TY 2013 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) Bauer PhD Jon........................................................................ Board member	1.00 .......................0.00	X		0	0	0
(2) Brunworth MD David........................................................................ Board member	1.00 .......................0.00	X		0	0	0
(3) Cleveland MD Jeanne........................................................................ Physician & Board member	1.00 .......................40.00	X		0	533,529	30,730
(4) Darrell Mark........................................................................ Board member	1.00 .......................0.00	X		0	0	0
(5) Diederich Gene........................................................................ Board member	1.00 .......................0.00	X		0	0	0
(6) Eckelkamp Bonnie........................................................................ Board member	1.00 .......................0.00	X		0	0	0
(7) Evans RSM Sr Gayle........................................................................ Board member	25.00 .......................1.00	X		0	0	0
(8) Galli MD William........................................................................ Physician & Board member	1.00 .......................50.00	X		0	375,620	25,913
(9) Glosenger RSM Sr Katherine........................................................................ Board member	.50 .......................32.00	X	X	0	0	0
(10) Halsted MD Robert........................................................................ Physician & Board member	1.00 .......................55.00	X		0	585,539	30,146
(11) Johnston Jeffrey A........................................................................ Pres, Mercy Hosp St. Louis & Board member	58.00 .......................4.00	X		0	588,337	223,557
(12) Keithly Dennis........................................................................ Physician & Board member	51.00 .......................1.00	X		0	321,063	90,808
(13) Martin MD Scott........................................................................ Board member	1.00 .......................0.00	X		0	0	0
(14) McLain Terri L........................................................................ Pres, Mercy Hosp Washington & Board member	55.00 .......................5.00	X		430,062	0	83,053
(15) Miller Sr William........................................................................ Board member	1.00 .......................1.00	X		0	0	0
(16) Parmentier Jennifer........................................................................ Board member	1.00 .......................0.00	X		0	0	0
(17) Pennell Richard........................................................................ Physician & Board member	60.00 .......................0.00	X		0	805,286	30,123

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) Purnell Jack........................................................................ Board member	.50 ........................50	X					0	0	0
(19) Rehm MD Charles........................................................................ Chief Admin Officer & Board member	25.00 .......................35.00	X					0	548,612	95,565
(20) Riechers MD Thomas........................................................................ Physician & Board member	65.00 .......................0.00	X					0	454,225	34,757
(21) Sanford Cassandra........................................................................ Board member	1.00 .......................0.00	X					0	0	0
(22) Steinbecker Roger........................................................................ Board member	4.00 .......................2.00	X					0	0	0
(23) Stroble Beth........................................................................ Board member	1.00 .......................0.00	X					0	0	0
(24) Trelz Tessa........................................................................ Board member	1.00 .......................1.30	X					0	0	0
(25) Voss Kurt........................................................................ Board member	1.00 .......................0.00	X					0	0	0
(26) Wittenauer RSM Sr Marilynn........................................................................ Board member	1.00 .......................0.00	X					0	0	0
(27) Matejka Cheryl L........................................................................ Chief Financial Officer	18.00 .......................39.00		X				0	413,101	78,538
(28) Cantalin Jeanne L........................................................................ Reg VP-General Counsel - thru 02/14	24.00 .......................36.00		X				0	263,916	46,705
(29) Hannasch Susan........................................................................ Reg VP-General Counsel - start 03/14	5.00 .......................55.00		X				0	275,484	52,671
(30) Sorensen Donn........................................................................ President-East Communities	10.00 .......................54.00		X				0	811,498	245,528
(31) Bollin Steven J........................................................................ VP - Support Services	50.00 .......................5.00			X			204,485	0	23,078
(32) Crain Christine........................................................................ COO-Mercy Children's Services	36.00 .......................24.00			X			366,791	0	110,430
(33) Frazier Donna M........................................................................ Chief Nursing Officer	60.00 .......................0.00			X			272,254	0	53,514
(34) Frost Joan........................................................................ Chief Operating Officer	55.00 .......................0.00			X			318,925	0	25,155
(35) Geldbach Patricia L........................................................................ VP-Mercy Women's Services	45.00 .......................20.00			X			0	319,697	71,159
(36) Hintze Paul........................................................................ VP - Medical Affairs	60.00 .......................0.00			X			436,429	0	86,035
(37) Kahn MD Joseph........................................................................ President-Mercy Children's Services	2.00 .......................58.00			X			0	527,233	88,330
(38) Kalicak Donald........................................................................ VP - Business Development & Planning	25.00 .......................35.00			X			0	361,784	84,980
(39) Lenoir Frank........................................................................ VP - HR	50.00 .......................0.00			X			0	255,257	40,456
(40) Nelson Kathryn........................................................................ VP - Performance Improvement	57.00 .......................1.00			X			226,835	0	25,112
(41) Rothermich Anthony........................................................................ VP-Operations	50.00 .......................5.00			X			0	185,575	19,978
(42) Scoffic Denise........................................................................ VP-Finance	30.00 .......................25.00			X			0	217,936	26,277
(43) Starke Keith M........................................................................ VP-Quality & Safety	55.00 .......................15.00			X			550,492	0	102,342
(44) Varner Ann M........................................................................ VP - Mission	50.00 .......................10.00			X			177,462	0	28,058
(45) Chaudhry Bilal........................................................................ Physician	50.00 .......................0.00				X		304,708	0	19,642
(46) Cox Michael J........................................................................ Physician	50.00 .......................0.00				X		268,925	171,897	28,307
(47) Sommer Steve........................................................................ Physician	60.00 .......................0.00				X		360,285	0	27,476
(48) Super David........................................................................ Physician	50.00 .......................0.00				X		430,451	0	8,398
(49) Veronikis MD Dionysios........................................................................ Physician	50.00 .......................0.00				X		388,879	0	27,386
(50) Combs Randall J........................................................................ Former officer	0.00 .......................60.00					X	0	952,001	218,404
(51) McCurry Michael........................................................................ Former officer	0.00 .......................60.00					X	0	1,088,774	202,595
(52) Beekman Sheri D........................................................................ Former key employee	0.00 .......................40.00					X	0	444,957	77,260
(53) Eoloff Eric J........................................................................ Former key employee	0.00 .......................60.00					X	0	438,091	67,026
(54) Onesko Kim M........................................................................ Former key employee	50.00 .......................10.00					X	0	106,435	7,675
(55) Petito MD Sally........................................................................ Former key employee	30.00 .......................30.00					X	0	301,449	21,183

(A) Name and business address	(B) Description of services	(C) Compensation
McCarthy Building Companies1341 North Rock Hill RoadSt LouisMO63124	Construction	21,199,159
PHILIPS HEALTHCAREPO Box 100355AtlantaGA30384	Construction	4,774,766
Lawlor Corp1440 Strassner DriveSt LouisMO63144	Construction	3,711,802
FASTAFF6399 S Fiddlers Green Circle Ste 1Greenwood VillageCO80111	Temporary agency	3,248,557
MAYO MEDICAL LABS200 SW First StreetRochesterMN55805	Lab services	2,748,408
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 85

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	674,461	674,461
2	Grants and other assistance to individuals in the United States. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	3,695,061		3,695,061
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	387,976	387,976
7	Other salaries and wages	361,411,349	356,243,823	5,167,526
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	17,721,552	16,726,256	995,296
9	Other employee benefits .......	48,154,417	47,793,651	360,766
10	Payroll taxes ...........	25,299,117	24,757,189	541,928
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	-199,525		-199,525
c	Accounting ...........	91		91
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	32,996,855	32,351,078	645,777
12	Advertising and promotion ....	460,374	451,364	9,010
13	Office expenses .......	29,525,453	28,947,614	577,839
14	Information technology ......	2,074,087	2,033,495	40,592
15	Royalties ..
16	Occupancy ...........	20,747,836	20,341,783	406,053
17	Travel ............	1,624,403	1,592,612	31,791
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	12	12
20	Interest ...........	977,055	977,055
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	60,931,039	59,738,565	1,192,474
23	Insurance ..............	7,466,764	7,320,633	146,131
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	Medical Supplies	210,774,689	206,649,643	4,125,046
b	Shared Service Fees	149,845,240	78,751,114	71,094,126
c	Bad Debt Expense	74,043,394	74,043,394	0
d	Equipment Repairs & Mai	8,173,682	8,013,716	159,966
e	All other expenses	1,763,753	1,725,980	37,773
25	Total functional expenses. Add lines 1 through 24e	1,058,549,135	969,521,414	89,027,721	0
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 if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	16,521,965	1	69,047,338
2	Savings and temporary cash investments .........		2
3	Pledges and grants receivable, net ...........		3
4	Accounts receivable, net .............	146,171,527	4	158,954,598
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
			5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
			6
7	Notes and loans receivable, net .............	174,126	7	3,729,462
8	Inventories for sale or use ..............	19,145,789	8	21,222,346
9	Prepaid expenses and deferred charges ..........	1,319,151	9	1,386,442
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,222,459,354
b	Less: accumulated depreciation .....	10b	718,859,656	515,237,854	10c	503,599,698
11	Investments—publicly traded securities ..........		11
12	Investments—other securities. See Part IV, line 11 .....	3,432,040	12	3,851,612
13	Investments—program-related. See Part IV, line 11 .....		13
14	Intangible assets ...............	20,807,065	14	24,380,359
15	Other assets. See Part IV, line 11 ...........	173,502,945	15	204,736,411
16	Total assets. Add lines 1 through 15 (must equal line 34)......	896,312,462	16	990,908,266
	17	Accounts payable and accrued expenses .........	71,864,990	17	42,186,934
18	Grants payable .................	1,081,461	18	1,057,370
19	Deferred revenue ................	-3,257	19	0
20	Tax-exempt bond liabilities .............		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..	12,076,315	23	11,786,421
24	Unsecured notes and loans payable to unrelated third parties ....		24
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....................	7,463,680	25	8,757,915
26	Total liabilities. Add lines 17 through 25.........	92,483,189	26	63,788,640
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	800,649,200	27	923,540,372
28	Temporarily restricted net assets ...........	3,180,073	28	3,579,254
29	Permanently restricted net assets ...........		29
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........	803,829,273	33	927,119,626
34	Total liabilities and net assets/fund balances ........	896,312,462	34	990,908,266

- TIN:

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.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.
right arrow

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

MERCY HOSPITALS EAST COMMUNITIES

Employer identification number

43-0653493

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

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.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the supported organization? ................

11g(i)

(ii) A family member of a person described in (i) above? ......................

11g(ii)

(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(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 monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2013

Page 2

Part II

Support Schedule for Organizations Described in Sections 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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2012 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2013. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2012. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2012. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2013

Page 3

Part III

Support Schedule for Organizations Described in Section 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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2012 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2012 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2013. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ........ right arrow

33 1/3% support tests—2012. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2013

Page 4

Part IV

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Name of the organization

MERCY HOSPITALS EAST COMMUNITIES

Employer identification number

43-0653493

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year ......................... 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 its Form 990PF, Part I, line 2, 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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 2

Name of organization MERCY HOSPITALS EAST COMMUNITIES

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, RESTRICTEDRESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 3

Name of organization MERCY HOSPITALS EAST COMMUNITIES

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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 4

Name of organization
MERCY HOSPITALS EAST COMMUNITIES

Employer identification number

43-0653493

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

(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

(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

(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

(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) (2013)

Additional Data

Software ID:
Software Version:

- TIN:

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. SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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, Part V, line 35c (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

MERCY HOSPITALS EAST COMMUNITIES

Employer identification number

43-0653493

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

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

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

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 Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2013

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 SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(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? ......................................	Yes No

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) 2010	(b) 2011	(c) 2012	(d) 2013	(e) Total

2a	Lobbying nontaxable 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) 2013

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

(b)

Amount

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:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Yes

119,786

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Total. Add lines 1c through 1i ...............................

119,786

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

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

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

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."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

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? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Part II-B, Line 1:	The filing organization is a member of and pays dues to the following hospital associations: Missouri Hospital Association, Catholic Health Association, and American Hospital Association. For the year ended June 30, 2014, dues were $192,179, $121,009, and $71,471, respectively. Approximately 51.45% of Missouri Hospital Association dues, 3.31% of Catholic Hospital Association dues, and 23.65% of American Hospital Association dues were attributable to lobbying activities performed by these associations.

Return Reference

Explanation

Part II-B, Line 1:

The filing organization is a member of and pays dues to the following hospital associations: Missouri Hospital Association, Catholic Health Association, and American Hospital Association. For the year ended June 30, 2014, dues were $192,179, $121,009, and $71,471, respectively. Approximately 51.45% of Missouri Hospital Association dues, 3.31% of Catholic Hospital Association dues, and 23.65% of American Hospital Association dues were attributable to lobbying activities performed by these associations.

Schedule C (Form 990 or 990EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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. SchDMd Bullet

Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

MERCY HOSPITALS EAST COMMUNITIES

Employer identification number

43-0653493

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 ........

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? ............

Yes No

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? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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.


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

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, 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.

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 XIII, the text of the footnote to its financial statements that describes these items.

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

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:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2013

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?........

Yes No

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.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (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 ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	8,896,793		8,896,793
b	Buildings ................	848,132,096	466,632,077	381,500,019
c	Leasehold improvements ............	13,694,452	11,154,563	2,539,889
d	Equipment ................	309,347,387	229,976,767	79,370,620
e	Other .................	42,388,626	11,096,249	31,292,377
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				503,599,698

Schedule D (Form 990) 2013

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. 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.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment		(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.)

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) DEFERRED COMPENSATION				6,798,566
(2) MISCELLANEOUS RECEIVABLES				4,308,133
(3) Intercompany Receivables				191,386,155
(4) Other Assets				2,243,557





Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				204,736,411

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes
DEFERRED COMPENSATION		6,798,566
OTHER LIABILITIES		1,959,349







Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		8,757,915
2. Liability for uncertain tax positions In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................

Schedule D (Form 990) 2013

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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 XIII.) ............	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 XIII.) ...........	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 XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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 XIII.) ............	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 XIII.) ............	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 XIII

Supplemental Information

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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
Part X, Line 2	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) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

MERCY HOSPITALS EAST COMMUNITIES

Employer identification number

43-0653493

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..	20,213,761		20,213,761	2.050 %
b	Medicaid (from Worksheet 3, column a) ....	115,199,638	104,201,441	10,998,197	1.120 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .
d	Total Financial Assistance and Means-Tested Government Programs .	135,413,399	104,201,441	31,211,958	3.170 %
Other Benefits		2,577,746	746,635	1,831,111	0.190 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	2,577,746	746,635	1,831,111	0.190 %
f	Health professions education (from Worksheet 5) ..	8,649,527	224,464	8,425,063	0.860 %
g	Subsidized health services (from Worksheet 6) ..
h	Research (from Worksheet 7)	307,302	199,681	107,621	0.010 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	425,135	75,657	349,478	0.040 %
j	Total. Other Benefits ..	11,959,710	1,246,437	10,713,273	1.100 %
k	Total. Add lines 7d and 7j .	147,373,109	105,447,878	41,925,231	4.270 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013

Schedule H (Form 990) 2013

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development	557	557	0 %
3	Community support	470,385	470,385	0.050 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	10,952	10,952	0 %
7	Community health improvement advocacy
8	Workforce development	12,780	12,780	0 %
9	Other	16,230	16,230	0 %
10	Total	510,904	510,904	0.050 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

20,211,887

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

205,935,169

Enter Medicare allowable costs of care relating to payments on line 5.....

222,059,485

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-16,124,316

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 St Johns Mercy SRS LLC	Medical Equipment Rental	40.000 %	60.000 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2013

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?4 Name, address, primary website address, and state license number
1	Mercy Hospital St Louis 615 S New Ballas Road St Louis,MO63141 www.mercy.net/stlouismo 226-50	X	X	X	X	X
2	Mercy Hospital Washington 901 E Fifth Street Washington,MO63090 www.mercy.net/stlouismo 311-32	X	X			X
3	SJMDHSLLC(Mercy Continuing Care Hospita 13190 South Outer 40 Chesterfield,MO63017 www.mercy.net/stlouismo	X
4	Mercy Rehabilitation LLC 14561 North Outer 40 Chesterfield,MO63017 www.mercy.net/stlouismo	X

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	Mercy Hospital St Louis
Name of hospital facility or facility reporting group

If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ....................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................

Yes

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): www.mercy.net/about/community-benefits

Other website (list url):

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........

Yes

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 100.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If "Yes," indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Residency
i	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?..........	17		No
	If "Yes," check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

Policy Relating to Emergency Medical Care

Yes

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................

If "Yes," explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? .........................

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	Mercy Hospital Washington
Name of hospital facility or facility reporting group

If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): www.mercy.net/about/community-benefits

Other website (list url):

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Yes

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 100.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If "Yes," indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Residency
i	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?..........	17		No
	If "Yes," check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

If "Yes," explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? .........................

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	SJMDHSLLC (Mercy Continuing Care Hospit
Name of hospital facility or facility reporting group

If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................

Yes

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): www.mercy.net/about/community-benefits

Other website (list url):

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Yes

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 100.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If "Yes," indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Residency
i	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?..........	17		No
	If "Yes," check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

If "Yes," explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? .........................

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	Mercy Rehabilitation LLC
Name of hospital facility or facility reporting group

If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................

Yes

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): www.mercy.net/about/community-benefits

Other website (list url):

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Yes

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 100.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If "Yes," indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Residency
i	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?..........	17		No
	If "Yes," check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

If "Yes," explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? .........................

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference	Explanation
Mercy Hospital St. Louis	Part V, Section B, Line 3: COMMUNITY HEALTH NEEDS ASSESSMENTPLEASE REFER TO THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT WHICH CAN BE FOUND AT WWW.MERCY.NET/COMMUNITY-BENEFITS.
Mercy Hospital Washington	Part V, Section B, Line 3: COMMUNITY HEALTH NEEDS ASSESSMENTPLEASE REFER TO THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT WHICH CAN BE FOUND AT WWW.MERCY.NET/COMMUNITY-BENEFITS.
SJMDHS,LLC (Mercy Continuing Care Hospit	Part V, Section B, Line 3: COMMUNITY HEALTH NEEDS ASSESSMENTPLEASE REFER TO THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT WHICH CAN BE FOUND AT WWW.MERCY.NET/COMMUNITY-BENEFITS.
Mercy Rehabilitation, LLC	Part V, Section B, Line 3: COMMUNITY HEALTH NEEDS ASSESSMENTPLEASE REFER TO THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT WHICH CAN BE FOUND AT WWW.MERCY.NET/COMMUNITY-BENEFITS.
Mercy Hospital St. Louis	Part V, Section B, Line 4: SJMHDS, LLC (Mercy Continuing Care Hospital) and Mercy Rehabilitation LLC
SJMDHS,LLC (Mercy Continuing Care Hospit	Part V, Section B, Line 4: Mercy Hospital St. Louis and Mercy Rehabilitation LLC
Mercy Rehabilitation, LLC	Part V, Section B, Line 4: Mercy Hospital St. Louis and SJMHDS, LLC (Mercy Continuing Care Hospital)
Mercy Hospital St. Louis	Part V, Section B, Line 20d: Eligibility guidelines for charity care discounts The federal poverty guidelines for income are the basis for determining eligibility for charity care discounts. For example, individuals with incomes below 100% of the federal poverty guidelines will be eligible for free care. Individuals with incomes greater than 100% of the federal poverty guidelines may be eligible for care at discounted rates depending on their income level and/or the amount due to the hospital. Additional financial assistance After appropriate discounts have been applied, arrangements may be made for an interest-free monthly payment plan. Generally, no patient's financial responsibility will be greater than 20% of annual household income or 10% of net assets (which ever is greater), adjusted to consider availability of other assets that could be used toward making payments.
Mercy Hospital Washington	Part V, Section B, Line 20d: Eligibility guidelines for charity care discounts The federal poverty guidelines for income are the basis for determining eligibility for charity care discounts. For example, individuals with incomes below 100% of the federal poverty guidelines will be eligible for free care. Individuals with incomes greater than 100% of the federal poverty guidelines may be eligible for care at discounted rates depending on their income level and/or the amount due to the hospital. Additional financial assistance After appropriate discounts have been applied, arrangements may be made for an interest-free monthly payment plan. Generally, no patient's financial responsibility will be greater than 20% of annual household income or 10% of net assets (which ever is greater), adjusted to consider availability of other assets that could be used toward making payments.
SJMDHS,LLC (Mercy Continuing Care Hospit	Part V, Section B, Line 20d: Eligibility guidelines for charity care discounts The federal poverty guidelines for income are the basis for determining eligibility for charity care discounts. For example, individuals with incomes below 100% of the federal poverty guidelines will be eligible for free care. Individuals with incomes greater than 100% of the federal poverty guidelines may be eligible for care at discounted rates depending on their income level and/or the amount due to the hospital. Additional financial assistance After appropriate discounts have been applied, arrangements may be made for an interest-free monthly payment plan. Generally, no patient's financial responsibility will be greater than 20% of annual household income or 10% of net assets (which ever is greater), adjusted to consider availability of other assets that could be used toward making payments.
Mercy Rehabilitation, LLC	Part V, Section B, Line 20d: Eligibility guidelines for charity care discounts The federal poverty guidelines for income are the basis for determining eligibility for charity care discounts. For example, individuals with incomes below 100% of the federal poverty guidelines will be eligible for free care. Individuals with incomes greater than 100% of the federal poverty guidelines may be eligible for care at discounted rates depending on their income level and/or the amount due to the hospital. Additional financial assistance After appropriate discounts have been applied, arrangements may be made for an interest-free monthly payment plan. Generally, no patient's financial responsibility will be greater than 20% of annual household income or 10% of net assets (which ever is greater), adjusted to consider availability of other assets that could be used toward making payments.

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?27
Name and address		Type of Facility (describe)
1	Mercy South Campus 901 Patients First Dr Washington,MO63090	Various Clinical Services
2	Medical & Professional Services 15945 Clayton Road Ballwin,MO63011	Surg Ctr; various clinical services
3	Mercy Kids Therapy & Dev Center 641 S New Ballas Road St Louis,MO63141	Child Development
4	Mercy Urgent Care - O'Fallon 300 Winding Woods Drive OFallon,MO63366	UCC, Sports & Ther, Blood Draw St, Imaging Ctr, Perinatal, Pulmonary
5	Mercy Endoscopy Center 12990 Manchester Road Des Peres,MO63131	Endoscopy
6	Mercy Urgent Care - Piper Hill 107 Piper Hill Drive St Peters,MO63376	Urgent Care, Sports & Therapy, Blood Draw Station
7	Heart Health Center 450 N New Ballas Road St Louis,MO63141	Cardiac Testing, Cardiac Cath Lab
8	Mercy Endoscopy Center 200 Brevco Plaza Lake St Louis,MO63367	Endoscopy
9	Mercy Medical Building 12348 Old Tesson Road StLouis,MO63128	Women's Ctr, Imaging Ctr, Nuc Med, Cardiac Testing, Pulm, Blood Draw Station
10	Mercy Medical Building 11700 Studt Road St Louis,MO63141	Hyberbaric Wound Center, Fertility Services
11	Fenton Medical Office Building 1203 Smizer Mill Road Fenton,MO63026	Imaging, Blood Draw Station
12	Edgewood 970 Executive Parkway St Louis,MO63141	Outpatient Behavioral Health
13	Mercy Diagnostic Testing 755 Dunn Road Hazelwood,MO63042	Sports & Therapy, Cardiac Testing, Nuc Medicine
14	Mercy Sports Therapy 1176 Town Country Commons St Louis,MO63017	Sports Therapy & Rehab
15	Mercy Urgent Care - Legends Parkway 20 Legends Parkway Eureka,MO63025	Various Clinical and Imaging Services
16	Hazelwood 801 Hazelwest Drive Hazelwood,MO63042	Imaging Center/Blood Draw Station
17	Mercy Sports Therapy - Tesson Ferry 13303 Tesson Ferry Road St Louis,MO63128	Sports & Therapy
18	Mercy Medical Building - Olive and Mason 12680 Olive Creve Couer,MO63141	Sports & Therapy, Nutrition Counseling, Chiropratic, Imagine, Blood Draw Sta
19	St Louis Cancer & Breast Institute 6435 Chippewa St Louis,MO63109	Infusion Therapy
20	Mercy Sports Therapy - Crestwood 10024 Watson Road St Louis,MO63126	Sports & Therapy/Blood Draw Station
21	Mercy Therapy Services 1935 Prairie Dell Road - Suite 300 Union,MO63084	Sports and Therapy
22	Mercy Medical Building - Grover 16555 Manchester Road Grover,MO63040	Radiology, Sports & Therapy, Blood Draw Station
23	Mercy Medical Building 1820 Zumbehl Road St Charles,MO63303	Cardiac Testing, Imaging, Blood Draw Station
24	Liberty Point Medical Building 2023 Vadalabene Suite 300 Maryville,IL62062	Perinatal Center
25	Florissant Meadows Shopping Center 572 Highway 67 Florissant,MO63031	Blood Draw Station
26	Mercy Therapy Services 735 West Springfield Road Gerald,MO63037	Sports and Therapy
27	Mercy Medical Building - Winghaven 2223 Technology Drive OFallon,MO63368	Imaging Center/Blood Draw Station

Schedule H (Form 990) 2013

Page

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
Mercy Hospital St. Louis	Part V, Section B, Line 3: COMMUNITY HEALTH NEEDS ASSESSMENTPLEASE REFER TO THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT WHICH CAN BE FOUND AT WWW.MERCY.NET/COMMUNITY-BENEFITS.
Mercy Hospital Washington	Part V, Section B, Line 3: COMMUNITY HEALTH NEEDS ASSESSMENTPLEASE REFER TO THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT WHICH CAN BE FOUND AT WWW.MERCY.NET/COMMUNITY-BENEFITS.
SJMDHS,LLC (Mercy Continuing Care Hospit	Part V, Section B, Line 3: COMMUNITY HEALTH NEEDS ASSESSMENTPLEASE REFER TO THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT WHICH CAN BE FOUND AT WWW.MERCY.NET/COMMUNITY-BENEFITS.
Mercy Rehabilitation, LLC	Part V, Section B, Line 3: COMMUNITY HEALTH NEEDS ASSESSMENTPLEASE REFER TO THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT WHICH CAN BE FOUND AT WWW.MERCY.NET/COMMUNITY-BENEFITS.
Mercy Hospital St. Louis	Part V, Section B, Line 4: SJMHDS, LLC (Mercy Continuing Care Hospital) and Mercy Rehabilitation LLC
SJMDHS,LLC (Mercy Continuing Care Hospit	Part V, Section B, Line 4: Mercy Hospital St. Louis and Mercy Rehabilitation LLC
Mercy Rehabilitation, LLC	Part V, Section B, Line 4: Mercy Hospital St. Louis and SJMHDS, LLC (Mercy Continuing Care Hospital)
Mercy Hospital St. Louis	Part V, Section B, Line 20d: Eligibility guidelines for charity care discounts The federal poverty guidelines for income are the basis for determining eligibility for charity care discounts. For example, individuals with incomes below 100% of the federal poverty guidelines will be eligible for free care. Individuals with incomes greater than 100% of the federal poverty guidelines may be eligible for care at discounted rates depending on their income level and/or the amount due to the hospital. Additional financial assistance After appropriate discounts have been applied, arrangements may be made for an interest-free monthly payment plan. Generally, no patient's financial responsibility will be greater than 20% of annual household income or 10% of net assets (which ever is greater), adjusted to consider availability of other assets that could be used toward making payments.
Mercy Hospital Washington	Part V, Section B, Line 20d: Eligibility guidelines for charity care discounts The federal poverty guidelines for income are the basis for determining eligibility for charity care discounts. For example, individuals with incomes below 100% of the federal poverty guidelines will be eligible for free care. Individuals with incomes greater than 100% of the federal poverty guidelines may be eligible for care at discounted rates depending on their income level and/or the amount due to the hospital. Additional financial assistance After appropriate discounts have been applied, arrangements may be made for an interest-free monthly payment plan. Generally, no patient's financial responsibility will be greater than 20% of annual household income or 10% of net assets (which ever is greater), adjusted to consider availability of other assets that could be used toward making payments.
SJMDHS,LLC (Mercy Continuing Care Hospit	Part V, Section B, Line 20d: Eligibility guidelines for charity care discounts The federal poverty guidelines for income are the basis for determining eligibility for charity care discounts. For example, individuals with incomes below 100% of the federal poverty guidelines will be eligible for free care. Individuals with incomes greater than 100% of the federal poverty guidelines may be eligible for care at discounted rates depending on their income level and/or the amount due to the hospital. Additional financial assistance After appropriate discounts have been applied, arrangements may be made for an interest-free monthly payment plan. Generally, no patient's financial responsibility will be greater than 20% of annual household income or 10% of net assets (which ever is greater), adjusted to consider availability of other assets that could be used toward making payments.
Mercy Rehabilitation, LLC	Part V, Section B, Line 20d: Eligibility guidelines for charity care discounts The federal poverty guidelines for income are the basis for determining eligibility for charity care discounts. For example, individuals with incomes below 100% of the federal poverty guidelines will be eligible for free care. Individuals with incomes greater than 100% of the federal poverty guidelines may be eligible for care at discounted rates depending on their income level and/or the amount due to the hospital. Additional financial assistance After appropriate discounts have been applied, arrangements may be made for an interest-free monthly payment plan. Generally, no patient's financial responsibility will be greater than 20% of annual household income or 10% of net assets (which ever is greater), adjusted to consider availability of other assets that could be used toward making payments.

Schedule H (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

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
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
MERCY HOSPITALS EAST COMMUNITIES

Employer identification number
43-0653493

Part I

General Information on Grants and Assistance

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? ....................................

Yes No

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. Part II can be duplicated if additional space is needed.

(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) Mercy Health Foundation St Louis 615 S New Ballas Road St Louis,MO63141	56-2410020	501(c)(3)	74,800				Support health care
(2) mercy Health Foundation St Louis 615 S New Ballas Road St Louis,MO63141	56-2410020	501(c)(3)	365,472				Support health care
(3) The Wellness Program 20 Archbishop May Drive St Louis,MO63119	43-1297933	501(c)(3)	30,000				Support priests in proactively managing their health
(4) West County Multiple Sclerosis Center 621 S New Ballas Rd Ste 5003-B St Louis,MO63141	27-0067529	501(c)(3)		66,130	FMV	Office space & construction costs to relocate	Support needs of MS patients
(5) Ronald McDonald House 3450 Park Avenue St Louis,MO63011	43-1160478	501(c)(3)	15,000				Support of organization which provides families of ill children place to stay close to hospital
(6) GO St Louis 300 Hunter Ave Suite 107 St Louis,MO63124	43-1864732	501(c)(3)	17,500				Sponsor org which encourages healthy lifestyles
(7) Mercy Health Foundation Washington 901 E Fifth Street Washington,MO63090	56-2410022	501(c)(3)	171,689				General Support

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2013

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.
Part III can be duplicated 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

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference	Explanation
Part I, Line 2:	Grants are made to organizations which have an established history of providing health care support andor community benefit. If necessary, periodic reports are provided to us. Grants are made to related organizations, which provide reporting on the use of the funds and work closely with our organization.

Schedule I (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

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, line 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

MERCY HOSPITALS EAST COMMUNITIES

Employer identification number

43-0653493

Part I

Questions Regarding Compensation

Yes

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.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

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 of the expenses described above? If "No," complete Part III to explain....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used 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.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

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:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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.

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:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

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:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

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 ............

Yes

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 .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2013

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 (E) amounts for that individual.

(A) Name and Title		(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
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable 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
(1)Cleveland MD JeannePhysician & Board member	(i) (ii)	0 427,475	0 58,793	0 47,261	0 12,991	0 17,739	0 564,259	0 0
(2)Galli MD WilliamPhysician & Board member	(i) (ii)	0 297,378	0 0	0 78,242	0 8,750	0 17,163	0 401,533	0 0
(3)Halsted MD RobertPhysician & Board member	(i) (ii)	0 478,910	0 65,860	0 40,769	0 12,899	0 17,247	0 615,685	0 0
(4)Johnston Jeffrey APres, Mercy Hosp St. Louis & Board m	(i) (ii)	0 431,258	0 136,049	0 21,030	0 205,133	0 18,424	0 811,894	0 0
(5)Keithly DennisPhysician & Board member	(i) (ii)	0 286,322	0 0	0 34,741	0 79,431	0 11,377	0 411,871	0 0
(6)McLain Terri LPres, Mercy Hosp Washington & Board	(i) (ii)	283,939 0	98,257 0	47,866 0	69,600 0	13,453 0	513,115 0	0 0
(7)Pennell RichardPhysician & Board member	(i) (ii)	0 772,658	0 0	0 32,628	0 15,613	0 14,510	0 835,409	0 0
(8)Rehm MD CharlesChief Admin Officer & Board member	(i) (ii)	0 425,727	0 80,320	0 42,565	0 81,444	0 14,121	0 644,177	0 0
(9)Riechers MD ThomasPhysician & Board member	(i) (ii)	0 319,378	0 81,192	0 53,655	0 17,565	0 17,192	0 488,982	0 0
(10)Matejka Cheryl LChief Financial Officer	(i) (ii)	0 300,405	0 74,056	0 38,640	0 61,337	0 17,201	0 491,639	0 0
(11)Cantalin Jeanne LReg VP-General Counsel - thru 02/14	(i) (ii)	0 201,873	0 44,431	0 17,612	0 36,274	0 10,431	0 310,621	0 0
(12)Hannasch SusanReg VP-General Counsel - start 03/14	(i) (ii)	0 195,919	0 52,882	0 26,683	0 36,277	0 16,394	0 328,155	0 0
(13)Sorensen DonnPresident-East Communities	(i) (ii)	0 560,884	0 175,609	0 75,005	0 232,962	0 12,566	0 1,057,026	0 0
(14)Bollin Steven JVP - Support Services	(i) (ii)	153,189 0	30,109 0	21,187 0	10,820 0	12,258 0	227,563 0	0 0
(15)Crain ChristineCOO-Mercy Children's Services	(i) (ii)	258,474 0	52,371 0	55,946 0	102,367 0	8,063 0	477,221 0	0 0
(16)Frazier Donna MChief Nursing Officer	(i) (ii)	200,623 0	40,253 0	31,378 0	51,478 0	2,036 0	325,768 0	0 0
(17)Frost JoanChief Operating Officer	(i) (ii)	237,723 0	53,300 0	27,902 0	17,468 0	7,687 0	344,080 0	0 0
(18)Geldbach Patricia LVP-Mercy Women's Services	(i) (ii)	0 210,055	0 47,976	0 61,666	0 60,405	0 10,754	0 390,856	0 0
(19)Hintze PaulVP - Medical Affairs	(i) (ii)	346,770 0	59,959 0	29,700 0	68,754 0	17,281 0	522,464 0	0 0
(20)Kahn MD JosephPresident-Mercy Children's Services	(i) (ii)	0 399,445	0 95,951	0 31,837	0 74,068	0 14,262	0 615,563	0 0
(21)Kalicak DonaldVP - Business Development & Planning	(i) (ii)	0 206,155	0 112,665	0 42,964	0 72,205	0 12,775	0 446,764	0 0
(22)Lenoir FrankVP - HR	(i) (ii)	0 191,566	0 34,135	0 29,556	0 30,911	0 9,545	0 295,713	0 0
(23)Nelson KathrynVP - Performance Improvement	(i) (ii)	155,535 0	33,204 0	38,096 0	9,015 0	16,097 0	251,947 0	0 0
(24)Rothermich AnthonyVP-Operations	(i) (ii)	0 134,672	0 24,870	0 26,033	0 18,591	0 1,387	0 205,553	0 0
(25)Scoffic DeniseVP-Finance	(i) (ii)	0 149,003	0 31,174	0 37,759	0 19,249	0 7,028	0 244,213	0 0
(26)Starke Keith MVP-Quality & Safety	(i) (ii)	391,722 0	71,624 0	87,146 0	89,004 0	13,338 0	652,834 0	0 0
(27)Varner Ann MVP - Mission	(i) (ii)	132,674 0	25,221 0	19,567 0	18,292 0	9,766 0	205,520 0	0 0
(28)Chaudhry BilalPhysician	(i) (ii)	304,038 0	0 0	670 0	3,848 0	15,794 0	324,350 0	0 0
(29)Cox Michael JPhysician	(i) (ii)	226,547 67,706	16,967 29,354	25,411 74,837	10,922 0	11,793 5,592	291,640 177,489	0 0
(30)Sommer StevePhysician	(i) (ii)	331,849 0	0 0	28,436 0	10,391 0	17,085 0	387,761 0	0 0
(31)Super DavidPhysician	(i) (ii)	427,500 0	0 0	2,951 0	547 0	7,851 0	438,849 0	0 0
(32)Veronikis MD DionysiosPhysician	(i) (ii)	347,513 0	0 0	41,366 0	16,232 0	11,154 0	416,265 0	0 0
(33)Combs Randall JFormer officer	(i) (ii)	0 692,164	0 227,203	0 32,634	0 208,979	0 9,425	0 1,170,405	0 0
(34)McCurry MichaelFormer officer	(i) (ii)	0 795,361	0 260,997	0 32,416	0 187,506	0 15,089	0 1,291,369	0 0
(35)Beekman Sheri DFormer key employee	(i) (ii)	0 290,427	0 121,226	0 33,304	0 69,147	0 8,113	0 522,217	0 0
(36)Eoloff Eric JFormer key employee	(i) (ii)	0 321,571	0 77,193	0 39,327	0 55,726	0 11,300	0 505,117	0 0
(37)Onesko Kim MFormer key employee	(i) (ii)	0 0	0 0	0 106,435	0 7,675	0 0	0 114,110	0 0
(38)Petito MD SallyFormer key employee	(i) (ii)	0 227,438	0 0	0 74,011	0 18,538	0 2,645	0 322,632	0 0

Schedule J (Form 990) 2013

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Return Reference	Explanation
Part I, Line 1a	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. SPOUSAL TRAVEL WAS PROVIDED FOR THE FOLLOWING EMPLOYEE: ANN VARNER. SPOUSAL TRAVEL WAS PROVIDED FOR THE FOLLOWING EMPLOYEES OF A RELATED ORGANIZATION: MICHAEL MCCURRY; PATRICIA GELDBACH. 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 A TAXABLE BENEFIT TO EMPLOYEES FOR PURPOSES OF THIS FORM 990. PAYMENT BY THE COMPANY OF COSTS FOR TEMPORARY HOUSING BY EMPLOYEES FOR THE CONVENIENCE OF THE COMPANY IS MADE IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. AS A REIMBURSABLE EXPENSE, THIS TYPE OF LODGING IS NOT TAXABLE TO THE EMPLOYEE.
Part I, Lines 4a-b	Kim M. Onesko received $106,435 of severance compensation from Mercy Health East Communities. Part I, Line 4B: Mercy Health, the ultimate parent company, offers supplemental retirement plans to certain executives which provide benefits upon vesting date based on compensation, age at the time of benefit commencement, length of service with the company and/or its affiliates, and length of tenure in the plan. The following individuals participated in the following plans. There were no payments for the fiscal year ended 6/30/2014. Supplemental Executive Retirement Plan (SERP) Combs, Randy; McCurry, Michael; Johnston, Jeffrey; Sorensen,Donn Supplemental Management Retirement Plan (SMRP) Cantalin, Jeanne; Crain, Christine; Geldbach, Patricia; Hintze, Paul; Kalicak, Don; Matejka, Cheryl L; McLain, Terri L; Rehm, Charles; Lenior, Frank; Starke,Keith; Frazier,Donna; Johnston, Jeffrey; Kahn MD, Joseph; Hannasch,Susan; Sorensen,Donn; Beekman,Sheri; Eoloff,Eric The amount of all accrued benefits is included in compensation amounts provided in Schedule J, Part II, Column (C).
Part I, Line 7	The related organization which employs those individuals listed on Part VII, and the filing organization when applicable, PROVIDES A NON-FIXED BONUS PLAN FOR WHICH CERTAIN TIERS OF ITS EMPLOYEES ARE ELIGIBLE. FOR FISCAL YEAR 2014 (JULY 1, 2013 - JULY 30, 2014) PAYMENT OF ALL OR PART OF THE BONUS WAS CONTINGENT UPON ATTAINMENT OF CERTAIN FINANCIAL TARGETS AND NON-FINANCIAL GOALS DEEMED NECESSARY BY MERCY. 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 TARGETS AND NON-FINANCIAL GOALS IS REVIEWED BY THE COMPENSATION COMMITTEE OF MERCY HEALTH AND IS TAKEN INTO ACCOUNT WHEN ANALYZING EXECUTIVE COMPENSATION FOR REASONABLENESS.
Part I, Line 3	Mercy Health (parent company) is responsible for establishing the compensation of the organization's CEO/Executive Director. The following methods were used by Mercy Health to establish compensation: -Independent compensation consultant -Written employment contract -Compensation survey or study -Approval by the board or compensation committee

Schedule J (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

MERCY HOSPITALS EAST COMMUNITIES

Employer identification number

43-0653493

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	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

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-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ...... $

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 assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2013

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?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) Emily Combs	Family Member of Randall Combs, Former Officer	120,418	Employment arrangement, Mercy Hospitals East Communities		No
(2) Cheryl Crain	Family Member of Christine Crain, Key Employee	56,912	Employment arrangement, Mercy Hospitals East Communities		No
(3) Christine Bolin	Family Member of Steven Bollin, Key Employee	48,728	Employment arrangement, Mercy Hospitals East Communities		No
(4) Lee Varner	Family Member of Ann Varner, Key Employee	72,369	Employment arrangement, Mercy Hospitals East Communities		No
(5) Kimberly Skaggs	Family Member of Donna Frazier, key employoee	21,200	Employment arrangement, Mercy Hospitals East Communities		No
(6) Mary Wiesehan	Family member of Charles Rehm,,board member	40,114	Employment arrangement, Mercy Hospitals East Communities		No
(7) Judy Tobben	Family member of Bpnnie Eckelkamp,,board member	20,329	Employment arrangement, Mercy Hospitals East Communities		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

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.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

MERCY HOSPITALS EAST COMMUNITIES

Employer identification number

43-0653493

Return Reference	Explanation
Form 990, Part VI, Section A, line 6	The member of Mercy Hospitals East Communities is Mercy Health East Communities, a supporting organization under Section 509(a)(3). The member of Mercy Health East Communities is Mercy Health.
Form 990, Part VI, Section A, line 7a	Mercy Health, the member of Mercy Health East Communities, has reserve powers to appoint and remove all directors and officers for Mercy Hospitals East Communities.
Form 990, Part VI, Section A, line 7b	THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED TO THE CORPORATE MEMBER (AND WITH REGARD TO CERTAIN POWERS AND RESPONSIBILITIES, TO MERCY HEALTH, AS THE CORPORATE MEMBER OF THE CORPORATE MEMBER): -APPROVAL OF REVISIONS TO THE MISSION, VISION, AND OPERATING VALUES, PURSUANT TO WHICH THE CORPORATION OPERATES; -APPROVAL OF ANY AMENDEMNTS TO THE ARTICLES OF INCORPORATION AND THESE BYLAWS AND ANY AMENDMENTS TO THE ORGANIZATIONAL DOCUMENTS OF ANY AFFILIATE OF THE CORPORATION; -APPROVAL OF THE APPOINTMENT AND REMOVAL OF THE PRESIDENT OF THE CORPORATION, AS PROVIDED IN SECTIONS 7.2.1 AND 7.3 OF THE BYLAWS; -ADOPTION OF THE STRATEGIC PLAN, GOALS AND OBJECTIVES OF THE CORPORATION; -ADOPTION OF THE OPERATING, CAPITAL, AND ALL OTHER BUDGETS FOR THE CORPORATION; -APPROVAL OF THE ASSIGNMENT, TRANSFER, SALE OR LEASE OF ANY OF THE ASSETS OF THE CORPORATION OR ANY AFFILIATE OF THE CORPORATION IN EXCESS OF ONE MILLION DOLLARS ($1,000,000) IN ANY ONE OR SERIES OF RELATED TRANSACTIONS OCCURRING WITHIN ANY TWELVE (12) MONTH PERIOD; -AUTHORIZATION AND APPROVAL OF THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY AFFILIATE OF THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTE ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; -APPROVAL OF A PLAN OF MERGER, CONSOLIDATION, OR DISSOLUTION OF THE CORPORATION; -APPROVAL OF THE LEASE, MANAGEMENT, OR PURCHASE OF, OR AFFILIATION WITH, ANOTHER HOSPITAL OR HEALTH SYSTEM, OR HEALTH CARE FACILITY OR HEALTH CARE SYSTEM BY THE CORPORATION; AND, -APPROVAL OF THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION CONTROLLED BY THE CORPORATION.
Form 990, Part VI, Section B, line 11	The Form 990 is prepared by an independent accounting firm, using information provided by the filing organization. A draft Form 990 is reviewed by the filing organization's finance leadership. The draft Form 990 is also reviewed by the Mercy Health Tax Department, to ensure accuracy and consistency with other related organizations' Form 990s. After questions arising from the various reviews are addressed and incorporated into the Form 990, a revised draft is provided to the filing organization's leadership team for review. Once reviewed and approved by the filing organization's leadership team, the Form 990 is provided to the Board of Directors for review; it is then signed and filed with the IRS.
Form 990, Part VI, Section B, line 12c	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, 2014. 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 Stewardship Committee (formerly Finance, Audit and Compliance Committee) of the Board of Directors.
Form 990, Part VI, Section B, line 15	For those classified as officers (and thus Disqualified Persons), Mercy Health (ultimate parent company) uses the following to establish the compensation: external market salary surveys, external market salary studies, engagement of an independent compensation consultant, and annual review/approval of compensation by the Compensation Committee of the Mercy Health Board. For those classified as key employees, the organization uses the following to establish the compensation: external market salary surveys, external market salary studies, and review/approval of executive management. Compensation reviews are completed on an annual basis, and a review was completed during the reporting year.
Form 990, Part VI, Section C, line 19	Governing documents and financial statements are made available from time to time but are not published publicly; we are not required to make these documents available to the public. Financial results are available via request of copy of Form 990.
Form 990, Part XI, line 9:	Restricted Fund - Investment Income 616,093. Restricted Fund - Donations 523,661. Restricted Fund - Expenses -704,724. Restricted Fund - Transfers from Affiliates -35,846. Transfers from Mercy Health 760,335. Net assets released from restrictions 3,332,202. Other adjustments -114.
Part XII, Line 2	Audited Financial Statements The filing organization's financial statements were included in the Mercy Health and Subsidiaries annual financial statement audit. The Mercy Health and Subsidiaries received an unqualified opinion from the external auditors for fiscal 2014 (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 Stewardship Committee (formerly Finance, Audit, and Compliance Committee) of the Mercy Health Board of Directors. Audit results are communicated to this committee.
Form 990, Part XII, Line 3	Single Audit Act and OMB Circular A-133 The organization was included in a consolidated audit of Mercy Health as required by the Single Audit Act and OMB Circular A-133. The single audit was conducted on a consolidated basis.
Listing of included divisions and entities	Federal EINS THE OPERATING RESULTS OF THE FOLLOWING ENTITIES, DIVISIONS, AND/OR SUBORDINATE ORGANIZATIONS OF MERCY HOSPITALS EAST COMMUNITIES ARE INCLUDED IN THE INFORMATION PRESENTED IN THE FORM 990 FOR THE YEAR ENDED JUNE 30, 2014: ENTITY FEIN Mercy Hospitals East Communities St. Louis 43-0653493 Mercy Hospitals East Communities Washington 43-1066883 Mercy Support Services 43-1677952
FORM 990, SCHEDULE R, PART V	SYSTEM LIMITATIONS Lawson ERP software is the primary accounting software used by Mercy Health and Subsidiaries. The majority of the intercompany/related organization transactions are processed through Lawson via intercompany journal entries. With the current design of the ERP system, there are various limitations on the related organization information that can be extracted from Lawson. Due to these limitations, most of the related organization activity for the filing organization has been classified on Schedule R, Part V, in lines P and Q.
Form 990, Part V, Question 1a	Independent Contractors Independent contractors 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.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

MERCY HOSPITALS EAST COMMUNITIES

Employer identification number

43-0653493

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) 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) Mercy Behavioral Health LLC 14528 S Outer Forty Chesterfield,MO63017 46-0568680	Healthcare Services	MO	0	0	Mercy Hospitals East Communities
(2) Mercy Clinic Adult Critical Care LLC 615 SNew Ballas Road StLouis,MO63141 20-1626965	Physician Services	MO	2,564,187	142,574	Mercy Hospitals East Communities
(3) Mercy Clinic Adult Hospitalists- Washington LLC 901 E Fifth Street Washington,MO63090 26-2961433	Hospitalist Services	MO	1,375,185	0	Mercy Hospitals East Communities
(4) Mercy Clinic Adult Hospitalists-St Louis LLC 645 Maryville CentreSte 100 StLouis,MO63141 43-1854902	Healthcare Services	MO	7,885,167	5,294	Mercy Hospitals East Communities
(5) Mercy Clinic Anesthesiology-Washington LLC 645 Maryville CentreSte 100 StLouis,MO63141 03-0597437	Inactive	MO	0	0	Mercy Hospitals East Communities
(6) Mercy Clinic Children's Critical Care LLC 645 Maryville CentreSte 100 StLouis,MO63141 43-1854108	Healthcare Services	MO	331,892	3,226	Mercy Hospitals East Communities
(7) Mercy Clinic Children's Hospitalists-St Louis LLC 645 Maryville CentreSte 100 StLouis,MO63141 43-1708560	Healthcare Services	MO	660,029	0	Mercy Hospitals East Communities
(8) Mercy East Support Services LLC 14528 S Outer Forty Chesterfield,MO63017 46-1048366	Healthcare services	MO	0	0	Mercy Hospitals East Communities
(9) Mercy Family Therapy LLC 645 Maryville CentreSte 100 StLouis,MO63141 43-1893329	Healthcare Services	MO	6,798,561	0	Mercy Hospitals East Communities
(10) Mercy Health Services LLC 645 Maryville CentreSte 100 StLouis,MO63141 43-1664148	Healthcare Services & Products	MO	62,149,879	6,858,682	Mercy Hospitals East Communities
(11) Mercy Labs St Louis LLC 14528 S Outer Forty Chesterfield,MO63017 46-3092721	Laboratory Services	MO	0	0	Mercy Hospitals East Communities
(12) Mercy Labs Washington LLC 14528 S Outer Forty Chesterfield,MO63017 46-3093014	Laboratory Services	MO	0	0	Mercy Hospitals East Communities
(13) Mercy Neuropsychology Services LLC 615 SNew Ballas Road StLouis,MO63141 26-1216912	Neurophsychology Services	MO	1,833,959	236,838	Mercy Hospitals East Communities
(14) Mercy Orthopaedic Trauma Services LLC 615 SNew Ballas Road StLouis,MO63141 06-1785022	Healthcare Services	MO	2,044,947	14,655	Mercy Hospitals East Communities
(15) Mercy Women's Services LLC 615 S New Ballas Road St Louis,MO63141 46-0847235	Healthcare services	MO	0	0	Mercy Hospitals East Communities
(16) St John's Mercy Therapy Services LLC 615 SNew Ballas Road StLouis,MO63141 81-0671798	Inactive	MO	0	0	Mercy Hospitals East Communities
(17) Triax 14144 LLC 615 SNew Ballas Road StLouis,MO63141 94-3454464	R E Transactions	MO	0	4,300,274	Mercy Hospitals East Communities

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 entity?
(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	Yes	No
(1) Casa de Misericordia 1602 McClelland Street Laredo,TX78044 74-2912461	Women's domestic violence shelter	TX	501c3	7	Mercy Ministries of Laredo	Yes
(2) Jefferson Land Company Inc 14528 S Outer Forty St 100 Chesterfield,MO63017 43-1330360	Title Holding Company	MO	501c2		Mercy Hospital Jefferson	Yes
(3) Laredo Medical Group 14528 S Outer Forty St 100 Chesterfield,MO63017 74-2764726	Dissolved 5/5/2014	TX	501c3	9	Mercy Health System TX	Yes
(4) McAuley Portfolio Mgmt Co 14528 S Outer Forty St 100 Chesterfield,MO63017 26-1708048	Portfolio management	MO	501c3	11-II	Mercy Health	Yes
(5) Mercy ACO Clinical Services Inc 14528 S Outer Forty St 100 Chesterfield,MO63017 46-4504901	Virtual Care Center	MO	501c3	3	Mercy Health	Yes
(6) Mercy Clinic East Communities 645 Maryville Ctr Dr Ste 100 St Louis,MO63141 43-1771217	Physician Group	MO	501c3	9	Mercy Health East Communities	Yes
(7) Mercy Clinic Fort Smith Comm 7301 Rogers Avenue Fort Smith,AR72917 26-1318597	Physician Clinic	AR	501c3	9	Mercy Health Fort Smith Comm	Yes
(8) Mercy Clinic Hot Springs Comm 1 Mercy Lane Hot Springs,AR71913 26-1125131	Sold to CHI 3/31/2014	AR	501c3	9	Mercy Health Hot Springs Comm	Yes
(9) Mercy Clinic Oklahoma Comm 4300 W Memorial Road Oklahoma City,OK73120 27-0473057	Physician Group	OK	501c3	9	Mercy Health OK Communities	Yes
(10) Mercy Clinic Springfield Comm 1965 Fremont Street Suite 2950 Springfield,MO65804 43-1560263	Physician Group	MO	501c3	3	Mercy Health Springfield Comm	Yes
(11) Mercy Family Center 14528 S Outer Forty St 100 Chesterfield,MO63017 72-1069468	Family counseling services	MO	501c3	7	Mercy Health	Yes
(12) Mercy Fdtn Health Innov 14528 S Outer Forty St 100 Chesterfield,MO63017 20-0901499	Foundation	MO	501c3	11-II	Mercy Health	Yes
(13) Mercy Health 14528 S Outer Forty St 100 Chesterfield,MO63017 43-1423050	Corporate Office	MO	501c3	1	N/A		No
(14) Mercy Health Center Foundation Inc 4300 W Memorial Road Oklahoma City,OK73120 73-1593024	Dissolved 5/20/2014	OK	501c3	11-I	Mercy Hospital Oklahoma City	Yes
(15) Mercy Health East Communities 645 Maryville Ctr Dr Ste 100 St Louis,MO63141 43-1718408	Health System	MO	501c3	11-II	Mercy Health		No
(16) Mercy Health East Communities - SR 645 Maryville Ctr Dr Ste 100 St Louis,MO63141 46-1412322	Health System	MO	501c3	11-II	Mercy Health East Communities	Yes
(17) Mercy Health Fort Smith Comm 7301 Rogers Avenue Fort Smith,AR72917 26-1318515	Holding Company	AR	501c3	11-II	Mercy Health	Yes
(18) Mercy Health Foundation Ada 430 N Monte Vista Street Ada,OK74820 45-3596274	Foundation	OK	501c3	11-I	Mercy Hospital Ada	Yes
(19) Mercy Health Foundation Ardmore 1011 14th Avenue NW Ardmore,OK73401 71-0962525	Foundation	OK	501c3	11-I	Mercy Hospital Ardmore	Yes
(20) Mercy Health Foundation Berryville 214 Carter Street Berryville,AR72616 71-0759301	Foundation	AR	501c3	11-I	Mercy Hospital Berryville	Yes
(21) Mercy Health Foundation Ft Scott 401 Woodland Hills Blvd Fort Scott,KS66701 48-1077073	Foundation	KS	501c3	11-III	Mercy Kansas Communities Inc	Yes
(22) Mercy Health Foundation Hot Springs 300 Werner Street Hot Springs,AR71913 71-0804718	Foundation	AR	501c3	11-II	Mission Clinical Services	Yes
(23) Mercy Health Foundation Independence 800 W Myrtle Independence,KS67301 48-1079981	Foundation	KS	501c3	11-I	Mercy Kansas Communities Inc	Yes
(24) Mercy Health Foundation Jefferson 1400 US Highway 61 South Festus,MO63028 46-2797051	Foundation	MO	501c3	11-II	Mercy Health East Communities - SR	Yes
(25) Mercy Health Foundation Joplin 100 Mercy Way Joplin,MO64804 27-0906136	Foundation	MO	501c3	11-I	Mercy Health SW MOKS Comm	Yes
(26) Mercy Health Foundation NW Ark 2710 Rife Medical Ln Rogers,AR72858 71-0601687	Foundation	AR	501c3	11-III	Mercy Hospital Rogers	Yes
(27) Mercy Health Foundation of OK 4300 W Memorial Road Oklahoma City,OK73120 45-4732301	Foundation	OK	501c3	11-I	Mercy Health OK Communities	Yes
(28) Mercy Health Foundation OK City 4300 W Memorial Road Oklahoma City,OK73120 46-3184231	Foundation	OK	501c3	11-I	Mercy Hospital Oklahoma City	Yes
(29) Mercy Health Foundation Springfield 1235 E Cherokee Street Springfield,MO65804 32-0195818	Foundation	MO	501c3	11-II	Mercy Health Springfield Comm	Yes
(30) Mercy Health Foundation STL 615 South New Ballas Road St Louis,MO63141 56-2410020	Foundation	MO	501c3	11-II	Mercy Health East Communities	Yes
(31) Mercy Health Foundation Washington 901 E Fifth Street Washington,MO63090 56-2410022	Foundation	MO	501c3	11-II	Mercy Health East Communities	Yes
(32) Mercy Health Hot Springs Comm 300 Werner Street Hot Springs,AR71913 26-1125064	Sold to CHI 3/31/2014	AR	501c3	11-II	Mercy Health	Yes
(33) Mercy Health NW Ark Communities 2710 Rife Medical Ln Rogers,AR72758 62-1684203	Physician Group	AR	501c3	11-II	Mercy Health	Yes
(34) Mercy Health OK Communities 4300 W Memorial Road Oklahoma City,OK73120 73-1453048	Holding company	OK	501c3	11-II	Mercy Health	Yes
(35) Mercy Health SW MOKS Comm 100 Mercy Way Joplin,MO64804 30-0584463	Health System	MO	501c3	11-II	Mercy Health	Yes
(36) Mercy Health Springfield Comm 1235 E Cherokee Street Springfield,MO65804 43-1856028	Holding Company	MO	501c3	11-II	Mercy Health	Yes
(37) Mercy Health System TX 14528 S Outer Forty St 100 Chesterfield,MO63017 74-2764727	Dissolved 5/15/2014	TX	501c3	11-II	Mercy Health	Yes
(38) Mercy Home Health Berryville 804 W Freeman Suite 4 Berryville,AR72616 87-0781247	Home Health and Hospice operations	AR	501c3	11-III	Mercy Hospital Springfield	Yes
(39) Mercy Hospital Ada Inc 430 N Monte Vista Street Ada,OK74820 46-2288155	Hospital	OK	501c3	3	Mercy Health OK Communities	Yes
(40) Mercy Hospital Ardmore 1011 14th Avenue NW Ardmore,OK73401 73-1500629	Hospital	OK	501c3	3	Mercy Health OK Communities	Yes
(41) Mercy Hospital Aurora 500 Porter Avenue Aurora,MO65605 43-1936696	Hospital	MO	501c3	3	Mercy Health Springfield Comm	Yes
(42) Mercy Hospital Berryville 214 Carter Street Berryville,AR72616 71-0759299	Hospital	AR	501c3	3	Mercy Health Springfield Comm	Yes
(43) Mercy Hospital Booneville 880 West Main Street Booneville,AR72927 46-3851119	Hospital	AR	501c3	3	Mercy Hospital Fort Smith	Yes
(44) Mercy Hospital Carthage 3125 Dr Russell Smith Way Carthage,MO64836 45-3808607	Hospital	MO	501c3	3	Mercy Health SW MOKS Comm	Yes
(45) Mercy Hospital Cassville 94 Main Street Cassville,MO65625 43-1936699	Hospital	MO	501c3	3	Mercy Health Springfield Comm	Yes
(46) Mercy Hospital Columbus 220 Pennsylvania Avenue Columbus,KS66725 27-0842031	Hospital	MO	501c3	9	Mercy Health SW MOKS Comm	Yes
(47) Mercy Hospital El Reno 2115 Parkview Drive El Reno,OK73036 27-2716065	Hospital	OK	501c3	3	Mercy Health OK Communities	Yes
(48) Mercy Hospital Fort Smith 7301 Rogers Avenue Fort Smith,AR72917 71-0240352	Hospital	AR	501c3	3	Mercy Health Fort Smith Comm	Yes
(49) Mercy Hospital Healdton Inc 918 South 8th Street Healdton,OK73438 26-3173902	Hospital	OK	501c3	3	Mercy Hospital Ardmore Inc	Yes
(50) Mercy Hospital Hot Springs 300 Werner Street Hot Springs,AR71913 71-0236913	Sold to CHI 3/31/2014	AR	501c3	3	Mercy Health Hot Springs Comm	Yes
(51) Mercy Hospital Jefferson 1400 Highway 61 South Festus,MO63028 43-0687077	Hospital	MO	501c3	3	Mercy Health East Communities - SR	Yes
(52) Mercy Hospital Joplin 100 Mercy Way Joplin,MO64804 27-0814858	Hospital	MO	501c3	3	Mercy Health SW MOKS Comm	Yes
(53) Mercy Hospital Kingfisher Inc 1000 Kingfisher Regional Hospital D Kingfisher,OK73750 46-3433074	Hospital	OK	501c3	3	Mercy Hospital Oklahoma City	Yes
(54) Mercy Hospital Lebanon 100 Hospital Drive Lebanon,MO65536 43-1767432	Hospital	MO	501c3	3	Mercy Health Springfield Comm	Yes
(55) Mercy Hospital Logan County Inc 200 South Academy Guthrie,OK73044 45-2998842	Hospital	OK	501c3	3	Mercy Health OK Communities	Yes
(56) Mercy Hospital of Laredo 14528 S Outer Forty St 100 Chesterfield,MO63017 74-1189682	Dissolved 5/15/2014	TX	501c3	3	Mercy Health System TX	Yes
(57) Mercy Hospital Oklahoma City 4300 W Memorial Road Oklahoma City,OK73120 73-0579285	Hospital	OK	501c3	3	Mercy Health OK Communities	Yes
(58) Mercy Hospital Ozark 801 W River Street Ozark,AR72949 71-0689680	Hospital	AR	501c3	3	Mercy Hospital Fort Smith	Yes
(59) Mercy Hospital Paris 500 E Academy Paris,AR72855 71-0655753	Hospital	AR	501c3	3	Mercy Hospital Fort Smith	Yes
(60) Mercy Hospital Rogers 2710 Rife Medical Ln Rogers,AR72758 71-0294390	Hospital	AR	501c3	3	Mercy Health NW Ark Communities	Yes
(61) Mercy Hospital Springfield 1235 E Cherokee Street Springfield,MO65804 44-0552485	Hospital	MO	501c3	3	Mercy Health Springfield Comm	Yes
(62) Mercy Hospital Tishomingo 1000 South Byrd Tishomingo,OK73460 27-4433830	Hospital	OK	501c3	3	Mercy Hospital Ardmore	Yes
(63) Mercy Hospital Waldron 1341 W 6th Street Waldron,AR72958 71-0557895	Hospital	AR	501c3	3	Mercy Hospital Fort Smith	Yes
(64) Mercy Hospital Watonga Inc 500 Clarence Nash Blvd Watonga,OK73772 45-5199762	Leased Hospital	OK	501c3	3	Mercy Health OK Communities	Yes
(65) Mercy Kansas Communities Inc 401 Woodland Hills Blvd Ft Scott,KS66701 48-0956045	Hospital	KS	501c3	3	Mercy Health SW MOKS Comm	Yes
(66) Mercy Medical Research Inst 1235 E Cherokee Street Springfield,MO65804 87-0796305	Research - Clinical Trials	MO	501c3	4	Mercy Health Springfield Comm	Yes
(67) Mercy Ministries of Laredo 2500 Zacatecas Laredo,TX78043 20-0198462	Healthcare services,outreach education program	TX	501c3	7	Mercy Health	Yes
(68) Mercy St Francis Hospital 100 W Highway 60 Mountain View,MO65548 44-0607149	Hospital	MO	501c3	3	Mercy Health Springfield Comm	Yes
(69) Mercy Support Services 615 S New Ballas Road St Louis,MO63141 43-1677952	Inactive	MO	501c3	11-III	Mercy Hospitals East Comm	Yes
(70) MHM Support Services 14528 S Outer Forty St 100 Chesterfield,MO63017 20-2553101	Centralized Health System Functions	MO	501c3	11-II	Mercy Health	Yes
(71) Mission Clinical Services 300 Werner Street Hot Springs,AR71913 13-4239691	Child Advocacy Center	AR	501c3	9	Mercy Health	Yes
(72) St Edward Mercy Foundation 7301 Rogers Avenue Fort Smith,AR72917 23-7330425	Foundation	AR	501c3	7	Mercy Hospital Fort Smith	Yes
(73) St Johns Childrens Hosp 1235 E Cherokee Street Springfield,MO65804	Inactive	MO	501c3	3	Mercy Health Springfield Comm	Yes
(74) St Marys Hosp Enid Ok 14528 S Outer Forty St 100 Chesterfield,MO63017 73-0614655	Inactive	OK	501c3	3	Mercy Health OK Communities	Yes
(75) The Sr M Cornelia Blasko Fn 100 W Highway 60 Mountain View,MO65548 43-1873914	Foundation	MO	501c3	11-I	Mercy St Francis Hospital	Yes
(76) Unity Ambulatory Care 14528 S Outer Forty St 100 Chesterfield,MO63017 43-1861745	Inactive	MO	501c3	11-III	Mercy Health East Communities	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2013

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?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) Southern Oklahoma Diag Ctr LLC 1011 Fourteenth Avenue NW ARDMORE,OK73401 43-1971232	MRI Services	OK	MERCY HOSPITAL ARDMORE INC	N/A				No			No
(2) Resource Optimiz & InnovLLC 645 Maryville Ctr DrSte 200 ST LOUIS,MO63141 46-0468368	Central Distribution Center	MO	MHN INC - MHNSR INC	N/A				No			No
(3) Mercy Ambulatory Surgery Center LLC 7301 Rogers Avenue FORT SMITH,AR72917 71-0827721	Ambulatory Surgery Center	AR	MERCY HOSPITAL FORT SMITH	N/A				No			No
(4) Fort Smith Emergency Medical Services 1701 South Greenwood FORT SMITH,AR72901 71-0416615	Emergency Medical Services	AR	MERCY HOSPITAL FORT SMITH	N/A				No			No
(5) St Edward Mercy Med Ctr M-P Off Bldg 7301 Rogers Avenue FORT SMITH,AR72903 71-0554050	Office building	AR	MERCY HOSPITAL FORT SMITH	N/A				No			No

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	(i) Section 512(b)(13) controlled entity?
(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		Yes	No
(1) Mercy Comm Services Inc 401 Woodland Hills Blvd Fort Scott,KS66701 48-1078101	Retail pharmacy	KS	MERCY KANSAS COMM INC	C					No
(2) Frontenac Properties Inc 14528 S Outer Forty Suite 100 Chesterfield,MO63017 52-1914421	Holds ancillary assets & owns aircraft	DE	MERCY HEALTH	C					No
(3) Inveno Health Inc 1235 E Cherokee Street Springfield,MO65804 26-4509571	Technology transfer company	MO	MERCY HEALTH SPRINGFIELD COMM	C					No
(4) Unity Support Services Inc 645 Maryville Centre Drive Suite 10 St Louis,MO63141 43-1797042	Inactive	MO	MERCY HEALTH EAST COMMUNITIES	C					No
(5) UH L Corp Inc 645 Maryville Centre Drive Suite 10 St Louis,MO63141 74-2499535	Holding company	MO	MERCY HEALTH SERVICES LLC	C	400	230,846	100.000 %		No
(6) MHN of the Southern Region Inc 1011 14th Avenue NW Ardmore,OK73401 73-1580607	holding company	OK	MERCY MANAGED CARE CORP	C					No
(7) Mercy Health Center Condominium Inc 4300 W Memorial Rd Oklahoma City,OK73120 68-0640970	Administrator of certain real property and improvements	OK	MERCY HOSPITAL OKLAHOMA CITYINC	C					No
(8) Mercy Managed Care Corporation 4300 W Memorial Road Oklahoma City,OK73120 73-1441665	Holding company	OK	MERCY HEALTH	C					No
(9) Mercy Health Network Inc 4300 W Memorial Road Oklahoma City,OK73120 73-1381689	holding company	OK	MERCY MANAGED CARE CORP	C					No
(10) Apothecary Services Inc PO Box 350 Crystal City,MO63019 43-1627267	Retail pharmacy	MO	Mercy Hospital Jefferson	C					No
(11) Mercy Commercial Services Inc 14528 South Outer Forty Suite 100 Chesterfield,MO63017 46-4953543	Corp Parent of VCC taxable commercializ svcs	OK	MHN Inc and MHNSR INC	C					No
(12) St Johns Mercy Mail Order Inc 645 Maryville Centre Drive Suite 10 St Louis,MO63141 43-1014222	Inactive	MO	UH Holdings Inc	C					No
(13) St Johns Mercy PBM Inc 645 Maryville Centre Drive Suite 10 St Louis,MO63141 74-3089567	Inactive	MO	UH L Corp Inc	C					No
(14) UH Holdings Inc 645 Maryville Centre Drive Suite 10 St Louis,MO63141 43-1845682	Inactive	MO	UH L Corp Inc	C					No

Schedule R (Form 990) 2013

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

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 or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

Yes

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) Mercy Clinic East Communities	Q	17,490,559	FMV
(2) Mercy Clinic Springfield Communities	Q	191,939	FMV
(3) Mercy Health	P	421,893	FMV
(4) Mercy Health East Communities	Q	116,432,756	FMV
(5) Mercy health Foundation Washington	P	64,730	FMV
(6) Mercy Health Springfield Communities	Q	218,748	FMV
(7) Mercy Hospital Berryville	Q	279,589	FMV
(8) Mercy Hospital Fort Smith	Q	662,073	FMV
(9) Mercy Hospital Hot Springs	Q	54,450	FMV
(10) Mercy Hospital Jefferson	P	1,057,642	FMV
(11) Mercy Hospital Joplin	Q	148,223	FMV
(12) Mercy Hospital Oklahoma City Inc	Q	543,887	FMV
(13) Mercy Hospital Rogers	Q	309,005	FMV
(14) MHM Support Services	P	51,464,225	FMV
(15) Resource Optimization & Innovation LLC	P	31,745,992	FMV
(16) Mercy Health Foundation St Louis	B	74,800	FMV
(17) Mercy Health Foundation St Louis	B	365,472	FMV
(18) Mercy Health Foundation St Louis	C	6,125,647	FMV
(19) Mercy Health Foundation Washington	C	417,960	FMV
(20) Mercy Health Foundation Washington	B	171,689	FMV

Schedule R (Form 990) 2013

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)	(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?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2013

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2013

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: Mercy Hospitals East Communities operates two hospitals that are located in Creve Coeur (St. Louis metropolitan area) and Washington, MO.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	26
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	17
5	Total number of individuals employed in calendar year 2013 (Part V, line 2a) ......	5	8,260
6	Total number of volunteers (estimate if necessary) .............	6	1,042
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	2,038,225
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	506,200

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	3,766,227	9,048,941
9	Program service revenue (Part VIII, line 2g) .........	1,067,584,810	1,138,260,046
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	2,105,011	5,302,872
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	31,214,543	24,736,022
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	1,104,670,591	1,177,347,881
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	402,451	674,461
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)	448,862,770	456,669,472
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	558,310,876	601,205,202
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,007,576,097	1,058,549,135
19	Revenue less expenses. Subtract line 18 from line 12.......	97,094,494	118,798,746
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	896,312,462	990,908,266
21	Total liabilities (Part X, line 26).............	92,483,189	63,788,640
22	Net assets or fund balances. Subtract line 21 from line 20.....	803,829,273	927,119,626

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 969,521,414 including grants of $ 674,461 ) (Revenue $ 1,147,595,642 )
	Mercy Hospitals East Communities ("MHEC") provides quality medical health care regardless of race, creed, sex, national origin, handicap, age or ability to pay. In active pursuit of this mission, MHEC provided services to 47,163 inpatients, 116,251 emergency room visits, 1,038,214 outpatient visits, and 51,790 clinic visits.MHEC is a Catholic health care corporation that, pursuant to the organizational core belief that health care services are a vital and integral part of the Church's healing mission, engages in a ministry which provides general acute care, ambulatory, long-term and home care health services to individuals and families in its service communities. Consistent with the organization's commitment to social accountability and the provision of community benefit, MHEC offers other services and programs which further health promotion, maintenance and care. MHEC's services include two clinics which were established specifically for individuals who are uninsured or underinsured and do not have a means to pay for healthcare services. These clinics provide a significant focus on prenatal care. Many clinic patients were also treated, on a charitable basis, as inpatients. In response to the increased needs of the underinsured in the St. Louis area, these clinics have continually expanded, offering new services to more patients. The institution continues to focus on the provision of primary health services and education to the community, regardless of their means to pay for these services. The organization also has a continuing commitment to health research and to health education at all levels.Although reimbursement for services rendered is critical to the continued ability to provide healthcare services to all patients, MHEC recognizes that not all individuals possess the ability to purchase essential medical services and, further, that part of our mission is to provide healthcare services and healthcare education to the communities in which our facilities are located. In keeping with MHEC's commitment to serve all members of the communities it serves, MHEC provides (i) free care and/or subsidized care; (ii) care to persons covered by governmental programs at below cost; (iii) health activities and programs to support the community; (iv) health education programs; and, (v) a variety of broad community support activities. Among the community support activities offered by MHEC are the following:-Community Education Programs-Support Group Meetings-Health Fairs and Screenings-Immunizations-Provision of Free Health Information -Home Delivered and Congregate Meals-Indigent Care Clinics-Pre-Natal and Well Baby Care for the Indigent-Health Professions Education Programs-Support of Community Programs, including active United Way participant, Provision of Scholarships, Healthcare for the Homeless Coalition, etc.-Provider of Financial Counseling and Discharge Counseling Services for all Patients-Provision of Chapels in each Hospital and Chaplains/Religious Lay Staff to Minister to the Religious Needs of any Patient and their Families.-Volunteer AssociationMHEC provides care to patients who lack financial resources and are deemed to be medically indigent. As defined by the institution's charity policy, MHEC does not pursue collection of amounts determined to qualify for charity care. In addition, MHEC provides services to other patients under the Medicare Program and various state Medicaid programs. Such programs pay providers amounts that are substantially less than billed charges, and frequently less than the cost, of the services provided to the recipients. Care is provided to those with limited or no ability to pay. The cost, net of any payment received (net cost), to MHEC of providing care to persons qualifying for charity or Medicaid totaled $31,211,958 in the year ended 6/30/14. Additionally, the net cost for services provided to elderly and disabled patients under the Medicare program totaled $16,124,316. These amounts do not include the cost of health activities and programs to support the community, health education programs and other community support activities. The services provided by MHEC, as well as the amount of charity care provided, demonstrate the ongoing commitment of the organization to serve in a leadership role as an advocate for responsive healthcare services for the community, with a deep commitment and sensitivity to meeting the needs of the poor.Each activity for which income is reported in column (B) of Part VIII is undertaken in furtherance of the organization's healthcare and community benefit mission described above.

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 expenses969,521,414

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	4,736,983	11,347,296	2,558,350

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		6,543,607
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f		2,505,334

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			9,048,941
			Business Code
2a	NET PATIENT REVENUE		622110	1,133,146,218	1,133,146,218
b	Reference Labs		621500	5,113,828	4,890,185	223,643
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			1,138,260,046
3	Investment income (including dividends, interest, and other similar amounts).......			5,302,872			5,302,872
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents	9,174,614
b	Less: rental expenses	2,628,759
c	Rental income or (loss)	6,545,855
d	Net rental income or (loss).......			6,545,855			6,545,855
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses
c	Gain or (loss)
d	Net gain or (loss)..........
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..
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...
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..
Miscellaneous Revenue			Business Code
11a	Cafeteria/Coffee Shop		722212	6,816,346			6,816,346
b	Optical - Retail		624100	936,330		936,330
c	Pharmacy - Retail		624100	511,722		511,722
d	All other revenue ....			9,925,769	9,559,239	366,530
e	Total. Add lines 11a–11d ......			18,190,167
12	Total revenue. See Instructions......			1,177,347,881	1,147,595,642	2,038,225	18,665,073


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			16,521,965	1	69,047,338
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ...........				3
4	Accounts receivable, net .............			146,171,527	4	158,954,598
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net .............			174,126	7	3,729,462
8	Inventories for sale or use ..............			19,145,789	8	21,222,346
9	Prepaid expenses and deferred charges ..........			1,319,151	9	1,386,442
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,222,459,354
b	Less: accumulated depreciation .....	10b	718,859,656	515,237,854	10c	503,599,698
11	Investments—publicly traded securities ..........				11
12	Investments—other securities. See Part IV, line 11 .....			3,432,040	12	3,851,612
13	Investments—program-related. See Part IV, line 11 .....				13
14	Intangible assets ...............			20,807,065	14	24,380,359
15	Other assets. See Part IV, line 11 ...........			173,502,945	15	204,736,411
16	Total assets. Add lines 1 through 15 (must equal line 34)......			896,312,462	16	990,908,266
17	Accounts payable and accrued expenses .........			71,864,990	17	42,186,934
18	Grants payable .................			1,081,461	18	1,057,370
19	Deferred revenue ................			-3,257	19	0
20	Tax-exempt bond liabilities .............				20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..			12,076,315	23	11,786,421
24	Unsecured notes and loans payable to unrelated third parties ....				24
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....................			7,463,680	25	8,757,915
26	Total liabilities. Add lines 17 through 25.........			92,483,189	26	63,788,640
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			800,649,200	27	923,540,372
28	Temporarily restricted net assets ...........			3,180,073	28	3,579,254
29	Permanently restricted net assets ...........				29
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........			803,829,273	33	927,119,626
34	Total liabilities and net assets/fund balances ........			896,312,462	34	990,908,266