2025-05-14T10:04:03-05:00 2024-06-30 562632458 PLEUS AND COMPANY LLC 2200 WEST PORT PLAZA DR STE 203 ST LOUIS MO 63146 990 2023-07-01 430687077 MERCY HOSPITAL JEFFERSON MERC 6369331107 PO BOX 350 CRYSTAL CITY MO 63109 SCOTT MARTINEZ EXECUTIVE DIRECTOR - FINANCE 6369331107 2025-05-14 1 1 DOUGLAS G PLEUS CPA P00013488 3143178900 2023 2025-03-06 01:10:19Z DANIEL ECKENFELS PO BOX 350 CRYSTAL CITY MO 63109 253050860 0 X WWW.MERCY.NET X 1953 MO AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. 12 8 0 58 0 0 290778 433006 216608783 250465717 95028 18807 1759675 1949737 218754264 252867267 197444 279997 0 0 113611080 129245374 0 0 0 84944644 108727234 198753168 238252605 20001096 14614662 228817036 229026833 25370621 29867100 203446415 199159733 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 27015157 31968080 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 200 BED FACILITY AND IN FY24, HAD 196,171 TOTAL CASES. MERCY HOSPITAL JEFFERSON OFFERS COMPREHENSIVE HEART AND VASCULAR SERVICES, A WIDE VARIETY OF TREATMENT OPTIONS AND ADVANCED TECHNOLOGIES TO DIAGNOSE AND TREAT A FULL RANGE OF CONDITIONS. MERCY HOSPITAL JEFFERSON ALSO PROVIDES A FULL COMPLEMENT OF CARDIAC REHABILITATION, THERAPY AND EDUCATION SERVICES. IN FY24, MERCY HOSPITAL JEFFERSON HAD 13,165 CASES AND 6,186 PATIENT DAYS FOR THIS SERVICE LINE. 23151617 27396204 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 FY24, MERCY HOSPITAL JEFFERSON HAD 67,450 CASES FOR THIS SERVICE LINE. 20528321 24291956 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 FY24, MERCY HOSPITAL JEFFERSON HAD 5,379 CASES AND 4,847 PATIENT DAYS FOR THIS SERVICE LINE. 141031030 279997 166887468 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: BEHAVIORAL HEALTH; ONCOLOGY; ORTHOPEDICS; PULMONARY; REHABILITATION. 141031030 279997 166887468 211726125 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 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 12 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X SCOTT MARTINEZ 3639331102 1400 US HIGHWAY 61 FESTUS MO 63028 X AMMONS CARL E ERIC REGIONAL PRESIDENT, SOUTHEAST MISSOURI 15.00 40.00 X X 0 945191 114804 BLAIR RSM CHRISTINE BOARD MEMBER 1.00 0.00 X 0 0 0 CARRON RSM SR JUDITH ANN 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 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 601018 21192 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 478171 29033 REUSS DOUG BOARD MEMBER 1.00 0.00 X 0 0 0 RIORDAN MD TRACY PHYSICIAN & BOARD MEMBER 50.00 0.00 X 0 709207 48338 ECKENFELS DANIEL VP FINANCE & CAO 30.00 15.00 X 0 413568 29460 ECKHARDT CHRISTIE VP, CHIEF OPERATIONS COUNSEL & SEC (THRU 10/2023) 1.00 57.00 X 0 324958 17586 WILKE JAMIE ASSOCIATE COUNSEL & SECRETARY (STARTING 11/2023) 2.00 58.00 X 0 223989 12297 BEFFA ALISYN CNO & COO 40.00 0.00 X 0 356791 23131 MEYER MICHELE VP OPERATIONS 40.00 0.00 X 0 358804 24550 AZAD SALEEM PHYSICIAN 50.00 0.00 X 0 618022 12683 BOGACHENCHU SREENIVASULU HOSPITALIST 50.00 0.00 X 0 655392 22166 GADI BHASKARA PHYSICIAN 50.00 0.00 X 0 1002921 28024 SIEGEL CRAIG PHYSICIAN 50.00 0.00 X 0 606722 25725 STAHLSCHMIDT MARK PHYSICIAN 50.00 0.00 X 0 574109 14454 JOHNSTON JEFFREY A FORMER OFFICER 0.00 0.00 X 0 1316754 10821 MATEJKA CHERYL L FORMER OFFICER 0.00 55.00 X 0 1593070 140367 0 10778687 574631 0 1 1 0 ACUITY ANESTHESIOLOGY LLC 1734 CLARKSON RD STE 147 CHESTERFIELD MO 63017 ANESTHESIOLOGY SERVICES 4313750 HEALTHTRUST INC - THE HOSPITAL COMPANY 100 SAWGRASS CORP PKWY 6TH FL SUNRISE FL 33323 LABOR MANAGEMENT SVCS 4112650 IMAGEFIRST OF ST LOUIS PO BOX 778941 CHICAGO IL 60677 HEALTHCARE LINEN SERVICES 902782 L PETER ZHANG MD LLC 38 BRENTMOOR PARK CLAYTON MO 63105 PSYCHIATRIC SERVICES 853827 CRYSTAL OAKS PO BOX 680 CRYSTAL CITY MO 63019 PROFESSIONAL SERVICES (ROOM AND BOARD) 604459 26 430715 2291 433006 NET PATIENT SERVICE REVENUE 621110 247418739 247418739 RENTAL INCOME FROM RELATED ORGANI 531120 2053806 2053806 OTHER OPERATING REVENUE 621110 993172 993172 250465717 18807 18807 494347 183593 310754 310754 310754 CAFE & VENDING 722210 1560992 1560992 77991 77991 1638983 252867267 250543708 0 1890553 200198 200198 79799 79799 108116970 104189874 3927096 3729998 3574469 155529 10591772 10125186 466586 6806634 6534459 272175 30125 30125 11030985 10430389 600596 25770 25770 4576159 3773701 802458 59296 19840 39456 5043285 4709128 334157 290550 248036 42514 1124 1124 11433299 10805361 627938 1291062 347978 943084 DRUGS & MEDICAL EXPENSE 34180974 34180974 SHARED SERVICE FEES 26714091 8815650 17898441 BAD DEBT 10620759 10620759 REPAIRS & MAINTENANCE 2309070 2274377 34693 1120685 795947 324738 238252605 211726125 26526480 0 5214754 5906388 28126379 31366293 2717069 3956245 178026 202588 256023225 122820605 138864959 133202620 53636770 53636771 79079 755928 228817036 229026833 24849488 29349375 99383 112805 421750 404920 25370621 29867100 X 203416651 199131619 29764 28114 203446415 199159733 228817036 229026833 X 14614662 -18901344 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 30125 0 0 0 30125 0 PART II-B, LINE 1: THE FILING ORGANIZATION IS A MEMBER OF AND PAYS DUES TO THE FOLLOWING HOSPITAL ASSOCIATIONS: AMERICAN HOSPITAL ASSOCIATION, CATHOLIC HEALTH ASSOCIATION, AND MISSOURI HOSPITAL ASSOCIATION. FOR THE YEAR ENDED JUNE 30, 2024, DUES WERE $29,026, $22,532, AND $61,773, RESPECTIVELY. APPROXIMATELY 32.00% OF AMERICAN HOSPITAL ASSOCIATION DUES, 3.65% OF CATHOLIC HEALTH ASSOCIATION DUES, AND 32.40% OF MISSOURI HOSPITAL ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED BY THESE ASSOCIATIONS. 4238409 4238409 176192440 61708088 114484352 23037 12929 10108 73285028 58950566 14334462 2284311 2149022 135289 133202620 OTHER LIABILITIES 404920 404920 FORM 990, 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, 2024 OR 2023. 1 1 X 1 X 1 X 1 1 1 0 1 1 4923650 4923650 0.02070 36357225 31489185 4868040 0.02040 41280875 31489185 9791690 0.04110 12 4799 320422 320422 0.00130 2 344447 344447 0.00140 1 7468225 7022037 446188 0.00190 2 985 18527 18527 0.00010 17 5784 8151621 7022037 1129584 0.00470 17 5784 49432496 38511222 10921274 0.04580 1 1268 15647 15647 0.00010 1 136 13550 13550 0.00010 2 1404 29197 29197 0.00020 1 2299245 0 43242458 43189769 52689 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 SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C 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.- 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 AND UNDERINSURED 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 FY24, MERCY HOSPITAL JEFFERSON ALSO ADDED A COMMUNITY HEALTH SUPERVISOR AND FULL-TIME HEALTH EQUITY CHW. - IN FY24, MERCY HOSPITAL JEFFERSON'S CHWS SERVED 2,409 PATIENTS THROUGH 5,889 ENCOUNTERS- MERCY CLINIC SOUTH HEALTH LEADS PROGRAM, WHICH SERVES THE SERVICE AREA OF MERCY HOSPITAL JEFFERSON, SCREENED 51,670 PATIENTS FOR SOCIAL DETERMINANTS OF HEALTH NEEDS IN FY24.- 16.08% SCREENED POSITIVE FOR URGENT NEEDS INCLUDING PRESCRIPTION ASSISTANCE, FOOD PANTRIES, MEDICAL TRANSPORTATION AND CHARITY CARE- 547 NEEDS SUCCESSFULLY MET OR EQUIPPED FOR 496CLIENTS- 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 CONTINUED 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 EDUCATION 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. IN FY24, MERCY HOSPITAL JEFFERSON BECAME A REGIONAL CAMPUS FOR LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE (LECOM), THE NATION'S LARGEST MEDICAL COLLEGE, AND WELCOMED IT'S FIRST COHORT OF MEDICAL STUDENTS. THE MEDICAL STUDENTS WILL COMPLETE THEIR CLINICAL ROTATIONS AT MERCY HOSPITAL JEFFERSON. 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 MEMBERSHIPMERCY HOSPITAL JEFFERSON ALSO PARTICIPATES IN LOCAL COALITION BUILDING AND BOARD MEMBERSHIP FOR THE FOLLOWING AGENCIES: JEFFERSON FOUNDATION BOARD, CRYSTAL OAKS BOARD, ECONOMIC DEVELOPMENT CORPORATION, JEFFERSON COUNTY DRUG PREVENTION COALITION, AND JEFFERSON COUNTY UNHOUSED COALITION. 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. 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, 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, LINES 16A, 16B, & 16C THE FINANCIAL ASSISTANCE POLICY, APPLICATION AND A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY ARE AVAILABLE ONLINE AT HTTPS://WWW.MERCY.NET/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/ 6 1 - MERCY SERVICES CALVARY CHURCH ROAD 1500 CALVARY CHURCH ROAD FESTUS MO 63028 HOSPITAL BASED OUTPATIENT DEPTS: IMAGING SERVICES 2 - MERCY HOME HEALTH AND HOSPICE JEFFERSON 151 INDUSTRIAL DRIVE FESTUS MO 62028 HOSPITAL BASED OUTPATIENT DEPTS: HOSPICE SERVICES, HOME HEALTH SERVICES 3 - MERCY CLINIC IMPERIAL 1250 MAIN STREET IMPERIAL MO 63052 HOSPITAL BASED OUTPATIENT DEPTS: THERAPY SERVICES 4 - MERCY CANCER CENTER JEFFERSON 1350 US HIGHWAY 61 FESTUS MO 62028 HOSPITAL BASED OUTPATIENT DEPTS: CANCER SERVICES 5 - MERCY BEHAVIORAL HEALTH JEFFERSON 1420 US HIGHWAY 61 SOUTH FESTUS MO 62028 HOSPITAL BASED OUTPATIENT DEPTS: BEHAVIORIAL HEALTH SERVICES 6 - MERCY SURGERY CENTER (SHU) 1377 US HIGHWAY 61 SOUTH FESTUS MO 62028 HOSPITAL BASED OUTPATIENT DEPTS: SURGERY SERVICES PART I, LINE 6A: THE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS PREPARED BY ITS ULTIMATE PARENT ENTITY, MERCY HEALTH (EIN: 43-1423050). PART I, LINE 7: TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) ARE $238,252,605. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $10,620,759. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $227,631,846. 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 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- COMPASS (FORMERLY COMTREA)- 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- GET HEALTHY DESOTO- CRYSTAL OAKS NURSING HOME BOARD CHAIR- BEHAVIORAL HEALTH NETWORK ADULT SERVICES IN 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 DRUG EDUCATION CONFERENCE PLANNING COMMITTEE-MERCY JEFFERSON SUICIDE PREVENTION CONFERENCE PLANNING COMMITTEE-JEFFERSON COUNTY UNHOUSED COALITIONEFFORTS 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 DONATIONS MERCY 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.A 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: 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 THAT 100% OF ANY SHORTFALL 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 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 PATIENT 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, SOUTHEAST KANSAS, CAPE GIRARDEU AND STODDARD. THIS PRESUMPTIVE SCREENING PROCESS DETAILS EVALUATIONS THAT TAKE PLACE PRIOR TO PATIENT BILLING AND ADDITIONALLY PRIOR 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/DETERMINANTSHTTPS://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 THESEHEALTH 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 OFTHE 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 WITHREALISTIC, 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 ACCOUNT IS PLACED FOR REVIEW. IN ADDITION, PATIENTS HAVE SIGNAGE ABOUT THE POLICY AT THE ACCESS POINTS, AND ALL STAFF WORKING WITH THE PATIENT AT POINT OF SERVICE, SCHEDULING, CUSTOMER SERVICE, AND EVEN THROUGH THE MEDICAID ELIGIBILITY SCREENING HAVE THE MEANS TO SEND THE ACCOUNT FOR REVIEW. THERE IS THE PLAIN LANGUAGE SUMMARY THAT IS BEING PROVIDED TO ALL WHOM EXPRESS HARDSHIP, IN ADDITION TO THE WEB ADDRESS PROVIDING THE APPLICATION, POLICIES, AND EVEN HOW UNINSURED ACCOUNTS ARE HANDLED. LASTLY, THE STATEMENTS MESSAGE TO THE PATIENT THAT MERCY DOES HAVE A FINANCIAL ASSISTANCE PROGRAM AND TO CALL TO SEE IF THEY ARE ELIGIBLE. MERCY STAFF'S INTERNAL RESOURCES CERTIFIED TO ASSIST PATIENTS WITH MEDICAID APPLICATIONS AS WELL. PART VI, LINE 4: THE PRIMARY SERVICE AREA FOR MERCY HOSPITAL JEFFERSON INCLUDES 30 ZIP CODES ACROSS MISSOURI. THE FOLLOWING INFORMATION IS DERIVED FROM THE ADVISORY BOARD DEMOGRAPHICS AND AHA ANALYTICS. THE AREA'S POPULATION IS 196,101. THE MEDIAN HOUSEHOLD INCOME IS $56,000. 89% OF THE POPULATION IS A HIGH SCHOOL GRAD OR GREATER AND THE MEDIAN AGE IS 38. 20.0% OF THE HOUSEHOLDS ARE ON MEDICARE, 21.6% ON MEDICAID, AND 9.2% 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 ANDFAMILIES 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 FY24 MERCY HEALTH EAST COMMUNITIES FY24 BOARD MEMBERSDON ARNOLD, M.D.JON BAUER, PHDCRAIG BOYD, MDMATUSKCHKA LINDO-BRIGGSAPOLLO CAREYJANICE DENIGANDENNIS GANNONJOHN PORTER, ED. DWINTHROP B. REED, IIICHARLES REHM, M.D.MERCY HOSPITAL JEFFERSON FY24 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, 2024, MERCY FACILITIES INCLUDED 32 ACUTE CARE HOSPITALS, 5 HEART HOSPITALS, 7 REHAB HOSPITALS, 2 CHILDREN'S HOSPITALS, 3 ORTHOPEDIC HOSPITALS, AND 1 VIRTUAL CARE COMMAND CENTER. FOR THE FISCAL YEAR ENDED JUNE 30, 2024, MERCY HAD MORE THAN 11.9 MILLION CLINIC AND OUTPATIENT VISITS, APPROXIMATELY 2,600 EMPLOYED PHYSICIANS, AND APPROXIMATELY 52,000 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. FORM 990, SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: MO 1 MERCY HEALTH FOUNDATION JEFFERSON PO BOX 350 CRYSTAL CITY MO 63019 462797051 501(C)(3) 190198 0 CHARITABLE SUPPORT 1 0 CAR/VAN TRANSPORTATION 359 17931 AMBULANCE TRANSPORTATION 93 46737 GAS CARDS 180 9022 SELF HELP MATERIALS 552 2760 MEMORIALS 4 3349 PART I, LINE 2: DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING USE OF GRANTS 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. HOWEVER, THE GRANTEE IS PART OF MERCY HEALTH AND THEREFORE A RELATED ORGANIZATION TO MERCY HOSPITAL JEFFERSON. LEADERSHIP OF THE HOSPITAL AND THE GRANTEE COMMUNICATE ON HOW FUNDS ARE USED, ALTHOUGH THERE IS NO FORMAL MONITORING PROCESS. WHEN PATIENT CARE STAFF IDENTIFY PATIENTS NEEDING TRANSPORTATION ASSISTANCE, TAXI RIDES, GAS CARDS, OR AMBULANCE TRANSPORTATION ARE PROVIDED TO THE PATIENT, WITH THE HOSPITAL COVERING THE COSTS. THEREFORE, NO FURTHER MONITORING RELATED TO THE USE OF THE FUNDS IS NEEDED. WHEN PATIENT CARE STAFF IDENTIFY PATIENTS NEEDING VARIOUS OTHER ASSISTANCE, SELF HELP MATERIALS, MEMORIALS, AND VARIOUS OTHER SUPPORT IS PROVIDED TO THE PATIENT WITH THE HOSPITAL COVERING THE COSTS. THEREFORE, NO FURTHER MONITORING RELATED TO THE USE OF THE FUNDS IS NEEDED. 1 0 0 0 0 0 0 0 0 MATEJKA CHERYL L FORMER OFFICER 0 710092 0 828245 0 54733 0 125167 0 15200 0 1733437 0 236192 JOHNSTON JEFFREY A FORMER OFFICER 0 0 0 1300000 0 16754 0 10821 0 0 0 1327575 0 0 AMMONS CARL E ERIC REGIONAL PRESIDENT, SOUTHEAST MISSOU 0 352460 0 425134 0 167597 0 99689 0 15115 0 1059995 0 149016 GADI BHASKARA PHYSICIAN 0 864172 0 92939 0 45810 0 8309 0 19715 0 1030945 0 0 RIORDAN MD TRACY PHYSICIAN & BOARD MEMBER 0 584953 0 74315 0 49939 0 28107 0 20231 0 757545 0 0 BOGACHENCHU SREENIVASULU HOSPITALIST 0 552987 0 47583 0 54822 0 6234 0 15932 0 677558 0 0 SIEGEL CRAIG PHYSICIAN 0 507487 0 44431 0 54804 0 16009 0 9716 0 632447 0 0 AZAD SALEEM PHYSICIAN 0 517711 0 77281 0 23030 0 6320 0 6363 0 630705 0 0 IYER MD KARTHIK PHYSICIAN & BOARD MEMBER 0 511405 0 44063 0 45550 0 8597 0 12595 0 622210 0 0 STAHLSCHMIDT MARK PHYSICIAN 0 454462 0 74161 0 45486 0 6863 0 7591 0 588563 0 0 PEYTON MD JACOB PHYSICIAN & BOARD MEMBER 0 412881 0 42321 0 22969 0 9405 0 19628 0 507204 0 0 ECKENFELS DANIEL VP FINANCE & CAO 0 320871 0 58983 0 33714 0 9356 0 20104 0 443028 0 0 MEYER MICHELE VP OPERATIONS 0 207558 0 51034 0 100212 0 9656 0 14894 0 383354 0 0 BEFFA ALISYN CNO & COO 0 279756 0 54078 0 22957 0 3054 0 20077 0 379922 0 0 ECKHARDT CHRISTIE VP, CHIEF OPERATIONS COUNSEL & SEC ( 0 214326 0 71422 0 39210 0 3386 0 14200 0 342544 0 0 WILKE JAMIE ASSOCIATE COUNSEL & SECRETARY (START 0 175315 0 32753 0 15921 0 2183 0 10114 0 236286 0 0 PART I, LINE 3 MERCY HOSPITAL JEFFERSON RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTION 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS. PART I, LINE 4A THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAY FROM A RELATED ORGANIZATION DURING CALENDAR YEAR 2023: JEFF JOHNSTON - $16,754 FORM 990, SCHEDULE J, PART II THE AMOUNTS REPORTED FOR CARL E. AMMONS AND CHERYL MATEJKA 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, QUESTION 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, QUESTION 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, 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 DSCR THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 THE FORM 990 IS PREPARED BY MERCY HEALTH'S TAX DEPARTMENT, 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 AND AN INDEPENDENT ACCOUNTING FIRM, 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, 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, 2024. 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, SECTION B, LINE 15 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, AND ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT. FOR CERTAIN EXECUTIVES AND PHYSICIANS THE COMPENSATION IS REVIEWED/APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF MERCY HEALTH. FOR ALL OTHER CAREGIVERS COMPENSATION IS REVIEWED/APPROVED BY THE TOTAL REWARDS OVERSIGHT COMMITTEE. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS AND REVIEW WAS COMPLETED DURING THE REPORTING YEAR. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST BUT ARE NOT PUBLISHED PUBLICLY. FORM 990, PART VII, SECTION A FORMER EMPLOYEE COMPENSATION IS REPORTED FOR THE CALENDAR YEAR ENDING WITHIN THE ORGANIZATION'S FISCAL YEAR WHILE AVERAGE HOURS ARE BASED ON THE FISCAL YEAR PERIOD FROM JULY 1, 2023 THROUGH JUNE 30, 2024. FORM 990, PART XI, LINE 9: TRANSFERS (TO)/FROM AFFILIATES -18,899,696. CHANGE IN RESTRICTED NET ASSETS -1,650. ROUNDING 2. FORM 990, PART XII, QUESTION 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 2024 (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, QUESTION 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, 2024 BY DECEMBER 13, 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, 2024, IT WILL BE INCLUDED ON THE MERCY HEALTH CONSOLIDATED SEFA, AND THEREFORE, ALSO INCLUDED IN THE POPULATION INCLUDED IN THE AUDIT. JEFFERSON REGIONAL OUTPATIENT FACILITIES LLC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 272196402 URGENT CARE AND OUTPATIENT FACILTIES MO 0 0 MERCY HOSPITAL JEFFERSON MERCY CLINIC ADULT HOSPITALISTS - JEFFERSON LLC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 462913068 MANAGED CARE CONTRACTING MO 11352253 497519 MERCY HOSPITAL JEFFERSON MERCY LABS JEFFERSON LLC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 463478362 LABORATORY SERVICES MO 131340 0 MERCY HOSPITAL JEFFERSON CASA DE MISERICORDIA 1000 MIER ST LAREDO TX 78040 742912461 WOMEN'S DOMESTIC VIOLENCE SHELTER TX 501(C)(3) LINE 7 MERCY MINISTRIES OF LAREDO 1 MCAULEY PORTFOLIO MANAGEMENT COMPANY 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 261708048 PORTFOLIO MANAGEMENT. MO 501(C)(3) LINE 12B, II MERCY HEALTH 1 MERCY ACO CLINICAL SERVICES INC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 464504901 VIRTUAL CARE CENTER MO 501(C)(3) LINE 3 MERCY HEALTH 1 MERCY CLINIC EAST COMMUNITIES 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 431771217 PHYSICIAN GROUP MO 501(C)(3) LINE 10 MERCY HEALTH EAST COMMUNITIES 1 MERCY CLINIC FORT SMITH COMMUNITIES 7301 ROGERS AVENUE FORT SMITH AR 72903 261318597 PHYSICIAN CLINIC AR 501(C)(3) LINE 3 MERCY HEALTH FORT SMITH COMMUNITIES 1 MERCY CLINIC OKLAHOMA COMMUNITIES INC 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 270473057 PHYSICIAN GROUP OK 501(C)(3) LINE 3 MERCY HEALTH OKLAHOMA COMMUNITIES INC 1 MERCY CLINIC SPRINGFIELD COMMUNITIES 1965 S FREMONT SUITE 200 SPRINGFIELD MO 65804 431560263 PHYSICIAN GROUP MO 501(C)(3) LINE 3 MERCY HEALTH SPRINGFIELD COMMUNITIES 1 MERCY FAMILY CENTER 110 VETERANS BLVD METAIRIE LA 70005 721069468 FAMILY COUNSELING SERVICE LA 501(C)(3) LINE 7 MERCY HEALTH 1 MERCY HEALTH 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 431423050 CORPORATE OFFICE MO 501(C)(3) LINE 1 N/A 0 MERCY HEALTH EAST COMMUNITIES 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 431718408 HEALTH SYSTEM MO 501(C)(3) LINE 12A, I MERCY HEALTH 1 MERCY HEALTH FORT SMITH COMMUNITIES 7301 ROGERS AVENUE FORT SMITH AR 72917 261318515 HOLDING COMPANY AR 501(C)(3) LINE 12B, II MERCY HEALTH 1 MERCY HEALTH FOUNDATION 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 200901499 FOUNDATION MO 501(C)(3) LINE 12B, II MERCY HEALTH 1 MERCY HEALTH FOUNDATION ADA 430 N MONTE VISTA STREET ADA OK 74820 463596274 FOUNDATION OK 501(C)(3) LINE 12A, I MERCY HOSPITAL ADA INC 1 MERCY HEALTH FOUNDATION ARDMORE 1011 14TH AVENUE NW ARDMORE OK 73401 710962525 FOUNDATION OK 501(C)(3) LINE 12A, I MERCY HOSPITAL ARDMORE INC 1 MERCY HEALTH FOUNDATION BERRYVILLE 214 CARTER STREET BERRYVILLE AR 72616 710759301 FOUNDATION AR 501(C)(3) LINE 12A, I MERCY HOSPITAL BERRYVILLE 1 MERCY HEALTH FOUNDATION FORT SCOTT 401 WOODLAND HILLS BLVD FORT SCOTT KS 66701 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MERCY HEALTH EAST COMMUNITIES Q 118911906 FMV MERCY HEALTH FOUNDATION JEFFERSON C 430715 FMV MERCY HOSPITALS EAST COMMUNITIES P 369596 FMV MERCY HOSPITAL PERRY Q 243970 FMV MERCY HEALTH FOUNDATION JEFFERSON B 190198 FMV MERCY HOSPITAL ARDMORE P 95508 FMV FORM 990, 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. FORM 990, 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.