Mission Clinical Services DBA

“Classes of members or stockholders the filing organization has a sole corporate member, mercy health. The following corporate powers and responsibilities shall be reserved solely unto the corporate member: - to adopt or amend the articles of incorporation and bylaws of the corporation in accordance with articles ix and x of these bylaws and to amend the organizational documents of any organization controlled by the corporation; - to determine the number of board members from time to time in accordance with these bylaws, and to appoint or remove, with or without cause, any member of the board; - to appoint or remove, with or without cause, the executive director of the corporation or any organization controlled by the corporation; and - to merge, dissolve, or abandon the corporation or any organization controlled by the corporation, subject to approval by the board as required pursuant to the arkansas nonprofit act of 1993.”

“The filing organization has no board committees with authority to act on behalf of the governing body. However, documentation of meetings of the board of directors is maintained.”

“Dscr of 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 finance department of mercy health to ensure accuracy and consistency with other related organizations' forms 990. After questions arising from the reviews are addressed and incorporated into the form 990, a revised draft is provided to the finance department of mercy health for review. The form 990 is then signed and filed with the irs.”

“Description of process to monitor transactions for conflicts of interest officers, directors, key employees and other disqualified persons are required to complete a conflict of interest questionnaire annually and did so in the normal course for the year ended june 30, 2018. This process is administered at the mercy health level by mercy's corporate compliance department. The questionnaires are reviewed with leadership at the local level and potential conflicts discussed and resolved. The conflicts and their respective resolutions are shared at the mercy level with a team including mercy's chief financial officer, chief compliance officer and other members of finance, legal and hr. Summary results are reviewed with mercy's stewardship committee of the board of directors. Form 990, part vi, questions 15a & 15b officers & positions for which process was used & year process was begun for those classified as officers (and thus disqualified persons), the organization relies upon mercy health, which uses the following to establish the compensation: external market salary surveys, external market salary studies, engagement of an independent compensation consultant, and review/approval of compensation by the compensation committee of the board of mercy health. For those classified as 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 review/approval of executive management. Compensation reviews are completed on an annual basis and a review was completed during the reporting year.”

“Avail of gov docs, conflict of interest policy, & fin stmt to gen public governing documents, conflict of interest policy, and financial statements are made available upon request but are not published publicly. Form 990, part xi, line 9 other changes in net assets net transfers to/from affiliates $1,206,854”

“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 w-3 filing most employees are paid by a related organization under a common paymaster arrangement. As such, required payroll filing (including forms w-2 and w-3) was reported under the related organization, mhm support services, ein 20-2553101.”

“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 2018 (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.”

“Single audit act and omb circular a-133 mercy health undergoes a consolidated a-133 audit every year and did so for the fiscal year ending june 30, 2018. Each entity that receives federal funds during the year is included on the schedule of expeditures of federal awards (sefa) and is also included in the population available for audit. The filing entity received federal funds during the year ended june 30,2018, was included on the mercy health consolidated sefa, and therefore, was also included in the population available for audit.”

“Description:external psychiatrist total fees:200859”

“Description:cleaning of office building total fees:2709”

“Description:other total fees:4969”