MERCY KANSAS COMMUNITIES INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: MERCY KANSAS COMMUNITIES INC (EIN 48-0956045)
Tax period: 2016-07-01 to 2017-06-30
Filed: 2018-05-15
IRS object ID: 201811359349309496
Schema version: 2016v3.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-05-15T15:24:27-05:00	ReturnTs
Tax Period End	2017-06-30	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	2016-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	480956045	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MERCY KANSAS COMMUNITIES	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% SCOTT REYNOLDS CFO	InCareOfNm
Business Name Control	MERC	BusinessNameControlTxt
Phone	3145796100	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	401 Woodland Hills Blvd	AddressLine1Txt
City	Fort Scott	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	66701	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	SCOTT REYNOLDS	PersonNm
Person Title	CFO-CENTRAL COMM	PersonTitleTxt
Signature	2018-05-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

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

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	SCOTT REYNOLDS	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	$39,754,484	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	1983	FormationYr
Legal Domicile State	KS	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	9	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	489	TotalEmployeeCnt
Total Volunteers	68	TotalVolunteersCnt
Total Gross UBI	$332,328	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$111,659	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$152,237	PYContributionsGrantsAmt
CY Contributions Grants	$607,147	CYContributionsGrantsAmt
PY Program Service Revenue	$44,343,924	PYProgramServiceRevenueAmt
CY Program Service Revenue	$38,679,765	CYProgramServiceRevenueAmt
PY Investment Income	$116,361	PYInvestmentIncomeAmt
CY Investment Income	-$240,466	CYInvestmentIncomeAmt
PY Other Revenue	$652,227	PYOtherRevenueAmt
CY Other Revenue	$615,280	CYOtherRevenueAmt
PY Total Revenue	$45,264,749	PYTotalRevenueAmt
CY Total Revenue	$39,661,726	CYTotalRevenueAmt
PY Grants And Similar Paid	$9,969	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$8,043	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$30,615,281	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$22,831,952	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$28,135,191	PYOtherExpensesAmt
CY Other Expenses	$19,317,235	CYOtherExpensesAmt
PY Total Expenses	$58,760,441	PYTotalExpensesAmt
CY Total Expenses	$42,157,230	CYTotalExpensesAmt
PY Revenues Less Expenses	-$13,495,692	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$2,495,504	CYRevenuesLessExpensesAmt
Total Assets BOY	$30,772,934	TotalAssetsBOYAmt
Total Assets EOY	$28,375,887	TotalAssetsEOYAmt
Total Liabilities BOY	$4,670,724	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$3,993,140	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$26,102,210	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$24,382,747	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	$21,772,918	ExpenseAmt
Grant	$2,589	GrantAmt
Revenue	$29,684,737	RevenueAmt
Desc	MERCY HOSPITAL - FORT SCOTT - HEALTHCARE SERVICES PROVIDED ARE ESSENTIAL TO THE HEALTH AND WELL-BEING OF THE INDIVIDUALS RESIDING IN THE CITY OF FORT SCOTT AND BOURBON COUNTY. THE HOSPITAL PROVIDES BASIC PRIMARY CARE SERVICES WHICH INCLUDE; INPATIENT ACUTE, SWING BED, EMERGENCY ROOM, GENERAL SURGERY, OUTPATIENT DIAGNOSTIC, OUTPATIENT PHYSICAL THERAPY AND HOME HEALTH SERVICES. THE COMMUNITY NEED IS REPRESENTED BY THE APPROXIMATE 1,155 DISCHARGES, 9,191 EMERGENCY ROOM VISITS, 1,602 SURGERIES, 7,575 HOME HEALTH VISITS AND NUMEROUS OUTPATIENT PROCEDURES. NECESSARY TERTIARY CARE IS TRANSPORTED OUT OF THE COMMUNITY TO A LARGER HOSPITAL.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$7,900,258	ExpenseAmt
Grant	$4,354	GrantAmt
Revenue	$6,497,250	RevenueAmt
Desc	MERCY PHYSICIAN GROUP - FORT SCOTT - LOCAL PHYSICIAN SERVICES ARE ESSENTIAL TO THE HEALTH AND WELL-BEING OF THE COMMUNITIES. THE INTEGRATED PHYSICIAN GROUP CONSISTS OF THE FOLLOWING MIX OF SPECIALTIES: FAMILY PRACTICE, INTERNAL MEDICINE, OB/GYN, GENERAL SURGERY, ORTHOPEDICS AND ADVANCED PRACTICE PROVIDERS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$1,299,069	ExpenseAmt
Grant	$1,100	GrantAmt
Revenue	$2,525,025	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$30,972,245	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	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	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	489	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
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	9	GoverningBodyVotingMembersCnt
Independent Voting Member	6	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	false	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	SCOTT REYNOLDS CFO	PersonNm
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

Form990 Part VII Section A Form990PartVIISectionAGrp (25 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
Ballou Paul
Board member	1.0	0.0	Yes (X)	$0	$0	$0
Brau RSM Sr Annrene
Board member	1.0	2.0	Yes (X)	$0	$0	$0
Campbell Sharon
Board member	1.0	0.0	Yes (X)	$0	$0	$0
Drake Billie Jo
Board member	1.0	1.0	Yes (X)	$0	$0	$0
Martin Dave
Board member - thru 12/16	0.5	0.0	Yes (X)	$0	$0	$0
Seals DO Larry E
Phys. & B. member - THRU 12/16	29.5	0.5	Yes (X)	$457,129	$0	$33,377
Secrest Jesse
Board member	1.0	0.0	Yes (X)	$0	$0	$0
Self DO Maxwell
Physician & Board member	60.0	0.0	Yes (X)	$199,702	$0	$39,658
Yarick Cliff
Board member	1.0	0.0	Yes (X)	$0	$0	$0
Baker Reta
PRESIDENT-FORT SCOTT & BD MBR	59.0	1.0	Yes (X)	$341,495	$0	$60,410	Yes (X)
Pulsipher Gary W
CEO & BOARD MEMBER	12.0	48.0	Yes (X)	$0	$622,069	$214,873	Yes (X)
Hunter Shelly
CFO - THRU 04/17	10.0	50.0		$0	$303,325	$60,432	Yes (X)
Reynolds Scott
CFO-Central communities	2.0	58.0		$0	$495,457	$108,085	Yes (X)
Burke James
Regional VP-Legal	5.0	55.0		$0	$375,823	$61,498		Yes (X)
Marion Tanya
Regional VP-Human Resources	4.0	56.0		$0	$295,964	$58,729		Yes (X)
Swope Jon
President - Central Comm.	4.0	56.0		$0	$1,335,560	$387,904		Yes (X)
Enyart Marc E
Physician	60.0	0.0		$398,648	$0	$21,670			Yes (X)
Fox John M
Physician	60.0	0.0		$399,222	$0	$40,824			Yes (X)
Gugnani Pankaj K
Physician	60.0	0.0		$291,378	$0	$33,663			Yes (X)
Hall Ralph W
Physician	60.0	0.0		$373,919	$0	$40,626			Yes (X)
Schwab Terry D
Physician	60.0	0.0		$370,316	$0	$29,210			Yes (X)
Ammons Carl E Eric
Former officer	0.0	60.0		$0	$564,066	$211,018				Yes (X)
Steinmann David
Former officer	0.0	30.0		$0	$218,441	$38,263				Yes (X)
Biles Tracey
Former key employee	0.0	55.0		$0	$165,606	$14,655				Yes (X)
Hennessey III William
Former key employee	0.0	60.0		$0	$246,294	$49,785				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,831,809	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,622,605	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,504,680	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	27	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
JE DUNN CONSTRUCTION
929 HOLMES	KANSAS CITY	KS	64106	CONSTRUCTION	$1,659,718
GENERAL ANESTHESIA SERVICES PA
PO BOX 263	FORT SCOTT	KS	66701	ANESTHETIC SERVICES	$618,750
GE HEALTHCARE
3000 N GRANDVIEW BLVD	WAUKESHA	WI	53188	CONSTRUCTION	$134,961
REMEDIATION CONTRACTORS
319 N MATHEWSON	WICHITA	KS	67214	CONSTRUCTION	$116,437
DESIGN MECHANICAL
1140 BOOTH ST STE A	KANSAS CITY	MO	66103	CONSTRUCTION	$113,549

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	6	CntrctRcvdGreaterThan100KCnt
Related Organizations	$544,974	RelatedOrganizationsAmt
Government Grants	$62,173	GovernmentGrantsAmt
Total Contributions	$607,147	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	621110	$24,075,685	$24,075,685
REFERENCE LAB	621500	$13,145,921	$12,999,949	$145,972
OTHER OPERATING REVENUE	900099	$1,344,137	$1,344,137
RENTAL INCOME FROM RELATED ORGS	532000	$114,022	$114,022

Field	Value	IRS element (for citing)
Total Program Service Revenue	$38,679,765	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$147,708	TotalRevenueColumnAmt
Exclusion	-$147,708	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

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$92,758	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$92,758	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$92,758	TotalRevenueColumnAmt
Exclusion	-$92,758	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	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFE & VENDING	722514	$401,677	$401,677
FITNESS CENTER	713940	$213,603		$27,247	$186,356

Field	Value	IRS element (for citing)
Other Revenue Total	$615,280	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$39,661,726	TotalRevenueColumnAmt
Related Or Exempt Func Income	$38,561,040	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$332,328	UnrelatedBusinessRevenueAmt
Exclusion	$161,211	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$8,043	TotalAmt
Program Services	$8,043	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

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	$1,044,936	TotalAmt
Program Services	$875,109	ProgramServicesAmt
Management And General	$169,827	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$83,328	TotalAmt
Program Services	$69,785	ProgramServicesAmt
Management And General	$13,543	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$17,369,250	TotalAmt
Program Services	$14,546,340	ProgramServicesAmt
Management And General	$2,822,910	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$733,990	TotalAmt
Program Services	$614,700	ProgramServicesAmt
Management And General	$119,290	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,424,769	TotalAmt
Program Services	$2,030,688	ProgramServicesAmt
Management And General	$394,081	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,175,679	TotalAmt
Program Services	$984,604	ProgramServicesAmt
Management And General	$191,075	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	$20,861	TotalAmt
Management And General	$20,861	ManagementAndGeneralAmt

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	$9,061	TotalAmt
Management And General	$9,061	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	$2,204,765	TotalAmt
Program Services	$2,007,754	ProgramServicesAmt
Management And General	$197,011	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$87,856	TotalAmt
Program Services	$66,870	ProgramServicesAmt
Management And General	$20,986	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$786,263	TotalAmt
Program Services	$293,313	ProgramServicesAmt
Management And General	$492,950	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$9,541	TotalAmt
Program Services	$9,180	ProgramServicesAmt
Management And General	$361	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$779,511	TotalAmt
Program Services	$122,595	ProgramServicesAmt
Management And General	$656,916	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$29,429	TotalAmt
Program Services	$16,096	ProgramServicesAmt
Management And General	$13,333	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	$1,590	TotalAmt
Program Services	$1,590	ProgramServicesAmt

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	$2,260,951	TotalAmt
Program Services	$1,006,938	ProgramServicesAmt
Management And General	$1,254,013	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$413,010	TotalAmt
Program Services	$236,795	ProgramServicesAmt
Management And General	$176,215	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SHARED SERVICE FEES	$4,136,182	$551,096	$3,585,086
BAD DEBT	$3,166,910	$3,166,910
DRUGS & MEDICAL EXPENSES	$2,931,730	$2,899,260	$32,470
LOSS FROM DISCONTINUED OPS	$1,281,397	$1,281,397

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,198,178	TotalAmt
Program Services	$183,182	ProgramServicesAmt
Management And General	$1,014,996	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$42,157,230	TotalAmt
Program Services	$30,972,245	ProgramServicesAmt
Management And General	$11,184,985	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,500	BOYAmt
EOY	$795,433	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	$2,431,343	BOYAmt
EOY	$2,447,389	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	$7,249	BOYAmt
EOY	$805	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$762,493	BOYAmt
EOY	$549,945	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$611,694	BOYAmt
EOY	$431,152	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$68,139,892	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$44,216,960	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$25,167,183	BOYAmt
EOY	$23,922,932	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$313,484	BOYAmt
EOY	$367,301	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	$177,000	BOYAmt
EOY	$177,000	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,299,988	BOYAmt
EOY	-$316,070	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$30,772,934	BOYAmt
EOY	$28,375,887	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$4,666,924	BOYAmt
EOY	$2,870,005	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$3,800	BOYAmt
EOY	$3,750	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$740,296	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	$379,089	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,670,724	BOYAmt
EOY	$3,993,140	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$25,626,619	BOYAmt
EOY	$24,015,446	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$475,591	BOYAmt
EOY	$367,301	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	$26,102,210	BOYAmt
EOY	$24,382,747	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$30,772,934	BOYAmt
EOY	$28,375,887	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$2,495,504	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$776,041	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$9,061	OtherActivitiesAmt
Total Lobbying Expenditures	$9,061	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

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	SUPPLEMENTAL LOBBYING INFORMATION THE FILING ORGANIZATION IS A MEMBER OF AND PAYS DUES TO THE FOLLOWING HOSPITAL ASSOCIATIONS: KANSAS HOSPITAL ASSOCIATION, AMERICAN HOSPITAL ASSOCIATION AND CATHOLIC HEALTH ASSOCIATION. FOR THE YEAR ENDED JUNE 30, 2017, DUES WERE $28,733, $8,231 AND $12,954, RESPECTIVELY. APPROXIMATELY 23.60% OF KANSAS HOSPITAL ASSOCIATION DUES, 21.78% OF AMERICAN HOSPITAL ASSOCIATION DUES AND 3.76% OF CATHOLIC HEALTH ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED BY THESE ASSOCIATIONS.	ExplanationTxt

Schedule D IRS990ScheduleD

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

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$911,622	OtherCostOrOtherBasisAmt
Book Value	$911,622	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$39,921,803	OtherCostOrOtherBasisAmt
Depreciation	$19,899,446	DepreciationAmt
Book Value	$20,022,357	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$26,499,888	OtherCostOrOtherBasisAmt
Depreciation	$23,582,450	DepreciationAmt
Book Value	$2,917,438	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$806,579	OtherCostOrOtherBasisAmt
Depreciation	$735,064	DepreciationAmt
Book Value	$71,515	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$23,922,932	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	DUE TO AFFILIATES	Desc
Amt	$379,089	Amt

Field	Value	IRS element (for citing)
Total Liability	$379,089	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

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, 2017 OR 2016.	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	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
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	$1,314,151	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,314,151	NetCommunityBenefitExpnsAmt
Total Expense	0.03370	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,138,267	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,291,136	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,452,418	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,291,136	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,161,282	NetCommunityBenefitExpnsAmt
Total Expense	0.03370	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$198,401	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$103	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$198,298	NetCommunityBenefitExpnsAmt
Total Expense	0.00510	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,878	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$17,878	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,133	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,133	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$223,412	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$103	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$223,309	NetCommunityBenefitExpnsAmt
Total Expense	0.00580	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,675,830	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,291,239	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,384,591	NetCommunityBenefitExpnsAmt
Total Expense	0.03950	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,041	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$14,041	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$575	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$575	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$454	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$454	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,070	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,070	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,063,510	BadDebtExpenseAmt
Reimbursed By Medicare	$6,885,378	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$7,427,460	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$542,082	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 FORT SCOTT	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	401 WOODLAND HILLS BLVD	AddressLine1Txt
City	FORT SCOTT	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	66701	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.MERCY.NET	WebsiteAddressTxt
State License	H-006-001	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 Fort Scott	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	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	WWW.MERCY.NET/ABOUT/COMMUNITY-BENEFITS	OwnWebsiteURLTxt
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	WWW.MERCY.NET/ABOUT/COMMUNITY-BENEFITS	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
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 (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5	To better understand the health status, behaviors and needs of the populations they serve, Mercy Hospital Fort Scott reached out to community stakeholders, South East Kansas Multi County Health Department Public Nurse, the vulnerable and the underserved to collaborate on a Community Health Needs Assessment (CHNA). The needs assessment process involved review of both quantitative and qualitative data in order to plan and act upon priority community health needs. The voices of the people of Bourbon County, particularly those in poverty and vulnerable populations, were central to the health needs assessment. Mercy Hospital Fort Scott gathered community input through a focus group located in Fort Scott City Hall. There was representation of the medically underserved and low-income populations. Community partners attending and advocating on their clients behalf consisted of public health, local food pantry, local coalition, mental health, school district, and Medicaid case managers for people with disabilities. Each member of the group provided meaningful and reflective information. Thirteen individuals in the Bourbon County area expressed interest in participating in the focus group. All 13 of the interested individuals were eligible. Of the interested people; three were men and 10 were women; 1 was a young adult (26-36 years old), nine were middle aged adults (37-64 years old), three were older adults (65-84 years old); five had private insurance coverage, one had Medicaid coverage, two had Medicare coverage, one had both Medicaid and Medicare coverage, one had both Medicare and private coverage, three had no insurance coverage; and two had sought behavioral health care services in the past year. A total of 7 participants showed for the focus group, all white, six females, one male, four with private insurance, two with Medicare coverage and one that was uninsured in attendance. Sufficient representation of Medicaid, low income, and vulnerable populations were represented. Every attempt was made to have at least 2 men in attendance. One gentleman had a medical emergency and another was sick on the day of the focus group meeting. In order to align our community needs with Mercy Hospital Fort Scotts strategic plan and mission, a hospital level focus group was conducted. Hospital, Clinic, Health for Life, Home Health, Hospice, and Pharmacy leadership participated and provided feedback. Primary and secondary data were presented. The group was tasked to prioritize the health indicators based on level of community concern and potential to collaborate around the health issue. For this Community Health Needs Assessment, we did not solicit written comments. We did not have a process yet in place. Since the completion of the CHNA, we have been able to identify a process for soliciting written comments from the community in the form of a perception survey. This perception survey will be utilized to evaluate the progress of our current CHIP and will be developed for the upcoming CHNA.
Form 990, Schedule H, Part V, Section B, Line 6B	MERCY HOSPITAL FORT SCOTT CONDUCTED THE CHNA WITH THE SOUTH EAST KANSAS MULTI COUNTY HEALTH DEPARTMENT.
Form 990, Schedule H, Part V, Section B, Line 11	Mercy Hospital Fort Scott is addressing the significant needs identified in the most recent CHNA through systems, environmental, and policy change in the places where our community members spend most of their time. Our goal is to create sustainable programs that will have the largest impact. "The environments where we live, learn, work, and play affect access to healthy food and opportunities for physical activity which, along with genetic factors and personal choices, shape health and risk of overweight and obesity" (Institute, 2016). The health needs that have been identified as priorities are: Diabetes, Cardiovascular Disease, & Lung Disease. Other identified needs not being addressed and why not: Mental Illness Mercy Hospital Fort Scott acknowledges the needs associated with persons who have been diagnosed with Mental Illness. We do not have the resources to adequately address this need in the healthcare setting. We have working relationships with mental health providers and counselors who are able to address this need in the community setting. The local South East Kansas Mental Health facility is government funded, accepts Medicaid, and has a sliding scale for those who are uninsured or living in poverty. Maternal Child Health Our Mother and Infants Program bring a much needed service to the community to ensure expecting mothers receive quality prenatal care, education, and support. The program targets the vulnerable and underserved. Secondary data indicate our community has a lower rate of women receiving inadequate prenatal care when compared to state and national percentages. Mercy will continue to address issues through collaborative work regarding teenage pregnancy but there are limitations as a Catholic Health System and will not take a lead role on this issue. Cancer: Currently, there are several community organizations who are addressing this indicator. Mercy will continue our collaboration with these organizations as well as continue internal efforts through home health and palliative care programs. Mercy Hospital Fort Scott leaders felt our continued involvement was important but the issues of diabetes, cardiovascular disease and lung disease demanded more of our focus at this time.
FORM 990, SCHEDULE H, PART V, SECTION B, LINES 16A, 16B, & 16C	THE FINANCIAL ASSISTANCE POLICY, APPLICATION AND A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY ARE AVAILABLE ONLINE AT HTTPS://WWW.MERCY.NET/OPEN-PAGES/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 Arma
601 E Washington	Arma	KS	66712	Physician Clinic/Practice
Mercy Physician Building
403 Woodland Hills Boulevard	Fort Scott	KS	66701	Physician Clinic/Practice
Mercy Medical Plaza
902 S Horton	Fort Scott	KS	66701	Physician Clinic/Practice
Mercy Health for Life Fort Scott
405 Woodland Hills Boulevard	Fort Scott	KS	66701	Rehab/Fitness Center
Mercy Convenient Care Fort Scott
1624 S National	Fort Scott	KS	66701	Urgent Care
Mercy Linn County
11155 Tucker Road	Pleasanton	KS	66075	Primary Care Small

Supplemental Information Detail SupplementalInformationDetail (13 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 $42,157,230. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $3,166,910. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $38,990,320.
FORM 990, SCHEDULE H, PART II	Mercy Hospital Fort Scott contributes to community building activities with the intent to improve the community's health and safety by addressing the root cause of health problems, such as poverty, homelessness and other social determinants of health. Leadership participates in the Bourbon County Economic Development Council, Fort Scott Visioning Steering Committee, and Fort Scott Area Chamber of Commerce on issues impacting the communitys health and safety. Efforts are focused to establish or enhance community support networks, such as The Good Neighbor Action Team (GNAT), Circles out of Poverty Group, High School Mentor Program, and Presbyterian Village Board activities. These activities include both community-based initiatives and facility-based initiatives.
FORM 990, SCHEDULE H, PART III, SECTION A, LINE 2	TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE, AT COST, BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENT ACCOUNTS WAS MULTIPLIED BY A RATIO OF COST TO CHARGES. THE RATIO OF COST TO CHARGES USED WAS BASED ON DETAILED COST ACCOUNT, WHERE AVAILABLE. WHERE COST ACCOUNTING IS NOT AVAILABLE, COST REPORT COST TO CHARGE RATIOS WERE UTILIZED.
FORM 990, SCHEDULE H, PART III, SECTION A, LINE 3	The filing organization determined that the estimated amount of bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy is $0. Although the charity care policy requires the participation of the patient requesting assistance, we have a process under presumptive charity to address accounts for patients who do not provide the information. We believe that our charity policy is comprehensive enough to capture almost all patients who qualify for charity care.
FORM 990, SCHEDULE H, PART III, SECTION A, LINE 4	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 SYSTEMS CHARITY CARE POLICY. THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES IS BASED UPON MANAGEMENTS 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	MERCYS COLLECTION POLICY PROVIDES THAT MERCY WILL PERFORM A REASONABLE COMMUNICATION AND/OR REVIEW OF PATIENT ACCOUNTS AS IT RELATES TO ANY SERVICE PROVIDED AT OUR FACILITIES BEFORE TURNING THE ACCOUNT TO BAD DEBT OR TAKING LEGAL ACTION FOR NONPAYMENT. MERCY ACTIVELY SCRUBS ACCOUNTS FOR PAYOR PLAN COVERAGE, INCLUDING MEDICAID. IN THE EVENT AN ACCOUNT IS TURNED TO COLLECTIONS AND IS IDENTIFIED IN NEED OF FINANCIAL ASSISTANCE DUE TO CIRCUMSTANCE CHANGES, OR IS NOW REQUESTING ASSISTANCE, THE ACCOUNTS ARE RETURNED BY THE AGENCY AND CONSIDERED FOR CHARITY IF THE PATIENT PROVIDES THE REQUESTED INFORMATION. IF THE PATIENT FAILS TO RETURN THE INFORMATION, THE ACCOUNT WILL QUALIFY FOR COLLECTIONS. MERCY UTILIZES THE EXPERIAN TOOL TO ENHANCE THE ABILITY TO DETERMINE THE CHARITY QUALIFICATION PRIOR TO TURNING TO BAD DEBT, A PROCESS KNOWN AS PRESUMPTIVE CHARITY. 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 Hospital strives to continually assess the health needs of our community. In addition to the collaborative work described in the CHNA, Mercy Hospital Leadership and coworkers attended coalition meetings, served as board members on various committees, and were actively involved in community events. Mercy Hospital worked with various other organizations in the Healthy Bourbon County Action Team to survey community members on their perception of the health and wellness of our community. This perception survey had a high response rate. The results from this survey will be used in implementing policy and environmental change as well as direct our focus to the most pressing priorities.
FORM 990, SCHEDULE H, PART VI, LINE 3	Mercy informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organizations financial assistance policy through several means. If at any time a patient expresses hardship and inability to pay, the account is placed for review. In addition, patients have signage about the policy at the access points, and all staff working with the patient at Point of Service, Scheduling, Customer Service, and even through the Medicaid Eligibility Screening, have the means to send the account for review. There is the plain language summary that is being provided to all whom express hardship, in addition to the web address providing the application, policies, and even how uninsured accounts are handled. Lastly, the statements message to the patient that Mercy does have a Financial Assistance Program and to call to see if they are eligible. Mercy staffs internal resources certified to assist patients with Medicaid Applications as well.
FORM 990, SCHEDULE H, PART VI, LINE 4	MERCY KANSAS COMMUNITIES' PRIMARY SERVICE AREA INCLUDES THE FOLLOWING THREE COUNTIES IN SOUTHEAST KANSAS: LINN, BOURBON, AND CRAWFORD. THE FOLLOWING INFORMATION IS DERIVED FROM 2016 Sg2 ANALYTICS DATA AND Sg2 INSURANCE COVERAGE ESTIMATES. FORT SCOTT AREA'S POPULATION IS 64,413. 23% OF THE POPULATIONS AVERAGE HOUSEHOLD INCOME IS OVER $75,000. 40% OF THE POPULATION IS 45 AND OLDER. 27% OF HOUSEHOLDS ARE ON MEDICARE, 15% ON MEDICAID, AND 11% UNINSURED.
FORM 990, SCHEDULE H, PART VI, LINE 5	Mercy Hospital Fort Scott and each of its facilities further its exempt purpose by promoting the health of our community. Through collaborative efforts with local coalitions and organizations we will see a change in the culture of our community. As a rural hospital, Mercy Hospital Fort Scott has limited resources and must carry an enterprising spirit to better serve our community. Networking and joining forces with area businesses, organizations, non-profit entities, and others has helped extend our reach. Survey results show our community was in need of a form of exercise for those who are have physical limitations. In 2016 Mercy Hospital raised money through the Mercy Foundation and a golf tournament to buy an underwater treadmill. The Mercy Foundation, community support, fundraising, and coworker support has also led us to the purchase of a new mammography machine. This was a much needed replacement to enhance preventative services for our community. The hospital holds wellness fairs at multiple businesses within the community. Mercy Physicians Clinic held an annual Teddy Bear Clinic. This is a health fair held in collaboration with many non-profit and helping agencies to help families get the referrals and resources they need. Mercy Hospital has particular concern for the vulnerable and underserved. An example of a long standing program, The Mothers and Infants Clinic, where soon to be mothers who have little or no insurance receive needed prenatal care, is a prime example of our commitment to promoting health and wellness in the community. These womens social, nutrition, and spiritual needs are also addressed with community partners. Coworkers and Leaders gather coats during an annual coat drive, or canned goods during the annual canned good drive, and the items are donated to the local food pantry.
FORM 990, SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM: THE FILING ORGANIZATION IS PART OF MERCY HEALTH ("MERCY"). MERCY IS A MISSOURI NON-PROFIT CORPORATION WITH ITS HEADQUARTERS ("MINISTRY OFFICE") IN ST. LOUIS, MISSOURI. MERCY PROVIDES HEALTH CARE SERVICES IN FOUR STATES - ARKANSAS, KANSAS, MISSOURI, AND OKLAHOMA - AND HAS OUTREACH MINISTRIES LOCATED IN 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, 2017, MERCY FACILITIES INCLUDED 30 ACUTE CARE HOSPITALS, 4 MANAGED HOSPITALS, 4 HEART HOSPITALS, 2 CHILDREN'S HOSPITALS, 2 ORTHOPEDIC HOSPITALS AND 3 REHAB HOSPITALS. FOR THE FISCAL YEAR ENDED JUNE 30, 2017, MERCY HAD MORE THAN 9.6 MILLION OUTPATIENT AND PHYSICIAN OFFICE VISITS, APPROXIMATELY 2,100 EMPLOYED PHYSICIANS, AND APPROXIMATELY 40,000 FULL-TIME EQUIVALENT EMPLOYEES, MAKING MERCY THE FIFTH 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: KANSAS

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	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 (18 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
Seals DO Larry E
Phys. & B. member - THRU 12/16	$414,908	$0	$5,000	$0	$37,221	$0	$17,028	$0	$16,349	$0	$490,506	$0	$0	$0
Self DO Maxwell
Physician & Board member	$170,824	$0	$5,000	$0	$23,878	$0	$23,285	$0	$16,373	$0	$239,360	$0	$0	$0
Baker Reta
PRESIDENT-FORT SCOTT & BD MBR	$244,536	$0	$56,138	$0	$40,821	$0	$48,154	$0	$12,256	$0	$401,905	$0	$0	$0
Pulsipher Gary W
CEO & BOARD MEMBER	$0	$385,567	$0	$209,511	$0	$26,991	$0	$202,476	$0	$12,397	$0	$836,942	$0	$0
Hunter Shelly
CFO - THRU 04/17	$0	$206,847	$0	$62,217	$0	$34,261	$0	$44,035	$0	$16,397	$0	$363,757	$0	$0
Reynolds Scott
CFO-Central communities	$0	$344,082	$0	$107,538	$0	$43,837	$0	$95,709	$0	$12,376	$0	$603,542	$0	$0
Burke James
Regional VP-Legal	$0	$255,282	$0	$102,105	$0	$18,436	$0	$45,046	$0	$16,452	$0	$437,321	$0	$0
Marion Tanya
Regional VP-Human Resources	$0	$194,710	$0	$65,017	$0	$36,237	$0	$42,620	$0	$16,109	$0	$354,693	$0	$0
Swope Jon
President - Central Comm.	$0	$676,314	$0	$565,437	$0	$93,809	$0	$371,536	$0	$16,368	$0	$1,723,464	$0	$0
Enyart Marc E
Physician	$364,214	$0	$5,000	$0	$29,434	$0	$9,275	$0	$12,395	$0	$420,318	$0	$0	$0
Fox John M
Physician	$354,536	$0	$5,000	$0	$39,686	$0	$24,225	$0	$16,599	$0	$440,046	$0	$0	$0
Gugnani Pankaj K
Physician	$252,084	$0	$5,000	$0	$34,294	$0	$17,500	$0	$16,163	$0	$325,041	$0	$0	$0
Hall Ralph W
Physician	$314,194	$0	$5,000	$0	$54,725	$0	$24,073	$0	$16,553	$0	$414,545	$0	$0	$0
Schwab Terry D
Physician	$324,213	$0	$5,000	$0	$41,103	$0	$12,670	$0	$16,540	$0	$399,526	$0	$0	$0
Ammons Carl E Eric
Former officer	$0	$327,741	$0	$192,986	$0	$43,339	$0	$198,677	$0	$12,341	$0	$775,084	$0	$0
Steinmann David
Former officer	$0	$154,832	$0	$31,459	$0	$32,150	$0	$22,214	$0	$16,049	$0	$256,704	$0	$0
Biles Tracey
Former key employee	$0	$113,344	$0	$26,487	$0	$25,775	$0	$8,518	$0	$6,137	$0	$180,261	$0	$0
Hennessey III William
Former key employee	$0	$153,815	$0	$45,773	$0	$46,706	$0	$33,413	$0	$16,372	$0	$296,079	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

FORM 990, SCHEDULE J, PART I, QUESTION 3

MERCY KANSAS COMMUNITIES 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 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: CARL (ERIC) AMMONS, RETA BAKER, GARY PULSIPHER, SHELLY HUNTER, JAMES BURKE, TANYA MARION, WILLIAM HENNESSEY III, 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 (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
JANICE BAKER
FAMILY MEMBER OF OFFICER	$42,757	EMPLOYMENT	false
SHAWN YOUNG
FAMILY MEMBER OF OFFICER	$40,571	EMPLOYMENT	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4C	OTHER PROGRAM SERVICES MERCY KANSAS COMMUNITIES, INC. PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, GENDER, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. MERCY KANSAS COMMUNITIES, INC. PROVIDES INPATIENT DAY SERVICES, OUTPATIENT SERVICES, EMERGENCY SERVICES, HOME HEALTH VISITS AND OFFICE VISITS. HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY INCLUDE LOW COST PRENATAL CARE, BIRTHING CENTER FOR PATIENTS REQUIRING SPECIAL CARE, GERIATRIC SITTER SERVICES, RURAL HEALTH CLINICS, EXPANDED TRANSPORTATION SERVICES, AMBULANCE SERVICE, SAFE KIDS PROGRAMS, MERCY 55 MATURE DRIVING CLASSES, MERCY COMPASSIONATE CARE PROGRAM, AND OTHER HEALTH PROGRAMS.
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, LINE 7A, 7B CLASSES OF MEMBERS OR STOCKHOLDERS FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH SOUTHWEST MISSOURI/KANSAS COMMUNITIES. THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES ARE RESERVED SOLELY FOR THE SOLE CORPORATE MEMBER: -TO APPROVE THE MISSION AND ESTABLISH THE PHILOSOPHY ACCORDING TO WHICH THE CORPORATION SHALL OPERATE; -TO AMEND THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION; -TO APPOINT MEMBERS OF THE BOARD; -TO APPOINT AND REMOVE THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION; -TO APPROVE THE STRATEGIC PLAN, GOALS AND OBJECTIVES OF THE CORPORATION; -TO APPROVE THE OPERATING, CAPITAL, AND CONSTRUCTION BUDGETS FOR THE CORPORATION; -TO LEASE OR SELL ANY OF THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO ENCUMBER ANY OR ALL OF THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO AUTHORIZE AND APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY CORPORATION 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 MERCY KANSAS COMMUNITIES CORPORATION; AND -TO APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION 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. IN ADDITION, THE FORM 990 IS MADE AVAILABLE TO THE MERCY HEALTH SOUTHWEST MISSOURI/KANSAS COMMUNITIES BOARD OF DIRECTORS FOR THEIR REVIEW, AS MERCY HEALTH SOUTHWEST MISSOURI/KANSAS COMMUNITIES IS THE SOLE CORPORATE MEMBER OF MERCY KANSAS COMMUNITIES AND HAS ULTIMATE RESPONSIBILITY TO APPOINT THE MERCY KANSAS COMMUNITIES BOARD (WHICH IS PRIMARILY ADVISORY IN NATURE) AND LEADERSHIP TEAM AND POWER TO APPROVE SIGNIFICANT FINANCIAL AND OPERATIONAL DECISIONS. ONCE REVIEWED AND APPROVED BY THE FILING ORGANIZATION'S LEADERSHIP TEAM, 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, 2017. 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 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 - $899,699 DISCONTINUED OPERATIONS - ($177,478) RESTRICTED FUNDS - $53,820 GRAND TOTAL - $776,041
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 2017 (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, 2017. 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, 2017, 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 Ste 100	Chesterfield	MO	63017	261708048	PORT MGMT	MO	501c3	12b	Mercy Health	Yes (true)
Mercy ACO Clinical Services Inc
14528 S Outer Forty Ste 100	Chesterfield	MO	63017	464504901	VIRTUAL CARE	MO	501c3	3	Mercy Health	Yes (true)
Mercy Clinic East Communities
645 Maryville Ctr Dr Ste 100	St Louis	MO	63141	431771217	PHYS GROUP	MO	501c3	10	MH EAST COMM	Yes (true)
Mercy Clinic Fort Smith Communities
7301 Rogers Avenue	Fort Smith	AR	72903	261318597	PHYS CLINIC	AR	501c3	3	MH FS COMM	Yes (true)
Mercy Clinic Oklahoma Communities Inc
4300 W Memorial Road	Oklahoma City	OK	73120	270473057	PHYS GROUP	OK	501c3	3	MH OK COMM	Yes (true)
Mercy Clinic Springfield Communities
1965 Fremont St Ste 2950	Springfield	MO	65804	431560263	PHYS GROUP	MO	501c3	3	MH SF COMM	Yes (true)
Mercy Family Center
14528 S Outer Forty Ste 100	Chesterfield	MO	63017	721069468	COUNSELING	MO	501c3	7	Mercy Health	Yes (true)
Mercy Health
14528 S Outer Forty Ste 100	Chesterfield	MO	63017	431423050	CORP OFFICE	MO	501c3	1	NA	false
Mercy Health East Communities
14528 S Outer Forty Ste 100	Chesterfield	MO	63017	431718408	HLTH SYSTEM	MO	501c3	12a	Mercy Health	Yes (true)
Mercy Health East Communities - Southern
14528 S Outer Forty Ste 100	Chesterfield	MO	63017	461412322	HLTH SYSTEM	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 Ste 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	Foundation	AR	501c3	12a	MC SRVCS	Yes (true)
Mercy Health Foundation Independence
800 W Myrtle	Independence	KS	67301	481079981	DSLVD 6/30/17	KS	501c3	7	M KS COMM	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 Lincoln
1000 East Cherry Street	Troy	MO	63379	811477159	Foundation	MO	501c3	12b	MH EAST COMM	Yes (true)
Mercy Health Foundation Northwest Arkans
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 COMM	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 Ste 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 Northwest Arkansas Communit
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 Southwest MissouriKansas C
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	HOME HEALTH	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	72917	710240352	HOSPITAL	AR	501c3	3	MH FS COMM	Yes (true)
Mercy Hospital Healdton Inc
3462 Hospital Rd	Healdton	OK	73438	263173902	HOSPITAL	OK	501c3	3	MH ARDMORE	Yes (true)
Mercy Hospital Jefferson
1400 Highway 61 South	Festus	MO	63028	430687077	HOSPITAL	MO	501c3	3	MH E COMM SR	Yes (true)
Mercy Hospital Joplin
100 Mercy Way	Joplin	MO	64804	270814858	HOSPITAL	MO	501c3	3	MH SWMK COMM	Yes (true)
Mercy Hospital Kingfisher Inc
1000 Kingfisher Reg Hosp Dr	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
14528 S Outer Forty Ste 100	Chesterfield	MO	63017	430653493	HOSPITAL	MO	501c3	3	MH EAST 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 Ste 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
14528 S Outer Forty Ste 100	Chesterfield	MO	63017	730614655	Inactive	OK	501c3	3	MH OK COMM	Yes (true)
Unity Ambulatory Care
14528 S Outer Forty Ste 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 Emergency Medical Services
1701 S Greenwood	Fort Smith	AR	72901	710416615	EMERGENCY MEDICAL	AR	NA
Mercy Ambulatory Surgery Center LLC
7301 Rogers Avenue	Fort Smith	AR	72917	710827721	AMBUL SURG CT	AR	NA
Plaza Surgery Services Company LLC
12700 Southfork Road	St Louis	MO	63128	204709312	Inactive	MO	NA
Resource Optimization & Innovation LL
645 Maryville Centre Drive Suite	St Louis	MO	63141	460468368	CENTRAL DIST.	MO	NA
St Edward Mercy Medical Center Multi-Pu
7301 Rogers Avenue	Fort Smith	AR	72903	710554050	OFFICE BUILDING	AR	NA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 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
1011 14th Avenue NW	Ardmore	OK	73401	731580607	Holding company	OK	NA	C-Corp
Mercy Health Network Inc
4300 W Memorial Road	Oklahoma City	OK	73120	731381689	Holding company	OK	NA	C-Corp
Mercy Managed Care Corporation
4300 W Memorial Road	Oklahoma City	OK	73120	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

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

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Mercy ACO Clinical Services Inc
q	$290,613	fmv
Mercy Health Foundation Fort Scott
c	$544,174	fmv
Mercy Hospital Carthage
q	$864,140	fmv
Mercy Hospital Joplin
q	$234,076	fmv
Mercy Research
q	$73,682	fmv
MHM Support Services
q	$1,051,026	fmv
Resource Optimization & Innovation LLC
p	$483,167	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.