2025-05-13T15:04:17-05:00 2024-06-30 562632458 PLEUS AND COMPANY LLC 2200 WEST PORT PLAZA DR STE 203 ST LOUIS MO 63146 990 2023-07-01 431771217 MERCY CLINIC EAST COMMUNITIES MERC 3143643707 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 KERRY DUNGER EXECUTIVE DIRECTOR - FINANCE 3143643707 2025-05-13 1 1 DOUGLAS G PLEUS CPA P00013488 3143178900 2023 2025-03-06 01:10:19Z RAY WEICK 15740 SOUTH OUTER FORTY ROAD CHESTERFIELD MO 630172004 739699730 0 X WWW.MERCY.NET X 1994 MO AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. 25 0 1198 1 0 0 339988 284256 545083657 739303174 28134 -21332 93000 100800 545544779 739666898 74048 78192 0 0 555469924 593601424 0 0 0 220221328 335954406 775765300 929634022 -230220521 -189967124 111375609 136142150 168807761 185088975 -57432152 -48946825 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 243082132 203725962 MERCY CLINIC EAST COMMUNITIES 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 CLINIC EAST COMMUNITIES PROVIDES A WIDE VARIETY OF SERVICES IN THEIR CLINIC FACILITIES AND IN FY24, HAD 2,881,719 TOTAL CASES. MERCY CLINIC EAST COMMUNITIES HAS A TEAM OF PEDIATRICIANS, FAMILY MEDICINE AND INTERNAL MEDICINE DOCTORS WHO CAN HANDLE ALL YOUR ROUTINE HEALTH CARE NEEDS. MERCY'S PRIMARY CARE PROVIDERS HELP WITH ANNUAL CHECKUPS, PREVENTIVE CARE AND HEALTH SCREENINGS, VACCINATIONS AND IMMUNIZATIONS, DIAGNOSIS AND CARE FOR COMMON ILLNESSES AND MINOR INJURIES, AND MANAGING MEDICINES. IN FY24, MERCY CLINIC EAST COMMUNITIES HAD 917,909 CASES FOR THIS SERVICE LINE. 112319004 94134015 MERCY CLINIC EAST COMMUNITIES 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 CLINIC EAST COMMUNITIES ALSO PROVIDES A FULL COMPLEMENT OF CARDIAC REHABILITATION, THERAPY AND EDUCATION SERVICES. IN FY24, MERCY CLINIC EAST COMMUNITIES HAD 486,619 CASES FOR THIS SERVICE LINE. 103827771 87017554 MERCY CLINIC EAST COMMUNITIES OFFERS A FULL SPECTRUM OF WOMEN'S HEALTH SERVICES FROM ROUTINE CHECKUPS AND MAMMOGRAMS TO OBSTETRICS CARE TO MENOPAUSE TREATMENT. OUR MERCY TEAM PROVIDES SCREENING, PREVENTION AND TREATMENT, PREGNANCY AND CHILDBIRTH CARE, BREAST HEALTH CARE, AND GYNECOLOGIC CANCER CARE. IN FY24, MERCY CLINIC EAST COMMUNITIES HAD 330,112 CASES FOR THIS SERVICE LINE. 423014533 78192 354526443 IN ADDITION TO THE PROGRAM SERVICES DESCRIBED ABOVE, MERCY CLINIC EAST COMMUNITIES ALSO SERVES PATIENTS IN ADDITIONAL SERVICE LINES, INCLUDING BUT NOT LIMITED TO THE FOLLOWING AREAS: GASTROENTEROLOGY; NEUROSCIENCE; ORTHOPEDICS; PEDIATRICS; UROLOGY & NEPHROLOGY. 423014533 78192 354526443 882243440 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 0 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 1198 1 0 0 0 0 0 0 0 0 0 0 0 0 X 25 0 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 X KERRY DUNGER 3143643707 15740 SOUTH OUTER FORTY ROAD CHESTERFIELD MO 630172004 X CIARAMITA MD JEFFREY PRESIDENT, SPECIALTY SERVICE LINES 1.00 54.00 X 0 1980146 161149 CHALK MD DAVID E REGIONAL PHYSICIAN EXECUTIVE 43.00 3.00 X 0 1277122 111384 CLEVELAND MD JEANNE PHYSICIAN & BOARD MEMBER 50.00 0.00 X 1224463 0 35680 FINNIE JOHN PHYSICIAN & BOARD MEMBER 30.00 30.00 X 1231222 0 28183 ROUKOZ BASSAM PHYSICIAN & BOARD MEMBER 58.00 2.00 X 1212251 0 22199 RUNGE ANDREW COO, CLINICS & BOARD MEMBER 15.00 45.00 X 0 779447 95318 COYNE CHARLES PHYSICIAN & BOARD MEMBER 50.00 0.00 X 846582 0 17887 SENGUPTA MD ALOK CAO & BOARD MEMBER 25.00 25.00 X 0 754859 100889 LIMPERT MD JONATHAN PHYSICIAN & BOARD MEMBER 60.00 0.00 X 791480 0 19705 BIRNER NANCY PHYSICIAN & BOARD MEMBER 50.00 0.00 X 629726 0 25689 JOURNAGAN MD KEVIN CAO & BOARD MEMBER 50.00 0.00 X 552922 0 75350 IYER MD KARTHIK CMO & BOARD MEMBER 49.00 1.00 X 601018 0 21192 BLECKMAN CHRISTY PHYSICIAN & BOARD MEMBER 50.00 0.00 X 601129 0 14549 HUTZ MD CATHERINE PHYSICIAN & BOARD MEMBER 40.00 0.00 X 572065 0 14022 KILIAN KEN PHYSICIAN & BOARD MEMBER 40.00 0.00 X 545096 0 27581 TANNEHILL DAVID PHYSICIAN & BOARD MEMBER 50.00 0.00 X 511211 0 36262 BRYANT ANDY PHYSICIAN & BOARD MEMBER 50.00 0.00 X 472337 0 29547 PLISCO MD MICHAEL PHYSICIAN & BM 40.00 0.00 X 436772 0 35304 WARREN TIMOTHY PHYSICIAN & BOARD MEMBER 50.00 0.00 X 405125 0 33225 GARRETTO CHRISTINA PHYSICIAN & BOARD MEMBER 50.00 0.00 X 370318 0 28478 SMITH ALAN COMMUNITY VP OPERATIONS & BOARD MEMBER 10.00 35.00 X 0 373556 20534 CHACKO RUTH PHYSICIAN & BOARD MEMBER 50.00 0.00 X 288241 0 70154 YORK JENNIFER PHYSICIAN & BM 50.00 0.00 X 334467 0 9962 RHEE MD JASON PHYSICIAN & BM 40.00 0.00 X 313527 0 11757 SCOTT ANGELA PHYSICIAN & BM 40.00 0.00 X 230468 0 11984 DUNCAN NICOLE NURSE PRACTICTIONER & BM 40.00 0.00 X 0 189669 20043 SITNER DON NURSE PRACTITIONER & BOARD MEMBER 1.00 49.00 X 0 166491 26096 KING BARBARA NURSE PRACTITIONER & BOARD MEMBER 40.00 0.00 X 0 128536 19423 HOWELL JESSICA NURSE PRACTITIONER & BOARD MEMBER 40.00 0.00 X 0 129937 14947 TAYLOR SARAH NURSE PRACTITIONER & BOARD MEMBER 0.00 50.00 X 0 83237 8860 HAEGELE HEATHER NURSE PRACTICTIONER & BM 40.00 0.00 X 0 59821 0 WEICK MD RAYMOND REGIONAL PHYSICIAN EXECUTIVE 20.00 30.00 X 0 887345 100094 SCOFFIC DENISE CFO 5.00 47.00 X 0 394092 37589 ECKHARDT CHRISTIE VP, CHIEF OPERATIONS COUNSEL & SEC (THRU 10/2023) 1.00 57.00 X 0 324958 17586 WILKE JAMIE ASSOCIATE COUNSEL 2.00 58.00 X 0 223989 12297 HAMILTON RYAN VP OPERATIONS 10.00 40.00 X 0 280609 24582 WALKER ROBERT VP OPERATIONS 20.00 20.00 X 0 248502 9450 VERDINE MD BENJAMIN PHYSICIAN 50.00 0.00 X 1313381 0 13666 SEECK BRIAN PHYSICIAN 50.00 0.00 X 1278500 0 13703 PALAGIRI MD ANAND PHYSICIAN 50.00 0.00 X 1258158 0 25215 CHEN FANGXIANG PHYSICIAN 50.00 0.00 X 1241972 0 25767 WOOD MD MICHAEL PHYSICIAN 40.00 0.00 X 1231786 0 21984 MATEJKA CHERYL L FORMER OFFICER 0.00 55.00 X 0 1593070 140367 RICHMOND JACQUELYNN FORMER OFFICER 2.00 53.00 X 0 1551497 108160 MEINERS MD DAVID FORMER OFFICER 10.00 40.00 X 0 1205784 23738 MOHART MD JOHN FORMER KEY EMPLOYEE 0.00 60.00 X 0 1816702 179032 RIORDAN MD TRACY FORMER KEY EMPLOYEE 50.00 0.00 X 709207 0 48338 MARCRANDER MARGARET FORMER KEY EMPLOYEE 50.00 0.00 X 625513 0 27202 SCHEER JENNIFER FORMER KEY EMPLOYEE 0.00 40.00 X 0 456291 44488 KOENIG CAROLYN FORMER KEY EMPLOYEE 40.00 0.00 X 458202 0 37388 20287139 14905660 2057999 1006 1 1 0 LOCUMSMART PO BOX 736389 DALLAS TX 75373 LABOR MANAGEMENT SVCS 6061518 NEUROSURGICAL SPEC WEST CNTY 621 S NEW BALLAS RD STE 297A ST LOUIS MO 63141 NEUROSURGICAL PROFESSIONAL SERVICES 2825177 MUSICK CONSTRUCTION CO 254 HANLEY INDUSTRIAL COURT ST LOUIS MO 63144 CONSTRUCTION AND DESIGN SERVICES 1612515 GREGORY R GALAKATOS MD LLC 12008 CHALTENHAM ST LOUIS MO 63131 ORTHOPEDIC PROFESSIONAL SERVICES 1429051 MISSOURI CTR FOR ORTHOPEDICS AND ADVANCE 621 S NEW BALLAS RD STE 5015B ST LOUIS MO 63141 ORTHOPEDIC PROFESSIONAL SERVICES 1256049 31 284256 284256 NET PATIENT SERVICE REVENUE 621110 495948284 495948284 CAPITATION BONUS 621110 237912574 237912574 OTHER OPERATING REVENUE 621110 5436008 5436008 RENTAL INCOME FROM RELATED ORGANI 621110 6308 6308 739303174 11500 32832 -21332 -21332 -21332 MEDICAL DIRECTOR REVENUE 621110 100800 100800 100800 739666898 739403974 0 -21332 X 12009 12009 66183 66183 20587183 20317577 269606 1964287 1938557 25730 500151926 493586343 6565583 15775803 15565531 210272 31342177 30948706 393471 23780048 23464995 315053 3079 3079 5800840 5326731 474109 83336 76317 7019 3284899 3023477 261422 8497 7768 729 34183499 31496316 2687183 793610 728770 64840 28590 26137 2453 7053514 7053514 9485338 8697616 787722 CAPITATION PAYMENTS 151372111 151372111 SHARED SERVICE FEES 55585137 21525527 34059610 DRUGS & MEDICAL EXPENSE 52802002 52802002 BAD DEBT 13808423 13808423 1661531 398830 1262701 929634022 882243440 47390582 0 18615 18380 41169739 61397299 1305054 3211603 88287722 60434642 25224355 27853080 43278906 43278906 378940 382882 111375609 136142150 34816129 59881140 133991632 125207835 168807761 185088975 X -57432152 -48946825 -57432152 -48946825 111375609 136142150 X -189967124 198452451 X X 0 1 X 1 1 1 X 621565 284650 353724 339988 284256 1884183 379616933 503613349 451409833 545176657 739403974 2619220746 380238498 503897999 451763557 545516645 739688230 2621104929 0 0 0 2621104929 187802 106237 13896 28134 -21332 314737 187802 106237 13896 28134 -21332 314737 114071 78490 0 0 0 192561 380540371 504082726 451777453 545544779 739666898 2621612227 0.99980 0.99970 0.00010 0.00020 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 3079 0 0 0 3079 0 PART II-B, LINE 1: THE FILING ORGANIZATION IS A MEMBER OF AND PAYS DUES TO THE FOLLOWING HOSPITAL ASSOCIATION: CATHOLIC HEALTH ASSOCIATION. FOR THE YEAR ENDED JUNE 30, 2024, DUES WERE $84,373. APPROXIMATELY 3.65% OF CATHOLIC HEALTH ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED BY THESE ASSOCIATIONS. 6452817 3164983 3287834 38295727 29385174 8910553 43539178 27884485 15654693 27853080 DUE TO RELATED TAX-EXEMPT AFFILIATES 125207835 125207835 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 NORTH COUNTY INC 8225 FLORISSANT RD STE 11 SAINT LOUIS MO 63121 431110431 501(C)(6) 12009 0 SPONSORSHIP 0 1 MORTGAGE/RENT/UTILITIES ASSISTANCE 24 66183 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. WHEN PATIENT CARE STAFF IDENTIFY PATIENTS NEEDING ASSISTANCE, THE CLINIC PROVIDES INDIVIDUALS WITH ASSITANCE IN THE FORM OF MORTGAGE, RENT, AND UTILITY PAYMENTS, AND WITH THE CLINIC COVERING THE COSTS. THEREFORE, NO FURTHER MONITORING RELATED TO THE USE OF THE FUNDS IS NEEDED. X X 1 1 1 0 0 0 0 0 0 0 0 CIARAMITA MD JEFFREY PRESIDENT, SPECIALTY SERVICE LINES 0 871442 0 1065148 0 43556 0 145277 0 15872 0 2141295 0 425736 MOHART MD JOHN FORMER KEY EMPLOYEE 0 923254 0 838235 0 55213 0 159013 0 20019 0 1995734 0 0 MATEJKA CHERYL L FORMER OFFICER 0 710092 0 828245 0 54733 0 125167 0 15200 0 1733437 0 236192 RICHMOND JACQUELYNN FORMER OFFICER 0 529328 0 878926 0 143243 0 100614 0 7546 0 1659657 0 166833 CHALK MD DAVID E REGIONAL PHYSICIAN EXECUTIVE 0 592375 0 507995 0 176752 0 96784 0 14600 0 1388506 0 231674 VERDINE MD BENJAMIN PHYSICIAN 1159883 0 99756 0 53742 0 12547 0 1119 0 1327047 0 0 0 SEECK BRIAN PHYSICIAN 1118238 0 114452 0 45810 0 12512 0 1191 0 1292203 0 0 0 PALAGIRI MD ANAND PHYSICIAN 1090704 0 89712 0 77742 0 9283 0 15932 0 1283373 0 0 0 CHEN FANGXIANG PHYSICIAN 1149478 0 37672 0 54822 0 6100 0 19667 0 1267739 0 0 0 CLEVELAND MD JEANNE PHYSICIAN & BOARD MEMBER 1141782 0 25500 0 57181 0 15164 0 20516 0 1260143 0 0 0 FINNIE JOHN PHYSICIAN & BOARD MEMBER 1086967 0 113013 0 31242 0 12487 0 15696 0 1259405 0 0 0 WOOD MD MICHAEL PHYSICIAN 1134492 0 96484 0 810 0 9478 0 12506 0 1253770 0 0 0 ROUKOZ BASSAM PHYSICIAN & BOARD MEMBER 1052983 0 105526 0 53742 0 6267 0 15932 0 1234450 0 0 0 MEINERS MD DAVID FORMER OFFICER 0 558665 0 429614 0 217505 0 12200 0 11538 0 1229522 0 85568 WEICK MD RAYMOND REGIONAL PHYSICIAN EXECUTIVE 0 653915 0 193879 0 39551 0 98963 0 1131 0 987439 0 0 RUNGE ANDREW COO, CLINICS & BOARD MEMBER 0 400215 0 313049 0 66183 0 75169 0 20149 0 874765 0 150638 COYNE CHARLES PHYSICIAN & BOARD MEMBER 719904 0 96164 0 30514 0 3247 0 14640 0 864469 0 0 0 SENGUPTA MD ALOK CAO & BOARD MEMBER 0 513620 0 190814 0 50425 0 85053 0 15836 0 855748 0 0 LIMPERT MD JONATHAN PHYSICIAN & BOARD MEMBER 697477 0 70693 0 23310 0 12099 0 7606 0 811185 0 0 0 RIORDAN MD TRACY FORMER KEY EMPLOYEE 584953 0 74315 0 49939 0 28107 0 20231 0 757545 0 0 0 BIRNER NANCY PHYSICIAN & BOARD MEMBER 516213 0 56021 0 57492 0 8168 0 17521 0 655415 0 0 0 MARCRANDER MARGARET FORMER KEY EMPLOYEE 505643 0 88628 0 31242 0 10670 0 16532 0 652715 0 0 0 JOURNAGAN MD KEVIN CAO & BOARD MEMBER 364121 0 115755 0 73046 0 62389 0 12961 0 628272 0 0 0 IYER MD KARTHIK CMO & BOARD MEMBER 511405 0 44063 0 45550 0 8597 0 12595 0 622210 0 0 0 BLECKMAN CHRISTY PHYSICIAN & BOARD MEMBER 523808 0 54281 0 23040 0 12745 0 1804 0 615678 0 0 0 HUTZ MD CATHERINE PHYSICIAN & BOARD MEMBER 495198 0 53827 0 23040 0 6261 0 7761 0 586087 0 0 0 KILIAN KEN PHYSICIAN & BOARD MEMBER 481852 0 26620 0 36624 0 12936 0 14645 0 572677 0 0 0 TANNEHILL DAVID PHYSICIAN & BOARD MEMBER 466756 0 21145 0 23310 0 15972 0 20290 0 547473 0 0 0 BRYANT ANDY PHYSICIAN & BOARD MEMBER 406543 0 42914 0 22880 0 9325 0 20222 0 501884 0 0 0 SCHEER JENNIFER FORMER KEY EMPLOYEE 0 331336 0 93047 0 31908 0 24485 0 20003 0 500779 0 0 KOENIG CAROLYN FORMER KEY EMPLOYEE 391711 0 43357 0 23134 0 17402 0 19986 0 495590 0 0 0 PLISCO MD MICHAEL PHYSICIAN & BM 382678 0 22912 0 31182 0 15610 0 19694 0 472076 0 0 0 WARREN TIMOTHY PHYSICIAN & BOARD MEMBER 345197 0 37036 0 22892 0 13627 0 19598 0 438350 0 0 0 SCOFFIC DENISE CFO 0 302983 0 59694 0 31415 0 29599 0 7990 0 431681 0 0 GARRETTO CHRISTINA PHYSICIAN & BOARD MEMBER 314596 0 32927 0 22795 0 16187 0 12291 0 398796 0 0 0 SMITH ALAN COMMUNITY VP OPERATIONS & BOARD MEMB 0 227017 0 95591 0 50948 0 8637 0 11897 0 394090 0 0 CHACKO RUTH PHYSICIAN & BOARD MEMBER 216702 0 26060 0 45479 0 58603 0 11551 0 358395 0 0 0 YORK JENNIFER PHYSICIAN & BM 271479 0 17425 0 45563 0 8521 0 1441 0 344429 0 0 0 ECKHARDT CHRISTIE VP, CHIEF OPERATIONS COUNSEL & SEC ( 0 214326 0 71422 0 39210 0 3386 0 14200 0 342544 0 0 RHEE MD JASON PHYSICIAN & BM 290481 0 0 0 23046 0 6384 0 5373 0 325284 0 0 0 HAMILTON RYAN VP OPERATIONS 0 210305 0 51209 0 19095 0 4971 0 19611 0 305191 0 0 WALKER ROBERT VP OPERATIONS 0 49760 0 33967 0 164775 0 6651 0 2799 0 257952 0 0 SCOTT ANGELA PHYSICIAN & BM 187328 0 20640 0 22500 0 3188 0 8796 0 242452 0 0 0 WILKE JAMIE ASSOCIATE COUNSEL 0 175315 0 32753 0 15921 0 2183 0 10114 0 236286 0 0 DUNCAN NICOLE NURSE PRACTICTIONER & BM 0 161484 0 0 0 28185 0 8021 0 12022 0 209712 0 0 SITNER DON NURSE PRACTITIONER & BOARD MEMBER 0 134565 0 0 0 31926 0 6458 0 19638 0 192587 0 0 PART I, LINE 1A CHARTER TRAVEL IS PROVIDED TO CERTAIN EMPLOYEES AS AND WHEN APPROPRIATE, AND AS DEEMED NECESSARY FOR BUSINESS TRAVEL. AFTER CHARTER TRAVEL APPROVAL HAS BEEN GRANTED IN ACCORDANCE WITH THE FINANCIAL JUSTIFICATION PROCESS, THE APPROVED CHARTER TRAVEL FOR BUSINESS IS A REIMBURSABLE EXPENSE WHICH IS NOT TAXABLE TO THE EMPLOYEES. THERE WAS ONE EMPLOYEE (A BOARD MEMBER) WHO RECEIVED THIS BENEFIT DURING THE YEAR. DURING THE FISCAL YEAR ENDED JUNE 30, 2024, A RETREAT WAS HELD IN IRELAND THAT CERTAIN MERCY REPRESENTATIVES ATTENDED. SPOUSES/GUESTS OF THESE INDIVIDUALS WERE ALLOWED ON THE TRIP, AND THE VALUE OF THE TRIP WAS IMPUTED AND INCLUDED IN FORM W-2'S WHICH WERE ISSUED TO THE REPRESENTATIVES. TWO LISTED INDIVIDUALS (BOARD MEMBERS) RECEIVED THIS BENEFIT. LIMITED INSTANCES OF TAX GROSS-UPS OCCURED WITH RESPECT TO EXECUTIVES. PART I, LINE 3 MERCY CLINIC EAST COMMUNITIES 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: ROBERT WALKER - $118,905 FORM 990, SCHEDULE J, PART II THE AMOUNTS REPORTED FOR DR. DAVID CHALK, DR. JEFFREY CIARAMITA, ANDREW RUNGE, CHERYL MATEJKA, DR. DAVID MEINERS AND JACQUELYNN RICHMOND 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. ANN MOHART FAMILY MEMBER OF FORMER KEY EMPLOYEE 523781 EMPLOYMENT 0 DIANA ROUKOZ FAMILY MEMBER OF BOARD MEMBER 252856 EMPLOYMENT 0 GINA SEECK FAMILY MEMBER OF FORMER KEY EMPLOYEE 263881 EMPLOYMENT 0 MICHELLE HAMILTON FAMILY MEMBER OF KEY EMPLOYEE 66422 EMPLOYMENT 0 PATRICIA LIMPERT FAMILY MEMBER OF BOARD MEMBER 435274 EMPLOYMENT 0 CHRISTIE PICKRELL FAMILY MEMBER OF BOARD MEMBER 301248 EMPLOYMENT 0 SARAH CHALK FAMILY MEMBER OF OFFICER 120824 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 MEMBER OF MERCY CLINIC EAST COMMUNITIES IS MERCY HEALTH EAST COMMUNITIES, A SUPPORTING ORGANIZATION UNDER SECTION 509(A)(3). THE MEMBER OF MERCY HEALTH EAST COMMUNITIES IS MERCY HEALTH. FORM 990, PART VI, SECTION A, LINE 7A MERCY HEALTH EAST COMMUNITIES HAS RESERVE POWERS TO: -APPOINT DIRECTORS PURSUANT TO THE PROCESS SET FORTH IN THE BYLAWS; -REMOVE UP TO TWO DIRECTORS DURING ANY FISCAL YEAR WITHOUT CAUSE AND OTHERWISE REMOVE DIRECTORS FOR CAUSE; AND -REMOVE THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION WITH OR WITHOUT CAUSE, AFTER CONSULTATION WITH THE BOARD. FORM 990, PART VI, SECTION A, LINE 7B MERCY HEALTH EAST COMMUNITIES HAS RESERVE POWERS TO: -ADOPT OR AMEND THE CORPORATION'S MISSION AND PHILOSOPHY; -ADOPT OR AMEND THE CORPORATION'S STRATEGIC PLANS, GOALS, AND OBJECTIVES; -ADOPT OR AMEND THE CORPORATION'S BUDGETS; -AUTHORIZE OR APPROVE THE ASSIGNMENT, TRANSFER, SALE OR LEASE OF ANY OF THE CORPORATION'S ASSETS OR INTEREST THEREIN IN EXCESS OF $1,000,000; -AUTHORIZE OR APPROVE THE GRANT OF ANY PLEDGE, LIEN, ENCUMBRANCE, MORTGAGE, DEED OF TRUST OR OTHER SECURITY INTEREST IN ANY OR ALL OF THE CORPORATION'S ASSETS; -AUTHORIZE OR APPROVE THE INCURRENCE OF DEBT (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) BY THE CORPORATION AND 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; -MERGE, DISSOLVE OR ABANDON THE CORPORATION; -AMEND THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION, SUBJECT TO THE APPROVAL OF THE MERCY HEALTH EAST COMMUNITIES BOARD; -ESTABLISH COMPENSATION AND BENEFIT TERMS FOR PHYSICIANS AND OTHER MEDICAL PROFESSIONALS EMPLOYED OR OTHERWISE RETAINED BY THE CORPORATION. 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 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 IX MERCY CLINIC EAST COMMUNITIES PROVIDES FINANCIAL ASSISTANCE TO PATIENTS IN THE FORM OF CHARITY CARE AND THE UNPAID COSTS OF MEDICAID. THIS ASSISTANCE IS BASED ON THE FINANCIAL ASSISTANCE POLICY IN PLACE AT HOSPITALS IN THE HEALTH SYSTEM. DURING FY24, MERCY CLINIC EAST COMMUNITIES REPORTED APPROXIMATELY $9.1 MILLION OF CHARITY CARE AND $23.6 MILLION OF UNPAID COSTS OF MEDICAID WHICH WERE A BENEFIT TO THE PATIENTS SERVED IN ITS COMMUNITY. FORM 990, PART XI, LINE 9: NET TRANSFERS (TO)/FROM AFFILIATES 205,273,108. GAIN SHARE AGREEMENT TRANSFER -6,820,677. ROUNDING 20. 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. 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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.