2025-05-12T13:06:51-05:00 2024-06-30 990 2023-07-01 710294390 MERCY HOSPITAL ROGERS MERC 3145796100 2710 RIFE MEDICAL LANE ROGERS AR 72758 GRETA WILCHER CHIEF FINANCIAL OFFICER 3145796100 2025-05-12 1 2023 2025-03-06 01:10:19Z RYAN GEHRIG 7301 ROGERS AVENUE FORT SMITH AR 72903 442015828 0 0928 X WWW.MERCY.NET X 1995 AR AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. 3 0 0 0 4741 14 2200707 3318674 400009050 435672325 3512 22961 1768615 3001868 403981884 442015828 1314401 2203267 0 0 158814712 166993200 0 0 0 211198339 233531905 371327452 402728372 32654432 39287456 323452070 346455156 21902394 19680093 301549676 326775063 X AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. 0 0 55067272 71991530 MERCY HOSPITAL ROGERS PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY BY OFFERING ESSENTIAL HEALTH SERVICES TO ITS COMMUNITY. IN ACTIVE PURSUIT OF THIS MISSION, MERCY HOSPITAL ROGERS PROVIDES A WIDE VARIETY OF SERVICES IN THEIR 245 BED FACILITY AND IN FY24, HAD 306,745 TOTAL CASES. MERCY HOSPITAL ROGERS OFFERS COMPREHENSIVE HEART AND VASCULAR SERVICES, A WIDE VARIETY OF TREATMENT OPTIONS AND ADVANCED TECHNOLOGIES TO DIAGNOSE AND TREAT A FULL RANGE OF CONDITIONS. MERCY HOSPITAL ROGERS ALSO PROVIDES A FULL COMPLEMENT OF CARDIAC REHABILITATION, THERAPY AND EDUCATION SERVICES. IN FY24, MERCY HOSPITAL ROGERS HAD 25,491 CASES AND 8,663 PATIENT DAYS FOR THIS SERVICE LINE. 34407360 44982044 MERCY HOSPITAL ROGERS HAS A GASTROENTEROLOGY TEAM EXPERIENCED IN DIAGNOSING AND TREATING ALL TYPES OF ILLNESSES AFFECTING THE GASTROINTESTINAL TRACT. MERCY'S TEAM CAN ALLEVIATE YOUR SYMPTOMS AND REDUCE OR ELIMINATE DISCOMFORT NO MATTER WHERE IT MAY APPEAR IN YOUR DIGESTIVE SYSTEM, FROM YOUR ESOPHAGUS AND STOMACH TO YOUR SMALL AND LARGE INTESTINES, AS WELL AS THE LIVER, GALLBLADDER AND PANCREAS. IN FY24, MERCY HOSPITAL ROGERS HAD 15,233 CASES AND 7,663 PATIENT DAYS FOR THIS SERVICE LINE. 28062616 36687320 MERCY HOSPITAL ROGERS HAS A TEAM OF EXPERT DOCTORS, NURSES AND TECHNICIANS THAT BLEND COMPASSIONATE CARE WITH THE LATEST, MOST ADVANCED DIAGNOSTIC AND TREATMENT RESOURCES IN PROVIDING EMERGENCY CARE. MERCY HOSPITAL ROGERS' EMERGENCY DEPARTMENT IS READY 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS A YEAR WITH FAST, EXPERIENCED AND PROFESSIONAL CARE. IN FY24, MERCY HOSPITAL ROGERS HAD 58,393 CASES FOR THIS SERVICE LINE. 215714269 2203267 282011431 IN ADDITION TO THE PROGRAM SERVICES DESCRIBED ABOVE, MERCY HOSPITAL ROGERS ALSO SERVES PATIENTS IN ADDITIONAL SERVICE LINES, INCLUDING BUT NOT LIMITED TO THE FOLLOWING AREAS: NEUROSCIENCE; ORTHOPEDICS; PULMONARY; UROLOGY AND NEPHROLOGY; WOMEN & INFANTS. 215714269 2203267 282011431 333251517 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 1 0 0 1 X 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 X 3 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 X GRETA WILCHER 4793146000 7301 ROGERS AVENUE FORT SMITH AR 72903 X CIARAMITA MD JEFFREY PRESIDENT, SPECIALTY SERVICE LINES 1.00 54.00 X 0 1980146 161149 MOHART MD JOHN PRESIDENT, MERCY COMMUNITIES & CHAIRMAN OF BOARD 1.00 59.00 X 0 1816702 179032 SOCK SHANNON EVP, CSO & COO 1.00 49.00 X 0 3118807 329522 ECKHARDT CHRISTIE VP, CHIEF OPERATIONS COUNSEL & SECRETARY (THRU 10/ 1.00 57.00 X 0 324958 17586 GEHRIG RYAN COMMUNITY PRESIDENT 2.00 48.00 X 0 1297307 121202 HARMONING TAMMI CFO & TREASURER 0.00 50.00 X 0 248992 15708 WILKE JAMIE ASSOCIATE COUNSEL & SECRETARY 2.00 58.00 X 0 223989 12297 WILDEMAN JASON VP OUTPATIENT SERVICES 5.00 40.00 X 0 261126 34901 CESTERO RUIZ ANGEL PHYSICIAN 50.00 0.00 X 0 497707 26228 EHRHARDT MILDRED PHYSICIAN 50.00 0.00 X 0 508100 24288 HENKEL STEPHANIE PHYSICIAN 50.00 0.00 X 0 501209 16192 KUMBHUM PRADEEP PHYSICIAN 50.00 0.00 X 0 601505 14892 WILSON CYNTHIA PHYSICIAN 50.00 0.00 X 0 489630 49476 PIANALTO ERIC FORMER OFFICER 0.00 50.00 X 0 837089 101231 0 12707267 1103704 0 1 1 0 HEALTHTRUST WORKFORCE SOLUTIONS 100 SAWGRASS CORP PKWY 6TH FLOOR SUNRISE FL 33323 AGENCY STAFFING 14008426 ANESTHESIA SERV BENTON COUNTY PA 3321 N DIXIELAND ROAD ROGERS AR 72756 PHYSICIAN STAFFING SERVICES 6137942 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIEN 4301 W MARKHAM STREET LITTLE ROCK AR 72205 PURCHASED SERVICES - RESIDENCY PROGRAM 2928975 LIFEPOINT REHABILITATION LLC PO BOX 502096 ST LOUIS MO 631502096 REHAB SERVICES 2152385 OBSTETRICAL HOSPITALISTS & WOMEN'S SERVI 4140 W MEMORIAL RD STE 321 OKLAHOMA CITY OK 73120 OB SERVICES/WOMEN'S HEALTH SERVICES 1437971 50 3145924 168750 4000 3318674 NET PATIENT SERVICE REVENUE 622110 435044988 435044988 OTHER OPERATING REVENUE 900099 614904 614904 RENTAL INCOME FROM RELATED ORGANI 531120 7692 7692 LAB INCOME 621511 4741 4741 435672325 15834 15834 31544 0 31544 31544 31544 7127 0 7127 7127 7127 CAFE & VENDING 722514 689741 689741 GIFT SHOP 900099 487545 487545 MEDICAL DIRECTOR REVENUE 900099 30400 30400 1762638 1762638 2970324 442015828 435052680 4741 3639733 2203267 2203267 139201482 129993699 9207783 4697419 4388629 308790 13896965 12444500 1452465 9197334 8590775 606559 35012 35012 21716747 19483317 2233430 402073 22000 380073 3613108 3128224 484884 75571 75571 6571244 4077857 2493387 400496 349635 50861 9787 3391 6396 4299 4299 22029043 9645250 12383793 1454355 92729 1361626 DRUGS & MEDICAL EXPENSE 86261109 86261109 SHARED SERVICE FEES 54522469 17992415 36530054 BAD DEBT 33690107 33690107 REPAIRS & MAINTENANCE 1625986 555926 1070060 1120499 253116 867383 402728372 333251517 69476855 0 9094166 9817948 14208 47242639 60105253 129360 7350159 8804791 404118 357644 491830103 231663477 258291823 260166626 1069165 7059326 323452070 346455156 20984124 18598583 9000 9000 909270 909270 163240 21902394 19680093 X 301549676 326775063 301549676 326775063 323452070 346455156 X 39287456 -14062069 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 35012 35012 0 PART II-B, LINE 1: THE FILING ORGANIZATION IS A MEMBER OF AND PAYS DUES TO THE FOLLOWING HOSPITAL ASSOCIATIONS: AMERICAN HOSPITAL ASSOCIATION, CATHOLIC HEALTH ASSOCIATION, AND ARKANSAS HOSPITAL ASSOCIATION. FOR THE YEAR ENDED JUNE 30, 2024, DUES WERE $49,537, $61,724, AND $84,538, RESPECTIVELY. APPROXIMATELY 32.00% OF AMERICAN HOSPITAL ASSOCIATION DUES, 3.65% OF CATHOLIC HEALTH ASSOCIATION DUES, AND 20.00% OF ARKANSAS HOSPITAL ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED BY THESE ASSOCIATIONS. 4255161 4255161 331241408 126165502 205075906 114721 112800 1921 153083137 103730213 49352924 3135676 1654962 1480714 260166626 FORM 990, SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE PRIMARILY ALL OF THE HEALTH SYSTEM ENTITIES ARE RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS CHARITABLE ORGANIZATIONS QUALIFYING UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), BY VIRTUE OF IRS DETERMINATION LETTERS OR INCLUSION IN THE OFFICIAL CATHOLIC DIRECTORY. THE HEALTH SYSTEM COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED ON THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2024 OR 2023. 1 1 X 1 X 1 X 1 1 1 0 1 1 12565781 12565781 0.03120 35724115 31197730 4526385 0.01120 48289896 31197730 17092166 0.04240 11 1554 600841 600841 0.00150 4 1015 3406948 3406948 0.00850 3 3408409 3408409 0.00850 3 11596 50853 50853 0.00010 21 14165 7467051 7467051 0.01860 21 14165 55756947 31197730 24559217 0.06100 2 100 15663 15663 0.00000 2 100 15663 15663 0.00000 1 6297081 0 78337719 101250220 -22912501 X 1 1 2 1 MERCY HOSPITAL ROGERS 2710 RIFE MEDICAL LANE ROGERS AR 72758 WWW.MERCY.NET AR497 X X X X A 2 MERCY REHABILITATION HOSPITAL NORTHWEST ARKANSAS 4314 SOUTH PLEASANT CROSSING BOULEVARD ROGERS AR 72758 WWW.MERCY.NET AR5892 X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X X 21 1 0 0 1 X SEE PART V, SECTION C X 1 22 1 SEE PART V, SECTION C 0 1 X 200.000000000000 300.000000000000 X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: MERCY HOSPITAL ROGERS, - FACILITY 2: MERCY REHABILITATION HOSPITAL NORTHWEST ARKANS FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 3J: THE HOSPITAL FACILITY DID INCLUDE A PRIORITIZED LIST OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS IN ITS MOST RECENT CHNA REPORT.THE CHNA HAS ALL THE SECTIONS REFERENCED ABOVE AND INCLUDES AN EXECUTIVE SUMMARY, POTENTIALLY AVAILABLE RESOURCES, EVALUATION OF IMPACT, REFERENCES, AND APPENDICES. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5: IN CONDUCTING ITS COMMUNITY HEALTH NEEDS ASSESSMENT, MERCY NWA COLLECTED AND ANALYZED A SIGNIFICANT QUANTITY OF PRIMARY AND SECONDARY DATA. PRIMARY DATA WAS COLLECTED, AND COMMUNITY INPUT WAS SOLICITED, BY MEANS OF THE 2021 NORTHWEST ARKANSAS COMMUNITY HEALTH SURVEY, WHICH WAS LED BY MERCY. SECONDARY DATA WAS COLLECTED AND ANALYZED FROM PUBLICLY AVAILABLE DATA RESOURCES, LISTED BELOW, AND FROM INTERNAL MERCY DATA. NWA INDICATORS WERE COMPARED TO THOSE OF ARKANSAS AND THE UNITED STATES.THE COMMUNITY HEALTH COMMITTEE OF MERCY NWA BOARD OF DIRECTORS GUIDED THE CHNA PROCESS. THE COMMUNITY HEALTH COMMITTEE IS ACCOUNTABLE FOR OVERSEEING COMMUNITY HEALTH AND BENEFIT ACTIVITIES AND ENSURING THESE ACTIVITIES MEET MISSION, COMPLIANCE, AND IRS GUIDELINES. THE COMMITTEE MEETS QUARTERLY AND INCLUDES MEMBERS REPRESENTING NON-PROFIT, GOVERNMENT, ACADEMIC, PUBLIC HEALTH AND BUSINESS SECTORS WITHIN THE COMMUNITY. THE THOUGHTS AND OPINIONS OF PEOPLE WITHIN MERCY'S SERVICE AREA OF NORTHWEST ARKANSAS WERE CENTRAL TO THE HEALTH NEEDS ASSESSMENT PROCESS. INPUT FROM PEOPLE REPRESENTING BROAD INTERESTS OF THE COMMUNITY WAS SOLICITED THROUGH A ROBUST SURVEY PROCESS GUIDED BY A MERCY-LED COMMUNITY COALITION AND BY SEEKING INPUT FROM THE COMMUNITY HEALTH COMMITTEE OF THE BOARD AND THE BENTON COUNTY HEALTH DEPARTMENT.NORTHWEST ARKANSAS IS HOME TO HISPANIC AND MARSHALLESE MINORITY POPULATIONS THAT INCLUDE MEMBERS WHO ARE LOW-INCOME, MEDICALLY UNDERSERVED, AND EXPERIENCE SIGNIFICANT HEALTH DISPARITIES. INPUT FROM THESE GROUPS WAS SOUGHT BY INTENTIONALLY SEEKING OUT THEIR PARTICIPATION IN THE SURVEY AND BY SOLICITING INPUT FROM ORGANIZATIONS REPRESENTING THESE GROUPS.THE FOLLOWING GROUPS TOOK PART IN SOME PHASE OF THE WORK THAT GENERATED NORTHWEST ARKANSAS COMMUNITY HEALTH NEEDS ASSESSMENT: (THE NORTHWEST ARKANSAS COMMUNITY CONSISTS OF: BENTON COUNTY, AR; CARROLL COUNTY, AR; MADISON COUNTY, AR; AND WASHINGTON COUNTY, AR.) -MERCY COWORKERS WHO SERVED ON TEAMS AND DEVELOPED PROGRAMS TO RESPOND TO IDENTIFIED NEEDS. - ARKANSAS CHILDREN'S NORTHWEST, ARKANSAS DEPARTMENT OF HEALTH, BENTON, MADISON, AND WASHINGTON COUNTY HEALTH UNITS, COMMUNITY CLINIC NORTHWEST ARKANSAS, HARK AT THE EXCELLERATE FOUNDATION, MARSHALLESE CONSULATE AND COVID-19 TASK FORCE, NWA COUNCIL HEALTH CARE TRANSFORMATION DIVISION, OZARK GUIDANCE CENTER, UNIVERSITY OF ARKANSAS, UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES, VA MEDICAL CENTER, WASHINGTON REGIONAL MEDICAL CENTER, AND WHOLE HEALTH INSTITUTE.MERCY CONVENED A COMMUNITY COALITION OF 17 NORTHWEST ARKANSAS HEALTH CARE AND SOCIAL SERVICE ORGANIZATIONS TO CONDUCT A COMPREHENSIVE COMMUNITY HEALTH SURVEY IN 2021. THE SURVEY WAS DEVELOPED TO BUILD ON THE 2018 NWA COMMUNITY HEALTH SURVEY AND TO INCORPORATE INPUT AND SPECIFIC NEEDS OF THE COALITION PARTNERS. THE FINAL SURVEY WAS MADE UP OF 30 QUESTIONS FOCUSED ON HEALTH ISSUES AND NEEDS MOST IMPORTANT TO THE RESPONDENTS, WELLNESS, MENTAL HEALTH, BARRIERS TO CARE, COVID-19 VACCINATION, CHILDHOOD IMMUNIZATIONS, AND THE NWA COVID-19 RESPONSE. THE SURVEY WAS TRANSLATED INTO SPANISH AND MARSHALLESE BY CERTIFIED MEDICAL INTERPRETERS. THE NORTHWEST ARKANSAS COUNCIL HOSTED THE SURVEY ON THEIR WEBSITE FROM JULY TO SEPTEMBER 2021 IN THE THREE LANGUAGES. THE NWA COUNCIL PROMOTED THE SURVEY ON SOCIAL MEDIA, AND EACH PARTNER ORGANIZATION DISTRIBUTED THE SURVEY ELECTRONICALLY TO THEIR CO-WORKERS, PATIENTS, CLIENTS, AND COMMUNITY MEMBERS BY EMAIL AND THROUGH SOCIAL MEDIA. FLYERS AND BUSINESS CARDS WITH QR CODES FOR THE SURVEY IN EACH LANGUAGE WERE PRODUCED AND DISTRIBUTED BY COALITION PARTNERS IN THE COMMUNITY AND AT COMMUNITY EVENTS. SURVEYS WERE ALSO MADE AVAILABLE IN PAPER FORMAT FOR PARTICIPANTS WHO PREFERRED TO COMPLETE IT MANUALLY OR DID NOT HAVE COMPUTER ACCESS. INTENTIONAL EFFORTS WERE MADE TO INCLUDE AND OVERSAMPLE HISPANIC AND MARSHALLESE COMMUNITY MEMBERS BY ATTENDING COMMUNITY EVENTS, REACHING PARTICIPANTS AT WORKPLACES, USING CULTURALLY SPECIFIC SOCIAL MEDIA OUTLETS, AND UTILIZING HISPANIC AND MARSHALLESE COMMUNITY HEALTH WORKERS. 2,231 RESPONSES WERE INCLUDED IN THE FINAL ANALYTIC SAMPLE. 53% OF RESPONDENTS WERE FROM BENTON COUNTY, 39% FROM WASHINGTON COUNTY, 5% FROM CARROLL COUNTY, AND 3% FROM MADISON COUNTY. 1,647 (74%) OF RESPONDENTS WERE WHITE, 194 (9%) WERE HISPANIC, 123 (6%) WERE MARSHALLESE OR OTHER PACIFIC ISLANDER. AMERICAN INDIAN/ALASKA NATIVE, BLACK/AFRICAN AMERICAN, ASIAN, AND OTHER RACES MADE UP THE REMAINDER OF RESPONDENTS. OF THE 2,231 SURVEY RESPONDENTS FROM THE REGION, ALL INDICATED THEY LIVED IN ONE OF THE FOUR COUNTIES IN THE NORTHWEST ARKANSAS COMMUNITY. RESPONDENTS WERE ASKED TO RANK PERCEIVED COMMUNITY NEEDS, AND THE TOP 8 THAT EMERGED WERE:1. ACCESS TO AFFORDABLE HEALTH CARE2. AFFORDABLE HOUSING3. MENTAL OR BEHAVIORAL HEALTH4. COVID-195. DIABETES6. FOOD INSECURITY7. HEART DISEASE8. OBESITY AND OVERWEIGHT FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A: THE CHNA WAS NOT CONDUCTED WITH ANOTHER HOSPITAL FACILITY. MERCY HOSPITAL ROGERS PARTICIPATED IN THE NORTHWEST ARKANSAS COMMUNITY HEALTH SURVEY PORTION OF THE CHNA. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6B: THE CHNA ITSELF WAS NOT CONDUCTED WITH ANOTHER ORGANIZATION. THE OTHER ORGANIZATIONS WHO PARTICIPATED IN THE NORTHWEST ARKANSAS COMMUNITY HEALTH SURVEY WERE: ARKANSAS COALITION OF MARSHALLESE, ARKANSAS DEPARTMENT OF HEALTH, BENTON, MADISON, AND WASHINGTON COUNTY HEALTH UNITS, COMMUNITY CLINIC NORTHWEST ARKANSAS, HARK AT THE EXCELLERATE FOUNDATION, MARSHALLESE CONSULATE AND COVID-19 TASK FORCE, , NWA COUNCIL HEALTH CARE TRANSFORMATION DIVISION, OZARK GUIDANCE CENTER, UNIVERSITY OF ARKANSAS, UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES NORTHWEST, AND WHOLE HEALTH INSTITUTE. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11: IN CONJUNCTION WITH THE CHNA, MERCY HOSPITAL ROGERS' BOARD ADOPTED AN IMPLEMENTATION AND WILL ADDRESS THE COMMUNITY HEALTH NEEDS:MERCY HOSPITAL ROGERS IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA BY FOCUSING PROGRAMMING, SERVICES AND EDUCATION OR AWARENESS AROUND: (1) ACCESS TO CARE (2) BEHAVIORAL HEALTH (3) DIABETES/OBESITY/NUTRITION (4) FOOD INSECURITY1. ACCESS TO CARE FOR AT-RISK PERSONS. A COMMUNITY HEALTH WORKER PROGRAM HAS BEEN OPERATIONAL FOR OVER 4 YEARS. OUR CHWS PROVIDED RESOURCES AND ASSISTANCE TO 3,797 PATIENTS AND COMMUNITY MEMBERS IN THE TAX YEAR, INCLUDING FINANCIAL ASSISTANCE, INSURANCE AND COMMUNITY RESOURCES. MERCY IS IN ITS NINTH YEAR OF OFFERING AN INTERNAL MEDICINE RESIDENCY PROGRAM IN PARTNERSHIP WITH UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES TO INCREASE THE NUMBER OF PRACTICING PRIMARY CARE PHYSICIANS IN THE AREA. THE PROGRAM CURRENTLY HAS 32 RESIDENTS ENROLLED. A PARTNERSHIP WITH THREE CHILDREN'S ADVOCACY CENTERS PROVIDES COORDINATION, COLLABORATION AND OVERSIGHT OF SEXUAL ASSAULT NURSE EXAMINERS PERFORMING FORENSIC EXAMINATIONS TO VICTIMS OF ABUSE. THE SANE COORDINATOR OVERSAW A TOTAL OF 320 MEDICAL EXAMS PERFORMED BY SANE NURSES AT FOUR COMMUNITY LOCATIONS. A NEW MEDICATION ASSISTANCE PARTNERSHIP WITH A LOCAL PHARMACY BEGAN IN NOVEMBER 2021 AND ASSISTED 92 PATIENTS WITH 492 PRESCRIPTIONS DURING THE TAX YEAR. WITH A PARTNERSHIP WITH A LOCAL MEDICAL SUPPLY COMPANY, 95 PATIENTS MEETING CRITERIA FOR ASSISTANCE WERE PROVIDED WITH NEEDED MEDICAL EQUIPMENT AND SUPPLIES. 15 PATIENTS WITH HOUSING INSECURITY RECEIVED 32 HOTEL NIGHTS.2. BEHAVIORAL HEALTH. A COLLABORATIVE CARE PROGRAM SUPPORTING PRIMARY CARE PROVIDERS IN PROVIDING MENTAL AND BEHAVIORAL HEALTH SERVICES TO PATIENTS IN NEED STARTED IN THE TAX YEAR. BY THE END OF THE YEAR, 760 PATIENTS HAD BEEN REFERRED AND 399 ENROLLED IN THE PROGRAM, WHICH OPERATES VIRTUALLY. AN INTEGRATED VIRTUAL BEHAVIORAL HEALTH PROGRAM BEGAN DURING THE TAX YEAR TO PROVIDE INTEGRATED, REGIONAL SUPPORT FOR INPATIENTS AND EMERGENCY DEPARTMENT PATIENTS WITH BEHAVIORAL HEALTH NEEDS. 578 ENCOUNTERS HAVE BEEN COMPLETED BY VIRTUAL BEHAVIORAL HEALTH CO-WORKERS SINCE THE PROGRAM WENT LIVE IN JANUARY 2023.3. DIABETES. MERCY HAS MAINTAINED A CDC FULLY RECOGNIZED DIABETES PREVENTION PROGRAM FOR SEVEN FULL YEARS. 380 PARTICIPANTS HAVE ENROLLED AND COMPLETED AT LEAST 4 CLASS SESSIONS SINCE THE PROGRAM. AVERAGE WEIGHT LOSS OF PARTICIPANTS COMPLETING AT LEAST THE FIRST 6 MONTHS OF THE PROGRAM WAS 7% IN THE LAST YEAR, AND 58% OF PARTICIPANTS REDUCED THEIR HBA1C OR FASTING GLUCOSE LEVELS TO NORMAL. MERCY CONTINUES TO PROVIDE DIABETES SELF-MANAGEMENT EDUCATION CLASSES. CORAZONES FUERTES, A HEALTH SCREENING AND SPANISH-LANGUAGE, CULTURALLY RELEVANT HEART DISEASE RISK FACTOR EDUCATION PROGRAM FOR HISPANIC WOMEN IS A PARTNERSHIP WITH THE AMERICAN HEART ASSOCIATION. 282 COMMUNITY MEMBERS WERE SCREENED FOR DIABETES AND LIPID DISORDERS. 5 EDUCATIONAL SESSIONS WERE HELD FOR 46 COMMUNITY MEMBERS.4. FOOD INSECURITY. MERCY HOSPITAL ROGERS IS GOING TO WORK TO DECREASE FOOD INSECURITY AMONG PERSONS AT RISK IN NORTHWEST ARKANSAS. MERCY COWORKERS OPENED THE FIRST LITTLE FREE PANTRY IN 2016 TO PROVIDE FOOD AND OTHER ESSENTIALS TO THE COMMUNITY. CURRENTLY NINE LITTLE FREE PANTRIES ARE LOCATED AT MERCY HOSPITAL AND CLINIC LOCATIONS AND A FOOD BOX PROGRAM HAS BEEN STARTED TO HELP COMMUNITY HEALTH WORKERS ASSIST PATIENTS IN IMMEDIATE NEED OF FOOD ASSISTANCE.OTHER HEALTH ISSUES IDENTIFIED IN THE CHNA PROCESS (AFFORDABLE HOUSING, COVID-19 AND HEART DISEASE) WERE NOT CHOSEN AS PRIORITY FOCUS AREAS FOR DEVELOPMENT OF THE CURRENT COMMUNITY HEALTH IMPROVEMENT PLAN DUE TO MERCY'S CURRENT LACK OF RESOURCES AVAILABLE TO ADDRESS THESE NEEDS AND THE INTENTION TO FOCUS ON THE FOUR PRIORITIZED HEALTH NEEDS. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 20E: OTHER AREAS FROM A NOTICE PERSPECTIVE: FAP IS POSTED IN ALL REGISTRATION AREAS, FULL POLICY AND PLAIN LANGUAGE DOCUMENT POSTED ON WEBSITE, PLAIN LANGUAGE DOCUMENT IS AVAILABLE WHEN REQUESTED, THERE IS A NOTICE ON STATEMENT, AND ALL PATIENTS GET THREE STATEMENTS BEFORE THEY CAN GO TO A COLLECTION AGENCY. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 7A HTTPS://WWW.MERCY.NET/CONTENT/DAM/MERCY/EN/PDF/CHNA/NWA-CHNA-2022.PDF FORM 990, SCHEDULE H, PART V, SECTION B, LINE 10A HTTPS://WWW.MERCY.NET/CONTENT/DAM/MERCY/EN/PDF/CHIP/MERCY-NWA-CHIP-2023.PDF FORM 990, SCHEDULE H, PART V, SECTION B, LINES 16A, 16B, & 16C THE FINANCIAL ASSISTANCE POLICY, APPLICATION AND A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY ARE AVAILABLE ONLINE AT HTTPS://WWW.MERCY.NET/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/ 2 1 - CENTER FOR NON-PROFITS 1200 W WALNUT ROGERS AR 72756 HOME CARE 2 - MERCY WOUND CARE 1194 W WALNUT ROGERS AR 72756 WOUND CARE PART I, LINE 6A: THE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS PREPARED BY ITS ULTIMATE PARENT ENTITY, MERCY HEALTH (EIN: 43-1423050). PART I, LINE 7: TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) ARE $402,728,372. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $33,690,107. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $369,038,265. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICESTHE PHYSICIAN CLINICS ARE INCLUDED AS A NET AMOUNT (INCOME LESS EXPENSES) ALLOCATED BY THE CLINICAL SERVICE LINE IN THE INDIRECT COST. PART II, COMMUNITY BUILDING ACTIVITIES: MERCY HOSPITAL CONDUCTED TWO WORKFORCE DEVELOPMENT ACTIVITIES TO SUPPORT THE COMMUNITY. THE BENTONVILLE IGNITE PROGRAM PROVIDED MENTORSHIP AND PRACTICAL EXPERIENCE TO 80 HIGH SCHOOL STUDENTS INTERESTED IN HEALTH CARE CAREERS. THE MASH PROGRAM PROVIDED SUMMER PRACTICAL EXPERIENCES AND OPPORTUNITIES FOR 8 HIGH SCHOOL STUDENTS CONSIDERING APPLYING TO MEDICAL SCHOOL. PART III, LINE 2: TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE, AT COST, BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENT ACCOUNTS WAS MULTIPLIED BY A RATIO OF COST TO CHARGES. THE RATIO OF COST TO CHARGES USED WAS BASED ON DETAILED COST ACCOUNT, WHERE AVAILABLE. WHERE COST ACCOUNTING IS NOT AVAILABLE, COST REPORT COST TO CHARGE RATIOS WERE UTILIZED. PART III, LINE 3: THE FILING ORGANIZATION DETERMINED THAT THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS $0. ALTHOUGH THE CHARITY CARE POLICY REQUIRES THE PARTICIPATION OF THE PATIENT REQUESTING ASSISTANCE, WE HAVE A PROCESS UNDER PRESUMPTIVE CHARITY 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. PART III, LINE 4: IN MAY 2014, THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) AND INTERNATIONAL ACCOUNTING STANDARDS BOARD ISSUED ACCOUNTING STANDARDS UPDATE (ASU) 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606). THE HEALTH SYSTEM ADOPTED ASU 2014-09 ON JULY 1, 2018 USING A FULL RETROSPECTIVE BASIS. UPON ADOPTION, THE MAJORITY OF WHAT WAS PREVIOUSLY CLASSIFIED AS PROVISION FOR UNCOLLECTIBLE ACCOUNTS AND PRESENTED AS A REDUCTION TO PATIENT SERVICE REVENUE ON THE CONSOLIDATED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS IS TREATED A PRICE CONCESSION THAT REDUCES THE TRANSACTION PRICE, WHICH IS REPORTED AS PATIENT SERVICE REVENUE. AS SUCH, BAD DEBT EXPENSE IS NOT REFERENCED IN MERCY HEALTH AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS.BAD DEBT EXPENSE IS TRACKED FOR FORM 990 REPORTING AS FOLLOWS: PATIENT ACCOUNTS RECEIVABLE THAT ARE DEEMED UNCOLLECTIBLE, INCLUDING THOSE PLACED WITH COLLECTION AGENCIES, ARE INITIALLY CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN ACCORDANCE WITH COLLECTION POLICIES OF THE HEALTH SYSTEM AND, IN CERTAIN CASES, ARE RECLASSIFIED TO CHARITY CARE IF DEEMED TO OTHERWISE MEET THE HEALTH SYSTEM'S CHARITY CARE POLICY. THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES BASED UPON THE PAYOR COMPOSITION AND AGING OF RECEIVABLES WITH CONSIDERATION OF THE HISTORICAL PAYMENT AND WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES. PART III, LINE 8: IT IS THE POSITION OF MERCY THAT 100% OF ANY SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS AMOUNT REPRESENTS COST OF PROVIDING SERVICES THAT REMAIN UNCOMPENSATED TO THE PROVIDER. THE UNREIMBURSED COSTS OF MEDICARE IS CALCULATED BY THE GROSS CHARGES NET OF THE COST TO CHARGE RATIO LESS ANY PAYMENTS, DEDUCTIONS OR REIMBURSEMENTS USING THE ANNUAL MEDICARE COST REPORT (CMS FORM 2552-96). PART III, LINE 9B: MERCY'S COLLECTION POLICY PROVIDES THAT MERCY WILL PERFORM A REASONABLE COMMUNICATION AND/OR REVIEW OF PATIENT ACCOUNTS AS IT RELATES TO ANY SERVICE PROVIDED AT OUR FACILITIES BEFORE TURNING THE ACCOUNT TO BAD DEBT FOR NONPAYMENT. MERCY ACTIVELY SCRUBS ACCOUNTS FOR PAYOR PLAN COVERAGE, INCLUDING MEDICAID. IN THE EVENT AN ACCOUNT IS TURNED TO COLLECTIONS AND IS IDENTIFIED IN NEED OF FINANCIAL ASSISTANCE DUE TO CIRCUMSTANCE CHANGES, OR PATIENT IS NOW REQUESTING ASSISTANCE, THE ACCOUNTS ARE RETURNED BY THE AGENCY AND CONSIDERED FOR CHARITY IF THE PATIENT PROVIDES THE REQUESTED INFORMATION. IF THE PATIENT FAILS TO RETURN THE INFORMATION, THE ACCOUNT WILL QUALIFY FOR COLLECTIONS.MERCY UTILIZES THE EXPERIAN TOOL TO ENHANCE THE ABILITY TO DETERMINE THE CHARITY QUALIFICATION PRIOR TO TURNING TO BAD DEBT, A PROCESS KNOWN AS PRESUMPTIVE CHARITY FOR ALL COMMUNITIES EXCEPT JOPLIN, MAUDE NORTON, CARTHAGE, SOUTHEAST KANSAS, CAPE GIRARDEU AND STODDARD. THIS PRESUMPTIVE SCREENING PROCESS DETAILS EVALUATIONS THAT TAKE PLACE PRIOR TO PATIENT BILLING AND ADDITIONALLY PRIOR TO BAD DEBT PLACEMENT. THE PRESUMPTIVE SCREENING WAS PER ENCOUNTER AND DID NOT PROMOTE ANY LOOK-BACK ADJUSTMENTS.MERCY WILL GRANT CHARITY IN SITUATIONS WHERE THERE HAS BEEN AN INABILITY TO OBTAIN INFORMATION FROM PATIENTS OR THE INFORMATION PROVIDED IS NOT COMPLETE ENOUGH TO MAKE A CHARITY DETERMINATION WHEN A PATIENT HAS SUBMITTED AN APPLICATION.MERCY WILL PURSUE APPROPRIATE MEANS IN THE COLLECTION OF DELINQUENT ACCOUNTS FROM PATIENTS WITH AN ESTABLISHED ABILITY TO PAY OR AN UNWILLINGNESS TO COOPERATE IN VALIDATING ELIGIBILITY FOR FINANCIAL ASSISTANCE. THESE APPROPRIATE MEANS MAY INCLUDE PLACEMENT WITH A COLLECTION AGENCY CONSISTENT WITH MERCY MISSION AND VALUES. THIS OCCURS AFTER 3 MONTHLY STATEMENTS HAVE BEEN SENT WITH THE FINAL STATEMENT INCLUDING NOTIFICATION OF PLACEMENT WITH A COLLECTION AGENCY. WHILE MERCY USES THE COLLECTION FOLLOW-UP SERVICES OF COLLECTION AGENCIES, MERCY WILL NOT UTILIZE ANY TYPE OF EXTRAORDINARY COLLECTION ACTIVITY. THE DEFINITION OF EXTRAORDINARY COLLECTION ACTIVITY IS TAKEN FROM THE 501(R) DESCRIPTION. PART VI, LINE 2: MERCY HOSPITAL NORTHWEST ARKANSAS COMPLETED A COMPREHENSIVE AND THOROUGH COMMUNITY HEALTH NEEDS ASSESSMENT IN 2021 AND BELIEVES THE ASSESSMENT PROCESS IS COMPREHENSIVE ENOUGH TO SUBSTANTIALLY CAPTURE THE COMMUNITY'S HEALTH RELATED NEEDS. THEREFORE, NO ADDITIONAL NEEDS ASSESSMENTS WERE UNDERTAKEN. THE NEEDS ASSESSMENT PROCESS INCLUDES MEASUREMENT OF A WIDE VARIETY OF DEMOGRAPHIC AND PUBLIC HEALTH INDICATORS, INCLUDING THOSE MEASURING SOCIAL DETERMINANTS OF HEALTH AND THOSE FOCUSED PARTICULARLY ON UNDERSERVED AND VULNERABLE POPULATIONS. HOSPITAL UTILIZATION DATA IS ALSO COLLECTED. THE PROCESS INCLUDED A COMMUNITY-WIDE ELECTRONIC HEALTH NEEDS SURVEY, AND A HEALTH SURVEY FOCUSED SPECIFICALLY ON UNINSURED PATIENTS. THE COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPLEMENTATION STRATEGY ARE OVERSEEN AND MONITORED BY A COMMUNITY HEALTH COMMITTEE OF THE HOSPITAL BOARD WHOSE MEMBERS INCLUDE LOCAL GOVERNMENT AND PUBLIC HEALTH OFFICIALS, DIRECTORS OF SEVERAL AREA NONPROFIT ORGANIZATIONS, AND REPRESENTATIVES OF THE BUSINESS COMMUNITY. THE SUBCOMMITTEE MEETS QUARTERLY, ASSISTS IN IDENTIFYING NEW NEEDS OR CONCERNS WHICH MAY HAVE RISEN, REVIEWS THE IMPLEMENTATION STRATEGY, REVISING PROGRAMS AND STRATEGIES AS NECESSARY TO MEET THE EVOLVING NEEDS OF THE COMMUNITY. PART VI, LINE 3: MERCY INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY THROUGH SEVERAL MEANS. IF AT ANY TIME A PATIENT EXPRESSES HARDSHIP AND INABILITY TO PAY, THE ACCOUNT IS PLACED FOR REVIEW. IN ADDITION, PATIENTS HAVE SIGNAGE ABOUT THE POLICY AT THE ACCESS POINTS, AND ALL STAFF WORKING WITH THE PATIENT AT POINT OF SERVICE, SCHEDULING, CUSTOMER SERVICE, AND EVEN THROUGH THE MEDICAID ELIGIBILITY SCREENING HAVE THE MEANS TO SEND THE ACCOUNT FOR REVIEW. THERE IS THE PLAIN LANGUAGE SUMMARY THAT IS BEING PROVIDED TO ALL WHOM EXPRESS HARDSHIP, IN ADDITION TO THE WEB ADDRESS PROVIDING THE APPLICATION, POLICIES, AND EVEN HOW UNINSURED ACCOUNTS ARE HANDLED. LASTLY, THE STATEMENTS MESSAGE TO THE PATIENT THAT MERCY DOES HAVE A FINANCIAL ASSISTANCE PROGRAM AND TO CALL TO SEE IF THEY ARE ELIGIBLE. MERCY STAFF'S INTERNAL RESOURCES CERTIFIED TO ASSIST PATIENTS WITH MEDICAID APPLICATIONS AS WELL. PART VI, LINE 4: THE PRIMARY SERVICE AREA FOR MERCY HOSPITAL ROGERS INCLUDES 60 ZIP CODES ACROSS THE BORDER OF ARKANSAS AND MISSOURI. THE FOLLOWING INFORMATION IS DERIVED FROM THE ADVISORY BOARD DEMOGRAPHICS AND AHA ANALYTICS. THE AREA'S POPULATION IS 582,338. THE MEDIAN HOUSEHOLD INCOME IS $57,000. 89% OF THE POPULATION IS A HIGH SCHOOL GRAD OR GREATER AND THE MEDIAN AGE IS 33. 15.0% OF THE HOUSEHOLDS ARE ON MEDICARE, 16.3% ON MEDICAID, AND 10.0% UNINSURED. PART VI, LINE 5: MERCY HOSPITAL ROGERS, IN ACCORDANCE WITH ITS MISSION AND VALUES, PROVIDES QUALITY AND COMPASSIONATE HEALTH CARE TO PATIENTS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, DISABILITY, AGE OR ABILITY TO PAY. MERCY VIEWS ITS HEALTH CARE SERVICES AS A MINISTRY, WHETHER CARE IS PROVIDED IN THE ACUTE CARE, AMBULATORY, OR HOME-HEALTH ENVIRONMENT. MERCY IS GOVERNED BY A BOARD OF DIRECTORS COMPRISED OF COMMUNITY LEADERS AND REPRESENTATIVES OF THE COMMUNITY. THE MAJORITY OF THE BOARD MEMBERS RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA AND ARE NEITHER EMPLOYEES, INDEPENDENT CONTRACTORS, OR FAMILY MEMBERS OF EMPLOYEES OR INDEPENDENT CONTRACTORS. ALL BOARD MEMBERS COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY AND ANY POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED AND RESOLVED. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. SURPLUS FUNDS ARE REINVESTED IN PATIENT CARE, MEDICAL EDUCATION, AND RESEARCH INITIATIVES WHICH SUPPORT THE HOSPITAL'S MISSION TO DELIVER COMPASSIONATE CARE AND EXCEPTIONAL HEALTH SERVICES TO ITS COMMUNITY.MERCY IS COMMITTED TO PROMOTING THE HEALTH OF NORTHWEST ARKANSAS AND THE SURROUNDING AREA BY SERVING AS A COMMUNITY HEALTH LEADER AND A VISIBLE PARTNER IN COMMUNITY ACTIVITIES. MERCY PARTICIPATED IN COMMUNITY HEALTH FAIRS AND SCREENINGS, PROVIDED FIRST AID SERVICES AND SPONSORS HEALTH-RELATED RUNS AND WALKS. MERCY IS ALSO DEEPLY COMMITTED TO THE EDUCATION AND TRAINING OF FUTURE HEALTH CARE PROFESSIONALS, PROVIDING TRAINING OPPORTUNITIES FOR STUDENTS IN MEDICINE, NURSING, PHYSICAL THERAPY, IMAGING, NUTRITION, RESPIRATORY THERAPY, LABORATORY, PHARMACY, AND PARAMEDIC PROGRAMS. MERCY COWORKERS WERE ACTIVELY INVOLVED IN VOLUNTEER PROJECTS TO BENEFIT THE LOCAL COMMUNITY. THESE INCLUDED FOOD AND CLOTHING DRIVES, ASSEMBLING SNACK PACKS FOR LOW INCOME CHILDREN, AND PROVIDING CHRISTMAS GIFTS FOR NEEDY FAMILIES. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEMTHE FILING ORGANIZATION IS PART OF MERCY HEALTH ("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 ARKANSAS, LOUISIANA, MISSISSIPPI, AND TEXAS. MERCY'S MISSION IS "AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE." AS OF JUNE 30, 2024, MERCY FACILITIES INCLUDED 32 ACUTE CARE HOSPITALS, 5 HEART HOSPITALS, 7 REHAB HOSPITALS, 2 CHILDREN'S HOSPITALS, 3 ORTHOPEDIC HOSPITALS, AND 1 VIRTUAL CARE COMMAND CENTER. FOR THE FISCAL YEAR ENDED JUNE 30, 2024, MERCY HAD MORE THAN 11.9 MILLION CLINIC AND OUTPATIENT VISITS, APPROXIMATELY 2,600 EMPLOYED PHYSICIANS, AND APPROXIMATELY 52,000 FULL-TIME EQUIVALENT EMPLOYEES, MAKING MERCY THE SIXTH LARGEST CATHOLIC HEALTH SYSTEM IN THE UNITED STATES. 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: FINANCE (INCLUDING TREASURY, FINANCIAL ACCOUNTING AND REPORTING, REVENUE MANAGEMENT, INTERNAL AUDIT, ACCOUNTS PAYABLE AND PAYROLL OPERATIONS, ANALYTICS AND DECISION SUPPORT); ENVIRONMENTAL SERVICES SUPPORT; CLINICAL INTEGRATION; CARE MANAGEMENT; CLINICAL PERFORMANCE ACCELERATION; CLINICAL ENGINEERING; CLINICAL QUALITY MANAGEMENT; COMPLIANCE; GRANTS AND RESEARCH SERVICES; LEGAL AND COMPLIANCE COUNSEL; MARKETING AND COMMUNICATIONS; PLANNING, DESIGN AND CONSTRUCTION; PRODUCT DEVELOPMENT INFORMATICS; REAL ESTATE; SUPPLY CHAIN MANAGEMENT; MANAGED CARE STRATEGY SUPPORT; HUMAN RESOURCES (INCLUDING COMPENSATION, BENEFITS AND RECRUITING); MISSION SERVICES AND ETHICS; PHILANTHROPY SUPPORT; INFORMATION TECHNOLOGY; AND, COMMUNITY RELATIONS. THE CENTRALIZATION OF SUCH SUPPORT SERVICES ENABLES MERCY TO ENSURE THAT EACH OF ITS COMMUNITIES, WHETHER LARGE OR SMALL, HAS THE SERVICES IT NEEDS. FORM 990, SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: N/A 1 MERCY HEALTH FOUNDATION NORTHWEST ARKANSAS 2710 RIFE MEDICAL LANE ROGERS AR 72758 710601687 501 (C) (3) 1509167 0 TO SUPPORT ORGS MISSION STM - DIALYSIS CENTERS OF NORTHWEST ARKANSAS 107 E MONTE PAINTER DRIVE FAYETTEVILLE AR 72703 432074310 501 (C) (3) 694100 0 TO SUPPORT ORGS MISSION 2 0 PART I, LINE 2: DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING USE OF GRANTS THE ASSISTANCE PROVIDED IS INTENDED TO BE USED FOR THE GENERAL OPERATING PURPOSES OF THE DONEE. THE USE OF GRANT FUNDS IS NOT MONITORED AFTER GRANTS ARE GIVEN. HOWEVER, ONE OF THE GRANTEES IS PART OF MERCY HEALTH AND THEREFORE A RELATED ORGANIZATION TO MERCY HOSPITAL ROGERS. LEADERSHIP OF THE HOSPITAL AND THE GRANTEE COMMUNICATE ON HOW FUNDS ARE USED, ALTHOUGH THERE IS NO FORMAL MONITORING PROCESS. 0 1 0 0 0 0 0 0 0 SOCK SHANNON EVP, CSO & COO 0 1235045 0 1687800 0 195962 0 313050 0 16472 0 3448329 0 594576 CIARAMITA MD JEFFREY PRESIDENT, SPECIALTY SERVICE LINES 0 871442 0 1065148 0 43556 0 145277 0 15872 0 2141295 0 425736 MOHART MD JOHN PRESIDENT, MERCY COMMUNITIES & CHAIR 0 923254 0 838235 0 55213 0 159013 0 20019 0 1995734 0 0 GEHRIG RYAN COMMUNITY PRESIDENT 0 518923 0 702574 0 75810 0 101547 0 19655 0 1418509 0 196083 PIANALTO ERIC FORMER OFFICER 0 372717 0 439634 0 24738 0 85456 0 15775 0 938320 0 161367 KUMBHUM PRADEEP PHYSICIAN 0 503081 0 53074 0 45350 0 2885 0 12007 0 616397 0 0 WILSON CYNTHIA PHYSICIAN 0 418404 0 39389 0 31837 0 33105 0 16371 0 539106 0 0 EHRHARDT MILDRED PHYSICIAN 0 438138 0 37650 0 32312 0 13971 0 10317 0 532388 0 0 CESTERO RUIZ ANGEL PHYSICIAN 0 416976 0 38914 0 41817 0 6100 0 20128 0 523935 0 0 HENKEL STEPHANIE PHYSICIAN 0 418908 0 36859 0 45442 0 9337 0 6855 0 517401 0 0 ECKHARDT CHRISTIE VP, CHIEF OPERATIONS COUNSEL & SECRE 0 214326 0 71422 0 39210 0 3386 0 14200 0 342544 0 0 WILDEMAN JASON VP OUTPATIENT SERVICES 0 150276 0 50632 0 60218 0 15380 0 19521 0 296027 0 0 HARMONING TAMMI CFO & TREASURER 0 189012 0 51528 0 8452 0 4416 0 11292 0 264700 0 0 WILKE JAMIE ASSOCIATE COUNSEL & SECRETARY 0 175315 0 32753 0 15921 0 2183 0 10114 0 236286 0 0 PART I, LINE 3 MERCY HOSPITAL ROGERS RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTION 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS. FORM 990, SCHEDULE J, PART I, QUESTION 4B MERCY OFFERS SUPPLEMENTAL RETIREMENT PLANS TO CERTAIN EXECUTIVES WHICH PROVIDE BENEFITS UPON VESTING DATE BASED ON COMPENSATION, AGE AT THE TIME OF BENEFIT COMMENCEMENT, LENGTH OF SERVICE WITH THE COMPANY AND/OR ITS AFFILIATES, AND LENGTH OF TENURE IN THE PLAN. THE PLANS ARE CLOSED TO NEW ENTRANTS. THE INDIVIDUAL REPORTABLE ON THIS RETURN WHO PARTICIPATES IN THE SUPPLEMENTAL RETIREMENT PLANS IS SHANNON SOCK. THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C). THE FOLLOWING INDIVIDUALS RECEIVED PAYOUTS FROM THE PLAN DURING THE YEAR: SHANNON SOCK - $164,768 FORM 990, SCHEDULE J, PART II THE AMOUNTS REPORTED FOR DR. JEFF CIARAMITA, SHANNON SOCK, RYAN GEHRIG AND ERIC PIANALTO IN COLUMN (F) ARE EITHER INCLUDED IN B(I) AS BASE COMPENSATION, B(II) AS BONUS AND INCENTIVE COMPENSATION, OR B(III) AS OTHER REPORTABLE COMPENSATION. THESE AMOUNTS ARE A PAYOUT OF THE SUPPLEMENTAL RETIREMENT PLAN AND EXECUTIVE RETENTION PLAN AND WERE INCLUDED IN COLUMN (C) OF PREVIOUSLY FILED FORMS 990. DIALYSIS CENTERS OF NORTHWEST ARKANSAS OFFICER OF THE ORGANIZATION AND A BOARD MEMBER OF DIALYSIS CENTERS OF NWA 1048236 SERVICES CONTRACT 0 FORM 990, PART V, QUESTION 1A FORM 1099/1096 FILING VENDORS FOR THE FILING ORGANIZATION ARE PAID BY MERCY HEALTH (EIN 43-1423050). AS SUCH, ALL REQUIRED FORM 1099 AND FORM 1096 REPORTING IS MADE FOR THE ENTIRE MERCY HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN. FORM 990, PART V, QUESTION 2A W-3 FILING MOST EMPLOYEES ARE PAID BY A RELATED ORGANIZATION UNDER A COMMON PAYMASTER ARRANGEMENT. AS SUCH, REQUIRED PAYROLL FILING (INCLUDING W-2 AND W-3'S) IS REPORTED UNDER THE RELATED ORGANIZATION, MHM SUPPORT SERVICES, EIN 20-2553101. FORM 990, PART VI, SECTION A, LINE 6 THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE CORPORATE MEMBER HAS THE AUTHORITY TO: -TO APPOINT AND REMOVE MEMBERS OF THE BOARD; AND, -TO APPOINT AND REMOVE THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING GOVERNANCE DECISIONS ARE RESERVED TO THE SOLE CORPORATE MEMBER: - TO APPROVE THE MISSION AND ESTABLISH THE PHILOSOPHY ACCORDING TO WHICH THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION SHALL OPERATE; - TO AMEND THE ARTICLES OF INCORPORATION AND BYLAWS; - TO APPROVE OR AMEND THE STRATEGIC PLAN, GOALS, AND OBJECTIVES OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - TO APPROVE OR AMEND THE OPERATING, CAPITAL AND CONSTRUCTION BUDGETS FOR THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - 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); - TO ENCUMBER ANY OR ALL OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - TO AUTHORIZE AND APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTE ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; - TO MERGE, DISSOLVE, OR ABANDON THE CORPORATION; AND, - TO APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION BY THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B DSCR THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 THE FORM 990 IS PREPARED BY MERCY HEALTH'S TAX DEPARTMENT, USING INFORMATION PROVIDED BY THE FILING ORGANIZATION. A DRAFT FORM 990 IS REVIEWED BY THE FILING ORGANIZATION'S FINANCE TEAM, INCLUDING THE DIRECTOR OF FINANCE AND THE CHIEF FINANCIAL OFFICER. THE DRAFT FORM 990 IS ALSO REVIEWED BY MERCY HEALTH'S TAX DEPARTMENT, TO ENSURE ACCURACY AND CONSISTENCY WITH OTHER RELATED ORGANIZATIONS' FORMS 990. AFTER QUESTIONS ARISING FROM THE VARIOUS REVIEWS ARE ADDRESSED AND INCORPORATED INTO THE FORM 990, A REVISED DRAFT IS PROVIDED TO THE FILING ORGANIZATION'S LEADERSHIP TEAM, INCLUDING THE CFO AND CEO, FOR REVIEW. ONCE REVIEWED AND APPROVED BY THE FILING ORGANIZATION'S LEADERSHIP TEAM, THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW; IT IS THEN SIGNED AND FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER DISQUALIFIED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY AND DID SO IN THE NORMAL COURSE FOR THE YEAR ENDED JUNE 30, 2024. THIS PROCESS IS ADMINISTERED AT THE MERCY HEALTH LEVEL BY MERCY'S CORPORATE COMPLIANCE DEPARTMENT. THE CONFLICTS AND THEIR RESPECTIVE RESOLUTIONS ARE SHARED AT THE MERCY LEVEL WITH A TEAM INCLUDING MERCY'S SENIOR VICE PRESIDENT OF FINANCIAL OPERATIONS & PLANNING, CHIEF COMPLIANCE OFFICER AND OTHER MEMBERS OF FINANCE, LEGAL AND HR. THE QUESTIONNAIRES ARE THEN REVIEWED WITH LEADERSHIP AT THE LOCAL LEVEL AND POTENTIAL CONFLICTS DISCUSSED AND RESOLVED. SUMMARY RESULTS ARE REVIEWED WITH MERCY'S STEWARDSHIP COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY EMPLOYEES FOR THE TOP MANAGEMENT OFFICIALS, THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS) AND KEY EMPLOYEES, THE ORGANIZATION RELIES UPON MERCY HEALTH, WHICH USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, AND ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT. FOR CERTAIN EXECUTIVES AND PHYSICIANS THE COMPENSATION IS REVIEWED/APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF MERCY HEALTH. FOR ALL OTHER CAREGIVERS COMPENSATION IS REVIEWED/APPROVED BY THE TOTAL REWARDS OVERSIGHT COMMITTEE. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS AND REVIEW WAS COMPLETED DURING THE REPORTING YEAR. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST BUT ARE NOT PUBLISHED PUBLICLY. FORM 990, PART VII, SECTION A FORMER EMPLOYEE COMPENSATION IS REPORTED FOR THE CALENDAR YEAR ENDING WITHIN THE ORGANIZATION'S FISCAL YEAR WHILE AVERAGE HOURS ARE BASED ON THE FISCAL YEAR PERIOD FROM JULY 1, 2023 THROUGH JUNE 30, 2024. FORM 990, PART XI, LINE 9: NET TRANSFERS (TO)/FROM AFFILIATES -14,062,043. GAIN/LOSS ON ASSET, INTEREST -23. ROUNDING -3. FORM 990, PART XII, QUESTION 2C AUDIT OF FINANCIAL STATEMENTS THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN MERCY HEALTH AND SUBSIDIARIES ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 2024 (THE TAX YEAR CURRENTLY BEING REPORTED). HOWEVER, NO SEPARATE AUDIT OPINION WAS ISSUED ON THE FINANCIAL STATEMENTS OF THE FILING ORGANIZATION. THE ULTIMATE RESPONSIBILITY FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE EXTERNAL AUDITOR LIES WITH THE STEWARDSHIP COMMITTEE OF THE MERCY HEALTH BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE. FORM 990, PART XII, QUESTION 3A AND 3B SINGLE AUDIT ACT AND 2 CFR 200 AUDIT MERCY HEALTH UNDERGOES A CONSOLIDATED 2 CFR 200 AUDIT EVERY YEAR AND THIS AUDIT WAS COMPLETED FOR THE FISCAL YEAR ENDING JUNE 30, 2024 BY DECEMBER 13, 2024. EACH ENTITY THAT RECEIVES FEDERAL FUNDS DURING THE YEAR IS INCLUDED ON THE SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS (SEFA) AND IS ALSO INCLUDED IN THE POPULATION INCLUDED IN THE AUDIT. IF THE FILING ENTITY RECEIVED FEDERAL FUNDS DURING THE YEAR ENDED JUNE 30, 2024, IT WILL BE INCLUDED ON THE MERCY HEALTH CONSOLIDATED SEFA, AND THEREFORE, ALSO INCLUDED IN THE POPULATION INCLUDED IN THE AUDIT. CASA DE MISERICORDIA 1000 MIER ST LAREDO TX 78040 742912461 WOMEN'S DOMESTIC VIOLENCE SHELTER TX 501(C)(3) LINE 7 MERCY MINISTRIES OF LAREDO 1 MCAULEY PORTFOLIO MANAGEMENT COMPANY 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 261708048 PORTFOLIO MANAGEMENT. MO 501(C)(3) LINE 12B, II MERCY HEALTH 1 MERCY ACO CLINICAL SERVICES INC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 464504901 VIRTUAL CARE CENTER MO 501(C)(3) LINE 3 MERCY HEALTH 1 MERCY CLINIC EAST COMMUNITIES 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 431771217 PHYSICIAN GROUP MO 501(C)(3) LINE 10 MERCY HEALTH EAST COMMUNITIES 1 MERCY CLINIC FORT SMITH COMMUNITIES 7301 ROGERS AVENUE FORT SMITH AR 72903 261318597 PHYSICIAN CLINIC AR 501(C)(3) LINE 3 MERCY HEALTH FORT SMITH COMMUNITIES 1 MERCY CLINIC OKLAHOMA COMMUNITIES INC 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 270473057 PHYSICIAN GROUP OK 501(C)(3) LINE 3 MERCY HEALTH OKLAHOMA COMMUNITIES INC 1 MERCY CLINIC SPRINGFIELD COMMUNITIES 1965 S FREMONT SUITE 200 SPRINGFIELD MO 65804 431560263 PHYSICIAN GROUP MO 501(C)(3) LINE 3 MERCY HEALTH SPRINGFIELD COMMUNITIES 1 MERCY FAMILY CENTER 110 VETERANS BLVD METAIRIE LA 70005 721069468 FAMILY COUNSELING SERVICE LA 501(C)(3) LINE 7 MERCY HEALTH 1 MERCY HEALTH 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 431423050 CORPORATE OFFICE MO 501(C)(3) LINE 1 N/A 0 MERCY HEALTH EAST COMMUNITIES 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 431718408 HEALTH SYSTEM MO 501(C)(3) LINE 12A, I MERCY HEALTH 1 MERCY HEALTH FORT SMITH COMMUNITIES 7301 ROGERS AVENUE FORT SMITH AR 72917 261318515 HOLDING COMPANY AR 501(C)(3) LINE 12B, II MERCY HEALTH 1 MERCY HEALTH FOUNDATION 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 200901499 FOUNDATION MO 501(C)(3) LINE 12B, II MERCY HEALTH 1 MERCY HEALTH FOUNDATION ADA 430 N MONTE VISTA STREET ADA OK 74820 463596274 FOUNDATION OK 501(C)(3) LINE 12A, I MERCY HOSPITAL ADA INC 1 MERCY HEALTH FOUNDATION ARDMORE 1011 14TH AVENUE NW ARDMORE OK 73401 710962525 FOUNDATION OK 501(C)(3) LINE 12A, I MERCY HOSPITAL ARDMORE INC 1 MERCY HEALTH FOUNDATION BERRYVILLE 214 CARTER STREET BERRYVILLE AR 72616 710759301 FOUNDATION AR 501(C)(3) LINE 12A, I MERCY HOSPITAL BERRYVILLE 1 MERCY HEALTH FOUNDATION FORT SCOTT 401 WOODLAND HILLS BLVD FORT SCOTT KS 66701 481077073 FOUNDATION KS 501(C)(3) LINE 7 MERCY KANSAS COMMUNITIES INC 1 MERCY HEALTH FOUNDATION FORT SMITH 7301 ROGERS AVENUE FORT SMITH AR 72917 237330425 FOUNDATION AR 501(C)(3) LINE 7 MERCY HEALTH FORT SMITH COMMUNITIES 1 MERCY HEALTH FOUNDATION JEFFERSON 1400 US HIGHWAY 61 SOUTH FESTUS MO 63028 462797051 FOUNDATION MO 501(C)(3) LINE 12B, II MERCY HOSPITAL JEFFERSON 1 MERCY HEALTH FOUNDATION JOPLIN 100 MERCY WAY JOPLIN MO 64804 270906136 FOUNDATION MO 501(C)(3) LINE 7 MERCY HEALTH SW MOKS COMMUNITIES 1 MERCY HEALTH FOUNDATION LEBANON 100 HOSPITAL DRIVE LEBANON MO 65536 822514567 FOUNDATION MO 501(C)(3) LINE 12B, II MERCY HOSPITAL LEBANON 1 MERCY HEALTH FOUNDATION LINCOLN 1000 EAST CHERRY STREET TROY MO 63379 811477159 FOUNDATION MO 501(C)(3) LINE 12B, II MERCY HOSPITALS EAST COMMUNITIES 1 MERCY HEALTH FOUNDATION NORTHWEST ARKANSAS 2710 RIFE MEDICAL LANE ROGERS AR 72758 710601687 FOUNDATION AR 501(C)(3) LINE 7 MERCY HOSPITAL ROGERS 1 MERCY HEALTH FOUNDATION OF OKLAHOMA 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 454732301 FOUNDATION OK 501(C)(3) LINE 12A, I MERCY HEALTH OKLAHOMA COMMUNITIES INC 1 MERCY HEALTH FOUNDATION OKLAHOMA CITY 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 463184231 FOUNDATION OK 501(C)(3) LINE 12A, I MERCY HOSPITAL OKLAHOMA CITY INC 1 MERCY HEALTH FOUNDATION SPRINGFIELD 1235 E CHEROKEE STREET SPRINGFIELD MO 65804 320195818 FOUNDATION MO 501(C)(3) LINE 12B, II MERCY HEALTH SPRINGFIELD COMMUNITIES 1 MERCY HEALTH FOUNDATION ST FRANCIS 100 W US HIGHWAY 60 MOUNTAIN VIEW MO 65548 431873914 FOUNDATION MO 501(C)(3) LINE 12A, I MERCY ST FRANCIS HOSPITAL 1 MERCY HEALTH FOUNDATION ST LOUIS 615 SOUTH NEW BALLAS ROAD ST LOUIS MO 63141 562410020 FOUNDATION MO 501(C)(3) LINE 12B, II MERCY HEALTH EAST COMMUNITIES 1 MERCY HEALTH FOUNDATION WASHINGTON 901 E FIFTH STREET WASHINGTON MO 63090 562410022 FOUNDATION MO 501(C)(3) LINE 12B, II MERCY HEALTH EAST COMMUNITIES 1 MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES 2710 RIFE MEDICAL LANE ROGERS AR 72758 621684203 PHYSICIAN GROUP AR 501(C)(3) LINE 10 MERCY HEALTH 1 MERCY HEALTH OKLAHOMA COMMUNITIES INC 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 731453048 HEALTH SYSTEM OK 501(C)(3) LINE 12A, I MERCY HEALTH 1 MERCY HEALTH SOUTHWEST MISSOURIKANSAS COMMUNITIES 100 MERCY WAY JOPLIN MO 64804 300584463 HEALTH SYSTEM MO 501(C)(3) LINE 12B, II MERCY HEALTH 1 MERCY HEALTH SPRINGFIELD COMMUNITIES 1235 E CHEROKEE STREET SPRINGFIELD MO 65804 431856028 HEALTH SYSTEM MO 501(C)(3) LINE 12B, II MERCY HEALTH 1 MERCY HOSPITAL ADA INC 430 N MONTE VISTA STREET ADA OK 74820 462288155 HOSPITAL OK 501(C)(3) LINE 3 MERCY HEALTH OKLAHOMA COMMUNITIES INC 1 MERCY HOSPITAL ARDMORE INC 1011 14TH AVENUE NW ARDMORE OK 73401 731500629 HOSPITAL OK 501(C)(3) LINE 3 MERCY HEALTH OKLAHOMA COMMUNITIES INC 1 MERCY HOSPITAL AURORA 500 PORTER AVENUE AURORA MO 65605 431936696 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH SPRINGFIELD COMMUNITIES 1 MERCY HOSPITAL BERRYVILLE 214 CARTER STREET BERRYVILLE AR 72616 710759299 HOSPITAL AR 501(C)(3) LINE 3 MERCY HEALTH NW ARK COMMUNITIES 1 MERCY HOSPITAL BOONEVILLE 880 WEST MAIN STREET BOONEVILLE AR 72927 463851119 HOSPITAL AR 501(C)(3) LINE 3 MERCY HOSPITAL FORT SMITH 1 MERCY HOSPITAL CARTHAGE 3125 DR RUSSELL SMITH WAY CARTHAGE MO 64836 453808607 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH SW MOKS COMMUNITIES 1 MERCY HOSPITAL CASSVILLE 94 MAIN STREET CASSVILLE MO 65625 431936699 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH SPRINGFIELD COMMUNITIES 1 MERCY HOSPITAL COLUMBUS 220 PENNSYLVANIA AVENUE COLUMBUS KS 66725 270842031 HOSPITAL KS 501(C)(3) LINE 3 MERCY HEALTH SW MOKS COMMUNITIES 1 MERCY HOSPITAL EL RENO INC 2115 PARKVIEW DRIVE EL RENO OK 73036 272716065 HOSPITAL OK 501(C)(3) LINE 3 MERCY HOSPITAL OKLAHOMA CITY INC 1 MERCY HOSPITAL FORT SMITH 7301 ROGERS AVENUE FORT SMITH AR 72903 710240352 HOSPITAL AR 501(C)(3) LINE 3 MERCY HEALTH FORT SMITH COMMUNITIES 1 MERCY HOSPITAL HEALDTON INC 3462 HOSPITAL RD HEALDTON OK 73438 263173902 HOSPITAL OK 501(C)(3) LINE 3 MERCY HOSPITAL ARDMORE INC 1 MERCY HOSPITAL JEFFERSON 1400 HIGHWAY 61 SOUTH FESTUS MO 63028 430687077 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH EAST COMMUNITIES 1 MERCY HOSPITAL JOPLIN 100 MERCY WAY JOPLIN MO 64804 270814858 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH SW MOKS COMMUNITIES 1 MERCY HOSPITAL KINGFISHER INC 1000 KINGFISHER REGIONAL HOSPITAL C KINGFISHER OK 73750 463433074 HOSPITAL OK 501(C)(3) LINE 3 MERCY HOSPITAL OKLAHOMA CITY INC 1 MERCY HOSPITAL LEBANON 100 HOSPITAL DRIVE LEBANON MO 65536 431767432 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH SPRINGFIELD COMMUNITIES 1 MERCY HOSPITAL LINCOLN 1000 EAST CHERRY STREET TROY MO 63379 472219204 HOSPITAL MO 501(C)(3) LINE 3 MERCY HOSPITALS EAST COMMUNITIES 1 MERCY HOSPITAL LOGAN COUNTY INC 200 SOUTH ACADEMY GUTHRIE OK 73044 452998842 HOSPITAL OK 501(C)(3) LINE 3 MERCY HOSPITAL OKLAHOMA CITY INC 1 MERCY HOSPITAL OKLAHOMA CITY INC 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 730579285 HOSPITAL OK 501(C)(3) LINE 3 MERCY HEALTH OKLAHOMA COMMUNITIES INC 1 MERCY HOSPITAL OZARK 801 W RIVER STREET OZARK AR 72949 710689680 HOSPITAL AR 501(C)(3) LINE 3 MERCY HOSPITAL FORT SMITH 1 MERCY HOSPITAL PARIS 500 E ACADEMY PARIS AR 72855 710655753 HOSPITAL AR 501(C)(3) LINE 3 MERCY HOSPITAL FORT SMITH 1 MERCY HOSPITAL SPRINGFIELD 1235 E CHEROKEE STREET SPRINGFIELD MO 65804 440552485 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH SPRINGFIELD COMMUNITIES 1 MERCY HOSPITAL TISHOMINGO INC 1000 SOUTH BYRD TISHOMINGO OK 73460 274433830 HOSPITAL OK 501(C)(3) LINE 3 MERCY HOSPITAL ADA INC 1 MERCY HOSPITAL WALDRON 1341 W 6TH STREET WALDRON AR 72958 710557895 HOSPITAL AR 501(C)(3) LINE 3 MERCY HOSPITAL FORT SMITH 1 MERCY HOSPITAL WATONGA INC 500 CLARENCE NASH BLVD WATONGA OK 73772 455199762 HOSPITAL OK 501(C)(3) LINE 3 MERCY HOSPITAL OKLAHOMA CITY INC 1 MERCY HOSPITALS EAST COMMUNITIES 615 S NEW BALLAS ROAD ST LOUIS MO 63141 430653493 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH EAST COMMUNITIES 1 MERCY KANSAS COMMUNITIES INC 401 WOODLAND HILLS BLVD FT SCOTT KS 66701 480956045 HOSPITAL KS 501(C)(3) LINE 3 MERCY HEALTH SW MOKS COMMUNITIES 1 MERCY MINISTRIES OF LAREDO 2500 ZACATECAS ST LAREDO TX 78046 200198462 OUTREACH TX 501(C)(3) LINE 7 MERCY HEALTH 1 MERCY RESEARCH 524 NORTH BOONEVILLE AVENUE SPRINGFIELD MO 65802 870796305 RESEARCH MO 501(C)(3) LINE 4 MERCY HEALTH 1 MERCY ST FRANCIS HOSPITAL 100 W US HIGHWAY 60 MOUNTAIN VIEW MO 65548 440607149 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH SPRINGFIELD COMMUNITIES 1 MHM SUPPORT SERVICES 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 202553101 CENTRALIZED HEALTH SYSTEM FUNCTIONS MO 501(C)(3) LINE 12A, I MERCY HEALTH 1 MISSION CLINICAL SERVICES 216 MCAULEY COURT HOT SPRINGS AR 71913 134239691 CHILD ADVOCACY CENTER AR 501(C)(3) LINE 3 MERCY HEALTH 1 MERCY HEALTH FOUNDATION SOUTH 10010 KENNERLY ROAD ST LOUIS MO 63128 261516789 FUNDRAISING MO 501(C)(3) LINE 12A, I MERCY HOSPITAL SOUTH 1 MERCY HOSPITAL SOUTH 10010 KENNERLY ROAD ST LOUIS MO 63128 430980256 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH EAST COMMUNITIES 1 ST ANTHONY'S PHYSICIAN ORGANIZATION 10010 KENNERLY ROAD ST LOUIS MO 63128 431784536 HEALTH CARE MO 501(C)(3) LINE 3 MERCY HOSPITAL SOUTH 1 MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS 1619 W 7TH STREET GALENA KS 66739 843730625 HOSPITAL KS 501(C)(3) LINE 3 MERCY HEALTH SW MOKS COMMUNITIES 1 MERCY HOSPITAL PERRY 434 N WEST STREET PERRYVILLE MO 63775 923065473 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH EAST COMMUNITIES 1 SOUTHEAST HOSPITAL DBA MERCY HOSPITAL SOUTHEAST 1701 LACEY STREET CAPE GIRARDEAU MO 63701 430654874 HOSPITAL MO 501(C)(3) LINE 3 SOUTHEASTHEALTH SYSTEM 1 SOUTHEAST HEALTH CENTER OF RIPLEY COUNTY 1701 LACEY STREET CAPE GIRARDEAU MO 63701 273868479 HOSPITAL MO 501(C)(3) LINE 3 SOUTHEAST HOSPITAL 1 SOUTHEASTHEALTH SYSTEM 1701 LACEY STREET CAPE GIRARDEAU MO 63701 474890906 HEALTH SYSTEM MO 501(C)(3) LINE 12C, III-FI MERCY HEALTH 1 SOUTHEAST MISSOURI HOSPITAL FOUNDATION 1849 BROADWAY CAPE GIRARDEAU MO 63701 431122759 FOUNDATION MO 501(C)(3) LINE 7 SOUTHEAST HOSPITAL 1 PLAZA SURGERY SERVICES COMPANY LLC 12700 SOUTHFORK ROAD ST LOUIS MO 63128 204709312 INACTIVE MO MERCY HOSPITAL SOUTH 0 0 ST EDWARD MERCY MC M-P OFFICE BLDG 7301 ROGERS AVENUE FORT SMITH AR 72903 710554050 OFFICE BUILDING AR MERCY HOSPITAL FORT SMITH 0 0 PLATINUM CPS HOLDINGS LLC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 842493007 HOLDING COMPANY MO MERCY MANAGED CARE CORP MERCY HEALTH 0 0 FRONTENAC PROPERTIES INC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 521914421 HOLDING COMPANY DE MERCY HEALTH C 0 MERCY HEALTH CENTER CONDOMINIUMS INC 4300 W MEMORIAL RD OKLAHOMA CITY OK 73120 680640970 REAL ESTATE OK MERCY HOSPITAL OKLAHOMA CITY INC C 0 MERCY MANAGED CARE CORPORATION 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 731441665 HOLDING COMPANY OK MERCY HEALTH C 0 UHL CORP INC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 742499535 HOLDING COMPANY MO MERCY HOSPITALS EAST COMMUNITIES C 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 MHM SUPPORT SERVICES Q 363559878 FMV MERCY HEALTH NW ARKANSAS COMMUNITIES P 146481847 FMV MERCY HOSPITAL BERRYVILLE P 13310814 FMV MERCY HEALTH EAST COMMUNITIES Q 5172993 FMV MERCY HEALTH FOUNDATION NORTHWEST ARKANSAS C 3145924 FMV MERCY HEALTH FOUNDATION NORTHWEST ARKANSAS B 1509167 FMV MERCY HOSPITAL SPRINGFIELD Q 84773 FMV FORM 990, SCHEDULE R, PART II MERCY HOSPITALS EAST COMMUNITIES MERCY HOSPITALS EAST COMMUNITIES CONSISTS OF MERCY HOSPITAL ST. LOUIS, EIN 43-0653493, AND MERCY HOSPITAL WASHINGTON, EIN 43-1066883. FORM 990, SCHEDULE R, PART V LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY HEALTH SYSTEM, INC. AND SUBSIDIARIES. THE MAJORITY OF THE INTERCOMPANY/RELATED ORGANIZATION TRANSACTIONS ARE PROCESSED THROUGH LAWSON VIA INTERCOMPANY JOURNAL ENTRIES. WITH THE CURRENT DESIGN OF THE ERP SYSTEM, THERE ARE VARIOUS LIMITATIONS ON THE RELATED ORGANIZATION INFORMATION THAT CAN BE EXTRACTED FROM LAWSON. DUE TO THESE LIMITATIONS, MOST OF THE RELATED ORGANIZATION ACTIVITY FOR THE FILING ORGANIZATION HAS BEEN CLASSIFIED ON SCHEDULE R, PART V, IN LINES P AND Q.