2013-05-23T15:07:07-05:00 2012-06-30 ERNST & YOUNG US LLP 190 CARONDELET PLAZA SUITE 1300 CLAYTON MO 63105 990 2011-07-01 710240352 Mercy Hospital Fort Smith % GRETA WILCHER VP OF FINANCE MERC 3145796100 PO BOX 17000 7301 ROGERS AVENUE FORT SMITH AR 729177000 Greta Wilcher 2013-05-10 3142901000 2011 2016-03-07 17:11:31Z GRETA WILCHER VP OF FINANCE PO BOX 17000 FORT SMITH AR 729177000 208924109 false 0928 X www.mercy.net X 1905 AR AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. 10 8 2083 320 2660709 96979 172765 1158657 213538096 221246627 629717 554130 -9790238 -15671752 204550340 207287662 285849 0 0 0 87968774 86420811 0 0 0 114715280 130148906 202969903 216569717 1580437 -9282055 257632068 293083369 50459312 69076711 207172756 224006658 X As the Sisters of Mercy before us, we bring to life the healing MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. false false 18743425 50099107 SURGERY - The surgical area of Mercy Fort Smith performed 9,064 procedures on 5,287 patients. Mercy Fort Smith has taken state-of-the-art technology, staff experience, best practices, and patient safety initiatives and created an exceptional surgical services department maintained within an atmosphere of caring for the patient and their family. The Surgery Unit operates on a twenty-four (24) hour a day basis, 365 days per year. The Surgery Unit is staffed with Registered Nurses, Licensed Practical Nurses, Certified Scrub Technicians, Operating Room Technicians, and other support staff. Utilizing a combined twenty-one (21) operating suites, Mercy Hospital Fort Smith offers a multitude of surgical procedures in an array of surgical service lines including: ENT, Cardiovascular, Obstetrics/Gynecology, Neurosurgery, among others. 5520596 26196662 CARDIAC CATH LAB - CARDIOVASCULAR IMAGING PROVIDES IMAGES OF THE HEART AND THE SURROUNDING ARTERIES THAT ARE USED IN DIAGNOSING DISEASE AND THE APPROPRIATE CARE TO FOLLOW. THE CATH LAB AT MERCY HOSPITAL FORT SMITH IS EQUIPPED WITH THE LATEST CARDIAC AND VASCULAR IMAGING TECHNOLOGY AVAILABLE. OUR CATH LABS WERE THE FIRST IN THE AREA TO UTILIZE "FLAT PLATE" DIGITAL TECHNOLOGY TO OBTAIN THE HIGHEST QUALITY IMAGES POSSIBLE. THIS COMBINED WITH OUR PROFESSIONAL CARING STAFF MAKES MERCY HOSPITAL FORT SMITH AND THE HEART CENTER THE HOSPITAL OF CHOICE FOR CARDIOVASCULAR SERVICES. 49,825 RVU (relative value units) were performed during FY2012. 5480321 22199243 INTENSIVE CARE UNIT (ICU) - The ICU area has 38 beds, and had 7,660 days of patient care. All ICU rooms are equipped for cardiac monitoring and provide maximum surveillance, support of vital functions, and definitive therapy for surgical, medical, cardiac, and trauma critical patients. A new addition to ICU, as of March 26, 2007, is Mercy SafeWatch. Mercy SafeWatch is a telemedicine program that connects critical care patient rooms to a centralized intensive care unit (electronic ICU). Using microphones, cameras, and high-speed computer data lines installed in ICU patient rooms, Mercy Safe Watch supports the patients physicians and bedside care team around-the-clock with board certified Intensive Care Physicians and experienced ICU nurses who monitor Mercy Fort Smith ICU patients remotely. Mercy SafeWatch adds another layer of service and protection for ICU patients at Mercy Hospital Fort Smith. 104693482 104663015 134437824 true true false true false false false false false false true false false true true false false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true X 0 0 2083 true true true false false false false false false false false false X 10 8 false false false false true true true true true false false true true true true true true false true true true X GRETA WILCHER VP OF FINANCE 4793146104 7301 Rogers Avenue Fort Smith AR 72903 X RICHARD R HAHN 1.0 X 0 0 0 SR DIANE KOORIE RSM 1.0 X 0 0 0 SR ANNRENE BRAU RSM 1.0 X 0 0 0 SR MARY JEREMY BUCKMAN RSM 1.0 X 0 0 0 SUSAN GROBMYER 1.0 X 0 0 0 PAUL BEAN MD 60.0 X 0 320066 24387 LAWSON HEMBREE 1.0 X 0 0 0 JON HENDRICKSON MD 1.0 X 0 0 0 DON PHILLIPS MD 1.0 X 0 0 0 RYAN GEHRIG 60.0 X X 0 0 0 JEFFERY A JOHNSTON 60.0 X 0 547151 253913 JONATHAN R VITIELLO 60.0 X 0 439767 61898 Steve Loveless 60.0 X 0 241475 29070 GRETA WILCHER 60.0 X 0 224083 42187 JARED BRYSON 60.0 X 151968 0 9280 BRADLEY KIM DAY 60.0 X 0 833159 436266 MICHAEL MERRIGAN 60.0 X 0 320923 65228 MARIANNE RATAJ RN 60.0 X 160012 0 8737 TANYA MARION 60.0 X 0 160391 16041 MICHAEL GUSDORF 40.0 X 155595 0 25182 LARRY PEARCE 40.0 X 315888 0 60503 FRANK POST 40.0 X 168884 0 14927 JENNIFER THOMAS 40.0 X 159343 0 16711 WILLIAM WALKER 40.0 X 158690 0 13361 Sheryl Tilus 60.0 X 207428 0 8096 Douglas Gautier 40.0 X 290072 0 24906 Joel James 40.0 X 158376 0 19449 Monte Wilson 40.0 X 138725 0 13560 2064981 3087015 1143702 36 true true false SUPERIOR LINEN SERV PO Box 580787 TULSA OK 74158 LINEN SERVICES 724967 WEAR CONSTRUCTION MGT INC PO Box 3218 FORT SMITH AR 72913 CONSTRUCTION 548018 FORT SMITH REGIONAL DIALYSIS CTR PO BOX 2107 FORT SMITH AR 72901 Dialysis services 515526 WESTERN AR ANESTHESIOLOGY ASSC PO Box 11880 FORT SMITH AR 72917 ANESTHESIOLOGY 500004 FT SMITH EMS 3417 DUKE AVE FORT SMITH AR 72908 STAFF CONTRACT SVCS 481913 34 466664 691993 1158657 NET PATIENT CARE REVENUE 622110 210176727 208743582 1433145 RENTAL INCOME FROM RELATED ORGS 531120 1787495 1787495 LIFELINE 622110 637374 637374 OTHER OPERATING REVENUE 900099 8645031 7417653 1227378 221246627 534130 186 533944 0 0 2077427 1025272 1052155 1052155 1052155 20000 20000 20000 20000 0 0 1000939 611175 389764 389764 CAFETERIA AND VENDING 900099 974929 974929 CHANGE IN INVESTMENT IN SUBSIDIARY 900099 -18088600 -18088600 -17113671 207287662 200497504 2660709 2970792 0 0 0 0 528483 511120 17363 0 66404597 53262824 13141773 3303450 3303450 11402986 103381 11299605 4781295 4781295 0 34052 34052 151185 151185 18430 18430 0 0 7802232 5824132 1978100 215180 11554 203626 5537345 2738167 2799178 27168 88 27080 0 4444521 865566 3578955 417469 266276 151193 0 108 108 594420 594420 0 10629596 5440116 5189480 1768901 1768901 BAD DEBT EXPENSE 15023238 15023238 REPAIRS & MAINTENANCE 1607920 224382 1383538 SHARED SERVICE FEES 31908162 1075903 30832259 MEDICAL SUPPLIES 48891016 48891016 1077963 200061 877902 216569717 134437824 82131893 0 28289918 24182203 24997 0 0 0 30680693 29827497 0 0 0 0 983574 9714807 3704097 3823287 295801 104723 347238659 197957297 163348704 149281362 0 0 0 0 4444965 9380041 3516904 3523966 22342415 63245483 257632068 293083369 13096332 15193349 42819 37981 2508326 6454 0 0 0 0 0 0 7784064 7396720 0 0 27027771 46442207 50459312 69076711 X 207172756 223539343 0 467315 0 0 207172756 224006658 257632068 293083369 X -9282055 26115957 X X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 18430 18430 FORM 990, SCHEDULE C, PART II-B, LINE 1(I) LOBBYING PORTION OF DUES THE FILING ORGANIZATION IS A MEMBER OF AND PAYS DUES TO THE FOLLOWING HOSPITAL ASSOCIATIONS: ARKANSAS HOSPITAL ASSOCIATION, AMERICAN HOSPITAL ASSOCIATION AND CATHOLIC HEALTH ASSOCIATION. FOR THE YEAR ENDED JUNE 30, 2012, DUE WERE $68,840, $19,704 AND $36,510, RESPECTIVELY. APPROXIMATELY 17% OF ARKANSAS HOSPITAL ASSOCIATION DUES, 24.60% OF AMERICAN HOSPITAL ASSOCIATION DUES AND 5.15% OF CATHOLIC HEALTH ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED BY THESE ASSOCIATIONS. 10765119 10765119 47453212 121922840 66888474 102487578 2149343 9386 1484721 674008 151132584 129584102 21548482 13806175 0 13806175 149281362 RENTAL SPACE 784415 EXCHANGE ACCOUNT 240475 DUE FROM AFFILIATES 61963330 OTHER NON CURRENT ASSETS 257263 63245483 0 INVESTMENT IN SUBSIDIARY 46122680 OTHER NON-CURRENT LIABILITIES 319527 46442207 FORM 990, SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE THE 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. true true X true X true X true true true false true false 13166723 13166723 0.06530 27553644 18323109 9230535 0.04580 40720367 18323109 22397258 0.11110 474699 474699 0.00000 49742 49742 0.00000 1863240 1863240 0.00920 194944 194944 0.00000 797244 797244 0.00000 3379869 3379869 0.00920 44100236 18323109 25777127 0.12030 78868 78868 0.00000 2042 2042 0.00000 850640 850640 0.00000 18949 18949 0.00000 950499 950499 0.00000 true 4759919 69727761 78263852 -8536091 X true true MERCY OUTPATIENT CTR OUTPATIENT SURGERY 0.51990 0.00000 0.48010 FORT SMITH EMS AMBULANCE SERVICES 0.50000 0.00000 0.50000 1 1 MERCY HOSPITAL FORT SMITH

7301 ROGERS AVENUE FORT SMITH AR 72903

X X X MERCY HOSPITAL FORT SMITH 1 true true 100 true 400. true X X X true true X X X X true false true X false false 12 Mercy Therapy Services

107 S Logan Charleston AR 72933

Other Mercy Sleep Center

3100 S 70th Fort Smith AR 72903

Sleep Center Mercy Rogers Avenue

7001 Rogers Avenue Fort Smith AR 72903

Physician Clinic/Practice Mercy Massard Road

4107 Massard Road Fort Smith AR 72903

Primary Care Small Mercy Medical Tower

2713 S 74th Street Fort Smith AR 72903

Physician Clinic/Practice Mercy River Valley

3501 W E Knight Drive Fort Smith AR 72903

Multi-Specialty Small Mercy Outpatient Surgery Center

3601 W E Knight Drive Fort Smith AR 72903

Other Mercy Urgent Care

3500 WE Knight Drive Fort Smith AR 72903

Urgent Care Mercy 70th Street

3224 S 70th Street Fort Smith AR 72903

Primary Care Medium Mercy Dallas Street

7800 Dallas Street Fort Smith AR 729034278

Primary Care Medium Mercy Phoenix Avenue

6101 Phoenix Avenue Fort Smith AR 72903

Physician Clinic/Practice Mercy Van Buren

2800 Fayetteville Road Van Buren AR 72956

Primary Care Small FORM 990, SCHEDULE H, PART I, LINE 6A THERE IS A CONSOLIDATED ANNUAL COMMUNITY BENEFIT REPORT PREPARED THAT INCLUDES THE FOLLOWING FORT SMITH ENTITIES: MERCY HOSPITAL FORT SMITH, MERCY HOSPITAL OZARK, MERCY HOSPITAL PARIS, AND MERCY HOSPITAL WALDRON. IT IS NOT PUBLISHED PUBLICLY BUT IS MADE AVAILABLE FOR PUBLIC VIEWING UPON REQUEST. FORM 990, SCHEDULE H, PART I, LINE 7 TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) ARE $216,569,717. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $15,023,238. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $201,546,479. FORM 990, SCHEDULE H, PART III, LINE 2 TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE, AT COST, BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENT ACCOUNTS WAS MULTIPLIED BY A RATIO OF COST TO CHARGES. THE RATIO OF COST TO CHARGES USED WAS BASED ON DETAILED COST ACCOUNTING, WHERE AVAILABLE. WHERE COST ACCOUNTING IS NOT AVAILABLE, COST REPORT COST TO CHARGE RATIOS WERE UTILIZED. FORM 990, SCHEDULE H, PART III, LINE 3 THE FILING ORGANIZATION DETERMINED THAT THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS $0. ALTHOUGH THE CHARITY CARE POLICY REQUIRES THE PARTICIPATION OF THE PATIENT REQUESTING ASSISTANCE, WE HAVE A PROCESS UNDER PRESUMPTIVE CHARITY (REFER TO DISCLOSURE FOR PART III, #9B) TO ADDRESS ACCOUNTS FOR PATIENTS WHO DO NOT PROVIDE THE INFORMATION. WE BELIEVE THAT OUR CHARITY POLICY IS COMPREHENSIVE ENOUGH TO CAPTURE ALMOST ALL PATIENTS WHO QUALIFY FOR CHARITY CARE. FORM 990, SCHEDULE H, PART III, LINE 4 THE TEXT OF THE FOOTNOTE THAT IS INCLUDED IN MERCY HEALTH AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE IS AS FOLLOWS: "PATIENT ACCOUNTS THAT ARE UNCOLLECTED, 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 ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE 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 AS OF THE REPORTING DATE 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 BALANCES WITH COLLECTION AGENCIES." FORM 990, SCHEDULE H, PART III, LINE 8 IT IS THE POSITION OF MERCY HOSPITAL FORT SMITH THAT 100% OF ANY SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT. THIS AMOUNT REPRESENTS THE COST OF PROVIDING SERVICES THAT REMAIN UNCOMPENSATED TO THE PROVIDER. THE UNREIMBURSED COSTS OF MEDICARE IS CALCULATED BY TAKING 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, LINE 9B MERCY HOSPITAL FORT SMITH'S ("MERCY'S") DEBT COLLECTION POLICY PROVIDES THAT MERCY WILL PERFORM A REASONABLE REVIEW OF EACH INPATIENT ACCOUNT BEFORE TURNING AN ACCOUNT OVER TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT, TO ASSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (E.G., MEDICAID) AND DO NOT QUALIFY FOR COVERAGE THROUGH MERCY'S COMMUNITY ASSISTANCE POLICY. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY PATIENT ACCOUNT THAT IS SUBSEQUENTLY DETERMINED TO HAVE MET THE MERCY COMMUNITY ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO MERCY FOR APPROPRIATE FOLLOW-UP. MERCY REQUIRES ITS THIRD-PARTY COLLECTION AGENTS TO INCLUDE A MESSAGE ON ALL STATEMENTS INDICATING THAT IF A PATIENT OR PATIENT GUARANTOR MEETS CERTAIN STIPULATED INCOME REQUIREMENTS, THE PATIENT OR PATIENT GUARANTOR MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. MERCY UTILIZES THE "SEARCH AMERICA" TOOL TO ENHANCE THE ABILITY TO DETERMINE CHARITY QUALIFICATION. PRESUMPTIVE CHARITY WILL BE GRANTED IN SITUATIONS WHERE MERCY HAS BEEN UNABLE TO OBTAIN INFORMATION FROM PATIENTS OR THE INFORMATION PROVIDED IS NOT COMPLETE ENOUGH TO MAKE A CHARITY DETERMINATION. MERCY UTILIZES PRESUMPTIVE CHARITY PRIOR TO BAD DEBT PLACEMENT FOR CHARITY ADJUSTMENTS IN EXCESS OF $6,500. IN THESE CASES, MERCY UTILIZES THE SEARCH AMERICA REPORT STATUS OF "PROBABLE CHARITY" AS THE BASIS FOR ASSIGNING THE CHARITY LEVEL. 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 GARNISHMENT, REPOSSESSION OF ASSETS OR FORECLOSURES TO ENFORCE SATISFACTION OF A LIEN. MERCY HAS POLICIES AND PROCEDURES ESTABLISHED TO ADDRESS THE INITIATION OF LEGAL ACTION AND ANNUALLY REVIEWS COMPLIANCE WITH ALL POLICIES. FORM 990, SCHEDULE H, PART V, LINE 19D EACH HOSPITAL FACILITY USED THE AVERAGE DISCOUNT OF THE HIGHEST (BEST PAYING) THREE COMMERCIAL MANAGED CARE PAYERS AS THE BASIS FOR ESTABLISHING UNINSURED DISCOUNT RATES FOR FAP ELIGIBLE INDIVIDUALS. UNDER NO CIRCUMSTANCES, WILL THIS UNINSURED DISCOUNT BE LESS THAN 15%. FORM 990, SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT MERCY HOSPITAL FORT SMITH'S OBJECTIVES OF COMMUNITY NEEDS ASSESSMENT ARE TO IDENTIFY HEALTH NEEDS IN FORT SMITH, ARKANSAS AND THE SURROUNDING COMMUNITIES, AND TO INVOLVE THE COMMUNITY IN THE HEALTH PLANNING EFFORTS. THE INFORMATION GATHERED IS USED TO PLAN STRATEGICALLY, AND BETTER MEET THE HEALTH AND HUMAN SERVICE NEEDS OF THESE COMMUNITIES. MERCY HOSPITAL FORT SMITH LOOKS AT COMMUNITY NEEDS ASSESSMENT AS AN OPPORTUNITY TO BUILD RELATIONSHIPS, EDUCATE THE COMMUNITY AND IDENTIFY RESOURCES THAT ARE AVAILABLE TO MEET IDENTIFIED NEEDS. BASIC DISCUSSION FORUMS HAVE BEEN UTILIZED TO FOSTER CONVERSATION WITH KEY STAKEHOLDERS. EXAMPLES OF FORUMS INCLUDE AN ADVISORY BOARD, FOCUS GROUPS, OPINION SURVEYS, AND COMMUNITY ROUND TABLE DISCUSSIONS. STAKEHOLDER PARTICIPANTS INCLUDE BOARD MEMBERS, COMMUNITY/CIVIC LEADERS, LOCAL EMPLOYERS, OTHER HEALTH CARE PROVIDERS, FORMER PATIENTS, AND CO-WORKERS. FORM 990, SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE MERCY HOSPITAL FORT SMITH HAS PRINTED MATERIAL AVAILABLE AT EACH POINT OF REGISTRATION IN OUR FACILITY, IN ADDITION TO ELECTRONIC AVAILABILITY AT OUR WEB SITE. SPECIFIC INFORMATION PROVIDED: FINANCIAL ASSISTANCE INFORMATION AS A PART OF OUR HEALING MINISTRY, MERCY HOSPITAL FORT SMITH 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) MUST FIRST FIND OUT IF THEY ARE ELIGIBLE FOR MEDICAID BEFORE APPLYING FOR FINANCIAL ASSISTANCE. PATIENTS DENIED MEDICAID ELIGIBILITY THEN MUST PROVIDE CERTAIN INFORMATION TO SHOW FINANCIAL NEED. 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. ELIGIBILITY GUIDELINES FOR CHARITY CARE DISCOUNTS THE FEDERAL POVERTY GUIDELINES FOR INCOME ARE THE BASIS FOR DETERMINING ELIGIBILITY FOR CHARITY CARE DISCOUNTS. FOR EXAMPLE, INDIVIDUALS WITH INCOMES BELOW 100% OF THE FEDERAL POVERTY GUIDELINES WILL BE ELIGIBLE FOR FREE CARE. INDIVIDUALS WITH INCOMES GREATER THAN 100% OF THE FEDERAL POVERTY GUIDELINES MAY BE ELIGIBLE FOR CARE AT DISCOUNTED RATES DEPENDING ON THEIR INCOME LEVEL AND/OR THE AMOUNT DUE TO THE HOSPITAL. ADDITIONAL FINANCIAL ASSISTANCE AFTER APPROPRIATE DISCOUNTS HAVE BEEN APPLIED, ARRANGEMENTS MAY BE MADE FOR AN INTEREST-FREE MONTHLY PAYMENT PLAN. GENERALLY, NO PATIENT'S FINANCIAL RESPONSIBILITY WILL BE GREATE X X X X true true true true false false false false false true false JEFFERY A JOHNSTON 0 356125 0 94747 0 96279 0 237156 0 16757 0 801064 0 0 JONATHAN R VITIELLO 0 278936 0 69300 0 91531 0 46475 0 15423 0 501665 0 0 Steve Loveless 0 150333 0 47996 0 43146 0 17962 0 11108 0 270545 0 0 Sheryl Tilus 48382 0 0 0 159046 0 2827 0 5269 0 215524 0 0 0 GRETA WILCHER 0 174635 0 19200 0 30248 0 30583 0 11604 0 266270 0 0 MICHAEL GUSDORF 126460 0 0 0 29135 0 10456 0 14726 0 180777 0 0 0 PAUL BEAN MD 0 213531 0 78292 0 28243 0 8000 0 16387 0 344453 0 0 JARED BRYSON 108014 0 9189 0 34765 0 3260 0 6020 0 161248 0 0 0 BRADLEY KIM DAY 0 598570 0 203887 0 30702 0 422839 0 13427 0 1269425 0 0 MICHAEL MERRIGAN 0 214349 0 66366 0 40208 0 49457 0 15771 0 386151 0 0 MARIANNE RATAJ RN 121776 0 9489 0 28747 0 2686 0 6051 0 168749 0 0 0 LARRY PEARCE 242334 0 28258 0 45296 0 47870 0 12633 0 376391 0 0 0 FRANK POST 152568 0 0 0 16316 0 3737 0 11190 0 183811 0 0 0 JENNIFER THOMAS 146650 0 10156 0 2537 0 1497 0 15214 0 176054 0 0 0 WILLIAM WALKER 146782 0 0 0 11908 0 5005 0 8356 0 172051 0 0 0 Douglas Gautier 242174 0 36285 0 11613 0 24906 0 0 0 314978 0 0 0 Joel James 133587 0 14637 0 10152 0 4512 0 14937 0 177825 0 0 0 Monte Wilson 79264 0 0 0 59461 0 6852 0 6708 0 152285 0 0 0 TANYA MARION 0 111560 0 30030 0 18801 0 3958 0 12083 0 176432 0 0 Form 990, Schedule J, Part I, Question 1 Charter travel is provided to certain employees as and when appropriate, and as deemed necessary for business travel. After charter travel approval has been granted in accordance with the financial justification process, the approved charter travel for business is a reimbursable expense which is not taxable to the employees. Travel for companions is provided in rare instances and in accordance with the co-worker travel and other expense policy and procedures. Where companion travel has resulted in a taxable event, the employees are taxed for such travel. Limited instances of tax gross-ups may have occurred with respect to executives. Housing benefits are provided through a relocation program in accordance with company policy. Such benefits are subject to tax to the employee. Payment by the company of costs for temporary housing by employees for the convenience of the company is made in accordance with the co-worker travel and other expense policy and procedures. As a reimbursable expense, this type of lodging is not taxable to the employee. FORM 990, SCHEDULE J, PART I, QUESTION 3 Mercy Hospital Fort Smith relies on a related organization; refer to Schedule O, Part VI, Question 15a and 15b for the process the related organization follows. FORM 990, SCHEDULE J, PART I, QUESTION 4A The following individual received a severance payment during calendar 2011: Sheryl Tilus, $140,067. FORM 990, SCHEDULE J, PART I, QUESTION 4B Mercy Hospital Fort Smith 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: Jeffrey Johnston, Jonathan Vitiello, Bradley Day, Steven Loveless, Michael Merrigan, Greta Wilcher, Larry Pearce, and William Walker. The amount of all accrued benefits is included in compensation amounts provided in Schedule J, Part II, Column (C). FORM 990, SCHEDULE J, PART I, QUESTION 7 Mercy Health provides a non-fixed bonus plan for which certain tiers of its employees are eligible. For fiscal year 2012 (July 1, 2011 - June 30, 2012), 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, PART I, LINE 6 MERCY HOSPITAL FORT SMITH UTILIZES AN AUXILIARY PROGRAM FOR VOLUNTEERS TO PERFORM VARIOUS FUNCTIONS. SUCH FUNCTIONS INCLUDE FLOWER DELIVERY, INFORMATION DESK, AND PATIENT TRANSPORT. FORM 990, PART III, LINE 4D DESCRIPTION OF OTHER PROGRAM SERVICES MERCY HOSPITAL FORT SMITH (MHFS) PROVIDES QUALITY CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. IN ACTIVE PURSUIT OF THE ABOVE STATED MISSION, MHFS PROVIDED 58,547 INPATIENT SERVICE DAYS OF ACUTE OR SUB-ACUTE CARE. MHFS PERFORMED 2,354 BIRTHS, RESPONDED TO 51,620 EMERGENCY ROOM ENCOUNTERS, MADE 15,471 HOME HEALTH CARE VISITS AND COMPLETED 167,449 OUTPATIENT VISITS. COMMUNITY OUTREACH/BENEFIT PROGRAMS INCLUDE SUPPORT GROUPS FOR CURRENT AND PAST PATIENTS (DIABETIC, CARDIAC, CANCER, ETC.), EXPECTING/NEW PARENTS (CHILD BIRTH CLASSES, HELPING HANDS, ETC.), LOCAL/SURROUNDING COMMUNITY (LIFELINE SERVICES, WELLNESS COMMITTEES, HEALTH FAIRS, HOME HEALTH AND HOSPICE PROGRAMS, MOBILE MAMMOGRAPHY, ETC...) 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, LINES 6, 7A & 7B DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH FORT SMITH COMMUNITIES. THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED SOLELY UNTO THE CORPORATE MEMBER: - TO APPROVE THE MISSION AND ESTABLISH THE PHILOSOPHY ACCORDING TO WHICH THE CORPORATION SHALL OPERATE; - TO AMEND THE ARTICLES OF INCORPORATION AND BYLAWS; - TO APPOINT AND REMOVE MEMBERS OF THE BOARD; - TO APPOINT AND REMOVE THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION; - TO APPROVE OR AMEND THE STRATEGIC PLAN, GOALS, AND OBJECTIVES OF THE CORPORATION; - TO APPROVE OR AMEND THE OPERATING, CAPITAL, AND CONSTRUCTION BUDGETS OF THE CORPORATION; - TO LEASE OR SELL ANY OF THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION IN EXCESS OF ONE MILLION DOLLARS ($1,000,000); - TO ENCUMBER ANY OR ALL OF THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION; - TO AUTHORIZE OR APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTE ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; - TO MERGE, DISSOLVE OR ABANDON THE CORPORATION; AND, - TO APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION BY THE CORPORATION. FORM 990, PART VI, LINE 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 ARISNG 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, LINE 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, 2012. 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 FINANCE, AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, LINE 15B OFFICES & 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 STMTS 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 SEVERAL INDIVIDUALS LISTED IN PART VII ARE DISCLOSED AS TRUSTEES, DIRECTORS, OFFICERS, AND KEY EMPLOYEES ON MULTIPLE FORMS 990 OF ENTITIES INCLUDED WITHIN MERCY HEALTH. THE AVERAGE HOURS PER WEEK DISCLOSED IN PART VII IS AN ESTIMATE OF THE HOURS PER WEEK THAT THE LISTED INDIVIDUAL SPENDS ON BOTH THE FILING ORGANIZATION AND ALL RELATED ORGANIZATIONS. FORM 990, PART XI, LINE 5 RECONCILIATION OF NET ASSETS TRANSFER TO/FROM RELATED ORGANIZATION (MCS) = $25,250,635 TRANSFERS TO/FROM AFFILIATES = $865,322 TOTAL OTHER CHANGES IN NET ASSETS = $26,115,957 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 2012 (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 FINANCE, AUDIT, AND COMPLIANCE COMMITTEE OF MERCY HEALTH BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE. Advance Care Hospital 300 Werner Street Hot Springs AR 71913 710816634 Hospital AR 501(C)(3) 3 Mercy Health true Casa de Misericordia 1602 Mcclelland Street Laredo TX 78044 742912461 Shelter TX 501(C)(3) 7 MM Laredo true Laredo Medical Group 14528 S Outer Forty Ste 100 Chesterfield MO 63017 742764726 Inactive TX 501(C)(3) 9 MHS-TX true McAuley Portfolio Management Company 14528 S Outer Forty Ste 100 Chesterfield MO 63017 261708048 Port Mgmt MO 501(C)(3) 11b Mercy Health true Mercy Clinic East Communites 14528 S Outer Forty Ste 100 Chesterfield MO 63017 431771217 Phys Group MO 501(C)(3) 9 MHEC true Mercy Clinic Fort Smith Communitites 7301 Rogers Avenue Fort Smith AR 72917 261318597 Phys Clinic AR 501(C)(3) 9 MHFSC true Mercy Clinic Hot Springs Communitites 1 Mercy Lane Hot Springs AR 71913 261125131 Phys Clinic AR 501(C)(3) 9 MHHSC true Mercy Clinic Oklahoma Communities 4300 W Memorial Road Oklahoma City OK 73120 270473057 Phys Group OK 501(C)(3) 9 MHOC true Mercy Clinic Springfield Communities 1965 Fremont Street Ste 2950 Springfield MO 65804 431560263 Phys Group MO 501(C)(3) 9 MHSC true Mercy Family Center 14528 S Outer Forty Ste 100 Chesterfield MO 63017 721069468 counseling MO 501(C)(3) 7 Mercy Health true Mercy Foundation for Health Innovation 14528 S Outer Forty Ste 100 Chesterfield MO 63017 200901499 Foundation MO 501(C)(3) 11b Mercy Health true Mercy Health 14528 S Outer Forty Ste 100 Chesterfield MO 63017 431423050 Sup Hlth Sys MO 501(C)(3) 1 NA false Mercy Health East Communities 14528 S Outer Forty Ste 100 Chesterfield MO 63017 431718408 Hlth System MO 501(C)(3) 11b Mercy Health true Mercy Health Fort Smith Communities 7301 Rogers Avenue Fort Smith AR 72917 261318515 Holding Co AR 501(C)(3) 11b Mercy Health false Mercy Health Foundation Ardmore 1011 14th Avenue NW Ardmore OK 73401 710962525 Foundation OK 501(C)(3) 11a MH Ardmore true Mercy Health Foundation Berryville 214 Carter Street Berryville AR 72616 710759301 Foundation AR 501(C)(3) 11a MH Berryvill true Mercy Health Foundation Fort Scott 401 Woodland Hills Blvd Fort Scott KS 66701 481077073 Foundation KS 501(C)(3) 11c Mercy KS Com true Mercy Health Foundation Hot Springs 300 Werner Street Hot Springs AR 71913 710804718 Foundation AR 501(C)(3) 11b MHHS true Mercy Health Foundation Independence 800 W Myrtle Independence KS 67301 481079981 Foundation KS 501(C)(3) 11a Mercy KS Com true Mercy Health Foundation Joplin 2817 St Johns Blvd Joplin MO 64804 270906136 Foundation MO 501(C)(3) 11a MHSMKC true Mercy Health Foundation NW Arkansas 2710 Rife Medical Lane Rogers AR 72758 710601687 Foundation AR 501(C)(3) 11c MH Rogers true Mercy Health Foundation OF Oklahoma 4300 W Memorial Road Oklahoma City OK 73120 454732301 Foundation OK 501(C)(3) 11a MHOC true Mercy Health Foundation OK City 4300 W Memorial Road Oklahoma City OK 73120 731593024 Foundation OK 501(C)(3) 11a MHOC true Mercy Health Foundation Springfield 1235 E Cherokee Street Springfield MO 65804 320195818 Foundation MO 501(C)(3) 11b MHSC true Mercy Health Foundation St Louis 14528 S Outer Forty Ste 100 Chesterfield MO 63017 562410020 Foundation MO 501(C)(3) 11b MHEC true Mercy Health Foundation Washington 901 E Fifth Street Washington MO 63090 562410022 Foundation MO 501(C)(3) 11b MHEC true Mercy Health Hot Springs Communities 300 Werner Street Hot Springs AR 71913 261125064 Holding Co AR 501(C)(3) 11b Mercy Health true Mercy Health NW Arkansas Communities 2710 Rife Medical Drive Rogers AR 72758 621684203 Phys Group AR 501(C)(3) 11b Mercy Health true Mercy Health Oklahoma Communities 4300 W Memorial Road Oklahoma City OK 73120 731453048 Holding co OK 501(C)(3) 11b Mercy Health true Mercy Health Springfield Communitites 1235 E Cherokee Street Springfield MO 65804 431856028 Holding Co MO 501(C)(3) 11b Mercy Health true Mercy Health SW MOKS Communitites 2817 St Johns Blvd Joplin MO 64804 300584463 Hlth System MO 501(C)(3) 11b Mercy Health true Mercy Health System of Texas Inc 14528 S Outer Forty Ste 100 Chesterfield MO 63017 742764727 Inactive TX 501(C)(3) 11b Mercy Health true Mercy Home Health Berryville 804 W Freeman Suite 4 Berryville AR 72616 870781247 Home Health AR 501(C)(3) 11c MH Sprngfld true Mercy Hospital Ardmore 1011 14th Avenue NW Ardmore OK 73401 731500629 Hospital OK 501(C)(3) 3 MHOC true Mercy Hospital Aurora 500 Porter Avenue Aurora MO 65605 431936696 Hospital MO 501(C)(3) 3 MHSC true Mercy Hospital Berryville 214 Carter Street Berryville AR 72616 710759299 Hospital AR 501(C)(3) 3 MHSC true Mercy Hospital Carthage 3125 Dr Russell Smith Way Carthage MO 64836 453808607 Hospital MO 501(C)(3) 3 MHSMKC true Mercy Hospital Cassville 94 Main Street Cassville MO 65625 431936699 Hospital MO 501(C)(3) 3 MHSC true Mercy Hospital Columbus 220 Pennsylvania Avenue Columbus KS 66725 270842031 Hospital MO 501(C)(3) 3 MHSMKC true Mercy Hospital El Reno 2115 Parkview Drive El Reno OK 73036 272716065 Hospital OK 501(C)(3) 3 MHOC true Mercy Hospital Healdton 918 South 8th Street Healdton OK 73438 263173902 Hospital OK 501(C)(3) 3 MH Ardmore true Mercy Hospital Hot Springs 300 Werner Street Hot Springs AR 71913 710236913 Hospital AR 501(C)(3) 3 MHHSC true Mercy Hospital Joplin 2817 St Johns Blvd Joplin MO 64804 270814858 Hospital MO 501(C)(3) 3 MHSMKC true Mercy Hospital Lebanon 100 Hospital Drive Lebanon MO 65536 431767432 Hospital MO 501(C)(3) 3 MHSC true Mercy Hospital Logan County Inc 200 South Academy Guthrie OK 73044 452998842 Hospital OK 501(C)(3) 3 MHOC true Mercy Hospital of Laredo 14528 S Outer Forty Ste 100 Chesterfield MO 63017 741189682 Inactive TX 501(C)(3) 3 MHS-TX true Mercy Hospital Oklahoma City 4300 W Memorial Road Oklahoma City OK 73120 730579285 Hospital OK 501(C)(3) 3 MHOC true Mercy Hospital Ozark 801 W River Street Ozark AR 72949 710689680 Hospital AR 501(C)(3) 3 MHFS true Mercy Hospital Paris 500 E Academy Paris AR 72855 710655753 Hospital AR 501(C)(3) 3 MHFS true Mercy Hospital Rogers 2710 Rife Medical Lane Rogers AR 72758 710294390 Hospital AR 501(C)(3) 3 MHNWAC true Mercy Hospital Springfield 1235 E Cherokee Street Springfield MO 65804 440552485 Hospital MO 501(C)(3) 3 MHSC true Mercy Hospital Tishomingo 1000 South Byrd Tishomingo OK 73460 274433830 Hospital OK 501(C)(3) 3 MH Ardmore true Mercy Hospital Waldron 1341 W 6th Street Waldron AR 72958 710557895 Hospital AR 501(C)(3) 3 MHFS true Mercy Hospital Watonga Inc 500 Clarence Nash Blvd Watonga OK 73772 455199762 Hospital OK 501(C)(3) 3 MHOC true Mercy Hospitals East Communities 14528 S Outer Forty Ste 100 Chesterfield MO 63017 430653493 Hospital MO 501(C)(3) 3 MHEC true Mercy Kansas Communities Inc 401 Woodland Hills Blvd Ft Scott KS 66701 480956045 Hospital KS 501(C)(3) 3 MHSMKC true Mercy Medical Research Institute 1235 E Cherokee Street Springfield MO 65804 870796305 Research MO 501(C)(3) 4 MHSC true Mercy Ministries of Laredo 2500 Zacatecas Laredo TX 78046 200198462 outreach TX 501(C)(3) 7 Mercy Health true Mercy St Francis Hospital 100 W Highway 60 Mountain View MO 65548 440607149 Hospital MO 501(C)(3) 3 MHSC true Mercy Support Services 14528 S OUTER FORTY STE 100 CHESTERFIELD MO 63017 431677952 Inactive MO 501(C)(3) 11c MHEC true MHM SUPPORT SERVICES 14528 S OUTER FORTY STE 100 CHESTERFIELD MO 63017 202553101 Hlth System MO 501(C)(3) 11B MERCY HEALTH true Mission Clinical Services 300 Werner Street Hot Springs AR 71913 134239691 nursing home AR 501(C)(3) 9 MHHSC true St Edward Mercy Foundation PO Box 17000 Fort Smith AR 72917 237330425 Foundation AR 501(C)(3) 7 MHFS true St John's Children's Hospital Inc 1235 E Cherokee Street Springfield MO 65804 Inactive MO 501(C)(3) 3 MHSC true St Mary's Hospital of Enid Oklahoma 14528 S Outer Forty Ste 100 Chesterfield MO 63017 730614655 Inactive OK 501(C)(3) 3 MHOC true The Sister M Cornelia Blasko Foundation 100 W Highway 60 Mountain View MO 65548 431873914 Foundation MO 501(C)(3) 11a MSFH true Unity Ambulatory Care 14528 S OUTER FORTY STE 100 CHESTERFIELD MO 63017 431861745 Inactive MO 501(C)(3) 11c MHEC true Merc Ambu Surg CTR 7301 Rogers Av Fort Smith AR 72903 710827721 AMBUL SURG CENTER AR MFHS RELATED 1006 3285 false false 0.50900 RES OPT & INNOV 645 Maryville Centre Dr 200 St Louis MO 63141 460468368 CENTRAL DIST. MO NA SO OK DIAG CTR 1011 14TH Ave NW Ardmore OK 73401 431971232 MRI Services OK NA Fort Smith EMS 1701 S Greenwood Fort Smith AR 72901 710416615 Emergency Med AR MHFS RELATED 1227 false false 0.50000 St Ed Mer Med MOB 7301 Rogers Ave Fort Smith AR 72903 710554050 Office Building AR MHFS RELATED 0 27615 false true 0.85955 Frontenac Properties Inc 14528 S Outer Forty Suite 100 Chesterfield MO 63017 521914421 HOLDING COMP DE NA C-Corp Inveno Health Inc 1235 E Cherokee Street Springfield MO 65804 264509571 IT SERVICES MO NA C-Corp Mercy Community Services Inc 401 Woodland Hills Blvd Fort Scott KS 66701 481078101 RETAIL PHARMACY KS NA C-Corp Mercy Health Center Condominium Inc 4300 W Memorial Rd Oklahoma City OK 73120 680640970 REAL ESTATE OK NA C-Corp Mercy Health Network of the Southern Reg 1011 14th Avenue NW Ardmore OK 73401 731580607 HEALTH CARE OK NA C-Corp Mercy Health Network Inc 4300 W Memorial Road Oklahoma City OK 73120 731381689 HEALTH CARE OK NA C-Corp Mercy Managed Care Corporation 4300 W Memorial Road Oklahoma City OK 73120 731441665 HOLDING COMP OK NA C-Corp UH L Corp Inc 645 Maryville Centre Drive Suite 1 St Louis MO 63141 742499535 HOLDING COMP MO NA C-Corp Unity Support Services Inc 645 Maryville Centre Drive Suite 1 St Louis MO 63141 431797042 PRACTICE MGT MO NA C-Corp false false false false false false false false false true false false false true true true false false Mercy Ambulatory Surgery Center LLC p 5152121 FMV Mercy Clinic Fort Smith Communities n 51612 FMV Mercy Clinic Fort Smith Communities O 11606267 FMV Mercy Health Northwest Arkansas Communities P 65270 FMV Mercy Hospital Hot Springs p 56080 FMV Mercy Hospital Ozark O 4573537 FMV Mercy Hospital Paris O 4211536 FMV Mercy Hospital Rogers p 54223 FMV Mercy Hospital Waldron o 2544683 FMV Mercy Hospitals East Communities o 603618 FMV MHM Support Services p 22486188 FMV Resource Optimization & Innovation LLC o 10395538 FMV St Edward Mercy Foundation o 1252768 FMV St Edward Mercy Foundation p 2419744 FMV FORM 990, SCHEDULE R, PART V LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY HEALTH AND SUBSIDIARIES. THE MAJORITY OF THE INTERCOMPANY/RELATED ORGANIZATION TRANSACTIONS ARE PROCESSED THROUGH LAWSON VIA INTERCOMPANY JOURNAL ENTRIES. WITH THE CURRENT DESIGN OF THE ERP SYSTEM, THERE ARE VARIOUS LIMITATIONS ON THE RELATED ORGANIZATION INFORMATION THAT CAN BE EXTRACTED FROM LAWSON. DUE TO THESE LIMITATIONS, MOST OF THE RELATED ORGANIZATION ACTIVITY FOR THE FILING ORGANIZATION HAS BEEN CLASSIFIED ON SCHEDULE R, PART V, IN LINES O AND P.