2023-05-15T18:01:18+00:00 2022-06-30 346565596 ERNST & YOUNG US LLP 221 EAST 4TH STREET SUITE 2900 CINCINNATI OH 45202 990 2021-07-01 710294390 Mercy Hospital Rogers MERC 3145796100 2710 RIFE MEDICAL LANE ROGERS AR 72758 Tammi Harmoning VICE PRESIDENT - FINANCE 4793388000 2023-05-15 true TAMMI HARMONING 999009999 Julie Sparks P01268401 5136121400 2021 2023-04-26 12:10:37Z Ryan Gehrig 2710 RIFE MEDICAL LANE ROGERS AR 72758 401804217 false 0928 X WWW.MERCY.NET X 1995 AR AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. 3 0 0 0 635 0 7002616 9476555 354471221 391024829 19140 1897 2552233 1300936 364045210 401804217 2789924 2075103 0 118124939 150811865 0 0 0 189537998 198241857 310452861 351128825 53592349 50675392 341012357 336231571 13558466 27099858 327453891 309131713 X AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. false false 79269032 0 105056409 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. 46232332 0 61272387 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. 28195931 0 37368481 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. 142764962 2075103 187327552 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. 142764962 2075103 187327552 296462257 true true false true false false false false false true false false false false false false true false false false false false false false false true true true true true false false false false false false false false false false false false false true true true false false true X 0 0 0 true true false false false false false false false false false false X 3 0 false false false false true true true true true false false true true true true true true false false true true X TAMMI HARMONING 4793388000 2710 RIFE MEDICAL LANE ROGERS AR 72758 Jeffrey Ciaramita MD SVP Chief Physician Executive & Board Member 1.0 54.0 X 0 1375830 127049 John Mohart MD President, Mercy Communities & Chairman of Board 1.0 59.0 X 0 827557 86789 Shannon Sock EVP - CSO, COO, & Board Member 1.0 49.0 X 0 2422966 291392 Christie Eckhardt VP, Chief Operations Counsel & Secretary 1.0 57.0 X 0 330556 21872 Eric Pianalto Community President (THRU 6/1/22) 10.0 40.0 X 0 879110 94862 Ryan Gehrig Community President (BEG 6/1/22) 2.0 48.0 X 0 1057305 95101 Tammi Harmoning VP Finance & Treasurer 0.0 50.0 X 0 227834 13346 Charlotte Rankin Chief Nursing Officer 30.0 30.0 X 0 458200 54075 Jason Wildeman VP Outpatient Services 5.0 40.0 X 0 231773 24782 Tanya Marion Regional VP - Human Resources 1.0 50.0 X 0 485849 63701 Dale A Wooten Perfusionist 40.0 0.0 X 0 173275 11881 Ian Cooper Registered Nurse 40.0 0.0 X 0 181077 18814 Robert D Dunham Director, Pharmacy Services 40.0 0.0 X 0 164901 25252 Sean M Slaba Perfusionist 40.0 0.0 X 0 181899 23741 Sharon Cheatum House Supervisor 40.0 0.0 X 0 158698 9405 Christopher Johnson Former Key Employee 0.0 0.0 X 0 578102 41324 Jon Swope Former Key Employee 0.0 0.0 X 0 770349 30013 Scott Reynolds Former Officer 0.0 0.0 X 0 410554 18940 0 10915835 1052339 0 true true false ANESTHESIA SERV BENTON COUNTY 3321 N Dixieland Road ROGERS AR 72756 PHYSICIAN SERVICES 5146944 HEALTHTRUST WORKFORCE SOL 100 Sawgrass Corp PKWY 6th SUNRISE FL 33323 Agency Staffing 3934274 AMN HEALTHCARE 12400 High Bluff Drive SAN DIEGO CA 92130 Agency Staffing 3113882 UNIVERSITY OF AR FOR MEDICAL SCIENCES 4301 W Markham Street LITTLE ROCK AR 72205 GME - Residents salary 2827651 KINDRED HOSPITAL REHAB SERV PO Box 502096 ST LOUIS MO 631502096 Rehab Services 2083553 54 9187936 288619 9476555 NET PATIENT SERVICE REVENUE 621110 382833590 382833590 OTHER OPERATING REVENUE 900099 8177330 7156620 1020710 BUILDING SERVICE REVENUE 900099 13274 13274 LAB INCOME 621511 635 635 0 0 0 0 391024829 1897 1897 30994 30994 0 30994 30994 0 0 CAFE & VENDING 900099 441503 441503 GIFT SHOP 900099 346018 346018 MEDICAL DIRECTOR REVENUE 900099 79846 79846 402575 0 0 402575 1269942 401804217 390003484 635 2323543 2067353 2067353 7750 7750 128375107 121271933 7103174 4235987 4021377 214610 10988475 10356690 631785 7212296 6837713 374583 24693 24693 19952733 17599643 2353090 0 222982 29675 193307 3186622 2611657 574965 99710 99710 8158697 4658728 3499969 378842 365718 13124 3626 2713 913 22204807 9823531 12381276 1141789 1141789 DRUGS & MEDICAL EXPENSES 66057510 66057510 SHARED SERVICE FEES 43820947 17966588 25854359 BAD DEBT 30829832 30829832 REPAIRS & MAINTENANCE 1285303 414799 870504 873764 297548 576216 0 351128825 296462257 54666568 0 7593023 8497663 0 0 57338 0 36109686 45297356 0 0 0 0 0 0 5597268 6152430 155655 186527 463133039 187976147 290598839 275156892 0 0 0 0 0 0 900548 940703 341012357 336231571 13528441 26181588 9000 9000 21025 909270 0 0 0 0 0 0 0 0 0 0 0 0 13558466 27099858 X 327481457 309131713 -27566 0 0 0 0 0 0 0 327453891 309131713 341012357 336231571 X 50675392 0 0 0 0 -68997570 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 24693 24693 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 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. 4255161 4255161 329688687 102460775 227227912 114721 107689 7032 125938794 84002256 41936538 3135676 1405427 1730249 275156892 Schedule D, Part X, Line 2 ASC 740 FOOTNOTE PRIMARILY ALL OF THE HEALTH SYSTEM ENTITIES ARE RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS CHARITABLE ORGANIZATIONS QUALIFYING UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), BY VIRTUE OF IRS DETERMINATION LETTERS OR INCLUSION IN THE OFFICIAL CATHOLIC DIRECTORY. THE HEALTH SYSTEM COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED ON THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2022 OR 2021. true true X true X true X true false true true 8535275 8535275 0.0266 39321096 29791504 9529592 0.0298 0 0.0 0 0 47856371 29791504 18064867 0.0564 13 2590 451777 451777 0.0014 13 766 4264590 4264590 0.0133 0 0.0 0 0.0 3 26303 30675 30675 0.0001 29 29659 4747042 0 4747042 0.0148 29 29659 52603413 29791504 22811909 0.0712 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 7350238 72207322 73182521 -975199 X true true 1 1 MERCY HOSPITAL ROGERS 2710 RIFE MEDICAL LANE ROGERS AR 72758 WWW.MERCY.NET AR497 X X X X MERCY HOSPITAL ROGERS 1 false false true X X X X X X X X X X 21 true false false true X https://www.mercy.net/content/dam/mercy/en/pdf/chna/nwa-chna-2022.pdf X true 22 true https://www.mercy.net/content/dam/mercy/en/pdf/chip/mercy-nwa-chip-2023.pdf false true X 200.0 300.0 X true true X X X true X https://www.mercy.net/patients-visitors/billing/financial-assistance/ X https://www.mercy.net/patients-visitors/billing/financial-assistance/ X https://www.mercy.net/patients-visitors/billing/financial-assistance/ X X X X X X true X false X X X X X true X false false 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. 2 CENTER FOR NON-PROFITS 1200 W WALNUT ROGERS AR 72756 HOME CARE MERCY WOUND CARE 1194 W WALNUT ROGERS AR 72756 WOUND CARE 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. true Mercy Health Fdn NW Arkansas 2710 Rife Medical Lane Rogers AR 72758 710601687 501(C)(3) 1206139 TO SUPPORT ORGS MISSION STM - Dialysis Cntrs of NW AR 107 E Monte Pntr Dr Fayetteville AR 72703 432074310 501(C)(3) 854636 To Support Orgs Mission 2 0 Scholarships 11 7750 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. X X X X true true true true false false false false false false false Jeffrey Ciaramita MD SVP Chief Physician Executive & Board Member 0 765459 0 415086 0 195285 0 112113 0 14936 0 1502879 0 0 John Mohart MD President, Mercy Communities & Chairman of Board 0 122146 0 658499 0 46912 0 69335 0 17454 0 914346 0 0 Shannon Sock EVP - CSO, COO, & Board Member 0 1012948 0 1236543 0 173475 0 276456 0 14936 0 2714358 0 0 Scott Reynolds Former Officer 0 0 0 0 0 410554 0 18940 0 0 0 429494 0 0 Christie Eckhardt VP, Chief Operations Counsel & Secretary 0 237476 0 77869 0 15211 0 7250 0 14622 0 352428 0 0 Ryan Gehrig Community President (BEG 6/1/22) 0 417730 0 434937 0 204638 0 76672 0 18429 0 1152406 0 152619 Tammi Harmoning VP Finance & Treasurer 0 171685 0 35865 0 20284 0 2170 0 11176 0 241180 0 0 Eric Pianalto Community President (THRU 6/1/22) 0 399172 0 358763 0 121175 0 76702 0 18160 0 973972 0 100643 Christopher Johnson Former Key Employee 0 507852 0 23143 0 47107 0 19217 0 22107 0 619426 0 0 Jon Swope Former Key Employee 0 0 0 0 0 770349 0 30013 0 0 0 800362 0 0 Tanya Marion Regional VP - Human Resources 0 282629 0 146119 0 57101 0 48928 0 14773 0 549550 0 20957 Charlotte Rankin Chief Nursing Officer 0 298870 0 127121 0 32209 0 47851 0 6224 0 512275 0 0 Jason Wildeman VP Outpatient Services 0 158552 0 44002 0 29219 0 7195 0 17587 0 256555 0 0 Sharon Cheatum House Supervisor 0 145495 0 2000 0 11203 0 2846 0 6559 0 168103 0 0 Ian Cooper Registered Nurse 0 163691 0 2000 0 15386 0 4789 0 14025 0 199891 0 0 Robert D Dunham Director, Pharmacy Services 0 148307 0 2000 0 14594 0 10930 0 14322 0 190153 0 0 Sean M Slaba Perfusionist 0 149276 0 2000 0 30623 0 6128 0 17613 0 205640 0 0 Dale A Wooten Perfusionist 0 156741 0 2000 0 14534 0 1411 0 10470 0 185156 0 0 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. 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. Casa de Misericordia 1000 Mier St Laredo TX 78040 742912461 Women's domestic violence shelter TX 501(c)(3) 7 Mercy Ministries of Laredo 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 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 true Mercy Clinic East Communities 645 Maryville Centre Drive Suite 100 St Louis MO 63141 431771217 Physician Group MO 501(c)(3) 10 Mercy Health East Communities true 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 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 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 true Mercy Family Center 110 Veterans Blvd Metairie LA 70005 721069468 Family counseling service LA 501(c)(3) 7 Mercy Health 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 true Mercy Health Fort Smith Communities 7301 Rogers Avenue Fort Smith AR 72917 261318515 Holding Company AR 501(c)(3) Type II Mercy Health true Mercy Health Foundation 14528 S Outer Forty Suite 100 Chesterfield MO 63017 200901499 Foundation MO 501(c)(3) Type II Mercy Health 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 true Mercy Health Foundation Ardmore 1011 14th Avenue NW Ardmore OK 73401 710962525 Foundation OK 501(c)(3) Type I Mercy Hospital Ardmore Inc true Mercy Health Foundation Berryville 214 Carter Street Berryville AR 72616 710759301 Foundation AR 501(c)(3) Type I Mercy Hospital Berryville 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 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 true Mercy Health Foundation Jefferson 1400 US Highway 61 South Festus MO 63028 462797051 Foundation MO 501(c)(3) Type II Mercy Hospital Jefferson true Mercy Health Foundation Joplin 100 Mercy Way Joplin MO 64804 270906136 Foundation MO 501(c)(3) 7 Mercy Health Southwest MissouriKansas Communities true Mercy Health Foundation Lebanon 100 Hospital Drive Lebanon MO 65536 822514567 Foundation MO 501(c)(3) Type II Mercy Hospital Lebanon true Mercy Health Foundation Lincoln 1000 East Cherry Street Troy MO 63379 811477159 Foundation MO 501(c)(3) Type II Mercy Hospitals East Communities true Mercy Health Foundation Northwest Arkansas 2710 Rife Medical Lane Rogers AR 72758 710601687 Foundation AR 501(c)(3) 7 Mercy Hospital Rogers 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 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 true Mercy Health Foundation Springfield 1235 E Cherokee Street Springfield MO 65804 320195818 Foundation MO 501(c)(3) Type II Mercy Health Springfield Communities 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 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 true Mercy Health Foundation Washington 901 E Fifth Street Washington MO 63090 562410022 Foundation MO 501(c)(3) Type II Mercy Health East Communities true Mercy Health Northwest Arkansas Communities 2710 Rife Medical Lane Rogers AR 72758 621684203 Physician Group AR 501(c)(3) 10 Mercy Health 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 true Mercy Health Plans of Missouri Inc 3265 S National Avenue Springfield MO 65807 320481419 HMO MO 501(c)(4) Mercy Health true Mercy Health Plans Inc 3265 S National Avenue Springfield MO 65807 320486150 PPO MO 501(c)(4) Mercy Health Plans of Missouri Inc true Mercy Health Southwest MissouriKansas Communities 100 Mercy Way Joplin MO 64804 300584463 Health System MO 501(c)(3) Type II Mercy Health true Mercy Health Springfield Communities 1235 E Cherokee Street Springfield MO 65804 431856028 Health System MO 501(c)(3) Type II Mercy Health 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 true Mercy Hospital Ardmore Inc 1011 14th Avenue NW Ardmore OK 73401 731500629 Hospital OK 501(c)(3) 3 Mercy Health Oklahoma Communities Inc true Mercy Hospital Aurora 500 Porter Avenue Aurora MO 65605 431936696 Hospital MO 501(c)(3) 3 Mercy Health Springfield Communities true Mercy Hospital Berryville 214 Carter Street Berryville AR 72616 710759299 Hospital AR 501(c)(3) 3 Mercy Health Northwest Arkansas Communities true Mercy Hospital Booneville 880 West Main Street Booneville AR 72927 463851119 Hospital AR 501(c)(3) 3 Mercy Hospital Fort Smith true Mercy Hospital Carthage 3125 Dr Russell Smith Way Carthage MO 64836 453808607 Hospital MO 501(c)(3) 3 Mercy Health Southwest MissouriKansas Communities true Mercy Hospital Cassville 94 Main Street Cassville MO 65625 431936699 Hospital MO 501(c)(3) 3 Mercy Health Springfield Communities true Mercy Hospital Columbus 220 Pennsylvania Avenue Columbus KS 66725 270842031 Hospital KS 501(c)(3) 3 Mercy Health Southwest MissouriKansas Communities 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 true Mercy Hospital Fort Smith 7301 Rogers Avenue Fort Smith AR 72903 710240352 Hospital AR 501(c)(3) 3 Mercy Health Fort Smith Communities true Mercy Hospital Healdton Inc 3462 Hospital Rd Healdton OK 73438 263173902 Hospital OK 501(c)(3) 3 Mercy Hospital Ardmore Inc true Mercy Hospital Jefferson 1400 Highway 61 South Festus MO 63028 430687077 Hospital MO 501(c)(3) 3 Mercy Health East Communities true Mercy Hospital Joplin 100 Mercy Way Joplin MO 64804 270814858 Hospital MO 501(c)(3) 3 Mercy Health Southwest MissouriKansas Communities true Mercy Hospital Kingfisher Inc 1000 Kingfisher Regional Hospital Circle Kingfisher OK 73750 463433074 Hospital OK 501(c)(3) 3 Mercy Hospital Oklahoma City Inc true Mercy Hospital Lebanon 100 Hospital Drive Lebanon MO 65536 431767432 Hospital MO 501(c)(3) 3 Mercy Health Springfield Communities true Mercy Hospital Lincoln 1000 East Cherry Street Troy MO 63379 472219204 Hospital MO 501(c)(3) 3 Mercy Hospitals East Communities true Mercy Hospital Logan County Inc 200 South Academy Guthrie OK 73044 452998842 Hospital OK 501(c)(3) 3 Mercy Hospital Oklahoma City Inc 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 true Mercy Hospital Ozark 801 W River Street Ozark AR 72949 710689680 Hospital AR 501(c)(3) 3 Mercy Hospital Fort Smith true Mercy Hospital Paris 500 E Academy Paris AR 72855 710655753 Hospital AR 501(c)(3) 3 Mercy Hospital Fort Smith true Mercy Hospital Springfield 1235 E Cherokee Street Springfield MO 65804 440552485 Hospital MO 501(c)(3) 3 Mercy Health Springfield Communities true Mercy Hospital Tishomingo Inc 1000 South Byrd Tishomingo OK 73460 274433830 Hospital OK 501(c)(3) 3 Mercy Hospital Ada Inc true Mercy Hospital Waldron 1341 W 6th Street Waldron AR 72958 710557895 Hospital AR 501(c)(3) 3 Mercy Hospital Fort Smith true Mercy Hospital Watonga Inc 500 Clarence Nash Blvd Watonga OK 73772 455199762 Hospital OK 501(c)(3) 3 Mercy Hospital Oklahoma City Inc 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 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 true Mercy Ministries of Laredo 2500 Zacatecas St Laredo TX 78046 200198462 Outreach TX 501(c)(3) 7 Mercy Health true Mercy Research 524 North Booneville Avenue Springfield MO 65802 870796305 Research MO 501(c)(3) 4 Mercy Health true Mercy St Francis Hospital 100 W Highway 60 Mountain View MO 65548 440607149 Hospital MO 501(c)(3) 3 Mercy Health Springfield Communities 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 true Mission Clinical Services 300 Werner Street Hot Springs AR 71913 134239691 Child advocacy center AR 501(c)(3) 3 Mercy Health 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) 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 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) 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 true 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 perty 7301 Rogers Avenue Fort Smith AR 72903 710554050 Office Building AR NA 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 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 Aon House 30 Woodbourne Avenue Pembroke bermuda BD HM08 000000000 Inactive BD NA C Corporation false true true false false false false false false false false false false false false true true false false MHM Support Services P 10510893 FMV Mercy Health NW Arkansas Communities P 3610759 FMV Mercy Hospital Berryville P 2646929 FMV Mercy ACO Clinical Services Q 2492330 FMV Mercy Hospital Oklahoma City Q 264367 FMV Mercy Hospital Springfield P 193989 FMV Mercy Hospital Fort Smith P 139687 FMV Mercy Health East Communities Q 122279 FMV Mercy Hospitals East Communities Q 86721 FMV Mercy Health Foundation NW Arkansas P 73018 FMV Mercy Clinic Fort Smith Communities P 60764 FMV 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.