2021-05-14T08:11:45-05:00 2020-06-30 ERNST & YOUNG US LLP 221 E 4TH ST SUITE 2900 CINCINNATI OH 45202 990 2019-07-01 261318597 MERCY CLINIC FORT SMITH COMMUNITIES % GRETA WILCHER VP OF FINANCE MERC 3145796100 7301 ROGERS AVENUE FORT SMITH AR 72903 GRETA WILCHER VP OF FINANCE 4793146000 2021-05-13 true JULIE L SPARKS P01268401 5136121400 2021-05-13 2019 2022-09-23 18:48:47Z RYAN GEHRIG 7301 ROGERS AVENUE FORT SMITH AR 72903 84710835 false 0928 X www.mercy.net X 2007 AR AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. 10 0 206 0 0 0 729 13241 95060193 84697594 -18745 0 42511 0 95084688 84710835 13500 2250 0 0 100798422 100059122 0 0 0 28208595 27922834 129020517 127984206 -33935829 -43273371 15580827 14442389 8324854 5517882 7255973 8924507 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 31860923 0 24980359 FAMILY MEDICINE PHYSICIAN SERVICES: MERCY CLINIC FORT SMITH'S FAMILY MEDICINE PHYSICIAN SERVICES ARE COMPRISED OF 44 FAMILY MEDICINE PHYSICIANS AND 23 APC PRACTITIONERS, WHO PROVIDED PRIMARY MEDICINE SERVICES TO PATIENTS RANGING FROM ONE YEAR OLD THROUGH ADULTHOOD. THESE SERVICES ARE OFFERED IN APPROXIMATELY 24 LOCATIONS THROUGHOUT SEBASTIAN COUNTY ARKANSAS AND THE SURROUNDING SERVICE AREA. DURING THE YEAR, 215,785 OFFICE VISITS WERE PROVIDED TO PATIENTS. 14774732 0 8909137 CARDIOVASCULAR PHYSICIAN SERVICES: MERCY CLINIC FORT SMITH'S CARDIOVASCULAR PHYSICIAN SERVICES ARE COMPRISED OF 9 CARDIOLOGISTS, 1 CARDIOVASCULAR SURGEON AND 11 APC PRACTITIONERS. THESE PROVIDERS SERVE PATIENTS THROUGHOUT SEBASTIAN COUNTY ARKANSAS AND THE SURROUNDING SERVICE AREA, WHO HAVE HEART RELATED MEDICAL NEEDS. DURING THE YEAR, 33,887 OFFICE VISITS WERE PROVIDED TO PATIENTS. 12649112 0 9242824 ORTHOPEDIC PHYSICIAN SERVICES: MERCY CLINIC FORT SMITH'S ORTHOPEDIC PHYSICIAN SERVICES ARE COMPRISED OF 11 BOARD CERTIFIED SURGEONS, 1 SPORTS MEDICINE PHYSICIAN AND 5 APC PRACTITIONERS, WHO PROVIDED SPECIALIZED CARE FOR A VARIETY OF MUSCULOSKELETAL DISORDERS AND INJURIES TO PATIENTS THROUGHOUT SEBASTIAN COUNTY ARKANSAS AND THE SURROUNDING SERVICE AREA. OUR BOARD-CERTIFIED SURGEONS SPECIALIZE IN ORTHOPEDIC CARE, SPORTS MEDICINE AND TREATMENT FOR ORTHOPEDIC TRAUMA WITH YOUR MOBILITY AS THEIR FOCUS. DURING THE YEAR, 38,575 OFFICE VISITS WERE PROVIDED TO PATIENTS. 57618991 2250 41565274 116903758 true true false false false false false false false false true false false false true false false true false false false false false false false false false false false true false false false false false false true false false false false false true true true true false false true X 0 0 206 true false false false false false false false false false false false false X 10 0 false false false false true true true true true false false true true true true true true false true false X GRETA WILCHER VP OF FINANCE 4793146000 7301 ROGERS AVENUE FORT SMITH AR 72903 Swope Jon President -Central Communities 2.0 58.0 X 0 1252573 170347 Garlow Timothy J Physician 60.0 0.0 X 930062 0 28735 Schwarz Julio F Physician 60.0 0.0 X 908557 0 24145 Nelson Stephen Physician 60.0 0.0 X 883135 0 25985 Cross Christopher Physician 60.0 0.0 X 884149 0 22340 Samman Zaki Physician 60.0 0.0 X 879712 0 22770 Goodman Raymond Cole Clinic President 60.0 0.0 X X 802517 0 40173 Gehrig Ryan Chief Executive Officer 10.0 50.0 X X 0 694361 83429 Blackwell MD Jeff Physician & Board Member 60.0 0.0 X 750632 0 25451 Coleman MD Christopher M Physician & Board Member 55.0 5.0 X 734436 0 21860 Reynolds Scott CFO - Central Communities 6.0 54.0 X 0 567650 110425 Dupree MD Matthew Physician & Board Member 60.0 0.0 X 595172 0 26612 Anand MD Dheeraj Hospitalist & Board Member 60.0 0.0 X 579033 0 16426 Wagner MD Kendall Physician & Board Member 60.0 0.0 X 524010 0 25917 Gwartney MD Michael Physician & Board Member 60.0 0.0 X 485023 0 30351 Marion Tanya Regional VP - Human Resources 3.0 57.0 X 0 380401 66401 Fore Amy Clinic Operations Officer 60.0 0.0 X X 348498 0 62419 Beachy MD Allen Physician & Board Member 60.0 0.0 X 322017 0 30625 Sing MD Rachel Physician & Board Member 60.0 0.0 X 328166 0 22955 Riche Andrew B Physician & Board Member 60.0 0.0 X 303879 0 28182 Wilcher Greta VP-Finance 15.0 45.0 X 0 278502 42996 Burks MD Jennifer Physician & Board Member 60.0 0.0 X 265866 0 19237 Calero-Baquerizo Fernando Physician & Board Member 60.0 0.0 X 237040 0 16281 BEAN MD PAUL PHYSICIAN & BOARD MEMBER 55.0 5.0 X 137858 0 4144 10899762 3173487 968206 241 false true false WEAR CONSTRUCTION MANAGEMENT INC PO Box 3218 5507 South 28 Street FORT SMITH AR 72913 CONSTRUCTION SVCS 607121 VVC HOLDING CORP PO Box 840962 DALLAS TX 752840952 IT SUPPORT 449214 HEALTHCARE FINANCIAL SERVICES PO Box 641419 PITTSBURGH PA 152641419 IT SUPPORT 400754 GE PRECISION HEALTHCARE LLC PO Box 96483 CHICAGO IL 60693 IMAGING SERVICES 201580 ARKANSAS COLLEGES OF HEALTH EDUCATI 7000 Chad Colley Blvd FORT SMITH AR 72916 CONTRACT LABOR 194380 5 13241 0 13241 NET PATIENT SERVICE REVENUE 621110 79587429 79587429 CAPITATION BONUS 531120 3122270 3122270 OTHER OPERATING REVENUE 900099 1966073 1966073 RENTAL INCOME FROM RELATED ORGS 531120 21822 21822 84697594 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 84710835 84697594 2250 2250 0 0 0 9375729 8858700 517029 960913 907923 52990 77417765 73148526 4269239 1269906 1199876 70030 7030767 6643052 387715 4004042 3783237 220805 0 20728 20728 0 0 0 0 454438 452623 1815 18141 2718 15423 1077638 631706 445932 601966 22860 579106 0 8352912 7761180 591732 193721 134265 59456 0 18 18 0 0 1209600 1118909 90691 1164276 1072306 91970 BAD DEBT 3173315 3173315 SHARED SERVICE FEES 6220097 2736843 3483254 DRUGS & MEDICAL EXPENSES 5053689 5053689 REPAIRS $ MAINTENANCE 242448 192820 49628 139847 6960 132887 127984206 116903758 11080448 0 16176 16296 0 0 0 0 7810076 5942198 0 0 0 0 0 0 0 0 799975 84213 15157557 7823217 5968856 7334340 0 0 0 0 0 0 969500 969500 16244 95842 15580827 14442389 3427510 2108161 0 0 0 0 0 0 0 0 0 0 0 88290 0 0 4897344 3321431 8324854 5517882 X 7255973 8924507 0 0 7255973 8924507 15580827 14442389 X -43273371 44941905 X X false true X true true true X SCHEDULE A, ADDITIONAL INFORMATION THE FILING ENTITY'S PUBLIC CHARITY STATUS IS A HOSPITAL; HOWEVER, THE FILING ENTITY DOES NOT HAVE A LICENSE OR OPERATE A HOSPITAL FACILITY FOR SCHEDULE H REPORTING PURPOSES. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 241449 50988 190461 75599 31336 44263 14734970 7725799 7009171 105539 15094 90445 7334340 0 DUE TO AFFILIATES 3321431 3321431 FORM 990, SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE PRIMARILY ALL OF THE HEALTH SYSTEM ENTITIES ARE RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS CHARITABLE ORGANIZATIONS QUALIFYING UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), BY VIRTUE OF IRS DETERMINATION LETTERS OR INCLUSION IN THE OFFICIAL CATHOLIC DIRECTORY. THE HEALTH SYSTEM COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED ON THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2020 OR 2019. X X X true true true true false false false false false false false Swope Jon President -Central Communities 0 739152 0 450654 0 62767 0 153986 0 16361 0 1422920 0 0 Garlow Timothy J Physician 841590 0 49986 0 38486 0 12375 0 16360 0 958797 0 0 0 Schwarz Julio F Physician 859352 0 42347 0 6858 0 11000 0 13145 0 932702 0 0 0 Nelson Stephen Physician 827138 0 5545 0 50452 0 9625 0 16360 0 909120 0 0 0 Cross Christopher Physician 832185 0 32424 0 19540 0 9625 0 12715 0 906489 0 0 0 Samman Zaki Physician 805546 0 46844 0 27322 0 9625 0 13145 0 902482 0 0 0 Goodman Raymond Cole Clinic President 281786 0 262477 0 258254 0 34127 0 6046 0 842690 0 0 0 Gehrig Ryan Chief Executive Officer 0 410420 0 268424 0 15517 0 67134 0 16295 0 777790 0 0 Blackwell MD Jeff Physician & Board Member 691360 0 39786 0 19486 0 12375 0 13076 0 776083 0 0 0 Coleman MD Christopher M Physician & Board Member 711697 0 21497 0 1242 0 5500 0 16360 0 756296 0 0 0 Reynolds Scott CFO - Central Communities 0 392239 0 115012 0 60399 0 98156 0 12269 0 678075 0 0 Dupree MD Matthew Physician & Board Member 572479 0 3003 0 19690 0 16389 0 10223 0 621784 0 0 0 Anand MD Dheeraj Hospitalist & Board Member 528991 0 11556 0 38486 0 9625 0 6801 0 595459 0 0 0 Wagner MD Kendall Physician & Board Member 486302 0 18245 0 19463 0 9625 0 16292 0 549927 0 0 0 Gwartney MD Michael Physician & Board Member 426083 0 12640 0 46300 0 17875 0 12476 0 515374 0 0 0 Marion Tanya Regional VP - Human Resources 0 261390 0 82453 0 36558 0 50235 0 16166 0 446802 0 0 Fore Amy Clinic Operations Officer 244505 0 75428 0 28565 0 46004 0 16415 0 410917 0 0 0 Beachy MD Allen Physician & Board Member 284467 0 12023 0 25527 0 17431 0 13194 0 352642 0 0 0 Sing MD Rachel Physician & Board Member 291874 0 18132 0 18160 0 9625 0 13330 0 351121 0 0 0 Riche Andrew B Physician & Board Member 270426 0 14841 0 18612 0 15125 0 13057 0 332061 0 0 0 Wilcher Greta VP-Finance 0 205962 0 25239 0 47301 0 31067 0 11929 0 321498 0 0 Burks MD Jennifer Physician & Board Member 235778 0 14274 0 15814 0 11060 0 8177 0 285103 0 0 0 Calero-Baquerizo Fernando Physician & Board Member 207438 0 11310 0 18292 0 8763 0 7518 0 253321 0 0 0 FORM 990, SCHEDULE J, PART I, LINE 1 CHARTER TRAVEL IS PROVIDED TO CERTAIN EMPLOYEES AS AND WHEN APPROPRIATE, AND AS DEEMED NECESSARY FOR BUSINESS TRAVEL. AFTER CHARTER TRAVEL APPROVAL HAS BEEN GRANTED IN ACCORDANCE WITH THE FINANCIAL JUSTIFICATION PROCESS, THE APPROVED CHARTER TRAVEL FOR BUSINESS IS A REIMBURSABLE EXPENSE WHICH IS NOT TAXABLE TO THE EMPLOYEES. ONE LISTED INDIVIDUAL (A KEY EMPLOYEE) RECEIVED THIS BENEFIT DURING THE YEAR. TRAVEL FOR COMPANIONS FOR NONBUSINESS REASONS IS PROVIDED IN CERTAIN INSTANCES AND IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. WHERE COMPANION TRAVEL HAS RESULTED IN A TAXABLE EVENT, THE EMPLOYEES ARE TAXED FOR SUCH TRAVEL. SPOUSAL TRAVEL WAS PROVIDED FOR TWO LISTED INDIVIDUALS (A KEY EMPLOYEE AND A DIRECTOR). FORM 990, SCHEDULE J, PART I, QUESTION 3 MERCY CLINIC FORT SMITH COMMUNITIES RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTION 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS. FORM 990, SCHEDULE J, PART I, QUESTION 4A THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT DURING CALENDAR 2019: RAYMOND (COLE) GOODMAN $194,032. FORM 990, SCHEDULE J, PART I, QUESTION 4B MERCY HEALTH OFFERS SUPPLEMENTAL RETIREMENT PLANS TO CERTAIN EXECUTIVES WHICH PROVIDE BENEFITS UPON VESTING DATE BASED ON COMPENSATION, AGE AT THE TIME OF BENEFIT COMMENCEMENT, LENGTH OF SERVICE WITH THE COMPANY AND/OR ITS AFFILIATES AND LENGTH OF TENURE IN THE PLAN. THE PLANS ARE CLOSED TO NEW ENTRANTS. THE INDIVIDUALS REPORTABLE ON THIS RETURN WHO PARTICIPATE IN THE SUPPLEMENTAL RETIREMENT PLANS INCLUDE: AMY FORE, RYAN GEHRIG, TANYA MARION, SCOTT REYNOLDS, AND JON SWOPE. THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C). MARIA MOLINEROS MD FAMILY MEMBER OF BOARD MEMBER 299128 EMPLOYMENT false PRIYANKA SANON FAMILY MEMBER OF BOARD MEMBER 579920 EMPLOYMENT false FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES MERCY CLINIC FORT SMITH EMPLOYS AND CONTRACTS WITH PHYSICIANS WHOSE PRIMARY ROLE IS TO PROVIDE INPATIENT AND OUTPATIENT SERVICES. MERCY CLINIC FORT SMITH PROVIDES SERVICES THROUGH THE PRIMARY CARE, HOSPITAL BASED, SURGICAL AND MEDICAL SPECIALTIES DEPARTMENTS. MERCY CLINIC FORT SMITH IS AN INTEGRAL PART OF THE OVERALL HEALTH AND WELFARE OF THE FORT SMITH AREA AND SURROUNDING RURAL COMMUNITIES. FORM 990, PART V, QUESTION 1A FORM 1099/1096 FILING VENDORS FOR THE FILING ORGANIZATION ARE PAID BY MERCY HEALTH (EIN 43-1423050). AS SUCH, ALL REQUIRED FORM 1099 AND FORM 1096 REPORTING IS MADE FOR THE ENTIRE MERCY HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN. FORM 990, PART VI, LINE 6A, LINE 7A, 7B CLASSES OF MEMBERS OR STOCKHOLDERS THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH FORT SMITH COMMUNITIES. THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES ARE RESERVED SOLELY FOR THE SOLE CORPORATE MEMBER: - ADOPT OR AMEND THE MISSION AND PHILOSOPHY OF THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - ADOPT OR AMEND THE OPERATING AND CAPITAL BUDGETS OF THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION AND ANY CHANGES IN SUCH BUDGETS IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE MEMBER; - REVIEW AND APPROVE ANY CAPITAL EXPENDITURES OR RECOMMENDATIONS NOT PREVIOUSLY APPROVED AS PART OF THE CORPORATION'S BUDGETS; - AUTHORIZE OR APPROVE THE ASSIGNMENT, TRANSFER, SALE OR LEASE OF ANY OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION OR INTEREST THEREIN IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE MEMBER; - AUTHORIZE OR APPROVE THE GRANT OF ANY PLEDGE, LIEN, ENCUMBRANCE, MORTGAGE, DEED OF TRUST OR OTHER SECURITY INTEREST IN ANY OR ALL OF THE ASSETS OF THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - AUTHORIZE OR APPROVE THE INCURRENCE OF DEBT (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) BY THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION AND THE GRANT ANY SECURITY INTERESTS, THE PLACEMENT OF ANY ENCUMBRANCES, THE ENTERING INTO ANY COVENANTS, AND THE EXECUTION OF ANY DOCUMENTS AND THE TAKING OF ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; - MERGE, DISSOLVE OR ABANDON THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - AMEND THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - APPOINT DIRECTORS; - ESTABLISH ALL COMPENSATION AND BENEFIT TERMS FOR PHYSICIANS AND OTHER MEDICAL PROFESSIONALS EMPLOYED OR OTHERWISE RETAINED BY THE CORPORATION; - REMOVE DIRECTORS WITH OR WITHOUT CAUSE; - APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH ANY OTHER ORGANIZATION CONTROLLED BY THE CORPORATION; - APPROVE CONTRACTS IN WHICH THE CORPORATION ASSUMES FINANCIAL RISK, INCLUDING BUT NOT LIMITED TO MANAGED CARE CONTRACTS, SUBJECT TO CONSULTATION WITH THE MANAGED CARE CONTRACTING COMMITTEE OF THE MEMBER; - APPROVE THE CORPORATION'S MANPOWER PLAN; - THROUGH THE SOLE ACTION OF THE PRESIDENT OF THE MEMBER (WITH THE APPROVAL OF THE PRESIDENT OF MH), APPOINT AND REMOVE THE PRESIDENT OF THE CORPORATION; AND - AUTHORIZE AND AMEND THE CHARITY CARE POLICY OF THE CORPORATION. FORM 990, PART VI, QUESTION 11B DSCR THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 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, QUESTION 12C DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER DISQUALIFIED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY AND DID SO IN THE NORMAL COURSE FOR THE YEAR ENDED JUNE 30, 2020. 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, QUESTIONS 15A & 15B OFFICERS & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FOR THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS), THE ORGANIZATION RELIES UPON MERCY HEALTH, WHICH USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT, AND REVIEW/APPROVAL OF COMPENSATION BY THE COMPENSATION COMMITTEE OF THE BOARD OF MERCY HEALTH. FOR THOSE CLASSIFIED AS KEY EMPLOYEES, THE FILING 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, QUESTION 19 AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMT TO GEN PUBLIC GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST BUT ARE NOT PUBLISHED PUBLICLY. FORM 990, PART VII, SECTION B IT IS POSSIBLE THAT A PORTION OF THE AMOUNTS REPORTED FOR CONSTRUCTION SERVICES MAY INCLUDE EXPENSE REIMBURSEMENT, IN ADDITION TO AMOUNTS PAID FOR SERVICES. HOWEVER, THE AMOUNTS ARE NOT DISTINGUISHABLE. FORM 990, PART VIII IMPACT OF COVID-19 PANDEMIC EARLY IN 2020, THE MERCY HEALTH SYSTEM WAS CALLED TO SERVE AS THE COVID-19 PANDEMIC SWEPT ACROSS THE WORLD. THIS CONTINUES TO BE A DIFFICULT TIME FOR ALL HEALTHCARE PROVIDERS. ALL MERCY FACILITIES ADJUSTED OPERATIONS FOR THE IMPACTS OF THE PANDEMIC WHICH MEANT MAKING CHANGES TO PATIENT CARE AREAS AND CANCELLING MOST OF OUR OUTPATIENT PROCEDURES FOR PERIODS OF TIME. 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'S TOTAL SYSTEM NET PATIENT REVENUES WERE REDUCED BY OVER $550 MILLION DOLLARS DURING THE FOUR MONTHS ENDING JUNE 30, 2020, AND THIS FIGURE DOES NOT INCLUDE THE IMPACT OF ANY CORONAVIRUS AID RELIEF AND ECONOMIC SECURITY ACT ("CARES ACT") FUNDING. MERCY RECEIVED CARES ACT FUNDING ACROSS VARIOUS ENTITIES FOR THE YEAR ENDED JUNE 30, 2020 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 IN THESE MONTHS DUE TO THE PANDEMIC. THE IMPACT OF COVID-19 WAS SIGNIFICANT TO OUR COMMUNITIES AND COWORKERS AS UNEMPLOYMENT RATES SOARED AND MERCY ACTED QUICKLY TO PROVIDE CONTINUOUS CARE TO PATIENTS AND THE COMMUNITY. MERCY CONTINUES TO MONITOR THE IMPACTS OF THE PANDEMIC BOTH TO THE HEALTH SYSTEM AND THE COMMUNITIES SERVED AS WE CONTINUE TO PROVIDE ASSISTANCE AND MAINTAIN ACCESS TO CARE WITHIN OUR COMMUNITIES. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS NET TRANSFERS TO/FROM AFFILIATES = $44,941,905. FORM 990, PART XII, QUESTION 2 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 2020 (THE TAX YEAR CURRENTLY BEING REPORTED). HOWEVER, NO SEPARATE AUDIT OPINION WAS ISSUED ON THE FINANCIAL STATEMENTS OF THE FILING ORGANIZATION. THE ULTIMATE RESPONSIBILITY FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE EXTERNAL AUDITOR LIES WITH THE STEWARDSHIP COMMITTEE OF THE MERCY HEALTH BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE. FORM 990, PART XII, QUESTION 3A AND 3B SINGLE AUDIT ACT AND 2 CFR 200 AUDIT MERCY HEALTH UNDERGOES A CONSOLIDATED 2 CFR 200 AUDIT EVERY YEAR. THIS AUDIT IS UNDERWAY FOR THE FISCAL YEAR ENDING JUNE 30, 2020 AND WILL BE COMPLETED BY JUNE 30, 2021. 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, 2020, IT WILL BE INCLUDED ON THE MERCY HEALTH CONSOLIDATED SEFA, AND THEREFORE, ALSO INCLUDED IN THE POPULATION INCLUDED IN THE AUDIT. Casa de Misericordia 1000 MIER STREET Laredo TX 78040 742912461 SHELTER TX 501c3 7 MM LAREDO true McAuley Portfolio Management Company 14528 S Outer Forty Suite 100 Chesterfield MO 63017 261708048 PORT MGMT MO 501c3 12b Mercy Health true Mercy ACO Clinical Services Inc 14528 S Outer Forty Suite 100 Chesterfield MO 63017 464504901 VIRTUAL CARE MO 501c3 3 Mercy Health true Mercy Clinic East Communities 645 Maryville Ctr Ste 100 St Louis MO 63141 431771217 PHYS GROUP MO 501c3 10 MH EAST COMM true Mercy Clinic Oklahoma Communities Inc 4300 W Memorial Road Oklahoma City OK 73120 270473057 PHYS GROUP OK 501c3 3 MH OK COMM true Mercy Clinic Springfield Communities 1965 Fremont Street Suite 2950 Springfield MO 65804 431560263 PHYS GROUP MO 501c3 3 MH SF COMM true Mercy Family Center 14528 S Outer Forty Suite 100 Chesterfield MO 63017 721069468 COUNSELING LA 501c3 7 Mercy Health true Mercy Health 14528 S Outer Forty Suite 100 Chesterfield MO 63017 431423050 CORP OFFICE MO 501c3 1 NA false Mercy 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Health Foundation Jefferson 1400 US Highway 61 South Festus MO 63028 462797051 Foundation MO 501c3 12b MH JEFFERSON true Mercy Health Foundation Joplin 100 Mercy Way Joplin MO 64804 270906136 Foundation MO 501c3 7 MH SW MOKS true Mercy Health Foundation Lebanon 100 Hospital Drive Lebanon MO 65536 822514567 Foundation MO 501c3 12b MH LEBANON true Mercy Health Foundation Lincoln 1000 East Cherry Street Troy MO 63379 811477159 Foundation MO 501c3 12b MH EAST COMM true Mercy Health Foundation Nw Arkansas 2710 Rife Medical Lane Rogers AR 72758 710601687 Foundation AR 501c3 7 MH ROGERS true Mercy Health Foundation of Oklahoma 4300 W Memorial Road Oklahoma City OK 73120 454732301 Foundation OK 501c3 12a MH OK COMM true Mercy Health Foundation Oklahoma City 4300 W Memorial Road Oklahoma City OK 73120 463184231 Foundation OK 501c3 12a MH OK City true Mercy Health Foundation Springfield 1235 E Cherokee Street Springfield MO 65804 320195818 Foundation MO 501c3 12b MH SF COMM true Mercy Health Foundation St Francis 100 W Highway 60 Mountain View MO 65548 431873914 Foundation MO 501c3 12a M St Francis true Mercy Health Foundation St Louis 14528 S Outer Forty Suite 100 Chesterfield MO 63017 562410020 Foundation MO 501c3 12b MH EAST COMM true Mercy Health Foundation Washington 901 E Fifth Street Washington MO 63090 562410022 Foundation MO 501c3 12b MH EAST COMM true Mercy Health NW Arkansas Communities 2710 Rife Medical Lane Rogers AR 72758 621684203 PHYS GROUP AR 501c3 10 Mercy Health true Mercy Health Oklahoma Communities Inc 4300 W Memorial Road Oklahoma City OK 73120 731453048 HLTH SYSTEM OK 501c3 12a Mercy Health true Mercy Health Plans of Missouri Inc 3265 S National Avenue Springfield MO 65807 320481419 HMO MO 501c4 N/A Mercy Health true Mercy Health Plans Inc 3265 S National Avenue Springfield MO 65807 320486150 PPO MO 501c4 N/A MH PLANS MO true Mercy Health SW MOKS Communities 100 Mercy Way Joplin MO 64804 300584463 HLTH SYSTEM MO 501c3 12b Mercy Health true Mercy Health Springfield Communities 1235 E Cherokee Street Springfield MO 65804 431856028 HLTH SYSTEM MO 501c3 12b Mercy Health true Mercy Home Health Berryville 804 W Freeman Suite 4 Berryville AR 72616 870781247 Inactive AR 501c3 12a MH SPRINGFLD true Mercy Hospital Ada Inc 430 N Monte Vista Street Ada OK 74820 462288155 Hospital OK 501c3 3 MH OK COMM true Mercy Hospital Ardmore Inc 1011 14th Avenue NW Ardmore OK 73401 731500629 Hospital OK 501c3 3 MH OK COMM true Mercy Hospital Aurora 500 Porter Avenue Aurora MO 65605 431936696 Hospital MO 501c3 3 MH SF COMM true Mercy Hospital Berryville 214 Carter Street Berryville AR 72616 710759299 Hospital AR 501c3 3 MH NW AK COM true Mercy Hospital Booneville 880 West Main Street Booneville AR 72927 463851119 Hospital AR 501c3 3 MH FT SMITH true Mercy Hospital Carthage 3125 Dr Russell Smith Way Carthage MO 64836 453808607 Hospital MO 501c3 3 MH SW MOKS true Mercy Hospital Cassville 94 Main Street Cassville MO 65625 431936699 Hospital MO 501c3 3 MH SF COMM true Mercy Hospital Columbus 220 Pennsylvania Avenue Columbus KS 66725 270842031 Hospital KS 501c3 3 MH SW MOKS true Mercy Hospital El Reno Inc 2115 Parkview Drive El Reno OK 73036 272716065 Hospital OK 501c3 3 MH OK City true Mercy Hospital Fort Smith 7301 Rogers Avenue Fort Smith AR 72903 710240352 Hospital AR 501c3 3 MH FS COMM true Mercy Hospital Healdton Inc 3462 Hospital Rd Healdton OK 73438 263173902 Hospital OK 501c3 3 MH ARDMORE true Mercy Hospital Jefferson 1400 Highway 61 South Festus MO 63028 430687077 Hospital MO 501c3 3 MH EAST COMM true Mercy Hospital Joplin 100 Mercy Way Joplin MO 64804 270814858 Hospital MO 501c3 3 MH SW MOKS true Mercy Hospital Kingfisher Inc 1000 Kingfisher Regional Hospital C Kingfisher OK 73750 463433074 Hospital OK 501c3 3 MH OK City true Mercy Hospital Lebanon 100 Hospital Drive Lebanon MO 65536 431767432 Hospital MO 501c3 3 MH SF COMM true Mercy Hospital Lincoln 1000 East Cherry Street Troy MO 63379 472219204 Hospital MO 501c3 3 MH EAST COMM true Mercy Hospital Logan County Inc 200 South Academy Guthrie OK 73044 452998842 Hospital OK 501c3 3 MH OK City true Mercy Hospital Oklahoma City Inc 4300 W Memorial Road Oklahoma City OK 73120 730579285 Hospital OK 501c3 3 MH OK COMM true Mercy Hospital Ozark 801 W River Street Ozark AR 72949 710689680 Hospital AR 501c3 3 MH FT Smith true Mercy Hospital Paris 500 E Academy Paris AR 72855 710655753 Hospital AR 501c3 3 MH FT Smith true Mercy Hospital Rogers 2710 Rife Medical Lane Rogers AR 72758 710294390 Hospital AR 501c3 3 MH NW AK COM true Mercy Hospital Springfield 1235 E Cherokee Street Springfield MO 65804 440552485 Hospital MO 501c3 3 MH SF COMM true Mercy Hospital Tishomingo Inc 1000 South Byrd Tishomingo OK 73460 274433830 Hospital OK 501c3 3 MH ADA Inc true Mercy Hospital Waldron 1341 W 6th Street Waldron AR 72958 710557895 Hospital AR 501c3 3 MH FT Smith true Mercy Hospital Watonga Inc 500 Clarence Nash Blvd Watonga OK 73772 455199762 Hospital OK 501c3 3 MH OK City true Mercy Hospitals East Communities 615 S New Ballas Road St Louis MO 63141 430653493 Hospital MO 501c3 3 MH EAST COMM true Mercy Kansas Communities Inc 401 Woodland Hills Blvd Ft Scott KS 66701 480956045 Hospital KS 501c3 3 MH SW MOKS true Mercy Ministries of Laredo 2500 Zacatecas Laredo TX 78046 200198462 Outreach TX 501c3 7 Mercy Health true Mercy Research 524 North Booneville Avenue Springfield MO 65802 870796305 Research MO 501c3 4 Mercy Health true Mercy St Francis Hospital 100 W HIGHWAY 60 Mountain View MO 65548 440607149 Hospital MO 501c3 3 MH SF COMM true MHM Support Services 14528 S Outer Forty Suite 100 Chesterfield MO 63017 202553101 CTRL SYS FUNC MO 501c3 12a Mercy Health true Mission Clinical Services 300 Werner Street Hot Springs AR 71913 134239691 CHILD ADVOC AR 501c3 3 Mercy Health true Mercy Health Foundation South 10010 Kennerly Road St Louis MO 63128 261516789 Fundraising MO 501c3 12a MH SOUTH true MERCY HOSPITAL SOUTH 10010 Kennerly Road St Louis MO 63128 430980256 Hospital MO 501c3 3 MH EAST COMM true St Anthony's Physician Organization 10010 Kennerly Road St Louis MO 63128 431784536 Health care MO 501c3 3 MH SOUTH true St Mary's Hospital of Enid Oklahoma Inc 14528 S Outer Forty Suite 100 Chesterfield MO 63017 730614655 Inactive OK 501c3 3 MH OK COMM true Unity Ambulatory Care 14528 S Outer Forty Suite 100 Chesterfield MO 63017 431861745 Inactive MO 501c3 12c MH EAST COMM true Mercy Specialty Hospital SE KS 14528 S OUTER FORTY SUITE 100 CHESTERFIELD MO 63017 843730625 HOSPITAL KS 501C3 3 MH SW MOKS true Fort Smith Emergency Medical Services 1701 S Greenwood FT SMITH AR 72901 710416615 Emergency Medical AR NA Mercy Ambulatory Surgery Center LLC 7301 Rogers FT SMITH AR 72917 710827721 AMBUL SURG CT AR NA Plaza Surgery Services Company LLC 12700 Southfork RD St Louis MO 63128 204709312 INACTIVE MO NA Resource Optimization & Innovation LLC 645 Maryville St Louis MO 63141 460468368 CENTRAL DIST. MO NA St Edward Mercy Med Ctr Multi-Purp BLDG 7301 Rogers FT SMITH AR 72903 710554050 OFFICE BUILDING AR NA PLATINUM CPS HOLDINGS 14528 S OUTER 40 SUITE 100 CHESTERFIELD MO 63017 842493007 HOLDING COMPANY MO NA Frontenac Properties Inc 14528 S Outer Forty Suite 100 Chesterfield MO 63017 521914421 Holding co DE NA C-Corp Inveno Health Inc 1235 E Cherokee Street Springfield MO 65804 264509571 Product Commerce MO NA C-Corp Mercy Commercial Services Inc 14528 South Outer Forty Suite 100 Chesterfield MO 63017 464953543 PARENT OF VCC MO NA C-Corp Mercy Health Center Condominium Inc 4300 W Memorial Rd Oklahoma City OK 73120 680640970 Real estate OK NA C-Corp Mercy Health Network of the Southern Reg 14528 S Outer Forty Suite 100 Chesterfield MO 63017 731580607 HOLDING CO OK NA C-Corp Mercy Health Network Inc 14528 S Outer Forty Suite 100 Chesterfield MO 63017 731381689 HOLDING CO OK NA C-Corp Mercy Managed Care Corporation 14528 S Outer Forty Suite 100 Chesterfield MO 63017 731441665 HOLDING CO OK NA C-Corp UHL Corp Inc 645 Maryville Centre Drive Suite 1 St Louis MO 63141 742499535 Holding co MO NA C-Corp Unity Support Services Inc 645 Maryville Centre Drive Suite 1 St Louis MO 63141 431797042 Inactive MO NA C-Corp St Anthony's Physician Org of Illinois 10010 Kennerly Road St Louis MO 63128 320457168 Health Care MO NA C-Corp McAuley Insurance Company Ltd Aon House 30 Woodbourne Avenue Pembroke BD HM 08 000000000 INACTIVE BD NA C-CORP false false false false false false false false false false false false false false false true true false false Mercy Health NW Arkansas Communities Q 63800 FMV MERCY HOSPITAL FORT SMITH Q 434594 FMV MERCY HEALTH FORT SMITH COMMUNITIES P 2906717 FMV MHM SUPPORT SERVICES P 36962318 FMV FORM 990, 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. FORM 990, SCHEDULE R, PART V LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY HEALTH SYSTEM, INC. AND SUBSIDIARIES. THE MAJORITY OF THE INTERCOMPANY/RELATED ORGANIZATION TRANSACTIONS ARE PROCESSED THROUGH LAWSON VIA INTERCOMPANY JOURNAL ENTRIES. WITH THE CURRENT DESIGN OF THE ERP SYSTEM, THERE ARE VARIOUS LIMITATIONS ON THE RELATED ORGANIZATION INFORMATION THAT CAN BE EXTRACTED FROM LAWSON. DUE TO THESE LIMITATIONS, MOST OF THE RELATED ORGANIZATION ACTIVITY FOR THE FILING ORGANIZATION HAS BEEN CLASSIFIED ON SCHEDULE R, PART V, IN LINES P AND Q.