MERCY HOSPITAL BERRYVILLE: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- MERCY HOSPITAL BERRYVILLE (EIN 71-0759299)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-13
- IRS object ID
- 201141339349302169
- Schema version
- 2009v1.7
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-13T09:56:20-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | 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 | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 710759299 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ozarks Regions Health Systems Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | OZAR | NameControl |
| Phone | 8704235240 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 214 Carter Street | AddressLine1 |
| City | Berryville | City |
| State | AR | State |
| ZIP Code | 72616 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Scott R Reynolds | Name |
| Title | vice president- finance | Title |
| Date Signed | 2011-05-06 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3142901000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St John's Hospital-Berryville | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Sherry Clouse-Day | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 214 Carter Street | AddressLine1 |
| City | Berryville | City |
| State | AR | State |
| ZIP Code | 72616 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 22290181 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c | X | Organization501c |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1993 | YearFormation |
| State Legal Domicile | AR | StateLegalDomicile |
| Activity Or Mission Description | ROOTED IN THE MISSION OF JESUS AND THE HEALING MINISTRY OF THE CHURCH, OUR MISSION IS TO PROVIDE HIGH QUALITY, COMPASSIONATE HEALTH CARE SERVICES IN A PERSONALIZED CHRISTIAN ENVIRONMENT. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 10 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 6 | NbrIndependentVotingMembers |
| Total Nbr Employees | 260 | TotalNbrEmployees |
| Total Nbr Volunteers | 110 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 5399 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 18000622 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 22266703 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 0 | InvestmentIncomePriorYear |
| Investment Income Current Year | 18079 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 18000622 | TotalRevenuePriorYear |
| Total Revenue Current Year | 22290181 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 4385 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 2705 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 10245852 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 9348332 | 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 | 8820865 | OtherExpensePriorYear |
| Other Expenses Current Year | 9767057 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 19071102 | TotalExpensesPriorYear |
| Total Expenses Current Year | 19118094 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1070480 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 3172087 | RevenuesLessExpensesCY |
| Total Assets BOY | 11000129 | TotalAssetsBOY |
| Total Assets EOY | 10634616 | TotalAssetsEOY |
| Total Liabilities BOY | 2005661 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1352642 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 8994468 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 9281974 | NetAssetsOrFundBalancesEOY |
| Mission Description | ROOTED IN THE MISSION OF JESUS AND THE HEALING MINISTRY OF THE CHURCH, OUR MISSION IS TO PROVIDE HIGH QUALITY, COMPASSIONATE HEALTH CARE SERVICES IN A PERSONALIZED CHRISTIAN ENVIRONMENT. WE SEEK TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF COMMUNITIES WE SERVE, WITH PARTICULAR CONCERN FOR PEOPLE WHO ARE ECONOMICALLY POOR. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 11981065 | Expense |
| Grants | 2705 | Grants |
| Revenue | 22266703 | Revenue |
| Description | ST. JOHN'S HEALTH SYSTEM AND ITS SUBSIDIARIES PROVIDE HIGH-QUALITY, COMPASSIONATE, FAITH-BASED HEALTH CARE IN A VARIETY OF TRADITIONAL MEDICAL SETTINGS. THIS ORGANIZATION, AS PART OF ST. JOHN'S HEALTH SYSTEM, PROVIDES SERVICES TO THE COMMUNITIES WE SERVE, WITH PARTICULAR CONCERN FOR THE ECONOMICALLY POOR, IN THE WAY OF INPATIENT HOSPITAL SERVICES, OUTPATIENT SERVICES, EMERGENCY ROOM CARE, HOME HEALTH SERVICES, AND PHYSICIAN CLINIC OFFICE VISITS. | Description |
| Total Program Service Expense | 11981065 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | 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 |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| 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 | true | 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 | false | 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 |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 260 | 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 |
| Nbr Voting Governing Body Members | 10 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 6 | 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 | true | 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 |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Sherry Clouse-Day | NamePerson |
| Telephone Number | 8704235240 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 214 Carter Street | AddressLine1 |
| City | Berryville | City |
| State | AR | State |
| ZIP Code | 72616 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (18 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 |
|---|---|---|---|---|---|---|---|---|
| Michele M Schaefer | ||||||||
| Sr VP - Regional Ops | 40.0 | X | 0 | 428075 | 59810 | |||
| David O Barbe | ||||||||
| Board Member | 40.0 | X | 0 | 371322 | 76001 | |||
| Eric G Spann | ||||||||
| Chairman | 40.0 | X | 0 | 142227 | 22423 | |||
| Richard L Taylor | ||||||||
| Board Member | 40.0 | X | 0 | 163593 | 30384 | |||
| Bill Ray | ||||||||
| Community Member | 1.0 | X | 0 | 0 | 0 | |||
| Milton McGowen | ||||||||
| Community Member | 1.0 | X | 0 | 0 | 0 | |||
| Owen Kendrick | ||||||||
| Community Member | 1.0 | X | 0 | 0 | 0 | |||
| Pam Webb | ||||||||
| Community Member | 1.0 | X | 0 | 0 | 0 | |||
| Richard Harp | ||||||||
| Community Member | 1.0 | X | 0 | 0 | 0 | |||
| Suzanne Villines | ||||||||
| Secretary | 1.0 | X | 0 | 0 | 0 | |||
| Kristy K Estrem | ||||||||
| President - CEO | 40.0 | 0 | 173070 | 23542 | X | |||
| Jon D Swope | ||||||||
| President/CEO - SJHS | 40.0 | 0 | 644028 | 215997 | X | |||
| Scott R Reynolds | ||||||||
| SECRETARY/TREAS/CFO (INTERIM) | 40.0 | 0 | 257702 | 37022 | X | |||
| Sherry L Clouse Day | ||||||||
| CFO, VP - Finance | 40.0 | 0 | 144381 | 12187 | X | |||
| Mike Sieg | ||||||||
| Dir - Pharmacy Svcs | 40.0 | 103534 | 0 | 12188 | X | |||
| Janet Shapter | ||||||||
| Physician | 39.0 | 202727 | 0 | 5885 | X | |||
| Andrew David | ||||||||
| Physician | 26.0 | 208985 | 0 | 11250 | X | |||
| Milo Warner | ||||||||
| ER Med Director | 46.0 | 265943 | 0 | 16116 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 781189 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2324398 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 522805 | TotalOtherCompensation |
| Number Individuals GT100 K | 4 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Related Organizations | 5399 | RelatedOrganizations |
| Total Contributions | 5399 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Patient Service Revenue | 622110 | 22018750 | 22018750 |
| Other Operating Revenue | 900099 | 247953 | 247953 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 22266703 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7579 | TotalRevenueColumn |
| Exclusion | $7,579 | 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 |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 10500 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 10500 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10500 | TotalRevenueColumn |
| Exclusion | $10,500 | ExclusionAmount |
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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 22290181 | TotalRevenueColumn |
| Related Or Exempt Function Income | 22266703 | RelatedOrExemptFunctionIncome |
| Exclusion | $18,079 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2705 | Total |
| Program Services | 2705 | ProgramServices |
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 | 0 | Total |
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 | 7496296 | Total |
| Program Services | 5129912 | ProgramServices |
| Management And General | 2366384 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 310064 | Total |
| Program Services | 47 | ProgramServices |
| Management And General | 310017 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1044041 | Total |
| Program Services | 457 | ProgramServices |
| Management And General | 1043584 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 497931 | Total |
| Program Services | 370790 | ProgramServices |
| Management And General | 127141 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 423030 | Total |
| Management And General | 423030 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37771 | Total |
| Management And General | 37771 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1504 | Total |
| Management And General | 1504 | ManagementAndGeneral |
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 | 1797998 | Total |
| Program Services | 613286 | ProgramServices |
| Management And General | 1184712 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8621 | Total |
| Program Services | 282 | ProgramServices |
| Management And General | 8339 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2370485 | Total |
| Program Services | 2108724 | ProgramServices |
| Management And General | 261761 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 282039 | Total |
| Program Services | 37139 | ProgramServices |
| Management And General | 244900 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16068 | Total |
| Program Services | 7438 | ProgramServices |
| Management And General | 8630 | 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 | 4116 | Total |
| Program Services | 2122 | ProgramServices |
| Management And General | 1994 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23933 | Total |
| Management And General | 23933 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 906713 | Total |
| Management And General | 906713 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 169765 | Total |
| Management And General | 169765 | ManagementAndGeneral |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Bad Debt Expense | 3684896 | 3684896 | |
| MISCELLANEOUS | 40118 | 23267 | 16851 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19118094 | Total |
| Program Services | 11981065 | ProgramServices |
| Management And General | 7137029 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1189781 | BOY |
| EOY | 2176092 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 466931 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2138242 | BOY |
| EOY | 1585801 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 397813 | BOY |
| EOY | 347816 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35533 | BOY |
| EOY | 23563 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 14461804 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 7985204 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6771829 | BOY |
| EOY | 6476600 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 24744 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11000129 | BOY |
| EOY | 10634616 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1315661 | BOY |
| EOY | 896645 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 997 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 690000 | BOY |
| EOY | 455000 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2005661 | BOY |
| EOY | 1352642 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8994468 | BOY |
| EOY | 9281974 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8994468 | BOY |
| EOY | 9281974 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11000129 | BOY |
| EOY | 10634616 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $2,984 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 2984 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF OTHER LOBBYING ACTIVITIES | Identifier |
| Return Reference | SCHEDULE C, PART II-B | ReturnReference |
| Explanation | The filing organization is a member of and pays dues to the following hospital associations: American Hospital Association, Arkansas Hospital Association, and Catholic Health Association. For the year ended June 30, 2010, dues were $5,235, $9,100, and $2,416, respectively. Approximately 25% of American Hospital Association dues, 17% of Arkansas Hospital Association dues, and 5% of Catholic Health Association dues were attributable to lobbying activities performed by these associations. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 432810 | OtherCostOrOtherBasis |
| Book Value | 432810 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7239334 | OtherCostOrOtherBasis |
| Depreciation | 3141912 | Depreciation |
| Book Value | 4097422 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11036 | OtherCostOrOtherBasis |
| Depreciation | 8399 | Depreciation |
| Book Value | 2637 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6647696 | OtherCostOrOtherBasis |
| Depreciation | 4747570 | Depreciation |
| Book Value | 1900126 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 130928 | OtherCostOrOtherBasis |
| Depreciation | 87323 | Depreciation |
| Book Value | 43605 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 6476600 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NOTES PAYABLE | Description |
| Amount | $455,000 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 455000 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FIN 48 FOOTNOTE | Identifier |
| Explanation | The consolidated audited financial statements of the Sisters of Mercy Health System, Inc. and Subsidiaries do not include a footnote to report the organization's liability for uncertain tax provisions under FIN 48, as they are deemed immaterial for disclosure. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 299415 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 299415 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01940 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2475993 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3320735 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -844742 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05470 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2775408 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3320735 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -545327 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03530 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5508 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 5508 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 32341 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 32341 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00210 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 27234 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 27234 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00180 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 65083 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 65083 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00430 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2840491 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3320735 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -480244 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03100 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 179 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 179 | NetCommunityBuildingExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 21596 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 21596 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00140 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 15104 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 15104 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 36879 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 36879 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00240 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $1,743,965 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 6155624 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 6098693 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 56931 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ozarks Regions Health Systems Inc | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 214 Carter Street | AddressLine1 |
| City | Berryville | City |
| State | AR | State |
| ZIP Code | 72616 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Critical Access Hospital | X | CriticalAccessHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Income Based Criteria | Our organization uses Federal Poverty Guidelines (FPG) as the criteria for determining eligibility for free or discounted care. Free care is provided at 0-100% of the FPG. Discounted care is provided up to 300% of FPG. An asset test that does not include the applicant's primary residence is included in the application process for charity care. | IncomeBasedCriteria |
| Annual Community Benefit Expln | The organization's community benefit report is prepared by its parent entity, St. John's Health System. | AnnualCommunityBenefitExpln |
| Costing Method Used | N/A | CostingMethodUsed |
| Subsidized Health Services Expln | N/A | SubsidizedHealthServicesExpln |
| Percent Of Total Expense Expln | Total expenses from Form 990, Part IX, Line 25, Column (A) are $19,118,094. Included in this amount was is bad debt expense of $3,684,896. Expenses for the purpose of calculating Line 7, Column (f) are $15,433,198. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | The text of the footnote that is included in the Sisters of Mercy Health System, Inc. and Subsidiaries audited financial statements that describes bad debt expense follows: "Patient accounts that are uncollected, including those placed with collection agencies, are initially charged against the allowance for uncollectible accounts in accordance with collections 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 assess 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." 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. 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. | BadDebtFootnote |
| Shortfall As Community Benefit | The Medicare shortfall was computed using the annual Medicare Cost Report (CMS Form 2552-96). It is the position of the filing organization that 100% of the short fall should be treated as community benefit. This amount represents cost of providing services that remain uncompensated to the provider. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | Presumptive Charity Mercy will utilize the Search America tool to enhance our ability to determine charity qualification. Presumptive charity will be granted in situations where we have been unable to obtain information from our patients or the information provided is not complete enough to make a charity determination. Mercy will utilize presumptive charity prior to bad debt placement for charity adjustments in excess of $10,000. In these cases, Mercy will utilize the Search American report status of "probable charity" as the basis for the 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, including legal action consistent with Mercy mission and values, which 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 lien. Mercy has policies and procedures established to address the initiation of legal action. Mercy annually reviews collection agency compliance with all policies. | DebtCollectionPolicy |
| Number Of Facility Type Expln | N/A | NumberOfFacilityTypeExpln |
| Needs Assessment | *Springfield Community Focus Report 2009 *Buxton/Sg2 Community and Organizational Assessment 2010 *County Health Rankings 2010 *Missouri Hospital Association Southwest Region Assessing the Health of our Communities Report 2010 *Springfield Health Commission Report 2010 *Missouri Information for Community Assessment (MICA) *Community Roundtable/Event Information 2010. Our organization hosted community roundtables to ask our community what they perceive as needs in the community and to listen to what they thought we needed to be doing as a health care organization. | NeedsAssessment |
| Patient Education Assistance | The filing organization has printed material available at each point of registration in our facility, in addition to electronically availability at our web site. Specific information provided: Financial Assistance Information As a part of our healing ministry, the filing organization is committed to providing quality healthcare services to patients regardless of their financial situation. We offer payment assistance for those who do not have insurance or who are in financial need. Uninsured Patient Discounts A discount from the hospital's regular billed charges will be provided to patients who do not have insurance. This includes patients whose financial situation normally would not otherwise qualify them for charity care discounts. Patients without insurance whose financial situation qualifies them for charity care discounts (see Eligibility Guidelines below) 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 greater than 10% of annual household income, adjusted to consider availability of other assets that could be used toward making payments. | PatientEducationAssistance |
| Community Information | *The primary service area for St. John's Springfield is comprised of 13 counties with a population of 694,000. The city of Springfield has two major not-for-profit health systems, St. John's and CoxHealth. Our community also has one Federally Qualified Health Center (Jordan Valley), one Free Clinic (the Kitchen Clinic), and one small hospital (Ozark Community Health Center). *St. John's includes 6 acute care hospitals, 72 clinics, and 8 urgent care sites. Collectively, we serve 40 communities in Missouri and Arkansas. *Leading cause of death is attributed to injuries for residents under age 45 and cancer and heart disease for residents over age 45. Tobacco use and obesity are prevalent health concerns in our community. *In 2008, Greene County had 15.9% of the population living at or below the federal poverty level. This was above the national average of 13.4 for Missouri and 12.7 for the U.S *According to the Greene County Health Department, the city of Springfield has approximately 40,000 individuals currently without insurance. | CommunityInformation |
| Community Building Activities | *Isabel's House - Greene County has a high child abuse rate. Isabel's House is dedicated to the prevention of child abuse and neglect and to strengthening families. It provides immediate refuge for children from birth to 12 whose families are in crisis. St. John's works with other community partners to support this community need. *The Kitchen Clinic - The Kitchen Clinic is Springfield's only Free Clinic. It serves individuals at or below 133% FPL with needed health care, medications, and some dental care. St. John's provides financial, in-kind, and administrative support to the Kitchen Clinic. St. John's physicians and nurses also volunteer their services at the Kitchen Clinic. *St. John's developed a program called "Project Access". This program provides health care and primary preventions services to individuals without insurance. These individuals qualify for our charity care, but we wanted to make sure that they were receiving comprehensive care, rather that fragmented Emergency Care visits for non-emergent needs. This program is being replicated in other parts of Mercy and has been shared with individuals at CoxHealth. *One Air Alliance - St. John's is part of a community collaborative effort to address smoking and clean air in our community. *St. Jude's affiliation - St. John's Children's Hospital is Southwest Missouri's only comprehensive Children's Hospital. The formal affiliation with St. Jude's Children's Hospital in Memphis and the recruitment of the region's first pedicatric Hematologic/oncology physician are part of ongoing efforts to continue to grow and collaborate regionally and nationally. | CommunityBuildingActivities |
| Other Information | St. John's Health System and its subsidiaries (SJHS) is a Catholic health care corporation that, pursuant to the organizational core belief that health care services are a vital and integral part of the Church's healing mission, engages in a ministry which provides general acute care, ambulatory, long-term and home care health services to individuals and families in its service communities. In keeping with SJHS's commitment to serve all members of the communities it serves, SJHS provides care to patients regardless of ability to pay. As defined by the institution's charity policy, SJHS does not pursue collection of amounts determined to qualify for charity care. In addition, SJHS provides services to other patients under the Medicare Program and various state Medicaid programs. Such programs pay providers amounts that are substantially less than billed charges, and frequently less than the cost, of the services provided to the recipients. SJHS is governed by a Board of Directors which includes representation from community leaders in the organization's primary service areas. All board members are required to complete an annual Conflict of Interest survey. Any potential conflicts of interest disclosed by board members are screened by general counsel and reviewed by the board chairperson and CEO. This process ensures that public, rather than private, interests are served by SJHS. Surplus funds and unrestricted assets held by SJHS are reinvested in patient care, medical education and research initiatives which support the organization's mission to deliver compassionate care and exceptional health care services to the communities it serves. | OtherInformation |
| Affiliated Health Care System | The filing organization is part of the Sisters of Mercy Health System ("Mercy"). Mercy is a Missouri non-profit corporation with its headquarters ("ministry office") in St. Louis, Missouri. Mercy provides health care services in four states - Arkansas, Kansas, Missouri, and Oklahoma - and has outreach ministries located in Louisiana, Mississippi, and Texas. Mercy's mission is "As the Sisters of Mercy before us, we bring life to the healing ministry of Jesus through our compassionate care and exceptional service." As of June 30, 2010, Mercy facilities included 28 hospitals with 3,718 acute licensed beds (3,300 acute available beds). Mercy facilities offer a wide range of health care services across the system, including inpatient and outpatient care, rehabilitation services, cancer care, trauma care, burn care, skilled nursing, home health and hospice, sports medicine, and neonatal and pediatric intensive care. For the fiscal year ended June 30, 2010, Mercy had more than 6.3 million outpatient visits, more than 1,200 employed physicians, and approximately 28,000 employees, making Mercy the eighth largest Catholic health system in the United States based on net patient service revenue. Mercy is sponsored by Mercy Health Ministry, which is governed by members that include Sisters of Mercy. Many services that are essential to fulfilling Mercy's mission are centralized at the Ministry Office. Such centralized services include Treasury, Information Technology, Clinical Quality Management, Legal and Compliance Counsel, Compensation and Benefits, Consulting, Performance Management, Revenue Management, Capital Management, Clinical Engineering, and Clinical Safety. The centralization of such support services enables Mercy to ensure that each of its communities, whether large or small, has the services it needs. | AffiliatedHealthCareSystem |
| Reports Filed With States | AR | ReportsFiledWithStates |
| Reports Filed With States | MO | ReportsFiledWithStates |
| Reports Filed With States | OK | ReportsFiledWithStates |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | 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 | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (11 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Michele M Schaefer | |||||||||||||
| 0 | 305069 | 0 | 79980 | 0 | 43026 | 0 | 51147 | 0 | 8663 | 0 | 487885 | 0 | 0 |
| David O Barbe | |||||||||||||
| 0 | 225470 | 0 | 104535 | 0 | 41317 | 0 | 66415 | 0 | 9586 | 0 | 447323 | 0 | 0 |
| Eric G Spann | |||||||||||||
| 0 | 119305 | 0 | 22622 | 0 | 300 | 0 | 12491 | 0 | 9932 | 0 | 164650 | 0 | 0 |
| Richard L Taylor | |||||||||||||
| 0 | 115399 | 0 | 25692 | 0 | 22502 | 0 | 19171 | 0 | 11213 | 0 | 193977 | 0 | 0 |
| Kristy K Estrem | |||||||||||||
| 0 | 134771 | 0 | 20449 | 0 | 17850 | 0 | 12636 | 0 | 10906 | 0 | 196612 | 0 | 0 |
| Sherry L Clouse Day | |||||||||||||
| 0 | 99418 | 0 | 20474 | 0 | 24489 | 0 | 3405 | 0 | 8782 | 0 | 156568 | 0 | 0 |
| Jon D Swope | |||||||||||||
| 0 | 412287 | 0 | 181699 | 0 | 50042 | 0 | 201960 | 0 | 14037 | 0 | 860025 | 0 | 0 |
| Janet Shapter | |||||||||||||
| 180711 | 0 | 0 | 0 | 22016 | 0 | 4146 | 0 | 1739 | 0 | 208612 | 0 | 0 | 0 |
| Andrew David | |||||||||||||
| 194619 | 0 | 955 | 0 | 13411 | 0 | 6984 | 0 | 4266 | 0 | 220235 | 0 | 0 | 0 |
| Milo Warner | |||||||||||||
| 243710 | 0 | 0 | 0 | 22233 | 0 | 13997 | 0 | 2119 | 0 | 282059 | 0 | 0 | 0 |
| Scott R Reynolds | |||||||||||||
| 0 | 160660 | 0 | 52929 | 0 | 44113 | 0 | 30862 | 0 | 6160 | 0 | 294724 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL COMPENSATION INFORMATION | Identifier |
| Explanation | SCHEDULE J, PART I, QUESTION 3 The filing organization relies on a related organization; refer to Schedule O, Part VI, question 15a and 15b for the process the related organization follows. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, QUESTION 4B SISTERS OF MERCY HEALTH SYSTEM 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: MICHELE SCHAEFER, DAVID BARBE, AND JON SWOPE. NO ONE RECEIVED PAYMENTS UNDER THE PLANS DURING THE CALENDAR YEAR ENDING DURING THE TAX YEAR. THE AMOUNT OF ALL ACCRUED BENEFITS ARE INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C). | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Explanation | FORM 990, PART V, QUESTION 1A Vendors for the filing organization are paid by the Sisters of Mercy Health System (EIN 43-1423050). As such, all required Form 1099 and Form 1096 reporting is made for the entire Health System (with limited exceptions) under the SMHS EIN. FORM 990, PART VI, QUESTIONS 6, 7A, & 7B THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, ST. JOHN'S HEALTH SYSTEM, INC. THE CORPORATE MEMBER SHALL HAVE THE FOLLOWING POWERS AND RESPONSIBILITIES, SUBJECT TO THE RESTRICTIONS SET FORTH UNDER THESE BYLAWS: -TO REVIEW, AMEND, AND APPROVE THE MISSION, VISION, AND VALUES OF THE CORPORATION AS RECOMMENDED BY THE BOARD; -TO AMEND THE ARTICLES OF INCORPORATION AND BYLAWS, SUBJECT TO RESTRICTIONS SET FORTH IN ARTICLES XI AND XII; -TO APPOINT MEMBERS OF THE BOARD, AS NOMINATED BY THE BOARD OF THE CORPORATION, SUBJECT TO THE RESTRICTIONS SET FORTH IN ARTICLE V HEREIN; -TO APPOINT, SUBJECT TO RECOMMENDATIONS BY THE BOARD, OR REMOVE THE PRESIDENT OF THE CORPORATION, SUBJECT TO THE REQUIREMENTS SET FORTH IN ARTICLE VII HEREIN; -TO REVIEW, AMEND, AND APPROVE THE STRATEGIC PLAN, GOALS AND OBJECTIVES OF THE CORPORATION; -TO REVIEW, AMEND, AND APPROVE THE OPERATING, CAPITAL, AND CONSTRUCTION BUDGETS FOR THE CORPORATION; -TO REVIEW OR APPROVE ANY CAPITAL EXPENDITURES OR RECOMMENDATIONS NOT PREVIOUSLY APPROVED AS PART OF THE CORPORATION'S BUDGETS AND/OR STRATEGIC PLAN; -TO LEASE OR SELL OF ANY OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION SUBJECT TO THRESHOLDS ESTABLISHED FROM TIME TO TIME BY SMHS AND ANY APPLICABLE LEASE AGREEMENT WITH CARROLL COUNTY ARKANSAS; -TO ENCUMBER THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION, EXCEPT FOR CARROLL HEALTH FOUNDATION. -TO AUTHORIZE AND APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTY ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; -TO MERGE, CONSOLIDATE, OR DISSOLVE THE CORPORATION; -TO LEASE, MANAGE, PURCHASE, OR AFFILIATE WITH ANOTHER HEALTH FACILITY OR HEALTH CARE SYSTEM; AND, -TO RESIGN AS CORPORATE MEMBER. DESCR THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, QUESTION 11A 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 Controller and the Vice-President of Finance. The draft Form 990 is also reviewed by the Sisters of Mercy Health System's Tax department, to ensure accuracy and consistency with other related organizations' Form 990s. After questions arising from the various reviews are addressed and incorporated into the Form 990, a revised draft is provided to the filing organization's leadership team, including the CFO and CEO, for review. Once reviewed and approved by the filing organization's leadership team, the Form 990 is provided to the Board of Directors for review; it is then signed and filed with the IRS. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, QUESTION 12C THE PURPOSE OF THE CONFLICT OF INTEREST POLICY IS TO PROTECT THE INTERESTS OF ST. JOHN'S HEALTH SYSTEM, INC. AND ALL OF ITS SUBSIDIARY CORPORATIONS (COLLECTIVELY REFERRED TO AS "SJHS") 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 SJHS. 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 SJHS 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 SJHS OPERATES IN A MANNER CONSISTENT WITH THE 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. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FORM 990, PART VI, QUESTIONS 15A & 15B FOR THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS), THE ORGANIZATION RELIES UPON SISTERS OF MERCY HEALTH SYSTEM, 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 THE SISTERS OF MERCY HEALTH SYSTEM. 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. PUBLIC AVAILABILITY OF GOVERNING POLICIES FORM 990, PART VI, LINE 19 Governing documents, conflict of interest policy, and financial statements have been made available from time to time but are not published publicly. AVERAGE HOURS PER WEEK FORM 990, PART VII, SECTION A AVERAGE HOURS PER WEEK DEVOTED TO ST. JOHN'S HEALTH SYSTEM AND ITS SUBSIDIARIES IS DETERMINED TO BE 40.0 FOR EMPLOYEE BOARD MEMBERS AND 1.0 FOR NON-EMPLOYEE BOARD MEMBERS, UNLESS STATED OTHERWISE. OVERSIGHT OR SELECTION PROCESS FORM 990, PART XI, QUESTION 2C The filing organization's financial statements were included in the Sisters of Mercy Health System, Inc. and Subsidiaries annual financial statement audit. The Sisters of Mercy Health System, Inc. and Subsidiaries received an unqualified opinion from the external auditors for fiscal 2010 (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 the Sisters of Mercy Health System Board of Directors. Audit results are communicated to this committee. SUPPLEMENTAL INFORMATION FORM 990, SCHEDULE R, PART V LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY SISTERS OF MERCY HEALTH SYSTEM, INC. 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 |
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 | SMHS |
| Breech Regional Medical Center | |||||||||
| 100 Hospital Drive | Lebanon | MO | 65536 | 431767432 | Hospital | MO | 501(C)(3) | 3 | St Johns HS |
| Carroll Health Foundation | |||||||||
| 214 Carter Street | Berryville | AR | 72616 | 710759301 | Foundation | AR | 501(C)(3) | 11a | Ozark RG HS |
| Casa de Misericordia | |||||||||
| 1602 McClelland Street | Laredo | TX | 78044 | 742912461 | Shelter | TX | 501(C)(3) | 7 | MM Laredo |
| Healdton Mercy Hospital Corporation | |||||||||
| 918 South Street | Healdton | OK | 73438 | 263173902 | Hospital | OK | 501(C)(3) | 3 | MMHC |
| 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 | Invst Mgmt | MO | 501(C)(3) | 11b | SMHS |
| Mercy El Reno Hospital Corporation | |||||||||
| 2115 Parkview Drive | El Reno | OK | 73036 | 736617948 | LEASED HOSPT | OK | 501(C)(3) | 3 | MHS |
| Mercy Emergency Medical Services Inc | |||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 810627035 | Inactive | OK | 501(C)(3) | 9 | MHC |
| Mercy Foundation for Health Innovation | |||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 200901499 | Foundation | MO | 501(C)(3) | 11b | SMHS |
| Mercy Health Center Foundation | |||||||||
| 401 Woodland Hills Blvd | Fort Scott | KS | 66701 | 481077073 | Foundation | KS | 501(C)(3) | 11c | MHS-KS |
| Mercy Health Center Foundation Inc | |||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 731593024 | Foundation | OK | 501(C)(3) | 11a | MHC |
| Mercy Health Center Inc | |||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 730579285 | Hospital | OK | 501(C)(3) | 3 | MHS |
| Mercy Health MHMCH Inc | |||||||||
| 220 Pennsylvania Avenue | Columbus | KS | 66725 | 270842031 | Hospital | MO | 501(C)(3) | 9 | MHS-Joplin |
| Mercy Health of Joplin Foundation | |||||||||
| 2727 McClelland Blvd | Joplin | MO | 64804 | 270906136 | Foundation | MO | 501(C)(3) | 11a | MHS-Joplin |
| Mercy Health of Joplin Inc | |||||||||
| 2727 McClelland Blvd | Joplin | MO | 64804 | 270814858 | Hospital | MO | 501(C)(3) | 9 | MHS-Joplin |
| Mercy Health Services Inc | |||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 141838609 | DISV 6/30/10 | OK | 501(C)(3) | 9 | MHC |
| Mercy Health System-Joplin Inc | |||||||||
| 2727 McClelland Blvd | Joplin | MO | 64804 | 300584463 | Hlth System | MO | 501(C)(3) | 11b | SMHS |
| Mercy Health System of Kansas Inc | |||||||||
| 401 Woodland Hills Blvd | Ft Scott | KS | 66701 | 480956045 | Hospital | KS | 501(C)(3) | 3 | MHS-JOPLIN |
| Mercy Health System Northwest Arkansas | |||||||||
| 2710 Rife Medical Drive | Rogers | AR | 72758 | 621684203 | Phys Group | AR | 501(C)(3) | 11b | SMHS |
| Mercy Health System of Texas Inc | |||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 742764727 | Inactive | TX | 501(C)(3) | 11b | SMHS |
| Mercy Health System Inc | |||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 731453048 | Holding co. | OK | 501(C)(3) | 11b | SMHS |
| Mercy Hosp Foundation of Independence | |||||||||
| 800 W Myrtle | Independence | KS | 67301 | 481079981 | Foundation | KS | 501(C)(3) | 11a | MHS-KS |
| Mercy Hospital of Laredo | |||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 741189682 | Inactive | TX | 501(C)(3) | 3 | MHS-TX |
| Mercy Medical Group | |||||||||
| 645 Maryville Centre Dr St 100 | St Louis | MO | 63141 | 431771217 | Phys Group | MO | 501(C)(3) | 9 | ST JOHN MHC |
| Mercy Memorial Health Center Foundation | |||||||||
| 1011 14th Avenue NW | Ardmore | OK | 73401 | 710962525 | Foundation | OK | 501(C)(3) | 11a | MMHC |
| Mercy Memorial Health Center Inc | |||||||||
| 1011 14th Avenue NW | Ardmore | OK | 73401 | 731500629 | Hospital | OK | 501(C)(3) | 3 | MHS |
| Mercy Ministries of Laredo | |||||||||
| 2500 Zacatecas | Laredo | TX | 78043 | 200198462 | Outreach | TX | 501(C)(3) | 7 | SMHS |
| Mercy Physicians of Oklahoma Inc | |||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 270473057 | Phys Group | OK | 501(C)(3) | 9 | MHS |
| MHM Support Services | |||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 202553101 | Sup Hlth Sys | MO | 501(C)(3) | 11b | SMHS |
| Mission Clinical Services | |||||||||
| 300 Werner Street | Hot Springs | AR | 71913 | 134239691 | Phys Group | AR | 501(C)(3) | 9 | ST JOS MHS |
| Sisters of Mercy Health System | |||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 431423050 | Sup Hlth Sys | MO | 501(C)(3) | 1 | NA |
| Sisters of Mercy Ministries | |||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 721069468 | Outreach | MO | 501(C)(3) | 7 | SMHS |
| St Edward Hlth Fac-Franklin Co | |||||||||
| 801 W River Street | Ozark | AR | 72949 | 710689680 | Hospital | AR | 501(C)(3) | 3 | SEMMC |
| St Edward Hlth Fac-Logan Co | |||||||||
| 500 E Academy | Paris | AR | 72855 | 710655753 | Hospital | AR | 501(C)(3) | 3 | SEMMC |
| St Edward Hlth Fac-Scott Co | |||||||||
| 1341 W 6th Street | Waldron | AR | 72958 | 710557895 | Hospital | AR | 501(C)(3) | 3 | SEMMC |
| St Edward Mercy Clinic Inc | |||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72917 | 261318597 | Phys Clinic | AR | 501(C)(3) | 9 | SEMHS |
| St Edward Mercy Foundation | |||||||||
| PO Box 17000 | Fort Smith | AR | 72917 | 237330425 | Foundation | AR | 501(C)(3) | 7 | SEMMC |
| St Edward Mercy Health System Inc | |||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72917 | 261318515 | Holding Co. | AR | 501(C)(3) | 11b | SMHS |
| St Edward Mercy Medical Center | |||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72917 | 710240352 | Hospital | AR | 501(C)(3) | 3 | SEMHS |
| St Francis Hospital | |||||||||
| 100 W Highway 60 | Mountain View | MO | 65548 | 440607149 | Hospital | MO | 501(C)(3) | 3 | ST JOHNS HS |
| St John's Aurora Inc | |||||||||
| 500 Porter Avenue | Aurora | MO | 65605 | 431936696 | Lease Hosp | MO | 501(C)(3) | 3 | St Johns HS |
| St John's Cassville Inc | |||||||||
| 94 Main Street | Cassville | MO | 65625 | 431936699 | Lease Hosp | MO | 501(C)(3) | 3 | St Johns HS |
| St John's Children's Hospital Inc | |||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | Inactive | MO | 501(C)(3) | 3 | St Johns HS | |
| St John's Clinic Inc | |||||||||
| 1965 Fremont Street Ste 2950 | Springfield | MO | 65804 | 431560263 | Phys Group | MO | 501(C)(3) | 9 | St Johns HS |
| St John's Foundation for Community Hlth | |||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 320195818 | Foundation | MO | 501(C)(3) | 11b | St Johns HS |
| St John's Health System Inc | |||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 431856028 | Holding Co | MO | 501(C)(3) | 11b | SMHS |
| St John's Home Care of Berryville Inc | |||||||||
| 214 Carter Street | Berryville | AR | 72616 | 870781247 | Home Health | AR | 501(C)(3) | 11c | ST JOHN RHC |
| St John's Medical Research Institute | |||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 870796305 | Research | MO | 501(C)(3) | 4 | ST JOHNS HS |
| St John's Mercy Foundation | |||||||||
| 645 Maryville Centre Dr St 100 | St Louis | MO | 63141 | 562410020 | Foundation | MO | 501(C)(3) | 11b | ST JOHN MHC |
| St John's Mercy Health Care | |||||||||
| 645 Maryville Centre Dr St 100 | St Louis | MO | 63141 | 431718408 | Hlth System | MO | 501(C)(3) | 11b | SMHS |
| St John's Mercy Health System | |||||||||
| 645 Maryville Centre Dr St 100 | St Louis | MO | 63141 | 430653493 | Hospital | MO | 501(C)(3) | 3 | ST JOHN MHC |
| St John's Mercy Hospital Foundation | |||||||||
| 901 E Fifth Street | Washington | MO | 63090 | 562410022 | Foundation | MO | 501(C)(3) | 11b | ST JOHN MHC |
| St John's Mercy Support Services | |||||||||
| 615 S New Ballas Road | St Louis | MO | 63141 | 431677952 | Inactive | MO | 501(C)(3) | 11c | ST JOHN MHS |
| St John's Regional Health Center | |||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 440552485 | Hospital | MO | 501(C)(3) | 3 | St Johns HS |
| St Joseph's Mercy Clinic Inc | |||||||||
| 1 Mercy Lane | Hot Springs | AR | 71913 | 261125131 | Phys Clinic | AR | 501(C)(3) | 9 | ST JOS MHS |
| St Joseph's Mercy Health Center | |||||||||
| 300 Werner Street | Hot Springs | AR | 71913 | 710236913 | Hospital | AR | 501(C)(3) | 3 | ST JOS MHS |
| St Joseph's Mercy Health Foundation | |||||||||
| 300 Werner Street | Hot Springs | AR | 71913 | 710804718 | Foundation | AR | 501(C)(3) | 11b | ST JOS MHC |
| St Joseph's Mercy Health System Inc | |||||||||
| 300 Werner Street | Hot Springs | AR | 71913 | 261125064 | Holding Co | AR | 501(C)(3) | 11b | SMHS |
| St Mary-Rogers Memorial Hospital Inc | |||||||||
| 2710 Rife Medical Lane | Rogers | AR | 72758 | 710294390 | Hospital | AR | 501(C)(3) | 3 | MHS-NWA |
| St Mary's Hospital Foundation | |||||||||
| 2710 Rife Medical Lane | Rogers | AR | 72858 | 710601687 | Foundation | AR | 501(C)(3) | 11c | ST MARY RMC |
| St Mary's Hospital of Enid Oklahoma I | |||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 730614655 | Inactive | OK | 501(C)(3) | 3 | MHS |
| The Sister M Cornelia Blasko Foundation | |||||||||
| 100 W Highway 60 | Mountain View | MO | 65548 | 431873914 | Foundation | MO | 501(C)(3) | 11a | ST FRAN HOS |
| Unity Ambulatory Care | |||||||||
| 645 Maryville Centre Dr St 100 | St Louis | MO | 63141 | 431861745 | Inactive | MO | 501(C)(3) | 11c | ST JOHN MHC |
Form990 Schedule R Part III Form990ScheduleRPartIII (8 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|
| HOT SPRINGS EQUIP | |||||||
| 300 Werner Street | Hot Springs | AR | 71913 | 204340915 | DISSOLVED 9/30/09 | AR | NA |
| Hot Springs MRI | |||||||
| 100 Ridgeway Place | Hot Springs | AR | 72901 | 710675196 | DISSOLVED 8/5/09 | AR | NA |
| Merc Ambu Surg CTR | |||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72903 | 710827721 | AMBULATORY S. CTR | AR | NA |
| RES OPT & INNOV | |||||||
| 645 Maryville Centre Drive Suite | St Louis | MO | 63141 | 460468368 | CENTRAL DIST. CTR | MO | NA |
| SO OK DIAG CTR | |||||||
| 1011 Fourteeth Avenue NW | Ardmore | OK | 73401 | 431971232 | MRI Services | OK | NA |
| Fort Smith Emergency Medical Services | |||||||
| 1701 South Greenwood | Fort Smith | AR | 72901 | 710416615 | Emergency Med SEV | AR | NA |
| Southern Oklahoma PHO LLC | |||||||
| 1011 Fourteeth Avenue NW | Ardmore | OK | 73401 | 731462104 | DISSLV 12/31/09 | OK | NA |
| HORIZONTAL PROPERTY | |||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72903 | 710554050 | Office Building | AR | NA |
Form990 Schedule R Part IV Form990ScheduleRPartIV (13 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|
| Consolidated Logistics Inc | |||||||
| 2710 Rife Medical Lane | Rogers | AR | 72758 | 710474406 | DISSOLVED 8/4/09 | AR | C-Corp |
| Frontenac Properties Inc | |||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 521914421 | HOLDING COMP | DE | C-Corp |
| Inveno Health Inc | |||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 264509571 | IT SERVICES | MO | C-Corp |
| Mercy Community Services Inc | |||||||
| 401 Woodland Hills Blvd | Fort SCOTT | KS | 66701 | 481078101 | CATERING | KS | C-Corp |
| Mercy Health Center Condominium Inc | |||||||
| 4300 W Memorial Rd | Oklahoma City | OK | 73120 | 680640970 | REAL ESTATE | OK | C-Corp |
| Mercy Health Network of the Southern Reg | |||||||
| 1011 14th Avenue NW | Ardmore | OK | 73401 | 731580607 | HEALTH CARE | OK | C-Corp |
| Mercy Health Network Inc | |||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 731381689 | HEALTH CARE | OK | C-Corp |
| Mercy Managed Care Corporation | |||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 731441665 | HOLDING COMP | OK | C-Corp |
| Mercy Medical Services Inc | |||||||
| 14528 S Outer Forty Suite 300 | Chesterfield | MO | 63017 | 710641246 | DISSOLVED 7/1/09 | MO | C-Corp |
| MHP Inc | |||||||
| 14528 S Outer Forty Suite 300 | Chesterfield | MO | 63017 | 431697084 | HOLDING COMP | DE | C-Corp |
| St Edward Medical Services Inc | |||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72903 | 202965518 | DISSOLVED 5/5/10 | AR | C-Corp |
| UH L Corp Inc | |||||||
| 645 Maryville Centre Drive Suite 1 | St Louis | MO | 63141 | 742499535 | HOLDING COMP | MO | C-Corp |
| Unity Support Services Inc | |||||||
| 645 Maryville Centre Drive Suite 1 | St Louis | MO | 63141 | 431797042 | MANAGEMENT | MO | 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 (10 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| MERCY HEALTH SYSTEM OF NORTHWEST ARKANSAS IN | |
| O | 51000 |
| MHM SUPPORT SERVICES | |
| O | 641210 |
| MHP INC | |
| O | 77918 |
| MHP INC | |
| P | 613211 |
| RESOURCE OPTIMIZATION & INNOVATION LLC | |
| O | 740882 |
| ST JOHN'S CLINIC INC | |
| N | 472659 |
| ST JOHN'S CLINIC INC | |
| O | 833647 |
| ST JOHN'S HEALTH SYSTEM INC | |
| O | 120061 |
| ST JOHN'S REGIONAL HEALTH CENTER | |
| O | 8129465 |
| ST JOHN'S REGIONAL HEALTH CENTER | |
| P | 14548604 |