2019-05-15T13:05:40-05:00 2018-06-30 ERNST & YOUNG US LLP 312 WALNUT STREET STE 1900 CINCINNATI OH 45202 990 2017-07-01 431560263 MERCY CLINIC SPRINGFIELD COMMUNITIES % JUSTIN DAVISON MERC 3145796100 1235 E Cherokee Springfield MO 65804 JUSTIN DAVISON VP-FINANCE 3145796100 2019-05-15 true ABBEY E LEIBEL P01517527 5136121400 108.206.163.59 31049020191355000015 2019-05-15 P 34163F381DEDE5EE0CABDD6E8F3BD042227F3C04 770194AAF055F9EA87E64CA02E08FE540289067F 2017 2019-02-21 02:37:17Z JUSTIN DAVISON 1235 E Cherokee Springfield MO 65804 326905038 false 0928 X www.mercy.net X 1999 MO AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. 19 0 717 108 0 0 121459 462445 321947687 325916418 485601 477563 0 48612 322554747 326905038 5432 0 0 0 319378740 325135225 0 0 0 103145213 122246039 422529385 447381264 -99974638 -120476226 47386554 51344988 30132546 35304659 17254008 16040329 AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. false false 444445593 0 325916418 MERCY HEALTH SPRINGFIELD COMMUNITIES AND ITS SUBSIDIARIES PROVIDE HIGH-QUALITY, COMPASSIONATE, FAITH-BASED HEALTH CARE IN A VARIETY OF TRADITIONAL MEDICAL SETTINGS. THIS ORGANIZATION, AS PART OF MERCY HEALTH SPRINGFIELD COMMUNITIES, PROVIDES SERVICES TO THE COMMUNITIES WE SERVE, WITH PARTICULAR CONCERN FOR THE ECONOMICALLY POOR, IN THE WAY OF INPATIENT HOSPITAL SERVICES, OUTPATIENT SERVICES, EMERGENCY ROOM CARE, HOME HEALTH SERVICES, AND PHYSICIAN CLINIC OFFICE VISITS. 444445593 true true false false false false false false false false true false false false true false false true false false false false false false false false false false false true false false false false false false true false false false false false true true true true false false true X 0 0 717 true true true false false false false false false false false false X 19 0 false false false false true true true true true false false false true true true true true false false false X JUSTIN DAVISON 3145796100 1235 E CHEROKEE Springfield MO 65804 X Allam MD Bala Physician & Board member 60.0 0.0 X 421650 0 16498 Andrews MD Elizabeth Physician & Board member 60.0 0.0 X 293745 0 51809 Barnett MD W Mark Physician & Board member 60.0 0.0 X 248055 0 14562 Bumberry MD John Physician & Board member 60.0 0.0 X 626047 0 46069 Butler MD Connie Physician & Board member 50.0 10.0 X 316513 0 33100 Carlson Jay Physician & Board member 60.0 0.0 X 767848 0 21576 Fulnecky MD Eric Physician & Board member 60.0 0.0 X 309624 0 28068 Hawkins MD John Physician & Board member 60.0 0.0 X 720438 0 38776 Hopkins MD John Jack Physician & Board member 55.0 0.0 X 304227 0 43423 Huss MD Randall D Physician & Board member 60.0 0.0 X 296369 0 52546 Lewis MD Stephanie Physician & Board member 60.0 0.0 X 247737 0 17335 Maynard MD Greg Physician & Board member 60.0 0.0 X 504853 0 33103 Shah MD Bharat Physician & Board member 55.0 5.0 X 496261 0 36862 Stangeland Stuart G COO Springfield Clinic & Board 45.0 15.0 X 0 511063 86808 Williams MD Rick Physician & Board member 60.0 0.0 X 608561 0 42722 Zhu Lirong Physican & Board member 60.0 0.0 X 402679 0 10031 Snider DO Jessica Physician & Board member 60.0 0.0 X 795074 0 16505 Wood MD Mary Physician & Board member 60.0 0.0 X 442848 0 12871 Meystrik MD Rosellen Physician & Board member 60.0 0.0 X 685547 0 6468 SCARROW MD ALAN President Sprg Comms thru 9/17 9.0 51.0 X 0 994313 35084 Burke James Regional VP-Legal THRU 4/18 1.0 59.0 X 0 355737 21532 Hannasch Susan K VP-Regional General Counsel 1.0 59.0 X 0 369067 59728 Reynolds Scott CFO CTRL COMMUNITIES Thru 5/18 1.0 59.0 X 0 532268 106770 Davison Justin C VICE PRESIDENT FINANCE 1.0 59.0 X 0 217762 15731 Swope Jon President, central communities 4.0 56.0 X 0 1207500 171207 Barbe MD David O Physician 40.0 20.0 X 431415 0 82950 Burson MD John Physician VP 60.0 0.0 X 594813 0 39980 Cavagnol MD Robert Physician VP 60.0 0.0 X 0 653544 82135 Cochran MD David Physician VP 60.0 0.0 X 944500 0 37544 Dent Ronald L VP-Ambulatory finance 60.0 0.0 X 0 340540 84651 Earnest Linda VP-Operations 60.0 0.0 X 0 238692 25784 Fuhr Eric VP-Clinical operations 60.0 0.0 X 0 211132 34128 Khoshyomn MD Sami Physician VP 40.0 20.0 X 719513 0 30553 Ledger MD Gregory Physician VP 55.0 5.0 X 563578 0 46109 Marion Tanya Regional VP-Human Resources 8.0 52.0 X 0 329347 59431 McNay MD Jennifer Physician VP 45.0 15.0 X 0 416219 42658 Vincent Jenine VP-Operations 50.0 10.0 X 245394 0 21087 Wyrsch MD Robert B Physician VP 60.0 0.0 X 1146482 0 44371 Globig David VP-Operations 60.0 0.0 X 0 277675 19196 Carlson Aaron VP-Operations 60.0 0.0 X 0 267683 15057 Gooch Amanda VP-Operations 60.0 0.0 X 0 90575 9705 Whitten Adam VP-Operations 60.0 0.0 X 0 107399 16357 Rash Kevin VP OPS-SURGICAL SVCS THRU 4/18 60.0 0.0 X 0 219837 38120 STUTZMAN TED VP OPS-CARDIOLOGY THRU 7/17 55.0 5.0 X 0 275288 21369 Wotherspoon Barbara E Physician 60.0 0.0 X 1694148 0 23361 Scott MD Wendell J Physician 60.0 0.0 X 1637866 0 51904 Ehtesham Moneeb M Physician 60.0 0.0 X 1565513 0 22553 Lee MD Sunghoon Physician 60.0 0.0 X 1559789 0 34903 Coger Brenton R Physician 60.0 0.0 X 1430081 0 28921 Hover MD Alexander R former key employee 0.0 60.0 X 0 617586 60710 Neely MD Brian former key employee 0.0 60.0 X 481028 0 21960 Goodwin Kevin Former key employee 0.0 60.0 X 0 450762 25458 21502196 8683989 2040139 730 true true false Weatherby Locums PO Box 972633 DALLAS TX 75397 PHYSICIAN STAFFING 2005978 Comphealth PO Box 972651 DALLAS TX 75397 PHYSICIAN STAFFING 1015811 Locum Leaders of Missouri 12400 High Bluff Dr SAN DIEGO CA 92130 PHYSICIAN STAFFING 649531 Imagewear 801 12th Ave N MINNEAPOLIS MN 55411 Optical Equip. Svcs. 383959 NEWMAN FRANK R JR 1324 E Lakepoint Ct SPRINGFIELD MO 65804 PHYSICIAN STAFFING 355058 12 457500 4945 462445 NET PATIENT SERVICE REVENUE 621110 324686566 324686566 OTHER OPERATING REVENUE 900099 703964 703964 CAPITATION REVENUE 531120 525888 525888 325916418 469901 469901 0 0 48612 48612 0 48612 48612 7662 7662 7662 7662 0 0 0 0 0 0 0 0 0 0 326905038 325916418 0 526175 0 0 0 0 11394715 11347824 46891 1381913 1376243 5670 271135319 270352107 783212 8054600 7887960 166640 20325386 19899388 425998 12843292 12650405 192887 0 0 0 0 0 0 5399295 5342405 56890 361634 359134 2500 4665993 4631943 34050 11344 11344 0 21092119 20957768 134351 391201 388332 2869 0 3976 3976 0 0 3161880 2543050 618830 8543008 8543008 DRUGS & MEDICAL EXPENSES 32557865 32557464 401 SHARED SERVICE FEES 28594922 28151577 443345 BAD DEBT 15872593 15872593 REPAIRS & MAINTENANCE 1184231 1180128 4103 405978 388944 17034 447381264 444445593 2935671 0 46020 98855 0 0 0 0 27037802 29730361 0 0 0 0 0 0 1228033 1434556 12371 5961 66250982 46576070 18593171 19674912 0 0 0 0 0 0 0 0 469157 400343 47386554 51344988 30132546 29134443 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6170216 30132546 35304659 X 17254008 16040329 0 0 0 0 17254008 16040329 47386554 51344988 X -120476226 119262547 X false true X true false X SCHEDULE A, PART I, LINE 3 THE FILING ENTITY'S PUBLIC CHARITY STATUS IS A HOSPITAL; HOWEVER, THE FILING ENTITY DOES NOT HAVE A LICENSE OR OPERATE A HOSPITAL FACILITY FOR SCHEDULE H REPORTING PURPOSES. 5438586 5438586 19706630 17588929 2117701 1519968 490765 1029203 37305257 27936537 9368720 2280541 559839 1720702 19674912 0 DUE TO AFFILIATES 6170216 6170216 FORM 990, SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE PRIMARILY ALL OF THE HEALTH SYSTEM ENTITIES ARE RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS CHARITABLE ORGANIZATIONS QUALIFYING UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), BY VIRTUE OF IRS DETERMINATION LETTERS OR INCLUSION IN THE OFFICIAL CATHOLIC DIRECTORY. THE HEALTH SYSTEM COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED ON THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2018 OR 2017. X X X true true true true false false false false false false false Allam MD Bala Physician & Board member 380388 0 22733 0 18529 0 0 0 16498 0 438148 0 0 0 Andrews MD Elizabeth Physician & Board member 220265 0 36045 0 37435 0 39012 0 12797 0 345554 0 0 0 Barnett MD W Mark Physician & Board member 201735 0 26483 0 19837 0 8657 0 5905 0 262617 0 0 0 Bumberry MD John Physician & Board member 515564 0 67266 0 43217 0 29878 0 16191 0 672116 0 0 0 Butler MD Connie Physician & Board member 262359 0 35795 0 18359 0 16746 0 16354 0 349613 0 0 0 Carlson Jay Physician & Board member 651085 0 71199 0 45564 0 11970 0 9606 0 789424 0 0 0 Fulnecky MD Eric Physician & Board member 261908 0 36853 0 10863 0 11706 0 16362 0 337692 0 0 0 Hawkins MD John Physician & Board member 594551 0 81565 0 44322 0 22271 0 16505 0 759214 0 0 0 Hopkins MD John Jack Physician & Board member 246851 0 32626 0 24750 0 26796 0 16627 0 347650 0 0 0 Huss MD Randall D Physician & Board member 219108 0 31174 0 46087 0 42975 0 9571 0 348915 0 0 0 Lewis MD Stephanie Physician & Board member 201587 0 10150 0 36000 0 17272 0 63 0 265072 0 0 0 Maynard MD Greg Physician & Board member 429959 0 56084 0 18810 0 16598 0 16505 0 537956 0 0 0 Shah MD Bharat Physician & Board member 434834 0 19804 0 41623 0 23584 0 13278 0 533123 0 0 0 Stangeland Stuart G COO Springfield Clinic & Board 0 355284 0 112797 0 42982 0 70436 0 16372 0 597871 0 0 Williams MD Rick Physician & Board member 513268 0 68971 0 26322 0 29749 0 12973 0 651283 0 0 0 Zhu Lirong Physican & Board member 317909 0 48303 0 36467 0 9275 0 756 0 412710 0 0 0 Snider DO Jessica Physician & Board member 693186 0 83402 0 18486 0 0 0 16505 0 811579 0 0 0 Wood MD Mary Physician & Board member 370819 0 53915 0 18114 0 0 0 12871 0 455719 0 0 0 Meystrik MD Rosellen Physician & Board member 597257 0 43968 0 44322 0 0 0 6468 0 692015 0 0 0 SCARROW MD ALAN President Sprg Comms thru 9/17 0 635731 0 357357 0 1225 0 18579 0 16505 0 1029397 0 0 Burke James Regional VP-Legal THRU 4/18 0 232090 0 82178 0 41469 0 9275 0 12257 0 377269 0 0 Hannasch Susan K VP-Regional General Counsel 0 258747 0 84442 0 25878 0 46417 0 13311 0 428795 0 0 Reynolds Scott CFO CTRL COMMUNITIES Thru 5/18 0 358736 0 114156 0 59376 0 94698 0 12072 0 639038 0 0 Davison Justin C VICE PRESIDENT FINANCE 0 190745 0 26858 0 159 0 0 15731 0 233493 0 0 Barbe MD David O Physician 334777 0 72173 0 24465 0 70886 0 12064 0 514365 0 0 0 Burson MD John Physician VP 496922 0 61081 0 36810 0 23475 0 16505 0 634793 0 0 0 Cavagnol MD Robert Physician VP 0 528427 0 105577 0 19540 65630 16505 0 735679 0 0 Cochran MD David Physician VP 791008 0 109170 0 44322 0 31389 0 6155 0 982044 0 0 0 Dent Ronald L VP-Ambulatory finance 0 224059 0 71327 0 45154 0 68090 0 16561 0 425191 0 0 Earnest Linda VP-Operations 0 192410 0 30504 0 15778 0 15910 0 9874 0 264476 0 0 Fuhr Eric VP-Clinical operations 0 167377 0 26098 0 17657 0 17941 0 16187 0 245260 0 0 Hover MD Alexander R former key employee 0 385315 0 139667 0 92604 0 48630 0 12080 0 678296 0 70004 Khoshyomn MD Sami Physician VP 615723 0 62791 0 40999 0 17275 0 13278 0 750066 0 0 0 Ledger MD Gregory Physician VP 471706 0 65550 0 26322 0 29909 0 16200 0 609687 0 0 0 Marion Tanya Regional VP-Human Resources 0 220314 0 71776 0 37257 0 43163 0 16268 0 388778 0 0 McNay MD Jennifer Physician VP 0 338607 0 52733 0 24879 0 26324 0 16334 0 458877 0 0 Neely MD Brian former key employee 458240 0 21356 0 1432 0 5205 0 16755 0 502988 0 0 0 Swope Jon President, central communities 0 703153 0 408199 0 96148 0 154702 0 16505 0 1378707 0 0 Vincent Jenine VP-Operations 200610 0 29711 0 15073 0 5218 0 15869 0 266481 0 0 0 Wyrsch MD Robert B Physician VP 972760 0 130480 0 43242 0 28171 0 16200 0 1190853 0 0 0 Globig David VP-Operations 0 224031 0 35409 0 18235 0 9275 0 9921 0 296871 0 0 Carlson Aaron VP-Operations 0 173171 0 13732 0 80780 0 0 0 15057 0 282740 0 0 Gooch Amanda VP-Operations 0 80585 0 4327 0 5663 0 0 9705 0 100280 0 0 Whitten Adam VP-Operations 0 76798 0 6175 0 24426 0 0 16357 0 123756 0 0 Wotherspoon Barbara E Physician 862793 0 707678 0 123677 0 13308 0 10053 0 1717509 0 0 0 Scott MD Wendell J Physician 1607544 0 10000 0 20322 0 38626 0 13278 0 1689770 0 0 0 Ehtesham Moneeb M Physician 1399961 0 121929 0 43623 0 9275 0 13278 0 1588066 0 0 0 Lee MD Sunghoon Physician 1397174 0 125805 0 36810 0 18398 0 16505 0 1594692 0 0 0 Coger Brenton R Physician 1255190 0 138081 0 36810 0 12416 0 16505 0 1459002 0 0 0 Goodwin Kevin Former key employee 0 250666 0 90932 0 109164 0 12270 0 13188 0 476220 0 0 Rash Kevin VP OPS-SURGICAL SVCS THRU 4/18 166490 27728 25619 21622 16498 257957 0 0 STUTZMAN TED VP OPS-CARDIOLOGY THRU 7/17 212561 46007 16720 5143 16226 296657 0 0 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 CLINIC SPRINGFIELD COMMUNITIES RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTIONS 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS. FORM 990, SCHEDULE J, PART I, QUESTION 4A THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT DURING CALENDAR 2017: Kevin Goodwin, $52,264. FORM 990, SCHEDULE J, PART I, QUESTION 4B MERCY HEALTH OFFERS SUPPLEMENTAL RETIREMENT PLANS TO CERTAIN EXECUTIVES WHICH PROVIDE BENEFITS UPON VESTING DATE BASED ON COMPENSATION, AGE AT THE TIME OF BENEFIT COMMENCEMENT, LENGTH OF SERVICE WITH THE COMPANY AND/OR ITS AFFILIATES AND LENGTH OF TENURE IN THE PLAN. THE PLANS ARE CLOSED TO NEW ENTRANTS. THE INDIVIDUALS REPORTABLE ON THIS RETURN WHO PARTICIPATE IN THE SUPPLEMENTAL RETIREMENT PLANS INCLUDE: JON SWOPE, BRENT HUBBARD, STUART STANGELAND, ALEXANDER HOVER, TANYA MARION, DEA GEUJEN, WILLIAM HENNESSEY, ROBERT CAVAGNOL, SCOTT REYNOLDS, DAVID BARBE, RANDALL HUSS, ALAN SCARROW, JAMES BURKE, RONALD DENT, KEVIN GOODWIN AND SUSAN HANNASCH. THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCH. J, PART II, COLUMN (C). FORM 990, SCHEDULE J, PART II THE AMOUNT REPORTED FOR ALEXANDER HOVER IN COLUMN (F) IS INCLUDED IN COLUMN B(I) AS BASE COMPENSATION. THIS IS A PAYOUT OF THE SUPPLEMENTAL RETIREMENT PLAN AND WAS INCLUDED IN COLUMN (C) OF PREVIOUSLY FILED FORMS 990. Thomas Lewis Family of board member 390676 Employment false Meera Scarrow Family of officer 32720 Employment false Debbie Barbe Family of key employee 12607 Employment false Karen Cox Family member of office 16709 Employment false Cindy Hoovens Family of board member 36009 EMPLOYMENT false BARBARA BUMBERRY Family of board member 367499 Employment false Karen Hopkins Family of board member 246021 Employment false 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 VI, LINE 6A, 7A, & 7B CLASSES OF MEMBERS OR STOCKHOLDERS THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH SPRINGFIELD COMMUNITIES. THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED SOLELY TO THE CORPORATE MEMBER: -TO APPROVE AND ESTABLISH THE MISSION AND PHILOSOPHY ACCORDING TO WHICH THE CORPORATION AND ALL ORGANIZATIONS CONTROLLED BY THE CORPORATION SHALL OPERATE; -TO ADOPT OR AMEND THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION IN ACCORDANCE WITH ARTICLE X OF THESE BYLAWS; -TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS OF THE CORPORATION; -TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; -TO APPROVE OR AMEND THE OVERALL STRATEGIC GOALS AND OBJECTIVES OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; -TO APPROVE OR AMEND THE CONSOLIDATED OPERATING, CAPITAL, AND CONSTRUCTION BUDGETS (INCLUDING AGGREGATE PHYSICIAN COMPENSATION MODELS) FOR THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION AND CHANGES IN BUDGETS IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE CORPORATE MEMBER; -TO AUTHORIZE AND APPROVE THE LEASE OR SALE OF ANY OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION IN EXCESS OF ANY AMOUNT ESTABLISHED FROM TIME TO TIME BY MERCY; -TO ENCUMBER ANY OR ALL OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; -TO AUTHORIZE AND APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTE ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; -TO MERGE, DISSOLVE, OR ABANDON THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION, SUBJECT TO APPROVAL BY THE BOARD AS REQUIRED PURSUANT TO CHAPTER 355 OF THE REVISED STATUTES OF MISSOURI FOR NONPROFIT CORPORATIONS; AND, -TO APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION CONTROLLED BY THE CORPORATION. FORM 990, PART VI, QUESTION 11B DSCR 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 FINANCE AND THE VICE-PRESIDENT OF FINANCE. THE DRAFT FORM 990 IS ALSO REVIEWED BY MERCY HEALTH'S TAX DEPARTMENT, TO ENSURE ACCURACY AND CONSISTENCY WITH OTHER RELATED ORGANIZATIONS' FORMS 990. AFTER QUESTIONS ARISING FROM THE VARIOUS REVIEWS ARE ADDRESSED AND INCORPORATED INTO THE FORM 990, A REVISED DRAFT IS MADE AVAILABLE TO BOTH THE FILING ORGANIZATION'S LEADERSHIP TEAM, INCLUDING THE CFO AND CEO, AND THE STEWARDSHIP COMMITTEE OF THE MERCY HEALTH SPRINGFIELD COMMUNITIES BOARD OF DIRECTORS FOR THEIR REVIEW. MERCY HEALTH SPRINGFIELD COMMUNITIES IS THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION AND HAS ULTIMATE RESPONSIBILITY FOR ALL FINANCIAL DECISIONS. THE FORM 990 IS THEN SIGNED AND FILED WITH THE IRS. FORM 990, PART VI, QUESTION 12C DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER DISQUALIFIED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY AND DID SO IN THE NORMAL COURSE FOR THE YEAR ENDED JUNE 30, 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, LINES 15A & 15B FOR THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS), THE ORGANIZATION RELIES UPON MERCY HEALTH, WHICH USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT, AND REVIEW/APPROVAL OF COMPENSATION BY THE COMPENSATION COMMITTEE OF THE BOARD OF MERCY HEALTH. FOR THOSE CLASSIFIED AS KEY EMPLOYEES, THE ORGANIZATION RELIES UPON MERCY HEALTH, WHICH USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, AND REVIEW/APPROVAL OF EXECUTIVE MANAGEMENT. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS AND A REVIEW WAS COMPLETED DURING THE REPORTING YEAR. FORM 990, PART VI, QUESTION 19 AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMT TO GEN PUBLIC GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST BUT ARE NOT PUBLISHED PUBLICLY. FORM 990 PART XI LINE 9 OTHER CHANGES IN NET ASSETS NET TRANSFERS TO/FROM AFFILIATES $119,262,547 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. MERCY ACO LLC 15740 SOUTH OUTER FORTY CHESTERFIELD MO 63017 455410212 ACO MO 0 0 MH SF CLINIC MERCY CLINIC JOPLIN LLC 1965 S FREMONT ST SUITE 2 SPRINGFIELD MO 65804 611604897 HEALTH SRVCS MO 0 0 MH SF CLINIC Casa de Misericordia 1602 McClelland Street Laredo TX 78044 742912461 Shelter TX 501c3 7 MM LAREDO true McAuley Portfolio Management Company 14528 S Outer Forty Suite 100 Chesterfield MO 63017 261708048 PORT MGMT MO 501c3 12b Mercy Health true Mercy ACO Clinical Services Inc 14528 S Outer Forty Suite 100 Chesterfield MO 63017 464504901 Virtual Care MO 501c3 3 Mercy Health true Mercy Clinic East Communities 645 Maryville Center Drive Suite 1 St Louis MO 63141 431771217 PHYS GROUP MO 501c3 10 MH EAST COMM true Mercy Clinic Fort Smith Communities 7301 Rogers Avenue Fort Smith AR 72903 261318597 PHYS CLINIC AR 501c3 3 MH FS COMM true Mercy Clinic Oklahoma Communities Inc 4300 W Memorial Road Oklahoma City OK 73120 270473057 PHYS GROUP OK 501c3 3 MH OK COMM true Mercy Family Center 14528 S Outer Forty Suite 100 Chesterfield MO 63017 721069468 COUNSELING LA 501c3 7 Mercy Health true Mercy Health 14528 S Outer Forty Suite 100 Chesterfield MO 63017 431423050 CORP OFFICE MO 501c3 1 NA false Mercy Health East Communities 14528 S Outer Forty Suite 100 Chesterfield MO 63017 431718408 HLTH SYSTEM MO 501c3 12a Mercy Health true Mercy Health East Communities - Southern 14528 S Outer Forty Suite 100 Chesterfield MO 63017 461412322 DSLVD 5/18 MO 501c3 12a MH EAST COMM true Mercy Health Fort Smith Communities 7301 Rogers Avenue Fort Smith AR 72917 261318515 Holding Co AR 501c3 12b Mercy Health true Mercy Health Foundation 14528 S Outer Forty Suite 100 Chesterfield MO 63017 200901499 Foundation MO 501c3 12b Mercy Health true Mercy Health Foundation Ada 430 N Monte Vista Street Ada OK 74820 463596274 Foundation OK 501c3 12a MH ADA Inc true Mercy Health Foundation Ardmore 1011 14th Avenue NW Ardmore OK 73401 710962525 Foundation OK 501c3 12a MH ARDMORE true Mercy Health Foundation Berryville 214 Carter Street Berryville AR 72616 710759301 Foundation AR 501c3 12a MH Berryvill true Mercy Health Foundation Fort Scott 401 Woodland Hills Blvd Fort Scott KS 66701 481077073 Foundation KS 501c3 7 M KS COMM true Mercy Health Foundation Fort Smith 7301 Rogers Avenue Fort Smith AR 72917 237330425 Foundation AR 501c3 7 MH FT SMITH true Mercy Health Foundation Hot Springs 300 Werner Street Hot Springs AR 71913 710804718 DSLVD 6/18 AR 501c3 12a MC SRVCS true Mercy Health Foundation Jefferson 1400 US Highway 61 South Festus MO 63028 462797051 Foundation MO 501c3 12b MH E COMM SR true Mercy Health Foundation Joplin 100 Mercy Way Joplin MO 64804 270906136 Foundation MO 501c3 7 MH SWMK COMM true Mercy Health Foundation Lebanon 100 Hospital Drive Lebanon MO 65536 822514567 Foundation MO 501c3 12b MH Lebanon true Mercy Health Foundation Lincoln 1000 East Cherry Street Troy MO 63379 811477159 Foundation MO 501c3 12b MH EAST COMM true Mercy Health Foundation NW Arkansas 2710 Rife Medical Lane Rogers AR 72758 710601687 Foundation AR 501c3 7 MH Rogers true Mercy Health Foundation of Oklahoma 4300 W Memorial Road Oklahoma City OK 73120 454732301 Foundation OK 501c3 12a MH OK COMM true Mercy Health Foundation Oklahoma City 4300 W Memorial Road Oklahoma City OK 73120 463184231 Foundation OK 501c3 12a MH OK City true Mercy Health Foundation Springfield 1235 E Cherokee Street Springfield MO 65804 320195818 Foundation MO 501c3 12b MH SF COMM true Mercy Health Foundation St Francis 100 W Highway 60 Mountain View MO 65548 431873914 Foundation MO 501c3 12a M St Francis true Mercy Health Foundation St Louis 14528 S Outer Forty Suite 100 Chesterfield MO 63017 562410020 Foundation MO 501c3 12b MH EAST COMM true Mercy Health Foundation Washington 901 E Fifth Street Washington MO 63090 562410022 Foundation MO 501c3 12b MH EAST COMM true Mercy Health NW Arkansas Communities 2710 Rife Medical Lane Rogers AR 72758 621684203 PHYS GROUP AR 501c3 10 Mercy Health true Mercy Health Oklahoma Communities Inc 4300 W Memorial Road Oklahoma City OK 73120 731453048 HLTH SYSTEM OK 501c3 12a Mercy Health true Mercy Health Plans of Missouri Inc 3265 S National Avenue Springfield MO 65807 320481419 HMO MO 501c4 N/A Mercy Health true Mercy Health Plans Inc 3265 S National Avenue Springfield MO 65807 320486150 PPO MO 501c4 N/A MH PLANS MO true Mercy Health SW MOKS Communities 100 Mercy Way Joplin MO 64804 300584463 HLTH SYSTEM MO 501c3 12b Mercy Health true Mercy Health Springfield Communities 1235 E Cherokee Street Springfield MO 65804 431856028 HLTH SYSTEM MO 501c3 12b Mercy Health true Mercy Home Health Berryville 804 W Freeman Suite 4 Berryville AR 72616 870781247 Inactive AR 501c3 12a MH Springfie true Mercy Hospital Ada Inc 430 N Monte Vista Street Ada OK 74820 462288155 Hospital OK 501c3 3 MH OK COMM true Mercy Hospital Ardmore Inc 1011 14th Avenue NW Ardmore OK 73401 731500629 Hospital OK 501c3 3 MH OK COMM true Mercy Hospital Aurora 500 Porter Avenue Aurora MO 65605 431936696 Hospital MO 501c3 3 MH SF COMM true Mercy Hospital Berryville 214 Carter Street Berryville AR 72616 710759299 Hospital AR 501c3 3 MH SF COMM true Mercy Hospital Booneville 880 West Main Street Booneville AR 72927 463851119 Hospital AR 501c3 3 MH FT Smith true Mercy Hospital Carthage 3125 Dr Russell Smith Way Carthage MO 64836 453808607 Hospital MO 501c3 3 MH SWMK COMM true Mercy Hospital Cassville 94 Main Street Cassville MO 65625 431936699 Hospital MO 501c3 3 MH SF COMM true Mercy Hospital Columbus 220 Pennsylvania Avenue Columbus KS 66725 270842031 Hospital KS 501c3 3 MH SWMK COMM true Mercy Hospital El Reno Inc 2115 Parkview Drive El Reno OK 73036 272716065 Hospital OK 501c3 3 MH OK City true Mercy Hospital Fort Smith 7301 Rogers Avenue Fort Smith AR 72903 710240352 Hospital AR 501c3 3 MH FS Comm true Mercy Hospital Healdton Inc 3462 Hospital Rd Healdton OK 73438 263173902 Hospital OK 501c3 3 MH ADA Inc true Mercy Hospital Jefferson 1400 Highway 61 South Festus MO 63028 430687077 Hospital MO 501c3 3 MH EAST COMM true Mercy Hospital Joplin 100 Mercy Way Joplin MO 64804 270814858 Hospital MO 501c3 3 MH SWMK COMM true Mercy Hospital Kingfisher Inc 1000 Kingfisher Regional Hospital C Kingfisher OK 73750 463433074 Hospital OK 501c3 3 MH OK City true Mercy Hospital Lebanon 100 Hospital Drive Lebanon MO 65536 431767432 Hospital MO 501c3 3 MH SF COMM true Mercy Hospital Lincoln 1000 East Cherry Street Troy MO 63379 472219204 Hospital MO 501c3 3 MH EAST COMM true Mercy Hospital Logan County Inc 200 South Academy Guthrie OK 73044 452998842 Hospital OK 501c3 3 MH OK City true Mercy Hospital Oklahoma City Inc 4300 W Memorial Road Oklahoma City OK 73120 730579285 Hospital OK 501c3 3 MH OK COMM true Mercy Hospital Ozark 801 W River Street Ozark AR 72949 710689680 Hospital AR 501c3 3 MH FT Smith true Mercy Hospital Paris 500 E Academy Paris AR 72855 710655753 Hospital AR 501c3 3 MH FT Smith true Mercy Hospital Rogers 2710 Rife Medical Lane Rogers AR 72758 710294390 Hospital AR 501c3 3 MH NWAR COMM true Mercy Hospital Springfield 1235 E Cherokee Street Springfield MO 65804 440552485 Hospital MO 501c3 3 MH SF COMM true Mercy Hospital Tishomingo Inc 1000 South Byrd Tishomingo OK 73460 274433830 Hospital OK 501c3 3 MH ADA Inc true Mercy Hospital Waldron 1341 W 6th Street Waldron AR 72958 710557895 Hospital AR 501c3 3 MH FT Smith true Mercy Hospital Watonga Inc 500 Clarence Nash Blvd Watonga OK 73772 455199762 Hospital OK 501c3 3 MH OK City true Mercy Hospitals East Communities 615 S New Ballas Road St Louis MO 63141 430653493 Hospital MO 501c3 3 MH EAST COMM true Mercy Kansas Communities Inc 401 Woodland Hills Blvd Ft Scott KS 66701 480956045 Hospital KS 501c3 3 MH SWMK COMM true Mercy Ministries of Laredo 2500 Zacatecas Laredo TX 78046 200198462 Outreach TX 501c3 7 Mercy Health true Mercy Research 524 North Booneville Avenue Springfield MO 65802 870796305 Research MO 501c3 4 Mercy Health true Mercy St Francis Hopsital 100 W Highway 60 Mountain View MO 65548 440607149 Hospital MO 501c3 3 MH SF COMM true MHM Support Services 14528 S Outer Forty Suite 100 Chesterfield MO 63017 202553101 CTRL SYS FUNC MO 501c3 12a Mercy Health true Mission Clinical Services 300 Werner Street Hot Springs AR 71913 134239691 CHILD ADVOC AR 501c3 3 Mercy Health true St Anthony's Charitable Foundation 10010 Kennerly Road St Louis MO 63128 261516789 Fundraising MO 501c3 12a ST ANTHONY true St Anthony's Medical Center 10010 Kennerly Road St Louis MO 63128 430980256 Hospital MO 501c3 3 MH EAST COMM true St Anthony's Physician Organization 10010 Kennerly Road St Louis MO 63128 431784536 Health care MO 501c3 3 ST ANTHONY 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 true Unity Ambulatory Care 14528 S Outer Forty Suite 100 Chesterfield MO 63017 431861745 Inactive MO 501c3 12c MH EAST COMM true 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 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 false true false false false false false false false false false false false false false true true false false Mercy Health Foundation Springfield q 459300 FMV Mercy Health Springfield Communities q 37188333 FMV Mercy Clinic Oklahoma Communities q 104856 FMV Mercy Research q 399432 FMV Mercy Hospital Lebanon q 63058 FMV Mercy Hospital Springfield q 4595180 FMV Mercy Clinic Fort Smith Communities q 79414 FMV MHM Support Services q 78083110 FMV Mercy Health Northwest Arkansas Communities q 153276 FMV Mercy Kansas Communities Inc q 755391 FMV MERCY FOUNDATION SPRINGFIELD COMMUNITIES B 307500 FMV FORM 990, SCHEDULE R, PART II MERCY HOSPITALS EAST COMMUNITIES MERCY HOSPITALS EAST COMMUNITIES CONSISTS OF MERCY HOSPITAL ST. LOUIS, EIN 43-0653493, AND MERCY HOSPITAL WASHINGTON, EIN 43-1066883. FORM 990, SCHEDULE R, PART V LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY HEALTH SYSTEM, INC. AND SUBSIDIARIES. THE MAJORITY OF THE INTERCOMPANY/RELATED ORGANIZATION TRANSACTIONS ARE PROCESSED THROUGH LAWSON VIA INTERCOMPANY JOURNAL ENTRIES. WITH THE CURRENT DESIGN OF THE ERP SYSTEM, THERE ARE VARIOUS LIMITATIONS ON THE RELATED ORGANIZATION INFORMATION THAT CAN BE EXTRACTED FROM LAWSON. DUE TO THESE LIMITATIONS, MOST OF THE RELATED ORGANIZATION ACTIVITY FOR THE FILING ORGANIZATION HAS BEEN CLASSIFIED ON SCHEDULE R, PART V, IN LINES P AND Q.