2024-05-10T11:27:42-05:00 2023-06-30 264532849 Purk & Associates PC 1034 South Brentwood Blvd Ste 2000 Saint Louis MO 63117 990 2022-07-01 430687077 Mercy Hospital Jefferson MERC 6369331107 PO Box 350 Crystal City MO 63109 Daniel Eckenfels President of Mercy Jefferson 6369331107 2024-05-08 1 Daniel Eckenfels 999009999 0 Douglas G Pleus CPA P00013488 3148844000 2024-05-08 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z DANIEL ECKENFELS PO Box 350 Crystal City MO 63109 218914784 0 X www.mercy.net X 1953 MO A community based integrated healthcare system consisting of a 251 bed licensed facility which provides a full range of diagnostic, preventative and healthcare services along with 24 hour emergency room care. 13 9 0 73 0 0 397469 290778 224673818 216608783 86794 95028 1461916 1759675 226619997 218754264 265244 197444 0 0 106387681 113611080 0 0 0 98277269 84944644 204930194 198753168 21689803 20001096 232824685 228817036 1118468 25370621 231706217 203446415 X As the Sisters of Mercy before us, we bring to Life the healing ministry of Jesus through our compassionate care and exceptional service. 0 0 49491968 58162503 MERCY HOSPITAL JEFFERSON PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY BY OFFERING ESSENTIAL HEALTH SERVICES TO ITS COMMUNITY. IN ACTIVE PURSUIT OF THIS MISSION, MERCY HOSPITAL JEFFERSON PROVIDES A WIDE VARIETY OF SERVICES IN THEIR 210 BED FACILITY AND IN FY23, HAD 109,917 TOTAL CASES. MERCY HOSPITAL JEFFERSON HAS A TEAM OF EXPERT DOCTORS, NURSES AND TECHNICIANS THAT BLEND COMPASSIONATE CARE WITH THE LATEST, MOST ADVANCED DIAGNOSTIC AND TREATMENT RESOURCES IN PROVIDING EMERGENCY CARE. MERCY HOSPITAL JEFFERSON'S EMERGENCY DEPARTMENT IS READY 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS A YEAR WITH FAST, EXPERIENCED AND PROFESSIONAL CARE. IN FY23, MERCY HOSPITAL JEFFERSON HAD 26,038 CASES FOR THIS SERVICE LINE. 38616609 45381882 MERCY HOSPITAL JEFFERSON HAS A GASTROENTEROLOGY TEAM EXPERIENCED IN DIAGNOSING AND TREATING ALL TYPES OF ILLNESSES AFFECTING THE GASTROINTESTINAL TRACT. MERCY'S TEAM CAN ALLEVIATE YOUR SYMPTOMS AND REDUCE OR ELIMINATE DISCOMFORT NO MATTER WHERE IT MAY APPEAR IN YOUR DIGESTIVE SYSTEM, FROM YOUR ESOPHAGUS AND STOMACH TO YOUR SMALL AND LARGE INTESTINES, AS WELL AS THE LIVER, GALLBLADDER AND PANCREAS. IN FY23, MERCY HOSPITAL JEFFERSON HAD 5,616 CASES AND 5,162 PATIENT DAYS FOR THIS SERVICE LINE. 31453066 36963352 MERCY HOSPITAL JEFFERSON'S RADIOLOGISTS USE THE LATEST TECHNOLOGIES TO PRODUCE PRECISE IMAGES AND EXACTING TEST RESULTS. MERCY OFFERS A FULL RANGE OF DIAGNOSTIC IMAGING SERVICES FOR ADULTS AND CHILDREN. MERCY RADIOLOGISTS GIVE MORE INSIGHT INTO YOUR CONDITION, SO YOU RECEIVE AN ACCURATE DIAGNOSIS AND THE MOST EFFECTIVE TREATMENT. IN FY23, MERCY HOSPITAL JEFFERSON HAD 32,891 CASES FOR THIS SERVICE LINE. 64833414 197444 76191632 IN ADDITION TO THE PROGRAM SERVICES DESCRIBED ABOVE, MERCY HOSPITAL JEFFERSON ALSO SERVES PATIENTS IN ADDITIONAL SERVICE LINES, INCLUDING BUT NOT LIMITED TO THE FOLLOWING AREAS: CARDIOVASCULAR; ONCOLOGY; ORTHOPEDICS; REHABILITATION; UROLOGY & NEPHROLOGY. 64833414 197444 76191632 184395057 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 13 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X Daniel Eckenfels 6369331107 1400 US HIGHWAY 61 FESTUS MO 63028 X Ammons Carl E Eric President, Mercy Hospital Jefferson 50.00 5.00 X X 0 627764 106566 Carron RSM Sr Judith Ann Board Member 1.00 2.00 X 0 0 0 Francis Richard Blake Board Member 1.00 0.00 X 0 0 0 Gannon Elaine Board Member 1.00 0.00 X 0 0 0 Iyer MD Karthik Physician & Board Member 1.00 49.00 X 0 536279 28693 McCaffrey Dena Board Member 1.00 0.00 X 0 0 0 McKenna William Board Member 1.00 0.00 X 0 0 0 Peyton MD Jacob Physician & Board Member 1.00 39.00 X 0 478377 35409 Riordan MD Tracy Physician & Board Member 50.00 0.00 X 0 682953 54437 Blair RSM Christine Board Member 1.00 0.00 X 0 0 0 Charleville Tiffany Board Member 1.00 0.00 X 0 0 0 Dix Denise Board Member 1.00 0.00 X 0 0 0 Reuss Doug Board Member 1.00 0.00 X 0 0 0 Eckhardt Christie VP, Chief Operations Counsel & Secretary 1.00 57.00 X 0 307029 26241 Eckenfels Daniel VP Finance/CAO 45.00 15.00 X 0 332037 29785 Beffa Alisyn CNO/COO 40.00 0.00 X 0 244741 27684 Meyer Michele VP Operations 40.00 0.00 X 0 284875 29783 Kennon William D Director - Pharmacy Services 40.00 0.00 X 0 205726 24030 Lee-Moss Jennifer Manager, Hospital Pharmacy Operations 40.00 0.00 X 0 188454 27154 Porterhouse Cheri Registered Nurse 40.00 0.00 X 0 189390 13587 Robbins Jill L Registered Nurse 40.00 0.00 X 0 321250 19513 Taylor Sara Physician Assistant 40.00 0.00 X 0 206948 11268 Johnston Jeffrey A Former Officer 0.00 0.00 X 0 2171276 23699 Matejka Cheryl L Former Officer 0.00 55.00 X 0 1197639 127825 0 7974738 585674 0 1 1 0 HEALTHTRUST INC - THE HOSPITAL COMPANY 100 SAWGRASS CORP PKWY 6TH FL SUNRISE FL 33323 LABOR MANAGEMENT SERVICES 5503196 Acuity Anesthesiology LLC 1734 Clarkson Road Suite 147 Chesterfield MO 63017 Anesthesiology Services 3762260 L PETER ZHANG MD LLC 38 BRENTMOOR PARK CLAYTON MO 63105 PSYCHIATRIc services 869445 IMAGEFIRST OF ST LOUIS PO BOX 778941 CHICAGO IL 60677 HEALTHCARE LINEN SERVICES 778686 WEST COUNTY RADIOLOGICAL GROUP INC 11475 OLDE CABIN RD STE 200 ST LOUIS MO 63141 RADIOLOGICAL SERVICES 433637 23 289135 1643 290778 Net Patient Service Re 621110 210680733 210680733 Other Operating Revenu 621110 4132151 4132151 Rental From Affiliated 531120 1795899 1795899 216608783 95028 95028 472974 160520 312454 312454 312454 Cafe & vending 722210 1356635 1356635 90586 90586 1447221 218754264 216699369 0 1764117 175888 175888 21556 21556 94610805 90637901 3972904 3286578 3120195 166383 10092538 9653280 439258 5621159 5336476 284683 31914 31914 9456687 8554710 901977 29662 22568 7094 3942841 3238790 704051 75051 56317 18734 4423335 4099693 323642 300171 272812 27359 12266944 11654732 612212 1338388 1338388 Drugs & medical expense 27917341 27917341 Bad debt expense 13900202 13900202 Shared service fees 8401258 3192478 5208780 Repairs and maintenance 2433984 2429124 4860 426866 110994 315872 198753168 184395057 14358111 0 4895522 5214754 25032018 28126379 2789493 2717069 168525 178026 250193799 111328840 146238929 138864959 53636770 53636770 63428 79079 232824685 228817036 597985 24849488 107733 99383 412750 421750 1118468 25370621 X 231676453 203416651 29764 29764 231706217 203446415 232824685 228817036 X 20001096 -48260898 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 31914 0 0 0 31914 0 Part II-B, Line 1: The filing organization is a member of and pays dues to the following hospital associations: Catholic Hospital Association, American Hospital Association and the Missouri Hospital Association. For the year ended June 30, 2023 dues were $23,794, $33,957, and $60,410, respectively. Approximately 3.78% of the Catholic Hospital Association dues, 27.29% of the American Hospital Association dues, and 36.00% of Missouri Hospital Association dues were attributable to lobbying activities performed by this association. 4238409 4238409 175667745 53656849 122010896 23037 9354 13683 67980297 55544895 12435402 2284311 2117742 166569 138864959 Other Liabilities 421750 421750 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, 2023 OR 2022. 1 1 X 1 X 1 X 1 1 0 1 1 3319368 3319368 0.01670 36589739 16288517 20301222 0.10210 39909107 16288517 23620590 0.11880 12 4676 225180 225180 0.00110 3 2 305216 305216 0.00150 1 15365036 13461101 1903935 0.00960 3 614 36471 36471 0.00020 19 5292 15931903 13461101 2470802 0.01240 19 5292 55841010 29749618 26091392 0.13120 1 440 28700 28700 0.00010 1 90 786 786 0.00000 1 54 5724 5724 0.00000 3 584 35210 35210 0.00010 1 3185583 0 41109038 38845843 2263195 X 1 1 1 1 Mercy Hospital Jefferson PO Box 350 Crystal City MO 63019 www.mercy.net 529-2 X X X Mercy Hospital Jefferson 1 0 0 1 X X X X X X X X X X 21 1 0 1 1 X SEE PART V, SECTION C X 1 22 1 SEE PART V, SECTION C 0 1 X 200.000000000000 300.000000000000 X 1 1 X X X 1 X https://www.mercy.net/patients-visitors/billing/financial-assistance/ X https://www.mercy.net/patients-visitors/billing/financial-assistance/ X https://www.mercy.net/patients-visitors/billing/financial-assistance/ X X X X X X 1 X 0 X X X X X 1 X 0 0 Mercy Hospital Jefferson Part V, Section B, Line 3j: THE HOSPITAL FACILITY DID INCLUDE A PRIORITIZED LIST OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS IN ITS MOST RECENT CHNA REPORT.THE CHNA HAS ALL THE SECTIONS REFERENCED ABOVE AND INCLUDES AN EXECUTIVE SUMMARY, POTENTIALLY AVAILABLE RESOURCES, EVALUATION OF IMPACT, REFERENCES, AND APPENDICES. Mercy Hospital Jefferson Part V, Section B, Line 5: WHEN CONDUCTING ITS MOST RECENT CHNA AND DEVELOPING THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP), MERCY HOSPITAL JEFFERSON WORKED WITH THE JEFFERSON COUNTY HEALTH DEPARTMENT (JCHD), COMMUNITY TREATMENT, INC. (COMTREA), JEFFERSON COUNTY COMMUNITY PARTNERSHIP (JCCP) AND JEFFERSON FRANKLIN COMMUNITY ACTION CORPORATION (JFCAC) AS A PRIMARY COMMUNITY PARTNERS. METHODS OF COLLECTING AND ANALYZING DATA AND INFORMATION INCLUDED COMMUNITY FOCUS GROUPS, SURVEYS, ORGANIZATION-SPECIFIC DATA AND PUBLISHED DATA. BELOW ARE THE PARTNERING AGENCIES AND THE LEADERS WHO SUPPORTED THE COMBINED EFFORTS OF A JOINT CHNA:- COMTREA- SUE CURFMAN- JCCP- TRACY SMITH- JCHD- KELLEY VOLLMAR- JFCAC- DAVID LEAS- MHJ- ERIC AMMONSIN CONDUCTING ITS COMMUNITY HEALTH NEEDS ASSESSMENT, MERCY JEFFERSON COLLECTED AND ANALYZED A SIGNIFICANT QUANTITY OF PRIMARY AND SECONDARY DATA. PRIMARY DATA WAS COLLECTED, AND COMMUNITY INPUT WAS SOLICITED, BY MEANS OF COMMUNITY FOCUS GROUPS, COMMUNITY SURVEY, STAKEHOLDER SURVEY, INTERNAL AGENCY DATA. COMMUNITY FOCUS GROUPS WERE CONDUCTED TO DIALOGUE DIRECTLY WITH LOCAL COMMUNITY MEMBERS. THERE WAS A TARGETED EFFORT TO CONDUCT FOCUS GROUPS IN A VARIETY OF ZIP CODES AND LOCATIONS SO THAT ALL JEFFERSON COUNTY RESIDENTS HAD THE OPPORTUNITY TO ATTEND. COMMUNITY FOCUS GROUPS WERE CONDUCTED TO DIALOGUE DIRECTLY WITH LOCAL COMMUNITY MEMBERS. THERE WAS A TARGETED EFFORT TO CONDUCT FOCUS GROUPS SO THAT ALL JEFFERSON COUNTY RESIDENTS HAD THE OPPORTUNITY TO ATTEND. COMMUNITY PARTNERS THAT ASSISTED IN DATA COLLECTION FOR 4 VIRTUAL COMMUNITY FOCUS GROUPS AS WELL AS SURVEYING PARTICIPANTS & STAFF AT THE HOMELESS CONNECT EVENT. INPUT FROM PEOPLE REPRESENTING BROAD INTERESTS OF THE COMMUNITY WAS SOLICITED THROUGH A ROBUST SURVEY PROCESS GUIDED BY A MERCY-LED COMMUNITY COALITION. THE GOAL OF THE SURVEY WAS TO GAIN INSIGHT INTO THE PERCEPTIONS OF COUNTY RESIDENTS ON THE MOST PRESSING HEALTH ISSUES, RISK FACTORS, BARRIERS TO CARE, AND HEALTH SERVICES UTILIZATION. Mercy Hospital Jefferson Part V, Section B, Line 6b: Jefferson County Health Department (JCHD)Community Treatment, Inc. (COMTREA)Jefferson County Community Partnership (JCCP) Jefferson Franklin Community Action Corporation (JFCAC) Mercy Hospital Jefferson Part V, Section B, Line 11: BASED ON THE FINDINGS OF ITS MOST RECENTLY CONDUCTED CHNA, MERCY HOSPITAL JEFFERSON HAS CHOSEN TO ADDRESS THE FOLLOWING FOUR SIGNIFICANT HEALTH NEEDS IDENTIFIED IN JEFFERSON COUNTY:- ACCESS TO CARE- MENTAL HEALTH- SUBSTANCE USE- FINANCIAL LITERACYTHESE NEEDS ARE BEING ADDRESSED IN THE HOSPITAL'S COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP), WHICH CAN BE ACCESSED HERE: HTTPS://WWW.MERCY.NET/CONTENT/DAM/MERCY/EN/PDF/CHIP/MERCY-JEFFERSON-CHIP-2023.PDF.SOME NOTABLE ACHIEVEMENTS IN THE PAST YEAR INCLUDE:- THE CRISIS NURSERY OUTREACH CENTER CONTINUED TO ASSIST FAMILIES ON-SITE IN ORDER TO HELP THEM NAVIGATE CRISES AND CREATE A STABLE ENVIRONMENT FOR CHILDREN TO THRIVE.- THROUGH A PARTNERSHIP WITH THE INTEGRATED HEALTH NETWORK, THE COMMUNITY REFERRAL COORDINATOR (CRC) PROGRAM AT MERCY HOSPITAL JEFFERSON PROVIDES PATIENTS WITHOUT A MEDICAL HOME WITH ASSISTANCE IN FINDING A PRIMARY CARE OR SPECIALTY PROVIDER, ALONG WITH SOCIAL SERVICE SUPPORT, AS APPROPRIATE.- IN FY23, THE CRC CONNECTED WITH 610 PATIENTS IN 1,458 PATIENT ENCOUNTERS, WITH OVER HALF BEING SELF-PAY- THE CRC HAD A REFERRAL RATE OF 43.97% AND MAINTAINED A 57.86% TOTAL KEPT APPOINTMENT RATE AT THE FISCAL YEAR END.- THE COMMUNITY HEALTH WORKER (CHW) PROGRAM, WHICH WAS PILOTED BEGINNING IN 2018, WAS ADOPTED AND EXPANDED ACROSS MERCY HOSPITALS IN 2019. MERCY HOSPITAL JEFFERSON NO HAS TWO FULL-TIME CHWS TO CONNECT UNINSURED ANDUNDERINSURED PATIENTS IN THE EMERGENCY DEPARTMENT TO COMMUNITY RESOURCES FOR SOCIAL NEEDS, ADDRESS SOCIAL DETERMINANTS OF HEALTH ISSUES, AND ASSIST PATIENTS WITH APPLYING FOR MEDICAID, MARKETPLACE INSURANCE, DISABILITY OR HOSPITAL CHARITY CARE. CHWS ALSO COLLABORATE CLOSELY WITH THE CARE MANAGEMENT TEAM, SOCIAL WORKERS AND COMMUNITY REFERRAL COORDINATORS TO ENSURE CONTINUITY OF CARE AND IMPROVE QUALITY OF LIFE.- IN FY23, MERCY HOSPITAL JEFFERSON'S CHWS SERVED 1,381 PATIENTS THROUGH 2,226 ENCOUNTERS- MERCY CLINIC SOUTH HEALTH LEADS PROGRAM, WHICH SERVES THE SERVICE AREA OF MERCY HOSPITAL JEFFERSON, SCREENED 39,509 PATIENTS FOR SOCIAL DETERMINANTS OF HEALTH NEEDS IN FY23.- 17.5% SCREENED POSITIVE FOR URGENT NEEDS INCLUDING PRESCRIPTION ASSISTANCE, FOOD PANTRIES, MEDICAL TRANSPORTATION AND CHARITY CARE- 417 NEEDS SUCCESSFULLY MET OR EQUIPPED FOR 393 CLIENTS- MERCY HOSPITAL JEFFERSON CONTINUED SEVERAL BEHAVIORAL HEALTH PROGRAMS; HOSPITAL COMMUNITY LINKAGES (HCL) PROJECT, THE YOUTH EMERGENCY ROOM ENHANCEMENT PROJECT WHICH MIRRORS THE EMERGENCY ROOM ENHANCEMENT PROJECT FOR ADULTS. THESE PROGRAMS FOCUS ON ENHANCING SUPPORT FOR ADULT AND YOUTH HIGH UTILIZERS OF ER WITH THE PRIMARY GOAL OF REDUCING PREVENTABLE HOSPITAL CONTACTS ACROSS THE REGION BY FOSTERING ENGAGEMENT THROUGH SUPPORT, INTENSIVE OUTREACH AND IMPROVING OUTCOMES THROUGH CONNECTION TO COMMUNITY. MERCY HOSPITAL JEFFERSON ALSO IMPLEMENTED THE ENGAGING PATIENTS IN THE CARE COORDINATION PROGRAM ALSO KNOWN AS EPICC, THIS PROGRAM PROVIDES INTENSIVE REFERRAL AND LINKAGE SERVICES BY RECOVERY COACHES, PEERS WITH LIVED EXPERIENCE, TO IMPACT THOSE WHO HAVE OVERDOSED ON OPIOIDS TO ESTABLISH IMMEDIATE LINKAGES TO SUBSTANCE USE AND MEDICATION ASSISTED TREATMENT SERVICES.ADDITIONAL NEEDS BEING ADDRESSED BY THE HOSPITAL INCLUDE:- COMMUNITY HEALTH IMPROVEMENT SERVICES- HOMELESSNESSMERCY HOSPITAL JEFFERSON IMPLEMENTS AND PARTICIPATES IN THE FOLLOWING PROGRAMS TO WORK TOWARDS COMMUNITY HEALTH IMPROVEMENT- TOBACCO CESSATION- SUPPORT GROUPS FOR BARIATRICS, DIABETES, GRIEF SUPPORT, SUICIDE, PALLIATIVE CARE AND STROKE- HEALTH FAIRS, PRESENTATIONS AND SCREENINGS,- PATIENT BENEFIT ADVISOR- HEALTH PROFESSIONS EDUCATIONHEALTH PROFESSIONS STUDENT EDUCATION IS OFFERED AT MERCY HOSPITAL JEFFERSON IN THE AREAS OF PHYSICAL THERAPY, DIETARY, SOCIAL WORK, PHARMACY, NURSING AND OTHER HEALTH PROFESSIONALS.- FINANCIAL AND IN-KIND CONTRIBUTIONSMERCY HOSPITAL JEFFERSON CONTINUES TO SUPPORT ORGANIZATIONS THROUGH CASH AND IN-KIND DONATIONS. THOSE INCLUDED BUT NOT LIMITED TO ARE THROUGH BLOOD DRIVES, THE LOCAL FEDERALLY QUALIFIED HEALTH CENTER, LOCAL SCHOOL FOUNDATIONS, A COUNTY GROWTH ASSOCIATION, AND A CHAMBER OF COMMERCE- COMMUNITY BUILDING ACTIVITIES-WORKFORCE & ECONOMIC DEVELOPMENT IN AN EFFORT TO AID IN WORKFORCE AND ECONOMIC DEVELOPMENT, MERCY HOSPITAL JEFFERSON PARTICIPATES IN THE DISABILITY INCLUSION TASK FORCE, THE TWIN CITY CHAMBER OF COMMERCE AND THE FARMINGTON CHAMBER OF COMMERCE.- COMMUNITY BUILDING ACTIVITIES- COALITION BUILDING & BOARD MEMBERSHIP MERCY HOSPITAL JEFFERSON ALSO PARTICIPATES IN LOCAL COALITION BUILDING AND BOARD MEMBERSHIP FOR THE FOLLOWING AGENCIES: PONY BIRD BOARD OF DIRECTORS, JEFFERSON FOUNDATION BOARD, HEAL HEALTHCARE ACCESS WORKGROUP, ST. PIUS X BOARD, ENTERPRISE ADVISORY BOARD, JEFFERSON COUNTY HEALTH NETWORK, INTEGRATED HEALTH NETWORK BOARD AND THE JEFFERSON COUNTY DRUG PREVENTION COALITION BOARD.THE FOLLOWING NEED IS NOT BEING ADDRESSED BY THE HOSPITAL:- ENVIRONMENTAL: AIR/WATER QUALITYMHJ WILL CONTINUE ITS PARTNERSHIP WITH THE JEFFERSON COUNTY HEALTH DEPARTMENT (JCHD) AND WILL COLLABORATE WITH ANY ENVIRONMENTAL INITIATIVES THEY DEVELOP. HOWEVER, IT WAS FELT BY MERCY'S COMMUNITY HEALTH COUNCIL (CHC) THAT WHILE CONTINUED ATTENTION TO THIS ISSUE WAS IMPORTANT, MERCY'S FOCUS REMAINS ON PROVIDING QUALITY HEALTHCARE. THEREFORE, THE ISSUES OF ACCESS, AND THE COMMUNITY'S CRISIS WITH BEHAVIORAL HEALTH AND ADDICTION SHOULD TAKE PRECEDENCE AT THIS TIME. Mercy Hospital Jefferson Part V, Section B, Line 20e: Other areas from a notice perspective: FAP is posted in all registration areas, full policy and plain language document posted on website, plain language document is available when requested, there is a notice on statement, and all patients get three statements before they can go to a collection agency. Form 990, Schedule H, Part V, Section B, Line 7A https://www.mercy.net/content/dam/mercy/en/pdf/chna/jefferson-chna-2022.pdf Form 990 Form 990, Schedule H, Part V, Section B, Line 10A https://www.mercy.net/content/dam/mercy/en/pdf/chip/mercy-jefferson-chip-2023.pdf Form 990, Schedule H, Part V, Section B, Line 22 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 200% OR BELOW, THE FEDERAL POVERTY GUIDELINES WILL BE ELIGIBLE FOR FREE CARE. INDIVIDUALS WITH INCOMES GREATER THAN 300% OF THE FEDERAL POVERTY GUIDELINES FOR MOST COMMUNITIES, 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. 6 1 - Mercy Services-Calvary Church Road 1500 Calvary Church Rd Festus MO 62028 Hospital based outpatient depts: Imaging services 2 - Mercy HospiceHome Health-Jefferson 151 Industrial Drive Festus MO 62028 Hospital based outpatient depts: Hospice services, Home health services 3 - Mercy HospiceHome Health-Farmington 620 Maple Valley Dr Ste A Farmington MO 63640 Hospital based outpatient depts: Hospice services, Home health services 4 - Mercy Clinic Imperial 1250 Main Street Imperial MO 63012 Hospital based outpatient depts: therapy services 5 - Mercy Cancer Center Jefferson 1350 Hwy 1 South Festus MO 63028 Hospital based outpatient depts: Cancer services 6 - Mercy Behavioral Health Jefferson 1420 Highway 61 South Festus MO 63028 Hospital based outpatient depts: Behaviorial health services Part I, Line 7g: SUBSIDIZED HEALTH SERVICESThe physician clinics are included as a net amount (income less expenses) allocated by the Clinical Service line in the Indirect cost. Part I, Ln 7 Col(f): TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) ARE $198,753,168. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $13,900,202. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $184,852,966. 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 JEFFERSON'S (MHJ) COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH, WELLNESS, AND SAFETY OF THE COMMUNITY IT SERVES. 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: - JEFFERSON COUNTY HEALTH DEPARTMENT- JEFFERSON COUNTY GROWTH ASSOCIATION- JEFFERSON COLLEGE BOARD- JEFFERSON FOUNDATION BOARD- PARTICIPATION IN THE DESOTO, HILLSBORO, TWIN CITY AREA, AND STE. GENEVIEVE CHAMBERS OF COMMERCE ACTIVITIES- KIWANIS CLUB- YMCA BOARD- COMTREA (COMMUNITY TREATMENT, INC.)- MISSOURI HOSPITAL ASSOCIATION BOARD- EASTERN MISSOURI HOSPITAL ASSOCIATION BOARD- ST. PIUS ALUMNI ASSOCIATION- FESTUS PUBLIC LIBRARY BOARD- DISABILITY RESOURCE COUNCIL- JEFFERSON COUNTY GROWTH ASSOCIATION BOTTLENECK BRIDGE RIDE- JEFFERSON COUNTY TOURISM COMMISSION ADVISORY BOARD- GET HEALTHY DESOTO- JEFFERSON- FRANKLIN WORKFORCE DEVELOPMENT BOARD- ACADEMIC ADVISOR WITH BOYS HOPE GIRLS HOPE OF ST. LOUIS- CRYSTAL OAKS NURSING HOME BOARD CHAIR- BEHAVIORAL HEALTH NETWORK ADULT SERVICES ADVISORY BOARDIN ADDITION, MHJ ACTIVELY PARTICIPATES IN SEVERAL COMMUNITY BUILDING COALITIONS THAT ALSO ALIGN WITH THE HOSPITAL'S CHNA TOP HEALTH PRIORITIES, INCLUDING:- JEFFERSON COUNTY DRUG PREVENTION COALITION- ALIVE AND WELL JEFFERSON COUNTY- JEFFERSON COUNTY OPIOID TASK FORCE- JEFFERSON COUNTY DRUG EDUCATION CONFERENCE PLANNING COMMITTEE- MEMBER OF DEVELOPING JEFFERSON COUNTY HOMELESS COALITION- TRANSPORTATION SOLUTIONS COMMITTEEEFFORTS WITH THESE COALITIONS WILL CONTINUE AS MHJ DETERMINED THAT ACCESS TO CARE, BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE ABUSE) TO BE TOP HEALTH PRIORITIES THROUGH THE 2022-2024 CHNA CYCLE.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 FY23, CASH DONATIONS WERE GIVEN TO ORGANIZATIONS THROUGHOUT THE COMMUNITY THAT INCLUDED:- COMTREA- JEFFERSON COLLEGE FOUNDATION- PERRY COUNTY HEALTH SYSTEM- TWIN CITY AREA CHAMBER OF COMMERCE- C6 EDUCATIONAL FOUNDATION- ATLAS YOUTH OUTREACH- JEFFERSON COUNTY GROWTH ASSOCIATION- KNIGHTS OF COLUMBUSA FULL DESCRIPTION OF OUR COMMUNITY BUILDING ACTIVITIES CAN BE FOUND AT WWW.MERCY.NET/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 IS AS FOLLOWS: IN MAY 2014, THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) AND INTERNATIONAL ACCOUNTING STANDARDS BOARD ISSUED ACCOUNTING STANDARDS UPDATE (ASU) 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606). THE HEALTH SYSTEM ADOPTED ASU 2014-09 ON JULY 1, 2018 USING A FULL RETROSPECTIVE BASIS. UPON ADOPTION, THE MAJORITY OF WHAT WAS PREVIOUSLY CLASSIFIED AS PROVISION FOR UNCOLLECTIBLE ACCOUNTS AND PRESENTED AS A REDUCTION TO PATIENT SERVICE REVENUE ON THE CONSOLIDATED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS IS TREATED A PRICE CONCESSION THAT REDUCES THE TRANSACTION PRICE, WHICH IS REPORTED AS PATIENT SERVICE REVENUE. AS SUCH, BAD DEBT EXPENSE IS NOT REFERENCED IN MERCY HEALTH AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS. BAD DEBT EXPENSE IS TRACKED FOR FORM 990 REPORTING AS FOLLOWS: PATIENT ACCOUNTS RECEIVABLE THAT ARE DEEMED UNCOLLECTIBLE, INCLUDING THOSE PLACED WITH COLLECTION AGENCIES, ARE INITIALLY CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN ACCORDANCE WITH COLLECTION POLICIES OF THE HEALTH SYSTEM AND, IN CERTAIN CASES, ARE RECLASSIFIED TO CHARITY CARE IF DEEMED TO OTHERWISE MEET THE HEALTH SYSTEM'S CHARITY CARE POLICY. THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES BASED UPON THE PAYOR COMPOSITION AND AGING OF RECEIVABLES WITH CONSIDERATION OF THE HISTORICAL PAYMENT AND WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES. Part III, Line 8: IT IS THE POSITION OF MERCY HOSPITAL JEFFERSON 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, INCLUDING MEDICAID. IN THE EVENT AN ACCOUNT IS TURNED TO COLLECTIONS AND IS IDENTIFIED IN NEED OF FINANCIAL ASSISTANCE DUE TO CIRCUMSTANCE CHANGES, OR IS 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, A PROCESS KNOWN AS PRESUMPTIVE CHARITY FOR ALL COMMUNITIES EXCEPT JOPLIN, MAUDE NORTON, CARTHAGE AND SOUTHEAST KANSAS. THIS PRESUMPTIVE SCREENING PROCESS DETAILS EVALUATIONS THAT TAKE PLACE PRIOR TO PATIENT BILLING AND ADDITIOANLLY PRIOT TO BAD DEBT PLACEMENT. THE PRESUMPTIVE SCREENING WAS PER ENCOUNTER AND DID NOT PROMOTE ANY LOOK-BACK ADJUSTMENTS.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. 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 PLACEMENT WITH A COLLECTION AGENCY CONSISTENT WITH MERCY MISSION AND VALUES. THIS OCCURS AFTER 3 MONTHLY STATEMENTS HAVE BEEN SENT WITH THE FINAL STATEMENT INCLUDING NOTIFICATION OF PLACEMENT WITH A COLLECTION AGENCY. WHILE MERCY USES THE COLLECTION FOLLOW-UP SERVICES OF COLLECTION AGENCIES, MERCY WILL NOT UTILIZE ANY TYPE OF EXTRAORDINARY COLLECTION ACTIVITY. THE DEFINITION OF EXTRAORDINARY COLLECTION ACTIVITY IS TAKEN FROM THE 501(R) DESCRIPTION. Part VI, Line 2: IN 2021, MERCY HOSPITAL JEFFERSON (MHJ) BEGAN PLANNING FOR THE 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA). THE HOSPITAL PRESIDENT LED THE CORRESPONDING COMMUNITY HEALTH COUNCIL IN GUIDING THE NEEDS ASSESSMENT PROCESS. THE COUNCIL CONVENES QUARTERLY AND IS ACCOUNTABLE FOR ENSURING THAT COMMUNITY BENEFIT ACTIVITIES MEET MISSION COMPLIANCE AND IRS GUIDELINES. THE COUNCIL CONSISTS 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 JEFFERSON'S COMMUNITY HEALTH & ACCESS DEPARTMENT SERVE ON THE COUNCIL AND WERE PRIMARY LEADS OF THE 2022 CHNAS. THE VOICES OF THE PEOPLE OF JEFFERSON COUNTY WERE CENTRAL TO THE HEALTH NEEDS ASSESSMENT PROCESS. MHJ GATHERED COMMUNITY INPUT DIRECTLY THROUGH:- SURVEYS ONLINE FOR COMMUNITY MEMBERS AND STAKEHOLDERS- COMMUNITY FOCUS GROUPS- COMMUNITY COALITIONS AND STAKEHOLDER MEETINGSEXTERNAL SOURCES OF PUBLISHED DATA ARE AS FOLLOWS:- COUNTY HEALTH RANKINGS 2021: WWW.COUNTYHEALTHRANKINGS.ORG - US CENSUS BUREAU - SMALL AREA HEALTH ESTIMATES: HTTPS://WWW.CENSUS.GOV/PROGRAMS-SURVEYS/SAHIE.HTML - AMERICAN COMMUNITY SURVEY 2019: HTTPS://WWW.CENSUS.GOV/PROGRAMSSURVEYS/ACS/DATA.HTML - 2020 CENSUS RESULTS: HTTPS://WWW.CENSUS.GOV/ - CDC MENTAL HEALTH BASICS, 2021: HTTPS://WWW.CDC.GOV/MENTALHEALTH/LEARN/INDEX.HTM - HEALTHY PEOPLE 2020: HTTPS://WWW.HEALTHYPEOPLE.GOV/2020/LEADING-HEALTH-INDICATORS/2020-LHITOPICS/MENTAL-HEALTH/DETERMINANTS HTTPS://WWW.HEALTHYPEOPLE.GOV/2020/LEADING-HEALTH-INDICATORS/2020-LHITOPICS/MENTAL-HEALTH/DATA- ER OPIOID MISUSE RATE MAP: HTTPS://HEALTH.MO.GOV/DATA/OPIOIDS/ER-OPIOID-MISUSE-RATE.PHP- JEFFERSON COUNTY OPIOIDS FACT SHEET, 2019: HTTPS://HEALTH.MO.GOV/DATA/OPIOIDS/PDF/JEFFERSON-COUNTY-OPIOIDSFACT-SHEET-SPRING-2019.PDF- COMMUNITY PROFILE 2021 JEFFERSON COUNTY: HTTPS://DMH.MO.GOV/MEDIA/PDF/COMMUNITY-PROFILE-2021-JEFFERSON-COUNTY - SPARK MAP 2018-2020: HTTPS://SPARKMAP.ORG/REPORT/ PRIORITIZED SIGNIFICANT COMMUNITY HEALTH NEEDS:THE NOMINAL GROUP TECHNIQUE WAS USED IN THE PRIORITY SETTING PROCESS. THE MERCY HOSPITAL JEFFERSON COUNCIL WAS 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 HOSPITAL ALONG WITH THEIR STRATEGIC PLANS WERE ALSO CONSIDERED. UPON REVIEW AND DISCUSSION OF THE PRIMARY AND SECONDARY DATA GATHERED, THE HOSPITAL'S STRATEGIC PLANS, AND THE RESOURCES AVAILABLE AT THE HOSPITALS AND IN THE COMMUNITIES, THE FOLLOWING PRIORITIES WERE SELECTED:MERCY HOSPITAL JEFFERSON: - ACCESS TO CARE- BEHAVIORAL HEALTH/SUBSTANCE ABUSE- SUBSTANCE USE- FINANCIAL LITERACYTHE COMMUNITY HEALTH COUNCIL THEN CREATED A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR THE HOSPITAL, IDENTIFYING SPECIFIC INITIATIVES RELATED TO IMPROVING EACH OF THESE HEALTH PRIORITIES. THE CHIP WAS DESIGNED WITH REALISTIC, MEASURABLE, AND ATTAINABLE GOALS THAT ALIGN WITH THE MISSION AND STRATEGY OF THE ORGANIZATIONS. MERCY HOSPITAL JEFFERSON ALSO ASSESSES 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 JEFFERSON SERVES ON VARIOUS BOARDS AND HAS PARTNERSHIPS THROUGHOUT THE COMMUNITY THAT CAN BE SEEN IN LINE 5. 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 when presenting in the facilities. In addition to the web address providing the application, policies, and even how uninsured accounts are handled. Lastly, the statements (billing) messaging 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: THE PRIMARY SERVICE AREA FOR MERCY HOSPITAL JEFFERSON INCLUDES 37 ZIP CODES ACROSS MISSOURI. THE FOLLOWING INFORMATION IS DERIVED FROM THE ADVISORY BOARD DEMOGRAPHICS AND MO/HIDI ANALYTICS 2022-2023. THE AREA'S POPULATION IS 305,965. THE MEDIAN HOUSEHOLD INCOME IS $56,000. 44.0% OF THE POPULATION IS 45 AND OLDER. 88% OF THE POPULATION IS A HIGH SCHOOL GRAD OR GREATER AND THE MEDIAN AGE IS 38. 20.3% OF THE HOUSEHOLDS ARE ON MEDICARE, 20.7% ON MEDICAID, AND 9.8% UNINSURED. Part VI, Line 5: PROMOTION OF COMMUNITY HEALTH MERCY PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. MERCY 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 COMMUNITIES. MERCY OFFERS SERVICES AND PROGRAMS WHICH FURTHER HEALTH PROMOTION, MAINTENANCE AND CARE TO THE COMMUNITY. PROGRAMS PROVIDED TO MEET THE COMMUNITY INCLUDE SUPPORT GROUPS, OUTREACH EVENTS, BLOOD DRIVES, AND CO-WORKER WORKDAYS. MERCY IS GOVERNED BY A BOARD OF DIRECTORS WHICH INCLUDES REPRESENTATION FROM COMMUNITY LEADERS FROM A VARIETY OF SECTORS. ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY. ANY POTENTIAL CONFLICTS OF INTEREST DISCLOSED ARE REVIEWED AND RESOLVED. THIS PROCESS ENSURES THAT PUBLIC, RATHER THAN PRIVATE INTERESTS ARE SERVED. SURPLUS FUND AND UNRESTRICTED ASSETS HELD 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.OPEN MEDICAL STAFFMEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR NEARLY ALL OF OUR DEPARTMENTS. MERCY HOSPITAL JEFFERSON HAS EXCLUSIVE CONTRACTS WITH PHYSICIAN GROUPS FOR THE FOLLOWING SERVICES: RADIOLOGY, PATHOLOGY, ANESTHESIA, AND EMERGENCY MEDICINE. THIS MEANS THAT THE MAJORITY OF THE PHYSICIANS ON STAFF ARE IN CATEGORIES THAT ARE OPEN TO QUALIFIED PHYSICIANS IN THE COMMUNITY.COMMUNITY BOARD FY23 MERCY HEALTH EAST COMMUNITIES FY23 BOARD MEMBERSDON ARNOLD, M.D.KELLY BAIN, M.D.JON BAUER, PHDCRAIG BOYD, MDMATUSKCHKA LINDO-BRIGGSAPOLLO CAREYJANICE DENIGANDENNIS GANNONSR. MICHAEL MARY GUTOWSKI, RSMSR. MIRIAM NOLAN, RSMJOHN PORTERWINTHROP B. REED, IIICHARLES REHM, M.D.KEVIN SHORTMERCY HOSPITAL JEFFERSON FY23 BOARD MEMBERSERIC AMMONS SR. CHRISTINE BLAIRDOUG RUESSSR. JUDY CARRON, RSMTIFFANY CHARLEVILLEDENISE DIXRICK FRANCISELAINE GANNONDR. KARTHIK IYER, MDDENA MCCAFREYBILL MCKENNAJACOB PEYTON, MDTRACY RIORDAN, MDADDITIONAL COMMUNITY HEALTH INITIATIVES/INFORMATIONCURRENTLY NOT INCLUDED THROUGH THE REPORTING OF COMMUNITY BENEFIT OR COMMUNITY BUILDING ACTIVITIES ARE:IN KEEPING WITH MHJ'S COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITY, MHJ CLINICS (NOT UNDER HOSPITAL EIN) PROVIDE:- 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.ACCESS TO CAREHEALTH LEADS*HEALTH LEADS IS A SOCIAL ENTERPRISE THAT ENVISIONS A HEALTHCARE SYSTEM THAT ADDRESSES ALL PATIENTS' BASIC RESOURCE NEEDS AS A STANDARD PART OF QUALITY CARE. IN THE SPRING OF 2016, MERCY HEALTH JOINED THE HEALTH LEADS LEARNING COLLABORATIVE TO BEGIN INTEGRATING THE HEALTH LEADS PROGRAM IN ORDER TO ASSIST PATIENTS WITH HEALTH-RELATED SOCIAL NEEDS THROUGH RESOURCE REFERRAL. THIS PROGRAM IS DESIGNED FOR MERCY CLINIC JEFFERSON PATIENTS AND IS BEING FUNDED THROUGH MERCY CLINICS; THEREFORE, THE TOTAL COMMUNITY BENEFIT OF THIS PROGRAM CANNOT BE REPORTED UNDER THE EIN FOR MERCY HOSPITAL JEFFERSON.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. Part VI, Line 6: AFFILIATED HEALTH CARE SYSTEMTHE 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 ARKANSAS, LOUISIANA, MISSISSIPPI, AND TEXAS. MERCY'S MISSION IS "AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE." AS OF JUNE 30, 2023, MERCY FACILITIES INCLUDED 30 ACUTE CARE HOSPITALS, 5 HEART HOSPITALS, 6 REHAB HOSPITALS, 2 CHILDREN'S HOSPITALS, 2 ORTHOPEDIC HOSPITALS, AND 1 VIRTUAL CARE COMMAND CENTER. FOR THE FISCAL YEAR ENDED JUNE 30, 2023, MERCY HAD MORE THAN 10.9 MILLION CLINIC AND OUTPATIENT VISITS, APPROXIMATELY 2,400 EMPLOYED PHYSICIANS, AND APPROXIMATELY 45,000 FULL-TIME EQUIVALENT EMPLOYEES, MAKING MERCY THE SIXTH 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: FINANCE (INCLUDING TREASURY, FINANCIAL ACCOUNTING AND REPORTING, REVENUE MANAGEMENT, INTERNAL AUDIT, ACCOUNTS PAYABLE AND PAYROLL OPERATIONS, ANALYTICS AND DECISION SUPPORT); ENVIRONMENTAL SERVICES SUPPORT; CLINICAL INTEGRATION; CARE MANAGEMENT; CLINICAL PERFORMANCE ACCELERATION; CLINICAL ENGINEERING; CLINICAL QUALITY MANAGEMENT; COMPLIANCE; GRANTS AND RESEARCH SERVICES; LEGAL AND COMPLIANCE COUNSEL; MARKETING AND COMMUNICATIONS; PLANNING, DESIGN AND CONSTRUCTION; PRODUCT DEVELOPMENT INFORMATICS; REAL ESTATE; SUPPLY CHAIN MANAGEMENT; MANAGED CARE STRATEGY SUPPORT; HUMAN RESOURCES (INCLUDING COMPENSATION, BENEFITS AND RECRUITING); MISSION SERVICES AND ETHICS; PHILANTHROPY SUPPORT; INFORMATION TECHNOLOGY; AND, COMMUNITY RELATIONS. 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 COVID-19 Please see Schedule O for information related to COVID-19. 1 MERCY HEALTH FOUNDATION JEFFERSON PO Box 350 Crystal City MO 63019 462797051 501C3 164013 0 CHARITABLE SUPPORT 1 0 Ambulance Service 62 20058 Car/Van Service 5 1348 Funeral Assistance 1 150 Part I, Line 2: Grants are made to organizations which have an established history of providing health care support and\or 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. The organization uses an approval process, when applicable, to determine which individuals will receive grants during the fiscal year. The funds are then given directly to the individuals. 1 0 0 0 0 0 0 0 0 Johnston Jeffrey A Former Officer 0 -10246 0 1300000 0 881522 0 23649 0 50 0 2194975 0 0 Matejka Cheryl L Former Officer 0 671340 0 387006 0 139293 0 113518 0 14307 0 1325464 0 0 Riordan MD Tracy Physician & Board Member 0 581315 0 27037 0 74601 0 34698 0 19739 0 737390 0 0 Ammons Carl E Eric President, Mercy Hospital Jefferson 0 344356 0 229557 0 53851 0 91626 0 14940 0 734330 0 0 Iyer MD Karthik Physician & Board Member 0 498859 0 16380 0 21040 0 13251 0 15442 0 564972 0 0 Peyton MD Jacob Physician & Board Member 0 448492 0 8916 0 20969 0 16070 0 19339 0 513786 0 0 Eckenfels Daniel VP Finance/CAO 0 280407 0 30188 0 21442 0 10239 0 19546 0 361822 0 0 Robbins Jill L Registered Nurse 0 292447 0 1500 0 27303 0 14127 0 5386 0 340763 0 0 Eckhardt Christie VP, Chief Operations Counsel & Secre 0 244381 0 30223 0 32425 0 10189 0 16052 0 333270 0 0 Meyer Michele VP Operations 0 206303 0 32298 0 46274 0 15670 0 14113 0 314658 0 0 Beffa Alisyn CNO/COO 0 200389 0 22991 0 21361 0 9319 0 18365 0 272425 0 0 Kennon William D Director - Pharmacy Services 0 166568 0 7122 0 32036 0 12686 0 11344 0 229756 0 0 Taylor Sara Physician Assistant 0 192458 0 0 0 14490 0 11268 0 0 0 218216 0 0 Lee-Moss Jennifer Manager, Hospital Pharmacy Operation 0 151203 0 0 0 37251 0 8348 0 18806 0 215608 0 0 Porterhouse Cheri Registered Nurse 0 177496 0 1250 0 10644 0 8214 0 5373 0 202977 0 0 Part I, Line 4a The following received severance pay: Jeffrey Johnston $854,474 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 Form 990, Part VI, Section A, line 6 The member of MERCY Hospital Jefferson 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 Hospital Jefferson. 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 EAST COMMUNITIES AS THE CORPORATE MEMBER OF THE CORPORATE MEMBER): A. APPROVAL OF REVISIONS TO THE MISSION, VISION AND OPERATING VALUES PURSUANT TO WHICH THE CORPORATION OPERATES; B. APPROVAL OF ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION AND THESE BYLAWS AND ANY AMENDMENTS TO THE ORGANIZATIONAL DOCUMENTS OF ANY AFFILIATE OF THE CORPORATION; C. APPOINTMENT AND REMOVAL OF MEMBERS OF THE BOARD; D. APPROVAL OF THE APPOINTMENT AND REMOVAL OF THE PRESIDENT OF THE HOSPITAL SUBJECT TO THE CONSENT OF MERCY HEALTH EAST COMMUNITIES; E. ADOPTION OF THE STRATEGIC PLAN, GOALS, AND OBJECTIVES OF THE CORPORATION; F. ADOPTION OF THE OPERATING, CAPITAL AND ALL OTHER BUDGETS FOR THE CORPORATION; G. 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; H. 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; I. APPROVAL OF A PLAN OF MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION OR ANY AFFILIATE; J. APPROVAL OF THE LEASE, MANAGEMENT OR PURCHASE OF, OR AFFILIATION WITH, ANOTHER HOSPITAL OR HOSPITAL SYSTEM, OR HEALTH CARE FACILITY OR HEALTH CARE SYSTEM BY THE CORPORATION; AND, K. TO APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION BY THE CORPORATION. L. OVERSEE, APPROVE AND MONITOR HUMAN RESOURCE PROGRAMS, WHICH SHALL PROMORTE AN ORGANIZATIONAL ENVIRONMENT THAT: 1. PROVIDES FOR THE RECRUITMENT AND RENTION OF CO-WORKERS WHO ARE SERVICE ORIENTED, COMPASSIONATE, ENGAGED, AND WHO FIND MEANING AND PURPOSE IN WORKING IN A FAITH-BASED ORGANIZATION; 2. ENABLES PEOPLE TO RELATE TO ONE ANOTHER WITH RESPECT AND ACCEPTANCE IN A SPIRIT OF COMMUNITY; 3. PROMOTES CO-WORKER PARTIICPATION AND VOICE IN THEIR WORK LIVES; 4. GIVES CO-WORKERS A FAIR OPPORTUNITY TO DEVLEOP THEIR SKILLS AND TALENTS, AND A MEANS BY WHICH THEIR CONTRIBUTIONS ARE RECOGNIZED; 5. PROVIDES CO-WORKERS WITH THE MATERIALS AND EQUIPMENT TO PROPERLY DO THEIR WORK;AND, 6. ENSURES CO-WORKER SAFETY AND WELL-BEING. Form 990, Part VI, Section B, line 11b THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM, USING INFORMATION PROVIDED BY THE FILING ORGANIZATION. A DRAFT FORM 990 IS REVIEWED BY THE FILING ORGANIZATION'S FINANCE LEADERSHIP. THE DRAFT FORM 990 IS ALSO REVIEWED BY MERCY HEALTH'S TAX DEPARTMENT, TO ENSURE ACCURACY AND CONSISTENCY WITH OTHER RELATED ORGANIZATIONS' FORM 990S. AFTER QUESTIONS ARISING FROM THE VARIOUS REVIEWS ARE ADDRESSED AND INCORPORATED INTO THE FORM 990, A REVISED DRAFT IS PROVIDED TO THE FILING ORGANIZATION'S LEADERSHIP TEAM, INCLUDING THE CFO AND CEO, 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, 2023. THIS PROCESS IS ADMINISTERED AT THE MERCY HEALTH LEVEL BY MERCY'S Corporate Compliance 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 OF THE BOARD OF DIRECTORS. Form 990, Part VI, Section B, line 15 FOR THE TOP MANAGEMENT OFFICIALS, THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS) AND KEY EMPLOYEES, THE ORGANIZATION RELIES UPON MERCY HEALTH (ULTIMATE PARENT COMPANY), WHICH USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT, AND REVIEW/APPROVAL OF COMPENSATION BY THE COMPENSATION COMMITTEE OF THE BOARD OF MERCY HEALTH. 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: TRANSFER FROM (TO) AFFILIATES -48,260,899. ROUNDING 1. Part XII, Line 2C Audited Financial Statements THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN MERCY HEALTH AND SUBSIDIARIES ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 2023 (THE TAX YEAR CURRENTLY BEING REPORTED). HOWEVER, NO SEPARATE AUDIT OPINION WAS 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 OF THE MERCY HEALTH BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE. Form 990, Part XII, Line 3A and 3B SINGLE AUDIT ACT AND 2 CFR 200 AUDIT MERCY HEALTH UNDERGOES A CONSOLIDATED 2 CFR 200 AUDIT EVERY YEAR AND THIS AUDIT WAS COMPLETED FOR THE FISCAL YEAR ENDING JUNE 30, 2023 BY MARCH 31, 2024. 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 INCLUDED IN THE AUDIT. IF THE FILING ENTITY RECEIVED FEDERAL FUNDS DURING THE YEAR ENDED JUNE 30, 2023, IT WILL BE INCLUDED ON THE MERCY HEALTH CONSOLIDATED SEFA, AND THEREFORE, ALSO INCLUDED IN THE POPULATION INCLUDED IN THE AUDIT. FORM 990, SCHEDULE R, PART V SYSTEM LIMITATIONS LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY HEALTH SYSTEM, INC. AND SUBSIDIARIES. THE MAJORITY OF THE INTERCOMPANY/RELATED ORGANIZATION TRANSACTIONS ARE PROCESSED THROUGH LAWSON VIA INTERCOMPANY JOURNAL ENTRIES. WITH THE CURRENT DESIGN OF THE ERP SYSTEM, THERE ARE VARIOUS LIMITATIONS ON THE RELATED ORGANIZATION INFORMATION THAT CAN BE EXTRACTED FROM LAWSON. DUE TO THESE LIMITATIONS,MOST OF THE RELATED ORGANIZATION ACTIVITY FOR THE FILING ORGANIZATION HAS BEEN CLASSIFIED ON SCHEDULE R, PART V, IN LINES P AND Q. Form 990, Part V, Question 1a Independent Contractors Independent contractors for the filing organization are paid by Mercy Health (EIN 43-1423050). As such, all required Form 1099 and Form 1096 reporting is made for the entire health system (with limited exceptions) under the Mercy Health EIN. 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. FORM 990, SCHEDULE R, PART II MERCY HOSPITALS EAST COMMUNITIES MERCY HOSPITALS EAST COMMUNITIES CONSISTS OF MERCY HOSPITALS EAST COMMUNITIES ST. LOUIS, EIN 43-0653493, AND MERCY HOSPITALS EAST COMMUNITIES WASHINGTON, EIN 43-1066883. COVID-19 Early in 2020, the Mercy Health System was called to serve as the COVID-19 pandemic swept across the world. During FY 2023, the impact of COVID-19 and inflation has been and still is significant to our communities with changes in patient care revenues due to surges, increasing the costs of salaries and agency labor, and supply chain impacts. All Mercy facilities adjusted operations for the impacts of the pandemic. In addition, Mercy foundations and outreach ministries experienced limitations in fundraising for program and capital support efforts that assist the underserved in our communities. Mercy did receive funding from the Coronavirus Aid Relief and Economic Security Act ("CARES Act"). Mercy received CARES Act funding for the past four fiscal years across various entities and recognized a portion of this funding in other operating revenue. These funds helped to offset revenue losses and additional expenses incurred due to the pandemic; however, these funds fell short of the system losses experienced since the start of the pandemic. Mercy continues to monitor the impacts of the pandemic both to the health system and the communities served as we continue to provide assistance and maintain access to care within our communities. Mercy Clinic Adult Hospitalists - Jefferson LLC 15740 South Outer 40 Rd Chesterfield MO 63017 462913068 Managed care contracting MO 10357280 553689 Mercy Hospital Jefferson Mercy Labs Jefferson LLC 15740 South Outer 40 Rd Chesterfield MO 63017 463478362 Laboratory Services MO 87710 0 Mercy Hospital Jefferson Jefferson Regional Outpatient Facilities LLC 15740 South Outer 40 Rd Chesterfield MO 63017 272196402 outpatient facilities MO 0 0 Mercy Hospital Jefferson Casa de Misericordia 1000 Mier St Laredo TX 78040 742912461 Women's domestic violence shelter TX 501c3 7 Mercy Ministries of Laredo 1 McAuley Portfolio Mgmt Co 15740 South Outer 40 Rd Chesterfield MO 63017 261708048 Portfolio management MO 501c3 12b Mercy Health 1 Mercy ACO Clinical Services Inc 15740 South Outer 40 Rd Chesterfield MO 63017 464504901 Virtual Care Center MO 501c3 3 Mercy Health 1 Mercy Clinic East Communities 15740 South Outer 40 Rd CHesterfield MO 63017 431771217 Physician Group MO 501c3 10 Mercy Health East Communities 1 Mercy Clinic Fort Smith Comm 7301 Rogers Avenue Fort Smith AR 72917 261318597 Physician Clinic AR 501c3 3 Mercy Health Fort Smith Comm 1 Mercy Clinic Oklahoma Comm 4300 W Memorial Road Oklahoma City OK 73120 270473057 Physician Group OK 501c3 3 Mercy Health OK Communities 1 Mercy Clinic Springfield Comm 1965 Fremont Street Suite 200 Springfield MO 65804 431560263 Physician Group MO 501c3 3 Mercy Health Springfield Comm 1 Mercy Family Center 110 Veterans Blvd METAIRIE LA 70005 721069468 Family counseling services MO 501c3 7 Mercy Health 1 Mercy Health 15740 South Outer 40 Rd Chesterfield MO 63017 431423050 Corporate Office MO 501c3 1 N/A 0 Mercy Health East Communities 15740 South Outer 40 Rd Chesterfield MO 63017 431718408 Health System MO 501c3 12a Mercy Health 1 Mercy Health Fort Smith Comm 7301 Rogers Avenue Fort Smith AR 72917 261318515 Holding Company AR 501c3 12b Mercy Health 1 Mercy Health Foundation 15740 South Outer 40 Rd Chesterfield MO 63017 200901499 Foundation MO 501c3 12b Mercy Health 1 Mercy Health Foundation Ada 430 N Monte Vista Street Ada OK 74820 463596274 Foundation OK 501c3 12a Mercy Hospital Ada 1 Mercy Health Foundation Ardmore 1011 14th Avenue NW Ardmore OK 73401 710962525 Foundation OK 501c3 12a Mercy Hospital Ardmore 1 Mercy Health Foundation Berryville 214 Carter Street Berryville AR 72616 710759301 Foundation AR 501c3 12a Mercy Hospital Berryville 1 Mercy Health Foundation Ft Scott 401 Woodland Hills Blvd Fort Scott KS 66701 481077073 Foundation KS 501c3 7 Mercy Kansas Communities Inc 1 Mercy Health Foundation Fort Smith 7301 Rogers Avenue Fort Smith AR 72917 237330425 Foundation AR 501c3 7 Mercy Hospital Fort Smith 1 Mercy Health Foundation Jefferson 1400 US Highway 61 South Festus MO 63028 462797051 Foundation MO 501c3 12b Mercy Hospital Jefferson 1 Mercy Health Foundation Joplin 100 Mercy Way Joplin MO 64804 270906136 Foundation MO 501c3 7 Mercy Health SW MOKS Comm 1 Mercy Health Foundation Lincoln 1000 East Cherry Street Troy MO 63379 811477159 Foundation MO 501c3 12b Mercy Health East Communities 1 Mercy Health Foundation NW Ark 2710 Rife Medical Ln Rogers AR 72858 710601687 Foundation AR 501c3 12b Mercy Hospital Rogers 1 Mercy Health Foundation of OK 4300 W Memorial Road Oklahoma City OK 73120 454732301 Foundation OK 501c3 12a Mercy Health OK Communities 1 Mercy Health Foundation OK City 4300 W Memorial Road Oklahoma City OK 73120 463184231 Foundation OK 501c3 12a Mercy Health OK Communities 1 Mercy Health Foundation Springfield 1235 E Cherokee Street Springfield MO 65804 320195818 Foundation MO 501c3 12b Mercy Health Springfield Comm 1 Mercy Health Foundation St Francis 100 W Highway 60 Mountain View MO 65548 431873914 Foundation MO 501c3 12a Mercy St Francis Hospital 1 Mercy Health Foundation STL 615 S New Ballas Road ST Louis MO 63141 562410020 Foundation MO 501c3 12b Mercy Health East Communities 1 Mercy Health Foundation Washington 901 E Fifth Street Washington MO 63090 562410022 Foundation MO 501c3 12b Mercy Health East Communities 1 Mercy Health NW Ark Communities 2710 Rife Medical Ln Rogers AR 72758 621684203 Physician Group AR 501c3 10 Mercy Health 1 Mercy Health OK Communities 4300 W Memorial Road Oklahoma City OK 73120 731453048 Health System OK 501c3 12a Mercy Health 1 Mercy Health SW MOKS Comm 100 Mercy Way Joplin MO 64804 300584463 Health System MO 501c3 12b Mercy Health 1 Mercy Health Springfield Comm 1235 E Cherokee Street Springfield MO 65804 431856028 Health System MO 501c3 12b Mercy Health 1 Mercy Hospital Ada Inc 430 N Monte Vista Street Ada OK 74820 462288155 Hospital OK 501c3 3 Mercy Health OK Communities 1 Mercy Hospital Ardmore 1011 14th Avenue NW Ardmore OK 73401 731500629 Hospital OK 501c3 3 Mercy Health OK Communities 1 Mercy Hospital Aurora 500 Porter Avenue Aurora MO 65605 431936696 Hospital MO 501c3 3 Mercy Health Springfield Comm 1 Mercy Hospital Berryville 214 Carter Street Berryville AR 72616 710759299 Hospital AR 501c3 3 Mercy Health Springfield Comm 1 Mercy Hospital Booneville 880 West Main Street Booneville AR 72927 463851119 Hospital AR 501c3 3 Mercy Hospital Fort Smith 1 Mercy Hospital Carthage 3125 Dr Russell Smith Way Carthage MO 64836 453808607 Hospital MO 501c3 3 Mercy Health SW MOKS Comm 1 Mercy Hospital Cassville 94 Main Street Cassville MO 65625 431936699 Hospital MO 501c3 3 Mercy Health Springfield Comm 1 Mercy Hospital Columbus 220 Pennsylvania Avenue Columbus KS 66725 270842031 Hospital MO 501c3 3 Mercy Health SW MOKS Comm 1 Mercy Hospital El Reno 2115 Parkview Drive El Reno OK 73036 272716065 Hospital - Inactive OK 501c3 3 Mercy Hospital Oklahoma City 1 Mercy Hospital Fort Smith 7301 Rogers Avenue Fort Smith AR 72917 710240352 Hospital AR 501c3 3 Mercy Health Fort Smith Comm 1 Mercy Hospital Healdton Inc 3462 Hospital Rd Healdton OK 73438 263173902 Hospital OK 501c3 3 Mercy Hospital Ardmore Inc 1 Mercy Hospital Joplin 100 Mercy Way Joplin MO 64804 270814858 Hospital MO 501c3 3 Mercy Health SW MOKS Comm 1 Mercy Hospital Kingfisher Inc 1000 Kingfisher Regional Hospital C Kingfisher OK 73750 463433074 Hospital OK 501c3 3 Mercy Hospital Oklahoma City 1 Mercy Hospital Lebanon 100 Hospital Drive Lebanon MO 65536 431767432 Hospital MO 501c3 3 Mercy Health Springfield Comm 1 Mercy Hospital Lincoln 1000 East Cherry Street Troy MO 63379 472219204 Hospital MO 501c3 3 Mercy Health East Communities 1 Mercy Hospital Logan County Inc 200 South Academy Guthrie OK 73044 452998842 Hospital OK 501c3 3 Mercy Hospital Oklahoma City 1 Mercy Hospital Oklahoma City 4300 W Memorial Road Oklahoma City OK 73120 730579285 Hospital OK 501c3 3 Mercy Health OK Communities 1 Mercy Hospital Ozark 801 W River Street Ozark AR 72949 710689680 Hospital AR 501c3 3 Mercy Hospital Fort Smith 1 Mercy Hospital Paris 500 E Academy Paris AR 72855 710655753 Hospital AR 501c3 3 Mercy Hospital Fort Smith 1 Mercy Hospital Rogers 2710 Rife Medical Ln Rogers AR 72758 710294390 Hospital AR 501c3 3 Mercy Health NW Ark Communities 1 Mercy Hospital Springfield 1235 E Cherokee Street Springfield MO 65804 440552485 Hospital MO 501c3 3 Mercy Health Springfield Comm 1 Mercy Hospital Tishomingo 1000 South Byrd Tishomingo OK 73460 274433830 Hospital OK 501c3 3 Mercy Hospital Ada 1 Mercy Hospital Waldron 1341 W 6th Street Waldron AR 72958 710557895 Hospital AR 501c3 3 Mercy Hospital Fort Smith 1 Mercy Hospital Watonga Inc 500 Clarence Nash Blvd Watonga OK 73772 455199762 Hospital OK 501c3 3 Mercy Hospital Oklahoma City 1 Mercy Hospitals East Comm 615 S New Ballas Road St Louis MO 63141 430653493 Hospital MO 501c3 3 Mercy Health East Communities 1 Mercy Kansas Communities Inc 401 Woodland Hills Blvd Ft Scott KS 66701 480956045 Hospital KS 501c3 3 Mercy Health SW MOKS Comm 1 Mercy Ministries of Laredo 2500 Zacatecas Laredo TX 78043 200198462 Outreach TX 501c3 7 Mercy Health 1 Mercy Research 524 North Booneville Avenue Springfield MO 65802 870796305 Research MO 501c3 4 Mercy Health 1 Mercy St Francis Hospital 100 W Highway 60 Mountain View MO 65548 440607149 Hospital MO 501c3 3 Mercy Health Springfield Comm 1 MHM Support Services 15740 South Outer 40 Rd Chesterfield MO 63017 202553101 Centralized Health System Functions MO 501c3 12a Mercy Health 1 Mission Clinical Services 300 Werner Street Hot Springs AR 71913 134239691 Child Advocacy Center AR 501c3 3 Mercy Health 1 Mercy Health Foundation South 10010 Kennerly Road St Louis MO 63128 261516789 Foundation MO 501c3 12a Mercy Hospital South 1 Mercy Hospital South 10010 Kennerly Road St Louis MO 63128 430980256 Hospital MO 501c3 3 Mercy Health East Communities 1 St Anthony's Physician Organization 10010 Kennerly Road St Louis MO 63128 431784536 Health care MO 501c3 3 Mercy Hospital South 1 Mercy Health Foundation Lebanon 100 Hospital Drive Lebanon MO 65536 822514567 Foundation MO 501c3 11-II Mercy Hospital Lebanon 1 Mercy Specialty Hospital Southeast Kansas 1619 W 7th Street Galena KS 66739 843730625 Hospital KS 501c3 3 Mercy Health SW MOKS Comm 1 Fort Smith Emergency Medical Services 1701 South Greenwood Fort Smith AR 72901 710416615 Emergency Medical Services AR Mercy Hospital Fort Smith N/A 0 0 St Edward Mercy Med Ctr M-P Off Bldg 7301 Rogers Avenue Fort Smith AR 72903 710554050 Office building AR Mercy Hospital Fort Smith N/A 0 0 Platinum CPS Holdings LLC 15740 South Outer 40 Rd Chesterfield MO 63017 842493007 Holding Company MO MERCY MANAGED CARE CORPMERCY HEALTH n/A 0 0 Maryville Cancer Center LLC 2227 Vadalabene Drive Maryville IL 62062 813385885 Outpatient Center IL Mercy Health East Communities N/A 0 0 Plaza Surgery Services Company LLC 12700 Southfork Road St Louis MO 63128 204709312 INACTIVE MO MERCY HOSPITAL SOUTH N/A 0 0 Frontenac Properties Inc 15740 South Outer 40 Rd Chesterfield MO 63017 521914421 Holding company DE MERCY HEALTH C 0 Mercy Health Center Condominium Inc 4300 W Memorial Rd Oklahoma City OK 73120 680640970 real estate OK MERCY HOSPITAL OKLAHOMA CITYINC C 0 Mercy Managed Care Corporation 15740 South Outer 40 Rd Chesterfield MO 63017 731441665 Holding company OK MERCY HEALTH C 0 Mercy Commercial Services Inc 15740 South Outer 40 Rd Chesterfield MO 63017 464953543 Corp Parent of VCC taxable commercializ svcs OK MHN Inc and MHNSR INC C 0 ST ANTHONYS PHYSICIAN ORGANIZATION OF ILLINOIS 10010 Kennerly Road St Louis MO 63128 320457168 Health Care MO MERCY HOSPITAL SOUTH C 0 0 1 1 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 Mercy Health Foundation Jefferson B 164013 fMV Mercy Health Foundation Jefferson C 289135 fMV Mercy Health East Communities Q 65147095 FMV Mercy Health Springfield Communities Q 51800 FMV Mercy Hospital Rogers Q 243 FMV Mercy Hospitals East Communities P 19198 FMV MHM Support Services Q 7607544 FMV