MERCY HOSPITALS EAST COMMUNITIES: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: MERCY HOSPITALS EAST COMMUNITIES (EIN 43-0653493)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-14
IRS object ID: 201411349349302156
Schema version: 2012v2.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-14T09:20:47-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	562632458	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Pleus and Company LLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	14323 S Outer Forty Ste 310N	AddressLine1
City	Chesterfield	City
State	MO	State
ZIP Code	63017	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	430653493	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MERCY HOSPITALS EAST COMMUNITIES	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MERC	NameControl
Phone	3142516000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	615 S NEW BALLAS ROAD	AddressLine1
City	ST LOUIS	City
State	MO	State
ZIP Code	63141	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	CHERYL MATEJKA	Name
Title	Chief Financial Officer	Title
Phone	3143643532	Phone
Date Signed	2014-05-13	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	DOUGLAS G PLEUS	Name
PTIN	P00013488	PTIN
Phone	3143179916	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Donn Sorensen	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	615 S NEW BALLAS ROAD	AddressLine1
City	ST LOUIS	City
State	MO	State
ZIP Code	63141	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1107258738	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	www.mercy.net/stlouismo	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1891	YearFormation
State Legal Domicile	MO	StateLegalDomicile
Activity Or Mission Description	Mercy Hospitals East Communities operates two hospitals that are located in Creve Coeur (St. Louis metropolitan area) and Washington, MO.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	21	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	8007	TotalNbrEmployees
Total Nbr Volunteers	1042	TotalNbrVolunteers
Total Gross UBI	1915346	TotalGrossUBI
Net Unrelated Business Txbl Income	431718	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	3475431	ContributionsGrantsPriorYear
Contributions Grants Current Year	3766227	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	970498008	ProgramServiceRevenuePriorYear
Program Service Revenue CY	1067584810	ProgramServiceRevenueCY
Investment Income Prior Year	4059588	InvestmentIncomePriorYear
Investment Income Current Year	2105011	InvestmentIncomeCurrentYear
Other Revenue Prior Year	27444916	OtherRevenuePriorYear
Other Revenue Current Year	31214543	OtherRevenueCurrentYear
Total Revenue Prior Year	1005477943	TotalRevenuePriorYear
Total Revenue Current Year	1104670591	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	777523	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	402451	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	417278055	SalariesEtcPriorYear
Salaries Etc Current Year	448862770	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	521030013	OtherExpensePriorYear
Other Expenses Current Year	558310876	OtherExpensesCurrentYear
Total Expenses Prior Year	939085591	TotalExpensesPriorYear
Total Expenses Current Year	1007576097	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	66392352	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	97094494	RevenuesLessExpensesCY
Total Assets BOY	791227592	TotalAssetsBOY
Total Assets EOY	896312462	TotalAssetsEOY
Total Liabilities BOY	94913287	TotalLiabilitiesBOY
Total Liabilities EOY	92483189	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	696314305	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	803829273	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	As the Sisters of Mercy before us, we bring to Life the healing ministry of Jesus through our compassionate care and exceptional service.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	920395074	Expense
Grants	402451	Grants
Revenue	1085116699	Revenue
Description	Mercy Hospitals East Communities ("MHEC") provides quality medical health care regardless of race, creed, sex, national origin, handicap, age or ability to pay. In active pursuit of this mission, MHEC provided services to 46,752 inpatients, 115,306 emergency room visits, 1,016,381 outpatient visits, and 55,168 clinic visits.MHEC is a Catholic health care corporation that, pursuant to the organizational core belief that health care services are a vital and integral part of the Church's healing mission, engages in a ministry which provides general acute care, ambulatory, long-term and home care health services to individuals and families in its service communities. Consistent with the organization's commitment to social accountability and the provision of community benefit, MHEC offers other services and programs which further health promotion, maintenance and care. MHEC's services include two clinics which were established specifically for individuals who are uninsured or underinsured and do not have a means to pay for healthcare services. These clinics provide a significant focus on prenatal care. Many clinic patients were also treated, on a charitable basis, as inpatients. In response to the increased needs of the underinsured in the St. Louis area, these clinics have continually expanded, offering new services to more patients. The institution continues to focus on the provision of primary health services and education to the community, regardless of their means to pay for these services. The organization also has a continuing commitment to health research and to health education at all levels.Although reimbursement for services rendered is critical to the continued ability to provide healthcare services to all patients, MHEC recognizes that not all individuals possess the ability to purchase essential medical services and, further, that part of our mission is to provide healthcare services and healthcare education to the communities in which our facilities are located. In keeping with MHEC's commitment to serve all members of the communities it serves, MHEC provides (i) free care and/or subsidized care; (ii) care to persons covered by governmental programs at below cost; (iii) health activities and programs to support the community; (iv) health education programs; and, (v) a variety of broad community support activities. Among the community support activities offered by MHEC are the following:-Community Education Programs-Support Group Meetings-Health Fairs and Screenings-Immunizations-Provision of Free Health Information -Home Delivered and Congregate Meals-Indigent Care Clinics-Pre-Natal and Well Baby Care for the Indigent-Health Professions Education Programs-Support of Community Programs, including active United Way participant, Provision of Scholarships, Healthcare for the Homeless Coalition, etc.-Provider of Financial Counseling and Discharge Counseling Services for all Patients-Provision of Chapels in each Hospital and Chaplains/Religious Lay Staff to Minister to the Religious Needs of any Patient and their Families.-Volunteer AssociationMHEC provides care to patients who lack financial resources and are deemed to be medically indigent. As defined by the institution's charity policy, MHEC does not pursue collection of amounts determined to qualify for charity care. In addition, MHEC provides services to other patients under the Medicare Program and various state Medicaid programs. Such programs pay providers amounts that are substantially less than billed charges, and frequently less than the cost, of the services provided to the recipients. Care is provided to those with limited or no ability to pay. The cost, net of any payment received (net cost), to MHEC of providing care to persons qualifying for charity or Medicaid totaled $40,939,473 in the year ended 6/30/13. Additionally, the net cost for services provided to elderly and disabled patients under the Medicare program totaled $26,885,108. These amounts do not include the cost of health activities and programs to support the community, health education programs and other community support activities. The services provided by MHEC, as well as the amount of charity care provided, demonstrate the ongoing commitment of the organization to serve in a leadership role as an advocate for responsive healthcare services for the community, with a deep commitment and sensitivity to meeting the needs of the poor.Each activity for which income is reported in column (B) of Part VIII is undertaken in furtherance of the organization's healthcare and community benefit mission described above.	Description
Total Program Service Expense	920395074	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	214	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	8007	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	21	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	0	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Telephone Number	3143642959	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	645 MARYVILLE CENTRE STE 100	AddressLine1
City	St Louis	City
State	MO	State
ZIP Code	63141	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (49 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Arnold John
Board member	5.00	10.00	X	0	5000	0
Bauer PhD Jon
Board member	1.00	0.00	X	0	0	0
Brunworth MD David
Board member	1.00	0.00	X	0	0	0
Diederich Gene
Board member	1.00	0.00	X	0	0	0
Eckelkamp Bonnie
Board member	1.00	0.00	X	0	0	0
Evans RSM Sr Gayle
Board member	35.00	1.00	X	0	0	0
Galli MD William
Board member	1.00	50.00	X	0	350993	15897
Glosenger RSM Sr Katherine
Board member	0.50	32.50	X	0	0	0
Halsted MD Robert
Board member	1.00	55.00	X	0	288438	8075
Johnston Jeffrey
Board member	58.00	2.00	X	0	652475	186039
Keithly Dennis
Board member	51.00	1.00	X	0	281582	74524
McLain Terri L
Board member	55.00	5.00	X	460658	0	59104
Miller Sr William
Board member	1.00	1.00	X	0	0	0
Parmentier Jennifer
Board member	1.00	0.00	X	0	0	0
Pennell Richard
Board member	60.00	0.00	X	0	659342	8090
Purnell Jack
Board member	0.50	0.50	X	0	0	0
Rehm Charles H
Board member	25.00	35.00	X	0	523312	72113
Riechers MD Thomas
Board member	65.00	0.00	X	0	398180	28437
Stearnes-Rosas MD Jennifer
Board member	1.00	50.00	X	0	0	0
Steinbecker Roger
Board member	4.00	2.00	X	0	0	0
Voss Kurt
Board member	1.00	0.00	X	0	0	0
Matejka Cheryl L
Chief Financial Officer	18.00	42.00		0	441668	66163	X
Bollin Steven J
VP - Support Services	50.00	5.00		215972	0	17865		X
Cantalin Jeanne L
Regional VP-General Counsel	24.00	36.00		0	288674	36875		X
Crain Christine
COO-Mercy Children's Services	36.00	24.00		364398	0	85528		X
Frazier Donna M
Chief Nursing Officer	60.00	0.00		275064	0	43314		X
Frost Joan
Chief Operating Officer	50.00	0.00		186620	0	16731		X
Geldbach Patricia L
VP-Mercy Women's Services	45.00	20.00		118622	178724	52997		X
Hintze Paul
VP - Medical Affairs	60.00	0.00		466023	0	71061		X
Kahn Joseph
President-Mercy Children's Services	2.00	58.00		0	531119	28207		X
Kalicak Donald
VP - Business Development & Planning	25.00	35.00		0	342022	90182		X
Lenoir Frank
VP - HR	55.00	0.00		0	267448	30222		X
Nelson Kathryn
VP - Performance Improvement	57.00	1.00		209500	0	20177		X
Rothermich Anthony
VP-Operations	45.00	5.00		0	191644	12246		X
Scoffic Denise
VP-Finance	30.00	25.00		0	225450	18495		X
Sorensen Donn
Chief Executive Officer	10.00	54.00		0	867151	103661		X
Starke Keith M
VP-Quality & Safety	55.00	15.00		7899	490707	85683		X
Varner Ann M
VP - Mission	50.00	10.00		194337	0	18381		X
Petito Sally
Hospitalist	30.00	30.00		0	295099	15251		X
Fox Linda
VP - Perioperative	50.00	0.00		262770	0	14042			X
Hruska Lindy
Physician	1.00	52.00		215000	247314	4675			X
Sommer Steve
Physician	60.00	0.00		314892	0	22983			X
Veronikis MD Dionysios
Physician	50.00	0.00		404420	0	20198			X
Witten Barold
Physician	60.00	0.00		228418	0	41607			X
Combs Randall
Former officer	0.00	60.00		0	971989	334676				X
McCurry Michael
Former officer	0.00	60.00		0	1544172	512735				X
Beekman Sheri D
Former key employee	0.00	60.00		0	422944	58898				X
Eoloff Eric J
Former key employee	0.00	60.00		0	452222	48031				X
Onesko Kim M
Former key employee	50.00	10.00		0	299220	17349				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3924593	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	11216889	TotalReportableCompFrmRltdOrgs
Total Other Compensation	2340512	TotalOtherCompensation
Number Individuals GT100 K	203	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
McCarthy Building Companies
1341 North Rock Hill Road	St Louis	MO	63124	Construction	34617678
Alberici Constructors
8800 Page Ave	St Louis	MO	63114	Construction	4913941
Lawlor Corp
1440 Strassner Drive	St Louis	MO	63144	Construction	3483691
Quest Diagnostics
PO Box 740709	Atlanta	GA	30374	Lab Testing	3214010
St Louis University
3635 Vista Ave	St Louis	MO	63110	Purchased services	2820714

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	100	NumberOfContractorsGT100K
Related Organizations	3723359	RelatedOrganizations
All Other Contributions	42868	AllOtherContributions
Total Contributions	3766227	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	NET PATIENT REVENUE	Description
Business Code	622110	BusinessCode
Total Revenue Column	1067584810	TotalRevenueColumn
Related Or Exempt Function Income	1067584810	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	1067584810	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	2105011	TotalRevenueColumn
Exclusion	$2,105,011	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	7886270	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	2588147	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	5298123	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	5298123	TotalRevenueColumn
Exclusion	$5,298,123	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
Cafeteria/Coffee Shop	722212	6469185	$6,469,185
Optical - Retail	624100	902362		902362
Reference Labs	621500	308103		308103

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	18236770	TotalRevenueColumn
Related Or Exempt Function Income	17531889	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	704881	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	25916420	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1104670591	TotalRevenueColumn
Related Or Exempt Function Income	1085116699	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1915346	UnrelatedBusinessRevenue
Exclusion	$13,872,319	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	402451	Total
Program Services	402451	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	3222662	Total
Management And General	3222662	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	1059205	Total
Program Services	1059205	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	355433077	Total
Program Services	349996587	ProgramServices
Management And General	5436490	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	16273255	Total
Program Services	15281927	ProgramServices
Management And General	991328	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	47968436	Total
Program Services	47636140	ProgramServices
Management And General	332296	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	24906135	Total
Program Services	24374375	ProgramServices
Management And General	531760	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	200000	Total
Management And General	200000	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	31972613	Total
Program Services	31392411	ProgramServices
Management And General	580202	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	509133	Total
Program Services	499894	ProgramServices
Management And General	9239	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	33550329	Total
Program Services	32941497	ProgramServices
Management And General	608832	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	1901572	Total
Program Services	1867064	ProgramServices
Management And General	34508	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	19692041	Total
Program Services	19334693	ProgramServices
Management And General	357348	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	1652111	Total
Program Services	1622130	ProgramServices
Management And General	29981	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	20	Total
Program Services	20	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	999091	Total
Program Services	999091	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	61207492	Total
Program Services	60096770	ProgramServices
Management And General	1110722	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	7623463	Total
Program Services	7485121	ProgramServices
Management And General	138342	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Medical Supplies	180028364	176761420	3266944
Shared Service Fees	146785451	76633284	70152167
Bad Debt Expense	62717504	62717504
Equipment Repairs & Mai	7380174	7246247	133927

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2091518	Total
Program Services	2047243	ProgramServices
Management And General	44275	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1007576097	Total
Program Services	920395074	ProgramServices
Management And General	87181023	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	30161751	BOY
EOY	16521965	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	119694442	BOY
EOY	146171527	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
EOY	174126	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	14729144	BOY
EOY	19145789	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	782687	BOY
EOY	1319151	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1188959299	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	673721445	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	510836983	BOY
EOY	515237854	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	3146353	BOY
EOY	3432040	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	16003527	BOY
EOY	20807065	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	95872705	BOY
EOY	173502945	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	791227592	BOY
EOY	896312462	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	74632197	BOY
EOY	71864990	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	1341997	BOY
EOY	1081461	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	-329254	BOY
EOY	-3257	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	12344684	BOY
EOY	12076315	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	6923663	BOY
EOY	7463680	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	94913287	BOY
EOY	92483189	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	693410523	BOY
EOY	800649200	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2903782	BOY
EOY	3180073	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	696314305	BOY
EOY	803829273	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	791227592	BOY
EOY	896312462	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	97094494	ReconcilationRevenueExpenses
Reconcilation Other Changes	10420474	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	1	GrantsOtherOrganizations
Grants Other Organizations	$54,023	GrantsOtherOrganizationsAmount
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	54023	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Explanation of Lobbying Activities:	Identifier
Return Reference	Part II-B, Line 1:	ReturnReference
Explanation	The filing organization is a member of and pays dues to the following hospital associations: Missouri Hospital Association, Catholic Health Association, and American Hospital Association. For the year ended June 30, 2013, dues were $32,967, $117,077, and $73,156, respectively. Approximately 20.2% of Missouri Hospital Association dues, 3.00% of Catholic Hospital Association dues, and 23.98% of American Hospital Association dues were attributable to lobbying activities performed by these associations.	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	8896793	OtherCostOrOtherBasis
Book Value	8896793	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	835559814	OtherCostOrOtherBasis
Depreciation	433093759	Depreciation
Book Value	402466055	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	12475511	OtherCostOrOtherBasis
Depreciation	9994495	Depreciation
Book Value	2481016	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	308051646	OtherCostOrOtherBasis
Depreciation	220284947	Depreciation
Book Value	87766699	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	23975535	OtherCostOrOtherBasis
Depreciation	10348244	Depreciation
Book Value	13627291	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	515237854	TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescription	Book ValueBookValue
DEFERRED COMPENSATION	5411823
MISCELLANEOUS RECEIVABLES	7116167
Intercompany Receivables	158442990
Other Assets	2531965

Field	Value	IRS element (for citing)
Total Book Value Other Assets	173502945	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
DEFERRED COMPENSATION	$5,411,823
OTHER LIABILITIES	$2,051,857

Field	Value	IRS element (for citing)
Total Of Amounts	7463680	TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Field	Value	IRS element (for citing)
Explanation	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.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent100	X	Pcent100
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	25102924	TotalCommunityBenefitExpense
Net Community Benefit Expense	25102924	NetCommunityBenefitExpense
Percent Of Total Expense	0.02660	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	122561134	TotalCommunityBenefitExpense
Direct Offsetting Revenue	106724585	DirectOffsettingRevenue
Net Community Benefit Expense	15836549	NetCommunityBenefitExpense
Percent Of Total Expense	0.01680	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	147664058	TotalCommunityBenefitExpense
Direct Offsetting Revenue	106724585	DirectOffsettingRevenue
Net Community Benefit Expense	40939473	NetCommunityBenefitExpense
Percent Of Total Expense	0.04340	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1669844	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6875	DirectOffsettingRevenue
Net Community Benefit Expense	1662969	NetCommunityBenefitExpense
Percent Of Total Expense	0.00180	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	8773608	TotalCommunityBenefitExpense
Direct Offsetting Revenue	138473	DirectOffsettingRevenue
Net Community Benefit Expense	8635135	NetCommunityBenefitExpense
Percent Of Total Expense	0.00910	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	899899	TotalCommunityBenefitExpense
Direct Offsetting Revenue	43200	DirectOffsettingRevenue
Net Community Benefit Expense	856699	NetCommunityBenefitExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	462636	TotalCommunityBenefitExpense
Direct Offsetting Revenue	53248	DirectOffsettingRevenue
Net Community Benefit Expense	409388	NetCommunityBenefitExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	11805987	TotalCommunityBenefitExpense
Direct Offsetting Revenue	241796	DirectOffsettingRevenue
Net Community Benefit Expense	11564191	NetCommunityBenefitExpense
Percent Of Total Expense	0.01220	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	159470045	TotalCommunityBenefitExpense
Direct Offsetting Revenue	106966381	DirectOffsettingRevenue
Net Community Benefit Expense	52503664	NetCommunityBenefitExpense
Percent Of Total Expense	0.05560	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	321007	TotalCommunityBuildingExpense
Net Community Building Expense	321007	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	71284	TotalCommunityBuildingExpense
Net Community Building Expense	71284	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Total Community Building Expense	37496	TotalCommunityBuildingExpense
Net Community Building Expense	37496	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	429787	TotalCommunityBuildingExpense
Net Community Building Expense	429787	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$17,402,809	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	192057464	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	218942572	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-26885108	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	1 St Johns Mercy SRS LLC	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	Medical Equipment Rental	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.40000	OrganizationProfitOrOwnership
Physicans Profit Or Ownership	0.60000	PhysicansProfitOrOwnership

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	4	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (4 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Website AddressWebsiteAddress	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Childrens HospitalChildrensHospital	Teaching HospitalTeachingHospital	Er24 HoursEr24Hours
Mercy Hospital St Louis
1	615 S New Ballas Road	St Louis	MO	63141	www.mercy.net/stlouismo	X	X	X	X	X
Mercy Hospital Washington
2	901 E Fifth Street	Washington	MO	63090	www.mercy.net/stlouismo	X	X			X
SJMDHSLLC(Mercy Continuing Care Hospita
3	13190 South Outer 40	Chesterfield	MO	63017	www.mercy.net/stlouismo	X
Mercy Rehabilitation LLC
4	14561 North Outer 40	Chesterfield	MO	63017	www.mercy.net/stlouismo	X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (4 entries)

Hospital Facility NumberHospitalFacilityNumber	CHNA ConductedCHNAConducted	Community DefinitionCommunityDefinition	Community DemographicsCommunityDemographics	Existing ResourcesExistingResources	How Data ObtainedHowDataObtained	Community Health NeedsCommunityHealthNeeds	Other Health IssuesOtherHealthIssues	Identifying ProcessIdentifyingProcess	Consulting ProcessConsultingProcess	Information GapsInformationGaps	Needs Assessment ConductedNeedsAssessmentConducted	Take Into AccountTakeIntoAccount	Other FacilitiesOtherFacilities	CHNA Widely AvailableCHNAWidelyAvailable	Own WebsiteOwnWebsite	On RequestOnRequest	Adopt Implement StrategyAdoptImplementStrategy	Prioritize Health NeedsPrioritizeHealthNeeds	Prioritize ServicesPrioritizeServices	All Needs AddressedAllNeedsAddressed	Organization Incur Excise TaxOrganizationIncurExciseTax	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Asset LevelAssetLevel	Medical IndigencyMedicalIndigency	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted On WebsitePostedOnWebsite	Posted In Emergency RoomPostedInEmergencyRoom	Posted In Admission OfficePostedInAdmissionOffice	Available On RequestAvailableOnRequest	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Used Other MethodUsedOtherMethod	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
Mercy Hospital St Louis
1	1	X	X	X	X	X	X	X	X	X	12	1	1	1	X	X	X	X	X	1	0	1	1	100.000000000000	1	400.000000000000	1	X	X	X	1	1	X	X	X	X	1	0	1	X	0	0
Mercy Hospital Washington
2	1	X	X	X	X	X	X	X	X	X	12	1	0	1	X	X	X	X	X	1	0	1	1	100.000000000000	1	400.000000000000	1	X	X	X	1	1	X	X	X	X	1	0	1	X	0	0
SJMDHSLLC (Mercy Continuing Care Hospit
3	1	X	X	X	X	X	X	X	X	X	12	1	1	1	X	X	X	X	X	1	0	1	1	100.000000000000	1	400.000000000000	1	X	X	X	1	1	X	X	X	X	1	0	1	X	0	0
Mercy Rehabilitation LLC
4	1	X	X	X	X	X	X	X	X	X	12	1	1	1	X	X	X	X	X	1	0	1	1	100.000000000000	1	400.000000000000	1	X	X	X	1	1	X	X	X	X	1	0	1	X	0	0

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	32	NumberOfOtherFacilities

Other Facilities OtherFacilities (32 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
Medical & Professional Services
15945 Clayton Road	Ballwin	MO	63011	Surg Ctr; various clinical services
ASC South
901 Patients First Dr	Washington	MO	63090	Various Clinical Services
Mercy Diagnostic Center South
901 Patients First Dr	Washington	MO	63090	Diagnostic Services
Mercy Health Center
641 S New Ballas Road	St Louis	MO	63141	Child Development
Mercy Urgent Care - O'Fallon
300 Winding Woods Drive	OFallon	MO	63366	UCC, Sports & Ther, Blood Draw St, Imaging Ctr, Perinatal, Pulmonary
Mercy Endoscopy Center
12990 Manchester Road	Des Peres	MO	63131	Endoscopy
Mercy Cardiac Testing
901 Patients First Dr	Washington	MO	63090	Cardiac Care services
Mercy Urgent Care - Piper Hill
107 Piper Hill Drive	St Peters	MO	63376	Urgent Care, Sports & Therapy, Blood Draw Station
Heart Health Center
450 N New Ballas Road	St Louis	MO	63141	Cardiac Testing, Cardiac Cath Lab
Mercy Laboratory Services South
901 Patients First Dr	Washington	MO	63090	Laboratory Services
Mercy Endoscopy Center
200 Brevco Plaza	Lake St Louis	MO	63367	Endoscopy
Mercy Medical Building
12348 Old Tesson Road	StLouis	MO	63128	Women's Ctr, Imaging Ctr, Nuc Med, Cardiac Testing, Pulm, Blood Draw Station
Mercy Medical Building
11700 Studt Road	St Louis	MO	63141	Hyberbaric Wound Center, Fertility Services
Mercy Sleep Center
901 Patients First Dr	Washington	MO	63090	Sleep Therapy Services
Fenton Medical Office Building
1203 Smizer Mill Road	Fenton	MO	63026	Imaging, Blood Draw Station
Edgewood
970 Executive Parkway	St Louis	MO	63141	Outpatient Behavioral Health
Mercy Diagnostic Testing
755 Dunn Road	Hazelwood	MO	63042	Sports & Therapy, Cardiac Testing, Nuc Medicine
Mercy Sports Therapy
1176 Town Country Commons	St Louis	MO	63017	Sports Therapy & Rehab
Hazelwood
801 Hazelwest Drive	Hazelwood	MO	63042	Imaging Center/Blood Draw Station
Tesson Rehab
13303 Tesson Ferry Road	St Louis	MO	63128	Sports & Therapy
Olive and Mason
12680 Olive	Creve Couer	MO	63141	Sports & Therapy, Nutrition Counseling, Chiropratic, Imagine, Blood Draw Sta
St Louis Cancer & Breast Institute
6435 Chippewa	St Louis	MO	63109	Infusion Therapy
Mercy Cancer Center
901 Patients First Dr	Washington	MO	63090	Cancer Service
Crestwood
10024 Watson Road	St Louis	MO	63126	Sports & Therapy/Blood Draw Station
Mercy Therapy Services
1935 Prairie Dell Road - Suite 300	Union	MO	63084	Sports and Therapy
Mercy Therapy Services
1713 Heritage Hills	Washington	MO	63090	Sports and Therapy
Grover
16555 Manchester Road	Grover	MO	63040	Radiology, Sports & Therapy, Blood Draw Station
Mercy Medical Building
1820 Zumbehl Road	St Charles	MO	63303	Cardiac Testing, Imaging, Blood Draw Station
Liberty Point Medical Building
2023 Vadalabene Suite 300	Maryville	IL	62062	Perinatal Center
Florissant Meadows Shopping Center
572 Highway 67	Florissant	MO	63031	Blood Draw Station
Mercy Medical Building
2740 Highway 94	St Charles	MO	63303	Blood Draw Station
Mercy Therapy Services
735 West Springfield Road	Gerald	MO	63037	Sports and Therapy

Form990 Schedule H Part VI Form990ScheduleHPartVI (24 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 62717504.
Part II: Mercy Hospitals St. Louis and Washington's community building activities promote the health, wellness, and safety of the communities in which they serve. 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. Community building activities serve as a link to engage Mercy co-workers to look beyond the walls of the facilities in which they serve. Programs such as the annual adopt-a-family program and harvest table meal program link mercy co-workers with those most in need in our community. In addition to providing food, clothing, personal care items, bus passes, gas cards, school supplies and other critical items, the mental and emotional health of these individuals and families are supported. Each year mercy partners with community organizations, churches, schools, and area businesses to improve the overall health and strength of the communities in which we serve. Community supportOne example of improving community health through building partnerships with area schools is the HealthTeacher Program. HealthTeacher is a health literacy program that provides online health and wellness tools and resources for educators, students k through 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 our communities. Cash/in-kind donationsSome examples of cash and in-kind support include holiday outreach programs, co-worker engagement and community service activities, and donations. Through the adopt-a-family program, Mercy co-workers provided needed items for over 850 individuals in the St. Louis and Washington communities. In St. Louis, nutrition services prepared turkeys for a local food pantry's annual thanksgiving dinner that served over 300 low-income individuals. Mercy promotes co-workers volunteer service as another way of connecting with the community. One example is the harvest table meal program in Washington. Co-workers coordinated, prepared, and served meals on a quarterly basis. Numerous donations were made to organizations whose events promote collaboration with and education for the community. Some of these organizations were: the Archdioceses of the St. Louis, the USO of Missouri, and numerous chambers of commerce.
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 FOLLOWS:"PATIENT ACCOUNTS THAT ARE UNCOLLECTED, INCLUDING THOSE PLACED WITH COLLECTION AGENCIES, ARE INITIALLY CHARGED AGAINST THE ALLOWANCE FORUNCOLLECTIBLE ACCOUNTS IN ACCORDANCE WITH COLLECTION POLICIES OF THEHEALTH SYSTEM AND, IN CERTAIN CASES, ARE RECLASSIFIED TO CHARITY CAREIF DEEMED TO OTHERWISE MEET THE HEALTH SYSTEM'S CHARITY CARE POLICY.THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES IS BASED ON MANAGEMENT'SASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERINGBUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, ANDOTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR,MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLERECEIVABLES BASED UPON THE PAYOR COMPOSITION AND AGING OF RECEIVABLESAS OF THE REPORTING DATE WITH CONSIDERATION OF THE HISTORICAL PAYMENTAND WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESEREVIEWS ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FORUNCOLLECTIBLE RECEIVABLES TO ESTABLISH AN APPROPRIATE ALLOWANCE FORUNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROMINSURANCE, THE HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FORPLACING PAST-DUE BALANCES WITH COLLECTION AGENCIES."TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE, AT COST, BAD DEBTEXPENSE ATTRIBUTABLE TO PATIENT ACCOUNTS WAS MULTIPLIED BY A RATIO OFCOST TO CHARGES. THE RATIO OF COST TO CHARGES USED WAS BASED ONDETAILED COST ACCOUNTING, WHERE AVAILABLE. WHERE COST ACCOUNTING ISNOT AVAILABLE, COST REPORT COST TO CHARGE RATIOS WERE UTILIZED.THE FILING ORGANIZATION DETERMINED THAT THE ESTIMATED AMOUNT OF BADDEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THEORGANIZATION'S CHARITY CARE POLICY IS $0. ALTHOUGH THE CHARITY CAREPOLICY REQUIRES THE PARTICIPATION OF THE PATIENT REQUESTING ASSISTANCE, WE HAVE A PROCESS UNDER PRESUMPTIVE CHARITY (REFER TODISCLOSURE FOR PART III, #9B) TO ADDRESS ACCOUNTS FOR PATIENTS WHO DONOT PROVIDE THE INFORMATION. WE BELIEVE THAT OUR CHARITY POLICY ISCOMPREHENSIVE ENOUGH TO CAPTURE ALMOST ALL PATIENTS WHO QUALIFY FORCHARITY CARE.
Part III, Line 8: IT IS THE POSITION OF MERCY HOSPITALS EAST COMMUNITIES 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 HOSPITALS EAST COMMUNITIES ("MERCY") 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 MET THE MERCY HOSPITAL COMMUNITY ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO MERCY FOR APROPRIATE 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 UTILITIZES 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 V, Section B, Line 3: Refer to Part VI, Line 2 response.	Mercy Hospital St. Louis
Part V, Section B, Line 3: Refer to Part VI, Line 2 response.	Mercy Hospital Washington
Part V, Section B, Line 3: Refer to Part VI, Line 2 response.	SJMDHS,LLC (Mercy Continuing Care Hospit
Part V, Section B, Line 3: Refer to Part VI, Line 2 response.	Mercy Rehabilitation, LLC
Part V, Section B, Line 4: SJMHDS, LLC (Mercy Continuing Care Hospital) and Mercy Rehabilitation LLC	Mercy Hospital St. Louis
Part V, Section B, Line 4: Mercy Hospital St. Louis and Mercy Rehabilitation LLC	SJMDHS,LLC (Mercy Continuing Care Hospit
Part V, Section B, Line 4: Mercy Hospital St. Louis and SJMHDS, LLC (Mercy Continuing Care Hospital)	Mercy Rehabilitation, LLC
Part V, Section B, Line 20d: 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.	Mercy Hospital St. Louis
Part V, Section B, Line 20d: 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.	Mercy Hospital Washington
Part V, Section B, Line 20d: 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.	SJMDHS,LLC (Mercy Continuing Care Hospit
Part V, Section B, Line 20d: 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.	Mercy Rehabilitation, LLC
Part VI, Line 2: Separate Community Health Needs Assessments were conducted for Mercy Hospital St. Louis and Mercy Hospital Washington. (SJMDHS, LLC and Mercy Rehabilitation,LLC are located within the Mercy Hospital St. Louis community.)MERCY HOSPITAL ST. LOUISWho Was Involved in the Assessment At the center of involvement in the needs assessment were the people of the community. In April of 2010 and again in October of 2011, Mercy held roundtable events to dialogue directly with local community members about their needs, ideas, and concerns related to health care. Common themes included the need for a greater emphasis on wellness and prevention, education, and access. Barriers identified included economic/financial resources by some, access to physicians and services, and general apathy for good health. A focus on partnerships, education, and technology were cited as ways to improve health and wellness in the community. Mercy also heard that a focus on children in the community is essential, promoting healthy habits at an early age. Follow-up roundtables are held annually.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 Sg2 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.The St. Louis County Department of Health (SLCDH) serves as the primary community partner for Mercy Hospital St. Louis in both the CHNA and community health improvement plan (CHIP) processes. SLCDH is utilizing the Mobilizing Action through Planning and Partnerships (MAPP) model, bringing hospitals and agencies across St. Louis County together in a collaborative process. MHSL also works closely with the St. Louis Regional Health Commission who serves as a vital facilitator in bringing together key partners to address community need.Community health co-workers in the Mission department of MHSL 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 MHSL board member are also actively engaged members of the council. How the Assessment Was ConductedThe needs assessment process involved the following five steps to attain the full scope of the 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, supported by Saint Louis University Master of Public Health students, reviewed the following data: - St. Louis County - 2011 Community Health Needs AssessmentIn December 2010, the St. Louis County Department of Health contracted with the University of New England's Center for Community and Public Health (CCPH) to conduct a countywide CHNA that included an extensive report with data broken down by sub-county regions. The assessment was released at the county's first Public Health Summit in December 2011. http://www.stlouisco.com/Portals/8/docs/Health/Health%20Education/CommunityHealthNeedsAssessment_1.pdf Progress Toward Building a Healthier St. Louis - 2011 Access to Care ReportSt. Louis Regional Health CommissionEach year Mercy's JFK Health Center is cited throughout the report as a major provider of care for the uninsured and underinsured in our region.http://www.stlrhc.org/LinkClick.aspx?fileticket=F%2bzVTkLRI8Y%3d&tabid=38- Decade Review of Health Status for St. Louis City and County 2000-2010St. Louis Regional Health CommissionThis report focuses on change over the past decade in fourteen leading health indicators and disparity metrics in St. Louis City and County.www.stlrhc.org/LinkClick.aspx?fileticket=uTAT0koR%2BWs%3D&tabid=38- County Health RankingsThis is a new resource that was unveiled in March 2010. It is 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- 2012 Children's Mental Health & Substance Abuse Services Needs Assessment for St. Louis CountySt. Louis Children's Service FundThis resource identifies the characteristics of met and unmet mental health needs, service gaps, utilization and capacity, and the barriers to utilization of mental health and substance abuse services. http://www.keepingkidsfirst.org/Portals/3/documents/needs%20assessments/Children%27s%20Service%20Fund%20-%202012%20Needs%20Assessment%20FINAL%20REPORT.pdf- Data provided by Mercy's Planning & Research DepartmentData from Mercy's internal records was used to assess the needs of the community. Community 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- SLCDH focus groups - SLCDH provider interviews- SLCDH household telephone surveys3. Analyze and summarize the data to prioritize needsHealth Needs IdentifiedThe St. Louis County Department of Health's 2011 Community Health Needs Assessment Report was a key deliverable in the initial phase of the MAPP process. The report not only provides data for the entire county, but further subdivides the county into four study regions: Mid, North, South and West. 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 St. Louis to address that align with Mercy's mission and community master plan. Public health data for lifestyle issues such as obesity, tobacco use, and substance abuse paralleled with internal hospital data. Age-adjusted cancer incidence rates in St. Louis County for colon, breast, and prostate cancers, although declining over a ten year period, remain higher than rates reported for the state of Missouri. Cardiac-related disease, diabetes, and asthma, along with those seeking treatment for behavioral health needs, remain critical issues when assessing the health of St. Louis County. Lack of prevention strategies and poor behavioral choices continue to contribute to decreased quality of life, avoidable hospital admissions, and higher health care costs.St. Louis County also has several underlying socio-demographic characteristics that impact the health of its population and cannot be ignored. The county has what is described as an "aging population." Older populations utilize more health services creating increased access demands on the health system. Another significant finding is variation at the sub-county level in income, employment status, and health outcomes. North County, for example, reports significantly lower income levels, higher unemployment, increased risk factors, and overall poorer health outcomes. Disparities such as these must be taken into account when addressing community need and creating health improvement plans. Community Assets Identified The St. Louis community is fortunate to have two major universities/medical centers that(SEE Part VI, question 2 continuation)
Part VI, Line 3: Mercy Hospitals East Communities has printed material available at each point of registration in our facility, in addition to electronically availability at our web site at Mercy.net. Specific information provided: Financial Assistance Information As a part of our healing ministry, MHEC 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. 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, adjusted to consider availability of other assets that could be used toward making payments.
Part VI, Line 4: Mercy Hospitals East Communities includes Mercy Hospital St. Louis and Mercy Hospital Washington. The primary service area for Mercy Hospital St. Louis includes 194 zip codes across Missouri and Illinois. Based on Truven 2012 data, the area's population is 2,740,910. 31% of the population has income over $75,000. 13% of the population is age 65 and older. 15% of the population is on medicare, 13% on medicaid, and 12% uninsured, based on 2012 Truven insurance estimates. The primary service are for Mercy Hospital Washington includes 14 zip codes south of St. Louis. The area's population is 112,463. 25% of the population has income over $75,000. 14% of the population is age 65 and older. 17% of the population is on medicare, 11% on medicaid, and 9% uninsured, based on 2012 Truven insurance estimates.
Part VI, Line 5: Mercy Hospitals East Communities ("MHEC") provides quality medical health care regardless of race, creed, sex, national origin, handicap, age or ability to pay. In active pursuit of this mission, MHEC provided services to 46,752 inpatients, 115,306 emergency room visits, 1,016,381 outpatient visits, and 55,168 clinic visits.MHEC is a Catholic health care corporation that, pursuant to the organizational core belief that health care services are a vital and integral part of the Church's healing mission, engages in a ministry which provides general acute care, ambulatory, long-term and home care health services to individuals and families in its service communities. Consistent with the organization's commitment to social accountability and the provision of community benefit, MHEC offers other services and programs which further health promotion, maintenance and care. MHEC's services include two clinics which were established specifically for individuals who are uninsured or underinsured and do not have a means to pay for healthcare services. These clinics provide a significant focus on prenatal care. Many clinic patients were also treated, on a charitable basis, as inpatients. In response to the increased needs of the underinsured in the St. Louis area, these clinics have continually expanded, offering new services to more patients. The institution continues to focus on the provision of primary health services and education to the community, regardless of their means to pay for these services. The organization also has a continuing commitment to health research and to health education at all levels.Although reimbursement for services rendered is critical to the continued ability to provide healthcare services to all patients, MHEC recognizes that not all individuals possess the ability to purchase essential medical services and, further, that part of our mission is to provide healthcare services and healthcare education to the communities in which our facilities are located. In keeping with MHEC's commitment to serve all members of the communities it serves, MHEC provides (i) free care and/or subsidized care; (ii) care to persons covered by governmental programs at below cost; (iii) health activities and programs to support the community; (iv) health education programs; and, (v) a variety of broad community support activities. JFK & McAuley ClinicsConsidered two of the most comprehensive clinics in St Louis and Franklin counties, Mercy Hospital St. Louis' JFK Clinic and Mercy Hospital Washington's McAuley Clinic offer medical, obstetrical, gynecological and pediatric services to a diverse population of over 10,000 patients who are economically disadvantaged, uninsured or underinsured. With more than 60,000 patient visits each year, the clinics serve as a major safety net provider in their communities. Clinic patients also have access to specialty care, behavioral health counseling and treatment, pharmacy services, vision and dental care. A recent partnership with the St Louis County Department of Health (SLCDH) brought a six week chronic disease self-management course to JFK patients. Health educators from the SLCDH partnered with JFK social work staff to lead this Stanford University designed course. Healthy eating and exercise, medication management, communication strategies with health care providers and family, and techniques to cope with the frustration, fatigue, pain, and isolation often caused by chronic conditions were discussed. An ongoing support group has been formed and follow-up interviews are being conducted to track long term outcomes and program effectiveness. The JFK and McAuley Clinics are rolled up with overall Charity Care and unreimbursed cost of Medicaid community benefit figures, but the incredible work of these Mercy Clinics serving the poorest individuals and families in our communities is not described in any area of this report. School-based Health Center - Roosevelt ClinicMercy works as a partner and catalyst to improve the health of children in the communities in which they serve. A partnership between Mercy, St Louis Public Schools, and The Boeing Company produced Mercy's first school-based clinic in one of the inner city's most challenging schools, Roosevelt High School. Routine physicals and urgent care is complemented with on-site behavioral health services and educational programs focused on healthy lifestyles. Initial community partnerships include the YMCA Literacy Council and the St Louis City Department of Health with other partnerships being developed. The Roosevelt school-based health center is managed by our integrated physician group and is therefore not able to be included as a community benefit on Schedule H. Community BoardsMercy Hospital St. Louis and Mercy Hospital Washington each have their own Board of Directors which includes representation from community leaders in the organization's primary service areas. All board members are required to complete an annual Conflict of Interest survey. Any potential conflicts of interest disclosed by board members are screened by general counsel and reviewed by the board chairperson and CEO. This process ensures that public, rather than private, interests are served by MHEC. Open Medical Staff Medical staff privileges are extended to all qualified physicians in the community for almost all of our departments. Mercy Hospital St. Louis has exclusive contracts with physician groups for the following services: radiology, pathology, neonatology, and CV surgery. Mercy Hospital Washington has exclusive contracts with physician groups for the following services: pathology, radiology, cardiology, and obstetrics. This means that over 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 Health East Communities 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 labor and birth facilities at Mercy Hospital St. Louis (MHSL) providing services to women regardless of ability to pay. Over 7,900 babies were born at MHSL in the fiscal year;- New outpatient ambulatory facility in St. Charles County providing pediatric and adult primary care services in one location;- Renovation of the intensive care unit facilities at MHSL and Mercy Hospital Washington to better meet the health care needs in each of these communities;- Expansion of the pediatric behavioral health inpatient unit at MHSL to better meet the needs of this population;- Continues support of Mercy Research Institute which is dedicated to improving patient outcomes by supporting new and potentially life-changing health research including over 100 active clinical trials at Mercy Hospital St. Louis;- Continued funding of graduate medical education program (provides residency training in family medicine, internal medicine, OB/Gyn, dental medicine, orthopedics and critical care) and schools of radiology, respiratory and clinical laboratory science.
Part VI, Line 6: 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, 2013, MERCY FACILITIES INCLUDED 28 ACUTE CARE HOSPITALS, 4 MANAGED HOSPITALS, 4 HEART HOSPITALS, 2 CHILDREN'S HOSPITALS AND 2 REHAB HOSPITALS.. FOR THE FISCAL YEAR ENDED JUNE 30, 2013, MERCY HAD 5.5 MILLION PROVIDER VISITS, MORE THAN 1,900 EMPLOYED PHYSICIANS, AND APPROXIMATELY 39,000 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, 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.
MO	Reports Filed With States	Part VI, Line 7
include two schools of public health, St. Louis University and Washington University. There are also many other hospitals, universities, schools, churches and religious groups, and health and social service agencies, including a strong department of health. Additionally, the St. Louis Regional Health Commissiois involved with the business community through the Business Health Coalition. County government, Civic Progress, and a variety of other community groups and forums serve as catalysts for community development and improvement.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- Health Literacy/Lifestyle Issues- Tobacco Use/Chronic Disease- Injuries - Intentional & Unintentional4. 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 planMercy Hospital St. Louis will continue to partner with the St. Louis County Department of Health and area hospitals/agencies to develop a Community Health Improvement Plan. Hospital representatives will participate on appropriate action teams that are being formed during the summer of 2013 as a result of the SLCDH's MAPP process. MHSL's Community Health Council will oversee, guide, and support Mercy's involvement in this collaborative approach. The implementation plan was posted November 2013.MERCY HOSPITAL WASHINGTONWho Was Involved in the Assessment At the center of involvement in the needs assessment were the people of the community. In 2010 and again in 2011, Mercy held roundtable events to dialogue directly with local community members about their needs, ideas, and concerns relating to health care. Common themes included community members wanting to see greater access to health care services through traditional and non-traditional delivery systems as well as more focus on prevention and wellness. Also mentioned were the importances of families living in poverty in the region, the sluggish economy, physician shortages/access to care, and lack of focus on prevention/wellness/healthy lifestyles among many. Follow-up roundtables are held annually.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 Sg2 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.The Franklin County Area United Way serves as the primary community partner for MHW in both the CHNA and community health improvement plan processes.The vice president of mission at MHW and community health co-workers at Mercy Hospital St. Louis coordinate the CHNA 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. A MHW board member also serves on the council. How the Assessment Was ConductedThe needs assessment process involved the following five steps to attain the full scope of the 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, supported by Saint Louis University Master of Public Health students, reviewed the following data:- 2012 Franklin County Community AssessmentConducted by the United Way of Greater St. Louiswww.franklincountyuw.org/wp-content/uploads/2012/12/Franklin-County-Community-Assessment-2012.pdf- 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- County Health RankingsThis is a new resource that was unveiled in March 2010. It is 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- Data provided by Mercy's Planning & Research DepartmentData from Mercy's internal records was used to assess the needs of the community. Community 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- Written survey tool- Interviews3. Analyze and summarize the data to prioritize needsHealth Needs IdentifiedThe 2012 Franklin County Community Assessment identified fourteen health and human service issues and ranked them in order of importance. Mercy's Community Health and Benefit staff reviewed this information, along with other data collected, and identified community health needs critical for Mercy Hospital Washington to address that align with Mercy's mission and community master plan. Public health data for lifestyle issues such as obesity rates, tobacco use, drug/alcohol use, and accident/domestic violence rates paralleled with internal hospital utilization data. Cardiac-related and other chronic diseases such as diabetes and asthma, along with those seeking treatment for behavioral health needs, remain critical issues when assessing the health of Franklin County. Also noted in MHW's top ED visit volume by ICD9 codes is the high prevalence in "unspecified disorder of the teeth". This diagnosis represented 678 cases, 2% of the total ED volume. Community Assets IdentifiedAlthough Mercy is the only hospital in Franklin County, there are a number of organizations, such as the Franklin County Area United Way, Service Provider Group, and the Children's Services Fund that meet monthly to share resources and work together on community needs/issues. The schools, churches, 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 programs that are collaborative and involve the community. The following priority needs for Mercy Hospital Washington were identified:- Access to Care- Mental Health & Substance Abuse- Health Literacy/Lifestyle Issues- Tobacco Use/Chronic Disease- Injuries - Intentional & UnintentionalWith high volumes of potentially avoidable ED visits related to urinary tract infections, headache, otitis media, and unspecified dental issues, urgent care/fast track, and dental access options will be explored. ** With a smoking prevalence rate of 28% for Franklin County (national benchmark is 13%), tobacco use as it relates to chronic disease will likely be a focus when developing MHW's health improvement plan.4. Review community benefit activities in place Using Lyon Software's CBISA tool, a review will be conducted of current community benefit activities and what Mercy is presently doing to meet the identified priorities. In addition, the community benefit activity of others in the community will be reviewed. (SEE Part VI, question 2 continuation)	Needs assessment	Part VI, question 2 continuation
5. Create an action planMercy Hospital Washington will continue to partner with the Franklin County Area United Way to host monthly planning teams on mental health, housing, employment, transportation, and safety - priority health and human service needs identified in the United Way's 2012 assessment that parallel with/affect the community's health priorities established in MHW's overall CHNA process. MHW's Community Health Council will oversee, guide, and support Mercy's involvement in this collaborative process. Implementation plans was posted November 2013.	Needs assessment	Part VI, question 2 continuation

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (8 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
Mercy Health Foundation St Louis
615 S New Ballas Road	St Louis	MO	63141	562410020	501(c)(3)	30000	Support health care
The Wellness Program
20 Archbishop May Drive	St Louis	MO	63119	431297933	501(c)(3)	30000	Support priests in proactively managing their health
Youth in Need
1815 Boones Lick Road	St Charles	MO	63301	431033862	501(c)(3)	15000	Support child and family services agency
Operation Food Search
6282 Olive Blvd	St Louis	MO	63130	431241854	501(c)(3)		Support to assist in feeding the region's poor	11433	FMV	Food donation
West County Multiple Sclerosis Center
621 S New Ballas Rd Ste 5003-B	St Louis	MO	63141	270067529	501(c)(3)		Support needs of MS patients	64667	FMV	Office space & construction costs to relocate
Ronald McDonald House
3450 Park Avenue	St Louis	MO	63011	431160478	501(c)(3)	30000	Support of organization which provides families of ill children place to stay close to hospital
GO St Louis
300 Hunter Ave Suite 107	St Louis	MO	63124	431864732	501(c)(3)	21000	Sponsor org which encourages healthy lifestyles
Mercy Health Foundation Washington
901 E Fifth Street	Washington	MO	63090	562410022	501(c)(3)	63219	General Support

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	8	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Procedure for Monitoring Grants in the U.S.:	Identifier
Return Reference	Part I, Line 2:	ReturnReference
Explanation	Schedule I, 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. Grants are made to related organizations, which provide reporting on the use of the funds and work closely with our organization.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	X	FirstClassOrCharterTravel
Travel For Companions	X	TravelForCompanions
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Housing Allowance Or Residence	X	HousingAllowanceOrResidence
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (36 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Galli MD William
Board member	0	298333	0	0	0	52660	0	1066	0	14831	0	366890	0	0
Halsted MD Robert
Board member	0	160227	0	100000	0	28211	0	0	0	8075	0	296513	0	0
Johnston Jeffrey
Board member	0	410525	0	190493	0	51457	0	168505	0	17534	0	838514	0	0
Keithly Dennis
Board member	0	262310	0	0	0	19272	0	64014	0	10510	0	356106	0	0
McLain Terri L
Board member	269586	0	146098	0	44974	0	46335	0	12769	0	519762	0	0	0
Pennell Richard
Board member	0	423016	0	215000	0	21326	0	0	0	8090	0	667432	0	0
Rehm Charles H
Board member	0	395234	0	98812	0	29266	0	58751	0	13362	0	595425	0	0
Riechers MD Thomas
Board member	0	320833	0	35608	0	41739	0	11894	0	16543	0	426617	0	0
Matejka Cheryl L
Chief Financial Officer	0	290655	0	113413	0	37600	0	49859	0	16304	0	507831	0	0
Bollin Steven J
VP - Support Services	149465	0	43869	0	22638	0	6287	0	11578	0	233837	0	0	0
Cantalin Jeanne L
Regional VP-General Counsel	0	195767	0	71459	0	21448	0	27145	0	9730	0	325549	0	0
Crain Christine
COO-Mercy Children's Services	245300	0	74418	0	44680	0	77979	0	7549	0	449926	0	0	0
Frazier Donna M
Chief Nursing Officer	194837	0	54175	0	26052	0	36403	0	6911	0	318378	0	0	0
Frost Joan
Chief Operating Officer	133932	0	26321	0	26367	0	10341	0	6390	0	203351	0	0	0
Geldbach Patricia L
VP-Mercy Women's Services	75950	111315	0	53783	42672	13626	0	43091	4870	5036	123492	226851	0	0
Hintze Paul
VP - Medical Affairs	331761	0	90257	0	44005	0	54684	0	16377	0	537084	0	0	0
Kahn Joseph
President-Mercy Children's Services	0	368210	0	130641	0	32268	0	14877	0	13330	0	559326	0	0
Kalicak Donald
VP - Business Development & Planning	0	198521	0	98708	0	44793	0	78335	0	11847	0	432204	0	0
Lenoir Frank
VP - HR	0	182254	0	51001	0	34193	0	20578	0	9644	0	297670	0	0
Nelson Kathryn
VP - Performance Improvement	129099	0	43377	0	37024	0	5126	0	15051	0	229677	0	0	0
Rothermich Anthony
VP-Operations	0	128885	0	37485	0	25274	0	10915	0	1331	0	203890	0	0
Scoffic Denise
VP-Finance	0	143101	0	45715	0	36634	0	11913	0	6582	0	243945	0	0
Sorensen Donn
Chief Executive Officer	0	521255	0	246031	0	99865	0	91947	0	11714	0	970812	0	0
Starke Keith M
VP-Quality & Safety	7727	363263	0	100741	172	26703	0	74528	466	10689	8365	575924	0	0
Varner Ann M
VP - Mission	132079	0	37141	0	25117	0	10537	0	7844	0	212718	0	0	0
Petito Sally
Hospitalist	0	213113	0	30048	0	51938	0	12818	0	2433	0	310350	0	0
Fox Linda
VP - Perioperative	123084	0	49846	0	89840	0	5867	0	8175	0	276812	0	0	0
Hruska Lindy
Physician	0	226172	215000	0	0	21142	0	0	0	4675	215000	251989	0	0
Sommer Steve
Physician	299624	0	0	0	15268	0	7016	0	15967	0	337875	0	0	0
Veronikis MD Dionysios
Physician	402376	0	0	0	2044	0	9597	0	10601	0	424618	0	0	0
Witten Barold
Physician	186741	0	0	0	41677	0	33900	0	7707	0	270025	0	0	0
Combs Randall
Former officer	0	609387	0	331326	0	31276	0	325845	0	8831	0	1306665	0	0
McCurry Michael
Former officer	0	747251	0	767776	0	29145	0	498397	0	14338	0	2056907	0	0
Beekman Sheri D
Former key employee	0	275592	0	119520	0	27832	0	51237	0	7661	0	481842	0	0
Eoloff Eric J
Former key employee	0	320212	0	117954	0	14056	0	37420	0	10611	0	500253	0	0
Onesko Kim M
Former key employee	0	76523	0	55173	0	167524	0	16297	0	1052	0	316569	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
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: MICHAEL MCCURRY; STEVEN BOLLIN; JEANNE CANTALIN; ERIC EOLOFF; SALLY PETITO 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 A TAXABLE BENEFIT TO LINDA FOX FOR PURPOSES OF THIS FORM 990. 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-b	Linda S Fox received $58,589 of severance compensation from Mercy Hospital East Communities. Part I, Line 4B: Mercy Health, the ultimate parent company, offers supplemental retirement plans to certain executives which provide benefits upon retirement 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 6/30/2013. Supplemental Executive Retirement Plan (SERP) Combs, Randy; McCurry, Michael; Johnston, Jeffrey Supplemental Management Retirement Plan (SMRP) Beekman, Sheri D; Cantalin, Jeanne; Crain, Christine; Geldbach, Patricia; Hintze, Paul; Kalicak, Don; Matejka, Cheryl L; McLain, Terri L; Rehm, Charles; Lenior, Frank; Starke,Keith; Frazier,Donna; Johnston, Jeffrey; Kahn MD, Joseph; Meyer,Barb; Eoloff,Eric 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 when applicable, PROVIDES A NON-FIXED BONUS PLAN FOR WHICH CERTAIN TIERS OF ITS EMPLOYEES ARE ELIGIBLE. FOR FISCAL YEAR 2013 (JULY 1, 2012 - JULY 30, 2013) PAYMENT OF ALL OR PART OF THE BONUS WAS CONTINGENT UPON ATTAINMENT OF CERTAIN FINANCIAL TARGETS. 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 GOALS ARE REVIEWED BY THE EXECUTIVE COMPENSATION COMMITTEE OF MERCY HEALTH AND ARE THEN TAKEN INTO ACCOUNT WHEN ANALYZING EXECUTIVE COMPENSATION FOR REASONABLENESS.
Part III	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 -Written employment contract -Compensation survey or study -Approval by the board or compensation committee	Supplemental Information

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (8 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Emily Combs
Family Member of Randall Combs, Former Officer	117869	Employment arrangement, Mercy Hospitals East Communities	0
Cheryl Crain
Family Member of Christine Crain, Key Employee	56651	Employment arrangement, Mercy Hospitals East Communities	0
Janine Ford
Family Member of Randall Combs, Former Officer	86789	Employment arrangement, Mercy Hospitals East Communities	0
Christine Bolin
Family Member of Steven Bollin, Key Employee	47144	Employment arrangement, Mercy Hospitals East Communities	0
Karie Ramos
family Member of Paul Hintze, Key Employee	28171	Employment arrangement, Mercy Hospitals East Communities	0
Lee Varner
Family Member of Ann Varner, Key Employee	70655	Employment arrangement, Mercy Hospitals East Communities	0
Louis Brunworth
Family Member of David Brunworth, board member	327277	Employment arrangement, Mercy Hospitals East Communities	0
Gary Rosas
Family member of Jennifer Stearnes-Rosas, board member	324649	Employment arrangement, Mercy Hospitals East Communities	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Form 990, Part VI, Section A, line 6	The member of Mercy Hospitals 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, the member of Mercy Health East Communities, has reserve powers to appoint and remove all directors and officers for Mercy Hospitals East Communities.
Form 990, Part VI, Section A, line 7b	THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED TO THE CORPORATE MEMBER (AND WITH REGARD TO CERTAIN POWERS AND RESPONSIBILITIES, TO MERCY HEALTH, AS THE CORPORATE MEMBER OF THE CORPORATE MEMBER): -APPROVAL OF REVISIONS TO THE MISSION, VISION, AND OPERATING VALUES, PURSUANT TO WHICH THE CORPORATION OPERATES; -APPROVAL OF ANY AMENDEMNTS TO THE ARTICLES OF INCORPORATION AND THESE BYLAWS AND ANY AMENDMENTS TO THE ORGANIZATIONAL DOCUMENTS OF ANY AFFILIATE OF THE CORPORATION; -APPROVAL OF THE APPOINTMENT AND REMOVAL OF THE PRESIDENT OF THE CORPORATION, AS PROVIDED IN SECTIONS 7.2.1 AND 7.3 OF THE BYLAWS; -ADOPTION OF THE STRATEGIC PLAN, GOALS AND OBJECTIVES OF THE CORPORATION; -ADOPTION OF THE OPERATING, CAPITAL, AND ALL OTHER BUDGETS FOR THE CORPORATION; -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; -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; -APPROVAL OF A PLAN OF MERGER, CONSOLIDATION, OR DISSOLUTION OF THE CORPORATION; -APPROVAL OF THE LEASE, MANAGEMENT, OR PURCHASE OF, OR AFFILIATION WITH, ANOTHER HOSPITAL OR HEALTH SYSTEM, OR HEALTH CARE FACILITY OR HEALTH CARE SYSTEM BY THE CORPORATION; AND, -APPROVAL OF THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION CONTROLLED 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, 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 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, 2013. 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 15a	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 annual review/approval of compensation by the Executive 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 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:	Restricted Fund - Investment Income 434,682. Restricted Fund - Donations 588,263. Restricted Fund - Expenses -904,044. Restricted Fund - Fixed Assets Purchased -73,685. Restricted Fund - Transfers from Affiliates 230,914. Transfers from Mercy Health 8,584,057. Net assets released from restrictions 1,560,125. Other adjustments 162.	Changes in Net Assets or Fund Balances:
Part XII, Line 2	The filing organization's financial statements were included in the Mercy Health and Subsidiaries annual financial statement audit. The Mercy Health and Subsidiaries received an unqualified opinion from the external auditors for fiscal 2013 (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.	Audited Financial Statements
Form 990, Part XII, Line 3	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.	Single Audit Act and OMB Circular A-133
Listing of included divisions and entities	THE OPERATING RESULTS OF THE FOLLOWING ENTITIES, DIVISIONS, AND/OR SUBORDINATE ORGANIZATIONS OF MERCY HOSPITALS EAST COMMUNITIES ARE INCLUDED IN THE INFORMATION PRESENTED IN THE FORM 990 FOR THE YEAR ENDED JUNE 30, 2012: ENTITY FEIN Mercy Hospitals East Communities St. Louis 43-0653493 Mercy Hospitals East Communities Washington 43-1066883 Mercy Support Services 43-1677952	Federal EINS
FORM 990, SCHEDULE R, PART V	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.	SYSTEM LIMITATIONS
Form 990, Part V, Question 1a	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.	Independent Contractors

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (17 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Mercy Behavioral Health LLC
14528 S Outer Forty	Chesterfield	MO	63017	460568680	Healthcare Services	MO	0	0	Mercy Hospitals East Communities
Mercy Clinic Adult Critical Care LLC
615 SNew Ballas Road	StLouis	MO	63141	201626965	Physician Services	MO	2950090	463861	Mercy Hospitals East Communities
Mercy Clinic Adult Hospitalists- Washington LLC
901 E Fifth Street	Washington	MO	63090	262961433	Hospitalist Services	MO	813587	114382	Mercy Hospitals East Communities
Mercy Clinic Adult Hospitalists-St Louis LLC
645 Maryville CentreSte 100	StLouis	MO	63141	431854902	Healthcare Services	MO	7224808	386878	Mercy Hospitals East Communities
Mercy Clinic Anesthesiology-Washington LLC
645 Maryville CentreSte 100	StLouis	MO	63141	030597437	Inactive	MO	0	0	Mercy Hospitals East Communities
Mercy Clinic Children's Critical Care LLC
645 Maryville CentreSte 100	StLouis	MO	63141	431854108	Healthcare Services	MO	442375	45545	Mercy Hospitals East Communities
Mercy Clinic Children's Hospitalists-St Louis LLC
645 Maryville CentreSte 100	StLouis	MO	63141	431708560	Healthcare Services	MO	812139	110999	Mercy Hospitals East Communities
Mercy East Support Services LLC
14528 S Outer Forty	Chesterfield	MO	63017	461048366	Healthcare services	MO	0	0	Mercy Hospitals East Communities
Mercy Family Therapy LLC
645 Maryville CentreSte 100	StLouis	MO	63141	431893329	Healthcare Services	MO	6621569	0	Mercy Hospitals East Communities
Mercy Health Services LLC
645 Maryville CentreSte 100	StLouis	MO	63141	431664148	Healthcare Services & Products	MO	55592357	7752554	Mercy Hospitals East Communities
Mercy Labs St Louis LLC
14528 S Outer Forty	Chesterfield	MO	63017	463092721	Laboratory Services	MO	0	0	Mercy Hospitals East Communities
Mercy Labs Washington LLC
14528 S Outer Forty	Chesterfield	MO	63017	463093014	Laboratory Services	MO	0	0	Mercy Hospitals East Communities
Mercy Neuropsychology Services LLC
615 SNew Ballas Road	StLouis	MO	63141	261216912	Neurophsychology Services	MO	1406686	302423	Mercy Hospitals East Communities
Mercy Orthopaedic Trauma Services LLC
615 SNew Ballas Road	StLouis	MO	63141	061785022	Healthcare Services	MO	1832810	120459	Mercy Hospitals East Communities
Mercy Women's Services LLC
615 S New Ballas Road	St Louis	MO	63141	460847235	Healthcare services	MO	0	0	Mercy Hospitals East Communities
St John's Mercy Therapy Services LLC
615 SNew Ballas Road	StLouis	MO	63141	810671798	Inactive	MO	0	0	Mercy Hospitals East Communities
Triax 14144 LLC
615 SNew Ballas Road	StLouis	MO	63141	943454464	R E Transactions	MO	0	4300274	Mercy Hospitals East Communities

Form990 Schedule R Part II Form990ScheduleRPartII (71 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA
Casa de Misericordia
1602 McClelland Street	Laredo	TX	78044	742912461	Women's domestic violence shelter	TX	501c3	7	Mercy Ministries of Laredo	1
Jefferson Land Company Inc
14528 S Outer Forty St 100	Chesterfield	MO	63017	431330360	Title Holding Company	MO	501c2		Mercy Hospital Jefferson	1
Laredo Medical Group
14528 S Outer Forty St 100	Chesterfield	MO	63017	742764726	Inactive	TX	501c3	9	Mercy Health System TX	1
McAuley Portfolio Mgmt Co
14528 S Outer Forty St 100	Chesterfield	MO	63017	261708048	Portfolio management	MO	501c3	11-II	Mercy Health	1
Mercy Clinic East Communities
645 Maryville Ctr Dr Ste 100	St Louis	MO	63141	431771217	Physician Group	MO	501c3	9	Mercy Health East Communities	1
Mercy Clinic Fort Smith Comm
7301 Rogers Avenue	Fort Smith	AR	72917	261318597	Physician Clinic	AR	501c3	9	Mercy Health Fort Smith Comm	1
Mercy Clinic Hot Springs Comm
1 Mercy Lane	Hot Springs	AR	71913	261125131	Physician Clinic	AR	501c3	9	Mercy Health Hot Springs Comm	1
Mercy Clinic Oklahoma Comm
4300 W Memorial Road	Oklahoma City	OK	73120	270473057	Physician Group/Clinic	OK	501c3	9	Mercy Health OK Communities	1
Mercy Clinic Springfield Comm
1965 Fremont Street Suite 2950	Springfield	MO	65804	431560263	Physician Group	MO	501c3	3	Mercy Health Springfield Comm	1
Mercy Family Center
14528 S Outer Forty St 100	Chesterfield	MO	63017	721069468	Family counseling services	MO	501c3	7	Mercy Health	1
Mercy Fdtn Health Innov
14528 S Outer Forty St 100	Chesterfield	MO	63017	200901499	Foundation	MO	501c3	11-II	Mercy Health	1
Mercy Health
14528 S Outer Forty St 100	Chesterfield	MO	63017	431423050	Health System - Corporate Office	MO	501c3	1		0	N/A
Mercy Health East Communities
645 Maryville Ctr Dr Ste 100	St Louis	MO	63141	431718408	Health System	MO	501c3	11-II	Mercy Health	0
Mercy Health East Communities - SR
645 Maryville Ctr Dr Ste 100	St Louis	MO	63141	461412322	Health System	MO	501c3	11-II	Mercy Health East Communities	1
Mercy Health Fort Smith Comm
7301 Rogers Avenue	Fort Smith	AR	72917	261318515	Holding Company	AR	501c3	11-II	Mercy Health	1
Mercy Health Foundation Ardmore
1011 14th Avenue NW	Ardmore	OK	73401	710962525	Foundation	OK	501c3	11-I	Mercy Hospital Ardmore	1
Mercy Health Foundation Berryville
214 Carter Street	Berryville	AR	72616	710759301	Foundation	AR	501c3	11-I	Mercy Hospital Berryville	1
Mercy Health Foundation Ft Scott
401 Woodland Hills Blvd	Fort Scott	KS	66701	481077073	Foundation	KS	501c3	11-III	Mercy Kansas Communities Inc	1
Mercy Health Foundation Ft Smith
7301 Rogers Avenue	Fort Smith	AR	72917	237330425	Foundation	AR	501c3	7	Mercy Hospital Fort Smith	1
Mercy Health Foundation Hot Springs
300 Werner Street	Hot Springs	AR	71913	710804718	Foundation	AR	501c3	11-II	Mercy Hospital Hot Springs	1
Mercy Health Foundation Independence
800 W Myrtle	Independence	KS	67301	481079981	Foundation	KS	501c3	11-I	Mercy Kansas Communities Inc	1
Mercy Health Foundation Jefferson
1400 US Highway 61 South	Festus	MO	63028	462797051	Foundation	MO	501c3	11-II	Mercy Health East Communities - SR	1
Mercy Health Foundation Joplin
2817 St Johns Blvd	Joplin	MO	64804	270906136	Foundation	MO	501c3	11-I	Mercy Health SW MOKS Comm	1
Mercy Health Foundation NW Ark
2710 Rife Medical Ln	Rogers	AR	72858	710601687	Foundation	AR	501c3	11-III	Mercy Hospital Rogers	1
Mercy Health Foundation Ok City
4300 W Memorial Road	Oklahoma City	OK	73120	731593024	Foundation	OK	501c3	11-I	Mercy Hospital Oklahoma City	1
Mercy Health Foundation of OK
4300 W Memorial Road	Oklahoma City	OK	73120	454732301	Foundation	OK	501c3	11-I	Mercy Health OK Communities	1
Mercy Health Foundation Springfield
1235 E Cherokee Street	Springfield	MO	65804	320195818	Foundation	MO	501c3	11-II	Mercy Health Springfield Comm	1
Mercy Health Foundation STL
615 South New Ballas Road	St Louis	MO	63141	562410020	Foundation	MO	501c3	11-II	Mercy Health East Communities	1
Mercy Health Foundation Washington
901 E Fifth Street	Washington	MO	63090	562410022	Foundation	MO	501c3	11-II	Mercy Health East Communities	1
Mercy Health Hot Springs Comm
300 Werner Street	Hot Springs	AR	71913	261125064	Holding Company	AR	501c3	11-II	Mercy Health	1
Mercy Health NW Ark Communities
2710 Rife Medical Ln	Rogers	AR	72758	621684203	Physician Group	AR	501c3	11-II	Mercy Health	1
Mercy Health OK Communities
4300 W Memorial Road	Oklahoma City	OK	73120	731453048	Holding company	OK	501c3	11-II	Mercy Health	1
Mercy Health SW MOKS Comm
2817 St Johns Blvd	Joplin	MO	64804	300584463	Health System	MO	501c3	11-II	Mercy Health	1
Mercy Health Springfield Comm
1235 E Cherokee Street	Springfield	MO	65804	431856028	Holding Company	MO	501c3	11-II	Mercy Health	1
Mercy Health System TX
14528 S Outer Forty St 100	Chesterfield	MO	63017	742764727	Inactive	TX	501c3	11-II	Mercy Health	1
Mercy Home Health Berryville
804 W Freeman Suite 4	Berryville	AR	72616	870781247	Home Health and Hospice operations.	AR	501c3	11-III	Mercy Hospital Springfield	1
Mercy Hospital Ada Inc
430 N Monte Vista Street	Ada	OK	74820	462288155	Hospital	OK	501c3	3	Mercy Health OK Communities	1
Mercy Hospital Ardmore
1011 14th Avenue NW	Ardmore	OK	73401	731500629	Hospital	OK	501c3	3	Mercy Health OK Communities	1
Mercy Hospital Aurora
500 Porter Avenue	Aurora	MO	65605	431936696	Operating co for leased hosp	MO	501c3	3	Mercy Health Springfield Comm	1
Mercy Hospital Berryville
214 Carter Street	Berryville	AR	72616	710759299	Hospital	AR	501c3	3	Mercy Health Springfield Comm	1
Mercy Hospital Carthage
3125 Dr Russell Smith Way	Carthage	MO	64836	453808607	Hospital	MO	501c3	3	Mercy Health SW MOKS Comm	1
Mercy Hospital Cassville
94 Main Street	Cassville	MO	65625	431936699	Operating co for leased hosp	MO	501c3	3	Mercy Health Springfield Comm	1
Mercy Hospital Columbus
220 Pennsylvania Avenue	Columbus	KS	66725	270842031	Critical Access Hospital	MO	501c3	9	Mercy Health SW MOKS Comm	1
Mercy Hospital El Reno
2115 Parkview Drive	El Reno	OK	73036	272716065	Operating co for leased hosp	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	Operating co for hosp	OK	501c3	3	Mercy Hospital Ardmore Inc	1
Mercy Hospital Hot Springs
300 Werner Street	Hot Springs	AR	71913	710236913	Hospital	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
2817 St Johns Blvd	Joplin	MO	64804	270814858	Hospital	MO	501c3	9	Mercy Health SW MOKS Comm	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	Inactive	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 Kansas Communities Inc
401 Woodland Hills Blvd	Ft Scott	KS	66701	480956045	Hospital;rural health clinics	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, outreach,food pantry	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	Physician Clinics	AR	501c3	9	Mercy Health Hot Springs Comm	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 Cornelia Blasko Fn
100 W Highway 60	Mountain View	MO	65548	431873914	Foundation	MO	501c3	11-I	Mercy St Francis Hospital	1
Unity Ambulatory Care
14528 S Outer Forty St 100	Chesterfield	MO	63017	431861745	Inactive	MO	501c3	11-III	Mercy Health East Communities	1

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner
Southern Oklahoma Diag Ctr LLC
1011 Fourteenth Avenue NW	ARDMORE	OK	73401	431971232	MRI Services	OK	MERCY HOSPITAL ARDMORE INC	N/A	0	0
Resource Optimiz & InnovLLC
645 Maryville Ctr DrSte 200	ST LOUIS	MO	63141	460468368	Central Distribution Center	MO	MHN INC - MHNSR INC	N/A	0	0
Mercy Ambulatory Surgery Center LLC
7301 Rogers Avenue	FORT SMITH	AR	72917	710827721	Ambulatory Surgery Center	AR	MERCY HOSPITAL FORT SMITH	N/A	0	0
Fort Smith Emergency Medical Services
1701 South Greenwood	FORT SMITH	AR	72901	710416615	Emergency Medical Services	AR	MERCY HOSPITAL FORT SMITH	N/A	0	0
St Edward Mercy Med Ctr M-P Off Bldg
7301 Rogers Avenue	FORT SMITH	AR	72903	710554050	Office building	AR	MERCY HOSPITAL FORT SMITH	N/A	0	0

Form990 Schedule R Part IV Form990ScheduleRPartIV (10 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Controlled OrgControlledOrg	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
Mercy Comm Services 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	-1874	223234	1.00000
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

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	1	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (23 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Mercy Clinic East Communities
Q	26232761	FMV
Mercy Clinic Oklahoma Communities
Q	97010	FMV
Mercy Health
P	289172	FMV
Mercy Health East Communities
Q	101350922	FMV
Mercy health Hot Springs Communities
Q	58493	FMV
Mercy Health Oklahoma Communities
Q	151163	FMV
Mercy Health Springfield Communities
Q	3843655	FMV
Mercy Hospital Ardmore Inc
Q	496581	FMV
Mercy Hospital Cassville
Q	80064	FMV
Mercy Hospital Fort Smith
Q	768810	FMV
Mercy Hospital Hot Springs
Q	902952	FMV
Mercy Hospital Jefferson
Q	157895	FMV
Mercy Hospital Joplin
Q	196309	FMV
Mercy Hospital Oklahoma City Inc
Q	904039	FMV
Mercy Hospital Rogers
Q	654103	FMV
Mercy Hospital Springfield
Q	210565	FMV
Mercy Kansas Communities Inc
Q	312578	FMV
MHM Support Services
P	46423013	FMV
Resource Optimization & Innovation LLC
P	28993967	FMV
Mercy Health Foundation St Louis
B	30000	FMV
Mercy Health Foundation St Louis
C	3021286	FMV
Mercy Health Foundation Washington
C	702073	FMV
Mercy Health Foundation Washington
B	63219	FMV