2014-05-14T14:00:13-05:00 2013-06-30 ERNST & YOUNG US LLP 190 CARONDELET PLAZA SUITE 1300 CLAYTON MO 63105 990 2012-07-01 270814858 MERCY HOSPITAL JOPLIN % SHELLY HUNTER CFO MERC 3145796100 2817 ST JOHNS BLVD Suite Joplin MO 64804 Shelly Hunter 2014-05-08 3142901000 2012 2015-11-30 17:44:51Z Gary Pulsipher CEO 2817 St Johns Blvd Joplin MO 64804 397962118 false 0928 X www.mercy.net X 2009 MO AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. 11 8 1603 145 628166 360805 528847 208287 95439204 162929691 152481 -78454 388753022 234817594 484873554 397877118 2013519 431085 0 0 81353101 70964125 0 0 0 141241117 140326716 224607737 211721926 260265817 186155192 327967789 523608469 30384188 39605000 297583601 484003469 X AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. false false 4215984 42227102 FROM THE MERCY SISTERS WHO FOUNDED OUR HOSPITAL IN 1896 AS A 10-BED HOSPITAL TO THE 367-BED REGIONAL TERTIARY CARE FACILITY THAT WAS DESTROYED BY AN F5 TORNADO MAY 22, 2011, TO A POST DISASTER 60 BED TEMPORARY HOSPITAL, TO A 150,000 SQUARE FOOT INTERIM HOSPITAL USED SINCE APRIL 2012; AS CONSTRUCTION CONTINUES ON A PERMANENT FACILITY (THIS PERMANENT 900,000 SQUARE FOOT STRUCTURE WILL HAVE ROOM TO GROW FROM 205 BEDS TO 264 BEDS AND IS PLANNED TO OPEN IN THE SPRING OF 2015), MERCY HOSPITAL JOPLIN CONTINUES ITS MISSION OF PROVIDING HEALTHCARE TO THE FOUR-STATE REGION WITH COMPASSION AND A DEEP DESIRE TO HELP THE PEOPLE IN OUR COMMUNITY. WE SERVE ALL PERSONS IN THE COMMUNITY ON A NON-DISCRIMINATORY BASIS AND OPERATE A 24-HOUR EMERGENCY ROOM 365 DAYS PER YEAR THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. MERCY HOSPITAL JOPLIN PARTICIPATES IN MEDICARE AND MEDICAID AND HAS AN ACTIVE CHARITY CARE PROGRAM. FROM DIAGNOSTICS AND TREATMENT TO REHABILITATION AND PREVENTION, WE OFFER THE MOST EXPERIENCED AND SOPHISTICATED CARDIOVASCULAR SERVICES IN THIS REGION. OUR CARDIOLOGISTS AND CARDIOVASCULAR SURGEONS WORK TOGETHER AS A TEAM TO IDENTIFY THE BEST POSSIBLE TREATMENT FOR EVERY PATIENT, AND THEY HAVE THE MOST ADVANCED TECHNOLOGIES AND TREATMENTS AT THEIR DISPOSAL. THE CURRENT FACILITY INCLUDES A CATH LAB, FOUR STATE-OF-THE-ART SURGICAL SUITES AND THE LATEST TECHNOLOGY IN DIAGNOSTICS AND TREATMENT FOR YOUR HEART, AND IS ALSO EQUIPPED AND STAFFED TO PERFORM OPEN HEART PROCEDURES. 5980638 64936114 AT MERCY HOSPITAL JOPLIN, WE ARE COMMITTED TO OFFERING YOU AND YOUR FAMILY THE MOST EXTENSIVE CANCER PROGRAM IN THE 19-COUNTY AREA SURROUNDING JOPLIN. WE REALIZED THE IMPORTANCE OF COMPLETE CANCER CARE BACK IN 1979. SINCE THAT TIME, WE HAVE CONTINUED TO INVEST IN THE LATEST TECHNOLOGY, AND IN HIRING THE BEST HEALTH PROFESSIONALS. THOUGH THE 2011 TORNADO DESTROYED MANY OF OUR ON-CAMPUS CANCER SERVICES, WE QUICKLY REESTABLISHED OUR INFUSION CENTER, ONCOLOGY AND HEMATOLOGY SERVICES. OUR EXPERIENCED TEAM OF MEDICAL AND RADIATION ONCOLOGISTS, HEMATOLOGIST, PATHOLOGISTS, RADIOLOGISTS, NURSES AND THERAPISTS ARE ONCE AGAIN HELPING PATIENTS BEAT CANCER. WE ALSO UNDERSTAND THAT YOUR PROGNOSIS IMPROVES DRAMATICALLY WHEN YOUR TREATMENT SUPPORTS YOUR BODY, MIND AND SPIRIT. THAT'S WHY WE OFFER NUTRITIONAL COUNSELING, SUPPORT GROUPS AND INSIST ON THE BEST NURSING CARE. LIKEWISE, WE KNOW THE IMPACT OF CANCER EXTENDS BEYOND THE PATIENT, SO OUR STAFF IS SENSITIVE TO THE NEEDS OF FAMILY AND FRIENDS. WITH THE OPENING OF OUR NEW 150,000-SQUARE-FOOT INTERIM HOSPITAL, AS WELL AS THE PERMANENT HOSPITAL THAT'S UNDER CONSTRUCTION, WE'RE RESTATING OUR COMMITMENT TO SERVE THE JOPLIN COMMUNITY. THAT MEANS, EVEN AS WE REBUILD, WE'RE STILL EXPLORING BETTER WAYS TO TREAT CANCER. OUR LONG-TERM PROMISE IS TO BUILD UPON THE FOUNDATION WE ESTABLISHED DECADES AGO, AND ULTIMATELY, TO GIVE EACH OF OUR PATIENTS THE BEST CANCER CARE IN THE REGION. 8014548 25299784 MERCY HOSPITAL JOPLIN'S EXPERTISE IS NEVER MORE EVIDENT THAN IN EMERGENCY SITUATIONS. OUR EMERGECY DEPARTMENT HAS EXPANDED WITH MORE SPACE AND FUNCTIONALITY THAN EVER BEFORE. THE DEPARTMENT INCLUDES 3 TRIAGE ROOMS, 17 EXAM ROOMS, 3 TRAUMA ROOMS, AND 18 CRITICAL CARE BEDS. AT ANY TIME, DAY OR NIGHT, WE HAVE SURGEONS AND ANESTHESIOLOGISTS READY TO TEND TO YOU OR YOUR LOVED ONE, PLUS QUICK ACCESS TO PHYSICIANS IN ORTHOPEDICTS, NEUROSURGERY, INTERNAL MEDICINE AND OTHER SPECIALTIES. WE EQUIP OUR STAFF WITH TOP OF THE LINE CARDIAC MONITORING SYSTEMS, ENABLING THEM TO TAKE CARE OF EVEN THE MOST CRITICAL PATIENTS. AND, WHEN SECONDS COUNT, WE OFFER MED-FLIGHT AIR MEDICAL SERVICE WITH THE MOST EXPERIENCED PILOTS AND STAFF, AND TWO ON-SITE HELIPADS. DURING THE YEAR MERCY HOSPITAL JOPLIN SERVED 29,262 PATIENTS THROUGH OUR EMERGENCY DEPARTMENT. 109004410 431085 264264576 127215580 true true false true false false false false false true false false true true false false true false false false false false false false false true true true true true false false false false false false false false false false false false false true true true false false true X 4 0 true 1603 true true true false false false false false false false false false X 11 8 false false false false true true true true true false false true true true true true true false true false X SHELLY HUNTER CFO 4176252459 2817 ST JOHNS BLVD JOPLIN MO 64804 X Bazzano DO Stephen 1.0 0.0 X 0 0 0 Brau RSM Sr Annrene 1.0 7.0 X 0 0 0 Brown Rick 1.0 0.0 X 0 0 0 Buckman RSM Sr Mary Jeremy 1.0 2.0 X 0 0 0 Curtis MD Brian 1.0 59.0 X 0 1035562 18201 Dumm Elizabeth 1.0 0.0 X 0 0 0 Hendricks RSM Sr Rebecca 1.0 12.0 X 0 0 0 Incrivaglia RSM Sr Victoria 1.0 1.0 X 0 0 0 Smith DO D Sean 1.0 59.0 X 0 471758 23038 Thomas Danny 1.0 1.0 X 0 0 0 Wheeler DO Frederic 1.0 1.0 X 0 0 0 Pulsipher Gary W 25.0 35.0 X X 0 577756 167885 Hunter Shelly 25.0 35.0 X 0 282063 36160 Bringle Dottie 40.0 20.0 X 448815 0 46537 Day Bradley Kim 2.0 58.0 X 0 987614 348680 Hennessey III William 5.0 55.0 X 0 257186 50175 Marion Tanya 4.0 56.0 X 0 232635 43308 Merrigan Michael 3.0 57.0 X 0 378450 56809 Stewart Michele 20.0 40.0 X 109236 223325 67910 Swope Jon 3.0 57.0 X 0 758712 230689 Wachter Theresa 60.0 0.0 X 202058 0 15609 Watson Robert 60.0 0.0 X 141969 124911 21312 Bechtel Randy 60.0 0.0 X 189191 0 13250 Bigando Kelli M 60.0 0.0 X 153137 0 22188 Honeywell Robert J 60.0 0.0 X 172874 5923 21002 Manley Dennis G 60.0 0.0 X 159232 0 16531 Wright Alan 60.0 0.0 X 156311 0 4907 1732823 5335895 1204191 35 false true false MCCARTHY BUILDING CO 1341 NORTH ROCK HILL RD ST LOUIS MO 63124 CONSTRUCTION 56382092 WALDEN STRUCTURES INC 801 OPAL AVE MENTONE CA 92359 CONSTRUCTION 43678971 HKS INC PO BOX 731121 DALLAS TX 75373 CONSTRUCTION 16086196 GE HEALTHCARE PO BOX 843553 DALLAS TX 75284 CONSTRUCTION 5992928 DEWITT AND ASSOC INC PO BOX 3378 GS SPRINGFIELD MO 65808 CONSTRUCTION 4588353 91 0 53658 154629 0 208287 NET PATIENT SERVICE REVENUE 621110 104062586 104062586 0 REFERENCE LAB 621500 58867105 58315643 551462 0 162929691 6546 6546 0 0 944405 944405 0 944405 1400 943005 85000 -85000 -85000 -85000 0 0 0 0 Cafe & Vending 711120 730187 730187 0 0 INSURANCE PROCEEDS/ASSET IMPAIRMENT 900099 230174184 230174184 0 ALL OTHER REVENUE 900099 2968818 2892114 76704 0 233873189 397877118 396176114 628166 864551 348915 348915 82170 82170 0 0 0 0 1306339 1045071 261268 0 0 0 0 0 53194678 42555742 10638936 0 2188273 1750618 437655 0 10501982 8401586 2100396 0 3772853 3018282 754571 0 0 0 0 0 150979 0 150979 0 37366 0 37366 0 14309 0 14309 0 0 0 0 0 0 0 22961838 17450997 5510841 0 81642 18591 63051 0 3292185 2445016 847169 0 68343 67983 360 0 0 0 0 0 5850128 830676 5019452 0 496676 395861 100815 0 0 0 0 0 14100 53 14047 0 0 0 0 0 0 0 0 0 21013429 1647519 19365910 0 566241 561718 4523 0 Bad Debt 17354321 17354200 121 0 Repairs & Maintenance 747772 179343 568429 0 Shared Service Fees 38034914 290339 37744575 0 Drugs & Medical Supplies 28568906 28568906 0 0 1073567 201994 871573 211721926 127215580 84506346 0 0 109009184 195465676 0 0 0 0 14932924 19136077 0 0 0 0 55705 110571 3835127 4489228 1221519 171790 252221846 30404847 160952832 221816999 0 0 0 0 0 0 0 0 37960498 82418128 327967789 523608469 30190175 39421615 0 0 161623 152883 0 0 0 0 0 0 0 0 0 0 32390 30502 30384188 39605000 X 297503792 483833407 79809 170062 0 0 297583601 484003469 327967789 523608469 X 186155192 215254 49422 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false 0 false 0 false 0 false 0 false 0 false 0 true 14309 14309 false FORM 990, SCHEDULE C, PART II-B, LINE 1(I) SUPPLEMENTAL LOBBYING INFORMATION THE FILING ORGANIZATION IS A MEMBER OF AND PAYS DUES TO THE FOLLOWING HOSPITAL ASSOCIATIONS: AMERICAN HOSPITAL ASSOCIATION, MISSOURI HOSPITAL ASSOCIATION, AND CATHOLIC HEALTH ASSOCIATION. DUES FOR THE YEAR ENDED JUNE 30, 2013 WERE $16,307, $45,739, AND $38,653 RESPECTIVELY. APPROXIMATELY 23.98% OF AMERICAN HOSPITAL ASSOCIATION DUES, 20.2% OF MISSOURI HOSPITAL ASSOCIATION DUES AND 3.00% OF CATHOLIC HEALTH ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED BY THESE ASSOCIATIONS. 20291786 20291786 23181563 20636700 2544863 2460779 1593734 867045 41458273 7927970 33530303 164829445 246443 164583002 221816999 DUE FROM AFFILIATES 80707446 MISCELLANEOUS ASSETS 67262 INVESTMENT IN SUBSIDIARIES 1643420 82418128 0 LT SMRP LIABILITY 30502 30502 FORM 990, SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE 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. true true X true X true X true true false true false 7143483 7143483 0.03680 44565265 37207062 7358203 0.03790 51708748 37207062 14501686 0.07470 1330356 6106 1324250 0.00680 170665 170665 0.00090 773367 513416 259951 0.00130 210750 9240 201510 0.00100 2538881 2538881 0.01310 5024019 528762 4495257 0.02310 56732767 37735824 18996943 0.09780 1750 1750 0.00000 31695 31695 0.00020 1886 1886 0.00000 59693 59693 0.00030 19418 19418 0.00010 114442 114442 0.00060 true 10919635 60963099 80637319 -19674220 X true true 1 1 Mercy Hospital Joplin

2817 ST JOHNS BLVD JOPLIN MO 64804

X X X Mercy Hospital Joplin 1 true X X X X X X X X 12 true false true X X X X X true false true true 100 true 400. true X X X true true X X X X true false true X false false 8 Mercy Infusion Center

3001 McClelland Boulevard Joplin MO 64804

Other Thousand Oaks Medical Building

1905 W 32nd Joplin MO 64804

Breast Center and Other Regional Eye Center Bldg

1531 W 32nd Suites 105 109 A and Joplin MO 64804

OP Rehab Mercy Home Health and Hospice

4500 E 32nd Street Joplin MO 64804

Home Care/Hospice Mercy Behavioral Health

5615 W 32nd Street Joplin MO 64804

Behavioral Health MERCY MEDICAL SUPPLY - JOPLIN

3120 S MAIN STREET STE 10 JOPLIN MO 64804

DME RETAIL LOCATION MERCY HOME HEALTH AND HOSPICE - COLUMBUS

101 W SYCAMORE COLUMBUS KS 66725

HOME CARE/HOSPICE MERCY NEOSHO

2550 LUSK DRIVE NEOSHO MO 64850

PHYSICIAN CLINIC/PRACTICE (RURAL HEALTH CLINIC) FORM 990, SCHEDULE H, PART I, LINE 6A THE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS PREPARED BY ITS PARENT ENTITY, MERCY HEALTH (EIN: 43-1423050). FORM 990, SCHEDULE H, PART I, LINE 7, COLUMN F TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) ARE $211,721,926. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $17,354,321. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $194,367,605. FORM 990, SCHEDULE H, PART I, LINE 7G SUBSIDIZED HEALTH SERVICES THE ORGANIZATION DID NOT INCLUDE ANY PHYSICIAN CLINIC COSTS ON LINE 7G. FORM 990, SCHEDULE H, PART II PAST COMMUNITY NEED DISCUSSIONS CONFIRMED REPEATEDLY THAT A HEALTHY COMMUNITY SUPPORTS WELL BEING OF RESIDENTS. LIKEWISE, ACCESS TO A FAIR FAMILY WAGE AFFORDS FAMILIES OPPORTUNITIES TO GAIN EDUCATION THAT IN TURN HAS SHOWN TO LEAD TO LEVERAGING HEALTH OPPORTUNITIES. SOLID INFRASTRUCTURE AND A STABLE ECONOMY SET A CONTEXT FOR CITIZENS TO REACH POTENTIAL AND IN TURN CONTRIBUTE TO SOCIETY FOR FUTURE GENERATIONS. OUR COMMUNITY HAS NOTABLE POVERTY RATES AND HIGH NUMBERS OF CHILDREN WITH REDUCED OR FREE LUNCHES IN OUR SCHOOLS. COMMUNITY BUILDING ACTIVITY NEEDS TO BE A PRIORITY. COMMUNITY BUILDING ACTIVITIES ADDRESS ROOT CAUSES OF HEALTH RELATED PROBLEMS. MULTIDISCIPLINARY COMMUNITY PARTNERSHIPS AND COLLABORATION ADDRESS SYSTEMIC MALFUNCTION AND ROOT CAUSES OF ISSUES LIKE POVERTY, VIOLENCE AND HOMELESSNESS AMONG OTHERS. THEY STRENGTHEN THE COMMUNITY'S ABILITY TO PROMOTE HEALTH AND WELL-BEING. HEALTH CARE ORGANIZATIONS HAVE A WIDE RANGE OF EXPERTISE TO BRING TO THE TABLE AS EACH COMMUNITY TACKLES THESE SYSTEMIC CHALLENGES. OUR INVOLVEMENT WITH UNITED WAY'S ADVANCING THE COMMON GOOD WITH ITS FOCUS ON INCOME, EDUCATION, HEALTH AND SAFETY AS WELL AS A SAFETY NET IS ONE EXAMPLE. OUR LEADERSHIP TEAM HAS SELECTED UNITED WAY'S INTRODUCTION OF THE NATIONAL CIRCLES CAMPAIGN AS A PRIORITY FOR THEIR TIME BECAUSE ENCOURAGING ONE FAMILY AT A TIME MAY GRADUALLY EAT AWAY AT POVERTY RATES IN OUR AREA. FORM 990, SCHEDULE H, 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. FORM 990, SCHEDULE H, 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. FORM 990, SCHEDULE H, 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 COLLECTION 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." FORM 990, SCHEDULE H, PART III, LINE 8 IT IS THE POSITION OF MERCY HOSPITAL JOPLIN THAT 100% OF ANY SHORTFALL 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). FORM 990, SCHEDULE H, PART III, LINE 9B MERCY HOSPITAL JOPLIN'S ("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. FORM 990, SCHEDULE H, PART V, LINE 3 COMMUNITY HEALTH NEEDS ASSESSMENT PLEASE REFER TO THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT WHICH CAN BE FOUND AT WWW.MERCY.NET/COMMUNITY-BENEFITS. FORM 990, SCHEDULE H, PART V, LINE 20 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. FORM 990, SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT MERCY 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. FORM 990, SCHEDULE H, 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. 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 true Community Health Clinic of Joplin 701 S Joplin Street Joplin MO 64801 431643962 501(c)(3) 24000 Support of the local community health clinic Joplin Regional Prosperity Initiative 320 E 4th Street Joplin MO 64801 431386973 501(c)(3) 15000 Support of seven counties working together to make your business expansion or location successful and profitable in the Joplin area. Missouri Southern State University 601 S Jefferson Ave Springfield MO 65806 430813540 GOV'T 15000 Providing support to the Joplin Area Catholic Schools to utilize MSSU athletics facility. Wildcat Glades Conservation & Audubon CNTR 201 W Riviera Drive Suite A Joplin MO 64801 131624102 501(c)(3) 12500 Support the local audubon center Mercy CSC - ROI 701 S Joplin Joplin MO 64801 460468368 N/A 273051 FMV UNUSED SUPPLY INV OUTDATED INVENTORY TO GO TO THIRD WORLD COUNTRIES 3 2 Indigent 1230 82170 Other Transportation, meds Form 990, Schedule I, PART I, LINE 2 DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS THE ASSISTANCE PROVIDED IS INTENDED TO BE USED FOR THE GENERAL OPERATING PURPOSES OF THE DONEE. THE USE OF GRANT FUNDS IS NOT MONITORED AFTER GRANTS ARE GIVEN. X X X X true true true true false false false false false true false Curtis MD Brian 0 902761 0 98571 0 34230 0 7814 0 10387 0 1053763 0 0 Smith DO D Sean 0 372521 0 53747 0 45490 0 9163 0 13875 0 494796 0 0 Pulsipher Gary W 0 348416 0 200724 0 28616 0 150502 0 17383 0 745641 0 0 Hunter Shelly 0 180957 0 79029 0 22077 0 26516 0 9644 0 318223 0 0 Bringle Dottie 144897 0 96758 0 207160 0 39842 0 6695 0 495352 0 0 0 Day Bradley Kim 0 630366 0 322225 0 35023 0 334446 0 14234 0 1336294 0 0 Hennessey III William 0 136234 0 65059 0 55893 0 35029 0 15146 0 307361 0 0 Marion Tanya 0 137188 0 70088 0 25359 0 28325 0 14983 0 275943 0 0 Merrigan Michael 0 227959 0 96337 0 54154 0 49389 0 7420 0 435259 0 0 Stewart Michele 86463 135431 0 50220 22773 37674 0 52172 5332 10406 114568 285903 0 0 Swope Jon 0 481585 0 249457 0 27670 0 212960 0 17729 0 989401 0 0 Wachter Theresa 133990 0 45423 0 22645 0 9333 0 6276 0 217667 0 0 0 Watson Robert 73731 96870 56160 0 12078 28041 6067 0 6381 8864 154417 133775 0 0 Bechtel Randy 141291 0 15912 0 31988 0 3976 0 9274 0 202441 0 0 0 Bigando Kelli M 105782 0 23319 0 24036 0 7613 0 14575 0 175325 0 0 0 Honeywell Robert J 138053 5410 14588 0 20233 513 9602 0 10925 475 193401 6398 0 0 Manley Dennis G 135511 0 12291 0 11430 0 10358 0 6173 0 175763 0 0 0 Wright Alan 125719 0 0 0 30592 0 3557 0 1350 0 161218 0 0 0 FORM 990, SCHEDULE J, PART I, LINE 1 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 ARE SUBJECT TO TAX TO THE EMPLOYEE. PAYMENT BY THE COMPANY OF COSTS FOR TEMPORARY HOUSING FOR 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. FORM 990, SCHEDULE J, PART I, QUESTION 3 MERCY HOSPITAL JOPLIN RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTION 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS. FORM 990, SCHEDULE J, PART I, QUESTION 4A THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT DURING CALENDAR 2012: DOTTIE BRINGLE, $115,570. FORM 990, SCHEDULE J, PART I, QUESTION 4B MERCY HEALTH OFFERS SUPPLEMENTAL RETIREMENT PLANS TO CERTAIN EXECUTIVES WHICH PROVIDE BENEFITS UPON RETIREMENT 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 INDIVIDUALS REPORTABLE ON THIS RETURN WHO PARTICIPATE IN THE SUPPLEMENTAL RETIREMENT PLANS INCLUDE: GARY PULSIPHER, SHELLY HUNTER, DOTTIE BRINGLE, BRADLEY DAY, TANYA MARION, MICHAEL MERRIGAN, WILLIAM HENNESSEY III, MICHELE STEWART, AND JON SWOPE. THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C). FORM 990, SCHEDULE J, PART I, QUESTION 7 MERCY HEALTH PROVIDES A NON-FIXED BONUS PLAN FOR WHICH CERTAIN TIERS OF ITS EMPLOYEES ARE ELIGIBLE. FOR FISCAL YEAR 2013 (JULY 1, 2012 - JUNE 30, 2013), PAYMENT OF ALL OR PART OF THE BONUS WAS CONTINGENT UPON ATTAINMENT OF CERTAIN FINANCIAL TARGETS. 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 GOALS IS REVIEWED BY THE EXECUTIVE COMPENSATION COMMITTEE OF MERCY HEALTH AND IS THEN TAKEN INTO ACCOUNT WHEN ANALYZING EXECUTIVE COMPENSATION FOR REASONABLENESS. FORM 990, PART III, QUESTION 4D DESCRIPTION OF OTHER PROGRAM SERVICES THE CURRENT FACILITY HOUSES A RADIOLOGY WING WITH 14 IMAGING ROOMS INCLUDING EQUIPMENT THAT IS NEWER AND MORE POWERFUL THAN WHAT WAS USED PRE-TORNADO. PROVIDING CARE FOR A WIDE VARIETY OF MEDICAL AND SURGICAL CONDITIONS INCLUDING RENAL, ONCOLOGY, ORTHOPEDIC, NEUROVASCULAR, CARDIAC CARE, PRE AND POST PROCEDURE CARE FOR SURGICAL, CATHETER-BASED PROCEDURES AND EEG'S. ALSO PROVIDED ARE INPATIENT DAY SERVICES, OUTPATIENT SERVICES, HOME HEALTH VISITS, HOSPICE SERVICES, A BEHAVIORAL HEALTH FACILITY, MEDICAL SUPPLY (DME), SPORTS MEDICINE, PEDIATRIC SERVICES, SLEEP LAB, CAFETERIA, GIFT SHOP AND CHAPEL. FORM 990, PART V, QUESTION 1A FORM 1099/1096 FILING VENDORS 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 MERCY HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN. FORM 990, PART VI, LINE 6A, LINE 7A, 7B CLASSES OF MEMBERS OR STOCKHOLDERS THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH SOUTHWEST MISSOURI/KANSAS COMMUNITIES. THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED SOLELY TO THE CORPORATE MEMBER: -TO APPROVE THE MISSION AND ESTABLISH THE PHILOSOPHY ACCORDING TO WHICH THE CORPORATION, AND ALL ORGANIZATIONS CONTROLLED BY THE CORPORATION, SHALL OPERATE; -TO ADOPT OR AMEND THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION, AND TO AMEND THE ORGANIZATIONAL AND GOVERNANCE DOCUMENTS OF EACH ORGANIZATION CONTROLLED BY THE CORPORATION; -TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, MEMBERS OF THE BOARD; -TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHIEF EXECUTIVE OFFICER OF THE COMMUNITY WHO SHALL SERVE AS THE PRESIDENT OF THE CORPORATION; -TO APPROVE OR AMEND THE STRATEGIC, LONG RANGE, AND HEALTH MANPOWER DEVELOPMENT PLANS, GOALS, AND OBJECTIVES OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; -TO APPROVE OR AMEND THE OPERATING, CAPITAL, AND ALL OTHER BUDGETS FOR THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; -TO ASSIGN, TRANSFER, LEASE OR SELL ANY OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE CORPORATE MEMBER; -TO ENCUMBER ANY OR ALL OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; -TO AUTHORIZE AND APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY 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; -TO MERGE, DISSOLVE, OR ABANDON THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; AND -TO APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION CONTROLLED BY THE CORPORATION. FORM 990, PART VI, QUESTION 11B DSCR THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 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 DIRECTOR 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' FORMS 990. 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, QUESTION 12C DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST 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, 2013. 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, QUESTIONS 15A & 15B OFFICERS & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FOR THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS), THE ORGANIZATION RELIES UPON MERCY HEALTH, WHICH USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT, AND REVIEW/APPROVAL OF COMPENSATION BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF MERCY HEALTH. FOR THOSE CLASSIFIED AS KEY EMPLOYEES, THE ORGANIZATION USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, AND REVIEW/APPROVAL OF EXECUTIVE MANAGEMENT. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS, AND A REVIEW WAS COMPLETED DURING THE REPORTING YEAR. FORM 990, PART VI, QUESTION 19 AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMT TO GEN PUBLIC GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST BUT ARE NOT PUBLISHED PUBLICLY. 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 OTHER CHANGES IN NET ASSETS TRANSFERS TO/FROM AFFILIATES: $49,422 FORM 990, PART XII, QUESTION 2C AUDIT OF FINANCIAL STATEMENTS THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN MERCY HEALTH AND SUBSIDIARIES ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 2013 (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. Casa de Misericordia 1602 McClelland Street Laredo TX 78044 742912461 SHELTER TX 501(C)(3) 7 MM LAREDO true Laredo Medical Group 14528 S Outer Forty Ste 100 Chesterfield MO 63017 742764726 INACTIVE TX 501(C)(3) 9 MHS TEXAS true McAuley Portfolio Management Company 14528 S Outer Forty Ste 100 Chesterfield MO 63017 261708048 PORT MGMT MO 501(C)(3) 11b MERCY HEALTH true Mercy Clinic East Communities 14528 S Outer Forty Ste 100 Chesterfield MO 63017 431771217 PHYS GROUP MO 501(C)(3) 9 MH EAST COMM true Mercy Clinic Fort Smith Communities 7301 Rogers Avenue Fort Smith AR 72903 261318597 PHYS CLINIC AR 501(C)(3) 9 MH FS COMM true Mercy Clinic Hot Springs Communities 1 Mercy Lane Hot Springs AR 71913 261125131 PHYS CLINIC AR 501(C)(3) 9 MH HS COMM true Mercy Clinic Oklahoma Communities Inc 4300 W Memorial Road Oklahoma City OK 73120 270473057 PHYS GROUP OK 501(C)(3) 9 MH OK COMM true Mercy Clinic Springfield Communities 1965 Fremont Street Ste 2950 Springfield MO 65804 431560263 PHYS GROUP MO 501(C)(3) 9 MH SF COMM true Mercy Family Center 14528 S Outer Forty Ste 100 Chesterfield MO 63017 721069468 COUNSELING MO 501(C)(3) 7 MERCY HEALTH true Mercy Foundation for Health Innovation 14528 S Outer Forty Ste 100 Chesterfield MO 63017 200901499 FOUNDATION MO 501(C)(3) 11b MERCY HEALTH true Mercy Health 14528 S Outer Forty Ste 100 Chesterfield MO 63017 431423050 CORP OFFICE MO 501(C)(3) 1 NA false Mercy Health East Communities 14528 S Outer Forty Ste 100 Chesterfield MO 63017 431718408 HLTH SYSTEM MO 501(C)(3) 11b MERCY HEALTH true Mercy Health East Communities South Reg 14528 S Outer Forty Ste 100 Chesterfield MO 63017 461412322 HLTH SYSTEM MO 501(C)(3) 11b MH EAST COMM true Mercy Health Fort Smith Communities 7301 Rogers Avenue Fort Smith AR 72917 261318515 HOLDING CO AR 501(C)(3) 11b MERCY HEALTH true Mercy Health Foundation Ardmore 1011 14th Avenue NW Ardmore OK 73401 710962525 FOUNDATION OK 501(C)(3) 11a MH ARDMORE true Mercy Health Foundation Berryville 214 Carter Street Berryville AR 72616 710759301 FOUNDATION AR 501(C)(3) 11a MH BRYVILLE true Mercy Health Foundation Fort Scott 401 Woodland Hills Blvd Fort Scott KS 66701 481077073 FOUNDATION KS 501(C)(3) 11c M KS COMM true St Edward Mercy Foundation 7301 Rogers Avenue Fort Smith AR 72917 237330425 FOUNDATION AR 501(C)(3) 7 MH FT SMITH true Mercy Health Foundation Hot Springs 300 Werner Street Hot Springs AR 71913 710804718 FOUNDATION AR 501(C)(3) 11b MH H SPRINGS true Mercy Health Foundation Independence 800 W Myrtle Independence KS 67301 481079981 FOUNDATION KS 501(C)(3) 11a M KS COMM true Mercy Health Foundation Jefferson 1400 US Highway 61 South Festus MO 63028 462797051 FOUNDATION MO 501(C)(3) 11b MH E COMM SR true Mercy Health Foundation Joplin 2817 St Johns Blvd Joplin MO 64804 270906136 FOUNDATION MO 501(C)(3) 11a MH SWMK COMM true Mercy Health Foundation NW Arkansas 2710 Rife Medical Lane Rogers AR 72758 710601687 FOUNDATION AR 501(C)(3) 11c MH ROGERS true Mercy Health Foundation Oklahoma City 4300 W Memorial Road Oklahoma City OK 73120 731593024 FOUNDATION OK 501(C)(3) 11a MH OK CITY true Mercy Health Foundation of Oklahoma 4300 W Memorial Road Oklahoma City OK 73120 454732301 FOUNDATION OK 501(C)(3) 11a MH OK COMM true Mercy Health Foundation Springfield 1235 E Cherokee Street Springfield MO 65804 320195818 FOUNDATION MO 501(C)(3) 11b MH SF COMM true Mercy Health Foundation St Louis 14528 S Outer Forty Ste 100 Chesterfield MO 63017 562410020 FOUNDATION MO 501(C)(3) 11b MH EAST COMM true Mercy Health Foundation Washington 901 E Fifth Street Washington MO 63090 562410022 FOUNDATION MO 501(C)(3) 11b MH EAST COMM true Mercy Health Hot Springs Communities 300 Werner Street Hot Springs AR 71913 261125064 HOLDING CO AR 501(C)(3) 11b MERCY HEALTH true Mercy Health NW Arkansas Communities 2710 Rife Medical Lane Rogers AR 72758 621684203 PHYS GROUP AR 501(C)(3) 11b MERCY HEALTH true Mercy Health Oklahoma Communities Inc 4300 W Memorial Road Oklahoma City OK 73120 731453048 HOLDING CO OK 501(C)(3) 11b MERCY HEALTH true Mercy Health Southwest MOKS Communities 2817 St Johns Blvd Joplin MO 64804 300584463 HLTH SYSTEM MO 501(C)(3) 11b MERCY HEALTH false Mercy Health Springfield Communities 1235 E Cherokee Street Springfield MO 65804 431856028 HLTH SYSTEM MO 501(C)(3) 11b MERCY HEALTH true Mercy Health System of Texas Inc 14528 S Outer Forty Ste 100 Chesterfield MO 63017 742764727 INACTIVE TX 501(C)(3) 11b MERCY HEALTH true Mercy Home Health Berryville 804 W Freeman Suite 4 Berryville AR 72616 870781247 HOME HEALTH AR 501(C)(3) 11c MH SF true Mercy Hospital Ada Inc 430 N Monte Vista Street Ada OK 74820 462288155 HOSPITAL OK 501(C)(3) 3 MH OK COMM true Mercy Hospital Ardmore Inc 1011 14th Avenue NW Ardmore OK 73401 731500629 HOSPITAL OK 501(C)(3) 3 MH OK COMM true Mercy Hospital Aurora 500 Porter Avenue Aurora MO 65605 431936696 HOSPITAL MO 501(C)(3) 3 MH SF COMM true Mercy Hospital Berryville 214 Carter Street Berryville AR 72616 710759299 HOSPITAL AR 501(C)(3) 3 MH SF COMM true Mercy Hospital Carthage 3125 Dr Russell Smith Way Carthage MO 64836 453808607 HOSPITAL MO 501(C)(3) 3 MH SWMK COMM true Mercy Hospital Cassville 94 Main Street Cassville MO 65625 431936699 HOSPITAL MO 501(C)(3) 3 MH SF COMM true Mercy Hospital Columbus 220 Pennsylvania Avenue Columbus KS 66725 270842031 HOSPITAL MO 501(C)(3) 3 MH SWMK COMM true Mercy Hospital El Reno Inc 2115 Parkview Drive El Reno OK 73036 272716065 HOSPITAL OK 501(C)(3) 3 MH OK COMM true Mercy Hospital Fort Smith 7301 Rogers Avenue Fort Smith AR 72917 710240352 HOSPITAL AR 501(C)(3) 3 MH FS COMM true Mercy Hospital Healdton Inc 918 South 8th Street Healdton OK 73438 263173902 HOSPITAL OK 501(C)(3) 3 MH ARDMORE true Mercy Hospital Hot Springs 300 Werner Street Hot Springs AR 71913 710236913 HOSPITAL AR 501(C)(3) 3 MH HS COMM true Mercy Hospital Jefferson 1400 Highway 61 South Festus MO 63028 430687077 HOSPITAL MO 501(C)(3) 3 MH E COMM SR true Mercy Hospital Lebanon 100 Hospital Drive Lebanon MO 65536 431767432 HOSPITAL MO 501(C)(3) 3 MH SF COMM true Mercy Hospital Logan County Inc 200 South Academy Guthrie OK 73044 452998842 HOSPITAL OK 501(C)(3) 3 MH OK COMM true Mercy Hospital of Laredo 14528 S Outer Forty Ste 100 Chesterfield MO 63017 741189682 INACTIVE TX 501(C)(3) 3 MHS TEXAS true Mercy Hospital Oklahoma City Inc 4300 W Memorial Road Oklahoma City OK 73120 730579285 HOSPITAL OK 501(C)(3) 3 MH OK COMM true Mercy Hospital Ozark 801 W River Street Ozark AR 72949 710689680 HOSPITAL AR 501(C)(3) 3 MH FT SMITH true Mercy Hospital Paris 500 E Academy Paris AR 72855 710655753 HOSPITAL AR 501(C)(3) 3 MH FT SMITH true Mercy Hospital Rogers 2710 Rife Medical Lane Rogers AR 72758 710294390 HOSPITAL AR 501(C)(3) 3 MH NWAR COMM true Mercy Hospital Springfield 1235 E Cherokee Street Springfield MO 65804 440552485 HOSPITAL MO 501(C)(3) 3 MH SF COMM true Mercy Hospital Tishomingo Inc 1000 South Byrd Tishomingo OK 73460 274433830 HOSPITAL OK 501(C)(3) 3 MH ARDMORE true Mercy Hospital Waldron 1341 W 6th Street Waldron AR 72958 710557895 HOSPITAL AR 501(C)(3) 3 MH FT SMITH true Mercy Hospital Watonga Inc 500 Clarence Nash Blvd Watonga OK 73772 455199762 HOSPITAL OK 501(C)(3) 3 MH OK COMM true Mercy Hospitals East Communities 14528 S Outer Forty Ste 100 Chesterfield MO 63017 430653493 HOSPITAL MO 501(C)(3) 3 MH EAST COMM true Mercy Kansas Communities Inc 401 Woodland Hills Blvd Ft Scott KS 66701 480956045 HOSPITAL KS 501(C)(3) 3 MH SWMK COMM true Mercy Medical Research Institute 1235 E Cherokee Street Springfield MO 65804 870796305 RESEARCH MO 501(C)(3) 4 MH SF COMM true Mercy Ministries of Laredo 2500 Zacatecas Laredo TX 78046 200198462 OUTREACH TX 501(C)(3) 7 MERCY HEALTH true Mercy St Francis Hospital 100 W Highway 60 Mountain View MO 65548 440607149 HOSPITAL MO 501(C)(3) 3 MH SF COMM true Mercy Support Services 14528 S Outer Forty Ste 100 Chesterfield MO 63017 431677952 INACTIVE MO 501(C)(3) 11c MH EAST COMM true MHM Support Services 14528 S Outer Forty Ste 100 Chesterfield MO 63017 202553101 HLTH SYSTEM MO 501(C)(3) 11b MERCY HEALTH true Mission Clinical Services 300 Werner Street Hot Springs AR 71913 134239691 NURSING HOME AR 501(C)(3) 9 MH HS COMM true St John's Children's Hospital Inc 1235 E Cherokee Street Springfield MO 65804 INACTIVE MO 501(C)(3) 3 MH SF COMM true St Mary's Hospital of Enid Oklahoma 14528 S Outer Forty Ste 100 Chesterfield MO 63017 730614655 INACTIVE OK 501(C)(3) 3 MH OK COMM true The Sister M Cornelia Blasko Foundation 100 W Highway 60 Mountain View MO 65548 431873914 FOUNDATION MO 501(C)(3) 11a M ST FRANCIS true Unity Ambulatory Care 14528 S Outer Forty Ste 100 Chesterfield MO 63017 431861745 INACTIVE MO 501(C)(3) 11c MH EAST COMM true Merc Ambu Surg CTR 7301 Rogers Av Fort Smith AR 72903 710827721 AMBUL SURG CTR AR NA RES OPT & INNOV 645 Maryville Centre Dr 200 St Louis MO 63141 460468368 CENTRAL DIST. MO NA SO OK DIAG CTR 1011 14TH Ave NW Ardmore OK 73401 431971232 MRI Services OK NA Fort Smith EMS 1701 S Greenwood Fort Smith AR 72901 710416615 Emergency Med AR NA St Ed Mer Med MOB 7301 Rogers Ave Fort Smith AR 72903 710554050 Office Building AR NA Frontenac Properties Inc 14528 S Outer Forty Suite 100 Chesterfield MO 63017 521914421 HOLDING COMP DE NA C-Corp true Inveno Health Inc 1235 E Cherokee Street Springfield MO 65804 264509571 RESEARCH MO NA C-Corp true Mercy Community Services Inc 401 Woodland Hills Blvd Fort Scott KS 66701 481078101 RETAIL PHARMACY KS NA C-Corp true Mercy Health Center Condominium Inc 4300 W Memorial Rd Oklahoma City OK 73120 680640970 REAL ESTATE OK NA C-Corp true Mercy Health Network of the Southern Reg 1011 14th Avenue NW Ardmore OK 73401 731580607 HEALTH CARE OK NA C-Corp true Mercy Health Network Inc 4300 W Memorial Road Oklahoma City OK 73120 731381689 HEALTH CARE OK NA C-Corp true Mercy Managed Care Corporation 4300 W Memorial Road Oklahoma City OK 73120 731441665 HOLDING COMP OK NA C-Corp true UH L Corp Inc 645 Maryville Centre Drive Suite 1 St Louis MO 63141 742499535 HOLDING COMP MO NA C-Corp true Unity Support Services Inc 645 Maryville Centre Drive Suite 1 St Louis MO 63141 431797042 PRACTICE MGT MO NA C-Corp true Jefferson Land Company Inc 14528 South Outer Forty Suite 100 Chesterfield MO 63017 431330360 HOLDING COMP MO NA C-Corp true The Apothecary Services Inc PO Box 350 Crystal City MO 63019 431627267 RETAIL PHARMACY MO NA C-Corp true false false true false false false false false false false false false false false true true false false Mercy Health East Communities p 251555 FMV Mercy Health Foundation Joplin p 2396286 FMV Mercy Health Northwest Arkansas Communities q 97071 FMV Mercy Health Springfield Communities p 172826 FMV Mercy Hospital Carthage q 21935616 FMV Mercy Hospital Springfield p 142736 FMV Mercy Hospitals East Communities p 196309 FMV Mercy Kansas Communities Inc q 528271 FMV MHM Support Services p 57308262 FMV Resource Optimization & Innovation LLC p 4076453 FMV FORM 990, SCHEDULE R, PART V 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 C, P AND Q.