2012-05-14T15:12:29-05:00 2011-06-30 ERNST & YOUNG US LLP 190 CARONDELET PLAZA SUITE 1300 CLAYTON MO 63105 990 2010-07-01 270814858 MERCY HOSPITAL JOPLIN F/K/A MERCY HEALTH OF JOPLIN INC MERC 3146283557 2817 ST JOHNS BLVD Joplin MO 64804 SHELLY HUNTER 2012-05-07 3142901000 2010 2016-02-24 21:20:13Z X Gary Pulsipher CEO 2817 ST JOHNS BLVD Joplin MO 64804 232848340 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. 9 6 2250 300 860445 112437 162342 1034427 162227475 201160744 379476 91913 3753410 30561256 166522703 232848340 246394 812590 0 0 61310527 90662461 0 0 0 86987433 122738183 148544354 214213234 17978349 18635106 65808820 100991741 37328173 53648139 28480647 47343602 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 14007632 0 102919608 From the Mercy sisters who founded our hospital in 1896 as a 10-bed hospital to the 367-bed regional care facility and post disaster 60 bed temporary hospital, 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. Heart care at Mercy Hospital Joplin begins with a focus on healthy living strategies and specialized programs, and extends to the most advanced technologies and treatments. Our cardiologists and cardiovascular surgeons work together as a team to identify the best possible treatment for every patient. As we celebrate the 30th anniversary of Mercy Hospital Joplin's Cardiovascular Program, we remember the pioneering physicians who established the program - the first of its kind in the four-state area. But we also celebrate all of the patients whose hearts and lives have been restored through the work of our dedicated cardiology team. 874231 0 6494033 Mercy Hospital Joplin's Center for Cancer Care offers 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, used by our experienced team of medical and radiation oncologists, pathologists, radiologists, nurses, therapists and allied health professionals. Though the May 22, 2011 tornado destroyed access to many of our services and on-campus facilities, we still offer the extensive services you need. We direct your care as needed through our partnerships with other facilities. Technology is just one tool in your fight against cancer. Your prognosis improves dramatically when your treatment includes support for your body, mind and spirit. That's why we offer the best nursing care, nutritional counseling and support groups. We also understand how the impact of cancer extends beyond the patient. That's why our entire staff remains sensitive to the needs of family and friends. 4841107 0 35509855 Mercy Hospital Joplin treats severe traumas around the clock in one of the state's most advanced, and most active, trauma centers. Our trauma center is currently serving as a Level III trauma center, and will move to a Level II in Spring 2012 with the opening of our new component hospital. During FY2011 the emergency department saw 36,955 patients. Mercy Hospital Joplin is committed to providing access to rapid critical care throughout the community. With two MedFlight helicopter bases strategically located across the region, we're able to quickly reach patients over the four-state area within 19 counties. The crew of 25 members proudly operates this valuable service while maintaining an impeccable safety record and logging 627 flights during the year. 120195052 812590 85721714 139918022 true true false true false false false false false true false false true false false false true false false false false false false false false true true true true true false false false false false false true false false false false false false true true true false false true 7 0 true 2250 true true true false false false false false false false false false X 9 6 false false false false true true true true true false false true true true true true true false true false X Gary Pulsipher CEO 4176252200 2817 ST JOHNS BLVD JOPLIN MO 64804 X Joseph Graham 1.0 X 0 0 0 Dr Stephen Bazzano 1.0 X 0 0 0 Sr Annerene Brau RSM 1.0 X 0 0 0 Rick Brown 1.0 X 0 0 0 Dr Brian Curtis 60.0 X 0 1194147 16714 Sr Victoria Incrivaglia RSM 1.0 X 0 0 0 Danny Thomas 1.0 X 0 0 0 Shelly Hunter 60.0 X X 0 235210 19975 Gary W Pulsipher 60.0 X X 0 477648 42839 Theresa Wachter 60.0 X 173093 0 19976 Robert S Watson 60.0 X 197683 0 11432 Dottie Bringle 60.0 X 252512 0 26343 James E Privitera 40.0 X 201660 0 461 Carole E Eastman 40.0 X 171566 65162 10902 Paul S Kern 40.0 X 165632 0 16946 Sarah A Boyd 40.0 X 136123 0 4679 Dennis G Manley 40.0 X 133719 0 19477 Gary Jordan 60.0 X 0 321330 32785 1431988 2293497 222529 36 true true false APOGEE MEDICAL MANAGEMENT 2525 E CAMELBACK RD STE 1100 PHOENIX AZ 85016 HOSPITALIST SVCS 904750 RENAL CARE GROUP JOPLIN ACUTE PO BOX 49478 WICHITA KS 67201 DIALYSIS SVCS 794809 SODEXO INC AND AFFILIATES 4880 PAYSPHERE CIR CHICAGO IL 60674 FOOD/ENVIRO SVCS 785666 ORTHOPAEDIC SPECIALISTS OF 4 STATES 444 FOUR STATES STE 1 GALENA KS 66739 ORTHOPAEDIC SUPPORT 771009 MAYO MED LAB PO BOX 9146 MINNEAPOLIS MN 55480 LABORATORY SVCS 743311 41 602913 431514 17363 1034427 Patient Services 621400 111404429 111404429 DME 900099 1870576 1656786 213790 Lab Services 621500 87426756 87211374 215382 Mercy Discovery Daycare 624410 458983 27710 431273 201160744 71500 71500 0 0 1076790 1076790 1076790 1076790 20413 20413 20413 20413 0 0 0 ARCH AIR REIMBURSE OF OPERATING EXPENSES 611710 513416 513416 Cafeteria 722210 906479 906479 Insurance Proceeds 541700 27897663 27897663 166908 166908 29484466 232848340 229784765 860445 1168703 92164 92164 720426 720426 0 0 745836 574543 171293 0 71069796 54747529 16322267 3569801 2749815 819986 9940386 344631 9595755 5336642 4110815 1225827 0 43418 43418 99642 99642 0 0 0 9471835 6152801 3319034 378708 10787 367921 52553976 48494316 4059660 13850716 163026 13687690 0 6836278 888432 5947846 463612 301182 162430 0 23183 17700 5483 0 10871 10871 1892093 1248323 643770 822507 822507 BAD DEBT 15456461 15456461 SYSTEM FEES 15496943 35000 15461943 PHYSICIAN PURCHASED SERVICES 4521125 3007669 1513456 All other expenses 816815 802402 14413 214213234 139918022 74295212 0 35594363 12758120 306907 347731 4873875 332870 0 95060 4380847 139781 11035460 4241066 1014320 1201004 12983895 82015890 65808820 100991741 36116713 53536611 174297 111528 1037163 0 37328173 53648139 X 28442906 47401007 37741 -57405 28480647 47343602 65808820 100991741 X 18635106 227849 X X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 12228 12228 SUPPLEMENTAL INFORMATION FORM 990, SCHEDULE C, PART II-B THE FILING ORGANIZATION IS A MEMBER OF AND PAYS DUES TO THE FOLLOWING HOSPITAL ASSOCIATIONS: AMERICAN HOSPITAL ASSOCIATION AND MISSOURI HOSPITAL ASSOCIATION. FOR THE YEAR ENDED JUNE 30, 2011, DUES WERE $24,365, AND $50,651.99 , RESPECTIVELY. APPROXIMATELY 16.3% OF AMERICAN HOSPITAL ASSOCIATION DUES, AND 16.3% OF MISSOURI HOSPITAL ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED BY THESE ASSOCIATIONS. 2295597 2295597 365178 54731 310447 7711 3493 4218 184568 39104 145464 1527793 42453 1485340 4241066 DUE FROM AFFILIATES 81852421 MISC RECEIVABLES 163469 82015890 UNCERTAIN TAX POSITIONS UNDER ASC 740 FORM 990, SCHEDULE D, PART X THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF MERCY HEALTH AND SUBSIDIARIES DO NOT INCLUDE A FOOTNOTE TO REPORT THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER ASC 740, AS THEY ARE DEEMED IMMATERIAL FOR DISCLOSURE. true true X true X true X true true false true true 4992969 0 4992969 0.02510 22920349 6106030 16814319 0.08460 0 0 0 0.00000 27913318 6106030 21807288 0.10970 1717159 58189 1658970 0.00830 394398 0 394394 0.00200 814285 513419 300866 0.00150 252731 23046 229685 0.00120 2644662 0 2644662 0.01330 5823235 594654 5228577 0.02630 33736553 6700684 27035865 0.13600 104 0 104 0.00000 9 14595 272497 200323 72174 0.00040 2 15210 40422 0 40422 0.00020 2 3 11850 0 11850 0.00010 3 22610 142016 0 142016 0.00070 1 46672 0 46672 0.00020 17 52418 513561 200323 313238 0.00160 true 3517541 0 90474276 110254396 -19780120 X true true METS AMBULANCE SERVICES 0.50000 LANDMARK HOSPITAL LONG-TERM ACUTE CARE FACILITY 1 1 Mercy Hospital Joplin

2727 McClelland Blvd Joplin MO 64804

X X X Mercy Hospital Joplin 1 PART I, LINE 3C 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. CHARITY/MEDICAL INDIGENCE PARAMETERS CHARITY/MEDICAL INDIGENCE PARAMETERS ARE BASED ON FEDERAL INCOME POVERTY (FPL) GUIDELINES WHICH ARE UPDATED ANNUALLY. GENERALLY, NO PATIENT'S FINANCIAL RESPONSIBILITY SHALL BE GREATER THAN 10% OF THE HOUSEHOLD ADJUSTED GROSS INCOME, SUBJECT TO AN ASSET TEST. THIS DETERMINATION SHALL BE MADE PER EPISODE OF CARE WHERE INCOME EXCEEDS 300% OF THE FPL, AND, WHEN WARRANTED, IN AGGREGATE FOR MULTIPLE EPISODES. THE PARAMETERS WILL BE REVIEWED ANNUALLY WITH THE FPL UPDATES. THE REVIEW WILL INCLUDE ASSESSMENT OF THE SLIDING SCALE RANGES, MAXIMUM OUT OF POCKETS, AND OVERALL IMPACT TO THE FACILITIES AND SYSTEM. REVISIONS WILL BE COMPLETED AS WARRANTED. PART I, LINE 6A N/A PART I, LINE 7G N/A PART I, LINE 7, COLUMN F OUR TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) WAS $214,213,234. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS $15,456,461. THIS LEFT A TOTAL EXPENSE OF $198,756,773 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F). PART I, LINE 7 N/A PART III, LINE 4: THE TEXT OF THE FOOTNOTE THAT IS INCLUDED IN MERCY HEALTH AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE IS AS FOLLOWS: "PATIENT ACCOUNTS THAT ARE UNCOLLECTED, INCLUDING THOSE PLACED WITH COLLECTION AGENCIES, ARE INITIALLY CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN ACCORDANCE WITH COLLECTIONS POLICIES OF THE HEALTH SYSTEMS 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 ASSESS 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." 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. THE FILING ORGANIZATION DETERMINED THAT THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS $0. ALTHOUGH THE CHARITY CARE POLICY REQUIRES THE PARTICIPATION OF THE PATIENT REQUESTING ASSISTANCE, WE HAVE A PROCESS UNDER PRESUMPTIVE CHARITY (REFER TO DISCLOSURE FOR PART III, #9B) TO ADDRESS ACCOUNTS FOR PATIENTS WHO DO NOT PROVIDE THE INFORMATION. WE BELIEVE THAT OUR CHARITY POLICY IS COMPREHENSIVE ENOUGH TO CAPTURE ALMOST ALL PATIENTS WHO QUALIFY FOR CHARITY CARE. PART III, LINE 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). PART III, LINE 9B: MERCY HOSPITAL JOPLIN'S ("MERCY") DEBT COLLECTION POLICY PROVIDES THAT MERCY WILL PERFORM A REASONABLE REVIEW OF EACH INPATIENT ACCOUNT BEFORE TURNING AN ACCOUNT OVER 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 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 $10,000. 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. ANNUALLY REVIEWS COMPLIANCE WITH ALL POLICIES. NEEDS ASSESSMENT MERCY HOSPITAL JOPLIN'S COMMUNITY BENEFIT PLAN IS BASED ON OUR UNDERSTANDING OF UNIQUE COMMUNITIES' NEEDS DERIVED FROM COLLABORATIVE NEEDS ASSESSMENTS, FOCUS GROUPS, AND SURVEYS CONDUCTED WITH OUR COMMUNITY PARTNERS. THE JASPER AND NEWTON COUNTIES COMMUNITY HEALTH COLLABORATIVE (CHC) WAS FORMED IN 1999 AS A COLLABORATIVE ENTITY OF HEALTH AND HUMAN SERVICE PROVIDERS WITH A GENERAL DESIRE TO REDUCE DUPLICATION OF EFFORTS, THEREBY PROVIDING A MORE EFFICIENT USE OF LIMITED RESOURCES. ADDITIONALLY, IT WAS GENERALLY RECOGNIZED THAT THE HEALTH OF THE COMMUNITY WAS NOT THE RESPONSIBILITY OF ANY ONE ENTITY, BUT RATHER REQUIRED THE COORDINATED EFFORTS OF MANY ENTITIES - PUBLIC AND PRIVATE - TO REALIZE AN IMPROVED HEALTH STATUS OF A COMMUNITY. THE CHC HAS BEEN WORKING FOR SEVERAL YEARS TO MEASURE AND IMPROVE THE HEALTH STATUS OF THE COMMUNITY. THE JASPER AND NEWTON COUNTIES COMMUNITY HEALTH COLLABORATIVE COMPLETED AN IN-DEPTH COMMUNITY HEALTH STATUS REPORT IN JANUARY 2006 AND A NEW COMMUNITY ASSESSMENT IS NEARLY COMPLETED. THE REPORT REFLECTS THE COMPILATION AND ANALYSIS OF EXTENSIVE DATA SOURCES TO IDENTIFY ISSUES HAVING A SIGNIFICANT IMPACT ON THE HEALTH AND GENERAL WELL BEING OF AREA RESIDENTS. SUMMARY OF ASSESSMENT FINDINGS THE TEN ISSUES WERE THEN PRIORITIZED THROUGH A GROUP PRIORITIZATION PROCESS. COMMUNITY STAKEHOLDERS WERE INVITED TO PRIORITIZE THE ISSUES OF MOST IMPORTANCE TO THEM, KEEPING IN MIND HOW AWARE THE COMMUNITY WAS OF EACH ISSUE AND HOW DIFFICULT THE ISSUE WAS TO CHANGE. AS A RESULT, THE ISSUES FELL INTO THE FOLLOWING ORDER OF PRIORITY. 1. HEALTHY BEHAVIORS 2. CHILD AND MATERNAL HEALTH 3. SMOKING AND TOBACCO 4. ACCESS TO HEALTH CARE SERVICES 5. DISEASE AND MORTALITY 6. UNINTENTIONAL INJURIES 7. ENVIRONMENT 8. PERSONAL AND FAMILY SAFETY 9. INCOME, EMPLOYMENT, AND EDUCATION 10. ALCOHOL AND DRUGS PATIENT ELIGIBILITY FOR ASSISTANCE THE FILING ORGANIZATION HAS PRINTED MATERIAL AVAILABLE AT EACH POINT OF REGISTRATION IN OUR FACILITY, IN ADDITION TO ELECTRONICALLY AVAILABILITY AT OUR WEB SITE. SPECIFIC INFORMATION PROVIDED: FINANCIAL ASSISTANCE INFORMATION AS A PART OF OUR HEALING MINISTRY, THE FILING ORGANIZATION IS COMMITTED TO PROVIDING QUALITY HEALTHCARE SERVICES TO PATIENTS REGARDLESS OF THEIR FINANCIAL SITUATION. WE OFFER PAYMENT ASSISTANCE FOR THOSE WHO DO NOT HAVE INSURANCE OR WHO ARE IN FINANCIAL NEED. UNINSURED PATIENT DISCOUNTS A DISCOUNT FROM THE HOSPITAL'S REGULAR BILLED CHARGES WILL BE PROVIDED TO PATIENTS WHO DO NOT HAVE INSURANCE. THIS INCLUDES PATIENTS WHOSE FINANCIAL SITUATION NORMALLY WOULD NOT OTHERWISE QUALIFY THEM FOR CHARITY CARE DISCOUNTS. PATIENTS true Rotary District 5110 11616 S Fulton Ave Tulsa OK 74130 731507085 43903 book expired medical supp MED SUPPLIES THIRD WORLD COUNTRIES Community Health Clinic of Joplin 701 S Joplin Joplin MO 64801 431643962 5816 book FLU MIST FLU MIST FOR CLINIC Community Health Clinic of Joplin 701 S Joplin Joplin MO 64801 431643962 28000 clinic support GENERAL SUPPORT 2 0 DISASTER RELIEF 251 585550 INDIGENT SERVICES 1352 134876 cost MEDICAL SVCS Description of Organization's Procedures for Monitoring the Use of Grants Form 990, Schedule I, PART I, LINE 2 THE GRANT MANAGER OVERSEES THE GRANT INCOME AND EXPENSES MONITORING THEM MONTHLY. THE GRANT MANAGER ALSO PREPARED AND SUBMITS ALL REQUIRED DOCUMENTS TO THE GRANTING ORGANIZATIONS. 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 Gary Jordan 0 181037 0 65035 0 75258 0 21154 0 11631 0 354115 0 0 Dr Brian Curtis 0 1161560 0 9857 0 22730 0 6340 0 10374 0 1210861 0 0 Shelly Hunter 0 174946 0 42844 0 17420 0 8215 0 11760 0 255185 0 0 Gary W Pulsipher 0 339518 0 131876 0 6254 0 31063 0 11776 0 520487 0 0 Theresa Wachter 142279 0 26927 0 3887 0 13713 0 6263 0 193069 0 0 0 Robert S Watson 156403 0 31135 0 10145 0 4972 0 6460 0 209115 0 0 0 Dottie Bringle 186651 0 39553 0 26308 0 17183 0 9160 0 278855 0 0 0 James E Privitera 9877 0 10526 0 181257 0 0 0 461 0 202121 0 0 0 Carole E Eastman 23569 19968 14740 0 133257 45194 8441 0 2407 54 182414 65216 0 0 Paul S Kern 70897 0 0 0 94735 0 9604 0 7342 0 182578 0 0 0 Dennis G Manley 115713 0 8224 0 9782 0 13425 0 6052 0 153196 0 0 0 Supplemental Compensation Information FORM 990, SCHEDULE J, PART I, QUESTION 1A CHARTER TRAVEL IS PROVIDED TO ALL EMPLOYEES AS DEEMED NECESSARY FOR BUSINESS TRAVEL AND PURSUANT TO THE APPROVAL BY THE FINANCE DEPARTMENT. 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 UNDER LIMITED CIRCUMSTANCES 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 HEALTH OF JOPLIN RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTION 15A AND 15B FOR THE PROCESS THE RELATED ORGANZATION FOLLOWS. FORM 990, SCHEDULE J, PART I, QUESTION 4A THE FOLLOWING INDIVIDUALs RECEIVED A SEVERANCE PAYMENT DURING CALENDAR 2010: GARY JORDAN $26,067, CAROLE EASTMAN $132,260, PAUL KERN $59,412, AND JAMES PRIVITERA $170,311 FORM 990, SCHEDULE J, PART I, QUESTION 4B MERCY HEALTH OF JOPLIN 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 SHELLY HUNTER, DOTTIE BRINGLE, BRADLEY DAY, AND GARY PULSIPHER. 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 JOPLIN PROVIDES A NON-FIXED BONUS PLAN FOR WHICH CERTAIN TIERS OF ITS EMPLOYEES ARE ELIGIBLE. FOR FISCAL YEAR 2011 (JULY 1, 2010 - JUNE 30, 2011) PAYMENT OF ALL OR PART OF THE BONUS IS CONTINGENT UPON ATTAINMENT OF CERTAIN FINACIAL 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 ARE REVIEWED BY THE EXECUTIVE COMPENSATION COMMITTEE OF MERCY HEALTH AND ARE THEN TAKEN INTO ACCOUNT WHEN ANALYZING EXECUTIVE COMPENSATION FOR REASONABLENESS. SHAWN DODSON FAMILY MBR OF KEY EMPL 14491 EMPLOYMENT false NAME CHANGES DUE TO MERCY HEALTH REBRANDING FORM 990, HEADING, BOX B DURING THE TAX YEAR ENDED JUNE 30, 2012, SISTERS OF MERCY HEALTH SYSTEM ("MERCY HEALTH") BEGAN A SYSTEM-WIDE REBRANDING INITIATIVE TO HELP PATIENTS, PHYSICIANS, CO-WORKERS, AND THE PUBLIC BETTER UNDERSTAND THE FULL SCOPE AND LOCATIONS OF MERCY HEALTH'S SERVICES. SEVERAL OF THE MERCY HEALTH AFFILIATES HAVE CHANGED OR ARE IN THE PROCESS OF CHANGING LEGAL NAMES. PRIOR TO FILING THE 2010 FORMS 990 (DUE MAY 15, 2012), MERCY HEALTH NOTIFIED THE IRS OF THESE NAME CHANGES, THEREFORE BOX B "NAME CHANGE" HAS NOT BEEN CHECKED ON THIS FORM 990. REFER TO SCHEDULE R, PART VII FOR A LIST OF THE NAME CHANGES. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, QUESTION 6, 7A & 7B 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 SSU 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. DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, QUESTION 11B 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 ORGANIZATION'S FORM 990S. AFTER QUESTIONS ARISING FROM THE VARIOUS REVIEWS ARE ADDRESSED AND INCORPORATED INTO THE FORM 990, A REVISED DRAFT IS PROVIDED TO THE FILING ORGANIZATION'S LEADERSHIP TEAM, INCLUDING THE CEO AND CFO, 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. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, QUESTION 12C ALL BOARD MEMBERS ANNUALLY COMPLETE THE CONFLICT OF INTEREST (COI) STATEMENT. THE COI IS REVIEWED BY THE CRO AND ANY DISCREPANCY IS DISCUSSED WITH THE BOARD MEMBER AND RECTIFIED. BEFORE EACH BOARD MEETING, THE BOARD MEMBERS ARE ASKED IF THEY HAVE ANY CONFLICTS WITH RESPECT TO ANY TOPICS TO BE DISCUSSED. IF THERE IS A CONFLICT, THAT BOARD MEMBER WILL NOT PARTICIPATE IN THAT PART OF THE MEETING. MANAGERS, DIRECTORS AND ABOVE ARE REQUIRED TO DISCLOSE ANY CONFLICTS OF INTEREST AND DISCLOSE ANY SITUTATIONS THAT COULD BECOME A CONFLICT OF INTEREST ANNUALLY. THE ORGANIZATION HAS A MONTHLY COMPLIANCE MEETING WHERE POTENTIAL CONFLICTS ARE ADDRESSED. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FORM 990, PART VI, QUESTIONS 15A & 15B FOR THOSE CLASSIFED 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 THE 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. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, QUESTION 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS HAVE BEEN MADE AVAILABLE UPON REQUEST BUT ARE NOT PUBLISHED PUBLICLY. AVERAGE HOURS PER WEEK FORM 990, PART VII, SECTION A, COLUMN B 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. OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, LINE 5 Transfers to affiliates $(29,503) TRANSFERS TO MCS ($194,000) changes in prior year unallocated net income $497,894 RELEASE OF TEMP-RESTRICTED NET ASSETS ($95,146) AUDITED FINANCIAL STATEMENTS FORM 990, PART XII, LINE 2B THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN MERCY HEALTH'S ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 2010 (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 THE MERCY HEALTH BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE. Advance Care Hospital 300 Werner St 3rd Floor Hot Springs AR 71913 710816634 Hospital AR 501(C)(3) 3 Mercy Health Mercy Hospital Lebanon 100 Hospital Drive Lebanon MO 65536 431767432 Hospital MO 501(C)(3) 3 MHSC Mercy Health Foundation Berryville 214 Carter Street Berryville AR 72616 710759301 Foundation AR 501(C)(3) 11a MH Berryvill Casa de Misericordia 1000 Mier Street Laredo TX 780404653 742912461 Shelter TX 501(C)(3) 7 MM Laredo Mercy Hospital Healdton 918 South Street Healdton OK 73438 263173902 Hospital OK 501(C)(3) 3 MH Ardmore Laredo Medical Group 14528 S Outer Forty Ste 100 Chesterfield MO 63017 742764726 Inactive TX 501(C)(3) 9 MHS-TX McAuley Portfolio Management Company 14528 S Outer Forty Ste 100 Chesterfield MO 63017 261708048 Port Mgmt MO 501(C)(3) 11b Mercy Health Mercy Hospital El Reno 2115 Parkview Drive El Reno OK 73036 736617948 Hospital OK 501(C)(3) 3 Mercy Health Mercy Emergency Medical Services Inc 4300 W Memorial Road Oklahoma City OK 73120 810627035 Inactive OK 501(C)(3) 9 MHOC Mercy Foundation for Health Innovation 14528 S Outer Forty Ste 100 Chesterfield MO 63017 200901499 Foundation MO 501(C)(3) 11b Mercy Health Mercy Health Foundation Fort Scott 401 Woodland Hills Blvd Fort Scott KS 66701 481077073 Foundation KS 501(C)(3) 11c Mercy KS Com Mercy Health Foundation OK City 4300 W Memorial Road Oklahoma City OK 73120 731593024 Foundation OK 501(C)(3) 11a MHOC Mercy Hospital Oklahoma City 4300 W Memorial Road Oklahoma City OK 73120 730579285 Hospital OK 501(C)(3) 3 MHOC Mercy Hospital Columbus 220 Pennsylvania Avenue Columbus KS 66725 270842031 Hospital MO 501(C)(3) 3 MHSMKC Mercy Health Foundation Joplin 2727 McClelland Blvd Joplin MO 64804 270906136 Foundation MO 501(C)(3) 11a MHSMKC Mercy Health SW MOKS Communitites 2727 McClelland Blvd Joplin MO 64804 300584463 Hlth System MO 501(C)(3) 11b Mercy Health Mercy Kansas Communities Inc 401 Woodland Hills Blvd Ft Scott KS 66701 480956045 Hospital KS 501(C)(3) 3 MHSMKC Mercy Health NW Arkansas Communities 2710 Rife Medical Drive Rogers AR 72758 621684203 Phys Group AR 501(C)(3) 11b Mercy Health Mercy Health System of Texas Inc 14528 S Outer Forty Ste 100 Chesterfield MO 63017 742764727 Inactive TX 501(C)(3) 11b Mercy Health Mercy Health Oklahoma Communities 4300 W Memorial Road Oklahoma City OK 73120 731453048 Holding co. OK 501(C)(3) 11b Mercy Health Mercy Health Foundation Independence 800 W Myrtle Independence KS 67301 481079981 Foundation KS 501(C)(3) 11a Mercy KS Com Mercy Hospital of Laredo 14528 S Outer Forty Ste 100 Chesterfield MO 63017 741189682 Inactive TX 501(C)(3) 3 MHS-TX Mercy Clinic East Communites 645 Maryville Centre Dr St 100 St Louis MO 63141 431771217 Phys Group MO 501(C)(3) 9 MHEC Mercy Health Foundation Ardmore 1011 14th Avenue NW Ardmore OK 73401 710962525 Foundation OK 501(C)(3) 11a MH Ardmore Mercy Hospital Ardmore 1011 14th Avenue NW Ardmore OK 73401 731500629 Hospital OK 501(C)(3) 3 MHOC Mercy Clinic Oklahoma Communities 4300 W Memorial Road Oklahoma City OK 73120 270473057 Phys Group OK 501(C)(3) 9 MHOC MHM Support Services 14528 S Outer Forty Ste 100 Chesterfield MO 63017 202553101 Sup Hlth Sys MO 501(C)(3) 11b Mercy Health Mission Clinical Services 300 Werner Street Hot Springs AR 71913 134239691 nursing home AR 501(C)(3) 9 MHHSC Mercy Hospital Berryville 214 Carter Street Berryville AR 72616 710759299 Hospital AR 501(C)(3) 3 MHSC Mercy Health 14528 S Outer Forty Ste 100 Chesterfield MO 63017 431423050 Sup Hlth Sys MO 501(C)(3) 1 NA Mercy Family Center 14528 S Outer Forty Ste 100 Chesterfield MO 63017 721069468 counseling MO 501(C)(3) 7 Mercy Health Mercy Hospital Ozark 801 W River Street Ozark AR 72949 710689680 Hospital AR 501(C)(3) 3 MHFS Mercy Hospital Paris 500 E Academy Paris AR 72855 710655753 Hospital AR 501(C)(3) 3 MHFS Mercy Hospital Waldron 1341 W 6th Street Waldron AR 72958 710557895 Hospital AR 501(C)(3) 3 MHFS Mercy Clinic Fort Smith Communitites 7301 Rogers Avenue Fort Smith AR 72917 261318597 Phys Clinic AR 501(C)(3) 9 MHFSC St Edward Mercy Foundation PO Box 17000 Fort Smith AR 72917 237330425 Foundation AR 501(C)(3) 7 MHFS Mercy Health Fort Smith Communities 7301 Rogers Avenue Fort Smith AR 72917 261318515 Holding Co. AR 501(C)(3) 11b Mercy Health Mercy Hospital Fort Smith 7301 Rogers Avenue Fort Smith AR 72917 710240352 Hospital AR 501(C)(3) 3 MHFSC Mercy St Francis Hospital 100 W Highway 60 Mountain View MO 65548 440607149 Hospital MO 501(C)(3) 3 MHSC Mercy Hospital Aurora 500 Porter Avenue Aurora MO 65605 431936696 Hospital MO 501(C)(3) 3 MHSC Mercy Hospital Cassville 94 Main Street Cassville MO 65625 431936699 Hospital MO 501(C)(3) 3 MHSC St John's Children's Hospital Inc 1235 E Cherokee Street Springfield MO 65804 431423050 Inactive MO 501(C)(3) 3 MHSC Mercy Clinic Springfield Communities 1965 Fremont Street Ste 2950 Springfield MO 65804 431560263 Phys Group MO 501(C)(3) 9 MHSC Mercy Health Foundation Springfield 1235 E Cherokee Street Springfield MO 65804 320195818 Foundation MO 501(C)(3) 11b MHSC Mercy Health Springfield Communitites 1235 E Cherokee Street Springfield MO 65804 431856028 Holding Co MO 501(C)(3) 11b Mercy Health Mercy Home Health Berryville 214 Carter Street Berryville AR 72616 870781247 Home Health AR 501(C)(3) 11c MH Sprngfld Mercy Medical Research Institute 1235 E Cherokee Street Springfield MO 65804 870796305 Research MO 501(C)(3) 4 MHSC Mercy Health Foundation St Louis 14528 S Outer Forty Ste 100 Chesterfield MO 63017 562410020 Foundation MO 501(C)(3) 11b MHEC Mercy Health East Communities 14528 S Outer Forty Ste 100 Chesterfield MO 63017 431718408 Hlth System MO 501(C)(3) 11b Mercy Health Mercy Hospitals East Communities 14528 S Outer Forty Ste 100 Chesterfield MO 63017 430653493 Hospital MO 501(C)(3) 3 MHEC Mercy Health Foundation Washington 901 E Fifth Street Washington MO 63090 562410022 Foundation MO 501(C)(3) 11b MHEC Mercy Support Services 615 S New Ballas Road St Louis MO 63141 431677952 Inactive MO 501(C)(3) 11c MHEC Mercy Hospital Springfield 1235 E Cherokee Street Springfield MO 65804 440552485 Hospital MO 501(C)(3) 3 MHSC Mercy Clinic Hot Springs Communitites 1 Mercy Lane Hot Springs AR 71913 261125131 Phys Clinic AR 501(C)(3) 9 MHHSC Mercy Hospital Hot Springs 300 Werner Street Hot Springs AR 71913 710236913 Hospital AR 501(C)(3) 3 MHHSC Mercy Health Foundation Hot Springs 300 Werner Street Hot Springs AR 71913 710804718 Foundation AR 501(C)(3) 11b MHHS Mercy Health Hot Springs Communities 300 Werner Street Hot Springs AR 71913 261125064 Holding Co AR 501(C)(3) 11b Mercy Health Mercy Hospital Rogers 2710 Rife Medical Lane Rogers AR 72758 710294390 Hospital AR 501(C)(3) 3 MHNWAC Mercy Health Foundation NW Arkansas 2710 Rife Medical Lane Rogers AR 72758 710601687 Foundation AR 501(C)(3) 11c MH Rogers St Mary's Hospital of Enid Oklahoma 14528 S Outer Forty Ste 100 Chesterfield MO 63017 730614655 Inactive OK 501(C)(3) 3 MHOC The Sister M Cornelia Blasko Foundation 100 W Highway 60 Mountain View MO 65548 431873914 Foundation MO 501(C)(3) 11a MSFH Unity Ambulatory Care 645 Maryville Centre Dr St 100 St Louis MO 63141 431861745 Inactive MO 501(C)(3) 11c MHEC Mercy Hospital Tishomingo 1000 South Byrd Tishomingo OK 73460 274433830 Hospital OK 501(C)(3) 3 MH Ardmore Mercy Ministries of Laredo 2500 Zacatecas Laredo TX 780466814 200198462 outreach TX 501(C)(3) 7 Mercy Health 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 RESEARCH MO NA C-Corp Mercy Community Services Inc 401 Woodland Hills Blvd Fort SCOTT KS 66701 481078101 CATERING 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 MHP Inc 14528 S Outer Forty Suite 300 Chesterfield MO 63017 431697084 HOLDING COMP DE 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 INACTIVE MO NA C-Corp false false false false false false false false false false false false false false false true false false Mercy Hospital Joplin p 1127768 FORM 990, SCHEDULE R, PART II NAME CHANGES DUE TO MERCY HEALTH REBRANDING *MERCY MEDICAL GROUP IS NOW MERCY CLINIC EAST COMMUNITIES *ST. EDWARD MERCY CLINIC, INC. IS NOW MERCY CLINIC FORT SMITH COMMUNITIES *ST. JOSEPH'S MERCY CLINIC, INC. IS NOW MERCY CLINIC HOT SPRINGS COMMUNITIES *MERCY PHYSICIANS OF OKLAHOMA, INC. IS NOW MERCY CLINIC OKLAHOMA COMMUNITIES *ST. JOHN'S CLINIC, INC. IS NOW MERCY CLINIC SPRINGFIELD COMMUNITIES *SISTERS OF MERCY HEALTH SYSTEM IS NOW MERCY HEALTH *ST. JOHN'S MERCY HEALTH CARE IS NOW MERCY HEALTH EAST COMMUNITIES *ST. EDWARD MERCY HEALTH SYSTEM, INC. IS NOW MERCY HEALTH FORT SMITH COMMUNITIES *MERCY MEMORIAL HEALTH CENTER FOUNDATION IS NOW MERCY HEALTH FOUNDATION ARDMORE *CARROLL HEALTH FOUNDATION IS NOW MERCY HEALTH FOUNDATION BERRYVILLE *MERCY HEALTH CENTER FOUNDATION IS NOW MERCY HEALTH FOUNDATION FORT SCOTT *ST. JOSEPH'S MERCY HEALTH FOUNDATION IS NOW MERCY HEALTH FOUNDATION HOT SPRINGS *MERCY HOSPITAL FOUNDATION OF INDEPENDENCE, INC. IS NOW MERCY HEALTH FOUNDATION INDEPENDENCE *MERCY HEALTH OF JOPLIN FOUNDATION IS NOW MERCY HEALTH FOUNDATION JOPLIN *ST. MARY'S HOSPITAL FOUNDATION IS NOW MERCY HEALTH FOUNDATION NORTHWEST ARKANSAS *MERCY HEALTH CENTER FOUNDATION, INC. IS NOW MERCY HEALTH FOUNDATION OKLAHOMA CITY *ST. JOHN'S FOUNDATION FOR COMMUNITY HEALTH INC. IS NOW MERCY HEALTH FOUNDATION SPRINGFIELD *ST. JOHN'S MERCY FOUNDATION IS NOW MERCY HEALTH FOUNDATION ST. LOUIS *ST. JOHN'S MERCY HOSPITAL FOUNDATION IS NOW MERCY HEALTH FOUNDATION WASHINGTON *ST. JOSEPH'S MERCY HEALTH SYSTEM, INC. IS NOW MERCY HEALTH HOT SPRINGS COMMUNITIES *MERCY HEALTH SYSTEM OF NORTHWEST ARKANSAS, INC. IS NOW MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES *MERCY HEALTH SYSTEM, INC. IS NOW MERCY HEALTH OKLAHOMA COMMUNITIES *MERCY HEALTH SYSTEM-JOPLIN, INC. IS NOW MERCY HEALTH SOUTHWEST MISSOURI/KANSAS COMMUNITIES *ST. JOHN'S HEALTH SYSTEM, INC. IS NOW MERCY HEALTH SPRINGFIELD COMMUNITIES *ST. JOHN'S HOME CARE OF BERRYVILLE, INC. IS NOW MERCY HOME HEALTH BERRYVILLE *MERCY MEMORIAL HEALTH CENTER, INC. IS NOW MERCY HOSPITAL ARDMORE *ST. JOHN'S AURORA, INC. IS NOW MERCY HOSPITAL AURORA *OZARKS REGIONS HEALTH SYSTEM, INC. IS NOW MERCY HOSPITAL BERRYVILLE *ST. JOHN'S CASSVILLE, INC. IS NOW MERCY HOSPITAL CASSVILLE *MERCY HEALTH MHMCH, INC. IS NOW MERCY HOSPITAL COLUMBUS *MERCY EL RENO HOSPITAL CORPORATION IS NOW MERCY HOSPITAL EL RENO *ST. EDWARD MERCY MEDICAL CENTER IS NOW MERCY HOSPITAL FORT SMITH *HEALDTON MERCY HOSPITAL CORPORATION IS NOW MERCY HOSPITAL HEALDTON *ST. JOSEPH'S MERCY HEALTH CENTER IS NOW MERCY HOSPITAL HOT SPRINGS *MERCY HEALTH OF JOPLIN, INC. IS NOW MERCY HOSPITAL JOPLIN *BREECH REGIONAL MEDICAL CENTER IS NOW MERCY HOSPITAL LEBANON *MERCY HEALTH CENTER, INC. IS NOW MERCY HOSPITAL OKLAHOMA CITY *ST. EDWARD HEALTH FACILITIES OF FRANKLIN COUNTY IS NOW MERCY HOSPITAL OZARK *ST. EDWARD HEALTH FACILITIES OF LOGAN COUNTY IS NOW MERCY HOSPITAL PARIS *ST. EDWARD HEALTH FACILITIES OF SCOTT COUNTY IS NOW MERCY HOSPITAL WALDRON *ST. MARY-ROGERS MEMORIAL HOSPITAL, INC. IS NOW MERCY HOSPITAL ROGERS *ST. JOHN'S REGIONAL HEALTH CENTER IS NOW MERCY HOSPITAL SPRINGFIELD *MERCY TISHOMINGO HOSPITAL CORPORATION IS NOW MERCY HOSPITAL TISHOMINGO *ST. JOHN'S MERCY HEALTH SYSTEM IS NOW MERCY HOSPITALS EAST COMMUNITIES *ST. JOHN'S MERCY MEDICAL CENTER IS NOW MERCY HOSPITAL ST LOUIS *ST. JOHN'S MERCY HOSPITAL IS NOW MERCY HOSPITAL SPRINGFIELD *MERCY HEALTH SYSTEM OF KANSAS, INC. IS NOW MERCY KANSAS COMMUNITIES *MERCY HEALTH CENTER, INC. IS NOW MERCY HOSPITAL FORT SCOTT *MERCY HOSPITAL IS NOW MERCY HOSPITAL INDEPENDENCE *ST. JOHN'S MEDICAL RESEARCH INSTITUTE, INC. IS NOW MERCY MEDICAL RESEARCH INSTITUTE *ST. FRANCIS HOSPITAL, MOUNTAIN VIEW, MISSOURI IS NOW MERCY ST. FRANCIS HOSPITAL *ST. JOHN'S MERCY SUPPORT SERVICES IS NOW MERCY SUPPORT SERVICES 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 VII, IN LINES O AND P.