2016-05-13T15:23:25-05:00 2015-06-30 562632458 Pleus and Company LLC 14500 S Outer 40 Suite 201A Chesterfield MO 63017 990 2014-07-01 430653493 MERCY HOSPITALS EAST COMMUNITIES MERC 3142516000 615 S NEW BALLAS ROAD ST LOUIS MO 63141 CHERYL MATEJKA Chief Financial Officer 3143643532 2016-05-12 1 DOUGLAS G PLEUS P00013488 3143179916 2014 2016-08-17 19:52:53Z Donn Sorensen 615 S NEW BALLAS ROAD ST LOUIS MO 63141 1296703362 0 0928 X www.mercy.net/stlouismo X 1891 MO Mercy Hospitals East Communities operates two hospitals that are located in Creve Coeur (St. Louis metropolitan area) and Washington, MO. 27 17 8359 1115 1963619 496065 9048941 3530708 1138260046 1268603472 5302872 4752369 24736022 17717009 1177347881 1294603558 674461 1329351 0 0 456669472 465172840 0 0 0 601205202 661431751 1058549135 1127933942 118798746 166669616 990908266 1139334649 63788640 45011490 927119626 1094323159 X As the Sisters of Mercy before us, we bring to Life the healing ministry of Jesus through our compassionate care and exceptional service. 0 0 1026961803 1329351 1269741970 Mercy Hospitals East Communities ("MHEC") provides quality medical health care regardless of race, creed, sex, national origin, handicap, age or ability to pay. In active pursuit of this mission, MHEC provided services to 48,547 inpatients, 124,356 emergency room visits, 1,131,813 outpatient visits, 90,491 home health visits and 210,831 clinic visits.MHEC is a Catholic health care corporation that, pursuant to the organizational core belief that health care services are a vital and integral part of the Church's healing mission, engages in a ministry which provides general acute care, ambulatory, long-term and home care health services to individuals and families in its service communities. Consistent with the organization's commitment to social accountability and the provision of community benefit, MHEC offers other services and programs which further health promotion, maintenance and care. MHEC's services include two clinics which were established specifically for individuals who are uninsured or underinsured and do not have a means to pay for healthcare services. These clinics provide a significant focus on prenatal care. The McAuley Clinic in Washington, Missouri also added a rural health dental program in November 2013. Many clinic patients were also treated, on a charitable basis, as inpatients. In response to the increased needs of the underinsured in the St. Louis area, these clinics have continually expanded, offering new services to more patients. The institution continues to focus on the provision of primary health services and education to the community, regardless of their means to pay for these services. The organization also has a continuing commitment to health research and to health education at all levels.Although reimbursement for services rendered is critical to the continued ability to provide healthcare services to all patients, MHEC recognizes that not all individuals possess the ability to purchase essential medical services and, further, that part of our mission is to provide healthcare services and healthcare education to the communities in which our facilities are located. In keeping with MHEC's commitment to serve all members of the communities it serves, MHEC provides (i) free care and/or subsidized care; (ii) care to persons covered by governmental programs at below cost; (iii) health activities and programs to support the community; (iv) health education programs; and, (v) a variety of broad community support activities. Among the community support activities offered by MHEC are the following:- Community Education Programs- Support Group Meetings- Health Fairs and Screenings- Immunizations- Smoking Cessation Programs- Indigent Care Clinics- Pre-Natal and Well Baby Care for the Indigent- Certified Application Counselors to assist community members with enrollment in qualified health plans - Health Professions Education Programs- Support of Community Programs, including active United Way participant, Healthcare for the Homeless Coalition, etc.- Provider of Financial Counseling and Discharge Counseling Services for all PatientsMHEC provides care to patients who lack financial resources and are deemed to be medically indigent. As defined by the institution's charity policy, MHEC does not pursue collection of amounts determined to qualify for charity care. In addition, MHEC provides services to other patients under the Medicare Program and various state Medicaid programs. Such programs pay providers amounts that are substantially less than billed charges, and frequently less than the cost, of the services provided to the recipients. Care is provided to those with limited or no ability to pay. The cost, net of any payment received (net cost), to MHEC of providing care to persons qualifying for charity or Medicaid totaled $27,535,061 in the year ended 6/30/15. Additionally, the net cost for services provided to elderly and disabled patients under the Medicare program totaled $17,187,365. These amounts do not include the cost of health activities and programs to support the community, health education programs and other community support activities. The services provided by MHEC, as well as the amount of charity care provided, demonstrate the ongoing commitment of the organization to serve in a leadership role as an advocate for responsive healthcare services for the community, with a deep commitment and sensitivity to meeting the needs of the poor.Each activity for which income is reported in column (B) of Part VIII is undertaken in furtherance of the organization's healthcare and community benefit mission described above. 1026961803 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 0 0 8359 1 1 1 0 0 0 0 0 0 0 0 0 X 27 17 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 1 1 X Denise Scoffic 3143642959 645 MARYVILLE CENTRE STE 100 St Louis MO 63141 X Bauer PhD Jon Board member 1.00 0.00 X 0 0 0 Brunworth MD David Board member 1.00 0.00 X 0 0 0 Busch Steven Board member 1.00 1.50 X 0 0 0 Cleveland MD Jeanne Physician & Board member 1.00 40.00 X 0 553398 31872 Darrell Mark Board member 1.00 0.00 X 0 0 0 Diederich Gene Board member 1.00 0.00 X 0 0 0 Eckelkamp Bonnie Board member 1.00 0.00 X 0 0 0 Evans RSM Sr Gayle Board member 25.00 1.00 X 0 0 0 Galli MD William Physician & Board member 1.00 50.00 X 0 358248 27038 Glosenger RSM Sr Katherine Board member 0.50 32.00 X X 0 0 0 Glover MD Emily Physician & Board member 1.00 59.00 X 0 174306 9096 Halsted MD Robert Physician & Board member 2.00 54.00 X 0 532520 32692 Johnston Jeffrey A Pres Mercy Hosp StL & Board member 57.00 5.00 X 0 610565 326759 Keithly Dennis Physician & Board member 52.00 0.00 X 0 321820 94935 Kelly John Board member 1.00 0.00 X 0 0 0 Martin MD Scott Board member 1.00 0.00 X 0 0 0 Miller Sr William Board member 1.00 1.00 X 0 0 0 Parmentier Jennifer Board member 1.00 0.00 X 0 0 0 Pennell Richard Physician & Board member 60.00 0.00 X 0 834549 31649 Purnell Jack Board member 0.50 0.50 X 0 0 0 Rehm MD Charles Chief admin officer & Board member 25.00 35.00 X 0 590414 145617 Riechers MD Thomas Physician & Board member 60.00 5.00 X 0 527823 38978 Sanford Cassandra Board member 1.00 0.00 X 0 0 0 Steinbecker Roger Board member 4.00 1.00 X 0 0 0 Stroble Beth Board member 1.00 0.00 X 0 0 0 Voss Kurt Board member 1.00 0.00 X 0 0 0 Wittenauer RSM Sr Marilynn Board member 1.00 1.00 X 0 0 0 Matejka Cheryl L Chief Financial Officer 18.00 39.00 X 0 435540 103616 Hannasch Susan Regional VP-General Counsel 19.00 41.00 X 0 295944 62257 Sorensen Donn President-East Communities 10.00 54.00 X 0 821625 404141 McLain Terri L President Mercy Hosp Washington 55.00 5.00 X 448047 0 297224 Bollin Steven J VP - Support Services 50.00 5.00 X 208016 0 23250 Crain Christine COO-Mercy Children's Services 36.00 24.00 X 389885 0 131584 Frazier Donna M Chief Nursing Officer 60.00 0.00 X 273975 0 66167 Frost Joan Chief Operating Officer 55.00 0.00 X 329510 0 30933 Geldbach Patricia L VP-Mercy Women's Services 45.00 20.00 X 0 307660 96840 Hintze Paul VP - Medical Affairs 60.00 0.00 X 461449 0 114881 Kahn MD Joseph President-Mercy Children's Services 2.00 58.00 X 0 531721 132030 Kalicak Donald VP - Business Dev & Planning 25.00 35.00 X 0 399859 100853 Nelson Kathryn VP - Performance Improvement 57.00 1.00 X 227661 0 26784 Rothermich Anthony Administrator, Mercy Hosp Lincoln 30.00 25.00 X 0 190969 19828 Scoffic Denise VP-Finance 30.00 25.00 X 0 230141 26472 Starke MD Keith M VP-Quality & Safety 30.00 40.00 X 229696 336159 136686 Varner Ann M VP - Mission 50.00 10.00 X 193774 0 31321 Chaudhry Bilal Physician 50.00 0.00 X 394574 0 26956 Cox Michael J Physician 50.00 0.00 X 502696 0 30815 Sommer Steve Physician 60.00 0.00 X 355294 0 30443 Super David Physician 50.00 0.00 X 464518 0 22046 Veronikis MD Dionysios Physician 50.00 0.00 X 388409 0 34814 Cantalin Jeanne L Former officer 0.00 0.00 X 0 280135 12531 McCurry Michael Former officer 0.00 60.00 X 0 1098042 276839 Lenior Frank Former key employee 0.00 50.00 X 0 297287 50666 Eoloff Eric J Former key employee 0.00 60.00 X 0 434088 96461 4867504 10162813 3125074 242 1 1 0 McCarthy Building Companies 1341 North Rock Hill Road St Louis MO 63124 Construction 17562236 MAYO MEDICAL LABS 200 SW First Street Rochester MN 55805 Lab services 3127938 Williams Construction Company 2119 E Division Springfield MO 65803 Construction 2683918 Quest Diagnostics PO Box 740709 Atlanta GA 30374 Lab services 2513881 West County Radiological Group 11475 Olde Cabin Rd Suite 200 St Louis MO 63141 Radiology services 2420801 94 3530708 3530708 NET PATIENT REVENUE 622110 1263258765 1263258765 Reference Labs 621500 5344707 5200149 144558 1268603472 4752369 4752369 9612881 2099804 7513077 7513077 7513077 Cafeteria/Coffee Shop 722212 7246373 7246373 Optical - Retail 624100 678802 678802 Pharmacy - Retail 624100 661618 661618 1617139 1138498 478641 10203932 1294603558 1269597412 1963619 19511819 1329351 1329351 4009175 4009175 239828 239828 370402642 363755835 6646807 17454098 17138791 315307 47305032 47004058 300974 25762065 25171508 590557 25 25 34197634 33223453 974181 325597 316322 9275 30080701 29223799 856902 179491 174378 5113 22465976 21825993 639983 1574370 1529521 44849 313 313 943250 943250 56879393 55259082 1620311 6440932 6257451 183481 Medical Supplies 257649928 250310310 7339618 Shared Service Fees 161595335 84500811 77094524 Bad Debt Expense 77731413 77731413 0 Equipment Repairs & Mai 8198615 7965063 233552 3168778 3061273 107505 1127933942 1026961803 100972139 0 69047338 25211384 158954598 149747201 3729462 3233568 21222346 22385315 1386442 1561631 1252318904 758966903 503599698 493352001 3851612 3692991 24380359 24380359 204736411 415770199 990908266 1139334649 42186934 30715534 1057370 1080707 11786421 11448107 8757915 1767142 63788640 45011490 X 923540372 1090921198 3579254 3401961 927119626 1094323159 990908266 1139334649 X 166669616 533917 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 158072 0 0 0 158072 0 Part II-B, Line 1: The filing organization is a member of and pays dues to the following hospital associations: Missouri Hospital Association, Catholic Health Association, and American Hospital Association. For the year ended June 30, 2015, dues were $196,687, $138,120, and $72,551, respectively. Approximately 69.86% of Missouri Hospital Association dues, 2.98% of Catholic Hospital Association dues, and 22.80% of American Hospital Association dues were attributable to lobbying activities performed by these associations. 8896793 8896793 870966051 492136471 378829580 15245839 11926131 3319708 323251499 243694438 79557061 33958722 11209863 22748859 493352001 MISCELLANEOUS RECEIVABLES 1956476 Intercompany Receivables 411643992 Other Assets 2169731 415770199 OTHER LIABILITIES 1767142 1767142 Part X, Line 2 FEDERAL INCOME TAX PRIMARILY ALL OF THE MERCY HEALTH ENTITIES ARE RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS CHARITABLE ORGANIZATIONS QUALIFYING UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), BY VIRTUE OF IRS DETERMINATION LETTERS OR INCLUSION IN THE OFFICIAL CATHOLIC DIRECTORY. MERCY COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2015 OR 2014. 1 1 X 1 X 1 X 1 1 0 1 1 17051137 17051137 0.01620 110343535 99859611 10483924 0.01000 127394672 99859611 27535061 0.02620 2559028 725762 1833266 0.00170 10154591 316005 9838586 0.00940 328109 154309 173800 0.00020 590642 75978 514664 0.00050 13632370 1272054 12360316 0.01180 141027042 101131665 39895377 0.03800 488442 488442 0.00050 89 89 0.00000 149775 149775 0.00010 194792 200 194592 0.00020 833098 200 832898 0.00080 1 20989338 0 208885803 226073168 -17187365 X 1 1 1 St Johns Mercy SRS LLC Medical Equipment Rental 0.40000 0.00000 0.60000 2 Mercy Rehabilitation LLC Rehabilitation hospital facility 0.49500 0.00000 0.00000 2 1 Mercy Hospital St Louis 615 S New Ballas Road St Louis MO 63141 www.mercy.net/stlouismo 226-50 X X X X X X 2 Mercy Hospital Washington 901 E Fifth Street Washington MO 63090 www.mercy.net/stlouismo 311-32 X X X Mercy Hospital St Louis 1 0 0 1 X X X X X X X X X 12 1 0 1 1 X www.mercy.net/about/community-benefits X 1 14 1 www.mercy.net/about/community-benefits 0 0 1 X 100.000000000000 400.000000000000 X X 1 1 X X X 1 X www.mercy.net X www.mercy.net X X X 1 X 0 X 1 X 0 0 Mercy Hospital Washington 2 0 0 1 X X X X X X X X X 12 1 0 1 1 X www.mercy.net/about/community-benefits X 1 14 1 www.mercy.net/about/community-benefits 0 0 1 X 100.000000000000 400.000000000000 X X X 1 1 1 X X 1 X 0 X 1 X 0 0 Mercy Hospital St. Louis Part V, Section B, Line 5: COMMUNITY HEALTH NEEDS ASSESSMENTPLEASE REFER TO THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT WHICH CAN BE FOUND AT WWW.MERCY.NET/COMMUNITY-BENEFITS. Mercy Hospital Washington Part V, Section B, Line 5: COMMUNITY HEALTH NEEDS ASSESSMENTPLEASE REFER TO THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT WHICH CAN BE FOUND AT WWW.MERCY.NET/COMMUNITY-BENEFITS. Mercy Hospital St. Louis Part V, Section B, Line 6b: St. Louis County Department of Public Health and the Franklin County Health Department Mercy Hospital Washington Part V, Section B, Line 6b: St. Louis County Department of Public Health and the Franklin County Health Department Mercy Hospital St. Louis 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. 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 or 10% of net assets (which ever is greater), adjusted to consider availability of other assets that could be used toward making payments. Mercy Hospital Washington 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. 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 or 10% of net assets (which ever is greater), adjusted to consider availability of other assets that could be used toward making payments. Part V, Section B, Line 16 Financial Assistance Policy Website Availability Mercy Hospital St. Louis Part V, Section B, line 16a website: www.mercy.net Mercy Hospital St. Louis Part V, Section B, line 16b website: www.mercy.net 31 Mercy South Campus 901 Patients First Dr Washington MO 63090 Hospital based outpatient depts: Various Clinical Services Medical & Professional Services 15945 Clayton Road Ballwin MO 63011 Hospital based outpatient depts:Surg Ctr; various clinical services Mercy Urgent Care - O'Fallon 300 Winding Woods Drive OFallon MO 63366 Hospital based outpatient depts:UCC S&T Blood Dr St ImagCtr, Perin, Pulm Mercy Kids Therapy & Dev Center 641 S New Ballas Road St Louis MO 63141 Hospital based outpatient depts:Child Development Mercy Medical Building 12348 Old Tesson Road StLouis MO 63128 Hospital based outpatient depts:Women's Ctr, Imag Ctr, Nuc Med, Card Testin Mercy Urgent Care - Piper Hill 107 Piper Hill Drive St Peters MO 63376 Hospital based outpatient depts:Urgent Care, Sports & Therapy, Blood Draw Mercy Endoscopy Center 12990 Manchester Road Des Peres MO 63131 Hospital based outpatient depts:Endoscopy Mercy Medical Building 11700 Studt Road St Louis MO 63141 Hospital based outpatient depts:Hyberbaric Wound Center, Fertility Services Fenton Medical Office Building 1203 Smizer Mill Road Fenton MO 63026 Hospital based outpatient depts:Imaging, Blood Draw Station Mercy Endoscopy Center 200 Brevco Plaza Lake St Louis MO 63367 Hospital based outpatient depts:Endoscopy Mercy Diagnostic Testing 755 Dunn Road Hazelwood MO 63042 Hospital based outpatient depts: Sports & Therapy, Cardiac Testing, Nuc Medi Heart Health Center 450 N New Ballas Road St Louis MO 63141 Hospital based outpatient depts:Cardiac Testing, Cardiac Cath Lab Edgewood 970 Executive Parkway St Louis MO 63141 Hospital based outpatient depts: Outpatient Behavioral Health Mercy Sports Therapy 1176 Town Country Commons St Louis MO 63017 Hospital based outpatient depts: Sports Therapy & Rehab Mercy Urgent Care - Legends Parkway 20 Legends Parkway Eureka MO 63025 Hospital based outpatient depts: Various Clinical and Imaging Services Mercy Medical Building Hazelwood 801 Hazelwest Drive Hazelwood MO 63042 Hospital based outpatient depts: Imaging Center/Blood Draw Station Mercy Sports Therapy - Tesson Ferry 13303 Tesson Ferry Road St Louis MO 63128 Hospital based outpatient depts: Sports & Therapy Mercy Medical Building - Olive and Mason 12680 Olive Creve Couer MO 63141 Hospital based outpatient depts: S&T, Nutrition Couns, Chirop, Imagine Mercy Medical Building 1820 Zumbehl Road St Charles MO 63303 Hospital based outpatient depts: Cardiac Testing, Imaging, Blood Draw Statio Mercy Sports Therapy - Crestwood 10024 Watson Road St Louis MO 63126 Hospital based outpatient depts: Sports & Therapy/Blood Draw Station Mercy Therapy Services 1935 Prairie Dell Road - Suite 300 Union MO 63084 Hospital based outpatient depts: Sports and Therapy Mercy Medical Building - Grover 16555 Manchester Road Grover MO 63040 Hospital based outpatient depts: Radiology, Sports & Therapy, Blood Draw Sta St Louis Cancer & Breast Institute 6435 Chippewa St Louis MO 63109 Hospital based outpatient depts: Infusion Therapy Liberty Point Medical Building 2023 Vadalabene Suite 300 Maryville IL 62062 Hospital based outpatient depts: Perinatal Center Mercy Urgent Care - North County 637 Dunn Road Suite 101 Hazelwood MO 63042 Hospital based outpatient depts: Urgent Care Mercy Kids Mid Rivers 4525 Mid Rivers mall Drive St Peters MO 63376 Hospital based outpatient depts: Pediatric PT/OT/Speech,Blood Draw Station Mercy Therapy Services 735 West Springfield Road Gerald MO 63037 Hospital based outpatient depts: Sports and Therapy Mercy Sullivan 1326 S Service Rd West Sullivan MO 63080 Hospital based outpatient depts: Various Clinical and Imaging Services Florissant Meadows Shopping Center 572 Highway 67 Florissant MO 63031 Hospital based outpatient depts: Blood Draw Station Mercy Medical Building - Winghaven 2223 Technology Drive OFallon MO 63368 Hospital based outpatient depts: Imaging Center/Blood Draw Station Mercy Water Tower Place 1237 Water Tower Place Arnold MO 63010 Hospital based outpatient depts: Women's care,Ortho surg,neurology,internal 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 $1,127,933,942. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $77,731,413. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $20,989,338. 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 St. Louis (MHSL) and Mercy Hospital Washington's (MHW) community building activities promote the health, wellness and safety of the communities in which they serve. Through active participation on community boards, neighborhood/community coalitions and involvement in community-based events, Mercy builds partnerships to develop collaborative solutions to address community needs. Mercy partners with organizations, churches, schools and area businesses to continually strive to improve the overall health and strength of the communities they serve with special focus on those who are poor. Some of these community building partnerships and community engagement activities include:Mercy Hospital St. Louis:- Archdiocese of St. Louis Board of Catholic Education- Ferguson-Florissant Community Response Team- Missouri Catholic Conference Board- Near Southside Community Coalition- O'Fallon Chamber of Commerce- St. Louis City, St. Louis County and St. Charles, Warren & Lincoln Counties Continuum of Care for Ending Homelessness coalitions- St. Louis County Healthy Living Coalition- St. Louis Integrated Health Network Transitions of Care Task Force- St. Louis Regional Health Commission- United Way 2-1-1 Advisory Committee and Emergency Fund NetworkMercy Hospital Washington:- Franklin County Service Providers Group- New Haven Chamber of Commerce- St. Clair Chamber of Commerce- Sullivan Area Chamber of CommerceCash/In-Kind DonationsMercy provides cash and in-kind donations all year long through the support of co-worker engagement and community service activities. These community building activities serve as a link to engage Mercy co-workers to look beyond the walls of the facilities in which they serve. During FY15, cash donations were given to organizations throughout the community that included:- ALIVE (Alternatives to Living in Violent Environments)- American Heart Association- Behavioral Health Network- Franklin County Children's Resource Board- Maternal, Child & Family Health- NAMI St. Louis (National Alliance on Mental Health)A full description of our Community Building activities can be found at www.mercy.net/communitybenefits. Part III, Line 2: TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE, AT COST, BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENT ACCOUNTS WAS MULTIPLIED BY A RATIO OF COST TO CHARGES. THE RATIO OF COST TO CHARGES USED WAS BASED ON DETAILED COST ACCOUNTING, 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 (REFER TO DISCLOSURE FOR PART III, #9B) TO ADDRESS ACCOUNTS FOR PATIENTS WHO DO NOT PROVIDE THE INFORMATION. WE BELIEVE THAT OUR CHARITY POLICY IS COMPREHENSIVE ENOUGH TO CAPTURE ALMOST ALL PATIENTS WHO QUALIFY FOR CHARITY CARE. Part III, Line 4: THE TEXT OF THE FOOTNOTE THAT IS INCLUDED IN MERCY HEALTH AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE FOLLOWS:"PATIENT ACCOUNTS THAT ARE UNCOLLECTED, INCLUDING THOSE PLACED WITH COLLECTION AGENCIES, ARE INITIALLY CHARGED AGAINST THE ALLOWANCE FORUNCOLLECTIBLE ACCOUNTS IN ACCORDANCE WITH COLLECTION POLICIES OF THEHEALTH SYSTEM AND, IN CERTAIN CASES, ARE RECLASSIFIED TO CHARITY CAREIF DEEMED TO OTHERWISE MEET THE HEALTH SYSTEM'S CHARITY CARE POLICY.THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES IS BASED ON MANAGEMENT'SASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERINGBUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, ANDOTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR,MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLERECEIVABLES BASED UPON THE PAYOR COMPOSITION AND AGING OF RECEIVABLESAS OF THE REPORTING DATE WITH CONSIDERATION OF THE HISTORICAL PAYMENTAND WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESEREVIEWS ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FORUNCOLLECTIBLE RECEIVABLES TO ESTABLISH AN APPROPRIATE ALLOWANCE FORUNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROMINSURANCE, THE HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FORPLACING PAST-DUE BALANCES WITH COLLECTION AGENCIES." Part III, Line 8: IT IS THE POSITION OF MERCY HOSPITALS EAST COMMUNITIES THAT 100% OF ANY SHORT FALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS AMOUNT REPRESENTS COST OF PROVIDING SERVICES THAT REMAIN UNCOMPENSATED TO THE PROVIDER. THE UNREIMBURSED COSTS OF MEDICARE IS CALCULATED BY THE GROSS CHARGES NET OF THE COST TO CHARGE RATIO LESS ANY PAYMENTS, DEDUCTIONS OR REIMBURSEMENTS USING THE ANNUAL MEDICARE COST REPORT (CMS FORM 2552-96) Part III, Line 9b: MERCY HOSPITALS EAST COMMUNITIES ("MERCY") DEBT COLLECTION POLICY PROVIDES THAT MERCY WILL PERFORM A REASONABLE REVIEW OF EACH INPATIENT ACCOUNT BEFORE TURNING AN ACCOUNT TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT, TO ASSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (E.G., MEDICAID) AND DO NOT QUALIFY FOR COVERAGE THROUGH MERCY'S COMMUNITY ASSISTANCE POLICY. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY PATIENT ACCOUNT THAT IS SUBSEQUENTLY DETERMINED TO MET THE MERCY HOSPITAL COMMUNITY ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO MERCY FOR APROPRIATE FOLLOW-UP. MERCY REQUIRES ITS THIRD-PARTY COLLECTION AGENTS TO INCLUDE A MESSAGE ON ALL STATEMENTS INDICATING THAT IF A PATIENT OR PATIENT GUARANTOR MEETS CERTAIN STIPULATED INCOME REQUIREMENTS, THE PATIENT OR PATIENT GUARANTOR MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. MERCY UTILIZES THE "SEARCH AMERICA" TOOL TO ENHANCE THE ABILITY TO DETERMINE CHARITY QUALIFICATION. PRESUMPTIVE CHARITY WILL BE GRANTED IN SITUATIONS WHERE MERCY HOSPITAL HAS BEEN UNABLE TO OBTAIN INFORMATION FROM PATIENTS OR THE INFORMATION PROVIDED IS NOT COMPLETE ENOUGH TO MAKE A CHARITY DETERMINATION. MERCY UTILITIZES PRESUMPTIVE CHARITY PRIOR TO BAD DEBT PLACEMENT FOR CHARITY ADJUSTMENTS IN EXCESS OF $6,500. IN THESE CASES, MERCY UTILIZES THE SEARCH AMERICA REPORT STATUS OF "PROBABLE CHARITY" AS THE BASIS FOR ASSIGNING THE CHARITY LEVEL. 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. ADDITIONALLY THEY MAY INCLUDE LIENS UPON REAL PROPERTY AND REASONABLE WAGE GARNISHMENTS. LEGAL ACTIONS WILL GENERALLY NOT INCLUDE BANK GARNISHMENT, REPOSSESSION OF ASSETS OR FORECLOSURES TO ENFORCE SATISFACTION OF A LIEN. MERCY HAS POLICIES AND PROCEDURES ESTABLISHED TO ADDRESS THE INITIATION OF LEGAL ACTION AND ANNUALLY REVIEWS COMPLIANCE WITH ALL POLICIES. Part VI, Line 2: Separate Community Health Needs Assessments were conducted for Mercy Hospital St. Louis and Mercy Hospital Washington. MERCY HOSPITAL ST. LOUISWho Was Involved in the Assessment At the center of involvement in the needs assessment were the people of the community. In April of 2010 and again in October of 2011, Mercy held roundtable events to dialogue directly with local community members about their needs, ideas, and concerns related to health care. Common themes included the need for a greater emphasis on wellness and prevention, education, and access. Barriers identified included economic/financial resources by some, access to physicians and services, and general apathy for good health. A focus on partnerships, education, and technology were cited as ways to improve health and wellness in the community. Mercy also heard that a focus on children in the community is essential, promoting healthy habits at an early age. Follow-up roundtables are held annually.To continue the dialogue begun at the community roundtable events, online community advisory panels were formed. These individuals are routinely surveyed to assess need, evaluate program/service ideas and provide feedback. Members are continuously added to the advisory panel. New MyMercy users are invited to join the group and a public invitation/form is located on the Mercy.net website.Mercy's Planning & Research Department provided internal and external demographic, utilization, chronic condition, and health status data. The consulting group Sg2 was also engaged by Mercy as a partner to analyze current utilization and future demand for health care services. Professional Research Consultants (PRC) assists Mercy in measuring patient satisfaction through personal phone calls and email surveys.The St. Louis County Department of Health (SLCDH) serves as the primary community partner for Mercy Hospital St. Louis in both the CHNA and community health improvement plan (CHIP) processes. SLCDH is utilizing the Mobilizing Action through Planning and Partnerships (MAPP) model, bringing hospitals and agencies across St. Louis County together in a collaborative process. MHSL also works closely with the St. Louis Regional Health Commission who serves as a vital facilitator in bringing together key partners to address community need.Community health co-workers in the Mission department of MHSL coordinate the CHNA process as part of their community health and benefit responsibility. A Community Health Council is accountable for ensuring community benefit meets mission, compliance, and IRS guidelines. The council is led by the hospital president. Members include co-workers from finance, care management, philanthropy, Mercy Clinic - Mercy's integrated physician group, mission, and other key areas. The chief medical officer as well as a MHSL board member are also actively engaged members of the council. How the Assessment Was ConductedThe needs assessment process involved the following five steps to attain the full scope of the community's needs.1. Examine existing community health needs assessmentsThe needs assessment examination process included the collection and analysis of quantitative data available in community/public health resources. Mercy staff, supported by Saint Louis University Master of Public Health students, reviewed the following data:- St. Louis County - 2011 Community Health Needs AssessmentIn December 2010, the St. Louis County Department of Health contracted with the University of New England's Center for Community and Public Health (CCPH) to conduct a countywide CHNA that included an extensive report with data broken down by sub-county regions. The assessment was released at the county's first Public Health Summit in December 2011. - Progress Toward Building a Healthier St. Louis - 2011 Access to Care ReportSt. Louis Regional Health CommissionEach year Mercy's JFK Health Center is cited throughout the report as a major provider of care for the uninsured and underinsured in our region.- Decade Review of Health Status for St. Louis City and County 2000-2010St. Louis Regional Health CommissionThis report focuses on change over the past decade in fourteen leading health indicators and disparity metrics in St. Louis City and County.- County Health RankingsThis is a new resource that was unveiled in March 2010. It is county-level data that will be updated annually by the University of Wisconsin-Population Health Institute and the Robert Wood Johnson Foundation. www.countyhealthrankings.org- Community Data Profiles & Missouri Information for Community Assessment (MICA) Missouri Department of Health & Senior Services-Bureau of Health Informatics This resource provides some of the best community health assessment planning tools available including community data profiles on 115 Missouri counties, thirty health indicators, and the capability to create customized tables.http://health.mo.gov/data/CommunityDataProfiles/index.html- 2012 Children's Mental Health & Substance Abuse Services Needs Assessment for St. Louis CountySt. Louis Children's Service FundThis resource identifies the characteristics of met and unmet mental health needs, service gaps, utilization and capacity, and the barriers to utilization of mental health and substance abuse services.- Data provided by Mercy's Planning & Research DepartmentData from Mercy's internal records was used to assess the needs of the community. Community health assessment and planning is an ongoing process at Mercy. As community/public health data is released, plans and programming are adjusted.2. Obtain qualitative information from community membersIn an effort to dialogue directly with the community and include qualitative data, input from community residents, individuals served by Mercy and also those with expertise in public health were included through:- Community roundtable events- Online surveys- SLCDH focus groups - SLCDH provider interviews- SLCDH household telephone surveys3. Analyze and summarize the data to prioritize needsHealth Needs IdentifiedThe St. Louis County Department of Health's 2011 Community Health Needs Assessment Report was a key deliverable in the initial phase of the MAPP process. The report not only provides data for the entire county, but further subdivides the county into four study regions: Mid, North, South and West. While continuing to participate in the MAPP process, Mercy's Community Health and Benefit staff reviewed this report, along with other available data, and identified community health needs critical for Mercy Hospital St. Louis to address that align with Mercy's mission and community master plan. Public health data for lifestyle issues such as obesity, tobacco use, and substance abuse paralleled with internal hospital data. Age-adjusted cancer incidence rates in St. Louis County for colon, breast, and prostate cancers, although declining over a ten year period, remain higher than rates reported for the state of Missouri. Cardiac-related disease, diabetes, and asthma, along with those seeking treatment for behavioral health needs, remain critical issues when assessing the health of St. Louis County. Lack of prevention strategies and poor behavioral choices continue to contribute to decreased quality of life, avoidable hospital admissions, and higher health care costs.St. Louis County also has several underlying socio-demographic characteristics that impact the health of its population and cannot be ignored. The county has what is described as an "aging population." Older populations utilize more health services creating increased access demands on the health system. Another significant finding is variation at the sub-county level in income, employment status, and health outcomes. North County, for example, reports significantly lower income levels, higher unemployment, increased risk factors, and overall poorer health outcomes. Disparities such as these must be taken into account when addressing community need and creating health improvement plans.See Part VI, Question 2 Continuation Part VI, Line 3: THE FILING ORGANIZATION HAS PRINTED MATERIAL AVAILABLE AT EACH POINT OF REGISTRATION IN OUR FACILITY, IN ADDITION TO ELECTRONICALLY AVAILABILITY AT OUR WEB SITE AT MERCY.NET ON HOW TO CONTACT CUSTOMER SERVICE FOR FINANCIAL ASSISTANCE. THE STATEMENT ALSO INCLUDES DIRECTION ON HOW TO REACH OUT TO MERCY FOR FINANCIAL ASSISTANCE AS WELL. FINANCIAL ASSISTANCE INFORMATIONAS A PART OF OUR HEALING MINISTRY, THE FILING ORGANIZATION IS COMMITTED TO PROVIDING QUALITY HEALTHCARE SERVICES TO PATIENTS REGARDLESS OF THEIR FINANCIAL SITUATION. WE OFFER PAYMENT ASSISTANCE FOR THOSE WHO DO NOT HAVE INSURANCE OR WHO ARE IN FINANCIAL NEED.UNINSURED PATIENT DISCOUNTSA DISCOUNT FROM THE HOSPITAL'S REGULAR BILLED CHARGES WILL BE PROVIDED TO PATIENTS WHO DO NOT HAVE INSURANCE. THIS INCLUDES PATIENTS WHOSE FINANCIAL SITUATION NORMALLY WOULD NOT OTHERWISE QUALIFY THEM FOR CHARITY CARE DISCOUNTS.PATIENTS WITHOUT INSURANCE WHOSE FINANCIAL SITUATION QUALIFIES THEM FOR CHARITY CARE DISCOUNTS (SEE ELIGIBILITY GUIDELINES BELOW) ARE ASSISTED OR ASKED IN APPLYING FOR MEDICAID BEFORE APPLYING FOR FINANCIAL ASSISTANCE. MERCY WORKS TO EXHAUST ALL EFFORTS TO COORDINATE WITH THE PATIENT TO APPLY FOR MEDICAID, BUT DOES NOT PROHIBIT CHARITY CONSIDERATIONS IF DENIED NOR APPLIED.APPLICATIONS FOR CHARITY CARE DISCOUNTS WILL BE REVIEWED FOR ELIGIBILITY BASED ON THE APPLICANT'S INCOME, FAMILY SIZE, AMOUNT OF PAYMENT DUE AND AVAILABILITY OF OTHER ASSETS OR RESOURCES. PLEASE NOTE THAT CARE MUST BE MEDICALLY NECESSARY TO BE CONSIDERED ELIGIBLE FOR UNINSURED PATIENT DISCOUNTS. Part VI, Line 4: MERCY HOSPITALS EAST COMMUNITIES INCLUDES MERCY HOSPITAL ST. LOUIS AND MERCY HOSPITAL WASHINGTON. THE PRIMARY SERVICE AREA FOR MERCY HOSPITAL ST. LOUIS INCLUDES 198 ZIP CODES ACROSS MISSOURI AND ILLINOIS. THE FOLLOWING INFORMATION IS DERIVED FROM 2015 Sg2 ANALYTICS DATA AND Sg2 INSURANCE COVERAGE ESTIMATES. THE AREA'S POPULATION IS 2,739,979. 35% OF THE POPULATION'S AVERAGE HOUSEHOLD INCOME IS OVER $75,000. 43% OF THE POPULATION IS 45 AND OLDER. 25% OF THE HOUSEHOLDS IS ON MEDICARE, 12% ON MEDICAID, AND 10% UNINSURED. THE PRIMARY SERVICE ARE FOR MERCY HOSPITAL WASHINGTON INCLUDES 14 ZIP CODES SOUTH OF ST. LOUIS. THE AREA'S POPULATION IS 110,188. 28% OF THE POPULATION'S AVERAGE HOUSEHOLD INCOME IS OVER $75,000. 44% OF THE POPULATION IS 45 AND OLDER. 24% OF THE HOUSEHOLDS IS ON MEDICARE, 16% ON MEDICAID, AND 11% UNINSURED. Part VI, Line 5: PROMOTION OF COMMUNITY HEALTHMercy Hospitals East Communities ("MHEC") provides quality medical health care regardless of race, creed, sex, national origin, handicap, age or ability to pay. In active pursuit of this mission, MHEC provided services to 48,547 inpatients, 124,356 emergency room visits, 1,131,813 outpatient visits, 90,491 home health visits and 210,831 clinic visits.MHEC is a Catholic health care corporation that, pursuant to the organizational core belief that health care services are a vital and integral part of the Church's healing mission, engages in a ministry which provides general acute care, ambulatory, long-term and home care health services to individuals and families in its service communities. Consistent with the organization's commitment to social accountability and the provision of community benefit, MHEC offers other services and programs which further health promotion, maintenance and care. MHEC's services include two clinics which were established specifically for individuals who are uninsured or underinsured and do not have a means to pay for healthcare services. These clinics provide a significant focus on prenatal care. Many clinic patients were also treated, on a charitable basis, as inpatients. In response to the increased needs of the underinsured in the St. Louis area, these clinics have continually expanded, offering new services to more patients. The institution continues to focus on the provision of primary health services and education to the community, regardless of their means to pay for these services. The organization also has a continuing commitment to health research and to health education at all levels.Although reimbursement for services rendered is critical to the continued ability to provide healthcare services to all patients, MHEC recognizes that not all individuals possess the ability to purchase essential medical services and, further, that part of our mission is to provide healthcare services and healthcare education to the communities in which our facilities are located. In keeping with MHEC's commitment to serve all members of the communities it serves, MHEC provides (i) free care and/or subsidized care; (ii) care to persons covered by governmental programs at below cost; (iii) health activities and programs to support the community; (iv) health education programs; and, (v) a variety of broad community support activities. Open Medical StaffMedical staff privileges are extended to all qualified physicians in the community for almost all departments. Both hospitals have exclusive contracts with physician groups for radiology and pathology services. MHSL also has neonatology and CV surgery and MHW has cardiology and obstetrics. This means that over 90% of the physicians on staff are in categories that are open to qualified physicians in the community.Use of Surplus FundsSurplus funds and unrestricted assets held by Mercy Health East Communities are reinvested in patient care, medical education and research initiatives which support the organization's mission to deliver compassionate care and exceptional health care services to the communities it serves. Examples include the following: - A new innovative therapy center in St. Charles County equipped to serve children of all ages and abilities. Services offered include physical therapy, occupational therapy, speech pathology services, Autism-related programs, social communication groups and an exterior therapeutic playground- A Low Risk Birthing Center on site at Mercy Hospital St. Louis- Continued funding of the Mercy Health East Communities Research Institute which is dedicated to improving patient outcomes by supporting new and potentially life-changing health research including over 100 active clinical trials at Mercy Hospital St. Louis.- Continued funding of graduate medical education program (provides residency training in family medicine, internal medicine, OB/Gyn, dental medicine, orthopedics and critical care) and schools of radiology, respiratory and clinical laboratory science. Additional Community Health Initiative/InformationMany of the programs mentioned below are part of our current Community Health Impact Plan (CHIP). These are indicated by asterisks.A few examples include the Adopt-a-Family programs at Mercy Hospital St. Louis and Mercy Hospital Washington. Co-workers provided personal and household gifts to over 430 individuals and families in need over the holidays and MHSL Nutrition Services department cooked numerous turkeys for a church that fed nearly 300 people at Thanksgiving. Numerous collection drives by co-workers are held throughout the year and the items such as food, clothing, personal care items, bus passes, gas cards, school supplies and other critical items are donated to non-profit agencies to distribute to their clients. 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 FY15 is $15,577,660.MERCY NEIGHBORHOOD MINISTRY (MNM)Mercy Neighborhood Ministry is a department that supports the service areas of Mercy Hospital St. Louis, Mercy Hospital Washington and the surrounding counties. It focuses on connecting the economically underserved with appropriate health and social services as well as overall community health and access through promotion and education of current programs. MNM partners with over 100 community health and social service agencies, clinics, churches and schools. Nearly half of its annual expenses are offset through Mercy Foundation. JFK & McAULEY HEALTH CENTERSThese health centers offer comprehensive health care to a diverse population of over 10,000 patients who are economically disadvantaged, uninsured or underinsured. With more than 60,000 patient visits each year, services include medical, obstetrical, gynecological and pediatric care and access to specialty care, behavioral health including counseling and treatment, discounted pharmacy services, and vision and dental care. The charity care and unreimbursed cost of Medicaid community benefit figures for these entities are included in the overall Charity Care for MHEC and not listed separately. The work of these Mercy providers who serve those who are struggling in our community are not described in any area of this report.ACCESS TO CARECOMMUNITY REFERRAL COORDINATOR*Mercy continues to partner with the St. Louis Integrated Health network (IHN) in providing a contracted Community Referral Coordinator (CRC) in the MHSL emergency room to connect discharged patients with needed follow-up medical care. The CRC primarily focuses on Medicaid and uninsured patients:- In ensuring they have access to a primary care home and health resources regardless of their ability to pay- Reduce non-emergent use of emergency departments and low acuity readmissions- Enhance continuity of care- Strengthen communications/processes among hospital, safety net and other primary care providers, and community social services agencies/programs.The position is funded by the IHN and is a collaborative program between Mercy, the IHN and other area hospitals and clinics to improve access, quality and transitions of care. Each year the Mercy CRC helps more than 1,000 patients and refers more than 500 to primary care providers with a show-rate of 60%.CERTIFIED 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 MHSL, MHW and beyond. Enrollments to-date total nearly 600 and the CACs have attended hundreds of events resulting in educational opportunities in understanding the terminology and usage of health insurance.DENTAL CARE*In an effort to address the lack of dental care in their area, Mercy Hospital Washington opened a dental clinic in their McAuley Health Center in 2013 and expanded in 2015. Adult and pediatric patients are now receiving consistent, quality dental services as part of their overall treatment plan. To-date, this program has been funded by a variety of grants.See Part VI, Question 5 continuation 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, 2015, MERCY FACILITIES INCLUDED 30 ACUTE CARE HOSPITALS, 5 MANAGED HOSPITALS, 4 HEART HOSPITALS, 2 CHILDREN'S HOSPITALS, 2 ORTHOPEDIC HOSPITALS AND 3 REHAB HOSPITALS. FOR THE FISCAL YEAR ENDED JUNE 30, 2015, MERCY HAD MORE THAN 8.7 MILLION OUTPATIENT AND PHYSICIAN OFFICE VISITS, APPROXIMATELY 2,100 EMPLOYED PHYSICIANS, AND APPROXIMATELY 36,000 FULL-TIME EQUIVALENT EMPLOYEES, MAKING MERCY THE SEVENTH LARGEST CATHOLIC HEALTH SYSTEM IN THE UNITED STATES BASED ON NET PATIENT SERVICE REVENUE. 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 Part VI, Question 2 continuation Community Assets Identified The St. Louis community is fortunate to have two major universities/medical centers that include two schools of public health, St. Louis University and Washington University. There are also many other hospitals, universities, schools, churches and religious groups, and health and social service agencies, including a strong department of health. Additionally, the St. Louis Regional Health Commission is involved with the business community through the Business Health Coalition. County government, Civic Progress, and a variety of other community groups and forums serve as catalysts for community development and improvement.Summaries: Assessments and PrioritiesTo set priorities, criteria focused on identifying disproportionate unmet need, primary prevention strategies, advancements toward a continuum of care and a program that is collaborative and involves the community. The following priority needs were identified: Access to Care Mental Health & Substance Abuse Health Literacy/Lifestyle Issues Tobacco Use/Chronic Disease Injuries - Intentional & Unintentional4. Review community benefit activities in placeUsing Lyon Software's CBISA tool, a review will be conducted of current community benefit activities and what Mercy is presently doing to meet identified priorities. In addition, the community benefit activity of others in the community will be reviewed. 5. Create an action planMercy Hospital St. Louis will continue to partner with the St. Louis County Department of Health and area hospitals/agencies to develop a Community Health Improvement Plan. Hospital representatives will participate on appropriate action teams that are being formed during the summer of 2013 as a result of the SLCDH's MAPP process. MHSL's Community Health Council will oversee, guide, and support Mercy's involvement in this collaborative approach. The implementation plan was posted November 2013.MERCY HOSPITAL WASHINGTONWho Was Involved in the Assessment At the center of involvement in the needs assessment were the people of the community. In 2010 and again in 2011, Mercy held roundtable events to dialogue directly with local community members about their needs, ideas, and concerns relating to health care. Common themes included community members wanting to see greater access to health care services through traditional and non-traditional delivery systems as well as more focus on prevention and wellness. Also mentioned were the importances of families living in poverty in the region, the sluggish economy, physician shortages/access to care, and lack of focus on prevention/wellness/healthy lifestyles among many. Follow-up roundtables are held annually.To continue the dialogue begun at the community roundtable events, online community advisory panels were formed. These individuals are routinely surveyed to assess need, evaluate program/service ideas, and provide feedback. Members are continuously added to the advisory panel. New MyMercy users are invited to join the group and a public invitation/form is located on the Mercy.net website.Mercy's Planning & Research Department provided internal and external demographic, utilization, chronic condition, and heath status data. The consulting group Sg2 was also engaged by Mercy as a partner to analyze current utilization and future demand for health care services. Professional Research Consultants (PRC) assists Mercy in measuring patient satisfaction through personal phone calls and email surveys.The Franklin County Area United Way serves as the primary community partner for MHW in both the CHNA and community health improvement plan processes.The vice president of mission at MHW and community health co-workers at Mercy Hospital St. Louis coordinate the CHNA as part of their community health and benefit responsibility. A Community Health Council is accountable for ensuring community benefit meets mission, compliance, and IRS guidelines. The council is led by the hospital president. Members include co-workers from finance, care management, philanthropy, Mercy Clinic - Mercy's integrated physician group, mission, and other key areas. A MHW board member also serves on the council. How the Assessment Was ConductedThe needs assessment process involved the following five steps to attain the full scope of the community's needs.1. Examine existing community health needs assessmentsThe needs assessment examination process included the collection and analysis of quantitative data available in community/public health resources. Mercy staff, supported by Saint Louis University Master of Public Health students, reviewed the following data:- 2012 Franklin County Community AssessmentConducted by the United Way of Greater St. Louis- Community Data Profiles & Missouri Information for Community Assessment (MICA) Missouri Department of Health & Senior Services-Bureau of Health Informatics This resource provides some of the best community health assessment planning tools available including community data profiles on 115 Missouri counties, thirty health indicators, and the capability to create customized tables.http://health.mo.gov/data/CommunityDataProfiles/index.html- County Health RankingsThis is a new resource that was unveiled in March 2010. It is county level data that will be updated annually by the University of Wisconsin-Population Health Institute and the Robert Wood Johnson Foundation.www.countyhealthrankings.org- Data provided by Mercy's Planning & Research DepartmentData from Mercy's internal records was used to assess the needs of the community. Community health assessment and planning is an ongoing process at Mercy. As community/public health data is released, plans and programming are adjusted. 2. Obtain qualitative information from community membersIn an effort to dialogue directly with the community and include qualitative data, input from community residents, individuals served by Mercy, and also those with expertise in public health were included through:- Community roundtable events- Online surveys- Written survey tool- Interviews3. Analyze and summarize the data to prioritize needsHealth Needs IdentifiedThe 2012 Franklin County Community Assessment identified fourteen health and human service issues and ranked them in order of importance. Mercy's Community Health and Benefit staff reviewed this information, along with other data collected, and identified community health needs critical for Mercy Hospital Washington to address that align with Mercy's mission and community master plan. Public health data for lifestyle issues such as obesity rates, tobacco use, drug/alcohol use, and accident/domestic violence rates paralleled with internal hospital utilization data. Cardiac-related and other chronic diseases such as diabetes and asthma, along with those seeking treatment for behavioral health needs, remain critical issues when assessing the health of Franklin County. Also noted in MHW's top ED visit volume by ICD9 codes is the high prevalence in "unspecified disorder of the teeth". This diagnosis represented 678 cases, 2% of the total ED volume. Community Assets IdentifiedAlthough Mercy is the only hospital in Franklin County, there are a number of organizations, such as the Franklin County Area United Way, Service Provider Group, and the Children's Services Fund that meet monthly to share resources and work together on community needs/issues. The schools, churches, and businesses in the area are also actively engaged in community improvement projects.Summaries: Assessments and PrioritiesTo set priorities, criteria focused on identifying disproportionate unmet need, primary prevention strategies, advancements toward a continuum of care, and programs that are collaborative and involve the community. The following priority needs for Mercy Hospital Washington were identified: Access to Care* Mental Health & Substance Abuse Health Literacy/Lifestyle Issues Tobacco Use/Chronic Disease** Injuries - Intentional & Unintentional*With high volumes of potentially avoidable ED visits related to urinary tract infections, headache, otitis media, and unspecified dental issues, urgent care/fast track, and dental access options will be explored. ** With a smoking prevalence rate of 28% for Franklin County (national benchmark is 13%), tobacco use as it relates to chronic disease will likely be a focus when developing MHW's health improvement plan.See Part VI, Question 2 continuation Part VI, Question 2 continuation 4. Review community benefit activities in place Using Lyon Software's CBISA tool, a review will be conducted of current community benefit activities and what Mercy is presently doing to meet the identified priorities. In addition, the community benefit activity of others in the community will be reviewed. 5. Create an action planMercy Hospital Washington will continue to partner with the Franklin County Area United Way to host monthly planning teams on mental health, housing, employment, transportation, and safety - priority health and human service needs identified in the United Way's 2012 assessment that parallel with/affect the community's health priorities established in MHW's overall CHNA process. MHW's Community Health Council will oversee, guide, and support Mercy's involvement in this collaborative process. Implementation plans was posted November 2013. Part VI, Question 5 continuation MERCY CLINIC AT ROOSEVELT HIGH SCHOOLA partnership between Mercy, St. Louis Public Schools and The Boeing Company produced Mercy's first school-based clinic in one of the inner city's most challenging schools. Routine physicals and urgent care is complemented with on-site behavioral health services and educational programs focused on healthy lifestyles. Community partnerships include the YMCA Literacy Council and the St. Louis City Department of Health. This clinic is managed by our integrated physician group and is therefore not able to be included as a community benefit on Schedule H.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. INTENSIVE OUTPATIENT PROGRAM (IOP) AT MHW*Mercy Hospital Washington opened an IOP in December 2014. It provides the highest level of outpatient care for patients suffering from mental health and chemical dependency disorders and consistently runs near capacity and accepts insured and uninsured patients.TOBACCO USEMERCY ROAD TO FREEDOM*This program was offered to the community and Mercy co-workers as a telephonic, one-on-one support system with a specialty trained counselor. Over 40 people have kicked the habit.DOMESTIC VIOLENCEPROJECT HOPE*Through a partnership with a not-for-profit domestic violence agency, Mercy has implemented a process so Mercy patients can now file orders of protection immediately from their hospital room. Hospital co-workers continue to receive training when dealing with possible situations and asking all their patients about their current safety. 1 Mercy Health Foundation St Louis 615 S New Ballas Road St Louis MO 63141 562410020 501(c)(3) 182080 Support health care Mercy Health Foundation St Louis 615 S New Ballas Road St Louis MO 63141 562410020 501(c)(3) 800000 Support health care The Wellness Program 20 Archbishop May Drive St Louis MO 63119 431297933 501(c)(3) 32161 Support priests in proactively managing their health West County Multiple Sclerosis Center 621 S New Ballas Rd Ste 5003-B St Louis MO 63141 270067529 501(c)(3) 68110 FMV Office space & construction costs to relocate Support needs of MS patients Ronald McDonald House 3450 Park Avenue St Louis MO 63011 431160478 501(c)(3) 15000 Support of organization which provides families of ill children place to stay close to hospital GO St Louis 300 Hunter Ave Suite 107 St Louis MO 63124 431864732 501(c)(3) 17500 Sponsor org which encourages healthy lifestyles Mercy Health Foundation Washington 901 E Fifth Street Washington MO 63090 562410022 501(c)(3) 72000 General Support March of Dimes 11829 Dorsett Road Maryland Heights MO 63043 131846366 501(c)(3) 7500 Sponsorship March for Babies Thompson Foundation for Autism 1401 South Brentwood Ste 160 St Louis MO 63144 208293152 501(c)(3) 5000 Sponsorship "Its in the Cards" Autism Speaks 1121 Olivette Executive Pkwy Ste 220 St Louis MO 63132 202329938 501(c)(3) 5000 Sponsorship 4th Annual Autism Speaks St. Chef's Gala Safety House Foundation 233 Henry Avenue Manchester MO 63011 462404875 501(c)(3) 5000 Sponsorship - West County Safety House Foundation Fighting Blindness 977 Lakeview Pkwy Ste 140 Vernon Hills IL 60061 237135845 501(c)(3) 5000 Sponsorship - Dining in the Dark Charity Event Gateway to Hope 845 North New Ballas Ct Ste 380 St Louis MO 63141 202737792 501(c)(3) 100000 Donation to fund community-wide patient insurance premium assistance program to subsidize health insurance coverage for low-income residents diagnosed with breast cancer. Susan G Komen for the Cure PO Box 790129 Dept SK St Louis MO 631790129 752462834 501(c)(3) 10000 Sponsorship - St. Louis Race for the Cure St Louis Men's Group 2155 Woodson Road St Louis MO 63114 431558366 501(c)(3) 5000 Sponsorship - Platinum - St. Louis Men's Group Against Cancer Dinner 15 0 Part I, Line 2: Grants are made to organizations which have an established history of providing health care support andor community benefit. If necessary, periodic reports are provided to us. Grants are made to related organizations, which provide reporting on the use of the funds and work closely with our organization. X X 1 1 1 1 0 0 0 0 0 1 0 Cleveland MD Jeanne Physician & Board member 0 452260 0 53894 0 47244 0 13308 0 18564 0 585270 0 0 Galli MD William Physician & Board member 0 279955 0 0 0 78293 0 8925 0 18113 0 385286 0 0 Glover MD Emily Physician & Board member 0 145015 0 6291 0 23000 0 9096 0 0 0 183402 0 0 Halsted MD Robert Physician & Board member 0 358546 0 125944 0 48030 0 14025 0 18667 0 565212 0 0 Johnston Jeffrey A Pres Mercy Hosp StL & Board member 0 451859 0 138500 0 20206 0 308299 0 18460 0 937324 0 0 Keithly Dennis Physician & Board member 0 273728 0 12541 0 35551 0 82935 0 12000 0 416755 0 0 Pennell Richard Physician & Board member 0 794599 0 0 0 39950 0 16575 0 15074 0 866198 0 0 Rehm MD Charles Chief admin officer & Board member 0 443406 0 85847 0 61161 0 131467 0 14150 0 736031 0 0 Riechers MD Thomas Physician & Board member 0 407657 0 66330 0 53836 0 20591 0 18387 0 566801 0 0 Matejka Cheryl L Chief Financial Officer 0 306071 0 77645 0 51824 0 85473 0 18143 0 539156 0 0 Hannasch Susan Regional VP-General Counsel 0 221883 0 47655 0 26406 0 48801 0 13456 0 358201 0 0 Sorensen Donn President-East Communities 0 599644 0 184629 0 37352 0 391525 0 12616 0 1225766 0 0 McLain Terri L President Mercy Hosp Washington 298917 0 102178 0 46952 0 283197 0 14027 0 745271 0 0 0 Bollin Steven J VP - Support Services 155987 0 30270 0 21759 0 10411 0 12839 0 231266 0 0 0 Crain Christine COO-Mercy Children's Services 270557 0 39859 0 79469 0 123224 0 8360 0 521469 0 0 0 Frazier Donna M Chief Nursing Officer 213559 0 31623 0 28793 0 64063 0 2104 0 340142 0 0 0 Frost Joan Chief Operating Officer 244850 0 58059 0 26601 0 23003 0 7930 0 360443 0 0 0 Geldbach Patricia L VP-Mercy Women's Services 0 217415 0 33646 0 56599 0 79172 0 17668 0 404500 0 0 Hintze Paul VP - Medical Affairs 358096 0 55116 0 48237 0 96654 0 18227 0 576330 0 0 0 Kahn MD Joseph President-Mercy Children's Services 0 414527 0 75492 0 41702 0 117747 0 14283 0 663751 0 0 Kalicak Donald VP - Business Dev & Planning 0 215468 0 137407 0 46984 0 87453 0 13400 0 500712 0 0 Nelson Kathryn VP - Performance Improvement 157771 0 33183 0 36707 0 9697 0 17087 0 254445 0 0 0 Rothermich Anthony Administrator, Mercy Hosp Lincoln 0 143721 0 22014 0 25234 0 18367 0 1461 0 210797 0 0 Scoffic Denise VP-Finance 0 154838 0 32750 0 42553 0 18993 0 7479 0 256613 0 0 Starke MD Keith M VP-Quality & Safety 169062 245776 0 73753 60634 16630 0 122399 5939 8348 235635 466906 0 0 Varner Ann M VP - Mission 137922 0 26357 0 29495 0 17310 0 14011 0 225095 0 0 0 Chaudhry Bilal Physician 393888 0 0 0 686 0 8925 0 18031 0 421530 0 0 0 Cox Michael J Physician 451577 0 0 0 51119 0 12445 0 18370 0 533511 0 0 0 Sommer Steve Physician 324861 0 0 0 30433 0 12297 0 18146 0 385737 0 0 0 Super David Physician 448647 0 0 0 15871 0 4974 0 17072 0 486564 0 0 0 Veronikis MD Dionysios Physician 346105 0 0 0 42304 0 23135 0 11679 0 423223 0 0 0 Cantalin Jeanne L Former officer 0 25649 0 0 0 254486 0 11143 0 1388 0 292666 0 0 McCurry Michael Former officer 0 836596 0 196715 0 64731 0 261658 0 15181 0 1374881 0 0 Lenior Frank Former key employee 0 200008 0 57581 0 39698 0 43136 0 7530 0 347953 0 0 Eoloff Eric J Former key employee 0 334563 0 61138 0 38387 0 84501 0 11960 0 530549 0 0 Part I, Line 1a CHARTER TRAVEL IS PROVIDED TO CERTAIN EMPLOYEES AS AND WHEN APPROPRIATE, AND AS DEEMED NECESSARY FOR BUSINESS TRAVEL. AFTER CHARTER TRAVEL APPROVAL HAS BEEN GRANTED IN ACCORDANCE WITH THE FINANCIAL JUSTIFICATION PROCESS, THE APPROVED CHARTER TRAVEL FOR BUSINESS IS A REIMBURSABLE EXPENSE WHICH IS NOT TAXABLE TO THE EMPLOYEES. TRAVEL FOR COMPANIONS IS PROVIDED IN RARE INSTANCES AND IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. WHERE COMPANION TRAVEL HAS RESULTED IN A TAXABLE EVENT, THE EMPLOYEES ARE TAXED FOR SUCH TRAVEL. SPOUSAL TRAVEL WAS PROVIDED FOR THE FOLLOWING EMPLOYEE: ANN VARNER. SPOUSAL TRAVEL WAS PROVIDED FOR THE FOLLOWING EMPLOYEES OF A RELATED ORGANIZATION: MICHAEL MCCURRY; 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 ARE A TAXABLE BENEFIT TO EMPLOYEES FOR PURPOSES OF THIS FORM 990. 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, Lines 4a-b Jeanne Cantalin received $205,717 of severance compensation from a related organization. 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 following individuals participated in the following plans. There were no payments for the fiscal year ended 6/30/2015. Supplemental Executive Retirement Plan (SERP) McCurry, Michael (DB); Johnston, Jeffrey (DC); Sorensen,Donn (DC) Supplemental Management Retirement Plan (SMRP) Crain, Christine; Geldbach, Patricia; Hintze, Paul; Kalicak, Don; Matejka, Cheryl L; McLain, Terri L; Rehm, Charles; Lenior, Frank; Starke,Keith; Frazier,Donna; Johnston, Jeffrey; Kahn MD, Joseph; Hannasch,Susan; Sorensen,Donn; Eoloff,Eric The amount of all accrued benefits is included in compensation amounts provided in Schedule J, Part II, Column (C). Part I, Line 7 The related organization which employs those individuals listed on Part VII, and the filing organization when applicable, PROVIDES A NON-FIXED BONUS PLAN FOR WHICH CERTAIN TIERS OF ITS EMPLOYEES ARE ELIGIBLE. FOR FISCAL YEAR 2015 (JULY 1, 2014 - JULY 30, 2015) PAYMENT OF ALL OR PART OF THE BONUS WAS CONTINGENT UPON ATTAINMENT OF CERTAIN FINANCIAL TARGETS AND NON-FINANCIAL GOALS DEEMED NECESSARY BY MERCY. PAYMENTS ARE MADE ANNUALLY IN OCTOBER FOLLOWING (I) THE CONCLUSION OF THE FISCAL YEAR AND (II) DETERMINATION OF GOAL ACHIEVEMENT. BONUS OPPORTUNITIES ARE TIERED PERCENTAGES AND ARE DEPENDENT UPON THE LEADERSHIP LEVEL AND ATTAINMENT PERCENTAGE. MERCY'S ATTAINMENT OF FINANCIAL TARGETS AND NON-FINANCIAL GOALS IS REVIEWED BY THE COMPENSATION COMMITTEE OF MERCY HEALTH AND IS TAKEN INTO ACCOUNT WHEN ANALYZING EXECUTIVE COMPENSATION FOR REASONABLENESS. 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 Cheryl Crain Family Member of Christine Crain, Key Employee 57643 Employment arrangement, Mercy Hospitals East Communities 0 Christine Bolin Family Member of Steven Bollin, Key Employee 57008 Employment arrangement, Mercy Hospitals East Communities 0 Mary Wiesehan Family member of Charles Rehm, board member 31012 Employment arrangement, Mercy Hospitals East Communities 0 Judy Tobben Family member of Bonnie Eckelkamp, board member 14209 Employment arrangement, Mercy Hospitals East Communities 0 Jon Sullivan Family member of Terri McLain, board member 79956 Employment arrangement, Mercy Hospitals East Communities 0 Form 990, Part VI, Section A, line 6 The member of Mercy Hospitals East Communities 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 Hospitals East Communities. Form 990, Part VI, Section A, line 7b THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED TO THE CORPORATE MEMBER (AND WITH REGARD TO CERTAIN POWERS AND RESPONSIBILITIES, TO MERCY HEALTH, AS THE CORPORATE MEMBER OF THE CORPORATE MEMBER): -APPROVAL OF REVISIONS TO THE MISSION, VISION, AND OPERATING VALUES, PURSUANT TO WHICH THE CORPORATION OPERATES; -APPROVAL OF ANY AMENDEMNTS TO THE ARTICLES OF INCORPORATION AND THESE BYLAWS AND ANY AMENDMENTS TO THE ORGANIZATIONAL DOCUMENTS OF ANY AFFILIATE OF THE CORPORATION; -APPROVAL OF THE APPOINTMENT AND REMOVAL OF THE PRESIDENT OF THE CORPORATION, AS PROVIDED IN SECTIONS 7.2.1 AND 7.3 OF THE BYLAWS; -ADOPTION OF THE STRATEGIC PLAN, GOALS AND OBJECTIVES OF THE CORPORATION; -ADOPTION OF THE OPERATING, CAPITAL, AND ALL OTHER BUDGETS FOR THE CORPORATION; -APPROVAL OF THE ASSIGNMENT, TRANSFER, SALE OR LEASE OF ANY OF THE ASSETS OF THE CORPORATION OR ANY AFFILIATE OF THE CORPORATION IN EXCESS OF ONE MILLION DOLLARS ($1,000,000) IN ANY ONE OR SERIES OF RELATED TRANSACTIONS OCCURRING WITHIN ANY TWELVE (12) MONTH PERIOD; -AUTHORIZATION AND APPROVAL OF THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY AFFILIATE OF THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTE ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; -APPROVAL OF A PLAN OF MERGER, CONSOLIDATION, OR DISSOLUTION OF THE CORPORATION; -APPROVAL OF THE LEASE, MANAGEMENT, OR PURCHASE OF, OR AFFILIATION WITH, ANOTHER HOSPITAL OR HEALTH SYSTEM, OR HEALTH CARE FACILITY OR HEALTH CARE SYSTEM BY THE CORPORATION; AND, -APPROVAL OF THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION CONTROLLED BY THE CORPORATION. Form 990, Part VI, Section B, line 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 leadership. The draft Form 990 is also reviewed by the Mercy Health Tax Department, to ensure accuracy and consistency with other related organizations' Form 990s. After questions arising from the various reviews are addressed and incorporated into the Form 990, a revised draft is provided to the filing organization's leadership team for review. Once reviewed and approved by the filing organization's leadership team, the Form 990 is provided to the Board of Directors for review; it is then signed and filed with the IRS. Form 990, Part VI, Section B, line 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, 2015. 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 15b For those classified as officers (and thus Disqualified Persons), Mercy Health (ultimate parent company) uses the following to establish the compensation: external market salary surveys, external market salary studies, engagement of an independent compensation consultant, and annual review/approval of compensation by the Compensation Committee of the Mercy Health Board. For those classified as key employees, the organization uses the following to establish the compensation: external market salary surveys, external market salary studies, and review/approval of executive management. Compensation reviews are completed on an annual basis, and a review was completed during the reporting year. Form 990, Part VI, Section C, line 19 Governing documents and financial statements are made available from time to time but are not published publicly; we are not required to make these documents available to the public. Financial results are available via request of copy of Form 990. FORM 990, PART VII, SECTION A, COLUMN B AVERAGE HOURS PER WEEK THE HOURS PER WEEK DISCLOSED IN PART VII IS THE AVERAGE HOURS THE LISTED PERSON WORKED OR DEVOTED PER WEEK WHILE EMPLOYED OR ASSOCIATED WITH THE FILING ORGANIZATION AND RELATED ORGANIZATIONS (IF APPLICABLE). Form 990, Part XI, line 9: Restricted Fund - Investment Income -20,299. Restricted Fund - Donations 429,452. Restricted Fund - Expenses -586,445. Transfers from Mercy Health 237,529. Net assets released from restrictions 473,684. Other adjustments -4. Part XII, Line 2 Audited Financial Statements The filing organization's financial statements were included in the Mercy Health and Subsidiaries annual financial statement audit. The 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 is 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 The organization was included in a consolidated audit of Mercy Health as required by the Single Audit Act and OMB Circular A-133. The single audit was conducted on a consolidated basis. Listing of included divisions and entities Federal EINS THE OPERATING RESULTS OF THE FOLLOWING ENTITIES, DIVISIONS, AND/OR SUBORDINATE ORGANIZATIONS OF MERCY HOSPITALS EAST COMMUNITIES ARE INCLUDED IN THE INFORMATION PRESENTED IN THE FORM 990 FOR THE YEAR ENDED JUNE 30, 2015: ENTITY FEIN Mercy Hospitals East Communities St. Louis 43-0653493 Mercy Hospitals East Communities Washington 43-1066883 Mercy Support Services 43-1677952 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. Mercy Behavioral Health LLC 14528 S Outer Forty Chesterfield MO 63017 460568680 Healthcare Services MO 0 0 Mercy Hospitals East Communities Mercy Clinic Adult Critical Care LLC 615 SNew Ballas Road StLouis MO 63141 201626965 Physician Services MO 2869694 121477 Mercy Hospitals East Communities Mercy Clinic Adult Hospitalists- Washington LLC 901 E Fifth Street Washington MO 63090 262961433 Hospitalist Services MO 1591394 0 Mercy Hospitals East Communities Mercy Clinic Adult Hospitalists-St Louis LLC 645 Maryville CentreSte 100 StLouis MO 63141 431854902 Healthcare Services MO 9267915 2206 Mercy Hospitals East Communities Mercy Clinic Anesthesiology-Washington LLC 645 Maryville CentreSte 100 StLouis MO 63141 030597437 Inactive MO 0 0 Mercy Hospitals East Communities Mercy Clinic Children's Critical Care LLC 645 Maryville CentreSte 100 StLouis MO 63141 431854108 Healthcare Services MO 599998 2766 Mercy Hospitals East Communities Mercy Clinic Children's Hospitalists-St Louis LLC 645 Maryville CentreSte 100 StLouis MO 63141 431708560 Healthcare Services MO 895414 0 Mercy Hospitals East Communities Mercy East Support Services LLC 14528 S Outer Forty Chesterfield MO 63017 461048366 Healthcare services MO 0 0 Mercy Hospitals East Communities Mercy Family Therapy LLC 645 Maryville CentreSte 100 StLouis MO 63141 431893329 Healthcare Services MO 0 0 Mercy Hospitals East Communities Mercy Health Services LLC 645 Maryville CentreSte 100 StLouis MO 63141 431664148 Healthcare Services & Products MO 72751969 8816218 Mercy Hospitals East Communities Mercy Labs St Louis LLC 14528 S Outer Forty Chesterfield MO 63017 463092721 Laboratory Services MO 44409701 0 Mercy Hospitals East Communities Mercy Labs Washington LLC 14528 S Outer Forty Chesterfield MO 63017 463093014 Laboratory Services MO 8666956 0 Mercy Hospitals East Communities Mercy Neuropsychology Services LLC 615 SNew Ballas Road StLouis MO 63141 261216912 Neurophsychology Services MO 1888894 203340 Mercy Hospitals East Communities Mercy Orthopaedic Trauma Services LLC 615 SNew Ballas Road StLouis MO 63141 061785022 Healthcare Services MO 2465760 10791 Mercy Hospitals East Communities Mercy Women's Services LLC 615 S New Ballas Road St Louis MO 63141 460847235 Healthcare services MO 0 0 Mercy Hospitals East Communities St John's Mercy Therapy Services LLC 615 SNew Ballas Road StLouis MO 63141 810671798 Inactive MO 0 0 Mercy Hospitals East Communities Triax 14144 LLC 615 SNew Ballas Road StLouis MO 63141 943454464 R E Transactions MO 0 4300274 Mercy Hospitals East Communities Casa de Misericordia 1602 McClelland Street Laredo TX 78044 742912461 Women's domestic violence shelter TX 501c3 7 Mercy Ministries of Laredo 1 Jefferson Land Company Inc 14528 S Outer Forty St 100 Chesterfield MO 63017 431330360 Holding Company MO 501c2 Mercy Hospital Jefferson 1 McAuley Portfolio Mgmt Co 14528 S Outer Forty St 100 Chesterfield MO 63017 261708048 Portfolio management MO 501c3 11-II Mercy Health 1 Mercy ACO Clinical Services Inc 14528 S Outer Forty St 100 Chesterfield MO 63017 464504901 Virtual Care Center MO 501c3 3 Mercy Health 1 Mercy Clinic East Communities 645 Maryville Ctr Dr Ste 100 St Louis MO 63141 431771217 Physician Group MO 501c3 9 Mercy Health East Communities 1 Mercy Clinic Fort Smith Comm 7301 Rogers Avenue Fort Smith AR 72917 261318597 Physician Clinic AR 501c3 3 Mercy Health Fort Smith Comm 1 Mercy Clinic Oklahoma Comm 4300 W Memorial Road Oklahoma City OK 73120 270473057 Physician Group OK 501c3 3 Mercy Health OK Communities 1 Mercy Clinic Springfield Comm 1965 Fremont Street Suite 2950 Springfield MO 65804 431560263 Physician Group MO 501c3 3 Mercy Health Springfield Comm 1 Mercy Family Center 14528 S Outer Forty St 100 Chesterfield MO 63017 721069468 Family counseling services MO 501c3 7 Mercy Health 1 Mercy Health Foundation 14528 S Outer Forty St 100 Chesterfield MO 63017 200901499 Foundation MO 501c3 11-II Mercy Health 1 Mercy Health 14528 S Outer Forty St 100 Chesterfield MO 63017 431423050 Corporate Office MO 501c3 1 N/A 0 Mercy Health East Communities 645 Maryville Ctr Dr Ste 100 St Louis MO 63141 431718408 Health System MO 501c3 11-II Mercy Health 1 Mercy Health East Communities - SR 645 Maryville Ctr Dr Ste 100 St Louis MO 63141 461412322 Health System MO 501c3 11-II Mercy Health East Communities 1 Mercy Health Fort Smith Comm 7301 Rogers Avenue Fort Smith AR 72917 261318515 Holding Company AR 501c3 11-II Mercy Health 1 Mercy Health Foundation Ada 430 N Monte Vista Street Ada OK 74820 453596274 Foundation OK 501c3 11-I Mercy Hospital Ada 1 Mercy Health Foundation Ardmore 1011 14th Avenue NW Ardmore OK 73401 710962525 Foundation OK 501c3 11-I Mercy Hospital Ardmore 1 Mercy Health Foundation Berryville 214 Carter Street Berryville AR 72616 710759301 Foundation AR 501c3 11-I Mercy Hospital Berryville 1 Mercy Health Foundation Ft Scott 401 Woodland Hills Blvd Fort Scott KS 66701 481077073 Foundation KS 501c3 11-III Mercy Kansas Communities Inc 1 Mercy Health Foundation Hot Springs 300 Werner Street Hot Springs AR 71913 710804718 Foundation AR 501c3 11-II Mission Clinical Services 1 Mercy Health Foundation Independence 800 W Myrtle Independence KS 67301 481079981 Foundation KS 501c3 11-I Mercy Kansas Communities Inc 1 Mercy Health Foundation Jefferson 1400 US Highway 61 South Festus MO 63028 462797051 Foundation MO 501c3 11-II Mercy Health East Communities - SR 1 Mercy Health Foundation Joplin 100 Mercy Way Joplin MO 64804 270906136 Foundation MO 501c3 11-I Mercy Health SW MOKS Comm 1 Mercy Health Foundation NW Ark 2710 Rife Medical Ln Rogers AR 72858 710601687 Foundation AR 501c3 11-III Mercy Hospital Rogers 1 Mercy Health Foundation of OK 4300 W Memorial Road Oklahoma City OK 73120 454732301 Foundation OK 501c3 11-I Mercy Health OK Communities 1 Mercy Health Foundation OK City 4300 W Memorial Road Oklahoma City OK 73120 463184231 Foundation OK 501c3 11-I Mercy Hospital Oklahoma City 1 Mercy Health Foundation Springfield 1235 E Cherokee Street Springfield MO 65804 320195818 Foundation MO 501c3 11-II Mercy Health Springfield Comm 1 Mercy Health Foundation STL 615 South New Ballas Road St Louis MO 63141 562410020 Foundation MO 501c3 11-II Mercy Health East Communities 1 Mercy Health Foundation Washington 901 E Fifth Street Washington MO 63090 562410022 Foundation MO 501c3 11-II Mercy Health East Communities 1 Mercy Health NW Ark Communities 2710 Rife Medical Ln Rogers AR 72758 621684203 Physician Group AR 501c3 9 Mercy Health 1 Mercy Health OK Communities 4300 W Memorial Road Oklahoma City OK 73120 731453048 Holding company OK 501c3 11-II Mercy Health 1 Mercy Health SW MOKS Comm 100 Mercy Way Joplin MO 64804 300584463 Health System MO 501c3 11-II Mercy Health 1 Mercy Health Springfield Comm 1235 E Cherokee Street Springfield MO 65804 431856028 Health System MO 501c3 11-II Mercy Health 1 Mercy Home Health Berryville 804 W Freeman Suite 4 Berryville AR 72616 870781247 Home Health and Hospice operations AR 501c3 11-III Mercy Hospital Springfield 1 Mercy Hospital Ada Inc 430 N Monte Vista Street Ada OK 74820 462288155 Hospital OK 501c3 3 Mercy Health OK Communities 1 Mercy Hospital Ardmore 1011 14th Avenue NW Ardmore OK 73401 731500629 Hospital OK 501c3 3 Mercy Health OK Communities 1 Mercy Hospital Aurora 500 Porter Avenue Aurora MO 65605 431936696 Hospital MO 501c3 3 Mercy Health Springfield Comm 1 Mercy Hospital Berryville 214 Carter Street Berryville AR 72616 710759299 Hospital AR 501c3 3 Mercy Health Springfield Comm 1 Mercy Hospital Booneville 880 West Main Street Booneville AR 72927 463851119 Hospital AR 501c3 3 Mercy Hospital Fort Smith 1 Mercy Hospital Carthage 3125 Dr Russell Smith Way Carthage MO 64836 453808607 Hospital MO 501c3 3 Mercy Health SW MOKS Comm 1 Mercy Hospital Cassville 94 Main Street Cassville MO 65625 431936699 Hospital MO 501c3 3 Mercy Health Springfield Comm 1 Mercy Hospital Columbus 220 Pennsylvania Avenue Columbus KS 66725 270842031 Hospital MO 501c3 3 Mercy Health SW MOKS Comm 1 Mercy Hospital El Reno 2115 Parkview Drive El Reno OK 73036 272716065 Hospital OK 501c3 3 Mercy Health OK Communities 1 Mercy Hospital Fort Smith 7301 Rogers Avenue Fort Smith AR 72917 710240352 Hospital AR 501c3 3 Mercy Health Fort Smith Comm 1 Mercy Hospital Healdton Inc 3462 Hospital Rd Healdton OK 73438 263173902 Hospital OK 501c3 3 Mercy Hospital Ardmore Inc 1 Mercy Hospital Jefferson 1400 Highway 61 South Festus MO 63028 430687077 Hospital MO 501c3 3 Mercy Health East Communities - SR 1 Mercy Hospital Joplin 100 Mercy Way Joplin MO 64804 270814858 Hospital MO 501c3 3 Mercy Health SW MOKS Comm 1 Mercy Hospital Kingfisher Inc 1000 Hospital Circle Kingfisher OK 73750 463433074 Hospital OK 501c3 3 Mercy Hospital Oklahoma City 1 Mercy Hospital Lebanon 100 Hospital Drive Lebanon MO 65536 431767432 Hospital MO 501c3 3 Mercy Health Springfield Comm 1 Mercy Hospital Lincoln 1000 East Cherry Street Troy MO 63379 472219204 Hospital MO 501c3 3 Mercy Health East Communities 1 Mercy Hospital Logan County Inc 200 South Academy Guthrie OK 73044 452998842 Hospital OK 501c3 3 Mercy Health OK Communities 1 Mercy Hospital Oklahoma City 4300 W Memorial Road Oklahoma City OK 73120 730579285 Hospital OK 501c3 3 Mercy Health OK Communities 1 Mercy Hospital Ozark 801 W River Street Ozark AR 72949 710689680 Hospital AR 501c3 3 Mercy Hospital Fort Smith 1 Mercy Hospital Paris 500 E Academy Paris AR 72855 710655753 Hospital AR 501c3 3 Mercy Hospital Fort Smith 1 Mercy Hospital Rogers 2710 Rife Medical Ln Rogers AR 72758 710294390 Hospital AR 501c3 3 Mercy Health NW Ark Communities 1 Mercy Hospital Springfield 1235 E Cherokee Street Springfield MO 65804 440552485 Hospital MO 501c3 3 Mercy Health Springfield Comm 1 Mercy Hospital Tishomingo 1000 South Byrd Tishomingo OK 73460 274433830 Hospital OK 501c3 3 Mercy Hospital Ardmore 1 Mercy Hospital Waldron 1341 W 6th Street Waldron AR 72958 710557895 Hospital AR 501c3 3 Mercy Hospital Fort Smith 1 Mercy Hospital Watonga Inc 500 Clarence Nash Blvd Watonga OK 73772 455199762 Hospital OK 501c3 3 Mercy Health OK Communities 1 Mercy Kansas Communities Inc 401 Woodland Hills Blvd Ft Scott KS 66701 480956045 Hospital KS 501c3 3 Mercy Health SW MOKS Comm 1 Mercy Medical Research Inst 1235 E Cherokee Street Springfield MO 65804 870796305 Research - Clinical Trials MO 501c3 4 Mercy Health Springfield Comm 1 Mercy Ministries of Laredo 2500 Zacatecas Laredo TX 78043 200198462 Outreach TX 501c3 7 Mercy Health 1 Mercy St Francis Hospital 100 W Highway 60 Mountain View MO 65548 440607149 Hospital MO 501c3 3 Mercy Health Springfield Comm 1 MHM Support Services 14528 S Outer Forty St 100 Chesterfield MO 63017 202553101 Centralized Health System Functions MO 501c3 11-II Mercy Health 1 Mission Clinical Services 300 Werner Street Hot Springs AR 71913 134239691 Child Advocacy Center AR 501c3 9 Mercy Health 1 St Edward Mercy Foundation 7301 Rogers Avenue Fort Smith AR 72917 237330425 Foundation AR 501c3 7 Mercy Hospital Fort Smith 1 St Johns Childrens Hosp 1235 E Cherokee Street Springfield MO 65804 Inactive MO 501c3 3 Mercy Health Springfield Comm 1 St Marys Hosp Enid Ok 14528 S Outer Forty St 100 Chesterfield MO 63017 730614655 Inactive OK 501c3 3 Mercy Health OK Communities 1 The Sr M Cornelia Blasko Fn 100 W Highway 60 Mountain View MO 65548 431873914 Foundation MO 501c3 11-I Mercy St Francis Hospital 1 Unity Ambulatory Care 14528 S Outer Forty St 100 Chesterfield MO 63017 431861745 Inactive MO 501c3 11-III Mercy Health East Communities 1 Southern Oklahoma Diag Ctr LLC 1011 Fourteenth Avenue NW ARDMORE OK 73401 431971232 MRI Services 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 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 -4907 180685 1.00000 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 Apothecary Services Inc PO Box 350 Crystal City MO 63019 431627267 Inactive MO Mercy Hospital Jefferson C 0 Mercy Commercial Services Inc 14528 South Outer Forty Suite 100 Chesterfield MO 63017 464953543 Corp Parent of VCC taxable commercializ svcs OK MHN Inc and MHNSR INC C 0 St Johns Mercy Mail Order Inc 645 Maryville Centre Drive Suite 10 St Louis MO 63141 431014222 Dissolved 6/30/15 MO UH Holdings Inc C 0 St Johns Mercy PBM Inc 645 Maryville Centre Drive Suite 10 St Louis MO 63141 743089567 Dissolved 6/30/15 MO UH L Corp Inc C 0 UH Holdings Inc 645 Maryville Centre Drive Suite 10 St Louis MO 63141 431845682 Dissolved 6/30/15 MO UH L Corp Inc C 0 0 1 1 0 0 0 0 0 0 0 1 1 0 1 1 1 1 0 0 Mercy Health Foundation St Louis B 182080 FMV Mercy Health Foundation St Louis B 800000 FMV Mercy Health Foundation St Louis C 3257849 FMV Mercy Health Foundation Washington C 272859 FMV Mercy Health Foundation Washington B 72000 FMV Mercy Clinic East Communities Q 17428312 FMV Mercy Health East Communities P 31852654 FMV MHM Support Services P 135357086 FMV Resource Optimization & Innovation LLC P 3483857