MERCY HOSPITAL ROGERS: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- MERCY HOSPITAL ROGERS (EIN 71-0294390)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-15
- IRS object ID
- 202331359349309238
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-05-15T18:01:18+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 | 221 EAST 4TH STREET SUITE 2900 | AddressLine1Txt |
| City | CINCINNATI | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45202 | 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 | 710294390 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mercy Hospital Rogers | 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 | 2710 RIFE MEDICAL LANE | AddressLine1Txt |
| City | ROGERS | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72758 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Tammi Harmoning | PersonNm |
| Person Title | VICE PRESIDENT - FINANCE | PersonTitleTxt |
| Phone | 4793388000 | PhoneNum |
| Signature | 2023-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | TAMMI HARMONING | PersonFirstNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Julie Sparks | PreparerPersonNm |
| PTIN | P01268401 | PTIN |
| Phone | 5136121400 | 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 | Ryan Gehrig | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2710 RIFE MEDICAL LANE | AddressLine1Txt |
| City | ROGERS | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72758 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $401,804,217 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MERCY.NET | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1995 | FormationYr |
| Legal Domicile State | AR | 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 | 3 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $635 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $7,002,616 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,476,555 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $354,471,221 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $391,024,829 | CYProgramServiceRevenueAmt |
| PY Investment Income | $19,140 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,897 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,552,233 | PYOtherRevenueAmt |
| CY Other Revenue | $1,300,936 | CYOtherRevenueAmt |
| PY Total Revenue | $364,045,210 | PYTotalRevenueAmt |
| CY Total Revenue | $401,804,217 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,789,924 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,075,103 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $118,124,939 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $150,811,865 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $189,537,998 | PYOtherExpensesAmt |
| CY Other Expenses | $198,241,857 | CYOtherExpensesAmt |
| PY Total Expenses | $310,452,861 | PYTotalExpensesAmt |
| CY Total Expenses | $351,128,825 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $53,592,349 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $50,675,392 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $341,012,357 | TotalAssetsBOYAmt |
| Total Assets EOY | $336,231,571 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $13,558,466 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $27,099,858 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $327,453,891 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $309,131,713 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| 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 | $79,269,032 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $105,056,409 | RevenueAmt |
| Desc | MERCY HOSPITAL ROGERS 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 HOSPITAL ROGERS PROVIDES A WIDE VARIETY OF SERVICES IN THEIR 194 BED FACILITY AND IN FY22, HAD 240,919 TOTAL CASES. MERCY HOSPITAL ROGERS 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 HOSPITAL ROGERS ALSO PROVIDES A FULL COMPLEMENT OF CARDIAC REHABILITATION, THERAPY AND EDUCATION SERVICES. IN FY22, MERCY HOSPITAL ROGERS HAD 22,615 CASES AND 6,796 PATIENT DAYS FOR THIS SERVICE LINE. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $46,232,332 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $61,272,387 | RevenueAmt |
| Desc | MERCY HOSPITAL ROGERS HAS A GASTROENTEROLOGY TEAM EXPERIENCED IN DIAGNOSING AND TREATING ALL TYPES OF ILLNESSES AFFECTING THE GASTROINTESTINAL TRACT. MERCY'S TEAM CAN ALLEVIATE YOUR SYMPTOMS AND REDUCE OR ELIMINATE DISCOMFORT NO MATTER WHERE IT MAY APPEAR IN YOUR DIGESTIVE SYSTEM, FROM YOUR ESOPHAGUS AND STOMACH TO YOUR SMALL AND LARGE INTESTINES, AS WELL AS THE LIVER, GALLBLADDER AND PANCREAS. IN FY22, MERCY HOSPITAL ROGERS HAD 13,401 CASES AND 7,383 PATIENT DAYS FOR THIS SERVICE LINE. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $28,195,931 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $37,368,481 | RevenueAmt |
| Desc | MERCY HOSPITAL ROGERS HAS A TEAM OF EXPERT DOCTORS, NURSES AND TECHNICIANS THAT BLEND COMPASSIONATE CARE WITH THE LATEST, MOST ADVANCED DIAGNOSTIC AND TREATMENT RESOURCES IN PROVIDING EMERGENCY CARE. MERCY HOSPITAL ROGERS' EMERGENCY DEPARTMENT IS READY 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS A YEAR WITH FAST, EXPERIENCED AND PROFESSIONAL CARE. IN FY22, MERCY HOSPITAL ROGERS HAD 53,115 CASES FOR THIS SERVICE LINE. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $142,764,962 | ExpenseAmt |
| Grant | $2,075,103 | GrantAmt |
| Revenue | $187,327,552 | RevenueAmt |
| Desc | IN ADDITION TO THE PROGRAM SERVICES DESCRIBED ABOVE, MERCY HOSPITAL ROGERS ALSO SERVES PATIENTS IN ADDITIONAL SERVICE LINES, INCLUDING BUT NOT LIMITED TO THE FOLLOWING AREAS: LAB; NEUROSCIENCE; PULMONARY; RADIOLOGY; REHABILITATION. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $142,764,962 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $2,075,103 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $187,327,552 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $296,462,257 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | 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 | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | 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 | false | 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 | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| 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 |
| 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 | 3 | 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 | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | 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 | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TAMMI HARMONING | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4793388000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2710 RIFE MEDICAL LANE | AddressLine1Txt |
| City | ROGERS | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72758 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Jeffrey Ciaramita MD | ||||||||||
| SVP Chief Physician Executive & Board Member | 1.0 | 54.0 | Yes (X) | $0 | $1,375,830 | $127,049 | ||||
| John Mohart MD | ||||||||||
| President, Mercy Communities & Chairman of Board | 1.0 | 59.0 | Yes (X) | $0 | $827,557 | $86,789 | ||||
| Shannon Sock | ||||||||||
| EVP - CSO, COO, & Board Member | 1.0 | 49.0 | Yes (X) | $0 | $2,422,966 | $291,392 | ||||
| Christie Eckhardt | ||||||||||
| VP, Chief Operations Counsel & Secretary | 1.0 | 57.0 | $0 | $330,556 | $21,872 | Yes (X) | ||||
| Eric Pianalto | ||||||||||
| Community President (THRU 6/1/22) | 10.0 | 40.0 | $0 | $879,110 | $94,862 | Yes (X) | ||||
| Ryan Gehrig | ||||||||||
| Community President (BEG 6/1/22) | 2.0 | 48.0 | $0 | $1,057,305 | $95,101 | Yes (X) | ||||
| Tammi Harmoning | ||||||||||
| VP Finance & Treasurer | 0.0 | 50.0 | $0 | $227,834 | $13,346 | Yes (X) | ||||
| Charlotte Rankin | ||||||||||
| Chief Nursing Officer | 30.0 | 30.0 | $0 | $458,200 | $54,075 | Yes (X) | ||||
| Jason Wildeman | ||||||||||
| VP Outpatient Services | 5.0 | 40.0 | $0 | $231,773 | $24,782 | Yes (X) | ||||
| Tanya Marion | ||||||||||
| Regional VP - Human Resources | 1.0 | 50.0 | $0 | $485,849 | $63,701 | Yes (X) | ||||
| Dale A Wooten | ||||||||||
| Perfusionist | 40.0 | 0.0 | $0 | $173,275 | $11,881 | Yes (X) | ||||
| Ian Cooper | ||||||||||
| Registered Nurse | 40.0 | 0.0 | $0 | $181,077 | $18,814 | Yes (X) | ||||
| Robert D Dunham | ||||||||||
| Director, Pharmacy Services | 40.0 | 0.0 | $0 | $164,901 | $25,252 | Yes (X) | ||||
| Sean M Slaba | ||||||||||
| Perfusionist | 40.0 | 0.0 | $0 | $181,899 | $23,741 | Yes (X) | ||||
| Sharon Cheatum | ||||||||||
| House Supervisor | 40.0 | 0.0 | $0 | $158,698 | $9,405 | Yes (X) | ||||
| Christopher Johnson | ||||||||||
| Former Key Employee | 0.0 | 0.0 | $0 | $578,102 | $41,324 | Yes (X) | ||||
| Jon Swope | ||||||||||
| Former Key Employee | 0.0 | 0.0 | $0 | $770,349 | $30,013 | Yes (X) | ||||
| Scott Reynolds | ||||||||||
| Former Officer | 0.0 | 0.0 | $0 | $410,554 | $18,940 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $10,915,835 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,052,339 | 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 |
|---|---|---|---|---|---|
| ANESTHESIA SERV BENTON COUNTY | |||||
| 3321 N Dixieland Road | ROGERS | AR | 72756 | PHYSICIAN SERVICES | $5,146,944 |
| HEALTHTRUST WORKFORCE SOL | |||||
| 100 Sawgrass Corp PKWY 6th | SUNRISE | FL | 33323 | Agency Staffing | $3,934,274 |
| AMN HEALTHCARE | |||||
| 12400 High Bluff Drive | SAN DIEGO | CA | 92130 | Agency Staffing | $3,113,882 |
| UNIVERSITY OF AR FOR MEDICAL SCIENCES | |||||
| 4301 W Markham Street | LITTLE ROCK | AR | 72205 | GME - Residents salary | $2,827,651 |
| KINDRED HOSPITAL REHAB SERV | |||||
| PO Box 502096 | ST LOUIS | MO | 631502096 | Rehab Services | $2,083,553 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 54 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $9,187,936 | RelatedOrganizationsAmt |
| Government Grants | $288,619 | GovernmentGrantsAmt |
| Total Contributions | $9,476,555 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621110 | $382,833,590 | $382,833,590 | ||
| OTHER OPERATING REVENUE | 900099 | $8,177,330 | $7,156,620 | $1,020,710 | |
| BUILDING SERVICE REVENUE | 900099 | $13,274 | $13,274 | ||
| LAB INCOME | 621511 | $635 | $635 |
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 | $391,024,829 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,897 | TotalRevenueColumnAmt |
| Exclusion | $1,897 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $30,994 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $30,994 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,994 | TotalRevenueColumnAmt |
| Exclusion | $30,994 | ExclusionAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CAFE & VENDING | 900099 | $441,503 | $441,503 |
| GIFT SHOP | 900099 | $346,018 | $346,018 |
| MEDICAL DIRECTOR REVENUE | 900099 | $79,846 | $79,846 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $402,575 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $402,575 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,269,942 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $401,804,217 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $390,003,484 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $635 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,323,543 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,067,353 | TotalAmt |
| Program Services | $2,067,353 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,750 | TotalAmt |
| Program Services | $7,750 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $128,375,107 | TotalAmt |
| Program Services | $121,271,933 | ProgramServicesAmt |
| Management And General | $7,103,174 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,235,987 | TotalAmt |
| Program Services | $4,021,377 | ProgramServicesAmt |
| Management And General | $214,610 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,988,475 | TotalAmt |
| Program Services | $10,356,690 | ProgramServicesAmt |
| Management And General | $631,785 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,212,296 | TotalAmt |
| Program Services | $6,837,713 | ProgramServicesAmt |
| Management And General | $374,583 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,693 | TotalAmt |
| Management And General | $24,693 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,952,733 | TotalAmt |
| Program Services | $17,599,643 | ProgramServicesAmt |
| Management And General | $2,353,090 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $222,982 | TotalAmt |
| Program Services | $29,675 | ProgramServicesAmt |
| Management And General | $193,307 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,186,622 | TotalAmt |
| Program Services | $2,611,657 | ProgramServicesAmt |
| Management And General | $574,965 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,710 | TotalAmt |
| Program Services | $99,710 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,158,697 | TotalAmt |
| Program Services | $4,658,728 | ProgramServicesAmt |
| Management And General | $3,499,969 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $378,842 | TotalAmt |
| Program Services | $365,718 | ProgramServicesAmt |
| Management And General | $13,124 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,626 | TotalAmt |
| Program Services | $2,713 | ProgramServicesAmt |
| Management And General | $913 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,204,807 | TotalAmt |
| Program Services | $9,823,531 | ProgramServicesAmt |
| Management And General | $12,381,276 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,141,789 | TotalAmt |
| Program Services | $1,141,789 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DRUGS & MEDICAL EXPENSES | $66,057,510 | $66,057,510 | |
| SHARED SERVICE FEES | $43,820,947 | $17,966,588 | $25,854,359 |
| BAD DEBT | $30,829,832 | $30,829,832 | |
| REPAIRS & MAINTENANCE | $1,285,303 | $414,799 | $870,504 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $873,764 | TotalAmt |
| Program Services | $297,548 | ProgramServicesAmt |
| Management And General | $576,216 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $351,128,825 | TotalAmt |
| Program Services | $296,462,257 | ProgramServicesAmt |
| Management And General | $54,666,568 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,593,023 | BOYAmt |
| EOY | $8,497,663 | 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 | $57,338 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,109,686 | BOYAmt |
| EOY | $45,297,356 | 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 | $5,597,268 | BOYAmt |
| EOY | $6,152,430 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $155,655 | BOYAmt |
| EOY | $186,527 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $463,133,039 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $187,976,147 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $290,598,839 | BOYAmt |
| EOY | $275,156,892 | 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 | $900,548 | BOYAmt |
| EOY | $940,703 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $341,012,357 | BOYAmt |
| EOY | $336,231,571 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,528,441 | BOYAmt |
| EOY | $26,181,588 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,000 | BOYAmt |
| EOY | $9,000 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,025 | BOYAmt |
| EOY | $909,270 | 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 | $13,558,466 | BOYAmt |
| EOY | $27,099,858 | 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 | $327,481,457 | BOYAmt |
| EOY | $309,131,713 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$27,566 | 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 |
| EOY | $0 | EOYAmt |
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 | $327,453,891 | BOYAmt |
| EOY | $309,131,713 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $341,012,357 | BOYAmt |
| EOY | $336,231,571 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $50,675,392 | 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 | -$68,997,570 | 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 |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $24,693 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $24,693 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | THE FILING ORGANIZATION IS A MEMBER OF AND PAYS DUES TO THE FOLLOWING HOSPITAL ASSOCIATIONS: ARKANSAS HOSPITAL ASSOCIATION, AMERICAN HOSPITAL ASSOCIATION AND CATHOLIC HEALTH ASSOCIATION. FOR THE YEAR ENDED JUNE 30, 2022, DUES WERE $78,919, $39,786 AND $60,678, RESPECTIVELY. APPROXIMATELY 15% OF ARKANSAS HOSPITAL ASSOCIATION DUES, 26.47% OF AMERICAN HOSPITAL ASSOCIATION DUES AND 3.83% OF CATHOLIC HEALTH ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED BY THESE ASSOCIATIONS. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,255,161 | OtherCostOrOtherBasisAmt |
| Book Value | $4,255,161 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $329,688,687 | OtherCostOrOtherBasisAmt |
| Depreciation | $102,460,775 | DepreciationAmt |
| Book Value | $227,227,912 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $114,721 | OtherCostOrOtherBasisAmt |
| Depreciation | $107,689 | DepreciationAmt |
| Book Value | $7,032 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $125,938,794 | OtherCostOrOtherBasisAmt |
| Depreciation | $84,002,256 | DepreciationAmt |
| Book Value | $41,936,538 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,135,676 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,405,427 | DepreciationAmt |
| Book Value | $1,730,249 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $275,156,892 | 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 H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | false | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,535,275 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,535,275 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0266 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $39,321,096 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $29,791,504 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,529,592 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0298 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $47,856,371 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $29,791,504 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,064,867 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0564 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 13 | ActivitiesOrProgramsCnt |
| Persons Served | 2590 | PersonsServedCnt |
| Total Community Benefit Expns | $451,777 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $451,777 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0014 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 13 | ActivitiesOrProgramsCnt |
| Persons Served | 766 | PersonsServedCnt |
| Total Community Benefit Expns | $4,264,590 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,264,590 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0133 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 26303 | PersonsServedCnt |
| Total Community Benefit Expns | $30,675 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $30,675 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 29 | ActivitiesOrProgramsCnt |
| Persons Served | 29659 | PersonsServedCnt |
| Total Community Benefit Expns | $4,747,042 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,747,042 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0148 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 29 | ActivitiesOrProgramsCnt |
| Persons Served | 29659 | PersonsServedCnt |
| Total Community Benefit Expns | $52,603,413 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $29,791,504 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $22,811,909 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0712 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $7,350,238 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $72,207,322 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $73,182,521 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$975,199 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY HOSPITAL ROGERS | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2710 RIFE MEDICAL LANE | AddressLine1Txt |
| City | ROGERS | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72758 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.MERCY.NET | WebsiteAddressTxt |
| State License | AR497 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY HOSPITAL ROGERS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://www.mercy.net/content/dam/mercy/en/pdf/chna/nwa-chna-2022.pdf | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://www.mercy.net/content/dam/mercy/en/pdf/chip/mercy-nwa-chip-2023.pdf | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.0 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | https://www.mercy.net/patients-visitors/billing/financial-assistance/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://www.mercy.net/patients-visitors/billing/financial-assistance/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://www.mercy.net/patients-visitors/billing/financial-assistance/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 3E | THE HOSPITAL FACILITY DID INCLUDE A PRIORITIZED LIST OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS IN ITS MOST RECENT CHNA REPORT. |
| Schedule H, Part V, Section B, Line 3 Facility , 1 | Facility , 1 - MERCY HOSPITAL ROGERS. THE CHNA HAS ALL THE SECTIONS REFERENCED ABOVE AND INCLUDES AN EXECUTIVE SUMMARY, POTENTIALLY AVAILABLE RESOURCES, EVALUATION OF IMPACT, REFERENCES, AND APPENDICES. |
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - MERCY HOSPITAL ROGERS. IN CONDUCTING ITS COMMUNITY HEALTH NEEDS ASSESSMENT, MERCY NWA COLLECTED AND ANALYZED A SIGNIFICANT QUANTITY OF PRIMARY AND SECONDARY DATA. PRIMARY DATA WAS COLLECTED, AND COMMUNITY INPUT WAS SOLICITED, BY MEANS OF THE 2021 NORTHWEST ARKANSAS COMMUNITY HEALTH SURVEY, WHICH WAS LED BY MERCY. SECONDARY DATA WAS COLLECTED AND ANALYZED FROM PUBLICLY AVAILABLE DATA RESOURCES, LISTED BELOW, AND FROM INTERNAL MERCY DATA. NWA INDICATORS WERE COMPARED TO THOSE OF ARKANSAS AND THE UNITED STATES. THE COMMUNITY HEALTH COMMITTEE OF MERCY NWA BOARD OF DIRECTORS GUIDED THE CHNA PROCESS. THE COMMUNITY HEALTH COMMITTEE IS ACCOUNTABLE FOR OVERSEEING COMMUNITY HEALTH AND BENEFIT ACTIVITIES AND ENSURING THESE ACTIVITIES MEET MISSION, COMPLIANCE, AND IRS GUIDELINES. THE COMMITTEE MEETS QUARTERLY AND INCLUDES MEMBERS REPRESENTING NON-PROFIT, GOVERNMENT, ACADEMIC, PUBLIC HEALTH AND BUSINESS SECTORS WITHIN THE COMMUNITY. THE THOUGHTS AND OPINIONS OF PEOPLE WITHIN MERCY'S SERVICE AREA OF NORTHWEST ARKANSAS WERE CENTRAL TO THE HEALTH NEEDS ASSESSMENT PROCESS. INPUT FROM PEOPLE REPRESENTING BROAD INTERESTS OF THE COMMUNITY WAS SOLICITED THROUGH A ROBUST SURVEY PROCESS GUIDED BY A MERCY-LED COMMUNITY COALITION AND BY SEEKING INPUT FROM THE COMMUNITY HEALTH COMMITTEE OF THE BOARD AND THE BENTON COUNTY HEALTH DEPARTMENT. NORTHWEST ARKANSAS IS HOME TO HISPANIC AND MARSHALLESE MINORITY POPULATIONS THAT INCLUDE MEMBERS WHO ARE LOW-INCOME, MEDICALLY UNDERSERVED, AND EXPERIENCE SIGNIFICANT HEALTH DISPARITIES. INPUT FROM THESE GROUPS WAS SOUGHT BY INTENTIONALLY SEEKING OUT THEIR PARTICIPATION IN THE SURVEY AND BY SOLICITING INPUT FROM ORGANIZATIONS REPRESENTING THESE GROUPS. THE FOLLOWING GROUPS TOOK PART IN SOME PHASE OF THE WORK THAT GENERATED NORTHWEST ARKANSAS COMMUNITY HEALTH NEEDS ASSESSMENT: (THE NORTHWEST ARKANSAS COMMUNITY CONSISTS OF: BENTON COUNTY, AR; CARROLL COUNTY, AR; MADISON COUNTY, AR; AND WASHINGTON COUNTY, AR.) -MERCY COWORKERS WHO SERVED ON TEAMS AND DEVELOPED PROGRAMS TO RESPOND TO IDENTIFIED NEEDS. - ARKANSAS CHILDREN'S NORTHWEST, ARKANSAS DEPARTMENT OF HEALTH, BENTON, MADISON, AND WASHINGTON COUNTY HEALTH UNITS, COMMUNITY CLINIC NORTHWEST ARKANSAS, HARK AT THE EXCELLERATE FOUNDATION, MARSHALLESE CONSULATE AND COVID-19 TASK FORCE, NWA COUNCIL HEALTH CARE TRANSFORMATION DIVISION, OZARK GUIDANCE CENTER, UNIVERSITY OF ARKANSAS, UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES, VA MEDICAL CENTER, WASHINGTON REGIONAL MEDICAL CENTER, AND WHOLE HEALTH INSTITUTE. MERCY CONVENED A COMMUNITY COALITION OF 17 NORTHWEST ARKANSAS HEALTH CARE AND SOCIAL SERVICE ORGANIZATIONS TO CONDUCT A COMPREHENSIVE COMMUNITY HEALTH SURVEY IN 2021. THE SURVEY WAS DEVELOPED TO BUILD ON THE 2018 NWA COMMUNITY HEALTH SURVEY AND TO INCORPORATE INPUT AND SPECIFIC NEEDS OF THE COALITION PARTNERS. THE FINAL SURVEY WAS MADE UP OF 30 QUESTIONS FOCUSED ON HEALTH ISSUES AND NEEDS MOST IMPORTANT TO THE RESPONDENTS, WELLNESS, MENTAL HEALTH, BARRIERS TO CARE, COVID-19 VACCINATION, CHILDHOOD IMMUNIZATIONS, AND THE NWA COVID-19 RESPONSE. THE SURVEY WAS TRANSLATED INTO SPANISH AND MARSHALLESE BY CERTIFIED MEDICAL INTERPRETERS. THE NORTHWEST ARKANSAS COUNCIL HOSTED THE SURVEY ON THEIR WEBSITE FROM JULY TO SEPTEMBER 2021 IN THE THREE LANGUAGES. THE NWA COUNCIL PROMOTED THE SURVEY ON SOCIAL MEDIA, AND EACH PARTNER ORGANIZATION DISTRIBUTED THE SURVEY ELECTRONICALLY TO THEIR CO-WORKERS, PATIENTS, CLIENTS, AND COMMUNITY MEMBERS BY EMAIL AND THROUGH SOCIAL MEDIA. FLYERS AND BUSINESS CARDS WITH QR CODES FOR THE SURVEY IN EACH LANGUAGE WERE PRODUCED AND DISTRIBUTED BY COALITION PARTNERS IN THE COMMUNITY AND AT COMMUNITY EVENTS. SURVEYS WERE ALSO MADE AVAILABLE IN PAPER FORMAT FOR PARTICIPANTS WHO PREFERRED TO COMPLETE IT MANUALLY OR DID NOT HAVE COMPUTER ACCESS. INTENTIONAL EFFORTS WERE MADE TO INCLUDE AND OVERSAMPLE HISPANIC AND MARSHALLESE COMMUNITY MEMBERS BY ATTENDING COMMUNITY EVENTS, REACHING PARTICIPANTS AT WORKPLACES, USING CULTURALLY SPECIFIC SOCIAL MEDIA OUTLETS, AND UTILIZING HISPANIC AND MARSHALLESE COMMUNITY HEALTH WORKERS. 2,231 RESPONSES WERE INCLUDED IN THE FINAL ANALYTIC SAMPLE. 53% OF RESPONDENTS WERE FROM BENTON COUNTY, 39% FROM WASHINGTON COUNTY, 5% FROM CARROLL COUNTY, AND 3% FROM MADISON COUNTY. 1,647 (74%) OF RESPONDENTS WERE WHITE, 194 (9%) WERE HISPANIC, 123 (6%) WERE MARSHALLESE OR OTHER PACIFIC ISLANDER. AMERICAN INDIAN/ALASKA NATIVE, BLACK/AFRICAN AMERICAN, ASIAN, AND OTHER RACES MADE UP THE REMAINDER OF RESPONDENTS. OF THE 2,231 SURVEY RESPONDENTS FROM THE REGION, ALL INDICATED THEY LIVED IN ONE OF THE FOUR COUNTIES IN THE NORTHWEST ARKANSAS COMMUNITY. RESPONDENTS WERE ASKED TO RANK PERCEIVED COMMUNITY NEEDS, AND THE TOP 8 THAT EMERGED WERE: 1. ACCESS TO AFFORDABLE HEALTH CARE 2. AFFORDABLE HOUSING 3. MENTAL OR BEHAVIORAL HEALTH 4. COVID-19 5. DIABETES 6. FOOD INSECURITY 7. HEART DISEASE 8. OBESITY AND OVERWEIGHT |
| Schedule H, Part V, Section B, Line 6a Facility , 1 | Facility , 1 - MERCY HOSPITAL ROGERS. THE CHNA WAS NOT CONDUCTED WITH ANOTHER HOSPITAL FACILITY. MERCY HOSPITAL ROGERS PARTICIPATED IN THE NORTHWEST ARKANSAS COMMUNITY HEALTH SURVEY PORTION OF THE CHNA. |
| Schedule H, Part V, Section B, Line 6b Facility , 1 | Facility , 1 - MERCY HOSPITAL ROGERS. THE CHNA ITSELF WAS NOT CONDUCTED WITH ANOTHER ORGANIZATION. THE OTHER ORGANIZATIONS WHO PARTICIPATED IN THE NORTHWEST ARKANSAS COMMUNITY HEALTH SURVEY WERE: ARKANSAS COALITION OF MARSHALLESE, ARKANSAS DEPARTMENT OF HEALTH, BENTON, MADISON, AND WASHINGTON COUNTY HEALTH UNITS, COMMUNITY CLINIC NORTHWEST ARKANSAS, HARK AT THE EXCELLERATE FOUNDATION, MARSHALLESE CONSULATE AND COVID-19 TASK FORCE, , NWA COUNCIL HEALTH CARE TRANSFORMATION DIVISION, OZARK GUIDANCE CENTER, UNIVERSITY OF ARKANSAS, UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES NORTHWEST, AND WHOLE HEALTH INSTITUTE. |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - MERCY HOSPITAL ROGERS. IN CONJUNCTION WITH THE CHNA, THE MERCY HOSPITAL ROGERS'S BOARD ADOPTED AN IMPLEMENTATION STRATEGY IN FY22 RELATED TO THE 2021 CHNA. MERCY HOSPITAL ROGERS IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA BY FOCUSING PROGRAMMING, SERVICES AND EDUCATION OR AWARENESS AROUND: (1) ACCESS TO CARE (2) BEHAVIORAL HEALTH (3) DIABETES/OBESITY/NUTRITION (4) FOOD INSECURITY 1. ACCESS TO CARE FOR AT-RISK PERSONS. A COMMUNITY HEALTH WORKER PROGRAM HAS BEEN OPERATIONAL FOR OVER 3 YEARS. OUR CHWS PROVIDED RESOURCES AND ASSISTANCE TO 861 PATIENTS AND COMMUNITY MEMBERS, INCLUDING FINANCIAL ASSISTANCE, INSURANCE AND COMMUNITY RESOURCES. MERCY IS IN ITS SEVENTH YEAR OF OFFERING AN INTERNAL MEDICINE RESIDENCY PROGRAM IN PARTNERSHIP WITH UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES TO INCREASE THE NUMBER OF PRACTICING PRIMARY CARE PHYSICIANS IN THE AREA. THE PROGRAM CURRENTLY HAS 34 RESIDENTS ENROLLED. A PARTNERSHIP WITH THREE CHILDREN'S ADVOCACY CENTERS PROVIDES COORDINATION, COLLABORATION AND OVERSIGHT OF SEXUAL ASSAULT NURSE EXAMINERS PERFORMING FORENSIC EXAMINATIONS TO VICTIMS OF ABUSE. THE SANE COORDINATOR OVERSAW A TOTAL OF 353 MEDICAL EXAMS PERFORMED BY SANE NURSES AT FOUR COMMUNITY LOCATIONS. A NEW MEDICATION ASSISTANCE PARTNERSHIP WITH A LOCAL PHARMACY BEGAN IN NOVEMBER 2021 AND HAS ASSISTED 16 PATIENTS WITH 56 PRESCRIPTIONS. 2. BEHAVIORAL HEALTH. INTERNSHIP PROGRAM WHICH PREVIOUSLY PROVIDED CHARITABLE THERAPY SERVICES TO UNINSURED AND UNDERINSURED CLIENTS BY INTERNS CLOSED AT THE END OF TAX YEAR 2020. MERCY CONTINUES TO OFFER FINANCIAL ASSISTANCE TO ALL PATIENTS IN NEED OF SERVICES WHO MEET FINANCIAL ASSISTANCE GUIDELINES. 3. DIABETES. MERCY HAS MAINTAINED A CDC FULLY RECOGNIZED DIABETES PREVENTION PROGRAM FOR FIVE FULL YEARS. 300 PARTICIPANTS HAVE ENROLLED AND COMPLETED AT LEAST 4 CLASS SESSIONS SINCE THE PROGRAM BEGAN WITH 15% ATTENDING FREE OR AT REDUCED COST. AVERAGE WEIGHT LOSS OF PARTICIPANTS COMPLETING AT LEAST THE FIRST 6 MONTHS OF THE PROGRAM WAS 3.7%, AND 58% OF PARTICIPANTS REDUCED THEIR HBA1C OR FASTING GLUCOSE LEVELS TO NORMAL. MERCY CONTINUES TO PROVIDE DIABETES SELF-MANAGEMENT EDUCATION CLASSES. 4. FOOD INSECURITY. MERCY HOSPITAL ROGERS IS GOING TO WORK TO DECREASE FOOD INSECURITY AMONG PERSONS AT RISK IN NORTHWEST ARKANSAS. MERCY COWORKERS OPENED THE FIRST LITTLE FREE PANTRY IN 2016 TO PROVIDE FOOD AND OTHER ESSENTIALS TO THE COMMUNITY. OTHER HEALTH ISSUES IDENTIFIED IN THE CHNA PROCESS (AFFORDABLE HOUSING, COVID-19 AND HEART DISEASE) WERE NOT CHOSEN AS PRIORITY FOCUS AREAS FOR DEVELOPMENT OF THE CURRENT COMMUNITY HEALTH IMPROVEMENT PLAN DUE TO MERCY'S CURRENT LACK OF RESOURCES AVAILABLE TO ADDRESS THESE NEEDS AND THE INTENTION TO FOCUS ON THE THREE PRIORITIZED HEALTH NEEDS. |
| Schedule H, Part V, Section B, Line 20 Facility , 1 | Facility , 1 - MERCY HOSPITAL ROGERS. OTHER AREAS FROM A NOTICE PERSPECTIVE: FAP IS POSTED IN ALL REGISTRATION AREAS, FULL POLICY AND PLAIN LANGUAGE DOCUMENT POSTED ON WEBSITE, PLAIN LANGUAGE DOCUMENT IS AVAILABLE WHEN REQUESTED, THERE IS A NOTICE ON STATEMENT, AND ALL PATIENTS GET THREE STATEMENTS BEFORE THEY CAN GO TO A COLLECTION AGENCY. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| CENTER FOR NON-PROFITS | ||||
| 1200 W WALNUT | ROGERS | AR | 72756 | HOME CARE |
| MERCY WOUND CARE | ||||
| 1194 W WALNUT | ROGERS | AR | 72756 | WOUND CARE |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part VI, Line 7 | STATE FILING OF COMMUNITY BENEFIT REPORT: N/A |
| Schedule H, Part I, Line 6a Community benefit report prepared by related organization | THE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS PREPARED BY ITS ULTIMATE PARENT ENTITY, MERCY HEALTH (EIN: 43-1423050). |
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) ARE $351,128,823. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $30,829,832. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $320,298,991. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE, AT COST, BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENT ACCOUNTS WAS MULTIPLIED BY A RATIO OF COST TO CHARGES. THE RATIO OF COST TO CHARGES USED WAS BASED ON DETAILED COST ACCOUNT, WHERE AVAILABLE. WHERE COST ACCOUNTING IS NOT AVAILABLE, COST REPORT COST TO CHARGE RATIOS WERE UTILIZED. |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | THE FILING ORGANIZATION DETERMINED THAT THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS $0. ALTHOUGH THE CHARITY CARE POLICY REQUIRES THE PARTICIPATION OF THE PATIENT REQUESTING ASSISTANCE, WE HAVE A PROCESS UNDER PRESUMPTIVE CHARITY TO ADDRESS ACCOUNTS FOR PATIENTS WHO DO NOT PROVIDE THE INFORMATION. WE BELIEVE THAT OUR CHARITY POLICY IS COMPREHENSIVE ENOUGH TO CAPTURE ALMOST ALL PATIENTS WHO QUALIFY FOR CHARITY CARE. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | IN MAY 2014, THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) AND INTERNATIONAL ACCOUNTING STANDARDS BOARD ISSUED ACCOUNTING STANDARDS UPDATE (ASU) 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606). THE HEALTH SYSTEM ADOPTED ASU 2014-09 ON JULY 1, 2018 USING A FULL RETROSPECTIVE BASIS. UPON ADOPTION, THE MAJORITY OF WHAT WAS PREVIOUSLY CLASSIFIED AS PROVISION FOR UNCOLLECTIBLE ACCOUNTS AND PRESENTED AS A REDUCTION TO PATIENT SERVICE REVENUE ON THE CONSOLIDATED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS IS TREATED A PRICE CONCESSION THAT REDUCES THE TRANSACTION PRICE, WHICH IS REPORTED AS PATIENT SERVICE REVENUE. AS SUCH, BAD DEBT EXPENSE IS NOT REFERENCED IN MERCY HEALTH AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS. BAD DEBT EXPENSE IS TRACKED FOR FORM 990 REPORTING AS FOLLOWS: PATIENT ACCOUNTS RECEIVABLE THAT ARE DEEMED UNCOLLECTIBLE, INCLUDING THOSE PLACED WITH COLLECTION AGENCIES, ARE INITIALLY CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN ACCORDANCE WITH COLLECTION POLICIES OF THE HEALTH SYSTEM AND, IN CERTAIN CASES, ARE RECLASSIFIED TO CHARITY CARE IF DEEMED TO OTHERWISE MEET THE HEALTH SYSTEM'S CHARITY CARE POLICY. THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES BASED UPON THE PAYOR COMPOSITION AND AGING OF RECEIVABLES WITH CONSIDERATION OF THE HISTORICAL PAYMENT AND WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES. |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | IT IS THE POSITION OF MERCY THAT 100% OF ANY SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS AMOUNT REPRESENTS COST OF PROVIDING SERVICES THAT REMAIN UNCOMPENSATED TO THE PROVIDER. THE UNREIMBURSED COSTS OF MEDICARE IS CALCULATED BY THE GROSS CHARGES NET OF THE COST TO CHARGE RATIO LESS ANY PAYMENTS, DEDUCTIONS OR REIMBURSEMENTS USING THE ANNUAL MEDICARE COST REPORT (CMS FORM 2552-96). |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | MERCY'S COLLECTION POLICY PROVIDES THAT MERCY WILL PERFORM A REASONABLE COMMUNICATION AND/OR REVIEW OF PATIENT ACCOUNTS AS IT RELATES TO ANY SERVICE PROVIDED AT OUR FACILITIES BEFORE TURNING THE ACCOUNT TO BAD DEBT OR TAKING LEGAL ACTION FOR NONPAYMENT. MERCY ACTIVELY SCRUBS ACCOUNTS FOR PAYOR PLAN COVERAGE, INCLUDING MEDICAID. IN THE EVENT AN ACCOUNT IS TURNED TO COLLECTIONS AND IS IDENTIFIED IN NEED OF FINANCIAL ASSISTANCE DUE TO CIRCUMSTANCE CHANGES, OR IS NOW REQUESTING ASSISTANCE, THE ACCOUNTS ARE RETURNED BY THE AGENCY AND CONSIDERED FOR CHARITY IF THE PATIENT PROVIDES THE REQUESTED INFORMATION. IF THE PATIENT FAILS TO RETURN THE INFORMATION, THE ACCOUNT WILL QUALIFY FOR COLLECTIONS. MERCY UTILIZES THE EXPERIAN TOOL TO ENHANCE THE ABILITY TO DETERMINE THE CHARITY QUALIFICATION PRIOR TO TURNING TO BAD DEBT, A PROCESS KNOWN AS PRESUMPTIVE CHARITY FOR ALL COMMUNITIES EXCEPT JOPLIN, MAUDE NORTON, CARTHAGE AND SOUTHEAST KANSAS. THIS PRESUMPTIVE SCREENING PROCESS DETAILS EVALUATIONS THAT TAKE PLACE PRIOR TO PATIENT BILLING AND ADDITIONALLY PRIOR TO BAD DEBT PLACEMENT. THE PRESUMPTIVE SCREENING WAS PER ENCOUNTER AND DID NOT PROMOTE ANY LOOK-BACK ADJUSTMENTS. MERCY WILL GRANT CHARITY IN SITUATIONS WHERE THERE HAS BEEN AN INABILITY TO OBTAIN INFORMATION FROM PATIENTS OR THE INFORMATION PROVIDED IS NOT COMPLETE ENOUGH TO MAKE A CHARITY DETERMINATION WHEN A PATIENT HAS SUBMITTED AN APPLICATION. MERCY WILL PURSUE APPROPRIATE MEANS IN THE COLLECTION OF DELINQUENT ACCOUNTS FROM PATIENTS WITH AN ESTABLISHED ABILITY TO PAY OR AN UNWILLINGNESS TO COOPERATE IN VALIDATING ELIGIBILITY FOR FINANCIAL ASSISTANCE. THESE APPROPRIATE MEANS MAY INCLUDE LEGAL ACTION CONSISTENT WITH MERCY MISSION AND VALUES AFTER SENDING 3 MONTHLY STATEMENTS WITH THE FINAL INCLUDING NOTIFICATION; IF NO RESOLUTION THEY WILL BE TURNED TO COLLECTIONS. ADDITIONALLY, THEY MAY INCLUDE LIENS UPON REAL PROPERTY AND REASONABLE WAGE GARNISHMENTS. LEGAL ACTIONS WILL GENERALLY NOT INCLUDE BANK GARNISHMENTS, REPOSSESSION OF ASSETS OR FORECLOSURES TO ENSURE SATISFACTION OF A LIEN. MERCY HAS POLICIES AND PROCEDURES ESTABLISHED TO ADDRESS THE INITIATION OF LEGAL ACTION AND ANNUALLY REVIEW COMPLIANCE WITH POLICIES BUT ENSURE 120 DAYS OF BILLING AND COLLECTIONS OCCUR PRIOR TO ANY EXTRAORDINARY COLLECTIONS ARE PURSUED. |
| Schedule H, Part V, Section B, Line 16a FAP website | - MERCY HOSPITAL ROGERS: Line 16a URL: https://www.mercy.net/patients-visitors/billing/financial-assistance/; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - MERCY HOSPITAL ROGERS: Line 16b URL: https://www.mercy.net/patients-visitors/billing/financial-assistance/; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - MERCY HOSPITAL ROGERS: Line 16c URL: https://www.mercy.net/patients-visitors/billing/financial-assistance/; |
| Schedule H, Part VI, Line 2 Needs assessment | MERCY HOSPITAL NORTHWEST ARKANSAS COMPLETED A COMPREHENSIVE AND THOROUGH COMMUNITY HEALTH NEEDS ASSESSMENT IN 2021 AND BELIEVES THE ASSESSMENT PROCESS IS COMPREHENSIVE ENOUGH TO SUBSTANTIALLY CAPTURE THE COMMUNITY'S HEALTH RELATED NEEDS. THEREFORE, NO ADDITIONAL NEEDS ASSESSMENTS WERE UNDERTAKEN. THE NEEDS ASSESSMENT PROCESS INCLUDES MEASUREMENT OF A WIDE VARIETY OF DEMOGRAPHIC AND PUBLIC HEALTH INDICATORS, INCLUDING THOSE MEASURING SOCIAL DETERMINANTS OF HEALTH AND THOSE FOCUSED PARTICULARLY ON UNDERSERVED AND VULNERABLE POPULATIONS. HOSPITAL UTILIZATION DATA IS ALSO COLLECTED. THE PROCESS INCLUDED A COMMUNITY-WIDE ELECTRONIC HEALTH NEEDS SURVEY, AND A HEALTH SURVEY FOCUSED SPECIFICALLY ON UNINSURED PATIENTS. THE COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPLEMENTATION STRATEGY ARE OVERSEEN AND MONITORED BY A COMMUNITY HEALTH COMMITTEE OF THE HOSPITAL BOARD WHOSE MEMBERS INCLUDE LOCAL GOVERNMENT AND PUBLIC HEALTH OFFICIALS, DIRECTORS OF SEVERAL AREA NONPROFIT ORGANIZATIONS, AND REPRESENTATIVES OF THE BUSINESS COMMUNITY. THE SUBCOMMITTEE MEETS QUARTERLY, ASSISTS IN IDENTIFYING NEW NEEDS OR CONCERNS WHICH MAY HAVE RISEN, REVIEWS THE IMPLEMENTATION STRATEGY, REVISING PROGRAMS AND STRATEGIES AS NECESSARY TO MEET THE EVOLVING NEEDS OF THE COMMUNITY. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | MERCY INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY THROUGH SEVERAL MEANS. IF AT ANY TIME A PATIENT EXPRESSES HARDSHIP AND INABILITY TO PAY, THE ACCOUNT IS PLACED FOR REVIEW. IN ADDITION, PATIENTS HAVE SIGNAGE ABOUT THE POLICY AT THE ACCESS POINTS, AND ALL STAFF WORKING WITH THE PATIENT AT POINT OF SERVICE, SCHEDULING, CUSTOMER SERVICE, AND EVEN THROUGH THE MEDICAID ELIGIBILITY SCREENING HAVE THE MEANS TO SEND THE ACCOUNT FOR REVIEW. THERE IS THE PLAIN LANGUAGE SUMMARY THAT IS BEING PROVIDED TO ALL WHOM EXPRESS HARDSHIP, IN ADDITION TO THE WEB ADDRESS PROVIDING THE APPLICATION, POLICIES, AND EVEN HOW UNINSURED ACCOUNTS ARE HANDLED. LASTLY, THE STATEMENTS MESSAGE TO THE PATIENT THAT MERCY DOES HAVE A FINANCIAL ASSISTANCE PROGRAM AND TO CALL TO SEE IF THEY ARE ELIGIBLE. MERCY STAFFS INTERNAL RESOURCES CERTIFIED TO ASSIST PATIENTS WITH MEDICAID APPLICATIONS AS WELL. |
| Schedule H, Part VI, Line 4 Community information | THE PRIMARY SERVICE AREA FOR MERCY HOSPITAL ROGERS INCLUDES 70 ZIP CODES ACROSS THE BORDER OF ARKANSAS AND MISSOURI. THE FOLLOWING INFORMATION IS DERIVED FROM THE ADVISORY BOARD DEMOGRAPHICS AND 2021-2022 AHA ANALYTICS. THE AREA'S POPULATION IS 562,382. THE MEDIAN HOUSEHOLD INCOME IS $57,000. 36.3% OF THE POPULATION IS 45 AND OLDER. 87% OF THE POPULATION IS A HIGH SCHOOL GRAD OR GREATER AND THE MEDIAN AGE IS 40. 15.7% OF THE HOUSEHOLDS ARE ON MEDICARE, 25.2% ON MEDICAID, AND 10.6% UNINSURED. |
| Schedule H, Part VI, Line 5 Promotion of community health | MERCY HOSPITAL ROGERS, IN ACCORDANCE WITH ITS MISSION AND VALUES, PROVIDES QUALITY AND COMPASSIONATE HEALTH CARE TO PATIENTS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, DISABILITY, AGE OR ABILITY TO PAY. MERCY VIEWS ITS HEALTH CARE SERVICES AS A MINISTRY, WHETHER CARE IS PROVIDED IN THE ACUTE CARE, AMBULATORY, OR HOME-HEALTH ENVIRONMENT. MERCY IS GOVERNED BY A BOARD OF DIRECTORS COMPRISED OF COMMUNITY LEADERS AND REPRESENTATIVES OF THE COMMUNITY. THE MAJORITY OF THE BOARD MEMBERS RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA AND ARE NEITHER EMPLOYEES, INDEPENDENT CONTRACTORS, OR FAMILY MEMBERS OF EMPLOYEES OR INDEPENDENT CONTRACTORS. ALL BOARD MEMBERS COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY AND ANY POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED AND RESOLVED. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. SURPLUS FUNDS ARE REINVESTED IN PATIENT CARE, MEDICAL EDUCATION, AND RESEARCH INITIATIVES WHICH SUPPORT THE HOSPITAL'S MISSION TO DELIVER COMPASSIONATE CARE AND EXCEPTIONAL HEALTH SERVICES TO ITS COMMUNITY. MERCY IS COMMITTED TO PROMOTING THE HEALTH OF NORTHWEST ARKANSAS AND THE SURROUNDING AREA BY SERVING AS A COMMUNITY HEALTH LEADER AND A VISIBLE PARTNER IN COMMUNITY ACTIVITIES. MERCY PARTICIPATED IN COMMUNITY HEALTH FAIRS AND SCREENINGS, PROVIDED FIRST AID SERVICES AND SPONSORS HEALTH-RELATED RUNS AND WALKS. MERCY PROVIDED A COMMUNITY COVID-19 TEST SITE AND WAS AN ACTIVE PARTICIPANT IN COMMUNITY COVID-19 VACCINE EVENTS AND OUTREACH TO UNDERSERVED COMMUNITY MEMBERS. MERCY IS ALSO DEEPLY COMMITTED TO THE EDUCATION AND TRAINING OF FUTURE HEALTH CARE PROFESSIONALS, PROVIDING TRAINING OPPORTUNITIES FOR STUDENTS IN MEDICINE, NURSING, PHYSICAL THERAPY, IMAGING, NUTRITION, RESPIRATORY THERAPY, LABORATORY, PHARMACY, AND PARAMEDIC PROGRAMS. MERCY COWORKERS WERE ACTIVELY INVOLVED IN VOLUNTEER PROJECTS TO BENEFIT THE LOCAL COMMUNITY. THESE INCLUDED FOOD AND CLOTHING DRIVES, ASSEMBLING SNACK PACKS FOR LOW INCOME CHILDREN, AND PROVIDING CHRISTMAS GIFTS FOR NEEDY FAMILIES. |
| Schedule H, Part VI, Line 6 Affiliated health care system | THE FILING ORGANIZATION IS PART OF MERCY HEALTH ("MERCY"). MERCY IS A MISSOURI NON-PROFIT CORPORATION WITH ITS HEADQUARTERS ("MINISTRY OFFICE") IN ST. LOUIS, MISSOURI. MERCY PROVIDES HEALTH CARE SERVICES IN FOUR STATES - ARKANSAS, KANSAS, MISSOURI, AND OKLAHOMA - AND HAS OUTREACH MINISTRIES LOCATED IN ARKANSAS, LOUISIANA, MISSISSIPPI, AND TEXAS. MERCY'S MISSION IS "AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE."AS OF JUNE 30, 2022, MERCY FACILITIES INCLUDED 30 ACUTE CARE HOSPITALS, 5 HEART HOSPITALS, 5 REHAB HOSPITALS, 2 CHILDREN'S HOSPITALS, 2 ORTHOPEDIC HOSPITALS, AND 1 VIRTUAL CARE COMMAND CENTER. FOR THE FISCAL YEAR ENDED JUNE 30, 2022, MERCY HAD MORE THAN 10.4 MILLION CLINIC AND OUTPATIENT VISITS, APPROXIMATELY 2,300 EMPLOYED PHYSICIANS, AND APPROXIMATELY 42,000 FULL-TIME EQUIVALENT EMPLOYEES, MAKING MERCY THE SIXTH LARGEST CATHOLIC HEALTH SYSTEM IN THE UNITED STATES. MERCY IS SPONSORED BY MERCY HEALTH MINISTRY, WHICH IS GOVERNED BY MEMBERS THAT INCLUDE SISTERS OF MERCY. MANY SERVICES THAT ARE ESSENTIAL TO FULFILLING MERCY'S MISSION ARE CENTRALIZED AT THE MINISTRY OFFICE. SUCH CENTRALIZED SERVICES INCLUDE: FINANCE (INCLUDING TREASURY, FINANCIAL ACCOUNTING AND REPORTING, REVENUE MANAGEMENT, INTERNAL AUDIT, ACCOUNTS PAYABLE AND PAYROLL OPERATIONS, ANALYTICS AND DECISION SUPPORT); ENVIRONMENTAL SERVICES SUPPORT; CLINICAL INTEGRATION; CARE MANAGEMENT; CLINICAL PERFORMANCE ACCELERATION; CLINICAL ENGINEERING; CLINICAL QUALITY MANAGEMENT; COMPLIANCE; GRANTS AND RESEARCH SERVICES; LEGAL AND COMPLIANCE COUNSEL; MARKETING AND COMMUNICATIONS; PLANNING, DESIGN AND CONSTRUCTION; PRODUCT DEVELOPMENT INFORMATICS; REAL ESTATE; SUPPLY CHAIN MANAGEMENT; MANAGED CARE STRATEGY SUPPORT; HUMAN RESOURCES (INCLUDING COMPENSATION, BENEFITS AND RECRUITING); MISSION SERVICES AND ETHICS; PHILANTHROPY SUPPORT; INFORMATION TECHNOLOGY; AND, COMMUNITY RELATIONS. THE CENTRALIZATION OF SUCH SUPPORT SERVICES ENABLES MERCY TO ENSURE THAT EACH OF ITS COMMUNITIES, WHETHER LARGE OR SMALL, HAS THE SERVICES IT NEEDS. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| Mercy Health Fdn NW Arkansas | |||||||
| 2710 Rife Medical Lane | Rogers | AR | 72758 | 710601687 | 501(C)(3) | $1,206,139 | TO SUPPORT ORGS MISSION |
| STM - Dialysis Cntrs of NW AR | |||||||
| 107 E Monte Pntr Dr | Fayetteville | AR | 72703 | 432074310 | 501(C)(3) | $854,636 | To Support Orgs Mission |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | Scholarships | GrantTypeTxt |
| Recipient | 11 | RecipientCnt |
| Cash Grant | $7,750 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule I, Part III | -EACH SCHOLARSHIP HAS A COMMITTEE THAT OVERSEES THE SELECTION OF CANDIDATES AND ASSURES THE RECIPIENTS FALL WITHIN THE SCHOLARSHIP GUIDELINES. -A CERTAIN GPA IS REQUIRED, ALONG WITH TENURE AND A TIME COMMITMENT OF EMPLOYMENT, AND REVIEW OF SUCH ITEMS IS PART OF THE COMMITTEE'S REVIEW PROCESS. |
| Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. | DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING USE OF GRANTS THE ASSISTANCE PROVIDED IS INTENDED TO BE USED FOR THE GENERAL OPERATING PURPOSES OF THE DONEE. THE USE OF GRANT FUNDS IS NOT MONITORED AFTER GRANTS ARE GIVEN. HOWEVER, ONE OF THE GRANTEES IS PART OF MERCY HEALTH AND THEREFORE A RELATED ORGANIZATION TO MERCY HOSPITAL ROGERS. LEADERSHIP OF THE HOSPITAL AND THE GRANTEE COMMUNICATE ON HOW FUNDS ARE USED, ALTHOUGH THERE IS NO FORMAL MONITORING PROCESS. |
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 |
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| 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 (18 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Jeffrey Ciaramita MD | ||||||||||||||
| SVP Chief Physician Executive & Board Member | $0 | $765,459 | $0 | $415,086 | $0 | $195,285 | $0 | $112,113 | $0 | $14,936 | $0 | $1,502,879 | $0 | $0 |
| John Mohart MD | ||||||||||||||
| President, Mercy Communities & Chairman of Board | $0 | $122,146 | $0 | $658,499 | $0 | $46,912 | $0 | $69,335 | $0 | $17,454 | $0 | $914,346 | $0 | $0 |
| 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 |
| Scott Reynolds | ||||||||||||||
| Former Officer | $0 | $0 | $0 | $0 | $0 | $410,554 | $0 | $18,940 | $0 | $0 | $0 | $429,494 | $0 | $0 |
| Christie Eckhardt | ||||||||||||||
| VP, Chief Operations Counsel & Secretary | $0 | $237,476 | $0 | $77,869 | $0 | $15,211 | $0 | $7,250 | $0 | $14,622 | $0 | $352,428 | $0 | $0 |
| Ryan Gehrig | ||||||||||||||
| Community President (BEG 6/1/22) | $0 | $417,730 | $0 | $434,937 | $0 | $204,638 | $0 | $76,672 | $0 | $18,429 | $0 | $1,152,406 | $0 | $152,619 |
| Tammi Harmoning | ||||||||||||||
| VP Finance & Treasurer | $0 | $171,685 | $0 | $35,865 | $0 | $20,284 | $0 | $2,170 | $0 | $11,176 | $0 | $241,180 | $0 | $0 |
| Eric Pianalto | ||||||||||||||
| Community President (THRU 6/1/22) | $0 | $399,172 | $0 | $358,763 | $0 | $121,175 | $0 | $76,702 | $0 | $18,160 | $0 | $973,972 | $0 | $100,643 |
| Christopher Johnson | ||||||||||||||
| Former Key Employee | $0 | $507,852 | $0 | $23,143 | $0 | $47,107 | $0 | $19,217 | $0 | $22,107 | $0 | $619,426 | $0 | $0 |
| Jon Swope | ||||||||||||||
| Former Key Employee | $0 | $0 | $0 | $0 | $0 | $770,349 | $0 | $30,013 | $0 | $0 | $0 | $800,362 | $0 | $0 |
| Tanya Marion | ||||||||||||||
| Regional VP - Human Resources | $0 | $282,629 | $0 | $146,119 | $0 | $57,101 | $0 | $48,928 | $0 | $14,773 | $0 | $549,550 | $0 | $20,957 |
| Charlotte Rankin | ||||||||||||||
| Chief Nursing Officer | $0 | $298,870 | $0 | $127,121 | $0 | $32,209 | $0 | $47,851 | $0 | $6,224 | $0 | $512,275 | $0 | $0 |
| Jason Wildeman | ||||||||||||||
| VP Outpatient Services | $0 | $158,552 | $0 | $44,002 | $0 | $29,219 | $0 | $7,195 | $0 | $17,587 | $0 | $256,555 | $0 | $0 |
| Sharon Cheatum | ||||||||||||||
| House Supervisor | $0 | $145,495 | $0 | $2,000 | $0 | $11,203 | $0 | $2,846 | $0 | $6,559 | $0 | $168,103 | $0 | $0 |
| Ian Cooper | ||||||||||||||
| Registered Nurse | $0 | $163,691 | $0 | $2,000 | $0 | $15,386 | $0 | $4,789 | $0 | $14,025 | $0 | $199,891 | $0 | $0 |
| Robert D Dunham | ||||||||||||||
| Director, Pharmacy Services | $0 | $148,307 | $0 | $2,000 | $0 | $14,594 | $0 | $10,930 | $0 | $14,322 | $0 | $190,153 | $0 | $0 |
| Sean M Slaba | ||||||||||||||
| Perfusionist | $0 | $149,276 | $0 | $2,000 | $0 | $30,623 | $0 | $6,128 | $0 | $17,613 | $0 | $205,640 | $0 | $0 |
| Dale A Wooten | ||||||||||||||
| Perfusionist | $0 | $156,741 | $0 | $2,000 | $0 | $14,534 | $0 | $1,411 | $0 | $10,470 | $0 | $185,156 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | MERCY HOSPITAL ROGERS RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTION 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS. |
| Schedule J, Part I, Line 4a Severance or change-of-control payment | THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT AS NOTED: JON SWOPE - $770,349 SCOTT REYNOLDS - $410,554 |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | MERCY 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,TANYA MARION, ERIC PIANALTO AND SHANNON SOCK. 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 ERIC PIANALTO - $100,643 |
| Schedule J, Part II | THE AMOUNTS REPORTED FOR RYAN GEHRIG, TANYA MARION AND ERIC PIANALTO 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 III, Line 4d Description of other program services | (Expenses $ 142,764,962 including grants of $ 2,075,103)(Revenue $ 187,327,552) IN ADDITION TO THE PROGRAM SERVICES DESCRIBED ABOVE, MERCY HOSPITAL ROGERS ALSO SERVES PATIENTS IN ADDITIONAL SERVICE LINES, INCLUDING BUT NOT LIMITED TO THE FOLLOWING AREAS: LAB; NEUROSCIENCE; PULMONARY; RADIOLOGY; REHABILITATION. |
| 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 W-3 FILING | MOST EMPLOYEES ARE PAID BY A RELATED ORGANIZATION UNDER A COMMON PAYMASTER ARRANGEMENT. AS SUCH, REQUIRED PAYROLL FILING (INCLUDING W-2 AND W-3'S) IS REPORTED UNDER THE RELATED ORGANIZATION, MHM SUPPORT SERVICES, EIN 20-2553101. |
| Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES | FOR THOSE CLASSIFIED AS KEY EMPLOYEES, THE ORGANIZATION USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, AND REVIEW/APPROVAL OF EXECUTIVE MANAGEMENT. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS, AND A REVIEW WAS COMPLETED DURING THE REPORTING YEAR. |
| 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 6 Classes of members or stockholders | THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | THE SOLE CORPORATE MEMBER HAS THE AUTHORITY TO: -TO APPOINT AND REMOVE MEMBERS OF THE BOARD; And, -TO APPOINT AND REMOVE THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | THE FOLLOWING GOVERNANCE DECISIONS ARE RESERVED TO THE SOLE CORPORATE MEMBER: - TO APPROVE THE MISSION AND ESTABLISH THE PHILOSOPHY ACCORDING TO WHICH THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION SHALL OPERATE; - TO AMEND THE ARTICLES OF INCORPORATION AND BYLAWS; - TO APPROVE OR AMEND THE STRATEGIC PLAN, GOALS, AND OBJECTIVES OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - TO APPROVE OR AMEND THE OPERATING, CAPITAL AND CONSTRUCTION BUDGETS FOR THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - TO LEASE OR SELL ANY OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION IN EXCESS OF ONE MILLION DOLLARS ($1,000,000); - TO ENCUMBER ANY OR ALL OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - TO AUTHORIZE AND APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTE ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; - TO MERGE, DISSOLVE, OR ABANDON THE CORPORATION; AND, - TO APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION BY THE CORPORATION. |
| 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 PROVIDED TO THE FILING ORGANIZATION'S LEADERSHIP TEAM, INCLUDING THE CFO AND CEO, FOR REVIEW. ONCE REVIEWED AND APPROVED BY THE FILING ORGANIZATION'S LEADERSHIP TEAM, THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW; IT IS THEN SIGNED AND FILED WITH THE IRS. |
| 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 VIII, Line 11d Other Miscellaneous Revenue | ALL OTHER REVENUE - Total Revenue: 402575, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 402575; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | TRANSFERS FROM (TO) MERCY, NET - -69024924; RESTRICTED SPECIFIC EMPLOYEE CRISIS - 27566; GAIN/LOSS ON ASSET, INTEREST - -212; |
| 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 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 ACO Clinical Services Inc | |||||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 464504901 | Virtual Care Center | MO | 501(c)(3) | 3 | 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 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 | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | 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 (11 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MHM Support Services | ||
| P | $10,510,893 | FMV |
| Mercy Health NW Arkansas Communities | ||
| P | $3,610,759 | FMV |
| Mercy Hospital Berryville | ||
| P | $2,646,929 | FMV |
| Mercy ACO Clinical Services | ||
| Q | $2,492,330 | FMV |
| Mercy Hospital Oklahoma City | ||
| Q | $264,367 | FMV |
| Mercy Hospital Springfield | ||
| P | $193,989 | FMV |
| Mercy Hospital Fort Smith | ||
| P | $139,687 | FMV |
| Mercy Health East Communities | ||
| Q | $122,279 | FMV |
| Mercy Hospitals East Communities | ||
| Q | $86,721 | FMV |
| Mercy Health Foundation NW Arkansas | ||
| P | $73,018 | FMV |
| Mercy Clinic Fort Smith Communities | ||
| P | $60,764 | 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 VI | 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. |
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