2023-05-12T18:04:48-05:00 2022-06-30 990 2021-07-01 261318597 MERCY CLINIC FORT SMITH COMMUNITIES MERC 3145796100 7301 ROGERS AVENUE FORT SMITH AR 72903 GRETA WILCHER VP OF FINANCE 3145796100 2023-05-12 GRETA WILCHER 999009999 0 AAL1 IAL1 2021 2023-04-26 12:10:37Z RYAN GEHRIG 7301 ROGERS AVENUE FORT SMITH AR 72903 108509219 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. 12 0 201 0 0 0 66477 85897 92604791 108423322 0 0 0 0 92671268 108509219 4785 12875 0 0 98807337 113346403 0 0 0 28145544 33264038 126957666 146623316 -34286398 -38114097 16003364 16404662 3402764 4706468 12600600 11698194 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 43206574 39364351 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 FY22, HAD 72 TOTAL ADVANCED PRACTICE PROVIDERS, 117 TOTAL PHYSICIANS, AND 492,112 TOTAL PATIENT VISITS. 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 FY22, MERCY CLINIC FORT SMITH COMMUNITIES HAD 24 ADVANCED PRACTICE PROVIDERS, 32 PHYSICIANS, AND 178,667 PATIENT VISITS FOR THIS SERVICE LINE. 8131446 7408342 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 FY22, MERCY CLINIC FORT SMITH COMMUNITIES HAD 5 ADVANCED PRACTICE PROVIDERS, 9 PHYSICIANS, AND 33,625 PATIENT VISITS FOR THIS SERVICE LINE. 7795548 7102315 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 FY22, MERCY CLINIC FORT SMITH COMMUNITIES HAD 10 ADVANCED PRACTICE PROVIDERS, 8 PHYSICIANS, AND 32,236 PATIENT VISITS FOR THIS SERVICE LINE. 59872592 12875 54548314 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; NEUROSURGERY; OBSTETRICS & GYNECOLOGY; ONCOLOGY; PEDIATRICS. 59872592 12875 54548314 119006160 1 1 0 0 0 0 0 0 0 0 1 0 0 0 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 0 201 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 0 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 1 0 X GRETA WILCHER 4793146000 7301 ROGERS AVENUE FORT SMITH AR 72903 X GEHRIG RYAN COMMUNITY PRESIDENT & BOARD MEMBER 10.00 40.00 X 0 1057305 95101 SCHWARZ JULIO PHYSICIAN 50.00 0.00 X 944220 0 18302 FERRARI MD JONATHAN PHYSICIAN & BOARD MEMBER 50.00 0.00 X 866008 0 13704 HUNTON MD DAVID PHYSICAN & PRESIDENT 25.00 25.00 X X 0 782830 21129 ANAND MD DHEERAJ HOSPITALIST & BOARD MEMBER 50.00 0.00 X 741188 0 14709 FORE AMY CLINIC OPERATIONS OFFICER & BM 1.00 39.00 X 0 542116 60864 EASOM MD DELILAH PHYSICIAN & BOARD MEMBER 50.00 0.00 X 446669 0 25624 CALLAWAY MD MICHAEL PHYSICIAN 49.00 1.00 X 428796 0 21769 GWARTNEY MD MICHAEL PHYSICIAN & BOARD MEMBER 50.00 0.00 X 403543 0 20951 WAGNER MD KENDALL PHYSICIAN & BOARD MEMBER 40.00 0.00 X 390558 0 22041 BEACHY MD ALLEN PHYSICIAN & BOARD MEMBER 50.00 0.00 X 369871 0 24884 SING MD RACHEL PHYSICIAN & BOARD MEMBER 50.00 0.00 X 367538 0 22044 BURKS MD JENNIFER PHYSICIAN & BOARD MEMBER 50.00 0.00 X 336822 0 16575 WILCHER GRETA VP FINANCE & TREASURER 5.00 45.00 X 0 311444 27114 MARION TANYA REGIONAL VP - HUMAN RESOURCES 1.00 50.00 X 0 485849 63701 FOXX KENNETH PHYSICIAN 50.00 0.00 X 1459673 0 13629 GARLOW TIMOTHY J PHYSICIAN 50.00 0.00 X 983302 0 25645 BRADSHAW JODY A PHYSICIAN 50.00 0.00 X 928476 0 22186 CROSS CHRISTOPHER PHYSICIAN 50.00 0.00 X 925801 0 22114 DE MONDESERT EDUARDO A PHYSICIAN 50.00 0.00 X 910896 0 22114 REYNOLDS SCOTT FORMER OFFICER 0.00 0.00 X 0 410554 18940 SWOPE JON FORMER KEY EMPLOYEE 0.00 0.00 X 0 770349 30013 10503361 4360447 623153 15 1 1 0 LOCUMSMART LLC PO BOX 736389 DALLAS TX 75373 PHYSICIAN AGENCY LABOR 977844 AMN HEALTHCARE 12400 HIGH BLUFF DRIVE SAN DIEGO CA 92130 STAFF AGENCY LABOR 271037 ACHE PO BOX 10366 FORT SMITH AR 729170366 PHYSICIAN SERVICES 171588 LOCUMTENENS COM LLC 2575 NORTHWINDS PKWY ALPHARETTA GA 30009 PHYSICIAN AGENCY LABOR 146981 JACKSON & COKER HOLDINGS LLC 2655 NORTHWINDS PKWY ALPHARETTA GA 30009 PHYSICIAN AGENCY LABOR 132347 6 X 85897 85897 NET PATIENT SERVICE REVENUE 90309146 90309146 CAPITATION BONUS 15955279 15955279 OTHER OPERATING REVENUE 1738399 1738399 RENTAL INCOME FROM RELATED ORGANI 420498 420498 108423322 108509219 108423322 0 0 X 12875 12875 5770831 5134289 636542 700701 634078 66623 92201006 86073510 6127496 3263419 377253 2886166 6769773 782590 5987183 4640673 536465 4104208 866 866 342033 339477 2556 19534 2567 16967 995328 608505 386823 70396 8681 61715 8355088 7771717 583371 272541 236423 36118 1252 1252 1950139 1466563 483576 1684814 907102 777712 SHARED SERVICE FEES 9155727 3753849 5401878 DRUGS & MEDICAL EXPENSE 6643215 6643215 BAD DEBT 3233270 3233270 REPAIRS & MAINTENANCE 300155 296943 3212 239680 185536 54144 146623316 119006160 27617156 0 16296 16196 6819352 7724316 141488 186793 19149385 11739912 7999112 7409473 969500 969500 57616 98384 16003364 16404662 3335286 4660372 67478 46096 3402764 4706468 X 12600600 11698194 12600600 11698194 16003364 16404662 X -38114097 37211691 X X 0 1 X 1 1 1 X SCHEDULE A, ADDITIONAL INFORMATION 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 663262 159763 503499 75599 42111 33488 18390704 11520788 6869916 17250 17250 0 7409473 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, 2022 OR 2021. 1 1 0 0 0 0 0 0 0 FOXX KENNETH PHYSICIAN 1376942 0 62745 0 19986 0 7250 0 6379 0 1473302 0 0 0 GEHRIG RYAN COMMUNITY PRESIDENT & BOARD MEMBER 0 417730 0 434937 0 204638 0 76672 0 18429 0 1152406 0 152619 GARLOW TIMOTHY J PHYSICIAN 899808 0 43954 0 39540 0 7250 0 18395 0 1008947 0 0 0 SCHWARZ JULIO PHYSICIAN 893130 0 44086 0 7004 0 0 0 18302 0 962522 0 0 0 BRADSHAW JODY A PHYSICIAN 846860 0 42076 0 39540 0 7250 0 14936 0 950662 0 0 0 CROSS CHRISTOPHER PHYSICIAN 885358 0 20403 0 20040 0 7250 0 14864 0 947915 0 0 0 DE MONDESERT EDUARDO A PHYSICIAN 822901 0 40288 0 47707 0 7250 0 14864 0 933010 0 0 0 FERRARI MD JONATHAN PHYSICIAN & BOARD MEMBER 792091 0 34377 0 39540 0 3222 0 10482 0 879712 0 0 0 HUNTON MD DAVID PHYSICAN & PRESIDENT 0 456551 0 293505 0 32774 0 7250 0 13879 0 803959 0 75529 SWOPE JON FORMER KEY EMPLOYEE 0 0 0 0 0 770349 0 30013 0 0 0 800362 0 0 ANAND MD DHEERAJ HOSPITALIST & BOARD MEMBER 673274 0 28288 0 39626 0 7250 0 7459 0 755897 0 0 0 FORE AMY CLINIC OPERATIONS OFFICER & BM 0 260481 0 251396 0 30239 0 42635 0 18229 0 602980 0 123688 MARION TANYA REGIONAL VP - HUMAN RESOURCES 0 282629 0 146119 0 57101 0 48928 0 14773 0 549550 0 20957 EASOM MD DELILAH PHYSICIAN & BOARD MEMBER 414763 0 11757 0 20149 0 10772 0 14852 0 472293 0 0 0 CALLAWAY MD MICHAEL PHYSICIAN 383961 0 18601 0 26234 0 7250 0 14519 0 450565 0 0 0 REYNOLDS SCOTT FORMER OFFICER 0 0 0 0 0 410554 0 18940 0 0 0 429494 0 0 GWARTNEY MD MICHAEL PHYSICIAN & BOARD MEMBER 340005 0 19305 0 44233 0 7250 0 13701 0 424494 0 0 0 WAGNER MD KENDALL PHYSICIAN & BOARD MEMBER 352679 0 19064 0 18815 0 7133 0 14908 0 412599 0 0 0 BEACHY MD ALLEN PHYSICIAN & BOARD MEMBER 326626 0 15390 0 27855 0 6582 0 18302 0 394755 0 0 0 SING MD RACHEL PHYSICIAN & BOARD MEMBER 332246 0 16445 0 18847 0 7250 0 14794 0 389582 0 0 0 BURKS MD JENNIFER PHYSICIAN & BOARD MEMBER 300827 0 15377 0 20618 0 7211 0 9364 0 353397 0 0 0 WILCHER GRETA VP FINANCE & TREASURER 0 218832 0 72609 0 20003 0 13755 0 13359 0 338558 0 0 FORM 990, SCHEDULE J, PART I, QUESTION 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 4A THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT DURING CALENDAR 2021: JON SWOPE - $ 770,349 SCOTT REYNOLDS - $410,554 RAYMOND (COLE) GOODMAN - $38,806 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 INDIVIDUALS REPORTABLE ON THIS RETURN WHO PARTICIPATE IN THE SUPPLEMENTAL RETIREMENT PLANS INCLUDE: RYAN GEHRIG, DAVID HUNTON AND TANYA MARION. THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C). THE FOLLOWING INDIVIDUALS RECEIVED PAYOUTS FROM THE PLAN DURING THE YEAR: - RYAN GEHRIG - $152,619 - TANYA MARION - $20,957 - DAVID HUNTON - $12,558 FORM 990, SCHEDULE J, PART II THE AMOUNTS REPORTED FOR AMY FORE, RYAN GEHRIG, DAVID HUNTON AND TANYA MARION 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 689360 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 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 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 DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER DISQUALIFIED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY AND DID SO IN THE NORMAL COURSE FOR THE YEAR ENDED JUNE 30, 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, SECTION B, LINE 15B OFFICERS & POSITIONS FOR WHICH PROCESS WAS USED & YEAR PROCESS WAS BEGUN FOR THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS), THE ORGANIZATION RELIES UPON MERCY HEALTH, WHICH USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT, AND REVIEW/APPROVAL OF COMPENSATION BY THE COMPENSATION COMMITTEE OF THE BOARD OF MERCY HEALTH. FOR THOSE CLASSIFIED AS KEY EMPLOYEES, MERCY HEALTH USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, AND REVIEW/APPROVAL OF EXECUTIVE MANAGEMENT. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS AND A REVIEW WAS COMPLETED DURING THE REPORTING YEAR. FORM 990, PART VI, SECTION C, LINE 19 AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMT TO GEN PUBLIC GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST BUT ARE NOT PUBLISHED PUBLICLY. FORM 990, PART VII, SECTION A 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 VIII 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. 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 FY22, MERCY CLINIC FORT SMITH COMMUNITIES REPORTED APPROXIMATELY $1.9 MILLION OF CHARITY CARE AND $7.1 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 37,211,691. 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 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, 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, 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. 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 14528 S OUTER FORTY SUITE 100 CHESTERFIELD MO 63017 261708048 PORTFOLIO MANAGEMENT. MO 501(C)(3) LINE 12B, II MERCY HEALTH 1 MERCY ACO CLINICAL SERVICES INC 14528 S OUTER FORTY SUITE 100 CHESTERFIELD MO 63017 464504901 VIRTUAL CARE CENTER MO 501(C)(3) LINE 3 MERCY HEALTH 1 MERCY CLINIC EAST COMMUNITIES 645 MARYVILLE CENTRE DRIVE SUITE 10 ST LOUIS MO 63141 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 FREMONT STREET SUITE 2950 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 14528 S OUTER FORTY SUITE 100 CHESTERFIELD MO 63017 431423050 CORPORATE OFFICE MO 501(C)(3) LINE 1 N/A 0 MERCY HEALTH EAST COMMUNITIES 14528 S OUTER FORTY SUITE 100 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 14528 S OUTER FORTY SUITE 100 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 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LINE 3 MERCY HEALTH 1 MERCY HEALTH FOUNDATION SOUTH 10010 KENNERLY ROAD ST LOUIS MO 63128 261516789 FUNDRAISING MO 501(C)(3) LINE 12A, I MERCY HOSPITAL SOUTH 1 MERCY HOSPITAL SOUTH 10010 KENNERLY ROAD ST LOUIS MO 63128 430980256 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH EAST COMMUNITIES 1 ST ANTHONY'S PHYSICIAN ORGANIZATION 10010 KENNERLY ROAD ST LOUIS MO 63128 431784536 HEALTH CARE MO 501(C)(3) LINE 3 MERCY HOSPITAL SOUTH 1 MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS 1619 W 7TH STREET GALENA KS 66739 843730625 HOSPITAL KS 501(C)(3) LINE 3 MERCY HEALTH SOUTHWEST MOKS COMMUNITIES 1 FORT SMITH EMERGENCY MEDICAL SERVICES 1701 S GREENWOOD FORT SMITH AR 72901 710416615 EMERGENCY MEDICAL SERVICES AR MERCY HOSPITAL FORT SMITH 0 0 PLAZA SURGERY SERVICES COMPANY LLC 12700 SOUTHFORK ROAD ST LOUIS MO 63128 204709312 INACTIVE MO MERCY HOSPITAL SOUTH 0 0 ST EDWARD MERCY MC M-P OFFICE BLDG 7301 ROGERS AVENUE FORT SMITH AR 72903 710554050 OFFICE BUILDING AR MERCY HOSPITAL FORT SMITH 0 0 PLATINUM CPS 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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.