2015-05-13T15:29:30-05:00 2014-06-30 ERNST & YOUNG US LLP 190 CARONDELET PLAZA SUITE 1300 CLAYTON MO 63105 990 2013-07-01 440552485 Mercy Hospital Springfield % Scott Reynolds MERC 3145796100 1235 E Cherokee Suite Springfield MO 65804 SCOTT REYNOLDS TREASURER 2015-05-07 JENNIFER L RICHTER P00366526 2013 2016-02-25 16:41:14Z Scott Reynolds 1235 E Cherokee Springfield MO 65804 964392669 false 0928 X www.mercy.net X 1987 MO AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. 13 6 7838 731 3474143 848647 602844 959869606 952688808 234679 5918228 4627783 5182789 965580715 964392669 150 100000 0 0 306328475 319444511 0 0 0 571543439 602260528 877872064 921805039 87708651 42587630 487914032 513051318 186744051 248969553 301169981 264081765 AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. false false 881771871 100000 952688808 MERCY HEALTH SPRINGFIELD COMMUNITIES AND ITS SUBSIDIARIES PROVIDE HIGH-QUALITY, COMPASSIONATE, FAITH-BASED HEALTH CARE IN A VARIETY OF TRADITIONAL MEDICAL SETTINGS. THIS ORGANIZATION, AS PART OF MERCY HEALTH SPRINGFIELD COMMUNITIES, PROVIDES SERVICES TO THE COMMUNITIES WE SERVE, WITH PARTICULAR CONCERN FOR THE ECONOMICALLY POOR, IN THE WAY OF INPATIENT HOSPITAL SERVICES, OUTPATIENT SERVICES, EMERGENCY ROOM CARE, HOME HEALTH SERVICES, AND PHYSICIAN CLINIC OFFICE VISITS. 881771871 true false false true false false false false false false true true false true true false false true false false false false false false false false true true true false true false false false false false false true false false false false false false true true true false false true X 29 0 true 7838 true true true false false false false false false false false false X 13 6 false false false false true true true true true false false true true true true true true false true true true X Scott Reynolds 3145796100 1235 E Cherokee Springfield MO 65804 X Allphin MD Allan Physician & Board member 5.0 55.0 X 0 874850 43267 Baker Ann Marie Board member 1.0 0.0 X 0 0 0 Brau RSM Sr Annrene Board member 1.0 4.0 X 0 0 0 Duff MD James Physician & Board member 5.0 55.0 X 0 218660 27402 Griesemer John Board member 1.0 0.0 X 0 0 0 Guffey Jay COO & Board member 50.0 10.0 X 419895 0 106617 Hammons Brian Board member 1.0 0.0 X 0 0 0 Hover MD Alexander R Sr VP & Board Member 15.0 45.0 X 492467 0 95406 McQueary MD Fred G Sr VP Clinical Integration 15.0 45.0 X 342299 645188 134668 Ridder PhD Norm Board member 1.0 0.0 X 0 0 0 Rowland Michael Board member 1.0 0.0 X 0 0 0 Scarrow MD Alan Pres. Springfield Clinic CNTRL 20.0 40.0 X 0 735129 32211 Stangeland Stuart G COO SPRINGFIELD Clinic 15.0 45.0 X 0 390292 70340 Steele MD Robert CEO through 5/2/14 15.0 45.0 X X 79844 645188 99390 Reynolds Scott R VP-Finance 20.0 40.0 X 359934 0 55291 Swope Jon President, central communities 10.0 50.0 X 0 819405 143498 Hennessey III William Regional VP-Marketing 20.0 40.0 X 0 236700 62248 Knodel Linda Senior VP - CNO 30.0 30.0 X 193768 159794 53378 Luria MD Lance Chief medical officer 60.0 0.0 X 2147 426127 23992 Marion Tanya Regional VP-Human resources 15.0 45.0 X 0 220693 45983 Schibler Lynda VP-Mission 59.0 1.0 X 177575 0 43207 Gillen Michael J Pres., Mercy Hospital LEBANON 10.0 50.0 X 325620 0 29054 Globig David P VP-Operations 60.0 0.0 X 251101 0 21567 Norton Robert C Regional VP-Facilities/support 40.0 20.0 X 250204 0 39723 Reid Andrew J VP-Cardiology 60.0 0.0 X 261966 0 20908 Schaefer Michele M Senior VP-Regional Operations 30.0 30.0 X 472452 0 72467 Day Bradley Kim Former key employee 0.0 60.0 X 0 845113 114696 Merrigan Michael Former key employee 0.0 5.0 X 0 594877 58559 3629272 6812016 1393872 152 true true false MCCARTHY BUILDING CO 1341 NORTH ROCK HILL RD ST LOUIS MO 63124 CONSTRUCTION 22392614 METRO AVIATION INC PO BOX 7008 SHREVEPORT LA 71137 AIRCRAFT OPERATIONS 4009084 INTERMEDIX 6451 N FEDERAL HWY STE 1000 FT LAUDERDALE FL 33308 THIRD PARTY BILLING 1489921 DEWITT AND ASSOCIATES PO BOX 3378 GS SPRINGFIELD MO 65808 CONSTRUCTION 3136824 MAYO MEDICAL LABS 200 SW FIRST STREET ROCHESTER MN 55805 LAB PURCHASED SVCS 1790471 93 0 590948 11896 0 602844 NET PATIENT SERVICE REVENUE 622110 943299662 939825519 3474143 0 OTHER OPERATING REVENUE 900099 9085387 9085387 0 0 RENTAL INCOME FROM RELATED ORGS 531120 303759 303759 0 0 952688808 -76023 -76023 0 0 0 0 0 5994251 5994251 5994251 5994251 0 0 0 CAFE & VENDING 900099 5182789 0 5182789 5182789 964392669 949214665 3474143 11101017 100000 100000 0 0 0 0 0 0 2329133 2329133 163715 163715 0 0 246573400 233383878 13189522 0 11617461 11018002 599459 0 40904030 38855244 2048786 0 17856772 16963933 892839 0 0 0 0 0 10472 0 10472 0 1726 1726 0 0 72554 0 72554 0 0 0 0 0 0 0 33895841 33685340 210501 404422 390397 14025 0 21859393 20453989 1405404 0 91918 91918 0 0 0 0 0 0 19273223 18502137 771086 0 1631709 1498182 133527 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26665535 21332428 5333107 0 459 459 0 0 SHARED SERVICE FEE 227184283 217320454 9863829 MEDICAL SUPPLIES 210600148 210600148 BAD DEBT EXPENSE 46953479 46953479 REPAIRS & MAINT 11378558 6848503 4530055 2236808 1278806 958002 921805039 881771871 40033168 0 12511359 6018843 0 0 10480 35617 134273868 136472872 0 0 0 0 2784979 2712433 24773885 25774549 56817685 66670600 454548711 239366218 208973500 215182493 0 0 25099658 26318034 933001 6260217 1665323 1665323 20070294 25940337 487914032 513051318 135567170 131359480 0 0 323402 0 0 0 0 0 0 0 537383 250000 0 0 50316096 117360073 186744051 248969553 X 301169981 264081765 0 0 0 0 301169981 264081765 487914032 513051318 X 42587630 -79675846 X X false true X true false X false false false 0 false 0 false 0 false 0 false 0 false 0 true 72554 72554 false FORM 990, SCHEDULE C, PART II-B, LINE 1 (I) LOBBYING PORTION OF DUES THE FILING ORGANIZATION IS A MEMBER OF AND PAYS DUES TO THE FOLLOWING HOSPITAL ASSOCIATIONS: AMERICAN HOSPITAL ASSOCIATION, MISSOURI HOSPITAL ASSOCIATION, AND CATHOLIC HEALTH ASSOCIATION. FOR THE YEAR ENDED JUNE 30, 2014, DUES WERE $58,902, $116,876, AND $238,644, RESPECTIVELY. APPROXIMATELY 23.65% OF AMERICAN HOSPITAL ASSOCIATION DUES, 43.4% OF MISSOURI HOSPITAL ASSOCIATION DUES, AND 3.31% OF CATHOLIC HEALTH ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED BY THESE ASSOCIATIONS. 12962183 12962183 146226591 50686045 95540546 638012 569711 68301 283822450 187470911 96351539 10899475 639551 10259924 215182493 REAL ESTATE INVESTMENT 26257384 F MCJ RENTALS INVESTMENT 60650 F 26318034 DEFERRED COMPENSATION 24910523 CRNA TRAINEESHIP ASSISTANCE 1029814 25940337 0 DUE TO AFFILATES 117360073 117360073 FORM 990, SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF MERCY HEALTH AND AFFILIATES DO NOT INCLUDE A FOOTNOTE TO REPORT THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX PROVISIONS UNDER FIN 48 (ASC 740), AS THEY ARE DEEMED IMMATERIAL FOR DISCLOSURE. true true X true X true X true true false true false 26023134 26023134 0.02970 121706614 104856610 16850004 0.01930 147729748 104856610 42873138 0.04900 1485928 232021 1253907 0.00140 3832023 3832023 0.00440 29222922 20957395 8265527 0.00940 1091797 930759 161038 0.00020 792189 792189 0.00090 36424859 22120175 14304684 0.01630 184154607 126976785 57177822 0.06530 105044 105044 0.00010 2069 2069 19016 19016 126129 126129 0.00010 true 14071958 205550478 235301504 -29751026 X true true ENTERPRISE LAUNDRY LAUNDRY SERVICE 0.50000 OZARK HEALTH VENTURE CANCER RESEARCH 0.50000 OZARK HEALTH VENTURE OUTPATIENT REHABILITATION 0.50000 OZARK HEALTH VENTURE COMMUNITY MEDICATION ACCESS 0.50000 MERCY REHAB HOSPITAL REHABILITATION HOSPITAL 0.49500 1 1 Mercy Hospital Springfield 1235 E Cherokee Street Springfield MO 65804 38-57 X X X X MERCY HOSPITAL SPRINGFIELD 1 true X X X X X X X X X 12 true false true X X X X X X X X X true false true true 100 true 400. true X X X true true X X true false true X false false FORM 990, SCHEDULE H, PART V, SECTION B, LINES 3 & 5 COMMUNITY HEALTH NEEDS ASSESSMENT PLEASE REFER TO THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT WHICH CAN BE FOUND AT WWW.MERCY.NET/COMMUNITY-BENEFITS. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 20 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. 33 MERCY MEDICAL SUPPLY ROGERS 1200 W WALNUT ST ROGERS AR 72756 MEDICAL SUPPLY MERCY FREMONT PHARMACY 1965 S FREMONT SPRINGFIELD MO 65804 PHARMACY MERCY SMITH GLYNN CALLAWAY PHARMACY 3231 S NATIONAL AVE SPRINGFIELD MO 65804 PHARMACY MERCY PHARMACY - NIXA 940 W MT VERNON NIXA MO 65714 PHARMACY MERCY PHARMACY LICKING 101 N MAIN LICKING MO 65542 PHARMACY MERCY PHARMACY LEBANON 200 HOSPITAL DRIVE LEBANON MO 65536 PHARMACY MERCY PHARMACY ST JAMES 105 W ELDON SAINT JAMES MO 65559 PHARMACY MERCY PHARMACY ST ROBERT 586 OLD ROUTE 66 ST ROBERT MO 65584 PHARMACY MERCY PHARMACY ROLLA 1605 MARTIN SPRINGS DRIVE ROLLA MO 65401 PHARMACY MERCY EMS CAMDENTTON 675 N BUSINESS ROUTE 5 CAMDENTON MO 65020 EMERGENCY MEDICAL SERVICE MERCY EMS CLIMAX SPRINGS 13808 N HWY 7 CLIMAX SPRINGS MO 65324 EMERGENCY MEDICAL SERVICE MERCY EMS LINN CREEK 1723 MIDWAY DR LINN CREEK MO 65052 EMERGENCY MEDICAL SERVICE MERCY EMS MACKS CREEK 14348 W HWY 54 MACKS CREEK MO 65786 EMERGENCY MEDICAL SERVICE MERCY EMS MONTREAL 6349 S HWY 7 MONTREAL MO 65591 EMERGENCY MEDICAL SERVICE MERCY EMS BERRYVILLE 302 RICE STREET BERRYVILLE AR 72616 EMERGENCY MEDICAL SERVICE MERCY EMS GREEN FOREST 200 SPARKY COURT GREEN FOREST AR 72638 EMERGENCY MEDICAL SERVICE MERCY EMS BUFFALO 216 W DALLAS BUFFALO MO 65622 EMERGENCY MEDICAL SERVICE MERCY EMS E KEARNEY 1664 E KEARNEY STREET SPRINGFIELD MO 65803 EMERGENCY MEDICAL SERVICE MERCY EMS LEBANON 535 TOWER ROAD LEBANON MO 65536 EMERGENCY MEDICAL SERVICE MERCY EMS AURORA 502 SPRUCE STREET AURORA MO 65605 EMERGENCY MEDICAL SERVICE MERCY EMS MT VERNON 1315 S LANDRUM MOUNT VERNON MO 65712 EMERGENCY MEDICAL SERVICE MERCY EMS MOUNTAIN VIEW 102 E USHIGHWAY 60 MOUNTAIN VIEW MO 65548 EMERGENCY MEDICAL SERVICE MERCY EMS SUMMERFIELD 256 N HIGHWAY 17 SUMMERSVILLE MO 65571 EMERGENCY MEDICAL SERVICE MERCY EMS WINONA 1012 HIGHWAY 19 NORTH WINONA MO 65588 EMERGENCY MEDICAL SERVICE MERCY EMS BRANSON WEST 59 MEADOW LARK ROAD REEDS SPRING MO 65737 EMERGENCY MEDICAL SERVICE MERCY EMS STONE COUNTY 6578 STATE HIGHWAY 13 LAMPE MO 65681 EMERGENCY MEDICAL SERVICE MERCY EMS MANSFIELD 806 N HIGHWAY 5 MANSFIELD MO 65704 EMERGENCY MEDICAL SERVICE MERCY EMS MOUNTAIN GROVE 323 E STATE STREET MOUNTAIN GROVE MO 65711 EMERGENCY MEDICAL SERVICE MERCY LIFE LINE BRANSON WEST 59 MEADOW LARK ROAD BRANSON WEST MO 65737 EMERGENCY MEDICAL SERVICE MERCY LIFE LINE ST ROBERT 608 CITY ROUTE 66 ST ROBERT MO 65584 EMERGENCY MEDICAL SERVICE MERCY LIFE LINE BOLIVAR 1500 N OAKLAND BOLIVAR MO 65613 EMERGENCY MEDICAL SERVICE MERCY LIFE LINE JOPLIN 2817 ST JOHNS BLVD JOPLIN MO 64804 EMERGENCY MEDICAL SERVICE MERCY LIFE LINE ROGERS 2710 RIFE MEDICAL LANE ROGERS AR 72758 EMERGENCY MEDICAL SERVICE FORM 990, SCHEDULE H, PART 1, LINE 6A COMMUNITY BENEFIT REPORT THE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS PREPARED BY ITS ULTIMATE PARENT ENTITY, MERCY HEALTH (EIN: 43-1423050). FORM 990, SCHEDULE H, PART I, LINE 7G SUBSIDIZED HEALTH SERVICES THE ORGANIZATION DID NOT INCLUDE ANY PHYSICIAN CLINIC COSTS ON LINE 7G. FORM 990, SCHEDULE H, PART I, LINE 7, COLUMN F TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) ARE $921,805,039. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $46,953,479. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $874,851,560. FORM 990, SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES WORK TOWARD IMPROVING THE HEALTH, WELLNESS, AND SAFETY OF THE COMMUNITY. MERCY HOSPITAL SPRINGFIELD'S EFFORTS TO ENHANCE THE OPERATIONAL STRUCTURES OF THE COMMUNITY INCLUDE THE ADOPT-A-SCHOOL PROGRAM, MENTORING PROGRAMS, AND MULTIPLE COMMUNITY FORUMS. COMMUNITY BUILDING AND COALITION BUILDING ACTIVITIES ALSO PROMOTE THE HEALTH OF THE COMMUNITIES THEY SERVE THROUGH COMMUNITY-BASED PARTNERSHIPS, MEETINGS, AND EVENTS, AS WELL AS SERVICE ON COMMUNITY BOARDS. ONE EXAMPLE OF MERCY PARTICIPATION IN COALITION BUILDING AND COMMUNITY HEALTH PROMOTION IS THE HEALTHTEACHER PROGRAM. THROUGH DISCUSSIONS AND COLLABORATION WITH SPRINGFIELD'S PUBLIC AND DIOCESAN SCHOOLS, THE HEALTHTEACHER HEALTH AND WELLNESS INITIATIVE WAS DEVELOPED AND IMPLEMENTED IN LOCAL PUBLIC AND DIOCESAN SCHOOLS. HEALTHTEACHER PROVIDES HEALTH AND WELLNESS TOOLS AND RESOURCES FOR TEACHERS, STUDENTS K THRU 12, AND FAMILIES BY INTEGRATING HEALTH INTO THE CLASSROOMS. HEALTH AND WELLNESS EDUCATION, ESPECIALLY FOR CHILDREN, IS ESSENTIAL IN DISEASE PREVENTION AND IN PROMOTING THE HEALTH OF EVERY COMMUNITY. THIS PROGRAM IS OFFERED BY MERCY AT NO CHARGE TO PUBLIC AND PAROCHIAL SCHOOLS IN THIS COMMUNITY. MERCY'S COMMUNITY INVOLVEMENT INCLUDES VARIOUS BUSINESS AND PUBLIC ORGANIZATIONS LIKE THE CHAMBER OF COMMERCE, SPRINGFIELD FIRE & POLICE DEPARTMENT, AND THE SPRINGFIELD-GREENE COUNTY HEALTH DEPARTMENT; AS WELL AS NONPROFIT ORGANIZATIONS LIKE THE UNITED WAY, THE AMERICAN HEART ASSOCIATION, AND THE AMERICAN CANCER SOCIETY, AND MORE. MERCY ALSO PROMOTES SMOKE FREE ENVIRONMENTS BY WORKING WITH PUBLIC OFFICIALS AND GROUPS LIKE ONE AIR ALLIANCE. MERCY HOSPITAL SPRINGFIELD BECAME ONE OF THE FIRST SMOKE FREE ORGANIZATIONS IN SPRINGFIELD AND HAS WORKED WITH COMMUNITY PARTNERS TO CREATE OTHER SMOKE FREE ENVIRONMENTS. MERCY HOSPITAL SPRINGFIELD HAS ALSO BEEN ACTIVE IN THE DEVELOPMENT OF THE SPRINGFIELD-GREENE COUNTY HEALTH COMMISSION, A COMMUNITY ORGANIZATION DEDICATED TO WORKING WITH AND FOR MEMBERS OF OUR COMMUNITY WITH LIMITED ECONOMIC RESOURCES AND WHO HAVE LIMITED ACCESS TO HEALTH CARE NEEDS AND SERVICES. THE HEALTH COMMISSION DEVELOPED SPRINGFIELD'S COMMUNITY MEDICATION ACCESS PROGRAM. THIS PROGRAM ACCESSES NEEDED MEDICATIONS FOR THOSE WITH LIMITED RESOURCES. MERCY HOSPITAL SPRINGFIELD PARTNERS WITH LOCAL UNIVERSITIES AND NURSING SCHOOLS TO PROVIDE ACCESS TO CLINICAL EDUCATION FOR MULTIPLE HEALTH CARE WORKFORCE SPECIALTIES INCLUDING NURSING, NURSE PRACTITIONER, RADIOLOGY, OCCUPATIONAL THERAPY, SPEECH THERAPY, DIETICIAN, PHYSICIAN ASSISTANT, LAB, SURGICAL TECHNICIAN, SPORTS MEDICINE, AND PHYSICAL THERAPY STUDENTS. MERCY HOSPITAL SPRINGFIELD SUPPORTS THE MERCY COLLEGE OF NURSING AND ALSO A SCHOOL-BASED PROGRAM FOR HEALTH CAREERS. MERCY IS PARTICIPATING IN COMMUNITY EFFORTS TO BRING PHYSICIAN TRAINING TO SPRINGFIELD. MERCY HOSPITAL SPRINGFIELD ASSISTS SPRINGFIELD'S ONLY FREE CLINIC, THE KITCHEN CLINIC, FOR HOMELESS INDIVIDUALS AND THOSE WITH LIMITED ECONOMIC RESOURCES THROUGH FINANCIAL AND IN-KIND SUPPORT. OTHER IN-KIND DONATIONS INCLUDE SUPPORT TO A CRISIS NURSERY (ISABEL'S HOUSE) DESIGNED TO ASSIST IN THE PREVENTION OF CHILD ABUSE AND NEGLECT. MERCY HOSPITAL SPRINGFIELD WORKS CLOSELY WITH OUR ONLY FEDERALLY QUALIFIED HEALTH CENTER, JORDAN VALLEY COMMUNITY HEALTH CENTER, TO ENSURE ACCESS TO SERVICES FOR PREGNANT WOMEN AND THEIR INFANTS. MERCY HOSPITAL SPRINGFIELD SUPPORTS THE REGION'S ONLY CHILDREN'S HOSPITAL AND PROVIDES MULTIPLE SPECIALTY SERVICES TO A LARGE RURAL GEOGRAPHIC REGION IN SOUTHWEST MISSOURI. FORM 990, SCHEDULE H, 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. FORM 990, SCHEDULE H, 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. FORM 990, SCHEDULE H, 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 RECEIVABLE THAT ARE DEEMED UNCOLLECTIBLE, INCLUDING THOSE PLACED WITH COLLECTION AGENCIES, ARE INITIALLY CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN ACCORDANCE WITH COLLECTION POLICIES OF THE HEALTH SYSTEM AND, IN CERTAIN CASES, ARE RECLASSIFIED TO CHARITY CARE IF DEEMED TO OTHERWISE MEET THE HEALTH SYSTEM'S CHARITY CARE POLICY. THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES BASED UPON THE PAYOR COMPOSITION AND AGING OF RECEIVABLES WITH CONSIDERATION OF THE HISTORICAL PAYMENT AND WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES." FORM 990, SCHEDULE H, PART III, LINE 8 IT IS THE POSITION OF MERCY HOSPITAL SPRINGFIELD THAT 100% OF ANY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS AMOUNT REPRESENTS COST OF PROVIDING SERVICES THAT REMAIN UNCOMPENSATED TO THE PROVIDER. THE UNREIMBURSED COSTS OF MEDICARE IS CALCULATED BY THE GROSS CHARGES NET OF THE COST TO CHARGE RATIO LESS ANY PAYMENTS, DEDUCTIONS OR REIMBURSEMENTS USING THE ANNUAL MEDICARE COST REPORT (CMS FORM 2552-96). FORM 990, SCHEDULE H, PART III, LINE 9B MERCY HOSPITAL SPRINGFIELD'S ("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 O true KITCHEN INC 1630 N JEFFERSON SPRINGFIELD MO 65803 431384531 501(c)(3) 100000 SUPPORT TO PROVIDE COMMUNITY MEDICAL SERVICES TO THE POOR 1 FORM 990, SCHEDULE I, PART I, LINE 2 DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS THE ASSISTANCE PROVIDED IS INTENDED TO BE USED FOR THE GENERAL OPERATING PURPOSES OF THE DONEE. THE USE OF GRANT FUNDS IS NOT MONITORED AFTER GRANTS ARE GIVEN. X X X true true false true false false false false false true false Allphin MD Allan Physician & Board member 0 828843 0 10949 0 35058 0 28525 0 14742 0 918117 0 0 Duff MD James Physician & Board member 0 156764 0 8906 0 52990 0 12660 0 14742 0 246062 0 0 Guffey Jay COO & Board member 295878 0 80605 0 43412 0 89459 0 17158 0 526512 0 0 0 Hover MD Alexander R Sr VP & Board Member 379608 0 80958 0 31901 0 81195 0 14211 0 587873 0 0 0 McQueary MD Fred G Sr VP Clinical Integration 335549 439894 0 174226 6750 31068 0 119749 6587 8332 348886 773269 0 0 Scarrow MD Alan Pres. Springfield Clinic CNTRL 0 638276 0 56093 0 40760 0 17176 0 15035 0 767340 0 0 Stangeland Stuart G COO SPRINGFIELD Clinic 0 269432 0 77341 0 43519 0 52699 0 17641 0 460632 0 0 Steele MD Robert CEO through 5/2/14 68009 502084 0 125659 11835 17445 0 81451 3567 14372 83411 741011 0 0 Reynolds Scott R VP-Finance 234959 0 69638 0 55337 0 42081 0 13210 0 415225 0 0 0 Swope Jon President, central communities 0 569643 0 200920 0 48842 0 124905 0 18593 0 962903 0 0 Hennessey III William Regional VP-Marketing 0 140074 0 39788 0 56838 0 46187 0 16061 0 298948 0 0 Knodel Linda Senior VP - CNO 174726 68054 0 65541 19042 26199 40200 0 9801 3377 243769 163171 0 0 Luria MD Lance Chief medical officer 1737 289392 0 63001 410 73734 0 17583 18 6391 2165 450101 0 0 Marion Tanya Regional VP-Human resources 0 141222 0 41723 0 37748 0 29968 0 16015 0 266676 0 0 Schibler Lynda VP-Mission 120545 0 29581 0 27449 0 31207 0 12000 0 220782 0 0 0 Gillen Michael J Pres., Mercy Hospital LEBANON 226534 0 48936 0 50150 0 12423 0 16631 0 354674 0 0 0 Globig David P VP-Operations 189539 0 41273 0 20289 0 5724 0 15843 0 272668 0 0 0 Norton Robert C Regional VP-Facilities/support 176982 0 46030 0 27192 0 23498 0 16225 0 289927 0 0 0 Reid Andrew J VP-Cardiology 187296 0 42027 0 32643 0 10536 0 10372 0 282874 0 0 0 Schaefer Michele M Senior VP-Regional Operations 334173 0 74822 0 63457 0 64193 0 8274 0 544919 0 0 0 Day Bradley Kim Former key employee 0 573529 0 236973 0 34611 0 99978 0 14718 0 959809 0 0 Merrigan Michael Former key employee 0 19811 0 530868 0 44198 0 57901 0 658 0 653436 0 0 FORM 990, SCHEDULE J, PART I, LINE 1 CHARTER TRAVEL IS PROVIDED TO CERTAIN EMPLOYEES AS AND WHEN APPROPRIATE, AND AS DEEMED NECESSARY FOR BUSINESS TRAVEL. AFTER CHARTER TRAVEL APPROVAL HAS BEEN GRANTED IN ACCORDANCE WITH THE FINANCIAL JUSTIFICATION PROCESS, THE APPROVED CHARTER TRAVEL FOR BUSINESS IS A REIMBURSABLE EXPENSE WHICH IS NOT TAXABLE TO THE EMPLOYEES. 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. LIMITED INSTANCES OF TAX GROSS-UPS MAY HAVE OCCURRED WITH RESPECT TO EXECUTIVES. FORM 990, SCHEDULE J, PART I, QUESTION 3 MERCY HOSPITAL SPRINGFIELD RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTION 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS. FORM 990, SCHEDULE J, PART I, QUESTION 4B MERCY HEALTH OFFERS SUPPLEMENTAL RETIREMENT PLANS TO CERTAIN EXECUTIVES WHICH PROVIDE BENEFITS UPON VESTING DATE BASED ON COMPENSATION, AGE AT THE TIME OF BENEFIT COMMENCEMENT, LENGTH OF SERVICE WITH THE COMPANY AND/OR ITS AFFILIATES AND LENGTH OF TENURE IN THE PLAN. THE INDIVIDUALS REPORTABLE ON THIS RETURN WHO PARTICIPATE IN THE SUPPLEMENTAL RETIREMENT PLANS INCLUDE: JAY GUFFEY, ALEXANDER HOVER, FRED MCQUEARY, ALAN SCARROW, STUART STANGELAND, ROBERT STEELE, JON SWOPE, ROBERT NORTON, BRADLEY DAY, WILLIAM HENNESSEY III, LINDA KNODEL, TANYA MARION, MICHAEL MERRIGAN, AND MICHELE SCHAEFER. THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C). FORM 990, SCHEDULE J, PART I, QUESTION 7 MERCY HEALTH PROVIDES A NON-FIXED BONUS PLAN FOR WHICH CERTAIN TIERS OF ITS EMPLOYEES ARE ELIGIBLE. FOR FISCAL YEAR 2014 (JULY 1, 2013 - JUNE 30, 2014), 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. Elyse Guffey Family of board member 62646 Employment false Nichole Vance Family member of officer 16383 Employment false Nadine Ridder Family of board member 84686 Employment false FORM 990, PART V, QUESTION 1A FORM 1099/1096 FILING VENDORS FOR THE FILING ORGANIZATION ARE PAID BY MERCY HEALTH (EIN 43-1423050). AS SUCH, ALL REQUIRED FORM 1099 AND FORM 1096 REPORTING IS MADE FOR THE ENTIRE MERCY HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN. FORM 990, PART VI, LINES 6A, 7A, & 7B CLASSES OF MEMBERS OR STOCKHOLDERS THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH SPRINGFIELD COMMUNITIES. SUBJECT TO CONSULTATION WITH THE BOARD OF DIRECTORS, THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED SOLELY TO THE CORPORATE MEMBER: -TO APPROVE THE MISSION AND ESTABLISH THE PHILOSOPHY ACCORDING TO WHICH THE CORPORATION SHALL OPERATE; -TO ADOPT OR AMEND THE ARTICLES OF INCORPORATION AND BYLAWS IN ACCORDANCE WITH ARTICLES XII OF THESE BYLAWS; -TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, A MEMBER OF THE BOARD OF DIRECTORS OF THE CORPORATION; -TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, THE PRESIDENT OF THE CORPORATION AFTER CONSULTATION WITH THE SYSTEM; -TO APPROVE OR AMEND THE OVERALL STRATEGIC, LONG RANGE, AND HEALTH MANPOWER DEVELOPMENT PLANS, GOALS AND OBJECTIVES OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; -TO APPROVE OR AMEND THE CONSOLIDATED OPERATING, CAPITAL, AND CONSTRUCTION BUDGETS FOR THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION AND CHANGES IN BUDGETS IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY MERCY HEALTH; -TO AUTHORIZE AND APPROVE THE LEASE OR SALE OF ANY OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE CORPORATE MEMBER; -TO AUTHORIZE AND APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTE ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; -TO MERGE, DISSOLVE, OR ABANDON THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION, SUBJECT TO APPROVAL BY THE BOARD AS REQUIRED PURSUANT TO CHAPTER 355 OF THE REVISED STATUTES OF MISSOURI FOR GENERAL NOT-FOR-PROFIT CORPORATIONS ("THE ACT"); -TO APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION CONTROLLED BY THE CORPORATION; AND, -TO APPROVE CONTRACTS IN WHICH THE CORPORATION ASSUMES FINANCIAL RISK, INCLUDING BUT NOT LIMITED TO MANAGED CARE CONTRACTS. FORM 990, PART VI, QUESTION 11B DSCR THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM USING INFORMATION PROVIDED BY THE FILING ORGANIZATION. A DRAFT FORM 990 IS REVIEWED BY THE FILING ORGANIZATION'S FINANCE TEAM, INCLUDING THE DIRECTOR OF FINANCE AND THE VICE-PRESIDENT OF FINANCE. THE DRAFT FORM 990 IS ALSO REVIEWED BY MERCY HEALTH'S TAX DEPARTMENT, TO ENSURE ACCURACY AND CONSISTENCY WITH OTHER RELATED ORGANIZATIONS' FORMS 990. AFTER QUESTIONS ARISING FROM THE VARIOUS REVIEWS ARE ADDRESSED AND INCORPORATED INTO THE FORM 990, A REVISED DRAFT IS MADE AVAILABLE TO BOTH THE FILING ORGANIZATION'S LEADERSHIP TEAM, INCLUDING THE CFO AND CEO, AND THE BOARD OF DIRECTORS FOR THEIR REVIEW. THE FORM 990 IS THEN SIGNED AND FILED WITH THE IRS. FORM 990, PART VI, QUESTION 12C DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER DISQUALIFIED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY AND DID SO IN THE NORMAL COURSE FOR THE YEAR ENDED JUNE 30, 2014. 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, QUESTIONS 15A & 15B OFFICERS & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FOR THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS), THE ORGANIZATION RELIES UPON MERCY HEALTH, WHICH USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT, AND REVIEW/APPROVAL OF COMPENSATION BY THE COMPENSATION COMMITTEE OF THE BOARD OF MERCY HEALTH. FOR THOSE CLASSIFIED AS KEY EMPLOYEES, THE ORGANIZATION USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, AND REVIEW/APPROVAL OF EXECUTIVE MANAGEMENT. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS, AND A REVIEW WAS COMPLETED DURING THE REPORTING YEAR. FORM 990, PART VI, QUESTION 19 AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMT TO GEN PUBLIC GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST BUT ARE NOT PUBLISHED PUBLICLY. FORM 990, PART VII, SECTION A, COLUMN B AVERAGE HOURS PER WEEK THE HOURS PER WEEK DISCLOSED IN PART VII IS THE AVERAGE HOURS THE LISTED PERSON WORKED OR DEVOTED PER WEEK WHILE EMPLOYED OR ASSOCIATED WITH THE FILING ORGANIZATION AND RELATED ORGANIZATIONS (IF APPLICABLE). FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS NET TRANSFERS TO MERCY INVESTMENT FUND - ($20,000,000) NET TRANSFERS TO/FROM MCS- $605,782 NET TRANSFERS TO/FROM AFFILIATES- ($60,656,778) OTHER CHANGES IN NET ASSETS - $375,150 TOTAL ($79,675,846) FORM 990, PART XII, QUESTION 2C AUDIT OF FINANCIAL STATEMENTS THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN MERCY HEALTH AND SUBSIDIARIES ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 2014 (THE TAX YEAR CURRENTLY BEING REPORTED). HOWEVER, NO SEPARATE AUDIT OPINION WAS ISSUED ON THE FINANCIAL STATEMENTS OF THE FILING ORGANIZATION. THE ULTIMATE RESPONSIBILITY FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE EXTERNAL AUDITOR LIES WITH THE STEWARDSHIP COMMITTEE (FORMERLY FINANCE, AUDIT, AND COMPLIANCE COMMITTEE) OF THE MERCY HEALTH BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE. Casa de Misericordia 1602 McClelland Street Laredo TX 78044 742912461 SHELTER TX 501c3 7 MM Laredo true Jefferson Land Company Inc 14528 S Outer Forty STE 100 Chesterfield MO 63017 431330360 Holding co MO 501c2 MH Jffrson true Laredo Medical Group 14528 S Outer Forty Ste 100 Chesterfield MO 63017 742764726 INACTIVE TX 501c3 9 MH Texas true McAuley Portfolio Management Company 14528 S Outer Forty Ste 100 Chesterfield MO 63017 261708048 PORT MGMT MO 501c3 11b Mercy Health true Mercy ACO Clinical Services Inc 14528 S Outer Forty Ste 100 Chesterfield MO 63017 464504901 VIRTUAL CARE MO 501c3 3 Mercy Health true Mercy Clinic East Communities 645 Maryville Ctr Dr Ste 100 St Louis MO 63141 431771217 PHYS GROUP MO 501c3 9 MH East Comm true Mercy Clinic Fort Smith Communities 7301 Rogers Avenue Fort Smith AR 72903 261318597 PHYS CLINIC AR 501c3 9 MH FS COMM true Mercy Clinic Hot Springs Communities 1 Mercy Lane Hot Springs AR 71913 261125131 Sold 03/31/14 AR 501c3 9 MH HS COMM true Mercy Clinic Oklahoma Communities Inc 4300 W Memorial Road Oklahoma City OK 73120 270473057 PHYS GROUP OK 501c3 9 MH Ok Comm true Mercy Clinic Springfield Communities 1965 Fremont Street Suite 2950 Springfield MO 65804 431560263 PHYS GROUP MO 501c3 9 MH SF COMM true Mercy Family Center 14528 S Outer Forty Ste 100 Chesterfield MO 63017 721069468 COUNSELING MO 501c3 7 Mercy Health true Mercy Health Foundation 14528 S Outer Forty Ste 100 Chesterfield MO 63017 200901499 Foundation MO 501c3 11b Mercy Health true Mercy Health 14528 S Outer Forty Ste 100 Chesterfield MO 63017 431423050 Corp Office MO 501c3 1 NA false Mercy Health East Communities 14528 S Outer Forty Ste 100 Chesterfield MO 63017 431718408 HLTH SYSTEM MO 501c3 11b Mercy Health true Mercy Health East Communities - Southern 14528 S Outer Forty Ste 100 Chesterfield MO 63017 461412322 HLTH SYSTEM MO 501c3 11b MH East Comm true Mercy Health Fort Smith Communities 7301 Rogers Avenue Fort Smith AR 72917 261318515 Holding Co AR 501c3 11b Mercy Health true Mercy Health Foundation Ada 430 N Monte Vista Street Ada OK 74820 463596274 Foundation OK 501c3 11a MH Ada Inc true Mercy Health Foundation Ardmore 1011 14th Avenue NW Ardmore OK 73401 710962525 Foundation OK 501c3 11a MH Ardmore true Mercy Health Foundation Berryville 214 Carter Street Berryville AR 72616 710759301 Foundation AR 501c3 11a MH Bryville true Mercy Health Foundation Fort Scott 401 Woodland Hills Blvd Fort Scott KS 66701 481077073 Foundation KS 501c3 11c M KS Comm true Mercy Health Foundation Hot Springs 300 Werner Street Hot Springs AR 71913 710804718 Foundation AR 501c3 11b MC Srvcs true Mercy Health Foundation Independence 800 W Myrtle Independence KS 67301 481079981 Foundation KS 501c3 11a M KS Comm true Mercy Health Foundation Jefferson 1400 US Highway 61 South Festus MO 63028 462797051 Foundation MO 501c3 11b MH E Comm SR true Mercy Health Foundation Joplin 100 Mercy Way Joplin MO 64804 270906136 Foundation MO 501c3 11a MH SWMK COMM true Mercy Health Foundation NW Arkansas 2710 Rife Medical Lane Rogers AR 72758 710601687 Foundation AR 501c3 11c MH ROGERS true Mercy Health Foundation of Oklahoma 4300 W Memorial Road Oklahoma City OK 73120 454732301 Foundation OK 501c3 11a MH Ok Comm true Mercy Health Center Foundation Inc 4300 W Memorial Road Oklahoma City OK 73120 731593024 Dslvd 5/20/14 OK 501c3 11a MH Ok City true Mercy Health Foundation Oklahoma City 4300 W Memorial Road Oklahoma City OK 73120 463184231 Foundation OK 501c3 11a MH Ok City true Mercy Health Foundation Springfield 1235 E Cherokee Street Springfield MO 65804 320195818 Foundation MO 501c3 11b MH SF COMM true Mercy Health Foundation St Louis 14528 S Outer Forty Ste 100 Chesterfield MO 63017 562410020 Foundation MO 501c3 11b MH East Comm true Mercy Health Foundation Washington 901 E Fifth Street Washington MO 63090 562410022 Foundation MO 501c3 11b MH East Comm true Mercy Health Hot Springs Communities 300 Werner Street Hot Springs AR 71913 261125064 Sold 3/31/14 AR 501c3 11b Mercy Health true Mercy Health NW Arkansas Communities 2710 Rife Medical Lane Rogers AR 72758 621684203 Phys Group AR 501c3 11b Mercy Health true Mercy Health Oklahoma Communities Inc 4300 W Memorial Road Oklahoma City OK 73120 731453048 Holding co OK 501c3 11b Mercy Health true Mercy Health Southwest MOKS Communities 100 Mercy Way Joplin MO 64804 300584463 Hlth System MO 501c3 11b Mercy Health true Mercy Health Springfield Communities 1235 E Cherokee Street Springfield MO 65804 431856028 Hlth System MO 501c3 11b Mercy Health false Mercy Health System of Texas Inc 14528 S Outer Forty Ste 100 Chesterfield MO 63017 742764727 Dslvd 5/15/14 TX 501c3 11b Mercy Health true Mercy Home Health Berryville 804 W Freeman Suite 4 Berryville AR 72616 870781247 Home Health AR 501c3 11c MH SF true Mercy Hospital Ada Inc 430 N Monte Vista Street Ada OK 74820 462288155 Hospital OK 501c3 3 MH Ok Comm true Mercy Hospital Ardmore Inc 1011 14th Avenue NW Ardmore OK 73401 731500629 Hospital OK 501c3 3 MH Ok Comm true Mercy Hospital Aurora 500 Porter Avenue Aurora MO 65605 431936696 Hospital MO 501c3 3 MH SF COMM true Mercy Hospital Berryville 214 Carter Street Berryville AR 72616 710759299 Hospital AR 501c3 3 MH SF COMM true Mercy Hospital Booneville 880 West Main Street Booneville AR 72927 463851119 Hospital AR 501c3 3 MH FT SMITH true Mercy Hospital Carthage 3125 Dr Russell Smith Way Carthage MO 64836 453808607 Hospital MO 501c3 3 MH SWMK COMM true Mercy Hospital Cassville 94 Main Street Cassville MO 65625 431936699 Hospital MO 501c3 3 MH SF COMM true Mercy Hospital Columbus 220 Pennsylvania Avenue Columbus KS 66725 270842031 Hospital MO 501c3 3 MH SWMK COMM true Mercy Hospital El Reno Inc 2115 Parkview Drive El Reno OK 73036 272716065 Hospital OK 501c3 3 MH Ok Comm true Mercy Hospital Fort Smith 7301 Rogers Avenue Fort Smith AR 72917 710240352 Hospital AR 501c3 3 MH FS COMM true Mercy Hospital Healdton Inc 918 South 8th Street Healdton OK 73438 263173902 Hospital OK 501c3 3 MH ARDMORE true Mercy Hospital Hot Springs 300 Werner Street Hot Springs AR 71913 710236913 Sold 3/31/14 AR 501c3 3 MH HS COMM true Mercy Hospital Jefferson 1400 Highway 61 South Festus MO 63028 430687077 Hospital MO 501c3 3 MH E Comm SR true Mercy Hospital Joplin 100 Mercy Way Joplin MO 64804 270814858 Hospital MO 501c3 3 MH SWMK COMM true Mercy Hospital Kingfisher Inc 1000 Kingfisher Regional Hosp Drive Kingfisher OK 73750 463433074 Hospital OK 501c3 3 MH Ok City true Mercy Hospital Lebanon 100 Hospital Drive Lebanon MO 65536 431767432 Hospital MO 501c3 3 MH SF COMM true Mercy Hospital Logan County Inc 200 South Academy Guthrie OK 73044 452998842 Hospital OK 501c3 3 MH Ok Comm true Mercy Hospital of Laredo 14528 S Outer Forty Ste 100 Chesterfield MO 63017 741189682 Dslvd 5/15/14 TX 501c3 3 MHS TEXAS true Mercy Hospital Oklahoma City Inc 4300 W Memorial Road Oklahoma City OK 73120 730579285 Hospital OK 501c3 3 MH Ok Comm true Mercy Hospital Ozark 801 W River Street Ozark AR 72949 710689680 Hospital AR 501c3 3 MH FT SMITH true Mercy Hospital Paris 500 E Academy Paris AR 72855 710655753 Hospital AR 501c3 3 MH FT SMITH true Mercy Hospital Rogers 2710 Rife Medical Lane Rogers AR 72758 710294390 Hospital AR 501c3 3 MH NWAR COMM true Mercy Hospital Tishomingo Inc 1000 South Byrd Tishomingo OK 73460 274433830 Hospital OK 501c3 3 MH ARDMORE true Mercy Hospital Waldron 1341 W 6th Street Waldron AR 72958 710557895 Hospital AR 501c3 3 MH FT SMITH true Mercy Hospital Watonga Inc 500 Clarence Nash Blvd Watonga OK 73772 455199762 Hospital OK 501c3 3 MH Ok Comm true Mercy Hospitals East Communities 14528 S Outer Forty Ste 100 Chesterfield MO 63017 430653493 Hospital MO 501c3 3 MH East Comm true Mercy Kansas Communities Inc 401 Woodland Hills Blvd Ft Scott KS 66701 480956045 Hospital KS 501c3 3 MH SWMK COMM true Mercy Medical Research Institute 1235 E Cherokee Street Springfield MO 65804 870796305 Research MO 501c3 4 MH SF COMM true Mercy Ministries of Laredo 2500 Zacatecas Laredo TX 78046 200198462 outreach TX 501c3 7 Mercy Health true Mercy St Francis Hospital 100 W Highway 60 Mountain View MO 65548 440607149 Hospital MO 501c3 3 MH SF COMM true MHM Support Services 14528 S Outer Forty Ste 100 Chesterfield MO 63017 202553101 HOSPITAL MO 501c3 11b Mercy Health true Mission Clinical Services 300 Werner Street Hot Springs AR 71913 134239691 Child advoC AR 501c3 9 Mercy Health true St Edward Mercy Foundation 7301 Rogers Avenue Fort Smith AR 72917 237330425 Foundation AR 501c3 7 MH FT SMITH true St John's Children's Hospital Inc 1235 E Cherokee Street Springfield MO 65804 Inactive MO 501c3 3 MH SF COMM true St Mary's Hospital of Enid Oklahoma 14528 S Outer Forty Ste 100 Chesterfield MO 63017 730614655 Inactive OK 501c3 3 MH Ok Comm true The Sister M Cornelia Blasko Foundation 100 W Highway 60 Mountain View MO 65548 431873914 Foundation MO 501c3 11a M St Francis true Unity Ambulatory Care 14528 S Outer Forty Ste 100 Chesterfield MO 63017 431861745 Inactive MO 501c3 11c MH East Comm true Merc Ambu Surg CTR 7301 Rogers Av Fort Smith AR 72903 710827721 AMBUL SURG CTR AR NA RES OPT & INNOV 645 Maryville Centre Dr 200 St Louis MO 63141 460468368 CENTRAL DIST. MO NA SO OK DIAG CTR 1011 14TH Ave NW Ardmore OK 73401 431971232 MRI Services OK NA Fort Smith EMS 1701 S Greenwood Fort Smith AR 72901 710416615 Emergency Med AR NA St Ed Mer Med MOB 7301 Rogers Ave Fort Smith AR 72903 710554050 Office Building AR NA Frontenac Properties Inc 14528 S Outer Forty Suite 100 Chesterfield MO 63017 521914421 HOLDING COMP DE NA C-CORP true Inveno Health Inc 1235 E Cherokee Street Springfield MO 65804 264509571 Product CommeR MO NA C-CORP true Mercy Commercial Services Inc 14528 South Outer Forty Suite 100 Chesterfield MO 63017 464953543 Parent of VCC MO NA C-CORP true Mercy Community Services Inc 401 Woodland Hills Blvd Fort Scott KS 66701 481078101 RETAIL PHARMACY KS NA C-CORP true Mercy Health Center Condominium Inc 4300 W Memorial Rd Oklahoma City OK 73120 680640970 Real estate OK NA C-CORP true Mercy Health Network of the Southern Reg 1011 14th Avenue NW Ardmore OK 73401 731580607 HOLDING COMP OK NA C-CORP true Mercy Health Network Inc 4300 W Memorial Road Oklahoma City OK 73120 731381689 HOLDING COMP OK NA C-CORP true Mercy Managed Care Corporation 4300 W Memorial Road Oklahoma City OK 73120 731441665 HOLDING COMP OK NA C-CORP true UHL Corp Inc 645 Maryville Centre Drive Suite 1 St Louis MO 63141 742499535 HOLDING COMP MO NA C-CORP true Unity Support Services Inc 645 Maryville Centre Drive Suite 1 St Louis MO 63141 431797042 PRACTICE MGT MO NA C-CORP true The Apothecary Services Inc PO Box 350 Crystal City MO 63019 431627267 RETAIL PHARMACY MO NA C-CORP true St John's Mercy Mail Order Inc 13645 Shoreline Drive Earth City MO 63045 431014222 Mail Odr pharmacy MO NA C-CORP true St John's Mercy PBM Inc 13175 Lakefront Drive Earth City MO 63045 743089567 Pharmacy benefit MO NA C-CORP true UH Holdings Inc 645 Maryville Centre Drive Suite 1 St Louis MO 63141 431845682 HOLDING COMP MO NA C-CORP true false false false false false false false false false false false false false false false true true false false Mercy Clinic East Communities Q 83306 FMV Mercy Clinic Oklahoma Communities Inc Q 56864 FMV Mercy Clinic Springfield Communities P 80067513 FMV Mercy Health P 367447 FMV Mercy Health Foundation Springfield Q 332662 FMV Mercy Health Southwest Missouri Kansas Comm Q 52935 FMV Mercy Health Springfield Communities Q 18817749 FMV Mercy Hospital Aurora Q 4687846 FMV Mercy Hospital Berryville Q 6455170 FMV Mercy Hospital Cassville Q 5556272 FMV Mercy Hospital Fort Smith Q 293907 FMV Mercy Hospital Joplin Q 196554 FMV Mercy Hospital Lebanon Q 40260415 FMV Mercy Hospital Oklahoma City Inc Q 228816 FMV Mercy Medical Research Institute P 1335116 FMV Mercy St Francis Hospital Q 4568400 FMV MHM Support Services P 107913349 FMV Resource Optimization & Innovation LLC P 30295358 FMV Form 990, Schedule R, Part II Mercy Hospitals East Communities Mercy Hospitals East Communities consists of Mercy Hospital St. Louis, EIN 43-0653493, and Mercy Hospital Washington, EIN 43-1066883. FORM 990, SCHEDULE R, PART V LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY HEALTH SYSTEM, INC. AND SUBSIDIARIES. THE MAJORITY OF THE INTERCOMPANY/RELATED ORGANIZATION TRANSACTIONS ARE PROCESSED THROUGH LAWSON VIA INTERCOMPANY JOURNAL ENTRIES. WITH THE CURRENT DESIGN OF THE ERP SYSTEM, THERE ARE VARIOUS LIMITATIONS ON THE RELATED ORGANIZATION INFORMATION THAT CAN BE EXTRACTED FROM LAWSON. DUE TO THESE LIMITATIONS, MOST OF THE RELATED ORGANIZATION ACTIVITY FOR THE FILING ORGANIZATION HAS BEEN CLASSIFIED ON SCHEDULE R, PART V, IN LINES P AND Q.