MERCY HOSPITAL SPRINGFIELD: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: MERCY HOSPITAL SPRINGFIELD (EIN 44-0552485)
Tax period: 2020-07-01 to 2021-06-30
Filed: 2022-05-13
IRS object ID: 202221339349310107
Schema version: 2020v4.1
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	2022-05-13T17:56:36-05:00	ReturnTs
Tax Period End	2021-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	221 E 4TH ST STE 2900	AddressLine1Txt
City	CINCINNATI	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45202	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	440552485	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
In Care Of	% WILLIAM J ROBERTS	InCareOfNm
Business Name Control	MERC	BusinessNameControlTxt
Phone	3145796100	PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	CRAIG MCCOY	PersonNm
Person Title	PRESIDENT SPRG COMM	PersonTitleTxt
Phone	4178203666	PhoneNum
Signature	2022-05-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	CRAIG	PersonFirstNm
Person Last	MCCOY	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JULIE L SPARKS	PreparerPersonNm
PTIN	P01268401	PTIN
Phone	5136121400	PhoneNum
Preparation	2022-05-11	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd

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	Craig McCoy	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$1,115,699,805	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.mercy.net	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1987	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	111	TotalVolunteersCnt
Total Gross UBI	$733,145	TotalGrossUBIAmt
PY Contributions Grants	$1,786,534	PYContributionsGrantsAmt
CY Contributions Grants	$8,819,370	CYContributionsGrantsAmt
PY Program Service Revenue	$992,282,941	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,094,883,129	CYProgramServiceRevenueAmt
PY Investment Income	$4,207,886	PYInvestmentIncomeAmt
CY Investment Income	$5,462,226	CYInvestmentIncomeAmt
PY Other Revenue	$8,399,997	PYOtherRevenueAmt
CY Other Revenue	$6,535,080	CYOtherRevenueAmt
PY Total Revenue	$1,006,677,358	PYTotalRevenueAmt
CY Total Revenue	$1,115,699,805	CYTotalRevenueAmt
PY Grants And Similar Paid	$258,816	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$720,421	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$380,604,336	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$405,413,512	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$501,547,025	PYOtherExpensesAmt
CY Other Expenses	$544,216,859	CYOtherExpensesAmt
PY Total Expenses	$882,410,177	PYTotalExpensesAmt
CY Total Expenses	$950,350,792	CYTotalExpensesAmt
PY Revenues Less Expenses	$124,267,181	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$165,349,013	CYRevenuesLessExpensesAmt
Total Assets BOY	$580,000,472	TotalAssetsBOYAmt
Total Assets EOY	$547,925,906	TotalAssetsEOYAmt
Total Liabilities BOY	$51,177,851	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$65,343,693	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$528,822,621	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$482,582,213	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$90,728,453	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$502,437,417	RevenueAmt
Desc	MERCY HOSPITAL SPRINGFIELD PROVIDES HIGH-QUALITY, COMPASSIONATE, FAITH-BASED HEALTH CARE. THIS ORGANIZATION PROVIDES SERVICES TO THE COMMUNITIES WE SERVE, WITH PARTICULAR CONCERN FOR THE ECONOMICALLY POOR. THE PHARMACY ORDERS, COMPOUNDS, AND DISTRIBUTES MEDICATION FOR BOTH INPATIENT AND OUTPATIENT DEPARTMENTS. THE PHARMACY REDISTRIBUTED 3,866 INDIVIDUAL DRUG PURCHASES FOR 240+ MERCY CLINICS, AND VERIFIED 3,993,309 MEDICATION ORDERS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$88,271,878	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$653,229,992	RevenueAmt
Desc	MERCY HOSPITAL SPRINGFIELD PROVIDES HIGH-QUALITY, COMPASSIONATE, FAITH-BASED HEALTH CAR. THIS ORGANIZATION PROVIDES SERVICES TO THE COMMUNITIES WE SERVE, WITH PARTICULAR CONCERN FOR THE ECONOMICALLY POOR. THE SURGERY GROUP PERFORM VARIOUS OPERATIONS FOR INPATIENTS AND OUTPATIENTS. IN FY21, THE SURGERY CENTERS PERFORMED 34,580 SURGERIES.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$49,606,410	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$406,903,184	RevenueAmt
Desc	MERCY HOSPITAL SPRINGFIELD PROVIDES HIGH-QUALITY, COMPASSIONATE, FAITH-BASED HEALTH CARE. THIS ORGANIZATION PROVIDES SERVICES TO THE COMMUNITIES WE SERVE, WITH PARTICULAR CONCERN FOR THE ECONOMICALLY POOR. THE LAB IS RESPONSIBLE FOR RUNNING VARIOUS TESTS ON DIFFERENT TISSUE SAMPLES, TO ASSIST WITH DIAGNOSTICS.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$622,211,124	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$720,421	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	-$465,667,358	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$850,817,865	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	6	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	WILLIAM J ROBERTS	PersonNm
Phone	4178203666	PhoneNum

US Address USAddress

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

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

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Swope Jon
Former Officer	0.0	0.0	Yes (X)	$0	$8,438,629	$153,221
Scarrow MD Alan
Former Officer	0.0	0.0	Yes (X)	$0	$2,388,267	$35,581
Richmond Jacquelynn
VP Deputy General Counsel	2.0	53.0		$0	$1,294,939	$83,736	Yes (X)
Reynolds Scott
Former Officer	0.0	0.0	Yes (X)	$0	$948,096	$97,853
Hubbard Brent
President/COO & BOARD MEMBER	46.0	4.0		$0	$961,313	$82,716	Yes (X)
McCoy Craig
President - Springfield Commun	3.0	52.0		$0	$819,408	$49,299	Yes (X)	Yes (X)
Merriman David
Physician & Board Member	1.0	49.0		$0	$836,149	$28,839		Yes (X)
Hennessey III William
VP-Mission	25.0	35.0		$0	$671,862	$53,931			Yes (X)
Marion Tanya
Regional VP - Human Resources	1.0	50.0		$0	$623,563	$61,668			Yes (X)
Luria MD Lance
Former Key Employee	0.0	0.0	Yes (X)	$0	$497,803	$21,526
McNay MD Jennifer
Physician VP	10.0	40.0		$0	$459,060	$42,819	Yes (X)
Geujen Dea A
CNO	25.0	25.0		$0	$362,273	$66,692			Yes (X)
Frederick Erik
CAO	49.0	1.0		$0	$353,006	$57,774			Yes (X)
Stutzman Ted
COO & BOARD MEMBER	5.0	55.0		$0	$326,302	$21,827		Yes (X)
Hannasch Susan
Former Officer	0.0	0.0	Yes (X)	$0	$347,134	$0
Eckhardt Christie
VP/Ast Gen Counsel	1.0	57.0		$0	$252,665	$13,125	Yes (X)
Spencer Samuel
VP Operations	40.0	0.0		$0	$213,544	$23,278				Yes (X)
Williams Elizabeth
Physician	50.0	0.0		$0	$209,113	$26,059				Yes (X)
Sarte Mark R
Clinical Pharmacist	40.0	0.0		$0	$203,594	$25,451				Yes (X)
Whitten Adam D
VP, Operational Excellence	40.0	0.0		$0	$198,690	$23,873				Yes (X)
Wolfrath David
Exec Dir, Pharmacy	40.0	0.0		$0	$184,127	$20,666				Yes (X)
Heen Robert
Former Officer	0.0	0.0	Yes (X)	$0	$174,006	$13,534
Carron RSM Judith
Board Member	1.0	0.0		$0	$0	$0		Yes (X)
Embree Carol
Board Member	1.0	0.0		$0	$0	$0		Yes (X)
Hammerschmidt Jr Robert
Board Member	1.0	1.0		$0	$0	$0		Yes (X)
Hammons Brian
Board Member	1.0	1.0		$0	$0	$0		Yes (X)
Leonard Gary
Board Member	1.0	0.0		$0	$0	$0		Yes (X)
Rankin Thomas
Board Member	1.0	0.0		$0	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$20,763,543	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,003,468	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
McCarthy Building Companies Inc
12851 Manchester Road	ST LOUIS	MO	63131	Construction	$20,073,470
QUEST DIAGNOSTICS Inc
500 PLAZA DRIVE	SECAUCUS	NJ	07094	REFERENCE LAB SVCS	$6,508,775
AMN HEALTHCARE INC
8840 Cypress Waters Blvd Ste 300	COPPELL	TX	75019	PHYSICIAN SERVICES	$6,072,622
PHILIPS HEALTHCARE INC
3000 MINUTEMAN ROAD	ANDOVER	MA	018101099	PHYSICIAN SERVICES	$5,587,231
METRO AVIATION INC
1214 Hawn Ave	SHREVEPORT	LA	71107	LIFELINE FLIGHTS	$4,552,839

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	83	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$7,029,193	RelatedOrganizationsAmt
Government Grants	$1,790,177	GovernmentGrantsAmt
Total Contributions	$8,819,370	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	621500	$1,073,865,481	$1,073,132,336	$733,145
OTHER OPERATING REVENUE	900099	$21,013,251	$21,013,251
CAPITATION BONUS	531120	$4,397	$4,397

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,094,883,129	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,460,423	TotalRevenueColumnAmt
Exclusion	$5,460,423	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,061,853	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,061,853	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,061,853	TotalRevenueColumnAmt
Exclusion	$1,061,853	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$1,803	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$1,803	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,803	TotalRevenueColumnAmt
Exclusion	$1,803	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFE & VENDING	722320	$3,453,121	$3,453,121
REGISTRATION FEES	900099	$1,334,479		$1,334,479
TUITION INCOME	900099	$412,511		$412,511

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$273,116	TotalRevenueColumnAmt
Related Or Exempt Func Income	$273,116	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$5,473,227	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,115,699,805	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,096,170,090	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$733,145	UnrelatedBusinessRevenueAmt
Exclusion	$9,977,200	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$510,505	TotalAmt
Program Services	$510,505	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$209,916	TotalAmt
Program Services	$209,916	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

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

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$196,087	TotalAmt
Program Services	$192,648	ProgramServicesAmt
Management And General	$3,439	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$344,331,845	TotalAmt
Program Services	$338,293,606	ProgramServicesAmt
Management And General	$6,038,239	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,719,033	TotalAmt
Program Services	$6,601,207	ProgramServicesAmt
Management And General	$117,826	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$33,492,165	TotalAmt
Program Services	$32,904,843	ProgramServicesAmt
Management And General	$587,322	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$20,674,382	TotalAmt
Program Services	$20,311,834	ProgramServicesAmt
Management And General	$362,548	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

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

Fees For Services Accounting FeesForServicesAccountingGrp

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

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$59,501	TotalAmt
Management And General	$59,501	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$27,626,633	TotalAmt
Program Services	$27,626,633	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$44,350	TotalAmt
Program Services	$44,350	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$13,600,315	TotalAmt
Program Services	$13,430,344	ProgramServicesAmt
Management And General	$169,971	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$328,401	TotalAmt
Program Services	$328,401	ProgramServicesAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$17,562,930	TotalAmt
Program Services	$17,502,059	ProgramServicesAmt
Management And General	$60,871	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$127,112	TotalAmt
Program Services	$120,923	ProgramServicesAmt
Management And General	$6,189	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

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

Interest InterestGrp

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

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$35,760,757	TotalAmt
Program Services	$32,202,849	ProgramServicesAmt
Management And General	$3,557,908	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$890,147	TotalAmt
Program Services	$890,147	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
DRUGS & MEDICAL EXPENSES	$235,526,006	$235,526,006
SHARED SERVICE FEES	$138,653,774	$51,301,896	$87,351,878
BAD DEBT EXPENSE	$61,980,272	$61,980,272
REPAIRS & MAINT	$10,130,205	$8,912,970	$1,217,235

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,926,456	TotalAmt
Program Services	$1,926,456	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$950,350,792	TotalAmt
Program Services	$850,817,865	ProgramServicesAmt
Management And General	$99,532,927	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$22,325,956	BOYAmt
EOY	$23,032,838	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$22,534	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$110,117,323	BOYAmt
EOY	$121,226,734	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$16,466,945	BOYAmt
EOY	$16,263,743	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$527,394	BOYAmt
EOY	$437,789	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$995,831,153	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$647,958,197	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$347,880,995	BOYAmt
EOY	$347,872,956	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$19,570,810	BOYAmt
EOY	$19,008,799	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$18,714,898	BOYAmt
EOY	$18,395,190	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$42,730,828	BOYAmt
EOY	$0	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$580,000,472	BOYAmt
EOY	$547,925,906	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$51,045,401	BOYAmt
EOY	$63,214,135	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$132,450	BOYAmt
EOY	$103,006	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$2,026,552	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$51,177,851	BOYAmt
EOY	$65,343,693	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	$528,477,348	BOYAmt
EOY	$482,343,722	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$345,273	BOYAmt
EOY	$238,491	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$528,822,621	BOYAmt
EOY	$482,582,213	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$580,000,472	BOYAmt
EOY	$547,925,906	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$165,349,013	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$211,589,421	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$59,501	OtherActivitiesAmt
Total Lobbying Expenditures	$59,501	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE C, PART II-B, LINE 1 (I)	FormAndLineReferenceDesc
Explanation	LOBBYING PORTION OF DUES THE FILING ORGANIZATION IS A MEMBER OF AND PAYS DUES TO THE FOLLOWING HOSPITAL ASSOCIATIONS: AMERICAN HOSPITAL ASSOCIATION, MISSOURI HOSPITAL ASSOCIATION, AND CATHOLIC HEALTH ASSOCIATION. FOR THE YEAR ENDED JUNE 30, 2021, DUES WERE $71,463, $106,551, AND $183,410, RESPECTIVELY. APPROXIMATELY 25.56% OF AMERICAN HOSPITAL ASSOCIATION DUES, 32.4% OF MISSOURI HOSPITAL ASSOCIATION DUES, AND 3.66% OF CATHOLIC HEALTH ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED BY THESE ASSOCIATIONS.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,636,100	OtherCostOrOtherBasisAmt
Book Value	$12,636,100	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$646,920,357	OtherCostOrOtherBasisAmt
Depreciation	$384,867,113	DepreciationAmt
Book Value	$262,053,244	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,704,845	OtherCostOrOtherBasisAmt
Depreciation	$3,338,323	DepreciationAmt
Book Value	$366,522	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$323,142,403	OtherCostOrOtherBasisAmt
Depreciation	$250,511,144	DepreciationAmt
Book Value	$72,631,259	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,427,448	OtherCostOrOtherBasisAmt
Depreciation	$9,241,617	DepreciationAmt
Book Value	$185,831	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$347,872,956	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	DUE TO AFFILIATES	Desc
Amt	$2,026,552	Amt

Field	Value	IRS element (for citing)
Total Liability	$2,026,552	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE D, PART X, LINE 2	FormAndLineReferenceDesc
Explanation	ASC 740 FOOTNOTE PRIMARILY ALL OF THE HEALTH SYSTEM ENTITIES ARE RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS CHARITABLE ORGANIZATIONS QUALIFYING UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), BY VIRTUE OF IRS DETERMINATION LETTERS OR INCLUSION IN THE OFFICIAL CATHOLIC DIRECTORY. THE HEALTH SYSTEM COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED ON THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2021 OR 2020.	ExplanationTxt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$36,444,262	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$36,444,262	NetCommunityBenefitExpnsAmt
Total Expense	0.04100	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$142,205,886	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$107,650,029	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,555,857	NetCommunityBenefitExpnsAmt
Total Expense	0.03890	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$178,650,148	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$107,650,029	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$71,000,119	NetCommunityBenefitExpnsAmt
Total Expense	0.07990	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	308	PersonsServedCnt
Total Community Benefit Expns	$246,966	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$246,966	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	188	PersonsServedCnt
Total Community Benefit Expns	$255,731	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$255,731	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$4,820,129	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,820,129	NetCommunityBenefitExpnsAmt
Total Expense	0.00540	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	1052	PersonsServedCnt
Total Community Benefit Expns	$381,575	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$381,575	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	12	ActivitiesOrProgramsCnt
Persons Served	1548	PersonsServedCnt
Total Community Benefit Expns	$5,704,401	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,704,401	NetCommunityBenefitExpnsAmt
Total Expense	0.00640	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	12	ActivitiesOrProgramsCnt
Persons Served	1548	PersonsServedCnt
Total Community Benefit Expns	$184,354,549	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$107,650,029	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$76,704,520	NetCommunityBenefitExpnsAmt
Total Expense	0.08630	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$19,984,224	BadDebtExpenseAmt
Reimbursed By Medicare	$187,312,366	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$184,709,591	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$2,602,775	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1235 E Cherokee Street	AddressLine1Txt
City	Springfield	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65804	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.MERCY.NET	WebsiteAddressTxt
State License	38-58	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
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 SPRINGFIELD	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	SEE PART V, SECTION C	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 3E	THE HOSPITAL FACILITY DID INCLUDE A PRIORITIZED LIST OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS IN ITS MOST RECENT CHNA REPORT.
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5	THE HOSPITAL GATHERED DATA FOR ITS COMMUNITY HEALTH NEEDS ASSESSMENT BY SENDING OUT A COMMUNITY WIDE SURVEY FROM 12/1/2018 THROUGH 3/1/2019. IN THE MOST RECENT CHNA, MERCY HOSPITAL SPRINGFIELD DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. MERCY HOSPITAL SPRINGFIELD HOSTED SEVERAL ROUND TABLE EVENTS IN WHICH LOCAL PUBLIC HEALTH, BEHAVIORAL HEALTH, AND AREA NONPROFIT LEADERS REPRESENTING HEALTH-RELATED SERVICES WERE INVITED TO PARTICIPATE IN COMPREHENSIVE CONVERSATIONS WITH MERCY HOSPITAL SPRINGFIELD ABOUT OUR COMMUNITY HEALTH NEEDS, RESOURCE GAPS AND OPPORTUNITIES TO COLLABORATE AND IMPROVE OUR COMMUNITY'S HEALTH AND INCREASE ACCESS TO SERVICES. THE PRIORITIES FOR EACH COMMUNITY EMERGED AS A RESULT OF DATA AND FEEDBACK COLLECTION FROM A VARIETY OF SOURCES INCLUDING: -A SURVEY OPEN TO MEMBERS OF THE PUBLIC AND PARTNER AGENCIES IN ALL COMMUNITIES; -SECONDARY DATA COLLECTED FROM COMMUNITYCOMMONS.ORG AND OTHER SOURCES; -FOCUS GROUPS TARGETING UNDERSERVED, CHRONICALLY ILL AND LOW-INCOME POPULATIONS IN EACH COMMUNITY; AND; -EMERGENCY DEPARTMENT DATA FROM HOSPITAL PARTNERS. THESE SOURCES WERE COMBINED AND COMPARED TO DEVELOP COMMUNITY PRIORITIES WHICH WEIGHED MORBIDITY, MORTALITY AND A VARIETY OF OTHER FACTORS.
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 6A	THE CHNA WAS CONDUCTED IN CONJUNCTION WITH THE FOLLOWING HOSPITAL FACILITIES: MERCY HOSPITAL AURORA, MERCY HOSPITAL CASSVILLE, CITIZENS MEMORIAL HEALTHCARE, COXHEALTH, FREEMAN HEALTH SYSTEM AND POLK COUNTY HEALTH CENTER.
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 6B	THE CHNA WAS CONDUCTED IN CONJUNCTION WITH THE FOLLOWING NON-HOSPITAL FACILITIES: BURRELL BEHAVIORAL HEALTH, JASPER COUNTY HEALTH DEPARTMENT, JOPLIN HEALTH DEPARTMENT, SPRINGFIELD-GREEN COUNTY HEALTH DEPARTMENT AND TANEY COUNTY HEALTH DEPARTMENT. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 7A https://www.mercy.net/about/our-communities/community-benefits/ FORM 990, SCHEDULE H, PART V, SECTION B, LINE 7B HTTP://OZARKSHEALTHCOMMISSION.ORG/WP-CONTENT/2019/FULL%20REPORTS/SPRINGFIE LD%20COMMUNITY.PDF FORM 990, SCHEDULE H, PART V, SECTION B, LINE 10A https://www.mercy.net/about/our-communities/community-benefits/
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 11	MERCY HOSPITAL SPRINGFIELD IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA BY FOCUSING PROGRAMMING, SERVICES AND EDUCATION OR AWARENESS AROUND: (1) REDUCE THE INCIDENCE OF CARDIOVASCULAR DISEASE (2) REDUCE THE INCIDENCE OF LUNG DISEASE (3) AWARENESS OF MENTAL HEALTH ISSUES. THE FIRST IDENTIFIED NEED OR PRIORITY IS TO REDUCE THE INCIDENCE OF CARDIOVASCULAR DISEASE (1) INCREASING THE NUMBER OF UNINSURED ADULTS WHO ARE MANAGING THEIR HIGH BLOOD PRESSURE OR HYPERTENSION BY FINDING THEM PRIMARY HEALTH CARE. (2) INCREASING THE AMOUNT OF ADULTS EDUCATED ABOUT RISK FACTORS FOR CARDIOVASCULAR DISEASE. THE SECOND IDENTIFIED NEED OR PRIORITY IS TO REDUCE THE INCIDENCE OF LUNG DISEASE. MERCY SPRINGFIELD ADOPTED IMPLEMENTATION STRATEGIES FOR (1) INCREASING THE AMOUNT OF ADULTS EDUCATED ABOUT SYMPTOMS OF MILD OR UNDIAGNOSED LUNG DISEASE. (2) ENCOURAGE BREAST FEEDING AFTER DELIVERY TO DECREASE LUNG DISEASE IN CHILDREN. (3) PROMOTE EVIDENCE BASED CARE TO MANAGE CHRONIC DISEASE. THE THIRD IDENTIFIED NEED OR PRIORITY IS TO INCREASE AWARENESS FOR MENTAL HEALTH ISSUES. MERCY SPRINGFIELD ADOPTED IMPLEMENTATION STRATEGIES FOR (1) PROVIDE COMMUNITY EDUCATION ON SUBSTANCE ABUSE. (2) PROVIDE EDUCATION TO THE COMMUNITY REGARDING RESOURCES IN THE GEOGRAPHIC AREA THAT ASSIST WITH MENTAL AND BEHAVIORAL HEALTH ISSUE. FOR ALL OF THESE IDENTIFIED NEEDS AND PRIORITIES, MERCY SPRINGFIELD CONTINUES TO WORK CLOSELY WITH ITS LOCAL PUBLIC SCHOOL SYSTEM, NONPROFIT ORGANIZATIONS, THE CHAMBER OF COMMERCE, AND PUBLIC OFFICIALS TO ENSURE WE ARE COLLABORATIVELY ADDRESSING THE NEEDS OF OUR COMMUNITY IN A MEASURABLE WAY. MERCY SPRINGFIELD REMAINS ACTIVELY ENGAGED IN ITS REPRESENTATION ON THE HEALTH COMMISSION AS A WAY TO STAY ATTACHED TO KEY LEADERS IN OUR COMMUNITY AIMING TO ACHIEVE SIMILAR WORK AND OUTCOMES, PARTICULARLY FOR PATIENTS AND OUR VULNERABLE POPULATIONS. AS WELL, MERCY SPRINGFIELD OPENED A FREE CLINIC FOR LOW-INCOME UNINSURED ADULT PATIENTS IN COLLABORATION WITH MISSOURI STATE UNIVERSITY THIS YEAR AS THE ONLY OTHER FREE CLINIC, WHICH MERCY SPRINGFIELD SUPPORTED FOR MANY YEARS, CLOSED DOWN. Two health issues identified - diabetes and cancer - were not chosen as priority focus areas due to Mercy's current lack of resources available to address these needs and the intention to focus on the four prioritized health needs. These issues will be addressed indirectly in implementation strategies developed to meet the prioritized needs in areas that may overlap. For example, efforts to reduce the incidence of heart disease in the community may also reduce the incidence of diabetes. Mercy Springfield will consider focusing on these issues should resources become available. Until then, Mercy Springfield will support, as able, the efforts of partner agencies and organizations currently working to address these needs within the community.
FORM 990, SCHEDULE H, PART V, SECTION B, LINES 16A, 16B, & 16C	THE FINANCIAL ASSISTANCE POLICY, APPLICATION AND A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY ARE AVAILABLE ONLINE AT HTTPS://WWW.MERCY.NET/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/
FORM 990, SCHEDULE H, 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.

Field	Value	IRS element (for citing)
Facility	20	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (20 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
MERCY EMS HEADQUARTERS
1407 ST LOUIS STREET	SPRINGFIELD	MO	65803	EMERGENCY MEDICAL SERVICES
MERCY EMS LEBANON
535 TOWER ROAD	LEBANON	MO	65536	EMERGENCY MEDICAL SERVICES
MERCY EMS CARTHAGE
3111 S DR RUSSELL SMITH WAY	CARTHAGE	MO	64836	EMERGENCY MEDICAL SERVICES
MERCY EMS CASSVILLE
73 SMITHSON DRIVE	CASSVILLE	MO	65625	EMERGENCY MEDICAL SERVICES
MERCY EMS BUFFALO
216 W DALLAS	BUFFALO	MO	65622	EMERGENCY MEDICAL SERVICES
MERCY EMS AURORA
502 SPRUCE STREET	AURORA	MO	65605	EMERGENCY MEDICAL SERVICES
MERCY EMS MT VERNON
1315 S LANDRUM	MOUNT VERNON	MO	65712	EMERGENCY MEDICAL SERVICES
MERCY EMS MOUNTAIN GROVE
1503 N MAIN STREET	MOUNTAIN GROVE	MO	65711	EMERGENCY MEDICAL SERVICES
MERCY EMS BRANSON WEST
59 MEADOW LARK ROAD	BRANSON WEST	MO	65737	EMERGENCY MEDICAL SERVICES
MERCY EMS MOUNTAIN VIEW
102 E USHIGHWAY 60	MOUNTAIN VIEW	MO	65548	EMERGENCY MEDICAL SERVICES
MERCY LIFE LINE BRANSON WEST
59 MEADOW LARK ROAD	BRANSON WEST	MO	65737	EMERGENCY MEDICAL SERVICES
MERCY LIFE LINE ST ROBERT
608 CITY ROUTE 66	ST ROBERT	MO	65584	EMERGENCY MEDICAL SERVICES
MERCY LIFE LINE FORT SMITH
5800 AIRPORT ROAD BLG 10	FT SMITH	AR	72903	EMERGENCY MEDICAL SERVICES
MERCY LIFE LINE ROGERS
2710 RIFE MEDICAL LANE	ROGERS	AR	72758	EMERGENCY MEDICAL SERVICES
MERCY EMS CAMDENTON
675 N BUSINESS ROUTE 5	CAMDENTON	MO	65020	EMERGENCY MEDICAL SERVICES
MERCY EMS CLIMAX SPRINGS
13808 N HWY 7	CLIMAX SPRINGS	MO	65324	EMERGENCY MEDICAL SERVICES
MERCY EMS LINN CREEK
123 N MIDWAY DR	LINN CREEK	MO	65052	EMERGENCY MEDICAL SERVICES
MERCY EMS MACKS CREEK
1434 W HWY 54	MACKS CREEK	MO	65786	EMERGENCY MEDICAL SERVICES
MERCY EMS MONTREAL
6349 S HWY 7	MONTREAL	MO	65591	EMERGENCY MEDICAL SERVICES
MERCY EMS E KEARNEY
1664 E KEARNEY STREET	SPRINGFIELD	MO	65802	EMERGENCY MEDICAL SERVICES

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART VI	IMPACT OF COVID-19 PANDEMIC PLEASE SEE SCHEDULE O FOR INFORMATION RELATED TO COVID-19.
FORM 990, SCHEDULE H, PART I, LINE 6A	THE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS PREPARED BY ITS ULTIMATE PARENT ENTITY, MERCY HEALTH (EIN: 43-1423050).
FORM 990, SCHEDULE H, PART I, LINE 7, COLUMN F	TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) ARE $950,238,785. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $61,980,272. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $888,258,513.
Form 990, Schedule H, Part I, Line 7g	THE ORGANIZATION DID NOT INCLUDE ANY PHYSICIAN CLINIC COSTS ON LINE 7G.
Form 990, Schedule H, Part II	COMMUNITY BUILDING ACTIVITIES WORK TOWARD IMPROVING THE HEALTH, WELLNESS AND SAFETY OF THE COMMUNITY. MERCY HOSPITAL SPRINGFIELD'S EFFORTS TO ENHANCE THE OPERATIONAL STRUCTURES OF THE COMMUNITY INCLUDE COLLABORATIONS WITH MANY COMMUNITY ORGANIZATIONS; FOR EXAMPLE: BURRELL BEHAVIORAL HEALTH, COMMUNITY PARTNERSHIP OF THE OZARKS, MISSOURI STATE UNIVERSITY, OZARKS COUNSELING CENTER, SPRINGFIELD PUBLIC SCHOOLS, SPRINGFIELD-GREENE COUNTY HEALTH DEPARTMENT, AND THE HEALTH COMMISSION. COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITIES THEY SERVE THROUGH COMMUNITY-BASED PARTNERSHIPS, MEETINGS AND EVENTS, AND SERVICE ON COMMUNITY BOARDS. MERCY HOSPITAL SPRINGFIELD'S COMMUNITY INVOLVEMENT INCLUDES VARIOUS BUSINESS AND PUBLIC ORGANIZATIONS SUCH AS THE ONES NAMED ABOVE AS WELL AS THE AMERICAN CANCER SOCIETY, CARE TO LEARN, CHAMBER OF COMMERCE, CITY OF SPRINGFIELD, COMMUNITY FOUNDATION OF THE OZARKS, THE AMERICAN HEART ASSOCIATION, UNITED WAY OF THE OZARKS AND MORE THAN 300 LOCAL NONPROFIT SERVICE ORGANIZATIONS. MERCY HOSPITAL SPRINGFIELD ALSO PROMOTES SMOKE-FREE ENVIRONMENTS BY WORKING WITH PUBLIC OFFICIALS AND GROUPS LIKE ONE AIR ALLIANCE. MERCY HOSPITAL SPRINGFIELD BECAME ONE OF THE FIRST SMOKE-FREE ORGANIZATIONS IN SPRINGFIELD AND CONTINUES TO WORK WITH OTHER COMMUNITY PARTNERS TO FURTHER TOBACCO PREVENTION AND TO CREATE SMOKE-FREE ENVIRONMENTS. MERCY HOSPITAL SPRINGFIELD CONTINUES TO WORK CLOSELY WITH THE HEALTH COMMISSION, A COMMUNITY ORGANIZATION DEDICATED TO WORKING WITH AND FOR MEMBERS OF OUR COMMUNITY WITH LIMITED ECONOMIC RESOURCES AND WHO HAVE LIMITED ACCESS TO HEALTH CARE SERVICES AND RESOURCES. THE COMMISSION PROVIDES A PLATFORM FOR COLLABORATION BETWEEN AREA NONPROFIT HEALTH CARE ORGANIZATIONS. THE COMMISSION DEVELOPED THE COMMUNITY MEDICATION ACCESS PROGRAM, WHICH PROVIDES NEEDED MEDICATIONS FOR PATIENTS WITH LIMITED RESOURCES. MERCY HOSPITAL SPRINGFIELD PARTNERS WITH LOCAL UNIVERSITIES AND NURSING SCHOOLS TO PROVIDE ACCESS TO CLINICAL EDUCATION FOR MULTIPLE HEALTH CARE WORKFORCE SPECIALTIES INCLUDING NURSING, NURSE PRACTITIONER, RADIOLOGY, OCCUPATIONAL THERAPY, SPEECH THERAPY, DIETICIAN, PHYSICIAN ASSISTANT, LABORATORY, SURGICAL TECHNICIAN, SPORTS MEDICINE, AND PHYSICAL THERAPY STUDENTS. MERCY HOSPITAL SPRINGFIELD SUPPORTS THE MERCY COLLEGE OF NURSING AND ALSO A SCHOOL-BASED PROGRAM FOR HEALTH CAREERS CALLED THE HEALTH SCIENCES ACADEMY IN PARTNERSHIP WITH SPRINGFIELD PUBLIC SCHOOLS. MERCY IS PARTICIPATING IN SEVERAL COMMUNITY EFFORTS TO BRING PHYSICIAN TRAINING TO SPRINGFIELD, PARTICULARLY FOR PRIMARY CARE. MERCY HOSPITAL SPRINGFIELD AND MISSOURI STATE UNIVERSITY INITIATED THE DEVELOPMENT OF A NEW FREE CLINIC, MSU CARE, WHICH OPENED IN OCTOBER 2015, SERVING THE SAME POPULATION WITH MORE THAN THREE TIMES THE CAPACITY. THROUGH THIS PARTNERSHIP, WE ARE ABLE TO ADVANCE THE CARE OF THE POPULATION BY MONITORING THEM THROUGH OUR ELECTRONIC MEDICAL RECORD, ROBUST CARE MANAGEMENT PROGRAMS, AND OFFER APPROPRIATE SPECIALTY CARE THROUGH A CHARITY CARE PROCESS AT MERCY. IN ADDITION, WE ARE CREATING A HANDS ON EDUCATIONAL ENVIRONMENT THAT PROVIDES AWARENESS AROUND THE SOCIAL DETERMINANTS OF HEALTH AS WELL AS RECRUITS CREDENTIALED STUDENTS TO STAY LOCAL UPON GRADUATING. MERCY HOSPITAL SPRINGFIELD WORKS CLOSELY WITH OUR ONLY FEDERALLY QUALIFIED HEALTH CENTER, JORDAN VALLEY COMMUNITY HEALTH CENTER, TO ENSURE ACCESS TO SERVICES FOR PREGNANT WOMEN AND THEIR INFANTS. MERCY HOSPITAL SPRINGFIELD SUPPORTS THE REGION'S ONLY CHILDREN'S HOSPITAL AND PROVIDES MULTIPLE SPECIALTY SERVICES TO A LARGE RURAL GEOGRAPHIC REGION IN SOUTHWEST MISSOURI. MERCY HOSPITAL SPRINGFIELD ALSO PARTNERS WITH AND SUPPORTS ISABEL'S HOUSE, THE ONLY CRISIS NURSERY IN THE SOUTHWEST MISSOURI AREA FOCUSED ON THE PREVENTION OF CHILD ABUSE AND NEGLECT. THE CRISIS NURSERY ALSO ENSURES FAMILIES THAT ARE IN CRISIS HAVE APPROPRIATE AND NEEDED HEALTH CARE SERVICES FOR THEIR INFANTS AND YOUNG CHILDREN. ACCESS TO SERVICES FOR PREGNANT WOMEN AND THEIR INFANTS. MERCY HOSPITAL SPRINGFIELD SUPPORTS THE REGION'S ONLY CHILDREN'S HOSPITAL AND PROVIDES MULTIPLE SPECIALTY SERVICES TO A LARGE RURAL GEOGRAPHIC REGION IN SOUTHWEST MISSOURI. MERCY HOSPITAL SPRINGFIELD ALSO PARTNERS WITH AND SUPPORTS ISABEL'S HOUSE, THE ONLY CRISIS NURSERY IN THE SOUTHWEST MISSOURI AREA FOCUSED ON THE PREVENTION OF CHILD ABUSE AND NEGLECT. THE CRISIS NURSERY ALSO ENSURES FAMILIES THAT ARE IN CRISIS HAVE APPROPRIATE AND NEEDED HEALTH CARE SERVICES FOR THEIR INFANTS AND YOUNG CHILDREN.
FORM 990, SCHEDULE H, PART III, SECTION A, 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.
Form 990, Schedule H, Part III, SECTION A, 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.
FORM 990, SCHEDULE H, PART III, SECTION A, LINE 4	IN MAY 2014, THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) AND INTERNATIONAL ACCOUNTING STANDARDS BOARD ISSUED ACCOUNTING STANDARDS UPDATE (ASU) 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606). THE HEALTH SYSTEM ADOPTED ASU 2014-09 ON JULY 1, 2018 USING A FULL RETROSPECTIVE BASIS. UPON ADOPTION, THE MAJORITY OF WHAT WAS PREVIOUSLY CLASSIFIED AS PROVISION FOR UNCOLLECTIBLE ACCOUNTS AND PRESENTED AS A REDUCTION TO PATIENT SERVICE REVENUE ON THE CONSOLIDATED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS IS TREATED A PRICE CONCESSION THAT REDUCES THE TRANSACTION PRICE, WHICH IS REPORTED AS PATIENT SERVICE REVENUE. AS SUCH, BAD DEBT EXPENSE IS NOT REFERENCED IN MERCY HEALTH AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS. BAD DEBT EXPENSE IS TRACKED FOR FORM 990 REPORTING AS FOLLOWS: PATIENT ACCOUNTS RECEIVABLE THAT ARE DEEMED UNCOLLECTIBLE, INCLUDING THOSE PLACED WITH COLLECTION AGENCIES, ARE INITIALLY CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN ACCORDANCE WITH COLLECTION POLICIES OF THE HEALTH SYSTEM AND, IN CERTAIN CASES, ARE RECLASSIFIED TO CHARITY CARE IF DEEMED TO OTHERWISE MEET THE HEALTH SYSTEM'S CHARITY CARE POLICY. THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES BASED UPON THE PAYOR COMPOSITION AND AGING OF RECEIVABLES WITH CONSIDERATION OF THE HISTORICAL PAYMENT AND WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES.
FORM 990, SCHEDULE H, PART III, SECTION B, LINE 8	IT IS THE POSITION OF MERCY THAT 100% OF ANY SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS AMOUNT REPRESENTS COST OF PROVIDING SERVICES THAT REMAIN UNCOMPENSATED TO THE PROVIDER. THE UNREIMBURSED COSTS OF MEDICARE IS CALCULATED BY THE GROSS CHARGES NET OF THE COST TO CHARGE RATIO LESS ANY PAYMENTS, DEDUCTIONS OR REIMBURSEMENTS USING THE ANNUAL MEDICARE COST REPORT (CMS FORM 2552-96).
FORM 990, SCHEDULE H, PART III, SECTION C, 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 ADDITIONALLY PRIOR TO BAD DEBT PLACEMENT. THE PRESUMPTIVE SCREENING WAS PER ENCOUNTER AND DID NOT PROMOTE ANY LOOK-BACK ADJUSTMENTS. MERCY WILL GRANT CHARITY IN SITUATIONS WHERE THERE HAS BEEN AN INABILITY TO OBTAIN INFORMATION FROM PATIENTS OR THE INFORMATION PROVIDED IS NOT COMPLETE ENOUGH TO MAKE A CHARITY DETERMINATION WHEN A PATIENT HAS SUBMITTED AN APPLICATION. MERCY WILL PURSUE APPROPRIATE MEANS IN THE COLLECTION OF DELINQUENT ACCOUNTS FROM PATIENTS WITH AN ESTABLISHED ABILITY TO PAY OR AN UNWILLINGNESS TO COOPERATE IN VALIDATING ELIGIBILITY FOR FINANCIAL ASSISTANCE. THESE APPROPRIATE MEANS MAY INCLUDE 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.
FORM 990, SCHEDULE H, PART VI, LINE 2	MERCY HOSPITAL SPRINGFIELD BELIEVES THAT ITS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS IS COMPREHENSIVE ENOUGH TO CAPTURE SUBSTANTIALLY ALL OF THE COMMUNITY'S NEEDS. THEREFORE, NO FURTHER STEPS WERE TAKEN TO IDENTIFY ADDITIONAL NEEDS. MERCY HOSPITAL SPRINGFIELD MEASURES ALL COMMUNITY HEALTH INDICATORS AS SET FORTH BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION, AND MEASURES ALL UTILIZATION ACTIVITY (PARTICULARLY FOR VULNERABLE POPULATIONS) TO FIRST UNDERSTAND THE STATUS OF THE COMMUNITY'S HEALTH ON AN ANNUAL BASIS. BASED ON THESE FINDINGS, MERCY REFINES ITS IMPLEMENTATION STRATEGIES TO MEET THE NEEDS OF THE COMMUNITY AND MONITORS PROGRESS THROUGH A COMMUNITY BENEFIT COMMITTEE OF THE BOARD OF DIRECTORS. THE DIRECTOR OF COMMUNITY BENEFIT ALSO SERVES ON A COMMUNITY HEALTH COLLABORATION BOARD WITH OTHER AREA NONPROFIT HEALTH SYSTEM AND ORGANIZATIONAL LEADERS TO MAKE SURE OUR UNDERSTANDING OF COMMUNITY NEEDS ARE CORRECT AND TO DEVELOP ALIGNED STRATEGIES TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES AND SUBSEQUENT IMPROVEMENT STRATEGIES.
FORM 990, SCHEDULE H, PART VI, LINE 3	MERCY INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY THROUGH SEVERAL MEANS. IF AT ANY TIME A PATIENT EXPRESSES HARDSHIP AND INABILITY TO PAY, THE ACCOUNT IS PLACED FOR REVIEW. IN ADDITION, PATIENTS HAVE SIGNAGE ABOUT THE POLICY AT THE ACCESS POINTS, AND ALL STAFF WORKING WITH THE PATIENT AT POINT OF SERVICE, SCHEDULING, CUSTOMER SERVICE, AND EVEN THROUGH THE MEDICAID ELIGIBILITY SCREENING HAVE THE MEANS TO SEND THE ACCOUNT FOR REVIEW. THERE IS THE PLAIN LANGUAGE SUMMARY THAT IS BEING PROVIDED TO ALL WHOM EXPRESS HARDSHIP, IN ADDITION TO THE WEB ADDRESS PROVIDING THE APPLICATION, POLICIES, AND EVEN HOW UNINSURED ACCOUNTS ARE HANDLED. LASTLY, THE STATEMENTS MESSAGE TO THE PATIENT THAT MERCY DOES HAVE A FINANCIAL ASSISTANCE PROGRAM AND TO CALL TO SEE IF THEY ARE ELIGIBLE. MERCY STAFF'S INTERNAL RESOURCES CERTIFIED TO ASSIST PATIENTS WITH MEDICAID APPLICATIONS AS WELL.
FORM 990, SCHEDULE H, PART VI, LINE 4	THE PRIMARY SERVICE AREA FOR MERCY HOSPITAL SPRINGFIELD INCLUDES 120 ZIP CODES ACROSS MISSOURI. THE FOLLOWING INFORMATION IS DERIVED FROM THE ADVISORY BOARD DEMOGRAPHICS AND 2020-2021 MO/HIDI INFORMATION. THE AREA'S POPULATION IS 746,535. THE MEDIAN HOUSEHOLD INCOME IS $51,000. 43.3% OF THE POPULATION IS 45 AND OLDER. 90% OF THE POPULATION IS A HIGH SCHOOL GRADUATE OR GREATER AND THE MEDIAN AGE IS 42. 20.8% OF THE HOUSEHOLDS ARE ON MEDICARE, 17.7% ON MEDICAID, AND 12.1% UNINSURED.
FORM 990, SCHEDULE H, PART VI, LINE 5	MERCY HOSPITAL SPRINGFIELD PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. MERCY IS A CATHOLIC HEALTH CARE CORPORATION THAT, PURSUANT TO THE ORGANIZATIONAL CORE BELIEF THAT HEALTH CARE SERVICES ARE A VITAL AND INTEGRAL PART OF THE CHURCH'S HEALING MISSION, ENGAGES IN A MINISTRY WHICH PROVIDES GENERAL ACUTE CARE, AMBULATORY, LONG-TERM AND HOME CARE HEALTH SERVICES TO INDIVIDUALS AND FAMILIES IN ITS COMMUNITIES. MERCY OFFERS SERVICES AND PROGRAMS WHICH FURTHER HEALTH PROMOTION, MAINTENANCE AND CARE TO THE COMMUNITY. PROGRAMS PROVIDED TO MEET THE COMMUNITY INCLUDE SUPPORT GROUPS FOR VARIOUS SITUATIONS, OUTREACH PROGRAMS, EDUCATIONAL PROGRAMS, HEALTH RESOURCE COORDINATION, COMMUNITY BLOOD DRIVES AND HEALTH FAIRS, ETC. MERCY SPRINGFIELD IS GOVERNED BY A BOARD OF DIRECTORS WHICH INCLUDES REPRESENTATION FROM COMMUNITY LEADERS IN THE ORGANIZATION'S PRIMARY SERVICE AREAS. ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY. ANY POTENTIAL CONFLICTS OF INTEREST DISCLOSED BY BOARD MEMBERS ARE REVIEWED AND RESOLVED. THIS PROCESS ENSURES THAT PUBLIC, RATHER THAN PRIVATE, INTERESTS ARE SERVED BY MERCY. SURPLUS FUNDS AND UNRESTRICTED ASSETS HELD BY MERCY SPRINGFIELD ARE REINVESTED IN PATIENT CARE, MEDICAL EDUCATION AND RESEARCH INITIATIVES WHICH SUPPORT THE ORGANIZATION'S MISSION TO DELIVER COMPASSIONATE CARE AND EXCEPTIONAL HEALTH CARE SERVICES TO THE COMMUNITIES IT SERVES.
FORM 990, SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM THE FILING ORGANIZATION IS PART OF MERCY HEALTH ("MERCY"). MERCY IS A MISSOURI NON-PROFIT CORPORATION WITH ITS HEADQUARTERS ("MINISTRY OFFICE") IN ST. LOUIS, MISSOURI. MERCY PROVIDES HEALTH CARE SERVICES IN FOUR STATES - ARKANSAS, KANSAS, MISSOURI, AND OKLAHOMA - AND HAS OUTREACH MINISTRIES LOCATED IN ARKANSAS, LOUISIANA, MISSISSIPPI, AND TEXAS. MERCY'S MISSION IS "AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE." AS OF JUNE 30, 2021, MERCY FACILITIES INCLUDED 30 ACUTE CARE HOSPITALS, 5 HEART HOSPITALS, 5 REHAB HOSPITALS, 2 CHILDREN'S HOSPITALS, 2 ORTHOPEDIC HOSPITALS, 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.
FORM 990, SCHEDULE H, PART VI, LINE 7	STATE FILING OF COMMUNITY BENEFIT REPORT: MO

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1235 E Cherokee Street	AddressLine1Txt
City	Springfield	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	65804	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	320195818	RecipientEIN
IRC Section	501c3	IRCSectionDesc
Cash Grant	$510,505	CashGrantAmt
Purpose Of Grant	SUPPORT MISSION	PurposeOfGrantTxt

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

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	CO-WORKER CRISIS FUND	GrantTypeTxt
Recipient	144	RecipientCnt
Cash Grant	$209,916	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS THE ASISTANCE PROVIDED IS INTENDED TO BE USED FOR THE GENERAL OPERATING PURPOSES OF THE DONEE. THE USE OF GRANT FUNDS IS NOT MONITORED AFTER GRANTS ARE GIVEN. THE FOUNDATION COLLECTS DONATIONS FROM THE COWORKERS THROUGH MERCY WAY CAMPAIGN AND THOSE DONATIONS GO INTO A COWORKER CRISIS FUND. IN ADDITION, FLEX SPENDING OVERTURES FROM THE MINISTRY ARE ALSO PUT INTO THIS FUND. A COWORKER IN CRISIS FILLS OUT AN APPLICATION, SENDS BILLS NEEDED HELP WITH AND A PAYSTUB AND A BOARD OF COWORKERS ON THE CRISIS FUND COMMITTEE REVIEW THE APPLICATION. IF A CRISIS IS NOTED, THE BOARD WILL DETERMINE WHICH BILLS TO PAY DIRECTLY TO THE VENDOR.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 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
Swope Jon
Former Officer	$0	$394,020	$0	$2,376,256	$0	$5,668,353	$0	$144,559	$0	$8,662	$0	$8,591,850	$0	$5,727,225
Scarrow MD Alan
Former Officer	$0	$1,097,336	$0	$6,029	$0	$1,284,902	$0	$22,836	$0	$12,745	$0	$2,423,848	$0	$0
Richmond Jacquelynn
VP Deputy General Counsel	$0	$451,004	$0	$293,850	$0	$550,085	$0	$77,497	$0	$6,239	$0	$1,378,675	$0	$212,243
Reynolds Scott
Former Officer	$0	$155,479	$0	$359,912	$0	$432,705	$0	$92,903	$0	$4,950	$0	$1,045,949	$0	$284,503
Hubbard Brent
President/COO & BOARD MEMBER	$0	$492,599	$0	$371,434	$0	$97,280	$0	$66,798	$0	$15,918	$0	$1,044,029	$0	$198,101
McCoy Craig
President - Springfield Commun	$0	$613,793	$0	$61,879	$0	$143,736	$0	$34,185	$0	$15,114	$0	$868,707	$0	$0
Merriman David
Physician & Board Member	$0	$799,307	$0	$16,802	$0	$20,040	$0	$12,600	$0	$16,239	$0	$864,988	$0	$0
Hennessey III William
VP-Mission	$0	$183,479	$0	$49,398	$0	$438,985	$0	$38,630	$0	$15,301	$0	$725,793	$0	$0
Marion Tanya
Regional VP - Human Resources	$0	$277,995	$0	$195,306	$0	$150,262	$0	$49,098	$0	$12,570	$0	$685,231	$0	$140,147
Luria MD Lance
Former Key Employee	$0	$133,379	$0	$11,214	$0	$353,210	$0	$21,194	$0	$332	$0	$519,329	$0	$0
McNay MD Jennifer
Physician VP	$0	$322,888	$0	$31,548	$0	$104,624	$0	$32,796	$0	$10,023	$0	$501,879	$0	$0
Geujen Dea A
CNO	$0	$275,826	$0	$59,736	$0	$26,711	$0	$51,150	$0	$15,542	$0	$428,965	$0	$0
Frederick Erik
CAO	$0	$287,814	$0	$45,475	$0	$19,717	$0	$41,470	$0	$16,304	$0	$410,780	$0	$0
Stutzman Ted
COO & BOARD MEMBER	$0	$296,015	$0	$14,003	$0	$16,284	$0	$5,815	$0	$16,012	$0	$348,129	$0	$0
Hannasch Susan
Former Officer	$0	$0	$0	$0	$0	$347,134	$0	$0	$0	$0	$0	$347,134	$0	$0
Eckhardt Christie
VP/Ast Gen Counsel	$0	$232,443	$0	$12,107	$0	$8,115	$0	$6,935	$0	$6,190	$0	$265,790	$0	$0
Spencer Samuel
VP Operations	$0	$183,771	$0	$10,084	$0	$19,689	$0	$7,473	$0	$15,805	$0	$236,822	$0	$0
Williams Elizabeth
Physician	$0	$168,779	$0	$14,869	$0	$25,465	$0	$16,512	$0	$9,547	$0	$235,172	$0	$0
Sarte Mark R
Clinical Pharmacist	$0	$183,342	$0	$640	$0	$19,612	$0	$10,486	$0	$14,965	$0	$229,045	$0	$0
Whitten Adam D
VP, Operational Excellence	$0	$171,232	$0	$9,197	$0	$18,261	$0	$8,506	$0	$15,367	$0	$222,563	$0	$0
Wolfrath David
Exec Dir, Pharmacy	$0	$159,851	$0	$5,779	$0	$18,497	$0	$5,202	$0	$15,464	$0	$204,793	$0	$0
Heen Robert
Former Officer	$0	$162,947	$0	$0	$0	$11,059	$0	$5,218	$0	$8,316	$0	$187,540	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, SCHEDULE J, PART I, QUESTION 3	MERCY HOSPITAL SPRINGFIELD RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTIONS 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS.
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 LANCE LURIA - $230,231
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: Dea Geujen, Susan Hannasch, Craig McCoy, Jennifer McNay, Scott Reynolds, Jacquelynn Richmond, Alan Scarrow, BRENT HUBBARD, WILLIAM HENNESSEY III, TANYA MARION AND JON SWOPE. 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, JACQUELYNN RICHMOND, SCOTT REYNOLDS, BRENT HUBBARD, AND TANYA MARION IN COLUMN (F) ARE EITHER INCLUDED IN B(I) BASE COMPENSATION, B(II) AS BONUS AND INCENTIVE COMPENSATION, OR B(III) AS OTHER REPORTABLE COMPENSATION. THESE AMOUNTS ARE A PAYOUT OF THE SUPPLEMENTAL RETIREMENT PLAN AND EXECUTIVE RETENTION PLAN AND WERE INCLUDED IN COLUMN (C) OF PREVIOUSLY FILED FORMS 990.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Lynda Luria
Family member of former officer	$127,950	Employment	false
Brian Harter
Family member of officer	$29,282	Employment	false
Kole Stutzman
Family member of board member	$10,678	Employment	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4D	MERCY HOSPITAL SPRINGFIELD PROVIDES HIGH-QUALITY, COMPASSIONATE, FAITH-BASED HEALTH CARE. 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, EMERGENCY ROOM CARE, HOME HEALTH SERVICES, AND PHYSICIAN CLINIC OFFICE VISITS. IN FY21, MERCY HOSPITAL SPRINGFIELD HAD A TOTAL OF 48,376 VISITS TO THE ER AND 122,617 PATIENT DAYS. 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. SUBJECT TO CONSULTATION WITH THE BOARD OF DIRECTORS, THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED SOLELY TO THE CORPORATE MEMBER: -TO APPROVE THE MISSION AND ESTABLISH THE PHILOSOPHY ACCORDING TO WHICH THE CORPORATION SHALL OPERATE; -TO ADOPT OR AMEND THE ARTICLES OF INCORPORATION AND BYLAWS IN ACCORDANCE WITH ARTICLE XII OF THESE BYLAWS; -TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, A MEMBER OF THE BOARD OF DIRECTORS OF THE CORPORATION; -TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, THE PRESIDENT OF THE CORPORATION AFTER CONSULTATION WITH THE SYSTEM; -TO APPROVE OR AMEND THE OVERALL STRATEGIC, LONG RANGE, AND HEALTH MANPOWER DEVELOPMENT PLANS, GOALS AND OBJECTIVES OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; -TO APPROVE OR AMEND THE CONSOLIDATED OPERATING, CAPITAL, AND CONSTRUCTION BUDGETS FOR THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION AND CHANGES IN BUDGETS IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY MERCY HEALTH; -TO AUTHORIZE AND APPROVE THE LEASE OR SALE OF ANY OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE CORPORATE MEMBER; -TO AUTHORIZE AND APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTE ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; -TO MERGE, DISSOLVE, OR ABANDON THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION, SUBJECT TO APPROVAL BY THE BOARD AS REQUIRED PURSUANT TO CHAPTER 355 OF THE REVISED STATUTES OF MISSOURI FOR GENERAL NOT-FOR PROFIT CORPORATIONS ("THE ACT"); -TO APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION CONTROLLED BY THE CORPORATION; AND, -TO APPROVE CONTRACTS IN WHICH THE CORPORATION ASSUMES FINANCIAL RISK, INCLUDING BUT NOT LIMITED TO MANAGED CARE CONTRACTS.
FORM 990, PART VI, 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 BOTH THE FILING ORGANIZATION'S LEADERSHIP TEAM AND THE BOARD OF DIRECTORS 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 VII, SECTION B	IT IS POSSIBLE THAT A PORTION OF THE AMOUNTS REPORTED FOR MCCARTHY BUILDING COMPANIES, INC. WERE RELATED TO MATERIALS IN ADDITION TO AMOUNTS PAID FOR SERVICES. HOWEVER, THE AMOUNTS ARE NOT DISTINGUISHABLE.
FORM 990, PART 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 XI, LINE 9	OTHER CHANGES IN NET ASSETS NET TRANSFERS (T0)/FROM AFFILIATES $ (211,594,645) OTHER $ 5,224 TOTAL $ (211,589,421)
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.

Schedule R IRS990ScheduleR

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
Casa de Misericordia
1000 Mier St	Laredo	TX	78040	742912461	SHELTER	TX	501c3	7	MM LAREDO	Yes (true)
McAuley Portfolio Management Company
14528 S Outer Forty Suite 100	Chesterfield	MO	63017	261708048	PORT MGMT	MO	501c3	12b	Mercy Health	Yes (true)
Mercy ACO Clinical Services Inc
14528 S Outer Forty Suite 100	Chesterfield	MO	63017	464504901	VIRTUAL CARE	MO	501c3	3	Mercy Health	Yes (true)
Mercy Clinic East Communities
645 MARYVILLE CTR STE 100	St Louis	MO	63141	431771217	PHYS GROUP	MO	501c3	10	MH EAST COMM	Yes (true)
Mercy Clinic Fort Smith Communities
7301 Rogers Avenue	Fort Smith	AR	72903	261318597	PHYS CLINIC	AR	501c3	3	MH FS COMM	Yes (true)
Mercy Clinic Oklahoma Communities Inc
4300 W Memorial Road	Oklahoma City	OK	73120	270473057	PHYS GROUP	OK	501c3	3	MH OK COMM	Yes (true)
Mercy Clinic Springfield Communities
1965 Fremont St Suite 2950	Springfield	MO	65804	431560263	PHYS GROUP	MO	501c3	3	MH SF COMM	Yes (true)
Mercy Family Center
14528 S Outer Forty Suite 100	Chesterfield	LA	63017	721069468	COUNSELING	LA	501c3	7	Mercy Health	Yes (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	Yes (true)
Mercy Health Fort Smith Communities
7301 Rogers Avenue	Fort Smith	AR	72917	261318515	HOLDING CO	AR	501c3	12b	Mercy Health	Yes (true)
Mercy Health Foundation
14528 S Outer Forty Suite 100	Chesterfield	MO	63017	200901499	Foundation	MO	501c3	12b	Mercy Health	Yes (true)
Mercy Health Foundation Ada
430 N Monte Vista Street	Ada	OK	74820	463596274	Foundation	OK	501c3	12a	MH ADA INC	Yes (true)
Mercy Health Foundation Ardmore
1011 14th Avenue NW	Ardmore	OK	73401	710962525	Foundation	OK	501c3	12a	MH ARDMORE	Yes (true)
Mercy Health Foundation Berryville
214 Carter Street	Berryville	AR	72616	710759301	Foundation	AR	501c3	12a	MH BERRYVILL	Yes (true)
Mercy Health Foundation Fort Scott
401 Woodland Hills Blvd	Fort Scott	KS	66701	481077073	Foundation	KS	501c3	7	M KS COMM	Yes (true)
Mercy Health Foundation Fort Smith
7301 Rogers Avenue	Fort Smith	AR	72917	237330425	Foundation	AR	501c3	7	MH FS COMM	Yes (true)
Mercy Health Foundation Jefferson
1400 US Highway 61 South	Festus	MO	63028	462797051	Foundation	MO	501c3	12b	MH JEFFERSON	Yes (true)
Mercy Health Foundation Joplin
100 Mercy Way	Joplin	MO	64804	270906136	Foundation	MO	501c3	7	MH SW MOKS	Yes (true)
Mercy Health Foundation Lebanon
100 Hospital Drive	Lebanon	MO	65536	822514567	Foundation	MO	501c3	12b	MH LEBANON	Yes (true)
Mercy Health Foundation Lincoln
1000 East Cherry Street	Troy	MO	63379	811477159	Foundation	MO	501c3	12b	MH EAST COMM	Yes (true)
Mercy Health Foundation NW Arkansas
2710 Rife Medical Lane	Rogers	AR	72758	710601687	Foundation	AR	501c3	7	MH ROGERS	Yes (true)
Mercy Health Foundation of Oklahoma
4300 W Memorial Road	Oklahoma City	OK	73120	454732301	Foundation	OK	501c3	12a	MH OK COMM	Yes (true)
Mercy Health Foundation Oklahoma City
4300 W Memorial Road	Oklahoma City	OK	73120	463184231	Foundation	OK	501c3	12a	MH OK CITY	Yes (true)
Mercy Health Foundation Springfield
1235 E Cherokee Street	Springfield	MO	65804	320195818	Foundation	MO	501c3	12b	MH SF COMM	Yes (true)
Mercy Health Foundation St Francis
100 W Highway 60	Mountain View	MO	65548	431873914	Foundation	MO	501c3	12a	M ST FRANCIS	Yes (true)
Mercy Health Foundation St Louis
14528 S Outer Forty Suite 100	Chesterfield	MO	63017	562410020	Foundation	MO	501c3	12b	MH EAST COMM	Yes (true)
Mercy Health Foundation Washington
901 E Fifth Street	Washington	MO	63090	562410022	Foundation	MO	501c3	12b	MH EAST COMM	Yes (true)
Mercy Health NW Arkansas Communities
2710 Rife Medical Lane	Rogers	AR	72758	621684203	PHYS GROUP	AR	501c3	10	Mercy Health	Yes (true)
Mercy Health Oklahoma Communities Inc
4300 W Memorial Road	Oklahoma City	OK	73120	731453048	HLTH SYSTEM	OK	501c3	12a	Mercy Health	Yes (true)
Mercy Health Plans of Missouri Inc
3265 S National Avenue	Springfield	MO	65807	320481419	HMO	MO	501c4	N/A	Mercy Health	Yes (true)
Mercy Health Plans Inc
3265 S National Avenue	Springfield	MO	65807	320486150	PPO	MO	501c4	N/A	MH PLANS MO	Yes (true)
MERCY HEALTH SW MOKS COMMUNITIES
100 Mercy Way	Joplin	MO	64804	300584463	HLTH SYSTEM	MO	501c3	12b	Mercy Health	Yes (true)
Mercy Health Springfield Communities
1235 E Cherokee Street	Springfield	MO	65804	431856028	HLTH SYSTEM	MO	501c3	12b	Mercy Health	Yes (true)
Mercy Hospital Ada Inc
430 N Monte Vista Street	Ada	OK	74820	462288155	Hospital	OK	501c3	3	MH OK COMM	Yes (true)
Mercy Hospital Ardmore Inc
1011 14th Avenue NW	Ardmore	OK	73401	731500629	Hospital	OK	501c3	3	MH OK COMM	Yes (true)
Mercy Hospital Aurora
500 Porter Avenue	Aurora	MO	65605	431936696	Hospital	MO	501c3	3	MH SF COMM	Yes (true)
Mercy Hospital Berryville
214 Carter Street	Berryville	AR	72616	710759299	Hospital	AR	501c3	3	MH NW AK COM	Yes (true)
Mercy Hospital Booneville
880 West Main Street	Booneville	AR	72927	463851119	Hospital	AR	501c3	3	MH FT SMITH	Yes (true)
Mercy Hospital Carthage
3125 Dr Russell Smith Way	Carthage	MO	64836	453808607	Hospital	MO	501c3	3	MH SW MOKS	Yes (true)
Mercy Hospital Cassville
94 Main Street	Cassville	MO	65625	431936699	Hospital	MO	501c3	3	MH SF COMM	Yes (true)
Mercy Hospital Columbus
220 Pennsylvania Avenue	Columbus	KS	66725	270842031	Hospital	KS	501c3	3	MH SW MOKS	Yes (true)
Mercy Hospital El Reno Inc
2115 Parkview Drive	El Reno	OK	73036	272716065	Hospital	OK	501c3	3	MH OK CITY	Yes (true)
Mercy Hospital Fort Smith
7301 Rogers Avenue	Fort Smith	AR	72903	710240352	Hospital	AR	501c3	3	MH FS COMM	Yes (true)
Mercy Hospital Healdton Inc
3462 Hospital Rd	Healdton	OK	73438	263173902	Hospital	OK	501c3	3	MH ARDMORE	Yes (true)
Mercy Hospital Jefferson
1400 Highway 61 South	Festus	MO	63028	430687077	Hospital	MO	501c3	3	MH EAST COMM	Yes (true)
Mercy Hospital Joplin
100 Mercy Way	Joplin	MO	64804	270814858	Hospital	MO	501c3	3	MH SW MOKS	Yes (true)
Mercy Hospital Kingfisher Inc
1000 KINGFISHER REG HOSP	Kingfisher	OK	73750	463433074	Hospital	OK	501c3	3	MH OK CITY	Yes (true)
Mercy Hospital Lebanon
100 Hospital Drive	Lebanon	MO	65536	431767432	Hospital	MO	501c3	3	MH FS COMM	Yes (true)
Mercy Hospital Lincoln
1000 East Cherry Street	Troy	MO	63379	472219204	Hospital	MO	501c3	3	MH EAST COMM	Yes (true)
Mercy Hospital Logan County Inc
200 South Academy	Guthrie	OK	73044	452998842	Hospital	OK	501c3	3	MH OK CITY	Yes (true)
Mercy Hospital Oklahoma City Inc
4300 W Memorial Road	Oklahoma City	OK	73120	730579285	Hospital	OK	501c3	3	MH OK COMM	Yes (true)
Mercy Hospital Ozark
801 W River Street	Ozark	AR	72949	710689680	Hospital	AR	501c3	3	MH FT SMITH	Yes (true)
Mercy Hospital Paris
500 E Academy	Paris	AR	72855	710655753	Hospital	AR	501c3	3	MH FT SMITH	Yes (true)
Mercy Hospital Rogers
2710 Rife Medical Lane	Rogers	AR	72758	710294390	Hospital	AR	501c3	3	MH NW AK COM	Yes (true)
Mercy Hospital Tishomingo Inc
1000 South Byrd	Tishomingo	OK	73460	274433830	Hospital	OK	501c3	3	MH ADA INC	Yes (true)
Mercy Hospital Waldron
1341 W 6th Street	Waldron	AR	72958	710557895	Hospital	AR	501c3	3	MH FT SMITH	Yes (true)
Mercy Hospital Watonga Inc
500 Clarence Nash Blvd	Watonga	OK	73772	455199762	Hospital	OK	501c3	3	MH OK CITY	Yes (true)
MERCY HOSPITALS EAST COMMUNITIES
615 S New Ballas Road	St Louis	MO	63141	430653493	Hospital	MO	501c3	3	MH EAST COMM	Yes (true)
MERCY KANSAS COMMUNITIES INC
401 Woodland Hills Blvd	Ft Scott	KS	66701	480956045	Hospital	KS	501c3	3	MH SW MOKS	Yes (true)
Mercy Ministries of Laredo
2500 Zacatecas	Laredo	TX	78046	200198462	Outreach	TX	501c3	7	Mercy Health	Yes (true)
Mercy Research
524 North Booneville Avenue	Springfield	MO	65802	870796305	Research	MO	501c3	4	Mercy Health	Yes (true)
Mercy St Francis Hospital
100 W Highway 60	Mountain View	MO	65548	440607149	Hospital	MO	501c3	3	MH FS COMM	Yes (true)
MHM Support Services
14528 S Outer Forty Suite 100	Chesterfield	MO	63017	202553101	CTRL SYS FUNC	MO	501c3	12a	Mercy Health	Yes (true)
Mission Clinical Services
300 Werner Street	Hot Springs	AR	71913	134239691	CHILD ADVOC	AR	501c3	3	Mercy Health	Yes (true)
Mercy Health Foundation South
10010 Kennerly Road	St Louis	MO	63128	261516789	Fundraising	MO	501c3	12a	MH SOUTH	Yes (true)
Mercy Hospital South
10010 Kennerly Road	St Louis	MO	63128	430980256	Hospital	MO	501c3	3	MH EAST COMM	Yes (true)
St Anthony's Physician Organization
10010 Kennerly Road	St Louis	MO	63128	431784536	Health care	MO	501c3	3	MH SOUTH	Yes (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	Yes (true)
Unity Ambulatory Care
14528 S Outer Forty Suite 100	Chesterfield	MO	63017	431861745	Inactive	MO	501c3	12c	MH EAST COMM	Yes (true)
MERCY SPECIALTY HOSPITAL SE KS
14528 S OUTER FORTY SUITE 100	CHESTERFIELD	MO	63017	843730625	Hospital	KS	501c3	3	MH SW MOKS	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
FORT SMITH 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

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	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	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
				000000000	Inactive		NA	C-Corp	Aon House 30 Woodbourne Avenue	Pembroke	BD	HM 08	BD

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

Transactions Related Org TransactionsRelatedOrgGrp (16 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MHM Support Services
P	$212,524,379	FMV
Mercy Health Springfield Communities
Q	$106,992,626	FMV
Mercy ACO Clinical Services
Q	$11,512,039	FMV
Mercy Kansas Communities
Q	$693,713	FMV
Mercy Research
Q	$564,236	FMV
Mercy Clinic Springfield Communities
P	$536,551	FMV
Mercy Specialty Hospital Southeast Kansas
P	$402,681	FMV
Mercy Hospital Lebanon
P	$302,636	FMV
Mercy Health East Communities
Q	$237,668	FMV
Mercy Health SW MOKAN Communities
P	$115,684	FMV
Mercy Hospital Rogers
P	$91,085	FMV
Mercy Hospital Fort Smith
Q	$89,291	FMV
Mercy Hospitals East Communities
Q	$77,690	FMV
Mercy Health NW Arkansas Communities
P	$68,631	FMV
Mercy Health Foundation Springfield
Q	$59,614	FMV
Mercy Hospital Carthage
P	$50,212	FMV

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE R, PART II	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt