TY 2015 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)
(1) Bauer PhD Jon...................................................................... Board member	1.00 ................. 1.00	X	0	0	0
(2) Brunworth MD David...................................................................... Board member	1.00 ................. 0.00	X	0	0	0
(3) Busch Steven...................................................................... Board member	1.00 ................. 1.50	X	0	0	0
(4) Cleveland MD Jeanne...................................................................... Physician & Board member	1.00 ................. 40.00	X	0	592,240	32,812
(5) Darrell Mark...................................................................... Board member	1.00 ................. 0.00	X	0	0	0
(6) Diederich Gene...................................................................... Board member	1.00 ................. 0.00	X	0	0	0
(7) Eckelkamp Bonnie...................................................................... Board member	1.00 ................. 0.00	X	0	0	0
(8) Evans RSM Sr Gayle...................................................................... Board member	25.00 ................. 1.00	X	0	0	0
(9) Galli MD William...................................................................... Physician & Board member	1.00 ................. 50.00	X	0	442,944	27,759
(10) Garcia MD Eduardo...................................................................... Physician & Board member	60.00 ................. 0.00	X	101,704	0	25,553
(11) Glosenger RSM Sr Katherine...................................................................... Board member	0.50 ................. 32.00	X	0	0	0
(12) Glover MD Emily...................................................................... Physician & Board member	1.00 ................. 59.00	X	0	141,900	8,570
(13) Halsted MD Robert...................................................................... Physician & Board member	2.00 ................. 54.00	X	0	800,932	36,124
(14) Johnston Jeffrey A...................................................................... President, Mercy Hospital St. Louis & Board member	57.00 ................. 5.00	X	0	752,784	262,218
(15) Kelly John...................................................................... Board member	1.00 ................. 0.00	X	0	0	0
(16) Martin MD Scott...................................................................... Board member	1.00 ................. 0.00	X	0	0	0
(17) McBride Anthony...................................................................... Board member	1.00 ................. 0.00	X	0	0	0

(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) Miller Sr William........................................................................ Board member	1.00 .......................0.00	X					0	0	0
(19) Parmentier Jennifer........................................................................ Board member	1.00 .......................0.00	X					0	0	0
(20) Pennell Richard........................................................................ Physician & Board member	60.00 .......................0.00	X					0	823,033	32,405
(21) Penny Mark........................................................................ Board member	1.00 .......................1.00	X					0	0	0
(22) Rehm MD Charles........................................................................ Chief Admin Officer & Board member	25.00 .......................35.00	X					0	717,088	48,718
(23) Riechers MD Thomas........................................................................ Physician & Board member	20.00 .......................50.00	X					0	575,220	40,264
(24) Sanford Cassandra........................................................................ Board member	1.00 .......................0.00	X					0	0	0
(25) Steinbecker Roger........................................................................ Board member	4.00 .......................1.00	X					0	0	0
(26) Stroble Beth........................................................................ Board member	1.00 .......................0.00	X					0	0	0
(27) Voss Kurt........................................................................ Board member	1.00 .......................0.00	X					0	0	0
(28) Wittenauer RSM Sr Marilynn........................................................................ Board member	1.00 .......................1.00	X					0	0	0
(29) Hannasch Susan........................................................................ Regional VP-General counsel	24.00 .......................36.00		X				0	373,926	58,299
(30) Matejka Cheryl L........................................................................ Chief Financial Officer	18.00 .......................39.00		X				0	552,339	82,953
(31) Sorensen Donn........................................................................ President-East Communities	10.00 .......................54.00		X				0	1,021,817	325,703
(32) Bollin Steven J........................................................................ VP - Support Services	50.00 .......................5.00			X			239,289	0	23,969
(33) Crain Christine........................................................................ COO-Mercy Children's Services	36.00 .......................24.00			X			421,369	0	121,687
(34) Frazier Donna M........................................................................ Chief Nursing Officer	60.00 .......................0.00			X			314,325	0	63,488
(35) Frost Joan........................................................................ Chief Operating Officer	55.00 .......................0.00			X			355,055	0	66,925
(36) Geldbach Patricia L........................................................................ VP-Mercy Women's Services	45.00 .......................20.00			X			0	357,135	88,884
(37) Hintze Paul........................................................................ VP - Medical Affairs	60.00 .......................0.00			X			1,207,414	0	38,629
(38) Kahn MD Joseph........................................................................ President-Mercy Children's Services	2.00 .......................58.00			X			0	585,314	97,390
(39) Kalicak Donald........................................................................ VP - Business Development & Planning	25.00 .......................35.00			X			0	366,840	132,289
(40) McLain Terri L........................................................................ President, Mercy Hospital Washington	55.00 .......................5.00			X			544,904	0	88,680
(41) Nelson Kathryn........................................................................ VP - Performance Improvement	57.00 .......................1.00			X			260,335	0	28,662
(42) Rothermich Anthony........................................................................ Administrator, Mercy Hosp Lincoln	30.00 .......................25.00			X			0	244,279	20,806
(43) Scoffic Denise........................................................................ VP-Finance	30.00 .......................25.00			X			0	273,431	29,776
(44) Varner Ann M........................................................................ VP - Mission - thru 01/16	25.00 .......................5.00			X			210,160	0	36,299
(45) Weilbacher Robyn........................................................................ CNO - starting 05/16	50.00 .......................0.00			X			172,470	0	36,449
(46) Hassler Joe W........................................................................ CRNA	60.00 .......................0.00				X		198,898	0	17,844
(47) Morgan Terri L........................................................................ CRNA	60.00 .......................0.00				X		202,979	0	22,289
(48) Stout Frank H........................................................................ CRNA	60.00 .......................0.00				X		199,779	0	11,706
(49) Veronikis MD Dionysios........................................................................ Physician	50.00 .......................0.00				X		388,078	0	35,905
(50) Witten MD Barold........................................................................ Physician	60.00 .......................0.00				X		227,976	0	60,494
(51) McCurry Michael........................................................................ Former officer	0.00 .......................60.00					X	0	1,703,896	189,822
(52) Eoloff Eric J........................................................................ Former key employee	0.00 .......................60.00					X	0	522,959	73,440
(53) Starke MD Keith M........................................................................ Former key employee	0.00 .......................60.00					X	0	615,845	109,036
(54) Cox Michael J........................................................................ Former highest compensated	0.00 .......................60.00					X	0	501,135	30,982

(A) Name and business address	(B) Description of services	(C) Compensation
McCarthy Building Companies 1341 North Rock Hill Road St Louis,MO63124	Construction	9,605,097
MAYO MEDICAL LABS 200 SW First Street Rochester,MN55805	Lab services	3,871,179
Williams Construction Company 2119 E Division Springfield,MO65803	Construction	2,808,095
West County Radiological Group 11475 Olde Cabin Rd Suite 200 St Louis,MO63141	Radiology services	2,542,000
Quest Diagnostics PO Box 740709 Atlanta,GA30374	Lab services	1,954,984
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 76

- 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.
right arrow

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

OMB No. 1545-0047

2015

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 (Form 990 or 990-EZ))

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 in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

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

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 VI.)..
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 section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. 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—2014. 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—2015. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. 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 VI 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) 2015

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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 VI.) ..
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 section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. 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—2014. 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) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

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

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2015

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

2015

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, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) 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), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled 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 totaling $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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) 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	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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization MERCY HOSPITALS EAST COMMUNITIES		Employer identification number 43-0653493

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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization MERCY HOSPITALS EAST COMMUNITIES			Employer identification number 43-0653493
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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.) $ 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) (2015)

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

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

OMB No. 1545-0047

2015

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), 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-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(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) 2015

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 on 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

83,181

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

83,181

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, lines 1 and 2 (see instructions), 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, 2016, dues were $172,561, $136,535, and $76,006, respectively. Approximately 36.00% of Missouri Hospital Association dues, 3.11% of Catholic Hospital Association dues, and 22.12% 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, 2016, dues were $172,561, $136,535, and $76,006, respectively. Approximately 36.00% of Missouri Hospital Association dues, 3.11% of Catholic Hospital Association dues, and 22.12% of American Hospital Association dues were attributable to lobbying activities performed by these associations.

Schedule C (Form 990 or 990EZ) 2015

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

OMB No. 1545-0047

2015

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" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of 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" on 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on 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)

Revenue included on 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:

Revenue included on 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) 2015

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

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" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

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 on 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" on 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' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...	8,530,893		8,530,893
b	Buildings	874,060,891	510,529,294	363,531,597
c	Leasehold improvements	16,466,461	13,036,670	3,429,791
d	Equipment ...	347,684,951	267,176,058	80,508,893
e	Other ...	16,412,965	10,682,183	5,730,782
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				461,731,956

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on 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
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on 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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

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

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
OTHER LIABILITIES	2,108,061
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	2,108,061
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) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on 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 (losses) 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' on 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

FEDERAL INCOME TAX PRIMARILY ALL OF THE MERCY HEALTH ENTITIES ARE RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS CHARITABLE ORGANIZATIONS QUALIFYING UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), BY VIRTUE OF IRS DETERMINATION LETTERS OR INCLUSION IN THE OFFICIAL CATHOLIC DIRECTORY. MERCY COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2016 OR 2015.

Schedule D (Form 990) 2015

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" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

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

OMB No. 1545-0047

2015

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 criteria used 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? . . . . . .

Yes

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) . . .	37,291,295		37,291,295	3.360 %
b	Medicaid (from Worksheet 3, column a) . . . . .	126,683,590	116,228,909	10,454,681	0.940 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	163,974,885	116,228,909	47,745,976	4.300 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	2,386,625	765,630	1,620,995	0.150 %
f	Health professions education (from Worksheet 5) . . .	8,913,979	187,797	8,726,182	0.790 %
g	Subsidized health services (from Worksheet 6) . . . .	35,131	15,085	20,046	0 %
h	Research (from Worksheet 7) .	219,398	46,500	172,898	0.020 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	476,476	173,796	302,680	0.030 %
j	Total. Other Benefits . .	12,031,609	1,188,808	10,842,801	0.990 %
k	Total. Add lines 7d and 7j .	176,006,494	117,417,717	58,588,777	5.290 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

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	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	199		199	0 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy	3,243		3,243	0 %
8	Workforce development	106,824		106,824	0.010 %
9	Other	139,747	45,050	94,697	0.010 %
10	Total	250,013	45,050	204,963	0.020 %

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. ......

10,454,681

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).....

210,814,202

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

231,239,845

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

-20,425,643

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 %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 St Johns Mercy SRS LLC - Dissolved 123115	Medical Equipment Rental	40.000 %	0 %	60.000 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2015

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?2 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	Mercy Hospital St Louis 615 S New Ballas Road St Louis,MO63141 www.mercy.net/stlouismo 226-53	X	X	X	X	X	X
2	Mercy Hospital Washington 901 E Fifth Street Washington,MO63090 www.mercy.net/stlouismo 311-32	X	X				X

Schedule H (Form 990) 2015

Page 4

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 letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

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 12......................

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 significant 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 Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

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

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): www.mercy.net/about/community-benefits

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

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

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 100.000000000000% and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

www.mercy.net

The FAP application form was widely available on a website (list url):

www.mercy.net

A plain language summary of the FAP was widely available on a website (list url):
www.mercy.net

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

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 all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

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

Yes

Did the hospital facility or other authorized 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?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (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)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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 Section C)

Other (describe in Section C)

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 Section C)

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 Section C.

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 Section C.

Schedule H (Form 990) 2015

Page 4

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 letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

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 12......................

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 significant 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 Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

Yes

6 a

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

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): www.mercy.net/about/community-benefits

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	Mercy Hospital Washington
Name of hospital facility or letter of facility reporting group

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 100.000000000000% and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

www.mercy.net

The FAP application form was widely available on a website (list url):

www.mercy.net

A plain language summary of the FAP was widely available on a website (list url):
www.mercy.net

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	Mercy Hospital Washington
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (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)

None of these efforts were made

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 Section C)

Other (describe in Section C)

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 Section C)

If "Yes," explain in Section C.

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 Section C.

Schedule H (Form 990) 2015

Page 7

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Mercy Hospital St. Louis	Part V, Section B, Line 5: THE ST. LOUIS COUNTY DEPARTMENT OF PUBLIC HEALTH (DPH) SERVED AS THE PRIMARY PARTNER FOR MERCY HOSPITAL ST. LOUIS DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS, UTILIZING THE "MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP" (MAPP) MODEL TO COLLABORATIVELY ADDRESS THE COMMUNITY'S MOST SIGNIFICANT HEALTH NEEDS. ADDITIONAL COMMUNITY PARTNERS INCLUDED:- ST. LOUIS REGIONAL HEALTH COMMISSION - ROBERT FRUEND, CEO- THE MATERNAL CHILD & FAMILY HEALTH COALITION (GENERATE HEALTH) - KENDRA COPANAS, EXECUTIVE DIRECTOR- MISSOURI FOUNDATION FOR HEALTH - JESSI LAROSE, HEALTH POLICY OFFICER - BEYOND HOUSING - DEBBIE CHASE, EXECUTIVE DIRECTOR OF COMMUNITY RESOURCEMERCY ALSO PARTNERED WITH OTHER HEALTH SYSTEMS/HOSPITALS AND COMMUNITY GROUPS STRIVING TO IMPROVE THE HEALTH OF ST. LOUIS COUNTY'S RESIDENTS.IN ORDER TO BETTER UNDERSTAND THE BROAD INTERESTS OF THE ST. LOUIS COMMUNITY, A SURVEY, WAS DESIGNED BY QUALTRICS (A TOP DATA COLLECTION SOFTWARE APPLICATION) TO CAPTURE THE PERCEPTIONS AND THOUGHTS OF COMMUNITY MEMBERS REGARDING THEIR COMMUNITY'S HEALTH NEEDS. TO INCLUDE THE VOICES OF THOSE WHO MAY HAVE HAD LIMITED COMPUTER ACCESS, A CONCENTRATED EFFORT WAS MADE TO DISTRIBUTE PRINTED SURVEYS TO FOOD PANTRIES AND DAY SHELTERS. OVER A 15-MONTH TIME FRAME (OCTOBER 2014 THROUGH DECEMBER 2015), MERCY RECEIVED 535 COMPLETED SURVEYS; EIGHT PERCENT OF THE SURVEYS WERE COMPLETED BY UNINSURED COMMUNITY MEMBERS (PER SELF-REPORT) AND 166 OF THE SURVEYS WERE RECEIVED AS A RESULT OF DIRECT DISTRIBUTION IN AREAS WITH LARGE POPULATIONS OF LOW-INCOME RESIDENTSIN FRANKLIN COUNTY, A COMMUNITY HEALTH COUNCIL, LED BY TERRI MCLAIN, PRESIDENT OF MERCY HOSPITAL WASHINGTON, GUIDED THE NEEDS ASSESSMENT PROCESS. IT CONSISTS OF MERCY LEADERS FROM VARIOUS DEPARTMENTS, SUCH AS BEHAVIORAL HEALTH, FINANCE, CARE MANAGEMENT, PHILANTHROPY, ETC., AND A HOSPITAL BOARD MEMBER. THE COMMUNITY HEALTH COUNCIL EVALUATED ALL THE DATA THAT WAS COLLECTED FOR THIS REPORT ALONGSIDE INTERNAL MERCY HOSPITAL WASHINGTON RECORDS AND INPUT FROM THE FRANKLIN COUNTY COMMUNITY. CO-WORKERS IN MERCY'S COMMUNITY HEALTH & ACCESS DEPARTMENT SERVED ON THE COUNCIL AND WERE THE PRIMARY LEADS OF THE 2016 CHNA. A SAINT LOUIS UNIVERSITY MASTER OF HEALTH ADMINISTRATION STUDENT PROVIDED SUPPORT BY COLLECTING AND REVIEWING DATA FROM VARIOUS SOURCES. AS WELL AS THE UNITED WAY OF FRANKLIN COUNTYCOMMUNITY AMBASSADORS MEETINGMERCY HOSPITAL WASHINGTON HOSTED A COMMUNITY AMBASSADORS MEETING IN JANUARY OF 2016. ATTENDEES INCLUDED PAST AND PRESENT HOSPITAL BOARD MEMBERS, FRANKLIN COUNTY HEALTH DEPARTMENT WORKERS, REPRESENTATIVES OF OTHER HEALTH SERVICES IN THE AREA, COMMUNITY SERVICE LEADERS (INCLUDING THE MAYOR OF WASHINGTON AND A CRISIS INTERVENTION TEAM (CIT) POLICE OFFICER FROM UNION, MO), AS WELL AS OTHER COMMUNITY STAKEHOLDERS. DURING THE MEETING, THE HOSPITAL PRESIDENT, TERRI MCLAIN, AND CHIEF MEDICAL OFFICER, DR. DAVID CHALK, DELIVERED A "STATE OF MERCY" ADDRESS AS IT PERTAINED TO FRANKLIN COUNTY. THE DIRECTOR OF COMMUNITY HEALTH & ACCESS, SHARON NEUMEISTER, ALSO REVIEWED THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPROVEMENT PLAN FROM THREE YEARS PRIOR AND REPORTED ON THE PROGRESS OF THE HEALTH PRIORITIES ADDRESSED. THOSE IN ATTENDANCE WERE ASKED TO INDIVIDUALLY RANK GIVEN HEALTH ISSUES BASED ON THEIR LEVEL OF CONCERN AS WELL AS THE POTENTIAL TO PRODUCE MEASURABLE OUTCOMES. COMMUNITY ADVISORY PANELSON-LINE COMMUNITY ADVISORY PANELS ARE A KEY PART OF MERCY'S ONGOING DIALOGUE WITH THE COMMUNITIES THAT IT SERVES. INDIVIDUALS, ESPECIALLY THOSE WHO HAVE RECENTLY VISITED A MERCY HEALTH FACILITY, ARE ROUTINELY SURVEYED TO EVALUATE PROGRAMS, SERVICE EXPERIENCE, ASSESS NEED, AND PROVIDE FEEDBACK. ADDITIONALLY, MEMBERS ARE CONTINUOUSLY ADDED TO THE ADVISORY PANEL AS THEY SIGN UP FOR MYMERCY, AN ON-LINE HEALTH CARE PROGRAM THAT PROVIDES ACCESS TO THE INDIVIDUAL'S MEDICAL RECORDS 24/7. RECENT SURVEY TOPICS INCLUDED SENIOR SERVICES, ACCESS TO WALK-IN/URGENT CARE SERVICES, AND PEDIATRIC SERVICE NEEDS.ADDITIONALLY, MERCY HOSPITAL ST. LOUIS AND FRANKLIN COUNTY COMMUNITY OUTREACH COORDINATORS FOCUSED ON IDENTIFYING UNMET NEEDS AND GAPS IN SERVICES, MAKING CONNECTIONS AND REFERRALS, DEVELOPING PARTNERSHIPS, IMPROVING COMMUNITY HEALTH, AND ADVOCATING FOR THE MOST VULNERABLE. PARTNERING TASK FORCES WITH AGENCY COWORKERS WHO HAVE SPECIAL KNOWLEDGE AND EXPERTISE IN THE FIELD OF PUBLIC HEALTH INCLUDED: - FRANKLIN COUNTY SERVICE PROVIDERS - ANNIE SCHULTE, FRANKLIN COUNTY CHILDREN'S RESOURCE BOARD- FRANKLIN COUNTY HEALTH DEPARTMENT - ANGELA HITTSON, DIRECTOR- FRANKLIN COUNTY HUNGER TASK FORCE - LOETTA BLAIR, JEFFERSON FRANKLIN COMMUNITY ACTION CORPS.- UNITED WAY OF FRANKLIN COUNTY - KIM STRUBBERG, EXECUTIVE DIRECTOR- CRIDER HEALTH CENTER/COMPASS HEALTH NETWORK- KIM FARRIS- WILSON, CLINIC DIRECTORIN FRANKLIN COUNTY THE SAME SURVEY, QUALTRICS WAS AVAILABLE BOTH IN HARDCOPY AND ON-LINE. A TOTAL OF 86 INDIVIDUALS WHO STATED THAT THEY RECEIVE THEIR HEALTH CARE IN FRANKLIN COUNTY COMPLETED THE SURVEY OVER A 15 MONTH TIMEFRAME (OCTOBER 2014 - DECEMBER 2015). THE MAJORITY OF PARTICIPANTS WERE RESIDENTS OF WASHINGTON, THE CITY IN WHICH MERCY HOSPITAL WASHINGTON IS LOCATED.ADDITIONALLY, IN COLLABORATION WITH MHW, EFFORTS WERE MADE TO INCLUDE THE VOICES OF POPULATIONS LESS LIKELY TO ACCESS THE ON-LINE SURVEY BY GIVING GUESTS OF FOOD PANTRIES AND MEAL PROGRAMS THE OPPORTUNITY TO COMPLETE A PAPER COPY DURING THEIR VISIT.
Mercy Hospital Washington	Part V, Section B, Line 5: See Mercy Hospital St. Louis response
Mercy Hospital St. Louis	Part V, Section B, Line 6a: Mercy Hospital Washington
Mercy Hospital Washington	Part V, Section B, Line 6a: Mercy Hospital St. Louis
Mercy Hospital St. Louis	Part V, Section B, Line 6b: St. Louis County Department of Public Health and the Franklin County Health Department
Mercy Hospital Washington	Part V, Section B, Line 6b: St. Louis County Department of Public Health and the Franklin County Health Department
Mercy Hospital St. Louis	Part V, Section B, Line 11: BASED ON THE FINDINGS OF ITS MOST RECENTLY CONDUCTED CHNA, MERCY HOSPITAL ST. LOUIS HAS CHOSEN TO ADDRESS THE FOLLOWING THREE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN ST. LOUIS: - ACCESS TO CARE- MENTAL HEALTH- SUBSTANCE USE- HEALTH EQUITYBASED ON THE FINDINGS OF ITS MOST RECENTLY CONDUCTED CHNA, MERCY HOSPITAL WASHINGTON HAS CHOSEN TO ADDRESS THE FOLLOWING THREE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN FRANKLIN COUNTY: - ACCESS TO CARE- MENTAL HEALTH- SUBSTANCE USETHESE NEEDS ARE BEING ADDRESSED IN BOTH ST. LOUIS & FRANKLIN COUNTY HOSPITAL'S COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP), WHICH CAN BE ACCESSED HERE: HTTPS://WWW.MERCY.NET/SITES/DEFAULT/FILES/VENDOR-RESOURCES/MHSL_CHIP_9_26_16.pdf AND HTTPS://WWW.MERCY.NET/SITES/DEFAULT/FILES/VENDOR-RESOURCES/CHIP_MHW_160808.pdfADDITIONAL NEEDS BEING ADDRESSED BY ST. LOUIS HOSPITAL INCLUDE: - VIOLENCE: DOMESTIC, ELDERLY, CHILD ABUSE, AND TRAFFICKINGMHSL WILL CONTINUE TO PARTNER WITH ALIVE, A LOCAL DOMESTIC VIOLENCE AGENCY, TO IMPLEMENT PROJECT HOPE, THE ONLY PROGRAM IN THE GREATER ST. LOUIS AREA THAT ALLOWS DOMESTIC VIOLENCE SURVIVORS TO FILE FOR, AND POTENTIALLY HAVE GRANTED, ORDERS OF PROTECTION WHILE STILL IN A HOSPITAL SETTING. INFORMATION REGARDING ALIVE'S PROGRAMMING AND SERVICES IS DISTRIBUTED THROUGHOUT MHSL, WITH SPANISH TRANSLATIONS PROVIDED TO BETTER REACH PATIENTS WHO SPEAK LIMITED ENGLISH. MHSL IS ALSO ACTIVELY INVOLVED IN THE COALITION AGAINST TRAFFICKING AND EXPLOITATION (CATE), AND PARTNERS WITH ST. MARTHA'S HALL, A CATHOLIC CHARITIES ORGANIZATION THAT PROVIDES SHELTER AND SERVICES TO WOMEN AND CHILDREN WHO HAVE SURVIVED DOMESTIC VIOLENCE. MERCY WILL CONTINUE ITS COLLABORATION AND INVOLVEMENT WITH THESE GROUPS, AS WELL AS THE AWARENESS AND EDUCATION CAMPAIGNS IT HAS BEGUN WITH RESTROOM RESOURCE POSTERS, A TRAINING VIDEO, AND THE INCORPORATION OF A SCREENING QUESTION/REFERRAL PROCESS IN MERCY'S ELECTRONIC MEDICAL RECORD (EMR). HOWEVER, IT WAS FELT BY MERCY'S CHC THAT WHILE CONTINUED ATTENTION TO THIS ISSUE WAS IMPORTANT, THE ISSUES OF ACCESS, HEALTH EQUITY, AND THE COMMUNITY'S CRISIS WITH BEHAVIORAL HEALTH AND ADDICTION DEMANDED MERCY'S FOCUS AT THIS TIME.- OBESITY/POOR NUTRITION/PHYSICAL INACTIVITYALTHOUGH MHSL DID NOT CHOOSE HEALTHY LIFESTYLES AS A PRIORITY COMMUNITY HEALTH NEED TO BE ADDRESSED, MERCY HAS FOCUSED ON ITS OWN COWORKERS, 10,000+ IN THE ST LOUIS REGION, AS A START TO ADDRESSING THIS NEED. A ROBUST INITIATIVE, MERCY'S HEALTHIFICATION PROGRAM, PROVIDES COMPREHENSIVE HEALTH EVALUATION, SCREENING, EDUCATION, AND INCENTIVES TO INCREASE HEALTHY BEHAVIORS AND IMPROVE HEALTH AMONG MERCY COWORKERS. - CHRONIC CONDITIONS: HEART DISEASE, DIABETES, OR ASTHMA AND ALLERGIESA SIGNIFICANT CONCERN RELATING TO CHRONIC CONDITIONS IS THE DISPARITY IN HEALTH OUTCOMES AND TREATMENT FOR BLACKS/AFRICAN-AMERICANS AND WHITES/CAUCASIANS. MHSL RECENTLY SIGNED AN AMERICAN HOSPITAL ASSOCIATION HEALTH EQUITY PLEDGE AND IS BEGINNING TO IMPLEMENT "CALL TO ACTION" GOALS AIMED AT IDENTIFYING AND, SUBSEQUENTLY, ADDRESSING AREAS OF HEALTH DISPARITY AND SERVICE GAPS. AS THE LEADER IN ST LOUIS COUNTY FOR NEWBORN DELIVERIES, MHSL HAS DECIDED TO TAKE ON THE SIGNIFICANT ISSUE OF HEALTH EQUITY BY BEGINNING WITH MATERNAL/CHILD HEALTH DISPARITIES AND ADDRESSING SOME OF THE REGION'S NEEDS WITH LOW BIRTH WEIGHT BABIES. MERCY HAS ALSO COMMITTED TO ADDRESSING HEALTH EQUITY IN THE INNER NORTH REGION COMMUNITY OF WELLSTON; MERCY IS OUTLINING A COLLABORATIVE COMMUNITY PLAN TO ADDRESS OVERALL HEALTH EQUITY WITH THESE COMMUNITY MEMBERS. - CANCER: LUNG/TOBACCO USEEFFORTS TO ADDRESS TOBACCO CESSATION WILL CONTINUE THROUGH MERCY'S CERTIFIED HEALTH AND WELLNESS COACH/MERCY ROAD TO FREEDOM PROGRAM THOUGH MERCY'S CARDIOPULMONARY REHAB AREA. ADDITIONALLY, MERCY WILL CONTINUE TO ADVOCATE AROUND MEASURES THAT PROMOTE TOBACCO CESSATION, SUCH AS TOBACCO 21, A BILL A MHSL PHYSICIAN INTRODUCED IN 2016 TO RAISE THE TOBACCO PRODUCTS PURCHASE AGE TO 21 IN ST. LOUIS COUNTY. THE BILL WAS PASSED AND THE NEW TOBACCO PRODUCTS PURCHASE AGE LAW WILL GO INTO EFFECT ON DECEMBER 1, 2016. OTHER IDENTIFIED NEEDS NOT BEING ADDRESSED AND WHY NOT, IF APPLICABLE.- SEXUALLY TRANSMITTED INFECTIONSINFECTIOUS DISEASE PHYSICIANS AT MERCY WILL CONTINUE TO ADDRESS THIS ISSUE THROUGH COLLABORATIVE WORK. MERCY WILL NOT, HOWEVER, TAKE A LEAD ROLE ON THIS ISSUE AS THERE ARE SOME LIMITATIONS TO THE ORGANIZATION'S PARTNERSHIPS IN THIS AREA AS A CATHOLIC HEALTH SYSTEM. ADDITIONAL NEEDS BEING ADDRESSED BY MERCY HOSPITAL WASHINGTON INCLUDE: ADDITIONAL NEEDS BEING ADDRESSEDMERCY HOSPITAL WASHINGTON (MHW) EXAMINED THE FRANKLIN COUNTY COMMUNITY HEALTH DATA PRESENTED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT AS WELL AS CONSIDERED THE RESOURCES AVAILABLE THROUGHOUT MERCY EAST COMMUNITY. ACCESS TO CARE, MENTAL HEALTH AND SUBSTANCE USE/ABUSE WERE CHOSEN AS THE AREAS OF FOCUS OVER THE NEXT THREE YEARS. MHW WILL CONTINUE TO SUPPORT, COLLABORATE AND PARTNER WITH COMMUNITY AGENCIES TO ADDRESS THESE ADDITIONAL COMMUNITY NEEDS: - ACCIDENTAL INJURIES/VIOLENCE: DOMESTIC, ELDERLY, CHILD ABUSE, AND TRAFFICKINGMHW WORKS CLOSELY WITH DOMESTIC VIOLENCE, SEX TRAFFICKING AND FAMILY SERVICES AGENCIES, SUCH AS ALTERNATIVES TO LIVING IN VIOLENT ENVIRONMENTS (ALIVE) AND LOCAL LAW ENFORCEMENT TO INSURE PATIENTS ARE GIVEN SAFE CHOICES WHILE IN A HOSPITAL SETTING. MERCY HAS BEGUN SAFETY AWARENESS AND EDUCATIONAL CAMPAIGNS WHICH INCLUDES INTERNAL TRAINING VIDEOS, RESTROOM RESOURCE POSTERS, AND THE INCORPORATION OF A SAFETY SCREENING/REFERRAL QUESTION WHICH CUES UP IN EACH PATIENT'S MERCY'S ELECTRONIC MEDICAL RECORD (EMR).- HEALTHY LIFESTYLES: HEART DISEASE, HIGH BLOOD PRESSURE, OBESITY/POOR NUTRITION/PHYSICAL INACTIVITYMERCY HAS PRIORITIZED IMPROVING HEALTHY LIFESTYLES AMONG ITS 10,000+ COWORKERS IN THE EAST COMMUNITY. THE HEALTHIFICATION PROGRAM IS A ROBUST INITIATIVE THAT PROVIDES COMPREHENSIVE HEALTH EVALUATION, SCREENING, EDUCATION, AND INCENTIVES TO INCREASE HEALTHY BEHAVIORS AND IMPROVE HEALTH AMONG MERCY COWORKERS. MERCY CLINIC ALSO OFFERS A VARIETY OF PROGRAMS AND SERVICES TO ADDRESS CHRONIC CONDITIONS AND A HEALTHY LIFESTYLE.- CANCERS: COLON, RECTUM AND LUNGCOMMUNITY CANCER SCREENINGS AND EDUCATION CONTINUE TO BE OFFERED REGIONALLY. EFFORTS TO ADDRESS TOBACCO CESSATION WILL CONTINUE THROUGH MERCY'S CERTIFIED HEALTH AND WELLNESS COACH/MERCY ROAD TO FREEDOM PROGRAM THROUGH MERCY'S CARDIOPULMONARY REHAB AREA. ADDITIONALLY, MERCY WILL CONTINUE TO ADVOCATE AROUND MEASURES THAT PROMOTE TOBACCO CESSATION. A BILL RECENTLY PASSED IN ST. LOUIS COUNTY WILL RAISE THE TOBACCO PRODUCTS PURCHASE AGE TO 21 AND MHW WILL LOOK FOR OPPORTUNITIES TO EXPAND THIS LEGISLATION TO FRANKLIN COUNTY. ADDITIONAL NEEDS NOT BEING ADDRESSED AND WHY- PHYSICAL ENVIRONMENT: AIR/WATER QUALITY AND HOUSINGIN THE CATEGORY OF PHYSICAL ENVIRONMENT, MHW HAS CHOSEN TRANSPORTATION, UNDER THE ACCESS TO CARE PRIORITY. COLLABORATION WITH LOCAL COALITIONS ADDRESSING HOMELESSNESS AND HOUSING WILL CONTINUE AS WILL MERCY'S SUPPORT OF INDUSTRY, GOVERNMENT, NON-GOVERNMENTAL ORGANIZATIONS AND THE PUBLIC IN ADDRESSING AIR AND WATER QUALITY IN OUR AREA.
Mercy Hospital St. Louis	Part V, Section B, Line 22d: 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. TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE, THE HOSPITAL FACILITY USES AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE. THE HOSPITAL USES A LOOK BACK METHOD THAT CONSIDERS DISCOUNTS ALLOWED TO MEDICARE AND ALL PRIVATE HEALTH INSURERS.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. IT IS OUR GOAL TO WORK WITH OUR PATIENTS ON THEIR REMAINING LIABILITY.
Mercy Hospital Washington	Part V, Section B, Line 22d: 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. TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE, THE HOSPITAL FACILITY USES AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE. THE HOSPITAL USES A LOOK BACK METHOD THAT CONSIDERS DISCOUNTS ALLOWED TO MEDICARE AND ALL PRIVATE HEALTH INSURERS.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. IT IS OUR GOAL TO WORK WITH OUR PATIENTS ON THEIR REMAINING LIABILITY.

Schedule H (Form 990) 2015

Page 8

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?30
Name and address		Type of Facility (describe)
1	1 - Mercy South Campus 901 Patients First Dr Washington,MO63090	Hospital based outpatient depts: Various Clinical Services
2	2 - Medical & Professional Services 15945 Clayton Road Ballwin,MO63011	Hospital based outpatient depts:Surg Ctr; various clinical services
3	3 - Mercy Urgent Care - O'Fallon 300 Winding Woods Drive OFallon,MO63366	Hospital based outpatient depts:UCC S&T Blood Dr St ImagCtr, Perin, Pulm
4	4 - Mercy Medical Building 12348 Old Tesson Road StLouis,MO63128	Hospital based outpatient depts:Women's Ctr, Imag Ctr, Nuc Med, Card Testin
5	5 - Mercy Medical Building - Olive and Mason 12680 Olive Creve Couer,MO63141	Hospital based outpatient depts: S&T, Nutrition Couns, Chirop, Imagine
6	6 - Mercy Urgent Care - Piper Hill 107 Piper Hill Drive St Peters,MO63376	Hospital based outpatient depts:Urgent Care, Sports & Therapy, Blood Draw
7	7 - Mercy Endoscopy Center 12990 Manchester Road Des Peres,MO63131	Hospital based outpatient depts:Endoscopy
8	8 - Fenton Medical Office Building 1203 Smizer Mill Road Fenton,MO63026	Hospital based outpatient depts:Imaging, Blood Draw Station
9	9 - Mercy Endoscopy Center 200 Brevco Plaza Lake St Louis,MO63367	Hospital based outpatient depts:Endoscopy
10	10 - Mercy Medical Building 11700 Studt Road St Louis,MO63141	Hospital based outpatient depts:Hyberbaric Wound Center, Fertility Services
11	11 - Mercy Diagnostic Testing 755 Dunn Road Hazelwood,MO63042	Hospital based outpatient depts: Sports & Therapy, Cardiac Testing, Nuc Medi
12	12 - Edgewood 970 Executive Parkway St Louis,MO63141	Hospital based outpatient depts: Outpatient Behavioral Health
13	13 - Mercy Sports Therapy - Tesson Ferry 13303 Tesson Ferry Road St Louis,MO63128	Hospital based outpatient depts: Sports & Therapy
14	14 - Mercy Sports Therapy 1176 Town Country Commons St Louis,MO63017	Hospital based outpatient depts: Sports Therapy & Rehab
15	15 - Mercy Urgent Care - Legends Parkway 20 Legends Parkway Eureka,MO63025	Hospital based outpatient depts: Various Clinical and Imaging Services
16	16 - Mercy Medical Building Hazelwood 801 Hazelwest Drive Hazelwood,MO63042	Hospital based outpatient depts: Imaging Center/Blood Draw Station
17	17 - Mercy Medical Building 1820 Zumbehl Road St Charles,MO63303	Hospital based outpatient depts: Cardiac Testing, Imaging, Blood Draw Statio
18	18 - Mercy Urgent Care - North County 637 Dunn Road Suite 101 Hazelwood,MO63042	Hospital based outpatient depts: Urgent Care
19	19 - Mercy Kids Mid Rivers 4525 Mid Rivers mall Drive St Peters,MO63376	Hospital based outpatient depts: Pediatric PT/OT/Speech,Blood Draw Station
20	20 - Mercy Sports Therapy - Crestwood 10024 Watson Road St Louis,MO63126	Hospital based outpatient depts: Sports & Therapy/Blood Draw Station
21	21 - St Louis Cancer & Breast Institute 6435 Chippewa St Louis,MO63109	Hospital based outpatient depts: Infusion Therapy
22	22 - Mercy Therapy Services 1935 Prairie Dell Road - Suite 300 Union,MO63084	Hospital based outpatient depts: Sports and Therapy
23	23 - Mercy Medical Building - Grover 16555 Manchester Road Grover,MO63040	Hospital based outpatient depts: Radiology, Sports & Therapy, Blood Draw Sta
24	24 - Liberty Point Medical Building 2023 Vadalabene Suite 300 Maryville,IL62062	Hospital based outpatient depts: Perinatal Center
25	25 - Mercy Therapy Services 735 West Springfield Road Gerald,MO63037	Hospital based outpatient depts: Sports and Therapy
26	26 - Mercy Sullivan 1326 S Service Rd West Sullivan,MO63080	Hospital based outpatient depts: Various Clinical and Imaging Services
27	27 - Mercy Sports Medicine - Emerson 633 Emerson Rd 20 Creve Couer,MO63141	Hospital based outpatient depts: sports Therapy
28	28 - Florissant Meadows Shopping Center 572 Highway 67 Florissant,MO63031	Hospital based outpatient depts: Blood Draw Station
29	29 - Mercy Water Tower Place 1237 Water Tower Place Arnold,MO63010	Hospital based outpatient depts: Women's care,Ortho surg,neurology,internal
30	30 - Mercy Medical Building - Winghaven 2223 Technology Drive OFallon,MO63368	Hospital based outpatient depts: Imaging Center/Blood Draw Station

Schedule H (Form 990) 2015

Page 9

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
Part I, Line 7g:	SUBSIDIZED HEALTH SERVICESTHE ORGANIZATION DID NOT INCLUDE ANY PHYSICIAN CLINIC COSTS ON LINE 7G.
Part I, Ln 7 Col(f):	TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) ARE $1,146,082,076. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $36,258,558. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $10,454,681.
PART I, LINE 6A	COMMUNITY BENEFIT REPORTTHE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS PREPARED BY ITS ULTIMATE PARENT ENTITY, MERCY HEALTH (EIN: 43-1423050).
Part II, Community Building Activities:	MERCY HOSPITAL ST. LOUIS (MHSL) AND MERCY HOSPITAL WASHINGTON'S (MHW) COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH, WELLNESS AND SAFETY OF THE COMMUNITIES THEY SERVE. THROUGH ACTIVE PARTICIPATION ON COMMUNITY BOARDS, NEIGHBORHOOD/COMMUNITY COALITIONS AND INVOLVEMENT IN COMMUNITY-BASED EVENTS, MERCY BUILDS PARTNERSHIPS TO DEVELOP COLLABORATIVE SOLUTIONS TO ADDRESS COMMUNITY NEEDS. SOME OF THESE COMMUNITY BUILDING PARTNERSHIPS AND COMMUNITY ENGAGEMENT ACTIVITIES INCLUDE:MERCY HOSPITAL ST. LOUIS:- ARCHDIOCESE OF ST. LOUIS BOARD OF CATHOLIC EDUCATION- DEACONESS FAITH COMMUNITY MINISTRIES- FERGUSON-FLORISSANT COMMUNITY RESPONSE TEAM- MISSOURI CATHOLIC CONFERENCE BOARD- NEAR SOUTHSIDE COMMUNITY COALITION- O'FALLON CHAMBER OF COMMERCE- ST. LOUIS CITY, ST. LOUIS COUNTY AND ST. CHARLES, WARREN & LINCOLN COUNTIES CONTINUUM OF CARE FOR ENDING HOMELESSNESS COALITIONS- St. LOUIS COUNTY HEALTHY LIVING COALITION- ST. LOUIS INTEGRATED HEALTH NETWORK TRANSITIONS OF CARE TASK FORCE- ST. LOUIS REGIONAL HEALTH COMMISSION- UNITED WAY 2-1-1 ADVISORY COMMITTEE AND EMERGENCY FUND NETWORKMERCY HOSPITAL WASHINGTON:- FRANKLIN COUNTY SERVICE PROVIDERS GROUP- FRANKLIN COUNTY HOMELESS TASK FORCE- WASHINGTON CHAMBER OF COMMERCE- FOUR RIVERS YMCA*DENOTES COALITIONS THAT ALIGN WITH THE HOSPITAL'S CHNA TOP HEALTH PRIORITY OF ACCESS TO CARE.CASH/IN-KIND DONATIONSMERCY PROVIDES CASH AND IN-KIND DONATIONS THROUGH THE SUPPORT OF CO-WORKER ENGAGEMENT AND COMMUNITY SERVICE ACTIVITIES. THESE COMMUNITY BUILDING ACTIVITIES ALLOW MERCY CO-WORKERS TO LOOK BEYOND THE WALLS OF THE FACILITIES IN WHICH THEY SERVE TO BETTER UNDERSTAND AND ADDRESS THE NEEDS OF THE COMMUNITY. DURING FY16, CASH DONATIONS WERE GIVEN TO ORGANIZATIONS THROUGHOUT THE MHSL AND MHW COMMUNITIES THAT INCLUDED:- ALIVE (ALTERNATIVES TO LIVING IN VIOLENT ENVIRONMENTS) - AMERICAN HEART ASSOCIATION - BEHAVIORAL HEALTH NETWORK - AMERICAN CANCER ASSOCIATION - AMERICAN FOUNDATION FOR SUICIDE PREVENTION- MISSOURI GOVERNOR'S COMMITTEE ON ENDING HOMELESSNESS CONFERENCE- NAMI ST. LOUIS (NATIONAL ALLIANCE ON MENTAL HEALTH)- NURSES FOR NEWBORNS - PROVIDENT COUNSELING A FULL DESCRIPTION OF OUR COMMUNITY BUILDING ACTIVITIES CAN BE FOUND AT WWW.MERCY.NET/ABOUT/COMMUNITYBENEFITS.
Part III, Line 2:	TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE, AT COST, BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENT ACCOUNTS WAS MULTIPLIED BY A RATIO OF COST TO CHARGES. THE RATIO OF COST TO CHARGES USED WAS BASED ON DETAILED COST ACCOUNT, WHERE AVAILABLE. WHERE COST ACCOUNTING IS NOT AVAILABLE, COST REPORT COST TO CHARGE RATIOS WERE UTILIZED.
Part III, Line 3:	THE FILING ORGANIZATION DETERMINED THAT THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS $0. ALTHOUGH THE CHARITY CARE POLICY REQUIRES THE PARTICIPATION OF THE PATIENT REQUESTING ASSISTANCE, WE HAVE A PROCESS UNDER PRESUMPTIVE CHARITY TO ADDRESS ACCOUNTS FOR PATIENTS WHO DO NOT PROVIDE THE INFORMATION. WE BELIEVE THAT OUR CHARITY POLICY IS COMPREHENSIVE ENOUGH TO CAPTURE ALMOST ALL PATIENTS WHO QUALIFY FOR CHARITY CARE.
Part III, Line 4:	THE TEXT OF THE FOOTNOTE THAT IS INCLUDED IN MERCY HEALTH AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE FOLLOWS:"PATIENT ACCOUNTS THAT ARE UNCOLLECTED, INCLUDING THOSE PLACED WITH COLLECTION AGENCIES, ARE INITIALLY CHARGED AGAINST THE ALLOWANCE FORUNCOLLECTIBLE ACCOUNTS IN ACCORDANCE WITH COLLECTION POLICIES OF THEHEALTH SYSTEM AND, IN CERTAIN CASES, ARE RECLASSIFIED TO CHARITY CAREIF DEEMED TO OTHERWISE MEET THE HEALTH SYSTEM'S CHARITY CARE POLICY.THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES IS BASED ON MANAGEMENT'SASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERINGBUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, ANDOTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR,MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLERECEIVABLES BASED UPON THE PAYOR COMPOSITION AND AGING OF RECEIVABLESAS OF THE REPORTING DATE WITH CONSIDERATION OF THE HISTORICAL PAYMENTAND WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESEREVIEWS ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FORUNCOLLECTIBLE RECEIVABLES TO ESTABLISH AN APPROPRIATE ALLOWANCE FORUNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROMINSURANCE, THE HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FORPLACING PAST-DUE BALANCES WITH COLLECTION AGENCIES."
Part III, Line 8:	IT IS THE POSITION OF MERCY HOSPITALS EAST COMMUNITIES THAT 100% OF ANY SHORT FALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS AMOUNT REPRESENTS COST OF PROVIDING SERVICES THAT REMAIN UNCOMPENSATED TO THE PROVIDER. THE UNREIMBURSED COSTS OF MEDICARE IS CALCULATED BY THE GROSS CHARGES NET OF THE COST TO CHARGE RATIO LESS ANY PAYMENTS, DEDUCTIONS OR REIMBURSEMENTS USING THE ANNUAL MEDICARE COST REPORT (CMS FORM 2552-96)
Part III, Line 9b:	MERCY'S COLLECTION POLICY PROVIDES THAT MERCY WILL PERFORM A REASONABLE COMMUNICATION AND/OR REVIEW OF PATIENT ACCOUNTS AS IT RELATES TO ANY SERVICE PROVIDED AT OUR FACILITIES BEFORE TURNING THE ACCOUNT TO BAD DEBT OR TAKING LEGAL ACTION FOR NONPAYMENT. MERCY ACTIVELY SCRUBS ACCOUNTS FOR PAYOR PLAN COVERAGE'S; INCLUDING MEDICAID. IN THE EVENT AN ACCOUNT IS TURNED TO COLLECTIONS, AND IS IDENTIFIED IN NEED OF FINANCIAL ASSISTANCE DUE TO CIRCUMSTANCE CHANGES, OR NOW REQUESTING ASSISTANCE, THE ACCOUNTS ARE RETURNED BY THE AGENCY AND CONSIDERED FOR CHARITY IF THE PATIENT PROVIDES THE REQUESTED INFORMATION. IF THE PATIENT FAILS TO RETURN THE INFORMATION, THE ACCOUNT WILL QUALIFY FOR COLLECTIONS.MERCY UTILIZES THE EXPERIAN TOOL TO ENHANCE THE ABILITY TO DETERMINE THE CHARITY QUALIFICATION PRIOR TO TURNING TO BAD DEBT; KNOWN AS PRESUMPTIVE CHARITY. MERCY WILL GRANT CHARITY IN SITUATIONS WHERE THERE HAS BEEN AN INABILITY TO OBTAIN INFORMATION FROM PATIENTS OR THE INFORMATION PROVIDED IS NOT COMPLETE ENOUGH TO MAKE A CHARITY DETERMINATION WHEN A PATIENT HAS SUBMITTED AN APPLICATION. IN ADDITION, MERCY UTILIZES THE SAME TOOL TO QUALIFY ACCOUNTS PER THE PRACTICE OF PRESUMPTIVE CHARITY PRIOR TO BAD DEBT PLACEMENT FOR BALANCES IN EXCESS OF $6500. ALL ACCOUNT BALANCES RELATING TO ACCOUNTS IDENTIFIED BY THE HIGHER BALANCES WILL BE CONSIDERED AND FLAGGED FOR CHARITY IF THERE IS AN INABILITY TO PAY AFTER A RETURN FROM THE COLLECTION AGENCY AT APPROXIMATELY 120 DAYS. MERCY WILL PURSUE APPROPRIATE MEANS IN THE COLLECTION OF DELINQUENT ACCOUNTS FROM PATIENTS WITH AN ESTABLISHED ABILITY TO PAY OR AN UNWILLINGNESS TO COOPERATE IN VALIDATING ELIGIBILITY FOR FINANCIAL ASSISTANCE. THESE APPROPRIATE MEANS MAY INCLUDE LEGAL ACTION CONSISTENT WITH MERCY MISSION AND VALUES AFTER A SENDING 3 MONTHLY STATEMENTS WITH THE FINAL INCLUDING NOTIFICATION; IF NO RESOLUTION THEY WILL BE TURNED TO COLLECTIONS. ADDITIONALLY, THEY MAY INCLUDE LIENS UPON REAL PROPERTY AND REASONABLE WAGE GARNISHMENTS. LEGAL ACTIONS WILL GENERALLY NOT INCLUDE BANK GARNISHMENTS, REPOSSESSION OF ASSETS OR FORECLOSURES TO ENSURE SATISFACTION OF A LIEN. MERCY HAS POLICIES AND PROCEDURES ESTABLISHED TO ADDRESS THE INITIATION OF LEGAL ACTION AND ANNUALLY REVIEW COMPLIANCE WITH POLICIES BUT ENSURE 120 DAYS OF BILLING AND COLLECTIONS OCCURS PRIOR TO ANY EXTRAORDINARY COLLECTIONS ARE PURSUED.
Part VI, Line 2:	COMMUNITY HEALTH NEEDS ASSESSMENT PROCESSIN JANUARY OF 2015, MERCY HOSPITAL ST. LOUIS AND MERCY HOSPITAL WASHINGTON BEGAN PLANNING FOR THEIR 2016-2019 COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA). PRESIDENTS FROM THE HOSPITALS LED THEIR CORRESPONDING COMMUNITY HEALTH COUNCILS IN GUIDING THE NEEDS ASSESSMENT PROCESS. THE COUNCILS CONVENE QUARTERLY AND ARE ACCOUNTABLE FOR ENSURING THAT COMMUNITY BENEFIT ACTIVITIES MEET MISSION COMPLIANCE AND IRS GUIDELINES. THEY CONSIST OF MERCY LEADERS FROM VARIOUS DEPARTMENTS, SUCH AS BEHAVIORAL HEALTH, FINANCE, CARE MANAGEMENT, PHILANTHROPY, ETC., AND ONE HOSPITAL BOARD MEMBER. THE COUNCILS DETERMINE WHICH HEALTH INITIATIVES WILL BE PUT FORTH IN THE HOSPITAL'S THREE-YEAR COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP).CO-WORKERS IN MERCY'S COMMUNITY HEALTH & ACCESS DEPARTMENT SERVE ON THE COUNCILS AND WERE PRIMARY LEADS OF THE 2016 CHNAS. A SAINT LOUIS UNIVERSITY MASTER OF HEALTH ADMINISTRATION STUDENT PROVIDED SUPPORT BY COLLECTING AND REVIEWING DATA FROM VARIOUS SOURCES. THESE INCLUDED: SURVEYS, FOCUS GROUPS, PUBLISHED DATA, AND HOSPITAL SPECIFIC DATA.THE VOICES OF THE PEOPLE OF ST. LOUIS COUNTY AND FRANKLIN COUNTY WERE CENTRAL TO THE HEALTH NEEDS ASSESSMENT PROCESS. MHSL AND MHW GATHERED COMMUNITY INPUT THROUGH:- SURVEYS - ONLINE AND PRINTED (FOR THOSE WITH NO COMPUTER ACCESS)- MERCY COMMUNITY ADVISORY PANELS- COMMUNITY COALITIONS AND STAKEHOLDER MEETINGSEXTERNAL SOURCES OF PUBLISHED DATA ARE AS FOLLOWS:- COUNTY HEALTH RANKINGS 2016 (MHW & MHSL)WW.COUNTYHEALTHRANKINGS.ORG- COMMUNITY DATA PROFILES & MISSOURI INFORMATION FOR COMMUNITY ASSESSMENT (MICA) (MHW & MHSL)HTTP://HEALTH.MO.GOV/DATA/COMMUNITYDATAPROFILES/INDEX.HTML- CDC COMMUNITY HEALTH STATUS INDICATOR REPORT (MHW)HTTP://WWWN.CDC.GOV/COMMUNITYHEALTH/PROFILE/CURRENTPROFILE/MO/FRANKLIN- COMMUNITY COMMONS (MHW & MHSL)HTTP://WWW.COMMUNITYCOMMONS.ORG/- ST. LOUIS COUNTY - 2011 COMMUNITY HEALTH NEEDS ASSESSMENT (MHSL)HTTPS://WWW.STLOUISCO.COM/HEALTHANDWELLNESS/HEALTHPROMOTIONANDCHIP/2011COMMUNITYHEALTHNEEDSASSESSMENT- PROGRESS TOWARD BUILDING A HEALTHIER ST. LOUIS - 2015 ACCESS TO CARE REPORT (MHSL)HTTP://WWW.STLRHC.ORG/WORK/PROVIDING-TRANSPARENCY-HEALTH-REPORTING/- FOR THE SAKE OF ALL (2014) (MHSL)HTTPS://FORTHESAKEOFALL.ORG/WP-CONTENT/UPLOADS/2016/06/FSOA_REPORT_2.PDF PRIORITIZED SIGNIFICANT COMMUNITY HEALTH NEEDSTHE NOMINAL GROUP TECHNIQUE WAS USED IN THE PRIORITY SETTING PROCESS. THE MERCY HOSPITAL ST. LOUIS AND MERCY HOSPITAL WASHINGTON COMMUNITY HEALTH COUNCILS WERE PRESENTED WITH THE QUANTITATIVE AND QUALITATIVE COMMUNITY HEALTH DATA AND MEMBERS WERE ASKED TO RANK THESE HEALTH ISSUES BY LEVEL OF CONCERN AND ABILITY TO COLLABORATE ON THE ISSUE TO PRODUCE RESULTS. THE STRENGTHS AND SERVICES OF THE HOSPITALS ALONG WITH THEIR STRATEGIC PLANS WERE ALSO CONSIDERED. UPON REVIEW AND DISCUSSION OF THE PRIMARY AND SECONDARY DATA GATHERED, THE HOSPITALS' STRATEGIC PLANS, AND THE RESOURCES AVAILABLE AT THE HOSPITALS AND IN THE COMMUNITIES, THE FOLLOWING PRIORITIES WERE SELECTED:- MENTAL HEALTH- SUBSTANCE USE - ACCESS TO CARETHE COMMUNITY HEALTH COUNCILS THEN CREATED COMMUNITY HEALTH IMPROVEMENT PLANS (CHIP) FOR THEIR HOSPITAL, IDENTIFYING SPECIFIC INITIATIVES RELATED TO IMPROVING EACH OF THESE HEALTH PRIORITIES. THE CHIPS WERE DESIGNED WITH REALISTIC, MEASUREABLE, AND ATTAINABLE GOALS THAT ALIGN WITH THE MISSION AND STRATEGY OF THE ORGANIZATIONS. MERCY HOSPITAL ST. LOUIS AND MERCY HOSPITAL WASHINGTON ALSO ASSESS THE NEEDS OF THE COMMUNITY THROUGH REQUESTS BY LOCAL AGENCIES. ACCORDING TO THE CATHOLIC HEALTH ASSOCIATION, A REQUEST FROM A PUBLIC AGENCY OR COMMUNITY GROUP TO INITIATE OR CONTINUE AN ACTIVITY OR PROGRAM MEETS THE REQUIREMENTS FOR A DOCUMENTED COMMUNITY NEED. MERCY SERVING ON THE UNITED WAY 2-1-1 ADVISORY BOARD IS AN EXAMPLE OF OUR INVOLVEMENT WITH COMMUNITY ORGANIZATIONS BASED ON THE ORGANIZATION'S REQUEST FOR SUPPORT.
Part VI, Line 3:	Mercy 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 through several means. If at any time a patient expresses hardship and inability to pay, the accounts is placed for review. In addition, patient have signage about the policy at the access points, and all staff working with the patient at Point of Service, Scheduling, Customer Service, and even through the Medicaid Eligibility Screening, have the means to send the account for review. There is the plain language summary that is being provided to all whom express hardship, in addition to the web address providing the application, policies, and even how uninsured accounts are handled. Lastly, the statements message to the patient that Mercy does have a Financial Assistance Program and to call to see if they are eligible. Mercy staffs internal resources certified to assist patients with Medicaid Applications as well.
Part VI, Line 4:	MERCY HOSPITALS EAST COMMUNITIES INCLUDES MERCY HOSPITAL ST. LOUIS ANDMERCY HOSPITAL WASHINGTON. THE PRIMARY SERVICE AREA FOR MERCY HOSPITAL ST.LOUIS INCLUDES 198 ZIP CODES ACROSS MISSOURI AND ILLINOIS. THE FOLLOWINGINFORMATION IS DERIVED FROM 2016 Sg2 ANALYTICS DATA AND Sg2 INSURANCECOVERAGE ESTIMATES. THE AREA'S POPULATION IS 2,758,185. 37% OF THEPOPULATION'S AVERAGE HOUSEHOLD INCOME IS OVER $75,000. 43% OF THEPOPULATION IS 45 AND OLDER. 25% OF THE HOUSEHOLDS IS ON MEDICARE, 12% ONMEDICAID, AND 10% UNINSURED. THE PRIMARY SERVICE ARE FOR MERCY HOSPITALWASHINGTON INCLUDES 14 ZIP CODES SOUTH OF ST. LOUIS. THE AREA'SPOPULATION IS 110,649. 32% OF THE POPULATION'S AVERAGE HOUSEHOLD INCOME ISOVER $75,000. 45% OF THE POPULATION IS 45 AND OLDER. 24% OF THEHOUSEHOLDS IS ON MEDICARE, 16% ON MEDICAID, AND 11% UNINSURED.
Part VI, Line 5:	OPEN MEDICAL STAFF MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR NEARLY ALL OF OUR DEPARTMENTS. BOTH HOSPITALS HAVE EXCLUSIVE CONTRACTS WITH PHYSICIAN GROUPS FOR RADIOLOGY AND PATHOLOGY SERVICES. MHSL ALSO HAS NEONATOLOGY AND CV SURGERY; MHW HAS ANESTHESIA, CARDIOLOGY AND OBSTETRICS. THIS MEANS THAT OVER 90% OF THE PHYSICIANS ON STAFF ARE IN CATEGORIES THAT ARE OPEN TO QUALIFIED PHYSICIANS IN THE COMMUNITY.COMMUNITY BOARDS - FY16 MERCY HEALTH EAST COMMUNITIES FY16 BOARD MEMBERSCRAIG ASHMOREJON BAUERPATRICIA BOLSTER, MDCRAIG BOYD, MDSTEVEN BUSCHSR. JUDY CAREY, RSMSR. KATHERINE GLOSENGER, RSM - EX-OFFICIOARTHUR JOHNSONWILLIAM MCKENNATERI MURRAY, RN, PHDDON MUSICK, IIISR. SUSAN O'CONNOR, RSMCHARLES REHM, MDGEORGE ROMANSTEPHEN SANDERS, MDDONN SORENSEN - EX-OFFICIOSTEVE SWYERS - CHAIR TESSA TRELZSR. MARIA LUISA VERA, RSMRAY WEICK, MDMERCY HOSPITAL ST. LOUIS FY16 BOARD MEMBERSJEANNE CLEVELAND, MDMARK DARRELLGENE DIEDERICHEDUARDO GARCIA, MDJOE GAREASR. KATHERINE MARIE GLOSENGER, RSMJEFF JOHNSTONJOHN KELLYANTHONY MCBRIDESCOTT MARTIN, MDRICK PENNELL, MDDR. MARK PENNYCHARLES REHM, MDCASSANDRA SANFORDROGER STEINBECKER, BOARD CHAIRBETH STROBLESR. MARILYNN WITTENAUER, RSMMERCY HOSPITAL WASHINGTON FY 16 BOARD MEMBERSJON BAUER, PHDDAVID BRUNWORTH, MDBONNIE ECKELKAMPSR. GAYLE EVANS, RSMWILLIAM GALLI, DOSR. KATHERINE MARIE GLOSENGER, RSMEMILY GLOVER, MDROBERT HALSTED, MDWILLIAM L. MILLER, SR., CHAIRCHARLES REHM, MDTHOMAS RIECHERS, MDKURT VOSSUSE OF SURPLUS FUNDS SURPLUS FUNDS AND UNRESTRICTED ASSETS HELD BY MERCY HOSPITALS EAST COMMUNITIES ARE REINVESTED IN PATIENT CARE, MEDICAL EDUCATION AND RESEARCH INITIATIVES WHICH SUPPORT THE ORGANIZATION'S MISSION TO DELIVER COMPASSIONATE CARE AND EXCEPTIONAL HEALTH CARE SERVICES TO THE COMMUNITIES IT SERVES. EXAMPLES INCLUDE THE FOLLOWING:- INVESTMENT IN NEW AND INNOVATIVE TECHNOLOGY TO PROVIDE EXCELLENT CARE TO OUR PATIENTS, INCLUDING THE FOLLOWING:- DEVELOPMENT AND IMPLEMENTATION OF AN EXTRA-CORPOREAL LIFE SUPPORT (EXTRA-CORPOREAL MEMBRANE OXYGENATION, OR ECMO) PROGRAM FOR ADULT PATIENTS. ECMO IS AN EXTRACORPOREAL TECHNIQUE OF PROVIDING BOTH CARDIAC AND RESPIRATORY SUPPORT TO PERSONS WHOSE HEART AND LUNGS ARE UNABLE TO PROVIDE AN ADEQUATE AMOUNT OF GAS EXCHANGE TO SUSTAIN LIFE- ACQUISITION OF AN ADDITIONAL ROBOTIC SURGICAL SYSTEM. THIS EQUIPMENT FACILITATES COMPLEX SURGERY USING A MINIMALLY INVASIVE APPROACH- EXPANSION OF THREE DIMENSIONAL MAMMOGRAPHY SERVICE, WHICH IS A REVOLUTIONARY SCREENING AND DIAGNOSTIC TOOL DESIGNED FOR EARLY BREAST CANCER DETECTION- OPENING OF TWO NEW URGENT CARE CENTER LOCATIONS IN ST. LOUIS COUNTY AND CONTINUED GROWTH AND INVESTMENT IN THE RECENTLY OPENED URGENT CARE CENTER IN NORTH COUNTY TO PROVIDE BETTER ACCESS TO CARE FOR THIS COMMUNITY- EXPANSION OF BEHAVIORAL HEALTH SERVICES AVAILABLE TO OUR COMMUNITY, INCLUDING ADDITION OF AN ADULT OUTPATIENT PSYCHIATRY CLINIC- CONTINUED FUNDING OF THE MERCY HEALTH EAST COMMUNITIES RESEARCH INSTITUTE WHICH IS DEDICATED TO IMPROVING PATIENT OUTCOMES BY SUPPORTING NEW AND POTENTIALLY LIFE-CHANGING HEALTH RESEARCH INCLUDING OVER 100 ACTIVE CLINICAL TRIALS AT MERCY HOSPITAL ST. LOUIS.- CONTINUED FUNDING OF GRADUATE MEDICAL EDUCATION PROGRAM (PROVIDES RESIDENCY TRAINING IN FAMILY MEDICINE, INTERNAL MEDICINE, OB/GYN, DENTAL MEDICINE, ORTHOPEDICS AND CRITICAL CARE) AND SCHOOLS OF RADIOLOGY, RESPIRATORY AND CLINICAL LABORATORY SCIENCE.ADDITIONAL COMMUNITY HEALTH INITIATIVE/INFORMATIONIN KEEPING WITH MHEC'S COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITY, MHEC PROVIDES:- FREE CARE AND/OR SUBSIDIZED CARE- CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST- HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY- HEALTH EDUCATION PROGRAMS, AND- A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES.MANY OF THE PROGRAMS MENTIONED BELOW ARE PART OF OUR CURRENT COMMUNITY HEALTH IMPACT PLAN (CHIP). THESE ARE INDICATED BY ASTERISKS.A FEW EXAMPLES INCLUDE THE ADOPT-A-FAMILY PROGRAMS AT MERCY HOSPITAL ST. LOUIS AND MERCY HOSPITAL WASHINGTON. CO-WORKERS PROVIDED PERSONAL AND HOUSEHOLD GIFTS TO OVER 500 INDIVIDUALS AND FAMILIES IN NEED OVER THE HOLIDAYS AND MHSL NUTRITION SERVICES DEPARTMENT COOKED NUMEROUS TURKEYS FOR A CHURCH THAT FED NEARLY 300 PEOPLE AT THANKSGIVING. NUMEROUS COLLECTION DRIVES BY CO-WORKERS ARE HELD THROUGHOUT THE YEAR AND THE ITEMS SUCH AS FOOD, CLOTHING, PERSONAL CARE ITEMS, BUS PASSES, GAS CARDS, SCHOOL SUPPLIES AND OTHER CRITICAL ITEMS ARE DONATED TO NON-PROFIT AGENCIES TO DISTRIBUTE TO THEIR CLIENTS. MERCY NEIGHBORHOOD MINISTRY (MNM) - MERCY EAST COMMUNITYMERCY NEIGHBORHOOD MINISTRY IS A DEPARTMENT THAT SUPPORTS THE SERVICE AREAS OF MERCY HOSPITAL ST. LOUIS, MERCY HOSPITAL WASHINGTON AND THE SURROUNDING COUNTIES. IT FOCUSES ON CONNECTING THE ECONOMICALLY UNDERSERVED WITH APPROPRIATE HEALTH AND SOCIAL SERVICES AS WELL AS OVERALL COMMUNITY HEALTH AND ACCESS THROUGH PROMOTION AND EDUCATION OF CURRENT PROGRAMS. MNM PARTNERS WITH OVER 100 COMMUNITY HEALTH AND SOCIAL SERVICE AGENCIES, CLINICS, CHURCHES AND SCHOOLS. NEARLY HALF OF ITS ANNUAL EXPENSES ARE OFFSET THROUGH MERCY FOUNDATION. JFK & MCAULEY HEALTH CENTERS - MHSL & MHWTHESE HEALTH CENTERS OFFER COMPREHENSIVE HEALTH CARE TO A DIVERSE POPULATION OF OVER 10,000 PATIENTS WHO ARE ECONOMICALLY DISADVANTAGED, UNINSURED OR UNDERINSURED. WITH MORE THAN 60,000 PATIENT VISITS EACH YEAR, SERVICES INCLUDE MEDICAL, OBSTETRICAL, GYNECOLOGICAL AND PEDIATRIC CARE AND ACCESS TO SPECIALTY CARE, BEHAVIORAL HEALTH INCLUDING COUNSELING AND TREATMENT, DISCOUNTED PHARMACY SERVICES, AND VISION AND DENTAL CARE. THE CHARITY CARE AND UNREIMBURSED COST OF MEDICAID COMMUNITY BENEFIT FIGURES FOR THESE ENTITIES ARE INCLUDED IN THE OVERALL CHARITY CARE FOR MHEC AND NOT LISTED SEPARATELY. THE WORK OF THESE MERCY PROVIDERS WHO SERVE THOSE WHO ARE STRUGGLING IN OUR COMMUNITY ARE NOT DESCRIBED IN ANY AREA OF THIS REPORT.ACCESS TO CARECOMMUNITY REFERRAL COORDINATOR* - MHSLMERCY CONTINUES TO PARTNER WITH THE ST. LOUIS INTEGRATED HEALTH NETWORK (IHN) IN PROVIDING A CONTRACTED COMMUNITY REFERRAL COORDINATOR (CRC) IN THE MHSL EMERGENCY DEPARTMENT TO CONNECT DISCHARGED PATIENTS WITH NEEDED FOLLOW-UP MEDICAL CARE. THE CRC PRIMARILY FOCUSES ON MEDICAID AND UNINSURED PATIENTS TO:- ENSURE THEY HAVE ACCESS TO A PRIMARY CARE HOME AND HEALTH RESOURCES REGARDLESS OF THEIR ABILITY TO PAY- REDUCE NON-EMERGENT USE OF EMERGENCY DEPARTMENTS AND LOW ACUITY READMISSIONS- ENHANCE CONTINUITY OF CARE- STRENGTHEN COMMUNICATIONS/PROCESSES AMONG HOSPITAL, SAFETY NET AND OTHER PRIMARY CARE PROVIDERS, AND COMMUNITY SOCIAL SERVICES AGENCIES/PROGRAMS.THE POSITION IS FUNDED BY THE IHN AND IS A COLLABORATIVE PROGRAM BETWEEN MERCY, THE IHN AND OTHER AREA HOSPITALS AND CLINICS TO IMPROVE ACCESS, QUALITY AND TRANSITIONS OF CARE. EACH YEAR THE MERCY CRC HELPS MORE THAN 1,000 PATIENTS AND REFERS MORE THAN 500 TO PRIMARY CARE PROVIDERS WITH A SHOW-RATE OF 60%.CERTIFIED APPLICATION COUNSELORS* - MHSLSINCE THE BEGINNING OF OPEN ENROLLMENT THROUGH THE AFFORDABLE CARE ACT IN AUGUST 2013, MERCY HAS HELPED THOSE IN NEED OF AFFORDABLE HEALTH INSURANCE TO ENROLL IN PLANS AND/OR EDUCATE THEM ABOUT THEIR OPTIONS. THIS COVERAGE ASSISTANCE PROGRAM HAS BEEN ENTIRELY FUNDED THROUGH MISSOURI FOUNDATION FOR HEALTH GRANTS AND WAS AVAILABLE IN THE SERVICE AREAS OF MHSL, MHW AND BEYOND. ENROLLMENTS TO-DATE TOTAL NEARLY 825 AND THE CACS HAVE ATTENDED OVER 550 EVENTS RESULTING IN EDUCATIONAL OPPORTUNITIES FOR OVER 15,000 PEOPLE IN UNDERSTANDING THE TERMINOLOGY AND USAGE OF HEALTH INSURANCE.DENTAL CARE* - MHW IN AN EFFORT TO ADDRESS THE LACK OF DENTAL CARE IN THEIR AREA, MERCY HOSPITAL WASHINGTON OPENED A DENTAL CLINIC IN THEIR MCAULEY HEALTH CENTER IN 2013 AND EXPANDED IN 2015. ADULT AND PEDIATRIC PATIENTS ARE NOW RECEIVING CONSISTENT, QUALITY DENTAL SERVICES AS PART OF THEIR OVERALL TREATMENT PLAN. IT HAS SERVED 3,031 ADULTS AND 3,277 CHILDREN FOR A TOTAL OF 6,308 TOTAL PATIENTS.MERCY CLINIC AT ROOSEVELT HIGH SCHOOL - MHSL A PARTNERSHIP BETWEEN MERCY, ST. LOUIS PUBLIC SCHOOLS AND THE BOEING COMPANY PRODUCED MERCY'S FIRST SCHOOL-BASED CLINIC IN ONE OF THE INNER CITY'S MOST CHALLENGING SCHOOLS. ROUTINE PHYSICALS AND URGENT CARE IS COMPLEMENTED WITH ON-SITE BEHAVIORAL HEALTH SERVICES AND EDUCATIONAL PROGRAMS FOCUSED ON HEALTHY LIFESTYLES. COMMUNITY PARTNERSHIPS INCLUDE "FOR THE SAKE OF ALL", A PROGRAM OF WASHINGTON UNIVERSITY AND FOCUS ST. LOUIS LEADERSHIP, AND PARTICIPATION IN THE NEAR SOUTHSIDE COALITION. THIS CLINIC IS MANAGED BY OUR INTEGRATED PHYSICIAN GROUP AND IS THEREFORE NOT ABLE TO BE INCLUDED AS A COMMUNITY BENEFIT ON SCHEDULE H.See Part VI, Question 5 Continuation
Part VI, Line 6:	AFFILIATED HEALTH CARE SYSTEM: THE FILING ORGANIZATION IS PART OF MERCY HEALTH ("MERCY"). MERCY IS A MISSOURI NON-PROFIT CORPORATION WITH ITS HEADQUARTERS ("MINISTRY OFFICE") IN ST. LOUIS, MISSOURI. MERCY PROVIDES HEALTH CARE SERVICES IN FOUR STATES - ARKANSAS, KANSAS, MISSOURI, AND OKLAHOMA - AND HAS OUTREACH MINISTRIES LOCATED IN LOUISIANA, MISSISSIPPI, AND TEXAS. MERCY'S MISSION IS "AS THE SISTERS OF MERCY BEFORE US, WE BRING LIFE TO THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE." AS OF JUNE 30, 2016, MERCY FACILITIES INCLUDED 33 ACUTE CARE HOSPITALS, 3 MANAGED HOSPITALS, 4 HEART HOSPITALS, 2 CHILDREN'S HOSPITALS, 2 ORTHOPEDIC HOSPITALS AND 3 REHAB HOSPITALS. FOR THE FISCAL YEAR ENDED JUNE 30, 2016, MERCY HAD MORE THAN 9.2 MILLION OUTPATIENT AND PHYSICIAN OFFICE VISITS, APPROXIMATELY 2,100 EMPLOYED PHYSICIANS, AND APPROXIMATELY 40,000 FULL-TIME EQUIVALENT EMPLOYEES, MAKING MERCY THE FIFTH LARGEST CATHOLIC HEALTH SYSTEM IN THE UNITED STATES. MERCY IS SPONSORED BY MERCY HEALTH MINISTRY, WHICH IS GOVERNED BY MEMBERS THAT INCLUDE SISTERS OF MERCY. MANY SERVICES THAT ARE ESSENTIAL TO FULFILLING MERCY'S MISSION ARE CENTRALIZED AT THE MINISTRY OFFICE. SUCH CENTRALIZED SERVICES INCLUDE TREASURY, INFORMATION TECHNOLOGY, CLINICAL QUALITY MANAGEMENT, LEGAL AND COMPLIANCE COUNSEL, COMPENSATION AND BENEFITS, CONSULTING, PERFORMANCE MANAGEMENT, REVENUE MANAGEMENT, INTERNAL AUDIT, ACCOUNTING AND REPORTING, CAPITAL MANAGEMENT, CLINICAL ENGINEERING, AND CLINICAL SAFETY. THE CENTRALIZATION OF SUCH SUPPORT SERVICES ENABLES MERCY TO ENSURE THAT EACH OF ITS COMMUNITIES, WHETHER LARGE OR SMALL, HAS THE SERVICES IT NEEDS.
Part VI, Line 7, Reports Filed With States	MO
Part VI, Question 5 continuation	MENTAL HEALTHALIVE AND WELL IN STL* - MHSL & MHW ALIVE AND WELL STL IS A COMMUNITY-WIDE EFFORT STARTED BY THE REGIONAL HEALTH COMMISSION THAT FOCUSES ON REDUCING THE IMPACT OF TOXIC STRESS AND TRAUMA ON A PERSON'S HEALTH AND WELL-BEING. MERCY ACTS AS A COMMUNITY PARTNER FOR THIS INITIATIVE AND WORKS TO CREATE A MORE TRAUMA AWARE/INFORMED COMMUNITY THROUGH TRAINING OPPORTUNITIES AND ANALYZING BEST PRACTICES IN THE FIELD OF BEHAVIORAL HEALTH. IN FY 16 TRAUMA AWARENESS TRAININGS, OPEN TO THE COMMUNITY, WERE HELD AT EACH MERCY EAST COMMUNITY HOSPITAL.INTENSIVE OUTPATIENT PROGRAM (IOP) - MHW* MERCY HOSPITAL WASHINGTON OPENED AN IOP IN DECEMBER 2014. IT PROVIDES THE HIGHEST LEVEL OF OUTPATIENT CARE FOR PATIENTS SUFFERING FROM MENTAL HEALTH AND CHEMICAL DEPENDENCY DISORDERS AND CONSISTENTLY RUNS NEAR CAPACITY AND ACCEPTS INSURED AND UNINSURED PATIENTS.MERCY KIDS IN SCHOOLS - MHSLMERCY KIDS PROVIDES A COUNSELOR IN THREE UNDERSERVED/LOW-INCOME NORTH ST. LOUIS CITY SCHOOLS, PROVIDING COUNSELING SERVICES AND SOCIAL SERVICE SUPPORT.TOBACCO USEMERCY ROAD TO FREEDOM* - MHWTHIS PROGRAM WAS OFFERED TO THE COMMUNITY AND MERCY CO-WORKERS AS A TELEPHONIC, ONE-ON-ONE SUPPORT SYSTEM WITH A SPECIALTY TRAINED COUNSELOR. OVER 80 PEOPLE HAVE KICKED THE HABIT.DOMESTIC VIOLENCEPROJECT HOPE* - MHW & MHSLTHROUGH A PARTNERSHIP WITH A NOT-FOR-PROFIT DOMESTIC VIOLENCE AGENCY, MERCY HAS IMPLEMENTED A PROCESS SO MERCY PATIENTS CAN NOW FILE ORDERS OF PROTECTION IMMEDIATELY FROM THEIR HOSPITAL ROOM. HOSPITAL CO-WORKERS CONTINUE TO RECEIVE TRAINING WHEN DEALING WITH POSSIBLE SITUATIONS AND ASKING ALL THEIR PATIENTS ABOUT THEIR CURRENT SAFETY. INTERVENTION RATES BY MERCY INCREASED FROM 49% AT THE START OF 2015 TO 68% AT THE END OF 2015.PHYSICIANSMERCY HEALTH SYSTEM HAS A LARGE NUMBER OF CLINICS, PHYSICIAN OFFICES AND OTHER HEALTHCARE FACILITIES LOCATED IN THE EAST COMMUNITY THAT ARE NOT ASSOCIATED WITH A HOSPITAL EIN. THESE CLINICS AND FACILITIES PROVIDE FINANCIAL ASSISTANCE, PARTICIPATE IN HEALTH PROFESSIONS EDUCATION (I.E. STUDENT SHADOWING) AND PROVIDE IN-KIND CONTRIBUTIONS TO THEIR COMMUNITIES. THE TOTAL COMMUNITY BENEFIT THAT CANNOT BE REPORTED FOR THESE ACTIVITIES IN FY16 IS $13,384,370.

Schedule H (Form 990) 2015

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," on 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

2015

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 Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on 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 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)	1,112,800	Support health care
(2) The Wellness Program 20 Archbishop May Drive St Louis,MO63119	43-1297933	501(c)(3)	32,920	Support priests in proactively managing their health
(3) West County Multiple Sclerosis Center 621 S New Ballas Rd Ste 5003-B St Louis,MO63141	27-0067529	501(c)(3)	7,500	Support needs of MS patients
(4) Mercy Health Foundation Washington 901 E Fifth Street Washington,MO63090	56-2410022	501(c)(3)	72,000	General Support
(5) March of Dimes 11829 Dorsett Road Maryland Heights,MO63043	13-1846366	501(c)(3)	13,675	Sponsorship March for Babies
(6) Thompson Foundation for Autism 1401 South Brentwood Ste 160 St Louis,MO63144	20-8293152	501(c)(3)	5,000	Sponsorship "Its in the Cards"
(7) Foundation Fighting Blindness 977 Lakeview Pkwy Ste 140 Vernon Hills,IL60061	23-7135845	501(c)(3)	5,000	Sponsorship - Dining in the Dark Charity Event
(8) Alzheimers Association 9370 Olive Blvd St Louis,MO63132	43-1237069	501(c)(3)	5,000	Sponsorship for Affair to Remember April 2016
(9) American Heart Association 7272 Greenville Ave Dallas,TX75231	13-5613797	501(c)(3)	22,500	Sponsorship to build healthiers lives free of cardiovascular diseases & stroke.
(10) Camp Rainbow Foundation 13990 Olive Blvd Suite 203-3 Chesterfield,MO63017	43-1563030	501(c)(3)	10,000	Sponsorship of a family camp to those with a diagnosis of pediatric cancer.
(11) Cancer Care Foundation Inc One Clarkson Lake Court Chesterfield,MO63017	45-2775463	501(c)(3)	10,000	Sponsorship for the Steinbert Winter Classic
(12) Catch 22 Foundation 1841 Prescott Ridge St Charles,MO63303	20-6207435	501(c)(3)	7,500	Sponsorship to support children's causes.
(13) CHADS Coalition for Mental Health 3775 Gumtree Ln St Louis,MO63129	20-2172260	501(c)(3)	5,000	Sponsorship of Rock n Stroll event June 2016
(14) Mental Health America of Eastern Missouri 1905 S Grand Blvd St Louis,MO63104	43-0685341	501(c)(3)	5,000	Sponsorship of Snow Ball Gala 2015
(15) Missouri Friends of Injured Marines 1351 Jefferson St Suite 110 Washington,MO63090	26-2088725	501(c)(3)	5,000	Sponsorship of golf outing-helps Marines, sailors & their families meet their financial needs during difficult times.
(16) St Louis Italian Open for Children's Charities 12511 Sunset Dr St Louis,MO631282169	43-1079924	501(c)(3)	5,000	Sponsorship for golf tournament August 2015
(17) Voyce 680 Craig Rd Suite 245 St Louis,MO63141	43-1480438	501(c)(3)	5,000	Sponsorship to educate & empower persons & their families for quallity living across the continuum of long-term care.
(18) Westminster Christian Academy 800 Maryville Centre Dr Town and Country,MO63017	51-0158994	501(c)(3)	5,000	Sponsorship of golf tournament
(19) Missouri Physicians Health Program 680 Craig Road Suite 308 St Louis,MO63141	43-1572458	501(c)(3)	5,000	Donation to help support physicians & medical students with health problems

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) 2015

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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

(1) Assistance with patients gas bill	52	5,757
(2) Assistance toward cremation services for hospice patients	22	17,790
(2)
(3)
(4)
(5)
(6)
(7)

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) 2015

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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

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

OMB No. 1545-0047

2015

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 on 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 on 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? ................

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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on 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," on line 5a or 5b, describe in Part III.

For persons listed on 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," on line 6a or 6b, describe in Part III.

For persons listed on 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 ............

Were any amounts reported on 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" on 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) 2015

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 on 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 in column(B) reported as deferred on 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)
1Cleveland MD JeannePhysician & Board member	(i) (ii)	0 ------------- 543,955	0 ------------- 0	0 ------------- 48,285	0 ------------- 13,629	0 ------------- 19,183	0 ------------- 625,052	0 ------------- 0
2Galli MD WilliamPhysician & Board member	(i) (ii)	0 ------------- 329,610	0 ------------- 83,230	0 ------------- 30,104	0 ------------- 9,100	0 ------------- 18,659	0 ------------- 470,703	0 ------------- 0
3Glover MD EmilyPhysician & Board member	(i) (ii)	0 ------------- 113,872	0 ------------- 0	0 ------------- 28,028	0 ------------- 8,570	0 ------------- 0	0 ------------- 150,470	0 ------------- 0
4Halsted MD RobertPhysician & Board member	(i) (ii)	0 ------------- 718,705	0 ------------- 25,614	0 ------------- 56,613	0 ------------- 16,900	0 ------------- 19,224	0 ------------- 837,056	0 ------------- 0
5Johnston Jeffrey APresident, Mercy Hospital St. Louis	(i) (ii)	0 ------------- 471,888	0 ------------- 260,656	0 ------------- 20,240	0 ------------- 243,132	0 ------------- 19,086	0 ------------- 1,015,002	0 ------------- 0
6Pennell RichardPhysician & Board member	(i) (ii)	0 ------------- 734,309	0 ------------- 48,240	0 ------------- 40,484	0 ------------- 16,900	0 ------------- 15,505	0 ------------- 855,438	0 ------------- 0
7Rehm MD CharlesChief Admin Officer & Board member	(i) (ii)	0 ------------- 485,066	0 ------------- 178,689	0 ------------- 53,333	0 ------------- 34,034	0 ------------- 14,684	0 ------------- 765,806	0 ------------- 0
8Riechers MD ThomasPhysician & Board member	(i) (ii)	0 ------------- 494,462	0 ------------- 27,249	0 ------------- 53,509	0 ------------- 21,126	0 ------------- 19,138	0 ------------- 615,484	0 ------------- 0
9Hannasch SusanRegional VP-General counsel	(i) (ii)	0 ------------- 234,457	0 ------------- 102,417	0 ------------- 37,052	0 ------------- 44,292	0 ------------- 14,007	0 ------------- 432,225	0 ------------- 0
10Matejka Cheryl LChief Financial Officer	(i) (ii)	0 ------------- 348,636	0 ------------- 151,352	0 ------------- 52,351	0 ------------- 64,123	0 ------------- 18,830	0 ------------- 635,292	0 ------------- 0
11Sorensen DonnPresident-East Communities	(i) (ii)	0 ------------- 647,761	0 ------------- 345,241	0 ------------- 28,815	0 ------------- 312,651	0 ------------- 13,052	0 ------------- 1,347,520	0 ------------- 0
12Bollin Steven JVP - Support Services	(i) (ii)	157,445 ------------- 0	50,826 ------------- 0	31,018 ------------- 0	10,666 ------------- 0	13,303 ------------- 0	263,258 ------------- 0	0 ------------- 0
13Crain ChristineCOO-Mercy Children's Services	(i) (ii)	280,566 ------------- 0	93,526 ------------- 0	47,277 ------------- 0	113,083 ------------- 0	8,604 ------------- 0	543,056 ------------- 0	0 ------------- 0
14Frazier Donna MChief Nursing Officer	(i) (ii)	221,581 ------------- 0	69,895 ------------- 0	22,849 ------------- 0	61,279 ------------- 0	2,209 ------------- 0	377,813 ------------- 0	0 ------------- 0
15Frost JoanChief Operating Officer	(i) (ii)	246,814 ------------- 0	79,765 ------------- 0	28,476 ------------- 0	58,874 ------------- 0	8,051 ------------- 0	421,980 ------------- 0	0 ------------- 0
16Geldbach Patricia LVP-Mercy Women's Services	(i) (ii)	0 ------------- 223,521	0 ------------- 78,191	0 ------------- 55,423	0 ------------- 72,520	0 ------------- 16,364	0 ------------- 446,019	0 ------------- 0
17Hintze PaulVP - Medical Affairs	(i) (ii)	370,511 ------------- 0	785,774 ------------- 0	51,129 ------------- 0	23,682 ------------- 0	14,947 ------------- 0	1,246,043 ------------- 0	0 ------------- 0
18Kahn MD JosephPresident-Mercy Children's Services	(i) (ii)	0 ------------- 423,276	0 ------------- 130,706	0 ------------- 31,332	0 ------------- 82,654	0 ------------- 14,736	0 ------------- 682,704	0 ------------- 0
19Kalicak DonaldVP - Business Development & Planning	(i) (ii)	0 ------------- 223,513	0 ------------- 110,403	0 ------------- 32,924	0 ------------- 118,529	0 ------------- 13,760	0 ------------- 499,129	0 ------------- 0
20McLain Terri LPresident, Mercy Hospital Washington	(i) (ii)	308,885 ------------- 0	188,252 ------------- 0	47,767 ------------- 0	74,200 ------------- 0	14,480 ------------- 0	633,584 ------------- 0	0 ------------- 0
21Nelson KathrynVP - Performance Improvement	(i) (ii)	161,001 ------------- 0	55,774 ------------- 0	43,560 ------------- 0	10,912 ------------- 0	17,750 ------------- 0	288,997 ------------- 0	0 ------------- 0
22Rothermich AnthonyAdministrator, Mercy Hosp Lincoln	(i) (ii)	0 ------------- 169,700	0 ------------- 52,039	0 ------------- 22,540	0 ------------- 19,108	0 ------------- 1,698	0 ------------- 265,085	0 ------------- 0
23Scoffic DeniseVP-Finance	(i) (ii)	0 ------------- 159,224	0 ------------- 55,236	0 ------------- 58,971	0 ------------- 22,369	0 ------------- 7,407	0 ------------- 303,207	0 ------------- 0
24Varner Ann MVP - Mission - thru 01/16	(i) (ii)	137,867 ------------- 0	44,734 ------------- 0	27,559 ------------- 0	18,956 ------------- 0	17,343 ------------- 0	246,459 ------------- 0	0 ------------- 0
25Weilbacher RobynCNO - starting 05/16	(i) (ii)	129,978 ------------- 0	27,171 ------------- 0	15,321 ------------- 0	19,240 ------------- 0	17,209 ------------- 0	208,919 ------------- 0	0 ------------- 0
26Hassler Joe WCRNA	(i) (ii)	177,874 ------------- 0	5,040 ------------- 0	15,984 ------------- 0	5,948 ------------- 0	11,896 ------------- 0	216,742 ------------- 0	0 ------------- 0
27Morgan Terri LCRNA	(i) (ii)	155,690 ------------- 0	5,040 ------------- 0	42,249 ------------- 0	10,863 ------------- 0	11,426 ------------- 0	225,268 ------------- 0	0 ------------- 0
28Stout Frank HCRNA	(i) (ii)	199,295 ------------- 0	40 ------------- 0	444 ------------- 0	1,666 ------------- 0	10,040 ------------- 0	211,485 ------------- 0	0 ------------- 0
29Veronikis MD DionysiosPhysician	(i) (ii)	344,511 ------------- 0	0 ------------- 0	43,567 ------------- 0	23,804 ------------- 0	12,101 ------------- 0	423,983 ------------- 0	0 ------------- 0
30Witten MD BaroldPhysician	(i) (ii)	183,187 ------------- 0	0 ------------- 0	44,789 ------------- 0	51,682 ------------- 0	8,812 ------------- 0	288,470 ------------- 0	0 ------------- 0
31McCurry MichaelFormer officer	(i) (ii)	0 ------------- 847,545	0 ------------- 788,026	0 ------------- 68,325	0 ------------- 174,494	0 ------------- 15,328	0 ------------- 1,893,718	0 ------------- 0
32Eoloff Eric JFormer key employee	(i) (ii)	0 ------------- 351,418	0 ------------- 141,945	0 ------------- 29,596	0 ------------- 61,121	0 ------------- 12,319	0 ------------- 596,399	0 ------------- 0
33Starke MD Keith MFormer key employee	(i) (ii)	0 ------------- 433,194	0 ------------- 133,498	0 ------------- 49,153	0 ------------- 94,275	0 ------------- 14,761	0 ------------- 724,881	0 ------------- 0
34Cox Michael JFormer highest compensated	(i) (ii)	0 ------------- 450,388	0 ------------- 0	0 ------------- 50,747	0 ------------- 12,721	0 ------------- 18,261	0 ------------- 532,117	0 ------------- 0

Schedule J (Form 990) 2015

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 FOR NONBUSINESS REASONS IS PROVIDED IN CERTAIN 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 EMPLOYEES OF A RELATED ORGANIZATION: MICHAEL MCCURRY; CHARLES REHM. 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, Line 4b	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 plans are closed to new entrants. The following individuals participated in the following plans. There were no payments for the fiscal year ended 6/30/2016. Supplemental Executive Retirement Plan (SERP) McCurry, Michael (DB); Johnston, Jeffrey (DC); Sorensen,Donn (DC); McLain, Terri L (DC); Eoloff,Eric (DC) Supplemental Management Retirement Plan (SMRP) Crain, Christine; Geldbach, Patricia; Hintze, Paul; Kalicak, Don; Matejka, Cheryl L; McLain, Terri L; Rehm, Charles; Starke,Keith; Frazier,Donna; Johnston, Jeffrey; Kahn MD, Joseph; Hannasch,Susan; Sorensen,Donn; Eoloff,Eric The amount of all accrued benefits is included in compensation amounts provided in Schedule J, Part II, Column (C).
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) 2015

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

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

OMB No. 1545-0047

2015

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), section 501(c)(4), and 501(c)(29) 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 Benefiting 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) 2015

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) Cheryl Crain	Family Member of Christine Crain, Key Employee	55,832	Employment arrangement, Mercy Hospitals East Communities		No
(2) Christine Bolin	Family Member of Steven Bollin, Key Employee	58,611	Employment arrangement, Mercy Hospitals East Communities		No
(3) Mary Wiesehan	Family member of Charles Rehm, board member	26,286	Employment arrangement, Mercy Hospitals East Communities		No
(4) Judy Tobben	Family member of Bonnie Eckelkamp, board member	12,121	Employment arrangement, Mercy Hospitals East Communities		No
(5) Jon Sullivan	Family member of Terri McLain, board member	92,391	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) 2015

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 990-EZ 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

2015

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, 2016. 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 15b	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 VII, SECTION A, COLUMN B	AVERAGE HOURS PER WEEK THE HOURS PER WEEK DISCLOSED IN PART VII IS THE AVERAGE HOURS THE LISTED PERSON WORKED OR DEVOTED PER WEEK WHILE EMPLOYED OR ASSOCIATED WITH THE FILING ORGANIZATION AND RELATED ORGANIZATIONS (IF APPLICABLE).
Form 990, Part XI, line 9:	Restricted Fund - Investment Income -48,641. Restricted Fund - Donations 251,243. Restricted Fund - Expenses -364,981. Net Transfers to/from Affiliates -635,261,908. Net assets released from restrictions 1,586,139. Other adjustments -2.
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 2016 (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 MERCY HEALTH UNDERGOES A CONSOLIDATED A-133 AUDIT EVERY YEAR AND DID SO FOR THE FISCAL YEAR ENDING JUNE 30, 2016. EACH ENTITY THAT RECEIVES FEDERAL FUNDS DURING THE YEAR IS INCLUDED ON THE SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS (SEFA) AND IS ALSO INCLUDED IN THE POPULATION AVAILABLE FOR AUDIT. THE FILING ENTITY RECEIVED FEDERAL FUNDS DURING THE YEAR ENDED JUNE 30, 2016, WAS INCLUDED ON THE MERCY HEALTH CONSOLIDATED SEFA, AND THEREFORE, WAS ALSO INCLUDED IN THE POPULATION AVAILABLE FOR AUDIT.
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, 2016: 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 MERCY HEALTH (MERCY) HAS A COMPLEX LEGAL STRUCTURE WITH OVER 60 LEGAL ENTITIES. LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY AND THE MAJORITY OF THE INTERCOMPANY/RELATED ORGANIZATION TRANSACTIONS ARE PROCESSED THROUGH LAWSON. WITH THE CURRENT DESIGN OF THE ERP SYSTEM, THERE ARE VARIOUS LIMITATIONS ON EXTRACTING THE INTERCOMPANY/RELATED ORGANIZATION INFORMATION 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. WE HAVE CAPTURED AND REPORTED THE KNOWN MATERIAL TRANSACTIONS BETWEEN ENTITIES. THERE MAY BE MINOR AMOUNTS OF RELATED ORGANIZATION TRANSACTION ACTIVITY WHICH IS NOT REFLECTED IN THIS SCHEDULE.
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.
Form 990, Part V, Question 2a	W-3 FILING SALARIES AND WAGES WITH LIMITED EXCEPTIONS, THE SALARIES AND WAGES REPORTED ON FORM 990, PART IX, LINE 7 REPRESENT AN ALLOCATION OF SALARIES AND WAGES FROM A RELATED ORGANIZATION. MOST EMPLOYEES ARE PAID BY A RELATED ORGANIZATION UNDER A COMMON PAYMASTER ARRANGEMENT. AS SUCH, ALL REQUIRED PAYROLL FILING FOR THESE EMPLOYEES (INCLUDING W-2 AND W-3'S) IS REPORTED UNDER THE RELATED ORGANIZATION, MHM SUPPORT SERVICES,EIN 20-2553101.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

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

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

OMB No. 1545-0047

2015

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)	(f) Direct controlling entity
(1) Mercy Behavioral Health LLC 14528 S Outer Forty Chesterfield,MO63017 46-0568680	Healthcare Services	MO	Mercy Hospitals East Communities
(2) Mercy Clinic Adult Critical Care LLC 615 SNew Ballas Road StLouis,MO63141 20-1626965	Physician Services	MO	Mercy Hospitals East Communities
(3) Mercy Clinic Adult Hospitalists- Washington LLC 901 E Fifth Street Washington,MO63090 26-2961433	Hospitalist Services	MO	Mercy Hospitals East Communities
(4) Mercy Clinic Adult Hospitalists-St Louis LLC 645 Maryville CentreSte 100 StLouis,MO63141 43-1854902	Healthcare Services	MO	Mercy Hospitals East Communities
(5) Mercy Clinic Anesthesiology-Washington LLC 645 Maryville CentreSte 100 StLouis,MO63141 03-0597437	Inactive	MO	Mercy Hospitals East Communities
(6) Mercy Clinic Children's Critical Care LLC 645 Maryville CentreSte 100 StLouis,MO63141 43-1854108	Healthcare Services	MO	Mercy Hospitals East Communities
(7) Mercy Clinic Children's Hospitalists-St Louis LLC 645 Maryville CentreSte 100 StLouis,MO63141 43-1708560	Healthcare Services	MO	Mercy Hospitals East Communities
(8) Mercy East Support Services LLC 14528 S Outer Forty Chesterfield,MO63017 46-1048366	Healthcare services	MO	Mercy Hospitals East Communities
(9) Mercy Family Therapy LLC 645 Maryville CentreSte 100 StLouis,MO63141 43-1893329	Healthcare Services	MO	Mercy Hospitals East Communities
(10) Mercy Health Services LLC 645 Maryville CentreSte 100 StLouis,MO63141 43-1664148	Healthcare Services & Products	MO	Mercy Hospitals East Communities
(11) Mercy Labs St Louis LLC 14528 S Outer Forty Chesterfield,MO63017 46-3092721	Laboratory Services	MO	Mercy Hospitals East Communities
(12) Mercy Labs Washington LLC 14528 S Outer Forty Chesterfield,MO63017 46-3093014	Laboratory Services	MO	Mercy Hospitals East Communities
(13) Mercy Neuropsychology Services LLC 615 SNew Ballas Road StLouis,MO63141 26-1216912	Neurophsychology Services	MO	Mercy Hospitals East Communities
(14) Mercy Orthopaedic Trauma Services LLC 615 SNew Ballas Road StLouis,MO63141 06-1785022	Healthcare Services	MO	Mercy Hospitals East Communities
(15) Mercy Women's Services LLC 615 S New Ballas Road St Louis,MO63141 46-0847235	Healthcare services	MO	Mercy Hospitals East Communities
(16) St John's Mercy Therapy Services LLC 615 SNew Ballas Road StLouis,MO63141 81-0671798	Inactive	MO	Mercy Hospitals East Communities
(17) Triax 14144 LLC 615 SNew Ballas Road StLouis,MO63141 94-3454464	R E Transactions	MO	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	Holding Company	MO	501c2		Mercy Hospital Jefferson	Yes
(3)McAuley Portfolio Mgmt Co 14528 S Outer Forty St 100 Chesterfield,MO63017 26-1708048	Portfolio management	MO	501c3	11-II	Mercy Health	Yes
(4)Mercy ACO Clinical Services Inc 14528 S Outer Forty St 100 Chesterfield,MO63017 46-4504901	Virtual Care Center	MO	501c3	3	Mercy Health	Yes
(5)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
(6)Mercy Clinic Fort Smith Comm 7301 Rogers Avenue Fort Smith,AR72917 26-1318597	Physician Clinic	AR	501c3	9	Mercy Health Fort Smith Comm	Yes
(7)Mercy Clinic Oklahoma Comm 4300 W Memorial Road Oklahoma City,OK73120 27-0473057	Physician Group	OK	501c3	3	Mercy Health OK Communities	Yes
(8)Mercy Clinic Springfield Comm 1965 Fremont Street Suite 2950 Springfield,MO65804 43-1560263	Physician Group	MO	501c3	3	Mercy Health Springfield Comm	Yes
(9)Mercy Family Center 14528 S Outer Forty St 100 Chesterfield,MO63017 72-1069468	Family counseling services	MO	501c3	7	Mercy Health	Yes
(10)Mercy Health Foundation 14528 S Outer Forty St 100 Chesterfield,MO63017 20-0901499	Foundation	MO	501c3	11-II	Mercy Health	Yes
(11)Mercy Health 14528 S Outer Forty St 100 Chesterfield,MO63017 43-1423050	Corporate Office	MO	501c3	1	N/A		No
(12)Mercy Health East Communities 645 Maryville Ctr Dr Ste 100 St Louis,MO63141 43-1718408	Health System	MO	501c3	11-II	Mercy Health	Yes
(13)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
(14)Mercy Health Fort Smith Comm 7301 Rogers Avenue Fort Smith,AR72917 26-1318515	Holding Company	AR	501c3	11-II	Mercy Health	Yes
(15)Mercy Health Foundation Ada 430 N Monte Vista Street Ada,OK74820 46-3596274	Foundation	OK	501c3	11-I	Mercy Hospital Ada	Yes
(16)Mercy Health Foundation Ardmore 1011 14th Avenue NW Ardmore,OK73401 71-0962525	Foundation	OK	501c3	11-I	Mercy Hospital Ardmore	Yes
(17)Mercy Health Foundation Berryville 214 Carter Street Berryville,AR72616 71-0759301	Foundation	AR	501c3	11-I	Mercy Hospital Berryville	Yes
(18)Mercy Health Foundation Ft Scott 401 Woodland Hills Blvd Fort Scott,KS66701 48-1077073	Foundation	KS	501c3	11-III	Mercy Kansas Communities Inc	Yes
(19)Mercy Health Foundation Hot Springs 300 Werner Street Hot Springs,AR71913 71-0804718	Foundation	AR	501c3	11-II	Mission Clinical Services	Yes
(20)Mercy Health Foundation Independence 800 W Myrtle Independence,KS67301 48-1079981	Foundation	KS	501c3	11-I	Mercy Kansas Communities Inc	Yes
(21)Mercy Health Foundation Jefferson 1400 US Highway 61 South Festus,MO63028 46-2797051	Foundation	MO	501c3	11-II	Mercy Health East Communities - SR	Yes
(22)Mercy Health Foundation Joplin 100 Mercy Way Joplin,MO64804 27-0906136	Foundation	MO	501c3	11-I	Mercy Health SW MOKS Comm	Yes
(23)Mercy Health Foundation Lincoln 1000 East Cherry Street Troy,MO63379 81-1477159	Foundation	MO	501c3	11-II	Mercy Health East Communities	Yes
(24)Mercy Health Foundation NW Ark 2710 Rife Medical Ln Rogers,AR72858 71-0601687	Foundation	AR	501c3	11-III	Mercy Hospital Rogers	Yes
(25)Mercy Health Foundation of OK 4300 W Memorial Road Oklahoma City,OK73120 45-4732301	Foundation	OK	501c3	11-I	Mercy Health OK Communities	Yes
(26)Mercy Health Foundation OK City 4300 W Memorial Road Oklahoma City,OK73120 46-3184231	Foundation	OK	501c3	11-I	Mercy Health OK Communities	Yes
(27)Mercy Health Foundation Springfield 1235 E Cherokee Street Springfield,MO65804 32-0195818	Foundation	MO	501c3	11-II	Mercy Health Springfield Comm	Yes
(28)Mercy Health Foundation STL 615 South New Ballas Road St Louis,MO63141 56-2410020	Foundation	MO	501c3	11-II	Mercy Health East Communities	Yes
(29)Mercy Health Foundation Washington 901 E Fifth Street Washington,MO63090 56-2410022	Foundation	MO	501c3	11-II	Mercy Health East Communities	Yes
(30)Mercy Health NW Ark Communities 2710 Rife Medical Ln Rogers,AR72758 62-1684203	Physician Group	AR	501c3	11-II	Mercy Health	Yes
(31)Mercy Health OK Communities 4300 W Memorial Road Oklahoma City,OK73120 73-1453048	Health System	OK	501c3	11-II	Mercy Health	Yes
(32)Mercy Health Plans of MissouriInc 3265 S National Avenue Springfield,MO65807 32-0481419	HMO	MO	501c4		Mercy Health	Yes
(33)Mercy Health PlansInc 3265 S National Avenue Springfield,MO65807 32-0486150	PPO	MO	501c4		Mercy Health Plans of MissouriInc	Yes
(34)Mercy Health SW MOKS Comm 100 Mercy Way Joplin,MO64804 30-0584463	Health System	MO	501c3	11-II	Mercy Health	Yes
(35)Mercy Health Springfield Comm 1235 E Cherokee Street Springfield,MO65804 43-1856028	Health System	MO	501c3	11-II	Mercy Health	Yes
(36)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
(37)Mercy Hospital Ada Inc 430 N Monte Vista Street Ada,OK74820 46-2288155	Hospital	OK	501c3	3	Mercy Health OK Communities	Yes
(38)Mercy Hospital Ardmore 1011 14th Avenue NW Ardmore,OK73401 73-1500629	Hospital	OK	501c3	3	Mercy Health OK Communities	Yes
(39)Mercy Hospital Aurora 500 Porter Avenue Aurora,MO65605 43-1936696	Hospital	MO	501c3	3	Mercy Health Springfield Comm	Yes
(40)Mercy Hospital Berryville 214 Carter Street Berryville,AR72616 71-0759299	Hospital	AR	501c3	3	Mercy Health Springfield Comm	Yes
(41)Mercy Hospital Booneville 880 West Main Street Booneville,AR72927 46-3851119	Hospital	AR	501c3	3	Mercy Hospital Fort Smith	Yes
(42)Mercy Hospital Carthage 3125 Dr Russell Smith Way Carthage,MO64836 45-3808607	Hospital	MO	501c3	3	Mercy Health SW MOKS Comm	Yes
(43)Mercy Hospital Cassville 94 Main Street Cassville,MO65625 43-1936699	Hospital	MO	501c3	3	Mercy Health Springfield Comm	Yes
(44)Mercy Hospital Columbus 220 Pennsylvania Avenue Columbus,KS66725 27-0842031	Hospital	MO	501c3	3	Mercy Health SW MOKS Comm	Yes
(45)Mercy Hospital El Reno 2115 Parkview Drive El Reno,OK73036 27-2716065	Hospital	OK	501c3	3	Mercy Hospital Oklahoma City	Yes
(46)Mercy Hospital Fort Smith 7301 Rogers Avenue Fort Smith,AR72917 71-0240352	Hospital	AR	501c3	3	Mercy Health Fort Smith Comm	Yes
(47)Mercy Hospital Healdton Inc 3462 Hospital Rd Healdton,OK73438 26-3173902	Hospital	OK	501c3	3	Mercy Hospital Ardmore Inc	Yes
(48)Mercy Hospital Jefferson 1400 Highway 61 South Festus,MO63028 43-0687077	Hospital	MO	501c3	3	Mercy Health East Communities - SR	Yes
(49)Mercy Hospital Joplin 100 Mercy Way Joplin,MO64804 27-0814858	Hospital	MO	501c3	3	Mercy Health SW MOKS Comm	Yes
(50)Mercy Hospital Kingfisher Inc 1000 Hospital Circle Kingfisher,OK73750 46-3433074	Hospital	OK	501c3	3	Mercy Hospital Oklahoma City	Yes
(51)Mercy Hospital Lebanon 100 Hospital Drive Lebanon,MO65536 43-1767432	Hospital	MO	501c3	3	Mercy Health Springfield Comm	Yes
(52)Mercy Hospital Lincoln 1000 East Cherry Street Troy,MO63379 47-2219204	Hospital	MO	501c3	3	Mercy Health East Communities	Yes
(53)Mercy Hospital Logan County Inc 200 South Academy Guthrie,OK73044 45-2998842	Hospital	OK	501c3	3	Mercy Hospital Oklahoma City	Yes
(54)Mercy Hospital Oklahoma City 4300 W Memorial Road Oklahoma City,OK73120 73-0579285	Hospital	OK	501c3	3	Mercy Health OK Communities	Yes
(55)Mercy Hospital Ozark 801 W River Street Ozark,AR72949 71-0689680	Hospital	AR	501c3	3	Mercy Hospital Fort Smith	Yes
(56)Mercy Hospital Paris 500 E Academy Paris,AR72855 71-0655753	Hospital	AR	501c3	3	Mercy Hospital Fort Smith	Yes
(57)Mercy Hospital Rogers 2710 Rife Medical Ln Rogers,AR72758 71-0294390	Hospital	AR	501c3	3	Mercy Health NW Ark Communities	Yes
(58)Mercy Hospital Springfield 1235 E Cherokee Street Springfield,MO65804 44-0552485	Hospital	MO	501c3	3	Mercy Health Springfield Comm	Yes
(59)Mercy Hospital Tishomingo 1000 South Byrd Tishomingo,OK73460 27-4433830	Hospital	OK	501c3	3	Mercy Hospital Ardmore	Yes
(60)Mercy Hospital Waldron 1341 W 6th Street Waldron,AR72958 71-0557895	Hospital	AR	501c3	3	Mercy Hospital Fort Smith	Yes
(61)Mercy Hospital Watonga Inc 500 Clarence Nash Blvd Watonga,OK73772 45-5199762	Hospital	OK	501c3	3	Mercy Hospital Oklahoma City	Yes
(62)Mercy Kansas Communities Inc 401 Woodland Hills Blvd Ft Scott,KS66701 48-0956045	Hospital	KS	501c3	3	Mercy Health SW MOKS Comm	Yes
(63)Mercy Research 1235 E Cherokee Street Springfield,MO65804 87-0796305	Research - Clinical Trials	MO	501c3	4	Mercy Health Springfield Comm	Yes
(64)Mercy Ministries of Laredo 2500 Zacatecas Laredo,TX78043 20-0198462	Outreach	TX	501c3	7	Mercy Health	Yes
(65)Mercy St Francis Hospital 100 W Highway 60 Mountain View,MO65548 44-0607149	Hospital	MO	501c3	3	Mercy Health Springfield Comm	Yes
(66)MHM Support Services 14528 S Outer Forty St 100 Chesterfield,MO63017 20-2553101	Centralized Health System Functions	MO	501c3	11-II	Mercy Health	Yes
(67)Mission Clinical Services 300 Werner Street Hot Springs,AR71913 13-4239691	Child Advocacy Center	AR	501c3	9	Mercy Health	Yes
(68)St Edward Mercy Foundation 7301 Rogers Avenue Fort Smith,AR72917 23-7330425	Foundation	AR	501c3	7	Mercy Hospital Fort Smith	Yes
(69)St Marys Hosp Enid Ok 14528 S Outer Forty St 100 Chesterfield,MO63017 73-0614655	Inactive	OK	501c3	3	Mercy Health OK Communities	Yes
(70)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
(71)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) 2015

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 - DISSOLVED 12/2015	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			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) 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

Schedule R (Form 990) 2015

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 Health Foundation St Louis	B	1,112,800	FMV
(2) Mercy Health Foundation Washington	B	72,000	FMV
(3) Mercy Health Foundation St Louis	C	4,879,958	FMV
(4) Mercy Health Foundation Washington	C	548,137	FMV
(5) MHM Support Services	C	5,000	FMV
(6) Mercy Clinic East Communities	Q	109,339,988	FMV
(7) Mercy Health East Communities	P	36,751,786	FMV
(8) Mercy Health	P	184,119	FMV
(9) Mercy Health Foundation St Louis	P	2,155,510	FMV
(10) Mercy Hospital Fort Smith	P	122,194	FMV
(11) Mercy Hospital Jefferson	Q	8,751,816	FMV
(12) Mercy Hospital Lincoln	P	88,808	FMV
(13) Mercy Hospital Joplin	P	140,525	FMV
(14) Mercy Hospital Springfield	P	644,720	FMV
(15) Mercy Hospital Oklahoma City Inc	P	136,607	FMV
(16) Resource Optimization & Innovation LLC	P	35,491,681	FMV
(17) Mercy ACO Clinical Services Inc	Q	1,580,869	FMV

Schedule R (Form 990) 2015

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) 2015

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) 2015

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	28
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	18
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	40
6	Total number of volunteers (estimate if necessary) .............	6	1,115
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	4,740,162
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	472,270

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	3,530,708	5,625,139
9	Program service revenue (Part VIII, line 2g) .........	1,268,603,472	1,329,655,750
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	4,752,369	7,238,449
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	17,717,009	19,482,593
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,294,603,558	1,362,001,931
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	1,329,351	1,467,034
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)	465,172,840	484,284,720
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)....	661,431,751	660,330,322
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,127,933,942	1,146,082,076
19	Revenue less expenses. Subtract line 18 from line 12.......	166,669,616	215,919,855
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,139,334,649	726,925,854
21	Total liabilities (Part X, line 26).............	45,011,490	50,520,990
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,094,323,159	676,404,864

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,046,362,330 including grants of $ 1,467,034 ) (Revenue $ 1,327,943,917 )
	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 48,122 inpatients, 128,212 emergency room visits, 1,242,697 outpatient visits, 92,677 home health visits and 227,960 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- Smoking Cessation Programs- Indigent Care Clinics- Pre-Natal and Well Baby Care for the Indigent- Certified Application Counselors to assist community members with enrollment in qualified health plans - Health Professions Education Programs- Support of Community Programs, including active United Way participant, Healthcare for the Homeless Coalition, etc.- Financial Counseling and Discharge Counseling Services for all PatientsMHEC 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 $47,745,976 in the year ended 6/30/16. Additionally, the net cost for services provided to elderly and disabled patients under the Medicare program totaled $20,425,643. 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 expenses1,046,362,330

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	5,044,735	11,965,057	2,406,829

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	5,428,095
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	197,044

g	Noncash contributions included in lines 1a-1f:$
h Total.Add lines 1a-1f.......		5,625,139

			Business Code
2a	NET PATIENT REVENUE	622110	1,325,668,812	1,325,668,812
b	Reference Labs	621500	3,986,938	3,910,881	76,057
c
d
e
f	All other program service revenue.
g Total.Add lines 2a–2f.....			1,329,655,750

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			7,238,449			7,238,449
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		10,330,181
b	Less: rental expenses		1,635,872
c	Rental income or (loss)		8,694,309
d	Net rental income or (loss)......			8,694,309			8,694,309
		(ii) Other	(i) Securities
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..
Business Code			Miscellaneous Revenue
11a	Cafeteria & vending		722212	7,836,012			7,836,012
b	Pharmacy - Retail		624100	3,699,437		3,699,437
c	Optical - Retail		624100	656,118		656,118
d	All other revenue ....			-1,403,283	-1,711,833	308,550
e	Total. Add lines 11a–11d ......			10,788,284
12	Total revenue. See Instructions......			1,362,001,931	1,327,867,860	4,740,162	23,768,770

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	1,443,487	1,443,487
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	23,547	23,547
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 ....	3,801,608		3,801,608
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	245,242	245,242
7	Other salaries and wages	388,337,538	381,843,431	6,494,107
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	17,518,133	16,877,319	640,814
9	Other employee benefits .......	48,111,160	47,827,263	283,897
10	Payroll taxes ...........	26,271,039	25,675,541	595,498
11	Fees for services (non-employees):
a	Management ......
b	Legal .........
c	Accounting ...........
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)	37,021,126	36,285,429	735,697
12	Advertising and promotion ....	253,549	248,510	5,039
13	Office expenses .......	24,963,197	24,467,120	496,077
14	Information technology ......	238,609	233,867	4,742
15	Royalties ..
16	Occupancy ...........	22,559,357	22,111,050	448,307
17	Travel ............	1,600,009	1,568,213	31,796
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	200,001	200,001
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	54,419,758	53,338,310	1,081,448
23	Insurance ...	6,499,752	6,370,587	129,165
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	299,504,786	293,552,922	5,951,864
b	Shared Service Fees	164,054,786	85,308,489	78,746,297
c	Bad Debt Expense	35,258,558	35,258,558	0
d	Equipment Repairs & Mai	9,464,343	9,276,264	188,079
e	All other expenses	4,292,491	4,207,180	85,311
25	Total functional expenses. Add lines 1 through 24e	1,146,082,076	1,046,362,330	99,719,746	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).

1	Cash–non-interest-bearing ........			25,211,384	1	26,197,421
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			149,747,201	4	158,913,399
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 ....			3,233,568	7	2,737,674
8	Inventories for sale or use ........			22,385,315	8	23,578,511
9	Prepaid expenses and deferred charges ......			1,561,631	9	759,035
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,263,156,161
b	Less: accumulated depreciation	10b	801,424,205	493,352,001	10c	461,731,956
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....			3,692,991	12	3,583,853
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			24,380,359	14	24,380,359
15	Other assets. See Part IV, line 11 ...........			415,770,199	15	25,043,646
16	Total assets. Add lines 1 through 15 (must equal line 34)...			1,139,334,649	16	726,925,854

17	Accounts payable and accrued expenses .....	30,715,534	17	40,522,965
18	Grants payable ...	1,080,707	18	1,186,941
19	Deferred revenue .........		19	4,283,860
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 ..	11,448,107	23	2,419,163
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	1,767,142	25	2,108,061
26	Total liabilities. Add lines 17 through 25..	45,011,490	26	50,520,990

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	1,090,921,198	27	673,165,282
28	Temporarily restricted net assets ...........	3,401,961	28	3,239,582
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 ...........	1,094,323,159	33	676,404,864
34	Total liabilities and net assets/fund balances ........	1,139,334,649	34	726,925,854