TY 2023 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) CHALK MD DAVID E...................................................................... REGIONAL PHYSICIAN EXECUTIVE	1.00 ................. 45.00	X		1,277,122	111,384
(2) MEINERS MD DAVID...................................................................... COMMUNITY PRESIDENT - HOSPITAL	50.00 ................. 10.00	X	X	1,205,784	23,738
(3) BOYD MD JAMES...................................................................... PHYSICIAN & BOARD MEMBER	1.00 ................. 39.00	X		787,420	25,858
(4) DUMONTIER MD GARY...................................................................... PHYSICIAN & BOARD MEMBER	1.00 ................. 39.00	X		658,157	27,460
(5) RIECHERS MD THOMAS...................................................................... PHYSICIAN & BOARD MEMBER	6.00 ................. 50.00	X		599,982	37,749
(6) FARMER MD GRETCHEN...................................................................... PHYSICIAN & BOARD MEMBER	1.00 ................. 44.00	X		414,143	28,561
(7) ANDREWS RSM SR VIRGINIA...................................................................... BOARD MEMBER	1.00 ................. 0.00	X		0	0
(8) BRECKENKAMP SCOTT...................................................................... BOARD MEMBER	1.00 ................. 0.00	X		0	0
(9) COLEMAN DENNIS CHRISTIAN...................................................................... BOARD MEMBER	1.00 ................. 0.00	X		0	0
(10) ECKELKAMP JR LOUIS BERNARD...................................................................... BOARD MEMBER	1.00 ................. 0.00	X		0	0
(11) HANNAH SARA...................................................................... BOARD MEMBER	1.00 ................. 0.00	X		0	0
(12) HINTZE PAUL...................................................................... BOARD MEMBER	1.00 ................. 0.00	X		0	0
(13) JOHNSON KRISTEN...................................................................... BOARD MEMBER	1.00 ................. 0.00	X		0	0
(14) KOELSCH LINDA CABRINI...................................................................... BOARD MEMBER	1.00 ................. 0.00	X		0	0
(15) LUCY SANDY...................................................................... BOARD MEMBER	1.00 ................. 1.00	X		0	0
(16) MARONEY JOHN PATRICK...................................................................... BOARD MEMBER	1.00 ................. 0.00	X		0	0
(17) MILLER SR WILLIAM...................................................................... BOARD MEMBER	1.00 ................. 0.00	X		0	0

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) O'LOUGHLIN STEVE........................................................................ BOARD MEMBER	1.00 .......................0.00	X					0	0
(19) SANFORD CASSANDRA........................................................................ BOARD MEMBER	1.00 .......................0.00	X					0	0
(20) SCOFFIC DENISE........................................................................ CFO	48.00 .......................4.00		X				394,092	37,589
(21) EOLOFF ERIC J........................................................................ COMMUNITY PRESIDENT	40.00 .......................20.00			X			1,089,559	100,231
(22) COMBS EMILY........................................................................ COO	40.00 .......................20.00			X			520,893	80,952
(23) OREN PHINEAS........................................................................ VICE PRESIDENT - MEDICAL AFFAIRS	25.00 .......................25.00			X			531,251	15,717
(24) WEILBACHER ROBYN........................................................................ CNO	40.00 .......................10.00			X			440,003	88,887
(25) THORN MARK A........................................................................ EXEC DIRECTOR, FINANCE	40.00 .......................10.00			X			222,524	15,410
(26) HUESER CHRISTOPHER........................................................................ PHYSICIAN	50.00 .......................0.00				X		1,247,220	28,220
(27) FINNIE JOHN........................................................................ PHYSICIAN	30.00 .......................30.00				X		1,231,222	28,183
(28) MIRZA MUHAMMAD........................................................................ PHYSICIAN	50.00 .......................0.00				X		1,124,316	25,616
(29) RODGERS HEIDE........................................................................ PHYSICIAN	50.00 .......................0.00				X		1,022,590	25,010
(30) HU HSIAO-OU........................................................................ PHYSICIAN	50.00 .......................0.00				X		1,004,644	29,769
(31) MACKIN STEPHEN L........................................................................ FORMER OFFICER	0.00 .......................60.00					X	5,005,267	575,688
(32) MATEJKA CHERYL L........................................................................ FORMER OFFICER	0.00 .......................55.00					X	1,593,070	140,367
(33) JOHNSTON JEFFREY A........................................................................ FORMER OFFICER	0.00 .......................0.00					X	1,316,754	10,821
(34) KAHN MD JOSEPH........................................................................ FORMER KEY EMPLOYEE	0.00 .......................60.00					X	816,076	23,255
(35) CRAIN CHRISTINE........................................................................ FORMER KEY EMPLOYEE	30.00 .......................30.00					X	631,286	37,812
(36) NELSON KATHRYN........................................................................ FORMER KEY EMPLOYEE	0.00 .......................0.00					X	500,716	71,331
(37) ROTHERMICH ANTHONY........................................................................ FORMER KEY EMPLOYEE	10.00 .......................40.00					X	320,049	55,572

(A) Name and business address	(B) Description of services	(C) Compensation
HEALTHTRUST INC - THE HOSPITAL COMPANY 100 SAWGRASS CORP PKWY 6TH FL SUNRISE,FL33323	LABOR MANAGEMENT SVCS	17,161,331
WESTERN ANESTHESIOLOGY ASSOCIATES INC 339 CONSORT DR BALLWIN,MO63011	ANESTHESIOLOGY SERVICES	14,326,974
WEST COUNTY RADIOLOGICAL GROUP INC 11475 OLDE CABIN RD STE 200 ST LOUIS,MO63141	RADIOLOGICAL SERVICES	5,590,586
IMAGEFIRST OF ST LOUIS PO BOX 778941 CHICAGO,IL60677	HEALTHCARE LINEN SERVICES	3,908,802
MCCARTHY BUILDING CO 12851 MANCHESTER RD ST LOUIS,MO63131	CONSTRUCTION AND DESIGN SERVICES	2,916,822
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 99

- TIN:

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.
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Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

MERCY HOSPITALS EAST COMMUNITIES

Employer identification number

43-0653493

Part I

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

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

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

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

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

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

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

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

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

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

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

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

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

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

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

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

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

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

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

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

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

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


Total

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

Cat. No. 11285F

Schedule A (Form 990) 2023

Page 2

Part II

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

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

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

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

Section C. Computation of Public Support Percentage

Public support percentage for 2023 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2022 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2023. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2022. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

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

Schedule A (Form 990) 2023

Page 3

Part III

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

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

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

Section C. Computation of Public Support Percentage

Public support percentage for 2023 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2022 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2023 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2022 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2023. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2022. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

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

Schedule A (Form 990) 2023

Page 4

Part IV

Supporting Organizations

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

Section A. All Supporting Organizations

Yes

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

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

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

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

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

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

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

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

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

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

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

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

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

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).

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

Did one or more disqualified persons (as defined 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.

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.

10a

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

10a

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

10b

Schedule A (Form 990) 2023

Page 5

Part IV

Supporting Organizations (continued)

Yes

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

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

11a

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

11b

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

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

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

Section C. Type II Supporting Organizations

Yes

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

Section D. All Type III Supporting Organizations

Yes

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

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

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

Section E. Type III Functionally-Integrated Supporting Organizations

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

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

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

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

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

Yes

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

Did the activities described 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.

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

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

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

Schedule A (Form 990) 2023

Page 6

Part V

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

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

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

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

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

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

Schedule A (Form 990) 2023

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 2023 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-2023	(iii) Distributable Amount for 2023
1 Distributable amount for 2023 from Section C, line 6
2 Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2023:
a From 2018.......
b From 2019.......
c From 2020.......
d From 2021.......
e From 2022.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2023 distributable amount
i Carryover from 2018 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2023 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2023 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2023, 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 2023. 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 2024. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2019.....
b Excess from 2020.....
c Excess from 2021.....
d Excess from 2022.....
e Excess from 2023.....

Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023

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) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

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

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

OMB No. 1545-0047

2023

Name of the organization

MERCY HOSPITALS EAST COMMUNITIES

Employer identification number

43-0653493

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

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

General Rule

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

Special Rules

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

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

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

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

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

Cat. No. 30613XSchedule B (Form 990) (2023)

Schedule B (Form 990) (2023) Page 2

Name of organization MERCY HOSPITALS EAST COMMUNITIES

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 3

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

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 4


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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

Schedule B (Form 990) (2023)

Additional Data

Software ID:
Software Version:

- TIN:

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

right arrow

Complete if the organization is described below. 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

2022

Open to Public
Inspection

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

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

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

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

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

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

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

Name of the organization

MERCY HOSPITALS EAST COMMUNITIES

Employer identification number

43-0653493

Part I-A

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

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

Political campaign activity expenditures. See instructions .................................................................... right arrow

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

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

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

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

Yes No

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

Yes No

If "Yes," describe in Part IV.

Part I-C

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

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow

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

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

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

Yes No

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

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

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

Cat. No. 50084S

Schedule C (Form 990) 2022

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 right arrow

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

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

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

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

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2019	(b) 2020	(c) 2021	(d) 2022	(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) 2022

Page 3

Part II-B

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

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

(a)

Yes|No

(b)

Amount

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

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

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

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

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

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

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

Yes

91,748

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

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

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

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

91,748

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

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

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

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

Part III-A

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

Yes

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

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

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

Part III-B

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

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

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

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

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

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

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

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

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

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

Return Reference	Explanation
PART II-B, LINE 1:	THE FILING ORGANIZATION IS A MEMBER OF AND PAYS DUES TO THE FOLLOWING HOSPITAL ASSOCIATIONS: AMERICAN HOSPITAL ASSOCIATION, CATHOLIC HEALTH ASSOCIATION, AND MISSOURI HOSPITAL ASSOCIATION. FOR THE YEAR ENDED JUNE 30, 2024, DUES WERE $77,278, $173,501, AND $187,304, RESPECTIVELY. APPROXIMATELY 32.00% OF AMERICAN HOSPITAL ASSOCIATION DUES, 3.65% OF CATHOLIC HEALTH ASSOCIATION DUES, AND 32.40% OF MISSOURI HOSPITAL ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED BY THESE ASSOCIATIONS.

Return Reference

Explanation

PART II-B, LINE 1:

THE FILING ORGANIZATION IS A MEMBER OF AND PAYS DUES TO THE FOLLOWING HOSPITAL ASSOCIATIONS: AMERICAN HOSPITAL ASSOCIATION, CATHOLIC HEALTH ASSOCIATION, AND MISSOURI HOSPITAL ASSOCIATION. FOR THE YEAR ENDED JUNE 30, 2024, DUES WERE $77,278, $173,501, AND $187,304, RESPECTIVELY. APPROXIMATELY 32.00% OF AMERICAN HOSPITAL ASSOCIATION DUES, 3.65% OF CATHOLIC HEALTH ASSOCIATION DUES, AND 32.40% OF MISSOURI HOSPITAL ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED BY THESE ASSOCIATIONS.

Schedule C (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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

Attach to Form 990.
right arrow

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

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

MERCY HOSPITALS EAST COMMUNITIES

Employer identification number

43-0653493

Part I

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

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

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

Yes No

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

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ...	2d

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

Number of states where property subject to conservation easement is located right arrow

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

Yes No

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

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

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

Yes No

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

Part III

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

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

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

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

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

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

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

Cat. No. 52283D

Schedule D (Form 990) 2022

Page 2

Part III

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

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

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

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

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

Yes No

Part IV

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

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

Yes No


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

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

Yes No

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

Part V

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

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

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

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

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

Term endowment right arrow

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

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

Yes

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

3a(i)

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

3a(ii)

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

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

Part VI

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

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

1a	Land .....	9,612,356		9,612,356
b	Buildings ....	1,161,767,493	724,185,861	437,581,632
c	Leasehold improvements	18,056,329	16,033,675	2,022,654
d	Equipment ....	506,553,273	381,312,997	125,240,276
e	Other .....	14,351,515	13,188,476	1,163,039
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				575,619,957

Schedule D (Form 990) 2022

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.)

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.)

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.)...........

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
OTHER LIABILITIES	1,746,036








Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	1,746,036
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) 2022

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

FORM 990, SCHEDULE D, PART X, LINE 2

ASC 740 FOOTNOTE PRIMARILY ALL OF THE HEALTH SYSTEM ENTITIES ARE RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS CHARITABLE ORGANIZATIONS QUALIFYING UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), BY VIRTUE OF IRS DETERMINATION LETTERS OR INCLUSION IN THE OFFICIAL CATHOLIC DIRECTORY. THE HEALTH SYSTEM COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED ON THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2024 OR 2023.

Schedule D (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

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

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

MERCY HOSPITALS EAST COMMUNITIES

Employer identification number

43-0653493

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

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

Yes

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

Yes

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

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

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

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

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

Yes

100% 150% 200% Other %

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

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

Yes

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

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

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

Yes

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

Yes

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

Yes

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

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

Yes

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

Yes

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

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .			25,644,378		25,644,378	1.610 %
b	Medicaid (from Worksheet 3, column a) . . . . .			200,537,255	147,300,362	53,236,893	3.340 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .			226,181,633	147,300,362	78,881,271	4.950 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	13	3,327	8,237,899	355,736	7,882,163	0.490 %
f	Health professions education (from Worksheet 5) . . .	3	2,979	11,261,926		11,261,926	0.710 %
g	Subsidized health services (from Worksheet 6) . . . .	3	90	39,645,509	34,953,169	4,692,340	0.290 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	2	48	11,136		11,136	0 %
j	Total. Other Benefits . .	21	6,444	59,156,470	35,308,905	23,847,565	1.490 %
k	Total. Add lines 7d and 7j .	21	6,444	285,338,103	182,609,267	102,728,836	6.440 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2023

Schedule H (Form 990) 2023

Page

Part II

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

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development	1	62	5,223	630	4,593	0 %
9	Other	2	3,417	341,802		341,802	0.020 %
10	Total	3	3,479	347,025	630	346,395	0.020 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

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

Yes

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

14,381,483

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

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

Section B. Medicare

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

211,194,955

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

197,069,322

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

14,125,633

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

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

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

Yes

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

Yes

Part IV

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

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

Schedule H (Form 990) 2023

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?3Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)								Facility reporting group
1	MERCY HOSPITAL ST LOUIS 615 S NEW BALLAS ROAD ST LOUIS,MO63141 WWW.MERCY.NET 226-53	X	X	X	X	X	X	A
2	MERCY HOSPITAL WASHINGTON 901 E FIFTH STREET WASHINGTON,MO63090 WWW.MERCY.NET 311-32	X	X				X
3	MERCY REHABILITATION HOSPITAL ST LOUIS 14561 NORTH OUTER FORTY CHESTERFIELD,MO63017 WWW.MERCY.NET 504	X						A

Schedule H (Form 990) 2023

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

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

Yes

Community Health Needs Assessment

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

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

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

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The significant health needs of the community

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

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

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

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

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 21

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

Yes

6 a

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

Yes

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

Yes

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

Yes

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

Hospital facility’s website (list url): SEE PART V, SECTION C

Other website (list url):

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

Other (describe in Section C)

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

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22

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

Yes

If "Yes" (list url): SEE PART V, SECTION C

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

10b

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

12a

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

12a

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

12b

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

Schedule H (Form 990) 2023

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Yes

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

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

Yes

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

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

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

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

Yes

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

Yes

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

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

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

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

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

Other (describe in Section C)

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

Yes

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

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

SEE PART V, SECTION C

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

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, SECTION C

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

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

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

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

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

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

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 6

Part VFacility Information (continued)

Billing and Collections

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Yes

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

Yes

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

Reporting to credit agency(ies)

Selling an individual’s debt to another party

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

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

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

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

Reporting to credit agency(ies)

Selling an individual’s debt to another party

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

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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

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

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

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

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

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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

Yes

If "No," indicate why:

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

The hospital facility’s policy was not in writing

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

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 7

Part VFacility Information (continued)

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

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Yes

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

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

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

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

The hospital facility used a prospective Medicare or Medicaid method

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

If "Yes," explain in Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2023

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

	MERCY HOSPITAL WASHINGTON
Name of hospital facility or letter of facility reporting group

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

Yes

Community Health Needs Assessment

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

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

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The significant health needs of the community

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

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

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

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

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 21

Yes

6 a

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

Yes

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

Yes

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

Yes

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

Hospital facility’s website (list url): SEE PART V, SECTION C

Other website (list url):

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

Other (describe in Section C)

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

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22

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

Yes

If "Yes" (list url): SEE PART V, SECTION C

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

10b

12a

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

12a

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

12b

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

Schedule H (Form 990) 2023

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	MERCY HOSPITAL WASHINGTON
Name of hospital facility or letter of facility reporting group

Yes

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

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

Yes

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

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

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

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

Yes

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

Yes

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

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

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

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

Other (describe in Section C)

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

Yes

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

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

SEE PART V, SECTION C

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

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, SECTION C

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

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

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

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

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

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 6

Part VFacility Information (continued)

Billing and Collections

	MERCY HOSPITAL WASHINGTON
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

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

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

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

Reporting to credit agency(ies)

Selling an individual’s debt to another party

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

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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

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

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

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

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

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

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

The hospital facility’s policy was not in writing

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

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 7

Part VFacility Information (continued)

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

	MERCY HOSPITAL WASHINGTON
Name of hospital facility or letter of facility reporting group

Yes

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

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

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2023

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
MERCY HOSPITAL WASHINGTON	PART V, SECTION B, LINE 3J: THE HOSPITAL FACILITY DID INCLUDE A PRIORITIZED LIST OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS IN ITS MOST RECENT CHNA REPORT.THE CHNA HAS ALL THE SECTIONS REFERENCED ABOVE AND INCLUDES AN EXECUTIVE SUMMARY, POTENTIALLY AVAILABLE RESOURCES, EVALUATION OF IMPACT, REFERENCES, AND APPENDICES.
MERCY HOSPITAL WASHINGTON	PART V, SECTION B, LINE 5: MERCY HOSPITAL WASHINGTON AND LOCAL COMMUNITY HEALTH COUNCIL COLLABORATED IN CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR FRANKLIN, WARREN AND GASCONADE COUNTIES IN 2022. THE FOLLOWING METHODS WERE USED TO UNDERSTAND THE COMMUNITY HEALTH NEEDS:1. COMMUNITY SURVEY - A SURVEY OF THE GENERAL PUBLIC TO BETTER UNDERSTAND WHAT THEY VIEW AS THE MOST SIGNIFICANT HEALTH ISSUES. VARIOUS COMMUNITY PARTNERS PROMOTED THE SURVEY ON SOCIAL MEDIA WHILE ALSO DISTRIBUTING THE SURVEY ELECTRONICALLY TO THEIR CO-WORKERS, PATIENTS, CLIENTS, AND COMMUNITY MEMBERS BY EMAIL AND THROUGH SOCIAL MEDIA. 446 RESPONSES WERE INCLUDED IN THE FINAL ANALYTIC SAMPLE2. COMMUNITY FOCUS GROUPS - DISCUSSIONS WITH COMMUNITY MEMBERS AND COMMUNITY CHAMPIONS TO DELVE DEEPER INTO INDIVIDUAL EXPERIENCES WITH HEALTH-RELATED ISSUES PARTICIPANTS CONVENED DISCUSSIONS REGARDING THE STATE OF HEALTH IN THE WASHINGTON REGION. KEY COMMUNITY HEALTH ISSUES WERE DISCUSSED WHETHER THEY WERE CLINICAL IN SCOPE (DIABETES) OR NON-CLINICAL (ACCESS TO HEALTHY FOOD). THEN THE GROUP TALKED THROUGH CURRENTLY AVAILABLE COMMUNITY RESOURCES ALONG WITH THE BARRIERS TO ACCESSING THESE BENEFITS. FINALLY, THE COMMUNITY MEMBERS BRAINSTORMED FUTURE SOLUTIONS TOWARDS THE TOP NEEDS THAT INCLUDED EXPANDING/INCREASING CURRENT PROGRAMSOR DEVELOPING NEW INITIATIVES.3. SECONDARY DATA RESEARCH - INFORMATION RELATED TO THE CURRENT STATE OF OUR COMMUNITY'S ECONOMIC, SOCIAL, AND HEALTH STATUS PUBLISHED BY ESTABLISHED SOURCES INCLUDING:- U.S. CENSUS BUREAU, 2020 CENSUS RESULTS. HTTPS://WWW.CENSUS.GOV/- U.S. CENSUS BUREAU AMERICAN COMMUNITY SURVEY, 2019.HTTPS://WWW.CENSUS.GOV/PROGRAMS-SURVEYS/ACS/DATA.HTML-THE ROBERT WOOD JOHNSON FOUNDATION AND THE UNIVERSITY OF WISCONSIN-PUBLIC HEALTH INSTITUTE HTTP://WWW.COUNTYHEALTHRANKINGS.ORG/
MERCY HOSPITAL WASHINGTON	PART V, SECTION B, LINE 6A: MERCY HOSPITAL ST. LOUIS
MERCY HOSPITAL WASHINGTON	PART V, SECTION B, LINE 6B: ST. LOUIS COUNTY DEPARTMENT OF PUBLIC HEALTH AND THE FRANKLIN COUNTY HEALTH DEPARTMENT
MERCY HOSPITAL WASHINGTON	PART V, SECTION B, LINE 11: BASED ON THE FINDINGS OF ITS MOST RECENTLY CONDUCTED CHNA, MERCY HOSPITAL WASHINGTON HAS CHOSEN TO ADDRESS THE FOLLOWING THREE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN FRANKLIN, GASCONADE AND WARREN COUNTY:- HOUSING INSTABILITY- SUBSTANCE USE / MENTAL HEALTH- OBESITYTHE FOLLOWING NEEDS ARE NOT BEING ADDRESSED BY MERCY HOSPITAL WASHINGTON:- INTERNET: MERCY WILL NOT TAKE A LEAD ROLE ON THIS ISSUE AS THERE ARE SOME LIMITATIONS TO THE ORGANIZATION'S PARTNERSHIPS IN THIS AREA AS A CATHOLIC HEALTH SYSTEM. HOWEVER, PARTNERSHIP DISCERNMENT WILL CONTINUE TO ADDRESS THIS ISSUE THROUGH COLLABORATIVE WORK WITH LOCAL PUBLIC AND PRIVATE ORGANIZATIONS- TRANSPORTATION: WORK WITH PUBLIC AND PRIVATE ORGANIZATIONS TO PROVIDE ASSISTANCE TO AND FROM MEDICAL APPOINTMENTS. -IN THE CATEGORY OF PHYSICAL ENVIRONMENT, MHW HAS CHOSEN TRANSPORTATION, UNDER THE ACCESS TO CARE PRIORITY. COLLABORATION WITH LOCAL COALITIONS ADDRESSING HOMELESSNESS AND HOUSING WILL CONTINUE AS WILL MERCY'S SUPPORT OF INDUSTRY, GOVERNMENT, NON-GOVERNMENTAL ORGANIZATIONS AND THE PUBLIC IN ADDRESSING AIR AND WATER QUALITY IN OUR AREA.MERCY HOSPITAL ST. LOUIS & WASHINGTON'S COMMUNITY HEALTH IMPROVEMENT PLANS (CHIP), CAN BE ACCESSED HERE:HTTPS://WWW.MERCY.NET/FORMS/COMMUNITY-BENEFITS/.SOME NOTABLE ACHIEVEMENTS ADDRESSED THE PRIORITIZED NEEDS DURING THE 2023 (FY24) YEAR INCLUDE:MERCY HOSPITAL WASHINGTON-COMMUNITY HEALTH WORKER PROGRAM - IN FY24, MERCY HOSPITAL WASHINGTON'S CHW ASSISTED 4,509 PATIENTS THROUGH 8,804 UNIQUE ENCOUNTERS. 87% OF PATIENTS WERE UNINSURED, AND 13% WERE UNDERINSURED THROUGH MEDICAID OR OTHER PLANS.-MERCY HOSPITAL WASHINGTON SUPPORTED SEVERAL BEHAVIORAL HEALTH PROGRAMS IN PARTNERSHIP WITH THE BEHAVIORAL HEALTH NETWORK:-EMERGENCY ROOM ENHANCEMENT PROJECT AND THE YOUTH EMERGENCY ROOM ENHANCEMENT PROJECT: FOCUS ON ENHANCING SUPPORT FOR ADULT AND YOUTH HIGH UTILIZERS OF ER WITH THE PRIMARY GOAL OF REDUCING PREVENTABLE HOSPITAL CONTACTS ACROSS THE REGION BY FOSTERING ENGAGEMENT THROUGH SUPPORT, INTENSIVE OUTREACH AND IMPROVING OUTCOMES THROUGH CONNECTION TO COMMUNITY-ENGAGING PATIENTS IN THE CARE COORDINATION PROGRAM (EPICC): PROVIDES INTENSIVE REFERRAL AND LINKAGE SERVICES BY RECOVERY COACHES, PEERS WITH LIVED EXPERIENCE, TO IMPACT THOSE WHO HAVE OVERDOSED ON OPIOIDS TO ESTABLISH IMMEDIATE LINKAGES TO SUBSTANCE USE AND MEDICATION ASSISTED TREATMENT SERVICES.-MERCY HOSPITAL WASHINGTON SOCIAL WORKERS CONTINUED ESTABLISHING ED PATIENTS WITH PRIMARY CARE PHYSICIANS FOR FOLLOW-UP CARE AND EDUCATING THE PATIENT ON POSSIBLY MORE AFFORDABLE OPTIONS WHEN NEEDING CARE.-MERCY HOSPITAL WASHINGTON FACILITATED THE WINTER WARMING OVERNIGHT CENTER TO PREVENT THOSE SLEEPING OUTSIDE FROM FREEZING TO DEATH WITH THE AMERICAN INN WITHIN WASHINGTON.-MERCY HOSPITAL WASHINGTON, IN PARTNERSHIP WITH THE MULTI-COUNTY DRUG TASK FORCE AND FRANKLIN COUNTY SHERIFF'S OFFICE, CONTINUED TRAINING FIRST RESPONDERS IN SEVERAL COUNTIES SO THAT THEY COULD BEGIN CARRYING AND UTILIZING NARCAN TO REVIVE OVERDOSED PATIENTS WHILE WAITING FOR THE AMBULANCE TO ARRIVE. THE LOCAL MERCY HOSPITAL STORED THE NARCAN IN THEIR PHARMACYADDITIONAL NEEDS BEING ADDRESSED BY THE MERCY HOSPITAL ST. LOUIS AND MERCY HOSPITAL WASHINGTON INCLUDE:-VIOLENCE: DOMESTIC, ELDERLY, CHILD ABUSE, AND TRAFFICKING MHSL - MHSL AND ALTERNATIVES TO LIVING IN VIOLENT ENVIRONMENTS (ALIVE), ST. LOUIS BASED DOMESTIC VIOLENCE AGENCY, HAVE IMPLEMENTED PROJECT HOPE, THE ONLY PROGRAM IN THE ST. LOUIS AREA THAT ALLOWS DOMESTIC VIOLENCE SURVIVORS TO FILE FOR, AND POTENTIALLY HAVE GRANTED, ORDERS OF PROTECTION WHILE STILL IN A HOSPITAL SETTING. INFORMATION REGARDING ALIVE'S PROGRAMMING AND SERVICES IS DISTRIBUTED THROUGHOUT MHSL, WITH SPANISH TRANSLATIONS PROVIDED TO BETTER REACH PATIENTS WHO SPEAK LIMITED ENGLISH. MHW - MHW WORKS CLOSELY WITH DOMESTIC VIOLENCE, SEX TRAFFICKING AND FAMILY SERVICES AGENCIES, SUCH AS ALTERNATIVES TO LIVING IN VIOLENT ENVIRONMENTS (ALIVE) AND LOCAL LAW ENFORCEMENT TO ENSURE PATIENTS ARE GIVEN SAFE CHOICES WHILE IN A HOSPITAL SETTING. MERCY HAS BEGUN SAFETY AWARENESS AND EDUCATIONAL CAMPAIGNS WHICH INCLUDES INTERNAL TRAINING VIDEOS, RESTROOM RESOURCE POSTERS, AND THE INCORPORATION OF A SAFETY SCREENING/REFERRAL QUESTION WHICH CUES UP IN EACH PATIENT'S MERCY'S ELECTRONIC MEDICAL RECORD (EMR).- OBESITY/POOR NUTRITION/PHYSICAL INACTIVITY MHSL & MHW - ALTHOUGH NEITHER CHOSE HEALTHY LIFESTYLES AS A PRIORITY COMMUNITY HEALTH NEED TO BE ADDRESSED, MERCY HAS FOCUSED ON ITS OWN COWORKERS, 10,000+ IN THE EAST COMMUNITY, AS A START TO ADDRESSING THIS NEED. A ROBUST INITIATIVE, MERCY'S HEALTHIFICATION PROGRAM, PROVIDES COMPREHENSIVE HEALTH EVALUATION, SCREENING, EDUCATION, AND INCENTIVES TO INCREASE HEALTHY BEHAVIORS AND IMPROVE HEALTH AMONG MERCY COWORKERS. MERCY CLINIC ALSO OFFERS A VARIETY OF PROGRAMS AND SERVICES TO ADDRESS CHRONIC CONDITIONS AND A HEALTHY LIFESTYLE.- CHRONIC CONDITIONS: HEART DISEASE, DIABETES, OR ASTHMA AND ALLERGIES A SIGNIFICANT CONCERN RELATING TO CHRONIC CONDITIONS IS THE DISPARITY IN HEALTH OUTCOMES AND TREATMENT FOR BLACKS/AFRICAN AMERICANS AND WHITES/CAUCASIANS. MHSL RECENTLY SIGNED AN AMERICAN HOSPITAL ASSOCIATION HEALTH EQUITY PLEDGE AND IS BEGINNING TO IMPLEMENT "CALL TO ACTION" GOALS AIMED AT IDENTIFYING AND, SUBSEQUENTLY, ADDRESSING AREAS OF HEALTH DISPARITY AND SERVICE GAPS. AS THE LEADER IN ST LOUIS COUNTY FOR NEWBORN DELIVERIES, MHSL HAS DECIDED TO TAKE ON THE SIGNIFICANT ISSUE OF HEALTH EQUITY BY BEGINNING WITH MATERNAL/CHILD HEALTH DISPARITIES AND ADDRESSING SOME OF THE REGION'S NEEDS WITH LOW-BIRTH-WEIGHT BABIES. MERCY HAS ALSO COMMITTED TO ADDRESSING HEALTH EQUITY IN THE INNER NORTH REGION COMMUNITY OF WELLSTON; MERCY IS OUTLINING A COLLABORATIVE COMMUNITY PLAN TO ADDRESS OVERALL HEALTH EQUITY WITH THESE COMMUNITY MEMBERS.- CANCERS AND TOBACCO USE MHSL & MHW COMMUNITY CANCER SCREENINGS AND EDUCATION CONTINUE TO BE OFFERED REGIONALLY. EFFORTS TO ADDRESS TOBACCO CESSATION WILL CONTINUE THROUGH MERCY'S CERTIFIED HEALTH AND WELLNESS COACH/MERCY ROAD TO FREEDOM PROGRAM THOUGH MERCY'S CARDIOPULMONARY REHAB AREA.
MERCY HOSPITAL WASHINGTON	PART V, SECTION B, LINE 20E: OTHER AREAS FROM A NOTICE PERSPECTIVE: FAP IS POSTED IN ALL REGISTRATION AREAS, FULL POLICY AND PLAIN LANGUAGE DOCUMENT POSTED ON WEBSITE, PLAIN LANGUAGE DOCUMENT IS AVAILABLE WHEN REQUESTED, THERE IS A NOTICE ON STATEMENT, AND ALL PATIENTS GET THREE STATEMENTS BEFORE THEY CAN GO TO A COLLECTION AGENCY.
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: MERCY HOSPITAL ST. LOUIS, - FACILITY 3: MERCY REHABILITATION HOSPITAL ST. LOUIS
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 3J:	THE HOSPITAL FACILITY DID INCLUDE A PRIORITIZED LIST OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS IN ITS MOST RECENT CHNA REPORT.THE CHNA HAS ALL THE SECTIONS REFERENCED ABOVE AND INCLUDES AN EXECUTIVE SUMMARY, POTENTIALLY AVAILABLE RESOURCES, EVALUATION OF IMPACT, REFERENCES, AND APPENDICES.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5:	THE INPUT AND GUIDANCE FROM INDIVIDUALS WITHIN MERCY HOSPITAL ST. LOUIS' (MHSL) SERVICE AREA IN THE ST. LOUIS REGION WAS CENTRAL TO THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. INPUT FROM PEOPLE REPRESENTING BROAD INTERESTS OF THE COMMUNITY WERE SOLICITED THROUGH ENGAGEMENT WITH THE ST. LOUIS PARTNERSHIP FOR A HEALTH COMMUNITY (STLPHC), AS WELL AS ORGANIZATION OF COMMUNITY HEALTH SURVEYS AND STAKEHOLDER FOCUS GROUPS. DATA COLLECTION WAS CONDUCTED IN COLLABORATION WITH BJC HEALTHCARE, MERCY HOSPITAL SOUTH, MISSOURI BAPTIST MEDICAL CENTER, SHRINERS HOSPITALS FOR CHILDREN ST. LOUIS, SSM HEALTH, ST. LUKE'S HOSPITAL, AND ST. LUKE'S DES PERES HOSPITAL, WITH SUPPORT FROM BEHAVIORAL HEALTH NETWORK, ST. LOUIS INTEGRATED HEALTH NETWORK, ST. LOUIS REGIONAL HEALTH COMMISSION, MISSOURI FOUNDATION FOR HEALTH, MISSOURI HOSPITAL ASSOCIATION, ST. LOUIS CITY HEALTH DEPARTMENT, AND THE SAINT LOUIS COUNTY DEPARTMENT OF PUBLIC HEALTH.ST. LOUIS PARTNERSHIP FOR A HEALTH COMMUNITY (STLPHC)THE STLPHC IS COMPRISED OF A BROAD RANGE OF STAKEHOLDERS REPRESENTING THE WIDE VARIETY OF ENTITIES THAT IMPACT HEALTH- IT INCLUDES BOTH THE CITY OF ST. LOUIS DEPARTMENT OF HEALTH AND THE ST. LOUIS COUNTY DEPARTMENT OF PUBLIC HEALTH, AREA HOSPITAL SYSTEMS, GOVERNMENT, ACADEMIC INSTITUTIONS, AGENCIES/DEPARTMENTS, COORDINATED CARE ORGANIZATIONS, COMMUNITY-BASED ORGANIZATIONS, AND BUSINESS PARTNERS IN THE CITY OF ST. LOUIS AND ST. LOUIS COUNTY. IN MARCH 2022, MSHL PARTICIPATED IN THE STLPHC'S 2022 COMMUNITY HEALTH STATUS ASSESSMENT (CHSA) ALONGSIDE MORE THAN 400 COMMUNITY STAKEHOLDERS AND EXPERTS IN PUBLIC HEALTH IN THE ST. LOUIS REGION.COMMUNITY & STAKEHOLDER SURVEYSMHSL CONDUCTED TWO COMMUNITY SURVEYS IN CONJUNCTION WITH PARTNER HOSPITAL SYSTEMS, INCLUDING SSM HEALTH, BJC HEALTHCARE, ST. LUKE'S HOSPITAL AND SHRINER'S HOSPITAL. DUE TO PANDEMIC RESTRICTIONS, ONLINE SURVEYS WERE UTILIZED IN LIEU OF IN-PERSON METHODS. THE COMMUNITY-WIDE SURVEY WAS DISTRIBUTED BROADLY THROUGHOUT THE ST. LOUIS METROPOLITAN AREA BETWEEN APRIL AND JUNE 2021. THE SURVEY TOOK TEN MINUTES TO COMPLETE AND CONTAINED 39 QUESTIONS ABOUT HEALTH CHALLENGES, ACCESS TO HEALTHCARE, AND SOCIAL DETERMINANTS OF HEALTH, INCLUDING FINANCIAL STATUS, NEIGHBORHOOD ENVIRONMENT AND SOCIAL SUPPORT NETWORKS.THE STAKEHOLDER SURVEY WAS SENT TO KEY LEADERS OF ESSENTIAL COMMUNITY ORGANIZATIONS THAT REPRESENT THE NEEDS OF THE COMMUNITY, WITH THE FOCUS ON PUBLIC HEALTH EXPERTS, LEADERS, AND THOSE WITH A SPECIAL INTEREST IN THE HEALTH NEEDS OF THE METROPOLITAN ST. LOUIS AREA. MHSL GATHERED DATA FOR THREE GEOGRAPHIC REGIONS IN THE COMMUNITY: WEST COUNTY, NORTH COUNTY, AND ST. LOUIS CITY. SEE THE LIST BELOW OF PARTICIPATING STAKEHOLDER ORGANIZATIONS:WEST COUNTY- ST. LOUIS COUNTY DEPARTMENT OF PUBLIC HEALTH- MARYVILLE UNIVERSITY- ST. LUKE'S DES PERES ADVISORY BOARD MEMBER- CITY OF DES PERES- EVENT EXHIBITS, INC.- KIRKWOOD FIRE DEPARTMENT- CIRCLE OF CONCERN- METROWEST ANESTHESIA GROUP- ROCKWOOD SCHOOL DISTRICT- TOWN AND COUNTRY, MISSOURI POLICE DEPARTMENT- ST. LOUIS COUNTY POLICE- MISSOURI BAPTIST UNIVERSITY- PREVENTED- CREVE COEUR POLICE DEPARTMENT- JEWISH COMMUNITY CENTER- EUREKA POLICE DEPARTMENT ST. LOUIS CITY- CITY OF ST. LOUIS DEPARTMENT OF HEALTH- YOUTH IN NEED- BJC HEALTHCARE- BJC BEHAVIORAL HEALTH- AFFINIA HEALTHCARE- MISSOURI FOUNDATION FOR HEALTH- ALIVE AND WELL COMMUNITIES- IFM COMMUNITY MEDICINE- PLACES FOR PEOPLE- ST. VINCENT DE PAUL- GATEWAY REGION YMCA- HAZELWOOD SCHOOL DISTRICT- STATE FARM- ST. LOUIS INTEGRATED HEALTH NETWORK- BJK PEOPLES HEALTH CENTERS- HEALTH LITERACY MEDIA- URBAN LEAGUE OF METROPOLITAN ST. LOUIS- MARCH OF DIMES- BEHAVIORAL HEALTH NETWORK OF GREATER ST. LOUIS- COMMUNITY HEALTH-IN-PARTNERSHIP SERVICES (CHIPS)- PREVENTED- OPERATION FOOD SEARCH- RISE COMMUNITY DEVELOPMENT, INC.- SAINT LOUIS CRISIS NURSERY- CASA DE SALUD- MISSOURI DEPARTMENT OF HEALTH & SENIOR SERVICESNORTH COUNTY- AGING AHEAD- ST. LOUIS AREA DIAPER BANK- OUR FAMILY'S DOING YOGA- ST. LUKE'S HOSPITAL- ALIVE AND WELL COMMUNITIES- REFUGE AND RESTORATION- CORNERSTONE REALTY- SAINT LOUIS COUNTY DEPARTMENT OF PUBLIC HEALTH- JEWISH FAMILY SERVICES OF ST. LOUIS- PREVENTED- ASTHMA AND ALLERGY FOUNDATION-ST. LOUISSTAKEHOLDER FOCUS GROUPS: MHSL CONDUCTED TWO STAKEHOLDER FOCUS GROUPS WITHIN KEY HIGH-NEEDS SERVICE AREAS IN THE COMMUNITY: FERGUSON, MISSOURI, AND MEACHAM PARK, A NEIGHBORHOOD OF KIRKWOOD, MO. EACH FOCUS GROUP INCLUDED COMMUNITY AGENCIES AND LEADERS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, AS WELL AS THOSE WHO HAVE SPECIAL KNOWLEDGE OF THE UNDERSERVED POPULATIONS. PLEASE SEE THE LISTS BELOW FOR EACH FOCUS GROUP'S PARTICIPANTS:FERGUSON / NORTH COUNTY:- DR. ART MCCOY, PHD, REGIONAL BUSINESS COUNCIL- GIGI MACMULLAN, REFUGE AND RESTORATION NONPROFIT- JASON ACKLIN, DIRECTOR OF OPERATIONS, SALVATION ARMY, FERGUSON- MAYOR ELLA JONES, MAYOR OF THE CITY OF FERGUSON- NAQUITTIA NOAH, COUNCILPERSON FOR 3RD WARD OF FERGUSON- REBECCA ZOLL, PRESIDENT AND CEO OF NORTH COUNTY INC. REGIONAL DEVELOPMENT ASSOCIATION- JENNIFER DERNER, MANAGER OF AMBULATORY SOCIAL WORK FOR MERCY CLINIC OUTPATIENT CARE MANAGEMENT- SOPHIA EASTERLING, PRACTICE MANAGER, MERCY CLINIC FERGUSON- JOY WEIDNER, CORNERSTONE STL MEACHAM PARK NEIGHBORHOOD, KIRKWOOD: - OFFICER GARY BALDRIDGE, COMMUNITY SERVICE OFFICER, KIRKWOOD POLICE DEPARTMENT - HARRIET PATTON, PRESIDENT, MEACHAM PARK NEIGHBORHOOD IMPROVEMENT ASSOCIATION - WALLACE WARD, COUNCILMAN, KIRKWOOD CITY COUNCILSECONDARY DATA: THE FOLLOWING EXTERNAL SOURCES OF PUBLISHED DATA WERE USED AS PART OF THE COLLECTION OF SECONDARY DATA DURING THE ASSESSMENT PROCESS:- CAMBRIA N, FEHLER P, PURNELL JQ, SCHMIDT B. SEGREGATION IN ST. LOUIS: DISMANTLING THE DIVIDE. ST LOUIS, MO: WASHINGTON UNIVERSITY IN ST. LOUIS, 2018. - COUNTY HEALTH RANKINGS AND ROADMAPS, 2021:HTTPS://WWW.COUNTYHEALTHRANKINGS.ORG/ - HEALTHY PEOPLE 2030, 2022. HTTPS://HEALTH.GOV/HEALTHYPEOPLE- LOWN HOSPITALS INDEX, 2022: HTTPS://LOWNHOSPITALSINDEX.ORG/RANKINGS/ - MISSOURI DEPARTMENT OF HEALTH & SENIOR SERVICES DATA & STATISTICS, 2022: HTTPS://HEALTH.MO.GOV/DATA/- ST. LOUIS PARTNERSHIP FOR A HEALTHY COMMUNITY. COMMUNITY HEALTH STATUS ASSESSMENT, 2022.- ST. LOUIS PARTNERSHIP FOR A HEALTHY COMMUNITY. THINK HEALTH ST. LOUIS, 2022: HTTPS://WWW.THINKHEALTHSTL.ORG/- ST. LOUIS PARTNERSHIP FOR A HEALTHY COMMUNITY. ST. LOUIS CHA/CHIP EXECUTIVE SUMMARY (2019-2024), 2018. - ST. LOUIS REGIONAL HEALTH COMMISSION. PROGRESS TOWARD A HEALTHIER ST. LOUIS: ACCESS TO CARE DATA BOOK, 2019. - U.S. CENSUS BUREAU, 2020 CENSUS RESULTS, 2020: HTTPS://WWW.CENSUS.GOV
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A:	MERCY HOSPITAL WASHINGTON
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6B:	ST. LOUIS COUNTY DEPARTMENT OF PUBLIC HEALTH AND THE FRANKLIN COUNTY HEALTH DEPARTMENT
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11:	BASED ON THE FINDINGS OF ITS MOST RECENTLY CONDUCTED CHNA, MERCY HOSPITAL ST. LOUIS HAS CHOSEN TO ADDRESS THE FOLLOWING FOUR SIGNIFICANT HEALTH NEEDS IDENTIFIED IN ST. LOUIS:- ACCESS TO CARE- BEHAVIORAL HEALTH- MATERNAL AND CHILD HEALTH- TRAUMA-INFORMED CAREALL OF THESE NEEDS WILL BE APPROACHED THROUGH A LENS OF HEALTH EQUITY, WITH A PARTICULAR CONCERN WITH RACIAL DISPARITIES IN HEALTH OUTCOMES IN OUR REGION. THESE PRIORITIES ALIGN WITH REGIONAL PRIORITIES IDENTIFIED THROUGH THE STLPHC:- ADDRESS THE SOCIAL DETERMINANTS OF HEALTH AS ROOT CAUSES OF COMMUNITY HEALTH- ELIMINATE THE DISPARITIES IN HEALTH AND PROMOTE HEALTH AND RACIAL EQUITY- IMPROVE THE LOCAL PUBLIC HEALTH SYSTEM TO BE ABLE TO COLLECTIVELY ADDRESS THE NEEDS OF THE REGIONMERCY HOSPITAL ST. LOUIS IS COMMITTED TO ALIGNING STRATEGIC EFFORTS AROUND THE FOUR PRIORITY AREAS WITH THE OBJECTIVES OF THE STLPHC THROUGH PARTICIPATION AND ENGAGEMENT WITH REGIONAL ACTION TEAMS, FORMING IN NOVEMBER 2022. MERCY HOSPITAL ST. LOUIS WILL NOT FORMALLY ADDRESS TWO OF THE IDENTIFIED REGIONAL PRIORITIES:- HOUSING: THOUGH MHSL WILL NOT DIRECTLY ADDRESS HOUSING AS A PART OF THE CHNA PROCESS, THROUGH INTENTIONAL PARTNERSHIPS WITH STRATEGIC COMMUNITY ORGANIZATIONS, MHSL WILL CONTINUE TO IMPACT HOUSING NEEDS IN THE COMMUNITY. MHSL IS ENGAGED IN THE HOSPITAL TO HEALTHY HOUSING INITIATIVE OF THE CATHOLIC CHARITIES OF ST. LOUIS AND SUPPORTS A HOUSING COORDINATOR FROM THE ST. PATRICK CENTER TO CONNECT UNHOUSED PATIENTS WHO PRESENT IN THE EMERGENCY DEPARTMENT WITH RESOURCES AND SUPPORT. MERCY IS ALSO ENGAGED IN PROJECT BEACN, AND WITH PARTNER AGENCIES PLACES FOR PEOPLE AND THE BEHAVIORAL HEALTH NETWORK, CONNECTS PATIENTS WITH COMPLEX CARE NEEDS WITH WRAPAROUND SUPPORT, INCLUDING HOUSING.- VIOLENCE: THE VIOLENCE PREVENTION ACTION TEAM, LED BY THE ST. LOUIS AREA VIOLENCE PREVENTION COMMISSION, LEADS REGIONAL EFFORTS TO REDUCE VIOLENCE, PARTICULARLY GUN-RELATED HOMICIDES AND NONFATAL SHOOTING ACCIDENTS. WHILE MHSL WILL NOT BE DIRECTLY ENGAGED IN THIS WORK, OUR COMMITMENT TO TRAUMA-INFORMED CARE WILL SUPPORT THE COMMUNITY IN ADDRESSING THE CONSEQUENCES OF INTERPERSONAL VIOLENCE, INCLUDING GUN VIOLENCE. MERCY HOSPITAL ST. LOUIS & WASHINGTON'S COMMUNITY HEALTH IMPROVEMENT PLANS (CHIP), CAN BE ACCESSED HERE: HTTPS://WWW.MERCY.NET/FORMS/COMMUNITY-BENEFITS/.SOME NOTABLE ACHIEVEMENTS ADDRESSED THE PRIORITIZED NEEDS DURING THE 2023 (FY24) YEAR INCLUDE:MERCY HOSPITAL ST. LOUIS- THE COMMUNITY HEALTH WORKER (CHW) PROGRAM, WHICH WAS PILOTED BEGINNING IN 2018 AND ADOPTED AND EXPANDED ACROSS MERCY HOSPITALS IN 2019, WAS FURTHER INTEGRATED INTO MERCY HOSPITAL ST. LOUIS' EMERGENCY DEPARTMENT THROUGH THE PILOTING OF A NEW SOCIAL NEEDS SCREENING PROGRAM BEGINNING IN DECEMBER 2020. NEW WORKFLOWS WERE ADOPTED TO SCREEN ALL UNINSURED/SELF-PAY ED PATIENTS FOR PRESSING SOCIAL NEEDS, WITH REFERRALS THEN MADE TO ONE OF THREE (3) CHWS SERVING THE HOSPITAL. CHWS SERVE THREE PRIMARY FUNCTIONS IN THE EMERGENCY DEPARTMENT: TO CONNECT PATIENTS IN TO COMMUNITY RESOURCES FOR SOCIAL NEEDS, TO ASSIST PATIENTS WITH APPLYING FOR MEDICAID, MARKET PLACE INSURANCE, DISABILITY OR HOSPITAL CHARITY CARE, AND TO COLLABORATE WITH COMMUNITY REFERRAL COORDINATORS TO ESTABLISH PATIENTS WITH PRIMARY CARE. CHWS ALSO COLLABORATE CLOSELY WITH PATIENT ACCESS REPRESENTATIVES, THE CARE MANAGEMENT TEAM AND SOCIAL WORKERS, TO ENSURE CONTINUITY OF CARE AND IMPROVE QUALITY OF LIFE. MERCY HOSPITAL ST. LOUIS ALSO HIRED A CHW TO SERVE THE FERGUSON COMMUNITY, THROUGH INTEGRATION WITHIN MERCY CLINIC FERGUSON, WHICH OPENED IN JULY 2021. PRIOR TO THE CLINIC'S OPENING, THIS CO-WORKER WORKED TO BUILD RELATIONSHIPS WITH LOCAL AGENCIES, STAKEHOLDERS, NON-PROFITS AND INDIVIDUALS, TO DEDICATE TIME TO COVID-19 EDUCATION AND PLANNING OF VACCINATION EVENTS, AND TO HELP ASSESS COMMUNITY NEEDS. ONCE THE CLINIC OPENED ITS DOORS, THE CHW CONTINUED COMMUNITY ENGAGEMENT AND WORKED COLLABORATIVELY WITH CLINIC STAFF TO CONNECT PATIENTS TO COMMUNITY RESOURCES FOR SOCIAL NEEDS; TO ASSIST PATIENTS WITH APPLYING FOR MEDICAID, MARKETPLACE INSURANCE, DISABILITY, OR HOSPITAL CHARITY CARE, PARTICULARLY TO REMOVE BARRIERS TO ACCESSING THE CLINIC; TO SUPPORT PATIENTS IN NAVIGATING THE HEALTH CARE SYSTEM, INCLUDING SPECIALTY CARE; TO HELP PLAN AND IMPLEMENT A PRESCRIPTION ASSISTANCE PROGRAM, A NUTRITION SUPPORT PROGRAM, HOLIDAY OUTREACH PROGRAMS, AND NARCAN OUTREACH; AND TO COORDINATE COMMUNITY CLASSES AT THE CLINIC'S EDUCATION SPACE. IN FY24, MHSL CHWS SERVED UNIQUE 4,061 PATIENTS THROUGH 10,750 THOUSAND ENCOUNTERS. OUT OF THE 10,750 THOUSAND ENCOUNTERS, 6,534 (60.77%) WERE SELF-PAY. - THROUGH PARTNERSHIP WITH THE INTEGRATED HEALTH NETWORK, MHSL'S COMMUNITY REFERRAL COORDINATOR CONNECTS PATIENTS FROM INPATIENT UNITS AND/OR THE EMERGENCY DEPARTMENT WITH A PRIMARY CARE HOME FOR FOLLOW-UP AND PREVENTATIVE CARE. THE CRC FOCUSES ON SERVING UNDERINSURED AND UNINSURED PATIENTS; HOWEVER, THEY WORK WITH ALL PATIENTS IN NEED OF A MEDICAL HOME. IN THE FIRST HALF OF FY24 THE CRC HAD 930 PATIENT ENCOUNTERS.- THROUGH PARTNERSHIP WITH BEHAVIORAL HEALTH NETWORK, MERCY HOSPITAL ST. LOUIS SUPPORTED SEVERAL BEHAVIORAL HEALTH PROGRAMS FOR EMERGENCY DEPARTMENT AND INPATIENTS. IN FY24, A TOTAL OF 818 REFERRALS WERE MADE, 610 APPOINTMENTS SCHEDULED, AND 456 PATIENTS ENGAGED IN OUR BEHAVIORAL HEALTH PROGRAMMING WHICH INCLUDES:-EMERGENCY ROOM ENHANCEMENT PROJECT (ERE) AND THE YOUTH EMERGENCY ROOM ENHANCEMENT PROJECT (Y-ERE): FOCUS ON ENHANCING SUPPORT FOR ADULT AND YOUTH HIGH UTILIZERS OF ER WITH THE PRIMARY GOAL OF REDUCING PREVENTABLE HOSPITAL CONTACTS ACROSS THE REGION BY FOSTERING ENGAGEMENT THROUGH SUPPORT, INTENSIVE OUTREACH AND IMPROVING OUTCOMES THROUGH CONNECTION TO COMMUNITY. -ENGAGING PATIENTS IN THE CARE COORDINATION PROGRAM (EPICC): PROVIDES INTENSIVE REFERRAL AND LINKAGE SERVICES BY RECOVERY COACHES, PEERS WITH LIVED EXPERIENCE, TO IMPACT THOSE WHO HAVE OVERDOSED ON OPIOIDS TO ESTABLISH IMMEDIATE LINKAGES TO SUBSTANCE USE AND MEDICATION ASSISTED TREATMENT SERVICES. THIS INCLUDED 51 REFERRALS MADE TO THE EPICC PROGRAM-MERCY HOSPITAL ST. LOUIS ALSO ENGAGED IN HOSPITAL COMMUNITY LINKAGES (HCL) PROJECT: FOCUSES ON ENHANCING TRANSITIONS FROM HOSPITAL INPATIENT PSYCHIATRIC CARE SETTINGS TO COMMUNITY CARE AT THE REGION'S SAFETY-NET COMMUNITY MENTAL HEALTH CENTERS (CMHCS).-IMPLEMENTATION OF THE DIABETES PREVENTION PROGRAM (DPP) WAS IMPACTED BY THE COVID-19 PANDEMIC AND CO-WORKER STAFFING IN MERCY'S EAST REGION. -CONTINUING IN COLLABORATION WITH GENERATE HEALTH, MERCY HOSPITAL ST. LOUIS SERVED AS A PARTNER ON THE INFANT HEALTH ACTION TEAM AND PROVIDED A LETTER OF SUPPORT FOR RENEWED FUNDING AND ONGOING COMMITMENT FOR GENERATE HEALTH'S SAFE SLEEP INITIATIVE. THIS INITIATIVE IS ALSO SUPPORTED BY BARNES JEWISH HOSPITAL AND SSM HEALTH IN DECREASING MATERNAL/CHILD HEALTH AND INFANT MORTALITY RATES BY ADDRESSING DISPARITIES.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 20E:	OTHER AREAS FROM A NOTICE PERSPECTIVE: FAP IS POSTED IN ALL REGISTRATION AREAS, FULL POLICY AND PLAIN LANGUAGE DOCUMENT POSTED ON WEBSITE, PLAIN LANGUAGE DOCUMENT IS AVAILABLE WHEN REQUESTED, THERE IS A NOTICE ON STATEMENT, AND ALL PATIENTS GET THREE STATEMENTS BEFORE THEY CAN GO TO A COLLECTION AGENCY.
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 7A	MERCY HOSPITAL ST. LOUISHTTPS://WWW.MERCY.NET/CONTENT/DAM/MERCY/EN/PDF/CHNA/ST-LOUIS-CHNA-2022.PDFMERCY HOSPITAL WASHINGTONHTTPS://WWW.MERCY.NET/CONTENT/DAM/MERCY/EN/PDF/CHNA/WASHINGTON-CHNA-2022.PDF
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 10A	MERCY HOSPITAL ST. LOUISHTTPS://WWW.MERCY.NET/CONTENT/DAM/MERCY/EN/PDF/CHIP/MERCY-ST-LOUIS-CHIP-2023.PDFMERCY HOSPITAL WASHINGTONHTTPS://WWW.MERCY.NET/CONTENT/DAM/MERCY/EN/PDF/CHIP/MERCY-WASHINGTON-CHIP-2023.PDF
FORM 990, SCHEDULE H, PART V, SECTION B, LINES 16A, 16B, & 16C	THE FINANCIAL ASSISTANCE POLICY, APPLICATION AND A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY ARE AVAILABLE ONLINE AT HTTPS://WWW.MERCY.NET/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/

Schedule H (Form 990) 2023

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?34
Name and address		Type of Facility (describe)
1	1 - MERCY SERVICES PATIENTS FIRST 901 PATIENTS FIRST DRIVE WASHINGTON,MO63090	HOSPITAL BASED OUTPATIENT DEPTS: VARIOUS CLINICAL SERVICES
2	2 - MERCY SERVICES CLAYTON CLARKSON 15945 CLAYTON ROAD BALLWIN,MO63011	HOSPITAL BASED OUTPATIENT DEPTS:SURG CTR; VARIOUS CLINICAL SERVICES
3	3 - MERCY SERVICES TESSON FERRY 12348 OLD TESSON ROAD ST LOUIS,MO63128	HOSPITAL BASED OUTPATIENT DEPTS:WOMEN'S CTR, IMAG CTR, NUC MED, CARD TESTING
4	4 - MERCY SERVICES O'FALLON 300 WINDING WOODS DRIVE OFALLON,MO63366	HOSPITAL BASED OUTPATIENT DEPTS:UCC S&T BLOOD DR ST IMAGCTR, PERIN, PULM
5	5 - MERCY SERVICES WEST COUNTY 12990 MANCHESTER ROAD DES PERES,MO63131	HOSPITAL BASED OUTPATIENT DEPTS:ENDOSCOPY
6	6 - MERCY SERVICES HAZELWOOD 801 HAZELWEST DRIVE HAZELWOOD,MO63042	HOSPITAL BASED OUTPATIENT DEPTS: IMAGING CENTER/BLOOD DRAW STATION
7	7 - MERCY SERVICES TOWN AND COUNTRY 1176 TOWN AND COUNTRY COMMONS ST LOUIS,MO63017	HOSPITAL BASED OUTPATIENT DEPTS: SPORTS THERAPY & REHAB
8	8 - MERCY SERVICES SMIZER MILL 1203 SMIZER MILL ROAD FENTON,MO63026	HOSPITAL BASED OUTPATIENT DEPTS:IMAGING, BLOOD DRAW STATION
9	9 - MERCY CLINIC ZUMBEHL 1820 ZUMBEHL ROAD ST CHARLES,MO63303	HOSPITAL BASED OUTPATIENT DEPTS: CARDIAC TESTING, IMAGING, BLOOD DRAW STATIO
10	10 - MERCY SERVICES EDGEWOOD 970 EXECUTIVE PARKWAY DRIVE ST LOUIS,MO63141	HOSPITAL BASED OUTPATIENT DEPTS: OUTPATIENT BEHAVIORAL HEALTH
11	11 - MERCY SERVICES OLIVE 12680 OLIVE BOULEVARD CREVE COUER,MO63141	HOSPITAL BASED OUTPATIENT DEPTS: S&T, NUTRITION COUNS,CHIROP, IMAGING
12	12 - MERCY SERVICES SULLIVAN 1326 S SERVICE ROAD WEST SULLIVAN,MO63080	HOSPITAL BASED OUTPATIENT DEPTS: VARIOUS CLINICAL AND IMAGING SERVICES
13	13 - MERCY SERVICES LAKE ST LOUIS 200 BREVCO PLAZA LAKE ST LOUIS,MO63367	HOSPITAL BASED OUTPATIENT DEPTS:ENDOSCOPY
14	14 - MERCY SERVICES STUDT ROAD 11700 STUDT AVENUE ST LOUIS,MO63141	HOSPITAL BASED OUTPATIENT DEPTS:HYBERBARIC WOUND CENTER, FERTILITY SERVICES
15	15 - MERCY SERVICES MID RIVERS 4525 MID RIVERS MALL DRIVE ST PETERS,MO63376	HOSPITAL BASED OUTPATIENT DEPTS: PEDIATRIC PT/OT/SPEECH,BLOOD DRAW
16	16 - MERCY SERVICES UNION 1935 PRAIRIE DELL ROAD UNION,MO63084	HOSPITAL BASED OUTPATIENT DEPTS: SPORTS AND THERAPY
17	17 - MERCY SERVICES PIPER HILL 107 PIPER HILL DRIVE ST PETERS,MO63376	HOSPITAL BASED OUTPATIENT DEPTS:URGENT CARE, SPORTS & THERAPY, BLOOD DRAW
18	18 - MERCY SERVICES CHIPPEWA 6435 CHIPPEWA STREET ST LOUIS,MO63109	HOSPITAL BASED OUTPATIENT DEPTS: INFUSION THERAPY
19	19 - GROVER MEDICAL OFFICE BUILDING 16555 MANCHESTER ROAD GROVER,MO63040	HOSPITAL BASED OUTPATIENT DEPTS: RADIOLOGY, SPORTS & THERAPY, BLOOD DRAW STA
20	20 - CRESTWOOD PHYSICIAN OFFICES 10024 WATSON ROAD ST LOUIS,MO63126	HOSPITAL BASED OUTPATIENT DEPTS: SPORTS & THERAPY/BLOOD DRAW STATION
21	21 - MERCY SPORTS AND THERAPY GERALD 735 WEST SPRINGFIELD ROAD GERALD,MO63037	HOSPITAL BASED OUTPATIENT DEPTS: SPORTS AND THERAPY
22	22 - MERCY SERVICES VADALABENE DRIVE 2023 VADALABENE DRIVE MARYVILLE,IL62062	HOSPITAL BASED OUTPATIENT DEPTS: PERINATAL CENTER
23	23 - MERCY SERVICES TECHNOLOGY DRIVE 2223 TECHNOLOGY DRIVE OFALLON,MO63368	HOSPITAL BASED OUTPATIENT DEPTS: IMAGING CENTER/BLOOD DRAW STATION
24	24 - MERCY SERVICES MARYLAND HEIGHTS 750 CASINO DRIVE MARYLAND HEIGHTS,MO63043	HOSPITAL BASED OUTPATIENT DEPTS: OP THERAPY LOCATION
25	25 - DAVID C PRATT CANCER CENTER 607 S NEW BALLAS ROAD ST LOUIS,MO63141	HOSPITAL BASED OUTPATIENT DEPTS: CANCER CENTER
26	26 - MERCY HAZELWOOD 755 DUNN ROAD HAZELWOOD,MO63042	HOSPITAL BASED OUTPATIENT DEPTS: SPORTS & THERAPY, CARDIAC TESTING, NUC MEDI
27	27 - MERCY LEGENDS PARKWAY 20 THE LEGENDS PARKWAY EUREKA,MO63025	HOSPITAL BASED OUTPATIENT DEPTS: VARIOUS CLINICAL AND IMAGING SERVICES
28	28 - MERCY HOME HEALTH AND HOSPICE 1351 S JEFFERSON STREET WASHINGTON,MO63090	HOSPITAL BASED OUTPATIENT DEPTS: HOME HEALTH AND HOSPICE SERVICES
29	29 - MERCY MGD BEHAVIORAL HEALTH 1000 DES PERES ROAD ST LOUIS,MO63131	HOSPITAL BASED OUTPATIENT DEPTS: BEHAVIORAL HEALTH
30	30 - MERCY CTR FOR PERFOM MED & SPEC CARE 701 S NEW BALLAS ROAD ST LOUIS,MO63141	HOSPITAL BASED OUTPATIENT DEPTS: RADIOLOGY, SURGERY,THERAPY SERVICES
31	31 - MERCY THERAPY SERVICES TESSON FERRY 13303 TESSON FERRY RAOD SUITE 50A ST LOUIS,MO63128	HOSPITAL BASED OUTPATIENT DEPTS: THERAPY SERVICES
32	32 - MERCY EYE CARE 34 HAMPTON VILLAGE PLAZA ST LOUIS,MO63109	HOSPITAL BASED OUTPATIENT DEPTS: OPTICAL SERVICES
33	33 - MERCY HOME HEALTH 1630 DES PERES ROAD ST LOUIS,MO63131	HOSPITAL BASED OUTPATIENT DEPTS: HOME HEALTH SERVICES
34	34 - MERCY BEHAVIORAL HEALTH 12125 CONWAY RD ST LOUIS,MO63141	HOSPITAL BASED OUTPATIENT DEPTS: BEHAVIORAL HEALTH SERVICES

Schedule H (Form 990) 2023

Page 10

Part VI

Supplemental Information

Provide the following information.

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

Form and Line Reference	Explanation
PART I, LINE 6A:	THE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS PREPARED BY ITS ULTIMATE PARENT ENTITY, MERCY HEALTH (EIN: 43-1423050).
PART I, LINE 7:	TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) ARE $1,592,576,215. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $61,522,721. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $1,531,053,494.
PART I, LINE 7G:	SUBSIDIZED HEALTH SERVICESTHE PHYSICIAN CLINICS ARE INCLUDED AS A NET AMOUNT (INCOME LESS EXPENSES) ALLOCATED BY THE CLINICAL SERVICE LINE IN THE INDIRECT COST.
PART II, COMMUNITY BUILDING ACTIVITIES:	MERCY HOSPITAL ST. LOUIS (MHSL) AND MERCY HOSPITAL WASHINGTON'S (MHW)COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH, WELLNESS, AND SAFETY OF THE COMMUNITY IT SERVES. THROUGH ACTIVE PARTICIPATION ON COMMUNITY BOARDS, NEIGHBORHOOD/COMMUNITY COALITIONS, AND INVOLVEMENT IN COMMUNITY-BASED EVENTS, MERCY BUILDS PARTNERSHIPS TO DEVELOP COLLABORATIVE SOLUTIONS TO ADDRESS COMMUNITY NEEDS. SOME OF THESE COMMUNITY BUILDING PARTNERSHIPS AND COMMUNITY ENGAGEMENT ACTIVITIES INCLUDE:MERCY HOSPITAL ST. LOUIS:- ST. LOUIS PARTNERSHIP FOR A HEALTHY COMMUNITY- REGIONAL HEALTH COMMISSION- ST. LOUIS INTEGRATED HEALTH NETWORK - PATHWAYS TO PROGRESS- ST. LOUIS PROMISE ZONE- ST. PATRICK CENTER- CONTINUUM OF CARE FOR ENDING HOMELESSNESS COALITIONS: ST. LOUIS COUNTY, ST. LOUIS CITY AND ST. CHARLES, WARREN & LINCOLN COUNTIES - HOSPITAL TO HEALTHY HOUSING- UNITED WAY 2-1-1 ADVISORY COMMITTEE AND EMERGENCY FUND NETWORK MERCY HOSPITAL WASHINGTON:- FRANKLIN COUNTY HEALTH DEPARTMENT- UNITED WAY OF FRANKLIN COUNTY - FOUR RIVERS YMCA- WASHINGTON CHAMBER OF COMMERCE- FRANKLIN COUNTY COMMUNITY RESOURCE BOARD- FOUNDATIONS FOR FRANKLIN COUNTY- COMPASS HEALTH- PREVENT+ED- CATHOLIC CHARITIES OF ST LOUISIN ADDITION, MERCY ACTIVELY PARTICIPATES IN SEVERAL COALITIONS THAT ALIGN WITH EACH HOSPITAL'S CHNA TOP HEALTH PRIORITIES OF ACCESS TO CARE, MENTAL HEALTH, SUBSTANCE ABUSE AND HEALTH EQUITY (MHSL) INCLUDING:- BEHAVIORAL HEALTH NETWORK HOSPITAL COMMUNITY LINKAGES (HCL) PROGRAM- NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI)- INTEGRATED HEALTH NETWORK TRANSITIONS OF CARE- FLOURISH/GENERATE HEALTH- REGIONAL DIABETES COALITION- ST. LOUIS COUNTY HEALTH DEPARTMENT- ST. LOUIS CITY HEALTH DEPARTMENT- FOUNDATIONS FOR FRANKLIN COUNTY- FRANKLIN COUNTY SERVICE PROVIDERS GROUP- FRANKLIN COUNTY HOMELESS TASK FORCE- MULTI-COUNTY DRUG TASK FORCE & FRANKLIN COUNTY SHERIFF'S OFFICEEXAMPLES OF ONGOING PROJECTS LED BY THE COALITIONS LISTED ABOVE INCLUDE:- MHSL ADOPTION OF THE HCL PROGRAM WHICH FOCUSES ON ENHANCING TRANSITIONS FROM HOSPITAL INPATIENT PSYCHIATRIC CARE SETTINGS TO THE REGION'S COMMUNITY MENTAL HEALTH CENTERS - FLOURISH TRANSPORTATION ACTION TEAM FOCUSES ON IMPROVING BIRTH OUTCOMES THROUGH: PRENATAL CARE, INFANT HEALTH, BEHAVIORAL HEALTH, HEALTH COMMUNICATION, NAVIGATION AND TRANSPORTATION - COLLABORATIVE ENGAGEMENT WITH THE REGIONS HOSPITALS, HEALTH CENTERS AND DIABETES SPECIALIST WORKING TO IMPLEMENT ONE COMPREHENSIVE RESOURCE HUB FOR ALL THING'S DIABETES- MERCY HOSPITAL WASHINGTON, IN PARTNERSHIP WITH THE MULTI-COUNTY DRUG TASK FORCE AND FRANKLIN COUNTY SHERIFF'S OFFICE, FIRST RESPONDERS RECEIVED TRAINING SO THAT THEY COULD BEGIN CARRYING AND UTILIZING NARCAN TO REVIVE OVERDOSED PATIENTS WHILE WAITING FOR THE AMBULANCE TO ARRIVE. EFFORTS WITH THESE COALITIONS WILL CONTINUE AS MHSL AND MHW HAVE DETERMINED THAT ACCESS TO CARE AND BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE ABUSE) TO BE TOP HEALTH PRIORITIES THROUGH THE 2022-2024 CHNA CYCLE, ALONG WITH MATERNAL CHILD HEALTH (MHSL, TRAUMA-INFORMED CARE (MHSL), HEALTH EQUITY (MHSL), HOUSING INSTABILITY (MHW) AND OBESITY (MHW).CASH/IN-KIND DONATIONS MERCY PROVIDES CASH AND IN-KIND DONATIONS THROUGH THE SUPPORT OF CO-WORKER ENGAGEMENT AND COMMUNITY SERVICE ACTIVITIES. THESE COMMUNITY BUILDING ACTIVITIES ALLOW MERCY CO-WORKERS TO LOOK BEYOND THE WALLS OF THE FACILITIES IN WHICH THEY SERVE TO BETTER UNDERSTAND AND ADDRESS THE NEEDS OF THE COMMUNITY.DURING FY24, CASH DONATIONS WERE GIVEN TO ORGANIZATIONS THROUGHOUT THECOMMUNITY, INCLUDING:- BEHAVIORAL HEALTH NETWORK- CATHOLIC CHARITIES- REGIONAL HEALTH COMMISSION- CANCER CARE FOUNDATION- BEYOND HOUSING- AMERICAN CANCER SOCIETY- HOME SWEET HOME- SOCIETY OF ST. VINCENT DE PAUL- NURSES FOR NEWBORNS- NATIONAL ALLIANCE FOR MENTAL ILLNESS- GENERATE HEALTH STL- ALZHEIMER'S ASSOCIATION- FOUNDATIONS FOR FRANKLIN COUNTY- ST. LOUIS CRISIS NURSERY- SUSAN G. KOMEN FOUNDATION- MARCH OF DIMES- COLON CANCER FOUNDATION- AUTISM SPEAKS- NATIONAL KIDNEY FOUNDATION- CASA DE SALUD- CHIPS HEALTH AND WELLNESS CENTER- WASHINGTON ROTARY- FRANKLIN COUNTY UNITED WAYA FULL DESCRIPTION OF OUR COMMUNITY BUILDING ACTIVITIES CAN BE FOUND ATHTTPS://WWW.MERCY.NET/FORMS/COMMUNITY-BENEFITS/
PART III, LINE 2:	TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE, AT COST, BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENT ACCOUNTS WAS MULTIPLIED BY A RATIO OF COST TO CHARGES. THE RATIO OF COST TO CHARGES USED WAS BASED ON DETAILED COST ACCOUNT, WHERE AVAILABLE. WHERE COST ACCOUNTING IS NOT AVAILABLE, COST REPORT COST TO CHARGE RATIOS WERE UTILIZED.
PART III, LINE 3:	THE FILING ORGANIZATION DETERMINED THAT THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS $0. ALTHOUGH THE CHARITY CARE POLICY REQUIRES THE PARTICIPATION OF THE PATIENT REQUESTING ASSISTANCE, WE HAVE A PROCESS UNDER PRESUMPTIVE CHARITY TO ADDRESS ACCOUNTS FOR PATIENTS WHO DO NOT PROVIDE THE INFORMATION. WE BELIEVE THAT OUR CHARITY POLICY IS COMPREHENSIVE ENOUGH TO CAPTURE ALMOST ALL PATIENTS WHO QUALIFY FOR CHARITY CARE.
PART III, LINE 4:	IN MAY 2014, THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) AND INTERNATIONAL ACCOUNTING STANDARDS BOARD ISSUED ACCOUNTING STANDARDS UPDATE (ASU) 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606). THE HEALTH SYSTEM ADOPTED ASU 2014-09 ON JULY 1, 2018 USING A FULL RETROSPECTIVE BASIS. UPON ADOPTION, THE MAJORITY OF WHAT WAS PREVIOUSLY CLASSIFIED AS PROVISION FOR UNCOLLECTIBLE ACCOUNTS AND PRESENTED AS A REDUCTION TO PATIENT SERVICE REVENUE ON THE CONSOLIDATED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS IS TREATED A PRICE CONCESSION THAT REDUCES THE TRANSACTION PRICE, WHICH IS REPORTED AS PATIENT SERVICE REVENUE. AS SUCH, BAD DEBT EXPENSE IS NOT REFERENCED IN MERCY HEALTH AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS.BAD DEBT EXPENSE IS TRACKED FOR FORM 990 REPORTING AS FOLLOWS: PATIENT ACCOUNTS RECEIVABLE THAT ARE DEEMED UNCOLLECTIBLE, INCLUDING THOSE PLACED WITH COLLECTION AGENCIES, ARE INITIALLY CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN ACCORDANCE WITH COLLECTION POLICIES OF THE HEALTH SYSTEM AND, IN CERTAIN CASES, ARE RECLASSIFIED TO CHARITY CARE IF DEEMED TO OTHERWISE MEET THE HEALTH SYSTEM'S CHARITY CARE POLICY. THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES BASED UPON THE PAYOR COMPOSITION AND AGING OF RECEIVABLES WITH CONSIDERATION OF THE HISTORICAL PAYMENT AND WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES.
PART III, LINE 8:	IT IS THE POSITION OF MERCY THAT 100% OF ANY SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS AMOUNT REPRESENTS COST OF PROVIDING SERVICES THAT REMAIN UNCOMPENSATED TO THE PROVIDER. THE UNREIMBURSED COSTS OF MEDICARE IS CALCULATED BY THE GROSS CHARGES NET OF THE COST TO CHARGE RATIO LESS ANY PAYMENTS, DEDUCTIONS OR REIMBURSEMENTS USING THE ANNUAL MEDICARE COST REPORT (CMS FORM 2552-96).
PART III, LINE 9B:	MERCY'S COLLECTION POLICY PROVIDES THAT MERCY WILL PERFORM A REASONABLE COMMUNICATION AND/OR REVIEW OF PATIENT ACCOUNTS AS IT RELATES TO ANY SERVICE PROVIDED AT OUR FACILITIES BEFORE TURNING THE ACCOUNT TO BAD DEBT FOR NONPAYMENT. MERCY ACTIVELY SCRUBS ACCOUNTS FOR PAYOR PLAN COVERAGE, INCLUDING MEDICAID. IN THE EVENT AN ACCOUNT IS TURNED TO COLLECTIONS AND IS IDENTIFIED IN NEED OF FINANCIAL ASSISTANCE DUE TO CIRCUMSTANCE CHANGES, OR PATIENT IS NOW REQUESTING ASSISTANCE, THE ACCOUNTS ARE RETURNED BY THE AGENCY AND CONSIDERED FOR CHARITY IF THE PATIENT PROVIDES THE REQUESTED INFORMATION. IF THE PATIENT FAILS TO RETURN THE INFORMATION, THE ACCOUNT WILL QUALIFY FOR COLLECTIONS.MERCY UTILIZES THE EXPERIAN TOOL TO ENHANCE THE ABILITY TO DETERMINE THE CHARITY QUALIFICATION PRIOR TO TURNING TO BAD DEBT, A PROCESS KNOWN AS PRESUMPTIVE CHARITY FOR ALL COMMUNITIES EXCEPT JOPLIN, MAUDE NORTON, CARTHAGE, SOUTHEAST KANSAS, CAPE GIRARDEU AND STODDARD. THIS PRESUMPTIVE SCREENING PROCESS DETAILS EVALUATIONS THAT TAKE PLACE PRIOR TO PATIENT BILLING AND ADDITIONALLY PRIOR TO BAD DEBT PLACEMENT. THE PRESUMPTIVE SCREENING WAS PER ENCOUNTER AND DID NOT PROMOTE ANY LOOK-BACK ADJUSTMENTS.MERCY WILL GRANT CHARITY IN SITUATIONS WHERE THERE HAS BEEN AN INABILITY TO OBTAIN INFORMATION FROM PATIENTS OR THE INFORMATION PROVIDED IS NOT COMPLETE ENOUGH TO MAKE A CHARITY DETERMINATION WHEN A PATIENT HAS SUBMITTED AN APPLICATION.MERCY WILL PURSUE APPROPRIATE MEANS IN THE COLLECTION OF DELINQUENT ACCOUNTS FROM PATIENTS WITH AN ESTABLISHED ABILITY TO PAY OR AN UNWILLINGNESS TO COOPERATE IN VALIDATING ELIGIBILITY FOR FINANCIAL ASSISTANCE. THESE APPROPRIATE MEANS MAY INCLUDE PLACEMENT WITH A COLLECTION AGENCY CONSISTENT WITH MERCY MISSION AND VALUES. THIS OCCURS AFTER 3 MONTHLY STATEMENTS HAVE BEEN SENT WITH THE FINAL STATEMENT INCLUDING NOTIFICATION OF PLACEMENT WITH A COLLECTION AGENCY. WHILE MERCY USES THE COLLECTION FOLLOW-UP SERVICES OF COLLECTION AGENCIES, MERCY WILL NOT UTILIZE ANY TYPE OF EXTRAORDINARY COLLECTION ACTIVITY. THE DEFINITION OF EXTRAORDINARY COLLECTION ACTIVITY IS TAKEN FROM THE 501(R) DESCRIPTION.
PART VI, LINE 2:	MERCY HOSPITAL ST. LOUIS AND MERCY HOSPITAL WASHINGTONIN 2021, MERCY HOSPITAL ST. LOUIS AND MERCY HOSPITAL WASHINGTON CONDUCTED REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA). PRESIDENTS FROM THE HOSPITALS LED THEIR CORRESPONDING COMMUNITY HEALTH COUNCILS IN GUIDING THE NEEDS ASSESSMENT PROCESS. THE COUNCILS CONVENE QUARTERLY AND ARE ACCOUNTABLE FOR ENSURING THAT COMMUNITY BENEFIT ACTIVITIES MEET MISSION COMPLIANCE AND IRS GUIDELINES. THEY CONSIST OF MERCY LEADERS FROM VARIOUS DEPARTMENTS, SUCH AS BEHAVIORAL HEALTH, FINANCE, CARE MANAGEMENT, PHILANTHROPY, ETC., AND ONE HOSPITAL BOARD MEMBER. THE COUNCILS DETERMINE WHICH HEALTH INITIATIVES WILL BE PUT FORTH IN THE HOSPITAL'S THREE-YEARCOMMUNITY HEALTH IMPROVEMENT PLAN (CHIP).CO-WORKERS IN MERCY'S COMMUNITY HEALTH & ACCESS DEPARTMENT SERVE ON THE COUNCILS AND WERE PRIMARY LEADS OF THE CHNAS. AS NOTED IN PART V, SECTION B, THE VOICES OF THE PEOPLE OF ST. LOUIS COUNTY AND FRANKLIN COUNTY WERE CENTRAL TO THE HEALTH NEEDS ASSESSMENT PROCESS. MHSL AND MHW GATHERED COMMUNITY INPUT DIRECTLY THROUGH SURVEYS AND FOCUS GROUPS.THROUGH PARTICIPATION IN THE STLPHC, MERCY HOSPITAL ST. LOUIS ALSO HAD ACCESS TO PRIMARY AND SECONDARY DATA COLLECTED THROUGH THEIR MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) ASSESSMENTS: THECOMMUNITY THEMES AND STRENGTHS ASSESSMENT (CTSA), THE LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT, THE COMMUNITY HEALTH STATUS ASSESSMENT (CHSA), AND THE FORCES OF CHANGE ASSESSMENT (FCA). THE CTSA IN PARTICULAR INCLUDEDFOURTEEN (14) LISTENING SESSIONS, TWO (2) SURVEYS, AND TWELVE (12) FOCUS GROUPS CONDUCTED WITH RESIDENTS THROUGHOUT THE REGION. EXTERNAL SOURCES OF PUBLISHED DATA INCLUDE:- COUNTY HEALTH RANKINGS WWW.COUNTYHEALTHRANKINGS.ORG- COMMUNITY DATA PROFILES & MISSOURI INFORMATION FOR COMMUNITY ASSESSMENT (MICA) HTTP://HEALTH.MO.GOV/DATA/COMMUNITYDATAPROFILES/INDEX.HTML- CDC COMMUNITY HEALTH STATUS INDICATOR REPORT HTTP://WWWN.CDC.GOV/COMMUNITYHEALTH/PROFILE/CURRENTPROFILE/MO/FRANKLIN- COMMUNITY COMMONS HTTP://WWW.COMMUNITYCOMMONS.ORG/- EXPLOREMOHEALTH HTTPS://EXPLOREMOHEALTH.ORG/ - HEALTH EQUITY WORKS HTTPS://HEALTHEQUITYWORKS.WUSTL.EDU/- ST. LOUIS COUNTY 2017 COMMUNITY HEALTH NEEDS ASSESSMENT HTTP://WWW.THINKHEALTHSTL.ORG/CONTENT/SITES/STLOUISCO/CHA_REPORTS/ST_LOUIS_2017_CHA_2018_CHIP_SUMMARY_REPORT_FINAL_2.PDF- PROGRESS TOWARD BUILDING A HEALTHIER ST. LOUIS 2018 ACCESS TO CAREREPORTHTTPS://1S4G6C1YLXER1LI24CN557F1-WPENGINE.NETDNA-SSL.COM/WP-CONTENT/UPLOADS/SITES/63/2019/06/ATC-DATA-BOOK-3.21.19-FINAL.PDF - UNITED WAY 211 COUNTSHTTPS://211MO.211COUNTS.ORG/PRIORITIZED SIGNIFICANT COMMUNITY HEALTH NEEDSTHE NOMINAL GROUP TECHNIQUE WAS USED IN THE PRIORITY SETTING PROCESS. THE MERCY HOSPITAL ST. LOUIS AND MERCY HOSPITAL WASHINGTON COMMUNITY HEALTH COUNCILS WERE PRESENTED WITH THE QUANTITATIVE AND QUALITATIVE COMMUNITY HEALTH DATA AND MEMBERS WERE ASKED TO RANK THESE HEALTH ISSUES BY LEVEL OF CONCERN AND ABILITY TO COLLABORATE ON THE ISSUE TO PRODUCE RESULTS. THE STRENGTHS AND SERVICES OF THE HOSPITALS ALONG WITH THEIR STRATEGIC PLANS WERE ALSO CONSIDERED. UPON REVIEW AND DISCUSSION OF THE PRIMARY AND SECONDARY DATA GATHERED, THE HOSPITALS' STRATEGIC PLANS, AND THE RESOURCES AVAILABLE AT THE HOSPITALS AND IN THE COMMUNITIES, THE FOLLOWING PRIORITIES WERE SELECTED:MERCY HOSPITAL ST. LOUIS: - ACCESS TO CARE- BEHAVIORAL HEALTH- MATERNAL CHILD HEALTH- TRAUMA-INFORMED CARE- HEALTH EQUITYMERCY HOSPITAL WASHINGTON:- HOUSING INSTABILITY- SUBSTANCE USE / MENTAL HEALTH- OBESITYTHE COMMUNITY HEALTH COUNCILS THEN CREATED COMMUNITY HEALTH IMPROVEMENT PLANS (CHIP) FOR THEIR HOSPITAL, IDENTIFYING SPECIFIC INITIATIVES RELATED TO IMPROVING EACH OF THESE HEALTH PRIORITIES. THE CHIPS WERE DESIGNEDWITH REALISTIC, MEASURABLE, AND ATTAINABLE GOALS THAT ALIGN WITH THE MISSION AND STRATEGY OF THE ORGANIZATIONS. MERCY HOSPITAL ST. LOUIS AND MERCY HOSPITAL WASHINGTON ALSO ASSESS THE NEEDS OF THE COMMUNITY THROUGH REQUESTS BY LOCAL AGENCIES. ACCORDING TO THE CATHOLIC HEALTH ASSOCIATION, A REQUEST FROM A PUBLIC AGENCY ORCOMMUNITY GROUP TO INITIATE OR CONTINUE AN ACTIVITY OR PROGRAM MEETS THE REQUIREMENTS FOR A DOCUMENTED COMMUNITY NEED. MERCY LEADERS SERVING ON THE BOARDS OF UNITED WAY 2-1-1 AND THE INTEGRATED HEALTH NETWORK ARE EXAMPLES OF OUR INVOLVEMENT WITH COMMUNITY ORGANIZATIONS BASED ON THE ORGANIZATION'S REQUEST FOR SUPPORT.
PART VI, LINE 3:	MERCY INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY THROUGH SEVERAL MEANS. IF AT ANY TIME A PATIENT EXPRESSES HARDSHIP AND INABILITY TO PAY, THE ACCOUNT IS PLACED FOR REVIEW. IN ADDITION, PATIENTS HAVE SIGNAGE ABOUT THE POLICY AT THE ACCESS POINTS, AND ALL STAFF WORKING WITH THE PATIENT AT POINT OF SERVICE, SCHEDULING, CUSTOMER SERVICE, AND EVEN THROUGH THE MEDICAID ELIGIBILITY SCREENING HAVE THE MEANS TO SEND THE ACCOUNT FOR REVIEW. THERE IS THE PLAIN LANGUAGE SUMMARY THAT IS BEING PROVIDED TO ALL WHOM EXPRESS HARDSHIP, IN ADDITION TO THE WEB ADDRESS PROVIDING THE APPLICATION, POLICIES, AND EVEN HOW UNINSURED ACCOUNTS ARE HANDLED. LASTLY, THE STATEMENTS MESSAGE TO THE PATIENT THAT MERCY DOES HAVE A FINANCIAL ASSISTANCE PROGRAM AND TO CALL TO SEE IF THEY ARE ELIGIBLE. MERCY STAFF'S INTERNAL RESOURCES CERTIFIED TO ASSIST PATIENTS WITH MEDICAID APPLICATIONS AS WELL.
PART VI, LINE 4:	MERCY HOSPITALS EAST COMMUNITIES INCLUDES MERCY HOSPITAL ST. LOUIS AND MERCY HOSPITAL WASHINGTON. THE PRIMARY SERVICE AREA FOR MERCY HOSPITAL ST. LOUIS INCLUDES 255 ZIP CODES ACROSS MISSOURI AND ILLINOIS. THE FOLLOWING INFORMATION IS DERIVED FROM THE ADVISORY BOARD DEMOGRAPHICS AND AHA ANALYTICS. THE AREA'S POPULATION IS 2,778,325. THE MEDIAN HOUSEHOLD INCOME IS $67,000. 93% OF THE POPULATION IS A HIGH SCHOOL GRAD OR GREATER AND THE MEDIAN AGE IS 34. 19.8% OF THE HOUSEHOLDS ARE ON MEDICARE, 19.0% ON MEDICAID, AND 6.8% UNINSURED. THE PRIMARY SERVICE AREA FOR MERCY HOSPITAL WASHINGTON INCLUDES 26 ZIP CODES SOUTHWEST OF ST. LOUIS. THE AREA'S POPULATION IS 157,308. THE MEDIAN HOUSEHOLD INCOME IS $81,000. 90% OF THE POPULATION IS A HIGH SCHOOL GRAD OR GREATER AND THE MEDIAN AGE IS 44. 22.3% OF THE HOUSEHOLDS ARE ON MEDICARE, 18.5% ON MEDICAID, AND 10.2% UNINSURED
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTHMERCY PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. MERCY IS A CATHOLIC HEALTH CARE CORPORATION THAT, PURSUANT TO THE ORGANIZATIONAL CORE BELIEF,THAT HEALTH CARE SERVICES ARE A VITAL AND INTEGRAL PART OF THE CHURCH'S HEALING MISSION, ENGAGES IN A MINISTRY WHICH PROVIDES GENERAL ACUTE CARE, AMBULATORY, LONG-TERM AND HOME CARE HEALTH SERVICES TO INDIVIDUALS ANDFAMILIES IN ITS COMMUNITIES. MERCY OFFERS SERVICES AND PROGRAMS WHICH FURTHER HEALTH PROMOTION, MAINTENANCE AND CARE TO THE COMMUNITY. PROGRAMS PROVIDED TO MEET THE COMMUNITY INCLUDE SUPPORT GROUPS, OUTREACH EVENTS, BLOOD DRIVES, AND CO-WORKER WORKDAYS. MERCY IS GOVERNED BY A BOARD OF DIRECTORS WHICH INCLUDES REPRESENTATION FROM COMMUNITY LEADERS FROM A VARIETY OF SECTORS. ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY. ANY POTENTIAL CONFLICTS OF INTEREST DISCLOSED ARE REVIEWED AND RESOLVED. THIS PROCESS ENSURES THAT PUBLIC, RATHER THAN PRIVATE INTERESTS ARE SERVED. SURPLUS FUND AND UNRESTRICTED ASSETS HELD ARE REINVESTED IN PATIENT CARE, MEDICAL EDUCATION AND RESEARCH INITIATIVES WHICH SUPPORT THE ORGANIZATION'S MISSION TO DELIVER COMPASSIONATE CARE AND EXCEPTIONAL HEALTH CARE SERVICES TO THE COMMUNITIES IT SERVES.OPEN MEDICAL STAFFMEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR NEARLY ALL OUR EPARTMENTS. MHSL HAS EXCLUSIVE CONTRACTS WITH PHYSICIAN GROUPS FOR RADIOLOGY, PATHOLOGY SERVICES, NEONATOLOGY, ANESTHESIA, AND CV SURGERY. MHW HAS EXCLUSIVE CONTRACTS WITH PHYSICIAN GROUPS FOR RADIOLOGY, PATHOLOGY AND ANESTHESIOLOGY. THIS MEANS THAT OVER 90% OF THE PHYSICIANS ON STAFF ARE IN CATEGORIES THAT ARE OPEN TO QUALIFIED PHYSICIANS IN THE COMMUNITY.COMMUNITY BOARDS FY24MERCY HEALTH EAST COMMUNITIES FY24 BOARD MEMBERSDON ARNOLD, M.D.JON BAUER, PHDCRAIG BOYD, MDMATUSKCHKA LINDO-BRIGGSAPOLLO CAREYJANICE DENIGANDENNIS GANNONJOHN PORTER, ED. DWINTHROP B. REED, IIICHARLES REHM, M.D.MERCY HOSPITAL ST. LOUIS FY24 BOARD MEMBERSGINGER ANDREWS, RSMJAMES BOYD, MDSARA HANNAHPAUL HINTZE, MDKRISTIN JOHNSONDAVID MEINERS, MDSTEVE O'LOUGHLINCASSANDRA SANFORDSCOTT BRECKENKAMPSANDY LUCYMERCY HOSPITAL WASHINGTON FY24 BOARD MEMBERSLB ECKELKAMPJOHN MORONEYGARY DUMONTIER, MDGRETCHEN FARMER, M.D.DENNIS COLEMANSISTER CABRINI KOELSCH, RSMWILLIAM L. MILLER SR.THOMAS RIECHERS, M.D.DAVID CHALK USE OF SURPLUS FUNDSSURPLUS FUNDS AND UNRESTRICTED ASSETS HELD BY MERCY HOSPITALS EAST COMMUNITIES ARE REINVESTED IN PATIENT CARE INITIATIVES WHICH SUPPORT THEORGANIZATION'S MISSION TO DELIVER COMPASSIONATE CARE AND EXCEPTIONAL HEALTH CARE SERVICES TO THE COMMUNITIES IT SERVES. EXAMPLES INCLUDE THE FOLLOWING:- PROVIDING FINANCIAL ASSISTANCE TO PATIENTS WHO HAVE NO OTHER MEANS TO COVER THEIR COST OF CARE- PROVIDING DRUG ASSISTANCE TO PATIENTS RECEIVING HIGH-COST DRUG THERAPIES ADMINISTERED IN MERCY'S OUTPATIENT INFUSION CENTER OR ORAL DRUGS PURCHASED THROUGH MERCY'S RETAIL OR SPECIALTY PHARMACY SERVICES- INVESTMENT IN SOCIAL WORKERS AND COMMUNITY HEALTH WORKERS INCLUDING DEDICATED RESOURCES TO ADVOCATE FOR AND ASSIST LOW-INCOME INDIVIDUALS AND FAMILIES AND WOMEN'S SERVICES SOCIAL WORKERS TO SERVE THE ST. LOUISCOMMUNITY WITH GOAL OF PRODUCING HEALTHY PREGNANCY DOCTOR VISITS, DELIVERIES AND POST-PARTUM CARE- CONTINUED INVESTMENT IN INNOVATIVE TECHNOLOGY AND SERVICES TO PROVIDE EXCELLENT CARE TO OUR PATIENTS IN THEIR COMMUNITY, INCLUDING THE FOLLOWING:- ACQUISITION OF NEW ROBOTIC HYBRID PLATFORM FOR MERCY ST. LOUIS CARDIOVASCULAR SURGICAL SERVICES. THIS PLATFORM UTILIZES ARTIFICIAL INTELLIGENCE AND CLINICAL EXPERTISE TO DELIVER INNOVATIVE SOLUTIONS ALLOWING SURGEONS TO PROVIDE ADVANCED PRECISION HEALTHCARE WITH REDUCED PROCEDURE TIMES AND IMPROVED PATIENT OUTCOMES- COMPLETION OF CONSTRUCTION AND INSTALLATION OF PROTON THERAPY SERVICES AT PRATT CANCER CENTER AT MERCY HOSPITAL ST. LOUIS. THIS WAS A MULTI-YEAR PROJECT. PROTON THERAPY MORE ACCURATELY TARGETS TUMORS AND CANCER CELLS, REDUCING THE RISK OF RADIATION DAMAGE TO SURROUNDING HEALTHY TISSUES AND ORGANS- UPGRADES AND RENOVATION OF SURGICAL SUITES AT MERCY HOSPITAL WASHINGTON TO PROVIDE THIS COMMUNITY LOCAL ACCESS TO UPGRADED AND EFFICIENT SURGERY SPACE- INVESTMENT IN NEW CT EQUIPMENT AT HAZELWOOD IMAGING CENTER TO PROVIDE LOCAL ACCESS TO UPDATED IMAGING TECHNOLOGY FOR THE NORTH COUNTY COMMUNITY- INVESTMENT IN ADDITIONAL 3D MAMMOGRAPHY UNITS TO PROVIDE GREATER ACCESS FOR ANNUAL SCREENINGS. THIS TECHNOLOGY MAKES IT EASIER FOR PHYSICIANS TO DETECT BREAST CANCER EARLY- CONTINUED FUNDING OF GRADUATE MEDICAL EDUCATION PROGRAM (PROVIDES RESIDENCY TRAINING IN FAMILY MEDICINE, INTERNAL MEDICINE, OB/GYN, DENTAL MEDICINE, ORTHOPEDICS AND CRITICAL CARE) AND SCHOOLS OF RADIOLOGY,RESPIRATORY AND CLINICAL LABORATORY SCIENCE. ADDITIONAL COMMUNITY HEALTH INITIATIVE/INFORMATIONCURRENTLY NOT INCLUDED THROUGH THE REPORTING OF COMMUNITY BENEFIT OR COMMUNITY BUILDING ACTIVITIES ARE:IN KEEPING WITH MHEC'S COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITY:MHEC CLINICS (NOT UNDER HOSPITAL EIN) PROVIDE:- FREE CARE AND/OR SUBSIDIZED CARE- CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST- HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY HEALTH EDUCATION PROGRAMS, AND- A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. MANY OF THE PROGRAMS MENTIONED BELOW ARE PART OF OUR CURRENT COMMUNITY HEALTH IMPACT PLAN (CHIP). THESE ARE INDICATED BY ASTERISKS. NUMEROUS COLLECTION DRIVES BY CO-WORKERS ARE HELD THROUGHOUT THE YEAR AND THE ITEMS SUCH AS FOOD, CLOTHING, PERSONAL CARE ITEMS, BUS PASSES, GAS CARDS, SCHOOL SUPPLIES AND OTHER CRITICAL ITEMS ARE DONATED TO NON-PROFIT AGENCIES TO DISTRIBUTE TO THEIR CLIENTS. MERCY NEIGHBORHOOD MINISTRY (MNM) MERCY EAST COMMUNITYMERCY NEIGHBORHOOD MINISTRY IS A DEPARTMENT THAT SUPPORTS THE SERVICE AREAS OF MERCY HOSPITAL ST. LOUIS, MERCY HOSPITAL WASHINGTON AND THE SURROUNDING COUNTIES. IT FOCUSES ON CONNECTING THE ECONOMICALLY UNDERSERVED WITH APPROPRIATE HEALTH AND SOCIAL SERVICES AS WELL AS OVERALL COMMUNITY HEALTH AND ACCESS THROUGH PROMOTION AND EDUCATION OF CURRENT PROGRAMS. MNM PARTNERS WITH OVER 100 COMMUNITY HEALTH AND SOCIAL SERVICE AGENCIES, CLINICS, CHURCHES AND SCHOOLS. NEARLY HALF OF ITS ANNUAL EXPENSES ARE OFFSET THROUGH MERCY FOUNDATION. ACCESS TO CARECOMMUNITY HEALTH WORKER* (CHW)CHWS SCREEN PATIENTS FOR SOCIAL NEEDS USING STANDARDIZED QUESTIONNAIRES, REFER PATIENTS TO COMMUNITY RESOURCES, AND ASSIST PATIENTS IN OBTAINING MERCY FINANCIAL ASSISTANCE, MEDICAID, AND ESTABLISHING A PRIMARY CAREHOME. CHWS ASSIST WITH DIRECT REFERRALS AND SCREENING OF UNINSURED PATIENTS IN THE ED AND/OR MEET WITH PATIENTS PREVIOUSLY SEEN IN THE ED AT THE HOSPITAL OR IN THE COMMUNITY. THE AIM IS TO SCREEN ALL UNINSURED PATIENTS VISITING THE ED.COMMUNITY REFERRAL COORDINATOR* - MHSLMERCY CONTINUES TO PARTNER WITH THE ST. LOUIS INTEGRATED HEALTH NETWORK (IHN) IN PROVIDING A CONTRACTED COMMUNITY REFERRAL COORDINATOR (CRC) IN THE MHSL EMERGENCY DEPARTMENT TO CONNECT DISCHARGED PATIENTS WITH NEEDED FOLLOW-UP MEDICAL CARE. THE CRC PRIMARILY FOCUSES ON MEDICAID AND UNINSURED PATIENTS TO:- ENSURE THEY HAVE ACCESS TO A PRIMARY CARE HOME AND HEALTH RESOURCES REGARDLESS OF THEIR ABILITY TO PAY- REDUCE NON-EMERGENT USE OF EMERGENCY DEPARTMENTS AND LOW ACUITY READMISSIONS- ENHANCE CONTINUITY OF CARE- STRENGTHEN COMMUNICATIONS/PROCESSES AMONG HOSPITAL, SAFETY NET AND OTHER PRIMARY CARE PROVIDERS, AND COMMUNITY SOCIAL SERVICES AGENCIES/PROGRAMS.THE POSITION IS FUNDED BY THE IHN AND IS A COLLABORATIVE PROGRAM BETWEEN MERCY, THE IHN AND OTHER AREA HOSPITALS AND CLINICS TO IMPROVE ACCESS, QUALITY AND TRANSITIONS OF CARE. TRANSPORTATION MHW*AS A COMMUNITY WITHOUT PUBLIC TRANSPORTATION, ONGOING DISCUSSIONS AND RESEARCH ARE TAKING PLACE IN HOPES OF PARTNERING WITH AFFORDABLE PROVIDERS TO BENEFIT OUR PATIENTS IN NEED ACROSS FRANKLIN COUNTY. TRANSPORTATIONASSISTANCE WAS GIVEN TO 400 PATIENTS IN THE FORM OF CAB FARE, GAS CARDS, CONTRACTED PROVIDERS AND MERCY SHUTTLE. CURRENTLY WORKING WITH ZIPCARE TO PROVIDE SUSTAINABLE TRANSPORTATION OPTIONS FOR PREVENTING MISSED APPOINTMENTS.SEE PART VI, QUESTION 5 CONTINUATION
PART VI, LINE 6:	AFFILIATED HEALTH CARE SYSTEMTHE FILING ORGANIZATION IS PART OF MERCY HEALTH ("MERCY"). MERCY IS A MISSOURI NON-PROFIT CORPORATION WITH ITS HEADQUARTERS ("MINISTRY OFFICE") IN ST. LOUIS, MISSOURI. MERCY PROVIDES HEALTH CARE SERVICES IN FOUR STATES - ARKANSAS, KANSAS, MISSOURI, AND OKLAHOMA - AND HAS OUTREACH MINISTRIES LOCATED IN ARKANSAS, LOUISIANA, MISSISSIPPI, AND TEXAS. MERCY'S MISSION IS "AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE." AS OF JUNE 30, 2024, MERCY FACILITIES INCLUDED 32 ACUTE CARE HOSPITALS, 5 HEART HOSPITALS, 7 REHAB HOSPITALS, 2 CHILDREN'S HOSPITALS, 3 ORTHOPEDIC HOSPITALS, AND 1 VIRTUAL CARE COMMAND CENTER. FOR THE FISCAL YEAR ENDED JUNE 30, 2024, MERCY HAD MORE THAN 11.9 MILLION CLINIC AND OUTPATIENT VISITS, APPROXIMATELY 2,600 EMPLOYED PHYSICIANS, AND APPROXIMATELY 52,000 FULL-TIME EQUIVALENT EMPLOYEES, MAKING MERCY THE SIXTH LARGEST CATHOLIC HEALTH SYSTEM IN THE UNITED STATES. MERCY IS SPONSORED BY MERCY HEALTH MINISTRY, WHICH IS GOVERNED BY MEMBERS THAT INCLUDE SISTERS OF MERCY. MANY SERVICES THAT ARE ESSENTIAL TO FULFILLING MERCY'S MISSION ARE CENTRALIZED AT THE MINISTRY OFFICE. SUCH CENTRALIZED SERVICES INCLUDE: FINANCE (INCLUDING TREASURY, FINANCIAL ACCOUNTING AND REPORTING, REVENUE MANAGEMENT, INTERNAL AUDIT, ACCOUNTS PAYABLE AND PAYROLL OPERATIONS, ANALYTICS AND DECISION SUPPORT); ENVIRONMENTAL SERVICES SUPPORT; CLINICAL INTEGRATION; CARE MANAGEMENT; CLINICAL PERFORMANCE ACCELERATION; CLINICAL ENGINEERING; CLINICAL QUALITY MANAGEMENT; COMPLIANCE; GRANTS AND RESEARCH SERVICES; LEGAL AND COMPLIANCE COUNSEL; MARKETING AND COMMUNICATIONS; PLANNING, DESIGN AND CONSTRUCTION; PRODUCT DEVELOPMENT INFORMATICS; REAL ESTATE; SUPPLY CHAIN MANAGEMENT; MANAGED CARE STRATEGY SUPPORT; HUMAN RESOURCES (INCLUDING COMPENSATION, BENEFITS AND RECRUITING); MISSION SERVICES AND ETHICS; PHILANTHROPY SUPPORT; INFORMATION TECHNOLOGY; AND, COMMUNITY RELATIONS. THE CENTRALIZATION OF SUCH SUPPORT SERVICES ENABLES MERCY TO ENSURE THAT EACH OF ITS COMMUNITIES, WHETHER LARGE OR SMALL, HAS THE SERVICES IT NEEDS.
FORM 990, SCHEDULE H, PART VI, LINE 7	STATE FILING OF COMMUNITY BENEFIT REPORT: MO
PART VI, QUESTION 5 CONTINUATION	MENTAL HEALTHERETHE EMERGENCY ROOM ENHANCEMENT PROGRAM BEGAN JULY 2017 AT MHSL AND EXPANDED TO MHW IN 2018. THIS PROGRAM IS SUPPORTED BY MISSOURI MENTAL HEALTH DEPARTMENT AND IS A PARTNERSHIP WITH LOCAL HOSPITALS, COMMUNITY MENTAL HEALTH CENTERS, LAW ENFORCEMENT AGENCIES, SUBSTANCE USE TREATMENT FACILITIES, AND SOCIAL SERVICE PROVIDERS TO COORDINATE CARE FOR THE WHOLE PERSON BY ADDRESSING BEHAVIORAL, PHYSICAL, AND BASIC NEEDS. THE PRIMARY GOALS OF ERE ARE TO PREVENT REPEATED ED VISITS AND HOSPITALIZATIONS, AS WELL AS INCREASE RATES OF HOUSING, EMPLOYMENT, ANDEDUCATION ENROLLMENT. MHSL ENROLLED 94 ADULT PATIENTS IN 2018 AND MHW ENROLLED 7 IN ITS FIRST SIX MONTHS. MHSL ALSO OFFERS THE PROGRAM TO YOUTH AND ENROLLED 23 IN 2018. THROUGH PARTNERSHIP WITH THE BEHAVIORAL HEALTH NETWORK OF GREATER ST. LOUIS - PEER MENTORS ARE PAIRED WITH ED PATIENTS PRESENTING WITH SUBSTANCE USE DISORDER OR CRISIS. THEY BUILD RELATIONSHIPS AND HELP COACH THESE PATIENTS TO BUILD HEALTHIER COPING SKILLS WHICH ENHANCE QUALITY OF LIFE AND REDUCE ED READMISSIONS.HCLHOSPITAL COMMUNITY LINKAGES PROGRAM BEGAN IN 2017 IN MHSL AS PART OF A REGIONAL RESPONSE TO PROVIDE ACUTE AND EMERGENCY BEHAVIORAL HEALTH SERVICES. USING A DESIGNATED LIAISON PER PROVIDER, THE INPATIENT PROJECT IDENTIFIES AND REFERS POTENTIAL CONSUMERS, FACILITATES THE REFERRAL AND ENSURES DISCHARGE DOCUMENTATION IS TRANSFERRED FOR CONTINUITY OF CARE. IN 2018, 115 PATIENTS WERE REFERRED TO THE PROGRAM THROUGH MHSL. THE PROGRAM IS UNAVAILABLE IN MHW.ALIVE AND WELL IN STL* - MHSLALIVE AND WELL STL IS A COMMUNITY-WIDE EFFORT STARTED BY THE REGIONAL HEALTH COMMISSION THAT FOCUSES ON REDUCING THE IMPACT OF TOXIC STRESS AND TRAUMA ON A PERSON'S HEALTH AND WELL-BEING. MERCY ACTS AS A COMMUNITY PARTNER FOR THIS INITIATIVE AND WORKS TO CREATE A MORE TRAUMA AWARE/INFORMED COMMUNITY THROUGH TRAINING OPPORTUNITIES AND ANALYZING BEST PRACTICES IN THE FIELD OF BEHAVIORAL HEALTH. SUBSTANCE USEPDMP MHSL & MHWAS MISSOURI IS THE ONLY STATE IN THE COUNTRY WITHOUT A PRESCRIPTION DRUG MONITORING PROGRAM (PDMP), ADVOCACY EFFORTS CONTINUE TO APPEAL TO THE STATE. PROVIDER EDUCATION CONTINUES TO PROMOTE USING THE ST. LOUISCOUNTY/MULTI-COUNTY SYSTEM IN PLACE.INTENSIVE OUTPATIENT PROGRAM (IOP) - MHW*MERCY HOSPITAL WASHINGTON OPENED AN IOP IN DECEMBER 2014. IT PROVIDES THE HIGHEST LEVEL OF OUTPATIENT CARE FOR PATIENTS SUFFERING FROM MENTAL HEALTH AND CHEMICAL DEPENDENCY DISORDERS AND CONSISTENTLY RUNS NEAR CAPACITY AND ACCEPTS INSURED AND UNINSURED ADULT AND ADOLESCENT PATIENTS.MERCY ROAD TO FREEDOM MHSL & MHWTHIS PROGRAM WAS OFFERED TO THE COMMUNITY AND MERCY CO-WORKERS AS A TELEPHONIC, ONE-ON-ONE SUPPORT SYSTEM WITH A SPECIALTY TRAINED COUNSELOR TO STOP USING TOBACCO PRODUCTS.PHYSICIANSMERCY HEALTH SYSTEM HAS A LARGE NUMBER OF CLINICS, PHYSICIAN OFFICES AND OTHER HEALTHCARE FACILITIES LOCATED IN THE EAST COMMUNITY THAT ARE NOT ASSOCIATED WITH A HOSPITAL EIN. THESE CLINICS AND FACILITIES PROVIDE FINANCIAL ASSISTANCE, PARTICIPATE IN HEALTH PROFESSIONS EDUCATION (I.E., STUDENT SHADOWING) AND PROVIDE IN-KIND CONTRIBUTIONS TO THEIR COMMUNITIES.JFK & MCAULEY HEALTH CENTERS MHSL & MHWTHESE HEALTH CENTERS OFFER COMPREHENSIVE HEALTH CARE TO A DIVERSE POPULATION OF OVER 10,000 PATIENTS WHO ARE ECONOMICALLY DISADVANTAGED, UNINSURED OR UNDERINSURED. WITH MORE THAN 60,000 PATIENT VISITS EACH YEAR, SERVICES INCLUDE MEDICAL, OBSTETRICAL, GYNECOLOGICAL AND PEDIATRIC CARE AND ACCESS TO SPECIALTY CARE, BEHAVIORAL HEALTH INCLUDING COUNSELING AND TREATMENT, DISCOUNTED PHARMACY SERVICES, AND VISION AND DENTAL CARE.THE CHARITY CARE AND UNREIMBURSED COST OF MEDICAID COMMUNITY BENEFIT FIGURES FOR THESE ENTITIES ARE INCLUDED IN THE OVERALL CHARITY CARE FOR MHEC AND NOT LISTED SEPARATELY. THE WORK OF THESE MERCY PROVIDERS WHOSERVE THOSE WHO ARE STRUGGLING IN OUR COMMUNITY ARE NOT DESCRIBED IN ANY AREA OF THIS REPORT.

Schedule H (Form 990) 2023

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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

2023

Open to Public
Inspection

Name of the organization
MERCY HOSPITALS EAST COMMUNITIES

Employer identification number
43-0653493

Part I

General Information on Grants and Assistance

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

Yes No

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

Part II

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

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

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) MERCY HEALTH FOUNDATION ST LOUIS 615 S NEW BALLAS RD ST LOUIS,MO63141	56-2410020	501(C)(3)	2,990,571	CHARITABLE SUPPORT
(2) MERCY HEALTH FOUNDATION WASHINGTON 901 EAST FIFTH STREET WASHINGTON,MO63090	56-2410022	501(C)(3)	150,939	CHARITABLE SUPPORT
(3) AMERICAN CANCER SOCIETY 250 WILLIAMS ST NW STE 4B ATLANTA,GA30303	13-1788491	501(C)(3)	34,250	CHARITABLE SUPPORT
(4) AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS,TX75231	13-5613797	501(C)(3)	27,500	CHARITABLE SUPPORT
(5) OFFICE OF WORSHIP ACCHDIOC STL 20 ARCHBISHOP MAY DR ST LOUIS,MO63119	43-0653244	501(C)(3)	26,375	CHARITABLE SUPPORT
(6) MARCH OF DIMES 1550 CRYSTAL DRIVE ARLINGTON,VA22202	13-1846366	501(C)(3)	10,000	CHARITABLE SUPPORT

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

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

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

Cat. No. 50055P

Schedule I (Form 990) 2023

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 AND UTILITIES	24	6,992
(2) CAR/VAN TRANSPORTATION	3798	189,894
(3) AMBULANCE TRANSPORTATION	903	451,435
(4) MEDICAL/LABORATORY SERVICES	28	50,763
(5) MEDICAL EQUIPMENT	81	6,041
(6) GAS CARDS	138	6,900
(7) SELF HELP MATERIALS	8173	40,863
(8) MEMORIALS	48	40,476
(9) CLOTHING (DISCHARGE)	211	5,738
(10) HOME FURNISHINGS	31	4,700
(11) BUS PASS	64	1,284
(12) DRUGS	4	303
(13) LODGING	1	83

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:

DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING USE OF GRANTS THE ASSISTANCE PROVIDED IS INTENDED TO BE USED FOR THE GENERAL OPERATING PURPOSES OF THE DONEES. THE USE OF GRANT FUNDS IS NOT MONITORED AFTER GRANTS ARE GIVEN. HOWEVER, TWO GRANTEE ARE PART OF MERCY HEALTH AND THEREFORE RELATED ORGANIZATIONS TO MERCY HOSPITAL EAST COMMUNITIES. LEADERSHIP OF THE HOSPITAL AND THE GRANTEE COMMUNICATE ON HOW FUNDS ARE USED, ALTHOUGH THERE IS NO FORMAL MONITORING PROCESS. WHEN PATIENT CARE STAFF IDENTIFY PATIENTS NEEDING ASSISTANCE, THE HOSPITAL PROVIDES INDIVIDUALS WITH ASSITANCE IN THE FORM OF MORTGAGE, RENT, AND UTILITY PAYMENTS, AND WITH THE HOSPITAL COVERING THE COSTS. THEREFORE, NO FURTHER MONITORING RELATED TO THE USE OF THE FUNDS IS NEEDED. WHEN PATIENT CARE STAFF IDENTIFY PATIENTS NEEDING TRANSPORTATION ASSISTANCE, TAXI RIDES, GAS CARDS, BUS PASSES OR AMBULANCE TRANSPORTATION ARE PROVIDED TO THE PATIENT, WITH THE HOSPITAL COVERING THE COSTS. THEREFORE, NO FURTHER MONITORING RELATED TO THE USE OF THE FUNDS IS NEEDED. WHEN PATIENT CARE STAFF IDENTIFY PATIENTS NEEDING PRESCRIPTION ASSISTANCE, THE PRESCRIPTIONS ARE PROVIDED TO THE PATIENT, WITH THE HOSPITAL COVERING THE COSTS OF THE PRESCRIPTION. THEREFORE, NO FURTHER MONITORING RELATED TO THE USE OF THE FUNDS IS NEEDED. WHEN PATIENT CARE STAFF IDENTIFY PATIENTS NEEDING VARIOUS OTHER ASSISTANCE, MEDICAL SERVICES, MEDICAL EQUIPMENT, SELF HELP MATERIALS, MEMORIALS, CLOTHING, HOME FURNISHING, LODGING, AND VARIOUS OTHER SUPPORT IS PROVIDED TO THE PATIENT WITH THE HOSPITAL COVERING THE COSTS. THEREFORE, NO FURTHER MONITORING RELATED TO THE USE OF THE FUNDS IS NEEDED.

Schedule I (Form 990) 2023

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

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

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

MERCY HOSPITALS EAST COMMUNITIES

Employer identification number

43-0653493

Part I

Questions Regarding Compensation

Yes

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

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

Travel for companions Payments for business use of personal residence

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

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

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

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? ....

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

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

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

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

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

Yes

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Cat. No. 50053T

Schedule J (Form 990) 2023

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
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1MACKIN STEPHEN L FORMER OFFICER	(i) (ii)	0 ------------- 1,801,699	0 ------------- 3,145,234	0 ------------- 58,334	0 ------------- 556,288	0 ------------- 19,400	0 ------------- 5,580,955	0 ------------- 0
2MATEJKA CHERYL L FORMER OFFICER	(i) (ii)	0 ------------- 710,092	0 ------------- 828,245	0 ------------- 54,733	0 ------------- 125,167	0 ------------- 15,200	0 ------------- 1,733,437	0 ------------- 236,192
3CHALK MD DAVID E REGIONAL PHYSICIAN EXECUTIVE	(i) (ii)	0 ------------- 592,375	0 ------------- 507,995	0 ------------- 176,752	0 ------------- 96,784	0 ------------- 14,600	0 ------------- 1,388,506	0 ------------- 231,674
4JOHNSTON JEFFREY A FORMER OFFICER	(i) (ii)	0 ------------- 0	0 ------------- 1,300,000	0 ------------- 16,754	0 ------------- 10,821	0 ------------- 0	0 ------------- 1,327,575	0 ------------- 0
5HUESER CHRISTOPHER PHYSICIAN	(i) (ii)	0 ------------- 1,119,362	0 ------------- 96,616	0 ------------- 31,242	0 ------------- 12,288	0 ------------- 15,932	0 ------------- 1,275,440	0 ------------- 0
6FINNIE JOHN PHYSICIAN	(i) (ii)	0 ------------- 1,086,967	0 ------------- 113,013	0 ------------- 31,242	0 ------------- 12,487	0 ------------- 15,696	0 ------------- 1,259,405	0 ------------- 0
7MEINERS MD DAVID COMMUNITY PRESIDENT - HOSPITAL	(i) (ii)	0 ------------- 558,665	0 ------------- 429,614	0 ------------- 217,505	0 ------------- 12,200	0 ------------- 11,538	0 ------------- 1,229,522	0 ------------- 85,568
8EOLOFF ERIC J COMMUNITY PRESIDENT	(i) (ii)	0 ------------- 413,574	0 ------------- 546,313	0 ------------- 129,672	0 ------------- 80,859	0 ------------- 19,372	0 ------------- 1,189,790	0 ------------- 175,566
9MIRZA MUHAMMAD PHYSICIAN	(i) (ii)	0 ------------- 971,509	0 ------------- 99,065	0 ------------- 53,742	0 ------------- 9,684	0 ------------- 15,932	0 ------------- 1,149,932	0 ------------- 0
10RODGERS HEIDE PHYSICIAN	(i) (ii)	0 ------------- 916,363	0 ------------- 92,443	0 ------------- 13,784	0 ------------- 9,150	0 ------------- 15,860	0 ------------- 1,047,600	0 ------------- 0
11HU HSIAO-OU PHYSICIAN	(i) (ii)	0 ------------- 857,846	0 ------------- 91,976	0 ------------- 54,822	0 ------------- 13,837	0 ------------- 15,932	0 ------------- 1,034,413	0 ------------- 0
12KAHN MD JOSEPH FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 1,996	0 ------------- 164,398	0 ------------- 649,682	0 ------------- 23,255	0 ------------- 0	0 ------------- 839,331	0 ------------- 35,188
13BOYD MD JAMES PHYSICIAN & BOARD MEMBER	(i) (ii)	0 ------------- 682,372	0 ------------- 68,190	0 ------------- 36,858	0 ------------- 13,454	0 ------------- 12,404	0 ------------- 813,278	0 ------------- 0
14DUMONTIER MD GARY PHYSICIAN & BOARD MEMBER	(i) (ii)	0 ------------- 556,717	0 ------------- 67,876	0 ------------- 33,564	0 ------------- 12,200	0 ------------- 15,260	0 ------------- 685,617	0 ------------- 0
15CRAIN CHRISTINE FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 629	0 ------------- 119,565	0 ------------- 511,092	0 ------------- 37,812	0 ------------- 0	0 ------------- 669,098	0 ------------- 25,592
16RIECHERS MD THOMAS PHYSICIAN & BOARD MEMBER	(i) (ii)	0 ------------- 447,190	0 ------------- 48,364	0 ------------- 104,428	0 ------------- 21,257	0 ------------- 16,492	0 ------------- 637,731	0 ------------- 0
17COMBS EMILY COO	(i) (ii)	0 ------------- 352,897	0 ------------- 113,546	0 ------------- 54,450	0 ------------- 68,433	0 ------------- 12,519	0 ------------- 601,845	0 ------------- 0
18NELSON KATHRYN FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 318,877	0 ------------- 138,857	0 ------------- 42,982	0 ------------- 55,817	0 ------------- 15,514	0 ------------- 572,047	0 ------------- 0
19OREN PHINEAS VICE PRESIDENT - MEDICAL AFFAIRS	(i) (ii)	0 ------------- 418,216	0 ------------- 81,020	0 ------------- 32,015	0 ------------- 6,100	0 ------------- 9,617	0 ------------- 546,968	0 ------------- 0
20WEILBACHER ROBYN CNO	(i) (ii)	0 ------------- 302,284	0 ------------- 100,971	0 ------------- 36,748	0 ------------- 72,182	0 ------------- 16,705	0 ------------- 528,890	0 ------------- 0
21FARMER MD GRETCHEN PHYSICIAN & BOARD MEMBER	(i) (ii)	0 ------------- 333,545	0 ------------- 38,505	0 ------------- 42,093	0 ------------- 12,200	0 ------------- 16,361	0 ------------- 442,704	0 ------------- 0
22SCOFFIC DENISE CFO	(i) (ii)	0 ------------- 302,983	0 ------------- 59,694	0 ------------- 31,415	0 ------------- 29,599	0 ------------- 7,990	0 ------------- 431,681	0 ------------- 0
23ROTHERMICH ANTHONY FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 237,194	0 ------------- 47,751	0 ------------- 35,104	0 ------------- 35,606	0 ------------- 19,966	0 ------------- 375,621	0 ------------- 0
24THORN MARK A EXEC DIRECTOR, FINANCE	(i) (ii)	0 ------------- 160,648	0 ------------- 30,859	0 ------------- 31,017	0 ------------- 7,861	0 ------------- 7,549	0 ------------- 237,934	0 ------------- 0

Schedule J (Form 990) 2023

Page 3

Part III

Supplemental Information

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

Return Reference	Explanation
PART I, LINE 3	MERCY HOSPITALS EAST COMMUNITIES RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTION 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS.
PART I, LINE 4A	THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAY FROM A RELATED ORGANIZATION DURING CALENDAR YEAR 2023: CHRISTINE CRAIN - $400,073 JEFF JOHNSTON - $16,754 JOSEPH KAHN, MD - $546,292
FORM 990, SCHEDULE J, PART II	THE AMOUNTS REPORTED FOR DR. DAVID CHALK, DR. DAVID MEINERS, ERIC EOLOFF, CHRISTINE CRAIN, DR. JOSEPH KAHN, AND CHERYL MATEJKA IN COLUMN (F) ARE EITHER INCLUDED IN B(I) BASE COMPENSATION, B(II) AS BONUS AND INCENTIVE COMPENSATION, OR B(III) AS OTHER REPORTABLE COMPENSATION. THESE AMOUNTS ARE A PAYOUT OF THE EXECUTIVE RETENTION PLAN AND WERE INCLUDED IN COLUMN (C) OF PREVIOUSLY FILED FORMS 990.

Schedule J (Form 990) 2023

Additional Data

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Schedule L
(Form 990)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

MERCY HOSPITALS EAST COMMUNITIES

Employer identification number

43-0653493

Part I

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

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

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

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

Part II

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

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




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

Part III

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

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

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

Cat. No. 50056A

Schedule L (Form 990) 2023

Page 2

Part IV

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

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) CHERYL CRAIN	FAMILY MEMBER OF KEY EMPLOYEE	65,715	EMPLOYMENT		No
(2) JUDY TOBBEN	FAMILY MEMBER OF BOARD MEMBER	12,720	EMPLOYMENT		No
(3) MALLORY LANG	FAMILY MEMBER OF KEY EMPLOYEE	16,782	EMPLOYMENT		No
(4) MARGARET LANG	FAMILY MEMBER OF KEY EMPLOYEE	160,435	EMPLOYMENT		No
(5) LAUREN FOWLER	FAMILY MEMBER OF KEY EMPLOYEE	119,278	EMPLOYMENT		No
(6) CHLOE ROTHERMICH	FAMILY MEMBER OF KEY EMPLOYEE	72,696	EMPLOYMENT		No
(7) MACKENZIE CAMPBELL	FAMILY MEMBER OF KEY EMPLOYEE	73,828	EMPLOYMENT		No
(8) ASHLEY WEILBACHER	FAMILY MEMBER OF KEY EMPLOYEE	56,476	EMPLOYMENT		No
(9) KATELYN MORONEY	FAMILY MEMBER OF BOARD MEMBER	21,356	EMPLOYMENT		No

Part V

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

Return Reference	Explanation

Schedule L (Form 990) 2023

Additional Data

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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.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

MERCY HOSPITALS EAST COMMUNITIES

Employer identification number

43-0653493

Return Reference	Explanation
FORM 990, PART V, QUESTION 1A	FORM 1099/1096 FILING VENDORS FOR THE FILING ORGANIZATION ARE PAID BY MERCY HEALTH (EIN 43-1423050). AS SUCH, ALL REQUIRED FORM 1099 AND FORM 1096 REPORTING IS MADE FOR THE ENTIRE MERCY HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN.
FORM 990, PART V, QUESTION 2A	W-3 FILING MOST EMPLOYEES ARE PAID BY A RELATED ORGANIZATION UNDER A COMMON PAYMASTER ARRANGEMENT. AS SUCH, REQUIRED PAYROLL FILING (INCLUDING W-2 AND W-3'S) IS REPORTED UNDER THE RELATED ORGANIZATION, MHM SUPPORT SERVICES, EIN 20-2553101.
FORM 990, PART VI, SECTION A, LINE 6	THE MEMBER OF MERCY HOSPITALS EAST COMMUNITIES IS MERCY HEALTH EAST COMMUNITIES, A SUPPORTING ORGANIZATION UNDER SECTION 509(A)(3). THE MEMBER OF MERCY HEALTH EAST COMMUNITIES IS MERCY HEALTH.
FORM 990, PART VI, SECTION A, LINE 7A	MERCY HEALTH, THE MEMBER OF MERCY HEALTH EAST COMMUNITIES, HAS RESERVE POWERS TO APPOINT AND REMOVE ALL DIRECTORS AND OFFICERS FOR MERCY HOSPITALS EAST COMMUNITIES.
FORM 990, PART VI, SECTION A, LINE 7B	THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED TO THE CORPORATE MEMBER (AND WITH REGARD TO CERTAIN POWERS AND RESPONSIBILITIES, TO MERCY HEALTH, AS THE CORPORATE MEMBER OF THE CORPORATE MEMBER): -APPROVAL OF REVISIONS TO THE MISSION, VISION, AND OPERATING VALUES, PURSUANT TO WHICH THE CORPORATION OPERATES; -APPROVAL OF ANY AMENDEMNTS TO THE ARTICLES OF INCORPORATION AND THESE BYLAWS AND ANY AMENDMENTS TO THE ORGANIZATIONAL DOCUMENTS OF ANY AFFILIATE OF THE CORPORATION; -APPROVAL OF THE APPOINTMENT AND REMOVAL OF THE PRESIDENT OF THE CORPORATION, AS PROVIDED IN SECTIONS 7.2.1 AND 7.3 OF THE BYLAWS; -ADOPTION OF THE STRATEGIC PLAN, GOALS AND OBJECTIVES OF THE CORPORATION; -ADOPTION OF THE OPERATING, CAPITAL, AND ALL OTHER BUDGETS FOR THE CORPORATION; -APPROVAL OF THE ASSIGNMENT, TRANSFER, SALE OR LEASE OF ANY OF THE ASSETS OF THE CORPORATION OR ANY AFFILIATE OF THE CORPORATION IN EXCESS OF ONE MILLION DOLLARS ($1,000,000) IN ANY ONE OR SERIES OF RELATED TRANSACTIONS OCCURRING WITHIN ANY TWELVE (12) MONTH PERIOD; -AUTHORIZATION AND APPROVAL OF THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY AFFILIATE OF THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTE ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; -APPROVAL OF A PLAN OF MERGER, CONSOLIDATION, OR DISSOLUTION OF THE CORPORATION; -APPROVAL OF THE LEASE, MANAGEMENT, OR PURCHASE OF, OR AFFILIATION WITH, ANOTHER HOSPITAL OR HEALTH SYSTEM, OR HEALTH CARE FACILITY OR HEALTH CARE SYSTEM BY THE CORPORATION; AND, -APPROVAL OF THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION CONTROLLED BY THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11B	DSCR THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 THE FORM 990 IS PREPARED BY MERCY HEALTH'S TAX DEPARTMENT, USING INFORMATION PROVIDED BY THE FILING ORGANIZATION. A DRAFT FORM 990 IS REVIEWED BY THE FILING ORGANIZATION'S FINANCE TEAM, INCLUDING THE DIRECTOR OF FINANCE AND THE CHIEF FINANCIAL OFFICER. THE DRAFT FORM 990 IS ALSO REVIEWED BY MERCY HEALTH'S TAX DEPARTMENT AND AN INDEPENDENT ACCOUNTING FIRM, TO ENSURE ACCURACY AND CONSISTENCY WITH OTHER RELATED ORGANIZATIONS' FORMS 990. AFTER QUESTIONS ARISING FROM THE VARIOUS REVIEWS ARE ADDRESSED AND INCORPORATED INTO THE FORM 990, A REVISED DRAFT IS PROVIDED TO THE FILING ORGANIZATION'S LEADERSHIP TEAM, INCLUDING THE CFO AND CEO, FOR REVIEW. ONCE REVIEWED AND APPROVED BY THE FILING ORGANIZATION'S LEADERSHIP TEAM, THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW; IT IS THEN SIGNED AND FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER DISQUALIFIED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY AND DID SO IN THE NORMAL COURSE FOR THE YEAR ENDED JUNE 30, 2024. THIS PROCESS IS ADMINISTERED AT THE MERCY HEALTH LEVEL BY MERCY'S CORPORATE COMPLIANCE DEPARTMENT. THE CONFLICTS AND THEIR RESPECTIVE RESOLUTIONS ARE SHARED AT THE MERCY LEVEL WITH A TEAM INCLUDING MERCY'S SENIOR VICE PRESIDENT OF FINANCIAL OPERATIONS & PLANNING, CHIEF COMPLIANCE OFFICER AND OTHER MEMBERS OF FINANCE, LEGAL AND HR. THE QUESTIONNAIRES ARE THEN REVIEWED WITH LEADERSHIP AT THE LOCAL LEVEL AND POTENTIAL CONFLICTS DISCUSSED AND RESOLVED. SUMMARY RESULTS ARE REVIEWED WITH MERCY'S STEWARDSHIP COMMITTEE OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15	PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY EMPLOYEES FOR THE TOP MANAGEMENT OFFICIALS, THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS) AND KEY EMPLOYEES, THE ORGANIZATION RELIES UPON MERCY HEALTH, WHICH USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, AND ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT. FOR CERTAIN EXECUTIVES AND PHYSICIANS THE COMPENSATION IS REVIEWED/APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF MERCY HEALTH. FOR ALL OTHER CAREGIVERS COMPENSATION IS REVIEWED/APPROVED BY THE TOTAL REWARDS OVERSIGHT COMMITTEE. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS AND REVIEW WAS COMPLETED DURING THE REPORTING YEAR.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST BUT ARE NOT PUBLISHED PUBLICLY.
FORM 990, PART VII, SECTION A	FORMER EMPLOYEE COMPENSATION IS REPORTED FOR THE CALENDAR YEAR ENDING WITHIN THE ORGANIZATION'S FISCAL YEAR WHILE AVERAGE HOURS ARE BASED ON THE FISCAL YEAR PERIOD FROM JULY 1, 2023 THROUGH JUNE 30, 2024.
FORM 990, PART VII, SECTION B	IT IS POSSIBLE THAT A PORTION OF THE AMOUNTS REPORTED FOR MCCARTHY BUILDING COMPANY WERE RELATED TO MATERIALS IN ADDITION TO AMOUNTS PAID FOR SERVICES. HOWEVER, THE AMOUNTS ARE NOT DISTINGUISHABLE.
FORM 990, PART XI, LINE 9:	NET TRANSFERS (TO)/FROM AFFILIATES -217,407,773. CHANGE IN RESTRICTED NET ASSETS 191,415. ROUNDING -2.
FORM 990, PART XII, QUESTION 2C	AUDIT OF FINANCIAL STATEMENTS THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN MERCY HEALTH AND SUBSIDIARIES ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 2024 (THE TAX YEAR CURRENTLY BEING REPORTED). HOWEVER, NO SEPARATE AUDIT OPINION WAS ISSUED ON THE FINANCIAL STATEMENTS OF THE FILING ORGANIZATION. THE ULTIMATE RESPONSIBILITY FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE EXTERNAL AUDITOR LIES WITH THE STEWARDSHIP COMMITTEE OF THE MERCY HEALTH BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE.
FORM 990, PART XII, QUESTION 3A AND 3B	SINGLE AUDIT ACT AND 2 CFR 200 AUDIT MERCY HEALTH UNDERGOES A CONSOLIDATED 2 CFR 200 AUDIT EVERY YEAR AND THIS AUDIT WAS COMPLETED FOR THE FISCAL YEAR ENDING JUNE 30, 2024 BY DECEMBER 13, 2024. EACH ENTITY THAT RECEIVES FEDERAL FUNDS DURING THE YEAR IS INCLUDED ON THE SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS (SEFA) AND IS ALSO INCLUDED IN THE POPULATION INCLUDED IN THE AUDIT. IF THE FILING ENTITY RECEIVED FEDERAL FUNDS DURING THE YEAR ENDED JUNE 30, 2024, IT WILL BE INCLUDED ON THE MERCY HEALTH CONSOLIDATED SEFA, AND THEREFORE, ALSO INCLUDED IN THE POPULATION INCLUDED IN THE AUDIT.
LISTING OF INCLUDED DIVISIONS AND ENTITIES	FEDERAL EINS THE OPERATING RESULTS OF THE FOLLOWING ENTITIES, DIVISIONS, AND/OR SUBORDINATE ORGANIZATIONS OF MERCY HOSPITALS EAST COMMUNITIES ARE INCLUDED IN THE INFORMATION PRESENTED IN THE FORM 990 FOR THE YEAR ENDED JUNE 30, 2024: ENTITY FEIN MERCY HOSPITALS EAST COMMUNITIES ST. LOUIS 43-0653493 MERCY HOSPITALS EAST COMMUNITIES WASHINGTON 43-1066883 MERCY SUPPORT SERVICES 43-1677952

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

Cat. No. 51056K

Schedule O (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

MERCY HOSPITALS EAST COMMUNITIES

Employer identification number

43-0653493

Part I

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

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) MERCY BEHAVIORAL HEALTH LLC 15740 SOUTH OUTER 40 RD CHESTERFIELD,MO63017 46-0568680	INACTIVE	MO	0	0	MERCY HOSPITALS EAST COMMUNITIES
(2) MERCY CHILDREN'S THERAPY AND DEVELOPMENT LLC 15740 SOUTH OUTER 40 RD CHESTERFIELD,MO63017 45-5327629	BILLING ENTITY	MO	3,623,084	947,564	MERCY HOSPITALS EAST COMMUNITIES
(3) MERCY CLINIC ADULT CRITICAL CARE LLC 615 S NEW BALLAS ROAD ST LOUIS,MO63141 20-1626965	PHYSICIAN SERVICES	MO	7,492,118	936,910	MERCY HOSPITALS EAST COMMUNITIES
(4) MERCY CLINIC ADULT HOSPITALISTS- WASHINGTON LLC 901 E FIFTH STREET WASHINGTON,MO63090 26-2961433	HOSPITALISTS SERVICES	MO	8,540,690	276,133	MERCY HOSPITALS EAST COMMUNITIES
(5) MERCY CLINIC ADULT HOSPITALISTS-ST LOUIS LLC 15740 SOUTH OUTER 40 RD CHESTERFIELD,MO63017 43-1854902	HEALTHCARE SERVICES	MO	29,845,019	1,848,821	MERCY HOSPITALS EAST COMMUNITIES
(6) MERCY CLINIC CHILDREN'S CRITICAL CARE LLC 15740 SOUTH OUTER 40 RD CHESTERFIELD,MO63017 43-1854908	HEALTHCARE SERVICES	MO	454,839	34,596	MERCY HOSPITALS EAST COMMUNITIES
(7) MERCY CLINIC CHILDREN'S HOSPITALISTS-ST LOUIS LLC 15740 SOUTH OUTER 40 RD CHESTERFIELD,MO63017 43-1708560	HEALTHCARE SERVICES	MO	13,301,131	1,464,355	MERCY HOSPITALS EAST COMMUNITIES
(8) MERCY CLINIC CHILDREN'S PALLIATIVE CARE LLC 15740 SOUTH OUTER 40 RD CHESTERFIELD,MO63017 45-4436211	PHYSICIAN PRACTICE	MO	0	0	MERCY HOSPITALS EAST COMMUNITIES
(9) MERCY EAST SUPPORT SERVICES LLC 15740 SOUTH OUTER 40 RD CHESTERFIELD,MO63017 46-1048366	HEALTHCARE SERVICES	MO	70,566	5,759	MERCY HOSPITALS EAST COMMUNITIES
(10) MERCY HEALTH SERVICES LLC 15740 SOUTH OUTER 40 RD CHESTERFIELD,MO63017 43-1664148	HEALTHCARE SERVICES & PRODUCTS	MO	35,528,609	4,273,285	MERCY HOSPITALS EAST COMMUNITIES
(11) MERCY HOSPITAL ST LOUIS PROFESSIONAL SURGICAL SERVICES LLC 15740 SOUTH OUTER 40 RD CHESTERFIELD,MO63017 81-1258305	CONTRACTING ORGANIZATION	MO	0	0	MERCY HOSPITALS EAST COMMUNITIES
(12) MERCY LABS SOUTH LLC 15740 SOUTH OUTER 40 RD CHESTERFIELD,MO63017 83-3541066	LABORATORY SERVICES	MO	354,055	0	MERCY HOSPITALS EAST COMMUNITIES
(13) MERCY LABS ST LOUIS LLC 15740 SOUTH OUTER 40 RD CHESTERFIELD,MO63017 46-3092721	LABORATORY SERVICES	MO	1,431,424	0	MERCY HOSPITALS EAST COMMUNITIES
(14) MERCY LABS WASHINGTON LLC 15740 SOUTH OUTER 40 RD CHESTERFIELD,MO63017 46-3093014	LABORATORY SERVICES	MO	59,531	0	MERCY HOSPITALS EAST COMMUNITIES
(15) MERCY NEUROPSYCHOLOGY SERVICES LLC 615 S NEW BALLAS ROAD ST LOUIS,MO63141 26-1216912	NEUROPSYCHOLOGY SERVICES	MO	371,829	82,716	MERCY HOSPITALS EAST COMMUNITIES
(16) MERCY ORTHOPAEDIC TRAUMA SERVICES LLC 615 S NEW BALLAS ROAD ST LOUIS,MO63141 06-1785022	HEALTHCARE SERVICES	MO	0	0	MERCY HOSPITALS EAST COMMUNITIES
(17) MERCY WOMEN'S SERVICES LLC 615 S NEW BALLAS ROAD ST LOUIS,MO63141 46-0847235	HEALTHCARE SERVICES	MO	3,254,606	464,618	MERCY HOSPITALS EAST COMMUNITIES
(18) ST JOHN'S MERCY THERAPY SERVICES LLC (INACTIVE) 615 S NEW BALLAS ROAD ST LOUIS,MO63141 81-0671798	INACTIVE	MO	0	0	MERCY HOSPITALS EAST COMMUNITIES

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)CASA DE MISERICORDIA 1000 MIER ST LAREDO,TX78040 74-2912461	WOMEN'S DOMESTIC VIOLENCE SHELTER	TX	501(C)(3)	LINE 7	MERCY MINISTRIES OF LAREDO	Yes
(2)MCAULEY PORTFOLIO MANAGEMENT COMPANY 15740 SOUTH OUTER 40 RD CHESTERFIELD,MO63017 26-1708048	PORTFOLIO MANAGEMENT.	MO	501(C)(3)	LINE 12B, II	MERCY HEALTH	Yes
(3)MERCY ACO CLINICAL SERVICES INC 15740 SOUTH OUTER 40 RD CHESTERFIELD,MO63017 46-4504901	VIRTUAL CARE CENTER	MO	501(C)(3)	LINE 3	MERCY HEALTH	Yes
(4)MERCY CLINIC EAST COMMUNITIES 15740 SOUTH OUTER 40 RD CHESTERFIELD,MO63017 43-1771217	PHYSICIAN GROUP	MO	501(C)(3)	LINE 10	MERCY HEALTH EAST COMMUNITIES	Yes
(5)MERCY CLINIC FORT SMITH COMMUNITIES 7301 ROGERS AVENUE FORT SMITH,AR72903 26-1318597	PHYSICIAN CLINIC	AR	501(C)(3)	LINE 3	MERCY HEALTH FORT SMITH COMMUNITIES	Yes
(6)MERCY CLINIC OKLAHOMA COMMUNITIES INC 4300 W MEMORIAL ROAD OKLAHOMA CITY,OK73120 27-0473057	PHYSICIAN GROUP	OK	501(C)(3)	LINE 3	MERCY HEALTH OKLAHOMA COMMUNITIES INC	Yes
(7)MERCY CLINIC SPRINGFIELD COMMUNITIES 1965 S FREMONT SUITE 200 SPRINGFIELD,MO65804 43-1560263	PHYSICIAN GROUP	MO	501(C)(3)	LINE 3	MERCY HEALTH SPRINGFIELD COMMUNITIES	Yes
(8)MERCY FAMILY CENTER 110 VETERANS BLVD METAIRIE,LA70005 72-1069468	FAMILY COUNSELING SERVICE	LA	501(C)(3)	LINE 7	MERCY HEALTH	Yes
(9)MERCY HEALTH 15740 SOUTH OUTER 40 RD CHESTERFIELD,MO63017 43-1423050	CORPORATE OFFICE	MO	501(C)(3)	LINE 1	N/A		No
(10)MERCY HEALTH EAST COMMUNITIES 15740 SOUTH OUTER 40 RD CHESTERFIELD,MO63017 43-1718408	HEALTH SYSTEM	MO	501(C)(3)	LINE 12A, I	MERCY HEALTH	Yes
(11)MERCY HEALTH FORT SMITH COMMUNITIES 7301 ROGERS AVENUE FORT SMITH,AR72917 26-1318515	HOLDING COMPANY	AR	501(C)(3)	LINE 12B, II	MERCY HEALTH	Yes
(12)MERCY HEALTH FOUNDATION 15740 SOUTH OUTER 40 RD CHESTERFIELD,MO63017 20-0901499	FOUNDATION	MO	501(C)(3)	LINE 12B, II	MERCY HEALTH	Yes
(13)MERCY HEALTH FOUNDATION ADA 430 N MONTE VISTA STREET ADA,OK74820 46-3596274	FOUNDATION	OK	501(C)(3)	LINE 12A, I	MERCY HOSPITAL ADA INC	Yes
(14)MERCY HEALTH FOUNDATION ARDMORE 1011 14TH AVENUE NW ARDMORE,OK73401 71-0962525	FOUNDATION	OK	501(C)(3)	LINE 12A, I	MERCY HOSPITAL ARDMORE INC	Yes
(15)MERCY HEALTH FOUNDATION BERRYVILLE 214 CARTER STREET BERRYVILLE,AR72616 71-0759301	FOUNDATION	AR	501(C)(3)	LINE 12A, I	MERCY HOSPITAL BERRYVILLE	Yes
(16)MERCY HEALTH FOUNDATION FORT SCOTT 401 WOODLAND HILLS BLVD FORT SCOTT,KS66701 48-1077073	FOUNDATION	KS	501(C)(3)	LINE 7	MERCY KANSAS COMMUNITIES INC	Yes
(17)MERCY HEALTH FOUNDATION FORT SMITH 7301 ROGERS AVENUE FORT SMITH,AR72917 23-7330425	FOUNDATION	AR	501(C)(3)	LINE 7	MERCY HEALTH FORT SMITH COMMUNITIES	Yes
(18)MERCY HEALTH FOUNDATION JEFFERSON 1400 US HIGHWAY 61 SOUTH FESTUS,MO63028 46-2797051	FOUNDATION	MO	501(C)(3)	LINE 12B, II	MERCY HOSPITAL JEFFERSON	Yes
(19)MERCY HEALTH FOUNDATION JOPLIN 100 MERCY WAY JOPLIN,MO64804 27-0906136	FOUNDATION	MO	501(C)(3)	LINE 7	MERCY HEALTH SW MOKS COMMUNITIES	Yes
(20)MERCY HEALTH FOUNDATION LEBANON 100 HOSPITAL DRIVE LEBANON,MO65536 82-2514567	FOUNDATION	MO	501(C)(3)	LINE 12B, II	MERCY HOSPITAL LEBANON	Yes
(21)MERCY HEALTH FOUNDATION LINCOLN 1000 EAST CHERRY STREET TROY,MO63379 81-1477159	FOUNDATION	MO	501(C)(3)	LINE 12B, II	MERCY HOSPITALS EAST COMMUNITIES	Yes
(22)MERCY HEALTH FOUNDATION NORTHWEST ARKANSAS 2710 RIFE MEDICAL LANE ROGERS,AR72758 71-0601687	FOUNDATION	AR	501(C)(3)	LINE 7	MERCY HOSPITAL ROGERS	Yes
(23)MERCY HEALTH FOUNDATION OF OKLAHOMA 4300 W MEMORIAL ROAD OKLAHOMA CITY,OK73120 45-4732301	FOUNDATION	OK	501(C)(3)	LINE 12A, I	MERCY HEALTH OKLAHOMA COMMUNITIES INC	Yes
(24)MERCY HEALTH FOUNDATION OKLAHOMA CITY 4300 W MEMORIAL ROAD OKLAHOMA CITY,OK73120 46-3184231	FOUNDATION	OK	501(C)(3)	LINE 12A, I	MERCY HOSPITAL OKLAHOMA CITY INC	Yes
(25)MERCY HEALTH FOUNDATION SPRINGFIELD 1235 E CHEROKEE STREET SPRINGFIELD,MO65804 32-0195818	FOUNDATION	MO	501(C)(3)	LINE 12B, II	MERCY HEALTH SPRINGFIELD COMMUNITIES	Yes
(26)MERCY HEALTH FOUNDATION ST FRANCIS 100 W US HIGHWAY 60 MOUNTAIN VIEW,MO65548 43-1873914	FOUNDATION	MO	501(C)(3)	LINE 12A, I	MERCY ST FRANCIS HOSPITAL	Yes
(27)MERCY HEALTH FOUNDATION ST LOUIS 615 SOUTH NEW BALLAS ROAD ST LOUIS,MO63141 56-2410020	FOUNDATION	MO	501(C)(3)	LINE 12B, II	MERCY HEALTH EAST COMMUNITIES	Yes
(28)MERCY HEALTH FOUNDATION WASHINGTON 901 E FIFTH STREET WASHINGTON,MO63090 56-2410022	FOUNDATION	MO	501(C)(3)	LINE 12B, II	MERCY HEALTH EAST COMMUNITIES	Yes
(29)MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES 2710 RIFE MEDICAL LANE ROGERS,AR72758 62-1684203	PHYSICIAN GROUP	AR	501(C)(3)	LINE 10	MERCY HEALTH	Yes
(30)MERCY HEALTH OKLAHOMA COMMUNITIES INC 4300 W MEMORIAL ROAD OKLAHOMA CITY,OK73120 73-1453048	HEALTH SYSTEM	OK	501(C)(3)	LINE 12A, I	MERCY HEALTH	Yes
(31)MERCY HEALTH SOUTHWEST MISSOURIKANSAS COMMUNITIES 100 MERCY WAY JOPLIN,MO64804 30-0584463	HEALTH SYSTEM	MO	501(C)(3)	LINE 12B, II	MERCY HEALTH	Yes
(32)MERCY HEALTH SPRINGFIELD COMMUNITIES 1235 E CHEROKEE STREET SPRINGFIELD,MO65804 43-1856028	HEALTH SYSTEM	MO	501(C)(3)	LINE 12B, II	MERCY HEALTH	Yes
(33)MERCY HOSPITAL ADA INC 430 N MONTE VISTA STREET ADA,OK74820 46-2288155	HOSPITAL	OK	501(C)(3)	LINE 3	MERCY HEALTH OKLAHOMA COMMUNITIES INC	Yes
(34)MERCY HOSPITAL ARDMORE INC 1011 14TH AVENUE NW ARDMORE,OK73401 73-1500629	HOSPITAL	OK	501(C)(3)	LINE 3	MERCY HEALTH OKLAHOMA COMMUNITIES INC	Yes
(35)MERCY HOSPITAL AURORA 500 PORTER AVENUE AURORA,MO65605 43-1936696	HOSPITAL	MO	501(C)(3)	LINE 3	MERCY HEALTH SPRINGFIELD COMMUNITIES	Yes
(36)MERCY HOSPITAL BERRYVILLE 214 CARTER STREET BERRYVILLE,AR72616 71-0759299	HOSPITAL	AR	501(C)(3)	LINE 3	MERCY HEALTH NW ARK COMMUNITIES	Yes
(37)MERCY HOSPITAL BOONEVILLE 880 WEST MAIN STREET BOONEVILLE,AR72927 46-3851119	HOSPITAL	AR	501(C)(3)	LINE 3	MERCY HOSPITAL FORT SMITH	Yes
(38)MERCY HOSPITAL CARTHAGE 3125 DR RUSSELL SMITH WAY CARTHAGE,MO64836 45-3808607	HOSPITAL	MO	501(C)(3)	LINE 3	MERCY HEALTH SW MOKS COMMUNITIES	Yes
(39)MERCY HOSPITAL CASSVILLE 94 MAIN STREET CASSVILLE,MO65625 43-1936699	HOSPITAL	MO	501(C)(3)	LINE 3	MERCY HEALTH SPRINGFIELD COMMUNITIES	Yes
(40)MERCY HOSPITAL COLUMBUS 220 PENNSYLVANIA AVENUE COLUMBUS,KS66725 27-0842031	HOSPITAL	KS	501(C)(3)	LINE 3	MERCY HEALTH SW MOKS COMMUNITIES	Yes
(41)MERCY HOSPITAL EL RENO INC 2115 PARKVIEW DRIVE EL RENO,OK73036 27-2716065	HOSPITAL	OK	501(C)(3)	LINE 3	MERCY HOSPITAL OKLAHOMA CITY INC	Yes
(42)MERCY HOSPITAL FORT SMITH 7301 ROGERS AVENUE FORT SMITH,AR72903 71-0240352	HOSPITAL	AR	501(C)(3)	LINE 3	MERCY HEALTH FORT SMITH COMMUNITIES	Yes
(43)MERCY HOSPITAL HEALDTON INC 3462 HOSPITAL RD HEALDTON,OK73438 26-3173902	HOSPITAL	OK	501(C)(3)	LINE 3	MERCY HOSPITAL ARDMORE INC	Yes
(44)MERCY HOSPITAL JEFFERSON 1400 HIGHWAY 61 SOUTH FESTUS,MO63028 43-0687077	HOSPITAL	MO	501(C)(3)	LINE 3	MERCY HEALTH EAST COMMUNITIES	Yes
(45)MERCY HOSPITAL JOPLIN 100 MERCY WAY JOPLIN,MO64804 27-0814858	HOSPITAL	MO	501(C)(3)	LINE 3	MERCY HEALTH SW MOKS COMMUNITIES	Yes
(46)MERCY HOSPITAL KINGFISHER INC 1000 KINGFISHER REGIONAL HOSPITAL C KINGFISHER,OK73750 46-3433074	HOSPITAL	OK	501(C)(3)	LINE 3	MERCY HOSPITAL OKLAHOMA CITY INC	Yes
(47)MERCY HOSPITAL LEBANON 100 HOSPITAL DRIVE LEBANON,MO65536 43-1767432	HOSPITAL	MO	501(C)(3)	LINE 3	MERCY HEALTH SPRINGFIELD COMMUNITIES	Yes
(48)MERCY HOSPITAL LINCOLN 1000 EAST CHERRY STREET TROY,MO63379 47-2219204	HOSPITAL	MO	501(C)(3)	LINE 3	MERCY HOSPITALS EAST COMMUNITIES	Yes
(49)MERCY HOSPITAL LOGAN COUNTY INC 200 SOUTH ACADEMY GUTHRIE,OK73044 45-2998842	HOSPITAL	OK	501(C)(3)	LINE 3	MERCY HOSPITAL OKLAHOMA CITY INC	Yes
(50)MERCY HOSPITAL OKLAHOMA CITY INC 4300 W MEMORIAL ROAD OKLAHOMA CITY,OK73120 73-0579285	HOSPITAL	OK	501(C)(3)	LINE 3	MERCY HEALTH OKLAHOMA COMMUNITIES INC	Yes
(51)MERCY HOSPITAL OZARK 801 W RIVER STREET OZARK,AR72949 71-0689680	HOSPITAL	AR	501(C)(3)	LINE 3	MERCY HOSPITAL FORT SMITH	Yes
(52)MERCY HOSPITAL PARIS 500 E ACADEMY PARIS,AR72855 71-0655753	HOSPITAL	AR	501(C)(3)	LINE 3	MERCY HOSPITAL FORT SMITH	Yes
(53)MERCY HOSPITAL ROGERS 2710 RIFE MEDICAL LANE ROGERS,AR72758 71-0294390	HOSPITAL	AR	501(C)(3)	LINE 3	MERCY HEALTH NW ARK COMMUNITIES	Yes
(54)MERCY HOSPITAL SPRINGFIELD 1235 E CHEROKEE STREET SPRINGFIELD,MO65804 44-0552485	HOSPITAL	MO	501(C)(3)	LINE 3	MERCY HEALTH SPRINGFIELD COMMUNITIES	Yes
(55)MERCY HOSPITAL TISHOMINGO INC 1000 SOUTH BYRD TISHOMINGO,OK73460 27-4433830	HOSPITAL	OK	501(C)(3)	LINE 3	MERCY HOSPITAL ADA INC	Yes
(56)MERCY HOSPITAL WALDRON 1341 W 6TH STREET WALDRON,AR72958 71-0557895	HOSPITAL	AR	501(C)(3)	LINE 3	MERCY HOSPITAL FORT SMITH	Yes
(57)MERCY HOSPITAL WATONGA INC 500 CLARENCE NASH BLVD WATONGA,OK73772 45-5199762	HOSPITAL	OK	501(C)(3)	LINE 3	MERCY HOSPITAL OKLAHOMA CITY INC	Yes
(58)MERCY KANSAS COMMUNITIES INC 401 WOODLAND HILLS BLVD FT SCOTT,KS66701 48-0956045	HOSPITAL	KS	501(C)(3)	LINE 3	MERCY HEALTH SW MOKS COMMUNITIES	Yes
(59)MERCY MINISTRIES OF LAREDO 2500 ZACATECAS ST LAREDO,TX78046 20-0198462	OUTREACH	TX	501(C)(3)	LINE 7	MERCY HEALTH	Yes
(60)MERCY RESEARCH 524 NORTH BOONEVILLE AVENUE SPRINGFIELD,MO65802 87-0796305	RESEARCH	MO	501(C)(3)	LINE 4	MERCY HEALTH	Yes
(61)MERCY ST FRANCIS HOSPITAL 100 W US HIGHWAY 60 MOUNTAIN VIEW,MO65548 44-0607149	HOSPITAL	MO	501(C)(3)	LINE 3	MERCY HEALTH SPRINGFIELD COMMUNITIES	Yes
(62)MHM SUPPORT SERVICES 15740 SOUTH OUTER 40 RD CHESTERFIELD,MO63017 20-2553101	CENTRALIZED HEALTH SYSTEM FUNCTIONS	MO	501(C)(3)	LINE 12A, I	MERCY HEALTH	Yes
(63)MISSION CLINICAL SERVICES 216 MCAULEY COURT HOT SPRINGS,AR71913 13-4239691	CHILD ADVOCACY CENTER	AR	501(C)(3)	LINE 3	MERCY HEALTH	Yes
(64)MERCY HEALTH FOUNDATION SOUTH 10010 KENNERLY ROAD ST LOUIS,MO63128 26-1516789	FUNDRAISING	MO	501(C)(3)	LINE 12A, I	MERCY HOSPITAL SOUTH	Yes
(65)MERCY HOSPITAL SOUTH 10010 KENNERLY ROAD ST LOUIS,MO63128 43-0980256	HOSPITAL	MO	501(C)(3)	LINE 3	MERCY HEALTH EAST COMMUNITIES	Yes
(66)ST ANTHONY'S PHYSICIAN ORGANIZATION 10010 KENNERLY ROAD ST LOUIS,MO63128 43-1784536	HEALTH CARE	MO	501(C)(3)	LINE 3	MERCY HOSPITAL SOUTH	Yes
(67)MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS 1619 W 7TH STREET GALENA,KS66739 84-3730625	HOSPITAL	KS	501(C)(3)	LINE 3	MERCY HEALTH SW MOKS COMMUNITIES	Yes
(68)MERCY HOSPITAL PERRY 434 N WEST STREET PERRYVILLE,MO63775 92-3065473	HOSPITAL	MO	501(C)(3)	LINE 3	MERCY HEALTH EAST COMMUNITIES	Yes
(69)SOUTHEAST HOSPITAL DBA MERCY HOSPITAL SOUTHEAST 1701 LACEY STREET CAPE GIRARDEAU,MO63701 43-0654874	HOSPITAL	MO	501(C)(3)	LINE 3	SOUTHEASTHEALTH SYSTEM	Yes
(70)SOUTHEAST HEALTH CENTER OF RIPLEY COUNTY 1701 LACEY STREET CAPE GIRARDEAU,MO63701 27-3868479	HOSPITAL	MO	501(C)(3)	LINE 3	SOUTHEAST HOSPITAL	Yes
(71)SOUTHEASTHEALTH SYSTEM 1701 LACEY STREET CAPE GIRARDEAU,MO63701 47-4890906	HEALTH SYSTEM	MO	501(C)(3)	LINE 12C, III-FI	MERCY HEALTH	Yes
(72)SOUTHEAST MISSOURI HOSPITAL FOUNDATION 1849 BROADWAY CAPE GIRARDEAU,MO63701 43-1122759	FOUNDATION	MO	501(C)(3)	LINE 7	SOUTHEAST HOSPITAL	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2023

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	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) PLAZA SURGERY SERVICES COMPANY LLC 12700 SOUTHFORK ROAD ST LOUIS,MO63128 20-4709312	INACTIVE	MO	MERCY HOSPITAL SOUTH				No			No
(2) ST EDWARD MERCY MC M-P OFFICE BLDG 7301 ROGERS AVENUE FORT SMITH,AR72903 71-0554050	OFFICE BUILDING	AR	MERCY HOSPITAL FORT SMITH				No			No
(3) PLATINUM CPS HOLDINGS LLC 15740 SOUTH OUTER 40 RD CHESTERFIELD,MO63017 84-2493007	HOLDING COMPANY	MO	MERCY MANAGED CARE CORP MERCY HEALTH				No			No

Part IV

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) FRONTENAC PROPERTIES INC 15740 SOUTH OUTER 40 RD CHESTERFIELD,MO63017 52-1914421	HOLDING COMPANY	DE	MERCY HEALTH	C					No
(2) MERCY HEALTH CENTER CONDOMINIUMS INC 4300 W MEMORIAL RD OKLAHOMA CITY,OK73120 68-0640970	REAL ESTATE	OK	MERCY HOSPITAL OKLAHOMA CITY INC	C					No
(3) MERCY MANAGED CARE CORPORATION 15740 SOUTH OUTER 40 RD CHESTERFIELD,MO63017 73-1441665	HOLDING COMPANY	OK	MERCY HEALTH	C					No
(4) UHL CORP INC 15740 SOUTH OUTER 40 RD CHESTERFIELD,MO63017 74-2499535	HOLDING COMPANY	MO	MERCY HOSPITALS EAST COMMUNITIES	C			100.000 %		No

Schedule R (Form 990) 2023

Page 3

Part V

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

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

Yes

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

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

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

Yes

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

Yes

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

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

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

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

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

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

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

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

Yes

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

Yes

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

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

Yes

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

Yes

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

Yes

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

Yes

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

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

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

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) MHM SUPPORT SERVICES	Q	1,094,898,396	FMV
(2) MERCY HEALTH EAST COMMUNITIES	Q	667,278,936	FMV
(3) MERCY HEALTH FOUNDATION ST LOUIS	B	2,990,571	FMV
(4) MERCY CLINIC EAST COMMUNITIES	Q	2,875,153	FMV
(5) MERCY ACO CLINICAL SERVICES	P	2,065,903	FMV
(6) MERCY HEALTH FOUNDATION ST LOUIS	C	1,614,876	FMV
(7) MERCY HOSPITAL PERRY	P	736,774	FMV
(8) MERCY HEALTH FOUNDATION WASHINGTON	C	507,923	FMV
(9) MERCY HOSPITAL SOUTH	Q	413,651	FMV
(10) MERCY HOSPITAL JEFFERSON	Q	369,596	FMV
(11) MERCY RESEARCH	P	154,333	FMV
(12) MERCY HEALTH FOUNDATION WASHINGTON	B	150,939	FMV
(13) MERCY HOSPITAL JOPLIN	P	95,525	FMV
(14) MERCY HOSPITAL ARDMORE	P	93,650	FMV

Schedule R (Form 990) 2023

Page 4

Part VI

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

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

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

Schedule R (Form 990) 2023

Page 5

Part VII

Supplemental Information

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

Return Reference

Explanation

FORM 990, SCHEDULE R, PART II

MERCY HOSPITALS EAST COMMUNITIES MERCY HOSPITALS EAST COMMUNITIES CONSISTS OF MERCY HOSPITAL ST. LOUIS, EIN 43-0653493, AND MERCY HOSPITAL WASHINGTON, EIN 43-1066883.

FORM 990, SCHEDULE R, PART V

LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY HEALTH SYSTEM, INC. AND SUBSIDIARIES. THE MAJORITY OF THE INTERCOMPANY/RELATED ORGANIZATION TRANSACTIONS ARE PROCESSED THROUGH LAWSON VIA INTERCOMPANY JOURNAL ENTRIES. WITH THE CURRENT DESIGN OF THE ERP SYSTEM, THERE ARE VARIOUS LIMITATIONS ON THE RELATED ORGANIZATION INFORMATION THAT CAN BE EXTRACTED FROM LAWSON. DUE TO THESE LIMITATIONS, MOST OF THE RELATED ORGANIZATION ACTIVITY FOR THE FILING ORGANIZATION HAS BEEN CLASSIFIED ON SCHEDULE R, PART V, IN LINES P AND Q.

Schedule R (Form 990) 2023

Additional Data

Software ID:
Software Version:

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	7,125,379	3,736,835
9	Program service revenue (Part VIII, line 2g) .........	1,732,768,074	1,857,480,976
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	6,549,752	6,209,834
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	11,543,857	12,484,581
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,757,987,062	1,879,912,226
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	4,206,754	4,069,444
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)	628,779,563	693,165,673
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	853,598,395	895,341,098
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,486,584,712	1,592,576,215
19	Revenue less expenses. Subtract line 18 from line 12.......	271,402,350	287,336,011
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	855,512,739	916,093,926
21	Total liabilities (Part X, line 26).............	79,848,605	70,310,141
22	Net assets or fund balances. Subtract line 21 from line 20.....	775,664,134	845,783,785

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 177,398,747 including grants of $ ) (Revenue $ 239,455,190 )
	MERCY HOSPITALS EAST COMMUNITIES PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY BY OFFERING ESSENTIAL HEALTH SERVICES TO ITS COMMUNITY. IN ACTIVE PURSUIT OF THIS MISSION, MERCY HOSPITALS EAST COMMUNITIES PROVIDES A WIDE VARIETY OF SERVICES IN THEIR 912 BED FACILITIES AND IN FY24, HAD 1,254,977 TOTAL CASES. AT MERCY HOSPITALS EAST COMMUNITIES, CANCER CARE IS ABOUT MORE THAN PROVIDING CLINICAL TREATMENTS. MERCY HOSPITALS EAST COMMUNITIES ALSO OFFERS SUPPORT SERVICES TO HELP YOU MAINTAIN YOUR PHYSICAL, MENTAL AND EMOTIONAL HEALTH. MERCY'S CANCER SPECIALISTS CARE FOR ALMOST EVERY TYPE OF CANCER AND PARTICIPATE IN CLINICAL RESEARCH TO BRING YOU THE MOST ADVANCED CANCER TREATMENT AVAILABLE. IN FY24, MERCY HOSPITALS EAST COMMUNITIES HAD 69,299 CASES AND 10,642 PATIENT DAYS FOR THIS SERVICE LINE.

4b	(Code: ) (Expenses $ 152,686,377 including grants of $ ) (Revenue $ 206,098,104 )
	MERCY HOSPITALS EAST COMMUNITIES OFFERS COMPREHENSIVE HEART AND VASCULAR SERVICES, A WIDE VARIETY OF TREATMENT OPTIONS AND ADVANCED TECHNOLOGIES TO DIAGNOSE AND TREAT A FULL RANGE OF CONDITIONS. MERCY HOSPITALS EAST COMMUNITIES ALSO PROVIDES A FULL COMPLEMENT OF CARDIAC REHABILITATION, THERAPY AND EDUCATION SERVICES. IN FY24, MERCY HOSPITALS EAST COMMUNITIES HAD 71,606 CASES AND 27,907 PATIENT DAYS FOR THIS SERVICE LINE.

4c	(Code: ) (Expenses $ 130,809,756 including grants of $ ) (Revenue $ 176,568,750 )
	MERCY HOSPITALS EAST COMMUNITIES OFFERS A FULL SPECTRUM OF WOMEN'S HEALTH SERVICES FROM ROUTINE CHECKUPS AND MAMMOGRAMS TO OBSTETRICS CARE TO MENOPAUSE TREATMENT. OUR MERCY TEAM PROVIDES SCREENING, PREVENTION AND TREATMENT, PREGNANCY AND CHILDBIRTH CARE, BREAST HEALTH CARE, AND GYNECOLOGIC CANCER CARE. IN FY24, MERCY HOSPITALS EAST COMMUNITIES HAD 66,916 CASES AND 29,342 PATIENT DAYS FOR THIS SERVICE LINE.

	(Code: ) (Expenses $ 916,389,503 including grants of $ 4,069,444 ) (Revenue $ 1,236,954,754 )
	IN ADDITION TO THE PROGRAM SERVICES DESCRIBED ABOVE, MERCY HOSPITALS EAST COMMUNITIES ALSO SERVES PATIENTS IN ADDITIONAL SERVICE LINES, INCLUDING BUT NOT LIMITED TO THE FOLLOWING AREAS: GASTROENTEROLOGY; EMERGENCY ROOM; NEUROSCIENCE; NICU; ORTHOPEDICS.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 916,389,503 including grants of $ 4,069,444 ) (Revenue $ 1,236,954,754 )
4e	Total program service expenses1,377,284,383

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	0	23,954,140	1,645,180

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	2,123,034
e	Government grants (contributions)		1e	1,603,676

f	All other contributions, gifts, grants, and similar amounts not included above		1f	10,125

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

h Total. Add lines 1a-1f.......		3,736,835

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
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	16
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	13
5	Total number of individuals employed in calendar year 2023 (Part V, line 2a) ......	5	46
6	Total number of volunteers (estimate if necessary) .............	6	530
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	58,337
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Business Code
2a	NET PATIENT SERVICE REVENUE	622110	1,841,162,807	1,841,162,807
b	RENTAL INCOME FROM RELATED ORGANI	531120	11,750,490	11,750,490
c	OTHER OPERATING REVENUE	622110	4,356,227	4,356,227
d	MANAGEMENT FEES	900099	211,452	211,452
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		1,857,480,976

3 Investment income (including dividends, interest, and othersimilar amounts) ......			6,209,834			6,209,834
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	1,611,249
b	Less: rental expenses	6b	309,881
c	Rental income or (loss)	6c	1,301,368
d	Net rental income or (loss).......			1,301,368			1,301,368
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a
b	Less: cost or other basis and sales expenses	7b
c	Gain or (loss)	7c
d	Net gain or (loss).........
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..

Business Code
11a	CAFE & VENDING		722212	9,529,053			9,529,053
b	DEFERRED REVENUE		622110	535,482	535,482
c	OPTICAL - RETAIL		624100	58,337		58,337
d	All other revenue ....			1,060,341	1,060,341
e	Total. Add lines 11a–11d ......			11,183,213
12	Total revenue. See instructions.....			1,879,912,226	1,859,076,799	58,337	17,040,255

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	3,263,972	3,263,972
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	805,472	805,472
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	599,285	578,850	20,435
7	Other salaries and wages........	577,153,020	557,958,690	19,194,330
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	20,800,064	20,040,607	759,457
9	Other employee benefits .......	56,059,679	53,839,417	2,220,262
10	Payroll taxes ...........	38,553,625	37,141,927	1,411,698
11	Fees for services (non-employees):
a	Management ......
b	Legal .........
c	Accounting ...........
d	Lobbying ...........	91,748		91,748
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)	55,870,578	54,398,915	1,471,663
12	Advertising and promotion ....	168,314	86,885	81,429
13	Office expenses .......	24,937,277	21,490,132	3,447,145
14	Information technology ......	194,419	69,708	124,711
15	Royalties ..
16	Occupancy ...........	25,980,075	23,801,283	2,178,792
17	Travel ............	1,082,512	872,177	210,335
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	4,110	995	3,115
20	Interest ...........	153,802	153,802
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	58,853,069	56,442,972	2,410,097
23	Insurance ...	7,703,343	1,926,133	5,777,210
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	371,508,786	371,508,786
b	SHARED SERVICE FEES	258,248,010	85,221,843	173,026,167
c	BAD DEBT	61,522,721	61,522,721
d	REPAIRS & MAINTENANCE	19,105,679	18,690,309	415,370
e	All other expenses	9,916,655	7,468,787	2,447,868
25	Total functional expenses. Add lines 1 through 24e	1,592,576,215	1,377,284,383	215,291,832	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			36,124,916	1	38,909,399
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			197,331,990	4	242,122,027
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 ...........				7
8	Inventories for sale or use ............			21,548,848	8	24,666,631
9	Prepaid expenses and deferred charges ......			854,219	9	1,310,556
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,710,340,966
b	Less: accumulated depreciation	10b	1,134,721,009	571,082,764	10c	575,619,957
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....			2,489,316	12	2,680,731
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			24,380,359	14	24,380,359
15	Other assets. See Part IV, line 11 ...........			1,700,327	15	6,404,266
16	Total assets. Add lines 1 through 15 (must equal line 33)...			855,512,739	16	916,093,926

17	Accounts payable and accrued expenses .....	72,522,773	17	63,399,999
18	Grants payable ...	1,199,897	18	1,187,189
19	Deferred revenue .........	532,705	19	672,123
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 ..	3,571,870	23	3,304,794
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	2,021,360	25	1,746,036
26	Total liabilities. Add lines 17 through 25..	79,848,605	26	70,310,141

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	773,174,819	27	843,103,055
28	Net assets with donor restrictions ...........	2,489,315	28	2,680,730
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	775,664,134	32	845,783,785
33	Total liabilities and net assets/fund balances ........	855,512,739	33	916,093,926