MERCY HOSPITAL JOPLIN: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: MERCY HOSPITAL JOPLIN (EIN 27-0814858)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-15
IRS object ID: 201901359349308360
Schema version: 2017v2.3
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	2019-05-15T13:29:54-05:00	ReturnTs
Tax Period End	2018-06-30	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	950 MAIN AVENUE SUITE 1800	AddressLine1Txt
City	CLEVELAND	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44113	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	270814858	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
In Care Of	% THOMAS P MATHEWS VP-FINANCE	InCareOfNm
Business Name Control	MERC	BusinessNameControlTxt
Phone	3145796100	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 MERCY WAY	AddressLine1Txt
City	Joplin	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	64804	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	THOMAS P MATHEWS	PersonNm
Person Title	VP Finance	PersonTitleTxt
Phone	4793382903	PhoneNum
Signature	2019-05-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ERICA FERTELMES	PreparerPersonNm
PTIN	P01608257	PTIN
Phone	2168615000	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	164.57.159.253	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	31049020191355000018	FederalOriginalSubmissionId
Federal Original Submission Id	2019-05-15	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	EA90B421AD8FA5CFEB89E9A411EFD7FAC643C3FA	AtSubmissionCreationDeviceId
At Submission Filing Device Id	34163F381DEDE5EE0CABDD6E8F3BD042227F3C04	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	GARY PULSIPHER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 MERCY WAY	AddressLine1Txt
City	JOPLIN	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	64804	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$280,976,908	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	2009	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	12	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	228	TotalVolunteersCnt
Total Gross UBI	$303,260	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$286,939	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$6,289,619	PYContributionsGrantsAmt
CY Contributions Grants	$2,271,333	CYContributionsGrantsAmt
PY Program Service Revenue	$243,942,865	PYProgramServiceRevenueAmt
CY Program Service Revenue	$274,616,903	CYProgramServiceRevenueAmt
PY Investment Income	$571,985	PYInvestmentIncomeAmt
CY Investment Income	$409,606	CYInvestmentIncomeAmt
PY Other Revenue	$3,170,038	PYOtherRevenueAmt
CY Other Revenue	$3,510,167	CYOtherRevenueAmt
PY Total Revenue	$253,974,507	PYTotalRevenueAmt
CY Total Revenue	$280,808,009	CYTotalRevenueAmt
PY Grants And Similar Paid	$353,660	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$323,903	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$104,663,123	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$114,974,353	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$153,762,736	PYOtherExpensesAmt
CY Other Expenses	$160,952,884	CYOtherExpensesAmt
PY Total Expenses	$258,779,519	PYTotalExpensesAmt
CY Total Expenses	$276,251,140	CYTotalExpensesAmt
PY Revenues Less Expenses	-$4,805,012	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$4,556,869	CYRevenuesLessExpensesAmt
Total Assets BOY	$487,847,263	TotalAssetsBOYAmt
Total Assets EOY	$456,793,600	TotalAssetsEOYAmt
Total Liabilities BOY	$42,011,375	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$37,202,821	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$445,835,888	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$419,590,779	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	$10,242,187	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$73,614,607	RevenueAmt
Desc	MERCY HOSPITAL JOPLIN CONTINUES ITS MISSION OF PROVIDING HEALTHCARE TO THE FOUR-STATE REGION WITH COMPASSION AND A DEEP DESIRE TO HELP THE PEOPLE IN OUR COMMUNITY. WITH 240 LICENSED BEDS, WE SERVE ALL PERSONS IN THE COMMUNITY ON A NON-DISCRIMINATORY BASIS AND OPERATE A 24-HOUR EMERGENCY ROOM 365 DAYS PER YEAR THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. MERCY HOSPITAL JOPLIN PARTICIPATES IN MEDICARE AND MEDICAID AND HAS AN ACTIVE CHARITY CARE PROGRAM. FROM DIAGNOSTICS AND TREATMENT TO REHABILITATION AND PREVENTION, WE OFFER THE MOST EXPERIENCED AND SOPHISTICATED CARDIOVASCULAR SERVICES IN THIS REGION. OUR CARDIOLOGISTS AND CARDIOVASCULAR SURGEONS WORK TOGETHER AS A TEAM TO IDENTIFY THE BEST POSSIBLE TREATMENT FOR EVERY PATIENT, AND THEY HAVE THE MOST ADVANCED TECHNOLOGIES AND TREATMENTS AT THEIR DISPOSAL.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$1,205,742	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$8,883,370	RevenueAmt
Desc	AT MERCY HOSPITAL JOPLIN, WE ARE COMMITTED TO OFFERING YOU AND YOUR FAMILY THE MOST EXTENSIVE CANCER PROGRAM IN THE 19-COUNTY AREA SURROUNDING JOPLIN. WE REALIZED THE IMPORTANCE OF COMPLETE CANCER CARE BACK IN 1979. SINCE THAT TIME, WE HAVE CONTINUED TO INVEST IN THE LATEST TECHNOLOGY, AND IN HIRING THE BEST HEALTH PROFESSIONALS. OUR EXPERIENCED TEAM OF MEDICAL AND RADIATION ONCOLOGISTS, HEMATOLOGISTS, PATHOLOGISTS, RADIOLOGISTS, NURSES AND THERAPISTS ARE ONCE AGAIN HELPING PATIENTS BEAT CANCER. WE ALSO UNDERSTAND THAT YOUR PROGNOSIS IMPROVES DRAMATICALLY WHEN YOUR TREATMENT SUPPORTS YOUR BODY, MIND AND SPIRIT. THAT'S WHY WE OFFER NUTRITIONAL COUNSELING, SUPPORT GROUPS AND INSIST ON THE BEST NURSING CARE. LIKEWISE, WE KNOW THE IMPACT OF CANCER EXTENDS BEYOND THE PATIENT, SO OUR STAFF IS SENSITIVE TO THE NEEDS OF FAMILY AND FRIENDS. OUR LONG-TERM PROMISE IS TO BUILD UPON THE FOUNDATION WE ESTABLISHED DECADES AGO, AND ULTIMATELY, TO GIVE EACH OF OUR PATIENTS THE BEST CANCER CARE IN THE REGION.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$5,996,563	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$61,920,695	RevenueAmt
Desc	MERCY HOSPITAL JOPLIN'S EXPERTISE IS NEVER MORE EVIDENT THAN IN EMERGENCY SITUATIONS. OUR EMERGENCY DEPARTMENT HAS EXPANDED WITH MORE SPACE AND FUNCTIONALITY THAN EVER BEFORE. THE DEPARTMENT INCLUDES 3 TRIAGE ROOMS, 17 EXAM ROOMS, 3 TRAUMA ROOMS, AND 18 CRITICAL CARE BEDS. AT ANY TIME, DAY OR NIGHT, WE HAVE SURGEONS AND ANESTHESIOLOGISTS READY TO TEND TO YOU OR YOUR LOVED ONE, PLUS QUICK ACCESS TO PHYSICIANS IN ORTHOPEDICS, NEUROSURGERY, INTERNAL MEDICINE AND OTHER SPECIALTIES. WE EQUIP OUR STAFF WITH TOP OF THE LINE CARDIAC MONITORING SYSTEMS, ENABLING THEM TO TAKE CARE OF EVEN THE MOST CRITICAL PATIENTS. AND, WHEN SECONDS COUNT, WE OFFER MED-FLIGHT AIR MEDICAL SERVICE WITH THE MOST EXPERIENCED PILOTS AND STAFF, AND TWO ON-SITE HELIPADS. DURING THE YEAR MERCY HOSPITAL JOPLIN SERVED 38,659 PATIENTS THROUGH OUR EMERGENCY DEPARTMENT.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$178,350,884	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$323,903	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$274,616,903	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$195,795,376	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
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	false	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 With Officer Ent	false	BusinessRlnWithOfficerEntInd
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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	false	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	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	THOMAS P MATHEWS VP-FINANCE	PersonNm
Phone	4793382903	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 MERCY WAY	AddressLine1Txt
City	JOPLIN	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	64804	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Bazzano DO Stephen
Physician & Board member	1.0	59.0	Yes (X)	$0	$375,207	$9,433
Dumm Elizabeth
Board member	1.0	0.0	Yes (X)	$0	$0	$0
Glauber Christine
Board member	1.0	1.0	Yes (X)	$0	$0	$0
Godfrey MD Tracy
Physician & Board member	10.0	50.0	Yes (X)	$0	$426,424	$51,906
Hendricks RSM Sr Rebecca Ann
Board member	1.0	13.0	Yes (X)	$0	$0	$0
Huff CJ
Board member	1.0	0.0	Yes (X)	$0	$0	$0
Thomas Danny
Board member	1.0	1.0	Yes (X)	$0	$0	$0
Hodson Brad
Board member	1.0	0.0	Yes (X)	$0	$0	$0
Stewart Mathew
Board member	1.0	0.0	Yes (X)	$0	$0	$0
Quepons Isabel
Board member	1.0	0.0	Yes (X)	$0	$0	$0
Wheeler DO Frederic
Board member	1.0	1.0	Yes (X)	$0	$0	$0
Pulsipher Gary W
Chief executive officer	30.0	30.0	Yes (X)	$639,456	$0	$84,054	Yes (X)
Reynolds Scott
CFO-Central Communities	4.0	56.0		$0	$532,268	$106,770	Yes (X)
Mathews Thomas P
VP Finance	1.0	59.0		$0	$0	$0	Yes (X)
Drinkwitz Jeremy
COO	60.0	0.0		$298,445	$0	$31,691		Yes (X)
Manley Dennis G
Chief nursing officer	60.0	0.0		$258,431	$0	$60,271		Yes (X)
Marion Tanya
Regional VP-Human Resources	4.0	56.0		$0	$329,347	$59,431		Yes (X)
Murphy Tim
VP-HR	60.0	0.0		$0	$153,957	$22,616		Yes (X)
Swope Jon
President - Central Communitie	4.0	56.0		$0	$1,207,500	$171,207		Yes (X)
Burke James
REGIONAL VP-Legal - THRU 10/17	5.0	55.0		$0	$355,737	$21,532		Yes (X)
Russell Judith A
Nurse Practitioner III	60.0	0.0		$232,243	$0	$27,380			Yes (X)
Boyd Sarah A
Director, pharmacy services	60.0	0.0		$187,198	$0	$9,726			Yes (X)
Rhoades Samuel J
Medical physicist	60.0	0.0		$183,788	$0	$15,665			Yes (X)
Holding Tim A
Manager, pharmacy services	60.0	0.0		$154,820	$0	$23,606			Yes (X)
Cannon Nora L
Exec Dir-cardiovascular serv	60.0	0.0		$147,403	$0	$20,965			Yes (X)
Hunter Shelly
Former officer	0.0	0.0		$180,956	$0	$19,033				Yes (X)
Hennessey III William
Former key employee	0.0	60.0		$0	$242,284	$48,903				Yes (X)
Watson Robert S
Former key employee	0.0	60.0		$0	$253,637	$25,769				Yes (X)
James Joel W
VP-Mission	0.0	60.0		$187,938	$0	$9,135				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,470,678	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,876,361	TotReportableCompRltdOrgAmt
Total Other Compensation	$819,093	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	49	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
HOSPITAL MEDICINE ASSOCIATES
PO BOX 634850	CINCINNATI	OH	45263	PHYSICIAN STAFFING	$3,300,601
UROLOGIC SPECIALISTS OF OK
10901 E 48TH ST SOUTH	TULSA	OK	74146	PHYSICIAN STAFFING	$1,284,820
Northstar Anesthesia of MO
6225 N State Hwy 161 Ste 200	IRVING	TX	75038	PHYSICIAN STAFFING	$3,698,410
Delphi of Team Health
PO Box 634850	CINCINNATI	OH	45263	Physician Staffing	$1,627,934
LOCUM LEADERS OF MISSOURI
12400 HIGH BLUFF DR	SAN DIEGO	CA	92130	PHYSICAN STAFFING	$1,244,213

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	43	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,177,652	RelatedOrganizationsAmt
Government Grants	$1,081,396	GovernmentGrantsAmt
All Other Contributions	$12,285	AllOtherContributionsAmt
Total Contributions	$2,271,333	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	621110	$174,073,133	$174,073,133
OTHER OPERATING REVENUE	900099	$1,865,367	$1,865,367
LAB SERVICES	621500	$98,678,403	$98,382,886	$295,517

Field	Value	IRS element (for citing)
Total Program Service Revenue	$274,616,903	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$577,880	TotalRevenueColumnAmt
Exclusion	$577,880	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	$1,966,831	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,966,831	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,966,831	TotalRevenueColumnAmt
Exclusion	$1,966,831	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$625	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$168,899	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$168,274	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$168,274	TotalRevenueColumnAmt
Exclusion	-$168,274	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 (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFE & VENDING	711120	$1,535,593	$1,535,593
DURABLE MEDICAL EQUIPMENT	900099	$7,743		$7,743

Field	Value	IRS element (for citing)
Other Revenue Total	$1,543,336	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$280,808,009	TotalRevenueColumnAmt
Related Or Exempt Func Income	$274,321,386	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$303,260	UnrelatedBusinessRevenueAmt
Exclusion	$3,912,030	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$220,716	TotalAmt
Program Services	$220,716	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$103,187	TotalAmt
Program Services	$103,187	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	$1,372,366	TotalAmt
Program Services	$1,148,213	ProgramServicesAmt
Management And General	$224,153	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$11,123	TotalAmt
Program Services	$11,123	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$94,232,018	TotalAmt
Program Services	$78,839,091	ProgramServicesAmt
Management And General	$15,392,927	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,148,316	TotalAmt
Program Services	$2,634,003	ProgramServicesAmt
Management And General	$514,313	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$10,591,898	TotalAmt
Program Services	$8,861,891	ProgramServicesAmt
Management And General	$1,730,007	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,618,632	TotalAmt
Program Services	$4,700,924	ProgramServicesAmt
Management And General	$917,708	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	$18,479	TotalAmt
Management And General	$18,479	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	$11,160,375	TotalAmt
Program Services	$8,041,525	ProgramServicesAmt
Management And General	$3,118,850	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$48,401	TotalAmt
Program Services	$6,616	ProgramServicesAmt
Management And General	$41,785	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,118,888	TotalAmt
Program Services	$897,463	ProgramServicesAmt
Management And General	$3,221,425	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$259,537	TotalAmt
Program Services	$185,124	ProgramServicesAmt
Management And General	$74,413	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,870,457	TotalAmt
Program Services	$274,876	ProgramServicesAmt
Management And General	$5,595,581	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$378,990	TotalAmt
Program Services	$249,087	ProgramServicesAmt
Management And General	$129,903	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	$5,646	TotalAmt
Program Services	$1,021	ProgramServicesAmt
Management And General	$4,625	ManagementAndGeneralAmt

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	$29,160,812	TotalAmt
Program Services	$10,049,570	ProgramServicesAmt
Management And General	$19,111,242	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,661,415	TotalAmt
Program Services	$260,493	ProgramServicesAmt
Management And General	$1,400,922	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
DRUGS & MEDICAL EXPENSES	$41,633,674	$41,144,422	$489,252
SHARED SERVICE FEES	$28,983,646	$2,258,415	$26,725,231
BAD DEBT	$35,496,980	$35,496,980
REPAIRS & MAINTENANCE	$940,926	$113,613	$827,313

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,214,658	TotalAmt
Program Services	$297,023	ProgramServicesAmt
Management And General	$917,635	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$276,251,140	TotalAmt
Program Services	$195,795,376	ProgramServicesAmt
Management And General	$80,455,764	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$5,623,020	BOYAmt
EOY	$5,620,114	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	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$30,030,152	BOYAmt
EOY	$31,190,627	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	$4,192,631	BOYAmt
EOY	$4,031,721	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$659,439	BOYAmt
EOY	$543,010	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$524,042,595	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$111,777,446	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$435,830,025	BOYAmt
EOY	$412,265,149	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	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$11,511,996	BOYAmt
EOY	$3,142,979	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$487,847,263	BOYAmt
EOY	$456,793,600	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$32,906,335	BOYAmt
EOY	$32,602,446	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$11,265	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$9,093,775	BOYAmt
EOY	$4,600,375	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	$0	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$42,011,375	BOYAmt
EOY	$37,202,821	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$445,740,946	BOYAmt
EOY	$419,495,837	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$94,942	BOYAmt
EOY	$94,942	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$445,835,888	BOYAmt
EOY	$419,590,779	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$487,847,263	BOYAmt
EOY	$456,793,600	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$4,556,869	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$30,801,978	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

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	$18,479	OtherActivitiesAmt
Total Lobbying Expenditures	$18,479	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: MISSOURI HOSPITAL ASSOCIATION, AMERICAN HOSPITAL ASSOCIATION AND CATHOLIC HEALTH ASSOCIATION. FOR THE YEAR ENDED JUNE 30, 2018, DUES WERE $49,373, $21,013 AND $43,312, RESPECTIVELY. APPROXIMATELY 24.20% OF MISSOURI HOSPITAL ASSOCIATION DUES, 22.98% OF AMERICAN HOSPITAL ASSOCIATION DUES AND 3.93% 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)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$33,116,427	OtherCostOrOtherBasisAmt
Book Value	$33,116,427	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$397,534,569	OtherCostOrOtherBasisAmt
Depreciation	$56,123,124	DepreciationAmt
Book Value	$341,411,445	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$539,454	OtherCostOrOtherBasisAmt
Depreciation	$317,638	DepreciationAmt
Book Value	$221,816	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$87,998,950	OtherCostOrOtherBasisAmt
Depreciation	$53,898,266	DepreciationAmt
Book Value	$34,100,684	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$4,853,195	OtherCostOrOtherBasisAmt
Depreciation	$1,438,418	DepreciationAmt
Book Value	$3,414,777	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$412,265,149	TotalBookValueLandBuildingsAmt

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, 2018 OR 2017.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
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	$11,614,652	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,614,652	NetCommunityBenefitExpnsAmt
Total Expense	0.04820	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$57,593,353	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$64,510,588	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$69,208,005	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$64,510,588	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,614,652	NetCommunityBenefitExpnsAmt
Total Expense	0.04820	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$64,812	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$64,812	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$542,460	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$542,460	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$654,303	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$654,303	NetCommunityBenefitExpnsAmt
Total Expense	0.00270	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,261,575	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,261,575	NetCommunityBenefitExpnsAmt
Total Expense	0.00530	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$70,469,580	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$64,510,588	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,876,227	NetCommunityBenefitExpnsAmt
Total Expense	0.05350	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,585	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,585	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,588	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,588	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,173	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,173	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$14,451,909	BadDebtExpenseAmt
Reimbursed By Medicare	$73,485,599	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$89,365,239	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$15,879,640	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 Joplin	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 MERCY WAY	AddressLine1Txt
City	JOPLIN	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	64804	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.mercy.net	WebsiteAddressTxt
State License	540-0	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Mercy Hospital Joplin	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
CHNA Conducted	15	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	16	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	100	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	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
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 (3 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 communitys significant health needs in its most recent CHNA report. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5 In early 2015, a variety of organizations across the Ozarks came together to better understand the health status, behaviors and needs of the populations they serve. Under the umbrella of the local Ozarks Health Commission, this first-time collaboration is the largest in the region spanning four States - MISSOURI, OKLAHOMA, ARKANSAS AND KANSAS - 51 counties and four hospital systems. The working group saw the value of using a systematic, data-driven assessment to inform decisions and guide efforts to improve community health and wellness on a regional level. This larger, concerted approach will leverage common strengths and strategies to move in the same direction on significant health concerns. The following groups took part in some phase of the work that generated Joplin's Community Health Needs Assessment: The Joplin community consists of Joplin, MO., Carthage, MO., and Columbus, KS. -Mercy Coworkers who served on teams, organized roundtables and developed programs to respond to identified needs. -Mercy Hospital Joplin Board of Trustees, and its Community Benefit Subcommittee, who reviewed and approved the proposed initiatives. -The Ozarks Health Commission, which consists of: Burrell Behavioral Health, Citizens Memorial Healthcare, CoxHealth, Freeman Health System, Jasper County Health Dept., Joplin Health Dept., Mercy, Polk County Health Center, Springfield-Greene County Health Dept., and the Taney County Health Dept. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 6A THE CHNA WAS CONDUCTED FOR MERCY HOSPITAL JOPLIN, MERCY HOSPITAL CARTHAGE AND MERCY HOSPITAL COLUMBUS. OTHER HOSPITAL FACILITY PARTNERS INCLUDED: BURRELL BEHAVIORAL HEALTH, CITIZENS MEMORIAL HEALTHCARE, COXHEALTH, AND FREEMAN HEALTH SYSTEM. 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, POLK COUNTY HEALTH CENTER, SPRINGFIELD-GREEN COUNTY HEALTH DEPARTMENT AND TANEY COUNTY HEALTH DEPARTMENT. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 7B HTTP://WWW.OZARKSHEALTHCOMMISSION.ORG/JOPLIN FORM 990, SCHEDULE H, PART V, SECTION B, LINES 7A & 10A HTTPS://WWW.MERCY.NET/ABOUT/COMMUNITY-BENEFITS/
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 11	BASED ON THE FINDINGS OF ITS MOST RECENTLY CONDUCTED CHNA, MERCY HOSPITAL JOPLIN HAS CHOSEN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS IDENTIFIED IN JASPER COUNTY: -Diabetes Self-Management -Access to Care -Teen Pregnancy -School Based Health Clinics Mercy Joplin identified the health needs established through the Community Health Needs Assessment and determined that it was best to engage in programs and partnerships that already exist. Local partnerships include the school district of Webb City and Life Choices Medical Clinic. For example; Mercy Joplin's Diabetes Community Collaborative (MDCC) will provide care to the uninsured and underinsured that will result in improvements in HbA1c, blood pressure, and LDL levels, while our local partnership with Life Choices will focus on education and providing resources to young mothers in the community. Those programs involve meeting the needs of our community with diabetes, that lack of access to health care through school-based health clinics, and providing health care needs for women, specifically teen pregnancy. Additional Needs Not Being Addressed and Why: During this cycle of the Community Health Improvement Plan, Mercy Joplin will not be addressing the following identified health needs: Cardiovascular Disease: Cardiovascular Disease is an identified need in our community, but there are many factors related to this disease that will be addressed though community collaborations. Mercy Joplin representatives are actively engaged in community collaborations that promote healthier lifestyles to fight this disease. Additionally, this disease will not be resolved as quickly as other health needs that are currently identified in this CHIP. Lung Disease: Lung Disease is our second highest identified health need in our community, but there are many factors related to this disease that will be addressed though community collaborations. Mercy Joplin representatives are actively engaged in community collaborations that promote a tobacco free lifestyle to fight this disease. Additionally, this disease will not be resolved as quickly as other health needs that are currently identified in this CHIP. Mental Health: Mental Health is our third highest identified health need in our community, determined by our CHNA, but there are many factors related to this health problem that will be addressed though community collaborations. Mercy Joplin representatives are actively engaged in community collaborations, such as the Community Health Coalition, that will be addressing this health need in current projects and implementation strategies. Additionally, this health issue will not be resolved as quickly as other health needs that are currently identified in this CHIP. Cancer: Cancer is a significant health need in our community, but there are many factors related to this disease that will be addressed though our local hospital oncology departments and community collaborations. Mercy Joplin representatives are actively engaged in community collaborations that promote healthier lifestyles that effect the various diseases of cancer. Mercy Columbus's Mobile Mammography Unit will continue to provide screenings in the Joplin community and look to new opportunities to reach those that are underserved or underinsured. Additionally, this disease will not be resolved as quickly as other health needs that are currently identified in this CHIP. Oral Health: Oral health and access to oral health care providers are a significant need in our community. Due to lack of community resources and the lack of hospital expertise in caring for oral health problems, Mercy Joplin will not be addressing this health need.
PART 990, SCHEDULE H, PART V, SECTION B, LINE 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/MERCY-FINANCIAL-ASSISTANCE.

Field	Value	IRS element (for citing)
Facility	6	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
MERCY BEHAVIORAL HEALTH
5615 W 32ND STREET	JOPLIN	MO	64804	BEHAVIORAL HEALTH
THOUSAND OAKS MEDICAL BUILDING
1905 W 32ND	JOPLIN	MO	64804	SLEEP CENTER, WOUND CARE AND OTHER
MERCY HOME HEALTH AND HOSPICE
1717 S RANGELINE ROAD	JOPLIN	MO	64804	HOME CARE/HOSPICE
MERCY NEOSHO
2550 LUSK DRIVE	NEOSHO	MO	64850	PHYSICIAN CLINIC/PRACTICE (RURAL HEALTH CLINIC)
MERCY HOME HEALTH AND HOSPICE - COLUMBUS
101 W SYCAMORE	COLUMBUS	KS	66725	HOME CARE/HOSPICE
MERCY MEDICAL SUPPLY - JOPLIN
3120 S MAIN STREET STE 10	JOPLIN	MO	64804	DME RETAIL LOCATION

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 $276,251,140. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSES (CHARGES) OF $35,496,980. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $240,754,160. Form 990, schedule h, Part II Community building activities address root causes of health-related problems. Multidisciplinary community partnerships and collaboration address systemic malfunction and root causes of issues like poverty, violence and homelessness among others. They strengthen the community's ability to promote health and well-being. In the Joplin community, Mercy has a wide range of expertise to bring to the table as each community tackles these systemic challenges. Our involvement with One Joplin, a collaborative of local non-profit organizations, focuses on poverty, human services, and health is one example. Also, Mercy Joplin is involved in the Community Health Collaborative which is a monthly meeting conducted by local health leaders to initiate change and promote health within the community. Another example is our leadership team has continued the United Way's national Circles campaign as a priority, because encouraging one family at a time may gradually eat away at poverty rates in our area. The Joplin community has notable poverty rates and high numbers of children with reduced or free lunches in our schools. Past community need discussions confirmed repeatedly that a healthy community supports well-being of residents. Likewise, access to a fair family wage affords families opportunities to gain education that in turn has shown to lead to leveraging health opportunities. Solid infrastructure and a stable economy set a context for citizens to reach potential and in turn contribute to society for future generations. Community building activity needs to be a priority for this community. A full description of our Community Building activities can be found at https://www.mercy.net/about/community-benefits/ 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 ACCOUNTING, 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 THE TEXT OF THE FOOTNOTE THAT IS INCLUDED IN MERCY HEALTH AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE IS 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 third-party tool TO ENHANCE THE ABILITY TO DETERMINE THE CHARITY QUALIFICATION PRIOR TO TURNING TO BAD DEBT, A PROCESS KNOWN AS PRESUMPTIVE CHARITY; USING HOUSEHOLD SIZE AND INCOME. 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. IN ADDITION, MERCY UTILIZES THE SAME TOOL TO QUALIFY ACCOUNTS PER THE PRACTICE OF PRESUMPTIVE CHARITY PRIOR TO BAD DEBT PLACEMENT FOR BALANCES IN EXCESS OF $6,500. ALL ACCOUNT BALANCES RELATING TO ACCOUNTS IDENTIFIED BY THE HIGHER BALANCES WILL BE CONSIDERED AND FLAGGED FOR CHARITY IF THERE IS AN INABILITY TO PAY AFTER A RETURN FROM THE COLLECTION AGENCY AT APPROXIMATELY 120 DAYS. 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 A 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 OCCURS PRIOR TO ANY EXTRAORDINARY COLLECTIONS ARE PURSUED.
Form 990, schedule h, Part VI, Line 2	Mercy Joplin continues to play an integral part in the Jasper County Community Health Collaborative, to assess the health care needs of the community and implement strategies to improve community health. Also, on a quarterly basis, a Mercy Joplin representative takes part in Community Benefit Sub-Committee meetings (round table discussions) in an effort to gain input from community members and promote community health and wellness. This collaboration brings awareness of health issues in Jasper and Newton counties, and also the neighboring Kansas communities. FOR 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 when presenting in the facilities. In addition to the web address provides the application, policies, and even how uninsured accounts are handled. Lastly, the Statements (billing) includes messaging to the patient that Mercy does have a Financial Assistance Program and to call to see if they are eligible. Mercy staffs internal resources certified to assist patients with Medicaid Applications as well. Form 990, schedule h, part vi, line 4 MERCY HOSPITAL JOPLIN'S PRIMARY SERVICE AREA COMPRISES NINE COUNTIES IN THE CORNERS OF MISSOURI, KANSAS AND OKLAHOMA. THESE INCLUDE: BARTON, JASPER, MCDONALD, NEWTON AND VERNON COUNTIES IN MISSOURI; DELAWARE AND OTTAWA COUNTIES IN OKLAHOMA; AND CRAWFORD AND CHEROKEE COUNTIES IN KANSAS. THE FOLLOWING INFORMATION IS DERIVED FROM 2018 IBM/WATSONS DEMOGRAPHICS AND FY2018 DECISION RESOURCE GROUPS INSURANCE COVERAGE ESTIMATES. THE AREAS POPULATION IS 371,202. 26% OF THE POPULATIONS AVERAGE HOUSEHOLD INCOME IS OVER $75,000. 43% OF THE POPULATION IS 45 AND OLDER. 19% OF THE HOUSEHOLDS ARE ON MEDICARE, 18% ON MEDICAID, AND 13% UNINSURED.
Form 990, schedule h, Part VI, Line 5	To continue promoting community health, Mercy Joplin collaborates with community leaders involved in identifying community health needs to resolve local health challenges. Our efforts in community benefit focuses on implementing programs to tackle unhealthy behaviors resulting in improved health status. Mercy Joplin promotes community health by organizing a hospital board subcommittee that meets quarterly to review health initiatives and plans to implement change in community health indicators. Also, the promotion of health and health care in this community is provided by serving on community boards, hospital departmental meetings, developing marketing materials, and through various media outlets such as television and radio marketing. It is our hope that the work that is accomplished through these collaborations, will lead to better health and human services for the Joplin community. Open Medical Staff: Medical staff privileges are extended to all qualified physicians in the community for nearly all of our departments. Mercy Hospital Joplin has exclusive contracts with physician groups for the following services: anesthesiology and pathology. This means that greater than 90% of the physicians on staff are in categories that are open to qualified physicians in the community. Mercy Hospital Joplin FY18 Board Members Danny Thomas - Chair Stephan Bazzano DO Rebecca Hendricks, RSM Fredrick Wheeler, DO Elizabeth Dumm Christine Glauber C.J. Huff, EdD Tracy Godfrey, MD Gary Pulsipher Brad Hodson Mathew Stewart Isabel Quepons Additional Community Health Initiative/Information In keeping with Mercy Hospital Joplin's commitment to serve all members of the community, Mercy Hospital Joplin provides: . Free care and/or subsidized care . Care to persons covered by governmental programs at below cost . Health activities and programs to support the community . Health education programs, and . A variety of broad community support activities. Numerous collection drives by co-workers are held throughout the year and the items, such as food, clothing, personal care items, gas cards, school supplies and other critical items are donated to non-profit agencies to distribute to their clients. Form 990, schedule h, part vi, line 6 AFFILIATED HEALTH CARE SYSTEM 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 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, 2018, MERCY FACILITIES INCLUDED 30 ACUTE CARE HOSPITALS, 5 MANAGED HOSPITALS, 4 HEART HOSPITALS, 2 CHILDREN'S HOSPITALS, 2 ORTHOPEDIC HOSPITALS AND 3 REHAB HOSPITALS. FOR THE FISCAL YEAR ENDED JUNE 30, 2018, MERCY HAD MORE THAN 10.3 MILLION OUTPATIENT AND PHYSICIAN OFFICE VISITS, APPROXIMATELY 2,400 EMPLOYED PHYSICIANS, AND APPROXIMATELY 45,000 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: Missouri

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
Joplin Regional Partnership
320 E 4th St	Joplin	MO	64801	440304705	501(c)(3)	$20,000	Support Local Business Community
Community Health Clinic of Joplin
701 S Joplin Street	Joplin	MO	64801	431643962	501(c)(3)	$50,500	support local Community Clinic
KSN TV
1502 S Cleveland Ave	Joplin	MO	64801	233063152	N/A	$20,800	Underwriting "Faith in Our Hometown"
Missouri Southern State University
3950 Newman Road	Joplin	MO	64801	430813540	govt	$15,000	Support athletic facility upgrade
Carthage R-9 School Foundation
710 Lyon Street	Carthage	MO	64836	446002057	Govt	$50,000	Support tiger sports complex
Whitehill Enterprises
2401 E 32nd Street	JOPLIN	MO	64804	465464633	N/A	$12,000	Support Mercy Park Mural	Suite 10-152
Missouri Southern State University
3950 Newman Road	Joplin	MO	64801	430813540	govt	$35,000	SUPPORT HEALTH & SCIENCES DEPARTMENT

Field	Value	IRS element (for citing)
Total501c3 Org	5	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	Assistance to the Indigent	GrantTypeTxt
Recipient	1383	RecipientCnt
Non Cash Assistance	$103,187	NonCashAssistanceAmt
Valuation Method Used	OTHER	ValuationMethodUsedDesc
Non Cash Assistance	TRANSPORTATION, MEDS	NonCashAssistanceDesc

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 USE OF GRANTS THE ASSISTANCE 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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Travel For Companions	Yes (X)	TravelForCompanionsInd
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
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 (19 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
Bazzano DO Stephen
Physician & Board member	$0	$326,135	$0	$22,410	$0	$26,662	$0	$9,275	$0	$158	$0	$384,640	$0	$0
Godfrey MD Tracy
Physician & Board member	$0	$324,169	$0	$89,894	$0	$12,361	$0	$51,017	$0	$889	$0	$478,330	$0	$0
Pulsipher Gary W
Chief executive officer	$385,704	$0	$226,869	$0	$26,883	$0	$71,676	$0	$84,054	$0	$795,186	$0	$0	$0
Reynolds Scott
CFO-Central Communities	$0	$358,736	$0	$114,156	$0	$59,376	$0	$94,698	$0	$12,072	$0	$639,038	$0	$0
Drinkwitz Jeremy
COO	$203,392	$0	$38,137	$0	$56,916	$0	$17,061	$0	$14,630	$0	$330,136	$0	$0	$0
Manley Dennis G
Chief nursing officer	$170,815	$0	$51,076	$0	$36,540	$0	$54,489	$0	$5,782	$0	$318,702	$0	$0	$0
Marion Tanya
Regional VP-Human Resources	$0	$220,314	$0	$71,776	$0	$37,257	$0	$43,163	$0	$16,268	$0	$388,778	$0	$0
Murphy Tim
VP-HR	$0	$125,592	$0	$19,062	$0	$9,303	$0	$6,176	$0	$16,440	$0	$176,573	$0	$0
Swope Jon
President - Central Communitie	$0	$703,153	$0	$408,199	$0	$96,148	$0	$154,702	$0	$16,505	$0	$1,378,707	$0	$0
Russell Judith A
Nurse Practitioner III	$192,313	$0	$9,418	$0	$30,512	$0	$21,663	$0	$5,717	$0	$259,623	$0	$0	$0
Boyd Sarah A
Director, pharmacy services	$167,175	$0	$8,581	$0	$11,442	$0	$8,751	$0	$975	$0	$196,924	$0	$0	$0
Rhoades Samuel J
Medical physicist	$172,298	$0	$40	$0	$11,450	$0	$6,582	$0	$9,083	$0	$199,453	$0	$0	$0
Holding Tim A
Manager, pharmacy services	$145,143	$0	$40	$0	$9,637	$0	$7,190	$0	$16,416	$0	$178,426	$0	$0	$0
Cannon Nora L
Exec Dir-cardiovascular serv	$114,207	$0	$12,215	$0	$20,981	$0	$14,867	$0	$6,098	$0	$168,368	$0	$0	$0
Hunter Shelly
Former officer	$62,005	$0	$53,544	$0	$65,407	$0	$14,898	$0	$4,135	$0	$199,989	$0	$0	$0
Hennessey III William
Former key employee	$0	$160,228	$0	$38,481	$0	$43,575	$0	$32,993	$0	$15,910	$0	$291,187	$0	$0
Watson Robert S
Former key employee	$0	$186,276	$0	$20,600	$0	$46,761	$0	$12,471	$0	$13,298	$0	$279,406	$0	$0
Burke James
REGIONAL VP-Legal - THRU 10/17	$0	$232,090	$0	$82,178	$0	$41,469	$0	$9,275	$0	$12,257	$0	$377,269	$0	$0
James Joel W
VP-Mission	$154,738	$0	$24,019	$0	$9,181	$0	$9,135	$0	$0	$0	$197,073	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, SCHEDULE J, PART I, LINE 1	CHARTER TRAVEL IS PROVIDED TO CERTAIN EMPLOYEES AS AND WHEN APPROPRIATE, AND AS DEEMED NECESSARY FOR BUSINESS TRAVEL. AFTER CHARTER TRAVEL APPROVAL HAS BEEN GRANTED IN ACCORDANCE WITH THE FINANCIAL JUSTIFICATION PROCESS, THE APPROVED CHARTER TRAVEL FOR BUSINESS IS A REIMBURSABLE EXPENSE WHICH IS NOT TAXABLE TO THE EMPLOYEES. THERE WERE TWO INDIVIDUALS THAT RECEIVED THIS BENEFIT DURING THE YEAR. IN ANY CIRCUMSTANCE IN WHICH CHARTER TRAVEL IS MADE AVAILABLE TO EMPLOYEES AND/OR SPOUSES/GUESTS FOR PERSONAL REASONS, MERCY POLICY REQUIRES TRACKING OF SUCH USE AND TAXATION OF THE EMPLOYEE(S) ACCORDINGLY. ONE LISTED INDIVIDUAL RECEIVED THIS BENEFIT DURING THE YEAR, TOTALING ONE TRIP.
FORM 990, SCHEDULE J, PART I, QUESTION 3	MERCY HOSPITAL JOPLIN RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTION 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 DURING CALENDAR 2017: Shelly Hunter, $48,479.
FORM 990, SCHEDULE J, PART I, QUESTION 4B	MERCY 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. THE INDIVIDUALS REPORTABLE ON THIS RETURN WHO PARTICIPATE IN THE SUPPLEMENTAL RETIREMENT PLANS INCLUDE: GARY PULSIPHER, SCOTT REYNOLDS, TANYA MARION, WILLIAM HENNESSEY III, DENNIS MANLEY, TRACY GODFREY, JEREMY DRINKWITZ, JAMES BURKE AND JON SWOPE. THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C).

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	Godfrey John	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	Family - bd member	RelationshipDescriptionTxt
Transaction	$11,123	TransactionAmt
Transaction	EMPLOYMENT	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, QUESTION 4D	DESCRIPTION OF OTHER PROGRAM SERVICES THE FACILITY HOUSES A RADIOLOGY WING PROVIDING CARE FOR A WIDE VARIETY OF MEDICAL AND SURGICAL CONDITIONS INCLUDING RENAL, ONCOLOGY, ORTHOPEDIC, NEUROVASCULAR, CARDIAC CARE, PRE AND POST PROCEDURE CARE FOR SURGICAL, CATHETER-BASED PROCEDURES AND EEG'S. ALSO PROVIDED ARE INPATIENT DAY SERVICES, OUTPATIENT SERVICES, HOME HEALTH VISITS, HOSPICE SERVICES, A BEHAVIORAL HEALTH FACILITY, MEDICAL SUPPLY (DME), SPORTS MEDICINE, PEDIATRIC SERVICES, SLEEP LAB, CAFETERIA, GIFT SHOP AND CHAPEL.
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 SOUTHWEST MISSOURI/KANSAS COMMUNITIES. 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, AND ALL ORGANIZATIONS CONTROLLED BY THE CORPORATION, SHALL OPERATE; -TO ADOPT OR AMEND THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION, AND TO AMEND THE ORGANIZATIONAL AND GOVERNANCE DOCUMENTS OF EACH ORGANIZATION CONTROLLED BY THE CORPORATION; -TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, MEMBERS OF THE BOARD; -TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHIEF EXECUTIVE OFFICER OF THE COMMUNITY WHO SHALL SERVE AS THE PRESIDENT OF THE CORPORATION; -TO APPROVE OR AMEND THE 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 OPERATING, CAPITAL, AND ALL OTHER BUDGETS FOR THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; -TO ASSIGN, TRANSFER, LEASE OR SELL 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 ENCUMBER ANY OR ALL OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; -TO AUTHORIZE AND APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTE ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; -TO MERGE, DISSOLVE, OR ABANDON THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; AND -TO APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION CONTROLLED BY THE CORPORATION.
FORM 990, PART VI, QUESTION 11B	DSCR 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, INCLUDING THE DIRECTOR OF ACCOUNTING 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 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, 2018. 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. 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 XI, LINE 9	OTHER CHANGES IN NET ASSETS NET TRANSFERS TO/FROM AFFILIATES = ($30,801,978)
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 2018 (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 OMB CIRCULAR A-133 MERCY HEALTH UNDERGOES A CONSOLIDATED A-133 AUDIT EVERY YEAR AND DID SO FOR THE FISCAL YEAR ENDING JUNE 30, 2018. 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 AVAILABLE FOR AUDIT. THE FILING ENTITY RECEIVED FEDERAL FUNDS DURING THE YEAR ENDED JUNE 30, 2018, WAS INCLUDED ON THE MERCY HEALTH CONSOLIDATED SEFA, AND THEREFORE, WAS ALSO INCLUDED IN THE POPULATION AVAILABLE FOR AUDIT.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (73 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
1602 McClelland Street	Laredo	TX	78044	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 Center Drive Suite 1	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 Street 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	MO	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 East Communities - Southern
14528 S Outer Forty Suite 100	Chesterfield	MO	63017	461412322	DSLVD 5/18	MO	501c3	12a	MH EAST COMM	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 FT SMITH	Yes (true)
Mercy Health Foundation Hot Springs
300 Werner Street	Hot Springs	AR	71913	710804718	DSLVD 6/18	AR	501c3	12a	MC SRVCS	Yes (true)
Mercy Health Foundation Jefferson
1400 US Highway 61 South	Festus	MO	63028	462797051	Foundation	MO	501c3	12b	MH E COMM SR	Yes (true)
Mercy Health Foundation Joplin
100 Mercy Way	Joplin	MO	64804	270906136	Foundation	MO	501c3	7	MH SWMK COMM	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 Home Health Berryville
804 W Freeman Suite 4	Berryville	AR	72616	870781247	Inactive	AR	501c3	12a	MH Springfie	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 SF COMM	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 SWMK COMM	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 SWMK COMM	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 ADA Inc	Yes (true)
Mercy Hospital Jefferson
1400 Highway 61 South	Festus	MO	63028	430687077	Hospital	MO	501c3	3	MH EAST COMM	Yes (true)
Mercy Hospital Kingfisher Inc
1000 Kingfisher Regional Hospital C	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 SF 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 NWAR COMM	Yes (true)
Mercy Hospital Springfield
1235 E Cherokee Street	Springfield	MO	65804	440552485	Hospital	MO	501c3	3	MH SF COMM	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 SWMK COMM	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 Hopsital
100 W Highway 60	Mountain View	MO	65548	440607149	Hospital	MO	501c3	3	MH SF 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)
St Anthony's Charitable Foundation
10010 Kennerly Road	St Louis	MO	63128	261516789	Fundraising	MO	501c3	12a	ST ANTHONY	Yes (true)
St Anthony's Medical Center
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	ST ANTHONY	Yes (true)
St Mary's Hospital of Enid Oklahoma I
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)

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
Mercy Ambu Surg Ctr
7301 Rogers	FT SMITH	AR	72917	710827721	AMBUL SURG CT	AR	NA
Plaza Surg SVCS CO
12700 Southfork RD	St Louis	MO	63128	204709312	INACTIVE	MO	NA
RES OPT & INNOV
645 Maryville	St Louis	MO	63141	460468368	CENTRAL DIST.	MO	NA
ST ED MER MED MOB
7301 Rogers	FT SMITH	AR	72903	710554050	OFFICE BUILDING	AR	NA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt
Frontenac Properties Inc
14528 S Outer Forty Suite 100	Chesterfield	MO	63017	521914421	Holding company	DE	NA	C-Corp
Inveno Health Inc
1235 E Cherokee Street	Springfield	MO	65804	264509571	Product Commer	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 Community Services Inc
401 Woodland Hills Blvd	Fort Scott	KS	66701	481078101	Retail pharmacy	KS	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 company	OK	NA	C-Corp
Mercy Health Network Inc
14528 S Outer Forty Suite 100	Chesterfield	MO	63017	731381689	Holding company	OK	NA	C-Corp
Mercy Managed Care Corporation
14528 S Outer Forty Suite 100	Chesterfield	MO	63017	731441665	Holding company	OK	NA	C-Corp
UHL Corp Inc
645 Maryville Centre Drive Suite 1	St Louis	MO	63141	742499535	Holding company	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 Organization of
10010 Kennerly Road	St Louis	MO	63128	320457168	Health Care	MO	NA	C-Corp

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	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 (10 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Mercy ACO Clinical Services Inc
q	$2,293,177	FMV
Mercy Clinic Springfield Communities
p	$4,774,200	FMV
Mercy Health Foundation Joplin
p	$152,658	FMV
Mercy Hospital Carthage
p	$1,985,365	FMV
Mercy Hospital Columbus
p	$644,971	FMV
Mercy Kansas Communities
p	$561,203	FMV
MHM Support Services
p	$65,002,584	FMV
Mercy Springfield Communities
p	$253,503	FMV
Mercy Southwest Missouri Kansas Communities
q	$73,328	FMV
Mercy Hospital Springfield
p	$64,614	FMV

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

FORM 990, SCHEDULE R, PART II

MERCY HOSPITALS EAST COMMUNITIES MERCY HOSPITALS EAST COMMUNITIES CONSISTS OF MERCY HOSPITAL ST. LOUIS, EIN 43-0653493, AND MERCY HOSPITAL WASHINGTON, EIN 43-1066883.

FORM 990, SCHEDULE R, PART V

LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY HEALTH SYSTEM, INC. AND SUBSIDIARIES. THE MAJORITY OF THE INTERCOMPANY/RELATED ORGANIZATION TRANSACTIONS ARE PROCESSED THROUGH LAWSON VIA INTERCOMPANY JOURNAL ENTRIES. WITH THE CURRENT DESIGN OF THE ERP SYSTEM, THERE ARE VARIOUS LIMITATIONS ON THE RELATED ORGANIZATION INFORMATION THAT CAN BE EXTRACTED FROM LAWSON. DUE TO THESE LIMITATIONS, MOST OF THE RELATED ORGANIZATION ACTIVITY FOR THE FILING ORGANIZATION HAS BEEN CLASSIFIED ON SCHEDULE R, PART V, IN LINES P, AND Q.