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MERCY HEALTH FOUNDATION ST LOUIS: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
MERCY HEALTH FOUNDATION ST LOUIS (EIN 56-2410020)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-13
IRS object ID
201101339349302835
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-13T13:02:48-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Pleus and Company LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line114323 S Outer Forty Ste 310NAddressLine1
CityChesterfieldCity
StateMOState
ZIP Code63017ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN562410020EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1St John's Mercy FoundationBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTJONameControl
Phone3143643444Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1615 South New Ballas RoadAddressLine1
CitySt LouisCity
StateMOState
ZIP Code63141ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCHERYL MATEJKAName
TitleTREASURERTitle
Phone3143643532Phone
Date Signed2011-05-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone3143179916Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPATRICIA ARNOLDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1615 South New Ballas RoadAddressLine1
CitySt LouisCity
StateMOState
ZIP Code63141ZIPCode
FieldValueIRS element (for citing)
Gross Receipts7825391GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.stjohnsmercy.org/foundation/sjmmcWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2003YearFormation
State Legal DomicileMOStateLegalDomicile
Activity Or Mission DescriptionSt. John's Mercy Foundation's (the "Foundation") primary activity is to engage in fundraising activities to support charity care provided to the patients of St. John's Mercy Medical Center (the "Medical Center"), the organization being supported by the Foundation, and to provide funding for capital expenses incurred and programs carried on by the Medical Center on behalf of patients. The Foundation spends approximately 95% of its time and resources directed at these activities. In addition, the Foundation spends approximately 5% of its time and resources performing community relations on behalf of the Foundation and the Medical Center.ActivityOrMissionDescription
Nbr Voting Members Governing Body30NbrVotingMembersGoverningBody
Nbr Independent Voting Members24NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers24TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year5789635ContributionsGrantsPriorYear
Contributions Grants Current Year5464145ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year-1328841InvestmentIncomePriorYear
Investment Income Current Year1392165InvestmentIncomeCurrentYear
Other Revenue Prior Year689566OtherRevenuePriorYear
Other Revenue Current Year576027OtherRevenueCurrentYear
Total Revenue Prior Year5150360TotalRevenuePriorYear
Total Revenue Current Year7432337TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year9060737GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY5940882GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year907422SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year808319TotalFundrsngExpCurrentYear
Other Expense Prior Year1072628OtherExpensePriorYear
Other Expenses Current Year412728OtherExpensesCurrentYear
Total Expenses Prior Year10133365TotalExpensesPriorYear
Total Expenses Current Year7261032TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-4983005RevenuesLessExpensesPriorYear
Revenues Less Expenses CY171305RevenuesLessExpensesCY
Total Assets BOY13762476TotalAssetsBOY
Total Assets EOY13925471TotalAssetsEOY
Total Liabilities BOY188255TotalLiabilitiesBOY
Total Liabilities EOY201698TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY13574221NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY13723773NetAssetsOrFundBalancesEOY
Mission DescriptionThe commitment to provide care to all who need it, regardless of their ability to pay, means that St. Johns Mercy Foundation must be the consistent generator of community support upon which St. Johns Mercy Medical Center relies.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense5940882Expense
Grants5940882Grants
DescriptionDonations to St. John's Mercy Medical Center to support the provision of charity care to patients of the Medical Center, capital needs and programs identified to benefit patients cared for at the Medical Center.Description
Total Program Service Expense5940882TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members30NbrVotingGoverningBodyMembers
Number Independent Voting Members24NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DENISE SCOFFICBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3143642959TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1645 Maryville Centre Drive Ste 100AddressLine1
CityST LOUISCity
StateMOState
ZIP Code63141ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationFormerFormer
PATRICIA ARNOLD
PRESIDENT55.00XX019838918043
JOHN HOWARD
ASSISTANT SECRETARY60.00X033978488200
Denny Margaret DeNarvaez
Secretary60.00XX0833559188861
Allen Allred
Director1.00X000
Robert Bergamini
Director60.00X026482835366
David Meiners
Director1.00X000
Peggy Ritter
Director1.00X000
Marsha Rusnack
Director1.00X000
Steve Tharpe
Director1.00X000
BERT CONDIE
DIrector0.50X000
JIM FINGER
Director0.50X000
George Roman
Director0.50X000
DARRYL JONES
Director0.50X000
Joe Garea
Director1.00X000
WENDY STEINBECKER
Director0.50X000
TESSA ROLUFS TRELZ
Director0.80X000
MIMI VON GONTARD
Director50.00X0567638245
BARBARA WILSON
Director0.20X000
JOHN ARNOLD
Director1.00XX000
John Herber
Director0.50X000
Rob Vitale
Director0.50X000
William Bolster
Director0.50X000
Rodney Boyd
Director0.50X000
Peter Cohen
Director1.00X000
Michael Lowenbaum
Director0.20X000
Don Musick
Director1.00X000
Greg Twardowski
Director0.50X000
Cheryl Matejka
TREASURER60.00XX032651750971
STEVEN BUSCH
Director1.00X000
Ron Gorgen
Director0.50X000
RANDALL COMBS
FORMER TREASURER0.000756685269572X
ROBERT RUELLO
Former Key Employee0.00021065246699X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2987177TotalReportableCompFrmRltdOrgs
Total Other Compensation705957TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Contemporary ProductionsBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1190 Carondolet Plaza Ste 1111AddressLine1
CitySt LouisCity
StateMOState
ZIP Code63105ZIPCode
FieldValueIRS element (for citing)
Description Of Servicesevent organizerDescriptionOfServices
Compensation157126Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Related Organizations80000RelatedOrganizations
All Other Contributions5384145AllOtherContributions
Total Contributions5464145TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1392165TotalRevenueColumn
Exclusion$1,392,165ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events969081GrossIncomeFundraisingEvents
Fundraising Direct Expenses393054FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column576027TotalRevenueColumn
Exclusion$576,027ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column7432337TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,968,192ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total5940882Total
Program Services5940882ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total742686Total
Management And General222806ManagementAndGeneral
Fundraising519880Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total164736Total
Management And General49421ManagementAndGeneral
Fundraising115315Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1179Total
Management And General1179ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total103246Total
Management And General103246ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total15146Total
Management And General15146ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalFundraisingFundraisingManagement And GeneralManagementAndGeneral
OTHER FUNDRAISING173124173124
ADMINISTRATIVE EXPENSE117139117139
Miscellaneous Expense28942894

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7261032Total
Program Services5940882ProgramServices
Management And General511831ManagementAndGeneral
Fundraising808319Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2231503BOY
EOY1816162EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1784625BOY
EOY1602222EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY648218BOY
EOY18764EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY9098130BOY
EOY10488323EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY13762476BOY
EOY13925471EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
EOY848EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY188255BOY
EOY200850EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY188255BOY
EOY201698EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY12909BOY
EOY12909EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY8177806BOY
EOY8312545EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5383506BOY
EOY5398319EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13574221BOY
EOY13723773EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13762476BOY
EOY13925471EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST JOHNS MERCY MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
EIN430653493EIN
Type Of Organization3TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$5,940,882Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts5940882SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance5383506BeginningOfYearBalance
Contributions401Contributions
Investment Earnings Or Losses14412InvestmentEarningsOrLosses
End Of Year Balance5398319EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance5401959BeginningOfYearBalance
Contributions750Contributions
Investment Earnings Or Losses-19203InvestmentEarningsOrLosses
End Of Year Balance5383506EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionOTHER LONG TERM INVESTMENTSDescription
Book Value10488323BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities10488323TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionUNEARNED REVENUEDescription
Amount$200,850Amount
FieldValueIRS element (for citing)
Total Of Amounts200850TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part V, Line 4:Description of Intended Use of Endowment Funds:To provide financial support of the specific program service designated by the donor.
Part X:Description of Uncertain Tax Positions Under FIN 48:The consolidated audited financial statements of the Sisters of Mercy Health System, Inc. 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.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1BENEFIT 4 KIDS-GOLF EVENTNameOfEvent1
Gross Receipts Event1518473GrossReceiptsEvent1
Gross Revenue Event1518473GrossRevenueEvent1
Other Direct Expenses Event1158352OtherDirectExpensesEvent1
Name Of Event2MARDI GRAS-DINNER/AUCTIONNameOfEvent2
Gross Receipts Event2450608GrossReceiptsEvent2
Gross Revenue Event2450608GrossRevenueEvent2
Other Direct Expenses Event2234702OtherDirectExpensesEvent2
Gross Receipts Total969081GrossReceiptsTotal
Gross Revenue Total Events969081GrossRevenueTotalEvents
Other Direct Expenses Total Events393054OtherDirectExpensesTotalEvents
Direct Expense Summary Events393054DirectExpenseSummaryEvents
Net Income Summary576027NetIncomeSummary

Name Of Gaming Rec Keeper Bus NameOfGamingRecKeeperBus

FieldValueIRS element (for citing)
Business Name Line1DENISE SCOFFICBusinessNameLine1

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

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

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantMethod Of ValuationMethodOfValuationPurpose Of GrantPurposeOfGrant
ST John's Mercy Medical CenteR
615 S NEW BALLAS ROADST LOUISMO63141430653493501(C)(3)5877357CASHSUPPORT CHARITY CARE, PROGRAMS, & CAPITAL NEEDS TO BENEFIT PATIENTS OF THE MEDICAL CENTER
St John's Mercy Health Care
645 Maryville CTR Drive STE 100ST LOUISMO63141431718408501(C)(3)63525Support mission of health care
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: Grants were made to related entities which report on the use of the funds.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
PATRICIA ARNOLD
016365401207102266407882010161021643200
JOHN HOWARD
0263958055769020057075174013026042798400
Denny (Margaret) DeNarvaez
0592860021186102883801788500100110102242000
Robert Bergamini
024055900024269021782013584030019400
Cheryl Matejka
0236680050836039001037635013336037748800
RANDALL COMBS
0503185020450104899902575940119780102625700
ROBERT RUELLO
0000021065204669900025735100

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 1aCharter travel is provided to certain employees as necessary for business travel pursuant to approval by the Chief Administrative Officer of Sisters of Mercy after approval for charter travel has been granted in accordance with the financial justification process. Approved charter travel for business is a reimbursable expense which is not taxable to the employees. The Foundation did not provide charter travel; accordingly the box was not checked on Part 1A.
Part I, Line 4aRobert Ruello received $207,866 of severance compensation from St. Johns Mercy Health Care. Part I, line 4B: Sisters of Mercy Health System, 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 6/30/2010. Supplemental Executive Retirement Plan (SERP) Combs, Randy; DeNarvaez, Denny Supplemental Management Retirement Plan (SMRP) Howard, John S; Matejka, Cheryl L; Ruello, Robert The amount of all accrued benefits is included in compensation amounts provided in Schedule J, Part II, Column (C).
Part I, Line 7The related organization which employs those individuals listed on Part VII provides a non-fixed bonus plan for which certain tiers of its employees are eligible. For fiscal year 2009 (July 1, 2008-June 30, 2009), payment of all or part of the bonus is contingent upon percentage attainment of (I) personal goals and (II) certain financial targets. For fiscal year 2010 (July 1, 2009-June 30, 2010), payment of all or part of the bonus is 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 (applicable only for fiscal year 2009). Bonus opportunities are tiered percentages and are dependent upon the leadership level and attainment percentage. Mercy's attainment of financial goals are validated by an external consulting firm and are then taken into account by the executive compensation committee of Mercy when analyzing executive compensation for reasonableness.
Part IIIPart I, Line 3: Sisters of Mercy Health System (parent company) is responsible for establishing the compensation of the organization's CEO/Executive Director. The following methods were used by Sisters of Mercy to establish compensation: -Independent compensation consultant -compensation survey or study -approval by the board or compensation committee St. Johns Mercy Health Care uses a written employment contract, and employs the organization's President, as indicated on Schedule J, Part I, Line 3.Supplemental Information

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 6The member of St. Johns Mercy Foundation is St. Johns Mercy Health Care, a supporting organization under Section 509(a)(3). The member of St. Johns Mercy Health Care is Sisters of Mercy Health System.
Form 990, Part VI, Section A, line 7aSt. Johns Mercy Health Care has reserve powers to appoint and remove all directors and officers for St. Johns Mercy Foundation.
Form 990, Part VI, Section A, line 7bSt. Johns Mercy Health Care reserves the following powers and responsibilies: -TO APPROVE AND ESTABLISH THE MISSION AND PHILOSOPHY ACCORDING TO WHICH THE CORPORATION AND ALL ORGANIZATIONS CONTROLLED BY THE CORPORATION SHALL OPERATE; -TO ADOPT OR AMEND THE ARTICLES OF INCORPORATION AND THESE BYLAWS IN ACCORDANCE WITH ARTICLES IX AND X OF THESE BYLAWS AND TO AMEND THE ORGANIZATIONAL DOCUMENTS OF ANY ORGANIZATION CONTROLLED BY THE CORPORATION; -TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, THE EXECUTIVE DIRECTOR OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; -TO APPROVE OR AMEND THE OVERALL STRATEGIC, LONG RANGE, BUSINESS PLANS, GOALS AND OBJECTIVES OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; -TO APPROVE OR AMEND THE CONSOLIDATED OPERATING AND CAPITAL BUDGETS FOR THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION AND CHANGES IN BUDGETS IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE CORPORATE MEMBER; -TO AUTHORIZE AND APPROVE THE LEASE OR SALE OF ANY OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE CORPORATE MEMBER; -TO ENCUMBER ANY OR ALL OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; -TO AUTHORIZE AND APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS 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; -TO MERGE, DISSOLVE, OR ABANDON THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION, SUBJECT TO APPROVAL BY THE BOARD AS REQUIRED PURSUANT TO THE MISSOURI NONPROFIT CORPORATION ACT; -TO MANAGE AND DIRECT THE INVESTMENT OF GIFTS AND GRANTS THAT ARE MADE TO THE CORPORATION; -TO RESOLVE ANY IMPASSE OR DEADLOCK THAT OCCURS WITH ANY ACTION TAKEN OR PROPOSED TO BE TAKEN OR CONSIDERED BY THE BOARD OR THE EXECUTIVE COMMITTEE; -TO DETERMINE HOW TO EXPEND THE UNRESTRICTED FUNDS IN THE EVENT THAT THE CORPORATE MEMBER MAKES A RECOMMENDATION FOR THE EXPENDITURE OF UNRESTRUCTED FUNDS AND SUCH RECOMMENDATION IS NOT APPROVED BY THE BOARD; AND, -TO APPROVE OF THE CORPORATION'S RECEIPT AND ACCEPTANCE OF GIFTS AND GRANTS OF RESTRICTED FUNDS.
Form 990, Part VI, Section B, line 11The Form 990 is prepared by an independent accounting firm, using information provided by the filing organization. A draft Form 990 is reviewed by the filing organization's 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, it is then signed and filed with the IRS.
Form 990, Part VI, Section B, line 12cAnnually, 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 of St. Johns Mercy Health Care (parent company). All material conflicts requiring conflict resolution are reported at least annually to the Finance, Audit, and Compliance Committee of the St. Johns Mercy Health Care Board.
Form 990, Part VI, Section B, line 15aFor those classified as officers (and thus Disqualified Persons), Sisters of Mercy Health System (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 Sisters of Mercy Board. For those classified as key employees, the following are used to establish the compensation: external market salary surveys, external market salary studies, and review/approval of executive management. Compensation reviews are completed on an annual basis, and a review was completed during the reporting year.
Form 990, Part VI, Section C, line 19Governing documents and financial statements 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.
Part XI, Line 2The filing organization's financial statements were included in the Sisters of Mercy Health System, Inc. and Subsidiaries annual financial statement audit. The Sisters of Mercy Health System, Inc. and Subsidiaries received an unqualified opinion from the external auditors for fiscal 2010 (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 Sisters of Mercy Health System Board of Directors. Audit results are communicated to this committee.Audited Financial Statements
Part XI, Line 3The Consolidated Group of Sisters of Mercy Health System is required to undergo an audit as set forth in the single audit act and OMB Circular A-133. The single audit was conducted on a consolidated basis.Single Audit Act and OMB Circular A-133
Form 990, Schedule R, Part V System Limitations LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY SISTERS OF MERCY HEALTH SYSTEM, INC. 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 & P.
Part VII, Section A, Column BSeveral individuals are disclosed as officers, directors, trustees, and key employees on multiple Form 990s that are filed by organizations included in the St. Johns Mercy Health Care system. The average hours per week reported includes hours worked for all of these organizations.Hours Per Week
Form 990, Part V, Question 1aIndependent contractors for the filing organization are paid by the Sisters of Mercy Health System (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 SMHS EIN.INdependent contractors
Form 990, Part V, Question 2aTHE SALARIES AND WAGES REPORTED ON FORM 990, PART IX, LINE 7 REPRESENT AN ALLOCATION OF SALARIES AND WAGES FROM A RELATED ORGANIZATION. Employees are paid by a related organization. As such, all required payroll filing (including W-2 and W-3's) was reported under the related organization's EIN.Salaries and wages

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (64 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Direct Controlling Entity NADirectControllingEntityNA
Advance Care Hospital
300 Werner St 3rd FloorHot SpringsAR71913710816634Long term acute-care hospitalAR501c33SMHS
Breech Regional Med Ctr
100 Hospital DriveLebanonMO65536431767432HospitalMO501c33ST JOHn's Health System Inc
Carroll Health Foundation
214 Carter StreetBerryvilleAR72616710759301FoundationAR501c311-IOzark Regions Health Systems
Casa de Misericordia
1602 McClelland StreetLaredoTX78044742912461Women's domestic violence shelterTX501c39Mercy Ministries of Laredo
Healdton Mercy Hosp Corp
918 South StreetHealdtonOK73438263173902hospitalOK501c33Mercy Memorial Health Ctr Inc
Laredo Medical Group
14528 S Outer Forty St 100ChesterfieldMO63017742764726InactiveTX501c39MHSystem of Texas Inc
McAuley Portfolio Mgmt Co
14528 S Outer Forty St 100ChesterfieldMO63017261708048Portfolio management.MO501c311-IISMHS
Mercy El Reno Hosp Corporation
2115 Parkview DriveEl RenoOK73036736617948Operating co for leased hospOK501c33SMHS
Mercy Emergency Med Srvs
4300 W Memorial RoadOklahoma CityOK73120810627035InactiveOK501c39Mercy Health Center Inc
Mercy Fdtn Health Innov
14528 S Outer Forty St 100ChesterfieldMO63017200901499FoundationMO501c311-IISMHS
Mercy Health Ctr Fdtn
401 Woodland Hills BlvdFort ScottKS66701481077073FoundationKS501c311-IIIMHS of Kansas Inc
Mercy Health Ctr Fdtn Inc
4300 W Memorial RoadOklahoma CityOK73120731593024FoundationOK501c311-IMercy Health Center Inc
Mercy Health Center Inc
4300 W Memorial RoadOklahoma CityOK73120730579285HospitalOK501c33Mercy Health System Inc
Mercy Health MNMCH Inc
220 Pennsylvania AvenueColumbusKS66725270842031Critical Access HospitalMO501c39Mercy Health System-Joplin Inc
Mercy Health of Joplin Found
2727 McClelland BlvdJoplinMO64804270906136FoundationMO501c311-IMercy Health System-Joplin Inc
Mercy Health of Joplin Inc
2727 McClelland BlvdJoplinMO64804270814858HospitalMO501c39Mercy Health System-Joplin Inc
Mercy Health Services
4300 W Memorial RoadOklahoma CityOK73120141838609dissolved 6/30/10OK501c33Mercy Health Center Inc
Mercy Health System Joplin Inc
2727 McClelland BlvdJoplinMO64804300584463Health SystemMO501c311-IISMHS
Mercy Health System KS
401 Woodland Hills BlvdFt ScottKS66701480956045Hospital;rural health clinicsKS501c33SMHS
Mercy Health System NW Ark Inc
2710 Rife Medical LnRogersAR72758621684203Physician GroupAR501c311-IISMHS
Mercy Health System TX
14528 S Outer Forty St 100ChesterfieldMO63017742764727InactiveTX501c311-IISMHS
Mercy Health System Inc
4300 W Memorial RoadOklahoma CityOK73120731453048Holding companyOK501c311-IISMHS
Mercy Hospital Fdtn Indep
800 W MyrtleIndependenceKS67301481079981FoundationKS501c311-IMHS of Kansas Inc
Mercy Hospital of Laredo
14528 S Outer Forty St 100ChesterfieldMO63017741189682InactiveTX501c33MHSystem of Texas Inc
Mercy Medical Group
645 Maryville Ctr Dr Ste 100St LouisMO63141431771217Physician GroupMO501c39St John's Mercy Health Care
Mercy Memorial Health Ctr Fdtn
1011 14th Avenue NWArdmoreOK73401710962525FoundationOK501c311-IMercy Memorial Health Ctr Inc
Mercy Memorial Health Ctr Inc
1011 14th Avenue NWArdmoreOK73401731500629HospitalOK501c33Mercy Health System Inc
Mercy Ministries of Laredo
2500 ZacatecasLaredoTX78043200198462healthcare, outreach,food pantry.TX501c33SMHS
Mercy Physicians Ok
4300 W Memorial RoadOklahoma CityOK73120270473057Physician Group/ClinicOK501c39Mercy Health System Inc
MHM Support Services
14528 S Outer Forty St 100ChesterfieldMO63017202553101Centralized Health System FunctionsMO501c311-IISMHS
Mission Clinical Services
300 Werner StreetHot SpringsAR71913134239691Physician ClinicsAR501c311-IISt Joseph's MHS Inc
Ozarks Regions HS
214 Carter StreetBerryvilleAR72616710759299HospitalAR501c33St John's Health System Inc
Sisters of Mercy Hlth Sys
14528 S Outer Forty St 100ChesterfieldMO63017431423050Health System - Corporate OfficeMO501c311-IIN/A
Sisters of Mercy Ministries
14528 S Outer Forty St 100ChesterfieldMO63017721069468Family counseling;social justice advocacyMO501c39SMHS
St Edward Health Frank Cty
801 W River StreetOzarkAR72949710689680HospitalAR501c33St Edward Mercy Medical Ctr
St Edward Health Log Cty
500 E AcademyParisAR72855710655753HospitalAR501c33St Edward Mercy Medical Ctr
St Edward Health Scott Cty
1341 W 6th StreetWaldronAR72958710557895HospitalAR501c33St Edward Mercy Medical Ctr
St Edward Mercy Clin
7301 Rogers AvenueFort SmithAR72917261318597Physician ClinicAR501c33St Edward MHS Inc
St Edward Mercy Foundation
PO Box 17000Fort SmithAR72917237330425FoundationAR501c33St Edward Mercy Medical Ctr
St Edward Mercy HS Inc
7301 Rogers AvenueFort SmithAR72917261318515Holding CompanyAR501c311-IISMHS
St Edward Mercy Med Ctr
7301 Rogers AvenueFort SmithAR72917710240352HospitalAR501c33St Edward MHS Inc
St Francis Hosp MtView MO
100 W Highway 60Mountain ViewMO65548440607149HospitalMO501c33ST John's Health System Inc
St Johns Aurora Inc
500 Porter AvenueAuroraMO65605431936696Operating co for leased hospMO501c33St John's Health System Inc
St Johns Cassville Inc
94 Main StreetCassvilleMO65625431936699Operating co for leased hospMO501c33St John's Health System Inc
St Johns Childrens Hosp
1235 E Cherokee StreetSpringfieldMO65804INactiveMO501c33ST JOhn's Health System Inc
St Johns Clinic Inc
1965 Fremont Street Suite 2950SpringfieldMO65804431560263Physician GroupMO501c33St John's Health System Inc
St Johns Fdtn Comm Hlth
1235 E Cherokee StreetSpringfieldMO65804320195818FoundationMO501c311-IISt John's Health System Inc
St Johns Health System In
1235 E Cherokee StreetSpringfieldMO65804431856028Holding CompanyMO501c311-IISMHS
St Johns Home Care Berryville
214 Carter StreetBerryvilleAR72616870781247Home Health and Hospice operations.AR501c311-IIISt John's Regional Health Ctr
St Johns Medical Rsch Inst
1235 E Cherokee StreetSpringfieldMO65804870796305Research - Clinical TrialsMO501c33St John's Health System Inc
St Johns Mercy Health Care
645 Maryville Ctr Dr Ste 100St LouisMO63141431718408Health SystemMO501c311-IISMHS
St Johns Mercy Health System
645 Maryville Ctr Dr Ste 100St LouisMO63141430653493HospitalMO501c33St John's Mercy Health Care
St Johns Mercy HOSP FDTN
901 E Fifth StreetWashingtonMO63090562410022FOUNdationMO501c311-IIST JOHN's MERCY Health CARE
St Johns Mercy Supp Srv
615 S New Ballas RoadSt LouisMO63141431677952InactiveMO501c311-IIISt John's Mercy Health System
St Johns Reg Hlth Ctr
1235 E Cherokee StreetSpringfieldMO65804440552485HospitalMO501c33St John's Health System Inc
St Josephs Mercy Clin
1 Mercy LaneHot SpringsAR71913261125131Physician ClinicAR501c39St Joseph's MHS Inc
St Josephs Mercy Health Center
300 Werner StreetHot SpringsAR71913710236913HospitalAR501c33St Joseph's MHS Inc
St Josephs Mercy Health Fdtn
300 Werner StreetHot SpringsAR71913710804718FoundationAR501c311-IISt Joseph's Mercy Health Ctr
St Josephs Mercy Health Sys
300 Werner StreetHot SpringsAR71913261125064Holding CompanyAR501c311-IISMHS
St Mary-Rogers Mem Hos
2710 Rife Medical LnRogersAR72758710294390HospitalAR501c33MH S NW Arkansas Inc
St Marys Hospital Foundation
2710 Rife Medical LnRogersAR72858710601687FoundationAR501c311-IIISt Mary-Rogers Mem Hosp Inc
St Marys Hosp Enid Ok
14528 S Outer Forty St 100ChesterfieldMO63017730614655InactiveOK501c33Mercy Health System Inc
The Sr M Cornelia Blasko Fn
100 W Highway 60Mountain ViewMO65548431873914FoundationMO501c311-ISt Francis Hosp Mount View MO
Unity Ambulatory Care
645 Maryville Ctr Dr Ste 100St LouisMO63141431861745InactiveMO501c311-IIISt John's Mercy Health Care

Form990 Schedule R Part III Form990ScheduleRPartIII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
Southern Oklahoma Diag Ctr LLC
1011 Fourteenth Avenue NWARDMOREOK73401431971232MRI ServicesOKN/AN/A00
Resource Optimiz & InnovLLC
645 Maryville Ctr DrSte 200ST LOUISMO63141460468368Central Distribution CenterMON/AN/A00
Mercy Ambulatory Surgery Center LLC
7301 Rogers AvenueFORT SMITHAR72917710827721Ambulatory Surgery CenterARN/AN/A00
Hot Springs Equip Leasing LLC
300 Werner StreetHOT SPRINGSAR71913204340915Inactive, dissolved 9/30/09ARN/AN/A00
Hot Springs MRI Partnership
100 Ridgeway PlaceHOT SPRINGSAR72901710675196Inactive, dissolved 8/5/09ARN/AN/A00
FORT SMITH EMERGENCY MEDICAL SERVICES
1701 SOUTH GREENWOODFORT SMITHAR72901710416615Emergency medical servicesARN/AN/A00
Southern Oklahoma PHO LLC
1011 Fourteenth Avenue NWARDMOREOK73401731462104Inactive, dissolved 12/31/09OKN/AN/A00
St Edward Mercy MC M-P Office Bldg
7301 Rogers AvenueFORT SMITHAR72903710554050Office BuildingARN/AN/A00

Form990 Schedule R Part IV Form990ScheduleRPartIV (13 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
St Edward Medical Services Inc
7301 Rogers AvenueFort SmithAR72903202965518Inactive dissolved 5/5/10ARN/AC
Consolidated Logistics Inc
2710 Rife Medical LaneRogersAR72758710474406Inactive dissolved 8/4/09ARN/AC
Mercy Comm Services Inc
401 Woodland Hills BlvdFort ScottKS66701481078101Catering operationsKSN/AC
Frontenac Properties Inc
14528 S Outer Forty Suite 100ChesterfieldMO63017521914421Holds ancillary assets & owns aircraftDEN/AC
MHP Inc
14528 S Outer Forty Suite 300ChesterfieldMO63017431697084Holding company sold 10/1/10DEN/AC
Mercy Medical Services Inc
14528 S Outer Forty Suite 100ChesterfieldMO63017710641246Inactive dissolved 7/1/09MON/AC
Inveno Health Inc
1235 E Cherokee StreetSpringfieldMO65804264509571Technology transfer companyMON/AC
Unity Support Services Inc
645 Maryville Centre Drive Suite 10St LouisMO63141431797042InactiveMON/AC
UH L Corp Inc
645 Maryville Centre Drive Suite 10St LouisMO63141742499535Holding companyMON/AC
MHN of the Southern Region Inc
1011 14th Avenue NWArdmoreOK73401731580607Employed physicians, physician assistants, and nurse practitionersOKN/AC
Mercy Health Center Condominium Inc
4300 W Memorial RdOklahoma CityOK73120680640970Administrator of certain real property and improvementsOKN/AC
Mercy Managed Care Corporation
4300 W Memorial RoadOklahoma CityOK73120731441665Holding companyOKN/AC
Mercy Health Network Inc
4300 W Memorial RoadOklahoma CityOK73120731381689Employed physicians, physician assistants, and nurse practitionersOKN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
MHM Support Services
C50000
St Johns Mercy Medical Center
C30000
St Johns Mercy Medical Center
B5877357
St Johns Mercy Health Care
B63525