MERCY HOSPITAL ROGERS: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- MERCY HOSPITAL ROGERS (EIN 71-0294390)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-13
- IRS object ID
- 201131339349301433
- 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
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-13T09:56:24-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 190 CARONDELET PLAZA SUITE 1300 | AddressLine1 |
| City | CLAYTON | City |
| State | MO | State |
| ZIP Code | 63105 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 710294390 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Mary-Rogers Memorial Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STMA | NameControl |
| Phone | 4793382903 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2710 Rife Medical Lane | AddressLine1 |
| City | Rogers | City |
| State | AR | State |
| ZIP Code | 72758 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Benny Sotver | Name |
| Title | VP of Finance | Title |
| Date Signed | 2011-05-05 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3142901000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mercy Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Benny J Stover CPA | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2710 Rife Medical Lane | AddressLine1 |
| City | Rogers | City |
| State | AR | State |
| ZIP Code | 72758 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 138289343 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c | X | Organization501c |
| Web Site | WWW.mercy4u.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1995 | YearFormation |
| State Legal Domicile | AR | StateLegalDomicile |
| Activity Or Mission Description | AS 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 Body | 6 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 3 | NbrIndependentVotingMembers |
| Total Nbr Employees | 993 | TotalNbrEmployees |
| Total Nbr Volunteers | 130 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 334339755 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 137030486 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 8042003 | InvestmentIncomePriorYear |
| Investment Income Current Year | 48098 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 936367 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1210759 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 343318125 | TotalRevenuePriorYear |
| Total Revenue Current Year | 138289343 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 8030000 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 32500 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 43208043 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 43919127 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 287465390 | OtherExpensePriorYear |
| Other Expenses Current Year | 85834295 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 338703433 | TotalExpensesPriorYear |
| Total Expenses Current Year | 129785922 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 4614692 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 8503421 | RevenuesLessExpensesCY |
| Total Assets BOY | 177550552 | TotalAssetsBOY |
| Total Assets EOY | 184343315 | TotalAssetsEOY |
| Total Liabilities BOY | 111582364 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 108948969 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 65968188 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 75394346 | NetAssetsOrFundBalancesEOY |
| Mission Description | As 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 Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 35256976 | Expense |
| Revenue | 55500157 | Revenue |
| Description | INPATIENT HEALTHCARE: The Hospital is a full service medical facility that provides quality inpatient healthcare to all patients regardless of their ability to pay. The inpatient hospital is licensed for 147 acute beds, and 18 newborn beds, for a total of 165 beds. During the fiscal year ended June 30, 2010, acute discharges were 8,680, and acute patient days were 29,161. Newborn acute discharges were 1,509 and newborn patient days were 2,490. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 15450530 | Expense |
| Revenue | 22581550 | Revenue |
| Description | SURGICAL SERVICES: The Hospital provides a broad scope of surgical services, on both and inpatient and outpatient basis. During the fiscal year ended June 30, 2010, the hospital performed 2,834 inpatient surgeries and 5,736 outpatient surgeries. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 4340280 | Expense |
| Revenue | 8428019 | Revenue |
| Description | EMERGENCY SERVICES: The hospital provides 24 hour emergency services, and provides such services regardless of ability to pay. During the fiscal year ended June 30, 2010, the hospital provided 39,611 emergency visits. Of this amount, 33,683 were treated and sent home, while 5,928 became inpatient admissions. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 32071298 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 32500 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 51317443 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 87119084 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 993 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Nbr Voting Governing Body Members | 6 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 3 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | BENNY J STOVER CPA | NamePerson |
| Telephone Number | 4793382903 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2710 RIFE MEDICAL LANE | AddressLine1 |
| City | ROGERS | City |
| State | AR | State |
| ZIP Code | 72758 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (18 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| Paul Bergant | |||||||||
| Chairman of the Board | 1.0 | X | 0 | 0 | 0 | ||||
| Sister Annrene Brau RSM | |||||||||
| Board Member | 1.0 | X | 0 | 0 | 0 | ||||
| Wayne Callahan | |||||||||
| Board Member | 1.0 | X | 0 | 0 | 0 | ||||
| Donna Johnson | |||||||||
| Board Member | 1.0 | X | 3395 | 345437 | 30189 | ||||
| Dr James Byrum | |||||||||
| Board Member | 1.0 | X | 0 | 220177 | 32143 | ||||
| George Flynn | |||||||||
| B. Mbr / Frm CEO (thru 3-8-10) | 40.0 | X | 0 | 517731 | 143317 | X | |||
| Scott Street | |||||||||
| Brd Member / CEO (Beg. 3-8-10) | 40.0 | X | 0 | 0 | 0 | X | |||
| Jon Vitiello | |||||||||
| CFO | 40.0 | 0 | 316771 | 38423 | X | ||||
| Benny J Stover | |||||||||
| VP-Finance | 40.0 | 0 | 166709 | 12535 | X | ||||
| Michele Stewart | |||||||||
| VP-Patient Care Services | 40.0 | 0 | 244988 | 69376 | X | ||||
| James L Johnson | |||||||||
| Director - Pharmacy Services | 40.0 | 150389 | 0 | 31016 | X | ||||
| Charlotte Rankin | |||||||||
| Director - Imaging Services | 40.0 | 141596 | 0 | 10652 | X | ||||
| Robert Donnell | |||||||||
| Hospitalist | 40.0 | 235443 | 0 | 45263 | X | ||||
| Harry Lazarte | |||||||||
| Hospitalist | 40.0 | 290472 | 0 | 17674 | X | ||||
| James Merritt | |||||||||
| Hospitalist | 40.0 | 249119 | 0 | 18392 | X | ||||
| Ralph Ritz | |||||||||
| Hospitalist | 40.0 | 235671 | 0 | 22879 | X | ||||
| Cynthia Wilson | |||||||||
| Hospitalist | 40.0 | 284906 | 0 | 26740 | X | ||||
| Susan Barrett | |||||||||
| Former President | 0.0 | 0 | 590410 | 101948 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1590991 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2402223 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 600547 | TotalOtherCompensation |
| Number Individuals GT100 K | 37 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Pinnacle Radiology | |||||
| 4500 S Garnett STE 919 | TULSA | OK | 74146 | Patient SRVC MNGMNT | 656475 |
| 3M Company | |||||
| PO Box 844127 | DALLAS | TX | 75284 | Prof Srvc (Prgm Imp) | 255100 |
| Cornerstone Healthcare | |||||
| 222 S First Street | ROGERS | AR | 72756 | Prof Srvc (Staffing) | 486621 |
| Linen King | |||||
| 14780 S Memorial | BIXBY | OK | 74008 | Linen PRCHSD SRCVS | 308425 |
| Wound Care Centers | |||||
| PO Box 850001 | ORLANDO | FL | 32885 | Patient SRVC MNGMNT | 302419 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 14 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICES | 624100 | 50520760 | 50520760 |
| SURGICAL SERVICES | 624100 | 22581550 | 22581550 |
| INPATIENT HEALTHCARE | 624100 | 55500157 | 55500157 |
| EMERGENCY SERVICES | 624100 | 8428019 | 8428019 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 137030486 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 35586 | TotalRevenueColumn |
| Exclusion | $35,586 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 414076 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 414076 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 414076 | TotalRevenueColumn |
| Exclusion | $414,076 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 12512 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 12512 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12512 | TotalRevenueColumn |
| Exclusion | $12,512 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| Misc Revenue | 624100 | 338455 | 338455 | |
| Cafeteria and Vending | 624100 | 458228 | $458,228 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 796683 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 138289343 | TotalRevenueColumn |
| Related Or Exempt Function Income | 137368941 | RelatedOrExemptFunctionIncome |
| Exclusion | $920,402 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32500 | Total |
| Program Services | 32500 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 320802 | Total |
| Program Services | 320802 | ProgramServices |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34543036 | Total |
| Program Services | 30418248 | ProgramServices |
| Management And General | 4124788 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1569001 | Total |
| Program Services | 1345828 | ProgramServices |
| Management And General | 223173 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4880997 | Total |
| Program Services | 4301064 | ProgramServices |
| Management And General | 579933 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2605291 | Total |
| Program Services | 2296564 | ProgramServices |
| Management And General | 308727 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 343467 | Total |
| Program Services | 341367 | ProgramServices |
| Management And General | 2100 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5488301 | Total |
| Program Services | 4351468 | ProgramServices |
| Management And General | 1136833 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6178 | Total |
| Program Services | 3502 | ProgramServices |
| Management And General | 2676 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39780355 | Total |
| Program Services | 25537350 | ProgramServices |
| Management And General | 14243005 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5959567 | Total |
| Program Services | 297 | ProgramServices |
| Management And General | 5959270 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2600 | Total |
| Management And General | 2600 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2258878 | Total |
| Program Services | 513243 | ProgramServices |
| Management And General | 1745635 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 230752 | Total |
| Program Services | 174168 | ProgramServices |
| Management And General | 56584 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 52974 | Total |
| Program Services | 12605 | ProgramServices |
| Management And General | 40369 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5860030 | Total |
| Management And General | 5860030 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10375032 | Total |
| Program Services | 2842526 | ProgramServices |
| Management And General | 7532506 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 106368 | Total |
| Program Services | 20550 | ProgramServices |
| Management And General | 85818 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PROVISION FOR BAD DEBT | 14392680 | 14392680 | |
| REPAIRS AND MAINTENANCE | 761856 | 156442 | 605414 |
| All Other Expenses | 215257 | 57880 | 157377 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 129785922 | Total |
| Program Services | 87119084 | ProgramServices |
| Management And General | 42666838 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1 | BOY |
| EOY | 8263590 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9930490 | BOY |
| EOY | 54512 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15399312 | BOY |
| EOY | 16512220 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2338148 | BOY |
| EOY | 2078354 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1928277 | BOY |
| EOY | 1969864 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 446590 | BOY |
| EOY | 66205 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 183277626 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 52807744 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 138054450 | BOY |
| EOY | 130469882 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9453284 | BOY |
| EOY | 24928688 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 177550552 | BOY |
| EOY | 184343315 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 111047582 | BOY |
| EOY | 9258589 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 534782 | BOY |
| EOY | 398242 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 99292138 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 111582364 | BOY |
| EOY | 108948969 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 65968188 | BOY |
| EOY | 75394346 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 65968188 | BOY |
| EOY | 75394346 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 177550552 | BOY |
| EOY | 184343315 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $11,404 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 11404 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Lobbying Portion of Dues | Identifier |
| Return Reference | Part II-B, Line 1(i) | ReturnReference |
| Explanation | The filing organization is a member of and pays dues to the following hospital associations: American Hospital Association, Arkansas Hospital Association, and Catholic Health Association. For the year ended June 30, 2010, dues were $12,847, $39,293, and $27,642, respectively. Approximately 25% of American Hospital Association dues, 17% of Arkansas Hospital Association dues, and 5.46% of Catholic Health Association dues were attributable to lobbying activities performed by these associations. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5694080 | OtherCostOrOtherBasis |
| Book Value | 5694080 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 133940885 | OtherCostOrOtherBasis |
| Depreciation | 22478968 | Depreciation |
| Book Value | 111461917 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1477392 | OtherCostOrOtherBasis |
| Depreciation | 335494 | Depreciation |
| Book Value | 1141898 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 40806158 | OtherCostOrOtherBasis |
| Depreciation | 29993282 | Depreciation |
| Book Value | 10812876 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1359111 | OtherCostOrOtherBasis |
| Book Value | 1359111 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 130469882 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DUE FROM AFFILIATE | 23463530 |
| INVESTMENT IN SUBSIDIARY | 91707 |
| 3RD PARTY SETTLEMENTS | 1373451 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 24928688 | TotalBookValueOtherAssets |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Supplemental Information | Identifier |
| Explanation | FIN 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 H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4075778 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 4075778 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03200 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 16485898 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15028043 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1457855 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01150 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 20561676 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15028043 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5533633 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04350 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 5 | NumberOfActivitiesOrPrograms |
| Persons Served | 1777 | PersonsServed |
| Total Community Benefit Expense | 23689 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 23689 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 93 | PersonsServed |
| Total Community Benefit Expense | 214493 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 214493 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00170 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 3712 | PersonsServed |
| Total Community Benefit Expense | 113683 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 113683 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00090 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 9 | NumberOfActivitiesOrPrograms |
| Persons Served | 5582 | PersonsServed |
| Total Community Benefit Expense | 351865 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 351865 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00280 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 9 | NumberOfActivitiesOrPrograms |
| Persons Served | 5582 | PersonsServed |
| Total Community Benefit Expense | 20913541 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15028043 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5885498 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04630 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 232 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 232 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 232 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 232 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $4,528,873 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 32908618 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 34651170 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -1742552 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Marys-Rogers Memorial Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2710 Rife Medical Lane | AddressLine1 |
| City | Rogers | City |
| State | AR | State |
| ZIP Code | 72758 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Childrens Hospital | X | ChildrensHospital |
| Teaching Hospital | X | TeachingHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Income Based Criteria | St. Mary's Mercy Medical Center Eligibility Guidelines for Charity Care Discounts - The Federal Poverty Guidelines for income are the basis for determining eligibility for charity care discounts. For example, individuals with incomes below 100% of the Federal Poverty Guidelines will be eligible for free care. Individuals with incomes greater than 100% of the Federal Poverty Guidelines may be eligible for care at discounted rates depending on their income level and/or the amount due to the hospital. Charity/Medical Indigence Parameters: Charity/Medical Indigence parameters are based on Federal Income Poverty (FPL) Guidelines which are updated annually. Generally, no patient's financial responsibility shall be greater than 20% of the household adjusted gross income, subject to an asset test. This determination shall be made per episode of care where income exceeds 300% of the FPL, and, when warranted, in aggregate for multiple episodes. The parameters will be reviewed annually with the FPL updates. The review will include assessment of the sliding scale ranges, maximum out of pockets, and overall impact to the facilities and system. Revisions will be completed as warranted. | IncomeBasedCriteria |
| Annual Community Benefit Expln | N/A | AnnualCommunityBenefitExpln |
| Costing Method Used | N/A | CostingMethodUsed |
| Subsidized Health Services Expln | N/A | SubsidizedHealthServicesExpln |
| Percent Of Total Expense Expln | Our total expense from Form 990, Part IX, Line 25, Column (A) was $129,785,922. The bad debt expense included in this amount was $14,392,680. This left a total expense of $115,393,242 for purposes of calculating Line 7, Column (F). | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | The text of the footnote that is included in the Sisters of Mercy Health System, Inc. and Subsidiaries audited financial statements that describes bad debt expense follows: "Patient accounts that are uncollected, including those placed with collection agencies, are initially charged against the allowance for uncollectible accounts in accordance with collections 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 assess 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." 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. 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. | BadDebtFootnote |
| Shortfall As Community Benefit | Description of the Costing Methodology - Accounts active in accounts receivable and active with collection agencies are adjusted to charity when patients or guarantors met the guidelines outlined in our policy. Accounts previously written off to bad debt as uncollectible and later returned are not adjusted to charity, unless additional information has been collected by the collection agency. Subsequent events and additional information that would lead to consideration of charity vs. bad debt include bankruptcy filing, or death notice with no surviving spouse or estate. Credit reporting agencies will be notified for any changes to account balances that have been previously listed on the patient guarantor credit reports. The Medicare shortfall was computed using the annual prepared Medicare Cost Report; CMS Form 2552-96. It is the position of St Mary's that 100% of the short fall should be treated as community benefit. This amount represents cost of providing services that remain uncompensated to the provider. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | Presumptive Charity - Mercy will utilize the Search America tool to enhance our ability to determine charity qualification. Presumptive charity will be granted in situations where we have been unable to obtain information from our patients or the information provided is not complete enough to make a charity determination. Mercy will utilize presumptive charity prior to bad debt placement for charity adjustments in excess of $6,500. In these cases, Mercy will utilize the Search America report status of "probable charity" as the basis for the 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, including legal action consistent with Mercy mission and values, which 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 lien. Mercy has policies and procedures established to address the initiation of legal action. Mercy annually reviews collection agency compliance with all policies. | DebtCollectionPolicy |
| Number Of Facility Type Expln | N/A | NumberOfFacilityTypeExpln |
| Needs Assessment | St Mary's objectives regarding community needs assessment are to identify health needs in Benton County and Washington County, along with surrounding communities, and 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. St Mary's 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, specific 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. As part of our commitment to improving the health of the communities we serve, Mercy conducted a needs assessment on May 11, 2010 in Rogers Arkansas. Three sessions with representatives from Northwest Arkansas were held with members of the local administrative team to gather input and feedback on these local communities. Independent consultants were used to gather demographic data pertaining to Northwest Arkansas including current and future population figures, health status indicators, and other community centric data. | NeedsAssessment |
| Patient Education Assistance | The filing organization has printed material available at each point of registration in our facility, in addition to electronically availability at our web site. Specific information provided: Financial Assistance Information As a part of our healing ministry, the filing organization is committed to providing quality healthcare services to patients regardless of their financial situation. We offer payment assistance for those who do not have insurance or who are in financial need. Uninsured Patient Discounts A discount from the hospital's regular billed charges will be provided to patients who do not have insurance. This includes patients whose financial situation normally would not otherwise qualify them for charity care discounts. Patients without insurance whose financial situation qualifies them for charity care discounts (see Eligibility Guidelines below) 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 rates depending on their income level and/or the amount due to the hospital. Additional Financial Assistance After appropriate discounts have been applied, arrangements may be made for an interest-free monthly payment plan. Generally, no patient's financial responsibility will be greater than 10% of annual household income, adjusted to consider availability of other assets that could be used toward making payments. | PatientEducationAssistance |
| Community Information | The service area is made up of Benton and Washington County and small communities outside of those counties. The total population serviced is 425,505 based on 2009 Census figures. Key demographic indicators for the population; 9.9% are individuals in excess of 65 years of age, 89.7% white, 3.6% black, and 14.1% Hispanic. The unemployment rate as of March 2010, based on US department of Labor was 6.1%. | CommunityInformation |
| Community Building Activities | St Mary's continued its collaboration with the Jones Trust in the conversion of the old St. Mary's Hospital into the Center for Non Profits at St. Mary's. St Mary's invested in several renovations of the Center and engaged in renting significant square footage for our Home Health and Wound Care centers. St Mary's also formed The Max, a thrift shop focused on providing educational opportunities for the Women's Shelter at the Center for Non-Profits. Local organizations such as The American Heart Association benefited from activities including staff time in support of specific health related activities, including but not limited to board membership, grant writing, administrative support, physician recruitment, and work force development. | CommunityBuildingActivities |
| Other Information | St. Mary's co-workers are service oriented and responsive community members. In addition to our traditional acute care service role, St Mary's co-workers provided more than 3,000 volunteer hours, supporting various community events. Events such as health screening, community education seminars, food and clothing collection for Women's Crisis Center and donations of time and funds to community benevolent agencies. | OtherInformation |
| Affiliated Health Care System | The filing organization is part of the Sisters of Mercy Health System ("Mercy"). Mercy is a Missouri non-profit corporation with its headquarters ("ministry office") in St. Louis, Missouri. Mercy provides health care services in four states - Arkansas, Kansas, Missouri, and Oklahoma - and has outreach ministries located in Louisiana, Mississippi, and Texas. Mercy's mission is "As the Sisters of Mercy before us, we bring life to the healing ministry of Jesus through our compassionate care and exceptional service." As of June 30, 2010, Mercy facilities included 28 hospitals with 3,718 acute licensed beds (3,300 acute available beds). Mercy facilities offer a wide range of health care services across the system, including inpatient and outpatient care, rehabilitation services, cancer care, trauma care, burn care, skilled nursing, home health and hospice, sports medicine, and neonatal and pediatric intensive care. For the fiscal year ended June 30, 2010, Mercy had more than 6.3 million outpatient visits, more than 1,200 employed physicians, and approximately 28,000 employees, making Mercy the eighth largest Catholic health system in the United States based on net patient service revenue. Mercy is sponsored by Mercy Health Ministry, which is governed by members that include Sisters of Mercy. Many services that are essential to fulfilling Mercy's mission are centralized at the Ministry Office. Such centralized services include Treasury, Information Technology, Clinical Quality Management, Legal and Compliance Counsel, Compensation and Benefits, Consulting, Performance Management, Revenue Management, Capital Management, Clinical Engineering, and Clinical Safety. The centralization of such support services enables Mercy to ensure that each of its communities, whether large or small, has the services it needs. | AffiliatedHealthCareSystem |
| Reports Filed With States | AR | ReportsFiledWithStates |
| Reports Filed With States | KS | ReportsFiledWithStates |
| Reports Filed With States | LA | ReportsFiledWithStates |
| Reports Filed With States | MS | ReportsFiledWithStates |
| Reports Filed With States | MO | ReportsFiledWithStates |
| Reports Filed With States | OK | ReportsFiledWithStates |
| Reports Filed With States | TX | ReportsFiledWithStates |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | false | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Northwest Arkansas Community Foundation | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 Founders Park Drive East | AddressLine1 |
| City | Springdale | City |
| State | AR | State |
| ZIP Code | 72762 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 311682365 | EINOfRecipient |
| IRC Section | 501(c)(3) | IRCSection |
| Amount Of Cash Grant | 32500 | AmountOfCashGrant |
| Purpose Of Grant | To help start and provide for an Inpatient Psychiatric Service Hospital in NWA | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Donna Johnson | |||||||||||||
| 2987 | 283193 | 0 | 23558 | 408 | 38686 | 0 | 15913 | 112 | 14164 | 3507 | 375514 | 0 | 0 |
| Dr James Byrum | |||||||||||||
| 0 | 206861 | 0 | 502 | 0 | 12814 | 0 | 19242 | 0 | 12901 | 0 | 252320 | 0 | 0 |
| George Flynn | |||||||||||||
| 0 | 383453 | 0 | 112888 | 0 | 21390 | 0 | 133347 | 0 | 9970 | 0 | 661048 | 0 | 0 |
| Jon Vitiello | |||||||||||||
| 0 | 241732 | 0 | 50149 | 0 | 24890 | 0 | 29343 | 0 | 9080 | 0 | 355194 | 0 | 0 |
| Benny J Stover | |||||||||||||
| 0 | 130275 | 0 | 25006 | 0 | 11428 | 0 | 4698 | 0 | 7837 | 0 | 179244 | 0 | 0 |
| Michele Stewart | |||||||||||||
| 0 | 196136 | 0 | 43781 | 0 | 5071 | 0 | 60654 | 0 | 8722 | 0 | 314364 | 0 | 0 |
| James L Johnson | |||||||||||||
| 107732 | 0 | 10427 | 0 | 32230 | 0 | 23554 | 0 | 7462 | 0 | 181405 | 0 | 0 | 0 |
| Charlotte Rankin | |||||||||||||
| 119066 | 0 | 9726 | 0 | 12804 | 0 | 7297 | 0 | 3355 | 0 | 152248 | 0 | 0 | 0 |
| Robert Donnell | |||||||||||||
| 199183 | 0 | 10000 | 0 | 26260 | 0 | 33844 | 0 | 11419 | 0 | 280706 | 0 | 0 | 0 |
| Harry Lazarte | |||||||||||||
| 217192 | 0 | 10000 | 0 | 63280 | 0 | 5055 | 0 | 12619 | 0 | 308146 | 0 | 0 | 0 |
| James Merritt | |||||||||||||
| 218076 | 0 | 10000 | 0 | 21043 | 0 | 5142 | 0 | 13250 | 0 | 267511 | 0 | 0 | 0 |
| Ralph Ritz | |||||||||||||
| 175688 | 0 | 10000 | 0 | 49983 | 0 | 9571 | 0 | 13308 | 0 | 258550 | 0 | 0 | 0 |
| Cynthia Wilson | |||||||||||||
| 260035 | 0 | 10000 | 0 | 14871 | 0 | 13051 | 0 | 13689 | 0 | 311646 | 0 | 0 | 0 |
| Susan Barrett | |||||||||||||
| 0 | 285574 | 0 | 0 | 0 | 304836 | 0 | 96928 | 0 | 5020 | 0 | 692358 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Supplemental Compensation Information | Identifier |
| Explanation | 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. Part I, Line 4A: The following individual received a serverance payment during calendar 2009: Susan Barrett - $240,398 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). Part I, Line 7: Non Fixed Bonus Plan 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 the goal achievement (applicable 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Explanation | FORM 990, PART III, LINE 4D DESCRIPTION OF OTHER PROGRAM SERVICES ST. MARY'S -ROGERS MEMORIAL HOSPITAL (SMRH) AND ITS MEMBER HEALTH CARE FACILITIES PROVIDE QUALITY CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. SMRH PROVIDED 31,651 INPATIENT SERVICE DAYS OF ACUTE OR SUB-ACUTE CARE. SMRH PERFORMED APPROX. 1,520 DELIVERIES, RESPONDED TO APPROX. 39,611 EMERGENCY ROOM ENCOUNTERS, MADE APPROX. 22,541 HOME HEALTH CARE VISITS AND COMPLETED 68,183 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), EMPLOYEES (EDUCATIONAL ASSISTANCE PROGRAMS, ETC), AND LOCAL/SURROUNDING COMMUNITY (HEALTH AND WELLNESS PROGRAMS, HEALTH FAIRS, HOME HEALTH PROGRAMS, ETC). RELIEF FROM THE FINANCIAL BURDEN OF HEALTH CARE SERVICES TO THE INDIGENT CONSISTS OF CHARGES OF $12,792,362 FOR CHARITY CARE PROVIDED WITH A COST OF RELATED SERVICES. 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, & 7B THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH SYSTEM OF NORTHWEST ARKANSAS, INC. THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED SOLELY UNTO THE CORPORATE MEMBER: A. TO APPROVE THE MISSION AND ESTABLISH THE PHILOSOPHY ACCORDING TO WHICH THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION SHALL OPERATE; B. TO AMEND THE ARTICLES OF INCORPORATION AND BYLAWS; C. TO APPOINT AND REMOVE MEMBERS OF THE BOARD; D. TO APPOINT AND REMOVE THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION; E. TO APPROVE OR AMEND THE STRATEGIC PLAN, GOALS, AND OBJECTIVES OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; F. TO APPROVE OR AMEND THE OPERATING, CAPITAL, AND CONSTRUCTION BUDGETS FOR THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; G. TO LEASE OR SELL ANY OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION IN EXCESS OF ONE MILLION DOLLARS ($1,000,000); H. TO ENCUMBER ANY OR ALL OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; I. 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; J. TO MERGE, DISSOLVE, OR ABANDON THE CORPORATION; AND, K. 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 ST. MARY-ROGERS MEMORIAL HOSPITAL 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/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| Advance Care Hospital | |||||||||
| 300 Werner St 3rd Floor | Hot Springs | AR | 71913 | 710816634 | Hospital | AR | 501(C)(3) | 3 | SMHS |
| Breech Regional Medical Center | |||||||||
| 100 Hospital Drive | Lebanon | MO | 65536 | 431767432 | Hospital | MO | 501(C)(3) | 3 | St Johns HS |
| Carroll Health Foundation | |||||||||
| 214 Carter Street | Berryville | AR | 72616 | 710759301 | Foundation | AR | 501(C)(3) | 11a | Ozark RG HS |
| Casa de Misericordia | |||||||||
| 1602 McClelland Street | Laredo | TX | 78044 | 742912461 | Shelter | TX | 501(C)(3) | 7 | MM Laredo |
| Healdton Mercy Hospital Corporation | |||||||||
| 918 South Street | Healdton | OK | 73438 | 263173902 | Hospital | OK | 501(C)(3) | 3 | MMHC |
| Laredo Medical Group | |||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 742764726 | Inactive | TX | 501(C)(3) | 9 | MHS-TX |
| McAuley Portfolio Management Company | |||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 261708048 | Invst Mgmt | MO | 501(C)(3) | 11b | SMHS |
| Mercy El Reno Hospital Corporation | |||||||||
| 2115 Parkview Drive | El Reno | OK | 73036 | 736617948 | LEASED HOSPT | OK | 501(C)(3) | 3 | MHS |
| Mercy Emergency Medical Services Inc | |||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 810627035 | Inactive | OK | 501(C)(3) | 9 | MHC |
| Mercy Foundation for Health Innovation | |||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 200901499 | Foundation | MO | 501(C)(3) | 11b | SMHS |
| Mercy Health Center Foundation | |||||||||
| 401 Woodland Hills Blvd | Fort Scott | KS | 66701 | 481077073 | Foundation | KS | 501(C)(3) | 11c | MHS-KS |
| Mercy Health Center Foundation Inc | |||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 731593024 | Foundation | OK | 501(C)(3) | 11a | MHC |
| Mercy Health Center Inc | |||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 730579285 | Hospital | OK | 501(C)(3) | 3 | MHS |
| Mercy Health MHMCH Inc | |||||||||
| 220 Pennsylvania Avenue | Columbus | KS | 66725 | 270842031 | Hospital | MO | 501(C)(3) | 9 | MHS-Joplin |
| Mercy Health of Joplin Foundation | |||||||||
| 2727 McClelland Blvd | Joplin | MO | 64804 | 270906136 | Foundation | MO | 501(C)(3) | 11a | MHS-Joplin |
| Mercy Health of Joplin Inc | |||||||||
| 2727 McClelland Blvd | Joplin | MO | 64804 | 270814858 | Hospital | MO | 501(C)(3) | 9 | MHS-Joplin |
| Mercy Health Services Inc | |||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 141838609 | DISV 6/30/10 | OK | 501(C)(3) | 9 | MHC |
| Mercy Health System-Joplin Inc | |||||||||
| 2727 McClelland Blvd | Joplin | MO | 64804 | 300584463 | Hlth System | MO | 501(C)(3) | 11b | SMHS |
| Mercy Health System of Kansas Inc | |||||||||
| 401 Woodland Hills Blvd | Ft Scott | KS | 66701 | 480956045 | Hospital | KS | 501(C)(3) | 3 | MHS-JOPLIN |
| Mercy Health System Northwest Arkansas | |||||||||
| 2710 Rife Medical Drive | Rogers | AR | 72758 | 621684203 | Phys Group | AR | 501(C)(3) | 11b | SMHS |
| Mercy Health System of Texas Inc | |||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 742764727 | Inactive | TX | 501(C)(3) | 11b | SMHS |
| Mercy Health System Inc | |||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 731453048 | Holding co. | OK | 501(C)(3) | 11b | SMHS |
| Mercy Hosp Foundation of Independence | |||||||||
| 800 W Myrtle | Independence | KS | 67301 | 481079981 | Foundation | KS | 501(C)(3) | 11a | MHS-KS |
| Mercy Hospital of Laredo | |||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 741189682 | Inactive | TX | 501(C)(3) | 3 | MHS-TX |
| Mercy Medical Group | |||||||||
| 645 Maryville Centre Dr St 100 | St Louis | MO | 63141 | 431771217 | Phys Group | MO | 501(C)(3) | 9 | ST JOHN MHC |
| Mercy Memorial Health Center Foundation | |||||||||
| 1011 14th Avenue NW | Ardmore | OK | 73401 | 710962525 | Foundation | OK | 501(C)(3) | 11a | MMHC |
| Mercy Memorial Health Center Inc | |||||||||
| 1011 14th Avenue NW | Ardmore | OK | 73401 | 731500629 | Hospital | OK | 501(C)(3) | 3 | MHS |
| Mercy Ministries of Laredo | |||||||||
| 2500 Zacatecas | Laredo | TX | 78043 | 200198462 | Outreach | TX | 501(C)(3) | 7 | SMHS |
| Mercy Physicians of Oklahoma Inc | |||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 270473057 | Phys Group | OK | 501(C)(3) | 9 | MHS |
| MHM Support Services | |||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 202553101 | Sup Hlth Sys | MO | 501(C)(3) | 11b | SMHS |
| Mission Clinical Services | |||||||||
| 300 Werner Street | Hot Springs | AR | 71913 | 134239691 | Phys Group | AR | 501(C)(3) | 9 | ST JOS MHS |
| Ozarks Regions Health Systems Inc | |||||||||
| 214 Carter Street | Berryville | AR | 72616 | 710759299 | Hospital | AR | 501(C)(3) | 3 | ST JOHNS HS |
| Sisters of Mercy Health System | |||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 431423050 | Sup Hlth Sys | MO | 501(C)(3) | 1 | NA |
| Sisters of Mercy Ministries | |||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 721069468 | Outreach | MO | 501(C)(3) | 7 | SMHS |
| St Edward Hlth Fac-Franklin Co | |||||||||
| 801 W River Street | Ozark | AR | 72949 | 710689680 | Hospital | AR | 501(C)(3) | 3 | SEMMC |
| St Edward Hlth Fac-Logan Co | |||||||||
| 500 E Academy | Paris | AR | 72855 | 710655753 | Hospital | AR | 501(C)(3) | 3 | SEMMC |
| St Edward Hlth Fac-Scott Co | |||||||||
| 1341 W 6th Street | Waldron | AR | 72958 | 710557895 | Hospital | AR | 501(C)(3) | 3 | SEMMC |
| St Edward Mercy Clinic Inc | |||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72917 | 261318597 | Phys Clinic | AR | 501(C)(3) | 9 | SEMHS |
| St Edward Mercy Foundation | |||||||||
| PO Box 17000 | Fort Smith | AR | 72917 | 237330425 | Foundation | AR | 501(C)(3) | 7 | SEMMC |
| St Edward Mercy Health System Inc | |||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72917 | 261318515 | Holding Co. | AR | 501(C)(3) | 11b | SMHS |
| St Edward Mercy Medical Center | |||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72917 | 710240352 | Hospital | AR | 501(C)(3) | 3 | SEMHS |
| St Francis Hospital | |||||||||
| 100 W Highway 60 | Mountain View | MO | 65548 | 440607149 | Hospital | MO | 501(C)(3) | 3 | ST JOHNS HS |
| St John's Aurora Inc | |||||||||
| 500 Porter Avenue | Aurora | MO | 65605 | 431936696 | Lease Hosp | MO | 501(C)(3) | 3 | St Johns HS |
| St John's Cassville Inc | |||||||||
| 94 Main Street | Cassville | MO | 65625 | 431936699 | Lease Hosp | MO | 501(C)(3) | 3 | St Johns HS |
| St John's Children's Hospital Inc | |||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | Inactive | MO | 501(C)(3) | 3 | St Johns HS | |
| St John's Clinic Inc | |||||||||
| 1965 Fremont Street Ste 2950 | Springfield | MO | 65804 | 431560263 | Phys Group | MO | 501(C)(3) | 9 | St Johns HS |
| St John's Foundation for Community Hlth | |||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 320195818 | Foundation | MO | 501(C)(3) | 11b | St Johns HS |
| St John's Health System Inc | |||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 431856028 | Holding Co | MO | 501(C)(3) | 11b | SMHS |
| St John's Home Care of Berryville Inc | |||||||||
| 214 Carter Street | Berryville | AR | 72616 | 870781247 | Home Health | AR | 501(C)(3) | 11c | ST JOHN RHC |
| St John's Medical Research Institute | |||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 870796305 | Research | MO | 501(C)(3) | 4 | ST JOHNS HS |
| St John's Mercy Foundation | |||||||||
| 645 Maryville Centre Dr St 100 | St Louis | MO | 63141 | 562410020 | Foundation | MO | 501(C)(3) | 11b | ST JOHN MHC |
| St John's Mercy Health Care | |||||||||
| 645 Maryville Centre Dr St 100 | St Louis | MO | 63141 | 431718408 | Hlth System | MO | 501(C)(3) | 11b | SMHS |
| St John's Mercy Health System | |||||||||
| 645 Maryville Centre Dr St 100 | St Louis | MO | 63141 | 430653493 | Hospital | MO | 501(C)(3) | 3 | ST JOHN MHC |
| St John's Mercy Hospital Foundation | |||||||||
| 901 E Fifth Street | Washington | MO | 63090 | 562410022 | Foundation | MO | 501(C)(3) | 11b | ST JOHN MHC |
| St John's Mercy Support Services | |||||||||
| 615 S New Ballas Road | St Louis | MO | 63141 | 431677952 | Inactive | MO | 501(C)(3) | 11c | ST JOHN MHS |
| St John's Regional Health Center | |||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 440552485 | Hospital | MO | 501(C)(3) | 3 | St Johns HS |
| St Joseph's Mercy Clinic Inc | |||||||||
| 1 Mercy Lane | Hot Springs | AR | 71913 | 261125131 | Phys Clinic | AR | 501(C)(3) | 9 | ST JOS MHS |
| St Joseph's Mercy Health Center | |||||||||
| 300 Werner Street | Hot Springs | AR | 71913 | 710236913 | Hospital | AR | 501(C)(3) | 3 | ST JOS MHS |
| St Joseph's Mercy Health Foundation | |||||||||
| 300 Werner Street | Hot Springs | AR | 71913 | 710804718 | Foundation | AR | 501(C)(3) | 11b | ST JOS MHC |
| St Joseph's Mercy Health System Inc | |||||||||
| 300 Werner Street | Hot Springs | AR | 71913 | 261125064 | Holding Co | AR | 501(C)(3) | 11b | SMHS |
| St Mary's Hospital Foundation | |||||||||
| 2710 Rife Medical Lane | Rogers | AR | 72858 | 710601687 | Foundation | AR | 501(C)(3) | 11c | ST MARY RMC |
| St Mary's Hospital of Enid Oklahoma I | |||||||||
| 14528 S Outer Forty Ste 100 | Chesterfield | MO | 63017 | 730614655 | Inactive | OK | 501(C)(3) | 3 | MHS |
| The Sister M Cornelia Blasko Foundation | |||||||||
| 100 W Highway 60 | Mountain View | MO | 65548 | 431873914 | Foundation | MO | 501(C)(3) | 11a | ST FRAN HOS |
| Unity Ambulatory Care | |||||||||
| 645 Maryville Centre Dr St 100 | St Louis | MO | 63141 | 431861745 | Inactive | MO | 501(C)(3) | 11c | ST JOHN MHC |
Form990 Schedule R Part III Form990ScheduleRPartIII (8 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|
| HOT SPRINGS EQUIP | |||||||
| 300 Werner Street | Hot Springs | AR | 71913 | 204340915 | DISSOLVED 9/30/09 | AR | NA |
| Hot Springs MRI | |||||||
| 100 Ridgeway Place | Hot Springs | AR | 72901 | 710675196 | DISSOLVED 8/5/09 | AR | NA |
| Merc Ambu Surg CTR | |||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72903 | 710827721 | AMBULATORY S. CTR | AR | NA |
| RES OPT & INNOV | |||||||
| 645 Maryville Centre Drive Suite | St Louis | MO | 63141 | 460468368 | CENTRAL DIST. CTR | MO | NA |
| SO OK DIAG CTR | |||||||
| 1011 Fourteeth Avenue NW | Ardmore | OK | 73401 | 431971232 | MRI Services | OK | NA |
| Fort Smith Emergency Medical Services | |||||||
| 1701 South Greenwood | Fort Smith | AR | 72901 | 710416615 | Emergency Med SEV | AR | NA |
| Southern Oklahoma PHO LLC | |||||||
| 1011 Fourteeth Avenue NW | Ardmore | OK | 73401 | 731462104 | DISSLV 12/31/09 | OK | NA |
| HORIZONTAL PROPERTY | |||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72903 | 710554050 | Office Building | AR | NA |
Form990 Schedule R Part IV Form990ScheduleRPartIV (13 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| Consolidated Logistics Inc | ||||||||
| 2710 Rife Medical Lane | Rogers | AR | 72758 | 710474406 | DISSOLVED 8/4/09 | AR | N/A | C-Corp |
| Frontenac Properties Inc | ||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 521914421 | HOLDING COMP | DE | N/A | C-Corp |
| Inveno Health Inc | ||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 264509571 | IT SERVICES | MO | N/A | C-Corp |
| Mercy Community Services Inc | ||||||||
| 401 Woodland Hills Blvd | Fort SCOTT | KS | 66701 | 481078101 | CATERING | KS | N/A | C-Corp |
| Mercy Health Center Condominium Inc | ||||||||
| 4300 W Memorial Rd | Oklahoma City | OK | 73120 | 680640970 | REAL ESTATE | OK | N/A | C-Corp |
| Mercy Health Network of the Southern Reg | ||||||||
| 1011 14th Avenue NW | Ardmore | OK | 73401 | 731580607 | HEALTH CARE | OK | N/A | C-Corp |
| Mercy Health Network Inc | ||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 731381689 | HEALTH CARE | OK | N/A | C-Corp |
| Mercy Managed Care Corporation | ||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 731441665 | HOLDING COMP | OK | N/A | C-Corp |
| Mercy Medical Services Inc | ||||||||
| 14528 S Outer Forty Suite 300 | Chesterfield | MO | 63017 | 710641246 | DISSOLVED 7/1/09 | MO | N/A | C-Corp |
| MHP Inc | ||||||||
| 14528 S Outer Forty Suite 300 | Chesterfield | MO | 63017 | 431697084 | HOLDING COMP | DE | N/A | C-Corp |
| St Edward Medical Services Inc | ||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72903 | 202965518 | DISSOLVED 5/5/10 | AR | N/A | C-Corp |
| UH L Corp Inc | ||||||||
| 645 Maryville Centre Drive Suite 1 | St Louis | MO | 63141 | 742499535 | HOLDING COMP | MO | N/A | C-Corp |
| Unity Support Services Inc | ||||||||
| 645 Maryville Centre Drive Suite 1 | St Louis | MO | 63141 | 431797042 | MANAGEMENT | MO | N/A | C-Corp |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (10 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| MERCY HEALTH SYSTEM OF NW ARKANSAS INC | |
| P | 168132 |
| MERCY HEALTH SYSTEM OF NW ARKANSAS INC | |
| N | 140389 |
| MERCY HEALTH SYSTEM OF NW ARKANSAS INC | |
| O | 2395428 |
| MHM SUPPORT SERVICES | |
| O | 16328978 |
| MHP INC | |
| O | 1536405 |
| MHP INC | |
| P | 282704 |
| RESOURCE OPTIMIZATION & INNOVATION LLC | |
| O | 6262081 |
| SISTERS OF MERCY HEALTH SYSTEM | |
| O | 9749544 |
| ST JOHN'S MERCY HEALTH SYSTEM | |
| O | 228092 |
| ST MARY'S HOSPITAL FOUNDATION | |
| P | 81362 |
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