2017-05-12T18:02:27-05:00 2016-06-30 ERNST & YOUNG US LLP 312 WALNUT STREET STE 1900 CINCINNATI OH 45202 990 2015-07-01 431560263 MERCY CLINIC SPRINGFIELD COMMUNITIES % SCOTT REYNOLDS MERC 3145796100 1235 E Cherokee Springfield MO 65804 Scott Reynolds CFO - Central Comm. 3145796100 2017-05-12 true ABBEY E LEIBEL P01517527 5136121623 2015 2021-01-29 14:40:06Z Scott Reynolds 1235 E Cherokee Springfield MO 65804 326958002 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. 23 0 1286 110 0 0 7685 78273 466837709 326582145 163383 11743 0 0 467008777 326672161 51118 1050 0 0 439400971 324820858 0 0 0 122665249 104421384 562117338 429243292 -95108561 -102571131 60228482 46030796 100712436 49828816 -40483954 -3798020 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 425420918 1050 326582145 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. 425420918 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 1286 true false false false false false false false false false false X 23 0 false false false false true true true true true false false false true true true true true false false false X SCOTT REYNOLDS 3145796100 1235 E CHEROKEE Springfield MO 65804 X Andrews MD Elizabeth Physician & Board member 60.0 0.0 X 358075 0 53993 Bumberry MD John Physician & Board member 60.0 0.0 X 440189 0 44368 Butler MD Connie Physician & Board member 50.0 10.0 X 328131 0 30005 De Hoyos Jose Physician & Board member 60.0 0.0 X 535177 0 24175 Fulnecky MD Eric Physician & Board member 60.0 0.0 X 331261 0 26908 Guffey Jay COO & Brd member 10.0 50.0 X 0 555639 120278 Hale MD Arthur Physician & Board member 60.0 0.0 X 315615 0 31172 Hawkins MD John Physician & Board member 60.0 0.0 X 751988 0 35330 Held Michael Attorney & Board member 10.0 50.0 X 0 200871 0 Hopkins MD John Physician & Board member 55.0 5.0 X 315659 0 38526 Huss MD Randall D Physician & Board member 60.0 0.0 X 386250 0 43743 Kennedy MD Russell Physician & Board member 55.0 5.0 X 0 412855 22973 Lafrancis MD Irving Physician & Board member 60.0 0.0 X 376515 0 21933 Lewis MD Stephanie Physician & Board member 60.0 0.0 X 296693 0 22174 Liu Danny Physician & Board member 60.0 0.0 X 459639 0 24925 Maynard MD Greg Physician & Board member 60.0 0.0 X 501696 0 29865 McDonald MD Hilton Physician & Board member 60.0 0.0 X 747709 0 28619 Meyer MD Stephen Physician & Board member 60.0 0.0 X 1124518 0 25347 Morgan MD Linda Physician & Board member 60.0 0.0 X 315465 0 22541 Riscoe James Physician & Board member 60.0 0.0 X 409631 0 34308 Shah MD Bharat Physician & Board member 40.0 20.0 X 747815 0 38850 Smith MD Sean Physician & Board member 60.0 0.0 X 0 454141 31520 Stangeland Stuart G COO Sprgfd Clinic & BRD Member 40.0 20.0 X 0 561869 85909 Theobald MD Todd Physician & Board member 5.0 15.0 X 230829 0 19800 Scarrow MD Alan Pres Sprg communities & BD MBR 8.0 52.0 X X 0 821213 118703 Burke James Regional VP-Legal 5.0 55.0 X 0 359195 61541 Godfrey MD Tracy President, Joplin Clinic 40.0 20.0 X 0 352174 64842 Haynes Rodney COO, Joplin Clinic 60.0 0.0 X 0 270930 26358 Hunter Shelly CFO-Joplin 5.0 55.0 X 0 275753 50257 Pulsipher Gary CEO - Joplin Communities 5.0 55.0 X 0 589317 206562 Reynolds Scott CFO-central communities 4.0 56.0 X 0 465895 104383 Barbe MD David O PHYSICIAN,VP-REGIONAL SERVICES 30.0 30.0 X 364861 0 81278 Birkner Richard VP-OPS, ADULT PRIMARY CARE 60.0 0.0 X 0 237619 19656 Burson MD John PHYS VP-WOMEN & CHILDREN SVCS 60.0 0.0 X 658166 0 39071 Cavagnol MD Robert Physician VP-SURGICAL SERVICES 59.0 1.0 X 767086 0 29064 Cochran MD David Physician VP-CARDIOLOGY SVCS 60.0 0.0 X 965892 0 36603 Dent Ronald L VP-Ambulatory finance 60.0 0.0 X 0 326177 86440 Duff MD James PHYS VP-ADULT PRIMARY CARE 55.0 5.0 X 229839 0 23233 Earnest Linda VP-Ops, MEDICAL SPECIALTIES 60.0 0.0 X 0 243480 24963 Fuhr Eric VP-OPERATIONS, NEUROLOGY SVCS 60.0 0.0 X 0 218346 34709 Hover MD Alexander R Senior VP-Clinical excellence 30.0 30.0 X 0 585924 61747 Khoshyomn MD Sami Physician VP, NEUROLOGY SVCS 40.0 20.0 X 854266 0 30506 Ledger MD Gregory Phys VP-MEDICAL SPECIALTIES 60.0 0.0 X 656293 0 45258 Marion Tanya Regional VP-Human Resources 8.0 52.0 X 0 281923 57609 McNay MD Jennifer PHYS VP-ADULT PRIMARY CARE 60.0 0.0 X 406921 0 41790 Rash Kevin VP-Operations, SURGICAL SVCS 60.0 0.0 X 0 225778 36597 Redfern MD David Physician VP-WOMEN'S SERVICES 60.0 0.0 X 279912 0 37769 Stutzman Ted VP-OPS, CARDIOLOGY WOMEN & CHD 55.0 5.0 X 0 241940 20922 Swope Jon President, central communities 4.0 56.0 X 0 1230428 172840 Vincent Jenine VP-Operations, REGIONAL SVCS 50.0 10.0 X 0 230980 31218 Wyrsch MD Robert B Physician VP, ORTHOPEDIC SVCS 60.0 0.0 X 1038722 0 41010 Johnson MD Robert D Physician 60.0 0.0 X 1231538 0 47679 Kutz MD Scott C Physician 60.0 0.0 X 1385065 0 28180 Lee MD Sunghoon Physician 60.0 0.0 X 1611793 0 34221 Mostrom DPM Dan R Physician 60.0 0.0 X 1478135 0 42583 Pennella MD Raffaele Physician 60.0 0.0 X 1319877 0 40942 Fronczak Theodore K Former key employee 0.0 60.0 X 0 271694 29129 Goodwin Kevin Former key employee 0.0 60.0 X 0 364666 61433 22221221 9778807 2726358 911 true true false RHINO MEDICAL SERVICES PO BOX 16253 GREENVILLE SC 29606 PHYSICIAN STAFFING 1611219 WEATHERBY LOCUMS PO BOX 972633 DALLAS TX 75397 PHYSICIAN STAFFING 1449192 COMPHEALTH PO BOX 972651 DALLAS TX 75397 PHYSICIAN STAFFING 1221999 NEWMAN FRANK R JR 1324 E LAKEPOINT CT SPRINGFIELD MO 65804 PHYSICIAN STAFFING 543122 BT CONSULTING 9707 MANOR RD LEAWOOD KS 66206 PHYSICIAN STAFFING 469335 16 0 69000 9273 0 78273 NET PATIENT SERVICE REVENUE 621110 325462630 325462630 0 0 OTHER OPERATING REVENUE 900099 1106515 1106515 0 0 RENTAL INCOME FROM RELATED ORG 531120 13000 13000 0 0 326582145 297584 297584 0 0 0 0 0 285841 -285841 -285841 -285841 0 0 0 0 326672161 326582145 0 11743 1050 1050 0 0 0 0 0 0 11946108 11885930 60178 0 594954 591957 2997 0 268412314 267585651 826663 0 8498535 8310754 187781 0 23511151 23012222 498929 0 11857796 11608783 249013 0 0 0 0 0 0 0 0 0 3383 3383 0 0 0 0 0 0 0 0 0 0 0 3528528 2820839 707689 366516 337553 28963 0 4846507 4703823 142684 0 206631 171831 34800 0 0 0 0 0 9647830 9615717 32113 0 543014 485661 57353 0 0 0 0 0 12621 576 12045 0 0 0 0 0 0 0 0 0 3283431 2589338 694093 0 10279328 10279328 0 0 DRUGS & MEDICAL EXPENSES 28815694 28815694 0 0 SHARED SERVICE FEES 28767797 28537575 230222 0 BAD DEBT 12416239 12416239 0 0 REPAIRS & MAINTENANCE 1199136 1197667 1469 0 504729 452730 51999 429243292 425420918 3822374 0 0 164263 38630 0 0 0 0 36005312 23556172 0 0 0 0 65000 0 1118767 1243009 217243 120810 71224140 50186457 22657897 21037683 0 0 0 0 0 0 0 0 0 34492 60228482 46030796 47605053 45504226 0 0 0 0 0 0 0 0 0 0 0 0 0 0 53107383 4324590 100712436 49828816 X -40483954 -3798020 0 0 0 0 -40483954 -3798020 60228482 46030796 X -102571131 0 0 0 0 139257065 X 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5169931 5169931 22696814 19165016 3531798 681710 478541 203169 41555241 29997618 11557623 1120444 545282 575162 21037683 0 DUE TO AFFILIATES 4324590 4324590 FORM 990, SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE PRIMARILY ALL OF THE MERCY HEALTH 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. MERCY 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, 2016 OR 2015. X true true false true false false false false false false false Andrews MD Elizabeth Physician & Board member 255915 0 54695 0 47465 0 37816 0 16177 0 412068 0 0 0 Bumberry MD John Physician & Board member 373757 0 34042 0 32390 0 28982 0 15386 0 484557 0 0 0 Butler MD Connie Physician & Board member 253001 0 49160 0 25970 0 13758 0 16247 0 358136 0 0 0 De Hoyos Jose Physician & Board member 499027 0 10000 0 26150 0 12166 0 12009 0 559352 0 0 0 Fulnecky MD Eric Physician & Board member 293449 0 29662 0 8150 0 10661 0 16247 0 358169 0 0 0 Guffey Jay COO & Brd member 0 371156 0 140682 0 43801 0 102296 0 17982 0 675917 0 0 Hale MD Arthur Physician & Board member 248682 0 40783 0 26150 0 21358 0 9814 0 346787 0 0 0 Hawkins MD John Physician & Board member 568366 0 132632 0 50990 0 19083 0 16247 0 787318 0 0 0 Held Michael Attorney & Board member 0 200871 0 0 0 0 0 0 0 0 0 200871 0 0 Hopkins MD John Physician & Board member 250934 0 46275 0 18450 0 22279 0 16247 0 354185 0 0 0 Huss MD Randall D Physician & Board member 262650 0 70720 0 52880 0 31734 0 12009 0 429993 0 0 0 Kennedy MD Russell Physician & Board member 0 352231 0 34474 0 26150 0 15071 0 7902 0 435828 0 0 Lafrancis MD Irving Physician & Board member 297006 0 47780 0 31729 0 10433 0 11500 0 398448 0 0 0 Lewis MD Stephanie Physician & Board member 229959 0 22734 0 44000 0 16211 0 5963 0 318867 0 0 0 Liu Danny Physician & Board member 423641 0 0 0 35998 0 9100 0 15825 0 484564 0 0 0 Maynard MD Greg Physician & Board member 415330 0 60216 0 26150 0 13618 0 16247 0 531561 0 0 0 McDonald MD Hilton Physician & Board member 620742 0 87287 0 39680 0 12397 0 16222 0 776328 0 0 0 Meyer MD Stephen Physician & Board member 945074 0 158918 0 20526 0 9100 0 16247 0 1149865 0 0 0 Morgan MD Linda Physician & Board member 250337 0 37663 0 27465 0 12727 0 9814 0 338006 0 0 0 Riscoe James Physician & Board member 343789 0 30332 0 35510 0 18061 0 16247 0 443939 0 0 0 Shah MD Bharat Physician & Board member 669346 0 28079 0 50390 0 22603 0 16247 0 786665 0 0 0 Smith MD Sean Physician & Board member 0 378863 0 19128 0 56150 0 15343 0 16177 0 485661 0 0 Stangeland Stuart G COO Sprgfd Clinic & BRD Member 0 343269 0 136036 0 82564 0 68030 0 17879 0 647778 0 0 Theobald MD Todd Physician & Board member 184827 0 2127 0 43875 0 10866 0 8934 0 250629 0 0 0 Scarrow MD Alan Pres Sprg communities & BD MBR 0 568385 0 246637 0 6191 0 99408 0 19295 0 939916 0 0 Burke James Regional VP-Legal 0 245591 0 92752 0 20852 0 43214 0 18327 0 420736 0 0 Godfrey MD Tracy President, Joplin Clinic 0 270312 0 63220 0 18642 0 46644 0 18198 0 417016 0 0 Haynes Rodney COO, Joplin Clinic 0 202581 0 49082 0 19267 0 8475 0 17883 0 297288 0 0 Hunter Shelly CFO-Joplin 0 199677 0 47978 0 28098 0 38849 0 11408 0 326010 0 0 Pulsipher Gary CEO - Joplin Communities 0 385012 0 167797 0 36508 0 189632 0 16930 0 795879 0 0 Reynolds Scott CFO-central communities 0 317099 0 93883 0 54913 0 89876 0 14507 0 570278 0 0 Barbe MD David O PHYSICIAN,VP-REGIONAL SERVICES 266546 0 69161 0 29154 0 69269 0 12009 0 446139 0 0 0 Birkner Richard VP-OPS, ADULT PRIMARY CARE 0 189460 0 46671 0 1488 0 2025 0 17631 0 257275 0 0 Burson MD John PHYS VP-WOMEN & CHILDREN SVCS 545396 0 68080 0 44690 0 22824 0 16247 0 697237 0 0 0 Cavagnol MD Robert Physician VP-SURGICAL SERVICES 603579 0 136967 0 26540 0 12817 0 16247 0 796150 0 0 0 Cochran MD David Physician VP-CARDIOLOGY SVCS 766283 0 150725 0 48884 0 30414 0 6189 0 1002495 0 0 0 Dent Ronald L VP-Ambulatory finance 0 198784 0 71802 0 55591 0 68329 0 18111 0 412617 0 0 Duff MD James PHYS VP-ADULT PRIMARY CARE 157606 0 25590 0 46643 0 11973 0 11260 0 253072 0 0 0 Earnest Linda VP-Ops, MEDICAL SPECIALTIES 0 170517 0 47461 0 25502 0 14356 0 10607 0 268443 0 0 Fuhr Eric VP-OPERATIONS, NEUROLOGY SVCS 0 160660 0 41260 0 16426 0 17288 0 17421 0 253055 0 0 Hover MD Alexander R Senior VP-Clinical excellence 0 385419 0 164047 0 36458 0 47108 0 14639 0 647671 0 0 Khoshyomn MD Sami Physician VP, NEUROLOGY SVCS 718356 0 91220 0 44690 0 14259 0 16247 0 884772 0 0 0 Ledger MD Gregory Phys VP-MEDICAL SPECIALTIES 554533 0 68830 0 32930 0 29011 0 16247 0 701551 0 0 0 Marion Tanya Regional VP-Human Resources 0 185233 0 59500 0 37190 0 39676 0 17933 0 339532 0 0 McNay MD Jennifer PHYS VP-ADULT PRIMARY CARE 316734 0 57257 0 32930 0 25613 0 16177 0 448711 0 0 0 Rash Kevin VP-Operations, SURGICAL SVCS 0 156265 0 43417 0 26096 0 19089 0 17508 0 262375 0 0 Redfern MD David Physician VP-WOMEN'S SERVICES 233281 0 26088 0 20543 0 21522 0 16247 0 317681 0 0 0 Stutzman Ted VP-OPS, CARDIOLOGY WOMEN & CHD 0 191077 0 48783 0 2080 0 3263 0 17659 0 262862 0 0 Swope Jon President, central communities 0 651753 0 524380 0 54295 0 153276 0 19564 0 1403268 0 0 Vincent Jenine VP-Operations, REGIONAL SVCS 0 179559 0 43372 0 8049 0 13758 0 17460 0 262198 0 0 Wyrsch MD Robert B Physician VP, ORTHOPEDIC SVCS 817913 0 170419 0 50390 0 24763 0 16247 0 1079732 0 0 0 Johnson MD Robert D Physician 272833 0 931496 0 27209 0 41186 0 6493 0 1279217 0 0 0 Kutz MD Scott C Physician 1132761 0 195804 0 56500 0 12864 0 15316 0 1413245 0 0 0 Lee MD Sunghoon Physician 1321892 0 230164 0 59737 0 17924 0 16297 0 1646014 0 0 0 Mostrom DPM Dan R Physician 221725 0 1212316 0 44094 0 28367 0 14216 0 1520718 0 0 0 Pennella MD Raffaele Physician 1161827 0 142200 0 15850 0 24695 0 16247 0 1360819 0 0 0 Fronczak Theodore K Former key employee 0 189302 0 57753 0 24639 0 17800 0 11329 0 300823 0 0 Goodwin Kevin Former key employee 0 219904 0 73406 0 71356 0 43206 0 18227 0 426099 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. 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 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: DAVID BARBE, RANDALL HUSS, ALAN SCARROW, STUART STANGELAND, JON SWOPE, JAMES BURKE, RONALD DENT, KEVIN GOODWIN, ALEXANDER HOVER, SCOTT REYNOLDS AND TANYA MARION. THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C). Meera Scarrow Family of board member 106793 Employment false Debbie Barbe Family of board member 15529 Employment false Thomas Lewis Family of board member 430037 Employment false Cindy Hoovens Family of board member 35418 Employment false KAREN COX FAMILY MEMBER OF OFFICER 19466 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 ARTICLES 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, 2016. THIS PROCESS IS ADMINISTERED AT THE MERCY HEALTH LEVEL BY MERCY'S BUSINESS RISK (INTERNAL AUDIT) 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 (FORMERLY FINANCE, AUDIT AND COMPLIANCE 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 VII, SECTION A, COLUMN B AVERAGE HOURS PER WEEK THE HOURS PER WEEK DISCLOSED IN PART VII IS THE AVERAGE HOURS THE LISTED PERSON WORKED OR DEVOTED PER WEEK WHILE EMPLOYED OR ASSOCIATED WITH THE FILING ORGANIZATION AND RELATED ORGANIZATIONS (IF APPLICABLE). FORM 990 PART XI LINE 9 OTHER CHANGES IN NET ASSETS NET TRANSFERS TO/FROM AFFILIATES $139,257,065 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 2016 (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 (FORMERLY FINANCE, AUDIT, AND COMPLIANCE COMMITTEE) OF THE MERCY HEALTH BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE. Casa de Misericordia 1602 McClelland Street Laredo TX 78044 742912461 SHELTER TX 501c3 7 MM LAREDO true Jefferson Land Company Inc 14528 S Outer Forty Ste 100 Chesterfield MO 63017 431330360 HOLDING CO MO 501c2 N/A MH JFFRSON true McAuley Portfolio Management Company 14528 S Outer Forty Ste 100 Chesterfield MO 63017 261708048 PORT MGMT MO 501c3 11b Mercy Health true Mercy ACO Clinical Services Inc 14528 S Outer Forty Ste 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 9 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 Ste 100 Chesterfield MO 63017 721069468 COUNSELING MO 501c3 7 Mercy Health true Mercy Health Foundation 14528 S Outer Forty Ste 100 Chesterfield MO 63017 200901499 Foundation MO 501c3 11b Mercy Health 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 11b Mercy Health true Mercy Health East Communities - Southern 14528 S Outer Forty Ste 100 Chesterfield MO 63017 461412322 HLTH SYSTEM MO 501c3 11b MH EAST COMM true Mercy Health Fort Smith Communities 7301 Rogers Avenue Fort Smith AR 72917 261318515 HOLDING CO AR 501c3 11b Mercy Health true Mercy Health Foundation Ada 430 N Monte Vista Street Ada OK 74820 463596274 Foundation OK 501c3 11a MH ADA INC true Mercy Health Foundation Ardmore 1011 14th Avenue NW Ardmore OK 73401 710962525 Foundation OK 501c3 11a MH ARDMORE true Mercy Health Foundation Berryville 214 Carter Street Berryville AR 72616 710759301 Foundation AR 501c3 11a MH FT SMITH true Mercy Health Foundation Fort Scott 401 Woodland Hills Blvd Fort Scott KS 66701 481077073 Foundation KS 501c3 11c M KS COMM true Mercy Health Foundation Hot Springs 300 Werner Street Hot Springs AR 71913 710804718 Foundation AR 501c3 11b MC SRVCS true Mercy Health Foundation Independence 800 W Myrtle Independence KS 67301 481079981 Foundation KS 501c3 11a M ST FRANCIS true Mercy Health Foundation Jefferson 1400 US Highway 61 South Festus MO 63028 462797051 Foundation MO 501c3 11b MH E COMM SR true Mercy Health Foundation Joplin 100 Mercy Way Joplin MO 64804 270906136 Foundation MO 501c3 11a MH SWMK COMM true Mercy Health Foundation Lincoln 1000 East Cherry Street Troy MO 63379 811477159 Foundation MO 501c3 11b MH EAST COMM true Mercy Health Foundation NW Arkansas 2710 Rife Medical Lane Rogers AR 72758 710601687 Foundation AR 501c3 11c MH ROGERS true Mercy Health Foundation of Oklahoma 4300 W Memorial Road Oklahoma City OK 73120 454732301 Foundation OK 501c3 11a MH OK COMM true Mercy Health Foundation Oklahoma City 4300 W Memorial Road Oklahoma City OK 73120 463184231 Foundation OK 501c3 11a MH OK COMM true Mercy Health Foundation Springfield 1235 E Cherokee Street Springfield MO 65804 320195818 Foundation MO 501c3 11b MH SF COMM true Mercy Health Foundation St Louis 14528 S Outer Forty Ste 100 Chesterfield MO 63017 562410020 Foundation MO 501c3 11b MH EAST COMM true Mercy Health Foundation Washington 901 E Fifth Street Washington MO 63090 562410022 Foundation MO 501c3 11b MH EAST COMM true Mercy Health NW Arkansas Communities 2710 Rife Medical Lane Rogers AR 72758 621684203 PHYS GROUP AR 501c3 9 Mercy Health true Mercy Health Oklahoma Communities Inc 4300 W Memorial Road Oklahoma City OK 73120 731453048 HLTH SYSTEM OK 501c3 11b 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 Southwest MOKS Communities 100 Mercy Way Joplin MO 64804 300584463 HLTH SYSTEM MO 501c3 11b Mercy Health true Mercy Health Springfield Communities 1235 E Cherokee Street Springfield MO 65804 431856028 HLTH SYSTEM MO 501c3 11b Mercy Health true Mercy Home Health Berryville 804 W Freeman Suite 4 Berryville AR 72616 870781247 HOME HEALTH AR 501c3 11c MM LAREDO 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 MO 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 72917 710240352 HOSPITAL AR 501c3 3 MH NWAR COMM true Mercy Hospital Healdton Inc 3462 Hospital Rd Healdton OK 73438 263173902 HOSPITAL OK 501c3 3 MH ARDMORE true Mercy Hospital Jefferson 1400 Highway 61 South Festus MO 63028 430687077 HOSPITAL MO 501c3 3 MH E COMM SR 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 Hosp 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 ARDMORE 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 14528 S Outer Forty Ste 100 Chesterfield MO 63017 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 Research 1235 E Cherokee Street Springfield MO 65804 870796305 HOSPITAL MO 501c3 4 MH SF COMM true Mercy Ministries of Laredo 2500 Zacatecas Laredo TX 78046 200198462 HOSPITAL TX 501c3 7 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 Ste 100 Chesterfield MO 63017 202553101 CTRL SYS FUNC MO 501c3 11b Mercy Health true Mission Clinical Services 300 Werner Street Hot Springs AR 71913 134239691 CHILD ADVOC AR 501c3 9 Mercy Health true St Edward Mercy Foundation 7301 Rogers Avenue Fort Smith AR 72917 237330425 Foundation AR 501c3 7 MH FT SMITH 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 true The Sister M Cornelia Blasko Foundation 100 W Highway 60 Mountain View MO 65548 431873914 Foundation MO 501c3 11a M ST FRANCIS true MERC AMBU SURG CTR 7301 Rogers FT SMITH AR 72917 710827721 AMBUL SURG CT AR NA RES OPT & INNOV 645 MARYVILLE St Louis MO 63141 460468368 CENTRAL DIST. MO NA SO OK DIAG CTR 1011 14TH Ardmore OK 73401 431971232 MRI Services OK NA FORT SMITH EMS 1701 S GREENWOOD FT SMITH AR 72901 710416615 Emergency Medical AR 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 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 false false false false false false false false false false false false false false false true true false false Mercy Health Springfield Communities Q 26534773 Mercy Clinic Fort Smith Communities Q 124704 Mercy Clinic Oklahoma Communities Inc Q 167179 Mercy Health Northwest Arkansas Communities Q 175522 Mercy Health Foundation Springfield P 78630 Mercy Hospital Aurora P 278333 Mercy Hospital Berryville P 97158 Mercy Hospital Cassville Q 131335 Mercy Hospital Lebanon Q 789761 Mercy Hospital Springfield P 113789462 Mercy St Francis Hospital P 97158 MHM Support Services Q 56901338 Mercy Medical Research Institute Q 161153 Resource Optimization & Innovation LLC P 794079 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.