MERCY HOSPITAL SPRINGFIELD: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: MERCY HOSPITAL SPRINGFIELD (EIN 44-0552485)
Tax period: 2023-07-01 to 2024-06-30
Filed: 2025-05-13
IRS object ID: 202511339349302601
Schema version: 2023v6.0
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 L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-05-13T08:50:40-05:00	ReturnTs
Tax Period End	2024-06-30	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 E 4TH ST SUITE 2900	AddressLine1Txt
City	CINCINNATI	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45202	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	440552485	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MERCY HOSPITAL SPRINGFIELD	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	1235 E CHEROKEE STREET	AddressLine1Txt
City	SPRINGFIELD	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65804	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOHN MYERS	PersonNm
Person Title	PRESIDENT, MERCY SPRINGFIELD COMMUN	PersonTitleTxt
Phone	3145796100	PhoneNum
Signature	2025-05-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ABBEY E LEIBEL	PreparerPersonNm
PTIN	P01517527	PTIN
Phone	5136121400	PhoneNum

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JOHN MYERS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1235 E CHEROKEE STREET	AddressLine1Txt
City	SPRINGFIELD	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65804	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,298,514,935	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MERCY.NET	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1987	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	6	VotingMembersGoverningBodyCnt
Voting Members Independent	4	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	290	TotalVolunteersCnt
Total Gross UBI	$458,625	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,180,590	PYContributionsGrantsAmt
CY Contributions Grants	$1,116,457	CYContributionsGrantsAmt
PY Program Service Revenue	$1,115,486,262	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,286,653,548	CYProgramServiceRevenueAmt
PY Investment Income	$605,491	PYInvestmentIncomeAmt
CY Investment Income	$2,355,411	CYInvestmentIncomeAmt
PY Other Revenue	$7,591,878	PYOtherRevenueAmt
CY Other Revenue	$8,367,396	CYOtherRevenueAmt
PY Total Revenue	$1,124,864,221	PYTotalRevenueAmt
CY Total Revenue	$1,298,492,812	CYTotalRevenueAmt
PY Grants And Similar Paid	$705,997	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$770,955	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$489,744,590	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$530,371,532	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$552,533,344	PYOtherExpensesAmt
CY Other Expenses	$619,034,068	CYOtherExpensesAmt
PY Total Expenses	$1,042,983,931	PYTotalExpensesAmt
CY Total Expenses	$1,150,176,555	CYTotalExpensesAmt
PY Revenues Less Expenses	$81,880,290	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$148,316,257	CYRevenuesLessExpensesAmt
Total Assets BOY	$537,051,851	TotalAssetsBOYAmt
Total Assets EOY	$555,334,783	TotalAssetsEOYAmt
Total Liabilities BOY	$107,698,907	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$102,292,432	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$429,352,944	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$453,042,351	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	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$137,203,935	ExpenseAmt
Revenue	$175,008,817	RevenueAmt
Desc	MERCY HOSPITAL SPRINGFIELD PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY BY OFFERING ESSENTIAL HEALTH SERVICES TO ITS COMMUNITY. IN ACTIVE PURSUIT OF THIS MISSION, MERCY HOSPITAL SPRINGFIELD PROVIDES A WIDE VARIETY OF SERVICES IN THEIR 504 BED FACILITY AND IN FY24, HAD 1,123,214 TOTAL CASES. MERCY HOSPITAL SPRINGFIELD OFFERS COMPREHENSIVE HEART AND VASCULAR SERVICES, A WIDE VARIETY OF TREATMENT OPTIONS AND ADVANCED TECHNOLOGIES TO DIAGNOSE AND TREAT A FULL RANGE OF CONDITIONS. MERCY HOSPITAL SPRINGFIELD ALSO PROVIDES A FULL COMPLEMENT OF CARDIAC REHABILITATION, THERAPY AND EDUCATION SERVICES. IN FY24, MERCY HOSPITAL SPRINGFIELD HAD 79,274 CASES AND 25,396 PATIENT DAYS FOR THIS SERVICE LINE.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$99,092,398	ExpenseAmt
Revenue	$126,396,108	RevenueAmt
Desc	AT MERCY HOSPITAL SPRINGFIELD, CANCER CARE IS ABOUT MORE THAN PROVIDING CLINICAL TREATMENTS. MERCY HOSPITAL SPRINGFIELD 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 FY24, MERCY HOSPITAL SPRINGFIELD HAD 39,038 CASES AND 6,954 PATIENT DAYS FOR THIS SERVICE LINE.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$78,971,486	ExpenseAmt
Revenue	$100,731,123	RevenueAmt
Desc	MERCY HOSPITAL SPRINGFIELD'S ORTHOPEDIC PHYSICIANS SHARE A PASSION FOR PROTECTING AND PRESERVING YOUR MOBILITY AND STRENGTH AND CAN CARE FOR NEARLY ANY MEDICAL CONDITION OR INJURY THAT AFFECTS THE MUSCULOSKELETAL SYSTEM. MERCY'S ORTHOPEDIC SPECIALISTS AND SURGEONS TREAT EVERYTHING FROM ACHY JOINTS AND SPORTS INJURIES TO HAND INJURIES AND TRAUMA. IN FY24, MERCY HOSPITAL SPRINGFIELD HAD 13,417 CASES AND 11,217 PATIENT DAYS FOR THIS SERVICE LINE.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$694,856,347	ExpenseAmt
Grant	$770,955	GrantAmt
Revenue	$886,315,593	RevenueAmt
Desc	IN ADDITION TO THE PROGRAM SERVICES DESCRIBED ABOVE, MERCY HOSPITAL SPRINGFIELD ALSO SERVES PATIENTS IN ADDITIONAL SERVICE LINES, INCLUDING BUT NOT LIMITED TO THE FOLLOWING AREAS: EMERGENCY ROOM; GASTROENTEROLOGY; NEUROSCIENCE; RADIOLOGY; WOMEN & INFANTS.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$694,856,347	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$770,955	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$886,315,593	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$1,010,124,166	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	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	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	6	GoverningBodyVotingMembersCnt
Independent Voting Member	4	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WILLIAM J ROBERTS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4178203666	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1235 E CHEROKEE STREET	AddressLine1Txt
City	SPRINGFIELD	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65804	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 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	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ARGUETA DAVID
PRESIDENT, MERCY SPRINGFIELD COMMUNITIES & BM	5.00	55.00	Yes (X)	Yes (X)	$0	$1,210,517	$109,588
GRIESEMER MD MARK
PHYSICIAN & BOARD MEMBER	15.00	40.00	Yes (X)		$0	$604,222	$30,078
HAMMERSCHMIDT JR ROBERT
BOARD MEMBER	1.00	1.00	Yes (X)		$0	$0	$0
HILMES THOMAS
BOARD MEMBER	1.00	1.00	Yes (X)		$0	$0	$0
MYERS JOHNATHON
PRESIDENT, MERCY SPRINGFIELD COMMUNITIES & BM	5.00	45.00	Yes (X)	Yes (X)	$0	$535,451	$65,613
RANKIN THOMAS
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
SANDERS NICK
BOARD MEMBER	1.00	1.00	Yes (X)		$0	$0	$0
ECKHARDT CHRISTIE
VP, CHIEF OPERATIONS COUNSEL & SEC (THRU 10/2023)	1.00	57.00		Yes (X)	$0	$324,958	$17,586
ROBERTS WILLIAM J
CFO	40.00	15.00		Yes (X)	$0	$406,175	$24,006
WILKE JAMIE
ASSOCIATE COUNSEL & SEC (11/23)	2.00	58.00		Yes (X)	$0	$223,989	$12,297
HENNESSEY III WILLIAM
VP-MISSION	25.00	35.00			$0	$323,269	$52,781	Yes (X)
BETHEA RALPH
PHYSICIAN	50.00	0.00			$0	$1,069,526	$35,767		Yes (X)
COCHRAN MD DAVID
PHYSICIAN	25.00	25.00			$0	$1,075,394	$51,877		Yes (X)
OGHLAKIAN GERARD
PHYSICIAN	50.00	0.00			$0	$1,079,281	$31,743		Yes (X)
SNIDER DO JESSICA
PHYSICIAN	50.00	0.00			$0	$1,091,975	$24,827		Yes (X)
TUMMALA MOHAN
PHYSICIAN	50.00	0.00			$0	$1,111,595	$33,154		Yes (X)
MCCOY CRAIG
FORMER OFFICER	15.00	30.00			$0	$376,685	$731			Yes (X)
RICHMOND JACQUELYNN
FORMER OFFICER	0.00	55.00			$0	$1,551,497	$108,160			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$10,984,534	TotReportableCompRltdOrgAmt
Total Other Compensation	$598,208	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 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 PARK	KS	66210	CONTRACT LABOR AGENCY	$40,371,302
LOCUMSMART LLC
PO BOX 736389	DALLAS	TX	75373	CONTRACT WAGES FOR NON-INTEGRATED PHYSIC	$6,277,077
TOWNE PARK LLC
450 PLYMOUTH ROAD SUITE 300	PLYMOUTH MEETING	PA	19462	VALET AND SITTER SERVICES	$2,384,284
MCCARTHY BUILDING COMPANIES INC
12851 MANCHESTER ROAD	ST LOUIS	MO	63131	BUILDING AND RENOVATION SERVICES	$2,180,427
D3 ONCOLOGY INC
3290 NORTHSIDE PKWY NW STE 400 4TH	ATLANTA	GA	30327	RADIATION THERAPY CONTRACT SERVICES	$1,572,700

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	67	CntrctRcvdGreaterThan100KCnt
Related Organizations	$902,844	RelatedOrganizationsAmt
Government Grants	$213,613	GovernmentGrantsAmt
Total Contributions	$1,116,457	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	622110	$1,279,394,039	$1,278,935,414	$458,625
OTHER OPERATING REVENUE	900099	$5,191,974	$5,191,974
RENTAL INCOME FROM RELATED ORGANI	531120	$2,067,535	$2,067,535

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,286,653,548	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,371,534	TotalRevenueColumnAmt
Exclusion	$2,371,534	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$482,401	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$482,401	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$482,401	TotalRevenueColumnAmt
Exclusion	$482,401	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$6,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$22,123	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$16,123	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$16,123	TotalRevenueColumnAmt
Exclusion	-$16,123	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFE & VENDING	722514	$6,086,902	$6,086,902
REGISTRATION FEES	900099	$1,074,407		$1,074,407
TUITION INCOME	900099	$467,676		$467,676

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$256,010	TotalRevenueColumnAmt
Related Or Exempt Func Income	$256,010	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$7,884,995	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,298,492,812	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,287,993,016	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$458,625	UnrelatedBusinessRevenueAmt
Exclusion	$8,924,714	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$770,955	TotalAmt
Program Services	$770,955	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$77,317	TotalAmt
Program Services	$75,878	ProgramServicesAmt
Management And General	$1,439	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$450,877,732	TotalAmt
Program Services	$444,015,372	ProgramServicesAmt
Management And General	$6,862,360	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$15,228,377	TotalAmt
Program Services	$14,391,912	ProgramServicesAmt
Management And General	$836,465	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$37,746,395	TotalAmt
Program Services	$35,552,310	ProgramServicesAmt
Management And General	$2,194,085	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$26,441,711	TotalAmt
Program Services	$25,006,402	ProgramServicesAmt
Management And General	$1,435,309	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$58,036	TotalAmt
Management And General	$58,036	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$21,159,056	TotalAmt
Program Services	$20,856,101	ProgramServicesAmt
Management And General	$302,955	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$85,237	TotalAmt
Program Services	$85,237	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$18,903,317	TotalAmt
Program Services	$17,729,686	ProgramServicesAmt
Management And General	$1,173,631	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$242,844	TotalAmt
Program Services	$238,663	ProgramServicesAmt
Management And General	$4,181	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$24,913,726	TotalAmt
Program Services	$24,803,308	ProgramServicesAmt
Management And General	$110,418	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$352,958	TotalAmt
Program Services	$336,687	ProgramServicesAmt
Management And General	$16,271	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$6,144	TotalAmt
Program Services	$6,144	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$33,404,923	TotalAmt
Program Services	$29,627,260	ProgramServicesAmt
Management And General	$3,777,663	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,970,342	TotalAmt
Program Services	$1,970,342	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
DRUGS & MEDICAL EXPENSE	$275,958,984	$275,958,984
SHARED SERVICE FEES	$181,558,964	$59,914,458	$121,644,506
BAD DEBT	$42,690,010	$42,690,010
REPAIRS & MAINTENANCE	$15,793,184	$14,183,906	$1,609,278

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,936,343	TotalAmt
Program Services	$1,910,551	ProgramServicesAmt
Management And General	$25,792	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,150,176,555	TotalAmt
Program Services	$1,010,124,166	ProgramServicesAmt
Management And General	$140,052,389	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$24,638,145	BOYAmt
EOY	$27,269,953	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$20,264	BOYAmt
EOY	$177,948	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$141,004,186	BOYAmt
EOY	$161,432,850	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$17,025,789	BOYAmt
EOY	$16,243,350	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$417,730	BOYAmt
EOY	$413,142	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,029,400,347	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$714,723,128	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$318,151,662	BOYAmt
EOY	$314,677,219	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$18,369,793	BOYAmt
EOY	$18,369,793	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$15,590,981	BOYAmt
EOY	$15,049,923	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,665,323	BOYAmt
EOY	$1,665,323	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$167,978	BOYAmt
EOY	$35,282	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$537,051,851	BOYAmt
EOY	$555,334,783	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$105,854,103	BOYAmt
EOY	$84,517,069	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
EOY	$84,000	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$145,366	BOYAmt
EOY	$136,277	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,699,438	BOYAmt
EOY	$17,555,086	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$107,698,907	BOYAmt
EOY	$102,292,432	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	$429,320,529	BOYAmt
EOY	$453,019,790	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$32,415	BOYAmt
EOY	$22,561	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$429,352,944	BOYAmt
EOY	$453,042,351	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$537,051,851	BOYAmt
EOY	$555,334,783	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$148,316,257	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$124,626,850	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	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 (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	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	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$58,036	OtherActivitiesAmt
Total Lobbying Expenditures	$58,036	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	THE FILING ORGANIZATION IS A MEMBER OF AND PAYS DUES TO THE FOLLOWING HOSPITAL ASSOCIATIONS: AMERICAN HOSPITAL ASSOCIATION, CATHOLIC HEALTH ASSOCIATION, AND MISSOURI HOSPITAL ASSOCIATION. FOR THE YEAR ENDED JUNE 30, 2024, DUES WERE $50,203, $203,188, AND $106,650, RESPECTIVELY. APPROXIMATELY 32.00% OF AMERICAN HOSPITAL ASSOCIATION DUES, 3.65% OF CATHOLIC HEALTH ASSOCIATION DUES, AND 32.40% OF MISSOURI 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	$12,079,491	OtherCostOrOtherBasisAmt
Book Value	$12,079,491	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$656,451,393	OtherCostOrOtherBasisAmt
Depreciation	$426,890,512	DepreciationAmt
Book Value	$229,560,881	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,634,907	OtherCostOrOtherBasisAmt
Depreciation	$3,410,858	DepreciationAmt
Book Value	$224,049	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$347,844,521	OtherCostOrOtherBasisAmt
Depreciation	$275,156,929	DepreciationAmt
Book Value	$72,687,592	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,390,035	OtherCostOrOtherBasisAmt
Depreciation	$9,264,829	DepreciationAmt
Book Value	$125,206	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$314,677,219	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	DUE TO AFFILIATES	Desc
Amt	$17,555,086	Amt

Field	Value	IRS element (for citing)
Total Liability	$17,555,086	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE D, PART X, LINE 2	FormAndLineReferenceDesc
Explanation	ASC 740 FOOTNOTE PRIMARILY ALL OF THE HEALTH SYSTEM ENTITIES ARE RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS CHARITABLE ORGANIZATIONS QUALIFYING UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), BY VIRTUE OF IRS DETERMINATION LETTERS OR INCLUSION IN THE OFFICIAL CATHOLIC DIRECTORY. THE HEALTH SYSTEM COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED ON THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2024 OR 2023.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,129,302	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$23,129,302	NetCommunityBenefitExpnsAmt
Total Expense	0.02010	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$192,270,640	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$173,824,908	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,445,732	NetCommunityBenefitExpnsAmt
Total Expense	0.01600	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$215,399,942	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$173,824,908	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$41,575,034	NetCommunityBenefitExpnsAmt
Total Expense	0.03610	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$677,657	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$677,657	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	8510	PersonsServedCnt
Total Community Benefit Expns	$4,401,696	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,401,696	NetCommunityBenefitExpnsAmt
Total Expense	0.00380	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$5,856,383	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,856,383	NetCommunityBenefitExpnsAmt
Total Expense	0.00510	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	1200	PersonsServedCnt
Total Community Benefit Expns	$21,355	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$21,355	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	11	ActivitiesOrProgramsCnt
Persons Served	9710	PersonsServedCnt
Total Community Benefit Expns	$10,957,091	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,957,091	NetCommunityBenefitExpnsAmt
Total Expense	0.00950	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	11	ActivitiesOrProgramsCnt
Persons Served	9710	PersonsServedCnt
Total Community Benefit Expns	$226,357,033	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$173,824,908	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$52,532,125	NetCommunityBenefitExpnsAmt
Total Expense	0.04560	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$15,334,799	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$172,831,550	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$182,008,205	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$9,176,655	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 (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Childrens HospitalChildrensHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
MERCY HOSPITAL SPRINGFIELD
1	1235 E CHEROKEE STREET	SPRINGFIELD	MO	65804	WWW.MERCY.NET	38-58	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
MERCY REHABILITATION HOSPITAL SPRINGFIELD
2	5904 S SOUTHWOOD ROAD	SPRINGFIELD	MO	65804	WWW.MERCY.NET	533	Yes (X)				A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	FACILITY REPORTING GROUP - A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	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 (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	SEE PART V, SECTION C	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	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 (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	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 (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, 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.
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: MERCY HOSPITAL SPRINGFIELD, - FACILITY 2: MERCY REHABILITATION HOSPITAL SPRINGFIELD
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5:	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 SPRINGFIELD'S COMMUNITY HEALTH NEEDS ASSESSMENT: (THE SPRINGFIELD COMMUNITY CONSISTS OF: CHRISTIAN COUNTY, MO; GREENE COUNTY, MO; AND WEBSTER 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 JULY THROUGH OCT. 2021, 20 INDIVIDUAL INTERVIEWS AND 3 VIRTUAL FOCUS GROUPS WERE CONDUCTED IN CHRISTIAN, GREENE AND WEBSTER 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 (AHI).OF THE 2,628 SURVEY RESPONDENTS FROM THE REGION, 31% INDICATED THEY LIVED IN THE SPRINGFIELD COMMUNITY. RESPONDENTS WERE ASKED TO RANK COMMUNITY NEEDS, AND THE TOP 10 THAT EMERGED WERE:1. DRUG AND OTHER SUBSTANCE ABUSE TREATMENT AND REHABILITATION SERVICES, INCLUDING DETOX2. EMERGENCY MENTAL HEALTH SERVICES3. INTEGRATED CARE4. AFFORDABLE, QUALITY CHILDCARE5. PREVENTION, EDUCATION, AND EARLY INTERVENTION SERVICES FOR SUBSTANCE USE6. CARE COORDINATION BETWEEN HOSPITALS, CLINICS, AND OTHER HEALTH CARE SETTINGS7. ADULT MENTAL HEALTH COUNSELING SERVICES8. ADOLESCENT AND CHILDREN MENTAL HEALTH COUNSELING SERVICES9. AFFORDABLE HOUSING10. SOCIAL SERVICES FOR INDIVIDUALS EXPERIENCING HOMELESSNESSTHOSE 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 SPRINGFIELD COMMUNITY.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A:	THE CHNA WAS CONDUCTED IN CONJUNCTION WITH THE FOLLOWING HOSPITAL FACILITIES: COXHEALTH SYSTEM, BURRELL BEHAVIORAL HEALTH, JORDAN VALLEY COMMUNITY HEALTH CENTER.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6B:	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.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11:	MERCY HOSPITAL SPRINGFIELD IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA BY FOCUSING PROGRAMMING, SERVICES AND EDUCATION OR AWARENESS AROUND: (1) DIABETES (2) MENTAL HEALTH (3) SUBSTANCE USE AND RECOVERYTHE FIRST IDENTIFIED NEED OR PRIORITY IS DIABETES: (1) INCREASE ACCESS TO HEALTH CARE FOR UNINSURED AND AT RISK PERSONS, (2) DECREASE THE PREVALENCE OF PREDIABETES AND DIABETES IN SPRINGFIELD, (3) INCREASE ACCESS TO MEDICATION, AND (4) INCREASE ACCESS TO HEALTHY FOOD.THE SECOND IDENTIFIED NEED OR PRIORITY IS MENTAL HEALTH: (1) INCREASE ACCESS TO OUTPATIENT BEHAVIORAL HEALTH SERVICES FOR PRIMARY CARE PATIENTS, (2) INCREASE ACCESS TO VIRTUAL BEHAVIORAL HEALTH SERVICES, AND (3) INCREASE ACCESS TO MEDICATION.THE THIRD IDENTIFIED NEED OR PRIORITY IS SUBSTANCE USE AND RECOVERY: (1) INCREASE PREVENTION INITIATIVES AND SUBSTANCE USE DISORDER TREATMENT PROGRAMS FOR UNINSURED AND AT RISK PERSONS.FOR ALL THESE IDENTIFIED NEEDS AND PRIORITIES, MERCY SPRINGFIELD CONTINUES TO WORK CLOSELY WITH ITS LOCAL PUBLIC SCHOOL SYSTEM, NONPROFIT ORGANIZATIONS, THE CHAMBER OF COMMERCE, AND PUBLIC OFFICIALS TO ENSURE WE ARE COLLABORATIVELY ADDRESSING THE NEEDS OF OUR COMMUNITY IN A MEASURABLE WAY. MERCY SPRINGFIELD REMAINS ACTIVELY ENGAGED IN ITS REPRESENTATION ON THE HEALTH COMMISSION TO STAY ATTACHED TO KEY LEADERS IN OUR COMMUNITY AIMING TO ACHIEVE SIMILAR WORK AND OUTCOMES, PARTICULARLY FOR PATIENTS AND OUR VULNERABLE POPULATIONS.OTHER HEALTH ISSUES IDENTIFIED IN THE CHNA PROCESS (CANCER, HEART DISEASE, LUNG DISEASE AND ORAL HEALTH) WERE NOT CHOSEN AS PRIORITY FOCUS AREAS FOR DEVELOPMENT OF THE CURRENT COMMUNITY HEALTH IMPROVEMENT PLAN DUE MERCY'S CURRENT LACK OF RESOURCES AVAILABLE TO ADDRESS THESE NEEDS AND THE INTENTION TO FOCUS ON THE THREE PRIORITIZED HEALTH NEEDS.OTHER NOTABLE COMMUNITY HEALTH INITIATIVES:THE COMMUNITY HEALTH WORKER (CHW) PROGRAM, WHICH WAS PILOTED BEGINNING IN 2018, WAS ADOPTED AND EXPANDED ACROSS MERCY HOSPITALS IN 2019. MERCY HOSPITAL SPRINGFIELD NOW HAS FOUR FULL-TIME CHWS TO CONNECT UNINSURED AND UNDERINSURED PATIENTS IN THE EMERGENCY DEPARTMENT AND CLINICS TO COMMUNITY RESOURCES FOR SOCIAL NEEDS, ADDRESS SOCIAL DETERMINANTS OF HEALTH ISSUES, AND ASSIST PATIENTS WITH APPLYING FOR MEDICAID, MARKETPLACE INSURANCE, AND HOSPITAL CHARITY CARE. CHWS ALSO COLLABORATE CLOSELY WITH THE CARE MANAGEMENT TEAM AND SOCIAL WORKERS TO ENSURE CONTINUITY OF CARE AND IMPROVE QUALITY OF LIFE. MERCY HOSPITAL SPRINGFIELD CHWS SERVED 4,470 PATIENTS DURING THE TAX YEAR.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 20E:	OTHER AREAS FROM A NOTICE PERSPECTIVE: FAP IS POSTED IN ALL REGISTRATION AREAS, FULL POLICY AND PLAIN LANGUAGE DOCUMENT POSTED ON WEBSITE, PLAIN LANGUAGE DOCUMENT IS AVAILABLE WHEN REQUESTED, THERE IS A NOTICE ON STATEMENT, AND ALL PATIENTS GET THREE STATEMENTS BEFORE THEY CAN GO TO A COLLECTION AGENCY.
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 7A	HTTPS://WWW.MERCY.NET/CONTENT/DAM/MERCY/EN/PDF/CHNA/SPRINGFIELD-CHNA-2022.PDF
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 7B	HTTP://OZARKSHEALTHCOMMISSION.ORG/WP-CONTENT/UPLOADS/2022/12/CHNA-FINAL-SPRINGFIELD-2022-BOOKLET.PDF
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 10A	HTTPS://WWW.MERCY.NET/CONTENT/DAM/MERCY/EN/PDF/CHIP/MERCY-SPRINGFIELD-CHIP-2023.PDF
FORM 990, SCHEDULE H, PART V, SECTION B, LINES 16A, 16B, & 16C	THE FINANCIAL ASSISTANCE POLICY, APPLICATION AND A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY ARE AVAILABLE ONLINE AT HTTPS://WWW.MERCY.NET/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/

Field	Value	IRS element (for citing)
Facility	23	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (23 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - MERCY EMS E KEARNEY
1664 E KEARNEY STREET	SPRINGFIELD	MO	65802	EMERGENCY MEDICAL SERVICES
2 - MERCY LIFE LINE ST ROBERT
608 CITY ROUTE 66	ST ROBERT	MO	65584	EMERGENCY MEDICAL SERVICES
3 - MERCY LIFE LINE BRANSON WEST
59 MEADOW LARK ROAD	BRANSON WEST	MO	65737	EMERGENCY MEDICAL SERVICES
4 - MERCY LIFE LINE ROGERS
2710 RIFE MEDICAL LANE	ROGERS	AR	72758	EMERGENCY MEDICAL SERVICES
5 - MERCY LIFE LINE FORT SMITH
5800 AIRPORT ROAD BLG 10	FORT SMITH	AR	72903	EMERGENCY MEDICAL SERVICES
6 - MERCY EMS LEBANON
535 TOWER ROAD	LEBANON	MO	65536	EMERGENCY MEDICAL SERVICES
7 - LEBANON NORTH STATION
100 HARRISON STREET	LEBANON	MO	65536	EMERGENCY MEDICAL SERVICES
8 - MERCY EMS CARTHAGE
3111 S DR RUSSELL SMITH WAY	CARTHAGE	MO	64836	EMERGENCY MEDICAL SERVICES
9 - MERCY EMS CASSVILLE
73 SMITHSON DRIVE	CASSVILLE	MO	65625	EMERGENCY MEDICAL SERVICES
10 - SHELL KNOB STATION
22301 OAK RIDGE DRIVE	SHELL KNOB	MO	65747	EMERGENCY MEDICAL SERVICES
11 - EAGLE ROCK STATION
19133 PLUM RICK ROAD	EAGLE ROCK	MO	65641	EMERGENCY MEDICAL SERVICES
12 - MERCY EMS CAMDENTON
675 N BUSINESS ROUTE 5	CAMDENTON	MO	65020	EMERGENCY MEDICAL SERVICES
13 - MERCY EMS CLIMAX SPRINGS
13808 N HWY 7	CLIMAX SPRINGS	MO	65324	EMERGENCY MEDICAL SERVICES
14 - MERCY EMS LINN CREEK
123 N MIDWAY DR	LYNN CREEK	MO	65052	EMERGENCY MEDICAL SERVICES
15 - MERCY EMS MACKS CREEK
1434 W HWY 54	MACKS CREEK	MO	65786	EMERGENCY MEDICAL SERVICES
16 - MERCY EMS MONTREAL
6349 S HWY 7	MONTREAL	MO	65591	EMERGENCY MEDICAL SERVICES
17 - MERCY EMS BRANSON WEST
59 MEADOW LARK ROAD	BRANSON WEST	MO	65737	EMERGENCY MEDICAL SERVICES
18 - MERCY EMS AURORA
502 SPRUCE STREET	AURORA	MO	65605	EMERGENCY MEDICAL SERVICES
19 - MERCY EMS MOUNTAIN GROVE
1503 N MAIN STREET	MOUNTAIN GROVE	MO	65711	EMERGENCY MEDICAL SERVICES
20 - MERCY EMS BUFFALO
216 W DALLAS	BUFFALO	MO	65622	EMERGENCY MEDICAL SERVICES
21 - MERCY EMS MT VERNON
1315 S LANDRUM	MOUNT VERNON	MO	65712	EMERGENCY MEDICAL SERVICES
22 - MERCY EMS MOUNTAIN VIEW
102 E USHIGHWAY 60	MOUNTAIN VIEW	MO	65548	EMERGENCY MEDICAL SERVICES
23 - MERCY EMS HEADQUARTERS
1407 ST LOUIS STREET	SPRINGFIELD	MO	65803	EMERGENCY MEDICAL SERVICES

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	THE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS PREPARED BY ITS ULTIMATE PARENT ENTITY, MERCY HEALTH (EIN: 43-1423050).
PART I, LINE 7:	TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) ARE $1,150,176,555. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $42,690,010. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $1,107,486,545.
PART I, LINE 7G:	THE ORGANIZATION DID NOT INCLUDE ANY PHYSICIAN CLINIC COSTS ON LINE 7G.
PART III, LINE 2:	TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE, AT COST, BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENT ACCOUNTS WAS MULTIPLIED BY A RATIO OF COST TO CHARGES. THE RATIO OF COST TO CHARGES USED WAS BASED ON DETAILED COST ACCOUNT, WHERE AVAILABLE. WHERE COST ACCOUNTING IS NOT AVAILABLE, COST REPORT COST TO CHARGE RATIOS WERE UTILIZED.
PART III, LINE 3:	THE FILING ORGANIZATION DETERMINED THAT THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS $0. ALTHOUGH THE CHARITY CARE POLICY REQUIRES THE PARTICIPATION OF THE PATIENT REQUESTING ASSISTANCE, WE HAVE A PROCESS UNDER PRESUMPTIVE CHARITY TO ADDRESS ACCOUNTS FOR PATIENTS WHO DO NOT PROVIDE THE INFORMATION. WE BELIEVE THAT OUR CHARITY POLICY IS COMPREHENSIVE ENOUGH TO CAPTURE ALMOST ALL PATIENTS WHO QUALIFY FOR CHARITY CARE.
PART III, LINE 4:	IN MAY 2014, THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) AND INTERNATIONAL ACCOUNTING STANDARDS BOARD ISSUED ACCOUNTING STANDARDS UPDATE (ASU) 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606). THE HEALTH SYSTEM ADOPTED ASU 2014-09 ON JULY 1, 2018 USING A FULL RETROSPECTIVE BASIS. UPON ADOPTION, THE MAJORITY OF WHAT WAS PREVIOUSLY CLASSIFIED AS PROVISION FOR UNCOLLECTIBLE ACCOUNTS AND PRESENTED AS A REDUCTION TO PATIENT SERVICE REVENUE ON THE CONSOLIDATED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS IS TREATED A PRICE CONCESSION THAT REDUCES THE TRANSACTION PRICE, WHICH IS REPORTED AS PATIENT SERVICE REVENUE. AS SUCH, BAD DEBT EXPENSE IS NOT REFERENCED IN MERCY HEALTH AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS.BAD DEBT EXPENSE IS TRACKED FOR FORM 990 REPORTING AS FOLLOWS: PATIENT ACCOUNTS RECEIVABLE THAT ARE DEEMED UNCOLLECTIBLE, INCLUDING THOSE PLACED WITH COLLECTION AGENCIES, ARE INITIALLY CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN ACCORDANCE WITH COLLECTION POLICIES OF THE HEALTH SYSTEM AND, IN CERTAIN CASES, ARE RECLASSIFIED TO CHARITY CARE IF DEEMED TO OTHERWISE MEET THE HEALTH SYSTEM'S CHARITY CARE POLICY. THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES BASED UPON THE PAYOR COMPOSITION AND AGING OF RECEIVABLES WITH CONSIDERATION OF THE HISTORICAL PAYMENT AND WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES.
PART III, LINE 8:	IT IS THE POSITION OF MERCY THAT 100% OF ANY SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS AMOUNT REPRESENTS COST OF PROVIDING SERVICES THAT REMAIN UNCOMPENSATED TO THE PROVIDER. THE UNREIMBURSED COSTS OF MEDICARE IS CALCULATED BY THE GROSS CHARGES NET OF THE COST TO CHARGE RATIO LESS ANY PAYMENTS, DEDUCTIONS OR REIMBURSEMENTS USING THE ANNUAL MEDICARE COST REPORT (CMS FORM 2552-96).
PART III, LINE 9B:	MERCY'S COLLECTION POLICY PROVIDES THAT MERCY WILL PERFORM A REASONABLE COMMUNICATION AND/OR REVIEW OF PATIENT ACCOUNTS AS IT RELATES TO ANY SERVICE PROVIDED AT OUR FACILITIES BEFORE TURNING THE ACCOUNT TO BAD DEBT FOR NONPAYMENT. MERCY ACTIVELY SCRUBS ACCOUNTS FOR PAYOR PLAN COVERAGE, INCLUDING MEDICAID. IN THE EVENT AN ACCOUNT IS TURNED TO COLLECTIONS AND IS IDENTIFIED IN NEED OF FINANCIAL ASSISTANCE DUE TO CIRCUMSTANCE CHANGES, OR PATIENT IS NOW REQUESTING ASSISTANCE, THE ACCOUNTS ARE RETURNED BY THE AGENCY AND CONSIDERED FOR CHARITY IF THE PATIENT PROVIDES THE REQUESTED INFORMATION. IF THE PATIENT FAILS TO RETURN THE INFORMATION, THE ACCOUNT WILL QUALIFY FOR COLLECTIONS.MERCY UTILIZES THE EXPERIAN TOOL TO ENHANCE THE ABILITY TO DETERMINE THE CHARITY QUALIFICATION PRIOR TO TURNING TO BAD DEBT, A PROCESS KNOWN AS PRESUMPTIVE CHARITY FOR ALL COMMUNITIES EXCEPT JOPLIN, MAUDE NORTON, CARTHAGE, SOUTHEAST KANSAS, CAPE GIRARDEU AND STODDARD. THIS PRESUMPTIVE SCREENING PROCESS DETAILS EVALUATIONS THAT TAKE PLACE PRIOR TO PATIENT BILLING AND ADDITIONALLY PRIOR TO BAD DEBT PLACEMENT. THE PRESUMPTIVE SCREENING WAS PER ENCOUNTER AND DID NOT PROMOTE ANY LOOK-BACK ADJUSTMENTS.MERCY WILL GRANT CHARITY IN SITUATIONS WHERE THERE HAS BEEN AN INABILITY TO OBTAIN INFORMATION FROM PATIENTS OR THE INFORMATION PROVIDED IS NOT COMPLETE ENOUGH TO MAKE A CHARITY DETERMINATION WHEN A PATIENT HAS SUBMITTED AN APPLICATION.MERCY WILL PURSUE APPROPRIATE MEANS IN THE COLLECTION OF DELINQUENT ACCOUNTS FROM PATIENTS WITH AN ESTABLISHED ABILITY TO PAY OR AN UNWILLINGNESS TO COOPERATE IN VALIDATING ELIGIBILITY FOR FINANCIAL ASSISTANCE. THESE APPROPRIATE MEANS MAY INCLUDE PLACEMENT WITH A COLLECTION AGENCY CONSISTENT WITH MERCY MISSION AND VALUES. THIS OCCURS AFTER 3 MONTHLY STATEMENTS HAVE BEEN SENT WITH THE FINAL STATEMENT INCLUDING NOTIFICATION OF PLACEMENT WITH A COLLECTION AGENCY. WHILE MERCY USES THE COLLECTION FOLLOW-UP SERVICES OF COLLECTION AGENCIES, MERCY WILL NOT UTILIZE ANY TYPE OF EXTRAORDINARY COLLECTION ACTIVITY. THE DEFINITION OF EXTRAORDINARY COLLECTION ACTIVITY IS TAKEN FROM THE 501(R) DESCRIPTION.
PART VI, LINE 2:	MERCY HOSPITAL SPRINGFIELD 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 HOSPITAL SPRINGFIELD 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.
PART VI, LINE 3:	MERCY INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY THROUGH SEVERAL MEANS. IF AT ANY TIME A PATIENT EXPRESSES HARDSHIP AND INABILITY TO PAY, THE ACCOUNT IS PLACED FOR REVIEW. IN ADDITION, PATIENTS HAVE SIGNAGE ABOUT THE POLICY AT THE ACCESS POINTS, AND ALL STAFF WORKING WITH THE PATIENT AT POINT OF SERVICE, SCHEDULING, CUSTOMER SERVICE, AND EVEN THROUGH THE MEDICAID ELIGIBILITY SCREENING HAVE THE MEANS TO SEND THE ACCOUNT FOR REVIEW. THERE IS THE PLAIN LANGUAGE SUMMARY THAT IS BEING PROVIDED TO ALL WHOM EXPRESS HARDSHIP, IN ADDITION TO THE WEB ADDRESS PROVIDING THE APPLICATION, POLICIES, AND EVEN HOW UNINSURED ACCOUNTS ARE HANDLED. LASTLY, THE STATEMENTS MESSAGE TO THE PATIENT THAT MERCY DOES HAVE A FINANCIAL ASSISTANCE PROGRAM AND TO CALL TO SEE IF THEY ARE ELIGIBLE. MERCY STAFF'S INTERNAL RESOURCES CERTIFIED TO ASSIST PATIENTS WITH MEDICAID APPLICATIONS AS WELL.
PART VI, LINE 4:	THE PRIMARY SERVICE AREA FOR MERCY HOSPITAL SPRINGFIELD INCLUDES 137 ZIP CODES ACROSS MISSOURI. THE FOLLOWING INFORMATION IS DERIVED FROM THE ADVISORY BOARD DEMOGRAPHICS AND AHA ANALYTICS. THE AREA'S POPULATION IS 763,434. THE MEDIAN HOUSEHOLD INCOME IS $53,000. 91% OF THE POPULATION IS A HIGH SCHOOL GRAD OR GREATER AND THE MEDIAN AGE IS 39. 21.2% OF THE HOUSEHOLDS ARE ON MEDICARE, 23.6% ON MEDICAID, AND 10.5% UNINSURED.
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTHMERCY HOSPITAL SPRINGFIELD 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 INCLUDE SUPPORT GROUPS FOR VARIOUS SITUATIONS, OUTREACH PROGRAMS, EDUCATIONAL PROGRAMS, HEALTH RESOURCE COORDINATION, COMMUNITY BLOOD DRIVES AND HEALTH FAIRS, ETC.MERCY SPRINGFIELD 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 SPRINGFIELD 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.
PART VI, LINE 6:	AFFILIATED HEALTH CARE SYSTEMTHE FILING ORGANIZATION IS PART OF MERCY HEALTH ("MERCY"). MERCY IS A MISSOURI NON-PROFIT CORPORATION WITH ITS HEADQUARTERS ("MINISTRY OFFICE") IN ST. LOUIS, MISSOURI. MERCY PROVIDES HEALTH CARE SERVICES IN FOUR STATES - ARKANSAS, KANSAS, MISSOURI, AND OKLAHOMA - AND HAS OUTREACH MINISTRIES LOCATED IN ARKANSAS, LOUISIANA, MISSISSIPPI, AND TEXAS. MERCY'S MISSION IS "AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE." AS OF JUNE 30, 2024, MERCY FACILITIES INCLUDED 32 ACUTE CARE HOSPITALS, 5 HEART HOSPITALS, 7 REHAB HOSPITALS, 2 CHILDREN'S HOSPITALS, 3 ORTHOPEDIC HOSPITALS, AND 1 VIRTUAL CARE COMMAND CENTER. FOR THE FISCAL YEAR ENDED JUNE 30, 2024, MERCY HAD MORE THAN 11.9 MILLION CLINIC AND OUTPATIENT VISITS, APPROXIMATELY 2,600 EMPLOYED PHYSICIANS, AND APPROXIMATELY 52,000 FULL-TIME EQUIVALENT EMPLOYEES, MAKING MERCY THE SIXTH LARGEST CATHOLIC HEALTH SYSTEM IN THE UNITED STATES. MERCY IS SPONSORED BY MERCY HEALTH MINISTRY, WHICH IS GOVERNED BY MEMBERS THAT INCLUDE SISTERS OF MERCY. MANY SERVICES THAT ARE ESSENTIAL TO FULFILLING MERCY'S MISSION ARE CENTRALIZED AT THE MINISTRY OFFICE. SUCH CENTRALIZED SERVICES INCLUDE: FINANCE (INCLUDING TREASURY, FINANCIAL ACCOUNTING AND REPORTING, REVENUE MANAGEMENT, INTERNAL AUDIT, ACCOUNTS PAYABLE AND PAYROLL OPERATIONS, ANALYTICS AND DECISION SUPPORT); ENVIRONMENTAL SERVICES SUPPORT; CLINICAL INTEGRATION; CARE MANAGEMENT; CLINICAL PERFORMANCE ACCELERATION; CLINICAL ENGINEERING; CLINICAL QUALITY MANAGEMENT; COMPLIANCE; GRANTS AND RESEARCH SERVICES; LEGAL AND COMPLIANCE COUNSEL; MARKETING AND COMMUNICATIONS; PLANNING, DESIGN AND CONSTRUCTION; PRODUCT DEVELOPMENT INFORMATICS; REAL ESTATE; SUPPLY CHAIN MANAGEMENT; MANAGED CARE STRATEGY SUPPORT; HUMAN RESOURCES (INCLUDING COMPENSATION, BENEFITS AND RECRUITING); MISSION SERVICES AND ETHICS; PHILANTHROPY SUPPORT; INFORMATION TECHNOLOGY; AND, COMMUNITY RELATIONS. THE CENTRALIZATION OF SUCH SUPPORT SERVICES ENABLES MERCY TO ENSURE THAT EACH OF ITS COMMUNITIES, WHETHER LARGE OR SMALL, HAS THE SERVICES IT NEEDS.
FORM 990, SCHEDULE H, PART VI, LINE 7	STATE FILING OF COMMUNITY BENEFIT REPORT: MO

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
MERCY HEALTH FOUNDATION SPRINGFIELD
1235 E CHEROKEE STREET	SPRINGFIELD	MO	65804	320195818	501(C)(3)	$692,391	$0	SUPPORT MISSION
CITY OF SPRINGFIELD
PO BOX 8368	SPRINGFIELD	MO	65801	446000268	CITY OF SPRINGFIELD	$36,500	$0	SUPPORT MISSION
SPRINGFIELD AREA CHAMBER OF COMMERCE
PO BOX 1687	SPRINGFIELD	MO	65801	440501055	501(C)(6)	$30,775	$0	SPONSORSHIP

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	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, A GRANTEE IS PART OF MERCY HEALTH AND THEREFORE A RELATED ORGANIZATION TO MERCY HOSPITAL SPRINGFIELD. 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 (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 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
RICHMOND JACQUELYNN
FORMER OFFICER	$0	$529,328	$0	$878,926	$0	$143,243	$0	$100,614	$0	$7,546	$0	$1,659,657	$0	$166,833
ARGUETA DAVID
PRESIDENT, MERCY SPRINGFIELD COMMUNI	$0	$563,963	$0	$597,747	$0	$48,807	$0	$90,226	$0	$19,362	$0	$1,320,105	$0	$239,634
TUMMALA MOHAN
PHYSICIAN	$0	$879,022	$0	$88,831	$0	$143,742	$0	$12,839	$0	$20,315	$0	$1,144,749	$0	$0
COCHRAN MD DAVID
PHYSICIAN	$0	$913,073	$0	$106,257	$0	$56,064	$0	$44,405	$0	$7,472	$0	$1,127,271	$0	$0
SNIDER DO JESSICA
PHYSICIAN	$0	$868,084	$0	$88,351	$0	$135,540	$0	$8,367	$0	$16,460	$0	$1,116,802	$0	$0
OGHLAKIAN GERARD
PHYSICIAN	$0	$962,280	$0	$71,191	$0	$45,810	$0	$11,428	$0	$20,315	$0	$1,111,024	$0	$0
BETHEA RALPH
PHYSICIAN	$0	$898,176	$0	$77,608	$0	$93,742	$0	$16,307	$0	$19,460	$0	$1,105,293	$0	$0
GRIESEMER MD MARK
PHYSICIAN & BOARD MEMBER	$0	$553,449	$0	$4,963	$0	$45,810	$0	$10,618	$0	$19,460	$0	$634,300	$0	$0
MYERS JOHNATHON
PRESIDENT, MERCY SPRINGFIELD COMMUNI	$0	$380,186	$0	$106,843	$0	$48,422	$0	$46,080	$0	$19,533	$0	$601,064	$0	$0
ROBERTS WILLIAM J
CFO	$0	$285,675	$0	$57,369	$0	$63,131	$0	$3,920	$0	$20,086	$0	$430,181	$0	$0
MCCOY CRAIG
FORMER OFFICER	$0	$0	$0	$0	$0	$376,685	$0	$731	$0	$0	$0	$377,416	$0	$0
HENNESSEY III WILLIAM
VP-MISSION	$0	$194,827	$0	$44,344	$0	$84,098	$0	$38,056	$0	$14,725	$0	$376,050	$0	$0
ECKHARDT CHRISTIE
VP, CHIEF OPERATIONS COUNSEL & SEC (	$0	$214,326	$0	$71,422	$0	$39,210	$0	$3,386	$0	$14,200	$0	$342,544	$0	$0
WILKE JAMIE
ASSOCIATE COUNSEL & SEC (11/23)	$0	$175,315	$0	$32,753	$0	$15,921	$0	$2,183	$0	$10,114	$0	$236,286	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	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 AND OFFICER) RECEIVED THIS BENEFIT DURING THE YEAR.
PART I, LINE 3	MERCY HOSPITAL SPRINGFIELD RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTIONS 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS.
PART I, LINE 4A	THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAY FROM A RELATED ORGANIZATION DURING CALENDAR YEAR 2023: CRAIG MCCOY - $376,685
FORM 990, SCHEDULE J, PART II	THE AMOUNTS REPORTED FOR DAVID ARGUETA AND JACQUELYNN RICHMOND 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 EXECUTIVE RETENTION PLAN AND WERE INCLUDED IN COLUMN (C) OF PREVIOUSLY FILED FORMS 990.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
BRIAN HARTER
FAMILY MEMBER OF OFFICER	$56,235	EMPLOYMENT	0
KELLIE ROBERTS
FAMILY MEMBER OF OFFICER	$21,082	EMPLOYMENT	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART V, QUESTION 1A	FORM 1099/1096 FILING VENDORS FOR THE FILING ORGANIZATION ARE PAID BY MERCY HEALTH (EIN 43-1423050). AS SUCH, ALL REQUIRED FORM 1099 AND FORM 1096 REPORTING IS MADE FOR THE ENTIRE MERCY HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN.
FORM 990, PART V, QUESTION 2A	W-3 FILING MOST EMPLOYEES ARE PAID BY A RELATED ORGANIZATION UNDER A COMMON PAYMASTER ARRANGEMENT. AS SUCH, REQUIRED PAYROLL FILING (INCLUDING W-2 AND W-3'S) IS REPORTED UNDER THE RELATED ORGANIZATION, MHM SUPPORT SERVICES, EIN 20-2553101.
FORM 990, PART VI, SECTION A, LINE 6	THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH SPRINGFIELD COMMUNITIES.
FORM 990, PART VI, SECTION A, LINE 7A	THE SOLE CORPORATE MEMBER HAS THE AUTHORITY: -TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, A MEMBER OF THE BOARD OF DIRECTORS OF THE CORPORATION; -TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, THE PRESIDENT/CHIEF OPERATING OFFICER OF THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7B	THE FOLLOWING GOVERNANCE DECISIONS ARE RESERVED TO THE SOLE CORPORATE MEMBER: -TO APPROVE THE MISSION AND ESTABLISH THE PHILOSOPHY ACCORDING TO WHICH THE CORPORATION SHALL OPERATE; -TO ADOPT OR AMEND THE ARTICLES OF INCORPORATION AND BYLAWS IN ACCORDANCE WITH ARTICLE XII OF THESE BYLAWS; -TO APPROVE OR AMEND THE OVERALL STRATEGIC, LONG RANGE, AND HEALTH MANPOWER DEVELOPMENT PLANS, GOALS AND OBJECTIVES OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; -TO APPROVE OR AMEND THE CONSOLIDATED OPERATING, CAPITAL, AND CONSTRUCTION BUDGETS FOR THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION AND CHANGES IN BUDGETS IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY SMHS; -TO AUTHORIZE AND APPROVE THE LEASE OR SALE OF ANY OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE CORPORATE MEMBER; -TO AUTHORIZE AND APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTE ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; -TO MERGE, DISSOLVE, OR ABANDON THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION, SUBJECT TO APPROVAL BY THE BOARD AS REQUIRED PURSUANT TO CHAPTER 355 OF THE REVISED STATUTES OF MISSOURI FOR GENERAL NOT-FOR PROFIT CORPORATIONS ("THE ACT"); -TO APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION CONTROLLED BY THE CORPORATION; AND, -TO APPROVE CONTRACTS IN WHICH THE CORPORATION ASSUMES FINANCIAL RISK, INCLUDING BUT NOT LIMITED TO MANAGED CARE CONTRACTS.
FORM 990, PART VI, SECTION B, LINE 11B	DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 THE FORM 990 IS PREPARED BY MERCY HEALTH'S TAX DEPARTMENT, USING INFORMATION PROVIDED BY THE FILING ORGANIZATION. A DRAFT FORM 990 IS REVIEWED BY THE FILING ORGANIZATION'S FINANCE TEAM, INCLUDING THE DIRECTOR OF FINANCE AND THE CHIEF FINANCIAL OFFICER. THE DRAFT FORM 990 IS ALSO REVIEWED BY MERCY HEALTH'S TAX DEPARTMENT AND AN INDEPENDENT ACCOUNTING FIRM, TO ENSURE ACCURACY AND CONSISTENCY WITH OTHER RELATED ORGANIZATIONS' FORMS 990. AFTER QUESTIONS ARISING FROM THE VARIOUS REVIEWS ARE ADDRESSED AND INCORPORATED INTO THE FORM 990, A REVISED DRAFT IS PROVIDED TO THE FILING ORGANIZATION'S LEADERSHIP TEAM, INCLUDING THE CFO AND CEO, FOR REVIEW. ONCE REVIEWED AND APPROVED BY THE FILING ORGANIZATION'S LEADERSHIP TEAM, THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW; IT IS THEN SIGNED AND FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER DISQUALIFIED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY AND DID SO IN THE NORMAL COURSE FOR THE YEAR ENDED JUNE 30, 2024. THIS PROCESS IS ADMINISTERED AT THE MERCY HEALTH LEVEL BY MERCY'S CORPORATE COMPLIANCE DEPARTMENT. THE CONFLICTS AND THEIR RESPECTIVE RESOLUTIONS ARE SHARED AT THE MERCY LEVEL WITH A TEAM INCLUDING MERCY'S SENIOR VICE PRESIDENT OF FINANCIAL OPERATIONS & PLANNING, CHIEF COMPLIANCE OFFICER AND OTHER MEMBERS OF FINANCE, LEGAL AND HR. THE QUESTIONNAIRES ARE THEN REVIEWED WITH LEADERSHIP AT THE LOCAL LEVEL AND POTENTIAL CONFLICTS DISCUSSED AND RESOLVED. SUMMARY RESULTS ARE REVIEWED WITH MERCY'S STEWARDSHIP COMMITTEE OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15	PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY EMPLOYEES FOR THE TOP MANAGEMENT OFFICIALS, THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS) AND KEY EMPLOYEES, THE ORGANIZATION RELIES UPON MERCY HEALTH, WHICH USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, AND ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT. FOR CERTAIN EXECUTIVES AND PHYSICIANS THE COMPENSATION IS REVIEWED/APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF MERCY HEALTH. FOR ALL OTHER CAREGIVERS COMPENSATION IS REVIEWED/APPROVED BY THE TOTAL REWARDS OVERSIGHT COMMITTEE. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS AND REVIEW WAS COMPLETED DURING THE REPORTING YEAR.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST BUT ARE NOT PUBLISHED PUBLICLY.
FORM 990, PART VII, SECTION A	FORMER EMPLOYEE COMPENSATION IS REPORTED FOR THE CALENDAR YEAR ENDING WITHIN THE ORGANIZATION'S FISCAL YEAR WHILE AVERAGE HOURS ARE BASED ON THE FISCAL YEAR PERIOD FROM JULY 1, 2023 THROUGH JUNE 30, 2024.
FORM 990, PART VII, SECTION B	IT IS POSSIBLE THAT A PORTION OF THE AMOUNTS REPORTED FOR MCCARTHY BUILDING COMPANIES, INC. WERE RELATED TO MATERIALS IN ADDITION TO AMOUNTS PAID FOR SERVICES. HOWEVER, THE AMOUNTS ARE NOT DISTINGUISHABLE.
FORM 990, PART XI, LINE 9:	NET TRANSFERS (TO)/FROM AFFILIATES -124,626,850.
FORM 990, PART XII, QUESTION 2C	AUDIT OF FINANCIAL STATEMENTS THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN MERCY HEALTH AND SUBSIDIARIES ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 2024 (THE TAX YEAR CURRENTLY BEING REPORTED). HOWEVER, NO SEPARATE AUDIT OPINION WAS ISSUED ON THE FINANCIAL STATEMENTS OF THE FILING ORGANIZATION. THE ULTIMATE RESPONSIBILITY FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE EXTERNAL AUDITOR LIES WITH THE STEWARDSHIP COMMITTEE OF THE MERCY HEALTH BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE.
FORM 990, PART XII, QUESTION 3A AND 3B	SINGLE AUDIT ACT AND 2 CFR 200 AUDIT MERCY HEALTH UNDERGOES A CONSOLIDATED 2 CFR 200 AUDIT EVERY YEAR AND THIS AUDIT WAS COMPLETED FOR THE FISCAL YEAR ENDING JUNE 30, 2024 BY DECEMBER 13, 2024. EACH ENTITY THAT RECEIVES FEDERAL FUNDS DURING THE YEAR IS INCLUDED ON THE SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS (SEFA) AND IS ALSO INCLUDED IN THE POPULATION INCLUDED IN THE AUDIT. IF THE FILING ENTITY RECEIVED FEDERAL FUNDS DURING THE YEAR ENDED JUNE 30, 2024, IT WILL BE INCLUDED ON THE MERCY HEALTH CONSOLIDATED SEFA, AND THEREFORE, ALSO INCLUDED IN THE POPULATION INCLUDED IN THE AUDIT.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (72 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	Direct Controlling NADirectControllingNACd
CASA DE MISERICORDIA
1000 MIER ST	LAREDO	TX	78040	742912461	WOMEN'S DOMESTIC VIOLENCE SHELTER	TX	501(C)(3)	LINE 7	MERCY MINISTRIES OF LAREDO	Yes (1)
MCAULEY PORTFOLIO MANAGEMENT COMPANY
15740 SOUTH OUTER 40 RD	CHESTERFIELD	MO	63017	261708048	PORTFOLIO MANAGEMENT.	MO	501(C)(3)	LINE 12B, II	MERCY HEALTH	Yes (1)
MERCY ACO CLINICAL SERVICES INC
15740 SOUTH OUTER 40 RD	CHESTERFIELD	MO	63017	464504901	VIRTUAL CARE CENTER	MO	501(C)(3)	LINE 3	MERCY HEALTH	Yes (1)
MERCY CLINIC EAST COMMUNITIES
15740 SOUTH OUTER 40 RD	CHESTERFIELD	MO	63017	431771217	PHYSICIAN GROUP	MO	501(C)(3)	LINE 10	MERCY HEALTH EAST COMMUNITIES	Yes (1)
MERCY CLINIC FORT SMITH COMMUNITIES
7301 ROGERS AVENUE	FORT SMITH	AR	72903	261318597	PHYSICIAN CLINIC	AR	501(C)(3)	LINE 3	MERCY HEALTH FORT SMITH COMMUNITIES	Yes (1)
MERCY CLINIC OKLAHOMA COMMUNITIES INC
4300 W MEMORIAL ROAD	OKLAHOMA CITY	OK	73120	270473057	PHYSICIAN GROUP	OK	501(C)(3)	LINE 3	MERCY HEALTH OKLAHOMA COMMUNITIES INC	Yes (1)
MERCY CLINIC SPRINGFIELD COMMUNITIES
1965 S FREMONT SUITE 200	SPRINGFIELD	MO	65804	431560263	PHYSICIAN GROUP	MO	501(C)(3)	LINE 3	MERCY HEALTH SPRINGFIELD COMMUNITIES	Yes (1)
MERCY FAMILY CENTER
110 VETERANS BLVD	METAIRIE	LA	70005	721069468	FAMILY COUNSELING SERVICE	LA	501(C)(3)	LINE 7	MERCY HEALTH	Yes (1)
MERCY HEALTH
15740 SOUTH OUTER 40 RD	CHESTERFIELD	MO	63017	431423050	CORPORATE OFFICE	MO	501(C)(3)	LINE 1		0	N/A
MERCY HEALTH EAST COMMUNITIES
15740 SOUTH OUTER 40 RD	CHESTERFIELD	MO	63017	431718408	HEALTH SYSTEM	MO	501(C)(3)	LINE 12A, I	MERCY HEALTH	Yes (1)
MERCY HEALTH FORT SMITH COMMUNITIES
7301 ROGERS AVENUE	FORT SMITH	AR	72917	261318515	HOLDING COMPANY	AR	501(C)(3)	LINE 12B, II	MERCY HEALTH	Yes (1)
MERCY HEALTH FOUNDATION
15740 SOUTH OUTER 40 RD	CHESTERFIELD	MO	63017	200901499	FOUNDATION	MO	501(C)(3)	LINE 12B, II	MERCY HEALTH	Yes (1)
MERCY HEALTH FOUNDATION ADA
430 N MONTE VISTA STREET	ADA	OK	74820	463596274	FOUNDATION	OK	501(C)(3)	LINE 12A, I	MERCY HOSPITAL ADA INC	Yes (1)
MERCY HEALTH FOUNDATION ARDMORE
1011 14TH AVENUE NW	ARDMORE	OK	73401	710962525	FOUNDATION	OK	501(C)(3)	LINE 12A, I	MERCY HOSPITAL ARDMORE INC	Yes (1)
MERCY HEALTH FOUNDATION BERRYVILLE
214 CARTER STREET	BERRYVILLE	AR	72616	710759301	FOUNDATION	AR	501(C)(3)	LINE 12A, I	MERCY HOSPITAL BERRYVILLE	Yes (1)
MERCY HEALTH FOUNDATION FORT SCOTT
401 WOODLAND HILLS BLVD	FORT SCOTT	KS	66701	481077073	FOUNDATION	KS	501(C)(3)	LINE 7	MERCY KANSAS COMMUNITIES INC	Yes (1)
MERCY HEALTH FOUNDATION FORT SMITH
7301 ROGERS AVENUE	FORT SMITH	AR	72917	237330425	FOUNDATION	AR	501(C)(3)	LINE 7	MERCY HEALTH FORT SMITH COMMUNITIES	Yes (1)
MERCY HEALTH FOUNDATION JEFFERSON
1400 US HIGHWAY 61 SOUTH	FESTUS	MO	63028	462797051	FOUNDATION	MO	501(C)(3)	LINE 12B, II	MERCY HOSPITAL JEFFERSON	Yes (1)
MERCY HEALTH FOUNDATION JOPLIN
100 MERCY WAY	JOPLIN	MO	64804	270906136	FOUNDATION	MO	501(C)(3)	LINE 7	MERCY HEALTH SW MOKS COMMUNITIES	Yes (1)
MERCY HEALTH FOUNDATION LEBANON
100 HOSPITAL DRIVE	LEBANON	MO	65536	822514567	FOUNDATION	MO	501(C)(3)	LINE 12B, II	MERCY HOSPITAL LEBANON	Yes (1)
MERCY HEALTH FOUNDATION LINCOLN
1000 EAST CHERRY STREET	TROY	MO	63379	811477159	FOUNDATION	MO	501(C)(3)	LINE 12B, II	MERCY HOSPITALS EAST COMMUNITIES	Yes (1)
MERCY HEALTH FOUNDATION NORTHWEST ARKANSAS
2710 RIFE MEDICAL LANE	ROGERS	AR	72758	710601687	FOUNDATION	AR	501(C)(3)	LINE 7	MERCY HOSPITAL ROGERS	Yes (1)
MERCY HEALTH FOUNDATION OF OKLAHOMA
4300 W MEMORIAL ROAD	OKLAHOMA CITY	OK	73120	454732301	FOUNDATION	OK	501(C)(3)	LINE 12A, I	MERCY HEALTH OKLAHOMA COMMUNITIES INC	Yes (1)
MERCY HEALTH FOUNDATION OKLAHOMA CITY
4300 W MEMORIAL ROAD	OKLAHOMA CITY	OK	73120	463184231	FOUNDATION	OK	501(C)(3)	LINE 12A, I	MERCY HOSPITAL OKLAHOMA CITY INC	Yes (1)
MERCY HEALTH FOUNDATION SPRINGFIELD
1235 E CHEROKEE STREET	SPRINGFIELD	MO	65804	320195818	FOUNDATION	MO	501(C)(3)	LINE 12B, II	MERCY HEALTH SPRINGFIELD COMMUNITIES	Yes (1)
MERCY HEALTH FOUNDATION ST FRANCIS
100 W US HIGHWAY 60	MOUNTAIN VIEW	MO	65548	431873914	FOUNDATION	MO	501(C)(3)	LINE 12A, I	MERCY ST FRANCIS HOSPITAL	Yes (1)
MERCY HEALTH FOUNDATION ST LOUIS
615 SOUTH NEW BALLAS ROAD	ST LOUIS	MO	63141	562410020	FOUNDATION	MO	501(C)(3)	LINE 12B, II	MERCY HEALTH EAST COMMUNITIES	Yes (1)
MERCY HEALTH FOUNDATION WASHINGTON
901 E FIFTH STREET	WASHINGTON	MO	63090	562410022	FOUNDATION	MO	501(C)(3)	LINE 12B, II	MERCY HEALTH EAST COMMUNITIES	Yes (1)
MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES
2710 RIFE MEDICAL LANE	ROGERS	AR	72758	621684203	PHYSICIAN GROUP	AR	501(C)(3)	LINE 10	MERCY HEALTH	Yes (1)
MERCY HEALTH OKLAHOMA COMMUNITIES INC
4300 W MEMORIAL ROAD	OKLAHOMA CITY	OK	73120	731453048	HEALTH SYSTEM	OK	501(C)(3)	LINE 12A, I	MERCY HEALTH	Yes (1)
MERCY HEALTH SOUTHWEST MISSOURIKANSAS COMMUNITIES
100 MERCY WAY	JOPLIN	MO	64804	300584463	HEALTH SYSTEM	MO	501(C)(3)	LINE 12B, II	MERCY HEALTH	Yes (1)
MERCY HEALTH SPRINGFIELD COMMUNITIES
1235 E CHEROKEE STREET	SPRINGFIELD	MO	65804	431856028	HEALTH SYSTEM	MO	501(C)(3)	LINE 12B, II	MERCY HEALTH	Yes (1)
MERCY HOSPITAL ADA INC
430 N MONTE VISTA STREET	ADA	OK	74820	462288155	HOSPITAL	OK	501(C)(3)	LINE 3	MERCY HEALTH OKLAHOMA COMMUNITIES INC	Yes (1)
MERCY HOSPITAL ARDMORE INC
1011 14TH AVENUE NW	ARDMORE	OK	73401	731500629	HOSPITAL	OK	501(C)(3)	LINE 3	MERCY HEALTH OKLAHOMA COMMUNITIES INC	Yes (1)
MERCY HOSPITAL AURORA
500 PORTER AVENUE	AURORA	MO	65605	431936696	HOSPITAL	MO	501(C)(3)	LINE 3	MERCY HEALTH SPRINGFIELD COMMUNITIES	Yes (1)
MERCY HOSPITAL BERRYVILLE
214 CARTER STREET	BERRYVILLE	AR	72616	710759299	HOSPITAL	AR	501(C)(3)	LINE 3	MERCY HEALTH NW ARK COMMUNITIES	Yes (1)
MERCY HOSPITAL BOONEVILLE
880 WEST MAIN STREET	BOONEVILLE	AR	72927	463851119	HOSPITAL	AR	501(C)(3)	LINE 3	MERCY HOSPITAL FORT SMITH	Yes (1)
MERCY HOSPITAL CARTHAGE
3125 DR RUSSELL SMITH WAY	CARTHAGE	MO	64836	453808607	HOSPITAL	MO	501(C)(3)	LINE 3	MERCY HEALTH SW MOKS COMMUNITIES	Yes (1)
MERCY HOSPITAL CASSVILLE
94 MAIN STREET	CASSVILLE	MO	65625	431936699	HOSPITAL	MO	501(C)(3)	LINE 3	MERCY HEALTH SPRINGFIELD COMMUNITIES	Yes (1)
MERCY HOSPITAL COLUMBUS
220 PENNSYLVANIA AVENUE	COLUMBUS	KS	66725	270842031	HOSPITAL	KS	501(C)(3)	LINE 3	MERCY HEALTH SW MOKS COMMUNITIES	Yes (1)
MERCY HOSPITAL EL RENO INC
2115 PARKVIEW DRIVE	EL RENO	OK	73036	272716065	HOSPITAL	OK	501(C)(3)	LINE 3	MERCY HOSPITAL OKLAHOMA CITY INC	Yes (1)
MERCY HOSPITAL FORT SMITH
7301 ROGERS AVENUE	FORT SMITH	AR	72903	710240352	HOSPITAL	AR	501(C)(3)	LINE 3	MERCY HEALTH FORT SMITH COMMUNITIES	Yes (1)
MERCY HOSPITAL HEALDTON INC
3462 HOSPITAL RD	HEALDTON	OK	73438	263173902	HOSPITAL	OK	501(C)(3)	LINE 3	MERCY HOSPITAL ARDMORE INC	Yes (1)
MERCY HOSPITAL JEFFERSON
1400 HIGHWAY 61 SOUTH	FESTUS	MO	63028	430687077	HOSPITAL	MO	501(C)(3)	LINE 3	MERCY HEALTH EAST COMMUNITIES	Yes (1)
MERCY HOSPITAL JOPLIN
100 MERCY WAY	JOPLIN	MO	64804	270814858	HOSPITAL	MO	501(C)(3)	LINE 3	MERCY HEALTH SW MOKS COMMUNITIES	Yes (1)
MERCY HOSPITAL KINGFISHER INC
1000 KINGFISHER REGIONAL HOSPITAL C	KINGFISHER	OK	73750	463433074	HOSPITAL	OK	501(C)(3)	LINE 3	MERCY HOSPITAL OKLAHOMA CITY INC	Yes (1)
MERCY HOSPITAL LEBANON
100 HOSPITAL DRIVE	LEBANON	MO	65536	431767432	HOSPITAL	MO	501(C)(3)	LINE 3	MERCY HEALTH SPRINGFIELD COMMUNITIES	Yes (1)
MERCY HOSPITAL LINCOLN
1000 EAST CHERRY STREET	TROY	MO	63379	472219204	HOSPITAL	MO	501(C)(3)	LINE 3	MERCY HOSPITALS EAST COMMUNITIES	Yes (1)
MERCY HOSPITAL LOGAN COUNTY INC
200 SOUTH ACADEMY	GUTHRIE	OK	73044	452998842	HOSPITAL	OK	501(C)(3)	LINE 3	MERCY HOSPITAL OKLAHOMA CITY INC	Yes (1)
MERCY HOSPITAL OKLAHOMA CITY INC
4300 W MEMORIAL ROAD	OKLAHOMA CITY	OK	73120	730579285	HOSPITAL	OK	501(C)(3)	LINE 3	MERCY HEALTH OKLAHOMA COMMUNITIES INC	Yes (1)
MERCY HOSPITAL OZARK
801 W RIVER STREET	OZARK	AR	72949	710689680	HOSPITAL	AR	501(C)(3)	LINE 3	MERCY HOSPITAL FORT SMITH	Yes (1)
MERCY HOSPITAL PARIS
500 E ACADEMY	PARIS	AR	72855	710655753	HOSPITAL	AR	501(C)(3)	LINE 3	MERCY HOSPITAL FORT SMITH	Yes (1)
MERCY HOSPITAL ROGERS
2710 RIFE MEDICAL LANE	ROGERS	AR	72758	710294390	HOSPITAL	AR	501(C)(3)	LINE 3	MERCY HEALTH NW ARK COMMUNITIES	Yes (1)
MERCY HOSPITAL TISHOMINGO INC
1000 SOUTH BYRD	TISHOMINGO	OK	73460	274433830	HOSPITAL	OK	501(C)(3)	LINE 3	MERCY HOSPITAL ADA INC	Yes (1)
MERCY HOSPITAL WALDRON
1341 W 6TH STREET	WALDRON	AR	72958	710557895	HOSPITAL	AR	501(C)(3)	LINE 3	MERCY HOSPITAL FORT SMITH	Yes (1)
MERCY HOSPITAL WATONGA INC
500 CLARENCE NASH BLVD	WATONGA	OK	73772	455199762	HOSPITAL	OK	501(C)(3)	LINE 3	MERCY HOSPITAL OKLAHOMA CITY INC	Yes (1)
MERCY HOSPITALS EAST COMMUNITIES
615 S NEW BALLAS ROAD	ST LOUIS	MO	63141	430653493	HOSPITAL	MO	501(C)(3)	LINE 3	MERCY HEALTH EAST COMMUNITIES	Yes (1)
MERCY KANSAS COMMUNITIES INC
401 WOODLAND HILLS BLVD	FT SCOTT	KS	66701	480956045	HOSPITAL	KS	501(C)(3)	LINE 3	MERCY HEALTH SW MOKS COMMUNITIES	Yes (1)
MERCY MINISTRIES OF LAREDO
2500 ZACATECAS ST	LAREDO	TX	78046	200198462	OUTREACH	TX	501(C)(3)	LINE 7	MERCY HEALTH	Yes (1)
MERCY RESEARCH
524 NORTH BOONEVILLE AVENUE	SPRINGFIELD	MO	65802	870796305	RESEARCH	MO	501(C)(3)	LINE 4	MERCY HEALTH	Yes (1)
MERCY ST FRANCIS HOSPITAL
100 W US HIGHWAY 60	MOUNTAIN VIEW	MO	65548	440607149	HOSPITAL	MO	501(C)(3)	LINE 3	MERCY HEALTH SPRINGFIELD COMMUNITIES	Yes (1)
MHM SUPPORT SERVICES
15740 SOUTH OUTER 40 RD	CHESTERFIELD	MO	63017	202553101	CENTRALIZED HEALTH SYSTEM FUNCTIONS	MO	501(C)(3)	LINE 12A, I	MERCY HEALTH	Yes (1)
MISSION CLINICAL SERVICES
216 MCAULEY COURT	HOT SPRINGS	AR	71913	134239691	CHILD ADVOCACY CENTER	AR	501(C)(3)	LINE 3	MERCY HEALTH	Yes (1)
MERCY HEALTH FOUNDATION SOUTH
10010 KENNERLY ROAD	ST LOUIS	MO	63128	261516789	FUNDRAISING	MO	501(C)(3)	LINE 12A, I	MERCY HOSPITAL SOUTH	Yes (1)
MERCY HOSPITAL SOUTH
10010 KENNERLY ROAD	ST LOUIS	MO	63128	430980256	HOSPITAL	MO	501(C)(3)	LINE 3	MERCY HEALTH EAST COMMUNITIES	Yes (1)
ST ANTHONY'S PHYSICIAN ORGANIZATION
10010 KENNERLY ROAD	ST LOUIS	MO	63128	431784536	HEALTH CARE	MO	501(C)(3)	LINE 3	MERCY HOSPITAL SOUTH	Yes (1)
MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS
1619 W 7TH STREET	GALENA	KS	66739	843730625	HOSPITAL	KS	501(C)(3)	LINE 3	MERCY HEALTH SW MOKS COMMUNITIES	Yes (1)
MERCY HOSPITAL PERRY
434 N WEST STREET	PERRYVILLE	MO	63775	923065473	HOSPITAL	MO	501(C)(3)	LINE 3	MERCY HEALTH EAST COMMUNITIES	Yes (1)
SOUTHEAST HOSPITAL DBA MERCY HOSPITAL SOUTHEAST
1701 LACEY STREET	CAPE GIRARDEAU	MO	63701	430654874	HOSPITAL	MO	501(C)(3)	LINE 3	SOUTHEASTHEALTH SYSTEM	Yes (1)
SOUTHEAST HEALTH CENTER OF RIPLEY COUNTY
1701 LACEY STREET	CAPE GIRARDEAU	MO	63701	273868479	HOSPITAL	MO	501(C)(3)	LINE 3	SOUTHEAST HOSPITAL	Yes (1)
SOUTHEASTHEALTH SYSTEM
1701 LACEY STREET	CAPE GIRARDEAU	MO	63701	474890906	HEALTH SYSTEM	MO	501(C)(3)	LINE 12C, III-FI	MERCY HEALTH	Yes (1)
SOUTHEAST MISSOURI HOSPITAL FOUNDATION
1849 BROADWAY	CAPE GIRARDEAU	MO	63701	431122759	FOUNDATION	MO	501(C)(3)	LINE 7	SOUTHEAST HOSPITAL	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
PLAZA SURGERY SERVICES COMPANY LLC
12700 SOUTHFORK ROAD	ST LOUIS	MO	63128	204709312	INACTIVE	MO	MERCY HOSPITAL SOUTH	0	0
ST EDWARD MERCY MC M-P OFFICE BLDG
7301 ROGERS AVENUE	FORT SMITH	AR	72903	710554050	OFFICE BUILDING	AR	MERCY HOSPITAL FORT SMITH	0	0
PLATINUM CPS HOLDINGS LLC
15740 SOUTH OUTER 40 RD	CHESTERFIELD	MO	63017	842493007	HOLDING COMPANY	MO	MERCY MANAGED CARE CORP MERCY HEALTH	0	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
FRONTENAC PROPERTIES INC
15740 SOUTH OUTER 40 RD	CHESTERFIELD	MO	63017	521914421	HOLDING COMPANY	DE	MERCY HEALTH	C	0
MERCY HEALTH CENTER CONDOMINIUMS INC
4300 W MEMORIAL RD	OKLAHOMA CITY	OK	73120	680640970	REAL ESTATE	OK	MERCY HOSPITAL OKLAHOMA CITY INC	C	0
MERCY MANAGED CARE CORPORATION
15740 SOUTH OUTER 40 RD	CHESTERFIELD	MO	63017	731441665	HOLDING COMPANY	OK	MERCY HEALTH	C	0
UHL CORP INC
15740 SOUTH OUTER 40 RD	CHESTERFIELD	MO	63017	742499535	HOLDING COMPANY	MO	MERCY HOSPITALS EAST COMMUNITIES	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (13 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MHM SUPPORT SERVICES
Q	$927,944,853	FMV
MERCY HEALTH SPRINGFIELD COMMUNITIES
Q	$483,724,583	FMV
MERCY HEALTH SW MOKAN COMMUNITIES
P	$2,575,133	FMV
MERCY HEALTH EAST COMMUNITIES
P	$1,922,569	FMV
MERCY HEALTH FOUNDATION SPRINGFIELD
C	$902,844	FMV
MERCY CLINIC SPRINGFIELD COMMUNITIES
Q	$858,121	FMV
MERCY RESEARCH
Q	$776,199	FMV
MERCY HEALTH FOUNDATION SPRINGFIELD
B	$692,391	FMV
MERCY HEALTH NW ARKANSAS COMMUNITIES
Q	$675,977	FMV
MERCY HOSPITAL JOPLIN
P	$121,862	FMV
MERCY HOSPITAL ROGERS
P	$84,773	FMV
MERCY HOSPITAL FORT SMITH
P	$68,375	FMV
MERCY HOSPITAL CARTHAGE
P	$59,300	FMV

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

FORM 990, SCHEDULE R, PART II

MERCY HOSPITALS EAST COMMUNITIES MERCY HOSPITALS EAST COMMUNITIES CONSISTS OF MERCY HOSPITAL ST. LOUIS, EIN 43-0653493, AND MERCY HOSPITAL WASHINGTON, EIN 43-1066883.

FORM 990, SCHEDULE R, PART V

LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY HEALTH SYSTEM, INC. AND SUBSIDIARIES. THE MAJORITY OF THE INTERCOMPANY/RELATED ORGANIZATION TRANSACTIONS ARE PROCESSED THROUGH LAWSON VIA INTERCOMPANY JOURNAL ENTRIES. WITH THE CURRENT DESIGN OF THE ERP SYSTEM, THERE ARE VARIOUS LIMITATIONS ON THE RELATED ORGANIZATION INFORMATION THAT CAN BE EXTRACTED FROM LAWSON. DUE TO THESE LIMITATIONS, MOST OF THE RELATED ORGANIZATION ACTIVITY FOR THE FILING ORGANIZATION HAS BEEN CLASSIFIED ON SCHEDULE R, PART V, IN LINES P AND Q.