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 430653493 MERCY HOSPITALS EAST COMMUNITIES MERC 3142516000 615 S NEW BALLAS ROAD ST LOUIS MO 63141 TYLER STURGEON CHIEF FINANCIAL OFFICER 3142516000 2026-05-07 1 1 DOUGLAS G PLEUS CPA P00013488 3143178900 2024 2025-03-06 01:10:19Z DAVID MEINERS 15740 SOUTH OUTER FORTY ROAD CHESTERFIELD MO 630172004 1979705214 0 0928 X WWW.MERCY.NET X 1891 MO AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. 12 8 32 622 67949 0 3736835 17879389 1857480976 1937543623 6209834 6359737 12484581 13086588 1879912226 1974869337 4069444 3341900 0 0 693165673 745796209 0 0 0 895341098 994651724 1592576215 1743789833 287336011 231079504 916093926 935572341 70310141 61719682 845783785 873852659 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 212586579 267997337 MERCY HOSPITALS 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 HOSPITALS EAST COMMUNITIES PROVIDES A WIDE VARIETY OF SERVICES IN THEIR 928 BED FACILITY AND IN FY25, HAD 1,376,333 TOTAL CASES. AT MERCY HOSPITALS EAST COMMUNITIES, CANCER CARE IS ABOUT MORE THAN PROVIDING CLINICAL TREATMENTS. MERCY HOSPITALS EAST COMMUNITIES 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 HOSPITALS EAST COMMUNITIES HAD 89,011 CASES AND 10,684 PATIENT DAYS FOR THIS SERVICE LINE. 165889943 209129207 MERCY HOSPITALS 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 HOSPITALS EAST COMMUNITIES ALSO PROVIDES A FULL COMPLEMENT OF CARDIAC REHABILITATION, THERAPY AND EDUCATION SERVICES. IN FY25, MERCY HOSPITALS EAST COMMUNITIES HAD 72,234 CASES AND 27,165 PATIENT DAYS FOR THIS SERVICE LINE. 133769044 168635987 MERCY HOSPITALS 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 HOSPITALS EAST COMMUNITIES HAD 62,175 CASES AND 27,348 PATIENT DAYS FOR THIS SERVICE LINE. 1026169467 3341900 1293640854 IN ADDITION TO THE PROGRAM SERVICES DESCRIBED ABOVE, MERCY HOSPITALS EAST COMMUNITIES ALSO SERVES PATIENTS IN ADDITIONAL SERVICE LINES, INCLUDING BUT NOT LIMITED TO THE FOLLOWING AREAS: EMERGENCY ROOM; GASTROENTEROLOGY; NICU; NEUROSCIENCE; ORTHOPEDICS. 1026169467 3341900 1293640854 1538415033 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 32 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 12 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 X TYLER STURGEON 3145251930 10010 KENNERLY ROAD ST LOUIS MO 63128 X MEINERS MD DAVID COMMUNITY PRESIDENT - HOSPITAL 50.00 10.00 X X 0 1232456 128948 ANDREWS RSM SR VIRGINIA BOARD MEMBER 1.00 0.00 X 0 0 0 BRECKENKAMP SCOTT BOARD MEMBER 1.00 0.00 X 0 0 0 COLEMAN DENNIS CHRISTIAN BOARD MEMBER 1.00 0.00 X 0 0 0 ECKELKAMP JR LOUIS BERNARD BOARD MEMBER 1.00 0.00 X 0 0 0 HANNAH SARA BOARD MEMBER 1.00 0.00 X 0 0 0 HINTZE PAUL BOARD MEMBER 1.00 0.00 X 0 0 0 JOHNSON KRISTEN BOARD MEMBER 1.00 0.00 X 0 0 0 KOELSCH RSM SR CABRINI BOARD MEMBER 1.00 5.00 X 0 0 0 LUCY SANDY BOARD MEMBER 1.00 1.00 X 0 0 0 MARONEY JOHN PATRICK BOARD MEMBER 1.00 0.00 X 0 0 0 MILLER SR WILLIAM BOARD MEMBER 1.00 0.00 X 0 0 0 O'LOUGHLIN STEVE BOARD MEMBER 1.00 0.00 X 0 0 0 SANFORD CASSANDRA BOARD MEMBER 1.00 0.00 X 0 0 0 BACA RSM SR PATRICIA BOARD MEMBER 1.00 0.00 X 0 0 0 CHALK MD DAVID E REGIONAL PHYSICIAN EXECUTIVE 1.00 45.00 X 0 1593949 112692 BOYD MD JAMES PHYSICIAN & BOARD MEMBER 1.00 39.00 X 0 756037 35467 DUMONTIER MD GARY PHYSICIAN & BOARD MEMBER 1.00 39.00 X 0 578458 35381 RIECHERS MD THOMAS PHYSICIAN & BOARD MEMBER 6.00 50.00 X 0 686354 51641 SCOFFIC DENISE CFO 48.00 4.00 X 0 483042 90041 COMBS EMILY COO 40.00 20.00 X 0 631470 90703 EOLOFF ERIC J COMMUNITY PRESIDENT (THRU 10/2024) 40.00 20.00 X 0 748462 101631 THORN MARK A EXECUTIVE DIRECTOR FINANCE 40.00 10.00 X 0 238103 19120 WEILBACHER ROBYN CNO 40.00 10.00 X 0 605273 107715 MOORE MARIE COMMUNITY PRESIDENT (STARTING 02/2025) 39.00 1.00 X 0 428995 72343 FINNIE MD JOHN PHYSICIAN 30.00 30.00 X 0 1364061 37606 HU MD HSIAO-OU PHYSICIAN 50.00 0.00 X 0 1176338 42365 HUESER DO CHRISTOPHER PHYSICIAN 50.00 0.00 X 0 1258263 39065 MIRZA MD MUHAMMAD PHYSICIAN 50.00 0.00 X 0 1231452 39554 RODGERS MD HEIDE PHYSICIAN 50.00 0.00 X 0 1184281 37410 JOHNSTON JEFFREY A FORMER OFFICER 0.00 0.00 X 0 1300000 6639 MACKIN STEPHEN L FORMER OFFICER 0.00 60.00 X 0 7558489 776912 MATEJKA CHERYL L FORMER OFFICER 0.00 60.00 X 0 2182852 162645 OREN PHINEAS FORMER KEY EMPLOYEE 0.00 50.00 X 0 622373 30263 CRAIN CHRISTINE FORMER KEY EMPLOYEE 0.00 0.00 X 0 210341 0 KAHN MD JOSEPH FORMER KEY EMPLOYEE 0.00 0.00 X 0 289213 0 NELSON KATHRYN FORMER KEY EMPLOYEE 0.00 0.00 X 0 738880 88149 ROTHERMICH ANTHONY FORMER KEY EMPLOYEE 0.00 40.00 X 0 356956 64844 0 27456098 2171134 6 1 1 0 HEALTHTRUST INC - THE HOSPITAL COMPANY 100 SAWGRASS CORP PKWY 6TH FL SUNRISE FL 33323 LABOR MANAGEMENT SVCS 21543262 WESTERN ANESTHESIOLOGY ASSOCIATES INC 339 CONSORT DR BALLWIN MO 63011 ANESTHESIOLOGY SERVICES 16700115 WEST COUNTY RADIOLOGICAL GROUP INC 11475 OLDE CABIN RD STE 200 ST LOUIS MO 63141 RADIOLOGICAL SERVICES 5771727 IMAGEFIRST OF ST LOUIS PO BOX 778941 CHICAGO IL 60677 HEALTHCARE LINEN SERVICES 3774505 MCCARTHY BUILDING CO 12851 MANCHESTER RD ST LOUIS MO 63131 CONSTRUCTION AND DESIGN SERVICES 3348080 105 8183358 9283896 412135 17879389 NET PATIENT SERVICE REVENUE 622110 1917482171 1917482171 RENTAL INCOME FROM RELATED ORG 531120 14195898 14195898 OTHER OPERATING REVENUE 622110 5642554 5642554 MANAGEMENT FEES 900099 223000 223000 1937543623 6948586 6948586 1580969 246028 1334941 1334941 1334941 4001000 4589849 -588849 -588849 -588849 CAFE & VENDING 722212 9823937 9823937 REGISTRATION FEES INCOME 622110 428494 428494 OPTICAL - RETAIL 624100 67949 67949 1431267 1431267 11751647 1974869337 1939403384 67949 17518615 2351297 2351297 990603 990603 666964 640233 26731 611847512 589026382 22821130 23087310 22152469 934841 68080982 64300596 3780386 42113441 40455400 1658041 95131 95131 58887544 54656379 4231165 148052 147537 515 24898249 23078305 1819944 700168 351023 349145 28938431 27512396 1426035 1261589 1210148 51441 2062 2062 111017 111017 61477935 60788767 689168 6616143 2572913 4043230 DRUGS & MEDICAL EXPENSE 413975604 413975604 SHARED SERVICE FEES 289893985 127553353 162340632 BAD DEBT 73903991 73903991 REPAIRS & MAINTENANCE 18669029 18615634 53395 15072794 14018924 1053870 1743789833 1538415033 205374800 0 38909399 42610689 242122027 265084563 24666631 26197033 1310556 4568088 1754446652 1186401547 575619957 568045105 2680731 2158680 24380359 24380359 6404266 2527824 916093926 935572341 63399999 54966170 1187189 1192453 672123 1427261 3304794 2491645 1746036 1642153 70310141 61719682 X 843103055 871693979 2680730 2158680 845783785 873852659 916093926 935572341 X 231079504 -203010630 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 95131 0 0 0 95131 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 $76,414, $208,988, AND $196,507, 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. 5312082 5312082 1177520459 754840795 422679664 19214359 17026235 2188124 537886611 401050624 136835987 14513141 13483893 1029248 568045105 OTHER LIABILITIES 1642153 1642153 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 30233165 30233165 0.01730 207064128 174540865 32523263 0.01870 237297293 174540865 62756428 0.03600 17 7524 12219069 510475 11708594 0.00670 3 2871 13678465 13678465 0.00780 2 128 29287573 26895879 2391694 0.00140 2 4857 37899 37899 0.00000 24 15380 55223006 27406354 27816652 0.01590 24 15380 292520299 201947219 90573080 0.05190 2 18 1815 1815 0.00000 1 45 2288 215 2073 0.00000 2 2795 279312 279312 0.00020 5 2858 283415 215 283200 0.00020 1 17088115 0 222940847 202640123 20300724 X 1 1 3 1 MERCY HOSPITAL ST LOUIS 615 S NEW BALLAS ROAD ST LOUIS MO 63141 WWW.MERCY.NET 226 X X X X X X A 2 MERCY HOSPITAL WASHINGTON 901 E FIFTH STREET WASHINGTON MO 63090 WWW.MERCY.NET 311 X X X 3 MERCY REHABILITATION HOSPITAL ST LOUIS 14561 NORTH OUTER FORTY CHESTERFIELD MO 63017 WWW.MERCY.NET 504 X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X X 24 1 1 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 WASHINGTON 2 0 0 1 X X X X X X X X X X 24 1 1 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 WASHINGTON 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 WASHINGTON PART V, SECTION B, LINE 5: THE CHNA PROCESS WAS DESIGNED TO USE DATA TO IDENTIFY THOSE WHO MAY NOT BE FLOURISHING; USE INFORMATION PROVIDED FROM FOCUS GROUPS AND COMMUNITY SURVEYS TO HELP COMMUNITY MEMBERS AND ORGANIZATIONS IDENTIFY SYSTEMS THAT PERPETUATE INEQUITY; AND TEST PROGRAMMATIC CHANGES THAT HAVE THE POTENTIAL TO DISRUPT THESE SYSTEMS. BY DOING THIS WE HOPE THE LONG-TERM OUTCOME WILL BE THE CREATION OF CONDITIONS WHERE EVERYONE HAS THE OPPORTUNITY TO ACHIEVE HEALTH AND WELL-BEING, BY ADDRESSING THE ROOT CAUSES OF POOR HEALTH OUTCOMES. THE FOLLOWING METHODS WERE USED TO UNDERSTAND THE COMMUNITY HEALTH NEEDS:1. COMMUNITY SURVEY- A SURVEY OF THE GENERAL PUBLIC TO BETTER UNDERSTAND WHAT THEY VIEW AS THE MOST SIGNIFICANT HEALTH ISSUES.2. COMMUNITY FOCUS GROUPS- DISCUSSIONS WITH COMMUNITY MEMBERS AND COMMUNITY CHAMPIONS TO DELVE DEEPER INTO INDIVIDUAL EXPERIENCES WITH HEALTH-RELATED ISSUES3. SECONDARY DATA RESEARCH- INFORMATION RELATED TO THE CURRENT STATE OF OUR COMMUNITY'S ECONOMIC, SOCIAL AND HEALTH STATUS PUBLISHED BY ESTABLISHED SOURCESMERCY CONVENED A COMMUNITY COALITION OF 12 WASHINGTON AND SURROUNDING AREA HEALTH CARE AND SOCIAL SERVICE ORGANIZATIONS TO CONDUCT A COMPREHENSIVE COMMUNITY HEALTH SURVEY IN 2024. THE FINAL SURVEY WAS MADE UP OF 30 QUESTIONS FOCUSED ON HEALTH ISSUES AND NEEDS MOST IMPORTANT TO THE RESPONDENTS WELLNESS, MENTAL HEALTH, BARRIERS TO CARE AND CHILDHOOD IMMUNIZATIONS. VARIOUS COMMUNITY PARTNERS PROMOTED THE SURVEY ON SOCIAL MEDIA WHILE ALSO DISTRIBUTING THE SURVEY ELECTRONICALLY TO THEIR CO-WORKERS, PATIENTS, CLIENTS AND COMMUNITY MEMBERS BY EMAIL AND THROUGH SOCIAL MEDIA.THE FACILITATION TEAM WAS MADE UP OF A LEAD FACILITATOR AND SCRIBE DURING THE THREE FOCUS GROUPS. THE PARTICIPANTS INCLUDED INDIVIDUALS SERVED BY COLLABORATING ORGANIZATIONS AS WELL AS EMPLOYEES OF THE ORGANIZATIONS. THE FACILITATOR LED EACH COMMUNITY FOCUS GROUP AND FOLLOWED A WRITTEN SCRIPT TO ENSURE CONSISTENT MESSAGING AT ALL EVENTS. THE SCRIBE THEN RECORDED QUOTES AND IDEAS FROM INDIVIDUALS AS THEY RESPONDED TO EACH QUESTION OR IDEA.PARTICIPANTS CONVENED DISCUSSIONS REGARDING THE STATE OF HEALTH IN THE WASHINGTON REGION. KEY COMMUNITY HEALTH ISSUES WERE DISCUSSED WHETHER THEY WERE CLINICAL IN SCOPE (DIABETES) OR NON-CLINICAL (ACCESS TO HEALTHY FOOD). THEN THE GROUP TALKED THROUGH CURRENTLY AVAILABLE COMMUNITY RESOURCES ALONG WITH THE BARRIERS TO ACCESSING THESE BENEFITS. FINALLY, THE COMMUNITY MEMBERS BRAINSTORMED FUTURE SOLUTIONS TOWARDS THE TOP NEEDS THAT INCLUDED EXPANDING/INCREASING CURRENT PROGRAMS OR DEVELOPING NEW INITIATIVES TO FILL GAPS. MERCY HOSPITAL WASHINGTON PART V, SECTION B, LINE 6A: MERCY HOSPITAL WASHINGTON COLLABORATED WITH BJC HEALTHCARE, MERCY HOSPITAL SOUTH, MERCY HOSPITAL JEFFERSON, MERCY HOSPITAL ST. LOUIS, SSM HEALTH, ST. LUKE'S HOSPITAL. MERCY HOSPITAL WASHINGTON PART V, SECTION B, LINE 6B: ST. PATRICKS CENTER, INTERNATIONAL INSTITUTE, OASIS, BEYOND HOUSING, VISION FOR CHILDREN AT RISK, BOYS AND GIRL'S CLUB OF GREATER ST. CHARLES, THE JEFFERSON COUNTY HEALTH DEPARTMENT, COMPASS HEALTH, JEFFERSON FRANKLIN COMMUNITY ACTION, AND JEFFERSON COUNTY COMMUNITY PARTNERSHIP. MERCY HOSPITAL WASHINGTON PART V, SECTION B, LINE 11: BASED ON THE FINDINGS OF ITS MOST RECENTLY CONDUCTED CHNA, MERCY HOSPITAL WASHINGTON HAS CHOSEN TO ADDRESS THE FOLLOWING THREE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN FRANKLIN, GASCONADE AND WARREN COUNTY:BASED ON THE FINDINGS OF ITS MOST RECENTLY CONDUCTED CHNA, MERCY HOSPITAL WASHINGTON HAS CHOSEN TO ADDRESS THE FOLLOWING THREE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN FRANKLIN, GASCONADE AND WARREN COUNTY:-HOUSING INSUFFICIENCY-TRANSPORTATION-SAFE, AFFORDABLE CHILDCAREIN THE CATEGORY OF HOUSING INSUFFICIENCY MERCY HOSPITAL WASHINGTON WILL IDENTIFY AND SUPPORT COMMUNITY RESOURCES THAT INCREASE ACCESS TO LOW- INCOME HOUSING OPPORTUNITIES IN FRANKLIN COUNTY. WITH A FOCUS FOR DEVELOPMENT OF WRAP AROUND SUPPORTIVE PROGRAMS AND CREATION OF EMERGENCY WEATHER SHELTER FOR AT-RISK AND UNHOUSED POPULATIONS INCLUDING PARTNERSHIP WITH LIFE'S RIVER, UNITED WAY 211, AS WELL AS COORDINATED ENTRY THROUGH BALANCE OF STATE CONTINUUM OF CARE. TO FOCUS ON THE NEED FOR ADDITIONAL TRANSPORTATION RESOURCES, WE WILL IDENTIFY TRANSPORTATION SERVICES TO DECREASE NONEMERGENT TRANSPORTATION BARRIERS FOR MERCY CLINIC PATIENTS WITH A FOCUS ON DEVELOPMENT OF SERVICES TO PROVIDE ACCESS TO MEDICAL CARE AND PERSONAL NEEDS. WE WILL COLLABORATE WITH PARTNERS OFFERING SERVICES THROUGH JEFFERSON FRANKLIN COMMUNITY ACTION COALITION EZMO TRANSPORTATION SERVICES, AND BETTER COLLECTION OF DATA AND REPORTING FROM CAB VOUCHERS PROVIDED BY CARE TEAMS AT MERCY HOSPITAL WASHINGTON.TO ADDRESS THE NEED FOR SAFE, AFFORDABLE CHILDCARE, WE PLAN TO IDENTIFY AND STEWARD PROGRAMS THAT INCREASE ACCESS TO CHILDCARE FOR LOW-INCOME AND AT-RISK FAMILIES BY PARTNERING WITH LIFE'S RIVER AND HEAD START TO PIONEER THE EXPANSION OF AN EARLY CHILDHOOD EDUCATION PROGRAM AND COLLABORATION WITH YMCAS AFTER SCHOOL CARE PROGRAM FOR SCHOOL AGE CHILDREN. IN ANY CASE OF PRIORITIZATION, THERE WILL BE SOME AREAS OF NEEDS THAT ARE IDENTIFIED THAT ARE NOT CHOSEN AS A PRIORITY. BECAUSE MERCY HOSPITAL WASHINGTON HAS LIMITED RESOURCES, NOT EVERY COMMUNITY NEED WILL BE ADDRESSED. THROUGHOUT THE CHNA PROCESS, THE FOLLOWING NEED AROSE AS A COMMUNITY CONCERN. HOWEVER, IT WILL NOT BE ADDRESSED AS A TOP PRIORITY BECAUSE OTHER ORGANIZATIONS ARE MORE APPROPRIATE TO ADDRESS THIS NEED. SIGNIFICANT HEALTH NEEDS NOT BEING ADDRESSED -FOOD INSECURITY -MENTAL/ BEHAVIORAL HEALTH -CHRONIC DISEASE MANAGEMENT -ACCESS TO PRIMARY AND SPECIALTY CARE -COST OF PRESCRIPTIONSMERCY HOSPITAL WASHINGTON-COMMUNITY HEALTH WORKER PROGRAM - IN FY25, MERCY HOSPITAL WASHINGTON'S CHW ASSISTED 6,243 PATIENTS THROUGH 7,527 UNIQUE ENCOUNTERS. 74% OF PATIENTS WERE UNINSURED, AND 26% WERE UNDERINSURED THROUGH MEDICAID OR OTHER PLANS.-MERCY HOSPITAL WASHINGTON SUPPORTED SEVERAL BEHAVIORAL HEALTH PROGRAMS IN PARTNERSHIP WITH THE BEHAVIORAL HEALTH NETWORK:-EMERGENCY ROOM ENHANCEMENT PROJECT AND THE YOUTH EMERGENCY ROOM ENHANCEMENT PROJECT: FOCUS ON ENHANCING SUPPORT FOR ADULT AND YOUTH HIGH UTILIZERS OF ER WITH THE PRIMARY GOAL OF REDUCING PREVENTABLE HOSPITAL CONTACTS ACROSS THE REGION BY FOSTERING ENGAGEMENT THROUGH SUPPORT, INTENSIVE OUTREACH AND IMPROVING OUTCOMES THROUGH CONNECTION TO COMMUNITY-ENGAGING PATIENTS IN THE CARE COORDINATION PROGRAM (EPICC): PROVIDES INTENSIVE REFERRAL AND LINKAGE SERVICES BY RECOVERY COACHES, PEERS WITH LIVED EXPERIENCE, TO IMPACT THOSE WHO HAVE OVERDOSED ON OPIOIDS TO ESTABLISH IMMEDIATE LINKAGES TO SUBSTANCE USE AND MEDICATION ASSISTED TREATMENT SERVICES.-MERCY HOSPITAL WASHINGTON SOCIAL WORKERS CONTINUED ESTABLISHING ED PATIENTS WITH PRIMARY CARE PHYSICIANS FOR FOLLOW-UP CARE AND EDUCATING THE PATIENT ON POSSIBLY MORE AFFORDABLE OPTIONS WHEN NEEDING CARE.-MERCY HOSPITAL WASHINGTON FACILITATED THE WINTER WARMING OVERNIGHT CENTER TO PREVENT THOSE SLEEPING OUTSIDE FROM FREEZING TO DEATH IN PARTNERSHIP WITH PEACE LUTHERAN CHURCH AND THE CREATION OF WASHINGTON WEATHER RELIEF SHELTER AT TERESAS HOUSE. -MERCY HOSPITAL WASHINGTON, IN PARTNERSHIP WITH THE MULTI-COUNTY DRUG TASK FORCE AND FRANKLIN COUNTY SHERIFF'S OFFICE, CONTINUED TRAINING FIRST RESPONDERS IN SEVERAL COUNTIES SO THAT THEY COULD BEGIN CARRYING AND UTILIZING NARCAN TO REVIVE OVERDOSED PATIENTS WHILE WAITING FOR THE AMBULANCE TO ARRIVE. THE LOCAL MERCY HOSPITAL STORED THE NARCAN IN THEIR PHARMACYADDITIONAL NEEDS BEING ADDRESSED BY THE MERCY HOSPITAL ST. LOUIS AND MERCY HOSPITAL WASHINGTON INCLUDE:-VIOLENCE: DOMESTIC, ELDERLY, CHILD ABUSE, AND TRAFFICKING MHSL - MHSL AND ALTERNATIVES TO LIVING IN VIOLENT ENVIRONMENTS (ALIVE), ST. LOUIS BASED DOMESTIC VIOLENCE AGENCY, HAVE IMPLEMENTED PROJECT HOPE, THE ONLY PROGRAM IN THE ST. LOUIS AREA THAT ALLOWS DOMESTIC VIOLENCE SURVIVORS TO FILE FOR, AND POTENTIALLY HAVE GRANTED, ORDERS OF PROTECTION WHILE STILL IN A HOSPITAL SETTING. INFORMATION REGARDING ALIVE'S PROGRAMMING AND SERVICES IS DISTRIBUTED THROUGHOUT MHSL, WITH SPANISH TRANSLATIONS PROVIDED TO BETTER REACH PATIENTS WHO SPEAK LIMITED ENGLISH. MHW - MHW WORKS CLOSELY WITH DOMESTIC VIOLENCE, SEX TRAFFICKING AND FAMILY SERVICES AGENCIES, SUCH AS ALTERNATIVES TO LIVING IN VIOLENT ENVIRONMENTS (ALIVE) AND LOCAL LAW ENFORCEMENT TO ENSURE PATIENTS ARE GIVEN SAFE CHOICES WHILE IN A HOSPITAL SETTING. MERCY HAS BEGUN SAFETY AWARENESS AND EDUCATIONAL CAMPAIGNS WHICH INCLUDES INTERNAL TRAINING VIDEOS, RESTROOM RESOURCE POSTERS, AND THE INCORPORATION OF A SAFETY SCREENING/REFERRAL QUESTION WHICH CUES UP IN EACH PATIENT'S MERCY'S ELECTRONIC MEDICAL RECORD (EMR).- OBESITY/POOR NUTRITION/PHYSICAL INACTIVITY MHSL & MHW - ALTHOUGH NEITHER CHOSE HEALTHY LIFESTYLES AS A PRIORITY COMMUNITY HEALTH NEED TO BE ADDRESSED, MERCY HAS FOCUSED ON ITS OWN COWORKERS, 10,000+ IN THE EAST COMMUNITY, AS A START TO ADDRESSING THIS NEED. A ROBUST INITIATIVE, MERCY'S HEALTHIFICATION PROGRAM, PROVIDES COMPREHENSIVE HEALTH EVALUATION, SCREENING, EDUCATION, AND INCENTIVES TO INCREASE HEALTHY BEHAVIORS AND IMPROVE HEALTH AMONG MERCY COWORKERS. MERCY CLINIC ALSO OFFERS A VARIETY OF PROGRAMS AND SERVICES TO ADDRESS CHRONIC CONDITIONS AND A HEALTHY LIFESTYLE.- CHRONIC CONDITIONS: HEART DISEASE, DIABETES, OR ASTHMA AND ALLERGIES A SIGNIFICANT CONCERN RELATING TO CHRONIC CONDITIONS IS THE DISPARITY IN HEALTH OUTCOMES AND TREATMENT FOR BLACKS/AFRICAN AMERICANS AND WHITES/CAUCASIANS. MHSL RECENTLY SIGNED AN AMERICAN HOSPITAL ASSOCIATION HEALTH EQUITY PLEDGE AND IS BEGINNING TO IMPLEMENT "CALL TO ACTION" GOALS AIMED AT IDENTIFYING AND, SUBSEQUENTLY, ADDRESSING AREAS OF HEALTH DISPARITY AND SERVICE GAPS. AS THE LEADER IN ST LOUIS COUNTY FOR NEWBORN DELIVERIES, MHSL HAS DECIDED TO TAKE ON THE SIGNIFICANT ISSUE OF HEALTH EQUITY BY BEGINNING WITH MATERNAL/CHILD HEALTH DISPARITIES AND ADDRESSING SOME OF THE REGION'S NEEDS WITH LOW-BIRTH-WEIGHT BABIES. MERCY HAS ALSO COMMITTED TO ADDRESSING HEALTH EQUITY IN THE INNER NORTH REGION COMMUNITY OF WELLSTON; MERCY IS OUTLINING A COLLABORATIVE COMMUNITY PLAN TO ADDRESS OVERALL HEALTH EQUITY WITH THESE COMMUNITY MEMBERS.- CANCERS AND TOBACCO USE MHSL & MHW COMMUNITY CANCER SCREENINGS AND EDUCATION CONTINUE TO BE OFFERED REGIONALLY. EFFORTS TO ADDRESS TOBACCO CESSATION WILL CONTINUE THROUGH MERCY'S CERTIFIED HEALTH AND WELLNESS COACH/MERCY ROAD TO FREEDOM PROGRAM THOUGH MERCY'S CARDIOPULMONARY REHAB AREA. MERCY HOSPITAL WASHINGTON 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. PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: MERCY HOSPITAL ST. LOUIS, - FACILITY 3: MERCY REHABILITATION HOSPITAL ST. LOUIS FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 3J: THE HOSPITAL FACILITY DID INCLUDE A PRIORITIZED LIST OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS IN ITS MOST RECENT CHNA REPORT.THE CHNA HAS ALL THE SECTIONS REFERENCED ABOVE AND INCLUDES AN EXECUTIVE SUMMARY, POTENTIALLY AVAILABLE RESOURCES, EVALUATION OF IMPACT, REFERENCES, AND APPENDICES. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5: STARTING IN 2024, MERCY HOSPITAL ST. LOUIS JOINED THE OTHER HEALTH STSEMS IN THE ST. METRO TO ASSESS THE HEALTH NEEDS OF THE COMMUNITIES THEY SERVE. A SINGLE ONLINE COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY WAS AVAILABLE FOR COMMUNITY MEMBERS ACROSS MULTIPLE SERVICE AREAS OF ALL COLLABORATING HOSPITAL SYSTEMS, INCLUSIVE OF MISSOURI AND ILLINOIS. THE ONLINE COMMUNITY SURVEY WAS AVAILABLE TO COMPLETE FROM APRIL 2024 THROUGH JULY 2024. THIS SURVEY ASKED ABOUT PEOPLE'S PERSONAL HEALTH, AS WELL AS THEIR THOUGHTS ABOUT THE COMMUNITY'S HEALTH. THE SURVEY TOOK AN AVERAGE OF 5 MINUTES TO COMPLETE. OVER 6800 COMMUNITY SURVEYS WERE ANSWERED. ADDITIONALLY, COMMUNITY CONVERSATIONS WERE HELD, ENGAGING INDIVIDUALS FROM MERCY HEALTH SERVICE AREAS. THESE CONVERSATIONS HELPED US LEARN MORE ABOUT RESIDENTS' CONCERNS, SOLICIT IDEAS, LEARN OF THEIR HEALTH CARE EXPERIENCES AND IDENTIFY OPPORTUNITIES FOR IMPROVEMENT. THESE CONVERSATIONS ALSO PROVIDED CRITICAL INSIGHT ON COMMUNITY PERCEPTIONS AND GENERATED IDEAS ON HOW TO IMPROVE HEALTH CARE ACCESS AND RESOURCES. COMMUNITY LEADERS WERE ALSO ENGAGED THROUGH STAKEHOLDER CONVERSATIONS TO REVIEW AND RESPOND TO PRIMARY AND SECONDARY DATA OF HEALTH NEEDS. STAKEHOLDERS INCLUDED A DIVERSE GROUP OF COMMUNITY PROFESSIONALS FROM ORGANIZATIONS ACROSS SERVICE AREAS, PROVIDING A VAST ARRAY OF CRITICAL SERVICES INCLUDING HEALTH ACCESS, SOCIAL NEEDS, EDUCATION AND EMERGENCY SERVICES. SECONDARY DATA WAS COLLECTED FROM MULTIPLE SOURCES INCLUDING THE COUNTY HEALTH RANKINGS, EXPLOREMOHEALTH, THE CDC, AND THE US CENSUS BUREAU. ANALYSIS OF THESE DATA SOURCES REVEALED NOT ONLY THE MOST BURDENSOME HEALTH ISSUES, BUT ALSO HEALTH DISPARITIES AND KEY ISSUES IMPACTING SOCIAL DETERMINANTS OF HEAL TH. DATA ASSESSED INCLUDED DEMOGRAPHIC INFORMATION, CHRONIC DISEASE AND MORBIDITY/MORTALITY INFORMATION, HEALTH STATUS INDICATORS, HEALTH BEHAVIORS AND GENERAL ENVIRONMENT INFORMATION. THIS DATA IS COMPARED TO STATE AND NATIONAL BENCHMARKS. PRIMARY AND SECONDARY DATA WERE WEIGHTED IN ORDER TO DETERMINE HIGHEST PRIORITY COMMUNITY HEALTH NEEDS, BASED ON IMPORTANCE TO COMMUNITY MEMBERS AND THE HOSPITAL'S ABILITY TO MAKE MEANINGFUL IMPACT OVER THE NEXT SEVERAL YEARS. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A: MERCY HOSPITAL ST. LOUIS COLLABORATED WITH BJC HEALTHCARE, MERCY HOSPITAL SOUTH, MERCY HOSPITAL JEFFERSON, MERCY HOSPITAL WASHINGTON, SSM HEALTH, ST. LUKE'S HOSPITAL. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6B: ST. PATRICKS CENTER, INTERNATIONAL INSTITUTE, OASIS, BEYOND HOUSING, VISION FOR CHILDREN AT RISK, BOYS AND GIRL'S CLUB OF GREATER ST. CHARLES, THE JEFFERSON COUNTY HEALTH DEPARTMENT, COMPASS HEALTH, JEFFERSON FRANKLIN COMMUNITY ACTION, AND JEFFERSON COUNTY COMMUNITY PARTNERSHIP. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11: BASED ON THE FINDINGS OF ITS MOST RECENTLY CONDUCTED CHNA, MERCY HOSPITAL ST. LOUIS HAS CHOSEN TO ADDRESS THE FOLLOWING FOUR SIGNIFICANT HEALTH NEEDS IDENTIFIED IN ST. LOUIS:- ACCESS TO CARE- BEHAVIORAL HEALTH- MATERNAL AND CHILD HEALTH- HEALTH AND FINANCIAL LITERACY ALL OF THESE NEEDS WILL BE APPROACHED THROUGH A LENS OF HEALTH EQUITY, WITH A PARTICULAR CONCERN WITH RACIAL DISPARITIES IN HEALTH OUTCOMES IN OUR REGION. THESE PRIORITIES ALIGN WITH REGIONAL PRIORITIES IDENTIFIED THROUGH THE STLPHC:- ADDRESS THE SOCIAL DETERMINANTS OF HEALTH AS ROOT CAUSES OF COMMUNITY HEALTH- ELIMINATE THE DISPARITIES IN HEALTH AND PROMOTE HEALTH AND RACIAL EQUITY- IMPROVE THE LOCAL PUBLIC HEALTH SYSTEM TO BE ABLE TO COLLECTIVELY ADDRESS THE NEEDS OF THE REGIONMERCY HOSPITAL ST. LOUIS WILL NOT FORMALLY ADDRESS TWO OF THE IDENTIFIED REGIONAL PRIORITIES:- HOUSING: THOUGH MHSL WILL NOT DIRECTLY ADDRESS HOUSING AS A PART OF THE CHNA PROCESS, THROUGH INTENTIONAL PARTNERSHIPS WITH STRATEGIC COMMUNITY ORGANIZATIONS, MHSL WILL CONTINUE TO IMPACT HOUSING NEEDS IN THE COMMUNITY. MHSL IS ENGAGED IN THE HOSPITAL TO HEALTHY HOUSING INITIATIV+H27E OF THE CATHOLIC CHARITIES OF ST. LOUIS AND SUPPORTS A HOUSING COORDINATOR FROM THE ST. PATRICK CENTER TO CONNECT UNHOUSED PATIENTS WHO PRESENT IN THE EMERGENCY DEPARTMENT WITH RESOURCES AND SUPPORT. MERCY IS ALSO ENGAGED IN PROJECT BEACN, AND WITH PARTNER AGENCIES PLACES FOR PEOPLE AND THE BEHAVIORAL HEALTH NETWORK, CONNECTS PATIENTS WITH COMPLEX CARE NEEDS WITH WRAPAROUND SUPPORT, INCLUDING HOUSING.- CHRONIC DISEASE AND FOOD INSECURITY: WHILE THESE NEEDS LISTED WILL NOT BE SPECIFICALLY ADDRESSED IN OUR PRIORITIES, THEY WILL MOST LIKELY BE IMPACTED INDIRECTLY THROUGH THE WORK IN OUR OTHER COMMUNITY OUTREACH PRIORITIES.MERCY HOSPITAL ST. LOUIS & WASHINGTON'S COMMUNITY HEALTH IMPROVEMENT PLANS (CHIP), CAN BE ACCESSED HERE: HTTPS://WWW.MERCY.NET/FORMS/COMMUNITY-BENEFITS/.SOME NOTABLE ACHIEVEMENTS ADDRESSED THE PRIORITIZED NEEDS DURING THE 2024 (FY25) YEAR INCLUDE:MERCY HOSPITAL ST. LOUIS- THE COMMUNITY HEALTH WORKER (CHW) PROGRAM, WHICH WAS PILOTED BEGINNING IN 2018 AND ADOPTED AND EXPANDED ACROSS MERCY HOSPITALS IN 2019, WAS FURTHER INTEGRATED INTO MERCY HOSPITAL ST. LOUIS' EMERGENCY DEPARTMENT THROUGH THE PILOTING OF A NEW SOCIAL NEEDS SCREENING PROGRAM BEGINNING IN DECEMBER 2020. NEW WORKFLOWS WERE ADOPTED TO SCREEN ALL UNINSURED/SELF-PAY ED PATIENTS FOR PRESSING SOCIAL NEEDS, WITH REFERRALS THEN MADE TO ONE OF THREE (3) CHWS SERVING THE HOSPITAL. CHWS SERVE THREE PRIMARY FUNCTIONS IN THE EMERGENCY DEPARTMENT: TO CONNECT PATIENTS IN TO COMMUNITY RESOURCES FOR SOCIAL NEEDS, TO ASSIST PATIENTS WITH APPLYING FOR MEDICAID, MARKET PLACE INSURANCE, DISABILITY OR HOSPITAL CHARITY CARE, AND TO COLLABORATE WITH COMMUNITY REFERRAL COORDINATORS TO ESTABLISH PATIENTS WITH PRIMARY CARE. CHWS ALSO COLLABORATE CLOSELY WITH PATIENT ACCESS REPRESENTATIVES, THE CARE MANAGEMENT TEAM AND SOCIAL WORKERS, TO ENSURE CONTINUITY OF CARE AND IMPROVE QUALITY OF LIFE. IN FY25, MHSL CHWS SERVED UNIQUE 4,612 PATIENTS THROUGH 8,007 THOUSAND ENCOUNTERS. OUT OF THE 10,750 THOUSAND ENCOUNTERS, 985 WERE SELF-PAY. - THROUGH PARTNERSHIP WITH BEHAVIORAL HEALTH NETWORK, MERCY HOSPITAL ST. LOUIS SUPPORTED SEVERAL BEHAVIORAL HEALTH PROGRAMS FOR EMERGENCY DEPARTMENT AND INPATIENTS. IN THE PREVIOUS CHIP CYCLE, OVER 1,000 REFERRALS WERE MADE, 750 APPOINTMENTS SCHEDULED IN OUR BEHAVIORAL HEALTH PROGRAMMING WHICH INCLUDES:-EMERGENCY ROOM ENHANCEMENT PROJECT (ERE) AND THE YOUTH EMERGENCY ROOM ENHANCEMENT PROJECT (Y-ERE): FOCUS ON ENHANCING SUPPORT FOR ADULT AND YOUTH HIGH UTILIZERS OF ER WITH THE PRIMARY GOAL OF REDUCING PREVENTABLE HOSPITAL CONTACTS ACROSS THE REGION BY FOSTERING ENGAGEMENT THROUGH SUPPORT, INTENSIVE OUTREACH AND IMPROVING OUTCOMES THROUGH CONNECTION TO COMMUNITY. -ENGAGING PATIENTS IN THE CARE COORDINATION PROGRAM (EPICC): PROVIDES INTENSIVE REFERRAL AND LINKAGE SERVICES BY RECOVERY COACHES, PEERS WITH LIVED EXPERIENCE, TO IMPACT THOSE WHO HAVE OVERDOSED ON OPIOIDS TO ESTABLISH IMMEDIATE LINKAGES TO SUBSTANCE USE AND MEDICATION ASSISTED TREATMENT SERVICES. THIS INCLUDED 175 REFERRALS MADE TO THE EPICC PROGRAM-MERCY HOSPITAL ST. LOUIS ALSO ENGAGED IN HOSPITAL COMMUNITY LINKAGES (HCL) PROJECT: FOCUSES ON ENHANCING TRANSITIONS FROM HOSPITAL INPATIENT PSYCHIATRIC CARE SETTINGS TO COMMUNITY CARE AT THE REGION'S SAFETY-NET COMMUNITY MENTAL HEALTH CENTERS (CMHCS). FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 20E: OTHER AREAS FROM A NOTICE PERSPECTIVE: FAP IS POSTED IN ALL REGISTRATION AREAS, FULL POLICY AND PLAIN LANGUAGE DOCUMENT POSTED ON WEBSITE, PLAIN LANGUAGE DOCUMENT IS AVAILABLE WHEN REQUESTED, THERE IS A NOTICE ON STATEMENT, AND ALL PATIENTS GET THREE STATEMENTS BEFORE THEY CAN GO TO A COLLECTION AGENCY. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 7A MERCY HOSPITAL ST. LOUISHTTPS://WWW.MERCY.NET/CONTENT/DAM/MERCY/EN/PDF/MERCY-ST-LOUIS-2025-CHNA-FINAL.PDFMERCY HOSPITAL WASHINGTONHTTPS://WWW.MERCY.NET/CONTENT/DAM/MERCY/EN/PDF/MERCY-WASHINGTON-2025-CHNA-FINAL-COMBINED.PDF FORM 990, SCHEDULE H, PART V, SECTION B, LINE 10A MERCY HOSPITAL ST. LOUISHTTPS://WWW.MERCY.NET/CONTENT/DAM/MERCY/EN/PDF/CHIP/2026/2026-COMMUNITY-HEALTH-IMPROVEMENT-PLANS-ST-LOUIS.PDFMERCY HOSPITAL WASHINGTONHTTPS://WWW.MERCY.NET/CONTENT/DAM/MERCY/EN/PDF/CHIP/2026/FY26_CHIP-WASHINGTON_FINAL.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/ 37 1 - MERCY SERVICES PATIENTS FIRST 901 PATIENTS FIRST DRIVE WASHINGTON MO 63090 HOSPITAL BASED OUTPATIENT DEPTS: VARIOUS CLINICAL SERVICES 2 - MERCY SERVICES CLAYTON CLARKSON 15945 CLAYTON ROAD BALLWIN MO 63011 HOSPITAL BASED OUTPATIENT DEPTS:SURG CTR; VARIOUS CLINICAL SERVICES 3 - MERCY SERVICES TESSON FERRY 12348 OLD TESSON ROAD ST LOUIS MO 63128 HOSPITAL BASED OUTPATIENT DEPTS:WOMEN'S CTR, IMAG CTR, NUC MED, CARD TESTING 4 - MERCY SERVICES O'FALLON 300 WINDING WOODS DRIVE OFALLON MO 63366 HOSPITAL BASED OUTPATIENT DEPTS:UCC S&T BLOOD DR ST IMAGCTR, PERIN, PULM 5 - MERCY SERVICES WEST COUNTY 12990 MANCHESTER ROAD DES PERES MO 63131 HOSPITAL BASED OUTPATIENT DEPTS:ENDOSCOPY 6 - MERCY SERVICES HAZELWOOD 801 HAZELWEST DRIVE HAZELWOOD MO 63042 HOSPITAL BASED OUTPATIENT DEPTS: IMAGING CENTER/BLOOD DRAW STATION 7 - MERCY SERVICES TOWN AND COUNTRY 1176 TOWN AND COUNTRY COMMONS ST LOUIS MO 63017 HOSPITAL BASED OUTPATIENT DEPTS: SPORTS THERAPY & REHAB 8 - MERCY SERVICES SMIZER MILL 1203 SMIZER MILL ROAD FENTON MO 63026 HOSPITAL BASED OUTPATIENT DEPTS:IMAGING, BLOOD DRAW STATION 9 - MERCY CLINIC ZUMBEHL 1820 ZUMBEHL ROAD ST CHARLES MO 63303 HOSPITAL BASED OUTPATIENT DEPTS: CARDIAC TESTING, IMAGING, BLOOD DRAW STATIO 10 - MERCY SERVICES EDGEWOOD 970 EXECUTIVE PARKWAY DRIVE ST LOUIS MO 63141 HOSPITAL BASED OUTPATIENT DEPTS: OUTPATIENT BEHAVIORAL HEALTH 11 - MERCY SERVICES OLIVE 12680 OLIVE BOULEVARD CREVE COUER MO 63141 HOSPITAL BASED OUTPATIENT DEPTS: S&T, NUTRITION COUNS,CHIROP, IMAGING 12 - MERCY SERVICES SULLIVAN 1326 S SERVICE ROAD WEST SULLIVAN MO 63080 HOSPITAL BASED OUTPATIENT DEPTS: VARIOUS CLINICAL AND IMAGING SERVICES 13 - MERCY SERVICES LAKE ST LOUIS 200 BREVCO PLAZA LAKE ST LOUIS MO 63367 HOSPITAL BASED OUTPATIENT DEPTS:ENDOSCOPY 14 - MERCY SERVICES STUDT ROAD 11700 STUDT AVENUE ST LOUIS MO 63141 HOSPITAL BASED OUTPATIENT DEPTS:HYBERBARIC WOUND CENTER, FERTILITY SERVICES 15 - MERCY SERVICES MID RIVERS 4525 MID RIVERS MALL DRIVE ST PETERS MO 63376 HOSPITAL BASED OUTPATIENT DEPTS: PEDIATRIC PT/OT/SPEECH,BLOOD DRAW 16 - MERCY SERVICES UNION 1935 PRAIRIE DELL ROAD UNION MO 63084 HOSPITAL BASED OUTPATIENT DEPTS: SPORTS AND THERAPY 17 - MERCY SERVICES PIPER HILL 107 PIPER HILL DRIVE ST PETERS MO 63376 HOSPITAL BASED OUTPATIENT DEPTS:URGENT CARE, SPORTS & THERAPY, BLOOD DRAW 18 - GROVER MEDICAL OFFICE BUILDING 16555 MANCHESTER ROAD GROVER MO 63040 HOSPITAL BASED OUTPATIENT DEPTS: RADIOLOGY, SPORTS & THERAPY, BLOOD DRAW STA 19 - CRESTWOOD PHYSICIAN OFFICES 10024 WATSON ROAD ST LOUIS MO 63126 HOSPITAL BASED OUTPATIENT DEPTS: SPORTS & THERAPY/BLOOD DRAW STATION 20 - MERCY SPORTS AND THERAPY GERALD 735 WEST SPRINGFIELD ROAD GERALD MO 63037 HOSPITAL BASED OUTPATIENT DEPTS: SPORTS AND THERAPY 21 - MERCY SERVICES TECHNOLOGY DRIVE 2223 TECHNOLOGY DRIVE OFALLON MO 63368 HOSPITAL BASED OUTPATIENT DEPTS: IMAGING CENTER/BLOOD DRAW STATION 22 - MERCY SERVICES MARYLAND HEIGHTS 750 CASINO DRIVE MARYLAND HEIGHTS MO 63043 HOSPITAL BASED OUTPATIENT DEPTS: OP THERAPY LOCATION 23 - DAVID C PRATT CANCER CENTER 607 S NEW BALLAS ROAD ST LOUIS MO 63141 HOSPITAL BASED OUTPATIENT DEPTS: CANCER CENTER 24 - MERCY HAZELWOOD 755 DUNN ROAD HAZELWOOD MO 63042 HOSPITAL BASED OUTPATIENT DEPTS: SPORTS & THERAPY, CARDIAC TESTING, NUC MEDI 25 - MERCY LEGENDS PARKWAY 20 THE LEGENDS PARKWAY EUREKA MO 63025 HOSPITAL BASED OUTPATIENT DEPTS: VARIOUS CLINICAL AND IMAGING SERVICES 26 - MERCY HOME HEALTH AND HOSPICE 1351 S JEFFERSON STREET WASHINGTON MO 63090 HOSPITAL BASED OUTPATIENT DEPTS: HOME HEALTH AND HOSPICE SERVICES 27 - MERCY MGD BEHAVIORAL HEALTH 1000 DES PERES ROAD ST LOUIS MO 63131 HOSPITAL BASED OUTPATIENT DEPTS: BEHAVIORAL HEALTH 28 - MERCY CTR FOR PERFOM MED & SPEC CARE 701 S NEW BALLAS ROAD ST LOUIS MO 63141 HOSPITAL BASED OUTPATIENT DEPTS: RADIOLOGY, SURGERY,THERAPY SERVICES 29 - MERCY THERAPY SERVICES TESSON FERRY 13303 TESSON FERRY RAOD SUITE 50A ST LOUIS MO 63128 HOSPITAL BASED OUTPATIENT DEPTS: THERAPY SERVICES 30 - MERCY EYE CARE 34 HAMPTON VILLAGE PLAZA ST LOUIS MO 63109 HOSPITAL BASED OUTPATIENT DEPTS: OPTICAL SERVICES 31 - MERCY HOME HEALTH 1630 DES PERES ROAD ST LOUIS MO 63131 HOSPITAL BASED OUTPATIENT DEPTS: HOME HEALTH SERVICES 32 - MERCY BEHAVIORAL HEALTH 12125 CONWAY RD ST LOUIS MO 63141 HOSPITAL BASED OUTPATIENT DEPTS: BEHAVIORAL HEALTH SERVICES 33 - MERCY IMAGING SERVICES OLIVE 11615 OLIVE BLVD CREVE COEUR MO 63141 HOSPITAL BASED OUTPATIENT DEPTS: IMAGING SERVICES 34 - MERCY IMAGING SERVICES DUNN 125 DUNN ROAD FLORISSANT MO 63031 HOSPITAL BASED OUTPATIENT DEPTS: IMAGING SERVICES 35 - MERCY IMAGING SERVICES MEXICO 4750 MEXICO ROAD ST PETERS MO 63376 HOSPITAL BASED OUTPATIENT DEPTS: IMAGING SERVICES 36 - MERCY IMAGING SERVICES CLAYTON 6520 CLAYTON ROAD RICHMOND HEIGHTS MO 63117 HOSPITAL BASED OUTPATIENT DEPTS: IMAGING SERVICES 37 - MERCY EYE CARE EAST FIFTH 851 E FIFTH ST SUITE 112 WASHINGTON MO 63090 HOSPITAL BASED OUTPATIENT DEPTS: OPTICAL 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 $1,743,789,833. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $73,903,991. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $1,669,885,842. 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 ST. LOUIS (MHSL) AND MERCY HOSPITAL WASHINGTON'S (MHW)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:MERCY HOSPITAL ST. LOUIS:- ST. LOUIS PARTNERSHIP FOR A HEALTHY COMMUNITY- REGIONAL HEALTH COMMISSION- ST. LOUIS INTEGRATED HEALTH NETWORK - PATHWAYS TO PROGRESS- ST. LOUIS PROMISE ZONE- ST. PATRICK CENTER- CONTINUUM OF CARE FOR ENDING HOMELESSNESS COALITIONS: ST. LOUIS COUNTY, ST. LOUIS CITY AND ST. CHARLES, WARREN & LINCOLN COUNTIES - HOSPITAL TO HEALTHY HOUSING- UNITED WAY 2-1-1 ADVISORY COMMITTEE AND EMERGENCY FUND NETWORK MERCY HOSPITAL WASHINGTON:- FRANKLIN COUNTY HEALTH DEPARTMENT- UNITED WAY OF FRANKLIN COUNTY - FOUR RIVERS YMCA- WASHINGTON CHAMBER OF COMMERCE- FRANKLIN COUNTY COMMUNITY RESOURCE BOARD- FOUNDATIONS FOR FRANKLIN COUNTY- COMPASS HEALTH- PREVENT+ED- CATHOLIC CHARITIES OF ST LOUISIN ADDITION, MERCY ACTIVELY PARTICIPATES IN SEVERAL COALITIONS THAT ALIGN WITH EACH HOSPITAL'S CHNA TOP HEALTH PRIORITIES OF ACCESS TO CARE, MENTAL HEALTH, SUBSTANCE ABUSE AND HEALTH EQUITY (MHSL) INCLUDING:- BEHAVIORAL HEALTH NETWORK HOSPITAL COMMUNITY LINKAGES (HCL) PROGRAM- NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI)- INTEGRATED HEALTH NETWORK TRANSITIONS OF CARE- FLOURISH/GENERATE HEALTH- REGIONAL DIABETES COALITION- ST. LOUIS COUNTY HEALTH DEPARTMENT- ST. LOUIS CITY HEALTH DEPARTMENT- FOUNDATIONS FOR FRANKLIN COUNTY- FRANKLIN COUNTY SERVICE PROVIDERS GROUP- FRANKLIN COUNTY HOMELESS TASK FORCE- MULTI-COUNTY DRUG TASK FORCE & FRANKLIN COUNTY SHERIFF'S OFFICEEXAMPLES OF ONGOING PROJECTS LED BY THE COALITIONS LISTED ABOVE INCLUDE:- MHSL ADOPTION OF THE HCL PROGRAM WHICH FOCUSES ON ENHANCING TRANSITIONS FROM HOSPITAL INPATIENT PSYCHIATRIC CARE SETTINGS TO THE REGION'S COMMUNITY MENTAL HEALTH CENTERS - FLOURISH TRANSPORTATION ACTION TEAM FOCUSES ON IMPROVING BIRTH OUTCOMES THROUGH: PRENATAL CARE, INFANT HEALTH, BEHAVIORAL HEALTH, HEALTH COMMUNICATION, NAVIGATION AND TRANSPORTATION - COLLABORATIVE ENGAGEMENT WITH THE REGIONS HOSPITALS, HEALTH CENTERS AND DIABETES SPECIALIST WORKING TO IMPLEMENT ONE COMPREHENSIVE RESOURCE HUB FOR ALL THING'S DIABETES- MERCY HOSPITAL WASHINGTON, IN PARTNERSHIP WITH THE MULTI-COUNTY DRUG TASK FORCE AND FRANKLIN COUNTY SHERIFF'S OFFICE, FIRST RESPONDERS RECEIVED TRAINING SO THAT THEY COULD BEGIN CARRYING AND UTILIZING NARCAN TO REVIVE OVERDOSED PATIENTS WHILE WAITING FOR THE AMBULANCE TO ARRIVE. EFFORTS WITH THESE COALITIONS WILL CONTINUE AS MHSL AND MHW HAVE DETERMINED THAT ACCESS TO CARE AND BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE ABUSE) TO BE TOP HEALTH PRIORITIES THROUGH THE 2022-2024 CHNA CYCLE, ALONG WITH MATERNAL CHILD HEALTH (MHSL, TRAUMA-INFORMED CARE (MHSL), HEALTH EQUITY (MHSL), HOUSING INSTABILITY (MHW) AND OBESITY (MHW).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.DURING FY25, CASH DONATIONS WERE GIVEN TO ORGANIZATIONS THROUGHOUT THECOMMUNITY, INCLUDING:- BEHAVIORAL HEALTH NETWORK- CATHOLIC CHARITIES- REGIONAL HEALTH COMMISSION- CANCER CARE FOUNDATION- BEYOND HOUSING- AMERICAN CANCER SOCIETY- HOME SWEET HOME- SOCIETY OF ST. VINCENT DE PAUL- NURSES FOR NEWBORNS- NATIONAL ALLIANCE FOR MENTAL ILLNESS- GENERATE HEALTH STL- ALZHEIMER'S ASSOCIATION- FOUNDATIONS FOR FRANKLIN COUNTY-FOOD OUTREACH- ST. LOUIS CRISIS NURSERY- SUSAN G. KOMEN FOUNDATION- MARCH OF DIMES- COLON CANCER FOUNDATION- AUTISM SPEAKS- NATIONAL KIDNEY FOUNDATION- CASA DE SALUD- CHIPS HEALTH AND WELLNESS CENTER- WASHINGTON ROTARY- FRANKLIN COUNTY UNITED WAYA FULL DESCRIPTION OF OUR COMMUNITY BUILDING ACTIVITIES CAN BE FOUND ATHTTPS://WWW.MERCY.NET/FORMS/COMMUNITY-BENEFITS/ 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: MERCY HOSPITAL ST LOUIS AND MERCY HOSPITAL WASHINGTON ARE CONSTANTLY ASSESSING THE NEEDS OF OUR COMMUNITY THROUGH ONGOING COMMUNITY PARTNERSHIPS THAT ALIGN WITH THE PRIORITIZED NEEDS OF OUR COMMUNITY. OUR EFFORTS - WHILE OUTLINED, GOAL-ORIENTED AND EVIDENCE-BASED - ARE CONSTANTLY ADJUSTING BASED ON THE CURRENT STATE OF OUR COMMUNITY AND ARE GEARED TOWARDS COMMUNITY BUILDING ACTIVITIES THAT PROMOTE THE HEALTH, WELLNESS, AND SAFETY THOSE WE SERVE. THROUGH ACTIVE PARTICIPATION ON COMMUNITY BOARDS, NEIGHBORHOOD/COMMUNITY COALITIONS, AND INVOLVEMENT IN COMMUNITY-BASED EVENTS, MERCY HEARS THE VOICE OF THE COMMUNITY AND IS ABLE TO BUILD PARTNERSHIPS TO DEVELOP COLLABORATIVE SOLUTIONS TO ADDRESS COMMUNITY NEEDS.MERCY HOSPITAL ST. LOUIS AND MERCY HOSPITAL WASHINGTONG CREATED COMMUNITY HEALTH IMPROVEMENT PLANS (CHIP) FOR THEIR HOSPITAL, IDENTIFYING SPECIFIC INITIATIVES RELATED TO IMPROVING EACH OF THESE HEALTH PRIORITIES. THE CHIPS WERE DESIGNED WITH REALISTIC, MEASURABLE, AND ATTAINABLE GOALS THAT ALIGN WITH THE MISSION AND STRATEGY OF THE ORGANIZATIONS. MERCY HOSPITAL ST. LOUIS AND MERCY HOSPITAL WASHINGTON ALSO ASSESS 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 LEADERS SERVING ON THE BOARDS OF UNITED WAY 2-1-1 AND THE INTEGRATED HEALTH NETWORK ARE EXAMPLES OF OUR INVOLVEMENT WITH COMMUNITY ORGANIZATIONS BASED ON THE ORGANIZATION'S REQUEST FOR SUPPORT. 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: MERCY HOSPITALS EAST COMMUNITIES INCLUDES MERCY HOSPITAL ST. LOUIS AND MERCY HOSPITAL WASHINGTON. THE PRIMARY SERVICE AREA FOR MERCY HOSPITAL ST. LOUIS INCLUDES 255 ZIP CODES ACROSS MISSOURI AND ILLINOIS. THE FOLLOWING INFORMATION IS DERIVED FROM THE ADVISORY BOARD DEMOGRAPHICS AND AHA ANALYTICS. THE AREA'S POPULATION IS 2,773,328. THE MEDIAN HOUSEHOLD INCOME IS $73,966. 43.6% OF THE POPULATION IS 45 AND OLDER. 93.8% OF THE POPULATION IS A HIGH SCHOOL GRADUATE OR GREATER AND THE MEDIAN AGE IS 39. 20.2% OF THE HOUSEHOLDS ARE ON MEDICARE, 16.9% ON MEDICAID, AND 6.1% UNINSURED. THE PRIMARY SERVICE AREA FOR MERCY HOSPITAL WASHINGTON INCLUDES 22 ZIP CODES ACROSS MISSOURI. THE AREA'S POPULATION IS 156,797. THE MEDIAN HOUSEHOLD INCOME IS $73,698. 46.8% OF THE POPULATION IS 45 AND OLDER. 90.7% OF THE POPULATION IS A HIGH SCHOOL GRADUATE OR GREATER AND THE MEDIAN AGE IS 42. 22.9% OF THE HOUSEHOLDS ARE ON MEDICARE, 16.5% ON MEDICAID, AND 9.2% UNINSURED. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHMERCY PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. MERCY IS A CATHOLIC HEALTH CARE CORPORATION THAT, PURSUANT TO THE ORGANIZATIONAL CORE BELIEF, THAT HEALTH CARE SERVICES ARE A VITAL AND INTEGRAL PART OF THE CHURCH'S HEALING MISSION, ENGAGES IN A MINISTRY WHICH PROVIDES GENERAL ACUTE CARE, AMBULATORY, LONG-TERM AND HOME CARE HEALTH SERVICES TO INDIVIDUALS AND FAMILIES 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 OUR EPARTMENTS. MHSL HAS EXCLUSIVE CONTRACTS WITH PHYSICIAN GROUPS FOR RADIOLOGY, PATHOLOGY SERVICES, NEONATOLOGY, ANESTHESIA, AND CV SURGERY. MHW HAS EXCLUSIVE CONTRACTS WITH PHYSICIAN GROUPS FOR RADIOLOGY, PATHOLOGY AND ANESTHESIOLOGY. THIS MEANS THAT OVER 90% OF THE PHYSICIANS ON STAFF ARE IN CATEGORIES THAT ARE OPEN TO QUALIFIED PHYSICIANS IN THE COMMUNITY.ADDITIONAL COMMUNITY HEALTH INITIATIVE/INFORMATIONCURRENTLY NOT INCLUDED THROUGH THE REPORTING OF COMMUNITY BENEFIT OR COMMUNITY BUILDING ACTIVITIES ARE:IN KEEPING WITH MHEC'S COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITY:MHEC CLINICS (NOT UNDER HOSPITAL EIN) PROVIDE:- FREE CARE AND/OR SUBSIDIZED CARE- CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST- HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY HEALTH EDUCATION PROGRAMS, AND- A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. MANY OF THE PROGRAMS MENTIONED BELOW ARE PART OF OUR CURRENT COMMUNITY HEALTH IMPACT PLAN (CHIP). THESE ARE INDICATED BY ASTERISKS. NUMEROUS COLLECTION DRIVES BY CO-WORKERS ARE HELD THROUGHOUT THE YEAR AND THE ITEMS SUCH AS FOOD, CLOTHING, PERSONAL CARE ITEMS, BUS PASSES, GAS CARDS, SCHOOL SUPPLIES AND OTHER CRITICAL ITEMS ARE DONATED TO NON-PROFIT AGENCIES TO DISTRIBUTE TO THEIR CLIENTS. MERCY NEIGHBORHOOD MINISTRY (MNM) MERCY EAST COMMUNITYMERCY NEIGHBORHOOD MINISTRY IS A DEPARTMENT THAT SUPPORTS THE SERVICE AREAS OF MERCY HOSPITAL ST. LOUIS, MERCY HOSPITAL WASHINGTON AND THE SURROUNDING COUNTIES. IT FOCUSES ON CONNECTING THE ECONOMICALLY UNDERSERVED WITH APPROPRIATE HEALTH AND SOCIAL SERVICES AS WELL AS OVERALL COMMUNITY HEALTH AND ACCESS THROUGH PROMOTION AND EDUCATION OF CURRENT PROGRAMS. MNM PARTNERS WITH OVER 100 COMMUNITY HEALTH AND SOCIAL SERVICE AGENCIES, CLINICS, CHURCHES AND SCHOOLS. NEARLY HALF OF ITS ANNUAL EXPENSES ARE OFFSET THROUGH MERCY FOUNDATION. ACCESS TO CARECOMMUNITY HEALTH WORKER* (CHW)CHWS SCREEN PATIENTS FOR SOCIAL NEEDS USING STANDARDIZED QUESTIONNAIRES, REFER PATIENTS TO COMMUNITY RESOURCES, AND ASSIST PATIENTS IN OBTAINING MERCY FINANCIAL ASSISTANCE, MEDICAID, AND ESTABLISHING A PRIMARY CARE HOME. CHWS ASSIST WITH DIRECT REFERRALS AND SCREENING OF UNINSURED PATIENTS IN THE ED AND/OR MEET WITH PATIENTS PREVIOUSLY SEEN IN THE ED AT THE HOSPITAL OR IN THE COMMUNITY. THE AIM IS TO SCREEN ALL UNINSURED PATIENTS VISITING THE ED.TRANSPORTATION MHW*AS A COMMUNITY WITHOUT PUBLIC TRANSPORTATION, ONGOING DISCUSSIONS AND RESEARCH ARE TAKING PLACE IN HOPES OF PARTNERING WITH AFFORDABLE PROVIDERS TO BENEFIT OUR PATIENTS IN NEED ACROSS FRANKLIN COUNTY. TRANSPORTATION ASSISTANCE WAS GIVEN TO 360 PATIENTS IN THE FORM OF CAB FARE, GAS CARDS, CONTRACTED PROVIDERS AND MERCY SHUTTLE. CURRENTLY WORKING WITH ZIPCARE TO PROVIDE SUSTAINABLE TRANSPORTATION OPTIONS FOR PREVENTING MISSED APPOINTMENTS.PHYSICIANSMERCY HEALTH SYSTEM HAS A LARGE NUMBER OF CLINICS, PHYSICIAN OFFICES AND OTHER HEALTHCARE FACILITIES LOCATED IN THE EAST COMMUNITY THAT ARE NOT ASSOCIATED WITH A HOSPITAL EIN. THESE CLINICS AND FACILITIES PROVIDE FINANCIAL ASSISTANCE, PARTICIPATE IN HEALTH PROFESSIONS EDUCATION (I.E., STUDENT SHADOWING) AND PROVIDE IN-KIND CONTRIBUTIONS TO THEIR COMMUNITIES.JFK & MCAULEY HEALTH CENTERS MHSL & MHWTHESE HEALTH CENTERS OFFER COMPREHENSIVE HEALTH CARE TO A DIVERSE POPULATION OF OVER 10,000 PATIENTS WHO ARE ECONOMICALLY DISADVANTAGED, UNINSURED OR UNDERINSURED. WITH MORE THAN 60,000 PATIENT VISITS EACH YEAR, SERVICES INCLUDE MEDICAL, OBSTETRICAL, GYNECOLOGICAL AND PEDIATRIC CARE AND ACCESS TO SPECIALTY CARE, BEHAVIORAL HEALTH INCLUDING COUNSELING AND TREATMENT, DISCOUNTED PHARMACY SERVICES, AND VISION AND DENTAL CARE.THE CHARITY CARE AND UNREIMBURSED COST OF MEDICAID COMMUNITY BENEFIT FIGURES FOR THESE ENTITIES ARE INCLUDED IN THE OVERALL CHARITY CARE FOR MHEC AND NOT LISTED SEPARATELY. THE WORK OF THESE MERCY PROVIDERS WHO SERVE THOSE WHO ARE STRUGGLING IN OUR COMMUNITY ARE NOT DESCRIBED IN ANY AREA OF THIS REPORT. 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 ST LOUIS 615 S NEW BALLAS RD ST LOUIS MO 63141 562410020 501(C)(3) 2092962 0 CHARITABLE SUPPORT MERCY HEALTH FOUNDATION WASHINGTON 901 EAST FIFTH STREET WASHINGTON MO 63090 562410022 501(C)(3) 132443 0 CHARITABLE SUPPORT AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)(3) 36500 0 CHARITABLE SUPPORT OFFICE OF WORSHIP ACCHDIOC STL 20 ARCHBISHOP MAY DR ST LOUIS MO 63119 430653244 501(C)(3) 28017 0 CHARITABLE SUPPORT AMERICAN CANCER SOCIETY 250 WILLIAMS ST NW STE 4B ATLANTA GA 30303 131788491 501(C)(3) 22000 0 CHARITABLE SUPPORT STREET MED STL 2917 SIDNEY STREET ST LOUIS MO 63104 921934848 501(C)(3) 10000 0 CHARITABLE SUPPORT PINK RIBBON GOOD INC 350 HULS DRIVE ENGLEWOOD OH 45315 320020270 501(C)(3) 10000 0 CHARITABLE SUPPORT 7 0 MORTGAGE, RENT AND UTILITIES 133 68530 CAR/VAN/AMBULANCE TRANSPORTATION 5667 847921 MEDICAL EQUIPMENT 82 6403 GAS CARDS 149 6535 MEMORIALS 41 36012 HOME FURNISHINGS 55 7900 NURSING/RESIDENTIAL 4 17302 PART I, LINE 2: DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING USE OF GRANTS THE ASSISTANCE PROVIDED IS INTENDED TO BE USED FOR THE GENERAL OPERATING PURPOSES OF THE DONEES. THE USE OF GRANT FUNDS IS NOT MONITORED AFTER GRANTS ARE GIVEN. HOWEVER, TWO GRANTEES ARE PART OF MERCY HEALTH AND THEREFORE RELATED ORGANIZATIONS TO MERCY HOSPITAL EAST COMMUNITIES. LEADERSHIP OF THE HOSPITAL AND THE GRANTEES COMMUNICATE ON HOW FUNDS ARE USED, ALTHOUGH THERE IS NO FORMAL MONITORING PROCESS. WHEN PATIENT CARE STAFF IDENTIFY PATIENTS NEEDING ASSISTANCE, THE HOSPITAL PROVIDES INDIVIDUALS WITH ASSITANCE IN THE FORM OF MORTGAGE, RENT, AND UTILITY PAYMENTS, AND WITH THE HOSPITAL COVERING THE COSTS. THEREFORE, NO FURTHER MONITORING RELATED TO THE USE OF THE FUNDS IS NEEDED. WHEN PATIENT CARE STAFF IDENTIFY PATIENTS NEEDING TRANSPORTATION ASSISTANCE, TAXI RIDES, GAS CARDS, 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, NURSING/RESIDENTIAL SERVICES, MEDICAL EQUIPMENT, MEMORIALS, HOME FURNISHING, 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 MACKIN STEPHEN L FORMER OFFICER 0 2332643 0 5156248 0 69598 0 755997 0 20915 0 8335401 0 0 MATEJKA CHERYL L FORMER OFFICER 0 815737 0 1306619 0 60496 0 148628 0 14017 0 2345497 0 0 CHALK MD DAVID E REGIONAL PHYSICIAN EXECUTIVE 0 463221 0 1073535 0 57193 0 100510 0 12182 0 1706641 0 200966 FINNIE MD JOHN PHYSICIAN 0 1173545 0 113774 0 76742 0 21751 0 15855 0 1401667 0 0 MEINERS MD DAVID COMMUNITY PRESIDENT - HOSPITAL 0 585567 0 584482 0 62407 0 115767 0 13181 0 1361404 0 94317 JOHNSTON JEFFREY A FORMER OFFICER 0 0 0 0 0 1300000 0 6639 0 0 0 1306639 0 0 HUESER DO CHRISTOPHER PHYSICIAN 0 1090861 0 104580 0 62822 0 18150 0 20915 0 1297328 0 0 MIRZA MD MUHAMMAD PHYSICIAN 0 1041704 0 105006 0 84742 0 18711 0 20843 0 1271006 0 0 RODGERS MD HEIDE PHYSICIAN 0 1019552 0 96541 0 68188 0 16567 0 20843 0 1221691 0 0 HU MD HSIAO-OU PHYSICIAN 0 981763 0 93753 0 100822 0 21450 0 20915 0 1218703 0 0 EOLOFF ERIC J COMMUNITY PRESIDENT (THRU 10/2024) 0 362282 0 352926 0 33254 0 86799 0 14832 0 850093 0 0 NELSON KATHRYN FORMER KEY EMPLOYEE 0 331566 0 339213 0 68101 0 66905 0 21244 0 827029 0 189047 BOYD MD JAMES PHYSICIAN & BOARD MEMBER 0 651035 0 67644 0 37358 0 21450 0 14017 0 791504 0 0 RIECHERS MD THOMAS PHYSICIAN & BOARD MEMBER 0 517357 0 56632 0 112365 0 37624 0 14017 0 737995 0 0 COMBS EMILY COO 0 393488 0 158399 0 79583 0 77903 0 12800 0 722173 0 0 WEILBACHER ROBYN CNO 0 314893 0 242072 0 48308 0 87103 0 20612 0 712988 0 110697 OREN PHINEAS FORMER KEY EMPLOYEE 0 408664 0 118803 0 94906 0 18150 0 12113 0 652636 0 0 DUMONTIER MD GARY PHYSICIAN & BOARD MEMBER 0 492793 0 51601 0 34064 0 21450 0 13931 0 613839 0 0 SCOFFIC DENISE CFO 0 314916 0 112882 0 55244 0 82326 0 7715 0 573083 0 0 MOORE MARIE COMMUNITY PRESIDENT (STARTING 02/202 0 287124 0 101888 0 39983 0 59911 0 12432 0 501338 0 0 ROTHERMICH ANTHONY FORMER KEY EMPLOYEE 0 244697 0 69815 0 42444 0 43595 0 21249 0 421800 0 0 KAHN MD JOSEPH FORMER KEY EMPLOYEE 0 0 0 0 0 289213 0 0 0 0 0 289213 0 0 THORN MARK A EXECUTIVE DIRECTOR FINANCE 0 174791 0 28338 0 34974 0 11858 0 7262 0 257223 0 0 CRAIN CHRISTINE FORMER KEY EMPLOYEE 0 0 0 0 0 210341 0 0 0 0 0 210341 0 0 PART I, LINE 3 MERCY HOSPITALS 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 INDIVIDUALS RECEIVED SEVERANCE PAY FROM A RELATED ORGANIZATION DURING CALENDAR YEAR 2024: CHRISTINE CRAIN - $210,341 JEFF JOHNSTON - $1,300,000 JOSEPH KAHN, MD - $289,213 FORM 990, SCHEDULE J, PART II THE AMOUNTS REPORTED FOR DR. DAVID CHALK, DR. DAVID MEINERS, ROBYN WEILBACHER, AND KATHRYN NELSON 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. CHERYL CRAIN FAMILY MEMBER OF FORMER KEY EMPLOYEE 69642 EMPLOYMENT 0 JUDY TOBBEN FAMILY MEMBER OF BOARD MEMBER 16934 EMPLOYMENT 0 MARGARET LANG FAMILY MEMBER OF FORMER KEY EMPLOYEE 159169 EMPLOYMENT 0 LAUREN FOWLER FAMILY MEMBER OF KEY EMPLOYEE 154314 EMPLOYMENT 0 CHLOE ROTHERMICH FAMILY MEMBER OF KEY EMPLOYEE 87678 EMPLOYMENT 0 MACKENZIE CAMPBELL FAMILY MEMBER OF KEY EMPLOYEE 81707 EMPLOYMENT 0 ASHLEY WEILBACHER FAMILY MEMBER OF KEY EMPLOYEE 72420 EMPLOYMENT 0 KATELYN MORONEY FAMILY MEMBER OF BOARD MEMBER 25099 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 HOSPITALS 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, THE MEMBER OF MERCY HEALTH EAST COMMUNITIES, HAS RESERVE POWERS TO APPOINT AND REMOVE ALL DIRECTORS AND OFFICERS FOR MERCY HOSPITALS EAST COMMUNITIES. 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, AS THE CORPORATE MEMBER OF THE CORPORATE MEMBER): -APPROVAL OF REVISIONS TO THE MISSION, VISION, AND OPERATING VALUES, PURSUANT TO WHICH THE CORPORATION OPERATES; -APPROVAL OF ANY AMENDEMNTS TO THE ARTICLES OF INCORPORATION AND THESE BYLAWS AND ANY AMENDMENTS TO THE ORGANIZATIONAL DOCUMENTS OF ANY AFFILIATE OF THE CORPORATION; -APPROVAL OF THE APPOINTMENT AND REMOVAL OF THE PRESIDENT OF THE CORPORATION, AS PROVIDED IN SECTIONS 7.2.1 AND 7.3 OF THE BYLAWS; -ADOPTION OF THE STRATEGIC PLAN, GOALS AND OBJECTIVES OF THE CORPORATION; -ADOPTION OF THE OPERATING, CAPITAL, AND ALL OTHER BUDGETS FOR THE CORPORATION; -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; -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; -APPROVAL OF A PLAN OF MERGER, CONSOLIDATION, OR DISSOLUTION OF THE CORPORATION; -APPROVAL OF THE LEASE, MANAGEMENT, OR PURCHASE OF, OR AFFILIATION WITH, ANOTHER HOSPITAL OR HEALTH SYSTEM, OR HEALTH CARE FACILITY OR HEALTH CARE SYSTEM BY THE CORPORATION; AND, -APPROVAL OF THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION CONTROLLED 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 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 MCCARTHY BUILDING COMPANY WERE RELATED TO MATERIALS IN ADDITION TO AMOUNTS PAID FOR SERVICES. HOWEVER, THE AMOUNTS ARE NOT DISTINGUISHABLE. FORM 990, PART XI, LINE 9: NET TRANSFERS (TO)/FROM AFFILIATES -201,286,708. CHANGE IN RESTRICTED NET ASSETS 286,021. FY25 GME GRANT -750,000. FY25 MATERNAL SUBSTANCE ABUSE GRANT -1,259,943. 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. LISTING OF INCLUDED DIVISIONS AND ENTITIES FEDERAL EINS THE OPERATING RESULTS OF THE FOLLOWING ENTITIES, DIVISIONS, AND/OR SUBORDINATE ORGANIZATIONS OF MERCY HOSPITALS EAST COMMUNITIES ARE INCLUDED IN THE INFORMATION PRESENTED IN THE FORM 990 FOR THE YEAR ENDED JUNE 30, 2025: ENTITY FEIN MERCY HOSPITALS EAST COMMUNITIES ST. LOUIS 43-0653493 MERCY HOSPITALS EAST COMMUNITIES WASHINGTON 43-1066883 MERCY SUPPORT SERVICES 43-1677952 MERCY BEHAVIORAL HEALTH LLC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 460568680 INACTIVE MO 0 0 MERCY HOSPITALS EAST COMMUNITIES MERCY CHILDREN'S THERAPY AND DEVELOPMENT LLC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 455327629 BILLING ENTITY MO 3251298 392987 MERCY HOSPITALS EAST COMMUNITIES MERCY CLINIC ADULT CRITICAL CARE LLC 615 S NEW BALLAS ROAD ST LOUIS MO 63141 201626965 PHYSICIAN SERVICES MO 0 0 MERCY HOSPITALS EAST COMMUNITIES MERCY CLINIC ADULT HOSPITALISTS- WASHINGTON LLC 901 E FIFTH STREET WASHINGTON MO 63090 262961433 HOSPITALISTS SERVICES MO 0 0 MERCY HOSPITALS EAST COMMUNITIES MERCY CLINIC ADULT HOSPITALISTS-ST LOUIS LLC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 431854902 HEALTHCARE SERVICES MO 0 0 MERCY HOSPITALS EAST COMMUNITIES MERCY CLINIC CHILDREN'S CRITICAL CARE LLC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 431854908 HEALTHCARE SERVICES MO 0 0 MERCY HOSPITALS EAST COMMUNITIES MERCY CLINIC CHILDREN'S HOSPITALISTS-ST LOUIS LLC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 431708560 HEALTHCARE SERVICES MO 0 0 MERCY HOSPITALS EAST COMMUNITIES MERCY CLINIC CHILDREN'S PALLIATIVE CARE LLC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 454436211 PHYSICIAN PRACTICE MO 0 0 MERCY HOSPITALS EAST COMMUNITIES MERCY EAST SUPPORT SERVICES LLC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 461048366 HEALTHCARE SERVICES MO 0 0 MERCY HOSPITALS EAST COMMUNITIES MERCY HEALTH SERVICES LLC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 431664148 HEALTHCARE SERVICES & PRODUCTS MO 39652767 544911 MERCY HOSPITALS EAST COMMUNITIES MERCY HOSPITAL ST LOUIS PROFESSIONAL SURGICAL SERVICES LLC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 811258305 CONTRACTING ORGANIZATION MO 0 0 MERCY HOSPITALS EAST COMMUNITIES MERCY LABS SOUTH LLC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 833541066 LABORATORY SERVICES MO 322552 0 MERCY HOSPITALS EAST COMMUNITIES MERCY LABS ST LOUIS LLC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 463092721 LABORATORY SERVICES MO 1281441 0 MERCY HOSPITALS EAST COMMUNITIES MERCY LABS WASHINGTON LLC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 463093014 LABORATORY SERVICES MO 53351 0 MERCY HOSPITALS EAST COMMUNITIES MERCY NEUROPSYCHOLOGY SERVICES LLC 615 S NEW BALLAS ROAD ST LOUIS MO 63141 261216912 NEUROPSYCHOLOGY SERVICES MO 0 0 MERCY HOSPITALS EAST COMMUNITIES MERCY ORTHOPAEDIC TRAUMA SERVICES LLC 615 S NEW BALLAS ROAD ST LOUIS MO 63141 061785022 HEALTHCARE SERVICES MO 0 0 MERCY HOSPITALS EAST COMMUNITIES MERCY WOMEN'S SERVICES LLC 615 S NEW BALLAS ROAD ST LOUIS MO 63141 460847235 HEALTHCARE SERVICES MO 0 0 MERCY HOSPITALS EAST COMMUNITIES ST JOHN'S MERCY THERAPY SERVICES LLC (INACTIVE) 615 S NEW BALLAS ROAD ST LOUIS MO 63141 810671798 INACTIVE MO 0 0 MERCY HOSPITALS EAST COMMUNITIES 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 MEMORIAL ROAD OKLAHOMA CITY OK 73120 454732301 FOUNDATION OK 501(C)(3) LINE 12A, I MERCY HEALTH OKLAHOMA COMMUNITIES INC 1 MERCY HEALTH FOUNDATION OKLAHOMA CITY 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 463184231 FOUNDATION OK 501(C)(3) LINE 12A, I MERCY HOSPITAL OKLAHOMA CITY INC 1 MERCY HEALTH FOUNDATION SPRINGFIELD 1235 E CHEROKEE STREET SPRINGFIELD MO 65804 320195818 FOUNDATION MO 501(C)(3) LINE 12B, II MERCY HEALTH SPRINGFIELD COMMUNITIES 1 MERCY HEALTH FOUNDATION ST FRANCIS 100 W US HIGHWAY 60 MOUNTAIN VIEW MO 65548 431873914 FOUNDATION MO 501(C)(3) LINE 12A, I MERCY ST FRANCIS HOSPITAL 1 MERCY HEALTH FOUNDATION ST LOUIS 615 SOUTH NEW BALLAS ROAD ST LOUIS MO 63141 562410020 FOUNDATION MO 501(C)(3) LINE 12B, II MERCY HEALTH EAST COMMUNITIES 1 MERCY HEALTH FOUNDATION WASHINGTON 901 E FIFTH STREET WASHINGTON MO 63090 562410022 FOUNDATION MO 501(C)(3) LINE 12B, II MERCY HEALTH EAST COMMUNITIES 1 MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES 2710 RIFE MEDICAL LANE ROGERS AR 72758 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 AR 501(C)(3) LINE 3 MERCY HEALTH NW ARK COMMUNITIES 1 MERCY HOSPITAL BOONEVILLE 880 WEST MAIN STREET BOONEVILLE AR 72927 463851119 HOSPITAL AR 501(C)(3) LINE 3 MERCY HOSPITAL FORT SMITH 1 MERCY HOSPITAL CARTHAGE 3125 DR RUSSELL SMITH WAY CARTHAGE MO 64836 453808607 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH SW MOKS COMMUNITIES 1 MERCY HOSPITAL CASSVILLE 94 MAIN STREET CASSVILLE MO 65625 431936699 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH SPRINGFIELD COMMUNITIES 1 MERCY HOSPITAL COLUMBUS 220 PENNSYLVANIA AVENUE COLUMBUS KS 66725 270842031 HOSPITAL KS 501(C)(3) LINE 3 MERCY HEALTH SW MOKS COMMUNITIES 1 MERCY HOSPITAL EL RENO INC 2115 PARKVIEW DRIVE EL RENO OK 73036 272716065 HOSPITAL OK 501(C)(3) LINE 3 MERCY HOSPITAL OKLAHOMA CITY INC 1 MERCY HOSPITAL FORT SMITH 7301 ROGERS AVENUE FORT SMITH AR 72903 710240352 HOSPITAL AR 501(C)(3) LINE 3 MERCY HEALTH FORT SMITH COMMUNITIES 1 MERCY HOSPITAL HEALDTON INC 3462 HOSPITAL RD HEALDTON OK 73438 263173902 HOSPITAL OK 501(C)(3) LINE 3 MERCY HOSPITAL ARDMORE INC 1 MERCY HOSPITAL JEFFERSON 1400 HIGHWAY 61 SOUTH FESTUS MO 63028 430687077 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH EAST COMMUNITIES 1 MERCY HOSPITAL JOPLIN 100 MERCY WAY JOPLIN MO 64804 270814858 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH SW MOKS COMMUNITIES 1 MERCY HOSPITAL KINGFISHER INC 1000 KINGFISHER REGIONAL HOSPITAL C KINGFISHER OK 73750 463433074 HOSPITAL OK 501(C)(3) LINE 3 MERCY HOSPITAL OKLAHOMA CITY INC 1 MERCY HOSPITAL LEBANON 100 HOSPITAL DRIVE LEBANON MO 65536 431767432 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH SPRINGFIELD COMMUNITIES 1 MERCY HOSPITAL LINCOLN 1000 EAST CHERRY STREET TROY MO 63379 472219204 HOSPITAL MO 501(C)(3) LINE 3 MERCY HOSPITALS EAST COMMUNITIES 1 MERCY HOSPITAL LOGAN COUNTY INC 200 SOUTH ACADEMY GUTHRIE OK 73044 452998842 HOSPITAL OK 501(C)(3) LINE 3 MERCY HOSPITAL OKLAHOMA CITY INC 1 MERCY HOSPITAL OKLAHOMA CITY INC 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 730579285 HOSPITAL OK 501(C)(3) LINE 3 MERCY HEALTH OKLAHOMA COMMUNITIES INC 1 MERCY HOSPITAL OZARK 801 W RIVER STREET OZARK AR 72949 710689680 HOSPITAL AR 501(C)(3) LINE 3 MERCY HOSPITAL FORT SMITH 1 MERCY HOSPITAL PARIS 500 E ACADEMY PARIS AR 72855 710655753 HOSPITAL AR 501(C)(3) LINE 3 MERCY HOSPITAL FORT SMITH 1 MERCY HOSPITAL ROGERS 2710 RIFE MEDICAL LANE ROGERS AR 72758 710294390 HOSPITAL AR 501(C)(3) LINE 3 MERCY HEALTH NW ARK COMMUNITIES 1 MERCY HOSPITAL SPRINGFIELD 1235 E CHEROKEE STREET SPRINGFIELD MO 65804 440552485 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH SPRINGFIELD COMMUNITIES 1 MERCY HOSPITAL TISHOMINGO INC 1000 SOUTH BYRD TISHOMINGO OK 73460 274433830 HOSPITAL OK 501(C)(3) LINE 3 MERCY HOSPITAL ADA INC 1 MERCY HOSPITAL WALDRON 1341 W 6TH STREET WALDRON AR 72958 710557895 HOSPITAL AR 501(C)(3) LINE 3 MERCY HOSPITAL FORT SMITH 1 MERCY HOSPITAL WATONGA INC 500 CLARENCE NASH BLVD WATONGA OK 73772 455199762 HOSPITAL OK 501(C)(3) LINE 3 MERCY HOSPITAL OKLAHOMA CITY INC 1 MERCY KANSAS COMMUNITIES INC 401 WOODLAND HILLS BLVD FT SCOTT KS 66701 480956045 HOSPITAL KS 501(C)(3) LINE 3 MERCY HEALTH SW MOKS COMMUNITIES 1 MERCY MINISTRIES OF LAREDO 2500 ZACATECAS ST LAREDO TX 78046 200198462 OUTREACH TX 501(C)(3) LINE 7 MERCY HEALTH 1 MERCY RESEARCH 524 NORTH BOONEVILLE AVENUE SPRINGFIELD MO 65802 870796305 RESEARCH MO 501(C)(3) LINE 4 MERCY HEALTH 1 MERCY ST FRANCIS HOSPITAL 100 W US HIGHWAY 60 MOUNTAIN VIEW MO 65548 440607149 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH SPRINGFIELD COMMUNITIES 1 MHM SUPPORT SERVICES 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 202553101 CENTRALIZED HEALTH SYSTEM FUNCTIONS MO 501(C)(3) LINE 12A, I MERCY HEALTH 1 MISSION CLINICAL SERVICES 216 MCAULEY COURT HOT SPRINGS AR 71913 134239691 CHILD ADVOCACY CENTER AR 501(C)(3) LINE 3 MERCY HEALTH 1 MERCY HEALTH FOUNDATION SOUTH 10010 KENNERLY ROAD ST LOUIS MO 63128 261516789 FUNDRAISING MO 501(C)(3) LINE 12A, I MERCY HOSPITAL SOUTH 1 MERCY HOSPITAL SOUTH 10010 KENNERLY ROAD ST LOUIS MO 63128 430980256 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH EAST 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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.