2026-05-07T09:42:21-05:00 2025-06-30 990 2024-07-01 430687077 MERCY HOSPITAL JEFFERSON MERC 6369331107 PO BOX 350 CRYSTAL CITY MO 63109 SCOTT MARTINEZ EXECUTIVE DIRECTOR - FINANCE 6369331107 2026-05-07 1 2024 2025-03-06 01:10:19Z DANIEL ECKENFELS PO BOX 350 CRYSTAL CITY MO 63109 300386541 0 X WWW.MERCY.NET X 1953 MO AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. 3 1 0 85 0 0 433006 2364809 250465717 295599744 18807 0 1949737 2211004 252867267 300175557 279997 245461 0 0 129245374 141459209 0 0 0 108727234 138079850 238252605 279784520 14614662 20391037 229026833 237379912 29867100 31913007 199159733 205466905 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 27746008 32212043 MERCY HOSPITAL JEFFERSON PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY BY OFFERING ESSENTIAL HEALTH SERVICES TO ITS COMMUNITY. IN ACTIVE PURSUIT OF THIS MISSION, MERCY HOSPITAL JEFFERSON PROVIDES A WIDE VARIETY OF SERVICES IN THEIR 200 BED FACILITY AND IN FY25, HAD 227,258 TOTAL CASES. MERCY HOSPITAL JEFFERSON OFFERS COMPREHENSIVE HEART AND VASCULAR SERVICES, A WIDE VARIETY OF TREATMENT OPTIONS AND ADVANCED TECHNOLOGIES TO DIAGNOSE AND TREAT A FULL RANGE OF CONDITIONS. MERCY HOSPITAL JEFFERSON ALSO PROVIDES A FULL COMPLEMENT OF CARDIAC REHABILITATION, THERAPY AND EDUCATION SERVICES. IN FY25, MERCY HOSPITAL JEFFERSON HAD 13,645 CASES AND 6,139 PATIENT DAYS FOR THIS SERVICE LINE. 26092628 30292534 AT MERCY HOSPITAL JEFFERSON, CANCER CARE IS ABOUT MORE THAN PROVIDING CLINICAL TREATMENTS. MERCY HOSPITAL JEFFERSON ALSO OFFERS SUPPORT SERVICES TO HELP YOU MAINTAIN YOUR PHYSICAL, MENTAL AND EMOTIONAL HEALTH. MERCY'S CANCER SPECIALISTS CARE FOR ALMOST EVERY TYPE OF CANCER AND PARTICIPATE IN CLINICAL RESEARCH TO BRING YOU THE MOST ADVANCED CANCER TREATMENT AVAILABLE. IN FY25, MERCY HOSPITAL JEFFERSON HAD 11,875 CASES AND 1,129 PATIENT DAYS FOR THIS SERVICE LINE. 24810677 28804238 MERCY HOSPITAL JEFFERSON HAS A GASTROENTEROLOGY TEAM EXPERIENCED IN DIAGNOSING AND TREATING ALL TYPES OF ILLNESSES AFFECTING THE GASTROINTESTINAL TRACT. MERCY'S TEAM CAN ALLEVIATE YOUR SYMPTOMS AND REDUCE OR ELIMINATE DISCOMFORT NO MATTER WHERE IT MAY APPEAR IN YOUR DIGESTIVE SYSTEM, FROM YOUR ESOPHAGUS AND STOMACH TO YOUR SMALL AND LARGE INTESTINES, AS WELL AS THE LIVER, GALLBLADDER AND PANCREAS. IN FY25, MERCY HOSPITAL JEFFERSON HAD 7,749 CASES AND 5,479 PATIENT DAYS FOR THIS SERVICE LINE. 176178886 245461 204536881 IN ADDITION TO THE PROGRAM SERVICES DESCRIBED ABOVE, MERCY HOSPITAL JEFFERSON ALSO SERVES PATIENTS IN ADDITIONAL SERVICE LINES, INCLUDING BUT NOT LIMITED TO THE FOLLOWING AREAS: BEHAVIORAL HEALTH; EMERGENCY ROOM; NEUROSCIENCE; ORTHOPEDICS; PULMONARY. 176178886 245461 204536881 254828199 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 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 3 1 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X SCOTT MARTINEZ 3639331102 1400 US HIGHWAY 61 FESTUS MO 63028 X BLAIR RSM CHRISTINE BOARD MEMBER 1.00 0.00 X 0 0 0 CHARLEVILLE TIFFANY BOARD MEMBER 1.00 0.00 X 0 0 0 DIX DENISE BOARD MEMBER 1.00 0.00 X 0 0 0 FRANCIS RICHARD BLAKE BOARD MEMBER 1.00 0.00 X 0 0 0 GANNON ELAINE BOARD MEMBER 1.00 0.00 X 0 0 0 MCCAFFREY DENA BOARD MEMBER 1.00 0.00 X 0 0 0 MCKENNA WILLIAM BOARD MEMBER 1.00 0.00 X 0 0 0 REUSS DOUG BOARD MEMBER 1.00 0.00 X 0 0 0 RINEY ALVIN BOARD MEMBER 1.00 0.00 X 0 0 0 IYER MD KARTHIK CMO & BOARD MEMBER 1.00 49.00 X 0 673844 30019 PEYTON MD JACOB PHYSICIAN & BOARD MEMBER 1.00 39.00 X 0 551243 38979 RIORDAN MD TRACY PHYSICIAN & BOARD MEMBER 50.00 0.00 X 0 727826 59362 AMMONS CARL E ERIC REGIONAL PRESIDENT, SOUTHEAST MISSOURI & BM 10.00 45.00 X 0 965332 141624 FARKAS BRANDI CHIEF NURSING OFFICER & BOARD MEMBER 40.00 0.00 X 0 210517 20487 ECKENFELS DANIEL PRESIDENT & CAO 30.00 15.00 X 0 582980 78807 MARTINEZ SCOTT EXECUTIVE DIRECTOR, FINANCE & OFFICER 39.00 1.00 X 0 344669 11998 WILKE JAMIE ASSOCIATE COUNSEL & SECRETARY 2.00 58.00 X 0 256673 22512 BEFFA ALISYN CNO & COO 40.00 0.00 X 0 468362 32348 MEYER MICHELE VP, OPERATIONS 40.00 0.00 X 0 345407 30910 AZAD DO SALEEM PHYSICIAN 50.00 0.00 X 0 768787 22107 GADI MD BHASKARA PHYSICIAN 50.00 0.00 X 0 1069185 35765 SIEGEL MD CRAIG PHYSICIAN 50.00 0.00 X 0 723548 37384 JUDGE MD STEVE PHYSICIAN 50.00 0.00 X 0 1299046 72206 AKAM MD TARIQ PHYSICIAN 50.00 0.00 X 0 1005139 39065 JOHNSTON JEFFREY A FORMER OFFICER 0.00 0.00 X 0 1300000 6639 MATEJKA CHERYL L FORMER OFFICER 0.00 60.00 X 0 2182852 162645 0 13475410 842857 0 1 1 0 ACUITY ANESTHESIOLOGY LLC 1734 CLARKSON RD STE 147 CHESTERFIELD MO 63017 ANESTHESIOLOGY SERVICES 5070364 HEALTHTRUST INC - THE HOSPITAL COMPANY 100 SAWGRASS CORP PKWY 6TH FL SUNRISE FL 33323 LABOR MANAGEMENT SVCS 3910839 LAWLOR CORP 1440 STRASSNER DRIVE ST LOUIS MO 63144 CONSTRUCTION AND DESIGN SERVICES 3145569 OGRADY-PEYTON INTERNATIONAL USA INC 12400 HIGH BLUFF DR STE 100 SAN DIEGO CA 92130 LABOR MANAGEMENT SOLUTIONS 1559224 IMAGEFIRST OF ST LOUIS PO BOX 778941 CHICAGO IL 60677 HEALTHCARE LINEN SERVICES 898244 27 2338809 26000 2364809 NET PATIENT SERVICE REVENUE 621110 293056733 293056733 RENTAL INCOME FROM RELATED ORG 531120 2115915 2115915 OTHER OPERATING REVENUE 621110 427096 427096 295599744 470964 210984 259980 259980 259980 CAFE & VENDING 722210 1705072 1705072 245952 245952 1951024 300175557 295845696 0 1965052 145232 145232 100229 100229 431785 420383 11402 116419822 113379335 3040487 4252220 4128912 123308 12636752 12198136 438616 7718630 7505760 212870 31080 31080 12937643 12150766 786877 30572 22638 7934 4604835 4086665 518170 154593 90263 64330 6152012 5812875 339137 317028 299723 17305 7579 7579 11556226 11377477 178749 1611638 439637 1172001 DRUGS & MEDICAL EXPENSE 51009069 51009069 SHARED SERVICE FEES 32109020 14127969 17981051 BAD DEBT 11938156 11938156 REPAIRS & MAINTENANCE 3823039 3820591 2448 1797360 1766804 30556 279784520 254828199 24956321 0 5906388 7014953 31366293 36449603 3956245 4640716 202588 667419 270159000 135266530 133202620 134892470 53636771 53636771 755928 77980 229026833 237379912 29349375 31274688 112805 137047 404920 501272 29867100 31913007 X 199131619 205439224 28114 27681 199159733 205466905 229026833 237379912 X 20391037 -14083865 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 31080 0 0 0 31080 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, 2025, DUES WERE $31,216, $31,048, AND $61,140, RESPECTIVELY. APPROXIMATELY 39.00% OF AMERICAN HOSPITAL ASSOCIATION DUES, 4.18% OF CATHOLIC HEALTH ASSOCIATION DUES, AND 28.80% OF MISSOURI HOSPITAL ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED BY THESE ASSOCIATIONS. 4238409 4238409 178700005 69747420 108952585 737070 521657 215413 84199205 62817151 21382054 2284311 2180302 104009 134892470 OTHER LIABILITIES 357525 DUE TO AFFILIATES 143747 501272 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 1 X 1 X 1 X 1 1 1 0 1 1 5731399 5731399 0.02050 38680383 38573103 107280 0.00040 44411782 38573103 5838679 0.02090 12 4773 294392 294392 0.00110 3 675 1358057 1358057 0.00490 1 6545727 6537228 8499 0.00000 1 17500 17500 0.00010 17 5448 8215676 6537228 1678448 0.00610 17 5448 52627458 45110331 7517127 0.02700 1 1182 14003 14003 0.00010 1 100 9850 9850 0.00000 2 1282 23853 23853 0.00010 1 2517825 0 49998880 46403477 3595403 X 1 1 1 1 MERCY HOSPITAL JEFFERSON PO BOX 350 CRYSTAL CITY MO 63019 WWW.MERCY.NET 529 X X X MERCY HOSPITAL JEFFERSON 1 0 0 1 X X X X X X X X X X 24 1 0 1 1 X SEE PART V, SECTION C X 1 25 1 SEE PART V, SECTION C 0 1 X 200.000000000000 300.000000000000 X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X X 1 X 0 0 MERCY HOSPITAL JEFFERSON PART V, SECTION B, LINE 3J: THE HOSPITAL FACILITY DID INCLUDE A PRIORITIZED LIST OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS IN ITS MOST RECENT CHNA REPORT.THE CHNA HAS ALL THE SECTIONS REFERENCED ABOVE AND INCLUDES AN EXECUTIVE SUMMARY, POTENTIALLY AVAILABLE RESOURCES, EVALUATION OF IMPACT, REFERENCES, AND APPENDICES. MERCY HOSPITAL JEFFERSON PART V, SECTION B, LINE 5: MERCY'S MISSION IS TO PROVIDE "COMPASSIONATE CARE AND EXCEPTIONAL SERVICE" TO EVERY INDIVIDUAL, WHICH GUIDES OUR EFFORTS IN ADDRESSING THE HEALTH NEEDS IDENTIFIED IN THIS ASSESSMENT. THIS CYCLE, MERCY PARTNERED WITH LOCAL ORGANIZATIONS SUCH AS COMPASS HEALTH (SUE CURFMAN AND MAKENZIE BECKHAM), JEFFERSON COUNTY COMMUNITY PARTNERSHIP (TRACY SMITH), THE JEFFERSON COUNTY HEALTH DEPARTMENT (BRIANNE ZWIENER), AND JEFFERSON FRANKLIN COMMUNITY ACTION CORPS (DONNA MASTERS) TO SURVEY RESIDENTS FOR THE 2025 CHNA. THE REPORT HIGHLIGHTS THE HEALTH PRIORITIES OF JEFFERSON COUNTY, AIMING TO HELP RESIDENTS AND ORGANIZATIONS UNDERSTAND COMMUNITY HEALTH NEEDS AND INFORM FUTURE STRATEGIES FOR IMPROVING HEALTH OUTCOMES.THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FULFILLS A REQUIREMENT FOR NON-PROFIT HOSPITALS UNDER THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA) AND IS ESSENTIAL FOR MERCY HOSPITAL JEFFERSON AS A NON-PROFIT HEALTHCARE PROVIDER. THE CHNA PROVIDES A COMPREHENSIVE ANALYSIS OF LOCAL HEALTH NEEDS, WITH INPUT FROM COMMUNITY MEMBERS, PUBLIC HEALTH EXPERTS, AND UNDERSERVED POPULATIONS. IT DRAWS FROM BOTH QUANTITATIVE AND QUALITATIVE DATA, FOCUSING ON THE HEALTH CHALLENGES FACED BY ECONOMICALLY DISADVANTAGED COMMUNITIES.AS PART OF OUR ONGOING COMMITMENT TO CENTER COMMUNITY VOICE IN THE DEVELOPMENT OF OUR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE COMMUNITY COLLABORATIVE HOSTED A PIVOTAL EVENT THE COMMUNITY PARTNER COLLABORATION DAY. THIS EVENT MARKED AN IMPORTANT STEP IN THE COLLECTIVE EFFORT TO DEEPEN OUR UNDERSTANDING OF THE CURRENT STATE OF OUR COUNTY'S RESOURCES AND HEALTH NEEDS.DURING THE EVENT, OVER 50 PARTICIPANTS FROM 29 DIFFERENT ORGANIZATIONS GATHERED TO ENGAGE IN A THOUGHTFUL REVIEW OF COMMUNITY DATA, AND TO SHARE VALUABLE INSIGHTS INTO OUR COUNTY'S STRENGTHS AND AREAS OF OPPORTUNITY. THESE DISCUSSIONS HELPED TO IDENTIFY BOTH THE EXISTING ASSETS WITHIN THE COMMUNITY AND THE KEY CHALLENGES THAT MUST BE ADDRESSED TO IMPROVE THE OVERALL HEALTH AND WELL-BEING OF RESIDENTS.ATTENDEES REPRESENTED A WIDE RANGE OF SECTORS, INCLUDING PUBLIC HEALTH, EDUCATION, PUBLIC SAFETY, GOVERNMENT, AND VARIOUS COMMUNITY-BASED ORGANIZATIONS. THIS DIVERSITY OF PERSPECTIVES WAS CRUCIAL IN CREATING A COMPREHENSIVE VIEW OF THE COUNTY'S NEEDS. THE DAY FEATURED A COMBINATION OF SMALL GROUP CONVERSATIONS AND LARGER GROUP DISCUSSIONS, FOCUSING ON CRITICAL ISSUES SUCH AS MENTAL HEALTH, SUBSTANCE USE, PHYSICAL HEALTH, CHILDHOOD CHALLENGES, AND BARRIERS TO ACCESSING HEALTHCARE. SCRIBES AND FACILITATORS WERE USED TO CAPTURE COMMUNITY INPUT, CONCERNS, IDEAS, AND SUGGESTIONS.THE FOLLOWING ORGANIZATIONS PARTICIPATED IN THE COMMUNITY PARTNER DAY: ASPEN NETWORK INCATLAS YOUTH OUTREACHCATHOLIC CHARITIES ARCHDIOCESE OF ST. LOUISCHESTNUT HEALTH SYSTEMSCOMPASS HEALTH NETWORKDEVELOPMENTAL DISABILITY ADVOCATESDISABILITY RESOURCE ASSOCIATIONDUNKLIN R-V SCHOOL DISTRICTFAMILY FORWARDHEROES CAREHILLSBORO R-3 SCHOOL DISTRICTJEFFERSON COLLEGEJEFFERSON COUNTY COMMUNITY PARTNERSHIPJEFFERSON COUNTY HEALTH DEPARTMENTJEFFERSON COUNTY LIBRARYJEFFERSON COUNTY OFFICE OF EMERGENCY MANAGEMENTJEFFERSON FRANKLIN COMMUNITY ACTION CORPORATIONJEFFERSON R-VII SCHOOL DISTRICTMERCY HOSPITAL JEFFERSONMERCY STEPONE SERVICEMIDWEST WELLNESS CENTERNORTHWEST R-I SCHOOL DISTRICTNURSES FOR NEWBORNSPARENTS AS TEACHERS (DE SOTO, GRANDVIEW, HILLSBORO & SUNRISE)PREVENTEDROCK COMMUNITY FIRE PROTECTION DISTRICTSALVATION ARMYST. LOUIS CRISIS NURSERY MERCY HOSPITAL JEFFERSON PART V, SECTION B, LINE 6B: JEFFERSON COUNTY HEALTH DEPARTMENT (JCHD)COMPASS HEALTH JEFFERSON COUNTY COMMUNITY PARTNERSHIP (JCCP)JEFFERSON FRANKLIN COMMUNITY ACTION CORPORATION (JFCAC) MERCY HOSPITAL JEFFERSON PART V, SECTION B, LINE 11: BASED ON THE FINDINGS OF ITS MOST RECENTLY CONDUCTED CHNA, MERCY HOSPITAL JEFFERSON HAS CHOSEN TO ADDRESS THE FOLLOWING FOUR SIGNIFICANT HEALTH NEEDS IDENTIFIED IN JEFFERSON COUNTY:- ACCESS TO CARE- MENTAL HEALTH AND SUBSTANCE USE- CANCER- AGING SERVICESTHESE NEEDS ARE BEING ADDRESSED IN THE HOSPITAL'S COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP).WHILE MERCY HOSPITAL JEFFERSON HAS NOT SELECTED OBESITY AND MAINTAINING A HEALTHY LIFESTYLE AS A SPECIFIC PRIORITY FOR THE 2025 CHNA, WE REMAIN COMMITTED TO IMPROVING HEALTH BEHAVIORS AND SUPPORTING THE COMMUNITY IN ADDRESSING THIS CRITICAL NEED. WE RECOGNIZE THAT ACCESS TO HEALTHY FOOD AND PHYSICAL ACTIVITY ARE KEY COMPONENTS OF OVERALL HEALTH, AND ALTHOUGH THIS ISSUE IS NOT A DESIGNATED PRIORITY THIS YEAR, WE ARE DEDICATED TO MAKING A DIFFERENCE IN THESE AREAS. MERCY HOSPITAL JEFFERSON WILL WORK CLOSELY WITH COMMUNITY PARTNERS TO PROMOTE HEALTHY BEHAVIORS, INCLUDING INCREASING ACCESS TO NUTRITIOUS FOOD, SUPPORTING PHYSICAL ACTIVITY INITIATIVES, AND PROVIDING EDUCATION TO HELP INDIVIDUALS MAKE HEALTHIER CHOICES. THROUGH OUTREACH PROGRAMS AND COLLABORATION WITH LOCAL SCHOOLS, BUSINESSES, AND HEALTH ORGANIZATIONS, WE AIM TO BUILD A CULTURE OF WELLNESS THAT ENCOURAGES SUSTAINABLE HEALTH IMPROVEMENTS FOR THE COMMUNITY. WHILE NOT A FORMAL PRIORITY IN THIS CYCLE, WE REMAIN DEEPLY INVESTED IN FOSTERING LONG-TERM WELLNESS AND SUPPORTING THE COMMUNITY'S EFFORTS TOWARD HEALTHIER LIVING. MERCY HOSPITAL JEFFERSON PART V, SECTION B, LINE 20E: OTHER AREAS FROM A NOTICE PERSPECTIVE: FAP IS POSTED IN ALL REGISTRATION AREAS, FULL POLICY AND PLAIN LANGUAGE DOCUMENT POSTED ON WEBSITE, PLAIN LANGUAGE DOCUMENT IS AVAILABLE WHEN REQUESTED, THERE IS A NOTICE ON STATEMENT, AND ALL PATIENTS GET THREE STATEMENTS BEFORE THEY CAN GO TO A COLLECTION AGENCY. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 7A HTTPS://WWW.MERCY.NET/CONTENT/DAM/MERCY/EN/PDF/CHNA/MERCY-JEFFERSON-2025-CHNA-FINAL.PDF FORM 990, SCHEDULE H, PART V, SECTION B, LINE 10A HTTPS://WWW.MERCY.NET/CONTENT/DAM/MERCY/EN/PDF/CHIP/2026/2026-COMMUNITY-HEALTH-IMPROVEMENT-PLANS-JEFFERSON.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/ 7 1 - MERCY SERVICES CALVARY CHURCH ROAD 1500 CALVARY CHURCH ROAD FESTUS MO 63028 HOSPITAL BASED OUTPATIENT DEPTS: IMAGING SERVICES 2 - MERCY HOME HEALTH AND HOSPICE JEFFERSON 151 INDUSTRIAL DRIVE FESTUS MO 62028 HOSPITAL BASED OUTPATIENT DEPTS: HOSPICE SERVICES, HOME HEALTH SERVICES 3 - MERCY CLINIC IMPERIAL 1250 MAIN STREET IMPERIAL MO 63052 HOSPITAL BASED OUTPATIENT DEPTS: THERAPY SERVICES 4 - MERCY CANCER CENTER JEFFERSON 1350 US HIGHWAY 61 FESTUS MO 62028 HOSPITAL BASED OUTPATIENT DEPTS: CANCER SERVICES 5 - MERCY BEHAVIORAL HEALTH JEFFERSON 1420 US HIGHWAY 61 SOUTH FESTUS MO 62028 HOSPITAL BASED OUTPATIENT DEPTS: BEHAVIORIAL HEALTH SERVICES 6 - MERCY SURGERY CENTER (SHU) 1377 US HIGHWAY 61 SOUTH FESTUS MO 62028 HOSPITAL BASED OUTPATIENT DEPTS: SURGERY SERVICES 7 - MERCY CLINIC FESTUS 1390 US HIGHWAY 61 FESTUS MO 62028 HOSPITAL BASED OUTPATIENT DEPTS: VARIOUS CLINICAL 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 $279,784,520. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $11,938,156. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $267,846,364. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICESTHE PHYSICIAN CLINICS ARE INCLUDED AS A NET AMOUNT (INCOME LESS EXPENSES) ALLOCATED BY THE CLINICAL SERVICE LINE IN THE INDIRECT COST. PART II, COMMUNITY BUILDING ACTIVITIES: MERCY HOSPITAL JEFFERSON'S (MHJ) COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH, WELLNESS, AND SAFETY OF THE COMMUNITY IT SERVES. THROUGH ACTIVE PARTICIPATION ON COMMUNITY BOARDS, NEIGHBORHOOD/COMMUNITY COALITIONS, AND INVOLVEMENT IN COMMUNITY-BASED EVENTS, MERCY BUILDS PARTNERSHIPS TO DEVELOP COLLABORATIVE SOLUTIONS TO ADDRESS COMMUNITY NEEDS. SOME OF THESE COMMUNITY BUILDING PARTNERSHIPS AND COMMUNITY ENGAGEMENT ACTIVITIES INCLUDE:- JEFFERSON COUNTY HEALTH DEPARTMENT- JEFFERSON COUNTY GROWTH ASSOCIATION- JEFFERSON FOUNDATION BOARD- PARTICIPATION IN THE DESOTO, HILLSBORO, TWIN CITY AREA, AND STE. GENEVIEVE CHAMBERS OF COMMERCE ACTIVITIES- COMPASS HEALTH NETWORK- MISSOURI HOSPITAL ASSOCIATION BOARD- EASTERN MISSOURI HOSPITAL ASSOCIATION BOARD- ST. PIUS ALUMNI ASSOCIATION- FESTUS PUBLIC LIBRARY BOARD- DISABILITY RESOURCE COUNCIL- CRYSTAL OAKS NURSING HOME BOARD CHAIR- BEHAVIORAL HEALTH NETWORK ADULT SERVICES IN ADDITION, MHJ ACTIVELY PARTICIPATES IN SEVERAL COMMUNITY BUILDING COALITIONS THAT ALSO ALIGN WITH THE HOSPITAL'S CHNA TOP HEALTH PRIORITIES, INCLUDING:- JEFFERSON COUNTY DRUG PREVENTION COALITION- ALIVE AND WELL JEFFERSON COUNTY-JEFFERSON COUNTY DRUG EDUCATION CONFERENCE PLANNING COMMITTEE-MERCY JEFFERSON SUICIDE PREVENTION CONFERENCE PLANNING COMMITTEE-JEFFERSON COUNTY UNHOUSED COALITIONEFFORTS WITH THESE COALITIONS WILL CONTINUE AS MHJ DETERMINED THAT ACCESS TO CARE, BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE ABUSE) TO BE TOP HEALTH PRIORITIES THROUGH THE CURRENT CHNA CYCLE.CASH/IN-KIND DONATIONS MERCY PROVIDES CASH AND IN-KIND DONATIONS THROUGH THE SUPPORT OF CO-WORKER ENGAGEMENT AND COMMUNITY SERVICE ACTIVITIES. THESE COMMUNITY BUILDING ACTIVITIES ALLOW MERCY CO-WORKERS TO LOOK BEYOND THE WALLS OF THE FACILITIES IN WHICH THEY SERVE TO BETTER UNDERSTAND AND ADDRESS THE NEEDS OF THE COMMUNITY.A FULL DESCRIPTION OF OUR COMMUNITY BUILDING ACTIVITIES CAN BE FOUND AT WWW.MERCY.NET/COMMUNITYBENEFITS PART III, LINE 2: TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE, AT COST, BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENT ACCOUNTS WAS MULTIPLIED BY A RATIO OF COST TO CHARGES. THE RATIO OF COST TO CHARGES USED WAS BASED ON DETAILED COST ACCOUNT, WHERE AVAILABLE. WHERE COST ACCOUNTING IS NOT AVAILABLE, COST REPORT COST TO CHARGE RATIOS WERE UTILIZED. PART III, LINE 3: THE FILING ORGANIZATION DETERMINED THAT THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS $0. ALTHOUGH THE CHARITY CARE POLICY REQUIRES THE PARTICIPATION OF THE PATIENT REQUESTING ASSISTANCE, WE HAVE A PROCESS UNDER PRESUMPTIVE CHARITY TO ADDRESS ACCOUNTS FOR PATIENTS WHO DO NOT PROVIDE THE INFORMATION. WE BELIEVE THAT OUR CHARITY POLICY IS COMPREHENSIVE ENOUGH TO CAPTURE ALMOST ALL PATIENTS WHO QUALIFY FOR CHARITY CARE. PART III, LINE 4: IN MAY 2014, THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) AND INTERNATIONAL ACCOUNTING STANDARDS BOARD ISSUED ACCOUNTING STANDARDS UPDATE (ASU) 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606). THE HEALTH SYSTEM ADOPTED ASU 2014-09 ON JULY 1, 2018 USING A FULL RETROSPECTIVE BASIS. UPON ADOPTION, THE MAJORITY OF WHAT WAS PREVIOUSLY CLASSIFIED AS PROVISION FOR UNCOLLECTIBLE ACCOUNTS AND PRESENTED AS A REDUCTION TO PATIENT SERVICE REVENUE ON THE CONSOLIDATED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS IS TREATED A PRICE CONCESSION THAT REDUCES THE TRANSACTION PRICE, WHICH IS REPORTED AS PATIENT SERVICE REVENUE. AS SUCH, BAD DEBT EXPENSE IS NOT REFERENCED IN MERCY HEALTH AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS.BAD DEBT EXPENSE IS TRACKED FOR FORM 990 REPORTING AS FOLLOWS: PATIENT ACCOUNTS RECEIVABLE THAT ARE DEEMED UNCOLLECTIBLE, INCLUDING THOSE PLACED WITH COLLECTION AGENCIES, ARE INITIALLY CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN ACCORDANCE WITH COLLECTION POLICIES OF THE HEALTH SYSTEM AND, IN CERTAIN CASES, ARE RECLASSIFIED TO CHARITY CARE IF DEEMED TO OTHERWISE MEET THE HEALTH SYSTEM'S CHARITY CARE POLICY. THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES BASED UPON THE PAYOR COMPOSITION AND AGING OF RECEIVABLES WITH CONSIDERATION OF THE HISTORICAL PAYMENT AND WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES. PART III, LINE 8: IT IS THE POSITION OF MERCY THAT 100% OF ANY SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS AMOUNT REPRESENTS COST OF PROVIDING SERVICES THAT REMAIN UNCOMPENSATED TO THE PROVIDER. THE UNREIMBURSED COSTS OF MEDICARE IS CALCULATED BY THE GROSS CHARGES NET OF THE COST TO CHARGE RATIO LESS ANY PAYMENTS, DEDUCTIONS OR REIMBURSEMENTS USING THE ANNUAL MEDICARE COST REPORT (CMS FORM 2552-96). PART III, LINE 9B: MERCY'S COLLECTION POLICY PROVIDES THAT MERCY WILL PERFORM A REASONABLE COMMUNICATION AND/OR REVIEW OF PATIENT ACCOUNTS AS IT RELATES TO ANY SERVICE PROVIDED AT OUR FACILITIES BEFORE TURNING THE ACCOUNT TO BAD DEBT FOR NONPAYMENT. MERCY ACTIVELY SCRUBS ACCOUNTS FOR PAYOR PLAN COVERAGE, INCLUDING MEDICAID. IN THE EVENT AN ACCOUNT IS TURNED TO COLLECTIONS AND IS IDENTIFIED IN NEED OF FINANCIAL ASSISTANCE DUE TO CIRCUMSTANCE CHANGES, OR PATIENT IS NOW REQUESTING ASSISTANCE, THE ACCOUNTS ARE RETURNED BY THE AGENCY AND CONSIDERED FOR CHARITY IF THE PATIENT PROVIDES THE REQUESTED INFORMATION. IF THE PATIENT FAILS TO RETURN THE INFORMATION, THE ACCOUNT WILL QUALIFY FOR COLLECTIONS.MERCY UTILIZES THE EXPERIAN TOOL TO ENHANCE THE ABILITY TO DETERMINE THE CHARITY QUALIFICATION PRIOR TO TURNING TO BAD DEBT, A PROCESS KNOWN AS PRESUMPTIVE CHARITY. 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. FOR THE COMMUNITIES OF JOPLIN, MAUDE NORTON, CARTHAGE, AND SOUTHEAST KANSAS COMMUNITIES, PRESUMPTIVE SCREENING IS NOT CONDUCTED PRIOR TO PATIENT BILLING - IT IS ONLY PERFORMED BEFORE ACCOUNTS ARE PLACED IN BAD DEBT.MERCY WILL GRANT CHARITY IN SITUATIONS WHERE THERE HAS BEEN AN INABILITY TO OBTAIN INFORMATION FROM PATIENTS OR THE INFORMATION PROVIDED IS NOT COMPLETE ENOUGH TO MAKE A CHARITY DETERMINATION WHEN A PATIENT HAS SUBMITTED AN APPLICATION.MERCY WILL PURSUE APPROPRIATE MEANS IN THE COLLECTION OF DELINQUENT ACCOUNTS FROM PATIENTS WITH AN ESTABLISHED ABILITY TO PAY OR AN UNWILLINGNESS TO COOPERATE IN VALIDATING ELIGIBILITY FOR FINANCIAL ASSISTANCE. THESE APPROPRIATE MEANS MAY INCLUDE PLACEMENT WITH A COLLECTION AGENCY CONSISTENT WITH MERCY MISSION AND VALUES. THIS OCCURS AFTER 3 MONTHLY STATEMENTS HAVE BEEN SENT WITH THE FINAL STATEMENT INCLUDING NOTIFICATION OF PLACEMENT WITH A COLLECTION AGENCY. WHILE MERCY USES THE COLLECTION FOLLOW-UP SERVICES OF COLLECTION AGENCIES, MERCY WILL NOT UTILIZE ANY TYPE OF EXTRAORDINARY COLLECTION ACTIVITY. THE DEFINITION OF EXTRAORDINARY COLLECTION ACTIVITY IS TAKEN FROM THE 501(R) DESCRIPTION. PART VI, LINE 2: IN LATE 2023, THE ST. LOUIS REGIONAL HOSPITAL COLLABORATIVE BEGAN COORDINATING EFFORTS FOR THE 2024 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), AIMING TO STREAMLINE COMMUNITY INPUT BY CONSOLIDATING SEVERAL EARLIER SURVEYS INTO ONE UNIFIED SURVEY. IN SUMMER 2024, MERCY, TOGETHER WITH SSM HEALTH, BJC HEALTHCARE, ST. LUKE'S, AND SHRINER'S HOSPITAL, DISTRIBUTED AN ONLINE SURVEY ACROSS THE ST. LOUIS REGION. THE SURVEY, AVAILABLE IN BOTH SPANISH AND ENGLISH, RAN FROM APRIL TO JUNE AND TOOK ROUGHLY FIVE MINUTES TO COMPLETE. IT ASKED 15 QUESTIONS ABOUT HEALTH CHALLENGES, HEALTHCARE ACCESS, AND SOCIAL DETERMINANTS OF HEALTH SUCH AS INCOME, NEIGHBORHOOD CONDITIONS, AND SOCIAL NETWORKS. ALTHOUGH THE SURVEY WAS MOSTLY ONLINE, PAPER COPIES WERE AVAILABLE UPON REQUEST. OPEN TO ALL RESIDENTS OF THE ST. LOUIS AREA, INCLUDING JEFFERSON COUNTY, THE SURVEY WAS PROMOTED THROUGH OUTREACH TO LOCAL STAKEHOLDERS, PARTICIPATION IN COMMUNITY EVENTS, AND SOCIAL MEDIA CAMPAIGNS. IN TOTAL, 1270 SURVEYS WERE SUBMITTED BY INDIVIDUALS WHO WORK AND/OR LIVE IN JEFFERSON COUNTY.AS PART OF OUR ONGOING COMMITMENT TO CENTER COMMUNITY VOICE IN THE DEVELOPMENT OF OUR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE COMMUNITY COLLABORATIVE HOSTED A PIVOTAL EVENT THE COMMUNITY PARTNER COLLABORATION DAY. THIS EVENT MARKED AN IMPORTANT STEP IN THE COLLECTIVE EFFORT TO DEEPEN OUR UNDERSTANDING OF THE CURRENT STATE OF OUR COUNTY'S RESOURCES AND HEALTH NEEDS. DURING THE EVENT, OVER 50 PARTICIPANTS FROM 29 DIFFERENT ORGANIZATIONS GATHERED TO ENGAGE IN A THOUGHTFUL REVIEW OF COMMUNITY DATA (APPENDIX B), AND TO SHARE VALUABLE INSIGHTS INTO OUR COUNTY'S STRENGTHS AND AREAS OF OPPORTUNITY. THESE DISCUSSIONS HELPED TO IDENTIFY BOTH THE EXISTING ASSETS WITHIN THE COMMUNITY AND THE KEY CHALLENGES THAT MUST BE ADDRESSED TO IMPROVE THE OVERALL HEALTH AND WELL-BEING OF RESIDENTS. ATTENDEES REPRESENTED A WIDE RANGE OF SECTORS, INCLUDING PUBLIC HEALTH, EDUCATION, PUBLIC SAFETY, GOVERNMENT, AND VARIOUS COMMUNITY-BASED ORGANIZATIONS. THIS DIVERSITY OF PERSPECTIVES WAS CRUCIAL IN CREATING A COMPREHENSIVE VIEW OF THE COUNTY'S NEEDS. THE DAY FEATURED A COMBINATION OF SMALL GROUP CONVERSATIONS AND LARGER GROUP DISCUSSIONS, FOCUSING ON CRITICAL ISSUES SUCH AS MENTAL HEALTH, SUBSTANCE USE, PHYSICAL HEALTH, CHILDHOOD CHALLENGES, AND BARRIERS TO ACCESSING HEALTHCARE. SCRIBES AND FACILITATORS WERE USED TO CAPTURE COMMUNITY INPUT, CONCERNS, IDEAS AND SUGGESTIONS.TO ENHANCE OUR UNDERSTANDING OF THE COMMUNITIES WE SERVE AND IDENTIFY KEY HEALTH PRIORITIES AND NEEDS, THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS INCORPORATES SECONDARY DATA SOURCES. THESE DATA PROVIDE VALUABLE CONTEXT AND INSIGHTS, HELPING TO IDENTIFY DISPARITIES IN HEALTH AND SOCIAL OUTCOMES WITHIN THE COMMUNITIES SERVED BY MERCY JEFFERSON. SECONDARY DATA SOURCES USED THROUGHOUT THE CHNA PROCESS INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: COUNTY HEALTH RANKINGS & ROADMAPS: PROVIDES COUNTY-LEVEL HEALTH DATA AND INSIGHTS INTO SOCIAL, ECONOMIC, AND ENVIRONMENTAL FACTORS THAT INFLUENCE HEALTH. MISSOURI DEPARTMENT OF HEALTH AND SENIOR SERVICES: OFFERS STATE-LEVEL HEALTH DATA, INCLUDING STATISTICS ON DISEASES, HEALTH BEHAVIORS, AND SOCIAL DETERMINANTS OF HEALTH. EXPLORE MO HEALTH: PROVIDES DATA ON HEALTH OUTCOMES, BEHAVIORS, AND COMMUNITY HEALTH RESOURCES WITHIN MISSOURI. U.S. CENSUS BUREAU: OFFERS DEMOGRAPHIC DATA, INCLUDING POPULATION STATISTICS, INCOME LEVELS, AND OTHER SOCIAL FACTORS CRITICAL FOR UNDERSTANDING COMMUNITY HEALTH NEEDS. ALL THINGS MISSOURI HEALTH RANKINGS REPORT: OFFERS A COMPREHENSIVE LOOK AT HEALTH DATA ACROSS MISSOURI, PROVIDING INSIGHTS INTO KEY HEALTH INDICATORS. MISSOURI STATE HEALTH IMPROVEMENT PLAN: DETAILS THE STATE'S HEALTH PRIORITIES AND STRATEGIES GOALS FOR IMPROVING HEALTH OUTCOMES IN MISSOURI. THESE SECONDARY DATA SOURCES PLAY A CRUCIAL ROLE IN PAINTING A COMPREHENSIVE PICTURE OF THE HEALTH LANDSCAPE IN THE COMMUNITIES WE SERVE, HELPING US TO ADDRESS KEY HEALTH DISPARITIES AND INFORM STRATEGIC PLANNING FOR HEALTH IMPROVEMENT.THE PROCESS FOR SELECTING THE PRIORITIZED HEALTH NEEDS FOR THE NEW COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INVOLVED ANALYZING BOTH PRIMARY AND SECONDARY DATA, WHICH LED TO THE IDENTIFICATION OF ELEVEN KEY HEALTH NEEDS. THESE NEEDS WERE SELECTED BASED ON THEIR HIGH RANKING IN SURVEYS, THEIR RECOGNITION AS HEALTH DISPARITIES IN PUBLIC HEALTH DATA, AND THEIR PRIORITIZATION IN PREVIOUS CHNAS. IN NOVEMBER 2024, MERCY HOSPITAL JEFFERSON'S EXECUTIVE LEADERSHIP TEAM CONVENED TO PRIORITIZE THE ELEVEN HEALTH NEEDS. THE TEAM REVIEWED THE COLLECTED DATA, ASSESSED THE STRENGTHS AND RESOURCES AVAILABLE IN THE COMMUNITY, AND ALIGNED THE PRIORITIES WITH THE HOSPITAL'S STRATEGIC PLAN. A STRATEGY GRID WAS USED TO NARROW DOWN THE LIST, EVALUATING EACH NEED BASED ON TWO CRITERIA: SEVERITY OF THE NEED AND AVAILABILITY OF RESOURCES TO ADDRESS IT. THE ELEVEN IDENTIFIED HEALTH NEEDS WERE: ACCESS TO CARE, FINANCIAL LITERACY, SUBSTANCE USE, BEHAVIORAL HEALTH, AFFORDABLE HOUSING, TRANSPORTATION, AGING SERVICES, OBESITY/HEALTHY LIFESTYLES, INTELLECTUAL/DEVELOPMENTAL DISABILITIES, CANCERS, AND MATERNAL AND INFANT HEALTH.TO PRIORITIZE THE TOP SIX HEALTH NEEDS, MERCY HOSPITAL JEFFERSON USED A NOMINAL GROUP TECHNIQUE. EACH TEAM MEMBER RANKED THE NEEDS BASED ON FIVE FACTORS: HOW SERIOUS THE NEED IS, HOW FEASIBLE IT IS TO MAKE CHANGES, HOW WELL IT ALIGNS WITH THE HOSPITAL'S MISSION AND GOALS, THE RESOURCES AVAILABLE, AND ITS IMPORTANCE TO THE COMMUNITY. AFTER ADDING UP THE SCORES FROM ALL PARTICIPANTS, THE FINAL PRIORITIES WERE DETERMINED. FOR THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT, MERCY HOSPITAL JEFFERSON HAS FOCUSED ON FOUR KEY HEALTH NEEDS: 1) ACCESS TO CARE, 2) BEHAVIORAL HEALTH AND SUBSTANCE ABUSE, 3) CANCERS, AND 4) AGING SERVICES. ACCESS TO CARE AND BEHAVIORAL HEALTH AND SUBSTANCE ABUSE ARE BEING CARRIED OVER FROM THE 2022 CHNA, WHILE CANCERS AND AGING SERVICES ARE NEWLY IDENTIFIED PRIORITIES. THE HOSPITAL WILL CONTINUE TO BUILD ON EXISTING STRATEGIES THAT HAVE SHOWN POSITIVE RESULTS, WHILE ALSO EXPLORING NEW PROGRAMS, INTERVENTIONS, AND PARTNERSHIPS TO ADDRESS ALL THE PRIORITIZED NEEDS.THE RESULTING COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) OUTLINES STRATEGIES AND RESOURCES TO ADDRESS THESE PRIORITIES THROUGH EVIDENCE-BASED PROGRAMS, EXPANDED PARTNERSHIPS, AND TARGETED INTERVENTIONS. THE CHIP PROVIDES A FRAMEWORK FOR COLLABORATION WITH LOCAL ORGANIZATIONS AND RESIDENTS TO IMPROVE HEALTH OUTCOMES AND ENHANCE QUALITY OF LIFE FOR THE COMMUNITIES WE SERVE.MERCY HOSPITAL JEFFERSON ALSO ASSESSES THE NEEDS OF THE COMMUNITY THROUGH REQUESTS BY LOCAL AGENCIES. ACCORDING TO THE CATHOLIC HEALTH ASSOCIATION, A REQUEST FROM A PUBLIC AGENCY OR COMMUNITY GROUP TO INITIATE OR CONTINUE AN ACTIVITY OR PROGRAM MEETS THE REQUIREMENTS FOR A DOCUMENTED COMMUNITY NEED. MERCY JEFFERSON SERVES ON VARIOUS BOARDS AND HAS PARTNERSHIPS THROUGHOUT THE COMMUNITY THAT CAN BE SEEN IN LINE 5. PART VI, LINE 3: MERCY INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY THROUGH SEVERAL MEANS. IF AT ANY TIME A PATIENT EXPRESSES HARDSHIP AND INABILITY TO PAY, THE ACCOUNT IS PLACED FOR REVIEW. IN ADDITION, PATIENTS HAVE SIGNAGE ABOUT THE POLICY AT THE ACCESS POINTS, AND ALL STAFF WORKING WITH THE PATIENT AT POINT OF SERVICE, SCHEDULING, CUSTOMER SERVICE, AND EVEN THROUGH THE MEDICAID ELIGIBILITY SCREENING HAVE THE MEANS TO SEND THE ACCOUNT FOR REVIEW. THERE IS THE PLAIN LANGUAGE SUMMARY THAT IS BEING PROVIDED TO ALL WHOM EXPRESS HARDSHIP, IN ADDITION TO THE WEB ADDRESS PROVIDING THE APPLICATION, POLICIES, AND EVEN HOW UNINSURED ACCOUNTS ARE HANDLED. LASTLY, THE STATEMENTS MESSAGE TO THE PATIENT THAT MERCY DOES HAVE A FINANCIAL ASSISTANCE PROGRAM AND TO CALL TO SEE IF THEY ARE ELIGIBLE. MERCY STAFF'S INTERNAL RESOURCES CERTIFIED TO ASSIST PATIENTS WITH MEDICAID APPLICATIONS AS WELL. PART VI, LINE 4: THE PRIMARY SERVICE AREA FOR MERCY HOSPITAL JEFFERSON INCLUDES 30 ZIP CODES ACROSS MISSOURI. THE FOLLOWING INFORMATION IS DERIVED FROM THE ADVISORY BOARD DEMOGRAPHICS AND AHA ANALYTICS. THE AREA'S POPULATION IS 197,710. THE MEDIAN HOUSEHOLD INCOME IS $60,849. 44.6% OF THE POPULATION IS 45 AND OLDER. 89.3% OF THE POPULATION IS A HIGH SCHOOL GRADUATE OR GREATER AND THE MEDIAN AGE IS 40. 20.5% OF THE HOUSEHOLDS ARE ON MEDICARE, 19.4% ON MEDICAID, AND 9.1% UNINSURED. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH MERCY PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. MERCY IS A CATHOLIC HEALTH CARE CORPORATION THAT, PURSUANT TO THE ORGANIZATIONAL CORE BELIEF,THAT HEALTH CARE SERVICES ARE A VITAL AND INTEGRAL PART OF THE CHURCH'S HEALING MISSION, ENGAGES IN A MINISTRY WHICH PROVIDES GENERAL ACUTE CARE, AMBULATORY, LONG-TERM AND HOME CARE HEALTH SERVICES TO INDIVIDUALS ANDFAMILIES IN ITS COMMUNITIES. MERCY OFFERS SERVICES AND PROGRAMS WHICH FURTHER HEALTH PROMOTION, MAINTENANCE AND CARE TO THE COMMUNITY. PROGRAMS PROVIDED TO MEET THE COMMUNITY INCLUDE SUPPORT GROUPS, OUTREACH EVENTS, BLOOD DRIVES, AND CO-WORKER WORKDAYS. MERCY IS GOVERNED BY A BOARD OF DIRECTORS WHICH INCLUDES REPRESENTATION FROM COMMUNITY LEADERS FROM A VARIETY OF SECTORS. ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY. ANY POTENTIAL CONFLICTS OF INTEREST DISCLOSED ARE REVIEWED AND RESOLVED. THIS PROCESS ENSURES THAT PUBLIC, RATHER THAN PRIVATE INTERESTS ARE SERVED. SURPLUS FUND AND UNRESTRICTED ASSETS HELD ARE REINVESTED IN PATIENT CARE, MEDICAL EDUCATION AND RESEARCH INITIATIVES WHICH SUPPORT THE ORGANIZATION'S MISSION TO DELIVER COMPASSIONATE CARE AND EXCEPTIONAL HEALTH CARE SERVICES TO THE COMMUNITIES IT SERVES.OPEN MEDICAL STAFFMEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR NEARLY ALL OF OUR DEPARTMENTS. MERCY HOSPITAL JEFFERSON HAS EXCLUSIVE CONTRACTS WITH PHYSICIAN GROUPS FOR THE FOLLOWING SERVICES: RADIOLOGY, PATHOLOGY, ANESTHESIA, AND EMERGENCY MEDICINE. THIS MEANS THAT THE MAJORITY OF THE PHYSICIANS ON STAFF ARE IN CATEGORIES THAT ARE OPEN TO QUALIFIED PHYSICIANS IN THE COMMUNITY. 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, 2025, MERCY FACILITIES INCLUDED 33 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, 2025, MERCY HAD MORE THAN 11.6 MILLION CLINIC AND OUTPATIENT VISITS, APPROXIMATELY 2,800 EMPLOYED PHYSICIANS, AND APPROXIMATELY 52,200 FULL-TIME EQUIVALENT EMPLOYEES, MAKING MERCY ONE OF THE 20 LARGEST CATHOLIC HEALTH SYSTEM IN THE UNITED STATES. MERCY IS SPONSORED BY MERCY HEALTH MINISTRY, WHICH IS GOVERNED BY MEMBERS THAT INCLUDE SISTERS OF MERCY. MANY SERVICES THAT ARE ESSENTIAL TO FULFILLING MERCY'S MISSION ARE CENTRALIZED AT THE MINISTRY OFFICE. SUCH CENTRALIZED SERVICES INCLUDE: FINANCE (INCLUDING TREASURY, FINANCIAL ACCOUNTING AND REPORTING, REVENUE MANAGEMENT, INTERNAL AUDIT, ACCOUNTS PAYABLE AND PAYROLL OPERATIONS, ANALYTICS AND DECISION SUPPORT); ENVIRONMENTAL SERVICES SUPPORT; CLINICAL INTEGRATION; CARE MANAGEMENT; CLINICAL PERFORMANCE ACCELERATION; CLINICAL ENGINEERING; CLINICAL QUALITY MANAGEMENT; COMPLIANCE; GRANTS AND RESEARCH SERVICES; LEGAL AND COMPLIANCE COUNSEL; MARKETING AND COMMUNICATIONS; PLANNING, DESIGN AND CONSTRUCTION; PRODUCT DEVELOPMENT INFORMATICS; REAL ESTATE; SUPPLY CHAIN MANAGEMENT; MANAGED CARE STRATEGY SUPPORT; HUMAN RESOURCES (INCLUDING COMPENSATION, BENEFITS AND RECRUITING); MISSION SERVICES AND ETHICS; PHILANTHROPY SUPPORT; INFORMATION TECHNOLOGY; AND, COMMUNITY RELATIONS. THE CENTRALIZATION OF SUCH SUPPORT SERVICES ENABLES MERCY TO ENSURE THAT EACH OF ITS COMMUNITIES, WHETHER LARGE OR SMALL, HAS THE SERVICES IT NEEDS. FORM 990, SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: MO 1 MERCY HEALTH FOUNDATION JEFFERSON PO BOX 350 CRYSTAL CITY MO 63019 462797051 501(C)(3) 140732 0 CHARITABLE SUPPORT 1 0 CAR/VAN TRANSPORTATION 433 83018 GAS CARDS 420 10522 FUNERAL 5 4360 MORTGAGE, RENT AND UTILITIES 4 1437 DEVICE RENTALS 1 600 MEDICAL SERVICES 1 292 PART I, LINE 2: DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING USE OF GRANTS THE ASSISTANCE PROVIDED IS INTENDED TO BE USED FOR THE GENERAL OPERATING PURPOSES OF THE DONEE. THE USE OF GRANT FUNDS IS NOT MONITORED AFTER GRANTS ARE GIVEN. HOWEVER, THE GRANTEE IS PART OF MERCY HEALTH AND THEREFORE A RELATED ORGANIZATION TO MERCY HOSPITAL JEFFERSON. LEADERSHIP OF THE HOSPITAL AND THE GRANTEE COMMUNICATE ON HOW FUNDS ARE USED, ALTHOUGH THERE IS NO FORMAL MONITORING PROCESS. WHEN PATIENT CARE STAFF IDENTIFY PATIENTS NEEDING ASSISTANCE, THE ENTITY PROVIDES INDIVIDUALS WITH ASSITANCE IN THE FORM OF MORTGAGE, RENT, AND UTILITY PAYMENTS, AND WITH THE ENTITY 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, 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, FUNERAL SERVICES, DEVICE RENTALS, AND VARIOUS OTHER SUPPORT IS PROVIDED TO THE PATIENT WITH THE HOSPITAL COVERING THE COSTS. THEREFORE, NO FURTHER MONITORING RELATED TO THE USE OF THE FUNDS IS NEEDED. 1 0 0 0 0 0 0 0 0 MATEJKA CHERYL L FORMER OFFICER 0 815737 0 1306619 0 60496 0 148628 0 14017 0 2345497 0 0 JUDGE MD STEVE PHYSICIAN 0 384057 0 22720 0 892269 0 58863 0 13343 0 1371252 0 0 JOHNSTON JEFFREY A FORMER OFFICER 0 0 0 0 0 1300000 0 6639 0 0 0 1306639 0 0 AMMONS CARL E ERIC REGIONAL PRESIDENT, SOUTHEAST MISSOU 0 460637 0 437835 0 66860 0 127612 0 14012 0 1106956 0 0 GADI MD BHASKARA PHYSICIAN 0 887258 0 89717 0 92210 0 14850 0 20915 0 1104950 0 0 AKAM MD TARIQ PHYSICIAN 0 880954 0 66710 0 57475 0 18150 0 20915 0 1044204 0 0 AZAD DO SALEEM PHYSICIAN 0 692810 0 52225 0 23752 0 14850 0 7257 0 790894 0 0 RIORDAN MD TRACY PHYSICIAN & BOARD MEMBER 0 575263 0 106927 0 45636 0 38120 0 21242 0 787188 0 0 SIEGEL MD CRAIG PHYSICIAN 0 568662 0 53514 0 101372 0 25380 0 12004 0 760932 0 0 IYER MD KARTHIK CMO & BOARD MEMBER 0 513679 0 113625 0 46540 0 18150 0 11869 0 703863 0 0 ECKENFELS DANIEL PRESIDENT & CAO 0 350830 0 201223 0 30927 0 57404 0 21403 0 661787 0 0 PEYTON MD JACOB PHYSICIAN & BOARD MEMBER 0 481247 0 43526 0 26470 0 18150 0 20829 0 590222 0 0 BEFFA ALISYN CNO & COO 0 341593 0 95812 0 30957 0 11550 0 20798 0 500710 0 0 MEYER MICHELE VP, OPERATIONS 0 215803 0 76772 0 52832 0 17177 0 13733 0 376317 0 0 MARTINEZ SCOTT EXECUTIVE DIRECTOR, FINANCE & OFFICE 0 109703 0 0 0 234966 0 0 0 11998 0 356667 0 0 WILKE JAMIE ASSOCIATE COUNSEL & SECRETARY 0 191216 0 38426 0 27031 0 10343 0 12169 0 279185 0 0 FARKAS BRANDI CHIEF NURSING OFFICER & BOARD MEMBER 0 152760 0 37270 0 20487 0 8699 0 11788 0 231004 0 0 PART I, LINE 3 MERCY HOSPITAL JEFFERSON RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTION 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS. PART I, LINE 4A THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAY FROM A RELATED ORGANIZATION DURING CALENDAR YEAR 2024: JEFF JOHNSTON - $1,300,000 SEEMA IYER FAMILY MEMBER OF BOARD MEMBER 431785 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 HOSPITAL JEFFERSON IS MERCY HEALTH EAST COMMUNITIES, A SUPPORTING ORGANIZATION UNDER SECTION 509(A)(3). THE MEMBER OF MERCY HEALTH EAST COMMUNITIES IS MERCY HEALTH. FORM 990, PART VI, SECTION A, LINE 7A MERCY HEALTH, THE MEMBER OF MERCY HEALTH EAST COMMUNITIES, HAS RESERVE POWERS TO APPOINT AND REMOVE ALL DIRECTORS AND OFFICERS FOR MERCY HOSPITAL JEFFERSON. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED TO THE CORPORATE MEMBER (AND WITH REGARD TO CERTAIN POWERS AND RESPONSIBILITIES, TO MERCY HEALTH EAST COMMUNITIES AS THE CORPORATE MEMBER OF THE CORPORATE MEMBER): A. APPROVAL OF REVISIONS TO THE MISSION, VISION AND OPERATING VALUES PURSUANT TO WHICH THE CORPORATION OPERATES; B. APPROVAL OF ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION AND THESE BYLAWS AND ANY AMENDMENTS TO THE ORGANIZATIONAL DOCUMENTS OF ANY AFFILIATE OF THE CORPORATION; C. APPOINTMENT AND REMOVAL OF MEMBERS OF THE BOARD; D. APPROVAL OF THE APPOINTMENT AND REMOVAL OF THE PRESIDENT OF THE HOSPITAL SUBJECT TO THE CONSENT OF MERCY HEALTH EAST COMMUNITIES; E. ADOPTION OF THE STRATEGIC PLAN, GOALS, AND OBJECTIVES OF THE CORPORATION; F. ADOPTION OF THE OPERATING, CAPITAL AND ALL OTHER BUDGETS FOR THE CORPORATION; G. APPROVAL OF THE ASSIGNMENT, TRANSFER, SALE OR LEASE OF ANY OF THE ASSETS OF THE CORPORATION OR ANY AFFILIATE OF THE CORPORATION IN EXCESS OF ONE MILLION DOLLARS ($1,000,000) IN ANY ONE OR SERIES OF RELATED TRANSACTIONS OCCURRING WITHIN ANY TWELVE (12) MONTH PERIOD; H. AUTHORIZATION AND APPROVAL OF THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY AFFILIATE OF THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTE ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; I. APPROVAL OF A PLAN OF MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION OR ANY AFFILIATE; J. APPROVAL OF THE LEASE, MANAGEMENT OR PURCHASE OF, OR AFFILIATION WITH, ANOTHER HOSPITAL OR HOSPITAL SYSTEM, OR HEALTH CARE FACILITY OR HEALTH CARE SYSTEM BY THE CORPORATION; AND, K. TO APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION BY THE CORPORATION. L. OVERSEE, APPROVE AND MONITOR HUMAN RESOURCE PROGRAMS, WHICH SHALL PROMORTE AN ORGANIZATIONAL ENVIRONMENT THAT: 1. PROVIDES FOR THE RECRUITMENT AND RENTION OF CO-WORKERS WHO ARE SERVICE ORIENTED, COMPASSIONATE, ENGAGED, AND WHO FIND MEANING AND PURPOSE IN WORKING IN A FAITH-BASED ORGANIZATION; 2. ENABLES PEOPLE TO RELATE TO ONE ANOTHER WITH RESPECT AND ACCEPTANCE IN A SPIRIT OF COMMUNITY; 3. PROMOTES CO-WORKER PARTIICPATION AND VOICE IN THEIR WORK LIVES; 4. GIVES CO-WORKERS A FAIR OPPORTUNITY TO DEVLEOP THEIR SKILLS AND TALENTS, AND A MEANS BY WHICH THEIR CONTRIBUTIONS ARE RECOGNIZED; 5. PROVIDES CO-WORKERS WITH THE MATERIALS AND EQUIPMENT TO PROPERLY DO THEIR WORK;AND, 6. ENSURES CO-WORKER SAFETY AND WELL-BEING. FORM 990, PART VI, SECTION B, LINE 11B 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, 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, 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 LAWLOR CORP WERE RELATED TO MATERIALS IN ADDITION TO AMOUNTS PAID FOR SERVICES. HOWEVER, THE AMOUNTS ARE NOT DISTINGUISHABLE. FORM 990, PART XI, LINE 9: TRANSFERS (TO)/FROM AFFILIATES -14,083,431. CHANGE IN RESTRICTED NET ASSETS -434. 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. JEFFERSON REGIONAL OUTPATIENT FACILITIES LLC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 272196402 URGENT CARE AND OUTPATIENT FACILTIES MO 0 0 MERCY HOSPITAL JEFFERSON MERCY CLINIC ADULT HOSPITALISTS - JEFFERSON LLC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 462913068 MANAGED CARE CONTRACTING MO 0 0 MERCY HOSPITAL JEFFERSON MERCY LABS JEFFERSON LLC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 463478362 LABORATORY SERVICES MO 146960 0 MERCY HOSPITAL JEFFERSON CASA DE MISERICORDIA 1000 MIER ST LAREDO TX 78040 742912461 WOMEN'S DOMESTIC VIOLENCE SHELTER TX 501(C)(3) LINE 7 MERCY MINISTRIES OF LAREDO 1 MCAULEY PORTFOLIO MANAGEMENT COMPANY 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 261708048 PORTFOLIO MANAGEMENT. MO 501(C)(3) LINE 12B, II MERCY HEALTH 1 MERCY ACO CLINICAL SERVICES INC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 464504901 VIRTUAL CARE CENTER MO 501(C)(3) LINE 3 MERCY HEALTH 1 MERCY CLINIC EAST COMMUNITIES 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 431771217 PHYSICIAN GROUP MO 501(C)(3) LINE 10 MERCY HEALTH EAST COMMUNITIES 1 MERCY CLINIC FORT SMITH COMMUNITIES 7301 ROGERS AVENUE FORT SMITH AR 72903 261318597 PHYSICIAN CLINIC AR 501(C)(3) LINE 3 MERCY HEALTH FORT SMITH COMMUNITIES 1 MERCY CLINIC OKLAHOMA COMMUNITIES INC 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 270473057 PHYSICIAN GROUP OK 501(C)(3) LINE 3 MERCY HEALTH OKLAHOMA COMMUNITIES INC 1 MERCY CLINIC SPRINGFIELD COMMUNITIES 1965 S FREMONT SUITE 200 SPRINGFIELD MO 65804 431560263 PHYSICIAN GROUP MO 501(C)(3) LINE 3 MERCY HEALTH SPRINGFIELD COMMUNITIES 1 MERCY FAMILY CENTER 110 VETERANS BLVD METAIRIE LA 70005 721069468 FAMILY COUNSELING SERVICE LA 501(C)(3) LINE 7 MERCY HEALTH 1 MERCY HEALTH 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 431423050 CORPORATE OFFICE MO 501(C)(3) LINE 1 N/A 0 MERCY HEALTH EAST COMMUNITIES 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 431718408 HEALTH SYSTEM MO 501(C)(3) LINE 12A, I MERCY HEALTH 1 MERCY HEALTH FORT SMITH COMMUNITIES 7301 ROGERS AVENUE FORT SMITH AR 72917 261318515 HOLDING COMPANY AR 501(C)(3) LINE 12B, II MERCY HEALTH 1 MERCY HEALTH FOUNDATION 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 200901499 FOUNDATION MO 501(C)(3) LINE 12B, II MERCY HEALTH 1 MERCY HEALTH FOUNDATION ADA 430 N MONTE VISTA STREET ADA OK 74820 463596274 FOUNDATION OK 501(C)(3) LINE 12A, I MERCY HOSPITAL ADA INC 1 MERCY HEALTH FOUNDATION ARDMORE 1011 14TH AVENUE NW ARDMORE OK 73401 710962525 FOUNDATION OK 501(C)(3) LINE 12A, I MERCY HOSPITAL ARDMORE INC 1 MERCY HEALTH FOUNDATION BERRYVILLE 214 CARTER STREET BERRYVILLE AR 72616 710759301 FOUNDATION AR 501(C)(3) LINE 12A, I MERCY HOSPITAL BERRYVILLE 1 MERCY HEALTH FOUNDATION FORT SCOTT 401 WOODLAND HILLS BLVD FORT SCOTT KS 66701 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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HEALTH EAST COMMUNITIES 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 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742499535 HOLDING COMPANY MO MERCY HOSPITALS EAST COMMUNITIES C 0 0 1 1 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 MHM SUPPORT SERVICES Q 248841361 FMV MERCY HEALTH EAST COMMUNITIES Q 170470435 FMV MERCY HEALTH FOUNDATION JEFFERSON C 2338809 FMV MERCY CLINIC EAST COMMUNITIES Q 509785 FMV MERCY HEALTH FOUNDATION JEFFERSON B 140732 FMV MERCY HEALTH SPRINGFIELD COMMUNITIES Q 79671 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.