MERCY HOSPITALS EAST COMMUNITIES: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: MERCY HOSPITALS EAST COMMUNITIES (EIN 43-0653493)
Tax period: 2021-07-01 to 2022-06-30
Filed: 2023-05-12
IRS object ID: 202321329349308007
Schema version: 2021v4.2
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	2023-05-12T15:19:16-05:00	ReturnTs
Tax Period End	2022-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	264532849	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Purk & Associates PC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1034 South Brentwood Blvd Ste 2000	AddressLine1Txt
City	Saint Louis	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63117	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	430653493	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MERCY HOSPITALS EAST COMMUNITIES	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MERC	BusinessNameControlTxt
Phone	3142516000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	615 S NEW BALLAS ROAD	AddressLine1Txt
City	ST LOUIS	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63141	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Denise Scoffic	PersonNm
Person Title	VP Finance	PersonTitleTxt
Phone	3142511917	PhoneNum
Signature	2023-05-11	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Denise	PersonFirstNm
Person Last	Scoffic	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Douglas G Pleus CPA	PreparerPersonNm
PTIN	P00013488	PTIN
Phone	3148844000	PhoneNum
Preparation	2023-05-11	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	David Meiners	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	615 S NEW BALLAS ROAD	AddressLine1Txt
City	ST LOUIS	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63141	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,638,213,612	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	1891	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	Mercy Hospitals East Communities operates two hospitals that are located in Creve Coeur (St. Louis metropolitan area) and Washington, MO.	ActivityOrMissionDesc
Voting Members Governing Body	23	VotingMembersGoverningBodyCnt
Voting Members Independent	18	VotingMembersIndependentCnt
Total Employee	44	TotalEmployeeCnt
Total Volunteers	593	TotalVolunteersCnt
Total Gross UBI	$45,870	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$4,073,940	PYContributionsGrantsAmt
CY Contributions Grants	$3,382,951	CYContributionsGrantsAmt
PY Program Service Revenue	$1,607,898,559	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,616,591,634	CYProgramServiceRevenueAmt
PY Investment Income	$8,468,578	PYInvestmentIncomeAmt
CY Investment Income	$6,708,472	CYInvestmentIncomeAmt
PY Other Revenue	$16,198,043	PYOtherRevenueAmt
CY Other Revenue	$10,320,995	CYOtherRevenueAmt
PY Total Revenue	$1,636,639,120	PYTotalRevenueAmt
CY Total Revenue	$1,637,004,052	CYTotalRevenueAmt
PY Grants And Similar Paid	$5,252,770	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,694,945	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$539,697,787	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$604,879,174	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$792,283,755	PYOtherExpensesAmt
CY Other Expenses	$785,096,545	CYOtherExpensesAmt
PY Total Expenses	$1,337,234,312	PYTotalExpensesAmt
CY Total Expenses	$1,392,670,664	CYTotalExpensesAmt
PY Revenues Less Expenses	$299,404,808	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$244,333,388	CYRevenuesLessExpensesAmt
Total Assets BOY	$669,608,370	TotalAssetsBOYAmt
Total Assets EOY	$686,630,453	TotalAssetsEOYAmt
Total Liabilities BOY	$61,294,743	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$78,660,309	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$608,313,627	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$607,970,144	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	$407,092,433	ExpenseAmt
Revenue	$540,436,900	RevenueAmt
Desc	MERCY HOSPITALS EAST COMMUNITIES 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 HOSPITALS EAST COMMUNITIES PROVIDES A WIDE VARIETY OF SERVICES IN THEIR 854 BED FACILITY AND IN FY22, HAD 826,663 TOTAL CASES. AT MERCY HOSPITALS EAST COMMUNITIES, CANCER CARE IS ABOUT MORE THAN PROVIDING CLINICAL TREATMENTS. MERCY HOSPITALS EAST COMMUNITIES 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 FY22, MERCY HOSPITALS EAST COMMUNITIES HAD 62,463 CASES AND 6,695 PATIENT DAYS FOR THIS SERVICE LINE.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$193,687,503	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$257,130,482	RevenueAmt
Desc	MERCY HOSPITALS EAST COMMUNITIES 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 HOSPITALS EAST COMMUNITIES ALSO PROVIDES A FULL COMPLEMENT OF CARDIAC REHABILITATION, THERAPY AND EDUCATION SERVICES. IN FY22, MERCY HOSPITALS EAST COMMUNITIES HAD 64,196 CASES AND 25,837 PATIENT DAYS FOR THIS SERVICE LINE.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$146,669,180	ExpenseAmt
Revenue	$194,711,153	RevenueAmt
Desc	MERCY HOSPITALS EAST COMMUNITIES RADIOLOGISTS USE THE LATEST TECHNOLOGIES TO PRODUCE PRECISE IMAGES AND EXACTING TEST RESULTS. MERCY OFFERS A FULL RANGE OF DIAGNOSTIC IMAGING SERVICES FOR ADULTS AND CHILDREN. MERCY RADIOLOGISTS GIVE MORE INSIGHT INTO YOUR CONDITION, SO YOU RECEIVE AN ACCURATE DIAGNOSIS AND THE MOST EFFECTIVE TREATMENT. IN FY22, MERCY HOSPITALS EAST COMMUNITIES HAD 208,363 CASES FOR THIS SERVICE LINE.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$472,715,912	ExpenseAmt
Grant	$2,694,945	GrantAmt
Revenue	$627,190,123	RevenueAmt
Desc	IN ADDITION TO THE PROGRAM SERVICES DESCRIBED ABOVE, MERCY HOSPITALS EAST COMMUNITIES ALSO SERVES PATIENTS IN ADDITIONAL SERVICE LINES, INCLUDING BUT NOT LIMITED TO THE FOLLOWING AREAS: EMERGENCY ROOM; GASTROENTEROLOGY; NICU; ORTHOPEDICS; WOMEN & INFANTS.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$472,715,912	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$2,694,945	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$627,190,123	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$1,220,165,028	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	Yes (1)	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
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	44	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
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	23	GoverningBodyVotingMembersCnt
Independent Voting Member	18	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	Yes (1)	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	Denise Scoffic	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3142511917	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	645 MARYVILLE CENTRE STE 100	AddressLine1Txt
City	St Louis	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63141	ZIPCd

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

Form990 Part VII Section A Form990PartVIISectionAGrp (46 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Andrews RSM Sr Virginia
Board Member	1.00	0.00	Yes (X)	$0	$0	$0
Boyd MD James
Physician & Board Member	1.00	39.00	Yes (X)	$0	$634,562	$14,947
Coleman Dennis Christian
Board Member	1.00	0.00	Yes (X)	$0	$0	$0
DuMontier MD Gary
Physician & Board Member	1.00	39.00	Yes (X)	$0	$509,047	$20,984
Eckelkamp Jr Louis Bernard
Board Member	1.00	0.00	Yes (X)	$0	$0	$0
Evans RSM Sr Gayle
Board Member	1.00	1.00	Yes (X)	$0	$0	$0
Hannah Sara
Board Member	1.00	0.00	Yes (X)	$0	$0	$0
Hintze Paul
Board Member	1.00	0.00	Yes (X)	$0	$0	$0
Johnson Kristen
Board Member	1.00	0.00	Yes (X)	$0	$0	$0
Kluesner Gretchen
Physician & Board Member	1.00	44.00	Yes (X)	$0	$381,251	$15,769
Koelsch Linda Cabrini
Board Member	1.00	0.00	Yes (X)	$0	$0	$0
Kreutz Anthony John
Board Member	1.00	0.00	Yes (X)	$0	$0	$0
Lamb Darren W
Board Member	1.00	0.00	Yes (X)	$0	$0	$0
Maroney John Patrick
Board Member	1.00	0.00	Yes (X)	$0	$0	$0
Meiners David
Community President - Hospital	10.00	40.00	Yes (X)	$0	$631,200	$18,355	Yes (X)
Miller Sr William
Board Member	1.00	0.00	Yes (X)	$0	$0	$0
O'Loughlin Steve
Board Member	1.00	0.00	Yes (X)	$0	$0	$0
Riechers MD Thomas
Physician & Board Member	6.00	50.00	Yes (X)	$0	$547,858	$26,562
Sanford Cassandra
Board Member	1.00	0.00	Yes (X)	$0	$0	$0
Shaffer MD Joan
Physician & Board Member	1.00	39.00	Yes (X)	$0	$413,148	$38,283
Stieven Mary
Board Member	1.00	0.00	Yes (X)	$0	$0	$0
Verdine MD Benjamin
Physician & BM	1.00	49.00	Yes (X)	$0	$1,147,704	$9,006
Voss Kurt
Board Member	1.00	0.00	Yes (X)	$0	$0	$0
Watz Tammy R
Nurse Practitioner & Board Member	1.00	39.00	Yes (X)	$0	$118,243	$9,715
Chalk MD David E
President, Clinic	1.00	45.00		$0	$1,025,729	$104,810	Yes (X)
Scoffic Denise
VP Finance	48.00	4.00		$0	$407,135	$19,630	Yes (X)
Combs Emily
COO	0.00	40.00		$0	$245,821	$15,684		Yes (X)
Crain Christine
COO-Mercy Kids	30.00	30.00		$0	$625,172	$67,438		Yes (X)
Eoloff Eric J
President, Mercy Hospital Washington	57.00	3.00		$0	$999,399	$90,721		Yes (X)
Kahn MD Joseph
President Mercy Kids	30.00	30.00		$0	$934,052	$30,905		Yes (X)
Oren Phineas
Chief Medical Officer	25.00	25.00		$0	$548,931	$18,607		Yes (X)
Rothermich Anthony
Administrator, Mercy Hosp Lincoln	10.00	40.00		$0	$335,123	$30,420		Yes (X)
Thorn Mark A
Exec Director, Finance	25.00	25.00		$0	$188,992	$9,297		Yes (X)
Timmerman John
VP Operations	30.00	20.00		$0	$469,661	$24,123		Yes (X)
Weilbacher Robyn
CNO	20.00	30.00		$0	$576,636	$66,912		Yes (X)
Close Lynne R
Executive Director - Surgical Services	40.00	0.00		$0	$219,878	$11,294			Yes (X)
Longenecker Robert
Manager - Perfusion	40.00	0.00		$0	$276,145	$32,015			Yes (X)
Schwartz Jennifer
Exec Dir - Nursing	40.00	0.00		$0	$233,065	$25,893			Yes (X)
Speckart Jenna
VP Mission and Ethics	40.00	0.00		$0	$237,670	$21,205			Yes (X)
Westlake Bethany
CNO	40.00	0.00		$0	$235,901	$13,363			Yes (X)
Johnston Jeffrey A
Former Officer	0.00	55.00		$0	$2,317,690	$159,599				Yes (X)
Mackin Stephen L
Former Officer	0.00	60.00		$0	$1,494,690	$134,609				Yes (X)
Matejka Cheryl L
Former Officer	0.00	55.00		$0	$1,086,373	$115,282				Yes (X)
Sorensen Donn
Former Officer	0.00	60.00		$0	$2,312,274	$170,678				Yes (X)
Nelson Kathryn
Former Key Employee	0.00	50.00		$0	$567,355	$68,014				Yes (X)
Yost Debra A
Former Key Employee	0.00	0.00		$0	$174,331	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$19,895,036	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,384,120	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	4	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
McCarthy Building Companies
12851 MANCHESTER RD	St Louis	MO	63131	Construction	$10,539,676
Quest Diagnostics
500 Plaza Dr	Secaucus	NJ	07094	Lab services	$7,089,275
WESTERN ANESTHESIOLOGY ASSOC
339 CONSORT DR	BALLWIN	MO	63011	ANESTHESIOLOGY SVCS	$5,639,944
West County Radiological Group
11475 Olde Cabin Rd Suite 200	St Louis	MO	63141	Radiology services	$4,952,331
HEALTHTRUST INC - THE HOSPITAL COMPANY
100 SAWGRASS CORP PKWY 6TH FL	SUNRISE	FL	33323	LABOR MANAGEMENT SVCS	$3,604,609

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	100	CntrctRcvdGreaterThan100KCnt
Related Organizations	$2,630,212	RelatedOrganizationsAmt
Government Grants	$749,017	GovernmentGrantsAmt
All Other Contributions	$3,722	AllOtherContributionsAmt
Total Contributions	$3,382,951	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	622110	$1,570,753,330	$1,570,753,330
REFERENCE LABS	621500	$18,680,295	$18,674,775	$5,520
OTHER OPERATING REVENU	622110	$18,238,375	$18,238,375
RENT REVENUE FROM RELA	531120	$8,916,634	$8,916,634
MANAGEMENT FEE	900099	$3,000	$3,000

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,616,591,634	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,649,455	TotalRevenueColumnAmt
Exclusion	$6,649,455	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,720,177	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,174,750	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$545,427	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$545,427	TotalRevenueColumnAmt
Exclusion	$545,427	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$93,827	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$34,810	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$59,017	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$59,017	TotalRevenueColumnAmt
Exclusion	$59,017	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Cafeteria & vending	722212	$6,898,544	$6,898,544
Deferred Revenue	622110	$535,482		$535,482
Optical - Retail	624100	$40,350			$40,350

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,301,192	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,301,192	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$9,775,568	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,637,004,052	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,619,422,788	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$45,870	UnrelatedBusinessRevenueAmt
Exclusion	$14,152,443	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$2,694,945	TotalAmt
Program Services	$2,694,945	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$657,177	TotalAmt
Program Services	$627,632	ProgramServicesAmt
Management And General	$29,545	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$497,393,286	TotalAmt
Program Services	$475,031,521	ProgramServicesAmt
Management And General	$22,361,765	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$18,282,965	TotalAmt
Program Services	$17,389,360	ProgramServicesAmt
Management And General	$893,605	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$56,683,179	TotalAmt
Program Services	$54,223,265	ProgramServicesAmt
Management And General	$2,459,914	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$31,862,567	TotalAmt
Program Services	$30,519,356	ProgramServicesAmt
Management And General	$1,343,211	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$71,514	TotalAmt
Management And General	$71,514	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$41,116,510	TotalAmt
Program Services	$40,416,273	ProgramServicesAmt
Management And General	$700,237	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$104,817	TotalAmt
Program Services	$85,624	ProgramServicesAmt
Management And General	$19,193	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$19,895,835	TotalAmt
Program Services	$17,772,390	ProgramServicesAmt
Management And General	$2,123,445	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$447,574	TotalAmt
Program Services	$447,574	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$23,233,667	TotalAmt
Program Services	$23,203,014	ProgramServicesAmt
Management And General	$30,653	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$843,195	TotalAmt
Program Services	$797,276	ProgramServicesAmt
Management And General	$45,919	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$349	TotalAmt
Program Services	$349	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$215,016	TotalAmt
Program Services	$215,016	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$43,705,900	TotalAmt
Program Services	$43,137,482	ProgramServicesAmt
Management And General	$568,418	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,506,424	TotalAmt
Management And General	$6,506,424	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
DRUGS & MEDICAL EXPENSE	$320,812,524	$320,812,524
Shared Service Fees	$227,784,510	$93,391,649	$134,392,861
Bad Debt Expense	$77,346,205	$77,346,205
Equipment Repairs & Mai	$14,850,251	$14,842,732	$7,519

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,162,254	TotalAmt
Program Services	$7,210,841	ProgramServicesAmt
Management And General	$951,413	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,392,670,664	TotalAmt
Program Services	$1,220,165,028	ProgramServicesAmt
Management And General	$172,505,636	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$32,913,416	BOYAmt
EOY	$33,449,160	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$187,729,347	BOYAmt
EOY	$207,225,636	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$312,500	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$20,737,536	BOYAmt
EOY	$20,774,988	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$897,184	BOYAmt
EOY	$689,535	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,427,306,094	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,031,081,248	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$398,107,551	BOYAmt
EOY	$396,224,846	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$4,442,070	BOYAmt
EOY	$2,316,805	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$24,380,359	BOYAmt
EOY	$24,380,359	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$88,407	BOYAmt
EOY	$1,569,124	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$669,608,370	BOYAmt
EOY	$686,630,453	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$51,606,298	BOYAmt
EOY	$70,073,753	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$946,909	BOYAmt
EOY	$1,090,967	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,619,299	BOYAmt
EOY	$1,071,781	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$5,109,494	BOYAmt
EOY	$4,360,924	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,012,743	BOYAmt
EOY	$2,062,884	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$61,294,743	BOYAmt
EOY	$78,660,309	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	$603,871,556	BOYAmt
EOY	$605,653,336	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,442,071	BOYAmt
EOY	$2,316,808	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$608,313,627	BOYAmt
EOY	$607,970,144	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$669,608,370	BOYAmt
EOY	$686,630,453	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$244,333,388	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$244,676,871	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	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$71,514	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$71,514	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: Missouri Hospital Association, Catholic Health Association, and American Hospital Association. For the year ended June 30, 2022, dues were $195,282, $189,679, and $76,731, respectively. Approximately 22.50% of Missouri Hospital Association dues, 3.83% of Catholic Hospital Association dues, and 26.47% of American Hospital Association dues were attributable to lobbying activities performed by these associations.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,612,356	OtherCostOrOtherBasisAmt
Book Value	$9,612,356	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$943,459,203	OtherCostOrOtherBasisAmt
Depreciation	$668,421,458	DepreciationAmt
Book Value	$275,037,745	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,318,969	OtherCostOrOtherBasisAmt
Depreciation	$14,958,978	DepreciationAmt
Book Value	$1,359,991	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$444,081,042	OtherCostOrOtherBasisAmt
Depreciation	$335,008,637	DepreciationAmt
Book Value	$109,072,405	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,834,524	OtherCostOrOtherBasisAmt
Depreciation	$12,692,175	DepreciationAmt
Book Value	$1,142,349	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$396,224,846	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	OTHER LIABILITIES	Desc
Amt	$2,062,884	Amt

Field	Value	IRS element (for citing)
Total Liability	$2,062,884	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part X, Line 2	FormAndLineReferenceDesc
Explanation	FEDERAL INCOME TAX PRIMARILY ALL OF THE MERCY HEALTH ENTITIES ARE RECOGNIZED BY THE INTERNAL REVENUE SERVICE 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. MERCY COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2022 OR 2021.	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	0	FinancialAssistanceBudgetInd
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	$27,343,763	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$27,343,763	NetCommunityBenefitExpnsAmt
Total Expense	0.02080	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$193,567,836	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$115,530,363	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$78,037,473	NetCommunityBenefitExpnsAmt
Total Expense	0.05930	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$220,911,599	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$115,530,363	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$105,381,236	NetCommunityBenefitExpnsAmt
Total Expense	0.08010	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	13	ActivitiesOrProgramsCnt
Persons Served	4405	PersonsServedCnt
Total Community Benefit Expns	$4,833,818	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$183,344	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,650,474	NetCommunityBenefitExpnsAmt
Total Expense	0.00350	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	1640	PersonsServedCnt
Total Community Benefit Expns	$6,232,648	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$114,482	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,118,166	NetCommunityBenefitExpnsAmt
Total Expense	0.00470	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	496	PersonsServedCnt
Total Community Benefit Expns	$33,281,951	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,622,764	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,659,187	NetCommunityBenefitExpnsAmt
Total Expense	0.00810	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	6510	PersonsServedCnt
Total Community Benefit Expns	$80,291	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,850	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$60,441	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	27	ActivitiesOrProgramsCnt
Persons Served	13051	PersonsServedCnt
Total Community Benefit Expns	$44,428,708	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,940,440	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,488,268	NetCommunityBenefitExpnsAmt
Total Expense	0.01630	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	27	ActivitiesOrProgramsCnt
Persons Served	13051	PersonsServedCnt
Total Community Benefit Expns	$265,340,307	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$138,470,803	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$126,869,504	NetCommunityBenefitExpnsAmt
Total Expense	0.09640	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$80	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$80	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	2041	PersonsServedCnt
Total Community Benefit Expns	$509,912	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$509,912	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	2041	PersonsServedCnt
Total Community Benefit Expns	$509,992	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$509,992	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$20,185,019	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$201,006,371	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$204,110,119	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$3,103,748	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	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd
Mercy Hospital St Louis
1	615 S New Ballas Road	St Louis	MO	63141	www.mercy.net/	226-53	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)
Mercy Hospital Washington
2	901 E Fifth Street	Washington	MO	63090	www.mercy.net/	311-32	Yes (X)	Yes (X)				Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	OtherOtherInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Other Actions TakenOtherActionsTakenInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
Mercy Hospital St Louis
1	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	21	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (1)	22	Yes (1)	SEE PART V, SECTION C	0	Yes (1)	Yes (X)	200.000000000000	300.000000000000	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	https://www.mercy.net/patients-visitors/billing/financial-assistance/	Yes (X)	https://www.mercy.net/patients-visitors/billing/financial-assistance/	Yes (X)	https://www.mercy.net/patients-visitors/billing/financial-assistance/	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
Mercy Hospital Washington
2	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	21	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (1)	22	Yes (1)	SEE PART V, SECTION C	0	Yes (1)	Yes (X)	200.000000000000	300.000000000000	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	https://www.mercy.net/patients-visitors/billing/financial-assistance/	Yes (X)	https://www.mercy.net/patients-visitors/billing/financial-assistance/	Yes (X)	https://www.mercy.net/patients-visitors/billing/financial-assistance/	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0

Supplemental Information SupplementalInformationGrp (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Mercy Hospital St. Louis	Part V, Section B, Line 3j: THE HOSPITAL FACILITY DID INCLUDE A PRIORITIZED LIST OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS IN ITS MOST RECENT CHNA REPORT.THE CHNA HAS ALL THE SECTIONS REFERENCED ABOVE AND INCLUDES AN EXECUTIVE SUMMARY, POTENTIALLY AVAILABLE RESOURCES, EVALUATION OF IMPACT, REFERENCES, AND APPENDICES.
Mercy Hospital Washington	Part V, Section B, Line 3j: THE HOSPITAL FACILITY DID INCLUDE A PRIORITIZED LIST OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS IN ITS MOST RECENT CHNA REPORT.THE CHNA HAS ALL THE SECTIONS REFERENCED ABOVE AND INCLUDES AN EXECUTIVE SUMMARY, POTENTIALLY AVAILABLE RESOURCES, EVALUATION OF IMPACT, REFERENCES, AND APPENDICES.
Mercy Hospital St. Louis	Part V, Section B, Line 5: MERCY HOSPITAL ST. LOUISTHE INPUT AND GUIDANCE FROM INDIVIDUALS WITHIN MERCY HOSPITAL ST. LOUIS' (MHSL) SERVICE AREA IN THE ST. LOUIS REGION WAS CENTRAL TO THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. INPUT FROM PEOPLE REPRESENTING BROAD INTERESTS OF THE COMMUNITY WERE SOLICITED THROUGH ENGAGEMENT WITH THE ST. LOUIS PARTNERSHIP FOR A HEALTH COMMUNITY (STLPHC), AS WELL AS ORGANIZATION OF COMMUNITY HEALTH SURVEYS AND STAKEHOLDER FOCUS GROUPS. DATA COLLECTION WAS CONDUCTED IN COLLABORATION WITH BJC HEALTHCARE, MERCY HOSPITAL SOUTH, MISSOURI BAPTIST MEDICAL CENTER, SHRINERS HOSPITALS FOR CHILDREN ST. LOUIS, SSM HEALTH, ST. LUKE'S HOSPITAL, AND ST. LUKE'S DES PERES HOSPITAL, WITH SUPPORT FROM BEHAVIORAL HEALTH NETWORK, ST. LOUIS INTEGRATED HEALTH NETWORK, ST. LOUIS REGIONAL HEALTH COMMISSION, MISSOURI FOUNDATION FOR HEALTH, MISSOURI HOSPITAL ASSOCIATION, ST. LOUIS CITY HEALTH DEPARTMENT, AND THE SAINT LOUIS COUNTY DEPARTMENT OF PUBLIC HEALTH. ST. LOUIS PARTNERSHIP FOR A HEALTH COMMUNITY (STLPHC)THE STLPHC IS COMPRISED OF A BROAD RANGE OF STAKEHOLDERS REPRESENTING THE WIDE VARIETY OF ENTITIES THAT IMPACT HEALTH- IT INCLUDES BOTH THE CITY OF ST. LOUIS DEPARTMENT OF HEALTH AND THE ST. LOUIS COUNTY DEPARTMENT OF PUBLIC HEALTH, AREA HOSPITAL SYSTEMS, GOVERNMENT, ACADEMIC INSTITUTIONS, AGENCIES/DEPARTMENTS, COORDINATED CARE ORGANIZATIONS, COMMUNITY-BASED ORGANIZATIONS, AND BUSINESS PARTNERS IN THE CITY OF ST. LOUIS AND ST. LOUIS COUNTY. IN MARCH 2022, MSHL PARTICIPATED IN THE STLPHC'S 2022 COMMUNITY HEALTH STATUS ASSESSMENT (CHSA) ALONGSIDE MORE THAN 400 COMMUNITY STAKEHOLDERS AND EXPERTS IN PUBLIC HEALTH IN THE ST. LOUIS REGION. COMMUNITY & STAKEHOLDER SURVEYSMHSL CONDUCTED TWO COMMUNITY SURVEYS IN CONJUNCTION WITH PARTNER HOSPITAL SYSTEMS, INCLUDING SSM HEALTH, BJC HEALTHCARE, ST. LUKE'S HOSPITAL AND SHRINER'S HOSPITAL. DUE TO PANDEMIC RESTRICTIONS, ONLINE SURVEYS WERE UTILIZED IN LIEU OF IN-PERSON METHODS. THE COMMUNITY-WIDE SURVEY WAS DISTRIBUTED BROADLY THROUGHOUT THE ST. LOUIS METROPOLITAN AREA BETWEEN APRIL AND JUNE 2021. THE SURVEY TOOK TEN MINUTES TO COMPLETE AND CONTAINED 39 QUESTIONS ABOUT HEALTH CHALLENGES, ACCESS TO HEALTHCARE, AND SOCIAL DETERMINANTS OF HEALTH, INCLUDING FINANCIAL STATUS, NEIGHBORHOOD ENVIRONMENT AND SOCIAL SUPPORT NETWORKS. THE STAKEHOLDER SURVEY WAS SENT TO KEY LEADERS OF ESSENTIAL COMMUNITY ORGANIZATIONS THAT REPRESENT THE NEEDS OF THE COMMUNITY, WITH THE FOCUS ON PUBLIC HEALTH EXPERTS, LEADERS, AND THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF THE METROPOLITAN ST. LOUIS AREA. MHSL GATHERED DATA FOR THREE GEOGRAPHIC REGIONS IN THE COMMUNITY: WEST COUNTY, NORTH COUNTY, AND ST. LOUIS CITY. SEE THE LIST BELOW OF PARTICIPATING STAKEHOLDER ORGANIZATIONS: WEST COUNTY- ST. LOUIS COUNTY DEPARTMENT OF PUBLIC HEALTH- MARYVILLE UNIVERSITY- ST. LUKE'S DES PERES ADVISORY BOARD MEMBER- CITY OF DES PERES- EVENT EXHIBITS, INC.- KIRKWOOD FIRE DEPARTMENT- CIRCLE OF CONCERN- METROWEST ANESTHESIA GROUP- ROCKWOOD SCHOOL DISTRICT- TOWN AND COUNTRY, MISSOURI POLICE DEPARTMENT- ST. LOUIS COUNTY POLICE- MISSOURI BAPTIST UNIVERSITY- PREVENTED- CREVE COEUR POLICE DEPARTMENT- JEWISH COMMUNITY CENTER- EUREKA POLICE DEPARTMENT ST. LOUIS CITY- CITY OF ST. LOUIS DEPARTMENT OF HEALTH- YOUTH IN NEED- BJC HEALTHCARE- BJC BEHAVIORAL HEALTH- AFFINIA HEALTHCARE- MISSOURI FOUNDATION FOR HEALTH- ALIVE AND WELL COMMUNITIES- IFM COMMUNITY MEDICINE- PLACES FOR PEOPLE- ST. VINCENT DE PAUL- GATEWAY REGION YMCA- HAZELWOOD SCHOOL DISTRICT- STATE FARM- ST. LOUIS INTEGRATED HEALTH NETWORK- BJK PEOPLES HEALTH CENTERS- HEALTH LITERACY MEDIA- URBAN LEAGUE OF METROPOLITAN ST. LOUIS- MARCH OF DIMES- BEHAVIORAL HEALTH NETWORK OF GREATER ST. LOUIS- COMMUNITY HEALTH-IN-PARTNERSHIP SERVICES (CHIPS)- PREVENTED- OPERATION FOOD SEARCH- RISE COMMUNITY DEVELOPMENT, INC.- SAINT LOUIS CRISIS NURSERY- CASA DE SALUD- MISSOURI DEPARTMENT OF HEALTH & SENIOR SERVICESNORTH COUNTY- AGING AHEAD- ST. LOUIS AREA DIAPER BANK- OUR FAMILY'S DOING YOGA- ST. LUKE'S HOSPITAL- ALIVE AND WELL COMMUNITIES- REFUGE AND RESTORATION- CORNERSTONE REALTY- SAINT LOUIS COUNTY DEPARTMENT OF PUBLIC HEALTH- JEWISH FAMILY SERVICES OF ST. LOUIS- PREVENTED- ASTHMA AND ALLERGY FOUNDATION-ST. LOUIS STAKEHOLDER FOCUS GROUPS: MHSL CONDUCTED TWO STAKEHOLDER FOCUS GROUPS WITHIN KEY HIGH-NEEDS SERVICE AREAS IN THE COMMUNITY: FERGUSON, MISSOURI, AND MEACHAM PARK, A NEIGHBORHOOD OF KIRKWOOD, MO. EACH FOCUS GROUP INCLUDED COMMUNITY AGENCIES AND LEADERS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, AS WELL AS THOSE WHO HAVE SPECIAL KNOWLEDGE OF THE UNDERSERVED POPULATIONS. PLEASE SEE THE LISTS BELOW FOR EACH FOCUS GROUP'S PARTICIPANTS:FERGUSON / NORTH COUNTY:- DR. ART MCCOY, PHD, REGIONAL BUSINESS COUNCIL- GIGI MACMULLAN, REFUGE AND RESTORATION NONPROFIT- JASON ACKLIN, DIRECTOR OF OPERATIONS, SALVATION ARMY, FERGUSON- MAYOR ELLA JONES, MAYOR OF THE CITY OF FERGUSON- NAQUITTIA NOAH, COUNCILPERSON FOR 3RD WARD OF FERGUSON- REBECCA ZOLL, PRESIDENT AND CEO OF NORTH COUNTY INC. REGIONAL DEVELOPMENT ASSOCIATION- JENNIFER DERNER, MANAGER OF AMBULATORY SOCIAL WORK FOR MERCY CLINIC OUTPATIENT CARE MANAGEMENT- SOPHIA EASTERLING, PRACTICE MANAGER, MERCY CLINIC FERGUSON- JOY WEIDNER, CORNERSTONE STL MEACHAM PARK NEIGHBORHOOD, KIRKWOOD: - OFFICER GARY BALDRIDGE, COMMUNITY SERVICE OFFICER, KIRKWOOD POLICE DEPARTMENT - HARRIET PATTON, PRESIDENT, MEACHAM PARK NEIGHBORHOOD IMPROVEMENT ASSOCIATION - WALLACE WARD, COUNCILMAN, KIRKWOOD CITY COUNCILSECONDARY DATA: THE FOLLOWING EXTERNAL SOURCES OF PUBLISHED DATA WERE USED AS PART OF THE COLLECTION OF SECONDARY DATA DURING THE ASSESSMENT PROCESS:- CAMBRIA N, FEHLER P, PURNELL JQ, SCHMIDT B. SEGREGATION IN ST. LOUIS: DISMANTLING THE DIVIDE. ST LOUIS, MO: WASHINGTON UNIVERSITY IN ST. LOUIS, 2018. - COUNTY HEALTH RANKINGS AND ROADMAPS, 2021: HTTPS://WWW.COUNTYHEALTHRANKINGS.ORG/ - HEALTHY PEOPLE 2030, 2022. HTTPS://HEALTH.GOV/HEALTHYPEOPLE- LOWN HOSPITALS INDEX, 2022: HTTPS://LOWNHOSPITALSINDEX.ORG/RANKINGS/ - MISSOURI DEPARTMENT OF HEALTH & SENIOR SERVICES DATA & STATISTICS, 2022: HTTPS://HEALTH.MO.GOV/DATA/- ST. LOUIS PARTNERSHIP FOR A HEALTHY COMMUNITY. COMMUNITY HEALTH STATUS ASSESSMENT, 2022. - ST. LOUIS PARTNERSHIP FOR A HEALTHY COMMUNITY. THINK HEALTH ST. LOUIS, 2022: HTTPS://WWW.THINKHEALTHSTL.ORG/- ST. LOUIS PARTNERSHIP FOR A HEALTHY COMMUNITY. ST. LOUIS CHA/CHIP EXECUTIVE SUMMARY (2019-2024), 2018. - ST. LOUIS REGIONAL HEALTH COMMISSION. PROGRESS TOWARD A HEALTHIER ST. LOUIS: ACCESS TO CARE DATA BOOK, 2019. - U.S. CENSUS BUREAU, 2020 CENSUS RESULTS, 2020: HTTPS://WWW.CENSUS.GOV/
Mercy Hospital Washington	Part V, Section B, Line 5: MERCY HOSPITAL WASHINGTONMERCY HOSPITAL WASHINGTON AND LOCAL COMMUNITY HEALTH COUNCIL COLLABORATED IN CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR FRANKLIN, WARREN AND GASCONADE COUNTIES IN 2022. THE FOLLOWING METHODS WERE USED TO UNDERSTAND THE COMMUNITY HEALTH NEEDS:1. COMMUNITY SURVEY - A SURVEY OF THE GENERAL PUBLIC TO BETTER UNDERSTAND WHAT THEY VIEW AS THE MOST SIGNIFICANT HEALTH ISSUES. VARIOUS COMMUNITY PARTNERS PROMOTED THE SURVEY ON SOCIAL MEDIA WHILE ALSO DISTRIBUTING THE SURVEY ELECTRONICALLY TO THEIR CO-WORKERS, PATIENTS, CLIENTS, AND COMMUNITY MEMBERS BY EMAIL AND THROUGH SOCIAL MEDIA. 446 RESPONSES WERE INCLUDED IN THE FINAL ANALYTIC SAMPLE2. COMMUNITY FOCUS GROUPS - DISCUSSIONS WITH COMMUNITY MEMBERS AND COMMUNITY CHAMPIONS TO DELVE DEEPER INTO INDIVIDUAL EXPERIENCES WITH HEALTH-RELATED ISSUES PARTICIPANTS CONVENED DISCUSSIONS REGARDING THE STATE OF HEALTH IN THE WASHINGTON REGION. KEY COMMUNITY HEALTH ISSUES WERE DISCUSSED WHETHER THEY WERE CLINICAL IN SCOPE (DIABETES) OR NON-CLINICAL (ACCESS TO HEALTHY FOOD). THEN THE GROUP TALKED THROUGH CURRENTLY AVAILABLE COMMUNITY RESOURCES ALONG WITH THE BARRIERS TO ACCESSING THESE BENEFITS. FINALLY, THE COMMUNITY MEMBERS BRAINSTORMED FUTURE SOLUTIONS TOWARDS THE TOP NEEDS THAT INCLUDED EXPANDING/INCREASING CURRENT PROGRAMS OR DEVELOPING NEW INITIATIVES. 3. SECONDARY DATA RESEARCH - INFORMATION RELATED TO THE CURRENT STATE OF OUR COMMUNITY'S ECONOMIC, SOCIAL, AND HEALTH STATUS PUBLISHED BY ESTABLISHED SOURCES INCLUDING: - U.S. CENSUS BUREAU, 2020 CENSUS RESULTS. HTTPS://WWW.CENSUS.GOV/ - U.S. CENSUS BUREAU AMERICAN COMMUNITY SURVEY, 2019. HTTPS://WWW.CENSUS.GOV/PROGRAMS-SURVEYS/ACS/DATA.HTML THE ROBERT WOOD JOHNSON FOUNDATION AND THE UNIVERSITY OF WISCONSIN-PUBLIC HEALTH INSTITUTE HTTP://WWW.COUNTYHEALTHRANKINGS.ORG/
Mercy Hospital St. Louis	Part V, Section B, Line 6a: Mercy Hospital Washington
Mercy Hospital Washington	Part V, Section B, Line 6a: Mercy Hospital St. Louis
Mercy Hospital St. Louis	Part V, Section B, Line 6b: St. Louis County Department of Public Health and the Franklin County Health Department
Mercy Hospital Washington	Part V, Section B, Line 6b: St. Louis County Department of Public Health and the Franklin County Health Department
Mercy Hospital St. Louis	Part V, Section B, Line 11: In conjunction with the CHNA, Mercy Hospital St. Louis's board adopted an implementation strategy in FY23 related to the 2021 CHNA. Mercy Hospital St. Louis will address the following community health needs beginning in FY23:- Access to Care- Behavioral Health- Maternal and Child Health- Trauma-Informed CareAll of these needs will be approached through a lens of health equity, with a particular concern with racial disparities in health outcomes in our region. These priorities align with regional priorities identified through the STLPHC:- Address the social determinants of health as root causes of community health- Eliminate the disparities in health and promote health and racial equity- Improve the local public health system to be able to collectively address the needs of the regionMercy Hospital St. Louis is committed to aligning strategic efforts around the four priority areas with the objectives of the STLPHC through participation and engagement with regional action teams, forming in November 2022. Mercy Hospital St. Louis will not formally address two of the identified regional priorities: - Housing: Though MHSL will not directly address housing as a part of the CHNA process, through intentional partnerships with strategic community organizations, MHSL will continue to impact housing needs in the community. MHSL is engaged in the Hospital to Healthy Housing Initiative of the Catholic Charities of St. Louis and supports a Housing Coordinator from the St. Patrick Center to connect unhoused patients who present in the Emergency Department with resources and support. Mercy is also engaged in Project BEACN, and with partner agencies Places for People and the Behavioral Health Network, connects patients with complex care needs with wraparound support, including housing. - Violence: The Violence Prevention Action Team, led by the St. Louis Area Violence Prevention Commission, leads regional efforts to reduce violence, particularly gun-related homicides and nonfatal shooting accidents. While MHSL will not be directly engaged in this work, our commitment to trauma-informed care will support the community in addressing the consequences of interpersonal violence, including gun violence. Mercy Hospital St. Louis & Washington's Community Health Improvement Plans (CHIP), can be accessed here: https://www.mercy.net/forms/community-benefits/. Some notable achievements to addressed the prioritized needs during the 2021 (FY22) year include: Mercy Hospital St. Louis- The Community Health Worker (CHW) program, which was piloted beginning in 2018 and adopted and expanded across Mercy hospitals in 2019, was further integrated into Mercy Hospital St. Louis' Emergency Department through the piloting of a new social needs screening program beginning in December 2020. New workflows were adopted to screen all uninsured/self-pay ED patients for pressing social needs, with referrals then made to one of three (3) CHWs serving the hospital. CHWs serve three primary functions in the Emergency Department: to connect patients in to community resources for social needs, to assist patients with applying for Medicaid, market place insurance, disability or hospital charity care, and to collaborate with Community Referral Coordinators to establish patients with primary care. CHWs also collaborate closely with Patient Access Representatives, the Care Management team and social workers, to ensure continuity of care and improve quality of life. Mercy Hospital St. Louis also hired a CHW to serve the Ferguson community, through integration within Mercy Clinic Ferguson, which opened in July 2021. Prior to the clinic's opening, this co-worker worked to build relationships with local agencies, stakeholders, non-profits and individuals, to dedicate time to COVID-19 education and planning of vaccination events, and to help assess community needs. Once the clinic opened its doors, the CHW continued community engagement and worked collaboratively with clinic staff to connect patients to community resources for social needs; to assist patients with applying for Medicaid, marketplace insurance, disability, or hospital charity care, particularly to remove barriers to accessing the clinic; to support patients in navigating the health care system, including specialty care; to help plan and implement a prescription assistance program, a nutrition support program, holiday outreach programs, and Narcan outreach; and to coordinate community classes at the clinic's education space. In FY22, MHSL CHWs served unique 2,547 patients through 6,433 encounters, reaching nearly 35% of all self-pay patients coming through the ED.- Through partnership with the Integrated Health Network, MHSL's Community Referral Coordinator connects patients from inpatient units and/or the emergency department with a primary care home for follow-up and preventative care. The CRC focuses on serving underinsured and uninsured patients; however, they work with all patients in need of a medical home. In the first half of FY22, the CRC had 844 patient encounters, with 67% of patients maintaining scheduled primary care appointments. - Through partnership with Behavioral Health Network, Mercy Hospital St. Louis supported several behavioral health programs for Emergency Department and inpatients: -Emergency Room Enhancement Project (ERE) and the Youth Emergency Room Enhancement Project (Y-ERE): focus on enhancing support for adult and youth high utilizers of ER with the primary goal of reducing preventable hospital contacts across the region by fostering engagement through support, intensive outreach and improving outcomes through connection to community. In FY22, 282 referrals were made into the ERE and Y-ERE programs, with 77% of patients engaging in care following referral. -Engaging Patients in the Care Coordination Program (EPICC): provides intensive referral and linkage services by Recovery Coaches, peers with lived experience, to impact those who have overdosed on opioids to establish immediate linkages to substance use and medication assisted treatment services. Out of the 110 referrals made to the EPICC program in FY22, 76% of patients were connected to treatment and support for substance use disorder. -Mercy Hospital St. Louis also engaged in Hospital Community Linkages (HCL) Project: focuses on enhancing transitions from hospital inpatient psychiatric care settings to community care at the region's safety-net Community Mental Health Centers (CMHCs). In FY22, 140 patients were successfully scheduled for appointments at these CMHCs, and 80% of appointments were kept. -Implementation of the Diabetes Prevention Program (DPP) was impacted by the COVID-19 pandemic and co-worker staffing in Mercy's East region. However, since May 2020, 113 referrals were made to DPP, with 17 participants successfully completing the program. Two CHWs were trained in the DPP curriculum in order to support Mercy's diabetes prevention efforts within our underserved populations. -Continuing in collaboration with Generate Health, Mercy Hospital St. Louis served as a partner on the Infant Health Action Team and provided a letter of support for renewed funding and ongoing commitment for Generate Health's Safe Sleep initiative. This initiative is also supported by Barnes Jewish Hospital and SSM Health in decreasing Maternal/Child Health and infant mortality rates by addressing disparities. -Recognizing the ongoing economic hardship, stress and emotional trauma that the COVID-19 pandemic continues to bring to individuals and families and understanding that it is often the most vulnerable that are impacted the most in times of crisis, Mercy continued to engage with community partners in COVID-19. In particular, individuals experiencing homelessness may be at increased risk of infection and complication from the COVID-19 virus. Community Health Leaders across Mercy's hospitals worked with local partner agencies to develop comprehensive plans for safely discharging COVID-19 patients to a designated location if they do not require hospitalization but lack housing. At Mercy Hospital St. Louis, the Community Health Leader collaborated with local social service and homeless serving agencies and healthcare providers in order to successfully enact a plan that aligns local resources with regional protocols. Other community services offered by Mercy Hospital St. Louis during the COVID-19 pandemic include: -Community COVID-19 testing sites -Community-based mass vaccination event in North St. Louis County, in partnership with Southeast Ferguson Community Association (SEFCA) and Riverview Gardens School District -Community education materials and events, focusing on racial inequity(See Part V, Section B continuation)
Mercy Hospital Washington	Part V, Section B, Line 11: In conjunction with the CHNA, Mercy Hospital East Washington's board adopted an implementation strategy in FY23 related to the 2021 CHNA. Mercy Hospital East Washington will address the following community health needs beginning in FY23:- Housing Instability- Substance Use / Mental Health- Obesity The following needs are not being addressed by Mercy Hospital Washington: - Internet: Mercy will not take a lead role on this issue as there are some limitations to the organization's partnerships in this area as a Catholic Health System. However, partnership discernment will continue to address this issue through collaborative work with local public and private organizations- Transportation: Work with public and private organizations to provide assistance to and from medical appointments.In the category of Physical Environment, MHW has chosen Transportation, under the Access to Care priority. Collaboration with local coalitions addressing homelessness and housing will continue as will Mercy's support of industry, government, non-governmental organizations and the public in addressing air and water quality in our area.Mercy Hospital St. Louis & Washington's Community Health Improvement Plans (CHIP), can be accessed here: https://www.mercy.net/forms/community-benefits/. Some notable achievements to addressed the prioritized needs during the 2021 (FY22) year include: Mercy Hospital Washington -Community Health Worker Program -In FY21, Mercy Hospital Washington's CHW assisted 794 patients through 1,840 unique encounters. 76% of patients were uninsured, and 16% were either on Medicaid or were Medicaid pending. -Mercy Hospital Washington supported several behavioral health programs in partnership with the Behavioral Health Network: -Emergency Room Enhancement Project and the Youth Emergency Room Enhancement Project: focus on enhancing support for adult and youth high utilizers of ER with the primary goal of reducing preventable hospital contacts across the region by fostering engagement through support, intensive outreach and improving outcomes through connection to community -Engaging Patients in the Care Coordination Program (EPICC): provides intensive referral and linkage services by Recovery Coaches, peers with lived experience, to impact those who have overdosed on opioids to establish immediate linkages to substance use and medication assisted treatment services -Recognizing the ongoing economic hardship, stress and emotional trauma that the COVID-19 pandemic brought to individuals and families and understanding that it is often the most vulnerable that are impacted the most in times of crisis, Mercy continued to engage with community partners in COVID-19 response. In particular, individuals experiencing homelessness may be at increased risk of infection and complication from the COVID-19 virus. Community Health Leaders across Mercy's hospitals worked with local partner agencies to develop comprehensive plans for safely discharging COVID-19 patients to a designated location if they do not require hospitalization but lack housing. Mercy Hospital Washington engaged in the Jefferson and Franklin County COVID-19 Homeless Response Taskforce to coordinate efforts around supporting the homeless during the pandemic and worked closely with local partners in the Franklin Homeless Taskforce (HTF). -Mercy Hospital Washington Social Workers continued establishing ED patients with Primary Care Physicians for follow-up care and educating the patient on possibly more affordable options when needing care. -Mercy Hospital Washington facilitated the Winter Warming Overnight Center to prevent those sleeping outside from freezing to death with the American Inn within Washington. -Mercy Hospital Washington, in partnership with the Multi-County Drug Task Force and Franklin County Sheriff's Office, continued training first responders in several counties so that they could begin carrying and utilizing Narcan to revive overdosed patients while waiting for the ambulance to arrive. The local Mercy hospital stored the Narcan in their pharmacyAdditional needs being addressed by the Mercy Hospital St. Louis and Mercy Hospital Washington include: -Violence: Domestic, Elderly, Child Abuse, and TraffickingMHSL - MHSL and Alternatives to Living in Violent Environments (ALIVE), a St. Louis based domestic violence agency, have implemented Project HOPE, the only program in the St. Louis area that allows domestic violence survivors to file for, and potentially have granted, orders of protection while still in a hospital setting. Information regarding ALIVE's programming and services is distributed throughout MHSL, with Spanish translations provided to better reach patients who speak limited English. MHW - MHW works closely with domestic violence, sex trafficking and family services agencies, such as Alternatives to Living in Violent Environments (ALIVE) and local law enforcement to ensure patients are given safe choices while in a hospital setting. Mercy has begun safety awareness and educational campaigns which includes internal training videos, restroom resource posters, and the incorporation of a safety screening/referral question which cues up in each patient's Mercy's Electronic Medical Record (EMR).- Obesity/Poor Nutrition/Physical InactivityMHSL & MHW - Although neither chose healthy lifestyles as a priority community health need to be addressed, Mercy has focused on its own coworkers, 10,000+ in the East Community, as a start to addressing this need. A robust initiative, Mercy's Healthification program, provides comprehensive health evaluation, screening, education, and incentives to increase healthy behaviors and improve health among Mercy coworkers. Mercy Clinic also offers a variety of programs and services to address chronic conditions and a healthy lifestyle.- Chronic Conditions: Heart Disease, Diabetes, or Asthma and AllergiesA significant concern relating to chronic conditions is the disparity in health outcomes and treatment for Blacks/African Americans and Whites/Caucasians. MHSL recently signed an American Hospital Association Health Equity pledge and is beginning to implement "Call to Action" goals aimed at identifying and, subsequently, addressing areas of health disparity and service gaps. As the leader in St Louis County for newborn deliveries, MHSL has decided to take on the significant issue of health equity by beginning with maternal/child health disparities and addressing some of the region's needs with low-birth-weight babies. Mercy has also committed to addressing health equity in the Inner North region community of Wellston; Mercy is outlining a collaborative community plan to address overall health equity with these community members.- Cancers and Tobacco UseMHSL & MHW Community cancer screenings and education continue to be offered regionally. Efforts to address tobacco cessation will continue through Mercy's Certified Health and Wellness Coach/Mercy Road to Freedom program though Mercy's Cardiopulmonary Rehab area.
Mercy Hospital St. Louis	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.
Mercy Hospital Washington	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.
PART V, SECTION B, LINE 11 CONTINUATION	MHSL & MHW Community cancer screenings and education continue to be offered regionally. Efforts to address tobacco cessation will continue through Mercy's Certified Health and Wellness Coach/Mercy Road to Freedom program though Mercy's Cardiopulmonary Rehab area.
Form 990, Schedule H, Part V, Section B, Line 7A	https://www.mercy.net/content/dam/mercy/en/pdf/chna/st-louis-chna-2022.pdf
Form 990, Schedule H, Part V, Section B, Line 10A	https://www.mercy.net/content/dam/mercy/en/pdf/chip/mercy-st-louis-chip-2023.pdf
Form 990, Schedule H, Part V, Section B, Line 7A	https://www.mercy.net/content/dam/mercy/en/pdf/chna/washington-chna-2022.pdf
Form 990, Schedule H, Part V, Section B, Line 10A	https://www.mercy.net/content/dam/mercy/en/pdf/chip/mercy-washington-chip-2023.pdf
Form 990, Schedule H, Part V, Section B, Line 22	ELIGIBILITY GUIDELINES FOR CHARITY CARE DISCOUNTS THE FEDERAL POVERTY GUIDELINES FOR INCOME ARE THE BASIS FOR DETERMINING ELIGIBILITY FOR CHARITY CARE DISCOUNTS. FOR EXAMPLE, INDIVIDUALS WITH INCOMES 200% OR BELOW, THE FEDERAL POVERTY GUIDELINES WILL BE ELIGIBLE FOR FREE CARE. INDIVIDUALS WITH INCOMES GREATER THAN 200% OF THE FEDERAL POVERTY GUIDELINES FOR MOST COMMUNITIES, MAY BE ELIGIBLE FOR CARE AT DISCOUNTED RATES DEPENDING ON THEIR INCOME LEVEL AND/OR THE AMOUNT DUE TO THE HOSPITAL. TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE, THE HOSPITAL FACILITY USES AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE. THE HOSPITAL USES A LOOK BACK METHOD THAT CONSIDERS DISCOUNTS ALLOWED TO MEDICARE AND ALL PRIVATE HEALTH INSURERS.

Field	Value	IRS element (for citing)
Facility	37	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (37 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - Mercy Services Patients First
901 Patients First Dr	Washington	MO	63090	Hospital based outpatient depts: Various Clinical Services
2 - Medical Services Clayton Clarkson
15945 Clayton Road	Ballwin	MO	63011	Hospital based outpatient depts:Surg Ctr; various clinical services
3 - Mercy Services Tesson Ferry
12348 Old Tesson Road	StLouis	MO	63128	Hospital based outpatient depts:Women's Ctr, Imag Ctr, Nuc Med, Card Testin
4 - Mercy Services O'Fallon
300 Winding Woods Drive	OFallon	MO	63366	Hospital based outpatient depts:UCC S&T Blood Dr St ImagCtr, Perin, Pulm
5 - Mercy Services West County
12990 Manchester Road	Des Peres	MO	63131	Hospital based outpatient depts:Endoscopy
6 - Mercy Services Hazelwood
801 Hazelwest Drive	Hazelwood	MO	63042	Hospital based outpatient depts: Imaging Center/Blood Draw Station
7 - Mercy Services Town & Country
1176 Town Country Commons	St Louis	MO	63017	Hospital based outpatient depts: Sports Therapy & Rehab
8 - Mercy Services Smizer Mill
1203 Smizer Mill Road	Fenton	MO	63026	Hospital based outpatient depts:Imaging, Blood Draw Station
9 - Mercy Clinic Zumbehl
1820 Zumbehl Road	St Charles	MO	63303	Hospital based outpatient depts: Cardiac Testing, Imaging, Blood Draw Statio
10 - Mercy Service Edgewood
970 Executive Parkway	St Louis	MO	63141	Hospital based outpatient depts: Outpatient Behavioral Health
11 - Mercy Services Olive
12680 Olive	Creve Couer	MO	63141	Hospital based outpatient depts: S&T, Nutrition Couns, Chirop, Imagine
12 - Mercy Services Sullivan
1326 S Service Rd West	Sullivan	MO	63080	Hospital based outpatient depts: Various Clinical and Imaging Services
13 - Mercy Services Lake St Louis
200 Brevco Plaza	Lake St Louis	MO	63367	Hospital based outpatient depts:Endoscopy
14 - Mercy Services Studt Road
11700 Studt Road	St Louis	MO	63141	Hospital based outpatient depts:Hyberbaric Wound Center, Fertility Services
15 - Mercy Services Mid Rivers
4525 Mid Rivers mall Drive	St Peters	MO	63376	Hospital based outpatient depts: Pediatric PT/OT/Speech,Blood Draw Station
16 - Mercy Services Union
1935 Prairie Dell Road - Suite 300	Union	MO	63084	Hospital based outpatient depts: Sports and Therapy
17 - Mercy Services Piper Hill
107 Piper Hill Drive	St Peters	MO	63376	Hospital based outpatient depts:Urgent Care, Sports & Therapy, Blood Draw
18 - Mercy Services Chippewa
6435 Chippewa	St Louis	MO	63109	Hospital based outpatient depts: Infusion Therapy
19 - Mercy Services Emerson Road
633 Emerson Rd 20	Creve Couer	MO	63141	Hospital based outpatient depts: sports Therapy
20 - Grover Medical Office Building
16555 Manchester Road	Grover	MO	63040	Hospital based outpatient depts: Radiology, Sports & Therapy, Blood Draw Sta
21 - Crestwood Physician Offices
10024 Watson Road	St Louis	MO	63126	Hospital based outpatient depts: Sports & Therapy/Blood Draw Station
22 - Mercy Sports and Therapy Gerald
735 West Springfield Road	Gerald	MO	63037	Hospital based outpatient depts: Sports and Therapy
23 - Mercy Services Vadalabene Drive
2023 Vadalabene Suite 300	Maryville	IL	62062	Hospital based outpatient depts: Perinatal Center
24 - Mercy Services Technology Drive
2223 Technology Drive	OFallon	MO	63368	Hospital based outpatient depts: Imaging Center/Blood Draw Station
25 - Mercy Sports Medicine Maryland Heights
750 Casino Center Drive	Maryland Heights	MO	63043	Hospital based outpatient depts: OP Therapy location
26 - Mercy Sports Performance
751 Casino Center Drive	Maryland Heights	MO	63043	Hospital based outpatient depts: Sports Medicine
27 - David Pratt Cancer Center
607 S New Ballas Road STE 2210	St Louis	MO	63141	Hospital based outpatient depts: Cancer Center
28 - Dunn Physician Offices
755 Dunn Road	Hazelwood	MO	63042	Hospital based outpatient depts: Sports & Therapy, Cardiac Testing, Nuc Medi
29 - Mercy Legends Parkway
20 Legends Parkway	Eureka	MO	63025	Hospital based outpatient depts: Various Clinical and Imaging Services
30 - Mercy Services Water Tower Place
1237 Water Tower Place	Arnold	MO	63010	Hospital based outpatient depts: Various Clinical womens,Ortho Surg,Neuro
31 - Mercy Home Health & Hospice-Jefferson
1351 S Jefferson Street	Washington	MO	63090	Hospital based outpatient depts: Home Health and Hospice Services
32 - Mercy Bariatric Center- Washington
851 E Fifth Street	Washington	MO	63090	hospital based outpatient depts: Bariatric Services
33 - Mercy Cancer Center
901 Patients First Dr	Washington	MO	63090	Hospital based outpatient depts: Cancer Center
34 - Mercy Diabetes&Nutrition Ctr St Clair
1001 Cardwell Street	St Clair	MO	63077	Hospital based outpatient depts: Diabetes and Nutrition Services
35 - Mercy Mgd Behavioral Health-Des Peres Rd
1000 Des Peres Rd Ste 200-c	St Louis	MO	63131	Hospital based outpatient depts: Behavioral Health Services
36 - Kids AutismAudiologyDevelopment Ctr
12680 Olive Blvd Suite 200	St Louis	MO	63141	Hospital based outpatient depts: Childrens Autism,Audiology, and Development
37 - Mercy Diabetes&Nutrition Ctr Warrenton
521 Anwijo Way	Warrenton	MO	63383	Hospital based outpatient depts: Diabetes and Nutrition Services

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 7g:	SUBSIDIZED HEALTH SERVICESThe physician clinics are included as a net amount (income less expenses) allocated by the Clinical Service line in the Indirect cost.
Part I, Ln 7 Col(f):	TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) ARE $1,391,555,217. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $77,346,205. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $1,314,209,012.
PART I, LINE 6A	COMMUNITY BENEFIT REPORTTHE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS PREPARED BY ITS ULTIMATE PARENT ENTITY, MERCY HEALTH (EIN: 43-1423050).
Part II, Community Building Activities:	MERCY HOSPITAL ST. LOUIS (MHSL) AND MERCY HOSPITAL WASHINGTON'S (MHW) COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH, WELLNESS, AND SAFETY OF THE COMMUNITY IT SERVES. THROUGH ACTIVE PARTICIPATION ON COMMUNITY BOARDS, NEIGHBORHOOD/COMMUNITY COALITIONS, AND INVOLVEMENT IN COMMUNITY-BASED EVENTS, MERCY BUILDS PARTNERSHIPS TO DEVELOP COLLABORATIVE SOLUTIONS TO ADDRESS COMMUNITY NEEDS. SOME OF THESE COMMUNITY BUILDING PARTNERSHIPS AND COMMUNITY ENGAGEMENT ACTIVITIES INCLUDE:MERCY HOSPITAL ST. LOUIS:- ST. LOUIS PARTNERSHIP FOR A HEALTHY COMMUNITY- REGIONAL HEALTH COMMISSION- ST. LOUIS INTEGRATED HEALTH NETWORK - PATHWAYS TO PROGRESS- ST. LOUIS PROMISE ZONE- ST. PATRICK CENTER- CONTINUUM OF CARE FOR ENDING HOMELESSNESS COALITIONS: ST. LOUIS COUNTY, ST. LOUIS CITY AND ST. CHARLES, WARREN & LINCOLN COUNTIES - HOSPITAL TO HEALTHY HOUSING- UNITED WAY 2-1-1 ADVISORY COMMITTEE AND EMERGENCY FUND NETWORKMERCY HOSPITAL WASHINGTON:- FRANKLIN COUNTY HEALTH DEPARTMENT- UNITED WAY OF FRANKLIN COUNTY - FOUR RIVERS YMCA- WASHINGTON CHAMBER OF COMMERCE- FRANKLIN COUNTY COMMUNITY RESOURCE BOARD- FOUNDATIONS FOR FRANKLIN COUNTY- COMPASS HEALTHIN ADDITION, MERCY ACTIVELY PARTICIPATES IN SEVERAL COALITIONS THAT ALIGN WITH EACH HOSPITAL'S CHNA TOP HEALTH PRIORITIES OF ACCESS TO CARE, MENTAL HEALTH, SUBSTANCE ABUSE AND HEALTH EQUITY (MHSL) INCLUDING:- BEHAVIORAL HEALTH NETWORK HOSPITAL COMMUNITY LINKAGES (HCL) PROGRAM- NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI)- INTEGRATED HEALTH NETWORK TRANSITIONS OF CARE- FLOURISH/GENERATE HEALTH- REGIONAL DIABETES COALITION- ST. LOUIS COUNTY HEALTH DEPARTMENT- ST. LOUIS CITY HEALTH DEPARTMENT- FOUNDATIONS FOR FRANKLIN COUNTY- FRANKLIN COUNTY SERVICE PROVIDERS GROUP- FRANKLIN COUNTY HOMELESS TASK FORCE- MULTI-COUNTY DRUG TASK FORCE & FRANKLIN COUNTY SHERIFF'S OFFICEEXAMPLES OF ONGOING PROJECTS LED BY THE COALITIONS LISTED ABOVE INCLUDE:- MHSL ADOPTION OF THE HCL PROGRAM WHICH FOCUSES ON ENHANCING TRANSITIONS FROM HOSPITAL INPATIENT PSYCHIATRIC CARE SETTINGS TO THE REGION'S COMMUNITY MENTAL HEALTH CENTERS - FLOURISH TRANSPORTATION ACTION TEAM FOCUSES ON IMPROVING BIRTH OUTCOMES THROUGH: PRENATAL CARE, INFANT HEALTH, BEHAVIORAL HEALTH, HEALTH COMMUNICATION, NAVIGATION AND TRANSPORTATION - COLLABORATIVE ENGAGEMENT WITH THE REGIONS HOSPITALS, HEALTH CENTERS AND DIABETES SPECIALIST WORKING TO IMPLEMENT ONE COMPREHENSIVE RESOURCE HUB FOR ALL THING'S DIABETES.- MERCY HOSPITAL WASHINGTON, IN PARTNERSHIP WITH THE MULTI-COUNTY DRUG TASK FORCE AND FRANKLIN COUNTY SHERIFF'S OFFICE, FIRST RESPONDERS RECEIVED TRAINING SO THAT THEY COULD BEGIN CARRYING AND UTILIZING NARCAN TO REVIVE OVERDOSED PATIENTS WHILE WAITING FOR THE AMBULANCE TO ARRIVE.EFFORTS WITH THESE COALITIONS WILL CONTINUE AS MHSL AND MHW HAVE DETERMINED THAT ACCESS TO CARE AND BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE ABUSE) TO BE TOP HEALTH PRIORITIES THROUGH THE 2022-2024 CHNA CYCLE, ALONG WITH MATERNAL CHILD HEALTH (MHSL, TRAUMA-INFORMED CARE (MHSL), HEALTH EQUITY (MHSL), HOUSING INSTABILITY (MHW) AND OBESITY (MHW). CASH/IN-KIND DONATIONSMERCY PROVIDES CASH AND IN-KIND DONATIONS THROUGH THE SUPPORT OF CO-WORKER ENGAGEMENT AND COMMUNITY SERVICE ACTIVITIES. THESE COMMUNITY BUILDING ACTIVITIES ALLOW MERCY CO-WORKERS TO LOOK BEYOND THE WALLS OF THE FACILITIES IN WHICH THEY SERVE TO BETTER UNDERSTAND AND ADDRESS THE NEEDS OF THE COMMUNITY.DURING FY22, CASH DONATIONS WERE GIVEN TO ORGANIZATIONS THROUGHOUT THE COMMUNITY, INCLUDING: - BEHAVIORAL HEALTH NETWORK- CATHOLIC CHARITIES- REGIONAL HEALTH COMMISSION- CANCER CARE FOUNDATION- BEYOND HOUSING- AMERICAN CANCER SOCIETY- NATIONAL ALLIANCE FOR MENTAL ILLNESS- GENERATE HEALTH STL- ALZHEIMER'S ASSOCIATION- FOUNDATIONS FOR FRANKLIN COUNTY- ST. LOUIS CRISIS NURSERY- SUSAN G. KOMEN FOUNDATION- MARCH OF DIMES- COLON CANCER FOUNDATION- AUTISM SPEAKS- NATIONAL KIDNEY FOUNDATION- CASA DE SALUD- CHIPS HEALTH AND WELLNESS CENTER- WASHINGTON ROTARY- FRANKLIN COUNTY UNITED WAY A FULL DESCRIPTION OF OUR COMMUNITY BUILDING ACTIVITIES CAN BE FOUND AT HTTPS://WWW.MERCY.NET/FORMS/COMMUNITY-BENEFITS/
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:	THE TEXT OF THE FOOTNOTE THAT IS INCLUDED IN MERCY HEALTH AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE FOLLOWS: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 HOSPITALS EAST COMMUNITIES THAT 100% OF ANY SHORT FALL, when applicable, 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 OR TAKING LEGAL ACTION 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 IS NOW REQUESTING ASSISTANCE, THE ACCOUNTS ARE RETURNED BY THE AGENCY AND CONSIDERED FOR CHARITY IF THE PATIENT PROVIDES THE REQUESTED INFORMATION. IF THE PATIENT FAILS TO RETURN THE INFORMATION, THE ACCOUNT WILL QUALIFY FOR COLLECTIONS. MERCY UTILIZES THE EXPERIAN TOOL TO ENHANCE THE ABILITY TO DETERMINE THE CHARITY QUALIFICATION PRIOR TO TURNING TO BAD DEBT, A PROCESS KNOWN AS PRESUMPTIVE CHARITY FOR ALL COMMUNITIES EXCEPT JOPLIN, MAUDE NORTON, CARTHAGE AND SOUTHEAST KANSAS. THIS PRESUMPTIVE SCREENING PROCESS DETAILS EVALUATIONS THAT TAKE PLACE PRIOR TO PATIENT BILLING AND ADDITIOANLLY PRIOT 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 LEGAL ACTION CONSISTENT WITH MERCY MISSION AND VALUES AFTER SENDING 3 MONTHLY STATEMENTS WITH THE FINAL INCLUDING NOTIFICATION; IF NO RESOLUTION THEY WILL BE TURNED TO COLLECTIONS. ADDITIONALLY, THEY MAY INCLUDE LIENS UPON REAL PROPERTY AND REASONABLE WAGE GARNISHMENTS. LEGAL ACTIONS WILL GENERALLY NOT INCLUDE BANK GARNISHMENTS, REPOSSESSION OF ASSETS OR FORECLOSURES TO ENSURE SATISFACTION OF A LIEN. MERCY HAS POLICIES AND PROCEDURES ESTABLISHED TO ADDRESS THE INITIATION OF LEGAL ACTION AND ANNUALLY REVIEW COMPLIANCE WITH POLICIES BUT ENSURE 120 DAYS OF BILLING AND COLLECTIONS OCCUR PRIOR TO ANY EXTRAORDINARY COLLECTIONS ARE PURSUED.
Part VI, Line 2:	MERCY HOSPITAL ST. LOUIS AND MERCY HOSPITAL WASHINGTON IN 2021, MERCY HOSPITAL ST. LOUIS AND MERCY HOSPITAL WASHINGTON CONDUCTED REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA). PRESIDENTS FROM THE HOSPITALS LED THEIR CORRESPONDING COMMUNITY HEALTH COUNCILS IN GUIDING THE NEEDS ASSESSMENT PROCESS. THE COUNCILS CONVENE QUARTERLY AND ARE ACCOUNTABLE FOR ENSURING THAT COMMUNITY BENEFIT ACTIVITIES MEET MISSION COMPLIANCE AND IRS GUIDELINES. THEY CONSIST OF MERCY LEADERS FROM VARIOUS DEPARTMENTS, SUCH AS BEHAVIORAL HEALTH, FINANCE, CARE MANAGEMENT, PHILANTHROPY, ETC., AND ONE HOSPITAL BOARD MEMBER. THE COUNCILS DETERMINE WHICH HEALTH INITIATIVES WILL BE PUT FORTH IN THE HOSPITAL'S THREE-YEAR COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP).CO-WORKERS IN MERCY'S COMMUNITY HEALTH & ACCESS DEPARTMENT SERVE ON THE COUNCILS AND WERE PRIMARY LEADS OF THE CHNAS. AS NOTED IN PART V, SECTION B, THE VOICES OF THE PEOPLE OF ST. LOUIS COUNTY AND FRANKLIN COUNTY WERE CENTRAL TO THE HEALTH NEEDS ASSESSMENT PROCESS. MHSL AND MHW GATHERED COMMUNITY INPUT DIRECTLY THROUGH SURVEYS AND FOCUS GROUPS. THROUGH PARTICIPATION IN THE STLPHC, MERCY HOSPITAL ST. LOUIS ALSO HAD ACCESS TO PRIMARY AND SECONDARY DATA COLLECTED THROUGH THEIR MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) ASSESSMENTS: THE COMMUNITY THEMES AND STRENGTHS ASSESSMENT (CTSA), THE LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT, THE COMMUNITY HEALTH STATUS ASSESSMENT (CHSA), AND THE FORCES OF CHANGE ASSESSMENT (FCA). THE CTSA IN PARTICULAR INCLUDED FOURTEEN (14) LISTENING SESSIONS, TWO (2) SURVEYS, AND TWELVE (12) FOCUS GROUPS CONDUCTED WITH RESIDENTS THROUGHOUT THE REGION. EXTERNAL SOURCES OF PUBLISHED DATA INCLUDE:- COUNTY HEALTH RANKINGS WWW.COUNTYHEALTHRANKINGS.ORG- COMMUNITY DATA PROFILES & MISSOURI INFORMATION FOR COMMUNITY ASSESSMENT (MICA) HTTP://HEALTH.MO.GOV/DATA/COMMUNITYDATAPROFILES/INDEX.HTML- CDC COMMUNITY HEALTH STATUS INDICATOR REPORT HTTP://WWWN.CDC.GOV/COMMUNITYHEALTH/PROFILE/CURRENTPROFILE/MO/FRANKLIN- COMMUNITY COMMONS HTTP://WWW.COMMUNITYCOMMONS.ORG/- EXPLOREMOHEALTH HTTPS://EXPLOREMOHEALTH.ORG/ - HEALTH EQUITY WORKS HTTPS://HEALTHEQUITYWORKS.WUSTL.EDU/- ST. LOUIS COUNTY 2017 COMMUNITY HEALTH NEEDS ASSESSMENT HTTP://WWW.THINKHEALTHSTL.ORG/CONTENT/SITES/STLOUISCO/CHA_REPORTS/ST_LOUIS_2017_CHA_2018_CHIP_SUMMARY_REPORT_FINAL_2.PDF- PROGRESS TOWARD BUILDING A HEALTHIER ST. LOUIS 2018 ACCESS TO CARE REPORTHTTPS://1S4G6C1YLXER1LI24CN557F1-WPENGINE.NETDNA-SSL.COM/WP-CONTENT/UPLOADS/SITES/63/2019/06/ATC-DATA-BOOK-3.21.19-FINAL.PDF - UNITED WAY 211 COUNTSHTTPS://211MO.211COUNTS.ORG/PRIORITIZED SIGNIFICANT COMMUNITY HEALTH NEEDSTHE NOMINAL GROUP TECHNIQUE WAS USED IN THE PRIORITY SETTING PROCESS. THE MERCY HOSPITAL ST. LOUIS AND MERCY HOSPITAL WASHINGTON COMMUNITY HEALTH COUNCILS WERE PRESENTED WITH THE QUANTITATIVE AND QUALITATIVE COMMUNITY HEALTH DATA AND MEMBERS WERE ASKED TO RANK THESE HEALTH ISSUES BY LEVEL OF CONCERN AND ABILITY TO COLLABORATE ON THE ISSUE TO PRODUCE RESULTS. THE STRENGTHS AND SERVICES OF THE HOSPITALS ALONG WITH THEIR STRATEGIC PLANS WERE ALSO CONSIDERED. UPON REVIEW AND DISCUSSION OF THE PRIMARY AND SECONDARY DATA GATHERED, THE HOSPITALS' STRATEGIC PLANS, AND THE RESOURCES AVAILABLE AT THE HOSPITALS AND IN THE COMMUNITIES, THE FOLLOWING PRIORITIES WERE SELECTED:MERCY HOSPITAL ST. LOUIS: - ACCESS TO CARE- BEHAVIORAL HEALTH- MATERNAL CHILD HEALTH- TRAUMA-INFORMED CARE- HEALTH EQUITYMERCY HOSPITAL WASHINGTON:- HOUSING INSTABILITY- SUBSTANCE USE / MENTAL HEALTH- OBESITYTHE COMMUNITY HEALTH COUNCILS THEN CREATED COMMUNITY HEALTH IMPROVEMENT PLANS (CHIP) FOR THEIR HOSPITAL, IDENTIFYING SPECIFIC INITIATIVES RELATED TO IMPROVING EACH OF THESE HEALTH PRIORITIES. THE CHIPS WERE DESIGNED WITH REALISTIC, MEASURABLE, AND ATTAINABLE GOALS THAT ALIGN WITH THE MISSION AND STRATEGY OF THE ORGANIZATIONS. MERCY HOSPITAL ST. LOUIS AND MERCY HOSPITAL WASHINGTON ALSO ASSESS THE NEEDS OF THE COMMUNITY THROUGH REQUESTS BY LOCAL AGENCIES. ACCORDING TO THE CATHOLIC HEALTH ASSOCIATION, A REQUEST FROM A PUBLIC AGENCY OR COMMUNITY GROUP TO INITIATE OR CONTINUE AN ACTIVITY OR PROGRAM MEETS THE REQUIREMENTS FOR A DOCUMENTED COMMUNITY NEED. MERCY LEADERS SERVING ON THE BOARDS OF UNITED WAY 2-1-1 AND THE INTEGRATED HEALTH NETWORK ARE EXAMPLES OF OUR INVOLVEMENT WITH COMMUNITY ORGANIZATIONS BASED ON THE ORGANIZATION'S REQUEST FOR SUPPORT.
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 accounts is placed for review. In addition, patient 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 when presenting in the facilities. In addition to the web address providing the application, policies, and even how uninsured accounts are handled. Lastly, the statements (billing) includes messaging to the patient that Mercy does have a Financial Assistance Program and to call to see if they are eligible. Mercy staffs internal resources certified to assist patients with Medicaid Applications as well.
Part VI, Line 4:	MERCY HOSPITALS EAST COMMUNITIES INCLUDES MERCY HOSPITAL ST. LOUIS AND MERCY HOSPITAL WASHINGTON. THE PRIMARY SERVICE AREA FOR MERCY HOSPITAL ST. LOUIS INCLUDES 209 ZIP CODES ACROSS MISSOURI AND ILLINOIS. THE FOLLOWING INFORMATION IS DERIVED FROM THE ADVISORY BOARD DEMOGRAPHICS AND MO/HIDI ANALYTICS 2021-2022. THE AREA'S POPULATION IS 2,769,559. THE MEDIAN HOUSEHOLD INCOME IS $66,000. 43.1% OF THE POPULATION IS 45 AND OLDER. 92% OF THE POPULATION IS A HIGH SCHOOL GRAD OR GREATER AND THE MEDIAN AGE IS 39. 18.8% OF THE HOUSEHOLDS ARE ON MEDICARE, 17.6% ON MEDICAID, AND 7.2% UNINSURED. THE PRIMARY SERVICE AREA FOR MERCY HOSPITAL WASHINGTON INCLUDES 21 ZIP CODES SOUTHWEST OF ST. LOUIS. THE AREA'S POPULATION IS 153,254. THE MEDIAN HOUSEHOLD INCOME IS $60,000. 46.4% OF THE POPULATION IS 45 AND OLDER. 88% OF THE POPULATION IS A HIGH SCHOOL GRAD OR GREATER AND THE MEDIAN AGE IS 40. 22.1% OF THE HOUSEHOLDS ARE ON MEDICARE, 17.4% ON MEDICAID, AND 10.1% UNINSURED.
Part VI, Line 5:	PROMOTION OF COMMUNITY HEALTHMERCY 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, OUTREACH EVENTS, BLOOD DRIVES, AND CO-WORKER WORKDAYS. MERCY IS GOVERNED BY A BOARD OF DIRECTORS WHICH INCLUDES REPRESENTATION FROM COMMUNITY LEADERS FROM A VARIETY OF SECTORS. ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY. ANY POTENTIAL CONFLICTS OF INTEREST DISCLOSED ARE REVIEWED AND RESOLVED. THIS PROCESS ENSURES THAT PUBLIC, RATHER THAN PRIVATE INTERESTS ARE SERVED. SURPLUS FUND AND UNRESTRICTED ASSETS HELD 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.OPEN MEDICAL STAFFMEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR NEARLY ALL OUR DEPARTMENTS. MHSL HAS EXCLUSIVE CONTRACTS WITH PHYSICIAN GROUPS FOR RADIOLOGY, PATHOLOGY SERVICES, NEONATOLOGY, ANESTHESIA, AND CV SURGERY. MHW HAS EXCLUSIVE CONTRACTS WITH PHYSICIAN GROUPS FOR RADIOLOGY, PATHOLOGY AND ANESTHESIOLOGY. THIS MEANS THAT OVER 90% OF THE PHYSICIANS ON STAFF ARE IN CATEGORIES THAT ARE OPEN TO QUALIFIED PHYSICIANS IN THE COMMUNITY.COMMUNITY BOARDS FY22MERCY HEALTH EAST COMMUNITIES FY22 BOARD MEMBERSDON ARNOLD, M.D.KELLY BAIN, M.D.JON BAUER, PHDCRAIG BOYD, MDMATUSKCHKA LINDO-BRIGGSAPOLLO CAREYJANICE DENIGANDENNIS GANNONKATHERINE GLOSENGER, RSMSR. MICHAEL MARY GUTOWSKI, RSMSR. MIRIAM NOLAN, RSMSUSAN O'CONNOR, RSMJOHN PORTERWINTHROP B. REED, IIICHARLES REHM, M.D.KEVIN SHORT MERCY HOSPITAL ST. LOUIS FY22 BOARD MEMBERSGINGER ANDREWS, RSMJAMES BOYD, MDSARA HANNAHPAUL HINTZE, MDKRISTIN JOHNSONDAVID MEINERS, MDSTEVE O'LOUGHLINCASSANDRA SANFORDJOAN SCHAFFER, MDMARY STIEVENMERCY HOSPITAL WASHINGTON FY22 BOARD MEMBERSKURT VOSSLB ECKELKAMPJOHN MORONEYGARY DUMONTIER, MDGRETCHEN KLUESNER, M.D.ANTHONY KREUTZDARREN LAMBDENNIS COLEMANTAMMY WATZ, M.S.N., F.N.P.SISTER GAYLE EVANS, RSMSISTER CABRINI KOELSCH, RSMWILLIAM L. MILLER SR.BENJAMIN VERDINE MDTHOMAS RIECHERS, M.D.USE OF SURPLUS FUNDSSurplus funds and unrestricted assets held by Mercy Hospitals East Communities are reinvested in patient care initiatives which support the organization's mission to deliver compassionate care and exceptional health care services to the communities it serves. Examples include the following: - Providing financial assistance to patients who have no other means to cover their cost of care - Providing drug assistance to patients receiving high-cost drug therapies administered in Mercy's outpatient infusion center or oral drugs purchased through Mercy's retail or specialty pharmacy services - Investment in social workers and community health workers including dedicated resources to advocate for and assist low-income individuals and families and women's services social workers to serve the St. Louis community with goal of producing healthy pregnancy doctor visits, deliveries and post-partum care - Continued investment in innovative technology and services to provide excellent care to our patients in their community, including the following: - Acquisition of new robotic hybrid platform for Mercy St. Louis Cardiovascular Surgical services. This platform utilizes artificial intelligence and clinical expertise to deliver innovative solutions allowing surgeons to provide advanced precision healthcare with reduced procedure times and improved patient outcomes - Completion of construction and installation of Proton Therapy services at Pratt Cancer Center at Mercy Hospital St. Louis. This was a multi-year project. Proton Therapy more accurately targets tumors and cancer cells, reducing the risk of radiation damage to surrounding healthy tissues and organs - Upgrades and renovation of surgical suites at Mercy Hospital Washington to provide this community local access to upgraded and efficient surgery space - Investment in new CT equipment at Hazelwood imaging center to provide local access to updated imaging technology for the North County community - Investment in additional 3D Mammography units to provide greater access for annual screenings. This technology makes it easier for physicians to detect breast cancer early - Continued funding of graduate medical education program (provides residency training in family medicine, internal medicine, OB/GYN, dental medicine, orthopedics and critical care) and schools of radiology, respiratory and clinical laboratory science.ADDITIONAL COMMUNITY HEALTH INITIATIVE/INFORMATIONCURRENTLY NOT INCLUDED THROUGH THE REPORTING OF COMMUNITY BENEFIT OR COMMUNITY BUILDING ACTIVITIES ARE:IN KEEPING WITH MHEC'S COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITY, MHEC CLINICS (NOT UNDER HOSPITAL EIN) PROVIDE:- FREE CARE AND/OR SUBSIDIZED CARE- CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST- HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY HEALTH EDUCATION PROGRAMS, AND- A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES.MANY OF THE PROGRAMS MENTIONED BELOW ARE PART OF OUR CURRENT COMMUNITY HEALTH IMPACT PLAN (CHIP). THESE ARE INDICATED BY ASTERISKS.NUMEROUS COLLECTION DRIVES BY CO-WORKERS ARE HELD THROUGHOUT THE YEAR AND THE ITEMS SUCH AS FOOD, CLOTHING, PERSONAL CARE ITEMS, BUS PASSES, GAS CARDS, SCHOOL SUPPLIES AND OTHER CRITICAL ITEMS ARE DONATED TO NON-PROFIT AGENCIES TO DISTRIBUTE TO THEIR CLIENTS. MERCY NEIGHBORHOOD MINISTRY (MNM) MERCY EAST COMMUNITYMERCY NEIGHBORHOOD MINISTRY IS A DEPARTMENT THAT SUPPORTS THE SERVICE AREAS OF MERCY HOSPITAL ST. LOUIS, MERCY HOSPITAL WASHINGTON AND THE SURROUNDING COUNTIES. IT FOCUSES ON CONNECTING THE ECONOMICALLY UNDERSERVED WITH APPROPRIATE HEALTH AND SOCIAL SERVICES AS WELL AS OVERALL COMMUNITY HEALTH AND ACCESS THROUGH PROMOTION AND EDUCATION OF CURRENT PROGRAMS. MNM PARTNERS WITH OVER 100 COMMUNITY HEALTH AND SOCIAL SERVICE AGENCIES, CLINICS, CHURCHES AND SCHOOLS. NEARLY HALF OF ITS ANNUAL EXPENSES ARE OFFSET THROUGH MERCY FOUNDATION. ACCESS TO CARECOMMUNITY HEALTH WORKER* (CHW)CHWS SCREEN PATIENTS FOR SOCIAL NEEDS USING STANDARDIZED QUESTIONNAIRES, REFER PATIENTS TO COMMUNITY RESOURCES, AND ASSIST PATIENTS IN OBTAINING MERCY FINANCIAL ASSISTANCE, MEDICAID, AND ESTABLISHING A PRIMARY CARE HOME. CHWS ASSIST WITH DIRECT REFERRALS AND SCREENING OF UNINSURED PATIENTS IN THE ED AND/OR MEET WITH PATIENTS PREVIOUSLY SEEN IN THE ED AT THE HOSPITAL OR IN THE COMMUNITY. THE AIM IS TO SCREEN ALL UNINSURED PATIENTS VISITING THE ED.COMMUNITY REFERRAL COORDINATOR* - MHSLMERCY CONTINUES TO PARTNER WITH THE ST. LOUIS INTEGRATED HEALTH NETWORK (IHN) IN PROVIDING A CONTRACTED COMMUNITY REFERRAL COORDINATOR (CRC) IN THE MHSL EMERGENCY DEPARTMENT TO CONNECT DISCHARGED PATIENTS WITH NEEDED FOLLOW-UP MEDICAL CARE. THE CRC PRIMARILY FOCUSES ON MEDICAID AND UNINSURED PATIENTS TO:- ENSURE THEY HAVE ACCESS TO A PRIMARY CARE HOME AND HEALTH RESOURCES REGARDLESS OF THEIR ABILITY TO PAY- REDUCE NON-EMERGENT USE OF EMERGENCY DEPARTMENTS AND LOW ACUITY READMISSIONS- ENHANCE CONTINUITY OF CARE- STRENGTHEN COMMUNICATIONS/PROCESSES AMONG HOSPITAL, SAFETY NET AND OTHER PRIMARY CARE PROVIDERS, AND COMMUNITY SOCIAL SERVICES AGENCIES/PROGRAMS.THE POSITION IS FUNDED BY THE IHN AND IS A COLLABORATIVE PROGRAM BETWEEN MERCY, THE IHN AND OTHER AREA HOSPITALS AND CLINICS TO IMPROVE ACCESS, QUALITY AND TRANSITIONS OF CARE. TRANSPORTATION MHW*AS A COMMUNITY WITHOUT PUBLIC TRANSPORTATION, ONGOING DISCUSSIONS AND RESEARCH ARE TAKING PLACE IN HOPES OF PARTNERING WITH AFFORDABLE PROVIDERS TO BENEFIT OUR PATIENTS IN NEED ACROSS FRANKLIN COUNTY. TRANSPORTATION ASSISTANCE WAS GIVEN TO 400 PATIENTS IN THE FORM OF CAB FARE, GAS CARDS, CONTRACTED PROVIDERS AND MERCY SHUTTLE. CURRENTLY WORKING WITH ZIPCARE TO PROVIDE SUSTAINABLE TRANSPORTATION OPTIONS FOR PREVENTING MISSED APPOINTMENTS. See Part VI, Question 5 Continuation
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, 2022, MERCY FACILITIES INCLUDED 30 ACUTE CARE HOSPITALS, 5 HEART HOSPITALS, 5 REHAB HOSPITALS, 2 CHILDREN'S HOSPITALS, 2 ORTHOPEDIC HOSPTIALS, AND 1 VIRTUAL CARE COMMAND CENTER. FOR THE FISCAL YEAR ENDED JUNE 30, 2022, MERCY HAD MORE THAN 10.4 MILLION OUTPATIENT AND PHYSICIAN OFFICE VISITS, APPROXIMATELY 2,300 EMPLOYED PHYSICIANS, AND APPROXIMATELY 42,000 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.
Part VI, Line 7, Reports Filed With States	MO
Part VI, Question 5 continuation	MENTAL HEALTHERETHE EMERGENCY ROOM ENHANCEMENT PROGRAM BEGAN JULY 2017 AT MHSL AND EXPANDED TO MHW IN 2018. THIS PROGRAM IS SUPPORTED BY MISSOURI MENTAL HEALTH DEPARTMENT AND IS A PARTNERSHIP WITH LOCAL HOSPITALS, COMMUNITY MENTAL HEALTH CENTERS, LAW ENFORCEMENT AGENCIES, SUBSTANCE USE TREATMENT FACILITIES, AND SOCIAL SERVICE PROVIDERS TO COORDINATE CARE FOR THE WHOLE PERSON BY ADDRESSING BEHAVIORAL, PHYSICAL, AND BASIC NEEDS. THE PRIMARY GOALS OF ERE ARE TO PREVENT REPEATED ED VISITS AND HOSPITALIZATIONS, AS WELL AS INCREASE RATES OF HOUSING, EMPLOYMENT, AND EDUCATION ENROLLMENT. MHSL ENROLLED 94 ADULT PATIENTS IN 2018 AND MHW ENROLLED 7 IN ITS FIRST SIX MONTHS. MHSL ALSO OFFERS THE PROGRAM TO YOUTH AND ENROLLED 23 IN 2018. THROUGH PARTNERSHIP WITH THE BEHAVIORAL HEALTH NETWORK OF GREATER ST. LOUIS - PEER MENTORS ARE PAIRED WITH ED PATIENTS PRESENTING WITH SUBSTANCE USE DISORDER OR CRISIS. THEY BUILD RELATIONSHIPS AND HELP COACH THESE PATIENTS TO BUILD HEALTHIER COPING SKILLS WHICH ENHANCE QUALITY OF LIFE AND REDUCE ED READMISSIONS. HCLHOSPITAL COMMUNITY LINKAGES PROGRAM BEGAN IN 2017 IN MHSL AS PART OF A REGIONAL RESPONSE TO PROVIDE ACUTE AND EMERGENCY BEHAVIORAL HEALTH SERVICES. USING A DESIGNATED LIAISON PER PROVIDER, THE INPATIENT PROJECT IDENTIFIES AND REFERS POTENTIAL CONSUMERS, FACILITATES THE REFERRAL AND ENSURES DISCHARGE DOCUMENTATION IS TRANSFERRED FOR CONTINUITY OF CARE. IN 2018, 115 PATIENTS WERE REFERRED TO THE PROGRAM THROUGH MHSL. THE PROGRAM IS UNAVAILABLE IN MHW.ALIVE AND WELL IN STL* - MHSL ALIVE AND WELL STL IS A COMMUNITY-WIDE EFFORT STARTED BY THE REGIONAL HEALTH COMMISSION THAT FOCUSES ON REDUCING THE IMPACT OF TOXIC STRESS AND TRAUMA ON A PERSON'S HEALTH AND WELL-BEING. MERCY ACTS AS A COMMUNITY PARTNER FOR THIS INITIATIVE AND WORKS TO CREATE A MORE TRAUMA AWARE/INFORMED COMMUNITY THROUGH TRAINING OPPORTUNITIES AND ANALYZING BEST PRACTICES IN THE FIELD OF BEHAVIORAL HEALTH. SUBSTANCE USEPDMP MHSL & MHWAS MISSOURI IS THE ONLY STATE IN THE COUNTRY WITHOUT A PRESCRIPTION DRUG MONITORING PROGRAM (PDMP), ADVOCACY EFFORTS CONTINUE TO APPEAL TO THE STATE. PROVIDER EDUCATION CONTINUES TO PROMOTE USING THE ST. LOUIS COUNTY/MULTI-COUNTY SYSTEM IN PLACE.INTENSIVE OUTPATIENT PROGRAM (IOP) - MHW* MERCY HOSPITAL WASHINGTON OPENED AN IOP IN DECEMBER 2014. IT PROVIDES THE HIGHEST LEVEL OF OUTPATIENT CARE FOR PATIENTS SUFFERING FROM MENTAL HEALTH AND CHEMICAL DEPENDENCY DISORDERS AND CONSISTENTLY RUNS NEAR CAPACITY AND ACCEPTS INSURED AND UNINSURED ADULT AND ADOLESCENT PATIENTS. MERCY ROAD TO FREEDOM MHSL & MHWTHIS PROGRAM WAS OFFERED TO THE COMMUNITY AND MERCY CO-WORKERS AS A TELEPHONIC, ONE-ON-ONE SUPPORT SYSTEM WITH A SPECIALTY TRAINED COUNSELOR TO STOP USING TOBACCO PRODUCTS. PHYSICIANSMERCY HEALTH SYSTEM HAS A LARGE NUMBER OF CLINICS, PHYSICIAN OFFICES AND OTHER HEALTHCARE FACILITIES LOCATED IN THE EAST COMMUNITY THAT ARE NOT ASSOCIATED WITH A HOSPITAL EIN. THESE CLINICS AND FACILITIES PROVIDE FINANCIAL ASSISTANCE, PARTICIPATE IN HEALTH PROFESSIONS EDUCATION (I.E., STUDENT SHADOWING) AND PROVIDE IN-KIND CONTRIBUTIONS TO THEIR COMMUNITIES. JFK & MCAULEY HEALTH CENTERS MHSL & MHWTHESE HEALTH CENTERS OFFER COMPREHENSIVE HEALTH CARE TO A DIVERSE POPULATION OF OVER 10,000 PATIENTS WHO ARE ECONOMICALLY DISADVANTAGED, UNINSURED OR UNDERINSURED. WITH MORE THAN 60,000 PATIENT VISITS EACH YEAR, SERVICES INCLUDE MEDICAL, OBSTETRICAL, GYNECOLOGICAL AND PEDIATRIC CARE AND ACCESS TO SPECIALTY CARE, BEHAVIORAL HEALTH INCLUDING COUNSELING AND TREATMENT, DISCOUNTED PHARMACY SERVICES, AND VISION AND DENTAL CARE. THE CHARITY CARE AND UNREIMBURSED COST OF MEDICAID COMMUNITY BENEFIT FIGURES FOR THESE ENTITIES ARE INCLUDED IN THE OVERALL CHARITY CARE FOR MHEC AND NOT LISTED SEPARATELY. THE WORK OF THESE MERCY PROVIDERS WHO SERVE THOSE WHO ARE STRUGGLING IN OUR COMMUNITY ARE NOT DESCRIBED IN ANY AREA OF THIS REPORT.
COVID-19	Please see Schedule O for information related to COVID-19.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
American Cancer Society
250Williams St NW Ste 48	Atlanta	GA	30303	131788491	501(c)(3)	$33,500	$0	Charitable support
OFFICE OF WORSHIP ARCHDIOC STL
20 Archbishop May Drive	St Louis	MO	63119	430653244	501(c)(3)	$142,582	$0	Charitable Support
Curators of the University of Missouri
118 University Hall	Columbia	MO	65211	436003859	501(c)(3)	$120,000	$0	Charitable Support
American Heart Association
7272 Greenville Ave	Dallas	TX	75231	135613797	501(c)(3)	$25,000	$0	Charitable Support
St Louis Sports Commission
308 N 21st Street Ste 500	St Louis	MO	63103	431646221	501(c)(6)	$7,500	$0	Charitable Support
CCFA
733 Third Ave Ste 510	New York	NY	10017	136193105	501(c)(3)	$6,500	$0	Charitable Support
Child Center Marygrove
2705 Mullanphy Lane	Florissant	MO	63031	431024440	501(c)(3)	$6,500	$0	Charitable Support
Mercy Health Foundation Washington
901 East Fifth Street	Washington	MO	63090	562410022	501(c)(3)	$224,521	$0	Charitable Support
Mercy Health Foundation St Louis
615 South New Ballas Road	St Louis	MO	63141	562410020	501(c)(3)	$2,026,485	$0	Charitable Support

Field	Value	IRS element (for citing)
Total501c3 Org	8	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	Grants are made to organizations which have an established history of providing health care support and\or community benefit. If necessary, periodic reports are provided to us. Grants are made to related organizations, which provide reporting on the use of the funds and work closely with our organization. The organization uses an approval process, when applicable, to determine which individuals will receive grants during the fiscal year. The funds are then given directly to the individuals.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Travel For Companions	Yes (X)	TravelForCompanionsInd
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	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 (29 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
Sorensen Donn
Former Officer	$0	$893,699	$0	$1,037,188	$0	$381,387	$0	$152,504	$0	$18,174	$0	$2,482,952	$0	$368,362
Johnston Jeffrey A
Former Officer	$0	$805,383	$0	$859,816	$0	$652,491	$0	$144,663	$0	$14,936	$0	$2,477,289	$0	$623,555
Mackin Stephen L
Former Officer	$0	$719,607	$0	$734,306	$0	$40,777	$0	$119,706	$0	$14,903	$0	$1,629,299	$0	$0
Matejka Cheryl L
Former Officer	$0	$533,667	$0	$461,454	$0	$91,252	$0	$100,346	$0	$14,936	$0	$1,201,655	$0	$22,430
Verdine MD Benjamin
Physician & BM	$0	$1,063,611	$0	$44,283	$0	$39,810	$0	$7,250	$0	$1,756	$0	$1,156,710	$0	$0
Chalk MD David E
President, Clinic	$0	$600,366	$0	$308,829	$0	$116,534	$0	$91,047	$0	$13,763	$0	$1,130,539	$0	$45,030
Eoloff Eric J
President, Mercy Hospital Washington	$0	$408,025	$0	$479,977	$0	$111,397	$0	$75,842	$0	$14,879	$0	$1,090,120	$0	$67,957
Kahn MD Joseph
President Mercy Kids	$0	$504,285	$0	$376,471	$0	$53,296	$0	$17,131	$0	$13,774	$0	$964,957	$0	$111,895
Crain Christine
COO-Mercy Kids	$0	$347,410	$0	$227,008	$0	$50,754	$0	$59,992	$0	$7,446	$0	$692,610	$0	$50,881
Meiners David
Community President - Hospital	$0	$475,831	$0	$102,665	$0	$52,704	$0	$7,250	$0	$11,105	$0	$649,555	$0	$0
Boyd MD James
Physician & Board Member	$0	$515,902	$0	$50,000	$0	$68,660	$0	$5,635	$0	$9,312	$0	$649,509	$0	$0
Weilbacher Robyn
CNO	$0	$281,691	$0	$256,599	$0	$38,346	$0	$51,449	$0	$15,463	$0	$643,548	$0	$116,864
Nelson Kathryn
Former Key Employee	$0	$305,947	$0	$219,323	$0	$42,085	$0	$53,448	$0	$14,566	$0	$635,369	$0	$0
Riechers MD Thomas
Physician & Board Member	$0	$460,230	$0	$38,564	$0	$49,064	$0	$12,670	$0	$13,892	$0	$574,420	$0	$0
Oren Phineas
Chief Medical Officer	$0	$395,221	$0	$126,672	$0	$27,038	$0	$7,250	$0	$11,357	$0	$567,538	$0	$0
DuMontier MD Gary
Physician & Board Member	$0	$428,405	$0	$51,390	$0	$29,252	$0	$7,250	$0	$13,734	$0	$530,031	$0	$0
Timmerman John
VP Operations	$0	$287,420	$0	$155,491	$0	$26,750	$0	$5,824	$0	$18,299	$0	$493,784	$0	$0
Shaffer MD Joan
Physician & Board Member	$0	$355,089	$0	$29,913	$0	$28,146	$0	$24,618	$0	$13,665	$0	$451,431	$0	$0
Scoffic Denise
VP Finance	$0	$286,444	$0	$93,325	$0	$27,366	$0	$12,321	$0	$7,309	$0	$426,765	$0	$0
Kluesner Gretchen
Physician & Board Member	$0	$302,826	$0	$46,245	$0	$32,180	$0	$6,606	$0	$9,163	$0	$397,020	$0	$0
Rothermich Anthony
Administrator, Mercy Hosp Lincoln	$0	$221,665	$0	$73,576	$0	$39,882	$0	$12,336	$0	$18,084	$0	$365,543	$0	$0
Longenecker Robert
Manager - Perfusion	$0	$226,118	$0	$2,000	$0	$48,027	$0	$18,677	$0	$13,338	$0	$308,160	$0	$0
Combs Emily
COO	$0	$157,592	$0	$53,889	$0	$34,340	$0	$4,672	$0	$11,012	$0	$261,505	$0	$0
Schwartz Jennifer
Exec Dir - Nursing	$0	$153,188	$0	$37,656	$0	$42,221	$0	$8,007	$0	$17,886	$0	$258,958	$0	$0
Speckart Jenna
VP Mission and Ethics	$0	$161,876	$0	$56,160	$0	$19,634	$0	$3,531	$0	$17,674	$0	$258,875	$0	$0
Westlake Bethany
CNO	$0	$155,393	$0	$51,680	$0	$28,828	$0	$6,425	$0	$6,938	$0	$249,264	$0	$0
Close Lynne R
Executive Director - Surgical Servic	$0	$152,000	$0	$35,884	$0	$31,994	$0	$4,348	$0	$6,946	$0	$231,172	$0	$0
Thorn Mark A
Exec Director, Finance	$0	$132,471	$0	$29,632	$0	$26,889	$0	$2,495	$0	$6,802	$0	$198,289	$0	$0
Yost Debra A
Former Key Employee	$0	$0	$0	$28,698	$0	$145,633	$0	$0	$0	$0	$0	$174,331	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 1a	CHARTER TRAVEL IS PROVIDED TO CERTAIN EMPLOYEES AS AND WHEN APPROPRIATE, AND AS DEEMED NECESSARY FOR BUSINESS TRAVEL. AFTER CHARTER TRAVEL APPROVAL HAS BEEN GRANTED IN ACCORDANCE WITH THE FINANCIAL JUSTIFICATION PROCESS, THE APPROVED CHARTER TRAVEL FOR BUSINESS IS A REIMBURSABLE EXPENSE WHICH IS NOT TAXABLE TO THE EMPLOYEES. IN ANY CIRCUMSTANCE IN WHICH CHARTER TRAVEL IS MADE AVAILABLE TO EMPLOYEES AND/OR SPOUSES/GUESTS FOR PERSONAL REASONS, MERCY POLICY REQUIRES TRACKING OF SUCH USE AND TAXATION OF THE EMPLOYEE(S) ACCORDINGLY. TRAVEL FOR COMPANIONS FOR NONBUSINESS REASONS IS PROVIDED IN CERTAIN INSTANCES AND IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. WHERE COMPANION TRAVEL HAS RESULTED IN A TAXABLE EVENT, THE EMPLOYEES ARE TAXED FOR SUCH TRAVEL. SPOUSAL TRAVEL WAS PROVIDED FOR AN OFFICER. LIMITED INSTANCES OF TAX GROSS-UPS OCCURRED WITH RESPECT TO EXECUTIVES.
Part I, Lines 4a-b	The following received severance pay: Debra Yost $145,633 Part I, Line 4B: Mercy Health, the ultimate parent company, offers a supplemental retirement plan to certain executives which provide benefits upon vesting date based on compensation, age at the time of benefit commencement, length of service with the company and/or its affiliates, and length of tenure in the plan. The following individuals participated in the plan: Johnston, Jeffrey; Sorensen,Donn; Eoloff,Eric; Matejka, Cheryl L; Kahn MD, Joseph; Chalk, David The amount of all accrued benefits is included in compensation amounts provided in Schedule J, Part II, Column (C). THE AMOUNTS REPORTED FOR JOSEPH KAHN, DONN SORENSEN, JEFF JOHNSTON, CHERYL MATEJKA, DAVID CHALK, AND ERIC EOLOFF IN COLUMN (F) ARE EITHER INCLUDED IN B(I) BASE COMPENSATION, B(II) AS BONUS AND INCENTIVE COMPENSATION, OR B(III) AS OTHER REPORTABLE COMPENSATION. THESE AMOUNTS ARE A PAYOUT OF THE SUPPLEMENTAL RETIREMENT PLAN AND EXECUTIVE RETENTION PLAN AND WERE INCLUDED IN COLUMN (C) OF PREVIOUSLY FILED FORMS 990.
Part I, Line 3	Mercy Health (parent company) is responsible for establishing the compensation of the organization's CEO/Executive Director. The following methods were used by Mercy Health to establish compensation: -Independent compensation consultant -Written employment contract -Compensation survey or study -Approval by the board or compensation committee

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (10 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Cheryl Crain
Family Member of Christine Crain, Key Employee	$61,603	Employment arrangement, Mercy Hospitals East Communities	0
Christine Bolin
Family Member of Steven Bollin, former Key Employee	$89,055	Employment arrangement, Mercy Hospitals East Communities	0
Erika Kluesner
Family member of Gretchen Kluesner, board member	$41,809	Employment arrangement, Mercy Hospitals East Communities	0
Mallory Lang
Family member of key employee (Christine Crain)	$37,249	Employment arrangement, Mercy Hospitals East Communities	0
Margaret Lang
Family member of key employee (Christine Crain)	$131,627	Employment arrangement, Mercy Hospitals East Communities	0
Judy Tobben
Family member of board member (Louis Eckelkamp Jr)	$18,725	Employment arrangement, Mercy Hospitals East Communities	0
Lauren Fowler
Family member of key employee (Robyn Weilbacher)	$74,376	Employment arrangement, Mercy Hospitals East Communities	0
Chloe Rothermich
Family member of key employee (Anthony Rothermich)	$36,997	Employment arrangement, Mercy Hospitals East Communities	0
Mackenzie Weilbacher
Family member of key employee (Robyn Weilbacher)	$36,088	Employment arrangement, Mercy Hospitals East Communities	0
Ashley Weilbacher
Family member of key employee (Robyn Weilbacher)	$45,072	Employment arrangement, Mercy Hospitals East Communities	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 6	The member of Mercy Hospitals East Communities is Mercy Health East Communities, a supporting organization under Section 509(a)(3). The member of Mercy Health East Communities is Mercy Health.
Form 990, Part VI, Section A, line 7a	Mercy Health, the member of Mercy Health East Communities, has reserve powers to appoint and remove all directors and officers for Mercy Hospitals East Communities.
Form 990, Part VI, Section A, line 7b	THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED TO THE CORPORATE MEMBER (AND WITH REGARD TO CERTAIN POWERS AND RESPONSIBILITIES, TO MERCY HEALTH, AS THE CORPORATE MEMBER OF THE CORPORATE MEMBER): -APPROVAL OF REVISIONS TO THE MISSION, VISION, AND OPERATING VALUES, PURSUANT TO WHICH THE CORPORATION OPERATES; -APPROVAL OF ANY AMENDEMNTS TO THE ARTICLES OF INCORPORATION AND THESE BYLAWS AND ANY AMENDMENTS TO THE ORGANIZATIONAL DOCUMENTS OF ANY AFFILIATE OF THE CORPORATION; -APPROVAL OF THE APPOINTMENT AND REMOVAL OF THE PRESIDENT OF THE CORPORATION, AS PROVIDED IN SECTIONS 7.2.1 AND 7.3 OF THE BYLAWS; -ADOPTION OF THE STRATEGIC PLAN, GOALS AND OBJECTIVES OF THE CORPORATION; -ADOPTION OF THE OPERATING, CAPITAL, AND ALL OTHER BUDGETS FOR THE CORPORATION; -APPROVAL OF THE ASSIGNMENT, TRANSFER, SALE OR LEASE OF ANY OF THE ASSETS OF THE CORPORATION OR ANY AFFILIATE OF THE CORPORATION IN EXCESS OF ONE MILLION DOLLARS ($1,000,000) IN ANY ONE OR SERIES OF RELATED TRANSACTIONS OCCURRING WITHIN ANY TWELVE (12) MONTH PERIOD; -AUTHORIZATION AND APPROVAL OF THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY AFFILIATE OF 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; -APPROVAL OF A PLAN OF MERGER, CONSOLIDATION, OR DISSOLUTION OF THE CORPORATION; -APPROVAL OF THE LEASE, MANAGEMENT, OR PURCHASE OF, OR AFFILIATION WITH, ANOTHER HOSPITAL OR HEALTH SYSTEM, OR HEALTH CARE FACILITY OR HEALTH CARE SYSTEM BY THE CORPORATION; AND, -APPROVAL OF THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION CONTROLLED BY THE CORPORATION.
Form 990, Part VI, Section B, line 11b	The Form 990 is prepared by an independent accounting firm, using information provided by the filing organization. A draft Form 990 is reviewed by the filing organization's finance leadership. The draft Form 990 is also reviewed by the Mercy Health Tax Department, to ensure accuracy and consistency with other related organizations' Form 990s. 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 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, 2022. This process is administered at the Mercy Health level by Mercy's Corporate Compliance department. The questionnaires are reviewed with leadership at the local level and potential conflicts discussed and resolved. The conflicts and their respective resolutions are shared at the Mercy level with a team including Mercy's chief financial officer, chief compliance officer and other members of finance, legal and HR. Summary results are reviewed with Mercy's Stewardship Committee of the Board of Directors.
Form 990, Part VI, Section B, line 15b	For those classified as officers (and thus Disqualified Persons), Mercy Health (ultimate parent company) uses the following to establish the compensation: external market salary surveys, external market salary studies, engagement of an independent compensation consultant, and annual review/approval of compensation by the Compensation Committee of the Mercy Health Board. For those classified as key employees, the organization uses the following to establish the compensation: external market salary surveys, external market salary studies, and review/approval of executive management. Compensation reviews are completed on an annual basis, and a review was completed during the reporting year.
Form 990, Part VI, Section C, line 19	Governing documents and financial statements are made available from time to time but are not published publicly; we are not required to make these documents available to the public. Financial results are available via request of copy of Form 990.
FORM 990, PART VII, SECTION A, COLUMN B	AVERAGE HOURS PER WEEK THE HOURS PER WEEK DISCLOSED IN PART VII IS THE AVERAGE HOURS THE LISTED PERSON WORKED OR DEVOTED PER WEEK WHILE EMPLOYED OR ASSOCIATED WITH THE FILING ORGANIZATION AND RELATED ORGANIZATIONS (IF APPLICABLE).
Form 990, Part XI, line 9:	Net Transfers to/from Affiliates -242,551,607. Change in Restricted Net Assets -2,125,265. Rounding 1.
Part XII, Line 2	Audited Financial Statements The filing organization's financial statements were included in the Mercy Health and Subsidiaries annual financial statement audit. The Mercy Health and Subsidiaries received an unqualified opinion from the external auditors for fiscal 2022 (the tax year currently being reported). However, no separate audit opinion is issued on the financial statements of the filing organization. The ultimate responsibility for oversight of the financial statement audit and selection of the external auditor lies with the Stewardship Committee of the Mercy Health Board of Directors. Audit results are communicated to this committee.
Form 990, Part XII, Line 3A and 3B	SINGLE AUDIT ACT AND 2 CFR 200 AUDIT MERCY HEALTH UNDERGOES A CONSOLIDATED 2 CFR 200 AUDIT EVERY YEAR AND THIS AUDIT WAS COMPLETED FOR THE FISCAL YEAR ENDING JUNE 30, 2022 BY MARCH 31, 2023. 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, 2022, IT WILL BE INCLUDED ON THE MERCY HEALTH CONSOLIDATED SEFA, AND THEREFORE, ALSO INCLUDED IN THE POPULATION INCLUDED IN THE AUDIT.
Listing of included divisions and entities	Federal EINS THE OPERATING RESULTS OF THE FOLLOWING ENTITIES, DIVISIONS, AND/OR SUBORDINATE ORGANIZATIONS OF MERCY HOSPITALS EAST COMMUNITIES ARE INCLUDED IN THE INFORMATION PRESENTED IN THE FORM 990 FOR THE YEAR ENDED JUNE 30, 2022: ENTITY FEIN Mercy Hospitals East Communities St. Louis 43-0653493 Mercy Hospitals East Communities Washington 43-1066883 Mercy Support Services 43-1677952
FORM 990, SCHEDULE R, PART V	SYSTEM LIMITATIONS 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.
Form 990, Part V, Question 1a	Independent Contractors Independent contractors 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 health system (with limited exceptions) under the Mercy Health EIN.
Form 990, Part V, Question 2a	W-3 FILING SALARIES AND WAGES WITH LIMITED EXCEPTIONS, THE SALARIES AND WAGES REPORTED ON FORM 990, PART IX, LINE 7 REPRESENT AN ALLOCATION OF SALARIES AND WAGES FROM A RELATED ORGANIZATION. MOST EMPLOYEES ARE PAID BY A RELATED ORGANIZATION UNDER A COMMON PAYMASTER ARRANGEMENT. AS SUCH, ALL REQUIRED PAYROLL FILING FOR THESE EMPLOYEES (INCLUDING W-2 AND W-3'S) IS REPORTED UNDER THE RELATED ORGANIZATION, MHM SUPPORT SERVICES,EIN 20-2553101.
COVID-19	Early in 2020, the Mercy Health System was called to serve as the COVID-19 pandemic swept across the world. During FY 2022, the impact of COVID-19 and inflation has been and still is significant to our communities with changes in patient care revenues due to surges, increasing the costs of salaries and agency labor, and supply chain impacts. All Mercy facilities adjusted operations for the impacts of the pandemic. In addition, Mercy foundations and outreach ministries experienced limitations in fundraising for program and capital support efforts that assist the underserved in our communities. Mercy did receive funding from the Coronavirus Aid Relief and Economic Security Act ("CARES Act"). Mercy received CARES Act funding for the past three years across various entities and recognized a portion of this funding in other operating revenue. These funds helped to offset revenue losses and additional expenses incurred due to the pandemic; however, these funds fell short of the system losses experienced since the start of the pandemic. Mercy continues to monitor the impacts of the pandemic both to the health system and the communities served as we continue to provide assistance and maintain access to care within our communities.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (18 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Mercy Childrens Therapy and Development LLC
645 Maryville CentreSte 100	St Louis	MO	63141	455327629	Billing entity	MO	$10,961,271	$647,821	Mercy Hospitals East Communities
Mercy Clinic Adult Critical Care LLC
615 SNew Ballas Road	StLouis	MO	63141	201626965	Physician Services	MO	$7,771,126	$85,044	Mercy Hospitals East Communities
Mercy Clinic Adult Hospitalists- Washington LLC
901 E Fifth Street	Washington	MO	63090	262961433	Hospitalist Services	MO	$7,130,440	$0	Mercy Hospitals East Communities
Mercy Clinic Adult Hospitalists-St Louis LLC
645 Maryville CentreSte 100	StLouis	MO	63141	431854902	Healthcare Services	MO	$27,162,605	$146,374	Mercy Hospitals East Communities
Mercy Clinic Children's Critical Care LLC
645 Maryville CentreSte 100	StLouis	MO	63141	431854108	Healthcare Services	MO	$546,318	$280	Mercy Hospitals East Communities
Mercy Clinic Children's Hospitalists-St Louis LLC
645 Maryville CentreSte 100	StLouis	MO	63141	431708560	Healthcare Services	MO	$2,020,631	$0	Mercy Hospitals East Communities
Mercy Clinic Children's Palliative Care LLC
645 Maryville CentreSte 100	St Louis	MO	63141	454436211	Physician Services	MO	$69,558	$0	Mercy Hospitals East Communities
Mercy East Support Services LLC
14528 S Outer Forty Suite 100	Chesterfield	MO	63017	461048366	Healthcare services	MO	$77,780	$2,417	Mercy Hospitals East Communities
Mercy Health Services LLC
645 Maryville CentreSte 100	StLouis	MO	63141	431664148	Healthcare Services & Products	MO	$36,668,081	$1,177,198	Mercy Hospitals East Communities
Mercy Hospital St Louis Prof Surgical Services LLC
14528 S Outer Forty Suite 100	Chesterfield	MO	63017	811258305	Contracting organization	MO	$0	$65,829	Mercy Hospitals East Communities
Mercy Labs St Louis LLC
14528 S Outer Forty Suite 100	Chesterfield	MO	63017	463092721	Laboratory Services	MO	$5,369,292	$0	Mercy Hospitals East Communities
Mercy Labs Washington LLC
14528 S Outer Forty Suite 100	Chesterfield	MO	63017	463093014	Laboratory Services	MO	$441,717	$0	Mercy Hospitals East Communities
Mercy Neuropsychology Services LLC
615 SNew Ballas Road	StLouis	MO	63141	261216912	Neurophsychology Services	MO	$1,211,144	$48,564	Mercy Hospitals East Communities
Mercy Orthopaedic Trauma Services LLC
615 SNew Ballas Road	StLouis	MO	63141	061785022	Healthcare Services	MO	$503	$0	Mercy Hospitals East Communities
Mercy Women's Services LLC
615 S New Ballas Road	St Louis	MO	63141	460847235	Healthcare services	MO	$3,272,807	$117,850	Mercy Hospitals East Communities
Mercy Labs South LLC
14528 South Outer Forty Suite 100	Chesterfield	MO	63017	833541066	Laboratory Services	MO	$1,216,253	$0	Mercy Hospitals East Communities
Mercy Behavioral Health LLC
14528 S Outer Forty Suite 100	Chesterfield	MO	63017	460568680	Inactive	MO	$0	$0	Mercy Hospitals East Communities
St John's Mercy Therapy Services LLC
615 S New Ballas Road	St Louis	MO	63141	810671798	Inactive	MO	$0	$0	Mercy Hospitals East Communities

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (69 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 Street	Laredo	TX	78040	742912461	Women's domestic violence shelter	TX	501c3	7	Mercy Ministries of Laredo	Yes (1)
McAuley Portfolio Mgmt Co
14528 S Outer Forty St 100	Chesterfield	MO	63017	261708048	Portfolio management	MO	501c3	12b	Mercy Health	Yes (1)
Mercy ACO Clinical Services Inc
14528 S Outer Forty St 100	Chesterfield	MO	63017	464504901	Virtual Care Center	MO	501c3	3	Mercy Health	Yes (1)
Mercy Clinic East Communities
645 Maryville Ctr Dr Ste 100	St Louis	MO	63141	431771217	Physician Group	MO	501c3	10	Mercy Health East Communities	Yes (1)
Mercy Clinic Fort Smith Comm
7301 Rogers Avenue	Fort Smith	AR	72917	261318597	Physician Clinic	AR	501c3	3	Mercy Health Fort Smith Comm	Yes (1)
Mercy Clinic Oklahoma Comm
4300 W Memorial Road	Oklahoma City	OK	73120	270473057	Physician Group	OK	501c3	3	Mercy Health OK Communities	Yes (1)
Mercy Clinic Springfield Comm
1965 Fremont Street Suite 2950	Springfield	MO	65804	431560263	Physician Group	MO	501c3	3	Mercy Health Springfield Comm	Yes (1)
Mercy Family Center
110 Veterans Blvd	METAIRIE	LA	70005	721069468	Family counseling services	LA	501c3	7	Mercy Health	Yes (1)
Mercy Health
14528 S Outer Forty St 100	Chesterfield	MO	63017	431423050	Corporate Office	MO	501c3	1		0	N/A
Mercy Health East Communities
645 Maryville Ctr Dr Ste 100	St Louis	MO	63141	431718408	Health System	MO	501c3	12a	Mercy Health	Yes (1)
Mercy Health Fort Smith Comm
7301 Rogers Avenue	Fort Smith	AR	72917	261318515	Holding Company	AR	501c3	12b	Mercy Health	Yes (1)
Mercy Health Foundation
14528 S Outer Forty St 100	Chesterfield	MO	63017	200901499	Foundation	MO	501c3	12b	Mercy Health	Yes (1)
Mercy Health Foundation Ada
430 N Monte Vista Street	Ada	OK	74820	463596274	Foundation	OK	501c3	12a	Mercy Hospital Ada	Yes (1)
Mercy Health Foundation Ardmore
1011 14th Avenue NW	Ardmore	OK	73401	710962525	Foundation	OK	501c3	12a	Mercy Hospital Ardmore	Yes (1)
Mercy Health Foundation Berryville
214 Carter Street	Berryville	AR	72616	710759301	Foundation	AR	501c3	12a	Mercy Hospital Berryville	Yes (1)
Mercy Health Foundation Ft Scott
401 Woodland Hills Blvd	Fort Scott	KS	66701	481077073	Foundation	KS	501c3	7	Mercy Kansas Communities Inc	Yes (1)
Mercy Health Foundation Fort Smith
7301 Rogers Avenue	Fort Smith	AR	72917	237330425	Foundation	AR	501c3	7	Mercy Hospital Fort Smith	Yes (1)
Mercy Health Foundation Jefferson
1400 US Highway 61 South	Festus	MO	63028	462797051	Foundation	MO	501c3	12b	Mercy Hospital Jefferson	Yes (1)
Mercy Health Foundation Joplin
100 Mercy Way	Joplin	MO	64804	270906136	Foundation	MO	501c3	7	Mercy Health SW MOKS Comm	Yes (1)
Mercy Health Foundation Lebanon
100 Hospital Drive	Lebanon	MO	65536	822514567	Foundation	MO	501c3	12b	Mercy Hospital Lebanon	Yes (1)
Mercy Health Foundation Lincoln
1000 East Cherry Street	Troy	MO	63379	811477159	Foundation	MO	501c3	12b	Mercy Health East Communities	Yes (1)
Mercy Health Foundation NW Ark
2710 Rife Medical Ln	Rogers	AR	72858	710601687	Foundation	AR	501c3	12b	Mercy Hospital Rogers	Yes (1)
Mercy Health Foundation of OK
4300 W Memorial Road	Oklahoma City	OK	73120	454732301	Foundation	OK	501c3	12a	Mercy Health OK Communities	Yes (1)
Mercy Health Foundation OK City
4300 W Memorial Road	Oklahoma City	OK	73120	463184231	Foundation	OK	501c3	12a	Mercy Health OK Communities	Yes (1)
Mercy Health Foundation Springfield
1235 E Cherokee Street	Springfield	MO	65804	320195818	Foundation	MO	501c3	12b	Mercy Health Springfield Comm	Yes (1)
Mercy Health Foundation St Francis
100 W Highway 60	Mountain View	MO	65548	431873914	Foundation	MO	501c3	12a	Mercy St Francis Hospital	Yes (1)
Mercy Health Foundation STL
615 South New Ballas Road	St Louis	MO	63141	562410020	Foundation	MO	501c3	12b	Mercy Health East Communities	Yes (1)
Mercy Health Foundation Washington
901 E Fifth Street	Washington	MO	63090	562410022	Foundation	MO	501c3	12b	Mercy Health East Communities	Yes (1)
Mercy Health NW Ark Communities
2710 Rife Medical Ln	Rogers	AR	72758	621684203	Physician Group	AR	501c3	10	Mercy Health	Yes (1)
Mercy Health OK Communities
4300 W Memorial Road	Oklahoma City	OK	73120	731453048	Health System	OK	501c3	12a	Mercy Health	Yes (1)
Mercy Health Plans of MissouriInc
3265 S National Avenue	Springfield	MO	65807	320481419	HMO	MO	501c4		Mercy Health	Yes (1)
Mercy Health PlansInc
3265 S National Avenue	Springfield	MO	65807	320486150	PPO	MO	501c4		Mercy Health Plans of MissouriInc	Yes (1)
Mercy Health SW MOKS Comm
100 Mercy Way	Joplin	MO	64804	300584463	Health System	MO	501c3	12b	Mercy Health	Yes (1)
Mercy Health Springfield Comm
1235 E Cherokee Street	Springfield	MO	65804	431856028	Health System	MO	501c3	12b	Mercy Health	Yes (1)
Mercy Hospital Ada Inc
430 N Monte Vista Street	Ada	OK	74820	462288155	Hospital	OK	501c3	3	Mercy Health OK Communities	Yes (1)
Mercy Hospital Ardmore
1011 14th Avenue NW	Ardmore	OK	73401	731500629	Hospital	OK	501c3	3	Mercy Health OK Communities	Yes (1)
Mercy Hospital Aurora
500 Porter Avenue	Aurora	MO	65605	431936696	Hospital	MO	501c3	3	Mercy Health Springfield Comm	Yes (1)
Mercy Hospital Berryville
214 Carter Street	Berryville	AR	72616	710759299	Hospital	AR	501c3	3	Mercy Health NW Ark Communities	Yes (1)
Mercy Hospital Booneville
880 West Main Street	Booneville	AR	72927	463851119	Hospital	AR	501c3	3	Mercy Hospital Fort Smith	Yes (1)
Mercy Hospital Carthage
3125 Dr Russell Smith Way	Carthage	MO	64836	453808607	Hospital	MO	501c3	3	Mercy Health SW MOKS Comm	Yes (1)
Mercy Hospital Cassville
94 Main Street	Cassville	MO	65625	431936699	Hospital	MO	501c3	3	Mercy Health Springfield Comm	Yes (1)
Mercy Hospital Columbus
220 Pennsylvania Avenue	Columbus	KS	66725	270842031	Hospital	MO	501c3	3	Mercy Health SW MOKS Comm	Yes (1)
Mercy Hospital El Reno
2115 Parkview Drive	El Reno	OK	73036	272716065	Hospital - Inactive	OK	501c3	3	Mercy Hospital Oklahoma City	Yes (1)
Mercy Hospital Fort Smith
7301 Rogers Avenue	Fort Smith	AR	72917	710240352	Hospital	AR	501c3	3	Mercy Health Fort Smith Comm	Yes (1)
Mercy Hospital Healdton Inc
3462 Hospital Rd	Healdton	OK	73438	263173902	Hospital	OK	501c3	3	Mercy Hospital Ardmore Inc	Yes (1)
Mercy Hospital Jefferson
1400 Highway 61 South	Festus	MO	63028	430687077	Hospital	MO	501c3	3	Mercy Health East Communities	Yes (1)
Mercy Hospital Joplin
100 Mercy Way	Joplin	MO	64804	270814858	Hospital	MO	501c3	3	Mercy Health SW MOKS Comm	Yes (1)
Mercy Hospital Kingfisher Inc
1000 Hospital Circle	Kingfisher	OK	73750	463433074	Hospital	OK	501c3	3	Mercy Hospital Oklahoma City	Yes (1)
Mercy Hospital Lebanon
100 Hospital Drive	Lebanon	MO	65536	431767432	Hospital	MO	501c3	3	Mercy Health Springfield Comm	Yes (1)
Mercy Hospital Lincoln
1000 East Cherry Street	Troy	MO	63379	472219204	Hospital	MO	501c3	3	Mercy Health East Communities	Yes (1)
Mercy Hospital Logan County Inc
200 South Academy	Guthrie	OK	73044	452998842	Hospital	OK	501c3	3	Mercy Hospital Oklahoma City	Yes (1)
Mercy Hospital Oklahoma City
4300 W Memorial Road	Oklahoma City	OK	73120	730579285	Hospital	OK	501c3	3	Mercy Health OK Communities	Yes (1)
Mercy Hospital Ozark
801 W River Street	Ozark	AR	72949	710689680	Hospital	AR	501c3	3	Mercy Hospital Fort Smith	Yes (1)
Mercy Hospital Paris
500 E Academy	Paris	AR	72855	710655753	Hospital	AR	501c3	3	Mercy Hospital Fort Smith	Yes (1)
Mercy Hospital Rogers
2710 Rife Medical Ln	Rogers	AR	72758	710294390	Hospital	AR	501c3	3	Mercy Health NW Ark Communities	Yes (1)
Mercy Hospital Springfield
1235 E Cherokee Street	Springfield	MO	65804	440552485	Hospital	MO	501c3	3	Mercy Health Springfield Comm	Yes (1)
Mercy Hospital Tishomingo
1000 South Byrd	Tishomingo	OK	73460	274433830	Hospital	OK	501c3	3	Mercy Hospital Ada	Yes (1)
Mercy Hospital Waldron
1341 W 6th Street	Waldron	AR	72958	710557895	Hospital	AR	501c3	3	Mercy Hospital Fort Smith	Yes (1)
Mercy Hospital Watonga Inc
500 Clarence Nash Blvd	Watonga	OK	73772	455199762	Hospital	OK	501c3	3	Mercy Hospital Oklahoma City	Yes (1)
Mercy Kansas Communities Inc
401 Woodland Hills Blvd	Ft Scott	KS	66701	480956045	Hospital	KS	501c3	3	Mercy Health SW MOKS Comm	Yes (1)
Mercy Ministries of Laredo
2500 Zacatecas	Laredo	TX	78043	200198462	Outreach	TX	501c3	7	Mercy Health	Yes (1)
Mercy Research
524 North Booneville Avenue	Springfield	MO	65802	870796305	Research	MO	501c3	4	Mercy Health	Yes (1)
Mercy St Francis Hospital
100 W Highway 60	Mountain View	MO	65548	440607149	Hospital	MO	501c3	3	Mercy Health Springfield Comm	Yes (1)
MHM Support Services
14528 S Outer Forty St 100	Chesterfield	MO	63017	202553101	Centralized Health System Functions	MO	501c3	12a	Mercy Health	Yes (1)
Mission Clinical Services
300 Werner Street	Hot Springs	AR	71913	134239691	Child Advocacy Center	AR	501c3	3	Mercy Health	Yes (1)
Mercy Health Foundation South
10010 Kennerly Road	St Louis	MO	63128	261516789	Foundation	MO	501c3	12a	Mercy Hospital South	Yes (1)
Mercy Hospital South
10010 Kennerly Road	St Louis	MO	63128	430980256	Hospital	MO	501c3	3	Mercy Health East Communities	Yes (1)
St Anthony's Physician Organization
10010 Kennerly Road	St Louis	MO	63128	431784536	Health care	MO	501c3	3	Mercy Hospital South	Yes (1)
Mercy Specialty Hospital Southeast Kansas
1619 W 7th Street	Galena	KS	66739	843730625	Hospital	KS	501c3	3	Mercy Health SW MOKS Comm	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
Fort Smith Emergency Medical Services
1701 South Greenwood	FORT SMITH	AR	72901	710416615	Emergency Medical Services	AR	MERCY HOSPITAL FORT SMITH	N/A	0	0
St Edward Mercy Med Ctr M-P Off Bldg
7301 Rogers Avenue	FORT SMITH	AR	72903	710554050	Office building	AR	MERCY HOSPITAL FORT SMITH	N/A	0	0
Platinum CPS Holdings LLC
14528 S Outer Forty Suite 100	Chesterfield	MO	63017	842493007	Holding Company	MO	MERCY MANAGED CARE CORPMERCY HEALTH	N/A	0	0
Maryville Cancer Center LLC
2227 Vadalabene Drive	Maryville	IL	62062	813385885	Outpatient Center	IL	Mercy Health East Communities	N/A	0	0
Plaza Surgery Services Company LLC
12700 Southfork Road	St Louis	MO	63128	204709312	INACTIVE	MO	MERCY HOSPITAL SOUTH	N/A	0	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 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	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
Frontenac Properties Inc
14528 S Outer Forty Suite 100	Chesterfield	MO	63017	521914421	Holds ancillary assets & owns aircraft	DE	MERCY HEALTH	C	0
Mercy Health Center Condominium Inc
4300 W Memorial Rd	Oklahoma City	OK	73120	680640970	Administrator of certain real property and improvements	OK	MERCY HOSPITAL OKLAHOMA CITYINC	C	0
Mercy Managed Care Corporation
4300 W Memorial Road	Oklahoma City	OK	73120	731441665	Holding company	OK	MERCY HEALTH	C	0
Mercy Commercial Services Inc
14528 South Outer Forty Suite 100	Chesterfield	MO	63017	464953543	Corp Parent of VCC taxable commercializ svcs	OK	MHN Inc and MHNSR INC	C	0
St Anthony's Physician Organization of Illinois
10010 Kennerly Road	St Louis	MO	63128	320457168	Health Care	MO	Mercy Hospital South	C	0
McAuley Insurance Company Ltd
					Inactive		Mercy Health	C	0	Aon House 30 Woodbourne Avenue	Pembroke	BD	HM 08	BD

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	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	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 (46 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Mercy Health Foundation St Louis
C	$2,363,235	fMV
Mercy Health Foundation Washington
C	$178,310	fMV
Mercy Health Foundation St Louis
B	$2,026,485	fMV
Mercy Health Foundation Washington
B	$224,521	fMV
Mercy ACO Clinical Services
Q	$12,683,279	FMV
Mercy Clinic East Communities
Q	$5,714,134	FMV
Mercy Clinic Fort Smith Communities
P	$18,499	FMV
Mercy Clinic Oklahoma Communities Inc
P	$67,147	FMV
Mercy Health East Communities
Q	$189,330,065	FMV
Mercy Health Fort Smith Communities
P	$3,567	FMV
Mercy Health Foundation
P	$1,727	FMV
Mercy Health Foundation St Louis
Q	$21,701	FMV
Mercy Health Foundation Washington
Q	$3,327	FMV
Mercy Health Oklahoma Communities
P	$2,961	FMV
Mercy Health Springfield Communities
Q	$488,645	FMV
Mercy Health SW MOKAN Communities
Q	$273,456	FMV
Mercy Hospital Ada Inc
P	$49,945	FMV
Mercy Hospital Ardmore
P	$31,389	FMV
Mercy Hospital Aurora
P	$27,133	FMV
Mercy Hospital Booneville
P	$14,362	FMV
Mercy Hospital Carthage
P	$5,849	FMV
Mercy Hospital Cassville
P	$27,133	FMV
Mercy Hospital Columbus
Q	$794	FMV
Mercy Hospital Fort Smith
P	$60,670	FMV
Mercy Hospital Healdton
P	$1,111	FMV
Mercy Hospital Jefferson
P	$4,328	FMV
Mercy Hospital Joplin
P	$62,513	FMV
Mercy Hospital Kingfisher Inc
P	$2,300	FMV
Mercy Hospital Lebanon
P	$21,035	FMV
Mercy Hospital Lincoln
P	$5,660	FMV
Mercy Hospital Logan County Inc
P	$3,091	FMV
Mercy Hospital Oklahoma City
P	$125,778	FMV
Mercy Hospital Ozark
P	$1,030	FMV
Mercy Hospital Paris
P	$1,356	FMV
Mercy Hospital Rogers
P	$86,721	FMV
Mercy Hospital South
P	$8,598	FMV
Mercy Hospital Springfield
Q	$47,997	FMV
Mercy Hospital Tishomingo
P	$1,341	FMV
Mercy Hospital Waldron
P	$1,405	FMV
Mercy Hospital Watonga Inc
P	$1,110	FMV
Mercy Kansas Communities
P	$5	FMV
Mercy Research
P	$205,629	FMV
Mercy Specialty Hospital Southeast Kansas
P	$3,598	FMV
Mercy St Francis Hospital
P	$30,041	FMV
MHM Support Services
Q	$38,537,172	FMV
Mission Clinical Services
P	$329	FMV