2024-05-14T08:44:16-05:00 2023-06-30 264532849 PURK & ASSOCIATES PC 1034 SOUTH BRENTWOOD BLVD STE 2000 SAINT LOUIS MO 63117 990 2022-07-01 430980256 MERCY HOSPITAL SOUTH MERC 3145251000 10010 KENNERLY ROAD ST LOUIS MO 63128 TYLER STURGEON CHIEF FINANCIAL OFFICER 3145251930 2024-05-08 1 TYLER STURGEON 999009999 0 DOUGLAS G PLEUS CPA P00013488 3148844000 2024-05-08 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z SEAN HOGAN 10010 KENNERLY ROAD ST LOUIS MO 63128 626352186 0 0928 X WWW.MERCY.NET X 1971 MO MERCY HOSPITAL SOUTH IS A HOSPITAL LOCATED IN THE SOUTHERN PART OF ST. LOUIS COUNTY IN THE ST. LOUIS MO METROPOLITAN AREA. 10 8 0 119 0 0 2183740 17093618 610092286 582799054 194627 18405681 4725732 6903613 617196385 625201966 819010 1673489 0 0 296924527 291623828 0 0 0 290077102 291598405 587820639 584895722 29375746 40306244 494393425 505550321 38645722 21260210 455747703 484290111 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 182160241 206003198 MERCY HOSPITAL SOUTH PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY BY OFFERING ESSENTIAL HEALTH SERVICES TO ITS COMMUNITY. IN ACTIVE PURSUIT OF THIS MISSION, MERCY HOSPITAL SOUTH PROVIDES A WIDE VARIETY OF SERVICES IN THEIR 542 BED FACILITY AND IN FY23, HAD 247,083 TOTAL CASES. MERCY HOSPITAL SOUTH OFFERS COMPREHENSIVE HEART AND VASCULAR SERVICES, A WIDE VARIETY OF TREATMENT OPTIONS AND ADVANCED TECHNOLOGIES TO DIAGNOSE AND TREAT A FULL RANGE OF CONDITIONS. MERCY HOSPITAL SOUTH ALSO PROVIDES A FULL COMPLEMENT OF CARDIAC REHABILITATION, THERAPY AND EDUCATION SERVICES. IN FY23, MERCY HOSPITAL SOUTH HAD 36,464 CASES AND 16,532 PATIENT DAYS FOR THIS SERVICE LINE. 98460713 111348238 AT MERCY HOSPITAL SOUTH, CANCER CARE IS ABOUT MORE THAN PROVIDING CLINICAL TREATMENTS. MERCY HOSPITAL SOUTH 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 FY23, MERCY HOSPITAL SOUTH HAD 10,586 CASES AND 4,276 PATIENT DAYS FOR THIS SERVICE LINE. 86389165 97696644 MERCY HOSPITAL SOUTH'S RADIOLOGISTS USE THE LATEST TECHNOLOGIES TO PRODUCE PRECISE IMAGES AND EXACTING TEST RESULTS. MERCY OFFERS A FULL RANGE OF DIAGNOSTIC IMAGING SERVICES FOR ADULTS AND CHILDREN. MERCY RADIOLOGISTS GIVE MORE INSIGHT INTO YOUR CONDITION, SO YOU RECEIVE AN ACCURATE DIAGNOSIS AND THE MOST EFFECTIVE TREATMENT. IN FY23, MERCY HOSPITAL SOUTH HAD 73,867 CASES FOR THIS SERVICE LINE. 149635164 1673490 169220917 IN ADDITION TO THE PROGRAM SERVICES DESCRIBED ABOVE, MERCY HOSPITAL SOUTH ALSO SERVES PATIENTS IN ADDITIONAL SERVICE LINES, INCLUDING BUT NOT LIMITED TO THE FOLLOWING AREAS: GASTROENTEROLOGY; EMERGENCY ROOM; NEUROSCIENCE; ORTHOPEDICS; REHABILITATION. 149635164 1673490 169220917 516645283 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 10 8 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X TYLER STURGEON 3145251930 10010 KENNERLY ROAD ST LOUIS MO 63128 X BIPPEN DANIEL BOARD MEMBER & SECRETARY 1.00 0.00 X 0 0 0 CAREY CHARLES PHYSICIAN & BM 50.00 0.00 X 0 967512 37040 EVANS RSM SR GAYLE BOARD MEMBER 1.00 1.00 X 0 0 0 GRAHAM MARY BOARD MEMBER 1.00 0.00 X 0 0 0 HOGAN SEAN JOSEPH PRESIDENT 45.00 10.00 X X 0 864982 93114 HUGO JUSTIN H PHYSICIAN & BM 6.00 0.00 X 0 75000 0 MAYHALL RICHARD A BOARD MEMBER & 1ST VICE CHAIR 1.00 0.00 X 0 0 0 MERLOTTI MARK BOARD MEMBER 1.00 0.00 X 0 0 0 MOORE ELAINE BOARD MEMBER 1.00 0.00 X 0 0 0 POWERS JAMES G BOARD MEMBER & 2ND VICE CHAIR 1.00 0.00 X 0 0 0 REED III WINTHROP B BOARD MEMBER & 1ST CHAIRMAN 1.00 0.00 X 0 0 0 STURGEONTYLER CHIEF FINANCIAL OFFICER-START 6/25/23 40.00 10.00 X 0 0 0 ELLIS CAROL VP NURSING 40.00 10.00 X 0 254086 29615 BLANKENSHIP STACY A CHIEF NURSING OFFICER 40.00 0.00 X 0 302860 58490 CHERIAN KUNJUMOL REGISTERED NURSE 40.00 0.00 X 0 238796 18548 CONGER SUSAN MEDICAL DIRECTOR - CARE MANAGEMENT 40.00 0.00 X 0 254967 24569 MIRANDA HAZEL REGISTERED NURSE 40.00 0.00 X 0 221523 30716 THAGGARD PAUL MANAGER, PERFUSION 40.00 0.00 X 0 217490 27108 AKHTAR AAMINA FORMER KEY EMPLOYEE 30.00 30.00 X 0 511255 1221 ECKENFELS DANIEL FORMER OFFICER 5.00 55.00 X 0 332037 29785 JOHNSTON JEFFREY A FORMER KEY EMPLOYEE 0.00 0.00 X 0 2171276 23699 MATEJKA CHERYL L FORMER OFFICER 0.00 55.00 X 0 1197639 127825 MONTEZ KADI FORMER KEY EMPLOYEE 30.00 30.00 X 0 263745 28868 TRULOVE RON FORMER KEY EMPLOYEE 0.00 40.00 X 0 448707 44854 0 8321875 575452 0 1 1 0 HEALTHTRUST INC - THE HOSPITAL COMPANY 100 SAWGRASS CORP PKWY 6TH FL SUNRISE FL 33323 LABOR MANAGEMENT SVCS 44185966 DON C MUSICK CONSTRUCTION CO 254 HANLEY INDUSTRIAL CT ST LOUIS MO 63144 CONSTRUCTION SVCS; BUILDING REPAIRS/MAIN 21233722 OGRADY-PEYTON INTERNATIONAL USA INC 12400 HIGH BLUFF DR SAN DIEGO CA 92130 LABOR MANAGEMENT SVCS 13988572 SOUTH COUNTY ANESTHESIA ASSOC PO BOX 22407 ST LOUIS MO 63126 ANESTHESIOLOGY SERVICES 6375881 IMAGEFIRST OF ST LOUIS PO BOX 778941 CHICAGO IL 60677 HEALTHCARE LINEN SERVICES 1924405 77 17025668 59950 8000 17093618 PATIENT SERVICE REVENUE 621110 568927537 568927537 RENTAL FROM AFFILIATE 531120 10316067 10316067 OTHER OPERATING REVENUE 621110 3554240 3554240 MANAGEMENT FEES 531120 1210 1210 582799054 18398181 18398181 3894461 1150220 2744241 2744241 2744241 7500 0 7500 7500 7500 CAFE & VENDING 721000 2689429 2689429 TUITION INCOME 621110 1075503 1075503 REGISTRATION FEES INCOME 621110 394440 394440 4159372 625201966 584268997 0 23839351 1286627 1286627 386862 386862 247210049 238325677 8884372 7683551 7298334 385217 23550142 22530272 1019870 13180086 12522228 657858 46762 46762 21388996 19304741 2084255 23432 7831 15601 8054318 7174389 879929 124952 124733 219 19823128 18756886 1066242 234278 206145 28133 1262 183 1079 27568183 22967136 4601047 2494373 2494373 DRUG AND MEDICAL EXPENS 109904614 109904614 SHARED SERVICE FEE 72023499 27368930 44654569 BAD DEBT EXPENSE 23609790 23609790 REPAIR & MAINTENANCE 4780035 4333443 446592 1520783 536462 984321 584895722 516645283 68250439 0 13803325 14397226 72364215 65899814 8103798 8576304 239641 18625192 477717416 184397213 294459655 293320203 105422791 104731582 494393425 505550321 36639033 19282622 443135 482252 1563554 1495336 38645722 21260210 X 455747703 484290111 455747703 484290111 494393425 505550321 X 40306244 -11763836 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 46762 0 0 0 46762 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 THE MISSOURI HOSPITAL ASSOCIATION. FOR THE YEAR ENDED JUNE 30, 2023, DUES WERE $45,582, $68,955, AND $88,099, RESPECTIVELY. APPROXIMATELY 27.29% OF THE AMERICAN HOSPITAL ASSOCIATION DUES, 3.78% OF THE CATHOLIC HEALTH ASSOCIATION, AND 36.00% OF MISSOURI HOSPITAL ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED BY THIS ASSOCIATION. 17241943 17241943 278046411 60424246 217622165 800608 479045 321563 180662387 123052479 57609908 966067 441443 524624 293320203 OTHER ASSETS 3635317 DUE FROM TAX EXEMPT AFFILIATES 101096265 104731582 OTHER LIABILITIES 1495336 1495336 PART X, LINE 2 FEDERAL INCOME TAX PRIMARILY ALL OF THE MERCY HEALTH ENTITIES ARE RECOGNIZED BY THE INTERNAL REVENUE SERVICE 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. MERCY COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2023 OR 2022. 1 1 X 1 X 1 X 1 1 0 1 1 6622374 6622374 0.01130 69446429 43089236 26357193 0.04510 76068803 43089236 32979567 0.05640 8 2929 344077 1110 342967 0.00060 2 128 508286 508286 0.00090 1 20122111 18963047 1159064 0.00200 2 908 18380 18380 0.00000 13 3965 20992854 18964157 2028697 0.00350 13 3965 97061657 62053393 35008264 0.05990 1 38 7829 7829 0.00000 1 1029 102809 102809 0.00020 2 1067 110638 110638 0.00020 1 6354405 0 114603626 110773714 3829912 X 1 1 1 1 MERCY HOSPITAL SOUTH 10010 KENNERLY ROAD ST LOUIS MO 63128 WWW.MERCY.NET/ 273-39 X X X MERCY HOSPITAL SOUTH 1 0 0 1 X X X X X X X X X X 21 1 1 1 1 X SEE PART V, SECTION C X 1 22 1 SEE PART V, SECTION C 0 1 X 200.000000000000 300.000000000000 X 1 1 X X X 1 X HTTPS://WWW.MERCY.NET/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.MERCY.NET/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.MERCY.NET/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/ X X X X X X 1 X 0 X X X X X 1 X 0 0 MERCY HOSPITAL SOUTH 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 SOUTH PART V, SECTION B, LINE 5: BEGINNING IN EARLY 2017, MERCY HOSPITAL SOUTH (FORMERLY ST. ANTHONY'S) AND MERCY HOSPITAL ST. LOUIS JOINED THE ST. LOUIS PARTNERSHIP FOR A HEALTHY COMMUNITY (STLPHC) WHICH IS COMPRISED OF A BROAD RANGE OF STAKEHOLDERS FROM WITHIN THE PUBLIC HEALTH SYSTEM AND INDIVIDUAL ADVOCATES WHO SUBSCRIBE TO A COMPREHENSIVE DEFINITION OF HEALTH. THE MEMBERSHIP OF STLPHC IS INTENDED TO REPRESENT THE WIDE RANGE OF ENTITIES THAT IMPACT HEALTH IN THE ST. LOUIS REGION: IT INCLUDES BOTH THE CITY OF ST. LOUIS DEPARTMENT OF HEALTH AND THE ST. LOUIS COUNTY DEPARTMENT OF HEALTH, AREA HOSPITAL SYSTEMS, GOVERNMENT AGENCIES/DEPARTMENTS, COORDINATED CARE ORGANIZATIONS, COMMUNITY-BASED ORGANIZATIONS, ACADEMIC INSTITUTIONS, AND BUSINESS PARTNERS IN THE CITY OF ST. LOUIS AND ST. LOUIS COUNTY.PARTNERING ON A NEEDS ASSESSMENT AND JOINING THE MEMBERSHIP OF THE STLPHC GAVE MERCY A CHANCE TO ALIGN EFFORTS WITH COMMUNITY PARTNERS WITH THE GOAL TO ELIMINATE DUPLICATION, PRIORITIZE NEEDS AND ENABLE COLLABORATIVE EFFORTS. THE RESULTING NEEDS ASSESSMENT REMAINED A LARGE PART OF ESTABLISHING PRIORITIES SET BY MERCY HOSPITAL SOUTH AND ITS GOVERNING COMMUNITY HEALTH COUNCIL. IN ADDITION, MERCY HOSPITAL SOUTH COLLABORATED WITH BJC HEALTHCARE, MERCY HOSPITAL ST. LOUIS, MISSOURI BAPTIST HOSPITAL, SHINERS HOSPITAL FOR CHILDREN (ST. LOUIS), SSM HEALTH, ST. LUKE'S HOSPITAL AND ST. LUKE'S DES PERES TO WORK TOGETHER ON A STAKEHOLDER AND COMMUNITY SURVEY. THE INTENT WAS TO SOLICIT INPUT FROM THOSE WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL, THOSE WHO HAVE A SPECIAL KNOWLEDGE AND EXPERTISE IN THE AREA OF PUBLIC HEALTH AND UNDERSERVED POPULATIONS, AS WELL AS COMMUNITY MEMBERS WHO ARE MARGINALIZED AND UNDERSERVED. THE FIRST SURVEY WAS A COMMUNITY-WIDE SURVEY DISTRIBUTED BROADLY THROUGHOUT THE ST. LOUIS METROPOLITAN REGION TO REACH ALL COMMUNITY MEMBERS FROM APRIL TO JUNE OF 2021. THE SURVEY TOOK TEN MINUTES TO COMPLETE AND CONTAINED 39 QUESTIONS ABOUT HEALTH CHALLENGES, ACCESS TO HEALTHCARE, AND SOCIAL DETERMINANT OF HEALTH INCLUDING FINANCIAL STATUS, NEIGHBORHOOD ENVIRONMENT AND SOCIAL SUPPORT NETWORKS. THE SECOND, A STAKEHOLDER SURVEY, WAS SENT TO KEY LEADERS OF ESSENTIAL COMMUNITY ORGANIZATIONS THAT REPRESENT THE NEEDS OF THE COMMUNITY. BOTH SURVEY TOOLS COULD BE ACCESSED THROUGH A UNIQUE URL OR A QR CODE USING A MOBILE DEVICE.MERCY HOSPITAL SOUTH (MHS) ALSO PARTNERED WITH MERCY HOSPITAL ST. LOUIS (MHSL) TO CONDUCT A STAKEHOLDER FOCUS GROUP WITH MEMBERS OF MEACHAM PARK, A NEIGHBORHOOD LOCATED IN KIRKWOOD. THE FOCUS GROUP CONSISTED OF ATTENDEES WHO REPRESENTED THE BROAD INTERESTS OF THE MEACHAM PARK COMMUNITY, AS WELL AS THOSE WHO HAVE SPECIAL KNOWLEDGE OF UNDERSERVED POPULATIONS. THE ST. LOUIS REGIONAL COMMUNITY HEALTH ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN, THE STAKEHOLDER AND COMMUNITY SURVEY WERE DONE WITH HOSPITAL PARTNERS AND THE FOCUS GROUPS HELPED TO IDENTIFY AND PRIORITIZE HEALTH PROBLEMS AND RISK FACTORS IN THE MERCY HOSPITAL SOUTH SERVICE AREA. MERCY HOSPITAL SOUTH PART V, SECTION B, LINE 6A: MERCY HOSPITAL SOUTH COLLABORATED WITH BJC HEALTHCARE, MERCY HOSPITAL ST. LOUIS, MISSOURI BAPTIST HOSPITAL, SHINERS HOSPITAL FOR CHILDREN (ST. LOUIS), SSM HEALTH, ST. LUKE'S HOSPITAL AND ST. LUKE'S DES PERES. MERCY HOSPITAL SOUTH PART V, SECTION B, LINE 6B: VARIOUS COMMUNITY ORGANIZATIONS COLLABORATE WITH MERCY HOSPITAL SOUTH TO IMPROVE COMMUNITY HEALTH, EXPAND ACCESS TO HEALTH CARE OR IN OTHER WAYS BENEFIT THE COMMUNITY. MERCY HOSPITAL SOUTH WORKS IN COLLABORATION WITH THE FOLLOWING GROUPS: ST. LOUIS COUNTY DEPARTMENT OF HEALTH, ST. LOUIS CITY DEPARTMENT OF HEALTH, LOCAL SCHOOL DISTRICTS SUCH AS AFFTON, KIRKWOOD, LINDBERGH, MEHLVILLE AND HANCOCK, BARNES JEWISH WEST COUNTY HOSPITAL, MISSOURI BAPTIST MEDICAL CENTER, ST. LUKE'S HOSPITAL, ST. LUKE'S DES PERES HOSPITAL, MERCY HOSPITAL ST. LOUIS, HOSPICE AGENCIES, ST. LOUIS ASSOCIATION OF DIABETES EDUCATORS, LOCAL COLLEGE AND UNIVERSITIES, AMERICAN HEART ASSOCIATION, UNITED WAY, AMERICAN CANCER SOCIETY, AMERICAN LUNG ASSOCIATION, YMCA OF ST. LOUIS, BEHAVIORAL HEALTH SUPPORT GROUPS, CHAMBER OF COMMERCE ORGANIZATIONS, INTEGRATED HEALTH NETWORK, INSTITUTE FOR FAMILY MEDICINE, BEHAVIORAL HEALTH NETWORK, REGIONAL HEALTH COMMISSION AND MANY SOCIAL SERVICE AGENCIES THAT ASSIST OUR PATIENTS AND COMMUNITY. MERCY HOSPITAL SOUTH PART V, SECTION B, LINE 11: THE MERCY HOSPITAL SOUTH COMMUNITY HEALTH COUNCIL, LED BY COMMUNITY HEALTH AND ACCESS DIRECTOR LAURA BUB, MPH, ESTABLISHED THE HEALTH PRIORITIES. SIX IDENTIFIED HEALTH NEEDS EMERGED DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS OF ANALYZING PRIMARY AND SECONDARY DATA. NEEDS WERE IDENTIFIED AS THEY REPEATEDLY RANKED HIGH ON THE COMMUNITY AND STAKEHOLDER SURVEY AND AS DISCUSSED IN THE FOCUS GROUP SESSION. THE IDENTIFIED NEEDS THAT RANKED HIGH IN THE DATA COLLECTION WERE ACCESS TO CARE, TRANSPORTATION, BEHAVIORAL HEALTH, COVID-19, SUBSTANCE ABUSE AND OBESITY/DIABETES. THE COMMUNITY HEALTH COUNCIL AT MERCY HOSPITAL SOUTH MET IN APRIL OF 2022 TO PRIORITIZE THE SIX HEALTH NEEDS AFTER REVIEWING THE DATA COLLECTED FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. SPECIAL CONSIDERATION WAS TAKEN WHEN NARROWING DOWN THE HEALTH NEEDS THAT AROSE DURING THE ASSESSMENT PROCESS. THE COUNCIL CONSIDERED THE RESOURCES AVAILABLE TO MHS AND COMMUNITY PARTNERS, MERCY'S OVERALL STRATEGIC PLAN AND THE ABILITY TO MAKE AN IMPACT IN THE COMMUNITY.A NOMINAL GROUP TECHNIQUE WAS USED TO RANK THE SIX FINAL HEALTH PRIORITY HEALTH NEEDS. EACH MEMBER OF THE COMMUNITY HEALTH COUNCIL RANKED THE NEEDS ACCORDING TO FIVE CRITERIA:1) MAGNITUDE OF NEED, 2) FEASIBILITY TO CHANGE, 3) ALIGNMENT WITH MISSION/STRATEGIC GOALS, 4) RESOURCES AVAILABLE, AND 5) IMPORTANCE TO COMMUNITY. SCORES WERE TOTALED FOR ALL PARTICIPANTS.BASED ON THE FINDINGS OF ITS MOST RECENTLY CONDUCTED CHNA, MERCY HOSPITAL SOUTH HAS CHOSEN TO ADDRESS THE FOLLOWING THREE SIGNIFICANT HEALTH NEEDS:- ACCESS TO CARE- BEHAVIORAL HEALTH/SUBSTANCE USE- DIABETESIN ANY CASE OF PRIORITIZATION, THERE WILL BE SOME AREAS OF NEED THAT ARE IDENTIFIED THAT ARE NOT CHOSEN AS A PRIORITY. BECAUSE MERCY HOSPITAL SOUTH HAS LIMITED RESOURCES, NOT EVERY COMMUNITY NEED WILL BE ADDRESSED. THROUGHOUT THE CHNA PROCESS, THE FOLLOWING NEEDS AROUSE AS A COMMUNITY CONCERN. HOWEVER, THEY WILL NOT BE DIRECTLY ADDRESSED AT THIS TIME DUE TO THE NEED ALREADY BE ADDRESSED BY ANOTHER INITIATIVE OR ORGANIZATION OR DUE TO A LIMITATION OF RESOURCES.- COVID-19- TRANSPORTATIONWHILE THESE NEEDS LISTED WILL NOT BE SPECIFICALLY ADDRESSED AS AN ACTUAL IDENTIFIED PRIORITY, THEY WILL MOST LIKELY BE IMPACTED INDIRECTLY THROUGH THE WORK OF OUR OTHER IDENTIFIED PRIORITIES. MERCY HOSPITAL SOUTH PART V, SECTION B, LINE 20E: OTHER AREAS FROM A NOTICE PERSPECTIVE: FAP IS POSTED IN ALL REGISTRATION AREAS, FULL POLICY AND PLAIN LANGUAGE DOCUMENT POSTED ON WEBSITE, PLAIN LANGUAGE DOCUMENT IS AVAILABLE WHEN REQUESTED, THERE IS A NOTICE ON STATEMENT, AND ALL PATIENTS GET THREE STATEMENTS BEFORE THEY CAN GO TO A COLLECTION AGENCY. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 7A HTTPS://WWW.MERCY.NET/CONTENT/DAM/MERCY/EN/PDF/CHNA/ST-LOUIS-SOUTH-CHNA-2022.PDF FORM 990, SCHEDULE H, PART V, SECTION B, LINE 10A HTTPS://WWW.MERCY.NET/CONTENT/DAM/MERCY/EN/PDF/CHIP/MERCY-SOUTH-CHIP-2023.PDF FORM 990, SCHEDULE H, PART V, SECTION B, LINE 22 ELIGIBILITY GUIDELINES FOR CHARITY CARE DISCOUNTS THE FEDERAL POVERTY GUIDELINES FOR INCOME ARE THE BASIS FOR DETERMINING ELIGIBILITY FOR CHARITY CARE DISCOUNTS. FOR EXAMPLE, INDIVIDUALS WITH INCOMES 200% OR BELOW, THE FEDERAL POVERTY GUIDELINES WILL BE ELIGIBLE FOR FREE CARE. INDIVIDUALS WITH INCOMES GREATER THAN 300% OF THE FEDERAL POVERTY GUIDELINES FOR MOST COMMUNITIES, MAY BE ELIGIBLE FOR CARE AT DISCOUNTED RATES DEPENDING ON THEIR INCOME LEVEL AND/OR THE AMOUNT DUE TO THE HOSPITAL. TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE, THE HOSPITAL FACILITY USES AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE. THE HOSPITAL USES A LOOK BACK METHOD THAT CONSIDERS DISCOUNTS ALLOWED TO MEDICARE AND ALL PRIVATE HEALTH INSURERS. 10 1 - ST ANTHONYS MEDICAL PLAZA 12700 SOUTHFORK ROAD ST LOUIS MO 63128 IMAGING,LAB,BREAST CENTER AND WOULD CARE SVCS 2 - ST ANTHONYS SPORTS AND THERAPY 9964 KENNERLY ROAD STE D ST LOUIS MO 63128 OUTPATIENT THERAPY 3 - MERCY SOUTH HOME CARE 9735 LANDMARK PARKWAY ST LOUIS MO 63127 HOSPITAL OUTPATIENT DEPTS: HOME CARE 4 - MERCY SOUTH HOSPICEHOSPICE HOUSE 10024 KENNERLY ROAD ST LOUIS MO 63128 HOSPITAL OUTPATIENT DEPTS: HOSPICE HOUSE 5 - MERCY IMAGING SERVICES 7345 WATSON ROAD STE LL2 ST LOUIS MO 63119 IMAGING 6 - MERCY CLINIC ELECTROPHYSIOLOGY 1001 S KIRKWOOD RD STE 310 ST LOUIS MO 63122 CARDIAC TESTING/IMAGING 7 - SINDELAR CANCER CENTER 10050 KENNERLY ROAD ST LOUIS MO 63128 CANCER CENTER 8 - HYLAND BEHAVIORAL HEALTH 10018 KENNERLY ROAD ST LOUIS MO 63128 BEHAVIORAL HEALTH 9 - MERCY SERVICES 10004 KENNERLY 10004 KENNERLY ROADSTE 280B ST LOUIS MO 63128 BEHAVIORAL HEALTH, AUDIOLOGY 10 - MERCY SERVICES 10012 KENNERLY 10004 KENNERLY ROADSTE 405 ST LOUIS MO 63119 CARDIOLOGY 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 I, LN 7 COL(F): TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) ARE $584,895,722. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $23,609,790. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $561,285,932. PART I, LINE 6A COMMUNITY BENEFIT REPORTTHE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS PREPARED BY ITS ULTIMATE PARENT ENTITY, MERCY HEALTH (EIN: 43-1423050). PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING ACTIVITIES: MERCY HOSPITAL SOUTH'S 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. VARIOUS COMMUNITY ORGANIZATIONS COLLABORATE WITH MERCY HOSPITAL SOUTH TO IMPROVE COMMUNITY HEALTH, EXPAND ACCESS TO HEALTH CARE OR IN OTHER WAYS BENEFIT THE COMMUNITY. MERCY HOSPITAL SOUTH WORKS IN COLLABORATION WITH THE FOLLOWING GROUPS: ST. LOUIS COUNTY DEPARTMENT OF HEALTH, ST. LOUIS CITY DEPARTMENT OF HEALTH, LOCAL SCHOOL DISTRICTS SUCH AS AFFTON, KIRKWOOD, LINDBERGH, MEHLVILLE AND HANCOCK, BARNES JEWISH WEST COUNTY HOSPITAL, MISSOURI BAPTIST MEDICAL CENTER, ST. LUKE'S HOSPITAL, ST. LUKE'S DES PERES HOSPITAL, MERCY HOSPITAL ST. LOUIS, HOSPICE AGENCIES, ST. LOUIS ASSOCIATION OF DIABETES EDUCATORS, LOCAL COLLEGE AND UNIVERSITIES, AMERICAN HEART ASSOCIATION, UNITED WAY, AMERICAN CANCER SOCIETY, AMERICAN LUNG ASSOCIATION, YMCA OF ST. LOUIS, BEHAVIORAL HEALTH SUPPORT GROUPS, CHAMBER OF COMMERCE ORGANIZATIONS, INTEGRATED HEALTH NETWORK, INSTITUTE FOR FAMILY MEDICINE, BEHAVIORAL HEALTH NETWORK, REGIONAL HEALTH COMMISSION AND MANY SOCIAL SERVICE AGENCIES THAT ASSIST OUR PATIENTS AND COMMUNITY. A FULL DESCRIPTION OF OUR COMMUNITY BUILDING ACTIVITIES CAN BE FOUND AT HTTPS://WWW.MERCY.NET/ABOUT/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: THE TEXT OF THE FOOTNOTE THAT IS INCLUDED IN MERCY HEALTH AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE IS AS FOLLOWS: 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 HOSPITAL SOUTH THAT 100% OF ANY SHORT FALL 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 OR TAKING LEGAL ACTION 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 IS NOW REQUESTING ASSISTANCE, THE ACCOUNTS ARE RETURNED BY THE AGENCY AND CONSIDERED FOR CHARITY IF THE PATIENT PROVIDES THE REQUESTED INFORMATION. IF THE PATIENT FAILS TO RETURN THE INFORMATION, THE ACCOUNT WILL QUALIFY FOR COLLECTIONS. MERCY UTILIZES THE EXPERIAN TOOL TO ENHANCE THE ABILITY TO DETERMINE THE CHARITY QUALIFICATION PRIOR TO TURNING TO BAD DEBT, A PROCESS KNOWN AS PRESUMPTIVE CHARITY FOR ALL COMMUNITIES EXCEPT JOPLIN, MAUDE NORTON, CARTHAGE AND SOUTHEAST KANSAS. THIS PRESUMPTIVE SCREENING PROCESS DETAILS EVALUATIONS THAT TAKE PLACE PRIOR TO PATIENT BILLING AND ADDITIOANLLY PRIOT TO BAD DEBT PLACEMENT. THE PRESUMPTIVE SCREENING WAS PER ENCOUNTER AND DID NOT PROMOTE ANY LOOK-BACK ADJUSTMENTS.MERCY WILL GRANT CHARITY IN SITUATIONS WHERE THERE HAS BEEN AN INABILITY TO OBTAIN INFORMATION FROM PATIENTS OR THE INFORMATION PROVIDED IS NOT COMPLETE ENOUGH TO MAKE A CHARITY DETERMINATION WHEN A PATIENT HAS SUBMITTED AN APPLICATION. MERCY WILL PURSUE APPROPRIATE MEANS IN THE COLLECTION OF DELINQUENT ACCOUNTS FROM PATIENTS WITH AN ESTABLISHED ABILITY TO PAY OR AN UNWILLINGNESS TO COOPERATE IN VALIDATING ELIGIBILITY FOR FINANCIAL ASSISTANCE. THESE APPROPRIATE MEANS MAY INCLUDE PLACEMENT WITH A COLLECTION AGENCY CONSISTENT WITH MERCY MISSION AND VALUES. THIS OCCURS AFTER 3 MONTHLY STATEMENTS HAVE BEEN SENT WITH THE FINAL STATEMENT INCLUDING NOTIFICATION OF PLACEMENT WITH A COLLECTION AGENCY. WHILE MERCY USES THE COLLECTION FOLLOW-UP SERVICES OF COLLECTION AGENCIES, MERCY WILL NOT UTILIZE ANY TYPE OF EXTRAORDINARY COLLECTION ACTIVITY. THE DEFINITION OF EXTRAORDINARY COLLECTION ACTIVITY IS TAKEN FROM THE 501(R) DESCRIPTION. PART VI, LINE 2: COMMUNITY HEALTH NEEDS ASSESSMENT PROCESSMERCY HOSPITAL SOUTH COMMUNITY HEALTH TEAM IS CONSTANTLY ASSESSING THE NEEDS OF OUR COMMUNITY THROUGH ONGOING COMMUNITY PARTNERSHIPS THAT ALIGN WITH THE PRIORITIZED NEEDS OF OUR COMMUNITY. OUR EFFORTS - WHILE OUTLINED, GOAL-ORIENTED AND EVIDENCE-BASED - ARE CONSTANTLY ADJUSTING BASED ON THE CURRENT STATE OF OUR COMMUNITY AND ARE GEARED TOWARDS COMMUNITY BUILDING ACTIVITIES THAT PROMOTE THE HEALTH, WELLNESS, AND SAFETY THOSE WE SERVE. THROUGH ACTIVE PARTICIPATION ON COMMUNITY BOARDS, NEIGHBORHOOD/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. VARIOUS COMMUNITY ORGANIZATIONS COLLABORATE WITH MERCY HOSPITAL SOUTH TO IMPROVE COMMUNITY HEALTH, EXPAND ACCESS TO HEALTH CARE OR IN OTHER WAYS BENEFIT THE COMMUNITY. MERCY HOSPITAL SOUTH WORKS IN COLLABORATION WITH THE FOLLOWING GROUPS: ST. LOUIS COUNTY DEPARTMENT OF HEALTH, ST. LOUIS CITY DEPARTMENT OF HEALTH, LOCAL SCHOOL DISTRICTS SUCH AS AFFTON, KIRKWOOD, LINDBERGH, MEHLVILLE AND HANCOCK, BARNES JEWISH WEST COUNTY HOSPITAL, MISSOURI BAPTIST MEDICAL CENTER, ST. LUKE'S HOSPITAL, ST. LUKE'S DES PERES HOSPITAL, MERCY HOSPITAL ST. LOUIS, HOSPICE AGENCIES, ST. LOUIS ASSOCIATION OF DIABETES EDUCATORS, LOCAL COLLEGE AND UNIVERSITIES, AMERICAN HEART ASSOCIATION, UNITED WAY, AMERICAN CANCER SOCIETY, AMERICAN LUNG ASSOCIATION, YMCA OF ST. LOUIS, BEHAVIORAL HEALTH SUPPORT GROUPS, CHAMBER OF COMMERCE ORGANIZATIONS, INTEGRATED HEALTH NETWORK, INSTITUTE FOR FAMILY MEDICINE, BEHAVIORAL HEALTH NETWORK, REGIONAL HEALTH COMMISSION AND MANY SOCIAL SERVICE AGENCIES THAT ASSIST OUR PATIENTS AND COMMUNITY. PART VI, LINE 3: MERCY INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY THROUGH SEVERAL MEANS. IF AT ANY TIME A PATIENT EXPRESSES HARDSHIP AND INABILITY TO PAY, THE ACCOUNTS IS PLACED FOR REVIEW. IN ADDITION, PATIENT 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 WHEN PRESENTING IN THE FACILITIES. IN ADDITION TO THE WEB ADDRESS PROVIDING THE APPLICATION, POLICIES, AND EVEN HOW UNINSURED ACCOUNTS ARE HANDLED. LASTLY, THE STATEMENTS (BILLING) INCLUDES MESSAGING TO THE PATIENT THAT MERCY DOES HAVE A FINANCIAL ASSISTANCE PROGRAM AND TO CALL TO SEE IF THEY ARE ELIGIBLE. MERCY STAFFS INTERNAL RESOURCES CERTIFIED TO ASSIST PATIENTS WITH MEDICAID APPLICATIONS AS WELL. PART VI, LINE 4: THE PRIMARY SERVICE AREA FOR MERCY HOSPITAL SOUTH INCLUDES 31 ZIP CODES ACROSS MISSOURI AND ILLINOIS. THE FOLLOWING INFORMATION IS DERIVED FROM THE ADVISORY BOARD DEMOGRAPHICS AND MO/HIDI ANALYTICS 2022-2023. THE AREA'S POPULATION IS 640,916. THE MEDIAN HOUSEHOLD INCOME IS $70,000. 44.3% OF THE POPULATION IS 45 AND OLDER. 92% OF THE POPULATION IS A HIGH SCHOOL GRAD OR GREATER AND THE MEDIAN AGE IS 38. 22.5% OF THE HOUSEHOLDS ARE ON MEDICARE, 17.3% ON MEDICAID, AND 8.0% 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.MERCY HOSPITAL SOUTH OPERATES AN EMERGENCY ROOM THAT ACCEPTS ALL PERSONS WHO ARE IN NEED OF MEDICAL ATTENTION REGARDLESS OF THEIR ABILITY TO PAY. MERCY HOSPITAL SOUTH HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA AND WORK IN COOPERATION WITH LOCAL UNIVERSITIES AND HEALTH CARE ORGANIZATIONS TO ADVANCE THE SCIENCE OF MEDICINE BY PROVIDING A CLINICAL SETTING WHERE INNOVATIVE TREATMENTS AND NEW THERAPEUTIC PROTOCOLS CAN BE DEVELOPED AND STUDIED. MERCY HOSPITAL SOUTH ENGAGES IN THE TRAINING AND EDUCATING OF HEALTH CARE PROFESSIONALS BY TEAMING UP WITH LOCAL COMMUNITY COLLEGES AND UNIVERSITIES TO PROVIDE A CLINICAL SETTING FOR HEALTH CARE STUDENTS. IN KEEPING WITH THE COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITY, MERCY HOSPITAL SOUTH PROVIDES:- FREE CARE AND/OR SUBSIDIZED CARE- CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST- HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY- HEALTH EDUCATION PROGRAMS, AND- A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIESNUMEROUS COLLECTION DRIVES BY CO-WORKERS ARE HELD THROUGHOUT THE YEAR AND THE ITEMS, SUCH AS FOOD, CLOTHING, PERSONAL CARE ITEMS, GAS CARDS, SCHOOL SUPPLIES AND OTHER CRITICAL ITEMS ARE DONATED TO NON-PROFIT AGENCIES TO DISTRIBUTE TO THEIR CLIENTS.COMMUNITY BOARD FY23MERCY HEALTH EAST COMMUNITIES FY23 BOARD MEMBERSDON ARNOLD, M.D.KELLY BAIN, M.D.JON BAUER, PHDCRAIG BOYD, MDMATUSKCHKA LINDO-BRIGGSAPOLLO CAREYJANICE DENIGANDENNIS GANNONSR. MICHAEL MARY GUTOWSKI, RSMSR. MIRIAM NOLAN, RSMJOHN PORTERWINTHROP B. REED, IIICHARLES REHM, M.D.KEVIN SHORTMERCY HOSPITAL SOUTH FY23 BOARD MEMBERSDANIEL F BIPPINCHARLES F. CAREY, MDSR. GAYLE EVANSMARY V. GRAHAM, M.D.SEAN J. HOGANJUSTIN HUGO, MDRICHARD MAYHALLELAINE MOOREMARK MERLOTTIJAMES G. POWERSWINTHROP REED IIIUSE OF SURPLUS FUNDS SURPLUS FUNDS AND UNRESTRICTED ASSETS HELD BY MERCY HOSPITAL SOUTH (MHS) ARE REINVESTED IN PATIENT CARE, MEDICAL EDUCATION, AND RESEARCH INITIATIVES WHICH SUPPORT THE ORGANIZATION'S MISSION TO DELIVER COMPASSIONATE CARE AND EXCEPTIONAL HEALTH CARE SERVICES TO THE COMMUNITIES IT SERVES. EXAMPLES INCLUDE THE FOLLOWING:- A NEW 80,000 SQUARE FOOT CANCER CENTER OPENED IN THE SUMMER OF 2020 TO ENHANCE AND EXPAND THESE CRITICAL SERVICES TO THE COMMUNITY AND IS ALREADY OPERATING BEYOND EXPECTATIONS FOR THE COMMUNITY.- $18M UPDATE OF THE LABOR & DELIVERY UNIT TO CREATE A PATIENT CENTERED BIRTHING EXPERIENCE FOR THE ST. LOUIS COMMUNITY SERVICE BY MHS. CONSTRUCTION BEGAN IN LATE 2020 WITH NEW LDRP ROOMS OPENED IN THE FALL OF 2021 AND A NEW NICU UNIT COMPLETED IN THE SUMMER OF 2022.- EXPANSION OF PRIMARY CARE AND SPECIALTY CARE PHYSICIANS TO THE MERCY HOSPITAL SOUTH SERVICE AREA WITH A FOCUS TO REACH THE UNDERSERVED POPULATIONS CLOSER TO THEIR HOMES.- A NEW 50 BED INPATIENT ACUTE REHAB HOSPITAL WITH ALL PRIVATE ROOMS OPENED IN 2022. THIS HAS EXPANDED THE CURRENT 26 BED SEMI-PRIVATE FACILITY ON CAMPUS.- CONTINUED PARTNERING WITH AREA EDUCATION PROGRAMS TO HELP PROMOTE THE TRAINING OF CRITICALLY NEEDED SERVICES FOR THE COMMUNITY INCLUDING SCHOOLS OF NURSING, RADIOLOGY, AND PHARMACY.- EXPANSION OF BEHAVIORAL HEALTH CARE WITH A NEW IOP (INTENSIVE OUTPATIENT THERAPY) CLINIC OPENED IN EARLY 2020 TO SERVE THE GROWING POPULATION WITH THESE HEALTH NEEDS. 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, 2023, MERCY FACILITIES INCLUDED 30 ACUTE CARE HOSPITALS, 5 HEART HOSPITALS, 6 REHAB HOSPITALS, 2 CHILDREN'S HOSPITALS, 2 ORTHOPEDIC HOSPITALS, AND 1 VIRTUAL CARE COMMAND CENTER. FOR THE FISCAL YEAR ENDED JUNE 30, 2023, MERCY HAD MORE THAN 10.9 MILLION CLINIC AND OUTPATIENT VISITS, APPROXIMATELY 2,400 EMPLOYED PHYSICIANS, AND APPROXIMATELY 45,000 FULL-TIME EQUIVALENT EMPLOYEES, MAKING MERCY THE SIXTH LARGEST CATHOLIC HEALTH SYSTEM IN THE UNITED STATES. MERCY IS SPONSORED BY MERCY HEALTH MINISTRY, WHICH IS GOVERNED BY MEMBERS THAT INCLUDE SISTERS OF MERCY. MANY SERVICES THAT ARE ESSENTIAL TO FULFILLING MERCY'S MISSION ARE CENTRALIZED AT THE MINISTRY OFFICE. SUCH CENTRALIZED SERVICES INCLUDE: FINANCE (INCLUDING TREASURY, FINANCIAL ACCOUNTING AND REPORTING, REVENUE MANAGEMENT, INTERNAL AUDIT, ACCOUNTS PAYABLE AND PAYROLL OPERATIONS, ANALYTICS AND DECISION SUPPORT); ENVIRONMENTAL SERVICES SUPPORT; CLINICAL INTEGRATION; CARE MANAGEMENT; CLINICAL PERFORMANCE ACCELERATION; CLINICAL ENGINEERING; CLINICAL QUALITY MANAGEMENT; COMPLIANCE; GRANTS AND RESEARCH SERVICES; LEGAL AND COMPLIANCE COUNSEL; MARKETING AND COMMUNICATIONS; PLANNING, DESIGN AND CONSTRUCTION; PRODUCT DEVELOPMENT INFORMATICS; REAL ESTATE; SUPPLY CHAIN MANAGEMENT; MANAGED CARE STRATEGY SUPPORT; HUMAN RESOURCES (INCLUDING COMPENSATION, BENEFITS AND RECRUITING); MISSION SERVICES AND ETHICS; PHILANTHROPY SUPPORT; INFORMATION TECHNOLOGY; AND, COMMUNITY RELATIONS. THE CENTRALIZATION OF SUCH SUPPORT SERVICES ENABLES MERCY TO ENSURE THAT EACH OF ITS COMMUNITIES, WHETHER LARGE OR SMALL, HAS THE SERVICES IT NEEDS. PART VI, LINE 7, REPORTS FILED WITH STATES MO COVID-19 PLEASE SEE SCHEDULE O FOR INFORMATION RELATED TO COVID-19. 1 MERCY HEALTH FOUNDATION SOUTH 10010 KENNERLY ROAD ST LOUIS MO 63128 261516789 501C3 1148851 0 CHARITABLE SUPPORT IFM COMMUNITY MEDICINE 5501 DELMAR BLVD STE B560 ST LOUIS MO 63112 431863752 501C3 35000 0 CHARITABLE SUPPORT ARCHDIOCESE OF ST LOUIS 20 ARCHBISHOP MAY DRIVE ST LOUIS MO 631195004 430653244 501C3 27621 0 CHARITABLE SUPPORT MARIAN MIDDLE SCHOOL 4130 WYOMING ST LOUIS MO 63116 431873629 501C3 20000 0 CHARITABLE SUPPORT MERCY HEALTH FOUNDATION ST LOUIS 615 S NEW BALLAS RD ST LOUIS MO 63141 562410020 501C3 15000 0 CHARITABLE SUPPORT SAINT LOUIS ZOO ASSOCIATION ONE GOVERNMENT DRIVE ST LOUIS MO 63110 431727309 501C3 7500 0 CHARITABLE SUPPORT 6 0 AMBULANCE SERVICE 64 195790 CAR/VAN SERVICE 174 176815 MEMORIAL GIFTS 3 4882 FUNERAL ASSISTANCE 7 4400 MED EQUIP RENTAL ASSISTANCE 32 2903 UTILITY ASSISTANCE 5 2072 PART I, LINE 2: GRANTS ARE MADE TO ORGANIZATIONS WHICH HAVE AN ESTABLISHED HISTORY OF PROVIDING HEALTH CARE SUPPORT AND\OR COMMUNITY BENEFIT. IF NECESSARY, PERIODIC REPORTS ARE PROVIDED TO US. GRANTS ARE MADE TO RELATED ORGANIZATIONS, WHICH PROVIDE REPORTING ON THE USE OF THE FUNDS AND WORK CLOSELY WITH OUR ORGANIZATION. THE ORGANIZATION USES AN APPROVAL PROCESS, WHEN APPLICABLE, TO DETERMINE WHICH INDIVIDUALS WILL RECEIVE GRANTS DURING THE FISCAL YEAR. THE FUNDS ARE THEN GIVEN DIRECTLY TO THE INDIVIDUALS. 1 0 0 0 0 0 0 0 0 JOHNSTON JEFFREY A FORMER KEY EMPLOYEE 0 -10246 0 1300000 0 881522 0 23649 0 50 0 2194975 0 0 MATEJKA CHERYL L FORMER OFFICER 0 671340 0 387006 0 139293 0 113518 0 14307 0 1325464 0 0 CAREY CHARLES PHYSICIAN & BM 0 901657 0 16033 0 49822 0 17013 0 20027 0 1004552 0 0 HOGAN SEAN JOSEPH PRESIDENT 0 476626 0 318140 0 70216 0 77620 0 15494 0 958096 0 0 AKHTAR AAMINA FORMER KEY EMPLOYEE 0 450801 0 51148 0 9306 0 458 0 763 0 512476 0 0 TRULOVE RON FORMER KEY EMPLOYEE 0 417381 0 0 0 31326 0 30954 0 13900 0 493561 0 0 ECKENFELS DANIEL FORMER OFFICER 0 280407 0 30188 0 21442 0 10239 0 19546 0 361822 0 0 BLANKENSHIP STACY A CHIEF NURSING OFFICER 0 189629 0 63086 0 50145 0 51000 0 7490 0 361350 0 0 MONTEZ KADI FORMER KEY EMPLOYEE 0 200415 0 27289 0 36041 0 13165 0 15703 0 292613 0 0 ELLIS CAROL VP NURSING 0 199439 0 26178 0 28469 0 17736 0 11879 0 283701 0 0 CONGER SUSAN MEDICAL DIRECTOR - CARE MANAGEMENT 0 235604 0 0 0 19363 0 9036 0 15533 0 279536 0 0 CHERIAN KUNJUMOL REGISTERED NURSE 0 201313 0 3250 0 34233 0 12423 0 6125 0 257344 0 0 MIRANDA HAZEL REGISTERED NURSE 0 192014 0 0 0 29509 0 11601 0 19115 0 252239 0 0 THAGGARD PAUL MANAGER, PERFUSION 0 187111 0 0 0 30379 0 7644 0 19464 0 244598 0 0 PART I, LINE 4A THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAY FROM A RELATED ORGANIZATION: BILL HOEFER $6,822; JEFFEREY JOHNSTON $854,474. PART I, LINE 3 MERCY HEALTH (PARENT COMPANY) IS RESPONSIBLE FOR ESTABLISHING THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THE FOLLOWING METHODS WERE USED BY MERCY HEALTH TO ESTABLISH COMPENSATION: -INDEPENDENT COMPENSATION CONSULTANT -WRITTEN EMPLOYMENT CONTRACT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE FORM 990, PART VI, SECTION A, LINE 2 PAUL NOVELLY HAS A BUSINESS RELATIONSHIP WITH WINTHROP B REED III. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS MERCY HEALTH EAST COMMUNITIES, A SUPPORTING ORGANIZATION UNDER SECTION 509(A)(3). THE MEMBER OF MERCY HEALTH EAST COMMUNITIES IS MERCY HEALTH. FORM 990, PART VI, SECTION A, LINE 7A MERCY HEALTH, THE MEMBER OF MERCY HEALTH EAST COMMUNITIES, HAS RESERVE POWERS TO APPOINT AND REMOVE ALL DIRECTORS AND OFFICERS FOR MERCY HOSPITAL SOUTH. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED TO THE CORPORATE MEMBER (AND WITH REGARD TO CERTAIN POWERS AND RESPONSIBILITIES, TO MERCY HEALTH EAST COMMUNITIES AS THE CORPORATE MEMBER OF THE CORPORATE MEMBER): A. APPROVAL OF REVISIONS TO THE MISSION, VISION AND OPERATING VALUES PURSUANT TO WHICH THE CORPORATION OPERATES; B. APPROVAL OF ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION AND THESE BYLAWS AND ANY AMENDMENTS TO THE ORGANIZATIONAL DOCUMENTS OF ANY AFFILIATE OF THE CORPORATION; C. APPOINTMENT AND REMOVAL OF MEMBERS OF THE BOARD; D. APPROVAL OF THE APPOINTMENT AND REMOVAL OF THE PRESIDENT OF THE HOSPITAL SUBJECT TO THE CONSENT OF MERCY HEALTH EAST COMMUNITIES; E. ADOPTION OF THE STRATEGIC PLAN, GOALS, AND OBJECTIVES OF THE CORPORATION; F. ADOPTION OF THE OPERATING, CAPITAL AND ALL OTHER BUDGETS FOR THE CORPORATION; G. APPROVAL OF THE ASSIGNMENT, TRANSFER, SALE OR LEASE OF ANY OF THE ASSETS OF THE CORPORATION OR ANY AFFILIATE OF THE CORPORATION IN EXCESS OF ONE MILLION DOLLARS ($1,000,000) IN ANY ONE OR SERIES OF RELATED TRANSACTIONS OCCURRING WITHIN ANY TWELVE (12) MONTH PERIOD; H. AUTHORIZATION AND APPROVAL OF THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY AFFILIATE OF THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTE ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; I. APPROVAL OF A PLAN OF MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION OR ANY AFFILIATE; J. APPROVAL OF THE LEASE, MANAGEMENT OR PURCHASE OF, OR AFFILIATION WITH, ANOTHER HOSPITAL OR HOSPITAL SYSTEM, OR HEALTH CARE FACILITY OR HEALTH CARE SYSTEM BY THE CORPORATION; AND, K. TO APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION BY THE CORPORATION. L. OVERSEE, APPROVE AND MONITOR HUMAN RESOURCE PROGRAMS, WHICH SHALL PROMORTE AN ORGANIZATIONAL ENVIRONMENT THAT: 1. PROVIDES FOR THE RECRUITMENT AND RENTION OF CO-WORKERS WHO ARE SERVICE ORIENTED, COMPASSIONATE, ENGAGED, AND WHO FIND MEANING AND PURPOSE IN WORKING IN A FAITH-BASED ORGANIZATION; 2. ENABLES PEOPLE TO RELATE TO ONE ANOTHER WITH RESPECT AND ACCEPTANCE IN A SPIRIT OF COMMUNITY; 3. PROMOTES CO-WORKER PARTIICPATION AND VOICE IN THEIR WORK LIVES; 4. GIVES CO-WORKERS A FAIR OPPORTUNITY TO DEVLEOP THEIR SKILLS AND TALENTS, AND A MEANS BY WHICH THEIR CONTRIBUTIONS ARE RECOGNIZED; 5. PROVIDES CO-WORKERS WITH THE MATERIALS AND EQUIPMENT TO PROPERLY DO THEIR WORK;AND, 6. ENSURES CO-WORKER SAFETY AND WELL-BEING. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM, USING INFORMATION PROVIDED BY THE FILING ORGANIZATION. A DRAFT FORM 990 IS REVIEWED BY THE FILING ORGANIZATION'S FINANCE LEADERSHIP. THE DRAFT FORM 990 IS ALSO REVIEWED BY MERCY HEALTH'S TAX DEPARTMENT, TO ENSURE ACCURACY AND CONSISTENCY WITH OTHER RELATED ORGANIZATIONS' FORM 990S. 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, 2023. THIS PROCESS IS ADMINISTERED AT THE MERCY HEALTH LEVEL BY MERCY'S CORPORATE COMPLIANCE DEPARTMENT. THE QUESTIONNAIRES ARE REVIEWED WITH LEADERSHIP AT THE LOCAL LEVEL AND POTENTIAL CONFLICTS DISCUSSED AND RESOLVED. THE CONFLICTS AND THEIR RESPECTIVE RESOLUTIONS ARE SHARED AT THE MERCY LEVEL WITH A TEAM INCLUDING MERCY'S CHIEF FINANCIAL OFFICER, CHIEF COMPLIANCE OFFICER AND OTHER MEMBERS OF FINANCE, LEGAL AND HR. SUMMARY RESULTS ARE REVIEWED WITH MERCY'S STEWARDSHIP COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 FOR THE TOP MANAGEMENT OFFICIALS, THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS) AND KEY EMPLOYEES, THE ORGANIZATION RELIES UPON MERCY HEALTH (ULTIMATE PARENT COMPANY), WHICH USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT, AND REVIEW/APPROVAL OF COMPENSATION BY THE COMPENSATION COMMITTEE OF THE BOARD OF MERCY HEALTH. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS AND A REVIEW WAS COMPLETED DURING THE REPORTING YEAR. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE FROM TIME TO TIME BUT ARE NOT PUBLISHED PUBLICLY; WE ARE NOT REQUIRED TO MAKE THESE DOCUMENTS AVAILABLE TO THE PUBLIC. FINANCIAL RESULTS ARE AVAILABLE VIA REQUEST OF COPY OF FORM 990. FORM 990, PART VII, SECTION A, COLUMN B AVERAGE HOURS PER WEEK THE HOURS PER WEEK DISCLOSED IN PART VII IS THE AVERAGE HOURS THE LISTED PERSON WORKED OR DEVOTED PER WEEK WHILE EMPLOYED OR ASSOCIATED WITH THE FILING ORGANIZATION AND RELATED ORGANIZATIONS (IF APPLICABLE). FORM 990, PART XI, LINE 9: FUND BALANCE TRANSFERS TO/FROM AFFILIATES -11,763,837. ROUNDING 1. PART XII, LINE 2C AUDITED 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 2023 (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. 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, 2023 BY MARCH 31, 2024. EACH ENTITY THAT RECEIVES FEDERAL FUNDS DURING THE YEAR IS INCLUDED ON THE SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS (SEFA) AND IS ALSO INCLUDED IN THE POPULATION INCLUDED IN THE AUDIT. IF THE FILING ENTITY RECEIVED FEDERAL FUNDS DURING THE YEAR ENDED JUNE 30, 2023, IT WILL BE INCLUDED ON THE MERCY HEALTH CONSOLIDATED SEFA, AND THEREFORE, ALSO INCLUDED IN THE POPULATION INCLUDED IN THE AUDIT. FORM 990, SCHEDULE R, PART V SYSTEM LIMITATIONS 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. FORM 990, PART V, QUESTION 1A INDEPENDENT CONTRACTORS INDEPENDENT CONTRACTORS 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 HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN. FORM 990, PART V, QUESTION 2A W-3 FILING SALARIES AND WAGES WITH LIMITED EXCEPTIONS, THE SALARIES AND WAGES REPORTED ON FORM 990, PART IX, LINE 7 REPRESENT AN ALLOCATION OF SALARIES AND WAGES FROM A RELATED ORGANIZATION. MOST EMPLOYEES ARE PAID BY A RELATED ORGANIZATION UNDER A COMMON PAYMASTER ARRANGEMENT. AS SUCH, ALL REQUIRED PAYROLL FILING FOR THESE EMPLOYEES (INCLUDING W-2 AND W-3'S) IS REPORTED UNDER THE RELATED ORGANIZATION, MHM SUPPORT SERVICES,EIN 20-2553101. FORM 990, SCHEDULE R, PART II MERCY HOSPITALS EAST COMMUNITIES MERCY HOSPITALS EAST COMMUNITIES CONSISTS OF MERCY HOSPITALS EAST COMMUNITIES ST. LOUIS, EIN 43-0653493, AND MERCY HOSPITALS EAST COMMUNITIES WASHINGTON, EIN 43-1066883. COVID-19 EARLY IN 2020, THE MERCY HEALTH SYSTEM WAS CALLED TO SERVE AS THE COVID-19 PANDEMIC SWEPT ACROSS THE WORLD. DURING FY 2023, THE IMPACT OF COVID-19 AND INFLATION HAS BEEN AND STILL IS SIGNIFICANT TO OUR COMMUNITIES WITH CHANGES IN PATIENT CARE REVENUES DUE TO SURGES, INCREASING THE COSTS OF SALARIES AND AGENCY LABOR, AND SUPPLY CHAIN IMPACTS. ALL MERCY FACILITIES ADJUSTED OPERATIONS FOR THE IMPACTS OF THE PANDEMIC. IN ADDITION, MERCY FOUNDATIONS AND OUTREACH MINISTRIES EXPERIENCED LIMITATIONS IN FUNDRAISING FOR PROGRAM AND CAPITAL SUPPORT EFFORTS THAT ASSIST THE UNDERSERVED IN OUR COMMUNITIES. MERCY DID RECEIVE FUNDING FROM THE CORONAVIRUS AID RELIEF AND ECONOMIC SECURITY ACT ("CARES ACT"). MERCY RECEIVED CARES ACT FUNDING FOR THE PAST FOUR FISCAL YEARS ACROSS VARIOUS ENTITIES AND RECOGNIZED A PORTION OF THIS FUNDING IN OTHER OPERATING REVENUE. THESE FUNDS HELPED TO OFFSET REVENUE LOSSES AND ADDITIONAL EXPENSES INCURRED DUE TO THE PANDEMIC; HOWEVER, THESE FUNDS FELL SHORT OF THE SYSTEM LOSSES EXPERIENCED SINCE THE START OF THE PANDEMIC. 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