2017-05-12T16:32:18-05:00 2016-06-30 ERNST & YOUNG US LLP 1900 SCRIPPS CENTER 312 WALNUT ST CINCINNATI OH 45202 990 2015-07-01 710294390 MERCY HOSPITAL ROGERS % BENNY J STOVER CPA MERC 3145796100 2710 Rife Medical Lane Rogers AR 72758 BENNY J STOVER VP FINANCE 2017-05-12 true JULIE L SPARKS P01268401 5136121400 2015 2021-01-29 14:40:06Z Eric Pianalto 2710 Rife Medical Lane Rogers AR 72758 236131613 false 0928 X WWW.MERCY.NET X 1995 AR AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. 3 2 0 270 0 234039 268647 209318047 233881826 48442 15893 2164376 1965247 211764904 236131613 235559 155355 0 0 69590943 86973163 0 0 0 116123540 118750226 185950042 205878744 25814862 30252869 268941799 169100421 4373734 5456132 264568065 163644289 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 22812762 0 82126313 INPATIENT HEALTHCARE: THE HOSPITAL IS A FULL SERVICE MEDICAL FACILITY THAT PROVIDES QUALITY INPATIENT HEALTHCARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE INPATIENT HOSPITAL IS LICENSED FOR 208 ACUTE BEDS AND 18 NEWBORN BEDS, FOR A TOTAL OF 226 BEDS. DURING THE FISCAL YEAR ENDED JUNE 30, 2016, ACUTE DISCHARGES WERE 10,937 AND ACUTE PATIENT DAYS WERE 41,625. NEWBORN DISCHARGES WERE 1,676 AND NEWBORN PATIENT DAYS WERE 3,026. 18797294 0 73295276 SURGICAL SERVICES: THE HOSPITAL PROVIDES A BROAD SCOPE OF SURGICAL SERVICES, ON BOTH AN INPATIENT AND AN OUTPATIENT BASIS. DURING THE FISCAL YEAR ENDED JUNE 30, 2016, THE HOSPITAL PERFORMED 2,293 INPATIENT SURGERIES AND 5,567 OUTPATIENT SURGERIES. 7480671 0 41968698 CARDIOVASCULAR IMAGING PROVIDES IMAGES OF THE HEART AND THE SURROUNDING ARTERIES THAT ARE USED IN DIAGNOSING DISEASE AND THE APPROPRIATE CARE TO FOLLOW. DURING THE FISCAL YEAR ENDED JUNE 30, 2016, THE HOSPITAL PROVIDED 4,499 INPATIENT PROCEDURES AND 5,870 OUTPATIENT PROCEDURES. 105646292 155355 36491539 154737019 true true false true false false false false false false true false false false false false false true false false false false false false false false true true true true true false false false false false false true false false false false false false true true true false false true X 0 0 0 false false false false false false false false X 3 2 false false false false true true true true true false false true true true true true true false false true true X BENNY J STOVER CPA 4793382903 2710 Rife Medical Lane Rogers AR 72758 X Callahan Wayne Board member 1.0 1.0 X 0 0 0 Donnell Hugh G Physician & Board member 5.0 55.0 X 0 466630 52837 Lawson Randy Board member 1.0 1.0 X 0 0 0 Pianalto Eric Chief executive officer 25.0 35.0 X 0 529772 203264 Reynolds Scott CFO - Central Communities 2.0 58.0 X 0 465895 104383 Barclay Richard F VP-Support services 60.0 0.0 X 0 240940 29537 Burke James Regional VP-Legal 2.0 58.0 X 0 359195 61541 Halstead John VP-Mission 40.0 20.0 X 0 178146 19844 Hennessey III William Reg. VP-Marketing 5.0 55.0 X 0 252013 71756 Johnson Christopher Chief of staff 60.0 0.0 X 0 459506 52692 Marion Tanya Regional VP-Human resources 3.0 57.0 X 0 281923 57609 Rankin Charlotte Chief nursing officer 60.0 0.0 X 0 251279 45085 Stover Benny J VP-Finance 30.0 30.0 X 0 235804 27263 Swope Jon President, central communities 2.0 58.0 X 0 1230428 172840 Dunham Robert D Director, pharmacy services 60.0 0.0 X 176814 0 35263 Gibbs Eric Clinical pharmacist 60.0 0.0 X 156469 0 20567 Hollingsworth Mary Registered Nurse 60.0 0.0 X 156129 0 27267 Moore Richard E Clinical pharmacist 60.0 0.0 X 152987 0 25308 Slaba Sean M Perfusionist 60.0 0.0 X 141856 0 25111 Vitiello Jonathan Former officer 0.0 60.0 X 0 716408 103683 Chase Brenda Former key employee 0.0 0.0 X 0 277705 44023 Stewart Michele Former key employee 0.0 60.0 X 0 366327 97555 Treptow MD Douglas Former key employee 0.0 60.0 X 0 558213 53166 784255 6870184 1330594 34 true true false DEWITT AND ASSOC INC PO BOX 3378 GS SPRINGFIELD MO 65808 CONSTRUCTION 4015082 FASTAFF 6399 S FIDDLERS GREEN CIRCLE STE GREENWOOD VILLAGE CO 80111 AGENCY STAFFING 2988831 MAYO MEDICAL LABS 200 SW FIRST STREET ROCHESTER MN 55805 LABORATORY SERVICES 1449586 SOUTHEASTERN EMERGENCY PHYSICIANS PO BOX 634706 CINCINNATI OH 45263 ER PHYSICIAN STAFF 1173556 ANESTHESIA SERV BENTON COUNTY PA 3321 N DIXIELAND RD ROGERS AR 72756 ANESTHESIA SERVICES 1172815 19 0 110791 136875 20981 0 268647 NET PATIENT SERVICE REVENUE 621110 233734394 233734394 0 0 OTHER OPERATING REVENUE 900099 147432 147432 0 0 233881826 12793 12793 0 0 622943 622943 0 622943 622943 3100 3100 3100 3100 0 0 0 CAFE & VENDING 900099 813435 0 0 813435 GIFT SHOP REVENUE 900099 528869 0 0 528869 1342304 236131613 233881826 0 1981140 143981 143981 11374 11374 0 0 0 59039 52314 6725 69919738 61934677 7985061 3110261 2784942 325319 9236569 8176670 1059899 4647556 4148463 499093 0 0 0 16638 16638 0 0 10253039 8010042 2242997 231015 39071 191944 4357404 1908409 2448995 41781 38820 2961 0 2647556 903586 1743970 346305 315776 30529 0 1914 1914 0 0 10985992 5077644 5908348 81200 81200 DRUGS & MEDICAL EXPENSES 48268696 48103812 164884 SHARED SERVICE FEES 28905663 1840730 27064933 BAD DEBT 10936564 10936564 REPAIRS AND MAINTENANCE 1054834 138984 915850 621625 89960 531665 205878744 154737019 51141725 0 4783959 5178110 0 0 37725 7486 25394114 24142595 0 0 0 0 519588 519588 4563901 4918780 152395 508816 246783266 116069983 133752592 130713283 0 0 0 0 2802637 2116652 0 0 96934888 995111 268941799 169100421 4373734 5456132 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4373734 5456132 X 264568065 163644289 0 0 0 0 264568065 163644289 268941799 169100421 X 30252869 0 0 0 0 -131176645 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 16638 16638 false FORM 990, SCHEDULE C, PART II-B, LINE 1(I) LOBBYING PORTION OF DUES THE FILING ORGANIZATION IS A MEMBER OF AND PAYS DUES TO THE FOLLOWING HOSPITAL ASSOCIATIONS: ARKANSAS HOSPITAL ASSOCIATION, AMERICAN HOSPITAL ASSOCIATION AND CATHOLIC HEALTH ASSOCIATION. FOR THE YEAR ENDED JUNE 30, 2016, DUE WERE $58,324, $16,982 AND $39,127, RESPECTIVELY. APPROXIMATELY 20% OF ARKANSAS HOSPITAL ASSOCIATION DUES, 22.12% OF AMERICAN HOSPITAL ASSOCIATION DUES AND 3.11% OF CATHOLIC HEALTH ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED BY THESE ASSOCIATIONS. 7125130 7125130 162200485 62954991 99245494 1479117 1223173 255944 71154950 51656184 19498766 4823584 235635 4587949 130713283 FORM 990, SCHEDULE D, PART X, LINE 2 ASC 470 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. true true X true X true X true true true false true false 6677574 6677574 0.03430 20428061 12996519 7431542 0.03810 27105635 12996519 14109116 0.07240 459875 11481 448394 0.00230 994369 2000 992369 0.00510 54293 54293 0.00030 1508537 13481 1495056 0.00770 28614172 13010000 15604172 0.08010 74585 74585 0.00040 74585 74585 0.00040 true 2705706 63475055 60070118 3404937 X true true 1 1 Mercy Hospital Rogers 2710 Rife Medical Lane Rogers AR 72758 www.mercy.net AR 4797 X X X X X MERCY HOSPITAL ROGERS 1 false false true X X X X X X X X X 15 true true true true X WWW.MERCY.NET/ABOUT/COMMUNITY-BENEFITS X ozarkshealthcommission.org X true 16 true WWW.MERCY.NET/ABOUT/COMMUNITY-BENEFITS false false true X 100 400. X true true X X true X See Part V, Section C X See Part V, Section C X See Part V, Section C X X X X true X false X true X false false FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5 MERCY CONDUCTED ITS 2016 CHNA IN COLLABORATION WITH OZARKS HEALTH COMMISSION, A REGIONAL COALITION DESCRIBED IN DETAIL BELOW. IN CONDUCTING THE CHNA IN COLLABORATION, MERCY ALSO COLLECTED ITS OWN INPUT AND DATA FROM COMMUNITY MEMBERS AND PUBLIC HEALTH EXPERTS. AN ELECTRONIC COMMUNITY SURVEY WAS DISTRIBUTED TO COMMUNITY MEMBERS FROM AUGUST 2015 TO DECEMBER 2015 REQUESTING INPUT ON PARTICIPANTS HEALTH CONCERNS, PERCEIVED BARRIERS TO IMPROVED HEALTH, AND HEALTH NEEDS OF THE COMMUNITY. 383 RESPONSES (15% OF TOTAL SURVEY) WERE RECEIVED AND EVALUATED FROM RESIDENTS AND ORGANIZATIONS WITHIN THE MERCY HOSPITAL ROGERS COMMUNITY. AN ADDITIONAL COMMUNITY HEALTH SURVEY TARGETED SPECIFICALLY AT MEDICALLY UNDERSERVED AND AT-RISK COMMUNITY MEMBERS WAS CONDUCTED BY THE HOSPITAL IN THE FALL OF 2015 DURING FREE INFLUENZA VACCINE EVENTS. THESE EVENTS TOOK PLACE AT SAMARITAN COMMUNITY CENTER, ST. VINCENT DE PAUL FOOD PANTRY, AND TOWN CENTERS OF PEA RIDGE, AVOCA, AND GARFIELD, AR. 80 SURVEY RESPONSES WERE RECEIVED. A COMMUNITY FOCUS GROUP WAS CONDUCTED IN NOVEMBER 2015 AT THE CENTER FOR NONPROFITS IN ROGERS, AR AND INCLUDED MEMBERS OF HISPANIC MINORITY AND LOW-INCOME POPULATIONS. MERCY ALSO SOLICITED INPUT AND PARTICIPATION FROM THE BENTON COUNTY HEALTH DEPARTMENT, WHOSE ADMINISTRATOR IS A MEMBER OF MERCYS COMMUNITY HEALTH SUBCOMMITTEE OF THE BOARD OF DIRECTORS. OTHER PUBLIC HEALTH SOURCES OF DATA ARE DESCRIBED IN THE CHNA. HOWEVER, WRITTEN COMMENTS FROM THE PUBLIC ON RECENT CHNA AND IMPLEMENTATION STRATEGY WERE NOT RECEIVED, AS THE HOSPITAL DID NOT YET HAVE A PROCESS IN PLACE TO SOLICIT WRITTEN INPUT. THE NEXT CHNA CYCLE WILL INCLUDE A PROCESS FOR SOLICITING AND RECEIVING WRITTEN FEEDBACK ON THE CURRENT CHNA AND IMPLEMENTATION STRATEGY INCLUDING INPUT SPECIFICALLY FROM UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 6A MERCY CONDUCTED ITS CHNA IN COLLABORATION WITH OZARKS HEALTH COMMISSION, A LARGE COLLABORATION OF FOUR HOSPITAL SYSTEMS AND FIVE COUNTY HEALTH DEPARTMENTS, COVERING A 51 COUNTY AREA OF MISSOURI, ARKANSAS, KANSAS, AND OKLAHOMA. THE OZARKS HEALTH COMMISSION WAS ORGANIZED BY THE SPRINGFIELD-GREENE COUNTY HEALTH DEPARTMENT AND MERCY HOSPITAL SPRINGFIELD AND INCLUDED FOUR HOSPITALS IN THE MERCY HEALTH SYSTEM. FORM 990 SCHEDULE H, PART V, SECTION B, LINE 6B MERCY CONDUCTED ITS CHNA IN COLLABORATION WITH OZARKS HEALTH COMMISSION, A LARGE COLLABORATION OF FOUR HOSPITAL SYSTEMS AND FIVE COUNTY HEALTH DEPARTMENTS, COVERING A 51 COUNTY AREA OF MISSOURI, ARKANSAS, KANSAS, AND OKLAHOMA. THE OZARKS HEALTH COMMISSION WAS ORGANIZED BY THE SPRINGFIELD-GREENE COUNTY HEALTH DEPARTMENT AND MERCY HOSPITAL SPRINGFIELD AND INCLUDED FOUR HOSPITALS IN THE MERCY HEALTH SYSTEM. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 11 DURING TAX YEAR 2015, WHILE THE 2016 CHNA WAS BEING CONDUCTED, MERCY CONTINUED TO ADDRESS SIGNIFICANT NEEDS PREVIOUSLY IDENTIFIED IN THE 2012-2013 CHNA. SIGNIFICANT NEEDS WERE IDENTIFIED IN FOUR PRIORITY AREAS IN THE 2012-2013 CHNA: 1. ACCESS TO CARE. MERCY CONTINUED TO COLLABORATE WITH A COMMUNITY ENROLLMENT COUNSELOR TO ENROLL PARTICIPANTS IN THE ACA HEALTH PLAN AND PRIVATE OPTION. MOBILE MAMMOGRAPHY SERVICE CONTINUED TO SERVE RURAL AND UNDERSERVED POPULATIONS IN BENTON AND WASHINGTON COUNTIES. 790 WOMEN WERE SCREENED AT 8 LOCATIONS. 2 NEW LOCATIONS WERE ADDED DURING THIS TAX YEAR. 350 FREE INFLUENZA VACCINES WERE PROVIDED TO MEDICALLY UNDERSERVED AND RURAL COMMUNITY RESIDENTS USING THE MERCY MOBILE HEALTH UNIT AND HOSPITAL VOLUNTEERS. PLANS FOR A CHRONIC DISEASE SCREENING PROGRAM TARGETED AT MEDICALLY UNDERSERVED AND MINORITY POPULATIONS IN PARTNERSHIP WITH A LOCAL NONPROFIT SERVICE PROVIDER WERE DEVELOPED. PROGRAMS WILL BEGIN IN TAX YEAR 2016. A PARTNERSHIP WITH THE LOCAL FQHC WAS UNDERTAKEN TO PROVIDE SPECIALTY CARE TO UNINSURED PATIENTS WHO HAVE BEEN PREVIOUSLY UNABLE TO ACCESS CARE. 27 PATIENTS WERE SEEN IN SPECIALTY CLINICS THIS TAX YEAR THROUGH THIS PROGRAM. THE PREVIOUSLY IDENTIFIED NEED RELATED TO ACCESS TO CARE IN REGARDS TO SHIFTING LOWER LEVEL EMERGENCY DEPARTMENT PATIENTS AWAY FROM THE ED TO URGENT CARE CENTERS WAS NOT PURSUED DUE TO LACK OF URGENT CARE AND CONVENIENT CARE CAPACITY. 2. HEALTH/WELLNESS EDUCATION. HEALTHY FOR LIFE WEIGHT MANAGEMENT PROGRAM FOR FAMILIES WAS BEGUN AND OFFERED TO COMMUNITY MEMBERS. TWO 12 WEEK SESSIONS HAVE BEEN COMPLETED, AND FURTHER DEVELOPMENT OF THE PROGRAM IS IN PROGRESS. THE PREVIOUS PLAN TO PARTNER WITH AREA SCHOOLS AND SERVE ON HEALTH CARE ADVISORY BOARDS WAS NOT PURSUED DUE TO LIMITED CAPACITY OF ADMINISTRATIVE PERSONNEL AND INSUFFICIENT TIME TO PURSUE THIS GOAL. 3. BEHAVIORAL HEALTH. MERCY, IN PARTNERSHIP WITH THE ENDEAVOR FOUNDATION, COMPLETED THE JOIN THE SOLUTION PROJECT, A ONE-YEAR STUDY ASSESSING MENTAL HEALTH SERVICES, PHYSICAL HEALTH SERVICES, AND DISTRIBUTION OF BASIC NEEDS TO STUDENTS IN FIVE MAJOR AREA SCHOOL DISTRICTS. BASED ON RESULTS OBTAINED FROM THIS STUDY, THE CENTER FOR COLLABORATIVE CARE, OF WHICH MERCY WILL BE A KEY SPONSOR AND SUPPORTER, IS IN DEVELOPMENT FOR THE NEXT TAX YEAR. THIS NEW ENTITY WILL AIM TO ADDRESS THE NEEDS IDENTIFIED. BEHAVIORAL HEALTH SERVICES WERE EXPANDED SIGNIFICANTLY TO A TOTAL OF 4 PSYCHIATRISTS, 4 PSYCHOLOGISTS, 5 THERAPISTS, AND 3 INTERNS, EXPANDING ACCESS AND THE DEPARTMENTS ABILITY TO PROVIDE CARE TO LOW-INCOME PATIENTS. 4. COMMUNITY BENEFIT INFRASTRUCTURE DEVELOPMENT. THE COMMUNITY HEALTH SUBCOMMITTEE OF HOSPITAL BOARD WAS EXPANDED TO INCLUDE REPRESENTATIVES FROM THE PUBLIC HEALTH DEPARTMENT, CITY GOVERNMENT, UNIVERSITY, MAJOR CORPORATIONS, AND ADVOCACY GROUPS. THE SUBCOMMITTEE ACTIVELY PARTICIPATED AND PROVIDED INPUT INTO THE 2016 CHNA PROCESS AND DEVELOPMENT OF THE 2016 IMPLEMENTATION STRATEGY. MERCY PARTICIPATED IN A COMMUNITY-WIDE HEALTH SUMMIT IN APRIL 2016 AND WILL CONTINUE TO COLLABORATE IN A NEWLY ESTABLISHED COMMUNITY HEALTH WORK GROUP. COMMUNITY BENEFIT INFRASTRUCTURE AND REPORTING SYSTEMS DEVELOPMENT WAS COMPLETED. COMMUNITY PARTICIPATION CONTINUED TO BE ENCOURAGED AND MONITORED FOR LEADERS. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 16A, 16B & 16C THE FINANCIAL ASSISTANCE POLICY, APPLICATION AND A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY ARE AVAILABLE ONLINE AT HTTPS://WWW.MERCY.NET/MERCY-FINANCIAL-ASSISTANCE. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 22 ELIGIBILITY GUIDELINES FOR CHARITY CARE DISCOUNTS THE FEDERAL POVERTY GUIDELINES FOR INCOME ARE THE BASIS FOR DETERMINING ELIGIBILITY FOR CHARITY CARE DISCOUNTS. FOR EXAMPLE, INDIVIDUALS WITH INCOMES BELOW 100% OF THE FEDERAL POVERTY GUIDELINES WILL BE ELIGIBLE FOR FREE CARE. INDIVIDUALS WITH INCOMES GREATER THAN 100% OF THE FEDERAL POVERTY GUIDELINES MAY BE ELIGIBLE FOR CARE AT DISCOUNTED RATES DEPENDING ON THEIR INCOME LEVEL AND/OR THE AMOUNT DUE TO THE HOSPITAL. TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE, THE HOSPITAL FACILITY USES AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE. THE HOSPITAL USES A LOOK BACK METHOD THAT CONSIDERS DISCOUNTS ALLOWED TO MEDICARE AND ALL PRIVATE HEALTH INSURERS. 2 CENTER FOR NON-PROFITS 1200 W WALNUT ROGERS AR 72756 HOME CARE MERCY WOUND CARE 1194 W WALNUT ROGERS AR 72756 WOUND CARE FORM 990, SCHEDULE H, PART I, LINE 6A THE ORGANIZATIONS COMMUNITY BENEFIT REPORT IS PREPARED BY ITS ULTIMATE PARENT ENTITY, MERCY HEALTH (EIN: 43-1423050). FORM 990, SCHEDULE H, PART I, LINE 7, COLUMN F TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25 WAS $205,878,744. THE BAD DEBT EXPENSE (CHARGES) INCLUDED IN THIS AMOUNT WAS $10,936,564. THE REMAINING EXPENSE OF $194,942,180 WAS UTILIZED FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F). FORM 990, SCHEDULE H, PART I, LINE 7G THE ORGANIZATION DID NOT INCLUDE ANY PHYSICIAN CLINIC COSTS ON LINE 7G. FORM 990, SCHEDULE H, PART II MERCY CONDUCTED FOUR WORKFORCE DEVELOPMENT ACTIVITIES TO PROMOTE HEALTH PROFESSIONS CAREERS FOR MIDDLE SCHOOL, HIGH SCHOOL AND COLLEGE STUDENTS. 1. IN PARTNERSHIP WITH THE UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES, MERCY CONDUCTED THE MEDICAL APPLICATION OF SCIENCE FOR HEALTH (MASH) PROGRAM. THIS IS A TWO WEEK INTENSIVE PROGRAM FOR 10 HIGH SCHOOL STUDENTS CONSIDERING MEDICAL CAREERS. 2. THE ANNUAL STEAM FAIR WAS HELD IN A RURAL, LOW-INCOME MIDDLE SCHOOL TO EXPOSE STUDENTS TO HEALTH CARE CAREERS. THIS WAS A LARGE EFFORT INVOLVING PHYSICIANS, RADIOLOGY, LAB, AND NURSING STAFF, AND TECHNOLOGY COWORKERS. 150 STUDENTS ATTENDED. 3. VOLUNTEER PROGRAM IS A 6 WEEK SUMMER PROGRAM ALLOWING HIGH SCHOOL STUDENTS TO VOLUNTEER IN THE HOSPITAL OR IN AN OUTPATIENT DEPARTMENT TO GAIN EXPOSURE TO HEALTH CARE CAREERS AND TO HELP GUIDE EDUCATIONAL AND CAREER DECISIONS. 54 TEENS PARTICIPATED THIS YEAR. 4. COLLEGE STUDENT VOLUNTEER PROGRAM PROVIDES COLLEGE STUDENTS OPPORTUNITIES TO GAIN KNOWLEDGE AND EXPERIENCE IN THEIR RELATED FIELDS OF STUDY AND HELPS TO ENCOURAGE AND EDUCATE THEM ABOUT HEALTH CARE CAREERS. 19 STUDENTS WERE SERVED THIS YEAR. FORM 990, SCHEDULE H, PART III, SECTION A, LINE 2 TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE, AT COST, BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENT ACCOUNTS WAS MULTIPLIED BY A RATIO OF COST TO CHARGES. THE RATIO OF COST TO CHARGES USED WAS BASED ON DETAILED COST ACCOUNT, WHERE AVAILABLE. WHERE COST ACCOUNTING IS NOT AVAILABLE, COST REPORT COST TO CHARGE RATIOS WERE UTILIZED. FORM 990, SCHEDULE H, PART III, SECTION A, LINE 3 THE FILING ORGANIZATION DETERMINED THAT THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS $0. ALTHOUGH THE CHARITY CARE POLICY REQUIRES THE PARTICIPATION OF THE PATIENT REQUESTING ASSISTANCE, WE HAVE A PROCESS UNDER PRESUMPTIVE CHARITY TO ADDRESS ACCOUNTS FOR PATIENTS WHO DO NOT PROVIDE THE INFORMATION. WE BELIEVE THAT OUR CHARITY POLICY IS COMPREHENSIVE ENOUGH TO CAPTURE ALMOST ALL PATIENTS WHO QUALIFY FOR CHARITY CARE. FORM 990, SCHEDULE H, PART III, SECTION A, LINE 4 THE TEXT OF THE FOOTNOTE THAT IS INCLUDED IN MERCY HEALTH AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE IS AS FOLLOWS: "PATIENT ACCOUNTS RECEIVABLE THAT ARE DEEMED UNCOLLECTIBLE, INCLUDING THOSE PLACED WITH COLLECTION AGENCIES, ARE INITIALLY CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN ACCORDANCE WITH COLLECTION POLICIES OF THE HEALTH SYSTEM AND, IN CERTAIN CASES, ARE RECLASSIFIED TO CHARITY CARE IF DEEMED TO OTHERWISE MEET THE HEALTH SYSTEMS CHARITY CARE POLICY. THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES IS BASED UPON MANAGEMENTS ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES BASED UPON THE PAYOR COMPOSITION AND AGING OF RECEIVABLES WITH CONSIDERATION OF THE HISTORICAL PAYMENT AND WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES." FORM 990, SCHEDULE H, PART III, SECTION B, LINE 8 IT IS THE POSITION OF MERCY THAT 100% OF ANY SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS AMOUNT REPRESENTS COST OF PROVIDING SERVICES THAT REMAIN UNCOMPENSATED TO THE PROVIDER. THE UNREIMBURSED COSTS OF MEDICARE IS CALCULATED BY THE GROSS CHARGES NET OF THE COST TO CHARGE RATIO LESS ANY PAYMENTS, DEDUCTIONS OR REIMBURSEMENTS USING THE ANNUAL MEDICARE COST REPORT (CMS FORM 2552-96). FORM 990, SCHEDULE H, PART III, SECTION C, LINE 9B MERCYS COLLECTION POLICY PROVIDES THAT MERCY WILL PERFORM A REASONABLE COMMUNICATION AND/OR REVIEW OF PATIENT ACCOUNTS AS IT RELATES TO ANY SERVICE PROVIDED AT OUR FACILITIES BEFORE TURNING THE ACCOUNT TO BAD DEBT OR TAKING LEGAL ACTION FOR NONPAYMENT. MERCY ACTIVELY SCRUBS ACCOUNTS FOR PAYOR PLAN COVERAGE, INCLUDING MEDICAID. IN THE EVENT AN ACCOUNT IS TURNED TO COLLECTIONS AND IS IDENTIFIED IN NEED OF FINANCIAL ASSISTANCE DUE TO CIRCUMSTANCE CHANGES, OR IS NOW REQUESTING ASSISTANCE, THE ACCOUNTS ARE RETURNED BY THE AGENCY AND CONSIDERED FOR CHARITY IF THE PATIENT PROVIDES THE REQUESTED INFORMATION. IF THE PATIENT FAILS TO RETURN THE INFORMATION, THE ACCOUNT WILL QUALIFY FOR COLLECTIONS. MERCY UTILIZES THE EXPERIAN TOOL TO ENHANCE THE ABILITY TO DETERMINE THE CHARITY QUALIFICATION PRIOR TO TURNING TO BAD DEBT, A PROCESS KNOWN AS PRESUMPTIVE CHARITY. MERCY WILL GRANT CHARITY IN SITUATIONS WHERE THERE HAS BEEN AN INABILITY TO OBTAIN INFORMATION FROM PATIENTS OR THE INFORMATION PROVIDED IS NOT COMPLETE ENOUGH TO MAKE A CHARITY DETERMINATION WHEN A PATIENT HAS SUBMITTED AN APPLICATION. IN ADDITION, MERCY UTILIZES THE SAME TOOL TO QUALIFY ACCOUNTS PER THE PRACTICE OF PRESUMPTIVE CHARITY PRIOR TO BAD DEBT PLACEMENT FOR BALANCES IN EXCESS OF $6,500. ALL ACCOUNT BALANCES RELATING TO ACCOUNTS IDENTIFIED BY THE HIGHER BALANCES WILL BE CONSIDERED AND FLAGGED FOR CHARITY IF THERE IS AN INABILITY TO PAY AFTER A RETURN FROM THE COLLECTION AGENCY AT APPROXIMATELY 120 DAYS. MERCY WILL PURSUE APPROPRIATE MEANS IN THE COLLECTION OF DELINQUENT ACCOUNTS FROM PATIENTS WITH AN ESTABLISHED ABILITY TO PAY OR AN UNWILLINGNESS TO COOPERATE IN VALIDATING ELIGIBILITY FOR FINANCIAL ASSISTANCE. THESE APPROPRIATE MEANS MAY INCLUDE LEGAL ACTION CONSISTENT WITH MERCY MISSION AND VALUES AFTER A SENDING 3 MONTHLY STATEMENTS WITH THE FINAL INCLUDING NOTIFICATION; IF NO RESOLUTION THEY WILL BE TURNED TO COLLECTIONS. ADDITIONALLY, THEY MAY INCLUDE LIENS UPON REAL PROPERTY AND REASONABLE WAGE GARNISHMENTS. LEGAL ACTIONS WILL GENERALLY NOT INCLUDE BANK GARNISHMENTS, REPOSSESSION OF ASSETS OR FORECLOSURES TO ENSURE SATISFACTION OF A LIEN. MERCY HAS POLICIES AND PROCEDURES ESTABLISHED TO ADDRESS THE INITIATION OF LEGAL ACTION AND ANNUALLY REVIEW COMPLIANCE WITH POLICIES BUT ENSURE 120 DAYS OF BILLING AND COLLECTIONS OCCURS PRIOR TO ANY EXTRAORDINARY COLLECTIONS ARE PURSUED. FORM 990, SCHEDULE H, PART VI, LINE 2 MERCY HOSPITAL ROGERS COMPLETED ALL OF ITS COMMUNITY NEEDS ASSESSMENT AS A PART OF ITS CHNA, DESCRIBED IN PART V, SECTION B. FORM 990, SCHEDULE H, PART VI, LINE 3 Mercy informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organizations financial assistance policy through several means. If at any time a patient expresses hardship and inability to pay, the accounts is placed for review. In addition, patient have signage about the policy at the access points, and all staff working with the patient at Point of Service, Scheduling, Customer Service, and even through the Medicaid Eligibility Screening, have the means to send the account for review. There is the plain language summary that is being provided to all whom express hardship, in addition to the web address providing the application, policies, and even how uninsured accounts are handled. Lastly, the statements message to the patient that Mercy does have a Financial Assistance Program and to call to see if they are eligible. Mercy staffs internal resources certified to assist patients with Medicaid Applications as well. FORM 990, SCHEDULE H, PART VI, LINE 4 MERCY HOSPITAL ROGERS' PRIMARY SERVICE AREA INCLUDES FOUR COUNTIES IN NORTHWEST ARKANSAS (BENTON, CARROLL, WASHINGTON AND MADISON) AND TWO COUNTIES IN SOUTHWEST MISSOURI (BARRY AND MCDONALD).THE FOLLOWING INFORMATION IS DERIVED FROM 2016 Sg2 ANALYTICS DATA AND Sg2 INSURANCE COVERAGE ESTIMATES. THE AREA'S POPULATION IS 578,191. 31% OF THE POPULATIONS AVERAGE HOUSEHOLD INCOME IS OVER $75,000. 37% OF THE POPULATION IS 45 AND OLDER. 22% OF THE HOUSEHOLDS ARE ON MEDICARE, 18% ON MEDICAID, AND 11% UNINSURED. FORM 990, SCHEDULE H, PART VI, LINE 5 MERCY HOSPITAL, IN ACCORDANCE WITH ITS MISSION AND VALUES, PROVIDES QUALITY AND COMPASSIONATE HEALTH CARE TO PATIENTS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, DISABILITY, AGE OR ABILITY TO PAY. MERCY VIEWS ITS HEALTH CARE SERVICES AS A MINISTRY, WHETHER CARE IS PROVIDED IN THE ACUTE CARE, AMBULATORY, OR HOME-HEALTH ENVIRONMENT. MERCY IS GOVERNED BY A BOARD OF DIRECTORS COMPRISED OF COMMUNITY LEADERS AND REPRESENTATIVES OF THE COMMUNITY. THE MAJORITY OF THE BOARD MEMBERS RESIDE IN THE HOSPITALS PRIMARY SERVICE AREA AND ARE NEITHER EMPLOYEES, INDEPENDENT CONTRACTORS, OR FAMILY MEMBERS OF EMPLOYEES OR INDEPENDENT CONTRACTORS. ALL BOARD MEMBERS COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY AND ANY POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED AND RESOLVED. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. SURPLUS FUNDS ARE REINVESTED IN PATIENT CARE, MEDICAL EDUCATION, AND RESEARCH INITIATIVES WHICH SUPPORT THE HOSPITALS MISSION TO DELIVER COMPASSIONATE CARE AND EXCEPTIONAL HEALTH SERVICES TO ITS COMMUNITY. MERCY IS COMMITTED TO PROMOTING THE HEALTH OF NORTHWEST ARKANSAS AND THE SURROUNDING AREA BY SERVING AS A COMMUNITY HEALTH LEADER AND A VISIBLE PARTNER IN COMMUNITY ACTIVITIES. MERCY PARTICIPATED IN 22 COMMUNITY HEALTH FAIRS AND SCREENINGS AND WAS A SIGNIFICANT SPONSOR OF SEVEN HEALTH-RELATED WALKS AND RUNS. THE HOSPITAL ALSO PROVIDED 253 ECHOCARDIOGRAM SCREENINGS TO UNIVERSITY OF ARKANSAS ATHLETES AS A HEALTH PROMOTION SERVICE. THE HOSPITAL PARTNERED WITH A LOCAL YMCA BY PROVIDING FINANCIAL SUBSIDIES TO SUPPORT THE YMCA IN PROVIDING COMMUNITY HEALTH EDUCATION, PREDIABETES PROGRAMS, SCHOLARSHIPS FOR MEMBERSHIP FEES, EXERCISE CLASSES, AND CHILD CARE FOR WORKING PARENTS. SUPPORT GROUPS WERE PROVIDED FOR COMMUNITY MEMBERS WITH PARKINSONS DISEASE AND SLEEP APNEA, AND COPD AND COLON CANCER EDUCATION EVENTS WERE HELD. MERCY IS ALSO DEEPLY COMMITTED TO THE EDUCATION AND TRAINING OF FUTURE HEALTH CARE PROFESSIONALS, PROVIDING TRAINING OPPORTUNITIES FOR STUDENTS IN MEDICINE, NURSING, PHYSICAL THERAPY, IMAGING, NUTRITION, RESPIRATORY THERAPY, LABORATORY, PHARMACY, AND PARAMEDIC PROGRAMS. TO ENCOURAGE YOUNG PEOPLE TO PURSUE CAREERS IN HEALTHCARE, MERCY CONDUCTED A TWO- WEEK SUMMER PROGRAM FOR HIGH SCHOOL STUDENTS AND OPERATES AN ACTIVE COLLEGE STUDENT VOLUNTEER PROGRAM. MERCY COWORKERS WERE ACTIVELY INVOLVED IN VOLUNTEER PROJECTS TO BENEFIT THE LOCAL COMMUNITY, DONATING OVER 700 HOURS TO 4 DIFFERENT PROJECTS. THESE INCLUDED FOOD AND CLOTHING DRIVES, ASSEMBLING SNACK PACKS FOR LOW INCOME CHILDREN, AND PROVIDING CHRISTMAS GIFTS FOR NEEDY FAMILIES. SPACE FOR A COMMUNITY FARMERS MARKET WAS DONATED TO THE BELLA VISTA COMMUNITY WEEKLY FOR A TOTAL OF 13 EVENTS. FINALLY, MERCY COORDINATED A GROUP OF SEVEN COMMUNITY PARTNERS TO PROVIDE A HOT MEAL AND OUTREACH SERVICES TO ABOUT 75 HOMELESS RESIDENTS OF A LOCAL HOTEL WEEKLY FOR 21 WEEKS. FORM 990, SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: THE FILING ORGANIZATION IS PART OF MERCY HEALTH ("MERCY"). MERCY IS A MISSOURI NON-PROFIT CORPORATION WITH ITS HEADQUARTERS ("MINISTRY OFFICE") IN ST. LOUIS, MISSOURI. MERCY PROVIDES HEALTH CARE SERVICES IN FOUR STATES - ARKANSAS, KANSAS, MISSOURI, AND OKLAHOMA - AND HAS OUTREACH MINISTRIES LOCATED IN LOUISIANA, MISSISSIPPI, AND TEXAS. MERCY'S MISSION IS "AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE." AS OF JUNE 30, 2016, MERCY FACILITIES INCLUDED 33 ACUTE CARE HOSPITALS, 3 MANAGED HOSPITALS, 4 HEART HOSPITALS, 2 CHILDREN'S HOSPITALS, 2 ORTHOPEDIC HOSPITALS AND 3 REHAB HOSPITALS. FOR THE FISCAL YEAR ENDED JUNE 30, 2016, MERCY HAD MORE THAN 9.2 MILLION OUTPATIENT AND PHYSICIAN OFFICE VISITS, APPROXIMATELY 2,100 EMPLOYED PHYSICIANS, AND APPROXIMATELY 40,000 FULL-TIME EQUIVALENT EMPLOYEES, MAKING MERCY THE FIFTH LARGEST CATHOLIC HEALTH SYSTEM IN THE UNITED STATES. MERCY IS SPONSORED BY MERCY HEALTH MINISTRY, WHICH IS GOVERNED BY MEMBERS THAT INCLUDE SISTERS OF MERCY. MANY SERVICES THAT ARE ESSENTIAL TO FULFILLING MERCY'S MISSION ARE CENTRALIZED AT THE MINISTRY OFFICE. SUCH CENTRALIZED SERVICES INCLUDE TREASURY, INFORMATION TECHNOLOGY, CLINICAL QUALITY MANAGEMENT, LEGAL AND COMPLIANCE COUNSEL, COMPENSATION AND BENEFITS, CONSULTING, PERFORMANCE MANAGEMENT, REVENUE MANAGEMENT, INTERNAL AUDIT, ACCOUNTING AND REPORTING, CAPITAL MANAGEMENT, CLINICAL ENGINEERING, AND CLINICAL SAFETY. THE CENTRALIZATION OF SUCH SUPPORT SERVICES ENABLES MERCY TO ENSURE THAT EACH OF ITS COMMUNITIES, WHETHER LARGE OR SMALL, HAS THE SERVICES IT NEEDS. FORM 990, SCHEDULE H, PART VI, LINE 7 STATE OF FILING COMMUNITY BENEFIT: N/A true Tri State Family YMCA 4701 Chouteau Avenue Neosho MO 64850 431729473 501(c)(3) 121567 FUNDING YMCA AND HEALTH PROGRAMS ROGERS LOWELL CHAMBER OF COMMERCE 317 WEST WALNUT ROGERS AR 72756 710029635 501(c)(6) 15000 PROGRAM SUPPORT 1 1 PATIENT ASSISTANCE - HOME HEALTH DIALYSIS 8 11374 FORM 990, SCHEDULE I, PART I, LINE 2 DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING USE OF GRANTS THE ASSISTANCE PROVIDED IS INTENDED TO BE USED FOR THE GENERAL OPERATING PURPOSES OF THE DONEE. THE USE OF GRANT FUNDS IS NOT MONITORED AFTER GRANTS ARE GIVEN. X true true true true false false false false false false false Donnell Hugh G Physician & Board member 0 417802 0 11535 0 37293 0 28817 0 24020 0 519467 0 0 Pianalto Eric Chief executive officer 0 338744 0 171265 0 19763 0 184521 0 18743 0 733036 0 0 Reynolds Scott CFO - Central Communities 0 317099 0 93883 0 54913 0 89876 0 14507 0 570278 0 0 Barclay Richard F VP-Support services 0 170124 0 45587 0 25229 0 16633 0 12904 0 270477 0 0 Burke James Regional VP-Legal 0 245591 0 92752 0 20852 0 43214 0 18327 0 420736 0 0 Halstead John VP-Mission 0 143150 0 34159 0 837 0 3501 0 16343 0 197990 0 0 Hennessey III William Reg. VP-Marketing 0 150078 0 51998 0 49937 0 54955 0 16801 0 323769 0 0 Johnson Christopher Chief of staff 0 386426 0 18130 0 54950 0 28832 0 23860 0 512198 0 0 Marion Tanya Regional VP-Human resources 0 185233 0 59500 0 37190 0 39676 0 17933 0 339532 0 0 Rankin Charlotte Chief nursing officer 0 177382 0 50340 0 23557 0 37487 0 7598 0 296364 0 0 Stover Benny J VP-Finance 0 171061 0 45092 0 19651 0 9643 0 17620 0 263067 0 0 Swope Jon President, central communities 0 651753 0 524380 0 54295 0 153276 0 19564 0 1403268 0 0 Dunham Robert D Director, pharmacy services 137264 0 12322 0 27228 0 17953 0 17310 0 212077 0 0 0 Gibbs Eric Clinical pharmacist 141682 0 40 0 14747 0 8025 0 12542 0 177036 0 0 0 Hollingsworth Mary Registered Nurse 138331 0 3915 0 13883 0 20832 0 6435 0 183396 0 0 0 Moore Richard E Clinical pharmacist 138306 0 40 0 14641 0 8016 0 17292 0 178295 0 0 0 Slaba Sean M Perfusionist 119553 0 40 0 22263 0 8081 0 17030 0 166967 0 0 0 Vitiello Jonathan Former officer 0 420946 0 233293 0 62169 0 84728 0 18955 0 820091 0 0 Chase Brenda Former key employee 0 0 0 0 0 277705 0 44023 0 0 0 321728 0 0 Stewart Michele Former key employee 0 259495 0 81352 0 25480 0 79737 0 17818 0 463882 0 0 Treptow MD Douglas Former key employee 0 396108 0 98387 0 63718 0 35426 0 17740 0 611379 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. FORM 990, SCHEDULE J, PART I, QUESTION 3 MERCY HOSPITAL ROGERS RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTION 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS. FORM 990, SCHEDULE J, PART I, QUESTION 4A THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT DURING CALENDAR YEAR 2015: Brenda Chase, $277,705. FORM 990, SCHEDULE J, PART I, QUESTION 4B MERCY OFFERS SUPPLEMENTAL RETIREMENT PLANS TO CERTAIN EXECUTIVES WHICH PROVIDE BENEFITS UPON VESTING DATE BASED ON COMPENSATION, AGE AT THE TIME OF BENEFIT COMMENCEMENT, LENGTH OF SERVICE WITH THE COMPANY AND/OR ITS AFFILIATES, AND LENGTH OF TENURE IN THE PLAN. THE PLANS ARE CLOSED TO NEW ENTRANTS. THE INDIVIDUALS REPORTABLE ON THIS RETURN WHO PARTICIPATE IN THE SUPPLEMENTAL RETIREMENT PLANS INCLUDE: ERIC PIANALTO, JAMES BURKE, JONATHAN VITIELLO, TANYA MARION, WILLIAM HENNESSEY III, MICHELE STEWART, AND JON SWOPE. THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C). Carl Hogle Family of key employee 59039 Employment false FORM 990, PART III, QUESTION 4D MERCY HOSPITAL ROGERS (MHR) AND ITS MEMBER HEALTH CARE FACILITIES PROVIDE QUALITY CARE REGARDLESS OF RACE, CREED, GENDER, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. MHR PROVIDED 41,625 INPATIENT SERVICE DAYS OF ACUTE OR SUB-ACUTE CARE. MHR PERFORMED 1,676 DELIVERIES, RESPONDED TO APPROX. 57,147 EMERGENCY ROOM ENCOUNTERS, MADE APPROX. 46,067 HOME HEALTH CARE VISITS AND COMPLETED 212,242 OUTPATIENT VISITS. COMMUNITY OUTREACH/BENEFIT PROGRAMS INCLUDE SUPPORT GROUPS FOR CURRENT AND PAST PATIENTS (DIABETIC, CARDIAC, ETC), EXPECTING/NEW PARENTS (CHILD BIRTH CLASSES, VARIOUS SUPPORT GROUPS, ETC), EMPLOYEES (EDUCATIONAL ASSISTANCE PROGRAMS, ETC), AND LOCAL/SURROUNDING COMMUNITY (HEALTH AND WELLNESS PROGRAMS, HEALTH FAIRS, HOME HEALTH PROGRAMS, ETC). RELIEF FROM THE FINANCIAL BURDEN OF HEALTH CARE SERVICES TO THE INDIGENT CONSISTS OF CHARGES OF $18,433,566 FOR CHARITY CARE PROVIDED. 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 V, QUESTION 2A W-3 FILING MOST EMPLOYEES ARE PAID BY A RELATED ORGANIZATION UNDER A COMMON PAYMASTER ARRANGEMENT. AS SUCH, REQUIRED PAYROLL FILING (INCLUDING W-2 AND W-3'S) IS REPORTED UNDER THE RELATED ORGANIZATION, MHM SUPPORT SERVICES, EIN 20-2553101. FORM 990, PART VI, LINE 6A, LINE 7A, 7B CLASSES OF MEMBERS OR STOCKHOLDERS THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES. THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED SOLELY UNTO THE CORPORATE MEMBER: A. TO APPROVE THE MISSION AND ESTABLISH THE PHILOSOPHY ACCORDING TO WHICH THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION SHALL OPERATE; B. TO AMEND THE ARTICLES OF INCORPORATION AND BYLAWS; C. TO APPOINT AND REMOVE MEMBERS OF THE BOARD; D. TO APPOINT AND REMOVE THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION; E. TO APPROVE OR AMEND THE STRATEGIC PLAN, GOALS, AND OBJECTIVES OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; F. TO APPROVE OR AMEND THE OPERATING, CAPITAL AND CONSTRUCTION BUDGETS FOR THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; G. TO LEASE OR SELL ANY OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION IN EXCESS OF ONE MILLION DOLLARS ($1,000,000); H. TO ENCUMBER ANY OR ALL OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; I. TO AUTHORIZE AND APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTE ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; J. TO MERGE, DISSOLVE, OR ABANDON THE CORPORATION; AND, K. TO APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION BY 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, 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 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, QUESTIONS 16A & 16B PARTICIPATION IN JOINT VENTURE AGREEMENTS MERCY'S APPROACH TO JOINT VENTURES IS INFORMED BY A NUMBER OF COMPANY REQUIREMENTS, INCLUDING MERCY'S CODE OF CONDUCT AND THE ETHICAL AND RELIGIOUS DIRECTIVES IMPOSED BY THE U.S. CATHOLIC BISHOPS SPECIFICALLY GOVERNING HEALTHCARE BUSINESS RELATIONSHIPS WITH THIRD PARTIES. IN ADDITION TO THE FOREGOING, APPROPRIATE SAFEGUARDS ARE INCLUDED IN THE JOINT VENTURE OPERATING AGREEMENTS TO ENSURE COMPLIANCE WITH APPLICABLE LAW, CHURCH TEACHING AND PRESERVATION OF THE HOSPITAL'S TAX EXEMPT-STATUS. SUCH SAFEGUARDS INCLUDE BUT ARE NOT LIMITED TO: REQUIREMENTS THAT THE BUSINESS BE MANAGED IN A MANNER THAT PROMOTES THE BETTERMENT OF THE HEALTH OF THE CITIZENS OF NORTHWEST ARKANSAS, WHICH SHALL OVERRIDE ANY OBLIGATION TO MAXIMIZE PROFITS; CONTRACTS WITH MEMBERS MUST BE APPROVED AND PAYMENTS BASED ON ACTUAL EXPENSES REASONABLY INCURRED; AND, REQUIREMENTS THAT A CHARITY CARE POLICY BE ESTABLISHED AND EFFECTIVELY IMPLEMENTED. 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 A, COLUMN B AVERAGE 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 CAPITALIZED INTEREST TRANSFERS 75,295 NET TRANSFERS TO/FROM AFFILIATES (131,251,940) TOTAL CHANGES IN NET ASSETS (131,176,645) 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 2016 (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 (FORMERLY FINANCE, AUDIT, AND COMPLIANCE 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 Jefferson Land Company Inc 14528 S Outer Forty Ste 100 Chesterfield MO 63017 431330360 HOLDING CO MO 501c2 N/A MH JFFRSON true McAuley Portfolio Management Company 14528 S Outer Forty Ste 100 Chesterfield MO 63017 261708048 PORT MGMT MO 501c3 11b 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 Center Drive Suite 1 St Louis MO 63141 431771217 PHYS GROUP MO 501c3 9 MH EAST COMM true Mercy Clinic Fort Smith Communities 7301 Rogers Avenue Fort Smith AR 72903 261318597 PHYS CLINIC AR 501c3 3 MH FS 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 Foundation 14528 S Outer Forty Ste 100 Chesterfield MO 63017 200901499 Foundation MO 501c3 11b Mercy Health true Mercy Health 14528 S Outer Forty Ste 100 Chesterfield MO 63017 431423050 CORP OFFICE MO 501c3 1 NA false Mercy Health East Communities 14528 S Outer Forty Ste 100 Chesterfield MO 63017 431718408 HLTH SYSTEM MO 501c3 11b Mercy Health true Mercy Health East Communities - Southern 14528 S Outer Forty Ste 100 Chesterfield MO 63017 461412322 HLTH SYSTEM MO 501c3 11b MH EAST COMM true Mercy Health Fort Smith Communities 7301 Rogers Avenue Fort Smith AR 72917 261318515 HOLDING CO AR 501c3 11b Mercy Health true Mercy Health Foundation Ada 430 N Monte Vista Street Ada OK 74820 463596274 Foundation OK 501c3 11a MH ADA INC true Mercy Health Foundation Ardmore 1011 14th Avenue NW Ardmore OK 73401 710962525 Foundation OK 501c3 11a MH ARDMORE true Mercy Health Foundation Berryville 214 Carter Street Berryville AR 72616 710759301 Foundation AR 501c3 11a MH FT SMITH true Mercy Health Foundation Fort Scott 401 Woodland Hills Blvd Fort Scott KS 66701 481077073 Foundation KS 501c3 11c M KS COMM true Mercy Health Foundation Hot Springs 300 Werner Street Hot Springs AR 71913 710804718 Foundation AR 501c3 11b MC SRVCS true Mercy Health Foundation Independence 800 W Myrtle Independence KS 67301 481079981 Foundation KS 501c3 11a M ST FRANCIS true Mercy Health Foundation Jefferson 1400 US Highway 61 South Festus MO 63028 462797051 Foundation MO 501c3 11b MH E COMM SR true Mercy Health Foundation Joplin 100 Mercy Way Joplin MO 64804 270906136 Foundation MO 501c3 11a MH SWMK COMM true Mercy Health Foundation Lincoln 1000 East Cherry Street Troy MO 63379 811477159 Foundation MO 501c3 11b MH EAST COMM true Mercy Health Foundation NW Arkansas 2710 Rife Medical Lane Rogers AR 72758 710601687 Foundation AR 501c3 11c MH ROGERS true Mercy Health Foundation of Oklahoma 4300 W Memorial Road Oklahoma City OK 73120 454732301 Foundation OK 501c3 11a MH OK COMM true Mercy Health Foundation Oklahoma City 4300 W Memorial Road Oklahoma City OK 73120 463184231 Foundation OK 501c3 11a MH OK COMM true Mercy Health Foundation Springfield 1235 E Cherokee Street Springfield MO 65804 320195818 Foundation MO 501c3 11b MH SF COMM true Mercy Health Foundation St Louis 14528 S Outer Forty Ste 100 Chesterfield MO 63017 562410020 Foundation MO 501c3 11b MH EAST COMM true Mercy Health Foundation Washington 901 E Fifth Street Washington MO 63090 562410022 Foundation MO 501c3 11b MH EAST COMM true Mercy Health NW Arkansas Communities 2710 Rife Medical Lane Rogers AR 72758 621684203 PHYS GROUP AR 501c3 9 Mercy Health true Mercy Health Oklahoma Communities Inc 4300 W Memorial Road Oklahoma City OK 73120 731453048 HLTH SYSTEM OK 501c3 11b 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 11b Mercy Health true Mercy Health Springfield Communities 1235 E Cherokee Street Springfield MO 65804 431856028 HLTH SYSTEM MO 501c3 11b Mercy Health true Mercy Home Health Berryville 804 W Freeman Suite 4 Berryville AR 72616 870781247 HOME HEALTH AR 501c3 11c MM LAREDO 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 MO 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 NWAR 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 Hosp 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 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 ARDMORE 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 Research 1235 E Cherokee Street Springfield MO 65804 870796305 HOSPITAL MO 501c3 4 MH SF COMM true Mercy Ministries of Laredo 2500 Zacatecas Laredo TX 78046 200198462 HOSPITAL TX 501c3 7 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 11b Mercy Health true Mission Clinical Services 300 Werner Street Hot Springs AR 71913 134239691 CHILD ADVOC AR 501c3 9 Mercy Health true St Edward Mercy Foundation 7301 Rogers Avenue Fort Smith AR 72917 237330425 Foundation AR 501c3 7 MH FT SMITH true St Mary's Hospital of Enid Oklahoma 14528 S Outer Forty Ste 100 Chesterfield MO 63017 730614655 Inactive OK 501c3 3 MH OK COMM true The Sister M Cornelia Blasko Foundation 100 W Highway 60 Mountain View MO 65548 431873914 Foundation MO 501c3 11a M ST FRANCIS true MERC AMBU SURG CTR 7301 Rogers FT SMITH AR 72917 710827721 AMBUL SURG CT AR NA RES OPT & INNOV 645 MARYVILLE St Louis MO 63141 460468368 CENTRAL DIST. MO NA SO OK DIAG CTR 1011 14TH Ardmore OK 73401 431971232 MRI Services OK NA FORT SMITH EMS 1701 S GREENWOOD FT SMITH AR 72901 710416615 Emergency Medical AR NA ST ED MER MED MOB 7301 Rogers FT 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 true false false false false false false false false false false false false true true false false Mercy Health Northwest Arkansas Communities Q 69731295 FMV Mercy Health Oklahoma Communities Inc P 242612 FMV Mercy ACO Clinical Services Inc P 1857568 FMV Mercy Kansas Communities Inc Q 58843 FMV MHM Support Services P 133835409 FMV Resource Optimization & Innovation LLC Q 50675 FMV Resource Optimization & Innovation LLC P 10423177 FMV Mercy Health Foundation Northwest Arkansas C 733130 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 VI SUPPLEMENTAL INFORMATION FOR SCHEDULE R 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 C, P AND Q.