2014-05-14T09:20:47-05:00 2013-06-30 562632458 Pleus and Company LLC 14323 S Outer Forty Ste 310N Chesterfield MO 63017 990 2012-07-01 430653493 MERCY HOSPITALS EAST COMMUNITIES MERC 3142516000 615 S NEW BALLAS ROAD ST LOUIS MO 63141 CHERYL MATEJKA 3143643532 2014-05-13 1 DOUGLAS G PLEUS P00013488 3143179916 2012 2015-11-30 17:44:51Z Donn Sorensen 615 S NEW BALLAS ROAD ST LOUIS MO 63141 1107258738 0 0928 X www.mercy.net/stlouismo X 1891 MO Mercy Hospitals East Communities operates two hospitals that are located in Creve Coeur (St. Louis metropolitan area) and Washington, MO. 21 12 8007 1042 1915346 431718 3475431 3766227 970498008 1067584810 4059588 2105011 27444916 31214543 1005477943 1104670591 777523 402451 0 0 417278055 448862770 0 0 0 521030013 558310876 939085591 1007576097 66392352 97094494 791227592 896312462 94913287 92483189 696314305 803829273 X As the Sisters of Mercy before us, we bring to Life the healing ministry of Jesus through our compassionate care and exceptional service. 0 0 920395074 402451 1085116699 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. 920395074 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 214 0 1 8007 1 1 1 0 0 0 0 0 0 0 0 0 X 21 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 1 1 X Denise Scoffic 3143642959 645 MARYVILLE CENTRE STE 100 St Louis MO 63141 Arnold John 5.00 10.00 X 0 5000 0 Bauer PhD Jon 1.00 0.00 X 0 0 0 Brunworth MD David 1.00 0.00 X 0 0 0 Diederich Gene 1.00 0.00 X 0 0 0 Eckelkamp Bonnie 1.00 0.00 X 0 0 0 Evans RSM Sr Gayle 35.00 1.00 X 0 0 0 Galli MD William 1.00 50.00 X 0 350993 15897 Glosenger RSM Sr Katherine 0.50 32.50 X 0 0 0 Halsted MD Robert 1.00 55.00 X 0 288438 8075 Johnston Jeffrey 58.00 2.00 X 0 652475 186039 Keithly Dennis 51.00 1.00 X 0 281582 74524 McLain Terri L 55.00 5.00 X 460658 0 59104 Miller Sr William 1.00 1.00 X 0 0 0 Parmentier Jennifer 1.00 0.00 X 0 0 0 Pennell Richard 60.00 0.00 X 0 659342 8090 Purnell Jack 0.50 0.50 X 0 0 0 Rehm Charles H 25.00 35.00 X 0 523312 72113 Riechers MD Thomas 65.00 0.00 X 0 398180 28437 Stearnes-Rosas MD Jennifer 1.00 50.00 X 0 0 0 Steinbecker Roger 4.00 2.00 X 0 0 0 Voss Kurt 1.00 0.00 X 0 0 0 Matejka Cheryl L 18.00 42.00 X 0 441668 66163 Bollin Steven J 50.00 5.00 X 215972 0 17865 Cantalin Jeanne L 24.00 36.00 X 0 288674 36875 Crain Christine 36.00 24.00 X 364398 0 85528 Frazier Donna M 60.00 0.00 X 275064 0 43314 Frost Joan 50.00 0.00 X 186620 0 16731 Geldbach Patricia L 45.00 20.00 X 118622 178724 52997 Hintze Paul 60.00 0.00 X 466023 0 71061 Kahn Joseph 2.00 58.00 X 0 531119 28207 Kalicak Donald 25.00 35.00 X 0 342022 90182 Lenoir Frank 55.00 0.00 X 0 267448 30222 Nelson Kathryn 57.00 1.00 X 209500 0 20177 Rothermich Anthony 45.00 5.00 X 0 191644 12246 Scoffic Denise 30.00 25.00 X 0 225450 18495 Sorensen Donn 10.00 54.00 X 0 867151 103661 Starke Keith M 55.00 15.00 X 7899 490707 85683 Varner Ann M 50.00 10.00 X 194337 0 18381 Petito Sally 30.00 30.00 X 0 295099 15251 Fox Linda 50.00 0.00 X 262770 0 14042 Hruska Lindy 1.00 52.00 X 215000 247314 4675 Sommer Steve 60.00 0.00 X 314892 0 22983 Veronikis MD Dionysios 50.00 0.00 X 404420 0 20198 Witten Barold 60.00 0.00 X 228418 0 41607 Combs Randall 0.00 60.00 X 0 971989 334676 McCurry Michael 0.00 60.00 X 0 1544172 512735 Beekman Sheri D 0.00 60.00 X 0 422944 58898 Eoloff Eric J 0.00 60.00 X 0 452222 48031 Onesko Kim M 50.00 10.00 X 0 299220 17349 3924593 11216889 2340512 203 1 1 0 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 100 3723359 42868 3766227 NET PATIENT REVENUE 622110 1067584810 1067584810 1067584810 2105011 2105011 7886270 2588147 5298123 5298123 5298123 Cafeteria/Coffee Shop 722212 6469185 6469185 Optical - Retail 624100 902362 902362 Reference Labs 621500 308103 308103 18236770 17531889 704881 25916420 1104670591 1085116699 1915346 13872319 402451 402451 3222662 3222662 1059205 1059205 355433077 349996587 5436490 16273255 15281927 991328 47968436 47636140 332296 24906135 24374375 531760 200000 200000 31972613 31392411 580202 509133 499894 9239 33550329 32941497 608832 1901572 1867064 34508 19692041 19334693 357348 1652111 1622130 29981 20 20 999091 999091 61207492 60096770 1110722 7623463 7485121 138342 Medical Supplies 180028364 176761420 3266944 Shared Service Fees 146785451 76633284 70152167 Bad Debt Expense 62717504 62717504 Equipment Repairs & Mai 7380174 7246247 133927 2091518 2047243 44275 1007576097 920395074 87181023 0 30161751 16521965 119694442 146171527 174126 14729144 19145789 782687 1319151 1188959299 673721445 510836983 515237854 3146353 3432040 16003527 20807065 95872705 173502945 791227592 896312462 74632197 71864990 1341997 1081461 -329254 -3257 12344684 12076315 6923663 7463680 94913287 92483189 X 693410523 800649200 2903782 3180073 696314305 803829273 791227592 896312462 X 97094494 10420474 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 54023 0 0 0 54023 0 Explanation of Lobbying Activities: Part II-B, Line 1: 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. 8896793 8896793 835559814 433093759 402466055 12475511 9994495 2481016 308051646 220284947 87766699 23975535 10348244 13627291 515237854 DEFERRED COMPENSATION 5411823 MISCELLANEOUS RECEIVABLES 7116167 Intercompany Receivables 158442990 Other Assets 2531965 173502945 DEFERRED COMPENSATION 5411823 OTHER LIABILITIES 2051857 7463680 The consolidated audited financial statements of Mercy Health and Affiliates do not include a footnote to report the organization's liability for uncertain tax provisions under ASC 740, as they are deemed immaterial for disclosure. 1 1 X 1 X 1 X 1 1 0 1 1 25102924 25102924 0.02660 122561134 106724585 15836549 0.01680 147664058 106724585 40939473 0.04340 1669844 6875 1662969 0.00180 8773608 138473 8635135 0.00910 899899 43200 856699 0.00090 462636 53248 409388 0.00040 11805987 241796 11564191 0.01220 159470045 106966381 52503664 0.05560 321007 321007 0.00030 71284 71284 0.00010 37496 37496 0.00000 429787 429787 0.00040 1 17402809 0 192057464 218942572 -26885108 X 1 1 1 St Johns Mercy SRS LLC Medical Equipment Rental 0.40000 0.60000 4 1 Mercy Hospital St Louis

615 S New Ballas Road St Louis MO 63141

www.mercy.net/stlouismo X X X X X 2 Mercy Hospital Washington

901 E Fifth Street Washington MO 63090

www.mercy.net/stlouismo X X X 3 SJMDHSLLC(Mercy Continuing Care Hospita

13190 South Outer 40 Chesterfield MO 63017

www.mercy.net/stlouismo X 4 Mercy Rehabilitation LLC

14561 North Outer 40 Chesterfield MO 63017

www.mercy.net/stlouismo X 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 32 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 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. 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 3: Refer to Part VI, Line 2 response. Mercy Hospital St. Louis Part V, Section B, Line 4: SJMHDS, LLC (Mercy Continuing Care Hospital) and Mercy Rehabilitation LLC SJMDHS,LLC (Mercy Continuing Care Hospit Part V, Section B, Line 4: Mercy Hospital St. Louis and Mercy Rehabilitation LLC Mercy Rehabilitation, LLC Part V, Section B, Line 4: Mercy Hospital St. Louis and SJMHDS, LLC (Mercy Continuing Care Hospital) 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 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. 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. Reports Filed With States Part VI, Line 7 MO Needs assessment Part VI, question 2 continuation 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 & Unintentional*With 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. 1 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) 11433 FMV Food donation Support to assist in feeding the region's poor West County Multiple Sclerosis Center 621 S New Ballas Rd Ste 5003-B St Louis MO 63141 270067529 501(c)(3) 64667 FMV Office space & construction costs to relocate Support needs of MS patients 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 8 0 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: 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. 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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. Supplemental Information 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 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 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. Changes in Net Assets or Fund Balances: 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. Audited Financial Statements 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. Single Audit Act and OMB Circular A-133 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. Federal EINS 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 SYSTEM LIMITATIONS 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. Independent Contractors 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. 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 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 N/A 0 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 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 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 -1874 223234 1.00000 0 MHN of the Southern Region Inc 1011 14th Avenue NW Ardmore OK 73401 731580607 Holding company OK MERCY MANAGED CARE CORP C 0 Mercy Health Center Condominium Inc 4300 W Memorial Rd Oklahoma City OK 73120 680640970 Administrator of certain real property and improvements OK MERCY HOSPITAL OKLAHOMA CITYINC C 0 Mercy Managed Care Corporation 4300 W Memorial Road Oklahoma City OK 73120 731441665 Holding company OK MERCY HEALTH C 0 Mercy Health Network Inc 4300 W Memorial Road Oklahoma City OK 73120 731381689 Holding company OK MERCY MANAGED CARE CORP C 0 Apothecary Services Inc PO Box 350 Crystal City MO 63019 431627267 Retail pharmacy MO Mercy Hospital Jefferson C 0 0 1 1 0 0 0 0 0 0 0 1 1 0 1 1 1 1 0 0 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