2018-05-15T17:02:39-05:00 2017-06-30 ERNST & YOUNG US LLP 950 MAIN AVENUE SUITE 1800 CLEVELAND OH 44113 990 2016-07-01 261318597 MERCY CLINIC FORT SMITH COMMUNITIES % GRETA WILCHER VP OF FINANCE MERC 3145796100 7301 ROGERS AVENUE FORT SMITH AR 72917 GRETA WILCHER VP OF FINANCE 2018-05-15 true ERICA M YIKE P01608257 2168615000 164.57.159.253 34033020181355000012 2018-05-15 P CF5840316F0E3F046F827FB6FB4C849B877BD126 E39D438451446FA190C272742DA1D1E0AA0A960E 2016 2021-01-29 14:40:06Z GRETA WILCHER VP OF FINANCE 7301 ROGERS AVENUE FORT SMITH AR 72917 49837882 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 0 148 0 0 0 0 47179511 49835587 843 2295 0 0 47180354 49837882 7810 2750 0 0 56663635 59914802 0 0 0 16154511 16803506 72825956 76721058 -25645602 -26883176 11200035 10882325 5972892 6326523 5227143 4555802 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 20508925 0 16586582 FAMILY MEDICINE PHYSICIAN SERVICES: MERCY CLINIC FORT SMITH'S FAMILY MEDICINE PHYSICIAN SERVICES ARE COMPRISED OF 27 FAMILY MEDICINE PHYSICIANS AND 12 APC PRACTITIONERS, WHO PROVIDE PRIMARY MEDICINE SERVICES TO PATIENTS RANGING FROM ONE YEAR OLD THROUGH ADULTHOOD. THESE SERVICES ARE OFFERED IN APPROXIMATELY 14 LOCATIONS THROUGHOUT SEBASTIAN COUNTY ARKANSAS AND THE SURROUNDING SERVICE AREA. DURING THE YEAR, 129,530 OFFICE VISITS WERE PROVIDED TO PATIENTS. 11155990 0 7516298 CARDIOVASCULAR PHYSICIAN SERVICES: MERCY CLINIC FORT SMITH'S CARDIOVASCULAR PHYSICIAN SERVICES ARE COMPRISED OF 6 CARDIOLOGISTS, 2 CARDIOVASCULAR SURGEONS AND 5 APC PRACTITIONERS. THESE PROVIDERS SERVE PATIENTS THROUGHOUT SEBASTIAN COUNTY ARKANSAS AND THE SURROUNDING SERVICE AREA, WHO HAVE HEART RELATED MEDICAL NEEDS. DURING THE YEAR, 25,537 OFFICE VISITS WERE PROVIDED TO PATIENTS. 11045579 0 8630392 ORTHOPEDIC PHYSICIAN SERVICES: MERCY CLINIC FORT SMITH'S ORTHOPEDIC PHYSICIAN SERVICES ARE COMPRISED OF 10 BOARD CERTIFIED SURGEONS, 1 SPORTS MEDICINE PHYSICIAN AND 4 APC PRACTITIONERS, WHO PROVIDE SPECIALIZED CARE FOR A VARIETY OF MUSCULOSKELETAL DISORDERS AND INJURIES TO PATIENTS IN LOCATIONS 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, 37,144 OFFICE VISITS WERE PROVIDED TO PATIENTS. 22501540 2750 17102315 65212034 true false 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 false true true true false false true X 0 0 148 true 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 4793146104 7301 ROGERS AVENUE FORT SMITH AR 72903 Bean MD Paul Physician & Board member 55.0 5.0 X 324018 0 29991 Blackwell MD Jeffry Physician & Board member 60.0 0.0 X 805282 0 25943 Calero-Baquerizo Fernando Physician & Board member 60.0 0.0 X 268961 0 13718 Coleman MD Christopher Physician & Board member 55.0 5.0 X 1096517 0 19018 Dupree MD Matthew Physician & Board member 60.0 0.0 X 556898 0 23038 Nelson Stephen B Physician & Board member 60.0 0.0 X 1026466 0 25933 Riche Andrew B Physician & Board member 60.0 0.0 X 577411 0 28269 Fore Amy Clinic operations officer 60.0 0.0 X X 312468 0 46178 Gehrig Ryan Chief executive officer 10.0 50.0 X X 0 616603 211390 Goodman Raymond Cole Clinic president 60.0 0.0 X X 617729 0 98136 DUDDING MD WILLIAM PHYSICIAN & BD MBR THRU 07/16 60.0 0.0 X 401058 0 25179 SMITH MD STEVEN PHYSICIAN & BD MBR THRU 07/16 60.0 0.0 X 866990 0 27523 STEWART MD ROWLAND PHYSICIAN & BD MBR THRU 06/17 60.0 0.0 X 384801 0 24088 Reynolds Scott CFO - Central Communities 2.0 58.0 X 0 495457 108085 Burke James Regional VP-Legal 2.0 58.0 X 0 375823 61498 Marion Tanya Regional VP-Human Resources 2.0 58.0 X 0 295964 58729 Swope Jon President-Central Communities 2.0 58.0 X 0 1335560 387904 Wilcher Greta VP-Finance 15.0 45.0 X 0 262343 37419 Bolyard Keith J Physician 60.0 0.0 X 873549 0 34180 Garlow Timothy J Physician 60.0 0.0 X 837073 0 41966 Johnson MD Arthur Physician 60.0 0.0 X 1044713 0 31230 Nolewajka MD Andre Physician 60.0 0.0 X 903418 0 44776 Schwarz Julio F Physician 60.0 0.0 X 1113261 0 26968 Johnston Jeffrey A Former officer 0.0 62.0 X 0 874021 280719 Vitiello Jonathan Sr VP Financl Ops, Fmr Officer 0.0 60.0 X 0 762976 107820 12010613 5018747 1819698 152 true true false Delta Flex Partners 1755 Wittington Plc S 175 DALLAS TX 75234 PHYSICIAN STAFFING 481302 Fisher Robert D 1701 S 66th St FORT SMITH AR 72903 PHYSICIAN STAFFING 334640 Weatherby Locums Inc PO Box 972633 DALLAS TX 75397 PHYSICIAN STAFFING 197750 Comphealth PO Box 972651 DALLAS TX 75397 PHYSICIAN STAFFING 179751 Conexus Solutions PO Box 334 TONTITOWN AR 72770 Nursing services 155037 5 0 NET PATIENT SERVICE REVENUE 621110 47643197 47643197 CAPITATION BONUS 900099 1271159 1271159 MANAGEMENT FEES 900099 864983 864983 RENTAL INCOME FROM RELATED ORGS 531120 51417 51417 ALL OTHER PROGRAM SERVICE REVENUE 900099 4831 4831 49835587 2295 2295 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49837882 49835587 2295 2750 2750 0 0 0 5639628 5073650 565978 535513 481772 53741 45292369 40821473 4470896 1481291 1313907 167384 4662045 3770873 891172 2303956 2015684 288272 0 27914 27914 0 0 0 0 1066482 1055626 10856 43014 8086 34928 775156 525204 249952 30186 3842 26344 0 3062731 2718251 344480 133838 56497 77341 0 221 221 0 0 995331 861370 133961 692692 661969 30723 BAD DEBT 2270269 2270269 REPAIRS & MAINTENANCE 126645 90993 35652 SHARED SERVICE FEES 3952762 3952762 DRUGS & MEDICAL EXPENSES 3409231 3402748 6483 217034 76849 140185 76721058 65212034 11509024 0 17635 12136 0 0 0 0 4621628 4837967 0 0 0 0 0 0 0 0 646297 537931 9349748 4841345 4928622 4508403 0 0 0 0 0 0 969500 969500 16353 16388 11200035 10882325 4449790 3804817 4522 4522 0 0 0 0 0 0 0 0 0 0 0 0 1518580 2517184 5972892 6326523 X 5227143 4555802 0 0 0 0 5227143 4555802 11200035 10882325 X -26883176 26211835 X X false true X true false 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. 420524 100233 320291 132455 25280 107175 8593337 4706289 3887048 203432 9543 193889 4508403 0 DUE TO AFFILIATES 2517184 2517184 FORM 990, SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTES 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, 2017 OR 2016. X X true true false true false false false false false false false Bean MD Paul Physician & Board member 277354 0 20461 0 26203 0 13793 0 16198 0 354009 0 0 0 Blackwell MD Jeffry Physician & Board member 656934 0 122162 0 26186 0 9275 0 16668 0 831225 0 0 0 Calero-Baquerizo Fernando Physician & Board member 235793 0 15000 0 18168 0 3969 0 9749 0 282679 0 0 0 Coleman MD Christopher Physician & Board member 1088007 0 0 0 8510 0 2650 0 16368 0 1115535 0 0 0 Dupree MD Matthew Physician & Board member 530707 0 0 0 26191 0 13068 0 9970 0 579936 0 0 0 Nelson Stephen B Physician & Board member 991285 0 0 0 35181 0 9275 0 16658 0 1052399 0 0 0 Riche Andrew B Physician & Board member 457909 0 93035 0 26467 0 11925 0 16344 0 605680 0 0 0 Fore Amy Clinic operations officer 183142 0 57847 0 71479 0 29842 0 16336 0 358646 0 0 0 Gehrig Ryan Chief executive officer 0 380798 0 217362 0 18443 0 195115 0 16275 0 827993 0 0 Goodman Raymond Cole Clinic president 403210 0 184764 0 29755 0 85736 0 12400 0 715865 0 0 0 Reynolds Scott CFO - Central Communities 0 344082 0 107538 0 43837 0 95709 0 12376 0 603542 0 0 Burke James Regional VP-Legal 0 255282 0 102105 0 18436 0 45046 0 16452 0 437321 0 0 Marion Tanya Regional VP-Human Resources 0 194710 0 65017 0 36237 0 42620 0 16109 0 354693 0 0 Swope Jon President-Central Communities 0 676314 0 565437 0 93809 0 371536 0 16368 0 1723464 0 0 Wilcher Greta VP-Finance 0 188382 0 55658 0 18303 0 25249 0 12170 0 299762 0 0 Bolyard Keith J Physician 597283 0 137944 0 138322 0 17512 0 16668 0 907729 0 0 0 Garlow Timothy J Physician 679111 0 131784 0 26178 0 25605 0 16361 0 879039 0 0 0 Johnson MD Arthur Physician 809464 0 181985 0 53264 0 14862 0 16368 0 1075943 0 0 0 Nolewajka MD Andre Physician 750677 0 114183 0 38558 0 32593 0 12183 0 948194 0 0 0 Schwarz Julio F Physician 1042771 0 55932 0 14558 0 10600 0 16368 0 1140229 0 0 0 Johnston Jeffrey A Former officer 0 511077 0 286286 0 76658 0 264051 0 16668 0 1154740 0 0 Vitiello Jonathan Sr VP Financl Ops, Fmr Officer 0 452764 0 255091 0 55121 0 91167 0 16653 0 870796 0 0 DUDDING MD WILLIAM PHYSICIAN & BD MBR THRU 07/16 313319 0 52871 0 34868 0 13318 0 11861 0 426237 0 0 0 SMITH MD STEVEN PHYSICIAN & BD MBR THRU 07/16 682838 0 139642 0 44510 0 17512 0 10011 0 894513 0 0 0 STEWART MD ROWLAND PHYSICIAN & BD MBR THRU 06/17 291079 0 83513 0 10209 0 14575 0 9513 0 408889 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. IN ANY CIRCUMSTANCE IN WHICH CHARTER TRAVEL IS MADE AVAILABLE TO EMPLOYEES AND/OR SPOUSES/GUESTS FOR PERSONAL REASONS, MERCY POLICY REQUIRES TRACKING OF SUCH USE AND TAXATION OF THE EMPLOYEE(S) ACCORDINGLY. THREE LISTED INDIVIDUALS (TWO OFFICERS, ONE HIGHEST COMPENSATED) RECEIVED THIS BENEFIT DURING THE YEAR, TOTALING FOUR TRIPS. HOUSING BENEFITS ARE PROVIDED THROUGH A RELOCATION PROGRAM IN ACCORDANCE WITH COMPANY POLICY. SUCH BENEFITS ARE SUBJECT TO TAX TO THE EMPLOYEE. PAYMENT BY THE COMPANY OF COSTS FOR TEMPORARY HOUSING BY EMPLOYEES FOR THE CONVENIENCE OF THE COMPANY IS MADE IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. AS A REIMBURSABLE EXPENSE, THIS TYPE OF LODGING IS NOT TAXABLE TO THE EMPLOYEE. ONE LISTED INDIVIDUAL (BOARD MEMBER) RECEIVED THIS BENEFIT DURING THE YEAR. FORM 990, SCHEDULE J, PART I, QUESTION 3 MERCY CLINIC FORT SMITH COMMUNITEIS 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 4B MERCY HEALTH OFFERS SUPPLEMENTAL RETIREMENT PLANS TO CERTAIN EXECUTIVES WHICH PROVIDE BENEFITS UPON VESTING DATE BASED ON COMPENSATION, AGE AT THE TIME OF BENEFIT COMMENCEMENT, LENGTH OF SERVICE WITH THE COMPANY AND/OR ITS AFFILIATES AND LENGTH OF TENURE IN THE PLAN. THE PLANS ARE CLOSED TO NEW ENTRANTS. THE INDIVIDUALS REPORTABLE ON THIS RETURN WHO PARTICIPATE IN THE SUPPLEMENTAL RETIREMENT PLANS INCLUDE: RYAN GEHRIG, RAYMOND (COLE) GOODMAN, JAMES BURKE, JEFFREY JOHNSTON, JONATHAN VITIELLO, TANYA MARION, JON SWOPE, AND GRETA WILCHER. THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C). Ivelesse Dupree MD FAM MBR OF BOARD DIRECTOR 302321 Employment false MARIA MOLINEROS MD FAM MBR OF BOARD DIRECTOR 233192 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 SERVICE 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, 2017. 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 XI, LINE 9 OTHER CHANGES IN NET ASSETS NET TRANSFERS TO/FROM AFFILIATES = $26,211,835 FORM 990, PART XII, QUESTION 2C AUDIT OF FINANCIAL STATEMENTS THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN MERCY HEALTH AND SUBSIDIARIES ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 2017 (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. Casa de Misericordia 1602 McClelland Street Laredo TX 78044 742912461 SHELTER TX 501c3 7 MM LAREDO true McAuley Portfolio Management Company 14528 S Outer Forty Ste 100 Chesterfield MO 63017 261708048 PORT MGMT MO 501c3 12b Mercy Health true Mercy ACO Clinical Services Inc 14528 S Outer Forty Ste 100 Chesterfield MO 63017 464504901 VIRTUAL CARE MO 501c3 3 Mercy Health true Mercy Clinic East Communities 645 Maryville Ctr Dr 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 Ste 2950 Springfield MO 65804 431560263 PHYS GROUP MO 501c3 3 MH SF COMM true Mercy Family Center 14528 S Outer Forty Ste 100 Chesterfield MO 63017 721069468 COUNSELING MO 501c3 7 Mercy Health true Mercy Health 14528 S Outer Forty Ste 100 Chesterfield MO 63017 431423050 CORP OFFICE MO 501c3 1 NA false Mercy 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COMM true Mercy Health Foundation Fort Smith 7301 Rogers Avenue Fort Smith AR 72917 237330425 Foundation AR 501c3 7 MH FT SMITH true Mercy Health Foundation Hot Springs 300 Werner Street Hot Springs AR 71913 710804718 Foundation AR 501c3 12a MC SRVCS true Mercy Health Foundation Independence 800 W Myrtle Independence KS 67301 481079981 DSLVD 6/30/17 KS 501c3 7 M KS COMM true Mercy Health Foundation Jefferson 1400 US Highway 61 South Festus MO 63028 462797051 Foundation MO 501c3 12b MH E COMM SR true Mercy Health Foundation Joplin 100 Mercy Way Joplin MO 64804 270906136 Foundation MO 501c3 7 MH SWMK COMM true Mercy Health Foundation Lincoln 1000 East Cherry Street Troy MO 63379 811477159 Foundation MO 501c3 12b MH EAST COMM true Mercy Health Foundation Northwest Arkans 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 COMM 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 Ste 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 AR 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 Southwest 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 HOME HEALTH AR 501c3 12a MH SPRINGFIE 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 SF COMM 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 SWMK COMM 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 SWMK COMM 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 72917 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 E COMM SR true Mercy Hospital Joplin 100 Mercy Way Joplin MO 64804 270814858 HOSPITAL MO 501c3 3 MH SWMK COMM true Mercy Hospital Kingfisher Inc 1000 Kingfisher Regional Hospital D 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 NWAR COMM 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 14528 S Outer Forty Ste 100 Chesterfield MO 63017 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 SWMK COMM 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 Hopsital 100 W Highway 60 Mountain View MO 65548 440607149 HOSPITAL MO 501c3 3 MH SF COMM true MHM Support Services 14528 S Outer Forty Ste 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 St Anthony's Charitable Foundation 10010 Kennerly Road St Louis MO 63128 261516789 Fundraising MO 501c3 12a ST ANTHONY true St Anthony's Medical Center 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 ST ANTHONY true St Mary's Hospital of Enid Oklahoma I 14528 S Outer Forty Ste 100 Chesterfield MO 63017 730614655 Inactive OK 501c3 3 MH OK COMM true Unity Ambulatory Care 14528 S Outer Forty Ste 100 Chesterfield MO 63017 431861745 Inactive MO 501c3 12c MH EAST COMM true Fort Smith Emergency Medical Services 1701 S Greenwood Fort Smith AR 72901 710416615 EMERGENCY MEDICAL AR NA Mercy Ambulatory Surgery Center LLC 7301 Rogers Avenue Fort Smith AR 72917 710827721 AMBUL SURG CT AR NA Plaza Surgery Services Company LLC 12700 Southfork Road St Louis MO 63128 204709312 Inactive MO NA Resource Optimization & Innovation LL 645 Maryville Centre Drive Suite St Louis MO 63141 460468368 CENTRAL DIST. MO NA St Edward Mercy Medical Center Multi-Pu 7301 Rogers Avenue Fort Smith AR 72903 710554050 OFFICE BUILDING AR NA Frontenac Properties Inc 14528 S Outer Forty Suite 100 Chesterfield MO 63017 521914421 Holding company DE NA C-Corp Inveno Health Inc 1235 E Cherokee Street Springfield MO 65804 264509571 PRODUCT COMMER 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 Community Services Inc 401 Woodland Hills Blvd Fort Scott KS 66701 481078101 Retail pharmacy KS 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 1011 14th Avenue NW Ardmore OK 73401 731580607 Holding company OK NA C-Corp Mercy Health Network Inc 4300 W Memorial Road Oklahoma City OK 73120 731381689 Holding company OK NA C-Corp Mercy Managed Care Corporation 4300 W Memorial Road Oklahoma City OK 73120 731441665 Holding company OK NA C-Corp UHL Corp Inc 645 Maryville Centre Drive Suite 1 St Louis MO 63141 742499535 Holding company MO NA C-Corp Unity Support Services Inc 645 Maryville Centre Drive Suite 1 St Louis MO 63141 431797042 INACTIVE MO NA C-Corp false false false false false false false false false false false false false false false true true false false Mercy ACO Clinical Services Inc q 111292 FMV Mercy Hospital Fort Smith p 684631 FMV Mercy Hospital Ozark p 68115 FMV Mercy Hospital Paris p 76719 FMV Mercy Research q 89806 FMV MHM Support Services p 1456052 FMV Resource Optimization & Innovation LLC p 199878 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.