2015-05-14T13:05:27-05:00 2014-06-30 562632458 PLEUS AND COMPANY LLC 14323 S OUTER FORTY STE 310N CHESTERFIELD MO 63017 990 2013-07-01 431771217 MERCY CLINIC EAST COMMUNITIES MERC 3143643731 645 MARYVILLE CENTRE DRIVE STE 100 ST LOUIS MO 63141 CHERYL MATEJKA TREASURER 3143643532 2015-05-13 1 DOUGLAS G PLEUS P00013488 3143179916 2013 2016-04-25 22:37:26Z JOHN HUBERT 645 MARYVILLE CENTRE DRIVE STE 100 ST LOUIS MO 63141 249240599 0 X WWW.MERCY.NET/STLOUISMO X 1994 MO MERCY CLINIC EAST COMMUNITIES ("MCEC") COORDINATES PHYSICIAN-RELATED ASPECTS OF HEALTH CARE WITHIN THE MERCY HEALTH EAST COMMUNITIES INTEGRATED HEALTH CARE DELIVERY SYSTEM. 27 0 2409 0 106750 0 47094 0 227739939 247869841 623478 901799 1136345 468959 229546856 249240599 7000 302100 0 0 231999777 246414921 0 0 0 66867847 85121604 298874624 331838625 -69327768 -82598026 125002460 132385811 76507138 70727886 48495322 61657925 X AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. 0 0 312699287 302100 247799801 THE PRIMARY PURPOSE OF MERCY CLINIC EAST COMMUNITIES ("CLINIC") IS TO COORDINATE PHYSICIAN-RELATED ASPECTS OF HEALTH CARE WITHIN MERCY HEALTH EAST COMMUNITIES INTEGRATED HEALTH CARE DELIVERY SYSTEM. THESE PHYSICIAN-RELATED ACTIVITIES INCLUDE:1. DELIVERY OF HEALTH CARE SERVICES TO THE PUBLIC; INCLUDING, BUT NOT LIMITED TO PHYSICIAN SERVICES, CONTRACTING FOR PHYSICIAN SERVICES WITH LOCAL NETWORKS, HEALTH MAINTENANCE ORGANIZATIONS, OTHER PROVIDER GROUPS, AND HOSPITALS AND OTHER HEALTH CARE FACILITIES, AND EMPLOYING THE NECESSARY STAFF OF PHYSICIANS AND OTHER PERSONNEL NECESSARY TO DELIVER SUCH HEALTH CARE SERVICES AND CARRY OUT OTHER PURPOSES OF THE CLINIC. THE CLINIC ALSO PROVIDES SERVICES (OVER $31,480,000) TO A LARGE NUMBER (OVER 123,000 ENCOUNTERS) OF MEDICAID AND CHARITY CARE PATIENTS IN ITS SERVICE TO THE COMMUNITY.2. FURTHERING SCIENTIFIC RESEARCH TO BENEFIT THE PUBLIC THROUGH PARTICIPATION IN CLINICAL DRUG STUDIES.THE PHYSICIAN DIRECTORS AND EMPLOYEES OF THE CLINIC CARRY OUT SUCH ACTIVITIES INDIVIDUALLY AND AS A CORPORATION THROUGH COMMITTEES, TASK FORCES, AND OTHER GROUPS, TO FURTHER THE CHARITABLE PURPOSES OF THE CLINIC.THE COORDINATION OF SERVICES BY AND BETWEEN MERCY HEALTH EAST COMMUNITIES AND THE CLINIC ENABLES MERCY HEALTH EAST COMMUNITIES INTEGRATED HEALTH CARE DELIVERY SYSTEM TO PROVIDE MORE EFFECTIVE AND COST EFFICIENT SERVICES BY ALLOWING EACH PART OF THE SYSTEM TO FOCUS ON ITS AREA OF EXPERTISE, AVOID DUPLICATION OF SERVICES, AND PROVIDE INTEGRATED DELIVERY OF HEALTH CARE SERVICES.THE CLINIC OPERATES EXCLUSIVELY FOR THE BENEFIT OF OR TO ESTABLISH AND MAINTAIN ONE OR MORE MEDICAL PRACTICES AS INSTITUTIONS WITH PERMANENT HEALTH SERVICE FACILITIES FOR THE DIAGNOSIS AND TREATMENT OF PATIENTS AND TO PROVIDE SUCH MEDICAL SERVICES AS MAY BE REQUIRED BY PATIENTS; TO CONDUCT EDUCATIONAL ACTIVITIES RELATED TO CARE OF THE SICK AND INJURED OR TO THE PROMOTION OF HEALTH; TO DEVELOP EFFICIENT AND PRACTICAL ARRANGEMENTS FOR PROVIDING HEALTH SERVICES; TO FOSTER THE TEACHING AND RESEARCH FUNCTIONS AT ITS FACILITIES IN COOPERATION WITH OTHER HEALTH SERVICES AND EDUCATIONAL INSTITUTIONS; AND TO PROVIDE ORIENTATION AND IN-SERVICE TRAINING PROGRAMS TO PERSONNEL EMPLOYED AT ITS FACILITIES IN ORDER TO MAINTAIN THEIR SKILLS AND TO MAKE THEM AWARE OF DEVELOPMENTS IN THE HEALTH SERVICES FIELD.AMONG THE COMMUNITY SUPPORT ACTIVITIES OFFERED BY THE CLINIC WERE THE FOLLOWING: HEALTH FAIRS AND SCREENINGS- CLINIC PHYSICIANS AND CO-WORKERS STAFFED "ASK THE DOCTOR" BOOTHS AND/OR PROVIDED FREE HEALTH SCREENINGS AND HEALTH INFORMATION AT VARIOUS NONPROFIT AND COMMUNITY EVENTS- IN ADDITION, CLINIC PHYSICIANS STAFFED BOOTHS OR PROVIDED SCREENINGS AT EMPLOYEE HEALTH FAIRS FOR AREA CORPORATIONSPROVISION OF FREE HEALTH INFORMATION- CLINIC PHYSICIANS SHARED THEIR KNOWLEDGE WITH THE ST. LOUIS COMMUNITY THROUGH VARIOUS MEDIA INTERVIEWS ON SPECIFIC HEALTH TOPICS.- CLINIC PHYSICIANS PROVIDED TALKS TO THE COMMUNITY ON VARIOUS HEALTH RELATED TOPICS- SEVERAL CLINIC PHYSICIANS SERVE AS CONSULTING PHYSICIANS FOR ST. LOUIS AREA SCHOOL DISTRICTS, BOY SCOUTS, AND ATHLETIC TEAMSCHARITABLE OUTREACH- CO-WORKERS OF CLINIC PRACTICES COLLECTED CANNED GOODS AND PANTRY ITEMS TO DONATE TO LOCAL FOOD PANTRIES, AND BOXED UP DONATIONS OF FOOD FOR FAMILIES SERVED BY AREA CATHOLIC CHURCHES- DURING THE HOLIDAYS, CLINIC CO-WORKERS SPONSORED RAFFLES AND DRESS-DOWN DAYS TO RAISE FUNDS TO SUPPORT FAMILIES IN NEED. CO-WORKERS DONATED CASH, WRAPPING PAPER, AND SUPPLIES; SHOPPED FOR AND WRAPPED GIFTS; AND DELIVERED THE ITEMS TO FAMILY MEMBERS, WHO WERE REFERRED BY MERCY NEIGHBORHOOD MINISTRY AND MISSION SERVICES SUPPORT OF COMMUNITY PROGRAMS- IN ADDITION TO ORGANIZATION-WIDE SUPPORT FOR THE AMERICAN HEART ASSOCIATION, THE SUSAN G. KOMEN FOUNDATION RACE FOR THE CURE, THE ST. LOUIS ZOO'S "BOO AT THE ZOO," AND THE UNITED WAY OF GREATER ST. LOUIS, INDIVIDUAL PHYSICIANS AND CO-WORKERS VOLUNTEERED THEIR TIME AS WORKERS AND/OR HEALTH CARE PROVIDERS, AND/OR PARTICIPATED IN FUNDRAISING ACTIVITIESMEDICAL EDUCATION PROGRAMS- CLINIC PHYSICIANS AND CO-WORKERS MENTORED INTERNS AND NEW ENTRANTS TO THE HEALTH CARE FIELD, AND SERVED AS PRECEPTORS FOR MEDICAL, PHARMACY, AND NURSE PRACTITIONER STUDENTS- SEVERAL CLINIC PHYSICIANS TAUGHT RESIDENTS AND STAFF THROUGH WEEKLY GRAND ROUNDS AND LECTURES FOR MEDICAL DEPARTMENTS AT MERCY HOSPITAL ST. LOUIS 312699287 1 0 0 1 0 0 0 0 0 0 1 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 9 0 1 2409 1 1 1 0 0 0 0 0 0 0 0 0 X 27 0 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 X KERRY DUNGER 3143643731 645 MARYVILLE CENTRE DRIVE STE 100 ST LOUIS MO 63141 CASSAT JAMES PHYSICIAN & BOARD MEMBER 53.00 0.00 X 384306 0 24243 CHALK MD DAVID PHYSICIAN & BOARD MEMBER 50.00 7.00 X 692966 0 55317 CRAIG MD TODD PHYSICIAN & BOARD MEMBER 18.00 36.00 X 214713 0 30897 DUMONTIER MD GARY PHYSICIAN & BOARD MEMBER 45.00 2.00 X 467748 0 27704 GOODWIN KEVIN VP-CLINICAL OPERATIONS & BOARD MEMBER 50.00 5.00 X 293729 0 40113 GRIMES JAMES PHYSICIAN & BOARD MEMBER 50.00 0.00 X 259625 0 7941 HACK MD RICHARD PHYSICIAN & BOARD MEMBER 27.00 26.00 X 188373 0 35002 HILTON MD STEVEN PHYSICIAN & BOARD MEMBER 41.00 1.00 X 344845 0 40154 HRUSKA MD LINDY PHYSICIAN & BOARD MEMBER 52.00 12.00 X 401627 0 17997 HUBERT MD JOHN W PRESIDENT, MERCY CLINIC & BOARD MEMBER 50.00 10.00 X X 0 867275 93601 LIMPERT JONATHAN PHYSICIAN & BOARD MEMBER 52.00 0.00 X 385007 0 20476 LOGAN MD WILLIAM PHYSICIAN & BOARD MEMBER 25.00 25.00 X 380111 0 36463 LONG TIM PHYSICIAN & BOARD MEMBER 60.00 0.00 X 261347 0 24104 MERBAUM MD MARC PHYSICIAN & BOARD MEMBER 60.00 0.00 X 506125 0 35305 MILLER MD DONNA PHYSICIAN & BOARD MEMBER 52.00 0.00 X 238489 0 32831 MOORE JOHN PHYSICIAN & BOARD MEMBER 51.00 0.00 X 531949 0 28661 REHM MD CHARLES CHIEF ADMIN OFFICER & BOARD MEMBER 20.00 40.00 X 0 548612 95565 REINBERG JASON PHYSICIAN & BOARD MEMBER 53.00 0.00 X 638870 0 24353 RUNGE ANDREW COO, CLINICS & BOARD MEMBER 50.00 0.00 X 0 344482 43910 SANDERS MD STEPHEN PHYSICIAN & BOARD MEMBER 52.00 0.00 X 516751 0 41922 SEECK BRIAN PHYSICIAN & BOARD MEMBER 31.00 13.00 X 887580 0 27222 SENGUPTA MD ALOK PHYSICIAN & BOARD MEMBER 2.00 50.00 X 354136 0 35067 SORENSEN DONN PRESIDENT-EAST COMM & BOARD MEMBER 5.00 59.00 X 0 811498 245528 SPIVEY MD JOHN PHYSICIAN & BOARD MEMBER 50.00 0.00 X 445915 0 30124 TIEFENBRUNN MATT PHYSICIAN & BOARD MEMBER 51.00 0.00 X 686094 0 28360 WASSERMAN MD GARY PHYSICIAN & BOARD MEMBER 40.00 36.00 X 561684 0 19447 WEICK MD RAYMOND PHYSICIAN & BOARD MEMBER 55.00 3.00 X 434245 0 16563 CANTALIN JEANNE L REG VP-GENERAL COUNSEL-THRU 2/14 15.00 45.00 X 0 263916 46705 HANNASCH SUSAN REG VP-GENERAL COUNSEL-START 3/14 5.00 55.00 X 0 275484 52671 MATEJKA CHERYL L CHIEF FINANCIAL OFFICER 10.00 47.00 X 0 413101 78538 BAIN KELLY PHYSICIAN 39.00 0.00 X 353553 0 13880 CORT DAVID PHYSICIAN 66.00 0.00 X 613255 0 34090 GUSS DAVID MEDICAL DEPT CHAIRMAN 52.00 0.00 X 260978 0 10445 HALSTED MD ROBERT MEDICAL DEPT CHAIRMAN - THRU 12/13 44.00 2.00 X 585539 0 30146 HAND MD JASON PHYSICIAN 50.00 0.00 X 480958 0 29855 MARCRANDER MARGARET PHYSICIAN 65.00 0.00 X 567543 0 28804 MEINERS DAVID PHYSICIAN 65.00 1.00 X 809968 0 29961 MOHART JOHN MEDICAL DEPT CHAIRMAN 65.00 0.00 X 983655 0 26238 PETITO MD SALLY PHYSICIAN - THRU 03/14 30.00 30.00 X 301449 0 21183 RIORDAN MD TRACY MEDICAL DEPT CHAIRMAN 50.00 0.00 X 403195 0 36921 SCHEER JENNIFER PHYSICIAN 48.00 0.00 X 326974 0 35782 SCHLANSKY HOWARD PHYSICIAN 50.00 0.00 X 332013 0 23598 ZALEWSKI JOHN PHYSICIAN 64.00 0.00 X 488734 0 58175 BEARDSLEE MICHAEL PHYSICIAN 50.00 0.00 X 889576 0 25189 PADRATZIK JAY PHYSICIAN 50.00 0.00 X 921551 0 37404 REICHERT PHILLIP PHYSICIAN 50.00 0.00 X 998927 0 37587 SCHLOSS TIMOTHY PHYSICIAN 50.00 0.00 X 923670 0 24554 TIRIVEEDHI KIRANMAYE PHYSICIAN 70.00 0.00 X 1108671 0 28941 COMBS RANDALL J FORMER OFFICER 0.00 60.00 X 0 952001 218404 HALE MD PHD THOMAS FORMER OFFICER 0.00 60.00 X 0 673177 125221 MCCURRY MICHAEL FORMER OFFICER 0.00 60.00 X 0 1088774 202595 KAHN MD JOSEPH FORMER KEY EMPLOYEE 5.00 55.00 X 0 527233 88330 KALICAK DONALD FORMER KEY EMPLOYEE 5.00 55.00 X 0 361784 84980 PIEPER STEPHEN FORMER KEY EMPLOYEE 60.00 0.00 X 579583 0 35098 22006027 7127337 2624165 591 1 1 0 NEXTGEN HEALTHCARE INFORMATION 795 HORSHAM RD HORSHAM PA 91044 MISC CONTRACT SERVICES 458515 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 PHYSICIAN WAGES 386485 MEDICAL EMPLOYMENT DIRECTORY 11701 BORMAN DR STE 280 ST LOUIS MO 63146 TEMPORARY AGENCY 381615 MUSICK CONSTRUCTION CO 254 HANLEY INDUSTRIAL CT ST LOUIS MO 63144 CONSTRUCTION 251522 LAWLOR CORP 1440 STRASSNER DRIVE ST LOUIS MO 63144 CONSTRUCTION 184042 10 NET PATIENT REVENUE 621110 224033575 224033575 OTHER OPERATING REVENUE 621110 21397528 21397528 RESEARCH REVENUE 621500 2438738 2438738 247869841 901799 901799 CAFE & VENDING 722210 538999 106750 432249 -70040 -70040 468959 249240599 247799801 106750 1334048 302100 302100 17912307 17912307 828012 828012 193093786 182238925 10854861 7147461 6742415 405046 17437081 16510416 926665 9996274 9481000 515274 3416165 3410680 5485 206965 206633 332 4712673 4705107 7566 226398 226035 363 19281825 19250868 30957 718891 717737 1154 2641 2637 4 4249210 3348099 901111 6892955 6881888 11067 DRUGS & MEDICAL EXPENSE 19122492 19091791 30701 BAD DEBTS 12362149 12362149 SHARED SERVICE FEES 11342917 5898317 5444600 REPAIRS & MAINTENANCE 513840 513015 825 2072483 2069156 3327 331838625 312699287 19139338 0 11619265 8737682 28695592 25833184 4542911 4524172 5 8862 3785359 3986396 35875205 19846073 13438326 16029132 6083090 6914849 38751652 43176205 18086260 23175329 125002460 132385811 38928305 35344718 3620 3620 37575213 35379548 76507138 70727886 X 48495322 61657925 48495322 61657925 125002460 132385811 X -82598026 95760629 X X 0 1 X 1 1 1 X 47094 47094 89606051 106440302 134263372 228378376 247799801 806487902 89606051 106440302 134263372 228425470 247799801 806534996 0 0 0 806534996 655450 850274 64352 626973 901799 3098848 655450 850274 64352 626973 901799 3098848 10081 40193 143214 99294 106750 399532 90271582 107330769 134470938 229151737 248808350 810033376 0.99570 0.99680 0.00380 0.00260 X 0 0 0 0 0 1 842 0 0 0 842 0 PART II-B, LINE 1: THE FILING ORGANIZATION IS A MEMBER OF AND PAYS DUES TO THE FOLLOWING ASSOCIATION: CATHOLIC HEALTH ASSOCIATION. FOR THE YEAR ENDED JUNE 30, 2014, DUES WERE $25,449. APPROXIMATELY 3.31% OF CATHOLIC HOSPITAL ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED BY THIS ASSOCIATION. 14720703 9069530 5651173 19591921 10776543 8815378 1562581 1562581 16029132 MH INV FUND 6914849 F 6914849 DEFERRED COMPENSATION 22900425 OTHER ASSETS 274904 23175329 DEFERRED COMPENSATION 22900425 INTERCOMPANY PAYABLE 11911401 OTHER LIABILITIES 567722 35379548 PART X, LINE 2 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 ASC 740, AS THEY ARE DEEMED IMMATERIAL FOR DISCLOSURE. 1 WASHINGTON SCHOOL DISTRICT 220 LOCUST STREET WASHINGTON MO 63090 436003967 501(C)(3) 274500 CASH GENERAL COMMUNITY SUPPORT ST FRANCIS BORGIA REGIONAL HIGH SCHOOL 1000 BORGIA DR WASHINGTON MO 63090 431268721 501(C)(3) 25000 CASH GENERAL COMMUNITY SUPPORT 2 0 PART I, LINE 2: GRANTS ARE MADE TO ORGANIZATIONS WHICH HAVE AN ESTABLISHED HISTORY OF PROVIDING HEALTH CARE SUPPORT ANDOR COMMUNITY BENEFIT. IF NECESSARY, PERIODIC REPORTS ARE PROVIDED TO US. X X X X 1 1 0 1 0 0 0 0 0 1 0 CASSAT JAMES PHYSICIAN & BOARD MEMBER 356491 0 0 0 27815 0 10790 0 13453 0 408549 0 0 0 CHALK MD DAVID PHYSICIAN & BOARD MEMBER 519636 0 125120 0 48210 0 38250 0 17067 0 748283 0 0 0 CRAIG MD TODD PHYSICIAN & BOARD MEMBER 185562 0 0 0 29151 0 14666 0 16231 0 245610 0 0 0 DUMONTIER MD GARY PHYSICIAN & BOARD MEMBER 402484 0 31875 0 33389 0 10534 0 17170 0 495452 0 0 0 GOODWIN KEVIN VP-CLINICAL OPERATIONS & BOARD MEMBE 206468 0 50716 0 36545 0 23600 0 16513 0 333842 0 0 0 GRIMES JAMES PHYSICIAN & BOARD MEMBER 238950 0 0 0 20675 0 5907 0 2034 0 267566 0 0 0 HACK MD RICHARD PHYSICIAN & BOARD MEMBER 148771 0 4601 0 35001 0 18850 0 16152 0 223375 0 0 0 HILTON MD STEVEN PHYSICIAN & BOARD MEMBER 243138 0 54600 0 47107 0 22980 0 17174 0 384999 0 0 0 HRUSKA MD LINDY PHYSICIAN & BOARD MEMBER 362095 0 0 0 39532 0 9516 0 8481 0 419624 0 0 0 HUBERT MD JOHN W PRESIDENT, MERCY CLINIC & BOARD MEMB 0 653371 0 166722 0 47182 0 79232 0 14369 0 960876 0 0 LIMPERT JONATHAN PHYSICIAN & BOARD MEMBER 340749 0 15000 0 29258 0 9100 0 11376 0 405483 0 0 0 LOGAN MD WILLIAM PHYSICIAN & BOARD MEMBER 363073 0 0 0 17038 0 21658 0 14805 0 416574 0 0 0 LONG TIM PHYSICIAN & BOARD MEMBER 239666 0 0 0 21681 0 11429 0 12675 0 285451 0 0 0 MERBAUM MD MARC PHYSICIAN & BOARD MEMBER 476373 0 0 0 29752 0 18026 0 17279 0 541430 0 0 0 MILLER MD DONNA PHYSICIAN & BOARD MEMBER 203116 0 0 0 35373 0 18068 0 14763 0 271320 0 0 0 MOORE JOHN PHYSICIAN & BOARD MEMBER 495103 0 0 0 36846 0 10955 0 17706 0 560610 0 0 0 REHM MD CHARLES CHIEF ADMIN OFFICER & BOARD MEMBER 0 425727 0 80320 0 42565 0 81444 0 14121 0 644177 0 0 REINBERG JASON PHYSICIAN & BOARD MEMBER 602738 0 0 0 36132 0 6618 0 17735 0 663223 0 0 0 RUNGE ANDREW COO, CLINICS & BOARD MEMBER 0 250705 0 55422 0 38355 0 27051 0 16859 0 388392 0 0 SANDERS MD STEPHEN PHYSICIAN & BOARD MEMBER 480692 0 0 0 36059 0 24578 0 17344 0 558673 0 0 0 SEECK BRIAN PHYSICIAN & BOARD MEMBER 868315 0 0 0 19265 0 9091 0 18131 0 914802 0 0 0 SENGUPTA MD ALOK PHYSICIAN & BOARD MEMBER 288228 0 53833 0 12075 0 17853 0 17214 0 389203 0 0 0 SORENSEN DONN PRESIDENT-EAST COMM & BOARD MEMBER 0 560884 0 175609 0 75005 0 232962 0 12566 0 1057026 0 0 SPIVEY MD JOHN PHYSICIAN & BOARD MEMBER 262941 0 153579 0 29395 0 12780 0 17344 0 476039 0 0 0 TIEFENBRUNN MATT PHYSICIAN & BOARD MEMBER 648875 0 0 0 37219 0 10495 0 17865 0 714454 0 0 0 WASSERMAN MD GARY PHYSICIAN & BOARD MEMBER 505066 0 0 0 56618 0 11037 0 8410 0 581131 0 0 0 WEICK MD RAYMOND PHYSICIAN & BOARD MEMBER 376404 0 25884 0 31957 0 13702 0 2861 0 450808 0 0 0 CANTALIN JEANNE L REG VP-GENERAL COUNSEL-THRU 2/14 0 201873 0 44431 0 17612 0 36274 0 10431 0 310621 0 0 HANNASCH SUSAN REG VP-GENERAL COUNSEL-START 3/14 0 195919 0 52882 0 26683 0 36277 0 16394 0 328155 0 0 MATEJKA CHERYL L CHIEF FINANCIAL OFFICER 0 300405 0 74056 0 38640 0 61337 0 17201 0 491639 0 0 BAIN KELLY PHYSICIAN 300750 0 32581 0 20222 0 11189 0 2691 0 367433 0 0 0 CORT DAVID PHYSICIAN 505566 0 53114 0 54575 0 16250 0 17840 0 647345 0 0 0 GUSS DAVID MEDICAL DEPT CHAIRMAN 256450 0 0 0 4528 0 8411 0 2034 0 271423 0 0 0 HALSTED MD ROBERT MEDICAL DEPT CHAIRMAN - THRU 12/13 478910 0 65860 0 40769 0 12899 0 17247 0 615685 0 0 0 HAND MD JASON PHYSICIAN 451426 0 0 0 29532 0 12456 0 17399 0 510813 0 0 0 MARCRANDER MARGARET PHYSICIAN 520195 0 0 0 47348 0 10971 0 17833 0 596347 0 0 0 MEINERS DAVID PHYSICIAN 754736 0 0 0 55232 0 15515 0 14446 0 839929 0 0 0 MOHART JOHN MEDICAL DEPT CHAIRMAN 900064 0 63665 0 19926 0 8114 0 18124 0 1009893 0 0 0 PETITO MD SALLY PHYSICIAN - THRU 03/14 227438 0 0 0 74011 0 18538 0 2645 0 322632 0 0 0 RIORDAN MD TRACY MEDICAL DEPT CHAIRMAN 373956 0 0 0 29239 0 19891 0 17030 0 440116 0 0 0 SCHEER JENNIFER PHYSICIAN 282452 0 15000 0 29522 0 18705 0 17077 0 362756 0 0 0 SCHLANSKY HOWARD PHYSICIAN 291978 0 3250 0 36785 0 22833 0 765 0 355611 0 0 0 ZALEWSKI JOHN PHYSICIAN 399998 0 30000 0 58736 0 44326 0 13849 0 546909 0 0 0 BEARDSLEE MICHAEL PHYSICIAN 869135 0 0 0 20441 0 7058 0 18131 0 914765 0 0 0 PADRATZIK JAY PHYSICIAN 872426 0 0 0 49125 0 19169 0 18235 0 958955 0 0 0 REICHERT PHILLIP PHYSICIAN 976924 0 0 0 22003 0 19146 0 18441 0 1036514 0 0 0 SCHLOSS TIMOTHY PHYSICIAN 886905 0 0 0 36765 0 6423 0 18131 0 948224 0 0 0 TIRIVEEDHI KIRANMAYE PHYSICIAN 321917 0 342088 0 444666 0 10681 0 18260 0 1137612 0 0 0 COMBS RANDALL J FORMER OFFICER 0 692164 0 227203 0 32634 0 208979 0 9425 0 1170405 0 0 HALE MD PHD THOMAS FORMER OFFICER 0 488437 0 121976 0 62764 0 111287 0 13934 0 798398 0 0 MCCURRY MICHAEL FORMER OFFICER 0 795361 0 260997 0 32416 0 187506 0 15089 0 1291369 0 0 KAHN MD JOSEPH FORMER KEY EMPLOYEE 0 399445 0 95951 0 31837 0 74068 0 14262 0 615563 0 0 KALICAK DONALD FORMER KEY EMPLOYEE 0 206155 0 112665 0 42964 0 72205 0 12775 0 446764 0 0 PIEPER STEPHEN FORMER KEY EMPLOYEE 525060 0 0 0 54523 0 17301 0 17797 0 614681 0 0 0 PART I, LINE 1A 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. SPOUSAL TRAVEL WAS PROVIDED FOR THE FOLLOWING EMPLOYEE: DAVID CHALK. SPOUSAL TRAVEL WAS PROVIDED FOR THE FOLLOWING EMPLOYEE OF A RELATED ORGANIZATION: MICHAEL MCCURRY. 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 ARE SUBJECT TO TAX TO THE EMPLOYEE OF A RELATED ORGANIZATION, ANDREW RUNGE. 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, LINE 4B 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 6/30/2014. SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) COMBS,RANDALL;SORENSEN,DONN; MCCURRY,MICHAEL SUPPLEMENTAL MANAGEMENT RETIREMENT PLAN (SMRP) MATEJKA,CHERYL L; KALICAK,DONALD; ZALEWSKI,JOHN; CANTALIN,JEANNE; HUBERT,JOHN; HALE MD PHD,THOMAS; CHALK MD,DAVID; KAHN MD,JOSEPH; REHM MD,CHARLES H; RUNGE,ANDREW D; SORENSEN,DONN; GOODWIN,KEVIN; HANNASCH,SUSAN THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C). PART I, LINE 7 THE 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 2014 (JULY 1, 2013 - JULY 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. PART I, LINE 3 MERCY 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 -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE MERCY CLINIC EAST COMMUNITIES USES A WRITTEN EMPLOYMENT CONTRACT. JAN DUMONTIER FAMILY MEMBER OF GARY DUMONTIER, BOARD MEMBER 32252 EMPLOYMENT ARRANGEMENT, MERCY CLINIC EAST COMMUNITIES 0 HOLLY HUTCHINGS FAMILY MEMBER OF JOHN ZALEWSKI, KEY EMPLOYEE 15110 EMPLOYMENT ARRANGEMENT, MERCY CLINIC EAST COMMUNITIES 0 GAIL WEICK FAMILY MEMBER OF RAY WEICK, BOARD MEMBER 66755 EMPLOYMENT ARRANGEMENT, MERCY CLINIC EAST COMMUNITIES 0 VERNON YOUNG FAMILY MEMBER OF JOHN MOHART, KEY EMPLOYEE 131949 EMPLOYMENT ARRANGEMENT, MERCY CLINIC EAST COMMUNITIES 0 PATRICK LONG FAMILY MEMBER OF TIM LONG, BOARD MEMBER 90410 EMPLOYMENT ARRANGEMENT, MERCY CLINIC EAST COMMUNITIES 0 ANN MOHART FAMILY MEMBER OF JOHN MOHART, KEY EMPLOYEE AND ROBERT HALSTED, KEY EMPLOYEE 148712 EMPLOYMENT ARRANGEMENT, MERCY CLINIC EAST COMMUNITIES 0 GINA MOHART FAMILY MEMBER OF JOHN MOHART, KEY EMPLOYEE AND ROBERT HALSTED, KEY EMPLOYEE 232045 EMPLOYMENT ARRANGEMENT, MERCY CLINIC EAST COMMUNITIES 0 SARAH SEECK FAMILY MEMBER OF BRIAN SEECK, BOARD MEMBER 110779 EMPLOYMENT ARRANGEMENT, MERCY CLINIC EAST COMMUNITIES 0 FORM 990, PART VI, SECTION A, LINE 6 THE MEMBER OF MERCY CLINIC EAST COMMUNITIES 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 7A MERCY HEALTH EAST COMMUNITIES HAS RESERVE POWERS TO: -APPOINT DIRECTORS PURSUANT TO THE PROCESS SET FORTH IN THE BYLAWS; -REMOVE UP TO TWO DIRECTORS DURING ANY FISCAL YEAR WITHOUT CAUSE AND OTHERWISE REMOVE DIRECTORS FOR CAUSE; AND -REMOVE THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION WITH OR WITHOUT CAUSE, AFTER CONSULTATION WITH THE BOARD. FORM 990, PART VI, SECTION A, LINE 7B MERCY HEALTH EAST COMMUNITIES HAS RESERVE POWERS TO: -ADOPT OR AMEND THE CORPORATION'S MISSION AND PHILOSOPHY; -ADOPT OR AMEND THE CORPORATION'S STRATEGIC PLANS, GOALS, AND OBJECTIVES; -ADOPT OR AMEND THE CORPORATION'S BUDGETS; -AUTHORIZE OR APPROVE THE ASSIGNMENT, TRANSFER, SALE OR LEASE OF ANY OF THE CORPORATION'S ASSETS OR INTEREST THEREIN IN EXCESS OF $1,000,000; -AUTHORIZE OR APPROVE THE GRANT OF ANY PLEDGE, LIEN, ENCUMBRANCE, MORTGAGE, DEED OF TRUST OR OTHER SECURITY INTEREST IN ANY OR ALL OF THE CORPORATION'S ASSETS; -AUTHORIZE OR APPROVE THE INCURRENCE OF DEBT (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) BY THE CORPORATION AND 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; -MERGE, DISSOLVE OR ABANDON THE CORPORATION; -AMEND THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION, SUBJECT TO THE APPROVAL OF THE MERCY HEALTH EAST COMMUNITIES BOARD; -ESTABLISH COMPENSATION AND BENEFIT TERMS FOR PHYSICIANS AND OTHER MEDICAL PROFESSIONALS EMPLOYED OR OTHERWISE RETAINED BY THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11 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 LEADERSHIP. THE DRAFT FORM 990 IS ALSO REVIEWED BY THE MERCY HEALTH 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 FOR REVIEW. ONCE REVIEWED AND APPROVED BY THE FILING ORGANIZATION'S LEADERSHIP TEAM, IT IS THEN SIGNED AND FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C 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, SECTION B, LINE 15 FOR 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 FOLLOWING ARE USED TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, AND REVIEW/APPROVAL OF EXECUTIVE MANAGEMENT OF MERCY HEALTH EAST COMMUNITIES. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS, AND A REVIEW WAS COMPLETED DURING THE REPORTING YEAR. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING 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 XI, LINE 9: CAPITAL FUNDING 96,748,509. JEFFERSON FUND BALANCE -987,880. PART XII, LINE 2 AUDITED FINANCIAL STATEMENTS THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN THE 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 IS 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. PART XII, LINE 3 SINGLE AUDIT ACT AND OMB CIRCULAR A-133 THE CONSOLIDATED GROUP OF MERCY HEALTH IS REQUIRED TO UNDERGO AN AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133. THE SINGLE AUDIT WAS CONDUCTED ON A CONSOLIDATED BASIS. FORM 990, SCHEDULE R, PART V SYSTEM LIMITATIONS LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY HEALTH 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. FORM 990, PART V, QUESTION 1A INDEPENDENT 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 II MERCY 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. 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HEALTH SW MOKS COMM 1 MERCY HOSPITAL CASSVILLE 94 MAIN STREET CASSVILLE MO 65625 431936699 HOSPITAL MO 501C3 3 MERCY HEALTH SPRINGFIELD COMM 1 MERCY HOSPITAL COLUMBUS 220 PENNSYLVANIA AVENUE COLUMBUS KS 66725 270842031 HOSPITAL MO 501C3 9 MERCY HEALTH SW MOKS COMM 1 MERCY HOSPITAL EL RENO 2115 PARKVIEW DRIVE EL RENO OK 73036 272716065 HOSPITAL OK 501C3 3 MERCY HEALTH OK COMMUNITIES 1 MERCY HOSPITAL FORT SMITH 7301 ROGERS AVENUE FORT SMITH AR 72917 710240352 HOSPITAL AR 501C3 3 MERCY HEALTH FORT SMITH COMM 1 MERCY HOSPITAL HEALDTON INC 918 SOUTH 8TH STREET HEALDTON OK 73438 263173902 HOSPITAL OK 501C3 3 MERCY HOSPITAL ARDMORE INC 1 MERCY HOSPITAL HOT SPRINGS 300 WERNER STREET HOT SPRINGS AR 71913 710236913 SOLD TO CHI 3/31/2014 AR 501C3 3 MERCY HEALTH HOT SPRINGS COMM 1 MERCY HOSPITAL JEFFERSON 1400 HIGHWAY 61 SOUTH FESTUS MO 63028 430687077 HOSPITAL MO 501C3 3 MERCY HEALTH EAST COMMUNITIES - SR 1 MERCY HOSPITAL JOPLIN 100 MERCY WAY JOPLIN MO 64804 270814858 HOSPITAL MO 501C3 3 MERCY HEALTH SW MOKS COMM 1 MERCY HOSPITAL KINGFISHER INC 1000 KINGFISHER REGIONAL HOSPITAL D KINGFISHER OK 73750 463433074 HOSPITAL OK 501C3 3 MERCY HOSPITAL OKLAHOMA CITY 1 MERCY HOSPITAL LEBANON 100 HOSPITAL DRIVE LEBANON MO 65536 431767432 HOSPITAL MO 501C3 3 MERCY HEALTH SPRINGFIELD COMM 1 MERCY HOSPITAL LOGAN COUNTY INC 200 SOUTH ACADEMY GUTHRIE OK 73044 452998842 HOSPITAL OK 501C3 3 MERCY HEALTH OK COMMUNITIES 1 MERCY HOSPITAL OF LAREDO 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 741189682 DISSOLVED 5/15/2014 TX 501C3 3 MERCY HEALTH SYSTEM TX 1 MERCY HOSPITAL OKLAHOMA CITY 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 730579285 HOSPITAL OK 501C3 3 MERCY HEALTH OK COMMUNITIES 1 MERCY HOSPITAL OZARK 801 W RIVER STREET OZARK AR 72949 710689680 HOSPITAL AR 501C3 3 MERCY HOSPITAL FORT SMITH 1 MERCY HOSPITAL PARIS 500 E ACADEMY PARIS AR 72855 710655753 HOSPITAL AR 501C3 3 MERCY HOSPITAL FORT SMITH 1 MERCY HOSPITAL ROGERS 2710 RIFE MEDICAL LN ROGERS AR 72758 710294390 HOSPITAL AR 501C3 3 MERCY HEALTH NW ARK COMMUNITIES 1 MERCY HOSPITAL SPRINGFIELD 1235 E CHEROKEE STREET SPRINGFIELD MO 65804 440552485 HOSPITAL MO 501C3 3 MERCY HEALTH SPRINGFIELD COMM 1 MERCY HOSPITAL TISHOMINGO 1000 SOUTH BYRD TISHOMINGO OK 73460 274433830 HOSPITAL OK 501C3 3 MERCY HOSPITAL ARDMORE 1 MERCY HOSPITAL WALDRON 1341 W 6TH STREET WALDRON AR 72958 710557895 HOSPITAL AR 501C3 3 MERCY HOSPITAL FORT SMITH 1 MERCY HOSPITAL WATONGA INC 500 CLARENCE NASH BLVD WATONGA OK 73772 455199762 LEASED HOSPITAL OK 501C3 3 MERCY HEALTH OK COMMUNITIES 1 MERCY HOSPITALS EAST COMM 645 MARYVILLE CTR DR STE 100 ST LOUIS MO 63141 430653493 HOSPITAL MO 501C3 3 MERCY HEALTH EAST COMMUNITIES 1 MERCY KANSAS COMMUNITIES INC 401 WOODLAND HILLS BLVD FT SCOTT KS 66701 480956045 HOSPITAL KS 501C3 3 MERCY HEALTH SW MOKS COMM 1 MERCY MEDICAL RESEARCH INST 1235 E CHEROKEE STREET SPRINGFIELD MO 65804 870796305 RESEARCH - CLINICAL TRIALS MO 501C3 4 MERCY HEALTH SPRINGFIELD COMM 1 MERCY MINISTRIES OF LAREDO 2500 ZACATECAS LAREDO TX 78043 200198462 HEALTHCARE SERVICES,OUTREACH EDUCATION PROGRAM TX 501C3 7 MERCY HEALTH 1 MERCY ST FRANCIS HOSPITAL 100 W HIGHWAY 60 MOUNTAIN VIEW MO 65548 440607149 HOSPITAL MO 501C3 3 MERCY HEALTH SPRINGFIELD COMM 1 MERCY SUPPORT SERVICES 615 S NEW BALLAS ROAD ST LOUIS MO 63141 431677952 INACTIVE MO 501C3 11-III MERCY HOSPITALS EAST COMM 1 MHM SUPPORT SERVICES 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 202553101 CENTRALIZED HEALTH SYSTEM FUNCTIONS MO 501C3 11-II MERCY HEALTH 1 MISSION CLINICAL SERVICES 300 WERNER STREET HOT SPRINGS AR 71913 134239691 CHILD ADVOCACY CENTER AR 501C3 9 MERCY HEALTH 1 ST EDWARD MERCY FOUNDATION 7301 ROGERS AVENUE FORT SMITH AR 72917 237330425 FOUNDATION AR 501C3 7 MERCY HOSPITAL FORT SMITH 1 ST JOHNS CHILDRENS HOSP 1235 E CHEROKEE STREET SPRINGFIELD MO 65804 INACTIVE MO 501C3 3 MERCY HEALTH SPRINGFIELD COMM 1 ST MARYS HOSP ENID OK 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 730614655 INACTIVE OK 501C3 3 MERCY HEALTH OK COMMUNITIES 1 THE SR M 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INC 401 WOODLAND HILLS BLVD FORT SCOTT KS 66701 481078101 RETAIL PHARMACY KS MERCY KANSAS COMM INC C 0 FRONTENAC PROPERTIES INC 14528 S OUTER FORTY SUITE 100 CHESTERFIELD MO 63017 521914421 HOLDS ANCILLARY ASSETS & OWNS AIRCRAFT DE MERCY HEALTH C 0 INVENO HEALTH INC 1235 E CHEROKEE STREET SPRINGFIELD MO 65804 264509571 TECHNOLOGY TRANSFER COMPANY MO MERCY HEALTH SPRINGFIELD COMM C 0 UNITY SUPPORT SERVICES INC 645 MARYVILLE CENTRE DRIVE SUITE 10 ST LOUIS MO 63141 431797042 INACTIVE MO MERCY HEALTH EAST COMMUNITIES C 0 UH L CORP INC 645 MARYVILLE CENTRE DRIVE SUITE 10 ST LOUIS MO 63141 742499535 HOLDING COMPANY MO MERCY HEALTH SERVICES LLC C 0 MHN OF THE SOUTHERN REGION INC 1011 14TH AVENUE NW ARDMORE OK 73401 731580607 HOLDING COMPANY OK MERCY MANAGED CARE CORP C 0 MERCY HEALTH CENTER CONDOMINIUM INC 4300 W MEMORIAL RD OKLAHOMA CITY OK 73120 680640970 ADMINISTRATOR OF CERTAIN REAL PROPERTY AND IMPROVEMENTS OK MERCY HOSPITAL OKLAHOMA CITYINC C 0 MERCY MANAGED CARE CORPORATION 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 731441665 HOLDING COMPANY OK MERCY HEALTH C 0 MERCY HEALTH NETWORK INC 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 731381689 HOLDING COMPANY OK MERCY MANAGED CARE CORP C 0 APOTHECARY SERVICES INC PO BOX 350 CRYSTAL CITY MO 63019 431627267 RETAIL PHARMACY MO MERCY HOSPITAL JEFFERSON C 0 MERCY COMMERCIAL SERVICES INC 14528 SOUTH OUTER FORTY SUITE 100 CHESTERFIELD MO 63017 464953543 CORP PARENT OF VCC TAXABLE COMMERCIALIZ SVCS OK MHN INC AND MHNSR INC C 0 ST JOHNS MERCY MAIL ORDER INC 645 MARYVILLE CENTRE DRIVE SUITE 10 ST LOUIS MO 63141 431014222 INACTIVE MO UH HOLDINGS INC C 0 ST JOHNS MERCY PBM INC 645 MARYVILLE CENTRE DRIVE SUITE 10 ST LOUIS MO 63141 743089567 INACTIVE MO UH L CORP INC C 0 UH HOLDINGS INC 645 MARYVILLE CENTRE DRIVE SUITE 10 ST LOUIS MO 63141 431845682 INACTIVE MO UH L CORP INC C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 MERCY HEALTH P 155795 FMV MERCY HEALTH EAST COMMUNITIES P 5832093 FMV MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES Q 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