MERCY ACO CLINICAL SERVICES INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
MERCY ACO CLINICAL SERVICES INC (EIN 46-4504901)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-05-12
IRS object ID
201701329349306575
Schema version
2015v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-05-12T16:29:11-05:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11900 SCRIPPS CENTER 312 WALNUT STAddressLine1Txt
CityCINCINNATICityNm
State AbbreviationOHStateAbbreviationCd
ZIP45202ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN464504901EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MERCY ACO CLINICAL SERVICESBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% Shannon SockInCareOfNm
Business Name ControlMERCBusinessNameControlTxt
Phone3145796100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line114528 South Outer Forty Rd ste 100AddressLine1Txt
CityChesterfieldCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63017ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonShannon SockPersonNm
Person TitleEXECUTIVE VP & CFOPersonTitleTxt
Signature2017-05-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTRICIA M JOHNSONPreparerPersonNm
PTINP00627205PTIN
Phone5136121400PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerShannon SockPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line114528 South Outer Forty RoadAddressLine1Txt
CityChesterfieldCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63017ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$26,002,679GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.mercy.netWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2013FormationYr
Legal Domicile StateMOLegalDomicileStateCd
Activity Or MissionAS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$12,502,231PYProgramServiceRevenueAmt
CY Program Service Revenue$25,737,066CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$265,613CYOtherRevenueAmt
PY Total Revenue$12,502,231PYTotalRevenueAmt
CY Total Revenue$26,002,679CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$17,993,706PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$23,044,863CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$6,952,736PYOtherExpensesAmt
CY Other Expenses$13,052,101CYOtherExpensesAmt
PY Total Expenses$24,946,442PYTotalExpensesAmt
CY Total Expenses$36,096,964CYTotalExpensesAmt
PY Revenues Less Expenses-$12,444,211PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$10,094,285CYRevenuesLessExpensesAmt
Total Assets BOY$547,996TotalAssetsBOYAmt
Total Assets EOY$54,673,937TotalAssetsEOYAmt
Total Liabilities BOY$12,992,207TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,063,677TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$12,444,211NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$52,610,260NetAssetsOrFundBalancesEOYAmt
MissionAS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$36,096,964ExpenseAmt
Grant$0GrantAmt
Revenue$25,737,066RevenueAmt
DescMERCY ACO CLINICAL SERVICES COMBINES PEOPLE AND TECHNOLOGY TO EXTEND HEALTHCARE SERVICES WELL BEYOND THE WALLS OF PHYSICIANS' OFFICES, HOSPITAL CAMPUSES AND OTHER TRADITIONAL FACILITIES. TELEHEALTH IS THE PRIMARY VEHICLE IN WHICH MERCY ACO WILL IMPROVE ACCESS TO HEALTHCARE AND TO DEVELOP CARE MANAGEMENT WHEN PHYSICAL DISTANCE SEPARATES THE PROVIDER AND THE PATIENT. SERVICES PRIMARILY INCLUDE, BUT ARE NOT LIMITED TO EICU, TELESTROKE, TELEPERINATAL, SEPSIS, DISEASE MANAGEMENT, CASE MANAGEMENT AND CARE MANAGEMENT.Desc
Total Program Service Expenses$36,096,964TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members4GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesfalseMinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonShannon SockPersonNm
Phone3145796100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line114528 S Outer Forty Rd Suite 100AddressLine1Txt
CityChesterfieldCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63017ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Moore MD Randall
President & Board Member60.00.0Yes (X)Yes (X)$818,026$0$86,190
Moore Vance
Senior VP-Operations10.050.0Yes (X)Yes (X)$0$763,792$265,593
Sock Shannon
Exec VP, CFO & Board Member10.050.0Yes (X)Yes (X)$0$1,166,875$385,354
Wheeler Philip
Sr VP/General Counsel & Bd Mbr10.050.0Yes (X)Yes (X)$0$917,369$602,382
Hale MD PhD Thomas
Exec. Med. Dir. Mercy Virtual60.00.0$1,682,878$0$198,199Yes (X)
Pursley Janet
VP-Care Management60.00.0$433,094$0$99,886Yes (X)
Veremakis Christopher
Med director, Mercy Virtual60.00.0$648,044$0$80,070Yes (X)
Brasher Michael R
National Sales Director60.00.0$305,911$0$26,832Yes (X)
Brown Steven M
Physician60.00.0$419,130$337$19,941Yes (X)
Cox Michael J
Physician60.00.0$501,135$0$30,982Yes (X)
Joshi Ashwani K
PHYSICIAN60.00.0$248,171$0$10,563Yes (X)
Sommer Steven E
Physician60.00.0$355,272$0$31,124Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,411,661TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,848,373TotReportableCompRltdOrgAmt
Total Other Compensation$1,837,116TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K31IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line1ContractorAddress/ForeignAddress/AddressLine1TxtCountryContractorAddress/ForeignAddress/CountryCd
Philips Healthcare
3000 Minuteman Rd MS 531ANDOVERMA01810Software maintenance$1,168,128
Neurocall
11760 Bird Rd Ste 301MIAMIFL33175PHYS PURCHASED SVCS$926,223
Chappuis Consulting
1035 Cliff RdEAGANMN55123Consulting$460,620
TCP Corporate Advisory Limited
Consulting$421,061PO BOX 506 843AE
Ernst and Young LLP
3712 Solutions CenterCHICAGOIL60677CONSULTING$146,048
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt
Fundraising$0FundraisingAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
NET PATIENT SERVICE REVENUE900099$2,549,449$2,549,449$0$0
VIRTUAL HEALTHCARE900099$23,187,617$23,187,617$0$0
FieldValueIRS element (for citing)
Total Program Service Revenue$25,737,066TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescCAFE & VENDINGDesc
Business722514BusinessCd
Total Revenue Column$265,613TotalRevenueColumnAmt
Exclusion$265,613ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$265,613OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$26,002,679TotalRevenueColumnAmt
Related Or Exempt Func Income$25,737,066RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$265,613ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,148,281TotalAmt
Program Services$4,148,281ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$16,024,274TotalAmt
Program Services$16,024,274ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$278,108TotalAmt
Program Services$278,108ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,559,369TotalAmt
Program Services$1,559,369ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,034,831TotalAmt
Program Services$1,034,831ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,048,520TotalAmt
Program Services$3,048,520ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$64,663TotalAmt
Program Services$64,663ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$458,759TotalAmt
Program Services$458,759ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,275,624TotalAmt
Program Services$1,275,624ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$503,873TotalAmt
Program Services$503,873ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$334,511TotalAmt
Program Services$334,511ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$18,450TotalAmt
Program Services$18,450ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,803,869TotalAmt
Program Services$2,803,869ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$149,903TotalAmt
Program Services$149,903ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SHARED SERVICE FEES$3,604,716$3,604,716$0$0
DRUGS & MEDICAL EXPENSES$491,493$491,493$0$0
REPAIRS & MAINTENANCE$93,819$93,819$0$0
ALL OTHER EXPENSES$203,901$203,901$0$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$36,096,964TotalAmt
Program Services$36,096,964ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Joint Costs TotalJointCostsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$1,000EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$71,232BOYAmt
EOY$352,351EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$58,738,756LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,418,170LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$476,764BOYAmt
EOY$54,320,586EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$547,996BOYAmt
EOY$54,673,937EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$93,836BOYAmt
EOY$658,411EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,898,371BOYAmt
EOY$1,405,266EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,992,207BOYAmt
EOY$2,063,677EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$12,444,211BOYAmt
EOY$52,610,260EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$12,444,211BOYAmt
EOY$52,610,260EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$547,996BOYAmt
EOY$54,673,937EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$10,094,285ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$0NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$75,148,756OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART I, QUESTION 3FormAndLineReferenceDesc
ExplanationTHE 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.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,001,896OtherCostOrOtherBasisAmt
Book Value$2,001,896BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$50,235,659OtherCostOrOtherBasisAmt
Depreciation$2,482,700DepreciationAmt
Book Value$47,752,959BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,501,201OtherCostOrOtherBasisAmt
Depreciation$1,935,470DepreciationAmt
Book Value$4,565,731BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$54,320,586TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO AFFILIATESDesc
Amt$1,405,266Amt
FieldValueIRS element (for citing)
Total Liability$1,405,266TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE D, PART X, LINE 2FormAndLineReferenceDesc
ExplanationASC 740 FOOTNOTE PRIMARILY ALL OF THE MERCY HEALTH 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. MERCY 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, 2016 OR 2015.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Moore MD Randall
President & Board Member$458,283$0$345,038$0$14,705$0$78,181$0$8,009$0$904,216$0$0$0
Moore Vance
Senior VP-Operations$0$470,019$0$264,335$0$29,438$0$246,499$0$19,094$0$1,029,385$0$0
Sock Shannon
Exec VP, CFO & Board Member$0$697,444$0$420,560$0$48,871$0$365,679$0$19,675$0$1,552,229$0$0
Wheeler Philip
Sr VP/General Counsel & Bd Mbr$0$594,344$0$316,608$0$6,417$0$598,900$0$3,482$0$1,519,751$0$0
Hale MD PhD Thomas
Exec. Med. Dir. Mercy Virtual$513,017$0$1,129,598$0$40,263$0$183,281$0$14,918$0$1,881,077$0$0$0
Pursley Janet
VP-Care Management$306,250$0$97,437$0$29,407$0$91,535$0$8,351$0$532,980$0$0$0
Veremakis Christopher
Med director, Mercy Virtual$391,826$0$184,102$0$72,116$0$61,656$0$18,414$0$728,114$0$0$0
Brasher Michael R
National Sales Director$221,757$0$62,540$0$21,614$0$9,085$0$17,747$0$332,743$0$0$0
Brown Steven M
Physician$389,972$317$0$0$29,158$20$9,100$0$10,833$8$439,063$345$0$0
Cox Michael J
Physician$450,388$0$0$0$50,747$0$12,721$0$18,261$0$532,117$0$0$0
Joshi Ashwani K
PHYSICIAN$240,074$0$0$0$8,097$0$4,816$0$5,747$0$258,734$0$0$0
Sommer Steven E
Physician$324,970$0$0$0$30,302$0$12,428$0$18,696$0$386,396$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE J, PART I, LINE 1CHARTER 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.
FORM 990, SCHEDULE J, PART I, QUESTION 3MERCY ACO CLINICAL SERVICES, INC. RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTION 15 A & 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS.
FORM 990, SCHEDULE J, PART I, QUESTION 4BMERCY 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: VANCE MOORE, THOMAS HALE, CHRISTOPHER VEREMAKIS, PHILIP WHEELER AND SHANNON SOCK. THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C).

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART V, QUESTION 1AVENDORS 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, QUESTION 2AW-3 FILING MOST EMPLOYEES ARE PAID BY A RELATED ORGANIZATION UNDER A COMMON PAYMASTER ARRANGEMENT. AS SUCH, REQUIRED PAYROLL FILING (INCLUDING FORMS W-2 AND W-3) IS REPORTED UNDER THE RELATED ORGANIZATION, MHM SUPPORT SERVICES, EIN 20-2553101.
FORM 990, PART VI, LINE 6A, LINE 7A, 7BCLASSES OF MEMBERS OR STOCKHOLDERS THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH. THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED TO THE CORPORATE MEMBER AND SHALL REQUIRE THE ACTION OR APPROVAL, AS APPLICABLE, OF THE CORPORATE MEMBER: -ADOPTION OF OR REVISIONS TO THE PHILOSOPHY, MISSION AND VALUES ACCORDING TO WHICH THE CORPORATION IS OPERATED; -APPROVAL OR ADOPTION OF ANY AMENDMENT OF THE ARTICLES OF INCORPORATION OF THE CORPORATION, OR ADOPTION OF ANY AMENDMENT OF THESE BYLAWS; -ADOPTION OF A PLAN OF MERGER, DISSOLUTION OR CONSOLIDATION OF THE CORPORATION; -AUTHORIZATION OR APPROVAL, AS APPLICABLE, OF THE SALE OF, OR SERIES OF RELATED SALES WHICH AT THE OUTSET ARE INTENDED BY THE CORPORATION TO ULTIMATELY RESULT IN THE SALE OF, ALL OR SUBSTANTIALLY ALL OF THE CORPORATIONS PROPERTY; -APPOINTMENT OF THE PRESIDENT OF THE CORPORATION (OR HIS OR HER SUBSTITUTE OR SUCCESSOR), IN CONSULTATION WITH THE BOARD; -REMOVAL OF THE PRESIDENT OF THE CORPORATION, WITH OR WITHOUT CAUSE; -AUTHORIZATION OR APPROVAL, AS APPLICABLE, OF THE SALE, CONVEYANCE, LEASE, TRANSFER, OR DISPOSITION OF THE CORPORATIONS PROPERTY, INCURRENCE OF DEBT OR OF ENCUMBRANCE OF THE CORPORATIONS PROPERTY; -AFTER CONSULTATION WITH THE BOARD, AUTHORIZATION OR APPROVAL OR AMENDMENT, AS APPLICABLE, OF THE STRATEGIC AND FINANCIAL PLANS, GOALS AND OBJECTIVES OF THE CORPORATION, INCLUDING, WITHOUT LIMITATION, THE OPERATING AND CAPITAL BUDGETS, INCURRENCE OF DEBT, INVESTMENTS, FINANCIAL TARGETS AND CAPITAL LEASES; -APPOINTMENT OF BOARD MEMBERS AS SET FORTH IN ARTICLE V; -REMOVAL OF BOARD MEMBERS AS SET FORTH IN ARTICLE V; AND, -AUTHORIZATION OR APPROVAL, AS APPLICABLE, OF ANY UNBUDGETED EXPENDITURES OR UNBUDGETED INCURRENCE OF DEBT BY THE CORPORATION IN EXCESS OF THOSE AMOUNTS PERMITTED BY THE POLICY ESTABLISHED BY THE CORPORATE MEMBER FROM TIME TO TIME.
FORM 990, PART VI, QUESTION 8BDESCRIPTION OF PRACTICE RE: DOCUMENTATION OF MTGS & ACTION OF COMMITTEES THE BYLAWS PROVIDE THE OPTION OF HAVING AN EXECUTIVE COMMITTEE. HOWEVER, FOR THE TAX YEAR ENDING 6/30/16, THERE WERE NO COMMITTEES OPERATING ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, QUESTION 11BDSCR OF 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 FINANCE DEPARTMENT OF MERCY HEALTH, TO ENSURE ACCURACY AND CONSISTENCY WITH OTHER RELATED ORGANIZATIONS' FORMS 990. AFTER QUESTIONS ARISING FROM THE REVIEWS ARE ADDRESSED AND INCORPORATED INTO THE FORM 990, A REVISED DRAFT IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW. THE FORM 990 IS THEN SIGNED AND FILED WITH THE IRS.
FORM 990, PART VI, QUESTION 12CDESCRIPTION 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, 2016. THIS PROCESS IS ADMINISTERED AT THE MERCY HEALTH LEVEL BY MERCY'S BUSINESS RISK (INTERNAL AUDIT) 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 (FORMERLY FINANCE, AUDIT AND COMPLIANCE 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 ORGANIZATION RELIES UPON MERCY HEALTH, WHICH USES THE FOLLOWING THE 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 19AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMT TO GEN PUBLIC GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST BUT ARE NOT PUBLISHED PUBLICLY.
FORM 990, PART VII, SECTION A, COLUMN BAVERAGE HOURS PER WEEK THE HOURS PER WEEK DISCLOSED IN PART VII IS THE AVERAGE HOURS THE LISTED PERSON WORKED OR DEVOTED PER WEEK WHILE EMPLOYED OR ASSOCIATED WITH THE FILING ORGANIZATION AND RELATED ORGANIZATIONS (IF APPLICABLE). FORM 990, PART XI, LINE 9 OTHER CHANGE IN NET ASSETS TRANSFERS TO/FROM AFFILIATES $75,148,756
FORM 990, PART XII, QUESTION 2CAUDIT OF FINANCIAL STATEMENTS THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN THE MERCY HEALTH ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 2016 (THE TAX YEAR CURRENTLY BEING REPORTED). THE ULTIMATE RESPONSIBILITY FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE EXTERNAL AUDITOR LIES WITH THE STEWARDSHIP COMMITTEE (FORMERLY FINANCE, AUDIT, AND COMPLIANCE COMMITTEE) OF THE MERCY HEALTH BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (71 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Casa de Misericordia
1602 McClelland StreetLaredoTX78044742912461SHELTERTX501c37MM LAREDOYes (true)
Jefferson Land Company Inc
14528 S Outer Forty Ste 100ChesterfieldMO63017431330360HOLDING COMO501c2N/AMH JFFRSONYes (true)
McAuley Portfolio Management Company
14528 S Outer Forty Ste 100ChesterfieldMO63017261708048PORT MGMTMO501c311bMercy HealthYes (true)
Mercy ACO Clinical Services Inc
14528 S Outer Forty Ste 100ChesterfieldMO63017464504901VIRTUAL CAREMO501c33Mercy HealthYes (true)
Mercy Clinic East Communities
645 Maryville Center Drive Suite 1St LouisMO63141431771217PHYS GROUPMO501c39MH EAST COMMYes (true)
Mercy Clinic Fort Smith Communities
7301 Rogers AvenueFort SmithAR72903261318597PHYS CLINICAR501c33MH FS COMMYes (true)
Mercy Clinic Oklahoma Communities Inc
4300 W Memorial RoadOklahoma CityOK73120270473057PHYS GROUPOK501c33MH OK COMMYes (true)
Mercy Clinic Springfield Communities
1965 Fremont Street Ste 2950SpringfieldMO65804431560263PHYS GROUPMO501c33MH SF COMMYes (true)
Mercy Family Center
14528 S Outer Forty Ste 100ChesterfieldMO63017721069468COUNSELINGMO501c37Mercy HealthYes (true)
Mercy Health Foundation
14528 S Outer Forty Ste 100ChesterfieldMO63017200901499FoundationMO501c311bMercy HealthYes (true)
Mercy Health
14528 S Outer Forty Ste 100ChesterfieldMO63017431423050CORP OFFICEMO501c31NAfalse
Mercy Health East Communities
14528 S Outer Forty Ste 100ChesterfieldMO63017431718408HLTH SYSTEMMO501c311bMercy HealthYes (true)
Mercy Health East Communities - Southern
14528 S Outer Forty Ste 100ChesterfieldMO63017461412322HLTH SYSTEMMO501c311bMH EAST COMMYes (true)
Mercy Health Fort Smith Communities
7301 Rogers AvenueFort SmithAR72917261318515HOLDING COAR501c311bMercy HealthYes (true)
Mercy Health Foundation Ada
430 N Monte Vista StreetAdaOK74820463596274FoundationOK501c311aMH ADA INCYes (true)
Mercy Health Foundation Ardmore
1011 14th Avenue NWArdmoreOK73401710962525FoundationOK501c311aMH ARDMOREYes (true)
Mercy Health Foundation Berryville
214 Carter StreetBerryvilleAR72616710759301FoundationAR501c311aMH FT SMITHYes (true)
Mercy Health Foundation Fort Scott
401 Woodland Hills BlvdFort ScottKS66701481077073FoundationKS501c311cM KS COMMYes (true)
Mercy Health Foundation Hot Springs
300 Werner StreetHot SpringsAR71913710804718FoundationAR501c311bMC SRVCSYes (true)
Mercy Health Foundation Independence
800 W MyrtleIndependenceKS67301481079981FoundationKS501c311aM ST FRANCISYes (true)
Mercy Health Foundation Jefferson
1400 US Highway 61 SouthFestusMO63028462797051FoundationMO501c311bMH E COMM SRYes (true)
Mercy Health Foundation Joplin
100 Mercy WayJoplinMO64804270906136FoundationMO501c311aMH SWMK COMMYes (true)
Mercy Health Foundation Lincoln
1000 East Cherry StreetTroyMO63379811477159FoundationMO501c311bMH EAST COMMYes (true)
Mercy Health Foundation NW Arkansas
2710 Rife Medical LaneRogersAR72758710601687FoundationAR501c311cMH ROGERSYes (true)
Mercy Health Foundation of Oklahoma
4300 W Memorial RoadOklahoma CityOK73120454732301FoundationOK501c311aMH OK COMMYes (true)
Mercy Health Foundation Oklahoma City
4300 W Memorial RoadOklahoma CityOK73120463184231FoundationOK501c311aMH OK COMMYes (true)
Mercy Health Foundation Springfield
1235 E Cherokee StreetSpringfieldMO65804320195818FoundationMO501c311bMH SF COMMYes (true)
Mercy Health Foundation St Louis
14528 S Outer Forty Ste 100ChesterfieldMO63017562410020FoundationMO501c311bMH EAST COMMYes (true)
Mercy Health Foundation Washington
901 E Fifth StreetWashingtonMO63090562410022FoundationMO501c311bMH EAST COMMYes (true)
Mercy Health NW Arkansas Communities
2710 Rife Medical LaneRogersAR72758621684203PHYS GROUPAR501c39Mercy HealthYes (true)
Mercy Health Oklahoma Communities Inc
4300 W Memorial RoadOklahoma CityOK73120731453048HLTH SYSTEMOK501c311bMercy HealthYes (true)
Mercy Health Plans of Missouri Inc
3265 S National AvenueSpringfieldMO65807320481419HMOMO501c4N/AMercy HealthYes (true)
Mercy Health Plans Inc
3265 S National AvenueSpringfieldMO65807320486150PPOMO501c4N/AMH PLANS MOYes (true)
Mercy Health Southwest MOKS Communities
100 Mercy WayJoplinMO64804300584463HLTH SYSTEMMO501c311bMercy HealthYes (true)
Mercy Health Springfield Communities
1235 E Cherokee StreetSpringfieldMO65804431856028HLTH SYSTEMMO501c311bMercy HealthYes (true)
Mercy Home Health Berryville
804 W Freeman Suite 4BerryvilleAR72616870781247HOME HEALTHAR501c311cMM LAREDOYes (true)
Mercy Hospital Ada Inc
430 N Monte Vista StreetAdaOK74820462288155HOSPITALOK501c33MH OK COMMYes (true)
Mercy Hospital Ardmore Inc
1011 14th Avenue NWArdmoreOK73401731500629HOSPITALOK501c33MH OK COMMYes (true)
Mercy Hospital Aurora
500 Porter AvenueAuroraMO65605431936696HOSPITALMO501c33MH SF COMMYes (true)
Mercy Hospital Berryville
214 Carter StreetBerryvilleAR72616710759299HOSPITALAR501c33MH SF COMMYes (true)
Mercy Hospital Booneville
880 West Main StreetBoonevilleAR72927463851119HOSPITALAR501c33MH FT SMITHYes (true)
Mercy Hospital Carthage
3125 Dr Russell Smith WayCarthageMO64836453808607HOSPITALMO501c33MH SWMK COMMYes (true)
Mercy Hospital Cassville
94 Main StreetCassvilleMO65625431936699HOSPITALMO501c33MH SF COMMYes (true)
Mercy Hospital Columbus
220 Pennsylvania AvenueColumbusKS66725270842031HOSPITALMO501c33MH SWMK COMMYes (true)
Mercy Hospital El Reno Inc
2115 Parkview DriveEl RenoOK73036272716065HOSPITALOK501c33MH OK CITYYes (true)
Mercy Hospital Fort Smith
7301 Rogers AvenueFort SmithAR72917710240352HOSPITALAR501c33MH NWAR COMMYes (true)
Mercy Hospital Healdton Inc
3462 Hospital RdHealdtonOK73438263173902HOSPITALOK501c33MH ARDMOREYes (true)
Mercy Hospital Jefferson
1400 Highway 61 SouthFestusMO63028430687077HOSPITALMO501c33MH E COMM SRYes (true)
Mercy Hospital Joplin
100 Mercy WayJoplinMO64804270814858HOSPITALMO501c33MH SWMK COMMYes (true)
Mercy Hospital Kingfisher Inc
1000 Kingfisher Regional HospKingfisherOK73750463433074HOSPITALOK501c33MH OK CITYYes (true)
Mercy Hospital Lebanon
100 Hospital DriveLebanonMO65536431767432HOSPITALMO501c33MH SF COMMYes (true)
Mercy Hospital Lincoln
1000 East Cherry StreetTroyMO63379472219204HOSPITALMO501c33MH EAST COMMYes (true)
Mercy Hospital Logan County Inc
200 South AcademyGuthrieOK73044452998842HOSPITALOK501c33MH OK CITYYes (true)
Mercy Hospital Oklahoma City Inc
4300 W Memorial RoadOklahoma CityOK73120730579285HOSPITALOK501c33MH OK COMMYes (true)
Mercy Hospital Ozark
801 W River StreetOzarkAR72949710689680HOSPITALAR501c33MH FT SMITHYes (true)
Mercy Hospital Paris
500 E AcademyParisAR72855710655753HOSPITALAR501c33MH FT SMITHYes (true)
Mercy Hospital Rogers
2710 Rife Medical LaneRogersAR72758710294390HOSPITALAR501c33MH NWAR COMMYes (true)
Mercy Hospital Springfield
1235 E Cherokee StreetSpringfieldMO65804440552485HOSPITALMO501c33MH SF COMMYes (true)
Mercy Hospital Tishomingo Inc
1000 South ByrdTishomingoOK73460274433830HOSPITALOK501c33MH ARDMOREYes (true)
Mercy Hospital Waldron
1341 W 6th StreetWaldronAR72958710557895HOSPITALAR501c33MH FT SMITHYes (true)
Mercy Hospital Watonga Inc
500 Clarence Nash BlvdWatongaOK73772455199762HOSPITALOK501c33MH OK CITYYes (true)
Mercy Hospitals East Communities
14528 S Outer Forty Ste 100ChesterfieldMO63017430653493HOSPITALMO501c33MH EAST COMMYes (true)
Mercy Kansas Communities Inc
401 Woodland Hills BlvdFt ScottKS66701480956045HOSPITALKS501c33MH SWMK COMMYes (true)
Mercy Research
1235 E Cherokee StreetSpringfieldMO65804870796305HOSPITALMO501c34MH SF COMMYes (true)
Mercy Ministries of Laredo
2500 ZacatecasLaredoTX78046200198462HOSPITALTX501c37Mercy HealthYes (true)
Mercy St Francis Hopsital
100 W Highway 60Mountain ViewMO65548440607149HOSPITALMO501c33MH SF COMMYes (true)
MHM Support Services
14528 S Outer Forty Ste 100ChesterfieldMO63017202553101CTRL SYS FUNCMO501c311bMercy HealthYes (true)
Mission Clinical Services
300 Werner StreetHot SpringsAR71913134239691CHILD ADVOCAR501c39Mercy HealthYes (true)
St Edward Mercy Foundation
7301 Rogers AvenueFort SmithAR72917237330425FoundationAR501c37MH FT SMITHYes (true)
St Mary's Hospital of Enid Oklahoma
14528 S Outer Forty Ste 100ChesterfieldMO63017730614655InactiveOK501c33MH OK COMMYes (true)
The Sister M Cornelia Blasko Foundation
100 W Highway 60Mountain ViewMO65548431873914FoundationMO501c311aM ST FRANCISYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MERC AMBU SURG CTR
7301 RogersFT SMITHAR72917710827721AMBUL SURG CTARNA
RES OPT & INNOV
645 MARYVILLESt LouisMO63141460468368CENTRAL DIST.MONA
SO OK DIAG CTR
1011 14THArdmoreOK73401431971232MRI ServicesOKNA
FORT SMITH EMS
1701 S GREENWOODFT SMITHAR72901710416615Emergency MedicalARNA
ST ED MER MED MOB
7301 RogersFT SMITHAR72903710554050Office BuildingARNA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxt
Frontenac Properties Inc
14528 S Outer Forty Suite 100ChesterfieldMO63017521914421Holding companyDENAC-Corp
Inveno Health Inc
1235 E Cherokee StreetSpringfieldMO65804264509571PRODUCT COMMERMONAC-Corp
Mercy Commercial Services Inc
14528 South Outer Forty Suite 100ChesterfieldMO63017464953543PARENT OF VCCMONAC-Corp
Mercy Community Services Inc
401 Woodland Hills BlvdFort ScottKS66701481078101Retail pharmacyKSNAC-Corp
Mercy Health Center Condominium Inc
4300 W Memorial RdOklahoma CityOK73120680640970Real estateOKNAC-Corp
Mercy Health Network of the Southern Reg
1011 14th Avenue NWArdmoreOK73401731580607Holding companyOKNAC-Corp
Mercy Health Network Inc
4300 W Memorial RoadOklahoma CityOK73120731381689Holding companyOKNAC-Corp
Mercy Managed Care Corporation
4300 W Memorial RoadOklahoma CityOK73120731441665Holding companyOKNAC-Corp
UHL Corp Inc
645 Maryville Centre Drive Suite 1St LouisMO63141742499535Holding companyMONAC-Corp
Unity Support Services Inc
645 Maryville Centre Drive Suite 1St LouisMO63141431797042INACTIVEMONAC-Corp
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (16 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MHM SUPPORT SERVICES
Q$15,547,727FMV
MERCY HEALTH
Q$916,109FMV
MERCY KANSAS COMMUNITIES INC
Q$282,754FMV
MERCY HOSPITALS EAST COMMUNITIES
P$1,580,869FMV
MERCY HEALTH EAST COMMUNITIES
Q$9,420,425FMV
MERCY HEALTH SPRINGFIELD COMMUNITIES
Q$3,254,088FMV
MERCY HOSPITAL FORT SMITH
Q$1,895,997FMV
MERCY HOSPITAL ROGERS
Q$1,857,568FMV
MERCY HOSPITAL JOPLIN
Q$1,807,405FMV
MERCY HOSPITAL OKLAHOMA CITY INC
Q$1,713,664FMV
MERCY HOSPITAL ARDMORE INC
Q$747,037FMV
MERCY HOSPITAL SPRINGFIELD
Q$1,116,219FMV
MERCY HOSPITAL LEBANON
Q$518,987FMV
MERCY HOSPITAL ADA
Q$232,580FMV
MERCY HOSPITAL CARTHAGE
Q$108,531FMV
MHM SUPPORT SERVICES
C$56,170,933FMV

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE R, PART IIMERCY HOSPITALS EAST COMMUNITIES MERCY HOSPITALS EAST COMMNITIES CONSISTS OF MERCY HOSPITAL ST. LOUIS, EIN 43-0653493, AND MERCY HOSPITAL WASHINGTON, EIN 43-1066883.
FORM 990, SCHEDULE R, PART VLAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY HEALTH. 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 C, P AND Q.

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