MERCY ACO CLINICAL SERVICES INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- MERCY ACO CLINICAL SERVICES INC (EIN 46-4504901)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-12
- IRS object ID
- 202311319349307536
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-05-12T00:01:28+00:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 346565596 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7676 FORSYTH BOULEVARD SUITE 2600 | AddressLine1Txt |
| City | CLAYTON | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63105 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 464504901 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mercy ACO Clinical Services | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MERC | BusinessNameControlTxt |
| Phone | 3145796100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14528 SOUTH OUTER FORTY RD STE 100 | AddressLine1Txt |
| City | CHESTERFIELD | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63017 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PHILIP WHEELER | PersonNm |
| Person Title | SR VP/GENERAL COUNSEL & SEC | PersonTitleTxt |
| Phone | 3145796100 | PhoneNum |
| Signature | 2023-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | BRIAN | PersonFirstNm |
| Person Last | DAY | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jennifer Richter | PreparerPersonNm |
| PTIN | P00366526 | PTIN |
| Phone | 3142901000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PHILIP WHEELER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14528 SOUTH OUTER FORTY ROAD | AddressLine1Txt |
| City | CHESTERFIELD | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63017 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $104,344,535 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MERCY.NET | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2013 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $31,755 | PYContributionsGrantsAmt |
| CY Contributions Grants | $28,730 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $99,917,981 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $104,038,990 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $260,328 | PYOtherRevenueAmt |
| CY Other Revenue | $276,815 | CYOtherRevenueAmt |
| PY Total Revenue | $100,210,064 | PYTotalRevenueAmt |
| CY Total Revenue | $104,344,535 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $75,288,129 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $77,431,471 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $24,921,935 | PYOtherExpensesAmt |
| CY Other Expenses | $26,913,066 | CYOtherExpensesAmt |
| PY Total Expenses | $100,210,064 | PYTotalExpensesAmt |
| CY Total Expenses | $104,344,537 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $0 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $54,495,253 | TotalAssetsBOYAmt |
| Total Assets EOY | $49,910,302 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $32,336,528 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $23,296,415 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $22,158,725 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $26,613,887 | NetAssetsOrFundBalancesEOYAmt |
| Mission | AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $97,790,203 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $104,038,990 | RevenueAmt |
| Desc | MERCY ACO CLINICAL SERVICES COMBINES PEOPLE AND TECHNOLOGY TO EXTEND HEALTHCARE SERVICES WELL BEYOND THE WALLS OF PHYSICIANS' OFFICES, HOSPITAL CAMPUSES AND OTHER TRADITIONAL FACILITIES. TELEHEALTH IS THE PRIMARY VEHICLE IN WHICH MERCY ACO CLINICAL SERVICES WILL IMPROVE ACCESS TO HEALTHCARE AND TO DEVELOP CARE MANAGEMENT WHEN PHYSICAL DISTANCE SEPARATES THE PROVIDER AND THE PATIENT. SERVICES PRIMARILY INCLUDE, BUT ARE NOT LIMITED TO EICU, TELESTROKE, TELEPERINATAL, SEPSIS, DISEASE MANAGEMENT, CASE MANAGEMENT AND CARE MANAGEMENT. | Desc |
| Total Program Service Expenses | $97,790,203 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | false | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHERYL MATEJKA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3145796100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14528 S OUTER FORTY RD SUITE 100 | AddressLine1Txt |
| City | CHESTERFIELD | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63017 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| Brian Day | |||||||||
| SVP Financial Operations & Planning | 2.0 | 48.0 | Yes (X) | Yes (X) | $0 | $631,388 | $82,382 | ||
| John G Helton MD | |||||||||
| SVP - Population Health & PRES | 5.0 | 55.0 | Yes (X) | Yes (X) | $0 | $1,378,559 | $125,488 | ||
| Philip Wheeler | |||||||||
| SR VP/General Counsel & SEC | 2.0 | 48.0 | Yes (X) | Yes (X) | $0 | $1,752,425 | $12,926 | ||
| Dave Thompson | |||||||||
| SVP - Strategic Finance & Board Member | 1.0 | 57.0 | Yes (X) | $0 | $590,636 | $78,721 | |||
| Shannon Sock | |||||||||
| EVP - CSO, COO, & Board Member | 1.0 | 49.0 | Yes (X) | $0 | $2,422,966 | $291,392 | |||
| Christopher Schlanger | |||||||||
| Physician | 50.0 | 0.0 | $0 | $417,902 | $21,875 | Yes (X) | |||
| Erica N Robinson-Mitchell | |||||||||
| Physician | 50.0 | 0.0 | $0 | $547,991 | $24,031 | Yes (X) | |||
| Meghan Rodden | |||||||||
| Physician Lead | 40.0 | 0.0 | $0 | $443,020 | $25,052 | Yes (X) | |||
| Steven Brown | |||||||||
| Physician | 40.0 | 0.0 | $0 | $470,655 | $14,601 | Yes (X) | |||
| Yelizaveta Makhatadze | |||||||||
| Physician | 40.0 | 0.0 | $0 | $516,056 | $18,409 | Yes (X) | |||
| Gary Raju | |||||||||
| Former Key Employee | 0.0 | 0.0 | $0 | $136,710 | $0 | Yes (X) | |||
| Michael J Cox | |||||||||
| Former Highest Compensated | 0.0 | 0.0 | $0 | $836,977 | $27,026 | Yes (X) | |||
| Vance Moore | |||||||||
| Former Officer | 0.0 | 0.0 | $0 | $622,627 | $5,173 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $10,767,912 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $727,076 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| RICU LLC | |||||
| 10299 Southern Blvd | Royal Palm Beach | FL | 33421 | Contract Labor | $7,139,875 |
| CYFT | |||||
| 32 Stoneybrook Circle | Andover | MA | 01810 | Consulting Services | $1,000,000 |
| Caregility Corporation | |||||
| 81 Corbett Way | Eatontown | NJ | 07724 | Hardware & Maintenance | $973,488 |
| CARESIGNAL | |||||
| 222 West Las Colinas Blvd 2200N | Irving | TX | 75039 | Software | $669,959 |
| Penn State Health | |||||
| PO Box 853 | Hershey | PA | 17033 | Contract Labor | $338,007 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 11 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $28,730 | GovernmentGrantsAmt |
| Total Contributions | $28,730 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621110 | $15,905,857 | $15,905,857 |
| VIRTUAL HEALTHCARE | 900099 | $88,133,133 | $88,133,133 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $104,038,990 | TotalProgramServiceRevenueAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CAFE & VENDING | Desc |
| Business | 722514 | BusinessCd |
| Total Revenue Column | $276,815 | TotalRevenueColumnAmt |
| Exclusion | $276,815 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $276,815 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $104,344,535 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $104,038,990 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $276,815 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,691,514 | TotalAmt |
| Program Services | $66,691,514 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,216,619 | TotalAmt |
| Program Services | $2,216,619 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,967,996 | TotalAmt |
| Program Services | $4,967,996 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,555,342 | TotalAmt |
| Program Services | $3,555,342 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,440,377 | TotalAmt |
| Program Services | $1,440,377 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $370,714 | TotalAmt |
| Program Services | $370,714 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,485,258 | TotalAmt |
| Program Services | $4,485,258 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $352,924 | TotalAmt |
| Program Services | $352,924 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,072 | TotalAmt |
| Program Services | $53,072 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $182 | TotalAmt |
| Program Services | $182 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,173,776 | TotalAmt |
| Program Services | $4,173,776 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $692,298 | TotalAmt |
| Program Services | $692,298 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SHARED SERVICE FEES | $11,109,041 | $4,554,707 | $6,554,334 |
| DRUGS & MEDICAL EXPENSES | $1,836,242 | $1,836,242 | |
| REPAIRS & MAINTENANCE | $233,037 | $233,037 | |
| BAD DEBT | $1,401,947 | $1,401,947 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $764,198 | TotalAmt |
| Program Services | $764,198 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,344,537 | TotalAmt |
| Program Services | $97,790,203 | ProgramServicesAmt |
| Management And General | $6,554,334 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,000 | BOYAmt |
| EOY | $1,000 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,203,497 | BOYAmt |
| EOY | $190,946 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,072,892 | BOYAmt |
| EOY | $1,879,554 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $76,876,615 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $29,037,813 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,217,864 | BOYAmt |
| EOY | $47,838,802 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,495,253 | BOYAmt |
| EOY | $49,910,302 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,622,294 | BOYAmt |
| EOY | $12,796,552 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,714,234 | BOYAmt |
| EOY | $10,499,863 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,336,528 | BOYAmt |
| EOY | $23,296,415 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,158,725 | BOYAmt |
| EOY | $26,613,887 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,158,725 | BOYAmt |
| EOY | $26,613,887 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,495,253 | BOYAmt |
| EOY | $49,910,302 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$2 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $0 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $4,455,164 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part I, Line 3 | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,001,896 | OtherCostOrOtherBasisAmt |
| Book Value | $2,001,896 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $55,534,662 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,180,896 | DepreciationAmt |
| Book Value | $39,353,766 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,340,057 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,856,917 | DepreciationAmt |
| Book Value | $6,483,140 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $47,838,802 | TotalBookValueLandBuildingsAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 ASC 740 FOOTNOTE | FormAndLineReferenceDesc |
| Explanation | 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, 2022 OR 2021. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | Yes (X) | FirstClassOrCharterTravelInd |
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Brian Day | ||||||||||||||
| SVP Financial Operations & Planning | $0 | $403,843 | $0 | $192,151 | $0 | $35,394 | $0 | $63,981 | $0 | $18,401 | $0 | $713,770 | $0 | $0 |
| John G Helton MD | ||||||||||||||
| SVP - Population Health & PRES | $0 | $556,641 | $0 | $636,542 | $0 | $185,376 | $0 | $107,021 | $0 | $18,467 | $0 | $1,504,047 | $0 | $77,591 |
| Philip Wheeler | ||||||||||||||
| SR VP/General Counsel & SEC | $0 | $690,646 | $0 | $877,428 | $0 | $184,351 | $0 | $2,027 | $0 | $10,899 | $0 | $1,765,351 | $0 | $402,152 |
| Shannon Sock | ||||||||||||||
| EVP - CSO, COO, & Board Member | $0 | $1,012,948 | $0 | $1,236,543 | $0 | $173,475 | $0 | $276,456 | $0 | $14,936 | $0 | $2,714,358 | $0 | $0 |
| Dave Thompson | ||||||||||||||
| SVP - Strategic Finance & Board Member | $0 | $392,574 | $0 | $178,119 | $0 | $19,943 | $0 | $61,330 | $0 | $17,391 | $0 | $669,357 | $0 | $0 |
| Vance Moore | ||||||||||||||
| Former Officer | $0 | $0 | $0 | $0 | $0 | $622,627 | $0 | $5,173 | $0 | $0 | $0 | $627,800 | $0 | $0 |
| Gary Raju | ||||||||||||||
| Former Key Employee | $0 | $0 | $0 | $0 | $0 | $136,710 | $0 | $0 | $0 | $0 | $0 | $136,710 | $0 | $0 |
| Michael J Cox | ||||||||||||||
| Former Highest Compensated | $0 | $763,767 | $0 | $25,388 | $0 | $47,822 | $0 | $8,559 | $0 | $18,467 | $0 | $864,003 | $0 | $0 |
| Steven Brown | ||||||||||||||
| Physician | $0 | $420,283 | $0 | $0 | $0 | $50,372 | $0 | $7,250 | $0 | $7,351 | $0 | $485,256 | $0 | $0 |
| Yelizaveta Makhatadze | ||||||||||||||
| Physician | $0 | $482,123 | $0 | $13,665 | $0 | $20,268 | $0 | $7,250 | $0 | $11,159 | $0 | $534,465 | $0 | $0 |
| Erica N Robinson-Mitchell | ||||||||||||||
| Physician | $0 | $528,005 | $0 | $0 | $0 | $19,986 | $0 | $5,800 | $0 | $18,231 | $0 | $572,022 | $0 | $0 |
| Meghan Rodden | ||||||||||||||
| Physician Lead | $0 | $348,115 | $0 | $75,000 | $0 | $19,905 | $0 | $6,979 | $0 | $18,073 | $0 | $468,072 | $0 | $0 |
| Christopher Schlanger | ||||||||||||||
| Physician | $0 | $378,224 | $0 | $0 | $0 | $39,678 | $0 | $3,503 | $0 | $18,372 | $0 | $439,777 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 1a First-class or charter travel | CHARTER TRAVEL IS PROVIDED TO CERTAIN EMPLOYEES AS AND WHEN APPROPRIATE, AND AS DEEMED NECESSARY FOR BUSINESS TRAVEL. AFTER CHARTER TRAVEL APPROVAL HAS BEEN GRANTED IN ACCORDANCE WITH THE FINANCIAL JUSTIFICATION PROCESS, THE APPROVED CHARTER TRAVEL FOR BUSINESS IS A REIMBURSABLE EXPENSE WHICH IS NOT TAXABLE TO THE EMPLOYEES. THERE WAS ONE BOARD MEMBER WHO RECEIVED THIS BENEFIT DURING THE YEAR. IN ANY CIRCUMSTANCE IN WHICH CHARTER TRAVEL IS MADE AVAILABLE TO EMPLOYEES AND/OR SPOUSES/GUESTS FOR PERSONAL REASONS, MERCY POLICY REQUIRES TRACKING OF SUCH USE AND TAXATION OF THE EMPLOYEE(S) ACCORDINGLY. ONE LISTED INDIVIDUAL (A BOARD MEMBER) RECEIVED THIS BENEFIT DURING THE YEAR. |
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | MERCY ACO CLINICAL SERVICES, INC. RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTION 15 A & 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS. |
| Schedule J, Part I, Line 4a Severance or change-of-control payment | THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING CALENDAR 2021: VANCE MOORE - $622,627 GARY RAJU - $136,710 |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | 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 INDIVIDUALS REPORTABLE ON THIS RETURN WHO PARTICIPATE IN THE SUPPLEMENTAL RETIREMENT PLANS ARE SHANNON SOCK AND PHILIP WHEELER. 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: - PHILIP WHEELER - $177,378 |
| Schedule J, Part II | THE AMOUNTS REPORTED FOR PHILIP WHEELER AND JOHN HELTON 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. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part V, Line 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 V, Line 2a FORM W-3 FILING | MOST EMPLOYEES ARE PAID BY A RELATED ORGANIZATION UNDER A COMMON PAYMASTER ARRANGEMENT. AS SUCH, REQUIRED PAYROLL FILING (INCLUDING FORMS W-2 AND W-3) WAS REPORTED UNDER THE RELATED ORGANIZATION, MHM SUPPORT SERVICES, EIN 20-2553101. |
| Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL | FOR THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS), THE ORGANIZATION RELIES UPON MERCY HEALTH, WHICH USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT, AND REVIEW/APPROVAL OF COMPENSATION BY THE COMPENSATION COMMITTEE OF THE BOARD OF MERCY HEALTH. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS AND A REVIEW WAS COMPLETED DURING THE REPORTING YEAR. |
| Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES | FOR THOSE CLASSIFIED AS 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 REVIEW/APPROVAL OF EXECUTIVE MANAGEMENT. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS AND A REVIEW WAS COMPLETED DURING THE REPORTING YEAR. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | THE SOLE CORPORATE MEMBER HAS THE AUTHORITY TO: -APPOINT THE PRESIDENT OF THE CORPORATION (OR HIS OR HER SUBSTITUTE OR SUCCESSOR), IN CONSULTATION WITH THE BOARD; AND -APPOINT BOARD MEMBERS AS SET FORTH IN ARTICLE V. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES ARE RESERVED SOLELY TO THE SOLE CORPORATE MEMBER: -ADOPTION OF OR REVISIONS TO THE PHILOSOPHY, MISSION AND VALUES ACCORDING TO WHICH THE CORPORATION IS OPERATED; -APPROVAL OR ADOPTION OF ANY AMENDMENT OF THE ARTICLES OF INCORPORATION OF THE CORPORATION, OR ADOPTION OF ANY AMENDMENT OF THESE BYLAWS; -ADOPTION OF A PLAN OF MERGER, DISSOLUTION OR CONSOLIDATION OF THE CORPORATION; -AUTHORIZATION OR APPROVAL, AS APPLICABLE, OF THE SALE OF, OR SERIES OF RELATED SALES WHICH AT THE OUTSET ARE INTENDED BY THE CORPORATION TO ULTIMATELY RESULT IN THE SALE OF, ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S PROPERTY; -REMOVAL OF THE PRESIDENT OF THE CORPORATION, WITH OR WITHOUT CAUSE; -AUTHORIZATION OR APPROVAL, AS APPLICABLE, OF THE SALE, CONVEYANCE, LEASE, TRANSFER, OR DISPOSITION OF THE CORPORATION'S PROPERTY, INCURRENCE OF DEBT OR OF ENCUMBRANCE OF THE CORPORATION'S PROPERTY; -AFTER CONSULTATION WITH THE BOARD, AUTHORIZATION OR APPROVAL OR AMENDMENT, AS APPLICABLE, OF THE STRATEGIC AND FINANCIAL PLANS, GOALS AND OBJECTIVES OF THE CORPORATION, INCLUDING, WITHOUT LIMITATION, THE OPERATING AND CAPITAL BUDGETS, INCURRENCE OF DEBT, INVESTMENTS, FINANCIAL TARGETS AND CAPITAL LEASES; -REMOVAL OF BOARD MEMBERS AS SET FORTH IN ARTICLE V; AND, -AUTHORIZATION OR APPROVAL, AS APPLICABLE, OF ANY UNBUDGETED EXPENDITURES OR UNBUDGETED INCURRENCE OF DEBT BY THE CORPORATION IN EXCESS OF THOSE AMOUNTS PERMITTED BY THE POLICY ESTABLISHED BY THE CORPORATE MEMBER FROM TIME TO TIME. |
| Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body | THE BYLAWS PROVIDE THE OPTION OF HAVING AN EXECUTIVE COMMITTEE. HOWEVER, FOR THE TAX YEAR ENDING 6/30/22, THERE WERE NO COMMITTEES OPERATING ON BEHALF OF THE GOVERNING BODY. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | 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 DIRECTOR OF FINANCE AND THE VICE-PRESIDENT OF FINANCE. THE DRAFT FORM 990 IS ALSO REVIEWED BY MERCY HEALTH'S TAX DEPARTMENT, TO ENSURE ACCURACY AND CONSISTENCY WITH OTHER RELATED ORGANIZATIONS' FORMS 990. AFTER QUESTIONS ARISING FROM THE VARIOUS REVIEWS ARE ADDRESSED AND INCORPORATED INTO THE FORM 990, A REVISED DRAFT IS MADE AVAILABLE TO THE FILING ORGANIZATION'S LEADERSHIP TEAM FOR THEIR REVIEW. THE FORM 990 IS THEN SIGNED AND FILED WITH THE IRS. |
| Form 990, Part VI, Line 12c Conflict of interest policy | 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, 2022. THIS PROCESS IS ADMINISTERED AT THE MERCY HEALTH LEVEL BY MERCY'S CORPORATE COMPLIANCE DEPARTMENT. THE QUESTIONNAIRES ARE REVIEWED WITH LEADERSHIP AT THE LOCAL LEVEL AND POTENTIAL CONFLICTS DISCUSSED AND RESOLVED. THE CONFLICTS AND THEIR RESPECTIVE RESOLUTIONS ARE SHARED AT THE MERCY LEVEL WITH A TEAM INCLUDING MERCY'S CHIEF FINANCIAL OFFICER, CHIEF COMPLIANCE OFFICER AND OTHER MEMBERS OF FINANCE, LEGAL AND HR. SUMMARY RESULTS ARE REVIEWED WITH MERCY'S STEWARDSHIP COMMITTEE OF THE BOARD OF DIRECTORS. |
| Form 990, Part VI, Line 19 Required documents available to the public | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST BUT ARE NOT PUBLISHED PUBLICLY. |
| Form 990, Part VII, Section A | FORMER EMPLOYEE COMPENSATION IS REPORTED FOR THE CALENDAR YEAR ENDING WITHIN THE ORGANIZATION'S FISCAL YEAR WHILE AVERAGE HOURS ARE BASED ON THE FISCAL YEAR PERIOD FROM JULY 1, 2021 THROUGH JUNE 30, 2022. |
| Form 990, Part VII, Section B, Line 1 | IT IS POSSIBLE THAT A PORTION OF THE AMOUNTS REPORTED FOR CAREGILITY CORPORATION WERE RELATED TO MATERIALS IN ADDITION TO AMOUNTS PAID FOR SERVICES. HOWEVER, THE AMOUNTS ARE NOT DISTINGUISHABLE. |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | NET TRANSFER TO/FROM AFFILIATES - 4455164; |
| Form 990, Part XII, Line 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 2022 (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, Line 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, 2022 BY MARCH 31, 2023. 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, 2022, IT WILL BE INCLUDED ON THE MERCY HEALTH CONSOLIDATED SEFA, AND THEREFORE, ALSO INCLUDED IN THE POPULATION INCLUDED IN THE AUDIT. |
| IMPACT OF COVID-19 PANDEMIC | EARLY IN 2020, THE MERCY HEALTH SYSTEM WAS CALLED TO SERVE AS THE COVID-19 PANDEMIC SWEPT ACROSS THE WORLD. DURING FY22, THE IMPACT OF COVID-19 AND INFLATION HAS BEEN AND STILL IS SIGNIFICANT TO OUR COMMUNITIES WITH CHANGES IN PATIENT CARE REVENUES DUE TO SURGES, INCREASING THE COSTS OF SALARIES AND AGENCY LABOR, AND SUPPLY CHAIN IMPACTS. ALL MERCY FACILITIES ADJUSTED OPERATIONS FOR THE IMPACTS OF THE PANDEMIC. IN ADDITION, MERCY FOUNDATIONS AND OUTREACH MINISTRIES EXPERIENCED LIMITATIONS IN FUNDRAISING FOR PROGRAM AND CAPITAL SUPPORT EFFORTS THAT ASSIST THE UNDERSERVED IN OUR COMMUNITIES. MERCY DID RECEIVE FUNDING FROM THE CORONAVIRUS AID RELIEF AND ECONOMIC SECURITY ACT ("CARES ACT"). MERCY RECEIVED CARES ACT FUNDING FOR THE PAST THREE YEARS ACROSS VARIOUS ENTITIES AND RECOGNIZED A PORTION OF THIS FUNDING IN OTHER OPERATING REVENUE. THESE FUNDS HELPED TO OFFSET REVENUE LOSSES AND ADDITIONAL EXPENSES INCURRED DUE TO THE PANDEMIC; HOWEVER, THESE FUNDS FELL SHORT OF THE SYSTEM LOSSES EXPERIENCED SINCE THE START OF THE PANDEMIC. MERCY CONTINUES TO MONITOR THE IMPACTS OF THE PANDEMIC BOTH TO THE HEALTH SYSTEM AND THE COMMUNITIES SERVED AS WE CONTINUE TO PROVIDE ASSISTANCE AND MAINTAIN ACCESS TO CARE WITHIN OUR COMMUNITIES. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| Mercy ACO Health Manager LLC | |||||||||
| 15740 South Outer Forty | Chesterfield | MO | 63017 | 383924182 | Virtual Care Center | MO | $0 | $0 | ACO CLINICAL |
| Mercy ACO Patient Services LLC | |||||||||
| 15740 South Outer Forty | Chesterfield | MO | 63017 | 371749912 | Virtual Care Center | MO | $0 | $0 | ACO Clinical |
| Mercy ACO Provider Services LLC | |||||||||
| 15740 South Outer Forty | Chesterfield | MO | 63017 | 611707912 | Virtual Care Center | MO | $0 | $0 | ACO Clinical |
| Mercy International Provider Services LLC | |||||||||
| 14528 South Outer Forty Suite 100 | Chesterfield | MO | 63017 | Virtual Care Center (international services) | MO | $0 | $0 | ACO Clinical | |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (69 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Casa de Misericordia | |||||||||||
| 1000 Mier St | Laredo | TX | 78040 | 742912461 | Women's domestic violence shelter | TX | 501(c)(3) | 7 | Mercy Ministries of Laredo | Yes (true) | |
| McAuley Portfolio Management Company | |||||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 261708048 | Portfolio Management. | MO | 501(c)(3) | Type II | Mercy Health | Yes (true) | |
| Mercy Clinic East Communities | |||||||||||
| 645 Maryville Centre Drive | St Louis | MO | 63141 | 431771217 | Physician Group | MO | 501(c)(3) | 10 | Mercy Health East Communities | Yes (true) | Suite 100 |
| Mercy Clinic Fort Smith Communities | |||||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72903 | 261318597 | Physician Clinic | AR | 501(c)(3) | 3 | Mercy Health Fort Smith Communities | Yes (true) | |
| Mercy Clinic Oklahoma Communities Inc | |||||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 270473057 | Physician Group | OK | 501(c)(3) | 3 | Mercy Health Oklahoma Communities Inc | Yes (true) | |
| Mercy Clinic Springfield Communities | |||||||||||
| 1965 Fremont Street Suite 2950 | Springfield | MO | 65804 | 431560263 | Physician Group | MO | 501(c)(3) | 3 | Mercy Health Springfield Communities | Yes (true) | |
| Mercy Family Center | |||||||||||
| 110 Veterans Blvd | Metairie | LA | 70005 | 721069468 | Family counseling service | LA | 501(c)(3) | 7 | Mercy Health | Yes (true) | |
| Mercy Health | |||||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 431423050 | Corporate Office | MO | 501(c)(3) | 1 | NA | false | |
| Mercy Health East Communities | |||||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 431718408 | Health System | MO | 501(c)(3) | Type I | Mercy Health | Yes (true) | |
| Mercy Health Fort Smith Communities | |||||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72917 | 261318515 | Holding Company | AR | 501(c)(3) | Type II | Mercy Health | Yes (true) | |
| Mercy Health Foundation | |||||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 200901499 | Foundation | MO | 501(c)(3) | Type II | Mercy Health | Yes (true) | |
| Mercy Health Foundation Ada | |||||||||||
| 430 N Monte Vista Street | Ada | OK | 74820 | 463596274 | Foundation | OK | 501(c)(3) | Type I | Mercy Hospital Ada Inc | Yes (true) | |
| Mercy Health Foundation Ardmore | |||||||||||
| 1011 14th Avenue NW | Ardmore | OK | 73401 | 710962525 | Foundation | OK | 501(c)(3) | Type I | Mercy Hospital Ardmore Inc | Yes (true) | |
| Mercy Health Foundation Berryville | |||||||||||
| 214 Carter Street | Berryville | AR | 72616 | 710759301 | Foundation | AR | 501(c)(3) | Type I | Mercy Hospital Berryville | Yes (true) | |
| Mercy Health Foundation Fort Scott | |||||||||||
| 401 Woodland Hills Blvd | Fort Scott | KS | 66701 | 481077073 | Foundation | KS | 501(c)(3) | 7 | Mercy Kansas Communities Inc | Yes (true) | |
| Mercy Health Foundation Fort Smith | |||||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72917 | 237330425 | Foundation | AR | 501(c)(3) | 7 | Mercy Health Fort Smith Communities | Yes (true) | |
| Mercy Health Foundation Jefferson | |||||||||||
| 1400 US Highway 61 South | Festus | MO | 63028 | 462797051 | Foundation | MO | 501(c)(3) | Type II | Mercy Hospital Jefferson | Yes (true) | |
| Mercy Health Foundation Joplin | |||||||||||
| 100 Mercy Way | Joplin | MO | 64804 | 270906136 | Foundation | MO | 501(c)(3) | 7 | Mercy Health Southwest MissouriKansas Communities | Yes (true) | |
| Mercy Health Foundation Lebanon | |||||||||||
| 100 Hospital Drive | Lebanon | MO | 65536 | 822514567 | Foundation | MO | 501(c)(3) | Type II | Mercy Hospital Lebanon | Yes (true) | |
| Mercy Health Foundation Lincoln | |||||||||||
| 1000 East Cherry Street | Troy | MO | 63379 | 811477159 | Foundation | MO | 501(c)(3) | Type II | Mercy Hospitals East Communities | Yes (true) | |
| Mercy Health Foundation Northwest Arkansas | |||||||||||
| 2710 Rife Medical Lane | Rogers | AR | 72758 | 710601687 | Foundation | AR | 501(c)(3) | 7 | Mercy Hospital Rogers | Yes (true) | |
| Mercy Health Foundation of Oklahoma | |||||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 454732301 | Foundation | OK | 501(c)(3) | Type I | Mercy Health Oklahoma Communities Inc | Yes (true) | |
| Mercy Health Foundation Oklahoma City | |||||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 463184231 | Foundation | OK | 501(c)(3) | Type I | Mercy Hospital Oklahoma City Inc | Yes (true) | |
| Mercy Health Foundation Springfield | |||||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 320195818 | Foundation | MO | 501(c)(3) | Type II | Mercy Health Springfield Communities | Yes (true) | |
| Mercy Health Foundation St Francis | |||||||||||
| 100 W Highway 60 | Mountain View | MO | 65548 | 431873914 | Foundation | MO | 501(c)(3) | Type I | Mercy St Francis Hospital | Yes (true) | |
| Mercy Health Foundation St Louis | |||||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 562410020 | Foundation | MO | 501(c)(3) | Type II | Mercy Health East Communities | Yes (true) | |
| Mercy Health Foundation Washington | |||||||||||
| 901 E Fifth Street | Washington | MO | 63090 | 562410022 | Foundation | MO | 501(c)(3) | Type II | Mercy Health East Communities | Yes (true) | |
| Mercy Health Northwest Arkansas Communities | |||||||||||
| 2710 Rife Medical Lane | Rogers | AR | 72758 | 621684203 | Physician Group | AR | 501(c)(3) | 10 | Mercy Health | Yes (true) | |
| Mercy Health Oklahoma Communities Inc | |||||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 731453048 | Health System | OK | 501(c)(3) | Type I | Mercy Health | Yes (true) | |
| Mercy Health Plans of Missouri Inc | |||||||||||
| 3265 S National Avenue | Springfield | MO | 65807 | 320481419 | HMO | MO | 501(c)(4) | Mercy Health | Yes (true) | ||
| Mercy Health Plans Inc | |||||||||||
| 3265 S National Avenue | Springfield | MO | 65807 | 320486150 | PPO | MO | 501(c)(4) | Mercy Health Plans of Missouri Inc | Yes (true) | ||
| Mercy Health Southwest MissouriKansas Communities | |||||||||||
| 100 Mercy Way | Joplin | MO | 64804 | 300584463 | Health System | MO | 501(c)(3) | Type II | Mercy Health | Yes (true) | |
| Mercy Health Springfield Communities | |||||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 431856028 | Health System | MO | 501(c)(3) | Type II | Mercy Health | Yes (true) | |
| Mercy Hospital Ada Inc | |||||||||||
| 430 N Monte Vista Street | Ada | OK | 74820 | 462288155 | Hospital | OK | 501(c)(3) | 3 | Mercy Health Oklahoma Communities Inc | Yes (true) | |
| Mercy Hospital Ardmore Inc | |||||||||||
| 1011 14th Avenue NW | Ardmore | OK | 73401 | 731500629 | Hospital | OK | 501(c)(3) | 3 | Mercy Health Oklahoma Communities Inc | Yes (true) | |
| Mercy Hospital Aurora | |||||||||||
| 500 Porter Avenue | Aurora | MO | 65605 | 431936696 | Hospital | MO | 501(c)(3) | 3 | Mercy Health Springfield Communities | Yes (true) | |
| Mercy Hospital Berryville | |||||||||||
| 214 Carter Street | Berryville | AR | 72616 | 710759299 | Hospital | AR | 501(c)(3) | 3 | Mercy Health Northwest Arkansas Communities | Yes (true) | |
| Mercy Hospital Booneville | |||||||||||
| 880 West Main Street | Booneville | AR | 72927 | 463851119 | Hospital | AR | 501(c)(3) | 3 | Mercy Hospital Fort Smith | Yes (true) | |
| Mercy Hospital Carthage | |||||||||||
| 3125 Dr Russell Smith Way | Carthage | MO | 64836 | 453808607 | Hospital | MO | 501(c)(3) | 3 | Mercy Health Southwest MissouriKansas Communities | Yes (true) | |
| Mercy Hospital Cassville | |||||||||||
| 94 Main Street | Cassville | MO | 65625 | 431936699 | Hospital | MO | 501(c)(3) | 3 | Mercy Health Springfield Communities | Yes (true) | |
| Mercy Hospital Columbus | |||||||||||
| 220 Pennsylvania Avenue | Columbus | KS | 66725 | 270842031 | Hospital | KS | 501(c)(3) | 3 | Mercy Health Southwest MissouriKansas Communities | Yes (true) | |
| Mercy Hospital El Reno Inc | |||||||||||
| 2115 Parkview Drive | El Reno | OK | 73036 | 272716065 | Hospital | OK | 501(c)(3) | 3 | Mercy Hospital Oklahoma City Inc | Yes (true) | |
| Mercy Hospital Fort Smith | |||||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72903 | 710240352 | Hospital | AR | 501(c)(3) | 3 | Mercy Health Fort Smith Communities | Yes (true) | |
| Mercy Hospital Healdton Inc | |||||||||||
| 3462 Hospital Rd | Healdton | OK | 73438 | 263173902 | Hospital | OK | 501(c)(3) | 3 | Mercy Hospital Ardmore Inc | Yes (true) | |
| Mercy Hospital Jefferson | |||||||||||
| 1400 Highway 61 South | Festus | MO | 63028 | 430687077 | Hospital | MO | 501(c)(3) | 3 | Mercy Health East Communities | Yes (true) | |
| Mercy Hospital Joplin | |||||||||||
| 100 Mercy Way | Joplin | MO | 64804 | 270814858 | Hospital | MO | 501(c)(3) | 3 | Mercy Health Southwest MissouriKansas Communities | Yes (true) | |
| Mercy Hospital Kingfisher Inc | |||||||||||
| 1000 Kingfisher Regional | Kingfisher | OK | 73750 | 463433074 | Hospital | OK | 501(c)(3) | 3 | Mercy Hospital Oklahoma City Inc | Yes (true) | Hospital Circle |
| Mercy Hospital Lebanon | |||||||||||
| 100 Hospital Drive | Lebanon | MO | 65536 | 431767432 | Hospital | MO | 501(c)(3) | 3 | Mercy Health Springfield Communities | Yes (true) | |
| Mercy Hospital Lincoln | |||||||||||
| 1000 East Cherry Street | Troy | MO | 63379 | 472219204 | Hospital | MO | 501(c)(3) | 3 | Mercy Hospitals East Communities | Yes (true) | |
| Mercy Hospital Logan County Inc | |||||||||||
| 200 South Academy | Guthrie | OK | 73044 | 452998842 | Hospital | OK | 501(c)(3) | 3 | Mercy Hospital Oklahoma City Inc | Yes (true) | |
| Mercy Hospital Oklahoma City Inc | |||||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 730579285 | Hospital | OK | 501(c)(3) | 3 | Mercy Health Oklahoma Communities Inc | Yes (true) | |
| Mercy Hospital Ozark | |||||||||||
| 801 W River Street | Ozark | AR | 72949 | 710689680 | Hospital | AR | 501(c)(3) | 3 | Mercy Hospital Fort Smith | Yes (true) | |
| Mercy Hospital Paris | |||||||||||
| 500 E Academy | Paris | AR | 72855 | 710655753 | Hospital | AR | 501(c)(3) | 3 | Mercy Hospital Fort Smith | Yes (true) | |
| Mercy Hospital Rogers | |||||||||||
| 2710 Rife Medical Lane | Rogers | AR | 72758 | 710294390 | Hospital | AR | 501(c)(3) | 3 | Mercy Health Northwest Arkansas Communities | Yes (true) | |
| Mercy Hospital Springfield | |||||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 440552485 | Hospital | MO | 501(c)(3) | 3 | Mercy Health Springfield Communities | Yes (true) | |
| Mercy Hospital Tishomingo Inc | |||||||||||
| 1000 South Byrd | Tishomingo | OK | 73460 | 274433830 | Hospital | OK | 501(c)(3) | 3 | Mercy Hospital Ada Inc | Yes (true) | |
| Mercy Hospital Waldron | |||||||||||
| 1341 W 6th Street | Waldron | AR | 72958 | 710557895 | Hospital | AR | 501(c)(3) | 3 | Mercy Hospital Fort Smith | Yes (true) | |
| Mercy Hospital Watonga Inc | |||||||||||
| 500 Clarence Nash Blvd | Watonga | OK | 73772 | 455199762 | Hospital | OK | 501(c)(3) | 3 | Mercy Hospital Oklahoma City Inc | Yes (true) | |
| Mercy Hospitals East Communities | |||||||||||
| 615 S New Ballas Road | St Louis | MO | 63141 | 430653493 | Hospital | MO | 501(c)(3) | 3 | Mercy Health East Communities | Yes (true) | |
| Mercy Kansas Communities Inc | |||||||||||
| 401 Woodland Hills Blvd | Ft Scott | KS | 66701 | 480956045 | Hospital | KS | 501(c)(3) | 3 | Mercy Health Southwest MissouriKansas Communities | Yes (true) | |
| Mercy Ministries of Laredo | |||||||||||
| 2500 Zacatecas St | Laredo | TX | 78046 | 200198462 | Outreach | TX | 501(c)(3) | 7 | Mercy Health | Yes (true) | |
| Mercy Research | |||||||||||
| 524 North Booneville Avenue | Springfield | MO | 65802 | 870796305 | Research | MO | 501(c)(3) | 4 | Mercy Health | Yes (true) | |
| Mercy St Francis Hospital | |||||||||||
| 100 W Highway 60 | Mountain View | MO | 65548 | 440607149 | Hospital | MO | 501(c)(3) | 3 | Mercy Health Springfield Communities | Yes (true) | |
| MHM Support Services | |||||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 202553101 | Centralized Health System Functions | MO | 501(c)(3) | Type I | Mercy Health | Yes (true) | |
| Mission Clinical Services | |||||||||||
| 300 Werner Street | Hot Springs | AR | 71913 | 134239691 | Child advocacy center | AR | 501(c)(3) | 3 | Mercy Health | Yes (true) | |
| Mercy Health Foundation South (fka St Anthony's Charitable Foundation) | |||||||||||
| 10010 Kennerly Road | St Louis | MO | 63128 | 261516789 | Fundraising | MO | 501(c)(3) | Type I | Mercy Hospital South (fka St Anthony's Medical Center) | Yes (true) | |
| Mercy Hospital South (fka St Anthony's Medical Center) | |||||||||||
| 10010 Kennerly Road | St Louis | MO | 63128 | 430980256 | Hospital | MO | 501(c)(3) | 3 | Mercy Health East Communities | Yes (true) | |
| St Anthony's Physician Organization | |||||||||||
| 10010 Kennerly Road | St Louis | MO | 63128 | 431784536 | Health care | MO | 501(c)(3) | 3 | Mercy Hospital South (fka St Anthony's Medical Center) | Yes (true) | |
| Mercy Specialty Hospital Southeast Kansas | |||||||||||
| 1619 W 7th Street | Galena | KS | 66739 | 843730625 | Hospital | KS | 501(c)(3) | 3 | Mercy Health Southwest MOKS Communities | Yes (true) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Business Name Line2RelatedOrganizationName/BusinessNameLine2Txt |
|---|---|---|---|---|---|---|---|---|
| Fort Smith Emergency Medical Services | ||||||||
| 1701 S Greenwood | Fort Smith | AR | 72901 | 710416615 | Emergency Medical Services | AR | NA | |
| Plaza Surgery Services Company LLC | ||||||||
| 12700 Southfork Road | St Louis | MO | 63128 | 204709312 | Inactive | MO | NA | |
| St Edward Mercy Medical Center Multi-Purpose Office Building Horizontal Pro | ||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72903 | 710554050 | Office Building | AR | NA | perty |
| Platinum CPS Holdings LLC | ||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 842493007 | Holding Company | MO | NA | |
| Maryville Cancer Center LLC | ||||||||
| 2227 Vadalabene Drive | Maryville | IL | 62062 | 813385885 | Outpatient Center | IL | NA | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Frontenac Properties Inc | ||||||||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 521914421 | Holding company | DE | NA | C Corporation | ||||||
| Mercy Commercial Services Inc | ||||||||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 464953543 | Corporate Parent of VCC taxable commercial services | MO | NA | C Corporation | ||||||
| Mercy Health Center Condominium Inc | ||||||||||||||
| 4300 W Memorial Rd | Oklahoma City | OK | 73120 | 680640970 | Real estate | OK | NA | C Corporation | ||||||
| Mercy Managed Care Corporation | ||||||||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 731441665 | Holding company | OK | NA | C Corporation | ||||||
| St Anthony's Physician Organization of Illinois | ||||||||||||||
| 10010 Kennerly Road | St Louis | MO | 63128 | 320457168 | Health Care | MO | NA | C Corporation | ||||||
| McAuley Insurance Company Ltd | ||||||||||||||
| 000000000 | Inactive | NA | C Corporation | Aon House 30 Woodbourne Avenue | Pembroke | bermuda | BD | HM08 | BD | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (27 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Mercy Clinic East Communities | ||
| Q | $360,308 | FMV |
| Mercy Clinic Fort Smith Communities | ||
| P | $257,389 | FMV |
| Mercy Clinic Oklahoma Communities Inc | ||
| P | $244,340 | FMV |
| Mercy Health East Communities | ||
| P | $6,289,568 | FMV |
| Mercy Health NW Arkansas Communities | ||
| P | $265,781 | FMV |
| Mercy Health Springfield Communities | ||
| P | $1,587,313 | FMV |
| Mercy Health SW MOKAN Communities | ||
| P | $124,272 | FMV |
| Mercy Hospital Ada Inc | ||
| P | $973,853 | FMV |
| Mercy Hospital Ardmore | ||
| P | $826,246 | FMV |
| Mercy Hospital Berryville | ||
| P | $52,003 | FMV |
| Mercy Hospital Carthage | ||
| P | $101,856 | FMV |
| Mercy Hospital Fort Smith | ||
| P | $2,565,106 | FMV |
| Mercy Hospital Jefferson | ||
| P | $4,858,598 | FMV |
| Mercy Hospital Joplin | ||
| P | $2,676,760 | FMV |
| Mercy Hospital Kingfisher Inc | ||
| P | $166,230 | FMV |
| Mercy Hospital Lebanon | ||
| P | $729,894 | FMV |
| Mercy Hospital Lincoln | ||
| P | $606,776 | FMV |
| Mercy Hospital Logan County Inc | ||
| P | $357,473 | FMV |
| Mercy Hospital Oklahoma City | ||
| P | $1,003,317 | FMV |
| Mercy Hospital Rogers | ||
| P | $2,492,330 | FMV |
| Mercy Hospital South | ||
| P | $5,467,739 | FMV |
| Mercy Hospital Springfield | ||
| P | $4,548,475 | FMV |
| Mercy Hospital Tishomingo | ||
| P | $231,140 | FMV |
| Mercy Hospital Watonga Inc | ||
| P | $127,639 | FMV |
| Mercy Hospitals East Communities | ||
| P | $12,683,279 | FMV |
| Mercy St Francis Hospital | ||
| P | $87,381 | FMV |
| MHM Support Services | ||
| Q | $38,455,090 | FMV |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule R, Part II MERCY HOSPITALS EAST COMMUNITIES | MERCY HOSPITALS EAST COMMUNITIES CONSISTS OF MERCY HOSPITAL ST. LOUIS, EIN 43-0653493, AND MERCY HOSPITAL WASHINGTON, EIN 43-1066883. |
| Schedule R, Part V | LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY HEALTH. 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. |
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