MERCY HOSPITAL JEFFERSON: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- MERCY HOSPITAL JEFFERSON (EIN 43-0687077)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-15
- IRS object ID
- 201711359349305096
- Schema version
- 2015v3.0
- 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 I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-15T11:50:26-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | 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 S Outer 40 Suite 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 | 2015-07-01 | 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 | 2017-05-10 | 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 | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | 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 | $173,273,337 | 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 | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 176 | TotalEmployeeCnt |
| Total Volunteers | 125 | TotalVolunteersCnt |
| Total Gross UBI | $162,108 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $51,657 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $45,310 | PYContributionsGrantsAmt |
| CY Contributions Grants | $48,156 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $163,550,035 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $170,193,604 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,244 | PYInvestmentIncomeAmt |
| CY Investment Income | -$3,295,488 | CYInvestmentIncomeAmt |
| PY Other Revenue | $739,244 | PYOtherRevenueAmt |
| CY Other Revenue | $1,402,017 | CYOtherRevenueAmt |
| PY Total Revenue | $164,338,833 | PYTotalRevenueAmt |
| CY Total Revenue | $168,348,289 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $38,937 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $23,338 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $67,993,543 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $71,655,440 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $88,899,557 | PYOtherExpensesAmt |
| CY Other Expenses | $84,920,710 | CYOtherExpensesAmt |
| PY Total Expenses | $156,932,037 | PYTotalExpensesAmt |
| CY Total Expenses | $156,599,488 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $7,406,796 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $11,748,801 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $173,921,716 | TotalAssetsBOYAmt |
| Total Assets EOY | $179,763,466 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $8,067,825 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $11,173,838 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $165,853,891 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $168,589,628 | 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 | $142,227,854 | ExpenseAmt |
| Grant | $23,338 | GrantAmt |
| Revenue | $171,114,214 | 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. 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. Charity and uncompensated care for the year totaled $36,072,977. 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. | Desc |
| Total Program Service Expenses | $142,227,854 | 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 | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln 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 | 2 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 176 | 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 | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | 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 (21 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 |
|---|---|---|---|---|---|---|---|---|---|
| Ammons Carl E Eric | |||||||||
| President, Mercy Hospital Jefferson & Board member | 54.50 | 5.50 | Yes (X) | $562,345 | $0 | $211,670 | |||
| Breeze Tonda | |||||||||
| Board member | 0.50 | 0.50 | 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 | |||
| Gannon Dennis | |||||||||
| Board member | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| Kennen E William | |||||||||
| Physician & board member | 40.00 | 0.00 | Yes (X) | $567,293 | $0 | $24,167 | |||
| King BA M Div Rev Jack | |||||||||
| Board member | 0.50 | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| Patel MD Ash | |||||||||
| Board member | 4.00 | 0.50 | Yes (X) | $0 | $36,000 | $0 | |||
| Rehm MD Charles | |||||||||
| Chief Admin Officer & Board member | 4.00 | 56.00 | Yes (X) | $0 | $717,088 | $48,718 | |||
| Hannasch Susan | |||||||||
| Regional VP-General Counsel | 10.00 | 50.00 | $0 | $373,926 | $58,299 | Yes (X) | |||
| Matejka Cheryl L | |||||||||
| Chief Financial Officer | 10.00 | 47.00 | $0 | $552,339 | $82,953 | Yes (X) | |||
| Sorensen Donn | |||||||||
| President-East Communities | 5.00 | 59.00 | $0 | $1,021,817 | $325,703 | Yes (X) | |||
| Bryson Jared | |||||||||
| VP Mission | 29.00 | 31.00 | $210,730 | $0 | $24,340 | Yes (X) | |||
| Eckenfels Daniel | |||||||||
| VP Finance | 58.50 | 1.50 | $281,402 | $0 | $26,135 | Yes (X) | |||
| Julien Sheila | |||||||||
| CNO | 40.00 | 0.00 | $219,573 | $0 | $19,842 | Yes (X) | |||
| Meyer Michele | |||||||||
| VP Operations | 60.00 | 0.00 | $282,476 | $0 | $26,840 | Yes (X) | |||
| Al Furgani Mahmud M | |||||||||
| Physician | 54.00 | 6.00 | $731,132 | $0 | $27,944 | Yes (X) | |||
| Alam Tariq | |||||||||
| Physician | 34.00 | 6.00 | $795,579 | $0 | $28,466 | Yes (X) | |||
| Albano Benjamin Y | |||||||||
| Physician | 40.00 | 0.00 | $544,851 | $0 | $28,037 | Yes (X) | |||
| Barakat Ammar | |||||||||
| Physician | 39.00 | 1.00 | $568,309 | $0 | $26,734 | Yes (X) | |||
| Misra Aayushman | |||||||||
| Physician | 60.00 | 0.00 | $371,515 | $0 | $23,044 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,135,205 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,701,170 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $982,892 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 78 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | 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 | $5,261,753 |
| Bates and Associates | |||||
| 433 W Walnut | Springfield | MO | 65806 | Architectural Services | $4,423,273 |
| Acuity Anesthesiology LLC | |||||
| 1734 Clarkson Road Suite 147 | Chesterfield | MO | 63017 | Anesthesia Services | $3,608,744 |
| Rehabcare Group Inc | |||||
| 7733 Forsyth Blvd Ste 1700 | St Louis | MO | 63105 | IP Acute Rehab and OP Rehab Services | $3,002,350 |
| Northstar Management Company LLC | |||||
| 10820 Sunset Office Drive Suite 20 | St Louis | MO | 63127 | Project Management Services | $440,363 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 34 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $48,156 | RelatedOrganizationsAmt |
| Total Contributions | $48,156 | 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 | $169,399,135 | $169,399,135 | |
| Rental From Affiliated | 531120 | $621,509 | $621,509 | |
| Lab Services | 621500 | $172,960 | $17,769 | $155,191 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $170,193,604 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,621 | TotalRevenueColumnAmt |
| Exclusion | $1,621 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $613,230 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,558,764 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$945,534 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$945,534 | TotalRevenueColumnAmt |
| Exclusion | -$945,534 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $3,297,109 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$3,297,109 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$3,297,109 | TotalRevenueColumnAmt |
| Exclusion | -$3,297,109 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $76,092 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $69,175 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,917 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $6,917 | UnrelatedBusinessRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| Cafe & vending | 722210 | $986,970 | $986,970 | |
| Gift shop sales | 900099 | $439,971 | $439,971 | |
| Pharmacy Revenue | 624100 | $76,092 | $76,092 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $837,601 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $837,601 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,340,634 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $168,348,289 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $170,952,106 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $162,108 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$2,814,081 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,338 | TotalAmt |
| Program Services | $23,338 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,259,767 | TotalAmt |
| Program Services | $2,259,767 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,993,237 | TotalAmt |
| Program Services | $52,918,458 | ProgramServicesAmt |
| Management And General | $2,074,779 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,655,198 | TotalAmt |
| Program Services | $2,558,402 | ProgramServicesAmt |
| Management And General | $96,796 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,946,713 | TotalAmt |
| Program Services | $7,655,682 | ProgramServicesAmt |
| Management And General | $291,031 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,800,525 | TotalAmt |
| Program Services | $3,662,596 | ProgramServicesAmt |
| Management And General | $137,929 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,822 | TotalAmt |
| Management And General | $12,822 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,549 | TotalAmt |
| Management And General | $17,549 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,872,139 | TotalAmt |
| Program Services | $9,446,086 | ProgramServicesAmt |
| Management And General | $426,053 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $151,458 | TotalAmt |
| Program Services | $10,500 | ProgramServicesAmt |
| Management And General | $140,958 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,489,251 | TotalAmt |
| Program Services | $4,332,583 | ProgramServicesAmt |
| Management And General | $156,668 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,697 | TotalAmt |
| Program Services | $20,697 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,106,123 | TotalAmt |
| Program Services | $984,449 | ProgramServicesAmt |
| Management And General | $121,674 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $418,864 | TotalAmt |
| Program Services | $397,532 | ProgramServicesAmt |
| Management And General | $21,332 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $600 | TotalAmt |
| Program Services | $600 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,295 | TotalAmt |
| Program Services | $3,295 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,586,463 | TotalAmt |
| Program Services | $4,511,177 | ProgramServicesAmt |
| Management And General | $4,075,286 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $919,622 | TotalAmt |
| Program Services | $919,622 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Drugs & medical expense | $34,515,794 | $34,304,632 | $211,162 |
| Shared service fees | $12,907,203 | $6,711,746 | $6,195,457 |
| Bad debt expense | $9,858,149 | $9,858,149 | $0 |
| Repairs and maintenance | $1,293,425 | $1,147,081 | $146,344 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $747,256 | TotalAmt |
| Program Services | $501,462 | ProgramServicesAmt |
| Management And General | $245,794 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,599,488 | TotalAmt |
| Program Services | $142,227,854 | ProgramServicesAmt |
| Management And General | $14,371,634 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,379,330 | BOYAmt |
| EOY | $4,778,989 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,935,190 | BOYAmt |
| EOY | $19,460,498 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,034,853 | BOYAmt |
| EOY | $3,166,970 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $190,400 | BOYAmt |
| EOY | $113,210 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $118,017,243 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $23,395,117 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,628,804 | BOYAmt |
| EOY | $94,622,126 | 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 | $14,828,475 | BOYAmt |
| EOY | $4,697,009 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $173,921,716 | BOYAmt |
| EOY | $179,763,466 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,591,937 | BOYAmt |
| EOY | $10,334,897 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,253 | BOYAmt |
| EOY | $113,295 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $474,635 | BOYAmt |
| EOY | $725,646 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,067,825 | BOYAmt |
| EOY | $11,173,838 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $165,831,886 | BOYAmt |
| EOY | $168,551,277 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,005 | BOYAmt |
| EOY | $38,351 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $165,853,891 | BOYAmt |
| EOY | $168,589,628 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $173,921,716 | BOYAmt |
| EOY | $179,763,466 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $11,748,801 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$9,013,064 | 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 | $24,240 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $24,240 | 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, 2016, dues were $18,362, $15,553, and $56,192, respectively. Approximately 3.11% of the Catholic Hospital Association dues, 22.12% of the American Hospital Association dues, and 36.00% 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 | $3,509,000 | OtherCostOrOtherBasisAmt |
| Book Value | $3,509,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $43,627,143 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,192,154 | DepreciationAmt |
| Book Value | $37,434,989 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,317 | OtherCostOrOtherBasisAmt |
| Depreciation | $860 | DepreciationAmt |
| Book Value | $9,457 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $41,576,254 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,511,489 | DepreciationAmt |
| Book Value | $25,064,765 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $29,294,529 | OtherCostOrOtherBasisAmt |
| Depreciation | $690,614 | DepreciationAmt |
| Book Value | $28,603,915 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $94,622,126 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Other Liabilities | $403,313 |
| DUE TO AFFILIATES | $322,333 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $725,646 | 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, 2016 OR 2015. | 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 | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,054,550 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,054,550 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04130 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,304,091 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,498,465 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $805,626 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00550 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,358,641 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,498,465 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,860,176 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04680 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $290,460 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $27,860 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $262,600 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $306,060 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $306,060 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,844,789 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,668,892 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $175,897 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,087 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,081 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,006 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,456,396 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,700,833 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $755,563 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00520 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $27,815,037 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,199,298 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,615,739 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05200 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,045 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $338 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,707 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,192 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,192 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $55,232 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,323 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $39,909 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $68,469 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,661 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $52,808 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $805,626 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $56,809,578 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $66,959,739 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$10,150,161 | 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 |
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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 15 | 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 | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.mercy.net/about/community-benefits | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| 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 |
| 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 | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.mercy.net | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.mercy.net | 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 |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 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))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. 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. |
| Mercy Hospital Jefferson | Part V, Section B, Line 22d: ELIGIBILITY GUIDELINES FOR CHARITY CARE DISCOUNTS THE FEDERAL POVERTY GUIDELINES FOR INCOME ARE THE BASIS FOR DETERMINING ELIGIBILITY FOR CHARITY CARE DISCOUNTS. FOR EXAMPLE, INDIVIDUALS WITH INCOMES BELOW 100% OF THE FEDERAL POVERTY GUIDELINES WILL BE ELIGIBLE FOR FREE CARE. INDIVIDUALS WITH INCOMES GREATER THAN 100% OF THE FEDERAL POVERTY GUIDELINES MAY BE ELIGIBLE FOR CARE AT DISCOUNTED RATES DEPENDING ON THEIR INCOME LEVEL AND/OR THE AMOUNT DUE TO THE HOSPITAL. TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE, THE HOSPITAL FACILITY USES AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE. THE HOSPITAL USES A LOOK BACK METHOD THAT CONSIDERS DISCOUNTS ALLOWED TO MEDICARE AND ALL PRIVATE HEALTH INSURERS.ADDITIONAL FINANCIAL ASSISTANCE AFTER APPROPRIATE DISCOUNTS HAVE BEEN APPLIED, ARRANGEMENTS MAY BE MADE FOR AN INTEREST-FREE MONTHLY PAYMENT PLAN. GENERALLY, NO PATIENT'S FINANCIAL RESPONSIBILITY WILL BE GREATER THAN 20% OF ANNUAL HOUSEHOLD INCOME. IT IS OUR GOAL TO WORK WITH OUR PATIENTS ON THEIR REMAINING LIABILITY. |
| 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 $159,896,597. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $9,858,149. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $805,626. |
| 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. EXAMPLES OF ONGOING PROJECTS LED BY THE COALITIONS LISTED ABOVE INCLUDE:- CLEARING THE AIR, A MULTI-MEDIA CONTEST FOR YOUTH TO ADDRESS THE HARM OF SMOKING- 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. EFFORTS WITH THESE COALITIONS WILL CONTINUE AS MHJ DETERMINED SUBSTANCE ABUSE TO BE A TOP HEALTH PRIORITY THROUGH THE 2016-2019 CHNA CYCLE. CASH/IN-KIND DONATIONSMERCY PROVIDES CASH AND IN-KIND DONATIONS THROUGH THE SUPPORT OF CO-WORKER ENGAGEMENT AND COMMUNITY SERVICE ACTIVITIES. THESE COMMUNITY BUILDING ACTIVITIES ALLOW MERCY CO-WORKERS TO LOOK BEYOND THE WALLS OF THE FACILITIES IN WHICH THEY SERVE TO BETTER UNDERSTAND AND ADDRESS THE NEEDS OF THE COMMUNITY.DURING FY16, CASH DONATIONS WERE GIVEN TO ORGANIZATIONS THROUGHOUT THE COMMUNITY THAT INCLUDED:- JEFFERSON COUNTY YMCA- ST. PIUS X CATHOLIC HIGH SCHOOL- JEFFERSON COLLEGE- FOX C-6 SCHOOL DISTRICT- PONY BIRDA 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. 29% OF THE POPULATION HAS INCOME OVER$75,000. 43% OF THE POPULATION IS AGE 45 AND OLDER. 22% OF THE POPULATION IS ON MEDICARE, 16% ON MEDICAID, AND 11% 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 - FY16 MERCY HEALTH EAST COMMUNITIES FY16 BOARD MEMBERSCRAIG ASHMOREJON BAUERPATRICIA BOLSTER, MDCRAIG BOYD, MDSTEVEN BUSCHSR. JUDY CAREY, RSMSR. KATHERINE GLOSENGER, RSM - EX-OFFICIOARTHUR JOHNSONWILLIAM MCKENNATERI MURRAY, RN, PHDDON MUSICK, IIISR. SUSAN O'CONNOR, RSMCHARLES REHM, MDGEORGE ROMANSTEPHEN SANDERS, MDDONN SORENSEN - EX-OFFICIOSTEVE SWYERS -CHAIRTESSA TRELZSR. MARIA LUISA VERA, RSMRAY WEICK, MDMERCY HOSPITAL JEFFERSON FY16 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. 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 PROVIDES:- FREE CARE AND/OR SUBSIDIZED CARE- CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST- HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY- HEALTH EDUCATION PROGRAMS, AND- A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES.MANY OF THE PROGRAMS MENTIONED BELOW ARE PART OF OUR CURRENT COMMUNITY HEALTH IMPACT PLAN (CHIP). THESE ARE INDICATED BY ASTERISKS.MERCY NEIGHBORHOOD MINISTRY (MNM)MERCY NEIGHBORHOOD MINISTRY IS A DEPARTMENT THAT SUPPORTS THE SERVICE AREAS OF MERCY HOSPITAL JEFFERSON, MERCY HOSPITAL ST. LOUIS AND THE SURROUNDING COUNTIES. IT FOCUSES ON CONNECTING THE ECONOMICALLY UNDERSERVED WITH APPROPRIATE HEALTH AND SOCIAL SERVICES AS WELL AS OVERALL COMMUNITY HEALTH AND ACCESS. MNM PARTNERS WITH OVER 100 COMMUNITY HEALTH AND SOCIAL SERVICE AGENCIES, CLINICS, CHURCHES AND SCHOOLS. NEARLY HALF OF ITS ANNUAL EXPENSES ARE OFFSET THROUGH MERCY FOUNDATION. ACCESS TO CARECERTIFIED APPLICATION COUNSELORS*SINCE 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 800 AND THE CACS HAVE ATTENDED HUNDREDS OF EVENTS RESULTING IN EDUCATIONAL OPPORTUNITIES IN UNDERSTANDING THE TERMINOLOGY AND USAGE OF HEALTH INSURANCE.HEALTH LEADS*HEALTH LEADS IS A SOCIAL ENTERPRISE THAT ENVISIONS A HEALTHCARE SYSTEM THAT ADDRESSES ALL PATIENTS' BASIC RESOURCE NEEDS AS A STANDARD PART OF QUALITY CARE. IN THE SPRING OF 2016, MERCY HEALTH JOINED THE HEALTH LEADS LEARNING COLLABORATIVE TO BEGIN INTEGRATING THE HEALTH LEADS PROGRAM IN ORDER TO ASSIST PATIENTS WITH HEALTH-RELATED SOCIAL NEEDS THROUGH RESOURCE REFERRAL. THIS PROGRAM IS DESIGNED FOR MERCY CLINIC JEFFERSON PATIENTS AND IS BEING FUNDED THROUGH MERCY CLINICS; THEREFORE THE TOTAL COMMUNITY BENEFIT OF THIS PROGRAM CANNOT BE REPORTED UNDER THE EIN FOR MERCY HOSPITAL JEFFERSON.MENTAL HEALTHALIVE AND WELL IN STL*ALIVE 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 FY16 TRAUMA AWARENESS TRAININGS, OPEN TO THE COMMUNITY, WERE HELD AT EACH MERCY EAST COMMUNITY HOSPITAL.SUBSTANCE USEMERCY ROAD TO FREEDOMTHIS PROGRAM WAS OFFERED TO THE COMMUNITY AND MERCY CO-WORKERS AS A TELEPHONIC, ONE-ON-ONE SUPPORT SYSTEM WITH A SPECIALTY TRAINED COUNSELOR. SINCE 2013, OVER 80 PEOPLE HAVE KICKED THE HABIT.PHYSICIANSMERCY HEALTH SYSTEM HAS A LARGE NUMBER OF CLINICS, PHYSICIAN OFFICES AND OTHER HEALTHCARE FACILITIES LOCATED IN THE EAST COMMUNITY THAT ARE NOT ASSOCIATED WITH A HOSPITAL EIN. THESE CLINICS AND FACILITIES PROVIDE FINANCIAL ASSISTANCE, PARTICIPATE IN HEALTH PROFESSIONS EDUCATION (I.E. STUDENT SHADOWING) AND PROVIDE IN-KIND CONTRIBUTIONS TO THEIR COMMUNITIES. THE TOTAL COMMUNITY BENEFIT THAT CANNOT BE REPORTED FOR THESE ACTIVITIES IN FY16 IS $13,384,370. |
| 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 LIFE TO THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE." AS OF JUNE 30, 2016, MERCY FACILITIES INCLUDED 33 ACUTE CARE HOSPITALS, 3 MANAGED HOSPITALS, 4 HEART HOSPITALS, 2 CHILDREN'S HOSPITALS, 2 ORTHOPEDIC HOSPITALS AND 3 REHAB HOSPITALS. FOR THE FISCAL YEAR ENDED JUNE 30, 2016, MERCY HAD MORE THAN 9.2 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 TREASURY, INFORMATION TECHNOLOGY, CLINICAL QUALITY MANAGEMENT, LEGAL AND COMPLIANCE COUNSEL, COMPENSATION AND BENEFITS, CONSULTING, PERFORMANCE MANAGEMENT, REVENUE MANAGEMENT, INTERNAL AUDIT, ACCOUNTING AND REPORTING, CAPITAL MANAGEMENT, CLINICAL ENGINEERING, AND CLINICAL SAFETY. 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 I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| AMERICAN HEART ASSOCIATION | ||||||||
| 7272 GREENVILLE AVE | DALLAS | TX | 75231 | 135613797 | 501(C)(3) | $7,500 | FMV | GENERAL SUPPORT |
| ARCHDIOCESE OF ST LOUIS | ||||||||
| 20 ARCHBISHOP MAY DRIVE | ST LOUIS | MO | 63119 | 430653244 | 501(C)(3) | $10,000 | FMV | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 | FormAndLineReferenceDesc |
| Explanation | The organization awards assistance to preapproved local charity-based organizations, the amounts of $5,000 to $20,000 are approved by the CFO and amounts over $20,000 are approved by the CEO. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | Yes (X) | FirstClassOrCharterTravelInd |
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Severance Payment | 0 | 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 (15 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 | $328,268 | $0 | $191,001 | $0 | $43,076 | $0 | $197,182 | $0 | $14,488 | $0 | $774,015 | $0 | $0 | $0 |
| Kennen E William | ||||||||||||||
| Physician & board member | $500,656 | $0 | $22,832 | $0 | $43,805 | $0 | $9,100 | $0 | $15,067 | $0 | $591,460 | $0 | $0 | $0 |
| Rehm MD Charles | ||||||||||||||
| Chief Admin Officer & Board member | $0 | $485,066 | $0 | $178,689 | $0 | $53,333 | $0 | $34,034 | $0 | $14,684 | $0 | $765,806 | $0 | $0 |
| Hannasch Susan | ||||||||||||||
| Regional VP-General Counsel | $0 | $234,457 | $0 | $102,417 | $0 | $37,052 | $0 | $44,292 | $0 | $14,007 | $0 | $432,225 | $0 | $0 |
| Matejka Cheryl L | ||||||||||||||
| Chief Financial Officer | $0 | $348,636 | $0 | $151,352 | $0 | $52,351 | $0 | $64,123 | $0 | $18,830 | $0 | $635,292 | $0 | $0 |
| Sorensen Donn | ||||||||||||||
| President-East Communities | $0 | $647,761 | $0 | $345,241 | $0 | $28,815 | $0 | $312,651 | $0 | $13,052 | $0 | $1,347,520 | $0 | $0 |
| Bryson Jared | ||||||||||||||
| VP Mission | $121,934 | $0 | $39,231 | $0 | $49,565 | $0 | $7,591 | $0 | $16,749 | $0 | $235,070 | $0 | $0 | $0 |
| Eckenfels Daniel | ||||||||||||||
| VP Finance | $205,146 | $0 | $61,539 | $0 | $14,717 | $0 | $9,100 | $0 | $17,035 | $0 | $307,537 | $0 | $0 | $0 |
| Julien Sheila | ||||||||||||||
| CNO | $155,938 | $0 | $45,604 | $0 | $18,031 | $0 | $11,943 | $0 | $7,899 | $0 | $239,415 | $0 | $0 | $0 |
| Meyer Michele | ||||||||||||||
| VP Operations | $194,388 | $0 | $61,482 | $0 | $26,606 | $0 | $8,945 | $0 | $17,895 | $0 | $309,316 | $0 | $0 | $0 |
| Al Furgani Mahmud M | ||||||||||||||
| Physician | $271,148 | $0 | $430,089 | $0 | $29,895 | $0 | $9,100 | $0 | $18,844 | $0 | $759,076 | $0 | $0 | $0 |
| Alam Tariq | ||||||||||||||
| Physician | $366,749 | $0 | $416,578 | $0 | $12,252 | $0 | $9,100 | $0 | $19,366 | $0 | $824,045 | $0 | $0 | $0 |
| Albano Benjamin Y | ||||||||||||||
| Physician | $297,683 | $0 | $216,666 | $0 | $30,502 | $0 | $9,100 | $0 | $18,937 | $0 | $572,888 | $0 | $0 | $0 |
| Barakat Ammar | ||||||||||||||
| Physician | $259,346 | $0 | $279,125 | $0 | $29,838 | $0 | $9,100 | $0 | $17,634 | $0 | $595,043 | $0 | $0 | $0 |
| Misra Aayushman | ||||||||||||||
| Physician | $219,467 | $0 | $117,609 | $0 | $34,439 | $0 | $9,100 | $0 | $13,944 | $0 | $394,559 | $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. 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 EMPLOYEES OF A RELATED ORGANIZATION: CHARLES REHM. LIMITED INSTANCES OF TAX GROSS-UPS MAY HAVE OCCURRED WITH RESPECT TO EXECUTIVES. HOUSING BENEFITS ARE PROVIDED THROUGH A RELOCATION PROGRAM IN ACCORDANCE WITH COMPANY POLICY. SUCH BENEFITS WERE SUBJECT TO TAX TO THE EMPLOYEE OF A RELATED ORGANIZATION, JARED BRYSON. SUCH BENEFITS WERE SUBJECT TO TAX OF AN EMPLOYEE, AAYUSHMAN MISRA. PAYMENT BY THE COMPANY OF COSTS FOR TEMPORARY HOUSING BY EMPLOYEES FOR THE CONVENIENCE OF THE COMPANY IS MADE IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. AS A REIMBURSABLE EXPENSE, THIS TYPE OF LODGING IS NOT TAXABLE TO THE EMPLOYEE. |
| Part I, Line 4b | 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 6/30/2016: Supplemental Executive Retirement Plan (SERP) Sorensen, Donn (DC); Ammons,Carl (DC) Supplemental Management Retirement Plan (SMRP) Sorensen, Donn; Hannasch, Susan; Matejka,Cheryl L; Rehm MD, Charles 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 11 | 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, 2016. THIS PROCESS IS ADMINISTERED AT THE MERCY HEALTH LEVEL BY MERCY'S BUSINESS RISK (INTERNAL AUDIT) 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 (FORMERLY FINANCE, AUDIT AND COMPLIANCE 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 -9,039,635. NET ASSETS RELEASED FROM RESTRICTIONS 10,225. RESTRICTED FUND DONATIONS 55,559. RESTRICTED FUND EXPENSES -39,213. |
| Part XII, Line 2C | 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 2015 (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 (FORMERLY FINANCE, AUDIT, AND COMPLIANCE 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, 2016. 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, 2016, WAS INCLUDED ON THE MERCY HEALTH CONSOLIDATED SEFA, AND THEREFORE, WAS ALSO INCLUDED IN THE POPULATION AVAILABLE FOR AUDIT. |
| FORM 990, SCHEDULE R, PART V | SYSTEM LIMITATIONS MERCY HEALTH (MERCY) HAS A COMPLEX LEGAL STRUCTURE WITH OVER 60 LEGAL ENTITIES. LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY AND THE MAJORITY OF THE INTERCOMPANY/RELATED ORGANIZATION TRANSACTIONS ARE PROCESSED THROUGH LAWSON. WITH THE CURRENT DESIGN OF THE ERP SYSTEM, THERE ARE VARIOUS LIMITATIONS ON EXTRACTING THE INTERCOMPANY/RELATED ORGANIZATION INFORMATION FROM LAWSON. DUE TO THESE LIMITATIONS, MOST OF THE RELATED ORGANIZATION ACTIVITY FOR THE FILING ORGANIZATION HAS BEEN CLASSIFIED ON SCHEDULE R, PART V, IN LINES P AND Q. WE HAVE CAPTURED AND REPORTED THE KNOWN MATERIAL TRANSACTIONS BETWEEN ENTITIES. THERE MAY BE MINOR AMOUNTS OF RELATED ORGANIZATION TRANSACTION ACTIVITY WHICH IS NOT REFLECTED IN THIS SCHEDULE. |
| 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 (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|
| Jefferson Cardiovascular and Thoracic Services LLC | |||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 454423688 | Healthcare services | MO | Mercy Hospital Jefferson |
| Mercy Clinic Adult Hospitalists - Jefferson LLC | |||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 462913068 | Managed care contracting | MO | Mercy Hospital Jefferson |
| Mercy Labs Jefferson LLC | |||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 463478362 | Laboratory Services | MO | Mercy Hospital Jefferson |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (71 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) | |
| Jefferson Land Company Inc | |||||||||||
| 14528 S Outer Forty St 100 | Chesterfield | MO | 63017 | 431330360 | Holding Company | MO | 501c2 | Mercy Hospital Jefferson | 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 Foundation | |||||||||||
| 14528 S Outer Forty St 100 | Chesterfield | MO | 63017 | 200901499 | Foundation | MO | 501c3 | 11-II | 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 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 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 | 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 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 Ardmore | 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 Research | |||||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 870796305 | Research - Clinical Trials | MO | 501c3 | 4 | Mercy Health Springfield Comm | Yes (1) | |
| Mercy Ministries of Laredo | |||||||||||
| 2500 Zacatecas | Laredo | TX | 78043 | 200198462 | Outreach | TX | 501c3 | 7 | 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 Edward Mercy Foundation | |||||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72917 | 237330425 | Foundation | AR | 501c3 | 7 | Mercy Hospital Fort Smith | 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) | |
| The Sr M Cornelia Blasko Fn | |||||||||||
| 100 W Highway 60 | Mountain View | MO | 65548 | 431873914 | Foundation | MO | 501c3 | 11-I | Mercy St Francis Hospital | 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| Southern Oklahoma Diag Ctr LLC | ||||||||||
| 1011 Fourteenth Avenue NW | Ardmore | OK | 73401 | 431971232 | MRI Services - Dissolved 12/2015 | OK | Mercy Hospital Ardmore Inc | 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 (10 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 |
| 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 (7 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Mercy Clinic East Communities | ||
| P | $915,306 | FMV |
| Mercy Health East Communities | ||
| Q | $8,844,136 | FMV |
| Mercy Hospitals East Communities | ||
| P | $8,751,816 | FMV |
| Mercy Hospital Springfield | ||
| Q | $185,789 | FMV |
| MHM Support Services | ||
| P | $8,807,808 | FMV |
| Resource Optimization & Innovation LLC | ||
| P | $5,726,731 | FMV |
| Mercy Health Foundation Jefferson | ||
| C | $48,156 | FMV |
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