2025-05-13T08:50:40-05:00 2024-06-30 562632458 PLEUS AND COMPANY LLC 2200 WEST PORT PLAZA DR STE 203 ST LOUIS MO 63146 990 2023-07-01 430980256 MERCY HOSPITAL SOUTH MERC 3145251000 10010 KENNERLY ROAD ST LOUIS MO 63128 TYLER STURGEON CHIEF FINANCIAL OFFICER 3145251000 2025-05-13 1 1 DOUGLAS G PLEUS CPA P00013488 3143178900 2023 2025-03-06 01:10:19Z SEAN HOGAN 10010 KENNERLY ROAD ST LOUIS MO 63128 664030567 0 0928 X WWW.MERCY.NET X 1971 MO AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. 10 8 0 118 0 0 17093618 3954882 582799054 646667344 18405681 3611277 6903613 7028663 625201966 661262166 1673489 2105972 0 0 291623828 323892531 0 0 0 291598405 282914893 584895722 608913396 40306244 52348770 505550321 515834000 21260210 40270564 484290111 475563436 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 91249860 108368420 MERCY HOSPITAL SOUTH 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 SOUTH PROVIDES A WIDE VARIETY OF SERVICES IN THEIR 600 BED FACILITY AND IN FY24, HAD 412,138 TOTAL CASES. MERCY HOSPITAL SOUTH 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 SOUTH ALSO PROVIDES A FULL COMPLEMENT OF CARDIAC REHABILITATION, THERAPY AND EDUCATION SERVICES. IN FY24, MERCY HOSPITAL SOUTH HAD 40,153 CASES AND 17,185 PATIENT DAYS FOR THIS SERVICE LINE. 51336929 60967786 MERCY HOSPITAL SOUTH USES THE LATEST TECHNOLOGY AND RESEARCH TO FIND ANSWERS FOR THE MANY DISEASES AND CONDITIONS THAT AFFECT THE BRAIN AND ITS ABILITY TO CONTROL THE BODY. MERCY HOSPITAL SOUTH OFFERS THE HIGHEST LEVEL OF NEUROLOGICAL TREATMENT WITH THE PERSONAL ATTENTION, CARE AND RESPECT YOU DESERVE. MERCY'S TEAM OF NEUROSURGEONS DIAGNOSE AND TREAT DISORDERS OF THE ENTIRE NERVOUS SYSTEM, INCLUDING THE BRAIN, SPINAL CORD, SPINAL COLUMN, SKULL AND PERIPHERAL NERVES. IN FY24, MERCY HOSPITAL SOUTH HAD 14,236 CASES AND 14,763 PATIENT DAYS FOR THIS SERVICE LINE. 50756238 60278157 MERCY HOSPITAL SOUTH'S ORTHOPEDIC PHYSICIANS SHARE A PASSION FOR PROTECTING AND PRESERVING YOUR MOBILITY AND STRENGTH AND CAN CARE FOR NEARLY ANY MEDICAL CONDITION OR INJURY THAT AFFECTS THE MUSCULOSKELETAL SYSTEM. MERCY'S ORTHOPEDIC SPECIALISTS AND SURGEONS TREAT EVERYTHING FROM ACHY JOINTS AND SPORTS INJURIES TO HAND INJURIES AND TRAUMA. IN FY24, MERCY HOSPITAL SOUTH HAD 5,940 CASES AND 10,910 PATIENT DAYS FOR THIS SERVICE LINE. 352175238 2105972 418243649 IN ADDITION TO THE PROGRAM SERVICES DESCRIBED ABOVE, MERCY HOSPITAL SOUTH ALSO SERVES PATIENTS IN ADDITIONAL SERVICE LINES, INCLUDING BUT NOT LIMITED TO THE FOLLOWING AREAS: BEHAVIORAL HEALTH; EMERGENCY ROOM; GASTROENTEROLOGY; ONCOLOGY; PULMONARY. 352175238 2105972 418243649 545518265 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 1 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 10 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X TYLER STURGEON 3145251930 10010 KENNERLY ROAD ST LOUIS MO 63128 X HOGAN SEAN JOSEPH PRESIDENT 45.00 10.00 X X 0 919199 93522 BIPPEN DANIEL BOARD MEMBER & SECRETARY 1.00 0.00 X 0 0 0 CAREY CHARLES PHYSICIAN & BM 50.00 0.00 X 0 1057226 26445 EVANS RSM SR GAYLE BOARD MEMBER 1.00 1.00 X 0 0 0 GRAHAM MARY BOARD MEMBER 1.00 0.00 X 0 0 0 HUGO JUSTIN H PHYSICIAN & BM 1.00 0.00 X 0 0 0 MAYHALL RICHARD A BOARD MEMBER & 1ST VICE CHAIR 1.00 0.00 X 0 0 0 MERLOTTI MARK BOARD MEMBER 1.00 0.00 X 0 0 0 MOORE ELAINE BOARD MEMBER 1.00 0.00 X 0 0 0 POWERS JAMES G BOARD MEMBER & 2ND VICE CHAIR 1.00 0.00 X 0 0 0 REED III WINTHROP B BOARD MEMBER & 1ST CHAIRMAN 1.00 0.00 X 0 0 0 BOYER DO JOSEPH MEDICAL CHIEF OF STAFF AND BM 50.00 0.00 X 0 439161 27531 STURGEON TYLER CHIEF FINANCIAL OFFICER 40.00 10.00 X 0 423701 28426 CALCARA DAVID PHYSICIAN 50.00 0.00 X 0 551666 10891 NAST JOSHUA PHYSICIAN 0.00 0.00 X 0 597133 22682 SCODARY DANIEL PHYSICIAN 0.00 0.00 X 0 530800 0 SHARMA POOJA PHYSICIAN 0.00 0.00 X 0 537725 6512 SUK WILLIAM PHYSICIAN 0.00 0.00 X 0 527401 25708 ECKENFELS DANIEL FORMER OFFICER 0.00 60.00 X 0 413568 29460 MATEJKA CHERYL L FORMER OFFICER 0.00 55.00 X 0 1593070 140367 AKHTAR AAMINA FORMER KEY EMPLOYEE 30.00 30.00 X 0 579749 4516 ELLIS CAROL FORMER KEY EMPLOYEE 40.00 10.00 X 0 326761 18247 JOHNSTON JEFFREY A FORMER KEY EMPLOYEE 0.00 0.00 X 0 1316754 10821 MONTEZ KADI FORMER KEY EMPLOYEE 30.00 30.00 X 0 293522 27357 TRULOVE RON FORMER KEY EMPLOYEE 0.00 0.00 X 0 478574 38851 0 10586010 511336 0 1 1 0 OGRADY-PEYTON INTERNATIONAL USA INC 12400 HIGH BLUFF DR STE 100 SAN DIEGO CA 92130 LABOR MANAGEMENT SOLUTIONS 19294348 HEALTHTRUST INC - THE HOSPITAL COMPANY 100 SAWGRASS CORP PKWY 6TH FL SUNRISE FL 33323 LABOR MANAGEMENT SVCS 14715357 SOUTH COUNTY ANESTHESIA ASSOCIATES LTD PO BOX 22407 ST LOUIS MO 63126 ANESTHESIOLOGY SERVICES 8729254 MUSICK CONSTRUCTION CO 254 HANLEY INDUSTRIAL COURT ST LOUIS MO 63144 CONSTRUCTION AND DESIGN SERVICES 5564893 IMAGEFIRST OF ST LOUIS PO BOX 778941 CHICAGO IL 60677 HEALTHCARE LINEN SERVICES 2555285 74 X 3819632 127250 8000 3954882 NET PATIENT SERVICE REVENUE 621110 620157916 620157916 OTHER OPERATING REVENUE 621110 16159508 16159508 RENTAL INCOME FROM RELATED ORGANI 531120 10346670 10346670 MANAGEMENT FEES 531120 3250 3250 646667344 3739528 3739528 5267154 2635150 2632004 2632004 2632004 5000 133251 -128251 -128251 -128251 CAFE & VENDING 721000 3205991 3205991 TUITION INCOME 621110 946343 946343 REGISTRATION FEES INCOME 621110 244325 244325 4396659 661262166 647858012 0 9449272 1308083 1308083 797889 797889 455209 440595 14614 276201951 267531142 8670809 8645043 8303269 341774 22240044 21299792 940252 16350284 15708603 641681 164796 164796 49091 49091 23021091 21410614 1610477 23999 6270 17729 9066349 7823226 1243123 94128 86852 7276 16354208 14597605 1756603 263860 195861 67999 956 956 25570143 22950067 2620076 2445612 926366 1519246 DRUGS & MEDICAL EXPENSE 116553351 116553351 SHARED SERVICE FEES 62809256 20727054 42082202 BAD DEBT 18255937 18255937 REPAIRS & MAINTENANCE 7160747 6594733 566014 1081369 1081369 608913396 545518265 63395131 0 14397226 15281172 65899814 83473817 8576304 9202168 18625192 1596866 495694537 209880882 293320203 285813655 104731582 120466322 505550321 515834000 19282622 38229277 482252 545951 1495336 1495336 21260210 40270564 X 484290111 475563436 484290111 475563436 505550321 515834000 X 52348770 -61075445 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 49091 0 0 0 49091 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 $50,203, $67,898, AND $94,283, 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. 17241943 17241943 285044347 73314316 211730031 800608 598371 202237 191641572 135429114 56212458 966067 539081 426986 285813655 OTHER ASSETS 16953653 DUE FROM TAX EXEMPT AFFILIATES 103512669 120466322 OTHER LIABILITIES 1495336 1495336 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 9514030 9514030 0.01560 69445967 51091477 18354490 0.03010 78959997 51091477 27868520 0.04570 15 14995 430211 990 429221 0.00070 3 1791177 1791177 0.00290 1 20789242 20209628 579614 0.00100 2 1246 125451 125451 0.00020 21 16241 23136081 20210618 2925463 0.00480 21 16241 102096078 71302095 30793983 0.05050 1 4655752 0 110068060 111048058 -979998 X 1 1 2 1 MERCY HOSPITAL SOUTH 10010 KENNERLY ROAD ST LOUIS MO 63128 WWW.MERCY.NET 273-39 X X X A 2 MERCY REHABILTATION HOSPITAL SOUTH 10114 KENNERLY ROAD ST LOUIS MO 63128 WWW.MERCY.NET 570 X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X X 21 1 1 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 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: MERCY HOSPITAL SOUTH, - FACILITY 2: MERCY REHABILTATION HOSPITAL SOUTH FACILITY REPORTING GROUP - A 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. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5: BEGINNING IN EARLY 2017, MERCY HOSPITAL SOUTH (FORMERLY ST. ANTHONY'S) AND MERCY HOSPITAL ST. LOUIS JOINED THE ST. LOUIS PARTNERSHIP FOR A HEALTHY COMMUNITY (STLPHC) WHICH IS COMPRISED OF A BROAD RANGE OF STAKEHOLDERS FROM WITHIN THE PUBLIC HEALTH SYSTEM AND INDIVIDUAL ADVOCATES WHO SUBSCRIBE TO A COMPREHENSIVE DEFINITION OF HEALTH. THE MEMBERSHIP OF STLPHC IS INTENDED TO REPRESENT THE WIDE RANGE OF ENTITIES THAT IMPACT HEALTH IN THE ST. LOUIS REGION: IT INCLUDES BOTH THE CITY OF ST. LOUIS DEPARTMENT OF HEALTH AND THE ST. LOUIS COUNTY DEPARTMENT OFHEALTH, AREA HOSPITAL SYSTEMS, GOVERNMENT AGENCIES/DEPARTMENTS, COORDINATED CARE ORGANIZATIONS, COMMUNITY-BASED ORGANIZATIONS, ACADEMIC INSTITUTIONS, AND BUSINESS PARTNERS IN THE CITY OF ST. LOUIS AND ST. LOUIS COUNTY.PARTNERING ON A NEEDS ASSESSMENT AND JOINING THE MEMBERSHIP OF THE STLPHC GAVE MERCY A CHANCE TO ALIGN EFFORTS WITH COMMUNITY PARTNERS WITH THE GOAL TO ELIMINATE DUPLICATION, PRIORITIZE NEEDS AND ENABLE COLLABORATIVE EFFORTS. THE RESULTING NEEDS ASSESSMENT REMAINED A LARGE PART OF ESTABLISHING PRIORITIES SET BY MERCY HOSPITAL SOUTH AND ITS GOVERNING COMMUNITY HEALTH COUNCIL. IN ADDITION, MERCY HOSPITAL SOUTH COLLABORATED WITH BJC HEALTHCARE, MERCY HOSPITAL ST. LOUIS, MISSOURI BAPTIST HOSPITAL, SHINERS HOSPITAL FOR CHILDREN (ST. LOUIS), SSM HEALTH, ST. LUKE'S HOSPITAL AND ST. LUKE'S DES PERES TO WORK TOGETHER ON A STAKEHOLDER AND COMMUNITY SURVEY. THE INTENT WAS TO SOLICIT INPUT FROM THOSE WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL, THOSE WHO HAVE A SPECIAL KNOWLEDGE AND EXPERTISE IN THE AREA OF PUBLIC HEALTH AND UNDERSERVED POPULATIONS, AS WELL AS COMMUNITY MEMBERS WHO ARE MARGINALIZED AND UNDERSERVED. THE FIRST SURVEY WAS A COMMUNITY-WIDE SURVEY DISTRIBUTED BROADLY THROUGHOUT THE ST. LOUIS METROPOLITAN REGION TO REACH ALL COMMUNITY MEMBERS FROM APRIL TO JUNE OF 2021. THE SURVEY TOOK TEN MINUTES TO COMPLETE AND CONTAINED 39 QUESTIONS ABOUT HEALTH CHALLENGES, ACCESS TO HEALTHCARE, AND SOCIAL DETERMINANT OF HEALTH INCLUDING FINANCIAL STATUS, NEIGHBORHOOD ENVIRONMENT AND SOCIAL SUPPORT NETWORKS. THE SECOND, A STAKEHOLDER SURVEY, WAS SENT TO KEY LEADERS OF ESSENTIAL COMMUNITY ORGANIZATIONS THAT REPRESENT THE NEEDSOF THE COMMUNITY. BOTH SURVEY TOOLS COULD BE ACCESSED THROUGH A UNIQUE URL OR A QR CODE USING A MOBILE DEVICE.MERCY HOSPITAL SOUTH (MHS) ALSO PARTNERED WITH MERCY HOSPITAL ST. LOUIS (MHSL) TO CONDUCT A STAKEHOLDER FOCUS GROUP WITH MEMBERS OF MEACHAM PARK, A NEIGHBORHOOD LOCATED IN KIRKWOOD. THE FOCUS GROUP CONSISTED OF ATTENDEES WHO REPRESENTED THE BROAD INTERESTS OF THE MEACHAM PARK COMMUNITY, AS WELL AS THOSE WHO HAVE SPECIAL KNOWLEDGE OF UNDERSERVED POPULATIONS. THE ST. LOUIS REGIONAL COMMUNITY HEALTH ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN, THE STAKEHOLDER AND COMMUNITY SURVEY WERE DONE WITH HOSPITAL PARTNERS AND THE FOCUS GROUPS HELPED TO IDENTIFY AND PRIORITIZE HEALTH PROBLEMS AND RISK FACTORS IN THE MERCY HOSPITAL SOUTH SERVICE AREA. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A: MERCY HOSPITAL SOUTH COLLABORATED WITH BJC HEALTHCARE, MERCY HOSPITAL ST. LOUIS, MISSOURI BAPTIST HOSPITAL, SHRINERS HOSPITAL FOR CHILDREN (ST. LOUIS), SSM HEALTH, ST. LUKE'S HOSPITAL AND ST. LUKE'S DES PERES. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6B: VARIOUS COMMUNITY ORGANIZATIONS COLLABORATE WITH MERCY HOSPITAL SOUTH TO IMPROVE COMMUNITY HEALTH, EXPAND ACCESS TO HEALTH CARE OR IN OTHER WAYS BENEFIT THE COMMUNITY. MERCY HOSPITAL SOUTH WORKS IN COLLABORATION WITH THE FOLLOWING GROUPS: ST. LOUIS COUNTY DEPARTMENT OF HEALTH, ST. LOUIS CITY DEPARTMENT OF HEALTH, LOCAL SCHOOL DISTRICTS SUCH AS AFFTON, KIRKWOOD, LINDBERGH, MEHLVILLE AND HANCOCK, BARNES JEWISH WEST COUNTY HOSPITAL, MISSOURI BAPTIST MEDICAL CENTER, ST. LUKE'S HOSPITAL, ST. LUKE'S DES PERES HOSPITAL, MERCY HOSPITAL ST. LOUIS, HOSPICE AGENCIES, ST. LOUIS ASSOCIATION OF DIABETES EDUCATORS, LOCAL COLLEGE AND UNIVERSITIES, AMERICAN HEART ASSOCIATION, UNITED WAY, AMERICAN CANCER SOCIETY, AMERICAN LUNG ASSOCIATION, YMCA OF ST. LOUIS, BEHAVIORAL HEALTH SUPPORT GROUPS, CHAMBER OF COMMERCE ORGANIZATIONS, INTEGRATED HEALTH NETWORK, INSTITUTE FOR FAMILY MEDICINE, BEHAVIORAL HEALTH NETWORK, REGIONAL HEALTH COMMISSION AND MANY SOCIAL SERVICE AGENCIES THAT ASSIST OUR PATIENTS AND COMMUNITY. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11: THE MERCY HOSPITAL SOUTH COMMUNITY HEALTH COUNCIL, LED BY COMMUNITY HEALTH AND ACCESS DIRECTOR LAURA BUB, MPH, ESTABLISHED THE HEALTH PRIORITIES. SIX IDENTIFIED HEALTH NEEDS EMERGE DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS OF ANALYZING PRIMARY AND SECONDARY DATA. NEEDS WERE IDENTIFIED AS THEY REPEATEDLY RANKED HIGH ON THE COMMUNITY AND STAKEHOLDER SURVEY AND AS DISCUSSED IN THE FOCUS GROUP SESSION. THE IDENTIFIED NEEDS THAT RANKED HIGH IN THE DATA COLLECTION WERE ACCESS TO CARE, TRANSPORTATION, BEHAVIORAL HEALTH, COVID-19, SUBSTANCE ABUSE AND OBESITY/DIABETES. THE COMMUNITY HEALTH COUNCIL AT MERCY HOSPITAL SOUTH MET IN APRIL OF 2022 TO PRIORITIZE THE SIX HEALTH NEEDS AFTER REVIEWING THE DATA COLLECTED FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. SPECIAL CONSIDERATION WAS TAKEN WHEN NARROWING DOWN THE HEALTH NEEDS THAT AROSE DURING THE ASSESSMENT PROCESS. THE COUNCIL CONSIDERED THE RESOURCES AVAILABLE TO MHS AND COMMUNITY PARTNERS, MERCY'S OVERALL STRATEGIC PLAN AND THE ABILITY TO MAKE AN IMPACT IN THE COMMUNITY.A NOMINAL GROUP TECHNIQUE WAS USED TO RANK THE SIX FINAL HEALTH PRIORITY HEALTH NEEDS. EACH MEMBER OF THE COMMUNITY HEALTH COUNCIL RANKED THE NEEDS ACCORDING TO FIVE CRITERIA:1) MAGNITUDE OF NEED,2) FEASIBILITY TO CHANGE, 3) ALIGNMENT WITH MISSION/STRATEGIC GOALS, 4) RESOURCES AVAILABLE, AND 5) IMPORTANCE TO COMMUNITY. SCORES WERE TOTALED FOR ALL PARTICIPANTS.BASED ON THE FINDINGS OF ITS MOST RECENTLY CONDUCTED CHNA, MERCY HOSPITAL SOUTH HAS CHOSEN TO ADDRESS THE FOLLOWING THREE SIGNIFICANT HEALTH NEEDS:- ACCESS TO CARE- BEHAVIORAL HEALTH/SUBSTANCE USE- DIABETESIN ANY CASE OF PRIORITIZATION, THERE WILL BE SOME AREAS OF NEED THAT ARE IDENTIFIED THAT ARE NOT CHOSEN AS A PRIORITY. BECAUSE MERCY HOSPITAL SOUTH HAS LIMITED RESOURCES, NOT EVERY COMMUNITY NEED WILL BE ADDRESSED.THROUGHOUT THE CHNA PROCESS, THE FOLLOWING NEEDS AROUSE AS A COMMUNITY CONCERN. HOWEVER, THEY WILL NOT BE DIRECTLY ADDRESSED AT THIS TIME DUE TO THE NEED ALREADY BE ADDRESSED BY ANOTHER INITIATIVE OR ORGANIZATION OR DUE TO A LIMITATION OF RESOURCES.- COVID-19- TRANSPORTATIONWHILE THESE NEEDS LISTED WILL NOT BE SPECIFICALLY ADDRESSED AS AN ACTUAL IDENTIFIED PRIORITY, THEY WILL MOST LIKELY BE IMPACTED INDIRECTLY THROUGH THE WORK OF OUR OTHER IDENTIFIED PRIORITIES. FACILITY REPORTING GROUP - A 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/ST-LOUIS-SOUTH-CHNA-2022.PDF FORM 990, SCHEDULE H, PART V, SECTION B, LINE 10A HTTPS://WWW.MERCY.NET/CONTENT/DAM/MERCY/EN/PDF/CHIP/MERCY-SOUTH-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/ 9 1 - ST ANTHONYS MEDICAL PLAZA 12700 SOUTHFORK ROAD ST LOUIS MO 63128 IMAGING,LAB,BREAST CENTER AND WOUND CARE SVCS 2 - ST ANTHONYS SPORTS AND THERAPY 9964 KENNERLY ROAD ST LOUIS MO 63128 OUTPATIENT THERAPY 3 - MERCY SOUTH HOME CARE 9735 LANDMARK PARKWAY ST LOUIS MO 63127 HOSPITAL OUTPATIENT DEPTS: HOME CARE 4 - MERCY DE GREEF HOSPICE HOUSE 10024 KENNERLY ROAD ST LOUIS MO 63128 HOSPITAL OUTPATIENT DEPTS: HOSPICE HOUSE 5 - MERCY IMAGING SERVICES 7345 WATSON ROAD ST LOUIS MO 63119 IMAGING 6 - MERCY CLINIC ELECTROPHYSIOLOGY 1001 S KIRKWOOD ROAD ST LOUIS MO 63122 CARDIAC TESTING/IMAGING 7 - DAVID M SINDELAR CANCER CENTER 10050 KENNERLY ROAD ST LOUIS MO 63128 CANCER CENTER 8 - HYLAND BEHAVIORAL HEALTH 10018 KENNERLY ROAD ST LOUIS MO 63128 BEHAVIORAL HEALTH 9 - MERCY OUTPATIENT SURGERY CENTER 12345 WEST BEND DRIVE ST LOUIS MO 63128 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 $608,913,396. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $18,255,937. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $590,657,459. 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 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: MERCY HOSPITAL SOUTH COMMUNITY HEALTH TEAM IS CONSTANTLY ASSESSING THE NEEDS OF OUR COMMUNITY THROUGH ONGOING COMMUNITY PARTNERSHIPS THAT ALIGN WITH THE PRIORITIZED NEEDS OF OUR COMMUNITY. OUR EFFORTS - WHILE OUTLINED, GOAL-ORIENTED AND EVIDENCE-BASED - ARE CONSTANTLY ADJUSTING BASED ON THE CURRENT STATE OF OUR COMMUNITY AND ARE GEARED TOWARDS COMMUNITY BUILDING ACTIVITIES THAT PROMOTE THE HEALTH, WELLNESS, AND SAFETY THOSE WE SERVE. THROUGH ACTIVE PARTICIPATION ON COMMUNITY BOARDS, NEIGHBORHOOD/COMMUNITYCOALITIONS, AND INVOLVEMENT IN COMMUNITY-BASED EVENTS, MERCY HEARS THE VOICE OF THE COMMUNITY AND IS ABLE TO BUILD PARTNERSHIPS TO DEVELOP COLLABORATIVE SOLUTIONS TO ADDRESS COMMUNITY NEEDS. VARIOUS COMMUNITY ORGANIZATIONS COLLABORATE WITH MERCY HOSPITAL SOUTH TO IMPROVE COMMUNITY HEALTH, EXPAND ACCESS TO HEALTH CARE OR IN OTHER WAYS BENEFIT THE COMMUNITY. MERCY HOSPITAL SOUTH WORKS IN COLLABORATION WITH THE FOLLOWING GROUPS: ST. LOUIS COUNTY DEPARTMENT OF HEALTH, ST. LOUIS CITY DEPARTMENT OF HEALTH, LOCAL SCHOOL DISTRICTS SUCH AS AFFTON, KIRKWOOD, LINDBERGH, MEHLVILLE AND HANCOCK, BARNES JEWISH WEST COUNTY HOSPITAL, MISSOURI BAPTIST MEDICAL CENTER, ST. LUKE'S HOSPITAL, ST. LUKE'S DES PERES HOSPITAL, MERCY HOSPITAL ST. LOUIS, HOSPICE AGENCIES, ST. LOUIS ASSOCIATION OF DIABETES EDUCATORS, LOCAL COLLEGE AND UNIVERSITIES, AMERICAN HEART ASSOCIATION, UNITED WAY, AMERICAN CANCER SOCIETY, AMERICAN LUNG ASSOCIATION, YMCA OF ST. LOUIS, BEHAVIORAL HEALTH SUPPORT GROUPS, CHAMBER OF COMMERCE ORGANIZATIONS, INTEGRATED HEALTH NETWORK, INSTITUTE FOR FAMILY MEDICINE, BEHAVIORAL HEALTH NETWORK, REGIONAL HEALTH COMMISSION AND MANY SOCIAL SERVICE AGENCIES THAT ASSIST OUR PATIENTS AND COMMUNITY. 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 SOUTH INCLUDES 26 ZIP CODES ACROSS MISSOURI AND ILLINOIS. THE FOLLOWING INFORMATION IS DERIVED FROM THE ADVISORY BOARD DEMOGRAPHICS AND AHA ANALYTICS. THE AREA'S POPULATION IS 554,803. THE MEDIAN HOUSEHOLD INCOME IS $80,000. 93% OF THE POPULATION IS A HIGH SCHOOL GRAD OR GREATER AND THE MEDIAN AGE IS 38. 22.2% OF THE HOUSEHOLDS ARE ON MEDICARE, 16.5% ON MEDICAID, AND 7.1% UNINSURED. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHMERCY 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.MERCY HOSPITAL SOUTH OPERATES AN EMERGENCY ROOM THAT ACCEPTS ALL PERSONS WHO ARE IN NEED OF MEDICAL ATTENTION REGARDLESS OF THEIR ABILITY TO PAY. MERCY HOSPITAL SOUTH HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA AND WORK IN COOPERATION WITH LOCAL UNIVERSITIES AND HEALTH CARE ORGANIZATIONS TO ADVANCE THE SCIENCE OF MEDICINE BY PROVIDING A CLINICAL SETTING WHERE INNOVATIVE TREATMENTS AND NEW THERAPEUTIC PROTOCOLS CAN BE DEVELOPED AND STUDIED. MERCY HOSPITAL SOUTH ENGAGES IN THE TRAINING AND EDUCATING OF HEALTH CARE PROFESSIONALS BY TEAMING UP WITH LOCAL COMMUNITY COLLEGES AND UNIVERSITIES TO PROVIDE A CLINICAL SETTING FOR HEALTH CARE STUDENTS. IN KEEPING WITH THE COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITY, MERCY HOSPITAL SOUTH PROVIDES:- FREE CARE AND/OR SUBSIDIZED CARE- CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST- HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY - HEALTH EDUCATION PROGRAMS, AND- A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIESNUMEROUS COLLECTION DRIVES BY CO-WORKERS ARE HELD THROUGHOUT THE YEAR AND THE ITEMS, SUCH AS FOOD, CLOTHING, PERSONAL CARE ITEMS, GAS CARDS, SCHOOL SUPPLIES AND OTHER CRITICAL ITEMS ARE DONATED TO NON-PROFIT AGENCIES TODISTRIBUTE TO THEIR CLIENTS 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 SOUTH FY24 BOARD MEMBERSDANIEL F BIPPINCHARLES F. CAREY, MDSR. GAYLE EVANSMARY V. GRAHAM, M.D.SEAN J. HOGANJUSTIN HUGO, MDRICHARD MAYHALLELAINE MOOREMARK MERLOTTIJAMES G. POWERSWINTHROP REED IIIJOSEPH BOYERUSE OF SURPLUS FUNDS SURPLUS FUNDS AND UNRESTRICTED ASSETS HELD BY MERCY HOSPITAL SOUTH (MHS) ARE REINVESTED IN PATIENT CARE, MEDICAL EDUCATION, AND RESEARCH INITIATIVES WHICH SUPPORT THE ORGANIZATION'S MISSION TO DELIVER COMPASSIONATE CARE AND EXCEPTIONAL HEALTH CARE SERVICES TO THE COMMUNITIES IT SERVES. EXAMPLES INCLUDE THE FOLLOWING:- CONTINUED PARTNERING WITH AREA EDUCATION PROGRAMS TO HELP PROMOTE THE TRAINING OF CRITICALLY NEEDED SERVICES FOR THE COMMUNITY INCLUDING SCHOOLS OF NURSING, RADIOLOGY, AND PHARMACY.- WALK-IN ORTHOPEDIC CLINIC ADDED TO SOUTHFORK BUILDING AUGUST 2023.- EXPANDED CAPACITY TO SERVE PATIENTS WITH 3T MRI, WHICH IS THE FASTEST DIAGNOSTIC TECHNOLOGY AVAILABLE APRIL 2024.- APRIL 2024 RESPIRATORY SYNCHRONY ADDED TO AID IN MORE PRECISE TREATMENT WITH FEWER SIDE EFFECTS.- CARDIOVASCULAR CLINIC RENOVATION BEGAN APRIL 2024 TO BETTER SERVE PATIENTS.- THERAPY SERVICES ADDED TO SOUTH SERVICE AREA TO BRING MORE SERVICES IN ONE LOCATION TO MEET PATIENTS WHERE THEY ARE (SOUTHWEST MEDICAL CENTER ALSO INCLUDES IMAGING, LAB, ADULT PRIMARY, PEDIATRICS, OBGYN, AND CARDIOVASCULAR SERVICES).- CARDIOPULMONARY REHABILITATION GYM RENOVATED FOR PATIENTS RECOVERING FROM HEART AND LUNG CONDITIONS WHICH ALSO INCLUDES SPACE FOR EDUCATION IN APRIL 2024. 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 SOUTH 10010 KENNERLY ROAD ST LOUIS MO 63128 261516789 501(C)(3) 1178258 0 CHARITABLE SUPPORT YMCA 2815 SCOTT AVENUE SUITE D ST LOUIS MO 63103 430653616 501(C)(3) 75000 0 CHARITABLE SUPPORT OFFICE OF WORSHIP ACCHDIOC STL 20 ARCHBISHOP MAY DR ST LOUIS MO 63119 430653244 501(C)(3) 26375 0 CHARITABLE SUPPORT AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)(3) 10000 0 CHARITABLE SUPPORT MERCY HEALTH FOUNDATION ST LOUIS 615 S NEW BALLAS RD ST LOUIS MO 63141 562410020 501(C)(3) 10000 0 CHARITABLE SUPPORT 5 0 MORTGAGE, RENT AND UTILITIES 1 500 CAR/VAN TRANSPORTATION 4390 219484 AMBULANCE TRANSPORTATION 866 432843 MEDICAL/LABORATORY SERVICES 10 126294 MEDICAL EQUIPMENT 44 4259 GAS CARDS 30 1500 SELF HELP MATERIALS 1158 5792 MEMORIALS 10 7015 BUS PASS 10 202 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 DONEES. THE USE OF GRANT FUNDS IS NOT MONITORED AFTER GRANTS ARE GIVEN. HOWEVER, TWO GRANTEES ARE PART OF MERCY HEALTH AND THEREFORE RELATED ORGANIZATIONS TO MERCY HOSPITAL SOUTH. 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 ASSISTANCE, THE HOSPITAL PROVIDES INDIVIDUALS WITH ASSITANCE IN THE FORM OF MORTGAGE, RENT, AND UTILITY PAYMENTS, AND 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 TRANSPORTATION ASSISTANCE, TAXI RIDES, GAS CARDS, BUS PASSES 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, MEDICAL SERVICES, MEDICAL EQUIPMENT, 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. X 1 1 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 KEY EMPLOYEE 0 0 0 1300000 0 16754 0 10821 0 0 0 1327575 0 0 CAREY CHARLES PHYSICIAN & BM 0 917513 0 84891 0 54822 0 9913 0 16532 0 1083671 0 0 HOGAN SEAN JOSEPH PRESIDENT 0 484465 0 369498 0 65236 0 77650 0 15872 0 1012721 0 0 NAST JOSHUA PHYSICIAN 0 501392 0 50287 0 45454 0 3280 0 19402 0 619815 0 0 AKHTAR AAMINA FORMER KEY EMPLOYEE 0 152375 0 69975 0 357399 0 4140 0 376 0 584265 0 0 CALCARA DAVID PHYSICIAN 0 441475 0 43956 0 66235 0 3349 0 7542 0 562557 0 0 SUK WILLIAM PHYSICIAN 0 458164 0 45927 0 23310 0 6041 0 19667 0 553109 0 0 SHARMA POOJA PHYSICIAN 0 477840 0 36576 0 23309 0 5322 0 1190 0 544237 0 0 SCODARY DANIEL PHYSICIAN 0 500800 0 0 0 30000 0 0 0 0 0 530800 0 0 TRULOVE RON FORMER KEY EMPLOYEE 0 414592 0 0 0 63982 0 24738 0 14113 0 517425 0 0 BOYER DO JOSEPH MEDICAL CHIEF OF STAFF AND BM 0 354901 0 61349 0 22911 0 7318 0 20213 0 466692 0 0 STURGEON TYLER CHIEF FINANCIAL OFFICER 0 230158 0 69681 0 123862 0 8653 0 19773 0 452127 0 0 ECKENFELS DANIEL FORMER OFFICER 0 320871 0 58983 0 33714 0 9356 0 20104 0 443028 0 0 ELLIS CAROL FORMER KEY EMPLOYEE 0 66888 0 35814 0 224059 0 12719 0 5528 0 345008 0 0 MONTEZ KADI FORMER KEY EMPLOYEE 0 206333 0 44973 0 42216 0 11476 0 15881 0 320879 0 0 PART I, LINE 1A HOUSING BENEFITS ARE PROVIDED THROUGH A RELOCATION PROGRAM IN ACCORDANCE WITH COMPANY POLICY. SUCH BENEFITS ARE SUBJECT TO TAX TO THE EMPLOYEE. PAYMENT BY THE COMPANY OF COSTS FOR TEMPORARY HOUSING BY EMPLOYEES FOR THE CONVENIENCE OF THE COMPANY IS MADE IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. AS A REIMBURSABLE EXPENSE, THIS TYPE OF LODGING IS NOT TAXABLE TO THE EMPLOYEE. ONE LISTED INDIVIDUAL (AN OFFICER) RECEIVED THIS BENEFIT DURING THE YEAR. PART I, LINE 3 MERCY HOSPITAL SOUTH 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 INDIVIDUALS RECEIVED SEVERANCE PAY FROM A RELATED ORGANIZATION DURING CALENDAR YEAR 2023: AAMINA AKHTAR - $306,190 CAROL ELLIS - $159,469 JEFF JOHNSTON - $16,754 FORM 990, SCHEDULE J, PART II THE AMOUNT REPORTED FOR CHERYL MATEJKA IN COLUMN (F) IS EITHER INCLUDED IN B(I) BASE COMPENSATION, B(II) AS BONUS AND INCENTIVE COMPENSATION, OR B(III) AS OTHER REPORTABLE COMPENSATION. THIS AMOUNT IS A PAYOUT OF THE EXECUTIVE RETENTION PLAN AND WAS INCLUDED IN COLUMN (C) OF PREVIOUSLY FILED FORMS 990. CHRIS BOYER FAMILY MEMBER OF BOARD MEMBER 455209 EMPLOYMENT 0 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 SOLE CORPORATE MEMBER OF THE ORGANIZATION 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 SOUTH. 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 VII, SECTION B IT IS POSSIBLE THAT A PORTION OF THE AMOUNTS REPORTED FOR MUSICK CONSTRUCTION COMPANY WERE RELATED TO MATERIALS IN ADDITION TO AMOUNTS PAID FOR SERVICES. HOWEVER, THE AMOUNTS ARE NOT DISTINGUISHABLE. FORM 990, PART VIII EARLY IN 2020, THE MERCY HEALTH SYSTEM WAS CALLED TO SERVE AS THE COVID-19 PANDEMIC SWEPT ACROSS THE WORLD. DURING FY 2024, 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 FIVE 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. FORM 990, PART XI, LINE 9: NET TRANSFERS (TO)/FROM AFFILIATES -61,075,439. ROUNDING -6. 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. 1001 KIRKWOOD LLC 10010 KENNERLY ROAD ST LOUIS MO 63128 611736257 REAL ESTATE MO 675974 4594235 MERCY HOSPITAL SOUTH HEART SPECIALTY ASSOCIATES LLC 10010 KENNERLY ROAD ST LOUIS MO 63128 274084620 SPECIALISTS MO 0 0 MERCY HOSPITAL SOUTH PHYSICIANS OF ST ANTHONY'S MEDICAL CENTER LLC 10010 KENNERLY ROAD ST LOUIS MO 63128 270440956 MANAGEMENT MO 0 0 MERCY HOSPITAL SOUTH ST ANTHONY'S PROFESSIONAL PHARMACY LLC 10010 KENNERLY ROAD ST LOUIS MO 63128 431659671 LICENSEE OF RETAIL PHARMACY MO 0 0 MERCY HOSPITAL SOUTH ST ANTHONY'S PULMONARY SPECIALISTS LLC 10010 KENNERLY ROAD ST LOUIS MO 63128 300787362 INACTIVE MO 0 0 MERCY HOSPITAL SOUTH URGENT CARE CENTERS OF ST ANTHONY'S MEDICAL CENTER LC 10010 KENNERLY ROAD ST LOUIS MO 63128 270440900 MANAGEMENT MO 0 0 MERCY HOSPITAL SOUTH 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 481077073 FOUNDATION KS 501(C)(3) LINE 7 MERCY KANSAS COMMUNITIES INC 1 MERCY HEALTH FOUNDATION FORT SMITH 7301 ROGERS AVENUE FORT SMITH AR 72917 237330425 FOUNDATION AR 501(C)(3) LINE 7 MERCY HEALTH FORT SMITH COMMUNITIES 1 MERCY HEALTH FOUNDATION JEFFERSON 1400 US HIGHWAY 61 SOUTH FESTUS MO 63028 462797051 FOUNDATION MO 501(C)(3) LINE 12B, II MERCY HOSPITAL JEFFERSON 1 MERCY HEALTH FOUNDATION JOPLIN 100 MERCY WAY JOPLIN MO 64804 270906136 FOUNDATION MO 501(C)(3) LINE 7 MERCY HEALTH SW MOKS COMMUNITIES 1 MERCY HEALTH FOUNDATION LEBANON 100 HOSPITAL DRIVE LEBANON MO 65536 822514567 FOUNDATION MO 501(C)(3) LINE 12B, II MERCY HOSPITAL LEBANON 1 MERCY HEALTH FOUNDATION LINCOLN 1000 EAST CHERRY STREET TROY MO 63379 811477159 FOUNDATION MO 501(C)(3) LINE 12B, II MERCY HOSPITALS EAST COMMUNITIES 1 MERCY HEALTH FOUNDATION NORTHWEST ARKANSAS 2710 RIFE MEDICAL LANE ROGERS AR 72758 710601687 FOUNDATION AR 501(C)(3) LINE 7 MERCY HOSPITAL ROGERS 1 MERCY HEALTH FOUNDATION OF OKLAHOMA 4300 W 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621684203 PHYSICIAN GROUP AR 501(C)(3) LINE 10 MERCY HEALTH 1 MERCY HEALTH OKLAHOMA COMMUNITIES INC 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 731453048 HEALTH SYSTEM OK 501(C)(3) LINE 12A, I MERCY HEALTH 1 MERCY HEALTH SOUTHWEST MISSOURIKANSAS COMMUNITIES 100 MERCY WAY JOPLIN MO 64804 300584463 HEALTH SYSTEM MO 501(C)(3) LINE 12B, II MERCY HEALTH 1 MERCY HEALTH SPRINGFIELD COMMUNITIES 1235 E CHEROKEE STREET SPRINGFIELD MO 65804 431856028 HEALTH SYSTEM MO 501(C)(3) LINE 12B, II MERCY HEALTH 1 MERCY HOSPITAL ADA INC 430 N MONTE VISTA STREET ADA OK 74820 462288155 HOSPITAL OK 501(C)(3) LINE 3 MERCY HEALTH OKLAHOMA COMMUNITIES INC 1 MERCY HOSPITAL ARDMORE INC 1011 14TH AVENUE NW ARDMORE OK 73401 731500629 HOSPITAL OK 501(C)(3) LINE 3 MERCY HEALTH OKLAHOMA COMMUNITIES INC 1 MERCY HOSPITAL AURORA 500 PORTER AVENUE AURORA MO 65605 431936696 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH SPRINGFIELD COMMUNITIES 1 MERCY HOSPITAL BERRYVILLE 214 CARTER STREET BERRYVILLE AR 72616 710759299 HOSPITAL 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MO 63141 430653493 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH EAST COMMUNITIES 1 MERCY KANSAS COMMUNITIES INC 401 WOODLAND HILLS BLVD FT SCOTT KS 66701 480956045 HOSPITAL KS 501(C)(3) LINE 3 MERCY HEALTH SW MOKS COMMUNITIES 1 MERCY MINISTRIES OF LAREDO 2500 ZACATECAS ST LAREDO TX 78046 200198462 OUTREACH TX 501(C)(3) LINE 7 MERCY HEALTH 1 MERCY RESEARCH 524 NORTH BOONEVILLE AVENUE SPRINGFIELD MO 65802 870796305 RESEARCH MO 501(C)(3) LINE 4 MERCY HEALTH 1 MERCY ST FRANCIS HOSPITAL 100 W US HIGHWAY 60 MOUNTAIN VIEW MO 65548 440607149 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH SPRINGFIELD COMMUNITIES 1 MHM SUPPORT SERVICES 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 202553101 CENTRALIZED HEALTH SYSTEM FUNCTIONS MO 501(C)(3) LINE 12A, I MERCY HEALTH 1 MISSION CLINICAL SERVICES 216 MCAULEY COURT HOT SPRINGS AR 71913 134239691 CHILD ADVOCACY CENTER AR 501(C)(3) LINE 3 MERCY HEALTH 1 MERCY HEALTH FOUNDATION SOUTH 10010 KENNERLY ROAD ST LOUIS MO 63128 261516789 FUNDRAISING MO 501(C)(3) LINE 12A, I MERCY HOSPITAL SOUTH 1 ST ANTHONY'S PHYSICIAN ORGANIZATION 10010 KENNERLY ROAD ST LOUIS MO 63128 431784536 HEALTH CARE MO 501(C)(3) LINE 3 MERCY HOSPITAL SOUTH 1 MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS 1619 W 7TH STREET GALENA KS 66739 843730625 HOSPITAL KS 501(C)(3) LINE 3 MERCY HEALTH SW MOKS COMMUNITIES 1 MERCY HOSPITAL PERRY 434 N WEST STREET PERRYVILLE MO 63775 923065473 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH EAST COMMUNITIES 1 SOUTHEAST HOSPITAL DBA MERCY HOSPITAL SOUTHEAST 1701 LACEY STREET CAPE GIRARDEAU MO 63701 430654874 HOSPITAL MO 501(C)(3) LINE 3 SOUTHEASTHEALTH SYSTEM 1 SOUTHEAST HEALTH CENTER OF RIPLEY COUNTY 1701 LACEY STREET CAPE GIRARDEAU MO 63701 273868479 HOSPITAL MO 501(C)(3) LINE 3 SOUTHEAST HOSPITAL 1 SOUTHEASTHEALTH SYSTEM 1701 LACEY STREET CAPE GIRARDEAU MO 63701 474890906 HEALTH SYSTEM MO 501(C)(3) LINE 12C, III-FI MERCY HEALTH 1 SOUTHEAST MISSOURI HOSPITAL FOUNDATION 1849 BROADWAY CAPE GIRARDEAU MO 63701 431122759 FOUNDATION MO 501(C)(3) LINE 7 SOUTHEAST HOSPITAL 1 PLAZA SURGERY SERVICES COMPANY LLC 12700 SOUTHFORK ROAD ST LOUIS MO 63128 204709312 INACTIVE MO MERCY HOSPITAL SOUTH N/A 0 0 ST EDWARD MERCY MC M-P OFFICE BLDG 7301 ROGERS AVENUE FORT SMITH AR 72903 710554050 OFFICE BUILDING AR MERCY HOSPITAL FORT SMITH 0 0 PLATINUM CPS HOLDINGS LLC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 842493007 HOLDING COMPANY MO MERCY MANAGED CARE CORP MERCY HEALTH 0 0 FRONTENAC PROPERTIES INC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 521914421 HOLDING COMPANY DE MERCY HEALTH C 0 MERCY HEALTH CENTER CONDOMINIUMS INC 4300 W MEMORIAL RD OKLAHOMA CITY OK 73120 680640970 REAL ESTATE OK MERCY HOSPITAL OKLAHOMA CITY INC C 0 MERCY MANAGED CARE CORPORATION 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 731441665 HOLDING COMPANY OK MERCY HEALTH C 0 UHL CORP INC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 742499535 HOLDING COMPANY MO MERCY HOSPITALS EAST COMMUNITIES C 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 MHM SUPPORT SERVICES Q 444641914 FMV MERCY HEALTH EAST COMMUNITIES Q 279847291 FMV MERCY HEALTH FOUNDATION SOUTH C 3819632 FMV MERCY HEALTH FOUNDATION SOUTH B 1178258 FMV MERCY HOSPITALS EAST COMMUNITIES P 413651 FMV MERCY HOSPITAL OKLAHOMA CITY P 301125 FMV MERCY CLINIC EAST COMMUNITIES P 120727 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.