2026-05-07T14:04:35-05:00 2025-06-30 562632458 PLEUS AND COMPANY LLC 2200 WEST PORT PLAZA DR STE 203 ST LOUIS MO 63146 990 2024-07-01 431771217 MERCY CLINIC EAST COMMUNITIES MERC 3143643707 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 TYLER STURGEON CHIEF FINANCIAL OFFICER 3143643707 2026-05-07 1 1 DOUGLAS G PLEUS CPA P00013488 3143178900 2024 2025-03-06 01:10:19Z DAVID ARGUETA 1235 E CHEROKEE STREET SPRINGFIELD MO 65804 804629365 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. 23 0 1345 1 0 0 284256 1433236 739303174 803086329 -21332 0 100800 109800 739666898 804629365 78192 40825 0 0 593601424 634751056 0 0 0 335954406 413504759 929634022 1048296640 -189967124 -243667275 136142150 160387349 185088975 201677832 -48946825 -41290483 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 281608388 225544179 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 FY25, HAD 2,941,991 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 FY25, MERCY CLINIC EAST COMMUNITIES HAD 970,298 CASES FOR THIS SERVICE LINE. 138832995 111193328 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 FY25, MERCY CLINIC EAST COMMUNITIES HAD 517,372 CASES FOR THIS SERVICE LINE. 117440061 94059422 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 FY25, MERCY CLINIC EAST COMMUNITIES HAD 341,862 CASES FOR THIS SERVICE LINE. 464967611 40825 372399200 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. 464967611 40825 372399200 1002849055 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 1345 1 0 0 0 0 0 0 0 0 0 0 0 0 X 23 0 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 X TYLER STURGEON 3145251930 10010 KENNERLY ROAD ST LOUIS MO 63128 X ROUKOZ MD BASSAM PHYSICIAN & BOARD MEMBER 58.00 2.00 X 1298804 0 35765 LIMPERT MD JONATHAN PHYSICIAN & BOARD MEMBER 60.00 0.00 X 829274 0 25984 COYNE MD CHARLES PHYSICIAN & BOARD MEMBER 50.00 0.00 X 690269 0 24967 BLECKMAN MD CHRISTY PHYSICIAN & BOARD MEMBER 50.00 0.00 X 658037 0 24174 HUTZ MD CATHERINE PHYSICIAN & BOARD MEMBER 40.00 0.00 X 629782 0 22819 BIRNER MD NANCY PHYSICIAN & BOARD MEMBER 50.00 0.00 X 623421 0 36365 TANNEHILL DO DAVID PHYSICIAN & BOARD MEMBER 50.00 0.00 X 610117 0 43721 KILIAN MD KEN PHYSICIAN & BOARD MEMBER 40.00 0.00 X 514899 0 34867 BRYANT MD ANDY PHYSICIAN & BOARD MEMBER 50.00 0.00 X 502354 0 39635 PLISCO MD MICHAEL PHYSICIAN & BOARD MEMBER 40.00 0.00 X 471376 0 44895 GARRETTO DO CHRISTINA PHYSICIAN & BOARD MEMBER 50.00 0.00 X 417877 0 35209 WARREN MD TIMOTHY PHYSICIAN & BOARD MEMBER 50.00 0.00 X 374139 0 38977 JOURNAGAN MD KEVIN CAO & BOARD MEMBER 50.00 0.00 X 351888 0 37302 RHEE MD JASON PHYSICIAN & BOARD MEMBER 40.00 0.00 X 308922 0 21066 CHALK MD DAVID E REGIONAL PHYSICIAN EXECUTIVE 43.00 3.00 X X 0 1593949 112692 CIARAMITA MD JEFFREY PRESIDENT, SPEC SERVICE LINES - MERCY HEALTH & BM 1.00 54.00 X 0 1736377 187831 DUNCAN NICOLE NURSE PRACTITIONER & BOARD MEMBER 40.00 0.00 X 0 227020 27908 HAEGELE HEATHER NURSE PRACTITIONER & BOARD MEMBER 40.00 0.00 X 0 125109 0 HOWELL JESSICA NURSE PRACTITIONER & BOARD MEMBER 40.00 0.00 X 0 207304 19295 IYER MD KARTHIK CMO & BOARD MEMBER 49.00 1.00 X 0 673844 30019 KING BARBARA NURSE PRACTITIONER & BOARD MEMBER 40.00 0.00 X 0 141942 23180 RUNGE ANDREW COO, MERCY CLINIC & BOARD MEMBER 10.00 35.00 X 0 699925 51675 SENGUPTA MD ALOK CHIEF MEDICAL OFFICER & BOARD MEMBER 25.00 25.00 X 0 758167 115189 SITNER DON NURSE PRACTITIONER & BOARD MEMBER 1.00 49.00 X 0 169747 31501 SMITH ALAN ADMINISTRATOR, MERCY HOSPITAL LINCOLN & BM 1.00 39.00 X 0 359280 27234 TAYLOR SARAH NURSE PRACTITIONER & BOARD MEMBER 0.00 50.00 X 0 89136 10710 SCOFFIC DENISE CFO 5.00 47.00 X 0 483042 90041 WEICK MD RAYMOND REGIONAL PHYSICIAN EXECUTIVE 20.00 30.00 X 0 946528 111624 WILKE JAMIE ASSOCIATE COUNSEL & SECRETARY 2.00 58.00 X 0 256673 22512 HAMILTON RYAN VP, OPERATIONS 10.00 40.00 X 0 307081 34102 FORGET MD THOMAS PHYSICIAN 50.00 0.00 X 1490251 0 25587 GALAKATOS MD GREGORY PHYSICIAN 50.00 0.00 X 1465181 0 18227 SWEENEY MD JUSTIN PHYSICIAN 50.00 0.00 X 1440170 0 32134 SEECK MD BRIAN PHYSICIAN 50.00 0.00 X 1439019 0 22605 RUBLE MD CRAIG PHYSICIAN 50.00 0.00 X 1434764 0 42365 MATEJKA CHERYL L FORMER OFFICER 0.00 60.00 X 0 2182852 162645 MEINERS MD DAVID FORMER OFFICER 0.00 50.00 X 0 1232456 128948 RICHMOND JACQUELYNN FORMER OFFICER 0.00 55.00 X 0 809036 121388 15550544 12999468 1915158 1180 1 1 0 MUSICK CONSTRUCTION CO 254 HANLEY INDUSTRIAL COURT ST LOUIS MO 63144 CONSTRUCTION AND DESIGN SERVICES 4024034 MCCARTHY BUILDING CO 12851 MANCHESTER RD ST LOUIS MO 63131 CONSTRUCTION AND DESIGN SERVICES 2990753 LOCUMSMART PO BOX 736389 DALLAS TX 75373 LABOR MANAGEMENT SVCS 2713953 ST LOUIS MINIMALLY INVASIVE SPINE CENTER 4590 S LINDBERGH BLVD SUITE 101 ST LOUIS MO 63127 SPINE/PAIN PROFESSIONAL SERVICES 2364546 CLARACORP INC 914 S KIRKWOOD RD SUITE 200 KIRKWOOD MO 63122 CONSTRUCTION AND DESIGN SERVICES 2128921 36 372227 1061009 1433236 NET PATIENT SERVICE REVENUE 621110 503448134 503448134 CAPITATION BONUS 621110 295157611 295157611 OTHER OPERATING REVENUE 621110 4480584 4480584 803086329 MEDICAL DIRECTOR REVENUE 621110 109800 109800 109800 804629365 803196129 0 0 X 11943 11943 28882 28882 8795297 8734019 61278 895076 888840 6236 545486480 541685977 3800503 16835200 16717907 117293 37105227 36846709 258518 25633776 25455181 178595 4264 4264 7079363 6104557 974806 95781 82592 13189 3288885 2836016 452869 19734 17017 2717 34017378 29333293 4684085 844330 728068 116262 47042 40564 6478 6499263 6499263 8668002 7474446 1193556 CAPITATION PAYMENTS 232225114 232225114 SHARED SERVICE FEES 59368739 26122245 33246494 DRUGS & MEDICAL EXPENSE 46247164 46247164 BAD DEBT 12699918 12699918 2399782 2069340 330442 1048296640 1002849055 45447585 0 18380 18100 61397299 66730805 3211603 4003445 104197723 63423367 27853080 40774356 43278906 43278906 382882 5581737 136142150 160387349 59881140 67686200 125207835 133991632 185088975 201677832 X -48946825 -41290483 -48946825 -41290483 136142150 160387349 X -243667275 251323617 X X 0 1 X 1 1 1 X 284650 353724 339988 284256 1433236 2695854 503613349 451409833 545176657 739403974 803196129 3042799942 503897999 451763557 545516645 739688230 804629365 3045495796 0 0 0 3045495796 106237 13896 28134 -21332 0 126935 106237 13896 28134 -21332 0 126935 78490 0 0 0 0 78490 504082726 451777453 545544779 739666898 804629365 3045701221 0.99990 0.99980 0.00000 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 4264 0 0 0 4264 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, 2025, DUES WERE $102,002. APPROXIMATELY 4.18% OF CATHOLIC HEALTH ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED BY THESE ASSOCIATIONS. 5862830 3199849 2662981 41367091 31037726 10329365 56967802 29185792 27782010 40774356 DUE TO RELATED TAX-EXEMPT AFFILIATES 133991632 133991632 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, 2025 OR 2024. 1 NORTH COUNTY INC 8225 FLORISSANT RD STE 11 SAINT LOUIS MO 63121 431110431 501(C)(6) 11943 0 SPONSORSHIP 0 1 MORTGAGE/RENT/UTILITIES ASSISTANCE 11 28882 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. 0 0 0 0 0 0 0 0 0 MATEJKA CHERYL L FORMER OFFICER 0 815737 0 1306619 0 60496 0 148628 0 14017 0 2345497 0 0 CIARAMITA MD JEFFREY PRESIDENT, SPEC SERVICE LINES - MERC 0 910658 0 773777 0 51942 0 166916 0 20915 0 1924208 0 0 CHALK MD DAVID E REGIONAL PHYSICIAN EXECUTIVE 0 463221 0 1073535 0 57193 0 100510 0 12182 0 1706641 0 200966 FORGET MD THOMAS PHYSICIAN 1315856 0 118573 0 55822 0 11550 0 14037 0 1515838 0 0 0 GALAKATOS MD GREGORY PHYSICIAN 1355855 0 53697 0 55629 0 0 0 18227 0 1483408 0 0 0 RUBLE MD CRAIG PHYSICIAN 1264970 0 113552 0 56242 0 21450 0 20915 0 1477129 0 0 0 SWEENEY MD JUSTIN PHYSICIAN 1299947 0 116413 0 23810 0 11550 0 20584 0 1472304 0 0 0 SEECK MD BRIAN PHYSICIAN 1267547 0 116730 0 54742 0 21450 0 1155 0 1461624 0 0 0 MEINERS MD DAVID FORMER OFFICER 0 585567 0 584482 0 62407 0 115767 0 13181 0 1361404 0 94317 ROUKOZ MD BASSAM PHYSICIAN & BOARD MEMBER 1129856 0 114206 0 54742 0 14850 0 20915 0 1334569 0 0 0 WEICK MD RAYMOND REGIONAL PHYSICIAN EXECUTIVE 0 646461 0 243341 0 56726 0 110469 0 1155 0 1058152 0 0 RICHMOND JACQUELYNN FORMER OFFICER 0 545610 0 229362 0 34064 0 114201 0 7187 0 930424 0 0 SENGUPTA MD ALOK CHIEF MEDICAL OFFICER & BOARD MEMBER 0 507664 0 202331 0 48172 0 94274 0 20915 0 873356 0 0 LIMPERT MD JONATHAN PHYSICIAN & BOARD MEMBER 737737 0 67727 0 23810 0 18725 0 7259 0 855258 0 0 0 RUNGE ANDREW COO, MERCY CLINIC & BOARD MEMBER 0 396608 0 230391 0 72926 0 30271 0 21404 0 751600 0 0 COYNE MD CHARLES PHYSICIAN & BOARD MEMBER 597407 0 69322 0 23540 0 11550 0 13417 0 715236 0 0 0 IYER MD KARTHIK CMO & BOARD MEMBER 0 513679 0 113625 0 46540 0 18150 0 11869 0 703863 0 0 BLECKMAN MD CHRISTY PHYSICIAN & BOARD MEMBER 578551 0 55946 0 23540 0 22647 0 1527 0 682211 0 0 0 BIRNER MD NANCY PHYSICIAN & BOARD MEMBER 509513 0 58086 0 55822 0 14850 0 21515 0 659786 0 0 0 TANNEHILL DO DAVID PHYSICIAN & BOARD MEMBER 512100 0 74207 0 23810 0 22806 0 20915 0 653838 0 0 0 HUTZ MD CATHERINE PHYSICIAN & BOARD MEMBER 551824 0 51418 0 26540 0 14850 0 7969 0 652601 0 0 0 SCOFFIC DENISE CFO 0 314916 0 112882 0 55244 0 82326 0 7715 0 573083 0 0 KILIAN MD KEN PHYSICIAN & BOARD MEMBER 428729 0 47987 0 38183 0 21450 0 13417 0 549766 0 0 0 BRYANT MD ANDY PHYSICIAN & BOARD MEMBER 433920 0 44983 0 23451 0 18150 0 21485 0 541989 0 0 0 PLISCO MD MICHAEL PHYSICIAN & BOARD MEMBER 419175 0 20597 0 31604 0 24188 0 20707 0 516271 0 0 0 GARRETTO DO CHRISTINA PHYSICIAN & BOARD MEMBER 358372 0 36127 0 23378 0 22594 0 12615 0 453086 0 0 0 WARREN MD TIMOTHY PHYSICIAN & BOARD MEMBER 315696 0 35878 0 22565 0 18150 0 20827 0 413116 0 0 0 JOURNAGAN MD KEVIN CAO & BOARD MEMBER 305343 0 0 0 46545 0 22986 0 14316 0 389190 0 0 0 SMITH ALAN ADMINISTRATOR, MERCY HOSPITAL LINCOL 0 251809 0 62099 0 45372 0 14850 0 12384 0 386514 0 0 HAMILTON RYAN VP, OPERATIONS 0 220982 0 63257 0 22842 0 12936 0 21166 0 341183 0 0 RHEE MD JASON PHYSICIAN & BOARD MEMBER 275347 0 9754 0 23821 0 14255 0 6811 0 329988 0 0 0 WILKE JAMIE ASSOCIATE COUNSEL & SECRETARY 0 191216 0 38426 0 27031 0 10343 0 12169 0 279185 0 0 DUNCAN NICOLE NURSE PRACTITIONER & BOARD MEMBER 0 190858 0 0 0 36162 0 15658 0 12250 0 254928 0 0 HOWELL JESSICA NURSE PRACTITIONER & BOARD MEMBER 0 120143 0 70055 0 17106 0 7426 0 11869 0 226599 0 0 SITNER DON NURSE PRACTITIONER & BOARD MEMBER 0 142474 0 0 0 27273 0 10605 0 20896 0 201248 0 0 KING BARBARA NURSE PRACTITIONER & BOARD MEMBER 0 105699 0 13772 0 22471 0 11168 0 12012 0 165122 0 0 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. FORM 990, SCHEDULE J, PART II THE AMOUNTS REPORTED FOR DR. DAVID CHALK AND DR. DAVID MEINERS 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. DIANA ROUKOZ FAMILY MEMBER OF BOARD MEMBER 250189 EMPLOYMENT 0 MICHELLE HAMILTON FAMILY MEMBER OF KEY EMPLOYEE 68397 EMPLOYMENT 0 PATRICIA LIMPERT FAMILY MEMBER OF BOARD MEMBER 437119 EMPLOYMENT 0 SARAH CHALK FAMILY MEMBER OF OFFICER 139371 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 DESCRIBE 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, 2025. 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, 2024 THROUGH JUNE 30, 2025. FORM 990, PART VII, SECTION B IT IS POSSIBLE THAT A PORTION OF THE AMOUNTS REPORTED FOR MUSICK CONSTRUCTION COMPANY, MCCARTHY BUILDING COMPANY, AND CLARACORP INC. 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 FY25, MERCY CLINIC EAST COMMUNITIES REPORTED APPROXIMATELY $10.5 MILLION OF CHARITY CARE AND $27.1 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 251,323,617. 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 2025 (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, 2025 BY MARCH 31, 2026. 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, 2025, IT WILL BE INCLUDED ON THE MERCY HEALTH CONSOLIDATED SEFA, AND THEREFORE, ALSO INCLUDED IN THE POPULATION INCLUDED IN THE AUDIT. MERCY CLINIC ADULT PSYCHIATRY LLC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 472408553 BILLING ENTITY MO 3728088 329525 MERCY CLINIC EAST COMMUNITIES MERCY CLINIC ANESTHESIOLOGY-WASHINGTON LLC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 030597437 INACTIVE MO 0 0 MERCY CLINIC EAST COMMUNITIES MERCY CLINIC BURN AND PLASTIC SURGERY LLC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 201626706 PHYSICIAN PRACTICE MO 8988314 1633169 MERCY CLINIC EAST COMMUNITIES MERCY CLINIC CARDIOVASCULAR AND THORACIC SURGERY LLC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 562595510 PHYSICIAN PRACTICE MO 2941864 416129 MERCY CLINIC EAST COMMUNITIES MERCY CLINIC CHILD AND ADOLESCENT PSYCHIATRY LLC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 431893326 PHYSICIAN PRACTICE MO 2342971 176785 MERCY CLINIC EAST COMMUNITIES MERCY CLINIC CHILD NEUROLOGY LLC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 274187705 PHYSICIAN PRACTICE MO 606302 64180 MERCY CLINIC EAST COMMUNITIES MERCY CLINIC CHILDREN'S CANCER AND 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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 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 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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.