MERCY ST FRANCIS HOSPITAL: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: MERCY ST FRANCIS HOSPITAL (EIN 44-0607149)
Tax period: 2022-07-01 to 2023-06-30
Filed: 2024-05-13
IRS object ID: 202441349349309139
Schema version: 2022v5.0
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 B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-05-13T20:41:04+00:00	ReturnTs
Tax Period End	2023-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	221 EAST 4TH STREET	AddressLine1Txt
City	CINCINNATI	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45202	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	440607149	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Mercy St Francis Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MERC	BusinessNameControlTxt
Phone	3145796100	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 US HWY 60	AddressLine1Txt
City	MOUNTAIN VIEW	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65548	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	SHERRY CLOUSE DAY	PersonNm
Person Title	VP FINANCE	PersonTitleTxt
Signature	2024-05-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	SHERRY	PersonFirstNm
Person Last	Clouse Day	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Julie L Sparks	PreparerPersonNm
PTIN	P01268401	PTIN
Phone	5136121400	PhoneNum
Preparation	2024-05-08	PreparationDt

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	David Argueta	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 US HWY 60	AddressLine1Txt
City	MOUNTAIN VIEW	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65548	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$17,564,514	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MERCY.NET	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1998	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	25	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$17,381	PYContributionsGrantsAmt
CY Contributions Grants	$67,595	CYContributionsGrantsAmt
PY Program Service Revenue	$19,151,643	PYProgramServiceRevenueAmt
CY Program Service Revenue	$17,402,405	CYProgramServiceRevenueAmt
PY Investment Income	$0	PYInvestmentIncomeAmt
CY Investment Income	$0	CYInvestmentIncomeAmt
PY Other Revenue	$76,516	PYOtherRevenueAmt
CY Other Revenue	$94,514	CYOtherRevenueAmt
PY Total Revenue	$19,245,540	PYTotalRevenueAmt
CY Total Revenue	$17,564,514	CYTotalRevenueAmt
PY Grants And Similar Paid	$28,045	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$44,302	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$9,787,958	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$10,467,201	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$6,778,359	PYOtherExpensesAmt
CY Other Expenses	$7,439,827	CYOtherExpensesAmt
PY Total Expenses	$16,594,362	PYTotalExpensesAmt
CY Total Expenses	$17,951,330	CYTotalExpensesAmt
PY Revenues Less Expenses	$2,651,178	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$386,816	CYRevenuesLessExpensesAmt
Total Assets BOY	$4,191,352	TotalAssetsBOYAmt
Total Assets EOY	$5,302,976	TotalAssetsEOYAmt
Total Liabilities BOY	$1,036,566	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$392,934	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$3,154,786	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$4,910,042	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$12,657,003	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$13,948,888	RevenueAmt
Desc	MERCY ST. FRANCIS HOSPITAL 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 ST. FRANCIS HOSPITAL PROVIDES A WIDE VARIETY OF SERVICES IN THEIR 20 BED FACILITY AND IN FY23, HAD 18,273 TOTAL CASES. MERCY ST. FRANCIS HOSPITAL'S RADIOLOGISTS USE THE LATEST TECHNOLOGIES TO PRODUCE PRECISE IMAGES AND EXACTING TEST RESULTS. MERCY OFFERS A FULL RANGE OF DIAGNOSTIC IMAGING SERVICES FOR ADULTS AND CHILDREN. MERCY RADIOLOGISTS GIVE MORE INSIGHT INTO YOUR CONDITION, SO YOU RECEIVE AN ACCURATE DIAGNOSIS AND THE MOST EFFECTIVE TREATMENT. IN FY23, MERCY ST. FRANCIS HOSPITAL HAD 4,114 CASES FOR THIS SERVICE LINE.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$1,260,580	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$1,389,246	RevenueAmt
Desc	AT MERCY ST. FRANCIS HOSPITAL, CANCER CARE IS ABOUT MORE THAN PROVIDING CLINICAL TREATMENTS. MERCY ST. FRANCIS HOSPITAL ALSO OFFERS SUPPORT SERVICES TO HELP YOU MAINTAIN YOUR PHYSICAL, MENTAL AND EMOTIONAL HEALTH. MERCY'S CANCER SPECIALISTS CARE FOR ALMOST EVERY TYPE OF CANCER AND PARTICIPATE IN CLINICAL RESEARCH TO BRING YOU THE MOST ADVANCED CANCER TREATMENT AVAILABLE. IN FY23, MERCY ST. FRANCIS HOSPITAL HAD 210 CASES FOR THIS SERVICE LINE.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$828,428	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$912,984	RevenueAmt
Desc	MERCY ST. FRANCIS HOSPITAL HAS A TEAM THAT SPECIALIZES IN THE DIAGNOSIS AND TREATMENT OF DISEASES OF THE URINARY SYSTEM IN MEN AND WOMEN, AND DISORDERS OF THE MALE REPRODUCTIVE SYSTEM. MERCY'S UROLOGISTS TREAT ISSUES THAT MAY APPEAR IN YOUR KIDNEYS, BLADDER, ADRENAL GLANDS, URETERS AND URETHRA. MERCY'S NETWORK OF SPECIALISTS COLLABORATES TO OFFER THE FULL SPECTRUM OF CARE IN UROLOGY, ONCOLOGY, CANCER TREATMENT AND RECONSTRUCTIVE SURGERY. IN FY23, MERCY ST. FRANCIS HOSPITAL HAD 25 CASES FOR THIS SERVICE LINE.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$1,207,138	ExpenseAmt
Grant	$44,302	GrantAmt
Revenue	$1,151,287	RevenueAmt
Desc	IN ADDITION TO THE PROGRAM SERVICES DESCRIBED ABOVE, MERCY ST. FRANCIS HOSPITAL ALSO SERVES PATIENTS IN ADDITIONAL SERVICE LINES, INCLUDING BUT NOT LIMITED TO THE FOLLOWING AREAS: CARDIOVASCULAR; LAB; NEUROSCIENCE; PEDIATRICS; WOMEN & INFANTS.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$1,207,138	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$44,302	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$1,151,287	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$15,953,149	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	false	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SHERRY CLOUSE DAY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4178203400	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3265 S NATIONAL AVENUE	AddressLine1Txt
City	SPRINGFIELD	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65807	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
David Argueta
President, Mercy Springfield Communities & Board Member	5.0	45.0	Yes (X)	Yes (X)	$0	$739,870	$88,808
Valerie Davis
Administrator & Board Member (BEG 11/2022)	1.0	41.0	Yes (X)	Yes (X)	$0	$118,620	$19,363
Adriana Gelatikova DSF
Board Member	1.0	0	Yes (X)		$0	$0	$0
Cynthia Beck
ADMINISTRATOR & BOARD MEMBER (THRU 11/2022)	30.0	10.0	Yes (X)		$0	$127,807	$13,368
Deedra Nicholson
Board Member	1.0	0	Yes (X)		$0	$0	$0
Hilary Frescoln MD
Physician & Board Member	50.0	0.0	Yes (X)		$0	$100,000	$4,500
JC Kuessner
Board Member	1.0	0	Yes (X)		$0	$0	$0
Jon Roberts
Board Member	1.0	0	Yes (X)		$0	$0	$0
Robert Hollis
Board Member (BEG 8/2022)	1.0	0	Yes (X)		$0	$0	$0
Sr Cabrini Koelsch RSM
Board Member	1.0	2.0	Yes (X)		$0	$0	$0
Sr Elena Petrikova DSF
Board Member	1.0	0	Yes (X)		$0	$0	$0
Christie Eckhardt
VP, Chief Operations Counsel & Secretary	1.0	57.0		Yes (X)	$0	$307,029	$26,241
Craig McCoy
President - Springfield Communities (THRU 7/2022)	1.0	49.0		Yes (X)	$0	$1,291,934	$107,605
Sherry Clouse Day
VP, Finance & Treasurer	5.0	45.0		Yes (X)	$0	$299,123	$30,997
Karen Kuykendall
CT Technologist II	40.0	0.0			$0	$115,895	$4,206	Yes (X)
Kimberlee Pauly
Registered Nurse	40.0	0.0			$0	$105,623	$18,267	Yes (X)
Kory Charpentier
Pharmacy Director	40.0	0.0			$0	$137,096	$23,025	Yes (X)
Mary Clark
Registered Nurse	40.0	0.0			$0	$128,288	$22,514	Yes (X)
Randy Berner
Manager - Nursing Services	40.0	0.0			$0	$100,787	$28,240	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,572,072	TotReportableCompRltdOrgAmt
Total Other Compensation	$387,135	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
HealthTrust Workforce Solutions
10975 Benson Dr Suite 380	Overland	KS	66210	Physician Services	$1,464,374
LocumsMart LLC
45 Technology Pkwy S Suite 200	Norcross	GA	30092	Physician Services	$430,706
360 Degree Medicine LLC
800 State Highway 248 Ste 2E	Branson	MO	65616	Physician Services	$339,750
Shared Medical Services Inc
209 Limestone Pass	Cottage Grove	WI	53527	Radiology Imaging Services	$207,345

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	4	CntrctRcvdGreaterThan100KCnt
Related Organizations	$56,184	RelatedOrganizationsAmt
Government Grants	$11,411	GovernmentGrantsAmt
Total Contributions	$67,595	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	622110	$17,305,818	$17,305,818
Rental income from related organizations	531120	$51,703	$51,703
OTHER OPERATING REVENUE	900099	$44,884	$44,884

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$17,402,405	TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$4,842	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$4,842	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,842	TotalRevenueColumnAmt
Exclusion	$4,842	ExclusionAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	CAFE & VENDING	Desc
Business	900099	BusinessCd
Total Revenue Column	$89,672	TotalRevenueColumnAmt
Exclusion	$89,672	ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$89,672	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$17,564,514	TotalRevenueColumnAmt
Related Or Exempt Func Income	$17,402,405	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$94,514	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$44,302	TotalAmt
Program Services	$44,302	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$8,967,094	TotalAmt
Program Services	$8,843,099	ProgramServicesAmt
Management And General	$123,995	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$281,237	TotalAmt
Program Services	$233,427	ProgramServicesAmt
Management And General	$47,810	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$743,589	TotalAmt
Program Services	$617,179	ProgramServicesAmt
Management And General	$126,410	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$475,281	TotalAmt
Program Services	$394,483	ProgramServicesAmt
Management And General	$80,798	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$6,220	TotalAmt
Management And General	$6,220	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$795,884	TotalAmt
Program Services	$637,749	ProgramServicesAmt
Management And General	$158,135	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$9,422	TotalAmt
Management And General	$9,422	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$248,643	TotalAmt
Program Services	$230,248	ProgramServicesAmt
Management And General	$18,395	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$178	TotalAmt
Program Services	$178	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$290,645	TotalAmt
Program Services	$283,033	ProgramServicesAmt
Management And General	$7,612	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$9,949	TotalAmt
Program Services	$6,904	ProgramServicesAmt
Management And General	$3,045	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$253,146	TotalAmt
Program Services	$202,517	ProgramServicesAmt
Management And General	$50,629	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$205,655	TotalAmt
Program Services	$179,410	ProgramServicesAmt
Management And General	$26,245	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
BAD DEBT	$1,761,717	$1,761,717
SHARED SERVICE FEES	$2,099,205	$797,698	$1,301,507
DRUGS & MEDICAL EXPENSES	$1,595,606	$1,595,606
REPAIRS & MAINTENANCE	$116,666	$99,734	$16,932

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$46,891	TotalAmt
Program Services	$25,865	ProgramServicesAmt
Management And General	$21,026	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$17,951,330	TotalAmt
Program Services	$15,953,149	ProgramServicesAmt
Management And General	$1,998,181	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$320	BOYAmt
EOY	$320	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,035,500	BOYAmt
EOY	$2,928,044	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$155,613	BOYAmt
EOY	$155,708	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$43,374	BOYAmt
EOY	$29,118	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$11,541,881	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$9,352,095	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,956,545	BOYAmt
EOY	$2,189,786	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,191,352	BOYAmt
EOY	$5,302,976	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,036,566	BOYAmt
EOY	$392,934	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,036,566	BOYAmt
EOY	$392,934	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,154,786	BOYAmt
EOY	$4,910,042	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,154,786	BOYAmt
EOY	$4,910,042	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,191,352	BOYAmt
EOY	$5,302,976	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$386,816	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$2,142,072	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$6,220	OtherActivitiesAmt
Total Lobbying Expenditures	$6,220	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	THE FILING ORGANIZATION IS A MEMBER OF AND PAYS DUES TO THE FOLLOWING HOSPITAL ASSOCIATIONS: MISSOURI HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION. FOR THE YEAR ENDED JUNE 30, 2023, DUES WERE $16,106 AND $1,546 RESPECTIVELY. APPROXIMATELY 36% OF MISSOURI HOSPITAL ASSOCIATION DUES AND 27.29% OF AMERICAN HOSPITAL ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED BY THESE ASSOCIATIONS.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$222,838	OtherCostOrOtherBasisAmt
Book Value	$222,838	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,690,964	OtherCostOrOtherBasisAmt
Depreciation	$4,523,394	DepreciationAmt
Book Value	$1,167,570	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,495,526	OtherCostOrOtherBasisAmt
Depreciation	$4,708,988	DepreciationAmt
Book Value	$786,538	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$132,553	OtherCostOrOtherBasisAmt
Depreciation	$119,713	DepreciationAmt
Book Value	$12,840	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$2,189,786	TotalBookValueLandBuildingsAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 ASC 740 FOOTNOTE	FormAndLineReferenceDesc
Explanation	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, 2023 OR 2022.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$405,097	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$405,097	NetCommunityBenefitExpnsAmt
Total Expense	0.0250	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,982,123	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,948,256	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,033,867	NetCommunityBenefitExpnsAmt
Total Expense	0.0639	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$4,387,220	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,948,256	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,438,964	NetCommunityBenefitExpnsAmt
Total Expense	0.0889	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$3,900	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,900	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$3,900	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,900	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$4,391,120	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,948,256	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,442,864	NetCommunityBenefitExpnsAmt
Total Expense	0.0891	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$663,861	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$4,158,728	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$4,220,118	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$61,390	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MERCY ST FRANCIS HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 W HIGHWAY 60	AddressLine1Txt
City	MOUNTAIN VIEW	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65548	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.MERCY.NET	WebsiteAddressTxt
State License	447-17	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MERCY ST FRANCIS HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.mercy.net/content/dam/mercy/en/pdf/chna/st-francis-chna-2022.pdf	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	http://ozarkshealthcommission.org/communities/springfield-community/	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.mercy.net/content/dam/mercy/en/pdf/chip/mercy-st-francis-chip-2023.pdf	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.0	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.mercy.net/patients-visitors/billing/financial-assistance/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.mercy.net/patients-visitors/billing/financial-assistance/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.mercy.net/patients-visitors/billing/financial-assistance/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	THE HOSPITAL FACILITY DID INCLUDE A PRIORITIZED LIST OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS IN ITS MOST RECENT CHNA REPORT.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - MERCY ST. FRANCIS HOSPITAL. THE OZARKS HEALTH COMMISSION (OHC) BUILT ON THE METHODOLOGY DEVELOPED FOR THE PREVIOUS CHNA AND, IN 2021, A VARIETY OF ORGANIZATIONS ACROSS THE OZARKS CAME TOGETHER TO BETTER UNDERSTAND THE HEALTH STATUS, BEHAVIORS AND NEEDS OF THE POPULATIONS THEY SERVE. UNDER THE UMBRELLA OF THE LOCAL OZARKS HEALTH COMMISSION, THIS COLLABORATION IS THE LARGEST IN THE REGION SPANNING THREE STATES - MISSOURI, OKLAHOMA, AND KANSAS - 30 COUNTIES AND THREE HOSPITAL SYSTEMS. THE WORKING GROUP SAW THE VALUE OF USING A SYSTEMATIC, DATA-DRIVEN ASSESSMENT TO INFORM DECISIONS AND GUIDE EFFORTS TO IMPROVE COMMUNITY HEALTH AND WELLNESS ON A REGIONAL LEVEL. THIS LARGER, CONCERTED APPROACH WILL LEVERAGE COMMON STRENGTHS AND STRATEGIES TO MOVE IN THE SAME DIRECTION ON SIGNIFICANT HEALTH CONCERNS. THE FOLLOWING GROUPS TOOK PART IN SOME PHASE OF THE WORK THAT GENERATED MOUNTAIN VIEW'S COMMUNITY HEALTH NEEDS ASSESSMENT: (THE MOUNTAIN VIEW COMMUNITY CONSISTS OF: DOUGLAS COUNTY, MO; OZARK COUNTY, MO; HOWELL COUNTY, MO AND SHANNON COUNTY, MO.) -MERCY COWORKERS WHO SERVED ON TEAMS, ORGANIZED ROUNDTABLES AND DEVELOPED PROGRAMS TO RESPOND TO IDENTIFIED NEEDS. -THE OZARKS HEALTH COMMISSION, WHICH CONSISTS OF BURRELL BEHAVIORAL HEALTH, CHRISTIAN COUNTY HEALTH DEPT., CITY OF JOPLIN HEALTH DEPT., COX HEALTH, FREEMAN HEALTH SYSTEM, JASPER COUNTY HEALTH DEPT., LAWRENCE COUNTY HEALTH DEPT., MERCY, SPRINGFIELD-GREENE COUNTY HEALTH DEPT., TANEY COUNTY HEALTH DEPT., AND THE VERNON COUNTY HEALTH DEPT. IN 2021, COMMISSION STAKEHOLDERS BEGAN THE RHA PROCESS WITH ANALYSIS OF PUBLICLY AVAILABLE HEALTH DATA (SECONDARY DATA) AND PARTICIPATING HEALTH SYSTEMS' EMERGENCY ROOM UTILIZATION DATA (PRIMARY DATA) TO IDENTIFY HEALTH ISSUES OF GREATEST CONCERN ACROSS THE REGION. THE RESULT WAS A RANKED LIST OF EIGHT OZARKS HEALTH COMMISSION REGION HEALTH ISSUES. A FULL DESCRIPTION OF THE HEALTH ISSUES AND INDICATORS USED CAN BE FOUND IN THE OHC REGIONAL HEALTH ASSESSMENT. TO REPRESENT DIVERSE VIEWS FROM ACROSS THE REGION AND POPULATION, QUALITATIVE DATA WAS GARNERED. ACROSS THE OHC REGION THESE VIEWPOINTS WERE SOLICITED VIA 75 INDIVIDUAL INTERVIEWS, 10 FOCUS GROUPS AND 2,638 SURVEYS. METHODOLOGIES USED FOR THE INITIAL SCORING/RANKING OF THE HEALTH ISSUES AND THE FULL REPORT OF THE QUALITATIVE WORK CAN BE FOUND IN OHC REGIONAL REPORT. THIS PRIORITIZATION INFORMATION CAN BE USED BY ORGANIZATIONS TO DEVELOP COMMUNITY HEALTH IMPROVEMENT PLANS, GUIDE DECISION MAKING, AND FOSTER COLLABORATION ACROSS INITIATIVES. DURING SEPT. AND OCT. 2021, 12 INDIVIDUAL INTERVIEWS AND 2 VIRTUAL FOCUS GROUPS WERE CONDUCTED IN DOUGLAS, OZARK, HOWELL, AND SHANNON COUNTIES. THOSE INTERVIEWED REPRESENTED HEALTH AND SOCIAL SERVICE ORGANIZATIONS, EDUCATION AND COMMUNITY COLLABORATIVES. THE STEERING COMMITTEE HAD ESTABLISHED IN PREVIOUS ASSESSMENTS THAT VULNERABLE, DISENFRANCHISED, AND AT RISK POPULATIONS ARE A KEY FACTOR WHEN IDENTIFYING AND ADDRESSING COMMUNITY HEALTH NEEDS. POPULATIONS OF INTEREST MAY ALSO BE REFERRED TO AS VULNERABLE POPULATIONS, SUCH AS: PEOPLE IN POVERTY, MINORITIES, THE ELDERLY, VARYING DEMOGRAPHIC GROUPS AND SOCIOECONOMIC STATUS, THOSE EXPERIENCING HIGHER RATES OF CHRONIC DISEASE/ILLNESS AND THOSE EXPERIENCING WORSE HEALTH OUTCOMES. A SUB-COMMITTEE WAS FORMED TO REVIEW AND UPDATE THE PREVIOUS PROCESS FOR IDENTIFYING POPULATIONS OF INTEREST. THE SUB-COMMITTEE AGREED TO CONTINUE TO USE THE PREVIOUSLY USED SOCIAL VULNERABILITY INDEX (SVI), WHICH WAS CREATED TO HELP EMERGENCY PLANNERS IDENTIFY AND MAP GROUPS THAT MAY BE MOST AT RISK IN THE EVENT OF A DISASTER. THE SVI USES U.S. CENSUS AND AMERICAN COMMUNITY SURVEY DATA TO IDENTIFY AT RISK GROUPS BY RANKING ALL CENSUS TRACTS ON 15 SOCIAL FACTORS. THE FACTORS ARE GROUPED INTO FOUR MAIN THEMES, HOUSING & TRANSPORTATION, MINORITY STATUS AND LANGUAGE, HOUSEHOLD COMPOSITION & DISABILITY AND SOCIOECONOMIC STATUS. EACH OF THESE SOCIOECONOMIC INDICATORS ARE PREDICTIVE OF BEHAVIORS THAT LEAD TO POOR HEALTH OUTCOMES RELATED TO COVID 19, HEART DISEASE, LUNG DISEASE, MENTAL HEALTH, ORAL HEALTH, DIABETES, AND CANCER. INCOME AND EMPLOYMENT STATUS ARE MORE DIRECTLY TIED TO A PERSON'S MENTAL HEALTH. THEREFORE, ADDRESSING POPULATIONS THAT LIVE NEAR OR BELOW POVERTY, HAVE LOW EDUCATION LEVELS, AND/OR ARE UNEMPLOYED, WILL IMPACT THEIR HEALTH RELATED TO ALL ASSESSED HEALTH ISSUES. OF THE 2,628 SURVEY RESPONDENTS FROM THE REGION, 8.65% INDICATED THEY LIVED IN THE MOUNTAIN VIEW COMMUNITY. RESPONDENTS WERE ASKED TO RANK PERCEIVED COMMUNITY NEEDS, AND THE TOP 10 THAT EMERGED WERE: 1. DRUG AND OTHER SUBSTANCE ABUSE TREATMENT AND REHABILITATION SERVICES, INCLUDING DETOX 2. EMERGENCY MENTAL HEALTH SERVICES 3. INTEGRATED CARE 4. AFFORDABLE, QUALITY CHILDCARE 5. PREVENTION, EDUCATION, AND EARLY INTERVENTION SERVICES FOR SUBSTANCE USE 6. CARE COORDINATION BETWEEN HOSPITALS, CLINICS, AND OTHER HEALTH CARE SETTINGS 7. ADULT MENTAL HEALTH COUNSELING SERVICES 8. ADOLESCENT AND CHILDREN MENTAL HEALTH COUNSELING SERVICES 9. AFFORDABLE HOUSING 10. SOCIAL SERVICES FOR INDIVIDUALS EXPERIENCING HOMELESSNESS THOSE INTERVIEWED REPRESENTED HEALTH AND SOCIAL SERVICE ORGANIZATIONS, EDUCATION AND COMMUNITY COLLABORATIVES. STAKEHOLDERS PARTICIPATING IN INDIVIDUAL INTERVIEWS AND FOCUS GROUPS AGREED WITH SURVEY RESPONDENTS ABOUT ACCESS TO MENTAL HEALTH SERVICES AND HEALTHCARE. THIS INFORMATION WAS CONSIDERED DURING THE PROCESS OF ESTABLISHING HEALTH PRIORITIES FOR THE MOUNTAIN VIEW COMMUNITY.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - MERCY ST. FRANCIS HOSPITAL. THE CHNA WAS CONDUCTED IN CONJUNCTION WITH THE FOLLOWING HOSPITAL FACILITIES: COXHEALTH SYSTEM, BURRELL BEHAVIORAL HEALTH, AND JORDAN VALLEY COMMUNITY HEALTH CENTER.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - MERCY ST. FRANCIS HOSPITAL. THE CHNA WAS CONDUCTED IN CONJUNCTION WITH THE FOLLOWING NON-HOSPITAL FACILITIES: CHRISTIAN COUNTY HEALTH DEPARTMENT, SPRINGFIELD-GREENE COUNTY HEALTH DEPARTMENT AND WEBSTER COUNTY HEALTH DEPARTMENT.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility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
Schedule H, Part V, Section B, Line 20 Facility , 1	Facility , 1 - MERCY ST. FRANCIS HOSPITAL. 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.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 6a Community benefit report prepared by related organization	THE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS PREPARED BY ITS ULTIMATE PARENT ENTITY, MERCY HEALTH (EIN: 43-1423050).
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) ARE $17,951,330. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $1,761,717. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $16,189,613.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	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.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	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.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	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.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	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).
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	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 AND SOUTHEAST KANSAS. 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.
Schedule H, Part V, Section B, Line 16a FAP website	- MERCY ST. FRANCIS HOSPITAL: Line 16a URL: https://www.mercy.net/patients-visitors/billing/financial-assistance/;
Schedule H, Part V, Section B, Line 16b FAP Application website	- MERCY ST. FRANCIS HOSPITAL: Line 16b URL: https://www.mercy.net/patients-visitors/billing/financial-assistance/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- MERCY ST. FRANCIS HOSPITAL: Line 16c URL: https://www.mercy.net/patients-visitors/billing/financial-assistance/;
Schedule H, Part VI, Line 2 Needs assessment	MERCY ST. FRANCIS HOSPITAL BELIEVES THAT ITS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS IS COMPREHENSIVE ENOUGH TO CAPTURE SUBSTANTIALLY ALL OF THE COMMUNITY'S NEEDS. THEREFORE, NO FURTHER STEPS WERE TAKEN TO IDENTIFY ADDITIONAL NEEDS. MERCY ST. FRANCIS HOSPITAL MEASURES ALL COMMUNITY HEALTH INDICATORS AS SET FORTH BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION AND MEASURES ALL UTILIZATION ACTIVITY (PARTICULARLY FOR VULNERABLE POPULATIONS) TO FIRST UNDERSTAND THE STATUS OF THE COMMUNITY'S HEALTH ON AN ANNUAL BASIS. BASED ON THESE FINDINGS, MERCY REFINES ITS IMPLEMENTATION STRATEGIES TO MEET THE NEEDS OF THE COMMUNITY AND MONITORS PROGRESS THROUGH A COMMUNITY BENEFIT COMMITTEE OF THE BOARD OF DIRECTORS. THE DIRECTOR OF COMMUNITY BENEFIT ALSO SERVES ON A COMMUNITY HEALTH COLLABORATION BOARD WITH OTHER AREA NONPROFIT HEALTH SYSTEM AND ORGANIZATIONAL LEADERS TO MAKE SURE OUR UNDERSTANDING OF COMMUNITY NEEDS ARE CORRECT AND TO DEVELOP ALIGNED STRATEGIES TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES AND SUBSEQUENT IMPROVEMENT STRATEGIES.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	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.
Schedule H, Part VI, Line 4 Community information	THE PRIMARY SERVICE AREA FOR MERCY ST. FRANCIS HOSPITAL INCLUDES HOWELL AND SHANNON COUNTIES IN MISSOURI. THE FOLLOWING INFORMATION IS DERIVED FROM THE ADVISORY BOARD DEMOGRAPHICS AND 2022-2023 MO/HIDI INFORMATION. THE AREA'S POPULATION IS 20,164. THE MEDIAN HOUSEHOLD INCOME IS $36,000. 48.6% OF THE POPULATION IS 45 AND OLDER. 84% OF THE POPULATION IS A HIGH SCHOOL GRADUATE OR GREATER AND THE MEDIAN AGE IS 44.
Schedule H, Part VI, Line 5 Promotion of community health	MERCY ST. FRANCIS HOSPITAL PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. MERCY IS A CATHOLIC HEALTH CARE CORPORATION THAT, PURSUANT TO THE ORGANIZATIONAL CORE BELIEF THAT HEALTH CARE SERVICES ARE A VITAL AND INTEGRAL PART OF THE CHURCH'S HEALING MISSION, ENGAGES IN A MINISTRY WHICH PROVIDES GENERAL ACUTE CARE, AMBULATORY, LONG-TERM AND HOME CARE HEALTH SERVICES TO INDIVIDUALS AND FAMILIES IN ITS COMMUNITIES. MERCY OFFERS SERVICES AND PROGRAMS WHICH FURTHER HEALTH PROMOTION, MAINTENANCE AND CARE TO THE COMMUNITY. PROGRAMS PROVIDED TO MEET THE COMMUNITY NEEDS INCLUDE SUPPORT GROUPS FOR VARIOUS SITUATIONS, OUTREACH PROGRAMS, EDUCATIONAL PROGRAMS, HEALTH RESOURCE COORDINATION, COMMUNITY BLOOD DRIVES AND HEALTH FAIRS, ETC. MERCY ST. FRANCIS HOSPITAL IS GOVERNED BY A BOARD OF DIRECTORS WHICH INCLUDES REPRESENTATION FROM COMMUNITY LEADERS IN THE ORGANIZATION'S PRIMARY SERVICE AREAS. ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY. ANY POTENTIAL CONFLICTS OF INTEREST DISCLOSED BY BOARD MEMBERS ARE REVIEWED AND RESOLVED. THIS PROCESS ENSURES THAT PUBLIC, RATHER THAN PRIVATE, INTERESTS ARE SERVED BY MERCY. SURPLUS FUNDS AND UNRESTRICTED ASSETS HELD BY MERCY ST. FRANCIS HOSPITAL ARE REINVESTED IN PATIENT CARE, MEDICAL EDUCATION AND RESEARCH INITIATIVES WHICH SUPPORT THE ORGANIZATION'S MISSION TO DELIVER COMPASSIONATE CARE AND EXCEPTIONAL HEALTH CARE SERVICES TO THE COMMUNITIES IT SERVES.
Schedule H, Part VI, Line 6 Affiliated health care system	THE 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, 2023, MERCY FACILITIES INCLUDED 30 ACUTE CARE HOSPITALS, 5 HEART HOSPITALS, 6 REHAB HOSPITALS, 2 CHILDREN'S HOSPITALS, 2 ORTHOPEDIC HOSPITALS, AND 1 VIRTUAL CARE COMMAND CENTER. FOR THE FISCAL YEAR ENDED JUNE 30, 2023, MERCY HAD MORE THAN 10.9 MILLION CLINIC AND OUTPATIENT VISITS, APPROXIMATELY 2,400 EMPLOYED PHYSICIANS, AND APPROXIMATELY 45,000 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.
Schedule H, Part VI, Line 7 State filing of community benefit report	MO

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Mercy Health Foundation St Francis	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 US HWY 60	AddressLine1Txt
City	MOUNTAIN VIEW	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65548	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	431873914	RecipientEIN
IRC Section	501c3	IRCSectionDesc
Cash Grant	$37,428	CashGrantAmt
Purpose Of Grant	General Support	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	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, THE GRANTEE IS PART OF MERCY HEALTH AND THEREFORE A RELATED ORGANIZATION TO MERCY HOSPITAL ST. FRANCIS. LEADERSHIP OF THE HOSPITAL AND THE GRANTEE COMMUNICATE ON HOW FUNDS ARE USED, ALTHOUGH THERE IS NO FORMAL MONITORING PROCESS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
David Argueta
President, Mercy Springfield Communities & Board Member	$0	$513,491	$0	$168,091	$0	$58,288	$0	$69,677	$0	$19,132	$0	$828,678	$0	$0
Sherry Clouse Day
VP, Finance & Treasurer	$0	$213,563	$0	$28,979	$0	$56,582	$0	$16,300	$0	$14,697	$0	$330,120	$0	$0
Christie Eckhardt
VP, Chief Operations Counsel & Secretary	$0	$244,381	$0	$30,223	$0	$32,425	$0	$10,189	$0	$16,052	$0	$333,271	$0	$0
Craig McCoy
President - Springfield Communities (THRU 7/2022)	$0	$335,282	$0	$578,143	$0	$378,508	$0	$96,315	$0	$11,291	$0	$1,399,539	$0	$215,737
Kory Charpentier
Pharmacy Director	$0	$126,994	$0	$0	$0	$10,102	$0	$4,923	$0	$18,102	$0	$160,121	$0	$0
Mary Clark
Registered Nurse	$0	$108,176	$0	$0	$0	$20,112	$0	$16,063	$0	$6,451	$0	$150,802	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Housing allowance or residence for personal use	HOUSING BENEFITS ARE PROVIDED THROUGH A RELOCATION PROGRAM IN ACCORDANCE WITH COMPANY POLICY. SUCH BENEFITS ARE SUBJECT TO TAX TO THE EMPLOYEE. PAYMENT BY THE COMPANY OF COSTS FOR TEMPORARY HOUSING BY EMPLOYEES FOR THE CONVENIENCE OF THE COMPANY IS MADE IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. AS A REIMBURSABLE EXPENSE, THIS TYPE OF LODGING IS NOT TAXABLE TO THE EMPLOYEE. ONE LISTED INDIVIDUAL (A BOARD MEMBER) RECEIVED THIS BENEFIT DURING THE YEAR.
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	MERCY ST. FRANCIS HOSPITAL RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTIONS 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS.
Schedule J, Part I, Line 4a Severance or change-of-control payment	THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT AS NOTED: CRAIG MCCOY - $296,979
Schedule J, Part II	THE AMOUNTS REPORTED FOR CRAIG MCCOY 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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4d Description of other program services	(Expenses $ 1,207,138 including grants of $ 44,302)(Revenue $ 1,151,287) IN ADDITION TO THE PROGRAM SERVICES DESCRIBED ABOVE, MERCY ST. FRANCIS HOSPITAL ALSO SERVES PATIENTS IN ADDITIONAL SERVICE LINES, INCLUDING BUT NOT LIMITED TO THE FOLLOWING AREAS: CARDIOVASCULAR; LAB; NEUROSCIENCE; PEDIATRICS; WOMEN & INFANTS.
Form 990, Part V, Line 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, Line 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.
IMPACT OF COVID-19 PANDEMIC	EARLY IN 2020, THE MERCY HEALTH SYSTEM WAS CALLED TO SERVE AS THE COVID-19 PANDEMIC SWEPT ACROSS THE WORLD. DURING FY 2023, THE IMPACT OF COVID-19 AND INFLATION HAS BEEN AND STILL IS SIGNIFICANT TO OUR COMMUNITIES WITH CHANGES IN PATIENT CARE REVENUES DUE TO SURGES, INCREASING THE COSTS OF SALARIES AND AGENCY LABOR, AND SUPPLY CHAIN IMPACTS. ALL MERCY FACILITIES ADJUSTED OPERATIONS FOR THE IMPACTS OF THE PANDEMIC. IN ADDITION, MERCY FOUNDATIONS AND OUTREACH MINISTRIES EXPERIENCED LIMITATIONS IN FUNDRAISING FOR PROGRAM AND CAPITAL SUPPORT EFFORTS THAT ASSIST THE UNDERSERVED IN OUR COMMUNITIES. MERCY DID RECEIVE FUNDING FROM THE CORONAVIRUS AID RELIEF AND ECONOMIC SECURITY ACT ("CARES ACT"). MERCY RECEIVED CARES ACT FUNDING FOR THE PAST FOUR FISCAL YEARS ACROSS VARIOUS ENTITIES AND RECOGNIZED A PORTION OF THIS FUNDING IN OTHER OPERATING REVENUE. THESE FUNDS HELPED TO OFFSET REVENUE LOSSES AND ADDITIONAL EXPENSES INCURRED DUE TO THE PANDEMIC; HOWEVER, THESE FUNDS FELL SHORT OF THE SYSTEM LOSSES EXPERIENCED SINCE THE START OF THE PANDEMIC. MERCY CONTINUES TO MONITOR THE IMPACTS OF THE PANDEMIC BOTH TO THE HEALTH SYSTEM AND THE COMMUNITIES SERVED AS WE CONTINUE TO PROVIDE ASSISTANCE AND MAINTAIN ACCESS TO CARE WITHIN OUR COMMUNITIES.
Form 990, Part VI, Line 6 Classes of members or stockholders	THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH SPRINGFIELD COMMUNITIES.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE SOLE CORPORATE MEMBER HAS THE AUTHORITY TO: -APPOINT THE PRESIDENT OF THE CORPORATION (OR HIS OR HER SUBSTITUTE OR SUCCESSOR), IN CONSULTATION WITH THE BOARD; -REMOVE THE PRESIDENT OF THE CORPORATION, WITH OR WITHOUT CAUSE -APPOINT BOARD MEMBERS AS SET FORTH IN ARTICLE V; AND, -REMOVE BOARD MEMBERS AS SET FORTH IN SECTION 5.10.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED SOLELY TO THE CORPORATE MEMBER AND SHALL REQUIRE THE ACTION OR APPROVAL, AS APPLICABLE, OF THE CORPORATE MEMBER: -ADOPTION OF OR REVISIONS TO THE PHILOSOPHY, MISSION AND VALUES ACCORDING TO WHICH THE FACILITY IS OPERATED; -ADOPTION OF A PLAN OF MERGER, DISSOLUTION OR CONSOLIDATION OF THE CORPORATION; -AUTHORIZATION OR APPROVAL, AS APPLICABLE, OF THE SALE OF, OR SERIES OF RELATED SALES WHICH AT THE OUTSET ARE INTENDED BY THE CORPORATION TO ULTIMATELY RESULT IN THE SALE OF, ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S PROPERTY; -AUTHORIZATION OR APPROVAL, AS APPLICABLE, OF THE SALE (OTHER THAN SALE(S) DESCRIBED IN SECTIONS 4.4-1(D) AND 4.4-2(D)), CONVEYANCE, LEASE, TRANSFER, OR DISPOSITION OF THE CORPORATION'S PROPERTY, INCURRENCE OF DEBT OR OF ENCUMBRANCE OF THE CORPORATION'S PROPERTY; -AFTER CONSULTATION WITH THE BOARD, AUTHORIZATION OF APPROVAL OF AMENDMENT, AS APPLICABLE, OF THE STRATEGIC AND FINANCIAL PLANS, GOALS AND OBJECTIVES OF THE CORPORATION, INCLUDING, WITHOUT LIMITATION, THE OPERATING AND CAPITAL BUDGETS, INCURRENCE OF DEBT, INVESTMENTS, FINANCIAL TARGETS AND CAPITAL LEASES; -AUTHORIZATION OR APPROVAL, AS APPLICABLE, OF ANY UNBUDGETED EXPENDITURES OR UNBUDGETED INCURRENCE OF DEBT BY THE CORPORATION IN EXCESS OF THOSE AMOUNTS PERMITTED BY THE POLICY ESTABLISHED BY THE CORPORATE MEMBER FROM TIME TO TIME; AND -APPROVAL OR ADOPTION OF ANY AMENDMENT OF THE ARTICLES OF INCORPORATION OF THE CORPORATION, OR ADOPTION OF ANY AMENDMENT OF THESE BYLAWS.
Form 990, Part VI, Line 11b Review of form 990 by governing body	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 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 THEN SIGNED AND FILED WITH THE IRS.
Form 990, Part VI, Line 12c Conflict of interest policy	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, 2023. 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, Line 19 Required documents available to the 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 or fund balances	NET TRANSFERS TO/FROM AFFILIATES - 2142072;
Form 990, Part XII, Line 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 2023 (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, Line 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, 2023 BY MARCH 31, 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, 2023, IT WILL BE INCLUDED ON THE MERCY HEALTH CONSOLIDATED SEFA, AND THEREFORE, ALSO INCLUDED IN THE POPULATION INCLUDED IN THE AUDIT.
FORM 990, PART VI, Line 15A AND 15B	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, ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT, AND REVIEW/APPROVAL OF COMPENSATION BY THE COMPENSATION COMMITTEE OF THE BOARD OF MERCY HEALTH. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS AND A REVIEW WAS COMPLETED DURING THE REPORTING YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (67 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Address Line2USAddress/AddressLine2Txt
Casa de Misericordia
1000 Mier St	Laredo	TX	78040	742912461	Women's domestic violence shelter	TX	501(c)(3)	7	Mercy Ministries of Laredo	Yes (true)
McAuley Portfolio Management Company
15740 South Outer 40 Rd	Chesterfield	MO	63017	261708048	Portfolio Management	MO	501(c)(3)	Type II	Mercy Health	Yes (true)
Mercy ACO Clinical Services Inc
15740 South Outer 40 Rd	Chesterfield	MO	63017	464504901	Virtual Care Center	MO	501(c)(3)	3	Mercy Health	Yes (true)
Mercy Clinic East Communities
15740 South Outer 40 Rd	Chesterfield	MO	63017	431771217	Physician Group	MO	501(c)(3)	10	Mercy Health East Communities	Yes (true)
Mercy Clinic Fort Smith Communities
7301 Rogers Avenue	Fort Smith	AR	72903	261318597	Physician Clinic	AR	501(c)(3)	3	Mercy Health Fort Smith Communities	Yes (true)
Mercy Clinic Oklahoma Communities Inc
4300 W Memorial Road	Oklahoma City	OK	73120	270473057	Physician Group	OK	501(c)(3)	3	Mercy Health Oklahoma Communities Inc	Yes (true)
Mercy Clinic Springfield Communities
1965 S Fremont Suite 200	Springfield	MO	65804	431560263	Physician Group	MO	501(c)(3)	3	Mercy Health Springfield Communities	Yes (true)
Mercy Family Center
110 Veterans Blvd	Metairie	LA	70005	721069468	Family counseling service	LA	501(c)(3)	7	Mercy Health	Yes (true)
Mercy Health
15740 South Outer 40 Rd	Chesterfield	MO	63017	431423050	Corporate Office	MO	501(c)(3)	1	NA	false
Mercy Health East Communities
15740 South Outer 40 Rd	Chesterfield	MO	63017	431718408	Health System	MO	501(c)(3)	Type I	Mercy Health	Yes (true)
Mercy Health Fort Smith Communities
7301 Rogers Avenue	Fort Smith	AR	72917	261318515	Holding Company	AR	501(c)(3)	Type II	Mercy Health	Yes (true)
Mercy Health Foundation
15740 South Outer 40 Rd	Chesterfield	MO	63017	200901499	Foundation	MO	501(c)(3)	Type II	Mercy Health	Yes (true)
Mercy Health Foundation Ada
430 N Monte Vista Street	Ada	OK	74820	463596274	Foundation	OK	501(c)(3)	Type I	Mercy Hospital Ada Inc	Yes (true)
Mercy Health Foundation Ardmore
1011 14th Avenue NW	Ardmore	OK	73401	710962525	Foundation	OK	501(c)(3)	Type I	Mercy Hospital Ardmore Inc	Yes (true)
Mercy Health Foundation Berryville
214 Carter Street	Berryville	AR	72616	710759301	Foundation	AR	501(c)(3)	Type I	Mercy Hospital Berryville	Yes (true)
Mercy Health Foundation Fort Scott
401 Woodland Hills Blvd	Fort Scott	KS	66701	481077073	Foundation	KS	501(c)(3)	7	Mercy Kansas Communities Inc	Yes (true)
Mercy Health Foundation Fort Smith
7301 Rogers Avenue	Fort Smith	AR	72917	237330425	Foundation	AR	501(c)(3)	7	Mercy Health Fort Smith Communities	Yes (true)
Mercy Health Foundation Jefferson
1400 US Highway 61 South	Festus	MO	63028	462797051	Foundation	MO	501(c)(3)	Type II	Mercy Hospital Jefferson	Yes (true)
Mercy Health Foundation Joplin
100 Mercy Way	Joplin	MO	64804	270906136	Foundation	MO	501(c)(3)	7	Mercy Health SW MOKS Communities	Yes (true)
Mercy Health Foundation Lebanon
100 Hospital Drive	Lebanon	MO	65536	822514567	Foundation	MO	501(c)(3)	Type II	Mercy Hospital Lebanon	Yes (true)
Mercy Health Foundation Lincoln
1000 East Cherry Street	Troy	MO	63379	811477159	Foundation	MO	501(c)(3)	Type II	Mercy Hospitals East Communities	Yes (true)
Mercy Health Foundation Northwest Arkansas
2710 Rife Medical Lane	Rogers	AR	72758	710601687	Foundation	AR	501(c)(3)	7	Mercy Hospital Rogers	Yes (true)
Mercy Health Foundation of Oklahoma
4300 W Memorial Road	Oklahoma City	OK	73120	454732301	Foundation	OK	501(c)(3)	Type I	Mercy Health Oklahoma Communities Inc	Yes (true)
Mercy Health Foundation Oklahoma City
4300 W Memorial Road	Oklahoma City	OK	73120	463184231	Foundation	OK	501(c)(3)	Type I	Mercy Hospital Oklahoma City Inc	Yes (true)
Mercy Health Foundation Springfield
1235 E Cherokee Street	Springfield	MO	65804	320195818	Foundation	MO	501(c)(3)	Type II	Mercy Health Springfield Communities	Yes (true)
Mercy Health Foundation St Francis
100 W Highway 60	Mountain View	MO	65548	431873914	Foundation	MO	501(c)(3)	Type I	Mercy St Francis Hospital	Yes (true)
Mercy Health Foundation St Louis
615 South New Ballas Road	St Louis	MO	63141	562410020	Foundation	MO	501(c)(3)	Type II	Mercy Health East Communities	Yes (true)
Mercy Health Foundation Washington
901 E Fifth Street	Washington	MO	63090	562410022	Foundation	MO	501(c)(3)	Type II	Mercy Health East Communities	Yes (true)
Mercy Health Northwest Arkansas Communities
2710 Rife Medical Lane	Rogers	AR	72758	621684203	Physician Group	AR	501(c)(3)	10	Mercy Health	Yes (true)
Mercy Health Oklahoma Communities Inc
4300 W Memorial Road	Oklahoma City	OK	73120	731453048	Health System	OK	501(c)(3)	Type I	Mercy Health	Yes (true)
Mercy Health Southwest MissouriKansas Communities
100 Mercy Way	Joplin	MO	64804	300584463	Health System	MO	501(c)(3)	Type II	Mercy Health	Yes (true)
Mercy Health Springfield Communities
1235 E Cherokee Street	Springfield	MO	65804	431856028	Health System	MO	501(c)(3)	Type II	Mercy Health	Yes (true)
Mercy Hospital Ada Inc
430 N Monte Vista Street	Ada	OK	74820	462288155	Hospital	OK	501(c)(3)	3	Mercy Health Oklahoma Communities Inc	Yes (true)
Mercy Hospital Ardmore Inc
1011 14th Avenue NW	Ardmore	OK	73401	731500629	Hospital	OK	501(c)(3)	3	Mercy Health Oklahoma Communities Inc	Yes (true)
Mercy Hospital Aurora
500 Porter Avenue	Aurora	MO	65605	431936696	Hospital	MO	501(c)(3)	3	Mercy Health Springfield Communities	Yes (true)
Mercy Hospital Berryville
214 Carter Street	Berryville	AR	72616	710759299	Hospital	AR	501(c)(3)	3	Mercy Health NW Ark Communities	Yes (true)
Mercy Hospital Booneville
880 West Main Street	Booneville	AR	72927	463851119	Hospital	AR	501(c)(3)	3	Mercy Hospital Fort Smith	Yes (true)
Mercy Hospital Carthage
3125 Dr Russell Smith Way	Carthage	MO	64836	453808607	Hospital	MO	501(c)(3)	3	Mercy Health SW MOKS Communities	Yes (true)
Mercy Hospital Cassville
94 Main Street	Cassville	MO	65625	431936699	Hospital	MO	501(c)(3)	3	Mercy Health Springfield Communities	Yes (true)
Mercy Hospital Columbus
220 Pennsylvania Avenue	Columbus	KS	66725	270842031	Hospital	KS	501(c)(3)	3	Mercy Health SW MOKS Communities	Yes (true)
Mercy Hospital El Reno Inc
2115 Parkview Drive	El Reno	OK	73036	272716065	Hospital	OK	501(c)(3)	3	Mercy Hospital Oklahoma City Inc	Yes (true)
Mercy Hospital Fort Smith
7301 Rogers Avenue	Fort Smith	AR	72903	710240352	Hospital	AR	501(c)(3)	3	Mercy Health Fort Smith Communities	Yes (true)
Mercy Hospital Healdton Inc
3462 Hospital Rd	Healdton	OK	73438	263173902	Hospital	OK	501(c)(3)	3	Mercy Hospital Ardmore Inc	Yes (true)
Mercy Hospital Jefferson
1400 Highway 61 South	Festus	MO	63028	430687077	Hospital	MO	501(c)(3)	3	Mercy Health East Communities	Yes (true)
Mercy Hospital Joplin
100 Mercy Way	Joplin	MO	64804	270814858	Hospital	MO	501(c)(3)	3	Mercy Health SW MOKS Communities	Yes (true)
Mercy Hospital Kingfisher Inc
1000 Kingfisher Regional	Kingfisher	OK	73750	463433074	Hospital	OK	501(c)(3)	3	Mercy Hospital Oklahoma City Inc	Yes (true)	Hospital Circle
Mercy Hospital Lebanon
100 Hospital Drive	Lebanon	MO	65536	431767432	Hospital	MO	501(c)(3)	3	Mercy Health Springfield Communities	Yes (true)
Mercy Hospital Lincoln
1000 East Cherry Street	Troy	MO	63379	472219204	Hospital	MO	501(c)(3)	3	Mercy Hospitals East Communities	Yes (true)
Mercy Hospital Logan County Inc
200 South Academy	Guthrie	OK	73044	452998842	Hospital	OK	501(c)(3)	3	Mercy Hospital Oklahoma City Inc	Yes (true)
Mercy Hospital Oklahoma City Inc
4300 W Memorial Road	Oklahoma City	OK	73120	730579285	Hospital	OK	501(c)(3)	3	Mercy Health Oklahoma Communities Inc	Yes (true)
Mercy Hospital Ozark
801 W River Street	Ozark	AR	72949	710689680	Hospital	AR	501(c)(3)	3	Mercy Hospital Fort Smith	Yes (true)
Mercy Hospital Paris
500 E Academy	Paris	AR	72855	710655753	Hospital	AR	501(c)(3)	3	Mercy Hospital Fort Smith	Yes (true)
Mercy Hospital Rogers
2710 Rife Medical Lane	Rogers	AR	72758	710294390	Hospital	AR	501(c)(3)	3	Mercy Health NW Ark Communities	Yes (true)
Mercy Hospital Springfield
1235 E Cherokee Street	Springfield	MO	65804	440552485	Hospital	MO	501(c)(3)	3	Mercy Health Springfield Communities	Yes (true)
Mercy Hospital Tishomingo Inc
1000 South Byrd	Tishomingo	OK	73460	274433830	Hospital	OK	501(c)(3)	3	Mercy Hospital Ada Inc	Yes (true)
Mercy Hospital Waldron
1341 W 6th Street	Waldron	AR	72958	710557895	Hospital	AR	501(c)(3)	3	Mercy Hospital Fort Smith	Yes (true)
Mercy Hospital Watonga Inc
500 Clarence Nash Blvd	Watonga	OK	73772	455199762	Hospital	OK	501(c)(3)	3	Mercy Hospital Oklahoma City Inc	Yes (true)
Mercy Hospitals East Communities
615 S New Ballas Road	St Louis	MO	63141	430653493	Hospital	MO	501(c)(3)	3	Mercy Health East Communities	Yes (true)
Mercy Kansas Communities Inc
401 Woodland Hills Blvd	Ft Scott	KS	66701	480956045	Hospital	KS	501(c)(3)	3	Mercy Health SW MOKS Communities	Yes (true)
Mercy Ministries of Laredo
2500 Zacatecas St	Laredo	TX	78046	200198462	Outreach	TX	501(c)(3)	7	Mercy Health	Yes (true)
Mercy Research
524 North Booneville Avenue	Springfield	MO	65802	870796305	Research	MO	501(c)(3)	4	Mercy Health	Yes (true)
MHM Support Services
15740 South Outer 40 Rd	Chesterfield	MO	63017	202553101	Centralized Health System Functions	MO	501(c)(3)	Type I	Mercy Health	Yes (true)
Mission Clinical Services
300 Werner Street	Hot Springs	AR	71913	134239691	Child advocacy center	AR	501(c)(3)	3	Mercy Health	Yes (true)
Mercy Health Foundation South
10010 Kennerly Road	St Louis	MO	63128	261516789	Fundraising	MO	501(c)(3)	Type I	Mercy Hospital South	Yes (true)
Mercy Hospital South
10010 Kennerly Road	St Louis	MO	63128	430980256	Hospital	MO	501(c)(3)	3	Mercy Health East Communities	Yes (true)
St Anthony's Physician Organization
10010 Kennerly Road	St Louis	MO	63128	431784536	Health care	MO	501(c)(3)	3	Mercy Hospital South	Yes (true)
Mercy Specialty Hospital Southeast Kansas
1619 W 7th Street	Galena	KS	66739	843730625	Hospital	KS	501(c)(3)	3	Mercy Health SW MOKS Communities	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Fort Smith Emergency Medical Services
1701 S Greenwood	Fort Smith	AR	72901	710416615	Emergency Medical Services	AR	NA
Plaza Surgery Services Company LLC
12700 Southfork Road	St Louis	MO	63128	204709312	Inactive	MO	NA
St Edward Mercy MC M-P Office Bldg
7301 Rogers Avenue	Fort Smith	AR	72903	710554050	Office Building	AR	NA
Platinum CPS Holdings LLC
15740 South Outer 40 Rd	Chesterfield	MO	63017	842493007	Holding Company	MO	NA
Maryville Cancer Center LLC
2227 Vadalabene Drive	Maryville	IL	62062	813385885	Outpatient Center	IL	NA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt
Frontenac Properties Inc
15740 South Outer 40 Rd	Chesterfield	MO	63017	521914421	Holding company	DE	NA	C Corporation
Mercy Commercial Services Inc
15740 South Outer 40 Rd	Chesterfield	MO	63017	464953543	CORPORATE PARENT OF VCC TAXABLE COMMERCIAL SERVICES	MO	NA	C Corporation
Mercy Health Center Condominium Inc
4300 W Memorial Rd	Oklahoma City	OK	73120	680640970	Real estate	OK	NA	C Corporation
Mercy Managed Care Corporation
15740 South Outer 40 Rd	Chesterfield	MO	63017	731441665	Holding company	OK	NA	C Corporation
St Anthony's Physician Organization of Illinois
10010 Kennerly Road	St Louis	MO	63128	320457168	Health Care	MO	NA	C Corporation

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MHM Support Services
Q	$9,993,829	FMV
Mercy Health Springfield Communities
Q	$6,169,227	FMV
Mercy Health Foundation St Francis
C	$56,184	FMV

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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.

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.