2022-05-13T17:02:14-05:00 2021-06-30 ERNST & YOUNG US LLP 221 E 4TH STREET STE 2900 CINCINNATI OH 45202 990 2020-07-01 431560263 MERCY CLINIC SPRINGFIELD COMMUNITIES % WILLIAM J ROBERTS MERC 3145796100 1235 E Cherokee Springfield MO 65804 CRAIG MCCOY PRESIDENT SPRG COMM 3145796100 2022-05-13 true CRAIG MCCOY 999009999 JULIE L SPARKS P01268401 5136121400 2022-05-11 3 2020 2022-09-23 18:48:47Z Craig McCoy 1965 S Fremont Ave Springfield MO 65804 290486116 false 0928 X www.mercy.net X 1999 MO AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. 12 0 719 1 0 0 7406 33232 280406617 290323638 543531 117124 9931 12122 280967485 290486116 260 0 0 0 294952886 281868853 0 0 0 117454120 115463765 412407266 397332618 -131439781 -106846502 37444929 40041965 18039083 18047383 19405846 21994582 X AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. false false 59172046 0 45977184 MERCY CLINIC SPRINGFIELD COMMUNITIES PROVIDES HIGH-QUALITY, COMPASSIONATE, FAITH-BASED HEALTH CARE IN A VARIETY OF TRADITIONAL MEDICAL SETTINGS. THIS ORGANIZATION PROVIDES SERVICES TO THE COMMUNITIES WE SERVE, WITH PARTICULAR CONCERN FOR THE ECONOMICALLY POOR. MERCY CLINICS PROVIDED OVER 1 MILLION PATIENT VISITS IN FY21. THE FAMILY MEDICINE PROVIDES CARE FOR A VARIETY OF GENERAL HEALTH CARE ISSUES. 53781688 0 38345806 MERCY CLINIC SPRINGFIELD COMMUNITIES PROVIDES HIGH-QUALITY, COMPASSIONATE, FAITH-BASED HEALTH CARE IN A VARIETY OF TRADITIONAL MEDICAL SETTINGS. THIS ORGANIZATION PROVIDES SERVICES TO THE COMMUNITIES WE SERVE, WITH PARTICULAR CONCERN FOR THE ECONOMICALLY POOR. MERCY CLINICS PROVIDED OVER 1 MILLION PATIENT VISITS IN FY21. THE SURGERY CENTERS PROVIDE A VARIETY OF INPATIENT AND OUTPATIENT SURGICAL PROCEDURES. 34402983 0 27279407 MERCY HEALTH SPRINGFIELD COMMUNITIES AND ITS SUBSIDIARIES PROVIDE HIGH-QUALITY, COMPASSIONATE, FAITH-BASED HEALTH CARE IN A VARIETY OF TRADITIONAL MEDICAL SETTINGS. THIS ORGANIZATION PROVIDES SERVICES TO THE COMMUNITIES WE SERVE, WITH PARTICULAR CONCERN FOR THE ECONOMICALLY POOR. MERCY CLINICS PROVIDED OVER 1 MILLION PATIENT VISITS IN FY21. THE ORTHOPEDIC GROUPS PROVIDE CARE FOR A VARIETY OF MUSCULOSKELETAL SYSTEM ISSUES. 229118858 0 178723350 376475575 true true false false false false false false false false true false false false true false false true false false false false false false false false false false false true false false false false false false true false false false false false true true true true false false true X 0 0 719 true false false false false false false false false false false false false X 12 0 false false false false true true true true true false false false true true true true true false false false X WILLIAM J ROBERTS 4178203666 1235 E CHEROKEE Springfield MO 65804 X Swope Jon Former Officer 0.0 0.0 X 0 8438629 153221 Scarrow MD Alan Former Officer 0.0 0.0 X 2388267 0 35581 Carver Adam A Physician 50.0 0.0 X 1469435 0 28591 Lee MD Sunghoon Physician 50.0 0.0 X 1423216 0 38545 Katz Barry Physician 50.0 0.0 X 0 1357692 22545 Coger Brenton R Physician 50.0 0.0 X 1304349 0 25748 Rocha Bernardino Physician 50.0 0.0 X 1284453 0 25535 Wyrsch MD Robert B President 30.0 30.0 X 1205469 0 46341 Reynolds Scott Former Officer 0.0 0.0 X 0 948096 97853 Cochran MD David Physician VP 40.0 0.0 X 947456 0 45129 Snider DO Jessica Physician & Board Member 50.0 0.0 X 896105 0 28519 McCoy Craig President - Springfield Comm 1.0 54.0 X 0 819408 49299 Khoshyomn MD Sami Physician VP 40.0 0.0 X 765554 0 31199 VanEss DO Mark Physician & Board Member 1.0 44.0 X 680056 0 25328 Marion Tanya Regional VP - Human Resources 1.0 50.0 X 0 623563 61668 Ledger MD Gregory Physician VP 49.0 1.0 X 573108 0 51209 Burson MD John Physician VP 40.0 0.0 X 555021 0 40980 Barbe MD David O Physician 45.0 5.0 X 531222 0 61228 Pinheiro A Daniel Physician & Board Member 50.0 0.0 X 550364 0 32758 Allam MD Bala Physician & Board Member 50.0 0.0 X 550190 0 28646 Neely MD Brian Former Key Employee 0.0 0.0 X 522220 0 22091 Griesemer Mark V Physician 55.0 0.0 X 509282 0 29209 Tompkins DO Dustin Physician & Board Member 40.0 0.0 X 495623 0 28833 McNay MD Jennifer Physician VP 10.0 40.0 X 0 459060 42819 Zhu Lirong Physician & Board Member 50.0 0.0 X 468125 0 19418 Whitesell MD Angie Physician & Board Member 50.0 0.0 X 387010 0 25620 Dent Ronald L Former Key Employee 0.0 0.0 X 0 368221 34542 Andrews MD Elizabeth Physician & Board Member 50.0 0.0 X 336130 0 57392 Stutzman Ted VP Ops - Cardiology Thru 7/17 0.0 0.0 X 0 326302 21827 Hannasch Susan Former Officer 0.0 0.0 X 0 347134 0 Vincent Jenine Former Key Employee 0.0 0.0 X 0 291331 11648 Hopkins MD John Jack Physician & Board Member 50.0 0.0 X 259051 0 36677 Earnest Linda L Former Key Employee 0.0 0.0 X 0 270665 21105 Barnett MD W Mark Physician & Board Member 50.0 0.0 X 267683 0 18673 Eckhardt Christie VP/Ast Gen Counsel 1.0 57.0 X 0 252665 13125 Hover MD Alexander R Former Key Employee 0.0 0.0 X 193980 0 56952 Carlson Aaron VP-Operations 40.0 0.0 X 0 217217 20425 Whitten Adam VP, Operational Excellence 40.0 0.0 X 0 198690 23873 Gooch Amanda VP-Operations 40.0 0.0 X 0 184488 22270 St Clair Traci Physician Asst & Board Member 45.0 0.0 X 0 143796 17588 17119515 12646448 1072293 628 true true false COMPHEALTH MEDICAL STAFFING 7529 BINGHAM JUNCTION BLVD MIDVALE UT 84047 LOCUMS PROVIDER 1199246 AMN Healthcare Inc 8840 Cypress Waters Blvd Ste 300 COPPELL TX 75019 CONTRACT AGENCY 661341 WEATHERBY LOCUMS INC 6451 N Federal Hwy Ste 700 FORT LAUDERDALE FL 33308 LOCUMS PROVIDER 518881 Snyder Construction Co 4820 N Town Centre Dr OZARK MO 65721 Construction SVCS 372360 CARDIOVASCULAR THORACIC SOLUTIONS 1349 E 600 Road INOLA OK 74036 LOCUMS PROVIDER 303272 8 X 33232 33232 NET PATIENT SERVICE REVENUE 621110 281912829 281912829 OTHER OPERATING REVENUE 900099 7382705 7382705 CAPITATION BONUS 531120 1028104 1028104 290323638 117124 117124 0 0 10013 10013 0 10013 10013 0 0 0 0 0 0 0 0 0 0 ALL OTHER REVENUE 900099 2109 2109 2109 290486116 290325747 127137 X 0 0 0 0 10831819 10802493 29326 471263 469987 1276 239179258 238531703 647555 4154749 4048397 106352 15980140 15580384 399756 11251624 10968701 282923 0 0 0 0 0 0 1856402 1851579 4823 204704 204704 3964587 3962032 2555 0 0 22209931 22154858 55073 233380 233380 0 0 285 285 0 2251020 1848603 402417 7755344 7755344 DRUGS & MEDICAL EXPENSES 37795802 37795802 SHARED SERVICE FEES 30039663 11114676 18924987 BAD DEBT 7775609 7775609 REPAIRS & MAINTENANCE 826112 826112 550926 550926 397332618 376475575 20857043 0 72250 91072 0 0 0 0 21183728 24016397 0 0 0 0 0 0 1055121 1208867 9438 9438 57868290 43152099 15124392 14716191 0 0 0 0 0 0 0 0 0 0 37444929 40041965 10556841 17998055 0 0 0 0 0 0 0 0 0 0 0 34193 0 0 7482242 15135 18039083 18047383 X 19405846 21994582 0 0 19405846 21994582 37444929 40041965 X -106846502 109435238 X X false true X true true true X SCHEDULE A, PART I, LINE 3 THE FILING ENTITY'S PUBLIC CHARITY STATUS IS A HOSPITAL; HOWEVER, THE FILING ENTITY DOES NOT HAVE A LICENSE OR OPERATE A HOSPITAL FACILITY FOR SCHEDULE H REPORTING PURPOSES. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4116298 4116298 17126032 15416559 1709473 449043 187393 261650 35500104 27013791 8486313 676813 534356 142457 14716191 0 MISCELLANEOUS LIABILITIES 15135 15135 FORM 990, SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE PRIMARILY ALL OF THE HEALTH SYSTEM ENTITIES ARE RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS CHARITABLE ORGANIZATIONS QUALIFYING UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), BY VIRTUE OF IRS DETERMINATION LETTERS OR INCLUSION IN THE OFFICIAL CATHOLIC DIRECTORY. THE HEALTH SYSTEM COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED ON THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2021 OR 2020. true true false false false false false false false Swope Jon Former Officer 0 394020 0 2376256 0 5668353 0 144559 0 8662 0 8591850 0 5727225 Scarrow MD Alan Former Officer 1097336 0 6029 0 1284902 0 22836 0 12745 0 2423848 0 0 0 Carver Adam A Physician 1372682 0 0 0 96753 0 12600 0 15991 0 1498026 0 0 0 Lee MD Sunghoon Physician 1353204 0 23270 0 46742 0 22626 0 15919 0 1461761 0 0 0 Katz Barry Physician 0 1299356 0 11569 0 46767 0 9800 0 12745 0 1380237 0 0 Coger Brenton R Physician 1247417 0 17122 0 39810 0 15969 0 9779 0 1330097 0 0 0 Rocha Bernardino Physician 1244972 0 0 0 39481 0 9800 0 15735 0 1309988 0 0 0 Wyrsch MD Robert B President 1129675 0 28026 0 47768 0 30603 0 15738 0 1251810 0 0 0 Reynolds Scott Former Officer 0 155479 0 359912 0 432705 0 92903 0 4950 0 1045949 0 284503 Cochran MD David Physician VP 889150 0 9528 0 48778 0 39929 0 5200 0 992585 0 0 0 Snider DO Jessica Physician & Board Member 814563 0 16502 0 65040 0 12600 0 15919 0 924624 0 0 0 McCoy Craig President - Springfield Comm 0 613793 0 61879 0 143736 0 34185 0 15114 0 868707 0 0 Khoshyomn MD Sami Physician VP 708280 0 14223 0 43051 0 18526 0 12673 0 796753 0 0 0 VanEss DO Mark Physician & Board Member 641601 0 12396 0 26059 0 12600 0 12728 0 705384 0 0 0 Marion Tanya Regional VP - Human Resources 0 277995 0 195306 0 150262 0 49098 0 12570 0 685231 0 140147 Ledger MD Gregory Physician VP 529451 0 16314 0 27343 0 38216 0 12993 0 624317 0 0 0 Burson MD John Physician VP 492752 0 15632 0 46637 0 28235 0 12745 0 596001 0 0 0 Barbe MD David O Physician 416766 0 62225 0 52231 0 49314 0 11914 0 592450 0 23266 0 Pinheiro A Daniel Physician & Board Member 493092 0 10500 0 46772 0 22626 0 10132 0 583122 0 0 0 Allam MD Bala Physician & Board Member 522696 0 4546 0 22948 0 12924 0 15722 0 578836 0 0 0 Neely MD Brian Former Key Employee 513048 0 8471 0 701 0 5600 0 16491 0 544311 0 0 0 Griesemer Mark V Physician 469747 0 0 0 39535 0 12993 0 16216 0 538491 0 0 0 Tompkins DO Dustin Physician & Board Member 460560 0 9110 0 25953 0 12600 0 16233 0 524456 0 0 0 McNay MD Jennifer Physician VP 0 322888 0 31548 0 104624 0 32796 0 10023 0 501879 0 0 Zhu Lirong Physician & Board Member 424100 0 4550 0 39475 0 12600 0 6818 0 487543 0 0 0 Whitesell MD Angie Physician & Board Member 359929 0 7239 0 19842 0 16209 0 9411 0 412630 0 0 0 Dent Ronald L Former Key Employee 0 1094 0 0 0 367127 0 34542 0 0 0 402763 0 0 Andrews MD Elizabeth Physician & Board Member 288480 0 6601 0 41049 0 48218 0 9174 0 393522 0 0 0 Stutzman Ted VP Ops - Cardiology Thru 7/17 0 296015 0 14003 0 16284 0 5815 0 16012 0 348129 0 0 Hannasch Susan Former Officer 0 0 0 0 0 347134 0 0 0 0 0 347134 0 0 Vincent Jenine Former Key Employee 0 88594 0 9847 0 192890 0 7649 0 3999 0 302979 0 0 Hopkins MD John Jack Physician & Board Member 227393 0 5510 0 26148 0 29012 0 7665 0 295728 0 0 0 Earnest Linda L Former Key Employee 0 83855 0 9906 0 176904 0 17231 0 3874 0 291770 0 0 Barnett MD W Mark Physician & Board Member 231122 0 5480 0 31081 0 12591 0 6082 0 286356 0 0 0 Eckhardt Christie VP/Ast Gen Counsel 0 232443 0 12107 0 8115 0 6935 0 6190 0 265790 0 0 Hover MD Alexander R Former Key Employee 181684 0 0 0 12296 0 49198 0 7754 0 250932 0 0 0 Carlson Aaron VP-Operations 0 205175 0 10402 0 1640 0 5343 0 15082 0 237642 0 0 Whitten Adam VP, Operational Excellence 0 171232 0 9197 0 18261 0 8506 0 15367 0 222563 0 0 Gooch Amanda VP-Operations 0 164868 0 8666 0 10954 0 12902 0 9368 0 206758 0 0 St Clair Traci Physician Asst & Board Member 0 116310 0 12668 0 14818 0 8599 0 8989 0 161384 0 0 FORM 990, SCHEDULE J, PART I, QUESTION 3 MERCY CLINIC SPRINGFIELD COMMUNITIES RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTIONS 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS. FORM 990, SCHEDULE J, PART I, QUESTION 4A THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT AS NOTED: JON SWOPE - $385,280 SCOTT REYNOLDS - $275,218 SUSAN HANNASCH - $347,134 RONALD DENT - $274,779 JENINE VINCENT - $131,403 LINDA EARNEST - $135,764 FORM 990, SCHEDULE J, PART I, QUESTION 4B MERCY HEALTH OFFERS SUPPLEMENTAL RETIREMENT PLANS 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 PLANS ARE CLOSED TO NEW ENTRANTS AND THE PLAN TERMINATED EFFECTIVE AS OF 11/1/2020. THE INDIVIDUALS REPORTABLE ON THIS RETURN WHO PARTICIPATE IN THE SUPPLEMENTAL RETIREMENT PLANS INCLUDE: TANYA MARION, JON SWOPE, SCOTT REYNOLDS, DAVID BARBE, RONALD DENT, SUSAN HANNASCH, CRAIG MCCOY, JENNIFER MCNAY, ALAN SCARROW AND TED STUTZMAN. THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C). THE FOLLOWING INDIVIDUAL RECEIVED PAYOUTS FROM THE PLAN DURING THE YEAR: -JON SWOPE - $5,144,518 FORM 990, SCHEDULE J, PART II THE AMOUNTS REPORTED FOR JON SWOPE, SCOTT REYNOLDS, TANYA MARION AND DAVID BARBE 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. Meera Scarrow FAMILY MEMBER OF FORMER OFFICER 972311 Employment false Nathaniel Barbe Family member of key employee 185192 Employment false Cindy Hoovens Family member of key employee 31335 Employment false FORM 990, PART III, LINE 4D MERCY CLINIC SPRINGFIELD COMMUNITIES PROVIDES HIGH-QUALITY, COMPASSIONATE, FAITH-BASED HEALTH CARE IN A VARIETY OF TRADITIONAL MEDICAL SETTINGS THIS ORGANIZATION PROVIDES SERVICES TO THE COMMUNITIES WE SERVE, WITH PARTICULAR CONCERN FOR THE ECONOMICALLY POOR, IN THE WAY OF INPATIENT HOSPITAL SERVICES, OUTPATIENT SERVICES, HOME HEALTH SERVICES, AND PHYSICIAN CLINIC OFFICE VISITS. MERCY CLINICS PROVIDED OVER 1 MILLION PATIENT VISITS IN FY21. FORM 990, PART V, QUESTION 1A FORM 1099/1096 FILING VENDORS FOR THE FILING ORGANIZATION ARE PAID BY MERCY HEALTH (EIN 43-1423050). AS SUCH, ALL REQUIRED FORM 1099 AND FORM 1096 REPORTING IS MADE FOR THE ENTIRE MERCY HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN. FORM 990, PART V, QUESTION 2A W-3 FILING MOST EMPLOYEES ARE PAID BY A RELATED ORGANIZATION UNDER A COMMON PAYMASTER ARRANGEMENT. AS SUCH, REQUIRED PAYROLL FILING (INCLUDING W-2 AND W-3S) WAS REPORTED UNDER THE RELATED ORGANIZATION, MHM SUPPORT SERVICES, EIN 20-2553101. FORM 990, PART VI, LINE 6A, LINE 7A, 7B CLASSES OF MEMBERS OR STOCKHOLDERS THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH SPRINGFIELD COMMUNITIES. THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED SOLELY TO THE CORPORATE MEMBER: -TO APPROVE AND ESTABLISH THE MISSION AND PHILOSOPHY ACCORDING TO WHICH THE CORPORATION AND ALL ORGANIZATIONS CONTROLLED BY THE CORPORATION SHALL OPERATE; -TO ADOPT OR AMEND THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION IN ACCORDANCE WITH ARTICLE X OF THESE BYLAWS; -TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS OF THE CORPORATION; -TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; -TO APPROVE OR AMEND THE OVERALL STRATEGIC GOALS AND OBJECTIVES OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; -TO APPROVE OR AMEND THE CONSOLIDATED OPERATING, CAPITAL, AND CONSTRUCTION BUDGETS (INCLUDING AGGREGATE PHYSICIAN COMPENSATION MODELS) FOR THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION AND CHANGES IN BUDGETS IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE CORPORATE MEMBER; -TO AUTHORIZE AND APPROVE THE LEASE OR SALE OF ANY OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION IN EXCESS OF ANY AMOUNT ESTABLISHED FROM TIME TO TIME BY MERCY; -TO ENCUMBER ANY OR ALL OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; -TO AUTHORIZE AND APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTE ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; -TO MERGE, DISSOLVE, OR ABANDON THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION, SUBJECT TO APPROVAL BY THE BOARD AS REQUIRED PURSUANT TO CHAPTER 355 OF THE REVISED STATUTES OF MISSOURI FOR NONPROFIT CORPORATIONS; AND, -TO APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION CONTROLLED BY THE CORPORATION. FORM 990, PART VI, QUESTION 11B DSCR OF PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM USING INFORMATION PROVIDED BY THE FILING ORGANIZATION. A DRAFT FORM 990 IS REVIEWED BY THE FILING ORGANIZATION'S FINANCE TEAM, INCLUDING THE DIRECTOR OF FINANCE AND THE VICE-PRESIDENT OF FINANCE. THE DRAFT FORM 990 IS ALSO REVIEWED BY MERCY HEALTH'S TAX DEPARTMENT, TO ENSURE ACCURACY AND CONSISTENCY WITH OTHER RELATED ORGANIZATIONS' FORMS 990. AFTER QUESTIONS ARISING FROM THE VARIOUS REVIEWS ARE ADDRESSED AND INCORPORATED INTO THE FORM 990, A REVISED DRAFT IS MADE AVAILABLE TO THE FILING ORGANIZATION'S LEADERSHIP TEAM FOR THEIR REVIEW. THE FORM 990 IS THEN SIGNED AND FILED WITH THE IRS. FORM 990, PART VI, QUESTION 12C DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER DISQUALIFIED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY AND DID SO IN THE NORMAL COURSE FOR THE YEAR ENDED JUNE 30, 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, QUESTIONS 15A & 15B FOR THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS), THE ORGANIZATION RELIES UPON MERCY HEALTH, WHICH USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT, AND REVIEW/APPROVAL OF COMPENSATION BY THE COMPENSATION COMMITTEE OF THE BOARD OF MERCY HEALTH. FOR THOSE CLASSIFIED AS KEY EMPLOYEES, THE ORGANIZATION RELIES UPON MERCY HEALTH, WHICH USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, AND REVIEW/APPROVAL OF EXECUTIVE MANAGEMENT. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS AND A REVIEW WAS COMPLETED DURING THE REPORTING YEAR. FORM 990, PART VI, QUESTION 19 AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMT TO GEN PUBLIC GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST BUT ARE NOT PUBLISHED PUBLICLY. FORM 990, PART VII, SECTION A FORMER EMPLOYEE COMPENSATION IS REPORTED FOR THE CALENDAR YEAR ENDING WITHIN THE ORGANIZATION'S FISCAL YEAR WHILE AVERAGE HOURS ARE BASED ON THE FISCAL YEAR PERIOD FROM JULY 1, 2020 THROUGH JUNE 30, 2021. FORM 990, PART VIII IMPACT OF COVID-19 PANDEMIC EARLY IN 2020, THE MERCY HEALTH SYSTEM WAS CALLED TO SERVE AS THE COVID-19 PANDEMIC SWEPT ACROSS THE WORLD. DURING FY 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. FORM 990, PART IX Community Benefit Mercy Clinic Springfield Communities provides financial assistance to patients in the form of charity care and the unpaid costs of Medicaid. This assistance is based on the financial assistance policy in place at hospitals in the health system. During FY21, Mercy Clinic Springfield Communities reported approximately $8.8 million of charity care and $15.4 million of unpaid costs of Medicaid which were a benefit to the patients served in its community. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS NET TRANSFERS (TO)/FROM AFFILIATES $ 109,435,238 FORM 990, PART XII, QUESTION 2C AUDIT OF FINANCIAL STATEMENTS THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN MERCY HEALTH AND SUBSIDIARIES ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 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, QUESTION 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. MERCY ACO LLC 15740 SOUTH OUTER FORTY CHESTERFIELD MO 63017 455410212 ACO MO 0 0 MH SF CLINIC Casa de Misericordia 1000 Mier St Laredo TX 78040 742912461 SHELTER TX 501c3 7 MM LAREDO true McAuley Portfolio Management Company 14528 S Outer Forty Suite 100 Chesterfield MO 63017 261708048 PORT MGMT MO 501c3 12b Mercy Health true Mercy ACO Clinical Services Inc 14528 S Outer Forty Suite 100 Chesterfield MO 63017 464504901 VIRTUAL CARE MO 501c3 3 Mercy Health true Mercy Clinic East Communities 645 MARYVILLE CTR STE 100 St Louis MO 63141 431771217 PHYS GROUP MO 501c3 10 MH EAST COMM true Mercy Clinic Fort Smith Communities 7301 Rogers Avenue Fort Smith AR 72903 261318597 PHYS CLINIC AR 501c3 3 MH FS COMM true Mercy Clinic Oklahoma Communities Inc 4300 W Memorial Road Oklahoma City OK 73120 270473057 PHYS GROUP OK 501c3 3 MH OK COMM true Mercy Family Center 14528 S Outer Forty Suite 100 Chesterfield LA 63017 721069468 COUNSELING LA 501c3 7 Mercy Health true Mercy Health 14528 S Outer Forty Suite 100 Chesterfield MO 63017 431423050 CORP OFFICE MO 501c3 1 NA false Mercy Health East Communities 14528 S Outer Forty Suite 100 Chesterfield MO 63017 431718408 HLTH SYSTEM MO 501c3 12a Mercy Health true Mercy Health Fort Smith Communities 7301 Rogers Avenue Fort Smith AR 72917 261318515 HOLDING CO AR 501c3 12b Mercy Health true Mercy Health Foundation 14528 S Outer Forty Suite 100 Chesterfield MO 63017 200901499 Foundation MO 501c3 12b Mercy Health true Mercy Health Foundation Ada 430 N Monte Vista Street Ada OK 74820 463596274 Foundation OK 501c3 12a MH ADA INC true Mercy Health Foundation Ardmore 1011 14th Avenue NW Ardmore OK 73401 710962525 Foundation OK 501c3 12a MH ARDMORE true Mercy Health Foundation Berryville 214 Carter Street Berryville AR 72616 710759301 Foundation AR 501c3 12a MH BERRYVILL true Mercy Health Foundation Fort Scott 401 Woodland Hills Blvd Fort Scott KS 66701 481077073 Foundation KS 501c3 7 M KS COMM true Mercy Health Foundation Fort Smith 7301 Rogers Avenue Fort Smith AR 72917 237330425 Foundation AR 501c3 7 MH FS COMM true Mercy Health Foundation Jefferson 1400 US Highway 61 South Festus MO 63028 462797051 Foundation MO 501c3 12b MH JEFFERSON true Mercy Health Foundation Joplin 100 Mercy Way Joplin MO 64804 270906136 Foundation MO 501c3 7 MH SW MOKS true Mercy Health Foundation Lebanon 100 Hospital Drive Lebanon MO 65536 822514567 Foundation MO 501c3 12b MH LEBANON true Mercy Health Foundation Lincoln 1000 East Cherry Street Troy MO 63379 811477159 Foundation MO 501c3 12b MH EAST COMM true Mercy Health Foundation NW Arkansas 2710 Rife Medical Lane Rogers AR 72758 710601687 Foundation AR 501c3 7 MH ROGERS true Mercy Health Foundation of Oklahoma 4300 W Memorial Road Oklahoma City OK 73120 454732301 Foundation OK 501c3 12a MH OK COMM true Mercy Health Foundation Oklahoma City 4300 W Memorial Road Oklahoma City OK 73120 463184231 Foundation OK 501c3 12a MH OK CITY true Mercy Health Foundation Springfield 1235 E Cherokee Street Springfield MO 65804 320195818 Foundation MO 501c3 12b MH SF COMM true Mercy Health Foundation St Francis 100 W Highway 60 Mountain View MO 65548 431873914 Foundation MO 501c3 12a M ST FRANCIS true Mercy Health Foundation St Louis 14528 S Outer Forty Suite 100 Chesterfield MO 63017 562410020 Foundation MO 501c3 12b MH EAST COMM true Mercy Health Foundation Washington 901 E Fifth Street Washington MO 63090 562410022 Foundation MO 501c3 12b MH EAST COMM true Mercy Health NW Arkansas Communities 2710 Rife Medical Lane Rogers AR 72758 621684203 PHYS GROUP AR 501c3 10 Mercy Health true Mercy Health Oklahoma Communities Inc 4300 W Memorial Road Oklahoma City OK 73120 731453048 HLTH SYSTEM OK 501c3 12a Mercy Health true Mercy Health Plans of Missouri Inc 3265 S National Avenue Springfield MO 65807 320481419 HMO MO 501c4 N/A Mercy Health true Mercy Health Plans Inc 3265 S National Avenue Springfield MO 65807 320486150 PPO MO 501c4 N/A MH PLANS MO true MERCY HEALTH SW MOKS COMMUNITIES 100 Mercy Way Joplin MO 64804 300584463 HLTH SYSTEM MO 501c3 12b Mercy Health true Mercy Health Springfield Communities 1235 E Cherokee Street Springfield MO 65804 431856028 HLTH SYSTEM MO 501c3 12b Mercy Health true Mercy Hospital Ada Inc 430 N Monte Vista Street Ada OK 74820 462288155 Hospital OK 501c3 3 MH OK COMM true Mercy Hospital Ardmore Inc 1011 14th Avenue NW Ardmore OK 73401 731500629 Hospital OK 501c3 3 MH OK COMM true Mercy Hospital Aurora 500 Porter Avenue Aurora MO 65605 431936696 Hospital MO 501c3 3 MH SF COMM true Mercy Hospital Berryville 214 Carter Street Berryville AR 72616 710759299 Hospital AR 501c3 3 MH NW AK COM true Mercy Hospital Booneville 880 West Main Street Booneville AR 72927 463851119 Hospital AR 501c3 3 MH FT SMITH true Mercy Hospital Carthage 3125 Dr Russell Smith Way Carthage MO 64836 453808607 Hospital MO 501c3 3 MH SW MOKS true Mercy Hospital Cassville 94 Main Street Cassville MO 65625 431936699 Hospital MO 501c3 3 MH SF COMM true Mercy Hospital Columbus 220 Pennsylvania Avenue Columbus KS 66725 270842031 Hospital KS 501c3 3 MH SW MOKS true Mercy Hospital El Reno Inc 2115 Parkview Drive El Reno OK 73036 272716065 Hospital OK 501c3 3 MH OK CITY true Mercy Hospital Fort Smith 7301 Rogers Avenue Fort Smith AR 72903 710240352 Hospital AR 501c3 3 MH FS COMM true Mercy Hospital Healdton Inc 3462 Hospital Rd Healdton OK 73438 263173902 Hospital OK 501c3 3 MH ARDMORE true Mercy Hospital Jefferson 1400 Highway 61 South Festus MO 63028 430687077 Hospital MO 501c3 3 MH EAST COMM true Mercy Hospital Joplin 100 Mercy Way Joplin MO 64804 270814858 Hospital MO 501c3 3 MH SW MOKS true Mercy Hospital Kingfisher Inc 1000 KINGFISHER REG HOSP Kingfisher OK 73750 463433074 Hospital OK 501c3 3 MH OK CITY true Mercy Hospital Lebanon 100 Hospital Drive Lebanon MO 65536 431767432 Hospital MO 501c3 3 MH FS COMM true Mercy Hospital Lincoln 1000 East Cherry Street Troy MO 63379 472219204 Hospital MO 501c3 3 MH EAST COMM true Mercy Hospital Logan County Inc 200 South Academy Guthrie OK 73044 452998842 Hospital OK 501c3 3 MH OK CITY true Mercy Hospital Oklahoma City Inc 4300 W Memorial Road Oklahoma City OK 73120 730579285 Hospital OK 501c3 3 MH OK COMM true Mercy Hospital Ozark 801 W River Street Ozark AR 72949 710689680 Hospital AR 501c3 3 MH FT SMITH true Mercy Hospital Paris 500 E Academy Paris AR 72855 710655753 Hospital AR 501c3 3 MH FT SMITH true Mercy Hospital Rogers 2710 Rife Medical Lane Rogers AR 72758 710294390 Hospital AR 501c3 3 MH NW AK COM true Mercy Hospital Springfield 1235 E Cherokee Street Springfield MO 65804 440552485 Hospital MO 501c3 3 MH SF COMM true Mercy Hospital Tishomingo Inc 1000 South Byrd Tishomingo OK 73460 274433830 Hospital OK 501c3 3 MH ADA INC true Mercy Hospital Waldron 1341 W 6th Street Waldron AR 72958 710557895 Hospital AR 501c3 3 MH FT SMITH true Mercy Hospital Watonga Inc 500 Clarence Nash Blvd Watonga OK 73772 455199762 Hospital OK 501c3 3 MH OK CITY true MERCY HOSPITALS EAST COMMUNITIES 615 S New Ballas Road St Louis MO 63141 430653493 Hospital MO 501c3 3 MH EAST COMM true MERCY KANSAS COMMUNITIES INC 401 Woodland Hills Blvd Ft Scott KS 66701 480956045 Hospital KS 501c3 3 MH SW MOKS true Mercy Ministries of Laredo 2500 Zacatecas Laredo TX 78046 200198462 Outreach TX 501c3 7 Mercy Health true Mercy Research 524 North Booneville Avenue Springfield MO 65802 870796305 Research MO 501c3 4 Mercy Health true Mercy St Francis Hospital 100 W Highway 60 Mountain View MO 65548 440607149 Hospital MO 501c3 3 MH FS COMM true MHM Support Services 14528 S Outer Forty Suite 100 Chesterfield MO 63017 202553101 CTRL SYS FUNC MO 501c3 12a Mercy Health true Mission Clinical Services 300 Werner Street Hot Springs AR 71913 134239691 CHILD ADVOC AR 501c3 3 Mercy Health true Mercy Health Foundation South 10010 Kennerly Road St Louis MO 63128 261516789 Fundraising MO 501c3 12a MH SOUTH true Mercy Hospital South 10010 Kennerly Road St Louis MO 63128 430980256 Hospital MO 501c3 3 MH EAST COMM true St Anthony's Physician Organization 10010 Kennerly Road St Louis MO 63128 431784536 Health care MO 501c3 3 MH SOUTH true St Mary's Hospital of Enid Oklahoma Inc 14528 S Outer Forty Suite 100 Chesterfield MO 63017 730614655 Inactive OK 501c3 3 MH OK COMM true Unity Ambulatory Care 14528 S Outer Forty Suite 100 Chesterfield MO 63017 431861745 Inactive MO 501c3 12c MH EAST COMM true MERCY SPECIALTY HOSPITAL SE KS 14528 S OUTER FORTY SUITE 100 CHESTERFIELD MO 63017 843730625 Hospital KS 501c3 3 MH SW MOKS true FORT SMITH EMS 1701 S Greenwood FT SMITH AR 72901 710416615 EMERGENCY MEDICAL AR NA PLAZA SURG SVCS CO 12700 SOUTHFORK RD St Louis MO 63128 204709312 Inactive MO NA ST ED MER MED MOB 7301 ROGERS FT SMITH AR 72903 710554050 Office Building AR NA MERCY AMBU SURG CTR 7301 ROGERS FT SMITH AR 72903 710827721 Ambul Surg Ct AR NA PLATINUM CPS HLDNGS 14528 S OUTER 40 Chesterfield MO 63017 842493007 Holding Company MO NA Frontenac Properties Inc 14528 S Outer Forty Suite 100 Chesterfield MO 63017 521914421 HOLDING CO DE NA C-CORP Inveno Health Inc 1235 E Cherokee Street Springfield MO 65804 264509571 Product Commerce MO NA C-CORP Mercy Commercial Services Inc 14528 South Outer Forty Suite 100 Chesterfield MO 63017 464953543 PARENT OF VCC MO NA C-CORP Mercy Health Center Condominium Inc 4300 W Memorial Rd Oklahoma City OK 73120 680640970 Real estate OK NA C-CORP Mercy Managed Care Corporation 14528 S Outer Forty Suite 100 Chesterfield MO 63017 731441665 Holding co OK NA C-CORP UHL Corp Inc 645 Maryville Centre Drive Suite 1 St Louis MO 63141 742499535 Holding co MO NA C-CORP Unity Support Services Inc 645 Maryville Centre Drive Suite 1 St Louis MO 63141 431797042 Inactive MO NA C-CORP ST ANTHONY'S PHYSICIAN ORG OF ILLINOIS 10010 Kennerly Road St Louis MO 63128 320457168 Health Care MO NA C-CORP McAuley Insurance Company Ltd Aon House 30 Woodbourne Avenue PEMBROKE BD HM 08 000000000 INACTIVE BD NA C-CORP false false true false false false false false false false false false false false false true true false false MHM Support Services P 565814694 FMV Mercy Health Springfield Communities P 26421780 FMV Mercy Health NW Arkansas Communities P 1446326 FMV Mercy Hospital Oklahoma City P 987395 FMV Mercy Kansas Communities Q 674138 FMV Mercy Hospital Springfield Q 536551 FMV Mercy Hospital Berryville Q 456689 FMV Mercy Health East Communities Q 234958 FMV Mercy Hospital Joplin Q 186198 FMV Mercy Clinic Fort Smith Communities P 71604 FMV FORM 990, SCHEDULE R, PART II MERCY HOSPITALS EAST COMMUNITIES MERCY HOSPITALS EAST COMMUNITIES CONSISTS OF MERCY HOSPITAL ST. LOUIS, EIN 43-0653493, AND MERCY HOSPITAL WASHINGTON, EIN 43-1066883. FORM 990, SCHEDULE R, PART V LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY HEALTH SYSTEM, INC. AND SUBSIDIARIES. THE MAJORITY OF THE INTERCOMPANY/RELATED ORGANIZATION TRANSACTIONS ARE PROCESSED THROUGH LAWSON VIA INTERCOMPANY JOURNAL ENTRIES. WITH THE CURRENT DESIGN OF THE ERP SYSTEM, THERE ARE VARIOUS LIMITATIONS ON THE RELATED ORGANIZATION INFORMATION THAT CAN BE EXTRACTED FROM LAWSON. DUE TO THESE LIMITATIONS, MOST OF THE RELATED ORGANIZATION ACTIVITY FOR THE FILING ORGANIZATION HAS BEEN CLASSIFIED ON SCHEDULE R, PART V, IN LINES P AND Q.