MERCY HOSPITAL JEFFERSON: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- MERCY HOSPITAL JEFFERSON (EIN 43-0687077)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2021-05-14
- IRS object ID
- 202111349349304601
- Schema version
- 2019v5.2
- 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 O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-05-14T12:58:16-05:00 | ReturnTs |
| Tax Period End | 2020-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 264532849 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Purk & Associates PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1034 South Brentwood Blvd Ste 2000 | AddressLine1Txt |
| City | Saint Louis | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63117 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 430687077 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mercy Hospital Jefferson | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MERC | BusinessNameControlTxt |
| Phone | 6369331107 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 350 | AddressLine1Txt |
| City | Crystal City | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63109 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Daniel Eckenfels | PersonNm |
| Person Title | VP Finance | PersonTitleTxt |
| Phone | 3145251000 | PhoneNum |
| Signature | 2021-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Douglas G Pleus CPA | PreparerPersonNm |
| PTIN | P00013488 | PTIN |
| Phone | 3148844000 | PhoneNum |
| Preparation | 2021-05-11 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Carl E Eric Ammons | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 350 | AddressLine1Txt |
| City | Crystal City | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63109 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $227,720,255 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.mercy.net | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1953 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | A community based integrated healthcare system consisting of a 251 bed licensed facility which provides a full range of diagnostic, preventative and healthcare services along with 24 hour emergency room care. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 75 | TotalEmployeeCnt |
| Total Volunteers | 88 | TotalVolunteersCnt |
| Total Gross UBI | $8,454 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $5,709 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,636,435 | PYContributionsGrantsAmt |
| CY Contributions Grants | $159,486 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $215,272,707 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $225,503,892 | CYProgramServiceRevenueAmt |
| PY Investment Income | $359,876 | PYInvestmentIncomeAmt |
| CY Investment Income | $204,496 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,259,909 | PYOtherRevenueAmt |
| CY Other Revenue | $1,260,069 | CYOtherRevenueAmt |
| PY Total Revenue | $218,528,927 | PYTotalRevenueAmt |
| CY Total Revenue | $227,127,943 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $81,284 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $196,967 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $90,952,340 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $95,166,215 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $112,292,350 | PYOtherExpensesAmt |
| CY Other Expenses | $124,293,711 | CYOtherExpensesAmt |
| PY Total Expenses | $203,325,974 | PYTotalExpensesAmt |
| CY Total Expenses | $219,656,893 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $15,202,953 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $7,471,050 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $268,056,878 | TotalAssetsBOYAmt |
| Total Assets EOY | $252,007,792 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,111,480 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,970,311 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $262,945,398 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $246,037,481 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | As the Sisters of Mercy before us, we bring to Life the healing ministry of Jesus through our compassionate care and exceptional service. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $193,372,505 | ExpenseAmt |
| Grant | $196,967 | GrantAmt |
| Revenue | $225,560,259 | RevenueAmt |
| Desc | Mercy Hospital Jefferson consists of a 321-bed licensed facility which provides a wide range of services. In fiscal year 2020, the following services were provided 42,842 patient days, 508 deliveries, 34,304 emergency visits, 1,406 inpatient surgeries and 3,201 outpatient surgery procedures. Mercy Hospital Jefferson is committed to providing educational programs to the community. Free seminars and presentations are provided on a wide variety of health issues which impact patients and their families. Free services are also offered to the community such as lipid, cholesterol, bone density and glucose screenings as well as hearing and memory screenings.It is the policy of Mercy Hospital Jefferson to provide uncompensated care to patients in need of financial assistance in accordance with the hospital's established guidelines and without regard to race, religion, sex, age, or national origin. The cost, net of any payment received (net cost), to MHJ of providing care to persons qualifying for Charity or Medicaid totaled ($6,991,272). Additionally, the net cost for services provided to elderly and disabled patients under the Medicare program totaled $2,802,375 in the year ended 6/30/20. These amounts do not include the cost of health activities and programs to support the community, health education programs and other community support activities. | Desc |
| Total Program Service Expenses | $193,372,505 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 75 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Daniel Eckenfels | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3145251000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10010 Kennerly Road | AddressLine1Txt |
| City | St Louis | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63128 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Rehm MD Charles | ||||||||||
| Chief Administrative Officer & Board Member | 1.00 | 59.00 | Yes (X) | $0 | $1,128,451 | $46,358 | ||||
| Ammons Carl E Eric | ||||||||||
| President, Mercy Hospital Jefferson | 50.00 | 10.00 | Yes (X) | $608,592 | $0 | $94,880 | ||||
| Iyer Karthik | ||||||||||
| Physician & Board Member | 1.00 | 59.00 | Yes (X) | $0 | $633,595 | $28,729 | ||||
| Riordan MD Tracy | ||||||||||
| Physician & Board Member | 1.00 | 59.00 | Yes (X) | $0 | $530,096 | $42,643 | ||||
| Blair Christine | ||||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Carron RSM Sr Judith Ann | ||||||||||
| Board Member | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Francis Richard Blake | ||||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| King BA M Div Rev Jack | ||||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| McCaffrey Dena | ||||||||||
| Board Member | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| McKenna William | ||||||||||
| Board Member | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Johnston Jeffrey A | ||||||||||
| President - East Communities | 5.00 | 55.00 | $0 | $1,272,483 | $133,378 | Yes (X) | ||||
| Matejka Cheryl L | ||||||||||
| Chief Financial Officer | 1.00 | 59.00 | $0 | $731,608 | $95,846 | Yes (X) | ||||
| Hannasch Susan | ||||||||||
| Regional VP - General Counsel | 4.00 | 56.00 | $0 | $731,691 | $20,345 | Yes (X) | ||||
| Richmond Jacquelynn | ||||||||||
| VP Deputy General Counsel | 2.00 | 58.00 | $0 | $548,092 | $82,143 | Yes (X) | ||||
| Eckenfels Daniel | ||||||||||
| VP Finance | 25.00 | 35.00 | $0 | $289,079 | $28,284 | Yes (X) | ||||
| Meyer Michele | ||||||||||
| VP Operations | 60.00 | 0.00 | $275,026 | $0 | $28,685 | Yes (X) | ||||
| Stover Benny J | ||||||||||
| VP - Finance | 45.00 | 15.00 | $253,515 | $0 | $30,708 | Yes (X) | ||||
| Blankenship Stacy A | ||||||||||
| CNO | 60.00 | 0.00 | $228,772 | $0 | $25,819 | Yes (X) | ||||
| Richards Donn | ||||||||||
| Physician | 60.00 | 0.00 | $368,476 | $0 | $14,049 | Yes (X) | ||||
| Jaeger Kurt | ||||||||||
| Physician | 60.00 | 0.00 | $257,534 | $0 | $19,884 | Yes (X) | ||||
| Robbins Jill L | ||||||||||
| Registered Nurse | 60.00 | 0.00 | $184,047 | $0 | $17,657 | Yes (X) | ||||
| Kennon William D | ||||||||||
| Director - Pharmacy Services | 60.00 | 0.00 | $179,759 | $0 | $21,334 | Yes (X) | ||||
| Porterhouse Cheri | ||||||||||
| Registered Nurse | 60.00 | 0.00 | $165,396 | $0 | $11,468 | Yes (X) | ||||
| Bryson Jared | ||||||||||
| Former Key Employee | 0.00 | 60.00 | $0 | $199,165 | $27,228 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,521,117 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $6,064,260 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $769,438 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 77 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Acuity Anesthesiology LLC | |||||
| 1734 Clarkson Road Suite 147 | Chesterfield | MO | 63017 | Anesthesia Services | $4,172,032 |
| Musick Construction Co | |||||
| 254 Hanley Industrial Ct | St Louis | MO | 63144 | Construction | $2,838,425 |
| AMN Healthcare | |||||
| 12400 High Bluff Dr | San Diego | CA | 92130 | Staff contract wages | $764,555 |
| MAYO MEDICAL LABS | |||||
| 200 SW FIRST STREET | ROCHESTER | MN | 55805 | Laboratory services | $734,950 |
| Linen King | |||||
| PO Box 701683 | Tulsa | OK | 74170 | Laundry services | $386,794 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 16 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $148,738 | RelatedOrganizationsAmt |
| All Other Contributions | $10,748 | AllOtherContributionsAmt |
| Total Contributions | $159,486 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Net Patient Service Re | 621110 | $218,834,152 | $218,834,152 | |
| Other Operating Revenu | 621110 | $4,648,373 | $4,648,373 | |
| Rental From Affiliated | 531120 | $2,016,229 | $2,016,229 | |
| Lab Services | 621500 | $5,014 | $5,014 | |
| Capitation Bonus | 621110 | $124 | $124 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $225,503,892 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $204,296 | TotalRevenueColumnAmt |
| Exclusion | $204,296 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $505,494 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $557,908 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$52,414 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$52,414 | TotalRevenueColumnAmt |
| Exclusion | -$52,414 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $200 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $200 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $200 | TotalRevenueColumnAmt |
| Exclusion | $200 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $37,844 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $34,404 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,440 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $3,440 | UnrelatedBusinessRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Cafe & vending | Desc |
| Business | 722210 | BusinessCd |
| Total Revenue Column | $1,256,116 | TotalRevenueColumnAmt |
| Exclusion | $1,256,116 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $52,927 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $52,927 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,309,043 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $227,127,943 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $225,551,805 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $8,454 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,408,198 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $196,967 | TotalAmt |
| Program Services | $196,967 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,595,423 | TotalAmt |
| Program Services | $1,595,423 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,413,185 | TotalAmt |
| Program Services | $73,264,302 | ProgramServicesAmt |
| Management And General | $3,148,883 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,552,358 | TotalAmt |
| Program Services | $1,483,414 | ProgramServicesAmt |
| Management And General | $68,944 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,278,334 | TotalAmt |
| Program Services | $9,860,401 | ProgramServicesAmt |
| Management And General | $417,933 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,326,915 | TotalAmt |
| Program Services | $5,111,337 | ProgramServicesAmt |
| Management And General | $215,578 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,783 | TotalAmt |
| Management And General | $35,783 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,778,687 | TotalAmt |
| Program Services | $7,537,068 | ProgramServicesAmt |
| Management And General | $241,619 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,479 | TotalAmt |
| Program Services | $34,898 | ProgramServicesAmt |
| Management And General | $4,581 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,450,999 | TotalAmt |
| Program Services | $2,969,319 | ProgramServicesAmt |
| Management And General | $481,680 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,232 | TotalAmt |
| Program Services | $127,232 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,877,798 | TotalAmt |
| Program Services | $4,876,578 | ProgramServicesAmt |
| Management And General | $1,220 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $231,769 | TotalAmt |
| Program Services | $222,194 | ProgramServicesAmt |
| Management And General | $9,575 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $159 | TotalAmt |
| Program Services | $159 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $760 | TotalAmt |
| Program Services | $760 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,302,516 | TotalAmt |
| Program Services | $13,278,115 | ProgramServicesAmt |
| Management And General | $1,024,401 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,028,182 | TotalAmt |
| Program Services | $1,028,182 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Drugs & medical expense | $38,856,993 | $38,729,469 | $127,524 |
| Shared service fees | $35,285,047 | $15,525,421 | $19,759,626 |
| Bad debt expense | $15,912,312 | $15,912,312 | |
| Repairs and maintenance | $1,297,416 | $1,272,789 | $24,627 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,068,579 | TotalAmt |
| Program Services | $346,165 | ProgramServicesAmt |
| Management And General | $722,414 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $219,656,893 | TotalAmt |
| Program Services | $193,372,505 | ProgramServicesAmt |
| Management And General | $26,284,388 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,664,789 | BOYAmt |
| EOY | $4,971,216 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,805,412 | BOYAmt |
| EOY | $18,493,091 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,053,089 | BOYAmt |
| EOY | $2,586,011 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $110,802 | BOYAmt |
| EOY | $88,124 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $239,628,166 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $73,441,841 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $178,096,491 | BOYAmt |
| EOY | $166,186,325 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,636,770 | BOYAmt |
| EOY | $53,636,770 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,689,525 | BOYAmt |
| EOY | $6,046,255 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $268,056,878 | BOYAmt |
| EOY | $252,007,792 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,573,956 | BOYAmt |
| EOY | $0 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $126,739 | BOYAmt |
| EOY | $106,853 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,035 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $385,750 | BOYAmt |
| EOY | $5,863,458 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,111,480 | BOYAmt |
| EOY | $5,970,311 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $262,879,678 | BOYAmt |
| EOY | $245,881,872 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,720 | BOYAmt |
| EOY | $155,609 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $262,945,398 | BOYAmt |
| EOY | $246,037,481 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $268,056,878 | BOYAmt |
| EOY | $252,007,792 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $7,471,050 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$24,378,967 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $35,783 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $35,783 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | The filing organization is a member of and pays dues to the following hospital associations: Catholic Hospital Association, American Hospital Association and the Missouri Hospital Association. For the year ended June 30, 2020 dues were $27,152, $16,344, and $60,210, respectively. Approximately 3.55% of the Catholic Hospital Association dues, 23.32% of the American Hospital Association dues, and 51.50% of Missouri Hospital Association dues were attributable to lobbying activities performed by this association. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,268,409 | OtherCostOrOtherBasisAmt |
| Book Value | $4,268,409 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $172,596,246 | OtherCostOrOtherBasisAmt |
| Depreciation | $29,827,944 | DepreciationAmt |
| Book Value | $142,768,302 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,317 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,987 | DepreciationAmt |
| Book Value | $5,330 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $60,456,883 | OtherCostOrOtherBasisAmt |
| Depreciation | $42,049,781 | DepreciationAmt |
| Book Value | $18,407,102 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,296,311 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,559,129 | DepreciationAmt |
| Book Value | $737,182 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $166,186,325 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to affiliates | $5,480,165 |
| Other Liabilities | $383,293 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,863,458 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2 | FormAndLineReferenceDesc |
| Explanation | FEDERAL INCOME TAX PRIMARILY ALL OF THE MERCY HEALTH ENTITIES ARE RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS CHARITABLE ORGANIZATIONS QUALIFYING UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), BY VIRTUE OF IRS DETERMINATION LETTERS OR INCLUSION IN THE OFFICIAL CATHOLIC DIRECTORY. MERCY COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2020 OR 2019. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,380,742 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,380,742 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04600 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,997,197 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,584,869 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $412,328 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00200 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,377,939 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,584,869 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,793,070 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04800 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 13 | ActivitiesOrProgramsCnt |
| Persons Served | 5613 | PersonsServedCnt |
| Total Community Benefit Expns | $449,283 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $449,283 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00220 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 160 | PersonsServedCnt |
| Total Community Benefit Expns | $196,583 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $196,583 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 370 | PersonsServedCnt |
| Total Community Benefit Expns | $9,602,506 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,459,361 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,143,145 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00560 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 262 | PersonsServedCnt |
| Total Community Benefit Expns | $9,335 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,335 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 20 | ActivitiesOrProgramsCnt |
| Persons Served | 6405 | PersonsServedCnt |
| Total Community Benefit Expns | $10,257,707 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,459,361 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,798,346 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00880 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 20 | ActivitiesOrProgramsCnt |
| Persons Served | 6405 | PersonsServedCnt |
| Total Community Benefit Expns | $25,635,646 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,044,230 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,591,416 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05680 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 541 | PersonsServedCnt |
| Total Community Benefit Expns | $8,173 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,173 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $394 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $394 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 541 | PersonsServedCnt |
| Total Community Benefit Expns | $8,567 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,567 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,685,249 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $52,877,706 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $55,680,081 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,802,375 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mercy Hospital Jefferson | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 350 | AddressLine1Txt |
| City | Crystal City | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63019 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.mercy.net/crystalcitymo | WebsiteAddressTxt |
| State License | 529-2 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mercy Hospital Jefferson | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://www.mercy.net/communitybenefits | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://www.mercy.net/communitybenefits | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | https://www.mercy.net/patients-visitors/billing/financial-assistance/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://www.mercy.net/patients-visitors/billing/financial-assistance/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://www.mercy.net/patients-visitors/billing/financial-assistance/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Mercy Hospital Jefferson | Part V, Section B, Line 3j: THE HOSPITAL FACILITY DID INCLUDE A PRIORITIZED LIST OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS IN ITS MOST RECENT CHNA REPORT. |
| Mercy Hospital Jefferson | Part V, Section B, Line 5: When conducting its most recent CHNA and developing the Community Health Improvement Plan (CHIP), Mercy Hospital Jefferson worked with the Jefferson County Health Department (JCHD), Community Treatment, Inc. (COMTREA), Jefferson County Community Partnership (JCCP) and Jefferson Franklin Community Action Corporation (JFCAC) as a primary community partners. Methods of collecting and analyzing data and information included community focus groups, surveys, organization-specific data and published data. Below are the partnering agencies and the leaders who supported the combined efforts of a joint CHNA: - COMTREA- Sue Curfman - JCCP- Tracy Smith - JCHD- Kelley Vollmar - JFCAC- Loetta Blair - MHJ- Eric AmmonsCommunity focus groups were conducted to dialogue directly with local community members. There was a targeted effort to conduct focus groups in a variety of zip codes and locations so that all Jefferson County residents had the opportunity to attend. Community partners that assisted in data collection for community focus groups included Desoto School District, Jefferson County Library, Arnold Library, Desoto Library, Festus Library, Jefferson College, YMCA, Mapaville Fire Dept., JFCAC Head Start (Hematite and Desoto), Aging Ahead, and St. Andrew's UMC Desoto. The JCHD conducted a county-wide survey during the summer of 2017. Through collaboration with multiple organizations and agencies, surveys were distributed and over 3,500 were completed. The goal of the survey was to gain insight into the perceptions of county residents on the most pressing health issues, risk factors, barriers to care, and health services utilization. |
| Mercy Hospital Jefferson | Part V, Section B, Line 11: Based on the findings of its most recently conducted CHNA, Mercy Hospital Jefferson chose to address the following three significant health needs identified in Jefferson County: - Access to care- Mental health- Substance useThese needs are being addressed in the hospital's Community Health Improvement Plan (CHIP), which can be accessed here: https://www.mercy.net/content/dam/mercy/en/pdf/chip/mercy-jefferson-chip-2019.pdf. Some notable achievements in the past year include: - The Crisis Nursery Outreach Center continued to assist families on-site in order to help them navigate crises and create a stable environment for children to thrive. - Through a partnership with the Integrated Health Network, the Community Referral Coordinator (CRC) program at Mercy Hospital Jefferson provides patients without a medical home with assistance in finding a primary care or specialty provider, along with social service support, as appropriate. - In the 2019 calendar year, the CRC connected with 2,091 patients, which represents a 124% increase in encounters from 2018 - 98% of these patients were without a primary care home at the time of the initial encounter, with nearly half (47.5%) being self-pay or uninsured. - The CRC scheduled 902 appointments (referral rate of 40.9%) and maintained a 70% total kept appointment rate at year's end. This is among the highest appointment kept rate in the region and is an increase of 16.1% over 2018.- The Community Health Worker (CHW) program, which was piloted beginning in 2018, was adopted and expanded across Mercy hospitals in 2019. Mercy Hospital Jefferson hired one full-time CHW to connect uninsured and underinsured patients in the Emergency Department to community resources for social needs, address social determinants of health issues, and assist patients with applying for Medicaid, marketplace insurance, disability or hospital charity care. CHWs also collaborate closely with the Care Management team, social workers and Community Referral Coordinators to ensure continuity of care and improve quality of life. - In FY20, Mercy Hospital Jefferson's CHW served 240 patients through 385 encounters - 72% of patients were uninsured and 8% were either Medicaid or Medicaid pending - The CHW successfully achieved Medicaid for 3 patients and connected 50 patients to Mercy financial assistance- Mercy Clinic South Health Leads program, which serves the service area of Mercy Hospital Jefferson, screened nearly 10,000 for social determinants of health needs in 2019. - 13% screened positive for urgent needs including prescription assistance, food pantries, medical transportation and charity care - 495 needs successfully met or equipped for 390 clients- Mercy Hospital Jefferson continued several behavioral health programs; Hospital Community Linkages (HCL) Project, the Youth Emergency Room Enhancement Project which mirrors the Emergency Room Enhancement Project for adults. These programs focus on enhancing support for adult and youth high utilizers of ER with the primary goal of reducing preventable hospital contacts across the region by fostering engagement through support, intensive outreach and improving outcomes through connection to community. Mercy Hospital Jefferson also implemented the Engaging Patients in the Care Coordination Program also known as EPICC, this program provides intensive referral and linkage services by Recovery Coaches, peers with lived experience, to impact those who have overdosed on opioids to establish immediate linkages to substance use and medication assisted treatment services. Additional needs being addressed by the hospital include: - Community Health Improvement ServicesMercy Hospital Jefferson implements and participates in the following programs to work towards community health improvement: - Tobacco Cessation - Support Groups for bariatrics, diabetes, grief support, suicide, palliative care and stroke - Health Fairs, Presentations and Screenings, - Patient Benefit Advisors - Transportation Assistance Programs- Health Professions EducationHealth professions student education is offered at Mercy Hospital Jefferson in the areas of physical therapy, dietary, social work, pharmacy, nursing and other health professionals.- Financial and In-Kind ContributionsMercy Hospital Jefferson continues to support organizations through cash and in-kind donations. Those included but not limited to are through blood drives, the American Heart Association Walk, sponsorships for the Nationals Alliance for Mental Illness, suicide support services for the Hillsboro school district and Meals on Wheels.- Community Building Activities-Workforce & Economic DevelopmentIn an effort to aid in workforce and economic development, Mercy Hospital Jefferson participates in the Disability Inclusion Task Force, the Twin City Chamber of Commerce and the Farmington Chamber of Commerce.- Community Building Activities- Coalition Building & Board MembershipMercy Hospital Jefferson also participates in local coalition building and board membership for the following agencies: Alive and Well Jefferson County, Pony Bird Board of Directors, Jefferson Foundation Board, HEAL Healthcare Access Workgroup, St. Pius X Board, enterprise Advisory Board, Jefferson County Health Network, Integrated Health Network Board and the Jefferson County Drug Prevention Coalition Board.- COVID-19 Pandemic ResponseFY20 brought unprecedented challenges to our nation with the onset of the COVID-19 pandemic, and Mercy's communities were no exception. Recognizing the economic hardship, stress and emotional trauma that the pandemic brought to individuals and families, and understanding that it is often the most vulnerable that are impacted the most in times of crisis, Mercy was proactive in engaging community partners in COVID-19 response from the start of the pandemic. In particular, individuals experiencing homelessness may be at increased risk of infection and complication from the COVID-19 virus. Community Health Leaders across Mercy's hospitals worked with local partner agencies to develop comprehensive plans for safely discharging COVID-19 patients to a designated location if they do not require hospitalization but lack housing. At Mercy Hospital Jefferson, the Community Health Leader convened local social service and homeless serving agencies and healthcare providers to create a COVID-19 Homelessness Task Force for Jefferson and Franklin Counties. Under Mercy's leadership, this task force successfully implemented a plan that aligns local resources with regional protocols. Other community services offered by Mercy Hospital Jefferson during the COVID-19 pandemic include: - Community COVID-19 testing sites - Ongoing Logistical and Pastoral support for Skilled Nursing Facilities and Long-Term Care Facilities impacted by COVID-19 outbreaks - Local guidance and education for agencies, schools, law enforcement and fire departments through ongoing community meetings - Donated supplies, including hand sanitizer for COVID-19 kits distributed to homeless serving agencies, and food to local pantriesThe following need is not being addressed by the hospital:- Environmental: Air/Water Quality MHJ will continue its partnership with the Jefferson County Health Department (JCHD) and will collaborate with any environmental initiatives they develop. However, it was felt by Mercy's Community Health Council (CHC) that while continued attention to this issue was important, Mercy's focus remains on providing quality healthcare. Therefore, the issues of access, and the community's crisis with behavioral health and addiction should take precedence at this time. |
| Mercy Hospital Jefferson | Part V, Section B, Line 20e: Other areas from a notice perspective: FAP is posted in all registration areas, full policy and plain language document posted on website, plain language document is available when requested, there is a notice on statement, and all patients get three statements before they can go to a collection agency. |
| Form 990, Schedule H, Part V, Section B, Line 22 | 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 200% OR BELOW, THE FEDERAL POVERTY GUIDELINES WILL BE ELIGIBLE FOR FREE CARE. INDIVIDUALS WITH INCOMES GREATER THAN 200% 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. TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE, THE HOSPITAL FACILITY USES AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE. THE HOSPITAL USES A LOOK BACK METHOD THAT CONSIDERS DISCOUNTS ALLOWED TO MEDICARE AND ALL PRIVATE HEALTH INSURERS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 7 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Mercy Services-Calvary Church Road | ||||
| 1500 Calvary Church Rd | Festus | MO | 62028 | Hospital based outpatient depts: Imaging services |
| 2 - Mercy Hospice-Jefferson | ||||
| 5 Industrial Drive | Festus | MO | 62028 | Hospital based outpatient depts: Hospice services |
| 3 - Mercy Home Health-Farmington | ||||
| 620 Maple Valley Dr Ste A | Farmington | MO | 63640 | Hospital based outpatient depts: Home health services |
| 4 - Mercy Home Health-Jefferson | ||||
| 5 Industrial Drive | Festus | MO | 62028 | Hospital based outpatient depts: Home health services |
| 5 - Mercy Hospice-Farmington | ||||
| 620 Maple Valley Dr Ste A | Farmington | MO | 63640 | Hospital based outpatient depts: Hospice services |
| 6 - Mercy Clinic Imperial | ||||
| 1250 Main Street | Imperial | MO | 63012 | Hospital based outpatient depts: therapy services |
| 7 - Mercy Desoto | ||||
| 702 N Main St | DeSoto | MO | 63020 | Hospital based outpatient depts: therapy services |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7g: | SUBSIDIZED HEALTH SERVICESThe physician clinics are included as a net amount (income less expenses) allocated by the Clinical Service line in the Indirect cost. |
| Part I, Ln 7 Col(f): | TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) ARE $219,656,893. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $15,912,312. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $203,744,581. |
| PART I, LINE 6A | COMMUNITY BENEFIT REPORTTHE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS PREPARED BY ITS ULTIMATE PARENT ENTITY, MERCY HEALTH (EIN: 43-1423050). |
| Part II, Community Building Activities: | Mercy Hospital Jefferson's (MHJ) community building activities promote the health, wellness, and safety of the community it serves. Through active participation on community boards, neighborhood/community coalitions, and involvement in community-based events, Mercy builds partnerships to develop collaborative solutions to address community needs. Some of these community building partnerships and community engagement activities include: - Jefferson County Health Department- Jefferson County Growth Association- Jefferson College Board- Participation in the DeSoto, Hillsboro, Twin City Area, and Ste. Genevieve Chambers of Commerce activities- Kiwanis Club- YMCA Board- COMTREA (Community Treatment, Inc.)In addition, MHJ actively participates in several coalitions that align with the hospital's CHNA top health priority of Substance Abuse, including:- Jefferson County Drug Prevention Coalition- Alive and Well Jefferson County- Jefferson County Opioid Task Force- Jefferson County Drug Education Conference Planning CommitteeEfforts with these coalitions will continue as MHJ determined Substance Abuse to be a top health priority through the 2019-2021 CHNA cycle. Cash/In-Kind DonationsMercy provides cash and in-kind donations through the support of co-worker engagement and community service activities. These community building activities allow Mercy co-workers to look beyond the walls of the facilities in which they serve to better understand and address the needs of the community.During FY20, cash donations were given to organizations throughout the community that included:- Meals on Wheels- Kiwanis Club- Friends of St. Genevieve Hospital Memorial Hospital- Jefferson College Foundation- Pony Bird- AmeriCorps St. LouisA full description of our Community Building activities can be found at www.mercy.net/communitybenefits. |
| Part III, Line 2: | TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE, AT COST, BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENT ACCOUNTS WAS MULTIPLIED BY A RATIO OF COST TO CHARGES. THE RATIO OF COST TO CHARGES USED WAS BASED ON DETAILED COST ACCOUNT, WHERE AVAILABLE. WHERE COST ACCOUNTING IS NOT AVAILABLE, COST REPORT COST TO CHARGE RATIOS WERE UTILIZED. |
| Part III, Line 3: | THE FILING ORGANIZATION DETERMINED THAT THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS $0. ALTHOUGH THE CHARITY CARE POLICY REQUIRES THE PARTICIPATION OF THE PATIENT REQUESTING ASSISTANCE, WE HAVE A PROCESS UNDER PRESUMPTIVE CHARITY TO ADDRESS ACCOUNTS FOR PATIENTS WHO DO NOT PROVIDE THE INFORMATION. WE BELIEVE THAT OUR CHARITY POLICY IS COMPREHENSIVE ENOUGH TO CAPTURE ALMOST ALL PATIENTS WHO QUALIFY FOR CHARITY CARE. |
| Part III, Line 4: | THE TEXT OF THE FOOTNOTE THAT IS INCLUDED IN MERCY HEALTH AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE IS AS FOLLOWS: In May 2014, the Financial Accounting Standards Board (FASB) and International Accounting Standards Board issued Accounting Standards Update (ASU) 2014-09, Revenue from Contracts with Customers (Topic 606). The Health System adopted ASU 2014-09 on July 1, 2018 using a full retrospective basis. Upon adoption, the majority of what was previously classified as provision for uncollectible accounts and presented as a reduction to patient service revenue on the consolidated statement of operations and changes in net assets is treated a price concession that reduces the transaction price, which is reported as patient service revenue. As such, bad debt expense is not referenced in Mercy Health and Subsidiaries audited financial statements. PATIENT ACCOUNTS THAT ARE DEEMED UNCOLLECTIBLE, INCLUDING THOSE PLACED WITH COLLECTION AGENCIES, ARE INITIALLY CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN ACCORDANCE WITH COLLECTIONS POLICIES OF THE HEALTH SYSTEM AND, IN CERTAIN CASES, ARE RECLASSIFIED TO CHARITY CARE IF DEEMED TO OTHERWISE MEET THE HEALTH SYSTEM'S CHARITY CARE POLICY. THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES BASED UPON THE PAYOR COMPOSITION AND AGING OF RECEIVABLES AS OF THE REPORTING DATE WITH CONSIDERATION OF THE HISTORICAL PAYMENT AND WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES. |
| Part III, Line 8: | IT IS THE POSITION OF MERCY HOSPITAL JEFFERSON THAT 100% OF ANY SHORT FALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS AMOUNT REPRESENTS COST OF PROVIDING SERVICES THAT REMAIN UNCOMPENSATED TO THE PROVIDER. THE UNREIMBURSED COSTS OF MEDICARE IS CALCULATED BY THE GROSS CHARGES NET OF THE COST TO CHARGE RATIO LESS ANY PAYMENTS, DEDUCTIONS OR REIMBURSEMENTS USING THE ANNUAL MEDICARE COST REPORT (CMS FORM 2552-96). |
| Part III, Line 9b: | MERCY'S COLLECTION POLICY PROVIDES THAT MERCY WILL PERFORM A REASONABLE COMMUNICATION AND/OR REVIEW OF PATIENT ACCOUNTS AS IT RELATES TO ANY SERVICE PROVIDED AT OUR FACILITIES BEFORE TURNING THE ACCOUNT TO BAD DEBT OR TAKING LEGAL ACTION FOR NONPAYMENT. MERCY ACTIVELY SCRUBS ACCOUNTS FOR PAYOR PLAN COVERAGE, INCLUDING MEDICAID. IN THE EVENT AN ACCOUNT IS TURNED TO COLLECTIONS AND IS IDENTIFIED IN NEED OF FINANCIAL ASSISTANCE DUE TO CIRCUMSTANCE CHANGES, OR IS NOW REQUESTING ASSISTANCE, THE ACCOUNTS ARE RETURNED BY THE AGENCY AND CONSIDERED FOR CHARITY IF THE PATIENT PROVIDES THE REQUESTED INFORMATION. IF THE PATIENT FAILS TO RETURN THE INFORMATION, THE ACCOUNT WILL QUALIFY FOR COLLECTIONS. MERCY UTILIZES THE EXPERIAN TOOL TO ENHANCE THE ABILITY TO DETERMINE THE CHARITY QUALIFICATION PRIOR TO TURNING TO BAD DEBT, A PROCESS KNOWN AS PRESUMPTIVE CHARITY. MERCY WILL GRANT CHARITY IN SITUATIONS WHERE THERE HAS BEEN AN INABILITY TO OBTAIN INFORMATION FROM PATIENTS OR THE INFORMATION PROVIDED IS NOT COMPLETE ENOUGH TO MAKE A CHARITY DETERMINATION WHEN A PATIENT HAS SUBMITTED AN APPLICATION. FOR A PORTION OF THE FISCAL YEAR, 7/1/19 - 10/13/19, MERCY UTILIZED THE SAME TOOL TO QUALIFY ACCOUNTS PER THE PRACTICE OF PRESUMPTIVE CHARITY PRIOR TO BAD DEBT PLACEMENT FOR BALANCES IN EXCESS OF $6,500. ALL ACCOUNT BALANCES RELATING TO ACCOUNTS IDENTIFIED BY THE HIGHER BALANCES WILL BE CONSIDERED AND FLAGGED FOR CHARITY IF THERE IS AN INABILITY TO PAY AFTER A RETURN FROM THE COLLECTION AGENCY AT APPROXIMATELY 120 DAYS. STARTING ON 10/14/19, MERCY IMPLEMENTED PRESUMPTIVE CHARITY FOR ALL BALANCES, IRREGARDLESS OF ACCOUNT BALANCE, WHERE THE EVALUATION TOOK PLACE PRIOR TO PATIENT BILLING AND ADDITIONALLY PRIOR TO BAD DEBT PLACEMENT. THE PRESUMPTIVE SCREENING WAS PER ENCOUNTER AND DID NOT PROMOTE ANY LOOK-BACK ADJUSTMENTS. PRIOR TO GO-LIVE ON 10/14/19, MERCY DID A ONE TIME EVALUTION OF ALL BAD DEBT ACCOUNTS BILLED IN THE LAST 240 DAYS THAT MET NEW PRESUMPTIVE CRITIERA AND ADJUSTED PER A TERMINAL PRESUMPTIVE ADJUSTMENT.MERCY WILL PURSUE APPROPRIATE MEANS IN THE COLLECTION OF DELINQUENT ACCOUNTS FROM PATIENTS WITH AN ESTABLISHED ABILITY TO PAY OR AN UNWILLINGNESS TO COOPERATE IN VALIDATING ELIGIBILITY FOR FINANCIAL ASSISTANCE. THESE APPROPRIATE MEANS MAY INCLUDE LEGAL ACTION CONSISTENT WITH MERCY MISSION AND VALUES AFTER SENDING 3 MONTHLY STATEMENTS WITH THE FINAL INCLUDING NOTIFICATION; IF NO RESOLUTION THEY WILL BE TURNED TO COLLECTIONS. ADDITIONALLY, THEY MAY INCLUDE LIENS UPON REAL PROPERTY AND REASONABLE WAGE GARNISHMENTS. LEGAL ACTIONS WILL GENERALLY NOT INCLUDE BANK GARNISHMENTS, REPOSSESSION OF ASSETS OR FORECLOSURES TO ENSURE SATISFACTION OF A LIEN. MERCY HAS POLICIES AND PROCEDURES ESTABLISHED TO ADDRESS THE INITIATION OF LEGAL ACTION AND ANNUALLY REVIEW COMPLIANCE WITH POLICIES BUT ENSURE 120 DAYS OF BILLING AND COLLECTIONS OCCUR PRIOR TO ANY EXTRAORDINARY COLLECTIONS ARE PURSUED. |
| Part VI, Line 2: | Through collaborative efforts, Community Treatment, Inc. (dba COMTREA), Jefferson County Community Partnership (JCCP), the Jefferson County Health Department (JCHD), Jefferson Franklin Community Action Corps (JFCAC) And Mercy Hospital Jefferson (MHJ) conducted a community health needs assessment. Methods of collecting and analyzing data and information included community focus groups, surveys, organization-specific data and published data.Community focus groups were conducted to dialogue directly with local community members. There was a targeted effort to conduct focus groups in a variety of zip codes and locations so that all Jefferson County residents had the opportunity to attend. Community partners that assisted in data collection for community focus groups included Desoto School District, Jefferson County Library, Arnold Library, Desoto Library, Festus Library, Jefferson College, YMCA, Mapaville Fire Dept., JFCAC Head Start (Hematite and Desoto), Aging Ahead, and St. Andrew's UMC Desoto.The JCHD conducted a county-wide survey during the summer of 2017. Through collaboration with multiple organizations and agencies, surveys were distributed and over 3,500 were completed. The goal of the survey was to gain insight into the perceptions of county residents on the most pressing health issues, risk factors, barriers to care, and health services utilization. Each participating CHNA partner has an internal entity that guides the needs assessment process for their organization. A Community Health Council, led by Eric Ammons, President of Mercy Hospital Jefferson, guides the needs assessment process for MHJ (Appendix B). The council convenes quarterly and is accountable for ensuring that community benefit activities meet mission compliance and IRS guidelines. It consists of Mercy leaders from various departments, such as behavioral health, finance, care management, philanthropy, etc., and a hospital board member. The Council determines which health initiatives will be put forth in the hospital's three-year Community Health Improvement Plan (CHIP). Co-workers in Mercy's Community Health & Access Department served on the Council and were the primary leads of the 2019 CHNA. External sources of published data are as follows:- County Health Rankings 2018This resource provides county-level data that is updated annually by the University of Wisconsin-Population Health Institute and the Robert Wood Johnson Foundation. www.countyhealthrankings.org - Community CommonsThis resource provides thousands of meaningful data layers to allow mapping and reporting capabilities for exploring community health to foster positive change. The site is managed by Institute for People, Place and Possibility; the Center for Applied Research and Environmental Systems; and Community Initiatives. www.communitycommons.org - Missouri KIDS COUNTThis resource provides data about the children and families in the state of Missouri and focuses on the importance of community in improving the lives of children and families.https://mokidscount.org/missouri-kids-count-data-book-release/ - exploreMOhealth This resource was created in partnership between Missouri Foundation for Health and the MHA Health Institute. It provides data at a granular geographic level to inform targeted resource allocations for community health improvement initiatives.https://exploremohealth.org/ - Missouri Public Health Information Management System (MOPHIMS) - Community Data Profiles & Missouri Information for Community Assessment (MICA) - Environmental Health Public Tracking Program (EPHT)This resource, provided by Missouri Department of Health & Senior Services-Bureau of Health Information, includes some of the most comprehensive community health assessment planning tools available, such as community data profiles on 115 Missouri counties, thirty health indicators, and the capability to create customized tables.https://webapp01.dhss.mo.gov/MOPHIMS/MOPHIMSHome Prioritized Significant Community Health NeedsThe nominal group technique was used in the priority setting process. The Mercy Hospital Jefferson Community Health Council (CHC) was presented with the quantitative and qualitative community health data and members were asked to rank these health issues by level of concern and ability to collaborate on the issue to produce results. The strengths and services of MHJ along with the strategic plan were also considered. Upon review and discussion of the Primary and Secondary data gathered, the hospitals' Strategic Plans, and the resources available at the hospitals and in the communities, the following priorities were selected:Mercy Hospital St. Louis: - Access to Care- Mental Health- Substance UseThe Community Health Councils then created Community Health Improvement Plans (CHIP) for their hospital, identifying specific initiatives related to improving each of these health priorities. The CHIPs were designed with realistic, measurable, and attainable goals that align with the mission and strategy of the organizations. Mercy Hospital Jefferson also assesses the needs of the community through requests by local agencies. Mercy Hospital Jefferson's (MHJ) community building activities promote the health, wellness, and safety of the community it serves. Through active participation on community boards, neighborhood/community coalitions, and involvement in community-based events, Mercy builds partnerships to develop collaborative solutions to address community needs. Some of these community building partnerships and community engagement activities include:- Jefferson County Health Department- Jefferson County Growth Association- Jefferson College Board- Participation in the DeSoto, Hillsboro, Twin City Area, and Ste. Genevieve Chambers of Commerce activities- Kiwanis Club- YMCA Board- COMTREA (Community Treatment, Inc.)In addition, MHJ actively participates in several coalitions that align with the hospital's CHNA top health priorities of Substance Use and Mental Health, including:- Jefferson County Drug Prevention Coalition- Alive and Well Jefferson County- Jefferson County Opioid Task Force- Jefferson County Drug Education Conference Planning CommitteeCash/In-Kind DonationsMercy provides cash and in-kind donations through the support of co-worker engagement and community service activities. These community building activities allow Mercy co-workers to look beyond the walls of the facilities in which they serve to better understand and address the needs of the community.During FY20, cash donations were given to organizations throughout the community that included:- Meals on Wheels- Kiwanis Club- Friends of St. Genevieve Hospital Memorial Hospital- Jefferson College Foundation- Pony Bird- AmeriCorps St. LouisA full description of our Community Building activities can be found at www.mercy.net/communitybenefits. |
| Part VI, Line 3: | Mercy informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization's financial assistance policy through several means. If at any time a patient expresses hardship and inability to pay, the accounts is placed for review. In addition, patient have signage about the policy at the access points, and all staff working with the patient at Point of Service, Scheduling, Customer Service, and even through the Medicaid Eligibility Screening, have the means to send the account for review. There is the plain language summary that is being provided to all whom express hardship when presenting in the facilities. In addition to the web address providing the application, policies, and even how uninsured accounts are handled. Lastly, the statements (billing) messaging to the patient that Mercy does have a Financial Assistance Program and to call to see if they are eligible. Mercy staffs internal resources certified to assist patients with Medicaid Applications as well. |
| Part VI, Line 4: | THE PRIMARY SERVICE AREA FOR MERCY HOSPITAL JEFFERSON INCLUDES 37 ZIP CODES ACROSS MISSOURI. THE FOLLOWING INFORMATION IS DERIVED FROM 2019 IBM/WATSON'S DEMOGRAPHICS AND FY19 CLARIVATE ANALYTICS INSURANCE COVERAGE ESTIMATES. THE AREA'S POPULATION IS 306,523. 37% OF THE POPULATION'S AVERAGE HOUSEHOLD INCOME IS OVER $75,000. 43% OF THE POPULATION IS 45 AND OLDER. 21% OF THE HOUSEHOLDS ARE ON MEDICARE, 13% ON MEDICAID, AND 9% UNINSURED. |
| Part VI, Line 5: | OPEN MEDICAL STAFF Medical staff membership and privileges are extended to eligible physicians, as defined by the Medical Staff Bylaws, for nearly all of our departments. Mercy Hospital Jefferson has exclusive contracts with physician groups for the following services: radiology, pathology, and anesthesia. This means that the majority of the physicians on staff are in categories that are open to eligible physicians in the community.Community Board FY20 Mercy Health East Communities FY20 Board MembersDon Arnold, M.D.Kelly Bain, M.D.Jon Bauer, PhDCraig Boyd, MDMatuskchka Lindo-BriggsApollo CareyJeff Ciaramita, M.D.Dennis GannonKatherine Glosenger, RSMSr. Michael Mary Gutowski, RSMWendy HenryJeff JohnstonSusan O'Connor, RSMCharles Rehm, M.D.George RomanKevin ShortSteven SwyersMaria Luisa Vera, RSMMercy Hospital Jefferson FY20 Board MembersEric Ammons Briccio Cadiz, MDSr. Judy Carron, RSMRick FrancisDr. Karthik Iyer, MDJeff JohnsonElaine GannonEric KnollDena McCafreyBill McKennaJacob Peyton, MDTracy Riordan, MDBassam Roukoz, MDUse of Surplus Funds Dan Eckenfels, CFO Surplus funds and unrestricted assets held by Mercy Hospital Jefferson 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:- Expansion of primary care and specialty care physicians to the Mercy Hospital Jefferson service area with a focus to reach the underserved populations closer to their homes.- New primary care clinic locations were opened in Hillsboro and Barnhart offering services to these surrounding communities in Jefferson County.- Continued partnering with area education programs to help promote the training of critically needed services for the community including schools of nursing, radiology and pharmacy.- Opened a new Intensive Outpatient Therapy center in the current year which expanded the current adult offered services to include care for adolescent patients as well. Additional Community Health Initiatives/InformationCurrently not included through the reporting of Community Benefit or Community Building activities are:In keeping with MHJ's commitment to serve all members of the community, MHJ clinics (not under hospital EIN) provide:- Free care and/or subsidized care- Care to persons covered by governmental programs at below cost- Health activities and programs to support the community- Health education programs, and- A variety of broad community support activities.Many of the programs mentioned below are part of our current Community Health Impact Plan (CHIP). These are indicated by asterisks.ACCESS TO CAREHEALTH LEADS*Health Leads is a social enterprise that envisions a healthcare system that addresses all patients' basic resource needs as a standard part of quality care. In the spring of 2016, Mercy Health joined the Health Leads Learning Collaborative to begin integrating the Health Leads program in order to assist patients with health-related social needs through resource referral. This program is designed for Mercy Clinic Jefferson patients and is being funded through Mercy clinics; therefore, the total community benefit of this program cannot be reported under the EIN for Mercy Hospital Jefferson.MENTAL HEALTHALIVE AND WELL COMMUNITIES*Alive and Well Communities is a state-wide effort formed locally by the Regional Health Commission that focuses on reducing the impact of toxic stress and trauma on a person's health and well-being. Mercy acts as a community partner for this initiative and works to create a more trauma aware/informed community through training opportunities and analyzing best practices in the field of behavioral health. As a subset of Alive and Well Communities, Alive and Well Jeff Co was created specifically to address the unique challenges that the Jefferson County community faces. Mercy Hospital Jefferson's local Community Health Leader serves on the steering committee for Alive and Well Jeff Co. In FY20, three additional Mercy co-workers were trained as Alive and Well Trainers and ambassadors, to integrate trauma-informed care more deeply into patient care and the community, and helped to lead trauma awareness trainings, open to the community free of charge.Furthermore, with the support of Mercy Hospital Jefferson's leaders and the ongoing engagement of the Community Health Leader on the Alive and Well steering committee, Alive and Well Jefferson County was a recipient of the Mercy Caritas Grant for $23,900. This funding will support Alive and Well's strategic plan to foster greater resilience in the residents of Jefferson County by working to address underlying factors that cause the transgenerational cycle of trauma and toxic stress, as well as enhancing collaborative community and organizational efforts in a trauma-informed manner. SUBSTANCE USEMERCY ROAD TO FREEDOMThis program was offered to the community and Mercy co-workers as a telephonic, one-on-one support system with a specialty trained counselor. Since 2013, over 80 people have kicked the habit.PHYSICIANSMercy Health System has a large number of clinics, physician offices and other healthcare facilities located in the East Community that are not associated with a hospital EIN. These clinics and facilities provide financial assistance, participate in health professions education (i.e. student shadowing) and provide in-kind contributions to their communities. |
| Part VI, Line 6: | AFFILIATED HEALTH CARE SYSTEMTHE 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 TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE." AS OF JUNE 30, 2020, MERCY FACILITIES INCLUDED 29 ACUTE CARE HOSPITALS, 4 HEART HOSPITALS, 2 CHILDREN'S HOSPITALS, 2 ORTHOPEDIC HOSPITALS AND 3 REHAB HOSPITALS. FOR THE FISCAL YEAR ENDED JUNE 30, 2020, MERCY HAD MORE THAN 10.8 MILLION OUTPATIENT AND PHYSICIAN OFFICE VISITS, APPROXIMATELY 2,400 EMPLOYED PHYSICIANS, AND APPROXIMATELY 44,000 FULL-TIME EQUIVALENT EMPLOYEES, MAKING MERCY THE SIXTH LARGEST CATHOLIC HEALTH SYSTEM IN THE UNITED STATES. 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: FINANCE (INCLUDING TREASURY, FINANCIAL ACCOUNTING AND REPORTING, REVENUE MANAGEMENT, INTERNAL AUDIT, ACCOUNTS PAYABLE AND PAYROLL OPERATIONS, ANALYTICS AND DECISION SUPPORT); ENVIRONMENTAL SERVICES SUPPORT; CLINICAL INTEGRATION; CARE MANAGEMENT; CLINICAL PERFORMANCE ACCELERATION; CLINICAL ENGINEERING; CLINICAL QUALITY MANAGEMENT; COMPLIANCE; GRANTS AND RESEARCH SERVICES; LEGAL AND COMPLIANCE COUNSEL; MARKETING AND COMMUNICATIONS; PLANNING, DESIGN AND CONSTRUCTION; PRODUCT DEVELOPMENT INFORMATICS; REAL ESTATE; SUPPLY CHAIN MANAGEMENT; MANAGED CARE STRATEGY SUPPORT; HUMAN RESOURCES (INCLUDING COMPENSATION, BENEFITS AND RECRUITING); MISSION SERVICES AND ETHICS; PHILANTHROPY SUPPORT; INFORMATION TECHNOLOGY; AND, COMMUNITY RELATIONS. THE CENTRALIZATION OF SUCH SUPPORT SERVICES ENABLES MERCY TO ENSURE THAT EACH OF ITS COMMUNITIES, WHETHER LARGE OR SMALL, HAS THE SERVICES IT NEEDS. |
| Part VI, Line 7, Reports Filed With States | MO |
| COVID-19 | Please see Schedule O for information related to COVID-19. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| MERCY HEALTH FOUNDATION JEFFERSON | |||||||
| 14528 S OUTER 40 RD STE 100 | CHESTERFIELD | MO | 63017 | 462797051 | 501C3 | $28,900 | CHARITABLE SUPPORT |
| STL INTEGRATED HEALTH NETWORK | |||||||
| 1520 MARKET STREET STE 4034 | ST LOUIS | MO | 63103 | 203288245 | 501C3 | $97,367 | CHARITABLE SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part 1, Line 2 | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION USES AN APPROVAL PROCESS TO DETERMINE WHICH ORGANIZATIONS WILL RECEIVE GRANTS DURING THE FISCAL YEAR. THE FUNDS ARE THEN GIVEN DIRECTLY TO THE DEPARTMENT, AS THEY ARE EARNED. GRANTS ARE OFTEN MADE TO RELATED ORGANIZATIONS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | Yes (X) | FirstClassOrCharterTravelInd |
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Rehm MD Charles | ||||||||||||||
| Chief Administrative Officer & Board | $0 | $337,230 | $0 | $415,020 | $0 | $376,201 | $0 | $40,155 | $0 | $6,203 | $0 | $1,174,809 | $0 | $114,625 |
| Ammons Carl E Eric | ||||||||||||||
| President, Mercy Hospital Jefferson | $329,703 | $0 | $241,718 | $0 | $37,171 | $0 | $82,542 | $0 | $12,338 | $0 | $703,472 | $0 | $0 | $0 |
| Iyer Karthik | ||||||||||||||
| Physician & Board Member | $0 | $520,068 | $0 | $94,047 | $0 | $19,480 | $0 | $12,375 | $0 | $16,354 | $0 | $662,324 | $0 | $0 |
| Riordan MD Tracy | ||||||||||||||
| Physician & Board Member | $0 | $460,826 | $0 | $47,567 | $0 | $21,703 | $0 | $25,930 | $0 | $16,713 | $0 | $572,739 | $0 | $0 |
| Johnston Jeffrey A | ||||||||||||||
| President - East Communities | $0 | $720,071 | $0 | $497,179 | $0 | $55,233 | $0 | $119,831 | $0 | $13,547 | $0 | $1,405,861 | $0 | $0 |
| Matejka Cheryl L | ||||||||||||||
| Chief Financial Officer | $0 | $499,662 | $0 | $174,209 | $0 | $57,737 | $0 | $82,299 | $0 | $13,547 | $0 | $827,454 | $0 | $0 |
| Hannasch Susan | ||||||||||||||
| Regional VP - General Counsel | $0 | $169,835 | $0 | $350,545 | $0 | $211,311 | $0 | $12,493 | $0 | $7,852 | $0 | $752,036 | $0 | $221,782 |
| Richmond Jacquelynn | ||||||||||||||
| VP Deputy General Counsel | $0 | $406,788 | $0 | $116,389 | $0 | $24,915 | $0 | $76,559 | $0 | $5,584 | $0 | $630,235 | $0 | $0 |
| Eckenfels Daniel | ||||||||||||||
| VP Finance | $0 | $234,148 | $0 | $42,040 | $0 | $12,891 | $0 | $12,375 | $0 | $15,909 | $0 | $317,363 | $0 | $0 |
| Meyer Michele | ||||||||||||||
| VP Operations | $218,040 | $0 | $33,805 | $0 | $23,181 | $0 | $12,375 | $0 | $16,310 | $0 | $303,711 | $0 | $0 | $0 |
| Stover Benny J | ||||||||||||||
| VP - Finance | $194,825 | $0 | $26,764 | $0 | $31,926 | $0 | $14,934 | $0 | $15,774 | $0 | $284,223 | $0 | $0 | $0 |
| Blankenship Stacy A | ||||||||||||||
| CNO | $152,414 | $0 | $24,884 | $0 | $51,474 | $0 | $18,806 | $0 | $7,013 | $0 | $254,591 | $0 | $0 | $0 |
| Richards Donn | ||||||||||||||
| Physician | $343,314 | $0 | $0 | $0 | $25,162 | $0 | $12,375 | $0 | $1,674 | $0 | $382,525 | $0 | $0 | $0 |
| Jaeger Kurt | ||||||||||||||
| Physician | $232,370 | $0 | $164 | $0 | $25,000 | $0 | $9,386 | $0 | $10,498 | $0 | $277,418 | $0 | $0 | $0 |
| Robbins Jill L | ||||||||||||||
| Registered Nurse | $162,180 | $0 | $40 | $0 | $21,827 | $0 | $10,515 | $0 | $7,142 | $0 | $201,704 | $0 | $0 | $0 |
| Kennon William D | ||||||||||||||
| Director - Pharmacy Services | $157,130 | $0 | $8,311 | $0 | $14,318 | $0 | $11,657 | $0 | $9,677 | $0 | $201,093 | $0 | $0 | $0 |
| Porterhouse Cheri | ||||||||||||||
| Registered Nurse | $154,909 | $0 | $40 | $0 | $10,447 | $0 | $6,952 | $0 | $4,516 | $0 | $176,864 | $0 | $0 | $0 |
| Bryson Jared | ||||||||||||||
| Former Key Employee | $0 | $160,107 | $0 | $16,555 | $0 | $22,503 | $0 | $11,253 | $0 | $15,975 | $0 | $226,393 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | CHARTER TRAVEL IS PROVIDED TO CERTAIN EMPLOYEES AS AND WHEN APPROPRIATE, AND AS DEEMED NECESSARY FOR BUSINESS TRAVEL. AFTER CHARTER TRAVEL APPROVAL HAS BEEN GRANTED IN ACCORDANCE WITH THE FINANCIAL JUSTIFICATION PROCESS, THE APPROVED CHARTER TRAVEL FOR BUSINESS IS A REIMBURSABLE EXPENSE WHICH IS NOT TAXABLE TO THE EMPLOYEES. IN ANY CIRCUMSTANCE IN WHICH CHARTER TRAVEL IS MADE AVAILABLE TO EMPLOYEES AND/OR SPOUSES/GUESTS FOR PERSONAL REASONS, MERCY POLICY REQUIRES TRACKING OF SUCH USE AND TAXATION OF THE EMPLOYEE(S) ACCORDINGLY. TRAVEL FOR COMPANIONS FOR NONBUSINESS REASONS IS PROVIDED IN CERTAIN INSTANCES AND IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. WHERE COMPANION TRAVEL HAS RESULTED IN A TAXABLE EVENT, AN OFFICER AND A KEY EMPLOYEE WERE 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 A KEY 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 | The following individuals received severance pay: Susan Hannasch $132,947 and Charles Rehm $200,878. Part I, Line 4B: Mercy Health, the ultimate parent company, offers a supplemental retirement plan to certain executives which provide benefits upon vesting date 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 plan: Ammons,Carl; Hannasch, Susan; Matejka,Cheryl L; Rehm MD, Charles; Johnston, Jeff; Blankenship, Stacy; Richmond, Jacquelynn The amount of all accrued benefits is included in compensation amounts provided in Schedule J, Part II, Column (C). CHARLES REHM AND SUSAN HANNASCH RECEIVED PAYMENT FROM RETIREMENT PLAN(s) DURING THE YEAR FROM A RELATED ORGANIZATION. THE AMOUNTS REPORTED FOR REHM AND HANNASCH IN COLUMN (F) ARE INCLUDED IN COLUMN B (I) AS BASE COMPENSATION. THESE PAYOUTS WERE INCLUDED IN COLUMN (C) OF PREVIOUSLY FILED FORMS 990. |
| 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 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | The member of MERCY Hospital Jefferson 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 Hospital Jefferson. |
| 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 EAST COMMUNITIES AS THE CORPORATE MEMBER OF THE CORPORATE MEMBER): A. APPROVAL OF REVISIONS TO THE MISSION, VISION AND OPERATING VALUES PURSUANT TO WHICH THE CORPORATION OPERATES; B. APPROVAL OF ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION AND THESE BYLAWS AND ANY AMENDMENTS TO THE ORGANIZATIONAL DOCUMENTS OF ANY AFFILIATE OF THE CORPORATION; C. APPOINTMENT AND REMOVAL OF MEMBERS OF THE BOARD; D. APPROVAL OF THE APPOINTMENT AND REMOVAL OF THE PRESIDENT OF THE HOSPITAL SUBJECT TO THE CONSENT OF MERCY HEALTH EAST COMMUNITIES; E. ADOPTION OF THE STRATEGIC PLAN, GOALS, AND OBJECTIVES OF THE CORPORATION; F. ADOPTION OF THE OPERATING, CAPITAL AND ALL OTHER BUDGETS FOR THE CORPORATION; G. 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; H. AUTHORIZATION AND APPROVAL OF THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY AFFILIATE OF THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTE ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; I. APPROVAL OF A PLAN OF MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION OR ANY AFFILIATE; J. APPROVAL OF THE LEASE, MANAGEMENT OR PURCHASE OF, OR AFFILIATION WITH, ANOTHER HOSPITAL OR HOSPITAL SYSTEM, OR HEALTH CARE FACILITY OR HEALTH CARE SYSTEM BY THE CORPORATION; AND, K. TO APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION BY THE CORPORATION. L. OVERSEE, APPROVE AND MONITOR HUMAN RESOURCE PROGRAMS, WHICH SHALL PROMORTE AN ORGANIZATIONAL ENVIRONMENT THAT: 1. PROVIDES FOR THE RECRUITMENT AND RENTION OF CO-WORKERS WHO ARE SERVICE ORIENTED, COMPASSIONATE, ENGAGED, AND WHO FIND MEANING AND PURPOSE IN WORKING IN A FAITH-BASED ORGANIZATION; 2. ENABLES PEOPLE TO RELATE TO ONE ANOTHER WITH RESPECT AND ACCEPTANCE IN A SPIRIT OF COMMUNITY; 3. PROMOTES CO-WORKER PARTIICPATION AND VOICE IN THEIR WORK LIVES; 4. GIVES CO-WORKERS A FAIR OPPORTUNITY TO DEVLEOP THEIR SKILLS AND TALENTS, AND A MEANS BY WHICH THEIR CONTRIBUTIONS ARE RECOGNIZED; 5. PROVIDES CO-WORKERS WITH THE MATERIALS AND EQUIPMENT TO PROPERLY DO THEIR WORK;AND, 6. ENSURES CO-WORKER SAFETY AND WELL-BEING. |
| Form 990, Part VI, Section B, line 11b | 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 MERCY HEALTH'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, INCLUDING THE CFO AND CEO, FOR REVIEW. ONCE REVIEWED AND APPROVED BY THE FILING ORGANIZATION'S LEADERSHIP TEAM, THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW; IT IS THEN SIGNED AND FILED WITH THE IRS. |
| Form 990, Part VI, Section B, line 12c | OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER DISQUALIFIED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY AND DID SO IN THE NORMAL COURSE FOR THE YEAR ENDED JUNE 30, 2020. THIS PROCESS IS ADMINISTERED AT THE MERCY HEALTH LEVEL BY MERCY'S Corporate Compliance DEPARTMENT. THE QUESTIONNAIRES ARE REVIEWED WITH LEADERSHIP AT THE LOCAL LEVEL AND POTENTIAL CONFLICTS DISCUSSED AND RESOLVED. THE CONFLICTS AND THEIR RESPECTIVE RESOLUTIONS ARE SHARED AT THE MERCY LEVEL WITH A TEAM INCLUDING MERCY'S CHIEF FINANCIAL OFFICER, CHIEF COMPLIANCE OFFICER AND OTHER MEMBERS OF FINANCE, LEGAL AND HR. SUMMARY RESULTS ARE REVIEWED WITH MERCY'S STEWARDSHIP COMMITTEE OF THE BOARD OF DIRECTORS. |
| Form 990, Part VI, Section B, line 15b | 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 REVIEW/APPROVAL OF COMPENSATION BY THE COMPENSATION COMMITTEE OF THE MERCY HEALTH BOARD. FOR THOSE CLASSIFIED AS KEY EMPLOYEES, THE ORGANIZATION USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, AND REVIEW/APPROVAL OF EXECUTIVE MANAGEMENT. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS, AND A REVIEW WAS COMPLETED DURING THE REPORTING YEAR. |
| Form 990, Part VI, Section C, line 19 | Governing documents and financial statements are made available from time to time but are not published publicly; we are not required to make these documents available to the public. Financial results are available via request of copy of Form 990. |
| FORM 990, PART VII, SECTION A, COLUMN B | AVERAGE HOURS PER WEEK THE HOURS PER WEEK DISCLOSED IN PART VII IS THE AVERAGE HOURS THE LISTED PERSON WORKED OR DEVOTED PER WEEK WHILE EMPLOYED OR ASSOCIATED WITH THE FILING ORGANIZATION AND RELATED ORGANIZATIONS (IF APPLICABLE). |
| Form 990, Part XI, line 9: | Transfer FROM (TO) AFFILIATES -24,512,696. Change in net restricted assets 89,889. Other changes in net assets 43,840. |
| Part XII, Line 2C | Audited Financial Statements THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN MERCY HEALTH AND SUBSIDIARIES ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 2020 (THE TAX YEAR CURRENTLY BEING REPORTED). HOWEVER, NO SEPARATE AUDIT OPINION WAS ISSUED ON THE FINANCIAL STATEMENTS OF THE FILING ORGANIZATION. THE ULTIMATE RESPONSIBILITY FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE EXTERNAL AUDITOR LIES WITH THE STEWARDSHIP COMMITTEE OF THE MERCY HEALTH BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE. |
| Form 990, Part XII, Line 3A and 3B | SINGLE AUDIT ACT AND 2 CFR 200 AUDIT MERCY HEALTH UNDERGOES A CONSOLIDATED 2 CFR 200 AUDIT EVERY YEAR. THIS AUDIT IS UNDERWAY FOR THE FISCAL YEAR ENDING JUNE 30, 2020 AND WILL BE COMPLETED BY JUNE 30, 2021. EACH ENTITY THAT RECEIVES FEDERAL FUNDS DURING THE YEAR IS INCLUDED ON THE SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS (SEFA) AND IS ALSO INCLUDED IN THE POPULATION INCLUDED IN THE AUDIT. IF THE FILING ENTITY RECEIVED FEDERAL FUNDS DURING THE YEAR ENDED JUNE 30, 2020, IT WILL BE INCLUDED ON THE MERCY HEALTH CONSOLIDATED SEFA, AND THEREFORE, ALSO INCLUDED IN THE POPULATION INCLUDED IN THE AUDIT. |
| FORM 990, SCHEDULE R, PART V | SYSTEM LIMITATIONS LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY 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 P AND Q. |
| Form 990, Part V, Question 1a | 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 2a | W-3 FILING SALARIES AND WAGES WITH LIMITED EXCEPTIONS, THE SALARIES AND WAGES REPORTED ON FORM 990, PART IX, LINE 7 REPRESENT AN ALLOCATION OF SALARIES AND WAGES FROM A RELATED ORGANIZATION. MOST EMPLOYEES ARE PAID BY A RELATED ORGANIZATION UNDER A COMMON PAYMASTER ARRANGEMENT. AS SUCH, ALL REQUIRED PAYROLL FILING FOR THESE EMPLOYEES (INCLUDING W-2 AND W-3'S) IS REPORTED UNDER THE RELATED ORGANIZATION, MHM SUPPORT SERVICES,EIN 20-2553101. |
| FORM 990, SCHEDULE R, PART II | MERCY HOSPITALS EAST COMMUNITIES MERCY HOSPITALS EAST COMMUNITIES CONSISTS OF MERCY HOSPITALS EAST COMMUNITIES ST. LOUIS, EIN 43-0653493, AND MERCY HOSPITALS EAST COMMUNITIES WASHINGTON, EIN 43-1066883. |
| COVID-19 | Early in 2020, the Mercy Health System was called to serve as the COVID-19 pandemic swept across the world. This continues to be a difficult time for all healthcare providers. All Mercy facilities adjusted operations for the impacts of the pandemic which meant making changes to patient care areas and cancelling most of our outpatient procedures for periods of time. In addition, Mercy foundations and outreach ministries experienced limitations in fundraising for program and capital support efforts that assist the underserved in our communities. Mercy's total system revenues were reduced by over $550 million dollars during the four months ending June 30, 2020, and this figure does not include the impact of any Coronavirus Aid Relief and Economic Security Act ("CARES Act") funding. Mercy received CARES Act funding across various entities for the year ended June 30, 2020 and recognized a portion of this funding in other operating revenue. These funds helped to offset revenue losses and additional expenses incurred due to the pandemic; however, these funds fell short of the system losses experienced in these months due to the pandemic. The impact of COVID-19 was significant to our communities and coworkers as unemployment rates soared and Mercy acted quickly to provide continuous care to patients and the community. Mercy continues to monitor the impacts of the pandemic both to the health system and the communities served as we continue to provide assistance and maintain access to care within our communities. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| Mercy Clinic Adult Hospitalists - Jefferson LLC | |||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 462913068 | Managed care contracting | MO | $8,155,393 | $0 | Mercy Hospital Jefferson |
| Mercy Labs Jefferson LLC | |||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 463478362 | Laboratory Services | MO | $4,671,340 | $0 | Mercy Hospital Jefferson |
| Jefferson Regional Outpatient Facilities LLC | |||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 272196402 | outpatient facilities | MO | $4,095,251 | $99,689 | Mercy Hospital Jefferson |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (72 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Casa de Misericordia | |||||||||||
| 1000 Mier St | Laredo | TX | 78040 | 742912461 | Women's domestic violence shelter | TX | 501c3 | 7 | Mercy Ministries of Laredo | Yes (1) | |
| McAuley Portfolio Mgmt Co | |||||||||||
| 14528 S Outer Forty St 100 | Chesterfield | MO | 63017 | 261708048 | Portfolio management | MO | 501c3 | 11-II | Mercy Health | Yes (1) | |
| Mercy ACO Clinical Services Inc | |||||||||||
| 14528 S Outer Forty St 100 | Chesterfield | MO | 63017 | 464504901 | Virtual Care Center | MO | 501c3 | 3 | Mercy Health | Yes (1) | |
| Mercy Clinic East Communities | |||||||||||
| 645 Maryville Ctr Dr Ste 100 | St Louis | MO | 63141 | 431771217 | Physician Group | MO | 501c3 | 9 | Mercy Health East Communities | Yes (1) | |
| Mercy Clinic Fort Smith Comm | |||||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72917 | 261318597 | Physician Clinic | AR | 501c3 | 9 | Mercy Health Fort Smith Comm | Yes (1) | |
| Mercy Clinic Oklahoma Comm | |||||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 270473057 | Physician Group | OK | 501c3 | 3 | Mercy Health OK Communities | Yes (1) | |
| Mercy Clinic Springfield Comm | |||||||||||
| 1965 Fremont Street Suite 2950 | Springfield | MO | 65804 | 431560263 | Physician Group | MO | 501c3 | 3 | Mercy Health Springfield Comm | Yes (1) | |
| Mercy Family Center | |||||||||||
| 14528 S Outer Forty St 100 | Chesterfield | MO | 63017 | 721069468 | Family counseling services | MO | 501c3 | 7 | Mercy Health | Yes (1) | |
| Mercy Health | |||||||||||
| 14528 S Outer Forty St 100 | Chesterfield | MO | 63017 | 431423050 | Corporate Office | MO | 501c3 | 1 | 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 | Yes (1) | |
| Mercy Health Fort Smith Comm | |||||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72917 | 261318515 | Holding Company | AR | 501c3 | 11-II | Mercy Health | Yes (1) | |
| Mercy Health Foundation | |||||||||||
| 14528 S Outer Forty St 100 | Chesterfield | MO | 63017 | 200901499 | Foundation | MO | 501c3 | 11-II | Mercy Health | Yes (1) | |
| Mercy Health Foundation Ada | |||||||||||
| 430 N Monte Vista Street | Ada | OK | 74820 | 463596274 | Foundation | OK | 501c3 | 11-I | Mercy Hospital Ada | Yes (1) | |
| Mercy Health Foundation Ardmore | |||||||||||
| 1011 14th Avenue NW | Ardmore | OK | 73401 | 710962525 | Foundation | OK | 501c3 | 11-I | Mercy Hospital Ardmore | Yes (1) | |
| Mercy Health Foundation Berryville | |||||||||||
| 214 Carter Street | Berryville | AR | 72616 | 710759301 | Foundation | AR | 501c3 | 11-I | Mercy Hospital Berryville | Yes (1) | |
| Mercy Health Foundation Ft Scott | |||||||||||
| 401 Woodland Hills Blvd | Fort Scott | KS | 66701 | 481077073 | Foundation | KS | 501c3 | 11-III | Mercy Kansas Communities Inc | Yes (1) | |
| Mercy Health Foundation Fort Smith | |||||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72917 | 237330425 | Foundation | AR | 501c3 | 7 | Mercy Hospital Fort Smith | Yes (1) | |
| Mercy Health Foundation Jefferson | |||||||||||
| 1400 US Highway 61 South | Festus | MO | 63028 | 462797051 | Foundation | MO | 501c3 | 11-II | Mercy Hospital Jefferson | Yes (1) | |
| Mercy Health Foundation Joplin | |||||||||||
| 100 Mercy Way | Joplin | MO | 64804 | 270906136 | Foundation | MO | 501c3 | 11-I | Mercy Health SW MOKS Comm | Yes (1) | |
| Mercy Health Foundation Lincoln | |||||||||||
| 1000 East Cherry Street | Troy | MO | 63379 | 811477159 | Foundation | MO | 501c3 | 11-II | Mercy Health East Communities | Yes (1) | |
| Mercy Health Foundation NW Ark | |||||||||||
| 2710 Rife Medical Ln | Rogers | AR | 72858 | 710601687 | Foundation | AR | 501c3 | 11-III | Mercy Hospital Rogers | Yes (1) | |
| Mercy Health Foundation of OK | |||||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 454732301 | Foundation | OK | 501c3 | 11-I | Mercy Health OK Communities | Yes (1) | |
| Mercy Health Foundation OK City | |||||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 463184231 | Foundation | OK | 501c3 | 11-I | Mercy Health OK Communities | Yes (1) | |
| Mercy Health Foundation Springfield | |||||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 320195818 | Foundation | MO | 501c3 | 11-II | Mercy Health Springfield Comm | Yes (1) | |
| Mercy Health Foundation St Francis | |||||||||||
| 100 W Highway 60 | Mountain View | MO | 65548 | 431873914 | Foundation | MO | 501c3 | 11-I | Mercy St Francis Hospital | Yes (1) | |
| Mercy Health Foundation STL | |||||||||||
| 615 South New Ballas Road | St Louis | MO | 63141 | 562410020 | Foundation | MO | 501c3 | 11-II | Mercy Health East Communities | Yes (1) | |
| Mercy Health Foundation Washington | |||||||||||
| 901 E Fifth Street | Washington | MO | 63090 | 562410022 | Foundation | MO | 501c3 | 11-II | Mercy Health East Communities | Yes (1) | |
| Mercy Health NW Ark Communities | |||||||||||
| 2710 Rife Medical Ln | Rogers | AR | 72758 | 621684203 | Physician Group | AR | 501c3 | 11-II | Mercy Health | Yes (1) | |
| Mercy Health OK Communities | |||||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 731453048 | Health System | OK | 501c3 | 11-II | Mercy Health | Yes (1) | |
| Mercy Health Plans of MissouriInc | |||||||||||
| 3265 S National Avenue | Springfield | MO | 65807 | 320481419 | HMO | MO | 501c4 | Mercy Health | Yes (1) | ||
| Mercy Health PlansInc | |||||||||||
| 3265 S National Avenue | Springfield | MO | 65807 | 320486150 | PPO | MO | 501c4 | Mercy Health Plans of MissouriInc | Yes (1) | ||
| Mercy Health SW MOKS Comm | |||||||||||
| 100 Mercy Way | Joplin | MO | 64804 | 300584463 | Health System | MO | 501c3 | 11-II | Mercy Health | Yes (1) | |
| Mercy Health Springfield Comm | |||||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 431856028 | Health System | MO | 501c3 | 11-II | Mercy Health | Yes (1) | |
| Mercy Home Health Berryville | |||||||||||
| 804 W Freeman Suite 4 | Berryville | AR | 72616 | 870781247 | Home Health and Hospice operations | AR | 501c3 | 11-III | Mercy Hospital Springfield | Yes (1) | |
| Mercy Hospital Ada Inc | |||||||||||
| 430 N Monte Vista Street | Ada | OK | 74820 | 462288155 | Hospital | OK | 501c3 | 3 | Mercy Health OK Communities | Yes (1) | |
| Mercy Hospital Ardmore | |||||||||||
| 1011 14th Avenue NW | Ardmore | OK | 73401 | 731500629 | Hospital | OK | 501c3 | 3 | Mercy Health OK Communities | Yes (1) | |
| Mercy Hospital Aurora | |||||||||||
| 500 Porter Avenue | Aurora | MO | 65605 | 431936696 | Hospital | MO | 501c3 | 3 | Mercy Health Springfield Comm | Yes (1) | |
| Mercy Hospital Berryville | |||||||||||
| 214 Carter Street | Berryville | AR | 72616 | 710759299 | Hospital | AR | 501c3 | 3 | Mercy Health Springfield Comm | Yes (1) | |
| Mercy Hospital Booneville | |||||||||||
| 880 West Main Street | Booneville | AR | 72927 | 463851119 | Hospital | AR | 501c3 | 3 | Mercy Hospital Fort Smith | Yes (1) | |
| Mercy Hospital Carthage | |||||||||||
| 3125 Dr Russell Smith Way | Carthage | MO | 64836 | 453808607 | Hospital | MO | 501c3 | 3 | Mercy Health SW MOKS Comm | Yes (1) | |
| Mercy Hospital Cassville | |||||||||||
| 94 Main Street | Cassville | MO | 65625 | 431936699 | Hospital | MO | 501c3 | 3 | Mercy Health Springfield Comm | Yes (1) | |
| Mercy Hospital Columbus | |||||||||||
| 220 Pennsylvania Avenue | Columbus | KS | 66725 | 270842031 | Hospital | MO | 501c3 | 3 | Mercy Health SW MOKS Comm | Yes (1) | |
| Mercy Hospital El Reno | |||||||||||
| 2115 Parkview Drive | El Reno | OK | 73036 | 272716065 | Hospital - Inactive | OK | 501c3 | 3 | Mercy Hospital Oklahoma City | Yes (1) | |
| Mercy Hospital Fort Smith | |||||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72917 | 710240352 | Hospital | AR | 501c3 | 3 | Mercy Health Fort Smith Comm | Yes (1) | |
| Mercy Hospital Healdton Inc | |||||||||||
| 3462 Hospital Rd | Healdton | OK | 73438 | 263173902 | Hospital | OK | 501c3 | 3 | Mercy Hospital Ardmore Inc | Yes (1) | |
| Mercy Hospital Joplin | |||||||||||
| 100 Mercy Way | Joplin | MO | 64804 | 270814858 | Hospital | MO | 501c3 | 3 | Mercy Health SW MOKS Comm | Yes (1) | |
| Mercy Hospital Kingfisher Inc | |||||||||||
| 1000 Hospital Circle | Kingfisher | OK | 73750 | 463433074 | Hospital | OK | 501c3 | 3 | Mercy Hospital Oklahoma City | Yes (1) | |
| Mercy Hospital Lebanon | |||||||||||
| 100 Hospital Drive | Lebanon | MO | 65536 | 431767432 | Hospital | MO | 501c3 | 3 | Mercy Health Springfield Comm | Yes (1) | |
| Mercy Hospital Lincoln | |||||||||||
| 1000 East Cherry Street | Troy | MO | 63379 | 472219204 | Hospital | MO | 501c3 | 3 | Mercy Health East Communities | Yes (1) | |
| Mercy Hospital Logan County Inc | |||||||||||
| 200 South Academy | Guthrie | OK | 73044 | 452998842 | Hospital | OK | 501c3 | 3 | Mercy Hospital Oklahoma City | Yes (1) | |
| Mercy Hospital Oklahoma City | |||||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 730579285 | Hospital | OK | 501c3 | 3 | Mercy Health OK Communities | Yes (1) | |
| Mercy Hospital Ozark | |||||||||||
| 801 W River Street | Ozark | AR | 72949 | 710689680 | Hospital | AR | 501c3 | 3 | Mercy Hospital Fort Smith | Yes (1) | |
| Mercy Hospital Paris | |||||||||||
| 500 E Academy | Paris | AR | 72855 | 710655753 | Hospital | AR | 501c3 | 3 | Mercy Hospital Fort Smith | Yes (1) | |
| Mercy Hospital Rogers | |||||||||||
| 2710 Rife Medical Ln | Rogers | AR | 72758 | 710294390 | Hospital | AR | 501c3 | 3 | Mercy Health NW Ark Communities | Yes (1) | |
| Mercy Hospital Springfield | |||||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 440552485 | Hospital | MO | 501c3 | 3 | Mercy Health Springfield Comm | Yes (1) | |
| Mercy Hospital Tishomingo | |||||||||||
| 1000 South Byrd | Tishomingo | OK | 73460 | 274433830 | Hospital | OK | 501c3 | 3 | Mercy Hospital Ada | Yes (1) | |
| Mercy Hospital Waldron | |||||||||||
| 1341 W 6th Street | Waldron | AR | 72958 | 710557895 | Hospital | AR | 501c3 | 3 | Mercy Hospital Fort Smith | Yes (1) | |
| Mercy Hospital Watonga Inc | |||||||||||
| 500 Clarence Nash Blvd | Watonga | OK | 73772 | 455199762 | Hospital | OK | 501c3 | 3 | Mercy Hospital Oklahoma City | Yes (1) | |
| Mercy Hospitals East Comm | |||||||||||
| 645 Maryville Ctr Dr Ste 100 | St Louis | MO | 63141 | 430653493 | Hospital | MO | 501c3 | 3 | Mercy Health East Communities | Yes (1) | |
| Mercy Kansas Communities Inc | |||||||||||
| 401 Woodland Hills Blvd | Ft Scott | KS | 66701 | 480956045 | Hospital | KS | 501c3 | 3 | Mercy Health SW MOKS Comm | Yes (1) | |
| Mercy Ministries of Laredo | |||||||||||
| 2500 Zacatecas | Laredo | TX | 78043 | 200198462 | Outreach | TX | 501c3 | 7 | Mercy Health | Yes (1) | |
| Mercy Research | |||||||||||
| 524 North Booneville Avenue | Springfield | MO | 65802 | 870796305 | Research | MO | 501c3 | 4 | Mercy Health | Yes (1) | |
| Mercy St Francis Hospital | |||||||||||
| 100 W Highway 60 | Mountain View | MO | 65548 | 440607149 | Hospital | MO | 501c3 | 3 | Mercy Health Springfield Comm | Yes (1) | |
| MHM Support Services | |||||||||||
| 14528 S Outer Forty St 100 | Chesterfield | MO | 63017 | 202553101 | Centralized Health System Functions | MO | 501c3 | 11-II | Mercy Health | Yes (1) | |
| Mission Clinical Services | |||||||||||
| 300 Werner Street | Hot Springs | AR | 71913 | 134239691 | Child Advocacy Center | AR | 501c3 | 9 | Mercy Health | Yes (1) | |
| St Anthony's Charitable Foundation | |||||||||||
| 10010 Kennerly Road | St Louis | MO | 63128 | 261516789 | Foundation | MO | 501c3 | 11-II | Mercy Hospital South | Yes (1) | |
| Mercy Hospital South | |||||||||||
| 10010 Kennerly Road | St Louis | MO | 63128 | 430980256 | Hospital | MO | 501c3 | 3 | Mercy Health East Communities | Yes (1) | |
| St Anthony's Physician Organization | |||||||||||
| 10010 Kennerly Road | St Louis | MO | 63128 | 431784536 | Health care | MO | 501c3 | 3 | Mercy Hospital South | Yes (1) | |
| St Marys Hosp Enid Ok | |||||||||||
| 14528 S Outer Forty St 100 | Chesterfield | MO | 63017 | 730614655 | Inactive | OK | 501c3 | 3 | Mercy Health OK Communities | Yes (1) | |
| Unity Ambulatory Care | |||||||||||
| 14528 S Outer Forty St 100 | Chesterfield | MO | 63017 | 431861745 | Inactive | MO | 501c3 | 11-III | Mercy Health East Communities | Yes (1) | |
| Mercy Health Foundation Lebanon | |||||||||||
| 100 Hospital Drive | Lebanon | MO | 65536 | 822514567 | Foundation | MO | 501c3 | 11-II | Mercy Hospital Lebanon | Yes (1) | |
| Mercy Specialty Hospital Southeast Kansas | |||||||||||
| 14528 S Outer Forty St 100 | Chesterfield | MO | 63017 | 843730625 | Hospital | KS | 501c3 | 3 | Mercy Health SW MOKS Comm | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Plaza Surgery Services Company LLC | ||||||||||
| 12700 Southfork Road | St Louis | MO | 63128 | 204709312 | INactive | NM | MERCY HOSPITAL SOUTH | N/A | 0 | 0 |
| Resource Optimiz & InnovLLC | ||||||||||
| 645 Maryville Ctr DrSte 200 | St Louis | MO | 63141 | 460468368 | Central Distribution Center | MO | MERCY MANAGED CARE CORPMERCY HEALTH | N/A | 0 | 0 |
| Mercy Ambulatory Surgery Center LLC | ||||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72917 | 710827721 | Ambulatory Surgery Center | AR | Mercy Hospital Fort Smith | N/A | 0 | 0 |
| Fort Smith Emergency Medical Services | ||||||||||
| 1701 South Greenwood | Fort Smith | AR | 72901 | 710416615 | Emergency Medical Services | AR | Mercy Hospital Fort Smith | N/A | 0 | 0 |
| St Edward Mercy Med Ctr M-P Off Bldg | ||||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72903 | 710554050 | Office building | AR | Mercy Hospital Fort Smith | N/A | 0 | 0 |
| Platinum CPS Holdings LLC | ||||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 842493007 | Holding Company | MO | MERCY MANAGED CARE CORPMERCY HEALTH | n/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Frontenac Properties Inc | ||||||||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 521914421 | Holds ancillary assets & owns aircraft | DE | MERCY HEALTH | C | 0 | |||||
| Inveno Health Inc | ||||||||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 264509571 | Technology transfer company | MO | MERCY HEALTH SPRINGFIELD COMM | C | 0 | |||||
| Unity Support Services Inc | ||||||||||||||
| 645 Maryville Centre Drive Suite 10 | St Louis | MO | 63141 | 431797042 | Inactive | MO | MERCY HEALTH EAST COMMUNITIES | C | 0 | |||||
| UH L Corp Inc | ||||||||||||||
| 645 Maryville Centre Drive Suite 10 | St Louis | MO | 63141 | 742499535 | Holding company | MO | MERCY HEALTH SERVICES LLC | C | 0 | |||||
| MHN of the Southern Region Inc | ||||||||||||||
| 1011 14th Avenue NW | Ardmore | OK | 73401 | 731580607 | holding company;DISSOLVED 10/15/18 | OK | MERCY MANAGED CARE CORP | C | 0 | |||||
| Mercy Health Center Condominium Inc | ||||||||||||||
| 4300 W Memorial Rd | Oklahoma City | OK | 73120 | 680640970 | Administrator of certain real property and improvements | OK | MERCY HOSPITAL OKLAHOMA CITYINC | C | 0 | |||||
| Mercy Managed Care Corporation | ||||||||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 731441665 | Holding company | OK | MERCY HEALTH | C | 0 | |||||
| Mercy Health Network Inc | ||||||||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 731381689 | holding company;DISSOLVED 10/15/18 | OK | MERCY MANAGED CARE CORP | C | 0 | |||||
| Mercy Commercial Services Inc | ||||||||||||||
| 14528 South Outer Forty Suite 100 | Chesterfield | MO | 63017 | 464953543 | Corp Parent of VCC taxable commercializ svcs | OK | MHN Inc and MHNSR INC | C | 0 | |||||
| ST ANTHONYS PHYSICIAN ORGANIZATION OF ILLINOIS | ||||||||||||||
| 10010 Kennerly Road | St Louis | MO | 63128 | 320457168 | Health Care | MO | MERCY HOSPITAL SOUTH | C | 0 | |||||
| McAuley Insurance Company Ltd | ||||||||||||||
| Inactive | Mercy Health | C | 0 | Aon House 30 Woodbourne Avenue | Pembroke | BD | HM 08 | BD | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (23 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Mercy Health Foundation Jefferson | ||
| B | $28,900 | FMV |
| Mercy Health Foundation Jefferson | ||
| C | $148,738 | FMV |
| Mercy ACO Clinical Services | ||
| Q | $3,582,372 | FMV |
| Mercy Clinic East Communities | ||
| Q | $955 | FMV |
| Mercy Health East Communities | ||
| Q | $20,185,288 | FMV |
| Mercy Health Foundation Jefferson | ||
| Q | $28,942 | FMV |
| Mercy Health NW Arkansas Communities | ||
| P | $27 | FMV |
| Mercy Health Oklahoma Communities | ||
| Q | $71 | FMV |
| Mercy Health Springfield Communities | ||
| Q | $1,526 | FMV |
| Mercy Hospital Ardmore | ||
| P | $1,521 | FMV |
| Mercy Hospital Aurora | ||
| P | $625 | FMV |
| Mercy Hospital Berryville | ||
| P | $24,795 | FMV |
| Mercy Hospital Cassville | ||
| P | $116 | FMV |
| Mercy Hospital Fort Smith | ||
| Q | $10,829 | FMV |
| Mercy Hospital Joplin | ||
| P | $187 | FMV |
| Mercy Hospital Kingfisher Inc | ||
| P | $89 | FMV |
| Mercy Hospital Lebanon | ||
| Q | $241 | FMV |
| Mercy Hospital Oklahoma City | ||
| P | $2,530 | FMV |
| Mercy Hospital Rogers | ||
| P | $16,713 | FMV |
| Mercy Hospital South | ||
| Q | $753 | FMV |
| Mercy Hospital Springfield | ||
| Q | $107 | FMV |
| Mercy Hospitals East Communities | ||
| P | $320,912 | FMV |
| MHM Support Services | ||
| Q | $28,532,084 | FMV |
Comments