MERCY HOSPITAL JEFFERSON: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: MERCY HOSPITAL JEFFERSON (EIN 43-0687077)
Tax period: 2013-07-01 to 2014-06-30
Filed: 2015-05-14
IRS object ID: 201541349349304194
Schema version: 2013v4.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-05-14T13:05:27-05:00	ReturnTs
Tax Period End	2014-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Pleus and Company LLC	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	14323 S Outer Forty Ste 310N	AddressLine1
City	Chesterfield	City
State	MO	State
ZIP Code	63017	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	430687077	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Mercy Hospital Jefferson	BusinessNameLine1

Field	Value	IRS element (for citing)
Business Name Control	MERC	BusinessNameControlTxt
Phone	6369331136	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 350	AddressLine1
City	Crystal City	City
State	MO	State
ZIP Code	63109	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Cheryl Matejka	PersonNm
Person Title	Treasurer	PersonTitleTxt
Phone	3143643532	PhoneNum
Signature	2015-05-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

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

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-04-25 22:37:26Z	BuildTS

Form 990 IRS990

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 350	AddressLine1
City	Crystal City	City
State	MO	State
ZIP Code	63109	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$152,862,434	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.mercy.net/crystalcitymo	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1953	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	A community based integrated healthcare system consisting of a 251 bed licensed facility which provides a full range of diagnostic, preventative and healthcare services along with 24 hour emergency room care.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	1575	TotalEmployeeCnt
Total Volunteers	150	TotalVolunteersCnt
Total Gross UBI	$17,987	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$140,602	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$84,734	PYContributionsGrantsAmt
CY Contributions Grants	$64,971	CYContributionsGrantsAmt
PY Program Service Revenue	$107,570,543	PYProgramServiceRevenueAmt
CY Program Service Revenue	$150,380,513	CYProgramServiceRevenueAmt
PY Investment Income	$1,336,448	PYInvestmentIncomeAmt
CY Investment Income	$70,779	CYInvestmentIncomeAmt
PY Other Revenue	$3,325,656	PYOtherRevenueAmt
CY Other Revenue	$1,071,279	CYOtherRevenueAmt
PY Total Revenue	$112,317,381	PYTotalRevenueAmt
CY Total Revenue	$151,587,542	CYTotalRevenueAmt
PY Grants And Similar Paid	$96,303	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$91,670	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$52,107,208	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$68,227,289	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$57,613,651	PYOtherExpensesAmt
CY Other Expenses	$79,709,354	CYOtherExpensesAmt
PY Total Expenses	$109,817,162	PYTotalExpensesAmt
CY Total Expenses	$148,028,313	CYTotalExpensesAmt
PY Revenues Less Expenses	$2,500,219	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$3,559,229	CYRevenuesLessExpensesAmt
Total Assets BOY	$165,273,390	TotalAssetsBOYAmt
Total Assets EOY	$174,796,943	TotalAssetsEOYAmt
Total Liabilities BOY	$10,624,816	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$16,371,853	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$154,648,574	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$158,425,090	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	As the Sisters of Mercy before us, we bring to Life the healing ministry of Jesus through our compassionate care and exceptional service.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$140,452,898	ExpenseAmt
Grant	$91,670	GrantAmt
Revenue	$150,927,834	RevenueAmt
Desc	Mercy Hospital Jefferson consists of a 251 bed licensed facility which provides a wide range of services. In fiscal year 2014, the following services were provided - 43,730 patient days, 423 deliveries, 30,960 emergency visits, 1,750 inpatient surgeries and 2,174 outpatient surgery procedures. It is the policy of Mercy Hospital Jefferson to provide uncompensated care to patients in need of financial assistance in accordance with the hospital's established guidelines and without regard to race, religion, sex, age, or national origin. Charity and uncompensated care for the year totaled $21,420,815. Mercy HospitalJefferson is committed to providing educational programs to the community. Free seminars and presentations are provided on a wide variety of health issues which impact patients and their families. Free services are also offered to the community such as lipid, cholesterol, bone density and glucose screenings as well as hearing and memory screenings.	Desc
Total Program Service Expenses	$140,452,898	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	76	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1575	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	6	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	6369331107	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 350	AddressLine1
City	Crystal City	City
State	MO	State
ZIP Code	63019	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Ammons Carl E Eric
President, Mercy Hospital Jefferson & Board member	50.00	10.00	Yes (X)	$240,974	$83,289	$37,745
Breeze Tonda
Board member	0.50	1.00	Yes (X)	$0	$0	$0
Carron RSM Sr Judith Ann
Board member	1.00	1.00	Yes (X)	$0	$0	$0
Enger MD Kevin
Board member	0.50	1.00	Yes (X)	$0	$0	$0
Gannon Dennis
Board member	0.50	1.00	Yes (X)	$0	$0	$0
Ginsburg MD Gregg
Board member	0.50	0.00	Yes (X)	$0	$0	$0
King BA M Div Rev Jack
Board member	0.50	1.00	Yes (X)	$0	$0	$0
Patel MD Ash
Board member	0.50	1.00	Yes (X)	$27,338	$0	$0
Rehm MD Charles
Chief admin officer & Board member	5.00	55.00	Yes (X)	$0	$548,612	$95,565
Cantalin Jeanne L
Reg VP-General counsel-thru 2/14	10.00	50.00		$0	$263,916	$46,705	Yes (X)
Hannasch Susan
Reg VP-General counsel-start 3/14	4.00	56.00		$0	$275,484	$52,671	Yes (X)
Matejka Cheryl L
Chief financial officer	10.00	47.00		$0	$413,101	$78,538	Yes (X)
Sorensen Donn
President-East Communities	5.00	59.00		$0	$811,498	$245,528	Yes (X)
Eckenfels Daniel
VP Finance	40.00	1.50		$244,984	$0	$12,241		Yes (X)
Julien Sheila
CNO	40.00	0.00		$75,325	$100,081	$16,595		Yes (X)
Meyer Michele
VP Operations	60.00	0.00		$246,726	$0	$12,241		Yes (X)
Alam Tariq
Physician	40.00	0.00		$223,949	$202,546	$11,660			Yes (X)
Albano Benjamin Y
Physician	40.00	0.00		$267,972	$164,775	$12,696			Yes (X)
Barakat Ammar
Physician	40.00	0.00		$256,725	$138,085	$8,578			Yes (X)
Kennen E William
Physician	40.00	0.00		$357,426	$258,692	$10,423			Yes (X)
Newhall Phillip
Physician	40.00	0.00		$197,641	$200,043	$79			Yes (X)
Pigg Timothy J
Former officer	0.00	0.00		$149,777	$0	$7,226				Yes (X)
Johnson Beverly E
Former key employee	40.00	0.00		$152,823	$0	$2,127				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,441,660	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,460,122	TotReportableCompRltdOrgAmt
Total Other Compensation	$650,618	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	38	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
Acuity Anesthesiology LLC
1734 Clarkson Road Suite 147	Chesterfield	MO	63017	Physician and CRNA professional services	$2,832,530
Rehabcare Group Inc
7733 Forsyth Blvd Ste 1700	St Louis	MO	63105	Management and therapy services	$1,690,915
PATRIOT MED TECH OF OHIO
7100 Commerce Way Ste 280	Brentwood	TN	37027	Equipment maintenance services	$415,169
EXECUTIVE HEALTH RESOURCES
PO Box 822688	Philadelphia	PA	19182	Physician advisory and compliance servic	$401,822
Sodexo Inc & Affiliates
9801 Washington Blvd Suite 500	Gaithersburg	MD	20878	Dietary management services	$227,772

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	20	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$64,971	AllOtherContributionsAmt
Total Contributions	$64,971	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Net Patient Service Re	621110	$148,873,428	$148,873,428
Meaningful use	519100	$1,323,385	$1,323,385
Rental From Affiliated	531120	$142,523	$142,523
Lab Services	621500	$41,177	$26,321	$14,856

Field	Value	IRS element (for citing)
Total Program Service Revenue	$150,380,513	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$70,779	TotalRevenueColumnAmt
Exclusion	$70,779	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$897,605	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,243,577	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$345,972	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$345,972	TotalRevenueColumnAmt
Exclusion	-$345,972	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$34,446	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$31,315	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,131	TotalRevenueColumnAmt
Unrelated Business Revenue	$3,131	UnrelatedBusinessRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafe & vending	722210	$851,943	$851,943
Gift shop sales	900099	$353,556		$353,556
Pharmacy Revenue	624100	$101,758		$101,758

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$106,863	TotalRevenueColumnAmt
Related Or Exempt Func Income	$106,863	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,414,120	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$151,587,542	TotalRevenueColumnAmt
Related Or Exempt Func Income	$150,927,834	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$17,987	UnrelatedBusinessRevenueAmt
Exclusion	$576,750	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$91,670	TotalAmt
Program Services	$91,670	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,153,094	TotalAmt
Management And General	$1,153,094	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$52,057,259	TotalAmt
Program Services	$50,416,362	ProgramServicesAmt
Management And General	$1,640,897	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,432,350	TotalAmt
Program Services	$2,415,700	ProgramServicesAmt
Management And General	$16,650	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$8,818,136	TotalAmt
Program Services	$8,430,068	ProgramServicesAmt
Management And General	$388,068	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,766,450	TotalAmt
Program Services	$3,579,549	ProgramServicesAmt
Management And General	$186,901	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$7,539	TotalAmt
Management And General	$7,539	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$2,805	TotalAmt
Management And General	$2,805	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$16,286,361	TotalAmt
Program Services	$15,795,239	ProgramServicesAmt
Management And General	$491,122	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,083,025	TotalAmt
Program Services	$832,913	ProgramServicesAmt
Management And General	$250,112	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,600,408	TotalAmt
Program Services	$5,471,108	ProgramServicesAmt
Management And General	$129,300	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$29,818	TotalAmt
Program Services	$29,818	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,596,367	TotalAmt
Program Services	$1,420,767	ProgramServicesAmt
Management And General	$175,600	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$253,203	TotalAmt
Program Services	$207,516	ProgramServicesAmt
Management And General	$45,687	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$231	TotalAmt
Program Services	$231	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$48,911	TotalAmt
Program Services	$48,911	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$6,175,639	TotalAmt
Program Services	$5,905,327	ProgramServicesAmt
Management And General	$270,312	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,148,949	TotalAmt
Program Services	$1,125,519	ProgramServicesAmt
Management And General	$23,430	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Drugs & medical expense	$21,938,426	$21,841,673	$96,753
Bad debt expense	$18,859,401	$18,859,401
Shared service fees	$5,614,584	$2,919,584	$2,695,000
Repairs and maintenance	$570,377	$568,232	$2,145

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$493,310	TotalAmt
Program Services	$493,310	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$148,028,313	TotalAmt
Program Services	$140,452,898	ProgramServicesAmt
Management And General	$7,575,415	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$14,379,604	BOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$23,950,238	BOYAmt
EOY	$25,253,868	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$422,513	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,743,342	BOYAmt
EOY	$2,835,929	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,236,881	BOYAmt
EOY	$545,025	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$81,601,064	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$8,141,364	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$66,360,951	BOYAmt
EOY	$73,459,700	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$54,057,672	BOYAmt
EOY	$53,013,039	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,122,189	BOYAmt
EOY	$19,689,382	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$165,273,390	BOYAmt
EOY	$174,796,943	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$10,243,088	BOYAmt
EOY	$15,996,784	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$41,273	BOYAmt
EOY	$34,864	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$340,455	BOYAmt
EOY	$340,205	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$10,624,816	BOYAmt
EOY	$16,371,853	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$154,648,574	BOYAmt
EOY	$158,425,090	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$154,648,574	BOYAmt
EOY	$158,425,090	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$165,273,390	BOYAmt
EOY	$174,796,943	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$3,559,229	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$217,287	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$31,402	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$31,402	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1:	FormAndLineReferenceDesc
Explanation	The filing organization is a member of and pays dues to the following hospital associations: American Hospital Association and the Missouri Hospital Association. For the year ended June 30, 2014, dues were $74,086. Approximately 23.65% of the American Hospital Association dues and 47.12% of Missouri Hospital Association dues were attributable to lobbying activities performed by this association.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,509,000	OtherCostOrOtherBasisAmt
Book Value	$3,509,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$44,372,607	OtherCostOrOtherBasisAmt
Depreciation	$2,675,043	DepreciationAmt
Book Value	$41,697,564	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$29,238,308	OtherCostOrOtherBasisAmt
Depreciation	$5,147,511	DepreciationAmt
Book Value	$24,090,797	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,481,149	OtherCostOrOtherBasisAmt
Depreciation	$318,810	DepreciationAmt
Book Value	$4,162,339	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$73,459,700	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
Other Assets	$7,095,318
Due from Affiliates	$12,594,064

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$19,689,382	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	Other Liabilities	Desc
Amt	$340,205	Amt

Field	Value	IRS element (for citing)
Total Liability	$340,205	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part X, Line 2	FormAndLineReferenceDesc
Explanation	The consolidated audited financial statements of Mercy Health and Affiliates do not include a footnote to report the organization's liability for uncertain tax provisions under ASC 740, as they are deemed immaterial for disclosure.	ExplanationTxt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,715,294	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,715,294	NetCommunityBenefitExpnsAmt
Total Expense	0.02880	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,276,378	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,688,344	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,588,034	NetCommunityBenefitExpnsAmt
Total Expense	0.04330	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,991,672	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,688,344	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,303,328	NetCommunityBenefitExpnsAmt
Total Expense	0.07210	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$177,149	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$26,128	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$151,021	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,547	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$28,547	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$166,458	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$38,687	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$127,771	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$372,154	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$64,815	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$307,339	NetCommunityBenefitExpnsAmt
Total Expense	0.00240	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,363,826	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,753,159	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,610,667	NetCommunityBenefitExpnsAmt
Total Expense	0.07450	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,250	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,250	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,107	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$21,107	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$255	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$255	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,612	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$23,612	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$5,084,495	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$52,327,734	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$63,158,500	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$10,830,766	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Mercy Hospital Jefferson	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 350	AddressLine1
City	Crystal City	City
State	MO	State
ZIP Code	63019	ZIPCode

Field	Value	IRS element (for citing)
Website Address	www.mercy.net/crystalcitymo	WebsiteAddressTxt
State License	529-2	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	JEFFERSON REGIONAL MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.mercy.net/about/community/benefits	OwnWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Develop Community Wide Plan	Yes (X)	DevelopCommunityWidePlanInd
Exec Community Wide Plan	Yes (X)	ExecCommunityWidePlanInd
Adopt Budget	Yes (X)	AdoptBudgetInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	Yes (1)	AllNeedsAddressedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (1)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	100.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (1)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (1)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Asset Level	Yes (X)	AssetLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
Available On Request	Yes (X)	AvailableOnRequestInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Collection Activities	0	CollectionActivitiesInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

JEFFERSON REGIONAL MEDICAL CENTER

Part V, Section B, Line 3: COMMUNITY HEALTH NEEDS ASSESSMENTPLEASE REFER TO THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT WHICH CAN BE FOUND AT WWW.MERCY.NET/COMMUNITY-BENEFITS.

JEFFERSON REGIONAL MEDICAL CENTER

Part V, Section B, Line 20d: 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.

Field	Value	IRS element (for citing)
Facility	6	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
JMH Rehabilitation Unit
PO Box 350	Crystal City	MO	63019	Rehabilitation services
JMH Psychiatric Unit
PO Box 350	Crystal City	MO	63019	Psychiatric services
Jefferson Regional Home Care
5 Industrial Drive	Festus	MO	62028	Home care services
Jefferson Regional Hospice
5 Industrial Drive	Festus	MO	62028	Hospice services
Jefferson Multi-Specialty Group
1400 Highway 61 South	Crystal City	MO	63019	Outpatient physician clinic
Jefferson Regional Outpatient Facilities
1400 Highway 61 South	Crystal City	MO	63019	Urgent care services

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 7g:	SUBSIDIZED HEALTH SERVICESTHE ORGANIZATION DID NOT INCLUDE ANY PHYSICIAN CLINIC COSTS ON LINE 7G.
Part I, Ln 7 Col(f):	TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) ARE $148,028,313. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $18,859,401. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $5,084,495.
PART I, LINE 6A	COMMUNITY BENEFIT REPORTTHE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS PREPARED BY ITS ULTIMATE PARENT ENTITY, MERCY HEALTH (EIN: 43-1423050).
Part II, Community Building Activities:	Mercy Hospital Jefferson's (MHJ) community building activities promote the health, wellness, and safety of the community it serves. Through active participation on community boards, neighborhood/community coalitions, and involvement in community-based events, Mercy builds partnerships to develop collaborative solutions to address community needs. Community building activities serve as a link to engage Mercy co-workers to look beyond the walls of the facilities in which they serve. Some of the community building activities in which Mercy Hospital Jefferson participates/serves are:- St. Francois County Community Partnership- Jefferson County Growth Association- Jefferson College Board- Mineral Area College Foundation- Support of the Quad City Senior Center- Participation in the DeSoto, Hillsboro, Twin City Area, and Ste. Genevieve chambers of commerce activitiesA FULL DESCRIPTION OF OUR COMMUNITY BUILDING ACTIVITIES CAN BE FOUND AT WWW.MERCY.NET/COMMUNITY-BENEFITS.
Part III, Line 2:	TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE, AT COST, BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENT ACCOUNTS WAS MULTIPLIED BY A RATIO OF COST TO CHARGES. THE RATIO OF COST TO CHARGES USED WAS BASED ON DETAILED COST 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 IS AS FOLLOWS: "PATIENT ACCOUNTS THAT ARE UNCOLLECTED, INCLUDING THOSE PLACED WITH COLLECTION AGENCIES, ARE INITIALLY CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN ACCORDANCE WITH COLLECTIONS POLICIES OF THE HEALTH SYSTEM AND, IN CERTAIN CASES, ARE RECLASSIFIED TO CHARITY CARE IF DEEMED TO OTHERWISE MEET THE HEALTH SYSTEM'S CHARITY CARE POLICY. THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES BASED UPON THE PAYOR COMPOSITION AND AGING OF RECEIVABLES AS OF THE REPORTING DATE WITH CONSIDERATION OF THE HISTORICAL PAYMENT AND WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES."
Part III, Line 8:	IT IS THE POSITION OF MERCY HOSPITAL JEFFERSON THAT 100% OF ANY SHORT FALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS AMOUNT REPRESENTS COST OF PROVIDING SERVICES THAT REMAIN UNCOMPENSATED TO THE PROVIDER. THE UNREIMBURSED COSTS OF MEDICARE IS CALCULATED BY THE GROSS CHARGES NET OF THE COST TO CHARGE RATIO LESS ANY PAYMENTS, DEDUCTIONS OR REIMBURSEMENTS USING THE ANNUAL MEDICARE COST REPORT (CMS FORM 2552-96).
Part III, Line 9b:	MERCY HOSPITAL JEFFERSON ("MERCY'S") 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 HAVE MET THE MERCY HOSPITAL COMMUNITY ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO MERCY FOR APPROPRIATE 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 UTILIZES 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:	NEEDS ASSESSMENTMERCY HEALTH BELIEVES THAT ITS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS IS COMPREHENSIVE ENOUGH TO CAPTURE SUBSTANTIALLY ALL OF THE COMMUNITY'S NEEDS. THEREFORE NO FURTHER STEPS WERE TAKEN TO IDENTIFY ADDITIONAL NEEDS.
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 INFORMATION AS 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 DISCOUNTS A 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 HOSPITAL JEFFERSON INCLUDES FOUR COUNTIES IN MISSOURI - JEFFERSON, WASHINGTON, STE. GENEVIEVE AND ST. FRANCOIS. BASED ON TRUVEN 2014 DATA, THE AREA'S POPULATION IS 302,706. 26% OF THE POPULATION HAS INCOME OVER $75,000. AVERAGE HOUSEHOLD INCOME IS $57,139. 14% OF THE POPULATION IS AGE 65 AND OLDER. 16% OF THE POPULATION IS ON MEDICARE, 13% ON MEDICAID, AND 12% UNINSURED, BASED ON 2014 TRUVEN INSURANCE ESTIMATES.
Part VI, Line 5:	PROMOTION OF COMMUNITY HEALTHMercy Hospital Jefferson (MHJ) provides quality medical health care regardless of race, creed, sex, national origin, handicap, age or ability to pay. In active pursuit of this mission, MHJ provided services to 9,852 inpatients, 30,960 emergency room visits, 123,021 outpatient visits, and 23,045 home health visits.MHJ 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. Although reimbursement for services rendered is critical to the continued ability to provide healthcare services to all patients, MHJ 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 MHJ's commitment to serve all members of the communities it serves, MHJ 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; and, (iv) a variety of broad community support activities. Open Medical Staff Medical staff privileges are extended to all qualified physicians in the community for nearly all of our departments. Mercy Hospital Jefferson has exclusive contracts with physician groups for the following services: radiology, pathology, anesthesia, and emergency medicine. This means that greater than 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 Hospital Jefferson are reinvested in patient care, medical education and research initiatives which support the organization's mission to deliver compassionate care and exceptional health care services to the communities it serves. Examples include the following:- New patient tower planned to convert Mercy Hospital Jefferson to a private room campus as well as to expand women's health services and oncology services in the region, regardless of ability to pay.- Expansion of primary care and specialty care physicians to the Mercy Hospital Jefferson service area with a focus to reach the underserved populations closer to their homes.- Continued partnering with area education programs to help promote the training of critically needed services for the community including schools of nursing, radiology and pharmacy.Additional Community Health Initiatives/InformationPhysiciansMuch work in terms of prevention/wellness education takes place in collaboration with our integrated physician practices. Tobacco cessation, nutrition (weight loss education and exercise) are just a few examples of critical work that our physicians engage in through their practices and in the communities through outreach. In addition, many hours of time have been spent preparing to become and Accountable Care Organization (ACO) and implementing Meaningful Use. These activities are not reflected in this report.Community EngagementAs Mercy works to continue to improve its community benefit program, a greater focus is being placed on recording involvement by leadership and clinical co-workers on boards, coalitions, and other organizations. We believe this is a vital part of our work and one that is significantly underreported.
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, 2014, MERCY FACILITIES INCLUDED 29 ACUTE CARE HOSPITALS, 4 MANAGED HOSPITALS, 4 HEART HOSPITALS, 2 CHILDREN'S HOSPITALS AND 3 REHAB HOSPITALS. FOR THE FISCAL YEAR ENDED JUNE 30, 2014, MERCY HAD MORE THAN 8 MILLION OUTPATIENT AND PHYSICIAN OFFICE VISITS, APPROXIMATELY 2,000 EMPLOYED PHYSICIANS, AND APPROXIMATELY 38,000 FULL-TIME EQUIVALENT EMPLOYEES, MAKING MERCY THE FIFTH 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

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
Desoto Public Schools
815 Amvets Drive	DeSoto	MO	63020	436001005	501(c)(3)	$12,200	General support
Jefferson College
1000 Viking Dr	Hillsboro	MO	63050	431611153	501(c)(3)	$5,760	General support and educational training	$57,500	FMV	Medical Equipment
Greater St Louis Area Council Boy Scouts of America
4568 West Pine	St Louis	MO	63108	430652676	501(c)(3)	$5,000	General support
Archdiocese of St Louis
1030 St Pius Dr	Festus	MO	63028	430653242	501(c)(3)	$5,150	General support
Reorganized School District R-6
1515 Mid-Meadow Lane	Festus	MO	63028	436002980	501(c)(3)	$6,060	General support

Field	Value	IRS element (for citing)
Total501c3 Org	5	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2	FormAndLineReferenceDesc
Explanation	The organization awards assistance to preapproved local charity-based organizations, the amounts of $5,000 to $20,000 are approved by the CFO and amounts over $20,000 are approved by the CEO.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Ammons Carl E Eric
President, Mercy Hospital Jefferson	$151,821	$62,605	$25,527	$0	$63,626	$20,684	$24,965	$0	$7,610	$5,170	$273,549	$88,459	$0	$0
Rehm MD Charles
Chief admin officer & Board member	$0	$425,727	$0	$80,320	$0	$42,565	$0	$81,444	$0	$14,121	$0	$644,177	$0	$0
Cantalin Jeanne L
Reg VP-General counsel-thru 2/14	$0	$201,873	$0	$44,431	$0	$17,612	$0	$36,274	$0	$10,431	$0	$310,621	$0	$0
Hannasch Susan
Reg VP-General counsel-start 3/14	$0	$195,919	$0	$52,882	$0	$26,683	$0	$36,277	$0	$16,394	$0	$328,155	$0	$0
Matejka Cheryl L
Chief financial officer	$0	$300,405	$0	$74,056	$0	$38,640	$0	$61,337	$0	$17,201	$0	$491,639	$0	$0
Sorensen Donn
President-East Communities	$0	$560,884	$0	$175,609	$0	$75,005	$0	$232,962	$0	$12,566	$0	$1,057,026	$0	$0
Eckenfels Daniel
VP Finance	$200,809	$0	$33,922	$0	$10,253	$0	$0	$0	$12,241	$0	$257,225	$0	$0	$0
Julien Sheila
CNO	$69,561	$70,603	$0	$22,596	$5,764	$6,882	$9,906	$0	$3,107	$3,582	$88,338	$103,663	$0	$0
Meyer Michele
VP Operations	$187,431	$0	$33,924	$0	$25,371	$0	$0	$0	$12,241	$0	$258,967	$0	$0	$0
Alam Tariq
Physician	$127,053	$122,628	$96,788	$79,702	$108	$216	$0	$0	$4,304	$7,356	$228,253	$209,902	$0	$0
Albano Benjamin Y
Physician	$215,180	$144,563	$40,559	$14,440	$12,233	$5,772	$0	$0	$4,954	$7,742	$272,926	$172,517	$0	$0
Barakat Ammar
Physician	$169,235	$121,673	$71,540	$14,514	$15,950	$1,898	$0	$0	$3,732	$4,846	$260,457	$142,931	$0	$0
Kennen E William
Physician	$310,980	$242,434	$27,040	$8,983	$19,406	$7,275	$0	$0	$4,239	$6,184	$361,665	$264,876	$0	$0
Newhall Phillip
Physician	$197,620	$200,000	$0	$0	$21	$43	$0	$0	$27	$52	$197,668	$200,095	$0	$0
Pigg Timothy J
Former officer	$120,090	$0	$19,064	$0	$10,623	$0	$0	$0	$7,226	$0	$157,003	$0	$0	$0
Johnson Beverly E
Former key employee	$97,024	$0	$26,416	$0	$29,383	$0	$0	$0	$2,127	$0	$154,950	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 1a	CHARTER TRAVEL IS PROVIDED TO CERTAIN EMPLOYEES AS AND WHEN APPROPRIATE, AND AS DEEMED NECESSARY FOR BUSINESS TRAVEL. AFTER CHARTER TRAVEL APPROVAL HAS BEEN GRANTED IN ACCORDANCE WITH THE FINANCIAL JUSTIFICATION PROCESS, THE APPROVED CHARTER TRAVEL FOR BUSINESS IS A REIMBURSABLE EXPENSE WHICH IS NOT TAXABLE TO THE EMPLOYEES. TRAVEL FOR COMPANIONS 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. LIMITED INSTANCES OF TAX GROSS-UPS MAY HAVE OCCURRED WITH RESPECT TO EXECUTIVES. HOUSING BENEFITS ARE PROVIDED THROUGH A RELOCATION PROGRAM IN ACCORDANCE WITH COMPANY POLICY. SUCH BENEFITS WERE SUBJECT TO TAX TO CARL AMMONS. PAYMENT BY THE COMPANY OF COSTS FOR TEMPORARY HOUSING BY EMPLOYEES FOR THE CONVENIENCE OF THE COMPANY IS MADE IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. AS A REIMBURSABLE EXPENSE, THIS TYPE OF LODGING IS NOT TAXABLE TO THE EMPLOYEE.
Part I, Line 4b	Part I, Line 4B: Mercy Health, the ultimate parent company, offers supplemental retirement plans to certain executives which provide benefits upon vesting date based on compensation, age at the time of benefit commencement, length of service with the company and/or its affiliates, and length of tenure in the plan. The following individuals participated in the following plans. There were no payments for the fiscal year ended 6/30/2014 Supplemental Executive Retirement Plan (SERP) Sorensen, Donn; Ammons,Carl Supplemental Management Retirement Plan (SMRP) Sorensen, Donn; Cantalin, Jeanne; Hannasch, Susan; Matejka,Cheryl L; Rehm MD, Charles; The amount of all accrued benefits is included in compensation amounts provided in Schedule J, Part II, Column (C).
Part I, Line 7	The related organization which employs those individuals listed on Part VII, and the filing organization PROVIDES A NON-FIXED BONUS PLAN FOR WHICH CERTAIN TIERS OF ITS EMPLOYEES ARE ELIGIBLE. FOR FISCAL YEAR 2014 (JULY 1, 2013 - JULY 30, 2014) 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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 6	THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH EAST COMMUNITIES - SOUTHERN REGION, a supporting organization under Section 509(a)(3). The member of MERCY HEALTH EAST COMMUNITIES - SOUTHERN REGION is Mercy Health East Communities, a supporting organization under Section 509(a)(3). The member of Mercy Health East Communities is Mercy Health.
Form 990, Part VI, Section A, line 7a	Mercy Health, the member of Mercy Health East Communities, has reserve powers to appoint and remove all directors and officers for Mercy Hospital Jefferson.
Form 990, Part VI, Section A, line 7b	THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED TO THE CORPORATE MEMBER (AND WITH REGARD TO CERTAIN POWERS AND RESPONSIBILITIES, TO MERCY HEALTH EAST COMMUNITIES AS THE CORPORATE MEMBER OF THE CORPORATE MEMBER): A. APPROVAL OF REVISIONS TO THE MISSION, VISION AND OPERATING VALUES PURSUANT TO WHICH THE CORPORATION OPERATES; B. APPROVAL OF ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION AND THESE BYLAWS AND ANY AMENDMENTS TO THE ORGANIZATIONAL DOCUMENTS OF ANY AFFILIATE OF THE CORPORATION; C. APPOINTMENT AND REMOVAL OF MEMBERS OF THE BOARD; D. APPROVAL OF THE APPOINTMENT AND REMOVAL OF THE PRESIDENT OF THE HOSPITAL SUBJECT TO THE CONSENT OF MERCY HEALTH EAST COMMUNITIES; E. ADOPTION OF THE STRATEGIC PLAN, GOALS, AND OBJECTIVES OF THE CORPORATION; F. ADOPTION OF THE OPERATING, CAPITAL AND ALL OTHER BUDGETS FOR THE CORPORATION; G. APPROVAL OF THE ASSIGNMENT, TRANSFER, SALE OR LEASE OF ANY OF THE ASSETS OF THE CORPORATION OR ANY AFFILIATE OF THE CORPORATION IN EXCESS OF ONE MILLION DOLLARS ($1,000,000) IN ANY ONE OR SERIES OF RELATED TRANSACTIONS OCCURRING WITHIN ANY TWELVE (12) MONTH PERIOD; H. AUTHORIZATION AND APPROVAL OF THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY AFFILIATE OF THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTE ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; I. APPROVAL OF A PLAN OF MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION OR ANY AFFILIATE; J. APPROVAL OF THE LEASE, MANAGEMENT OR PURCHASE OF, OR AFFILIATION WITH, ANOTHER HOSPITAL OR HOSPITAL SYSTEM, OR HEALTH CARE FACILITY OR HEALTH CARE SYSTEM BY THE CORPORATION; AND, K. TO APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION BY THE CORPORATION. L. OVERSEE, APPROVE AND MONITOR HUMAN RESOURCE PROGRAMS, WHICH SHALL PROMORTE AN ORGANIZATIONAL ENVIRONMENT THAT: 1. PROVIDES FOR THE RECRUITMENT AND RENTION OF CO-WORKERS WHO ARE SERVICE ORIENTED, COMPASSIONATE, ENGAGED, AND WHO FIND MEANING AND PURPOSE IN WORKING IN A FAITH-BASED ORGANIZATION; 2. ENABLES PEOPLE TO RELATE TO ONE ANOTHER WITH RESPECT AND ACCEPTANCE IN A SPIRIT OF COMMUNITY; 3. PROMOTES CO-WORKER PARTIICPATION AND VOICE IN THEIR WORK LIVES; 4. GIVES CO-WORKERS A FAIR OPPORTUNITY TO DEVLEOP THEIR SKILLS AND TALENTS, AND A MEANS BY WHICH THEIR CONTRIBUTIONS ARE RECOGNIZED; 5. PROVIDES CO-WORKERS WITH THE MATERIALS AND EQUIPMENT TO PROPERLY DO THEIR WORK;AND, 6. ENSURES CO-WORKER SAFETY AND WELL-BEING.
Form 990, Part VI, Section B, line 11	THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM, USING INFORMATION PROVIDED BY THE FILING ORGANIZATION. A DRAFT FORM 990 IS REVIEWED BY THE FILING ORGANIZATION'S FINANCE TEAM, INCLUDING THE MANAGER OF ACCOUNTING AND THE VICE-PRESIDENT OF FINANCE. THE DRAFT FORM 990 IS ALSO REVIEWED BY MERCY HEALTH'S TAX DEPARTMENT, TO ENSURE ACCURACY AND CONSISTENCY WITH OTHER RELATED ORGANIZATIONS' FORM 990S. AFTER QUESTIONS ARISING FROM THE VARIOUS REVIEWS ARE ADDRESSED AND INCORPORATED INTO THE FORM 990, A REVISED DRAFT IS PROVIDED TO THE FILING ORGANIZATION'S LEADERSHIP TEAM, INCLUDING THE CFO AND CEO, FOR REVIEW. ONCE REVIEWED AND APPROVED BY THE FILING ORGANIZATION'S LEADERSHIP TEAM, THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW; IT IS THEN SIGNED AND FILED WITH THE IRS.
Form 990, Part VI, Section B, line 12c	OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER DISQUALIFIED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY AND DID SO IN THE NORMAL COURSE FOR THE YEAR ENDED JUNE 30, 2014. THIS PROCESS IS ADMINISTERED AT THE MERCY HEALTH LEVEL BY MERCY'S BUSINESS RISK (INTERNAL AUDIT) DEPARTMENT. THE QUESTIONNAIRES ARE REVIEWED WITH LEADERSHIP AT THE LOCAL LEVEL AND POTENTIAL CONFLICTS DISCUSSED AND RESOLVED. THE CONFLICTS AND THEIR RESPECTIVE RESOLUTIONS ARE SHARED AT THE MERCY LEVEL WITH A TEAM INCLUDING MERCY'S CHIEF FINANCIAL OFFICER, CHIEF COMPLIANCE OFFICER AND OTHER MEMBERS OF FINANCE, LEGAL AND HR. SUMMARY RESULTS ARE REVIEWED WITH MERCY'S STEWARDSHIP COMMITTEE (FORMERLY FINANCE, AUDIT AND COMPLIANCE COMMITTEE) OF THE BOARD OF DIRECTORS.
Form 990, Part VI, Section B, line 15	FOR THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS), MERCY HEALTH (ultimate parent company) USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT, AND REVIEW/APPROVAL OF COMPENSATION BY THE COMPENSATION COMMITTEE OF THE MERCY HEALTH BOARD. FOR THOSE CLASSIFIED AS KEY EMPLOYEES, THE ORGANIZATION USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, AND REVIEW/APPROVAL OF EXECUTIVE MANAGEMENT. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS, AND A REVIEW WAS COMPLETED DURING THE REPORTING YEAR.
Form 990, Part VI, Section C, line 19	Governing documents and financial statements are made available from time to time but are not published publicly; we are not required to make these documents available to the public. Financial results are available via request of copy of Form 990.
Form 990, Part IX, line 11g	Contracted Services: Program service expenses 12,584,864. Management and general expenses 391,302. Fundraising expenses 0. Total expenses 12,976,166. Purchased Services: Program service expenses 604,802. Management and general expenses 18,805. Fundraising expenses 0. Total expenses 623,607. Other Services: Program service expenses 2,605,573. Management and general expenses 81,015. Fundraising expenses 0. Total expenses 2,686,588.
Form 990, Part XI, line 9:	Transfer of Jefferson Physician Network funds 987,880. Transfer of unrestricted equity foundation -770,592. Rounding -1.
Part XII, Line 2C	THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN MERCY HEALTH AND SUBSIDIARIES ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 2014 (THE TAX YEAR CURRENTLY BEING REPORTED). HOWEVER, NO SEPARATE AUDIT OPINION WAS ISSUED ON THE FINANCIAL STATEMENTS OF THE FILING ORGANIZATION. THE ULTIMATE RESPONSIBILITY FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE EXTERNAL AUDITOR LIES WITH THE STEWARDSHIP COMMITTEE (FORMERLY FINANCE, AUDIT, AND COMPLIANCE COMMITTEE) OF THE MERCY HEALTH BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE.
Form 990, Part XII, Line 3	Single Audit Act and OMB Circular A-133 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.
FORM 990, SCHEDULE R, PART V	SYSTEM LIMITATIONS Lawson ERP software is the primary accounting software used by Mercy Health and Subsidiaries. The majority of the intercompany/related organization transactions are processed through Lawson via intercompany journal entries. With the current design of the ERP system, there are various limitations on the related organization information that can be extracted from Lawson. Due to these limitations, most of the related organization activity for the filing organization has been classified on Schedule R, Part V, in lines P and Q.
Form 990, Part V, Question 1a	Independent Contractors Independent contractors for the filing organization are paid by Mercy Health (EIN 43-1423050). As such, all required Form 1099 and Form 1096 reporting is made for the entire health system (with limited exceptions) under the Mercy Health EIN.
FORM 990, SCHEDULE R, PART II	MERCY HOSPITALS EAST COMMUNITIES MERCY HOSPITALS EAST COMMUNITIES CONSISTS OF MERCY HOSPITALS EAST COMMUNITIES ST. LOUIS, EIN 43-0653493, AND MERCY HOSPITALS EAST COMMUNITIES WASHINGTON, EIN 43-1066883.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Jefferson Cardiovascular and Thoracic Services LLC
14528 S Outer Forty Suite 100	Chesterfield	MO	63017	454423688	Healthcare services	MO	$0	$0	Mercy Hospital Jefferson
Mercy Clinic Adult Hospitalists - Jefferson LLC
14528 S Outer Forty Suite 100	Chesterfield	MO	63017	462913068	Managed care contracting	MO	$0	$0	Mercy Hospital Jefferson
Mercy Labs Jefferson LLC
14528 S Outer Forty Suite 100	Chesterfield	MO	63017	463478362	Laboratory Services	MO	$0	$0	Mercy Hospital Jefferson

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (76 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
Casa de Misericordia
1602 McClelland Street	Laredo	TX	78044	742912461	Women's domestic violence shelter	TX	501c3	7	Mercy Ministries of Laredo	Yes (1)
Jefferson Land Company Inc
14528 S Outer Forty St 100	Chesterfield	MO	63017	431330360	Title Holding Company	MO	501c2		Mercy Hospital Jefferson	Yes (1)
Laredo Medical Group
14528 S Outer Forty St 100	Chesterfield	MO	63017	742764726	Dissolved 5/5/2014	TX	501c3	9	Mercy Health System TX	Yes (1)
McAuley Portfolio Mgmt Co
14528 S Outer Forty St 100	Chesterfield	MO	63017	261708048	Portfolio management	MO	501c3	11-II	Mercy Health	Yes (1)
Mercy ACO Clinical Services Inc
14528 S Outer Forty St 100	Chesterfield	MO	63017	464504901	Virtual Care Center	MO	501c3	3	Mercy Health	Yes (1)
Mercy Clinic East Communities
645 Maryville Ctr Dr Ste 100	St Louis	MO	63141	431771217	Physician Group	MO	501c3	9	Mercy Health East Communities	Yes (1)
Mercy Clinic Fort Smith Comm
7301 Rogers Avenue	Fort Smith	AR	72917	261318597	Physician Clinic	AR	501c3	9	Mercy Health Fort Smith Comm	Yes (1)
Mercy Clinic Hot Springs Comm
1 Mercy Lane	Hot Springs	AR	71913	261125131	Sold to CHI 3/31/2014	AR	501c3	9	Mercy Health Hot Springs Comm	Yes (1)
Mercy Clinic Oklahoma Comm
4300 W Memorial Road	Oklahoma City	OK	73120	270473057	Physician Group	OK	501c3	9	Mercy Health OK Communities	Yes (1)
Mercy Clinic Springfield Comm
1965 Fremont Street Suite 2950	Springfield	MO	65804	431560263	Physician Group	MO	501c3	3	Mercy Health Springfield Comm	Yes (1)
Mercy Family Center
14528 S Outer Forty St 100	Chesterfield	MO	63017	721069468	Family counseling services	MO	501c3	7	Mercy Health	Yes (1)
Mercy Fdtn Health Innov
14528 S Outer Forty St 100	Chesterfield	MO	63017	200901499	Foundation	MO	501c3	11-II	Mercy Health	Yes (1)
Mercy Health
14528 S Outer Forty St 100	Chesterfield	MO	63017	431423050	Corporate Office	MO	501c3	1		0	N/A
Mercy Health Center Foundation Inc
4300 W Memorial Road	Oklahoma City	OK	73120	731593024	Dissolved 5/20/2014	OK	501c3	11-I	Mercy Hospital Oklahoma City	Yes (1)
Mercy Health East Communities
645 Maryville Ctr Dr Ste 100	St Louis	MO	63141	431718408	Health System	MO	501c3	11-II	Mercy Health	0
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	0
Mercy Health Fort Smith Comm
7301 Rogers Avenue	Fort Smith	AR	72917	261318515	Holding Company	AR	501c3	11-II	Mercy Health	Yes (1)
Mercy Health Foundation Ada
430 N Monte Vista Street	Ada	OK	74820	453596274	Foundation	OK	501c3	11-I	Mercy Hospital Ada	Yes (1)
Mercy Health Foundation Ardmore
1011 14th Avenue NW	Ardmore	OK	73401	710962525	Foundation	OK	501c3	11-I	Mercy Hospital Ardmore	Yes (1)
Mercy Health Foundation Berryville
214 Carter Street	Berryville	AR	72616	710759301	Foundation	AR	501c3	11-I	Mercy Hospital Berryville	Yes (1)
Mercy Health Foundation Ft Scott
401 Woodland Hills Blvd	Fort Scott	KS	66701	481077073	Foundation	KS	501c3	11-III	Mercy Kansas Communities Inc	Yes (1)
Mercy Health Foundation Hot Springs
300 Werner Street	Hot Springs	AR	71913	710804718	Foundation	AR	501c3	11-II	Mission Clinical Services	Yes (1)
Mercy Health Foundation Independence
800 W Myrtle	Independence	KS	67301	481079981	Foundation	KS	501c3	11-I	Mercy Kansas Communities Inc	Yes (1)
Mercy Health Foundation Jefferson
1400 US Highway 61 South	Festus	MO	63028	462797051	Foundation	MO	501c3	11-II	Mercy Health East Communities - SR	Yes (1)
Mercy Health Foundation Joplin
100 Mercy Way	Joplin	MO	64804	270906136	Foundation	MO	501c3	11-I	Mercy Health SW MOKS Comm	Yes (1)
Mercy Health Foundation NW Ark
2710 Rife Medical Ln	Rogers	AR	72858	710601687	Foundation	AR	501c3	11-III	Mercy Hospital Rogers	Yes (1)
Mercy Health Foundation of OK
4300 W Memorial Road	Oklahoma City	OK	73120	454732301	Foundation	OK	501c3	11-I	Mercy Health OK Communities	Yes (1)
Mercy Health Foundation OK City
4300 W Memorial Road	Oklahoma City	OK	73120	463184231	Foundation	OK	501c3	11-I	Mercy Hospital Oklahoma City	Yes (1)
Mercy Health Foundation Springfield
1235 E Cherokee Street	Springfield	MO	65804	320195818	Foundation	MO	501c3	11-II	Mercy Health Springfield Comm	Yes (1)
Mercy Health Foundation STL
615 South New Ballas Road	St Louis	MO	63141	562410020	Foundation	MO	501c3	11-II	Mercy Health East Communities	Yes (1)
Mercy Health Foundation Washington
901 E Fifth Street	Washington	MO	63090	562410022	Foundation	MO	501c3	11-II	Mercy Health East Communities	Yes (1)
Mercy Health Hot Springs Comm
300 Werner Street	Hot Springs	AR	71913	261125064	Sold to CHI 3/31/2014	AR	501c3	11-II	Mercy Health	Yes (1)
Mercy Health NW Ark Communities
2710 Rife Medical Ln	Rogers	AR	72758	621684203	Physician Group	AR	501c3	11-II	Mercy Health	Yes (1)
Mercy Health OK Communities
4300 W Memorial Road	Oklahoma City	OK	73120	731453048	Holding company	OK	501c3	11-II	Mercy Health	Yes (1)
Mercy Health SW MOKS Comm
100 Mercy Way	Joplin	MO	64804	300584463	Health System	MO	501c3	11-II	Mercy Health	Yes (1)
Mercy Health Springfield Comm
1235 E Cherokee Street	Springfield	MO	65804	431856028	Holding Company	MO	501c3	11-II	Mercy Health	Yes (1)
Mercy Health System TX
14528 S Outer Forty St 100	Chesterfield	MO	63017	742764727	Dissolved 5/15/2014	TX	501c3	11-II	Mercy Health	Yes (1)
Mercy Home Health Berryville
804 W Freeman Suite 4	Berryville	AR	72616	870781247	Home Health and Hospice operations	AR	501c3	11-III	Mercy Hospital Springfield	Yes (1)
Mercy Hospital Ada Inc
430 N Monte Vista Street	Ada	OK	74820	462288155	Hospital	OK	501c3	3	Mercy Health OK Communities	Yes (1)
Mercy Hospital Ardmore
1011 14th Avenue NW	Ardmore	OK	73401	731500629	Hospital	OK	501c3	3	Mercy Health OK Communities	Yes (1)
Mercy Hospital Aurora
500 Porter Avenue	Aurora	MO	65605	431936696	Hospital	MO	501c3	3	Mercy Health Springfield Comm	Yes (1)
Mercy Hospital Berryville
214 Carter Street	Berryville	AR	72616	710759299	Hospital	AR	501c3	3	Mercy Health Springfield Comm	Yes (1)
Mercy Hospital Booneville
880 West Main Street	Booneville	AR	72927	463851119	Hospital	AR	501c3	3	Mercy Hospital Fort Smith	Yes (1)
Mercy Hospital Carthage
3125 Dr Russell Smith Way	Carthage	MO	64836	453808607	Hospital	MO	501c3	3	Mercy Health SW MOKS Comm	Yes (1)
Mercy Hospital Cassville
94 Main Street	Cassville	MO	65625	431936699	Hospital	MO	501c3	3	Mercy Health Springfield Comm	Yes (1)
Mercy Hospital Columbus
220 Pennsylvania Avenue	Columbus	KS	66725	270842031	Hospital	MO	501c3	9	Mercy Health SW MOKS Comm	Yes (1)
Mercy Hospital El Reno
2115 Parkview Drive	El Reno	OK	73036	272716065	Hospital	OK	501c3	3	Mercy Health OK Communities	Yes (1)
Mercy Hospital Fort Smith
7301 Rogers Avenue	Fort Smith	AR	72917	710240352	Hospital	AR	501c3	3	Mercy Health Fort Smith Comm	Yes (1)
Mercy Hospital Healdton Inc
918 South 8th Street	Healdton	OK	73438	263173902	Hospital	OK	501c3	3	Mercy Hospital Ardmore Inc	Yes (1)
Mercy Hospital Hot Springs
300 Werner Street	Hot Springs	AR	71913	710236913	Sold to CHI 3/31/2014	AR	501c3	3	Mercy Health Hot Springs Comm	Yes (1)
Mercy Hospital Joplin
100 Mercy Way	Joplin	MO	64804	270814858	Hospital	MO	501c3	3	Mercy Health SW MOKS Comm	Yes (1)
Mercy Hospital Kingfisher Inc
1000 Kingfisher Regional Hospital D	Kingfisher	OK	73750	463433074	Hospital	OK	501c3	3	Mercy Hospital Oklahoma City	Yes (1)
Mercy Hospital Lebanon
100 Hospital Drive	Lebanon	MO	65536	431767432	Hospital	MO	501c3	3	Mercy Health Springfield Comm	Yes (1)
Mercy Hospital Logan County Inc
200 South Academy	Guthrie	OK	73044	452998842	Hospital	OK	501c3	3	Mercy Health OK Communities	Yes (1)
Mercy Hospital of Laredo
14528 S Outer Forty St 100	Chesterfield	MO	63017	741189682	Dissolved 5/15/2014	TX	501c3	3	Mercy Health System TX	Yes (1)
Mercy Hospital Oklahoma City
4300 W Memorial Road	Oklahoma City	OK	73120	730579285	Hospital	OK	501c3	3	Mercy Health OK Communities	Yes (1)
Mercy Hospital Ozark
801 W River Street	Ozark	AR	72949	710689680	Hospital	AR	501c3	3	Mercy Hospital Fort Smith	Yes (1)
Mercy Hospital Paris
500 E Academy	Paris	AR	72855	710655753	Hospital	AR	501c3	3	Mercy Hospital Fort Smith	Yes (1)
Mercy Hospital Rogers
2710 Rife Medical Ln	Rogers	AR	72758	710294390	Hospital	AR	501c3	3	Mercy Health NW Ark Communities	Yes (1)
Mercy Hospital Springfield
1235 E Cherokee Street	Springfield	MO	65804	440552485	Hospital	MO	501c3	3	Mercy Health Springfield Comm	Yes (1)
Mercy Hospital Tishomingo
1000 South Byrd	Tishomingo	OK	73460	274433830	Hospital	OK	501c3	3	Mercy Hospital Ardmore	Yes (1)
Mercy Hospital Waldron
1341 W 6th Street	Waldron	AR	72958	710557895	Hospital	AR	501c3	3	Mercy Hospital Fort Smith	Yes (1)
Mercy Hospital Watonga Inc
500 Clarence Nash Blvd	Watonga	OK	73772	455199762	Leased Hospital	OK	501c3	3	Mercy Health OK Communities	Yes (1)
Mercy Hospitals East Comm
645 Maryville Ctr Dr Ste 100	St Louis	MO	63141	430653493	Hospital	MO	501c3	3	Mercy Health East Communities	Yes (1)
Mercy Kansas Communities Inc
401 Woodland Hills Blvd	Ft Scott	KS	66701	480956045	Hospital	KS	501c3	3	Mercy Health SW MOKS Comm	Yes (1)
Mercy Medical Research Inst
1235 E Cherokee Street	Springfield	MO	65804	870796305	Research - Clinical Trials	MO	501c3	4	Mercy Health Springfield Comm	Yes (1)
Mercy Ministries of Laredo
2500 Zacatecas	Laredo	TX	78043	200198462	Healthcare services,outreach education program	TX	501c3	7	Mercy Health	Yes (1)
Mercy St Francis Hospital
100 W Highway 60	Mountain View	MO	65548	440607149	Hospital	MO	501c3	3	Mercy Health Springfield Comm	Yes (1)
Mercy Support Services
615 S New Ballas Road	St Louis	MO	63141	431677952	Inactive	MO	501c3	11-III	Mercy Hospitals East Comm	Yes (1)
MHM Support Services
14528 S Outer Forty St 100	Chesterfield	MO	63017	202553101	Centralized Health System Functions	MO	501c3	11-II	Mercy Health	Yes (1)
Mission Clinical Services
300 Werner Street	Hot Springs	AR	71913	134239691	Child Advocacy Center	AR	501c3	9	Mercy Health	Yes (1)
St Edward Mercy Foundation
7301 Rogers Avenue	Fort Smith	AR	72917	237330425	Foundation	AR	501c3	7	Mercy Hospital Fort Smith	Yes (1)
St Johns Childrens Hosp
1235 E Cherokee Street	Springfield	MO	65804		Inactive	MO	501c3	3	Mercy Health Springfield Comm	Yes (1)
St Marys Hosp Enid Ok
14528 S Outer Forty St 100	Chesterfield	MO	63017	730614655	Inactive	OK	501c3	3	Mercy Health OK Communities	Yes (1)
The Sr M Cornelia Blasko Fn
100 W Highway 60	Mountain View	MO	65548	431873914	Foundation	MO	501c3	11-I	Mercy St Francis Hospital	Yes (1)
Unity Ambulatory Care
14528 S Outer Forty St 100	Chesterfield	MO	63017	431861745	Inactive	MO	501c3	11-III	Mercy Health East Communities	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (14 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	OwnershipOwnershipPct
Mercy Comm Services Inc
401 Woodland Hills Blvd	Fort Scott	KS	66701	481078101	Retail pharmacy	KS	MERCY KANSAS COMM INC	C	0
Frontenac Properties Inc
14528 S Outer Forty Suite 100	Chesterfield	MO	63017	521914421	Holds ancillary assets & owns aircraft	DE	MERCY HEALTH	C	0
Inveno Health Inc
1235 E Cherokee Street	Springfield	MO	65804	264509571	Technology transfer company	MO	MERCY HEALTH SPRINGFIELD COMM	C	0
Unity Support Services Inc
645 Maryville Centre Drive Suite 10	St Louis	MO	63141	431797042	Inactive	MO	MERCY HEALTH EAST COMMUNITIES	C	0
UH L Corp Inc
645 Maryville Centre Drive Suite 10	St Louis	MO	63141	742499535	Holding company	MO	MERCY HEALTH SERVICES LLC	C	0
MHN of the Southern Region Inc
1011 14th Avenue NW	Ardmore	OK	73401	731580607	holding company	OK	MERCY MANAGED CARE CORP	C	0
Mercy Health Center Condominium Inc
4300 W Memorial Rd	Oklahoma City	OK	73120	680640970	Administrator of certain real property and improvements	OK	MERCY HOSPITAL OKLAHOMA CITYINC	C	0
Mercy Managed Care Corporation
4300 W Memorial Road	Oklahoma City	OK	73120	731441665	Holding company	OK	MERCY HEALTH	C	0
Mercy Health Network Inc
4300 W Memorial Road	Oklahoma City	OK	73120	731381689	holding company	OK	MERCY MANAGED CARE CORP	C	0
Apothecary Services Inc
PO Box 350	Crystal City	MO	63019	431627267	Retail pharmacy	MO	Mercy Hospital Jefferson	C	0	1.00000
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	Inactive	MO	UH Holdings Inc	C	0
St Johns Mercy PBM Inc
645 Maryville Centre Drive Suite 10	St Louis	MO	63141	743089567	Inactive	MO	UH L Corp Inc	C	0
UH Holdings Inc
645 Maryville Centre Drive Suite 10	St Louis	MO	63141	431845682	Inactive	MO	UH L Corp Inc	C	0

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

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Mercy Clinic East Communities
P	$126,958
Mercy Health East Communities
P	$4,720,655	FMV
Mercy Hospital Ardmore
P	$60,232	FMV
Mercy Hospitals East Communities
Q	$1,057,642	FMV
MHM Support Services
P	$9,231,900	FMV
Resource Optimization & Innovation LLC
P	$2,413,103	FMV