2013-05-23T15:19:26-05:00 2012-06-30 ERNST & YOUNG US LLP 190 CARONDELET PLAZA SUITE 1300 CLAYTON MO 63105 990 2011-07-01 440552485 MERCY HOSPITAL SPRINGFIELD % 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 969151907 false 0928 X www.mercy.net X 1987 MO AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. 12 5 7399 8 1572770 0 0 14674 880690135 964661323 6298 -426897 327 4472241 880696760 968721341 2000 610 0 0 296418921 291356335 0 0 0 498236432 564996818 794657353 856353763 86039407 112367578 414122267 451521888 129005142 175424177 285117125 276097711 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 805119709 610 964661323 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. 805119709 true false false true false false false false false false true false false false true false false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true X 42 0 true 7399 true true true false false false false false false false false false X 12 5 false false false false true true true true true false false true true true true true true false true true true X Scott Reynolds 3145796100 1235 E Cherokee Springfield MO 65804 X Allan Allphin MD 60.0 X 0 944868 31485 Ann Marie Baker 1.0 X 0 0 0 Sr Annrene Brau RSM 1.0 X 0 0 0 John Griesemer 1.0 X 0 0 0 Jay Guffey 60.0 X 361760 0 85876 Alexander R Hover MD 60.0 X 0 610899 53665 Fred McQueary MD 60.0 X 0 807259 107595 Robin Melton 1.0 X 0 0 0 Patti Penny 1.0 X 0 0 0 Norm Ridder PhD 1.0 X 0 0 0 Alan Scarrow MD 60.0 X 0 555319 23425 Stuart Stangeland 60.0 X 0 315295 40702 Jon Swope 60.0 X X 0 682221 243717 Chris Knackstedt 60.0 X 0 625750 96425 Scott Reynolds 60.0 X 282351 0 35968 Bradley Kim Day 60.0 X 0 833159 436266 William Hennessey III 60.0 X 0 280544 47347 Linda Knodel 60.0 X 291512 0 35827 Lance Luria MD 60.0 X 393486 0 13956 Tanya Marion 60.0 X 0 160391 16041 Michael Merrigan 60.0 X 320923 0 65228 Lynda Schibler 60.0 X 163344 0 28661 James Brookhart 60.0 X 377473 0 61698 Michael Gillen 60.0 X 257795 0 23132 Roger Huckfeldt MD 60.0 X 245198 0 27701 Robert Norton 60.0 X 229904 0 27351 Michele Schaefer 60.0 X 416586 0 64462 3340332 5815705 1566528 135 false true false METRO AVIATION INC PO BOX 7008 SHREVEPORT LA 71137 AIRCRAFT OPERATIONS 3915596 DEWITT AND ASSOC INC PO BOX 3378 GS SPRINGFIELD MO 65808 CONSTRUCTION 2547049 INTERMEDIX 6451 N Federal Highway Suite 1000 FORT LAUDERDALE FL 33308 AMBULANCE BILLING 1264080 M MODAL SERVICES LTD 9009 Carothers Parkway Suite C2 FRANKLIN TN 37067 transcription 1112672 QUEST DIAGNOSTICS PO BOX 740709 ATLANTA GA 30374 LAB SERVICES 1109579 47 14674 14674 PATIENT SERVICE REVENUE 622110 956521541 954948771 1572770 RENTAL INCOME FROM RELATED ORG 531120 175889 175889 OTHER OPERATING REVENUE 900099 7963893 7963893 964661323 3669 3669 0 0 400552 30014 -400552 -30014 -430566 -430566 0 0 0 CAF & VENDING 900099 4472241 4472241 4472241 968721341 963088553 1572770 4045344 610 610 0 0 0 2039524 2039524 0 229417457 209577288 19840169 10543625 9573005 970620 33252111 30253032 2999079 16103618 14654292 1449326 0 0 200 200 0 0 0 29811089 29641248 169841 308066 282643 25423 17635271 13868506 3766765 73235 72755 480 0 13387214 11673571 1713643 1791517 1604414 187103 0 2064 2064 0 0 21119585 16895720 4223865 213 213 BAD DEBT EXPENSE 59095307 59095307 SHARED SERVICE FEES 211905784 199266717 12639067 REPAIRS & MAINTENANCE 9180974 8111357 1069617 MEDICAL SUPPLIES 197587595 197587595 3098704 919848 2178856 856353763 805119709 51234054 0 19370368 26132132 0 0 0 0 117793635 129731386 0 0 0 0 2824028 2403542 18723105 21233966 390321 46535264 410165951 214797626 189617085 195368325 61955945 0 0 11600397 976710 967280 0 0 2471070 17549596 414122267 451521888 126273400 136360484 10126 0 0 318604 0 0 0 0 0 0 0 341933 0 0 2721616 38403156 129005142 175424177 X 285117125 276097711 0 0 0 0 285117125 276097711 414122267 451521888 X 112367578 -121386992 X X false true true X false X false false false false false false false false true 54275 54275 false FORM 990, SCHedule C, PART II-B, LINE 1 (I) LOBBYING PORTION OF DUES THE FILING ORGANIZATION IS A MEMBER OF AND PAYS DUES TO THE FOLLOWING HOSPITAL ASSOCIATIONS: AMERICAN HOSPTIAL ASSOCIATION, MISSOURI HOSPITAL ASSOCIATION, AND CATHOLIC HEALTH ASSOCIATION. FOR THE YEAR ENDED JUNE 30, 2012, DUES WERE $54,658, $92,739.46, AND $207,550.28, RESPECTIVELY. APPROXIMATELY 24.6% OF AMERICAN HOSPITAL ASSOCIATION DUES, 32.5% OF MISSOURI HOSPITAL ASSOCIATION DUES, AND 5.15% OF CATHOLIC HEALTH ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED BY THESE ASSOCIATIONS. 12962183 12962183 145477492 37654113 107823379 638012 479526 158486 230802747 176108673 54694074 20285517 555314 19730203 195368325 0 DUE TO AFFILATES 38403156 38403156 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 FIN 48 (ASC 740), AS THEY ARE DEEMED IMMATERIAL FOR DISCLOSURE. true true X true X true X true true false true true 31341209 31341209 0.03930 132972859 128609513 4363346 0.00550 164314068 128609513 35704555 0.04480 1209702 50822 1158880 0.00150 2535196 2535196 0.00320 15624056 10279187 5344869 0.00670 1001922 852356 149566 0.00010 36208 36208 20407084 11182365 9224719 0.01160 184721152 139791878 44929274 0.05640 398639 398639 0.00050 8758 8758 223134 223134 0.00030 630531 630531 0.00080 true 17168369 200339099 242190741 -41851642 X true true 1 1 Mercy Hospital Springfield

1235 E Cherokee Springfield MO 65804

X X X X burn care Mercy Hospital Springfield 1 true true 100 true 400. true X X X true true X X X X true false true X false false 50 Mercy Branson Highway 248

1065 State Highway 248 Branson MO 65616

Physician Clinic/Practice w/ Urgent Care Mercy Branson Terrace Road

260 Terrace Road Branson MO 65616

Primary Care Small Galyean Office Center

670 Branson Landing Boulevard Suit Branson MO 65616

OP Rehab Mercy Branson West

18598 Business 13 Branson West MO 65737

Primary Care Small Mercy Buffalo

118 W Dallas Buffalo MO 65622

Primary Care Small Stone Castle Centre

404 W US Highway 54 Camdenton MO 65020

Physician Clinic/Practice Mercy Eminence

Highway 19 South Eminence MO 65466

Primary Care Small Mercy Green Forest

100 Medical Circle Green Forest AR 72638

Physician Clinic/Practice Mercy Hollister

290 Clift Court Hollister MO 65672

Primary Care Small Mercy Houston

1422 S Sam Houston Boulevard Houston MO 65483

Primary Care Small Mercy Lockwood

1307 S Main Street Lockwood MO 65682

Primary Care Small Mercy Marionville

1 North College Avenue Marionville MO 65705

Primary Care Small Mercy Marshfield

1040 W Washington Marshfield MO 65706

Primary Care Small Mercy Mountain Grove

120 W 16th Street Mountain Grove MO 65711

Primary Care Medium Mercy Mt Vernon

1319 S Landrum Mt Vernon MO 65712

Primary Care Small Mercy Nixa

940 W Mt Vernon Nixa MO 65714

Physician Clinic/Practice w/ Urgent Care Mercy Ozark

1106 W Jackson Street Ozark MO 65721

Primary Care Small Mercy Republic

332 S Main Republic MO 65738

Primary Care Small Mercy Richland

904 S Pine Richland MO 65556

Primary Care Small Mercy Rogersville

199 Johnstown Drive Rogersville MO 65742

Primary Care Small Mercy Seymour

418 W Steel Seymour MO 65746

Primary Care Small Mercy South Creek

2711 S Meadowbrook Avenue Springfield MO 658075924

Primary Care Small Mercy Villa

1100 E Montclair Street Springfield MO 65804

Skilled Nursing Mercy Surgery Center

1229 E Seminole Springfield MO 65804

Physician Clinic/Practice Hammons Heart Institute

1325 E Cherokee Springfield MO 65804

Hospital Mercy Behavioral Health Lark

1312 E Lark Street Springfield MO 65804

Behavioral Health Mercy Imaging Woodhurst

1344 E Woodhurst Springfield MO 65804

Imaging Center Mercy Therapy Services E Kearney

1660 E Kearney Street Springfield MO 65803

OP Rehab Mercy East Kearney

1640 E Kearney Street Springfield MO 65803

Primary Care Medium Marian Center

1845 Rogers Springfield MO 65804

Behavioral Health Mercy HealthTracks

4331 S Fremont Springfield MO 65804

Primary Care Medium Mercy Fremont

1965 S Fremont Springfield MO 65804

Physician Clinic/Practice Mercy Medical Gardens

2030 S National Avenue Springfield MO 65804

Physician Clinic/Practice Chub O'Reilly Cancer Center

2055 S Fremont Springfield MO 65804

Cancer Center Mercy Whiteside

2115 S Fremont Springfield MO 65804

Physician Clinic/Practice Mercy West Kearney

2120 W Kearney Street Springfield MO 65804

Physician Clinic/Practice w/ Urgent Care Mercy Sports Medicine

2135 S Fremont Springfield MO 65804

Physician Clinic/Practice Mercy W Kearney and Park

2212 W Kearney Street Springfield MO 65804

Primary Care Small Mercy East Sunshine

2730 E Sunshine Springfield MO 65804

Primary Care Medium Mercy Republic Road

2754 W Republic Road Springfield MO 65804

Primary Care Small Mercy Smith Glynn Callaway

3231 S National Avenue Springfield MO 65807

Physician Clinic/Practice w/ Urgent Care Mercy Home Health and Hospice Springfiel

1570 W Battlefield Springfield MO 65807

Home Care/Hospice Mercy Pain Management

2230 S Glenstone Springfield MO 65803

Physician Clinic/Practice Mercy Eye and Ear Center

3045 S National Avenue Springfield MO 658044268

Physician Clinic/Practice Mercy St James

107 W Eldon St James MO 65559

Primary Care Small Mercy St Robert

608 Old Route 66 St Robert MO 65584

Physician Clinic/Practice Mercy Steelville

518 Pine Steelville MO 65565

Primary Care Small Mercy Strafford

363 E Route 66 Strafford MO 65757

Primary Care Small Mercy Willard

403 E Walnut Lane Willard MO 65781

Primary Care Small Mercy Willow Springs

1202 E Main Street Willow Springs MO 65793

Primary Care Small FORM 990, SCHEDULE H, PART 1, LINE 6A THE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS PREPARED BY ITS PARENT ENTITY, MERCY HEALTH SPRINGFIELD COMMUNITIES. FORM 990, SCHEDULE H, PART I, LINE 7, COLUMN F TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) ARE $856,353,764. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $59,095,307. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $797,258,457. FORM 990, SCHEDULE H, PART II EXPLANATION Mercy Hospital-Springfield's community building and coalition building activities promote the health of the communities they serve through their participation in community-based events, meetings and by serving on community boards. Mercy involvement includes community groups like Breathe Easy Springfield, One Air Alliance, Medical Mile Development Committee, Chamber of Commerce Good Morning Springfield and Business After Hours, Springfield Fire & Police Pension Board, Health Collaboration on Smoking: Tobacco Free Springfield Coalition, American Heart Association. Mercy has also been active in the development of the Springfield-Greene County Health Commission, a group dedicated to working with and for members of our community with limited economic resources and who have limited access to health care needs and services. Coalition building with the meetings with public and diocesan school districts to discuss and develop the HealthTeacher health and wellness initiative offered at no charge to these schools. In-kind Donations include the Hospitality House which provides rooms, free of charge to families of patients that cannot afford alternatives. 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, SCHEUDLE 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 ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE 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 BALANCES WITH COLLECTION AGENCIES." FORM 990, SCHEDULE H, PART III, LINE 8 IT IS THE POSITION OF MERCY HOSPITAL SPRINGFIELD THAT 100% OF ANY SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT. THIS AMOUNT REPRESENTS THE 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 SPRINGFIELD'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 19D EACH HOSPITAL FACILITY USED THE AVERAGE DISCOUNT OF THE HIGHEST (BEST PAYING) THREE COMMERCIAL MANAGED CARE PAYERS AS THE BASIS FOR ESTABLISHING UNINSURED DISCOUNT RATES FOR FAP ELIGIBLE INDIVIDUALS. UNDER NO CIRCUMSTANCES, WILL THIS UNINSURED DISCOUNT BE LESS THAN 15%. FORM 990, SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT Tools used: Springfield Community Focus Report 2009; Buxton/Sg2 Community and Organizational Assessment 2010; County Health Rankings 2010; Missouri Hospital Association Southwest Region Assessing the Health of our Communities Report 2010; Springfield Health Commission Report 2010; Missouri Information for Community Assessment (MICA); Community Roundtable/Event Information 2010. Our organization hosted community roundtables to ask our community what they perceive as needs in the community and to listen to what they thought we needed to be doing as a health care organization. FORM 990, SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE MERCY HOSPITAL SPRINGFIELD HAS PRINTED MATERIAL AVAILABLE AT EACH POINT OF REGISTRATION IN OUR FACILITY, IN ADDITION TO ELECTRONIC AVAILABILITY AT OUR WEB SITE. SPECIFIC INFORMATION PROVIDED: FINANCIAL ASSISTANCE INFORMATION AS A PART OF OUR HEALING MINISTRY, MERCY HOSPITAL SPRINGFIELD 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) MUST FIRST FIND OUT IF THEY ARE ELIGIBLE FOR MEDICAID BEFORE APPLYING FOR FINANCIAL ASSISTANCE. PATIENTS DENIED MEDICAID ELIGIBILITY THEN MUST PROVIDE CERTAIN INFORMATION TO SHOW FINANCIAL NEED. 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 CONSID X X X true true false true false false false false false true false Allan Allphin MD 0 893183 0 17995 0 33690 0 17707 0 13778 0 976353 0 0 Jay Guffey 266639 0 53509 0 41612 0 69775 0 16101 0 447636 0 0 0 Alexander R Hover MD 0 475186 0 87363 0 48350 0 43443 0 10222 0 664564 0 0 Fred McQueary MD 0 635930 0 119285 0 52044 0 93817 0 13778 0 914854 0 0 Alan Scarrow MD 0 507252 0 14727 0 33340 0 9647 0 13778 0 578744 0 0 Stuart Stangeland 0 215887 0 45503 0 53905 0 25068 0 15634 0 355997 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 190368 0 48425 0 43558 0 23993 0 11975 0 318319 0 0 0 Bradley Kim Day 0 598570 0 203887 0 30702 0 422839 0 13427 0 1269425 0 0 William Hennessey III 0 132990 0 95312 0 52242 0 32357 0 14990 0 327891 0 0 Linda Knodel 220588 0 44776 0 26148 0 23923 0 11904 0 327339 0 0 0 Lance Luria MD 294342 0 52464 0 46680 0 11178 0 2778 0 407442 0 0 0 Tanya Marion 0 111560 0 30030 0 18801 0 3958 0 12083 0 176432 0 0 Michael Merrigan 214349 0 66366 0 40208 0 49457 0 15771 0 386151 0 0 0 Lynda Schibler 111401 0 24936 0 27007 0 17558 0 11103 0 192005 0 0 0 James Brookhart 248132 0 74502 0 54839 0 49192 0 12506 0 439171 0 0 0 Michael Gillen 208729 0 28981 0 20085 0 6812 0 16320 0 280927 0 0 0 Roger Huckfeldt MD 203333 0 0 41865 0 12924 0 14777 0 272899 0 0 0 Robert Norton 155529 0 47600 0 26775 0 12250 0 15101 0 257255 0 0 0 Michele Schaefer 310176 0 63076 0 43334 0 56610 0 7852 0 481048 0 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. FORM 990, Schedule J, Part I, Question 3 Mercy Hospital 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, Schedule J, Part I, Question 4b Mercy Hospital Springfield 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: Jay Guffey, Alexander Hover, Frederick McQueary, Stuart Stangeland, Jon Swope, Christopher Knackstedt, Bradley Day, William Hennessey, Linda Knodel, Michael Merrigan, James Brookhart, and Michele Schaefer. 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 Hospital Springfield 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 THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH SPRINGFIELD COMMUNITIES. SUBJECT TO CONSULTATION WITH THE BOARD OF DIRECTORS, 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 SHALL OPERATE; -TO ADOPT OR AMEND THE ARTICLES OF INCORPORATION AND BYLAWS IN ACCORDANCE WITH ARTICLES XII OF THESE BYLAWS; -TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, A MEMBER OF THE BOARD OF DIRECTORS OF THE CORPORATION; -TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, THE PRESIDENT OF THE CORPORATION AFTER CONSULTATION WITH THE SYSTEM; -TO APPROVE OR AMEND THE OVERALL 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 CONSOLIDATED OPERATING, CAPITAL, AND CONSTRUCTION BUDGETS 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 MERCY HEALTH; -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 AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE CORPORATE MEMBER; -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 GENERAL NOT-FOR-PROFIT CORPORATIONS ("THE ACT"); -TO APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION CONTROLLED BY THE CORPORATION; AND, -TO APPROVE CONTRACTS IN WHICH THE CORPORATION ASSUMES FINANCIAL RISK, INCLUDING BUT NOT LIMITED TO MANAGED CARE CONTRACTS. FORM 990, PART VI, QUESTION 11B DSCRB 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, QUESTION 15A AND 15B OFFICE & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FOR THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS), THE ORGANIZATION RELIED 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 FROM TIME TO TIME 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 OTHER CHANGES IN NET ASSETS INCLUDES NET TRANSFERS TO MERCY INVESTMENT FUND = ($135,000,000) TRANSFERS TO/FROM MCS FOR CAPITALIZED INTEREST = $154,683 TRANSFERS TO/FROM AFFILIATES = $13,458,325 TOTAL OTHER CHANGES IN NET ASSETS = ($121,386,992) 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 COMMITTEES OF MERCY HEALTH'S BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE. 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 Clinic Springfield Communities 1965 Fremont Street Ste 2950 Springfield MO 65804 431560263 Phys Group MO 501(C)(3) 9 MHSC 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 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 CLINIC SPRINGFIELD COMMUNITIES N 212129 FMV MERCY CLINIC SPRINGFIELD COMMUNITIES O 66387258 FMV Mercy Foundation for Health Innovation P 80569 FMV Mercy Health East Communities p 90304 FMV Mercy Health Foundation Springfield O 1601396 FMV Mercy Health Southwest MissouriKansas Comm p 3076120 FMV Mercy Hospital Aurora O 7815440 FMV Mercy Hospital Berryville O 8111067 FMV Mercy Hospital Cassville o 5339322 FMV Mercy Hospital Joplin n 54352 FMV Mercy Hospital Joplin O 3520548 FMV Mercy Hospital Joplin p 272191 FMV Mercy Hospital Lebanon p 5661355 FMV Mercy Hospitals East Communities n 177694 FMV Mercy Hospitals East Communities p 54340 FMV Mercy Medical Research Institute o 2572788 FMV Mercy St Francis Hospital o 11608281 FMV MHM Support Services o 32431772 FMV Resource Optimization & Innovation LLC o 21563551 FMV Resource Optimization & Innovation LLC p 305975 FMV FORM 990, SCHEDULE R, PART V LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY HEALTH SYSTEM, INC. 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 O AND P.