MERCY HOSPITAL JEFFERSON: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: MERCY HOSPITAL JEFFERSON (EIN 43-0687077)
Tax period: 2020-07-01 to 2021-06-30
Filed: 2022-05-13
IRS object ID: 202201339349307100
Schema version: 2020v4.2
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	2022-05-13T13:59:14-05:00	ReturnTs
Tax Period End	2021-06-30	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	2020-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	430687077	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Business Name Control	MERC	BusinessNameControlTxt
Phone	6369331107	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 350	AddressLine1Txt
City	Crystal City	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63109	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Daniel Eckenfels	PersonNm
Person Title	VP Finance	PersonTitleTxt
Phone	3145251000	PhoneNum
Signature	2022-05-11	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Daniel	PersonFirstNm
Person Last	Eckenfels	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	2022-05-11	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Carl E Eric Ammons	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 350	AddressLine1Txt
City	Crystal City	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63109	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$215,127,700	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.mercy.net	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1953	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	A community based integrated healthcare system consisting of a 251 bed licensed facility which provides a full range of diagnostic, preventative and healthcare services along with 24 hour emergency room care.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	47	TotalVolunteersCnt
Total Gross UBI	$1,995	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$159,486	PYContributionsGrantsAmt
CY Contributions Grants	$1,766,453	CYContributionsGrantsAmt
PY Program Service Revenue	$225,503,892	PYProgramServiceRevenueAmt
CY Program Service Revenue	$211,117,711	CYProgramServiceRevenueAmt
PY Investment Income	$204,496	PYInvestmentIncomeAmt
CY Investment Income	$320,663	CYInvestmentIncomeAmt
PY Other Revenue	$1,260,069	PYOtherRevenueAmt
CY Other Revenue	$1,416,105	CYOtherRevenueAmt
PY Total Revenue	$227,127,943	PYTotalRevenueAmt
CY Total Revenue	$214,620,932	CYTotalRevenueAmt
PY Grants And Similar Paid	$196,967	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$38,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$95,166,215	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$92,670,722	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$124,293,711	PYOtherExpensesAmt
CY Other Expenses	$95,262,626	CYOtherExpensesAmt
PY Total Expenses	$219,656,893	PYTotalExpensesAmt
CY Total Expenses	$187,971,348	CYTotalExpensesAmt
PY Revenues Less Expenses	$7,471,050	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$26,649,584	CYRevenuesLessExpensesAmt
Total Assets BOY	$252,007,792	TotalAssetsBOYAmt
Total Assets EOY	$242,133,791	TotalAssetsEOYAmt
Total Liabilities BOY	$5,970,311	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$4,064,329	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$246,037,481	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$238,069,462	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	$22,705,982	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$30,025,447	RevenueAmt
Desc	Mercy Hospital Jefferson consists of a 321-bed licensed facility which provides a wide range of services. Mercy Hospital Jefferson 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.Mercy Hospital Jefferson provides cardiovascular services. In FY21, Mercy Hospital Jefferson had 1,508 cases and 6,065 patient days for this service line.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$16,635,544	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$23,292,369	RevenueAmt
Desc	Mercy Hospital Jefferson provides gastroenterology services. In FY21, Mercy Hospital Jefferson had 4,550 cases and 4,550 patient days for this service line.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$12,403,983	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$15,677,490	RevenueAmt
Desc	Mercy Hospital Jefferson provides pulmonary services. In FY21, Mercy Hospital Jefferson had 3,450 cases and 5,532 patient days for this service line.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$113,330,474	ExpenseAmt
Grant	$38,000	GrantAmt
Revenue	$142,561,563	RevenueAmt
Desc	In FY21, Mercy Hospital Jefferson provided other services including: emergency services, radiology services, behavioral health services, women and infant care, orthopedic services, lab services, rehab services, oncology services, etc.Mercy Hospital Jefferson is committed to providing educational programs to the community. Free seminars and presentations are provided on a wide variety of health issues which impact patients and their families. Free services are also offered to the community such as lipid, cholesterol, bone density and glucose screenings as well as hearing and memory screenings.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$113,330,474	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$38,000	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$142,561,563	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$165,075,983	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	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	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	0	EmployeeCnt
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	7	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	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Daniel Eckenfels	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3145251000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10010 Kennerly Road	AddressLine1Txt
City	St Louis	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63128	ZIPCd

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

Form990 Part VII Section A Form990PartVIISectionAGrp (22 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
Roukoz Bassam
Physician & Board Member	2.00	58.00	Yes (X)	$0	$1,240,641	$25,791
Ammons Carl E Eric
President, Mercy Hospital Jefferson	45.00	10.00	Yes (X)	$0	$1,171,304	$93,962	Yes (X)
Iyer Karthik
Physician & Board Member	50.00	0.00	Yes (X)	$0	$609,544	$25,069
Riordan MD Tracy
Physician & Board Member	50.00	0.00	Yes (X)	$0	$490,627	$43,054
Carron RSM Sr Judith Ann
Board Member	1.00	1.00	Yes (X)	$0	$0	$0
Francis Richard Blake
Board Member	1.00	0.00	Yes (X)	$0	$0	$0
McCaffrey Dena
Board Member	1.00	0.00	Yes (X)	$0	$0	$0
McKenna William
Board Member	1.00	0.00	Yes (X)	$0	$0	$0
Cadiz Briccio
Board Member	1.00	0.00	Yes (X)	$0	$0	$0
Gannon Elaine
Board Member	1.00	0.00	Yes (X)	$0	$0	$0
Knoll Eric
Board Member	1.00	0.00	Yes (X)	$0	$0	$0
Matejka Cheryl L
CFO & Treasurer	1.00	54.00		$0	$1,473,058	$91,021	Yes (X)
Eckenfels Daniel
VP Finance	25.00	35.00		$0	$282,901	$28,493		Yes (X)
Meyer Michele
VP Operations	40.00	0.00		$0	$267,393	$27,717		Yes (X)
Robbins Jill L
Registered Nurse	40.00	0.00		$0	$217,882	$15,206			Yes (X)
Taylor Sara
Physician Assistant	40.00	0.00		$0	$218,056	$5,370			Yes (X)
Kennon William D
Director - Pharmacy Services	40.00	0.00		$0	$194,763	$20,225			Yes (X)
Darling Amanda
Executive Director - Operations	40.00	0.00		$0	$173,633	$20,162			Yes (X)
Beffa Alisyn
Chief Nursing Officer	40.00	0.00		$0	$169,031	$12,871			Yes (X)
Johnston Jeffrey A
Former Officer	0.00	55.00		$0	$4,278,887	$122,343				Yes (X)
Hannasch Susan
Former Officer	0.00	0.00		$0	$347,134	$0				Yes (X)
Bryson Jared
Former Key Employee	0.00	40.00		$0	$187,793	$27,658				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$11,322,647	TotReportableCompRltdOrgAmt
Total Other Compensation	$558,942	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Acuity Anesthesiology LLC
1734 Clarkson Road Suite 147	Chesterfield	MO	63017	Anesthesia Services	$3,860,768
MAYO MEDICAL LABS
200 SW FIRST STREET	ROCHESTER	MN	55805	Laboratory services	$726,605
PETER L ZHANG MD
38 BRENTMOOR PARK	CLAYTON	MO	63105	ADULT PSYCHIATRIST HOSPITALIST	$520,483
SHARED MEDICAL SERVICES
209 LIMESTONE PASS	COTTAGE GROVE	WI	53527	PET SCANS	$417,390
Linen King
PO Box 701683	Tulsa	OK	74170	Laundry services	$325,447

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	13	CntrctRcvdGreaterThan100KCnt
Related Organizations	$632,409	RelatedOrganizationsAmt
Government Grants	$1,134,044	GovernmentGrantsAmt
Total Contributions	$1,766,453	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Net Patient Service Re	621110	$203,404,075	$203,404,075
Other Operating Revenu	621110	$5,831,421	$5,831,421
Rental From Affiliated	531120	$1,880,220	$1,880,220
Lab Services	621500	$1,995		$1,995

Field	Value	IRS element (for citing)
Total Program Service Revenue	$211,117,711	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$285,223	TotalRevenueColumnAmt
Exclusion	$285,223	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$485,320	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$430,039	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$55,281	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$55,281	TotalRevenueColumnAmt
Exclusion	$55,281	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$112,169	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$76,729	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$35,440	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$35,440	TotalRevenueColumnAmt
Exclusion	$35,440	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafe & vending	722210	$921,666	$921,666
Gift shop sales	900099	$191,608		$191,608
Joint Venture	900099	$37,281		$37,281

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$210,269	TotalRevenueColumnAmt
Related Or Exempt Func Income	$210,269	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,360,824	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$214,620,932	TotalRevenueColumnAmt
Related Or Exempt Func Income	$211,554,874	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,995	UnrelatedBusinessRevenueAmt
Exclusion	$1,297,610	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$38,000	TotalAmt
Program Services	$38,000	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$35,242	TotalAmt
Program Services	$35,242	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$76,926,082	TotalAmt
Program Services	$73,215,682	ProgramServicesAmt
Management And General	$3,710,400	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,554,503	TotalAmt
Program Services	$1,479,539	ProgramServicesAmt
Management And General	$74,964	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$9,137,242	TotalAmt
Program Services	$8,696,722	ProgramServicesAmt
Management And General	$440,520	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,017,653	TotalAmt
Program Services	$4,775,745	ProgramServicesAmt
Management And General	$241,908	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$24,899	TotalAmt
Management And General	$24,899	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$10,418,642	TotalAmt
Program Services	$10,160,906	ProgramServicesAmt
Management And General	$257,736	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$141,091	TotalAmt
Program Services	$34,796	ProgramServicesAmt
Management And General	$106,295	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,170,385	TotalAmt
Program Services	$2,597,643	ProgramServicesAmt
Management And General	$572,742	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$102,555	TotalAmt
Program Services	$102,555	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,358,713	TotalAmt
Program Services	$4,358,713	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$179,040	TotalAmt
Program Services	$174,030	ProgramServicesAmt
Management And General	$5,010	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$13,713,259	TotalAmt
Program Services	$12,992,462	ProgramServicesAmt
Management And General	$720,797	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,063,746	TotalAmt
Program Services	$289,718	ProgramServicesAmt
Management And General	$774,028	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Shared service fees	$25,256,251	$9,344,813	$15,911,438
Drugs & medical expense	$25,163,475	$25,089,429	$74,046
Bad debt expense	$10,034,468	$10,034,468
Repairs and maintenance	$1,473,785	$1,450,929	$22,856

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$162,317	TotalAmt
Program Services	$204,591	ProgramServicesAmt
Management And General	-$42,274	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$187,971,348	TotalAmt
Program Services	$165,075,983	ProgramServicesAmt
Management And General	$22,895,365	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$4,971,216	BOYAmt
EOY	$4,560,183	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$18,493,091	BOYAmt
EOY	$24,020,616	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,586,011	BOYAmt
EOY	$2,940,638	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$88,124	BOYAmt
EOY	$94,544	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$243,046,813	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$86,372,693	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$166,186,325	BOYAmt
EOY	$156,674,120	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$53,636,770	BOYAmt
EOY	$53,636,770	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$6,046,255	BOYAmt
EOY	$206,920	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$252,007,792	BOYAmt
EOY	$242,133,791	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
EOY	$3,561,776	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$106,853	BOYAmt
EOY	$98,803	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,863,458	BOYAmt
EOY	$403,750	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,970,311	BOYAmt
EOY	$4,064,329	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	$245,881,872	BOYAmt
EOY	$237,915,482	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$155,609	BOYAmt
EOY	$153,980	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$246,037,481	BOYAmt
EOY	$238,069,462	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$252,007,792	BOYAmt
EOY	$242,133,791	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$26,649,584	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$34,617,603	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	$24,899	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$24,899	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: Catholic Hospital Association, American Hospital Association and the Missouri Hospital Association. For the year ended June 30, 2021 dues were $23,075, $17,639, and $60,327, respectively. Approximately 3.66% of the Catholic Hospital Association dues, 25.56% of the American Hospital Association dues, and 32.40% of Missouri Hospital Association dues were attributable to lobbying activities performed by this association.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,238,409	OtherCostOrOtherBasisAmt
Book Value	$4,238,409	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$172,839,387	OtherCostOrOtherBasisAmt
Depreciation	$37,725,333	DepreciationAmt
Book Value	$135,114,054	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,317	OtherCostOrOtherBasisAmt
Depreciation	$6,018	DepreciationAmt
Book Value	$4,299	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$63,674,389	OtherCostOrOtherBasisAmt
Depreciation	$46,826,436	DepreciationAmt
Book Value	$16,847,953	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,284,311	OtherCostOrOtherBasisAmt
Depreciation	$1,814,906	DepreciationAmt
Book Value	$469,405	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$156,674,120	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	Other Liabilities	Desc
Amt	$403,750	Amt

Field	Value	IRS element (for citing)
Total Liability	$403,750	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, 2021 OR 2020.	ExplanationTxt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,856,560	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,856,560	NetCommunityBenefitExpnsAmt
Total Expense	0.05540	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$27,486,510	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$26,417,660	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,068,850	NetCommunityBenefitExpnsAmt
Total Expense	0.00600	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$37,343,070	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$26,417,660	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,925,410	NetCommunityBenefitExpnsAmt
Total Expense	0.06140	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	12	ActivitiesOrProgramsCnt
Persons Served	30073	PersonsServedCnt
Total Community Benefit Expns	$171,644	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$171,644	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	156	PersonsServedCnt
Total Community Benefit Expns	$88,146	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$88,146	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	370	PersonsServedCnt
Total Community Benefit Expns	$5,207,007	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,530,570	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$676,437	NetCommunityBenefitExpnsAmt
Total Expense	0.00380	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	22	PersonsServedCnt
Total Community Benefit Expns	$190,443	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$190,443	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	18	ActivitiesOrProgramsCnt
Persons Served	30621	PersonsServedCnt
Total Community Benefit Expns	$5,657,240	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,530,570	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,126,670	NetCommunityBenefitExpnsAmt
Total Expense	0.00640	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	18	ActivitiesOrProgramsCnt
Persons Served	30621	PersonsServedCnt
Total Community Benefit Expns	$43,000,310	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,948,230	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,052,080	NetCommunityBenefitExpnsAmt
Total Expense	0.06780	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	212	PersonsServedCnt
Total Community Benefit Expns	$4,822	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,822	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	1512	PersonsServedCnt
Total Community Benefit Expns	$2,969	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,969	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	1724	PersonsServedCnt
Total Community Benefit Expns	$7,791	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,791	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$2,424,749	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$43,838,542	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$39,485,315	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$4,353,227	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	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 350	AddressLine1Txt
City	Crystal City	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63019	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.mercy.net	WebsiteAddressTxt
State License	529-2	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.mercy.net/communitybenefits	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.mercy.net/communitybenefits	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.mercy.net/billing/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.mercy.net/billing/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.mercy.net/billing/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Mercy Hospital Jefferson	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 Jefferson	Part V, Section B, Line 5: When conducting its most recent CHNA and developing the Community Health Improvement Plan (CHIP), Mercy Hospital Jefferson worked with the Jefferson County Health Department (JCHD), Community Treatment, Inc. (COMTREA), Jefferson County Community Partnership (JCCP) and Jefferson Franklin Community Action Corporation (JFCAC) as a primary community partners. Methods of collecting and analyzing data and information included community focus groups, surveys, organization-specific data and published data. Below are the partnering agencies and the leaders who supported the combined efforts of a joint CHNA: - COMTREA- Sue Curfman - JCCP- Tracy Smith - JCHD- Kelley Vollmar - JFCAC- Loetta Blair - MHJ- Eric AmmonsCommunity focus groups were conducted to dialogue directly with local community members. There was a targeted effort to conduct focus groups in a variety of zip codes and locations so that all Jefferson County residents had the opportunity to attend. Community partners that assisted in data collection for community focus groups included Desoto School District, Jefferson County Library, Arnold Library, Desoto Library, Festus Library, Jefferson College, YMCA, Mapaville Fire Dept., JFCAC Head Start (Hematite and Desoto), Aging Ahead, and St. Andrew's UMC Desoto. The JCHD conducted a county-wide survey during the summer of 2017. Through collaboration with multiple organizations and agencies, surveys were distributed and over 3,500 were completed. The goal of the survey was to gain insight into the perceptions of county residents on the most pressing health issues, risk factors, barriers to care, and health services utilization.
Mercy Hospital Jefferson	Part V, Section B, Line 6b: Jefferson County Health Department (JCHD)Community Treatment, Inc. (COMTREA)Jefferson County Community Partnership (JCCP) Jefferson Franklin Community Action Corporation (JFCAC)
Mercy Hospital Jefferson	Part V, Section B, Line 11: Based on the findings of its most recently conducted CHNA, Mercy Hospital Jefferson chose to address the following three significant health needs identified in Jefferson County: - Access to care- Mental health- Substance useThese needs are being addressed in the hospital's Community Health Improvement Plan (CHIP), which can be accessed here: https://www.mercy.net/content/dam/mercy/en/pdf/chip/mercy-jefferson-chip-2019.pdf. Some notable achievements in the past year include: - The Crisis Nursery Outreach Center continued to assist families on-site in order to help them navigate crises and create a stable environment for children to thrive. - Through a partnership with the Integrated Health Network, the Community Referral Coordinator (CRC) program at Mercy Hospital Jefferson provides patients without a medical home with assistance in finding a primary care or specialty provider, along with social service support, as appropriate. - In FY21, the CRC connected with 746 patients in 1,819 patient encounters, with over half being self-pay - The CRC had a referral rate of 41.74% and maintained a 75.57% total kept appointment rate at the fiscal year end. This is among the highest appointment kept rate in the region and is an increase of 5% from FY20.- The Community Health Worker (CHW) program, which was piloted beginning in 2018, was adopted and expanded across Mercy hospitals in 2019. Mercy Hospital Jefferson hired one full-time CHW in 2018 to connect uninsured and underinsured patients in the Emergency Department to community resources for social needs, address social determinants of health issues, and assist patients with applying for Medicaid, marketplace insurance, disability or hospital charity care. CHWs also collaborate closely with the Care Management team, social workers, and Community Referral Coordinators to ensure continuity of care and improve quality of life. - In FY21, Mercy Hospital Jefferson's CHW served 923 patients through 1969 encounters- Mercy Clinic South Health Leads program, which serves the service area of Mercy Hospital Jefferson, screened nearly 10,000 patients for social determinants of health needs in FY21. - 16% screened positive for urgent needs including prescription assistance, food pantries, medical transportation, and charity care - 439 needs successfully met or equipped for 428 clients - Mercy Hospital Jefferson continued several behavioral health programs; Hospital Community Linkages (HCL) Project, the Youth Emergency Room Enhancement Project which mirrors the Emergency Room Enhancement Project for adults. These programs 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. Mercy Hospital Jefferson also implemented the Engaging Patients in the Care Coordination Program also known as EPICC, this program 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. Additional needs being addressed by the hospital include: - Community Health Improvement ServicesMercy Hospital Jefferson implements and participates in the following programs to work towards community health improvement: - Tobacco Cessation - Support Groups for bariatrics, diabetes, grief support, suicide, palliative care and stroke - Health Fairs, Presentations and Screenings, - Patient Benefit Advisors - Transportation Assistance Programs- Health Professions EducationHealth professions student education is offered at Mercy Hospital Jefferson in the areas of physical therapy, dietary, social work, pharmacy, nursing and other health professionals.- Financial and In-Kind ContributionsMercy Hospital Jefferson continues to support organizations through cash and in-kind donations. Those included but not limited to are through blood drives, the American Heart Association Walk, sponsorships for the Nationals Alliance for Mental Illness, suicide support services for the Hillsboro school district and Meals on Wheels.- Community Building Activities-Workforce & Economic DevelopmentIn an effort to aid in workforce and economic development, Mercy Hospital Jefferson participates in the Disability Inclusion Task Force, the Twin City Chamber of Commerce and the Farmington Chamber of Commerce.- Community Building Activities- Coalition Building & Board MembershipMercy Hospital Jefferson also participates in local coalition building and board membership for the following agencies: Alive and Well Jefferson County, Pony Bird Board of Directors, Jefferson Foundation Board, HEAL Healthcare Access Workgroup, St. Pius X Board, enterprise Advisory Board, Jefferson County Health Network, Integrated Health Network Board and the Jefferson County Drug Prevention Coalition Board.- COVID-19 Pandemic ResponseFY20 brought unprecedented challenges to our nation with the onset of the COVID-19 pandemic, and Mercy's communities were no exception. Recognizing the economic hardship, stress and emotional trauma that the 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 was proactive in engaging community partners in COVID-19 response from the start of the pandemic. 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 Jefferson, the Community Health Leader convened local social service and homeless serving agencies and healthcare providers to create a COVID-19 Homelessness Task Force for Jefferson and Franklin Counties. This ultimately turned into Jefferson County social service agencies meeting to work on the beginning stages of forming a homelessness coalition. Other community services offered by Mercy Hospital Jefferson during the COVID-19 pandemic include: - Community COVID-19 testing sites - Ongoing Logistical and Pastoral support for Skilled Nursing Facilities and Long-Term Care Facilities impacted by COVID-19 outbreaks - Local guidance and education for agencies, schools, law enforcement and fire departments through ongoing community meetings - Donated supplies, including hand sanitizer for COVID-19 kits distributed to homeless serving agencies, and food to local pantries - Working with social service agencies to utilize CARES Act Funds to help those experiencing homelessness, which was exacerbated by COVID-19. These funds help with temporary shelter and in stable housing programs for Jefferson County.The following need is not being addressed by the hospital:- Environmental: Air/Water Quality MHJ will continue its partnership with the Jefferson County Health Department (JCHD) and will collaborate with any environmental initiatives they develop. However, it was felt by Mercy's Community Health Council (CHC) that while continued attention to this issue was important, Mercy's focus remains on providing quality healthcare. Therefore, the issues of access, and the community's crisis with behavioral health and addiction should take precedence at this time.
Mercy Hospital Jefferson	Part V, Section B, Line 20e: Other areas from a notice perspective: FAP is posted in all registration areas, full policy and plain language document posted on website, plain language document is available when requested, there is a notice on statement, and all patients get three statements before they can go to a collection agency.
Form 990, Schedule H, Part V, Section B, Line 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 IN ALL COMMUNITIES EXCEPT JOPLIN, MAUDE NORTON, CARTHAGE AND SOUTHEAST KANSAS. 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	9	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - Mercy Services-Calvary Church Road
1500 Calvary Church Rd	Festus	MO	62028	Hospital based outpatient depts: Imaging services
2 - Mercy Hospice-Jefferson
5 Industrial Drive	Festus	MO	62028	Hospital based outpatient depts: Hospice services
3 - Mercy Home Health-Farmington
620 Maple Valley Dr Ste A	Farmington	MO	63640	Hospital based outpatient depts: Home health services
4 - Mercy Home Health-Jefferson
5 Industrial Drive	Festus	MO	62028	Hospital based outpatient depts: Home health services
5 - Mercy Hospice-Farmington
620 Maple Valley Dr Ste A	Farmington	MO	63640	Hospital based outpatient depts: Hospice services
6 - Mercy Clinic Imperial
1250 Main Street	Imperial	MO	63012	Hospital based outpatient depts: therapy services
7 - Mercy Surgery Center - Jefferson
1377 Hwy 61	Festus	MO	63028	Hospital based outpatient depts: Endoscopy/OR
8 - Mercy Urgent Care - Imperial (closed Nov
1125 Main Street	Imperial	MO	63052	Hospital based outpatient depts: Urgent Care
9 - Mercy Urgent Care - Fenton (closed Nov)
714 Gravois Rd	Fenton	MO	63026	Hospital based outpatient depts: Urgent Care

Supplemental Information Detail SupplementalInformationDetail (16 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 $187,971,348. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $10,034,468. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $177,936,880.
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 Jefferson's (MHJ) 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: - Jefferson County Health Department- Jefferson County Growth Association- Jefferson College Board- Participation in the DeSoto, Hillsboro, Twin City Area, and Ste. Genevieve Chambers of Commerce activities- Kiwanis Club- YMCA Board- COMTREA (Community Treatment, Inc.)- Missouri Hospital Association Board- Eastern Missouri Hospital Association Board- St. Pius Alumni Association- Festus Public Library Board- Disability Resource Council- Jefferson County Growth Association Bottleneck Bridge Ride- Jefferson County Tourism Commission Advisory Board- Get Healthy DeSoto- Jefferson- Franklin Workforce Development Board- Academic Advisor with Boys Hope Girls Hope of St. Louis- Crystal Oaks Nursing Home Board Chair- Boy Scouts of America (Troop 469)- Behavioral Health Network Adult Services Advisory BoardIn addition, MHJ actively participates in several coalitions that align with the hospital's CHNA top health priority of Substance Abuse, including:- Jefferson County Drug Prevention Coalition- Alive and Well Jefferson County- Jefferson County Opioid Task Force- Jefferson County Drug Education Conference Planning Committee- Member of Developing Jefferson County Homeless Coalition- Transportation Solutions Committee- HEAL Healthcare Access WorkgroupEfforts with these coalitions will continue as MHJ determined Substance Abuse to be a top health priority through the 2019-2021 CHNA cycle. 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 FY21, cash donations were given to organizations throughout the community that included:- Meals on Wheels- Kiwanis Club- Friends of St. Genevieve Hospital Memorial Hospital- Jefferson College Foundation- Pony Bird- AmeriCorps St. LouisA full description of our Community Building activities can be found at www.mercy.net/communitybenefits.
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 IS AS 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 HOSPITAL JEFFERSON THAT 100% OF ANY SHORT FALL 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:	In 2018, Mercy Hospital Jefferson (MHJ) began planning for the 2019-2021 Community Health Needs Assessments (CHNA). The hospital President led the corresponding Community Health Council in guiding the needs assessment process. The council convenes quarterly and is accountable for ensuring that community benefit activities meet mission compliance and IRS guidelines. The council consists 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 Jefferson's Community Health & Access Department serve on the Council and were primary leads of the 2019 CHNAs. The voices of the people of Jefferson County were central to the health needs assessment process. MHJ gathered community input directly through:- Surveys online and printed (for those with no computer access)- Community Focus Groups- Community Coalitions and Stakeholder MeetingsExternal sources of published data are as follows:- County Health Rankings 2018www.countyhealthrankings.org - Community Commons www.communitycommons.org - Missouri KIDS COUNThttps://mokidscount.org/missouri-kids-count-data-book-release/ - exploreMOhealth https://exploremohealth.org/ - Missouri Public Health Information Management System (MOPHIMS) - Community Data Profiles & Missouri Information for Community Assessment (MICA) - Environmental Health Public Tracking Program (EPHT)https://webapp01.dhss.mo.gov/MOPHIMS/MOPHIMSHomePrioritized Significant Community Health NeedsThe nominal group technique was used in the priority setting process. The Mercy Hospital Jefferson Council was 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 hospital along with their strategic plans were also considered. Upon review and discussion of the Primary and Secondary data gathered, the hospital's Strategic Plans, and the resources available at the hospitals and in the communities, the following priorities were selected:Mercy Hospital Jefferson: - Access to Care- Behavioral Health/Substance Abuse- Substance UseThe Community Health Council then created a Community Health Improvement Plan (CHIP) for the hospital, identifying specific initiatives related to improving each of these health priorities. The CHIP was designed with realistic, measurable, and attainable goals that align with the mission and strategy of the organizations. Mercy Hospital Jefferson also assesses 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 Jefferson serves on various boards and has partnerships throughout the community that can be seen in line 5.
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) 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:	THE PRIMARY SERVICE AREA FOR MERCY HOSPITAL JEFFERSON INCLUDES 37 ZIP CODES ACROSS MISSOURI. THE FOLLOWING INFORMATION IS DERIVED FROM THE ADVISORY BOARD DEMOGRAPHICS AND MO/HIDI ANALYTICS 2020-2021. THE AREA'S POPULATION IS 307,416. THE MEDIAN HOUSEHOLD INCOME IS $57,000. 44.1% OF THE POPULATION IS 45 AND OLDER. 88% OF THE POPULATION IS A HIGH SCHOOL GRAD OR GREATER AND THE MEDIAN AGE IS 41. 19.8% OF THE HOUSEHOLDS ARE ON MEDICARE, 15% ON MEDICAID, AND 10% UNINSURED.
Part VI, Line 5:	PROMOTION OF COMMUNITY HEALTH Mercy Hospital Jefferson's (MHJ) 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: - Jefferson County Health Department- Jefferson County Growth Association- Jefferson College Board- Jefferson Foundation Board- Participation in the DeSoto, Hillsboro, Twin City Area, and Ste. Genevieve Chambers of Commerce activities- Kiwanis Club- YMCA Board- COMTREA (Community Treatment, Inc.)- Missouri Hospital Association Board- Eastern Missouri Hospital Association Board- St. Pius Alumni Association- Festus Public Library Board- Disability Resource Council- Jefferson County Growth Association Bottleneck Bridge Ride- Jefferson County Tourism Commission Advisory Board- Get Healthy DeSoto- Jefferson- Franklin Workforce Development Board- Academic Advisor with Boys Hope Girls Hope of St. Louis- Crystal Oaks Nursing Home Board Chair- Boy Scouts of America (Troop 469)- Behavioral Health Network Adult Services Advisory BoardIn addition, MHJ actively participates in several community building coalitions that also align with the hospital's CHNA top health priorities, including:- Jefferson County Drug Prevention Coalition- Alive and Well Jefferson County- Jefferson County Opioid Task Force- Jefferson County Drug Education Conference Planning Committee- Member of Developing Jefferson County Homeless Coalition- Transportation Solutions Committee- HEAL Healthcare Access WorkgroupEfforts with these coalitions will continue as MHJ determined that Access to Care, Behavioral Health (Mental Health and Substance Abuse) to be top health priorities through the 2019-2021 CHNA cycle.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 FY21, cash donations were given to organizations throughout the community that included:- Meals on Wheels- Kiwanis Club- Friends of St. Genevieve Hospital Memorial Hospital- Jefferson College Foundation- Pony Bird- AmeriCorps St. LouisA full description of our Community Building activities can be found at www.mercy.net/communitybenefits.Open Medical StaffMedical staff privileges are extended to all qualified physicians in the community for nearly all of our departments. Mercy hospital Jefferson has exclusive contracts with physician groups for the following services: radiology, pathology, anesthesia, and emergency medicine. This means that the majority of the physicians on staff are in categories that are open to qualified physicians in the community.Community Board FY21 Mercy Health East Communities FY21 Board MembersDon Arnold, M.D.Kelly Bain, M.D.Jon Bauer, PhDCraig Boyd, MDMatuskchka Lindo-BriggsApollo CareyJanice DeniganDennis GannonKatherine Glosenger, RSMSr. Michael Mary Gutowski, RSMWendy HenryJeff JohnstonSr. Miriam Nolan, RSMSusan O'Connor, RSMJohn PorterWinthrop B. Reed, IIICharles Rehm, M.D.Kevin ShortPaul Young, M.D.Mercy Hospital Jefferson FY21 Board MembersEric Ammons Briccio Cadiz, MDSr. Judy Carron, RSMRick FrancisDr. Karthik Iyer, MDJeff JohnsonElaine GannonEric KnollDena McCafreyBill McKennaJacob Peyton, MDTracy Riordan, MDBassam Roukoz, MDUse of Surplus Funds Surplus funds and unrestricted assets held by Mercy Hospital Jefferson 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. Examples include the following:- Expansion of primary care and specialty care physicians to the Mercy Hospital Jefferson service area with a focus to reach the underserved populations closer to their homes.- New primary care clinic locations were opened in Hillsboro and Barnhart offering services to these surrounding communities in Jefferson County.- Continued partnering with area education programs to help promote the training of critically needed services for the community including schools of nursing, radiology and pharmacy.- Opened a new Intensive Outpatient Therapy center in the current year which expanded the current adult offered services to include care for adolescent patients as well.Additional Community Health Initiatives/InformationCurrently not included through the reporting of Community Benefit or Community Building activities are:In keeping with MHJ's commitment to serve all members of the community, MHJ 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.ACCESS TO CAREHEALTH LEADSHealth Leads is a social enterprise that envisions a healthcare system that addresses all patients' basic resource needs as a standard part of quality care. In the spring of 2016, Mercy Health joined the Health Leads Learning Collaborative to begin integrating the Health Leads program in order to assist patients with health-related social needs through resource referral. This program is designed for Mercy Clinic Jefferson patients and is being funded through Mercy clinics; therefore, the total community benefit of this program cannot be reported under the EIN for Mercy Hospital Jefferson.MENTAL HEALTHALIVE AND WELL COMMUNITIESAlive and Well Communities is a state-wide effort formed locally 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. As a subset of Alive and Well Communities, Alive and Well Jeff Co was created specifically to address the unique challenges that the Jefferson County community faces. Mercy Hospital Jefferson's local Community Health Leader serves on the steering committee for Alive and Well Jeff Co. Furthermore, with the support of Mercy Hospital Jefferson's leaders and the ongoing engagement of the Community Health Leader on the Alive and Well steering committee, Alive and Well Jefferson County was a recipient of the Mercy Caritas Grant for $100,900. This funding will support Alive and Well's strategic plan to foster greater resilience in the residents of Jefferson County by working to address underlying factors that cause the transgenerational cycle of trauma and toxic stress, as well as enhancing collaborative community and organizational efforts in a trauma-informed manner. 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.
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, 2021, 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, 2021, MERCY HAD MORE THAN 10.9 MILLION OUTPATIENT AND PHYSICIAN OFFICE VISITS, APPROXIMATELY 2,300 EMPLOYED PHYSICIANS, AND APPROXIMATELY 43,000 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
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 (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
MERCY HEALTH FOUNDATION JEFFERSON
14528 S OUTER 40 RD STE 100	CHESTERFIELD	MO	63017	462797051	501C3	$21,000	CHARITABLE SUPPORT
JEFFERSON FRANKLIN COMMUNITY ACTION CORPORATION
PO BOX 920	HILLSBORO	MO	63050	430827872	501C3	$6,000	CHARITABLE SUPPORT
FINDING GRACE MINISTRIES
3921 JEFFCO BLVD	ARNOLD	MO	63010	811836592	501C3	$6,000	CHARITABLE SUPPORT
MISSOURI STATE MEDICAL ASSOCIATION PHYSICIANS HEALTH FOUNDATION
1023 EXECUTIVE PARKWAY DRIVE	SAINT LOUIS	MO	63141	431572458	501C3	$5,000	CHARITABLE SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part 1, Line 2	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION USES AN APPROVAL PROCESS TO DETERMINE WHICH ORGANIZATIONS WILL RECEIVE GRANTS DURING THE FISCAL YEAR. THE FUNDS ARE THEN GIVEN DIRECTLY TO THE DEPARTMENT, AS THEY ARE EARNED. GRANTS ARE OFTEN MADE TO RELATED ORGANIZATIONS.	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 (15 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
Johnston Jeffrey A
Former Officer	$0	$787,422	$0	$1,022,053	$0	$2,469,412	$0	$109,598	$0	$12,745	$0	$4,401,230	$0	$694,154
Matejka Cheryl L
CFO & Treasurer	$0	$536,248	$0	$354,237	$0	$582,573	$0	$77,776	$0	$13,245	$0	$1,564,079	$0	$249,181
Roukoz Bassam
Physician & Board Member	$0	$1,178,077	$0	$22,754	$0	$39,810	$0	$9,800	$0	$15,991	$0	$1,266,432	$0	$0
Ammons Carl E Eric
President, Mercy Hospital Jefferson	$0	$327,379	$0	$598,773	$0	$245,152	$0	$81,667	$0	$12,295	$0	$1,265,266	$0	$447,671
Iyer Karthik
Physician & Board Member	$0	$510,561	$0	$78,762	$0	$20,221	$0	$12,600	$0	$12,469	$0	$634,613	$0	$0
Riordan MD Tracy
Physician & Board Member	$0	$455,367	$0	$14,783	$0	$20,477	$0	$26,570	$0	$16,484	$0	$533,681	$0	$0
Hannasch Susan
Former Officer	$0	$0	$0	$0	$0	$347,134	$0	$0	$0	$0	$0	$347,134	$0	$0
Eckenfels Daniel
VP Finance	$0	$247,941	$0	$12,647	$0	$22,313	$0	$12,600	$0	$15,893	$0	$311,394	$0	$0
Meyer Michele
VP Operations	$0	$228,521	$0	$12,475	$0	$26,397	$0	$12,600	$0	$15,117	$0	$295,110	$0	$0
Robbins Jill L
Registered Nurse	$0	$190,483	$0	$1,175	$0	$26,224	$0	$10,441	$0	$4,765	$0	$233,088	$0	$0
Taylor Sara
Physician Assistant	$0	$165,483	$0	$46,603	$0	$5,970	$0	$5,370	$0	$0	$0	$223,426	$0	$0
Bryson Jared
Former Key Employee	$0	$165,823	$0	$8,930	$0	$13,040	$0	$11,761	$0	$15,897	$0	$215,451	$0	$0
Kennon William D
Director - Pharmacy Services	$0	$166,048	$0	$3,194	$0	$25,521	$0	$10,834	$0	$9,391	$0	$214,988	$0	$0
Darling Amanda
Executive Director - Operations	$0	$132,153	$0	$4,835	$0	$36,645	$0	$14,015	$0	$6,147	$0	$193,795	$0	$0
Beffa Alisyn
Chief Nursing Officer	$0	$149,731	$0	$7,596	$0	$11,704	$0	$0	$0	$12,871	$0	$181,902	$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, A FORMER OFFICER WAS TAXED FOR SUCH TRAVEL. LIMITED INSTANCES OF TAX GROSS-UPS MAY HAVE OCCURRED WITH RESPECT TO EXECUTIVES.
Part I, Lines 4a-b	The following individual received severance pay: Susan Hannasch $347,134. 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: Ammons,Carl; Hannasch, Susan; Matejka,Cheryl L; Johnston, Jeff; Richmond, Jacquelynn The amount of all accrued benefits is included in compensation amounts provided in Schedule J, Part II, Column (C). THE AMOUNTS REPORTED FOR JEFF JOHNSTON, CHERYL MATEJKA, CARL AMMONS, AND JACQUELYNN RICHMOND IN COLUMN (F) ARE EITHER INCLUDED IN B(I) BASE COMPENSATION, B(II) AS BONUS AND INCENTIVE COMPENSATION, OR B(III) AS OTHER REPORTABLE COMPENSATION. THESE AMOUNTS ARE A PAYOUT OF THE 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

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	Emily Bryson	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	Family member of former key employee (Jared Bryson)	RelationshipDescriptionTxt
Transaction	$36,354	TransactionAmt
Transaction	Employment	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

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 Hospital Jefferson 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 Hospital Jefferson.
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 EAST COMMUNITIES AS THE CORPORATE MEMBER OF THE CORPORATE MEMBER): A. APPROVAL OF REVISIONS TO THE MISSION, VISION AND OPERATING VALUES PURSUANT TO WHICH THE CORPORATION OPERATES; B. APPROVAL OF ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION AND THESE BYLAWS AND ANY AMENDMENTS TO THE ORGANIZATIONAL DOCUMENTS OF ANY AFFILIATE OF THE CORPORATION; C. APPOINTMENT AND REMOVAL OF MEMBERS OF THE BOARD; D. APPROVAL OF THE APPOINTMENT AND REMOVAL OF THE PRESIDENT OF THE HOSPITAL SUBJECT TO THE CONSENT OF MERCY HEALTH EAST COMMUNITIES; E. ADOPTION OF THE STRATEGIC PLAN, GOALS, AND OBJECTIVES OF THE CORPORATION; F. ADOPTION OF THE OPERATING, CAPITAL AND ALL OTHER BUDGETS FOR THE CORPORATION; G. 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; H. 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; I. APPROVAL OF A PLAN OF MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION OR ANY AFFILIATE; J. APPROVAL OF THE LEASE, MANAGEMENT OR PURCHASE OF, OR AFFILIATION WITH, ANOTHER HOSPITAL OR HOSPITAL SYSTEM, OR HEALTH CARE FACILITY OR HEALTH CARE SYSTEM BY THE CORPORATION; AND, K. TO APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION BY THE CORPORATION. L. OVERSEE, APPROVE AND MONITOR HUMAN RESOURCE PROGRAMS, WHICH SHALL PROMORTE AN ORGANIZATIONAL ENVIRONMENT THAT: 1. PROVIDES FOR THE RECRUITMENT AND RENTION OF CO-WORKERS WHO ARE SERVICE ORIENTED, COMPASSIONATE, ENGAGED, AND WHO FIND MEANING AND PURPOSE IN WORKING IN A FAITH-BASED ORGANIZATION; 2. ENABLES PEOPLE TO RELATE TO ONE ANOTHER WITH RESPECT AND ACCEPTANCE IN A SPIRIT OF COMMUNITY; 3. PROMOTES CO-WORKER PARTIICPATION AND VOICE IN THEIR WORK LIVES; 4. GIVES CO-WORKERS A FAIR OPPORTUNITY TO DEVLEOP THEIR SKILLS AND TALENTS, AND A MEANS BY WHICH THEIR CONTRIBUTIONS ARE RECOGNIZED; 5. PROVIDES CO-WORKERS WITH THE MATERIALS AND EQUIPMENT TO PROPERLY DO THEIR WORK;AND, 6. ENSURES CO-WORKER SAFETY AND WELL-BEING.
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 MERCY HEALTH'S 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, INCLUDING THE CFO AND CEO, FOR REVIEW. ONCE REVIEWED AND APPROVED BY THE FILING ORGANIZATION'S LEADERSHIP TEAM, THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW; IT IS THEN SIGNED AND FILED WITH THE IRS.
Form 990, Part VI, Section B, line 12c	OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER DISQUALIFIED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY AND DID SO IN THE NORMAL COURSE FOR THE YEAR ENDED JUNE 30, 2021. 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 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:	Transfer FROM (TO) AFFILIATES -34,571,764. Change in net restricted assets -2,000. Other changes in net assets -43,840. ROUNDING 1.
Part XII, Line 2C	Audited Financial Statements THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN MERCY HEALTH AND SUBSIDIARIES ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 2021 (THE TAX YEAR CURRENTLY BEING REPORTED). HOWEVER, NO SEPARATE AUDIT OPINION WAS ISSUED ON THE FINANCIAL STATEMENTS OF THE FILING ORGANIZATION. THE ULTIMATE RESPONSIBILITY FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE EXTERNAL AUDITOR LIES WITH THE STEWARDSHIP COMMITTEE OF THE MERCY HEALTH BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE.
Form 990, Part XII, Line 3A and 3B	SINGLE AUDIT ACT AND 2 CFR 200 AUDIT MERCY HEALTH UNDERGOES A CONSOLIDATED 2 CFR 200 AUDIT EVERY YEAR. THIS AUDIT IS UNDERWAY FOR THE FISCAL YEAR ENDING JUNE 30, 2021 AND WILL BE COMPLETED BY SEPTEMBER 30, 2022. 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, 2021, IT WILL BE INCLUDED ON THE MERCY HEALTH CONSOLIDATED SEFA, AND THEREFORE, ALSO INCLUDED IN THE POPULATION INCLUDED IN THE AUDIT.
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.
FORM 990, SCHEDULE R, PART II	MERCY HOSPITALS EAST COMMUNITIES MERCY HOSPITALS EAST COMMUNITIES CONSISTS OF MERCY HOSPITALS EAST COMMUNITIES ST. LOUIS, EIN 43-0653493, AND MERCY HOSPITALS EAST COMMUNITIES WASHINGTON, EIN 43-1066883.
COVID-19	Early in 2020, the Mercy Health System was called to serve as the COVID-19 pandemic swept across the world. During FY 2021, it continued to be a difficult time for all healthcare providers. All Mercy facilities adjusted operations for the impacts of the pandemic which meant making changes to patient care areas and cancelling most of our outpatient procedures for periods of time. 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's total system net patient revenues were reduced during the year due to surges in the communities we serve. Mercy did receive funding from the Coronavirus Aid Relief and Economic Security Act ("CARES Act"). Mercy received CARES Act funding across various entities for the year ended June 30, 2021 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. The impact of COVID-19 was significant to our communities and coworkers as unemployment rates soared and Mercy acted quickly to provide continuous care to patients and the community. 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 (3 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 Clinic Adult Hospitalists - Jefferson LLC
14528 S Outer Forty Suite 100	Chesterfield	MO	63017	462913068	Managed care contracting	MO	$8,173,823	$0	Mercy Hospital Jefferson
Mercy Labs Jefferson LLC
14528 S Outer Forty Suite 100	Chesterfield	MO	63017	463478362	Laboratory Services	MO	$4,675,137	$0	Mercy Hospital Jefferson
Jefferson Regional Outpatient Facilities LLC
14528 S Outer Forty Suite 100	Chesterfield	MO	63017	272196402	outpatient facilities	MO	$1,597,638	$807,403	Mercy Hospital Jefferson

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (71 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
Casa de Misericordia
1000 Mier St	Laredo	TX	78040	742912461	Women's domestic violence shelter	TX	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	11-II	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	9	Mercy Health East Communities	Yes (1)
Mercy Clinic Fort Smith Comm
7301 Rogers Avenue	Fort Smith	AR	72917	261318597	Physician Clinic	AR	501c3	9	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
14528 S Outer Forty St 100	Chesterfield	MO	63017	721069468	Family counseling services	MO	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	11-II	Mercy Health	Yes (1)
Mercy Health Fort Smith Comm
7301 Rogers Avenue	Fort Smith	AR	72917	261318515	Holding Company	AR	501c3	11-II	Mercy Health	Yes (1)
Mercy Health Foundation
14528 S Outer Forty St 100	Chesterfield	MO	63017	200901499	Foundation	MO	501c3	11-II	Mercy Health	Yes (1)
Mercy Health Foundation Ada
430 N Monte Vista Street	Ada	OK	74820	463596274	Foundation	OK	501c3	11-I	Mercy Hospital Ada	Yes (1)
Mercy Health Foundation Ardmore
1011 14th Avenue NW	Ardmore	OK	73401	710962525	Foundation	OK	501c3	11-I	Mercy Hospital Ardmore	Yes (1)
Mercy Health Foundation Berryville
214 Carter Street	Berryville	AR	72616	710759301	Foundation	AR	501c3	11-I	Mercy Hospital Berryville	Yes (1)
Mercy Health Foundation Ft Scott
401 Woodland Hills Blvd	Fort Scott	KS	66701	481077073	Foundation	KS	501c3	11-III	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	11-II	Mercy Hospital Jefferson	Yes (1)
Mercy Health Foundation Joplin
100 Mercy Way	Joplin	MO	64804	270906136	Foundation	MO	501c3	11-I	Mercy Health SW MOKS Comm	Yes (1)
Mercy Health Foundation Lincoln
1000 East Cherry Street	Troy	MO	63379	811477159	Foundation	MO	501c3	11-II	Mercy Health East Communities	Yes (1)
Mercy Health Foundation NW Ark
2710 Rife Medical Ln	Rogers	AR	72858	710601687	Foundation	AR	501c3	11-III	Mercy Hospital Rogers	Yes (1)
Mercy Health Foundation of OK
4300 W Memorial Road	Oklahoma City	OK	73120	454732301	Foundation	OK	501c3	11-I	Mercy Health OK Communities	Yes (1)
Mercy Health Foundation OK City
4300 W Memorial Road	Oklahoma City	OK	73120	463184231	Foundation	OK	501c3	11-I	Mercy Health OK Communities	Yes (1)
Mercy Health Foundation Springfield
1235 E Cherokee Street	Springfield	MO	65804	320195818	Foundation	MO	501c3	11-II	Mercy Health Springfield Comm	Yes (1)
Mercy Health Foundation St Francis
100 W Highway 60	Mountain View	MO	65548	431873914	Foundation	MO	501c3	11-I	Mercy St Francis Hospital	Yes (1)
Mercy Health Foundation STL
615 South New Ballas Road	St Louis	MO	63141	562410020	Foundation	MO	501c3	11-II	Mercy Health East Communities	Yes (1)
Mercy Health Foundation Washington
901 E Fifth Street	Washington	MO	63090	562410022	Foundation	MO	501c3	11-II	Mercy Health East Communities	Yes (1)
Mercy Health NW Ark Communities
2710 Rife Medical Ln	Rogers	AR	72758	621684203	Physician Group	AR	501c3	11-II	Mercy Health	Yes (1)
Mercy Health OK Communities
4300 W Memorial Road	Oklahoma City	OK	73120	731453048	Health System	OK	501c3	11-II	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	11-II	Mercy Health	Yes (1)
Mercy Health Springfield Comm
1235 E Cherokee Street	Springfield	MO	65804	431856028	Health System	MO	501c3	11-II	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 Springfield Comm	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 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 Hospitals East Comm
645 Maryville Ctr Dr Ste 100	St Louis	MO	63141	430653493	Hospital	MO	501c3	3	Mercy Health East Communities	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	11-II	Mercy Health	Yes (1)
Mission Clinical Services
300 Werner Street	Hot Springs	AR	71913	134239691	Child Advocacy Center	AR	501c3	9	Mercy Health	Yes (1)
Mercy Health Foundation South
10010 Kennerly Road	St Louis	MO	63128	261516789	Foundation	MO	501c3	11-II	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)
St Marys Hosp Enid Ok
14528 S Outer Forty St 100	Chesterfield	MO	63017	730614655	Inactive	OK	501c3	3	Mercy Health OK Communities	Yes (1)
Unity Ambulatory Care
14528 S Outer Forty St 100	Chesterfield	MO	63017	431861745	Inactive	MO	501c3	11-III	Mercy Health East Communities	Yes (1)
Mercy Health Foundation Lebanon
100 Hospital Drive	Lebanon	MO	65536	822514567	Foundation	MO	501c3	11-II	Mercy Hospital Lebanon	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
Plaza Surgery Services Company LLC
12700 Southfork Road	St Louis	MO	63128	204709312	INactive	NM	MERCY HOSPITAL SOUTH	N/A	0	0
Mercy Ambulatory Surgery Center LLC
7301 Rogers Avenue	Fort Smith	AR	72917	710827721	Ambulatory Surgery Center	AR	Mercy Hospital Fort Smith	N/A	0	0
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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 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
Inveno Health Inc
1235 E Cherokee Street	Springfield	MO	65804	264509571	Technology transfer company	MO	MERCY HEALTH SPRINGFIELD COMM	C	0
Unity Support Services Inc
645 Maryville Centre Drive Suite 10	St Louis	MO	63141	431797042	Inactive	MO	MERCY HEALTH EAST COMMUNITIES	C	0
UH L Corp Inc
645 Maryville Centre Drive Suite 10	St Louis	MO	63141	742499535	Holding company	MO	MERCY HEALTH SERVICES LLC	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 ANTHONYS 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	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	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 (17 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Mercy Health Foundation Jefferson
B	$21,000	FMV
Mercy Health Foundation Jefferson
C	$632,409	FMV
Mercy ACO Clinical Services
Q	$3,510,141	FMV
Mercy Clinic East Communities
Q	$780	FMV
Mercy Health East Communities
Q	$13,129,800	FMV
Mercy Health Foundation Jefferson
Q	$23,256	FMV
Mercy Health Oklahoma Communities
Q	$571	FMV
Mercy Health Springfield Communities
Q	$406,794	FMV
Mercy Hospital Ardmore
P	$1,628	FMV
Mercy Hospital Aurora
P	$16	FMV
Mercy Hospital Fort Smith
Q	$10,975	FMV
Mercy Hospital Joplin
P	$685	FMV
Mercy Hospital Oklahoma City
P	$10,024	FMV
Mercy Hospital Rogers
P	$20,386	FMV
Mercy Hospital Springfield
Q	$247	FMV
Mercy Hospitals East Communities
Q	$19,536	FMV
MHM Support Services
P	$14,580,076	FMV