2013-05-21T19:02:39-05:00 2012-06-30 ERNST & YOUNG US LLP 190 CARONDELET PLAZA SUITE 1300 CLAYTON MO 63105 990 2011-07-01 431560263 Mercy Clinic Springfield Communities % Scott Reynolds MERC 3145796100 1235 E Cherokee Springfield MO 65804 Scott Reynolds 2013-05-13 3142901000 2011 2016-03-07 17:11:31Z Scott Reynolds 1235 E Cherokee Springfield MO 65804 449004686 false 0928 X www.mercy.net X 1999 MO AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. 22 0 3019 55 0 0 0 1376 472375575 448881973 157434 121337 0 0 472533009 449004686 0 57359 0 0 351663962 386999869 0 0 0 120869047 106654890 472533009 493712118 -44707432 53327228 58086100 41847716 55133481 11479512 2952619 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 449743050 57359 448881973 MERCY HEALTH SPRINGFIELD COMMUNITIES AND ITS SUBSIDIARIES PROVIDE HIGH-QUALITY, COMPASSIONATE, FAITH-BASED HEALTH CARE IN A VARIETY OF TRADITIONAL MEDICAL SETTINGS. THIS ORGANIZATION, AS PART OF MERCY HEALTH SPRINGFIELD COMMUNITIES, PROVIDES SERVICES TO THE COMMUNITIES WE SERVE, WITH PARTICULAR CONCERN FOR THE ECONOMICALLY POOR, IN THE WAY OF INPATIENT HOSPITAL SERVICES, OUTPATIENT SERVICES, EMERGENCY ROOM CARE, HOME HEALTH SERVICES, AND PHYSICIAN CLINIC OFFICE VISITS. 449743050 true false false false false false false false false false true false false false true false false true false false false false false false false false false true false true false false false false false false false false false false false false true true true true false false true X 1 0 3019 true false false false false false false false false false false X 22 0 false false false false true true true true true false false true true true true true true false true false X Scott Reynolds 3145796100 1235 E Cherokee Springfield MO 65804 X David Barbe MD 60.0 X 349306 0 52288 Karrie Ann Cunningham MD 60.0 X 495751 0 25246 Robert Dodson MD 60.0 X 617661 0 17402 Christopher A Edwards MD 60.0 X 815589 0 25855 James A Felts MD 60.0 X 231532 0 31334 Arthur Hale MD 60.0 X 235559 0 18949 Randall Huss MD 60.0 X 347118 0 48997 Russell Kennedy DO 60.0 X 308921 0 7491 Gregory Ledger MD 60.0 X 512762 0 30411 Brian Mahaffey MD 60.0 X 330350 0 25993 Fred McQueary MD 60.0 X 807259 0 107595 Philip Mitchell MD 60.0 X 361361 0 26344 Linda Morgan MD 60.0 X 246183 0 11608 Robert Nichols MD 60.0 X 0 273840 42065 Teresa Olsen MD 60.0 X 383822 0 26427 Alan Scarrow MD 60.0 X 555319 0 23425 William Sistrunk MD 60.0 X 455236 0 29007 D Sean Smith DO 60.0 X 448534 0 22195 Donn Sorensen 60.0 X 0 705535 101650 Stuart Stangeland 60.0 X 315295 0 40702 Rick Williams MD 60.0 X 512752 0 29580 Jon Swope 60.0 X X 0 682221 243717 Chris Knackstedt 60.0 X 0 625750 96425 Scott Reynolds 60.0 X 0 282351 35968 Jacob Bast 60.0 X 196252 0 20007 Bradley Kim Day 60.0 X 0 833159 436266 Ronald L Dent 60.0 X 0 273942 60761 Gerald A Dowdy 60.0 X 160146 0 29010 Theodore K Fronczak 60.0 X 0 226839 19875 Eric Fuhr 60.0 X 164219 0 22842 Kevin Goodwin 60.0 X 219541 0 18799 Alexander R Hover MD 60.0 X 610899 0 53665 Tanya Marion 60.0 X 0 160391 16041 Michael Merrigan 60.0 X 0 320923 65228 Scott H Clarke MD 60.0 X 1332244 0 22348 James Jordan MD 60.0 X 2888260 0 25871 Hyewon Kim MD 60.0 X 1433908 0 22002 Raffaele Pennella MD 60.0 X 1321377 0 28986 Shanti Yerra MD 60.0 X 1178740 0 20986 Pat Patton 60.0 X 132788 7346 11456 Ted Stutzman 60.0 X 122543 12462 16522 18091227 4404759 2011339 583 true true false AMCOL SYS INC PO Box 21625 COLUMBIA SC 29221 collections 2727510 COMPHEALTH PO Box 972651 DALLAS TX 75397 physician services 1188692 WEATHERBY LOCUMS INC PO Box 972633 DALLAS TX 75397 physician services 1032031 HEALTHLINK INC PO BOX 66971N ST LOUIS MO 63166 MANGD CARE PROCESSOR 953519 MEDICAL DOCTOR ASSOC INC PO Box 277185 ATLANTA GA 30384 physician services 859899 19 1376 1376 PROGRAM SERVICE REVENUE 621110 381088571 381088571 OTHER OPERATING REVENUE 900099 67773207 67773207 RENTAL INCOME FROM RELATED ORGS 531120 20195 20195 448881973 121337 121337 0 0 0 0 0 0 0 449004686 448881973 121337 57359 57359 0 0 0 10920293 10920293 0 327908010 292014864 35893146 9696625 8623514 1073111 24923926 22290905 2633021 13551015 12122360 1428654 0 8450 8450 31 31 0 0 0 11334765 10298389 1036376 739022 695784 43238 4710092 4114197 595895 274482 274482 0 8770528 8518559 251969 759381 551566 207815 0 59284 46705 12578 0 0 3459669 3416850 42819 12673259 12673259 BAD DEBT EXPENSES 22663315 22663315 SHARED SERVICE FEES 16747213 16747213 REPAIRS & MAINTENANCE 1188062 1168930 19132 MEDICAL SUPPLIES 21367291 21367291 1900046 1177215 722831 493712118 449743050 43969066 0 2287079 989032 0 0 0 0 26587765 33437195 0 0 0 0 509680 107399 2136684 1368305 295116 272502 66417322 44505655 21493645 21911667 0 0 0 0 0 0 0 0 17259 0 53327228 58086100 41405594 55133481 0 0 0 0 0 0 0 0 0 0 0 0 0 0 442122 0 41847716 55133481 X 11479512 2952619 0 0 0 0 11479512 2952619 53327228 58086100 X -44707432 36180539 X X false true true X false X 7164985 7164985 22130497 15340913 6789584 479789 244134 235655 35285817 28434397 6851420 1356234 486211 870023 21911667 0 0 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 VISION REHABILITATION CENTER OF THE OZARKS 1661 W ELFINDALE SPRINGFIELD MO 65807 272017276 501(C)(3) 55834 PROVIDE SERVICES TO PATIENTS THAT ARE ECONOMICALLY CHALLENGED 1 0 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 false true false false false false false true false David Barbe MD 264370 0 59976 0 24960 0 42066 0 10222 0 401594 0 0 0 Karrie Ann Cunningham MD 440186 0 11225 0 44340 0 11468 0 13778 0 520997 0 0 0 Robert Dodson MD 571531 0 6900 0 39230 0 7261 0 10141 0 635063 0 0 0 Christopher A Edwards MD 751609 0 19640 0 44340 0 12077 0 13778 0 841444 0 0 0 James A Felts MD 162533 0 35303 0 33696 0 17556 0 13778 0 262866 0 0 0 Arthur Hale MD 168823 0 38896 0 27840 0 10700 0 8249 0 254508 0 0 0 Randall Huss MD 224930 0 70708 0 51480 0 35926 0 13071 0 396115 0 0 0 Russell Kennedy DO 283210 0 8871 0 16840 0 7183 0 308 0 316412 0 0 0 Gregory Ledger MD 447472 0 31560 0 33730 0 16633 0 13778 0 543173 0 0 0 Brian Mahaffey MD 266392 0 15834 0 48124 0 13006 0 12987 0 356343 0 0 0 Fred McQueary MD 635930 0 119285 0 52044 0 93817 0 13778 0 914854 0 0 0 Philip Mitchell MD 304350 0 23368 0 33643 0 12566 0 13778 0 387705 0 0 0 Linda Morgan MD 206277 0 12772 0 27134 0 3407 0 8201 0 257791 0 0 0 Robert Nichols MD 0 221259 0 0 0 52581 0 29866 0 12199 0 315905 0 0 Teresa Olsen MD 289418 0 50174 0 44230 0 21154 0 5273 0 410249 0 0 0 Alan Scarrow MD 507252 0 14727 0 33340 0 9647 0 13778 0 578744 0 0 0 William Sistrunk MD 389193 0 37880 0 28163 0 15229 0 13778 0 484243 0 0 0 D Sean Smith DO 360402 0 29230 0 58902 0 8568 0 13627 0 470729 0 0 0 Donn Sorensen 0 535875 0 108795 0 60865 0 87501 0 14149 0 807185 0 0 Stuart Stangeland 215887 0 45503 0 53905 0 25068 0 15634 0 355997 0 0 0 Rick Williams MD 414496 0 38533 0 59723 0 16509 0 13071 0 542332 0 0 0 Jon Swope 0 463948 0 191212 0 27061 0 230083 0 13634 0 925938 0 0 Chris Knackstedt 0 408170 0 127077 0 90503 0 83509 0 12916 0 722175 0 0 Scott Reynolds 0 190368 0 48425 0 43558 0 23993 0 11975 0 318319 0 0 Jacob Bast 152095 0 25808 0 18349 0 5542 0 14465 0 216259 0 0 0 Bradley Kim Day 0 598570 0 203887 0 30702 0 422839 0 13427 0 1269425 0 0 Ronald L Dent 0 169203 0 49720 0 55019 0 45384 0 15377 0 334703 0 0 Gerald A Dowdy 88487 0 24134 0 47525 0 14402 0 14608 0 189156 0 0 0 Theodore K Fronczak 0 152049 0 18822 0 55968 0 8460 0 11415 0 246714 0 0 Eric Fuhr 125055 0 17012 0 22152 0 8207 0 14635 0 187061 0 0 0 Kevin Goodwin 175727 0 23247 0 20567 0 4115 0 14684 0 238340 0 0 0 Alexander R Hover MD 475186 0 87363 0 48350 0 43443 0 10222 0 664564 0 0 0 Tanya Marion 0 111560 0 30030 0 18801 0 3958 0 12083 0 176432 0 0 Michael Merrigan 0 214349 0 66366 0 40208 0 49457 0 15771 0 386151 0 0 Scott H Clarke MD 1269381 0 18523 0 44340 0 8640 0 13708 0 1354592 0 0 0 James Jordan MD 540988 0 2294362 0 52910 0 12093 0 13778 0 2914131 0 0 0 Hyewon Kim MD 1361154 0 22524 0 50230 0 8224 0 13778 0 1455910 0 0 0 Raffaele Pennella MD 1271596 0 21791 0 27990 0 15234 0 13752 0 1350363 0 0 0 Shanti Yerra MD 260909 0 873491 0 44340 0 13146 0 7840 0 1199726 0 0 0 Pat Patton 115604 7007 12104 0 5080 339 2206 0 8499 751 143493 8097 0 0 Ted Stutzman 101495 11533 11361 0 9687 929 2289 0 12522 1711 137354 14173 0 0 FORM 990, Schedule J, Part I, QUESTION 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 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. FORM 990, SCHEDULE J, PART I, QUESTION 3 Mercy Clinic Springfield relies on a related organization; refer to Schedule O, Part VI, Question 15a and 15b for the process the related organization follows. FORM 990, SCHEUDLE 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: David Barbe, Randall Huss, Frederick McQueary, Stuart Stangeland, Donn Sorensen, Jon Swope, Christopher Knackstedt, Bradley Day, Ronald Dent, William Hennessey, Alexander Hover, and Michael Merrigan. 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 Clinic Springfield Communities provides a non-fixed bonus plan for which certain tiers of its employees are eligible. For fiscal year 2012 (July 1, 2011 - June 30, 2012), 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 V, QUESTION 1A 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 HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN. FORM 990, PART VI, QUESTIONS 6, 7A & 7B SUPPLEMENTAL INFORMATION THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH. THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED SOLELY TO THE CORPORATE MEMBER: -TO APPROVE AND ESTABLISH THE MISSION AND 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 IN ACCORDANCE WITH ARTICLES X OF THESE BYLAWS; -TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS OF THE CORPORATION; -TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; -TO APPROVE OR AMEND THE OVERALL STRATEGIC GOALS AND OBJECTIVES OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; -TO APPROVE OR AMEND THE CONSOLIDATED OPERATING, CAPITAL, AND CONSTRUCTION BUDGETS (INCLUDING AGGREGATE PHYSICIAN COMPENSATION MODELS) FOR THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION AND CHANGES IN BUDGETS IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE CORPORATE MEMBER; -TO AUTHORIZE AND APPROVE THE LEASE OR SALE OF ANY OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION IN EXCESS OF ANY AMOUNT ESTABLISHED FROM TIME TO TIME BY MERCY; -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 EXECUTY 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, SUBJECT TO APPROVAL BY THE BOARD AS REQUIRED PURSUANT TO CHAPTER 355 OF THE REVISED STATUTES OF MISSOURI FOR NONPROFIT CORPORATIONS; 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 CONTROLLER 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 MADE AVAILABLE TO BOTH THE FILING ORGANIZATION'S LEADERSHIP TEAM, INCLUDING THE CFO AND CEO, AND THE BOARD OF DIRECTORS FOR THEIR REVIEW. THE FORM 990 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, 2012. 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 FINANCE, AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, LINES 15A & 15B 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, MERCY HEALTH 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, LINE 19 PUBLIC AVAILABILITY OF GOVERNING POLICIES 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 SEVERAL INDIVIDUALS LISTED IN PART VII ARE DISCLOSED AS TRUSTEES, DIRECTORS, OFFICERS AND KEY EMPLOYEES ON MULTIPLE FORM 990S OF ENTITIES INCLUDED WITHIN MERCY HEALTH. THE AVERAGE HOURS PER WEEK DISCLOSED IN PART VII IS AN ESTIMATE OF THE HOURS PER WEEK THAT THE LISTED INDIVIDUAL SPENDS ON BOTH THE FILING ORGANIZATION AND ALL RELATED ORGANIZATIONS. FORM 990, PART XI, LINE 5 OTHER CHANGES IN NET ASSETS TRANSFER TO/FROM AFFILIATES = $36,180,539 TOTAL OTHER CHANGES IN NET ASSETS = $36,180,539 FORM 990, PART XII, QUESTION 2C OVERSIGHT OR SELECTION PROCESS 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 YEAR 2012 (THE TAX YEAR CURRENTLY BEING REPORTED). HOWEVER, NO SEPARATE AUDIT OPINION IS ISSUED ON THE FINANCIAL STATEMENTS OF THE FILING ORGANIZATION. THE ULTIMATE RESPONSIBILITY FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE EXTERNAL AUDITOR LIES WITH THE FINANCE, AUDIT, AND COMPLIANCE COMMITTEE OF MERCY HEALTH'S BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE. MERCY CLINIC JOPLIN LLC 1965 S FREMONT STREET STE 2950 SPRINGFIELD MO 65804 611604897 MEDICAL HLTH MO 1281651 MCSC Advance Care Hospital 300 Werner Street Hot Springs AR 71913 710816634 Hospital AR 501(C)(3) 3 Mercy Health true 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-TX 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 Communites 14528 S Outer Forty Ste 100 Chesterfield MO 63017 431771217 Phys Group MO 501(C)(3) 9 MHEC true Mercy Clinic Fort Smith Communitites 7301 Rogers Avenue Fort Smith AR 72917 261318597 Phys Clinic AR 501(C)(3) 9 MHFSC true Mercy Clinic Hot Springs Communitites 1 Mercy Lane Hot Springs AR 71913 261125131 Phys Clinic AR 501(C)(3) 9 MHHSC true Mercy Clinic Oklahoma Communities 4300 W Memorial Road Oklahoma City OK 73120 270473057 Phys Group OK 501(C)(3) 9 MHOC 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 Sup Hlth Sys 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 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 Berryvill true Mercy Health Foundation Fort Scott 401 Woodland Hills Blvd Fort Scott KS 66701 481077073 Foundation KS 501(C)(3) 11c Mercy KS Com true Mercy Health Foundation Hot Springs 300 Werner Street Hot Springs AR 71913 710804718 Foundation AR 501(C)(3) 11b MHHS true Mercy Health Foundation Independence 800 W Myrtle Independence KS 67301 481079981 Foundation KS 501(C)(3) 11a Mercy KS Com true Mercy Health Foundation Joplin 2817 St Johns Blvd Joplin MO 64804 270906136 Foundation MO 501(C)(3) 11a MHSMKC 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 OF Oklahoma 4300 W Memorial Road Oklahoma City OK 73120 454732301 Foundation OK 501(C)(3) 11a MHOC true Mercy Health Foundation OK City 4300 W Memorial Road Oklahoma City OK 73120 731593024 Foundation OK 501(C)(3) 11a MHOC true Mercy Health Foundation Springfield 1235 E Cherokee Street Springfield MO 65804 320195818 Foundation MO 501(C)(3) 11b MHSC true Mercy Health Foundation St Louis 14528 S Outer Forty Ste 100 Chesterfield MO 63017 562410020 Foundation MO 501(C)(3) 11b MHEC true Mercy Health Foundation Washington 901 E Fifth Street Washington MO 63090 562410022 Foundation MO 501(C)(3) 11b MHEC 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 Drive Rogers AR 72758 621684203 Phys Group AR 501(C)(3) 11b Mercy Health true Mercy Health Oklahoma Communities 4300 W Memorial Road Oklahoma City OK 73120 731453048 Holding co OK 501(C)(3) 11b Mercy Health true Mercy Health Springfield Communitites 1235 E Cherokee Street Springfield MO 65804 431856028 Holding Co MO 501(C)(3) 11b Mercy Health false Mercy Health SW MOKS Communitites 2817 St Johns Blvd Joplin MO 64804 300584463 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 Sprngfld true Mercy Hospital Ardmore 1011 14th Avenue NW Ardmore OK 73401 731500629 Hospital OK 501(C)(3) 3 MHOC true Mercy Hospital Aurora 500 Porter Avenue Aurora MO 65605 431936696 Hospital MO 501(C)(3) 3 MHSC true Mercy Hospital Berryville 214 Carter Street Berryville AR 72616 710759299 Hospital AR 501(C)(3) 3 MHSC true Mercy Hospital Carthage 3125 Dr Russell Smith Way Carthage MO 64836 453808607 Hospital MO 501(C)(3) 3 MHSMKC true Mercy Hospital Cassville 94 Main Street Cassville MO 65625 431936699 Hospital MO 501(C)(3) 3 MHSC true Mercy Hospital Columbus 220 Pennsylvania Avenue Columbus KS 66725 270842031 Hospital MO 501(C)(3) 3 MHSMKC true Mercy Hospital El Reno 2115 Parkview Drive El Reno OK 73036 272716065 Hospital OK 501(C)(3) 3 MHOC true Mercy Hospital Fort Smith 7301 Rogers Avenue Fort Smith AR 72917 710240352 Hospital AR 501(C)(3) 3 MHFSC true Mercy Hospital Healdton 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 MHHSC true Mercy Hospital Joplin 2817 St Johns Blvd Joplin MO 64804 270814858 Hospital MO 501(C)(3) 3 MHSMKC true Mercy Hospital Lebanon 100 Hospital Drive Lebanon MO 65536 431767432 Hospital MO 501(C)(3) 3 MHSC true Mercy Hospital Logan County Inc 200 South Academy Guthrie OK 73044 452998842 Hospital OK 501(C)(3) 3 MHOC true Mercy Hospital of Laredo 14528 S Outer Forty Ste 100 Chesterfield MO 63017 741189682 Inactive TX 501(C)(3) 3 MHS-TX true Mercy Hospital Oklahoma City 4300 W Memorial Road Oklahoma City OK 73120 730579285 Hospital OK 501(C)(3) 3 MHOC true Mercy Hospital Ozark 801 W River Street Ozark AR 72949 710689680 Hospital AR 501(C)(3) 3 MHFS true Mercy Hospital Paris 500 E Academy Paris AR 72855 710655753 Hospital AR 501(C)(3) 3 MHFS true Mercy Hospital Rogers 2710 Rife Medical Lane Rogers AR 72758 710294390 Hospital AR 501(C)(3) 3 MHNWAC true Mercy Hospital Springfield 1235 E Cherokee Street Springfield MO 65804 440552485 Hospital MO 501(C)(3) 3 MHSC true Mercy Hospital Tishomingo 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 MHFS true Mercy Hospital Watonga Inc 500 Clarence Nash Blvd Watonga OK 73772 455199762 Hospital OK 501(C)(3) 3 MHOC true Mercy Hospitals East Communities 14528 S Outer Forty Ste 100 Chesterfield MO 63017 430653493 Hospital MO 501(C)(3) 3 MHEC true Mercy Kansas Communities Inc 401 Woodland Hills Blvd Ft Scott KS 66701 480956045 Hospital KS 501(C)(3) 3 MHSMKC true Mercy Medical Research Institute 1235 E Cherokee Street Springfield MO 65804 870796305 Research MO 501(C)(3) 4 MHSC 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 MHSC true Mercy Support Services 14528 S OUTER FORTY STE 100 CHESTERFIELD MO 63017 431677952 Inactive MO 501(C)(3) 11c MHEC 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 MHHSC true St Edward Mercy Foundation PO Box 17000 Fort Smith AR 72917 237330425 Foundation AR 501(C)(3) 7 MHFS true St John's Children's Hospital Inc 1235 E Cherokee Street Springfield MO 65804 Inactive MO 501(C)(3) 3 MHSC true St Mary's Hospital of Enid Oklahoma 14528 S Outer Forty Ste 100 Chesterfield MO 63017 730614655 Inactive OK 501(C)(3) 3 MHOC true The Sister M Cornelia Blasko Foundation 100 W Highway 60 Mountain View MO 65548 431873914 Foundation MO 501(C)(3) 11a MSFH true Unity Ambulatory Care 14528 S OUTER FORTY STE 100 CHESTERFIELD MO 63017 431861745 Inactive MO 501(C)(3) 11c MHEC true Merc Ambu Surg CTR 7301 Rogers Av Fort Smith AR 72903 710827721 AMBUL SURG CENTER 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 Inveno Health Inc 1235 E Cherokee Street Springfield MO 65804 264509571 IT SERVICES MO NA C-Corp Mercy Community Services Inc 401 Woodland Hills Blvd Fort Scott KS 66701 481078101 Retail Pharmacy KS NA C-Corp Mercy Health Center Condominium Inc 4300 W Memorial Rd Oklahoma City OK 73120 680640970 REAL ESTATE OK NA C-Corp Mercy Health Network of the Southern Reg 1011 14th Avenue NW Ardmore OK 73401 731580607 HEALTH CARE OK NA C-Corp Mercy Health Network Inc 4300 W Memorial Road Oklahoma City OK 73120 731381689 HEALTH CARE OK NA C-Corp Mercy Managed Care Corporation 4300 W Memorial Road Oklahoma City OK 73120 731441665 HOLDING COMP OK NA C-Corp UH L Corp Inc 645 Maryville Centre Drive Suite 1 St Louis MO 63141 742499535 HOLDING COMP MO NA C-Corp Unity Support Services Inc 645 Maryville Centre Drive Suite 1 St Louis MO 63141 431797042 PRACTICE MGT MO NA C-Corp false false false false false false false false false false false false false true true true false false Mercy Health Foundation Springfield O 169819 FMV Mercy Health Southwest MissouriKansas Comm P 356550 FMV Mercy Hospital Aurora P 73388 FMV Mercy Hospital Berryville P 104518 FMV Mercy Hospital Cassville P 91502 FMV Mercy Hospital Joplin O 129867 FMV Mercy Hospital Lebanon O 1521917 FMV Mercy Hospital Springfield N 167503 FMV Mercy Hospital Springfield P 66387258 FMV MHM Support Services O 12558535 FMV Resource Optimization & Innovation LLC O 1494262 FMV Resource Optimization & Innovation LLC P 587797 FMV FORM 990, SCHEDULE R, PART V LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY HEALTH AND ITS 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 N, O AND P.