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MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES (EIN 62-1684203)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-14
IRS object ID
201441349349305504
Schema version
2012v2.3
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)
Timestamp2014-05-14T14:00:13-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1190 CARONDELET PLAZA SUITE 1300AddressLine1
CityCLAYTONCity
StateMOState
ZIP Code63105ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN621684203EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIESBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% BENNY J STOVER CPA VP OF FInCareOfName
Name ControlMERCNameControl
Phone3145796100Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12710 Rife Medical LaneAddressLine1
Address Line2SuiteAddressLine2
CityRogersCity
StateARState
ZIP Code72758ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBenny J StoverName
TitleVP FinanceTitle
Date Signed2014-05-09DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3142901000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonERIC PIANALTONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12710 Rife Medical LaneAddressLine1
CityRogersCity
StateARState
ZIP Code72758ZIPCode
FieldValueIRS element (for citing)
Gross Receipts66196353GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.mercy.netWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1997YearFormation
State Legal DomicileARStateLegalDomicile
Activity Or Mission DescriptionAS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL service.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees719TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year62087740ProgramServiceRevenuePriorYear
Program Service Revenue CY64912062ProgramServiceRevenueCY
Investment Income Prior Year15342InvestmentIncomePriorYear
Investment Income Current Year64245InvestmentIncomeCurrentYear
Other Revenue Prior Year182341OtherRevenuePriorYear
Other Revenue Current Year1220046OtherRevenueCurrentYear
Total Revenue Prior Year62285423TotalRevenuePriorYear
Total Revenue Current Year66196353TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year500GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1750GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year58414319SalariesEtcPriorYear
Salaries Etc Current Year60769442SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year20486652OtherExpensePriorYear
Other Expenses Current Year22827920OtherExpensesCurrentYear
Total Expenses Prior Year78901471TotalExpensesPriorYear
Total Expenses Current Year83599112TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-16616048RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-17402759RevenuesLessExpensesCY
Total Assets BOY12569127TotalAssetsBOY
Total Assets EOY12912480TotalAssetsEOY
Total Liabilities BOY78478829TotalLiabilitiesBOY
Total Liabilities EOY95414940TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-65909702NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-82502460NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionAS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense26728662Expense
Revenue24703885Revenue
DescriptionFAMILY MEDICINE PHYSICIAN SERVICES: MERCY HEALTH SYSTEM OF NWA'S FAMILY MEDICINE PHYSICIAN SERVICES ARE COMPRISED OF 34 BOARD CERTIFIED FAMILY MEDICINE PHYSICIANS AND 9 MID-LEVELS, WHO PROVIDED PRIMARY MEDICINE SERVICES TO PATIENTS RANGING FROM ONE YEAR OLD THROUGH ADULTHOOD. THESE SERVICES ARE OFFERED IN APPROXIMATELY 11 LOCATIONS THROUGHOUT BENTON COUNTY ARKANSAS AND THE SURROUNDING SERVICE AREA. DURING THE YEAR, 187,218 OFFICE VISITS WERE PROVIDED TO PATIENTS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense11600625Expense
Revenue6617774Revenue
DescriptionCARDIOVASCULAR SERVICES: MERCY HEALTH SYSTEM OF NWA'S CARDIOVASCULAR PHYSICIAN SERVICES ARE COMPRISED OF 7 CARDIOLOGISTS, 2 CARDIOVASCULAR SURGEONS, AND 9 MID-LEVEL PROVIDERS. THESE PROVIDERS SERVE PATIENTS THROUGHOUT BENTON COUNTY ARKANSAS AND THE SURROUNDING SERVICE AREA, WHO HAVE HEART RELATED MEDICAL NEEDS. DURING THE YEAR, 22,231 OFFICE VISITS WERE PROVIDED TO PATIENTS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense4757930Expense
Revenue4499701Revenue
DescriptionPEDIATRIC PHYSICIAN SERVICES: MERCY HEALTH SYSTEM OF NWA'S PEDIATRIC PHYSICIAN SERVICES ARE COMPRISED OF 6 BOARD CERTIFIED PEDIATRICIANS AND 1.5 MID LEVELS, WHO PROVIDED PRIMARY MEDICINE SERVICES TO PATIENTS RANGING IN AGE FROM INFANTS THROUGH EIGHTEEN YEARS. SERVICES ARE PROVIDED TO PATIENTS THROUGHOUT BENTON COUNTY ARKANSAS AND THE SURROUNDING SERVICE AREA. DURING THE YEAR, 32,657 OFFICE VISITS WERE PROVIDED TO PATIENTS.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp32773346TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt1750TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev30310748TotalOfOtherProgramServiceRev
Total Program Service Expense75860563TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees719NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonBENNY J STOVER CPA VP OF FNamePerson
Telephone Number4793382903TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12710 RIFE MEDICAL LANEAddressLine1
CityROGERSCity
StateARState
ZIP Code72758ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (34 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Bergant Paul
Board member1.01.0X000
Callahan Wayne
Board member1.01.0X000
Donnell Hugh G
Physician & Board member59.01.0X328514039685
Evans RSM Sr Gayle
Board member1.035.0X000
Faddis MD Lance
Physician & Board member60.00.0X264805025457
Finnegan RSM Sr Chabanel
Board member1.034.0X000
Ford Rollin
Board member1.00.0X000
Kelone RSM Sr Teresa
Board member1.00.0X000
Lawson Randy
Board member1.00.0X000
Lipscomb Tabitha
Board member1.00.0X000
Mahan Paul
Board member1.00.0X000
Rogers Chris
Board member1.00.0X000
Stuppy Robert J
Physician & Board member60.00.0X799645030010
Trammel Dick
Board member1.01.0X000
Street Scott
Chief executive officer20.040.0X0529683115769X
Vitiello Jonathan
Chief financial officer2.058.0049311864006X
Day Bradley Kim
Pres Central Comm- thru 3/1/131.059.00987614348680X
Goss Stephen
Physician executive60.00.0322299072481X
Halstead John
VP-Mission20.040.0152406015864X
Hughes Steven L
Chief administrative officer60.00.0218261018465X
Marion Tanya
Regional VP-Human resources3.057.0023263543308X
Merrigan Michael
Regional VP-General Counsel2.058.0037845056809X
Stover Benny J
VP-Finance20.040.0175634020594X
Swope Jon
Pres Central Comm-Start 3/1/132.058.00758712230689X
El-Shafei Amr
Physician60.00.01389303018240X
Riley Philip
Physician60.00.0827153016837X
Simpson Christopher
Physician60.00.0827431028916X
Weathers Larry W
Physician60.00.0774491024028X
Wigington William C
Physician60.00.0777921019845X
Barrett Susan
Former president0.040.002166670X
Flynn George
Former CEO0.00.003297507140483X
Little-Smith Karen
Former key employee60.00.0124596012375X
Stewart Michele
Former key employee0.060.022332510923667910X
Barclay RicK
Former key employee0.060.0199052021415X
FieldValueIRS element (for citing)
Total Reportable Comp From Org7404836TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs7003622TotalReportableCompFrmRltdOrgs
Total Other Compensation1431866TotalOtherCompensation
Number Individuals GT100 K114NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
QUEST DIAGNOSTICS
PO BOX 740709ATLANTAGA30374LAB DIAGNOSTICS355507
M MODAL
9009 CAROTHERS PARKWAY SUITE C2FRANKLINTN37067TRANSCRIPTION SERV194246
MERCY MEDICAL CENTER
PO BOX 504664ST LOUISMO63150LAB SERVICES169941
TIMELINE RECRUITING LLC
13841 COLLECTIONS CENTER DRIVECHICAGOIL60693RECRUITING136253
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Fundraising Events0FundraisingEvents
Noncash Contributions0NoncashContributions
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Net Patient Service Reven62111164599930645999300$0
PCIP/HPSA Revenue9000993121323121320$0
FieldValueIRS element (for citing)
Total Program Service Revenue64912062TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column64245TotalRevenueColumn
Exclusion$64,245ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Fundraising Direct Expenses0FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
DIALYSIS CENTER REVENUE9000993309623309620$0
COMP PRIM CARE PILOT PROG9000994524974524970$0
HUMAN PRACTICE REWARDS9000992719562719560$0

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column164631TotalRevenueColumn
Related Or Exempt Function Income164631RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1220046TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column66196353TotalRevenueColumn
Related Or Exempt Function Income66132108RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$64,245ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1750Total
Program Services1750ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3704729Total
Program Services3704729ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total114941Total
Program Services114941ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total46904591Total
Program Services42305399ProgramServices
Management And General4599192ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1833933Total
Program Services1653928ProgramServices
Management And General180005ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5638624Total
Program Services5107147ProgramServices
Management And General531477ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2572624Total
Program Services2337863ProgramServices
Management And General234761ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total144874Total
Management And General144874ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1518527Total
Program Services1013823ProgramServices
Management And General504704ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total246755Total
Program Services111348ProgramServices
Management And General135407ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total956186Total
Program Services868930ProgramServices
Management And General87256ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total40235Total
Program Services36563ProgramServices
Management And General3672ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4160313Total
Program Services3795477ProgramServices
Management And General364836ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total230099Total
Program Services129787ProgramServices
Management And General100312ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total774Total
Program Services0ProgramServices
Management And General774ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total28756Total
Program Services26132ProgramServices
Management And General2624ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total883182Total
Program Services535904ProgramServices
Management And General347278ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total1445150Total
Program Services1313275ProgramServices
Management And General131875ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Repairs & Maintenance193585157905356800
Shared Service fees206649618779211885750
Drugs & Medical Supplies64970126459949370630
Bad Debt3379837337983700

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1036139Total
Program Services927955ProgramServices
Management And General108184ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total83599112Total
Program Services75860563ProgramServices
Management And General7738549ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY481493BOY
EOY482034EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY6027356BOY
EOY5299779EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1236480BOY
EOY897017EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY453516BOY
EOY447585EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY13086BOY
EOY92262EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis13058544LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7368058LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4357196BOY
EOY5690486EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY3317EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY12569127BOY
EOY12912480EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY9496494BOY
EOY8423859EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY1998906BOY
EOY1625001EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY66983429BOY
EOY85366080EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY78478829BOY
EOY95414940EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-65909702BOY
EOY-82502460EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-65909702BOY
EOY-82502460EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12569127BOY
EOY12912480EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-17402759ReconcilationRevenueExpenses
Reconcilation Other Changes810001ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years95352882CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years54103144CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years58695633CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year61696202CurrentTaxYearMinus1Year
Current Tax Year64599930CurrentTaxYear
Total334447791Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years95352882CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years54103144CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years58695633CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year61696202CurrentTaxYearMinus1Year
Current Tax Year64599930CurrentTaxYear
Total334447791Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year0CurrentTaxYear
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year0CurrentTaxYear
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year0CurrentTaxYear
Total0Total
FieldValueIRS element (for citing)
Public Support Total509334447791PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years41511CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years27879CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years-18223CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15342CurrentTaxYearMinus1Year
Current Tax Year64245CurrentTaxYear
Total130754Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years41511CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years27879CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years-18223CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15342CurrentTaxYearMinus1Year
Current Tax Year64245CurrentTaxYear
Total130754Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1237480CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years533693CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years417373CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year573879CurrentTaxYearMinus1Year
Current Tax Year1532178CurrentTaxYear
Total4294603Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years96631873CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years54664716CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years59094783CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year62285423CurrentTaxYearMinus1Year
Current Tax Year66196353CurrentTaxYear
Total338873148Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98694PublicSupportPercentage509
Prior Year Support Percentage0.98491PriorYearSupportPercentage
Investment Income Percentage0.00039InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00260PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationOTHER INCOME INCLUDED SERVICES PROVIDED TO SUPPORT THE HOSPITAL, SUCH AS CAFETERIA INCOME AND OTHER SERVICE REVENUE.GeneralExplanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis935000OtherCostOrOtherBasis
Book Value935000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1453944OtherCostOrOtherBasis
Depreciation1166123Depreciation
Book Value287821BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis4358031OtherCostOrOtherBasis
Depreciation2454590Depreciation
Book Value1903441BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis5705575OtherCostOrOtherBasis
Depreciation3677749Depreciation
Book Value2027826BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis605994OtherCostOrOtherBasis
Depreciation69596Depreciation
Book Value536398BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5690486TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DEPOSITORY ACCOUNTS-BOA$35,924,204
DUE TO AFFILIATES$49,441,876
FieldValueIRS element (for citing)
Total Of Amounts85366080TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierForm 990, Schedule D, Part X, Line 2Identifier
Return ReferenceASC 740 FOOTNOTEReturnReference
ExplanationTHE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF MERCY HEALTH AND AFFILIATES DO NOT INCLUDE A FOOTNOTE TO REPORT THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX PROVISIONS UNDER ASC 740, AS THEY ARE DEEMED IMMATERIAL FOR DISCLOSURE.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelXFirstClassOrCharterTravel
Travel For CompanionsXTravelForCompanions
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (23 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Donnell Hugh G
Physician & Board member2813910270180201050187100209750368199000
Faddis MD Lance
Physician & Board member228615021498014692050810203760290262000
Stuppy Robert J
Physician & Board member5802900175000044355088010212090829655000
Street Scott
Chief executive officer03886180120181020884098296017473064545200
Vitiello Jonathan
Chief financial officer02946470102118096353047736016270055712400
Day Bradley Kim
Pres Central Comm- thru 3/1/130630366032222503502303344460142340133629400
Goss Stephen
Physician executive2330460454730437800531150193660394780000
Halstead John
VP-Mission12954202184801016011580147060168270000
Hughes Steven L
Chief administrative officer171465021144025652068290116360236726000
Marion Tanya
Regional VP-Human resources0137188070088025359028325014983027594300
Merrigan Michael
Regional VP-General Counsel022795909633705415404938907420043525900
Stover Benny J
VP-Finance130156025143020335056910149030196228000
Swope Jon
Pres Central Comm-Start 3/1/13048158502494570276700212960017729098940100
El-Shafei Amr
Physician122247301292600375700686301137701407543000
Riley Philip
Physician71568807500003646506930099070843990000
Simpson Christopher
Physician715790075000036641076430212730856347000
Weathers Larry W
Physician607187075000092304074290165990798519000
Wigington William C
Physician655017058450064454060300138150797766000
Barclay RicK
Former key employee151314027703020035098530115620220467000
Barrett Susan
Former president021666700000000021666700
Flynn George
Former CEO0241540136500031368530139018014650343799002299930
Little-Smith Karen
Former key employee948590622902350806340060350136971000
Stewart Michele
Former key employee13543186463502200376742277352172010406533228590311456800

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierFORM 990, SCHEDULE J, PART I, LINE 1Identifier
ExplanationCHARTER 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. LIMITED INSTANCES OF TAX GROSS-UPS MAY HAVE OCCURRED WITH RESPECT TO EXECUTIVES. FORM 990, SCHEDULE J, PART I, QUESTION 3 MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTION 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS. FORM 990, SCHEDULE J, PART I, QUESTION 4A THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT DURING CALENDAR YEAR 2012: GEORGE FLYNN, $720,175 FORM 990, SCHEDULE J, PART I, QUESTION 4B MERCY HEALTH OFFERS SUPPLEMENTAL RETIREMENT PLANS TO CERTAIN EXECUTIVES WHICH PROVIDE BENEFITS UPON RETIREMENT 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: SCOTT STREET, JONATHAN VITIELLO, BRADLEY DAY, STEPHEN GOSS, TANYA MARION, MICHAEL MERRIGAN, JON SWOPE, MICHELE STEWART, AND GEORGE FLYNN. THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C). FORM 990, SCHEDULE J, PART I, QUESTION 7 MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES PROVIDES A NON-FIXED BONUS PLAN FOR WHICH CERTAIN TIERS OF ITS EMPLOYEES ARE ELIGIBLE. FOR FISCAL YEAR 2013 (JULY 1, 2012 - JUNE 30, 2013), PAYMENT OF ALL OR PART OF THE BONUS WAS CONTINGENT UPON ATTAINMENT OF CERTAIN FINANCIAL TARGETS. 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 GOALS IS REVIEWED BY THE EXECUTIVE COMPENSATION COMMITTEE OF MERCY HEALTH AND IS THEN TAKEN INTO ACCOUNT WHEN ANALYZING EXECUTIVE COMPENSATION FOR REASONABLENESS. FORM 990, SCHEDULE J, PART II THE AMOUNT FOR GEORGE FLYNN IN COLUMN (F) IS INCLUDED IN COLUMN BIII AS OTHER REPORTABLE COMPENSATION. THIS IS A PAYOUT OF THE SUPPLEMENTAL RETIREMENT PLAN AND WAS INCLUDED IN COLUMN (C) OF PREVIOUSLY FILED FORMS 990.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonAshley GossNamePerson
FieldValueIRS element (for citing)
RelationshipFamily of key employeeRelationship
Amount Of Transaction114941AmountOfTransaction
Description Of TransactionEmploymentDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation

FieldValueIRS element (for citing)
IdentifierFORM 990, PART III, QUESTION 4DIdentifier
Return ReferenceDESCRIPTION OF OTHER PROGRAM SERVICESReturnReference
ExplanationMERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES (MHNWAC) AND ITS MEMBER HEALTH CARE FACILITIES PROVIDE QUALITY CARE REGARDLESS OF RACE, CREED, GENDER, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. IN ACTIVE PURSUIT OF THE ABOVE STATED MISSION, MHNWAC PROVIDED 32,078 INPATIENT SERVICE DAYS OF ACUTE OR SUB-ACUTE CARE. MHNWAC HAD ACUTE NEWBORN DISCHARGES OF 1,302, NEWBORN PATIENT DAYS WERE 2,286, RESPONDED TO APPROXIMATELY 44,700 EMERGENCY ROOM ENCOUNTERS, MADE OVER 34,100 HOME HEALTH CARE VISITS AND COMPLETED 153,456 OUTPATIENT VISITS. COMMUNITY OUTREACH/BENEFIT PROGRAMS INCLUDE SUPPORT GROUPS FOR CURRENT AND PAST PATIENTS (DIABETIC, CARDIAC, ETC.), EXPECTING/NEW PARENTS (CHILD BIRTH CLASSES, VARIOUS SUPPORT GROUPS, ETC.), AND EMPLOYEES (EDUCATIONAL ASSISTANCE PROGRAMS, ETC.), LOCAL/SURROUNDING COMMUNITY (WELLNESS PROGRAMS, HEALTH FAIRS, HOME HEALTH PROGRAMS, ETC.) RELIEF FROM FINANCIAL BURDEN OF HEALTH CARE SERVICES TO THE INDIGENT CONSISTS OF CHARGES OF $23,474,932 FOR CHARITY CARE PROVIDED WITH A COST OF RELATED SERVICES. FORM 990, PART V, QUESTION 1A FORM 1099/1096 FILING VENDORS FOR THE FILING ORGANIZATION ARE PAID BY MERCY HEALTH (EIN 43-1423050). AS SUCH, ALL REQUIRED FORM 1099 AND FORM 1096 REPORTING IS MADE FOR THE ENTIRE MERCY HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN. FORM 990, PART VI, LINE 6A, LINE 7A, 7B CLASSES OF MEMBERS OR STOCKHOLDERS THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH. THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED SOLELY UNTO THE CORPORATE MEMBER: -TO APPROVE AND ESTABLISH THE MISSION AND PHILOSOPHY ACCORDING TO WHICH THE CORPORATION AND ALL CORPORATIONS CONTROLLED BY THE CORPORATION SHALL OPERATE; -TO ADOPT OR AMEND THE ARTICLES OF INCORPORATION AND BYLAWS OF MERCY HOSPITAL ROGERS; -TO ADOPT OR AMEND THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION, EXCEPT THAT: -ANY AND ALL AMENDMENTS TO THE BYLAWS OF THE CORPORATION THAT MATERIALLY AFFECT THE EXISTENCE OR OPERATIONS OF THE MEDICAL GROUP BOARD, AS PROVIDED IN SECTION 8.2, MUST BE APPROVED BY THE MEDICAL GROUP BOARD, AND ANY AND ALL AMENDMENTS TO THE BYLAWS OF THE CORPORATION THAT MATERIALLY AFFECT THOSE POWERS RESERVED SOLELY TO THE MEDICAL GROUP, AS DESCRIBED IN SECTION 8.3, MUST BE APPROVED BY THE MEDICAL GROUP BOARD; -TO APPROVE AND APPOINT THE THREE (3) MEDICAL GROUP PHYSICIAN DIRECTORS AND ALL COMMUNITY REPRESENTATIVE DIRECTORS ON THE BOARD FROM NOMINATIONS SUBMITTED BY THE NOMINATING COMMITTEE; -TO APPOINT THE (2) MERCY HEALTH DIRECTORS ON THE BOARD; -TO APPOINT THE PRESIDENT/CEO OF THE CORPORATION, WHO SHALL SERVE AS AN EX-OFFICIO DIRECTOR ON THE BOARD WITH VOTE; -TO REMOVE ALL DIRECTORS ON THE BOARD WITH OR WITHOUT CAUSE; -TO APPROVE OR AMEND THE OVERALL STRATEGIC, LONG RANGE, AND HEALTH MANPOWER DEVELOPMENT PLANS, GOALS, AND OBJECTIVES OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO APPROVE THE CONSOLIDATED OPERATING, CAPITAL, AND CONSTRUCTION BUDGETS (INCLUDING AGGREGATE PHYSICIAN COMPENSATION LEVELS) FOR THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION AND CHANGES IN THE BUDGETS IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE CORPORATE MEMBER; -TO LEASE OR SELL ANY OF THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE CORPORATE MEMBER; -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 CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION; AND, -TO APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION BY THE CORPORATION. FORM 990, PART VI, QUESTION 11B DSCR THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM, USING INFORMATION PROVIDED BY THE FILING ORGANIZATION. A DRAFT FORM 990 IS REVIEWED BY THE FILING ORGANIZATION'S FINANCE TEAM, INCLUDING THE MANAGER OF ACCOUNTING AND THE VICE-PRESIDENT OF FINANCE. THE DRAFT FORM 990 IS ALSO REVIEWED BY MERCY HEALTH'S TAX DEPARTMENT, TO ENSURE ACCURACY AND CONSISTENCY WITH OTHER RELATED ORGANIZATIONS' FORM 990S. AFTER QUESTIONS ARISING FROM THE VARIOUS REVIEWS ARE ADDRESSED AND INCORPORATED INTO THE FORM 990, A REVISED DRAFT IS PROVIDED TO THE FILING ORGANIZATION'S LEADERSHIP TEAM, INCLUDING THE CFO AND CEO, FOR REVIEW. ONCE REVIEWED AND APPROVED BY THE FILING ORGANIZATION'S LEADERSHIP TEAM, THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW; IT IS THEN SIGNED AND FILED WITH THE IRS. FORM 990, PART VI, QUESTION 12C DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER DISQUALIFIED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY AND DID SO IN THE NORMAL COURSE FOR THE YEAR ENDED JUNE 30, 2013. THIS PROCESS IS ADMINISTERED AT THE MERCY HEALTH LEVEL BY MERCY'S BUSINESS RISK (INTERNAL AUDIT) DEPARTMENT. THE QUESTIONNAIRES ARE REVIEWED WITH LEADERSHIP AT THE LOCAL LEVEL AND POTENTIAL CONFLICTS DISCUSSED AND RESOLVED. THE CONFLICTS AND THEIR RESPECTIVE RESOLUTIONS ARE SHARED AT THE MERCY LEVEL WITH A TEAM INCLUDING MERCY'S CHIEF FINANCIAL OFFICER, CHIEF COMPLIANCE OFFICER AND OTHER MEMBERS OF FINANCE, LEGAL AND HR. SUMMARY RESULTS ARE REVIEWED WITH MERCY'S STEWARDSHIP COMMITTEE (FORMERLY FINANCE, AUDIT AND COMPLIANCE COMMITTEE) OF THE BOARD OF DIRECTORS. FORM 990, PART VI, QUESTIONS 15A & 15B OFFICERS & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FOR THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS), THE ORGANIZATION RELIES UPON MERCY HEALTH, WHICH USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT, AND REVIEW/APPROVAL OF COMPENSATION BY THE EXECUTIVE 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 19 AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMT TO GEN PUBLIC GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST BUT ARE NOT PUBLISHED PUBLICLY. FORM 990, PART VII, SECTION A, COLUMN B AVERAGE HOURS PER WEEK THE HOURS PER WEEK DISCLOSED IN PART VII IS THE AVERAGE HOURS THE LISTED PERSON WORKED OR DEVOTED PER WEEK WHILE EMPLOYED OR ASSOCIATED WITH THE FILING ORGANIZATION AND RELATED ORGANIZATIONS (IF APPLICABLE). FORM 990, PART XI, QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE TRANSFER TO/FROM AFFILIATES- $810,001 FORM 990, PART XII, QUESTION 2C AUDIT OF FINANCIAL STATEMENTS THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN MERCY HEALTH AND SUBSIDIARIES ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 2013 (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.Explanation

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (70 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Casa de Misericordia
1602 McClelland StreetLaredoTX78044742912461SHELTERTX501(C)(3)7MM LAREDOtrue
Laredo Medical Group
14528 S Outer Forty Ste 100ChesterfieldMO63017742764726INACTIVETX501(C)(3)9MHS TEXAStrue
McAuley Portfolio Management Company
14528 S Outer Forty Ste 100ChesterfieldMO63017261708048PORT MGMTMO501(C)(3)11bMERCY HEALTHtrue
Mercy Clinic East Communities
14528 S Outer Forty Ste 100ChesterfieldMO63017431771217PHYS GROUPMO501(C)(3)9MH EAST COMMtrue
Mercy Clinic Fort Smith Communities
7301 Rogers AvenueFort SmithAR72903261318597PHYS CLINICAR501(C)(3)9MH FS COMMtrue
Mercy Clinic Hot Springs Communities
1 Mercy LaneHot SpringsAR71913261125131PHYS CLINICAR501(C)(3)9MH HS COMMtrue
Mercy Clinic Oklahoma Communities Inc
4300 W Memorial RoadOklahoma CityOK73120270473057PHYS GROUPOK501(C)(3)9MH OK COMMtrue
Mercy Clinic Springfield Communities
1965 Fremont Street Ste 2950SpringfieldMO65804431560263PHYS GROUPMO501(C)(3)9MH SF COMMtrue
Mercy Family Center
14528 S Outer Forty Ste 100ChesterfieldMO63017721069468COUNSELINGMO501(C)(3)7MERCY HEALTHtrue
Mercy Foundation for Health Innovation
14528 S Outer Forty Ste 100ChesterfieldMO63017200901499FOUNDATIONMO501(C)(3)11bMERCY HEALTHtrue
Mercy Health
14528 S Outer Forty Ste 100ChesterfieldMO63017431423050CORP OFFICEMO501(C)(3)1NAfalse
Mercy Health East Communities
14528 S Outer Forty Ste 100ChesterfieldMO63017431718408HLTH SYSTEMMO501(C)(3)11bMERCY HEALTHtrue
Mercy Health East Communities South Reg
14528 S Outer Forty Ste 100ChesterfieldMO63017461412322HLTH SYSTEMMO501(C)(3)11bMH EAST COMMtrue
Mercy Health Fort Smith Communities
7301 Rogers AvenueFort SmithAR72917261318515HOLDING COAR501(C)(3)11bMERCY HEALTHtrue
Mercy Health Foundation Ardmore
1011 14th Avenue NWArdmoreOK73401710962525FOUNDATIONOK501(C)(3)11aMH ARDMOREtrue
Mercy Health Foundation Berryville
214 Carter StreetBerryvilleAR72616710759301FOUNDATIONAR501(C)(3)11aMH BRYVILLEtrue
Mercy Health Foundation Fort Scott
401 Woodland Hills BlvdFort ScottKS66701481077073FOUNDATIONKS501(C)(3)11cM KS COMMtrue
St Edward Mercy Foundation
7301 Rogers AvenueFort SmithAR72917237330425FOUNDATIONAR501(C)(3)7MH FT SMITHtrue
Mercy Health Foundation Hot Springs
300 Werner StreetHot SpringsAR71913710804718FOUNDATIONAR501(C)(3)11bMH H SPRINGStrue
Mercy Health Foundation Independence
800 W MyrtleIndependenceKS67301481079981FOUNDATIONKS501(C)(3)11aM KS COMMtrue
Mercy Health Foundation Jefferson
1400 US Highway 61 SouthFestusMO63028462797051FOUNDATIONMO501(C)(3)11bMH E COMM SRtrue
Mercy Health Foundation Joplin
2817 St Johns BlvdJoplinMO64804270906136FOUNDATIONMO501(C)(3)11aMH SWMK COMMtrue
Mercy Health Foundation NW Arkansas
2710 Rife Medical LaneRogersAR72758710601687FOUNDATIONAR501(C)(3)11cMH ROGERStrue
Mercy Health Foundation Oklahoma City
4300 W Memorial RoadOklahoma CityOK73120731593024FOUNDATIONOK501(C)(3)11aMH OK CITYtrue
Mercy Health Foundation of Oklahoma
4300 W Memorial RoadOklahoma CityOK73120454732301FOUNDATIONOK501(C)(3)11aMH OK COMMtrue
Mercy Health Foundation Springfield
1235 E Cherokee StreetSpringfieldMO65804320195818FOUNDATIONMO501(C)(3)11bMH SF COMMtrue
Mercy Health Foundation St Louis
14528 S Outer Forty Ste 100ChesterfieldMO63017562410020FOUNDATIONMO501(C)(3)11bMH EAST COMMtrue
Mercy Health Foundation Washington
901 E Fifth StreetWashingtonMO63090562410022FOUNDATIONMO501(C)(3)11bMH EAST COMMtrue
Mercy Health Hot Springs Communities
300 Werner StreetHot SpringsAR71913261125064HOLDING COAR501(C)(3)11bMERCY HEALTHtrue
Mercy Health Oklahoma Communities Inc
4300 W Memorial RoadOklahoma CityOK73120731453048HOLDING COOK501(C)(3)11bMERCY HEALTHtrue
Mercy Health Southwest MOKS Communities
2817 St Johns BlvdJoplinMO64804300584463HLTH SYSTEMMO501(C)(3)11bMERCY HEALTHtrue
Mercy Health Springfield Communities
1235 E Cherokee StreetSpringfieldMO65804431856028HLTH SYSTEMMO501(C)(3)11bMERCY HEALTHtrue
Mercy Health System of Texas Inc
14528 S Outer Forty Ste 100ChesterfieldMO63017742764727INACTIVETX501(C)(3)11bMERCY HEALTHtrue
Mercy Home Health Berryville
804 W Freeman Suite 4BerryvilleAR72616870781247HOME HEALTHAR501(C)(3)11cMH SFtrue
Mercy Hospital Ada Inc
430 N Monte Vista StreetAdaOK74820462288155HOSPITALOK501(C)(3)3MH OK COMMtrue
Mercy Hospital Ardmore Inc
1011 14th Avenue NWArdmoreOK73401731500629HOSPITALOK501(C)(3)3MH OK COMMtrue
Mercy Hospital Aurora
500 Porter AvenueAuroraMO65605431936696HOSPITALMO501(C)(3)3MH SF COMMtrue
Mercy Hospital Berryville
214 Carter StreetBerryvilleAR72616710759299HOSPITALAR501(C)(3)3MH SF COMMtrue
Mercy Hospital Carthage
3125 Dr Russell Smith WayCarthageMO64836453808607HOSPITALMO501(C)(3)3MH SWMK COMMtrue
Mercy Hospital Cassville
94 Main StreetCassvilleMO65625431936699HOSPITALMO501(C)(3)3MH SF COMMtrue
Mercy Hospital Columbus
220 Pennsylvania AvenueColumbusKS66725270842031HOSPITALMO501(C)(3)3MH SWMK COMMtrue
Mercy Hospital El Reno Inc
2115 Parkview DriveEl RenoOK73036272716065HOSPITALOK501(C)(3)3MH OK COMMtrue
Mercy Hospital Fort Smith
7301 Rogers AvenueFort SmithAR72917710240352HOSPITALAR501(C)(3)3MH FS COMMtrue
Mercy Hospital Healdton Inc
918 South 8th StreetHealdtonOK73438263173902HOSPITALOK501(C)(3)3MH ARDMOREtrue
Mercy Hospital Hot Springs
300 Werner StreetHot SpringsAR71913710236913HOSPITALAR501(C)(3)3MH HS COMMtrue
Mercy Hospital Jefferson
1400 Highway 61 SouthFestusMO63028430687077HOSPITALMO501(C)(3)3MH E COMM SRtrue
Mercy Hospital Joplin
2817 St Johns BlvdJoplinMO64804270814858HOSPITALMO501(C)(3)3MH SWMK COMMtrue
Mercy Hospital Lebanon
100 Hospital DriveLebanonMO65536431767432HOSPITALMO501(C)(3)3MH SF COMMtrue
Mercy Hospital Logan County Inc
200 South AcademyGuthrieOK73044452998842HOSPITALOK501(C)(3)3MH OK COMMtrue
Mercy Hospital of Laredo
14528 S Outer Forty Ste 100ChesterfieldMO63017741189682INACTIVETX501(C)(3)3MHS TEXAStrue
Mercy Hospital Oklahoma City Inc
4300 W Memorial RoadOklahoma CityOK73120730579285HOSPITALOK501(C)(3)3MH OK COMMtrue
Mercy Hospital Ozark
801 W River StreetOzarkAR72949710689680HOSPITALAR501(C)(3)3MH FT SMITHtrue
Mercy Hospital Paris
500 E AcademyParisAR72855710655753HOSPITALAR501(C)(3)3MH FT SMITHtrue
Mercy Hospital Rogers
2710 Rife Medical LaneRogersAR72758710294390HOSPITALAR501(C)(3)3MH NWAR COMMtrue
Mercy Hospital Springfield
1235 E Cherokee StreetSpringfieldMO65804440552485HOSPITALMO501(C)(3)3MH SF COMMtrue
Mercy Hospital Tishomingo Inc
1000 South ByrdTishomingoOK73460274433830HOSPITALOK501(C)(3)3MH ARDMOREtrue
Mercy Hospital Waldron
1341 W 6th StreetWaldronAR72958710557895HOSPITALAR501(C)(3)3MH FT SMITHtrue
Mercy Hospital Watonga Inc
500 Clarence Nash BlvdWatongaOK73772455199762HOSPITALOK501(C)(3)3MH OK COMMtrue
Mercy Hospitals East Communities
14528 S Outer Forty Ste 100ChesterfieldMO63017430653493HOSPITALMO501(C)(3)3MH EAST COMMtrue
Mercy Kansas Communities Inc
401 Woodland Hills BlvdFt ScottKS66701480956045HOSPITALKS501(C)(3)3MH SWMK COMMtrue
Mercy Medical Research Institute
1235 E Cherokee StreetSpringfieldMO65804870796305RESEARCHMO501(C)(3)4MH SF COMMtrue
Mercy Ministries of Laredo
2500 ZacatecasLaredoTX78046200198462OUTREACHTX501(C)(3)7MERCY HEALTHtrue
Mercy St Francis Hospital
100 W Highway 60Mountain ViewMO65548440607149HOSPITALMO501(C)(3)3MH SF COMMtrue
Mercy Support Services
14528 S Outer Forty Ste 100ChesterfieldMO63017431677952INACTIVEMO501(C)(3)11cMH EAST COMMtrue
MHM Support Services
14528 S Outer Forty Ste 100ChesterfieldMO63017202553101HLTH SYSTEMMO501(C)(3)11bMERCY HEALTHtrue
Mission Clinical Services
300 Werner StreetHot SpringsAR71913134239691NURSING HOMEAR501(C)(3)9MH HS COMMtrue
St John's Children's Hospital Inc
1235 E Cherokee StreetSpringfieldMO65804INACTIVEMO501(C)(3)3MH SF COMMtrue
St Mary's Hospital of Enid Oklahoma
14528 S Outer Forty Ste 100ChesterfieldMO63017730614655INACTIVEOK501(C)(3)3MH OK COMMtrue
The Sister M Cornelia Blasko Foundation
100 W Highway 60Mountain ViewMO65548431873914FOUNDATIONMO501(C)(3)11aM ST FRANCIStrue
Unity Ambulatory Care
14528 S Outer Forty Ste 100ChesterfieldMO63017431861745INACTIVEMO501(C)(3)11cMH EAST COMMtrue

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Merc Ambu Surg CTR
7301 Rogers AvFort SmithAR72903710827721AMBUL SURG CTRARNA
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

Form990 Schedule R Part IV Form990ScheduleRPartIV (11 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrg
Frontenac Properties Inc
14528 S Outer Forty Suite 100ChesterfieldMO63017521914421HOLDING COMPDENAC-Corptrue
Inveno Health Inc
1235 E Cherokee StreetSpringfieldMO65804264509571RESEARCHMONAC-Corptrue
Mercy Community Services Inc
401 Woodland Hills BlvdFort ScottKS66701481078101RETAIL PHARMACYKSNAC-Corptrue
Mercy Health Center Condominium Inc
4300 W Memorial RdOklahoma CityOK73120680640970REAL ESTATEOKNAC-Corptrue
Mercy Health Network of the Southern Reg
1011 14th Avenue NWArdmoreOK73401731580607HEALTH CAREOKNAC-Corptrue
Mercy Health Network Inc
4300 W Memorial RoadOklahoma CityOK73120731381689HEALTH CAREOKNAC-Corptrue
Mercy Managed Care Corporation
4300 W Memorial RoadOklahoma CityOK73120731441665HOLDING COMPOKNAC-Corptrue
UH L Corp Inc
645 Maryville Centre Drive Suite 1St LouisMO63141742499535HOLDING COMPMONAC-Corptrue
Unity Support Services Inc
645 Maryville Centre Drive Suite 1St LouisMO63141431797042PRACTICE MGTMONAC-Corptrue
Jefferson Land Company Inc
14528 South Outer Forty Suite 100ChesterfieldMO63017431330360HOLDING COMPMONAC-Corptrue
The Apothecary Services Inc
PO Box 350Crystal CityMO63019431627267RETAIL PHARMACYMONAC-Corptrue
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Mercy Clinic Springfield Communities
p171474FMV
Mercy Health East Communities
p92351FMV
Mercy Health Springfield Communities
p83523FMV
Mercy Hospital Joplin
p97071FMV
Mercy Hospital Logan County Inc
p64150FMV
Mercy Hospital Rogers
p288354FMV
Mercy Hospital Rogers
q18933625FMV
MHM Support Services
p29629527FMV
Resource Optimization & Innovation LLC
p372597FMV

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierFORM 990, SCHEDULE R, PART VIIdentifier
Return ReferenceSUPPLEMENTAL INFORMATION FOR SCHEDULE RReturnReference
ExplanationLAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY HEALTH AND AFFILIATES. THE MAJORITY OF THE INTERCOMPANY/RELATED ORGANIZATION TRANSACTIONS ARE PROCESSED THROUGH LAWSON VIA INTERCOMPANY JOURNAL ENTRIES. WITH THE CURRENT DESIGN OF THE ERP SYSTEM, THERE ARE VARIOUS LIMITATIONS ON THE RELATED ORGANIZATION INFORMATION THAT CAN BE EXTRACTED FROM LAWSON. DUE TO THESE LIMITATIONS, MOST OF THE RELATED ORGANIZATIONS ACTIVITY FOR THE FILING ORGANIZATION HAS BEEN CLASSIFIED ON SCHEDULE R, PART V, IN LINES P AND Q.Explanation