CHI ST VINCENT MEDICAL GROUP HOT SPRINGS: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- CHI ST VINCENT MEDICAL GROUP HOT SPRINGS (EIN 26-1125131)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-05-14
- IRS object ID
- 201241359349305729
- Schema version
- 2010v3.7
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-14T16:13:41-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 190 CARONDELET PLAZA SUITE 1300 | AddressLine1 |
| City | CLAYTON | City |
| State | MO | State |
| ZIP Code | 63105 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 261125131 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY CLINIC HOT SPRINGS COMMUNITIES | BusinessNameLine1 |
| Business Name Line2 | f/k/a St Joseph's Mercy Clinic Inc | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MERC | NameControl |
| Phone | 3146283557 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 Werner PO Box 29001 | AddressLine1 |
| City | Hot Springs | City |
| State | AR | State |
| ZIP Code | 71913 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Andrew D Runge | Name |
| Title | COO | Title |
| Date Signed | 2012-05-07 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3142901000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Marc Gunter MD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 29001 | AddressLine1 |
| City | Hot Springs | City |
| State | AR | State |
| ZIP Code | 71903 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 58258719 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.mercy.net | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2007 | YearFormation |
| State Legal Domicile | AR | StateLegalDomicile |
| Activity Or Mission Description | AS 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 Body | 10 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 657 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 41083352 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 58195070 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 0 | InvestmentIncomePriorYear |
| Investment Income Current Year | 520 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 63129 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 41083352 | TotalRevenuePriorYear |
| Total Revenue Current Year | 58258719 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 31178318 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 51642719 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 16376059 | OtherExpensePriorYear |
| Other Expenses Current Year | 21731193 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 47554377 | TotalExpensesPriorYear |
| Total Expenses Current Year | 73373912 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -6471025 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -15115193 | RevenuesLessExpensesCY |
| Total Assets BOY | 6881147 | TotalAssetsBOY |
| Total Assets EOY | 13429777 | TotalAssetsEOY |
| Total Liabilities BOY | 17269490 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 37565895 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -10388343 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -24136118 | NetAssetsOrFundBalancesEOY |
| Mission Description | AS 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 Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 68258002 | Expense |
| Grants | 0 | Grants |
| Revenue | 58258199 | Revenue |
| Description | MERCY CLINIC HOT SPRINGS COMMUNITIES PROVIDES QUALITY CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. THE TAXPAYER PROVIDES SERVICES TO 367,029 PATIENTS IN OFFICE VISITS, 6,454 SURGICAL PATIENTS, AND 7,211 HOSPITALS ADMITTED PATIENTS. | Description |
| Total Program Service Expense | 68258002 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 657 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 10 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | AR | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | SARA BRADLEY VP FINANCE | NamePerson |
| Telephone Number | 5016221980 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 29001 | AddressLine1 |
| City | Hot Springs | City |
| State | AR | State |
| ZIP Code | 71903 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (32 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| Jaime Cardenas MD | |||||||||
| Board member | 60.0 | X | 466700 | 10495 | 32145 | ||||
| Mark Floyd | |||||||||
| Board member | 60.0 | X | 224393 | 0 | 30096 | ||||
| Kyle Roper MD | |||||||||
| Board member | 60.0 | X | 250116 | 0 | 29841 | ||||
| Charles Larrison MD | |||||||||
| Board member | 60.0 | X | 291374 | 0 | 36673 | ||||
| Nizar Suleman MD | |||||||||
| Board member | 60.0 | X | 654797 | 0 | 26100 | ||||
| Patrick A Dolan MD | |||||||||
| board member & officer | 60.0 | X | 358808 | 0 | 25197 | X | |||
| Marcus E Gunter | |||||||||
| Physician President | 60.0 | X | 596562 | 0 | 124188 | X | |||
| Timothy Johnsen | |||||||||
| Chief executive officer | 60.0 | X | 0 | 489995 | 136083 | X | |||
| MICHAEL C BODEMANN | |||||||||
| BOARD MEMBER | 60.0 | X | 119805 | 0 | 5774 | ||||
| ROBERT J OLIVE | |||||||||
| BOARD MEMBER | 60.0 | X | 188877 | 0 | 14812 | ||||
| Jonathan Vitiello | |||||||||
| Chief financial officer | 60.0 | 0 | 375238 | 49437 | X | ||||
| Amy N Gordon | |||||||||
| Physician | 60.0 | 463760 | 0 | 26628 | X | ||||
| Clinton M Henson MD | |||||||||
| Physician | 60.0 | 464970 | 0 | 35570 | X | ||||
| Thomas Hollis Jr MD | |||||||||
| Physician | 60.0 | 258724 | 240 | 31347 | X | ||||
| Joe Howe | |||||||||
| Physician | 60.0 | 581131 | 2999 | 49207 | X | ||||
| Prabhakara R Kaliki | |||||||||
| Physician | 60.0 | 589761 | 0 | 44287 | X | ||||
| Andrew D Runge | |||||||||
| Chief operating officer | 60.0 | 251627 | 0 | 25793 | X | ||||
| John W Webb | |||||||||
| Physician | 60.0 | 440106 | 0 | 32321 | X | ||||
| Robert W Aspell | |||||||||
| Physician | 60.0 | 226475 | 0 | 38904 | X | ||||
| Michael Atta | |||||||||
| Physician | 60.0 | 143675 | 106701 | 26506 | X | ||||
| Thomas Hollis Sr MD | |||||||||
| Physician | 60.0 | 200360 | 11180 | 35772 | X | ||||
| Hosam Kamel | |||||||||
| Physician | 60.0 | 0 | 301458 | 25347 | X | ||||
| Rimantas Kazakevicius | |||||||||
| Physician | 60.0 | 348245 | 0 | 30681 | X | ||||
| Mark Larey | |||||||||
| Physician | 60.0 | 28228 | 298304 | 36929 | X | ||||
| Michael Verser | |||||||||
| Physician | 60.0 | 288874 | 0 | 36140 | X | ||||
| Gregory V Whorton | |||||||||
| Physician | 60.0 | 373931 | 8747 | 32377 | X | ||||
| Greg A St John | |||||||||
| Physician | 60.0 | 501833 | 0 | 13555 | X | ||||
| Robert D Johnson | |||||||||
| Physician | 60.0 | 428308 | 0 | 34752 | X | ||||
| Frederick M Heinemann | |||||||||
| Physician | 60.0 | 428240 | 0 | 30122 | X | ||||
| Manjusha Kota | |||||||||
| Physician | 60.0 | 400457 | 12500 | 19741 | X | ||||
| Stanley S Josef | |||||||||
| Physician | 60.0 | 399291 | 0 | 20009 | X | ||||
| Jerri L Lynne Mitchell | |||||||||
| Former | 0.0 | 0 | 400457 | 23593 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 9969428 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2018314 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1159927 | TotalOtherCompensation |
| Number Individuals GT100 K | 74 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| COMPHEALTH | |||||
| PO BOX 972651 | DALLAS | TX | 75397 | LOCUM PHYS SERVICES | 874063 |
| NABHOLZ CONSTRUCTION | |||||
| 612 GARLAND ST | CONWAY | AR | 72033 | CONTRACTING SERVICES | 745043 |
| ADV CARE HOSP | |||||
| 7301 ROGERS AVE | FORT SMITH | AR | 72917 | LAB PURCHASED SVCS | 230162 |
| GE HEALTHCARE IITS USA CORP | |||||
| 15724 COLLECTIONS CENTER DR | CHICAGO | IL | 60693 | SOFTWARE MAINT | 156329 |
| GUNTER SMITH PROF CLEANING SERV | |||||
| 1620 S 9TH ST | ROGERS | AR | 72756 | CLEANING SERVICES | 149004 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| HEALTHCARE SERVICES | 621110 | 57734670 | 57734670 |
| Research Revenue | 621110 | 460400 | 460400 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 58195070 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 520 | TotalRevenueColumn |
| Exclusion | $520 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Management Fees | 621110 | 13388 | 13388 |
| Miscellaneous Revenue | 900099 | 49741 | 49741 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 63129 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 58258719 | TotalRevenueColumn |
| Related Or Exempt Function Income | 58258199 | RelatedOrExemptFunctionIncome |
| Exclusion | $520 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9088120 | Total |
| Program Services | 8502087 | ProgramServices |
| Management And General | 586033 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34390898 | Total |
| Program Services | 31513590 | ProgramServices |
| Management And General | 2877308 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1424121 | Total |
| Program Services | 1304220 | ProgramServices |
| Management And General | 119901 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4186921 | Total |
| Program Services | 3784332 | ProgramServices |
| Management And General | 402589 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2552659 | Total |
| Program Services | 2364798 | ProgramServices |
| Management And General | 187861 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20405 | Total |
| Program Services | 7732 | ProgramServices |
| Management And General | 12673 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2076386 | Total |
| Program Services | 1941766 | ProgramServices |
| Management And General | 134620 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51829 | Total |
| Program Services | 49838 | ProgramServices |
| Management And General | 1991 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10144402 | Total |
| Program Services | 9986235 | ProgramServices |
| Management And General | 158167 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 457243 | Total |
| Program Services | 383251 | ProgramServices |
| Management And General | 73992 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4294865 | Total |
| Program Services | 4063396 | ProgramServices |
| Management And General | 231469 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 189651 | Total |
| Program Services | 125748 | ProgramServices |
| Management And General | 63903 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14857 | Total |
| Program Services | 13317 | ProgramServices |
| Management And General | 1540 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31823 | Total |
| Management And General | 31823 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 797517 | Total |
| Program Services | 755715 | ProgramServices |
| Management And General | 41802 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 536623 | Total |
| Program Services | 536630 | ProgramServices |
| Management And General | -7 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Bad Debt | 2444513 | 2436255 | 8258 |
| Dues | 187591 | 180425 | 7166 |
| Taxes | 250946 | 249234 | 1712 |
| MISCELLANEOUS | 232542 | 59433 | 173109 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 73373912 | Total |
| Program Services | 68258002 | ProgramServices |
| Management And General | 5115910 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 12891 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3820606 | BOY |
| EOY | 7761677 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 423176 | BOY |
| EOY | 585665 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 470555 | BOY |
| EOY | 644598 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 84797 | BOY |
| EOY | 98698 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 8516240 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 4189992 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2082013 | BOY |
| EOY | 4326248 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6881147 | BOY |
| EOY | 13429777 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13859979 | BOY |
| EOY | 5840066 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3409511 | BOY |
| EOY | 31725829 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17269490 | BOY |
| EOY | 37565895 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -10388343 | BOY |
| EOY | -24136118 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -10388343 | BOY |
| EOY | -24136118 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6881147 | BOY |
| EOY | 13429777 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -15115193 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 1367418 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Land | Land | |
| Buildings | Buildings |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 119690 | OtherCostOrOtherBasis |
| Depreciation | 18753 | Depreciation |
| Book Value | 100937 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8396550 | OtherCostOrOtherBasis |
| Depreciation | 4171239 | Depreciation |
| Book Value | 4225311 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildings | |
| Total Of Book Value Land Buildings | 4326248 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| INTERCOMPANY PAYABLE | $7,484,417 |
| Depository Accounts - BOA | $24,241,412 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 31725829 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ASC 740 FOOTNOTE | Identifier |
| Return Reference | SUPPLEMENTAL INFORMATION | ReturnReference |
| Explanation | THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF MERCY HEALTH AND SUBSIDIARIES 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | X | FirstClassOrCharterTravel |
| Travel For Companions | X | TravelForCompanions |
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Housing Allowance Or Residence | X | HousingAllowanceOrResidence |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (31 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Jaime Cardenas MD | |||||||||||||
| 407328 | 2195 | 37350 | 0 | 22022 | 8300 | 13630 | 0 | 18045 | 470 | 498375 | 10965 | 0 | 0 |
| Mark Floyd | |||||||||||||
| 185172 | 0 | 1605 | 0 | 37616 | 0 | 16622 | 0 | 13474 | 0 | 254489 | 0 | 0 | 0 |
| Kyle Roper MD | |||||||||||||
| 190034 | 0 | 30752 | 0 | 29330 | 0 | 12413 | 0 | 17428 | 0 | 279957 | 0 | 0 | 0 |
| Charles Larrison MD | |||||||||||||
| 203706 | 0 | 37500 | 0 | 50168 | 0 | 19085 | 0 | 17588 | 0 | 328047 | 0 | 0 | 0 |
| Nizar Suleman MD | |||||||||||||
| 613517 | 0 | 20600 | 0 | 20680 | 0 | 10798 | 0 | 15302 | 0 | 680897 | 0 | 0 | 0 |
| Patrick A Dolan MD | |||||||||||||
| 305663 | 0 | 27963 | 0 | 25182 | 0 | 16591 | 0 | 8606 | 0 | 384005 | 0 | 0 | 0 |
| Marcus E Gunter | |||||||||||||
| 464927 | 0 | 110859 | 0 | 20776 | 0 | 104875 | 0 | 19313 | 0 | 720750 | 0 | 0 | 0 |
| Timothy Johnsen | |||||||||||||
| 0 | 325407 | 0 | 144390 | 0 | 20198 | 0 | 121272 | 0 | 14811 | 0 | 626078 | 0 | 0 |
| Jonathan Vitiello | |||||||||||||
| 0 | 260553 | 0 | 108343 | 0 | 6342 | 0 | 35784 | 0 | 13653 | 0 | 424675 | 0 | 0 |
| Amy N Gordon | |||||||||||||
| 415487 | 0 | 42020 | 0 | 6253 | 0 | 8054 | 0 | 18574 | 0 | 490388 | 0 | 0 | 0 |
| Clinton M Henson MD | |||||||||||||
| 404283 | 0 | 39885 | 0 | 20802 | 0 | 16591 | 0 | 18979 | 0 | 500540 | 0 | 0 | 0 |
| Thomas Hollis Jr MD | |||||||||||||
| 197487 | 240 | 24971 | 0 | 36266 | 0 | 13468 | 0 | 17861 | 18 | 290053 | 258 | 0 | 0 |
| Joe Howe | |||||||||||||
| 511291 | -1 | 20000 | 0 | 49840 | 3000 | 29865 | 0 | 19250 | 92 | 630246 | 3091 | 0 | 0 |
| Prabhakara R Kaliki | |||||||||||||
| 531763 | 0 | 20000 | 0 | 37998 | 0 | 24708 | 0 | 19579 | 0 | 634048 | 0 | 0 | 0 |
| Andrew D Runge | |||||||||||||
| 182244 | 0 | 44611 | 0 | 24772 | 0 | 12718 | 0 | 13075 | 0 | 277420 | 0 | 0 | 0 |
| John W Webb | |||||||||||||
| 369484 | 0 | 50503 | 0 | 20119 | 0 | 13630 | 0 | 18691 | 0 | 472427 | 0 | 0 | 0 |
| Robert W Aspell | |||||||||||||
| 153163 | 0 | 29651 | 0 | 43661 | 0 | 25632 | 0 | 13272 | 0 | 265379 | 0 | 0 | 0 |
| Michael Atta | |||||||||||||
| 106922 | 69692 | 0 | 0 | 36753 | 37009 | 12204 | 0 | 7116 | 7186 | 162995 | 113887 | 0 | 0 |
| Thomas Hollis Sr MD | |||||||||||||
| 136085 | 10062 | 23289 | 0 | 40986 | 1118 | 24918 | 0 | 10854 | 0 | 236132 | 11180 | 0 | 0 |
| Hosam Kamel | |||||||||||||
| 0 | 210861 | 0 | 53986 | 0 | 36611 | 0 | 12130 | 0 | 13217 | 0 | 326805 | 0 | 0 |
| Rimantas Kazakevicius | |||||||||||||
| 280326 | 0 | 41858 | 0 | 26061 | 0 | 16671 | 0 | 14010 | 0 | 378926 | 0 | 0 | 0 |
| Mark Larey | |||||||||||||
| 26331 | 247767 | 0 | 9642 | 1897 | 40895 | 0 | 22343 | 1474 | 13112 | 29702 | 333759 | 0 | 0 |
| Michael Verser | |||||||||||||
| 221292 | 0 | 23971 | 0 | 43611 | 0 | 17895 | 0 | 18245 | 0 | 325014 | 0 | 0 | 0 |
| Gregory V Whorton | |||||||||||||
| 318445 | -381 | 32750 | 0 | 22736 | 9128 | 13630 | 0 | 18485 | 262 | 406046 | 9009 | 0 | 0 |
| Greg A St John | |||||||||||||
| 366953 | 0 | 100000 | 0 | 34880 | 0 | 9800 | 0 | 3755 | 0 | 515388 | 0 | 0 | 0 |
| Robert D Johnson | |||||||||||||
| 359667 | 0 | 20000 | 0 | 48641 | 0 | 20445 | 0 | 14307 | 0 | 463060 | 0 | 0 | 0 |
| Frederick M Heinemann | |||||||||||||
| 383360 | 0 | 26500 | 0 | 18380 | 0 | 19600 | 0 | 10522 | 0 | 458362 | 0 | 0 | 0 |
| Manjusha Kota | |||||||||||||
| 363757 | 0 | 0 | 0 | 36700 | 12500 | 8062 | 0 | 11679 | 0 | 420198 | 12500 | 0 | 0 |
| Stanley S Josef | |||||||||||||
| 397411 | 0 | 0 | 0 | 1880 | 0 | 12250 | 0 | 7759 | 0 | 419300 | 0 | 0 | 0 |
| Jerri L Lynne Mitchell | |||||||||||||
| 0 | 69418 | 0 | 79597 | 0 | 251442 | 0 | 21145 | 0 | 2448 | 0 | 424050 | 0 | 0 |
| ROBERT J OLIVE | |||||||||||||
| 152403 | 0 | 30000 | 0 | 6474 | 0 | 11151 | 0 | 3661 | 0 | 203689 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Supplemental Compensation Information | Identifier |
| Explanation | FORM 990, SCHEDULE J, PART I, QUESTION 1A CHARTER TRAVEL IS PROVIDED TO ALL EMPLOYEES AS DEEMED NECESSARY FOR BUSINESS TRAVEL AND PURSUANT TO THE APPROVAL BY THE FINANCE DEPARTMENT. 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 UNDER LIMITED CIRCUMSTANCES 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 CLINIC HOT SPRINGS 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 2010: JERRI L. MITCHELL, $221,887 FORM 990, SCHEDULE J, PART I, QUESTION 4B MERCY CLINIC HOT SPRINGS COMMUNITIES 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 MARCUS GUNTER, TIMOTHY JOHNSEN, LYNNE MITCHELL AND JON VITIELLO. 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 2011 (JULY 1, 2010 - JUNE 30, 2011) 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 ARE REVIEWED BY THE EXECUTIVE COMPENSATION COMMITTEE OF MERCY AND ARE THEN TAKEN INTO ACCOUNT WHEN ANALYZING EXECUTIVE COMPENSATION FOR REASONABLENESS. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | GUNTER SMITH PROFESS CLEANING SERV | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | BRTHR OF M. GUNTER, PRES | Relationship |
| Amount Of Transaction | 149004 | AmountOfTransaction |
| Description Of Transaction | PVDES CLEANING SRVS TO CLINIC | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Explanation | FORM 990, HEADING, BOX B DURING THE TAX YEAR ENDED JUNE 30, 2012, SISTERS OF MERCY HEALTH SYSTEM ("MERCY HEALTH") BEGAN A SYSTEM-WIDE REBRANDING INITIATIVE TO HELP PATIENTS, PHYSICIANS, CO-WORKERS, AND THE PUBLIC BETTER UNDERSTAND THE FULL SCOPE AND LOCATIONS OF MERCY HEALTH'S SERVICES. SEVERAL OF THE MERCY HEALTH AFFILIATES HAVE CHANGED OR ARE IN THE PROCESS OF CHANGING LEGAL NAMES. PRIOR TO FILING THE 2010 FORMS 990 (DUE MAY 15, 2012), MERCY HEALTH NOTIFIED THE IRS OF THESE NAME CHANGES, THEREFORE BOX B "NAME CHANGE" HAS NOT BEEN CHECKED ON THIS FORM 990. REFER TO SCHEDULE R, PART VII FOR A LIST OF THE NAME CHANGES. FORM 990, PART V, QUESTION 1A 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 (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN. FORM 990, PART VI, QUESTION 6, 7A, & 7B DESCR OF CLSES OF MMBRS OR STCKHDS, DEC REQ APPR & TYPE OF VOTING RGTS THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH HOT SPRINGS COMMUNITIES. THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED SOLELY UNTO THE CORPORATE MEMBER: - ADOPT OR AMEND THE MISSION AND PHILOSOPHY OF THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - ADOPT OR AMEND THE STRATEGIC PLANS, GOALS, AND OBJECTIVES OF THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - ADOPT OR AMEND THE OPERATING AND CAPITAL BUDGETS OF THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION AND ANY CHANGES IN SUCH BUDGETS IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE MEMBER; - REVIEW AND APPROVE ANY CAPITAL EXPENDITURES OR RECOMMENDATIONS NOT PREVIOUSLY APPROVED AS PART OF THE CORPORATION'S BUDGETS; - AUTHORIZE OR APPROVE THE ASSIGNMENT, TRANSFER, SALE OR LEASE OF ANY OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION OR INTEREST THEREIN IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE MEMBER; - AUTHORIZE OR APPROVE THE GRANT OF ANY PLEDGE, LIEN, ENCUMBRANCE, MORTGAGE, DEED OF TRUST OR OTHER SECURITY INTEREST IN ANY OR ALL OF THE ASSETS OF THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - AUTHORIZE OR APPROVE THE INCURRENCE OF DEBT (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) BY THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION AND THE GRANT OF ANY SECURITY INTERESTS, THE PLACEMENT OF ANY ENCUMBRANCES, THE ENTERING INTO ANY COVENANTS, AND THE EXECUTION OF ANY DOCUMENTS AND THE TAKING OF ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; - MERGE, DISSOLVE OR ABANDON THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - AMEND THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - APPOINT DIRECTORS PURSUANT TO THE PROCESS SET FORTH IN SECTION 5.2 HEREOF; - ESTABLISH ALL COMPENSATION AND BENEFIT TERMS FOR PHYSICIANS AND OTHER MEDICAL PROFESSIONALS EMPLOYED OR OTHERWISE RETAINED BY THE CORPORATION; - REMOVE DIRECTORS WITH OR WITHOUT CAUSE; - APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION CONTROLLED BY THE CORPORATION; - APPROVE CONTRACTS IN WHICH THE CORPORATION ASSUMES FINANCIAL RISK, INCLUDING BUT NOT LIMITED TO MANAGED CARE CONTRACTS, SUBJECT TO CONSULTATION WITH THE MANAGED CARE CONTRACTING COMMITTEE OF THE MEMBER; - APPROVE THE CLINIC'S MANPOWER PLAN; - THROUGH THE SOLE ACTION OF THE PRESIDENT OF THE MEMBER (WITH THE APPROVAL OF THE PRESIDENT OF MH), APPOINT AND REMOVE THE PRESIDENT OF THE CORPORATION; AND - AUTHORIZE AND AMEND THE CHARITY CARE POLICY OF THE CLINIC. FORM 990, PART VI, QUESTION 11B DESCRIBE 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 MERCY HEALTH'S TAX DEPARTMENT, TO ENSURE ACCURACY AND CONSISTENCY WITH OTHER RELATED ORGANIZATIONS' FORM 990. AFTER QUESTIONS ARISING FROM THE VARIOUS REVIEWS ARE ADDRESSED AND INCORPORATED INTO THE FORM 990, A REVISED DRAFT IS PROVIDED TO THE FILING ORGANIZATION'S LEADERSHIP TEAM. 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 THE PURPOSE OF THE CONFLICT OF INTEREST POLICY IS TO PROTECT THE INTERESTS OF MERCY HEALTH HOT SPRINGS COMMUNITIES AND ALL OF ITS SUBSIDIARY CORPORATIONS (COLLECTIVELY REFERRED TO AS "MHHC") WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF A CO-WORKER, A MEMBER OF MANAGEMENT OR BOARD MEMBER OF MHHC. THE PRESIDENT OF EACH CORPORATION AND SUB-DIVISION SHALL BE RESPONSIBLE FOR ADMINISTERING THE ANNUAL STATEMENTS OF DISCLOSURE FOR THEIR BOARD MEMBERS AND EXECUTIVE LEADERSHIP TEAM. THE MHSC VICE-PRESIDENT OF HUMAN RESOURCES OR HIS/HER DESIGNEE SHALL BE RESPONSIBLE FOR ADMINISTERING ANNUAL STATEMENTS OF DISCLOSURE FOR SYSTEM SENIOR MANAGEMENT AND ADMINISTRATIVE COUNCIL. TO ENSURE THAT MHHC OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES AND THAT IT DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX, PERIODIC REVIEWS SHALL BE CONDUCTED BY MERCY HEALTH'S LEGAL DEPARTMENT. FORM 990, PART VI, QUESTION 15A & 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, MERCY HEALTH 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 GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS HAVE BEEN 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 OF NET ASSETS FROM MCS - $1,367,418 FORM 990, PART XII, QUESTION 2B THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN MERCY HEALTH AND SUBSIDIARIES ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVE AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 2011 (THE TAX YEAR CURRENTLY BEING REPORTED). HOWEVER, NO SEPARATE AUDIT OPINION IS 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'S BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE. | Explanation |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (64 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| Advance Care Hospital | |||||||||
| 300 Werner St 3rd Floor | Hot Springs | AR | 71913 | 710816634 | Hospital | AR | 501(C)(3) | 3 | Mercy Health |
| Mercy Hospital Lebanon | |||||||||
| 100 Hospital Drive | Lebanon | MO | 65536 | 431767432 | Hospital | MO | 501(C)(3) | 3 | MHSC |
| Mercy Health Foundation Berryville | |||||||||
| 214 Carter Street | Berryville | AR | 72616 | 710759301 | Foundation | AR | 501(C)(3) | 11a | MH Berryvill |
| Casa de Misericordia | |||||||||
| 1000 Mier Street | Laredo | TX | 780404653 | 742912461 | Shelter | TX | 501(C)(3) | 7 | MM Laredo |
| Mercy Hospital Healdton | |||||||||
| 918 South Street | Healdton | OK | 73438 | 263173902 | Hospital | OK | 501(C)(3) | 3 | MH Ardmore |
| Laredo Medical Group | |||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 742764726 | Inactive | TX | 501(C)(3) | 9 | MHS-TX |
| McAuley Portfolio Management Company | |||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 261708048 | Port Mgmt | MO | 501(C)(3) | 11b | Mercy Health |
| Mercy Hospital El Reno | |||||||||
| 2115 Parkview Drive | El Reno | OK | 73036 | 736617948 | Hospital | OK | 501(C)(3) | 3 | Mercy Health |
| Mercy Emergency Medical Services Inc | |||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 810627035 | Inactive | OK | 501(C)(3) | 9 | MHOC |
| Mercy Foundation for Health Innovation | |||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 200901499 | Foundation | MO | 501(C)(3) | 11b | Mercy Health |
| Mercy Health Foundation Fort Scott | |||||||||
| 401 Woodland Hills Blvd | Fort Scott | KS | 66701 | 481077073 | Foundation | KS | 501(C)(3) | 11c | Mercy KS Com |
| Mercy Health Foundation OK City | |||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 731593024 | Foundation | OK | 501(C)(3) | 11a | MHOC |
| Mercy Hospital Oklahoma City | |||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 730579285 | Hospital | OK | 501(C)(3) | 3 | MHOC |
| Mercy Hospital Columbus | |||||||||
| 220 Pennsylvania Avenue | Columbus | KS | 66725 | 270842031 | Hospital | MO | 501(C)(3) | 3 | MHSMKC |
| Mercy Health Foundation Joplin | |||||||||
| 2727 McClelland Blvd | Joplin | MO | 64804 | 270906136 | Foundation | MO | 501(C)(3) | 11a | MHSMKC |
| Mercy Hospital Joplin | |||||||||
| 2727 McClelland Blvd | Joplin | MO | 64804 | 270814858 | Hospital | MO | 501(C)(3) | 3 | MHSMKC |
| Mercy Health SW MOKS Communitites | |||||||||
| 2727 McClelland Blvd | Joplin | MO | 64804 | 300584463 | Hlth System | MO | 501(C)(3) | 11b | Mercy Health |
| Mercy Kansas Communities Inc | |||||||||
| 401 Woodland Hills Blvd | Ft Scott | KS | 66701 | 480956045 | Hospital | KS | 501(C)(3) | 3 | MHSMKC |
| Mercy Health NW Arkansas Communities | |||||||||
| 2710 Rife Medical Drive | Rogers | AR | 72758 | 621684203 | Phys Group | AR | 501(C)(3) | 11b | Mercy Health |
| Mercy Health System of Texas Inc | |||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 742764727 | Inactive | TX | 501(C)(3) | 11b | Mercy Health |
| Mercy Health Oklahoma Communities | |||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 731453048 | Holding co. | OK | 501(C)(3) | 11b | Mercy Health |
| Mercy Health Foundation Independence | |||||||||
| 800 W Myrtle | Independence | KS | 67301 | 481079981 | Foundation | KS | 501(C)(3) | 11a | Mercy KS Com |
| Mercy Hospital of Laredo | |||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 741189682 | Inactive | TX | 501(C)(3) | 3 | MHS-TX |
| Mercy Clinic East Communites | |||||||||
| 645 Maryville Centre Dr St 100 | St Louis | MO | 63141 | 431771217 | Phys Group | MO | 501(C)(3) | 9 | MHEC |
| Mercy Health Foundation Ardmore | |||||||||
| 1011 14th Avenue NW | Ardmore | OK | 73401 | 710962525 | Foundation | OK | 501(C)(3) | 11a | MH Ardmore |
| Mercy Hospital Ardmore | |||||||||
| 1011 14th Avenue NW | Ardmore | OK | 73401 | 731500629 | Hospital | OK | 501(C)(3) | 3 | MHOC |
| Mercy Clinic Oklahoma Communities | |||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 270473057 | Phys Group | OK | 501(C)(3) | 9 | MHOC |
| MHM Support Services | |||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 202553101 | Sup Hlth Sys | MO | 501(C)(3) | 11b | Mercy Health |
| Mission Clinical Services | |||||||||
| 300 Werner Street | Hot Springs | AR | 71913 | 134239691 | nursing home | AR | 501(C)(3) | 9 | MHHSC |
| Mercy Hospital Berryville | |||||||||
| 214 Carter Street | Berryville | AR | 72616 | 710759299 | Hospital | AR | 501(C)(3) | 3 | MHSC |
| Mercy Health | |||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 431423050 | Sup Hlth Sys | MO | 501(C)(3) | 1 | NA |
| Mercy Family Center | |||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 721069468 | counseling | MO | 501(C)(3) | 7 | Mercy Health |
| Mercy Hospital Ozark | |||||||||
| 801 W River Street | Ozark | AR | 72949 | 710689680 | Hospital | AR | 501(C)(3) | 3 | MHFS |
| Mercy Hospital Paris | |||||||||
| 500 E Academy | Paris | AR | 72855 | 710655753 | Hospital | AR | 501(C)(3) | 3 | MHFS |
| Mercy Hospital Waldron | |||||||||
| 1341 W 6th Street | Waldron | AR | 72958 | 710557895 | Hospital | AR | 501(C)(3) | 3 | MHFS |
| Mercy Clinic Fort Smith Communitites | |||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72917 | 261318597 | Phys Clinic | AR | 501(C)(3) | 9 | MHFSC |
| St Edward Mercy Foundation | |||||||||
| PO Box 17000 | Fort Smith | AR | 72917 | 237330425 | Foundation | AR | 501(C)(3) | 7 | MHFS |
| Mercy Health Fort Smith Communities | |||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72917 | 261318515 | Holding Co. | AR | 501(C)(3) | 11b | Mercy Health |
| Mercy Hospital Fort Smith | |||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72917 | 710240352 | Hospital | AR | 501(C)(3) | 3 | MHFSC |
| Mercy St Francis Hospital | |||||||||
| 100 W Highway 60 | Mountain View | MO | 65548 | 440607149 | Hospital | MO | 501(C)(3) | 3 | MHSC |
| Mercy Hospital Aurora | |||||||||
| 500 Porter Avenue | Aurora | MO | 65605 | 431936696 | Hospital | MO | 501(C)(3) | 3 | MHSC |
| Mercy Hospital Cassville | |||||||||
| 94 Main Street | Cassville | MO | 65625 | 431936699 | Hospital | MO | 501(C)(3) | 3 | MHSC |
| St John's Children's Hospital Inc | |||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 431423050 | Inactive | MO | 501(C)(3) | 3 | MHSC |
| Mercy Clinic Springfield Communities | |||||||||
| 1965 Fremont Street Ste 2950 | Springfield | MO | 65804 | 431560263 | Phys Group | MO | 501(C)(3) | 9 | MHSC |
| Mercy Health Foundation Springfield | |||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 320195818 | Foundation | MO | 501(C)(3) | 11b | MHSC |
| Mercy Health Springfield Communitites | |||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 431856028 | Holding Co | MO | 501(C)(3) | 11b | Mercy Health |
| Mercy Home Health Berryville | |||||||||
| 214 Carter Street | Berryville | AR | 72616 | 870781247 | Home Health | AR | 501(C)(3) | 11c | MH Sprngfld |
| Mercy Medical Research Institute | |||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 870796305 | Research | MO | 501(C)(3) | 4 | MHSC |
| Mercy Health Foundation St Louis | |||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 562410020 | Foundation | MO | 501(C)(3) | 11b | MHEC |
| Mercy Health East Communities | |||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 431718408 | Hlth System | MO | 501(C)(3) | 11b | Mercy Health |
| Mercy Hospitals East Communities | |||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 430653493 | Hospital | MO | 501(C)(3) | 3 | MHEC |
| Mercy Health Foundation Washington | |||||||||
| 901 E Fifth Street | Washington | MO | 63090 | 562410022 | Foundation | MO | 501(C)(3) | 11b | MHEC |
| Mercy Support Services | |||||||||
| 615 S New Ballas Road | St Louis | MO | 63141 | 431677952 | Inactive | MO | 501(C)(3) | 11c | MHEC |
| Mercy Hospital Springfield | |||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 440552485 | Hospital | MO | 501(C)(3) | 3 | MHSC |
| Mercy Hospital Hot Springs | |||||||||
| 300 Werner Street | Hot Springs | AR | 71913 | 710236913 | Hospital | AR | 501(C)(3) | 3 | MHHSC |
| Mercy Health Foundation Hot Springs | |||||||||
| 300 Werner Street | Hot Springs | AR | 71913 | 710804718 | Foundation | AR | 501(C)(3) | 11b | MHHS |
| Mercy Health Hot Springs Communities | |||||||||
| 300 Werner Street | Hot Springs | AR | 71913 | 261125064 | Holding Co | AR | 501(C)(3) | 11b | Mercy Health |
| Mercy Hospital Rogers | |||||||||
| 2710 Rife Medical Lane | Rogers | AR | 72758 | 710294390 | Hospital | AR | 501(C)(3) | 3 | MHNWAC |
| Mercy Health Foundation NW Arkansas | |||||||||
| 2710 Rife Medical Lane | Rogers | AR | 72758 | 710601687 | Foundation | AR | 501(C)(3) | 11c | MH Rogers |
| St Mary's Hospital of Enid Oklahoma | |||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 730614655 | Inactive | OK | 501(C)(3) | 3 | MHOC |
| The Sister M Cornelia Blasko Foundation | |||||||||
| 100 W Highway 60 | Mountain View | MO | 65548 | 431873914 | Foundation | MO | 501(C)(3) | 11a | MSFH |
| Unity Ambulatory Care | |||||||||
| 645 Maryville Centre Dr St 100 | St Louis | MO | 63141 | 431861745 | Inactive | MO | 501(C)(3) | 11c | MHEC |
| Mercy Hospital Tishomingo | |||||||||
| 1000 South Byrd | Tishomingo | OK | 73460 | 274433830 | Hospital | OK | 501(C)(3) | 3 | MH Ardmore |
| Mercy Ministries of Laredo | |||||||||
| 2500 Zacatecas | Laredo | TX | 780466814 | 200198462 | outreach | TX | 501(C)(3) | 7 | Mercy Health |
Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|
| Merc Ambu Surg CTR | |||||||
| 7301 Rogers Av | Fort Smith | AR | 72903 | 710827721 | AMBUL SURG CENTER | AR | NA |
| RES OPT & INNOV | |||||||
| 645 Maryville Centre Dr 200 | St Louis | MO | 63141 | 460468368 | CENTRAL DIST. | MO | NA |
| SO OK DIAG CTR | |||||||
| 1011 14TH Ave NW | Ardmore | OK | 73401 | 431971232 | MRI Services | OK | NA |
| Fort Smith EMS | |||||||
| 1701 S Greenwood | Fort Smith | AR | 72901 | 710416615 | Emergency Med | AR | NA |
| St Ed Mer Med MOB | |||||||
| 7301 Rogers Ave | Fort Smith | AR | 72903 | 710554050 | Office Building | AR | NA |
Form990 Schedule R Part IV Form990ScheduleRPartIV (10 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| 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 Smith | KS | 66701 | 481078101 | CATERING | 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 |
| MHP Inc | ||||||||
| 14528 S Outer Forty Suite 300 | Chesterfield | MO | 63017 | 431697084 | HOLDING COMP | DE | 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 | INACTIVE | MO | NA | C-Corp |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| MERCY HOSPITAL HOT SPRINGS | |
| N | 199484 |
| MHM SUPPORT SERVICES | |
| O | 4671223 |
| RESOURCE OPTIMIZATION & INNOVATION LLC | |
| O | 131821 |
| MERCY HOSPITAL HOT SPRINGS | |
| O | 2086700 |
| MISSION CLINICAL SERVICES | |
| O | 50585 |
| MERCY HEALTH HOT SPRINGS COMMUNITIES | |
| O | 1444672 |
| MERCY HEALTH | |
| P | 1330784 |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FORM 990, SCHEDULE R, PART II | Identifier |
| Explanation | *MERCY MEDICAL GROUP IS NOW MERCY CLINIC EAST COMMUNITIES *ST. EDWARD MERCY CLINIC, INC. IS NOW MERCY CLINIC FORT SMITH COMMUNITIES *ST. JOSEPH'S MERCY CLINIC, INC. IS NOW MERCY CLINIC HOT SPRINGS COMMUNITIES *MERCY PHYSICIANS OF OKLAHOMA, INC. IS NOW MERCY CLINIC OKLAHOMA COMMUNITIES *ST. JOHN'S CLINIC, INC. IS NOW MERCY CLINIC SPRINGFIELD COMMUNITIES *SISTERS OF MERCY HEALTH SYSTEM IS NOW MERCY HEALTH *ST. JOHN'S MERCY HEALTH CARE IS NOW MERCY HEALTH EAST COMMUNITIES *ST. EDWARD MERCY HEALTH SYSTEM, INC. IS NOW MERCY HEALTH FORT SMITH COMMUNITIES *MERCY MEMORIAL HEALTH CENTER FOUNDATION IS NOW MERCY HEALTH FOUNDATION ARDMORE *CARROLL HEALTH FOUNDATION IS NOW MERCY HEALTH FOUNDATION BERRYVILLE *MERCY HEALTH CENTER FOUNDATION IS NOW MERCY HEALTH FOUNDATION FORT SCOTT *ST. JOSEPH'S MERCY HEALTH FOUNDATION IS NOW MERCY HEALTH FOUNDATION HOT SPRINGS *MERCY HOSPITAL FOUNDATION OF INDEPENDENCE, INC. IS NOW MERCY HEALTH FOUNDATION INDEPENDENCE *MERCY HEALTH OF JOPLIN FOUNDATION IS NOW MERCY HEALTH FOUNDATION JOPLIN *ST. MARY'S HOSPITAL FOUNDATION IS NOW MERCY HEALTH FOUNDATION NORTHWEST ARKANSAS *MERCY HEALTH CENTER FOUNDATION, INC. IS NOW MERCY HEALTH FOUNDATION OKLAHOMA CITY *ST. JOHN'S FOUNDATION FOR COMMUNITY HEALTH INC. IS NOW MERCY HEALTH FOUNDATION SPRINGFIELD *ST. JOHN'S MERCY FOUNDATION IS NOW MERCY HEALTH FOUNDATION ST. LOUIS *ST. JOHN'S MERCY HOSPITAL FOUNDATION IS NOW MERCY HEALTH FOUNDATION WASHINGTON *ST. JOSEPH'S MERCY HEALTH SYSTEM, INC. IS NOW MERCY HEALTH HOT SPRINGS COMMUNITIES *MERCY HEALTH SYSTEM OF NORTHWEST ARKANSAS, INC. IS NOW MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES *MERCY HEALTH SYSTEM, INC. IS NOW MERCY HEALTH OKLAHOMA COMMUNITIES *MERCY HEALTH SYSTEM-JOPLIN, INC. IS NOW MERCY HEALTH SOUTHWEST MISSOURI/KANSAS COMMUNITIES *ST. JOHN'S HEALTH SYSTEM, INC. IS NOW MERCY HEALTH SPRINGFIELD COMMUNITIES *ST. JOHN'S HOME CARE OF BERRYVILLE, INC. IS NOW MERCY HOME HEALTH BERRYVILLE *MERCY MEMORIAL HEALTH CENTER, INC. IS NOW MERCY HOSPITAL ARDMORE *ST. JOHN'S AURORA, INC. IS NOW MERCY HOSPITAL AURORA *OZARKS REGIONS HEALTH SYSTEM, INC. IS NOW MERCY HOSPITAL BERRYVILLE *ST. JOHN'S CASSVILLE, INC. IS NOW MERCY HOSPITAL CASSVILLE *MERCY HEALTH MHMCH, INC. IS NOW MERCY HOSPITAL COLUMBUS *MERCY EL RENO HOSPITAL CORPORATION IS NOW MERCY HOSPITAL EL RENO *ST. EDWARD MERCY MEDICAL CENTER IS NOW MERCY HOSPITAL FORT SMITH *HEALDTON MERCY HOSPITAL CORPORATION IS NOW MERCY HOSPITAL HEALDTON *ST. JOSEPH'S MERCY HEALTH CENTER IS NOW MERCY HOSPITAL HOT SPRINGS *MERCY HEALTH OF JOPLIN, INC. IS NOW MERCY HOSPITAL JOPLIN *BREECH REGIONAL MEDICAL CENTER IS NOW MERCY HOSPITAL LEBANON *MERCY HEALTH CENTER, INC. IS NOW MERCY HOSPITAL OKLAHOMA CITY *ST. EDWARD HEALTH FACILITIES OF FRANKLIN COUNTY IS NOW MERCY HOSPITAL OZARK *ST. EDWARD HEALTH FACILITIES OF LOGAN COUNTY IS NOW MERCY HOSPITAL PARIS *ST. EDWARD HEALTH FACILITIES OF SCOTT COUNTY IS NOW MERCY HOSPITAL WALDRON *ST. MARY-ROGERS MEMORIAL HOSPITAL, INC. IS NOW MERCY HOSPITAL ROGERS *ST. JOHN'S REGIONAL HEALTH CENTER IS NOW MERCY HOSPITAL SPRINGFIELD *MERCY TISHOMINGO HOSPITAL CORPORATION IS NOW MERCY HOSPITAL TISHOMINGO *ST. JOHN'S MERCY HEALTH SYSTEM IS NOW MERCY HOSPITALS EAST COMMUNITIES *ST. JOHN'S MERCY MEDICAL CENTER IS NOW MERCY HOSPITAL ST LOUIS *ST. JOHN'S MERCY HOSPITAL IS NOW MERCY HOSPITAL SPRINGFIELD *MERCY HEALTH SYSTEM OF KANSAS, INC. IS NOW MERCY KANSAS COMMUNITIES *MERCY HEALTH CENTER, INC. IS NOW MERCY HOSPITAL FORT SCOTT *MERCY HOSPITAL IS NOW MERCY HOSPITAL INDEPENDENCE *ST. JOHN'S MEDICAL RESEARCH INSTITUTE, INC. IS NOW MERCY MEDICAL RESEARCH INSTITUTE *ST. FRANCIS HOSPITAL, MOUNTAIN VIEW, MISSOURI IS NOW MERCY ST. FRANCIS HOSPITAL *ST. JOHN'S MERCY SUPPORT SERVICES IS NOW MERCY SUPPORT SERVICES 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. | Explanation |