Form990
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Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
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OMB No. 1545-0047
2021
Open to Public Inspection
A For the 2021 calendar year, or tax year beginning 07-01-2021 , and ending 06-30-2022
BCheck if applicable:
CName of organization
MERCY CLINIC EAST COMMUNITIES
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
645 MARYVILLE CENTRE DRIVE STE 100
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
ST LOUIS, MO63141
D Employer identification number

43-1771217
E Telephone number

G Gross receipts $ 451,781,061
F Name and address of principal officer:
RAYMOND WEICK
645 MARYVILLE CENTRE DRIVE STE 100
ST LOUIS,MO63141
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.MERCY.NET
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. See instructions.
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 1994
M State of legal domicile: MO
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 41
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 0
5 Total number of individuals employed in calendar year 2021 (Part V, line 2a) ...... 5 1,057
6 Total number of volunteers (estimate if necessary) ............. 6 0
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 284,650 353,724
9 Program service revenue (Part VIII, line 2g) ......... 534,719,566 451,352,691
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 197,783 10,288
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 124,319 60,750
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 535,326,318 451,777,453
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 83,135 68,102
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) 445,028,165 494,382,937
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 211,237,018 157,225,282
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 656,348,318 651,676,321
19 Revenue less expenses. Subtract line 18 from line 12....... -121,022,000 -199,898,868
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 125,823,748 100,752,546
21 Total liabilities (Part X, line 26)............. 171,417,666 153,987,884
22 Net assets or fund balances. Subtract line 21 from line 20..... -45,593,918 -53,235,338
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
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Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2021)
Form 990 (2021)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 189,843,944 including grants of $ 0 ) (Revenue $ 137,303,972 )
MERCY CLINIC EAST COMMUNITIES PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY BY OFFERING ESSENTIAL HEALTH SERVICES TO ITS COMMUNITY. IN ACTIVE PURSUIT OF THIS MISSION, MERCY CLINIC EAST COMMUNITIES PROVIDES A WIDE VARIETY OF SERVICES IN THEIR CLINIC FACILITIES AND IN FY22, HAD 284 TOTAL ADVANCED PRACTICE PROVIDERS, 583 TOTAL PHYSICIANS, AND 2,180,687 TOTAL PATIENT VISITS. MERCY CLINIC EAST COMMUNITIES HAS A TEAM OF PEDIATRICIANS, FAMILY MEDICINE AND INTERNAL MEDICINE DOCTORS WHO CAN HANDLE ALL YOUR ROUTINE HEALTH CARE NEEDS. MERCY'S PRIMARY CARE PROVIDERS HELP WITH ANNUAL CHECKUPS, PREVENTIVE CARE AND HEALTH SCREENINGS, VACCINATIONS AND IMMUNIZATIONS, DIAGNOSIS AND CARE FOR COMMON ILLNESSES AND MINOR INJURIES, AND MANAGING MEDICINES. IN FY22, MERCY CLINIC EAST COMMUNITIES HAD 98 ADVANCED PRACTICE PROVIDERS, 162 PHYSICIANS, AND 711,781 PATIENT VISITS FOR THIS SERVICE LINE.
4b (Code:   ) (Expenses $ 61,272,582 including grants of $   ) (Revenue $ 44,315,181 )
MERCY CLINIC EAST COMMUNITIES OFFERS A FULL SPECTRUM OF WOMEN'S HEALTH SERVICES FROM ROUTINE CHECKUPS AND MAMMOGRAMS TO OBSTETRICS CARE TO MENOPAUSE TREATMENT. OUR MERCY TEAM PROVIDES SCREENING, PREVENTION AND TREATMENT, PREGNANCY AND CHILDBIRTH CARE, BREAST HEALTH CARE, AND GYNECOLOGIC CANCER CARE. IN FY22, MERCY CLINIC EAST COMMUNITIES HAD 20 ADVANCED PRACTICE PROVIDERS, 59 PHYSICIANS, AND 229,729 PATIENT VISITS FOR THIS SERVICE LINE.
4c (Code:   ) (Expenses $ 40,687,113 including grants of $   ) (Revenue $ 29,426,813 )
MERCY CLINIC EAST COMMUNITIES OFFERS COMPREHENSIVE HEART AND VASCULAR SERVICES, A WIDE VARIETY OF TREATMENT OPTIONS AND ADVANCED TECHNOLOGIES TO DIAGNOSE AND TREAT A FULL RANGE OF CONDITIONS. MERCY CLINIC EAST COMMUNITIES ALSO PROVIDES A FULL COMPLEMENT OF CARDIAC REHABILITATION, THERAPY AND EDUCATION SERVICES. IN FY22, MERCY CLINIC EAST COMMUNITIES HAD 24 ADVANCED PRACTICE PROVIDERS, 35 PHYSICIANS, AND 152,548 PATIENT VISITS FOR THIS SERVICE LINE.
(Code:   ) (Expenses $ 320,576,778 including grants of $ 68,102 ) (Revenue $ 240,367,475 )
IN ADDITION TO THE PROGRAM SERVICES DESCRIBED ABOVE, MERCY CLINIC EAST COMMUNITIES ALSO SERVES PATIENTS IN ADDITIONAL SERVICE LINES, INCLUDING BUT NOT LIMITED TO THE FOLLOWING AREAS: GASTROENTEROLOGY; HEMATOLOGY & ONCOLOGY; ORTHOPEDIC; PEDIATRICS; UROLOGY.
4d Other program services (Describe in Schedule O.)
(Expenses $ 320,576,778 including grants of $ 68,102 ) (Revenue $ 240,367,475 )
4e Total program service expensesMediumBullet612,380,417
Form 990 (2021)
Form 990 (2021)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment.........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part IIIClick to see attachment..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D, Part VI. Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XIIClick to see attachment......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions. ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
Form 990 (2021)
Form 990 (2021)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
22
Yes
 
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I .... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or 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? If "Yes," complete Schedule L, Part IIClick to see attachment...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part IIIClick to see attachment.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................Click to see attachment
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
28b
Yes
 
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ..
1a
0
b
Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
 
 
Form 990 (2021)
Form 990 (2021)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
1,057
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. See instructions.
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, any disqualified person, or mine operator engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2021)
Form 990 (2021)
Page 6
Part VI
Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
41
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
0
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
 
No
b
Describe on Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions.
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletKERRY DUNGER645 MARYVILLE CENTRE DRIVE STE 100   ST LOUIS,MO63141 (314) 364-3707
Form 990 (2021)
Form 990 (2021)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See the instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (box 5 of Form W-2, Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See the instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(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) 		(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) AHMAD UMRAAN......................................................................
PHYSICIAN & BOARD MEMBER
 70.00
.................
0.00 		X           837,548 0 22,186
(2) BIRNER NANCY......................................................................
PHYSICIAN & BOARD MEMBER
 50.00
.................
0.00 		X           544,497 0 21,560
(3) BLECKMAN CHRISTY......................................................................
PHYSICIAN & BOARD MEMBER
 50.00
.................
0.00 		X           555,708 0 8,349
(4) BROWN JEFFREY......................................................................
PHYSICIAN & BOARD MEMBER
 60.00
.................
0.00 		X           922,807 0 24,992
(5) BRYANT ANDY......................................................................
PHYSICIAN & BOARD MEMBER
 50.00
.................
0.00 		X           345,742 0 22,174
(6) CHACKO RUTH......................................................................
PHYSICIAN & BOARD MEMBER
 50.00
.................
0.00 		X           396,077 0 46,701
(7) CHALK MD DAVID E......................................................................
PRESIDENT, MERCY CLINIC FOUR RIVERS & BOARD MEMBER
 44.00
.................
2.00 		X   X       0 1,025,729 104,810
(8) CIARAMITA MD JEFFREY......................................................................
SVP CHIEF PHYSICIAN EXECUTIVE & BM
 1.00
.................
54.00 		X   X       0 1,375,830 127,049
(9) CLEVELAND MD JEANNE......................................................................
PHYSICIAN & BOARD MEMBER
 50.00
.................
0.00 		X           1,056,090 0 24,641
(10) CONTI ANNA......................................................................
PHYSICIAN & BOARD MEMBER
 40.00
.................
0.00 		X           567,450 0 16,031
(11) DESAI SUNNY......................................................................
PHYSICIAN & BOARD MEMBER
 60.00
.................
0.00 		X           618,189 0 7,701
(12) DONEGAN SHAUN......................................................................
PHYSICIAN & BOARD MEMBER
 40.00
.................
0.00 		X           960,381 0 22,186
(13) FINNIE JOHN......................................................................
PHYSICIAN & BOARD MEMBER
 50.00
.................
0.00 		X           1,159,216 0 22,446
(14) FRONCZAK THEODORE K......................................................................
VP OPERATIONS & BOARD MEMBER
 1.00
.................
49.00 		X           0 406,531 9,736
(15) GALLI DO WILLIAM......................................................................
PHYSICIAN & BOARD MEMBER
 50.00
.................
0.00 		X           398,825 0 20,361
(16) GARLAND KATHERINE......................................................................
PHYSICIAN & BOARD MEMBER
 50.00
.................
0.00 		X           267,398 0 13,965
(17) GARRETTO CHRISTINA......................................................................
PHYSICIAN & BOARD MEMBER
 50.00
.................
0.00 		X           234,434 0 16,670
Form 990 (2021)
Form 990 (2021)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(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) 		(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) GIOIA HEIDI........................................................................
NURSE PRACTITIONER & BOARD MEMBER
 1.00
.......................39.00 		X           0 130,146 20,916
(19) IYER MD KARTHIK........................................................................
CMO & BOARD MEMBER
 49.00
.......................1.00 		X           656,517 0 23,106
(20) JOURNAGAN MD KEVIN........................................................................
CAO & BOARD MEMBER
 50.00
.......................0.00 		X           468,754 0 23,367
(21) KARPMAN CRAIG........................................................................
PHYSICIAN & BOARD MEMBER
 50.00
.......................0.00 		X           571,946 0 25,693
(22) LIMPERT MD JONATHAN........................................................................
PHYSICIAN & BOARD MEMBER
 60.00
.......................0.00 		X           674,101 0 13,178
(23) MARTIN THOMAS........................................................................
PHYSICIAN & BOARD MEMBER
 50.00
.......................0.00 		X           422,192 0 24,431
(24) MAYES KARA........................................................................
PHYSICIAN & BOARD MEMBER
 50.00
.......................0.00 		X           269,020 0 23,022
(25) MENGES BRYAN J........................................................................
PHYSICIAN & BOARD MEMBER
 50.00
.......................0.00 		X           516,655 0 25,383
(26) MICHELSON RANDAL........................................................................
HOSPITALIST & BM
 50.00
.......................0.00 		X           434,554 0 22,093
(27) PERSCHBACHER JIM........................................................................
PHYSICIAN & BOARD MEMBER
 50.00
.......................0.00 		X           940,082 0 22,167
(28) PICKRELL AARON........................................................................
PHYSICIAN & BOARD MEMBER
 50.00
.......................0.00 		X           358,236 0 10,705
(29) REINBERG JASON........................................................................
PHYSICIAN & BOARD MEMBER
 44.00
.......................0.00 		X           645,865 0 24,031
(30) RIEGEL MD BRET........................................................................
PHYSICIAN & BOARD MEMBER
 49.00
.......................1.00 		X           440,499 0 27,645
(31) ROUKOZ BASSAM........................................................................
PHYSICIAN & BOARD MEMBER
 58.00
.......................2.00 		X           1,241,946 0 25,716
(32) RUNGE ANDREW........................................................................
COO, CLINICS & BOARD MEMBER
 1.00
.......................55.00 		X           0 655,798 86,686
(33) SANDERS MD STEPHEN........................................................................
PHYSICIAN & BOARD MEMBER
 60.00
.......................0.00 		X           510,333 0 32,937
(34) SHARMA SHEETAL........................................................................
PHYSICIAN & BOARD MEMBER
 60.00
.......................0.00 		X           830,646 0 6,137
(35) SHETTY NISHA........................................................................
PHYSICIAN & BOARD MEMBER
 49.00
.......................1.00 		X           351,567 0 11,214
(36) SITNER DON........................................................................
NURSE PRACTITIONER & BOARD MEMBER
 1.00
.......................49.00 		X           0 142,098 21,516
(37) SMITH ALAN........................................................................
COMMUNITY VP OPERATIONS & BOARD MEMBER
 10.00
.......................35.00 		X           0 315,723 16,058
(38) TAYLOR SARAH........................................................................
NURSE PRACTITIONER & BOARD MEMBER
 0.00
.......................50.00 		X           0 75,412 8,467
(39) ULLERY BRIAN........................................................................
PHYSICIAN & BOARD MEMBER
 50.00
.......................0.00 		X           561,015 0 21,408
(40) WILMAS JOHN........................................................................
PHYSICIAN & BM
 50.00
.......................0.00 		X           474,563 0 22,411
(41) YORK JENNIFER........................................................................
PHYSICIAN & BM
 50.00
.......................0.00 		X           359,399 0 6,514
(42) KILIAN KEN........................................................................
PHYSICIAN & BM
 40.00
.......................0.00 		X           408,249 0 14,002
(43) SENGUPTA MD ALOK........................................................................
CAO & BOARD MEMBER
 40.00
.......................0.00 		X           735,677 0 24,768
(44) ECKHARDT CHRISTIE........................................................................
VP, CHIEF OPERATIONS COUNSEL & SECRETARY
 1.00
.......................57.00 		    X       0 330,556 21,872
(45) MEINERS DAVID........................................................................
CAO
 10.00
.......................40.00 		    X       0 631,200 18,355
(46) RICHMOND JACQUELYNN........................................................................
VP DEPUTY GENERAL COUNSEL
 2.00
.......................53.00 		    X       0 789,900 84,700
(47) SCOFFIC DENISE........................................................................
VP FINANCE
 5.00
.......................47.00 		    X       0 407,135 19,630
(48) WEICK MD RAYMOND........................................................................
PHYSICIAN
 20.00
.......................30.00 		    X       605,276 0 11,685
(49) WILKE JAMIE........................................................................
ASSOCIATE COUNSEL
 5.00
.......................55.00 		    X       0 180,600 13,321
(50) HAMILTON RYAN........................................................................
VP OPERATIONS
 10.00
.......................40.00 		      X     0 268,574 24,532
(51) JEWELL LATESHA........................................................................
VP OPERATIONS
 20.00
.......................20.00 		      X     0 284,808 16,759
(52) WALKER ROBERT........................................................................
VP OPERATIONS
 20.00
.......................20.00 		      X     0 220,852 10,924
(53) CHEN FANGXIANG........................................................................
PHYSICIAN
 50.00
.......................0.00 		        X   1,533,204 0 25,717
(54) NEILS MD DAVID........................................................................
PHYSICIAN
 50.00
.......................0.00 		        X   1,315,480 0 19,214
(55) PALAGIRI MD ANAND........................................................................
PHYSICIAN
 50.00
.......................0.00 		        X   1,187,965 0 21,509
(56) SEECK BRIAN........................................................................
PHYSICIAN
 50.00
.......................0.00 		        X   1,207,464 0 8,441
(57) VERDINE MD BENJAMIN........................................................................
PHYSICIAN
 50.00
.......................0.00 		        X   1,147,704 0 9,006
(58) MATEJKA CHERYL L........................................................................
FORMER OFFICER
 0.00
.......................55.00 		          X 0 1,086,373 115,282
(59) CORT DAVID........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 784,556 0 20,562
(60) HUYNH JUSTIN H........................................................................
FORMER KEY EMPLOYEE
 0.00
.......................40.00 		          X 0 499,627 19,549
(61) KAHN MD JOSEPH........................................................................
FORMER KEY EMPLOYEE
 0.00
.......................60.00 		          X 0 934,052 30,905
(62) KOENIG CAROLYN........................................................................
FORMER KEY EMPLOYEE
 40.00
.......................0.00 		          X 368,240 0 25,845
(63) MARCRANDER MARGARET........................................................................
FORMER KEY EMPLOYEE
 50.00
.......................0.00 		          X 655,519 0 23,329
(64) MOHART MD JOHN........................................................................
FORMER KEY EMPLOYEE
 0.00
.......................60.00 		          X 0 827,557 86,789
(65) RIORDAN MD TRACY........................................................................
FORMER KEY EMPLOYEE
 50.00
.......................0.00 		          X 660,794 0 30,419
(66) SCHEER JENNIFER........................................................................
FORMER KEY EMPLOYEE
 0.00
.......................40.00 		          X 467,964 0 31,144
(67) STIFFLER MARK........................................................................
FORMER KEY EMPLOYEE
 0.00
.......................40.00 		          X 0 259,440 1,298
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 30,670,344 10,847,941 1,805,916
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet938
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
NEUROSURGICAL SPEC WEST CNTY

621 S NEW BALLAS RD STE 297A
ST LOUIS,MO63141 		NEURSURGICAL PHYSICIAN SERVICES 6,204,227
MISSOURI CTR FOR ORTHOPEDICS AND ADVANCE

621 S NEW BALLAS RD STE 5015B
ST LOUIS,MO63141 		ORTHOPEDIC PHYSICIAN SERVICES 1,496,977
GREGORY R GALAKATOS MD LLC,
12008 CHALTENHAM
ST LOUIS,MO63131 		ORTHOPEDIC PHYSICIAN SERVICES 1,485,396
ADVANCED BONE AND JOINT

112 PIPER HILL DR STE 9
ST PETERS,MO63376 		ORTHOPEDIC PHYSICIAN SERVICES 434,433
STUART D WAITE DDS PC

621 S NEW BALLAS RD STE 10A
ST LOUIS,MO63141 		DENTAL PROFESSIONAL SERVICES 290,932
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet21
Form 990 (2021)
Form 990 (2021)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 353,724
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and similar amounts not included above1f  
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f.......MediumBullet 353,724
Program Service RevenueAmt Business Code
2a NET PATIENT REVENUE 621110 440,096,138 440,096,138    
b OTHER OPERATING REVENUE 621110 11,243,158 11,243,158    
c RENTAL INCOME 621110 13,395 13,395    
d
e
f All other program service revenue.        
g Total. Add lines 2a–2f .....MediumBullet 451,352,691
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 13,896     13,896
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents     6a
b Less: rental expenses     6b
c Rental income or (loss)     6c
d Net rental income or (loss).......MediumBullet        
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory     7a
b Less: cost or other basis and sales expenses 3,608   7b
c Gain or (loss) -3,608   7c
d Net gain or (loss).........MediumBullet -3,608     -3,608
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..MediumBullet      
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..MediumBullet        
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..MediumBullet        
Business Code Miscellaneous Revenue
11a            
b            
c            
d All other revenue .... 60,750 60,750    
e Total. Add lines 11a–11d ...... MediumBullet 60,750
12 Total revenue. See instructions.....MediumBullet 451,777,453 451,413,441 0 10,288
Form 990 (2021)
Form 990 (2021)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 41,985 41,985
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 26,117 26,117
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 ........... 21,580,794 21,013,234 567,560  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 2,089,507 2,034,554 54,953  
7 Other salaries and wages........ 410,001,181 399,218,434 10,782,747  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 18,331,413 17,849,309 482,104  
9 Other employee benefits ....... 17,871,623 17,401,612 470,011  
10 Payroll taxes ........... 24,508,419 23,863,865 644,554  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 162,416   162,416  
c Accounting ...........        
d Lobbying ........... 3,681   3,681  
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) 3,195,762 2,968,592 227,170  
12 Advertising and promotion .... 50,177 46,610 3,567  
13 Office expenses ....... 3,193,448 2,966,442 227,006  
14 Information technology ...... 21,042 19,546 1,496  
15 Royalties ..        
16 Occupancy ........... 31,728,691 29,473,262 2,255,429  
17 Travel ............ 441,932 410,517 31,415  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 22,886 21,259 1,627  
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 6,109,174 6,109,174    
23 Insurance ... 9,528,826   9,528,826  
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 36,415,339 36,415,339    
b MHEC RISK XFER 30,754,577 30,754,577    
c SHARED SERVICE FEES 23,265,288 9,538,768 13,726,520  
d BAD DEBTS 10,576,078 10,576,078    
e All other expenses 1,755,965 1,631,143 124,822  
25 Total functional expenses. Add lines 1 through 24e 651,676,321 612,380,417 39,295,904 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 MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2021)
Form 990 (2021)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 20,079 1 18,665
2 Savings and temporary cash investments .........   2  
3 Pledges and grants receivable, net ......   3  
4 Accounts receivable, net ............. 51,086,208 4 30,929,062
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 ........... 312,500 7 0
8 Inventories for sale or use ............   8  
9 Prepaid expenses and deferred charges ...... 1,230,205 9 1,425,920
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 74,002,116
b Less: accumulated depreciation 10b 49,340,965 26,712,114 10c 24,661,151
11 Investments—publicly traded securities .   11  
12 Investments—other securities. See Part IV, line 11 .....   12  
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ............... 43,278,906 14 43,278,906
15 Other assets. See Part IV, line 11 ........... 3,183,736 15 438,842
16 Total assets. Add lines 1 through 15 (must equal line 33)... 125,823,748 16 100,752,546
Liabilities 17 Accounts payable and accrued expenses ..... 34,677,233 17 19,996,252
18 Grants payable ...   18  
19 Deferred revenue ......... 3,000 19 0
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 ..   23  
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 136,737,433 25 133,991,632
26 Total liabilities. Add lines 17 through 25.. 171,417,666 26 153,987,884
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... -45,593,918 27 -53,235,338
28 Net assets with donor restrictions ...........   28  
Organizations that do not follow FASB ASC 958, check here MediumBullet 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 ........... -45,593,918 32 -53,235,338
33 Total liabilities and net assets/fund balances ........ 125,823,748 33 100,752,546
Form 990 (2021)
Form 990 (2021)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
451,777,453
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
651,676,321
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-199,898,868
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
-45,593,918
5
Net unrealized gains (losses) on investments ...............
5
 
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
192,257,448
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
-53,235,338
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain on
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2021)
Form 990 (2021)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990)

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.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
MERCY CLINIC EAST COMMUNITIES
 
Employer identification number

43-1771217
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.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
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) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (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) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (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  
12
12
 
13
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
14
14
 
15
15
 
16a
b
17a
b
18
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) 2021

Schedule A (Form 990) 2021
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) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .   8,750 621,565 284,650 353,724 1,268,689
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 351,459,547 328,706,172 379,616,933 503,613,349 451,409,833 2,014,805,834
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 5 351,459,547 328,714,922 380,238,498 503,897,999 451,763,557 2,016,074,523
7a Amounts included on lines 1, 2, and 3 received from disqualified persons           0
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.           0
c Add lines 7a and 7b..           0
8 Public support. (Subtract line 7c from line 6.) 2,016,074,523
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (f) Total
9 Amounts from line 6... 351,459,547 328,714,922 380,238,498 503,897,999 451,763,557 2,016,074,523
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. 549,764 79,857 187,802 106,237 13,896 937,556
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b. 549,764 79,857 187,802 106,237 13,896 937,556
11 Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. 218,327 158,947 114,071 78,490 0 569,835
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.).. 352,227,638 328,953,726 380,540,371 504,082,726 451,777,453 2,017,581,914
14
Section C. Computation of Public Support Percentage
15
15
99.930 %
16
16
99.870 %
Section D. Computation of Investment Income Percentage
17
17
0.050 %
18
18
0.090 %
19a
b
20
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
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
No
1
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.
1
 
 
2
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).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
 
 
b
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.
3b
 
 
c
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.
3c
 
 
4a
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.
4a
 
 
b
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.
4b
 
 
c
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.
4c
 
 
5a
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).
5a
 
 
b
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?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
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.
6
 
 
7
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) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
8
 
 
9a
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.
9a
 
 
b
Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined on 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.
9c
 
 
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
 
 
b
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) 2021

Schedule A (Form 990) 2021
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described on 11a above?
11b
 
 
c
A 35% controlled entity of a person described on 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
No
1
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.
1
 
 
2
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.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
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).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
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?
1
 
 
2
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).
2
 
 
3
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.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer lines 2a and 2b below.
Yes
No
a
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.
2a
 
 
b
Did the activities described on 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.
2b
 
 
3
Parent of Supported Organizations. Answer lines 3a and 3b below.
a
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.
3a
 
 
b
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.
3b
 
 
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
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  
7
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
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 2021 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-2021 		(iii)
Distributable
Amount for 2021
1 Distributable amount for 2021 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2021:
a From 2016.......  
b From 2017.......  
c From 2018.......  
d From 2019.......  
e From 2020.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2021 distributable amount  
i Carryover from 2016 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2021 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2021 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2021, 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 2021. 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 2022. Add lines
3j and 4c. 		 
8 Breakdown of line 7:
a Excess from 2017.....  
b Excess from 2018.....  
c Excess from 2019.....  
d Excess from 2020.....  
e Excess from 2021.....  
Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021
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) 2021


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Name of the organization
MERCY CLINIC EAST COMMUNITIES
 
Employer identification number

43-1771217
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ






Form 990-PF




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
Special Rules
......... 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) (2021)
Schedule B (Form 990) (2021) Page 2
Name of organization
MERCY CLINIC EAST COMMUNITIES
  		Employer identification number
43-1771217
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


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990) (2021)
Schedule B (Form 990) (2021)
Page 3
Name of organization
MERCY CLINIC EAST COMMUNITIES
  		Employer identification number

43-1771217
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) (2021)
Schedule B (Form 990) (2021)
Page 4
Name of organization
MERCY CLINIC EAST COMMUNITIES
  		Employer identification number

43-1771217
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 $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I		 (b) Purpose of gift (c) Use 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 (c) Use 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 (c) Use 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 (c) Use 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) (2021)
Additional Data


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SCHEDULE C
(Form 990)

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 BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
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 CLINIC EAST COMMUNITIES
 
Employer identification number

43-1771217
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

2
Political campaign activity expenditures. See instructions ....................................................................SchCMd Bullet
$  
3
Volunteer hours for political campaign activities. See instructions ..................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
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.
Cat. No. 50084S
Schedule C (Form 990) 2021

Schedule C (Form 990) 2021
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 Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(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? ...................................................................................................................

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) 2018 (b) 2019 (c) 2020 (d) 2021 (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) 2021


Schedule C (Form 990) 2021
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
1
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:
a
Volunteers? ...........................................................................................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
 
No
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
 
No
 
e
Publications, or published or broadcast statements? ...........................................................
 
No
 
f
Grants to other organizations for lobbying purposes? ..........................................................
Yes
 
3,196
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
 
No
 
j
Total. Add lines 1c through 1i ....................................................................................................
3,196
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
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
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
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."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
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? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures. See Instructions .........................................
5
 
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 ASSOCIATION: CATHOLIC HEALTH ASSOCIATION. FOR THE YEAR ENDED JUNE 30, 2022, DUES WERE $83,443. APPROXIMATELY 3.83% OF CATHOLIC HOSPITAL ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED BY THIS ASSOCIATION.
Schedule C (Form 990) 2021


Additional Data


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SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet 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
2021
Open to Public Inspection
Name of the organization
MERCY CLINIC EAST COMMUNITIES
 
Employer identification number

43-1771217
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 ........    
5
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? ............
6
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? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
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.
Held at the End of the 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  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
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)? .............................
9
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.
1a
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.
b
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 $  
2
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:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
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) 2021

Schedule D (Form 990) 2021
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
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):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
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?...
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.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
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  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
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 ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Term endowment SchDMd Bullet  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
 
(ii) Related organizations .................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
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 .....      
b Buildings ....   2,848,905 1,414,136 1,434,769
c Leasehold improvements   35,397,788 23,709,749 11,688,039
d Equipment ....   35,754,617 24,216,786 11,537,831
e Other .....   806 294 512
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 24,661,151
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
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
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
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
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
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
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
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.)Small Bullet 133,991,632
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) 2021

Schedule D (Form 990) 2021
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, 2022 OR 2021.
Schedule D (Form 990) 2021


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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
2021
Open to Public
Inspection
Name of the organization
MERCY CLINIC EAST COMMUNITIES
 
Employer identification number
43-1771217
Part I
General Information on Grants and Assistance
1
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? ........................
2
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 (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) MERCY HEALTH FOUNDATON ST LOUIS
615 SOUTH NEW BALLAS ROAD
ST LOUIS,MO63141 		56-2410020 501C3 25,000 0     CHARITABLE SUPPORT
(2) WASHINGTON AREA CHAMBERS OF COMMERCE
323 W MAIN STREET
WASHINGTON,MO63090 		43-0647107 501C6 16,550 0     SPONSORSHIP
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
1
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
1
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2021

Schedule I (Form 990) 2021
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) MORTGAGE/RENT ASSISTANCE 16 26,117     16 TOTAL RECIPIENTS
(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 TO DETERMINE WHICH INDIVIDUALS WILL RECEIVE GRANTS DURING THE FISCAL YEAR. THE FUNDS ARE THEN GIVEN DIRECTLY TO THE INDIVIDUALS.
Schedule I (Form 990) 2021



Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
MERCY CLINIC EAST COMMUNITIES
 
Employer identification number

43-1771217
Part I
Questions Regarding Compensation
Yes
No
1a
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.
b
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 .....
1b
 
 
2
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? ....
2
 
 
3
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.
4
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:
a
Receive a severance payment or change-of-control payment? .............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
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.
5
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:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
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:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
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 ............
7
 
No
8
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 ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2021

Schedule J (Form 990) 2021
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, 1099-MISC compensation, and/or 1099-NEC (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
(i) Base
compensation 		(ii) Bonus & incentive
compensation 		(iii) Other reportable compensation
1CHEN FANGXIANG
PHYSICIAN 		(i)

(ii)		 1,400,314
-------------
0 		84,745
-------------
0 		48,145
-------------
0 		7,250
-------------
0 		18,467
-------------
0 		1,558,921
-------------
0 		0
-------------
0
2CIARAMITA MD JEFFREY
SVP CHIEF PHYSICIAN EXECUTIVE & BM 		(i)

(ii)		 0
-------------
765,459 		0
-------------
415,086 		0
-------------
195,285 		0
-------------
112,113 		0
-------------
14,936 		0
-------------
1,502,879 		0
-------------
0
3NEILS MD DAVID
PHYSICIAN 		(i)

(ii)		 1,199,475
-------------
0 		76,465
-------------
0 		39,540
-------------
0 		4,350
-------------
0 		14,864
-------------
0 		1,334,694
-------------
0 		0
-------------
0
4ROUKOZ BASSAM
PHYSICIAN & BOARD MEMBER 		(i)

(ii)		 1,140,926
-------------
0 		54,278
-------------
0 		46,742
-------------
0 		7,249
-------------
0 		18,467
-------------
0 		1,267,662
-------------
0 		0
-------------
0
5SEECK BRIAN
PHYSICIAN 		(i)

(ii)		 1,114,589
-------------
0 		53,065
-------------
0 		39,810
-------------
0 		7,250
-------------
0 		1,191
-------------
0 		1,215,905
-------------
0 		0
-------------
0
6PALAGIRI MD ANAND
PHYSICIAN 		(i)

(ii)		 1,104,933
-------------
0 		43,222
-------------
0 		39,810
-------------
0 		6,621
-------------
0 		14,888
-------------
0 		1,209,474
-------------
0 		0
-------------
0
7MATEJKA CHERYL L
FORMER OFFICER 		(i)

(ii)		 0
-------------
533,667 		0
-------------
461,454 		0
-------------
91,252 		0
-------------
100,346 		0
-------------
14,936 		0
-------------
1,201,655 		0
-------------
22,430
8FINNIE JOHN
PHYSICIAN & BOARD MEMBER 		(i)

(ii)		 1,079,397
-------------
0 		52,577
-------------
0 		27,242
-------------
0 		7,510
-------------
0 		14,936
-------------
0 		1,181,662
-------------
0 		0
-------------
0
9VERDINE MD BENJAMIN
PHYSICIAN 		(i)

(ii)		 1,063,611
-------------
0 		44,283
-------------
0 		39,810
-------------
0 		7,250
-------------
0 		1,756
-------------
0 		1,156,710
-------------
0 		0
-------------
0
10CHALK MD DAVID E
PRESIDENT, MERCY CLINIC FOUR RIVERS 		(i)

(ii)		 0
-------------
600,366 		0
-------------
308,829 		0
-------------
116,534 		0
-------------
91,047 		0
-------------
13,763 		0
-------------
1,130,539 		0
-------------
45,030
11CLEVELAND MD JEANNE
PHYSICIAN & BOARD MEMBER 		(i)

(ii)		 947,601
-------------
0 		61,747
-------------
0 		46,742
-------------
0 		9,724
-------------
0 		14,917
-------------
0 		1,080,731
-------------
0 		0
-------------
0
12DONEGAN SHAUN
PHYSICIAN & BOARD MEMBER 		(i)

(ii)		 888,284
-------------
0 		32,287
-------------
0 		39,810
-------------
0 		7,250
-------------
0 		14,936
-------------
0 		982,567
-------------
0 		0
-------------
0
13KAHN MD JOSEPH
FORMER KEY EMPLOYEE 		(i)

(ii)		 0
-------------
504,285 		0
-------------
376,471 		0
-------------
53,296 		0
-------------
17,131 		0
-------------
13,774 		0
-------------
964,957 		0
-------------
111,895
14PERSCHBACHER JIM
PHYSICIAN & BOARD MEMBER 		(i)

(ii)		 877,605
-------------
0 		42,167
-------------
0 		20,310
-------------
0 		7,250
-------------
0 		14,917
-------------
0 		962,249
-------------
0 		0
-------------
0
15BROWN JEFFREY
PHYSICIAN & BOARD MEMBER 		(i)

(ii)		 855,639
-------------
0 		47,128
-------------
0 		20,040
-------------
0 		6,525
-------------
0 		18,467
-------------
0 		947,799
-------------
0 		0
-------------
0
16MOHART MD JOHN
FORMER KEY EMPLOYEE 		(i)

(ii)		 0
-------------
122,146 		0
-------------
658,499 		0
-------------
46,912 		0
-------------
69,335 		0
-------------
17,454 		0
-------------
914,346 		0
-------------
0
17RICHMOND JACQUELYNN
VP DEPUTY GENERAL COUNSEL 		(i)

(ii)		 0
-------------
449,625 		0
-------------
214,091 		0
-------------
126,184 		0
-------------
77,247 		0
-------------
7,453 		0
-------------
874,600 		0
-------------
78,001
18AHMAD UMRAAN
PHYSICIAN & BOARD MEMBER 		(i)

(ii)		 816,967
-------------
0 		0
-------------
0 		20,581
-------------
0 		7,250
-------------
0 		14,936
-------------
0 		859,734
-------------
0 		0
-------------
0
19SHARMA SHEETAL
PHYSICIAN & BOARD MEMBER 		(i)

(ii)		 784,611
-------------
0 		26,521
-------------
0 		19,514
-------------
0 		4,350
-------------
0 		1,787
-------------
0 		836,783
-------------
0 		0
-------------
0
20CORT DAVID
FORMER KEY EMPLOYEE 		(i)

(ii)		 675,492
-------------
0 		56,992
-------------
0 		52,072
-------------
0 		7,250
-------------
0 		13,312
-------------
0 		805,118
-------------
0 		0
-------------
0
21SENGUPTA MD ALOK
CAO & BOARD MEMBER 		(i)

(ii)		 583,081
-------------
0 		132,286
-------------
0 		20,310
-------------
0 		10,120
-------------
0 		14,648
-------------
0 		760,445
-------------
0 		0
-------------
0
22RUNGE ANDREW
COO, CLINICS & BOARD MEMBER 		(i)

(ii)		 0
-------------
391,646 		0
-------------
194,997 		0
-------------
69,155 		0
-------------
68,351 		0
-------------
18,335 		0
-------------
742,484 		0
-------------
16,280
23RIORDAN MD TRACY
FORMER KEY EMPLOYEE 		(i)

(ii)		 524,069
-------------
0 		74,527
-------------
0 		62,198
-------------
0 		12,157
-------------
0 		18,262
-------------
0 		691,213
-------------
0 		0
-------------
0
24LIMPERT MD JONATHAN
PHYSICIAN & BOARD MEMBER 		(i)

(ii)		 622,357
-------------
0 		31,434
-------------
0 		20,310
-------------
0 		5,632
-------------
0 		7,546
-------------
0 		687,279
-------------
0 		0
-------------
0
25IYER MD KARTHIK
CMO & BOARD MEMBER 		(i)

(ii)		 584,165
-------------
0 		52,312
-------------
0 		20,040
-------------
0 		4,927
-------------
0 		18,179
-------------
0 		679,623
-------------
0 		0
-------------
0
26MARCRANDER MARGARET
FORMER KEY EMPLOYEE 		(i)

(ii)		 533,366
-------------
0 		94,911
-------------
0 		27,242
-------------
0 		8,629
-------------
0 		14,700
-------------
0 		678,848
-------------
0 		0
-------------
0
27REINBERG JASON
PHYSICIAN & BOARD MEMBER 		(i)

(ii)		 576,560
-------------
0 		30,751
-------------
0 		38,554
-------------
0 		5,800
-------------
0 		18,231
-------------
0 		669,896
-------------
0 		0
-------------
0
28MEINERS DAVID
CAO 		(i)

(ii)		 0
-------------
475,831 		0
-------------
102,665 		0
-------------
52,704 		0
-------------
7,250 		0
-------------
11,105 		0
-------------
649,555 		0
-------------
0
29DESAI SUNNY
PHYSICIAN & BOARD MEMBER 		(i)

(ii)		 569,167
-------------
0 		0
-------------
0 		49,022
-------------
0 		6,510
-------------
0 		1,191
-------------
0 		625,890
-------------
0 		0
-------------
0
30WEICK MD RAYMOND
PHYSICIAN 		(i)

(ii)		 494,217
-------------
0 		76,916
-------------
0 		34,143
-------------
0 		10,734
-------------
0 		951
-------------
0 		616,961
-------------
0 		0
-------------
0
31KARPMAN CRAIG
PHYSICIAN & BOARD MEMBER 		(i)

(ii)		 524,866
-------------
0 		27,100
-------------
0 		19,980
-------------
0 		7,250
-------------
0 		18,443
-------------
0 		597,639
-------------
0 		0
-------------
0
32CONTI ANNA
PHYSICIAN & BOARD MEMBER 		(i)

(ii)		 468,342
-------------
0 		51,433
-------------
0 		47,675
-------------
0 		8,512
-------------
0 		7,519
-------------
0 		583,481
-------------
0 		0
-------------
0
33ULLERY BRIAN
PHYSICIAN & BOARD MEMBER 		(i)

(ii)		 377,845
-------------
0 		155,853
-------------
0 		27,317
-------------
0 		6,489
-------------
0 		14,919
-------------
0 		582,423
-------------
0 		0
-------------
0
34BIRNER NANCY
PHYSICIAN & BOARD MEMBER 		(i)

(ii)		 482,919
-------------
0 		20,856
-------------
0 		40,722
-------------
0 		6,035
-------------
0 		15,525
-------------
0 		566,057
-------------
0 		0
-------------
0
35BLECKMAN CHRISTY
PHYSICIAN & BOARD MEMBER 		(i)

(ii)		 509,291
-------------
0 		26,377
-------------
0 		20,040
-------------
0 		6,545
-------------
0 		1,804
-------------
0 		564,057
-------------
0 		0
-------------
0
36SANDERS MD STEPHEN
PHYSICIAN & BOARD MEMBER 		(i)

(ii)		 460,639
-------------
0 		20,389
-------------
0 		29,305
-------------
0 		19,081
-------------
0 		13,856
-------------
0 		543,270
-------------
0 		0
-------------
0
37MENGES BRYAN J
PHYSICIAN & BOARD MEMBER 		(i)

(ii)		 380,517
-------------
0 		98,523
-------------
0 		37,615
-------------
0 		6,916
-------------
0 		18,467
-------------
0 		542,038
-------------
0 		0
-------------
0
38HUYNH JUSTIN H
FORMER KEY EMPLOYEE 		(i)

(ii)		 0
-------------
296,814 		0
-------------
78,474 		0
-------------
124,339 		0
-------------
7,424 		0
-------------
12,125 		0
-------------
519,176 		0
-------------
0
39SCHEER JENNIFER
FORMER KEY EMPLOYEE 		(i)

(ii)		 321,054
-------------
0 		120,000
-------------
0 		26,910
-------------
0 		13,026
-------------
0 		18,118
-------------
0 		499,108
-------------
0 		0
-------------
0
40WILMAS JOHN
PHYSICIAN & BM 		(i)

(ii)		 408,877
-------------
0 		45,419
-------------
0 		20,267
-------------
0 		11,071
-------------
0 		11,340
-------------
0 		496,974
-------------
0 		0
-------------
0
41JOURNAGAN MD KEVIN
CAO & BOARD MEMBER 		(i)

(ii)		 388,909
-------------
0 		31,584
-------------
0 		48,261
-------------
0 		8,458
-------------
0 		14,909
-------------
0 		492,121
-------------
0 		0
-------------
0
42RIEGEL MD BRET
PHYSICIAN & BOARD MEMBER 		(i)

(ii)		 360,184
-------------
0 		35,601
-------------
0 		44,714
-------------
0 		9,277
-------------
0 		18,368
-------------
0 		468,144
-------------
0 		0
-------------
0
43MICHELSON RANDAL
HOSPITALIST & BM 		(i)

(ii)		 335,144
-------------
0 		73,281
-------------
0 		26,129
-------------
0 		7,250
-------------
0 		14,843
-------------
0 		456,647
-------------
0 		0
-------------
0
44MARTIN THOMAS
PHYSICIAN & BOARD MEMBER 		(i)

(ii)		 376,462
-------------
0 		9,636
-------------
0 		36,094
-------------
0 		6,235
-------------
0 		18,196
-------------
0 		446,623
-------------
0 		0
-------------
0
45CHACKO RUTH
PHYSICIAN & BOARD MEMBER 		(i)

(ii)		 265,075
-------------
0 		78,062
-------------
0 		52,940
-------------
0 		35,507
-------------
0 		11,194
-------------
0 		442,778
-------------
0 		0
-------------
0
46SCOFFIC DENISE
VP FINANCE 		(i)

(ii)		 0
-------------
286,444 		0
-------------
93,325 		0
-------------
27,366 		0
-------------
12,321 		0
-------------
7,309 		0
-------------
426,765 		0
-------------
0
47KILIAN KEN
PHYSICIAN & BM 		(i)

(ii)		 366,391
-------------
0 		13,874
-------------
0 		27,984
-------------
0 		6,689
-------------
0 		7,313
-------------
0 		422,251
-------------
0 		0
-------------
0
48GALLI DO WILLIAM
PHYSICIAN & BOARD MEMBER 		(i)

(ii)		 339,901
-------------
0 		32,079
-------------
0 		26,845
-------------
0 		5,646
-------------
0 		14,715
-------------
0 		419,186
-------------
0 		0
-------------
0
49FRONCZAK THEODORE K
VP OPERATIONS & BOARD MEMBER 		(i)

(ii)		 0
-------------
283,408 		0
-------------
89,276 		0
-------------
33,847 		0
-------------
8,804 		0
-------------
932 		0
-------------
416,267 		0
-------------
0
50KOENIG CAROLYN
FORMER KEY EMPLOYEE 		(i)

(ii)		 325,043
-------------
0 		23,060
-------------
0 		20,137
-------------
0 		7,474
-------------
0 		18,371
-------------
0 		394,085
-------------
0 		0
-------------
0
51PICKRELL AARON
PHYSICIAN & BOARD MEMBER 		(i)

(ii)		 264,969
-------------
0 		42,773
-------------
0 		50,494
-------------
0 		3,335
-------------
0 		7,370
-------------
0 		368,941
-------------
0 		0
-------------
0
52BRYANT ANDY
PHYSICIAN & BOARD MEMBER 		(i)

(ii)		 297,429
-------------
0 		16,333
-------------
0 		31,980
-------------
0 		4,123
-------------
0 		18,051
-------------
0 		367,916
-------------
0 		0
-------------
0
53YORK JENNIFER
PHYSICIAN & BM 		(i)

(ii)		 305,004
-------------
0 		15,048
-------------
0 		39,347
-------------
0 		5,546
-------------
0 		968
-------------
0 		365,913
-------------
0 		0
-------------
0
54SHETTY NISHA
PHYSICIAN & BOARD MEMBER 		(i)

(ii)		 275,091
-------------
0 		37,221
-------------
0 		39,255
-------------
0 		5,121
-------------
0 		6,093
-------------
0 		362,781
-------------
0 		0
-------------
0
55ECKHARDT CHRISTIE
VP, CHIEF OPERATIONS COUNSEL & SECRE 		(i)

(ii)		 0
-------------
237,476 		0
-------------
77,869 		0
-------------
15,211 		0
-------------
7,250 		0
-------------
14,622 		0
-------------
352,428 		0
-------------
0
56SMITH ALAN
COMMUNITY VP OPERATIONS & BOARD MEMB 		(i)

(ii)		 0
-------------
201,779 		0
-------------
66,231 		0
-------------
47,713 		0
-------------
5,306 		0
-------------
10,752 		0
-------------
331,781 		0
-------------
0
57JEWELL LATESHA
VP OPERATIONS 		(i)

(ii)		 0
-------------
191,848 		0
-------------
64,696 		0
-------------
28,264 		0
-------------
5,607 		0
-------------
11,152 		0
-------------
301,567 		0
-------------
0
58HAMILTON RYAN
VP OPERATIONS 		(i)

(ii)		 0
-------------
181,944 		0
-------------
58,999 		0
-------------
27,631 		0
-------------
6,845 		0
-------------
17,687 		0
-------------
293,106 		0
-------------
0
59MAYES KARA
PHYSICIAN & BOARD MEMBER 		(i)

(ii)		 241,062
-------------
0 		10,265
-------------
0 		17,693
-------------
0 		5,231
-------------
0 		17,791
-------------
0 		292,042
-------------
0 		0
-------------
0
60GARLAND KATHERINE
PHYSICIAN & BOARD MEMBER 		(i)

(ii)		 228,158
-------------
0 		0
-------------
0 		39,240
-------------
0 		4,940
-------------
0 		9,025
-------------
0 		281,363
-------------
0 		0
-------------
0
61STIFFLER MARK
FORMER KEY EMPLOYEE 		(i)

(ii)		 0
-------------
48,807 		0
-------------
0 		0
-------------
210,633 		0
-------------
1,298 		0
-------------
0 		0
-------------
260,738 		0
-------------
0
62GARRETTO CHRISTINA
PHYSICIAN & BOARD MEMBER 		(i)

(ii)		 214,629
-------------
0 		0
-------------
0 		19,805
-------------
0 		5,511
-------------
0 		11,159
-------------
0 		251,104
-------------
0 		0
-------------
0
63WALKER ROBERT
VP OPERATIONS 		(i)

(ii)		 0
-------------
137,575 		0
-------------
49,683 		0
-------------
33,594 		0
-------------
4,066 		0
-------------
6,858 		0
-------------
231,776 		0
-------------
0
64WILKE JAMIE
ASSOCIATE COUNSEL 		(i)

(ii)		 0
-------------
153,512 		0
-------------
16,790 		0
-------------
10,298 		0
-------------
4,237 		0
-------------
9,084 		0
-------------
193,921 		0
-------------
0
65SITNER DON
NURSE PRACTITIONER & BOARD MEMBER 		(i)

(ii)		 0
-------------
119,107 		0
-------------
7,733 		0
-------------
15,258 		0
-------------
3,774 		0
-------------
17,742 		0
-------------
163,614 		0
-------------
0
66GIOIA HEIDI
NURSE PRACTITIONER & BOARD MEMBER 		(i)

(ii)		 0
-------------
92,118 		0
-------------
5,848 		0
-------------
32,180 		0
-------------
7,934 		0
-------------
12,982 		0
-------------
151,062 		0
-------------
0
Schedule J (Form 990) 2021

Schedule J (Form 990) 2021
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, LINES 4A-B THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAY: MARK STIFFLER $260,739. 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. MATEJKA,CHERYL L; CHALK MD,DAVID; RUNGE,ANDREW D; RICHMOND, JACQUELYNN; KAHN, JOSEPH 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, DAVID CHALK, CHERYL MATEJKA, JACQUELYNN RICHMOND, AND ANDREW RUNGE 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 -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE MERCY CLINIC EAST COMMUNITIES USES A WRITTEN EMPLOYMENT CONTRACT.
Schedule J (Form 990) 2021

Additional Data


Software ID:  
Software Version:  
Schedule L
(Form 990)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet 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.
MediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
MERCY CLINIC EAST COMMUNITIES
 
Employer identification number

43-1771217
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 (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
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?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
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) 2021
Schedule L (Form 990) 2021
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?
Yes No
(1) VERNON YOUNG FAMILY MEMBER OF JOHN MOHART, FORMER KEY EMPLOYEE 58,410 EMPLOYMENT ARRANGEMENT, MERCY CLINIC EAST COMMUNITIES   No
(2) ANN MOHART FAMILY MEMBER OF JOHN MOHART, FORMER KEY EMPLOYEE 203,263 EMPLOYMENT ARRANGEMENT, MERCY CLINIC EAST COMMUNITIES   No
(3) MARISSA STOCK FAMILY MEMBER OF DAVID GUSS, FORMER KEY EMPLOYEE 224,432 EMPLOYMENT ARRANGEMENT, MERCY CLINIC EAST COMMUNITIES   No
(4) GINA SEECK FAMILY MEMBER OF FORMER KEY EMPLOYEE (JOHN MOHART) 242,174 EMPLOYMENT ARRANGEMENT, MERCY CLINIC EAST COMMUNITIES   No
(5) PATRICIA LIMPERT FAMILY MEMBER OF BOARD MEMBER JONATHAN LIMPERT 328,753 EMPLOYMENT ARRANGEMENT, MERCY CLINIC EAST COMMUNITIES   No
(6) ROOHI DESAI FAMILY MEMBER OF BOARD MEMBER SUNNY DESAI 362,520 EMPLOYMENT ARRANGEMENT, MERCY CLINIC EAST COMMUNITIES   No
(7) DIANA ROUKOZ FAMILY MEMBER OF BOARD MEMBER (BASAM ROUKOZ) 196,406 EMPLOYMENT ARRANGEMENT, MERCY CLINIC EAST COMMUNITIES   No
(8) MICHELLE HAMILTON FAMILY MEMBER OF KEY EMPLOYEE (RYAN HAMILTON) 51,997 EMPLOYMENT ARRANGEMENT, MERCY CLINIC EAST COMMUNITIES   No
(9) CHRISTIE PICKRELL FAMILY MEMBER OF BOARD MEMBER (AARON PICKRELL) 308,839 EMPLOYMENT ARRANGEMENT, MERCY CLINIC 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) 2021


Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990)

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
2021
Open to Public
Inspection
Name of the organization
MERCY CLINIC EAST COMMUNITIES
 
Employer identification number

43-1771217
Return Reference Explanation
SCHEDULE O COMMUNITY BENEFIT MERCY CLINIC EAST COMMUNITIES PROVIDES FINANCIAL ASSISTANCE TO PATIENTS IN THE FORM OF CHARITY CARE AND THE UNPAID COSTS OF MEDICAID. THIS ASSISTANCE IS BASED ON THE FINANCIAL ASSISTANCE POLICY IN PLACE AT HOSPITALS IN THE HEALTH SYSTEM. DURING FY22, MERCY CLINIC EAST COMMUNITIES REPORTED APPROXIMATELY $8.2 MILLION OF CHARITY CARE AND $22.8 MILLION OF UNPAID COSTS OF MEDICAID WHICH WERE A BENEFIT TO THE PATIENTS SERVED IN ITS COMMUNITY.
FORM 990, PART VI, SECTION A, LINE 6 THE MEMBER OF MERCY CLINIC EAST COMMUNITIES IS MERCY HEALTH EAST COMMUNITIES, A SUPPORTING ORGANIZATION UNDER SECTION 509(A)(3). THE MEMBER OF MERCY HEALTH EAST COMMUNITIES IS MERCY HEALTH.
FORM 990, PART VI, SECTION A, LINE 7A MERCY HEALTH EAST COMMUNITIES HAS RESERVE POWERS TO: -APPOINT DIRECTORS PURSUANT TO THE PROCESS SET FORTH IN THE BYLAWS; -REMOVE UP TO TWO DIRECTORS DURING ANY FISCAL YEAR WITHOUT CAUSE AND OTHERWISE REMOVE DIRECTORS FOR CAUSE; AND -REMOVE THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION WITH OR WITHOUT CAUSE, AFTER CONSULTATION WITH THE BOARD.
FORM 990, PART VI, SECTION A, LINE 7B MERCY HEALTH EAST COMMUNITIES HAS RESERVE POWERS TO: -ADOPT OR AMEND THE CORPORATION'S MISSION AND PHILOSOPHY; -ADOPT OR AMEND THE CORPORATION'S STRATEGIC PLANS, GOALS, AND OBJECTIVES; -ADOPT OR AMEND THE CORPORATION'S BUDGETS; -AUTHORIZE OR APPROVE THE ASSIGNMENT, TRANSFER, SALE OR LEASE OF ANY OF THE CORPORATION'S ASSETS OR INTEREST THEREIN IN EXCESS OF $1,000,000; -AUTHORIZE OR APPROVE THE GRANT OF ANY PLEDGE, LIEN, ENCUMBRANCE, MORTGAGE, DEED OF TRUST OR OTHER SECURITY INTEREST IN ANY OR ALL OF THE CORPORATION'S ASSETS; -AUTHORIZE OR APPROVE THE INCURRENCE OF DEBT (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) BY THE CORPORATION AND GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTE ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; -MERGE, DISSOLVE OR ABANDON THE CORPORATION; -AMEND THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION, SUBJECT TO THE APPROVAL OF THE MERCY HEALTH EAST COMMUNITIES BOARD; -ESTABLISH COMPENSATION AND BENEFIT TERMS FOR PHYSICIANS AND OTHER MEDICAL PROFESSIONALS EMPLOYED OR OTHERWISE RETAINED BY THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM, USING INFORMATION PROVIDED BY THE FILING ORGANIZATION. A DRAFT FORM 990 IS REVIEWED BY THE FILING ORGANIZATION'S FINANCE LEADERSHIP. THE DRAFT FORM 990 IS ALSO REVIEWED BY MERCY HEALTH'S TAX DEPARTMENT, TO ENSURE ACCURACY AND CONSISTENCY WITH OTHER RELATED ORGANIZATIONS' FORM 990S. AFTER QUESTIONS ARISING FROM THE VARIOUS REVIEWS ARE ADDRESSED AND INCORPORATED INTO THE FORM 990, A REVISED DRAFT IS PROVIDED TO THE FILING ORGANIZATION'S LEADERSHIP TEAM, INCLUDING THE CFO AND CEO, FOR REVIEW. ONCE REVIEWED AND APPROVED BY THE FILING ORGANIZATION'S LEADERSHIP TEAM, THE FORM 990 IS 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, 2022. 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 REVIEW/APPROVAL OF COMPENSATION BY THE COMPENSATION COMMITTEE OF THE MERCY HEALTH BOARD. FOR THOSE CLASSIFIED AS KEY EMPLOYEES, THE FOLLOWING ARE USED TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, AND REVIEW/APPROVAL OF EXECUTIVE MANAGEMENT OF MERCY HEALTH EAST COMMUNITIES. 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 192,257,429. ROUNDING 19.
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. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 2022 (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.
PART XII, QUESTION 3A AND 3B SINGLE AUDIT ACT AND 2 CFR 200 AUDIT MERCY HEALTH UNDERGOES A CONSOLIDATED 2 CFR 200 AUDIT EVERY YEAR AND THIS AUDIT WAS COMPLETED FOR THE FISCAL YEAR ENDING JUNE 30, 2022 BY MARCH 31, 2023. 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, 2022, IT WILL BE INCLUDED ON THE MERCY HEALTH CONSOLIDATED SEFA, AND THEREFORE, ALSO INCLUDED IN THE POPULATION INCLUDED IN THE AUDIT.
FORM 990, SCHEDULE R, PART V SYSTEM LIMITATIONS LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY HEALTH SYSTEM, INC. AND SUBSIDIARIES. THE MAJORITY OF THE INTERCOMPANY/RELATED ORGANIZATION TRANSACTIONS ARE PROCESSED THROUGH LAWSON VIA INTERCOMPANY JOURNAL ENTRIES. WITH THE CURRENT DESIGN OF THE ERP SYSTEM, THERE ARE VARIOUS LIMITATIONS ON THE RELATED ORGANIZATION INFORMATION THAT CAN BE EXTRACTED FROM LAWSON. DUE TO THESE LIMITATIONS,MOST OF THE RELATED ORGANIZATION ACTIVITY FOR THE FILING ORGANIZATION HAS BEEN CLASSIFIED ON SCHEDULE R, PART V, IN LINES P AND Q.
FORM 990, PART V, QUESTION 2A W-3 FILING SALARIES AND WAGES WITH LIMITED EXCEPTIONS, THE SALARIES AND WAGES REPORTED ON FORM 990, PART IX, LINE 7 REPRESENT AN ALLOCATION OF SALARIES AND WAGES FROM A RELATED ORGANIZATION. MOST EMPLOYEES ARE PAID BY A RELATED ORGANIZATION UNDER A COMMON PAYMASTER ARRANGEMENT. AS SUCH, ALL REQUIRED PAYROLL FILING FOR THESE EMPLOYEES (INCLUDING W-2 AND W-3'S) IS REPORTED UNDER THE RELATED ORGANIZATION, MHM SUPPORT SERVICES,EIN 20-2553101.
FORM 990, 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, SCHEDULE R, PART II MERCY HOSPITALS EAST COMMUNITIES MERCY HOSPITALS EAST COMMUNITIES CONSISTS OF MERCY HOSPITALS EAST COMMUNITIES ST. LOUIS, EIN 43-0653493, AND MERCY HOSPITALS EAST COMMUNITIES WASHINGTON, EIN 43-1066883.
COVID-19 EARLY IN 2020, THE MERCY HEALTH SYSTEM WAS CALLED TO SERVE AS THE COVID-19 PANDEMIC SWEPT ACROSS THE WORLD. DURING FY 2022, THE IMPACT OF COVID-19 AND INFLATION HAS BEEN AND STILL IS SIGNIFICANT TO OUR COMMUNITIES WITH CHANGES IN PATIENT CARE REVENUES DUE TO SURGES, INCREASING THE COSTS OF SALARIES AND AGENCY LABOR, AND SUPPLY CHAIN IMPACTS. ALL MERCY FACILITIES ADJUSTED OPERATIONS FOR THE IMPACTS OF THE PANDEMIC. IN ADDITION, MERCY FOUNDATIONS AND OUTREACH MINISTRIES EXPERIENCED LIMITATIONS IN FUNDRAISING FOR PROGRAM AND CAPITAL SUPPORT EFFORTS THAT ASSIST THE UNDERSERVED IN OUR COMMUNITIES. MERCY DID RECEIVE FUNDING FROM THE CORONAVIRUS AID RELIEF AND ECONOMIC SECURITY ACT ("CARES ACT"). MERCY RECEIVED CARES ACT FUNDING FOR THE PAST THREE YEARS ACROSS VARIOUS ENTITIES AND RECOGNIZED A PORTION OF THIS FUNDING IN OTHER OPERATING REVENUE. THESE FUNDS HELPED TO OFFSET REVENUE LOSSES AND ADDITIONAL EXPENSES INCURRED DUE TO THE PANDEMIC; HOWEVER, THESE FUNDS FELL SHORT OF THE SYSTEM LOSSES EXPERIENCED SINCE THE START OF THE PANDEMIC. 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) 2021


Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
MERCY CLINIC EAST COMMUNITIES
 
Employer identification number

43-1771217
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 CLINIC ADULT PSYCHIATRY LLC
645 MARYVILLE CENTRE DRIVE SUITE 10
ST LOUIS,MO63141
47-2408553 		BILLING ENTITY MO 2,474,721 224,356 MERCY CLINIC EAST COMMUNITIES
 
(2) MERCY CLINIC ANESTHESIOLOGY-WASHINGTON LLC
645 MARYVILLE CENTRE DRIVE SUITE 10
ST LOUIS,MO63141
03-0597437 		INACTIVE MO 0 0 MERCY CLINIC EAST COMMUNITIES
 
(3) MERCY CLINIC BURN AND PLASTIC SURGERY LLC
645 MARYVILLE CENTRE DRIVE SUITE 10
ST LOUIS,MO63141
20-1626706 		PHYSICIAN PRACTICE MO 7,888,102 1,141,618 MERCY CLINIC EAST COMMUNITIES
 
(4) MERCY CLINIC CARDIOVASCULAR AND THORACIC SURGERYLLC
645 MARYVILLE CENTRE DRIVESUITE 100
ST LOUIS,MO63141
56-2595510 		PHYSICIAN PRACTICE MO 3,656,723 438,112 MERCY CLINIC EAST COMMUNITIES
 
(5) MERCY CLINIC CHILD AND ADOLESCENT PSYCHIATRYLLC
645 MARYVILLE CENTRE DRIVESUITE 100
ST LOUIS,MO63141
43-1893326 		PHYSICIAN PRACTICE MO 1,820,266 226,816 MERCY CLINIC EAST COMMUNITIES
 
(6) MERCY CLINIC CHILD NEUROLOGY LLC
645 MARYVILLE CENTRE DRIVE SUITE 10
ST LOUIS,MO63141
27-4187705 		PHYSICIAN PRACTICE MO 412,511 49,244 MERCY CLINIC EAST COMMUNITIES
 
(7) MERCY CLINIC CHILDREN'S CANCER AND HEMATOLOGYLLC
645 MARYVILLE CENTRE DRIVESUITE 100
ST LOUIS,MO63141
43-1905879 		PHYSICIAN PRACTICE MO 249,285 36,051 MERCY CLINIC EAST COMMUNITIES
 
(8) MERCY CLINIC CHILDREN'S HEART CENTER LLC
645 MARYVILLE CENTRE DRIVE SUITE 10
ST LOUIS,MO63141
20-1626888 		PHYSICIAN PRACTICE MO 1,218,697 160,733 MERCY CLINIC EAST COMMUNITIES
 
(9) MERCY CLINIC CHILDREN'S INFECTIOUS DISEASES LLC
645 MARYVILLE CENTRE DRIVE SUITE 10
ST LOUIS,MO63141
27-2252716 		PHYSICIAN PRACTICE MO 142,073 14,131 MERCY CLINIC EAST COMMUNITIES
 
(10) MERCY CLINIC CHILDRENS RESPIR & SLEEP MEDLLC
645 MARYVILLE CENTRE DRIVE SUITE 10
ST LOUIS,MO63141
20-1626863 		PHYSICIAN PRACTICE MO 743,581 64,847 MERCY CLINIC EAST COMMUNITIES
 
(11) MERCY CLINIC CHILDREN'S SURGERY LLC
645 MARYVILLE CENTRE DRIVE SUITE 10
ST LOUIS,MO63141
20-1626627 		PHYSICIAN PRACTICE MO 2,532,171 325,279 MERCY CLINIC EAST COMMUNITIES
 
(12) MERCY CLINIC CHILDREN'S UROLOGY LLC
645 MARYVILLE CENTRE DRIVE SUITE 10
ST LOUIS,MO63141
45-1581113 		PHYSICIAN PRACTICE MO 1,437,324 164,620 MERCY CLINIC EAST COMMUNITIES
 
(13) MERCY CLINIC DERMATOLOGY LLC
645 MARYVILLE CENTRE DRIVE SUITE 10
ST LOUIS,MO63141
45-5357743 		PHYSICIAN PRACTICE MO 2,440,518 211,610 MERCY CLINIC EAST COMMUNITIES
 
(14) MERCY CLINIC ENDOCRINOLOGY LLC
645 MARYVILLE CENTRE DRIVE SUITE 10
ST LOUIS,MO63141
27-2127648 		PHYSICIAN PRACTICE MO 1,172,876 72,879 MERCY CLINIC EAST COMMUNITIES
 
(15) MERCY CLINIC ENT LLC
645 MARYVILLE CENTRE DRIVE SUITE 10
ST LOUIS,MO63141
45-5444208 		PHYSICIAN PRACTICE MO 4,504,875 553,650 MERCY CLINIC EAST COMMUNITIES
 
(16) MERCY CLINIC GASTROENTEROLOGY LLC
645 MARYVILLE CENTRE DRIVE SUITE 10
ST LOUIS,MO63141
26-4777940 		PHYSICIAN PRACTICE MO 17,291,851 1,763,459 MERCY CLINIC EAST COMMUNITIES
 
(17) MERCY CLINIC GERIATRICS LLC
645 MARYVILLE CENTRE DRIVE SUITE 10
ST LOUIS,MO63141
20-1626475 		PHYSICIAN PRACTICE MO 0 0 MERCY CLINIC EAST COMMUNITIES
 
(18) MERCY CLINIC GYN ONCOLOGY LLC
645 MARYVILLE CENTRE DRIVE SUITE 10
ST LOUIS,MO63141
30-0413949 		PHYSICIAN PRACTICE MO 0 0 MERCY CLINIC EAST COMMUNITIES
 
(19) MERCY CLINIC HEART AND VASCULAR LLC
645 MARYVILLE CENTRE DRIVE SUITE 10
ST LOUIS,MO63141
41-2175615 		PHYSICIAN PRACTICE MO 41,808,442 3,839,431 MERCY CLINIC EAST COMMUNITIES
 
(20) MERCY CLINIC HYPERBARIC AND WOUND CARE LLC
14528 SOUTH OUTER FORTY SUITE 100
CHESTERFIELD,MO63017
46-5332055 		CONTRACTING ORGANIZATION FOR PROFESSIONAL PHYSICIAN SERVICES MO 900,866 116,504 MERCY CLINIC EAST COMMUNITIES
 
(21) MERCY CLINIC INFECTIOUS DISEASE LLC
14528 SOUTH OUTER FORTY SUITE 100
CHESTERFIELD,MO63017
46-1459234 		CONTRACTING ORGANIZATION FOR PROFESSIONAL PHYSICIAN SERVICES MO 947,081 87,333 MERCY CLINIC EAST COMMUNITIES
 
(22) MERCY CLINIC KIDS GI LLC
645 MARYVILLE CENTRE DRIVE SUITE 10
ST LOUIS,MO63141
26-4186905 		PHYSICIAN PRACTICE MO 1,110,253 125,663 MERCY CLINIC EAST COMMUNITIES
 
(23) MERCY CLINIC KIDS PLASTIC SURGERYLLC
645 MARYVILLE CENTRE DRIVE SUITE 10
ST LOUIS,MO63141
33-1123018 		PHYSICIAN PRACTICE MO 701,523 144,825 MERCY CLINIC EAST COMMUNITIES
 
(24) MERCY CLINIC MATERNAL AND FETAL MEDICINE
645 MARYVILLE CENTRE DRIVE SUITE 10
ST LOUIS,MO63141
82-2496814 		PHYSICIAN PRACTICE MO 6,588,051 744,663 MERCY CLINIC EAST COMMUNITIES
 
(25) MERCY CLINIC NEPHROLOGY LLC
14528 SOUTH OUTER FORTY SUITE 100
CHESTERFIELD,MO63017
46-5532932 		CONTRACTING ORGANIZATION FOR PROFESSIONAL PHYSICIAN SERVICES MO 1,901,376 154,038 MERCY CLINIC EAST COMMUNITIES
 
(26) MERCY CLINIC NEUROLOGY LLC
645 MARYVILLE CENTRE DRIVE SUITE 10
ST LOUIS,MO63141
86-1176023 		PHYSICIAN PRACTICE MO 9,265,714 1,028,235 MERCY CLINIC EAST COMMUNITIES
 
(27) MERCY CLINIC ONCOLOGY LLC
645 MARYVILLE CENTRE DRIVE SUITE 10
ST LOUIS,MO63141
27-2127523 		PHYSICIAN PRACTICE MO 10,062,743 702,539 MERCY CLINIC EAST COMMUNITIES
 
(28) MERCY CLINIC OPHTHALMOLOGY LLC
645 MARYVILLE CENTRE DRIVE SUITE 10
ST LOUIS,MO63141
45-5450768 		PHYSICIAN PRACTICE MO 3,874,851 376,338 MERCY CLINIC EAST COMMUNITIES
 
(29) MERCY CLINIC PAIN MANAGEMENT LLC
14528 SOUTH OUTER FORTY SUITE 100
CHESTERFIELD,MO63017
46-3705963 		CONTRACTING ORGANIZATION FOR PROFESSIONAL PHYSICIAN SERVICES MO 2,347,351 337,076 MERCY CLINIC EAST COMMUNITIES
 
(30) MERCY CLINIC PALLIATIVE CARE LLC
645 MARYVILLE CENTRE DRIVE SUITE 10
ST LOUIS,MO63141
26-2572054 		PHYSICIAN PRACTICE MO 779,170 76,480 MERCY CLINIC EAST COMMUNITIES
 
(31) MERCY CLINIC PLASTIC SURGERY LLC
645 MARYVILLE CENTRE DRIVE SUITE 10
ST LOUIS,MO63141
33-1123017 		INACTIVE MO 0 0 MERCY CLINIC EAST COMMUNITIES
 
(32) MERCY CLINIC PODIATRY LLC
645 MARYVILLE CENTRE DRIVE SUITE 10
ST LOUIS,MO63141
45-5484507 		PHYSICIAN PRACTICE MO 809,691 73,969 MERCY CLINIC EAST COMMUNITIES
 
(33) MERCY CLINIC POST ACUTE SERVICES LLC
645 MARYVILLE CENTRE DRIVE SUITE 10
ST LOUIS,MO63141
45-4440279 		PHYSICIAN PRACTICE MO 25,545 2,215 MERCY CLINIC EAST COMMUNITIES
 
(34) MERCY CLINIC PULMONOLOGY-ST LOUIS LLC
645 MARYVILLE CENTRE DRIVE SUITE 10
ST LOUIS,MO63141
26-4186970 		PHYSICIAN PRACTICE MO 7,027,195 609,171 MERCY CLINIC EAST COMMUNITIES
 
(35) MERCY CLINIC PULMONOLOGY-WASHINGTON LLC
645 MARYVILLE CENTRE DRIVE SUITE 10
ST LOUIS,MO63141
27-2882104 		PHYSICIAN PRACTICE MO 1,985,651 139,294 MERCY CLINIC EAST COMMUNITIES
 
(36) MERCY CLINIC SPECIALISTS SERVICES-ILLINOIS LLC
2227 VADALABENE DR
MARYVILLE,IL62062
81-3359770 		BILLING ENTITY IL 529,893 53,399 MERCY CLINIC EAST COMMUNITIES
 
(37) MERCY CLINIC ST LOUIS CANCER AND BREAST INSTITUTELLC
645 MARYVILLE CENTRE DRIVESUITE 100
ST LOUIS,MO63141
26-3290360 		PHYSICIAN PRACTICE MO 2,319,356 178,080 MERCY CLINIC EAST COMMUNITIES
 
(38) MERCY CLINIC SURGICAL SPECIALISTS IL LLC
227 VADALABENE DR
MARYVILLE,IL62062
82-4797248 		PHYSICIAN PRACTICE IL 0 0 MERCY CLINIC EAST COMMUNITIES
 
(39) MERCY CLINIC SURGICAL SPECIALISTS LLC
645 MARYVILLE CENTRE DRIVE SUITE 10
ST LOUIS,MO63141
27-2481555 		PHYSICIAN PRACTICE MO 46,648,326 5,915,245 MERCY CLINIC EAST COMMUNITIES
 
(40) MERCY CLINIC TRAUMA AND GENERAL SURGERY LLC
645 MARYVILLE CENTRE DRIVE SUITE 10
ST LOUIS,MO63141
20-1626820 		PHYSICIAN PRACTICE MO 6,806,793 1,150,097 MERCY CLINIC EAST COMMUNITIES
 
(41) MERCY CLINIC UROLOGY LLC
645 MARYVILLE CENTRE DRIVE SUITE 10
ST LOUIS,MO63141
33-1123019 		PHYSICIAN PRACTICE MO 10,373,490 902,073 MERCY CLINIC EAST COMMUNITIES
 
(42) MERCY PODIATRY LLC
645 MARYVILLE CENTRE DRIVE SUITE 10
ST LOUIS,MO63141
51-0546434 		INACTIVE MO 0 0 MERCY CLINIC EAST COMMUNITIES
 
(43) MIDWEST HEART GROUP OF ROLLA LLC
645 MARYVILLE CENTRE DRIVE SUITE 10
ST LOUIS,MO63141
68-0659908 		INACTIVE MO 0 0 MERCY CLINIC EAST COMMUNITIES
 
(44) MISSOURI INTERNISTS LLC
645 MARYVILLE CENTRE DRIVE SUITE 10
ST LOUIS,MO63141
20-1627002 		INACTIVE MO 0 0 MERCY CLINIC EAST COMMUNITIES
 
(45) ST JOHN'S CARDIOLOGY LLC
645 MARYVILLE CENTRE DRIVE SUITE 10
ST LOUIS,MO63141
73-1735426 		INACTIVE MO 0 0 MERCY CLINIC 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?
Yes No
(1)CASA DE MISERICORDIA
1000 MIER ST

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 12B 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 FORT SMITH COMM
7301 ROGERS AVENUE

FORT SMITH,AR72917
26-1318597 		PHYSICIAN CLINIC AR 501C3 3 MERCY HEALTH FORT SMITH COMM
 
Yes
 
(5)MERCY CLINIC OKLAHOMA COMM
4300 W MEMORIAL ROAD

OKLAHOMA CITY,OK73120
27-0473057 		PHYSICIAN GROUP OK 501C3 3 MERCY HEALTH OK COMMUNITIES
 
Yes
 
(6)MERCY CLINIC SPRINGFIELD COMM
1965 FREMONT STREET SUITE 2950

SPRINGFIELD,MO65804
43-1560263 		PHYSICIAN GROUP MO 501C3 3 MERCY HEALTH SPRINGFIELD COMM
 
Yes
 
(7)MERCY FAMILY CENTER
110 VETERANS BLVD

METAIRIE,LA70005
72-1069468 		FAMILY COUNSELING SERVICES LA 501C3 7 MERCY HEALTH
 
Yes
 
(8)MERCY HEALTH
14528 S OUTER FORTY ST 100

CHESTERFIELD,MO63017
43-1423050 		CORPORATE OFFICE MO 501C3 1 N/A
 
No
(9)MERCY HEALTH EAST COMMUNITIES
645 MARYVILLE CTR DR STE 100

ST LOUIS,MO63141
43-1718408 		HEALTH SYSTEM MO 501C3 12A MERCY HEALTH
 
Yes
 
(10)MERCY HEALTH FORT SMITH COMM
7301 ROGERS AVENUE

FORT SMITH,AR72917
26-1318515 		HOLDING COMPANY AR 501C3 12B MERCY HEALTH
 
Yes
 
(11)MERCY HEALTH FOUNDATION
14528 S OUTER FORTY ST 100

CHESTERFIELD,MO63017
20-0901499 		FOUNDATION MO 501C3 12B MERCY HEALTH
 
Yes
 
(12)MERCY HEALTH FOUNDATION ADA
430 N MONTE VISTA STREET

ADA,OK74820
46-3596274 		FOUNDATION OK 501C3 12A MERCY HOSPITAL ADA
 
Yes
 
(13)MERCY HEALTH FOUNDATION ARDMORE
1011 14TH AVENUE NW

ARDMORE,OK73401
71-0962525 		FOUNDATION OK 501C3 12A MERCY HOSPITAL ARDMORE
 
Yes
 
(14)MERCY HEALTH FOUNDATION BERRYVILLE
214 CARTER STREET

BERRYVILLE,AR72616
71-0759301 		FOUNDATION AR 501C3 12A MERCY HOSPITAL BERRYVILLE
 
Yes
 
(15)MERCY HEALTH FOUNDATION FT SCOTT
401 WOODLAND HILLS BLVD

FORT SCOTT,KS66701
48-1077073 		FOUNDATION KS 501C3 7 MERCY KANSAS COMMUNITIES INC
 
Yes
 
(16)MERCY HEALTH FOUNDATION FORT SMITH
7301 ROGERS AVENUE

FORT SMITH,AR72917
23-7330425 		FOUNDATION AR 501C3 7 MERCY HOSPITAL FORT SMITH
 
Yes
 
(17)MERCY HEALTH FOUNDATION LEBANON
100 HOSPITAL DRIVE

LEBANON,MO65536
82-2514567 		FOUNDATION MO 501C3 12B MERCY HOSPITAL LEBANON
 
Yes
 
(18)MERCY HEALTH FOUNDATION JEFFERSON
1400 US HIGHWAY 61 SOUTH

FESTUS,MO63028
46-2797051 		FOUNDATION MO 501C3 12B MERCY HOSPITAL JEFFERSON
 
Yes
 
(19)MERCY HEALTH FOUNDATION JOPLIN
100 MERCY WAY

JOPLIN,MO64804
27-0906136 		FOUNDATION MO 501C3 7 MERCY HEALTH SW MOKS COMM
 
Yes
 
(20)MERCY HEALTH FOUNDATION LINCOLN
1000 EAST CHERRY STREET

TROY,MO63379
81-1477159 		FOUNDATION MO 501C3 12B MERCY HEALTH EAST COMMUNITIES
 
Yes
 
(21)MERCY HEALTH FOUNDATION NW ARK
2710 RIFE MEDICAL LN

ROGERS,AR72858
71-0601687 		FOUNDATION AR 501C3 12B MERCY HOSPITAL ROGERS
 
Yes
 
(22)MERCY HEALTH FOUNDATION OF OK
4300 W MEMORIAL ROAD

OKLAHOMA CITY,OK73120
45-4732301 		FOUNDATION OK 501C3 12A MERCY HEALTH OK COMMUNITIES
 
Yes
 
(23)MERCY HEALTH FOUNDATION OK CITY
4300 W MEMORIAL ROAD

OKLAHOMA CITY,OK73120
46-3184231 		FOUNDATION OK 501C3 12A MERCY HEALTH OK COMMUNITIES
 
Yes
 
(24)MERCY HEALTH FOUNDATION SPRINGFIELD
1235 E CHEROKEE STREET

SPRINGFIELD,MO65804
32-0195818 		FOUNDATION MO 501C3 12B MERCY HEALTH SPRINGFIELD COMM
 
Yes
 
(25)MERCY HEALTH FOUNDATION ST FRANCIS
100 W HIGHWAY 60

MOUNTAIN VIEW,MO65548
43-1873914 		FOUNDATION MO 501C3 12A MERCY ST FRANCIS HOSPITAL
 
Yes
 
(26)MERCY HEALTH FOUNDATION STL
615 SOUTH NEW BALLAS ROAD

ST LOUIS,MO63141
56-2410020 		FOUNDATION MO 501C3 12B MERCY HEALTH EAST COMMUNITIES
 
Yes
 
(27)MERCY HEALTH FOUNDATION WASHINGTON
901 E FIFTH STREET

WASHINGTON,MO63090
56-2410022 		FOUNDATION MO 501C3 12B MERCY HEALTH EAST COMMUNITIES
 
Yes
 
(28)MERCY HEALTH NW ARK COMMUNITIES
2710 RIFE MEDICAL LN

ROGERS,AR72758
62-1684203 		PHYSICIAN GROUP AR 501C3 10 MERCY HEALTH
 
Yes
 
(29)MERCY HEALTH OK COMMUNITIES
4300 W MEMORIAL ROAD

OKLAHOMA CITY,OK73120
73-1453048 		HEALTH SYSTEM OK 501C3 12A MERCY HEALTH
 
Yes
 
(30)MERCY HEALTH PLANS OF MISSOURIINC
3265 S NATIONAL AVENUE

SPRINGFIELD,MO65807
32-0481419 		HMO MO 501C4   MERCY HEALTH
 
Yes
 
(31)MERCY HEALTH PLANSINC
3265 S NATIONAL AVENUE

SPRINGFIELD,MO65807
32-0486150 		PPO MO 501C4   MERCY HEALTH PLANS OF MISSOURIINC
 
Yes
 
(32)MERCY HEALTH SW MOKS COMM
100 MERCY WAY

JOPLIN,MO64804
30-0584463 		HEALTH SYSTEM MO 501C3 12B MERCY HEALTH
 
Yes
 
(33)MERCY HEALTH SPRINGFIELD COMM
1235 E CHEROKEE STREET

SPRINGFIELD,MO65804
43-1856028 		HEALTH SYSTEM MO 501C3 12B MERCY HEALTH
 
Yes
 
(34)MERCY HOSPITAL ADA INC
430 N MONTE VISTA STREET

ADA,OK74820
46-2288155 		HOSPITAL OK 501C3 3 MERCY HEALTH OK COMMUNITIES
 
Yes
 
(35)MERCY HOSPITAL ARDMORE
1011 14TH AVENUE NW

ARDMORE,OK73401
73-1500629 		HOSPITAL OK 501C3 3 MERCY HEALTH OK COMMUNITIES
 
Yes
 
(36)MERCY HOSPITAL AURORA
500 PORTER AVENUE

AURORA,MO65605
43-1936696 		HOSPITAL MO 501C3 3 MERCY HEALTH SPRINGFIELD COMM
 
Yes
 
(37)MERCY HOSPITAL BERRYVILLE
214 CARTER STREET

BERRYVILLE,AR72616
71-0759299 		HOSPITAL AR 501C3 3 MERCY HEALTH NW ARK COMMUNITIES
 
Yes
 
(38)MERCY HOSPITAL BOONEVILLE
880 WEST MAIN STREET

BOONEVILLE,AR72927
46-3851119 		HOSPITAL AR 501C3 3 MERCY HOSPITAL FORT SMITH
 
Yes
 
(39)MERCY HOSPITAL CARTHAGE
3125 DR RUSSELL SMITH WAY

CARTHAGE,MO64836
45-3808607 		HOSPITAL MO 501C3 3 MERCY HEALTH SW MOKS COMM
 
Yes
 
(40)MERCY HOSPITAL CASSVILLE
94 MAIN STREET

CASSVILLE,MO65625
43-1936699 		HOSPITAL MO 501C3 3 MERCY HEALTH SPRINGFIELD COMM
 
Yes
 
(41)MERCY HOSPITAL COLUMBUS
220 PENNSYLVANIA AVENUE

COLUMBUS,KS66725
27-0842031 		HOSPITAL MO 501C3 3 MERCY HEALTH SW MOKS COMM
 
Yes
 
(42)MERCY HOSPITAL EL RENO
2115 PARKVIEW DRIVE

EL RENO,OK73036
27-2716065 		HOSPITAL - INACTIVE OK 501C3 3 MERCY HOSPITAL OKLAHOMA CITY
 
Yes
 
(43)MERCY HOSPITAL FORT SMITH
7301 ROGERS AVENUE

FORT SMITH,AR72917
71-0240352 		HOSPITAL AR 501C3 3 MERCY HEALTH FORT SMITH COMM
 
Yes
 
(44)MERCY HOSPITAL HEALDTON INC
3462 HOSPITAL RD

HEALDTON,OK73438
26-3173902 		HOSPITAL OK 501C3 3 MERCY HOSPITAL ARDMORE INC
 
Yes
 
(45)MERCY HOSPITAL JEFFERSON
1400 HIGHWAY 61 SOUTH

FESTUS,MO63028
43-0687077 		HOSPITAL MO 501C3 3 MERCY HEALTH EAST COMMUNITIES
 
Yes
 
(46)MERCY HOSPITAL JOPLIN
100 MERCY WAY

JOPLIN,MO64804
27-0814858 		HOSPITAL MO 501C3 3 MERCY HEALTH SW MOKS COMM
 
Yes
 
(47)MERCY HOSPITAL KINGFISHER INC
1000 HOSPITAL CIRCLE

KINGFISHER,OK73750
46-3433074 		HOSPITAL OK 501C3 3 MERCY HOSPITAL OKLAHOMA CITY
 
Yes
 
(48)MERCY HOSPITAL LEBANON
100 HOSPITAL DRIVE

LEBANON,MO65536
43-1767432 		HOSPITAL MO 501C3 3 MERCY HEALTH SPRINGFIELD COMM
 
Yes
 
(49)MERCY HOSPITAL LINCOLN
1000 EAST CHERRY STREET

TROY,MO63379
47-2219204 		HOSPITAL MO 501C3 3 MERCY HEALTH EAST COMMUNITIES
 
Yes
 
(50)MERCY HOSPITAL LOGAN COUNTY INC
200 SOUTH ACADEMY

GUTHRIE,OK73044
45-2998842 		HOSPITAL OK 501C3 3 MERCY HOSPITAL OKLAHOMA CITY
 
Yes
 
(51)MERCY HOSPITAL OKLAHOMA CITY
4300 W MEMORIAL ROAD

OKLAHOMA CITY,OK73120
73-0579285 		HOSPITAL OK 501C3 3 MERCY HEALTH OK COMMUNITIES
 
Yes
 
(52)MERCY HOSPITAL OZARK
801 W RIVER STREET

OZARK,AR72949
71-0689680 		HOSPITAL AR 501C3 3 MERCY HOSPITAL FORT SMITH
 
Yes
 
(53)MERCY HOSPITAL PARIS
500 E ACADEMY

PARIS,AR72855
71-0655753 		HOSPITAL AR 501C3 3 MERCY HOSPITAL FORT SMITH
 
Yes
 
(54)MERCY HOSPITAL ROGERS
2710 RIFE MEDICAL LN

ROGERS,AR72758
71-0294390 		HOSPITAL AR 501C3 3 MERCY HEALTH NW ARK COMMUNITIES
 
Yes
 
(55)MERCY HOSPITAL SPRINGFIELD
1235 E CHEROKEE STREET

SPRINGFIELD,MO65804
44-0552485 		HOSPITAL MO 501C3 3 MERCY HEALTH SPRINGFIELD COMM
 
Yes
 
(56)MERCY HOSPITAL TISHOMINGO
1000 SOUTH BYRD

TISHOMINGO,OK73460
27-4433830 		HOSPITAL OK 501C3 3 MERCY HOSPITAL ADA
 
Yes
 
(57)MERCY HOSPITAL WALDRON
1341 W 6TH STREET

WALDRON,AR72958
71-0557895 		HOSPITAL AR 501C3 3 MERCY HOSPITAL FORT SMITH
 
Yes
 
(58)MERCY HOSPITAL WATONGA INC
500 CLARENCE NASH BLVD

WATONGA,OK73772
45-5199762 		HOSPITAL OK 501C3 3 MERCY HOSPITAL OKLAHOMA CITY
 
Yes
 
(59)MERCY HOSPITALS EAST COMM
645 MARYVILLE CTR DR STE 100

ST LOUIS,MO63141
43-0653493 		HOSPITAL MO 501C3 3 MERCY HEALTH EAST COMMUNITIES
 
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 12A MERCY HEALTH
 
Yes
 
(65)MISSION CLINICAL SERVICES
300 WERNER STREET

HOT SPRINGS,AR71913
13-4239691 		CHILD ADVOCACY CENTER AR 501C3 3 MERCY HEALTH
 
Yes
 
(66)MERCY HEALTH FOUNDATION SOUTH
10010 KENNERLY ROAD

ST LOUIS,MO63128
26-1516789 		FOUNDATION MO 501C3 12A 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)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) 2021
Schedule R (Form 990) 2021
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
Yes No Yes No
(1) 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  
(2) ST EDWARD MERCY MED CTR M-P OFFICE BLDG

7301 ROGERS AVENUE
FORT SMITH,AR72903
71-0554050 		OFFICE BUILDING AR MERCY HOSPITAL FORT SMITH
  		N/A       No     No  
(3) 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  
(4) MARYVILLE CANCER CENTER LLC

2227 VADALABENE DRIVE
MARYVILLE,IL62062
81-3385885 		OUTPATIENT CENTER IL MERCY HEALTH EAST COMMUNITIES
  		N/A       No     No  
(5) PLAZA SURGERY SERVICES COMPANY LLC

12700 SOUTHFORK ROAD
ST LOUIS,MO63128
20-4709312 		INACTIVE MO MERCY HOSPITAL SOUTH
  		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?
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) 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
(3) MERCY MANAGED CARE CORPORATION

4300 W MEMORIAL ROAD
OKLAHOMA CITY,OK73120
73-1441665 		HOLDING COMPANY OK MERCY HEALTH
  		C         No
(4) 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
(5) ST ANTHONY'S PHYSICIAN ORGANIZATION OF ILLINOIS

10010 KENNERLY ROAD
ST LOUIS,MO63128
32-0457168 		HEALTH CARE MO MERCY HOSPITAL SOUTH
  		C         No
(6) MCAULEY INSURANCE COMPANY LTD

AON HOUSE 30 WOODBOURNE AVENUE
PEMBROKE   HM 08
BD
INACTIVE BD MERCY HEALTH
  		C         No


Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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
No
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 .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
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 FOUNDATION SOUTH

 C 113,913 FMV
(2) MERCY FOUNDATION JEFFERSON

 C 15,142 FMV
(3) MERCY FOUNDATION WASHINGTON

 C 17,791 FMV
(4) MERCY FOUNDATION ST LOUIS

 C 206,878 FMV
(5) MERCY FOUNDATION ST LOUIS

 B 25,000 FMV
(6) MERCY ACO CLINICAL SERVICES

 P 360,308 FMV
(7) MERCY CLINIC SPRINGFIELD COMMUNITIES

 P 4,615 FMV
(8) MERCY HEALTH

 Q 5,749 FMV
(9) MERCY HEALTH EAST COMMUNITIES

 Q 18,290,738 FMV
(10) MERCY HEALTH SPRINGFIELD COMMUNITIES

 Q 2,358,073 FMV
(11) MERCY HEALTH SW MOKAN COMMUNITIES

 P 140,052 FMV
(12) MERCY HOSPITAL AURORA

 P 1,190 FMV
(13) MERCY HOSPITAL FORT SMITH

 P 14,787 FMV
(14) MERCY HOSPITAL JEFFERSON

 P 1,062,554 FMV
(15) MERCY HOSPITAL JOPLIN

 P 8,710 FMV
(16) MERCY HOSPITAL LEBANON

 P 1,157 FMV
(17) MERCY HOSPITAL LINCOLN

 P 426,479 FMV
(18) MERCY HOSPITAL OKLAHOMA CITY

 Q 159 FMV
(19) MERCY HOSPITAL ROGERS

 P 309 FMV
(20) MERCY HOSPITAL SOUTH

 P 3,089,705 FMV
(21) MERCY HOSPITAL SPRINGFIELD

 P 18,344 FMV
(22) MERCY HOSPITALS EAST COMMUNITIES

 P 5,714,134 FMV
(23) MERCY RESEARCH

 P 10,329 FMV
(24) MHM SUPPORT SERVICES

 Q 59,406,141 FMV
(25) ST ANTHONY'S PHYSICIAN ORGANIZATION

 P 7,103 FMV
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(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
Yes No Yes No Yes No






























Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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) 2021

Additional Data


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