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Nonprofiteer
← MERCY HEALTH FORT SMITH COMMUNITIES

Form 990 for tax year 2022

Filed by MERCY HEALTH FORT SMITH COMMUNITIES.

Totals

Total revenue
$507,609
Total expenses
$602,319
Contributions and grants received
$120,545
Grants paid
$382,377
Program services expenses (Part IX)
-$1,253,920
Management and general expenses
$1,856,239
Fundraising expenses
$0
Program service expenses (Part III)
-$1,253,920

Program services were -208.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • BAILEY DDS MARK

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • CALLAWAY MD MICHAEL

    PHYSICIAN & BM

    Total calculated
    $620,982
    From this org
    $0
    From related orgs
    $589,425
    Other
    $31,557
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $533,219 related
    Bonus
    $0 + $27,333 related
    Other
    $0 + $28,873 related
    Deferred
    $0 + $19,219 related
    Nontaxable benefits
    $0 + $12,338 related
    Filer's total
    $0 + $620,982 related

  • COOLEY JOHN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • GABORNI PAMELA

    PHYSICIAN & BM

    Total calculated
    $308,092
    From this org
    $0
    From related orgs
    $272,541
    Other
    $35,551
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $218,093 related
    Bonus
    $0 + $7,200 related
    Other
    $0 + $47,248 related
    Deferred
    $0 + $16,426 related
    Nontaxable benefits
    $0 + $19,125 related
    Filer's total
    $0 + $308,092 related

  • GATTIS ERIN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • GEHRIG RYAN

    COMMUNITY PRESIDENT & BOARD MEMBER

    Total calculated
    $982,406
    From this org
    $0
    From related orgs
    $877,210
    Other
    $105,196
    Hours/week
    10 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $480,656 related
    Bonus
    $0 + $342,135 related
    Other
    $0 + $54,419 related
    Deferred
    $0 + $85,783 related
    Nontaxable benefits
    $0 + $19,413 related
    Filer's total
    $0 + $982,406 related

  • KOORIE RSM SR DIANE

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • MACKEY DANIEL

    PHYSICIAN & BOARD MEMBER

    Total calculated
    $854,898
    From this org
    $0
    From related orgs
    $819,943
    Other
    $34,955
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $756,259 related
    Bonus
    $0 + $35,442 related
    Other
    $0 + $28,242 related
    Deferred
    $0 + $19,225 related
    Nontaxable benefits
    $0 + $15,730 related
    Filer's total
    $0 + $854,898 related

  • RICHARDSON MD DERRICK

    PHYSICIAN & BM

    Total calculated
    $895,538
    From this org
    $0
    From related orgs
    $860,655
    Other
    $34,883
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $815,269 related
    Bonus
    $0 + $16,064 related
    Other
    $0 + $29,322 related
    Deferred
    $0 + $19,225 related
    Nontaxable benefits
    $0 + $15,658 related
    Filer's total
    $0 + $895,538 related

  • SHEPARD RODNEY

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • STEC CHRIS

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • CLARK SCOTT

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • MARTINEZ SANTIAGO MADELINE

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • SMITH LES

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • SWIFT KATHY

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • ECKHARDT CHRISTIE

    VP, CHIEF OPERATIONS COUNSEL & SECRETARY

    Total calculated
    $333,270
    From this org
    $0
    From related orgs
    $307,029
    Other
    $26,241
    Hours/week
    1 + 57 related

    Schedule J breakdown matched by us

    Base
    $0 + $244,381 related
    Bonus
    $0 + $30,223 related
    Other
    $0 + $32,425 related
    Deferred
    $0 + $10,189 related
    Nontaxable benefits
    $0 + $16,052 related
    Filer's total
    $0 + $333,270 related

  • WILCHER GRETA

    CHIEF FINANCIAL OFFICER & TREASURER

    Total calculated
    $343,429
    From this org
    $0
    From related orgs
    $295,960
    Other
    $47,469
    Hours/week
    5 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $221,058 related
    Bonus
    $0 + $39,569 related
    Other
    $0 + $35,333 related
    Deferred
    $0 + $34,151 related
    Nontaxable benefits
    $0 + $13,318 related
    Filer's total
    $0 + $343,429 related

  • BEAN PAUL E

    CHIEF OF MEDICAL AFFAIRS

    Total calculated
    $504,638
    From this org
    $0
    From related orgs
    $464,196
    Other
    $40,442
    Hours/week
    10 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $394,648 related
    Bonus
    $0 + $43,731 related
    Other
    $0 + $25,817 related
    Deferred
    $0 + $21,615 related
    Nontaxable benefits
    $0 + $18,827 related
    Filer's total
    $0 + $504,638 related

  • GEIB RYAN C

    CHIEF OPERATING OFFICER

    Total calculated
    $413,539
    From this org
    $0
    From related orgs
    $350,627
    Other
    $62,912
    Hours/week
    20 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $256,356 related
    Bonus
    $0 + $70,455 related
    Other
    $0 + $23,816 related
    Deferred
    $0 + $43,126 related
    Nontaxable benefits
    $0 + $19,786 related
    Filer's total
    $0 + $413,539 related

  • HUNTON MD DAVID

    PRESIDENT - CLINIC

    Total calculated
    $758,512
    From this org
    $0
    From related orgs
    $730,642
    Other
    $27,870
    Hours/week
    10 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $471,003 related
    Bonus
    $0 + $208,057 related
    Other
    $0 + $51,582 related
    Deferred
    $0 + $13,425 related
    Nontaxable benefits
    $0 + $14,445 related
    Filer's total
    $0 + $758,512 related

  • STEC JULIANNE

    VP - OPERATIONS

    Total calculated
    $277,073
    From this org
    $0
    From related orgs
    $247,551
    Other
    $29,522
    Hours/week
    25 + 25 related

    Schedule J breakdown matched by us

    Base
    $0 + $181,580 related
    Bonus
    $0 + $32,307 related
    Other
    $0 + $33,664 related
    Deferred
    $0 + $15,603 related
    Nontaxable benefits
    $0 + $13,919 related
    Filer's total
    $0 + $277,073 related

  • FETSKO BRIAN

    VP MISSION

    Total calculated
    $195,466
    From this org
    $0
    From related orgs
    $177,833
    Other
    $17,633
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $117,021 related
    Bonus
    $0 + $23,804 related
    Other
    $0 + $37,008 related
    Deferred
    $0 + $10,226 related
    Nontaxable benefits
    $0 + $7,407 related
    Filer's total
    $0 + $195,466 related

  • GUNTER MARC

    PHYSICIAN

    Total calculated
    $628,742
    From this org
    $0
    From related orgs
    $616,248
    Other
    $12,494
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $213,606 related
    Bonus
    $0
    Other
    $0 + $402,642 related
    Deferred
    $0 + $7,720 related
    Nontaxable benefits
    $0 + $4,774 related
    Filer's total
    $0 + $628,742 related

  • HANNA MELISSA K

    DIRECTOR - QUALITY IMPROVEMENT

    Total calculated
    $174,683
    From this org
    $0
    From related orgs
    $133,872
    Other
    $40,811
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $106,643 related
    Bonus
    $0 + $6,982 related
    Other
    $0 + $20,247 related
    Deferred
    $0 + $21,786 related
    Nontaxable benefits
    $0 + $19,025 related
    Filer's total
    $0 + $174,683 related

  • KUECK JANEEN

    VP OPERATIONS

    Total calculated
    $245,900
    From this org
    $0
    From related orgs
    $222,996
    Other
    $22,904
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $183,820 related
    Bonus
    $0 + $30,648 related
    Other
    $0 + $8,528 related
    Deferred
    $0 + $16,038 related
    Nontaxable benefits
    $0 + $6,866 related
    Filer's total
    $0 + $245,900 related

  • SOUBIRON CHERI

    CHIEF NURSING OFFICER

    Total calculated
    $294,591
    From this org
    $0
    From related orgs
    $250,492
    Other
    $44,099
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $174,121 related
    Bonus
    $0 + $57,702 related
    Other
    $0 + $18,669 related
    Deferred
    $0 + $33,303 related
    Nontaxable benefits
    $0 + $10,796 related
    Filer's total
    $0 + $294,591 related

  • RICHMOND JACQUELYNN

    FORMER OFFICER

    Total calculated
    $758,357
    From this org
    $0
    From related orgs
    $658,382
    Other
    $99,975
    Hours/week
    2 + 53 related

    Schedule J breakdown matched by us

    Base
    $0 + $476,343 related
    Bonus
    $0 + $134,105 related
    Other
    $0 + $47,934 related
    Deferred
    $0 + $92,562 related
    Nontaxable benefits
    $0 + $7,413 related
    Filer's total
    $0 + $758,357 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4a · Severance or change-of-control payment

Answered no

  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

FORM 990, SCHEDULE J, PART I, QUESTION 3
MERCY HEALTH FORT SMITH COMMUNITIES RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTION 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS.
FORM 990, SCHEDULE J, PART I, QUESTION 4A
THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT DURING CALENDAR 2022: MARC GUNTER - $390,360
FORM 990, SCHEDULE J, PART II
THE AMOUNTS REPORTED FOR DAVID HUNTON IN COLUMN (F) ARE EITHER INCLUDED IN B(I) 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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

The 10 largest by cash amount. The API serves every itemized grant.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
6 May 2024
IRS schema version
2022v5.0
Source object
202411279349300341

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.