MERCY HOSPITALS EAST COMMUNITIES: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: MERCY HOSPITALS EAST COMMUNITIES (EIN 43-0653493)
Tax period: 2010-07-01 to 2011-06-30
Filed: 2012-05-11
IRS object ID: 201241329349301024
Schema version: 2010v3.4
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-05-11T09:47:38-05:00	Timestamp
Tax Period End Date	2011-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	430653493	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MERCY HOSPITALS EAST COMMUNITIES	BusinessNameLine1
Business Name Line2	f/k/a St John's Mercy Health System	BusinessNameLine2

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

US Address USAddress

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

Officer Officer

Field	Value	IRS element (for citing)
Name	CHERYL MATEJKA	Name
Title	Chief Financial Officer	Title
Phone	3143643532	Phone
Date Signed	2012-05-11	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	3143179916	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

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

Field	Value	IRS element (for citing)
Gross Receipts	983684810	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	www.mercy.net/stlouismo	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1891	YearFormation
State Legal Domicile	MO	StateLegalDomicile
Activity Or Mission Description	Mercy Hospitals East Communities operates two hospitals that are located in Creve Coeur (St. Louis metropolitan area) and Washington, MO.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	9	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	3	NbrIndependentVotingMembers
Total Nbr Employees	8121	TotalNbrEmployees
Total Nbr Volunteers	1042	TotalNbrVolunteers
Total Gross UBI	4262507	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	6888842	ContributionsGrantsPriorYear
Contributions Grants Current Year	5112600	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	938974147	ProgramServiceRevenuePriorYear
Program Service Revenue CY	952837366	ProgramServiceRevenueCY
Investment Income Prior Year	336071	InvestmentIncomePriorYear
Investment Income Current Year	671888	InvestmentIncomeCurrentYear
Other Revenue Prior Year	12138699	OtherRevenuePriorYear
Other Revenue Current Year	19866774	OtherRevenueCurrentYear
Total Revenue Prior Year	958337759	TotalRevenuePriorYear
Total Revenue Current Year	978488628	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	611406	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	539313	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	433300596	SalariesEtcPriorYear
Salaries Etc Current Year	425583114	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	472866324	OtherExpensePriorYear
Other Expenses Current Year	504093367	OtherExpensesCurrentYear
Total Expenses Prior Year	906778326	TotalExpensesPriorYear
Total Expenses Current Year	930215794	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	51559433	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	48272834	RevenuesLessExpensesCY
Total Assets BOY	711162304	TotalAssetsBOY
Total Assets EOY	707772035	TotalAssetsEOY
Total Liabilities BOY	137766794	TotalLiabilitiesBOY
Total Liabilities EOY	84075966	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	573395510	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	623696069	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	As the Sisters of Mercy before us, we bring to Life the healing ministry of Jesus through our compassionate care and exceptional service.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	842720061	Expense
Grants	539313	Grants
Revenue	960263213	Revenue
Description	Mercy Hospitals East Communities ("MHEC") provides quality medical health care regardless of race, creed, sex, national origin, handicap, age or ability to pay. In active pursuit of this mission, MHEC provided services to 47,714 inpatients, 113,065 emergency room visits, 945,660 outpatient visits, and 58,404 clinic visits.MHEC is a Catholic health care corporation that, pursuant to the organizational core belief that health care services are a vital and integral part of the Church's healing mission, engages in a ministry which provides general acute care, ambulatory, long-term and home care health services to individuals and families in its service communities. Consistent with the organization's commitment to social accountability and the provision of community benefit, MHEC offers other services and programs which further health promotion, maintenance and care. MHEC's services include two clinics which were established specifically for individuals who are uninsured or underinsured and do not have a means to pay for healthcare services. These clinics provide a significant focus on prenatal care. Many clinic patients were also treated, on a charitable basis, as inpatients. In response to the increased needs of the underinsured in the St. Louis area, these clinics have continually expanded, offering new services to more patients. The institution continues to focus on the provision of primary health services and education to the community, regardless of their means to pay for these services. The organization also has a continuing commitment to health research and to health education at all levels.Although reimbursement for services rendered is critical to the continued ability to provide healthcare services to all patients, MHEC recognizes that not all individuals possess the ability to purchase essential medical services and, further, that part of our mission is to provide healthcare services and healthcare education to the communities in which our facilities are located. In keeping with MHEC's commitment to serve all members of the communities it serves, MHEC provides (i) free care and/or subsidized care; (ii) care to persons covered by governmental programs at below cost; (iii) health activities and programs to support the community; (iv) health education programs; and, (v) a variety of broad community support activities. Among the community support activities offered by MHEC are the following: -Community Education Programs -Support Group Meetings -Health Fairs and Screenings -Immunizations -Provision of Free Health Information -Home Delivered and Congregate Meals -Indigent Care Clinics -Pre-Natal and Well Baby Care for the Indigent -Health Professions Education Programs -Support of Community Programs, including active United Way participant, Provision of Scholarships, Healthcare for the Homeless Coalition, etc. -Provider of Financial Counseling and Discharge Counseling Services for all Patients -Provision of Chapels in each Hospital and Chaplains/Religious Lay Staff to Minister to the Religious Needs of any Patient and their Families. -Volunteer AssociationMHEC provides care to patients who lack financial resources and are deemed to be medically indigent. As defined by the institution's charity policy, MHEC does not pursue collection of amounts determined to qualify for charity care. In addition, MHEC provides services to other patients under the Medicare Program and various state Medicaid programs. Such programs pay providers amounts that are substantially less than billed charges, and frequently less than the cost, of the services provided to the recipients. Care is provided to those with limited or no ability to pay. The cost, net of any payment received (net cost), to MHEC of providing care to persons qualifying for charity or Medicaid totaled $47,406,066 in the year ended 6/30/11. Additionally, the net cost for services provided to elderly and disabled patients under the Medicare program totaled $31,769,791. These amounts do not include the cost of health activities and programs to support the community, health education programs and other community support activities. The services provided by MHEC, as well as the amount of charity care provided, demonstrate the ongoing commitment of the organization to serve in a leadership role as an advocate for responsive healthcare services for the community, with a deep commitment and sensitivity to meeting the needs of the poor.Each activity for which income is reported in column (B) of Part VIII is undertaken in furtherance of the organization's healthcare and community benefit mission described above.	Description
Total Program Service Expense	842720061	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	1	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	3	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	8121	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	9	NbrVotingGoverningBodyMembers
Number Independent Voting Members	3	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	0	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

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

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (41 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
John Arnold
Chairman	3.00	X	0	0	0
Charles Rehm MD
Chief Administrative Offic	70.00	X	0	338821	34371
Sr Judith CarronRSM
Director/Trustee	1.30	X	0	0	0
Roger Steinbecker
Director/Trustee	1.00	X	0	0	0
Thomas RiechersMD
Director/Trustee	65.00	X	0	384621	30815
Keith StarkeMD
Director/Trustee	75.00	X	414125	1900	36396
Denny Margaret DeNarvaez
CEO, thru 7/31/10	60.00	X	0	823913	187978	X
Cheryl Matejka
Chief Financial Officer	60.00	X	0	395211	55468	X
John Howard
SR VP,Strat Devel & GC	60.00	X	0	405222	94270
Michael McCurry
CEO	50.00	X	0	964849	530776	X
Christine Crain
VP-Nursing	60.00		326930	0	121880		X
Eric Eoloff
VP-Operations	60.00		0	322536	43470		X
Virginia Frank
VP-Operations	52.00		248880	0	44956		X
Patricia Geldbach
VP-Operations	58.00		252689	0	53948		X
Paul Hintze
VP-MA	60.00		444867	0	118944		X
Joseph Kahn
Dept of PEDS Chairman	55.00		316044	0	29619		X
Donald Kalicak
VP-Bus Dvpt & Plnng	60.00		0	282980	92910		X
Dennis Keithly
Medical Department Chairma	50.00		296326	0	78917		X
Terri McLain
President Washington	60.00		373793	0	62323		X
Tracey Moffatt
VP-Perf Impvt	60.00		342345	0	48258		X
Curtis Thompson
VP-Payor Rel & Contracting	52.00		0	378866	87340		X
Christopher Veremakis
Medical Director	50.00		0	506735	66566		X
Steven Bollin
VP-Support Services	50.00		210018	0	18426		X
Donna Frazier
Exec VP-Chief Nursing Offi	60.00		216291	0	26158		X
Kim Onesko
Senior Vice President	60.00		0	263606	20849		X
Frank Lenoir
Regional VP-HR	60.00		0	185762	14588		X
Sue Lindenbush
Vice President	60.00		208323	0	37034		X
Jeanne Cantalin
VP - Regional General Counsel	55.00		0	213530	17167		X
Sally Petito
Hospitalist	75.00		257904	0	18811		X
Kathryn Nelson
VP - Performance Improvement	55.00		193015	0	18356		X
Diane Radford
Physician	60.00		559575	0	16561			X
Garry Scarato
Physician	60.00		523550	0	56017			X
Marlys Schuh MD
Physician	60.00		568556	0	16618			X
Rachel Borson MD
Physician	55.00		688639	0	16886			X
John MooreMD
Physician	55.00		498434	0	23860			X
Randall Combs
Former Officer			0	818720	273507				X
Sheri D Beekman
Former Key Employee			0	374719	85593				X
John Hermann
Former Key Employee			0	400294	90492				X
Francine Merenghi
Former Key Employee			0	167383	2941				X
Michael Zilm
Former Key Employee			131229	0	2373				X
Lyn Hurst
Former Key Employee			0	289862	25963				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	7071533	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	7519530	TotalReportableCompFrmRltdOrgs
Total Other Compensation	2601405	TotalOtherCompensation
Number Individuals GT100 K	310	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
McCarthy Building Companies
1341 North Rock Hill Road	St Louis	MO	63124	Construction	37367883
Quest Diagnostics
PO Box 740709	Atlanta	GA	30374	Lab Testing	3927615
Alberici Constructors
8800 Page Avenue	Overland	MO	63114	Construction	3763251
Signature Health Services
9701 Landmark Pkwy Drive	St Louis	MO	63127	Physician Services	3387179
St Louis University
3635 Vista Ave	St Louis	MO	63110	Purchased services	2737720

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	71	NumberOfContractorsGT100K
Related Organizations	5112600	RelatedOrganizations
Total Contributions	5112600	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	NET PATIENT REVENUE	Description
Business Code	621110	BusinessCode
Total Revenue Column	952837366	TotalRevenueColumn
Related Or Exempt Function Income	952837366	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	952837366	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	669828	TotalRevenueColumn
Exclusion	$669,828	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	7391892	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	5196182	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	2195710	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	2195710	TotalRevenueColumn
Exclusion	$2,195,710	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	2060	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	2060	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	2060	TotalRevenueColumn
Exclusion	$2,060	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Cafeteria/Coffee Shop	722320	5982710	$5,982,710
Pharmacy - Retail	624100	2122146		2122146
Seminars/Education	621110	1878099			1878099

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	7688109	TotalRevenueColumn
Related Or Exempt Function Income	5547748	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	2140361	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	17671064	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	978488628	TotalRevenueColumn
Related Or Exempt Function Income	960263213	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	4262507	UnrelatedBusinessRevenue
Exclusion	$8,850,308	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	539313	Total
Program Services	539313	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	3673093	Total
Management And General	3673093	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	173711	Total
Program Services	173711	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	339222093	Total
Program Services	334512615	ProgramServices
Management And General	4709478	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	14110101	Total
Program Services	13343441	ProgramServices
Management And General	766660	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	44115127	Total
Program Services	43699734	ProgramServices
Management And General	415393	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	24288989	Total
Program Services	23839797	ProgramServices
Management And General	449192	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	1066522	Total
Program Services	577589	ProgramServices
Management And General	488933	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1178657	Total
Management And General	1178657	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	22	Total
Management And General	22	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	180694507	Total
Program Services	108589717	ProgramServices
Management And General	72104790	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	184153	Total
Program Services	136568	ProgramServices
Management And General	47585	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1793111	Total
Program Services	1240661	ProgramServices
Management And General	552450	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	15677051	Total
Program Services	15457678	ProgramServices
Management And General	219373	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	1766945	Total
Program Services	1502134	ProgramServices
Management And General	264811	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	1024758	Total
Program Services	1024758	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	58892192	Total
Program Services	58461030	ProgramServices
Management And General	431162	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	6371981	Total
Program Services	6029688	ProgramServices
Management And General	342293	ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
SUPPLIES	182504923	181701013	803910
BAD DEBT EXPENSE	35901942	35901942	0
EQUIPMENT REPAIRS & MAI	11161857	10997634	164223

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	5874746	Total
Program Services	4991038	ProgramServices
Management And General	883708	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	930215794	Total
Program Services	842720061	ProgramServices
Management And General	87495733	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	23471516	BOY
EOY	19117239	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	135957756	BOY
EOY	112573161	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	11481024	BOY
EOY	13470528	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1260717	BOY
EOY	880530	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1088692301	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	578710322	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	512293321	BOY
EOY	509981979	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	237511	BOY
EOY	250104	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	2936565	BOY
EOY	2689128	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	5316539	BOY
EOY	4955360	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	18207355	BOY
EOY	43854006	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	711162304	BOY
EOY	707772035	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	102744263	BOY
EOY	63650085	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	939690	BOY
EOY	1125588	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	2475618	BOY
EOY	4288	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	12781192	BOY
EOY	12510499	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	18826031	BOY
EOY	6785506	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	137766794	BOY
EOY	84075966	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	571361312	BOY
EOY	620951341	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2034198	BOY
EOY	2744728	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	573395510	BOY
EOY	623696069	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	711162304	BOY
EOY	707772035	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	48272834	ReconcilationRevenueExpenses
Reconcilation Other Changes	2027725	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

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

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	1	GrantsOtherOrganizations
Grants Other Organizations	$35,718	GrantsOtherOrganizationsAmount
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	35718	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Explanation of Other Lobbying Activities:	Identifier
Return Reference	Part II-B, Line 1i:	ReturnReference
Explanation	The filing organization is a member of and pays dues to the following hospital associations: Missouri Hospital Association, Catholic Health Association, and American Hospital Association. For the year ended June 30, 2011, dues were $109,247, $151,675, and $66,334, respectively. Approximately 16.3% of Missouri Hospital Association dues, 4.68% of Catholic Hospital Association dues, and 16.3% of American Hospital Association dues were attributable to lobbying activities performed by these associations.	Explanation

Schedule D IRS990ScheduleD

Land Land

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

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	774286116	OtherCostOrOtherBasis
Depreciation	367147689	Depreciation
Book Value	407138427	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	10633460	OtherCostOrOtherBasis
Depreciation	8350026	Depreciation
Book Value	2283434	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	275391623	OtherCostOrOtherBasis
Depreciation	193406591	Depreciation
Book Value	81985032	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	19484309	OtherCostOrOtherBasis
Depreciation	9806016	Depreciation
Book Value	9678293	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	509981979	TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescription	Book ValueBookValue
INVESTMENT IN AFFILIATES	1218973
UNAMORTIZED FINANCE FEES	575377
DEFERRED COMPENSATION	4173618
MISCELLANEOUS RECEIVABLES	4162728
Intercompany Receivables	33723310

Field	Value	IRS element (for citing)
Total Book Value Other Assets	43854006	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
DEFERRED COMPENSATION	$4,173,618
OTHER LIABILITIES	$2,611,888

Field	Value	IRS element (for citing)
Total Of Amounts	6785506	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	Description of Uncertain Tax Positions Under FIN 48:	Identifier
Return Reference	Part X:	ReturnReference
Explanation	The 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 H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	34340632	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	34340632	NetCommunityBenefitExpense
Percent Of Total Expense	0.03840	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	105473319	TotalCommunityBenefitExpense
Direct Offsetting Revenue	92407885	DirectOffsettingRevenue
Net Community Benefit Expense	13065434	NetCommunityBenefitExpense
Percent Of Total Expense	0.01460	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	139813951	TotalCommunityBenefitExpense
Direct Offsetting Revenue	92407885	DirectOffsettingRevenue
Net Community Benefit Expense	47406066	NetCommunityBenefitExpense
Percent Of Total Expense	0.05300	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1926023	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10925	DirectOffsettingRevenue
Net Community Benefit Expense	1915098	NetCommunityBenefitExpense
Percent Of Total Expense	0.00210	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7696249	TotalCommunityBenefitExpense
Direct Offsetting Revenue	121725	DirectOffsettingRevenue
Net Community Benefit Expense	7574524	NetCommunityBenefitExpense
Percent Of Total Expense	0.00850	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	818000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	818000	NetCommunityBenefitExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	876554	TotalCommunityBenefitExpense
Direct Offsetting Revenue	41800	DirectOffsettingRevenue
Net Community Benefit Expense	834754	NetCommunityBenefitExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	553410	TotalCommunityBenefitExpense
Direct Offsetting Revenue	47032	DirectOffsettingRevenue
Net Community Benefit Expense	506378	NetCommunityBenefitExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	11870236	TotalCommunityBenefitExpense
Direct Offsetting Revenue	221482	DirectOffsettingRevenue
Net Community Benefit Expense	11648754	NetCommunityBenefitExpense
Percent Of Total Expense	0.01300	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	151684187	TotalCommunityBenefitExpense
Direct Offsetting Revenue	92629367	DirectOffsettingRevenue
Net Community Benefit Expense	59054820	NetCommunityBenefitExpense
Percent Of Total Expense	0.06600	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	1224	TotalCommunityBuildingExpense
Net Community Building Expense	1224	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	5384	TotalCommunityBuildingExpense
Net Community Building Expense	5384	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	2954	TotalCommunityBuildingExpense
Net Community Building Expense	2954	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	203888	TotalCommunityBuildingExpense
Net Community Building Expense	203888	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Total Community Building Expense	9349	TotalCommunityBuildingExpense
Net Community Building Expense	9349	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	222799	TotalCommunityBuildingExpense
Net Community Building Expense	222799	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$10,360,598	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	178605775	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	210375566	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-31769791	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

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

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
1 St Johns Mercy SRS LLC
Medical Equipment Rental	0.40000	0.60000
2 Mercy Equipco-Oncology ServicesLLC
Medical Equipment Rental	0.50000	0.50000

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

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

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

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Not required	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 35901942.
Part II: Mercy Hospital St. Louis/Washington's community building activities promote the health of the communities in which they serve. Through active participation on community boards, neighborhood/community meetings and involvement in community-based events, such as the annual town fair in Washington, Mercy demonstrates its ongoing commitment to the community. Community building activities serve as a link to engage Mercy co-workers to look beyond the walls of the facilities in which they serve. Programs such as the annual Adopt-a-Family Program link Mercy co-workers with those most in need in our community during the holiday season. In addition to providing food, clothing and other basic human needs, mental and emotional health of these families and individuals are supported. The Supported Employment Program is another example of reaching out to those in need, this time to those with developmental disabilities who might otherwise be unable to find employment. Mercy is committed to partnering with both individuals and other agencies to improve the lives of those in our community through a holistic approach that includes mind, body and spirit. St. LouisCommunity SupportSpecial Services - Blessings, Rites, Funerals: Provided special services (blessings, rites, rituals, funeral, etc.) to the community at large.Coalition BuildingHealthTeacher: Staff time spent presenting/attending HealthTeacher information sessions for potential participants held on Nov. 18 and 19, 2010. HealthTeacher is a health literacy program that provides online health lesson plans and resources for educators focused on improving health from kindergarten through 12th grade.Board Involvement-American Diabetes Association (ADA): Katie Stewart, nurse clinician, is on the board of directors of the American Diabetes Association. She spends approximately 3hrs/month on activities for this board.Workforce DevelopmentSpecial Needs Coordinator/Senior Job Coach/PRN Coach: The special needs coordinator, senior job coach, and PRN coaches coordinate services for applicants and co-workers with developmental disabilities. Cash/In-Kind DonationsJoplin Supplies Drive: The Lab department collected personal care, food, baby, and household items for the Joplin, Missouri community after the May 2010 tornado. Adopt-a-Family Program: Numerous Mercy departments took part in the annual holiday Adopt-a-Family Program which provides needed items for families in the St. Louis community.Thanksgiving Meal-Hosea House: Nutrition Services cooked 50 turkeys for Hosea House's annual Thanksgiving dinner. Hosea House provided the turkeys and dropped off and picked up from Mercy Hospital St. Louis.WashingtonEconomic DevelopmentCounty Economic Development Corporation: The VP of Ancillary Services at Mercy Hospital Washington attended County Economic Development Corporation meetings to discuss economic development and the promotion of the county and its services.Washington Civic Industrial Corporation: The VP Ancillary Services at Mercy Hospital Washington serves as a board member and attends monthly board meetings for the Economic Development for City of Washington.Community SupportWashington Town & Country Fair: Co-workers took part in the annual parade kicking off the start of the Washington Town & Country Fair. Participation in this event displayed Mercy's dedication and interest in being part of the Washington community.Coalition BuildingHealthTeacher: Time spent presenting/attending Health Teacher information sessions held on Dec. 2, 2010. HealthTeacher is a health literacy program that provides online health lesson plans and resources for educators focused on improving health from kindergarten through 12th grade.Cash/In-Kind DonationsAdopt-a-Family Program: Numerous Mercy departments took part in the annual holiday Adopt-a-Family Program which provides needed items for families in the Washington community.
Part III, Line 4: THE TEXT OF THE FOOTNOTE THAT IS INCLUDED IN MERCY HEALTH AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE FOLLOWS:"PATIENT ACCOUNTS THAT ARE UNCOLLECTED, INCLUDING THOSE PLACED WITH COLLECTION AGENCIES, ARE INITIALLY CHARGED AGAINST THE ALLOWANCE FORUNCOLLECTIBLE ACCOUNTS IN ACCORDANCE WITH COLLECTIONS POLICIES OF THEHEALTH SYSTEMS AND, IN CERTAIN CASES, ARE RECLASSIFIED TO CHARITY CAREIF DEEMED TO OTHERWISE MEET THE HEALTH SYSTEM'S CHARITY CARE POLICY.THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES IS BASED ON MANAGEMENT'SASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERINGBUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, ANDOTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR,MANAGEMENT ASSESS THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLERECEIVABLES BASED UPON THE PAYOR COMPOSITION AND AGING OF RECEIVABLESAS OF THE REPORTING DATE WITH CONSIDERATION OF THE HISTORICAL PAYMENTAND WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESEREVIEWS ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FORUNCOLLECTIBLE RECEIVABLES TO ESTABLISH AN APPROPRIATE ALLOWANCE FORUNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROMINSURANCE, THE HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FORPLACING PAST-DUE BALANCES WITH COLLECTION AGENCIES."TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE, AT COST, BAD DEBTEXPENSE ATTRIBUTABLE TO PATIENT ACCOUNTS WAS MULTIPLIED BY A RATIO OFCOST TO CHARGES. THE RATIO OF COST TO CHARGES USED WAS BASED ONDETAILED COST ACCOUNTING, WHERE AVAILABLE. WHERE COST ACCOUNTING ISNOT AVAILABLE, COST REPORT COST TO CHARGE RATIOS WERE UTILIZED.THE FILING ORGANIZATION DETERMINED THAT THE ESTIMATED AMOUNT OF BADDEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THEORGANIZATION'S CHARITY CARE POLICY IS $0. ALTHOUGH THE CHARITY CAREPOLICY REQUIRES THE PARTICIPATION OF THE PATIENT REQUESTING ASSISTANCE, WE HAVE A PROCESS UNDER PRESUMPTIVE CHARITY (REFER TODISCLOSURE FOR PART III, #9B) TO ADDRESS ACCOUNTS FOR PATIENTS WHO DONOT PROVIDE THE INFORMATION. WE BELIEVE THAT OUR CHARITY POLICY ISCOMPREHENSIVE ENOUGH TO CAPTURE ALMOST ALL PATIENTS WHO QUALIFY FORCHARITY CARE.
Part III, Line 8: IT IS THE POSITION OF MERCY HOSPITALS EAST COMMUNITIES THAT 100% OF ANY SHORT FALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS AMOUNT REPRESENTS COST OF PROVIDING SERVICES THAT REMAIN UNCOMPENSATED TO THE PROVIDER.THE UNREIMBURSED COSTS OF MEDICARE IS CALCULATED BY THE GROSS CHARGESNET OF THE COST TO CHARGE RATIO LESS ANY PAYMENTS, DEDUCTIONS ORREIMBURSMENTS USING THE ANNUAL MEDICARE COST REPORT (CMS FORM 2552-96)
Part III, Line 9b: MERCY HOSPITALS EAST COMMUNITIES ("MERCY") DEBT COLLECTION POLICY PROVIDES THAT MERCY WILL PERFORM A REASONABLE REVIEW OF EACH INPATIENT ACCOUNT BEFORE TURNING AN ACCOUNT TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT, TO ASSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (E.G., MEDICAID) AND DO NOT QUALIFY FOR COVERAGE THROUGH MERCY'S COMMUNITY ASSISTANCE POLICY. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY PATIENT ACCOUNT THAT IS SUBSEQUENTLY DETERMINED TO MET THE MERCY HOSPITAL COMMUNITY ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO MERCY FOR APROPRIATE FOLLOW-UP. MERCY REQUIRES ITS THIRD-PARTY COLLECTION AGENTS TO INCLUDE A MESSAGE ON ALL STATEMENTS INDICATING THAT IF A PATIENT OR PATIENT GUARANTOR MEETS CERTAIN STIPULATED INCOME REQUIREMENTS, THE PATIENT OR PATIENT GUARANTOR MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE.MERCY UTILIZES THE "SEARCH AMERICA" TOOL TO ENHANCE THE ABILITY TODETERMINE CHARITY QUALIFICATION. PRESUMPTIVE CHARITY WILL BE GRANTED IN SITUATIONS WHERE MERCY HOSPITAL HAS BEEN UNABLE TO OBTAIN INFORMATIONFROM PATIENTS OR THE INFORMATION PROVIDED IS NOT COMPLETE ENOUGH TOMAKE A CHARITY DETERMINATION. MERCY UTILITIZES PRESUMPTIVE CHARITYPRIOR TO BAD DEBT PLACEMENT FOR CHARITY ADJUSTMENTS IN EXCESS OF $10,000.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 ANUNWILLINGNESS TO COOPERATE IN VALIDATING ELIGIBILITY FOR FINANCIALASSISTANCE. THESE APPROPRIATE MEANS MAY INCLUDE LEGAL ACTION CONSISTENTWITH MERCY MISSION AND VALUES. ADDITIONALLY THEY MAY INCLUDE LIENS UPONREAL PROPERTY AND REASONABLE WAGE GARNISHMENTS. LEGAL ACTIONS WILLGENERALLY NOT INCLUDE BANK GARNISHMENT, REPOSSESSION OF ASSETS ORFORECLOSURES TO ENFORCE SATISFACTION OF A LIEN. MERCY HAS POLICIES ANDPROCEDURES ESTABLISHED TO ADDRESS THE INITIATION OF LEGAL ACTION ANDANNUALLY REVIEWS COMPLIANCE WITH ALL POLICIES.
Part VI, Line 2: Mercy Health East Community conducted its most recent community health needs assessment March-August 2010. Our needs assessment process involved the following five steps using both quantitative and qualitative information to attain the full scope of our community's needs.1. Examined existing community health needs assessmentsThe needs assessment examination process included the collection and analysis of quantitative data available in community/public health resources. Mercy staff, supported by Saint Louis University Master of Public Health students, focused on ten counties in Mercy's service area: Crawford, Franklin, Gasconade, Jefferson, Lincoln, St. Charles, St. Louis, St. Louis City, Warren and Washington. Data for the assessment was obtained from a variety of sources:- Progress Toward Building a Healthier St. Louis - 2009 Access to Care ReportSt. Louis Regional Health CommissionEach year Mercy's JFK Clinic is cited throughout the report as a major provider of care for the uninsured and underinsured in our region.- Children of Metropolitan St. Louis - 2009-10 Report to the CommunityVision for Children at Risk This report provides valuable health and social service information relating to children and is critical as Mercy plans programs and services for families. - The County Health Rankings for 2010 This is a new resource that was unveiled in March 2010. It is county level data that will be updated annually by the University of Wisconsin-Population Health Institute and the Robert Wood Johnson Foundation. - Community Data Profiles & Missouri Information for Community Assessment (MICA) Missouri Department of Health & Senior Services-Bureau of Health Informatics This resource provides some of the best community health assessment planning tools available including community data profiles on 115 Missouri counties, thirty health indicators, and the capability to create customized tables.- Issues in Missouri Health Care 2009Health Management Association, Inc., Missouri Foundation for Health, Healthcare Foundation for Greater Kansas City- Data from Mercy's Health Information Systems DepartmentData from Mercy's own records was pulled and used to assess the needs of the community. - Local county health departmentsLocal county health departments were contacted for information and it was discovered that even the smaller counties in Mercy's service area had performed an assessment. All had some level of analysis within the past three years. Mercy also looked at some of the counties in our community, into Illinois, that have not historically been considered Mercy's primary service areas but may offer opportunities to serve as Mercy grows. 2. Conducted roundtable discussions with community membersIn an effort to include qualitative data, input from both community individuals served by Mercy and also those with expertise in public health, community roundtable meetings, along with follow up sessions, were held in Washington and St. Louis, Missouri. Participants shared their views on both the current and future state of health in their communities. Focus included traditional health care services along with prevention, education and wellness. Ideas for next steps and partnerships emerged along with identifying potential barriers to success. 3. Analyzed and summarized the data to prioritize needsAfter careful analysis of the data, five community health priorities were identified: access to care, tobacco use, health literacy/education, injuries, and mental health/substance abuse. 4. Reviewed community benefit activities in placeUsing Lyon Software's CBISA tool, a review was conducted of current community benefit activities and what Mercy was presently doing to meet the identified priorities. 5. Created an action planMercy Neighborhood Ministry, a department of Mercy Hospital St. Louis, is responsible for overseeing the Community Benefit/Community Health Program. In collaboration with other Mercy departments and community organizations, programs are being created and implemented based on the results of the needs assessment. The community health needs assessment is updated on an ongoing basis as annual community/public health data is released.
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. Specific information provided: 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) must first find out if they are eligible for Medicaid before applying for financial assistance. Patients denied Medicaid eligibility then must provide certain information to show financial need. Applications for charity care discounts will be reviewed for eligibility based on the applicant's income, family size, amount of payment due and availability of other assets or resources. Please note that care must be medically necessary to be considered eligible for uninsured patient discounts. Eligibility Guidelines for Charity Care Discounts The Federal Poverty Guidelines for income are the basis for determining eligibility for charity care discounts. For example, individuals with incomes below 100% of the Federal Poverty Guidelines will be eligible for free care. Individuals with incomes greater than 100% of the Federal Poverty Guidelines may be eligible for care at discounted rates depending on their income level and/or the amount due to the hospital. Additional Financial Assistance After appropriate discounts have been applied, arrangements may be made for an interest-free monthly payment plan. Generally, no patient's financial responsibility will be greater than 10% of annual household income, adjusted to consider availability of other assets that could be used toward making payments.
Part VI, Line 4: Mercy Health East Community's service area is comprised of fourteen regions (194 zip codes) with a total population of 2,733,120 in 2009. Mercy Hospital St. Louis's primary service area includes urban/suburban St. Louis City and County and St. Charles. Mercy Hospital Washington serves the rural counties of Crawford, Franklin, Gasconade, Jefferson, Lincoln, Warren and Washington.Additional demographics for St. Louis/Washington service areas are below. All information, with the exception of Adult Education Level, is based on 2009 data. Median age: 38Breakdown of age groups with the percentage of the population they comprise: 0-17 24% 18-44 (female) 18% 18-44 (male) 17% 45-64 27% 65+ 13%Median household income: $55,976Average household income: $71,373 Population with incomes under $15,000: 13%Race/Ethnicity:White: 77%Black: 19%Native American: 0%Asian: 2%Multiracial and/or any Other Race: 2%Hispanic: 2%Adult Education Level (based on 2011 data) Less than high school: 3.9% Some high school: 7.8% High school degree: 27.9% Some college/associates degree: 31.1% Bachelor's degree or greater: 29.3%
Part VI, Line 6: Mercy Hospitals East Communities ("MHEC") provides quality medical health care regardless of race, creed, sex, national origin, handicap, age or ability to pay. In active pursuit of this mission, MHEC provided services to 47,714 inpatients, 113,065 emergency room visits, 945,660 outpatient visits, and 58,404 clinic visits.MHEC is a Catholic health care corporation that, pursuant to the organizational core belief that health care services are a vital and integral part of the Church's healing mission, engages in a ministry which provides general acute care, ambulatory, long-term and home care health services to individuals and families in its service communities. Consistent with the organization's commitment to social accountability and the provision of community benefit, MHEC offers other services and programs which further health promotion, maintenance and care. MHEC's services include two clinics which were established specifically for individuals who are uninsured or underinsured and do not have a means to pay for healthcare services. These clinics provide a significant focus on prenatal care. Many clinic patients were also treated, on a charitable basis, as inpatients. In response to the increased needs of the underinsured in the St. Louis area, these clinics have continually expanded, offering new services to more patients. The organization continues to focus on the provision of primary health services and education to the community, regardless of their means to pay for these services. The organization also has a continuing commitment to health research and to health education at all levels.Although reimbursement for services rendered is critical to the continued ability to provide healthcare services to all patients, MHEC recognizes that not all individuals possess the ability to purchase essential medical services and, further, that part of our mission is to provide healthcare services and healthcare education to the communities in which our facilities are located. In keeping with MHEC's commitment to serve all members of the communities it serves, MHEC provides (i) free care and/or subsidized care; (ii) care to persons covered by governmental programs at below cost; (iii) health activities and programs to support the community; (iv) health education programs; and, (v) a variety of broad community support activities. MHEC is governed by a Board of Directors which includes representation from community leaders in the organization's primary service areas. All board members are required to complete an annual Conflict of Interest survey. Any potential conflicts of interest disclosed by board members are screened by general counsel and reviewed by the board chairperson and CEO. This process ensures that public, rather than private, interests are served by MHEC. Medical staff privileges are extended to all qualified physicians in the community for almost all of our departments. The exceptions include Radiology, Pathology, Anesthesiology, Neonatology, and CV surgery. This means that over 90% of the physicians on the staff are in categories that are open to qualified physicians in the community.Surplus funds and unrestricted assets held by Mercy Health East Communities are reinvested in patient care, medical education and research initiatives which support the organization's mission to deliver compassionate care and exceptional health care services to the communities it serves. Examples include the following:- New patient tower dedicated to Mercy Children's Hospital - offering a full scope of pediatric services to improve the health and well-being of children in the communities served, regardless of ability to pay- New outpatient ambulatory facility in Clarkson Valley, Missouri (west of St. Louis) providing comprehensive cancer care and other services in one location- Expansion of emergency room facilities at Mercy Hospital Washington to meet the health care needs of this community- Continued funding and growth of Mercy Research Institute which is dedicated to improving patient outcomes by supporting new and potentially life-changing health research including over 100 active clinical trials at Mercy Hospital St. Louis.- Continued funding of graduate medical education program (provides residency training in family medicine, internal medicine, OB/Gyn, dental medicine, orthopedics and critical care) and schools of radiology, respiratory and clinical laboratory science.
Part VI, Line 7: The filing organization is part of Mercy Health ("Mercy"). Mercy is a Missouri non-profit corporation with its headquarters ("ministry office") in St. Louis, Missouri. Mercy provides health care services in four states - Arkansas, Kansas, Missouri, and Oklahoma - and has outreach ministries located in Louisiana, Mississippi, and Texas. Mercy's mission is "As the Sisters of Mercy before us, we bring life to the healing ministry of Jesus through our compassionate care and exceptional service." As of June 30, 2011, Mercy facilities included 31 hospitals with 3,822 acute licensed beds (3,393 acute available beds). For the fiscal year ended June 30, 2011, Mercy had 4.4 million provider visits and 2.4 million outpatient visits, more than 1,300 employed physicians, and approximately 29,000 full-time equivalent employees, making Mercy the eighth largest Catholic health system in the United States based on net patient service revenue. Mercy is sponsored by Mercy Health Ministry, which is governed by members that include Sisters of Mercy.Many services that are essential to fulfilling Mercy's mission are centralized at the Ministry Office. Such centralized services include Treasury, Information Technology, Clinical Quality Management, Legal and Compliance Counsel, Compensation and Benefits, Consulting, Performance Management, Revenue Management, Capital Management, Clinical Engineering, and Clinical Safety. The centralization of such support services enables Mercy to ensure that each of its communities, whether large or small, has the services it needs.
MO	Reports Filed With States	Part VI, Line 7

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (7 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
Nurses for Newborns
7259 Lansdowne Suite 100	St Louis	MO	63119	431601329	501(c)(3)	52635	Support continuity of health care to high risk infants
Susan B Komen Breast Cancer Fdtn
9288 Dielman Industrial Dr	St Louis	MO	63132	752844650	501(c)(3)	17500	Support research of breast cancer
St Johns Mercy Foundation
615 S New Ballas Road	St Louis	MO	63141	562410020	501(c)(3)	30000	Support health care
Friends of Kids with Cancer
530 Maryville Centre Drive	St Louis	MO	63141	431614563	501(c)(3)	5000	Advocacy and support for kids with cancer and their families
The Wellness Program
20 Archbishop May Drive	St Louis	MO	63119	431297933	501(c)(3)	20000	Support priests in proactively managing their health
CHADS Coalition for Mental Health
3775 Gumtree	st Louis	MO	63129	202172260	501(c)(3)	5000	Advance knowledge and prevention of adolescent depression and suicide
The Walk for Mental Health
PO Box 220183	St Louis	MO	63122	411702239	501(c)(3)	5000	Create awareness of the mental health agencies in the St. Louis area

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	26	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Procedure for Monitoring Grants in the U.S.:	Identifier
Return Reference	Part I, Line 2:	ReturnReference
Explanation	Schedule I, Part I, Line 2: Grants are made to organizations which have an established history of providing health care support andor community benefit. If necessary, periodic reports are provided to us. Grants are made to related organizations, which provide reporting on the use of the funds and work closely with our organization.	Explanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (38 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Charles Rehm MD
0	318329	0	15000	0	5492	0	22543	0	11828	0	373192	0	0
Thomas RiechersMD
0	322245	0	28095	0	34281	0	15414	0	15401	0	415436	0	0
Keith StarkeMD
341563	0	40000	0	32562	1900	26344	0	10052	0	450521	1900	0	0
Denny Margaret DeNarvaez
0	337124	0	302934	0	183855	0	180793	0	7185	0	1011891	0	0
Cheryl Matejka
0	253223	0	104689	0	37299	0	40827	0	14641	0	450679	0	0
John Howard
0	292635	0	80986	0	31601	0	79482	0	14788	0	499492	0	0
Michael McCurry
0	605326	0	332982	0	26541	0	515658	0	15118	0	1495625	0	0
Christine Crain
215197	0	68326	0	43407	0	114673	0	7207	0	448810	0	0	0
Eric Eoloff
0	227036	0	83540	0	11960	0	30176	0	13294	0	366006	0	0
Virginia Frank
139448	0	64200	0	45232	0	35602	0	9354	0	293836	0	0	0
Patricia Geldbach
157937	0	52754	0	41998	0	45103	0	8845	0	306637	0	0	0
Paul Hintze
307408	0	89037	0	48422	0	103668	0	15276	0	563811	0	0	0
Joseph Kahn
254842	0	20000	0	41202	0	18107	0	11512	0	345663	0	0	0
Donald Kalicak
0	185313	0	56003	0	41664	0	82054	0	10856	0	375890	0	0
Dennis Keithly
277479	0	0	0	18847	0	69447	0	9470	0	375243	0	0	0
Terri McLain
230125	0	100068	0	43600	0	51096	0	11227	0	436116	0	0	0
Tracey Moffatt
112568	0	65948	0	163829	0	42049	0	6209	0	390603	0	0	0
Curtis Thompson
0	244774	0	104166	0	29926	0	73646	0	13694	0	466206	0	0
Christopher Veremakis
0	342334	0	116713	0	47688	0	51712	0	14854	0	573301	0	0
Steven Bollin
141752	0	44327	0	23939	0	7926	0	10500	0	228444	0	0	0
Donna Frazier
161765	0	31006	0	23520	0	18631	0	7527	0	242449	0	0	0
Kim Onesko
0	167432	0	54154	0	42020	0	18093	0	2756	0	284455	0	0
Frank Lenoir
0	143532	0	28441	0	13789	0	6028	0	8560	0	200350	0	0
Sue Lindenbush
143395	0	30256	0	34672	0	24912	0	12122	0	245357	0	0	0
Jeanne Cantalin
0	170498	0	31414	0	11618	0	8492	0	8675	0	230697	0	0
Sally Petito
215505	0	0	0	42399	0	16248	0	2563	0	276715	0	0	0
Kathryn Nelson
116314	0	40544	0	36157	0	5012	0	13344	0	211371	0	0	0
Diane Radford
518245	0	0	0	41330	0	8297	0	8264	0	576136	0	0	0
Garry Scarato
440672	0	56593	0	26285	0	40206	0	15811	0	579567	0	0	0
Marlys Schuh MD
541397	0	0	0	27159	0	8302	0	8316	0	585174	0	0	0
Rachel Borson MD
646670	0	0	0	41969	0	8305	0	8581	0	705525	0	0	0
John MooreMD
464110	0	0	0	34324	0	8392	0	15468	0	522294	0	0	0
Randall Combs
0	505989	0	285391	0	27340	0	259233	0	14274	0	1092227	0	0
Sheri D Beekman
0	243905	0	104948	0	25866	0	83057	0	2536	0	460312	0	0
John Hermann
0	65318	0	39313	0	295663	0	86737	0	3755	0	490786	0	0
Francine Merenghi
0	167383	0	0	0	0	0	2941	0	0	0	170324	0	0
Michael Zilm
0	0	0	0	131229	0	2373	0	0	0	133602	0	0	0
Lyn Hurst
0	62022	0	49036	0	178804	0	25077	0	886	0	315825	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Part I, Line 1a	CHARTER TRAVEL IS PROVIDED TO ALL EMPLOYEES AS DEEMED NECESSARY FOR BUSINESS TRAVEL AND PURSUANT TO THE APPROVAL BY THE FINANCE DEPARTMENT. 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 UNDER LIMITED CIRCUMSTANCES 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 BY EMPLOYEES FOR THE CONVENIENCE OF THE COMPANY IS MADE IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. AS A REIMBURSABLE EXPENSE, THIS TYPE OF LODGING IS NOT TAXABLE TO THE EMPLOYEE.
Part I, Lines 4a-b	John Hermann received $232,630 of severance compensation from Mercy Health East Communities. Lyn Hurst received $151,571 of severance compensation from Mercy Health East Communities. Francine Merenghi received $167,383 of severance compensation from Mercy Health East Communities. Tracey Moffatt received $114,325 of severance compensation from Mercy Hospitals East Communities. Michael Zilm received $131,229 of severance compensation from Mercy Hospitals East Communities. Part I, Line 4B: Mercy Health, the ultimate parent company, offers supplemental retirement plans to certain executives which provide benefits upon retirement based on compensation, age at the time of benefit commencement, length of service with the company and/or its affiliates, and length of tenure in the plan. The following individuals participated in the following plans. There were no payments for the fiscal year ended 6/30/2011. Supplemental Executive Retirement Plan (SERP) Combs, Randy; McCurry, Michael; McLain, Terri Supplemental Management Retirement Plan (SMRP) Beekman, Sheri D; Crain, Christine; Geldbach, Patricia; Eoloff, Eric; Hintze, Paul; Kalicak, Don; Matejka, Cheryl L; McLain, Terri L; Thompson, Curtis; Rehm, Charles; Cantalin,Jeanne; Lenior, Frank; Starke,Keith; Frazier,Donna The amount of all accrued benefits is included in compensation amounts provided in Schedule J, Part II, Column (C).
Part I, Line 7	The related organization which employs those individuals listed on Part VII, and the filing organization when applicable, PROVIDES A NON-FIXED BONUS PLAN FOR WHICH CERTAIN TIERS OF ITS EMPLOYEES ARE ELIGIBLE. FOR FISCAL YEAR 2011 (JULY 1, 2010 - JULY 30, 2011) PAYMENT OF ALL OR PART OF THE BONUS WAS CONTINGENT UPON ATTAINMENT OF CERTAIN FINANCIAL TARGETS. PAYMENTS ARE MADE ANNUALLY IN OCTOBER FOLLOWING (I) THE CONCLUSION OF THE FISCAL YEAR AND (II) DETERMINATION OF GOAL ACHIEVEMENT. BONUS OPPORTUNITIES ARE TIERED PERCENTAGES AND ARE DEPENDENT UPON THE LEADERSHIP LEVEL AND ATTAINMENT PERCENTAGE. MERCY'S ATTAINMENT OF FINANCIAL GOALS ARE REVIEWED BY THE EXECUTIVE COMPENSATION COMMITTEE OF MERCY HEALTH AND ARE THEN TAKEN INTO ACCOUNT WHEN ANALYZING EXECUTIVE COMPENSATION FOR REASONABLENESS.
Part III	Part I, Line 3: Mercy Health (parent company) is responsible for establishing the compensation of the organization's CEO/Executive Director. The following methods were used by Mercy Health to establish compensation: -Independent compensation consultant -Written employment contract -Compensation survey or study -Approval by the board or compensation committee	Supplemental Information

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Emily Combs
Family Member of Randall Combs, Former Officer	90665	Employment arrangement, Mercy Hospitals East Communities	0
Cheryl Crain
Family Member of Christine Crain, Key Employee	48021	Employment arrangement, Mercy Hospitals East Communities	0
Evan Veremakis
Family Member of Christopher Veremakis, Key Employee	25743	Employment arrangement, Mercy Hospitals East Communities	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (15 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
Form 990, Part VI, Section A, line 6	The member of Mercy Hospitals East Communities is Mercy Health East Communities, a supporting organization under Section 509(a)(3). The member of Mercy Health East Communities is Mercy Health.
Form 990, Part VI, Section A, line 7a	Mercy Health, the member of Mercy Health East Communities, has reserve powers to appoint and remove all directors and officers for Mercy Hospitals East Communities.
Form 990, Part VI, Section A, line 7b	THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED TO THE CORPORATE MEMBER (AND WITH REGARD TO CERTAIN POWERS AND RESPONSIBILITIES, TO MERCY HEALTH, AS THE CORPORATE MEMBER OF THE CORPORATE MEMBER): -APPROVAL OF REVISIONS TO THE MISSION, VISION, AND OPERATING VALUES, PURSUANT TO WHICH THE CORPORATION OPERATES; -APPROVAL OF ANY AMENDEMNTS TO THE ARTICLES OF INCORPORATION AND THESE BYLAWS AND ANY AMENDMENTS TO THE ORGANIZATIONAL DOCUMENTS OF ANY AFFILIATE OF THE CORPORATION; -APPROVAL OF THE APPOINTMENT AND REMOVAL OF THE PRESIDENT OF THE CORPORATION, AS PROVIDED IN SECTIONS 7.2.1 AND 7.3 OF THE BYLAWS; -ADOPTION OF THE STRATEGIC PLAN, GOALS AND OBJECTIVES OF THE CORPORATION; -ADOPTION OF THE OPERATING, CAPITAL, AND ALL OTHER BUDGETS FOR THE CORPORATION; -APPROVAL OF THE ASSIGNMENT, TRANSFER, SALE OR LEASE OF ANY OF THE ASSETS OF THE CORPORATION OR ANY AFFILIATE OF THE CORPORATION IN EXCESS OF ONE MILLION DOLLARS ($1,000,000) IN ANY ONE OR SERIES OF RELATED TRANSACTIONS OCCURRING WITHIN ANY TWELVE (12) MONTH PERIOD; -AUTHORIZATION AND APPROVAL OF THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY AFFILIATE OF THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTY ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; -APPROVAL OF A PLAN OF MERGER, CONSOLIDATION, OR DISSOLUTION OF THE CORPORATION; -APPROVAL OF THE LEASE, MANAGEMENT, OR PURCHASE OF, OR AFFILIATION WITH, ANOTHER HOSPITAL OR HEALTH SYSTEM, OR HEALTH CARE FACILITY OR HEALTH CARE SYSTEM BY THE CORPORATION; AND, -APPROVAL OF THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION CONTROLLED BY THE CORPORATION.
Form 990, Part VI, Section B, line 11	The Form 990 is prepared by an independent accounting firm, using information provided by the filing organization. A draft Form 990 is reviewed by the filing organization's finance leadership. The draft Form 990 is also reviewed by the Sisters of Mercy Health System's Tax department, to ensure accuracy and consistency with other related organizations' Form 990s. After questions arising from the various reviews are addressed and incorporated into the Form 990, a revised draft is provided to the filing organization's leadership team for review. Once reviewed and approved by the filing organization's leadership team, the Form 990 is provided to the Board of Directors for review; it is then signed and filed with the IRS.
	Annually, the business risk assessment and compliance team distributes a link to a conflict of interest survey, which must be completed by all covered individuals, including members of the Board of Directors, senior and executive leaders and persons with substantial influence by title (supervisors and above) or function. All disclosures of potential conflicts of interest reported by co-workers are reviewed by Business Risk and the Director of Corporate Compliance. If necessary, the Chief Financial Officer, General Counsel, and/or Chief Executive Officer may be involved in the review. Corporate Compliance coordinates the review and conflict resolution with the appropriate administrative vice president and with the advice of the General Counsel. All reported disclosures of potential conflicts by the Board of Directors are screened by the General Counsel and reviewed by the Board Chairperson and the CEO. All material conflicts requiring conflict resolution are reported at least annually to the Finance, Audit, and Compliance Committee of the Board.	Form 990, Part VI, Section B, line 12c
	For those classified as officers (and thus Disqualified Persons), Mercy Health (ultimate parent company) uses the following to establish the compensation: external market salary surveys, external market salary studies, engagement of an independent compensation consultant, and annual review/approval of compensation by the Executive Compensation Committee of the Mercy Health Board. For those classified as key employees, the organization uses the following to establish the compensation: external market salary surveys, external market salary studies, and review/approval of executive management. Compensation reviews are completed on an annual basis, and a review was completed during the reporting year.	Form 990, Part VI, Section B, line 15a
	Governing documents and financial statements have been 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 VI, Section C, line 19
Changes in Net Assets or Fund Balances:	Restricted Fund - Investment Income 1,232,199. Restricted Fund - Donations 675,176. Restricted Fund - Expenses -1,196,842. Transfers from Mercy Health -1,604,709. Net assets released from restrictions 2,225,031. Mercy Health Services, LLC eliminations 696,870. Total to Form 990, Part XI, Line 5: 2,027,725.	Form 990, Part XI, line 5:
Audited Financial Statements	The filing organization's financial statements were included in the Mercy Health and Subsidiaries annual financial statement audit. The Mercy Health and Subsidiaries received an unqualified opinion from the external auditors for fiscal 2011 (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 Board of Directors. Audit results are communicated to this committee.	Part XI, Line 2
Single Audit Act and OMB Circular A-133	The organization was included in a consolidated audit of Mercy Health as required by the Single Audit Act and OMB Circular A-133. The single audit was conducted on a consolidated basis.	Form 990, Part XI, Line 3
	DURING THE TAX YEAR ENDED JUNE 30, 2012, SISTERS OF MERCY HEALTH SYSTEM ("MERCY HEALTH") BEGAN A SYSTEM-WIDE REBRANDING INITIATIVE TO HELP PATIENTS, PHYSICIANS, CO-WORKERS, AND THE PUBLIC BETTER UNDERSTAND THE FULL SCOPE AND LOCATIONS OF MERCY HEALTH'S SERVICES. SEVERAL OF THE MERCY HEALTH AFFILIATES HAVE CHANGED OR ARE IN THE PROCESS OF CHANGING LEGAL NAMES. PRIOR TO FILING THE 2010 FORMS 990 (DUE MAY 15, 2012), MERCY HEALTH NOTIFIED THE IRS OF THESE NAME CHANGES, THEREFORE BOX B "NAME CHANGE" HAS NOT BEEN CHECKED ON THIS FORM 990. REFER TO SCHEDULE R, PART VII FOR A LIST OF THE NAME CHANGES.	SCHEDULE O DISCLOSURE FORM 990, HEADING, BOX B
Federal EINS	THE OPERATING RESULTS OF THE FOLLOWING ENTITIES, DIVISIONS, AND/OR SUBORDINATE ORGANIZATIONS OF MERCY HOSPITALS EAST COMMUNITIES ARE INCLUDED IN THE INFORMATION PRESENTED IN THE FORM 990 FOR THE YEAR ENDED JUNE 30, 2011: ENTITY FEIN Mercy Hospitals East Communities St. Louis 43-0653493 Mercy Hospitals East Communities Washington 43-1066883 Mercy Support Services 43-1677952	Listing of included divisions and entities
SYSTEM LIMITATIONS	LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY HEALTH AND SUBSIDIARIES. THE MAJORITY OF THE INTERCOMPANY/RELATED ORGANIZATION TRANSACTIONS ARE PROCESSED THROUGH LAWSON VIA INTERCOMPANY JOURNAL ENTRIES. WITH THE CURRENT DESIGN OF THE ERP SYSTEM, THERE ARE VARIOUS LIMITATIONS ON THE RELATED ORGANIZATION INFORMATION THAT CAN BE EXTRACTED FROM LAWSON. DUE TO THESE LIMITATIONS, MOST OF THE RELATED ORGANIZATION ACTIVITY FOR THE FILING ORGANIZATION HAS BEEN CLASSIFIED ON SCHEDULE R, PART V, IN LINES O AND P.	FORM 990, SCHEDULE R, PART V
Independent Contractors	Independent contractors for the filing organization are paid by Mercy Health (EIN 43-1423050). As such, all required Form 1099 and Form 1096 reporting is made for the entire health system (with limited exceptions) under the Mercy Health EIN.	Form 990, Part V, Question 1a
Hours Per Week	Several 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.	Part VII, Section A, Column B

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (18 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Mercy Clinic Adult Critical Care LLC
615 SNew Ballas Road	StLouis	MO	63141	201626965	Physician Services	MO	3710605	657319	Mercy Hospitals East Communities
Mercy Clinic Adult Hospitalists- Washington LLC
901 E Fifth Street	Washington	MO	63090	262961433	Hospitalist Services	MO	457920	0	Mercy Hospitals East Communities
Mercy Clinic Adult Hospitalists-St Louis LLC
645 Maryville CentreSte 100	StLouis	MO	63141	431854902	Healthcare Services	MO	7036754	405242	Mercy Hospitals East Communities
Mercy Clinic Anesthesiology-Washington LLC
645 Maryville CentreSte 100	StLouis	MO	63141	030597437	Inactive	MO	0	0	Mercy Hospitals East Communities
Mercy Clinic Child and Adolescent Psychiatry LLC
645 Maryville CentreSte 100	StLouis	MO	63141	431893326	Healthcare Services	MO	686923	0	Mercy Hospitals East Communities
Mercy Clinic Children's Cancer and Hematology LLC
645 Maryville CentreSte 100	StLouis	MO	63141	431905879	Healthcare Services	MO	1083062	0	Mercy Hospitals East Communities
Mercy Clinic Children's Critical Care LLC
645 Maryville CentreSte 100	StLouis	MO	63141	431854108	Healthcare Services	MO	713770	24290	Mercy Hospitals East Communities
Mercy Clinic Children's Heart Center LLC
645 Maryville CentreSte 100	StLouis	MO	63141	201626888	Healthcare Services	MO	263005	0	Mercy Hospitals East Communities
Mercy Clinic Children's Hospitalists-St Louis LLC
645 Maryville CentreSte 100	StLouis	MO	63141	431708560	Healthcare Services	MO	402371	103111	Mercy Hospitals East Communities
Mercy Clinic Kids GI LLC
645 Maryville CentreSte 100	StLouis	MO	63141	264186905	Healthcare Services	MO	341076	0	Mercy Hospitals East Communities
Mercy Clinic Pulmonology-St Louis LLC
645 Maryville CentreSte 100	StLouis	MO	63141	264186970	Healthcare Services	MO	46221	0	Mercy Hospitals East Communities
Mercy Clinic St Louis Cancer and Breast Institute LLC
645 Maryville CentreSte 100	StLouis	MO	63141	263290360	Healthcare Services	MO	1693522	0	Mercy Hospitals East Communities
Mercy Family Therapy LLC
645 Maryville CentreSte 100	StLouis	MO	63141	431893329	Healthcare Services	MO	0	0	Mercy Hospitals East Communities
Mercy Health Services LLC
645 Maryville CentreSte 100	StLouis	MO	63141	431664148	Healthcare Services & Products	MO	54079773	9005957	Mercy Hospitals East Communities
Mercy Neuropsychology Services LLC
615 SNew Ballas Road	StLouis	MO	63141	261216912	Neurophsychology Services	MO	1179538	444884	Mercy Hospitals East Communities
Mercy Orthopaedic Trauma Services LLC
615 SNew Ballas Road	StLouis	MO	63141	061785022	Healthcare Services	MO	1446326	101872	Mercy Hospitals East Communities
St John's Mercy Therapy Services LLC
615 SNew Ballas Road	StLouis	MO	63141	810671798	Inactive	MO	0	0	Mercy Hospitals East Communities
Triax 14144 LLC
615 SNew Ballas Road	StLouis	MO	63141	943454464	R E Transactions	MO	0	4300274	Mercy Hospitals East Communities

Form990 Schedule R Part II Form990ScheduleRPartII (64 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA
Advance Care Hospital
300 Werner St 3rd Floor	Hot Springs	AR	71913	710816634	Long term acute-care hospital	AR	501c3	3	Mercy Health	0
Casa de Misericordia
1602 McClelland Street	Laredo	TX	78044	742912461	Women's domestic violence shelter	TX	501c3	9	Mercy Ministries of Laredo	0
Laredo Medical Group
14528 S Outer Forty St 100	Chesterfield	MO	63017	742764726	Inactive	TX	501c3	9	Mercy Health System TX	0
McAuley Portfolio Mgmt Co
14528 S Outer Forty St 100	Chesterfield	MO	63017	261708048	Portfolio management	MO	501c3	11-II	Mercy Health	0
Mercy Clinic East Communities
645 Maryville Ctr Dr Ste 100	St Louis	MO	63141	431771217	Physician Group	MO	501c3	9	Mercy Health East Communities	0
Mercy Clinic Fort Smith Comm
7301 Rogers Avenue	Fort Smith	AR	72917	261318597	Physician Clinic	AR	501c3	3	Mercy Health Fort Smith Comm	0
Mercy Clinic Hot Springs Comm
1 Mercy Lane	Hot Springs	AR	71913	261125131	Physician Clinic	AR	501c3	9	Mercy Health Hot Springs Comm	0
Mercy Clinic Oklahoma Comm
4300 W Memorial Road	Oklahoma City	OK	73120	270473057	Physician Group/Clinic	OK	501c3	9	Mercy Health OK Communities	0
Mercy Clinic Springfield Comm
1965 Fremont Street Suite 2950	Springfield	MO	65804	431560263	Physician Group	MO	501c3	3	Mercy Health Springfield Comm	0
Mercy Emergency Med Srvs
4300 W Memorial Road	Oklahoma City	OK	73120	810627035	Inactive	OK	501c3	9	Mercy Hospital Oklahoma City	0
Mercy Fdtn Health Innov
14528 S Outer Forty St 100	Chesterfield	MO	63017	200901499	Foundation	MO	501c3	11-II	Mercy Health	0
Mercy Health
14528 S Outer Forty St 100	Chesterfield	MO	63017	431423050	Health System - Corporate Office	MO	501c3	11-II		0	N/A
Mercy Health East Communities
645 Maryville Ctr Dr Ste 100	St Louis	MO	63141	431718408	Health System	MO	501c3	11-II	Mercy Health	0
Mercy Health Fort Smith Comm
7301 Rogers Avenue	Fort Smith	AR	72917	261318515	Holding Company	AR	501c3	11-II	Mercy Health	0
Mercy Health Foundation Ardmore
1011 14th Avenue NW	Ardmore	OK	73401	710962525	Foundation	OK	501c3	11-I	Mercy Hospital Ardmore	0
Mercy Health Foundation Berryville
214 Carter Street	Berryville	AR	72616	710759301	Foundation	AR	501c3	11-I	Mercy Hospital Berryville	0
Mercy Health Foundation Ft Scott
401 Woodland Hills Blvd	Fort Scott	KS	66701	481077073	Foundation	KS	501c3	11-III	Mercy Kansas Communities Inc	0
Mercy Health Foundation Hot Springs
300 Werner Street	Hot Springs	AR	71913	710804718	Foundation	AR	501c3	11-II	Mercy Hospital Hot Springs	0
Mercy Health Foundation Independence
800 W Myrtle	Independence	KS	67301	481079981	Foundation	KS	501c3	11-I	Mercy Kansas Communities Inc	0
Mercy Health Foundation Joplin
2727 McClelland Blvd	Joplin	MO	64804	270906136	Foundation	MO	501c3	11-I	Mercy Health SW MOKS Comm	0
Mercy Health Foundation NW Ark
2710 Rife Medical Ln	Rogers	AR	72858	710601687	Foundation	AR	501c3	11-III	Mercy Hospital Rogers	0
Mercy Health Foundation Ok City
4300 W Memorial Road	Oklahoma City	OK	73120	731593024	Foundation	OK	501c3	11-I	Mercy Hospital Oklahoma City	0
Mercy Health Foundation Sprgfld
1235 E Cherokee Street	Springfield	MO	65804	320195818	Foundation	MO	501c3	11-II	Mercy Health Springfield Comm	0
Mercy Health Foundation STL
615 South New Ballas Road	St Louis	MO	63141	562410020	Foundation	MO	501c3	11-II	Mercy Health East Communities	0
Mercy Health Foundation Washington
901 E Fifth Street	Washington	MO	63090	562410022	Foundation	MO	501c3	11-II	Mercy Health East Communities	0
Mercy Health Hot Springs Comm
300 Werner Street	Hot Springs	AR	71913	261125064	Holding Company	AR	501c3	11-II	Mercy Health	0
Mercy Health NW Ark Communities
2710 Rife Medical Ln	Rogers	AR	72758	621684203	Physician Group	AR	501c3	11-II	Mercy Health	0
Mercy Health OK Communities
4300 W Memorial Road	Oklahoma City	OK	73120	731453048	Holding company	OK	501c3	11-II	Mercy Health	0
Mercy Health SW MOKS Comm
2727 McClelland Blvd	Joplin	MO	64804	300584463	Health System	MO	501c3	11-II	Mercy Health	0
Mercy Health Springfield Comm
1235 E Cherokee Street	Springfield	MO	65804	431856028	Holding Company	MO	501c3	11-II	Mercy Health	0
Mercy Health System TX
14528 S Outer Forty St 100	Chesterfield	MO	63017	742764727	Inactive	TX	501c3	11-II	Mercy Health	0
Mercy Home Health Berryville
214 Carter Street	Berryville	AR	72616	870781247	Home Health and Hospice operations.	AR	501c3	11-III	Mercy Hospital Springfield	0
Mercy Hospital Ardmore
1011 14th Avenue NW	Ardmore	OK	73401	731500629	Hospital	OK	501c3	3	Mercy Health OK Communities	0
Mercy Hospital Aurora
500 Porter Avenue	Aurora	MO	65605	431936696	Operating co for leased hosp	MO	501c3	3	Mercy Health Springfield Comm	0
Mercy Hospital Berryville
214 Carter Street	Berryville	AR	72616	710759299	Hospital	AR	501c3	3	Mercy Health Springfield Comm	0
Mercy Hospital Cassville
94 Main Street	Cassville	MO	65625	431936699	Operating co for leased hosp	MO	501c3	3	Mercy Health Springfield Comm	0
Mercy Hospital Columbus
220 Pennsylvania Avenue	Columbus	KS	66725	270842031	Critical Access Hospital	MO	501c3	9	Mercy Health SW MOKS Comm	0
Mercy Hospital El Reno
2115 Parkview Drive	El Reno	OK	73036	736617948	Operating co for leased hosp	OK	501c3	3	Mercy Health OK Communities	0
Mercy Hospital Fort Smith
7301 Rogers Avenue	Fort Smith	AR	72917	710240352	Hospital	AR	501c3	3	Mercy Health Fort Smith Comm	0
Mercy Hospital Healdton
918 South Street	Healdton	OK	73438	263173902	hospital	OK	501c3	3	Mercy Hospital Ardmore	0
Mercy Hospital Hot Springs
300 Werner Street	Hot Springs	AR	71913	710236913	Hospital	AR	501c3	3	Mercy Health Hot Springs Comm	0
Mercy Hospital Joplin
2727 McClelland Blvd	Joplin	MO	64804	270814858	Hospital	MO	501c3	9	Mercy Health SW MOKS Comm	0
Mercy Hospital Lebanon
100 Hospital Drive	Lebanon	MO	65536	431767432	Hospital	MO	501c3	3	Mercy Health Springfield Comm	0
Mercy Hospital of Laredo
14528 S Outer Forty St 100	Chesterfield	MO	63017	741189682	Inactive	TX	501c3	3	Mercy Health System TX	0
Mercy Hospital Oklahoma City
4300 W Memorial Road	Oklahoma City	OK	73120	730579285	Hospital	OK	501c3	3	Mercy Health OK Communities	0
Mercy Hospital Ozark
801 W River Street	Ozark	AR	72949	710689680	Hospital	AR	501c3	3	Mercy Hospital Fort Smith	0
Mercy Hospital Paris
500 E Academy	Paris	AR	72855	710655753	Hospital	AR	501c3	3	Mercy Hospital Fort Smith	0
Mercy Hospital Rogers
2710 Rife Medical Ln	Rogers	AR	72758	710294390	Hospital	AR	501c3	3	Mercy Health NW Ark Communities	0
Mercy Hospital Springfield
1235 E Cherokee Street	Springfield	MO	65804	440552485	Hospital	MO	501c3	3	Mercy Health Springfield Comm	0
Mercy Hospital Tishomingo
1000 South Byrd	Tishomingo	OK	73460	274433830	Hospital	OK	501c3	3	Mercy Hospital Ardmore	0
Mercy Hospital Waldron
1341 W 6th Street	Waldron	AR	72958	710557895	Hospital	AR	501c3	3	Mercy Hospital Fort Smith	0
Mercy Kansas Communities Inc
401 Woodland Hills Blvd	Ft Scott	KS	66701	480956045	Hospital;rural health clinics	KS	501c3	3	Mercy Health SW MOKS Comm	0
Mercy Medical Research Inst
1235 E Cherokee Street	Springfield	MO	65804	870796305	Research - Clinical Trials	MO	501c3	3	Mercy Health Springfield Comm	0
Mercy Ministries of Laredo
2500 Zacatecas	Laredo	TX	78043	200198462	healthcare, outreach,food pantry.	TX	501c3	3	Mercy Health	0
Mercy St Francis Hospital
100 W Highway 60	Mountain View	MO	65548	440607149	Hospital	MO	501c3	3	Mercy Health Springfield Comm	0
Mercy Support Services
615 S New Ballas Road	St Louis	MO	63141	431677952	Inactive	MO	501c3	11-III	Mercy Hospitals East Comm	0
MHM Support Services
14528 S Outer Forty St 100	Chesterfield	MO	63017	202553101	Centralized Health System Functions	MO	501c3	11-II	Mercy Health	0
Mission Clinical Services
300 Werner Street	Hot Springs	AR	71913	134239691	Physician Clinics	AR	501c3	11-II	Mercy Health Hot Springs Comm	0
Sisters of Mercy Ministries
14528 S Outer Forty St 100	Chesterfield	MO	63017	721069468	Family counseling;social justice advocacy	MO	501c3	9	Mercy Health	0
St Edward Mercy Foundation
PO Box 17000	Fort Smith	AR	72917	237330425	Foundation	AR	501c3	3	Mercy Hospital Fort Smith	0
St Johns Childrens Hosp
1235 E Cherokee Street	Springfield	MO	65804		Inactive	MO	501c3	3	Mercy Health Springfield Comm	0
St Marys Hosp Enid Ok
14528 S Outer Forty St 100	Chesterfield	MO	63017	730614655	Inactive	OK	501c3	3	Mercy Health OK Communities	0
The Sr M Cornelia Blasko Fn
100 W Highway 60	Mountain View	MO	65548	431873914	Foundation	MO	501c3	11-I	Mercy St Francis Hospital	0
Unity Ambulatory Care
645 Maryville Ctr Dr Ste 100	St Louis	MO	63141	431861745	Inactive	MO	501c3	11-III	Mercy Health East Communities	0

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

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

Form990 Schedule R Part IV Form990ScheduleRPartIV (10 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
Mercy Comm Services Inc
401 Woodland Hills Blvd	Fort Scott	KS	66701	481078101	Catering operations	KS	N/A	C
Frontenac Properties Inc
14528 S Outer Forty Suite 100	Chesterfield	MO	63017	521914421	Holds ancillary assets & owns aircraft	DE	N/A	C
MHP Inc
14528 S Outer Forty Suite 300	Chesterfield	MO	63017	431697084	Holding company; sold 10/1/10	DE	N/A	C
Inveno Health Inc
1235 E Cherokee Street	Springfield	MO	65804	264509571	Technology transfer company	MO	N/A	C
Unity Support Services Inc
645 Maryville Centre Drive Suite 10	St Louis	MO	63141	431797042	Inactive	MO	N/A	C
UH L Corp Inc
645 Maryville Centre Drive Suite 10	St Louis	MO	63141	742499535	Holding company	MO		C	Mercy Health Services LLC	13852	508644	1.00000
MHN of the Southern Region Inc
1011 14th Avenue NW	Ardmore	OK	73401	731580607	Employed physicians, physician assistants, and nurse practitioners	OK	N/A	C
Mercy Health Center Condominium Inc
4300 W Memorial Rd	Oklahoma City	OK	73120	680640970	Administrator of certain real property and improvements	OK	N/A	C
Mercy Managed Care Corporation
4300 W Memorial Road	Oklahoma City	OK	73120	731441665	Holding company	OK	N/A	C
Mercy Health Network Inc
4300 W Memorial Road	Oklahoma City	OK	73120	731381689	Employed physicians, physician assistants, and nurse practitioners	OK	N/A	C

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

Transactions Related Orgs Table TransactionsRelatedOrgsTable (19 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Mercy Hospital Rogers
O	88533	Cash Tranfer
Mercy Hospital Fort Smith
O	110401	Cash Tranfer
Mercy Clinic East Communities
N	296456	Cash Tranfer
Mercy Clinic East Communities
P	21730594	Cash Tranfer
Mercy Hospital Oklahoma City
O	155059	Cash Tranfer
MHM Support Services
O	45202938	Cash Tranfer
Mercy Hospital Springfield
P	210815	Cash Tranfer
Mercy Hospital Ardmore
O	66454	Cash Tranfer
Mercy Health Foundation St Louis
O	74056	Cash Tranfer
Resource Optimization & Innovation LLC
O	40623177	Cash Tranfer
Mercy Health
O	6098880	Cash Tranfer
Mercy Health Foundation St Louis
B	30000	Cash Tranfer
Mercy Health East Communities
P	26919004	Cash Tranfer
Mercy Health Foundation Washington
P	133071	Cash Tranfer
Mercy Health Northwest Arkansas Communities
P	134562	Cash Tranfer
Mercy Health Springfield Communities
O	682272	Cash Tranfer
Mercy Hospital Hot Springs
O	106966	Cash Tranfer
Mercy Health Foundation St Louis
C	3434564	Cash Tranfer
Mercy Health Foundation Washington
C	1678036	Cash Tranfer

Form990 Schedule R Part VII Form990ScheduleRPartVII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
PART I:	SCHEDULE R, PART VII DISCLOSURE NAME CHANGES DUE TO MERCY HEALTH REBRANDING	ST. JOHN'S MERCY ADULT CRITICAL CARE, LLC IS NOW MERCY ADULT CRITICAL CARE, LLC ST. JOHN'S MERCY HOSPITALISTS OF WASHINGTON IS NOW MERCY CLINIC ADULT HOSPITALISTS-WASHINGTON, LLC ST. JOHN'S MERCY HOSPITAL ANESTHESIA SERVICES, LLC IS NOW MERCY CLINIC ANESTHESIOLOGY-WASHINGTON, LLC MERCY CHILDREN'S HEART CENTER, LLC IS NOW MERCY CLINIC CHILDREN'S HEART CENTER, LLC ST. JOHN'S MERCY KIDS GI, LLC IS NOW MERCY CLINIC KIDS GI, LLC ST. JOHN'S MERCY PULMONARY SPECIALISTS, LLC IS NOW MERCY CLINIC PULMONOLOGY, LLC ST. LOUIS CANCER & BREAST INSTITUTE, LLC IS NOW MERCY CLINIC ST. LOUIS CANCER AND BREAST INSTITUTE, LLC ST. JOHN'S MERCY HEALTH SERVICES, LLC IS NOW MERCY HEALTH SERVICES, LLC ST. JOHN'S MERCY NEUROPSYCHOLOGY SERVICES, LLC IS NOW MERCY NEUROPSYCHOLOGY SERVICES, LLC ST. JOHN'S MERCY ORTHOPAEDIC TRAUMA SERVICES, LLC IS NOW MERCY ORTHOPAEDIC TRAUMA SERVICES, LLC
PART II:	SCHEDULE R, PART VII DISCLOSURE NAME CHANGES DUE TO MERCY HEALTH REBRANDING	MERCY MEDICAL GROUP IS NOW MERCY CLINIC EAST COMMUNITIES ST. EDWARD MERCY CLINIC, INC. IS NOW MERCY CLINIC FORT SMITH COMMUNITIES ST. JOSEPH'S MERCY CLINIC, INC. IS NOW MERCY CLINIC HOT SPRINGS COMMUNITIES MERCY PHYSICIANS OF OKLAHOMA, INC. IS NOW MERCY CLINIC OKLAHOMA COMMUNITIES ST. JOHN'S CLINIC, INC. IS NOW MERCY CLINIC SPRINGFIELD COMMUNITIES SISTERS OF MERCY HEALTH SYSTEM IS NOW MERCY HEALTH ST. JOHN'S MERCY HEALTH CARE IS NOW MERCY HEALTH EAST COMMUNITIES ST. EDWARD MERCY HEALTH SYSTEM, INC. IS NOW MERCY HEALTH FORT SMITH COMMUNITIES MERCY MEMORIAL HEALTH CENTER FOUNDATION IS NOW MERCY HEALTH FOUNDATION ARDMORE CARROLL HEALTH FOUNDATION IS NOW MERCY HEALTH FOUNDATION BERRYVILLE MERCY HEALTH CENTER FOUNDATION IS NOW MERCY HEALTH FOUNDATION FORT SCOTT ST. JOSEPH'S MERCY HEALTH FOUNDATION IS NOW MERCY HEALTH FOUNDATION HOT SPRINGS MERCY HOSPITAL FOUNDATION OF INDEPENDENCE, INC. IS NOW MERCY HEALTH FOUNDATION INDEPENDENCE MERCY HEALTH OF JOPLIN FOUNDATION IS NOW MERCY HEALTH FOUNDATION JOPLIN ST. MARY'S HOSPITAL FOUNDATION IS NOW MERCY HEALTH FOUNDATION NORTHWEST ARKANSAS MERCY HEALTH CENTER FOUNDATION, INC. IS NOW MERCY HEALTH FOUNDATION OKLAHOMA CITY ST. JOHN'S FOUNDATION FOR COMMUNITY HEALTH INC. IS NOW MERCY HEALTH FOUNDATION SPRINGFIELD ST. JOHN'S MERCY FOUNDATION IS NOW MERCY HEALTH FOUNDATION ST. LOUIS ST. JOHN'S MERCY HOSPITAL FOUNDATION IS NOW MERCY HEALTH FOUNDATION WASHINGTON ST. JOSEPH'S MERCY HEALTH SYSTEM, INC. IS NOW MERCY HEALTH HOT SPRINGS COMMUNITIES MERCY HEALTH SYSTEM OF NORTHWEST ARKANSAS, INC. IS NOW MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES MERCY HEALTH SYSTEM, INC. IS NOW MERCY HEALTH OKLAHOMA COMMUNITIES MERCY HEALTH SYSTEM-JOPLIN, INC. IS NOW MERCY HEALTH SOUTHWEST MISSOURI/KANSAS COMMUNITIES ST. JOHN'S HEALTH SYSTEM, INC. IS NOW MERCY HEALTH SPRINGFIELD COMMUNITIES ST. JOHN'S HOME CARE OF BERRYVILLE, INC. IS NOW MERCY HOME HEALTH BERRYVILLE MERCY MEMORIAL HEALTH CENTER, INC. IS NOW MERCY HOSPITAL ARDMORE ST. JOHN'S AURORA, INC. IS NOW MERCY HOSPITAL AURORA OZARKS REGIONS HEALTH SYSTEM, INC. IS NOW MERCY HOSPITAL BERRYVILLE ST. JOHN'S CASSVILLE, INC. IS NOW MERCY HOSPITAL CASSVILLE MERCY HEALTH MHMCH, INC. IS NOW MERCY HOSPITAL COLUMBUS MERCY EL RENO HOSPITAL CORPORATION IS NOW MERCY HOSPITAL EL RENO ST. EDWARD MERCY MEDICAL CENTER IS NOW MERCY HOSPITAL FORT SMITH HEALDTON MERCY HOSPITAL CORPORATION IS NOW MERCY HOSPITAL HEALDTON ST. JOSEPH'S MERCY HEALTH CENTER IS NOW MERCY HOSPITAL HOT SPRINGS MERCY HEALTH OF JOPLIN, INC. IS NOW MERCY HOSPITAL JOPLIN BREECH REGIONAL MEDICAL CENTER IS NOW MERCY HOSPITAL LEBANON MERCY HEALTH CENTER, INC. IS NOW MERCY HOSPITAL OKLAHOMA CITY ST. EDWARD HEALTH FACILITIES OF FRANKLIN COUNTY IS NOW MERCY HOSPITAL OZARK ST. EDWARD HEALTH FACILITIES OF LOGAN COUNTY IS NOW MERCY HOSPITAL PARIS ST. EDWARD HEALTH FACILITIES OF SCOTT COUNTY IS NOW MERCY HOSPITAL WALDRON ST. MARY-ROGERS MEMORIAL HOSPITAL, INC. IS NOW MERCY HOSPITAL ROGERS ST. JOHN'S REGIONAL HEALTH CENTER IS NOW MERCY HOSPITAL SPRINGFIELD MERCY TISHOMINGO HOSPITAL CORPORATION IS NOW MERCY HOSPITAL TISHOMINGO ST. JOHN'S MERCY HEALTH SYSTEM IS NOW MERCY HOSPITALS EAST COMMUNITIES ST. JOHN'S MERCY MEDICAL CENTER IS NOW MERCY HOSPITAL ST LOUIS ST. JOHN'S MERCY HOSPITAL IS NOW MERCY HOSPITAL SPRINGFIELD MERCY HEALTH SYSTEM OF KANSAS, INC. IS NOW MERCY KANSAS COMMUNITIES MERCY HEALTH CENTER, INC. IS NOW MERCY HOSPITAL FORT SCOTT MERCY HOSPITAL IS NOW MERCY HOSPITAL INDEPENDENCE ST. JOHN'S MEDICAL RESEARCH INSTITUTE, INC. IS NOW MERCY MEDICAL RESEARCH INSTITUTE ST. FRANCIS HOSPITAL, MOUNTAIN VIEW, MISSOURI IS NOW MERCY ST. FRANCIS HOSPITAL ST. JOHN'S MERCY SUPPORT SERVICES IS NOW MERCY SUPPORT SERVICES