MERCY HOSPITAL FORT SMITH: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- MERCY HOSPITAL FORT SMITH (EIN 71-0240352)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-13
- IRS object ID
- 201511339349304676
- Schema version
- 2013v4.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-13T15:29:29-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 190 CARONDELET PLAZA SUITE 1300 | AddressLine1 |
| City | CLAYTON | City |
| State | MO | State |
| ZIP Code | 63105 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 710240352 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mercy Hospital Fort Smith | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % GRETA WILCHER VP OF FINANCE | InCareOfNm |
| Business Name Control | MERC | BusinessNameControlTxt |
| Phone | 3145796100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 17000 | AddressLine1 |
| Address Line2 | 7301 ROGERS AVENUE Suite | AddressLine2 |
| City | FORT SMITH | City |
| State | AR | State |
| ZIP Code | 729177000 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GRETA WILCHER | PersonNm |
| Person Title | VP FINANCE | PersonTitleTxt |
| Signature | 2015-05-06 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Greta Wilcher VP of Finance | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 17000 | AddressLine1 |
| City | Fort Smith | City |
| State | AR | State |
| ZIP Code | 729177000 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $239,993,263 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MERCY.NET | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1905 | FormationYr |
| Legal Domicile State | AR | LegalDomicileStateCd |
| Activity Or Mission | AS 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 Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 2058 | TotalEmployeeCnt |
| Total Volunteers | 145 | TotalVolunteersCnt |
| Total Gross UBI | $2,821,424 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $325,105 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,002,016 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,002,628 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $212,384,021 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $232,420,945 | CYProgramServiceRevenueAmt |
| PY Investment Income | $436,420 | PYInvestmentIncomeAmt |
| CY Investment Income | $385,185 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,102,278 | PYOtherRevenueAmt |
| CY Other Revenue | $2,720,147 | CYOtherRevenueAmt |
| PY Total Revenue | $217,924,735 | PYTotalRevenueAmt |
| CY Total Revenue | $237,528,905 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $413,792 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $495,451 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $85,648,579 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $91,655,570 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $154,629,608 | PYOtherExpensesAmt |
| CY Other Expenses | $156,532,463 | CYOtherExpensesAmt |
| PY Total Expenses | $240,691,979 | PYTotalExpensesAmt |
| CY Total Expenses | $248,683,484 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$22,767,244 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$11,154,579 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $287,753,062 | TotalAssetsBOYAmt |
| Total Assets EOY | $334,925,291 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $86,910,124 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $145,478,382 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $200,842,938 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $189,446,909 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | AS 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 Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $18,723,350 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $56,719,995 | RevenueAmt |
| Desc | SURGERY - THE SURGICAL AREA OF MERCY HOSPITAL FORT SMITH PERFORMED 9,989 PROCEDURES. MERCY HOSPITAL FORT SMITH HAS TAKEN STATE-OF-THE-ART TECHNOLOGY, STAFF EXPERIENCE, BEST PRACTICES, AND PATIENT SAFETY INITIATIVES AND CREATED AN EXCEPTIONAL SURGICAL SERVICES DEPARTMENT MAINTAINED WITHIN AN ATMOSPHERE OF CARING FOR THE PATIENT AND THEIR FAMILY. THE SURGERY UNIT OPERATES ON A TWENTY-FOUR (24) HOUR A DAY BASIS, 365 DAYS PER YEAR. THE SURGERY UNIT IS STAFFED WITH REGISTERED NURSES, LICENSED PRACTICAL NURSES, CERTIFIED SCRUB TECHNICIANS, OPERATING ROOM TECHNICIANS, AND OTHER SUPPORT STAFF. UTILIZING A COMBINED TWENTY-ONE (21) OPERATING SUITES, MERCY HOSPITAL FORT SMITH OFFERS A MULTITUDE OF SURGICAL PROCEDURES IN AN ARRAY OF SURGICAL SERVICE LINES INCLUDING: ENT, CARDIOVASCULAR, OBSTETRICS/GYNECOLOGY, NEUROSURGERY, AMONG OTHERS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,690,336 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $24,441,597 | RevenueAmt |
| Desc | INTENSIVE CARE UNIT (ICU) - THE ICU AREA HAS 38 BEDS, AND HAD 8,164 DAYS OF PATIENT CARE. ALL ICU ROOMS ARE EQUIPPED FOR CARDIAC MONITORING AND PROVIDE MAXIMUM SURVEILLANCE, SUPPORT OF VITAL FUNCTIONS, AND DEFINITIVE THERAPY FOR SURGICAL, MEDICAL, CARDIAC, AND TRAUMA CRITICAL PATIENTS. MERCY HOSPITAL FORT SMITH UTILIZES MERCY SAFEWATCH. MERCY SAFEWATCH IS A TELEMEDICINE PROGRAM THAT CONNECTS CRITICAL CARE PATIENT ROOMS TO A CENTRALIZED INTENSIVE CARE UNIT (ELECTRONIC ICU). USING MICROPHONES, CAMERAS, AND HIGH-SPEED COMPUTER DATA LINES INSTALLED IN ICU PATIENT ROOMS, MERCY SAFE WATCH SUPPORTS THE PATIENT'S PHYSICIANS AND BEDSIDE CARE TEAM AROUND-THE-CLOCK WITH BOARD CERTIFIED INTENSIVE CARE PHYSICIANS AND EXPERIENCED ICU NURSES WHO MONITOR MERCY HOSPITAL FORT SMITH ICU PATIENTS REMOTELY. MERCY SAFEWATCH ADDS ANOTHER LAYER OF SERVICE AND PROTECTION FOR ICU PATIENTS AT MERCY HOSPITAL FORT SMITH. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,821,273 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $27,178,445 | RevenueAmt |
| Desc | CARDIAC CATH LAB - CARDIOVASCULAR IMAGING PROVIDES IMAGES OF THE HEART AND THE SURROUNDING ARTERIES THAT ARE USED IN DIAGNOSING DISEASE AND THE APPROPRIATE CARE TO FOLLOW. THE CATH LAB AT MERCY HOSPITAL FORT SMITH IS EQUIPPED WITH THE LATEST CARDIAC AND VASCULAR IMAGING TECHNOLOGY AVAILABLE. OUR CATH LABS WERE THE FIRST IN THE AREA TO UTILIZE "FLAT PLATE" DIGITAL TECHNOLOGY TO OBTAIN THE HIGHEST QUALITY IMAGES POSSIBLE. THIS COMBINED WITH OUR PROFESSIONAL CARING STAFF MAKES MERCY HOSPITAL FORT SMITH AND THE HEART CENTER THE HOSPITAL OF CHOICE FOR CARDIOVASCULAR SERVICES. 45,939 RVU (RELATIVE VALUE UNITS) WERE PERFORMED DURING FY2014. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $115,080,961 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $495,451 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $124,080,908 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $146,315,920 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 2058 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GRETA WILCHER VP OF FINANCE | PersonNm |
| Phone | 4793146104 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7301 ROGERS AVENUE | AddressLine1 |
| City | FORT SMITH | City |
| State | AR | State |
| ZIP Code | 72903 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Arant PhD Mark | ||||||||||
| Board member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Bean MD Paul | ||||||||||
| Physician & Board member | 5.0 | 55.0 | Yes (X) | $0 | $326,042 | $29,791 | ||||
| Buckman RSM Sr Mary Jeremy | ||||||||||
| Board member | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| Dupree MD Matthew | ||||||||||
| Physician & Board member | 5.0 | 55.0 | Yes (X) | $0 | $482,420 | $14,049 | ||||
| Echols Jr Walter | ||||||||||
| Board member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Hembree Lawson | ||||||||||
| Board member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Hendrickson MD Jon | ||||||||||
| Board member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Koorie RSM Sr Diane | ||||||||||
| Board member | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| Phillips MD Don | ||||||||||
| Board member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Taylor MD Stephen | ||||||||||
| Physician & Board member | 5.0 | 55.0 | Yes (X) | $0 | $459,019 | $39,626 | ||||
| Gehrig Ryan | ||||||||||
| Chief executive officer | 25.0 | 35.0 | Yes (X) | $0 | $467,341 | $97,613 | Yes (X) | |||
| Vitiello Jonathan | ||||||||||
| Chief financial officer | 3.0 | 57.0 | $0 | $533,310 | $75,851 | Yes (X) | ||||
| Hennessey III William | ||||||||||
| Regional VP-Marketing | 10.0 | 50.0 | $0 | $236,700 | $62,248 | Yes (X) | ||||
| Hunton David | ||||||||||
| Chief medical officer | 60.0 | 0.0 | $490,500 | $0 | $24,133 | Yes (X) | ||||
| Marion Tanya | ||||||||||
| Regional VP-Human Resources | 2.0 | 58.0 | $0 | $220,693 | $45,983 | Yes (X) | ||||
| Rataj RN Marianne | ||||||||||
| Chief nursing officer | 60.0 | 0.0 | $215,309 | $0 | $30,509 | Yes (X) | ||||
| Swope Jon | ||||||||||
| President Central Communities | 4.0 | 56.0 | $0 | $819,405 | $143,498 | Yes (X) | ||||
| Wilcher Greta | ||||||||||
| VP-Finance | 25.0 | 35.0 | $0 | $234,858 | $49,341 | Yes (X) | ||||
| Adams Eric B | ||||||||||
| Pharmacist | 60.0 | 0.0 | $157,281 | $0 | $17,758 | Yes (X) | ||||
| Gusdorf Michael A | ||||||||||
| Pharmacist | 60.0 | 0.0 | $158,324 | $0 | $30,648 | Yes (X) | ||||
| Pearce Larry W | ||||||||||
| EPIC Accountable executive | 60.0 | 0.0 | $275,017 | $0 | $79,583 | Yes (X) | ||||
| Smith Ann M | ||||||||||
| VP-Quality & regulatory | 60.0 | 0.0 | $171,686 | $0 | $15,635 | Yes (X) | ||||
| Thomas Jennifer | ||||||||||
| VP-Clinical operations | 60.0 | 0.0 | $197,875 | $0 | $21,334 | Yes (X) | ||||
| Johnston Jeffrey A | ||||||||||
| Former officer | 0.0 | 62.0 | $0 | $588,337 | $223,557 | Yes (X) | ||||
| Merrigan Michael | ||||||||||
| Former key employee | 0.0 | 5.0 | $0 | $594,877 | $58,559 | Yes (X) | ||||
| Day Bradley Kim | ||||||||||
| Former key employee | 0.0 | 60.0 | $0 | $845,113 | $114,696 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,665,992 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,808,115 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,174,412 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 50 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| DEWITT AND ASSOC INC | |||||
| PO BOX 3378 GS | SPRINGFIELD | MO | 65808 | CONSTRUCTION | $4,247,923 |
| WEAR CONSTRUCTION MGMT | |||||
| PO BOX 3218 | FORT SMITH | AR | 72913 | CONSTRUCTION | $1,015,352 |
| VARIAN MEDICAL SYSTEMS | |||||
| 70140 Network PL V19441 | CHICAGO | IL | 60673 | CONSTRUCTION | $4,298,121 |
| JE DUNN CONSTRUCTION | |||||
| 929 Holmes | KANSAS CITY | MO | 64106 | CONSTRUCTION | $3,854,761 |
| POLK STANLEY WILCOX ARCHITECTS | |||||
| 2222 Cottondale Ln Suite 100 | LITTLE ROCK | AR | 72202 | CONSTRUCTION | $1,895,946 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 47 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $1,477,722 | RelatedOrganizationsAmt |
| Government Grants | $513,951 | GovernmentGrantsAmt |
| All Other Contributions | $10,955 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $2,002,628 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621111 | $219,020,302 | $217,528,854 | $1,491,448 | $0 |
| OTHER OPERATING REVENUE | 900099 | $11,051,406 | $11,051,406 | $0 | $0 |
| RENTAL INCOME FROM RELATED ORGS | 531120 | $2,349,237 | $2,349,237 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $232,420,945 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $381,485 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $87 | UnrelatedBusinessRevenueAmt |
| Exclusion | $381,398 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,722,554 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,957,488 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$234,934 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$234,934 | TotalRevenueColumnAmt |
| Exclusion | -$234,934 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $3,700 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $3,700 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,700 | TotalRevenueColumnAmt |
| Exclusion | $3,700 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $936,585 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $506,870 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $429,715 | TotalRevenueColumnAmt |
| Exclusion | $429,715 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| CAFE & VENDING | 921110 | $1,195,477 | $0 | $0 | $1,195,477 |
| FITNESS CENTER | 713940 | $1,329,889 | $0 | $1,329,889 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,525,366 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $237,528,905 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $230,929,497 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,821,424 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,775,356 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $495,451 | TotalAmt |
| Program Services | $495,451 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $777,740 | TotalAmt |
| Program Services | $777,740 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,769 | TotalAmt |
| Program Services | $43,769 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,548,199 | TotalAmt |
| Program Services | $51,867,461 | ProgramServicesAmt |
| Management And General | $18,680,738 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,286,627 | TotalAmt |
| Program Services | $2,402,157 | ProgramServicesAmt |
| Management And General | $884,470 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,955,281 | TotalAmt |
| Program Services | $8,808,836 | ProgramServicesAmt |
| Management And General | $3,146,445 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,043,954 | TotalAmt |
| Program Services | $3,719,700 | ProgramServicesAmt |
| Management And General | $1,324,254 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $365,188 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $365,188 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,266 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $55,266 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,299 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $21,299 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,897,361 | TotalAmt |
| Program Services | $5,218,311 | ProgramServicesAmt |
| Management And General | $2,679,050 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $214,471 | TotalAmt |
| Program Services | $40,700 | ProgramServicesAmt |
| Management And General | $173,771 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,633,919 | TotalAmt |
| Program Services | $2,508,074 | ProgramServicesAmt |
| Management And General | $3,125,845 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,120 | TotalAmt |
| Program Services | $5,120 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,675,445 | TotalAmt |
| Program Services | $218,339 | ProgramServicesAmt |
| Management And General | $3,457,106 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $407,032 | TotalAmt |
| Program Services | $288,449 | ProgramServicesAmt |
| Management And General | $118,583 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $529,951 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $529,951 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,327,597 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $24,327,597 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,573,135 | TotalAmt |
| Program Services | $5,564,875 | ProgramServicesAmt |
| Management And General | $5,008,260 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,057,307 | TotalAmt |
| Program Services | $1,682 | ProgramServicesAmt |
| Management And General | $2,055,625 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| BAD DEBT | $11,930,142 | $11,930,142 | $0 | $0 |
| REPAIRS & MAINTENANCE | $1,608,144 | $219,340 | $1,388,804 | $0 |
| SHARED SERVICE FEES | $34,984,814 | $930,491 | $34,054,323 | $0 |
| DRUGS & MEDICAL EXPENSES | $51,439,678 | $51,107,407 | $332,271 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $806,594 | TotalAmt |
| Program Services | $167,876 | ProgramServicesAmt |
| Management And General | $638,718 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $248,683,484 | TotalAmt |
| Program Services | $146,315,920 | ProgramServicesAmt |
| Management And General | $102,367,564 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Joint Costs TotalJointCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $445,643 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,556 | BOYAmt |
| EOY | $1,017 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,154,733 | BOYAmt |
| EOY | $27,525,614 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,904,402 | BOYAmt |
| EOY | $6,698,210 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,455,037 | BOYAmt |
| EOY | $6,169,044 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $491,796 | BOYAmt |
| EOY | $238,299 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $365,812,217 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $188,466,440 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $153,481,805 | BOYAmt |
| EOY | $177,345,777 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,523,229 | BOYAmt |
| EOY | $3,522,492 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,272,861 | BOYAmt |
| EOY | $113,424,838 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $287,753,062 | BOYAmt |
| EOY | $334,925,291 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,073,074 | BOYAmt |
| EOY | $45,699,145 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,594 | BOYAmt |
| EOY | $15,486 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,410 | BOYAmt |
| EOY | $26,032 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,178,514 | BOYAmt |
| EOY | $6,550,852 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,635,532 | BOYAmt |
| EOY | $93,186,867 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,910,124 | BOYAmt |
| EOY | $145,478,382 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $200,772,100 | BOYAmt |
| EOY | $189,387,026 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,838 | BOYAmt |
| EOY | $59,883 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $200,842,938 | BOYAmt |
| EOY | $189,446,909 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $287,753,062 | BOYAmt |
| EOY | $334,925,291 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$11,154,579 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$363,560 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $122,110 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Media Advertisements | $0 | MediaAdvertisementsAmt |
| Mailings Members | false | MailingsMembersInd |
| Mailings Members | $0 | MailingsMembersAmt |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Publications Or Broadcast | $0 | PublicationsOrBroadcastAmt |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $0 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Direct Contact Legislators | $0 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Rallies Demonstrations | $0 | RalliesDemonstrationsAmt |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $21,299 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $21,299 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE C, PART II-B, LINE 1(I) | FormAndLineReferenceDesc |
| Explanation | 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, 2014, DUES WERE $74,740, $21,328 AND $39,484, RESPECTIVELY. APPROXIMATELY 20% OF ARKANSAS HOSPITAL ASSOCIATION DUES, 23.65% OF AMERICAN HOSPITAL ASSOCIATION DUES AND 3.31% OF CATHOLIC HEALTH ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED BY THESE ASSOCIATIONS. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,765,119 | OtherCostOrOtherBasisAmt |
| Book Value | $10,765,119 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $177,187,144 | OtherCostOrOtherBasisAmt |
| Depreciation | $73,985,540 | DepreciationAmt |
| Book Value | $103,201,604 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,158,729 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,575,381 | DepreciationAmt |
| Book Value | $583,348 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $134,442,903 | OtherCostOrOtherBasisAmt |
| Depreciation | $108,050,138 | DepreciationAmt |
| Book Value | $26,392,765 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $41,258,322 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,855,381 | DepreciationAmt |
| Book Value | $36,402,941 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $177,345,777 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (7 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| MISCELLANEOUS RECEIVABLES | $1,008,081 |
| EXCHANGE ACCOUNT | $478,552 |
| DUE FROM AFFILIATES | $102,448,604 |
| LAND FOR FUTURE DEVELOPMENT | $5,242,921 |
| OTHER NON CURRENT ASSETS | $70,500 |
| INVESTMENT IN FORT SMITH EMS | $1,227,613 |
| INVESTMENT IN MERCY ASC | $2,948,567 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $113,424,838 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| OTHER NON CURRENT LIABILITIES | $95,500 |
| INVESTMENT IN SUBSIDIARIES | $93,091,367 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $93,186,867 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE D, PART X, LINE 2 | FormAndLineReferenceDesc |
| Explanation | ASC 740 FOOTNOTE THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF MERCY HEALTH AND AFFILIATES DO NOT INCLUDE A FOOTNOTE TO REPORT THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX PROVISIONS UNDER ASC 740, AS THEY ARE DEEMED IMMATERIAL FOR DISCLOSURE. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | false | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,583,713 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,583,713 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02360 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $33,147,727 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,493,327 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,654,400 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04080 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $38,731,440 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,493,327 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,238,113 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06440 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $465,873 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $200 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $465,673 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00200 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $153,081 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $153,081 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $624,752 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $624,752 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00260 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $87,715 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $87,715 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $581,708 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $581,708 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00250 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,913,129 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $200 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,912,929 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00810 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $40,644,569 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,493,527 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,151,042 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07250 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $73,159 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $73,159 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $166 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $166 | NetCommunityBenefitExpnsAmt |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $288,030 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $288,030 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $73,471 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,127 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $70,344 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $434,826 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,127 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $431,699 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,066,279 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $73,378,605 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $82,554,877 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$9,176,272 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY HOSPITAL FORT SMITH | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7301 ROGERS AVENUE | AddressLine1 |
| City | FORT SMITH | City |
| State | AR | State |
| ZIP Code | 72903 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| State License | AR4941 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY HOSPITAL FORT SMITH | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| All Needs Addressed | Yes (true) | AllNeedsAddressedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (true) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 100 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (true) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 400. | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE H, PART V, SECTION B, LINES 3 & 5 | FormAndLineReferenceDesc |
| Explanation | COMMUNITY HEALTH NEEDS ASSESSMENT PLEASE REFER TO THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT WHICH CAN BE FOUND AT WWW.MERCY.NET/COMMUNITY-BENEFITS. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 20 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. ADDITIONAL FINANCIAL ASSISTANCE AFTER APPROPRIATE DISCOUNTS HAVE BEEN APPLIED, ARRANGEMENTS MAY BE MADE FOR AN INTEREST-FREE MONTHLY PAYMENT PLAN. GENERALLY, NO PATIENT'S FINANCIAL RESPONSIBILITY WILL BE GREATER THAN 20% OF ANNUAL HOUSEHOLD INCOME OR 10% OF NET ASSETS (WHICH EVER IS GREATER), ADJUSTED TO CONSIDER AVAILABILITY OF OTHER ASSETS THAT COULD BE USED TOWARD MAKING PAYMENTS. | ExplanationTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 4 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| Mercy Therapy Services | ||||
| 107 S Logan | Charleston | AR | 72933 | Other |
| Mercy Sleep Center | ||||
| 3100 S 70th | Fort Smith | AR | 72903 | Sleep Center |
| Mercy Outpatient Surgery Center | ||||
| 3601 W E Knight Drive | Fort Smith | AR | 72903 | Other |
| Mercy OP Therapy Services | ||||
| 7610 Dallas Street | FORT SMITH | AR | 72903 | OTHER |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE H, PART I, LINE 6A | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION'S 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, COLUMN (A) ARE $248,683,484. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $11,930,142. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $236,753,342. FORM 990, SCHEDULE H, PART I, LINE 7G SUBSIDIZED HEALTH SERVICES THE ORGANIZATION DID NOT INCLUDE ANY PHYSICIAN CLINIC COSTS ON LINE 7G. FORM 990, SCHEDULE H, PART II A FULL DESCRIPTION OF OUR COMMUNITY BUILDING ACTIVITIES CAN BE FOUND AT WWW.MERCY.NET/COMMUNITY-BENEFITS. FORM 990, SCHEDULE H, PART III, 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 ACCOUNTING, WHERE AVAILABLE. WHERE COST ACCOUNTING IS NOT AVAILABLE, COST REPORT COST TO CHARGE RATIOS WERE UTILIZED. FORM 990, SCHEDULE H, PART III, 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 (REFER TO DISCLOSURE FOR PART III, #9B) 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, 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 SYSTEM'S CHARITY CARE POLICY. THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES BASED UPON THE PAYOR COMPOSITION AND AGING OF RECEIVABLES WITH CONSIDERATION OF THE HISTORICAL PAYMENT AND WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES." FORM 990, SCHEDULE H, PART III, LINE 8 IT IS THE POSITION OF MERCY HOSPITAL FORT SMITH THAT 100% OF ANY MEDICARE 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, LINE 9B MERCY HOSPITAL FORT SMITH'S ("MERCY'S") DEBT COLLECTION POLICY PROVIDES THAT MERCY WILL PERFORM A REASONABLE REVIEW OF EACH INPATIENT ACCOUNT BEFORE TURNING AN ACCOUNT TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT, TO ASSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (E.G., MEDICAID) AND DO NOT QUALIFY FOR COVERAGE THROUGH MERCY'S COMMUNITY ASSISTANCE POLICY. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY PATIENT ACCOUNT THAT IS SUBSEQUENTLY DETERMINED TO HAVE MET THE MERCY HOSPITAL COMMUNITY ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO MERCY FOR APPROPRIATE FOLLOW-UP. MERCY REQUIRES ITS THIRD-PARTY COLLECTION AGENTS TO INCLUDE A MESSAGE ON ALL STATEMENTS INDICATING THAT IF A PATIENT OR PATIENT GUARANTOR MEETS CERTAIN STIPULATED INCOME REQUIREMENTS, THE PATIENT OR PATIENT GUARANTOR MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. MERCY UTILIZES THE "SEARCH AMERICA" TOOL TO ENHANCE THE ABILITY TO DETERMINE CHARITY QUALIFICATION. PRESUMPTIVE CHARITY WILL BE GRANTED IN SITUATIONS WHERE MERCY HOSPITAL HAS BEEN UNABLE TO OBTAIN INFORMATION FROM PATIENTS OR THE INFORMATION PROVIDED IS NOT COMPLETE ENOUGH TO MAKE A CHARITY DETERMINATION. MERCY UTILIZES PRESUMPTIVE CHARITY PRIOR TO BAD DEBT PLACEMENT FOR CHARITY ADJUSTMENTS IN EXCESS OF $6,500. IN THESE CASES, MERCY UTILIZES THE SEARCH AMERICA REPORT STATUS OF "PROBABLE CHARITY" AS THE BASIS FOR ASSIGNING THE CHARITY LEVEL. MERCY WILL PURSUE APPROPRIATE MEANS IN THE COLLECTION OF DELINQUENT ACCOUNTS FROM PATIENTS WITH AN ESTABLISHED ABILITY TO PAY OR AN UNWILLINGNESS TO COOPERATE INVALIDATING ELIGIBILITY FOR FINANCIAL ASSISTANCE. THESE APPROPRIATE MEANS MAY INCLUDE LEGAL ACTION CONSISTENT WITH MERCY MISSION AND VALUES. ADDITIONALLY THEY MAY INCLUDE LIENS UPON REAL PROPERTY AND REASONABLE WAGE GARNISHMENTS. LEGAL ACTIONS WILL GENERALLY NOT INCLUDE BANK GARNISHMENT, REPOSSESSION OF ASSETS OR FORECLOSURES TO ENFORCE SATISFACTION OF A LIEN. MERCY HAS POLICIES AND PROCEDURES ESTABLISHED TO ADDRESS THE INITIATION OF LEGAL ACTION AND ANNUALLY REVIEWS COMPLIANCE WITH ALL POLICIES. FORM 990, SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT MERCY HEALTH BELIEVES THAT ITS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS IS COMPREHENSIVE ENOUGH TO CAPTURE SUBSTANTIALLY ALL OF THE COMMUNITY'S NEEDS. THEREFORE NO FURTHER STEPS WERE TAKEN TO IDENTIFY ADDITIONAL NEEDS. FORM 990, SCHEDULE H, PART VI, LINE 3 THE FILING ORGANIZATION HAS PRINTED MATERIAL AVAILABLE AT EACH POINT OF REGISTRATION IN OUR FACILITY, IN ADDITION TO ELECTRONICALLY AVAILABLE AT OUR WEB SITE AT MERCY.NET ON HOW TO CONTACT CUSTOMER SERVICE FOR FINANCIAL ASSISTANCE. THE STATEMENT ALSO INCLUDES DIRECTION ON HOW TO REACH OUT TO MERCY FOR FINANCIAL ASSISTANCE AS WELL. FINANCIAL ASSISTANCE INFORMATION AS A PART OF OUR HEALING MINISTRY, THE FILING ORGANIZATION IS COMMITTED TO PROVIDING QUALITY HEALTHCARE SERVICES TO PATIENTS REGARDLESS OF THEIR FINANCIAL SITUATION. WE OFFER PAYMENT ASSISTANCE FOR THOSE WHO DO NOT HAVE INSURANCE OR WHO ARE IN FINANCIAL NEED. UNINSURED PATIENT DISCOUNTS A DISCOUNT FROM THE HOSPITAL'S REGULAR BILLED CHARGES WILL BE PROVIDED TO PATIENTS WHO DO NOT HAVE INSURANCE. THIS INCLUDES PATIENTS WHOSE FINANCIAL SITUATION NORMALLY WOULD NOT OTHERWISE QUALIFY THEM FOR CHARITY CARE DISCOUNTS. PATIENTS WITHOUT INSURANCE WHOSE FINANCIAL SITUATION QUALIFIES THEM FOR CHARITY CARE DISCOUNTS (SEE ELIGIBILITY GUIDELINES BELOW) ARE ASSISTED OR ASKED IN APPLYING FOR MEDICAID BEFORE APPLYING FOR FINANCIAL ASSISTANCE. MERCY WORKS TO EXHAUST ALL EFFORTS TO COORDINATE WITH THE PATIENT TO APPLY FOR MEDICAID, BUT DOES NOT PROHIBIT CHARITY CONSIDERATIONS IF DENIED OR IF THE PATIENT HAS NOT APPLIED. APPLICATIONS FOR CHARITY CARE DISCOUNTS WILL BE REVIEWED FOR ELIGIBILITY BASED ON THE APPLICANT'S INCOME, FAMILY SIZE, AMOUNT OF PAYMENT DUE AND AVAILABILITY OF OTHER ASSETS OR RESOURCES. PLEASE NOTE THAT CARE MUST BE MEDICALLY NECESSARY TO BE CONSIDERED ELIGIBLE FOR UNINSURED PATIENT DISCOUNTS. FORM 990, SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION MERCY HOSPITAL FORT SMITH'S PRIMARY SERVICE AREA INCLUDES 13 COUNTIES ACROSS THE BORDER OF ARKANSAS AND OKLAHOMA. THESE INCLUDE CRAWFORD, FRANKLIN, JOHNSON, LOGAN, POLK, SCOTT, SEBASTIAN AND YELL IN ARKANSAS; AND ADAIR, HASKELL, LATIMER, LE FLORE AND SEQUOYAH IN OKLAHOMA. THE FOLLOWING INFORMATION WAS OBTAINED FROM 2014 TRUVEN DATA: THE AREA'S POPULATION IS 445,825. THE AVERAGE HOUSEHOLD INCOME IS $51,426. 19% OF THE POPULATION HAS AN AVERAGE HOUSEHOLD INCOME GREATER THAN $75,000. THE MEDIAN AGE IS 41. 16% OF THE POPULATION IS AGE 65 AND OLDER. 18% OF THE POPULATION IS ON MEDICARE, 22% ON MEDICAID, AND 12% UNINSURED. FORM 990, SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH MERCY PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. MERCY IS A CATHOLIC HEALTH CARE CORPORATION THAT, PURSUANT TO THE ORGANIZATIONAL CORE BELIEF THAT HEALTH CARE SERVICES ARE A VITAL AND INTEGRAL PART OF THE CHURCH'S HEALING MISSION, ENGAGES IN A MINISTRY WHICH PROVIDES GENERAL ACUTE CARE, AMBULATORY, LONG-TERM AND HOME CARE HEALTH SERVICES TO INDIVIDUALS AND FAMILIES IN ITS SERVICE COMMUNITIES. MERCY OFFERS SERVICES AND PROGRAMS WHICH FURTHER HEALTH PROMOTION, MAINTENANCE AND CARE TO THE COMMUNITY. PROGRAMS PROVIDED TO MEET THE COMMUNITY NEEDS INCLU | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| Arkansas Department of Health | |||||||
| 4815 W Markham St | LITTLE ROCK | AR | 72205 | 710847443 | GOV'T | $475,745 | To provide sustaining funding to continue trauma readiness and maintain initial level of designation, provide funding for CAH ICD-10 readiness, provide funding for Stroke Registry setup. |
| SUSAN G KOMEN FOR THE CURE | |||||||
| 5005 LBJ Freeway Ste 250 | DALLAS | TX | 75244 | 751835298 | 501(c)(3) | $14,706 | To help provide free mammograms and breast diagnostic procedures to residents who are uninsured or underinsured and have low income. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | Yes (X) | FirstClassOrCharterTravelInd |
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Bean MD Paul | ||||||||||||||
| Physician & Board member | $0 | $274,123 | $0 | $25,000 | $0 | $26,919 | $0 | $12,852 | $0 | $16,939 | $0 | $355,833 | $0 | $0 |
| Dupree MD Matthew | ||||||||||||||
| Physician & Board member | $0 | $67,200 | $0 | $371,178 | $0 | $44,042 | $0 | $10,981 | $0 | $3,068 | $0 | $496,469 | $0 | $0 |
| Taylor MD Stephen | ||||||||||||||
| Physician & Board member | $0 | $410,391 | $0 | $10,000 | $0 | $38,628 | $0 | $22,372 | $0 | $17,254 | $0 | $498,645 | $0 | $0 |
| Gehrig Ryan | ||||||||||||||
| Chief executive officer | $0 | $332,720 | $0 | $106,615 | $0 | $28,006 | $0 | $80,276 | $0 | $17,337 | $0 | $564,954 | $0 | $0 |
| Vitiello Jonathan | ||||||||||||||
| Chief financial officer | $0 | $318,639 | $0 | $85,619 | $0 | $129,052 | $0 | $58,801 | $0 | $17,050 | $0 | $609,161 | $0 | $0 |
| Hennessey III William | ||||||||||||||
| Regional VP-Marketing | $0 | $140,074 | $0 | $39,788 | $0 | $56,838 | $0 | $46,187 | $0 | $16,061 | $0 | $298,948 | $0 | $0 |
| Hunton David | ||||||||||||||
| Chief medical officer | $363,331 | $0 | $86,513 | $0 | $40,656 | $0 | $8,556 | $0 | $15,577 | $0 | $514,633 | $0 | $0 | $0 |
| Marion Tanya | ||||||||||||||
| Regional VP-Human Resources | $0 | $141,222 | $0 | $41,723 | $0 | $37,748 | $0 | $29,968 | $0 | $16,015 | $0 | $266,676 | $0 | $0 |
| Rataj RN Marianne | ||||||||||||||
| Chief nursing officer | $142,259 | $0 | $28,828 | $0 | $44,222 | $0 | $23,499 | $0 | $7,010 | $0 | $245,818 | $0 | $0 | $0 |
| Swope Jon | ||||||||||||||
| President Central Communities | $0 | $569,643 | $0 | $200,920 | $0 | $48,842 | $0 | $124,905 | $0 | $18,593 | $0 | $962,903 | $0 | $0 |
| Wilcher Greta | ||||||||||||||
| VP-Finance | $0 | $173,675 | $0 | $33,118 | $0 | $28,065 | $0 | $36,924 | $0 | $12,417 | $0 | $284,199 | $0 | $0 |
| Adams Eric B | ||||||||||||||
| Pharmacist | $107,271 | $0 | $0 | $0 | $50,010 | $0 | $11,279 | $0 | $6,479 | $0 | $175,039 | $0 | $0 | $0 |
| Gusdorf Michael A | ||||||||||||||
| Pharmacist | $130,057 | $0 | $0 | $0 | $28,267 | $0 | $15,126 | $0 | $15,522 | $0 | $188,972 | $0 | $0 | $0 |
| Pearce Larry W | ||||||||||||||
| EPIC Accountable executive | $124,261 | $0 | $104,889 | $0 | $45,867 | $0 | $70,441 | $0 | $9,142 | $0 | $354,600 | $0 | $0 | $0 |
| Smith Ann M | ||||||||||||||
| VP-Quality & regulatory | $93,211 | $0 | $22,922 | $0 | $55,553 | $0 | $7,579 | $0 | $8,056 | $0 | $187,321 | $0 | $0 | $0 |
| Thomas Jennifer | ||||||||||||||
| VP-Clinical operations | $151,978 | $0 | $28,938 | $0 | $16,959 | $0 | $6,959 | $0 | $14,375 | $0 | $219,209 | $0 | $0 | $0 |
| Day Bradley Kim | ||||||||||||||
| Former key employee | $0 | $573,529 | $0 | $236,973 | $0 | $34,611 | $0 | $99,978 | $0 | $14,718 | $0 | $959,809 | $0 | $0 |
| Johnston Jeffrey A | ||||||||||||||
| Former officer | $0 | $431,258 | $0 | $136,049 | $0 | $21,030 | $0 | $205,133 | $0 | $18,424 | $0 | $811,894 | $0 | $0 |
| Merrigan Michael | ||||||||||||||
| Former key employee | $0 | $19,811 | $0 | $530,868 | $0 | $44,198 | $0 | $57,901 | $0 | $658 | $0 | $653,436 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. TRAVEL FOR COMPANIONS IS PROVIDED IN RARE INSTANCES AND IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. WHERE COMPANION TRAVEL HAS RESULTED IN A TAXABLE EVENT, THE EMPLOYEES ARE TAXED FOR SUCH TRAVEL. LIMITED INSTANCES OF TAX GROSS-UPS MAY HAVE OCCURRED WITH RESPECT TO EXECUTIVES. HOUSING BENEFITS ARE PROVIDED THROUGH A RELOCATION PROGRAM IN ACCORDANCE WITH COMPANY POLICY. SUCH BENEFITS ARE SUBJECT TO TAX TO THE EMPLOYEE. PAYMENT BY THE COMPANY OF COSTS FOR TEMPORARY HOUSING BY EMPLOYEES FOR THE CONVENIENCE OF THE COMPANY IS MADE IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. AS A REIMBURSABLE EXPENSE, THIS TYPE OF LODGING IS NOT TAXABLE TO THE EMPLOYEE. |
| FORM 990, SCHEDULE J, PART I, QUESTION 3 | MERCY HOSPITAL FORT SMITH RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTION 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS. |
| FORM 990, SCHEDULE J, PART I, QUESTION 4B | MERCY HEALTH OFFERS SUPPLEMENTAL RETIREMENT PLANS TO CERTAIN EXECUTIVES WHICH PROVIDE BENEFITS UPON VESTING DATE BASED ON COMPENSATION, AGE AT THE TIME OF BENEFIT COMMENCEMENT, LENGTH OF SERVICE WITH THE COMPANY AND/OR ITS AFFILIATES AND LENGTH OF TENURE IN THE PLAN. THE INDIVIDUALS REPORTABLE ON THIS RETURN WHO PARTICIPATE IN THE SUPPLEMENTAL RETIREMENT PLANS INCLUDE: RYAN GEHRIG, JEFFREY JOHNSTON, JONATHAN VITIELLO, BRADLEY DAY, TANYA MARION, MICHAEL MERRIGAN, WILLIAM HENNESSEY III, MARIANNE RATAJ, DAVID HUNTON, JON SWOPE, AND GRETA WILCHER. THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C). |
| FORM 990, SCHEDULE J, PART I, QUESTION 7 | MERCY HEALTH PROVIDES A NON-FIXED BONUS PLAN FOR WHICH CERTAIN TIERS OF ITS EMPLOYEES ARE ELIGIBLE. FOR FISCAL YEAR 2014 (JULY 1, 2013 - JUNE 30, 2014), PAYMENT OF ALL OR PART OF THE BONUS WAS CONTINGENT UPON ATTAINMENT OF CERTAIN FINANCIAL TARGETS AND NON-FINANCIAL GOALS DEEMED NECESSARY BY MERCY. PAYMENTS ARE MADE ANNUALLY IN OCTOBER FOLLOWING (I) THE CONCLUSION OF THE FISCAL YEAR AND (II) DETERMINATION OF GOAL ACHIEVEMENT. BONUS OPPORTUNITIES ARE TIERED PERCENTAGES AND ARE DEPENDENT UPON THE LEADERSHIP LEVEL AND ATTAINMENT PERCENTAGE. MERCY'S ATTAINMENT OF FINANCIAL TARGETS AND NON-FINANCIAL GOALS IS REVIEWED BY THE COMPENSATION COMMITTEE OF MERCY HEALTH AND IS TAKEN INTO ACCOUNT WHEN ANALYZING EXECUTIVE COMPENSATION FOR REASONABLENESS. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LEIGH HORN | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | FAMILY OF BOARD MEMBER | RelationshipDescriptionTxt |
| Transaction | $43,769 | TransactionAmt |
| Transaction | EMPLOYMENT | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 6 | MERCY HOSPITAL FORT SMITH UTILIZES AN AUXILIARY PROGRAM FOR VOLUNTEERS TO PERFORM VARIOUS FUNCTIONS. SUCH FUNCTIONS INCLUDE FLOWER DELIVERY, INFORMATION DESK, AND PATIENT TRANSPORT. |
| FORM 990, PART III, LINE 4D | OTHER PROGRAM SERVICES OTHER SERVICES INCLUDE OUTPATIENT DIAGNOSTICS AND TESTING, SURGERY SERVICES, A WOMEN'S CENTER THAT PROVIDES NEONATOLOGY, OB ANESTHESIA, DIGITAL MAMMOGRAPHY, AND LABOR AND DELIVERY, A CANCER CENTER WITH A COMPREHENSIVE TREATMENT APPROACH INCLUDING RADIATION THERAPY, HOME CARE, HOSPICE, PALLIATIVE CARE, A SLEEP DISORDERS CENTER, AND WOUND CARE WITH HYPERBARIC MEDICINE. |
| FORM 990, PART V, QUESTION 1A | FORM 1099/1096 FILING VENDORS FOR THE FILING ORGANIZATION ARE PAID BY MERCY HEALTH (EIN 43-1423050). AS SUCH, ALL REQUIRED FORM 1099 AND FORM 1096 REPORTING IS MADE FOR THE ENTIRE MERCY HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN. |
| FORM 990, PART VI, LINE 6A, LINE 7A, 7B | CLASSES OF MEMBERS OR STOCKHOLDERS THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH FORT SMITH COMMUNITIES. THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES ARE RESERVED SOLELY FOR THE SOLE CORPORATE MEMBER: - TO APPROVE THE MISSION AND ESTABLISH THE PHILOSOPHY ACCORDING TO WHICH THE CORPORATION SHALL OPERATE; - TO AMEND THE ARTICLES OF INCORPORATION AND BYLAWS; - TO APPOINT AND REMOVE MEMBERS OF THE BOARD; - TO APPOINT AND REMOVE THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION; - TO APPROVE OR AMEND THE STRATEGIC PLAN, GOALS, AND OBJECTIVES OF THE CORPORATION; - TO APPROVE OR AMEND THE OPERATING, CAPITAL, AND CONSTRUCTION BUDGETS OF THE CORPORATION; - TO LEASE OR SELL ANY OF THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION IN EXCESS OF ONE MILLION DOLLARS ($1,000,000); - TO ENCUMBER ANY OR ALL OF THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION; - TO AUTHORIZE OR APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTE ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; - TO MERGE, DISSOLVE OR ABANDON THE CORPORATION; AND, - TO APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION BY THE CORPORATION. |
| FORM 990, PART VI, 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 MANAGER OF ACCOUNTING 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, 2014. 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, MERCY HEALTH USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, AND REVIEW/APPROVAL OF EXECUTIVE MANAGEMENT. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS AND A REVIEW WAS COMPLETED DURING THE REPORTING YEAR. |
| FORM 990, PART VI, QUESTION 19 | AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMT TO GEN PUBLIC GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST BUT ARE NOT PUBLISHED PUBLICLY. |
| FORM 990, PART VII, SECTION 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 CHANGES IN NET ASSETS NET TRANSFERS TO/FROM MCS: $122,110 |
| 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 2014 (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. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (75 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Casa de Misericordia | ||||||||||
| 1602 McClelland Street | Laredo | TX | 78044 | 742912461 | SHELTER | TX | 501c3 | 7 | MM Laredo | Yes (true) |
| Jefferson Land Company Inc | ||||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 431330360 | Holding co | MO | 501c2 | MH Jffrson | Yes (true) | |
| Laredo Medical Group | ||||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 742764726 | INACTIVE | TX | 501c3 | 9 | MH Texas | Yes (true) |
| McAuley Portfolio Management Company | ||||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 261708048 | PORT MGMT | MO | 501c3 | 11b | Mercy Health | Yes (true) |
| Mercy ACO Clinical Services Inc | ||||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 464504901 | VIRTUAL CARE | MO | 501c3 | 3 | Mercy Health | Yes (true) |
| Mercy Clinic East Communities | ||||||||||
| 645 Maryville Ctr Dr Ste 100 | St Louis | MO | 63141 | 431771217 | PHYS GROUP | MO | 501c3 | 9 | MH East Comm | Yes (true) |
| Mercy Clinic Fort Smith Communities | ||||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72903 | 261318597 | PHYS CLINIC | AR | 501c3 | 9 | MH FS COMM | Yes (true) |
| Mercy Clinic Hot Springs Communities | ||||||||||
| 1 Mercy Lane | Hot Springs | AR | 71913 | 261125131 | Sold 03/31/14 | AR | 501c3 | 9 | MH HS COMM | Yes (true) |
| Mercy Clinic Oklahoma Communities Inc | ||||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 270473057 | PHYS GROUP | OK | 501c3 | 9 | MH Ok Comm | Yes (true) |
| Mercy Clinic Springfield Communities | ||||||||||
| 1965 Fremont Street Suite 2950 | Springfield | MO | 65804 | 431560263 | PHYS GROUP | MO | 501c3 | 9 | MH SF COMM | Yes (true) |
| Mercy Family Center | ||||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 721069468 | COUNSELING | MO | 501c3 | 7 | Mercy Health | Yes (true) |
| Mercy Health Foundation | ||||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 200901499 | Foundation | MO | 501c3 | 11b | Mercy Health | Yes (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 | Yes (true) |
| Mercy Health East Communities - Southern | ||||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 461412322 | HLTH SYSTEM | MO | 501c3 | 11b | MH East Comm | Yes (true) |
| Mercy Health Fort Smith Communities | ||||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72917 | 261318515 | Holding Co | AR | 501c3 | 11b | Mercy Health | false |
| Mercy Health Foundation Ada | ||||||||||
| 430 N Monte Vista Street | Ada | OK | 74820 | 463596274 | Foundation | OK | 501c3 | 11a | MH Ada Inc | Yes (true) |
| Mercy Health Foundation Ardmore | ||||||||||
| 1011 14th Avenue NW | Ardmore | OK | 73401 | 710962525 | Foundation | OK | 501c3 | 11a | MH Ardmore | Yes (true) |
| Mercy Health Foundation Berryville | ||||||||||
| 214 Carter Street | Berryville | AR | 72616 | 710759301 | Foundation | AR | 501c3 | 11a | MH Bryville | Yes (true) |
| Mercy Health Foundation Fort Scott | ||||||||||
| 401 Woodland Hills Blvd | Fort Scott | KS | 66701 | 481077073 | Foundation | KS | 501c3 | 11c | M KS Comm | Yes (true) |
| Mercy Health Foundation Hot Springs | ||||||||||
| 300 Werner Street | Hot Springs | AR | 71913 | 710804718 | Foundation | AR | 501c3 | 11b | MC Srvcs | Yes (true) |
| Mercy Health Foundation Independence | ||||||||||
| 800 W Myrtle | Independence | KS | 67301 | 481079981 | Foundation | KS | 501c3 | 11a | M KS Comm | Yes (true) |
| Mercy Health Foundation Jefferson | ||||||||||
| 1400 US Highway 61 South | Festus | MO | 63028 | 462797051 | Foundation | MO | 501c3 | 11b | MH E Comm SR | Yes (true) |
| Mercy Health Foundation Joplin | ||||||||||
| 100 Mercy Way | Joplin | MO | 64804 | 270906136 | Foundation | MO | 501c3 | 11a | MH SWMK COMM | Yes (true) |
| Mercy Health Foundation NW Arkansas | ||||||||||
| 2710 Rife Medical Lane | Rogers | AR | 72758 | 710601687 | Foundation | AR | 501c3 | 11c | MH ROGERS | Yes (true) |
| Mercy Health Foundation of Oklahoma | ||||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 454732301 | Foundation | OK | 501c3 | 11a | MH Ok Comm | Yes (true) |
| Mercy Health Center Foundation Inc | ||||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 731593024 | Dslvd 5/20/14 | OK | 501c3 | 11a | MH Ok City | Yes (true) |
| Mercy Health Foundation Oklahoma City | ||||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 463184231 | Foundation | OK | 501c3 | 11a | MH Ok City | Yes (true) |
| Mercy Health Foundation Springfield | ||||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 320195818 | Foundation | MO | 501c3 | 11b | MH SF COMM | Yes (true) |
| Mercy Health Foundation St Louis | ||||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 562410020 | Foundation | MO | 501c3 | 11b | MH East Comm | Yes (true) |
| Mercy Health Foundation Washington | ||||||||||
| 901 E Fifth Street | Washington | MO | 63090 | 562410022 | Foundation | MO | 501c3 | 11b | MH East Comm | Yes (true) |
| Mercy Health Hot Springs Communities | ||||||||||
| 300 Werner Street | Hot Springs | AR | 71913 | 261125064 | Sold 3/31/14 | AR | 501c3 | 11b | Mercy Health | Yes (true) |
| Mercy Health NW Arkansas Communities | ||||||||||
| 2710 Rife Medical Lane | Rogers | AR | 72758 | 621684203 | Phys Group | AR | 501c3 | 11b | Mercy Health | Yes (true) |
| Mercy Health Oklahoma Communities Inc | ||||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 731453048 | Holding co | OK | 501c3 | 11b | Mercy Health | Yes (true) |
| Mercy Health Southwest MOKS Communities | ||||||||||
| 100 Mercy Way | Joplin | MO | 64804 | 300584463 | Hlth System | MO | 501c3 | 11b | Mercy Health | Yes (true) |
| Mercy Health Springfield Communities | ||||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 431856028 | Hlth System | MO | 501c3 | 11b | Mercy Health | Yes (true) |
| Mercy Health System of Texas Inc | ||||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 742764727 | Dslvd 5/15/14 | TX | 501c3 | 11b | Mercy Health | Yes (true) |
| Mercy Home Health Berryville | ||||||||||
| 804 W Freeman Suite 4 | Berryville | AR | 72616 | 870781247 | Home Health | AR | 501c3 | 11c | MH SF | Yes (true) |
| Mercy Hospital Ada Inc | ||||||||||
| 430 N Monte Vista Street | Ada | OK | 74820 | 462288155 | Hospital | OK | 501c3 | 3 | MH Ok Comm | Yes (true) |
| Mercy Hospital Ardmore Inc | ||||||||||
| 1011 14th Avenue NW | Ardmore | OK | 73401 | 731500629 | Hospital | OK | 501c3 | 3 | MH Ok Comm | Yes (true) |
| Mercy Hospital Aurora | ||||||||||
| 500 Porter Avenue | Aurora | MO | 65605 | 431936696 | Hospital | MO | 501c3 | 3 | MH SF COMM | Yes (true) |
| Mercy Hospital Berryville | ||||||||||
| 214 Carter Street | Berryville | AR | 72616 | 710759299 | Hospital | AR | 501c3 | 3 | MH SF COMM | Yes (true) |
| Mercy Hospital Booneville | ||||||||||
| 880 West Main Street | Booneville | AR | 72927 | 463851119 | Hospital | AR | 501c3 | 3 | MH FT SMITH | Yes (true) |
| Mercy Hospital Carthage | ||||||||||
| 3125 Dr Russell Smith Way | Carthage | MO | 64836 | 453808607 | Hospital | MO | 501c3 | 3 | MH SWMK COMM | Yes (true) |
| Mercy Hospital Cassville | ||||||||||
| 94 Main Street | Cassville | MO | 65625 | 431936699 | Hospital | MO | 501c3 | 3 | MH SF COMM | Yes (true) |
| Mercy Hospital Columbus | ||||||||||
| 220 Pennsylvania Avenue | Columbus | KS | 66725 | 270842031 | Hospital | MO | 501c3 | 3 | MH SWMK COMM | Yes (true) |
| Mercy Hospital El Reno Inc | ||||||||||
| 2115 Parkview Drive | El Reno | OK | 73036 | 272716065 | Hospital | OK | 501c3 | 3 | MH Ok Comm | Yes (true) |
| Mercy Hospital Healdton Inc | ||||||||||
| 918 South 8th Street | Healdton | OK | 73438 | 263173902 | Hospital | OK | 501c3 | 3 | MH ARDMORE | Yes (true) |
| Mercy Hospital Hot Springs | ||||||||||
| 300 Werner Street | Hot Springs | AR | 71913 | 710236913 | Sold 3/31/14 | AR | 501c3 | 3 | MH HS COMM | Yes (true) |
| Mercy Hospital Jefferson | ||||||||||
| 1400 Highway 61 South | Festus | MO | 63028 | 430687077 | Hospital | MO | 501c3 | 3 | MH E Comm SR | Yes (true) |
| Mercy Hospital Joplin | ||||||||||
| 100 Mercy Way | Joplin | MO | 64804 | 270814858 | Hospital | MO | 501c3 | 3 | MH SWMK COMM | Yes (true) |
| Mercy Hospital Kingfisher Inc | ||||||||||
| 1000 Kingfisher Regional Hosp Drive | Kingfisher | OK | 73750 | 463433074 | Hospital | OK | 501c3 | 3 | MH Ok City | Yes (true) |
| Mercy Hospital Lebanon | ||||||||||
| 100 Hospital Drive | Lebanon | MO | 65536 | 431767432 | Hospital | MO | 501c3 | 3 | MH SF COMM | Yes (true) |
| Mercy Hospital Logan County Inc | ||||||||||
| 200 South Academy | Guthrie | OK | 73044 | 452998842 | Hospital | OK | 501c3 | 3 | MH Ok Comm | Yes (true) |
| Mercy Hospital of Laredo | ||||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 741189682 | Dslvd 5/15/14 | TX | 501c3 | 3 | MHS TEXAS | Yes (true) |
| Mercy Hospital Oklahoma City Inc | ||||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 730579285 | Hospital | OK | 501c3 | 3 | MH Ok Comm | Yes (true) |
| Mercy Hospital Ozark | ||||||||||
| 801 W River Street | Ozark | AR | 72949 | 710689680 | Hospital | AR | 501c3 | 3 | MH FT SMITH | Yes (true) |
| Mercy Hospital Paris | ||||||||||
| 500 E Academy | Paris | AR | 72855 | 710655753 | Hospital | AR | 501c3 | 3 | MH FT SMITH | Yes (true) |
| Mercy Hospital Rogers | ||||||||||
| 2710 Rife Medical Lane | Rogers | AR | 72758 | 710294390 | Hospital | AR | 501c3 | 3 | MH NWAR COMM | Yes (true) |
| Mercy Hospital Springfield | ||||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 440552485 | Hospital | MO | 501c3 | 3 | MH SF COMM | Yes (true) |
| Mercy Hospital Tishomingo Inc | ||||||||||
| 1000 South Byrd | Tishomingo | OK | 73460 | 274433830 | Hospital | OK | 501c3 | 3 | MH ARDMORE | Yes (true) |
| Mercy Hospital Waldron | ||||||||||
| 1341 W 6th Street | Waldron | AR | 72958 | 710557895 | Hospital | AR | 501c3 | 3 | MH FT SMITH | Yes (true) |
| Mercy Hospital Watonga Inc | ||||||||||
| 500 Clarence Nash Blvd | Watonga | OK | 73772 | 455199762 | Hospital | OK | 501c3 | 3 | MH Ok Comm | Yes (true) |
| Mercy Hospitals East Communities | ||||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 430653493 | Hospital | MO | 501c3 | 3 | MH East Comm | Yes (true) |
| Mercy Kansas Communities Inc | ||||||||||
| 401 Woodland Hills Blvd | Ft Scott | KS | 66701 | 480956045 | Hospital | KS | 501c3 | 3 | MH SWMK COMM | Yes (true) |
| Mercy Medical Research Institute | ||||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 870796305 | Research | MO | 501c3 | 4 | MH SF COMM | Yes (true) |
| Mercy Ministries of Laredo | ||||||||||
| 2500 Zacatecas | Laredo | TX | 78046 | 200198462 | outreach | TX | 501c3 | 7 | Mercy Health | Yes (true) |
| Mercy St Francis Hospital | ||||||||||
| 100 W Highway 60 | Mountain View | MO | 65548 | 440607149 | Hospital | MO | 501c3 | 3 | MH SF COMM | Yes (true) |
| MHM Support Services | ||||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 202553101 | HOSPITAL | MO | 501c3 | 11b | Mercy Health | Yes (true) |
| Mission Clinical Services | ||||||||||
| 300 Werner Street | Hot Springs | AR | 71913 | 134239691 | Child advoC | AR | 501c3 | 9 | Mercy Health | Yes (true) |
| St Edward Mercy Foundation | ||||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72917 | 237330425 | Foundation | AR | 501c3 | 7 | MH FT SMITH | Yes (true) |
| St John's Children's Hospital Inc | ||||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | Inactive | MO | 501c3 | 3 | MH SF COMM | Yes (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 | Yes (true) |
| The Sister M Cornelia Blasko Foundation | ||||||||||
| 100 W Highway 60 | Mountain View | MO | 65548 | 431873914 | Foundation | MO | 501c3 | 11a | M St Francis | Yes (true) |
| Unity Ambulatory Care | ||||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 431861745 | Inactive | MO | 501c3 | 11c | MH East Comm | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Merc Ambu Surg CTR | |||||||||||||
| 7301 Rogers Av | Fort Smith | AR | 72903 | 710827721 | AMBUL SURG CTR | AR | MH Fort Smith | Related | $884,638 | $2,948,567 | false | false | 0.52100 |
| RES OPT & INNOV | |||||||||||||
| 645 Maryville Centre Dr 200 | St Louis | MO | 63141 | 460468368 | CENTRAL DIST. | MO | NA | N/A | |||||
| SO OK DIAG CTR | |||||||||||||
| 1011 14TH Ave NW | Ardmore | OK | 73401 | 431971232 | MRI Services | OK | NA | N/A | |||||
| Fort Smith EMS | |||||||||||||
| 1701 S Greenwood | Fort Smith | AR | 72901 | 710416615 | Emergency Med | AR | MH Fort Smith | Related | $0 | $1,227,613 | false | false | 0.50000 |
| St Ed Mer Med MOB | |||||||||||||
| 7301 Rogers Ave | Fort Smith | AR | 72903 | 710554050 | Office Building | AR | MH Fort Smith | Related | $0 | $1,227,613 | false | false | 0.85960 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (14 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| Frontenac Properties Inc | |||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 521914421 | HOLDING COMP | DE | NA | C-CORP | Yes (true) |
| Inveno Health Inc | |||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 264509571 | Product CommeR | MO | NA | C-CORP | Yes (true) |
| Mercy Commercial Services Inc | |||||||||
| 14528 South Outer Forty Suite 100 | Chesterfield | MO | 63017 | 464953543 | Parent of VCC | MO | NA | C-CORP | Yes (true) |
| Mercy Community Services Inc | |||||||||
| 401 Woodland Hills Blvd | Fort Scott | KS | 66701 | 481078101 | RETAIL PHARMACY | KS | NA | C-CORP | Yes (true) |
| Mercy Health Center Condominium Inc | |||||||||
| 4300 W Memorial Rd | Oklahoma City | OK | 73120 | 680640970 | Real estate | OK | NA | C-CORP | Yes (true) |
| Mercy Health Network of the Southern Reg | |||||||||
| 1011 14th Avenue NW | Ardmore | OK | 73401 | 731580607 | HOLDING COMP | OK | NA | C-CORP | Yes (true) |
| Mercy Health Network Inc | |||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 731381689 | HOLDING COMP | OK | NA | C-CORP | Yes (true) |
| Mercy Managed Care Corporation | |||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 731441665 | HOLDING COMP | OK | NA | C-CORP | Yes (true) |
| UHL Corp Inc | |||||||||
| 645 Maryville Centre Drive Suite 1 | St Louis | MO | 63141 | 742499535 | HOLDING COMP | MO | NA | C-CORP | Yes (true) |
| Unity Support Services Inc | |||||||||
| 645 Maryville Centre Drive Suite 1 | St Louis | MO | 63141 | 431797042 | PRACTICE MGT | MO | NA | C-CORP | Yes (true) |
| The Apothecary Services Inc | |||||||||
| PO Box 350 | Crystal City | MO | 63019 | 431627267 | RETAIL PHARMACY | MO | NA | C-CORP | Yes (true) |
| St John's Mercy Mail Order Inc | |||||||||
| 13645 Shoreline Drive | Earth City | MO | 63045 | 431014222 | Mail Odr pharmaCY | MO | NA | C-CORP | Yes (true) |
| St John's Mercy PBM Inc | |||||||||
| 13175 Lakefront Drive | Earth City | MO | 63045 | 743089567 | Pharmacy benefit | MO | NA | C-CORP | Yes (true) |
| UH Holdings Inc | |||||||||
| 645 Maryville Centre Drive Suite 1 | St Louis | MO | 63141 | 431845682 | HOLDING COMP | MO | NA | C-CORP | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (19 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Mercy Ambulatory Surgery Center LLC | ||
| q | $5,595,962 | FMV |
| Mercy Clinic Fort Smith Communities | ||
| p | $33,237,680 | FMV |
| Mercy Health | ||
| p | $440,482 | FMV |
| Mercy Hospital Ardmore Inc | ||
| p | $192,093 | FMV |
| Mercy Hospital Berryville | ||
| q | $283,375 | FMV |
| Mercy Hospital Booneville | ||
| p | $582,175 | FMV |
| Mercy Hospital Hot Springs | ||
| p | $333,484 | FMV |
| Mercy Hospital Lebanon | ||
| p | $224,747 | FMV |
| Mercy Hospital Oklahoma City Inc | ||
| p | $64,379 | FMV |
| Mercy Hospital Ozark | ||
| q | $1,134,121 | FMV |
| Mercy Hospital Paris | ||
| q | $707,336 | FMV |
| Mercy Hospital Rogers | ||
| p | $106,453 | FMV |
| Mercy Hospital Springfield | ||
| p | $293,907 | FMV |
| Mercy Hospital Waldron | ||
| q | $986,282 | FMV |
| Mercy Hospitals East Communities | ||
| p | $662,073 | FMV |
| Mercy Kansas Communities Inc | ||
| p | $67,498 | FMV |
| MHM Support Services | ||
| p | $40,168,821 | FMV |
| Resource Optimization & Innovation LLC | ||
| p | $9,399,096 | FMV |
| St Edward Mercy Foundation | ||
| c | $1,179,902 | FMV |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Schedule R, Part II | MERCY HOSPITALS EAST COMMUNITIES MERCY HOSPITALS EAST COMMUNITIES CONSISTS OF MERCY HOSPITAL ST. LOUIS, EIN 43-0653493, AND MERCY HOSPITAL WASHINGTON, EIN 43-1066883 |
| FORM 990, SCHEDULE R, PART V | LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY HEALTH SYSTEM, INC. AND SUBSIDIARIES. THE MAJORITY OF THE INTERCOMPANY/RELATED ORGANIZATION TRANSACTIONS ARE PROCESSED THROUGH LAWSON VIA INTERCOMPANY JOURNAL ENTRIES. WITH THE CURRENT DESIGN OF THE ERP SYSTEM, THERE ARE VARIOUS LIMITATIONS ON THE RELATED ORGANIZATION INFORMATION THAT CAN BE EXTRACTED FROM LAWSON. DUE TO THESE LIMITATIONS, MOST OF THE RELATED ORGANIZATION ACTIVITY FOR THE FILING ORGANIZATION HAS BEEN CLASSIFIED ON SCHEDULE R, PART V, IN LINES P AND Q. |