TY 2020 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC)
(1) Johnston Jeffrey A...................................................................... President East Comm & Board Member	10.00 ................. 45.00	X	X	4,278,887	122,343
(2) Cleveland MD Jeanne...................................................................... Physician & Board Member	25.00 ................. 25.00	X		1,026,865	30,482
(3) Riechers MD Thomas...................................................................... Physician & Board Member	6.00 ................. 50.00	X		607,811	39,265
(4) DuMontier MD Gary...................................................................... Physician & Board Member	1.00 ................. 39.00	X		467,749	30,452
(5) Kluesner Gretchen...................................................................... Physician & Board Member	1.00 ................. 44.00	X		334,272	24,502
(6) Garcia MD Eduardo...................................................................... Physician & Board Member	1.00 ................. 49.00	X		155,379	28,578
(7) Watz Tammy R...................................................................... Nurse Practitioner & Board Member	40.00 ................. 0.00	X		115,945	13,166
(8) Coleman Dennis Christian...................................................................... Board Member	1.00 ................. 0.00	X		0	0
(9) Diederich Gene...................................................................... Board Member	1.00 ................. 0.00	X		0	0
(10) Eckelkamp Jr Louis Bernard...................................................................... Board Member	1.00 ................. 0.00	X		0	0
(11) Evans RSM Sr Gayle...................................................................... Board Member	1.00 ................. 1.00	X		0	0
(12) Glosenger RSM Sr Katherine...................................................................... Board Member	1.00 ................. 3.00	X		0	0
(13) Kelly John...................................................................... Board Member	1.00 ................. 1.00	X		0	0
(14) Koelsch Linda Cabrini...................................................................... Board Member	1.00 ................. 0.00	X		0	0
(15) Kreutz Anthony John...................................................................... Board Member	1.00 ................. 0.00	X		0	0
(16) Lamb Darren W...................................................................... Board Member	1.00 ................. 0.00	X		0	0
(17) Maroney John Patrick...................................................................... Board Member	1.00 ................. 0.00	X		0	0

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) Miller Sr William........................................................................ Board Member	1.00 .......................0.00	X					0	0
(19) Mozeliak John........................................................................ Board Member	1.00 .......................0.00	X					0	0
(20) Murphy Hill Anne........................................................................ Board Member	1.00 .......................0.00	X					0	0
(21) Penny Mark........................................................................ Board Member	1.00 .......................1.00	X					0	0
(22) Sanford Cassandra........................................................................ Board Member	1.00 .......................0.00	X					0	0
(23) Voss Kurt........................................................................ Board Member	1.00 .......................0.00	X					0	0
(24) Verdine Benjamin........................................................................ Board Member	1.00 .......................0.00	X					0	0
(25) Matejka Cheryl L........................................................................ CFO & Treasurer	1.00 .......................54.00		X				1,473,058	91,021
(26) Chalk MD David........................................................................ President, Clinic	1.00 .......................45.00		X				1,407,677	98,251
(27) Mackin Stephen L........................................................................ President St. Louis	5.00 .......................55.00		X				1,023,158	95,919
(28) Eoloff Eric J........................................................................ President, Mercy Hospital Washington	57.00 .......................3.00			X			1,350,324	78,529
(29) Oren Phineas........................................................................ Chief Medical Officer	50.00 .......................0.00			X			446,950	15,299
(30) Weilbacher Robyn........................................................................ CNO	50.00 .......................0.00			X			370,270	81,382
(31) Scoffic Denise........................................................................ VP-Finance	48.00 .......................4.00			X			308,929	39,503
(32) Timmerman John........................................................................ VP Operations	50.00 .......................0.00			X			329,316	18,612
(33) Thorn Mark A........................................................................ Exec Director, Finance	25.00 .......................25.00			X			157,223	13,272
(34) Rothermich Anthony........................................................................ Administrator, Mercy Hosp Lincoln	10.00 .......................40.00			X			250,506	47,452
(35) Longenecker Robert........................................................................ Manager - Perfusion	40.00 .......................0.00				X		240,393	42,323
(36) Flynn Enda........................................................................ VP Operations	40.00 .......................0.00				X		248,237	13,247
(37) Wood Sara........................................................................ Physician	50.00 .......................0.00				X		245,896	12,980
(38) Pollock Mark........................................................................ Director - Pharmacy	40.00 .......................0.00				X		206,722	38,431
(39) Frigo Steve........................................................................ Executive Director - Pharmacy	40.00 .......................0.00				X		207,876	10,032
(40) Sorensen Donn........................................................................ Former Officer	0.00 .......................60.00					X	4,469,703	120,270
(41) Hannasch Susan........................................................................ Former Officer	0.00 .......................0.00					X	347,134	0
(42) Kahn MD Joseph........................................................................ Former Key Employee	5.00 .......................55.00					X	786,329	42,832
(43) Crain Christine........................................................................ Former Key Employee	5.00 .......................55.00					X	502,057	89,793
(44) Yost Debra A........................................................................ Former Key Employee	0.00 .......................0.00					X	517,418	47,369
(45) Nelson Kathryn........................................................................ Former Key Employee	40.00 .......................0.00					X	425,553	63,876
(46) Hintze Paul........................................................................ Former Key Employee	0.00 .......................0.00					X	459,402	0
(47) Geldbach Patricia L........................................................................ Former Key Employee	40.00 .......................0.00					X	315,641	0
(48) Bollin Steven J........................................................................ Former Key Employee	40.00 .......................0.00					X	283,912	20,001
(49) Kalicak Donald........................................................................ Former Key Employee	0.00 .......................0.00					X	303,091	0

(A) Name and business address	(B) Description of services	(C) Compensation
Quest Diagnostics 500 Plaza Dr Secaucus,NJ07094	Lab services	10,488,788
McCarthy Building Companies 12851 MANCHESTER RD St Louis,MO63131	Construction	8,046,412
WESTERN ANESTHESIOLOGY ASSOC 339 CONSORT DR BALLWIN,MO63011	ANESTHESIOLOGY SVCS	5,135,001
West County Radiological Group 11475 Olde Cabin Rd Suite 200 St Louis,MO63141	Radiology services	4,595,867
MAYO MEDICAL LABS 200 SW First Street Rochester,MN55805	Lab services	4,183,549
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 56

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization

MERCY HOSPITALS EAST COMMUNITIES

Employer identification number

43-0653493

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2020

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2020 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2019 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2020. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2019. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2020. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2019. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2020

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2020 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2019 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2020 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2019 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2020. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2019. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2020

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2020

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described in 11a above?

11b

A 35% controlled entity of a person described in line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2020

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2020

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2020 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2020	(iii) Distributable Amount for 2020
1 Distributable amount for 2020 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2020:
a From 2015.......
b From 2016.......
c From 2017.......
d From 2018.......
e From 2019.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2020 distributable amount
i Carryover from 2015 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2020 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2020 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2020, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2020. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2021. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2016.....
b Excess from 2017.....
c Excess from 2018.....
d Excess from 2019.....
e Excess from 2020.....

Schedule A (Form 990 or 990-EZ) (2020)

Schedule A (Form 990 or 990-EZ) 2020

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2020

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2020

Name of the organization

MERCY HOSPITALS EAST COMMUNITIES

Employer identification number

43-0653493

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020) Page 2

Name of organization MERCY HOSPITALS EAST COMMUNITIES

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Page 3

Name of organization MERCY HOSPITALS EAST COMMUNITIES		Employer identification number 43-0653493

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Page 4


Name of organization MERCY HOSPITALS EAST COMMUNITIES			Employer identification number 43-0653493
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

MERCY HOSPITALS EAST COMMUNITIES

Employer identification number

43-0653493

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2020

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2020

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Yes

89,561

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

89,561

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Part II-B, Line 1:	The filing organization is a member of and pays dues to the following hospital associations: Missouri Hospital Association, Catholic Health Association, and American Hospital Association. For the year ended June 30, 2021, dues were $189,426, $141,174, and $90,064, respectively. Approximately 32.40% of Missouri Hospital Association dues, 3.66% of Catholic Hospital Association dues, and 25.56% of American Hospital Association dues were attributable to lobbying activities performed by these associations.

Return Reference

Explanation

Part II-B, Line 1:

The filing organization is a member of and pays dues to the following hospital associations: Missouri Hospital Association, Catholic Health Association, and American Hospital Association. For the year ended June 30, 2021, dues were $189,426, $141,174, and $90,064, respectively. Approximately 32.40% of Missouri Hospital Association dues, 3.66% of Catholic Hospital Association dues, and 25.56% of American Hospital Association dues were attributable to lobbying activities performed by these associations.

Schedule C (Form 990 or 990EZ) 2020

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

MERCY HOSPITALS EAST COMMUNITIES

Employer identification number

43-0653493

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2020

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .......................

3a(i)

(ii) Related organizations .......................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	9,635,011		9,635,011
b	Buildings ....	934,011,144	644,064,325	289,946,819
c	Leasehold improvements	19,195,605	17,033,812	2,161,793
d	Equipment ....	415,302,010	319,150,147	96,151,863
e	Other .....	13,837,024	13,624,959	212,065
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				398,107,551

Schedule D (Form 990) 2020

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	2,012,743
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2020

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

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, 2021 OR 2020.

Schedule D (Form 990) 2020

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

MERCY HOSPITALS EAST COMMUNITIES

Employer identification number

43-0653493

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .			46,799,002		46,799,002	3.660 %
b	Medicaid (from Worksheet 3, column a) . . . . .			172,533,779	93,773,731	78,760,048	6.160 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .			219,332,781	93,773,731	125,559,050	9.820 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	11	4,443	4,304,376	712,712	3,591,664	0.280 %
f	Health professions education (from Worksheet 5) . . .	6	732	5,855,428	118,439	5,736,989	0.450 %
g	Subsidized health services (from Worksheet 6) . . . .	1	173	28,223,780	22,628,173	5,595,607	0.440 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	3	1,232	59,222		59,222	0 %
j	Total. Other Benefits . .	21	6,580	38,442,806	23,459,324	14,983,482	1.170 %
k	Total. Add lines 7d and 7j .	21	6,580	257,775,587	117,233,055	140,542,532	10.990 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2020

Schedule H (Form 990) 2020

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	1		2,939	2,939	0 %
7	Community health improvement advocacy
8	Workforce development
9	Other	2	1,768	269,104	269,104	0.020 %
10	Total	3	1,768	272,043	272,043	0.020 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

16,237,465

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

215,385,264

Enter Medicare allowable costs of care relating to payments on line 5.....

199,503,289

Subtract line 6 from line 5. This is the surplus (or shortfall)........

15,881,975

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2020

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?2Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	Mercy Hospital St Louis 615 S New Ballas Road St Louis,MO63141 www.mercy.net/ 226-53	X	X	X	X	X	X
2	Mercy Hospital Washington 901 E Fifth Street Washington,MO63090 www.mercy.net/ 311-32	X	X				X

Schedule H (Form 990) 2020

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	Mercy Hospital St Louis
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 19

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): https://www.mercy.net/communitybenefits

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): https://www.mercy.net/communitybenefits

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2020

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	Mercy Hospital St Louis
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 300.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

https://www.mercy.net/billing/

The FAP application form was widely available on a website (list url):

https://www.mercy.net/billing/

A plain language summary of the FAP was widely available on a website (list url):
https://www.mercy.net/billing/

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2020

Page 6

Part VFacility Information (continued)

Billing and Collections

	Mercy Hospital St Louis
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2020

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	Mercy Hospital St Louis
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2020

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	Mercy Hospital Washington
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 19

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): https://www.mercy.net/communitybenefits

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): https://www.mercy.net/communitybenefits

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2020

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	Mercy Hospital Washington
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 300.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

https://www.mercy.net/billing/

The FAP application form was widely available on a website (list url):

https://www.mercy.net/billing/

A plain language summary of the FAP was widely available on a website (list url):
https://www.mercy.net/billing/

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2020

Page 6

Part VFacility Information (continued)

Billing and Collections

	Mercy Hospital Washington
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2020

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	Mercy Hospital Washington
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2020

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Mercy Hospital St. Louis	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 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 St. Louis	Part V, Section B, Line 5: Mercy Hospital St. LouisFor its 2019 Community Health Needs Assessment, Mercy Hospital St. Louis contributed as a key partner in the St. Louis Partnership for a Health Community (STLPHC). STLPHC 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, all who represent the broad interests of the community. 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. Mercy Hospital St. Louis and Mercy Hospital South were actively engaged in the partnership. Participating members of STLPHC include:- Laurie Call, Public Health Institute - Melissa Vatterott, Missouri Coalition for the Environment- Rachelle Bartnick, American Heart Association - Jenny Birge, Washington University Brown School of Social Work- Leslie Bertsch, University of Missouri Extension - Bonnie Harper, ONESTL / East West Gateway- Craig Schmid, City of St. Louis Dept. of Health - Joyce Hoth, YWCA of Greater St. Louis- Spring Schmidt, St. Louis County Dept. of Public Health - Nataly Garzon, United Way of Greater St. Louis- Damon Broadus, American Heart Association - Denis Strehlow, BJC School Outreach and Youth Development- Rhonda Smythe, Missouri Foundation for Health - Liz Kalicak, Barnes-Jewish Hospital In addition, Mercy Hospital St. Louis (MHSL) collaborated with Barnes-Jewish West County Hospital (BJWCH), Missouri Baptist Medical Center (MBMC), St. Luke's Hospital (SLH), St. Luke's Des Peres Hospital (SLDPH), Mercy Hospital South (MHS) and the St. Louis County Department of Health (STLDOH) on a Key Stakeholder analysis with community leaders in the summer of 2018.
Mercy Hospital Washington	Part V, Section B, Line 5: Mercy Hospital WashingtonMercy Hospital Washington and Franklin County Health Department (FCHD) collaborated in conducting the Community Health Needs Survey for Franklin County in 2018. Input from the community, stakeholders and local experts was gathered through Community Health Needs Surveys distributed by Mercy Hospital Washington and FCHD, a Mercy Community Health Council Survey (Rate Concerns and Ability to Change) distributed to Mercy Hospital Washington leaders, and the direct engagement of Community Coalitions. Community Health Needs SurveysA Qualtrics (top data collection software application) survey was designed to capture the thoughts and perceptions of the residents about health needs in their community. The survey was available both in hardcopy and electronically on-line. A total of 165 individuals who stated they received their health care in Franklin County completed the survey over a five-month timeframe (July 2018 November 2018). Efforts were made to include the voices of populations less likely to access the on-line survey by making it available to guests of food pantries and meal programs, such as at Harvest Table meal program at St. Peters United Church of Christ in Washington, MO.Coalition EngagementThe following community agencies and coalitions were also engaged in the needs assessment process: - Franklin County Service Providers Networking Coalition- Franklin County Homeless Task Force- Crider Health Center/Compass Health Network- Preferred Family Healthcare/Bridgeway Health- Foundations for Franklin County
Mercy Hospital St. Louis	Part V, Section B, Line 6a: Mercy Hospital Washington
Mercy Hospital Washington	Part V, Section B, Line 6a: Mercy Hospital St. Louis
Mercy Hospital St. Louis	Part V, Section B, Line 6b: St. Louis County Department of Public Health and the Franklin County Health Department
Mercy Hospital Washington	Part V, Section B, Line 6b: St. Louis County Department of Public Health and the Franklin County Health Department
Mercy Hospital St. Louis	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/Substance Abuse - Maternal Child Health - Chronic Disease Prevention and ManagementAll 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 is committed to aligning strategic efforts around the four priority areas with the objectives of the STLPHC through participation and engagement in the following action teams: - Improving Access to Community Health (encompassing behavioral health), led by the Behavioral Health Network of Greater St. Louis and the St. Louis Regional Health Commission - Chronic Disease Prevention and Management, led by Healthier Together STL - Maternal, Child, and Family Health, led by Generate Health STLMercy Hospital St. Louis will not formally address two core priorities identified within the STLPHC's implementation plan: - Violence Prevention - The goal of the Violence Prevention Action Team is to reduce gun-related homicides and nonfatal shooting incidents in the St. Louis region by 25% by 2024. The St. Louis Area Violence Prevention Commission (STLVPC) is the backbone organization for this action team and is currently focusing efforts on promoting policy legitimacy and accountability, as well as reducing barriers to system navigation for victims of nonfatal shootings. Due to the STLVPC's leadership, Mercy Hospital St. Louis has not formally adopted strategies to address this priority. However, the hospital is committed to supporting the action team's objective to advance trauma-informed and evidence-based violence prevention practices in community, systems and service delivery, through the provision of trauma-informed trainings for hospital, emergency department, and clinic staff. - Sexual Health - The goal of the Sexual Health Action Team is to address sexual-health related morbidity and mortality by reducing age, racial, and sexual gender minority (SGM) disparities in the St. Louis region. The St. Louis STI Regional Response Coalition (STIRR) serves as the backbone organization for the Sexual Health Action Team. Mercy will not take a lead role on this issue as there are some limitations to the organization's partnerships in this area as a Catholic Health System. However, infectious disease physicians at Mercy will continue to address this issue through collaborative work, and the hospital is in support of the action's team objective to improve the data infrastructure for STI, HIV and other data relevant to sexual health and will collaborate with the action team in data sharing and dissemination as appropriate. 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 County: - Access to Care - Navigation to Services and Social Determinants of Health - Behavioral Health - Mental Health and Substance & Opiate Use - Childhood Obesity - Food and Nutritional EducationThe following needs are not being addressed by Mercy Hospital Washington: - Sexually Transmitted Infections - Mercy will not take a lead role on this issue as there are some limitations to the organization's partnerships in this area as a Catholic Health System. However, infectious disease physicians at Mercy will continue to address this issue through collaborative work - Physical Environment: Air/Water Quality and HousingIn the category of Physical Environment, MHW has chosen Transportation, under the Access to Care priority. Collaboration with local coalitions addressing homelessness and housing will continue as will Mercy's support of industry, government, non-governmental organizations and the public in addressing air and water quality in our area.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 to addressed the prioritized needs during the 2020 (FY21)year include: - Mercy Hospital St. Louis - The Community Health Worker (CHW) program, which was piloted beginning in 2018 andadopted 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. Mercy Hospital St. Louis also hired a CHW to serve the Ferguson community, through integration within Mercy Clinic Ferguson, which opened in July 2021. Prior to the clinic's opening, this co-worker worked to build relationships with local agencies, stakeholders, non-profits and individuals, to dedicate time to COVID-19 education and planning of vaccination events, and to help assess community needs. - Continuing in collaboration with Generate Health, Mercy Hospital St. Louis served as a partner on the Infant Health Action Team and provided a letter of support for renewed funding and ongoing commitment for Generate Health's Safe Sleep initiative. This initiative is also supported by Barnes Jewish Hospital and SSM Health in decreasing Maternal/Child Health and infant mortality rates by addressing disparities. - Through partnership with Behavioral Health Network, Mercy Hospital St. Louis supported several behavioral health programs for Emergency Department and inpatients: - 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. In FY21, 329 referrals were made into the ERE and Y-ERE programs, with 94 adult and 152 youth appointments scheduled through those referrals. - 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. Out of the 155 referrals made to the EPICC program in FY21, 123 patients were connected to treatment and support for substance use disorder. - 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). In FY21, 77 patients were successfully scheduled for appointments at these CMHCs. Continued in Part V, Section C, Supplemental Information for Part V, Section B
Mercy Hospital St. Louis	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.
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, LINE 11 CONTINUATION	- Recognizing the ongoing economic hardship, stress and emotional trauma that the COVID-19 pandemic continues to bring to individuals and families and understanding that it is often the most vulnerable that are impacted the most in times of crisis, Mercy continued to engage with community partners in COVID-19. In particular, individuals experiencing homelessness may be at increased risk of infection and complication from the COVID-19 virus. Community Health Leaders across Mercy's hospitals worked with local partner agencies to develop comprehensive plans for safely discharging COVID-19 patients to a designated location if they do not require hospitalization but lack housing. At Mercy Hospital St. Louis, the Community Health Leader collaborated with local social service and homeless serving agencies and healthcare providers in order to successfully enact a plan that aligns local resources with regional protocols. Other community services offered by Mercy Hospital St. Louis during the COVID-19 pandemic include: - Community COVID-19 testing sites - Community-based mass vaccination event in North St. Louis County, in partnership with Southeast Ferguson Community Association (SEFCA) and Riverview Gardens School District - Community education materials and events, focusing on racial inequity - Mercy Hospital Washington - Community Health Worker Program In FY20, Mercy Hospital Washington's CHW assisted 212 patients through 535 unique encounters. 76% of patients were uninsured, and 16% were either on Medicaid or were Medicaid pending. - 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 - Recognizing the ongoing economic hardship, stress and emotional trauma that the COVID-19 pandemic brought to individuals and families and understanding that it is often the most vulnerable that are impacted the most in times of crisis, Mercy continued to engage with community partners in COVID-19 response. In particular, individuals experiencing homelessness may be at increased risk of infection and complication from the COVID-19 virus. Community Health Leaders across Mercy's hospitals worked with local partner agencies to develop comprehensive plans for safely discharging COVID-19 patients to a designated location if they do not require hospitalization but lack housing. Mercy Hospital Washington engaged in the Jefferson and Franklin County COVID-19 Homeless Response Taskforce to coordinate efforts around supporting the homeless during the pandemic and worked closely with local partners in the Franklin Homeless Taskforce (HTF). - 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.2018 Mercy Hospital Washington opened a free COPD education clinic in Washington for their patients - Mercy Hospital Washington facilitated the Winter Warming Overnight Center to prevent those sleeping outside from freezing to death with the American Inn within Washington. - 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 pharmacy. Additional needs being addressed by the Mercy Hospital St. Louis and Mercy Hospital Washington include: - Violence: Domestic, Elderly, Child Abuse, and TraffickingMHSL - MHSL and Alternatives to Living in Violent Environments (ALIVE), a 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 InactivityMHSL & 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 AllergiesA 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 UseMHSL & 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.
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 IN ALL COMMUNITIES EXCEPT JOPLIN, MAUDE NORTON, CARTHAGE AND SOUTHEAST KANSAS. INDIVIDUALS WITH INCOMES GREATER THAN 200% 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.

Schedule H (Form 990) 2020

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?31
Name and address		Type of Facility (describe)
1	1 - Mercy Services Patients First 901 Patients First Dr Washington,MO63090	Hospital based outpatient depts: Various Clinical Services
2	2 - Medical Services Clayton Clarkson 15945 Clayton Road Ballwin,MO63011	Hospital based outpatient depts:Surg Ctr; various clinical services
3	3 - Mercy Services Tesson Ferry 12348 Old Tesson Road StLouis,MO63128	Hospital based outpatient depts:Women's Ctr, Imag Ctr, Nuc Med, Card Testin
4	4 - Mercy Services O'Fallon 300 Winding Woods Drive OFallon,MO63366	Hospital based outpatient depts:UCC S&T Blood Dr St ImagCtr, Perin, Pulm
5	5 - Mercy Services West County 12990 Manchester Road Des Peres,MO63131	Hospital based outpatient depts:Endoscopy
6	6 - Mercy Services Hazelwood 801 Hazelwest Drive Hazelwood,MO63042	Hospital based outpatient depts: Imaging Center/Blood Draw Station
7	7 - Mercy Services Town & Country 1176 Town Country Commons St Louis,MO63017	Hospital based outpatient depts: Sports Therapy & Rehab
8	8 - Mercy Services Smizer Mill 1203 Smizer Mill Road Fenton,MO63026	Hospital based outpatient depts:Imaging, Blood Draw Station
9	9 - Mercy Clinic Zumbehl 1820 Zumbehl Road St Charles,MO63303	Hospital based outpatient depts: Cardiac Testing, Imaging, Blood Draw Statio
10	10 - Mercy Service Edgewood 970 Executive Parkway St Louis,MO63141	Hospital based outpatient depts: Outpatient Behavioral Health
11	11 - Mercy Services Olive 12680 Olive Creve Couer,MO63141	Hospital based outpatient depts: S&T, Nutrition Couns, Chirop, Imagine
12	12 - Dunn Physician Offices 755 Dunn Road Hazelwood,MO63042	Hospital based outpatient depts: Sports & Therapy, Cardiac Testing, Nuc Medi
13	13 - Mercy Services Sullivan 1326 S Service Rd West Sullivan,MO63080	Hospital based outpatient depts: Various Clinical and Imaging Services
14	14 - Mercy Services Lake St Louis 200 Brevco Plaza Lake St Louis,MO63367	Hospital based outpatient depts:Endoscopy
15	15 - Mercy Services Studt Road 11700 Studt Road St Louis,MO63141	Hospital based outpatient depts:Hyberbaric Wound Center, Fertility Services
16	16 - Mercy Therapy Services Tesson Ferry 13303 Tesson Ferry Road St Louis,MO63128	Hospital based outpatient depts: Sports & Therapy
17	17 - Mercy Services Mid Rivers 4525 Mid Rivers mall Drive St Peters,MO63376	Hospital based outpatient depts: Pediatric PT/OT/Speech,Blood Draw Station
18	18 - Mercy Services Union 1935 Prairie Dell Road - Suite 300 Union,MO63084	Hospital based outpatient depts: Sports and Therapy
19	19 - Mercy Services Piper Hill 107 Piper Hill Drive St Peters,MO63376	Hospital based outpatient depts:Urgent Care, Sports & Therapy, Blood Draw
20	20 - Mercy Services Chippewa 6435 Chippewa St Louis,MO63109	Hospital based outpatient depts: Infusion Therapy
21	21 - Mercy Services Emerson Road 633 Emerson Rd 20 Creve Couer,MO63141	Hospital based outpatient depts: sports Therapy
22	22 - Grover Medical Office Building 16555 Manchester Road Grover,MO63040	Hospital based outpatient depts: Radiology, Sports & Therapy, Blood Draw Sta
23	23 - Crestwood Physician Offices 10024 Watson Road St Louis,MO63126	Hospital based outpatient depts: Sports & Therapy/Blood Draw Station
24	24 - Mercy Sports and Therapy Gerald 735 West Springfield Road Gerald,MO63037	Hospital based outpatient depts: Sports and Therapy
25	25 - Mercy Legends Parkway 20 Legends Parkway Eureka,MO63025	Hospital based outpatient depts: Various Clinical and Imaging Services
26	26 - Mercy Services Vadalabene Drive 2023 Vadalabene Suite 300 Maryville,IL62062	Hospital based outpatient depts: Perinatal Center
27	27 - Mercy Services Technology Drive 2223 Technology Drive OFallon,MO63368	Hospital based outpatient depts: Imaging Center/Blood Draw Station
28	28 - Mercy North County Professional Office 637 Dunn Road Suite 101 Hazelwood,MO63042	Hospital based outpatient depts: Urgent Care (closed Oct 2020)
29	29 - Mercy Sports Medicine Maryland Heights 750 Casino Center Drive Maryland Heights,MO63043	Hospital based outpatient depts: OP Therapy location
30	30 - Mercy Sports Performance 751 Casino Center Drive Maryland Heights,MO63043	Hospital based outpatient depts: Sports Medicine
31	31 - David Pratt Cancer Center 607 S New Ballas Road STE 2210 St Louis,MO63141	Hospital based outpatient depts: Cancer Center

Schedule H (Form 990) 2020

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization 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.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
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 $1,337,234,312. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $59,543,584. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $1,277,690,728.
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:	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:- Regional Health Commission- St. Louis Integrated Health Network - 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 - Beyond Housing "24:1 Healthy Communities"- HEAL Healthcare Access Workgroup- United Way 2-1-1 Advisory Committee and Emergency Fund NetworkMercy Hospital Washington:- Franklin County Health Department- United Way of Franklin County - Four Rivers YMCA- Washington Chamber of CommerceIn 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, Behavioral Health (Mental Health and Substance Abuse) to be top health priorities through the 2019-2021 CHNA cycle, along with Maternal Child Health (MHSL), Chronic Disease Prevention and Management (MHSL), Health Equity (MHSL), and Childhood Obesity (MHW). Cash/In-Kind DonationsMercy 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 FY21, cash donations were given to organizations throughout the community, including: - Behavioral Health Network- Catholic Charities- Regional Health Commission- Cancer Care Foundation- Beyond Housing- American Cancer Society- National Alliance for Mental Illness- Generate Health STL- Alzheimer's Association- Foundations for Franklin County- 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 Way A full description of our Community Building activities can be found at https://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:	THE TEXT OF THE FOOTNOTE THAT IS INCLUDED IN MERCY HEALTH AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE 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 HOSPITALS EAST COMMUNITIES THAT 100% OF ANY SHORT FALL, when applicable, 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 LEGAL ACTION CONSISTENT WITH MERCY MISSION AND VALUES AFTER SENDING 3 MONTHLY STATEMENTS WITH THE FINAL INCLUDING NOTIFICATION; IF NO RESOLUTION THEY WILL BE TURNED TO COLLECTIONS. ADDITIONALLY, THEY MAY INCLUDE LIENS UPON REAL PROPERTY AND REASONABLE WAGE GARNISHMENTS. LEGAL ACTIONS WILL GENERALLY NOT INCLUDE BANK GARNISHMENTS, REPOSSESSION OF ASSETS OR FORECLOSURES TO ENSURE SATISFACTION OF A LIEN. MERCY HAS POLICIES AND PROCEDURES ESTABLISHED TO ADDRESS THE INITIATION OF LEGAL ACTION AND ANNUALLY REVIEW COMPLIANCE WITH POLICIES BUT ENSURE 120 DAYS OF BILLING AND COLLECTIONS OCCUR PRIOR TO ANY EXTRAORDINARY COLLECTIONS ARE PURSUED.
Part VI, Line 2:	MERCY HOSPITAL ST. LOUIS AND MERCY HOSPITAL WASHINGTON In 2018, Mercy Hospital St. Louis and Mercy Hospital Washington began planning for their 2019-2021 Community Health Needs Assessments (CHNA). Presidents from the hospitals led their corresponding Community Health Councils in guiding the needs assessment process. The councils convene quarterly and are accountable for ensuring that community benefit activities meet mission compliance and IRS guidelines. They consist of Mercy leaders from various departments, such as behavioral health, finance, care management, philanthropy, etc., and one hospital board member. The Councils determine which health initiatives will be put forth in the hospital's three-year Community Health Improvement Plan (CHIP).Co-workers in Mercy's Community Health & Access Department serve on the Councils and were primary leads of the 2019 CHNAs. The voices of the people of St. Louis County and Franklin County were central to the health needs assessment process. MHSL and MHW gathered community input directly through:- Surveys - online and printed (for those with no computer access)- Mercy Community Advisory Panels- Community Coalitions and Stakeholder MeetingsThrough participation in the STLPHC, Mercy Hospital St. Louis also had access to primary and secondary data collected through their Mobilizing for Action through Planning and Partnerships (MAPP) assessments: the Community Themes and Strengths Assessment (CTSA), the Local Public Health System Assessment, the Community Health Status Assessment (CHSA), and the Forces of Change Assessment (FCA). The CTSA in particular included fourteen (14) listening sessions, two (2) surveys, and twelve (12) focus groups conducted with residents throughout the region. External sources of published data are as follows:- County Health Rankings 2018 (MHW & MHSL)www.countyhealthrankings.org- Community Data Profiles & Missouri Information for Community Assessment (MICA) (MHW & MHSL)http://health.mo.gov/data/CommunityDataProfiles/index.html- CDC Community Health Status Indicator Report (MHW)http://wwwn.cdc.gov/CommunityHealth/profile/currentprofile/MO/Franklin- Community Commons (MHW & MHSL)http://www.communitycommons.org/- ExploreMOHealth (MHW & MHSL)https://exploremohealth.org/ - Health Equity Works (2018) (MHSL)https://healthequityworks.wustl.edu/- St. Louis County 2017 Community Health Needs Assessment (MHSL)http://www.thinkhealthstl.org/content/sites/stlouisco/CHA_Reports/St_Louis_2017_CHA_2018_CHIP_Summary_Report_FINAL_2.pdf- Progress Toward Building a Healthier St. Louis 2018 Access to Care Report (MHSL)https://1s4g6c1ylxer1li24cn557f1-wpengine.netdna-ssl.com/wp-content/uploads/sites/63/2019/06/ATC-Data-Book-3.21.19-Final.pdf - United Way 211 Counts (MHW & MHSL)https://211mo.211counts.org/Prioritized Significant Community Health NeedsThe nominal group technique was used in the priority setting process. The Mercy Hospital St. Louis and Mercy Hospital Washington Community Health Councils were presented with the quantitative and qualitative community health data and members were asked to rank these health issues by level of concern and ability to collaborate on the issue to produce results. The strengths and services of the hospitals along with their strategic plans were also considered. Upon review and discussion of the Primary and Secondary data gathered, the hospitals' Strategic Plans, and the resources available at the hospitals and in the communities, the following priorities were selected:Mercy Hospital St. Louis: - Access to Care- Behavioral Health/Substance Abuse- Maternal Child Health- Chronic Disease Prevention and Management- Health EquityMercy Hospital Washington:- Access to Care - Navigation to Services and Social Determinants of Health- Behavioral Health - Mental Health and Substance & Opiate Use- Childhood Obesity - Food and Nutritional EducationThe Community Health Councils then 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 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:	MERCY HOSPITALS EAST COMMUNITIES INCLUDES MERCY HOSPITAL ST. LOUIS AND MERCY HOSPITAL WASHINGTON. THE PRIMARY SERVICE AREA FOR MERCY HOSPITAL ST. LOUIS INCLUDES 209 ZIP CODES ACROSS MISSOURI AND ILLINOIS. THE FOLLOWING INFORMATION IS DERIVED FROM THE ADVISORY BOARD DEMOGRAPHICS AND MO/HIDI ANALYTICS 2020-2021. THE AREA'S POPULATION IS 2,762,207. THE MEDIAN HOUSEHOLD INCOME IS $68,000. 43.7% OF THE POPULATION IS 45 AND OLDER. 92% OF THE POPULATION IS A HIGH SCHOOL GRAD OR GREATER AND THE MEDIAN AGE IS 39. 18.6% OF THE HOUSEHOLDS ARE ON MEDICARE, 15.1% ON MEDICAID, AND 7.6% UNINSURED. THE PRIMARY SERVICE AREA FOR MERCY HOSPITAL WASHINGTON INCLUDES 21 ZIP CODES SOUTHWEST OF ST. LOUIS. THE AREA'S POPULATION IS 152,514. THE MEDIAN HOUSEHOLD INCOME IS $62,000. 46.6% OF THE POPULATION IS 45 AND OLDER. 89% OF THE POPULATION IS A HIGH SCHOOL GRAD OR GREATER AND THE MEDIAN AGE IS 43. 21.5% OF THE HOUSEHOLDS ARE ON MEDICARE, 14.3% ON MEDICAID, AND 10% UNINSURED.
Part VI, Line 5:	Open Medical Staff Medical staff privileges are extended to all qualified physicians in the community for nearly all our departments. 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.Community Boards FY21Mercy Health East Communities FY21 Board MembersDon Arnold, M.D.Kelly Bain, M.D.Jon Bauer, PhDCraig Boyd, MDMatuskchka Lindo-BriggsApollo CareyJanice DeniganDennis GannonKatherine Glosenger, RSMSr. Michael Mary Gutowski, RSMWendy HenryJeff JohnstonSr. Miriam Nolan, RSMSusan O'Connor, RSMCharles Rehm, M.D.John PorterWinthrop B Reed, IIIKevin ShortPaul Young, M.D. Mercy Hospital St. Louis FY21 Board MembersGinger Andrews, RSMJames Boyd, MDSara HannahPaul Hintze, MDKristin JohnsonDavid Meiners, MDSteve O'LoughlinPhineas Oren, MDCassandra SanfordJoan Schaffer, MDMary StievenMercy Hospital Washington FY21 Board MembersKurt VossLB EckelkampJohn MoroneyGary DuMontier, MDGretchen Kluesner, M.D.Anthony KreutzDarren LambDennis ColemanTammy Watz, M.S.N., F.N.P.Sister Gayle Evans, RSMSister Katherine Glosenger, RSMSister Cabrini Koelsch, RSMWilliam L. Miller Sr.Eric EoloffDavid Chalk, MDThomas Riechers, M.D.Jeff Johnston Use of Surplus FundsSurplus funds and unrestricted assets held by Mercy Hospitals East Communities are reinvested in patient care 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:- Providing financial assistance to patients who have no other means to cover their cost of care- Providing drug assistance to patients receiving high cost drug therapies administered in Mercy's outpatient infusion center or oral drugs purchased through Mercy's retail or specialty pharmacy services- Investment in social workers and community health workers including dedicated resources to advocate for and assist low income individuals and families and women's services social workers to serve the St. Louis community with goal of producing healthy pregnancy doctor visits, deliveries and post-partum care- Continued investment in innovative technology and services to provide excellent care to our patients in their community, including the following: -Continued expansion and enhancement of GI services in the Washington, Missouri community including upgraded equipment and additional investment in specialty physicians for this community -Investment in new CT Simulator at Pratt Cancer Center to support precise treatment planning for cancer patients -Investment in virtual care services to proactively provide the right care for our patients in the right location, including virtual care for patients within their home -Design and initial construction cost to add Proton Therapy services at Pratt Cancer Center. This is a multi-year project. Proton Therapy more accurately targets tumors and cancer cells, reducing the risk of radiation damage to surrounding healthy tissues and organs.- Continued funding of graduate medical education program (provides residency training in family medicine, internal medicine, OB/GYN, dental medicine, orthopedics and critical care) and schools of radiology, respiratory and clinical laboratory science.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.COMMUNITY REFERRAL COORDINATOR - MHSLMercy continues to partner with the St. Louis Integrated Health Network (IHN) in providing a contracted Community Referral Coordinator (CRC) in the MHSL Emergency Department to connect discharged patients with needed follow-up medical care. The CRC primarily focuses on Medicaid and uninsured patients to:- Ensure they have access to a primary care home and health resources regardless of their ability to pay- Reduce non-emergent use of emergency departments and low acuity readmissions- Enhance continuity of care- Strengthen communications/processes among hospital, safety net and other primary care providers, and community social services agencies/programs.The position is funded by the IHN and is a collaborative program between Mercy, the IHN and other area hospitals and clinics to improve access, quality and transitions of care. Each year the Mercy CRC helps more than 1,700 patients and refers more than 400 to primary care providers with a show-rate of 65%.TRANSPORTATION MHWAs 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 400 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. MENTAL HEALTH2019 - EREThe Emergency Room Enhancement program began July 2017 at MHSL and expanded to MHW in 2018. This program is supported by Missouri Mental Health Department and is a partnership with local hospitals, community mental health centers, law enforcement agencies, substance use treatment facilities, and social service providers to coordinate care for the whole person by addressing behavioral, physical, and basic needs. The primary goals of ERE are to prevent repeated ED visits and hospitalizations, as well as increase rates of housing, employment, and education enrollment. MHSL enrolled 94 adult patients in 2018 and MHW enrolled 7 in its first six months. MHSL also offers the program to Youth and enrolled 23 in 2018. Through partnership with the Behavioral Health Network of Greater St. Louis - peer mentors are paired with ED patients presenting with substance use disorder or crisis. They build relationships and help coach these patients to build healthier coping skills which enhance quality of life and reduce ED readmissions. See Part VI, Question 5 Continuation
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, 2021, MERCY FACILITIES INCLUDED 30 ACUTE CARE HOSPITALS, 5 HEART HOSPITALS, 5 REHAB HOSPITALS, 2 CHILDREN'S HOSPITALS, 2 ORTHOPEDIC HOSPTIALS, AND 1 VIRTUAL CARE COMMAND CENTER. FOR THE FISCAL YEAR ENDED JUNE 30, 2021, MERCY HAD MORE THAN 10.9 MILLION OUTPATIENT AND PHYSICIAN OFFICE VISITS, APPROXIMATELY 2,300 EMPLOYED PHYSICIANS, AND APPROXIMATELY 43,000 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
Part VI, Question 5 continuation	2018 - HCLHospital Community Linkages program began in 2017 in MHSL as part of a regional response to provide acute and emergency behavioral health services. Using a designated liaison per provider, the Inpatient Project identifies and refers potential consumers, facilitates the referral and ensures discharge documentation is transferred for continuity of care. In 2018, 115 patients were referred to the program through MHSL. The program is unavailable in MHW.ALIVE AND WELL IN STL - MHSL Alive and Well STL is a community-wide effort started by the Regional Health Commission that focuses on reducing the impact of toxic stress and trauma on a person's health and well-being. Mercy acts as a community partner for this initiative and works to create a more trauma aware/informed community through training opportunities and analyzing best practices in the field of behavioral health. MERCY KIDS IN SCHOOLS - MHSL Mercy Kids provides counselors in two underserved/low-income North St. Louis City schools, providing counseling services and social service support. This service was active in the community until the onset of the COVID-19 pandemic in March of 2020.SUBSTANCE USEPDMP - MHSL & MHWAs Missouri is the only state in the country without a Prescription Drug Monitoring Program (PDMP), advocacy efforts continue to appeal to the state. Provider education continues to promote using the St. Louis County/multi-county system in place.INTENSIVE OUTPATIENT PROGRAM (IOP) - MHW* Mercy Hospital Washington opened an IOP in December 2014. It provides the highest level of outpatient care for patients suffering from mental health and chemical dependency disorders and consistently runs near capacity and accepts insured and uninsured adult and adolescent patients. MERCY ROAD TO FREEDOM - MHSL & MHWThis program was offered to the community and Mercy co-workers as a telephonic, one-on-one support system with a specialty trained counselor to stop using tobacco products. PHYSICIANSMercy Health 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.PROMOTION OF COMMUNITY HEALTH MERCY PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. MERCY IS A CATHOLIC HEALTH CARE CORPORATION THAT, PURSUANT TO THE ORGANIZATIONAL CORE BELIEF THAT HEALTH CARE SERVICES ARE A VITAL AND INTEGRAL PART OF THE CHURCH'S HEALING MISSION, ENGAGES IN A MINISTRY WHICH PROVIDES GENERAL ACUTE CARE, AMBULATORY, LONG-TERM AND HOME CARE HEALTH SERVICES TO INDIVIDUALS AND FAMILIES IN ITS SERVICE COMMUNITIES. MERCY OFFERS SERVICES AND PROGRAMS WHICH FURTHER HEALTH PROMOTION, MAINTENANCE AND CARE TO THE COMMUNITY. PROGRAMS PROVIDED TO MEET THE COMMUNITY NEEDS INCLUDE SUPPORT GROUPS FOR VARIOUS SITUATIONS, OUTREACH PROGRAMS, BLOOD DRIVES, ETC.MERCY IS GOVERNED BY A BOARD OF DIRECTORS WHICH INCLUDES REPRESENTATION FROM COMMUNITY LEADERS IN THE ORGANIZATION'S PRIMARY SERVICE AREAS. ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY. ANY POTENTIAL CONFLICTS OF INTEREST DISCLOSED BY BOARD MEMBERS ARE REVIEWED AND RESOLVED. THIS PROCESS ENSURES THAT PUBLIC, RATHER THAN PRIVATE, INTERESTS ARE SERVED BY MERCY. SURPLUS FUNDS AND UNRESTRICTED ASSETS HELD BY MERCY 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 COMMUNITY IT SERVES.
COVID-19	Please see Schedule O for information related to COVID-19.

Schedule H (Form 990) 2020

Additional Data

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization
MERCY HOSPITALS EAST COMMUNITIES

Employer identification number
43-0653493

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) March of Dimes 11829 Dorsett Road Maryland Heights,MO63043	13-1846366	501(c)(3)	10,000	Charitable support
(2) American Cancer Society 4207 Lindell Blvd St Louis,MO63141	13-1788491	501(c)(3)	60,000	Charitable support
(3) NAMI ST LOUIS 1810 Craig Road Ste 308 St Louis,MO63146	43-1143899	501(c)(3)	5,000	Charitable support
(4) St Louis Men's Group Against Cancer 2155 Woodson Rd Stlouis,MO63114	43-1558366	501(c)(3)	5,000	Charitable support
(5) Susan G Komen Missouri 9288 Dielman Industrial Dr St louis,MO63132	75-2844650	501(c)(3)	15,000	Charitable support
(6) Marian Middle School 4130 Wyoming Street St louis,MO63116	43-1873629	501(c)(3)	5,000	Charitable support
(7) Thompson Foundation for Autism 1401 South Brentwood Blvd Ste 160 St Louis,MO63144	20-8293152	501(c)(3)	7,500	Charitable support
(8) Ronald McDonald House 3450 Park Avenue St Louis,MO63104	43-1160478	501(c)(3)	30,000	Charitable support
(9) MENTAL HEALTH ASSOCIATION OF ST LOUIS 1905 S Grand St Louis,MO63104	43-0685341	501(c)(3)	7,500	Charitable support
(10) OFFICE OF WORSHIP ARCHDIOC STL 4445 Lindell Blvd St Louis,MO63108	43-0653244	501(c)(3)	82,348	Charitable Support
(11) CITY OF CREVE COEUR 300 N NEW BALLAS RD CREVE COEUR,MO63141	43-6005772	GOVT	15,000	Charitable Support
(12) MO PHYSICIANS HEALTH PROGRAM 113 MADISON ST JEFFERSON CITY,MO65102	43-1572458	501(c)(3)	5,000	Charitable Support
(13) HAVEN HOUSE ST LOUIS 12685 OLIVE BLVD ST Louis,MO63141	20-1876315	501(c)(3)	5,000	Charitable Support
(14) GENERAL HEALTH STL 3407 S JEFFERSON AVE 135 ST Louis,MO63118	41-2139772	501(c)(3)	7,500	Charitable Support
(15) ST FRANCIS COMMUNITY SERVICES 4445 Lindell Blvd St Louis,MO63108	74-3169773	501(c)(3)	5,000	Charitable Support
(16) FRANKLIN COUNTY CHILDREN & FAMILY COMMUNITY RESOURCE BOARD ASSOCIATION 1 BRUNS LN UNION,MO63084	26-3148282	501(c)(3)	5,000	Charitable Support

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2020

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference

Explanation

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.

Schedule I (Form 990) 2020

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
Graphic Arrow

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
Graphic Arrow

Attach to Form 990.
Graphic Arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

MERCY HOSPITALS EAST COMMUNITIES

Employer identification number

43-0653493

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2020

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1Sorensen Donn Former Officer	(i) (ii)	0 ------------- 901,094	0 ------------- 1,508,285	0 ------------- 2,060,324	0 ------------- 110,491	0 ------------- 9,779	0 ------------- 4,589,973	0 ------------- 872,529
2Johnston Jeffrey A President East Comm & Board Member	(i) (ii)	0 ------------- 787,422	0 ------------- 1,022,053	0 ------------- 2,469,412	0 ------------- 109,598	0 ------------- 12,745	0 ------------- 4,401,230	0 ------------- 694,154
3Matejka Cheryl L CFO & Treasurer	(i) (ii)	0 ------------- 536,248	0 ------------- 354,237	0 ------------- 582,573	0 ------------- 77,776	0 ------------- 13,245	0 ------------- 1,564,079	0 ------------- 249,181
4Chalk MD David President, Clinic	(i) (ii)	0 ------------- 626,348	0 ------------- 470,168	0 ------------- 311,161	0 ------------- 86,467	0 ------------- 11,784	0 ------------- 1,505,928	0 ------------- 339,602
5Eoloff Eric J President, Mercy Hospital Washington	(i) (ii)	0 ------------- 410,445	0 ------------- 468,724	0 ------------- 471,155	0 ------------- 62,608	0 ------------- 15,921	0 ------------- 1,428,853	0 ------------- 228,229
6Mackin Stephen L President St. Louis	(i) (ii)	0 ------------- 654,163	0 ------------- 280,040	0 ------------- 88,955	0 ------------- 83,193	0 ------------- 12,726	0 ------------- 1,119,077	0 ------------- 0
7Cleveland MD Jeanne Physician & Board Member	(i) (ii)	0 ------------- 968,342	0 ------------- 18,713	0 ------------- 39,810	0 ------------- 17,756	0 ------------- 12,726	0 ------------- 1,057,347	0 ------------- 0
8Kahn MD Joseph Former Key Employee	(i) (ii)	0 ------------- 525,934	0 ------------- 207,592	0 ------------- 52,803	0 ------------- 30,410	0 ------------- 12,422	0 ------------- 829,161	0 ------------- 95,735
9Riechers MD Thomas Physician & Board Member	(i) (ii)	0 ------------- 547,136	0 ------------- 12,853	0 ------------- 47,822	0 ------------- 26,162	0 ------------- 13,103	0 ------------- 647,076	0 ------------- 0
10Crain Christine Former Key Employee	(i) (ii)	0 ------------- 345,154	0 ------------- 106,196	0 ------------- 50,707	0 ------------- 83,063	0 ------------- 6,730	0 ------------- 591,850	0 ------------- 39,707
11Yost Debra A Former Key Employee	(i) (ii)	0 ------------- 146,638	0 ------------- 177,523	0 ------------- 193,257	0 ------------- 38,584	0 ------------- 8,785	0 ------------- 564,787	0 ------------- 127,089
12DuMontier MD Gary Physician & Board Member	(i) (ii)	0 ------------- 431,715	0 ------------- 8,477	0 ------------- 27,557	0 ------------- 18,200	0 ------------- 12,252	0 ------------- 498,201	0 ------------- 0
13Nelson Kathryn Former Key Employee	(i) (ii)	0 ------------- 302,377	0 ------------- 75,943	0 ------------- 47,233	0 ------------- 51,277	0 ------------- 12,599	0 ------------- 489,429	0 ------------- 0
14Oren Phineas Chief Medical Officer	(i) (ii)	0 ------------- 399,101	0 ------------- 20,800	0 ------------- 27,049	0 ------------- 5,600	0 ------------- 9,699	0 ------------- 462,249	0 ------------- 0
15Hintze Paul Former Key Employee	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 459,402	0 ------------- 0	0 ------------- 0	0 ------------- 459,402	0 ------------- 0
16Weilbacher Robyn CNO	(i) (ii)	0 ------------- 283,803	0 ------------- 52,749	0 ------------- 33,718	0 ------------- 68,577	0 ------------- 12,805	0 ------------- 451,652	0 ------------- 0
17Kluesner Gretchen Physician & Board Member	(i) (ii)	0 ------------- 297,857	0 ------------- 6,501	0 ------------- 29,914	0 ------------- 15,400	0 ------------- 9,102	0 ------------- 358,774	0 ------------- 0
18Scoffic Denise VP-Finance	(i) (ii)	0 ------------- 266,584	0 ------------- 15,101	0 ------------- 27,244	0 ------------- 32,913	0 ------------- 6,590	0 ------------- 348,432	0 ------------- 0
19Timmerman John VP Operations	(i) (ii)	0 ------------- 313,120	0 ------------- 15,451	0 ------------- 745	0 ------------- 2,800	0 ------------- 15,812	0 ------------- 347,928	0 ------------- 0
20Hannasch Susan Former Officer	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 347,134	0 ------------- 0	0 ------------- 0	0 ------------- 347,134	0 ------------- 0
21Geldbach Patricia L Former Key Employee	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 315,641	0 ------------- 0	0 ------------- 0	0 ------------- 315,641	0 ------------- 0
22Bollin Steven J Former Key Employee	(i) (ii)	0 ------------- 72,850	0 ------------- 9,411	0 ------------- 201,651	0 ------------- 14,537	0 ------------- 5,464	0 ------------- 303,913	0 ------------- 0
23Kalicak Donald Former Key Employee	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 303,091	0 ------------- 0	0 ------------- 0	0 ------------- 303,091	0 ------------- 0
24Rothermich Anthony Administrator, Mercy Hosp Lincoln	(i) (ii)	0 ------------- 202,635	0 ------------- 11,180	0 ------------- 36,691	0 ------------- 31,905	0 ------------- 15,547	0 ------------- 297,958	0 ------------- 0
25Longenecker Robert Manager - Perfusion	(i) (ii)	0 ------------- 202,244	0 ------------- 4,640	0 ------------- 33,509	0 ------------- 30,463	0 ------------- 11,860	0 ------------- 282,716	0 ------------- 0
26Flynn Enda VP Operations	(i) (ii)	0 ------------- 117,093	0 ------------- 12,299	0 ------------- 118,845	0 ------------- 9,800	0 ------------- 3,447	0 ------------- 261,484	0 ------------- 0
27Wood Sara Physician	(i) (ii)	0 ------------- 221,708	0 ------------- 0	0 ------------- 24,188	0 ------------- 9,031	0 ------------- 3,949	0 ------------- 258,876	0 ------------- 0
28Pollock Mark Director - Pharmacy	(i) (ii)	0 ------------- 48,050	0 ------------- 2,827	0 ------------- 155,845	0 ------------- 33,709	0 ------------- 4,722	0 ------------- 245,153	0 ------------- 0
29Frigo Steve Executive Director - Pharmacy	(i) (ii)	0 ------------- 171,745	0 ------------- 6,295	0 ------------- 29,836	0 ------------- 9,418	0 ------------- 614	0 ------------- 217,908	0 ------------- 0
30Garcia MD Eduardo Physician & Board Member	(i) (ii)	0 ------------- 129,192	0 ------------- 0	0 ------------- 26,187	0 ------------- 20,531	0 ------------- 8,047	0 ------------- 183,957	0 ------------- 0
31Thorn Mark A Exec Director, Finance	(i) (ii)	0 ------------- 127,064	0 ------------- 4,738	0 ------------- 25,421	0 ------------- 7,213	0 ------------- 6,059	0 ------------- 170,495	0 ------------- 0

Schedule J (Form 990) 2020

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
Part I, Line 1a	CHARTER TRAVEL IS PROVIDED TO CERTAIN EMPLOYEES AS AND WHEN APPROPRIATE, AND AS DEEMED NECESSARY FOR BUSINESS TRAVEL. AFTER CHARTER TRAVEL APPROVAL HAS BEEN GRANTED IN ACCORDANCE WITH THE FINANCIAL JUSTIFICATION PROCESS, THE APPROVED CHARTER TRAVEL FOR BUSINESS IS A REIMBURSABLE EXPENSE WHICH IS NOT TAXABLE TO THE EMPLOYEES. IN ANY CIRCUMSTANCE IN WHICH CHARTER TRAVEL IS MADE AVAILABLE TO EMPLOYEES AND/OR SPOUSES/GUESTS FOR PERSONAL REASONS, MERCY POLICY REQUIRES TRACKING OF SUCH USE AND TAXATION OF THE EMPLOYEE(S) ACCORDINGLY. TRAVEL FOR COMPANIONS FOR NONBUSINESS REASONS IS PROVIDED IN CERTAIN INSTANCES AND IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. WHERE COMPANION TRAVEL HAS RESULTED IN A TAXABLE EVENT, THE EMPLOYEES ARE TAXED FOR SUCH TRAVEL. SPOUSAL TRAVEL WAS PROVIDED FOR TWO OFFICERs. LIMITED INSTANCES OF TAX GROSS-UPS OCCURRED WITH RESPECT TO EXECUTIVES.
Part I, Lines 4a-b	The following received severance pay: Patricia Geldbach $315,641; Susan Hannasch $347,134; Paul Hintze $459,402; Donald Kalicak $303,091; Debra Yost $147,251; Steven Bollin $122,312; Enda Flynn $106,217; Mark Pollock $94,106 Part I, Line 4B: Mercy Health, the ultimate parent company, offers a supplemental retirement plan to certain executives which provide benefits upon vesting date based on compensation, age at the time of benefit commencement, length of service with the company and/or its affiliates, and length of tenure in the plan. The following individuals participated in the plan: Johnston, Jeffrey; Sorensen,Donn; Eoloff,Eric; Crain, Christine; Geldbach, Patricia; Hintze, Paul; Kalicak, Don; Matejka, Cheryl L; Kahn MD, Joseph; Hannasch,Susan; Weilbacher,Robyn; Nelson,Kathryn; Yost,Deb; Mackin,Steve; Chalk, David The amount of all accrued benefits is included in compensation amounts provided in Schedule J, Part II, Column (C). THE AMOUNTS REPORTED FOR JOSEPH KAHN, CHRISTINE CRAIN, DONN SORENSEN, JEFF JOHNSTON, CHERYL MATEJKA, DAVID CHALK, ERIC EOLOFF, AND DEB YOST 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 SUPPLEMENTAL RETIREMENT PLAN AND EXECUTIVE RETENTION PLAN AND WERE INCLUDED IN COLUMN (C) OF PREVIOUSLY FILED FORMS 990.
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

Schedule J (Form 990) 2020

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

MERCY HOSPITALS EAST COMMUNITIES

Employer identification number

43-0653493

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2020

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) Cheryl Crain	Family Member of Christine Crain, Key Employee	50,379	Employment arrangement, Mercy Hospitals East Communities		No
(2) Christine Bolin	Family Member of Steven Bollin, Key Employee	70,351	Employment arrangement, Mercy Hospitals East Communities		No
(3) Erika Kluesner	Family member of Gretchen Kluesner, board member	38,848	Employment arrangement, Mercy Hospitals East Communities		No
(4) Mallory Lang	Family member of key employee (Christine Crain)	29,115	Employment arrangement, Mercy Hospitals East Communities		No
(5) Margaret Lang	Family member of key employee Christine Crain	84,674	Employment arrangement, Mercy Hospitals East Communities		No
(6) Dennis Coleman	Board member has business relationship	77,244	Business transaction		No
(7) Judy Tobben	Family member of board member (Louis Eckelkamp Jr)	12,361	Employment arrangement, Mercy Hospitals East Communities		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2020

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization

MERCY HOSPITALS EAST COMMUNITIES

Employer identification number

43-0653493

Return Reference	Explanation
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	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 the Mercy Health 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 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, 2021. 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 15b	For those classified as officers (and thus Disqualified Persons), Mercy Health (ultimate parent company) uses the following to establish the compensation: external market salary surveys, external market salary studies, engagement of an independent compensation consultant, and annual review/approval of compensation by the Compensation Committee of the Mercy Health Board. For those classified as key employees, the organization uses the following to establish the compensation: external market salary surveys, external market salary studies, and review/approval of executive management. 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:	Net Transfers to/from Affiliates -323,505,942. Change in Restricted Net Assets 868,918. Other Changes in Net Assets 43,839. JV Non Operating Revenues -39.
Part XII, Line 2	Audited Financial Statements The filing organization's financial statements were included in the Mercy Health and Subsidiaries annual financial statement audit. The Mercy Health and Subsidiaries received an unqualified opinion from the external auditors for fiscal 2021 (the tax year currently being reported). However, no separate audit opinion is 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, Line 3A and 3B	SINGLE AUDIT ACT AND 2 CFR 200 AUDIT MERCY HEALTH UNDERGOES A CONSOLIDATED 2 CFR 200 AUDIT EVERY YEAR. THIS AUDIT IS UNDERWAY FOR THE FISCAL YEAR ENDING JUNE 30, 2021 AND WILL BE COMPLETED BY SEPTEMBER 30, 2022. 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, 2021, 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, 2021: ENTITY FEIN Mercy Hospitals East Communities St. Louis 43-0653493 Mercy Hospitals East Communities Washington 43-1066883 Mercy Support Services 43-1677952
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.
COVID-19	Early in 2020, the Mercy Health System was called to serve as the COVID-19 pandemic swept across the world. During FY 2021, it continued to be a difficult time for all healthcare providers. All Mercy facilities adjusted operations for the impacts of the pandemic which meant making changes to patient care areas and cancelling most of our outpatient procedures for periods of time. 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's total system net patient revenues were reduced during the year due to surges in the communities we serve. Mercy did receive funding from the Coronavirus Aid Relief and Economic Security Act ("CARES Act"). Mercy received CARES Act funding across various entities for the year ended June 30, 2021 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. The impact of COVID-19 was significant to our communities and coworkers as unemployment rates soared and Mercy acted quickly to provide continuous care to patients and the community. Mercy continues to monitor the impacts of the pandemic both to the health system and the communities served as we continue to provide assistance and maintain access to care within our communities.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2020

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

MERCY HOSPITALS EAST COMMUNITIES

Employer identification number

43-0653493

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) Mercy Behavioral Health LLC 14528 S Outer Forty Chesterfield,MO63017 46-0568680	Healthcare Services	MO	0	0	Mercy Hospitals East Communities
(2) Mercy Childrens Therapy and Development LLC 645 Maryville CentreSte 100 St Louis,MO63141 45-5327629	Billing entity	MO	6,042,872	497,682	Mercy Hospitals East Communities
(3) Mercy Clinic Adult Critical Care LLC 615 SNew Ballas Road StLouis,MO63141 20-1626965	Physician Services	MO	5,554,187	8,962	Mercy Hospitals East Communities
(4) Mercy Clinic Adult Hospitalists- Washington LLC 901 E Fifth Street Washington,MO63090 26-2961433	Hospitalist Services	MO	7,008,111	0	Mercy Hospitals East Communities
(5) Mercy Clinic Adult Hospitalists-St Louis LLC 645 Maryville CentreSte 100 StLouis,MO63141 43-1854902	Healthcare Services	MO	25,966,780	118,645	Mercy Hospitals East Communities
(6) Mercy Clinic Children's Critical Care LLC 645 Maryville CentreSte 100 StLouis,MO63141 43-1854108	Healthcare Services	MO	320,535	503	Mercy Hospitals East Communities
(7) Mercy Clinic Children's Hospitalists-St Louis LLC 645 Maryville CentreSte 100 StLouis,MO63141 43-1708560	Healthcare Services	MO	1,351,892	0	Mercy Hospitals East Communities
(8) Mercy Clinic Children's Palliative Care LLC 645 Maryville CentreSte 100 St Louis,MO63141 45-4436211	Physician Services	MO	0	0	Mercy Hospitals East Communities
(9) Mercy East Support Services LLC 14528 S Outer Forty Chesterfield,MO63017 46-1048366	Healthcare services	MO	55,364	2,909	Mercy Hospitals East Communities
(10) Mercy Health Services LLC 645 Maryville CentreSte 100 StLouis,MO63141 43-1664148	Healthcare Services & Products	MO	40,428,159	3,951,583	Mercy Hospitals East Communities
(11) Mercy Hospital St Louis Professional Surgical Services LLC 14528 S Outer Forty Chesterfield,MO63017 81-1258305	Contracting organization	MO	6,082	83,369	Mercy Hospitals East Communities
(12) Mercy Labs St Louis LLC 14528 S Outer Forty Chesterfield,MO63017 46-3092721	Laboratory Services	MO	20,447,715	0	Mercy Hospitals East Communities
(13) Mercy Labs Washington LLC 14528 S Outer Forty Chesterfield,MO63017 46-3093014	Laboratory Services	MO	4,206,432	0	Mercy Hospitals East Communities
(14) Mercy Neuropsychology Services LLC 615 SNew Ballas Road StLouis,MO63141 26-1216912	Neurophsychology Services	MO	1,305,490	43,383	Mercy Hospitals East Communities
(15) Mercy Orthopaedic Trauma Services LLC 615 SNew Ballas Road StLouis,MO63141 06-1785022	Healthcare Services	MO	5,127	0	Mercy Hospitals East Communities
(16) Mercy Women's Services LLC 615 S New Ballas Road St Louis,MO63141 46-0847235	Healthcare services	MO	0	0	Mercy Hospitals East Communities
(17) St John's Mercy Therapy Services LLC 615 SNew Ballas Road StLouis,MO63141 81-0671798	Inactive	MO	0	0	Mercy Hospitals East Communities
(18) Mercy Labs South LLC 14528 South Outer Forty Suite 100 Chesterfield,MO63017 83-3541066	Laboratory Services	MO	3,777,277	0	Mercy Hospitals East Communities

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)Casa de Misericordia 1000 Mier Street Laredo,TX78040 74-2912461	Women's domestic violence shelter	TX	501c3	7	Mercy Ministries of Laredo	Yes
(2)McAuley Portfolio Mgmt Co 14528 S Outer Forty St 100 Chesterfield,MO63017 26-1708048	Portfolio management	MO	501c3	11-II	Mercy Health	Yes
(3)Mercy ACO Clinical Services Inc 14528 S Outer Forty St 100 Chesterfield,MO63017 46-4504901	Virtual Care Center	MO	501c3	3	Mercy Health	Yes
(4)Mercy Clinic East Communities 645 Maryville Ctr Dr Ste 100 St Louis,MO63141 43-1771217	Physician Group	MO	501c3	9	Mercy Health East Communities	Yes
(5)Mercy Clinic Fort Smith Comm 7301 Rogers Avenue Fort Smith,AR72917 26-1318597	Physician Clinic	AR	501c3	9	Mercy Health Fort Smith Comm	Yes
(6)Mercy Clinic Oklahoma Comm 4300 W Memorial Road Oklahoma City,OK73120 27-0473057	Physician Group	OK	501c3	3	Mercy Health OK Communities	Yes
(7)Mercy Clinic Springfield Comm 1965 Fremont Street Suite 2950 Springfield,MO65804 43-1560263	Physician Group	MO	501c3	3	Mercy Health Springfield Comm	Yes
(8)Mercy Family Center 14528 S Outer Forty St 100 Chesterfield,MO63017 72-1069468	Family counseling services	LA	501c3	7	Mercy Health	Yes
(9)Mercy Health 14528 S Outer Forty St 100 Chesterfield,MO63017 43-1423050	Corporate Office	MO	501c3	1	N/A		No
(10)Mercy Health East Communities 645 Maryville Ctr Dr Ste 100 St Louis,MO63141 43-1718408	Health System	MO	501c3	11-II	Mercy Health	Yes
(11)Mercy Health Fort Smith Comm 7301 Rogers Avenue Fort Smith,AR72917 26-1318515	Holding Company	AR	501c3	11-II	Mercy Health	Yes
(12)Mercy Health Foundation 14528 S Outer Forty St 100 Chesterfield,MO63017 20-0901499	Foundation	MO	501c3	11-II	Mercy Health	Yes
(13)Mercy Health Foundation Ada 430 N Monte Vista Street Ada,OK74820 46-3596274	Foundation	OK	501c3	11-I	Mercy Hospital Ada	Yes
(14)Mercy Health Foundation Ardmore 1011 14th Avenue NW Ardmore,OK73401 71-0962525	Foundation	OK	501c3	11-I	Mercy Hospital Ardmore	Yes
(15)Mercy Health Foundation Berryville 214 Carter Street Berryville,AR72616 71-0759301	Foundation	AR	501c3	11-I	Mercy Hospital Berryville	Yes
(16)Mercy Health Foundation Ft Scott 401 Woodland Hills Blvd Fort Scott,KS66701 48-1077073	Foundation	KS	501c3	11-III	Mercy Kansas Communities Inc	Yes
(17)Mercy Health Foundation Fort Smith 7301 Rogers Avenue Fort Smith,AR72917 23-7330425	Foundation	AR	501c3	7	Mercy Hospital Fort Smith	Yes
(18)Mercy Health Foundation Jefferson 1400 US Highway 61 South Festus,MO63028 46-2797051	Foundation	MO	501c3	11-II	Mercy Hospital Jefferson	Yes
(19)Mercy Health Foundation Joplin 100 Mercy Way Joplin,MO64804 27-0906136	Foundation	MO	501c3	11-I	Mercy Health SW MOKS Comm	Yes
(20)Mercy Health Foundation Lebanon 100 Hospital Drive Lebanon,MO65536 82-2514567	Foundation	MO	501c3	11-II	Mercy Hospital Lebanon	Yes
(21)Mercy Health Foundation Lincoln 1000 East Cherry Street Troy,MO63379 81-1477159	Foundation	MO	501c3	11-II	Mercy Health East Communities	Yes
(22)Mercy Health Foundation NW Ark 2710 Rife Medical Ln Rogers,AR72858 71-0601687	Foundation	AR	501c3	11-III	Mercy Hospital Rogers	Yes
(23)Mercy Health Foundation of OK 4300 W Memorial Road Oklahoma City,OK73120 45-4732301	Foundation	OK	501c3	11-I	Mercy Health OK Communities	Yes
(24)Mercy Health Foundation OK City 4300 W Memorial Road Oklahoma City,OK73120 46-3184231	Foundation	OK	501c3	11-I	Mercy Health OK Communities	Yes
(25)Mercy Health Foundation Springfield 1235 E Cherokee Street Springfield,MO65804 32-0195818	Foundation	MO	501c3	11-II	Mercy Health Springfield Comm	Yes
(26)Mercy Health Foundation St Francis 100 W Highway 60 Mountain View,MO65548 43-1873914	Foundation	MO	501c3	11-I	Mercy St Francis Hospital	Yes
(27)Mercy Health Foundation STL 615 South New Ballas Road St Louis,MO63141 56-2410020	Foundation	MO	501c3	11-II	Mercy Health East Communities	Yes
(28)Mercy Health Foundation Washington 901 E Fifth Street Washington,MO63090 56-2410022	Foundation	MO	501c3	11-II	Mercy Health East Communities	Yes
(29)Mercy Health NW Ark Communities 2710 Rife Medical Ln Rogers,AR72758 62-1684203	Physician Group	AR	501c3	11-II	Mercy Health	Yes
(30)Mercy Health OK Communities 4300 W Memorial Road Oklahoma City,OK73120 73-1453048	Health System	OK	501c3	11-II	Mercy Health	Yes
(31)Mercy Health Plans of MissouriInc 3265 S National Avenue Springfield,MO65807 32-0481419	HMO	MO	501c4		Mercy Health	Yes
(32)Mercy Health PlansInc 3265 S National Avenue Springfield,MO65807 32-0486150	PPO	MO	501c4		Mercy Health Plans of MissouriInc	Yes
(33)Mercy Health SW MOKS Comm 100 Mercy Way Joplin,MO64804 30-0584463	Health System	MO	501c3	11-II	Mercy Health	Yes
(34)Mercy Health Springfield Comm 1235 E Cherokee Street Springfield,MO65804 43-1856028	Health System	MO	501c3	11-II	Mercy Health	Yes
(35)Mercy Hospital Ada Inc 430 N Monte Vista Street Ada,OK74820 46-2288155	Hospital	OK	501c3	3	Mercy Health OK Communities	Yes
(36)Mercy Hospital Ardmore 1011 14th Avenue NW Ardmore,OK73401 73-1500629	Hospital	OK	501c3	3	Mercy Health OK Communities	Yes
(37)Mercy Hospital Aurora 500 Porter Avenue Aurora,MO65605 43-1936696	Hospital	MO	501c3	3	Mercy Health Springfield Comm	Yes
(38)Mercy Hospital Berryville 214 Carter Street Berryville,AR72616 71-0759299	Hospital	AR	501c3	3	Mercy Health NW Ark Communities	Yes
(39)Mercy Hospital Booneville 880 West Main Street Booneville,AR72927 46-3851119	Hospital	AR	501c3	3	Mercy Hospital Fort Smith	Yes
(40)Mercy Hospital Carthage 3125 Dr Russell Smith Way Carthage,MO64836 45-3808607	Hospital	MO	501c3	3	Mercy Health SW MOKS Comm	Yes
(41)Mercy Hospital Cassville 94 Main Street Cassville,MO65625 43-1936699	Hospital	MO	501c3	3	Mercy Health Springfield Comm	Yes
(42)Mercy Hospital Columbus 220 Pennsylvania Avenue Columbus,KS66725 27-0842031	Hospital	MO	501c3	3	Mercy Health SW MOKS Comm	Yes
(43)Mercy Hospital El Reno 2115 Parkview Drive El Reno,OK73036 27-2716065	Hospital - Inactive	OK	501c3	3	Mercy Hospital Oklahoma City	Yes
(44)Mercy Hospital Fort Smith 7301 Rogers Avenue Fort Smith,AR72917 71-0240352	Hospital	AR	501c3	3	Mercy Health Fort Smith Comm	Yes
(45)Mercy Hospital Healdton Inc 3462 Hospital Rd Healdton,OK73438 26-3173902	Hospital	OK	501c3	3	Mercy Hospital Ardmore Inc	Yes
(46)Mercy Hospital Jefferson 1400 Highway 61 South Festus,MO63028 43-0687077	Hospital	MO	501c3	3	Mercy Health East Communities	Yes
(47)Mercy Hospital Joplin 100 Mercy Way Joplin,MO64804 27-0814858	Hospital	MO	501c3	3	Mercy Health SW MOKS Comm	Yes
(48)Mercy Hospital Kingfisher Inc 1000 Hospital Circle Kingfisher,OK73750 46-3433074	Hospital	OK	501c3	3	Mercy Hospital Oklahoma City	Yes
(49)Mercy Hospital Lebanon 100 Hospital Drive Lebanon,MO65536 43-1767432	Hospital	MO	501c3	3	Mercy Health Springfield Comm	Yes
(50)Mercy Hospital Lincoln 1000 East Cherry Street Troy,MO63379 47-2219204	Hospital	MO	501c3	3	Mercy Health East Communities	Yes
(51)Mercy Hospital Logan County Inc 200 South Academy Guthrie,OK73044 45-2998842	Hospital	OK	501c3	3	Mercy Hospital Oklahoma City	Yes
(52)Mercy Hospital Oklahoma City 4300 W Memorial Road Oklahoma City,OK73120 73-0579285	Hospital	OK	501c3	3	Mercy Health OK Communities	Yes
(53)Mercy Hospital Ozark 801 W River Street Ozark,AR72949 71-0689680	Hospital	AR	501c3	3	Mercy Hospital Fort Smith	Yes
(54)Mercy Hospital Paris 500 E Academy Paris,AR72855 71-0655753	Hospital	AR	501c3	3	Mercy Hospital Fort Smith	Yes
(55)Mercy Hospital Rogers 2710 Rife Medical Ln Rogers,AR72758 71-0294390	Hospital	AR	501c3	3	Mercy Health NW Ark Communities	Yes
(56)Mercy Hospital Springfield 1235 E Cherokee Street Springfield,MO65804 44-0552485	Hospital	MO	501c3	3	Mercy Health Springfield Comm	Yes
(57)Mercy Hospital Tishomingo 1000 South Byrd Tishomingo,OK73460 27-4433830	Hospital	OK	501c3	3	Mercy Hospital Ada	Yes
(58)Mercy Hospital Waldron 1341 W 6th Street Waldron,AR72958 71-0557895	Hospital	AR	501c3	3	Mercy Hospital Fort Smith	Yes
(59)Mercy Hospital Watonga Inc 500 Clarence Nash Blvd Watonga,OK73772 45-5199762	Hospital	OK	501c3	3	Mercy Hospital Oklahoma City	Yes
(60)Mercy Kansas Communities Inc 401 Woodland Hills Blvd Ft Scott,KS66701 48-0956045	Hospital	KS	501c3	3	Mercy Health SW MOKS Comm	Yes
(61)Mercy Ministries of Laredo 2500 Zacatecas Laredo,TX78043 20-0198462	Outreach	TX	501c3	7	Mercy Health	Yes
(62)Mercy Research 524 North Booneville Avenue Springfield,MO65802 87-0796305	Research	MO	501c3	4	Mercy Health	Yes
(63)Mercy St Francis Hospital 100 W Highway 60 Mountain View,MO65548 44-0607149	Hospital	MO	501c3	3	Mercy Health Springfield Comm	Yes
(64)MHM Support Services 14528 S Outer Forty St 100 Chesterfield,MO63017 20-2553101	Centralized Health System Functions	MO	501c3	11-II	Mercy Health	Yes
(65)Mission Clinical Services 300 Werner Street Hot Springs,AR71913 13-4239691	Child Advocacy Center	AR	501c3	9	Mercy Health	Yes
(66)Mercy Health Foundation South 10010 Kennerly Road St Louis,MO63128 26-1516789	Foundation	MO	501c3	11-II	Mercy Hospital South	Yes
(67)Mercy Hospital South 10010 Kennerly Road St Louis,MO63128 43-0980256	Hospital	MO	501c3	3	Mercy Health East Communities	Yes
(68)St Anthony's Physician Organization 10010 Kennerly Road St Louis,MO63128 43-1784536	Health care	MO	501c3	3	Mercy Hospital South	Yes
(69)St Marys Hosp Enid Ok 14528 S Outer Forty St 100 Chesterfield,MO63017 73-0614655	Inactive	OK	501c3	3	Mercy Health OK Communities	Yes
(70)Unity Ambulatory Care 14528 S Outer Forty St 100 Chesterfield,MO63017 43-1861745	Inactive	MO	501c3	11-III	Mercy Health East Communities	Yes
(71)Mercy Specialty Hospital Southeast Kansas 1619 W 7th Street Galena,KS66739 84-3730625	Hospital	KS	501c3	3	Mercy Health SW MOKS Comm	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2020

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) Plaza Surgery Services Company LLC 12700 Southfork Road St Louis,MO63128 20-4709312	Inactive	MO	MERCY HOSPITAL SOUTH	N/A				No			No
(2) Mercy Ambulatory Surgery Center LLC 7301 Rogers Avenue FORT SMITH,AR72917 71-0827721	Ambulatory Surgery Center	AR	MERCY HOSPITAL FORT SMITH	N/A				No			No
(3) Fort Smith Emergency Medical Services 1701 South Greenwood FORT SMITH,AR72901 71-0416615	Emergency Medical Services	AR	MERCY HOSPITAL FORT SMITH	N/A				No			No
(4) St Edward Mercy Med Ctr M-P Off Bldg 7301 Rogers Avenue FORT SMITH,AR72903 71-0554050	Office building	AR	MERCY HOSPITAL FORT SMITH	N/A				No			No
(5) Platinum CPS Holdings LLC 14528 S Outer Forty Suite 100 Chesterfield,MO63017 84-2493007	Holding Company	MO	MERCY MANAGED CARE CORPMERCY HEALTH	N/A				No			No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) Frontenac Properties Inc 14528 S Outer Forty Suite 100 Chesterfield,MO63017 52-1914421	Holds ancillary assets & owns aircraft	DE	MERCY HEALTH	C					No
(2) Inveno Health Inc 1235 E Cherokee Street Springfield,MO65804 26-4509571	Technology transfer company	MO	MERCY HEALTH SPRINGFIELD COMM	C					No
(3) Unity Support Services Inc 645 Maryville Centre Drive Suite 10 St Louis,MO63141 43-1797042	Inactive	MO	MERCY HEALTH EAST COMMUNITIES	C					No
(4) UH L Corp Inc 645 Maryville Centre Drive Suite 10 St Louis,MO63141 74-2499535	Holding company	MO	MERCY HEALTH SERVICES LLC	C			100.000 %		No
(5) Mercy Health Center Condominium Inc 4300 W Memorial Rd Oklahoma City,OK73120 68-0640970	Administrator of certain real property and improvements	OK	MERCY HOSPITAL OKLAHOMA CITYINC	C					No
(6) Mercy Managed Care Corporation 4300 W Memorial Road Oklahoma City,OK73120 73-1441665	Holding company	OK	MERCY HEALTH	C					No
(7) Mercy Commercial Services Inc 14528 South Outer Forty Suite 100 Chesterfield,MO63017 46-4953543	Corp Parent of VCC taxable commercializ svcs	OK	MHN Inc and MHNSR INC	C					No
(8) St Anthony's Physician Organization of Illinois 10010 Kennerly Road St Louis,MO63128 32-0457168	Health Care	MO	Mercy Hospital South	C					No
(9) McAuley Insurance Company Ltd Aon House 30 Woodbourne Avenue Pembroke HM 08 BD	Inactive	BD	Mercy Health	C					No

Schedule R (Form 990) 2020

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) Mercy Health Foundation St Louis	C	2,745,606	FMV
(2) Mercy Health Foundation Washington	C	105,190	FMV
(3) Mercy ACO Clinical Services	Q	19,898,023	FMV
(4) Mercy Clinic East Communities	P	51,998	FMV
(5) Mercy Clinic Fort Smith Communities	P	17,793	FMV
(6) Mercy Clinic Oklahoma Communities Inc	P	59,441	FMV
(7) Mercy Clinic Springfield Communities	P	9,432	FMV
(8) Mercy Health East Communities	Q	158,307,042	FMV
(9) Mercy Health Fort Smith Communities	P	3,622	FMV
(10) Mercy Health Foundation St Louis	Q	115,494	FMV
(11) Mercy Health Foundation Washington	Q	21,880	FMV
(12) Mercy Health NW Arkansas Communities	P	210	FMV
(13) Mercy Health Oklahoma Communities	Q	43,320	FMV
(14) Mercy Health Springfield Communities	Q	189,792	FMV
(15) Mercy Health SW MOKAN Communities	P	3,269	FMV
(16) Mercy Hospital Ada Inc	P	11,385	FMV
(17) Mercy Hospital Ardmore	P	8,780	FMV
(18) Mercy Hospital Aurora	Q	604	FMV
(19) Mercy Hospital Booneville	P	1,526	FMV
(20) Mercy Hospital Carthage	P	5,902	FMV
(21) Mercy Hospital Columbus	P	1,135	FMV
(22) Mercy Hospital Fort Smith	Q	24,973	FMV
(23) Mercy Hospital Healdton	P	1,067	FMV
(24) Mercy Hospital Jefferson	P	19,536	FMV
(25) Mercy Hospital Joplin	P	23,946	FMV
(26) Mercy Hospital Kingfisher Inc	P	2,328	FMV
(27) Mercy Hospital Lebanon	P	30	FMV
(28) Mercy Hospital Lincoln	P	6,435	FMV
(29) Mercy Hospital Logan County Inc	P	3,144	FMV
(30) Mercy Hospital Oklahoma City	P	60,870	FMV
(31) Mercy Hospital Ozark	P	1,050	FMV
(32) Mercy Hospital Paris	P	1,288	FMV
(33) Mercy Hospital Rogers	P	52,067	FMV
(34) Mercy Hospital South	P	156,657	FMV
(35) Mercy Hospital Springfield	P	77,690	FMV
(36) Mercy Hospital Tishomingo	P	1,382	FMV
(37) Mercy Hospital Waldron	P	1,367	FMV
(38) Mercy Hospital Watonga Inc	P	1,058	FMV
(39) Mercy Kansas Communities	P	60	FMV
(40) Mercy Research	P	265,984	FMV
(41) Mercy Specialty Hospital Southeast Kansas	P	3,649	FMV
(42) Mercy St Francis Hospital	P	150,344	FMV
(43) MHM Support Services	P	167,217,129	FMV
(44) Mission Clinical Services	P	315	FMV
(45) St Anthony's Physician Organization	P	67,664	FMV

Schedule R (Form 990) 2020

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2020

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2020

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: Mercy Hospitals East Communities operates two hospitals that are located in Creve Coeur (St. Louis metropolitan area) and Washington, MO.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	19
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	17
5	Total number of individuals employed in calendar year 2020 (Part V, line 2a) ......	5	43
6	Total number of volunteers (estimate if necessary) .............	6	524
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	894,335
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	101,804

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	3,317,011	4,073,940
9	Program service revenue (Part VIII, line 2g) .........	1,524,884,919	1,607,898,559
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	8,342,424	8,468,578
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	10,996,230	16,198,043
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,547,540,584	1,636,639,120
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	4,332,854	5,252,770
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	534,621,497	539,697,787
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	772,539,775	792,283,755
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,311,494,126	1,337,234,312
19	Revenue less expenses. Subtract line 18 from line 12.......	236,046,458	299,404,808
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	672,855,042	669,608,370
21	Total liabilities (Part X, line 26).............	41,352,999	61,294,743
22	Net assets or fund balances. Subtract line 21 from line 20.....	631,502,043	608,313,627

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 136,264,117 including grants of $ ) (Revenue $ 225,154,133 )
	Mercy Hospitals East Communities (""MHEC"") 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, MHEC provides a wide range of services including oncology services. In FY21, MHEC had 86,536 cases and 5,793 patient days for this service line.

4b	(Code: ) (Expenses $ 130,831,332 including grants of $ ) (Revenue $ 177,257,555 )
	MHEC provides cardiovascular services. In FY21, MHEC had 63,753 cases and 25,025 patient days for this service line.

4c	(Code: ) (Expenses $ 55,553,924 including grants of $ ) (Revenue $ 88,617,144 )
	MHEC provides NICU services. In FY21, MHEC had 1,466 cases and 30,261 patient days for this service line.

	(Code: ) (Expenses $ 828,316,792 including grants of $ 5,252,770 ) (Revenue $ 1,124,932,985 )
	In FY21, MHEC provided other services including: gastroenterology services, women and infant care, homecare and hospice services, behavioral health service, rehab services, emergency services, radiology services, lab services, etc.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 828,316,792 including grants of $ 5,252,770 ) (Revenue $ 1,124,932,985 )
4e	Total program service expenses1,150,966,165

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	0	23,663,683	1,369,182

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	2,850,796
e	Government grants (contributions)		1e	790,479

f	All other contributions, gifts, grants, and similar amounts not included above		1f	432,665

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		4,073,940

		Business Code
2a	NET PATIENT REVENUE	622110	1,566,020,390	1,566,020,390
b	OTHER OPERATING REVENU	622110	19,816,749	19,816,749
c	REFERENCE LABS	621500	14,075,130	14,058,995	16,135
d	RENT REVENUE FROM RELA	531120	7,983,290	7,983,290
e	MANAGEMENT FEE	900099	3,000	3,000
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		1,607,898,559

3 Investment income (including dividends, interest, and othersimilar amounts) ......			8,468,578			8,468,578
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		1,907,104	6a
b	Less: rental expenses		967,912	6b
c	Rental income or (loss)		939,192	6c
d	Net rental income or (loss).......			939,192			939,192
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory			7a
b	Less: cost or other basis and sales expenses			7b
c	Gain or (loss)			7c
d	Net gain or (loss).........
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	Cafeteria & vending		722212	6,317,393			6,317,393
b	Optical - Retail		624100	878,200		878,200
c	Deferred Revenue		900099	539,010	539,010
d	All other revenue ....			7,524,248	7,524,248
e	Total. Add lines 11a–11d ......			15,258,851
12	Total revenue. See instructions.....			1,636,639,120	1,615,945,682	894,335	15,725,163

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	5,252,770	5,252,770
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	340,189	340,189
7	Other salaries and wages........	444,395,813	425,153,450	19,242,363
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	9,555,760	9,141,893	413,867
9	Other employee benefits .......	54,165,158	51,819,917	2,345,241
10	Payroll taxes ...........	31,240,867	29,889,041	1,351,826
11	Fees for services (non-employees):
a	Management ......
b	Legal .........
c	Accounting ...........
d	Lobbying ...........	89,561		89,561
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	58,437,355	58,437,355
12	Advertising and promotion ....	65,877	48,647	17,230
13	Office expenses .......	18,727,853	16,332,883	2,394,970
14	Information technology ......	423,839	423,839
15	Royalties ..
16	Occupancy ...........	28,954,965	28,954,965
17	Travel ............	793,562	766,655	26,907
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	244,046	244,046
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	47,039,282	45,113,534	1,925,748
23	Insurance ...	7,024,160	1,805,943	5,218,217
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	DRUGS & MEDICAL EXPENSE	318,014,134	316,774,453	1,239,681
b	Shared Service Fees	239,259,894	88,526,161	150,733,733
c	Bad Debt Expense	59,543,584	59,543,584
d	Equipment Repairs & Mai	10,351,967	9,777,448	574,519
e	All other expenses	3,313,676	2,619,392	694,284
25	Total functional expenses. Add lines 1 through 24e	1,337,234,312	1,150,966,165	186,268,147	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			31,548,510	1	32,913,416
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			151,753,158	4	187,729,347
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........			781,250	7	312,500
8	Inventories for sale or use ............			20,251,606	8	20,737,536
9	Prepaid expenses and deferred charges ......			1,019,623	9	897,184
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,391,980,794
b	Less: accumulated depreciation	10b	993,873,243	414,501,663	10c	398,107,551
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....			3,573,244	12	4,442,070
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			24,380,359	14	24,380,359
15	Other assets. See Part IV, line 11 ...........			25,045,629	15	88,407
16	Total assets. Add lines 1 through 15 (must equal line 33)...			672,855,042	16	669,608,370

17	Accounts payable and accrued expenses .....	30,552,401	17	51,606,298
18	Grants payable ...	852,147	18	946,909
19	Deferred revenue .........	2,134,114	19	1,619,299
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	5,839,536	23	5,109,494
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	1,974,801	25	2,012,743
26	Total liabilities. Add lines 17 through 25..	41,352,999	26	61,294,743

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	627,928,800	27	603,871,556
28	Net assets with donor restrictions ...........	3,573,243	28	4,442,071
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	631,502,043	32	608,313,627
33	Total liabilities and net assets/fund balances ........	672,855,042	33	669,608,370