2014-05-14T14:00:13-05:00 2013-06-30 ERNST & YOUNG US LLP 190 CARONDELET PLAZA SUITE 1300 CLAYTON MO 63105 990 2012-07-01 261318597 Mercy Clinic Fort Smith Communities % GRETA WILCHER VP OF FINANCE MERC 3145796100 7301 ROGERS AVENUE Suite FORT SMITH AR 72917 Greta Wilcher 2014-05-08 3142901000 2012 2015-11-30 17:44:51Z Greta Wilcher 7301 Rogers Avenue Fort Smith AR 72917 46236096 false 0928 X www.mercy.net X 2007 AR AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. 10 0 414 0 0 0 8631 42944728 46226157 952 1308 0 0 42945680 46236096 13000 6000 0 0 43091733 49119915 0 0 0 13347806 13654627 56452539 62780542 -13506859 -16544446 7762261 9530581 46584195 64896961 -38821934 -55366380 X AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. false false 9620239 6572978 ORTHOPEDICS-MERCY CLINIC FORT SMITH EMPLOYS AND CONTRACTS WITH PHYSICIANS WHOSE PRIMARY ROLE IS TO PROVIDE INPATIENT AND OUTPATIENT SURGICAL SERVICES. PATIENTS WITH FRACTURES, JOINT PAIN, OR OTHER MOBILITY ISSUES DIRECTLY OR THROUGH A REFERRAL, MAY REQUEST MEDICAL CARE OR SURGICAL PROCEDURES TO ALLEVIATE PAIN. THE ORTHOPEDIC PHYSICIAN PROGRAM ENSURES THAT THE PATIENT'S OVERALL CARE PLAN IS FOLLOWED FROM INITIAL VISIT, THROUGH SURGICAL OR OUTPATIENT PROCEDURE, AND AFTERWARDS FOR FOLLOW UP CARE TO ENSURE WELLNESS. ORTHOPEDISTS ARE AN INTEGRAL PART OF MERCY CLINIC FORT SMITH SERVICE LINE AND PHYSICIANS OF THIS SPECIALTY ARE PROJECTED TO BE HIGHLY IN DEMAND OVER THE NEXT 10-20 YEARS AS THE BABY BOOM POPULATION SIGNIFICANTLY INCREASES. 8020864 8020864 HOSPITALIST GROUP-MERCY CLINIC FORT SMITH EMPLOYS AND CONTRACTS WITH PHYSICIANS WHOSE PRIMARY ROLE IS TO PROVIDE GENERAL MEDICAL CARE TO HOSPITALIZED PATIENTS AT MERCY HOSPITAL FORT SMITH. PATIENTS HOSPITALIZED THROUGH AN EMERGENCY ROOM VISIT, THROUGH A REFERRAL, OR BY A PRIMARY CARE PHYSICIAN MAY REQUEST THAT OUR HOSPITALIST PHYSICIAN MANAGE CARE DURING THE PATIENT'S HOSPITAL STAY. THE HOSPITALIST PHYSICIAN PROGRAM ENSURES THE PATIENT'S OVERALL CARE PLAN IS FOLLOWED UNTIL DISCHARGE. HOSPITALISTS ARE AN INTEGRAL PART OF MERCY CLINIC FORT SMITH'S SERVICE LINES. 7111080 7111080 EMERGENCY DEPARTMENT-MERCY CLINIC FORT SMITH EMPLOYS AND CONTRACTS WITH PHYSICIANS ENGAGED IN PROVIDING EMERGENCY MEDICAL TREATMENT FOR THE MAIN MERCY HOSPITAL FORT SMITH EMERGENCY ROOM 24 HOURS A DAY, SEVEN DAYS A WEEK. THREE CRITICAL ACCESS HOSPITAL EMERGENCY ROOMS ARE STAFFED WITH ADDITIONAL PHYSICIANS AS WELL. THERE IS AN ONGOING DEMAND FOR HIGH QUALITY, EFFICIENT EMERGENCY MEDICAL CARE IN OUR SERVICE AREAS. THE EMERGENT CARE PHYSICIANS, NURSES, AND SUPPORT STAFF HAVE DEVELOPED A TEAM APPROACH IN THE PAST TO HELP ENSURE PATIENTS WILL BE SEEN PROMPTLY UPON ARRIVAL WITH A GOAL OF BEING EXAMINED BY A PHYSICIAN WITHIN 30 MINUTES. THE ED FEATURES A MINOR MEDICAL CARE AREA FOR MINOR INJURIES, AND AN ACUTE CARE AREA FOR LIFE THREATENING EMERGENCIES. 38012110 6000 24521235 62764293 true true false false false false false false false false true false false false true false false true false false false false false false false false false true false true false false false false false false true false false false false false false true true true false false true X 0 0 414 true false false false false false false false false false false X 10 0 false false false false true true true true true false false true true true true true true true true false X GRETA WILCHER VP OF FINANCE 4793146104 7301 ROGERS AVENUE FORT SMITH AR 72917 X Baker DO Sean 60.0 0.0 X 261037 0 8234 Dudding MD William 60.0 0.0 X 301233 0 22509 Dupree MD Matthew 60.0 0.0 X 415671 0 10389 Easom MD Delilah 60.0 0.0 X 395318 0 25787 Flippin MD Tony 60.0 0.0 X 567181 0 22235 Nolewajka MD Andre 60.0 0.0 X 659111 107092 30944 Smith Steven 60.0 0.0 X 651650 0 23449 Wilkinson MD Josh 60.0 0.0 X 358088 0 21808 Gehrig Ryan 15.0 45.0 X X 0 305463 10001 Goodman Raymond Cole 59.0 1.0 X X 338711 0 80641 Keep Matthew 60.0 0.0 X 260935 0 22032 Vitiello Jonathan 1.0 59.0 X 0 493118 64006 Day Bradley Kim 1.0 59.0 X 0 987614 348680 Marion Tanya 2.0 58.0 X 0 232635 43308 Merrigan Michael 2.0 58.0 X 0 378450 56809 Swope Jon 2.0 58.0 X 0 758712 230689 Wilcher Greta 15.0 45.0 X 0 228357 42154 Bolyard Keith J 60.0 0.0 X 657591 0 23355 Johnson MD Arthur 60.0 0.0 X 822289 0 23863 Jones MD Greg 60.0 0.0 X 751294 0 23660 Nguyen MD Dominic 60.0 0.0 X 809012 0 23432 Tjandra MD Sarikun 60.0 0.0 X 892487 0 25111 Johnston Jeffrey A 0.0 60.0 X 0 652475 186039 8141608 4143916 1369135 88 true true false EMERGENCY STAFFING SOLUTIONS 17304 PRESTON RD SUITE 555 DALLAS TX 75252 PHYSICIAN STAFFING 845412 COMPHEALTH PO BOX 972651 DALLAS TX 75397 PHYSICIAN STAFFING 507650 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 PHYSICIAN STAFFING 465451 SPECIALTY MEDICAL ASSOCIATES PO BOX 7228 VAN BUREN AR 72956 PHYSICIAN STAFFING 458187 MARTIN FLETCHER AND ASSOCIATES 1525 W WALNUT HILL LANE SUITE 100 IRVING TX 75038 PHYSICIAN STAFFING 338711 12 0 8631 0 8631 NET PATIENT SERVICE REVENUE 621111 37207373 37207373 0 0 HOSPITAL SUPPORT/COVERAGE SERVICES 621111 8347507 8347507 0 0 MANAGEMENT FEES 900099 515379 515379 0 0 OTHER OPERATING REVENUE 900099 155898 155898 0 0 46226157 741 741 0 0 0 0 0 567 567 567 567 0 0 0 0 0 46236096 46226157 0 1308 6000 6000 0 0 0 0 0 0 4748023 4748023 0 0 284681 284681 0 0 37463272 35066374 2396898 0 1136523 1013528 122995 0 3618990 3234564 384426 0 1868426 1693272 175154 0 0 0 0 0 114396 0 114396 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 105136 2537199 -2432063 0 15164 3749 11415 0 548330 514516 33814 0 47682 47535 147 0 0 0 0 0 1578715 1504826 73889 0 240999 145773 95226 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 538904 529372 9532 0 1096301 1091129 5172 0 Bad Debt 4234067 4325599 -91532 0 Repairs & Maintenance 81729 79035 2694 0 Shared Service fees 3048633 4130306 -1081673 0 Drugs & Medical Supplies 1690823 1690726 97 0 313748 118086 195662 62780542 62764293 16249 0 0 341576 26966 0 0 0 0 4031474 4655430 0 0 0 0 0 0 0 0 969490 1264815 3927313 1318853 1481664 2608460 0 0 0 0 0 0 938057 974910 0 0 7762261 9530581 2966696 3399868 4866 7404 0 0 0 0 0 0 0 0 0 0 0 0 43612633 61489689 46584195 64896961 X -38821934 -55366380 0 0 0 0 -38821934 -55366380 7762261 9530581 -16544446 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 156300 38250 118050 3633250 1280603 2352647 137763 137763 2608460 0 DUE TO AFFILIATES 61489689 61489689 FORM 990, SCHEDULE D, PART X, LINE 2 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. true FORM 990, SCHEDULE I, PART I, LINE 2 DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS THE ASSISTANCE PROVIDED IS INTENDED TO BE USED FOR THE GENERAL OPERATING PURPOSES OF THE DONEE. THE USE OF GRANT FUNDS IS NOT MONITORED AFTER GRANTS ARE GIVEN. X X X true true X X X X false true false false false false false true false Baker DO Sean 265423 0 0 0 -4386 0 6306 0 1928 0 269271 0 0 0 Dudding MD William 267896 0 0 0 33337 0 7566 0 14943 0 323742 0 0 0 Dupree MD Matthew 124563 0 244143 0 46965 0 7363 0 3026 0 426060 0 0 0 Easom MD Delilah 294036 0 66467 0 34815 0 9399 0 16388 0 421105 0 0 0 Flippin MD Tony 515662 0 0 0 51519 0 5947 0 16288 0 589416 0 0 0 Nolewajka MD Andre 624178 107092 0 0 34933 0 17345 0 13599 0 690055 107092 0 0 Smith Steven 613335 0 0 0 38315 0 6303 0 17146 0 675099 0 0 0 Wilkinson MD Josh 323748 0 0 0 34340 0 6226 0 15582 0 379896 0 0 0 Gehrig Ryan 0 225569 0 54583 0 25311 0 0 0 10001 0 315464 0 0 Goodman Raymond Cole 262435 0 45211 0 31065 0 64730 0 15911 0 419352 0 0 0 Keep Matthew 187424 0 34759 0 38752 0 6644 0 15388 0 282967 0 0 0 Vitiello Jonathan 0 294647 0 102118 0 96353 0 47736 0 16270 0 557124 0 0 Day Bradley Kim 0 630366 0 322225 0 35023 0 334446 0 14234 0 1336294 0 0 Marion Tanya 0 137188 0 70088 0 25359 0 28325 0 14983 0 275943 0 0 Merrigan Michael 0 227959 0 96337 0 54154 0 49389 0 7420 0 435259 0 0 Swope Jon 0 481585 0 249457 0 27670 0 212960 0 17729 0 989401 0 0 Wilcher Greta 0 169467 0 29855 0 29035 0 30427 0 11727 0 270511 0 0 Bolyard Keith J 602107 0 9900 0 45584 0 6303 0 17052 0 680946 0 0 0 Johnson MD Arthur 767438 0 0 0 54851 0 6303 0 17560 0 846152 0 0 0 Jones MD Greg 695410 0 9900 0 45984 0 6420 0 17240 0 774954 0 0 0 Nguyen MD Dominic 770597 0 0 0 38415 0 6178 0 17254 0 832444 0 0 0 Tjandra MD Sarikun 488228 0 303413 0 100846 0 7587 0 17524 0 917598 0 0 0 Johnston Jeffrey A 0 410525 0 190493 0 51457 0 168505 0 17534 0 838514 0 0 FORM 990, SCHEDULE J, PART I, LINE 1 CHARTER TRAVEL IS PROVIDED TO CERTAIN EMPLOYEES AS AND WHEN APPROPRIATE, AND AS DEEMED NECESSARY FOR BUSINESS TRAVEL. AFTER CHARTER TRAVEL APPROVAL HAS BEEN GRANTED IN ACCORDANCE WITH THE FINANCIAL JUSTIFICATION PROCESS, THE APPROVED CHARTER TRAVEL FOR BUSINESS IS A REIMBURSABLE EXPENSE WHICH IS NOT TAXABLE TO THE EMPLOYEES. 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. FORM 990, SCHEDULE J, PART I, QUESTION 3 MERCY CLINIC FORT SMITH COMMUNITIES 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 CLINIC FORT SMITH OFFERS SUPPLEMENTAL RETIREMENT PLANS TO CERTAIN EXECUTIVES WHICH PROVIDE BENEFITS UPON RETIREMENT 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: RAYMOND (COLE) GOODMAN, JEFFREY JOHNSTON, JONATHAN VITIELLO, BRADLEY DAY, TANYA MARION, MICHAEL MERRIGAN, JON SWOPE, AND GRETA WILCHER. THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C). FORM 990, SCHEDULE J, PART I, QUESTION 7 MERCY HEALTH PROVIDES A NON-FIXED BONUS PLAN FOR WHICH CERTAIN TIERS OF ITS EMPLOYEES ARE ELIGIBLE. FOR FISCAL YEAR 2013 (JULY 1, 2012 - JUNE 30, 2013), PAYMENT OF ALL OR PART OF THE BONUS WAS CONTINGENT UPON ATTAINMENT OF CERTAIN FINANCIAL TARGETS. 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 GOALS IS REVIEWED BY THE EXECUTIVE COMPENSATION COMMITTEE OF MERCY HEALTH AND IS THEN TAKEN INTO ACCOUNT WHEN ANALYZING EXECUTIVE COMPENSATION FOR REASONABLENESS. Ivelesse Dupree FAM MBR OF BOARD DIRECTOR 173102 Employment false Stefanie Ellis FAM MBR OF BOARD DIRECTOR 111579 Employment false FORM 990, PART V, QUESTION 1A FORM 1099/1096 FILING VENDORS FOR THE FILING ORGANIZATION ARE PAID BY MERCY HEALTH (EIN 43-1423050). AS SUCH, ALL REQUIRED FORM 1099 AND FORM 1096 REPORTING IS MADE FOR THE ENTIRE MERCY HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN. FORM 990, PART VI, LINE 6A, LINE 7A, 7B CLASSES OF MEMBERS OR STOCKHOLDERS THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH FORT SMITH COMMUNITIES. THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES ARE RESERVED SOLELY FOR THE SOLE CORPORATE MEMBER: - ADOPT OR AMEND THE MISSION AND PHILOSOPHY OF THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - ADOPT OR AMEND THE OPERATING AND CAPITAL BUDGETS OF THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION AND ANY CHANGES IN SUCH BUDGETS IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE MEMBER; - REVIEW AND APPROVE ANY CAPITAL EXPENDITURES OR RECOMMENDATIONS NOT PREVIOUSLY APPROVED AS PART OF THE CORPORATION'S BUDGETS; - AUTHORIZE OR APPROVE THE ASSIGNMENT, TRANSFER, SALE OR LEASE OF ANY OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION OR INTEREST THEREIN IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE MEMBER; - AUTHORIZE OR APPROVE THE GRANT OF ANY PLEDGE, LIEN, ENCUMBRANCE, MORTGAGE, DEED OF TRUST OR OTHER SECURITY INTEREST IN ANY OR ALL OF THE ASSETS OF THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - AUTHORIZE OR APPROVE THE INCURRENCE OF DEBT (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) BY THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION AND THE GRANT ANY SECURITY INTERESTS, THE PLACEMENT OF ANY ENCUMBRANCES, THE ENTERING INTO ANY COVENANTS, AND THE EXECUTION OF ANY DOCUMENTS AND THE TAKING OF ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; - MERGE, DISSOLVE OR ABANDON THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - AMEND THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - APPOINT DIRECTORS; - ESTABLISH ALL COMPENSATION AND BENEFIT TERMS FOR PHYSICIANS AND OTHER MEDICAL PROFESSIONALS EMPLOYED OR OTHERWISE RETAINED BY THE CORPORATION; - REMOVE DIRECTORS WITH OR WITHOUT CAUSE; - APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH ANY OTHER ORGANIZATION CONTROLLED BY THE CORPORATION; - APPROVE CONTRACTS IN WHICH THE CORPORATION ASSUMES FINANCIAL RISK, INCLUDING BUT NOT LIMITED TO MANAGED CARE CONTRACTS, SUBJECT TO CONSULTATION WITH THE MANAGED CARE CONTRACTING COMMITTEE OF THE MEMBER; - APPROVE THE CORPORATION'S MANPOWER PLAN; - THROUGH THE SOLE ACTION OF THE PRESIDENT OF THE MEMBER (WITH THE APPROVAL OF THE PRESIDENT OF MH), APPOINT AND REMOVE THE PRESIDENT OF THE CORPORATION; AND - AUTHORIZE AND AMEND THE CHARITY CARE POLICY OF THE CORPORATION. FORM 990, PART VI, QUESTION 11B DSCR THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM, USING INFORMATION PROVIDED BY THE FILING ORGANIZATION. A DRAFT FORM 990 IS REVIEWED BY THE FILING ORGANIZATION'S FINANCE TEAM, INCLUDING THE MANAGER OF ACCOUNTING AND THE VICE-PRESIDENT OF FINANCE. THE DRAFT FORM 990 IS ALSO REVIEWED BY MERCY HEALTH'S TAX DEPARTMENT, TO ENSURE ACCURACY AND CONSISTENCY WITH OTHER RELATED ORGANIZATIONS' FORMS 990. AFTER QUESTIONS ARISING FROM THE VARIOUS REVIEWS ARE ADDRESSED AND INCORPORATED INTO THE FORM 990, A REVISED DRAFT IS PROVIDED TO THE FILING ORGANIZATION'S LEADERSHIP TEAM, INCLUDING THE CFO AND CEO, FOR REVIEW. ONCE REVIEWED AND APPROVED BY THE FILING ORGANIZATION'S LEADERSHIP TEAM, THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW; IT IS THEN SIGNED AND FILED WITH THE IRS. FORM 990, PART VI, QUESTION 12C DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER DISQUALIFIED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY AND DID SO IN THE NORMAL COURSE FOR THE YEAR ENDED JUNE 30, 2013. 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 EXECUTIVE 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 2013 (THE TAX YEAR CURRENTLY BEING REPORTED). HOWEVER, NO SEPARATE AUDIT OPINION WAS ISSUED ON THE FINANCIAL STATEMENTS OF THE FILING ORGANIZATION. THE ULTIMATE RESPONSIBILITY FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE EXTERNAL AUDITOR LIES WITH THE STEWARDSHIP COMMITTEE (FORMERLY FINANCE, AUDIT, AND COMPLIANCE COMMITTEE) OF THE MERCY HEALTH BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE. Casa de Misericordia 1602 McClelland Street Laredo TX 78044 742912461 SHELTER TX 501(C)(3) 7 MM LAREDO true Laredo Medical Group 14528 S Outer Forty Ste 100 Chesterfield MO 63017 742764726 INACTIVE TX 501(C)(3) 9 MHS TEXAS true McAuley Portfolio Management Company 14528 S Outer Forty Ste 100 Chesterfield MO 63017 261708048 PORT MGMT MO 501(C)(3) 11b MERCY HEALTH true Mercy Clinic East Communities 14528 S Outer Forty Ste 100 Chesterfield MO 63017 431771217 PHYS GROUP MO 501(C)(3) 9 MH EAST COMM true Mercy Clinic Hot Springs Communities 1 Mercy Lane Hot Springs AR 71913 261125131 PHYS CLINIC AR 501(C)(3) 9 MH HS COMM true Mercy Clinic Oklahoma Communities Inc 4300 W Memorial Road Oklahoma City OK 73120 270473057 PHYS GROUP OK 501(C)(3) 9 MH OK COMM true Mercy Clinic Springfield Communities 1965 Fremont Street Ste 2950 Springfield MO 65804 431560263 PHYS GROUP MO 501(C)(3) 9 MH SF COMM true Mercy Family Center 14528 S Outer Forty Ste 100 Chesterfield MO 63017 721069468 COUNSELING MO 501(C)(3) 7 MERCY HEALTH true Mercy Foundation for Health Innovation 14528 S Outer Forty Ste 100 Chesterfield MO 63017 200901499 FOUNDATION MO 501(C)(3) 11b MERCY HEALTH true Mercy Health 14528 S Outer Forty Ste 100 Chesterfield MO 63017 431423050 CORP OFFICE MO 501(C)(3) 1 NA false Mercy Health East Communities 14528 S Outer Forty Ste 100 Chesterfield MO 63017 431718408 HLTH SYSTEM MO 501(C)(3) 11b MERCY HEALTH true Mercy Health East Communities South Reg 14528 S Outer Forty Ste 100 Chesterfield MO 63017 461412322 HLTH SYSTEM MO 501(C)(3) 11b MH EAST COMM true Mercy Health Fort Smith Communities 7301 Rogers Avenue Fort Smith AR 72917 261318515 HOLDING CO AR 501(C)(3) 11b MERCY HEALTH false Mercy Health Foundation Ardmore 1011 14th Avenue NW Ardmore OK 73401 710962525 FOUNDATION OK 501(C)(3) 11a MH ARDMORE true Mercy Health Foundation Berryville 214 Carter Street Berryville AR 72616 710759301 FOUNDATION AR 501(C)(3) 11a MH BRYVILLE true Mercy Health Foundation Fort Scott 401 Woodland Hills Blvd Fort Scott KS 66701 481077073 FOUNDATION KS 501(C)(3) 11c M KS COMM true St Edward Mercy Foundation 7301 Rogers Avenue Fort Smith AR 72917 237330425 FOUNDATION AR 501(C)(3) 7 MH FT SMITH true Mercy Health Foundation Hot Springs 300 Werner Street Hot Springs AR 71913 710804718 FOUNDATION AR 501(C)(3) 11b MH H SPRINGS true Mercy Health Foundation Independence 800 W Myrtle Independence KS 67301 481079981 FOUNDATION KS 501(C)(3) 11a M KS COMM true Mercy Health Foundation Jefferson 1400 US Highway 61 South Festus MO 63028 462797051 FOUNDATION MO 501(C)(3) 11b MH E COMM SR true Mercy Health Foundation Joplin 2817 St Johns Blvd Joplin MO 64804 270906136 FOUNDATION MO 501(C)(3) 11a MH SWMK COMM true Mercy Health Foundation NW Arkansas 2710 Rife Medical Lane Rogers AR 72758 710601687 FOUNDATION AR 501(C)(3) 11c MH ROGERS true Mercy Health Foundation Oklahoma City 4300 W Memorial Road Oklahoma City OK 73120 731593024 FOUNDATION OK 501(C)(3) 11a MH OK CITY true Mercy Health Foundation of Oklahoma 4300 W Memorial Road Oklahoma City OK 73120 454732301 FOUNDATION OK 501(C)(3) 11a MH OK COMM true Mercy Health Foundation Springfield 1235 E Cherokee Street Springfield MO 65804 320195818 FOUNDATION MO 501(C)(3) 11b MH SF COMM true Mercy Health Foundation St Louis 14528 S Outer Forty Ste 100 Chesterfield MO 63017 562410020 FOUNDATION MO 501(C)(3) 11b MH EAST COMM true Mercy Health Foundation Washington 901 E Fifth Street Washington MO 63090 562410022 FOUNDATION MO 501(C)(3) 11b MH EAST COMM true Mercy Health Hot Springs Communities 300 Werner Street Hot Springs AR 71913 261125064 HOLDING CO AR 501(C)(3) 11b MERCY HEALTH true Mercy Health NW Arkansas Communities 2710 Rife Medical Lane Rogers AR 72758 621684203 PHYS GROUP AR 501(C)(3) 11b MERCY HEALTH true Mercy Health Oklahoma Communities Inc 4300 W Memorial Road Oklahoma City OK 73120 731453048 HOLDING CO OK 501(C)(3) 11b MERCY HEALTH true Mercy Health Southwest MOKS Communities 2817 St Johns Blvd Joplin MO 64804 300584463 HLTH SYSTEM MO 501(C)(3) 11b MERCY HEALTH true Mercy Health Springfield Communities 1235 E Cherokee Street Springfield MO 65804 431856028 HLTH SYSTEM MO 501(C)(3) 11b MERCY HEALTH true Mercy Health System of Texas Inc 14528 S Outer Forty Ste 100 Chesterfield MO 63017 742764727 INACTIVE TX 501(C)(3) 11b MERCY HEALTH true Mercy Home Health Berryville 804 W Freeman Suite 4 Berryville AR 72616 870781247 HOME HEALTH AR 501(C)(3) 11c MH SF true Mercy Hospital Ada Inc 430 N Monte Vista Street Ada OK 74820 462288155 HOSPITAL OK 501(C)(3) 3 MH OK COMM true Mercy Hospital Ardmore Inc 1011 14th Avenue NW Ardmore OK 73401 731500629 HOSPITAL OK 501(C)(3) 3 MH OK COMM true Mercy Hospital Aurora 500 Porter Avenue Aurora MO 65605 431936696 HOSPITAL MO 501(C)(3) 3 MH SF COMM true Mercy Hospital Berryville 214 Carter Street Berryville AR 72616 710759299 HOSPITAL AR 501(C)(3) 3 MH SF COMM true Mercy Hospital Carthage 3125 Dr Russell Smith Way Carthage MO 64836 453808607 HOSPITAL MO 501(C)(3) 3 MH SWMK COMM true Mercy Hospital Cassville 94 Main Street Cassville MO 65625 431936699 HOSPITAL MO 501(C)(3) 3 MH SF COMM true Mercy Hospital Columbus 220 Pennsylvania Avenue Columbus KS 66725 270842031 HOSPITAL MO 501(C)(3) 3 MH SWMK COMM true Mercy Hospital El Reno Inc 2115 Parkview Drive El Reno OK 73036 272716065 HOSPITAL OK 501(C)(3) 3 MH OK COMM true Mercy Hospital Fort Smith 7301 Rogers Avenue Fort Smith AR 72917 710240352 HOSPITAL AR 501(C)(3) 3 MH FS COMM true Mercy Hospital Healdton Inc 918 South 8th Street Healdton OK 73438 263173902 HOSPITAL OK 501(C)(3) 3 MH ARDMORE true Mercy Hospital Hot Springs 300 Werner Street Hot Springs AR 71913 710236913 HOSPITAL AR 501(C)(3) 3 MH HS COMM true Mercy Hospital Jefferson 1400 Highway 61 South Festus MO 63028 430687077 HOSPITAL MO 501(C)(3) 3 MH E COMM SR true Mercy Hospital Joplin 2817 St Johns Blvd Joplin MO 64804 270814858 HOSPITAL MO 501(C)(3) 3 MH SWMK COMM true Mercy Hospital Lebanon 100 Hospital Drive Lebanon MO 65536 431767432 HOSPITAL MO 501(C)(3) 3 MH SF COMM true Mercy Hospital Logan County Inc 200 South Academy Guthrie OK 73044 452998842 HOSPITAL OK 501(C)(3) 3 MH OK COMM true Mercy Hospital of Laredo 14528 S Outer Forty Ste 100 Chesterfield MO 63017 741189682 INACTIVE TX 501(C)(3) 3 MHS TEXAS true Mercy Hospital Oklahoma City Inc 4300 W Memorial Road Oklahoma City OK 73120 730579285 HOSPITAL OK 501(C)(3) 3 MH OK COMM true Mercy Hospital Ozark 801 W River Street Ozark AR 72949 710689680 HOSPITAL AR 501(C)(3) 3 MH FT SMITH true Mercy Hospital Paris 500 E Academy Paris AR 72855 710655753 HOSPITAL AR 501(C)(3) 3 MH FT SMITH true Mercy Hospital Rogers 2710 Rife Medical Lane Rogers AR 72758 710294390 HOSPITAL AR 501(C)(3) 3 MH NWAR COMM true Mercy Hospital Springfield 1235 E Cherokee Street Springfield MO 65804 440552485 HOSPITAL MO 501(C)(3) 3 MH SF COMM true Mercy Hospital Tishomingo Inc 1000 South Byrd Tishomingo OK 73460 274433830 HOSPITAL OK 501(C)(3) 3 MH ARDMORE true Mercy Hospital Waldron 1341 W 6th Street Waldron AR 72958 710557895 HOSPITAL AR 501(C)(3) 3 MH FT SMITH true Mercy Hospital Watonga Inc 500 Clarence Nash Blvd Watonga OK 73772 455199762 HOSPITAL OK 501(C)(3) 3 MH OK COMM true Mercy Hospitals East Communities 14528 S Outer Forty Ste 100 Chesterfield MO 63017 430653493 HOSPITAL MO 501(C)(3) 3 MH EAST COMM true Mercy Kansas Communities Inc 401 Woodland Hills Blvd Ft Scott KS 66701 480956045 HOSPITAL KS 501(C)(3) 3 MH SWMK COMM true Mercy Medical Research Institute 1235 E Cherokee Street Springfield MO 65804 870796305 RESEARCH MO 501(C)(3) 4 MH SF COMM true Mercy Ministries of Laredo 2500 Zacatecas Laredo TX 78046 200198462 OUTREACH TX 501(C)(3) 7 MERCY HEALTH true Mercy St Francis Hospital 100 W Highway 60 Mountain View MO 65548 440607149 HOSPITAL MO 501(C)(3) 3 MH SF COMM true Mercy Support Services 14528 S Outer Forty Ste 100 Chesterfield MO 63017 431677952 INACTIVE MO 501(C)(3) 11c MH EAST COMM true MHM Support Services 14528 S Outer Forty Ste 100 Chesterfield MO 63017 202553101 HLTH SYSTEM MO 501(C)(3) 11b MERCY HEALTH true Mission Clinical Services 300 Werner Street Hot Springs AR 71913 134239691 NURSING HOME AR 501(C)(3) 9 MH HS COMM true St John's Children's Hospital Inc 1235 E Cherokee Street Springfield MO 65804 INACTIVE MO 501(C)(3) 3 MH SF COMM true St Mary's Hospital of Enid Oklahoma 14528 S Outer Forty Ste 100 Chesterfield MO 63017 730614655 INACTIVE OK 501(C)(3) 3 MH OK COMM true The Sister M Cornelia Blasko Foundation 100 W Highway 60 Mountain View MO 65548 431873914 FOUNDATION MO 501(C)(3) 11a M ST FRANCIS true Unity Ambulatory Care 14528 S Outer Forty Ste 100 Chesterfield MO 63017 431861745 INACTIVE MO 501(C)(3) 11c MH EAST COMM true 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 Frontenac Properties Inc 14528 S Outer Forty Suite 100 Chesterfield MO 63017 521914421 HOLDING COMP DE NA C-Corp true Inveno Health Inc 1235 E Cherokee Street Springfield MO 65804 264509571 RESEARCH MO NA C-Corp true Mercy Community Services Inc 401 Woodland Hills Blvd Fort Scott KS 66701 481078101 RETAIL PHARMACY KS NA C-Corp true Mercy Health Center Condominium Inc 4300 W Memorial Rd Oklahoma City OK 73120 680640970 REAL ESTATE OK NA C-Corp true Mercy Health Network of the Southern Reg 1011 14th Avenue NW Ardmore OK 73401 731580607 HEALTH CARE OK NA C-Corp true Mercy Health Network Inc 4300 W Memorial Road Oklahoma City OK 73120 731381689 HEALTH CARE OK NA C-Corp true Mercy Managed Care Corporation 4300 W Memorial Road Oklahoma City OK 73120 731441665 HOLDING COMP OK NA C-Corp true UH L Corp Inc 645 Maryville Centre Drive Suite 1 St Louis MO 63141 742499535 HOLDING COMP MO NA C-Corp true Unity Support Services Inc 645 Maryville Centre Drive Suite 1 St Louis MO 63141 431797042 PRACTICE MGT MO NA C-Corp true Jefferson Land Company Inc 14528 South Outer Forty Suite 100 Chesterfield MO 63017 431330360 HOLDING COMP MO NA C-Corp true The Apothecary Services Inc PO Box 350 Crystal City MO 63019 431627267 RETAIL PHARMACY MO NA C-Corp true false false false false false false false false false false false false false false false true true false false Mercy Clinic Springfield Communities p 140625 FMV Mercy Hospital Fort Smith q 16759440 FMV Mercy Hospital Ozark p 153856 FMV Mercy Hospital Paris p 124852 FMV Mercy Hospital Waldron p 1493249 FMV MHM Support Services p 6089390 FMV Resource Optimization & Innovation LLC p 93158 FMV FORM 990, SCHEDULE R, PART V LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY HEALTH 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.