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MERCY HOSPITAL JEFFERSON: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
MERCY HOSPITAL JEFFERSON (EIN 43-0687077)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-05-13
IRS object ID
201631349349306273
Schema version
2014v6.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2016-05-13T15:23:25-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN562632458PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Pleus and Company LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line114500 S Outer 40 Suite 201AAddressLine1Txt
CityChesterfieldCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63017ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN430687077EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Mercy Hospital JeffersonBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMERCBusinessNameControlTxt
Phone6369331136PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 350AddressLine1Txt
CityCrystal CityCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63109ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCheryl MatejkaPersonNm
Person TitleTreasurerPersonTitleTxt
Phone3143643532PhoneNum
Signature2016-05-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDOUGLAS G PLEUSPreparerPersonNm
PTINP00013488PTIN
Phone3143179916PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCarl E Eric AmmonsPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 350AddressLine1Txt
CityCrystal CityCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63109ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$165,882,796GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.mercy.net/crystalcitymoWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1953FormationYr
Legal Domicile StateMOLegalDomicileStateCd
Activity Or MissionA community based integrated healthcare system consisting of a 251 bed licensed facility which provides a full range of diagnostic, preventative and healthcare services along with 24 hour emergency room care.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee1757TotalEmployeeCnt
Total Volunteers150TotalVolunteersCnt
Total Gross UBI$159,173TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$64,971PYContributionsGrantsAmt
CY Contributions Grants$45,310CYContributionsGrantsAmt
PY Program Service Revenue$150,380,513PYProgramServiceRevenueAmt
CY Program Service Revenue$163,550,035CYProgramServiceRevenueAmt
PY Investment Income$70,779PYInvestmentIncomeAmt
CY Investment Income$4,244CYInvestmentIncomeAmt
PY Other Revenue$1,071,279PYOtherRevenueAmt
CY Other Revenue$739,244CYOtherRevenueAmt
PY Total Revenue$151,587,542PYTotalRevenueAmt
CY Total Revenue$164,338,833CYTotalRevenueAmt
PY Grants And Similar Paid$91,670PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$38,937CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$68,227,289PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$67,993,543CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$79,709,354PYOtherExpensesAmt
CY Other Expenses$88,899,557CYOtherExpensesAmt
PY Total Expenses$148,028,313PYTotalExpensesAmt
CY Total Expenses$156,932,037CYTotalExpensesAmt
PY Revenues Less Expenses$3,559,229PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$7,406,796CYRevenuesLessExpensesAmt
Total Assets BOY$174,796,943TotalAssetsBOYAmt
Total Assets EOY$173,921,716TotalAssetsEOYAmt
Total Liabilities BOY$16,371,853TotalLiabilitiesBOYAmt
Total Liabilities EOY$8,067,825TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$158,425,090NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$165,853,891NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAs 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$146,120,796ExpenseAmt
Grant$38,937GrantAmt
Revenue$163,679,116RevenueAmt
DescMercy Hospital Jefferson consists of a 251 bed licensed facility which provides a wide range of services. In fiscal year 2015, the following services were provided - 45,532 patient days, 363 deliveries, 31,046 emergency visits, 1,822 inpatient surgeries and 2,511 outpatient surgery procedures. It is the policy of Mercy Hospital Jefferson to provide uncompensated care to patients in need of financial assistance in accordance with the hospital's established guidelines and without regard to race, religion, sex, age,or national origin. Charity and uncompensated care for the year totaled $23,732,015. Mercy Hospital Jefferson is committed to providing educational programs to the community. Free seminars and presentations are provided on a wide variety of health issues which impact patients and their families. Free services are also offered to the community such as lipid, cholesterol, bone density and glucose screenings as well as hearing and memory screenings.Desc
Total Program Service Expenses$146,120,796TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1757EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Daniel EckenfelsBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6369331107PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 350AddressLine1Txt
CityCrystal CityCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63019ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Ammons Carl E Eric
Pres Mercy Hosp Jefferson & Board member54.505.50Yes (X)$449,293$0$176,120
Breeze Tonda
Board member0.500.50Yes (X)$0$0$0
Carron RSM Sr Judith Ann
Board member1.001.00Yes (X)$0$0$0
Enger MD Kevin
Board member0.500.00Yes (X)$0$0$0
Gannon Dennis
Board member0.500.50Yes (X)$0$0$0
Kennen E William
Physician & board member40.000.00Yes (X)$561,323$12,260$23,612
King BA M Div Rev Jack
Board member0.500.50Yes (X)$0$0$0
Patel MD Ash
Board member4.000.50Yes (X)$35,400$0$0
Rehm MD Charles
Chief admin officer & Board member4.0056.00Yes (X)$0$590,414$145,617
Hannasch Susan
Regl VP-General counsel10.0050.00$0$295,944$62,257Yes (X)
Matejka Cheryl L
Chief financial officer10.0047.00$0$435,540$103,616Yes (X)
Sorensen Donn
President-East Communities5.0059.00$0$821,625$404,141Yes (X)
Bryson Jared
VP Mission29.0031.00$0$155,653$23,201Yes (X)
Eckenfels Daniel
VP Finance58.501.50$257,516$0$25,052Yes (X)
Julien Sheila
CNO40.000.00$200,733$0$17,542Yes (X)
Meyer Michele
VP Operations60.000.00$252,569$0$25,399Yes (X)
Alam Tariq
Physician34.006.00$544,467$100,239$27,137Yes (X)
Albano Benjamin Y
Physician40.000.00$439,398$0$27,229Yes (X)
Barakat Ammar
Physician39.001.00$387,119$26,644$22,959Yes (X)
Al Furgani Mahmud M
Physician54.006.00$443,046$46,264$17,614Yes (X)
Newhall Phillip
Physician40.000.00$401,730$0$5,088Yes (X)
Cantalin Jeanne L
Former officer0.000.00$0$280,135$12,531Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,972,594TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,764,718TotReportableCompRltdOrgAmt
Total Other Compensation$1,119,115TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K57IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Acuity Anesthesiology LLC
1734 Clarkson Road Suite 147ChesterfieldMO63017Anesthesia services$3,713,940
Rehabcare Group Inc
7733 Forsyth Blvd Ste 1700St LouisMO63105IP Acute Rehab and OP Rehab services$2,800,265
Sodexo Inc & Affiliates
9801 Washington Blvd Suite 500GaithersburgMD20878Clinical Engineering Services$694,574
EXECUTIVE HEALTH RESOURCES
PO Box 822688PhiladelphiaPA19182Medical Documentation Review Services$636,523
Mayo Medical Labs
200 SW First StreetRochesterMN55805Lab services$556,104
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K25CntrctRcvdGreaterThan100KCnt
Related Organizations$21,951RelatedOrganizationsAmt
All Other Contributions$23,359AllOtherContributionsAmt
Total Contributions$45,310TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Net Patient Service Re621110$162,815,188$162,815,188
Lab Services621500$395,747$240,556$155,191
Rental From Affiliated531120$290,100$290,100
Meaningful use519100$49,000$49,000
FieldValueIRS element (for citing)
Total Program Service Revenue$163,550,035TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,244TotalRevenueColumnAmt
Exclusion$4,244ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$785,137RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,504,145RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$719,008RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$719,008TotalRevenueColumnAmt
Exclusion-$719,008ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$43,800GrossSalesOfInventoryAmt
Cost Of Goods Sold$39,818CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,982TotalRevenueColumnAmt
Unrelated Business Revenue$3,982UnrelatedBusinessRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafe & vending722210$896,725$896,725
Gift shop sales900099$432,446$432,446
Pharmacy Revenue624100$43,475$43,475

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$81,624TotalRevenueColumnAmt
Related Or Exempt Func Income$81,624RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,454,270OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$164,338,833TotalRevenueColumnAmt
Related Or Exempt Func Income$163,519,943RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$159,173UnrelatedBusinessRevenueAmt
Exclusion$614,407ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$38,937TotalAmt
Program Services$38,937ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,122,564TotalAmt
Program Services$2,122,564ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$52,059,909TotalAmt
Program Services$50,502,912ProgramServicesAmt
Management And General$1,556,997ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,266,565TotalAmt
Program Services$2,192,519ProgramServicesAmt
Management And General$74,046ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$7,786,821TotalAmt
Program Services$7,559,486ProgramServicesAmt
Management And General$227,335ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,757,684TotalAmt
Program Services$3,648,972ProgramServicesAmt
Management And General$108,712ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total-$11,653TotalAmt
Management And General-$11,653ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$563TotalAmt
Management And General$563ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$11,728,461TotalAmt
Program Services$11,119,702ProgramServicesAmt
Management And General$608,759ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$129,752TotalAmt
Program Services$67,758ProgramServicesAmt
Management And General$61,994ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,989,804TotalAmt
Program Services$4,877,320ProgramServicesAmt
Management And General$112,484ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$168,931TotalAmt
Program Services$168,931ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,296,305TotalAmt
Program Services$1,153,711ProgramServicesAmt
Management And General$142,594ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$286,816TotalAmt
Program Services$265,786ProgramServicesAmt
Management And General$21,030ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$351TotalAmt
Program Services$351ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,921TotalAmt
Program Services$3,921ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$8,499,775TotalAmt
Program Services$7,098,346ProgramServicesAmt
Management And General$1,401,429ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$724,468TotalAmt
Program Services$724,468ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Drugs & medical expense$26,936,277$26,701,991$234,286
Bad debt expense$19,891,101$19,891,101
Shared service fees$11,748,348$6,109,141$5,639,207
Repairs and maintenance$1,449,960$1,307,218$142,742

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,056,377TotalAmt
Program Services$565,661ProgramServicesAmt
Management And General$490,716ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$156,932,037TotalAmt
Program Services$146,120,796ProgramServicesAmt
Management And General$10,811,241ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
EOY$4,379,330EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$25,253,868BOYAmt
EOY$21,935,190EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,835,929BOYAmt
EOY$3,034,853EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$545,025BOYAmt
EOY$190,400EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$91,998,205LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$15,369,401LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$73,459,700BOYAmt
EOY$76,628,804EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$53,013,039BOYAmt
EOY$52,924,664EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$19,689,382BOYAmt
EOY$14,828,475EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$174,796,943BOYAmt
EOY$173,921,716EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$15,996,784BOYAmt
EOY$7,591,937EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$34,864BOYAmt
EOY$1,253EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$340,205BOYAmt
EOY$474,635EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$16,371,853BOYAmt
EOY$8,067,825EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$158,425,090BOYAmt
EOY$165,831,886EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
EOY$22,005EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$158,425,090BOYAmt
EOY$165,853,891EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$174,796,943BOYAmt
EOY$173,921,716EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$7,406,796ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$22,005OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$43,734GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$43,734TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationThe filing organization is a member of and pays dues to the following hospital associations: Catholic Hospital Association, American Hospital Association and the Missouri Hospital Association. For the year ended June 30, 2015, dues were $77,420, $15,261, and $59,496, respectively. Approximately 2.98% of the Catholic Hospital Association dues, 22.80% of the American Hospital Association dues, and 67.29% of Missouri Hospital Association dues were attributable to lobbying activities performed by this association.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,509,000OtherCostOrOtherBasisAmt
Book Value$3,509,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$45,319,021OtherCostOrOtherBasisAmt
Depreciation$4,662,256DepreciationAmt
Book Value$40,656,765BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$35,209,931OtherCostOrOtherBasisAmt
Depreciation$10,149,882DepreciationAmt
Book Value$25,060,049BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,960,253OtherCostOrOtherBasisAmt
Depreciation$557,263DepreciationAmt
Book Value$7,402,990BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$76,628,804TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
Other Assets$6,342,047
Due from Affiliates$8,486,428
FieldValueIRS element (for citing)
Total Book Value Other Assets$14,828,475TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescOther LiabilitiesDesc
Amt$474,635Amt
FieldValueIRS element (for citing)
Total Liability$474,635TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2FormAndLineReferenceDesc
ExplanationFEDERAL INCOME TAX PRIMARILY ALL OF THE MERCY HEALTH ENTITIES ARE RECOGNIZED BY THE INTERNAL REVENUE SERVICE 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 IN THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2015 OR 2014.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,596,954TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,596,954NetCommunityBenefitExpnsAmt
Total Expense0.01900TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,949,519TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,936,065DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,013,454NetCommunityBenefitExpnsAmt
Total Expense0.02200TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,546,473TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,936,065DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,610,408NetCommunityBenefitExpnsAmt
Total Expense0.04100TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$240,045TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$36,401DirectOffsettingRevenueAmt
Net Community Benefit Expns$203,644NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$263,969TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$263,969NetCommunityBenefitExpnsAmt
Total Expense0.00190TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$41,758TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,391DirectOffsettingRevenueAmt
Net Community Benefit Expns$25,367NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$545,772TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$52,792DirectOffsettingRevenueAmt
Net Community Benefit Expns$492,980NetCommunityBenefitExpnsAmt
Total Expense0.00360TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,092,245TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,988,857DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,103,388NetCommunityBenefitExpnsAmt
Total Expense0.04460TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$438TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$64DirectOffsettingRevenueAmt
Net Community Benefit Expns$374NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$32,404TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,031DirectOffsettingRevenueAmt
Net Community Benefit Expns$22,373NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$39,717TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$39,717NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$72,559TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,095DirectOffsettingRevenueAmt
Net Community Benefit Expns$62,464NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$5,988,664BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$54,869,632ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$61,175,810CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$6,306,178MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Mercy Hospital JeffersonBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 350AddressLine1Txt
CityCrystal CityCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63019ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.mercy.net/crystalcitymoWebsiteAddressTxt
State License529-2StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1JEFFERSON REGIONAL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.mercy.net/about/community/benefitsOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt14ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLwww.mercy.net/about/community-benefitsStrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLwww.mercy.netFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLwww.mercy.netFAPAppAvailableOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
JEFFERSON REGIONAL MEDICAL CENTERPart V, Section B, Line 5: COMMUNITY HEALTH NEEDS ASSESSMENTPLEASE REFER TO THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT WHICH CAN BE FOUND AT WWW.MERCY.NET/COMMUNITY-BENEFITS.
JEFFERSON REGIONAL MEDICAL CENTERPart V, Section B, Line 22d: ELIGIBILITY GUIDELINES FOR CHARITY CARE DISCOUNTS THE FEDERAL POVERTY GUIDELINES FOR INCOME ARE THE BASIS FOR DETERMINING ELIGIBILITY FOR CHARITY CARE DISCOUNTS. FOR EXAMPLE, INDIVIDUALS WITH INCOMES BELOW 100% OF THE FEDERAL POVERTY GUIDELINES WILL BE ELIGIBLE FOR FREE CARE. INDIVIDUALS WITH INCOMES GREATER THAN 100% OF THE FEDERAL POVERTY GUIDELINES MAY BE ELIGIBLE FOR CARE AT DISCOUNTED RATES DEPENDING ON THEIR INCOME LEVEL AND/OR THE AMOUNT DUE TO THE HOSPITAL. ADDITIONAL FINANCIAL ASSISTANCE AFTER APPROPRIATE DISCOUNTS HAVE BEEN APPLIED, ARRANGEMENTS MAY BE MADE FOR AN INTEREST-FREE MONTHLY PAYMENT PLAN. GENERALLY, NO PATIENT'S FINANCIAL RESPONSIBILITY WILL BE GREATER THAN 20% OF ANNUAL HOUSEHOLD INCOME OR 10% OF NET ASSETS (WHICH EVER IS GREATER), ADJUSTED TO CONSIDER AVAILABILITY OF OTHER ASSETS THAT COULD BE USED TOWARD MAKING PAYMENTS.
Part V, Section B, Line 16Financial Assistance Policy Website Availability
JEFFERSON REGIONAL MEDICAL CENTER Part V, Section B, line 16a website:www.mercy.net
JEFFERSON REGIONAL MEDICAL CENTER Part V, Section B, line 16b website:www.mercy.net
FieldValueIRS element (for citing)
Facility5FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Jefferson Multi-Specialty Group
1400 Highway 61 SouthCrystal CityMO63019Hospital based outpatient depts: Outpatient physician clinic
Mercy Hospital Jefferson Rehab Unit
PO Box 350Crystal CityMO63019Hospital based outpatient depts: Rehabilitation services
Mercy Hospital Jefferson Psych Unit
PO Box 350Crystal CityMO63019Hospital based outpatient depts: Psychiatric services
Jefferson Regional Home Care
5 Industrial DriveFestusMO62028Hospital based outpatient depts: Home care services
Jefferson Regional Hospice
5 Industrial DriveFestusMO62028Hospital based outpatient depts: Hospice services

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 7g:SUBSIDIZED HEALTH SERVICESTHE ORGANIZATION DID NOT INCLUDE ANY PHYSICIAN CLINIC COSTS ON LINE 7G.
Part I, Ln 7 Col(f):TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) ARE $156,932,037. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $19,891,101. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $5,988,664.
PART I, LINE 6ACOMMUNITY BENEFIT REPORTTHE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS PREPARED BY ITS ULTIMATE PARENT ENTITY, MERCY HEALTH (EIN: 43-1423050).
Part II, Community Building Activities:Mercy Hospital Jefferson's (MHJ) community building activities promote the health, wellness, and safety of the community it serves. Through active participation on community boards, neighborhood/community coalitions, and involvement in community-based events, Mercy builds partnerships to develop collaborative solutions to address community needs. Mercy partners with organizations, churches, schools and area businesses to continually strive to improve the overall health ans strength of the communities they serve with special focus on those who are poor. Some of these community building partnerships and community engagement activities include: - Jefferson County Growth Association- Jefferson College Board- Support of the Quad City Senior Center- Participation in the DeSoto, Hillsboro, Twin City Area, and Ste. Genevieve Chambers of Commerce activities- Kiwanis Club- YMCA Board- COMTREA (Community Treatment, Inc.)- Crystal Oaks Skilled NursingCash/In-Kind DonationsMercy provides cash and in-kind donations all year long through the support of co-worker engagement and community service activities. These community building activities serve as a link to engage Mercy co-workers to look beyond the walls of the facilities in which they serve. During FY15, cash donations were given to organizations throughout the community that included:- Boy Scouts of America- Jefferson County Sheriff's Department- COMTREA- Jefferson County YMCA- St. Pius X Catholic High School- Jefferson CollegeA full description of our Community Building activities can be found at www.mercy.net/communitybenefits.
Part III, Line 2:TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE, AT COST, BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENT ACCOUNTS WAS MULTIPLIED BY A RATIO OF COST TO CHARGES. THE RATIO OF COST TO CHARGES USED WAS BASED ON DETAILED COST ACCOUNTING, WHERE AVAILABLE. WHERE COST ACCOUNTING IS NOT AVAILABLE, COST REPORT COST TO CHARGE RATIOS WERE UTILIZED.
Part III, 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 (REFER TO DISCLOSURE FOR PART III, #9B) 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.
Part III, 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 THAT ARE UNCOLLECTED, INCLUDING THOSE PLACED WITH COLLECTION AGENCIES, ARE INITIALLY CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN ACCORDANCE WITH COLLECTIONS POLICIES OF THE HEALTH SYSTEM AND, IN CERTAIN CASES, ARE RECLASSIFIED TO CHARITY CARE IF DEEMED TO OTHERWISE MEET THE HEALTH SYSTEM'S CHARITY CARE POLICY. THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES BASED UPON THE PAYOR COMPOSITION AND AGING OF RECEIVABLES AS OF THE REPORTING DATE 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."
Part III, Line 8:IT IS THE POSITION OF MERCY HOSPITAL JEFFERSON THAT 100% OF ANY SHORT FALL 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).
Part III, Line 9b:MERCY HOSPITAL JEFFERSON ("MERCY'S") DEBT COLLECTION POLICY PROVIDES THAT MERCY WILL PERFORM A REASONABLE REVIEW OF EACH INPATIENT ACCOUNT BEFORE TURNING AN ACCOUNT TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT, TO ASSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (E.G., MEDICAID) AND DO NOT QUALIFY FOR COVERAGE THROUGH MERCY'S COMMUNITY ASSISTANCE POLICY. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY PATIENT ACCOUNT THAT IS SUBSEQUENTLY DETERMINED TO HAVE MET THE MERCY HOSPITAL COMMUNITY ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO MERCY FOR APPROPRIATE FOLLOW-UP. MERCY REQUIRES ITS THIRD-PARTY COLLECTION AGENTS TO INCLUDE A MESSAGE ON ALL STATEMENTS INDICATING THAT IF A PATIENT OR PATIENT GUARANTOR MEETS CERTAIN STIPULATED INCOME REQUIREMENTS, THE PATIENT OR PATIENT GUARANTOR MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. MERCY UTILIZES THE "SEARCH AMERICA" TOOL TO ENHANCE THE ABILITY TO DETERMINE CHARITY QUALIFICATION. PRESUMPTIVE CHARITY WILL BE GRANTED IN SITUATIONS WHERE MERCY HOSPITAL HAS BEEN UNABLE TO OBTAIN INFORMATION FROM PATIENTS OR THE INFORMATION PROVIDED IS NOT COMPLETE ENOUGH TO MAKE A CHARITY DETERMINATION. MERCY UTILIZES PRESUMPTIVE CHARITY PRIOR TO BAD DEBT PLACEMENT FOR CHARITY ADJUSTMENTS IN EXCESS OF $6,500. IN THESE CASES, MERCY UTILIZES THE SEARCH AMERICA REPORT STATUS OF "PROBABLE CHARITY" AS THE BASIS FOR ASSIGNING THE CHARITY LEVEL. 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. ADDITIONALLY THEY MAY INCLUDE LIENS UPON REAL PROPERTY AND REASONABLE WAGE GARNISHMENTS. LEGAL ACTIONS WILL GENERALLY NOT INCLUDE BANK GARNISHMENT, REPOSSESSION OF ASSETS OR FORECLOSURES TO ENFORCE SATISFACTION OF A LIEN. MERCY HAS POLICIES AND PROCEDURES ESTABLISHED TO ADDRESS THE INITIATION OF LEGAL ACTION AND ANNUALLY REVIEWS COMPLIANCE WITH ALL POLICIES.
Part VI, Line 2:MERCY HOSPITAL JeffersonWho Was Involved in the Assessment At the center of involvement in the needs assessment were the people of the community. In April of 2013, Mercy held roundtable events in Festus-Crystal City, Farmington, and Hillsboro to dialogue directly with local community members about their needs, ideas, and concerns related to health care. Common themes included greater access to:- Quality health care services in their community - Mental health programs and services- Programs and services addressing a healthier lifestyle- Programs and initiatives addressing safety concernsParticipants identified barriers which included:- Number of individuals and families living in poverty, many without health insurance- Transportation- Physician/specialist shortages in the area; few physicians who take Medicaid- Urgent care accessA focus on partnerships, health education and prevention, and technology were cited as ways to improve health and wellness in the community.To continue the dialogue begun at the community roundtable events, online community advisory panels were formed. These individuals are routinely surveyed to assess need, evaluate program/service ideas and provide feedback. Members are continuously added to the advisory panel. New MyMercy users are invited to join the group and a public invitation/form is located on the Mercy.net website.Mercy's Planning Research Department provided internal and external demographic, utilization, chronic condition, and heath status data. The consulting group Truven Health Analytics was also engaged by Mercy as a partner to analyze current utilization and future demand for health care services. Professional Research Consultants (PRC) assists Mercy in measuring patient satisfaction through personal phone calls and email surveys. Community health co-workers in the Mission department of MHJ coordinate the CHNA process as part of their community health and benefit responsibility. A Community Health Council is accountable for ensuring community benefit meets mission, compliance, and IRS guidelines. The council is led by the hospital president. Members include co-workers from finance, care management, philanthropy, Mercy Clinic - Mercy's integrated physician group, mission, and other key areas. The chief medical officer as well as a MHJ board member are also actively engaged members of the council. While the deadline is not until 2015, Mercy Hospital Jefferson's Community Health Needs Assessment (CHNA) and Community Health Improvement Plan (CHIP) was completed and approved by the hospital's board in April of 2014. The CHIP focuses on top health priorities: Access to Care, Tobacco Use, and Mental Health & Substance Abuse, Injuries: Intentional - Focus Domestic Violence. These health priorities are now a focus of Community Benefit programming. How the Assessment Was ConductedOur needs assessment process involved the following five steps to attain the full scope of our community's needs.1. Examine existing community health needs assessmentsThe needs assessment examination process included the collection and analysis of quantitative data available in community/public health resources. Mercy staff reviewed the following data: - Jefferson County Health Department - Community Health Assessment 2012In the summer of 2012, Jefferson County Health Department collected information from primary and secondary sources to assess socio-economic, unemployment and ten health needs.www.jeffcohealth.org/images/stories/AdminServices/Annual_Reports/Jefferson%20County%202012%20Community%20Assessment.pdf- County Health Rankings County level data that will be updated annually by the University of Wisconsin-Population Health Institute and the Robert Wood Johnson Foundation. www.countyhealthrankings.org- Community Data Profiles & Missouri Information for Community Assessment (MICA) Missouri Department of Health & Senior Services-Bureau of Health Informatics This resource provides some of the best community health assessment planning tools available including community data profiles on 115 Missouri counties, thirty health indicators, and the capability to create customized tables.http://health.mo.gov/data/CommunityDataProfiles/index.html- Data provided by Mercy's Planning Research DepartmentCommunity health assessment and planning is an ongoing process at Mercy. As community/public health data is released, plans and programming are adjusted.2. Obtain qualitative information from community membersIn an effort to dialogue directly with the community and include qualitative data, input from community residents, individuals served by Mercy, and also those with expertise in public health were included through:- Community roundtable events- Online surveys- Individual meetings/interviews3. Analyze and summarize the data to prioritize needsHealth Needs IdentifiedThe Jefferson County Department of Health's 2012 Community Health Needs Assessment Report was a key deliverable in the initial phase of the MAPP process. While continuing to participate in the MAPP process, Mercy's Community Health and Benefit staff reviewed this report, along with other available data, and identified community health needs critical for Mercy Hospital Jefferson to address that align with Mercy's mission and community master plan.Public health data for lifestyle issues such as obesity, tobacco use, drug/alcohol use, and motor vehicle accident/fall rates paralleled with internal hospital utilization data. Rates for cancer-related deaths, including lung cancer, and diabetes and stroke, are higher than the state's rates. Cardiac-related and other chronic diseases such as COPD, along with those seeking treatment for behavioral health needs, remain critical issues when assessing the health of Jefferson County.Community Assets Identified Although Mercy Hospital Jefferson is the only hospital in Jefferson County, we are fortunate in the Jefferson community to have COMTREA (Community Treatment, Inc.), a Federally Qualified Health Center (FQHC) providing primary care and behavioral health services for adults and children, and the Jefferson County Health Department. Schools, churches, social services agencies, and businesses in the area are also actively engaged in community improvement projects. Summaries: Assessments and PrioritiesTo set priorities, criteria focused on identifying disproportionate unmet need, primary prevention strategies, advancements toward a continuum of care and a program that is collaborative and involves the community. The following priority needs were identified: Access to Care Mental Health & Substance Abuse Tobacco Use Injuries: Intentional - Focus Domestic Violence4. Review community benefit activities in placeUsing Lyon Software's CBISA tool, a review will be conducted of current community benefit activities and what Mercy is presently doing to meet identified priorities. In addition, the community benefit activity of others in the community will be reviewed. 5. Create an action plan in partnership with the communityMercy Hospital Jefferson will continue to partner with the Jefferson County Health Department and area agencies to develop a Community Health Improvement Plan. MHJ's Community Health Council will oversee, guide, and support Mercy's involvement in this collaborative approach.
Part VI, Line 3:THE FILING ORGANIZATION HAS PRINTED MATERIAL AVAILABLE AT EACH POINT OF REGISTRATION IN OUR FACILITY, IN ADDITION TO ELECTRONICALLY AVAILABILITY AT OUR WEB SITE AT MERCY.NET ON HOW TO CONTACT CUSTOMER SERVICE FOR FINANCIAL ASSISTANCE. THE STATEMENT ALSO INCLUDES DIRECTION ON HOW TO REACH OUT TO MERCY FOR FINANCIAL ASSISTANCE AS WELL. FINANCIAL ASSISTANCE INFORMATION AS A PART OF OUR HEALING MINISTRY, THE FILING ORGANIZATION IS COMMITTED TO PROVIDING QUALITY HEALTHCARE SERVICES TO PATIENTS REGARDLESS OF THEIR FINANCIAL SITUATION. WE OFFER PAYMENT ASSISTANCE FOR THOSE WHO DO NOT HAVE INSURANCE OR WHO ARE IN FINANCIAL NEED. UNINSURED PATIENT DISCOUNTS A DISCOUNT FROM THE HOSPITAL'S REGULAR BILLED CHARGES WILL BE PROVIDED TO PATIENTS WHO DO NOT HAVE INSURANCE. THIS INCLUDES PATIENTS WHOSE FINANCIAL SITUATION NORMALLY WOULD NOT OTHERWISE QUALIFY THEM FOR CHARITY CARE DISCOUNTS. PATIENTS WITHOUT INSURANCE WHOSE FINANCIAL SITUATION QUALIFIES THEM FOR CHARITY CARE DISCOUNTS (SEE ELIGIBILITY GUIDELINES BELOW) ARE ASSISTED OR ASKED IN APPLYING FOR MEDICAID BEFORE APPLYING FOR FINANCIAL ASSISTANCE. MERCY WORKS TO EXHAUST ALL EFFORTS TO COORDINATE WITH THE PATIENT TO APPLY FOR MEDICAID, BUT DOES NOT PROHIBIT CHARITY CONSIDERATIONS IF DENIED NOR APPLIED. APPLICATIONS FOR CHARITY CARE DISCOUNTS WILL BE REVIEWED FOR ELIGIBILITY BASED ON THE APPLICANT'S INCOME, FAMILY SIZE, AMOUNT OF PAYMENT DUE AND AVAILABILITY OF OTHER ASSETS OR RESOURCES. PLEASE NOTE THAT CARE MUST BE MEDICALLY NECESSARY TO BE CONSIDERED ELIGIBLE FOR UNINSURED PATIENT DISCOUNTS.
Part VI, Line 4:MERCY HOSPITAL JEFFERSON INCLUDES FOUR COUNTIES IN MISSOURI - JEFFERSON, WASHINGTON, STE. GENEVIEVE AND ST. FRANCOIS. BASED ON TRUVEN 2014 DATA, THE AREA'S POPULATION IS 302,706. 26% OF THE POPULATION HAS INCOME OVER $75,000. AVERAGE HOUSEHOLD INCOME IS $57,139. 14% OF THE POPULATION IS AGE 65 AND OLDER. 16% OF THE POPULATION IS ON MEDICARE, 13% ON MEDICAID, AND 12% UNINSURED, BASED ON 2014 TRUVEN INSURANCE ESTIMATES.
Part VI, Line 5:Open Medical Staff Medical staff privileges are extended to all qualified physicians in the community for nearly all of our departments. Mercy Hospital Jefferson has exclusive contracts with physician groups for the following services: radiology, pathology, anesthesia and emergency medicine. This means that greater than 90% of the physicians on staff are in categories that are open to qualified physicians in the community.Use of Surplus FundsSurplus funds and unrestricted assets held by Mercy Hospital Jefferson are reinvested in patient care, medical education and research initiatives which support the organization's mission to deliver compassionate care and exceptional health care services to the communities it serves. Examples include the following:- New patient tower planned to convert Mercy Hospital Jefferson to a private room campus as well as to expand women's health services in the region, regardless of ability to pay.- Construction of an all new Cancer Center with the newest technology to provide one stop experience for these vulnerable patients. The Center will include radiation oncology and chemotherapy treatments along with patient and family support services.- Expansion of primary care and specialty care physicians to the Mercy Hospital Jefferson service area with a focus to reach the underserved populations closer to their homes.- Continued partnering with area education programs to help promote the training of critically needed services for the community including schools of nursing, radiology and pharmacy.Additional Community Health Initiatives/InformationIn keeping with MHJ's commitment to serve all members of the community, MHJ provides:- Free care and/or subsidized care- Care to persons covered by governmental programs at below cost- Health activities and programs to support the community- Health education programs, and- A variety of broad community support activities.Many of the programs mentioned below are part of our current Community Health Impact Plan (CHIP). These are indicated by asterisks.MERCY NEIGHBORHOOD MINISTRY (MNM)Mercy Neighborhood Ministry is a department that supports the service areas of Mercy Hospital Jefferson, Mercy Hospital St. Louis and the surrounding counties. It focuses on connecting the economically underserved with appropriate health and social services as well as overall community health and access. MNM partners with over 100 community health and social service agencies, clinics, churches and schools. Nearly half of its annual expenses are offset through Mercy Foundation. ACCESS TO CARECERTIFIED APPLICATION COUNSELORS*Since the beginning of Open Enrollment through the Affordable Care Act in August 2013, Mercy has helped those in need of affordable health insurance to enroll in plans and/or educate them about their options. This coverage assistance program has been entirely funded through Missouri Foundation for Health grants and was available in the service areas of MHJ, MHSL, MHW and beyond. Enrollments to-date total nearly 600 and the CACs have attended hundreds of events resulting in educational opportunities in understanding the terminology and usage of health insurance.MENTAL HEALTHALIVE AND WELL IN STL*Alive and Well STL is a community-wide effort started by the Regional Health Commission that focuses on reducing the impact of toxic stress and trauma on a person's health and well-being. Mercy acts as a community partner for this initiative and works to create a more trauma aware/informed community through training opportunities and analyzing best practices in the field of behavioral health. TOBACCO USEMERCY ROAD TO FREEDOM*This program was offered to the community and Mercy co-workers as a telephonic, one-on-one support system with a specialty trained counselor. Over 40 people have kicked the habit.DOMESTIC VIOLENCEPROJECT HOPE*Through a partnership with a not-for-profit domestic violence agency, Mercy has implemented a process so Mercy patients can now file orders of protection immediately from their hospital room. Hospital co-workers continue to receive training when dealing with possible situations and asking all their patients about their current safety.PHYSICIANSMercy Health has a large number of clinics, physician offices and other healthcare facilities located in the East Community that are not associated with a hospital EIN. These clinics and facilities provide financial assistance, participate in health professions education (i.e. student shadowing) and provide in-kind contributions to their communities. The total community benefit that cannot be reported for these activities in FY15 is $15,577,660.
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 LIFE TO THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE." AS OF JUNE 30, 2015, MERCY FACILITIES INCLUDED 30 ACUTE CARE HOSPITALS, 5 MANAGED HOSPITALS, 4 HEART HOSPITALS, 2 CHILDREN'S HOSPITALS, 2 ORTHOPEDIC HOSPITALS AND 3 REHAB HOSPITALS. FOR THE FISCAL YEAR ENDED JUNE 30, 2015, MERCY HAD MORE THAN 8.7 MILLION OUTPATIENT AND PHYSICIAN OFFICE VISITS, APPROXIMATELY 2,100 EMPLOYED PHYSICIANS, AND APPROXIMATELY 36,000 FULL-TIME EQUIVALENT EMPLOYEES, MAKING MERCY THE SEVENTH LARGEST CATHOLIC HEALTH SYSTEM IN THE UNITED STATES BASED ON NET PATIENT SERVICE REVENUE. 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 TREASURY, INFORMATION TECHNOLOGY, CLINICAL QUALITY MANAGEMENT, LEGAL AND COMPLIANCE COUNSEL, COMPENSATION AND BENEFITS, CONSULTING, PERFORMANCE MANAGEMENT, REVENUE MANAGEMENT, INTERNAL AUDIT, ACCOUNTING AND REPORTING, CAPITAL MANAGEMENT, CLINICAL ENGINEERING, AND CLINICAL SAFETY. THE CENTRALIZATION OF SUCH SUPPORT SERVICES ENABLES MERCY TO ENSURE THAT EACH OF ITS COMMUNITIES, WHETHER LARGE OR SMALL, HAS THE SERVICES IT NEEDS.
Part VI, Line 7, Reports Filed With StatesMO

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxtCash GrantCashGrantAmt
Oak Bridge Community Church
1989 Richardson RdArnoldMO63010830352118501(c)(3)$24,650Cash valuesuturesMission trip
Jefferson College
1000 Viking DrHillsboroMO63050431611153501(c)(3)General support and educational training$5,000
Reorganized School District R-6
1515 Mid-Meadow LaneFestusMO63028436002980501(c)(3)General support$5,000
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2FormAndLineReferenceDesc
ExplanationThe organization awards assistance to preapproved local charity-based organizations, the amounts of $5,000 to $20,000 are approved by the CFO and amounts over $20,000 are approved by the CEO.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Travel For CompanionsYes (X)TravelForCompanionsInd
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Ammons Carl E Eric
Pres Mercy Hosp Jefferson & Board me$305,169$0$102,480$0$41,644$0$162,127$0$13,993$0$625,413$0$0$0
Kennen E William
Physician & board member$496,666-$835$33,309$12,354$31,348$741$8,925$0$14,469$218$584,717$12,478$0$0
Rehm MD Charles
Chief admin officer & Board member$0$443,406$0$85,847$0$61,161$0$131,467$0$14,150$0$736,031$0$0
Hannasch Susan
Regl VP-General counsel$0$221,883$0$47,655$0$26,406$0$48,801$0$13,456$0$358,201$0$0
Matejka Cheryl L
Chief financial officer$0$306,071$0$77,645$0$51,824$0$85,473$0$18,143$0$539,156$0$0
Sorensen Donn
President-East Communities$0$599,644$0$184,629$0$37,352$0$391,525$0$12,616$0$1,225,766$0$0
Bryson Jared
VP Mission$0$113,584$0$22,230$0$19,839$0$7,126$0$16,075$0$178,854$0$0
Eckenfels Daniel
VP Finance$205,557$0$35,377$0$16,582$0$8,119$0$16,933$0$282,568$0$0$0
Julien Sheila
CNO$154,216$0$20,444$0$26,073$0$10,546$0$6,996$0$218,275$0$0$0
Meyer Michele
VP Operations$191,094$0$35,377$0$26,098$0$8,119$0$17,280$0$277,968$0$0$0
Alam Tariq
Physician$244,745-$286$299,000$100,525$722$0$8,925$0$17,306$906$570,698$101,145$0$0
Albano Benjamin Y
Physician$282,401$0$138,090$0$18,907$0$8,925$0$18,304$0$466,627$0$0$0
Barakat Ammar
Physician$230,573-$1,992$140,171$26,763$16,375$1,873$8,925$0$13,636$398$409,680$27,042$0$0
Al Furgani Mahmud M
Physician$225,503-$187$199,649$46,451$17,894$0$1,051$0$16,017$546$460,114$46,810$0$0
Newhall Phillip
Physician$377,000$0$0$0$24,730$0$2,550$0$2,538$0$406,818$0$0$0
Cantalin Jeanne L
Former officer$0$25,649$0$0$0$254,486$0$11,143$0$1,388$0$292,666$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aCHARTER 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. TRAVEL FOR COMPANIONS IS PROVIDED IN RARE INSTANCES AND IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. WHERE COMPANION TRAVEL HAS RESULTED IN A TAXABLE EVENT, THE EMPLOYEES ARE TAXED FOR SUCH TRAVEL. SPOUSAL TRAVEL WAS PROVIDED FOR THE FOLLOWING EMPLOYEES OF A RELATED ORGANIZATION: CHARLES REHM. LIMITED INSTANCES OF TAX GROSS-UPS MAY HAVE OCCURRED WITH RESPECT TO EXECUTIVES. HOUSING BENEFITS ARE PROVIDED THROUGH A RELOCATION PROGRAM IN ACCORDANCE WITH COMPANY POLICY. SUCH BENEFITS WERE SUBJECT TO TAX TO THE EMPLOYEE OF A RELATED ORGANIZATION, JARED BRYSON. PAYMENT BY THE COMPANY OF COSTS FOR TEMPORARY HOUSING BY EMPLOYEES FOR THE CONVENIENCE OF THE COMPANY IS MADE IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. AS A REIMBURSABLE EXPENSE, THIS TYPE OF LODGING IS NOT TAXABLE TO THE EMPLOYEE.
Part I, Lines 4a-bJeanne Cantalin received $205,717 of severance compensation from a related organization. Timothy Pigg received $73,921 of severance compensation. Part I, Line 4B: Mercy Health, the ultimate parent company, 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 following individuals participated in the following plans. There were no payments for the fiscal year ended 6/30/2015: Supplemental Executive Retirement Plan (SERP) Sorensen, Donn (DC); Ammons,Carl (DC) Supplemental Management Retirement Plan (SMRP) Sorensen, Donn; Hannasch, Susan; Matejka,Cheryl L; Rehm MD, Charles The amount of all accrued benefits is included in compensation amounts provided in Schedule J, Part II, Column (C).
Part I, Line 7The related organization which employs those individuals listed on Part VII, and the filing organization PROVIDES A NON-FIXED BONUS PLAN FOR WHICH CERTAIN TIERS OF ITS EMPLOYEES ARE ELIGIBLE. FOR FISCAL YEAR 2015 (JULY 1, 2014 - JULY 30, 2015) PAYMENT OF ALL OR PART OF THE BONUS WAS CONTINGENT UPON ATTAINMENT OF CERTAIN FINANCIAL TARGETS AND NON-FINANCIAL GOALS DEEMED NECESSARY BY MERCY. PAYMENTS ARE MADE ANNUALLY IN OCTOBER FOLLOWING (I) THE CONCLUSION OF THE FISCAL YEAR AND (II) DETERMINATION OF GOAL ACHIEVEMENT. BONUS OPPORTUNITIES ARE TIERED PERCENTAGES AND ARE DEPENDENT UPON THE LEADERSHIP LEVEL AND ATTAINMENT PERCENTAGE. MERCY'S ATTAINMENT OF FINANCIAL TARGETS AND NON-FINANCIAL GOALS IS REVIEWED BY THE COMPENSATION COMMITTEE OF MERCY HEALTH AND IS TAKEN INTO ACCOUNT WHEN ANALYZING EXECUTIVE COMPENSATION FOR REASONABLENESS.
Part I, Line 3Mercy Health (parent company) is responsible for establishing the compensation of the organization's CEO/Executive Director. The following methods were used by Mercy Health to establish compensation: -Independent compensation consultant -written employment contract -compensation survey or study -approval by the board or compensation committee

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH EAST COMMUNITIES - SOUTHERN REGION, a supporting organization under Section 509(a)(3). The member of MERCY HEALTH EAST COMMUNITIES - SOUTHERN REGION is Mercy Health East Communities, a supporting organization under Section 509(a)(3). The member of Mercy Health East Communities is Mercy Health.
Form 990, Part VI, Section A, line 7aMercy Health, the member of Mercy Health East Communities, has reserve powers to appoint and remove all directors and officers for Mercy Hospital Jefferson.
Form 990, Part VI, Section A, line 7bTHE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED TO THE CORPORATE MEMBER (AND WITH REGARD TO CERTAIN POWERS AND RESPONSIBILITIES, TO MERCY HEALTH EAST COMMUNITIES AS THE CORPORATE MEMBER OF THE CORPORATE MEMBER): A. APPROVAL OF REVISIONS TO THE MISSION, VISION AND OPERATING VALUES PURSUANT TO WHICH THE CORPORATION OPERATES; B. APPROVAL OF ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION AND THESE BYLAWS AND ANY AMENDMENTS TO THE ORGANIZATIONAL DOCUMENTS OF ANY AFFILIATE OF THE CORPORATION; C. APPOINTMENT AND REMOVAL OF MEMBERS OF THE BOARD; D. APPROVAL OF THE APPOINTMENT AND REMOVAL OF THE PRESIDENT OF THE HOSPITAL SUBJECT TO THE CONSENT OF MERCY HEALTH EAST COMMUNITIES; E. ADOPTION OF THE STRATEGIC PLAN, GOALS, AND OBJECTIVES OF THE CORPORATION; F. ADOPTION OF THE OPERATING, CAPITAL AND ALL OTHER BUDGETS FOR THE CORPORATION; G. APPROVAL OF THE ASSIGNMENT, TRANSFER, SALE OR LEASE OF ANY OF THE ASSETS OF THE CORPORATION OR ANY AFFILIATE OF THE CORPORATION IN EXCESS OF ONE MILLION DOLLARS ($1,000,000) IN ANY ONE OR SERIES OF RELATED TRANSACTIONS OCCURRING WITHIN ANY TWELVE (12) MONTH PERIOD; H. AUTHORIZATION AND APPROVAL OF THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY AFFILIATE OF 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; I. APPROVAL OF A PLAN OF MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION OR ANY AFFILIATE; J. APPROVAL OF THE LEASE, MANAGEMENT OR PURCHASE OF, OR AFFILIATION WITH, ANOTHER HOSPITAL OR HOSPITAL SYSTEM, OR HEALTH CARE FACILITY OR HEALTH CARE SYSTEM BY THE CORPORATION; AND, K. TO APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION BY THE CORPORATION. L. OVERSEE, APPROVE AND MONITOR HUMAN RESOURCE PROGRAMS, WHICH SHALL PROMORTE AN ORGANIZATIONAL ENVIRONMENT THAT: 1. PROVIDES FOR THE RECRUITMENT AND RENTION OF CO-WORKERS WHO ARE SERVICE ORIENTED, COMPASSIONATE, ENGAGED, AND WHO FIND MEANING AND PURPOSE IN WORKING IN A FAITH-BASED ORGANIZATION; 2. ENABLES PEOPLE TO RELATE TO ONE ANOTHER WITH RESPECT AND ACCEPTANCE IN A SPIRIT OF COMMUNITY; 3. PROMOTES CO-WORKER PARTIICPATION AND VOICE IN THEIR WORK LIVES; 4. GIVES CO-WORKERS A FAIR OPPORTUNITY TO DEVLEOP THEIR SKILLS AND TALENTS, AND A MEANS BY WHICH THEIR CONTRIBUTIONS ARE RECOGNIZED; 5. PROVIDES CO-WORKERS WITH THE MATERIALS AND EQUIPMENT TO PROPERLY DO THEIR WORK;AND, 6. ENSURES CO-WORKER SAFETY AND WELL-BEING.
Form 990, Part VI, Section B, line 11THE 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 MANAGER 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' FORM 990S. AFTER QUESTIONS ARISING FROM THE VARIOUS REVIEWS ARE ADDRESSED AND INCORPORATED INTO THE FORM 990, A REVISED DRAFT IS PROVIDED TO THE FILING ORGANIZATION'S LEADERSHIP TEAM, INCLUDING THE CFO AND CEO, FOR REVIEW. ONCE REVIEWED AND APPROVED BY THE FILING ORGANIZATION'S LEADERSHIP TEAM, THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW; IT IS THEN SIGNED AND FILED WITH THE IRS.
Form 990, Part VI, Section B, line 12cOFFICERS, 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, 2015. 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, Section B, line 15FOR THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS), MERCY HEALTH (ultimate parent company) 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 MERCY HEALTH BOARD. 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, Section C, line 19Governing documents and financial statements are made available from time to time but are not published publicly; we are not required to make these documents available to the public. Financial results are available via request of copy of Form 990.
FORM 990, PART VII, SECTION A, COLUMN BAVERAGE 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:Transfer of Coworker Crisis Fund 22,005.
Part XII, Line 2CTHE 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 2015 (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.
Form 990, Part XII, Line 3Single Audit Act and OMB Circular A-133 The organization was included in a consolidated audit of Mercy Health as required by the Single Audit Act and OMB Circular A-133. The single audit was conducted on a consolidated basis.
FORM 990, SCHEDULE R, PART VSYSTEM LIMITATIONS MERCY HEALTH (MERCY) HAS A COMPLEX LEGAL STRUCTURE WITH OVER 60 LEGAL ENTITIES. LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY AND THE MAJORITY OF THE INTERCOMPANY/RELATED ORGANIZATION TRANSACTIONS ARE PROCESSED THROUGH LAWSON. WITH THE CURRENT DESIGN OF THE ERP SYSTEM, THERE ARE VARIOUS LIMITATIONS ON EXTRACTING THE INTERCOMPANY/RELATED ORGANIZATION INFORMATION 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. WE HAVE CAPTURED AND REPORTED THE KNOWN MATERIAL TRANSACTIONS BETWEEN ENTITIES. THERE MAY BE MINOR AMOUNTS OF RELATED ORGANIZATION TRANSACTION ACTIVITY WHICH IS NOT REFLECTED IN THIS SCHEDULE.
Form 990, Part V, Question 1aIndependent Contractors Independent contractors 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 health system (with limited exceptions) under the Mercy Health EIN.
FORM 990, SCHEDULE R, PART IIMERCY HOSPITALS EAST COMMUNITIES MERCY HOSPITALS EAST COMMUNITIES CONSISTS OF MERCY HOSPITALS EAST COMMUNITIES ST. LOUIS, EIN 43-0653493, AND MERCY HOSPITALS EAST COMMUNITIES WASHINGTON, EIN 43-1066883.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Jefferson Cardiovascular and Thoracic Services LLC
14528 S Outer Forty Suite 100ChesterfieldMO63017454423688Healthcare servicesMO$0$0Mercy Hospital Jefferson
Mercy Clinic Adult Hospitalists - Jefferson LLC
14528 S Outer Forty Suite 100ChesterfieldMO63017462913068Managed care contractingMO$0$0Mercy Hospital Jefferson
Mercy Labs Jefferson LLC
14528 S Outer Forty Suite 100ChesterfieldMO63017463478362Laboratory ServicesMO$4,568,249$0Mercy Hospital Jefferson

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (69 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Casa de Misericordia
1602 McClelland StreetLaredoTX78044742912461Women's domestic violence shelterTX501c37Mercy Ministries of LaredoYes (1)
Jefferson Land Company Inc
14528 S Outer Forty St 100ChesterfieldMO63017431330360Holding CompanyMO501c2Mercy Hospital JeffersonYes (1)
McAuley Portfolio Mgmt Co
14528 S Outer Forty St 100ChesterfieldMO63017261708048Portfolio managementMO501c311-IIMercy HealthYes (1)
Mercy ACO Clinical Services Inc
14528 S Outer Forty St 100ChesterfieldMO63017464504901Virtual Care CenterMO501c33Mercy HealthYes (1)
Mercy Clinic East Communities
645 Maryville Ctr Dr Ste 100St LouisMO63141431771217Physician GroupMO501c39Mercy Health East CommunitiesYes (1)
Mercy Clinic Fort Smith Comm
7301 Rogers AvenueFort SmithAR72917261318597Physician ClinicAR501c33Mercy Health Fort Smith CommYes (1)
Mercy Clinic Oklahoma Comm
4300 W Memorial RoadOklahoma CityOK73120270473057Physician GroupOK501c33Mercy Health OK CommunitiesYes (1)
Mercy Clinic Springfield Comm
1965 Fremont Street Suite 2950SpringfieldMO65804431560263Physician GroupMO501c33Mercy Health Springfield CommYes (1)
Mercy Family Center
14528 S Outer Forty St 100ChesterfieldMO63017721069468Family counseling servicesMO501c37Mercy HealthYes (1)
Mercy Health Foundation
14528 S Outer Forty St 100ChesterfieldMO63017200901499FoundationMO501c311-IIMercy HealthYes (1)
Mercy Health
14528 S Outer Forty St 100ChesterfieldMO63017431423050Corporate OfficeMO501c310N/A
Mercy Health East Communities
645 Maryville Ctr Dr Ste 100St LouisMO63141431718408Health SystemMO501c311-IIMercy HealthYes (1)
Mercy Health East Communities - SR
645 Maryville Ctr Dr Ste 100St LouisMO63141461412322Health SystemMO501c311-IIMercy Health East CommunitiesYes (1)
Mercy Health Fort Smith Comm
7301 Rogers AvenueFort SmithAR72917261318515Holding CompanyAR501c311-IIMercy HealthYes (1)
Mercy Health Foundation Ada
430 N Monte Vista StreetAdaOK74820453596274FoundationOK501c311-IMercy Hospital AdaYes (1)
Mercy Health Foundation Ardmore
1011 14th Avenue NWArdmoreOK73401710962525FoundationOK501c311-IMercy Hospital ArdmoreYes (1)
Mercy Health Foundation Berryville
214 Carter StreetBerryvilleAR72616710759301FoundationAR501c311-IMercy Hospital BerryvilleYes (1)
Mercy Health Foundation Ft Scott
401 Woodland Hills BlvdFort ScottKS66701481077073FoundationKS501c311-IIIMercy Kansas Communities IncYes (1)
Mercy Health Foundation Hot Springs
300 Werner StreetHot SpringsAR71913710804718FoundationAR501c311-IIMission Clinical ServicesYes (1)
Mercy Health Foundation Independence
800 W MyrtleIndependenceKS67301481079981FoundationKS501c311-IMercy Kansas Communities IncYes (1)
Mercy Health Foundation Jefferson
1400 US Highway 61 SouthFestusMO63028462797051FoundationMO501c311-IIMercy Health East Communities - SRYes (1)
Mercy Health Foundation Joplin
100 Mercy WayJoplinMO64804270906136FoundationMO501c311-IMercy Health SW MOKS CommYes (1)
Mercy Health Foundation NW Ark
2710 Rife Medical LnRogersAR72858710601687FoundationAR501c311-IIIMercy Hospital RogersYes (1)
Mercy Health Foundation of OK
4300 W Memorial RoadOklahoma CityOK73120454732301FoundationOK501c311-IMercy Health OK CommunitiesYes (1)
Mercy Health Foundation OK City
4300 W Memorial RoadOklahoma CityOK73120463184231FoundationOK501c311-IMercy Hospital Oklahoma CityYes (1)
Mercy Health Foundation Springfield
1235 E Cherokee StreetSpringfieldMO65804320195818FoundationMO501c311-IIMercy Health Springfield CommYes (1)
Mercy Health Foundation STL
615 South New Ballas RoadSt LouisMO63141562410020FoundationMO501c311-IIMercy Health East CommunitiesYes (1)
Mercy Health Foundation Washington
901 E Fifth StreetWashingtonMO63090562410022FoundationMO501c311-IIMercy Health East CommunitiesYes (1)
Mercy Health NW Ark Communities
2710 Rife Medical LnRogersAR72758621684203Physician GroupAR501c39Mercy HealthYes (1)
Mercy Health OK Communities
4300 W Memorial RoadOklahoma CityOK73120731453048Holding companyOK501c311-IIMercy HealthYes (1)
Mercy Health SW MOKS Comm
100 Mercy WayJoplinMO64804300584463Health SystemMO501c311-IIMercy HealthYes (1)
Mercy Health Springfield Comm
1235 E Cherokee StreetSpringfieldMO65804431856028Health SystemMO501c311-IIMercy HealthYes (1)
Mercy Home Health Berryville
804 W Freeman Suite 4BerryvilleAR72616870781247Home Health and Hospice operationsAR501c311-IIIMercy Hospital SpringfieldYes (1)
Mercy Hospital Ada Inc
430 N Monte Vista StreetAdaOK74820462288155HospitalOK501c33Mercy Health OK CommunitiesYes (1)
Mercy Hospital Ardmore
1011 14th Avenue NWArdmoreOK73401731500629HospitalOK501c33Mercy Health OK CommunitiesYes (1)
Mercy Hospital Aurora
500 Porter AvenueAuroraMO65605431936696HospitalMO501c33Mercy Health Springfield CommYes (1)
Mercy Hospital Berryville
214 Carter StreetBerryvilleAR72616710759299HospitalAR501c33Mercy Health Springfield CommYes (1)
Mercy Hospital Booneville
880 West Main StreetBoonevilleAR72927463851119HospitalAR501c33Mercy Hospital Fort SmithYes (1)
Mercy Hospital Carthage
3125 Dr Russell Smith WayCarthageMO64836453808607HospitalMO501c33Mercy Health SW MOKS CommYes (1)
Mercy Hospital Cassville
94 Main StreetCassvilleMO65625431936699HospitalMO501c33Mercy Health Springfield CommYes (1)
Mercy Hospital Columbus
220 Pennsylvania AvenueColumbusKS66725270842031HospitalMO501c33Mercy Health SW MOKS CommYes (1)
Mercy Hospital El Reno
2115 Parkview DriveEl RenoOK73036272716065HospitalOK501c33Mercy Health OK CommunitiesYes (1)
Mercy Hospital Fort Smith
7301 Rogers AvenueFort SmithAR72917710240352HospitalAR501c33Mercy Health Fort Smith CommYes (1)
Mercy Hospital Healdton Inc
3462 Hospital RdHealdtonOK73438263173902HospitalOK501c33Mercy Hospital Ardmore IncYes (1)
Mercy Hospital Joplin
100 Mercy WayJoplinMO64804270814858HospitalMO501c33Mercy Health SW MOKS CommYes (1)
Mercy Hospital Kingfisher Inc
1000 Hospital CircleKingfisherOK73750463433074HospitalOK501c33Mercy Hospital Oklahoma CityYes (1)
Mercy Hospital Lebanon
100 Hospital DriveLebanonMO65536431767432HospitalMO501c33Mercy Health Springfield CommYes (1)
Mercy Hospital Lincoln
1000 East Cherry StreetTroyMO63379472219204HospitalMO501c33Mercy Health East CommunitiesYes (1)
Mercy Hospital Logan County Inc
200 South AcademyGuthrieOK73044452998842HospitalOK501c33Mercy Health OK CommunitiesYes (1)
Mercy Hospital Oklahoma City
4300 W Memorial RoadOklahoma CityOK73120730579285HospitalOK501c33Mercy Health OK CommunitiesYes (1)
Mercy Hospital Ozark
801 W River StreetOzarkAR72949710689680HospitalAR501c33Mercy Hospital Fort SmithYes (1)
Mercy Hospital Paris
500 E AcademyParisAR72855710655753HospitalAR501c33Mercy Hospital Fort SmithYes (1)
Mercy Hospital Rogers
2710 Rife Medical LnRogersAR72758710294390HospitalAR501c33Mercy Health NW Ark CommunitiesYes (1)
Mercy Hospital Springfield
1235 E Cherokee StreetSpringfieldMO65804440552485HospitalMO501c33Mercy Health Springfield CommYes (1)
Mercy Hospital Tishomingo
1000 South ByrdTishomingoOK73460274433830HospitalOK501c33Mercy Hospital ArdmoreYes (1)
Mercy Hospital Waldron
1341 W 6th StreetWaldronAR72958710557895HospitalAR501c33Mercy Hospital Fort SmithYes (1)
Mercy Hospital Watonga Inc
500 Clarence Nash BlvdWatongaOK73772455199762HospitalOK501c33Mercy Health OK CommunitiesYes (1)
Mercy Hospitals East Comm
645 Maryville Ctr Dr Ste 100St LouisMO63141430653493HospitalMO501c33Mercy Health East CommunitiesYes (1)
Mercy Kansas Communities Inc
401 Woodland Hills BlvdFt ScottKS66701480956045HospitalKS501c33Mercy Health SW MOKS CommYes (1)
Mercy Medical Research Inst
1235 E Cherokee StreetSpringfieldMO65804870796305Research - Clinical TrialsMO501c34Mercy Health Springfield CommYes (1)
Mercy Ministries of Laredo
2500 ZacatecasLaredoTX78043200198462OutreachTX501c37Mercy HealthYes (1)
Mercy St Francis Hospital
100 W Highway 60Mountain ViewMO65548440607149HospitalMO501c33Mercy Health Springfield CommYes (1)
MHM Support Services
14528 S Outer Forty St 100ChesterfieldMO63017202553101Centralized Health System FunctionsMO501c311-IIMercy HealthYes (1)
Mission Clinical Services
300 Werner StreetHot SpringsAR71913134239691Child Advocacy CenterAR501c39Mercy HealthYes (1)
St Edward Mercy Foundation
7301 Rogers AvenueFort SmithAR72917237330425FoundationAR501c37Mercy Hospital Fort SmithYes (1)
St Johns Childrens Hosp
1235 E Cherokee StreetSpringfieldMO65804InactiveMO501c33Mercy Health Springfield CommYes (1)
St Marys Hosp Enid Ok
14528 S Outer Forty St 100ChesterfieldMO63017730614655InactiveOK501c33Mercy Health OK CommunitiesYes (1)
The Sr M Cornelia Blasko Fn
100 W Highway 60Mountain ViewMO65548431873914FoundationMO501c311-IMercy St Francis HospitalYes (1)
Unity Ambulatory Care
14528 S Outer Forty St 100ChesterfieldMO63017431861745InactiveMO501c311-IIIMercy Health East CommunitiesYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
Southern Oklahoma Diag Ctr LLC
1011 Fourteenth Avenue NWArdmoreOK73401431971232MRI ServicesOKMercy Hospital Ardmore IncN/A00
Resource Optimiz & InnovLLC
645 Maryville Ctr DrSte 200St LouisMO63141460468368Central Distribution CenterMOMHN INC - MHNSR INCN/A00
Mercy Ambulatory Surgery Center LLC
7301 Rogers AvenueFort SmithAR72917710827721Ambulatory Surgery CenterARMercy Hospital Fort SmithN/A00
Fort Smith Emergency Medical Services
1701 South GreenwoodFort SmithAR72901710416615Emergency Medical ServicesARMercy Hospital Fort SmithN/A00
St Edward Mercy Med Ctr M-P Off Bldg
7301 Rogers AvenueFort SmithAR72903710554050Office buildingARMercy Hospital Fort SmithN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndOwnershipOwnershipPct
Mercy Comm Services Inc
401 Woodland Hills BlvdFort ScottKS66701481078101Retail pharmacyKSMERCY KANSAS COMM INCC0
Frontenac Properties Inc
14528 S Outer Forty Suite 100ChesterfieldMO63017521914421Holds ancillary assets & owns aircraftDEMERCY HEALTHC0
Inveno Health Inc
1235 E Cherokee StreetSpringfieldMO65804264509571Technology transfer companyMOMERCY HEALTH SPRINGFIELD COMMC0
Unity Support Services Inc
645 Maryville Centre Drive Suite 10St LouisMO63141431797042InactiveMOMERCY HEALTH EAST COMMUNITIESC0
UH L Corp Inc
645 Maryville Centre Drive Suite 10St LouisMO63141742499535Holding companyMOMERCY HEALTH SERVICES LLCC0
MHN of the Southern Region Inc
1011 14th Avenue NWArdmoreOK73401731580607holding companyOKMERCY MANAGED CARE CORPC0
Mercy Health Center Condominium Inc
4300 W Memorial RdOklahoma CityOK73120680640970Administrator of certain real property and improvementsOKMERCY HOSPITAL OKLAHOMA CITYINCC0
Mercy Managed Care Corporation
4300 W Memorial RoadOklahoma CityOK73120731441665Holding companyOKMERCY HEALTHC0
Mercy Health Network Inc
4300 W Memorial RoadOklahoma CityOK73120731381689holding companyOKMERCY MANAGED CARE CORPC0
Apothecary Services Inc
PO Box 350Crystal CityMO63019431627267InactiveMOMercy Hospital JeffersonC01.00000
Mercy Commercial Services Inc
14528 South Outer Forty Suite 100ChesterfieldMO63017464953543Corp Parent of VCC taxable commercializ svcsOKMHN Inc and MHNSR INCC0
St Johns Mercy Mail Order Inc
645 Maryville Centre Drive Suite 10St LouisMO63141431014222Dissolved 6/30/15MOUH Holdings IncC0
St Johns Mercy PBM Inc
645 Maryville Centre Drive Suite 10St LouisMO63141743089567Dissolved 6/30/15MOUH L Corp IncC0
UH Holdings Inc
645 Maryville Centre Drive Suite 10St LouisMO63141431845682Dissolved 6/30/15MOUH L Corp IncC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Mercy Health East Communities
P$137,740FMV
MHM Support Services
P$11,272,042FMV
Resource Optimization & Innovation LLC
P$295,042FMV
Mercy Health Foundation Jefferson
C$21,951FMV