Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2011
Open to Public Inspection
A For the calendar year, or tax year beginning 07-01-2011 and ending 06-30-2012
BCheck if applicable:
CName of organization
MHM SUPPORT SERVICES
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
14528 South Outer Forty Road
 
Room/suite
City or town, state or country, and ZIP + 4
Chesterfield, MO63017
D Employer identification number

20-2553101
E Telephone number

G Gross receipts $ 566,054,102
F Name and address of principal officer:
MR RANDALL COMBS
14528 S Outer Forty Rd 100
Chesterfield,MO63017
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.mercy.net
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet0928
K Form of organization:
 
L Year of formation: 2004
M State of legal domicile: MO
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: As the Sisters of Mercy before us, we bring to life the healing ministry of Jesus through our compassionate care and exceptional service.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a)..... 3 11
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 0
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ... 5 3,106
6 Total number of volunteers (estimate if necessary) .... 6 0
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 0
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 0 1,045,268
9 Program service revenue (Part VIII, line 2g) ......... 416,322,179 562,305,115
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 1,766,706 1,715,979
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 3,742 987,740
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 418,092,627 566,054,102
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 608,773 1,478,317
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 188,812,243 274,179,003
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet35,703    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 240,062,737 277,104,174
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 429,483,753 552,761,494
19 Revenue less expenses. Subtract line 18 from line 12....... -11,391,126 13,292,608
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 571,497,942 497,713,976
21 Total liabilities (Part X, line 26)............. 400,569,236 359,238,431
22 Net assets or fund balances. Subtract line 21 from line 20..... 170,928,706 138,475,545
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid preparer use only
Print/type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name Right pointing arrowhead image

Firm's EIN Right pointing arrowhead image
Firm's address Right pointing arrowhead image



Phone no.
May the IRS discuss this return with the preparer shown above? See instructions .........bullet
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2011)
Form 990 (2011)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III .........
1
Briefly describe the organization’s mission: AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 552,725,791 including grants of $ 1,478,317 ) (Revenue $ 563,292,855 )
MHM Support Services is organized and at all times is operated as an integral part of the operating hospital members of the controlled group of tax-exempt organizations which share a common parent with MHM Support Services. MHM Support Services conducts centralized activities and functions and provides centralized services that are essential to carrying out the hospital members' exempt purposes. The 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. As a supporting organization by providing these services, it allows the supported organizations to further their exempt purpose.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 552,725,791
Form 990 (2011)
Form 990 (2011)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part IIClick to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part IIIClick to see attachment........................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part IClick to see attachment....................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
 
No
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Part I.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H.....
20a
 
No
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statement to this return? Note. All Form 990 filers that operated one or more hospitals must attach audited financial statements.
20b
 
 
Form 990 (2011)
Form 990 (2011)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
Yes
 
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II......................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2011)
Form 990 (2011)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V .........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
0
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
 
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
3,106
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2011)
Form 990 (2011)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI .........
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
If the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
1a
11
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
0
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? .................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ............
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ..........
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? ....
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form?
11a
 
No
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Were officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done ....................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes," to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
MR RANDALL COMBS
14528 S OUTER FORTY RD SUITE 100
Chesterfield,MO63017
(314) 579-6100
Form 990 (2011)
Form 990 (2011)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII .........
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) Julia Akins
SR VP - Marketing
 60.0 X           0 354,890 33,363
(2) George Flynn
SR VP - Perf. Imp. -01/18/12
 60.0 X           0 571,155 192,126
(3) Fred Ford
SR VP - Ambulatory care
 60.0 X           0 655,312 315,519
(4) Jolene Goedken
SR VP/Chief nursing officer
 60.0 X           0 521,630 171,072
(5) Michael McCurry
Exec VP/Chief operating office
 60.0 X           0 933,189 540,015
(6) Cynthia Mercer
SR VP - Human resources
 60.0 X           0 655,095 12,950
(7) Dr Glenn Mitchell
Chief medical officer-1/18/12
 60.0 X           0 521,304 194,368
(8) Brian O'Toole
SR VP - Mission
 60.0 X           0 400,479 212,899
(9) William Showalter
VP/CHIEF INFORMATION OFFICER
 60.0 X           0 534,010 92,322
(10) Shannon Sock
Exec VP/Org. effectiveness
 60.0 X           0 593,249 149,607
(11) Randall Combs
Treasurer & Exec VP/CFO
 60.0 X   X       0 1,603,412 214,513
(12) James Jaacks
Treasurer &Exec VP/CAO-1/20/12
 60.0 X   X       0 836,425 300,028
(13) Philip Wheeler
Secretary/SR VP-Gen Counsel
 60.0 X   X       0 641,753 221,617
(14) Bradley Kim Day
PRESIDENT, CENTRAL COMMUNITIES
 60.0 X           0 833,159 436,266
(15) Sheri Beekman
Chief revenue cycle officer
 60.0       X     353,866 0 61,994
(16) Marie Glancy
Chief advocacy officer
 60.0       X     491,430 0 79,888
(17) Curtis Thompson
VP-Payor relations & contracts
 60.0       X     364,979 0 66,460
Form 990 (2011)
Form 990 (2011)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) Ron Trulove
Chief reimbursement & revenue
 60.0       X     387,181 0 63,760
(19) Elaine Moore
CHIEF HR OFFICER
 60.0       X     401,643 0 55,613
(20) Janet Pursley
VP-CARE MANAGEMENT
 60.0       X     359,193 0 75,023
(21) VANCE MOORE
SR VP - OPERATIONS
 60.0       X     0 545,907 191,094
(22) TONY WASKIEWICZ
VP-TREASURY & CIO
 60.0       X     448,422 0 21,918
(23) SUSAN HANNASCH
CHIEF COMPLIANCE OFFICER
 60.0       X     262,783 0 15,249
(24) Thomas Hale MD PhD
EXEC MED DIR - CTR INNOV. CARE
 60.0         X   623,669 0 114,953
(25) Chris Knackstedt
CFO-Mercy Health Springfield
 60.0         X   625,750 0 96,425
(26) Timothy Smith MD
VP-Research- ctr innov. Care
 60.0         X   538,505 0 32,287
(27) Donn Sorensen
President East Communities
 60.0         X   705,535 0 101,650
(28) Christopher Veremakis
Med director - CTR INNOV. CARE
 60.0         X   466,883 0 113,323
(29) Ronald Ashworth
Former president
 16.0           X 0 254,000 0
(30) Julie Burke
Former VP Finance
             X 176,134 0 2,374
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 6,205,973 10,454,969 4,178,676
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet355
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
EPIC SYSTEMS CORPORATION
PO BOX 88314
MILWAUKEE,WI53288 		SOFTWARE CONSULTING 11,554,014
INSIGHT NETWORKING
PO Box 731068
DALLAS,TX75373 		Software maintenance 8,281,840
GE HEALTHCARE
PO Box 843553
DALLAS,TX75284 		Maintenance 6,239,486
Microsoft Licensing GP
1950 N Stemmons Fwy Suite 5010
DALLAS,TX75207 		Software Maintenance 4,502,934
IBM Corp
PO Box 676673
DALLAS,TX75267 		Software maintenance 3,356,414
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet151
Form 990 (2011)
Form 990 (2011)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e 431,275
f All other contributions, gifts, grants, and
similar amounts not included above1f 		613,993
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 1,045,268
Program Service Revenue Business Code
2a SUPPORT SERVICE REVENUE 900,099 555,700,349 555,700,349    
b RENTAL INCOME FROM RELATED ORGS 531,120 1,708,815 1,708,815    
c CARE MANAGEMENT 900,099 1,067,405 1,067,405    
d CASE MANAGEMENT 900,099 2,876,291 2,876,291    
e NURSE ON CALL 900,099 952,255 952,255    
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 562,305,115
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 1,139,355     1,139,355
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties............MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory   576,624
b Less: cost or other basis and sales expenses    
c Gain or (loss)   576,624
d Net gain or (loss)..........MediumBullet 576,624     576,624
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 0      
Miscellaneous Revenue Business Code
11a MISCELLANEOUS REVENUE 900,099 987,740 987,740    
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet 987,740
12 Total revenue. See Instructions....MediumBullet 566,054,102 563,292,855   1,715,979
Form 990 (2011)
Form 990 (2011)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Check if Schedule O contains a response to any question in this Part IX. .........
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21 1,458,317 1,458,317
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 20,000 20,000
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16 0  
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 1,950,793 1,950,793    
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 370,656 370,656    
7 Other salaries and wages 230,403,450 230,403,450    
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 8,461,579 8,461,579    
9 Other employee benefits ....... 18,990,550 18,990,550    
10 Payroll taxes ........... 14,001,975 14,001,975    
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 6,281,020 6,281,020    
c Accounting ........... 896,534 896,534    
d Lobbying ........... 0      
e Professional fundraising. See Part IV, line 17.. 0  
f Investment management fees ...... 0      
g Other .......... 25,867,332 25,867,332    
12 Advertising and promotion .... 11,266,627 11,247,127   19,500
13 Office expenses ....... 20,719,594 20,703,391   16,203
14 Information technology ...... 59,112,543 59,112,543    
15 Royalties .. 0      
16 Occupancy ........... 14,604,903 14,604,903    
17 Travel ............ 7,509,306 7,509,306    
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 2,058,844 2,058,844    
20 Interest ........... 0      
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 81,259,027 81,259,027    
23 Insurance .............. 191,854 191,854    
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24f. If line 24f amount exceeds 10% of line 25, column (A) amount, list line 24f expenses on Schedule O.)
a REPAIRS & MAINTENANCE 28,870,475 28,870,475    
b SHARED SERVICE FEES 5,742,546 5,742,546    
c MISCELLANEOUS EXPENSES 12,723,569 12,723,569    
d
e
f All other expenses        
25 Total functional expenses. Add lines 1 through 24f 552,761,494 552,725,791 0 35,703
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2011)
Form 990 (2011)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 139,930,216 1 68,189,495
2 Savings and temporary cash investments ....... 264,540 2 0
3 Pledges and grants receivable, net ......... 0 3 0
4 Accounts receivable, net ......... 0 4 11,357,936
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L .......... 0 5 0
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L .......... 0 6 0
7 Notes and loans receivable, net ............. 0 7 13,884,599
8 Inventories for sale or use .............. 0 8 6,268,290
9 Prepaid expenses and deferred charges ............ 16,378,777 9 23,049,469
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 728,314,939
b Less: accumulated depreciation. ..... 10b 359,596,719 396,541,202 10c 368,718,220
11 Investments—publicly traded securities .......... 0 11 0
12 Investments—other securities. See Part IV, line 11 ...... 0 12 622,828
13 Investments—program-related. See Part IV, line 11 .. 0 13 0
14 Intangible assets ......... 0 14 0
15 Other assets. See Part IV, line 11 ........... 18,383,207 15 5,623,139
16 Total assets. Add lines 1 through 15 (must equal line 34)... 571,497,942 16 497,713,976
Liabilities 17 Accounts payable and accrued expenses . 104,908,546 17 146,600,109
18 Grants payable .......... 0 18 1,007,549
19 Deferred revenue .......... 7,260,671 19 8,493,826
20 Tax-exempt bond liabilities .......... 0 20 0
21 Escrow or custodial account liability. Complete Part IV of Schedule D.. 0 21 0
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L.......... 0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 0 23 0
24 Unsecured notes and loans payable to unrelated third parties .... 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D..... 288,400,019 25 203,136,947
26 Total liabilities. Add lines 17 through 25..... 400,569,236 26 359,238,431
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 170,928,706 27 138,475,545
28 Temporarily restricted net assets ..... 0 28 0
29 Permanently restricted net assets ..... 0 29 0
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 170,928,706 33 138,475,545
34 Total liabilities and net assets/fund balances ..... 571,497,942 34 497,713,976
Form 990 (2011)
Form 990 (2011)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI .........
1
Total revenue (must equal Part VIII, column (A), line 12) ...
1
566,054,102
2
Total expenses (must equal Part IX, column (A), line 25) ....
2
552,761,494
3
Revenue less expenses. Subtract line 2 from line 1 ...
3
13,292,608
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
170,928,706
5
Other changes in net assets or fund balances (explain in Schedule O) ...
5
-45,745,769
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) ....
6
138,475,545
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII .........
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?....
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O. ...........................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
Yes
 
Form 990 (2011)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2011
Open to Public
Inspection
Name of the organization
MHM SUPPORT SERVICES
 
Employer identification number

20-2553101
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
No
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
No
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
No
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
(1) MERCY HOSPITAL FORT SMITH
  		710240352 03 Yes           0
(2) MERCY HOSPITALS EAST COMMUNITIES
  		430653493 03 Yes           0
(3) MERCY HOSPITAL SPRINGFIELD
  		440552485 03 Yes           0
(4) MERCY HOSPITAL HOT SPRINGS
  		710236913 03 Yes           0
(5) MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES
  		621684203 09 Yes           0
(6) MERCY HOSPITAL ROGERS
  		710294390 03 Yes           0
(7) MERCY HOSPITAL OKLAHOMA CITY
  		730579285 03 Yes           0
(8) MERCY HOSPITAL ARDMORE
  		731500629 03 Yes           0
(9) MERCY KANSAS COMMUNITIES INC
  		480956045 03 Yes           0
(10) MERCY CLINIC EAST COMMUNITIES
  		431771217 09   No         0
(11) MERCY CLINIC FORT SMITH COMMUNITIES
  		261318597 09   No         0
(12) MERCY CLINIC SPRINGFIELD COMMUNITIES
  		431560263 09   No         0
(13) MERCY CLINIC HOT SPRINGS COMMUNITIES
  		261325131 09   No         0
(14) MERCY HOSPITAL JOPLIN
  		270814858 03   No         0
(15) MERCY MINISTRIES OF LAREDO
  		200198462 07   No         0
(16) MERCY HOSPITAL COLUMBUS
  		270842031 03   No         0
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
* THESE ORGANIZATIONS HAVE FILED A FORM 1023 WITH THE IRS; THE DETERMINATION IS STILL PENDING.
 
 
 
Schedule A (Form 990 or 990-EZ) 2011

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2011
Name of organization
MHM SUPPORT SERVICES
 
Employer identification number

20-2553101
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2, of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 2
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Name of organization
MHM SUPPORT SERVICES
  		Employer identification number

20-2553101
Part I
Contributors (see Instructions). Use duplicate copies of Part I if additional space is needed.
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 3
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Name of organization
MHM SUPPORT SERVICES
  		Employer identification number

20-2553101
Part II
Noncash Property (see Instructions). Use duplicate copies of Part II if additional space is needed.
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions). 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions). 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions). 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions). 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions). 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions). 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 4
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Name of organization
MHM SUPPORT SERVICES
  		Employer identification number

20-2553101
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
Use duplicate copies of Part III if additional space is needed
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2011
Open to Public
Inspection
If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, line 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
MHM SUPPORT SERVICES
 
Employer identification number

20-2553101
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2011

Schedule C (Form 990 or 990-EZ) 2011
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check expenses, and share of excess lobbying expenditures).
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		         
             
c Total lobbying expenditures          
             
d Grassroots nontaxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		          
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2011


Schedule C (Form 990 or 990-EZ) 2011
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
Yes
 
0
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
328,108
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? ..........................
 
No
 
j
Total. Add lines 1c through 1i ...............................
328,108
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2 are answered “No” OR (b) Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, Part II-A; line 5; and Part ll-B, line 1.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
FORM 990, SCHEDULE C, PART II-B   SUPPLEMENTAL LOBBYING INFORMATION LOBBYING ACTIVITIES INCLUDED MAILINGS AND DIRECT CONTACT WITH FEDERAL, STATE AND LOCAL LEGISLATORS AND OFFICIALS AND/OR STAFF MEMBERS AND OFFICIALS AND/OR STAFF MEMBERS OF THE DEPARTMENT OF HEALTH AND HUMAN SERVICES, CENTERS FOR MEDICARE AND MEDICAID SERVICES. LOBBYING ISSUES WERE RELATED TO OUR MISSION TO EXPAND CARE AND SERVICES TO THE UNINSURED AND UNINSURED. TOTAL EXPENDITURES WERE APPROXIMATELY $317,175 AND INCLUDED SALARIES FOR EMPLOYEES IN MERCY HEALTH'S ADVOCACY DEPARTMENT, OFFICE EXPENSES, TRAVEL, OFFICE OCCUPANCY AND PROFESSIONAL SERVICES. MERCY HEALTH DOES NOT PARTICIPATE OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OF STATEMENTS), IN ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE. IN ADDITION, MHM SUPPORT SERVICES, THROUGH ONE OF ITS DIVISIONS IN MISSISSIPPI, COMBINES RESEARCH, ANALYSIS, GRASS-ROOTS ORGANIZING AND ADVOCACY TO IMPROVE HEALTH POLICIES, PRACTICES AND FUNDING IN MISSISSIPPI, ESPECIALLY IN SUPPORT OF THE STATE'S POOR AND UNDERSERVED PEOPLE. THE DIVISION IS A RESOURCE FOR CHURCH GROUPS, CONCERNED CITIZENS AND PROFESSIONALS WHO ARE WORKING TOWARD COMPREHENSIVE SOLUTIONS TO HEALTH PROBLEMS IN MISSISSIPPI. ADDITIONALLY, THE DIVISION WORKS WITH COMMUNITIES TO IDENTIFY HEALTH NEEDS AND FORMULATE STRATEGIES FOR CHANGE AND WILL RESEARCH, ANALYZE, PROPOSE AND PROMOTE POLICIES THAT ENHANCE THE STATUS OF EVERY PERSON, REGARDLESS OF FINANCIAL STATUS. ONLY A SMALL PERCENTAGE OF THE ORGANIZATION'S ACTIVITIES ARE DIRECTLY RELATED TO LOBBYING. THE MISSISSIPPI LEGISLATURE MEETS FOR FOUR MONTHS DURING THE CALENDAR YEAR. DURING THESE FOUR MONTHS OF THE 2012 FISCAL YEAR, APPROXIMATELY 20 PERCENT OF THE DIVISION'S ACTIVITIES WERE RELATED TO LOBBYING. THE DIVISION EMPLOYS A FULL TIME DIRECTOR AND A PROGRAM MANAGER, WHO ARE REGISTERED AS LOBBYISTS WITH THE MISSISSIPPI SECRETARY OF STATE'S OFFICE. APPROXIMATELY 20 PERCENT OF THEIR TIME FOR THESE FOUR MONTHS WAS SPENT ENGAGED IN DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS OR A LEGISLATIVE BODY, WITH TOTAL ESTIMATED AMOUNT OF EXPENDITURES THAT INCLUDE SALARIES OF $10,933.
Schedule C (Form 990 or 990EZ) 2011

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
MHM SUPPORT SERVICES
 
Employer identification number

20-2553101
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958), relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2011

Schedule D (Form 990) 2011
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance ....        
b Contributions ........        
c Net investment earnings, gains, and losses ...        
d Grants or scholarships .....        
e Other expenditures for facilities
and programs ........ 		       
f Administrative expenses ....        
g End of year balance ......        
2
Provide the estimated percentage of the year end balance (line 1g) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   19,878,227 19,878,227
b Buildings ................   40,346,222 0 40,346,222
c Leasehold improvements ............   17,645,773 8,145,460 9,500,313
d Equipment ................   641,251,998 350,090,694 291,161,304
e Other .................   9,192,719 1,360,565 7,832,154
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 368,718,220
Schedule D (Form 990) 2011

Schedule D (Form 990) 2011
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Book value
Federal Income Taxes 0
DUE TO AFFILIATES 199,279,409
DEFERRED FINANCING 634,821
NONCURRENT DEFERRED EXPENSE 28,221
DEFERRED COMPENSATION 18,387
WORKERS COMPENSATION RESERVE 2,750,000
UNRESTRICTED MINORITY INTEREST 426,109



Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 203,136,947
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2011

Schedule D (Form 990) 2011
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1  
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2  
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3  
4 Net unrealized gains (losses) on investments .......................... 4  
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV.) ................................. 8  
9 Total adjustments (net). Add lines 4 through 8 ......................... 9  
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10  
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total Revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV.) ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
FORM 990, SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF MERCY HEALTH AND AFFILIATES DO NOT INCLUDE A FOOTNOTE TO REPORT THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX PROVISIONS UNDER ASC 740, AS THEY ARE DEEMED IMMATERIAL FOR DISCLOSURE.
Schedule D (Form 990) 2011

Additional Data


Software ID:  
Software Version:  




Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2011
Open to Public
Inspection
Name of the organization
MHM SUPPORT SERVICES
 
Employer identification number
20-2553101
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) American Heart AssociationPO Box 4002902
Des Moines,IA50340 		13-5613797 501(c)(3) 37,000       Contribution to support mission of organization
(2) Archdiocese of St Louis Catholic Charities20 Archbishop May Drive
St Louis,MO63119 		43-0653244 501(c)(3) 100,000       Contribution to support mission of organization
(3) Civic Progress Inc800 Market Street
St Louis,MO63101 		43-0965792 501(c)(3) 40,000       Contribution to support mission of organization
(4) Coalition to Protect American HealthPo Box 30211
Bethesda,MD20824 		52-2253225 501(c)(4) 20,000       Contribution to support mission of organization
(5) COCA Center of Creative Arts524 Trinity Ave
St Louis,MO63130 		43-1395056 501(c)(3) 20,000       Contribution to support mission of organization
(6) Covenant House Missouri2727 North Kingshighway
St Louis,MO63113 		43-1821599 501(c)(3) 10,000       Contribution to support mission of organization
(7) Fair St Louis Foundation301 Prospect Ave
St Louis,MO63110 		43-1218720 501(c)(3) 20,000       Contribution to support mission of organization
(8) Henderson State University FoundationHSU Box 7550
Arkadelphia,AR71923 		71-0559008 501(c)(3) 10,000       Contribution to support mission of organization
(9) Junior Achievement Greater St Louis17339 N Outer Forty
Chesterfield,MO63005 		43-0652112 501(c)(3) 10,000       Contribution to support mission of organization
(10) Kennedy Catholic High School500 Woods Mill Rd
Manchester,MO63011 		43-0653244 501(c)(3) 10,000       Contribution to support mission of organization
(11) Laumeier Sculpture Park15280 Rott Rd
St Louis,MO63127 		43-1131429 501(c)(3) 7,000       Contribution to support mission of organization
(12) Mercy Credit Union625 Maryville
St Louis,MO63141 		  250,000       Contribution to support mission of organization
(13) Ouachita Baptist University410 Ouachita St
Arkadelphia,AR71998 		71-0239383 501(c)(3) 10,000       Contribution to support mission of organization
(14) Press ClubPO Box 410522
Creve Coeur,MO63141 		43-1489003 501(c)(3) 10,000       Contribution to support mission of organization
(15) Variety The Children's Charity2200 Westport Plaza Dr
St Louis,MO63146 		43-6078016 501(c)(3) 16,000       Contribution to support mission of organization
(16) Alive Alternatives to LivingPO Box 11201
St Louis,MO63105 		43-1298527 501(c)(3) 10,000       Contribution to support mission of organization
(17) Hamilton House Child FamilyPO Box 17000
Fort Smith,AR72901 		27-0487290 501(c)(3) 25,000       Contribution to support mission of organization
(18) Kornerstone IncPO Box 396
Shell Knob,MO65747 		43-1820354 501(c)(3) 15,000       Contribution to support mission of organization
(19) Mercy Health Foundation Springfield3265 South National
Springfield,MO65807 		32-0195818 501(c)(3) 25,489       Medication Access Program
(20) Mercy Clinic Springfield Communities1965 S Fremont
Springfield,MO65804 		43-1560263 501(c)(3) 19,051       Contribution to support mission of organization
(21) Mercy Family Center110 Veterans Memorial
Metairie,LA70005 		72-1069468 501(c)(3) 50,000       Contribution to support mission of organization
(22) Mercy Health Foundation Lebanon100 Hospital Drive
Lebanon,MO65536 		43-1767432 501(c)(3) 10,000       Contribution to support mission of organization
(23) Mercy Health Foundation Independence800 W Myrtle
Independence,KS67301 		48-1079981 501(c)(3) 13,950       Contribution to support mission of organization
(24) Mercy Health Foundation Oklahoma City4300 W Memorial Rd
Oklahoma City,OK73120 		73-1593024 501(c)(3) 117,050       Contribution to support mission of organization
(25) Mercy Health Foundation Springfield1235 East Cherokee St
Springfield,MO65804 		32-0195818 501(c)(3) 37,824       Contribution to support mission of organization
(26) Mercy Health Foundation Washington615 South New Ballas Rd
St Louis,MO63141 		56-2410022 501(c)(3) 14,250       Contribution to support mission of organization
(27) Mercy Hospital Berryville214 Carter St
Berryville,AR72616 		71-0759299 501(c)(3) 12,000       Contribution to support mission of organization
(28) Mercy Hospital Springfield1965 S Fremont
Springfield,MO65804 		44-0552485 501(c)(3) 21,386       Contribution to support mission of organization
(29) Mercy Hospital St Louis615 South New Ballas Rd
St Louis,MO63141 		43-0653493 501(c)(3) 9,250       Contribution to support mission of organization
(30) Mercy Ministries of Laredo2500 Zacatecas
Laredo,TX78046 		20-0198462 501(c)(3) 80,000       Contribution to support mission of organization
(31) Mercy Clinic Springfield Communities3265 South National
Springfield,MO65807 		43-1560263 501(c)(3) 333,000       Project Access Uninsured
(32) St Edward Mercy FoundationPO Box 17000
Fort Smith,AR72901 		23-7330425 501(c)(3) 25,000       Contribution to support mission of organization
(33) Vision Rehab Center Ozarks1235 East Cherokee St
Springfield,MO65804 		27-2017276 501(c)(3) 10,000       Contribution to support mission of organization
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
31
3
Enter total number of other organizations listed in the line 1 table ......................... . Bullet Image
2
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2011

Schedule I (Form 990) 2011
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance
(1) Scholarships 20 20,000      













Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
Form 990, Schedule I, PART I, LINE 2 Description of Organization's Procedures for Monitoring the Use of Grants PART II: GRANT APPLICANTS ARE REQUIRED TO COMPLETE THE GRANT APPLICATION PROCESS TO BE CONSIDERED FOR A MERCY CARITAS GRANT. THIS INCLUDES A DESCRIPTION OF THE PROGRAM, PROGRAM ACCOMPLISHMENTS, AND FINANCIAL INFORMATION. GRANT RECIPIENTS ARE REQUIRED TO COMPLETE MID-YEAR AND END-OF-YEAR EVALUATION REPORTS DETAILING THE USE OF ALL FUNDS AND REPORTING PROGRESS MADE TOWARD ACHIEVING PROGRAM OBJECTIVES. CONTINUED FUNDING WILL NOT BE CONSIDERED IF THE EVALUATION REPORT HAS NOT BEEN RECEIVED BY THE MERCY CARITAS COMMITTEE. PART III: MHM SUPPORT SERVICES PROVIDES $1,000 SCHOLARSHIPS TO 18 DIFFERENT CHILDREN OF CO-WORKERS EACH YEAR, PLUS 2 HIGH SCHOOL SENIORS SELECTED FROM ST MARY'S ACADEMIES IN OKLAHOMA CITY AND LITTLE ROCK, FOR A TOTAL OF 20 SCHOLARSHIPS. FOR THE CHILDREN OF CO-WORKERS, THE CO-WORKER MUST BE EMPLOYED BY MERCY FOR A MINIMUM OF ONE YEAR AS OF THE APPLICATION DEADLINE DATE AND MUST BE EMPLOYED AT THE TIME THE AWARD IS GRANTED. APPLICANTS MUST SUBMIT A COMPLETED APPLICATION, TRANSCRIPT, COLLEGE ENTRANCE TEST SCORES (ACT, SAT), AND 2 LETTERS OF RECOMMENDATION TO BE CONSIDERED FOR A SCHOLARSHIP. RECIPIENTS MUST ENTER SCHOOL NO LATER THAN THE FALL TERM AFTER THE AWARD IS GRANTED TO MAINTAIN ELIGIBILTY. AWARDS ARE PAID VIA CHECK MADE OUT JOINTLY TO THE RECIPIENT AND THE SCHOOL; BOTH THE RECIPIENT AND THE SCHOOL MUST ENDORSE THE CHECK. MHM SUPPORT SERVICES UTILIZES THE CITIZENS SCHOLARSHIP FOUNDATION OF AMERICA TO MANAGE THE APPLICATION AND PAYMENT PROCESS; RECIPIENTS ARE SELECTED BY THE SCHOLARSHIP COMMITTEE.
Schedule I (Form 990) 2011


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
MHM SUPPORT SERVICES
 
Employer identification number

20-2553101
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2011

Schedule J (Form 990) 2011
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and column (E) for that individual.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) Julia Akins (i)
(ii)		 0
207,498 		0
70,634 		0
76,758 		0
21,600 		0
11,763 		0
388,253 		0
0
(2) George Flynn (i)
(ii)		 0
410,520 		0
133,860 		0
26,775 		0
176,339 		0
15,787 		0
763,281 		0
0
(3) Fred Ford (i)
(ii)		 0
474,965 		0
153,076 		0
27,271 		0
302,588 		0
12,931 		0
970,831 		0
0
(4) Jolene Goedken (i)
(ii)		 0
371,866 		0
122,267 		0
27,497 		0
158,404 		0
12,668 		0
692,702 		0
0
(5) Michael McCurry (i)
(ii)		 0
690,577 		0
215,833 		0
26,779 		0
527,385 		0
12,630 		0
1,473,204 		0
0
(6) Cynthia Mercer (i)
(ii)		 0
353,563 		0
234,696 		0
66,836 		0
2,227 		0
10,723 		0
668,045 		0
0
(7) Dr Glenn Mitchell (i)
(ii)		 0
368,406 		0
120,683 		0
32,215 		0
181,841 		0
12,527 		0
715,672 		0
0
(8) Brian O'Toole (i)
(ii)		 0
278,344 		0
93,957 		0
28,178 		0
196,736 		0
16,163 		0
613,378 		0
0
(9) William Showalter (i)
(ii)		 0
404,067 		0
125,328 		0
4,615 		0
75,903 		0
16,419 		0
626,332 		0
0
(10) Shannon Sock (i)
(ii)		 0
437,352 		0
135,852 		0
20,045 		0
133,760 		0
15,847 		0
742,856 		0
0
(11) Randall Combs (i)
(ii)		 0
556,847 		0
176,943 		0
869,622 		0
203,176 		0
11,337 		0
1,817,925 		0
839,230
(12) James Jaacks (i)
(ii)		 0
617,769 		0
197,438 		0
21,218 		0
283,004 		0
17,024 		0
1,136,453 		0
0
(13) Philip Wheeler (i)
(ii)		 0
485,878 		0
148,622 		0
7,253 		0
218,387 		0
3,230 		0
863,370 		0
0
(14) Sheri Beekman (i)
(ii)		 256,877
0 		63,640
0 		33,349
0 		54,290
0 		7,704
0 		415,860
0 		0
0
(15) Marie Glancy (i)
(ii)		 376,580
0 		90,816
0 		24,034
0 		64,284
0 		15,604
0 		571,318
0 		0
0
(16) Curtis Thompson (i)
(ii)		 265,147
0 		66,316
0 		33,516
0 		51,142
0 		15,318
0 		431,439
0 		0
0
(17) Ron Trulove (i)
(ii)		 271,138
0 		67,560
0 		48,483
0 		51,224
0 		12,536
0 		450,941
0 		0
0
(18) Thomas Hale MD PhD (i)
(ii)		 458,016
0 		110,823
0 		54,830
0 		102,419
0 		12,534
0 		738,622
0 		0
0
(19) Chris Knackstedt (i)
(ii)		 408,170
0 		127,077
0 		90,503
0 		83,509
0 		12,916
0 		722,175
0 		0
0
(20) Timothy Smith MD (i)
(ii)		 471,963
0 		21,000
0 		45,542
0 		16,994
0 		15,293
0 		570,792
0 		0
0
(21) Donn Sorensen (i)
(ii)		 535,875
0 		108,795
0 		60,865
0 		87,501
0 		14,149
0 		807,185
0 		0
0
(22) Christopher Veremakis (i)
(ii)		 334,063
0 		86,626
0 		46,194
0 		97,687
0 		15,636
0 		580,206
0 		0
0
(23) Ronald Ashworth (i)
(ii)		 0
254,000 		0
0 		0
0 		0
0 		0
0 		0
254,000 		0
0
(24) Julie Burke (i)
(ii)		 0
0 		0
0 		176,134
0 		2,374
0 		0
0 		178,508
0 		0
0
(25) Elaine Moore (i)
(ii)		 245,523
0 		110,936
0 		45,184
0 		48,075
0 		7,538
0 		457,256
0 		0
0
(26) Janet Pursley (i)
(ii)		 255,157
0 		63,668
0 		40,368
0 		67,539
0 		7,484
0 		434,216
0 		0
0
(27) Bradley Kim Day (i)
(ii)		 0
598,570 		0
203,887 		0
30,702 		0
422,839 		0
13,427 		0
1,269,425 		0
0
(28) VANCE MOORE (i)
(ii)		 0
387,722 		0
131,541 		0
26,644 		0
174,664 		0
16,430 		0
737,001 		0
0
(29) TONY WASKIEWICZ (i)
(ii)		 328,227
0 		83,277
0 		36,918
0 		5,770
0 		16,148
0 		470,340
0 		0
0
(30) SUSAN HANNASCH (i)
(ii)		 195,663
0 		23,379
0 		43,741
0 		2,450
0 		12,799
0 		278,032
0 		0
0
Schedule J (Form 990) 2011

Schedule J (Form 990) 2011
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
FORM 990, Schedule J, Part I, Question 1   Charter travel is provided to certain employees as and when appropriate, and as deemed necessary for business travel. After charter travel approval has been granted in accordance with the financial justification process, the approved charter travel for business is a reimbursable expense which is not taxable to the employees. TRAVEL FOR COMPANIONS IS PROVIDED IN RARE INSTANCES AND IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. WHERE COMPANION TRAVEL HAS RESULTED IN A TAXABLE EVENT, THE EMPLOYEES ARE TAXED FOR SUCH TRAVEL. Limited instances of tax gross-ups may have occurred with respect to executives. HOUSING BENEFITS ARE PROVIDED THROUGH A RELOCATION PROGRAM IN ACCORDANCE WITH COMPANY POLICY. SUCH BENEFITS ARE SUBJECT TO TAX TO THE EMPLOYEE. PAYMENT BY THE COMPANY OF COSTS FOR TEMPORARY HOUSING BY EMPLOYEES FOR THE CONVENIENCE OF THE COMPANY IS MADE IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. AS A REIMBURSABLE EXPENSE, THIS TYPE OF LODGING IS NOT TAXABLE TO THE EMPLOYEE. FORM 990, Schedule J, Part I, Question 3 MHM Support Services relies on a related organization; refer to Schedule O, Part VI, Question 15a and 15b for the process the related organization follows. FORM 990, Schedule J, Part I, Question 4a The following individual received a severance payment during calendar 2011: Julie Burke, $176,134. FORM 990, Schedule J, Part I, Question 4b MHM Support Services 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: Bradley (Kim) Day, George Flynn, Fred Ford, Jolene Goedken, Michael McCurry, Cynthia Mercer, Dr. Glenn Mitchell, Brian O'Toole, William Showalter, Shannon Sock, Randall Combs, James Jaacks, Philip Wheeler, Sheri Beekman, Marie Glancy, Curtis Thompson, Ron Trulove, Thomas Hale, Christopher Knackstedt, Donn Sorensen, Christopher Veremakis, Elaine Moore, Janet Pursley, AND VANCE MOORE. 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 MHM Support Services provides a non-fixed bonus plan for which certain tiers of its employees are eligible. For fiscal year 2012 (July 1, 2011 - June 30, 2012), payment of all or part of the bonus was contingent upon attainment of certain financial targets. Payments are made annually in October following (I) the conclusion of the fiscal year and (II) determination of goal achievement. Bonus opportunities are tiered percentages and are dependent upon the leadership level and attainment percentage. Mercy's attainment of financial goals is reviewed by the Executive Compensation Committee of Mercy Health and is then taken into account when analyzing executive compensation for reasonableness.
Schedule J (Form 990) 2011

Additional Data


Software ID:  
Software Version:  
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
MHM SUPPORT SERVICES
 
Employer identification number

20-2553101
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2011
Schedule L (Form 990 or 990-EZ) 2011
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) BRAD BEEKMAN FAMILY MEMBER OF KEY EMP 78,582 EMPLOYMENT   No
(2) LISA BEEKMAN FAMILY MEMBER OF KEY EMP 88,276 EMPLOYMENT   No
(3) BROOKE SHULTE FAMILY MEMBER OF KEY EMP 65,086 EMPLOYMENT   No
(4) BRIAN DAY FAMILY MEMBER OF DIRECTOR 138,712 EMPLOYMENT   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2011

Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2011
Open to Public
Inspection
Name of the organization
MHM SUPPORT SERVICES
 
Employer identification number

20-2553101
Identifier Return Reference Explanation
FORM 990, PART V, QUESTION 1A FORM 1096 FILING VENDORS FOR THE FILING ORGANIZATION ARE PAID BY MERCY HEALTH (EIN 43-1423050). AS SUCH, ALL REQUIRED FORM 1099 AND FORM 1096 REPORTING IS MADE FOR THE ENTIRE HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN. FORM 990, PART VI, QUESTION 6, 7A AND 7B DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH. THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES ARE RESERVED SOLELY TO THE SOLE CORPORATE MEMBER: -TO APPROVE AND ESTABLISH THE MISSION AND PHILOSOPHY ACCORDING TO WHICH THE CORPORATION AND ALL ORGANIZATIONS CONTROLLED BY THE CORPORATION SHALL OPERATE; -TO ADOPT OR AMEND THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION IN ACCORDANCE WITH ARTICLES IX AND X OF THESE BYLAWS AND TO AMEND THE ORGANIZATIONAL DOCUMENTS OF ANY ORGANIZATION CONTROLLED BY THE CORPORATION; -TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS OF THE CORPORATION; -TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, THE CEO OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; -TO APPROVE OR AMEND THE OVERALL STRATEGIC, LONG RANGE, BUSINESS PLANS, GOALS, AND OBJECTIVES OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; -TO APPROVE OR AMEND THE CONSOLIDATED OPERATING AND CAPITAL BUDGETS FOR THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION AND CHANGES IN BUDGETS IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY MERCY HEALTH; -TO AUTHORIZE AND APPROVE THE LEASE OR SALE OF ANY OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION IN EXCESS OF ANY AMOUNT ESTABLISHED FROM TIME TO TIME BY MERCY HEALTH; -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 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; AND -TO MERGE, DISSOLVE, OR ABANDON THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION, SUBJECT TO APPROVAL BY THE BOARD AS REQUIRED PURSUANT TO THE MISSOURI NONPROFIT CORPORATION ACT. FORM 990, PART VI, QUESTION 11B DSCR THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM, USING INFORMATION PROVIDED BY THE FILING ORGANIZATION. A DRAFT FORM 990 IS REVIEWED BY THE FILING ORGANIZATION'S TAX COMPLIANCE TEAM; MEMBERS OF THIS TEAM ARE FROM VARIOUS DEPARTMENTS, INCLUDING FINANCE, LEGAL, AND TAX. 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, CFO, AND GENERAL COUNSEL FOR REVIEW. ONCE REVIEWED AND APPROVED BY THE FILING ORGANIZATION'S LEADERSHIP TEAM, THE FORM 990 IS THEN SIGNED AND FILED WITH THE IRS. FORM 990, PART VI, QUESTION 12C DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER DISQUALIFIED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY AND DID SO IN THE NORMAL COURSE FOR THE YEAR ENDED JUNE 30, 2012. THIS PROCESS IS ADMINISTERED AT THE MERCY HEALTH LEVEL BY MERCY'S BUSINESS RISK (INTERNAL AUDIT) DEPARTMENT. THE QUESTIONNAIRES ARE REVIEWED WITH LEADERSHIP AT THE LOCAL LEVEL AND POTENTIAL CONFLICTS DISCUSSED AND RESOLVED. THE CONFLICTS AND THEIR RESPECTIVE RESOLUTIONS ARE SHARED AT THE MERCY LEVEL WITH A TEAM INCLUDING MERCY'S CHIEF FINANCIAL OFFICER, CHIEF COMPLIANCE OFFICER AND OTHER MEMBERS OF FINANCE, LEGAL AND HR. SUMMARY RESULTS ARE REVIEWED WITH MERCY'S FINANCE, AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, QUESTIONS 15A & 15B OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FOR THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS), THE ORGANIZATION RELIES UPON MERCY HEALTH, WHICH USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT, AND REVIEW/APPROVAL OF COMPENSATION BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF MERCY HEALTH. FOR THOSE CLASSIFIED AS KEY EMPLOYEES, THE ORGANIZATION USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, AND REVIEW/APPROVAL OF EXECUTIVE MANAGEMENT. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS, AND A REVIEW WAS COMPLETED DURING THE REPORTING YEAR. FORM 990, PART VI, QUESTION 19 AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY & FIN STMT TO GEN PUBLIC Governing documents, conflict of interest policy, and financial statements are made available upon request but are not published publicly. FORM 990, PART VII, SECTION A, COLUMN A AS OF JUNE 30, 2012, THE FOLLOWING OFFICERS AND KEY EMPLOYEES WERE NO LONGER EMPLOYED BY MERCY HEALTH: JAMES JAACKS- TREASURER AND EXECUTIVE VICE PRESIDENT/CHIEF ADMINISTRATIVE OFFICER (EMPLOYED THROUGH JANUARY 20, 2012) DR. GLENN MITCHELL- CHIEF MEDICAL OFFICER (EMPLOYED THROUGH JANUARY 18, 2012) GEORGE FLYNN- SENIOR VICE PRESIDENT- PERFORMANCE IMPROVEMENT (EMPLOYED THROUGH JANUARY 18, 2012) FORM 990, PART VII, SECTION A, COLUMN B AVERAGE HOURS PER WEEK SEVERAL INDIVIDUALS LISTED IN PART VII ARE DISCLOSED AS TRUSTEES, DIRECTORS, OFFICERS, AND KEY EMPLOYEES ON MULTIPLE FORM 990S OF ENTITIES INCLUDED WITHIN MERCY HEALTH. THE AVERAGE HOURS PER WEEK DISCLOSED IN PART VII IS AN ESTIMATE OF THE HOURS PER WEEK THAT THE LISTED INDIVIDUAL SPENDS ON BOTH THE FILING ORGANIZATION AND ALL RELATED ORGANIZATIONS. FORM 990, PART XI, LINE 5 OTHER CHANGES IN NET ASSETS TRANSFERS TO/FROM AFFILIATES ($45,609,533) Nonoperating investment returns - unrealized ($965,553) Transfers from affiliates (MHAP) $829,317 Total other changes in net assets ($45,745,769) FORM 990, PART XII, QUESTION 2C OVERSIGHT OR SELECTION PROCESS THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN MERCY HEALTH AND SUBSIDIARIES ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 2012 (THE TAX YEAR CURRENTLY BEING REPORTED). HOWEVER, NO SEPARATE AUDIT OPINION IS ISSUED ON THE FINANCIAL STATEMENTS OF THE FILING ORGANIZATION. THE ULTIMATE RESPONSIBILITY FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE EXTERNAL AUDITOR LIES WITH THE FINANCE, AUDIT, AND COMPLIANCE COMMITTEE OF THE MERCY HEALTH BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2011

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
MHM SUPPORT SERVICES
 
Employer identification number

20-2553101
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity







(1) Valarity
14528 South Outer Forty Road
Chesterfield,MO63017
27-2439247 		COLLECTIONS MO 1,008,475 2,525,592 MHM SUPPORT
 










Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) Advance Care Hospital

300 Werner Street

Hot Springs,AR71913
71-0816634 		Hospital AR 501(C)(3) 3 Mercy Health
 
Yes
 
(2) Casa de Misericordia

1602 Mcclelland Street

Laredo,TX78044
74-2912461 		Shelter TX 501(C)(3) 7 MM Laredo
 
Yes
 
(3) Laredo Medical Group

14528 S Outer Forty Ste 100

Chesterfield,MO63017
74-2764726 		Inactive TX 501(C)(3) 9 MHS-TX
 
Yes
 
(4) McAuley Portfolio Management Company

14528 S Outer Forty Ste 100

Chesterfield,MO63017
26-1708048 		Port Mgmt MO 501(C)(3) 11b Mercy Health
 
Yes
 
(5) Mercy Clinic East Communites

14528 S Outer Forty Ste 100

Chesterfield,MO63017
43-1771217 		Phys Group MO 501(C)(3) 9 MHEC
 
Yes
 
(6) Mercy Clinic Fort Smith Communitites

7301 Rogers Avenue

Fort Smith,AR72917
26-1318597 		Phys Clinic AR 501(C)(3) 9 MHFSC
 
Yes
 
(7) Mercy Clinic Hot Springs Communitites

1 Mercy Lane

Hot Springs,AR71913
26-1125131 		Phys Clinic AR 501(C)(3) 9 MHHSC
 
Yes
 
(8) Mercy Clinic Oklahoma Communities

4300 W Memorial Road

Oklahoma City,OK73120
27-0473057 		Phys Group OK 501(C)(3) 9 MHOC
 
Yes
 
(9) Mercy Clinic Springfield Communities

1965 Fremont Street Ste 2950

Springfield,MO65804
43-1560263 		Phys Group MO 501(C)(3) 9 MHSC
 
Yes
 
(10) Mercy Family Center

14528 S Outer Forty Ste 100

Chesterfield,MO63017
72-1069468 		counseling MO 501(C)(3) 7 Mercy Health
 
Yes
 
(11) Mercy Foundation for Health Innovation

14528 S Outer Forty Ste 100

Chesterfield,MO63017
20-0901499 		Foundation MO 501(C)(3) 11b Mercy Health
 
Yes
 
(12) Mercy Health

14528 S Outer Forty Ste 100

Chesterfield,MO63017
43-1423050 		Sup Hlth Sys MO 501(C)(3) 1 NA
 
 
No
(13) Mercy Health East Communities

14528 S Outer Forty Ste 100

Chesterfield,MO63017
43-1718408 		Hlth System MO 501(C)(3) 11b Mercy Health
 
Yes
 
(14) Mercy Health Fort Smith Communities

7301 Rogers Avenue

Fort Smith,AR72917
26-1318515 		Holding Co AR 501(C)(3) 11b Mercy Health
 
Yes
 
(15) Mercy Health Foundation Ardmore

1011 14th Avenue NW

Ardmore,OK73401
71-0962525 		Foundation OK 501(C)(3) 11a MH Ardmore
 
Yes
 
(16) Mercy Health Foundation Berryville

214 Carter Street

Berryville,AR72616
71-0759301 		Foundation AR 501(C)(3) 11a MH Berryvill
 
Yes
 
(17) Mercy Health Foundation Fort Scott

401 Woodland Hills Blvd

Fort Scott,KS66701
48-1077073 		Foundation KS 501(C)(3) 11c Mercy KS Com
 
Yes
 
(18) Mercy Health Foundation Hot Springs

300 Werner Street

Hot Springs,AR71913
71-0804718 		Foundation AR 501(C)(3) 11b MHHS
 
Yes
 
(19) Mercy Health Foundation Independence

800 W Myrtle

Independence,KS67301
48-1079981 		Foundation KS 501(C)(3) 11a Mercy KS Com
 
Yes
 
(20) Mercy Health Foundation Joplin

2817 St Johns Blvd

Joplin,MO64804
27-0906136 		Foundation MO 501(C)(3) 11a MHSMKC
 
Yes
 
(21) Mercy Health Foundation NW Arkansas

2710 Rife Medical Lane

Rogers,AR72758
71-0601687 		Foundation AR 501(C)(3) 11c MH Rogers
 
Yes
 
(22) Mercy Health Foundation OF Oklahoma

4300 W Memorial Road

Oklahoma City,OK73120
45-4732301 		Foundation OK 501(C)(3) 11a MHOC
 
Yes
 
(23) Mercy Health Foundation OK City

4300 W Memorial Road

Oklahoma City,OK73120
73-1593024 		Foundation OK 501(C)(3) 11a MHOC
 
Yes
 
(24) Mercy Health Foundation Springfield

1235 E Cherokee Street

Springfield,MO65804
32-0195818 		Foundation MO 501(C)(3) 11b MHSC
 
Yes
 
(25) Mercy Health Foundation St Louis

14528 S Outer Forty Ste 100

Chesterfield,MO63017
56-2410020 		Foundation MO 501(C)(3) 11b MHEC
 
Yes
 
(26) Mercy Health Foundation Washington

901 E Fifth Street

Washington,MO63090
56-2410022 		Foundation MO 501(C)(3) 11b MHEC
 
Yes
 
(27) Mercy Health Hot Springs Communities

300 Werner Street

Hot Springs,AR71913
26-1125064 		Holding Co AR 501(C)(3) 11b Mercy Health
 
Yes
 
(28) Mercy Health NW Arkansas Communities

2710 Rife Medical Drive

Rogers,AR72758
62-1684203 		Phys Group AR 501(C)(3) 11b Mercy Health
 
Yes
 
(29) Mercy Health Oklahoma Communities

4300 W Memorial Road

Oklahoma City,OK73120
73-1453048 		Holding co OK 501(C)(3) 11b Mercy Health
 
Yes
 
(30) Mercy Health Springfield Communitites

1235 E Cherokee Street

Springfield,MO65804
43-1856028 		Holding Co MO 501(C)(3) 11b Mercy Health
 
Yes
 
(31) Mercy Health SW MOKS Communitites

2817 St Johns Blvd

Joplin,MO64804
30-0584463 		Hlth System MO 501(C)(3) 11b Mercy Health
 
Yes
 
(32) Mercy Health System of Texas Inc

14528 S Outer Forty Ste 100

Chesterfield,MO63017
74-2764727 		Inactive TX 501(C)(3) 11b Mercy Health
 
Yes
 
(33) Mercy Home Health Berryville

804 W Freeman Suite 4

Berryville,AR72616
87-0781247 		Home Health AR 501(C)(3) 11c MH Sprngfld
 
Yes
 
(34) Mercy Hospital Ardmore

1011 14th Avenue NW

Ardmore,OK73401
73-1500629 		Hospital OK 501(C)(3) 3 MHOC
 
Yes
 
(35) Mercy Hospital Aurora

500 Porter Avenue

Aurora,MO65605
43-1936696 		Hospital MO 501(C)(3) 3 MHSC
 
Yes
 
(36) Mercy Hospital Berryville

214 Carter Street

Berryville,AR72616
71-0759299 		Hospital AR 501(C)(3) 3 MHSC
 
Yes
 
(37) Mercy Hospital Carthage

3125 Dr Russell Smith Way

Carthage,MO64836
45-3808607 		Hospital MO 501(C)(3) 3 MHSMKC
 
Yes
 
(38) Mercy Hospital Cassville

94 Main Street

Cassville,MO65625
43-1936699 		Hospital MO 501(C)(3) 3 MHSC
 
Yes
 
(39) Mercy Hospital Columbus

220 Pennsylvania Avenue

Columbus,KS66725
27-0842031 		Hospital MO 501(C)(3) 3 MHSMKC
 
Yes
 
(40) Mercy Hospital El Reno

2115 Parkview Drive

El Reno,OK73036
27-2716065 		Hospital OK 501(C)(3) 3 MHOC
 
Yes
 
(41) Mercy Hospital Fort Smith

7301 Rogers Avenue

Fort Smith,AR72917
71-0240352 		Hospital AR 501(C)(3) 3 MHFSC
 
Yes
 
(42) Mercy Hospital Healdton

918 South 8th Street

Healdton,OK73438
26-3173902 		Hospital OK 501(C)(3) 3 MH Ardmore
 
Yes
 
(43) Mercy Hospital Hot Springs

300 Werner Street

Hot Springs,AR71913
71-0236913 		Hospital AR 501(C)(3) 3 MHHSC
 
Yes
 
(44) Mercy Hospital Joplin

2817 St Johns Blvd

Joplin,MO64804
27-0814858 		Hospital MO 501(C)(3) 3 MHSMKC
 
Yes
 
(45) Mercy Hospital Lebanon

100 Hospital Drive

Lebanon,MO65536
43-1767432 		Hospital MO 501(C)(3) 3 MHSC
 
Yes
 
(46) Mercy Hospital Logan County Inc

200 South Academy

Guthrie,OK73044
45-2998842 		Hospital OK 501(C)(3) 3 MHOC
 
Yes
 
(47) Mercy Hospital of Laredo

14528 S Outer Forty Ste 100

Chesterfield,MO63017
74-1189682 		Inactive TX 501(C)(3) 3 MHS-TX
 
Yes
 
(48) Mercy Hospital Oklahoma City

4300 W Memorial Road

Oklahoma City,OK73120
73-0579285 		Hospital OK 501(C)(3) 3 MHOC
 
Yes
 
(49) Mercy Hospital Ozark

801 W River Street

Ozark,AR72949
71-0689680 		Hospital AR 501(C)(3) 3 MHFS
 
Yes
 
(50) Mercy Hospital Paris

500 E Academy

Paris,AR72855
71-0655753 		Hospital AR 501(C)(3) 3 MHFS
 
Yes
 
(51) Mercy Hospital Rogers

2710 Rife Medical Lane

Rogers,AR72758
71-0294390 		Hospital AR 501(C)(3) 3 MHNWAC
 
Yes
 
(52) Mercy Hospital Springfield

1235 E Cherokee Street

Springfield,MO65804
44-0552485 		Hospital MO 501(C)(3) 3 MHSC
 
Yes
 
(53) Mercy Hospital Tishomingo

1000 South Byrd

Tishomingo,OK73460
27-4433830 		Hospital OK 501(C)(3) 3 MH Ardmore
 
Yes
 
(54) Mercy Hospital Waldron

1341 W 6th Street

Waldron,AR72958
71-0557895 		Hospital AR 501(C)(3) 3 MHFS
 
Yes
 
(55) Mercy Hospital Watonga Inc

500 Clarence Nash Blvd

Watonga,OK73772
45-5199762 		Hospital OK 501(C)(3) 3 MHOC
 
Yes
 
(56) Mercy Hospitals East Communities

14528 S Outer Forty Ste 100

Chesterfield,MO63017
43-0653493 		Hospital MO 501(C)(3) 3 MHEC
 
Yes
 
(57) Mercy Kansas Communities Inc

401 Woodland Hills Blvd

Ft Scott,KS66701
48-0956045 		Hospital KS 501(C)(3) 3 MHSMKC
 
Yes
 
(58) Mercy Medical Research Institute

1235 E Cherokee Street

Springfield,MO65804
87-0796305 		Research MO 501(C)(3) 4 MHSC
 
Yes
 
(59) Mercy Ministries of Laredo

2500 Zacatecas

Laredo,TX78046
20-0198462 		outreach TX 501(C)(3) 7 Mercy Health
 
Yes
 
(60) Mercy St Francis Hospital

100 W Highway 60

Mountain View,MO65548
44-0607149 		Hospital MO 501(C)(3) 3 MHSC
 
Yes
 
(61) Mercy Support Services

14528 S OUTER FORTY STE 100

CHESTERFIELD,MO63017
43-1677952 		Inactive MO 501(C)(3) 11c MHEC
 
Yes
 
(62) Mission Clinical Services

300 Werner Street

Hot Springs,AR71913
13-4239691 		nursing home AR 501(C)(3) 9 MHHSC
 
Yes
 
(63) St Edward Mercy Foundation

PO Box 17000

Fort Smith,AR72917
23-7330425 		Foundation AR 501(C)(3) 7 MHFS
 
Yes
 
(64) St John's Children's Hospital Inc

1235 E Cherokee Street

Springfield,MO65804
 Inactive MO 501(C)(3) 3 MHSC
 
Yes
 
(65) St Mary's Hospital of Enid Oklahoma

14528 S Outer Forty Ste 100

Chesterfield,MO63017
73-0614655 		Inactive OK 501(C)(3) 3 MHOC
 
Yes
 
(66) The Sister M Cornelia Blasko Foundation

100 W Highway 60

Mountain View,MO65548
43-1873914 		Foundation MO 501(C)(3) 11a MSFH
 
Yes
 
(67) Unity Ambulatory Care

14528 S OUTER FORTY STE 100

CHESTERFIELD,MO63017
43-1861745 		Inactive MO 501(C)(3) 11c MHEC
 
Yes
 
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2011
Schedule R (Form 990) 2011
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) Merc Ambu Surg CTR

7301 Rogers Av
Fort Smith,AR72903
71-0827721 		AMBUL SURG CENTER AR NA
  		                 
(2) RES OPT & INNOV

645 Maryville Centre Dr 200
St Louis,MO63141
46-0468368 		CENTRAL DIST. MO NA
  		                 
(3) SO OK DIAG CTR

1011 14TH Ave NW
Ardmore,OK73401
43-1971232 		MRI Services OK NA
  		                 
(4) Fort Smith EMS

1701 S Greenwood
Fort Smith,AR72901
71-0416615 		Emergency Med AR NA
  		                 
(5) St Ed Mer Med MOB

7301 Rogers Ave
Fort Smith,AR72903
71-0554050 		Office Building AR NA
  		                 




Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership
(1) Frontenac Properties Inc
14528 S Outer Forty Suite 100
Chesterfield,MO63017
52-1914421 		HOLDING COMP DE NA
  		C-Corp      
(2) Inveno Health Inc
1235 E Cherokee Street
Springfield,MO65804
26-4509571 		IT SERVICES MO NA
  		C-Corp      
(3) Mercy Community Services Inc
401 Woodland Hills Blvd
Fort Scott,KS66701
48-1078101 		RETAIL PHARMACY KS NA
  		C-Corp      
(4) Mercy Health Center Condominium Inc
4300 W Memorial Rd
Oklahoma City,OK73120
68-0640970 		REAL ESTATE OK NA
  		C-Corp      
(5) Mercy Health Network of the Southern Reg
1011 14th Avenue NW
Ardmore,OK73401
73-1580607 		HEALTH CARE OK NA
  		C-Corp      
(6) Mercy Health Network Inc
4300 W Memorial Road
Oklahoma City,OK73120
73-1381689 		HEALTH CARE OK NA
  		C-Corp      
(7) Mercy Managed Care Corporation
4300 W Memorial Road
Oklahoma City,OK73120
73-1441665 		HOLDING COMP OK NA
  		C-Corp      
(8) UH L Corp Inc
645 Maryville Centre Drive Suite 1
St Louis,MO63141
74-2499535 		HOLDING COMP MO NA
  		C-Corp      
(9) Unity Support Services Inc
645 Maryville Centre Drive Suite 1
St Louis,MO63141
43-1797042 		PRACTICE MGT MO NA
  		C-Corp      
Schedule R (Form 990) 2011
Schedule R (Form 990) 2011
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) Frontenac Properties Inc

 O 1,436,729 FMV
(2) Mercy Clinic East Communities

 P 226,573,120 FMV
(3) Mercy Clinic Fort Smith Communities

 p 2,738,775 FMV
(4) Mercy Clinic Hot Springs Communities

 p 5,082,016 FMV
(5) Mercy Clinic Oklahoma Communities Inc

 p 8,580,025 FMV
(6) Mercy Clinic Springfield Communities

 P 12,558,535 FMV
(7) Mercy Family Center

 B 50,000 FMV
(8) Mercy Family Center

 O 1,013,300 FMV
(9) Mercy Foundation for Health Innovation

 B 280,924 FMV
(10) Mercy Health East Communities

 p 228,888,625 FMV
(11) Mercy Health Foundation Ardmore

 p 66,338 FMV
(12) Mercy Health Foundation Oklahoma City Inc

 B 119,550 FMV
(13) Mercy Health Foundation Oklahoma City Inc

 p 93,051 FMV
(14) Mercy Health Foundation Springfield

 p 1,178,956 FMV
(15) Mercy Health Hot Springs Communities

 p 812,370 FMV
(16) Mercy Health Network Inc

 o 359,602 FMV
(17) Mercy Health Northwest Arkansas Communities

 p 21,685,626 FMV
(18) Mercy Health Oklahoma Communities Inc

 p 6,153,342 FMV
(19) Mercy Health Springfield Communities

 p 163,115,855 FMV
(20) Mercy Health System of Texas Inc

 O 143,789 FMV
(21) Mercy Hospital Ardmore Inc

 P 74,276,801 FMV
(22) Mercy Hospital Aurora

 p 895,269 FMV
(23) Mercy Hospital Berryville

 p 872,692 FMV
(24) Mercy Hospital Carthage

 p 1,374,413 FMV
(25) Mercy Hospital Cassville

 p 753,019 FMV
(26) Mercy Hospital El Reno Inc

 p 887,240 FMV
(27) Mercy Hospital Fort Smith

 o 22,486,188 FMV
(28) Mercy Hospital Healdton Inc

 p 317,186 FMV
(29) Mercy Hospital Hot Springs

 O 5,510,728 FMV
(30) Mercy Hospital Joplin

 N 57,762 FMV
(31) Mercy Hospital Joplin

 p 54,210,244 FMV
(32) Mercy Hospital Lebanon

 p 5,105,042 FMV
(33) Mercy Hospital Logan County Inc

 p 476,683 FMV
(34) Mercy Hospital of Laredo

 p 68,921 FMV
(35) Mercy Hospital Oklahoma City Inc

 p 39,766,293 FMV
(36) Mercy Hospital Ozark

 p 1,139,801 FMV
(37) Mercy Hospital Paris

 p 817,785 FMV
(38) Mercy Hospital Rogers

 O 27,710,092 FMV
(39) Mercy Hospital Springfield

 P 32,431,772 FMV
(40) Mercy Hospital Tishomingo Inc

 P 215,888 FMV
(41) Mercy Hospital Waldron

 P 1,308,561 FMV
(42) Mercy Hospitals East Communities

 P 147,304,395 FMV
(43) Mercy Kansas Communities Inc

 P 24,635,145 FMV
(44) Mercy Ministries of Laredo

 b 82,500 FMV
(45) Mercy St Francis Hospital

 p 738,676 FMV
(46) Resource Optimization & Innovation LLC

 o 102,579 FMV
(47) Resource Optimization & Innovation LLC

 p 8,234,821 FMV
(48) St Edward Mercy Foundation

 p 65,432 FMV
Schedule R (Form 990) 2011
Schedule R (Form 990) 2011
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(e)
Are all
partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2011
Schedule R (Form 990) 2011
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
FORM 990, SCHEDULE R, PART V   LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY HEALTH ITS SUBSIDIARIES. THE MAJORITY OF THE INTERCOMPANY/RELATED ORGANIZATION TRANSACTIONS ARE PROCESSED THROUGH LAWSON VIA INTERCOMPANY JOURNAL ENTRIES. WITH THE CURRENT DESIGN OF THE ERP SYSTEM, THERE ARE VARIOUS LIMITATIONS ON THE RELATED ORGANIZATION INFORMATION THAT CAN BE EXTRACTED FROM LAWSON. DUE TO THESE LIMITATIONS, MOST OF THE RELATED ORGANIZATION ACTIVITY FOR THE FILING ORGANIZATION HAS BEEN CLASSIFIED ON SCHEDULE R, PART V, IN LINES B, O AND P.
Additional Data


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