2014-05-14T14:00:15-05:00 2013-06-30 ERNST & YOUNG US LLP 190 CARONDELET PLAZA SUITE 1300 CLAYTON MO 63105 990 2012-07-01 480956045 MERCY KANSAS COMMUNITIES INC % SHELLY HUNTER CFO MERC 3145796100 401 Woodland Hills Blvd Suite Fort Scott KS 66701 SHELLY HUNTER 2014-05-08 3142901000 2012 2015-11-30 17:44:51Z SHELLY HUNTER 401 Woodland Hills Blvd Fort Scott KS 66701 74597186 false 0928 X www.mercy.net X 1983 KS AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. 8 2 748 270 377212 92951 103245 184445 74019979 72854006 56432 7781 1006975 1550954 75186631 74597186 23240 22180 0 0 39063795 40662251 0 0 0 33622095 35608455 72709130 76292886 2477501 -1695700 71963658 66390356 12387385 8710038 59576273 57680318 X AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. false false 12866548 2792 22984298 Mercy Hospital - Independence - Health care services provided are essential to the health and well-being of the individuals residing in the city of Independence and Montgomery County. The hospital provides basic primary care services which include: inpatient acute, swing bed, emergency room, general surgery, outpatient diagnostic, outpatient physical therapy and home health services. The community need is represented by the approximate 1075 discharges, 8438 emergency room visits, 1889 surgeries, 7520 home health visits and numerous outpatient procedures. Necessary tertiary care is transported out of the community to a larger hospital. 14629055 12804 30242857 Mercy Hospital - Fort Scott - Healthcare services provided are essential to the health and well-being of the individuals residing in the City of Fort Scott and Bourbon County. The hospital provides basic primary care services which include; inpatient acute, swing bed, inpatient rehab, emergency room, general surgery, outpatient diagnostic, outpatient physical therapy and home health services. The community need is represented by the approximate 1960 discharges, 6812 emergency room visits, 2296 surgeries, 8529 home health visits and numerous outpatient procedures. Necessary tertiary care is transported out of the community to a larger hospital. 15710446 6584 13619834 Mercy Physician Group - Fort Scott / Independence - Local physician services are essential to the health and well-being of the communities. The integrated physician group consists of the following mix of specialties: family practice, internal medicine, OB/GYN, general surgery, orthopedics and midlevel providers. 13871931 7383677 57077980 true true false true false false false false false false true false false false true false false true false false false false false false false false true true true false true false false false false false false true false false false false false false true true true false false true X 3 0 true 748 true true true false false false false false false false false false X 8 2 false false false false true true true true true false false false true true true true true false true false X SHELLY HUNTER CFO 4176252459 2817 ST JOHNS BLVD JOPLIN MO 64804 X Brau RSM Sr Annrene 1.0 7.0 X 0 0 0 Bringle Dottie 10.0 50.0 X 0 448815 46537 Callanan Patrick J 60.0 0.0 X 167944 0 12932 Campbell Sharon 1.0 1.0 X 0 0 0 Copeland Jr Robert 10.0 50.0 X 0 288659 15658 Floyd Terri 60.0 0.0 X 0 234255 40993 Lewis Christopher G 60.0 0.0 X 360757 0 19718 Nichols MD Robert R 54.0 6.0 X 256110 0 44043 Ammons Carl E 46.0 14.0 X X 0 235112 28361 Baker Reta 60.0 0.0 X X 0 311256 65108 Hunter Shelly 10.0 50.0 X X 0 282063 36160 Pulsipher Gary W 10.0 50.0 X 0 577756 167885 Biles Tracey 50.0 10.0 X 20524 133678 10700 Day Bradley Kim 2.0 58.0 X 0 987614 348680 Hennessey III William 5.0 55.0 X 0 257186 50175 Marion Tanya 2.0 58.0 X 0 232635 43308 Merrigan Michael 2.0 58.0 X 0 378450 56809 Swope Jon 2.0 58.0 X 0 758712 230689 Fox John M 60.0 0.0 X 389135 0 24914 Phelps MD David 60.0 0.0 X 357926 0 44547 Schwab Terry D 60.0 0.0 X 405375 0 20467 Seals Larry E 59.0 1.0 X 414614 0 25715 Sohaei Soheila 60.0 0.0 X 461060 0 18149 2833445 5126191 1351548 41 false true false ACUTE CARE INC 1609 N ANKENY BLVD SUITE 200 ANKENY IA 50023 ER COVERAGE 1318204 TRANE US INC PO BOX 98167 CHICAGO IL 60693 CONSTRUCTION 1149917 GENERAL ANESTHESIA SERVICES PA PO BOX 263 FORT SCOTT KS 66701 ANESTHETIC SERVICES 785172 SODEXO INC AND AFFILIATES 4880 PAYSPHERE CIRCLE CHICAGO IL 60674 FOOD SERVICE LABOR 744751 CROSSLAND CONSTRUCTION CO INC 833 S EAST AVE COLUMBUS KS 66725 CONSTRUCTION 738907 17 0 65000 119445 0 184445 NET PATIENT SERVICE REVENUE 621110 50449114 50449114 0 REFERENCE LAB 621500 22282521 22072577 209944 0 PHYSICIANS' RENTAL INCOME 532000 82088 82088 0 0 MEDICAL TRANSCRIPTION FEE 561410 40283 40283 0 0 72854006 2481 2481 0 0 7026 7026 0 7026 7026 5300 5300 5300 5300 0 0 0 0 CAFE & VENDING 722514 571072 571072 0 0 FITNESS CENTER 713940 204725 37457 167268 0 OTHER OPERATING REVENUE 900099 768131 768131 0 0 1543928 74597186 74020722 377212 14807 22180 22180 0 0 0 0 0 0 945779 813370 132409 0 370709 318810 51899 0 31706422 27267523 4438899 0 1282096 1102603 179493 0 4339103 3731629 607474 0 2018142 1735602 282540 0 0 0 0 0 8425 0 8425 0 5000 0 5000 0 12030 0 12030 0 0 0 0 0 0 0 5019452 4316729 702723 0 131440 114268 17172 0 1322640 1199844 122796 0 15863 12508 3355 0 0 0 0 0 1593556 68939 1524617 0 107496 81879 25617 0 0 0 0 0 3016 0 3016 0 1053 0 1053 0 0 0 0 0 3668328 1589241 2079087 0 831218 422762 408456 0 Bad Debt 6342770 6342770 0 0 Repairs & Maintenance 1397392 157634 1239758 0 Shared Service Fees 9066231 1857702 7208529 0 Drugs & Medical Supplies 4978453 4972468 5985 0 1104092 949519 154573 76292886 57077980 19214906 0 0 0 24625465 16857209 0 13034 4445428 6394385 0 0 0 0 252144 138164 1317498 1524437 586647 666949 112496666 71940917 39057075 40555749 0 289797 0 0 0 0 177000 177000 1502401 -226368 71963658 66390356 10120463 8233573 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2266922 476465 12387385 8710038 X 59193221 57501596 383052 178722 0 0 59576273 57680318 71963658 66390356 -1695700 -200255 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false 0 false 0 false 0 false 0 false 0 false 0 true 12030 12030 false false FORM 990, SCHEDULE C, PART II-B, LINE 1(I) SUPPLEMENTAL LOBBYING INFORMATION THE FILING ORGANIZATION IS A MEMBER OF AND PAYS DUES TO THE FOLLOWING HOSPITAL ASSOCIATIONS: AMERICAN HOSPITAL ASSOCIATION, KANSAS HOSPITAL ASSOCIATION, AND CATHOLIC HEALTH ASSOCIATION. FOR THE YEAR ENDED JUNE 30, 2013, DUES WERE $15,287, $53,603 AND $10,782, RESPECTIVELY. APPROXIMATELY 23.98% OF AMERICAN HOSPITAL ASSOCIATION DUES, 15% OF KANSAS HOSPITAL ASSOCIATION DUES, AND 3.00% OF CATHOLIC HEALTH ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED BY THESE ASSOCIATIONS. 1194518 1194518 62136407 31234388 30902019 974996 315339 659657 46155892 38902875 7253017 2034853 1488315 546538 40555749 0 LT DISABILITY RESERVES 104050 WORKERS COMPENSATION RESERVE 84255 LT SMRP LIABILITY 140274 EXEC SAVINGS PAYABLE 147886 476465 FORM 990, SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF MERCY HEALTH AND AFFILIATES DO NOT INCLUDE A FOOTNOTE TO REPORT THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX PROVISIONS UNDER ASC 740, AS THEY ARE DEEMED IMMATERIAL FOR DISCLOSURE. true true X true X true X true true true false true false 2967337 2967337 0.04240 10269811 9685064 584747 0.00840 13237148 9685064 3552084 0.05080 240359 19590 220769 0.00320 79919 79919 0.00110 19688 19688 0.00030 339966 19590 320376 0.00460 13577114 9704654 3872460 0.05540 1121 1121 12729 12729 4274 4667 -393 4688 4688 5550 5550 28362 4667 23695 true 2206432 18112872 20810621 -2697749 X true true 2 1 MERCY HOSPITAL FORT SCOTT

401 WOODLAND HILLS BLVD FORT SCOTT KS 66701

X X X 2 MERCY HOSPITAL INDEPENDENCE

800 W MYRTLE INDEPENDENCE KS 67301

X X X MERCY HOSPITAL FORT SCOTT 1 true X X X X X X X X X 12 true false true X X X X X true false true true 100 true 400. true X X X true true X X X X true false true X false false MERCY HOSPITAL INDEPENDENCE 2 true X X X X X X X X X 12 true false true X X X X X true false true true 100 true 400. true X X X true true X X X X true false true X false false 11 Mercy Arma

601 E Washington Arma KS 66712

Physician Clinic/Practice Mercy Cherryvale

203 W Main Street Cherryvale KS 67335

Primary Care Small Mercy Physician Building

403 Woodland Hills Boulevard Fort Scott KS 66701

Physician Clinic/Practice Mercy Medical Plaza

902 S Horton Fort Scott KS 66701

Physician Clinic/Practice Mercy Health for Life Fort Scott

405 Woodland Hills Boulevard Fort Scott KS 66701

Rehab/Fitness Center Mercy Convenient Care Fort Scott

1624 S National Fort Scott KS 66701

Urgent Care Mercy Medical Plaza

800 W Laurel Independence KS 67301

Primary Care Medium Mercy Medical Plaza West

900 W Myrtle Suite 103 Independence KS 67301

Physician Clinic/Practice Mercy Home Health and Hospice

422 W Main Street Independence KS 67301

Home Care Mercy Health for Life Independence

2011 N Penn Independence KS 67301

Fitness Center Mercy Linn County

11155 Tucker Road Pleasanton KS 66075

Primary Care Small FORM 990, SCHEDULE H, PART I, LINE 6A COMMUNITY BENEFIT REPORT THE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS PREPARED BY ITS PARENT ENTITY, MERCY HEALTH (EIN: 43-1423050). FORM 990, SCHEDULE H, PART I, LINE 7, COLUMN F TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) ARE $76,292,886. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $6,342,770. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $69,950,116. FORM 990, SCHEDULE H, PART I, LINE 7G SUBSIDIZED HEALTH SERVICES THE ORGANIZATION DID NOT INCLUDE ANY PHYSICIAN CLINIC COSTS ON LINE 7G. FORM 990, SCHEDULE H, PART II A FULL DESCRIPTION OF OUR COMMUNITY BUILDING ACTIVITIES IS INCLUDED IN OUR COMMUNITY HEALTH NEEDS ASSESSMENT AND CAN BE FOUND AT WWW.MERCY.NET/COMMUNITY-BENEFITS. FORM 990, SCHEDULE H, PART III, LINE 2 TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE, AT COST, BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENT ACCOUNTS WAS MULTIPLIED BY A RATIO OF COST TO CHARGES. THE RATIO OF COST TO CHARGES USED WAS BASED ON DETAILED COST ACCOUNTING, WHERE AVAILABLE. WHERE COST ACCOUNTING IS NOT AVAILABLE, COST REPORT COST TO CHARGE RATIOS WERE UTILIZED. FORM 990, SCHEDULE H, PART III, LINE 3 THE FILING ORGANIZATION DETERMINED THAT THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS $0. ALTHOUGH THE CHARITY CARE POLICY REQUIRES THE PARTICIPATION OF THE PATIENT REQUESTING ASSISTANCE, WE HAVE A PROCESS UNDER PRESUMPTIVE CHARITY (REFER TO DISCLOSURE FOR PART III, #9B) TO ADDRESS ACCOUNTS FOR PATIENTS WHO DO NOT PROVIDE THE INFORMATION. WE BELIEVE THAT OUR CHARITY POLICY IS COMPREHENSIVE ENOUGH TO CAPTURE ALMOST ALL PATIENTS WHO QUALIFY FOR CHARITY CARE. FORM 990, SCHEDULE H, PART III, LINE 4 THE TEXT OF THE FOOTNOTE THAT IS INCLUDED IN MERCY HEALTH AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE IS AS FOLLOWS: "PATIENT ACCOUNTS THAT ARE UNCOLLECTED, INCLUDING THOSE PLACED WITH COLLECTION AGENCIES, ARE INITIALLY CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN ACCORDANCE WITH COLLECTION POLICIES OF THE HEALTH SYSTEM AND, IN CERTAIN CASES, ARE RECLASSIFIED TO CHARITY CARE IF DEEMED TO OTHERWISE MEET THE HEALTH SYSTEM'S CHARITY CARE POLICY. THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES BASED UPON THE PAYOR COMPOSITION AND AGING OF RECEIVABLES AS OF THE REPORTING DATE WITH CONSIDERATION OF THE HISTORICAL PAYMENT AND WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES." FORM 990, SCHEDULE H, PART III, LINE 8 IT IS THE POSITION OF MERCY KANSAS COMMUNITIES THAT 100% OF ANY SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS AMOUNT REPRESENTS COST OF PROVIDING SERVICES THAT REMAIN UNCOMPENSATED TO THE PROVIDER. THE UNREIMBURSED COSTS OF MEDICARE IS CALCULATED BY THE GROSS CHARGES NET OF THE COST TO CHARGE RATIO LESS ANY PAYMENTS, DEDUCTIONS OR REIMBURSEMENTS USING THE ANNUAL MEDICARE COST REPORT (CMS FORM 2552-96). FORM 990, SCHEDULE H, PART III, LINE 9B MERCY KANSAS COMMUNITIES' ("MERCY'S") DEBT COLLECTION POLICY PROVIDES THAT MERCY WILL PERFORM A REASONABLE REVIEW OF EACH INPATIENT ACCOUNT BEFORE TURNING AN ACCOUNT TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT, TO ASSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (E.G., MEDICAID) AND DO NOT QUALIFY FOR COVERAGE THROUGH MERCY'S COMMUNITY ASSISTANCE POLICY. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY PATIENT ACCOUNT THAT IS SUBSEQUENTLY DETERMINED TO HAVE MET THE MERCY HOSPITAL COMMUNITY ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO MERCY FOR APPROPRIATE FOLLOW-UP. MERCY REQUIRES ITS THIRD-PARTY COLLECTION AGENTS TO INCLUDE A MESSAGE ON ALL STATEMENTS INDICATING THAT IF A PATIENT OR PATIENT GUARANTOR MEETS CERTAIN STIPULATED INCOME REQUIREMENTS, THE PATIENT OR PATIENT GUARANTOR MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. MERCY UTILIZES THE "SEARCH AMERICA" TOOL TO ENHANCE THE ABILITY TO DETERMINE CHARITY QUALIFICATION. PRESUMPTIVE CHARITY WILL BE GRANTED IN SITUATIONS WHERE MERCY HOSPITAL HAS BEEN UNABLE TO OBTAIN INFORMATION FROM PATIENTS OR THE INFORMATION PROVIDED IS NOT COMPLETE ENOUGH TO MAKE A CHARITY DETERMINATION. MERCY UTILIZES PRESUMPTIVE CHARITY PRIOR TO BAD DEBT PLACEMENT FOR CHARITY ADJUSTMENTS IN EXCESS OF $6,500. IN THESE CASES, MERCY UTILIZES THE SEARCH AMERICA REPORT STATUS OF "PROBABLE CHARITY" AS THE BASIS FOR ASSIGNING THE CHARITY LEVEL. MERCY WILL PURSUE APPROPRIATE MEANS IN THE COLLECTION OF DELINQUENT ACCOUNTS FROM PATIENTS WITH AN ESTABLISHED ABILITY TO PAY OR AN UNWILLINGNESS TO COOPERATE IN VALIDATING ELIGIBILITY FOR FINANCIAL ASSISTANCE. THESE APPROPRIATE MEANS MAY INCLUDE LEGAL ACTION CONSISTENT WITH MERCY MISSION AND VALUES. ADDITIONALLY THEY MAY INCLUDE LIENS UPON REAL PROPERTY AND REASONABLE WAGE GARNISHMENTS. LEGAL ACTIONS WILL GENERALLY NOT INCLUDE BANK GARNISHMENT, REPOSSESSION OF ASSETS OR FORECLOSURES TO ENFORCE SATISFACTION OF A LIEN. MERCY HAS POLICIES AND PROCEDURES ESTABLISHED TO ADDRESS THE INITIATION OF LEGAL ACTION AND ANNUALLY REVIEWS COMPLIANCE WITH ALL POLICIES. FORM 990, SCHEDULE H, PART V, LINE 3 COMMUNITY HEALTH NEEDS ASSESSMENT PLEASE REFER TO THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT WHICH CAN BE FOUND AT WWW.MERCY.NET/COMMUNITY-BENEFITS. FORM 990, SCHEDULE H, PART V, LINE 20 ELIGIBILITY GUIDELINES FOR CHARITY CARE DISCOUNTS THE FEDERAL POVERTY GUIDELINES FOR INCOME ARE THE BASIS FOR DETERMINING ELIGIBILITY FOR CHARITY CARE DISCOUNTS. FOR EXAMPLE, INDIVIDUALS WITH INCOMES BELOW 100% OF THE FEDERAL POVERTY GUIDELINES WILL BE ELIGIBLE FOR FREE CARE. INDIVIDUALS WITH INCOMES GREATER THAN 100% OF THE FEDERAL POVERTY GUIDELINES MAY BE ELIGIBLE FOR CARE AT DISCOUNTED RATES DEPENDING ON THEIR INCOME LEVEL AND/OR THE AMOUNT DUE TO THE HOSPITAL. ADDITIONAL FINANCIAL ASSISTANCE AFTER APPROPRIATE DISCOUNTS HAVE BEEN APPLIED, ARRANGEMENTS MAY BE MADE FOR AN INTEREST-FREE MONTHLY PAYMENT PLAN. GENERALLY, NO PATIENT'S FINANCIAL RESPONSIBILITY WILL BE GREATER THAN 20% OF ANNUAL HOUSEHOLD INCOME OR 10% OF NET ASSETS (WHICH EVER IS GREATER), ADJUSTED TO CONSIDER AVAILABILITY OF OTHER ASSETS THAT COULD BE USED TOWARD MAKING PAYMENTS. FORM 990, SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT MERCY HEALTH BELIEVES THAT ITS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS IS COMPREHENSIVE ENOUGH TO CAPTURE SUBSTANTIALLY ALL OF THE COMMUNITY'S NEEDS. THEREFORE, NO FURTHER STEPS WERE TAKEN TO IDENTIFY ADDITIONAL NEEDS. FORM 990, SCHEDULE H, PART VI, LINE 3 THE FILING ORGANIZATION HAS PRINTED MATERIAL AVAILABLE AT EACH POINT OF REGISTRATION IN OUR FACILITY, IN ADDITION TO ELECTRONICALLY AVAILABILITY AT OUR WEB SITE AT MERCY.NET. FINANCIAL ASSISTANCE INFORMATION AS A PART OF OUR HEALING MINISTRY, THE FILING ORGANIZATION IS COMMITTED TO PROVIDING QUALITY HEALTHCARE SERVICES TO PATIENTS REGARDLESS OF THEIR FINANCIAL SITUATION. WE OFFER PAYMENT ASSISTANCE FOR THOSE WHO DO NOT HAVE INSURANCE OR WHO ARE IN FINANCIAL NEED. UNINSURED PATIENT DISCOUNTS A DISCOUNT FROM THE HOSPITAL'S REGULAR BILLED CHARGES WILL BE PROVIDED TO PATIENTS WHO DO NOT HAVE INSURANCE. THIS INCLUDES PATIENTS WHOSE FINANCIAL SITUATION NORMALLY WOULD NOT OTHERWISE QUALIFY THEM FOR CHARITY CARE DISCOUNTS. PATIENTS WITHOUT INSURANCE WHOSE FINANCIAL SITUATION QUALIFIES THEM FOR CHARITY CARE DISCOUNTS (SEE ELIGIBILITY GUIDELINES BELOW) ARE ASSISTED OR ASKED IN APPLYING FOR MEDICAID BEFORE APPLYING FOR FINANCIAL ASSISTANCE. MERCY WORKS TO EXHAUST ALL EFFORTS TO COORDINATE WITH THE PATIENT TO APPLY FOR MEDICAID, BUT DOES NOT PROHIBIT CHARITY CONSIDERATIONS IF DENIED NOR APPLIED. APPLICATIONS FOR CHARITY CARE DISCOUNTS WILL BE REVIEWED FOR ELIGIBILITY BASED ON THE APPLICANT'S INCOME, FAMILY SIZE, AMOUNT OF PAYMENT DUE AND AVAILABILITY OF OTHER ASSETS OR RESOURCES. PLEASE NOTE THAT CARE MUST BE MEDICALLY NECESSARY TO BE CONSIDERED ELIGIBLE FOR UNINSURED PATIENT DISCOUNTS. FORM 990, SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION MERCY KANSAS COMMUNITIES' PRIMARY SERVICE AREA INCLUDES THE FOLLOWING SEVEN COUNTIES IN SOUTHEAST KANSAS: LINN, BOURBON, CRAWFORD, WILSON, ELK, CHAUTAUQUA AND MONTGOMERY. THREE OF THE COUNTIES (LINN, BOURBON AND CRAWFORD) ARE IN THE FORT SCOTT, KANSAS AREA. BASED ON TRUVEN 2012 DATA, THE FORT SCOTT AREA'S POPULATION IS 65,053. THE AVERAGE HOUSE true Form 990, Schedule I, PART I, LINE 2 Description of Organization's Procedures for Monitoring the Use of Grants THE ASSISTANCE PROVIDED IS INTENDED TO BE USED FOR THE GENERAL OPERATING PURPOSES OF THE DONEE. THE USE OF GRANT FUNDS IS NOT MONITORED AFTER GRANTS ARE GIVEN. X X X X true true true true false false false false false true false Bringle Dottie 0 144897 0 96758 0 207160 0 39842 0 6695 0 495352 0 0 Callanan Patrick J 128790 0 26889 0 12265 0 11672 0 1260 0 180876 0 0 0 Copeland Jr Robert 0 204359 0 57322 0 26978 0 0 0 15658 0 304317 0 0 Floyd Terri 0 158821 0 35575 0 39859 0 34372 0 6621 0 275248 0 0 Lewis Christopher G 352442 0 0 0 8315 0 9086 0 10632 0 380475 0 0 0 Nichols MD Robert R 210871 0 0 0 45239 0 31580 0 12463 0 300153 0 0 0 Ammons Carl E 0 161866 0 36607 0 36639 0 16649 0 11712 0 263473 0 0 Baker Reta 0 221081 0 48732 0 41443 0 52859 0 12249 0 376364 0 0 Hunter Shelly 0 180957 0 79029 0 22077 0 26516 0 9644 0 318223 0 0 Pulsipher Gary W 0 348416 0 200724 0 28616 0 150502 0 17383 0 745641 0 0 Biles Tracey 13970 90413 0 24217 6554 19048 0 4627 506 5567 21030 143872 0 0 Day Bradley Kim 0 630366 0 322225 0 35023 0 334446 0 14234 0 1336294 0 0 Hennessey III William 0 136234 0 65059 0 55893 0 35029 0 15146 0 307361 0 0 Marion Tanya 0 137188 0 70088 0 25359 0 28325 0 14983 0 275943 0 0 Merrigan Michael 0 227959 0 96337 0 54154 0 49389 0 7420 0 435259 0 0 Swope Jon 0 481585 0 249457 0 27670 0 212960 0 17729 0 989401 0 0 Fox John M 370593 0 0 0 18542 0 13973 0 10941 0 414049 0 0 0 Phelps MD David 331248 0 0 0 26678 0 31701 0 12846 0 402473 0 0 0 Schwab Terry D 394575 0 0 0 10800 0 4063 0 16404 0 425842 0 0 0 Seals Larry E 389600 0 0 0 25014 0 9043 0 16672 0 440329 0 0 0 Sohaei Soheila 413245 0 0 0 47815 0 10018 0 8131 0 479209 0 0 0 FORM 990, SCHEDULE J, PART I, LINE 1 CHARTER TRAVEL IS PROVIDED TO CERTAIN EMPLOYEES AS AND WHEN APPROPRIATE, AND AS DEEMED NECESSARY FOR BUSINESS TRAVEL. AFTER CHARTER TRAVEL APPROVAL HAS BEEN GRANTED IN ACCORDANCE WITH THE FINANCIAL JUSTIFICATION PROCESS, THE APPROVED CHARTER TRAVEL FOR BUSINESS IS A REIMBURSABLE EXPENSE WHICH IS NOT TAXABLE TO THE EMPLOYEES. TRAVEL FOR COMPANIONS IS PROVIDED IN RARE INSTANCES AND IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. WHERE COMPANION TRAVEL HAS RESULTED IN A TAXABLE EVENT, THE EMPLOYEES ARE TAXED FOR SUCH TRAVEL. LIMITED INSTANCES OF TAX GROSS-UPS MAY HAVE OCCURRED WITH RESPECT TO EXECUTIVES. HOUSING BENEFITS ARE PROVIDED THROUGH A RELOCATION PROGRAM IN ACCORDANCE WITH COMPANY POLICY. SUCH BENEFITS ARE SUBJECT TO TAX TO THE EMPLOYEE. PAYMENT BY THE COMPANY OF COSTS FOR TEMPORARY HOUSING OF EMPLOYEES FOR THE CONVENIENCE OF THE COMPANY IS MADE IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSES POLICY AND PROCEDURES. AS A REIMBURSABLE EXPENSE, THIS TYPE OF LODGING IS NOT TAXABLE TO THE EMPLOYEE. FORM 990, SCHEDULE J, PART I, QUESTION 3 MERCY KANSAS COMMUNITIES,INC. RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTION 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS. FORM 990, SCHEDULE J, PART I, QUESTION 4A THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT DURING CALENDAR 2012: DOTTIE BRINGLE, $115,570. FORM 990, SCHEDULE J, PART I, QUESTION 4B MERCY HEALTH 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 INDIVIDUALS REPORTABLE ON THIS RETURN WHO PARTICIPATE IN THE SUPPLEMENTAL RETIREMENT PLANS INCLUDE: DOTTIE BRINGLE, ROBERT COPELAND, TERRI FLOYD, RETA BAKER, SHELLY HUNTER, GARY PULSIPHER, BRADLEY DAY, TANYA MARION, MICHAEL MERRIGAN, WILLIAM HENNESSEY III, AND JON SWOPE. THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C). FORM 990, SCHEDULE J, PART I, QUESTION 7 MERCY HEALTH PROVIDES A NON-FIXED BONUS PLAN FOR WHICH CERTAIN TIERS OF ITS EMPLOYEES ARE ELIGIBLE. FOR FISCAL YEAR 2013 (JULY 1, 2012 - JUNE 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 IS REVIEWED BY THE EXECUTIVE COMPENSATION COMMITTEE OF MERCY HEALTH AND IS THEN TAKEN INTO ACCOUNT WHEN ANALYZING EXECUTIVE COMPENSATION FOR REASONABLENESS. Chris Ammons FAMILY MBR OF OFFICER 26388 Independent contractor false Christina Young FAMILY MBR OF OFFICER 53568 Employment false Janice Baker FAMILY MBR OF OFFICER 40554 Employment false Michelle Callanan FAMILY MBR OF OFFICER 89120 Employment false Russell Campbell FAMILY MBR OF OFFICER 187467 Employment false FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES MERCY KANSAS COMMUNITIES, INC. PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, GENDER, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. MERCY KANSAS COMMUNITIES, INC. PROVIDES INPATIENT DAY SERVICES, OUTPATIENT SERVICES, EMERGENCY SERVICES, HOME HEALTH VISITS AND OFFICE VISITS. HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY INCLUDE LOW COST PRENATAL CARE, BIRTHING CENTER FOR PATIENTS REQUIRING SPECIAL CARE, GERIATRIC SITTER SERVICES, RURAL HEALTH CLINICS, EXPANDED TRANSPORTATION SERVICES, AMBULANCE SERVICE, SAFE KIDS PROGRAMS, MERCY 55 MATURE DRIVING CLASSES, MERCY COMPASSIONATE CARE PROGRAM, AND OTHER HEALTH PROGRAMS. FORM 990, PART V, QUESTION 1A FORM 1099/1096 FILING VENDORS FOR THE FILING ORGANIZATION ARE PAID BY MERCY HEALTH (EIN 43-1423050). AS SUCH, ALL REQUIRED FORM 1099 AND FORM 1096 REPORTING IS MADE FOR THE ENTIRE MERCY HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN. THE NUMBER REPORTED IN PART V, QUESTION 1A FOR THE FILING ORGANIZATION ONLY INCLUDES THE FORM 1099S FILED TO REPORT PHYSICIAN DEBT FORGIVENESS. FORM 990, PART VI, LINE 6A, LINE 7A, 7B CLASSES OF MEMBERS OR STOCKHOLDERS THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH SOUTHWEST MISSOURI/KANSAS COMMUNITIES. THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES ARE RESERVED SOLELY FOR THE SOLE CORPORATE MEMBER: -TO APPROVE THE MISSION AND ESTABLISH THE PHILOSOPHY ACCORDING TO WHICH THE CORPORATION SHALL OPERATE; -TO AMEND THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION; -TO APPOINT MEMBERS OF THE BOARD; -TO APPOINT AND REMOVE THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION; -TO APPROVE THE STRATEGIC PLAN, GOALS AND OBJECTIVES OF THE CORPORATION; -TO APPROVE THE OPERATING, CAPITAL, AND CONSTRUCTION BUDGETS FOR THE CORPORATION; -TO LEASE OR SELL ANY OF THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO ENCUMBER ANY OR ALL OF THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO AUTHORIZE AND APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTE ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; -TO MERGE, DISSOLVE, OR ABANDON THE MERCY KANSAS COMMUNITIES CORPORATION; AND -TO APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION BY THE CORPORATION. FORM 990, PART VI, QUESTION 11B DSCR THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM, USING INFORMATION PROVIDED BY THE FILING ORGANIZATION. A DRAFT FORM 990 IS REVIEWED BY THE FILING ORGANIZATION'S FINANCE TEAM, INCLUDING THE DIRECTOR OF ACCOUNTING AND THE VICE-PRESIDENT OF FINANCE. THE DRAFT FORM 990 IS ALSO REVIEWED BY MERCY HEALTH'S TAX DEPARTMENT, TO ENSURE ACCURACY AND CONSISTENCY WITH OTHER RELATED ORGANIZATIONS' FORMS 990. AFTER QUESTIONS ARISING FROM THE VARIOUS REVIEWS ARE ADDRESSED AND INCORPORATED INTO THE FORM 990, A REVISED DRAFT IS PROVIDED TO THE FILING ORGANIZATION'S LEADERSHIP TEAM, INCLUDING THE CFO AND CEO, FOR REVIEW. IN ADDITION, THE FORM 990 IS MADE AVAILABLE TO THE MERCY HEALTH SOUTHWEST MISSOURI/KANSAS COMMUNITIES BOARD OF DIRECTORS FOR THEIR REVIEW, AS MERCY HEALTH SOUTHWEST MISSOURI/KANSAS COMMUNITIES IS THE SOLE CORPORATE MEMBER OF MERCY KANSAS COMMUNITIES AND HAS ULTIMATE RESPONSIBILITY TO APPOINT THE MERCY KANSAS COMMUNITIES BOARD (WHICH IS PRIMARILY ADVISORY IN NATURE) AND LEADERSHIP TEAM AND POWER TO APPROVE SIGNIFICANT FINANCIAL AND OPERATIONAL DECISIONS. 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, QUESTION 12C DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER DISQUALIFIED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY AND DID SO IN THE NORMAL COURSE FOR THE YEAR ENDED JUNE 30, 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, QUESTIONS 15A & 15B OFFICERS & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FOR THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS), THE ORGANIZATION RELIES UPON MERCY HEALTH, WHICH USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT, AND REVIEW/APPROVAL OF COMPENSATION BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF MERCY HEALTH. FOR THOSE CLASSIFIED AS KEY EMPLOYEES, THE ORGANIZATION USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, AND REVIEW/APPROVAL OF EXECUTIVE MANAGEMENT. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS, AND A REVIEW WAS COMPLETED DURING THE REPORTING YEAR. FORM 990, PART VI, QUESTION 19 AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMT TO GEN PUBLIC GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST BUT ARE NOT PUBLISHED PUBLICLY. FORM 990, PART VII, SECTION A, COLUMN B AVERAGE HOURS PER WEEK THE HOURS PER WEEK DISCLOSED IN PART VII IS THE AVERAGE HOURS THE LISTED PERSON WORKED OR DEVOTED PER WEEK WHILE EMPLOYED OR ASSOCIATED WITH THE FILING ORGANIZATION AND RELATED ORGANIZATIONS (IF APPLICABLE). FORM 990, PART XII, QUESTION 2C AUDIT OF FINANCIAL STATEMENTS THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN MERCY HEALTH AND SUBSIDIARIES ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 2013 (THE TAX YEAR CURRENTLY BEING REPORTED). HOWEVER, NO SEPARATE AUDIT OPINION WAS ISSUED ON THE FINANCIAL STATEMENTS OF THE FILING ORGANIZATION. THE ULTIMATE RESPONSIBILITY FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE EXTERNAL AUDITOR LIES WITH THE STEWARDSHIP COMMITTEE (FORMERLY FINANCE, AUDIT, AND COMPLIANCE COMMITTEE) OF THE MERCY HEALTH BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE. Casa de Misericordia 1602 McClelland Street Laredo TX 78044 742912461 SHELTER TX 501(C)(3) 7 MM LAREDO true Laredo Medical Group 14528 S Outer Forty Ste 100 Chesterfield MO 63017 742764726 INACTIVE TX 501(C)(3) 9 MHS TEXAS true McAuley Portfolio Management Company 14528 S Outer Forty Ste 100 Chesterfield MO 63017 261708048 PORT MGMT MO 501(C)(3) 11b MERCY HEALTH true Mercy Clinic East Communities 14528 S Outer Forty Ste 100 Chesterfield MO 63017 431771217 PHYS GROUP MO 501(C)(3) 9 MH EAST COMM true Mercy Clinic Fort Smith Communities 7301 Rogers Avenue Fort Smith AR 72903 261318597 PHYS CLINIC AR 501(C)(3) 9 MH FS COMM true Mercy Clinic Hot Springs Communities 1 Mercy Lane Hot Springs AR 71913 261125131 PHYS CLINIC AR 501(C)(3) 9 MH HS COMM true Mercy Clinic Oklahoma Communities Inc 4300 W Memorial Road Oklahoma City OK 73120 270473057 PHYS GROUP OK 501(C)(3) 9 MH OK COMM true Mercy Clinic Springfield Communities 1965 Fremont Street Ste 2950 Springfield MO 65804 431560263 PHYS GROUP MO 501(C)(3) 9 MH SF COMM true Mercy Family Center 14528 S Outer Forty Ste 100 Chesterfield MO 63017 721069468 COUNSELING MO 501(C)(3) 7 MERCY HEALTH true Mercy Foundation for Health Innovation 14528 S Outer Forty Ste 100 Chesterfield MO 63017 200901499 FOUNDATION MO 501(C)(3) 11b MERCY HEALTH true Mercy Health 14528 S Outer Forty Ste 100 Chesterfield MO 63017 431423050 CORP OFFICE MO 501(C)(3) 1 NA false Mercy Health East Communities 14528 S Outer Forty Ste 100 Chesterfield MO 63017 431718408 HLTH SYSTEM MO 501(C)(3) 11b MERCY HEALTH true Mercy Health East Communities South Reg 14528 S Outer Forty Ste 100 Chesterfield MO 63017 461412322 HLTH SYSTEM MO 501(C)(3) 11b MH EAST COMM true Mercy Health Fort Smith Communities 7301 Rogers Avenue Fort Smith AR 72917 261318515 HOLDING CO AR 501(C)(3) 11b MERCY HEALTH true Mercy Health Foundation Ardmore 1011 14th Avenue NW Ardmore OK 73401 710962525 FOUNDATION OK 501(C)(3) 11a MH ARDMORE true Mercy Health Foundation Berryville 214 Carter Street Berryville AR 72616 710759301 FOUNDATION AR 501(C)(3) 11a MH BRYVILLE true Mercy Health Foundation Fort Scott 401 Woodland Hills Blvd Fort Scott KS 66701 481077073 FOUNDATION KS 501(C)(3) 11c M KS COMM true St Edward Mercy Foundation 7301 Rogers Avenue Fort Smith AR 72917 237330425 FOUNDATION AR 501(C)(3) 7 MH FT SMITH true Mercy Health Foundation Hot Springs 300 Werner Street Hot Springs AR 71913 710804718 FOUNDATION AR 501(C)(3) 11b MH H SPRINGS true Mercy Health Foundation Independence 800 W Myrtle Independence KS 67301 481079981 FOUNDATION KS 501(C)(3) 11a M KS COMM true Mercy Health Foundation Jefferson 1400 US Highway 61 South Festus MO 63028 462797051 FOUNDATION MO 501(C)(3) 11b MH E COMM SR true Mercy Health Foundation Joplin 2817 St Johns Blvd Joplin MO 64804 270906136 FOUNDATION MO 501(C)(3) 11a MH SWMK COMM true Mercy Health Foundation NW Arkansas 2710 Rife Medical Lane Rogers AR 72758 710601687 FOUNDATION AR 501(C)(3) 11c MH ROGERS true Mercy Health Foundation Oklahoma City 4300 W Memorial Road Oklahoma City OK 73120 731593024 FOUNDATION OK 501(C)(3) 11a MH OK CITY true Mercy Health Foundation of Oklahoma 4300 W Memorial Road Oklahoma City OK 73120 454732301 FOUNDATION OK 501(C)(3) 11a MH OK COMM true Mercy Health Foundation Springfield 1235 E Cherokee Street Springfield MO 65804 320195818 FOUNDATION MO 501(C)(3) 11b MH SF COMM true Mercy Health Foundation St Louis 14528 S Outer Forty Ste 100 Chesterfield MO 63017 562410020 FOUNDATION MO 501(C)(3) 11b MH EAST COMM true Mercy Health Foundation Washington 901 E Fifth Street Washington MO 63090 562410022 FOUNDATION MO 501(C)(3) 11b MH EAST COMM true Mercy Health Hot Springs Communities 300 Werner Street Hot Springs AR 71913 261125064 HOLDING CO AR 501(C)(3) 11b MERCY HEALTH true Mercy Health NW Arkansas Communities 2710 Rife Medical Lane Rogers AR 72758 621684203 PHYS GROUP AR 501(C)(3) 11b MERCY HEALTH true Mercy Health Oklahoma Communities Inc 4300 W Memorial Road Oklahoma City OK 73120 731453048 HOLDING CO OK 501(C)(3) 11b MERCY HEALTH true Mercy Health Southwest MOKS Communities 2817 St Johns Blvd Joplin MO 64804 300584463 HLTH SYSTEM MO 501(C)(3) 11b MERCY HEALTH false Mercy Health Springfield Communities 1235 E Cherokee Street Springfield MO 65804 431856028 HLTH SYSTEM MO 501(C)(3) 11b MERCY HEALTH true Mercy Health System of Texas Inc 14528 S Outer Forty Ste 100 Chesterfield MO 63017 742764727 INACTIVE TX 501(C)(3) 11b MERCY HEALTH true Mercy Home Health Berryville 804 W Freeman Suite 4 Berryville AR 72616 870781247 HOME HEALTH AR 501(C)(3) 11c MH SF true Mercy Hospital Ada Inc 430 N Monte Vista Street Ada OK 74820 462288155 HOSPITAL OK 501(C)(3) 3 MH OK COMM true Mercy Hospital Ardmore Inc 1011 14th Avenue NW Ardmore OK 73401 731500629 HOSPITAL OK 501(C)(3) 3 MH OK COMM true Mercy Hospital Aurora 500 Porter Avenue Aurora MO 65605 431936696 HOSPITAL MO 501(C)(3) 3 MH SF COMM true Mercy Hospital Berryville 214 Carter Street Berryville AR 72616 710759299 HOSPITAL AR 501(C)(3) 3 MH SF COMM true Mercy Hospital Carthage 3125 Dr Russell Smith Way Carthage MO 64836 453808607 HOSPITAL MO 501(C)(3) 3 MH SWMK COMM true Mercy Hospital Cassville 94 Main Street Cassville MO 65625 431936699 HOSPITAL MO 501(C)(3) 3 MH SF COMM true Mercy Hospital Columbus 220 Pennsylvania Avenue Columbus KS 66725 270842031 HOSPITAL MO 501(C)(3) 3 MH SWMK COMM true Mercy Hospital El Reno Inc 2115 Parkview Drive El Reno OK 73036 272716065 HOSPITAL OK 501(C)(3) 3 MH OK COMM true Mercy Hospital Fort Smith 7301 Rogers Avenue Fort Smith AR 72917 710240352 HOSPITAL AR 501(C)(3) 3 MH FS COMM true Mercy Hospital Healdton Inc 918 South 8th Street Healdton OK 73438 263173902 HOSPITAL OK 501(C)(3) 3 MH ARDMORE true Mercy Hospital Hot Springs 300 Werner Street Hot Springs AR 71913 710236913 HOSPITAL AR 501(C)(3) 3 MH HS COMM true Mercy Hospital Jefferson 1400 Highway 61 South Festus MO 63028 430687077 HOSPITAL MO 501(C)(3) 3 MH E COMM SR true Mercy Hospital Joplin 2817 St Johns Blvd Joplin MO 64804 270814858 HOSPITAL MO 501(C)(3) 3 MH SWMK COMM true Mercy Hospital Lebanon 100 Hospital Drive Lebanon MO 65536 431767432 HOSPITAL MO 501(C)(3) 3 MH SF COMM true Mercy Hospital Logan County Inc 200 South Academy Guthrie OK 73044 452998842 HOSPITAL OK 501(C)(3) 3 MH OK COMM true Mercy Hospital of Laredo 14528 S Outer Forty Ste 100 Chesterfield MO 63017 741189682 INACTIVE TX 501(C)(3) 3 MHS TEXAS true Mercy Hospital Oklahoma City Inc 4300 W Memorial Road Oklahoma City OK 73120 730579285 HOSPITAL OK 501(C)(3) 3 MH OK COMM true Mercy Hospital Ozark 801 W River Street Ozark AR 72949 710689680 HOSPITAL AR 501(C)(3) 3 MH FT SMITH true Mercy Hospital Paris 500 E Academy Paris AR 72855 710655753 HOSPITAL AR 501(C)(3) 3 MH FT SMITH true Mercy Hospital Rogers 2710 Rife Medical Lane Rogers AR 72758 710294390 HOSPITAL AR 501(C)(3) 3 MH NWAR COMM true Mercy Hospital Springfield 1235 E Cherokee Street Springfield MO 65804 440552485 HOSPITAL MO 501(C)(3) 3 MH SF COMM true Mercy Hospital Tishomingo Inc 1000 South Byrd Tishomingo OK 73460 274433830 HOSPITAL OK 501(C)(3) 3 MH ARDMORE true Mercy Hospital Waldron 1341 W 6th Street Waldron AR 72958 710557895 HOSPITAL AR 501(C)(3) 3 MH FT SMITH true Mercy Hospital Watonga Inc 500 Clarence Nash Blvd Watonga OK 73772 455199762 HOSPITAL OK 501(C)(3) 3 MH OK COMM true Mercy Hospitals East Communities 14528 S Outer Forty Ste 100 Chesterfield MO 63017 430653493 HOSPITAL MO 501(C)(3) 3 MH EAST COMM true Mercy Medical Research Institute 1235 E Cherokee Street Springfield MO 65804 870796305 RESEARCH MO 501(C)(3) 4 MH SF COMM true Mercy Ministries of Laredo 2500 Zacatecas Laredo TX 78046 200198462 OUTREACH TX 501(C)(3) 7 MERCY HEALTH true Mercy St Francis Hospital 100 W Highway 60 Mountain View MO 65548 440607149 HOSPITAL MO 501(C)(3) 3 MH SF COMM true Mercy Support Services 14528 S Outer Forty Ste 100 Chesterfield MO 63017 431677952 INACTIVE MO 501(C)(3) 11c MH EAST COMM true MHM Support Services 14528 S Outer Forty Ste 100 Chesterfield MO 63017 202553101 HLTH SYSTEM MO 501(C)(3) 11b MERCY HEALTH true Mission Clinical Services 300 Werner Street Hot Springs AR 71913 134239691 NURSING HOME AR 501(C)(3) 9 MH HS COMM true St John's Children's Hospital Inc 1235 E Cherokee Street Springfield MO 65804 INACTIVE MO 501(C)(3) 3 MH SF COMM true St Mary's Hospital of Enid Oklahoma 14528 S Outer Forty Ste 100 Chesterfield MO 63017 730614655 INACTIVE OK 501(C)(3) 3 MH OK COMM true The Sister M Cornelia Blasko Foundation 100 W Highway 60 Mountain View MO 65548 431873914 FOUNDATION MO 501(C)(3) 11a M ST FRANCIS true Unity Ambulatory Care 14528 S Outer Forty Ste 100 Chesterfield MO 63017 431861745 INACTIVE MO 501(C)(3) 11c MH EAST COMM true Merc Ambu Surg CTR 7301 Rogers Av Fort Smith AR 72903 710827721 AMBUL SURG CTR AR NA RES OPT & INNOV 645 Maryville Centre Dr 200 St Louis MO 63141 460468368 CENTRAL DIST. MO NA SO OK DIAG CTR 1011 14TH Ave NW Ardmore OK 73401 431971232 MRI Services OK NA Fort Smith EMS 1701 S Greenwood Fort Smith AR 72901 710416615 Emergency Med AR NA St Ed Mer Med MOB 7301 Rogers Ave Fort Smith AR 72903 710554050 Office Building AR NA Frontenac Properties Inc 14528 S Outer Forty Suite 100 Chesterfield MO 63017 521914421 HOLDING COMP DE NA C-Corp true Inveno Health Inc 1235 E Cherokee Street Springfield MO 65804 264509571 RESEARCH MO NA C-Corp true Mercy Community Services Inc 401 Woodland Hills Blvd Fort Scott KS 66701 481078101 RETAIL PHARMACY KS M KS COMM C-Corp 0 0 1.00000 true Mercy Health Center Condominium Inc 4300 W Memorial Rd Oklahoma City OK 73120 680640970 REAL ESTATE OK NA C-Corp true Mercy Health Network of the Southern Reg 1011 14th Avenue NW Ardmore OK 73401 731580607 HEALTH CARE OK NA C-Corp true Mercy Health Network Inc 4300 W Memorial Road Oklahoma City OK 73120 731381689 HEALTH CARE OK NA C-Corp true Mercy Managed Care Corporation 4300 W Memorial Road Oklahoma City OK 73120 731441665 HOLDING COMP OK NA C-Corp true UH L Corp Inc 645 Maryville Centre Drive Suite 1 St Louis MO 63141 742499535 HOLDING COMP MO NA C-Corp true Unity Support Services Inc 645 Maryville Centre Drive Suite 1 St Louis MO 63141 431797042 PRACTICE MGT MO NA C-Corp true Jefferson Land Company Inc 14528 South Outer Forty Suite 100 Chesterfield MO 63017 431330360 HOLDING COMP MO NA C-Corp true The Apothecary Services Inc PO Box 350 Crystal City MO 63019 431627267 RETAIL PHARMACY MO NA C-Corp true false false true false false false false false false false false false false false false true true false false Mercy Clinic Springfield Communities p 112760 FMV Mercy Community Services Inc p 805359 FMV Mercy Health Foundation Fort Scott c 165000 FMV Mercy Health Hot Springs Communities q 88654 FMV Mercy Hospital Joplin p 528271 FMV Mercy Hospital Logan County Inc p 53416 FMV Mercy Hospitals East Communities p 312578 FMV MHM Support Services p 17667244 FMV Resource Optimization & Innovation LLC p 1136288 FMV FORM 990, SCHEDULE R, PART V LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY HEALTH. 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 C,P AND Q.