MERCY KANSAS COMMUNITIES INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- MERCY KANSAS COMMUNITIES INC (EIN 48-0956045)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-13
- IRS object ID
- 201511339349305401
- 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 J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-13T16:48:32-05:00 | 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 | 480956045 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mercy Kansas Communities | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % SHELLY HUNTER CFO | InCareOfNm |
| Business Name Control | MERC | BusinessNameControlTxt |
| Phone | 3145796100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 Woodland Hills Blvd | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | Fort Scott | City |
| State | KS | State |
| ZIP Code | 66701 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHELLY HUNTER | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Signature | 2015-05-06 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JENNIFER L RICHTER | PreparerPersonNm |
| PTIN | P00366526 | PTIN |
| 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 | SHELLY HUNTER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 MERCY WAY | AddressLine1 |
| City | JOPLIN | City |
| State | MO | State |
| ZIP Code | 64804 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $73,953,206 | 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 | 1983 | FormationYr |
| Legal Domicile State | KS | 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 | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 733 | TotalEmployeeCnt |
| Total Volunteers | 196 | TotalVolunteersCnt |
| Total Gross UBI | $447,460 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $121,584 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $184,445 | PYContributionsGrantsAmt |
| CY Contributions Grants | $191,896 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $72,854,006 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $72,917,418 | CYProgramServiceRevenueAmt |
| PY Investment Income | $7,781 | PYInvestmentIncomeAmt |
| CY Investment Income | $9,476 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,550,954 | PYOtherRevenueAmt |
| CY Other Revenue | $834,416 | CYOtherRevenueAmt |
| PY Total Revenue | $74,597,186 | PYTotalRevenueAmt |
| CY Total Revenue | $73,953,206 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $22,180 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $13,167 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $40,662,251 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $41,842,990 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $35,608,455 | PYOtherExpensesAmt |
| CY Other Expenses | $36,830,336 | CYOtherExpensesAmt |
| PY Total Expenses | $76,292,886 | PYTotalExpensesAmt |
| CY Total Expenses | $78,686,493 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,695,700 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$4,733,287 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $66,390,356 | TotalAssetsBOYAmt |
| Total Assets EOY | $60,534,641 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $8,710,038 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,234,609 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $57,680,318 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $53,300,032 | 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 | $11,332,130 | ExpenseAmt |
| Grant | $692 | GrantAmt |
| Revenue | $24,828,136 | RevenueAmt |
| Desc | MERCY HOSPITAL - INDEPENDENCE - HEALTH CARE SERVICES PROVIDED ARE ESSENTIAL TO THE HEALTH AND WELL-BEING OF THE INDIVIDUALS RESIDING IN THE CITY OF INDEPENDENCE AND MONTGOMERY COUNTY. THE HOSPITAL PROVIDES BASIC PRIMARY CARE SERVICES WHICH INCLUDE: INPATIENT ACUTE, SWING BED, EMERGENCY ROOM, GENERAL SURGERY, OUTPATIENT DIAGNOSTIC, OUTPATIENT PHYSICAL THERAPY AND HOME HEALTH SERVICES. THE COMMUNITY NEED IS REPRESENTED BY THE APPROXIMATE 1183 DISCHARGES, 8749 EMERGENCY ROOM VISITS, 1291 SURGERIES, 6336 HOME HEALTH VISITS AND NUMEROUS OUTPATIENT PROCEDURES. NECESSARY TERTIARY CARE IS TRANSPORTED OUT OF THE COMMUNITY TO A LARGER HOSPITAL. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $16,806,011 | ExpenseAmt |
| Grant | $3,998 | GrantAmt |
| Revenue | $36,611,893 | RevenueAmt |
| Desc | MERCY HOSPITAL - FORT SCOTT - HEALTHCARE SERVICES PROVIDED ARE ESSENTIAL TO THE HEALTH AND WELL-BEING OF THE INDIVIDUALS RESIDING IN THE CITY OF FORT SCOTT AND BOURBON COUNTY. THE HOSPITAL PROVIDES BASIC PRIMARY CARE SERVICES WHICH INCLUDE; INPATIENT ACUTE, SWING BED, EMERGENCY ROOM, GENERAL SURGERY, OUTPATIENT DIAGNOSTIC, OUTPATIENT PHYSICAL THERAPY AND HOME HEALTH SERVICES. THE COMMUNITY NEED IS REPRESENTED BY THE APPROXIMATE 1717 DISCHARGES, 7811 EMERGENCY ROOM VISITS, 2257 SURGERIES, 8632 HOME HEALTH VISITS AND NUMEROUS OUTPATIENT PROCEDURES. NECESSARY TERTIARY CARE IS TRANSPORTED OUT OF THE COMMUNITY TO A LARGER HOSPITAL. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $15,245,130 | ExpenseAmt |
| Grant | $8,477 | GrantAmt |
| Revenue | $11,204,419 | RevenueAmt |
| Desc | MERCY PHYSICIAN GROUP - FORT SCOTT / INDEPENDENCE - LOCAL PHYSICIAN SERVICES ARE ESSENTIAL TO THE HEALTH AND WELL-BEING OF THE COMMUNITIES. THE INTEGRATED PHYSICIAN GROUP CONSISTS OF THE FOLLOWING MIX OF SPECIALTIES: FAMILY PRACTICE, INTERNAL MEDICINE, OB/GYN, GENERAL SURGERY, ORTHOPEDICS AND MIDLEVEL PROVIDERS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $13,033,345 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $306,649 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $56,416,616 | 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 | false | 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 | false | 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 | 3 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 733 | 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 | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | 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 | false | 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 | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHELLY HUNTER CFO | PersonNm |
| Phone | 4175562459 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 MERCY WAY | AddressLine1 |
| City | JOPLIN | City |
| State | MO | State |
| ZIP Code | 64804 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Other CompensationOtherCompensationAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Allen MD Jay | ||||||||||
| Physician & Board member | 60.0 | 0.0 | Yes (X) | $235,808 | $36,543 | |||||
| Brau RSM Sr Annrene | ||||||||||
| Board member | 1.0 | 4.0 | Yes (X) | $0 | $0 | $0 | ||||
| Campbell Sharon | ||||||||||
| Board member | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| Copeland Jr Robert | ||||||||||
| President -Carthage & Kansas | 10.0 | 50.0 | Yes (X) | $0 | $33,987 | $313,949 | ||||
| Drake Billie Jo | ||||||||||
| Board member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Herren MD Richenda | ||||||||||
| Physician & Board member | 60.0 | 0.0 | Yes (X) | $323,326 | $20,504 | $0 | ||||
| Johnson Debbie | ||||||||||
| Board member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $1,601 | ||||
| Kelly James P | ||||||||||
| Board member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Martin Dave | ||||||||||
| Board member | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| MEIER FRED | ||||||||||
| Board member | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| Nichols MD Robert R | ||||||||||
| Physician & Board member | 54.0 | 6.0 | Yes (X) | $245,480 | $58,550 | $0 | ||||
| Small Melissa | ||||||||||
| Board member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Sohaei Soheila | ||||||||||
| Physician & Board member | 60.0 | 0.0 | Yes (X) | $467,747 | $22,862 | $0 | ||||
| Strecker Vern | ||||||||||
| Board member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Wullschleer MD Todd | ||||||||||
| Board member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Baker Reta | ||||||||||
| Pres-Mercy Hospital Fort Scott | 60.0 | 0.0 | Yes (X) | $0 | $83,463 | $313,893 | Yes (X) | |||
| Steinmann David | ||||||||||
| Pres.-Mercy Hospital Indep. | 55.0 | 5.0 | Yes (X) | $0 | $25,415 | $158,199 | Yes (X) | |||
| Hunter Shelly | ||||||||||
| Chief financial officer | 10.0 | 50.0 | $0 | $46,472 | $251,721 | Yes (X) | ||||
| Pulsipher Gary W | ||||||||||
| Chief executive officer | 10.0 | 50.0 | $0 | $203,238 | $515,773 | Yes (X) | ||||
| Hennessey III William | ||||||||||
| Regional VP-Marketing | 5.0 | 55.0 | $0 | $62,248 | $236,700 | Yes (X) | ||||
| Marion Tanya | ||||||||||
| Regional VP-Human Resources | 2.0 | 58.0 | $0 | $45,983 | $220,693 | Yes (X) | ||||
| Swope Jon | ||||||||||
| Pres. - Central Communities | 2.0 | 58.0 | $0 | $143,498 | $819,405 | Yes (X) | ||||
| Enyart Marc E | ||||||||||
| Physician | 60.0 | 0.0 | $387,753 | $16,715 | $0 | Yes (X) | ||||
| Fox John M | ||||||||||
| Physician | 60.0 | 0.0 | $391,701 | $37,107 | $0 | Yes (X) | ||||
| Phelps MD David | ||||||||||
| Physician | 60.0 | 0.0 | $373,445 | $59,210 | $0 | Yes (X) | ||||
| Schwab Terry D | ||||||||||
| Physician | 60.0 | 0.0 | $369,035 | $25,242 | $0 | Yes (X) | ||||
| Seals Larry E | ||||||||||
| Physician | 59.0 | 1.0 | $457,831 | $30,594 | $0 | Yes (X) | ||||
| Ammons Carl E Eric | ||||||||||
| Former officer | 0.0 | 60.0 | $0 | $37,745 | $324,263 | Yes (X) | ||||
| Floyd Terri | ||||||||||
| Former officer | 0.0 | 0.0 | $0 | $49,585 | $218,453 | Yes (X) | ||||
| Day Bradley Kim | ||||||||||
| Former key employee | 0.0 | 60.0 | $0 | $114,696 | $845,113 | Yes (X) | ||||
| Merrigan Michael | ||||||||||
| Former key employee | 0.0 | 5.0 | $0 | $58,559 | $594,877 | Yes (X) | ||||
| Biles Tracy | ||||||||||
| Former Key Employee | 50.0 | 10.0 | $147,519 | $14,054 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,399,645 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,814,640 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,226,270 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 42 | 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 |
|---|---|---|---|---|---|
| GENERAL ANESTHESIA SERVICES PA | |||||
| PO BOX 263 | FORT SCOTT | KS | 66701 | ANESTHETIC SERVICES | $797,137 |
| MEKKI M SABA MD | |||||
| 221 W 48TH SUITE 505 | KANSAS CITY | MO | 64112 | PHYSICIAN SERVICES | $562,788 |
| SODEXO INC AND AFFILIATES | |||||
| 4880 PAYSPHERE CIRCLE | CHICAGO | IL | 60674 | FOOD SERVICE LABOR | $497,560 |
| ACUTE CARE INC | |||||
| 1609 N ANKENY BLVD SUITE 200 | ANKENY | IA | 50023 | ER COVERAGE | $475,376 |
| ST ROSE AMBULATORY SURGICAL CENT | |||||
| 3515 BROADWAY | GREAT BEND | KS | 67530 | ER COVERAGE | $407,983 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 16 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $52,448 | RelatedOrganizationsAmt |
| Government Grants | $119,482 | GovernmentGrantsAmt |
| All Other Contributions | $19,966 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $191,896 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621110 | $49,444,676 | $49,444,676 | $0 | $0 |
| REFERENCE LAB | 621500 | $22,325,917 | $22,062,756 | $263,161 | $0 |
| OTHER OPERATING REVENUE | 900099 | $809,673 | $809,673 | $0 | $0 |
| RENTAL INCOME FROM RELATED ORGS | 532000 | $337,152 | $337,152 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $72,917,418 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,593 | TotalRevenueColumnAmt |
| Exclusion | $4,593 | 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 | $9,630 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $9,630 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,630 | TotalRevenueColumnAmt |
| Exclusion | $9,630 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $4,883 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $4,883 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,883 | TotalRevenueColumnAmt |
| Exclusion | $4,883 | 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 |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| CAFE & VENDING | 722514 | $606,808 | $0 | $0 | $606,808 |
| FITNESS CENTER REVENUE | 713940 | $217,978 | $33,679 | $184,299 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $824,786 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $73,953,206 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $72,687,936 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $447,460 | UnrelatedBusinessRevenueAmt |
| Exclusion | $625,914 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,167 | TotalAmt |
| Program Services | $13,167 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,406,129 | TotalAmt |
| Program Services | $1,157,647 | ProgramServicesAmt |
| Management And General | $248,482 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,284 | TotalAmt |
| Program Services | $86,662 | ProgramServicesAmt |
| Management And General | $18,622 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,406,627 | TotalAmt |
| Program Services | $26,697,065 | ProgramServicesAmt |
| Management And General | $5,709,562 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,334,074 | TotalAmt |
| Program Services | $1,099,251 | ProgramServicesAmt |
| Management And General | $234,823 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,562,014 | TotalAmt |
| Program Services | $3,758,212 | ProgramServicesAmt |
| Management And General | $803,802 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,028,862 | TotalAmt |
| Program Services | $1,671,374 | ProgramServicesAmt |
| Management And General | $357,488 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,669 | TotalAmt |
| Management And General | $29,669 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $293 | TotalAmt |
| Management And General | $293 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,098 | TotalAmt |
| Management And General | $12,098 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,064,282 | TotalAmt |
| Program Services | $3,377,706 | ProgramServicesAmt |
| Management And General | $686,576 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $129,581 | TotalAmt |
| Program Services | $118,199 | ProgramServicesAmt |
| Management And General | $11,382 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,469,803 | TotalAmt |
| Program Services | $371,055 | ProgramServicesAmt |
| Management And General | $1,098,748 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,760 | TotalAmt |
| Program Services | $16,934 | ProgramServicesAmt |
| Management And General | $4,826 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,743,754 | TotalAmt |
| Program Services | $262,953 | ProgramServicesAmt |
| Management And General | $1,480,801 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,684 | TotalAmt |
| Program Services | $33,291 | ProgramServicesAmt |
| Management And General | $13,393 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,808 | TotalAmt |
| Management And General | $3,808 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,798,909 | TotalAmt |
| Program Services | $1,621,391 | ProgramServicesAmt |
| Management And General | $2,177,518 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $908,657 | TotalAmt |
| Program Services | $555,946 | ProgramServicesAmt |
| Management And General | $352,711 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SHARED SERVICE FEES | $8,494,893 | $1,329,690 | $7,165,203 |
| BAD DEBT | $7,734,480 | $7,734,480 | |
| DRUGS & MEDICAL SUPPLIES | $6,208,867 | $6,205,641 | $3,226 |
| REPAIRS & MAINTENANCE | $1,456,893 | $115,109 | $1,341,784 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $705,905 | TotalAmt |
| Program Services | $190,843 | ProgramServicesAmt |
| Management And General | $515,062 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,686,493 | TotalAmt |
| Program Services | $56,416,616 | ProgramServicesAmt |
| Management And General | $22,269,877 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $10,235,534 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,857,209 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,034 | BOYAmt |
| EOY | $228 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,394,385 | BOYAmt |
| EOY | $7,311,458 | 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 | $138,164 | BOYAmt |
| EOY | $77,786 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,524,437 | BOYAmt |
| EOY | $1,465,636 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $666,949 | BOYAmt |
| EOY | $719,414 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $116,002,559 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $75,573,722 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,555,749 | BOYAmt |
| EOY | $40,428,837 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $289,797 | BOYAmt |
| EOY | $739,668 | 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 | $177,000 | BOYAmt |
| EOY | $177,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$226,368 | BOYAmt |
| EOY | -$620,920 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,390,356 | BOYAmt |
| EOY | $60,534,641 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,233,573 | BOYAmt |
| EOY | $6,683,061 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | $0 | BOYAmt |
| EOY | $0 | 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 | $476,465 | BOYAmt |
| EOY | $551,548 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,710,038 | BOYAmt |
| EOY | $7,234,609 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,501,596 | BOYAmt |
| EOY | $52,702,529 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $178,722 | BOYAmt |
| EOY | $597,503 | 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 | $57,680,318 | BOYAmt |
| EOY | $53,300,032 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,390,356 | BOYAmt |
| EOY | $60,534,641 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$4,733,287 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | $353,001 | PriorPeriodAdjustmentsAmt |
| 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 | $12,098 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $12,098 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
| Form4720 Filed4912 Tax | false | Form4720Filed4912TaxInd |
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 | SUPPLEMENTAL LOBBYING INFORMATION THE FILING ORGANIZATION IS A MEMBER OF AND PAYS DUES TO THE FOLLOWING HOSPITAL ASSOCIATIONS: AMERICAN HOSPITAL ASSOCIATION, KANSAS HOSPITAL ASSOCIATION, AND CATHOLIC HEALTH ASSOCIATION. FOR THE YEAR ENDED JUNE 30, 2014, DUES WERE $14,577, $44,762 AND $11,167, RESPECTIVELY. APPROXIMATELY 23.65% OF AMERICAN HOSPITAL ASSOCIATION DUES, 18.50% OF KANSAS 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 | $1,194,518 | OtherCostOrOtherBasisAmt |
| Book Value | $1,194,518 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $64,398,204 | OtherCostOrOtherBasisAmt |
| Depreciation | $33,128,518 | DepreciationAmt |
| Book Value | $31,269,686 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $974,996 | OtherCostOrOtherBasisAmt |
| Depreciation | $317,484 | DepreciationAmt |
| Book Value | $657,512 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $47,517,688 | OtherCostOrOtherBasisAmt |
| Depreciation | $40,578,204 | DepreciationAmt |
| Book Value | $6,939,484 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,917,153 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,549,516 | DepreciationAmt |
| Book Value | $367,637 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $40,428,837 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| LT DISABILITY RESERVES | $104,050 |
| WORKERS COMPENSATION RESERVE | $84,256 |
| LT SMRP LIABILITY | $184,266 |
| EXEC SAVINGS PAYABLE | $178,976 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $551,548 | 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 | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,102,388 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,102,388 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02270 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,429,854 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,850,284 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,579,570 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05310 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,532,242 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,850,284 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,681,958 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07580 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $171,192 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $171,192 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00350 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $41,370 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $41,370 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,566 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $16,566 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $229,128 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $229,128 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00470 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,761,370 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,850,284 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,911,086 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08050 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,165 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,165 | NetCommunityBenefitExpnsAmt |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,606 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,606 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $39 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $39 | NetCommunityBenefitExpnsAmt |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $250 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $250 | NetCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,060 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,060 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,884,299 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $16,331,092 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $17,875,236 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,544,144 | 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 | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd |
|---|---|---|---|---|---|---|---|---|---|
| MERCY HOSPITAL FORT SCOTT | |||||||||
| 1 | 401 Woodland Hills Blvd | FORT SCOTT | KS | 66701 | www.mercy.net | H-006-001 | Yes (X) | Yes (X) | Yes (X) |
| MERCY HOSPITAL INDEPENDENCE | |||||||||
| 2 | 800 W MYRTLE | INDEPENDENCE | KS | 67301 | www.mercy.net | H-063-004 | Yes (X) | Yes (X) | Yes (X) |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| FacilityFacilityNum | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Information GapsInformationGapsInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Rpt Available Upon RequestRptAvailableUponRequestInd | Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd | Adopt Implementation StrategyAdoptImplementationStrategyInd | All Needs AddressedAllNeedsAddressedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareInd | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Explained BasisExplainedBasisInd | Income LevelIncomeLevelInd | Asset LevelAssetLevelInd | Medical IndigencyMedicalIndigencyInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | Posted On WebsitePostedOnWebsiteInd | Available On RequestAvailableOnRequestInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Collection ActivitiesCollectionActivitiesInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Other Method UsedOtherMethodUsedInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MERCY HOSPITAL FORT SCOTT | |||||||||||||||||||||||||||||||||||||||
| 1 | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (true) | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | false | Yes (true) | Yes (true) | 100 | Yes (true) | 400. | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (true) | false | Yes (true) | Yes (X) | false | false |
| MERCY HOSPITAL INDEPENDENCE | |||||||||||||||||||||||||||||||||||||||
| 2 | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (true) | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | false | Yes (true) | Yes (true) | 100 | false | 400. | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (true) | false | Yes (true) | Yes (X) | false | false | |
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 | 11 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (11 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| MERCY ARMA | ||||
| 601 E WASHINGTON | ARMA | KS | 66712 | PHYSICIAN CLINIC/PRACTICE |
| MERCY CHERRYVALE | ||||
| 203 W MAIN STREET | CHERRYVALE | KS | 67335 | PRIMARY SMALL CARE |
| MERCY PHYSICIAN BUILDING | ||||
| 403 WOODLAND HILLS BOULEVARD | FORT SCOTT | KS | 66701 | PHYSICIAN CLINIC/PRACTICE |
| MERCY MEDICAL PLAZA | ||||
| 902 S HORTON | FORT SCOTT | KS | 66701 | PHYSICIAN CLINIC/PRACTICE |
| MERCY HEALTH FOR LIFE FORT SCOTT | ||||
| 405 WOODLAND HILLS BOULEVARD | FORT SCOTT | KS | 66701 | REHAB/FITNESS CENTER |
| MERCY CONVENIENT CARE FORT SCOTT | ||||
| 1624 S NATIONAL | FORT SCOTT | KS | 66701 | URGENT CARE |
| MERCY MEDICAL PLAZA | ||||
| 800 W LAUREL | INDEPENDENCE | KS | 67301 | PRIMARY CARE MEDIUM |
| MERCY MEDICAL PLAZA WEST | ||||
| 900 W MYRTLE SUITE 103 | INDEPENDENCE | KS | 67301 | PHYSICIAN CLINIC/PRACTICE |
| MERCY HOME HEALTH AND HOSPICE | ||||
| 422 W MAIN STREET | INDEPENDENCE | KS | 67301 | HOME CARE |
| MERCY HEALTH FOR LIFE INDEPENDENCE | ||||
| 2011 N PENN | INDEPENDENCE | KS | 67301 | FITNESS CENTER |
| MERCY LINN COUNTY | ||||
| 11155 TUCKER ROAD | PLEASANTON | KS | 66075 | PRIMARY CARE SMALL |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE H, PART I, LINE 6A | FormAndLineReferenceDesc |
| Explanation | COMMUNITY BENEFIT REPORT 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 $56,293,026. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $7,734,480. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $48,558,546. 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 IS INCLUDED IN OUR COMMUNITY HEALTH NEEDS ASSESSMENT AND 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 KANSAS COMMUNITIES 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 KANSAS COMMUNITIES' ("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 IN VALIDATING 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 KANSAS COMMUNITIES' PRIMARY SERVICE AREA INCLUDES THE FOLLOWING SEVEN COUNTIES IN SOUTHEAST KANSAS: LINN, BOURBON, CRAWFORD, WILSON, ELK, CHAUTAUQUA AND MONTGOMERY. THREE OF THE COUNTIES (LINN, BOURBON AND CRAWFORD) ARE IN THE FORT SCOTT, KANSAS AREA. THE FOLLOWING INFORMATION IS BASED ON 2014 TRUVEN DATA: THE FORT SCOTT AREA'S POPULATION IS 64,479. THE AVERAGE HOUSEHOLD INCOME IS $50,276. THE MEDIAN AGE IS 42. 16% OF THE POPULATION IS AGE 65 AND OLDER. 18% OF THE POPULATION IS ON MEDICARE, 13% ON MEDICAID, AND 15% UNINSURED. THE OTHER FOUR COUNTIES (WILSON, ELK, CHAUTAUQUA AND MONTGOMERY) ARE IN THE INDEPENDENCE, KANSAS AREA. THE FOLLOWING INFORMATION IS BASED ON 2014 TRUVEN DATA: THE INDEPENDENCE AREA'S POPULATION IS 49,107. THE AVERAGE HOUSEHOLD INCOME IS $50,073. THE MEDIAN AGE IS 46. 20% OF THE POPULATION IS AGE 65 AND OLDER. 22% OF THE POPULATION IS ON MEDICARE, 13% ON MEDICAID, AND 14% UNINSURED. FORM 990, SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH MERCY IN FORT SCOTT AND INDEPENDENCE, KS PROMOTES COMMUNITY HEALTH IN NUMEROUS WAYS INCLUDING: -ACTIVE COMMUNITY BOARDS COMPRISED OF MEMBERS REPRESENTING MULTIPLE SEGMENTS OF THE POPULATION -PROVIDING EDUCATION PROGRAMS ON HEALTH ISSUES SUCH AS OBESITY, | 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 (22 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Allen MD Jay | ||||||||||||||
| Physician & Board member | $213,790 | $0 | $22,018 | $22,444 | $14,099 | $272,351 | ||||||||
| Copeland Jr Robert | ||||||||||||||
| President -Carthage & Kansas | $0 | $0 | $0 | $0 | $0 | $0 | $221,457 | $44,637 | $47,855 | $17,313 | $16,674 | $347,936 | $0 | $0 |
| Herren MD Richenda | ||||||||||||||
| Physician & Board member | $286,527 | $0 | $36,799 | $17,741 | $2,763 | $343,830 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| Nichols MD Robert R | ||||||||||||||
| Physician & Board member | $193,254 | $0 | $52,226 | $45,549 | $13,001 | $304,030 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| Sohaei Soheila | ||||||||||||||
| Physician & Board member | $408,180 | $0 | $59,567 | $14,380 | $8,482 | $490,609 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| Baker Reta | ||||||||||||||
| Pres-Mercy Hospital Fort Scott | $0 | $0 | $0 | $0 | $0 | $0 | $226,454 | $42,657 | $44,782 | $70,515 | $12,948 | $397,356 | $0 | $0 |
| Steinmann David | ||||||||||||||
| Pres.-Mercy Hospital Indep. | $0 | $0 | $0 | $0 | $0 | $0 | $113,412 | $7,438 | $37,349 | $9,874 | $15,541 | $183,614 | $0 | $0 |
| Hunter Shelly | ||||||||||||||
| Chief financial officer | $0 | $0 | $0 | $0 | $0 | $0 | $185,261 | $46,958 | $19,502 | $36,154 | $10,318 | $298,193 | $0 | $0 |
| Pulsipher Gary W | ||||||||||||||
| Chief executive officer | $0 | $0 | $0 | $0 | $0 | $0 | $365,342 | $121,131 | $29,300 | $184,975 | $18,263 | $719,011 | $0 | $0 |
| Hennessey III William | ||||||||||||||
| Regional VP-Marketing | $0 | $0 | $0 | $0 | $0 | $0 | $140,074 | $39,788 | $56,838 | $46,187 | $16,061 | $298,948 | $0 | $0 |
| Marion Tanya | ||||||||||||||
| Regional VP-Human Resources | $0 | $0 | $0 | $0 | $0 | $0 | $141,222 | $41,723 | $37,748 | $29,968 | $16,015 | $266,676 | $0 | $0 |
| Swope Jon | ||||||||||||||
| Pres. - Central Communities | $0 | $0 | $0 | $0 | $0 | $0 | $569,643 | $200,920 | $48,842 | $124,905 | $18,593 | $962,903 | $0 | $0 |
| Enyart Marc E | ||||||||||||||
| Physician | $358,501 | $0 | $29,252 | $8,750 | $7,965 | $404,468 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| Fox John M | ||||||||||||||
| Physician | $362,114 | $0 | $29,587 | $19,754 | $17,353 | $428,808 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| Phelps MD David | ||||||||||||||
| Physician | $334,135 | $0 | $39,310 | $45,676 | $13,534 | $432,655 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| Schwab Terry D | ||||||||||||||
| Physician | $345,265 | $0 | $23,770 | $7,990 | $17,252 | $394,277 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| Seals Larry E | ||||||||||||||
| Physician | $421,610 | $0 | $36,221 | $13,354 | $17,240 | $488,425 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 |
| Ammons Carl E Eric | ||||||||||||||
| Former officer | $0 | $0 | $0 | $0 | $0 | $0 | $214,426 | $25,527 | $84,310 | $24,965 | $12,780 | $362,008 | $0 | $0 |
| Day Bradley Kim | ||||||||||||||
| Former key employee | $0 | $0 | $0 | $0 | $0 | $0 | $573,529 | $236,973 | $34,611 | $99,978 | $14,718 | $959,809 | $0 | $0 |
| Floyd Terri | ||||||||||||||
| Former officer | $0 | $0 | $0 | $0 | $0 | $0 | $164,175 | $18,457 | $35,821 | $42,537 | $7,048 | $268,038 | $0 | $0 |
| Merrigan Michael | ||||||||||||||
| Former key employee | $0 | $0 | $0 | $0 | $0 | $0 | $19,811 | $530,868 | $44,198 | $57,901 | $658 | $653,436 | $0 | $0 |
| Biles Tracy | ||||||||||||||
| Former Key Employee | $103,861 | $12,931 | $30,727 | $7,597 | $6,457 | $161,573 | $0 | $0 | $0 | $0 | $0 | $0 | $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 OF EMPLOYEES FOR THE CONVENIENCE OF THE COMPANY IS MADE IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSES 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 KANSAS COMMUNITIES, INC. 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: CARL (ERIC) AMMONS, ROBERT COPELAND, TERRI FLOYD, RETA BAKER, SHELLY HUNTER, GARY PULSIPHER, BRADLEY DAY, TANYA MARION, MICHAEL MERRIGAN, WILLIAM HENNESSEY III, AND JON SWOPE. 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 (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| JANICE BAKER | |||
| FAMILY MEMBER OF OFFICER | $42,019 | Employment | false |
| CHRISTINA YOUNG | |||
| FAMILY MEMBER OF OFFICER | $63,264 | Employment | false |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III - PROGRAM SERVICE, LINE 4D | OTHER PROGRAM SERVICES MERCY KANSAS COMMUNITIES, INC. PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, GENDER, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. MERCY KANSAS COMMUNITIES, INC. PROVIDES INPATIENT DAY SERVICES, OUTPATIENT SERVICES, EMERGENCY SERVICES, HOME HEALTH VISITS AND OFFICE VISITS. HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY INCLUDE LOW COST PRENATAL CARE, BIRTHING CENTER FOR PATIENTS REQUIRING SPECIAL CARE, GERIATRIC SITTER SERVICES, RURAL HEALTH CLINICS, EXPANDED TRANSPORTATION SERVICES, AMBULANCE SERVICE, SAFE KIDS PROGRAMS, MERCY 55 MATURE DRIVING CLASSES, MERCY COMPASSIONATE CARE PROGRAM, AND OTHER HEALTH PROGRAMS. |
| 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. THE NUMBER REPORTED IN PART V, QUESTION 1A FOR THE FILING ORGANIZATION ONLY INCLUDES THE FORM 1099S FILED TO REPORT PHYSICIAN DEBT FORGIVENESS. |
| FORM 990, PART VI, LINE 6A, 7A, 7B | CLASSES OF MEMBERS OR STOCKHOLDERS THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH SOUTHWEST MISSOURI/KANSAS 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 OF THE CORPORATION; -TO APPOINT MEMBERS OF THE BOARD; -TO APPOINT AND REMOVE THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION; -TO APPROVE THE STRATEGIC PLAN, GOALS AND OBJECTIVES OF THE CORPORATION; -TO APPROVE THE OPERATING, CAPITAL, AND CONSTRUCTION BUDGETS FOR THE CORPORATION; -TO LEASE OR SELL ANY OF THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO ENCUMBER ANY OR ALL OF THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO AUTHORIZE AND 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 MERCY KANSAS COMMUNITIES 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 DIRECTOR 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. IN ADDITION, THE FORM 990 IS MADE AVAILABLE TO THE MERCY HEALTH SOUTHWEST MISSOURI/KANSAS COMMUNITIES BOARD OF DIRECTORS FOR THEIR REVIEW, AS MERCY HEALTH SOUTHWEST MISSOURI/KANSAS COMMUNITIES IS THE SOLE CORPORATE MEMBER OF MERCY KANSAS COMMUNITIES AND HAS ULTIMATE RESPONSIBILITY TO APPOINT THE MERCY KANSAS COMMUNITIES BOARD (WHICH IS PRIMARILY ADVISORY IN NATURE) AND LEADERSHIP TEAM AND POWER TO APPROVE SIGNIFICANT FINANCIAL AND OPERATIONAL DECISIONS. ONCE REVIEWED AND APPROVED BY THE FILING ORGANIZATION'S LEADERSHIP TEAM, THE FORM 990 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, THE ORGANIZATION USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, AND REVIEW/APPROVAL OF EXECUTIVE MANAGEMENT. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS, AND A REVIEW WAS COMPLETED DURING THE REPORTING YEAR. |
| FORM 990, PART VI, 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 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 | Yes (true) |
| 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 | false |
| 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 Fort Smith | ||||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72917 | 710240352 | Hospital | AR | 501c3 | 3 | MH FS 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 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 |
|---|---|---|---|---|---|---|---|
| Merc Ambu Surg CTR | |||||||
| 7301 Rogers Av | Fort Smith | AR | 72903 | 710827721 | AMBUL SURG CTR | AR | NA |
| RES OPT & INNOV | |||||||
| 645 Maryville Centre Dr 200 | St Louis | MO | 63141 | 460468368 | CENTRAL DIST. | MO | NA |
| SO OK DIAG CTR | |||||||
| 1011 14TH Ave NW | Ardmore | OK | 73401 | 431971232 | MRI Services | OK | NA |
| Fort Smith EMS | |||||||
| 1701 S Greenwood | Fort Smith | AR | 72901 | 710416615 | Emergency Med | AR | NA |
| St Ed Mer Med MOB | |||||||
| 7301 Rogers Ave | Fort Smith | AR | 72903 | 710554050 | Office Building | AR | NA |
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 | Direct Controlling NADirectControllingNACd | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | C-Corp | Yes (true) | N/A | ||||
| Mercy Community Services Inc | |||||||||||||
| 401 Woodland Hills Blvd | Fort Scott | KS | 66701 | 481078101 | RETAIL PHARMACY | KS | M KS COMM | C-Corp | Yes (true) | $0 | $0 | 1.00000 | |
| Mercy Health Center Condominium Inc | |||||||||||||
| 4300 W Memorial Rd | Oklahoma City | OK | 73120 | 680640970 | Real estate | OK | C-Corp | Yes (true) | N/A | ||||
| 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 | C-Corp | Yes (true) | N/A | ||||
| The Apothecary Services Inc | |||||||||||||
| PO Box 350 | Crystal City | MO | 63019 | 431627267 | RETAIL PHARMACY | MO | C-Corp | Yes (true) | N/A | ||||
| St John's Mercy Mail Order Inc | |||||||||||||
| 13645 Shoreline Drive | Earth City | MO | 63045 | 431014222 | Mail Order pharma | MO | C-Corp | Yes (true) | N/A | ||||
| St John's Mercy PBM Inc | |||||||||||||
| 13175 Lakefront Drive | Earth City | MO | 63045 | 743089567 | Pharmacy benefit | MO | C-Corp | Yes (true) | N/A | ||||
| UH Holdings Inc | |||||||||||||
| 645 Maryville Centre Drive Suite 1 | St Louis | MO | 63141 | 431845682 | HOLDING COMP | MO | C-Corp | Yes (true) | N/A | ||||
| 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 (7 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Mercy Community Services Inc | ||
| P | $2,724,299 | FMV |
| Mercy Health | ||
| P | $293,450 | FMV |
| Mercy Health Oklahoma Communities Inc | ||
| P | $65,445 | FMV |
| Mercy Hospital Fort Smith | ||
| Q | $67,498 | FMV |
| Mercy Hospital Joplin | ||
| P | $343,769 | FMV |
| MHM Support Services | ||
| P | $17,325,446 | FMV |
| Resource Optimization & Innovation LLC | ||
| P | $1,076,640 | 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. |
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