2020-08-12T09:07:40-05:00 2019-06-30 562632458 PLEUS AND COMPANY LLC 14500 SOUTH OUTER 40 RD STE 201A CHESTERFIELD MO 63017 990 2018-07-01 472219204 MERCY HOSPITAL LINCOLN MERC 6365288551 1000 EAST CHERRY STREET TROY MO 63379 CHERYL MATEJKA CHIEF FINANCIAL OFFICER 3143643532 2020-08-04 1 DOUGLAS G PLEUS P00013488 3143179916 107.143.157.123 2020-08-04 11:32:53 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 10DBDE78D88D9177EE19B17DBA986A17B1D29D69 2018 2020-11-19 02:30:22Z X JEFFERY JOHNSTON 1000 EAST CHERRY STREET TROY MO 63379 44609898 0 0928 X WWW.MERCY.NET X 1953 MO AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. 8 5 0 68 0 0 8821 25281 43338069 44378196 65320 67022 216656 139399 43628866 44609898 5000 0 0 0 21179566 21501775 0 0 0 20799941 20746443 41984507 42248218 1644359 2361680 6970071 9343255 2115695 3722199 4854376 5621056 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 37634779 0 44382412 MERCY HOSPITAL LINCOLN ("MHL") PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IN ACTIVE PURSUIT OF THIS MISSION, MHL PROVIDED SERVICES TO 3,209 INPATIENTS, 12,641 EMERGENCY ROOM VISITS, 43,170 OUTPATIENT VISITS, AND 62,455 CLINIC VISITS.MHL IS A CATHOLIC HEALTH CARE CORPORATION THAT ENGAGES IN A MINISTRY WHICH PROVIDES GENERAL ACUTE CARE, AMBULATORY, SWING BED SERVICES TO INDIVIDUALS AND FAMILIES IN ITS SERVICE COMMUNITIES. CONSISTENT WITH THE ORGANIZATION'S COMMITMENT TO SOCIAL ACCOUNTABILITY AND THE PROVISION OF COMMUNITY BENEFIT, MHL OFFERS OTHER SERVICES AND PROGRAMS WHICH FURTHER HEALTH PROMOTION, MAINTENANCE AND CARE. MHL'S SERVICES INCLUDE A FREESTANDING CLINIC AND THREE RURAL HEALTH CLINICS LOCATED IN TROY, ONE RURAL HEALTH CLINIC IN WINFIELD AND ANOTHER IN ELSBERRY. THESE CLINICS PROVIDE A SIGNIFICANT FOCUS ON PRIMARY CARE AS WELL AS PSYCHIATRY AND COUNSELING SERVICE. MANY CLINIC PATIENTS WERE ALSO TREATED, ON A CHARITABLE BASIS, AS INPATIENTS. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE CONTINUED ABILITY TO PROVIDE HEALTHCARE SERVICES TO ALL PATIENTS, MHL RECOGNIZES THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES AND, FURTHER, THAT PART OF OUR MISSION IS TO PROVIDE HEALTHCARE SERVICES AND HEALTHCARE EDUCATION TO THE COMMUNITIES IN WHICH OUR FACILITIES ARE LOCATED. IN KEEPING WITH MHL'S COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITIES IT SERVES, MHL PROVIDES (I) FREE CARE AND/OR SUBSIDIZED CARE; (II) CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST; (III) HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY; (IV) HEALTH EDUCATION PROGRAMS; AND, (V) A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. MHL PROVIDES CARE TO PATIENTS WHO LACK FINANCIAL RESOURCES AND ARE DEEMED TO BE MEDICALLY INDIGENT. AS DEFINED BY THE INSTITUTION'S CHARITY POLICY, MHL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY FOR CHARITY CARE. IN ADDITION, MHL PROVIDES SERVICES TO OTHER PATIENTS UNDER THE MEDICARE PROGRAM AND VARIOUS STATE MEDICAID PROGRAMS. SUCH PROGRAMS PAY PROVIDERS AMOUNTS THAT ARE SUBSTANTIALLY LESS THAN BILLED CHARGES, AND FREQUENTLY LESS THAN THE COST, OF THE SERVICES PROVIDED TO THE RECIPIENTS. MHL HAS 56% OF ITS PATIENTS SEEN FROM EITHER THE MEDICARE OR MEDICAID PROGRAMS. IN THE RURAL HEALTH CLINICS, 18% ARE MEDICAID PATIENTS AND 33% ARE MEDICARE PATIENTS. THE COST, NET OF ANY PAYMENT RECEIVED (NET COST), TO MHL OF PROVIDING CARE TO PERSONS QUALIFYING FOR CHARITY/ MEDICAID, AND TO ELDERLY AND DISABLED PATIENTS UNDER THE MEDICARE PROGRAM TOTALED $1,802,075 IN THE YEAR ENDED 6/30/19. THE SERVICES PROVIDED BY MHL, AS WELL AS THE AMOUNT OF CHARITY CARE PROVIDED, DEMONSTRATE THE ONGOING COMMITMENT OF THE ORGANIZATION TO SERVE IN A LEADERSHIP ROLE AS AN ADVOCATE FOR RESPONSIVE HEALTHCARE SERVICES FOR THE COMMUNITY, WITH A DEEP COMMITMENT AND SENSITIVITY TO MEETING THE NEEDS OF THE POOR AND UNDERSERVED. 37634779 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 8 5 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 X MARK THORN 6365283329 1000 EAST CHERRY STREET TROY MO 63379 X EASTERDAY DAVID PHYSICIAN & BOARD MEMBER 60.00 0.00 X 0 361943 20157 EMERT STEVEN LEE BOARD MEMBER 1.00 0.00 X 0 0 0 KALICAK DONALD VP - BUSINESS DEVELOPMENT & PLANNING 4.00 46.00 X 0 400944 73543 MACKIN STEPHEN L SVP & BOARD MEMBER 1.00 49.00 X 0 948340 113853 MEYER ANNETTE BOARD MEMBER 1.00 0.00 X 0 0 0 RELLER TIM BOARD MEMBER 1.00 0.00 X 0 0 0 STEINBECKER ROGER BOARD MEMBER 1.00 0.00 X 0 0 0 WITTENAUER RSM SR MARILYNN BOARD MEMBER 1.00 1.00 X 0 0 0 MATEJKA CHERYL L CHIEF FINANCIAL OFFICER 2.00 58.00 X 0 727663 90309 WEST KIMELA ASSOCIATE COUNSEL 5.00 55.00 X 0 138812 2952 JOHNSTON JEFFREY A PRESIDENT, EAST COMMUNITIES 1.00 59.00 X 0 1154721 135277 ROTHERMICH ANTHONY ADMINISTRATOR, MERCY HOSP LINCOLN 30.00 25.00 X 255726 0 46978 THORN MARK A EXEC DIRECTOR, FINANCE 60.00 0.00 X 158688 0 13646 EARLE KIMBERLY A MANAGER, PHARMACY SERVICES 60.00 0.00 X 148563 0 17234 KLIETHERHMES JACOB EXEC DIRECTOR, NURSING 60.00 0.00 X 149865 0 16009 MORAN JUDITH A NURSE ANESTHETIST 60.00 0.00 X 187639 0 7509 NEILL DAVID A NURSE ANESTHETIST 60.00 0.00 X 178613 0 6313 HALLJUDY REGISTERED NURSE 60.00 0.00 X 134253 0 12079 SORENSEN DONN FORMER OFFICER 0.00 60.00 X 0 1590030 205206 1213347 5322453 761065 13 1 1 0 PHYCHIATRIC MEDICAL CARE LLC PO BOX 734606 DALLAS TX 75373 BEHAVIORAL HEALTH SERVICES 295157 MURPHY COMPANY PO BOX 790379 ST LOUIS MO 63179 MECHANICAL ENGINEERING & CONTRACTING 268694 AUREUS 13609 CALIFORNIA ST OMAHA NE 68154 STAFFING SERVICES 245245 ALLSCRIPTS 24630 NETWORK PL CHICAGO IL 60673 COMPUTER SERVICES 160090 SLEEP DIAGNOSTIC SERVICES 503 E NIFONG BLVD 223 COLUMBIA MO 65201 SLEEP STUDIES SERVICE 131235 7 25281 25281 NET PATIENT SERVICE REVENU 621110 43120027 43120027 OTHER OPERATING REVENUE 621110 1256207 1256207 CAPITATION BONUS 621110 1962 1962 44378196 67022 67022 7183 0 7183 7183 7183 CAFE AND VENDING 722210 128000 128000 4216 4216 132216 44609898 44382412 0 202205 2613135 2613135 44284 44284 15294517 14184645 1109872 493637 451330 42307 1934840 1807190 127650 1121362 1050944 70418 11537 11537 1534148 972361 561787 53003 53003 1388990 1309790 79200 183797 6376 177421 649112 577710 71402 12861 8360 4501 582561 452049 130512 290861 290861 BAD DEBT EXPENSE 7549353 7549353 SHARED SERVICE FEES 4147097 2032078 2115019 DRUGS & MEDICAL EXPENSE 3782203 3738874 43329 REPAIRS AND MAINTENANCE 462493 447012 15481 98427 98427 42248218 37634779 4613439 0 4055686 5363100 88319 84385 21615 24315 4536692 1778362 2312818 2758330 491633 1113125 6970071 9343255 1958067 3714305 10270 7894 147358 0 2115695 3722199 X 4866795 5633727 -12419 -12671 4854376 5621056 6970071 9343255 X 2361680 -1595000 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 11537 0 0 0 11537 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, 2019, DUES WERE $7,779, $4,776, AND $32,991, RESPECTIVELY. APPROXIMATELY 22.73% OF THE AMERICAN HOSPITAL ASSOCIATION DUES, 3.52% OF THE CATHOLIC HEALTH ASSOCIATION, AND 29.10% OF MISSOURI HOSPITAL ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED BY THIS ASSOCIATION. 1015725 420639 595086 367060 94062 272998 3132587 1263661 1868926 21320 21320 2758330 MISC ACCTS RECEIVABLE 436918 DUE FROM AFFILIATE 676207 1113125 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, 2019 OR 2018. 1 1 X 1 X 1 X 1 1 1 0 1 1 1114735 1114735 0.03210 5157061 4552956 604105 0.01740 6271796 4552956 1718840 0.04950 33272 5245 28027 0.00080 38756 38756 0.00110 1977 1977 0.00010 74005 5245 68760 0.00200 6345801 4558201 1787600 0.05150 2027 2027 0.00010 6297 6297 0.00020 5253 5253 0.00020 109 109 0.00000 8060 680 7380 0.00020 21746 680 21066 0.00070 1 2471775 0 8974157 9057392 -83235 X 1 1 1 1 MERCY HOSPITAL LINCOLN 1000 EAST CHERRY STREET TROY MO 63379 WWW.MERCY.NET 539-1 X X X X MERCY HOSPITAL LINCOLN 1 0 0 1 X X X X X X X X X 18 1 0 0 1 X WWW.MERCY.NET/FORMS/COMMUNITY-BENEFITS X 1 18 1 WWW.MERCY.NET/FORMS/COMMUNITY-BENEFITS 0 1 X 100.000000000000 300.000000000000 X 1 1 X X X 1 X WWW.MERCY.NET/PATIENTS/BILLING/FINANCIAL-ASSISTANCE/ X WWW.MERCY.NET/PATIENTS/BILLING/FINANCIAL-ASSISTANCE/ X WWW.MERCY.NET/PATIENTS/BILLING/FINANCIAL-ASSISTANCE/ X X X X X X 1 X 0 X X X X X 1 X 0 0 MERCY HOSPITAL LINCOLN PART V, SECTION B, LINE 5: THE VOICES OF THE PEOPLE OF LINCOLN COUNTY WERE CENTRAL TO THE HEALTH NEEDS ASSESSMENT PROCESS. MERCY HOSPITAL LINCOLN (MHL) EMPLOYED THE FOLLOWING COMMUNICATION MODES IN AN EFFORT TO GATHER THOUGHTS AND CONCERNS ABOUT HEALTH CARE IN THE COMMUNITY:1. MERCY COMMUNITY HEALTH NEEDS SURVEYS2. COMMUNITY STAKEHOLDERS ROUNDTABLE MEETINGS, INCLUDING: - BRETT SIEFERT, LINCOLN COUNTY HEALTH DEPT. - SANDY JUNG, LINCOLN COUNTY COUNCIL ON AGING - JIM & JULIE WALLIS - PREFERRED FAMILY HEALTH CARE - APRIL BRYANT, LINCOLN COUNTY R-III SCHOOL DISTRICT - MARK CROSS, MAYOR, CITY OF TROY3. MERCY COMMUNITY ADVISORY PANELS4. COMMUNITY COALITION MEMBERSHIPS AND ENGAGEMENT IN LINCOLN COUNTYMERCY COMMUNITY HEALTH NEEDS SURVEYS - A TOTAL OF 332 INDIVIDUALS WHO STATED THEY RECEIVE THEIR HEALTH CARE IN LINCOLN COUNTY COMPLETED THE SURVEY OVER A 15 MONTH TIMEFRAME (OCTOBER 2014 - DECEMBER 2015). THE MAJORITY OF PARTICIPANTS (52%) WERE RESIDENTS OF TROY, THE CITY IN WHICH MERCY HOSPITAL LINCOLN IS LOCATED.LINCOLN COUNTY HEALTH DEPARTMENT PARTNERED WITH US IN DISTRIBUTING THE SURVEYS AND OBTAINED MANY SURVEY RESPONSES FROM THEIR FAMILIES THAT ARE ENROLLED IN THEIR WOMEN, INFANTS & CHILDREN (WIC) NUTRITION PROGRAM.COMMUNITY STAKEHOLDERS ROUNDTABLE MEETINGS - MERCY HOSPITAL LINCOLN INVITED COMMUNITY STAKEHOLDERS FROM THE AREA TO A SERIES OF ROUNDTABLE DISCUSSIONS AND HAD SEVENTY-FIVE COMMUNITY LEADERS PARTICIPATE IN THESE DISCUSSIONS. ATTENDEES INCLUDED LINCOLN COUNTY HEALTH DEPARTMENT WORKERS, REPRESENTATIVES FROM OTHER HEALTH CARE SERVICES IN THE AREA, BANKERS, CHURCH LEADERS, FARMERS, AS WELL AS COMMUNITY LEADERS FROM NEARBY PIKE COUNTY. MERCY COMMUNITY ADVISORY PANELS - ON-LINE COMMUNITY ADVISORY PANELS ARE A KEY PART OF MERCY'S ONGOING DIALOGUE WITH THE COMMUNITIES THEY SERVE. INDIVIDUALS, ESPECIALLY THOSE WHO HAVE RECENTLY VISITED A MERCY HEALTH FACILITY, ARE ROUTINELY SURVEYED TO EVALUATE PROGRAMS, SERVICE EXPERIENCE, ASSESS NEED, AND PROVIDE FEEDBACK. COMMUNITY COALITION MEMBERSHIPS AND ENGAGEMENT IN LINCOLN COUNTY - MERCY NEIGHBORHOOD MINISTRY (MNM) IS A DEPARTMENT OF MERCY ALSO KNOWN AS THE COMMUNITY HEALTH & ACCESS DEPARTMENT. IT IS DEDICATED TO IMPROVING HEALTH AND ACCESS IN THE COMMUNITIES MERCY SERVES, WITH A PARTICULAR FOCUS ON THE UNDERSERVED POPULATION THROUGH COMMUNITY COALITION MEMBERSHIPS AND ENGAGEMENT. THE MNM OUTREACH COORDINATOR DESIGNATED TO MERCY HOSPITAL LINCOLN FOCUSES ON IDENTIFYING UNMET NEEDS AND GAPS IN HEALTH CARE, DEVELOPING PARTNERSHIPS WITH HEALTH AND SOCIAL SERVICE AGENCIES, INCREASING KNOWLEDGE OF AVAILABLE RESOURCES, MAKING CONNECTIONS AND REFERRALS, AND ADVOCATING FOR THOSE MOST VULNERABLE IN THE COMMUNITY. PARTNERING AGENCIES AND TASK FORCES IN WHICH THE OUTREACH COORDINATOR IS INVOLVED INCLUDE: - LINCOLN COUNTY HEALTH DEPARTMENT (LCHD) - JENNIFER HARRIS, DIRECTOR OF PROGRAMS - LINCOLN COUNTY HEALTHY COMMUNITIES COALITION - ELLEN SULLIVAN, LCHD, DIRECTOR OF CLINICAL SERVICES - LINCOLN COUNTY RESOURCE BOARD - CHERI WINCHESTER, DIRECTOR, LINCOLN COUNTY KIDS - LINCOLN COUNTY SENIOR TASK FORCE - CRIDER HEALTH CENTER/COMPASS HEALTH NETWORK - JENNY THOMPSON, HOUSING DIRECTOR - PREFERRED FAMILY HEALTHCARE/BRIDGEWAY BEHAVIORAL HEALTH - TINA CLAYTON, DIRECTOR, THE ROBERTSON CENTERTHROUGH CONTINUOUS DAILY NETWORKING AND COLLABORATION, MERCY REMAINS CLOSELY ENGAGED WITH COMMUNITY PARTNERS AND INFORMED ON THE NEEDS OF THE COMMUNITIES IT SERVES. MERCY HOSPITAL LINCOLN PART V, SECTION B, LINE 11: BASED ON THE FINDINGS OF ITS MOST RECENTLY CONDUCTED CHNA, MERCY HOSPITAL LINCOLN HAS CHOSEN TO ADDRESS THE FOLLOWING THREE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN LINCOLN 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/FORMS/COMMUNITY-BENEFITS/. ACTIVITIES AND PROGRAMS WILL BE WELL DOCUMENTED IN ORDER TO PRODUCE MEASURABLE OUTCOMES. SOME NOTABLE ACHIEVEMENTS DURING 2018 INCLUDE:- 2018 PATIENTS SEEN IN THE MHL EMERGENCY DEPARTMENT AND URGENT CARE CENTER WHO HAD NOT SEEN A PRIMARY CARE PROVIDER IN RECENT YEARS OR WERE UNINSURED WERE REFERRED TO THE COMMUNITY HEALTH WORKER PROGRAM (CHW), A PARTNERSHIP WITH THE LINCOLN COUNTY HEALTH DEPARTMENT. THE CHW HELPED THE PATIENTS ESTABLISH A "MEDICAL HOME AND/OR ADDRESSED SOCIAL DETERMINANT OF HEALTH ISSUES AND WERE SCREENED AND ASSISTED WITH APPLYING FOR MEDICAID, MARKET PLACE INSURANCE, DISABILITY OR HOSPITAL CHARITY CARE.- 2018 MERCY OPENED A BEHAVIORAL HEALTH REGIONAL ACCESS CENTER TO ADDRESS THE DIFFICULTY WITH FINDING AVAILABLE PSYCHIATRIC BEDS IN THE ST. LOUIS METROPOLITAN AREA. THIS HAS ENHANCED MHL PATIENT REFERRALS TO HOSPITAL-BASED BEHAVIORAL HEALTH SERVICES.- 2018 MERCY IMPLEMENTED THE EMERGENCY ROOM ENHANCEMENT PROJECTS (ERE) IN PARTNERSHIP WITH AREA MENTAL HEALTH PROVIDERS AND BEHAVIOR HEALTH NETWORK TO ADDRESS MENTAL HEALTH PATIENTS WHO ARE HIGH UTILIZERS OF EMERGENCY ROOMS. ERE STREAMLINES THE PROCESS FOR PATIENTS IN OBTAINING THE APPROPRIATE LEVEL OF BEHAVIORAL HEALTH CARE SERVICES NEEDED AND REDUCES PREVENTABLE HOSPITAL READMISSIONS FOR MENTAL HEALTH SERVICES.- 2018 MERCY IMPLEMENTED ENGAGING PATIENTS IN CARE COORDINATION (EPICC) IN PARTNERSHIP WITH AREA SUBSTANCE USE TREATMENT PROVIDERS AND BEHAVIORAL HEALTH NETWORK TO EXPEDITE THE INITIATION OF REHABILITATION AND ACCESS TO MEDICATION-ASSISTED TREATMENT, COUNSELING, BEHAVIORAL THERAPY AND A PEER-SUPPORT SPECIALIST. PATIENTS WHO HAVE BEEN BROUGHT TO MHL EMERGENCY DEPARTMENT FROM AN OPIOID OVERDOSE ARE OFFERED THIS SERVICE AT NO CHARGE. MANY OF THE COMMUNITY COMMENTS OR CONCERNS WE HEARD WERE ASKING TO BRING MORE HEALTH CARE SERVICES TO LINCOLN COUNTY, SUCH AS OB/GYN, SPECIALTY CARE AND PHARMACIES. LINCOLN COUNTY WAS DECLARED A HEALTH PROFESSIONAL SHORTAGE AREA BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES IN 2015 WHICH ENCOMPASSES PRIMARY CARE, DENTAL/ORAL CARE, AND MENTAL HEALTH SERVICES. ADVANCEMENTS IN SCIENCE AND TECHNOLOGY ARE MAKING TELE-HEALTH A REALITY AND MORE READILY AVAILABLE TO THOSE IN RURAL COMMUNITIES. PLANS WILL BE TO IMPLEMENT "VIRTUAL CARE" AS APPROPRIATE UTILIZING MERCY'S VIRTUAL CARE CENTER WHICH OPENED IN ST. LOUIS IN 2015.MHL WILL CONTINUE TO SUPPORT, COLLABORATE AND PARTNER WITH COMMUNITY AGENCIES TO ADDRESS THESE ADDITIONAL COMMUNITY NEEDS: - ACCIDENTAL INJURIES/VIOLENCE: DOMESTIC, ELDERLY, CHILD ABUSE, AND TRAFFICKINGMHL WORKS CLOSELY WITH DOMESTIC VIOLENCE, SEX TRAFFICKING AND FAMILY SERVICES AGENCIES, SUCH AS BRIDGEWAY BEHAVIORAL HEALTH WOMEN'S SHELTER, LINCOLN COUNTY RESOURCE BOARD, TURNING POINT AND LOCAL LAW ENFORCEMENT TO INSURE PATIENTS ARE GIVEN SAFE CHOICES WHILE IN A HOSPITAL SETTING. MERCY HAS BEGUN SAFETY AWARENESS AND EDUCATIONAL CAMPAIGNS WHICH INCLUDES INTERNAL TRAINING VIDEOS, RESTROOM RESOURCE POSTERS, AND THE INCORPORATION OF A SAFETY SCREENING/REFERRAL QUESTION WHICH CUES UP IN EACH PATIENT'S MERCY'S ELECTRONIC MEDICAL RECORD (EMR).- HEALTHY LIFESTYLES: HEART DISEASE, HIGH BLOOD PRESSURE, OBESITY/POOR NUTRITION/PHYSICAL INACTIVITYMERCY HAS PRIORITIZED IMPROVING HEALTHY LIFESTYLES AMONG ITS 10,000+ COWORKERS IN THE EAST COMMUNITY. THE HEALTHIFICATION PROGRAM IS A ROBUST INITIATIVE THAT PROVIDES COMPREHENSIVE HEALTH EVALUATION, SCREENING, EDUCATION, AND INCENTIVES TO INCREASE HEALTHY BEHAVIORS AND IMPROVE HEALTH AMONG MERCY COWORKERS. MERCY CLINIC ALSO OFFERS A VARIETY OF PROGRAMS AND SERVICES TO ADDRESS CHRONIC CONDITIONS AND A HEALTHY LIFESTYLE.- CANCERS: COLON, RECTUM AND LUNGCOMMUNITY CANCER SCREENINGS AND EDUCATION CONTINUE TO BE OFFERED REGIONALLY. EFFORTS TO ADDRESS TOBACCO CESSATION WILL CONTINUE THROUGH MERCY'S CERTIFIED HEALTH AND WELLNESS COACH/MERCY ROAD TO FREEDOM PROGRAM THROUGH MERCY'S CARDIOPULMONARY REHAB AREA. ADDITIONALLY, MERCY WILL CONTINUE TO ADVOCATE AROUND MEASURES THAT PROMOTE TOBACCO CESSATION. ST. LOUIS CITY AND COUNTY HAVE LEGALLY RAISED THE AGE TO PURCHASE TOBACCO PRODUCTS TO AGE 21. MHL WILL LOOK FOR OPPORTUNITIES TO EXPAND THIS LEGISLATION TO LINCOLN COUNTY WHERE THE AGE IS 18. ADDITIONAL NEEDS NOT BEING ADDRESSED AND WHY- PHYSICAL ENVIRONMENT: AIR/WATER QUALITY AND HOUSINGIN THE CATEGORY OF PHYSICAL ENVIRONMENT, MHL HAS CHOSEN TRANSPORTATION, UNDER THE ACCESS TO CARE PRIORITY, BUT NOT AIR/WATER OR HOUSING ISSUES DIRECTLY. COLLABORATION WITH LOCAL COALITIONS ADDRESSING HOMELESSNESS AND HOUSING WILL CONTINUE AS WILL MERCY'S SUPPORT OF INDUSTRY, GOVERNMENT, NON-GOVERNMENTAL ORGANIZATIONS AND THE PUBLIC IN ADDRESSING AIR AND WATER QUALITY IN OUR AREA. IN 2018, MERCY OPENED THEIR DOORS TO BE AN EMERGENCY OVERNIGHT WINTER SHELTER TO PREVENT THOSE IN NEED FROM FREEZING TO DEATH. MERCY HOSPITAL LINCOLN 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. SCHEDULE H, PART V, QUESTIONS 4 AND 9 THE TAXPAYER FILES ITS FORM 990 ON A FISCAL YEAR BASIS, I.E. 7/1/18 6/30/19. ACCORDINGLY THE TAXPAYER IS REQUIRED TO UTILIZE THE 2018 IRS FORMS.NOTE THAT THE RESPONSES TO LINES 4 AND 9 CANNOT REFLECT A YEAR LATER THAN 2018, AND ARE THEREFORE REFLECTED AS "2018". HOWEVER, THE CHNA (QUESTION 4) AND THE IMPLEMENTATION STRATEGY (QUESTION 9) WERE COMPLETED DURING MAY OF 2019. 6 1 - MERCY HOSPITAL LINCOLN FAMILY MEDICINE 1003 EAST CHERRY STREET TROY MO 63379 HOSPITAL BASED OUTPATIENT DEPTS: FAMILY PRACTICE 2 - MERCY HOSPITAL LINCOLN FAMILY MED & PS 900 EAST CHERRY STREET TROY MO 63379 HOSPITAL BASED OUTPATIENT DEPTS: FAMILY PRACTICE & PSYCH SERVICES 3 - MERCY HOSPITAL LINCOLN FAMILY PRAC 1165 EAST CHERRY STREET TROY MO 63379 HOSPITAL BASED OUTPATIENT DEPTS: FAMILY PRACTICE 4 - MERCY CLINIC GENERAL SURGERY 1175 EAST CHERRY STREET TROY MO 63379 HOSPITAL BASED OUTPATIENT DEPTS: GENERAL SURGERY 5 - MERCY HOSPITAL LINCOLN FAM MED ELSBERRY 106 BROADWAY STREET SUITE 3C ELSBERRY MO 63343 HOSPITAL BASED OUTPATIENT DEPTS: FAMILY PRACTICE 6 - MERCY HOSPITAL LINCOLN FAM MED WINFIELD 35 WINFIELD PLAZA WINFIELD MO 63389 HOSPITAL BASED OUTPATIENT DEPTS: FAMILY PRACTICE 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 $42,248,218. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $7,549,353. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $2,471,775. 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 LINCOLN (MHL) WAS ACQUIRED FROM LINCOLN COUNTY MEDICAL CENTER IN MARCH 2015 AS A CRITICAL ACCESS HOSPITAL. OUR COMMUNITY BUILDING ACTIVITIES HAVE CONTINUED TO PROMOTE THE HEALTH, WELLNESS AND SAFETY OF THE COMMUNITY IN WHICH 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. MERCY HOSPITAL LINCOLN PARTNERS WITH ORGANIZATIONS, CHURCHES, SCHOOLS AND AREA BUSINESSES TO CONTINUALLY STRIVE TO IMPROVE THE OVERALL HEALTH AND STRENGTH OF THE COMMUNITIES THEY SERVE WITH SPECIAL FOCUS ON THOSE WHO ARE POOR. SOME OF THESE COMMUNITY BUILDING PARTNERSHIPS AND COMMUNITY ENGAGEMENT ACTIVITIES INCLUDE:- LINCOLN COUNTY HEALTH DEPARTMENT- LINCOLN COUNTY RESOURCE BOARD- LINCOLN COUNTY COUNCIL ON AGING/SENIOR TASK FORCE- STS. JOACHIM & ANN CARE SERVICE- TROY AREA CHAMBER OF COMMERCEIN ADDITION, MHL ACTIVELY PARTICIPATES IN COALITIONS THAT ALIGN WITH THE HOSPITAL'S CHNA TOP HEALTH PRIORITIES OF ACCESS TO CARE AND SUBSTANCE USE, SUCH AS:- LINCOLN COUNTY HEALTHY COMMUNITIES- D.A.R.T. DRUG ALCOHOL REDUCTION TEAM TASK FORCE- ST. CHARLES, WARREN & LINCOLN COUNTY CONTINUUM OF CARE FOR ENDING HOMELESSNESSCASH/IN-KIND DONATIONSMERCY PROVIDES CASH AND IN-KIND DONATIONS ALL YEAR LONG 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 2018, CASH DONATIONS WERE GIVEN TO ORGANIZATIONS THROUGHOUT THE COMMUNITY THAT INCLUDED:- LINCOLN COUNTY COUNCIL ON AGING - MOSCOW MILLS LIONS CLUB- TROY BUCHANAN HIGH SCHOOL- TROY FUTURE FARMERS OF AMERICAA FULL DESCRIPTION OF OUR COMMUNITY BUILDING ACTIVITIES CAN BE FOUND AT WWW.MERCY.NET/ABOUT/COMMUNITY-BENEFITS. 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 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 UNCOLLECTED, INCLUDING THOSE PLACED WITH COLLECTION AGENCIES, ARE INITIALLY CHARGED AGAINST THE ALLOWANCE FORUNCOLLECTIBLE ACCOUNTS IN ACCORDANCE WITH COLLECTION POLICIES OF THEHEALTH SYSTEM AND, IN CERTAIN CASES, ARE RECLASSIFIED TO CHARITY CAREIF DEEMED TO OTHERWISE MEET THE HEALTH SYSTEM'S CHARITY CARE POLICY.THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES IS BASED ON MANAGEMENT'SASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERINGBUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, ANDOTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR,MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLERECEIVABLES BASED UPON THE PAYOR COMPOSITION AND AGING OF RECEIVABLESAS OF THE REPORTING DATE WITH CONSIDERATION OF THE HISTORICAL PAYMENTAND WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESEREVIEWS ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FORUNCOLLECTIBLE RECEIVABLES TO ESTABLISH AN APPROPRIATE ALLOWANCE FORUNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROMINSURANCE, THE HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FORPLACING PAST-DUE BALANCES WITH COLLECTION AGENCIES. PART III, LINE 8: IT IS THE POSITION OF MERCY HOSPITALS EAST COMMUNITIES THAT 100% OF ANY SHORT FALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS AMOUNT REPRESENTS COST OF PROVIDING SERVICES THAT REMAIN UNCOMPENSATED TO THE PROVIDER. THE UNREIMBURSED COSTS OF MEDICARE IS CALCULATED BY THE GROSS 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'S; INCLUDING MEDICAID. IN THE EVENT AN ACCOUNT IS TURNED TO COLLECTIONS, AND IS IDENTIFIED IN NEED OF FINANCIAL ASSISTANCE DUE TO CIRCUMSTANCE CHANGES, OR 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 THIRD PARTY TOOL TO ENHANCE THE ABILITY TO DETERMINE THE CHARITY QUALIFICATION PRIOR TO TURNING TO BAD DEBT, A PROCESS KNOWN AS PRESUMPTIVE CHARITY; USING HOUSEHOLD SIZE AND INCOME. 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. IN ADDITION, MERCY UTILIZES THE SAME TOOL TO QUALIFY ACCOUNTS PER THE PRACTICE OF PRESUMPTIVE CHARITY PRIOR TO BAD DEBT PLACEMENT FOR BALANCES IN EXCESS OF $6500. 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. 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 A 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 OCCURS PRIOR TO ANY EXTRAORDINARY COLLECTIONS ARE PURSUED. PART VI, LINE 2: COMMUNITY HEALTH NEEDS ASSESSMENT PROCESSIN MARCH OF 2016, MERCY HOSPITAL LINCOLN (MHL) BEGAN PLANNING FOR ITS 2016-2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA).A COMMUNITY HEALTH COUNCIL (CHC), LED BY THE ADMINISTRATOR OF MERCY HOSPITAL LINCOLN, WAS FORMED AND GUIDED THE NEEDS ASSESSMENT PROCESS. 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., IN ADDITION TO 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 2016 CHNA. A SAINT LOUIS UNIVERSITY MASTER OF HEALTH ADMINISTRATION STUDENT PROVIDED SUPPORT BY COLLECTING AND REVIEWING DATA FROM VARIOUS SOURCES. THESE INCLUDED SURVEYS, FOCUS GROUPS, PUBLISHED DATA, AND HOSPITAL-SPECIFIC DATA.THE VOICES OF THE PEOPLE OF LINCOLN COUNTY WERE CENTRAL TO THE HEALTH NEEDS ASSESSMENT PROCESS. MHL GATHERED COMMUNITY INPUT THROUGH: - SURVEYS - ONLINE AND PRINTED (FOR THOSE WITH NO COMPUTER ACCESS)- MERCY COMMUNITY ADVISORY PANELS- COMMUNITY COALITIONS AND STAKEHOLDER MEETINGSEXTERNAL SOURCES OF PUBLISHED DATA AREA AS FOLLOWS:1. COUNTY HEALTH RANKINGS 2016WWW.COUNTYHEALTHRANKINGS.ORGTHIS RESOURCE PROVIDES COUNTY-LEVEL DATA ON IMPORTANT HEALTH INDICATORS UPDATED ANNUALLY BY THE UNIVERSITY OF WISCONSIN-POPULATION HEALTH INSTITUTE AND THE ROBERT WOOD JOHNSON FOUNDATION.2. CDC COMMUNITY HEALTH STATUS INDICATOR REPORTHTTP://WWWN.CDC.GOV/COMMUNITYHEALTH/PROFILE/CURRENTPROFILE/MO/LINCOLN/COMMUNITY HEALTH STATUS INDICATORS (CHSI) 2015 IS AN ONLINE WEB APPLICATION THAT PRODUCES HEALTH STATUS PROFILES FOR EACH OF THE 3,143 COUNTIES IN THE UNITED STATES AND THE DISTRICT OF COLUMBIA. SUMMARY COMPARISON REPORTS PROVIDE AN "AT A GLANCE" SUMMARY OF HOW THE SELECTED COUNTY COMPARES WITH PEER COUNTIES ON THE FULL SET OF PRIMARY INDICATORS. (APPENDIX D)3. MISSOURI DEPARTMENT OF HEALTH & SENIOR SERVICES - BUREAU OF HEALTH INFORMATION AND MICA (MISSOURI INFORMATION FOR COMMUNITY ASSESSMENT)HTTP://HEALTH.MO.GOV/DATA/COMMUNITYDATAPROFILES/INDEX.HTMLTHIS RESOURCE PROVIDES COMMUNITY HEALTH ASSESSMENT PLANNING TOOLS AND COMMUNITY DATA PROFILES ON THIRTY HEALTH INDICATORS ON ALL 115 OF MISSOURI'S COUNTIES.4. COMMUNITY COMMONSHTTP://WWW.COMMUNITYCOMMONS.ORG/THIS RESOURCE IS DESIGNED TO ASSIST HOSPITALS AND OTHER ORGANIZATIONS SEEKING TO BETTER UNDERSTAND THE NEEDS AND ASSETS OF THEIR COMMUNITIES, AND TO ENCOURAGE COLLABORATION TO MAKE MEASURABLE IMPROVEMENTS IN COMMUNITY HEALTH AND WELL-BEING. PRIORITIZED SIGNIFICANT COMMUNITY HEALTH NEEDSTHE NOMINAL GROUP TECHNIQUE WAS USED IN THE PRIORITY SETTING PROCESS. THE MERCY HOSPITAL LINCOLN COMMUNITY HEALTH COUNCIL 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 MHL ALONG WITH THE STRATEGIC PLAN WERE ALSO CONSIDERED. UPON REVIEW AND DISCUSSION OF THE PRIMARY AND SECONDARY DATA GATHERED, THE HOSPITAL'S STRATEGIC PLAN, AND THE RESOURCES AVAILABLE AT THE HOSPITAL AND IN THE COMMUNITY, THE FOLLOWING PRIORITIES WERE SELECTED:- MENTAL HEALTH- SUBSTANCE USE - ACCESS TO CARETHE COMMUNITY HEALTH COUNCIL THEN CREATED A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR MHL, IDENTIFYING SPECIFIC INITIATIVES RELATED TO IMPROVING EACH OF THESE HEALTH PRIORITIES. THE CHIP WAS DESIGNED WITH REALISTIC, MEASUREABLE, AND ATTAINABLE GOALS THAT ALIGN WITH THE MISSION AND STRATEGY OF THE ORGANIZATION. MERCY HOSPITAL LINCOLN ALSO ASSESSES THE NEEDS OF THE COMMUNITY THROUGH REQUESTS BY LOCAL AGENCIES. ACCORDING TO THE CATHOLIC HEALTH ASSOCIATION, A REQUEST FROM A PUBLIC AGENCY OR COMMUNITY GROUP TO INITIATE OR CONTINUE AN ACTIVITY OR PROGRAM MEETS THE REQUIREMENTS FOR A DOCUMENTED COMMUNITY NEED. MERCY'S INVOLVEMENT WITH COMMUNITY ORGANIZATIONS LIKE SALVATION ARMY'S BELL RINGING IS BASED ON THE ORGANIZATION'S REQUEST FOR SUPPORT. 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: MERCY HOSPITAL LINCOLN'S PRIMARY SERVICE AREA INCLUDES LINCOLN COUNTY IN MISSOURI. THE FOLLOWING INFORMATION IS DERIVED FROM 2018 IBM/WATSTON'S DEMOGRAPHICS AND FY2018 DECISION RESOURCE GROUP'S INSURANCE COVERAGE ESTIMATES. THE AREA'S POPULATION IS 64,731. 37% OF THE POPULATION'S AVERAGE HOUSEHOLD INCOME IS OVER $75,000. 40% OF THE POPULATION IS 45 AND OLDER. A PREVIOUS SURVEY INDICATED THAT 18% OF THE HOUSEHOLDS ARE ON MEDICARE, 16% ON MEDICAID, AND 12% UNINSURED. PART VI, LINE 5: OPEN MEDICAL STAFFMEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR NEARLY ALL OF OUR DEPARTMENTS. MERCY HOSPITAL LINCOLN HAS EXCLUSIVE CONTRACTS WITH PHYSICIAN GROUPS FOR THE FOLLOWING SERVICES: RADIOLOGY, PATHOLOGY AND ANESTHESIA. THIS MEANS THAT GREATER THAN 90% OF THE PHYSICIANS ON STAFF ARE IN CATEGORIES THAT ARE OPEN TO QUALIFIED PHYSICIANS IN THE COMMUNITY.COMMUNITY BOARDS FY19 MERCY HEALTH EAST COMMUNITIES FY19 BOARD MEMBERSDON ARNOLD, MDJON BAUER, PHDCRAIG BOYD, MDMATUSCHKA LINDO-BRIGGSAPOLLO CAREYJEFF CIARAMITA, MDDENNIS GANNONKATHERINE GLOSENGER, RSMMICHAEL MARY GUTOWSKI, RSMWENDY HENRYJEFF JOHNSTONSUSAN O'CONNOR, RSMCHARLES REHM, MDGEORGE ROMANSTEPHEN SANDERS, MDKEVIN SHORTSTEVEN SWYERSMARIA LUISA VERA, RSMMERCY HOSPITAL LINCOLN FY19 BOARD MEMBERSDALE COPEDAVID EASTERDAY, DOJEFF JOHNSTONDON KALICAKBRADLEY MASSEY, DOANNETTE MEYERDR. MARK PENNYJOHN KELLYJEANETTE NOONAN, RSMDR. TIM RELLERUSE OF SURPLUS FUNDSSURPLUS FUNDS AND UNRESTRICTED ASSETS HELD BY MERCY HOSPITAL LINCOLN 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:- MERCY HOSPITAL AND MERCY CLINICS IN LINCOLN CONTINUED OPERATIONS ON EPIC, OUR ELECTRONIC HEALTH RECORD SYSTEM. BESIDES CONNECTING THE LINCOLN HOSPITAL WITH MERCY HOSPITALS AND 300 OUTPATIENT FACILITIES ACROSS ARKANSAS, KANSAS, MISSOURI AND OKLAHOMA, THE ELECTRONIC HEALTH RECORD ALSO SERVES AS A CENTRAL STORAGE POINT FOR MEDICAL INFORMATION. THIS "ONE PATIENT, ONE RECORD" CONCEPT MAKES HEALTH CARE EASIER, SAFER AND MORE EFFECTIVE.- CONTINUE TO ADD AND SUPPORT VIRTUAL SERVICES TO INCLUDE E-HOSPITALIST SERVICES AND TELE-STROKE. THIS INCLUDES A WIRED INFRASTRUCTURE.- PROVIDE A FULLTIME CARDIOLOGIST FOR CARDIOLOGY CLINIC - OPENED A NEW ORTHOPEDIC OFFICE ON SITE THAT SEES PATIENTS FROM THE LOCAL PRIMARY CARE OFFICES AS WELL AS THE URGENT CARE AND EMERGENCY DEPARTMENT. OFTEN TIMES THEY CAN BE SEEN THE SAME DAY. - CONTINUED EXPANSION OF PRIMARY CARE AND SPECIALTY CARE PHYSICIANS TO THE MERCY HOSPITAL LINCOLN SERVICE AREA WITH A FOCUS TO REACH THE UNDERSERVED POPULATIONS CLOSER TO THEIR HOMES- 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- CONTINUED PARTNERING WITH THE LINCOLN COUNTY RESOURCE BOARD TO ADDRESS THE BEHAVIORAL HEALTH NEEDS OF THE COUNTYADDITIONAL COMMUNITY HEALTH INITIATIVE/INFORMATIONCURRENTLY NOT INCLUDED THROUGH THE REPORTING OF COMMUNITY BENEFIT OR COMMUNITY BUILDING ACTIVITIES ARE:IN KEEPING WITH MHL'S COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITY, MHL 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 ACTIVITIES.NUMEROUS 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. MERCY NEIGHBORHOOD MINISTRY (MNM)MERCY NEIGHBORHOOD MINISTRY IS A DEPARTMENT THAT SUPPORTS THE SERVICE AREAS OF MERCY HOSPITALS LINCOLN, ST. LOUIS, WASHINGTON, JEFFERSON AND THE SURROUNDING COUNTIES. IT FOCUSES ON CONNECTING THE ECONOMICALLY UNDERSERVED WITH APPROPRIATE HEALTH AND SOCIAL SERVICES AS WELL AS OVERALL COMMUNITY HEALTH AND ACCESS THROUGH PROMOTION AND EDUCATION OF AVAILABLE PROGRAMS. MNM PARTNERS WITH OVER 100 COMMUNITY HEALTH AND SOCIAL SERVICE AGENCIES, CLINICS, CHURCHES AND SCHOOLS. NEARLY HALF OF ITS ANNUAL EXPENSES ARE OFFSET THROUGH MERCY FOUNDATION. MANY OF THE PROGRAMS MENTIONED BELOW ARE PART OF OUR CURRENT COMMUNITY HEALTH IMPACT PLAN (CHIP). THESE ARE INDICATED BY ASTERISKS.ACCESS TO CAREBEHAVIORAL HEALTH SUBSTANCE USEDETERRA BAGS*DISTRIBUTION OF MEDICATION NEUTRALIZING BAGS WERE DISTRIBUTED TO PATIENTS TO PROMOTE SAFE DISPOSAL OF UNUSED MEDICATIONS, ESPECIALLY OPIOIDS AND NARCOTICS. THESE BAGS ARE DESIGNED TO NEUTRALIZE THE MEDICATION ONCE WATER IS ADDED TO THE CHARCOAL-BASED BAG AND ALSO MAKES THE BAG EARTH-FRIENDLY. PDMP*AS MISSOURI IS THE ONLY STATE IN THE UNION WITHOUT A PRESCRIPTION DRUG MONITORING PROGRAM, ADVOCACY EFFORTS CONTINUE TO APPEAL TO THE STATE. PROVIDER EDUCATION CONTINUES TO PROMOTE USING THE ST. LOUIS COUNTY/MULTI-COUNTY SYSTEM IN PLACE. NARCAN TRAINING*MERCY HOSPITAL WASHINGTON ENTERED INTO PARTNERSHIP TO TRAIN FIRST RESPONDERS IN SEVERAL COUNTIES ON THE USE OF NARCAN (NALOXONE) WHICH REVERSES THE EFFECTS OF AN OPIOID OVERDOSE AND STORE THE NALOXONE AT MERCY. LINCOLN COUNTY AND MERCY HOSPITAL LINCOLN WERE PART OF THE PARTNERSHIP.MERCY 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 TO STOP USING TOBACCO PRODUCTS. SINCE 2013, OVER 80 PEOPLE HAVE KICKED THE HABIT.PHYSICIANSMERCY HEALTH 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 SYSTEM: THE FILING ORGANIZATION IS PART OF MERCY HEALTH ("MERCY"). MERCY IS A MISSOURI NON-PROFIT CORPORATION WITH ITS HEADQUARTERS ("MINISTRY OFFICE") IN ST. LOUIS, MISSOURI. MERCY PROVIDES HEALTH CARE SERVICES IN FOUR STATES - ARKANSAS, KANSAS, MISSOURI, AND OKLAHOMA - AND HAS OUTREACH MINISTRIES LOCATED IN LOUISIANA, MISSISSIPPI, AND TEXAS. MERCY'S MISSION IS "AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE." AS OF JUNE 30, 2019, 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, 2019, MERCY HAD MORE THAN 10.2 MILLION OUTPATIENT AND PHYSICIAN OFFICE VISITS, APPROXIMATELY 2,400 EMPLOYED PHYSICIANS, AND APPROXIMATELY 45,000 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 0 1 0 0 0 0 0 0 0 EASTERDAY DAVID PHYSICIAN & BOARD MEMBER 0 293588 0 44902 0 23453 0 17550 0 2607 0 382100 0 0 KALICAK DONALD VP - BUSINESS DEVELOPMENT & PLANNING 0 259368 0 121014 0 20562 0 60386 0 13157 0 474487 0 31823 MACKIN STEPHEN L SVP & BOARD MEMBER 0 600143 0 329157 0 19040 0 95981 0 17872 0 1062193 0 0 MATEJKA CHERYL L CHIEF FINANCIAL OFFICER 0 430902 0 236247 0 60514 0 72576 0 17733 0 817972 0 0 JOHNSTON JEFFREY A PRESIDENT, EAST COMMUNITIES 0 665326 0 446065 0 43330 0 117088 0 18189 0 1289998 0 0 ROTHERMICH ANTHONY ADMINISTRATOR, MERCY HOSP LINCOLN 188213 0 41608 0 25905 0 30059 0 16919 0 302704 0 0 0 THORN MARK A EXEC DIRECTOR, FINANCE 115031 0 17205 0 26452 0 7204 0 6442 0 172334 0 0 0 EARLE KIMBERLY A MANAGER, PHARMACY SERVICES 142566 0 40 0 5957 0 6822 0 10412 0 165797 0 0 0 KLIETHERHMES JACOB EXEC DIRECTOR, NURSING 105033 0 16345 0 28487 0 9396 0 6613 0 165874 0 0 0 MORAN JUDITH A NURSE ANESTHETIST 159474 0 2540 0 25625 0 6480 0 1029 0 195148 0 0 0 NEILL DAVID A NURSE ANESTHETIST 161196 0 3040 0 14377 0 0 0 6313 0 184926 0 0 0 SORENSEN DONN FORMER OFFICER 0 835967 0 711440 0 42623 0 129557 0 75649 0 1795236 0 0 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; KALICAK,DONALD; MACKIN,STEVE; JOHNSTON,JEFFREY THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C). DONALD KALICAK RECEIVED PAYMENT FROM RETIREMENT PLAN(S) DURING THE YEAR FROM A RELATED ORGANIZATION. THE AMOUNT REPORTED FOR KALICAK IN COLUMN (F) IS INCLUDED IN COLUMN B (I) AS BASE COMPENSATION. THIS PAYOUT WAS INCLUDED IN COLUMN (C) OF PREVIOUSLY FILED FORMS 990. FORM 990, SCHEDULE J, PART I, QUESTION 3 MERCY HEALTH (ULTIMATE 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 MARILOU SCHUMACHER FAMILY MEMBER OF ANNETTE MEYER, BOARD MEMBER 44147 EMPLOYMENT ARRANGEMENT 0 FORM 990, PART VI, SECTION A, LINE 6 THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HOSPITALS EAST COMMUNITIES. FORM 990, PART VI, SECTION A, LINE 7A MERCY HEALTH, THE ULTIMATE PARENT COMPANY AND THE MEMBER OF MERCY HEALTH EAST COMMUNITIES, HAS RESERVE POWERS TO APPOINT AND REMOVE ALL DIRECTORS AND OFFICERS FOR MERCY HEALTH EAST COMMUNITIES. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED TO THE CORPORATE MEMBER (AND WITH REGARD TO CERTAIN POWERS AND RESPONSIBILITIES, TO MERCY HEALTH EAST COMMUNITIES AS THE CORPORATE MEMBER OF THE CORPORATE MEMBER OR TO MERCY HEALTH): 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 CORPORATION 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; 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 PROMOTE 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 PARTICIPATION 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, 2019. 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), THE ORGANIZATION RELIES UPON MERCY HEALTH, WHICH USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT, AND REVIEW/APPROVAL OF COMPENSATION BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF MERCY HEALTH. 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, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST 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: NET TRANSFERS TO/FROM AFFILIATES -1,594,747. CHANGE IN RESTRICTED ASSETS -253. PART XII, LINE 2 AUDIT OF 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 2019 (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, LINE 3 SINGLE AUDIT ACT AND OMB CIRCULAR A-133 MERCY HEALTH UNDERGOES A CONSOLIDATED A-133 AUDIT EVERY YEAR AND DID SO FOR THE FISCAL YEAR ENDING JUNE 30, 2019. 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 AVAILABLE FOR AUDIT. THE FILING ENTITY RECEIVED FEDERAL FUNDS DURING THE YEAR ENDED JUNE 30, 2019, WAS INCLUDED ON THE MERCY HEALTH CONSOLIDATED SEFA, AND THEREFORE, WAS ALSO INCLUDED IN THE POPULATION AVAILABLE FOR AUDIT. FORM 990, SCHEDULE R, PART V SYSTEM LIMITATIONS MERCY HEALTH (MERCY) HAS A COMPLEX LEGAL STRUCTURE WITH OVER 60 LEGAL ENTITIES. LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY AND THE MAJORITY OF THE INTERCOMPANY/RELATED ORGANIZATION TRANSACTIONS ARE PROCESSED THROUGH LAWSON. WITH THE CURRENT DESIGN OF THE ERP SYSTEM, THERE ARE VARIOUS LIMITATIONS ON EXTRACTING THE INTERCOMPANY/RELATED ORGANIZATION INFORMATION 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, LINE 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, PART V, QUESTION 1A INDEPENDENT CONTRACTORS INDEPENDENT CONTRACTORS FOR THE FILING ORGANIZATION ARE PAID BY THE 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, 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. FORM 990, PAGE 1, B AMENDED RETURN THE FORM 990 IS AMENDED TO REFLECT CHANGES TO PART VII 1A, COLUMN (F), AND SCHEDULE J, PART II, COLUMN (D), WITH RESPECT TO THE FORMER OFFICER. 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 501C3 3 MERCY HEALTH OK COMMUNITIES 1 MERCY HOSPITAL AURORA 500 PORTER AVENUE AURORA MO 65605 431936696 HOSPITAL MO 501C3 3 MERCY HEALTH SPRINGFIELD COMM 1 MERCY HOSPITAL BERRYVILLE 214 CARTER STREET BERRYVILLE AR 72616 710759299 HOSPITAL AR 501C3 3 MERCY HEALTH NW ARK COMMUNITIES 1 MERCY HOSPITAL BOONEVILLE 880 WEST MAIN STREET BOONEVILLE AR 72927 463851119 HOSPITAL AR 501C3 3 MERCY HOSPITAL FORT SMITH 1 MERCY HOSPITAL CARTHAGE 3125 DR RUSSELL SMITH WAY CARTHAGE MO 64836 453808607 HOSPITAL MO 501C3 3 MERCY HEALTH SW MOKS COMM 1 MERCY HOSPITAL CASSVILLE 94 MAIN STREET CASSVILLE MO 65625 431936699 HOSPITAL MO 501C3 3 MERCY HEALTH SPRINGFIELD COMM 1 MERCY HOSPITAL COLUMBUS 220 PENNSYLVANIA AVENUE COLUMBUS KS 66725 270842031 HOSPITAL MO 501C3 3 MERCY HEALTH SW MOKS COMM 1 MERCY HOSPITAL EL RENO 2115 PARKVIEW DRIVE EL RENO OK 73036 272716065 HOSPITAL OK 501C3 3 MERCY HOSPITAL OKLAHOMA CITY 1 MERCY HOSPITAL FORT SMITH 7301 ROGERS AVENUE FORT SMITH AR 72917 710240352 HOSPITAL AR 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 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 3 MERCY HEALTH OK COMMUNITIES 1 MERCY HOSPITAL OZARK 801 W RIVER STREET OZARK AR 72949 710689680 HOSPITAL AR 501C3 3 MERCY HOSPITAL FORT SMITH 1 MERCY HOSPITAL PARIS 500 E ACADEMY PARIS AR 72855 710655753 HOSPITAL AR 501C3 3 MERCY HOSPITAL FORT SMITH 1 MERCY HOSPITAL ROGERS 2710 RIFE MEDICAL LN ROGERS AR 72758 710294390 HOSPITAL AR 501C3 3 MERCY HEALTH NW ARK COMMUNITIES 1 MERCY HOSPITAL SPRINGFIELD 1235 E CHEROKEE STREET SPRINGFIELD MO 65804 440552485 HOSPITAL MO 501C3 3 MERCY HEALTH SPRINGFIELD COMM 1 MERCY HOSPITAL TISHOMINGO 1000 SOUTH BYRD TISHOMINGO OK 73460 274433830 HOSPITAL OK 501C3 3 MERCY HOSPITAL ADA 1 MERCY HOSPITAL WALDRON 1341 W 6TH STREET WALDRON AR 72958 710557895 HOSPITAL AR 501C3 3 MERCY HOSPITAL FORT SMITH 1 MERCY HOSPITAL WATONGA INC 500 CLARENCE NASH BLVD WATONGA OK 73772 455199762 HOSPITAL OK 501C3 3 MERCY HOSPITAL OKLAHOMA CITY 1 MERCY HOSPITALS EAST COMM 645 MARYVILLE CTR DR STE 100 ST LOUIS MO 63141 430653493 HOSPITAL MO 501C3 3 MERCY HEALTH EAST COMMUNITIES 1 MERCY KANSAS COMMUNITIES INC 401 WOODLAND HILLS BLVD FT SCOTT KS 66701 480956045 HOSPITAL KS 501C3 3 MERCY HEALTH SW MOKS COMM 1 MERCY MINISTRIES OF LAREDO 2500 ZACATECAS LAREDO TX 78043 200198462 OUTREACH TX 501C3 7 MERCY HEALTH 1 MERCY RESEARCH 524 NORTH BOONEVILLE AVENUE SPRINGFIELD MO 65802 870796305 RESEARCH MO 501C3 4 MERCY HEALTH 1 MERCY ST FRANCIS HOSPITAL 100 W HIGHWAY 60 MOUNTAIN VIEW MO 65548 440607149 HOSPITAL MO 501C3 3 MERCY HEALTH SPRINGFIELD COMM 1 MHM SUPPORT SERVICES 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 202553101 CENTRALIZED HEALTH SYSTEM FUNCTIONS MO 501C3 11-II MERCY HEALTH 1 MISSION CLINICAL SERVICES 300 WERNER STREET HOT SPRINGS AR 71913 134239691 CHILD ADVOCACY CENTER AR 501C3 9 MERCY HEALTH 1 MERCY HEALTH FOUNDATION SOUTH 10010 KENNERLY ROAD ST LOUIS MO 63128 261516789 FOUNDATION MO 501C3 11-II MERCY HOSPITAL SOUTH 1 MERCY HOSPITAL SOUTH 10010 KENNERLY ROAD ST LOUIS MO 63128 430980256 HOSPITAL MO 501C3 3 MERCY HEALTH EAST COMMUNITIES 1 ST ANTHONY'S PHYSICIAN ORGANIZATION 10010 KENNERLY ROAD ST LOUIS MO 63128 431784536 HEALTH CARE MO 501C3 3 MERCY HOSPITAL SOUTH 1 ST MARYS HOSP ENID OK 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 730614655 INACTIVE OK 501C3 3 MERCY HEALTH OK COMMUNITIES 1 UNITY AMBULATORY CARE 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 431861745 INACTIVE MO 501C3 11-III MERCY HEALTH EAST COMMUNITIES 1 PLAZA SURGERY SERVICES COMPANY LLC 12700 SOUTHFORK ROAD ST LOUIS MO 63128 204709312 INACTIVE MO 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 CORP 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 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 ANTHONY'S PHYSICIAN ORGANIZATION OF ILLINOIS 10010 KENNERLY ROAD ST LOUIS MO 63128 320457168 HEALTH CARE MO MERCY HOSPITAL SOUTH C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 MHM SUPPORT SERVICES Q 9719989 FMV MERCY HEALTH EAST COMMUNITIES Q 9302123 FMV MERCY HEALTH FOUNDATION ST LOUIS Q 3924 FMV MERCY HEALTH FOUNDATION LINCOLN P 1765 FMV MERCY HOSPITALS EAST COMMUNITIES P 840905 FMV MERCY HOSPITAL JEFFERSON P 167573 FMV MERCY HOSPITAL SOUTH Q 23345 FMV MERCY CLINIC EAST COMMUNITIES Q 37498 FMV ST ANTHONY'S PHYSICIAN ORGANIZATION Q 15725 FMV MERCY HOSPITAL ROGERS P 838 FMV MERCY HEALTH SPRINGFIELD COMMUNITIES Q 8177 FMV MERCY KANSAS COMMUNITIES Q 8883 FMV MERCY ACO CLINICAL SERVICES Q 165205 FMV