MERCY HOSPITAL SOUTH: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
MERCY HOSPITAL SOUTH (EIN 43-0980256)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-14
IRS object ID
201821349349307797
Schema version
2016v3.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-05-14T14:56:18-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1211 N BROADWAY SUITE 600AddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP631022733ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN430980256EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1St Anthony's Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% CRYSTAL MORRISInCareOfNm
Business Name ControlSTANBusinessNameControlTxt
Phone3145251000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line110010 Kennerly RoadAddressLine1Txt
CitySt LouisCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63128ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAN ECKENFELSPersonNm
Person TitleVP OF FINANCEPersonTitleTxt
Phone3145251000PhoneNum
Signature2018-05-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDonna J LarsonPreparerPersonNm
PTINP00043751PTIN
Phone3142315544PhoneNum
Preparation2018-05-11PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.68.126.162IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id43032820181345000006FederalOriginalSubmissionId
Federal Original Submission Id2018-05-14FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id4E6F75AD8547D2668A4426D8AEAA2AAD6D15B238AtSubmissionCreationDeviceId
At Submission Filing Device Id4E6F75AD8547D2668A4426D8AEAA2AAD6D15B238AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCHERYL MATEJKAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line110010 KENNERLY RDAddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63128ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$460,938,499GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.STANTHONYSMEDCENTER.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1971FormationYr
Legal Domicile StateMOLegalDomicileStateCd
Activity Or MissionSEE COMMUNITY BENEFIT REPORT ATTACHED TO FORM 990.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee4127TotalEmployeeCnt
Total Volunteers403TotalVolunteersCnt
Total Gross UBI$35,305TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$29,244NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,032,233PYContributionsGrantsAmt
CY Contributions Grants$796,917CYContributionsGrantsAmt
PY Program Service Revenue$438,972,707PYProgramServiceRevenueAmt
CY Program Service Revenue$435,715,468CYProgramServiceRevenueAmt
PY Investment Income-$2,109,269PYInvestmentIncomeAmt
CY Investment Income$1,248,957CYInvestmentIncomeAmt
PY Other Revenue$14,363,635PYOtherRevenueAmt
CY Other Revenue$14,211,198CYOtherRevenueAmt
PY Total Revenue$452,259,306PYTotalRevenueAmt
CY Total Revenue$451,972,540CYTotalRevenueAmt
PY Grants And Similar Paid$9,850PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$27,714CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$203,416,275PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$223,200,318CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$243,269,968PYOtherExpensesAmt
CY Other Expenses$272,170,432CYOtherExpensesAmt
PY Total Expenses$446,696,093PYTotalExpensesAmt
CY Total Expenses$495,398,464CYTotalExpensesAmt
PY Revenues Less Expenses$5,563,213PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$43,425,924CYRevenuesLessExpensesAmt
Total Assets BOY$492,707,675TotalAssetsBOYAmt
Total Assets EOY$482,699,770TotalAssetsEOYAmt
Total Liabilities BOY$277,133,185TotalLiabilitiesBOYAmt
Total Liabilities EOY$85,548,736TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$215,574,490NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$397,151,034NetAssetsOrFundBalancesEOYAmt
MissionSEE COMMUNITY BENEFIT REPORT ATTACHED TO FORM 990.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$442,973,847ExpenseAmt
Grant$27,714GrantAmt
Revenue$435,766,453RevenueAmt
DescSEE ATTACHED COMMUNITY BENEFIT REPORT.Desc
Prog Srvc Accom Acty2ProgSrvcAccomActy2Grp
Total Program Service Expenses$442,973,847TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document161IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee4127EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCRYSTAL MORRISPersonNm
Phone3145251000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line110010 KENNERLY ROADAddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63128ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
DAVID SINDELAR
CEO AND CHAIRMAN OF THE BOARD40.00.5Yes (X)Yes (X)$1,084,171$0$31,799
WINTHROP B REED III
1ST CHAIRMAN5.01.75Yes (X)Yes (X)$0$0$0
RICHARD A MAYHALL
1ST VICE CHAIRMAN3.750.0Yes (X)Yes (X)$0$0$0
DANIEL BIPPEN
SECRETARY3.750.25Yes (X)Yes (X)$0$0$0
JAMES G POWERS
2ND VICE CHAIRMAN3.750.25Yes (X)Yes (X)$0$0$0
JOHN BERRA
MEMBER1.00.25Yes (X)$0$0$0
JOSEPH FORAND
MEMBER1.00.0Yes (X)$0$0$0
MARY GRAHAM
MEMBER1.040.0Yes (X)$0$653,859$34,812
STACY HASTIE
MEMBER1.00.0Yes (X)$0$0$0
MICHELLE NISCHBACH
MEMBER1.00.0Yes (X)$0$0$0
PAUL NOVELLY
MEMBER0.250.0Yes (X)$0$0$0
PHILLIP SOWA
MEMBER1.00.0Yes (X)$0$0$0
DOUGLAS WEIBLE
MEMBER1.00.0Yes (X)$0$0$0
JEFFREY WILKINSON
MEMBER1.00.0Yes (X)$0$0$0
MARK MERLOTTI
MEMBER1.00.0Yes (X)$0$0$0
MICHAEL MCCURRY
PRESIDENT5.055.0Yes (X)Yes (X)$0$1,787,982$744,897
DONN SORENSEN
EXECUTIVE VP-OPERATIONS5.055.0Yes (X)Yes (X)$0$1,070,621$332,541
BILL HOEFER
COO40.00.0Yes (X)$347,954$0$12,233
BRENT SINGER
CFO40.00.0Yes (X)$443,109$0$29,263
KELLY WETZLER
INTERIM PRESIDENT40.01.5Yes (X)$390,461$0$30,125
CHERYL MATEJKA
INTERIM CFO5.055.0Yes (X)$0$600,367$85,576
CAROL ELLIS
VP NURSING40.00.0$197,456$0$23,927Yes (X)
JAMES WELDON
CIO40.00.0$267,119$0$8,886Yes (X)
LAURA FRAME
VP GENERAL COUNCIL40.00.0$196,689$0$18,464Yes (X)
ERIC APPELGREN
VP CLINICAL SERVICES40.00.0$0$0$0Yes (X)
BRENT GRAZMAN
VP QUALITY40.00.0$196,972$0$19,109Yes (X)
DENNIS HOLTER
VP BUSINESS DEVELOPMENT40.00.0$185,451$0$15,641Yes (X)
KADI MONTEZ
VP OF IT40.00.0$161,209$0$11,163Yes (X)
BEVERLY BOKOVITZ
CNO40.00.0$465,342$0$23,334Yes (X)
DAVID MORTON
CMO40.00.0$656,828$0$41,111Yes (X)
RON TRULOVE
CHIEF REVENUE OFFICER5.055.0$0$893,318$89,180Yes (X)
SEIICHI NODA
PHYSICIAN40.00.0$1,196,657$0$40,242Yes (X)
GREGORY BOTTERON
PHYSICIAN40.00.0$967,956$0$13,319Yes (X)
MICHAEL SHAPIRO
PHSICIAN40.00.0$963,513$0$41,392Yes (X)
DENNIS DISCH
PHYSICIAN40.00.0$960,454$0$39,498Yes (X)
MICHAEL GOLDMEIER
PHYSICIAN40.00.0$954,384$0$40,628Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$9,635,725TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$5,006,147TotReportableCompRltdOrgAmt
Total Other Compensation$1,727,140TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K182IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (true)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
TRIMEDX LLC
5451 LAKEVIEW PARKWAY S DRIVEINDIANAPOLISIN46268CLINICAL ENGINEERING$6,457,998
MUSICK CONSTRUCTION CO
254 HANLEY INDUSTRIAL CTST LOUISMO63144CONSTRUCTION$5,006,421
TOUCHPOINT SUPPORT SERVICES
400 NORTHRIDGE ROADSANDY SPRINGSGA30350NUTRITION AND EVS$13,034,191
THE RESOURCE GROUP
2054 WESTPORT CENTER DRIVEST LOUISMO63146GROUP PURCHASING ORG$5,019,819
ADVERTISING SAVANTS INC
2100 LOCUST STREETST LOUISMO63103ADVERTISING$2,712,952
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K59CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Related Organizations$796,917RelatedOrganizationsAmt
Total Contributions$796,917TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT CARE621110$413,471,291$413,471,291
EDUCATIONAL PGMS611710$127,694$127,694
FRA REVENUE621110$22,116,483$22,116,483
FieldValueIRS element (for citing)
Total Program Service Revenue$435,715,468TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,399,301TotalRevenueColumnAmt
Exclusion$1,399,301ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,384,521RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,147,860RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,236,661RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,236,661TotalRevenueColumnAmt
Exclusion$1,236,661ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$5,325,000SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$5,450,544SecuritiesAmt
Other$24,800OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$125,544SecuritiesAmt
Other-$24,800OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$150,344TotalRevenueColumnAmt
Exclusion-$150,344ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$11,469,874GrossSalesOfInventoryAmt
Cost Of Goods Sold$2,342,755CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,127,119TotalRevenueColumnAmt
Unrelated Business Revenue$35,305UnrelatedBusinessRevenueAmt
Exclusion$9,091,814ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
MEANINGFUL USE INCOME621110$15,680$15,680
CAFETERIA SALES721000$1,985,921$1,985,921
AMORTIZATION OF DEFERRED GAIN ON SALE OF BLDG900099$1,640,462$1,640,462

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$205,355TotalRevenueColumnAmt
Exclusion$205,355ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,847,418OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$451,972,540TotalRevenueColumnAmt
Related Or Exempt Func Income$435,731,148RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$35,305UnrelatedBusinessRevenueAmt
Exclusion$15,409,170ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$27,714TotalAmt
Program Services$27,714ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,919,214TotalAmt
Program Services$1,059,142ProgramServicesAmt
Management And General$3,860,072ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$183,201,932TotalAmt
Program Services$169,883,036ProgramServicesAmt
Management And General$13,318,896ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,816,212TotalAmt
Program Services$2,141,519ProgramServicesAmt
Management And General$674,693ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$18,213,871TotalAmt
Program Services$16,927,626ProgramServicesAmt
Management And General$1,286,245ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$14,049,089TotalAmt
Program Services$12,715,116ProgramServicesAmt
Management And General$1,333,973ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,525,106TotalAmt
Management And General$3,525,106ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$176,277TotalAmt
Management And General$176,277ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$62,351TotalAmt
Management And General$62,351ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$22,303,172TotalAmt
Program Services$16,297,072ProgramServicesAmt
Management And General$6,006,100ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,282,727TotalAmt
Program Services$3,282,727ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$124,226,087TotalAmt
Program Services$121,785,934ProgramServicesAmt
Management And General$2,440,153ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$9,264,845TotalAmt
Program Services$307,683ProgramServicesAmt
Management And General$8,957,162ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,348,609TotalAmt
Program Services$6,902,798ProgramServicesAmt
Management And General$445,811ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$262,201TotalAmt
Program Services$126,908ProgramServicesAmt
Management And General$135,293ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$208,117TotalAmt
Program Services$207,938ProgramServicesAmt
Management And General$179ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$6,033,589TotalAmt
Program Services$6,033,589ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$22,706,451TotalAmt
Program Services$16,238,783ProgramServicesAmt
Management And General$6,467,668ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,582,561TotalAmt
Program Services$1,582,561ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBTS$39,389,118$39,389,118
STATE FRA ASSESSMENT$22,865,789$22,865,789
DUES & SUBSCRIPTIONS$696,199$368,293$327,906
HOSPICE EXPENSES$418,028$418,028

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$7,819,205TotalAmt
Program Services$4,412,473ProgramServicesAmt
Management And General$3,406,732ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$495,398,464TotalAmt
Program Services$442,973,847ProgramServicesAmt
Management And General$52,424,617ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$10,790,358BOYAmt
EOY-$3,227,914EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$49,739,625BOYAmt
EOY$21,042,585EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$56,690,517BOYAmt
EOY$49,451,732EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$96,422,473BOYAmt
EOY$103,482,166EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,897,104BOYAmt
EOY$6,912,574EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,278,404BOYAmt
EOY$7,554,890EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$686,502,195LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$403,289,293LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$249,531,832BOYAmt
EOY$283,212,902EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$6,364,247BOYAmt
EOY$3,542EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$58,396BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$988,753EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$12,934,719BOYAmt
EOY$13,278,540EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$492,707,675BOYAmt
EOY$482,699,770EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$63,480,030BOYAmt
EOY$73,205,580EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$185,797,653BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$27,855,502BOYAmt
EOY$12,343,156EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$277,133,185BOYAmt
EOY$85,548,736EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$214,712,090BOYAmt
EOY$396,474,608EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$862,400BOYAmt
EOY$676,426EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$215,574,490BOYAmt
EOY$397,151,034EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$492,707,675BOYAmt
EOY$482,699,770EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$43,425,924ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$893,441NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$224,109,027OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$28,421OtherActivitiesAmt
Total Lobbying Expenditures$28,421TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1IFormAndLineReferenceDesc
ExplanationLOBBYING ACTIVITY: LINE 1I REPRESENTS THE PORTION OF DUES PAID TO PROFESSIONAL HOSPITAL ASSOCIATIONS ALLOCATED TO LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$263,556,286BeginningYearBalanceAmt
Contributions$11,436,577ContributionsAmt
Investment Earnings Or Losses$30,743,607InvestmentEarningsOrLossesAmt
Other Expenditures$3,193,660OtherExpendituresAmt
Administrative Expenses$278,691,564AdministrativeExpensesAmt
End Year Balance$23,851,246EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$276,985,691BeginningYearBalanceAmt
Contributions$3,379,952ContributionsAmt
Investment Earnings Or Losses-$1,718,763InvestmentEarningsOrLossesAmt
Other Expenditures$14,007,798OtherExpendituresAmt
Administrative Expenses$1,082,796AdministrativeExpensesAmt
End Year Balance$263,556,286EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$266,424,742BeginningYearBalanceAmt
Contributions$3,005,820ContributionsAmt
Investment Earnings Or Losses$11,096,830InvestmentEarningsOrLossesAmt
Other Expenditures$2,332,611OtherExpendituresAmt
Administrative Expenses$1,209,090AdministrativeExpensesAmt
End Year Balance$276,985,691EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$235,209,325BeginningYearBalanceAmt
Contributions$3,894,843ContributionsAmt
Investment Earnings Or Losses$30,925,688InvestmentEarningsOrLossesAmt
Other Expenditures$2,511,398OtherExpendituresAmt
Administrative Expenses$1,093,716AdministrativeExpensesAmt
End Year Balance$266,424,742EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$218,574,748BeginningYearBalanceAmt
Contributions$1,900,675ContributionsAmt
Investment Earnings Or Losses$17,964,635InvestmentEarningsOrLossesAmt
Other Expenditures$2,298,906OtherExpendituresAmt
Administrative Expenses$931,827AdministrativeExpensesAmt
End Year Balance$235,209,325EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.70399BoardDesignatedBalanceEOYPct
Term Endowment Balance EOY0.29601TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$10,078,008OtherCostOrOtherBasisAmt
Book Value$10,078,008BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$278,122,416OtherCostOrOtherBasisAmt
Depreciation$129,249,114DepreciationAmt
Book Value$148,873,302BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$376,995,662OtherCostOrOtherBasisAmt
Depreciation$262,426,505DepreciationAmt
Book Value$114,569,157BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$21,306,109OtherCostOrOtherBasisAmt
Depreciation$11,613,674DepreciationAmt
Book Value$9,692,435BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$283,212,902TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
RESERVE - SELF INSURANCE LIABI$9,670,334
PENSION PAYABLE$2,672,822
DEFERRED GAIN ON SALE LEASEBAC$0
INTEREST RATE SWAP LIABILITY$0
FieldValueIRS element (for citing)
Total Liability$12,343,156TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4ENDOWMENT FUNDS: THE FUNDS ARE TO BE USED FOR THE SELF INSURANCE TRUST OF THE ORGANIZATION, WHICH IS USED TO COVER MALPRACTICE CLAIMS. THE TOTAL AMOUNTS FOR THE FOUR PRIOR YEARS INCLUDE FUNDS HELD BY RELATED ORGANIZATIONS FOR THE BENEFIT OF THE HOSPITAL. THESE FUNDS ARE TO BE USED FOR FUTURE CAPITAL IMPROVEMENTS. THE TOTAL FOR THE CURRENT YEAR INCLUDES FUNDS HELD IN TRUST BY AN UNRELATED PARTY TO PROVIDE TUITION ASSISTANCE TO STUDENTS. LINE 1F IN THE CURRENT YEAR INCLUDES $277,626,969 OF ASSETS UNDER THE CONTROL OF A RELATED ORGANIZATION THAT CEASED TO QUALIFY AS A SUPPORTING ORGANIZATION AS OF JUNE 1, 2017. SINCE THESE ASSETS ARE NO LONGER ADMINISTERED FOR THE BENEFIT OF SAMC, THEY HAVE BEEN REMOVED FROM THE TOTAL ENDOWMENT BALANCE
SCHEDULE D, PART X, LINE 2FEDERAL 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.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,715,493TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,715,493NetCommunityBenefitExpnsAmt
Total Expense0.00600TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$46,850,899TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$38,455,182DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,395,717NetCommunityBenefitExpnsAmt
Total Expense0.01840TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$49,566,392TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$38,455,182DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,111,210NetCommunityBenefitExpnsAmt
Total Expense0.02440TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$314,119TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,489DirectOffsettingRevenueAmt
Net Community Benefit Expns$299,630NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$135,061TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$135,061NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,150,641TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,346,243DirectOffsettingRevenueAmt
Net Community Benefit Expns$804,398NetCommunityBenefitExpnsAmt
Total Expense0.00180TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$119,114TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$119,114NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,718,935TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,360,732DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,358,203NetCommunityBenefitExpnsAmt
Total Expense0.00310TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$52,285,327TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$39,815,914DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,469,413NetCommunityBenefitExpnsAmt
Total Expense0.02750TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$39,389,119BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$119,176,494ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$121,418,550CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$2,242,056MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST ANTHONY'S MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line110010 KENNERLY ROADAddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63128ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.STANTHONYSMEDCENTER.COMWebsiteAddressTxt
State License273-39StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ST ANTHONY'S MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE SUPPLEMENTAL INFOOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE SUPPLEMENTAL INFOStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE SUPPLEMENTAL INFOFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE SUPPLEMENTAL INFOFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE SUPPLEMENTAL INFOFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5CHNA COMMUNITY INPUT: ST. ANTHONY'S MEDICAL CENTER SOUGHT TO CONDUCT ITS NEEDS ASSESSMENT IN PART BY COLLECTING PRIMARY DATA FROM KEY COMMUNITY MEMBERS. DATA WAS COLLECTED IN THREE WAYS - A COLLABORATION OF KEY STAKEHOLDERS IN A FOCUS GROUP SETTING; A TELEPHONE SURVEY OF 500 ADULT COMMUNITY MEMBERS; AND PHYSICIAN SURVEYS. IN THE KEY STAKEHOLDER ANALYSIS, ST. ANTHONY'S MEDICAL CENTER PARTNERED WITH BARNES JEWISH WEST COUNTY HOSPITAL (BJWCH), MISSOURI BAPTIST MEDICAL CENTER (MBMC), ST. LUKE'S HOSPITAL (SLH) AND MERCY ST. LOUIS. TO FULFILL PPACA REQUIREMENTS, BJWCH, MBMC, SAMC AND MERCY ST. LOUIS HOSTED A SINGLE FOCUS GROUP WITH PUBLIC HEALTH EXPERTS AND THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN WEST AND SOUTH ST. LOUIS COUNTY. THIS DISCUSSION LASTED 90 MINUTES AND WAS FACILITATED BY A MODERATOR. THERE WAS A GENERAL CONSENSUS THAT THE PRIORITIES IDENTIFIED IN THE PREVIOUS ASSESSMENT ARE STILL THOSE AT WHICH THE HOSPITALS SHOULD FOCUS. PARTICIPANTS WERE GIVEN THE LIST OF NEEDS IDENTIFIED IN THE 2012-2013 ASSESSMENT BY EACH HOSPITAL AND ASKED TO RE-RANK THEM ON A SCALE OF 1 (LOW) TO 5 (HIGH) BASED ON THEIR PERCEIVED LEVEL OF COMMUNITY CONCERN AND THE ABILITY OF COMMUNITY ORGANIZATIONS TO COLLABORATE AROUND THEM, BEHAVIORAL/MENTAL HEALTH AND ALCOHOL/SUBSTANCE ABUSE RATED HIGHEST IN TERMS OF LEVEL OF CONCERN AND ABILITY TO COLLABORATE. ST. ANTHONY'S MEDICAL CENTER PARTNERED WITH THE PRELL ORGANIZATION TO ASSESS THE HEALTH-CARE NEEDS OF THE COMMUNITY BY CONDUCTING A TELEPHONE SURVEY WITH BOTH LANDLINE AND CELL-PHONE NUMBERS UTILIZING A RANDOM SAMPLE OF 500 ADULTS AGE 21 YEARS OR OLDER IN THE COMMUNITY. THESE INTERVIEWS WERE CONDUCTED IN JUNE 2015 AT COMMUNICATIONS FOR RESEARCH IN STEELVILLE, MO, USING A COMPUTER ASSISTED TELEPHONE INTERVIEW INTERVIEWING SYSTEM. PRELL EMPLOYED A STRATIFIED RANDOM SAMPLE THAT SET QUOTAS FOR EACH ZIP CODE TO MATCH THE OVERALL ADULT POPULATION IN THE PSA. THIS HAD THE EFFECT OF REDUCING THE SAMPLING ERROR FOR THIS SURVEY. BECAUSE PHYSICIANS PLAY A ROLE IN RECOGNIZING THE HEALTH NEEDS OF THE POPULATION, ST. ANTHONY'S MEDICAL CENTER CHOSE TO SURVEY PRIMARY CARE PHYSICIANS AND SPECIALISTS AFFILIATED WITH ST. ANTHONY'S MEDICAL CENTER. FORTY-THREE PHYSICIANS TOOK PART IN A SEVEN-QUESTION SURVEY USING AN ONLINE SURVEY TOOL. THE PHYSICIANS WERE ASKED THREE OPEN-ENDED QUESTIONS AND FOUR CLOSED QUESTIONS FOCUSED ON THE HEALTH NEEDS OF OUR POPULATION.
SCHEDULE H, PART V, SECTION B, LINE 6AOTHER HOSPITALS CHNA CONDUCTED WITH: ST. ANTHONY 'S MEDICAL CENTER PARTNERED WITH BARNES JEWISH WEST COUNTY HOSPITAL (BJWCH), MISSOURI BAPTIST MEDICAL CENTER (MBMC), ST. LUKE'S HOSPITAL (SLH) AND MERCY ST. LOUIS. TO FULFILL PPACA REQUIREMENTS, BJWCH, MBMC, SAMC AND MERCY ST. LOUIS HOSTED A SINGLE FOCUS GROUP WITH PUBLIC HEALTH EXPERTS AND THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF RESIDENTS LOCATED IN WEST AND SOUTH ST. LOUIS COUNTY. THIS DISCUSSION LASTED 90 MINUTES AND WAS FACILITATED BY A MODERATOR. THERE WAS A GENERAL CONSENSUS THAT THE PRIORITIES IDENTIFIED IN THE PREVIOUS ASSESSMENT ARE STILL THOSE AT WHICH THE HOSPITALS SHOULD FOCUS. PARTICIPANTS WERE GIVEN THE LIST OF NEEDS IDENTIFIED IN THE 2012-2013 ASSESSMENT BY EACH HOSPITAL AND ASKED TO RE-RANK THEM ON A SCALE OF 1 (LOW) TO 5 (HIGH) BASED ON THEIR PERCEIVED LEVEL OF COMMUNITY CONCERN AND THE ABILITY OF COMMUNITY ORGANIZATIONS TO COLLABORATE AROUND THEM.
SCHEDULE H, PART V, SECTION B, LINES 7A & 7DHOW CHNA WAS MADE WIDELY AVALIABLE: THE CHNA CAN BE ACCESSED ON THE HOSPITAL WEBSITE AT THE FOLLOWING ADDRESS: HTTP://WWW.STANTHONYSMEDCENTER.COM/ AT THE BOTTOM OF THE MAIN PAGE. THE IMPLEMENTATION PLAN HAS ALSO BEEN POSTED TO THE WEBSITE AND CAN BE ACCESSED AT THE FOLLOWING ADDRESS: HTTP://WWW.STANTHONYSMEDCENTER.COM/ AT THE BOTTOM OF THE MAIN PAGE. The current CHNA & implementation plan can also be found at http://www.stanthonysmedcenter.com/about-us/communitybenefit. The previous CHNA can be found at: http://stanthonysmedcenter.com/about-us/2013chna. OTHER WAYS IN WHICH THE NEEDS ASSESSMENT WAS MADE WIDELY AVAILABLE: - THE ST. ANTHONY'S MEDICAL CENTER CHNA DOCUMENT DISPLAYED CONSPICUOUSLY ON WEB SITE WITH DIRECTIONS TO DOWNLOAD - SHARED FINAL DOCUMUMENT AND NEXT STEPS WITH THE ST. ANTHONY'S MEDICAL CENTER COMMUNITY BENEFIT COUNCIL - SHARED HIGHLIGHTS AND OVERVIEW OF THE CHNA AND PROCESS WITH EMPLOYEES IN THIS WEEK (AN EMPLOYEE PUBLICATION) - SHARED HIGHLIGHTS AND OVERVIEW OF THE CHNA WITH A LINK TO THE WEBSITE IN A PRESS RELEASE TO THE COMMUNITY - SHARED THE CHNA ON SOCIAL MEDIA - SHARED THE CHNA WITH THE COMMUNITY BY PROVIDING FLIERS IN LOCAL LIBRARIES WITH A LINK TO THE DOCUMENT/WEBSITE - SHARED THE CHNA/IMPLEMENTATION STRATEGY AND BACKGROUND IN "YOUR HEALTH TODAY" (A QUARTERLY PUBLICATION THAT REACHES 100,000 LOCAL MEMBERS OF THE ST. ANTHONY'S MEDICAL CENTER COMMUNITY).
SCHEDULE H, PART V, SECTION B, LINES 10 & 11THE IMPLEMENTATION STRATEGY IS POSTED AT: HTTP://WWW.STANTHONYSMEDCENTER.COM/AT THE BOTTOM OF THE MAIN PAGE. THE IMPLEMENTATION STRATEGY POSTED AT: (HTTP://WWW.STANTHONYSMEDCENTER.COM/) EXPLAINS HOW THE SIGNIFICANT NEEDS ARE BEING ADDRESSED. In any case of prioritization, THERE will be some areas of needs that are identified that are not chosen as a priority. Because St. Anthony's Medical Center has limited resources, not every community need will be addressed. Throughout the CHNA process, the following needs arose as community concerns. However, they will not be addressed at this time due to the need already being addressed by another community organization or due to a limitation of resources: tobacco use in Jefferson County, violence in the community, maternal/child health, sexually transmitted infections and alcohol-impaired driving deaths. While these needs will not specifically BE addressed by our priorities, they will most likely be impacted indirectly through the work in our other community outreach priorities.
SCHEDULE H, PART V, SECTION B, LINE 13BINCOME LEVEL OTHER THAN FPG: REFER TO FAP
SCHEDULE H, PART V, SECTION B, LINE 16A, 16B, & 16CWEBSITE FOR FAP, FAP APPLICATION, AND PLAIN LANGUAGE SUMMARY OF FAP: HTTP://WWW.STANTHONYSMEDCENTER.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE
FieldValueIRS element (for citing)
Facility8FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
FENTON URGENT CARE
714 GRAVOIS ROADFENTONMO63026URGENT CARE FACILITY
ARNOLD URGENT CARE
3619 RICHARDSON ROADARNOLDMO63010URGENT CARE FACILITY
LEMAY URGENT CARE
2900 LEMAY FERRY ROADST LOUISMO63125URGENT CARE FACILITY
BIG BEND URGENT CARE
10296 BIG BEND BLVDST LOUISMO63122URGENT CARE FACILITY
KIRKWOOD URGENT CARE
1001 S KIRKWOOD RDST LOUISMO63122URGENT CARE FACILITY
ST ANTHONY'S MEDICAL PLAZA
12700 SOUTHFORK ROADST LOUISMO63128IMAGING, LAB, BREAST CENTER AND WOUND CARE SVCS
ST ANTHONY'S SPORTS AND THERAPY SVCS
9964 KENNERLY ROAD STE DST LOUISMO63128OUTPATIENT THERAPY
ORTHOPEDIC AND SPORTS REHABILITATION
12639 OLD TESSON FERRY ROAD STE 120ST LOUISMO63128OUTPATIENT THERAPY - CLOSED

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART III, SECTION A, LINE 2 & 4METHODOLOGY USED TO DETERMINE BAD DEBT EXPENSE: THE AMOUNT ENTERED REPRESENTS THE BAD DEBT EXPENSE RECORDED IN THE AUDITED FINANCIAL STATEMENTS. FOOTNOTE TO AUDITED FINANCIAL STATEMENTS - BAD DEBT EXPENSE: NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS, PAGE 9 SEE NOTE 1: PATIENT ACCOUNTS RECEIVABLE.
SCHEDULE H, PART III, SECTION B, LINE 8MEDICARE SHORTFALL TREATED AS COMMUNITY BENEFIT: THE SHORTFALL IS UNCOMPENSATED MEDICARE COST WHICH SHOULD BE INCLUDED IN COMMUNITY BENEFITS SINCE MEDICALLY NECESSARY SERVICES WERE PROVIDED AND NOT REIMBURSED. COSTING METHODOLOGY USED FOR MEDICARE: THE COSTING METHODOLOGY SOURCE USED WAS THE FY 2017 MEDICARE COST REPORT.
SCHEDULE H, PART III, SECTION C, LINE 9BDEBT COLLECTION POLICY: PROCEDURES ARE IN PLACE TO PROCESS ACCOUNTS FOR PATIENTS THAT QUALIFY FOR CHARITY CARE. NO COLLECTION PRACTICES TAKE PLACE FOR THOSE PATIENTS.
SCHEDULE H, PART VI, LINE 2NEEDS ASSESSMENT: ST. ANTHONY'S MEDICAL CENTER (SAMC) CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND DEVELOPED AN IMPLEMENTATION PLAN WITH STRATEGIES TO ADDRESS IDENTIFIED NEEDS. THIS PROCESS WAS UNDERTAKEN BY THE COMMUNITY OUTREACH TEAM AT SAMC, LED BY COMMUNITY OUTREACH COORDINATOR LAURA BUB, MPH. ST. ANTHONY'S SOUGHT GUIDANCE AND PARTNERSHIP FROM THE ST. LOUIS DEPARTMENT OF HEALTH AND IN COLLABORATION WITH BARNES-JEWISH WEST COUNTY HOSPITAL (BJWCH), MISSOURI BAPTIST MEDICAL CENTER (MBMC), ST. LUKE'S HOSPITAL (SLH) AND MERCY HOSPITAL ST LOUIS (MHSL). SAMC USED SURVEY DATA FROM COMMUNITY MEMBERS AND LOCAL PHYSICIANS, A KEY STAKEHOLDER ANALYSIS, AND SECONDARY DATA FROM EXISTING RESOURCES TO IDENTIFY AND PRIORITIZE HEALTH PROBLEMS AND RISK FACTORS IN THE ST. ANTHONY'S MEDICAL CENTER SERVICE AREA.
SCHEDULE H, PART VI, LINE 3PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: THE MEDICAL ELIGIBILITY PROGRAM IS A HOSPITAL SERVICE PROVIDED TO PATIENTS AT NO COST. PATIENTS MAY QUALIFY FOR GOVERNMENT PROGRAMS WHICH PAY FOR ALL OR PART OF THEIR HOSPITAL AND MEDICAL EXPENSES. IF PATIENT IS UNDER 21 OR OVER 65 YEARS OLD, HAVE CHILDREN IN THE HOUSEHOLD, ARE PREGNANT, POTENTIALLY DISABLED, OR HAVE BEEN A VICTIM OF CRIME THEY MAY QUALIFY. SAMC HOSPITAL FINANCIAL COUNSELORS WILL ASSIST PATIENTS WITH THE APPLICATION PROCESS. PATIENTS ARE INFORMED ABOUT OUR FINANCIAL ASSISTANCE PROCESS IN A NUMBER OF WAYS: - FINANCIAL COUNSELORS ARE AVAILABLE TO PATIENTS DURING THEIR STAY. - DISCUSSIONS ABOUT FINANCIAL ASSISTANCE OCCUR WHEN SPEAKING TO PATIENTS ON THE PHONE ABOUT THEIR ACCOUNT BALANCES. - INFORMATION REGARDING OUR FINANCIAL ASSISTANCE POLICY IS LOCATED AT SAMC AND ON THE BILLING STATEMENTS. - ADDITIONAL INFORMATION IN REGARD TO FINANCIAL ASSISTANCE IS LISTED ON BILLING STATEMENTS OR CAN BE FOUND ON SAMC'S WEBSITE.
SCHEDULE H, PART VI, LINE 4COMMUNITY INFORMATION: THE PRIMARY COMMUNITY THAT ST. ANTHONY'S SERVES INCLUDES A GEOGRAPHIC AREA OF SOUTH ST. LOUIS COUNTY, SOUTH ST. LOUIS CITY AND JEFFERSON COUNTY IN MISSOURI AND MONROE COUNTY IN ILLINOIS. THE SERVICE AREA COULD BEST BE DESCRIBED AS A COMBINATION SUBURBAN COMMUNITY. ST. ANTHONY'S SERVES A COMBINED POPULATION OF MORE THAN 564,000 RESIDENTS WHO RESIDE WITHIN A 25-30 MINUTE DRIVE TO ST. ANTHONY'S. THE PRIMARY SERVICE AREA ACCOUNTS FOR ABOUT 80% OF THE PATIENTS SERVED. THE DEMOGRAPHIC DATA* FOR THE PRIMARY SERVICE AREA INCLUDES A POPULATION OF MORE THAN 564,000 WITH TOTAL HOUSEHOLDS OF MORE THAN 228,000. MOST OF THE RESIDENTS ARE WHITE (94%), WITH 4% BLACK RESIDENTS, AND 2% BEING OF OTHER RACE. WE ALSO SERVE A LARGE BOSNIAN POPULATION. THE APPROXIMATE OCCUPATION BREAKOUT OF THE PRIMARY SERVICE AREA IS: 62% WHITE COLLAR, 22% BLUE COLLAR AND ABOUT 16% SERVICE WORKERS. THE AVERAGE HOUSEHOLD INCOME IS ABOUT $70,000/YR. THE ELDERLY POPULATION OF AGES 65 AND OLDER IS 23%. THE HOUSEHOLDS OWNER OCCUPIED ARE 77% VERSUS 23% RENTER OCCUPIED. SINGLE PARENT HOUSEHOLDS ARE ABOUT 34%. THE PERCENTAGE OF RESIDENTS WITH INCOME LEVELS OF LESS THAN $25,000 IS 18%. *SOURCE : 2010 ESTIMATES AND 2015 PROJECTIONS: NIELSEN CLARITAS THE PRIMARY SERVICE AREA PAYOR MIX OF SELF-PAY AND MEDICAID PATIENTS AT ST. ANTHONY'S FROM FISCAL YEAR 2010, WAS 18%. DATA SHOWS THIS PERCENTAGE HAS RISEN MORE THAN 4% OVER THE LAST FIVE FISCAL YEARS.
SCHEDULE H, PART VI, LINE 5PROMOTION OF COMMUNITY HEALTH: -ST. ANTHONY'S OPERATES AN EMERGENCY ROOM THAT ACCEPTS ALL PERSONS WHO ARE IN NEED OF MEDICAL ATTENTION REGARDLESS OF THEIR ABILITY TO PAY. -ST. ANTHONY'S HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. -ST. ANTHONY'S HAS A GOVERNING BOARD OF DIRECTORS IN WHICH INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY COMPRISE A MAJORITY. -ST. ANTHONY'S WORKS IN COOPERATION WITH LOCAL UNIVERSITIES AND HEALTH CARE ORGANIZATIONS TO ADVANCE THE SCIENCE OF MEDICINE BY PROVIDING A CLINICAL SETTING WHERE INNOVATIVE TREATMENTS AND NEW THERAPEUTIC PROTOCOLS CAN BE DEVELOPED AND STUDIED. -ST. ANTHONY'S ENGAGES IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS BY TEAMING UP WITH LOCAL COMMUNITY COLLEGES AND UNIVERSITIES TO PROVIDE A CLINICAL SETTING FOR HEALTH CARE STUDENTS. -ST. ANTHONY'S PARTICIPATES IN MEDICAID, MEDICARE, CHAMPUS, TRICARE, AND OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. -ST. ANTHONY'S MEDICAL CENTER FOUNDATION SET UP $264,000 IN SCHOLARSHIP FUNDING FOR EMPLOYEES' SONS AND DAUGHTERS WHICH IS NOT INCLUDED IN THIS TAX RETURN.
SCHEDULE H, PART VI, LINE 7STATE FILING OF COMMUNITY BENEFIT REPORT: MO
SCHEDULE H, PART I, LINE 7COST METHODOLOGY: THE COSTS REPORTED IN THE TABLE IN PART I, LINE 7 USED THE COST ACCOUNTING METHODOLOGY. THIS METHODOLOGY WAS USED FOR ALL PATIENT SEGMENTS, WITH THE EXCEPTION OF PART I, LINES 7(A) AND 7(B), WHICH USED A RATIO OF PATIENT CARE COSTS TO CHARGES AS COMPUTED IN WORKSHEET 2 OF THE FORM INSTRUCTIONS.
SCHEDULE H, PART I, LINE 7, COLUMN FBAD DEBT EXPENSE: THE ORGANIZATION HAD BAD DEBT EXPENSE IN THE AMOUNT OF $39,389,119 REPORTED ON PART IX, LINE 24. HOWEVER, IT HAS BEEN SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN.
SCHEDULE H, PART I, LINE 7GSUBSIDIZED HEALTH SERVICES: THE SUBSIDIZED HEALTH SERVICES DO NOT INCLUDE COSTS ASSOCIATED WITH STAND-ALONE PHYSICIAN CLINICS.
SCHEDULE H, PART I, LINE 3CSEE PART V, LINE 13 FOR OTHER CRITERIA USED TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE.
SCHEDULE H, PART III, SECTION A, LINE 3THE 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.
SCHEDULE H, PART VI, LINE 6AFFILIATED HEALTH CARE SYSTEM: THE FILING ORGANIZATION WAS A PART OF MERCY HEALTH ("MERCY") STARTING JUNE 1, 2017. 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.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1HOLY CROSS ACADEMYBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line18874 PARDEE RDAddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63123ZIPCd
FieldValueIRS element (for citing)
Recipient EIN453755182RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$6,250CashGrantAmt
Purpose Of GrantMEDICAL EDUCATIONPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationPROCEDURE FOR MONITORING GRANTS: THE ORGANIZATION MONITORS THE GRANT MONEY BY HAVING EACH RECIPIENT COMPLETE A MID-YEAR AND FINAL REPORT. THE FINAL REPORT INCLUDES ITEMIZED EXPENDITURES AND HOW THE PROGRAMMING FITS THE GOALS OF THE GRANT.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
DAVID SINDELAR
CEO AND CHAIRMAN OF THE BOARD$1,081,641$0$0$0$2,530$0$20,536$0$11,263$0$1,115,970$0
MARY GRAHAM
MEMBER$0$652,371$0$0$0$1,488$0$23,549$0$11,263$0$688,671
BILL HOEFER
COO$347,693$0$0$0$261$0$970$0$11,263$0$360,187$0
BRENT SINGER
CFO$443,109$0$0$0$0$0$18,000$0$11,263$0$472,372$0
KELLY WETZLER
INTERIM PRESIDENT$390,175$0$0$0$286$0$18,862$0$11,263$0$420,586$0
SEIICHI NODA
PHYSICIAN$1,193,928$0$0$0$2,729$0$28,979$0$11,263$0$1,236,899$0
GREGORY BOTTERON
PHYSICIAN$855,232$0$88,821$0$23,903$0$5,369$0$7,950$0$981,275$0
MICHAEL SHAPIRO
PHSICIAN$849,593$0$88,821$0$25,099$0$30,129$0$11,263$0$1,004,905$0
DENNIS DISCH
PHYSICIAN$848,770$0$88,821$0$22,863$0$28,235$0$11,263$0$999,952$0
MICHAEL GOLDMEIER
PHYSICIAN$841,660$0$88,821$0$23,903$0$29,365$0$11,263$0$995,012$0
CAROL ELLIS
VP NURSING$197,027$0$0$0$429$0$13,745$0$10,182$0$221,383$0
JAMES WELDON
CIO$266,773$0$0$0$346$0$936$0$7,950$0$276,005$0
LAURA FRAME
VP GENERAL COUNCIL$196,236$0$0$0$453$0$10,413$0$8,051$0$215,153$0
ERIC APPELGREN
VP CLINICAL SERVICES$0$0$0$0$0$0$0$0$0$0$0$0
BRENT GRAZMAN
VP QUALITY$196,806$0$0$0$166$0$10,396$0$8,713$0$216,081$0
DENNIS HOLTER
VP BUSINESS DEVELOPMENT$184,816$0$0$0$635$0$7,621$0$8,020$0$201,092$0
KADI MONTEZ
VP OF IT$161,077$0$0$0$132$0$4,265$0$6,898$0$172,372$0
BEVERLY BOKOVITZ
CNO$464,724$0$0$0$618$0$20,021$0$3,313$0$488,676$0
DAVID MORTON
CMO$632,470$0$0$0$24,358$0$29,848$0$11,263$0$697,939$0
MICHAEL MCCURRY
PRESIDENT$0$847,002$0$792,616$0$148,364$0$732,714$0$12,183$0$2,532,879
CHERYL MATEJKA
INTERIM CFO$0$377,918$0$166,609$0$55,840$0$68,979$0$16,597$0$685,943
DONN SORENSEN
EXECUTIVE VP-OPERATIONS$0$671,310$0$361,742$0$37,569$0$322,830$0$9,711$0$1,403,162
RON TRULOVE
CHIEF REVENUE OFFICER$0$356,750$0$492,865$0$43,703$0$77,109$0$12,071$0$982,498

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1ASOCIAL CLUB DUES WERE PROVIDED FOR CHRISTOPHER BOWE AND DENNIS HOLTER. THE BENEFIT WAS NOT TREATED AS TAXABLE COMPENSATION SINCE THE USE OF THE MEMBERSHIP IS RESTRICTED TO BUSINESS USE ONLY AND NO PERSONAL USE IS ALLOWED.
SCHEDULE J, PART I, LINE 4CBEVERLY BOKOVITZ RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $166,684, IN ACCORDANCE WITH THE TERMS OF HER EMPLOYMENT AGREEMENT.
FORM 990, PART VII, SECTION A, LINE 5ERIC APPELGREN IS COMPENSATED BY AN UNRELATED ENTITY, SC ANESTHESIA GROUP, FOR SERVICES HE PROVIDES TO SAMC. SAMC PROVIDED COMPENSATION TO SC ANESTHESIA GROUP IN THE AMOUNT OF $402,700.
SCHEDULE J, PART I, LINE 4BMercy 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 supplemental retirement plans. There were no payments for the fiscal year ended 6/30/2017. McCurry, Michael; Sorensen,Donn; Matejka, Cheryl L; Trulove, Ron The amount of all accrued benefits is included in compensation amounts provided in Schedule J, Part II, Column (C).

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2BUSINESS RELATIONSHIPS: JOHN H BERRA JR HAS A BUSINESS RELATIONSHIP WITH STACIE HASTIE. PAUL NOVELLY HAS A BUSINESS RELATIONSHIP WITH WINTHROP B. REED III.
FORM 990, PART VI, SECTION A, LINE 4CHANGES TO GOVERNING DOCUMENTS: THE ARTICLES OF INCORPORATION WERE AMENDED AS OF JUNE 1, 2017 TO NAME MERCY HEALTH EAST COMMUNITIES, A MISSOURI NONPROFIT CORPORATION, AS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, TO PROVIDE THAT THE ORGANIZING DOCUMENTS SHALL NOT BE AMENDED WITHOUT THE APPROVAL OF THE SOLE CORPORATE MEMBER, AND TO PROVIDE FOR THE DISTRIBUTION OF ALL NET ASSETS TO THE SOLE CORPORATE MEMBER UPON DISSOLUTION. THE BYLAWS WERE AMENDED AS OF JUNE 1, 2017 TO DESIGNATE MERCY HEALTH EAST COMMUNITIES, A MISSOURI NONPROFIT CORPORATION, AS THE SOLE CORPORATE MEMBER AND TO GRANT CERTAIN GOVERNING POWERS AND RESPONSIBILITIES TO THE SOLE CORPORATE MEMBER. THE AMENDED BYLAWS CHANGED THE NUMBER OF GOVERNING BODY MEMBERS, CHANGED THE AUTHORITY AND DUTIES OF THE GOVERNING BODY MEMBERS AND GRANTED THE POWER TO APPOINT AND REMOVE GOVERNING BODY MEMBERS TO THE SOLE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 6THE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS MERCY HEALTH EAST COMMUNITIES, A MISSOURI NONPROFIT CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE SOLE CORPORATE MEMBER, MERCY HEALTH EAST COMMUNITIES, HAS THE POWER TO APPOINT AND REMOVE THE MEMBERS OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7BTHE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED TO THE CORPORATE MEMBER (AND WITH REGARD TO CERTAIN POWERS AND RESPONSIBILITIES, TO MERCY HEALTH, AS THE CORPORATE MEMBER OF THE CORPORATE MEMBER): -APPROVAL OF REVISIONS TO THE MISSION, VISION, AND OPERATING VALUES, PURSUANT TO WHICH THE CORPORATION OPERATES; -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; -APPROVAL OF THE APPOINTMENT AND REMOVAL OF THE PRESIDENT OF THE CORPORATION, AS PROVIDED IN SECTIONS 7.2.1 AND 7.3 OF THE BYLAWS; -ADOPTION OF THE STRATEGIC PLAN, GOALS AND OBJECTIVES OF THE CORPORATION; -ADOPTION OF THE OPERATING, CAPITAL, AND ALL OTHER BUDGETS FOR THE CORPORATION; -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; -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; -APPROVAL OF A PLAN OF MERGER, CONSOLIDATION, OR DISSOLUTION OF THE CORPORATION; -APPROVAL OF THE LEASE, MANAGEMENT, OR PURCHASE OF, OR AFFILIATION WITH, ANOTHER HOSPITAL OR HEALTH SYSTEM, OR HEALTH CARE FACILITY OR HEALTH CARE SYSTEM BY THE CORPORATION; AND, -APPROVAL OF THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION CONTROLLED BY THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11BREVIEW PROCESS: The Form 990 is prepared by an independent accounting firm, using information provided by the filing organization. A draft Form 990 is reviewed by the filing organization's finance leadership. The draft Form 990 is also reviewed by the Mercy Health Tax Department, to ensure accuracy and consistency with other related organizations' Form 990s. After questions arising from the various reviews are addressed and incorporated into the Form 990, a revised draft is provided to the filing organization's leadership team for review. Once reviewed and approved by the filing organization's leadership team, 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 12CCOMPLIANCE WITH CONFLICT OF INTEREST POLICY: TO ENSURE THAT ST. ANTHONY'S OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES AND THAT IT ENGAGES ONLY IN TRANSACTIONS THAT ARE REASONABLE AND ARE THE RESULT OF ARM'S LENGTH BARGAINING, THE BOARD HAS ADOPTED AND ENFORCES COMPLIANCE WITH A CONFLICT OF INTEREST POLICY, WHICH REQUIRES DISCLOSURE OF ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST. IF THE BOARD OR COMMITTEE OR ADMINISTRATOR HAS REASONABLE CAUSE TO BELIEVE THAT AN INDIVIDUAL HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE INDIVIDUAL OF THE BASIS FOR SUCH BELIEF AND AFFORD THE INDIVIDUAL AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE RESPONSE OF THE INDIVIDUAL AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD OR COMMITTEE OR ADMINISTRATOR DETERMINES THAT THE INDIVIDUAL HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION.
FORM 990, PART VI, SECTION B, LINE 15APROCESS FOR DETERMINING COMPENSATION: COMPENSATION FOR THE CEO IS BASED UPON COMPARABLE MARKET RATES FOR SIMILAR POSITIONS WITHIN THE NATION. PERIODICALLY, AN OUTSIDE COMPENSATION CONSULTANT IS HIRED TO REVIEW COMPENSATION AND COMPARE IT TO APPROPRIATE PEER GROUPS. THESE EXTERNAL REPORTS ARE PRESENTED TO THE BOARD OF DIRECTORS' COMPENSATION COMMITTEE FOR REVIEW AND APPROVAL ALONG WITH THE ANNUAL EVALUATIONS OF THE SENIOR STAFF MEMBERS. THE MOST RECENT COMPENSATION REVIEW WAS CONDUCTED IN APRIL OF 2014 AND FEBRUARY OF 2015. IN ADDITION, COMPARABLE COMPENSATION DATA OR VALUATION EXPERTS ARE CONSULTED WHEN NEW EXECUTIVES ARE ENGAGED. FOR MIKE MCCURRY, THE ORGANIZATION RELIED UPON MERCY HEALTH, WHICH USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT, AND REVIEW/APPROVAL OF COMPENSATION BY THE COMPENSATION COMMITTEE OF THE BOARD OF MERCY HEALTH. FOR THOSE CLASSIFIED AS KEY EMPLOYEES, THE ORGANIZATION USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, AND REVIEW/APPROVAL OF EXECUTIVE MANAGEMENT. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS AND A REVIEW WAS COMPLETED DURING THE REPORTING YEAR.
FORM 990, PART VI, SECTION B, LINE 15BPROCESS FOR DETERMINING COMPENSATION: COMPENSATION FOR ALL SENIOR MANAGEMENT STAFF MEMBERS IS BASED UPON COMPARABLE MARKET RATES FOR SIMILAR POSITIONS WITHIN THE NATION. PERIODICALLY, AN OUTSIDE COMPENSATION CONSULTANT IS HIRED TO REVIEW COMPENSATION AND COMPARE IT TO APPROPRIATE PEER GROUPS. THESE EXTERNAL REPORTS ARE PRESENTED TO THE BOARD OF DIRECTORS' COMPENSATION COMMITTEE FOR REVIEW AND APPROVAL ALONG WITH THE ANNUAL EVALUATIONS OF THE SENIOR STAFF MEMBERS. THE MOST RECENT COMPENSATION REVIEWS WERE CONDUCTED IN JULY OF 2014 AND FEBRUARY OF 2015.
FORM 990, PART VI, SECTION C, LINE 19PROCESS FOR MAKING DOCUMENTS AVAILABLE TO PUBLIC: THE ORGANIZATION CONSIDERS ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS TO BE PROPRIETARY. ACCORDINGLY THEY ARE NOT MADE AVAILABLE TO THE GENERAL PUBLIC.
FORM 990, PART XI, LINE 9OTHER CHANGES IN NET ASSETS OR FUND BALANCES: DEFINED BENEFIT PENSION PLANS 1,271,097 CURTAILMENT LOSS (305,230) INTEREST RATE SWAP 6,487,989 OTHER CHANGES IN FUND BALANCE (164,110) FUND BALANCE TRANSFER (438,894) SELF INSURANCE TRUST INCOME (18,505) CHANGE IN SELF INS TRUST NET ASSETS (1,137,520) DEBT TRANSFERRED TO MERCY 186,831,722 AFFILIATION VALUATION ADJUSTMENTS 30,468,725 BENEFICIAL INTEREST IN TRUST TRANSFER 988,753 BENEFICIAL INTEREST IN TRUST RECEIVABLE 125,000 ------------- TOTAL OTHER CHANGES IN NET ASSETS 224,109,027

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
PHYSICIANS OF SAMC LLC
10010 KENNERLY ROADST LOUISMO63128270440956MANAGEMENTMO$606,372$110,152SAMC
ST ANTHONY'S PROFESSIONAL PHARMACY LLC
10010 KENNERLY ROADST LOUISMO63128431659671PHARMACYMO$2,378,060$340,894SAMC
URGENT CARE CENTERS OF SAMC LLC
10010 KENNERLY ROADST LOUISMO63128270440900MANAGEMENTMO$9,033,511$1,221,376SAMC
HEART SPECIALTY ASSOCIATES LLC
10010 KENNERLY ROADST LOUISMO63128274084620SPECIALISTSMO$17,515,968$935,242SAMC
SOUTH CO PET IMAGING LLC
10010 KENNERLY ROADST LOUISMO63128431932907INACTIVEMO$0$0SAMC
ST ANTHONY'S PULMONARY SPECIALISTS LLC
10010 KENNERLY ROADST LOUISMO63128300787362INACTIVEMO$0$0SAMC
1001 KIRKWOOD ROAD LLC
10010 KENNERLY ROADST LOUISMO63128611736257REAL ESTATEMO$1,491,990$33,825SAMC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1SEE SCHEDULE R PART II ATTACHMENTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Direct Controlling NAN/ADirectControllingNACd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SEE SCHEDULE R PART III ATTACHMENTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Direct Controlling NAN/ADirectControllingNACd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SEE SCHEDULE R PART IV ATTACHMENTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Direct Controlling NAN/ADirectControllingNACd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgYes (true)AssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ST ANTHONY'S CHARITABLE FOUNDATION
C$420,917COST
ST ANTHONY'S FOUNDATION
H$7,000,000COST
ST ANTHONY'S CHARITABLE FOUNDATION
M$438,894COST
ST ANTHONY'S PHYSICIAN ORGANIZATION
Q$25,925,000COST
ST ANTHONY'S CHARITABLE FOUNDATION
S$477,827COST

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