MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES (EIN 62-1684203)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-13
IRS object ID
201111339349300931
Schema version
2009v1.7
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-13T09:56:18-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1190 CARONDELET PLAZA SUITE 1300AddressLine1
CityCLAYTONCity
StateMOState
ZIP Code63105ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN621684203EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Mercy Health System of Northwest ArkansasBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMERCNameControl
Phone4793382903Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12710 Rife Medical LaneAddressLine1
CityRogersCity
StateARState
ZIP Code72758ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBenny J StoverName
Titlevp-financeTitle
Date Signed2011-05-05DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3142901000Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBenny J Stover CPANameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12710 Rife Medical LaneAddressLine1
CityRogersCity
StateARState
ZIP Code72758ZIPCode
FieldValueIRS element (for citing)
Gross Receipts54664716GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501cXOrganization501c
Web Sitewww.Mercy4u.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1997YearFormation
State Legal DomicileARStateLegalDomicile
Activity Or Mission DescriptionAS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees714TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year95352882ProgramServiceRevenuePriorYear
Program Service Revenue CY54103144ProgramServiceRevenueCY
Investment Income Prior Year-92407InvestmentIncomePriorYear
Investment Income Current Year-57290InvestmentIncomeCurrentYear
Other Revenue Prior Year1461197OtherRevenuePriorYear
Other Revenue Current Year618862OtherRevenueCurrentYear
Total Revenue Prior Year96721672TotalRevenuePriorYear
Total Revenue Current Year54664716TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1270GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year47985117SalariesEtcPriorYear
Salaries Etc Current Year49384318SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year60827466OtherExpensePriorYear
Other Expenses Current Year16402838OtherExpensesCurrentYear
Total Expenses Prior Year108813853TotalExpensesPriorYear
Total Expenses Current Year65787156TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-12092181RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-11122440RevenuesLessExpensesCY
Total Assets BOY11713015TotalAssetsBOY
Total Assets EOY10591987TotalAssetsEOY
Total Liabilities BOY36335099TotalLiabilitiesBOY
Total Liabilities EOY46336510TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-24622084NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-35744523NetAssetsOrFundBalancesEOY
Mission DescriptionAs the Sisters of Mercy before us, we bring to life the healing ministry of Jesus through our compassionate care and exceptional service.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense5306538Expense
Revenue19633566Revenue
DescriptionFamily Medicine Physician Services: Mercy Health System of NWA's family medicine physician services are comprised of 31 Board certified family medicine physicians and 5 mid-levels, who provided primary medicine services to patients ranging from one year old through adulthood. These services are offered in approximately 10 locations throughout Benton County Arkansas, and the surrounding service area. During the year, 173,806 office visits were provided to patients.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2015592Expense
Revenue6988369Revenue
DescriptionCardiovascular Physician Services: Mercy Health System of NWA's Cardiovascular Physician Services are comprised of 6 Cardiologists, 2 Cardiovascular surgeons, and 4 mid-level providers. These providers serve patients throughout Benton County Arkansas and the surrounding service area, who have heart related medical needs. During the year, 10,347 office visits were provided to patients.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1964023Expense
Revenue3512310Revenue
DescriptionPediatric Physician Services: Mercy Health System of NWA's Pediatric physician services are comprised of 7 board certified pediatricians and 1 mid-level, who provided primary medicine services to patients ranging in age from infants through eighteen years. Services are provided to patients throughout Benton County Arkansas and the surrounding service area. During the year, 36,994 office visits were provided to patients.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp51740391TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev24502592TotalOfOtherProgramServiceRev
Total Program Service Expense61026544TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees714NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonBenny J Stover CPANamePerson
Telephone Number4793382903TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12710 Rife Medical LaneAddressLine1
CityRogersCity
StateARState
ZIP Code72758ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (31 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Paul Bergant
Chairman of the Board1.0X000
Sister Annrene Brau RSM
Board Member1.0X000
Sister Gayle Evans RSM
Board Member1.0X000
Linda Scott
Board Member1.0X000
Wayne Callahan
Board Member1.0X000
Rollin Ford
Board Member1.0X000
Herbert Morales
Board Member1.0X000
Sister Teresa Kelone RSM
Board Member1.0X000
Paul Mahan
Board Member1.0X000
Dr Hugh Donnell
Board Member40.0X282382034258
Dr Donna Johnson
Board Member40.0X345437339530189
Dr James Byrum
Board Member / Physician40.0X220177032143
George Flynn
B. Mbr / Frm CEO (thru 3-8-10)40.0X0517731143317X
Scott Street
Brd Member / CEO (Beg. 3-8-10)40.0X000X
Richard Barclay
VP - Human Resources40.0171147013389X
Clark Ellison
VP - Foundation40.0112337015524X
Steven L Hughes
Chief Admin Officer - Clinics40.0218850014318X
Dr Brad Johnson
VP / Physician40.0277681017186X
Jennifer Laperre
VP - Strategic Planning40.0170029011107X
Karen Little-Smith
Accountable Executive40.012064709511X
Michele Stewart
VP - Patient Care Services40.0244988069376X
Benny J Stover
VP - Finance40.0166709012535X
Jon Vitiello
CFO40.0031677138423X
Jerri Mitchell
Former CFO40.0029026313200X
Stephen Gross
Physician Executive40.0310135058443X
Dr Mary Bourland
Physician40.0824610024066X
Dr Charles Inlow
Physician40.01003482043528X
Dr Abbas Raza
Physician40.0710319026936X
Dr Robert Stuppy
Physician40.0894174025167X
Dr Kuntal Thaker
Physician40.01008077025212X
Susan Barrett
Former President0.00590410101948X
FieldValueIRS element (for citing)
Total Reportable Comp From Org7081181TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1718570TotalReportableCompFrmRltdOrgs
Total Other Compensation759776TotalOtherCompensation
Number Individuals GT100 K83NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Cerner Physician Practice
PO Box 412732KANSAS CITYMO64141Claims Processing163333
SSI Group
4721 Morrison DrMOBILEAL36609Claims Processing530963
Emdeon
PO Box 572490 ACIMURRAYUT84127Claims Processing126740
Quest Diagnostics
PO Box 740709ATLANTAGA30374Testing for Lab289044
Berlin Wheeler Inc
PO Box 463JEFFERSON CITYMO65102Collection Agency122408
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Family Medicine6241001963356619633566
Cardiovascular Services62410069883696988369
Pediatrics62410035123103512310
Other Program services6241002396889923968899
FieldValueIRS element (for citing)
Total Program Service Revenue54103144TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column-57290TotalRevenueColumn
Exclusion-$57,290ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real85169Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real85169Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column85169TotalRevenueColumn
Exclusion$85,169ExclusionAmount

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Miscellaneous Revenue624100465901465901
Billing Fee Revenue6241004500045000
Hospital Support Revenue6241002279222792
FieldValueIRS element (for citing)
Total Other Revenue533693TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column54664716TotalRevenueColumn
Related Or Exempt Function Income54636837RelatedOrExemptFunctionIncome
Exclusion$27,879ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2634130Total
Program Services880135ProgramServices
Management And General1753995ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total37860796Total
Program Services32538651ProgramServices
Management And General5322145ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1618179Total
Program Services1311698ProgramServices
Management And General306481ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5028587Total
Program Services3240246ProgramServices
Management And General1788341ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2242626Total
Program Services1767620ProgramServices
Management And General475006ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total4043967Total
Program Services1062114ProgramServices
Management And General2981853ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total55574Total
Management And General55574ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total50000Total
Management And General50000ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total476219Total
Program Services25081ProgramServices
Management And General451138ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total358781Total
Program Services55701ProgramServices
Management And General303080ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5940151Total
Program Services5677351ProgramServices
Management And General262800ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1335690Total
Program Services564507ProgramServices
Management And General771183ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4214410Total
Program Services3553310ProgramServices
Management And General661100ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total206615Total
Program Services139241ProgramServices
Management And General67374ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total41080Total
Program Services26100ProgramServices
Management And General14980ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total56331Total
Management And General56331ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total989751Total
Program Services656057ProgramServices
Management And General333694ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1524393Total
Program Services735569ProgramServices
Management And General788824ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROVISION FOR BAD DEBTS30983983098398
OTHER TAXES236016110178125838
REPAIRS AND MAINTENANCE13505512257012485
SHARED ALLCTNS (FROM HOSP)-68328975372854-12205751
All other expenses47330489163384141

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total65787156Total
Program Services61026544ProgramServices
Management And General4760612ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY54454BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY628069BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4372603BOY
EOY5486523EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY702388BOY
EOY368070EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY341913BOY
EOY358243EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY334732BOY
EOY141684EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis9832815LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5595348LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5278856BOY
EOY4237467EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11713015BOY
EOY10591987EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4161703BOY
EOY17307269EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY2761050BOY
EOY2761050EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY29412346BOY
EOY26268191EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY36335099BOY
EOY46336510EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-24622084BOY
EOY-35744523EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-24622084BOY
EOY-35744523EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11713015BOY
EOY10591987EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years18575CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years58003CurrentTaxYearMinus2Years
Total76578Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years55062989CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years88357766CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years86990336CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year95352882CurrentTaxYearMinus1Year
Current Tax Year54103144CurrentTaxYear
Total379867117Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years55062989CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years88376341CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years87048339CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year95352882CurrentTaxYearMinus1Year
Current Tax Year54103144CurrentTaxYear
Total379943695Total
FieldValueIRS element (for citing)
Public Support Total509379943695PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2263195CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1034334CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years874009CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year41511CurrentTaxYearMinus1Year
Current Tax Year27879CurrentTaxYear
Total4240928Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2263195CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1034334CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years874009CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year41511CurrentTaxYearMinus1Year
Current Tax Year27879CurrentTaxYear
Total4240928Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1580164CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1765506CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1237480CurrentTaxYearMinus1Year
Current Tax Year533693CurrentTaxYear
Total5116843Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years57326184CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years90990839CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years89687854CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year96631873CurrentTaxYearMinus1Year
Current Tax Year54664716CurrentTaxYear
Total389301466Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97596PublicSupportPercentage509
Prior Year Support Percentage0.99960PriorYearSupportPercentage
Investment Income Percentage0.01089InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00040PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis27550OtherCostOrOtherBasis
Book Value27550BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1792957OtherCostOrOtherBasis
Depreciation1058000Depreciation
Book Value734957BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis4007669OtherCostOrOtherBasis
Depreciation1413251Depreciation
Book Value2594418BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3994979OtherCostOrOtherBasis
Depreciation3124097Depreciation
Book Value870882BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9660OtherCostOrOtherBasis
Book Value9660BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4237467TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AFFILIATESDescription
Amount$26,268,191Amount
FieldValueIRS element (for citing)
Total Of Amounts26268191TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierSupplemental InformationIdentifier
ExplanationFIN 48 Footnote The consolidated audited financial statements of the Sisters of Mercy Health System, Inc. and Subsidiaries do not include a footnote to report the organization's liability for uncertain tax provisions under FIN 48, as they are deemed immaterial for disclosure.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (19 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Dr Hugh Donnell
25600305020258770204570138010316640000
Dr Donna Johnson
28319329872355803868640815913014164112375514350700
Dr James Byrum
20686105020128140192420129010252320000
George Flynn
03834530112888021390013334709970066104800
Richard Barclay
12657703014701442309945034440184536000
Steven L Hughes
16078103532502274406507078110233168000
Dr Brad Johnson
20491803878803397508066091200294867000
Jennifer Laperre
12330802938701733407629034780181136000
Michele Stewart
19613604378105071060654087220314364000
Benny J Stover
13027502500601142804698078370179244000
Jon Vitiello
024173205014902489002934309080035519400
Jerri Mitchell
0196641000936220489408306030346300
Stephen Gross
2194460510910395980455460128970368578000
Dr Mary Bourland
5768710002477390100410140250848676000
Dr Charles Inlow
90005605000005342603178201174601047010000
Dr Abbas Raza
46291601870280603750117800151560737255000
Dr Robert Stuppy
58411201900000120062097460154210919341000
Dr Kuntal Thaker
72853302182020613420966501554701033289000
Susan Barrett
028557400030483609692805020069235800

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSupplemental Compensation InformationIdentifier
ExplanationSchedule J, Part I, Line 3 The filing organization relies on a related organization; refer to Schedule O, Part VI, Question 15A and 15B for the process the related organization follows. Schedule J, Part I, Line 4A The following individual received a serverance payment during calendar 2009: Susan Barrett - $240,398 Schedule J, Part I, Line 4B Sisters of Mercy Health System 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 Susan Barrett, George Flynn, Stephen Goss, Jon Vitiello, and Michele Stewart. No payments were made under the Plans during the tax year. The amount of all accrued benefits is included in compensation amounts provided in Schedule J, Part II, Column (C). Schedule J, Part I, Line 7 The filing organization provides a non-fixed bonus plan for which certain tiers of its employees are eligible. For fiscal year 2009 (July 1, 2008 - June 30, 2009), payment of all or part of the bonus is contingent upon percentage attainment of (I) personal goals and (II) certain financial targets. For fiscal year 2010 (July 1, 2009 - June 30, 2010), payment of all or part of the bonus is 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 (applicable only for fiscal year 2009). Bonus opportunities are tiered percentages and are dependent upon the leadership level and attainment percentage. Mercy's attainment of financial goals are validated by an external consulting firm and are then taken into account by the executive compensation committee of Mercy when analyzing executive compensation for reasonableness.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
ExplanationFORM 990, PART III, LINE 4D, OTHER PROGRAM SERVICES MERCY HEALTH SYSTEM OF NORTHWEST ARKANSAS (MHSNWA) AND ITS MEMBER HEALTH CARE FACILITIES PROVIDE QUALITY CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. IN ACTIVE PURSUIT OF THE ABOVE STATED MISSION, MHSNWA PROVIDED 29,161 INPATIENT SERVICE DAYS OF ACUTE OR SUB-ACUTE CARE. MHSNWA PERFORMED APPROXIMATELY 1,520 BIRTHS, RESPONDED TO APPROXIMATELY 33,683 EMERGENCY ROOM ENCOUNTERS, MADE APPROXIMATELY 22,541 HOME HEALTH CARE VISITS AND COMPLETED 89,582 OUTPATIENT VISITS. COMMUNITY OUTREACH/BENEFIT PROGRAMS INCLUDE SUPPORT GROUPS FOR CURRENT AND PAST PATIENTS (DIABETIC, CARDIAC, ETC.), EXPECTING/NEW PARENTS (CHILD BIRTH CLASSES, VARIOUS SUPPORT GROUPS, ETC.), AND EMPLOYEES (EDUCATIONAL ASSISTANCE PROGRAMS, ETC.), LOCAL/SURROUNDING COMMUNITY (WELLNESS PROGRAMS, HEALTH FAIRS, HOME HEALTH PROGRAMS, ETC.) RELIEF FROM FINANCIAL BURDEN OF HEALTH CARE SERVICES TO THE INDIGENT CONSISTS OF CHARGES OF $11,754,651 FOR CHARITY CARE PROVIDED WITH A COST OF RELATED SERVICES. EXPENSES $ 51,740,391 INCLUDING GRANTS OF $0 REVENUE $24,502,592 FORM 990, PART V, QUESTION 1A VENDORS FOR THE FILING ORGANIZATION ARE PAID BY THE SISTERS OF MERCY HEALTH SYSTEM (EIN 43-1423050). AS SUCH, ALL REQUIRED FORM 1099 AND FORM 1096 REPORTING IS MADE FOR THE ENTIRE HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE SMHS EIN. FORM 990, PART VI, QUESTION 6, 7A, AND 7B THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, SISTERS OF MERCY HEALTH SYSTEM. THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED SOLELY UNTO THE CORPORATE MEMBER: A. TO APPROVE AND ESTABLISH THE MISSION AND PHILOSOPHY ACCORDING TO WHICH THE CORPORATION AND ALL CORPORATIONS CONTROLLED BY THE CORPORATION SHALL OPERATE; B. TO ADOPT OR AMEND THE ARTICLES OF INCORPORATION AND BYLAWS OF ST. MARY-ROGERS; C. TO ADOPT OR AMEND THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION, EXCEPT THAT: I. ANY AND ALL AMENDMENTS TO THE BYLAWS OF THE CORPORATION THAT MATERIALLY AFFECT THE EXISTENCE OR OPERATIONS OF THE MEDICAL GROUP BOARD, AS PROVIDED IN SECTION 8.2, MUST BE APPROVED BY THE MEDICAL GROUP BOARD, AND II. ANY AND ALL AMENDMENTS TO THE BYLAWS OF THE CORPORATION THAT MATERIALLY AFFECT THOSE POWERS RESERVED SOLELY TO THE MEDICAL GROUP, AS DESCRIBED IN SECTION 8.3, MUST BE APPROVED BY THE MEDICAL GROUP BOARD; D. TO APPROVE AND APPOINT THE THREE (3) MEDICAL GROUP PHYSICIAN DIRECTORS AND ALL COMMUNITY REPRESENTATIVE DIRECTORS ON THE BOARD FROM NOMINATIONS SUBMITTED BY THE NOMINATING COMMITTEE; E. TO APPOINT THE (2) SISTERS OF MERCY DIRECTORS ON THE BOARD; F. TO APPOINT THE PRESIDENT/CEO OF THE CORPORATION, WHO SHALL SERVE AS AN EX-OFFICIO DIRECTOR ON THE BOARD WITH VOTE; G. TO REMOVE ALL DIRECTORS ON THE BOARD WITH OR WITHOUT CAUSE; H. TO APPROVE OR AMEND THE OVERALL STRATEGIC, LONG RANGE, AND HEALTH MANPOWER DEVELOPMENT PLANS, GOALS, AND OBJECTIVES OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION; I. TO APPROVE THE CONSOLIDATED OPERATING, CAPITAL, AND CONSTRUCTION BUDGETS (INCLUDING AGGREGATE PHYSICIAN COMPENSATION LEVELS) FOR THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION AND CHANGES IN THE BUDGETS IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE CORPORATE MEMBER; J. TO LEASE OR SELL ANY OF THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE CORPORATE MEMBER; K. TO ENCUMBER ANY OR ALL OF THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION; L. 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; M. TO MERGE, DISSOLVE, OR ABANDON THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION; AND, N. TO APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION BY THE CORPORATION. FORM 990, PART VI, QUESTION 11A 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 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 THE SISTERS OF MERCY HEALTH SYSTEM'S TAX DEPARTMENT, TO ENSURE ACCURACY AND CONSISTENCY WITH OTHER RELATED ORGANIZATIONS' FORM 990S. 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 THE COMPLIANCE POLICY COVERAGE INCLUDES: CO-WORKERS, LEADERS, PROVIDERS, BOARD MEMBERS, AND ADMINISTRATORS. THE DETERMINATION OF A CONFLICT OF INTEREST IS MADE AND REVIEWED AT ALL LEVELS. A CORPORATE COMPLIANCE COMMITTEE MEETS TO REVIEW ANY CONFLICTS AND PROVIDES A REASONABLE ALTERNATIVE TO RESOLVE THE CONFLICT OF INTEREST, WHICH MAY INCLUDE SUPERVISORY PROCEDURES OR TRANSFER A DECISION MAKING ROLE. FOR BOARD MEMBERS, THEY ARE EXCLUDED FROM THE DELIBERATIONS AND DECISION MAKING PROCESS. FORM 990, PART VI, QUESTION 15A AND 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 SISTERS OF MERCY HEALTH SYSTEM, 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 THE SISTERS OF MERCY HEALTH SYSTEM. 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 HAVE BEEN MADE AVAILABLE FROM TIME TO TIME BUT ARE NOT PUBLISHED PUBLICLY. FORM 990, PART VII, SECTION A SCOTT STREET WAS NAMED PRESIDENT AND CEO OF MERCY HEALTH SYSTEM OF NORTHWEST ARKANSAS EFFECTIVE MARCH 8, 2010; THEREFORE, HE HAS NO REPORTABLE COMPENSATION FROM THE FILING ORGANIZATION OR RELATED ORGANIZATIONS FOR CALENDAR 2009. 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 FORM 990S OF ENTITIES INCLUDED WITHIN THE SISTERS OF MERCY HEALTH SYSTEM. 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, QUESTION 2B THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN THE SISTERS OF MERCY HEALTH SYSTEM, INC. AND SUBSIDIARIES ANNUAL FINANCIAL STATEMENT AUDIT. THE SISTERS OF MERCY HEALTH SYSTEM, INC. AND SUBSIDIARIES RECEIVE AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 2010 (THE TAX YEAR CURRENTLY BEING REPORTED). HOWEVER, NO SEPARATE AUDIT OPINION IS 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 THE SISTERS OF MERCY HEALTH SYSTEM BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE. FORM 990, SCHEDULE R, PART V LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY SISTERS OF 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 O AND P.Explanation

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (64 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Advance Care Hospital
300 Werner St 3rd FloorHot SpringsAR71913710816634HospitalAR501(C)(3)3SMHS
Breech Regional Medical Center
100 Hospital DriveLebanonMO65536431767432HospitalMO501(C)(3)3St Johns HS
Carroll Health Foundation
214 Carter StreetBerryvilleAR72616710759301FoundationAR501(C)(3)11aOzark RG HS
Casa de Misericordia
1602 McClelland StreetLaredoTX78044742912461ShelterTX501(C)(3)7MM Laredo
Healdton Mercy Hospital Corporation
918 South StreetHealdtonOK73438263173902HospitalOK501(C)(3)3MMHC
Laredo Medical Group
14528 S Outer Forty Ste 100ChesterfieldMO63017742764726InactiveTX501(C)(3)9MHS-TX
McAuley Portfolio Management Company
14528 S Outer Forty Ste 100ChesterfieldMO63017261708048Invst MgmtMO501(C)(3)11bSMHS
Mercy El Reno Hospital Corporation
2115 Parkview DriveEl RenoOK73036736617948Leased HosptlOK501(C)(3)3MHS
Mercy Emergency Medical Services Inc
4300 W Memorial RoadOklahoma CityOK73120810627035InactiveOK501(C)(3)9MHC
Mercy Foundation for Health Innovation
14528 S Outer Forty Ste 100ChesterfieldMO63017200901499FoundationMO501(C)(3)11bSMHS
Mercy Health Center Foundation
401 Woodland Hills BlvdFort ScottKS66701481077073FoundationKS501(C)(3)11cMHS-KS
Mercy Health Center Foundation Inc
4300 W Memorial RoadOklahoma CityOK73120731593024FoundationOK501(C)(3)11aMHC
Mercy Health Center Inc
4300 W Memorial RoadOklahoma CityOK73120730579285HospitalOK501(C)(3)3MHS
Mercy Health MHMCH Inc
220 Pennsylvania AvenueColumbusKS66725270842031HospitalMO501(C)(3)9MHS-Joplin
Mercy Health of Joplin Foundation
2727 McClelland BlvdJoplinMO64804270906136FoundationMO501(C)(3)11aMHS-Joplin
Mercy Health of Joplin Inc
2727 McClelland BlvdJoplinMO64804270814858HospitalMO501(C)(3)9MHS-Joplin
Mercy Health Services Inc
4300 W Memorial RoadOklahoma CityOK73120141838609Dslv 6/30/10OK501(C)(3)9MHC
Mercy Health System-Joplin Inc
2727 McClelland BlvdJoplinMO64804300584463Hlth SystemMO501(C)(3)11bSMHS
Mercy Health System of Kansas Inc
401 Woodland Hills BlvdFt ScottKS66701480956045HospitalKS501(C)(3)3MHS-JOPLIN
Mercy Health System of Texas Inc
14528 S Outer Forty Ste 100ChesterfieldMO63017742764727InactiveTX501(C)(3)11bSMHS
Mercy Health System Inc
4300 W Memorial RoadOklahoma CityOK73120731453048Holding co.OK501(C)(3)11bSMHS
Mercy Hosp Foundation of Independence
800 W MyrtleIndependenceKS67301481079981FoundationKS501(C)(3)11aMHS-KS
Mercy Hospital of Laredo
14528 S Outer Forty Ste 100ChesterfieldMO63017741189682InactiveTX501(C)(3)3MHS-TX
Mercy Medical Group
645 Maryville Centre Dr St 100St LouisMO63141431771217Phys GroupMO501(C)(3)9ST JOHN MHC
Mercy Memorial Health Center Foundation
1011 14th Avenue NWArdmoreOK73401710962525FoundationOK501(C)(3)11aMMHC
Mercy Memorial Health Center Inc
1011 14th Avenue NWArdmoreOK73401731500629HospitalOK501(C)(3)3MHS
Mercy Ministries of Laredo
2500 ZacatecasLaredoTX78043200198462OutreachTX501(C)(3)7SMHS
Mercy Physicians of Oklahoma Inc
4300 W Memorial RoadOklahoma CityOK73120270473057Phys GroupOK501(C)(3)9MHS
MHM Support Services
14528 S Outer Forty Ste 100ChesterfieldMO63017202553101Sup Hlth SysMO501(C)(3)11bSMHS
Mission Clinical Services
300 Werner StreetHot SpringsAR71913134239691Phys GroupAR501(C)(3)9ST JOS MHS
Ozarks Regions Health Systems Inc
214 Carter StreetBerryvilleAR72616710759299HospitalAR501(C)(3)3ST JOHNS HS
Sisters of Mercy Health System
14528 S Outer Forty Ste 100ChesterfieldMO63017431423050Sup Hlth SysMO501(C)(3)1NA
Sisters of Mercy Ministries
14528 S Outer Forty Ste 100ChesterfieldMO63017721069468OutreachMO501(C)(3)7SMHS
St Edward Hlth Fac-Franklin Co
801 W River StreetOzarkAR72949710689680HospitalAR501(C)(3)3SEMMC
St Edward Hlth Fac-Logan Co
500 E AcademyParisAR72855710655753HospitalAR501(C)(3)3SEMMC
St Edward Hlth Fac-Scott Co
1341 W 6th StreetWaldronAR72958710557895HospitalAR501(C)(3)3SEMMC
St Edward Mercy Clinic Inc
7301 Rogers AvenueFort SmithAR72917261318597Phys ClinicAR501(C)(3)9SEMHS
St Edward Mercy Foundation
PO Box 17000Fort SmithAR72917237330425FoundationAR501(C)(3)7SEMMC
St Edward Mercy Health System Inc
7301 Rogers AvenueFort SmithAR72917261318515Holding Co.AR501(C)(3)11bSMHS
St Edward Mercy Medical Center
7301 Rogers AvenueFort SmithAR72917710240352HospitalAR501(C)(3)3SEMHS
St Francis Hospital
100 W Highway 60Mountain ViewMO65548440607149HospitalMO501(C)(3)3ST JOHNS HS
St John's Aurora Inc
500 Porter AvenueAuroraMO65605431936696Lease HospMO501(C)(3)3St Johns HS
St John's Cassville Inc
94 Main StreetCassvilleMO65625431936699Lease HospMO501(C)(3)3St Johns HS
St John's Children's Hospital Inc
1235 E Cherokee StreetSpringfieldMO65804InactiveMO501(C)(3)3St Johns HS
St John's Clinic Inc
1965 Fremont Street Ste 2950SpringfieldMO65804431560263Phys GroupMO501(C)(3)9St Johns HS
St John's Foundation for Community Hlth
1235 E Cherokee StreetSpringfieldMO65804320195818FoundationMO501(C)(3)11bSt Johns HS
St John's Health System Inc
1235 E Cherokee StreetSpringfieldMO65804431856028Holding CoMO501(C)(3)11bSMHS
St John's Home Care of Berryville Inc
214 Carter StreetBerryvilleAR72616870781247Home HealthAR501(C)(3)11cST JOHN RHC
St John's Medical Research Institute
1235 E Cherokee StreetSpringfieldMO65804870796305ResearchMO501(C)(3)4ST JOHNS HS
St John's Mercy Foundation
645 Maryville Centre Dr St 100St LouisMO63141562410020FoundationMO501(C)(3)11bST JOHN MHC
St John's Mercy Health Care
645 Maryville Centre Dr St 100St LouisMO63141431718408Hlth SystemMO501(C)(3)11bSMHS
St John's Mercy Health System
645 Maryville Centre Dr St 100St LouisMO63141430653493HospitalMO501(C)(3)3ST JOHN MHC
St John's Mercy Hospital Foundation
901 E Fifth StreetWashingtonMO63090562410022FoundationMO501(C)(3)11bST JOHN MHC
St John's Mercy Support Services
615 S New Ballas RoadSt LouisMO63141431677952InactiveMO501(C)(3)11cST JOHN MHS
St John's Regional Health Center
1235 E Cherokee StreetSpringfieldMO65804440552485HospitalMO501(C)(3)3St Johns HS
St Joseph's Mercy Clinic Inc
1 Mercy LaneHot SpringsAR71913261125131Phys ClinicAR501(C)(3)9ST JOS MHS
St Joseph's Mercy Health Center
300 Werner StreetHot SpringsAR71913710236913HospitalAR501(C)(3)3ST JOS MHS
St Joseph's Mercy Health Foundation
300 Werner StreetHot SpringsAR71913710804718FoundationAR501(C)(3)11bST JOS MHC
St Joseph's Mercy Health System Inc
300 Werner StreetHot SpringsAR71913261125064Holding CoAR501(C)(3)11bSMHS
St Mary-Rogers Memorial Hospital Inc
2710 Rife Medical LaneRogersAR72758710294390HospitalAR501(C)(3)3MHS-NWA
St Mary's Hospital Foundation
2710 Rife Medical LaneRogersAR72858710601687FoundationAR501(C)(3)11cST MARY RMC
St Mary's Hospital of Enid Oklahoma I
14528 S Outer Forty Ste 100ChesterfieldMO63017730614655InactiveOK501(C)(3)3MHS
The Sister M Cornelia Blasko Foundation
100 W Highway 60Mountain ViewMO65548431873914FoundationMO501(C)(3)11aST FRAN HOS
Unity Ambulatory Care
645 Maryville Centre Dr St 100St LouisMO63141431861745InactiveMO501(C)(3)11cST JOHN MHC

Form990 Schedule R Part III Form990ScheduleRPartIII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
HOT SPRINGS EQUIP
300 Werner StreetHot SpringsAR71913204340915Dissolved 9/30/09ARNA
Hot Springs MRI
100 Ridgeway PlaceHot SpringsAR72901710675196Dissolved 8/5/09ARNA
Merc Ambu Surg CTR
7301 Rogers AvenueFort SmithAR72903710827721AMBULATORY S. CTRARNA
RES OPT & INNOV
645 Maryville Centre Drive SuiteSt LouisMO63141460468368CENTRAL DIST. CTRMONA
SO OK DIAG CTR
1011 Fourteeth Avenue NWArdmoreOK73401431971232MRI ServicesOKNA
Fort Smith Emergency Medical Services
1701 South GreenwoodFort SmithAR72901710416615Emergency Med SEVARNA
Southern Oklahoma PHO LLC
1011 Fourteeth Avenue NWArdmoreOK73401731462104Dsslvd 12/31/09OKNA
Horizontal Property
7301 Rogers AvenueFort SmithAR72903710554050Office BuildingARNA

Form990 Schedule R Part IV Form990ScheduleRPartIV (13 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateType Of EntityTypeOfEntity
Consolidated Logistics Inc
2710 Rife Medical LaneRogersAR72758710474406Dissolved 8/4/09ARC-Corp
Frontenac Properties Inc
14528 S Outer Forty Suite 100ChesterfieldMO63017521914421HOLDING COMPDEC-Corp
Inveno Health Inc
1235 E Cherokee StreetSpringfieldMO65804264509571IT SERVICESMOC-Corp
Mercy Community Services Inc
401 Woodland Hills BlvdFort ScottKS66701481078101CATERINGKSC-Corp
Mercy Health Center Condominium Inc
4300 W Memorial RdOklahoma CityOK73120680640970REAL ESTATEOKC-Corp
Mercy Health Network of the Southern Reg
1011 14th Avenue NWArdmoreOK73401731580607HEALTH CAREOKC-Corp
Mercy Health Network Inc
4300 W Memorial RoadOklahoma CityOK73120731381689HEALTH CAREOKC-Corp
Mercy Managed Care Corporation
4300 W Memorial RoadOklahoma CityOK73120731441665HOLDING COMPOKC-Corp
Mercy Medical Services Inc
14528 S Outer Forty Suite 300ChesterfieldMO63017710641246Dissolved 7/1/09MOC-Corp
MHP Inc
14528 S Outer Forty Suite 300ChesterfieldMO63017431697084HOLDING COMPDEC-Corp
St Edward Medical Services Inc
7301 Rogers AvenueFort SmithAR72903202965518Dissolved 5/5/10ARC-Corp
UH L Corp Inc
645 Maryville Centre Drive Suite 1St LouisMO63141742499535HOLDING COMPMOC-Corp
Unity Support Services Inc
645 Maryville Centre Drive Suite 1St LouisMO63141431797042MANAGEMENTMOC-Corp
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
MHM SUPPORT SERVICES
O5004079
MHP INC
O840780
MHP INC
P67471
OZARKS REGIONS HEALTH SYSTEMS INC
P51000
RESOURCE OPTIMIZATION & INNOVATION LLC
O924541
SISTERS OF MERCY HEALTH SYSTEM
O776698
ST MARY-ROGERS MEMORIAL HOSPITAL INC
O168132
ST MARY-ROGERS MEMORIAL HOSPITAL INC
N81139
ST MARY-ROGERS MEMORIAL HOSPITAL INC
P2395428

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