2013-05-14T15:28:51-04:00 2012-06-30 ERNST & YOUNG US LLP 190 CARONDELET PLAZA SUITE 1300 CLAYTON MO 63105 990 2011-07-01 710236913 MERCY HOSPITAL HOT SPRINGS % Sara Bradley VP of Finance MERC 3145796100 300 Werner PO Box 29001 Hot Springs AR 71913 Sara B Bradley 2013-05-13 3142901000 2011 2016-02-24 21:20:13Z Timothy Johnsen 300 Werner Hot Springs AR 71913 192386699 false 0928 X www.mercy.net X 1976 AR AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. 4 3 1893 0 2145185 0 1758500 1458826 189884079 189523910 427566 34501 932029 1369462 193002174 192386699 78202 164431 0 0 84019025 82457941 0 0 -35486 104557065 106891216 188654292 189513588 4347882 2873111 126148486 129009106 10917422 11006501 115231064 118002605 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 129842903 164431 189523910 Mercy Hospital Hot Springs, as part of Mercy Health, has a long history and tradition of working to improve community health, both in the narrow sense of treating illness and the broader sense of other community services. Since 1888 we have responded to the health care needs of individuals in Hot Springs and the surrounding communities, as well as working with others to achieve community health. Mercy is committed to enhancing access to healthcare services so that all in need are served in a timely and just manner. Our efforts include working collaboratively with other healthcare providers and community organizations to identify and implement solutions, developing internal policies and practices to promote just treatment, addressing the need of greater community outreach in order to provide services at the appropriate level of care and supporting policy initiatives that make health care more accessible. 129842903 true true false true false false false false false true true false false true false false false true false false false false false false false false true true true false true false false false false false false false false false false false false true true true true false false true X 5 0 true 1893 true true true false false false false false false false false false X 4 3 false false false false true true true true true false false false true true true true true true true false AR X Sara Bradley VP of Finance 5016221921 PO Box 29001 Hot Springs AR 71903 X Robert W Aspell MD 60.0 X 0 229594 31420 Bruce Burton MD 1.0 X 0 0 0 Forrest L Spicher II 1.0 X 0 0 0 Gregory M Asbell 1.0 X 0 0 0 Monda Barlow 1.0 X 0 0 0 Sr Ann Hardcastle RSM 1.0 X 0 0 0 Timothy Johnsen 60.0 X X 0 455225 288835 Michael Ferguson 1.0 X 0 0 0 Sara Bradley 60.0 X 152527 0 7183 Jonathan R Vitiello 60.0 X 0 439767 61898 Brenda Chase 60.0 X 0 251024 50413 Michele Diedrich 60.0 X 161024 0 35494 Patrick McCruden 60.0 X 170204 0 41465 Douglas Ross 60.0 X 524124 0 24910 Jed Liuzza 60.0 X 171494 0 15049 Bradley Kim Day 60.0 X 0 833159 436266 Michael Merrigan 60.0 X 0 320923 65228 Jaime Cardenas 60.0 X 19141 507509 29497 William Hennessey III 60.0 X 0 280544 47347 Robert Kleinhenz MD 40.0 X 299660 238522 20440 Jonathan Townley 40.0 X 308843 0 23422 Wade C Wernecke 40.0 X 396516 0 23183 Tim Bumpas 40.0 X 329620 32408 Eric Vogel 40.0 X 296559 0 31594 Jerri L Mitchell 0.0 X 0 106757 0 Mark Larey DO 60.0 X 163909 197964 33998 Kathy Taylor 40.0 X 144518 0 10378 James Tutton 40.0 X 290418 0 30303 3428557 3860988 1340731 48 true true false QUEST DIAGNOSTICS PO BOX 740709 ATLANTA GA 30374 LAB SERVICES 755356 MIDSTATE MEDICAL SERV 3810 CENTRAL AVE SUITE H HOT SPRINGS AR 71913 anesthesia COVERAGE 668000 FAYETTEVILLE LITHOTRIPTERS ARI PO Box 847324 DALLAS TX 75284 LITHOTRIPSY SERVICES 645319 ROCHE DIAGNOSTICS CORP Mail Code 5021 PO Box 660367 DALLAS TX 75266 LAB SERVICES 584368 ARKANSAS NEPHROLOGY SERVICES 1900 Malvern Ave Suite 304 HOT SPRINGS AR 71901 Dialysis services 511200 23 794557 664269 1458826 NET PATIENT SERVICE REVENUE 622110 185706844 185706844 NON-PATIENT LABORATORY 621500 2141726 2141726 RENTAL INCOME FROM RELATED ORGS 531120 328263 328263 FOOD CATERER 722320 3459 3459 OTHER OPERATING REVENUE 900099 1343618 1343618 189523910 -26735 -26735 0 0 394587 394587 394587 394587 51121 10115 51121 10115 61236 61236 0 0 0 CAFTERIA & VENDING 900099 974875 974875 974875 192386699 187378725 2145185 1403963 164431 164431 0 0 0 1366581 1224872 141709 0 63604551 56676354 6928197 2951415 2951415 9976541 36113 9940428 4558853 42 4558811 0 9523 9523 36929 36929 0 0 0 5899076 4817438 1073972 7666 90248 4308 85596 344 3617906 3411401 205997 508 55514 20450 35064 0 2744028 1168645 1575383 336386 285087 51299 0 6757 597 6160 0 0 9545617 4974264 4571353 1474775 1474775 SHARED SERVICE FEES 32627569 7188663 25485570 -46664 BAD DEBT EXPENSE 13026755 13026755 REPAIRS & MAINTENANCE 693761 287953 405808 MEDICAL SUPPLIES 36322630 36322630 403742 232900 168182 2660 189513588 129842903 59706171 -35486 7993873 15556060 0 0 0 0 20889753 25077662 0 0 0 0 25085836 454336 3980703 4182703 219669 235246 236876104 176884249 62757599 59991855 0 0 0 0 0 0 4847549 4828394 373504 18682850 126148486 129009106 10917422 10366447 0 0 0 640054 0 0 0 0 0 0 0 0 0 0 0 0 10917422 11006501 X 115206064 117977605 25000 25000 0 0 115231064 118002605 126148486 129009106 X 2873111 -101570 X X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 16495 16495 false FORM 990, SCHEDULE C, PART II-B, LINE 1(I) SUPPLEMENTAL LOBBYING INFORMATION THE FILING ORGANIZATION IS A MEMBER OF AND PAYS DUES TO THE FOLLOWING HOSPITAL ASSOCIATIONS: ARKANSAS HOSPITAL ASSOCIATION, CATHOLIC HEALTH ASSOCIATION, AND AMERICAN HOSPITAL ASSOCIATION. FOR THE YEAR ENDED JUNE 30, 2012, DUES WERE $59,736, $36,840 AND $18,060, RESPECTIVELY. APPROXIMATELY 17% OF ARKANSAS HOSPITAL ASSOCIATON DUES, 5.15% OF CATHOLIC HEALTH ASSOCIATION DUES AND 24.6% OF AMERICAN HOSPITAL ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED BY THESE ASSOCIATIONS. 25000 25000 25000 25000 25000 25000 25000 25000 1.00000 false false false 0 3026557 3026557 0 76467679 45440453 31027226 1680893 631935 1048958 148316043 125438638 22877405 7384932 5373223 2011709 59991855 INTERCOMPANY RECEIVABLES 18674889 OTHER RECEIVABLES 7961 18682850 FORM 990, SCHEDULE D, PART V, LINE 4 INTENDED USE OF THE ORGANIZATIONS ENDOWMENT FUNDS TEMPORARILY RESTRICTED NET ASSETS ARE RESTRICTED TO FUND NURSING SCHOOL SCHOLARSHIPS. FORM 990, SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF MERCY HEALTH AND SUBSIDIARIES 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 true X true X true X true true true false true true 12357884 0 12357884 0.07000 21856998 9644796 12212202 0.06910 34214882 9644796 24570086 0.13910 536424 536424 0.00300 320142 320142 0.00180 182229 182229 0.00100 286864 286864 0.00160 1325659 1325659 0.00740 35540541 9644796 25895745 0.14650 50000 50000 0.00030 75848 75848 0.00040 125848 125848 0.00070 true 3556304 85165234 77768566 7396668 X true true 1 1 MERCY HOSPITAL HOT SPRINGS

300 WERNER HOT SPRINGS AR 71913

X X X MERCY HOSPITAL HOT SPRINGS 1 true true 100 true 400. true X X X true true X X X X true false true X false false 22 Mercy Glenwood

234 Broadway Glenwood AR 71943

Primary Care Small Mercy Medical Office Building

One Mercy Lane Hot Springs AR 71913

Physician Clinic/Practice Mercy Women's Center

118 Womens Center Lane Hot Springs AR 71913

Primary Care Medium Mercy Cancer Center

1455 Higdon Ferry Road Hot Springs AR 71913

Physician Clinic/Practice Mercy McGowan Court

100 McGowan Court Hot Springs AR 71913

Physician Clinic/Practice Mercy 70 West

1707 Airport Road Hot Springs AR 71913

Primary Care Medium Mercy Hollywood Avenue

104 Hollywood Avenue Hot Springs AR 71901

Primary Care Small Mercy 270 West

2825 Albert Pike Hot Springs AR 71913

Primary Care Medium Mercy McAuley Court

225 McAuley Court Hot Springs AR 71913

Primary Care Medium Mercy Central Avenue

3604 Central Avenue Hot Springs AR 71913

Rehab & Urgent Care Mercy Wound Care

221 McAuley Court Hot Springs AR 71913

Physician Clinic/Practice Mercy Outpatient Surgery Center

1636 Higdon Ferry Road Hot Springs AR 71913

Hospital Mercy South Campus

1662 Higdon Ferry Road Hot Springs AR 71913

Physician Clinic/Practice Mercy McAuley Court

220 McAuley Court Hot Springs AR 71913

Physician Clinic/Practice Mercy Hot Springs Village

4419 N Highway 7 Hot Springs AR 71909

Physician Clinic/Practice Mercy Heart and Vascular Center

200 Heart Center Lane Hot Springs AR 71913

Physician Clinic/Practice Mercy Home Health

174 Cornerstone Ct Hot Springs AR 71913

Home Care McAuley Senior Community Center

5010 Highway 7 North Hot Springs Village AR 71909

Urgent Care Mercy DeSoto Boulevard

903 DeSoto Boulevard Hot Springs Village AR 71909

Primary Care Small Mercy Malvern

1424 Tanner Street Malvern AR 72104

Primary Care Small Mercy Mount Ida

320 Luzerne Mount Ida AR 71913

Primary Care Small Mercy Murfreesboro

319 E13th Street Murfreesboro AR 71958

Primary Care Small FORM 990, SCHEDULE H, PART I, LINE 6A THE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS PREPARED BY ITS PARENT ENTITY, MERCY HEALTH HOT SPRINGS COMMUNITIES. FORM 990, SCHEDULE H, PART I, LINE 7, COLUMN F TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) ARE $189,513,588. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $13,026,755. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $176,486,833. FORM 990, SCHEDULE H, PART II EXPLANATION MERCY HOSPITAL HOT SPRINGS' COMMUNITY BUILDING AND COALITION BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITIES THEY SERVE THROUGH THEIR PARTICIPATION IN COMMUNITY-BASED EVENTS, MEETINGS AND BY SERVING ON COMMUNITY BOARDS. COALITION BUILDING WITH THE MEETINGS WITH PUBLIC SCHOOL DISTRICTS TO DISCUSS AND DEVELOP THE HEALTHTEACHER HEALTH AND WELLNESS INITIATIVE OFFERED AT NO CHARGE TO THESE SCHOOLS. 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 THAT ARE UNCOLLECTED, 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 ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE 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 AS OF THE REPORTING DATE 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 BALANCES WITH COLLECTION AGENCIES." FORM 990, SCHEDULE H, PART III, LINE 8 IT IS THE POSITION OF MERCY HOSPITAL HOT SPRINGS THAT 100% OF ANY SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT. THIS AMOUNT REPRESENTS THE COST OF PROVIDING SERVICES THAT REMAIN UNCOMPENSATED TO THE PROVIDER. THE UNREIMBURSED COSTS OF MEDICARE ARE CALCULATED BY TAKING THE GROSS CHARGES NET OF THE COST TO CHARGE RATIO LESS ANY PAYMENTS, DEDUCTIONS OR REIMBURSEMENTS USING THE ANNUAL MEDICARE COST REPORT (CMS FORM 2552-96). FORM 990, SCHEDULE H, PART III, LINE 9B MERCY HOSPITAL HOT SPRINGS' ("MERCY'S") DEBT COLLECTION POLICY PROVIDES THAT MERCY WILL PERFORM A REASONABLE REVIEW OF EACH INPATIENT ACCOUNT BEFORE TURNING AN ACCOUNT OVER 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 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 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 V, LINE 19D EACH HOSPITAL FACILITY USED THE AVERAGE DISCOUNT OF THE HIGHEST (BEST PAYING) THREE COMMERCIAL MANAGED CARE PAYERS AS THE BASIS FOR ESTABLISHING UNINSURED DISCOUNT RATES FOR FAP ELIGIBLE INDIVIDUALS. UNDER NO CIRCUMSTANCES, WILL THIS UNINSURED DISCOUNT BE LESS THAN 15%. FORM 990, SCHEDULE H, PART VI, LINE 2 NEEDS ASSESMENT MERCY HOSPITAL HOT SPRINGS' OBJECTIVES OF COMMUNITY NEEDS ASSESSMENT ARE TO IDENTIFY HEALTH NEEDS IN HOT SPRINGS, ARKANSAS AND THE SURROUNDING COMMUNITIES, AND TO INVOLVE THE COMMUNITY IN THE HEALTH PLANNING EFFORTS. THE INFORMATION GATHERED IS USED TO PLAN STRATEGICALLY, AND BETTER MEET THE HEALTH AND HUMAN SERVICE NEEDS OF THESE COMMUNITIES. MERCY HOSPITAL HOT SPRINGS LOOKS AT COMMUNITY NEEDS ASSESSMENT AS AN OPPORTUNITY TO BUILD RELATIONSHIPS, EDUCATE THE COMMUNITY AND IDENTIFY RESOURCES THAT ARE AVAILABLE TO MEET IDENTIFIED NEEDS. BASIC DISCUSSION FORUMS HAVE BEEN UTILIZED TO FOSTER CONVERSATION WITH KEY STAKEHOLDERS. EXAMPLES OF FORUMS INCLUDE AN ADVISORY BOARD, FOCUS GROUPS, OPINION SURVEYS, AND COMMUNITY ROUND TABLE DISCUSSIONS. STAKEHOLDER PARTICIPANTS INCLUDE BOARD MEMBERS, COMMUNITY/CIVIC LEADERS, LOCAL EMPLOYERS, OTHER HEALTH CARE PROVIDERS, FORMER PATIENTS, AND CO-WORKERS. FORM 990, SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE MERCY HOSPITAL HOT SPRINGS HAS PRINTED MATERIAL AVAILABLE AT EACH POINT OF REGISTRATION IN OUR FACILITY, IN ADDITION TO ELECTRONIC AVAILABILITY AT OUR WEB SITE. SPECIFIC INFORMATION PROVIDED: FINANCIAL ASSISTANCE INFORMATION AS A PART OF OUR HEALING MINISTRY, MERCY HOSPITAL HOT SPRINGS 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) MUST FIRST FIND OUT IF THEY ARE ELIGIBLE FOR MEDICAID BEFORE APPLYING FOR FINANCIAL ASSISTANCE. PATIENTS DENIED MEDICAID ELIGIBILITY THEN MUST PROVIDE CERTAIN INFORMATION TO SHOW FINANCIAL NEED. 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. 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 RATE true St John's Catholic School 583 W Grand Ave Hot Springs AR 71901 710539026 501(C)(3) 30000 Scholarships Mid-America Science Museum 500 Mid American Blvd Hot Springs AR 71913 202129318 501(C)(3) 25000 Donations American Heart Association 7272 Greenville Avenue Dallas TX 75231 135613797 501(c)(3) 12500 Sponsorship Heart Ball Garland County Habitat for Humanity P O Box 171 Hot Springs AR 71902 710776139 501(C)(3) 50000 Habitat House Arkansas Hospital Education & Research 419 Natural Resources Little Rock AR 72205 710392458 501(C)(3) 17292 Community Assistance Program Contribution 5 0 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 true true false false false false false true false Robert W Aspell MD 0 154064 0 20000 0 55530 0 16974 0 14446 0 261014 0 Timothy Johnsen 0 339619 0 94748 0 20858 0 272538 0 16297 0 744060 0 0 Jerri L Mitchell 0 0 0 0 0 106757 0 0 0 0 0 106757 0 0 Sara Bradley 137362 0 14026 0 1139 0 1433 0 5750 0 159710 0 0 0 Jonathan R Vitiello 0 278936 0 69300 0 91531 0 46475 0 15423 0 501665 0 0 Brenda Chase 0 182651 0 40591 0 27782 0 43720 0 6693 0 301437 0 0 Michele Diedrich 132265 0 15097 0 13662 0 20734 0 14760 0 196518 0 0 0 Patrick McCruden 125528 0 16145 0 28531 0 26879 0 14586 0 211669 0 0 0 Douglas Ross 437262 0 32774 0 54088 0 9344 0 15566 0 549034 0 0 0 Robert Kleinhenz MD 162849 221874 24687 0 112124 16648 4652 3703 6901 5184 311213 247409 0 0 Jonathan Townley 246997 0 17230 0 44616 0 8070 0 15352 0 332265 0 0 0 Wade C Wernecke 323524 0 21981 0 51011 0 7125 0 16058 0 419699 0 0 0 Jed Liuzza 140137 0 15651 0 15706 0 5510 0 9539 0 186543 0 0 0 Bradley Kim Day 0 598570 0 203887 0 30702 0 422839 0 13427 0 1269425 0 0 Michael Merrigan 0 214349 0 66366 0 40208 0 49457 0 15771 0 386151 0 0 Jaime Cardenas 18541 456662 0 20000 600 30847 337 8947 852 19361 20330 535817 0 0 Tim Bumpas 230705 13354 85561 19905 12503 362028 0 Eric Vogel 228590 0 16958 0 51011 0 15536 0 16058 0 328153 0 0 0 Mark Larey DO 128694 170147 9348 0 25867 27817 0 17231 7320 9447 171229 224642 0 Kathy Taylor 117668 0 13394 0 13456 0 4278 0 6100 0 154896 0 0 0 James Tutton 220158 0 16499 0 53761 0 17800 0 12503 0 320721 0 0 0 William Hennessey III 0 132990 0 95312 0 52242 0 32357 0 14990 0 327891 0 0 Form 990, Schedule J, Part I, Question 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 Hospital Hot Springs relies on a related organization; refer to Schedule O, Part VI, Question 15a and 15b for the process the related organization follows. Form 990, Schedule J, Part I, Question 4a The following individual received a severance payment during calendar 2011: Jerri (Lynne) Mitchell, $106,757. Form 990, Schedule J, Part I, Question 4b Mercy Health 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: Timothy Johnsen, Jonathan Vitiello, Bradley Day, Michael Merrigan, Brenda Chase, Michele Diedrich, Patrick McCruden, and William Hennessey. 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 2012 (July 1, 2011 - June 30, 2012), 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. FORM 990, PART V, QUESTION 1A 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 Systen (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN. FORM 990, PART VI, QUESTION 6, 7A, & 7B DESCR OF CLSES OF MMBRS OR STCKHDS, DEC REQ APPR & TYPE OF VOTING RGTS THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH HOT SPRINGS COMMUNITIES. THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED SOLELY TO THE CORPORATE MEMBER: - TO APPROVE THE MISSION AND ESTABLISH THE PHILOSOPHY ACCORDING TO WHICH THE CORPORATION, AND ALL ORGANIZATIONS CONTROLLED BY THE CORPORATION, SHALL OPERATE; - TO ADOPT OR AMEND THE ARTICLES OF INCORPORATION AND BYLAWS, AND TO AMEND THE ORGANIZATIONAL AND GOVERNANCE DOCUMENTS OF EACH ORGANIZATION CONTROLLED BY THE CORPORATION; - TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, MEMBERS OF THE BOARD; - THROUGH THE SOLE ACTION OF THE PRESIDENT OF THE CORPORATE MEMBER, TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHIEF EXECUTIVE OFFICER OF THE SSU WHO SHALL SERVE AS THE PRESIDENT OF THE CORPORATION; - TO APPROVE OR AMEND THE STRATEGIC, LONG RANGE, AND HEALTH MANPOWER DEVELOPMENT PLANS, GOALS, AND OBJECTIVES OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - TO APPROVE OR AMEND THE OPERATING, CAPITAL, AND CONSTRUCTION BUDGETS FOR THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION, AND CHANGES IN THE BUDGETS IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE CORPORATE MEMBER; - TO ASSIGN, TRANSFER, LEASE OR SELL ANY OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE CORPORATE MEMBER; - TO ENCUMBER ANY OR ALL OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - TO AUTHORIZE AND APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTE ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; - TO MERGE, DISSOLVE, OR ABANDON THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; AND - TO APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION CONTROLLED BY THE CORPORATION. FORM 990, PART VI, QUESTION 11B DESCRIBE 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 MERCY HEALTH'S TAX DEPARTMENT, TO ENSURE ACCURACY AND CONSISTENCY WITH OTHER RELATED ORGANIZATIONS' FORM 990. AFTER QUESTIONS ARISING FROM THE REVIEW ARE ADDRESSED AND INCORPORATED INTO THE FORM 990, A REVISED DRAFT IS PROVIDED TO THE FILING ORGANIZATION'S LEADERSHIP TEAM. 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, 2012. 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 FINANCE, AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, QUESTION 15A & 15B OFFICES & 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 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 GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS 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 SEVERAL INDIVIDUALS LISTED IN PART VII ARE DISCLOSED AS TRUSTEES, DIRECTORS, OFFICERS, AND KEY EMPLOYEES ON MULTIPLE FORMS 990 OF ENTITIES INCLUDED WITHIN MERCY HEALTH. THE AVERAGE HOURS PER WEEK DISCLOSED IN PART VII IS AN ESTIMATE OF THE HOURS PER WEEK THAT THE LISTED INDIVIDUAL SPENDS ON BOTH THE FILING ORGANIZATION AND ALL RELATED ORGANIZATIONS. FORM 990, PART XI, LINE 5 RECONCILIATION OF NET ASSETS Prior Period Adjustment = ($101,570) TOTAL OTHER CHANGES IN NET ASSETS = ($101,570) FORM 990, PART XII, QUESTION 2C 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 2012 (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 FINANCE, AUDIT, AND COMPLIANCE COMMITTEE OF MERCY HEALTH BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE. St Joseph's PET Center LLC 300 Werner Street Hot Springs AR 72901 470886845 PET/MRI CTR AR 0 0 MHHS Advance Care Hospital 300 Werner Street Hot Springs AR 71913 710816634 Hospital AR 501(C)(3) 3 Mercy Health true 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-TX 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 Communites 14528 S Outer Forty Ste 100 Chesterfield MO 63017 431771217 Phys Group MO 501(C)(3) 9 MHEC true Mercy Clinic Fort Smith Communitites 7301 Rogers Avenue Fort Smith AR 72917 261318597 Phys Clinic AR 501(C)(3) 9 MHFSC true Mercy Clinic Hot Springs Communitites 1 Mercy Lane Hot Springs AR 71913 261125131 Phys Clinic AR 501(C)(3) 9 MHHSC true Mercy Clinic Oklahoma Communities 4300 W Memorial Road Oklahoma City OK 73120 270473057 Phys Group OK 501(C)(3) 9 MHOC true Mercy Clinic Springfield Communities 1965 Fremont Street Ste 2950 Springfield MO 65804 431560263 Phys Group MO 501(C)(3) 9 MHSC 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 Sup Hlth Sys 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 Fort Smith Communities 7301 Rogers Avenue Fort Smith AR 72917 261318515 Holding Co AR 501(C)(3) 11b Mercy Health true 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 Berryvill true Mercy Health Foundation Fort Scott 401 Woodland Hills Blvd Fort Scott KS 66701 481077073 Foundation KS 501(C)(3) 11c Mercy KS Com true Mercy Health Foundation Hot Springs 300 Werner Street Hot Springs AR 71913 710804718 Foundation AR 501(C)(3) 11b MHHS true Mercy Health Foundation Independence 800 W Myrtle Independence KS 67301 481079981 Foundation KS 501(C)(3) 11a Mercy KS Com true Mercy Health Foundation Joplin 2817 St Johns Blvd Joplin MO 64804 270906136 Foundation MO 501(C)(3) 11a MHSMKC 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 OF Oklahoma 4300 W Memorial Road Oklahoma City OK 73120 454732301 Foundation OK 501(C)(3) 11a MHOC true Mercy Health Foundation OK City 4300 W Memorial Road Oklahoma City OK 73120 731593024 Foundation OK 501(C)(3) 11a MHOC true Mercy Health Foundation Springfield 1235 E Cherokee Street Springfield MO 65804 320195818 Foundation MO 501(C)(3) 11b MHSC true Mercy Health Foundation St Louis 14528 S Outer Forty Ste 100 Chesterfield MO 63017 562410020 Foundation MO 501(C)(3) 11b MHEC true Mercy Health Foundation Washington 901 E Fifth Street Washington MO 63090 562410022 Foundation MO 501(C)(3) 11b MHEC true Mercy Health Hot Springs Communities 300 Werner Street Hot Springs AR 71913 261125064 Holding Co AR 501(C)(3) 11b Mercy Health false Mercy Health NW Arkansas Communities 2710 Rife Medical Drive Rogers AR 72758 621684203 Phys Group AR 501(C)(3) 11b Mercy Health true Mercy Health Oklahoma Communities 4300 W Memorial Road Oklahoma City OK 73120 731453048 Holding co OK 501(C)(3) 11b Mercy Health true Mercy Health Springfield Communitites 1235 E Cherokee Street Springfield MO 65804 431856028 Holding Co MO 501(C)(3) 11b Mercy Health true Mercy Health SW MOKS Communitites 2817 St Johns Blvd Joplin MO 64804 300584463 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 Sprngfld true Mercy Hospital Ardmore 1011 14th Avenue NW Ardmore OK 73401 731500629 Hospital OK 501(C)(3) 3 MHOC true Mercy Hospital Aurora 500 Porter Avenue Aurora MO 65605 431936696 Hospital MO 501(C)(3) 3 MHSC true Mercy Hospital Berryville 214 Carter Street Berryville AR 72616 710759299 Hospital AR 501(C)(3) 3 MHSC true Mercy Hospital Carthage 3125 Dr Russell Smith Way Carthage MO 64836 453808607 Hospital MO 501(C)(3) 3 MHSMKC true Mercy Hospital Cassville 94 Main Street Cassville MO 65625 431936699 Hospital MO 501(C)(3) 3 MHSC true Mercy Hospital Columbus 220 Pennsylvania Avenue Columbus KS 66725 270842031 Hospital MO 501(C)(3) 3 MHSMKC true Mercy Hospital El Reno 2115 Parkview Drive El Reno OK 73036 272716065 Hospital OK 501(C)(3) 3 MHOC true Mercy Hospital Fort Smith 7301 Rogers Avenue Fort Smith AR 72917 710240352 Hospital AR 501(C)(3) 3 MHFSC true Mercy Hospital Healdton 918 South 8th Street Healdton OK 73438 263173902 Hospital OK 501(C)(3) 3 MH Ardmore true Mercy Hospital Joplin 2817 St Johns Blvd Joplin MO 64804 270814858 Hospital MO 501(C)(3) 3 MHSMKC true Mercy Hospital Lebanon 100 Hospital Drive Lebanon MO 65536 431767432 Hospital MO 501(C)(3) 3 MHSC true Mercy Hospital Logan County Inc 200 South Academy Guthrie OK 73044 452998842 Hospital OK 501(C)(3) 3 MHOC true Mercy Hospital of Laredo 14528 S Outer Forty Ste 100 Chesterfield MO 63017 741189682 Inactive TX 501(C)(3) 3 MHS-TX true Mercy Hospital Oklahoma City 4300 W Memorial Road Oklahoma City OK 73120 730579285 Hospital OK 501(C)(3) 3 MHOC true Mercy Hospital Ozark 801 W River Street Ozark AR 72949 710689680 Hospital AR 501(C)(3) 3 MHFS true Mercy Hospital Paris 500 E Academy Paris AR 72855 710655753 Hospital AR 501(C)(3) 3 MHFS true Mercy Hospital Rogers 2710 Rife Medical Lane Rogers AR 72758 710294390 Hospital AR 501(C)(3) 3 MHNWAC true Mercy Hospital Springfield 1235 E Cherokee Street Springfield MO 65804 440552485 Hospital MO 501(C)(3) 3 MHSC true Mercy Hospital Tishomingo 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 MHFS true Mercy Hospital Watonga Inc 500 Clarence Nash Blvd Watonga OK 73772 455199762 Hospital OK 501(C)(3) 3 MHOC true Mercy Hospitals East Communities 14528 S Outer Forty Ste 100 Chesterfield MO 63017 430653493 Hospital MO 501(C)(3) 3 MHEC true Mercy Kansas Communities Inc 401 Woodland Hills Blvd Ft Scott KS 66701 480956045 Hospital KS 501(C)(3) 3 MHSMKC true Mercy Medical Research Institute 1235 E Cherokee Street Springfield MO 65804 870796305 Research MO 501(C)(3) 4 MHSC 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 MHSC true Mercy Support Services 14528 S OUTER FORTY STE 100 CHESTERFIELD MO 63017 431677952 Inactive MO 501(C)(3) 11c MHEC 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 MHHSC true St Edward Mercy Foundation PO Box 17000 Fort Smith AR 72917 237330425 Foundation AR 501(C)(3) 7 MHFS true St John's Children's Hospital Inc 1235 E Cherokee Street Springfield MO 65804 Inactive MO 501(C)(3) 3 MHSC true St Mary's Hospital of Enid Oklahoma 14528 S Outer Forty Ste 100 Chesterfield MO 63017 730614655 Inactive OK 501(C)(3) 3 MHOC true The Sister M Cornelia Blasko Foundation 100 W Highway 60 Mountain View MO 65548 431873914 Foundation MO 501(C)(3) 11a MSFH true Unity Ambulatory Care 14528 S OUTER FORTY STE 100 CHESTERFIELD MO 63017 431861745 Inactive MO 501(C)(3) 11c MHEC true Merc Ambu Surg CTR 7301 Rogers Av Fort Smith AR 72903 710827721 AMBUL SURG CENTER 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 Inveno Health Inc 1235 E Cherokee Street Springfield MO 65804 264509571 IT SERVICES MO NA C-Corp Mercy Community Services Inc 401 Woodland Hills Blvd Fort Scott KS 66701 481078101 RETAIL PHARMACY KS NA C-Corp Mercy Health Center Condominium Inc 4300 W Memorial Rd Oklahoma City OK 73120 680640970 REAL ESTATE OK NA C-Corp Mercy Health Network of the Southern Reg 1011 14th Avenue NW Ardmore OK 73401 731580607 HEALTH CARE OK NA C-Corp Mercy Health Network Inc 4300 W Memorial Road Oklahoma City OK 73120 731381689 HEALTH CARE OK NA C-Corp Mercy Managed Care Corporation 4300 W Memorial Road Oklahoma City OK 73120 731441665 HOLDING COMP OK NA C-Corp UH L Corp Inc 645 Maryville Centre Drive Suite 1 St Louis MO 63141 742499535 HOLDING COMP MO NA C-Corp Unity Support Services Inc 645 Maryville Centre Drive Suite 1 St Louis MO 63141 431797042 PRACTICE MGT MO NA C-Corp false false false false false false false false false false false false false true true true false false Mercy Clinic Hot Springs Communities N 276952 FMV Mercy Clinic Hot Springs Communities O 968215 FMV Mercy Clinic Hot Springs Communities P 442384 FMV Mercy Hospital Fort Smith O 56080 FMV Mercy Hospitals East Communities O 583908 FMV MHM Support Services P 5510728 FMV Resource Optimization & Innovation LLC O 6375606 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 O AND P. 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 O AND P.