2021-05-11T16:09:18-05:00 2020-06-30 ERNST & YOUNG US LLP 221 E 4TH ST SUITE 2900 CINCINNATI OH 45202 990 2019-07-01 200198462 MERCY MINISTRIES OF LAREDO % ELIZABETH CASSO CFO MERC 3145796100 2500 Zacatecas St Laredo TX 78046 SISTER MARIA LUISA VERA President/CEO 9567217411 2021-05-07 true ABBEY E LEIBEL P01517527 5126121400 2021-05-05 2019 2022-09-23 18:48:47Z Sister Maria Luisa Vera RSM 2500 Zacatecas St Laredo TX 78046 2007387 false 0928 X www.mercy.net X 2003 TX AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. 18 18 0 172 0 0 1292784 1721358 270651 248705 4230 7204 5965 21480 1573630 1998747 226373 199466 0 0 2304520 2289694 0 0 130661 859945 715099 3390838 3204259 -1817208 -1205512 29082411 29237702 357473 296142 28724938 28941560 AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. false false 1979495 186921 233696 MERCY MINISTRIES OF LAREDO PROVIDES INTEGRATED PRIMARY HEALTHCARE AND BEHAVIORAL HEALTH SERVICES TO LOW INCOME AND UNINSURED FAMILIES OF WEBB COUNTY, TEXAS. SERVICES ARE PROVIDED AT MERCY CLINIC LOCATED AT 2500 ZACATECAS STREET AND AT FOURTEEN OUTREACH SITES THROUGHOUT WEBB COUNTY VIA A MEDICAL MOBILE CLINIC. MERCY MOBILE CLINIC DELIVERS SERVICES TO COLONIAS (UNINCORPORATED AREAS), INNER CITY AND OUTLYING AREAS WHERE MEDICAL HELP IS INACCESSIBLE. THE MAIN PROGRAMS ARE PRIMARY AND BEHAVIORAL HEALTH SERVICES, OUTREACH AND EDUCATION, ADULT DENTAL SERVICES AND MEDICATION ASSISTANCE PROGRAM. A TOTAL OF 1,939 UNDUPLICATED PATIENTS WERE SERVED IN FISCAL YEAR 2020. PRIMARY & BEHAVIORAL HEALTHCARE: THE PRIMARY AND BEHAVIORAL HEALTH PROGRAMS ARE STAFFED WITH FAMILY NURSE PRACTITIONERS, WOMEN'S HEALTH NURSE PRACTITIONERS AND LICENSED PROFESSIONAL COUNSELORS. THE PRACTITIONERS HAD OVER 7,136 MEDICAL ENCOUNTERS DURING THE FISCAL YEAR. BEHAVIORAL HEALTH COUNSELING AND SCREENING HAS BEEN INTEGRATED INTO THE PRIMARY HEALTHCARE PROGRAM TO AID PATIENTS WITH BEHAVIOR MODIFICATION AND CONTROL OF ANXIETY AND DEPRESSION. THERE WERE 978 COUNSELING ENCOUNTERS DURING THE YEAR. ALL PATIENTS ARE SCREENED FOR ANXIETY AND DEPRESSION AT THEIR ANNUAL WELLNESS EXAM. THE PRIMARY HEALTHCARE PROGRAM FOCUSES ON PREVENTION AND EDUCATION. IT INCLUDES ANNUAL PHYSICAL AND WELLNESS EXAMS WITH SCREENINGS FOR DIABETES, HYPERTENSION AND HEART DISEASE. THE PROGRAM ALSO INCLUDES SCREENINGS FOR BREAST, CERVICAL, COLON AND PROSTATE CANCER. THERE WERE 1,237 CANCER SCREENING TESTS PERFORMED IN FISCAL YEAR 2020. SEVEN PATIENTS WERE DIAGNOSED DURING THE YEAR WITH SOME FORM OF CANCER AND WERE REFERRED TO SPECIALISTS FOR TREATMENT. MERCY CLINIC COLLABORATES WITH LOCAL ONCOLOGISTS AND DIAGNOSTICIANS TO ASSIST PATIENTS WITH EXPENSES FOR TREATMENT. ALL CASES ARE FOLLOWED BY CASE MANAGERS. CASE MANAGERS AND SOCIAL WORKERS PLAY A CRITICAL ROLE IN THE PRIMARY HEALTHCARE PROGRAM. MID-LEVEL PRACTITIONERS REFER PATIENTS TO PHYSICIANS AND/OR SPECIALTY PHYSICIANS WHEN NECESSARY. THE CASE MANAGERS GUIDE PATIENTS THROUGH THE MEDICAL SYSTEM AND MAKE ALL SPECIALTY AND FOLLOW UP REFERRALS. OVER 815 PATIENTS WERE REFERRED TO MEDICAL SPECIALISTS FOR CARE. SOCIAL WORKERS AND CASE MANAGERS HAD OVER 7,788 PATIENT ENCOUNTERS DURING FISCAL YEAR 2020. DIABETIC AND PRE-DIABETIC PATIENTS ARE MONITORED CLOSELY BY THE CLINIC. EDUCATION, COUNSELING, NUTRITION AND EXERCISE CLASSES ARE PROVIDED IN AN EFFORT TO AID PATIENTS CONTROL THEIR DISEASE. A TOTAL OF 450 UNDUPLICATED DIABETIC PATIENTS WERE SEEN THROUGH THE PROGRAM. 199486 0 0 OUTREACH & EDUCATION: A CRITICAL PART OF MERCY'S PROGRAM IS REACHING OUT TO PEOPLE WHO LIVE IN REMOTE AREAS. THE OUTREACH PROGRAM SEEKS TO EDUCATE PATIENTS ON THE NEED FOR A MEDICAL HOME AND REGULAR PHYSICAL EXAMS. OUTREACH PROVIDES MEDICAL SERVICES VIA THE MERCY MEDICAL MOBILE CLINIC TO PATIENTS AT FOURTEEN LOCATIONS THROUGHOUT WEBB COUNTY TEXAS. THESE ARE REMOTE LOCATIONS WHERE TRANSPORTATION IS A BARRIER TO CARE. THE MOBILE CLINIC IS STAFFED WITH A FAMILY NURSE PRACTITIONER AND CASE MANAGER. THERE WERE 426 MEDICAL ENCOUNTERS ON THE MOBILE CLINIC DURING THE YEAR. COMMUNITY HEALTHCARE WORKERS ALSO PLAY AN IMPORTANT ROLE IN THE EDUCATION COMPONENT OF THESE EFFORTS. OUTREACH EFFORTS INCLUDED HOME VISITS AND PLATICAS ON HEALTH CARE DURING FISCAL YEAR 2020. 275545 12545 15009 MERCY MINISTRIES OF LAREDO'S OTHER PROGRAMS INCLUDE MEDICATION ASSISTANCE AND AN ADULT DENTAL CLINIC. THE MEDICATION ASSISTANCE PROGRAM GUIDES PATIENTS THROUGH THE PROCESS OF SECURING FREE ORLOW-COST MEDICATIONS THROUGH PHARMACEUTICAL COMPANIES. THE PHARMACEUTICAL COMPANIES PROVIDED $1,382,888 OF MEDICATIONS FOR CLINIC PATIENTS DURING FISCAL YEAR 2020. MERCY MINISTRIES ALSO COLLABORATES WITH LOCAL PHARMACIES TO HELP PATIENTS OBTAIN ANTIBIOTICS AND OTHER MEDICATIONS NECESSARY FOR THEIR CARE. THE DENTAL PROGRAM PROVIDES SERVICES TO ADULT CLINIC PATIENTS. THE CLINIC IS OPEN THREE DAYS PER WEEK AND IS STAFFED BY LOCAL DENTISTS AND MERCY EMPLOYEES. DURING FISCAL YEAR 2020, 1,394 PROCEDURES WERE PERFORMED VALUED AT $142,884. THE DENTAL CLINIC SAW 195 UNDUPLICATED PATIENTS ACCOUNTING FOR 967 DENTAL VISITS FOR THE YEAR. 2454526 true true false false false false false false false false true false false false false false false true false false false false false false true true false true true false false false false false false false false false false false false false false true true true false false true X 44 0 true 0 false false false false false false false false false false false false X 18 18 false false false false true true true true true false false true true true true true true false false false X ELIZABETH CASSO CFO 9567217411 2500 ZACATECAS ST LAREDO TX 78046 X Casso Elizabeth Chief Financial Officer 30.0 30.0 X 0 116382 13737 Bazan Julie Board Member 1.0 1.0 X 0 0 0 Callahan RSM Sr Carol Ann Board Member 1.0 0.0 X 0 0 0 Garcia Virginia Board Member 1.0 0.0 X 0 0 0 Garza Ridge Selena Board Member 1.0 0.0 X 0 0 0 Gutierrez Judith Board Member 1.0 0.0 X 0 0 0 Hartman RSM Sr Donella Board Member 1.0 0.0 X 0 0 0 Leal Jorge Board Member 1.0 0.0 X 0 0 0 Maldonado Olga Board Member 1.0 0.0 X 0 0 0 Martinez Sergio Board Member 1.0 0.0 X 0 0 0 Reyes Raul Board Member 1.0 0.0 X 0 0 0 Vera RSM Sr Maria Luisa Board Member & CEO 58.0 2.0 X X 0 0 0 Zepeda Guadalupe Board Member 1.0 0.0 X 0 0 0 De Leon-Solis Sylvia Board Member 1.0 0.0 X 0 0 0 Gonzalez Jesse Board Member 1.0 0.0 X 0 0 0 Hornedo Graciela Board Member 1.0 0.0 X 0 0 0 Palacios Rosanne Board Member 1.0 0.0 X 0 0 0 Walker Susan Board Member 1.0 0.0 X 0 0 0 Zuniga Jose O Board Member 1.0 0.0 X 0 0 0 0 116382 13737 0 false false false LABCORP PO BOX 12140 BURLINGTON NC 27216 LAB SERVICES 185999 LAREDO MEDICAL CENTER PO BOX 849076 DALLAS TX 75284 DIAGNOSTIC SERVICES 140040 2 84406 126597 1510355 1721358 NET PATIENT SERVICE REVENUE 621339 248705 248705 248705 1504 1504 0 0 4500 4500 0 4500 4500 5700 0 5700 5700 5700 5094 84406 3925 1169 1169 20300 4715 15585 15585 0 0 0 ALL OTHER REVENUE 900099 226 226 226 1998747 248705 28684 75388 75388 124078 124078 0 0 0 0 1868663 1323830 440842 103991 69695 32555 30126 7014 237072 192068 34655 10349 114264 92244 17605 4415 0 0 23000 23000 0 0 0 380574 380574 0 0 0 40555 29489 10721 345 4654 3268 535 851 0 94871 61832 31510 1529 5056 2973 2083 0 2801 2369 432 0 0 57342 45300 10895 1147 9339 9339 DRUGS & MEDICAL EXPENSES 30019 30019 REPAIRS AND MAINTENANCE 41901 36891 4844 166 ALL OTHER EXPENSES 24987 21648 2485 854 3204259 2454526 619072 130661 127753 338530 0 0 246595 163743 0 0 0 0 0 0 0 0 0 0 300 1837 3591164 2918582 646620 672582 28035791 28057925 0 0 0 0 0 0 25352 3085 29082411 29237702 317473 252692 0 0 40000 43450 0 0 0 0 0 0 0 0 0 0 0 0 357473 296142 X 28373673 28693939 351265 247621 28724938 28941560 29082411 29237702 -1205512 1422134 X X false true X true true true X 2243449 1479343 1942389 1292784 1721358 8679323 0 0 2243449 1479343 1942389 1292784 1721358 8679323 3708074 4971249 5991 11064 5575 6830 6004 35464 0 183 154 321 225 226 1109 8715896 1030739 0.57037 0.62166 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 259229 259229 2648982 2341668 307314 667397 563922 103475 15556 12992 2564 672582 FORM 990, SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTES FEDERAL INCOME TAX 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, 2020 OR 2019. 125TH GALA 89500 84406 5094 3925 0 89500 84406 5094 3925 3925 1169 20300 1500 3215 true 1.00000 20300 1500 3215 4715 15585 TX false NOT REQUIRED UNDER TEXAS LAW. NON PROFIT ORGNIZATIONS CAN CONDUCT TWO RAFFLES PER YEAR. false true false 0.00000 1.00000 ELIZABETH CASSO 2500 ZACATECAS ST LAREDO TX 78046 false ELIZABETH CASSO 1000 COORDINATING RAFFLES X false true CASA DE MISERICORDIA 1000 MIER ST LAREDO TX 78040 742912461 501(C)(3) 73388 AID TO DOMESTIC VIOLENCE SHELTER 1 MEDICATION ASSISTANCE 160 12545 SURGICAL ASSISTANCE 29 16491 PHYSICIAN FEES 392 95042 FORM 990, SCHEDULE I, PART I, LINE 2 ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS ASSISTANCE IS PROVIDED TO CLINIC PATIENTS FOR FOOD, TRANSPORTATION, MEDICATION AND SURGERIES AND RELATED PHYSICIAN FEES. GROCERY STORE GIFT CARDS ARE GIVEN TO PATIENTS BASED ON THE ASSESSMENTS OF CLINIC COMMUNITY OUTREACH WORKERS WITH THE APPROVAL OF THE DIRECTOR OF OUTREACH AND EDUCATION. ASSESSMENTS ARE BASED ON ACTUAL HOME VISITS AND PATIENT INTERVIEWS. MEDICATIONS FOR CHRONIC ILLNESSES ARE PROVIDED TO CLINIC PATIENTS BASED ON THE RECOMMENDATION OF THE NURSE PRACTITIONER WITH THE APPROVAL OF THE CLINIC DIRECTOR. SOME CLINIC PATIENTS ARE ASSISTED WITH THE COST OF SPECIAL SURGERIES AND PROCEDURES. THE AMOUNT OF ASSISTANCE IS BASED ON THE RECOMMENDATION OF THE SOCIAL WORKER/CASE MANAGER, CLINIC DIRECTOR AND PRESIDENT OF THE CLINIC. THE USE OF GRANT FUNDS IS NOT MONITORED AFTER GRANTS ARE GIVEN. MERCY MINISTRIES MANAGEMENT DESIGNATES A PERCENTAGE OF UNRESTRICTED DONATIONS IN SUPPORT OF CASA DE MISERICORDIA. THESE DONATIONS ARE APPROVED BY THE PRESIDENT OF MERCY MINISTRIES. FORM 990, PART V, QUESTION 2A W3-FILING EMPLOYEES ARE PAID BY A RELATED ORGANIZATION UNDER A COMMON PAYMASTER ARRANGEMENT. AS SUCH, ALL REQUIRED PAYROLL FILING (INCLUDING W-2, W-3'S) 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. THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED UNTO THE CORPORATE MEMBER: -APPROVAL OF THE ADOPTION OF AND ANY REVISIONS TO THE MISSION, VISION AND OPERATING VALUES PURSUANT TO WHICH THE CORPORATION WILL OPERATE; -APPROVAL OF ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION AND THESE BYLAWS AND ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE CORPORATION AND BYLAWS OF ANY AFFILIATE OF THE CORPORATION; -APPOINTMENT AND REMOVAL OF MEMBERS OF THE BOARD; APPOINTMENT AND REMOVAL OF THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION; ADOPTION OF BUDGETS FOR THE CORPORATION; -TO LEASE OR SELL ANY OF THE ASSETS OF THE CORPORATION, OR ANY AFFILIATE OF THE CORPORATION, IN EXCESS OF ONE MILLION DOLLARS ($1,000,000); -AUTHORIZATION AND APPROVAL OF ANY INCURRENCE OF DEBT BY THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS OR SERVICES ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) OR THE GRANT OF SECURITY INTERESTS, PLACEMENT OF ENCUMBRANCES, ENTERING INTO COVENANTS, EXECUTION OF ANY DOCUMENTS AND TAKING OF ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; -TO MERGE, DISSOLVE, OR ABANDON THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION. FORM 990, PART VI, QUESTION 11B DSCR THE 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. 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 PROVIDED TO THE FILING ORGANIZATION'S LEADERSHIP TEAM, INCLUDING THE CFO AND CEO, FOR REVIEW. ONCE REVIEWED AND APPROVED BY THE FILING ORGANIZATION'S LEADERSHIP TEAM, THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW; IT IS THEN SIGNED AND FILED WITH THE IRS. FORM 990, PART VI, 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, 2020. 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 OFFICERS & POSITIONS FOR WHICH PROCESS WAS USED & YEAR PROCESS WAS BEGUN 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. 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 SR. MARIA LUISA VERA, RSM, DOES NOT TAKE COMPENSATION FOR HER ROLE AS CEO OF MERCY MINISTRIES OF LAREDO. HER COMPENSATION IS PAID DIRECTLY TO THE RELIGIOUS ORDER, AS SHE HAS TAKEN A VOW OF POVERTY. 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. This continues 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. Mercys total system net patient revenues were reduced by over $550 million dollars during the four months ending June 30, 2020, and this figure does not include the impact of any Coronavirus Aid Relief and Economic Security Act ("CARES Act") funding. Mercy received CARES Act funding across various entities for the year ended June 30, 2020 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 in these months due to 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 XII, QUESTION 2C AUDIT OF FINANCIAL STATEMENTS IN ADDITION TO BEING INCLUDED IN THE CONSOLIDATED MERCY MINISTRIES OF LAREDO ANNUAL FINANCIAL STATEMENT AUDIT, 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 2019 (THE TAX YEAR CURRENTLY BEING REPORTED). THE ULTIMATE RESPONSIBILITY FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE EXTERNAL AUDITOR LIES WITH THE STEWARDSHIP COMMITTEE OF 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, 2020 AND WILL BE COMPLETED BY JUNE 30, 2021. 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, 2020, IT WILL BE INCLUDED ON THE MERCY HEALTH CONSOLIDATED SEFA, AND THEREFORE, ALSO INCLUDED IN THE POPULATION INCLUDED IN THE AUDIT. FORM 990 PART IX LINE 11G DESCRIPTION:LAB & DIAGNOSTIC TESTING TOTAL FEES:228978 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:146911 FORM 990 PART IX LINE 11G DESCRIPTION:GRANT EVALUATION CONSULTANT TOTAL FEES:3750 FORM 990 PART IX LINE 11G DESCRIPTION:EXERCISE COACH TOTAL FEES:935 Casa de Misericordia 1000 MIER STREET Laredo TX 78040 742912461 SHELTER TX 501c3 7 MM LAREDO true McAuley Portfolio Management Company 14528 S Outer Forty Suite 100 Chesterfield MO 63017 261708048 PORT MGMT MO 501c3 12b Mercy Health true Mercy ACO Clinical Services Inc 14528 S Outer Forty Suite 100 Chesterfield MO 63017 464504901 VIRTUAL CARE MO 501c3 3 Mercy Health true Mercy Clinic East Communities 645 Maryville Ctr Ste 100 St Louis MO 63141 431771217 PHYS GROUP MO 501c3 10 MH EAST COMM true Mercy Clinic Fort Smith Communities 7301 Rogers Avenue Fort Smith AR 72903 261318597 PHYS CLINIC AR 501c3 3 MH FS COMM true Mercy Clinic Oklahoma Communities Inc 4300 W Memorial Road Oklahoma City OK 73120 270473057 PHYS GROUP OK 501c3 3 MH OK COMM true Mercy Clinic Springfield Communities 1965 Fremont Street Suite 2950 Springfield MO 65804 431560263 PHYS GROUP MO 501c3 3 MH SF COMM true Mercy Family Center 14528 S Outer Forty Suite 100 Chesterfield MO 63017 721069468 COUNSELING LA 501c3 7 Mercy Health true Mercy Health 14528 S Outer Forty Suite 100 Chesterfield MO 63017 431423050 CORP OFFICE MO 501c3 1 NA false Mercy Health East Communities 14528 S Outer Forty Suite 100 Chesterfield MO 63017 431718408 HLTH SYSTEM MO 501c3 12a Mercy Health true Mercy Health Fort Smith Communities 7301 Rogers Avenue Fort Smith AR 72917 261318515 Holding Co AR 501c3 12b Mercy Health true Mercy Health Foundation 14528 S Outer Forty Suite 100 Chesterfield MO 63017 200901499 Foundation MO 501c3 12b Mercy Health true Mercy Health Foundation Ada 430 N Monte Vista Street Ada OK 74820 463596274 Foundation OK 501c3 12a MH ADA Inc true Mercy Health Foundation Ardmore 1011 14th Avenue NW Ardmore OK 73401 710962525 Foundation OK 501c3 12a MH ARDMORE true Mercy Health Foundation Berryville 214 Carter Street Berryville AR 72616 710759301 Foundation AR 501c3 12a MH BERRYVILL true Mercy Health Foundation Fort Scott 401 Woodland Hills Blvd Fort Scott KS 66701 481077073 Foundation KS 501c3 7 M KS COMM true Mercy Health Foundation Fort Smith 7301 Rogers Avenue Fort Smith AR 72917 237330425 Foundation AR 501c3 7 MH FS COMM true Mercy Health Foundation Jefferson 1400 US Highway 61 South Festus MO 63028 462797051 Foundation MO 501c3 12b MH JEFFERSON true Mercy Health Foundation Joplin 100 Mercy Way Joplin MO 64804 270906136 Foundation MO 501c3 7 MH SW MOKS true Mercy Health Foundation Lebanon 100 Hospital Drive Lebanon MO 65536 822514567 Foundation MO 501c3 12b MH LEBANON true Mercy Health Foundation Lincoln 1000 East Cherry Street Troy MO 63379 811477159 Foundation MO 501c3 12b MH EAST COMM true Mercy Health Foundation Nw Arkansas 2710 Rife Medical Lane Rogers AR 72758 710601687 Foundation AR 501c3 7 MH ROGERS true Mercy Health Foundation of Oklahoma 4300 W Memorial Road Oklahoma City OK 73120 454732301 Foundation OK 501c3 12a MH OK COMM true Mercy Health Foundation Oklahoma City 4300 W Memorial Road Oklahoma City OK 73120 463184231 Foundation OK 501c3 12a MH OK City true Mercy Health Foundation Springfield 1235 E Cherokee Street Springfield MO 65804 320195818 Foundation MO 501c3 12b MH SF COMM true Mercy Health Foundation St Francis 100 W Highway 60 Mountain View MO 65548 431873914 Foundation MO 501c3 12a M St Francis true Mercy Health Foundation St Louis 14528 S Outer Forty Suite 100 Chesterfield MO 63017 562410020 Foundation MO 501c3 12b MH EAST COMM true Mercy Health Foundation Washington 901 E Fifth Street Washington MO 63090 562410022 Foundation MO 501c3 12b MH EAST COMM true Mercy Health NW Arkansas Communities 2710 Rife Medical Lane Rogers AR 72758 621684203 PHYS GROUP AR 501c3 10 Mercy Health true Mercy Health Oklahoma Communities Inc 4300 W Memorial Road Oklahoma City OK 73120 731453048 HLTH SYSTEM OK 501c3 12a Mercy Health true Mercy Health Plans of Missouri Inc 3265 S National Avenue Springfield MO 65807 320481419 HMO MO 501c4 N/A Mercy Health true Mercy Health Plans Inc 3265 S National Avenue Springfield MO 65807 320486150 PPO MO 501c4 N/A MH PLANS MO true Mercy Health SW MOKS Communities 100 Mercy Way Joplin MO 64804 300584463 HLTH SYSTEM MO 501c3 12b Mercy Health true Mercy Health Springfield Communities 1235 E Cherokee Street Springfield MO 65804 431856028 HLTH SYSTEM MO 501c3 12b Mercy Health true Mercy Home Health Berryville 804 W Freeman Suite 4 Berryville AR 72616 870781247 Inactive AR 501c3 12a MH SPRINGFLD true Mercy Hospital Ada Inc 430 N Monte Vista Street Ada OK 74820 462288155 Hospital OK 501c3 3 MH OK COMM true Mercy Hospital Ardmore Inc 1011 14th Avenue NW Ardmore OK 73401 731500629 Hospital OK 501c3 3 MH OK COMM true Mercy Hospital Aurora 500 Porter Avenue Aurora MO 65605 431936696 Hospital MO 501c3 3 MH SF COMM true Mercy Hospital Berryville 214 Carter Street Berryville AR 72616 710759299 Hospital AR 501c3 3 MH NW AK COM true Mercy Hospital Booneville 880 West Main Street Booneville AR 72927 463851119 Hospital AR 501c3 3 MH FT SMITH true Mercy Hospital Carthage 3125 Dr Russell Smith Way Carthage MO 64836 453808607 Hospital MO 501c3 3 MH SW MOKS true Mercy Hospital Cassville 94 Main Street Cassville MO 65625 431936699 Hospital MO 501c3 3 MH SF COMM true Mercy Hospital Columbus 220 Pennsylvania Avenue Columbus KS 66725 270842031 Hospital KS 501c3 3 MH SW MOKS true Mercy Hospital El Reno Inc 2115 Parkview Drive El Reno OK 73036 272716065 Hospital OK 501c3 3 MH OK City true Mercy Hospital Fort Smith 7301 Rogers Avenue Fort Smith AR 72903 710240352 Hospital AR 501c3 3 MH FS COMM true Mercy Hospital Healdton Inc 3462 Hospital Rd Healdton OK 73438 263173902 Hospital OK 501c3 3 MH ARDMORE true Mercy Hospital Jefferson 1400 Highway 61 South Festus MO 63028 430687077 Hospital MO 501c3 3 MH EAST COMM true Mercy Hospital Joplin 100 Mercy Way Joplin MO 64804 270814858 Hospital MO 501c3 3 MH SW MOKS true Mercy Hospital Kingfisher Inc 1000 Kingfisher Regional Hospital C Kingfisher OK 73750 463433074 Hospital OK 501c3 3 MH OK City true Mercy Hospital Lebanon 100 Hospital Drive Lebanon MO 65536 431767432 Hospital MO 501c3 3 MH SF COMM true Mercy Hospital Lincoln 1000 East Cherry Street Troy MO 63379 472219204 Hospital MO 501c3 3 MH EAST COMM true Mercy Hospital Logan County Inc 200 South Academy Guthrie OK 73044 452998842 Hospital OK 501c3 3 MH OK City true Mercy Hospital Oklahoma City Inc 4300 W Memorial Road Oklahoma City OK 73120 730579285 Hospital OK 501c3 3 MH OK COMM true Mercy Hospital Ozark 801 W River Street Ozark AR 72949 710689680 Hospital AR 501c3 3 MH FT Smith true Mercy Hospital Paris 500 E Academy Paris AR 72855 710655753 Hospital AR 501c3 3 MH FT Smith true Mercy Hospital Rogers 2710 Rife Medical Lane Rogers AR 72758 710294390 Hospital AR 501c3 3 MH NW AK COM true Mercy Hospital Springfield 1235 E Cherokee Street Springfield MO 65804 440552485 Hospital MO 501c3 3 MH spri COMM true Mercy Hospital Tishomingo Inc 1000 South Byrd Tishomingo OK 73460 274433830 Hospital OK 501c3 3 MH ADA Inc true Mercy Hospital Waldron 1341 W 6th Street Waldron AR 72958 710557895 Hospital AR 501c3 3 MH FT Smith true Mercy Hospital Watonga Inc 500 Clarence Nash Blvd Watonga OK 73772 455199762 Hospital OK 501c3 3 MH OK City true Mercy Hospitals East Communities 615 S New Ballas Road St Louis MO 63141 430653493 Hospital MO 501c3 3 MH EAST COMM true Mercy Kansas Communities Inc 401 Woodland Hills Blvd Ft Scott KS 66701 480956045 Hospital KS 501c3 3 MH SW MOKS true Mercy Research 524 North Booneville Avenue Springfield MO 65802 870796305 Research MO 501c3 4 Mercy Health true Mercy St Francis Hospital 100 W Highway 60 Mountain View MO 65548 440607149 Hospital MO 501c3 3 MH SF COMM true MHM Support Services 14528 S Outer Forty Suite 100 Chesterfield MO 63017 202553101 CTRL SYS FUNC MO 501c3 12a Mercy Health true Mission Clinical Services 300 Werner Street Hot Springs AR 71913 134239691 CHILD ADVOC AR 501c3 3 Mercy Health true Mercy Health Foundation South 10010 Kennerly Road St Louis MO 63128 261516789 Fundraising MO 501c3 12a MH SOUTH true Mercy Hospital South 10010 Kennerly Road St Louis MO 63128 430980256 Hospital MO 501c3 3 MH EAST COMM true St Anthony's Physician Organization 10010 Kennerly Road St Louis MO 63128 431784536 Health care MO 501c3 3 MH SOUTH true St Mary's Hospital of Enid Oklahoma Inc 14528 S Outer Forty Suite 100 Chesterfield MO 63017 730614655 Inactive OK 501c3 3 MH OK COMM true Unity Ambulatory Care 14528 S Outer Forty Suite 100 Chesterfield MO 63017 431861745 Inactive MO 501c3 12c MH EAST COMM true Mercy Specialty Hospital SE KS 14528 S Outer Forty Suite 100 Chesterfield MO 63017 843730625 Hospital KS 501C3 3 MH SW MOKS true Fort Smith Emergency Medical Services 1701 S Greenwood FT SMITH AR 72901 710416615 Emergency Medical AR NA Mercy Ambulatory Surgery Center LLC 7301 Rogers FT SMITH AR 72917 710827721 AMBUL SURG CT AR NA Plaza Surgery Services Company LLC 12700 Southfork RD St Louis MO 63128 204709312 INACTIVE MO NA Resource Optimization & Innovation LLC 645 Maryville St Louis MO 63141 460468368 CENTRAL DIST. MO NA St Edward Mercy Med Ctr Multi-Purp BLDG 7301 Rogers FT SMITH AR 72903 710554050 OFFICE BUILDING AR NA Platinum CPS Holdings LLC 14528 S OUTER FORTY SUITE 100 CHESTERFIELD MO 63017 842493007 HOLDING COMPANY MO NA Frontenac Properties Inc 14528 S Outer Forty Suite 100 Chesterfield MO 63017 521914421 Holding co DE NA C-Corp Inveno Health Inc 1235 E Cherokee Street Springfield MO 65804 264509571 Product Commerce MO NA C-Corp Mercy Commercial Services Inc 14528 South Outer Forty Suite 100 Chesterfield MO 63017 464953543 PARENT OF VCC MO NA C-Corp Mercy Health Center Condominium Inc 4300 W Memorial Rd Oklahoma City OK 73120 680640970 Real estate OK NA C-Corp Mercy Health Network of the Southern Reg 14528 S Outer Forty Suite 100 Chesterfield MO 63017 731580607 HOLDING CO OK NA C-Corp Mercy Health Network Inc 14528 S Outer Forty Suite 100 Chesterfield MO 63017 731381689 HOLDING CO OK NA C-Corp Mercy Managed Care Corporation 14528 S Outer Forty Suite 100 Chesterfield MO 63017 731441665 HOLDING CO OK NA C-Corp UHL Corp Inc 645 Maryville Centre Drive Suite 1 St Louis MO 63141 742499535 Holding co MO NA C-Corp Unity Support Services Inc 645 Maryville Centre Drive Suite 1 St Louis MO 63141 431797042 Inactive MO NA C-Corp St Anthony's Physician Org of Illinois 10010 Kennerly Road St Louis MO 63128 320457168 Health Care MO NA C-Corp McAuley Insurance Company Ltd Aon House 30 Woodbourne Avenue Pembroke BD HM 08 000000000 INACTIVE BD NA C-CORP false true false false false false false false false false false false false false false true true false false MHM SUPPORT SERVICES P 717807 FMV Casa de Misericordia B 73388 FMV FORM 990, SCHEDULE R, PART II MERCY HOSPITALS EAST COMMUNITIES MERCY HOSPITALS EAST COMMUNITIES CONSISTS OF MERCY HOSPITAL ST. LOUIS, EIN 43-0653493, AND MERCY HOSPITAL WASHINGTON, EIN 43-1066883. FORM 990, SCHEDULE R, PART V LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY HEALTH SYSTEM, INC. AND SUBSIDIARIES. THE MAJORITY OF THE INTERCOMPANY/RELATED ORGANIZATION TRANSACTIONS ARE PROCESSED THROUGH LAWSON VIA INTERCOMPANY JOURNAL ENTRIES. WITH THE CURRENT DESIGN OF THE ERP SYSTEM, THERE ARE VARIOUS LIMITATIONS ON THE RELATED ORGANIZATION INFORMATION THAT CAN BE EXTRACTED FROM LAWSON. DUE TO THESE LIMITATIONS, MOST OF THE RELATED ORGANIZATION ACTIVITY FOR THE FILING ORGANIZATION HAS BEEN CLASSIFIED ON SCHEDULE R, PART V, IN LINES P & Q.