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MERCY KANSAS COMMUNITIES INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
MERCY KANSAS COMMUNITIES INC (EIN 48-0956045)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-05-13
IRS object ID
201631349349302903
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)
Return2016-05-13T10:32:06-05:00ReturnTs
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)
EIN480956045EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Mercy Kansas CommunitiesBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% SHELLY HUNTER CFOInCareOfNm
Business Name ControlMERCBusinessNameControlTxt
Phone3145796100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1401 Woodland Hills BlvdAddressLine1Txt
CityFort ScottCityNm
State AbbreviationKSStateAbbreviationCd
ZIP66701ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSHELLY HUNTERPersonNm
Person TitleCFOPersonTitleTxt
Signature2016-05-04SignatureDt

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 OfficerShelly HunterPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 Mercy WayAddressLine1Txt
CityJoplinCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64804ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$67,527,120GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.mercy.netWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1983FormationYr
Legal Domicile StateKSLegalDomicileStateCd
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 Body9VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee701TotalEmployeeCnt
Total Volunteers71TotalVolunteersCnt
Total Gross UBI$417,234TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$159,457NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$191,896PYContributionsGrantsAmt
CY Contributions Grants$153,044CYContributionsGrantsAmt
PY Program Service Revenue$72,917,418PYProgramServiceRevenueAmt
CY Program Service Revenue$66,626,033CYProgramServiceRevenueAmt
PY Investment Income$9,476PYInvestmentIncomeAmt
CY Investment Income$1,122CYInvestmentIncomeAmt
PY Other Revenue$834,416PYOtherRevenueAmt
CY Other Revenue$746,921CYOtherRevenueAmt
PY Total Revenue$73,953,206PYTotalRevenueAmt
CY Total Revenue$67,527,120CYTotalRevenueAmt
PY Grants And Similar Paid$13,167PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$35,270CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$41,842,990PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$37,797,311CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$36,830,336PYOtherExpensesAmt
CY Other Expenses$45,436,212CYOtherExpensesAmt
PY Total Expenses$78,686,493PYTotalExpensesAmt
CY Total Expenses$83,268,793CYTotalExpensesAmt
PY Revenues Less Expenses-$4,733,287PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$15,741,673CYRevenuesLessExpensesAmt
Total Assets BOY$60,534,641TotalAssetsBOYAmt
Total Assets EOY$40,447,006TotalAssetsEOYAmt
Total Liabilities BOY$7,234,609TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,888,647TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$53,300,032NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$37,558,359NetAssetsOrFundBalancesEOYAmt
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$11,768,944ExpenseAmt
Grant$25,600GrantAmt
Revenue$21,944,487RevenueAmt
DescMERCY HOSPITAL - INDEPENDENCE - HEALTH CARE SERVICES PROVIDED ARE ESSENTIAL TO THE HEALTH AND WELL-BEING OF THE INDIVIDUALS RESIDING IN THE CITY OF INDEPENDENCE AND MONTGOMERY COUNTY. THE HOSPITAL PROVIDES BASIC PRIMARY CARE SERVICES WHICH INCLUDE: INPATIENT ACUTE, SWING BED, EMERGENCY ROOM, GENERAL SURGERY, OUTPATIENT DIAGNOSTIC, OUTPATIENT PHYSICAL THERAPY AND HOME HEALTH SERVICES. THE COMMUNITY NEED IS REPRESENTED BY THE APPROXIMATE 899 DISCHARGES, 7949 EMERGENCY ROOM VISITS, 879 SURGERIES, 6113 HOME HEALTH VISITS AND NUMEROUS OUTPATIENT PROCEDURES. NECESSARY TERTIARY CARE IS TRANSPORTED OUT OF THE COMMUNITY TO A LARGER HOSPITAL.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$17,249,432ExpenseAmt
Grant$2,635GrantAmt
Revenue$34,136,517RevenueAmt
DescMERCY HOSPITAL - FORT SCOTT - HEALTHCARE SERVICES PROVIDED ARE ESSENTIAL TO THE HEALTH AND WELL-BEING OF THE INDIVIDUALS RESIDING IN THE CITY OF FORT SCOTT AND BOURBON COUNTY. THE HOSPITAL PROVIDES BASIC PRIMARY CARE SERVICES WHICH INCLUDE; INPATIENT ACUTE, SWING BED, EMERGENCY ROOM, GENERAL SURGERY, OUTPATIENT DIAGNOSTIC, OUTPATIENT PHYSICAL THERAPY AND HOME HEALTH SERVICES. THE COMMUNITY NEED IS REPRESENTED BY THE APPROXIMATE 1575 DISCHARGES, 8605 EMERGENCY ROOM VISITS, 1926 SURGERIES, 8563 HOME HEALTH VISITS AND NUMEROUS OUTPATIENT PROCEDURES. NECESSARY TERTIARY CARE IS TRANSPORTED OUT OF THE COMMUNITY TO A LARGER HOSPITAL.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$12,127,561ExpenseAmt
Grant$7,035GrantAmt
Revenue$10,279,795RevenueAmt
DescMERCY PHYSICIAN GROUP - FORT SCOTT / INDEPENDENCE - LOCAL PHYSICIAN SERVICES ARE ESSENTIAL TO THE HEALTH AND WELL-BEING OF THE COMMUNITIES. THE INTEGRATED PHYSICIAN GROUP CONSISTS OF THE FOLLOWING MIX OF SPECIALTIES: FAMILY PRACTICE, INTERNAL MEDICINE, OB/GYN, GENERAL SURGERY, ORTHOPEDICS AND MIDLEVEL PROVIDERS.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$9,332,419TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$294,196TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$50,478,356TotalProgramServiceExpensesAmt
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 LiabilitiesYes (true)ReportOtherLiabilitiesInd
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 IndividualsfalseGrantsToIndividualsInd
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 Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee701EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
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 BodyfalseForm990ProvidedToGvrnBodyInd
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 VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSHELLY HUNTER CFOPersonNm
Phone6202237057PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 MERCY WAYAddressLine1Txt
CityJOPLINCityNm
State AbbreviationMIStateAbbreviationCd
ZIP64804ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 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
Allen MD Jay
Physician & Board member60.00.0Yes (X)$230,481$0$39,175
Brau RSM Sr Annrene
Board member1.02.0Yes (X)$0$0$0
Campbell Sharon
Board member1.01.0Yes (X)$0$0$0
Copeland Jr Robert
Pres - Carth & KS Through 5/159.046.0Yes (X)$0$288,135$68,408
Drake Billie Jo
Board member1.00.0Yes (X)$0$0$0
Garner Bob
Board member - through 7/141.00.0Yes (X)$0$0$0
Martin Dave
Board member1.02.0Yes (X)$0$0$0
Nichols MD Robert R
Physician & Board member59.01.0Yes (X)$254,124$0$59,372
Seals DO Larry E
Physician & Board member59.01.0Yes (X)$428,080$0$32,092
Secrest Jesse
Board member1.00.0Yes (X)$0$0$0
Wullschleer MD Todd
Board member - through 1/151.00.0Yes (X)$0$0$0
Baker Reta
President-Mercy Hospital Fort59.01.0Yes (X)$0$330,334$98,938Yes (X)
Hunter Shelly
Chief financial officer10.050.0$0$270,885$54,672Yes (X)
Pulsipher Gary W
Chief executive officer10.050.0$0$514,209$275,748Yes (X)
Reynolds Scott
CFO-Central communities2.058.0$0$335,307$57,174Yes (X)
Steinmann David
President-Mercy Hospital Indep47.013.0$0$226,674$29,410Yes (X)
Biles Tracey
VP-Mission through 01/1525.035.0$0$152,600$14,090Yes (X)
Burke James
Regional VP-Legal5.055.0$0$312,724$35,964Yes (X)
Hennessey III William
Regional VP-Marketing5.055.0$0$220,220$70,460Yes (X)
Marion Tanya
Regional VP-Human Resources4.056.0$0$225,754$55,433Yes (X)
Swope Jon
President, Central Communities4.056.0$0$779,022$184,000Yes (X)
Enyart Marc E
Physician60.00.0$398,771$0$17,470Yes (X)
Fox John M
Physician60.00.0$464,219$0$41,144Yes (X)
Hall Ralph W
Physician60.00.0$367,019$0$40,932Yes (X)
Phelps MD David
Physician60.00.0$375,941$0$61,233Yes (X)
Sohaei Soheila
Physician60.00.0$464,575$0$26,065Yes (X)
Ammons Carl E Eric
Former officer0.060.0$0$449,293$176,120Yes (X)
Floyd Terri
Former officer0.00.0$0$407,253$44,808Yes (X)
Day Bradley Kim
Former key employee0.050.0$0$6,686,607$29,342Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,983,210TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$11,199,017TotReportableCompRltdOrgAmt
Total Other Compensation$1,512,050TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K41IndivRcvdGreaterThan100KCnt
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
GENERAL ANESTHESIA SERVICES PA
PO BOX 263FORT SCOTTKS66701ANESTHETIC SERVICES$696,125
SODEXO INC AND AFFILIATES
4880 PAYSPHERE CIRCLECHICAGOIL60674FOOD SERVICE LABOR$442,335
SABA MEKKI M MD
221 W 48TH SUITE 505KANSAS CITYMO64112Physician services$388,700
Cassling
13808 F StOMAHANE68137PREVENTIVE MAINTEN.$254,869
Mayo Medical Labs
200 SW First StreetROCHESTERMN55805Laboratory services$221,073
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K12CntrctRcvdGreaterThan100KCnt
Fundraising$0FundraisingAmt
Related Organizations$29,955RelatedOrganizationsAmt
Government Grants$121,089GovernmentGrantsAmt
All Other Contributions$2,000AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$153,044TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
NET PATIENT SERVICE REVENUE621110$43,585,648$43,585,648$0$0
OTHER OPERATING REVENUE900099$808,345$808,345$0$0
REFERENCE LAB621500$21,908,267$21,662,668$245,599$0
RENTAL INCOME FROM RELATED ORGS532000$323,773$323,773$0$0
FieldValueIRS element (for citing)
Total Program Service Revenue$66,626,033TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column-$7,787TotalRevenueColumnAmt
Exclusion-$7,787ExclusionAmt

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$18,500RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$18,500RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,500TotalRevenueColumnAmt
Exclusion$18,500ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$8,909OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$8,909OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,909TotalRevenueColumnAmt
Exclusion$8,909ExclusionAmt

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 & VENDING722514$527,824$0$0$527,824
FITNESS CENTER713940$200,597$28,962$171,635$0
FieldValueIRS element (for citing)
Other Revenue Total$728,421OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$67,527,120TotalRevenueColumnAmt
Related Or Exempt Func Income$66,409,396RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$417,234UnrelatedBusinessRevenueAmt
Exclusion$547,446ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$35,270TotalAmt
Program Services$35,270ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

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$1,069,658TotalAmt
Program Services$910,699ProgramServicesAmt
Management And General$158,959ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$98,694TotalAmt
Program Services$84,027ProgramServicesAmt
Management And General$14,667ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$29,524,242TotalAmt
Program Services$25,136,697ProgramServicesAmt
Management And General$4,387,545ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,262,336TotalAmt
Program Services$1,074,743ProgramServicesAmt
Management And General$187,593ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,034,307TotalAmt
Program Services$3,434,843ProgramServicesAmt
Management And General$599,464ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,808,074TotalAmt
Program Services$1,539,379ProgramServicesAmt
Management And General$268,695ManagementAndGeneralAmt
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$98,658TotalAmt
Program Services$0ProgramServicesAmt
Management And General$98,658ManagementAndGeneralAmt
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$14,716TotalAmt
Program Services$0ProgramServicesAmt
Management And General$14,716ManagementAndGeneralAmt
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$4,789,276TotalAmt
Program Services$4,177,129ProgramServicesAmt
Management And General$612,147ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$143,271TotalAmt
Program Services$113,598ProgramServicesAmt
Management And General$29,673ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,302,746TotalAmt
Program Services$328,786ProgramServicesAmt
Management And General$973,960ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$10,348TotalAmt
Program Services$3,948ProgramServicesAmt
Management And General$6,400ManagementAndGeneralAmt
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$1,625,680TotalAmt
Program Services$186,131ProgramServicesAmt
Management And General$1,439,549ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$82,190TotalAmt
Program Services$49,482ProgramServicesAmt
Management And General$32,708ManagementAndGeneralAmt
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$3,405TotalAmt
Program Services$2,472ProgramServicesAmt
Management And General$933ManagementAndGeneralAmt
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$3,762,696TotalAmt
Program Services$1,597,905ProgramServicesAmt
Management And General$2,164,791ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$823,376TotalAmt
Program Services$386,771ProgramServicesAmt
Management And General$436,605ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
BAD DEBT$4,593,431$4,593,431$0$0
IMPAIRMENT$11,321,027$0$11,321,027$0
SHARED SERVICES FEES$8,936,897$1,081,944$7,854,953$0
DRUGS & MEDICAL EXPENSES$5,509,852$5,461,870$47,982$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,418,643TotalAmt
Program Services$279,231ProgramServicesAmt
Management And General$2,139,412ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$83,268,793TotalAmt
Program Services$50,478,356ProgramServicesAmt
Management And General$32,790,437ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Joint Costs TotalJointCostsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$10,235,534BOYAmt
EOY$1,705,250EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$228BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$7,311,458BOYAmt
EOY$6,926,466EOYAmt

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$77,786BOYAmt
EOY$83,390EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,465,636BOYAmt
EOY$1,301,057EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$719,414BOYAmt
EOY$715,387EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$72,095,465LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$45,767,175LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$40,428,837BOYAmt
EOY$26,328,290EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$739,668BOYAmt
EOY$557,024EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$177,000BOYAmt
EOY$177,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY-$620,920BOYAmt
EOY$2,653,142EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$60,534,641BOYAmt
EOY$40,447,006EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,683,061BOYAmt
EOY$2,740,672EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$1,329EOYAmt

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$551,548BOYAmt
EOY$146,646EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,234,609BOYAmt
EOY$2,888,647EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$52,702,529BOYAmt
EOY$36,963,523EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$597,503BOYAmt
EOY$594,836EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$53,300,032BOYAmt
EOY$37,558,359EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$60,534,641BOYAmt
EOY$40,447,006EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$15,741,673ReconcilationRevenueExpnssAmt
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 RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

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$14,716OtherActivitiesAmt
Total Lobbying Expenditures$14,716TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE C, PART II-B, LINE 1(I)FormAndLineReferenceDesc
ExplanationSUPPLEMENTAL LOBBYING INFORMATION THE FILING ORGANIZATION IS A MEMBER OF AND PAYS DUES TO THE FOLLOWING HOSPITAL ASSOCIATIONS: AMERICAN HOSPITAL ASSOCIATION, KANSAS HOSPITAL ASSOCIATION, AND CATHOLIC HEALTH ASSOCIATION. FOR THE YEAR ENDED JUNE 30, 2015, DUES WERE $14,940, $56,143 AND $12,130, RESPECTIVELY. APPROXIMATELY 22.8% OF AMERICAN HOSPITAL ASSOCIATION DUES, 19.50% OF KANSAS 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$911,522OtherCostOrOtherBasisAmt
Book Value$911,522BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$41,013,312OtherCostOrOtherBasisAmt
Depreciation$19,874,838DepreciationAmt
Book Value$21,138,474BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$953,544OtherCostOrOtherBasisAmt
Depreciation$311,942DepreciationAmt
Book Value$641,602BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$28,085,504OtherCostOrOtherBasisAmt
Depreciation$24,608,440DepreciationAmt
Book Value$3,477,064BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,131,583OtherCostOrOtherBasisAmt
Depreciation$971,955DepreciationAmt
Book Value$159,628BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$26,328,290TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
INVESTMENT IN SUBSIDIARY-$841,174
MISCELLANEOUS RECEIVABLES$634,361
DUE FROM AFFILIATES$2,859,955
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,653,142TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
LT DISABILITY RESERVES$58,807
WORKERS COMPENSATION RESERVE$84,256
LT SMRP LIABILITY$3,583
FieldValueIRS element (for citing)
Total Liability$146,646TotalLiabilityAmt
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 BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailablefalseReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,746,131TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,746,131NetCommunityBenefitExpnsAmt
Total Expense0.02590TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,469,961TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,468,312DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,001,649NetCommunityBenefitExpnsAmt
Total Expense0.01490TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,216,092TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,468,312DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,747,780NetCommunityBenefitExpnsAmt
Total Expense0.04080TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$8NetCommunityBenefitExpnsAmt

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$45TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$45NetCommunityBenefitExpnsAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2NetCommunityBenefitExpnsAmt

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$55TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$55NetCommunityBenefitExpnsAmt

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,216,147TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,468,312DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,747,835NetCommunityBenefitExpnsAmt
Total Expense0.04080TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1NetCommunityBenefitExpnsAmt
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$1,499,872BadDebtExpenseAmt
Reimbursed By Medicare$14,329,146ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$16,307,840CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,978,694MedicareSurplusOrShortfallAmt

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 Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCd
MERCY HOSPITAL FORT SCOTT
1401 WOODLAND HILLS BLVDFORT SCOTTKS66701WWW.MERCY.NETH-006-001Yes (X)Yes (X)Yes (X)A
MERCY HOSPITAL INDEPENDENCE
2800 W MYRTLEINDEPENDENCEKS67301WWW.MERCY.NETH-063-004Yes (X)Yes (X)Yes (X)A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ABusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility2FacilityNum
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
Residency CriteriaYes (X)ResidencyCriteriaInd
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 (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5MERCY HOSPITAL FORT SCOTT DURING 2010 AND 2011 MERCY SURVEYED A REPRESENTATIVE SAMPLE OF THE PEOPLE IN THE CATCHMENT AREA AND ASKED THEM QUESTIONS ABOUT COMMUNITY HEALTH NEEDS, INCLUDING PERCEIVED PROBLEMS. A TOTAL OF 186 INDIVIDUALS PARTICIPATED IN THESE "VOICE OF THE COMMUNITY" SURVEYS. THE 186 PARTICIPANTS REPRESENTED HOSPITAL BOARD MEMBERS, BUSINESS LEADERS, PHYSICIANS, LAW ENFORCEMENT OFFICERS, LEGISLATORS, MEDIA, RELIGIOUS LEADERS, SCHOOL OFFICIALS, AUXILIARY VOLUNTEERS, MERCY EMPLOYEES, AND SOCIAL SERVICES PERSONNEL. ALL PARTICIPANTS RESIDED IN SOUTHEAST KANSAS. COLLECTIVELY, THE FOCUS GROUPS GENERATED IDEAS THAT RECOGNIZED THE NEED TO IMPROVE COMMUNITY HEALTH. THE NEED STATEMENTS CLUSTERED INTO THE FOLLOWING MAIN TOPIC AREAS: ACCESS TO SPECIALISTS AND SPECIALTY SERVICES, HEALTH EDUCATION, SENIOR CARE, AND COMMUNITY PARTNERSHIPS. THEN IN 2013, A FOCUS GROUP OF 23 COMMUNITY LEADERS INCLUDING REPRESENTATIVES FROM PUBLIC HEALTH AGENCIES, THE FORT SCOTT SCHOOL SYSTEM, THE COMMUNITY COLLEGE, THE CHAMBER OF COMMERCE, SOCIAL SERVICE AGENCIES, EXTENDED CARE FACILITIES AND THE HOSPITAL BOARD, GATHERED ALONG WITH MERCY HEALTH PROFESSIONALS TO BEGIN IDENTIFYING COMMUNITY HEALTH NEEDS. MERCY HOSPITAL INDEPENDENCE MERCY INDEPENDENCE SURVEYED A REPRESENTATIVE SAMPLE OF THE PEOPLE IN THE CATCHMENT AREA AND ASKED THEM QUESTIONS ABOUT COMMUNITY HEALTH NEEDS, INCLUDING PERCEIVED PROBLEMS. A TOTAL OF 151 INDIVIDUALS PARTICIPATED IN THESE "VOICE OF THE COMMUNITY" SURVEYS, WHO REPRESENTED 14 DIFFERENT COMMUNITIES, USED MULTIPLE ROUND TABLE FOCUS GROUPS WHO PARTICIPATED IN BRAINSTORMING SESSIONS. THE 151 PARTICIPANTS REPRESENTED HOSPITAL BOARD MEMBERS (15%), BUSINESS LEADERS (34%), PHYSICIANS (12%) LAW ENFORCEMENT OFFICERS (3%), LEGISLATORS (FEDERAL, STATE, AND LOCAL: 7%), MEDIA (PRINT AND ELECTRONIC:7%), RELIGIOUS LEADERS (4%), SCHOOL OFFICIALS (5%), AUXILIARY VOLUNTEERS (3%), MERCY EMPLOYEES (3%), AND SOCIAL SERVICES PERSONNEL (11%). ALL PARTICIPANTS RESIDED IN SOUTHEAST KANSAS. COLLECTIVELY, THE FOCUS GROUPS GENERATED 217 IDEAS THAT RECOGNIZED THE NEED TO IMPROVE COMMUNITY HEALTH. IN 2013, A FOCUS GROUP OF 11 COMMUNITY LEADERS INCLUDING REPRESENTATIVES FROM PUBLIC HEALTH AGENCIES, THE INDEPENDENCE SCHOOL SYSTEM, THE CHAMBER OF COMMERCE, THE PUBLIC HOUSING AUTHORITY, AND THE HOSPITAL BOARD ALONG WITH MERCY HEALTH PROFESSIONALS GATHERED TO BEGIN PRIORITIZING COMMUNITY HEALTH NEEDS.
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 11AS THE COUNTIES WE SERVE EVOLVE IN THEIR HEALTH NEEDS, MERCY KANSAS COMMUNITIES WILL EVOLVE AS WELL BY MEETING UNMET NEEDS WITHIN THE CONTEXT OF OUR OVERALL MISSION, VISION, AND VALUES. A TASK FORCE OF HEALTH LEADERS AND BOARD MEMBERS HAS BEEN ESTABLISHED TO REVIEW ALL OF THE DATA FROM PUBLIC SOURCES, THE COMMENTS FROM OUR FOCUS GROUP, AND THE COMMUNITY BENEFIT ACTIVITIES OF OTHER AGENCIES AND ORGANIZATIONS. FROM THIS DATA, AND USING THE MERCY DECISION-MAKING PROCESS, MERCY WILL CREATE MEASURABLE AND MEANINGFUL PARTNERSHIPS AND PROGRAMS WHICH TARGET THE INTERSECTION BETWEEN IDENTIFIED NEEDS OF THE COMMUNITY AND THE KEY STRENGTHS OF MERCY IN SOUTHEAST KANSAS. A LEADERSHIP ACCOUNTABILITY AND ORGANIZATIONAL STRUCTURE FOR ONGOING PLANNING, BUDGETING, IMPLEMENTATION AND EVALUATION WILL BE A PART OF OUR ANNUAL PLANNING PROCESS AND MULTI-YEAR STRATEGY. THE MERCY HOSPITAL FORT SCOTT IMPLEMENTATION PLAN CONSISTS OF BOTH EXISTING AND NEW STRATEGIES THAT ADDRESS THE HEALTH PRIORITIES IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT. The assessment process revealed a number of community groups and non-profit organizations dedicated to improving both health and social conditions. These organizations will be active partners in meeting the health needs of the community.
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 22To 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.
FieldValueIRS element (for citing)
Facility11FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Mercy Arma
601 E WashingtonArmaKS66712Physician Clinic/Practice
Mercy Cherryvale
203 W Main StreetCherryvaleKS67335Primary Care Small
Mercy Physician Building
403 Woodland Hills BoulevardFort ScottKS66701Physician Clinic/Practice
Mercy Medical Plaza
902 S HortonFort ScottKS66701Physician Clinic/Practice
Mercy Health for Life Fort Scott
405 Woodland Hills BoulevardFort ScottKS66701Rehab/Fitness Center
Mercy Convenient Care Fort Scott
1624 S NationalFort ScottKS66701Urgent Care
Mercy Medical Plaza
800 W LaurelIndependenceKS67301Primary Care Medium
Mercy Medical Plaza West
900 W Myrtle Suite 103IndependenceKS67301Physician Clinic/Practice
Mercy Home Health and Hospice
422 W Main StreetIndependenceKS67301Home Care
Mercy Health for Life Independence
2011 N PennIndependenceKS67301Fitness Center
Mercy Linn County
11155 Tucker RoadPleasantonKS66075Primary Care Small

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Schedule H, PART I, LINE 6ATHE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS PREPARED BY ITS ULTIMATE PARENT ENTITY, MERCY HEALTH (EIN: 43-1423050). FORM 990, SCHEDULE H, PART I, LINE 7, COLUMN F TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) ARE $71,947,766. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $4,593,431. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $67,354,335.
FORM 990, SCHEDULE H, PART I, LINE 7GTHE ORGANIZATION DID NOT INCLUDE ANY PHYSICIAN CLINIC COSTS ON LINE 7G.
FORM 990, SCHEDULE H, PART IIPAST COMMUNITY NEED DISCUSSIONS CONFIRMED REPEATEDLY THAT A HEALTHY COMMUNITY SUPPORTS WELL BEING OF RESIDENTS. LIKEWISE, ACCESS TO A FAIR FAMILY WAGE AFFORDS FAMILIES OPPORTUNITIES TO GAIN EDUCATION THAT IN TURN HAS SHOWN TO LEAD TO LEVERAGING HEALTH OPPORTUNITIES. SOLID INFRASTRUCTURE AND A STABLE ECONOMY SET A CONTEXT FOR CITIZENS TO REACH POTENTIAL AND IN TURN CONTRIBUTE TO SOCIETY FOR FUTURE GENERATIONS. OUR COMMUNITY HAS NOTABLE POVERTY RATES AND HIGH NUMBERS OF CHILDREN WITH REDUCED OR FREE LUNCHES IN OUR SCHOOLS. COMMUNITY BUILDING ACTIVITY NEEDS TO BE A PRIORITY. COMMUNITY BUILDING ACTIVITIES ADDRESS ROOT CAUSES OF HEALTH RELATED PROBLEMS. MULTIDISCIPLINARY COMMUNITY PARTNERSHIPS AND COLLABORATION ADDRESS SYSTEMIC MALFUNCTION AND ROOT CAUSES OF ISSUES LIKE POVERTY, VIOLENCE AND HOMELESSNESS AMONG OTHERS. THEY STRENGTHEN THE COMMUNITY'S ABILITY TO PROMOTE HEALTH AND WELL-BEING. HEALTH CARE ORGANIZATIONS HAVE A WIDE RANGE OF EXPERTISE TO BRING TO THE TABLE AS EACH COMMUNITY TACKLES THESE SYSTEMIC CHALLENGES.
FORM 990, SCHEDULE H, PART III, SECTION A, LINE 2TO 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 3THE 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 4THE 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 8IT 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 9BMERCY'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 REVIEW COMPLIANCE WITH POLICIES.
FORM 990, SCHEDULE H, PART VI, LINE 2MERCY 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 3THE 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 4MERCY KANSAS COMMUNITIES' PRIMARY SERVICE AREA INCLUDES THE FOLLOWING SEVEN COUNTIES IN SOUTHEAST KANSAS: LINN, BOURBON, CRAWFORD, WILSON, ELK, CHAUTAUQUA AND MONTGOMERY. THREE OF THE COUNTIES (LINN, BOURBON AND CRAWFORD) ARE IN THE FORT SCOTT, KANSAS AREA. THE FOLLOWING INFORMATION IS DERIVED FROM 2015 SG2 ANALYTICS DATA AND SG2 INSURANCE COVERAGE ESTIMATES. THE FORT SCOTT AREA'S POPULATION IS 64,503. 23% OF THE POPULATION'S AVERAGE HOUSEHOLD INCOME IS OVER $75,000. 41% OF THE POPULATION IS 45 AND OLDER. 25% OF HOUSEHOLDS ARE ON MEDICARE, 19% ON MEDICAID, AND 12% UNINSURED. THE OTHER FOUR COUNTIES (WILSON, ELK, CHAUTAUQUA AND MONTGOMERY) ARE IN THE INDEPENDENCE, KANSAS AREA. THE FOLLOWING INFORMATION IS DERIVED FROM 2015 SG2 ANALYTICS DATA AND SG2 INSURANCE COVERAGE ESTIMATES. THE INDEPENDENCE AREA'S POPULATION IS 49,128. 19% OF THE POPULATION'S AVERAGE HOUSEHOLD INCOME IS OVER $75,000. 46% OF THE POPULATION IS 45 AND OLDER. 33% OF HOUSEHOLDS ARE ON MEDICARE, 16% ON MEDICAID, AND 11% UNINSURED.
FORM 990, SCHEDULE H, PART VI, LINE 5COLLABORATION IS THE KEY TO COMMUNITY HEALTH. COLLABORATION AND COMMUNITY INVOLVEMENT IN IDENTIFIED HUMAN ISSUES PLUS PARTNERSHIP WITH OTHER ORGANIZATIONS TO RESOLVE COMMUNITY CHALLENGES SETS THE CONTEXT FOR PROMOTING HEALTH IN THE COMMUNITY. OUR ENTIRE EFFORTS IN COMMUNITY BENEFIT FOCUS ON THE IMPROVEMENT OF HEALTH IN OUR COMMUNITIES. ALL OF THAT WORK HAS BEEN SPENT ON ASSESSING COMMUNITY NEED IN THE AREA OF HEALTH, SELECTING AND IMPLEMENTING PROGRAMS TO TACKLE UNHEALTHY BEHAVIORS RESULTING IN IMPROVED HEALTH STATUS.
FORM 990, SCHEDULE H, PART VI, LINE 6AFFILIATED HEALTH CARE SYSTEM: THE FILING ORGANIZATION IS PART OF MERCY HEALTH ("MERCY"). MERCY IS A MISSOURI NON-PROFIT CORPORATION WITH ITS HEADQUARTERS ("MINISTRY OFFICE") IN ST. LOUIS, MISSOURI. MERCY PROVIDES HEALTH CARE SERVICES IN FOUR STATES - ARKANSAS, KANSAS, MISSOURI, AND OKLAHOMA - AND HAS OUTREACH MINISTRIES LOCATED IN LOUISIANA, MISSISSIPPI, AND TEXAS. MERCY'S MISSION IS "AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE." AS OF JUNE 30, 2015, MERCY FACILITIES INCLUDED 30 ACUTE CARE HOSPITALS, 5 MANAGED HOSPITALS, 4 HEART HOSPITALS, 2 CHILDREN'S HOSPITALS, 2 ORTHOPEDIC HOSPITALS AND 3 REHAB HOSPITALS. FOR THE FISCAL YEAR ENDED JUNE 30, 2015, MERCY HAD MORE THAN 8.7 MILLION OUTPATIENT AND PHYSICIAN OFFICE VISITS, APPROXIMATELY 2,100 EMPLOYED PHYSICIANS, AND APPROXIMATELY 36,000 FULL-TIME EQUIVALENT EMPLOYEES, MAKING MERCY THE SEVENTH LARGEST CATHOLIC HEALTH SYSTEM IN THE UNITED STATES BASED ON NET PATIENT SERVICE REVENUE. MERCY IS SPONSORED BY MERCY HEALTH MINISTRY, WHICH IS GOVERNED BY MEMBERS THAT INCLUDE SISTERS OF MERCY. MANY SERVICES THAT ARE ESSENTIAL TO FULFILLING MERCY'S MISSION ARE CENTRALIZED AT THE MINISTRY OFFICE. SUCH CENTRALIZED SERVICES INCLUDE TREASURY, INFORMATION TECHNOLOGY, CLINICAL QUALITY MANAGEMENT, LEGAL AND COMPLIANCE COUNSEL, COMPENSATION AND BENEFITS, CONSULTING, PERFORMANCE MANAGEMENT, REVENUE MANAGEMENT, INTERNAL AUDIT, ACCOUNTING AND REPORTING, CAPITAL MANAGEMENT, CLINICAL ENGINEERING, AND CLINICAL SAFETY. THE CENTRALIZATION OF SUCH SUPPORT SERVICES ENABLES MERCY TO ENSURE THAT EACH OF ITS COMMUNITIES, WHETHER LARGE OR SMALL, HAS THE SERVICES IT NEEDS.
FORM 990, SCHEDULE H, PART VI, LINE 7STATE FILING OF COMMUNITY BENEFIT REPORT: N/A.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Independence USD 446BusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1517 N TENTH STAddressLine1Txt
Address Line2PO DRAWER 487AddressLine2Txt
CityINDEPENDENCECityNm
State AbbreviationKSStateAbbreviationCd
ZIP67301ZIPCd
FieldValueIRS element (for citing)
Recipient EIN205218378RecipientEIN
IRC SectionGOVTIRCSectionDesc
Cash Grant$25,000CashGrantAmt
Purpose Of GrantINDEPENDENCE STADIUM PROJECT CONTRIBUTIONPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceForm 990, Schedule I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationTHE 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
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 (22 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
Allen MD Jay
Physician & Board member$213,266$0$0$0$17,215$0$22,048$0$17,127$0$269,656$0$0$0
Copeland Jr Robert
Pres - Carth & KS Through 5/15$0$227,403$0$32,417$0$28,315$0$50,761$0$17,647$0$356,543$0$0
Nichols MD Robert R
Physician & Board member$202,172$0$0$0$51,952$0$45,935$0$13,437$0$313,496$0$0$0
Seals DO Larry E
Physician & Board member$402,711$0$0$0$25,369$0$13,689$0$18,403$0$460,172$0$0$0
Baker Reta
President-Mercy Hospital Fort$0$232,924$0$56,037$0$41,373$0$85,590$0$13,348$0$429,272$0$0
Hunter Shelly
Chief financial officer$0$184,571$0$33,915$0$52,399$0$43,677$0$10,995$0$325,557$0$0
Pulsipher Gary W
Chief executive officer$0$379,359$0$91,228$0$43,622$0$257,467$0$18,281$0$789,957$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
Steinmann David
President-Mercy Hospital Indep$0$146,769$0$48,892$0$31,013$0$12,575$0$16,835$0$256,084$0$0
Biles Tracey
VP-Mission through 01/15$0$107,008$0$10,317$0$35,275$0$7,339$0$6,751$0$166,690$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
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
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
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
Enyart Marc E
Physician$372,711$0$0$0$26,060$0$8,925$0$8,545$0$416,241$0$0$0
Fox John M
Physician$445,386$0$0$0$18,833$0$22,894$0$18,250$0$505,363$0$0$0
Hall Ralph W
Physician$322,999$0$0$0$44,020$0$22,757$0$18,175$0$407,951$0$0$0
Phelps MD David
Physician$339,787$0$0$0$36,154$0$47,140$0$14,093$0$437,174$0$0$0
Sohaei Soheila
Physician$408,255$0$0$0$56,320$0$17,320$0$8,745$0$490,640$0$0$0
Ammons Carl E Eric
Former officer$0$305,169$0$102,480$0$41,644$0$162,127$0$13,993$0$625,413$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
Floyd Terri
Former officer$0$799$0$183,101$0$223,353$0$43,902$0$906$0$452,061$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.
FORM 990, SCHEDULE J, PART I, QUESTION 3MERCY KANSAS COMMUNITIES, INC. 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 INDIVIDUAL RECEIVED A SEVERANCE PAYMENT DURING CALENDAR 2014: TERRI FLOYD, $173,529.
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: CARL (ERIC) AMMONS, ROBERT COPELAND, TERRI FLOYD, RETA BAKER, SHELLY HUNTER, GARY PULSIPHER, JAMES BURKE, TANYA MARION, WILLIAM HENNESSEY III, 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 (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
JANICE BAKER
FAMILY MEMBER OF OFFICER$42,329EMPLOYMENTfalse
CHRISTINA YOUNG
FAMILY MEMBER OF OFFICER$56,365EMPLOYMENTfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III - PROGRAM SERVICE, LINE 4DOTHER PROGRAM SERVICES MERCY KANSAS COMMUNITIES, INC. PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, GENDER, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. MERCY KANSAS COMMUNITIES, INC. PROVIDES INPATIENT DAY SERVICES, OUTPATIENT SERVICES, EMERGENCY SERVICES, HOME HEALTH VISITS AND OFFICE VISITS. HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY INCLUDE LOW COST PRENATAL CARE, BIRTHING CENTER FOR PATIENTS REQUIRING SPECIAL CARE, GERIATRIC SITTER SERVICES, RURAL HEALTH CLINICS, EXPANDED TRANSPORTATION SERVICES, AMBULANCE SERVICE, SAFE KIDS PROGRAMS, MERCY 55 MATURE DRIVING CLASSES, MERCY COMPASSIONATE CARE PROGRAM, AND OTHER HEALTH PROGRAMS.
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. THE NUMBER REPORTED IN PART V, QUESTION 1A FOR THE FILING ORGANIZATION ONLY INCLUDES THE FORM 1099S FILED TO REPORT PHYSICIAN DEBT FORGIVENESS.
FORM 990, PART VI, LINE 6A, LINE 7A, 7BCLASSES OF MEMBERS OR STOCKHOLDERS THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH SOUTHWEST MISSOURI/KANSAS COMMUNITIES. THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES ARE RESERVED SOLELY FOR THE SOLE CORPORATE MEMBER: -TO APPROVE THE MISSION AND ESTABLISH THE PHILOSOPHY ACCORDING TO WHICH THE CORPORATION SHALL OPERATE; -TO AMEND THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION; -TO APPOINT MEMBERS OF THE BOARD; -TO APPOINT AND REMOVE THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION; -TO APPROVE THE STRATEGIC PLAN, GOALS AND OBJECTIVES OF THE CORPORATION; -TO APPROVE THE OPERATING, CAPITAL, AND CONSTRUCTION BUDGETS FOR THE CORPORATION; -TO LEASE OR SELL ANY OF THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO ENCUMBER ANY OR ALL OF THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO AUTHORIZE AND APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTE ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; -TO MERGE, DISSOLVE, OR ABANDON THE MERCY KANSAS COMMUNITIES CORPORATION; AND -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 DIRECTOR 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' FORMS 990. AFTER QUESTIONS ARISING FROM THE VARIOUS REVIEWS ARE ADDRESSED AND INCORPORATED INTO THE FORM 990, A REVISED DRAFT IS PROVIDED TO THE FILING ORGANIZATION'S LEADERSHIP TEAM, INCLUDING THE CFO AND CEO, FOR REVIEW. IN ADDITION, THE FORM 990 IS MADE AVAILABLE TO THE MERCY HEALTH SOUTHWEST MISSOURI/KANSAS COMMUNITIES BOARD OF DIRECTORS FOR THEIR REVIEW, AS MERCY HEALTH SOUTHWEST MISSOURI/KANSAS COMMUNITIES IS THE SOLE CORPORATE MEMBER OF MERCY KANSAS COMMUNITIES AND HAS ULTIMATE RESPONSIBILITY TO APPOINT THE MERCY KANSAS COMMUNITIES BOARD (WHICH IS PRIMARILY ADVISORY IN NATURE) AND LEADERSHIP TEAM AND POWER TO APPROVE SIGNIFICANT FINANCIAL AND OPERATIONAL DECISIONS. ONCE REVIEWED AND APPROVED BY THE FILING ORGANIZATION'S LEADERSHIP TEAM, THE FORM 990 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, 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 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.
FORM 990, PART XII, QUESTION 3A AND 3BSINGLE AUDIT ACT AND OMB CIRCULAR A-133 MERCY HEALTH UNDERGOES A CONSOLIDATED A-133 AUDIT EVERY YEAR AND DID SO FOR THE FISCAL YEAR ENDING JUNE 30, 2015. EACH ENTITY THAT RECEIVES FEDERAL FUNDS DURING THE YEAR IS INCLUDED ON THE SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS (SEFA) AND IS ALSO INCLUDED IN THE POPULATION AVAILABLE FOR AUDIT. THE FILING ENTITY RECEIVED FEDERAL FUNDS DURING THE YEAR ENDED JUNE 30, 2015, WAS INCLUDED ON THE MERCY HEALTH CONSOLIDATED SEFA, AND THEREFORE, WAS ALSO INCLUDED IN THE POPULATION AVAILABLE FOR AUDIT.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (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 HealthYes (true)
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 Rogers
2710 Rife Medical LaneRogersAR72758710294390HospitalAR501c33MH NWAR COMMYes (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 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 OrganizationControlledOrganizationIndShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
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 PHARMACYKSM KS COMMC-CORPYes (true)$0$01.00000
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 (19 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Mercy Health
P$272,065FMV
Mercy Health Springfield Communities
P$73,616FMV
Mercy Health Northwest Arkansas Communities
Q$254,786FMV
Mercy Clinic Oklahoma Communities Inc
Q$216,705FMV
Mercy Clinic East Communities
Q$101,757FMV
Mercy Hospital Fort Smith
Q$756,352FMV
Mercy Health East Communities
Q$447,940FMV
Mercy Hospitals East Communities
Q$890,096FMV
Mercy Hospital Springfield
Q$969,878FMV
Mercy Hospital Jefferson
Q$95,085FMV
Mercy Hospital Rogers
Q$297,861FMV
Mercy Hospital Oklahoma City Inc
Q$391,416FMV
Mercy Hospital Ardmore Inc
Q$111,405FMV
Mercy Family Center
Q$128,258FMV
Mercy Hospital Ada Inc
Q$90,273FMV
MHM Support Services
Q$51,337,968FMV
Resource Optimization & Innovation LLC
P$1,085,820FMV
Mercy Community Services Inc
P$1,542,359FMV
Mercy ACO Clinical Services Inc
P$174,320FMV

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.