2025-05-12T13:45:56-05:00 2024-06-30 990 2023-07-01 261318597 MERCY CLINIC FORT SMITH COMMUNITIES MERC 3145796100 7301 ROGERS AVENUE FORT SMITH AR 72903 GRETA WILCHER CHIEF FINANCIAL OFFICER 3145796100 2025-05-12 1 2023 2025-03-06 01:10:19Z RYAN GEHRIG 7301 ROGERS AVENUE FORT SMITH AR 72903 138575253 0 0928 X WWW.MERCY.NET X 2007 AR AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. 8 0 211 0 0 0 177384 31133 112938636 138544120 0 0 0 0 113116020 138575253 5950 1060 0 0 125043892 128575870 0 0 0 34799850 51973382 159849692 180550312 -46733672 -41975059 16062581 33312121 7657082 11129955 8405499 22182166 X AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. 0 0 46042427 42841980 MERCY CLINIC FORT SMITH COMMUNITIES PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY BY OFFERING ESSENTIAL HEALTH SERVICES TO ITS COMMUNITY. IN ACTIVE PURSUIT OF THIS MISSION, MERCY CLINIC FORT SMITH COMMUNITIES PROVIDES A WIDE VARIETY OF SERVICES IN THEIR CLINIC FACILITIES AND IN FY24, HAD 696,953 TOTAL CASES. MERCY CLINIC FORT SMITH COMMUNITIES HAS A TEAM OF PEDIATRICIANS, FAMILY MEDICINE AND INTERNAL MEDICINE DOCTORS WHO CAN HANDLE ALL YOUR ROUTINE HEALTH CARE NEEDS. MERCY'S PRIMARY CARE PROVIDERS HELP WITH ANNUAL CHECKUPS, PREVENTIVE CARE AND HEALTH SCREENINGS, VACCINATIONS AND IMMUNIZATIONS, DIAGNOSIS AND CARE FOR COMMON ILLNESSES AND MINOR INJURIES, AND MANAGING MEDICINES. IN FY24, MERCY CLINIC FORT SMITH COMMUNITIES HAD 263,135 CASES FOR THIS SERVICE LINE. 21589205 20088522 MERCY CLINIC FORT SMITH COMMUNITIES OFFERS COMPREHENSIVE HEART AND VASCULAR SERVICES, A WIDE VARIETY OF TREATMENT OPTIONS AND ADVANCED TECHNOLOGIES TO DIAGNOSE AND TREAT A FULL RANGE OF CONDITIONS. MERCY CLINIC FORT SMITH COMMUNITIES ALSO PROVIDES A FULL COMPLEMENT OF CARDIAC REHABILITATION, THERAPY AND EDUCATION SERVICES. IN FY24, MERCY CLINIC FORT SMITH COMMUNITIES HAD 99,904 CASES FOR THIS SERVICE LINE. 18607697 17314261 MERCY CLINIC FORT SMITH COMMUNITIES ORTHOPEDIC PHYSICIANS SHARE A PASSION FOR PROTECTING AND PRESERVING YOUR MOBILITY AND STRENGTH AND CAN CARE FOR NEARLY ANY MEDICAL CONDITION OR INJURY THAT AFFECTS THE MUSCULOSKELETAL SYSTEM. MERCY'S ORTHOPEDIC SPECIALISTS AND SURGEONS TREAT EVERYTHING FROM ACHY JOINTS AND SPORTS INJURIES TO HAND INJURIES AND TRAUMA. IN FY24, MERCY CLINIC FORT SMITH COMMUNITIES HAD 63,727 CASES FOR THIS SERVICE LINE. 62654524 1060 58299357 IN ADDITION TO THE PROGRAM SERVICES DESCRIBED ABOVE, MERCY CLINIC FORT SMITH COMMUNITIES ALSO SERVES PATIENTS IN ADDITIONAL SERVICE LINES, INCLUDING BUT NOT LIMITED TO THE FOLLOWING AREAS: GASTROENTEROLOGY; NEUROSCIENCE; ONCOLOGY; PEDIATRICS; WOMEN & INFANTS. 62654524 1060 58299357 148893853 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 X 0 0 211 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 0 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 X GRETA WILCHER 4793146000 7301 ROGERS AVENUE FORT SMITH AR 72903 X HUNTON MD DAVID PHYSICAN & PRESIDENT 25.00 25.00 X X 0 954968 23681 ANAND MD DHEERAJ HOSPITALIST & BOARD MEMBER 25.00 25.00 X 981966 0 12605 BURKS MD JENNIFER PHYSICIAN & BOARD MEMBER 50.00 0.00 X 428441 0 15894 FORE AMY CLINIC OPERATIONS OFFICER & BM 1.00 39.00 X 0 459054 75771 GEHRIG RYAN COMMUNITY PRESIDENT & BOARD MEMBER 10.00 40.00 X 0 1297307 121202 GWARTNEY MD MICHAEL PHYSICIAN & BOARD MEMBER 50.00 0.00 X 364926 0 20977 NEWTON MD LISA PHYSICIAN & BOARD MEMBER 40.00 0.00 X 632066 0 5511 REEVES DO BRENT PHYSICIAN & BOARD MEMBER 40.00 0.00 X 295181 0 17399 SING MD RACHEL PHYSICIAN & BOARD MEMBER 50.00 0.00 X 480470 0 22846 WILCHER GRETA CFO & TREASURER 5.00 45.00 X 0 326725 43147 BRADSHAW JODY A PHYSICIAN 50.00 0.00 X 1042343 0 25399 CROSS CHRISTOPHER PHYSICIAN 50.00 0.00 X 1047451 0 22384 DE MONDESERT EDUARDO A PHYSICIAN 50.00 0.00 X 1067232 0 28132 GARLOW TIMOTHY J PHYSICIAN 50.00 0.00 X 1142446 0 26091 SCHWARZ JULIO HR ASSOCIATE 40.00 0.00 X 1109259 0 27896 8591781 3038054 488935 182 0 1 0 LOCUMSMART LLC PO BOX 736389 DALLAS TX 75373 PHYSICIAN AGENCY LABOR 5974367 BESHEARS CONSTRUCTION INC 12934 OLD HIGHWAY 71 FORT SMITH AR 72916 CONSTRUCTION SERVICES 2553200 MEURER 700 W 31ST ST STE 504 KANSAS CITY MO 64108 SURGERY COVERAGE 974700 MCCARTHY BUILDING CO 12851 MANCHESTER RD ST LOUIS MO 63131 CONSTRUCTION SERVICES 797881 AMN HEALTHCARE 12400 HIGH BLUFF DRIVE SAN DIEGO CA 92130 CONTRACT LABOR 237923 9 31133 31133 NET PATIENT SERVICE REVENUE 622110 93228770 93228770 CAPITATION BONUS 531120 44471508 44471508 OTHER OPERATING REVENUE 900099 494573 494573 RENTAL INCOME FROM RELATED ORGANI 531120 349269 349269 138544120 138575253 138544120 0 0 X 1060 1060 2983091 2856966 126125 487696 467091 20605 108246173 103745795 4500378 3559115 3369082 190033 7993809 7493307 500502 5305986 4927647 378339 1147 1147 671011 438036 232975 30849 13380 17469 904442 601948 302494 47586 47586 8560920 8238802 322118 245926 169508 76418 285 285 1559980 1101095 458885 1865068 1086229 778839 SHARED SERVICE FEES 12260048 4045816 8214232 DRUGS & MEDICAL EXPENSE 6338862 6338862 BAD DEBT 3553491 3553491 REPAIRS & MAINTENANCE 348843 315559 33284 15584924 82308 15502616 180550312 148893853 31656459 0 16196 16475 7086757 18377522 162436 84915 24802454 15100367 7785816 9702087 969500 969500 41876 4161622 16062581 33312121 7632847 11128070 24235 1885 7657082 11129955 X 8405499 22182166 8405499 22182166 16062581 33312121 X -41975059 55751726 X X 0 1 X 1 1 1 X FORM 990, SCHEDULE A, PART I, QUESTION 3 THE FILING ENTITY'S PUBLIC CHARITY STATUS IS A HOSPITAL; HOWEVER, THE FILING ENTITY DOES NOT HAVE A LICENSE OR OPERATE A HOSPITAL FACILITY FOR SCHEDULE H REPORTING PURPOSES. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2570 2570 741248 292996 448252 75599 52887 22712 23888739 14737176 9151563 94298 17308 76990 9702087 MISCELLANEOUS A/R 1208371 DUE FROM AFFILIATES 2953251 4161622 FORM 990, SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE PRIMARILY ALL OF THE HEALTH SYSTEM ENTITIES ARE RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS CHARITABLE ORGANIZATIONS QUALIFYING UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), BY VIRTUE OF IRS DETERMINATION LETTERS OR INCLUSION IN THE OFFICIAL CATHOLIC DIRECTORY. THE HEALTH SYSTEM COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED ON THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2024 OR 2023. 0 1 0 0 0 0 0 0 0 GEHRIG RYAN COMMUNITY PRESIDENT & BOARD MEMBER 0 518923 0 702574 0 75810 0 101547 0 19655 0 1418509 0 196083 GARLOW TIMOTHY J PHYSICIAN 995071 0 101835 0 45540 0 6448 0 19643 0 1168537 0 0 0 SCHWARZ JULIO HR ASSOCIATE 1060220 0 44095 0 4944 0 12200 0 15696 0 1137155 0 0 0 DE MONDESERT EDUARDO A PHYSICIAN 914654 0 96514 0 56064 0 12200 0 15932 0 1095364 0 0 0 CROSS CHRISTOPHER PHYSICIAN 930602 0 93539 0 23310 0 6452 0 15932 0 1069835 0 0 0 BRADSHAW JODY A PHYSICIAN 940860 0 55943 0 45540 0 9467 0 15932 0 1067742 0 0 0 ANAND MD DHEERAJ HOSPITALIST & BOARD MEMBER 881137 0 55289 0 45540 0 6321 0 6284 0 994571 0 0 0 HUNTON MD DAVID PHYSICAN & PRESIDENT 0 483055 0 305941 0 165972 0 9150 0 14531 0 978649 0 86488 NEWTON MD LISA PHYSICIAN & BOARD MEMBER 533450 0 55347 0 43269 0 4293 0 1218 0 637577 0 0 0 FORE AMY CLINIC OPERATIONS OFFICER & BM 0 274484 0 148353 0 36217 0 56736 0 19035 0 534825 0 0 SING MD RACHEL PHYSICIAN & BOARD MEMBER 382045 0 75525 0 22900 0 6389 0 16457 0 503316 0 0 0 BURKS MD JENNIFER PHYSICIAN & BOARD MEMBER 361196 0 38315 0 28930 0 6139 0 9755 0 444335 0 0 0 GWARTNEY MD MICHAEL PHYSICIAN & BOARD MEMBER 301768 0 11338 0 51820 0 10746 0 10231 0 385903 0 0 0 WILCHER GRETA CFO & TREASURER 0 229099 0 73175 0 24451 0 29030 0 14117 0 369872 0 0 REEVES DO BRENT PHYSICIAN & BOARD MEMBER 272382 0 0 0 22799 0 6404 0 10995 0 312580 0 0 0 PART I, LINE 3 MERCY CLINIC FORT SMITH 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 4B MERCY HEALTH OFFERS SUPPLEMENTAL RETIREMENT PLANS TO CERTAIN EXECUTIVES WHICH PROVIDE BENEFITS UPON VESTING DATE BASED ON COMPENSATION, AGE AT THE TIME OF BENEFIT COMMENCEMENT, LENGTH OF SERVICE WITH THE COMPANY AND/OR ITS AFFILIATES AND LENGTH OF TENURE IN THE PLAN. THE PLANS ARE CLOSED TO NEW ENTRANTS. THE INDIVIDUAL REPORTABLE ON THIS RETURN WHO PARTICIPATES IN THE SUPPLEMENTAL RETIREMENT PLANS IS DAVID HUNTON. THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C). THE FOLLOWING INDIVIDUAL RECEIVED A PAYOUT FROM THE PLAN DURING THE YEAR: - DAVID HUNTON - $19,361 FORM 990, SCHEDULE J, PART II THE AMOUNTS REPORTED FOR DAVID HUNTON AND RYAN GEHRIG IN COLUMN (F) ARE EITHER INCLUDED IN B(I) BASE COMPENSATION, B(II) AS BONUS AND INCENTIVE COMPENSATION, OR B(III) AS OTHER REPORTABLE COMPENSATION. THESE AMOUNTS ARE A PAYOUT OF THE SUPPLEMENTAL RETIREMENT PLAN AND EXECUTIVE RETENTION PLAN AND WERE INCLUDED IN COLUMN (C) OF PREVIOUSLY FILED FORMS 990. PRIYANKA SANON FAMILY MEMBER OF BOARD MEMBER 487696 EMPLOYMENT 0 FORM 990, PART V, QUESTION 1A FORM 1099/1096 FILING VENDORS FOR THE FILING ORGANIZATION ARE PAID BY MERCY HEALTH (EIN 43-1423050). AS SUCH, ALL REQUIRED FORM 1099 AND FORM 1096 REPORTING IS MADE FOR THE ENTIRE MERCY HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN. FORM 990, PART VI, SECTION A, LINE 6 THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH FORT SMITH COMMUNITIES. FORM 990, PART VI, SECTION A, LINE 7A MERCY HEALTH FORT SMITH COMMUNITIES (THE SOLE CORPORATE MEMBER) HAS THE AUTHORITY TO: - APPOINT DIRECTORS; - REMOVE DIRECTORS WITH OR WITHOUT CAUSE; - 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. FORM 990, PART VI, SECTION A, LINE 7B MERCY HEALTH FORT SMITH COMMUNITIES (THE SOLE CORPORATE MEMBER) HAS RESERVED SOLELY THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES: - ADOPT OR AMEND THE MISSION AND PHILOSOPHY 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 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; - ESTABLISH ALL COMPENSATION AND BENEFIT TERMS FOR PHYSICIANS AND OTHER MEDICAL PROFESSIONALS EMPLOYED OR OTHERWISE RETAINED BY THE CORPORATION; - 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 CORPORATION'S MANPOWER PLAN; - AUTHORIZE AND AMEND THE CHARITY CARE POLICY OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B DSCR THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 THE FORM 990 IS PREPARED BY MERCY HEALTH'S TAX DEPARTMENT, USING INFORMATION PROVIDED BY THE FILING ORGANIZATION. A DRAFT FORM 990 IS REVIEWED BY THE FILING ORGANIZATION'S FINANCE TEAM, INCLUDING THE DIRECTOR OF FINANCE AND THE CHIEF FINANCIAL OFFICER. THE DRAFT FORM 990 IS ALSO REVIEWED BY MERCY HEALTH'S TAX DEPARTMENT, TO ENSURE ACCURACY AND CONSISTENCY WITH OTHER RELATED ORGANIZATIONS' FORMS 990. AFTER QUESTIONS ARISING FROM THE VARIOUS REVIEWS ARE ADDRESSED AND INCORPORATED INTO THE FORM 990, A REVISED DRAFT IS PROVIDED TO THE FILING ORGANIZATION'S LEADERSHIP TEAM, INCLUDING THE CFO AND CEO, FOR REVIEW. ONCE REVIEWED AND APPROVED BY THE FILING ORGANIZATION'S LEADERSHIP TEAM, THE FORM 990 IS THEN SIGNED AND FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER DISQUALIFIED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY AND DID SO IN THE NORMAL COURSE FOR THE YEAR ENDED JUNE 30, 2024. THIS PROCESS IS ADMINISTERED AT THE MERCY HEALTH LEVEL BY MERCY'S CORPORATE COMPLIANCE DEPARTMENT. THE CONFLICTS AND THEIR RESPECTIVE RESOLUTIONS ARE SHARED AT THE MERCY LEVEL WITH A TEAM INCLUDING MERCY'S SENIOR VICE PRESIDENT OF FINANCIAL OPERATIONS & PLANNING, CHIEF COMPLIANCE OFFICER AND OTHER MEMBERS OF FINANCE, LEGAL AND HR. THE QUESTIONNAIRES ARE THEN REVIEWED WITH LEADERSHIP AT THE LOCAL LEVEL AND POTENTIAL CONFLICTS DISCUSSED AND RESOLVED. SUMMARY RESULTS ARE REVIEWED WITH MERCY'S STEWARDSHIP COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY EMPLOYEES FOR THE TOP MANAGEMENT OFFICIALS, THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS) AND KEY EMPLOYEES, THE ORGANIZATION RELIES UPON MERCY HEALTH, WHICH USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, AND ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT. FOR CERTAIN EXECUTIVES AND PHYSICIANS THE COMPENSATION IS REVIEWED/APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF MERCY HEALTH. FOR ALL OTHER CAREGIVERS COMPENSATION IS REVIEWED/APPROVED BY THE TOTAL REWARDS OVERSIGHT COMMITTEE. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS AND REVIEW WAS COMPLETED DURING THE REPORTING YEAR. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST BUT ARE NOT PUBLISHED PUBLICLY. FORM 990, PART VII, SECTION B IT IS POSSIBLE THAT A PORTION OF THE AMOUNTS REPORTED FOR BESHEARS CONSTRUCTION INC AND MCCARTHY BUILDING COMPANIES, INC. WERE RELATED TO MATERIALS IN ADDITION TO AMOUNTS PAID FOR SERVICES. HOWEVER, THE AMOUNTS ARE NOT DISTINGUISHABLE. FORM 990, PART IX MERCY CLINIC FORT SMITH COMMUNITIES PROVIDES FINANCIAL ASSISTANCE TO PATIENTS IN THE FORM OF CHARITY CARE AND THE UNPAID COSTS OF MEDICAID. THIS ASSISTANCE IS BASED ON THE FINANCIAL ASSISTANCE POLICY IN PLACE AT HOSPITALS IN THE HEALTH SYSTEM. DURING FY24, MERCY CLINIC FORT SMITH COMMUNITIES REPORTED APPROXIMATELY $2.8 MILLION OF CHARITY CARE AND $8.4 MILLION OF UNPAID COSTS OF MEDICAID WHICH WERE A BENEFIT TO THE PATIENTS SERVED IN ITS COMMUNITY. FORM 990, PART XI, LINE 9: NET TRANSFERS (TO)/FROM AFFILIATES 55,751,726. FORM 990, PART XII, QUESTION 2C AUDIT OF FINANCIAL STATEMENTS THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN MERCY HEALTH AND SUBSIDIARIES ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 2024 (THE TAX YEAR CURRENTLY BEING REPORTED). HOWEVER, NO SEPARATE AUDIT OPINION WAS ISSUED ON THE FINANCIAL STATEMENTS OF THE FILING ORGANIZATION. THE ULTIMATE RESPONSIBILITY FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE EXTERNAL AUDITOR LIES WITH THE STEWARDSHIP COMMITTEE OF THE MERCY HEALTH BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE. FORM 990, PART XII, QUESTION 3A AND 3B SINGLE AUDIT ACT AND 2 CFR 200 AUDIT MERCY HEALTH UNDERGOES A CONSOLIDATED 2 CFR 200 AUDIT EVERY YEAR AND THIS AUDIT WAS COMPLETED FOR THE FISCAL YEAR ENDING JUNE 30, 2024 BY DECEMBER 13, 2024. EACH ENTITY THAT RECEIVES FEDERAL FUNDS DURING THE YEAR IS INCLUDED ON THE SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS (SEFA) AND IS ALSO INCLUDED IN THE POPULATION INCLUDED IN THE AUDIT. IF THE FILING ENTITY RECEIVED FEDERAL FUNDS DURING THE YEAR ENDED JUNE 30, 2024, IT WILL BE INCLUDED ON THE MERCY HEALTH CONSOLIDATED SEFA, AND THEREFORE, ALSO INCLUDED IN THE POPULATION INCLUDED IN THE AUDIT. CASA DE MISERICORDIA 1000 MIER ST LAREDO TX 78040 742912461 WOMEN'S DOMESTIC VIOLENCE SHELTER TX 501(C)(3) LINE 7 MERCY MINISTRIES OF LAREDO 1 MCAULEY PORTFOLIO MANAGEMENT COMPANY 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 261708048 PORTFOLIO MANAGEMENT. MO 501(C)(3) LINE 12B, II MERCY HEALTH 1 MERCY ACO CLINICAL SERVICES INC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 464504901 VIRTUAL CARE CENTER MO 501(C)(3) LINE 3 MERCY HEALTH 1 MERCY CLINIC EAST COMMUNITIES 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 431771217 PHYSICIAN GROUP MO 501(C)(3) LINE 10 MERCY HEALTH EAST COMMUNITIES 1 MERCY CLINIC OKLAHOMA COMMUNITIES INC 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 270473057 PHYSICIAN GROUP OK 501(C)(3) LINE 3 MERCY HEALTH OKLAHOMA COMMUNITIES INC 1 MERCY CLINIC SPRINGFIELD COMMUNITIES 1965 S FREMONT SUITE 200 SPRINGFIELD MO 65804 431560263 PHYSICIAN GROUP MO 501(C)(3) LINE 3 MERCY HEALTH SPRINGFIELD COMMUNITIES 1 MERCY FAMILY CENTER 110 VETERANS BLVD METAIRIE LA 70005 721069468 FAMILY COUNSELING SERVICE LA 501(C)(3) LINE 7 MERCY HEALTH 1 MERCY HEALTH 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 431423050 CORPORATE OFFICE MO 501(C)(3) LINE 1 N/A 0 MERCY HEALTH EAST COMMUNITIES 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 431718408 HEALTH SYSTEM MO 501(C)(3) LINE 12A, I MERCY HEALTH 1 MERCY HEALTH FORT SMITH COMMUNITIES 7301 ROGERS AVENUE FORT SMITH AR 72917 261318515 HOLDING COMPANY AR 501(C)(3) LINE 12B, II MERCY HEALTH 1 MERCY HEALTH FOUNDATION 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 200901499 FOUNDATION MO 501(C)(3) LINE 12B, II MERCY HEALTH 1 MERCY HEALTH FOUNDATION ADA 430 N MONTE VISTA STREET ADA OK 74820 463596274 FOUNDATION OK 501(C)(3) LINE 12A, I MERCY HOSPITAL ADA INC 1 MERCY HEALTH FOUNDATION ARDMORE 1011 14TH AVENUE NW ARDMORE OK 73401 710962525 FOUNDATION OK 501(C)(3) LINE 12A, I MERCY HOSPITAL ARDMORE INC 1 MERCY HEALTH FOUNDATION BERRYVILLE 214 CARTER STREET BERRYVILLE AR 72616 710759301 FOUNDATION AR 501(C)(3) LINE 12A, I MERCY HOSPITAL BERRYVILLE 1 MERCY HEALTH FOUNDATION FORT SCOTT 401 WOODLAND HILLS BLVD FORT SCOTT KS 66701 481077073 FOUNDATION KS 501(C)(3) LINE 7 MERCY KANSAS COMMUNITIES INC 1 MERCY HEALTH FOUNDATION FORT SMITH 7301 ROGERS AVENUE FORT SMITH AR 72917 237330425 FOUNDATION AR 501(C)(3) LINE 7 MERCY HEALTH FORT SMITH COMMUNITIES 1 MERCY HEALTH FOUNDATION JEFFERSON 1400 US HIGHWAY 61 SOUTH FESTUS MO 63028 462797051 FOUNDATION MO 501(C)(3) LINE 12B, II MERCY HOSPITAL JEFFERSON 1 MERCY HEALTH FOUNDATION JOPLIN 100 MERCY WAY JOPLIN MO 64804 270906136 FOUNDATION MO 501(C)(3) LINE 7 MERCY HEALTH SW MOKS COMMUNITIES 1 MERCY HEALTH FOUNDATION LEBANON 100 HOSPITAL DRIVE LEBANON MO 65536 822514567 FOUNDATION MO 501(C)(3) LINE 12B, II MERCY HOSPITAL LEBANON 1 MERCY HEALTH FOUNDATION LINCOLN 1000 EAST CHERRY STREET TROY MO 63379 811477159 FOUNDATION MO 501(C)(3) LINE 12B, II MERCY HOSPITALS EAST COMMUNITIES 1 MERCY HEALTH FOUNDATION NORTHWEST ARKANSAS 2710 RIFE MEDICAL LANE ROGERS AR 72758 710601687 FOUNDATION AR 501(C)(3) LINE 7 MERCY HOSPITAL ROGERS 1 MERCY HEALTH FOUNDATION OF OKLAHOMA 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 454732301 FOUNDATION OK 501(C)(3) LINE 12A, I MERCY HEALTH OKLAHOMA COMMUNITIES INC 1 MERCY HEALTH FOUNDATION OKLAHOMA CITY 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 463184231 FOUNDATION OK 501(C)(3) LINE 12A, I MERCY HOSPITAL OKLAHOMA CITY INC 1 MERCY HEALTH FOUNDATION SPRINGFIELD 1235 E CHEROKEE STREET SPRINGFIELD MO 65804 320195818 FOUNDATION MO 501(C)(3) LINE 12B, II MERCY HEALTH SPRINGFIELD COMMUNITIES 1 MERCY HEALTH FOUNDATION ST FRANCIS 100 W US HIGHWAY 60 MOUNTAIN VIEW MO 65548 431873914 FOUNDATION MO 501(C)(3) LINE 12A, I MERCY ST FRANCIS HOSPITAL 1 MERCY HEALTH FOUNDATION ST LOUIS 615 SOUTH NEW BALLAS ROAD ST LOUIS MO 63141 562410020 FOUNDATION MO 501(C)(3) LINE 12B, II MERCY HEALTH EAST COMMUNITIES 1 MERCY HEALTH FOUNDATION WASHINGTON 901 E FIFTH STREET WASHINGTON MO 63090 562410022 FOUNDATION MO 501(C)(3) LINE 12B, II MERCY HEALTH EAST COMMUNITIES 1 MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES 2710 RIFE MEDICAL LANE ROGERS AR 72758 621684203 PHYSICIAN GROUP AR 501(C)(3) LINE 10 MERCY HEALTH 1 MERCY HEALTH OKLAHOMA COMMUNITIES INC 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 731453048 HEALTH SYSTEM OK 501(C)(3) LINE 12A, I MERCY HEALTH 1 MERCY HEALTH SOUTHWEST MISSOURIKANSAS COMMUNITIES 100 MERCY WAY JOPLIN MO 64804 300584463 HEALTH SYSTEM MO 501(C)(3) LINE 12B, II MERCY HEALTH 1 MERCY HEALTH SPRINGFIELD COMMUNITIES 1235 E CHEROKEE STREET SPRINGFIELD MO 65804 431856028 HEALTH SYSTEM MO 501(C)(3) LINE 12B, II MERCY HEALTH 1 MERCY HOSPITAL ADA INC 430 N MONTE VISTA STREET ADA OK 74820 462288155 HOSPITAL OK 501(C)(3) LINE 3 MERCY HEALTH OKLAHOMA COMMUNITIES INC 1 MERCY HOSPITAL ARDMORE INC 1011 14TH AVENUE NW ARDMORE OK 73401 731500629 HOSPITAL OK 501(C)(3) LINE 3 MERCY HEALTH OKLAHOMA COMMUNITIES INC 1 MERCY HOSPITAL AURORA 500 PORTER AVENUE AURORA MO 65605 431936696 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH SPRINGFIELD COMMUNITIES 1 MERCY HOSPITAL BERRYVILLE 214 CARTER STREET BERRYVILLE AR 72616 710759299 HOSPITAL AR 501(C)(3) LINE 3 MERCY HEALTH NW ARK COMMUNITIES 1 MERCY HOSPITAL BOONEVILLE 880 WEST MAIN STREET BOONEVILLE AR 72927 463851119 HOSPITAL AR 501(C)(3) LINE 3 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LOUIS, EIN 43-0653493, AND MERCY HOSPITAL WASHINGTON, EIN 43-1066883. FORM 990, SCHEDULE R, PART V LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY 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 P AND Q.