2021-05-14T12:58:16-05:00 2020-06-30 264532849 PURK & ASSOCIATES PC 1034 SOUTH BRENTWOOD BLVD STE 2000 SAINT LOUIS MO 63117 990 2019-07-01 430980256 MERCY HOSPITAL SOUTH MERC 3145251100 10010 KENNERLY ROAD ST LOUIS MO 63128 DANIEL ECKENFELS VP FINANCE 3145251000 2021-05-12 1 DOUGLAS G PLEUS CPA P00013488 3148844000 2021-05-11 2019 2022-09-23 18:48:47Z SEAN HOGAN 10010 KENNERLY ROAD ST LOUIS MO 63128 510156181 0 0928 X WWW.MERCY.NET X 1971 MO MERCY HOSPITAL SOUTH IS A HOSPITAL LOCATED IN THE SOUTHERN PART OF ST. LOUIS COUNTY IN THE ST. LOUIS MO METROPOLITAN AREA. 17 14 0 253 0 0 1344400 1457594 512360169 500345307 382455 505286 3529614 3785941 517616638 506094128 384165 418132 0 0 262022550 243094068 0 0 0 243090920 279539952 505497635 523052152 12119003 -16958024 426632976 423178463 40025151 19082315 386607825 404096148 X AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. 0 0 456416298 418132 501735631 SEE SCHEDULE H FOR COMMUNITY BENEFIT REPORTING.MERCY HOSPITAL SOUTH (MHS) CONSISTS OF A 767-BED LICENSED FACILITY WHICH PROVIDES A WIDE RANGE OF SERVICES. IN FISCAL YEAR 2020, THE FOLLOWING SERVICES WERE PROVIDED 130,244 PATIENT DAYS, 780 DELIVERIES, 61,098 EMERGENCY VISITS, 5,519 INPATIENT SURGERIES, AND 6,766 OUTPATIENT SURGERY PROCEDURES, AND 303,318 OUTPATIENT VISITS. MHS IS A CATHOLIC HEALTH CARE CORPORATION THAT, PURSUANT TO THE ORGANIZATIONAL CORE BELIEF THAT HEALTH CARE SERVICES ARE A VITAL AND INTEGRAL PART OF THE CHURCH'S HEALING MISSION, ENGAGES IN A MINISTRY WHICH PROVIDES GENERAL ACUTE CARE, AMBULATORY, LONG-TERM AND HOME CARE HEALTH SERVICES TO INDIVIDUALS AND FAMILIES IN ITS SERVICE COMMUNITIES. CONSISTENT WITH THE ORGANIZATION'S COMMITMENT TO SOCIAL ACCOUNTABILITY AND THE PROVISION OF COMMUNITY BENEFIT, MHS OFFERS OTHER SERVICES AND PROGRAMS WHICH FURTHER HEALTH PROMOTION, MAINTENANCE AND CARE. MHS 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 MHS 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 MHS OF PROVIDING CARE TO PERSONS QUALIFYING FOR CHARITY/ MEDICAID TOTALED $24,761,394. ADDITIONALLY, THE NEW COST FOR SERVICES PROVIDED TO ELDERLY AND DISABLED PATIENTS UNDER THE MEDICARE PROGRAM TOTALED $15,023,812 FOR 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. 456416298 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 29 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 17 14 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 X DANIEL ECKENFELS 3145251000 10010 KENNERLY ROAD ST LOUIS MO 63128 X MCCURRY MIKE EXEC VP/COO & BOARD MEMBER 1.00 59.00 X 0 1927224 56476 SORENSEN DONN EXEC VP-OPS & BOARD MEMBER 5.00 55.00 X 0 1655506 133861 EVANS RSM SR GAYLE BOARD MEMBER 1.00 1.00 X 0 0 0 GRANT SR BARBARA BOARD MEMBER 1.00 0.00 X 0 0 0 HASTIE STACY BOARD MEMBER 1.00 0.00 X 0 0 0 MERLOTTI MARK BOARD MEMBER 1.00 0.00 X 0 0 0 MOORE ELAINE BOARD MEMBER 1.00 0.00 X 0 0 0 NISCHBACK MICHELLE BOARD MEMBER 1.00 0.00 X 0 0 0 NOVELLY PAUL BOARD MEMBER 1.00 0.00 X 0 0 0 SOWA PHILLIP BOARD MEMBER 1.00 0.00 X 0 0 0 WEIBLE DOUGLAS BOARD MEMBER 1.00 0.00 X 0 0 0 REED III WINTHROP B BOARD MEMBER & 1ST CHAIRMAN 1.00 1.00 X 0 0 0 MAYHALL RICHARD A BOARD MEMBER & 1ST VICE CHAIR 1.00 0.00 X 0 0 0 POWERS JAMES G BOARD MEMBER & 2ND VICE CHAIR 1.00 0.00 X 0 0 0 BIPPEN DANIEL BOARD MEMBER & SECRETARY 1.00 0.00 X 0 0 0 VOLLMAR MARTIN BOARD MEMBER PRES OF MED STAFF 6.00 0.00 X 50000 1343 0 GRAHAM MARY BOARD MEMBER 1.00 0.00 X 0 0 0 MATEJKA CHERYL L CHIEF FINANCIAL OFFICER 5.00 55.00 X 0 731608 95846 HOGAN SEAN JOSEPH PRESIDENT 50.00 10.00 X 0 678609 75126 HOEFER BILL COO 60.00 0.00 X 0 549139 66900 JOHNSTON JEFFREY A PRESIDENT MERCY HEALTH EAST COMM 5.00 55.00 X 0 1272483 133378 REHM MD CHARLES CHIEF ADMINISTRATIVE OFFICER 10.00 50.00 X 0 1128451 46358 FRAZIER DONNA M CHIEF NURSING OFFICER 60.00 0.00 X 0 774485 37405 TRULOVE RON CHIEF REVENUE OFFICER 5.00 55.00 X 0 664570 40395 ECKENFELS DANIEL VP FINANCE 25.00 35.00 X 0 289079 28284 HOLTER DENNIS VP BUSINESS DEVELOPMENT 60.00 0.00 X 0 282020 8045 MONTEZ KADI VP OF IT 60.00 0.00 X 0 243061 5567 ELLIS CAROL VP NURSING 60.00 0.00 X 0 238258 5540 MRAD RICHARD HOSPITALIST 60.00 0.00 X 0 270140 11815 EDELSTEIN THOMAS VP MISSION 60.00 0.00 X 0 219366 51264 KRAFCIK JAMES PHYSICIAN 60.00 0.00 X 0 219143 25405 MONROE JAMES PHYSICIST 60.00 0.00 X 0 210631 10233 CLAYTON AGNES REGISTERED NURSE 60.00 0.00 X 0 204867 9273 SWAMINATHAN RAJESH FORMER OFFICER 60.00 0.00 X 0 319308 0 50000 11879291 841171 217 1 1 0 MUSICK CONSTRUCTION CO 254 HANLEY INDUSTRIAL CT ST LOUIS MO 63144 CONSTRUCTION 16636795 SOUTH COUNTY ANESTHESIA ASSOC PO BOX 22407 ST LOUIS MO 63126 ANESTHESIA SERVICES 4623848 AMN HEALTHCARE 12400 HIGH BLUFF DR SAN DIEGO CA 92130 CONTRACTED STAFF 3073649 ACCURAY 1310 CHESAPEAKE TERR SUNNYVALE CA 94089 RADIOTHERAPY SERVICES 2166000 TOTAL RENAL CARE PO BOX 781607 PHILADELPHIA PA 19178 DIALYSIS SERVICES 1795778 97 1434421 23173 1457594 PATIENT SERVICE REVENUE 621110 480199189 480199189 OTHER OPERATING REVENUE 621110 11571537 11571537 RENTAL FROM AFFILIATE 531120 8574526 8574526 CAPITATION BONUS 621110 55 55 500345307 500436 500436 3937438 4062053 -124615 -124615 -124615 4850 0 4850 4850 4850 CAFE & VENDING 721000 2520232 2520232 LTACH REVENUE 621110 287311 287311 1103013 1103013 3910556 506094128 501735631 0 2900903 418132 418132 201810997 194419654 7391343 4298115 4140696 157419 24137335 23253303 884032 12847621 12377076 470545 58654 58654 18183536 17602171 581365 8656 1766 6890 7884484 7152319 732165 128683 128683 14971670 14548801 422869 242448 227710 14738 20878914 15696438 5182476 2638524 2638524 DRUGS & MEDICAL EXPENSE 92471368 92357575 113793 SHARED SERVICE FEE 64587379 28418447 36168932 BAD DEBT EXPENSE 30372125 30372125 REPAIR & MAINTENANCE 3779312 3620817 158495 23334199 9042061 14292138 523052152 456416298 66635854 0 14865164 12619443 47995644 41451163 7043872 5613660 1011519 494052 375999678 108092295 248891559 267907383 67 204 106825151 95092558 426632976 423178463 24738683 16710138 114500 356582 15171968 2015595 40025151 19082315 X 385504310 403334552 1103515 761596 386607825 404096148 426632976 423178463 X -16958024 -1267 34447614 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 58654 0 0 0 58654 0 PART II-B, LINE 1: THE FILING ORGANIZATION IS A MEMBER OF AND PAYS DUES TO THE FOLLOWING HOSPITAL ASSOCIATIONS: AMERICAN HOSPITAL ASSOCIATION, CATHOLIC HEALTH ASSOCIATION, AND THE MISSOURI HOSPITAL ASSOCIATION. FOR THE YEAR ENDED JUNE 30, 2020, DUES WERE $44,858, $69,918, AND $88,759, RESPECTIVELY. APPROXIMATELY 23.32% OF THE AMERICAN HOSPITAL ASSOCIATION DUES, 3.55% OF THE CATHOLIC HEALTH ASSOCIATION, AND 51.50% OF MISSOURI HOSPITAL ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED BY THIS ASSOCIATION. 17336939 17336939 186302082 28074606 158227476 349647 80079 269568 171122806 79503933 91618873 888204 433677 454527 267907383 OTHER ASSETS 2137988 DUE FROM TAX EXEMPT AFFILIATES 92954570 95092558 OTHER LIABILITIES 1615215 WORKERS COMPENSATION 317756 LONG TERM DISABILITY RESERVES 82624 2015595 PART X, LINE 2 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. 1 1 X 1 X 1 X 1 1 1 0 1 1 18260534 18260534 0.03710 38374707 31873847 6500860 0.01320 56635241 31873847 24761394 0.05030 16 8483 286761 17351 269410 0.00050 3 42 172079 172079 0.00030 1 13506025 12271401 1234624 0.00250 20 8525 13964865 12288752 1676113 0.00330 20 8525 70600106 44162599 26437507 0.05360 113 3697 3697 0.00000 58 6051 6051 0.00000 126 107589 557 107032 0.00020 297 117337 557 116780 0.00020 1 8361237 0 121160317 136184129 -15023812 X 1 1 1 1 MERCY HOSPITAL SOUTH 10010 KENNERLY ROAD ST LOUIS MO 63128 WWW.MERCY.NET/PRACTICE/MERCY-HOSPITAL- 273-39 X X X MERCY HOSPITAL SOUTH 1 0 0 1 X X X X X X X X X 19 1 1 1 1 X HTTPS://WWW.MERCY.NET/COMMUNITY-BENEFITS/ X 1 19 1 HTTPS://WWW.MERCY.NET/COMMUNITY-BENEFITS/ 0 1 X 200.000000000000 300.000000000000 X 1 1 X X X 1 X HTTPS://WWW.MERCY.NET/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.MERCY.NET/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.MERCY.NET/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/ X X X X X X 1 X 0 X X X X X 1 X 0 0 MERCY HOSPITAL SOUTH 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 SOUTH PART V, SECTION B, LINE 5: BEGINNING IN EARLY 2017, MERCY HOSPITAL SOUTH (FORMERLY ST. ANTHONY'S) AND MERCY HOSPITAL ST. LOUIS JOINED THE ST. LOUIS PARTNERSHIP FOR A HEALTHY COMMUNITY (STLPHC) WHICH IS COMPRISED OF A BROAD RANGE OF STAKEHOLDERS FROM WITHIN THE PUBLIC HEALTH SYSTEM AND INDIVIDUAL ADVOCATES WHO SUBSCRIBE TO A COMPREHENSIVE DEFINITION OF HEALTH. THE MEMBERSHIP OF STLPHC IS INTENDED TO REPRESENT THE WIDE RANGE OF ENTITIES THAT IMPACT HEALTH IN THE ST. LOUIS REGION: IT INCLUDES BOTH THE CITY OF ST. LOUIS DEPARTMENT OF HEALTH AND THE ST. LOUIS COUNTY DEPARTMENT OF HEALTH, AREA HOSPITAL SYSTEMS, GOVERNMENT AGENCIES/DEPARTMENTS, COORDINATED CARE ORGANIZATIONS, COMMUNITY-BASED ORGANIZATIONS, ACADEMIC INSTITUTIONS, AND BUSINESS PARTNERS IN THE CITY OF ST. LOUIS AND ST. LOUIS COUNTY.THE WORK OF THIS PARTNERSHIP RESULTED IN THE ST. LOUIS REGION COMMUNITY HEALTH ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN COMPLETED IN AUGUST OF 2018. PARTNERING ON A NEEDS ASSESSMENT AND JOINING THE MEMBERSHIP GAVE MERCY A CHANCE TO ALIGN EFFORTS WITH COMMUNITY PARTNERS WITH THE GOAL TO ELIMINATE DUPLICATION, PRIORITIZE NEEDS AND ENABLE COLLABORATIVE EFFORTS. THE RESULTING NEEDS ASSESSMENT WAS THE MAIN FOCUS OF ESTABLISHING PRIORITIES SET BY MERCY HOSPITAL SOUTH AND ITS GOVERNING COMMUNITY HEALTH COUNCIL. IN ADDITION, MERCY HOSPITAL SOUTH COLLABORATED WITH BARNES-JEWISH WEST COUNTY HOSPITAL (BJWCH), MISSOURI BAPTIST MEDICAL CENTER (MBMC), ST. LUKE'S HOSPITAL (SLH), ST. LUKE'S DES PERES HOSPITAL (SLDPH), MERCY HOSPITAL ST. LOUIS (MHSL) AND THE ST. LOUIS COUNTY DEPARTMENT OF HEALTH (STLDOH) ON A KEY STAKEHOLDER ANALYSIS WITH COMMUNITY LEADERS IN THE SUMMER OF 2018. THE ST. LOUIS REGIONAL COMMUNITY HEALTH ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN, ALONG WITH THE KEY STAKEHOLDER ANALYSIS DONE WITH HOSPITAL PARTNERS HELPED TO IDENTIFY AND PRIORITIZE HEALTH PROBLEMS AND RISK FACTORS IN THE MERCY HOSPITAL SOUTH SERVICE AREA. MERCY HOSPITAL SOUTH PART V, SECTION B, LINE 6A: VARIOUS COMMUNITY ORGANIZATIONS COLLABORATE WITH MERCY HOSPITAL SOUTH TO IMPROVE COMMUNITY HEALTH, EXPAND ACCESS TO HEALTH CARE OR IN OTHER WAYS BENEFIT THE COMMUNITY. MERCY HOSPITAL SOUTH WORKS IN COLLABORATION WITH THE FOLLOWING GROUPS: ST. LOUIS COUNTY DEPARTMENT OF HEALTH, LOCAL SCHOOL DISTRICTS SUCH AS AFFTON, KIRKWOOD, LINDBERGH, MEHLVILLE AND HANCOCK, BARNES JEWISH WEST COUNTY HOSPITAL, MISSOURI BAPTIST MEDICAL CENTER, ST. LUKE'S HOSPITAL, MERCY HOSPITAL ST. LOUIS, HOSPICE AGENCIES, ST. LOUIS ASSOCIATION OF DIABETES EDUCATORS, LOCAL COLLEGE AND UNIVERSITIES, AMERICAN HEART ASSOCIATION, UNITED WAY, AMERICAN CANCER SOCIETY, AMERICAN LUNG ASSOCIATION, YMCA OF ST. LOUIS, BEHAVIORAL HEALTH SUPPORT GROUPS, CHAMBER OF COMMERCE ORGANIZATIONS AND MANY OTHERS. MERCY HOSPITAL SOUTH PART V, SECTION B, LINE 6B: VARIOUS COMMUNITY ORGANIZATIONS COLLABORATE WITH MERCY HOSPITAL SOUTH TO IMPROVE COMMUNITY HEALTH, EXPAND ACCESS TO HEALTH CARE OR IN OTHER WAYS BENEFIT THE COMMUNITY. MERCY HOSPITAL SOUTH WORKS IN COLLABORATION WITH THE FOLLOWING GROUPS: ST. LOUIS COUNTY DEPARTMENT OF HEALTH, LOCAL SCHOOL DISTRICTS SUCH AS AFFTON, KIRKWOOD, LINDBERGH, MEHLVILLE AND HANCOCK, BARNES JEWISH WEST COUNTY HOSPITAL, MISSOURI BAPTIST MEDICAL CENTER, ST. LUKE'S HOSPITAL, MERCY HOSPITAL ST. LOUIS, HOSPICE AGENCIES, ST. LOUIS ASSOCIATION OF DIABETES EDUCATORS, LOCAL COLLEGE AND UNIVERSITIES, AMERICAN HEART ASSOCIATION, UNITED WAY, AMERICAN CANCER SOCIETY, AMERICAN LUNG ASSOCIATION, YMCA OF ST. LOUIS, BEHAVIORAL HEALTH SUPPORT GROUPS, CHAMBER OF COMMERCE ORGANIZATIONS AND MANY OTHERS. MERCY HOSPITAL SOUTH PART V, SECTION B, LINE 11: THE MERCY HOSPITAL SOUTH COMMUNITY HEALTH COUNCIL, LED BY COMMUNITY HEALTH AND ACCESS MANAGER LAURA BUB, MPH, ESTABLISHED THE HEALTH PRIORITIES. HEALTH PRIORITIES WERE DETERMINED BY REVIEWING RESULTS FROM THE STLPHC COMMUNITY HEALTH ASSESSMENT, THE KEY STAKEHOLDER ASSESSMENT AND DATA PERTAINING TO OUR DEFINED COMMUNITY- SOUTH COUNTY, THE PORTION OF ST. LOUIS COUNTY THAT IMMEDIATELY SURROUNDS MERCY HOSPITAL SOUTH. USING THESE SOURCES, MEMBERS IDENTIFIED NEEDS BASED ON THE FOLLOWING CRITERIA: THE SEVERITY OF THE NEED, RESOURCES CURRENTLY AVAILABLE OR UNAVAILABLE IN THE COMMUNITY TO ADDRESS THE NEED, AND THE ABILITY TO MAKE LONG-TERM IMPACT ON THE HEALTH OF OUR COMMUNITY. IT IS NOT SURPRISING THAT IN OUR RESEARCH, THE MAJORITY OF COMMUNITY CONCERNS CLOSELY MIRRORED THE NEEDS THAT WE IDENTIFIED IN OUR 2016 NEEDS ASSESSMENT. WHILE GROUNDWORK HAS BEEN LAID TO ADDRESS THESE CONCERNS, FURTHER WORK ON THESE INITIATIVES WAS NEEDED. THE FOLLOWING WERE CHOSEN AS MERCY HOSPITAL SOUTH'S THREE MAIN PRIORITIES IN IMPROVING THE HEALTH OF OUR COMMUNITY FOR 2019-2022. THESE PRIORITIES ARE WHAT GUIDED OUR SUBSEQUENT IMPLEMENTATION PLAN. THROUGH THE ESTABLISHED PRIORITIES, MERCY HOSPITAL SOUTH HAS BEEN SEEKING TO INCREASE ACCESS AND IMPROVE HEALTH STATUS, ESPECIALLY FOR THE MOST VULNERABLE AND UNSERVED INDIVIDUALS IN OUR COMMUNITY. UNDER EACH PRIORITY ARE PROGRAMS THAT ARE ASSOCIATED WITH ADDRESSED THAT AREA OF FOCUS:MERCY HOSPITAL SOUTH'S CHIP FOCUSES ON THREE AREAS:ACCESS TO CAREPROGRAMS:- COMMUNITY HEALTH WORKER (CHW) INITIATIVE- COMMUNITY REFERRAL COORDINATOR (CRC) PROGRAM- CRISIS NURSERY OUTREACH CENTER PARTNERSHIP- HANCOCK CLINIC- HEALTH LEADSPARTNERS:-SAINT LOUIS INTEGRATED HEALTH NETWORK (IHN)-SAINT LOUIS CRISIS NURSERY-IFM COMMUNITY MEDICINE-HANCOCK SCHOOL DISTRICT-HEALTH LEADSBEHAVIORAL HEALTH/SUBSTANCE ABUSEPROGRAMS:- EMERGENCY ROOM ENHANCEMENT (ERE)- HOSPITAL COMMUNITY LINKAGES (HCL)- ENGAGING PATIENTS IN CARE COORDINATION (EPICC)- BEHAVIORAL HEALTH SERVICES INVENTORY/ASSESSMENT/PILOTPARTNERS:- BEHAVIORAL HEALTH NETWORK OF GREATER ST LOUIS (BHN)- NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI)CHRONIC DISEASE PREVENTION & MANAGEMENT (DIABETES FOCUS)PROGRAMS:- HOSPITAL DIABETES COLLABORATIVE PROGRAM- COMMUNITY DIABETES PROGRAMMINGPARTNERS:- BARNES- JEWISH WEST COUNTY HOSPITAL- MISSOURI BAPTIST MEDICAL CENTER- CHRISTIAN HOSPITAL- ST LUKES DES PERES HOSPITAL- ST LUKES HOSPITALIN ANY CASE OF PRIORITIZATION, THERE WILL BE SOME AREAS OF NEEDS THAT ARE IDENTIFIED THAT ARE NOT CHOSEN AS A PRIORITY. BECAUSE MERCY HOSPITAL SOUTH HAS LIMITED RESOURCES, NOT EVERY COMMUNITY NEED WILL BE ADDRESSED. THROUGHOUT THE CHNA PROCESS, THE FOLLOWING NEEDS AROSE AS A COMMUNITY CONCERN. HOWEVER, THEY WILL NOT BE ADDRESSED AT THIS TIME DUE TO THE NEED ALREADY BEING ADDRESSED BY ANOTHER COMMUNITY ORGANIZATION OR DUE TO A LIMITATION OF RESOURCES:- VIOLENCE PREVENTION- MATERNAL/CHILD AND SEXUAL HEALTHWHILE THESE NEEDS LISTED WILL NOT BE SPECIFICALLY ADDRESSED IN OUR PRIORITIES, THEY WILL MOST LIKELY BE IMPACTED INDIRECTLY THROUGH THE WORK IN OUR OTHER COMMUNITY OUTREACH PRIORITIES.AS IN ANY CASE OF HEALTHCARE, ISSUES ARISE THAT CAUSE WORK TO PIVOT TO ADDRESS A CURRENT AND MORE PRESSING NEED. THE COVID-19 PANDEMIC HAS CERTAINLY BEEN SUCH AN ISSUE. DURING THE ONSET OF THE COVID PANDEMIC, COMMUNITY HEALTH PIVOTED TO RESPOND TO NEW NEEDS IN THE COMMUNITY WHICH INCLUDED WORKING WITH OTHER HOSPITALS AND NON-PROFIT ORGANIZATIONS TO DISTRIBUTE PPE KITS, RE-VAMPING OUR COMMUNITY RESOURCE GUIDE TO REFLECT CHANGES IN SERVICES AVAILABLE AND WORKING WITH PARTNERS ACROSS ST. LOUIS TO ADDRESS THE NEEDS OF OUR HOMELESS POPULATION. OUR ESTABLISHED COMMUNITY HEALTH AND ACCESS PROGRAMS HAD TO ADJUST TO THE CHANGES PRESENTED WITH THE QUARANTINE THAT RESULTED IN LESS ACCESS TO PATIENTS WITH SOCIAL NEEDS AND DID SO IN A CREATIVE AND MORE VIRTUAL MANNER THAT RESULTED IN OUR COMMUNITY MEMBERS STILL BEING ABLE TO BE ASSISTED. MERCY HOSPITAL SOUTH 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. 7 1 - FENTON URGENT CARE 714 GRAVOIS ROAD FENTON MO 63026 URGENT CARE FACILITY 2 - ARNOLD URGENT CARE 3619 RICHARDSON ROAD ARNOLD MO 63010 URGENT CARE FACILITY 3 - LEMAY URGENT CARE 2900 LEMAY FERRY ROAD ST LOUIS MO 63125 URGENT CARE FACILITY 4 - BIG BEND URGENT CARE 10296 BIG BEND BLVD ST LOUIS MO 63122 URGENT CARE FACILITY 5 - KIRKWOOD URGENT CARE 1001 S KIRKWOOD RD ST LOUIS MO 63122 URGENT CARE FACILITY 6 - ST ANTHONYS MEDICAL PLAZA 12700 SOUTHFORK ROAD ST LOUIS MO 63128 IMAGING,LAB,BREAST CENTER AND WOULD CARE SVCS 7 - ST ANTHONYS SPORTS AND THERAPY 9964 KENNERLY ROAD STE D ST LOUIS MO 63128 OUTPATIENT THERAPY 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 $523,052,152. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $30,372,125. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $492,680,027. 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: COMMUNITY BUILDING ACTIVITIES: MERCY HOSPITAL SOUTH'S 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. VARIOUS COMMUNITY ORGANIZATIONS COLLABORATE WITH MERCY HOSPITAL SOUTH TO IMPROVE COMMUNITY HEALTH, EXPAND ACCESS TO HEALTH CARE OR IN OTHER WAYS BENEFIT THE COMMUNITY. MERCY HOSPITAL SOUTH WORKS IN COLLABORATION WITH THE FOLLOWING GROUPS: ST. LOUIS COUNTY DEPARTMENT OF HEALTH, LOCAL SCHOOL DISTRICTS SUCH AS AFFTON, KIRKWOOD, LINDBERGH, MEHLVILLE AND HANCOCK, BARNES JEWISH WEST COUNTY HOSPITAL, MISSOURI BAPTIST MEDICAL CENTER, ST. LUKE'S HOSPITAL, ST. LUKE'S DES PERES HOSPITAL, MERCY HOSPITAL ST. LOUIS, HOSPICE AGENCIES, ST. LOUIS ASSOCIATION OF DIABETES EDUCATORS, LOCAL COLLEGE AND UNIVERSITIES, AMERICAN HEART ASSOCIATION, UNITED WAY, AMERICAN CANCER SOCIETY, AMERICAN LUNG ASSOCIATION, YMCA OF ST. LOUIS, BEHAVIORAL HEALTH SUPPORT GROUPS, CHAMBER OF COMMERCE ORGANIZATIONS, INTEGRATED HEALTH NETWORK, THE BEHAVIORAL HEALTH NETWORK AND MANY OTHERS. A 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 SOUTH 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: COMMUNITY HEALTH NEEDS ASSESSMENT PROCESSMERCY HOSPITAL SOUTH SOUGHT TO CONDUCT ITS NEEDS ASSESSMENT USING PRIMARY AND SECONDARY DATA. PRIMARY DATA WERE COLLECTED IN THREE WAYS A TELEPHONE SURVEY OF 500 ADULT COMMUNITY MEMBERS; PHYSICIAN SURVEYS AND A COLLABORATION OF KEY STAKEHOLDERS IN A FOCUS GROUP SETTING.MERCY HOSPITAL SOUTH COMMUNITY SURVEYMERCY HOSPITAL SOUTH PARTNERED WITH THE PRELL ORGANIZATION TO ASSESS THE HEALTH-CARE NEEDS OF THE COMMUNITY BY CONDUCTING A TELEPHONE SURVEY WITH BOTH LANDLINE AND CELL-PHONE NUMBERS UTILIZING A RANDOM SAMPLE OF 500 ADULTS AGE 21 YEARS OR OLDER. THIS SAMPLE OF OUR POPULATION IS REPRESENTATIVE OF THE COMMUNITY SERVED BY MERCY HOSPITAL SOUTH. THESE INTERVIEWS WERE CONDUCTED IN JUNE 2015 AT COMMUNICATIONS FOR RESEARCH IN STEELVILLE, MO, USING A CATI (COMPUTER ASSISTED TELEPHONE) INTERVIEWING SYSTEM. MERCY HOSPITAL SOUTH PHYSICIAN SURVEYPHYSICIANS PLAY A VERY IMPORTANT ROLE IN LOOKING AT THE HEALTH NEEDS OF OUR COMMUNITY, BECAUSE THEY OFTEN ARE THE FIRST POINT OF CONTACT WHEN IT COMES TO HEALTH ISSUES. PHYSICIANS ALSO PLAY A KEY ROLE IN ESTABLISHING GOOD PREVENTIVE HEALTH BEHAVIOR, AND MAY ALSO BE A KEY TO FINDING OUT WHY PATIENTS ARE OR ARE NOT ON THE ROAD TO GOOD HEALTH. BECAUSE PHYSICIANS PLAY THIS ROLE IN RECOGNIZING THE HEALTH NEEDS OF THE POPULATION, WE CHOSE TO SURVEY PRIMARY CARE PHYSICIANS AND SPECIALISTS AFFILIATED WITH MERCY HOSPITAL SOUTH. FORTY-THREE PHYSICIANS TOOK PART IN A SEVEN-QUESTION SURVEY USING AN ONLINE SURVEY TOOL. THE PHYSICIANS WERE ASKED THREE OPEN-ENDED QUESTIONS AND FOUR CLOSED QUESTIONS FOCUSED ON THE HEALTH NEEDS OF OUR POPULATION.KEY STAKEHOLDER ANALYSISAS PART OF THE REQUIREMENTS OF THE PPACA, NON-PROFIT HOSPITALS ARE ENCOURAGED TO CONDUCT THEIR ASSESSMENT IN COLLABORATION WITH OTHER HOSPITALS, LOCAL HEALTH DEPARTMENTS AND /OR COMMUNITY PARTNERS. IN THE KEY STAKEHOLDER ANALYSIS, MERCY HOSPITAL SOUTH PARTNERED WITH BARNES JEWISH WEST COUNTY HOSPITAL (BJWCH), MISSOURI BAPTIST MEDICAL CENTER (MBMC), ST. LUKE'S HOSPITAL (SLH) AND MERCY ST. LOUIS. INPUT WAS SOUGHT FROM THOSE WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL AS WELL AS THOSE WHO HAVE SPECIAL KNOWLEDGE AND EXPERTISE IN THE AREA OF PUBLIC HEALTH. TO FULFILL THE PPACA REQUIREMENTS, BJWCH, MBMC, SAMC, SLH AND MERCY ST. LOUIS HOSTED A SINGLE FOCUS GROUP WITH PUBLIC HEALTH EXPERTS AND THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN WEST AND SOUTH ST. LOUIS COUNTY. THIS FOCUS GROUP WAS HELD ON JULY 23, 2015. THIS GROUP WAS FACILITATED BY ANGELA FERRIS CHAMBERS, MANAGER OF MARKET RESEARCH AND CRM FOR BJC HEALTHCARE. THE DISCUSSION LASTED 90 MINUTES. SECONDARY DATASECONDARY DATA WERE COLLECTED BY A VARIETY OF MEANS, FROM LOCAL, COUNTY, STATE AND HOSPITAL SOURCES. THESE SECONDARY DATA ARE IMPORTANT IN CREATING A PROFILE OF THE COMMUNITY THAT MERCY HOSPITAL SOUTH SERVES. THERE ARE LIMITATIONS TO THE AVAILABLE DATA ON OUR COMMUNITY. MOST DATA ARE AVAILABLE ONLY AT THE COUNTY LEVEL, AS OPPOSED TO A DETAILED ZIP CODE ANALYSIS THAT WOULD ALLOW A MORE THOROUGH LOOK AT SUB-COUNTY INFORMATION. ANALYSIS OF THESE DATA FOCUSED HEAVILY ON ST. LOUIS COUNTY AND JEFFERSON COUNTY IN MISSOURI, BECAUSE THESE ARE THE TWO LARGEST IN OUR COMMUNITY. ANOTHER LIMITATION IS THE LACK OF AVAILABLE DATA ON OUR VULNERABLE POPULATIONS, INCLUDING LOW-INCOME AND MINORITY GROUPS. 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) INCLUDES 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 SOUTH INCLUDES 31 ZIP CODES ACROSS MISSOURI AND ILLINOIS. THE FOLLOWING INFORMATION IS DERIVED FROM 2019 IBM/WATSON'S DEMOGRAPHICS AND FY19 CLARIVATE ANALYTICS INSURANCE COVERAGE ESTIMATES. THE AREA'S POPULATION IS 637,643. 44% OF THE POPULATION'S AVERAGE HOUSEHOLD INCOME IS OVER $75,000. 44% OF THE POPULATION IS 45 AND OLDER. 22% OF THE HOUSEHOLDS ARE ON MEDICARE, 10% ON MEDICAID, AND 8% UNINSURED. PART VI, LINE 5: MERCY HOSPITAL SOUTH OPERATES AN EMERGENCY ROOM THAT ACCEPTS ALL PERSONS WHO ARE IN NEED OF MEDICAL ATTENTION REGARDLESS OF THEIR ABILITY TO PAY. MERCY HOSPITAL SOUTH HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA AND WORK IN COOPERATION WITH LOCAL UNIVERSITIES AND HEALTH CARE ORGANIZATIONS TO ADVANCE THE SCIENCE OF MEDICINE BY PROVIDING A CLINICAL SETTING WHERE INNOVATIVE TREATMENTS AND NEW THERAPEUTIC PROTOCOLS CAN BE DEVELOPED AND STUDIED. MERCY HOSPITAL SOUTH ENGAGES IN THE TRAINING AND EDUCATING OF HEALTH CARE PROFESSIONALS BY TEAMING UP WITH LOCAL COMMUNITY COLLEGES AND UNIVERSITIES TO PROVIDE A CLINICAL SETTING FOR HEALTH CARE STUDENTS. IN KEEPING WITH THE COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITY, MERCY HOSPITAL SOUTH PROVIDES:- 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 ACTIVITIESNUMEROUS COLLECTION DRIVES BY CO-WORKERS ARE HELD THROUGHOUT THE YEAR AND THE ITEMS, SUCH AS FOOD, CLOTHING, PERSONAL CARE ITEMS, GAS CARDS, SCHOOL SUPPLIES AND OTHER CRITICAL ITEMS ARE DONATED TO NON-PROFIT AGENCIES TO DISTRIBUTE TO THEIR CLIENTS. BOARD MEMBERSHIPS ARE BELOW: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 SOUTH FY20 BOARD MEMBERSDANIEL BIPPIN, SECRETARY.SR. GAYLE EVANSMARY GRAHAM, M.D.STACY HASTIERICHARD MAYHALL, 1ST VICE CHAIRELAINE MOORESEAN HOGAN, PRESIDENTMARK MERLOTTIMICHELLE NISCHBACHTONY NOVELLYJAMES POWERS, TREASURER AND 2ND VICE CHAIRWINTHROP REED, CHAIRMAN OF THE BOARDJEFFREY JOHNSTON, MERCY DIRECTORPHILLIP SOWAT. MARTIN VOLLMAR, M.D.DOUGLAS WEIBLEUSE OF SURPLUS FUNDS SURPLUS FUNDS AND UNRESTRICTED ASSETS HELD BY MERCY HOSPITAL SOUTH (MHS) 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:- A NEW 80,000 SQUARE FOOT CANCER CENTER OPENED IN THE SUMMER OF 2020 TO ENHANCE AND EXPAND THESE CRITICAL SERVICES TO THE COMMUNITY.- $18M UPDATE OF THE LABOR & DELIVERY UNIT TO CREATE A PATIENT CENTERED BIRTHING EXPERIENCE FOR THE ST. LOUIS COMMUNITY SERVICE BY MHS. CONSTRUCTION BEGAN IN LATE 2020 WITH COMPLETION IN 2023.- EXPANSION OF PRIMARY CARE AND SPECIALTY CARE PHYSICIANS TO THE MERCY HOSPITAL SOUTH SERVICE AREA WITH A FOCUS TO REACH THE UNDERSERVED POPULATIONS CLOSER TO THEIR HOMES. - 3 NEW FACILITIES HAVE BEEN BUILT AND OPENED IN THE LAST YEAR THAT WILL OFFER UP TO 15 NEW PROVIDERS IN THE COMMUNITIES SERVED.- A NEW 50 BED INPATIENT ACUTE REHAB HOSPITAL WITH ALL PRIVATE ROOMS IS SCHEDULED TO BEGIN CONSTRUCTION IN LATE 2020 AND COMPLETE IN EARLY 2022. THIS WILL EXPAND THE CURRENT 26 BED SEMI-PRIVATE FACILITY ON CAMPUS.- 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.- EXPANSION OF BEHAVIORAL HEALTH CARE WITH A NEW IOP (INTENSIVE OUTPATIENT THERAPY) CLINIC OPENED IN EARLY 2020 TO SERVE THE GROWING POPULATION WITH THESE HEALTH NEEDS.ADDITIONAL COMMUNITY HEALTH INITIATIVES/INFORMATIONCURRENTLY NOT INCLUDED THROUGH THE REPORTING OF COMMUNITY BENEFIT OR COMMUNITY BUILDING ACTIVITIES ARE:IN KEEPING WITH THE MERCY COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITY, MHS 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. 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. 1 IFM COMMUNITY MEDICINE 722 LOUGHBOROUGH AVENUE ST LOUIS MO 63111 431863752 501C3 30050 CHARITABLE SUPPORT FRANCISCAN OF SACRED HEART 3140 MERAMEC STREET ST LOUIS MO 63118 430706399 501C3 25000 CHARITABLE SUPPORT OFFICE OF WORSHIP ARCHDIOC STL 4445 LINDELL BLVD ST LOUIS MO 63108 430653244 501C3 17639 CHARITABLE SUPPORT MERCY HEALTH FOUNDATION SOUTH 10010 KENNERLY ROAD ST LOUIS MO 63128 261516789 501C3 200000 CHARITABLE SUPPORT AMERICAN CANCER SOCIETY 4207 LINDELL BLVD ST LOUIS MO 63108 821993189 501C3 8205 CHARITABLE SUPPORT CANCER SUPPORT COMMUNITY 1058 OLD DES PERES ROAD ST LOUIS MO 63131 431587517 501C3 15000 CHARITABLE SUPPORT FENTON AREA CHAMBER OF COMMERCE 1375 NORTH HIGHWAY DRIVE FENTON MO 63099 431172458 501C3 5000 CHARITABLE SUPPORT MO PHYSICIANS HEALTH PROGRAM 680 CRAIG ROAD STE 308 ST LOUIS MO 63141 431572458 501C3 5000 CHARITABLE SUPPORT STL INTEGRATED HEALTH NETWORK 1520 MARKET STREET STE 4034 ST LOUIS MO 63103 203288245 501C3 60950 CHARITABLE SUPPORT 8 1 PART I, LINE 2: GRANTS ARE MADE TO ORGANIZATIONS WHICH HAVE AN ESTABLISHED HISTORY OF PROVIDING HEALTH CARE SUPPORT AND\OR COMMUNITY BENEFIT. IF NECESSARY, PERIODIC REPORTS ARE PROVIDED TO US. GRANTS ARE MADE TO RELATED ORGANIZATIONS, WHICH PROVIDE REPORTING ON THE USE OF THE FUNDS AND WORK CLOSELY WITH OUR ORGANIZATION. X X 1 1 1 1 0 0 0 0 0 0 0 MCCURRY MIKE EXEC VP/COO & BOARD MEMBER 0 937968 0 905736 0 83520 0 44398 0 12078 0 1983700 0 123160 SORENSEN DONN EXEC VP-OPS & BOARD MEMBER 0 867782 0 758598 0 29126 0 123637 0 10224 0 1789367 0 0 MATEJKA CHERYL L CHIEF FINANCIAL OFFICER 0 499662 0 174209 0 57737 0 82299 0 13547 0 827454 0 0 HOGAN SEAN JOSEPH PRESIDENT 0 461905 0 190483 0 26221 0 59584 0 15542 0 753735 0 0 HOEFER BILL COO 0 421610 0 105284 0 22245 0 53404 0 13496 0 616039 0 0 JOHNSTON JEFFREY A PRESIDENT MERCY HEALTH EAST COMM 0 720071 0 497179 0 55233 0 119831 0 13547 0 1405861 0 0 REHM MD CHARLES CHIEF ADMINISTRATIVE OFFICER 0 337230 0 415020 0 376201 0 40155 0 6203 0 1174809 0 114625 FRAZIER DONNA M CHIEF NURSING OFFICER 0 159326 0 398293 0 216866 0 36526 0 879 0 811890 0 232144 TRULOVE RON CHIEF REVENUE OFFICER 0 420020 0 204410 0 40140 0 28343 0 12052 0 704965 0 67947 ECKENFELS DANIEL VP FINANCE 0 234148 0 42040 0 12891 0 12375 0 15909 0 317363 0 0 HOLTER DENNIS VP BUSINESS DEVELOPMENT 0 103927 0 53111 0 124982 0 0 0 8045 0 290065 0 0 MONTEZ KADI VP OF IT 0 188563 0 35309 0 19189 0 0 0 5567 0 248628 0 0 ELLIS CAROL VP NURSING 0 180148 0 34034 0 24076 0 0 0 5540 0 243798 0 0 MRAD RICHARD HOSPITALIST 0 251854 0 629 0 17657 0 801 0 11014 0 281955 0 0 EDELSTEIN THOMAS VP MISSION 0 173247 0 31130 0 14989 0 39510 0 11754 0 270630 0 0 KRAFCIK JAMES PHYSICIAN 0 173847 0 0 0 45296 0 13553 0 11852 0 244548 0 0 MONROE JAMES PHYSICIST 0 197972 0 40 0 12619 0 0 0 10233 0 220864 0 0 CLAYTON AGNES REGISTERED NURSE 0 167638 0 16220 0 21009 0 0 0 9273 0 214140 0 0 SWAMINATHAN RAJESH FORMER OFFICER 0 0 0 0 0 319308 0 0 0 0 0 319308 0 0 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, A KEY EMPLOYEE AND A BOARD MEMBER WERE TAXED FOR SUCH TRAVEL. PART I, LINES 4A-B THE FOLLOWING RECEIVED SEVERANCE PAY: DONNA FRAZIER $114,488; DENNIS HOLTER $81,346; CHARLES REHM $200,878; RAJESH SWAMINATHAN $319,308. 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: SORENSEN,DONN; MATEJKA,CHERYL L; JOHNSTON,JEFFREY; FRAZIER,DONNA; REHM,CHARLES; TRULOVE,RON; MCCURRY,MIKE; HOEFER,BILL; HOGAN, SEAN. THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C). RON TRULOVE, MIKE MCCURRY, CHARLES REHM, AND DONNA FRAZIER RECEIVED PAYMENT FROM RETIREMENT PLAN(S) DURING THE YEAR FROM A RELATED ORGANIZATION. THE AMOUNTS REPORTED FOR TRULOVE, MCCURRY, REHM, AND FRAZIER IN COLUMN (F) ARE INCLUDED IN COLUMN B (I) AS BASE COMPENSATION. THE 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 FORM 990, PART VI, SECTION A, LINE 2 PAUL NOVELLY HAS A BUSINESS RELATIONSHIP WITH WINTHROP B REED III. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER OF THE ORGANIZATION 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 SOUTH. 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 ANNUAL 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: FUND BALANCE TRANSFERS TO/FROM AFFILIATES 29,522,939. CHANGE IN RESTRICTED NET ASSETS -341,919. UNFUNDED PENSION LOSSES 4,942,296. OTHER CHANGES 324,298. 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. PART XII, QUESTION 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. 1001 KIRKWOOD LLC 10010 KENNERLY ROAD ST LOUIS MO 63128 611736257 REAL ESTATE MO 1731972 82971 MERCY HOSPITAL SOUTH HEART SPECIALTY ASSOCIATES LLC 10010 KENNERLY ROAD ST LOUIS MO 63128 274084620 SPECIALISTS MO 3405141 695729 MERCY HOSPITAL SOUTH PHYSICIANS OF ST ANTHONY'S MEDICAL CENTER LLC 10010 KENNERLY ROAD ST LOUIS MO 63128 270440956 MANAGEMENT MO 4006062 512023 MERCY HOSPITAL SOUTH SOUTH COUNTY PET IMAGING LLC 10010 KENNERLY ROAD ST LOUIS MO 63128 431932907 INACTIVE MO 0 0 MERCY HOSPITAL SOUTH ST ANTHONY'S PROFESSIONAL PHARMACY LLC 10010 KENNERLY ROAD ST LOUIS MO 63128 431659671 LICENSEE OF RETAIL PHARMACY MO 0 0 MERCY HOSPITAL SOUTH ST ANTHONY'S PULMONARY SPECIALISTS LLC 10010 KENNERLY ROAD ST LOUIS MO 63128 300787362 INACTIVE MO 0 0 MERCY HOSPITAL SOUTH URGENT CARE CENTERS OF ST ANTHONY'S MEDICAL CENTER LLC 10010 KENNERLY ROAD ST LOUIS MO 63128 270440900 MANAGEMENT MO 7996697 73438 MERCY HOSPITAL SOUTH CASA DE MISERICORDIA 1000 MIER ST LAREDO TX 78040 742912461 WOMEN'S DOMESTIC VIOLENCE SHELTER TX 501C3 7 MERCY MINISTRIES OF LAREDO 1 MCAULEY PORTFOLIO MGMT CO 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 261708048 PORTFOLIO MANAGEMENT MO 501C3 11-II MERCY HEALTH 1 MERCY ACO CLINICAL SERVICES INC 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 464504901 VIRTUAL CARE CENTER MO 501C3 3 MERCY HEALTH 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 1 MERCY CLINIC FORT SMITH COMM 7301 ROGERS AVENUE FORT SMITH AR 72917 261318597 PHYSICIAN CLINIC AR 501C3 9 MERCY HEALTH FORT SMITH COMM 1 MERCY CLINIC OKLAHOMA COMM 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 270473057 PHYSICIAN GROUP OK 501C3 3 MERCY HEALTH OK COMMUNITIES 1 MERCY CLINIC SPRINGFIELD COMM 1965 FREMONT STREET SUITE 2950 SPRINGFIELD MO 65804 431560263 PHYSICIAN GROUP MO 501C3 3 MERCY HEALTH SPRINGFIELD COMM 1 MERCY FAMILY CENTER 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 721069468 FAMILY COUNSELING SERVICES LA 501C3 7 MERCY HEALTH 1 MERCY HEALTH 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 431423050 CORPORATE OFFICE MO 501C3 1 N/A 0 MERCY HEALTH EAST COMMUNITIES 645 MARYVILLE CTR DR STE 100 ST LOUIS MO 63141 431718408 HEALTH SYSTEM MO 501C3 11-II MERCY HEALTH 1 MERCY HEALTH FORT SMITH COMM 7301 ROGERS AVENUE FORT SMITH AR 72917 261318515 HOLDING COMPANY AR 501C3 11-II MERCY HEALTH 1 MERCY HEALTH FOUNDATION 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 200901499 FOUNDATION MO 501C3 11-II MERCY HEALTH 1 MERCY HEALTH FOUNDATION ADA 430 N MONTE VISTA STREET ADA OK 74820 463596274 FOUNDATION OK 501C3 11-I MERCY HOSPITAL ADA 1 MERCY HEALTH FOUNDATION ARDMORE 1011 14TH AVENUE NW ARDMORE OK 73401 710962525 FOUNDATION OK 501C3 11-I MERCY HOSPITAL ARDMORE 1 MERCY HEALTH FOUNDATION BERRYVILLE 214 CARTER STREET BERRYVILLE AR 72616 710759301 FOUNDATION AR 501C3 11-I MERCY HOSPITAL BERRYVILLE 1 MERCY HEALTH FOUNDATION FT SCOTT 401 WOODLAND HILLS BLVD FORT SCOTT KS 66701 481077073 FOUNDATION KS 501C3 11-III MERCY KANSAS COMMUNITIES INC 1 MERCY HEALTH FOUNDATION FORT SMITH 7301 ROGERS AVENUE FORT SMITH AR 72917 237330425 FOUNDATION AR 501C3 7 MERCY HOSPITAL FORT SMITH 1 MERCY HEALTH FOUNDATION LEBANON 100 HOSPITAL DRIVE LEBANON MO 65536 822514567 FOUNDATION MO 501C3 11-II MERCY HOSPITAL LEBANON 1 MERCY HEALTH FOUNDATION JEFFERSON 1400 US HIGHWAY 61 SOUTH FESTUS MO 63028 462797051 FOUNDATION MO 501C3 11-II MERCY HOSPITAL JEFFERSON 1 MERCY HEALTH FOUNDATION JOPLIN 100 MERCY WAY JOPLIN MO 64804 270906136 FOUNDATION MO 501C3 11-I MERCY HEALTH SW MOKS COMM 1 MERCY HEALTH FOUNDATION LINCOLN 1000 EAST CHERRY STREET TROY MO 63379 811477159 FOUNDATION MO 501C3 11-II MERCY HEALTH EAST COMMUNITIES 1 MERCY HEALTH FOUNDATION NW ARK 2710 RIFE MEDICAL LN ROGERS AR 72858 710601687 FOUNDATION AR 501C3 11-III MERCY HOSPITAL ROGERS 1 MERCY HEALTH FOUNDATION OF OK 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 454732301 FOUNDATION OK 501C3 11-I MERCY HEALTH OK COMMUNITIES 1 MERCY HEALTH FOUNDATION OK CITY 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 463184231 FOUNDATION OK 501C3 11-I MERCY HEALTH OK COMMUNITIES 1 MERCY HEALTH FOUNDATION SPRINGFIELD 1235 E CHEROKEE STREET SPRINGFIELD MO 65804 320195818 FOUNDATION MO 501C3 11-II MERCY HEALTH SPRINGFIELD COMM 1 MERCY HEALTH FOUNDATION ST FRANCIS 100 W HIGHWAY 60 MOUNTAIN VIEW MO 65548 431873914 FOUNDATION MO 501C3 11-I MERCY ST FRANCIS HOSPITAL 1 MERCY HEALTH FOUNDATION STL 615 SOUTH NEW BALLAS ROAD ST LOUIS MO 63141 562410020 FOUNDATION MO 501C3 11-II MERCY HEALTH EAST COMMUNITIES 1 MERCY HEALTH FOUNDATION WASHINGTON 901 E FIFTH STREET WASHINGTON MO 63090 562410022 FOUNDATION MO 501C3 11-II MERCY HEALTH EAST COMMUNITIES 1 MERCY HEALTH NW ARK COMMUNITIES 2710 RIFE MEDICAL LN ROGERS AR 72758 621684203 PHYSICIAN GROUP AR 501C3 11-II MERCY HEALTH 1 MERCY HEALTH OK COMMUNITIES 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 731453048 HEALTH SYSTEM OK 501C3 11-II MERCY HEALTH 1 MERCY HEALTH PLANS OF MISSOURIINC 3265 S NATIONAL AVENUE SPRINGFIELD MO 65807 320481419 HMO MO 501C4 MERCY HEALTH 1 MERCY HEALTH PLANSINC 3265 S NATIONAL AVENUE SPRINGFIELD MO 65807 320486150 PPO MO 501C4 MERCY HEALTH PLANS OF MISSOURIINC 1 MERCY HEALTH SW MOKS COMM 100 MERCY WAY JOPLIN MO 64804 300584463 HEALTH SYSTEM MO 501C3 11-II MERCY HEALTH 1 MERCY HEALTH SPRINGFIELD COMM 1235 E CHEROKEE STREET SPRINGFIELD MO 65804 431856028 HEALTH SYSTEM MO 501C3 11-II MERCY HEALTH 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 1 MERCY HOSPITAL ADA INC 430 N MONTE VISTA STREET ADA OK 74820 462288155 HOSPITAL OK 501C3 3 MERCY HEALTH OK COMMUNITIES 1 MERCY HOSPITAL ARDMORE 1011 14TH AVENUE NW ARDMORE OK 73401 731500629 HOSPITAL OK 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501C3 3 MERCY HEALTH FORT SMITH COMM 1 MERCY HOSPITAL HEALDTON INC 3462 HOSPITAL RD HEALDTON OK 73438 263173902 HOSPITAL OK 501C3 3 MERCY HOSPITAL ARDMORE INC 1 MERCY HOSPITAL JEFFERSON 1400 HIGHWAY 61 SOUTH FESTUS MO 63028 430687077 HOSPITAL MO 501C3 3 MERCY HEALTH EAST COMMUNITIES 1 MERCY HOSPITAL JOPLIN 100 MERCY WAY JOPLIN MO 64804 270814858 HOSPITAL MO 501C3 3 MERCY HEALTH SW MOKS COMM 1 MERCY HOSPITAL KINGFISHER INC 1000 HOSPITAL CIRCLE KINGFISHER OK 73750 463433074 HOSPITAL OK 501C3 3 MERCY HOSPITAL OKLAHOMA CITY 1 MERCY HOSPITAL LEBANON 100 HOSPITAL DRIVE LEBANON MO 65536 431767432 HOSPITAL MO 501C3 3 MERCY HEALTH SPRINGFIELD COMM 1 MERCY HOSPITAL LINCOLN 1000 EAST CHERRY STREET TROY MO 63379 472219204 HOSPITAL MO 501C3 3 MERCY HEALTH EAST COMMUNITIES 1 MERCY HOSPITAL LOGAN COUNTY INC 200 SOUTH ACADEMY GUTHRIE OK 73044 452998842 HOSPITAL OK 501C3 3 MERCY HOSPITAL OKLAHOMA CITY 1 MERCY HOSPITAL OKLAHOMA CITY 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 730579285 HOSPITAL OK 501C3 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