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MERCY CLINIC EAST COMMUNITIES: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MERCY CLINIC EAST COMMUNITIES (EIN 43-1771217)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-14
IRS object ID
201341349349307169
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-14T16:47:02-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN562632458EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PLEUS AND COMPANY LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line114323 S OUTER FORTY STE 310NAddressLine1
CityCHESTERFIELDCity
StateMOState
ZIP Code63017ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN431771217EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MERCY CLINIC EAST COMMUNITIESBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMERCNameControl
Phone3143643731Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1645 MARYVILLE CENTRE DRIVE STE 100AddressLine1
CityST LOUISCity
StateMOState
ZIP Code63141ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCHERYL MATEJKAName
TitleTREASURERTitle
Phone3143643532Phone
Date Signed2013-05-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
PTINP00013488PTIN
Phone3143179916Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOHN HUBERTNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1645 MARYVILLE CENTRE DRIVE STE 100AddressLine1
CityST LOUISCity
StateMOState
ZIP Code63141ZIPCode
FieldValueIRS element (for citing)
Gross Receipts134470938GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MERCY.NET/STLOUISMOWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1994YearFormation
State Legal DomicileMOStateLegalDomicile
Activity Or Mission DescriptionMERCY CLINIC EAST COMMUNITIES ("MCEC") COORDINATES PHYSICIAN-RELATED ASPECTS OF HEALTH CARE WITHIN THE MERCY HEALTH EAST COMMUNITIES INTEGRATED HEALTH CARE DELIVERY SYSTEM.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees1551TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI143214TotalGrossUBI
Net Unrelated Business Txbl Income16228NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year106480495ProgramServiceRevenuePriorYear
Program Service Revenue CY134406586ProgramServiceRevenueCY
Investment Income Prior Year850274InvestmentIncomePriorYear
Investment Income Current Year59567InvestmentIncomeCurrentYear
Other Revenue Prior Year13443OtherRevenuePriorYear
Other Revenue Current Year4785OtherRevenueCurrentYear
Total Revenue Prior Year107344212TotalRevenuePriorYear
Total Revenue Current Year134470938TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year99895963SalariesEtcPriorYear
Salaries Etc Current Year146261763SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year36968240OtherExpensePriorYear
Other Expenses Current Year46129145OtherExpensesCurrentYear
Total Expenses Prior Year136864203TotalExpensesPriorYear
Total Expenses Current Year192390908TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-29519991RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-57919970RevenuesLessExpensesCY
Total Assets BOY37752027TotalAssetsBOY
Total Assets EOY51178114TotalAssetsEOY
Total Liabilities BOY32086197TotalLiabilitiesBOY
Total Liabilities EOY46714254TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5665830NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4463860NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionAS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense179832898Expense
Revenue134263372Revenue
DescriptionTHE PRIMARY PURPOSE OF MERCY CLINIC EAST COMMUNITIES ("CLINIC") IS TO COORDINATE PHYSICIAN-RELATED ASPECTS OF HEALTH CARE WITHIN MERCY HEALTH EAST COMMUNITIES INTEGRATED HEALTH CARE DELIVERY SYSTEM. THESE PHYSICIAN-RELATED ACTIVITIES INCLUDE:1. DELIVERY OF HEALTH CARE SERVICES TO THE PUBLIC; INCLUDING, BUT NOT LIMITED TO PHYSICIAN SERVICES, CONTRACTING FOR PHYSICIAN SERVICES WITH LOCAL NETWORKS, HEALTH MAINTENANCE ORGANIZATIONS, OTHER PROVIDER GROUPS, AND HOSPITALS AND OTHER HEALTH CARE FACILITIES, AND EMPLOYING THE NECESSARY STAFF OF PHYSICIANS AND OTHER PERSONNEL NECESSARY TO DELIVER SUCH HEALTH CARE SERVICES AND CARRY OUT OTHER PURPOSES OF THE CLINIC. THE CLINIC ALSO PROVIDES SERVICES (OVER $17,950,000) TO A LARGE NUMBER (OVER 96,000 ENCOUNTERS) OF MEDICAID AND CHARITY CARE PATIENTS IN ITS SERVICE TO THE COMMUNITY.2. FURTHERING SCIENTIFIC RESEARCH TO BENEFIT THE PUBLIC THROUGH PARTICIPATION IN CLINICAL DRUG STUDIES.THE PHYSICIAN DIRECTORS AND EMPLOYEES OF THE CLINIC CARRY OUT SUCH ACTIVITIES INDIVIDUALLY AND AS A CORPORATION THROUGH COMMITTEES, TASK FORCES, AND OTHER GROUPS, TO FURTHER THE CHARITABLE PURPOSES OF THE CLINIC.THE COORDINATION OF SERVICES BY AND BETWEEN MERCY HEALTH EAST COMMUNITIES AND THE CLINIC ENABLES MERCY HEALTH EAST COMMUNITIES INTEGRATED HEALTH CARE DELIVERY SYSTEM TO PROVIDE MORE EFFECTIVE AND COST EFFICIENT SERVICES BY ALLOWING EACH PART OF THE SYSTEM TO FOCUS ON ITS AREA OF EXPERTISE, AVOID DUPLICATION OF SERVICES, AND PROVIDE INTEGRATED DELIVERY OF HEALTH CARE SERVICES.THE CLINIC OPERATES EXCLUSIVELY FOR THE BENEFIT OF OR TO ESTABLISH AND MAINTAIN ONE OR MORE MEDICAL PRACTICES AS INSTITUTIONS WITH PERMANENT HEALTH SERVICE FACILITIES FOR THE DIAGNOSIS AND TREATMENT OF PATIENTS AND TO PROVIDE SUCH MEDICAL SERVICES AS MAY BE REQUIRED BY PATIENTS; TO CONDUCT EDUCATIONAL ACTIVITIES RELATED TO CARE OF THE SICK AND INJURED OR TO THE PROMOTION OF HEALTH; TO DEVELOP EFFICIENT AND PRACTICAL ARRANGEMENTS FOR PROVIDING HEALTH SERVICES; TO FOSTER THE TEACHING AND RESEARCH FUNCTIONS AT ITS FACILITIES IN COOPERATION WITH OTHER HEALTH SERVICES AND EDUCATIONAL INSTITUTIONS; AND TO PROVIDE ORIENTATION AND IN-SERVICE TRAINING PROGRAMS TO PERSONNEL EMPLOYED AT ITS FACILITIES IN ORDER TO MAINTAIN THEIR SKILLS AND TO MAKE THEM AWARE OF DEVELOPMENTS IN THE HEALTH SERVICES FIELD.AMONG THE COMMUNITY SUPPORT ACTIVITIES OFFERED BY THE CLINIC WERE THE FOLLOWING: HEALTH FAIRS AND SCREENINGS- CLINIC PHYSICIANS AND CO-WORKERS STAFFED "ASK THE DOCTOR" BOOTHS AND/OR PROVIDED FREE HEALTH SCREENINGS AND HEALTH INFORMATION AT VARIOUS NONPROFIT AND COMMUNITY EVENTS, INCLUDING THE MERCY HEART-TO-HEART FAIR.- IN ADDITION, CLINIC PHYSICIANS STAFFED BOOTHS OR PROVIDED SCREENINGS AT EMPLOYEE HEALTH FAIRS FOR AREA CORPORATIONS.PROVISION OF FREE HEALTH INFORMATION- CLINIC PHYSICIANS SHARED THEIR KNOWLEDGE WITH THE ST. LOUIS COMMUNITY THROUGH VARIOUS MEDIA INTERVIEWS ON SPECIFIC HEALTH TOPICS.- CLINIC PHYSICIANS PROVIDED TALKS TO THE COMMUNITY ON VARIOUS HEALTH RELATED TOPICS: - EATING/COOKING HEALTHY FOR THE HOLIDAYS - CHILD DEVELOPMENT - GENERAL HEALTH AND WELLNESS- SEVERAL CLINIC PHYSICIANS SERVE AS CONSULTING PHYSICIANS FOR ST. LOUIS AREA SCHOOL DISTRICTS, BOY SCOUTS, AND ATHLETIC TEAMS.CHARITABLE OUTREACH- CO-WORKERS OF CLINIC PRACTICES COLLECTED CANNED GOODS AND PANTRY ITEMS TO DONATE TO LOCAL FOOD PANTRIES, AND BOXED UP DONATIONS OF FOOD FOR FAMILIES SERVED BY AREA CATHOLIC CHURCHES. - DURING THE HOLIDAYS, CLINIC CO-WORKERS SPONSORED RAFFLES AND DRESS-DOWN DAYS TO RAISE FUNDS TO SUPPORT FAMILIES IN NEED. CO-WORKERS DONATED CASH, WRAPPING PAPER, AND SUPPLIES; SHOPPED FOR AND WRAPPED GIFTS; AND DELIVERED THE ITEMS TO FAMILY MEMBERS, WHO WERE REFERRED BY MERCY NEIGHBORHOOD MINISTRY AND MISSION SERVICES. SUPPORT OF COMMUNITY PROGRAMS- IN ADDITION TO ORGANIZATION-WIDE SUPPORT FOR THE AMERICAN HEART ASSOCIATION, THE SUSAN G. KOMEN FOUNDATION RACE FOR THE CURE, THE ST. LOUIS ZOO'S "BOO AT THE ZOO," AND THE UNITED WAY OF GREATER ST. LOUIS, INDIVIDUAL PHYSICIANS AND CO-WORKERS VOLUNTEERED THEIR TIME AS WORKERS AND/OR HEALTH CARE PROVIDERS, AND/OR PARTICIPATED IN FUNDRAISING ACTIVITIES.MEDICAL EDUCATION PROGRAMS- CLINIC PHYSICIANS AND CO-WORKERS MENTORED INTERNS AND NEW ENTRANTS TO THE HEALTH CARE FIELD, AND SERVED AS PRECEPTORS FOR MEDICAL, PHARMACY, AND NURSE PRACTITIONER STUDENTS. - SEVERAL CLINIC PHYSICIANS TAUGHT RESIDENTS AND STAFF THROUGH WEEKLY GRAND ROUNDS AND LECTURES FOR MEDICAL DEPARTMENTS AT MERCY HOSPITAL ST. LOUIS.Description
Total Program Service Expense179832898TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1551NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1KERRY DUNGERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3143643731TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1645 MARYVILLE CENTRE DRIVE STE 100AddressLine1
CityST LOUISCity
StateMOState
ZIP Code63141ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
CHERYL MATEJKA
CFO, MERCY EAST COMMUNITIES60.00XX039253066012
MARC MERBAUM
MEMBER60.00X373124027732
STEPHEN SANDERS
MEMBER60.00X428012032287
RAYMOND WEICK
MEMBER60.00X344664019466
CHRISTOPHER VEREMAKIS
MEMBER60.00X0466883113323
GARY WASSERMAN
MEMBER60.00X385082015059
STEVEN HILTON
MEMBER60.00X335457029279
ALOK SENGUPTA
MEMBER60.00X341856027621
JOSEPH HILGEMAN
MEMBER60.00X381843032599
JOHN MARBARGER
MEMBER60.00X625833028016
JOHN HUBERT
MERCY PHYSICIAN PRESIDENT60.00XX728947017961
THOMAS RIECHERSMD
MEMBER65.00X043046327514
JEANNE CANTALIN
SECRETARY50.00XX024318522809
JOHN SPIVEY MD
MEMBER50.00X296047023687
MICHAEL MCCURRY
CEO, MHEC, THRU 8/31/1160.00X0933189540015
JOHN ZALEWSKI
MEDICAL DIRECTOR64.00491443030587X
MARK FARON
MEDICAL DIRECTOR60.00394713031854X
STEPHEN PIEPER
MEDICAL DIRECTOR60.00553376025884X
JENNIFER SCHEER
MEDICAL DIRECTOR60.00263528026607X
SALLY PETITO MD
MEDICAL DIRECTOR50.00267295014433X
JOSEPH KAHN MD
MEDICAL DIRECTOR50.00357856024550X
GREGORY POTTS MD
PHYSICIAN58.00700488023278X
PHILLIP REICHERT
PHYSICIAN55.001004937030250X
JAY PADRATZIKMD
PHYSICIAN85.00811080029161X
ALLA DORFMAN
PHYSICIAN60.00698746023375X
DIANE RADFORD MD
PHYSICIAN50.00712377015276X
THOMAS HALE MD PHD
FORMER OFFICER60.000623669114953X
RANDALL COMBS
FORMER OFFICER60.0001603412214513X
DONALD KALICAK
FORMER KEY EMPLOYEE60.00029145545583X
FieldValueIRS element (for citing)
Total Reportable Comp From Org10496704TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs4984786TotalReportableCompFrmRltdOrgs
Total Other Compensation1673684TotalOtherCompensation
Number Individuals GT100 K395NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MEDICAL EMPLOYMENT DIRECTORY
11701 BORMAN DR STE 280ST LOUISMO63146TEMPORARY AGENCY304314
NAVVIS CONSULTING
15945 CLAYTON ROAD SUITE 360BALLWINMO63011CONSULTING198990
WEATHERBY LOCUMS INC
PO BOX 972633DALLASTX75397PHYSICIAN WAGES149373
NOTIFYMD INC
318 SEABOARD LANE SUITE 310FRANKLINTN37067ANSWERING SERVICES102567
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT REVENUE621110125255442125255442
OTHER OPERATING REVENU62111090079309007930
COMMERCIAL RESEARCH621500143214143214
FieldValueIRS element (for citing)
Total Program Service Revenue134406586TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column59567TotalRevenueColumn
Exclusion$59,567ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real4785Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real4785Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column4785TotalRevenueColumn
Exclusion$4,785ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column134470938TotalRevenueColumn
Related Or Exempt Function Income134263372RelatedOrExemptFunctionIncome
Unrelated Business Revenue143214UnrelatedBusinessRevenue
Exclusion$64,352ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total6869412Total
Program Services6869412ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total197559Total
Program Services197559ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total117822877Total
Program Services112662339ProgramServices
Management And General5160538ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total4795740Total
Program Services4597577ProgramServices
Management And General198163ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total10562705Total
Program Services10126246ProgramServices
Management And General436459ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6013470Total
Program Services5764989ProgramServices
Management And General248481ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1165144Total
Program Services1068935ProgramServices
Management And General96209ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total264040Total
Program Services242237ProgramServices
Management And General21803ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1389945Total
Program Services1275173ProgramServices
Management And General114772ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2430654Total
Program Services2229948ProgramServices
Management And General200706ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total10539827Total
Program Services9669523ProgramServices
Management And General870304ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total405020Total
Program Services371576ProgramServices
Management And General33444ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total173Total
Program Services159ProgramServices
Management And General14ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1443219Total
Program Services1324048ProgramServices
Management And General119171ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total4498569Total
Program Services4127109ProgramServices
Management And General371460ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES13123425120397861083639
SHARED SERVICE FEES708312136832233399898
BAD DEBTS13281851328185
REPAIRS & MAINTENANCE35145332243329020

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2106370Total
Program Services1932441ProgramServices
Management And General173929ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total192390908Total
Program Services179832898ProgramServices
Management And General12558010ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY7102598BOY
EOY11204904EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY9406837BOY
EOY11019167EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY2100723EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY18477EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY64131BOY
EOY1040233EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis20585083LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec13469685LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4292514BOY
EOY7115398EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY5472999BOY
EOY5495866EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY132000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY11412948BOY
EOY13051346EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY37752027BOY
EOY51178114EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2887609BOY
EOY26802141EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
EOY3620EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY29198588BOY
EOY19908493EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY32086197BOY
EOY46714254EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5665830BOY
EOY4463860EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5665830BOY
EOY4463860EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY37752027BOY
EOY51178114EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-57919970ReconcilationRevenueExpenses
Reconcilation Other Changes56718000ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years84833897CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years87688320CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years89606051CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year106440302CurrentTaxYearMinus1Year
Current Tax Year134263372CurrentTaxYear
Total502831942Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years84833897CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years87688320CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years89606051CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year106440302CurrentTaxYearMinus1Year
Current Tax Year134263372CurrentTaxYear
Total502831942Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509502831942PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years-195856CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years-502244CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years655450CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year850274CurrentTaxYearMinus1Year
Current Tax Year64352CurrentTaxYear
Total871976Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years-195856CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years-502244CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years655450CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year850274CurrentTaxYearMinus1Year
Current Tax Year64352CurrentTaxYear
Total871976Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years20888CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years109838CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10081CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year40193CurrentTaxYearMinus1Year
Current Tax Year143214CurrentTaxYear
Total324214Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years84658929CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years87295914CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years90271582CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year107330769CurrentTaxYearMinus1Year
Current Tax Year134470938CurrentTaxYear
Total504028132Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99760PublicSupportPercentage509
Prior Year Support Percentage0.99580PriorYearSupportPercentage
Investment Income Percentage0.00170InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00370PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$737GrantsOtherOrganizationsAmount
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB737TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationTHE FILING ORGANIZATION IS A MEMBER OF AND PAYS DUES TO THE FOLLOWING ASSOCIATION: CATHOLIC HEALTH ASSOCIATION. FOR THE YEAR ENDED JUNE 30, 2012, DUES WERE $14,312. APPROXIMATELY 5.15% OF CATHOLIC HOSPITAL ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED BY THESE ASSOCIATIONS.Explanation

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis9843906OtherCostOrOtherBasis
Depreciation6279454Depreciation
Book Value3564452BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis10578016OtherCostOrOtherBasis
Depreciation7190231Depreciation
Book Value3387785BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis163161OtherCostOrOtherBasis
Book Value163161BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7115398TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionMH INV FUNDDescription
Book Value5495866BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities5495866TotalOfBookValueSecurities

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
DEFERRED COMPENSATION12504211
OTHER ASSETS547135
FieldValueIRS element (for citing)
Total Book Value Other Assets13051346TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DEFERRED COMPENSATION$12,504,211
INTERCOMPANY PAYABLE$7,404,282
FieldValueIRS element (for citing)
Total Of Amounts19908493TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF MERCY HEALTH AND SUBSIDIARIES DO NOT INCLUDE A FOOTNOTE TO REPORT THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX PROVISIONS UNDER FIN 48, AS THEY ARE DEEMED IMMATERIAL FOR DISCLOSURE.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelXFirstClassOrCharterTravel
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (29 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
CHERYL MATEJKA
0281624072435038471049820016192045854200
MARC MERBAUM
344539000285850115780161540400856000
STEPHEN SANDERS
392484000355280164000158870460299000
RAYMOND WEICK
31645600028208087680106980364130000
CHRISTOPHER VEREMAKIS
0334063086626046194097687015636058020600
GARY WASSERMAN
3316530005342906908081510400141000
STEVEN HILTON
2391170515900447500137940154850364736000
ALOK SENGUPTA
2680440456270281850114220161990369477000
JOSEPH HILGEMAN
352956000288870169110156880414442000
JOHN MARBARGER
5151490470340636500157080123080653849000
JOHN HUBERT
58399608292506202608640093210746908000
THOMAS RIECHERSMD
0317229061760051474011162016352045797700
JEANNE CANTALIN
019044903954601319001349709312026599400
JOHN SPIVEY MD
26800400028043079360157510319734000
MICHAEL MCCURRY
0690577021583302677905273850126300147320400
JOHN ZALEWSKI
4213960132780567690139970165900522030000
MARK FARON
340887000538260175920142620426567000
STEPHEN PIEPER
50002207500045854098310160530579260000
JENNIFER SCHEER
2042230313750279300116630149440290135000
SALLY PETITO MD
20650007500053295012041023920281728000
JOSEPH KAHN MD
296313075000540430139970105530382406000
GREGORY POTTS MD
64719700053291096470136310723766000
PHILLIP REICHERT
9860780001885901258901766101035187000
JAY PADRATZIKMD
765010000460700126100165510840241000
ALLA DORFMAN
65230300046443016030073450722121000
DIANE RADFORD MD
6599250005245206734085420727653000
THOMAS HALE MD PHD
045801601108230548300102419012534073862200
RANDALL COMBS
0556847017694308696220203176011337018179250839230
DONALD KALICAK
0192345056503042607033954011629033703800

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 1ACHARTER TRAVEL IS PROVIDED TO CERTAIN EMPLOYEES AS AND WHEN APPROPRIATE, AND AS DEEMED NECESSARY FOR BUSINESS TRAVEL. AFTER CHARTER TRAVEL APPROVAL HAS BEEN GRANTED IN ACCORDANCE WITH THE FINANCIAL JUSTIFICATION PROCESS, THE APPROVED CHARTER TRAVEL FOR BUSINESS IS A REIMBURSABLE EXPENSE WHICH IS NOT TAXABLE TO THE EMPLOYEES. TRAVEL FOR COMPANIONS IS PROVIDED IN RARE INSTANCES AND IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. WHERE COMPANION TRAVEL HAS RESULTED IN A TAXABLE EVENT, THE EMPLOYEES ARE TAXED FOR SUCH TRAVEL. SPOUSAL TRAVEL WAS PROVIDED FOR THE FOLLOWING EMPLOYEES OF RELATED ORGANIZATIONS: MICHAEL MCCURRY; DONALD KALICAK. 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 BY EMPLOYEES FOR THE CONVENIENCE OF THE COMPANY IS MADE IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. AS A REIMBURSABLE EXPENSE, THIS TYPE OF LODGING IS NOT TAXABLE TO THE EMPLOYEE.
PART I, LINE 4BPART 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 6/30/2012. SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) COMBS, RANDY; MCCURRY, MICHAEL SUPPLEMENTAL MANAGEMENT RETIREMENT PLAN (SMRP) MATEJKA,CHERYL L; HALE,THOMAS; KALICAK,DONALD; EOLOFF,ERIC; ZALEWSKI,JOHN; VEREMAKIS,CHRISTOPHER; CANTALIN,JEANNE; HUBERT,JOHN THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C).
PART I, LINE 7THE RELATED ORGANIZATION WHICH EMPLOYS THOSE INDIVIDUALS LISTED ON PART VII, AND THE FILING ORGANIZATION PROVIDES A NON-FIXED BONUS PLAN FOR WHICH CERTAIN TIERS OF ITS EMPLOYEES ARE ELIGIBLE. FOR FISCAL YEAR 2012 (JULY 1, 2011 - JULY 30, 2012) PAYMENT OF ALL OR PART OF THE BONUS WAS CONTINGENT UPON ATTAINMENT OF CERTAIN FINANCIAL TARGETS. PAYMENTS ARE MADE ANNUALLY IN OCTOBER FOLLOWING (I) THE CONCLUSION OF THE FISCAL YEAR AND (II) DETERMINATION OF GOAL ACHIEVEMENT. BONUS OPPORTUNITIES ARE TIERED PERCENTAGES AND ARE DEPENDENT UPON THE LEADERSHIP LEVEL AND ATTAINMENT PERCENTAGE. MERCY'S ATTAINMENT OF FINANCIAL GOALS ARE REVIEWED BY THE EXECUTIVE COMPENSATION COMMITTEE OF MERCY HEALTH AND ARE THEN TAKEN INTO ACCOUNT WHEN ANALYZING EXECUTIVE COMPENSATION FOR REASONABLENESS.
PART IIIPART I, LINE 3: MERCY HEALTH (PARENT COMPANY) IS RESPONSIBLE FOR ESTABLISHING THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THE FOLLOWING METHODS WERE USED BY MERCY HEALTH TO ESTABLISH COMPENSATION: -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE MERCY CLINIC EAST COMMUNITIES USES A WRITTEN EMPLOYMENT CONTRACT.SUPPLEMENTAL INFORMATION

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
KATHRYN DELL
FAMILY MEMBER OF STEPHEN PIEPER, KEY EMPLOYEE104657EMPLOYMENT ARRANGEMENT, MERCY CLINIC EAST COMMUNITIES0
HOLLY HUTCHINGS
FAMILY MEMBER OF JOHN ZALEWSKI, KEY EMPLOYEE32901EMPLOYMENT ARRANGEMENT, MERCY CLINIC EAST COMMUNITIES0
GAIL WEICK
FAMILY MEMBER OF RAY WEICK, BOARD MEMBER65112EMPLOYMENT ARRANGEMENT, MERCY CLINIC EAST COMMUNITIES0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6THE MEMBER OF MERCY CLINIC EAST COMMUNITIES IS MERCY HEALTH EAST COMMUNITIES, A SUPPORTING ORGANIZATION UNDER SECTION 509(A)(3). THE MEMBER OF MERCY HEALTH EAST COMMUNITIES IS MERCY HEALTH.
FORM 990, PART VI, SECTION A, LINE 7AMERCY HEALTH EAST COMMUNITIES HAS RESERVE POWERS TO: -APPOINT DIRECTORS PURSUANT TO THE PROCESS SET FORTH IN THE BYLAWS; -REMOVE UP TO TWO DIRECTORS DURING ANY FISCAL YEAR WITHOUT CAUSE AND OTHERWISE REMOVE DIRECTORS FOR CAUSE; AND -REMOVE THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION WITH OR WITHOUT CAUSE, AFTER CONSULTATION WITH THE BOARD.
FORM 990, PART VI, SECTION A, LINE 7BMERCY HEALTH EAST COMMUNITIES HAS RESERVE POWERS TO: -ADOPT OR AMEND THE CORPORATION'S MISSION AND PHILOSOPHY; -ADOPT OR AMEND THE CORPORATION'S STRATEGIC PLANS, GOALS, AND OBJECTIVES; -ADOPT OR AMEND THE CORPORATION'S BUDGETS; -AUTHORIZE OR APPROVE THE ASSIGNMENT, TRANSFER, SALE OR LEASE OF ANY OF THE CORPORATION'S ASSETS OR INTEREST THEREIN IN EXCESS OF $1,000,000; -AUTHORIZE OR APPROVE THE GRANT OF ANY PLEDGE, LIEN, ENCUMBRANCE, MORTGAGE, DEED OF TRUST OR OTHER SECURITY INTEREST IN ANY OR ALL OF THE CORPORATION'S ASSETS; -AUTHORIZE OR APPROVE THE INCURRENCE OF DEBT (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) BY THE CORPORATION AND GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTE ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; -MERGE, DISSOLVE OR ABANDON THE CORPORATION; -AMEND THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION, SUBJECT TO THE APPROVAL OF THE MERCY HEALTH EAST COMMUNITIES BOARD; -ESTABLISH COMPENSATION AND BENEFIT TERMS FOR PHYSICIANS AND OTHER MEDICAL PROFESSIONALS EMPLOYED OR OTHERWISE RETAINED BY THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM, USING INFORMATION PROVIDED BY THE FILING ORGANIZATION. A DRAFT FORM 990 IS REVIEWED BY THE FILING ORGANIZATION'S FINANCE LEADERSHIP. THE DRAFT FORM 990 IS ALSO REVIEWED BY THE MERCY HEALTH TAX DEPARTMENT, TO ENSURE ACCURACY AND CONSISTENCY WITH OTHER RELATED ORGANIZATIONS' FORM 990S. AFTER QUESTIONS ARISING FROM THE VARIOUS REVIEWS ARE ADDRESSED AND INCORPORATED INTO THE FORM 990, A REVISED DRAFT IS PROVIDED TO THE FILING ORGANIZATION'S LEADERSHIP TEAM FOR REVIEW. ONCE REVIEWED AND APPROVED BY THE FILING ORGANIZATION'S LEADERSHIP TEAM, IT IS THEN SIGNED AND FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12COFFICERS, 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, 2012. 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 FINANCE, AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15AFOR THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS), MERCY HEALTH (ULTIMATE PARENT COMPANY) USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT, AND REVIEW/APPROVAL OF COMPENSATION BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE MERCY HEALTH BOARD. FOR THOSE CLASSIFIED AS KEY EMPLOYEES, THE FOLLOWING ARE USED TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, AND REVIEW/APPROVAL OF EXECUTIVE MANAGEMENT OF MERCY HEALTH EAST COMMUNITIES. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS, AND A REVIEW WAS COMPLETED DURING THE REPORTING YEAR.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE FROM TIME TO TIME BUT ARE NOT PUBLISHED PUBLICLY; WE ARE NOT REQUIRED TO MAKE THESE DOCUMENTS AVAILABLE TO THE PUBLIC. FINANCIAL RESULTS ARE AVAILABLE VIA REQUEST OF COPY OF FORM 990.
FORM 990, PART XI, LINE 5:CAPITAL FUNDING 56,718,000. TOTAL TO FORM 990, PART XI, LINE 5: 56,718,000.CHANGES IN NET ASSETS OR FUND BALANCES:
PART XI, LINE 2THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN THE MERCY HEALTH AND SUBSIDIARIES ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 2012 (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 FINANCE, AUDIT, AND COMPLIANCE COMMITTEE OF THE MERCY HEALTH SYSTEM BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE.AUDITED FINANCIAL STATEMENTS
PART XI, LINE 3THE CONSOLIDATED GROUP OF MERCY HEALTH IS REQUIRED TO UNDERGO AN AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133. THE SINGLE AUDIT WAS CONDUCTED ON A CONSOLIDATED BASIS.SINGLE AUDIT ACT AND OMB CIRCULAR A-133
FORM 990, SCHEDULE R, PART VLAWSON 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 O AND P.SYSTEM LIMITATIONS
PART VII, SECTION A, COLUMN BSEVERAL INDIVIDUALS ARE DISCLOSED AS OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ON MULTIPLE FORM 990S THAT ARE FILED BY ORGANIZATIONS INCLUDED IN THE MERCY HEALTH EAST COMMUNITIES SYSTEM. THE AVERAGE HOURS PER WEEK REPORTED INCLUDES HOURS WORKED FOR ALL OF THESE ORGANIZATIONS.HOURS PER WEEK
FORM 990, PART V, QUESTION 1AINDEPENDENT CONTRACTORS FOR THE FILING ORGANIZATION ARE PAID BY MERCY HEALTH (EIN 43-1423050). AS SUCH, ALL REQUIRED FORM 1099 AND FORM 1096 REPORTING IS MADE FOR THE ENTIRE HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN.INDEPENDENT CONTRACTORS

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (39 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
MERCY AFFILIATED PHYSICIANS LLC
645 MARYVILLE CENTRE DRIVESTE 100ST LOUISMO63141810559009SOLE MEMBER - INACTIVE 1/1/12MO00MERCY CLINIC EAST COMMUNITIES
MERCY CARDIOLOGY LLC
645 MARYVILLE CENTRE DRIVESTE 100ST LOUISMO63141261135019INACTIVEMO00MERCY CLINIC EAST COMMUNITIES
MERCY CLINIC BURN AND PLASTIC SURGERY LLC
645 MARYVILLE CENTRE DRIVESTE 100ST LOUISMO63141201626706PHYSICIAN PRACTICEMO1001430266197MERCY CLINIC EAST COMMUNITIES
MERCY CLINIC CARDIOVASCULAR & THOR SURG LLC
645 MARYVILLE CENTRE DRIVESTE 100ST LOUISMO63141562595510PHYSICIAN PRACTICEMO1787831280720MERCY CLINIC EAST COMMUNITIES
MERCY CLINIC CHILD AND ADOLESCENT PSYCHIATRY LLC
645 MARYVILLE CENTRE DRIVESTE 100ST LOUISMO63141431893326PHYSICIAN PRACTICEMO95243185974MERCY CLINIC EAST COMMUNITIES
MERCY CLINIC CHILD NEUROLOGY LLC
645 MARYVILLE CENTRE DRIVESTE 100ST LOUISMO63141274187705PHYSICIAN PRACTICEMO76730673947MERCY CLINIC EAST COMMUNITIES
MERCY CLINIC CHILDREN'S CANCER & HEMATOLOGY LLC
645 MARYVILLE CENTRE DRIVESTE 100ST LOUISMO63141431905879PHYSICIAN PRACTICEMO2078927295754MERCY CLINIC EAST COMMUNITIES
MERCY CLINIC CHILDRENS HEART CENTER LLC
645 MARYVILLE CENTRE DRIVESTE 100ST LOUISMO63141201626888PHYSICIAN PRACTICEMO62689738019MERCY CLINIC EAST COMMUNITIES
MERCY CLINIC CHILDRENS INFECTIOUS DISEASES LLC
645 MARYVILLE CENTRE DRIVESTE 100ST LOUISMO63141272252716PHYSICIAN PRACTICEMO10082118145MERCY CLINIC EAST COMMUNITIES
MERCY CLINIC CHILDREN'S PALLIATIVE CARE LLC
645 MARYVILLE CENTRE DRIVESTE 100ST LOUISMO63141454436211PHYSICIAN PRACTICEMO00MERCY CLINIC EAST COMMUNITIES
MERCY CLINIC CHILDRENS RESPIRATORY & SLEEP MEDICINE LLC
645 MARYVILLE CENTRE DRIVESTE 100ST LOUISMO63141201626863PHYSICIAN PRACTICEMO100032940904MERCY CLINIC EAST COMMUNITIES
MERCY CLINIC CHILDREN'S SURGERY LLC
645 MARYVILLE CENTRE DRIVESTE 100ST LOUISMO63141201626627PHYSICIAN PRACTICEMO82536084315MERCY CLINIC EAST COMMUNITIES
MERCY CLINIC CHILDREN'S UROLOGY LLC
645 MARYVILLE CENTRE DRIVESTE 100ST LOUISMO63141451581113PHYSICIAN PRACTICEMO740299230849MERCY CLINIC EAST COMMUNITIES
MERCY CLINIC DERMATOLOGY LLC
645 MARYVILLE CENTRE DRIVESTE 100ST LOUISMO63141455357743PHYSICIAN PRACTICEMO00MERCY CLINIC EAST COMMUNITIES
MERCY CLINIC ENDOCRINOLOGY LLC
645 MARYVILLE CENTRE DRIVESTE 100ST LOUISMO63141272127648PHYSICIAN PRACTICEMO103034293922MERCY CLINIC EAST COMMUNITIES
MERCY CLINIC ENT LLC
645 MARYVILLE CENTRE DRIVESTE 100ST LOUISMO63141455444208PHYSICIAN PRACTICEMO00MERCY CLINIC EAST COMMUNITIES
MERCY CLINIC GASTROENTEROLOGY LLC
645 MARYVILLE CENTRE DRIVESTE 100ST LOUISMO63141264777940PHYSICIAN PRACTICEMO2291861169018MERCY CLINIC EAST COMMUNITIES
MERCY CLINIC GERIATRICS LLC
645 MARYVILLE CENTRE DRIVESTE 100ST LOUISMO63141201626475PHYSICIAN PRACTICEMO48042056827MERCY CLINIC EAST COMMUNITIES
MERCY CLINIC GYN ONCOLOGY LLC
645 MARYVILLE CENTRE DRIVESTE 100ST LOUISMO63141300413949PHYSICIAN PRACTICEMO36207970426MERCY CLINIC EAST COMMUNITIES
MERCY CLINIC HEART AND VASCULAR LLC
645 MARYVILLE CENTRE DRIVESTE 100ST LOUISMO63141412175615PHYSICIAN PRACTICEMO122224862216982MERCY CLINIC EAST COMMUNITIES
MERCY CLINIC KIDS GI LLC
645 MARYVILLE CENTRE DRIVESTE 100ST LOUISMO63141264186905PHYSICIAN PRACTICEMO90889889652MERCY CLINIC EAST COMMUNITIES
MERCY CLINIC KIDS PLASTIC SURGERY LLC
645 MARYVILLE CENTRE DRIVESTE 100ST LOUISMO63141331123018PHYSICIAN PRACTICEMO46882159533MERCY CLINIC EAST COMMUNITIES
MERCY CLINIC NEUROLOGY LLC
645 MARYVILLE CENTRE DRIVESTE 100ST LOUISMO63141861176023PHYSICIAN PRACTICEMO41655446414MERCY CLINIC EAST COMMUNITIES
MERCY CLINIC ONCOLOGY LLC
645 MARYVILLE CENTRE DRIVESTE 100ST LOUISMO63141272127523PHYSICIAN PRACTICEMO27152176375MERCY CLINIC EAST COMMUNITIES
MERCY CLINIC OPHTHALMOLOGY LLC
645 MARYVILLE CENTRE DRIVESTE 100ST LOUISMO63141455450768PHYSICIAN PRACTICEMO00MERCY CLINIC EAST COMMUNITIES
MERCY CLINIC PALLIATIVE CARE LLC
645 MARYVILLE CENTRE DRIVESTE 100ST LOUISMO63141262572054PHYSICIAN PRACTICEMO1199394144592MERCY CLINIC EAST COMMUNITIES
MERCY CLINIC PODIATRY LLC
645 MARYVILLE CENTRE DRIVESTE 100ST LOUISMO63141455484507PHYSICIAN PRACTICEMO00MERCY CLINIC EAST COMMUNITIES
MERCY CLINIC POST ACUTE SERVICES LLC
645 MARYVILLE CENTRE DRIVESTE 100ST LOUISMO63141454440279PHYSICIAN PRACTICEMO00MERCY CLINIC EAST COMMUNITIES
MERCY CLINIC PULMONOLOGY-ST LOUIS LLC
645 MARYVILLE CENTRE DRIVESTE 100ST LOUISMO63141264186970PHYSICIAN PRACTICEMO1239465229661MERCY CLINIC EAST COMMUNITIES
MERCY CLINIC PULMONOLOGY-WASHINGTON LLC
645 MARYVILLE CENTRE DRIVESTE 100ST LOUISMO63141272882104PHYSICIAN PRACTICEMO20884830484MERCY CLINIC EAST COMMUNITIES
MERCY CLINIC ST LOUIS CANCER & BREAST INSTITUTE LLC
645 MARYVILLE CENTRE DRIVESTE 100ST LOUISMO63141263290360PHYSICIAN PRACTICEMO3389227540659MERCY CLINIC EAST COMMUNITIES
MERCY CLINIC SURGICAL SPECIALISTS LLC
645 MARYVILLE CENTRE DRIVESTE 100ST LOUISMO63141272481555PHYSICIAN PRACTICEMO1110830182719MERCY CLINIC EAST COMMUNITIES
MERCY CLINIC TRAUMA & GENERAL SURGERY LLC
645 MARYVILLE CENTRE DRIVESTE 100ST LOUISMO63141201626820PHYSICIAN PRACTICEMO1790787344600MERCY CLINIC EAST COMMUNITIES
MERCY CLINIC UROLOGY LLC
645 MARYVILLE CENTRE DRIVESTE 100ST LOUISMO63141331123019PHYSICIAN PRACTICEMO00MERCY CLINIC EAST COMMUNITIES
MERCY PODIATRY LLC
645 MARYVILLE CENTRE DRIVESTE 100ST LOUISMO63141510546434INACTIVEMO00MERCY CLINIC EAST COMMUNITIES
MIDWEST HEART GROUP OF ROLLA LLC
645 MARYVILLE CENTRE DRIVESTE 100ST LOUISMO63141680659908INACTIVEMO00MERCY CLINIC EAST COMMUNITIES
MISSOURI INTERNISTS LLC
645 MARYVILLE CENTRE DRIVESTE 100ST LOUISMO63141201627002INACTIVEMO00MERCY CLINIC EAST COMMUNITIES
ST JOHN'S CARDIOLOGY LLC
645 MARYVILLE CENTRE DRIVESTE 100ST LOUISMO63141731735426INACTIVEMO00MERCY CLINIC EAST COMMUNITIES
ST LOUIS PLASTIC AND HAND SURGERY LLC
645 MARYVILLE CENTRE DRIVESTE 100ST LOUISMO63141331123017INACTIVEMO00MERCY CLINIC EAST COMMUNITIES

Form990 Schedule R Part II Form990ScheduleRPartII (67 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
ADVANCE CARE HOSPITAL
300 WERNER ST 3RD FLOORHOT SPRINGSAR71913710816634LONG TERM ACUTE-CARE HOSPITALAR501C33MERCY HEALTH0
CASA DE MISERICORDIA
1602 MCCLELLAND STREETLAREDOTX78044742912461WOMEN'S DOMESTIC VIOLENCE SHELTERTX501C37MERCY MINISTRIES OF LAREDO0
LAREDO MEDICAL GROUP
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017742764726INACTIVETX501C39MERCY HEALTH SYSTEM TX0
MCAULEY PORTFOLIO MGMT CO
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017261708048PORTFOLIO MANAGEMENTMO501C311-IIMERCY HEALTH0
MERCY CLINIC FORT SMITH COMM
7301 ROGERS AVENUEFORT SMITHAR72917261318597PHYSICIAN CLINICAR501C39MERCY HEALTH FORT SMITH COMM0
MERCY CLINIC HOT SPRINGS COMM
1 MERCY LANEHOT SPRINGSAR71913261125131PHYSICIAN CLINICAR501C39MERCY HEALTH HOT SPRINGS COMM0
MERCY CLINIC OKLAHOMA COMM
4300 W MEMORIAL ROADOKLAHOMA CITYOK73120270473057PHYSICIAN GROUP/CLINICOK501C39MERCY HEALTH OK COMMUNITIES0
MERCY CLINIC SPRINGFIELD COMM
1965 FREMONT STREET SUITE 2950SPRINGFIELDMO65804431560263PHYSICIAN GROUPMO501C33MERCY HEALTH SPRINGFIELD COMM0
MERCY FAMILY CENTER
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017721069468FAMILY COUNSELING SERVICESMO501C37MERCY HEALTH0
MERCY FDTN HEALTH INNOV
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017200901499FOUNDATIONMO501C311-IIMERCY HEALTH0
MERCY HEALTH
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017431423050HEALTH SYSTEM - CORPORATE OFFICEMO501C310N/A
MERCY HEALTH EAST COMMUNITIES
645 MARYVILLE CTR DR STE 100ST LOUISMO63141431718408HEALTH SYSTEMMO501C311-IIMERCY HEALTH0
MERCY HEALTH FORT SMITH COMM
7301 ROGERS AVENUEFORT SMITHAR72917261318515HOLDING COMPANYAR501C311-IIMERCY HEALTH0
MERCY HEALTH FOUNDATION ARDMORE
1011 14TH AVENUE NWARDMOREOK73401710962525FOUNDATIONOK501C311-IMERCY HOSPITAL ARDMORE0
MERCY HEALTH FOUNDATION BERRYVILLE
214 CARTER STREETBERRYVILLEAR72616710759301FOUNDATIONAR501C311-IMERCY HOSPITAL BERRYVILLE0
MERCY HEALTH FOUNDATION FT SCOTT
401 WOODLAND HILLS BLVDFORT SCOTTKS66701481077073FOUNDATIONKS501C311-IIIMERCY KANSAS COMMUNITIES INC0
MERCY HEALTH FOUNDATION HOT SPRINGS
300 WERNER STREETHOT SPRINGSAR71913710804718FOUNDATIONAR501C311-IIMERCY HOSPITAL HOT SPRINGS0
MERCY HEALTH FOUNDATION INDEPENDENCE
800 W MYRTLEINDEPENDENCEKS67301481079981FOUNDATIONKS501C311-IMERCY KANSAS COMMUNITIES INC0
MERCY HEALTH FOUNDATION JOPLIN
2817 ST JOHNS BLVDJOPLINMO64804270906136FOUNDATIONMO501C311-IMERCY HEALTH SW MOKS COMM0
MERCY HEALTH FOUNDATION NW ARK
2710 RIFE MEDICAL LNROGERSAR72858710601687FOUNDATIONAR501C311-IIIMERCY HOSPITAL ROGERS0
MERCY HEALTH FOUNDATION OK CITY
4300 W MEMORIAL ROADOKLAHOMA CITYOK73120731593024FOUNDATIONOK501C311-IMERCY HOSPITAL OKLAHOMA CITY0
MERCY HEALTH FOUNDATION OF OK
4300 W MEMORIAL ROADOKLAHOMA CITYOK73120454732301FOUNDATIONOK501C311-IMERCY HEALTH OK COMMUNITIES0
MERCY HEALTH FOUNDATION SPRINGFIELD
1235 E CHEROKEE STREETSPRINGFIELDMO65804320195818FOUNDATIONMO501C311-IIMERCY HEALTH SPRINGFIELD COMM0
MERCY HEALTH FOUNDATION STL
615 SOUTH NEW BALLAS ROADST LOUISMO63141562410020FOUNDATIONMO501C311-IIMERCY HEALTH EAST COMMUNITIES0
MERCY HEALTH FOUNDATION WASHINGTON
901 E FIFTH STREETWASHINGTONMO63090562410022FOUNDATIONMO501C311-IIMERCY HEALTH EAST COMMUNITIES0
MERCY HEALTH HOT SPRINGS COMM
300 WERNER STREETHOT SPRINGSAR71913261125064HOLDING COMPANYAR501C311-IIMERCY HEALTH0
MERCY HEALTH NW ARK COMMUNITIES
2710 RIFE MEDICAL LNROGERSAR72758621684203PHYSICIAN GROUPAR501C311-IIMERCY HEALTH0
MERCY HEALTH OK COMMUNITIES
4300 W MEMORIAL ROADOKLAHOMA CITYOK73120731453048HOLDING COMPANYOK501C311-IIMERCY HEALTH0
MERCY HEALTH SW MOKS COMM
2817 ST JOHNS BLVDJOPLINMO64804300584463HEALTH SYSTEMMO501C311-IIMERCY HEALTH0
MERCY HEALTH SPRINGFIELD COMM
1235 E CHEROKEE STREETSPRINGFIELDMO65804431856028HOLDING COMPANYMO501C311-IIMERCY HEALTH0
MERCY HEALTH SYSTEM TX
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017742764727INACTIVETX501C311-IIMERCY HEALTH0
MERCY HOME HEALTH BERRYVILLE
804 W FREEMAN SUITE 4BERRYVILLEAR72616870781247HOME HEALTH AND HOSPICE OPERATIONS.AR501C311-IIIMERCY HOSPITAL SPRINGFIELD0
MERCY HOSPITAL ARDMORE
1011 14TH AVENUE NWARDMOREOK73401731500629HOSPITALOK501C33MERCY HEALTH OK COMMUNITIES0
MERCY HOSPITAL AURORA
500 PORTER AVENUEAURORAMO65605431936696OPERATING CO FOR LEASED HOSPMO501C33MERCY HEALTH SPRINGFIELD COMM0
MERCY HOSPITAL BERRYVILLE
214 CARTER STREETBERRYVILLEAR72616710759299HOSPITALAR501C33MERCY HEALTH SPRINGFIELD COMM0
MERCY HOSPITAL CARTHAGE
3125 DR RUSSELL SMITH WAYCARTHAGEMO64836453808607HOSPITALMO501C33MERCY HEALTH SW MOKS COMM0
MERCY HOSPITAL CASSVILLE
94 MAIN STREETCASSVILLEMO65625431936699OPERATING CO FOR LEASED HOSPMO501C33MERCY HEALTH SPRINGFIELD COMM0
MERCY HOSPITAL COLUMBUS
220 PENNSYLVANIA AVENUECOLUMBUSKS66725270842031CRITICAL ACCESS HOSPITALMO501C39MERCY HEALTH SW MOKS COMM0
MERCY HOSPITAL EL RENO
2115 PARKVIEW DRIVEEL RENOOK73036272716065OPERATING CO FOR LEASED HOSPOK501C33MERCY HEALTH OK COMMUNITIES0
MERCY HOSPITAL FORT SMITH
7301 ROGERS AVENUEFORT SMITHAR72917710240352HOSPITALAR501C33MERCY HEALTH FORT SMITH COMM0
MERCY HOSPITAL HEALDTON
918 SOUTH STREETHEALDTONOK73438263173902HOSPITALOK501C33MERCY HOSPITAL ARDMORE0
MERCY HOSPITAL HOT SPRINGS
300 WERNER STREETHOT SPRINGSAR71913710236913HOSPITALAR501C33MERCY HEALTH HOT SPRINGS COMM0
MERCY HOSPITAL JOPLIN
2817 ST JOHNS BLVDJOPLINMO64804270814858HOSPITALMO501C39MERCY HEALTH SW MOKS COMM0
MERCY HOSPITAL LEBANON
100 HOSPITAL DRIVELEBANONMO65536431767432HOSPITALMO501C33MERCY HEALTH SPRINGFIELD COMM0
MERCY HOSPITAL LOGAN COUNTY INC
200 SOUTH ACADEMYGUTHRIEOK73044452998842HOSPITALOK501C33MERCY HEALTH OK COMMUNITIES0
MERCY HOSPITAL OF LAREDO
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017741189682INACTIVETX501C33MERCY HEALTH SYSTEM TX0
MERCY HOSPITAL OKLAHOMA CITY
4300 W MEMORIAL ROADOKLAHOMA CITYOK73120730579285HOSPITALOK501C33MERCY HEALTH OK COMMUNITIES0
MERCY HOSPITAL OZARK
801 W RIVER STREETOZARKAR72949710689680HOSPITALAR501C33MERCY HOSPITAL FORT SMITH0
MERCY HOSPITAL PARIS
500 E ACADEMYPARISAR72855710655753HOSPITALAR501C33MERCY HOSPITAL FORT SMITH0
MERCY HOSPITAL ROGERS
2710 RIFE MEDICAL LNROGERSAR72758710294390HOSPITALAR501C33MERCY HEALTH NW ARK COMMUNITIES0
MERCY HOSPITAL SPRINGFIELD
1235 E CHEROKEE STREETSPRINGFIELDMO65804440552485HOSPITALMO501C33MERCY HEALTH SPRINGFIELD COMM0
MERCY HOSPITAL TISHOMINGO
1000 SOUTH BYRDTISHOMINGOOK73460274433830HOSPITALOK501C33MERCY HOSPITAL ARDMORE0
MERCY HOSPITAL WALDRON
1341 W 6TH STREETWALDRONAR72958710557895HOSPITALAR501C33MERCY HOSPITAL FORT SMITH0
MERCY HOSPITAL WATONGA INC
500 CLARENCE NASH BLVDWATONGAOK73772455199762LEASED HOSPITALOK501C33MERCY HEALTH OK COMMUNITIES0
MERCY HOSPITALS EAST COMM
645 MARYVILLE CTR DR STE 100ST LOUISMO63141430653493HOSPITALMO501C33MERCY HEALTH EAST COMMUNITIES0
MERCY KANSAS COMMUNITIES INC
401 WOODLAND HILLS BLVDFT SCOTTKS66701480956045HOSPITAL;RURAL HEALTH CLINICSKS501C33MERCY HEALTH SW MOKS COMM0
MERCY MEDICAL RESEARCH INST
1235 E CHEROKEE STREETSPRINGFIELDMO65804870796305RESEARCH - CLINICAL TRIALSMO501C34MERCY HEALTH SPRINGFIELD COMM0
MERCY MINISTRIES OF LAREDO
2500 ZACATECASLAREDOTX78043200198462HEALTHCARE, OUTREACH,FOOD PANTRY.TX501C37MERCY HEALTH0
MERCY ST FRANCIS HOSPITAL
100 W HIGHWAY 60MOUNTAIN VIEWMO65548440607149HOSPITALMO501C33MERCY HEALTH SPRINGFIELD COMM0
MERCY SUPPORT SERVICES
615 S NEW BALLAS ROADST LOUISMO63141431677952INACTIVEMO501C311-IIIMERCY HOSPITALS EAST COMM0
MHM SUPPORT SERVICES
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017202553101CENTRALIZED HEALTH SYSTEM FUNCTIONSMO501C311-IIMERCY HEALTH0
MISSION CLINICAL SERVICES
300 WERNER STREETHOT SPRINGSAR71913134239691PHYSICIAN CLINICSAR501C39MERCY HEALTH HOT SPRINGS COMM0
ST EDWARD MERCY FOUNDATION
PO BOX 17000FORT SMITHAR72917237330425FOUNDATIONAR501C37MERCY HOSPITAL FORT SMITH0
ST JOHNS CHILDRENS HOSP
1235 E CHEROKEE STREETSPRINGFIELDMO65804INACTIVEMO501C33MERCY HEALTH SPRINGFIELD COMM0
ST MARYS HOSP ENID OK
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017730614655INACTIVEOK501C33MERCY HEALTH OK COMMUNITIES0
THE SR M CORNELIA BLASKO FN
100 W HIGHWAY 60MOUNTAIN VIEWMO65548431873914FOUNDATIONMO501C311-IMERCY ST FRANCIS HOSPITAL0
UNITY AMBULATORY CARE
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017431861745INACTIVEMO501C311-IIIMERCY HEALTH EAST COMMUNITIES0

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
SOUTHERN OKLAHOMA DIAG CTR LLC
1011 FOURTEENTH AVENUE NWARDMOREOK73401431971232MRI SERVICESOKMERCY HOSPITAL ARDMORE INCN/A00
RESOURCE OPTIMIZ & INNOVLLC
645 MARYVILLE CTR DRSTE 200ST LOUISMO63141460468368CENTRAL DISTRIBUTION CENTERMOMHN INC - MHNSR INCN/A00
MERCY AMBULATORY SURGERY CENTER LLC
7301 ROGERS AVENUEFORT SMITHAR72917710827721AMBULATORY SURGERY CENTERARMERCY HOSPITAL FORT SMITHN/A00
FORT SMITH EMERGENCY MEDICAL SERVICES
1701 SOUTH GREENWOODFORT SMITHAR72901710416615EMERGENCY MEDICAL SERVICESARMERCY HOSPITAL FORT SMITHN/A00
ST EDWARD MERCY MED CTR M-P OFFICE BLDG
7301 ROGERS AVENUEFORT SMITHAR72903710554050OFFICE BUILDINGARMERCY HOSPITAL FORT SMITHN/A00

Form990 Schedule R Part IV Form990ScheduleRPartIV (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
MERCY COMM SERVICES INC
401 WOODLAND HILLS BLVDFORT SCOTTKS66701481078101RETAIL PHARMACYKSMERCY KANSAS COMM INCC
FRONTENAC PROPERTIES INC
14528 S OUTER FORTY SUITE 100CHESTERFIELDMO63017521914421HOLDS ANCILLARY ASSETS & OWNS AIRCRAFTDEMERCY HEALTHC
INVENO HEALTH INC
1235 E CHEROKEE STREETSPRINGFIELDMO65804264509571TECHNOLOGY TRANSFER COMPANYMOMERCY HEALTH SPRINGFIELD COMMC
UNITY SUPPORT SERVICES INC
645 MARYVILLE CENTRE DRIVE SUITE 10ST LOUISMO63141431797042INACTIVEMOMERCY HEALTH EAST COMMUNITIESC
UH L CORP INC
645 MARYVILLE CENTRE DRIVE SUITE 10ST LOUISMO63141742499535HOLDING COMPANYMOMERCY HEALTH SERVICES LLCC
MHN OF THE SOUTHERN REGION INC
1011 14TH AVENUE NWARDMOREOK73401731580607HOLDING COMPANYOKMERCY MANAGED CARE CORPC
MERCY HEALTH CENTER CONDOMINIUM INC
4300 W MEMORIAL RDOKLAHOMA CITYOK73120680640970ADMINISTRATOR OF CERTAIN REAL PROPERTY AND IMPROVEMENTSOKMERCY HOSPITAL OKLAHOMA CITYINCC
MERCY MANAGED CARE CORPORATION
4300 W MEMORIAL ROADOKLAHOMA CITYOK73120731441665HOLDING COMPANYOKMERCY HEALTHC
MERCY HEALTH NETWORK INC
4300 W MEMORIAL ROADOKLAHOMA CITYOK73120731381689HOLDING COMPANYOKMERCY MANAGED CARE CORPC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
MERCY HEALTH
O12309042
MERCY HEALTH EAST COMMUNITIES
O20389536
MERCY HOSPITALS EAST COMMUNITIES
N1307921
MERCY HOSPITALS EAST COMMUNITIES
O17018482
MHM SUPPORT SERVICES
O226573120
RESOURCE OPTIMIZATION & INNOVATION LLC
O159918
RESOURCE OPTIMIZATION & INNOVATION LLC
P20037546