2011-05-13T13:02:48-05:00 2010-06-30 Pleus and Company LLC 14323 S Outer Forty Ste 310N Chesterfield MO 63017 990 2009-07-01 430653493 ST JOHN'S MERCY HEALTH SYSTEM STJO 3142516000 615 S NEW BALLAS ROAD ST LOUIS MO 63141 CHERYL MATEJKA 3143643532 2011-05-11 1 3143179916 2009 2016-02-24 21:20:13Z Michael McCurry 615 S NEW BALLAS ROAD ST LOUIS MO 63141 963858037 0 0928 X www.stjohnsmercy.org X 1891 MO St. Johns Mercy Health System operates two hospitals that are located in Creve Coeur (St. Louis metropolitan area) and Washington, MO. 10 3 8332 580 6183683 0 10030495 6888842 949787121 938974147 1691423 336071 1744484 12138699 963253523 958337759 341302 611406 0 431733696 433300596 114129 0 0 464165426 472866324 896354553 906778326 66898970 51559433 747037769 711162304 161254519 137766794 585783250 573395510 As the Sisters of Mercy before us, we bring to Life the healing ministry of Jesus through our compassionate care and exceptional service. 0 0 816272126 611406 937402617 St. John's Mercy Health System ("SJMHS") provides quality medical health care regardless of race, creed, sex, national origin, handicap, age or ability to pay. In active pursuit of this mission, SJMHS provided services to 48,031 inpatients, 111,669 emergency room visits, 966,309 outpatient visits, and 53,537 clinic visits.SJMHS is a Catholic health care corporation that, pursuant to the organizational core belief that health care services are a vital and integral part of the Church's healing mission, engages in a ministry which provides general acute care, ambulatory, long-term and home care health services to individuals and families in its service communities. Consistent with the organization's commitment to social accountability and the provision of community benefit, SJMHS offers other services and programs which further health promotion, maintenance and care. SJMHS's services include two clinics which were established specifically for individuals who are uninsured or underinsured and do not have a means to pay for healthcare services. These clinics provide a significant focus on prenatal care. Many clinic patients were also treated, on a charitable basis, as inpatients. In response to the increased needs of the underinsured in the St. Louis area, these clinics have continually expanded, offering new services to more patients. The institution continues to focus on the provision of primary health services and education to the community, regardless of their means to pay for these services. The organization also has a continuing commitment to health research and to health education at all levels.Although reimbursement for services rendered is critical to the continued ability to provide healthcare services to all patients, SJMHS recognizes that not all individuals possess the ability to purchase essential medical services and, further, that part of our mission is to provide healthcare services and healthcare education to the communities in which our facilities are located. In keeping with SJMHS's commitment to serve all members of the communities it serves, SJMHS provides (i) free care and/or subsidized care; (ii) care to persons covered by governmental programs at below cost; (iii) health activities and programs to support the community; (iv) health education programs; and, (v) a variety of broad community support activities. Among the community support activities offered by SJMHS are the following: Community Education Programs Support Group Meetings Health Fairs and Screenings Immunizations Provision of Free Health Information Home Delivered and Congregate Meals Indigent Care Clinics Pre-Natal and Well Baby Care for the Indigent Health Professions Education Programs Support of Community Programs, including active United Way participant, Provision of Scholarships, Healthcare for the Homeless Coalition, etc. Provider of Financial Counseling and Discharge Counseling Services for all Patients Provision of Chapels in each Hospital and Chaplains/Religious Lay Staff to Minister to the Religious Needs of any Patient and their Families. Volunteer AssociationSJMHS provides care to patients who lack financial resources and are deemed to be medically indigent. As defined by the institution's charity policy, SJMHS does not pursue collection of amounts determined to qualify for charity care. In addition, SJMHS provides services to other patients under the Medicare Program and various state Medicaid programs. Such programs pay providers amounts that are substantially less than billed charges, and frequently less than the cost, of the services provided to the recipients. Care is provided to those with limited or no ability to pay. The cost, net of any payment received (net cost), to SJMHS of providing care to persons qualifying for charity or Medicaid totaled $44,566,046 in the year ended 6/30/10. Additionally, the net cost for services provided to elderly and disabled patients under the Medicare program totaled $42,717,268. These amounts do not include the cost of health activities and programs to support the community, health education programs and other community support activities. The services provided by SJMHS, as well as the amount of charity care provided, demonstrate the ongoing commitment of the organization to serve in a leadership role as an advocate for responsive healthcare services for the community, with a deep commitment and sensitivity to meeting the needs of the poor.Each activity for which income is reported in column (B) of Part VIII is undertaken in furtherance of the organization's healthcare and community benefit mission described above. 816272126 1 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 0 0 8332 1 1 1 0 0 0 0 0 0 0 0 10 3 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 1 1 X Denise Scoffic 3143642959 645 MARYVILLE CENTRE STE 100 St Louis MO 63141 John Arnold 3.00 X 0 0 0 Charles Rehm MD 60.00 X X 0 195174 31904 Sr Judith CarronRSM 1.30 X X 0 0 0 Roger Steinbecker 1.00 X 0 0 0 Thomas RiechersMD 50.00 X 0 358740 28600 Keith StarkeMD 75.00 X X 363153 0 36957 Denny Margaret DeNarvaez 60.00 X X 0 833559 188861 Cheryl Matejka 60.00 X X 0 326517 50971 John Howard 60.00 X X 0 339784 88200 Michael McCurry 50.00 X X 0 1002387 528188 Christine Crain 60.00 X 323863 0 116849 Eric Eoloff 60.00 X 271918 0 42272 Virginia Frank 52.00 X 293813 0 45739 Patricia Geldbach 58.00 X 241805 0 53771 John Hermann 54.00 X 0 369322 110627 Paul Hintze 60.00 X 427669 0 116545 Joseph Kahn 52.00 X 282090 0 30270 Donald Kalicak 60.00 X 0 264801 93445 Dennis Keithly 50.00 X 284051 0 77965 Terri McLain 60.00 X 367298 0 57640 Francine Merenghi 58.00 X 0 299146 12477 Tracey Moffatt 60.00 X 294840 0 52909 Curtis Thompson 50.00 X 0 312608 83875 Christopher Veremakis 50.00 X 369742 0 57322 Steven Bollin 50.00 X 167888 0 17804 Donna Frazier 50.00 X 190922 0 22088 Lyn Hurst 50.00 X 0 256513 6315 Kim Onesko 50.00 X 0 230077 19476 Burt BrombergMD 55.00 X 543549 0 31054 Luke BrunsMD 55.00 X 539773 0 31562 Dharam GoelMD 55.00 X 541987 0 37446 Rachel Borson MD 55.00 X 694163 0 16841 John MooreMD 55.00 X 598802 0 17295 Randall Combs X 0 756685 269572 Sheri D Beekman 60.00 X 0 327770 82514 Robert Ruello X 0 210652 46699 Michael Zilm X 372090 0 79417 7169416 6083735 2583470 342 1 1 0 McCarthy Building Companies 1341 North Rock Hill Road St Louis MO 63124 Construction 31832435 Alberici Constructors 8800 Page Avenue Overland MO 63114 Construction 6634939 McKesson Specialty Dist One Post Street San Francisco CA 94104 Consulting 6137365 Alsco Inc 505 East South Temple Salt Lake City UT 84102 Linen Services 3460139 Signature Health Services 9701 Landmark Pkwy Drive St Louis MO 63127 Physician Services 3269042 81 6611214 277628 6888842 NET PATIENT REVENUE 621110 938974147 938974147 938974147 287816 287816 7229540 5520278 1709262 1709262 1709262 48255 48255 48255 48255 Cafeteria/Coffee Shop 722320 5817284 5817284 Pharmacy - Retail 624100 4232746 4232746 Seminars/Education 621110 1924669 1924669 -1545262 -3496199 1950937 10429437 958337759 937402617 6183683 7862617 611406 611406 3832834 3832834 143163 143163 340415491 330285228 10130263 16675708 15961368 714340 49155059 48700768 454291 23078341 22663585 414756 1904954 354542 1550412 258106 258106 119915379 77409817 42505562 557962 531318 26644 1471519 912606 558913 56389539 29322560 27066979 10849273 10598671 250602 1593424 1476722 116702 1044904 1044904 56191210 55774701 416509 10508002 9986991 521011 SUPPLIES 174729340 174124976 604364 BAD DEBT EXPENSE 26188839 26188839 EQUIPMENT REPAIRS & MAI 8467985 8462537 5448 2795888 1717424 1078464 906778326 816272126 90506200 0 80176176 23471516 120024462 135957756 11111353 11481024 838266 1260717 1040138573 527845252 510938906 512293321 236518 237511 2441940 2936565 8705181 5316539 12564967 18207355 747037769 711162304 103608436 102744263 789366 939690 2976330 2475618 13032753 12781192 40847634 18826031 161254519 137766794 X 583867173 571361312 1916077 2034198 585783250 573395510 747037769 711162304 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 34826 0 0 0 34826 0 Part II-B, Line 1i: Explanation of Other Lobbying Activities: The filing organization is a member of and pays dues to the following hospital associations: Missouri Hospital Association, Catholic Health Association, and American Hospital Association. For the year ended June 30, 2010, dues were $74,966, $110,210, and $66,355, respectively. Approximately 16.3% of Missouri Hospital Association dues, 5.46% of Catholic Hospital Association dues, and 25% of American Hospital Association dues were attributable to lobbying activities performed by these associations. 8896793 8896793 640596754 334425453 306171301 8745076 6603576 2141500 249532266 177375949 72156317 132367684 9440274 122927410 512293321 DEFERRED COMPENSATION 5870395 OTHER LIABILITIES 3467507 L-T Notes Payable 558588 L-T Notes Payable - Sisters of Mercy 8929541 18826031 Part X: Description of Uncertain Tax Positions Under FIN 48: The consolidated audited financial statements of the Sisters of Mercy Health System, Inc. and Subsidiaries do not include a footnote to report the organization's liability for uncertain tax provisions under FIN 48, as they are deemed immaterial for disclosure. 1 1 X 1 X 1 X 1 1 1 0 1 1 27440010 0 27440010 0.03120 108433806 91307770 17126036 0.01940 135873816 91307770 44566046 0.05060 2275094 9345 2265749 0.00260 5513224 76621 5436603 0.00620 0 0 802723 0 802723 0.00090 523006 523006 0.00060 9114047 85966 9028081 0.01030 144987863 91393736 53594127 0.06090 17723 17723 0.00000 63 63 0.00000 3329 3329 0.00000 95 95 0.00000 90533 90533 0.00010 44931 44931 0.00010 156674 156674 0.00020 1 7682807 0 158825120 201542388 -42717268 X 1 1 St Johns Mercy SRS LLC Medical Equipment Rental 0.40000 0.60000 Mercy Equipco-Oncology ServicesLLC Medical Equipment Rental 0.50000 0.50000 St Johns Mercy Medical Center

615 S New Ballas Road St Louis MO 63141

X X X X X St Johns Mercy Hospital

901 E Fifth Street Washington MO 63090

X X X SJMDHSLLC (Dubuis Hospital of St Louis)

13190 South Outer 40 Chesterfield MO 63017

X St Johns Mercy Rehabilitation LLC

14561 North Outer 40 Chesterfield MO 63017

X Part III, Line 4: The text of the footnote that is included in the Sisters of Mercy Health System, Inc. and Subsidiaries audited financial statements that describes bad debt expense follows: "Patient accounts that are uncollected, including those placed with collection agencies, are initially charged against the allowance for uncollectible accounts in accordance with collections policies of the Health System and, in certain cases, are reclassified to charity care if deemed to otherwise meet the health system's charity care policy. The provision for uncollectible receivables is based 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: The Medicare shortfall was computed using the annual Medicare cost report (CMS Form 2552-96). It is the position of St. John's Mercy Health System that 100% of the shortfall should be treated as community benefit. This amount represents the costs of providing services that remain uncompensated to the provider. Part III, Line 9b: St. John's Mercy Health System (SJMHS) will utilize the Search America tool to enhance our ability to determine charity qualification. Presumptive charity will be granted in situations where we have been unable to obtain information from our patients or the information provided is not complete enough to make a charity determination. SJMHS will utilize presumptive charity prior to bad debt placement for charity adjustments in excess of $6,500. In these cases, SJMHS will utilize the Search America report status of "probable charity" as the basis for the assigning the charity level.SJMHS 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, including legal action consistent with SJMHS mission and values, which 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 lien. SJMHS has policies and procedures established to address the initiation of legal action. SJMHS annually reviews collection agency compliance with all policies. Part VI, Line 2: St. John's Mercy Health System (SJMHS) conducted its most recent community health needs assessment, March - August 2010.In an effort to include input from both community individuals served by SJMHS and also those with expertise in public health, community roundtable meetings were held in Washington (3/30) and St. Louis (4/22) Missouri. Participants shared their views on both the current and future state of health in their communities. Focus included not only traditional health care services, but also prevention, education and wellness. Ideas for next steps and partnerships were surfaced along with identifying any potential barriers to success. A second step in the needs assessment process included the collection and analysis of available community/public health data sources. SJMHS staff, supported by Saint Louis University Masters of Public Health students, focused on eleven counties in SJMHS's service area: Crawford, Franklin, Gasconade, Jefferson, Lincoln, Osage, St. Charles, St. Louis, St. Louis City, Warren and Washington. Data for the assessment was obtained from a variety of sources:-Progress Toward Building a Healthier St. Louis - 2009 Access to Care ReportSt. Louis Regional Health CommissionEach year SJMHS's JFK Clinic is sited throughout the report as a major provider of care for the uninsured and underinsured in our region.-Children of Metropolitan St. Louis - 2009-10 Report to the Community Vision for Children at Risk This report provides valuable health and social service information relating to children and is critical as SJMHS plans for programs and services for families. -The County Health Rankings for 2010 This is a new resource that was unveiled in March 2010. It is county level data that will be updated annually by the University of Wisconsin - Population Health Institute and the Robert Wood Johnson Foundation. -Community Data Profiles & Missouri Information for Community Assessment (MICA) Missouri Department of Health & Senior Services - Bureau of Health Informatics This resource provides some of the best community health assessment planning tools available including community data profiles on 115 Missouri counties, thirty health indicators, and the capability to create customized tables. -Issues in Missouri Health Care 2009Health Management Association, Inc., Missouri Foundation for Health, Healthcare Foundation for Greater Kansas City-Data from SJMHS Information Systems DepartmentData from SJMHS's own records was pulled and used to assess the needs of the community. -Local county health departmentsLocal county health departments were contacted for information and it was discovered that even the smaller counties in SJMHS's service area had performed an assessment. All had some level of analysis within the past three years. SJMHS also looked at some of the counties in community, into Illinois, that have not historically been considered SJMHS's primary service areas but may offer opportunities to serve as SJMHS grows. After careful analysis of the data, five Community Health Priorities were identified: Injuries, Obesity, Smoking, Access to Care and Mental Health/Substance Abuse. A review was then conducted of current community benefit activities/what SJMHS was currently doing to meet these identified priorities, identifying any opportunities that might exist.The final and ongoing step of the process was the formation of a Community Collaborative Workstream. The scope of this group's work is to identify and evaluate various collaboration opportunities, with particular focus on the economically poor and underserved. Six sub-groups were identified and continue to meet and develop programming. The first five focus on "Access to Care": JFK Clinic, McAuley Clinic, Inappropriate use of the Emergency Department, Mental Health/Substance Abuse, and Dental Health. The final group is focusing on Health Literacy/Healthy Living and includes maximizing health education/prevention strategies with particular emphasis on partnerships with local schools.Mercy Neighborhood Ministry, a department of St John's Mercy Medical Center, is responsible for overseeing the Community Benefit/Community Health Steering team. The community needs assessment is updated on an ongoing basis as annual community/public health data is released. A summary of the needs assessment is available to the community on the Medical Center and Hospital websites. Part VI, Line 3: The filing organization has printed material available at each point of registration in our facility, in addition to electronically availability at our web site. 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 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 considered eligible for uninsured patient discounts. Eligibility Guidelines for Charity Care Discounts The Federal Poverty Guidelines for income are the basis for determining eligibility for charity care discounts. For example, individuals with incomes below 100% of the Federal Poverty Guidelines will be eligible for free care. Individuals with incomes greater than 100% of the Federal Poverty Guidelines may be eligible for care at discounted rates depending on their income level and/or the amount due to the hospital. Additional Financial Assistance After appropriate discounts have been applied, arrangements may be made for an interest-free monthly payment plan. Generally, no patient's financial responsibility will be greater than 10% of annual household income, adjusted to consider availability of other assets that could be used toward making payments. Part VI, Line 4: St. John's Mercy Health System (SJMHS) serves a large geographic area. St. John's Mercy Medical Center primarily serves those in the urban/suburban St. Louis City and County and St. Charles areas. St. John's Mercy Hospital serves the rural counties of Crawford, Franklin, Gasconade, Jefferson, Lincoln, Warren and Washington.According to the St. Louis Regional Health Commission, there has been an increase of 2.3% in the total safety net population between 2002 and 2008. The number of uninsured has increased while the number of Medicaid recipients has decreased. St. John's Mercy is seeing more uninsured both at the medical center and at the hospital. As a state, Missouri is doing better than most, ranking 21st in the number of uninsured individuals, and half of the counties examined in the needs assessment were under the Missouri rate of 14%. In St Louis City and County we see provider rates higher than the state average, but there is greater need and less access as you move out from the core region of the city/county. Because of this data, access to care for uninsured adults under 65 is one of the five health priorities identified by SJMHS in the needs assessment. There are 16 Federally Qualified Health Centers (FQHC) that serve as the primary safety net in St. Louis City and County. These health centers are all part of the Integrated Health Network and receive federal funds to primarily serve the uninsured and Medicaid populations. In addition to these 16 FQHCs there are several other health centers providing service to low income individuals, including St. John's Mercy JFK Clinic in St. Louis and the McAuley Clinic in Washington. The JFK Clinic receives no federal funds and is supported by SJMHS and charitable contributions/grants. Of special note, there is only one FQHC/community clinic in the SJMH-Washington region besides the St. John's Mercy McAuley Clinic. These two clinics serve the uninsured/Medicaid recipients of those in Crawford, Franklin, Gasconade, Jefferson, Lincoln, Warren and Washington counties. From the needs assessment, five health priorities have been identified. These priorities were chosen because of their high rates in the ten counties in the SJMHS service area in comparison to other health concerns.1. Unintended Injuries - Motor Vehicle Crash Deaths 6 of 10 counties analyzed ranked above the state average.Intended/Violent Crime - Family safety, abuse and neglect Health assessments from every county in St. John's Mercy's community mentioned safety as a concern affecting health. Although it appears that all counties are below the Missouri crime rate average, it is important to note that overall Missouri ranks in the lower quartile ranking 38th out of 50 states.2. Obesity St. John's Mercy counties rank poorly, at or above the Missouri average, and Missouri ranks 39th out of the 50 states.Health Literacy In Missouri, 1.6 million adults have limited health literacy. This attributes to $3.3 - $7.5 billion in unnecessary health care costs annually and this includes emergency department use for routine or delayed care. 3. Adult Smoking Five counties (St. Louis City, Franklin, Jefferson, Lincoln, Washington) have rates higher than the Missouri average and Missouri ranks 47th in prevalence of tobacco use.4. Access to Care - Uninsured Adults under 65Discussed at the beginning of Question 2.5. Mental Health & Substance AbuseMissouri ranks 35th, and seven of the counties in SJMHS's needs assessment reported higher levels of stress, emotional problems and depression than the state average.Binge Drinking (4 or more drinks for women and 5 or more for men)Missouri ranks in the middle at 25th with six St. John's Mercy counties ranking well above the state's 6% targeted value.Since 1871, St. John's Mercy Health System has been known for comprehensive family medical care, medical education, research, community services, and dedication to the Mercy values of compassion and caring for all members of the community. As one of the nation's largest Catholic hospitals and the second largest hospital in metropolitan St. Louis, SJMHS operates the only Level I Trauma Center and Level III Neonatal Intensive Care Unit in St. Louis County, and serves as the community hospital for patients with a variety of conditions and health needs. As a teaching and research hospital, St. John's Mercy utilizes innovative technology and draws health care professionals from across the nation who practice in nearly every clinical specialty.By providing comprehensive health services within the St. Louis community, St. John's Mercy has progressively evolved from a 25-bed infirmary for women and children in 1871 to our current Medical Center campus in west St. Louis County which comprises nearly 80 acres. The Medical Center campus includes: an 859-bed, fully accredited teaching hospital; a nine-level Heart and Vascular Hospital with 96 private patient rooms; a 100,000-square-foot Cancer Center with advanced diagnostic and treatment capabilities; dedicated inpatient women's health services, including a two-story addition exclusively for mothers and babies and featuring all private rooms; a comprehensive Children's Hospital, including a pediatric emergency department and the only pediatric intensive care unit in St. Louis County; a Surgery Center that provides inpatient and outpatient surgical services; and a 120-bed Skilled Nursing Center.St. John's Mercy Hospital - Washington is an acute care hospital offering comprehensive medical, surgical, obstetric and pediatric services. As the only Level III Trauma Center between St. Louis and Jefferson City, St. John's Mercy Hospital offers an experienced medical staff that is specially trained in trauma care. Located just 50 miles southwest of St. Louis, St. John's Mercy Hospital is committed to quality health care for its service area of more than 150,000 residents. Founded in 1926, St. John's Mercy Hospital serves residents of Franklin, Gasconade, Crawford, St. Charles and Warren counties. The Hospital came under the sponsorship of the Sisters of Mercy in 1976 and is a member of St. John's Mercy Health System and the Sisters of Mercy Health System.SJMHS has received numerous awards and accreditations. The Medical Center has received awards for: National Quality Recognition for Cardiovascular and Stroke Care (St. John's Mercy Heart and Vascular Physicians), Modern Healthcare's Top 100 Best Places to Work in Healthcare for Second Year, Missouri Hospital Association's 2009 Visionary Leadership Award to Denny DeNarvaez, president and CEO of St. John's Mercy Health Care, Modern Healthcare named St. John's Mercy the number two integrated delivery network in the nation. The Medical Center has also received the 2006 Primaris Hospital Quality Award. This annual award is given to only one hospital in the state of Missouri for attaining high performance and commitment to improving services in four quality areas.The following are accreditations received by SJMHS/SJMMC: St. John's Mercy Breast Center - first in Missouri to receive NAPBC Accreditation; accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF); accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO); St. John's Mercy Heart and Vascular Hospital designations; David C. Pratt Cancer Center designations; National Association of Children's Hospitals and Related Institutions (NACHRI).St. John's Mercy Hospital in Washington has received the Joint Commission Gold Seal of Approval, is listed in Consumer Reports as one of the top hospitals nationwide at averting bloodstream infections and is accredited by the College of American Pathologists. St. John's Mercy Hospital is also a five-time Solucient Top 100 Hospital, placing the Hospital in an elite group of hospitals nationwide who have received the Top 100 award five times. The Top 100 designation identifies hospitals for setting the highest hospital-wide performance in the nation. St. John's Mercy Hospital is also the recipient of the 2005 Primaris Hospital Quality Award. This annual award is given to only one hospital in the state of Missouri for attaining high performance and commitment to improving services in four quality areas. Part VI, Line 5: St. John's Mercy Health System's (SJMHS) community building activities promote the health of the communities in which they serve. Through active participation in community boards, neighborhood/community meetings and involvement in community-based events, such as the annual town fair in Washington, SJMHS demonstrates its ongoing commitment to the community. Community building activities serve as a link to engage Mercy coworkers to look beyond the walls of the facilities in which they serve. Programs such as the annual Adopt-a-Family Program link Mercy co-workers with those most in need in our community during the holiday season. In addition to providing food, clothing and other basic human needs, mental and emotional health of these families and individuals are supported. The Supported Employment Program is another example of reaching out to those in need in the community, this time to those with developmental disabilities who might otherwise be unable to find employment. SJMHS believes in the value and mutual benefit of engaging coworkers in activities that promote the extension of their talents to all in the community. St. John's Mercy is committed to partnering with both individuals and other agencies to improve the lives of those in our community through a holistic approach that includes mind, body and spirit. Below are just a few of SJMHS's Community Building activities:Life Skills Video - The Audiovisual Department created and produced a video to be used by the Lifeskills Organization, a community organization that attempts to place people with disabilities in the workforce. The video that was produced will help to explain the benefits of hiring people with disabilities to the CEOs and managers of community corporations.Special Services (Pastoral Services) - Provide special services (blessings, rite, rituals, funerals, etc.) to the community at large.Involvement in the Midwest Association of Healthcare Volunteer Resource Professionals - Educational meetings regarding volunteers in non-profit healthcare facilities (volunteer administrators in the St. Louis and surrounding area).Supported Employment Coordinator - The Supported Employment Coordinator coordinates services for applicants and co-workers with developmental disabilities.Advance St. Louis - Funds donated to Metro expansion campaign. If the proposal was approved, access to public transportation (bus and Metrolink) would increase. The ballot did pass in April 2010.Adopt-A-Family Program - SJMHS departments adopted families from the JFK Clinic and the Neighborhood Ministry and provided them with gifts such as household items (dishes, pots and pans, linens, etc.), toys and clothing, and assistance with utility bills. 136 families consisting of 518 total people were recipients of this program. Washington Town & Country Fair - Annual parade kicking off start of Washington Town & Country Fair. Part VI, Line 6: St. John's Mercy Health System (SJMHS) is a Catholic health care corporation that, pursuant to the organizational core belief that health care services are a vital and integral part of the Church's healing mission, engages in a ministry which provides general acute care, ambulatory, long-term and home care health services to individuals and families in its service communities. In keeping with SJMHS's commitment to serve all members of the communities it serves, SJMHS provides care to patients regardless of ability to pay. As defined by the institution's charity policy, SJMHS does not pursue collection of amounts determined to qualify for charity care. In addition, SJMHS provides services to other patients under the Medicare Program and various state Medicaid programs. Such programs pay providers amounts that are substantially less than billed charges, and frequently less than the cost, of the services provided to the recipients. SJMHS is governed by a Board of Directors which includes representation from community leaders in the organization's primary service areas. All board members are required to complete an annual Conflict of Interest survey. Any potential conflicts of interest disclosed by board members are screened by general counsel and reviewed by the board chairperson and CEO. This process ensures that public, rather than private, interests are served by SJMHS. Medical staff privileges are extended to all qualified physicians in the community for the majority of SJMHS clinical services. The exceptions include Radiology, Pathology, Anesthesiology, Neonatology, and CV surgery. As a result, over 90% of the physicians on staff are in categories that are open to qualified physicians in the community.Surplus funds and unrestricted assets held by SJMHS are reinvested in patient care, medical education and research initiatives which support the organization's mission to deliver compassionate care and exceptional health care services to the communities it serves. Examples include the following:-New patient tower dedicated to Mercy Children's Hospital - offering a full scope of pediatric services to improve the health and well-being of children in the communities served, regardless of ability to pay-New outpatient ambulatory facility in Clarkson Valley, MO (west of St. Louis) providing comprehensive cancer care and other services in one location-Expansion of emergency room facilities at St. John's Mercy Hospital in Washington, MO to meet the health care needs of this community-SJMHS established the Mercy Research Institute which is dedicated to improving patient outcomes by supporting new and potentially life-changing health research, including over 100 active clinical trials at St. John's Mercy Medical Center -Continued funding of graduate medical education program (provides residency training in family medicine, internal medicine, OB/Gyn, dental medicine, orthopedics and critical care) and schools of radiology, respiratory and clinical laboratory science. Part VI, Line 7: The filing organization is part of the Sisters of Mercy Health System ("Mercy"). Mercy is a Missouri non-profit corporation with its headquarters ("ministry office") in St. Louis, Missouri. Mercy provides health care services in four states - Arkansas, Kansas, Missouri, and Oklahoma - and has outreach ministries located in Louisiana, Mississippi, and Texas. Mercy's mission is "As the Sisters of Mercy before us, we bring life to the healing ministry of Jesus through our compassionate care and exceptional service." As of June 30, 2010, Mercy facilities included 28 hospitals with 3,718 acute licensed beds (3,300 acute available beds). For the fiscal year ended June 30, 2010, Mercy had more than 6.3 million outpatient visits, more than 1,200 employed physicians, and approximately 28,000 employees, making Mercy the eighth largest Catholic health system in the United States based on net patient service revenue. Mercy is sponsored by Mercy Health Ministry, which is governed by members that include Sisters of Mercy.Many services that are essential to fulfilling Mercy's mission are centralized at the Ministry Office. Such centralized services include Treasury, Information Technology, Clinical Quality Management, Legal and Compliance Counsel, Compensation and Benefits, Consulting, Performance Management, Revenue Management, Capital Management, Clinical Engineering, and Clinical Safety. The centralization of such support services enables Mercy to ensure that each of its communities, whether large or small, has the services it needs. MO 1 American Cancer Society 4207 Lindell Blvd St Louis MO 63108 741185665 501(c)(3) 5000 Support research for cancer Nurses for Newborns 7259 Lansdowne Suite 100 St Louis MO 63119 431601329 501(c)(3) 52635 Support continuity of health care to high risk infants Operation Food Search 6282 Olive Boulevard St Louis MO 63130 431241854 501(c)(3) 54609 FMV of food Food donation Support to assist in feeding the region's poor Susan B Komen Breast Cancer Fdtn 9288 Dielman Industrial Dr St Louis MO 63132 752844650 501(c)(3) 32500 Support research of breast cancer St Johns Mercy Foundation 615 S New Ballas Road St Louis MO 63141 562410020 501(c)(3) 30000 Support health care Ronald McDonald House 3450 Park Avenue St Louis MO 63104 431160478 501(c)(3) 50000 Support organization whose mission is to keep families close to seriously ill child Friends of Kids with Cancer 530 Maryville Centre Drive St Louis MO 63141 431614563 501(c)(3) 5000 Advocacy and support for kids with cancer and their families The Wellness Program 20 Archbishop May Drive St Louis MO 63119 431297933 501(c)(3) 30607 Support priests in proactively managing their health West County Multiple Sclerosis Center 621 S New Ballas Road Ste 5003-B St Louis MO 63141 270067529 501(c)(3) 31976 FMV of office space Office Space Support Center in providing service to multiple sclerosis patients St Johns Mercy Health Care 645 Maryville Centre Drive Ste 100 st Louis MO 63141 431718408 501(c)(3) 8400 Support health care 25 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: Grants are made to organizations which have an established history of providing health care support andor community benefit. If necessary, periodic reports are provided to us. Grants are made to related organizations, which provide reporting on the use of the funds and work closely with our organization. X X 1 1 1 1 0 0 0 0 0 1 0 Charles Rehm MD 0 190900 0 0 0 4274 0 19085 0 12819 0 227078 0 0 Thomas RiechersMD 0 293580 0 30689 0 34471 0 14610 0 13990 0 387340 0 0 Keith StarkeMD 334289 0 0 0 28864 0 24995 0 11962 0 400110 0 0 0 Denny (Margaret) DeNarvaez 0 592860 0 211861 0 28838 0 178850 0 10011 0 1022420 0 0 Cheryl Matejka 0 236680 0 50836 0 39001 0 37635 0 13336 0 377488 0 0 John Howard 0 263958 0 55769 0 20057 0 75174 0 13026 0 427984 0 0 Michael McCurry 0 542473 0 256532 0 203382 0 514367 0 13821 0 1530575 0 0 Christine Crain 220405 0 50785 0 52673 0 110102 0 6747 0 440712 0 0 0 Eric Eoloff 221895 0 42856 0 7167 0 29768 0 12504 0 314190 0 0 0 Virginia Frank 209758 0 44539 0 39516 0 33116 0 12623 0 339552 0 0 0 Patricia Geldbach 158292 0 35032 0 48481 0 42824 0 10947 0 295576 0 0 0 John Hermann 0 281983 0 61164 0 26175 0 97400 0 13227 0 479949 0 0 Paul Hintze 322634 0 65494 0 39541 0 102753 0 13792 0 544214 0 0 0 Joseph Kahn 240918 0 0 0 41172 0 17169 0 13101 0 312360 0 0 0 Donald Kalicak 0 190629 0 41268 0 32904 0 80721 0 12724 0 358246 0 0 Dennis Keithly 265931 0 62 0 18058 0 65948 0 12017 0 362016 0 0 0 Terri McLain 235115 0 88546 0 43637 0 44661 0 12979 0 424938 0 0 0 Francine Merenghi 0 128714 0 46814 0 123618 0 3331 0 9146 0 311623 0 0 Tracey Moffatt 231289 0 42779 0 20772 0 40224 0 12685 0 347749 0 0 0 Curtis Thompson 0 236628 0 52899 0 23081 0 66250 0 17625 0 396483 0 0 Christopher Veremakis 327580 0 0 0 42162 0 43378 0 13944 0 427064 0 0 0 Steven Bollin 130081 0 24657 0 13150 0 5636 0 12168 0 185692 0 0 0 Donna Frazier 147377 0 19566 0 23979 0 16550 0 5538 0 213010 0 0 0 Lyn Hurst 0 210088 0 25569 0 20856 0 5555 0 760 0 262828 0 0 Kim Onesko 0 152884 0 38751 0 38442 0 16629 0 2847 0 249553 0 0 Burt BrombergMD 442523 0 57109 0 43917 0 17039 0 14015 0 574603 0 0 0 Luke BrunsMD 473366 0 32109 0 34298 0 12658 0 18904 0 571335 0 0 0 Dharam GoelMD 493300 0 7109 0 41578 0 22996 0 14450 0 579433 0 0 0 Rachel Borson MD 653197 0 0 0 40966 0 4981 0 11860 0 711004 0 0 0 John MooreMD 575208 0 0 0 23594 0 5063 0 12232 0 616097 0 0 0 Randall Combs 0 503185 0 204501 0 48999 0 257594 0 11978 0 1026257 0 0 Sheri D Beekman 0 236906 0 67724 0 23140 0 74636 0 7878 0 410284 0 0 Robert Ruello 0 0 0 0 0 210652 0 46699 0 0 0 257351 0 0 Michael Zilm 114705 0 46854 0 210531 0 72271 0 7146 0 451507 0 0 0 Part I, Line 1a Charter travel is provided to certain employees as necessary for business travel pursuant to approval by the Chief Administrative Officer of Sisters of Mercy after approval for charter travel has been granted in accordance with the financial justification process. Approved charter travel for business is a reimbursable expense which is not taxable to the employees. Housing benefits are provided through a relocation program in accordance with company policy. The program has tiered benefits depending upon leadership level. Such benefits are subject to tax to the employee, Michael McCurry, for purposes of this Form 990. Payment by the company of costs for temporary housing by employees for the convenience of the company is made in accordance with the co-worker travel and other expense policy and procedures. As a reimbursable expense, this type of lodging is not taxable to the employee. Part I, Line 4a Robert Ruello received $207,866 of severance compensation from St. Johns Mercy Health Care. Francine Merenghi received $62,410 of severance compensation from St. Johns Mercy Health Care. Michael Zilm received $128,163 of severance compensation from St. Johns Mercy Health System. Part I, Line 4B: Sisters of Mercy Health System, the ultimate parent company, 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 following individuals participated in the following plans. There were no payments for the fiscal year ended 6/30/2010. Supplemental Executive Retirement Plan (SERP) Combs, Randy; DeNarvaez, Denny; McCurry, Michael Supplemental Management Retirement Plan (SMRP) Beekman, Sheri D; Crain, Christine; Frank, Virginia; Geldbach, Patricia; Eoloff, Eric; Hermann, John; Hintze, Paul; Howard, John S; Kalicak, Don; Matejka, Cheryl L; McLain, Terri L; Moffatt, Tracey; Hurst, Lyn; Ruello, Robert; Thompson, Curtis; Zilm, Michael The amount of all accrued benefits is included in compensation amounts provided in Schedule J, Part II, Column (C). Part I, Line 7 The filing organization provides a non-fixed bonus plan for which certain tiers of its employees are eligible. For fiscal year 2009 (July 1, 2008-June 30, 2009), payment of all or part of the bonus is contingent upon percentage attainment of (I) personal goals and (II) certain financial targets. For fiscal year 2010 (July 1, 2009-June 30, 2010), payment of all or part of the bonus is 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 (applicable only for fiscal year 2009). Bonus opportunities are tiered percentages and are dependent upon the leadership level and attainment percentage. Mercy's attainment of financial goals are validated by an external consulting firm and are then taken into account by the executive compensation committee of Mercy when analyzing executive compensation for reasonableness. Supplemental Information Part III Part I, Line 3: Sisters of Mercy Health System (parent company) is responsible for establishing the compensation of the organization's CEO/Executive Director. The following methods were used by Sisters of Mercy to establish compensation: -Independent compensation consultant -Written employment contract -Compensation survey or study -Approval by the board or compensation committee Emily Combs Family Member of Randall Combs, Former Officer 70611 Employment arrangement, St. Johns Mercy Health System 0 Cheryl Crain Family Member of Christine Crain, Key Employee 46075 Employment arrangement, St. Johns Mercy Health System 0 Evan Veremakis Family Member of Christopher Veremakis, Key Employee 25812 Employment arrangement, St. Johns Mercy Health System 0 Form 990, Part VI, Section A, line 6 The member of St. Johns Mercy Health System is St. Johns Mercy Health Care, a supporting organization under Section 509(a)(3). The member of St. Johns Mercy Health Care is Sisters of Mercy Health System. Form 990, Part VI, Section A, line 7a Sisters of Mercy Health System, the member of St. Johns Mercy Health Care, has reserve powers to appoint and remove all directors and officers for St. Johns Mercy Health System. Form 990, Part VI, Section A, line 7b THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED TO THE CORPORATE MEMBER (AND WITH REGARD TO CERTAIN POWERS AND RESPONSIBILITIES, TO SISTERS OF MERCY HEALTH SYSTEM, AS THE CORPORATE MEMBER OF THE CORPORATE MEMBER): -APPROVAL OF REVISIONS TO THE MISSION, VISION, AND OPERATING VALUES, PURSUANT TO WHICH THE CORPORATION OPERATES; -APPROVAL OF ANY AMENDEMNTS TO THE ARTICLES OF INCORPORATION AND THESE BYLAWS AND ANY AMENDMENTS TO THE ORGANIZATIONAL DOCUMENTS OF ANY AFFILIATE OF THE CORPORATION; -APPROVAL OF THE APPOINTMENT AND REMOVAL OF THE PRESIDENT OF THE CORPORATION, AS PROVIDED IN SECTIONS 7.2.1 AND 7.3 OF THE BYLAWS; -ADOPTION OF THE STRATEGIC PLAN, GOALS AND OBJECTIVES OF THE CORPORATION; -ADOPTION OF THE OPERATING, CAPITAL, AND ALL OTHER BUDGETS FOR THE CORPORATION; -APPROVAL OF THE ASSIGNMENT, TRANSFER, SALE OR LEASE OF ANY OF THE ASSETS OF THE CORPORATION OR ANY AFFILIATE OF THE CORPORATION IN EXCESS OF ONE MILLION DOLLARS ($1,000,000) IN ANY ONE OR SERIES OF RELATED TRANSACTIONS OCCURRING WITHIN ANY TWELVE (12) MONTH PERIOD; -AUTHORIZATION AND APPROVAL OF THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY AFFILIATE OF THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTY ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; -APPROVAL OF A PLAN OF MERGER, CONSOLIDATION, OR DISSOLUTION OF THE CORPORATION; -APPROVAL OF THE LEASE, MANAGEMENT, OR PURCHASE OF, OR AFFILIATION WITH, ANOTHER HOSPITAL OR HEALTH SYSTEM, OR HEALTH CARE FACILITY OR HEALTH CARE SYSTEM BY THE CORPORATION; AND, -APPROVAL OF THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION CONTROLLED BY THE CORPORATION. Form 990, Part VI, Section B, line 11 The Form 990 is prepared by an independent accounting firm, using information provided by the filing organization. A draft Form 990 is reviewed by the filing organization's finance leadership. The draft Form 990 is also reviewed by the Sisters of Mercy Health System's Tax department, to ensure accuracy and consistency with other related organizations' Form 990s. After questions arising from the various reviews are addressed and incorporated into the Form 990, a revised draft is provided to the filing organization's leadership team for review. Once reviewed and approved by the filing organization's leadership team, the Form 990 is provided to the Board of Directors for review; it is then signed and filed with the IRS. Form 990, Part VI, Section B, line 12c Annually, the business risk assessment and compliance team distributes a link to a conflict of interest survey, which must be completed by all covered individuals, including members of the Board of Directors, senior and executive leaders and persons with substantial influence by title (supervisors and above) or function. All disclosures of potential conflicts of interest reported by co-workers are reviewed by Business Risk and the Director of Corporate Compliance. If necessary, the Chief Financial Officer, General Counsel, and/or Chief Executive Officer may be involved in the review. Corporate Compliance coordinates the review and conflict resolution with the appropriate administrative vice president and with the advice of the General Counsel. All reported disclosures of potential conflicts by the Board of Directors are screened by the General Counsel and reviewed by the Board Chairperson and the CEO. All material conflicts requiring conflict resolution are reported at least annually to the Finance, Audit, and Compliance Committee of the Board. Form 990, Part VI, Section B, line 15a For those classified as officers (and thus Disqualified Persons), the Sisters of Mercy Health System (ultimate parent company) uses the following to establish the compensation: external market salary surveys, external market salary studies, engagement of an independent compensation consultant, and annual review/approval of compensation by the Executive Compensation Committee of the Sisters of Mercy Board. For those classified as key employees, the organization uses the following to establish the compensation: external market salary surveys, external market salary studies, and review/approval of executive management. Compensation reviews are completed on an annual basis, and a review was completed during the reporting year. Form 990, Part VI, Section C, line 19 Governing documents and financial statements have been made available from time to time but are not published publicly; we are not required to make these documents available to the public. Financial results are available via request of copy of Form 990. Part XI, Line 2 Audited Financial Statements The filing organization's financial statements were included in the Sisters of Mercy Health System, Inc. and Subsidiaries annual financial statement audit. The Sisters of Mercy Health System, Inc. 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 Sisters of Mercy Health System Board of Directors. Audit results are communicated to this committee. Form 990, Part XI, Line 3 Single Audit Act and OMB Circular A-133 The organization was included in a consolidated audit of Sisters of Mercy as required by the Single Audit Act and OMB Circular A-133. The single audit was conducted on a consolidated basis. Listing of included divisions and entities Federal EINS THE OPERATING RESULTS OF THE FOLLOWING ENTITIES, DIVISIONS, AND/OR SUBORDINATE ORGANIZATIONS OF ST. JOHN'S MERCY HEALTH SYSTEM ARE INCLUDED IN THE INFORMATION PRESENTED IN THE FORM 990 FOR THE YEAR ENDED JUNE 30, 2010: ENTITY FEIN St. John's Mercy Medical Center 43-0653493 St. John's Mercy Hospital 43-1066883 St. John's Family Therapy Center 43-1893329 St. John's Child Psychiatry 43-1893326 St. John's Mercy Hospitalist 43-1854902 St. John's Mercy Pediatric Critical Care 43-1854908 St. John's Pediatric Services 43-1708560 St. John's Mercy Support Services 43-1677952 Pediatric Hematology and Oncology 43-1905879 FORM 990, SCHEDULE R, PART V SYSTEM LIMITATIONS LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY SISTERS OF 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. Form 990, Part V, Question 1a Independent contractors Independent contractors for the filing organization are paid by the Sisters of Mercy Health System (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 SMHS EIN. Part VII, Section A, Column B Hours Per Week Several individuals are disclosed as officers, directors, trustees, and key employees on multiple Form 990s that are filed by organizations included in the St. Johns Mercy Health Care system. The average hours per week reported includes hours worked for all of these organizations. ST JOHNS MERCY HEALTH SERVICESLLC 645 MARYVILLE CENTRESTE 100 STLOUIS MO 63141 431664148 Healthcare Services & Products MO 55340790 16391228 St Johns Mercy Health System StJOHNS MERCY ORTHOPAEDIC AND TRAUMA SERVICESLLC 615 SNEW BALLAS ROAD STLOUIS MO 63141 061785022 Healthcare Services MO 1713867 150594 St Johns Mercy Health System ST JOHNS MERCY ADULT CRITICAL CARELLC 615 SNEW BALLAS ROAD STLOUIS MO 63141 201626965 Physician Services MO 2729191 770927 St Johns Mercy Health System ST JOHNS MERCY THERAPY SERVICESLLC 615 SNEW BALLAS ROAD STLOUIS MO 63141 810671798 Therapy Services MO 5259 0 St Johns Mercy Health System ST JOHNS MERCY NEUROPSYCHOLOGY SERVICESLLC 615 SNEW BALLAS ROAD St Louis MO 63141 261216912 Neurophsychology Services MO 1274875 464450 St Johns Mercy Health System St Louis Cancer & Breast Institute LLC 645 MARYVILLE CENTRESTE 100 StLouis MO 63141 263290360 Healthcare Services MO 27186981 583916 St Johns Mercy Health System TRIAX 14144LLC 615 SNEW BALLAS ROAD st Louis MO 63141 943454464 R E Transactions MO 0 4300274 St Johns Mercy Health System ST JOHNS MERCY PULMONARY SPECIALISTSLLC 645 MARYVILLE CENTRESTE 100 StLouis MO 63141 264186970 Healthcare Services MO 397900 86059 St Johns Mercy Health System ST JOHNS MERCY KIDS GILLC 645 MARYVILLE CENTRESTE 100 StLouis MO 63141 264186905 Healthcare Services MO 592306 50660 St Johns Mercy Health System ST JOHNS MERCY Hospitalists of WashingtonLLC 901 E Fifth Street Washington MO 63090 262961433 Hospitalist Services MO 419520 65450 St Johns Mercy Health System Advance Care Hospital 300 Werner St 3rd Floor Hot Springs AR 71913 710816634 Long term acute-care hospital AR 501c3 3 SMHS Breech Regional Med Ctr 100 Hospital Drive Lebanon MO 65536 431767432 Hospital MO 501c3 3 ST JOHn's Health System Inc Carroll Health Foundation 214 Carter Street Berryville AR 72616 710759301 Foundation AR 501c3 11-I Ozark Regions Health Systems Casa de Misericordia 1602 McClelland Street Laredo TX 78044 742912461 Women's domestic violence shelter TX 501c3 9 Mercy Ministries of Laredo Healdton Mercy Hosp Corp 918 South Street Healdton OK 73438 263173902 hospital OK 501c3 3 Mercy Memorial Health Ctr Inc Laredo Medical Group 14528 S Outer Forty St 100 Chesterfield MO 63017 742764726 Inactive TX 501c3 9 MHSystem of Texas Inc McAuley Portfolio Mgmt Co 14528 S Outer Forty St 100 Chesterfield MO 63017 261708048 Portfolio management. MO 501c3 11-II SMHS Mercy El Reno Hosp Corporation 2115 Parkview Drive El Reno OK 73036 736617948 Operating co for leased hosp OK 501c3 3 SMHS Mercy Emergency Med Srvs 4300 W Memorial Road Oklahoma City OK 73120 810627035 Inactive OK 501c3 9 Mercy Health Center Inc Mercy Fdtn Health Innov 14528 S Outer Forty St 100 Chesterfield MO 63017 200901499 Foundation MO 501c3 11-II SMHS Mercy Health Ctr Fdtn 401 Woodland Hills Blvd Fort Scott KS 66701 481077073 Foundation KS 501c3 11-III MHS of Kansas Inc Mercy Health Ctr Fdtn Inc 4300 W Memorial Road Oklahoma City OK 73120 731593024 Foundation OK 501c3 11-I Mercy Health Center Inc Mercy Health Center Inc 4300 W Memorial Road Oklahoma City OK 73120 730579285 Hospital OK 501c3 3 Mercy Health System Inc Mercy Health MNMCH Inc 220 Pennsylvania Avenue Columbus KS 66725 270842031 Critical Access Hospital MO 501c3 9 Mercy Health System-Joplin Inc Mercy Health of Joplin Found 2727 McClelland Blvd Joplin MO 64804 270906136 Foundation MO 501c3 11-I Mercy Health System-Joplin Inc Mercy Health of Joplin Inc 2727 McClelland Blvd Joplin MO 64804 270814858 Hospital MO 501c3 9 Mercy Health System-Joplin Inc Mercy Health Services 4300 W Memorial Road Oklahoma City OK 73120 141838609 dissolved 6/30/2010 OK 501c3 3 Mercy Health Center Inc Mercy Health System Joplin Inc 2727 McClelland Blvd Joplin MO 64804 300584463 Health System MO 501c3 11-II SMHS Mercy Health System KS 401 Woodland Hills Blvd Ft Scott KS 66701 480956045 Hospital;rural health clinics KS 501c3 3 SMHS Mercy Health System NW Ark Inc 2710 Rife Medical Ln Rogers AR 72758 621684203 Physician Group AR 501c3 11-II SMHS Mercy Health System TX 14528 S Outer Forty St 100 Chesterfield MO 63017 742764727 Inactive TX 501c3 11-II SMHS Mercy Health System Inc 4300 W Memorial Road Oklahoma City OK 73120 731453048 Holding company OK 501c3 11-II SMHS Mercy Hospital Fdtn Indep 800 W Myrtle Independence KS 67301 481079981 Foundation KS 501c3 11-I MHS of Kansas Inc Mercy Hospital of Laredo 14528 S Outer Forty St 100 Chesterfield MO 63017 741189682 Inactive TX 501c3 3 MHSystem of Texas Inc Mercy Medical Group 645 Maryville Ctr Dr Ste 100 St Louis MO 63141 431771217 Physician Group MO 501c3 9 St John's Mercy Health Care Mercy Memorial Health Ctr Fdtn 1011 14th Avenue NW Ardmore OK 73401 710962525 Foundation OK 501c3 11-I Mercy Memorial Health Ctr Inc Mercy Memorial Health Ctr Inc 1011 14th Avenue NW Ardmore OK 73401 731500629 Hospital OK 501c3 3 Mercy Health System Inc Mercy Ministries of Laredo 2500 Zacatecas Laredo TX 78043 200198462 Healthcare,outreach,food pantry TX 501c3 3 SMHS Mercy Physicians Ok 4300 W Memorial Road Oklahoma City OK 73120 270473057 Physician Group/Clinic OK 501c3 9 Mercy Health System Inc MHM Support Services 14528 S Outer Forty St 100 Chesterfield MO 63017 202553101 Centralized Health System Functions MO 501c3 11-II SMHS Mission Clinical Services 300 Werner Street Hot Springs AR 71913 134239691 Physician Clinics AR 501c3 11-II St Joseph's MHS Inc Ozarks Regions HS 214 Carter Street Berryville AR 72616 710759299 Hospital AR 501c3 3 St John's Health System Inc Sisters of Mercy Hlth Sys 14528 S Outer Forty St 100 Chesterfield MO 63017 431423050 Health System - Corporate Office MO 501c3 11-II N/A Sisters of Mercy Ministries 14528 S Outer Forty St 100 Chesterfield MO 63017 721069468 Family counseling;social justice advocacy MO 501c3 9 SMHS St Edward Health Frank Cty 801 W River Street Ozark AR 72949 710689680 Hospital AR 501c3 3 St Edward Mercy Medical Ctr St Edward Health Log Cty 500 E Academy Paris AR 72855 710655753 Hospital AR 501c3 3 St Edward Mercy Medical Ctr St Edward Health Scott Cty 1341 W 6th Street Waldron AR 72958 710557895 Hospital AR 501c3 3 St Edward Mercy Medical Ctr St Edward Mercy Clin 7301 Rogers Avenue Fort Smith AR 72917 261318597 Physician Clinic AR 501c3 3 St Edward MHS Inc St Edward Mercy Foundation PO Box 17000 Fort Smith AR 72917 237330425 Foundation AR 501c3 3 St Edward Mercy Medical Ctr St Edward Mercy HS Inc 7301 Rogers Avenue Fort Smith AR 72917 261318515 Holding Company AR 501c3 11-II SMHS St Edward Mercy Med Ctr 7301 Rogers Avenue Fort Smith AR 72917 710240352 Hospital AR 501c3 3 St Edward MHS Inc St Francis Hosp MtView MO 100 W Highway 60 Mountain View MO 65548 440607149 Hospital MO 501c3 3 ST John's Health System Inc St Johns Aurora Inc 500 Porter Avenue Aurora MO 65605 431936696 Operating co for leased hosp MO 501c3 3 St John's Health System Inc St Johns Cassville Inc 94 Main Street Cassville MO 65625 431936699 Operating co for leased hosp MO 501c3 3 St John's Health System Inc St Johns Childrens Hosp 1235 E Cherokee Street Springfield MO 65804 Inactive MO 501c3 3 ST JOhn's Health System Inc St Johns Clinic Inc 1965 Fremont Street Suite 2950 Springfield MO 65804 431560263 Physician Group MO 501c3 3 St John's Health System Inc St Johns Fdtn Comm Hlth 1235 E Cherokee Street Springfield MO 65804 320195818 Foundation MO 501c3 11-II St John's Health System Inc St Johns Health System In 1235 E Cherokee Street Springfield MO 65804 431856028 Holding Company MO 501c3 11-II SMHS St Johns Home Care Berryville 214 Carter Street Berryville AR 72616 870781247 Home Health and Hospice operations. AR 501c3 11-III St John's Regional Health Ctr St Johns Medical Rsch Inst 1235 E Cherokee Street Springfield MO 65804 870796305 Research - Clinical Trials MO 501c3 3 St John's Health System Inc St Johns Mercy Fdtn 645 Maryville Ctr Dr Ste 100 St Louis MO 63141 562410020 Foundation MO 501c3 11-II St John's Mercy Health Care St Johns Mercy Health Care 645 Maryville Ctr Dr Ste 100 St Louis MO 63141 431718408 Health System MO 501c3 11-II SMHS St Johns Mercy Hospital Fdtn 901 E Fifth Street Washington MO 63090 562410022 Foundation MO 501c3 11-II St John's Mercy Health Care St Johns Mercy Supp Srv 615 S New Ballas Road St Louis MO 63141 431677952 Inactive MO 501c3 11-III St John's Mercy Health System St Johns Reg Hlth Ctr 1235 E Cherokee Street Springfield MO 65804 440552485 Hospital MO 501c3 3 St John's Health System Inc St Josephs Mercy Clin 1 Mercy Lane Hot Springs AR 71913 261125131 Physician Clinic AR 501c3 9 St Joseph's MHS Inc St Josephs Mercy Health Center 300 Werner Street Hot Springs AR 71913 710236913 Hospital AR 501c3 3 St Joseph's MHS Inc St Josephs Mercy Health Fdtn 300 Werner Street Hot Springs AR 71913 710804718 Foundation AR 501c3 11-II St Joseph's Mercy Health Ctr St Josephs Mercy Health Sys 300 Werner Street Hot Springs AR 71913 261125064 Holding Company AR 501c3 11-II SMHS St Mary-Rogers Mem Hos 2710 Rife Medical Ln Rogers AR 72758 710294390 Hospital AR 501c3 3 MH S NW Arkansas Inc St Marys Hospital Foundation 2710 Rife Medical Ln Rogers AR 72858 710601687 Foundation AR 501c3 11-III St Mary-Rogers Mem Hosp Inc St Marys Hosp Enid Ok 14528 S Outer Forty St 100 Chesterfield MO 63017 730614655 Inactive OK 501c3 3 Mercy Health System Inc The Sr M Cornelia Blasko Fn 100 W Highway 60 Mountain View MO 65548 431873914 Foundation MO 501c3 11-I St Francis Hosp Mount View MO Unity Ambulatory Care 645 Maryville Ctr Dr Ste 100 St Louis MO 63141 431861745 Inactive MO 501c3 11-III St John's Mercy Health Care Southern Oklahoma Diag Ctr LLC 1011 Fourteenth Avenue NW ARDMORE OK 73401 431971232 MRI Services OK N/A N/A 0 0 Resource Optimiz & InnovLLC 645 Maryville Ctr DrSte 200 ST LOUIS MO 63141 460468368 Central Distribution Center MO N/A N/A 0 0 Mercy Ambulatory Surgery Center LLC 7301 Rogers Avenue FORT SMITH AR 72917 710827721 Ambulatory Surgery Center AR N/A N/A 0 0 Hot Springs Equip Leasing LLC 300 Werner Street HOT SPRINGS AR 71913 204340915 Inactive, dissolved 9/30/09 AR N/A N/A 0 0 Hot Springs MRI Partnership 100 Ridgeway Place HOT SPRINGS AR 72901 710675196 Inactive, dissolved 8/5/09 AR N/A N/A 0 0 Fort Smith Emergency Medical Services 1701 South Greenwood Fort SMITH AR 72901 710416615 Emergency Medical Services AR N/A n/A 0 0 Southern Oklahoma PHO LLC 1011 Fourteenth Avenue NW ARDMORE OK 73401 731462104 Inactive, dissolved 12/31/09 OK N/A n/A 0 0 St Edward Mercy Med Ctr M-P Off Bldg 7301 Rogers Avenue FORT SMITH AR 72903 710554050 Office building AR N/A n/A 0 0 St Edward Medical Services Inc 7301 Rogers Avenue Fort Smith AR 72903 202965518 Inactive dissolved 5/5/10 AR N/A C Consolidated Logistics Inc 2710 Rife Medical Lane Rogers AR 72758 710474406 Inactive dissolved 8/4/09 AR N/A C Mercy Comm Services Inc 401 Woodland Hills Blvd Fort Scott KS 66701 481078101 Catering operations KS N/A C Frontenac Properties Inc 14528 S Outer Forty Suite 100 Chesterfield MO 63017 521914421 Holds ancillary assets & owns aircraft DE N/A C MHP Inc 14528 S Outer Forty Suite 300 Chesterfield MO 63017 431697084 Holding company; sold 10/1/10 DE N/A C Mercy Medical Services Inc 14528 S Outer Forty Suite 100 Chesterfield MO 63017 710641246 Inactive dissolved 7/1/09 MO N/A C Inveno Health Inc 1235 E Cherokee Street Springfield MO 65804 264509571 Technology transfer company MO N/A C Unity Support Services Inc 645 Maryville Centre Drive Suite 10 St Louis MO 63141 431797042 Inactive MO N/A C UH L Corp Inc 645 Maryville Centre Drive Suite 10 St Louis MO 63141 742499535 Holding company MO St Johns Mercy Health Services LLC C 68456 845704 1.00000 MHN of the Southern Region Inc 1011 14th Avenue NW Ardmore OK 73401 731580607 Employed physicians, physician assistants, and nurse practitioners OK N/A C Mercy Health Center Condominium Inc 4300 W Memorial Rd Oklahoma City OK 73120 680640970 Administrator of certain real property and improvements OK N/A C Mercy Managed Care Corporation 4300 W Memorial Road Oklahoma City OK 73120 731441665 Holding company OK N/A C Mercy Health Network Inc 4300 W Memorial Road Oklahoma City OK 73120 731381689 Employed physicians, physician assistants, and nurse practitioners OK N/A C 0 1 1 0 1 0 0 0 0 0 1 0 1 1 1 1 0 0 Mercy Health Center Inc P 356274 Mercy Health System of Kansas Inc P 90912 Mercy Medical Group O 633865 Mercy Medical Group P 27975454 Mercy Medical Group N 1007818 Mercy Memorial Health Center Inc P 130308 MHM Support Services O 19312355 MHM Support Services P 527607 Mercy Health Plans O 23494548 Mercy Health Plans P 17653728 Resource Optimization & Innovation LLC O 43709609 Sisters of Mercy Health System O 3139670 St John's Mercy Foundation B 30000 St John's Mercy Health Care P 136450110 St John's Mercy Health Care N 80903 St John's Mercy Hospital Foundation O 315671 St Edward Mercy Medical Center P 269134 St John's Health System Inc P 1425826 St John's Mercy Health Care O 130101692 St Joseph's Mercy Health Center P 261347 St Mary-Rogers Memorial Hospital Inc P 228092 St John's Mercy Health Care B 8400 St John's Mercy Hospital Foundation C 733857 St John's Mercy Foundation C 5877357