tri State Family YMCA
4701 Chouteau AvenueNeoshoMO64850431729473501(c)(3)$149,793FUNDING 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 WALNUTROGERSAR72756710029635501(c)(6)$15,000FUNDING IS INTENDED TO BE USED FOR THE GENERAL OPERATING PURPOSES OF THE DONEE. THE USE OF FUNDS ARE NOT MOITORED AFTER GIVEN.
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypePATIENT ASSISTANCE - HOME HEALTH DIALYSISGrantTypeTxt
Recipient11RecipientCnt
Cash Grant$57,465CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationDESCRIPTION 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

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Travel For CompanionsYes (X)TravelForCompanionsInd
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (28 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp 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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE J, PART I, LINE 1CHARTER 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 3MERCY 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 4ATHE 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 4BMERCY 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 7MERCY 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 IITHE 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

FieldValueIRS element (for citing)
PersonCarl HoglePersonNm
FieldValueIRS element (for citing)
Relationship DescriptionFamily of key employeeRelationshipDescriptionTxt
Transaction$58,538TransactionAmt
TransactionEmploymentTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, QUESTION 4DMERCY 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 1AFORM 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, 7BCLASSES 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 11BDSCR 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 12CDESCRIPTION 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 & 15BOFFICERS & 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 19AVAIL 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 BAVERAGE 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 9OTHER CHANGES IN NET ASSETS NET TRANSFERS TO/FROM AFFILIATES - 123,747 TOTAL CHANGES IN NET ASSETS - 123,747
FORM 990, PART XII, QUESTION 2CAUDIT 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/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Casa de Misericordia
1602 McClelland StreetLaredoTX78044742912461SHELTERTX501c37MM LaredoYes (true)
Jefferson Land Company Inc
14528 S Outer Forty Ste 100ChesterfieldMO63017431330360Holding coMO501c2MH JffrsonYes (true)
McAuley Portfolio Management Company
14528 S Outer Forty Ste 100ChesterfieldMO63017261708048PORT MGMTMO501c311bMercy HealthYes (true)
Mercy ACO Clinical Services Inc
14528 S Outer Forty Ste 100ChesterfieldMO63017464504901VIRTUAL CAREMO501c33Mercy HealthYes (true)
Mercy Clinic East Communities
645 Maryville Ctr Dr Ste 100St LouisMO63141431771217PHYS GROUPMO501c39MH East CommYes (true)
Mercy Clinic Fort Smith Communities
7301 Rogers AvenueFort SmithAR72903261318597PHYS CLINICAR501c33MH FS COMMYes (true)
Mercy Clinic Oklahoma Communities Inc
4300 W Memorial RoadOklahoma CityOK73120270473057PHYS GROUPOK501c33MH Ok CommYes (true)
Mercy Clinic Springfield Communities
1965 Fremont Street Suite 2950SpringfieldMO65804431560263PHYS GROUPMO501c33MH SF COMMYes (true)
Mercy Family Center
14528 S Outer Forty Ste 100ChesterfieldMO63017721069468COUNSELINGMO501c37Mercy HealthYes (true)
Mercy Health Foundation
14528 S Outer Forty Ste 100ChesterfieldMO63017200901499FoundationMO501c311bMercy HealthYes (true)
Mercy Health
14528 S Outer Forty Ste 100ChesterfieldMO63017431423050Corp OfficeMO501c31NAfalse
Mercy Health East Communities
14528 S Outer Forty Ste 100ChesterfieldMO63017431718408HLTH SYSTEMMO501c311bMercy HealthYes (true)
Mercy Health East Communities - Southern
14528 S Outer Forty Ste 100ChesterfieldMO63017461412322HLTH SYSTEMMO501c311bMH East CommYes (true)
Mercy Health Fort Smith Communities
7301 Rogers AvenueFort SmithAR72917261318515Holding CoAR501c311bMercy HealthYes (true)
Mercy Health Foundation Ada
430 N Monte Vista StreetAdaOK74820463596274FoundationOK501c311aMH Ada IncYes (true)
Mercy Health Foundation Ardmore
1011 14th Avenue NWArdmoreOK73401710962525FoundationOK501c311aMH ArdmoreYes (true)
Mercy Health Foundation Berryville
214 Carter StreetBerryvilleAR72616710759301FoundationAR501c311aMH BryvilleYes (true)
Mercy Health Foundation Fort Scott
401 Woodland Hills BlvdFort ScottKS66701481077073FoundationKS501c311cM KS CommYes (true)
Mercy Health Foundation Hot Springs
300 Werner StreetHot SpringsAR71913710804718FoundationAR501c311bMC SrvcsYes (true)
Mercy Health Foundation Independence
800 W MyrtleIndependenceKS67301481079981FoundationKS501c311aM KS CommYes (true)
Mercy Health Foundation Jefferson
1400 US Highway 61 SouthFestusMO63028462797051FoundationMO501c311bMH E Comm SRYes (true)
Mercy Health Foundation Joplin
100 Mercy WayJoplinMO64804270906136FoundationMO501c311aMH SWMK COMMYes (true)
Mercy Health Foundation NW Arkansas
2710 Rife Medical LaneRogersAR72758710601687FoundationAR501c311cMH ROGERSYes (true)
Mercy Health Foundation of Oklahoma
4300 W Memorial RoadOklahoma CityOK73120454732301FoundationOK501c311aMH Ok CommYes (true)
Mercy Health Foundation Oklahoma City
4300 W Memorial RoadOklahoma CityOK73120463184231FoundationOK501c311aMH OK COMMYes (true)
Mercy Health Foundation Springfield
1235 E Cherokee StreetSpringfieldMO65804320195818FoundationMO501c311bMH SF COMMYes (true)
Mercy Health Foundation St Louis
14528 S Outer Forty Ste 100ChesterfieldMO63017562410020FoundationMO501c311bMH East CommYes (true)
Mercy Health Foundation Washington
901 E Fifth StreetWashingtonMO63090562410022FoundationMO501c311bMH East CommYes (true)
Mercy Health NW Arkansas Communities
2710 Rife Medical LaneRogersAR72758621684203Phys GroupAR501c39Mercy Healthfalse
Mercy Health Oklahoma Communities Inc
4300 W Memorial RoadOklahoma CityOK73120731453048Holding coOK501c311bMercy HealthYes (true)
Mercy Health Southwest MOKS Communities
100 Mercy WayJoplinMO64804300584463Hlth SystemMO501c311bMercy HealthYes (true)
Mercy Health Springfield Communities
1235 E Cherokee StreetSpringfieldMO65804431856028Hlth SystemMO501c311bMercy HealthYes (true)
Mercy Home Health Berryville
804 W Freeman Suite 4BerryvilleAR72616870781247Home HealthAR501c311cMH SFYes (true)
Mercy Hospital Ada Inc
430 N Monte Vista StreetAdaOK74820462288155HospitalOK501c33MH Ok CommYes (true)
Mercy Hospital Ardmore Inc
1011 14th Avenue NWArdmoreOK73401731500629HospitalOK501c33MH Ok CommYes (true)
Mercy Hospital Aurora
500 Porter AvenueAuroraMO65605431936696HospitalMO501c33MH SF COMMYes (true)
Mercy Hospital Berryville
214 Carter StreetBerryvilleAR72616710759299HospitalAR501c33MH SF COMMYes (true)
Mercy Hospital Booneville
880 West Main StreetBoonevilleAR72927463851119HospitalAR501c33MH FT SMITHYes (true)
Mercy Hospital Carthage
3125 Dr Russell Smith WayCarthageMO64836453808607HospitalMO501c33MH SWMK COMMYes (true)
Mercy Hospital Cassville
94 Main StreetCassvilleMO65625431936699HospitalMO501c33MH SF COMMYes (true)
Mercy Hospital Columbus
220 Pennsylvania AvenueColumbusKS66725270842031HospitalMO501c33MH SWMK COMMYes (true)
Mercy Hospital El Reno Inc
2115 Parkview DriveEl RenoOK73036272716065HospitalOK501c33MH OK CITYYes (true)
Mercy Hospital Fort Smith
7301 Rogers AvenueFort SmithAR72917710240352HospitalAR501c33MH FS COMMYes (true)
Mercy Hospital Healdton Inc
3462 Hospital RdHealdtonOK73438263173902HospitalOK501c33MH ARDMOREYes (true)
Mercy Hospital Jefferson
1400 Highway 61 SouthFestusMO63028430687077HospitalMO501c33MH E Comm SRYes (true)
Mercy Hospital Joplin
100 Mercy WayJoplinMO64804270814858HospitalMO501c33MH SWMK COMMYes (true)
Mercy Hospital Kingfisher Inc
1000 Kingfisher Regional Hosp DriveKingfisherOK73750463433074HospitalOK501c33MH Ok CityYes (true)
Mercy Hospital Lebanon
100 Hospital DriveLebanonMO65536431767432HospitalMO501c33MH SF COMMYes (true)
Mercy Hospital Logan County Inc
200 South AcademyGuthrieOK73044452998842HospitalOK501c33MH OK CITYYes (true)
Mercy Hospital Oklahoma City Inc
4300 W Memorial RoadOklahoma CityOK73120730579285HospitalOK501c33MH Ok CommYes (true)
Mercy Hospital Ozark
801 W River StreetOzarkAR72949710689680HospitalAR501c33MH FT SMITHYes (true)
Mercy Hospital Paris
500 E AcademyParisAR72855710655753HospitalAR501c33MH FT SMITHYes (true)
Mercy Hospital Springfield
1235 E Cherokee StreetSpringfieldMO65804440552485HospitalMO501c33MH SF COMMYes (true)
Mercy Hospital Tishomingo Inc
1000 South ByrdTishomingoOK73460274433830HospitalOK501c33MH ARDMOREYes (true)
Mercy Hospital Waldron
1341 W 6th StreetWaldronAR72958710557895HospitalAR501c33MH FT SMITHYes (true)
Mercy Hospital Watonga Inc
500 Clarence Nash BlvdWatongaOK73772455199762HospitalOK501c33MH OK CITYYes (true)
Mercy Hospitals East Communities
14528 S Outer Forty Ste 100ChesterfieldMO63017430653493HospitalMO501c33MH East CommYes (true)
Mercy Kansas Communities Inc
401 Woodland Hills BlvdFt ScottKS66701480956045HospitalKS501c33MH SWMK COMMYes (true)
Mercy Medical Research Institute
1235 E Cherokee StreetSpringfieldMO65804870796305ResearchMO501c34MH SF COMMYes (true)
Mercy Ministries of Laredo
2500 ZacatecasLaredoTX78046200198462outreachTX501c37Mercy HealthYes (true)
Mercy St Francis Hospital
100 W Highway 60Mountain ViewMO65548440607149HospitalMO501c33MH SF COMMYes (true)
MHM Support Services
14528 S Outer Forty Ste 100ChesterfieldMO63017202553101CTRL SYS FUNCMO501c311bMercy HealthYes (true)
Mission Clinical Services
300 Werner StreetHot SpringsAR71913134239691Child advoCAR501c39Mercy HealthYes (true)
St Edward Mercy Foundation
7301 Rogers AvenueFort SmithAR72917237330425FoundationAR501c37MH FT SMITHYes (true)
St John's Children's Hospital Inc
1235 E Cherokee StreetSpringfieldMO65804DSLVD 3/23/15MO501c33MH SF COMMYes (true)
St Mary's Hospital of Enid Oklahoma
14528 S Outer Forty Ste 100ChesterfieldMO63017730614655DSLVD 3/23/15OK501c33MH Ok CommYes (true)
The Sister M Cornelia Blasko Foundation
100 W Highway 60Mountain ViewMO65548431873914FoundationMO501c311aM St FrancisYes (true)
Unity Ambulatory Care
14528 S Outer Forty Ste 100ChesterfieldMO63017431861745DSLVD 3/23/15MO501c311cMH East CommYes (true)
Mercy Hospital Lincoln
1000 East Cherry StreetTroyMO63379472219204HospitalMO501c33MH EAST COMMYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Merc Ambu Surg CTR
7301 Rogers AvFort SmithAR72903710827721AMBUL SURG CTARNA
RES OPT & INNOV
645 Maryville Centre Dr 200St LouisMO63141460468368CENTRAL DIST.MONA
SO OK DIAG CTR
1011 14TH Ave NWArdmoreOK73401431971232MRI ServicesOKNA
Fort Smith EMS
1701 S GreenwoodFort SmithAR72901710416615Emergency MedARNA
St Ed Mer Med MOB
7301 Rogers AveFort SmithAR72903710554050Office BuildingARNA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
Frontenac Properties Inc
14528 S Outer Forty Suite 100ChesterfieldMO63017521914421HOLDING COMPDENAC-CORPYes (true)
Inveno Health Inc
1235 E Cherokee StreetSpringfieldMO65804264509571Product CommerMONAC-CORPYes (true)
Mercy Commercial Services Inc
14528 South Outer Forty Suite 100ChesterfieldMO63017464953543Parent of VCCMONAC-CORPYes (true)
Mercy Community Services Inc
401 Woodland Hills BlvdFort ScottKS66701481078101RETAIL PHARMACYKSNAC-CORPYes (true)
Mercy Health Center Condominium Inc
4300 W Memorial RdOklahoma CityOK73120680640970Real estateOKNAC-CORPYes (true)
Mercy Health Network of the Southern Reg
1011 14th Avenue NWArdmoreOK73401731580607HOLDING COMPOKNAC-CORPYes (true)
Mercy Health Network Inc
4300 W Memorial RoadOklahoma CityOK73120731381689HOLDING COMPOKNAC-CORPYes (true)
Mercy Managed Care Corporation
4300 W Memorial RoadOklahoma CityOK73120731441665HOLDING COMPOKNAC-CORPYes (true)
UHL Corp Inc
645 Maryville Centre Drive Suite 1St LouisMO63141742499535HOLDING COMPMONAC-CORPYes (true)
Unity Support Services Inc
645 Maryville Centre Drive Suite 1St LouisMO63141431797042PRACTICE MGTMONAC-CORPYes (true)
The Apothecary Services Inc
PO Box 350Crystal CityMO63019431627267RETAIL PHARMACYMONAC-CORPYes (true)
St John's Mercy Mail Order Inc
13645 Shoreline DriveEarth CityMO63045431014222Mail Odr pharmacyMONAC-CORPYes (true)
St John's Mercy PBM Inc
13175 Lakefront DriveEarth CityMO63045743089567Pharmacy benefitMONAC-CORPYes (true)
UH Holdings Inc
645 Maryville Centre Drive Suite 1St LouisMO63141431845682HOLDING COMPMONAC-CORPYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (15 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Mercy Health Northwest Arkansas Communities
p$25,188,454FMV
Mercy Health Oklahoma Communities Inc
P$146,396FMV
Mercy Kansas Communities Inc
p$297,861FMV
Mercy Hospitals East Communities
P$3,874,198FMV
Mercy Clinic East Communities
p$1,017,962FMV
Mercy Clinic Fort Smith Communities
P$145,724FMV
Mercy Hospital Springfield
Q$473,599FMV
Mercy Clinic Oklahoma Communities Inc
P$434,168FMV
Mercy Clinic Springfield Communities
P$971,339FMV
Mercy Health
P$241,483FMV
MHM Support Services
Q$187,937,211FMV
Resource Optimization & Innovation LLC
P$9,607,598FMV
Mercy Hospital Jefferson
P$57,976FMV
Mercy Family Center
Q$329,344FMV
Mercy Health Foundation Northwest Arkansas
C$197,201FMV

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Schedule R, Part IIMercy 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 VMERCY 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.