2024-05-13T16:25:48+00:00 2023-06-30 346565596 ERNST & YOUNG US LLP 221 EAST 4TH STREET CINCINNATI OH 45202 990 2022-07-01 300584463 Mercy Health Southwest MissouriKansas Communities MERC 3145796100 100 MERCY WAY JOPLIN MO 64804 JEREMY DRINKWITZ PRESIDENT 3145796100 2024-05-13 true Mathew Janssens 999009999 true Julie L Sparks P01268401 5136121400 2024-05-06 2022 2023-04-26 12:10:37Z JEREMY DRINKWITZ 100 Mercy Way Joplin MO 64804 62970249 false 0928 X WWW.MERCY.NET X 2009 MO AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. 13 9 118 8 0 0 459558 277476 61209323 63562874 857075 -1131196 231498 223796 62757454 62932950 113051 235482 0 0 80235275 91885822 0 0 0 10404101 5256105 90752427 97377409 -27994973 -34444459 8444498 8776107 4736659 7741345 3707839 1034762 AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. false false 84854116 235482 63562874 MERCY HEALTH SOUTHWEST MISSOURI/KANSAS COMMUNITIES IS A SUPPORTING ORGANIZATION OF MERCY HOSPITAL JOPLIN. MERCY HEALTH SOUTHWEST MISSOURI/KANSAS COMMUNITIES ALSO PROVIDED SUPPORT SERVICES TO OTHER MEMBERS OF THE MERCY SOUTHWEST MISSOURI/KANSAS COMMUNITY, INCLUDING MERCY HOSPITAL CARTHAGE, MERCY HOSPITAL COLUMBUS, AND MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS. THE SUPPORT SERVICES INCLUDED FUNCTIONS THAT, BUT FOR MERCY HEALTH SOUTHWEST MISSOURI/KANSAS COMMUNITIES, WOULD BE CONDUCTED BY EACH SEPARATE ORGANIZATION. THE PHYSICIANS AT MERCY CLINIC JOPLIN ARE DEVOTED TO PROVIDING EXCEPTIONAL, COMPREHENSIVE CARE TO PATIENTS OF ALL AGES, INCLUDING CHILDREN'S CARE AND SENIOR CARE. DURING THE YEAR, TOTAL PROVIDER VISITS CAME IN AT 303,399 AND INCLUDED 150,839 PHYSICIAN VISITS AND 152,560 ADVANCED PRACTICE CLINICIAN VISITS. 84854116 true true false false false false false false false true false false false false false false true false false false false false false false false false true false true false false false false false false false false false false false false true true true true false false true X 0 0 118 true false false false false false false false false false false false false X 13 9 false false false false true true true true true false false true true true true true true false false false X Mathew Janssens 4175562459 100 MERCY WAY JOPLIN MO 64804 Jeremy Drinkwitz President & Board Member 20.0 33.0 X X 0 805318 84648 Brad Hodson Board Member 1.0 0 X 0 0 0 Christine Glauber Chair & Board Member 1.0 0 X 0 0 0 Eric Secker Board Member 1.0 0 X 0 0 0 Grant Schwartz Board Member 1.0 0 X 0 0 0 Gregory Szarnecki Board Member 1.0 0 X 0 0 0 Jonathan Sabo Board Member 1.0 0 X 0 0 0 Maria Bruce Physician & Board Member 50.0 0 X 618490 0 37105 Mark Baker Board Member 1.0 0 X 0 0 0 Mark McNemar Regional Physician Executive & Board Member 1.0 49.0 X 0 664346 58967 Matt Stewart Board Member 1.0 0 X 0 0 0 Samir Dalia Physician & Board Member 50.0 0 X 905344 0 32699 Sr Annrene Brau RSM Board Member 1.0 0 X 0 0 0 Christie Eckhardt VP, Chief Operations Counsel & Secretary 1.0 57.0 X 0 307029 26241 Tyler Sturgeon Chief Financial Officer (THRU 8/2023) 1.0 49.0 X 0 271539 29843 Michael Herr Chief Operating Officer 20.0 30.0 X 0 299731 40264 Barry Katz Physician 50.0 0 X 1533009 0 28885 Heath Merkley Physician 50.0 0 X 800078 0 28810 Jahan Zeb Physician 50.0 0 X 1283196 0 40030 Rangan Murali Physician 50.0 0 X 984840 0 25899 Xujun Wu Physician 50.0 0 X 1295902 0 35796 7420857 2347963 469187 96 true true false LOCUMSMART PO Box 736389 Dallas TX 75373 Physician Staffing 1588340 UROLOGIC SPECIALISTS OF OKLAHOMA INC 10901 E 48TH ST TULSA OK 74146 Physician Staffing 1566926 Eligibility Advocates LLC 1255 Treat Blvd Suite 300 Walnut Creek CA 94597 Patient Eligibility Services 506516 Concert Health Inc 550 W B Street 4th Floor SAN DIEGO CA 92101 Behavioral Health Services 407063 Advocate Assist 2205 Point Boulevard Suite 160 ELGIN IL 60123 Patient Eligibility Services 313190 9 277476 277476 NET PATIENT SERVICE REVENUE 622110 56004761 56004761 CAPITATION BONUS 900099 4894497 4894497 RENTAL INCOME FROM RELATED ORGANIZATIONS 531120 1923555 1923555 OTHER OPERATING REVENUE 900099 740061 740061 0 0 0 0 63562874 -1131196 -1131196 261095 37299 223796 0 223796 223796 0 0 0 0 0 0 0 62932950 63562874 0 -907400 235482 235482 0 0 1618826 1375564 243262 77812589 66119617 11692972 2372372 2015876 356496 6557678 5572322 985356 3524357 2994750 529607 3786366 2151479 1634887 0 61485 21446 40039 733588 546912 186676 18189 3228 14961 5404668 2767100 2637568 201439 127487 73952 198 198 965258 485499 479759 3560177 761467 2798710 SHARED SERVICE FEES -15517023 -5896469 -9620554 DRUGS & MEDICAL EXPENSES 3845309 3845309 BAD DEBT 1433837 1433837 REPAIRS & MAINTENANCE 247821 195829 51992 514793 97381 417412 0 97377409 84854116 12523293 0 8015 8915 4405863 5386841 0 0 0 0 20988 34254 17201179 13927863 3865252 3273316 0 0 144380 72781 8444498 8776107 4736659 7741345 0 0 0 0 4736659 7741345 X 3707839 1034762 3707839 1034762 8444498 8776107 X -34444459 31771382 X false true X true true true X X X 3 MERCY HOSPITAL JOPLIN 270814858 3 true 0 0 MERCY HOSPITAL CARTHAGE 453808607 3 true 0 0 MERCY HOSPITAL COLUMBUS 270842031 3 true 0 0 3 0 0 true false false false false false false false false false false false false false false false Schedule A, Part IV, Section C, Line 1 Majority director detail THE SUPPORTING ORGANIZATION, MERCY HEALTH SOUTHWEST MISSOURI/KANSAS COMMUNITIES, AND THE SUPPORTED ORGANIZATIONS LISTED IN PART I, 12G ARE PART OF THE MERCY HEALTH SYSTEM. ALL OF THE ORGANIZATIONS ARE LEGAL ENTITIES OF MERCY HEALTH, AN INTEGRATED HEALTH SYSTEM. ULTIMATE CONTROL RESIDES WITH THE ULTIMATE PARENT ENTITY, MERCY HEALTH. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 253199 253199 300427 78709 221718 334288 230931 103357 16310365 13616338 2694027 2900 1885 1015 3273316 Schedule D, Part X, Line 2 ASC 740 FOOTNOTE PRIMARILY ALL OF THE HEALTH SYSTEM ENTITIES ARE RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) 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. THE HEALTH SYSTEM COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED ON THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2023 AND 2022. true Community Health Clinic of Joplin 701 S Joplin Street Joplin MO 64801 431643962 501c3 49000 Support local Community Clinic Joplin Area Chamber of Commerce 320 East 4th Street Joplin MO 648012263 440304705 501C6 40700 One Joplin Capital Campaign Sponsorship/Economic Strategic Plan Joplin Schools 825 South Pearl Ave Joplin MO 64802 446003106 20000 Platinum sponsorship on Tamko Tron video board at Junge Field The Alliance of Southwest Missouri 1601 South Wall Joplin MO 64804 431801349 501c3 15000 Sponsorship to help prevent and alleviate childhood trauma in SW Missouri Joplin Area Catholic Schools 930 Pearl Avenue Joplin MO 64801 430990597 14149 JACSS Mercy Week Activity McAuley Catholic High School Donations/Mercy Warrior Classic Basketball Tournament/JACS Annual Auction Crowder College Foundation 601 Laclede Avenue Neosho MO 64850 436057329 501c3 12000 Pledge to Surgical Tech Classroom Lafayette House PO Box 1765 Joplin MO 64802 431170015 501c3 10000 Benefit Fundraiser for Lafayette House/Ooh La Lafayette Sponsorship Watered Gardens 531 Kentucky Joplin MO 64802 202586821 501c3 8500 Sponsorships/Homeless and Poor of the Community Big Brothers Big Sisters PO Box 122 Saginaw MO 64864 811408289 501c3 8000 Program and Title Sponsoships R McDonald House of the Four States 3402 S Jackson PO Box 2688 Joplin MO 64804 431758397 501c3 6800 RMHC Gold Tournament Sponsorship Children's Center of SW Missouri 1029 E 7th Street Joplin MO 64801 431740718 501c3 5500 Childrens Center Gala-White Rabbit Sponsor and 2023 Monett Charity Golf Tournament - Silver Sponsor 8 3 Schedule I, Part IV MERCY'S FOUNDATION, RESEARCH AND GRANTS CENTERS OF EXCELLENCE (COE) WAS ESTABLISHED TO PROVIDE FINANCIAL TRACKING AND COMPLIANCE OVERSIGHT FOR GRANT FUNDS FOR MERCY'S ENTITIES. MOST GOVERNMENTAL GRANT FUNDS ARE ASSIGNED A SPECIFIC GRANT ACTIVITY CODE WITHIN OUR ACCOUNTING SOFTWARE TO TRACK EACH GRANT'S REVENUE AND EXPENSES. BUDGET TO ACTUAL REPORTS ARE PROVIDED TO THE OPERATIONAL AREAS REGARDING THE USE OF FUNDS. THERE IS ALSO A COORDINATED EFFORT BETWEEN THE COE TEAM AND THE OPERATIONAL AREA TO REVIEW COSTS THAT ARE TO BE SUBMITTED FOR REIMBURSEMENT. Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. THE ASSISTANCE PROVIDED IS INTENDED TO BE USED FOR THE GENERAL OPERATING PURPOSES OF THE DONEE. THE USE OF GRANT FUNDS IS NOT MONITORED AFTER GRANTS ARE GIVEN. false false false false false false false false false Jeremy Drinkwitz President & Board Member 0 363393 0 400482 0 41443 0 65298 0 19350 0 889966 0 153984 Maria Bruce Physician & Board Member 553885 0 13629 0 50976 0 17088 0 20017 0 655594 0 0 0 Samir Dalia Physician & Board Member 785685 0 83475 0 36184 0 12956 0 19743 0 938043 0 0 0 Mark McNemar Regional Physician Executive & Board Member 0 581513 0 59267 0 23565 0 40364 0 18603 0 723313 0 0 Christie Eckhardt VP, Chief Operations Counsel & Secretary 0 244381 0 30223 0 32425 0 10189 0 16052 0 333271 0 0 Tyler Sturgeon Chief Financial Officer (THRU 8/2023) 0 194051 0 32634 0 44854 0 10417 0 19426 0 301382 0 0 Michael Herr Chief Operating Officer 0 217311 0 41159 0 41261 0 20536 0 19727 0 339995 0 0 Barry Katz Physician 1449189 0 33998 0 49822 0 13227 0 15658 0 1561894 0 0 0 Heath Merkley Physician 736878 0 21659 0 41540 0 13388 0 15422 0 828887 0 0 0 Rangan Murali Physician 897869 0 38229 0 48742 0 10169 0 15730 0 1010739 0 0 0 Xujun Wu Physician 1216905 0 29174 0 49822 0 20950 0 14846 0 1331698 0 0 0 Jahan Zeb Physician 1204188 0 30266 0 48742 0 20675 0 19355 0 1323226 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation MERCY HEALTH SOUTHWEST MISSOURI/KANSAS COMMUNITIES RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTION 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS. Schedule J, Part II THE AMOUNTS REPORTED FOR JEREMY DRINKWITZ IN COLUMN (F) ARE EITHER INCLUDED IN B(I) BASE COMPENSATION, B(II) AS BONUS AND INCENTIVE COMPENSATION, OR B(III) AS OTHER REPORTABLE COMPENSATION. THESE AMOUNTS ARE A PAYOUT OF THE EXECUTIVE RETENTION PLAN AND WERE INCLUDED IN COLUMN (C) OF PREVIOUSLY FILED FORMS 990. Form 990, Part V, Line 1a FORM 1099/1096 FILING VENDORS FOR THE FILING ORGANIZATION ARE PAID BY MERCY HEALTH (EIN 43-1423050). AS SUCH, ALL REQUIRED FORM 1099 AND FORM 1096 REPORTING IS MADE FOR THE ENTIRE MERCY HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN. Form 990, Part V, Line 2a W-3 FILING MOST EMPLOYEES ARE PAID BY A RELATED ORGANIZATION UNDER A COMMON PAYMASTER ARRANGEMENT. AS SUCH, REQUIRED PAYROLL FILING (INCLUDING W-2 AND W-3'S) IS REPORTED UNDER THE RELATED ORGANIZATION, MHM SUPPORT SERVICES, EIN 20-2553101. Form 990, Part VI, Line 15a and 15b PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY EMPLOYEES FOR THE TOP MANAGEMENT OFFICIALS, THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS) AND KEY EMPLOYEES, THE ORGANIZATION RELIES UPON MERCY HEALTH, WHICH USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT, AND REVIEW/APPROVAL OF COMPENSATION BY THE 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, Line 6 Classes of members or stockholders THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE SOLE CORPORATE MEMBER HAS THE AUTHORITY TO: -TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, MEMBERS OF THE BOARD; AND, -THROUGH THE SOLE ACTION OF THE PRESIDENT OF MERCY HEALTH, TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHIEF EXECUTIVE OFFICER WHO SHALL SERVE AS PRESIDENT OF THE CORPORATION. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE FOLLOWING GOVERNANCE DECISIONS ARE RESERVED TO THE SOLE CORPORATE MEMBER: -TO APPROVE THE MISSION AND ESTABLISH THE PHILOSOPHY ACCORDING TO WHICH THE CORPORATION, AND ALL ORGANIZATIONS CONTROLLED BY THE CORPORATION, SHALL OPERATE; -TO ADOPT OR AMEND THE ARTICLES OF INCORPORATION AND BYLAWS; -TO APPROVE OR AMEND THE STRATEGIC, LONG RANGE, AND HEALTH MANPOWER DEVELOPMENT PLANS, GOALS, AND OBJECTIVES OF THE CORPORATION; -TO APPROVE OR AMEND THE OPERATING, CAPITAL, AND CONSTRUCTION BUDGETS FOR THE CORPORATION; -TO ASSIGN, TRANSFER, LEASE OR SELL ANY OF THE ASSETS OF THE CORPORATION; -TO ENCUMBER ANY OR ALL OF THE ASSETS OF THE CORPORATION; -TO AUTHORIZE AND APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION; -TO MERGE, DISSOLVE, OR ABANDON THE CORPORATION; AND, -TO APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION CONTROLLED BY THE CORPORATION. Form 990, Part VI, Line 11b Review of form 990 by governing body 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 TEAM, INCLUDING THE DIRECTOR OF FINANCE AND THE CHIEF FINANCIAL OFFICER. THE DRAFT FORM 990 IS ALSO REVIEWED BY MERCY HEALTH'S TAX DEPARTMENT, TO ENSURE ACCURACY AND CONSISTENCY WITH OTHER RELATED ORGANIZATIONS' FORMS 990. 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, Line 12c Conflict of interest policy 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 CONFLICTS AND THEIR RESPECTIVE RESOLUTIONS ARE SHARED AT THE MERCY LEVEL WITH A TEAM INCLUDING MERCY'S SENIOR VICE PRESIDENT OF FINANCIAL OPERATIONS & PLANNING, CHIEF COMPLIANCE OFFICER AND OTHER MEMBERS OF FINANCE, LEGAL AND HR. THE QUESTIONNAIRES ARE THEN REVIEWED WITH LEADERSHIP AT THE LOCAL LEVEL AND POTENTIAL CONFLICTS DISCUSSED AND RESOLVED. SUMMARY RESULTS ARE REVIEWED WITH MERCY'S STEWARDSHIP COMMITTEE OF THE BOARD OF DIRECTORS. Form 990, Part VI, Line 19 Required documents available to the public GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST BUT ARE NOT PUBLISHED PUBLICLY. COMMUNITY BENEFIT, FORM 990, PART IX. MERCY HEALTH SOUTHWEST MISSOURI/KANSAS COMMUNITIES PROVIDES FINANCIAL ASSISTANCE TO PATIENTS IN THE FORM OF CHARITY CARE AND THE UNPAID COSTS OF MEDICAID. THIS ASSISTANCE IS BASED ON THE FINANCIAL ASSISTANCE POLICY IN PLACE AT HOSPITALS IN THE HEALTH SYSTEM. DURING FY23, MERCY HEALTH SOUTHWEST MISSOURI KANSAS REPORTED APPROXIMATELY $1.4 MILLION OF CHARITY CARE AND $4.9 MILLION OF UNPAID COSTS OF MEDICAID WHICH WERE A BENEFIT TO THE PATIENTS SERVED IN ITS COMMUNITY. Form 990, Part XI, Line 9 Other changes in net assets or fund balances NET TRANSFERS (TO)/FROM AFFILIATES - 31771382; Form 990, Part XII, Line 2c AUDIT OF 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. IMPACT OF COVID-19 PANDEMIC 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 Joplin LLC 100 Mercy Way Joplin MO 64804 611604897 Medical Health Services MO 57743874 7489597 MERCY HEALTH SOUTHWEST MISSOURIKANSAS COMMUNITIES Casa de Misericordia 1000 Mier St Laredo TX 78040 742912461 Women's domestic violence shelter TX 501(c)(3) 7 Mercy Ministries of Laredo true McAuley Portfolio Management Company 15740 South Outer 40 Rd Chesterfield MO 63017 261708048 Portfolio Management MO 501(c)(3) Type II Mercy Health true Mercy ACO Clinical Services Inc 15740 South Outer 40 Rd Chesterfield MO 63017 464504901 Virtual Care Center MO 501(c)(3) 3 Mercy Health true Mercy Clinic East Communities 15740 South Outer 40 Rd Chesterfield MO 63017 431771217 Physician Group MO 501(c)(3) 10 Mercy Health East Communities true Mercy Clinic Fort Smith Communities 7301 Rogers Avenue Fort Smith AR 72903 261318597 Physician Clinic AR 501(c)(3) 3 Mercy Health Fort Smith Communities true Mercy Clinic Oklahoma Communities Inc 4300 W Memorial Road Oklahoma City OK 73120 270473057 Physician Group OK 501(c)(3) 3 Mercy Health Oklahoma Communities Inc true Mercy Clinic Springfield Communities 1965 S Fremont Suite 200 Springfield MO 65804 431560263 Physician Group MO 501(c)(3) 3 Mercy Health Springfield Communities true Mercy Family Center 110 Veterans Blvd Metairie LA 70005 721069468 Family counseling service LA 501(c)(3) 7 Mercy Health true Mercy Health 15740 South Outer 40 Rd Chesterfield MO 63017 431423050 Corporate Office MO 501(c)(3) 1 NA false Mercy Health East Communities 15740 South Outer 40 Rd Chesterfield MO 63017 431718408 Health System MO 501(c)(3) Type I Mercy Health true Mercy Health Fort Smith Communities 7301 Rogers Avenue Fort Smith AR 72917 261318515 Holding Company AR 501(c)(3) Type II Mercy Health true Mercy Health Foundation 15740 South Outer 40 Rd Chesterfield MO 63017 200901499 Foundation MO 501(c)(3) Type II Mercy Health true Mercy Health Foundation Ada 430 N Monte Vista Street Ada OK 74820 463596274 Foundation OK 501(c)(3) Type I Mercy Hospital Ada Inc true Mercy Health Foundation Ardmore 1011 14th Avenue NW Ardmore OK 73401 710962525 Foundation OK 501(c)(3) Type I Mercy Hospital Ardmore Inc true Mercy Health Foundation Berryville 214 Carter Street Berryville AR 72616 710759301 Foundation AR 501(c)(3) Type I Mercy Hospital Berryville true Mercy Health Foundation Fort Scott 401 Woodland Hills Blvd Fort Scott KS 66701 481077073 Foundation KS 501(c)(3) 7 Mercy Kansas Communities Inc true Mercy Health Foundation Fort Smith 7301 Rogers Avenue Fort Smith AR 72917 237330425 Foundation AR 501(c)(3) 7 Mercy Health Fort Smith Communities true Mercy Health Foundation Jefferson 1400 US Highway 61 South Festus MO 63028 462797051 Foundation MO 501(c)(3) Type II Mercy Hospital Jefferson true Mercy Health Foundation Joplin 100 Mercy Way Joplin MO 64804 270906136 Foundation MO 501(c)(3) 7 Mercy Health SW MOKS Communities true Mercy Health Foundation Lebanon 100 Hospital Drive Lebanon MO 65536 822514567 Foundation MO 501(c)(3) Type II Mercy Hospital Lebanon true Mercy Health Foundation Lincoln 1000 East Cherry Street Troy MO 63379 811477159 Foundation MO 501(c)(3) Type II Mercy Hospitals East Communities true Mercy Health Foundation Northwest Arkansas 2710 Rife Medical Lane Rogers AR 72758 710601687 Foundation AR 501(c)(3) 7 Mercy Hospital Rogers true Mercy Health Foundation of Oklahoma 4300 W Memorial Road Oklahoma City OK 73120 454732301 Foundation OK 501(c)(3) Type I Mercy Health Oklahoma Communities Inc true Mercy Health Foundation Oklahoma City 4300 W Memorial Road Oklahoma City OK 73120 463184231 Foundation OK 501(c)(3) Type I Mercy Hospital Oklahoma City Inc true Mercy Health Foundation Springfield 1235 E Cherokee Street Springfield MO 65804 320195818 Foundation MO 501(c)(3) Type II Mercy Health Springfield Communities true Mercy Health Foundation St Francis 100 W Highway 60 Mountain View MO 65548 431873914 Foundation MO 501(c)(3) Type I Mercy St Francis Hospital true Mercy Health Foundation St Louis 615 South New Ballas Road St Louis MO 63141 562410020 Foundation MO 501(c)(3) Type II Mercy Health East Communities true Mercy Health Foundation Washington 901 E Fifth Street Washington MO 63090 562410022 Foundation MO 501(c)(3) Type II Mercy Health East Communities true Mercy Health Northwest Arkansas Communities 2710 Rife Medical Lane Rogers AR 72758 621684203 Physician Group AR 501(c)(3) 10 Mercy Health true Mercy Health Oklahoma Communities Inc 4300 W Memorial Road Oklahoma City OK 73120 731453048 Health System OK 501(c)(3) Type I Mercy Health true Mercy Health Springfield Communities 1235 E Cherokee Street Springfield MO 65804 431856028 Health System MO 501(c)(3) Type II Mercy Health true Mercy Hospital Ada Inc 430 N Monte Vista Street Ada OK 74820 462288155 Hospital OK 501(c)(3) 3 Mercy Health Oklahoma Communities Inc true Mercy Hospital Ardmore Inc 1011 14th Avenue NW Ardmore OK 73401 731500629 Hospital OK 501(c)(3) 3 Mercy Health Oklahoma Communities Inc true Mercy Hospital Aurora 500 Porter Avenue Aurora MO 65605 431936696 Hospital MO 501(c)(3) 3 Mercy Health Springfield Communities true Mercy Hospital Berryville 214 Carter Street Berryville AR 72616 710759299 Hospital AR 501(c)(3) 3 Mercy Health NW Ark Communities true Mercy Hospital Booneville 880 West Main Street Booneville AR 72927 463851119 Hospital AR 501(c)(3) 3 Mercy Hospital Fort Smith true Mercy Hospital Carthage 3125 Dr Russell Smith Way Carthage MO 64836 453808607 Hospital MO 501(c)(3) 3 Mercy Health SW MOKS Communities true Mercy Hospital Cassville 94 Main Street Cassville MO 65625 431936699 Hospital MO 501(c)(3) 3 Mercy Health Springfield Communities true Mercy Hospital Columbus 220 Pennsylvania Avenue Columbus KS 66725 270842031 Hospital KS 501(c)(3) 3 Mercy Health SW MOKS Communities true Mercy Hospital El Reno Inc 2115 Parkview Drive El Reno OK 73036 272716065 Hospital OK 501(c)(3) 3 Mercy Hospital Oklahoma City Inc true Mercy Hospital Fort Smith 7301 Rogers Avenue Fort Smith AR 72903 710240352 Hospital AR 501(c)(3) 3 Mercy Health Fort Smith Communities true Mercy Hospital Healdton Inc 3462 Hospital Rd Healdton OK 73438 263173902 Hospital OK 501(c)(3) 3 Mercy Hospital Ardmore Inc true Mercy Hospital Jefferson 1400 Highway 61 South Festus MO 63028 430687077 Hospital MO 501(c)(3) 3 Mercy Health East Communities true Mercy Hospital Joplin 100 Mercy Way Joplin MO 64804 270814858 Hospital MO 501(c)(3) 3 Mercy Health SW MOKS Communities true Mercy Hospital Kingfisher Inc 1000 Kingfisher Regional Hospital Circle Kingfisher OK 73750 463433074 Hospital OK 501(c)(3) 3 Mercy Hospital Oklahoma City Inc true Mercy Hospital Lebanon 100 Hospital Drive Lebanon MO 65536 431767432 Hospital MO 501(c)(3) 3 Mercy Health Springfield Communities true Mercy Hospital Lincoln 1000 East Cherry Street Troy MO 63379 472219204 Hospital MO 501(c)(3) 3 Mercy Hospitals East Communities true Mercy Hospital Logan County Inc 200 South Academy Guthrie OK 73044 452998842 Hospital OK 501(c)(3) 3 Mercy Hospital Oklahoma City Inc true Mercy Hospital Oklahoma City Inc 4300 W Memorial Road Oklahoma City OK 73120 730579285 Hospital OK 501(c)(3) 3 Mercy Health Oklahoma Communities Inc true Mercy Hospital Ozark 801 W River Street Ozark AR 72949 710689680 Hospital AR 501(c)(3) 3 Mercy Hospital Fort Smith true Mercy Hospital Paris 500 E Academy Paris AR 72855 710655753 Hospital AR 501(c)(3) 3 Mercy Hospital Fort Smith true Mercy Hospital Rogers 2710 Rife Medical Lane Rogers AR 72758 710294390 Hospital AR 501(c)(3) 3 Mercy Health NW Ark Communities true Mercy Hospital Springfield 1235 E Cherokee Street Springfield MO 65804 440552485 Hospital MO 501(c)(3) 3 Mercy Health Springfield Communities true Mercy Hospital Tishomingo Inc 1000 South Byrd Tishomingo OK 73460 274433830 Hospital OK 501(c)(3) 3 Mercy Hospital Ada Inc true Mercy Hospital Waldron 1341 W 6th Street Waldron AR 72958 710557895 Hospital AR 501(c)(3) 3 Mercy Hospital Fort Smith true Mercy Hospital Watonga Inc 500 Clarence Nash Blvd Watonga OK 73772 455199762 Hospital OK 501(c)(3) 3 Mercy Hospital Oklahoma City Inc true Mercy Hospitals East Communities 615 S New Ballas Road St Louis MO 63141 430653493 Hospital MO 501(c)(3) 3 Mercy Health East Communities true Mercy Kansas Communities Inc 401 Woodland Hills Blvd Ft Scott KS 66701 480956045 Hospital KS 501(c)(3) 3 Mercy Health SW MOKS Communities true Mercy Ministries of Laredo 2500 Zacatecas St Laredo TX 78046 200198462 Outreach TX 501(c)(3) 7 Mercy Health true Mercy Research 524 North Booneville Avenue Springfield MO 65802 870796305 Research MO 501(c)(3) 4 Mercy Health true Mercy St Francis Hospital 100 W Highway 60 Mountain View MO 65548 440607149 Hospital MO 501(c)(3) 3 Mercy Health Springfield Communities true MHM Support Services 15740 South Outer 40 Rd Chesterfield MO 63017 202553101 Centralized Health System Functions MO 501(c)(3) Type I Mercy Health true Mission Clinical Services 300 Werner Street Hot Springs AR 71913 134239691 Child advocacy center AR 501(c)(3) 3 Mercy Health true Mercy Health Foundation South 10010 Kennerly Road St Louis MO 63128 261516789 Fundraising MO 501(c)(3) Type I Mercy Hospital South true Mercy Hospital South 10010 Kennerly Road St Louis MO 63128 430980256 Hospital MO 501(c)(3) 3 Mercy Health East Communities true St Anthony's Physician Organization 10010 Kennerly Road St Louis MO 63128 431784536 Health care MO 501(c)(3) 3 Mercy Hospital South true Mercy Specialty Hospital Southeast Kansas 1619 W 7th Street Galena KS 66739 843730625 Hospital KS 501(c)(3) 3 Mercy Health SW MOKS Communities true Fort Smith Emergency Medical Services 1701 S Greenwood Fort Smith AR 72901 710416615 Emergency Medical Services AR NA Plaza Surgery Services Company LLC 12700 Southfork Road St Louis MO 63128 204709312 Inactive MO NA St Edward Mercy MC M-P Office Bldg 7301 Rogers Avenue Fort Smith AR 72903 710554050 Office Building AR NA Platinum CPS Holdings LLC 15740 South Outer 40 Rd Chesterfield MO 63017 842493007 Holding Company MO NA Maryville Cancer Center LLC 2227 Vadalabene Drive Maryville IL 62062 813385885 Outpatient Center IL NA Frontenac Properties Inc 15740 South Outer 40 Rd Chesterfield MO 63017 521914421 Holding company DE NA C Corporation Mercy Commercial Services Inc 15740 South Outer 40 Rd Chesterfield MO 63017 464953543 CORPORATE PARENT OF VCC TAXABLE COMMERCIAL SERVICES MO NA C Corporation Mercy Health Center Condominium Inc 4300 W Memorial Rd Oklahoma City OK 73120 680640970 Real estate OK NA C Corporation Mercy Managed Care Corporation 15740 South Outer 40 Rd Chesterfield MO 63017 731441665 Holding company OK NA C Corporation St Anthony's Physician Organization of Illinois 10010 Kennerly Road St Louis MO 63128 320457168 Health Care MO NA C Corporation false false false false false false false false false false false false false false false true true false false Mercy Hospital Joplin Q 35543433 FMV MHM Support Services P 2424879 FMV Mercy Health Springfield Communities Q 353236 FMV Schedule R, Part II MERCY HOSPITALS EAST COMMUNITIES MERCY HOSPITALS EAST COMMUNITIES CONSISTS OF MERCY HOSPITAL ST. LOUIS, EIN 43-0653493, AND MERCY HOSPITAL WASHINGTON, EIN 43-1066883. Schedule R, Part V 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.