MERCY HOSPITAL JEFFERSON: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: MERCY HOSPITAL JEFFERSON (EIN 43-0687077)
Tax period: 2016-07-01 to 2017-06-30
Filed: 2018-05-14
IRS object ID: 201831349349308348
Schema version: 2016v3.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-05-14T16:31:52-05:00	ReturnTs
Tax Period End	2017-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	562632458	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Pleus and Company LLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	14500 South Outer 40 Rd Ste 201A	AddressLine1Txt
City	Chesterfield	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63017	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	430687077	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Mercy Hospital Jefferson	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MERC	BusinessNameControlTxt
Phone	6369331107	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 350	AddressLine1Txt
City	Crystal City	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63109	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Cheryl Matejka	PersonNm
Person Title	Treasurer	PersonTitleTxt
Phone	3143643532	PhoneNum
Signature	2018-05-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DOUGLAS G PLEUS	PreparerPersonNm
PTIN	P00013488	PTIN
Phone	3143179916	PhoneNum

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Carl E Eric Ammons	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 350	AddressLine1Txt
City	Crystal City	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63109	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$179,386,943	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.mercy.net/crystalcitymo	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1953	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	A community based integrated healthcare system consisting of a 251 bed licensed facility which provides a full range of diagnostic, preventative and healthcare services along with 24 hour emergency room care.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	210	TotalEmployeeCnt
Total Volunteers	110	TotalVolunteersCnt
Total Gross UBI	$110,694	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$27,278	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$48,156	PYContributionsGrantsAmt
CY Contributions Grants	$178,647	CYContributionsGrantsAmt
PY Program Service Revenue	$170,193,604	PYProgramServiceRevenueAmt
CY Program Service Revenue	$176,328,402	CYProgramServiceRevenueAmt
PY Investment Income	-$3,295,488	PYInvestmentIncomeAmt
CY Investment Income	$5,381	CYInvestmentIncomeAmt
PY Other Revenue	$1,402,017	PYOtherRevenueAmt
CY Other Revenue	$1,237,160	CYOtherRevenueAmt
PY Total Revenue	$168,348,289	PYTotalRevenueAmt
CY Total Revenue	$177,749,590	CYTotalRevenueAmt
PY Grants And Similar Paid	$23,338	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$12,650	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$71,655,440	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$78,517,015	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$84,920,710	PYOtherExpensesAmt
CY Other Expenses	$86,448,198	CYOtherExpensesAmt
PY Total Expenses	$156,599,488	PYTotalExpensesAmt
CY Total Expenses	$164,977,863	CYTotalExpensesAmt
PY Revenues Less Expenses	$11,748,801	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$12,771,727	CYRevenuesLessExpensesAmt
Total Assets BOY	$179,763,466	TotalAssetsBOYAmt
Total Assets EOY	$228,166,343	TotalAssetsEOYAmt
Total Liabilities BOY	$11,173,838	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$14,320,368	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$168,589,628	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$213,845,975	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	As the Sisters of Mercy before us, we bring to Life the healing ministry of Jesus through our compassionate care and exceptional service.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$153,780,389	ExpenseAmt
Grant	$12,650	GrantAmt
Revenue	$177,104,296	RevenueAmt
Desc	Mercy Hospital Jefferson consists of a 251 bed licensed facility which provides a wide range of services. In fiscal year 2016, the following services were provided - 45,236 patient days, 406 deliveries, 32,835 emergency visits, 1,808 inpatient surgeries and 2,663 outpatient surgery procedures. Mercy Hospital Jefferson is committed to providing educational programs to the community. Free seminars and presentations are provided on a wide variety of health issues which impact patients and their families. Free services are also offered to the community such as lipid, cholesterol, bone density and glucose screenings as well as hearing and memory screenings.It is the policy of Mercy Hospital Jefferson to provide uncompensated care to patients in need of financial assistance in accordance with the hospital's established guidelines and without regard to race, religion, sex, age, or national origin. The cost, net of any payment received (net cost), to MHJ of providing care to persons qualifying for charity or Medicaid totaled $30,046,763 in the year ended 6/30/17. Additionally, the net cost for services provided to elderly and disabled patients under the Medicare program totaled $8,277,789. These amounts do not include the cost of health activities and programs to support the community, health education programs and other community support activities.	Desc
Total Program Service Expenses	$153,780,389	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	1	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	210	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Daniel Eckenfels	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6369331107	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 350	AddressLine1Txt
City	Crystal City	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63019	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Ammons Carl E Eric
President, Mercy Hospital Jefferson & Board member	54.50	5.50	Yes (X)	$564,066	$0	$211,018
Barakat Ammar
Physician & board member	5.00	55.00	Yes (X)	$482,714	$0	$25,930
Breeze Tonda
Board member	0.50	0.50	Yes (X)	$0	$0	$0
Briccio Cadiz
Board member	1.00	0.00	Yes (X)	$0	$0	$0
Carron RSM Sr Judith Ann
Board member	1.00	1.00	Yes (X)	$0	$0	$0
Enger MD Kevin
Board member	0.50	0.00	Yes (X)	$0	$0	$0
Eric Knoll
Board member	1.00	0.00	Yes (X)	$0	$0	$0
Guzon Oslar
Board member	1.00	0.00	Yes (X)	$0	$0	$0
King BA M Div Rev Jack
Board member	0.50	0.50	Yes (X)	$0	$0	$0
Rehm MD Charles
Chief Administrative Officer & Board member	4.00	56.00	Yes (X)	$0	$838,329	$107,770
Roukoz Bassam A
Board member	1.00	0.00	Yes (X)	$0	$0	$0
Hannasch Susan
Regional VP-General Counsel	10.00	50.00		$0	$361,065	$58,095	Yes (X)
Johnston Jeffrey A
President-East Communities-starting 04/17	1.00	61.00		$0	$874,021	$280,719	Yes (X)
Matejka Cheryl L
Chief Financial Officer	10.00	50.00		$0	$600,367	$85,576	Yes (X)
Sorensen Donn
President-East Communities-thru 04/17	5.00	59.00		$0	$1,070,621	$332,541	Yes (X)
Bryson Jared
VP Mission	60.00	0.00		$175,213	$0	$26,217		Yes (X)
Eckenfels Daniel
VP Finance	58.50	1.50		$313,630	$0	$25,674		Yes (X)
Meyer Michele
VP Operations	60.00	0.00		$295,122	$0	$25,674		Yes (X)
Al Furgani Mahmud M
Physician	54.00	6.00		$596,142	$0	$25,643			Yes (X)
Alam Tariq
Physician	34.00	6.00		$715,573	$0	$25,643			Yes (X)
Albano Benjamin Y
Physician	40.00	0.00		$524,206	$0	$28,284			Yes (X)
Gadi Bhaskara R
Physician	50.00	0.00		$574,726	$0	$18,936			Yes (X)
Weick MD Raymond M
Physician	46.00	6.00		$532,773	$0	$17,934			Yes (X)
Julien Sheila
Former key employee	0.00	0.00		$108,618	$0	$12,094				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,882,783	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,744,403	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,307,748	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	86	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
McCarthy Building Co
1341 North Rock Hill Road	St Louis	MO	63124	Construction	$20,687,221
Musick Construction Co
254 Hanley Industrial Ct	St Louis	MO	63144	Construction	$4,392,246
Acuity Anesthesiology LLC
1734 Clarkson Road Suite 147	Chesterfield	MO	63017	Anesthesia Services	$3,556,221
Rehabcare Group Inc
7733 Forsyth Blvd Ste 1700	St Louis	MO	63105	IP Acute Rehab and OP Rehab Services	$3,254,870
Bates and Associates
433 W Walnut	Springfield	MO	65806	Architectural Services	$2,067,787

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	31	CntrctRcvdGreaterThan100KCnt
Related Organizations	$163,688	RelatedOrganizationsAmt
Government Grants	$14,959	GovernmentGrantsAmt
Total Contributions	$178,647	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Net Patient Service Re	621110	$175,393,533	$175,393,533
Rental From Affiliated	531120	$784,452	$784,452
Lab Services	621500	$150,417	$45,158	$105,259

Field	Value	IRS element (for citing)
Total Program Service Revenue	$176,328,402	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,381	TotalRevenueColumnAmt
Exclusion	$5,381	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$603,710	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,583,003	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$979,293	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$979,293	TotalRevenueColumnAmt
Exclusion	-$979,293	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$59,785	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$54,350	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,435	TotalRevenueColumnAmt
Unrelated Business Revenue	$5,435	UnrelatedBusinessRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafe & vending	722210	$1,038,195	$1,038,195
Gift shop sales	900099	$402,364	$402,364
Pharmacy Revenue	624100	$59,785		$59,785

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$710,674	TotalRevenueColumnAmt
Related Or Exempt Func Income	$710,674	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,211,018	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$177,749,590	TotalRevenueColumnAmt
Related Or Exempt Func Income	$176,993,602	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$110,694	UnrelatedBusinessRevenueAmt
Exclusion	$466,647	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$12,650	TotalAmt
Program Services	$12,650	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,923,313	TotalAmt
Program Services	$1,923,313	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$61,066,401	TotalAmt
Program Services	$58,962,133	ProgramServicesAmt
Management And General	$2,104,268	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,771,772	TotalAmt
Program Services	$2,674,732	ProgramServicesAmt
Management And General	$97,040	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$8,576,030	TotalAmt
Program Services	$8,287,448	ProgramServicesAmt
Management And General	$288,582	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,179,499	TotalAmt
Program Services	$4,039,509	ProgramServicesAmt
Management And General	$139,990	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	-$4,265	TotalAmt
Management And General	-$4,265	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$897	TotalAmt
Management And General	$897	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$8,074,217	TotalAmt
Program Services	$7,589,540	ProgramServicesAmt
Management And General	$484,677	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$80,746	TotalAmt
Program Services	$24,462	ProgramServicesAmt
Management And General	$56,284	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,458,309	TotalAmt
Program Services	$4,340,090	ProgramServicesAmt
Management And General	$118,219	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$53,387	TotalAmt
Program Services	$53,387	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,401,930	TotalAmt
Program Services	$1,247,718	ProgramServicesAmt
Management And General	$154,212	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$365,816	TotalAmt
Program Services	$343,074	ProgramServicesAmt
Management And General	$22,742	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,630	TotalAmt
Program Services	$2,630	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$8,618,568	TotalAmt
Program Services	$7,944,504	ProgramServicesAmt
Management And General	$674,064	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$889,110	TotalAmt
Program Services	$889,110	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Drugs & medical expense	$34,281,047	$34,070,852	$210,195
Bad debt expense	$13,396,179	$13,396,179
Shared service fees	$13,146,354	$6,836,104	$6,310,250
Repairs and maintenance	$1,098,700	$839,919	$258,781

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$584,573	TotalAmt
Program Services	$303,035	ProgramServicesAmt
Management And General	$281,538	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$164,977,863	TotalAmt
Program Services	$153,780,389	ProgramServicesAmt
Management And General	$11,197,474	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$4,778,989	BOYAmt
EOY	$4,674,259	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$19,460,498	BOYAmt
EOY	$20,882,004	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,166,970	BOYAmt
EOY	$2,686,036	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$113,210	BOYAmt
EOY	$103,738	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$176,764,743	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$31,848,077	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$94,622,126	BOYAmt
EOY	$144,916,666	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$52,924,664	BOYAmt
EOY	$52,924,664	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$4,697,009	BOYAmt
EOY	$1,978,976	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$179,763,466	BOYAmt
EOY	$228,166,343	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$10,334,897	BOYAmt
EOY	$7,436,702	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$113,295	BOYAmt
EOY	$126,645	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$725,646	BOYAmt
EOY	$6,757,021	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$11,173,838	BOYAmt
EOY	$14,320,368	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$168,551,277	BOYAmt
EOY	$213,832,205	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$38,351	BOYAmt
EOY	$13,770	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$168,589,628	BOYAmt
EOY	$213,845,975	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$179,763,466	BOYAmt
EOY	$228,166,343	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$12,771,727	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$32,484,620	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$22,484	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$22,484	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1:	FormAndLineReferenceDesc
Explanation	The filing organization is a member of and pays dues to the following hospital associations: Catholic Hospital Association, American Hospital Association and the Missouri Hospital Association. For the year ended June 30, 2017, dues were $19,649, $16,086, and $57,004, respectively. Approximately 3.76% of the Catholic Hospital Association dues, 21.78% of the American Hospital Association dues, and 32.00% of Missouri Hospital Association dues were attributable to lobbying activities performed by this association.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,267,407	OtherCostOrOtherBasisAmt
Book Value	$4,267,407	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$60,478,737	OtherCostOrOtherBasisAmt
Depreciation	$8,800,110	DepreciationAmt
Book Value	$51,678,627	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,317	OtherCostOrOtherBasisAmt
Depreciation	$1,891	DepreciationAmt
Book Value	$8,426	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$41,007,844	OtherCostOrOtherBasisAmt
Depreciation	$22,150,294	DepreciationAmt
Book Value	$18,857,550	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$71,000,438	OtherCostOrOtherBasisAmt
Depreciation	$895,782	DepreciationAmt
Book Value	$70,104,656	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$144,916,666	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
Other Liabilities	$450,449
DUE TO AFFILIATES	$6,306,572

Field	Value	IRS element (for citing)
Total Liability	$6,757,021	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part X, Line 2	FormAndLineReferenceDesc
Explanation	FEDERAL INCOME TAX PRIMARILY ALL OF THE MERCY HEALTH ENTITIES ARE RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS CHARITABLE ORGANIZATIONS QUALIFYING UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), BY VIRTUE OF IRS DETERMINATION LETTERS OR INCLUSION IN THE OFFICIAL CATHOLIC DIRECTORY. MERCY COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2017 OR 2016.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,763,900	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,763,900	NetCommunityBenefitExpnsAmt
Total Expense	0.02890	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,301,091	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,300,281	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,000,810	NetCommunityBenefitExpnsAmt
Total Expense	0.02430	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,064,991	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,300,281	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,764,710	NetCommunityBenefitExpnsAmt
Total Expense	0.05320	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$454,235	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$80,177	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$374,058	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$467,879	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$467,879	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,680,368	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,465,698	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,214,670	NetCommunityBenefitExpnsAmt
Total Expense	0.00740	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,780	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$700	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,080	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,613,262	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,546,575	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,066,687	NetCommunityBenefitExpnsAmt
Total Expense	0.01260	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$29,678,253	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,846,856	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,831,397	NetCommunityBenefitExpnsAmt
Total Expense	0.06580	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,900	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,900	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,276	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$21,276	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$211	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$211	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,557	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,557	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,725	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,689	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,036	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$70,669	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,689	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$61,980	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$2,837,893	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$52,447,958	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$60,725,747	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$8,277,789	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Mercy Hospital Jefferson	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 350	AddressLine1Txt
City	Crystal City	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63019	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.mercy.net/crystalcitymo	WebsiteAddressTxt
State License	529-2	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Mercy Hospital Jefferson	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.mercy.net/about/community/benefits	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	www.mercy.net/about/community-benefits	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www.mercy.net/open-pages/mercy-financial-assistance/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.mercy.net/open-pages/mercy-financial-assistance/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.mercy.net/open-pages/mercy-financial-assistance/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Mercy Hospital Jefferson

Part V, Section B, Line 5: When conducting its most recent CHNA and developing the Community Health Improvement Plan (CHIP), Mercy Hospital Jefferson worked with the Jefferson County Health Department (JCHD) as a primary community partner. JCHD utilizes the Mobilizing Action through Planning and Partnerships (MAPP) model, bringing agencies across Jefferson County together in a collaborative process. MHJ is currently engaged in the MAPP process through the Jefferson County Community Health Network (JCCHN). Below are a few examples of JCCHN agencies with coworkers who have special knowledge and expertise in the field of public health:- Jefferson County Health Department (JCHD): (Kelley Vollmar, Director of JCHD; Chrissy Oberle, Health Education Supervisor)- Community Treatment (COMTREA): (Dr. Nathan Suter, Dentist and Oral Health Director; Margo Pigg, Executive Vice President of Adult Behavioral Health)- Jefferson Franklin Community Action: (Paulette Hensley, Chief Program Officer) Additionally, a Mercy Hospital Jefferson Community Outreach Coordinator focuses on identifying unmet needs and gaps in services, making connections and referrals, developing partnerships, improving community health, and advocating for the most vulnerable. Partnering task forces with agency coworkers who have special knowledge and expertise in the field of public health include: - Methamphetamine Action Coalition (Cassie Miller, Tobacco Control Coordinator for JCHD; Kristen Bengston, Manager of Community Strategy for NCADA; Jillian Bissell, Project Coordinator for Jefferson County Drug Prevention Coalition (JCDPC))- Smoke Free Jefferson County (Adam Hunn, Health educator for JCDH; Linda Hardgrave, Program Coordinator Jefferson County Drug Prevention Coalition (JCDPC))- Alive and Well Health Learning Collaborative (Jennifer Brinkmann, President for Alive and Well, Sean Marz, Director of Training and Tech Assistance for Alive and Well)- Jefferson County Housing Solutions (Cathy Wendler, Office Manager for Economic Development Corp of Jefferson County; Suzie Delaney, Housing Manager for Comtrea)In order to better understand the broad interests of the community, a Mercy Community Health Qualtrics (a top data collection software application) survey (available in both hard-copy and on-line format) was designed to assess the perceptions and thoughts of community members about the health needs of their community (Appendix F). A total of 84 individuals completed the survey over a 15-month time frame (from the fall of 2014 to the end of 2015). A significant effort was made to bring hard-copy surveys to local food pantries in order to include the voices of populations less likely to access the survey via the internet. A total of 39 survey responses were received as a result of direct distribution in areas with high populations of underserved, low-income individuals. Additionally, in collaboration with MHJ, a community health survey was created by Victory Health Ministry, the health and wellness arm of Victory Church (Appendix G). The survey was distributed to the church's parishioners, and a total of 154 responses were collected and reviewed.

Mercy Hospital Jefferson

Part V, Section B, Line 11: Based on the findings of its most recently conducted CHNA, Mercy Hospital Jefferson has chosen to address the following three significant health needs identified in Jefferson County: - Access to care- Mental health- Substance useThese needs are being addressed in the hospital's Community Health Improvement Plan (CHIP), which can be accessed here: https://www.mercy.net/sites/default/files/vendor-resources/mhj_chip_161003.pdf. Some notable achievements during the FY17 year include:- The Community Referral Coordinator (CRC) program at Mercy Hospital St. Louis was expanded to the MHJ emergency department (ED) in order to provide patients without a medical home assistance in finding a primary care or specialty care provider, along with social service support, as appropriate. - Mercy Clinic Jefferson began implementing the Health Leads program in order to assist patients with health-related social needs through resource referral. - Mercy Clinic Jefferson Pilot SafeRide Program at MHJ for clinic and discharged patients who need transportation and do not meet current transportation criteria.- MOU between Mercy Hospital Jefferson and the Crisis Nursery was signed to establish a Crisis Nursery Outreach Center and staff an outreach coordinator on-site in order to assist parents with creating a stable environment for their children.Additional needs being addressed by the hospital include: - Violence: Domestic, Elderly, Child Abuse, and TraffickingMercy will continue its collaboration and involvement with A Safe Place, a local domestic violence shelter, as well as the awareness and education campaigns it has begun with restroom resource posters, a training video, and the incorporation of a screening question/referral process in Mercy's Electronic Medical Record (EMR). MHSL and Alternatives to Living in Violent Environments (ALIVE), a St. Louis based domestic violence agency, have implemented Project HOPE, the only program in the St. Louis area that allows domestic violence survivors to file for, and potentially have granted, orders of protection while still in a hospital setting. Inpatient care management is currently looking into expanding this resource to MHJ.- Cancer: Lung/Tobacco UseEfforts to address tobacco cessation will continue through Mercy's Certified Health and Wellness Coach/Mercy Road to Freedom program though Mercy's Cardiopulmonary Rehab area. Additionally, Mercy will continue to advocate around measures that promote tobacco cessation. For example, Tobacco 21, a bill introduced by a MHSL physician in 2016 to raise the tobacco products purchase age to 21 in St. Louis County, was recently passed and will go into effect on December 1, 2016. MHJ will look for opportunities to collaborate with MHSL and potentially expand legislation to Jefferson County. - Obesity/Poor Nutrition/Physical InactivityAlthough MHJ did not choose healthy lifestyles as a priority community health need to be addressed, Mercy has focused on its own coworkers, 10,000+ in the St Louis region, as a start to addressing this need. A robust initiative, Mercy's Healthification program, provides comprehensive health evaluation, screening, education, and incentives to increase healthy behaviors and improve health among Mercy coworkers. - Chronic Conditions: Heart Disease, Diabetes, or Asthma and AllergiesMHJ continues to provide education and support to those patients and community members with chronic conditions. In addition to having a Deaconess Faith Community Nurse and Mercy home health team, who provide patients with chronic disease management and education, a specialized congestive heart failure clinic was just established within the cardiology clinic in Jefferson. Clinic operations are also currently partnering with Novo Nordisk to provide Diabetic Academy, a 6 week free course focused on diabetes management. The following need is not being addressed by the hospital:- Environmental: Air/Water Quality MHJ will continue its partnership with the Jefferson County Health Department (JCHD) and will collaborate with any environmental initiatives they develop. However, it was felt by Mercy's Community Health Council (CHC) that while continued attention to this issue was important, Mercy's focus remains on providing quality healthcare. Therefore, the issues of access, and the community's crisis with behavioral health and addiction demanded Mercy's focus at this time.

Field	Value	IRS element (for citing)
Facility	8	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - Mercy Home Health-Jefferson
5 Industrial Drive	Festus	MO	62028	Hospital based outpatient depts: Home care services
2 - Mercy Hospice-Jefferson
5 Industrial Drive	Festus	MO	62028	Hospital based outpatient depts: Hospice services
3 - Mercy Imaging Services-Calvary Church Ro
1500 Calvary Church Rd	Festus	MO	62028	Hospital based outpatient depts: Lab & Imaging
4 - Mercy Surgery Center-Jefferson
1377 Highway 61 South	Festus	MO	62028	Hospital based outpatient depts: Surgery
5 - Mercy Home Health-Farmington
620 Maple Valley Dr Ste A	Farmington	MO	63640	Hospital based outpatient depts: Home health
6 - Mercy Hospice-Farmington
620 Maple Valley Dr Ste A	Farmington	MO	63640	Hospital based outpatient depts: Hospice services
7 - Mercy Therapy Services-Imperial
1250 Main Street	Imperial	MO	63012	Hospital based outpatient depts: physical therapy
8 - Mercy Therapy Services
702 N Main St	DeSoto	MO	63020	Hospital based outpatient depts: physical therapy

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 7g:	SUBSIDIZED HEALTH SERVICESTHE ORGANIZATION DID NOT INCLUDE ANY PHYSICIAN CLINIC COSTS ON LINE 7G.
Part I, Ln 7 Col(f):	TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) ARE $164,977,863. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $13,396,179. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $2,837,893.
PART I, LINE 6A	COMMUNITY BENEFIT REPORTTHE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS PREPARED BY ITS ULTIMATE PARENT ENTITY, MERCY HEALTH (EIN: 43-1423050).
Part II, Community Building Activities:	MERCY HOSPITAL JEFFERSON'S (MHJ) COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH, WELLNESS, AND SAFETY OF THE COMMUNITY IT SERVES. THROUGH ACTIVE PARTICIPATION ON COMMUNITY BOARDS, NEIGHBORHOOD/COMMUNITY COALITIONS, AND INVOLVEMENT IN COMMUNITY-BASED EVENTS, MERCY BUILDS PARTNERSHIPS TO DEVELOP COLLABORATIVE SOLUTIONS TO ADDRESS COMMUNITY NEEDS. SOME OF THESE COMMUNITY BUILDING PARTNERSHIPS AND COMMUNITY ENGAGEMENT ACTIVITIES INCLUDE: - JEFFERSON COUNTY HEALTH DEPARTMENT- JEFFERSON COUNTY GROWTH ASSOCIATION- JEFFERSON COLLEGE BOARD- PARTICIPATION IN THE DESOTO, HILLSBORO, TWIN CITY AREA, AND STE. GENEVIEVE CHAMBERS OF COMMERCE ACTIVITIES- KIWANIS CLUB- YMCA BOARD- COMTREA (COMMUNITY TREATMENT, INC.)IN ADDITION, MHJ ACTIVELY PARTICIPATES IN SEVERAL COALITIONS THAT ALIGN WITH THE HOSPITAL'S CHNA TOP HEALTH PRIORITY OF SUBSTANCE ABUSE, INCLUDING:- JEFFERSON COUNTY DRUG PREVENTION COALITION- JEFFERSON COUNTY METHAMPHETAMINE ACTION COALITION- SMOKE FREE JEFFERSON COUNTY. - Alive and WellEXAMPLES OF ONGOING PROJECTS LED BY THE COALITIONS LISTED ABOVE INCLUDE:- SUBSTANCE ABUSE AWARENESS DAY, A ONE DAY ANNUAL CONFERENCE THAT FOCUSES ON DRUG USE TRENDS IN THE JEFFERSON COUNTY COMMUNITY, THE EFFECTS OF SUBSTANCE ABUSE ON THE INDIVIDUAL AND THE COMMUNITY AND THE CONNECTION BETWEEN SUBSTANCE ABUSE AND MENTAL HEALTH. CASH/IN-KIND DONATIONSMERCY PROVIDES CASH AND IN-KIND DONATIONS THROUGH THE SUPPORT OF CO-WORKER ENGAGEMENT AND COMMUNITY SERVICE ACTIVITIES. THESE COMMUNITY BUILDING ACTIVITIES ALLOW MERCY CO-WORKERS TO LOOK BEYOND THE WALLS OF THE FACILITIES IN WHICH THEY SERVE TO BETTER UNDERSTAND AND ADDRESS THE NEEDS OF THE COMMUNITY.DURING FY17, CASH DONATIONS WERE GIVEN TO ORGANIZATIONS THROUGHOUT THE COMMUNITY THAT INCLUDED:- JEFFERSON COUNTY YMCA- JEFFERSON COLLEGE- FOX C-6 SCHOOL DISTRICT- PONY BIRD- Comtrea- Integrated Health NetworkA FULL DESCRIPTION OF OUR COMMUNITY BUILDING ACTIVITIES CAN BE FOUND AT WWW.MERCY.NET/ABOUT/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: "PATIENT ACCOUNTS THAT ARE UNCOLLECTED, INCLUDING THOSE PLACED WITH COLLECTION AGENCIES, ARE INITIALLY CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN ACCORDANCE WITH COLLECTIONS POLICIES OF THE HEALTH SYSTEM AND, IN CERTAIN CASES, ARE RECLASSIFIED TO CHARITY CARE IF DEEMED TO OTHERWISE MEET THE HEALTH SYSTEM'S CHARITY CARE POLICY. THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES BASED UPON THE PAYOR COMPOSITION AND AGING OF RECEIVABLES AS OF THE REPORTING DATE WITH CONSIDERATION OF THE HISTORICAL PAYMENT AND WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES."
Part III, Line 8:	IT IS THE POSITION OF MERCY HOSPITAL JEFFERSON THAT 100% OF ANY SHORT FALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS AMOUNT REPRESENTS COST OF PROVIDING SERVICES THAT REMAIN UNCOMPENSATED TO THE PROVIDER. THE UNREIMBURSED COSTS OF MEDICARE IS CALCULATED BY THE GROSS CHARGES NET OF THE COST TO CHARGE RATIO LESS ANY PAYMENTS, DEDUCTIONS OR REIMBURSEMENTS USING THE ANNUAL MEDICARE COST REPORT (CMS FORM 2552-96).
Part III, Line 9b:	MERCY'S COLLECTION POLICY PROVIDES THAT MERCY WILL PERFORM A REASONABLE COMMUNICATION AND/OR REVIEW OF PATIENT ACCOUNTS AS IT RELATES TO ANY SERVICE PROVIDED AT OUR FACILITIES BEFORE TURNING THE ACCOUNT TO BAD DEBT OR TAKING LEGAL ACTION FOR NONPAYMENT. MERCY ACTIVELY SCRUBS ACCOUNTS FOR PAYOR PLAN COVERAGE'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 TOOL TO ENHANCE THE ABILITY TO DETERMINE THE CHARITY QUALIFICATION PRIOR TO TURNING TO BAD DEBT; 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. 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 JANUARY OF 2015, MERCY HOSPITAL JEFFERSON (MHJ) BEGAN PLANNING FOR ITS 2016-2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE JEFFERSON COUNTY HEALTH DEPARTMENT (JCHD) SERVES AS THE PRIMARY COMMUNITY PARTNER FOR MERCY HOSPITAL JEFFERSON IN BOTH THE CHNA AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) PROCESSES. JCHD UTILIZES THE MOBILIZING ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) MODEL, BRINGING AGENCIES ACROSS JEFFERSON COUNTY TOGETHER IN A COLLABORATIVE PROCESS. MHJ IS CURRENTLY ENGAGED IN THE MAPP PROCESS THROUGH THE JEFFERSON COUNTY COMMUNITY HEALTH NETWORK. A COMMUNITY HEALTH COUNCIL, LED BY ERIC AMMONS, PRESIDENT OF MERCY HOSPITAL JEFFERSON, 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., AND A HOSPITAL BOARD MEMBER. THE COUNCIL DETERMINES WHICH HEALTH INITIATIVES WILL BE PUT FORTH IN THE HOSPITAL'S THREE-YEAR COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). CO-WORKERS IN MERCY'S COMMUNITY HEALTH & ACCESS DEPARTMENT SERVED ON THE COUNCIL AND WERE THE PRIMARY LEADS OF THE 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 JEFFERSON COUNTY WERE CENTRAL TO THE HEALTH NEEDS ASSESSMENT PROCESS. MHJ GATHERED COMMUNITY INPUT THROUGH: - SURVEYS - ONLINE AND PRINTED (FOR THOSE WITH NO COMPUTER ACCESS) - MERCY COMMUNITY ADVISORY PANELS- COMMUNITY COALITIONS AND STAKEHOLDER MEETINGS EXTERNAL SOURCES OF PUBLISHED DATA ARE AS FOLLOWS:- JEFFERSON COUNTY HEALTH DEPARTMENT ANNUAL SUMMARY REPORT - 2014 HTTP://WWW.JEFFCOHEALTH.ORG/IMAGES/STORIES/ADMINSERVICES/2014%20JCHD%20ANNUAL%20REPORT.PDF - JEFFERSON MEMORIAL COMMUNITY FOUNDATION - 2014 REPORTHTTP://JMCFMO.ORG/MEDIA/NEEDS_ASSESSMENT.PDF - COUNTY HEALTH RANKINGS 2016WWW.COUNTYHEALTHRANKINGS.ORG- COMMUNITY DATA PROFILES & MISSOURI INFORMATION FOR COMMUNITY ASSESSMENT (MICA)HTTP://HEALTH.MO.GOV/DATA/COMMUNITYDATAPROFILES/INDEX.HTML- COMMUNITY COMMONSWWW.COMMUNITYCOMMONS.ORGPRIORITIZED SIGNIFICANT COMMUNITY HEALTH NEEDSTHE NOMINAL GROUP TECHNIQUE WAS USED IN THE PRIORITY SETTING PROCESS. THE MERCY HOSPITAL JEFFERSON 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 MHJ 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 MHJ, 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 JEFFERSON 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 MEALS ON WHEELS 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, in addition to the web address providing the application, policies, and even how uninsured accounts are handled. Lastly, the statements message 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 JEFFERSON INCLUDES FOUR COUNTIES IN MISSOURI - JEFFERSON,WASHINGTON, STE. GENEVIEVE AND ST. FRANCOIS. THE FOLLOWING INFORMATION IS DERIVED FROM 2016 SG2 ANALYTICS DATA AND SG2 INSURANCE COVERAGE ESTIMATES. THE AREA'S POPULATION IS 304,996. 30% OF THE POPULATION HAS INCOME OVER$75,000. 43% OF THE POPULATION IS AGE 45 AND OLDER. 28% OF THE POPULATION IS ON MEDICARE, 17% ON MEDICAID, AND 10% UNINSURED.
Part VI, Line 5:	OPEN MEDICAL STAFF MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR NEARLY ALL OF OUR DEPARTMENTS. MERCY HOSPITAL JEFFERSON HAS EXCLUSIVE CONTRACTS WITH PHYSICIAN GROUPS FOR THE FOLLOWING SERVICES: RADIOLOGY, PATHOLOGY, ANESTHESIA AND EMERGENCY MEDICINE. THIS MEANS THAT THE MAJORITY OF THE PHYSICIANS ON STAFF ARE IN CATEGORIES THAT ARE OPEN TO QUALIFIED PHYSICIANS IN THE COMMUNITY.Community Board - FY17 Mercy Health East Communities FY17 Board MembersJon Bauer, PhDTricia Bolster, MDCraig Boyd, MDSteven BuschApollo CareyJeff Ciaramita, MDSr. Katherine Glosenger, RSM Sr. Michael Mary Gutowski, RSMJeff Johnston - ex officio William McKennaSr. Susan O'Connor, RSMWinn ReedCharles Rehm, MD - ex officioGeorge RomanStephen Sanders, MD - ChairBryant E. Scaife, Sr.Kevin ShortSteve Swyers Tessa TrelzSr. Maria Luisa Vera, RSMMercy Hospital Jefferson FY17 Board MembersEric Ammons - ex-officioTonda Breeze - ChairDr. Briccio CadizSr. Judy Carron, RSMKevin Enger, MDDennis GannonOsler Guzon, MD - ex-officio Jack KingEric KnollCharles Rehm, MDBassam Roukoz, MDUSE OF SURPLUS FUNDS SURPLUS FUNDS AND UNRESTRICTED ASSETS HELD BY MERCY HOSPITAL JEFFERSON ARE REINVESTED IN PATIENT CARE, MEDICAL EDUCATION AND RESEARCH INITIATIVES WHICH SUPPORT THE ORGANIZATION'S MISSION TO DELIVER COMPASSIONATE CARE AND EXCEPTIONAL HEALTH CARE SERVICES TO THE COMMUNITIES IT SERVES. EXAMPLES INCLUDE THE FOLLOWING:- NEW PATIENT TOWER PLANNED TO CONVERT MERCY HOSPITAL JEFFERSON TO A PRIVATE ROOM CAMPUS AS WELL AS TO EXPAND WOMEN'S HEALTH SERVICES IN THE REGION, REGARDLESS OF ABILITY TO PAY.- EXPANSION OF PRIMARY CARE AND SPECIALTY CARE PHYSICIANS TO THE MERCY HOSPITAL JEFFERSON SERVICE AREA WITH A FOCUS TO REACH THE UNDERSERVED POPULATIONS CLOSER TO THEIR HOMES.- 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 TO PROVIDE ADOLESCENT CARE FOR THE FIRST TIME IN JEFFERSON COUNTY. INITIALLY ADDING CLINIC PHYSICIANS FOR OP COVERAGE AND WILL EXPAND TO IOP (INTENSIVE OUTPATIENT THERAPY) THE FOLLOWING YEAR.- A NEW CANCER CENTER IS UNDER CONSTRUCTION TO BRING CARE CLOSER TO HOME FOR THE COMMUNITY.- Addition of a new 1.5T MRI to enable additional treatment and diagnosis not available before in Jefferson County. This magnet has nearly twice the power of the existing MRI at Mercy Hospital Jefferson or any other MRI in the service area. ADDITIONAL COMMUNITY HEALTH INITIATIVES/INFORMATIONCURRENTLY NOT INCLUDED THROUGH THE REPORTING OF COMMUNITY BENEFIT OR COMMUNITY BUILDING ACTIVITIES ARE:IN KEEPING WITH MHJ'S COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITY, MHJ CLINICS (NOT UNDER HOSPITAL EIN) PROVIDE:- FREE CARE AND/OR SUBSIDIZED CARE- CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST- HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY- HEALTH EDUCATION PROGRAMS, AND- A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES.MANY OF THE PROGRAMS MENTIONED BELOW ARE PART OF OUR CURRENT COMMUNITY HEALTH IMPACT PLAN (CHIP). THESE ARE INDICATED BY ASTERISKS.ACCESS TO CARECERTIFIED APPLICATION COUNSELORSSince the beginning of Open Enrollment through the Affordable Care Act in August 2013, Mercy has helped those in need of affordable health insurance to enroll in plans and/or educate them about their options. This coverage assistance program has been entirely funded through Missouri Foundation for Health grants and was available in the service areas of MHJ, MHSL, MHW and beyond. Enrollments to-date total over 1,000 and the CACs have attended hundreds of events resulting in educational opportunities in understanding the terminology and usage of health insurance.HEALTH LEADSHealth Leads is a social enterprise that envisions a healthcare system that addresses all patients' basic resource needs as a standard part of quality care. In the spring of 2016, Mercy Health joined the Health Leads Learning Collaborative to begin integrating the Health Leads program in order to assist patients with health-related social needs through resource referral. This program is designed for Mercy Clinic Jefferson patients and is being funded through Mercy clinics; therefore the total community benefit of this program cannot be reported under the EIN for Mercy Hospital Jefferson.MENTAL HEALTHALIVE AND WELL IN STLAlive and Well STL is a community-wide effort started by the Regional Health Commission that focuses on reducing the impact of toxic stress and trauma on a person's health and well-being. Mercy acts as a community partner for this initiative and works to create a more trauma aware/informed community through training opportunities and analyzing best practices in the field of behavioral health. In FY17 Mercy Hospital Jefferson joined a health learning collaborative focused on creating a trauma informed hospital/clinic for coworkers, patients and community members. SUBSTANCE USEDETERRA BAGSOver 4,000 Deterra bags were distributed throughout Mercy Hospital Jefferson and Hospice providers in an effort to promote safe disposal of unused medications, especially 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.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. Since 2013, over 80 people have kicked the habit.PHYSICIANSMercy Health System has a large number of clinics, physician offices and other healthcare facilities located in the East Community that are not associated with a hospital EIN. These clinics and facilities provide financial assistance, participate in health professions education (i.e. student shadowing) and provide in-kind contributions to their communities. The total community benefit that cannot be reported for these activities in the East Community in FY17 is $28,707,630. The charity care and unreimbursed cost of Medicaid community benefit figures for these entities are included in the overall Charity Care for MHEC and not listed separately. The work of these Mercy providers who serve those who are struggling in our community are not described in any area of this report.
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, 2017, MERCY FACILITIES INCLUDED 30 ACUTE CARE HOSPITALS, 4 MANAGED HOSPITALS, 4 HEART HOSPITALS, 2 CHILDREN'S HOSPITALS, 2 ORTHOPEDIC HOSPITALS AND 3 REHAB HOSPITALS. FOR THE FISCAL YEAR ENDED JUNE 30, 2017, MERCY HAD MORE THAN 9.6 MILLION OUTPATIENT AND PHYSICIAN OFFICE VISITS, APPROXIMATELY 2,100 EMPLOYED PHYSICIANS, AND APPROXIMATELY 40,000 FULL-TIME EQUIVALENT EMPLOYEES, MAKING MERCY THE FIFTH 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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Ammons Carl E Eric
President, Mercy Hospital Jefferson	$327,741	$0	$192,986	$0	$43,339	$0	$198,677	$0	$12,341	$0	$775,084	$0	$0	$0
Barakat Ammar
Physician & board member	$281,906	$0	$171,337	$0	$29,471	$0	$9,275	$0	$16,655	$0	$508,644	$0	$0	$0
Rehm MD Charles
Chief Administrative Officer & Board	$0	$518,910	$0	$243,404	$0	$76,015	$0	$95,618	$0	$12,152	$0	$946,099	$0	$0
Hannasch Susan
Regional VP-General Counsel	$0	$244,284	$0	$80,003	$0	$36,778	$0	$45,838	$0	$12,257	$0	$419,160	$0	$0
Johnston Jeffrey A
President-East Communities-starting	$0	$511,077	$0	$286,286	$0	$76,658	$0	$264,051	$0	$16,668	$0	$1,154,740	$0	$0
Matejka Cheryl L
Chief Financial Officer	$0	$377,918	$0	$166,609	$0	$55,840	$0	$68,979	$0	$16,597	$0	$685,943	$0	$0
Sorensen Donn
President-East Communities-thru 04/1	$0	$671,310	$0	$361,742	$0	$37,569	$0	$322,830	$0	$9,711	$0	$1,403,162	$0	$0
Bryson Jared
VP Mission	$126,361	$0	$37,852	$0	$11,000	$0	$9,918	$0	$16,299	$0	$201,430	$0	$0	$0
Eckenfels Daniel
VP Finance	$215,451	$0	$60,702	$0	$37,477	$0	$9,275	$0	$16,399	$0	$339,304	$0	$0	$0
Meyer Michele
VP Operations	$199,111	$0	$66,646	$0	$29,365	$0	$9,275	$0	$16,399	$0	$320,796	$0	$0	$0
Al Furgani Mahmud M
Physician	$295,451	$0	$271,206	$0	$29,485	$0	$9,275	$0	$16,368	$0	$621,785	$0	$0	$0
Alam Tariq
Physician	$601,740	$0	$85,749	$0	$28,084	$0	$9,275	$0	$16,368	$0	$741,216	$0	$0	$0
Albano Benjamin Y
Physician	$313,358	$0	$181,055	$0	$29,793	$0	$11,925	$0	$16,359	$0	$552,490	$0	$0	$0
Gadi Bhaskara R
Physician	$508,463	$0	$36,783	$0	$29,480	$0	$9,275	$0	$9,661	$0	$593,662	$0	$0	$0
Weick MD Raymond M
Physician	$429,950	$0	$78,258	$0	$24,565	$0	$17,434	$0	$500	$0	$550,707	$0	$0	$0
Julien Sheila
Former key employee	$13,258	$0	$0	$0	$95,360	$0	$11,312	$0	$782	$0	$120,712	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 1a	CHARTER TRAVEL IS PROVIDED TO CERTAIN EMPLOYEES AS AND WHEN APPROPRIATE, AND AS DEEMED NECESSARY FOR BUSINESS TRAVEL. AFTER CHARTER TRAVEL APPROVAL HAS BEEN GRANTED IN ACCORDANCE WITH THE FINANCIAL JUSTIFICATION PROCESS, THE APPROVED CHARTER TRAVEL FOR BUSINESS IS A REIMBURSABLE EXPENSE WHICH IS NOT TAXABLE TO THE EMPLOYEES. IN ANY CIRCUMSTANCE IN WHICH CHARTER TRAVEL IS MADE AVAILABLE TO EMPLOYEES AND/OR SPOUSES/GUESTS FOR PERSONAL REASONS, MERCY POLICY REQUIRES TRACKING OF SUCH USE AND TAXATION OF THE EMPLOYEE(S) ACCORDINGLY. TRAVEL FOR COMPANIONS FOR NONBUSINESS REASONS IS PROVIDED IN CERTAIN INSTANCES AND IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. WHERE COMPANION TRAVEL HAS RESULTED IN A TAXABLE EVENT, THE EMPLOYEES ARE TAXED FOR SUCH TRAVEL. SPOUSAL TRAVEL WAS PROVIDED FOR THE FOLLOWING EMPLOYEE OF A RELATED ORGANIZATION: JEFF JOHNSTON. LIMITED INSTANCES OF TAX GROSS-UPS MAY HAVE OCCURRED WITH RESPECT TO EXECUTIVES.
Part I, Lines 4a-b	Sheila Julien received $75,182 of severance compensation. Part I, Line 4B: Mercy Health, the ultimate parent company, offers supplemental retirement plans 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 plans are closed to new entrants. The following individuals participated in the following plans. There were no payments for the fiscal year ended 6/30/2017: Sorensen, Donn; Ammons,Carl; Hannasch, Susan; Matejka,Cheryl L; Rehm MD, Charles; Johnston, Jeff The amount of all accrued benefits is included in compensation amounts provided in Schedule J, Part II, Column (C).
Part I, Line 3	Mercy Health (parent company) is responsible for establishing the compensation of the organization's CEO/Executive Director. The following methods were used by Mercy Health to establish compensation: -Independent compensation consultant -written employment contract -compensation survey or study -approval by the board or compensation committee

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 6	THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH EAST COMMUNITIES - SOUTHERN REGION, a supporting organization under Section 509(a)(3). The member of MERCY HEALTH EAST COMMUNITIES - SOUTHERN REGION is Mercy Health East Communities, a supporting organization under Section 509(a)(3). The member of Mercy Health East Communities is Mercy Health.
Form 990, Part VI, Section A, line 7a	Mercy Health, the member of Mercy Health East Communities, has reserve powers to appoint and remove all directors and officers for Mercy Hospital Jefferson.
Form 990, Part VI, Section A, line 7b	THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED TO THE CORPORATE MEMBER (AND WITH REGARD TO CERTAIN POWERS AND RESPONSIBILITIES, TO MERCY HEALTH EAST COMMUNITIES AS THE CORPORATE MEMBER OF THE CORPORATE MEMBER): A. APPROVAL OF REVISIONS TO THE MISSION, VISION AND OPERATING VALUES PURSUANT TO WHICH THE CORPORATION OPERATES; B. APPROVAL OF ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION AND THESE BYLAWS AND ANY AMENDMENTS TO THE ORGANIZATIONAL DOCUMENTS OF ANY AFFILIATE OF THE CORPORATION; C. APPOINTMENT AND REMOVAL OF MEMBERS OF THE BOARD; D. APPROVAL OF THE APPOINTMENT AND REMOVAL OF THE PRESIDENT OF THE HOSPITAL SUBJECT TO THE CONSENT OF MERCY HEALTH EAST COMMUNITIES; E. ADOPTION OF THE STRATEGIC PLAN, GOALS, AND OBJECTIVES OF THE CORPORATION; F. ADOPTION OF THE OPERATING, CAPITAL AND ALL OTHER BUDGETS FOR THE CORPORATION; G. APPROVAL OF THE ASSIGNMENT, TRANSFER, SALE OR LEASE OF ANY OF THE ASSETS OF THE CORPORATION OR ANY AFFILIATE OF THE CORPORATION IN EXCESS OF ONE MILLION DOLLARS ($1,000,000) IN ANY ONE OR SERIES OF RELATED TRANSACTIONS OCCURRING WITHIN ANY TWELVE (12) MONTH PERIOD; H. AUTHORIZATION AND APPROVAL OF THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY AFFILIATE OF THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTE ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; I. APPROVAL OF A PLAN OF MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION OR ANY AFFILIATE; J. APPROVAL OF THE LEASE, MANAGEMENT OR PURCHASE OF, OR AFFILIATION WITH, ANOTHER HOSPITAL OR HOSPITAL SYSTEM, OR HEALTH CARE FACILITY OR HEALTH CARE SYSTEM BY THE CORPORATION; AND, K. TO APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION BY THE CORPORATION. L. OVERSEE, APPROVE AND MONITOR HUMAN RESOURCE PROGRAMS, WHICH SHALL PROMORTE AN ORGANIZATIONAL ENVIRONMENT THAT: 1. PROVIDES FOR THE RECRUITMENT AND RENTION OF CO-WORKERS WHO ARE SERVICE ORIENTED, COMPASSIONATE, ENGAGED, AND WHO FIND MEANING AND PURPOSE IN WORKING IN A FAITH-BASED ORGANIZATION; 2. ENABLES PEOPLE TO RELATE TO ONE ANOTHER WITH RESPECT AND ACCEPTANCE IN A SPIRIT OF COMMUNITY; 3. PROMOTES CO-WORKER PARTIICPATION AND VOICE IN THEIR WORK LIVES; 4. GIVES CO-WORKERS A FAIR OPPORTUNITY TO DEVLEOP THEIR SKILLS AND TALENTS, AND A MEANS BY WHICH THEIR CONTRIBUTIONS ARE RECOGNIZED; 5. PROVIDES CO-WORKERS WITH THE MATERIALS AND EQUIPMENT TO PROPERLY DO THEIR WORK;AND, 6. ENSURES CO-WORKER SAFETY AND WELL-BEING.
Form 990, Part VI, Section B, line 11b	THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM, USING INFORMATION PROVIDED BY THE FILING ORGANIZATION. A DRAFT FORM 990 IS REVIEWED BY THE FILING ORGANIZATION'S FINANCE TEAM, INCLUDING THE MANAGER OF ACCOUNTING AND THE VICE-PRESIDENT OF FINANCE. 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, 2017. 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 15	FOR THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS), MERCY HEALTH (ultimate parent company) USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT, AND REVIEW/APPROVAL OF COMPENSATION BY THE COMPENSATION COMMITTEE OF THE MERCY HEALTH BOARD. FOR THOSE CLASSIFIED AS KEY EMPLOYEES, THE ORGANIZATION USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, AND REVIEW/APPROVAL OF EXECUTIVE MANAGEMENT. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS, AND A REVIEW WAS COMPLETED DURING THE REPORTING YEAR.
Form 990, Part VI, Section C, line 19	Governing documents and financial statements are made available from time to time but are not published publicly; we are not required to make these documents available to the public. Financial results are available via request of copy of Form 990.
FORM 990, PART VII, SECTION A, COLUMN B	AVERAGE HOURS PER WEEK THE HOURS PER WEEK DISCLOSED IN PART VII IS THE AVERAGE HOURS THE LISTED PERSON WORKED OR DEVOTED PER WEEK WHILE EMPLOYED OR ASSOCIATED WITH THE FILING ORGANIZATION AND RELATED ORGANIZATIONS (IF APPLICABLE).
Form 990, Part XI, line 9:	Transfer FROM (TO) AFFILIATES 32,509,201. RESTRICTED FUND DONATIONS 22,357. RESTRICTED FUND EXPENSES -46,938.
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 2017 (THE TAX YEAR CURRENTLY BEING REPORTED). HOWEVER, NO SEPARATE AUDIT OPINION WAS ISSUED ON THE FINANCIAL STATEMENTS OF THE FILING ORGANIZATION. THE ULTIMATE RESPONSIBILITY FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE EXTERNAL AUDITOR LIES WITH THE STEWARDSHIP COMMITTEE OF THE MERCY HEALTH BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE.
Form 990, Part XII, Line 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, 2017. 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, 2017, 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 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 B AND C.
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.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Mercy Clinic Adult Hospitalists - Jefferson LLC
14528 S Outer Forty Suite 100	Chesterfield	MO	63017	462913068	Managed care contracting	MO	$0	$0	Mercy Hospital Jefferson
Mercy Labs Jefferson LLC
14528 S Outer Forty Suite 100	Chesterfield	MO	63017	463478362	Laboratory Services	MO	$3,291,169	$0	Mercy Hospital Jefferson

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (73 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
Casa de Misericordia
1602 McClelland Street	Laredo	TX	78044	742912461	Women's domestic violence shelter	TX	501c3	7	Mercy Ministries of Laredo	Yes (1)
McAuley Portfolio Mgmt Co
14528 S Outer Forty St 100	Chesterfield	MO	63017	261708048	Portfolio management	MO	501c3	11-II	Mercy Health	Yes (1)
Mercy ACO Clinical Services Inc
14528 S Outer Forty St 100	Chesterfield	MO	63017	464504901	Virtual Care Center	MO	501c3	3	Mercy Health	Yes (1)
Mercy Clinic East Communities
645 Maryville Ctr Dr Ste 100	St Louis	MO	63141	431771217	Physician Group	MO	501c3	9	Mercy Health East Communities	Yes (1)
Mercy Clinic Fort Smith Comm
7301 Rogers Avenue	Fort Smith	AR	72917	261318597	Physician Clinic	AR	501c3	9	Mercy Health Fort Smith Comm	Yes (1)
Mercy Clinic Oklahoma Comm
4300 W Memorial Road	Oklahoma City	OK	73120	270473057	Physician Group	OK	501c3	3	Mercy Health OK Communities	Yes (1)
Mercy Clinic Springfield Comm
1965 Fremont Street Suite 2950	Springfield	MO	65804	431560263	Physician Group	MO	501c3	3	Mercy Health Springfield Comm	Yes (1)
Mercy Family Center
14528 S Outer Forty St 100	Chesterfield	MO	63017	721069468	Family counseling services	MO	501c3	7	Mercy Health	Yes (1)
Mercy Health
14528 S Outer Forty St 100	Chesterfield	MO	63017	431423050	Corporate Office	MO	501c3	1		0	N/A
Mercy Health East Communities
645 Maryville Ctr Dr Ste 100	St Louis	MO	63141	431718408	Health System	MO	501c3	11-II	Mercy Health	Yes (1)
Mercy Health East Communities - SR
645 Maryville Ctr Dr Ste 100	St Louis	MO	63141	461412322	Health System	MO	501c3	11-II	Mercy Health East Communities	Yes (1)
Mercy Health Fort Smith Comm
7301 Rogers Avenue	Fort Smith	AR	72917	261318515	Holding Company	AR	501c3	11-II	Mercy Health	Yes (1)
Mercy Health Foundation
14528 S Outer Forty St 100	Chesterfield	MO	63017	200901499	Foundation	MO	501c3	11-II	Mercy Health	Yes (1)
Mercy Health Foundation Ada
430 N Monte Vista Street	Ada	OK	74820	463596274	Foundation	OK	501c3	11-I	Mercy Hospital Ada	Yes (1)
Mercy Health Foundation Ardmore
1011 14th Avenue NW	Ardmore	OK	73401	710962525	Foundation	OK	501c3	11-I	Mercy Hospital Ardmore	Yes (1)
Mercy Health Foundation Berryville
214 Carter Street	Berryville	AR	72616	710759301	Foundation	AR	501c3	11-I	Mercy Hospital Berryville	Yes (1)
Mercy Health Foundation Ft Scott
401 Woodland Hills Blvd	Fort Scott	KS	66701	481077073	Foundation	KS	501c3	11-III	Mercy Kansas Communities Inc	Yes (1)
Mercy Health Foundation Fort Smith
7301 Rogers Avenue	Fort Smith	AR	72917	237330425	Foundation	AR	501c3	7	Mercy Hospital Fort Smith	Yes (1)
Mercy Health Foundation Hot Springs
300 Werner Street	Hot Springs	AR	71913	710804718	Foundation	AR	501c3	11-II	Mission Clinical Services	Yes (1)
Mercy Health Foundation Independence
800 W Myrtle	Independence	KS	67301	481079981	Foundation; dissolved 6/30/17	KS	501c3	11-I	Mercy Kansas Communities Inc	Yes (1)
Mercy Health Foundation Jefferson
1400 US Highway 61 South	Festus	MO	63028	462797051	Foundation	MO	501c3	11-II	Mercy Health East Communities - SR	Yes (1)
Mercy Health Foundation Joplin
100 Mercy Way	Joplin	MO	64804	270906136	Foundation	MO	501c3	11-I	Mercy Health SW MOKS Comm	Yes (1)
Mercy Health Foundation Lincoln
1000 East Cherry Street	Troy	MO	63379	811477159	Foundation	MO	501c3	11-II	Mercy Health East Communities	Yes (1)
Mercy Health Foundation NW Ark
2710 Rife Medical Ln	Rogers	AR	72858	710601687	Foundation	AR	501c3	11-III	Mercy Hospital Rogers	Yes (1)
Mercy Health Foundation of OK
4300 W Memorial Road	Oklahoma City	OK	73120	454732301	Foundation	OK	501c3	11-I	Mercy Health OK Communities	Yes (1)
Mercy Health Foundation OK City
4300 W Memorial Road	Oklahoma City	OK	73120	463184231	Foundation	OK	501c3	11-I	Mercy Health OK Communities	Yes (1)
Mercy Health Foundation Springfield
1235 E Cherokee Street	Springfield	MO	65804	320195818	Foundation	MO	501c3	11-II	Mercy Health Springfield Comm	Yes (1)
Mercy Health Foundation St Francis
100 W Highway 60	Mountain View	MO	65548	431873914	Foundation	MO	501c3	11-I	Mercy St Francis Hospital	Yes (1)
Mercy Health Foundation STL
615 South New Ballas Road	St Louis	MO	63141	562410020	Foundation	MO	501c3	11-II	Mercy Health East Communities	Yes (1)
Mercy Health Foundation Washington
901 E Fifth Street	Washington	MO	63090	562410022	Foundation	MO	501c3	11-II	Mercy Health East Communities	Yes (1)
Mercy Health NW Ark Communities
2710 Rife Medical Ln	Rogers	AR	72758	621684203	Physician Group	AR	501c3	11-II	Mercy Health	Yes (1)
Mercy Health OK Communities
4300 W Memorial Road	Oklahoma City	OK	73120	731453048	Health System	OK	501c3	11-II	Mercy Health	Yes (1)
Mercy Health Plans of MissouriInc
3265 S National Avenue	Springfield	MO	65807	320481419	HMO	MO	501c4		Mercy Health	Yes (1)
Mercy Health PlansInc
3265 S National Avenue	Springfield	MO	65807	320486150	PPO	MO	501c4		Mercy Health Plans of MissouriInc	Yes (1)
Mercy Health SW MOKS Comm
100 Mercy Way	Joplin	MO	64804	300584463	Health System	MO	501c3	11-II	Mercy Health	Yes (1)
Mercy Health Springfield Comm
1235 E Cherokee Street	Springfield	MO	65804	431856028	Health System	MO	501c3	11-II	Mercy Health	Yes (1)
Mercy Home Health Berryville
804 W Freeman Suite 4	Berryville	AR	72616	870781247	Home Health and Hospice operations	AR	501c3	11-III	Mercy Hospital Springfield	Yes (1)
Mercy Hospital Ada Inc
430 N Monte Vista Street	Ada	OK	74820	462288155	Hospital	OK	501c3	3	Mercy Health OK Communities	Yes (1)
Mercy Hospital Ardmore
1011 14th Avenue NW	Ardmore	OK	73401	731500629	Hospital	OK	501c3	3	Mercy Health OK Communities	Yes (1)
Mercy Hospital Aurora
500 Porter Avenue	Aurora	MO	65605	431936696	Hospital	MO	501c3	3	Mercy Health Springfield Comm	Yes (1)
Mercy Hospital Berryville
214 Carter Street	Berryville	AR	72616	710759299	Hospital	AR	501c3	3	Mercy Health Springfield Comm	Yes (1)
Mercy Hospital Booneville
880 West Main Street	Booneville	AR	72927	463851119	Hospital	AR	501c3	3	Mercy Hospital Fort Smith	Yes (1)
Mercy Hospital Carthage
3125 Dr Russell Smith Way	Carthage	MO	64836	453808607	Hospital	MO	501c3	3	Mercy Health SW MOKS Comm	Yes (1)
Mercy Hospital Cassville
94 Main Street	Cassville	MO	65625	431936699	Hospital	MO	501c3	3	Mercy Health Springfield Comm	Yes (1)
Mercy Hospital Columbus
220 Pennsylvania Avenue	Columbus	KS	66725	270842031	Hospital	MO	501c3	3	Mercy Health SW MOKS Comm	Yes (1)
Mercy Hospital El Reno
2115 Parkview Drive	El Reno	OK	73036	272716065	Hospital	OK	501c3	3	Mercy Hospital Oklahoma City	Yes (1)
Mercy Hospital Fort Smith
7301 Rogers Avenue	Fort Smith	AR	72917	710240352	Hospital	AR	501c3	3	Mercy Health Fort Smith Comm	Yes (1)
Mercy Hospital Healdton Inc
3462 Hospital Rd	Healdton	OK	73438	263173902	Hospital	OK	501c3	3	Mercy Hospital Ardmore Inc	Yes (1)
Mercy Hospital Joplin
100 Mercy Way	Joplin	MO	64804	270814858	Hospital	MO	501c3	3	Mercy Health SW MOKS Comm	Yes (1)
Mercy Hospital Kingfisher Inc
1000 Hospital Circle	Kingfisher	OK	73750	463433074	Hospital	OK	501c3	3	Mercy Hospital Oklahoma City	Yes (1)
Mercy Hospital Lebanon
100 Hospital Drive	Lebanon	MO	65536	431767432	Hospital	MO	501c3	3	Mercy Health Springfield Comm	Yes (1)
Mercy Hospital Lincoln
1000 East Cherry Street	Troy	MO	63379	472219204	Hospital	MO	501c3	3	Mercy Health East Communities	Yes (1)
Mercy Hospital Logan County Inc
200 South Academy	Guthrie	OK	73044	452998842	Hospital	OK	501c3	3	Mercy Hospital Oklahoma City	Yes (1)
Mercy Hospital Oklahoma City
4300 W Memorial Road	Oklahoma City	OK	73120	730579285	Hospital	OK	501c3	3	Mercy Health OK Communities	Yes (1)
Mercy Hospital Ozark
801 W River Street	Ozark	AR	72949	710689680	Hospital	AR	501c3	3	Mercy Hospital Fort Smith	Yes (1)
Mercy Hospital Paris
500 E Academy	Paris	AR	72855	710655753	Hospital	AR	501c3	3	Mercy Hospital Fort Smith	Yes (1)
Mercy Hospital Rogers
2710 Rife Medical Ln	Rogers	AR	72758	710294390	Hospital	AR	501c3	3	Mercy Health NW Ark Communities	Yes (1)
Mercy Hospital Springfield
1235 E Cherokee Street	Springfield	MO	65804	440552485	Hospital	MO	501c3	3	Mercy Health Springfield Comm	Yes (1)
Mercy Hospital Tishomingo
1000 South Byrd	Tishomingo	OK	73460	274433830	Hospital	OK	501c3	3	Mercy Hospital Ada	Yes (1)
Mercy Hospital Waldron
1341 W 6th Street	Waldron	AR	72958	710557895	Hospital	AR	501c3	3	Mercy Hospital Fort Smith	Yes (1)
Mercy Hospital Watonga Inc
500 Clarence Nash Blvd	Watonga	OK	73772	455199762	Hospital	OK	501c3	3	Mercy Hospital Oklahoma City	Yes (1)
Mercy Hospitals East Comm
645 Maryville Ctr Dr Ste 100	St Louis	MO	63141	430653493	Hospital	MO	501c3	3	Mercy Health East Communities	Yes (1)
Mercy Kansas Communities Inc
401 Woodland Hills Blvd	Ft Scott	KS	66701	480956045	Hospital	KS	501c3	3	Mercy Health SW MOKS Comm	Yes (1)
Mercy Ministries of Laredo
2500 Zacatecas	Laredo	TX	78043	200198462	Outreach	TX	501c3	7	Mercy Health	Yes (1)
Mercy Research
524 North Booneville Avenue	Springfield	MO	65802	870796305	Research	MO	501c3	4	Mercy Health	Yes (1)
Mercy St Francis Hospital
100 W Highway 60	Mountain View	MO	65548	440607149	Hospital	MO	501c3	3	Mercy Health Springfield Comm	Yes (1)
MHM Support Services
14528 S Outer Forty St 100	Chesterfield	MO	63017	202553101	Centralized Health System Functions	MO	501c3	11-II	Mercy Health	Yes (1)
Mission Clinical Services
300 Werner Street	Hot Springs	AR	71913	134239691	Child Advocacy Center	AR	501c3	9	Mercy Health	Yes (1)
St Anthony's Charitable Foundation
10010 Kennerly Road	St Louis	MO	63128	261516789	Foundation	MO	501c3	11-II	St Anthony's Medical Center	Yes (1)
St Anthony's Medical Center
10010 Kennerly Road	St Louis	MO	63128	430980256	Hospital	MO	501c3	3	Mercy Health East Communities	Yes (1)
St Anthony's Physician Organization
10010 Kennerly Road	St Louis	MO	63128	431784536	Health care	MO	501c3	3	St Anthony's Medical Center	Yes (1)
St Marys Hosp Enid Ok
14528 S Outer Forty St 100	Chesterfield	MO	63017	730614655	Inactive	OK	501c3	3	Mercy Health OK Communities	Yes (1)
Unity Ambulatory Care
14528 S Outer Forty St 100	Chesterfield	MO	63017	431861745	Inactive	MO	501c3	11-III	Mercy Health East Communities	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
Plaza Surgery Services Company LLC
12700 Southfork Road	St Louis	MO	63128	204709312	INactive	NM	St Anthony's Medical Center	N/A	0	0
Resource Optimiz & InnovLLC
645 Maryville Ctr DrSte 200	St Louis	MO	63141	460468368	Central Distribution Center	MO	MHN INC - MHNSR INC	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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
Mercy Comm Services Inc
401 Woodland Hills Blvd	Fort Scott	KS	66701	481078101	Retail pharmacy	KS	MERCY KANSAS COMM INC	C	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	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	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	St Anthony's Medical Center	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Mercy Health Foundation Jefferson
C	$163,688	FMV
Mercy ACO Clinical Services Inc
Q	$54,616	FMV
Mercy Clinic East Communities
P	$918,285	FMV
Mercy Health
Q	$124,263	FMV
Mercy Health East Communities
Q	$11,305,526	FMV
Mercy Hospitals East Communities
P	$9,423,601	FMV
MHM Support Services
P	$2,594,182	FMV
Resource Optimization & Innovation LLC
P	$5,879,101	FMV