TY 2024 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) CRAIG LYON...................................................................... PHYSICIAN	40.00 ................. 0.00			X	2,851,580	57,114
(2) SHAHID SHEKHANI...................................................................... PHYSICIAN	40.00 ................. 0.00			X	2,033,578	46,409
(3) IMDAD AHMED...................................................................... PHYSICIAN	30.00 ................. 0.00			X	1,816,228	62,334
(4) DAVID NELSON...................................................................... PHYSICIAN	32.00 ................. 0.00			X	1,686,781	48,431
(5) MANISH GHARIA...................................................................... PHYSICIAN	40.00 ................. 0.00			X	1,403,452	23,827
(6) TODD ANDERSON...................................................................... VP/CFO (TERM 01/2025)	55.00 ................. 8.00		X		935,469	77,630
(7) KIMBERLY SCACCIA...................................................................... VICE-PRESIDENT (TERM 09/2025)	55.00 ................. 8.00		X		533,533	66,109
(8) JOANNA BENNING...................................................................... VICE-PRESIDENT	55.00 ................. 0.00		X		536,379	34,408
(9) ALIAKBAR ABDULLA OLIA...................................................................... VICE-PRESIDENT	55.00 ................. 0.00		X		496,180	63,198
(10) KARA SANKEY...................................................................... VICE-PRESIDENT	55.00 ................. 0.00		X		504,909	48,048
(11) MARK L GOELZER MD...................................................................... DIRECTOR/PHYSICIAN	38.00 ................. 8.00	X			500,316	38,924
(12) BRADLEY OLSON...................................................................... VICE-PRESIDENT	55.00 ................. 0.00		X		503,550	32,111
(13) JENNIFER HALLATT...................................................................... VICE-PRESIDENT	55.00 ................. 1.00		X		476,299	50,439
(14) E PATRICK CRANLEY...................................................................... VICE-PRESIDENT	55.00 ................. 0.00		X		459,618	62,453
(15) ROB BRINKERHOFF...................................................................... VICE-PRESIDENT (TERM 08/2025)	55.00 ................. 0.00		X		439,582	14,373
(16) AMY WHITAKER...................................................................... VICE-PRESIDENT	55.00 ................. 0.00		X		420,067	20,821
(17) LADD UDY...................................................................... VICE-PRESIDENT	55.00 ................. 0.00		X		301,345	48,090

(A) Name and business address	(B) Description of services	(C) Compensation
ARX AN ASPIRION COMPANY PO BOX 739167 DALLAS,TX311936671	REVENUE CYCLE/CLAIMS MANAGEMENT	6,642,170
CALIBER HEALTHCARE SOLUTIONS LLC PO BOX 715806 CINCINNATI,OH452715806	PHYSICIANS SERVICES	1,316,765
LAMAR COMPANIES PO BOX 746966 ATLANTA,GA303746966	ADVERTISING SERVICES	867,837
METRO ENFORCEMENT 618 E STATE STREET ROCKFORD,IL61104	SECURITY SERVICES	563,101
TRIAGE LLC PO BOX 773328 CHICAGO,IL606773328	MEDICAL STAFFING SERVICES	507,469
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 40

- 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.
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

2024

Open to Public
Inspection

Name of the organization

MERCY HEALTH SYSTEM CORPORATION

Employer identification number

39-0816848

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) 2024

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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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 2024 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2023 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2024. 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—2023. 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—2024. 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—2023. 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) 2024

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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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 2024 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2023 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2024 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2023 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2024. 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—2023. 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) 2024

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) 2024

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) 2024

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) 2024

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 2024 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-2024	(iii) Distributable Amount for 2024
1 Distributable amount for 2024 from Section C, line 6
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2024:
a From 2019.......
b From 2020.......
c From 2021.......
d From 2022.......
e From 2023.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2024 distributable amount
i Carryover from 2019 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2024 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2024 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2024, 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 2024. 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 2025. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2020.....
b Excess from 2021.....
c Excess from 2022.....
d Excess from 2023.....
e Excess from 2024.....

Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024

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) 2024

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)
(Rev. January 2025)

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

Name of the organization

MERCY HEALTH SYSTEM CORPORATION

Employer identification number

39-0816848

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 ......... Right Arrow

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) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025) Page 2

Name of organization MERCY HEALTH SYSTEM CORPORATION

Part I	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) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 3

Name of organization MERCY HEALTH SYSTEM CORPORATION		Employer identification number 39-0816848

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) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 4


Name of organization MERCY HEALTH SYSTEM CORPORATION			Employer identification number 39-0816848
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) (Rev. 1-2025)

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

2024

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 HEALTH SYSTEM CORPORATION

Employer identification number

39-0816848

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

$ 0

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

$ 0

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

$ 0

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) 2024

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) 2021	(b) 2022	(c) 2023	(d) 2024	(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) 2024

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

(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? ..........................................................

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

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

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

Yes

28,365

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

28,365

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:	A PERCENTAGE OF THE 2025 WISCONSIN HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION DUES WERE USED FOR LOBBYING.

Schedule C (Form 990) 2024

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

Open to Public Inspection

Name of the organization

MERCY HEALTH SYSTEM CORPORATION

Employer identification number

39-0816848

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) (Rev. 1-2025)

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 .....	28,773,388		28,773,388
b	Buildings ....	396,641,884	235,691,743	160,950,141
c	Leasehold improvements	3,037,473	2,998,929	38,544
d	Equipment ....	289,994,669	235,792,918	54,201,751
e	Other .....	24,119,464	8,019,799	16,099,665
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				260,063,489

Schedule D (Form 990) (Rev. 1-2025)

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........	876,456	C
(3) Other (A) DEFERRED COMPENSATION	82,975,299	F
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	83,851,755

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)UNAMORTIZED DEBT ISSUE COSTS				968,098
(2)PHYSICIAN LOAN RECEIVABLES				638,028
(3)DUE FROM OTHER RELATED PARTIES				284,433,459
(4)INTANGIBLE ASSETS				3,839,316
(5)OPERATING LEASE				2,980,489
(6)OTHER RECEIVABLES				2,540,292
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				295,399,682

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
DEFERRED COMPENSATION	82,975,299
DUE TO MERCY HEALTH CORPORATION	151,807,364
DUE TO THIRD PARTIES	15,835,504
ACCRUED LIABILITY UNDER SELF-INSURANCE PROGRAM	46,483,408
LEASE LIABILITY	1,949,964
ACCRUED RETIREMENT	1,267,139
LONG TERM DEBT - UNAMORTIZED PREMIUMS	1,164,849


Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	301,483,527
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) (Rev. 1-2025)

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

Schedule D (Form 990) (Rev. 1-2025)

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

2024

Open to Public Inspection

Name of the organization

MERCY HEALTH SYSTEM CORPORATION

Employer identification number

39-0816848

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 25000.0000000000 %

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

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

Yes

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

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

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

Yes

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

Yes

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

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

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

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

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		(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) . . .	2,798,568		2,798,568	0.420 %
b	Medicaid (from Worksheet 3, column a) . . . . .	69,027,755	46,239,002	22,788,753	3.420 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	1,428,715		1,428,715	0.210 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	73,255,038	46,239,002	27,016,036	4.050 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	1,529,709	253,010	1,276,699	0.190 %
f	Health professions education (from Worksheet 5) . . .	7,861,068	4,032,157	3,828,911	0.570 %
g	Subsidized health services (from Worksheet 6) . . . .	29,478,208	12,725,878	16,752,330	2.510 %
h	Research (from Worksheet 7) .	179,629	89,580	90,049	0.010 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	236,305		236,305	0.040 %
j	Total. Other Benefits . .	39,284,919	17,100,625	22,184,294	3.320 %
k	Total. Add lines 7d and 7j .	112,539,957	63,339,627	49,200,330	7.370 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024

Schedule H (Form 990) 2024

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
9	Other
10	Total

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. ......

11,560,814

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. ......

1,885,569

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).....

228,694,523

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

324,343,007

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

-95,648,484

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) 2024

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?2Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	MERCYHEALTH HOSPITAL AND TRAUMA CENTER-JANESVILLE 1000 MINERAL POINT AVENUE JANESVILLE,WI53548 MERCYHEALTHSYSTEM.ORG/LOCATION/MERCYHE 162	X	X	X		X
2	MERCYHEALTH HOSPITAL AND MEDICAL CENTER-WALWORTH N2950 STATE ROAD 67 LAKE GENEVA,WI53147 MERCYHEALTHSYSTEM.ORG/LOCATION/MERCYHE 1062	X	X		X	X

Schedule H (Form 990) 2024

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)

	MERCYHEALTH HOSPITAL AND TRAUMA CENTER-J
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 22

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

Yes

6 a

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

Yes

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

Yes

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

Yes

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

Hospital facility’s website (list url): HTTPS://WWW.MERCYHEALTHSYSTEM.ORG/ABOUT-US/COMMUNITY-NEEDS/

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): HTTPS://WWW.MERCYHEALTHSYSTEM.ORG/ABOUT-US/COMMUNITY-NEEDS/

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) 2024

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	MERCYHEALTH HOSPITAL AND TRAUMA CENTER-J
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 250.000000000000%
and FPG family income limit for eligibility for discounted care of 350.000000000000%

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, PAGE 8

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

SEE PART V, PAGE 8

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, PAGE 8

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) 2024

Page 6

Part VFacility Information (continued)

Billing and Collections

	MERCYHEALTH HOSPITAL AND TRAUMA CENTER-J
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) 2024

Page 7

Part VFacility Information (continued)

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

	MERCYHEALTH HOSPITAL AND TRAUMA CENTER-J
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) 2024

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)

	MERCYHEALTH HOSPITAL AND MEDICAL CENTER-
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 22

Yes

6 a

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

Yes

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

Yes

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

Yes

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

Hospital facility’s website (list url): HTTPS://WWW.MERCYHEALTHSYSTEM.ORG/ABOUT-US/COMMUNITY-NEEDS/

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): HTTPS://WWW.MERCYHEALTHSYSTEM.ORG/ABOUT-US/COMMUNITY-NEEDS/

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) 2024

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	MERCYHEALTH HOSPITAL AND MEDICAL CENTER-
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 250.000000000000%
and FPG family income limit for eligibility for discounted care of 350.000000000000%

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, PAGE 8

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

SEE PART V, PAGE 8

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, PAGE 8

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) 2024

Page 6

Part VFacility Information (continued)

Billing and Collections

	MERCYHEALTH HOSPITAL AND MEDICAL CENTER-
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) 2024

Page 7

Part VFacility Information (continued)

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

	MERCYHEALTH HOSPITAL AND MEDICAL CENTER-
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) 2024

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
MERCYHEALTH HOSPITAL AND TRAUMA CENTER-JANESVILLE	PART V, SECTION B, LINE 5: A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS DONE IN 2023 FOR ROCK COUNTY TO IDENTIFY OPPORTUNITIES TO IMPROVE THE HEALTH CARE SYSTEM AND IMPROVE PATIENT CARE AND PREVENTIVE SERVICE UTILIZATION AND THE OVERALL HEALTH AND QUALITY OF LIFE IN THE COMMUNITY.MHTC (MERCYHEALTH HOSPITAL AND TRAUMA CENTER) CREATED AN ONLINE COMMUNITY HEALTH SURVEY USING THE MACHFORM SURVEY TOOL. THE SURVEY WAS TRANSLATED INTO SPANISH, AND BOTH ENGLISH AND SPANISH VERSIONS WERE ACCESSIBLE VIA LINKS AND QR CODES. METHODS FOR SURVEY DISTRIBUTION INCLUDED SOCIAL MEDIA, MERCYHEALTH'S INTERNAL NEWSLETTER, MERCYHEALTH'S COMMUNITY NEWSLETTER, AND FLYER PLACEMENT AT KEY COMMUNITY LOCATIONS. THE SURVEY WAS DISTRIBUTED BETWEEN JANUARY 10, 2023 AND FEBRUARY 12, 2023. MHTC RECEIVED 537 SURVEY RESPONSES.ONCE THE SURVEY CLOSED, THE COLLECTED DATA WAS AGGREGATED AND VISUALIZATIONS WERE CREATED TO ILLUSTRATE DEMOGRAPHICS OF RESPONDENTS AND DISTRIBUTIONS FOR RESPONSES TO ALL QUESTIONS. NOT SURE/NO ANSWER/MISSING DATA WERE EXCLUDED FROM STATISTICAL ANALYSIS.AS A QUALITATIVE SUPPLEMENT TO SURVEY DATA, PRIMARY DATA WAS ALSO COLLECTED THROUGH VIRTUAL AND IN-PERSON INTERVIEWS WITH KEY INFORMANTS. KEY INFORMANTS ARE STAKEHOLDERS WHO REPRESENT COMMUNITY ORGANIZATIONS AND, THROUGH THEIR ROLES AS COMMUNITY LEADERS AND ORGANIZERS, POSSESS VALUABLE INSIGHTS INTO HEALTH ISSUES EXPERIENCED BY THE POPULATIONS THEY SERVE. KEY INFORMANTS WERE SELECTED WITH THE GOAL OF GATHERING INFORMATION REFLECTIVE OF A BROAD CROSS-SECTION OF THE COMMUNITY, PARTICULARLY THOSE POPULATIONS UNLIKELY TO RESPOND TO THE SURVEY. TWELVE KEY INFORMANT INTERVIEWS WERE CONDUCTED BETWEEN JANUARY 2023 AND MARCH 2023.MHTC PARTICIPATES IN THE HEALTH EQUITY ALLIANCE OF ROCK COUNTY (HEAR), A COALITION SUPPORTED AND FACILITATED BY THE ROCK COUNTY PUBLIC HEALTH DEPARTMENT AND COMPRISED OF HEALTH SYSTEMS, COMMUNITY-BASED ORGANIZATIONS, AND GOVERNMENT AGENCIES. OTHER ORGANIZATIONS PARTICIPATING IN HEAR INCLUDE SSM HEALTH, BELOIT HEALTH SYSTEM, HEALTH NET, COMMUNITY HEALTH SYSTEMS, INC., HEAD START, SCHOOL DISTRICT OF BELOIT, COMMUNITY ACTION, AND BUILDING A SAFER EVANSVILLE. TOGETHER, THESE ORGANIZATIONS REPRESENT MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS INCLUDING UNINSURED AND UNDERINSURED PATIENTS, CHILDREN IN LOW-INCOME FAMILIES, UNHOUSED INDIVIDUALS, AND AT-RISK YOUTH. FOR ROCK COUNTY, HEAR HELPS GUIDE THE COMMUNITY HEALTH ASSESSMENT (CHA) AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP), AND IMPLEMENTS STRATEGIES TO MEET THE GOALS SET FORTH IN THE IMPROVEMENT PLAN. REPRESENTATIVES FROM MHTC PARTICIPATED IN HEAR THROUGHOUT THIS ANALYSIS AND OBTAINED INPUT FROM HEAR MEMBERS ABOUT RESOURCES AVAILABLE TO ADDRESS HEALTH ISSUES IN ROCK COUNTY.IN LATE 2022, MHTC SOLICITED AND RECEIVED INPUT FROM THE ROCK COUNTY DEPARTMENT OF PUBLIC HEALTH SPECIFICALLY REGARDING SURVEY DESIGN AND KEY INFORMANT INTERVIEWS. THE ROCK COUNTY DEPARTMENT OF PUBLIC HEALTH SHARED FINDINGS FROM FOCUS GROUPS AND KEY INFORMANT INTERVIEWS CONDUCTED AS PART OF THE COUNTY'S 2021 CHA. FOR PURPOSES OF COMPARISON WITH DATA COLLECTED FOR ROCK COUNTY'S CHA, MHTC ADDED SURVEY QUESTIONS SPECIFICALLY FOCUSED ON MENTAL HEALTH AND ACCESS TO CARE, THE TWO FOCUS AREAS FOR ROCK COUNTY'S 2022 CHIP.MHTC ALSO CONDUCTED A KEY INFORMANT INTERVIEW WITH THE ROCK COUNTY DEPARTMENT OF PUBLIC HEALTH'S PUBLIC HEALTH STRATEGIST/HEAR COORDINATOR.THE 2023 IMPLEMENTATION STRATEGY FOR THE 2023 COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED SEVERAL AREAS AS PRIORITIES. MHSC IS FOCUSING ON THE FOLLOWING THREE PRIORITIES INCLUDING MENTAL HEALTH; ACCESSIBLE AND AFFORDABLE HEALTH CARE; AND MATERNAL, INFANT AND CHILD HEALTH TO IMPROVE THE COMMUNITY'S HEALTH STATUS.IN FY24, MHSC INCREASED BEHAVIORAL HEALTH SERVICES WITH A PARTNERSHIP WITH HEALTHNET IN ROCK COUNTY. THREE MHSC PROVIDERS WILL BEGIN SEEING PATIENTS AT HEALTHNET, ENSURING GREATER ACCESS TO CRITICAL MENTAL HEALTH CARE FOR THOSE IN NEED. THE ADDITION OF MERCYHEALTH BEHAVIORAL HEALTH PROVIDERS WILL ALLOW HEALTHNET TO SERVE MORE PATIENTS STRUGGLING WITH ANXIETY, DEPRESSION, TRAUMA, AND OTHER BEHAVIORAL HEALTH CONDITIONS. MERCYHEALTH HAS BEEN A PROUD PARTNER OF HEALTHNET FOR MANY YEARS, WORKING HAND-IN-HAND TO IMPROVE THE HEALTH AND WELL-BEING OF THE AREA'S UNINSURED AND UNDERINSURED RESIDENTS. AS PART OF THIS PARTNERSHIP, A MERCYHEALTH FAMILY MEDICINE PHYSICIAN AND FACULTY MEMBER OF THE MERCYHEALTH FAMILY MEDICINE RESIDENCY PROGRAM, SERVES AS HEALTHNET'S MEDICAL ADVISOR. SHE IS INSTRUMENTAL IN ENGAGING MERCYHEALTH RESIDENT PHYSICIANS, WHO PROVIDE CARE TO HEALTHNET PATIENTS. IN ADDITION, OTHER MERCYHEALTH MEDICAL PROVIDERS AND STAFF VOLUNTEER THEIR TIME AND TALENTS AS WELL.MHSC ALSO OFFERED FREE CANCER SCREENINGS. SCREENINGS CAN DETECT CANCER AT ITS EARLIEST STAGES, OFTEN BEFORE SYMPTOMS APPEAR. EARLY DETECTION USUALLY LEADS TO MORE EFFECTIVE TREATMENT AND BETTER OUTCOMES. REGULAR SCREENINGS ARE RECOMMENDED BASED ON AGE, GENDER, FAMILY HISTORY AND OTHER RISK FACTORS TO MAXIMIZE BENEFITS. SCREENINGS CAN PROVIDE REASSURANCE AND PEACE OF MIND FOR INDIVIDUALS, KNOWING THEY ARE TAKING PROACTIVE STEPS TOWARD THEIR HEALTH.MERCYHEALTH'S ACCOUNTABLE CARE ORGANIZATION (ACO) MAINTAINED TOP QUALITY SCORES IN 2023, CONTRIBUTING TO SIGNIFICANT MEDICARE SAVINGS. THIS QUALITY AND COST PERFORMANCE WAS ACHIEVED THROUGH MERCYHEALTH'S PARTICIPATION IN THE MEDICARE SHARED SAVINGS PROGRAM, A FEDERAL PROGRAM FOCUSED ON IMPROVING MEDICARE BENEFICIARIES' HEALTH OUTCOMES WHILE MAINTAINING COST-EFFECTIVENESS.MERCYHEALTH'S ACO INCLUDES ABOUT 14,000 MEDICARE BENEFICIARIES AND IS ONE OF MORE THAN 400 ACOS IN THE UNITED STATES, INCLUDING MORE THAN 30 WITH A PRESENCE IN ILLINOIS AND WISCONSIN. PHYSICIANS AND CLINICIAN TEAMS WITHIN MERCYHEALTH PROVIDE MEDICARE BENEFICIARIES WITH SAFE, HIGH-QUALITY, ACCESSIBLE, AND AFFORDABLE CARE, ALL WITHIN A PATIENT-CENTERED AND FAMILY-FRIENDLY EXPERIENCE.MEDICARE EVALUATES HOW WELL EACH ACO MEETS GOALS RELATED TO QUALITY AND PATIENT EXPERIENCE EVERY YEAR. ACOS WHO MEET QUALITY REQUIREMENTS RECEIVE A PORTION OF ANY SAVINGS THAT RESULT FROM REDUCING COSTS, WHICH CAN BE USED TO RE-INVEST IN PATIENT CARE CAPABILITIES.AMONG THE HIGHLIGHTS FOR MERCYHEALTH'S ACO RESULTS IN 2023:- QUALITY SCORE OF 89.8%, COMPARED TO A NATIONAL AVERAGE ACO QUALITY SCORE OF 82.3%- TOTAL SAVINGS TO MEDICARE OF $16 MILLION- MEDICARE EXPENSES PER BENEFICIARY OF $10,695, WHICH IS IN THE BOTTOM 20% OF MEDICARE ACOS NATIONWIDE FOR SPENDING (LOWER EXPENSE PER BENEFICIARY IS FAVORABLE, ESPECIALLY WHEN COMBINED WITH AN ABOVE AVERAGE QUALITY SCORE)ADOPTED BIRTH EQUITY INITIATIVES TO RAISE AWARENESS OF HEALTH DISPARITIES THAT EXIST WITHIN ROCK COUNTY AND RAISE AWARENESS AMONG PROVIDERS AND STAFF ABOUT THE IMPACT OF SOCIAL DETERMINANTS OF HEALTH, IMPLICIT BIAS, AND RESPECTFUL CARE PRACTICES. MHTC IS WORKING WITH OTHER MERCYHEALTH HOSPITALS AND THE ROCK COUNTY HEALTH DEPARTMENT TO SCREEN OB PATIENTS FOR SOCIAL DETERMINANTS OF HEALTH NEEDS AND CONNECT PATIENTS TO NEEDED RESOURCES EARLY IN PREGNANCY TO REDUCE THE IMPACT OF NEGATIVE SOCIAL DETERMINANTS OF HEALTH ON MATERNAL AND INFANT HEALTH.
MERCYHEALTH HOSPITAL AND MEDICAL CENTER-WALWORTH	PART V, SECTION B, LINE 5: MERCYHEALTH CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN WALWORTH COUNTY, BY DEVELOPING SURVEY QUESTIONS IN COLLABORATION WITH ADVOCATE AURORA AND THE WALWORTH COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES. JKV RESEARCH USED THESE QUESTIONS TO CONDUCT AN ONLINE SURVEY USING THE SURVEY MONKEY SURVEY TOOL. THE SURVEY WAS ACCESSIBLE VIA LINKS AND A QR CODE. METHODS FOR SURVEY DISTRIBUTION INCLUDED SOCIAL MEDIA, MERCYHEALTH'S INTERNAL NEWSLETTER, MERCYHEALTH'S COMMUNITY NEWSLETTER, AND FLYER PLACEMENT AT KEY COMMUNITY LOCATIONS. THE SURVEY WAS DISTRIBUTED BETWEEN NOVEMBER 1, 2022 AND JANUARY 26, 2023. THE SURVEY RECEIVED 555 RESPONSES.ONCE THE SURVEY CLOSED, THE COLLECTED DATA WAS AGGREGATED AND STRATIFIED BY JKV RESEARCH, LLC. NOT SURE/NO ANSWER/MISSING DATA ARE EXCLUDED FROM THIS REPORT.AS A QUALITATIVE SUPPLEMENT TO THE SURVEY DATA, PRIMARY DATA WAS ALSO COLLECTED THROUGH VIRTUAL AND IN-PERSON INTERVIEWS WITH KEY INFORMANTS. KEY INFORMANTS ARE STAKEHOLDERS WHO REPRESENT COMMUNITY ORGANIZATIONS AND, THROUGH THEIR ROLES AS COMMUNITY LEADERS AND ORGANIZERS, POSSESS VALUABLE INSIGHTS INTO HEALTH ISSUES EXPERIENCED BY THE POPULATIONS THEY SERVE. KEY INFORMANTS WERE SELECTED WITH THE GOAL OF GATHERING INFORMATION REFLECTIVE OF A BROAD CROSS-SECTION OF THE COMMUNITY, PARTICULARLY THOSE POPULATIONS UNLIKELY TO RESPOND TO THE SURVEY. NINETEEN KEY INFORMANT INTERVIEWS WERE CONDUCTED BETWEEN DECEMBER, 2022 AND FEBRUARY, 2023. INTERVIEWS WERE CONDUCTED BY REPRESENTATIVES FROM MHW AND ADVOCATE AURORA. NOTES FROM INTERVIEWS WERE REVIEWED AND FINDINGS SUMMARIZED BY JKV RESEARCH, LLC.MWH FOUND TWO PRIORITIES TO IMPROVE THE HEALTH IN WALWORTH COUNTY, 1. MENTAL HEALTH AND 2. NUTRITION, PHYSICAL ACTIVITY, AND OBESITY. THESE PRIORITY AREAS ADDRESS TWO SIGNIFICANT HEALTH NEEDS.MHW COLLABORATES WITH MERCYHEALTH BEHAVIORAL HEALTH TO REFER PATIENTS FOR OUTPATIENT BEHAVIORAL HEALTH COUNSELING AT OUR CLINIC IN WILLIAMS BAY, WHICH OFFERS A TEAM OF 5 TO 7 THERAPISTS AND A FULL-TIME CHILD PSYCHIATRIST. MHW ALSO COLLABORATES WITH MERCYHEALTH BEHAVIORAL HEALTH TO PROVIDE TELEHEALTH SERVICES TO THE EMERGENCY DEPARTMENT (ED) AND MEDICAL UNITS AT MHW.MHW IS REPRESENTED IN MERCYHEALTH'S SYSTEM-WIDE OPIOID STEWARDSHIP STEERING COMMITTEE, WHICH IS RESPONSIBLE FOR REVIEWING DATA RELATED TO OPIOID PRESCRIBING AND DISPENSING PATTERNS, AS WELL AS NURSING PAIN ASSESSMENT AND REASSESSMENT PRACTICES. WISCONSIN PHYSICIANS ARE REQUIRED TO TAKE TWO HOURS OF CONTINUING MEDICAL EDUCATION SPECIFICALLY ON SAFE OPIOID PRESCRIBING PRACTICES. MERCYHEALTH MADE CME EDUCATION AVAILABLE TO MHW PHYSICIANS. MERCYHEALTH OPENED A NEW AUTISM CENTER IN WALWORTH COUNTY AND ADDRESSED A KEY ACCESS NEED WITHIN THE COMMUNITY, AS EXPRESSED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE UPDATED FACILITY ALLOWS MERCYHEALTH TO EXPAND TREATMENT OPTIONS WITH BOTH IN-HOME AND CLINIC-BASED APPLIED BEHAVIOR ANALYSIS SERVICES FOR CHILDREN. THE CENTER IS DESIGNED TO CREATE A COMFORTABLE AND WELCOMING ENVIRONMENT FOR PATIENTS AND THEIR FAMILIES. MERCYHEALTH PROVIDES COMPREHENSIVE AND FOCUSED TREATMENT TO INDIVIDUALS RANGING IN AGE FROM TWO INTO YOUNG ADULTHOOD. FAMILY TREATMENT GUIDANCE SERVICES TO FAMILIES WITH CHILDREN IN THE PROGRAM IS ALSO PROVIDED.MERCY PARTNERS WITH MULTIPLE COMMUNITY-BASED ORGANIZATIONS IN ROCK AND WALWORTH COUNTY WORKED TOGETHER TO ACCOMPLISH SUCCESSFUL IMPLEMENTATION OF THESE STRATEGIES. DURING THE COURSE OF THIS YEAR, AND THE PRIOR TAX YEARS, MERCYHEALTH PARTICIPATED IN NUMEROUS COMMUNITY HEALTH FAIRS, PROVIDED FREE SCREENINGS AT OUR CLINICS AND IN CONJUNCTION WITH COMMUNITY-BASED ORGANIZATIONS, OFFERED SCREENINGS TO FREE AND SLIDING FEE SCHEDULE PRIMARY CARE CLINICS, AND SCHOOL DISTRICTS IN BOTH COUNTIES. MERCYHEALTH ALSO PROVIDES FINANCIAL INCENTIVES FOR THEIR EMPLOYEES TO PARTICIPATE IN SMOKING CESSATION PROGRAMS. IN ADDITION, MERCY PROVIDES EXTENSIVE TELEMEDICINE SERVICES TO INCREASE VIRTUAL ACCESS FOR OUR PATIENTS. MERCY HAS PROVIDERS ON CALL THAT ARE AVAILABLE TO ASSIST EMS CREWS IN THE FIELD WITH TRAUMA-RELATED EMERGENCIES AND CRITICAL ILLNESSES.AS A NEW INITIATIVE, STAFF HAVE ENGAGED LOCAL FEDERALLY QUALIFIED HEALTH CENTERS IN A COLLABORATIVE PARTNERSHIP, TOASSISTPATIENTS GETTING CARE ACCESS REGARDLESS OF THEIR ABILITY TO PAY. STRATEGIC GROWTH IN THIS AREA CONTINUES TO DEVELOP, BUT IMPROVED RELATIONSHIPS WITH LOCAL SAFETY NET PROVIDERS IS A NET BENEFIT FOR COMMUNITY MEMBERS.
MERCYHEALTH HOSPITAL AND TRAUMA CENTER-JANESVILLE	PART V, SECTION B, LINE 6A: ROCK COUNTY NEEDS ASSESSMENT- HOSPITALS: HOSPITALS SUCH AS SSM HEALTH, AND BELOIT HEALTH SYSTEM ARE A PART OF HEAR (HEALTH EQUITY ALLIANCE OF ROCK COUNTY) WHICH HELPED TO GUIDE THE COMMUNITY HEALTH ASSESSMENT (CHA).
MERCYHEALTH HOSPITAL AND MEDICAL CENTER-WALWORTH	PART V, SECTION B, LINE 6A: SURVEY WAS DEVELOPED IN COLLABORATION WITH ADVOCATE AURORA.
MERCYHEALTH HOSPITAL AND TRAUMA CENTER-JANESVILLE	PART V, SECTION B, LINE 6B: MERCY HEALTH SYSTEM CORPORATION WORKED WITH THE FOLLOWING ORGANIZATIONS INCLUDING SUPPORT FROM HEALTH EQUITY ALLIANCE OF ROCK COUNTY (HEAR), AND ITS MEMBERS THAT INCLUDE COMMUNITY-BASED ORGANIZATIONS AND GOVERNMENT AGENCIES. ROCK COUNTY DEPARTMENT OF PUBLIC HEALTH AND IN WALWORTH, WALWORTH COUNTY DIVISION OF HEALTH AND HUMAN SERVICES.
MERCYHEALTH HOSPITAL AND MEDICAL CENTER-WALWORTH	PART V, SECTION B, LINE 6B: WALWORTH COUNTY DIVISION OF HEALTH AND HUMAN SERVICES.
MERCYHEALTH HOSPITAL AND TRAUMA CENTER-JANESVILLE	PART V, SECTION B, LINE 11: IN ROCK COUNTY:MHTC'S PLAN IN ROCK COUNTY IS TO IMPROVE THE HEALTH OF PATIENTS WITH MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES. MERCYHEALTH IS RECRUITING MORE MENTAL HEALTH PROVIDERS, INCREASING CARE TRANSITION SERVICES, EXPANDING SCHOOL BASED MENTAL HEALTH SERVICES, AND EXPLORING NEW SERVICES. MHTC CONTINUES COMMUNITY PARTNERSHIPS TO ENSURE EFFECTIVE COLLABORATION, COORDINATION OF MENTAL HEALTH RESOURCES, EDUCATION AND OFFER SUPPORT TO HELP REDUCE ACCESS TO OPIATES, AND CO-SPONSOR EVENTS RELATED TO MENTAL HEALTH AWARENESS.MHTC IS RECRUITING NEW PROVIDERS TO ROCK COUNTY TO AID IN THE ACCESSIBILITY AND AFFORDABILITY OF HEALTH CARE IN THE AREA. MERCY IS INVESTING IN BY OPENING THE MERCYHEALTH KIDNEY CARE AND DIALYSIS CENTER. MHTC IS INCREASING AWARENESS OF FINANCIAL ASSISTANCE RESOURCES, VIRTUAL CARE OR TELEHEALTH OPTIONS, AND INCREASING ACCESS TO DISCHARGE MEDICATION IN THE FREE MEDS-TO BEDS PROGRAM.MATERNAL, INFANT AND CHILD HEALTH ARE BEING ADDRESSED BY MHTC IN ROCK COUNTY, BY ADOPTING BIRTH EQUITY INITIATIVES, SCREENING OB PATIENTS FOR SOCIAL DETERMINANTS OF HEALTH NEEDS, AND OFFERING SAME-DAY PEDIATRIC APPOINTMENTS TO THOSE WHO PRESENT AT URGENT CARE TO BUILD CONNECTIONS WITH A PEDIATRICIAN.
MERCYHEALTH HOSPITAL AND MEDICAL CENTER-WALWORTH	PART V, SECTION B, LINE 11: MERCY WALWORTH HOSPITAL'S PLAN IN WALWORTH COUNTY ADDRESSES MENTAL HEALTH NEEDS BY RECRUITING ADDITIONAL PROVIDERS, EXPANDING SCHOOL-BASED MENTAL HEALTH SERVICES, AND EXPLORING THE PROVISION OF BEHAVIORAL HEALTH SERVICES IN PRIMARY CARE SETTINGS. NUTRITION, PHYSICAL ACTIVITY AND OBESITY NEEDS ARE BEING ADDRESSED BY INCREASING REFERRALS TO WALWORTH'S WEIGHT MANAGEMENT PROGRAM, AND CARDIAC REHABILITATION PROGRAMS. RECRUITING PROVIDERS, EXPLORING COMMUNITY OUTREACH OPTIONS TO ADDRESS CHILD OBESITY, AND CONTINUATION OF ITS ATHLETIC TRAINING PROGRAM AS WELL AS TRAINING ADDITIONAL RESIDENT PHYSICIANS.MERCYHEALTH PARTICIPATED IN NUMEROUS COMMUNITY HEALTH FAIRS, PROVIDED FREE SCREENINGS AT OUR CLINICS AND IN CONJUNCTION WITH COMMUNITY BASED ORGANIZATIONS, OFFERED SCREENINGS TO FREE AND SLIDING FEE SCHEDULE PRIMARY CARE CLINICS, AND SCHOOL DISTRICTS IN BOTH COUNTIES. MERCY ALSO PROVIDED FINANCIAL INCENTIVES FOR THEIR EMPLOYEES TO PARTICIPATE IN SMOKING CESSATION PROGRAMS. ALL OF THESE EFFORTS ARE SUPPORTED THROUGH BROAD BASED MARKETING AND ADVERTISING PROGRAMS DIRECTED TO AUDIENCES IN BOTH COUNTIES PROMOTING THESE PROGRAMS. MERCYHEALTH PROVIDES EXTENSIVE TELEMEDICINE SERVICES TO INCREASE VIRTUAL ACCESS TO PATIENTS. MERCYHEALTH HAS PROVIDERS ON CALL THAT ARE AVAILABLE TO ASSIST EMS CREWS IN THE FIELD WITH TRAUMA-RELATED EMERGENCIES AND CRITICAL ILLNESSES.
PART V, LINE 16A:	HTTPS://WWW.MERCYHEALTHSYSTEM.ORG/PATIENTSVISITORS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE/
PART V, LINE 16B:	HTTPS://WWW.MERCYHEALTHSYSTEM.ORG/PATIENTSVISITORS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE/
PART V, LINE 16C:	HTTPS://WWW.MERCYHEALTHSYSTEM.ORG/PATIENTSVISITORS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE/

Schedule H (Form 990) 2024

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?51
Name and address		Type of Facility (describe)
1	1 - MERCY MANOR TRANSITION CENTER 1000 MINERAL POINT AVENUE JANESVILLE,WI53548	SKILLED NURSING/SUB-ACUTE CARE FACILITY
2	2 - MERCYHEALTH REGIONAL CANCER CENTER RADIA 1000 MINERAL POINT AVENUE JANESVILLE,WI53548	RADIATION ONCOLOGY CLINIC/RADIATION THERAPY FACILITY
3	3 - HOUSE OF MERCY HOMELESS SHELTER 320 LINCOLN STREET JANESVILLE,WI53548	HOMELESS CENTER
4	4 - MERCYHEALTH ALGONQUIN 2401 HARNISH DRIVE SUITE 101 ALGONQUIN,WI60102	OUTPATIENT PHYSICIAN CLINIC
5	5 - MERCYHEALTH BARRINGTON 500 WEST HIGHWAY 22 BARRINGTON,IL60010	OUTPATIENT PHYSICIAN CLINIC
6	6 - MERCYHEALTH BELOIT 2825 PRAIRIE AVENUE BELOIT,WI53511	OUTPATIENT PHYSICIAN CLINIC
7	7 - MERCYHEALTH BRODHEAD 2310 FIRST CENTER AVENUE BRODHEAD,WI53520	OUTPATIENT PHYSICIAN CLINIC
8	8 - MERCYHEALTH EAST 3524 EAST MILWAUKEE STREET JANESVILLE,WI53546	OUTPATIENT PHYSICIAN CLINIC/URGENT CARE FACILITY
9	9 - MERCYHEALTH EAST PHARMACY 3524 EAST MILWAUKEE STREET JANESVILLE,WI53546	RETAIL PHARMACY
10	10 - MERCYHEALTH SOUTH 849 KELLOGG AVENUE JANESVILLE,WI53546	RESIDENCY PROGRAM / OUTPATIENT PHYSICIAN CLINIC
11	11 - MERCYHEALTH WEST 1000 MINERAL POINT AVENUE JANESVILLE,WI53548	OUTPATIENT PHYSICIAN CLINIC & MEDICAL ONCOLOGY
12	12 - MERCYHEALTH WEST PHARMACY 1000 MINERAL POINT AVENUE JANESVILLE,WI53548	RETAIL PHARMACY
13	13 - MERCYHEALTH CRYSTAL LAKE SOUTH 415-A CONGRESS PARKWAY CRYSTAL LAKE,IL60014	OUTPATIENT PHYSICIAN CLINIC
14	14 - MERCYHEALTH DELAVAN 1038 E GENEVA STREET DELAVAN,WI53115	OUTPATIENT PHYSICIAN CLINIC
15	15 - MERCYHEALTH EDGERTON 217 N MAIN STREET EDGERTON,WI53534	OUTPATIENT PHYSICIAN CLINIC
16	16 - MERCYHEALTH EVANSVILLE 300 UNION STREET EVANSVILLE,WI53536	OUTPATIENT PHYSICIAN CLINIC/BEHAVIORAL HEALTH CLINIC
17	17 - MERCYHEALTH HARVARD SOUTH 348 S DIVISION HARVARD,IL60033	OUTPATIENT PHYSICIAN CLINIC
18	18 - MERCYHEALTH MALL 1010 NORTH WASHINGTON JANESVILLE,WI53548	OUTPATIENT PHYSICIAN CLINIC/URGENT CARE FACILITY/CARDIAC REHAB
19	19 - MERCYHEALTH MALL PHARMACY 1010 NORTH WASHINGTON JANESVILLE,WI53548	RETAIL PHARMACY
20	20 - MERCYHEALTH LAKE GENEVA 350 PELLER ROAD LAKE GENEVA,WI53147	OUTPATIENT PHYSICIAN CLINIC
21	21 - MERCYHEALTH MCHENRY 3922 MERCY DRIVE MCHENRY,IL60050	OUTPATIENT PHYSICIAN CLINIC/URGENT CARE FACILITY
22	22 - MERCYHEALTH MILTON 725 SOUTH JANESVILLE STREET MILTON,WI53563	OUTPATIENT PHYSICIAN CLINIC
23	23 - MERCYHEALTH MILTON PHARMACY 725 SOUTH JANESVILLE STREET MILTON,WI53563	RETAIL PHARMACY
24	24 - MERCYHEALTH NORTHWEST WOMEN'S GROUP 47 WEST ACORN LANE LAKE IN THE HILLS,IL601564804	OUTPATIENT PHYSICIAN CLINIC
25	25 - MERCYHEALTH BEHAVIORAL HEALTH CLINIC 903 MINERAL POINT AVENUE JANESVILLE,WI53548	PHYSICIAN & THERAPIST SERVICES: MENTAL HEALTH & ADDICTION TREATMENT
26	26 - MERCYHEALTH DIALYSIS CENTER 903 MINERAL POINT AVENUE JANESVILLE,WI53548	DIALYSIS CENTER
27	27 - MERCYHEALTH LUNG CENTER 903 MINERAL POINT AVENUE JANESVILLE,WI53548	PHYSICIANS CLINIC & SLEEP DISORDER CENTER
28	28 - MERCYHEALTH AUTISM CENTER 903 MINERAL POINT AVENUE JANESVILLE,WI53548	AUTISM AND BEHAVIORAL SERVICES
29	29 - MERCYHEALTH RICHMOND 9715 PRAIRIE RIDGE RICHMOND,IL60071	OUTPATIENT PHYSICIAN CLINIC
30	30 - MERCYHEALTH SPORTS MEDICINE AND REHAB 557 NORTH WASHINGTON JANESVILLE,WI53548	OUTPATIENT PHYSICIAN CLINIC AND REHABILITATION FACILITY
31	31 - MERCYHEALTH TERRACE 510 N TERRACE STREET JANESVILLE,WI53548	OUTPATIENT PHYSICIAN CLINIC
32	32 - MERCYHEALTH WHITEWATER 507 WEST MAIN STREET WHITEWATER,WI53190	OUTPATIENT PHYSICIAN CLINIC
33	33 - MERCYHEALTH SPORTS MEDICINE & REHAB 519 WEST MAIN STREET WHITEWATER,WI53190	OUTPATIENT PHYSICIAN CLINIC AND REHABILITATION FACILITY
34	34 - MERCYHEALTH WOODSTOCK 2000 LAKE AVENUE WOODSTOCK,IL60098	OUTPATIENT PHYSICIAN CLINIC/URGENT CARE FACILITY
35	35 - MERCYHEALTH WOODSTOCK PHARMACY 2000 LAKE AVENUE WOODSTOCK,IL60098	RETAIL PHARMACY
36	36 - MERCYHEALTH ELKHORN 839 N WISCONSIN STREET ELKHORN,WI53121	OUTPATIENT PHYSICIAN CLINIC
37	37 - MERCYCARE BUILDING 580 N WASHINGTON STREET JANESVILLE,WI53548	AUTISM PROGRAM/EMS TRAINING
38	38 - MERCYHEALH SLEEP DISORDERS CENTER 903 MINERAL POINT AVENUE JANESVILLE,WI53548	OUTPATIENT PHYSICIAN CLINIC/SLEEP STUDY CENTER
39	39 - MERCYHEALTH WALWORTH N2950 STATE ROAD 67 LAKE GENEVA,WI53147	OUTPATIENT PHYSICIAN CLINIC/URGENT CARE
40	40 - MERCYHEALTH WALWORTH PHARMACY N2950 STATE ROAD 67 LAKE GENEVA,WI53147	RETAIL PHARMACY
41	41 - MERCYHEALTH AUTISM CENTER - WALWORTH N2846 STATE ROAD 67 WILLIAMS BAY,WI53191	AUTISM AND BEHAVIORAL SERVICES
42	42 - MH BEHAVIORAL HEALTH CLINIC - BELOIT 1400 E INMAN PARKWAY SUITE B BELOIT,WI53511	BEHAVIORAL HEALTH, CLINIC-BASED COUNSELING, COUNSELING, MENTAL HEALTH
43	43 - MH BEHAVIOR HEALTH CLINIC - CRYSTAL LAKE 415-A CONGRESS PKWY CRYSTAL LAKE,IL60014	BEHAVIORAL HEALTH, CLINIC-BASED COUNSELING, COUNSELING, MENTAL HEALTH
44	44 - MERCYHEALTH NORTH 3400 DEERFIELD DR JANESVILLE,WI53546	OUTPATIENT PHYSICIAN CLINIC/URGENT CARE
45	45 - MERCY CRYSTAL LAKE PHYSICAL THERAPY 741 MCHENRY AVE STE E CRYSTAL LAKE,IL60014	OUTPATIENT THERAPY CLINIC
46	46 - MERCYHEALTH CHILD & ADOLESCENT TREATMENT 2600 HUMES RD STE 100 JANESVILLE,WI53545	CHILD AND ADOLESCENT DAY TREATMENT/MENTAL HEALTH CENTER
47	47 - MERCYHEALTH DELAVAN 1038 E GENEVA ST DELAVAN,WI53115	FAMILY MEDICINE, LAB, RADIOLOGY
48	48 - MERCYHEALTH BEHAVIORAL HEALTH CLINIC N2846 STATE ROAD 67 WILLIAMS BAY,WI53191	BEHAVIORAL HEALTH, CLINIC-BASED COUNSELING, COUNSELING, MENTAL HEALTH
49	49 - MERCYHEALTH BEHAVIORAL CLINIC-WHITEWATER 519 WEST MAIN STREET WHITEWATER,WI53190	BEHAVIORAL HEALTH, CLINIC-BASED COUNSELING, COUNSELING, MENTAL HEALTH
50	50 - MERCYHEALTH BEHAVIORAL CLINIC-FRANKLIN 115 S FRANKLIN ST JANESVILLE,WI53548	BEHAVIORAL HEALTH, CLINIC-BASED COUNSELING, COUNSELING, MENTAL HEALTH
51	51 - MH BEHAVIORAL HEALTH CLINIC - WALWORTH N2846 STATE ROAD 67 WILLIAMS BAY,WI53191	BEHAVIORAL HEALTH, CLINIC-BASED COUNSELING, COUNSELING, MENTAL HEALTH

Schedule H (Form 990) 2024

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 3C:	THE HOSPITAL OFFERS A 25% SELF-PAY DISCOUNT TO ALL UNINSURED PATIENTS ON ALL MEDICALLY NECESSARY SERVICES. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED ON THE FOLLOWING: INDIVIDUAL OR HOUSEHOLD INCOME, INDIVIDUAL OR HOUSEHOLD ASSETS, HOUSEHOLD SIZE, AND OTHER SOURCES OF PAYMENT FOR SERVICES. THE AMOUNT OF ASSISTANCE IS BASED ON THE PATIENT'S ABILITY TO PAY AND THE SIZE OF THEIR OUTSTANDING BALANCE. IF PATIENT INCOME AND HOUSEHOLD ASSETS ARE LESS THAN 250% OF THE FEDERAL POVERTY GUIDELINES, THEN MERCYHEALTH WILL COVER 100% OF THEIR OUTSTANDING BALANCE. IF THE PATIENT'S INCOME AND HOUSEHOLD ASSETS FALL BETWEEN 251% AND 350% OF THE FEDERAL POVERTY GUIDELINES, THEN A PATIENT'S REMAINING BALANCE CAN BE REDUCED AS MUCH AS 90% AND PAYMENT ARRANGEMENTS CAN BE EXTENDED FOR AS LONG AS TWENTY-FOUR MONTHS OR LONGER IF THERE ARE EXTENUATING CIRCUMSTANCES.
PART I, LINE 6A:	MERCY HEALTH SYSTEM CORPORATION, PREPARED A COMMUNITY BENEFIT REPORT AND IS ON THE WEBSITE WWW.MERCYHEALTHSYSTEM.ORG/ABOUT-US/COMMUNITY-NEEDS/.
PART I, LINE 7:	A COST-TO-CHARGE RATIO METHODOLOGY WAS USED TO DETERMINE COSTS ASSOCIATED WITH CHARITY CARE, UNREIMBURSED MEDICAID, AND OTHER MEANS TESTED GOVERNMENT PROGRAMS.THE COST-TO-CHARGE RATIO WAS DERIVED FROM IRS WORKSHEET 2: RATIO OF PATIENT CARE COST-TO CHARGE. THE COST OF THE OTHER BENEFITS REFERENCED IN THE TABLE OF LINE 7 (COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS; SUBSIDIZED HEALTH SERVICES; CASH AND IN-KIND CONTRIBUTIONS) WERE DETERMINED USING ACTUAL DEPARTMENT/SERVICE SPECIFIC DATA AND/OR COST ACCOUNTING DERIVED DATA.
PART I, LN 7 COL(F):	BAD DEBT OF $43,641,301 WAS NOT INCLUDED AS AN EXPENSE WHEN CALCULATING THE PERCENTAGE IN THIS COLUMN.
SCHEDULE H, PART I, LINE 5B AND 5C:	ACTUAL REVENUE WAS HIGHER THAN BUDGETED, AND AS SUCH THE ANTICIPATED CHARITY IMPACT WOULD BE HIGHER. THE ORGANIZATION STILL PROVIDED CARE REGARDLESS OF ANY INDIVIDUAL'S ABILITY TO PAY.
PART I, LINE 7G:	DIABETES EDUCATION CLINIC WAS INCLUDED IN THIS LINE: EXPENSES TOTALED $192,351 AND REVENUES OF $65,306 FOR A LOSS OF $127,045.
PART III, LINE 2:	BAD DEBT EXPENSE IS ACCOUNTED FOR AS DETAILED IN NOTE 1 OF THE AUDITED FINANCIAL STATEMENTS OF MERCY HEALTH CORPORATION. SEE BELOW:GENERALLY, PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. THE CORPORATION ALSO PROVIDES SERVICES TO UNINSURED PATIENTS, AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT, EITHER BY POLICY OR LAW, FROM STANDARD CHARGES. THE CORPORATION ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FOR THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE.
PART III, LINE 3:	THE ESTIMATE OF BAD DEBT DOLLARS THAT MAY HAVE BEEN COVERED THROUGH MERCY HEALTH SYSTEM CORP.'S FINANCIAL ASSISTANCE/CHARITY CARE POLICY (HAD THE PROPER PAPER WORK BEEN COMPLETED BY THE INDIVIDUAL NEEDING ASSISTANCE) IS ESTIMATED AT 16.31%. THIS FIGURE WAS BASED ON THE PERCENT OF BAD DEBT ACCOUNT DOLLARS THAT ARE RECLASSIFIED FOR CHARITY AND/OR BANKRUPTCY PURPOSES.
PART III, LINE 4:	BAD DEBT EXPENSE IS ACCOUNTED FOR AS DETAILED IN NOTE 1 OF THE AUDITED FINANCIAL STATEMENTS OF MERCY HEALTH CORPORATION.GENERALLY, PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. THE CORPORATION ALSO PROVIDES SERVICES TO UNINSURED PATIENTS, AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT, EITHER BY POLICY OR LAW, FROM STANDARD CHARGES. THE CORPORATION ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FOR THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE. BAD DEBT EXPENSE FOR THE YEARS ENDED JUNE 30, 2025, WAS NOT SIGNIFICANT.CONSISTENT WITH THE CORPORATION'S MISSION, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THEREFORE, THE CORPORATION HAS DETERMINED IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER UNINSURED BALANCES (FOR EXAMPLE, COPAYS AND DEDUCTIBLES). THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS THE CORPORATION EXPECTS TO COLLECT BASED ON ITS COLLECTION HISTORY WITH THOSE PATIENTS. THE CORPORATION'S POLICY IS TO PROVIDE A DISCOUNT FROM ESTABLISHED CHARGES TO UNINSURED PATIENTS. THIS POLICY DID NOT CHANGE IN 2025.
PART III, LINE 8:	DATA FOR LINES 5 AND 6 OF PART III AND THE MEDICARE SHORTFALL IS BASED ON MERCY HEALTH SYSTEM CORPORATION'S MEDICARE COST REPORT. MEDICARE COSTS ARE ELIMINATED FROM THE SUBSIDIZED PROGRAMS ON PART 1, LINE 7G AS CALCULATED BY OUR COST ACCOUNTING ANALYSIS. A COMBINATION OF COST ACCOUNTING AND THE MEDICARE COST TO CHARGE RATIO WAS USED FOR THE COMPUTATION OF SUBSIDIZED PROGRAMS.
PART III, LINE 9B:	MERCY HEALTH SYSTEM CORPORATION HAS A STRONG COMMITMENT TO PROVIDE QUALITY PATIENT CARE FOR ALL INDIVIDUALS. EMERGENCY STABILIZING SERVICES WILL NEVER BE DENIED NOR DELAYED ON THE PATIENT'S ABILITY TO PAY. AT MERCY HEALTH SYSTEM CORPORATION (MHS), ALL PATIENTS ARE TREATED WITH DIGNITY AND RESPECT REGARDLESS OF THEIR ABILITY TO PAY. MHS ASSISTS PATIENTS APPLYING FOR INSURANCE INCLUDING, AUTOMOBILE ACCIDENTS, CRIME VICTIMS, WORKERS COMPENSATION, MEDICAID, COBRA, LOCAL ASSISTANCE AND/OR HOSPITAL FINANCIAL ASSISTANCE, AND COPAY ASSISTANCE PROGRAMS. IF PATIENTS DO NOT QUALIFY FOR ANY OF THESE, MHS MAY EXTEND PAYMENT OPTIONS SUCH AS MONTHLY PAYMENTS, CREDIT CARD PAYMENTS OR FINANCIAL ASSISTANCE. PATIENTS WHO ARE SELF-PAY, REGARDLESS OF WHETHER THEY QUALIFY FOR MERCY HEALTH SYSTEM CORPORATION'S COMMUNITY CARE PROGRAM, RECEIVE A 25% DISCOUNT FROM MHS' STANDARD FEE SCHEDULE IN 2025. SELF-PAY PATIENTS MEET WITH PATIENT FINANCIAL COUNSELORS AND DISCUSS PAYMENT OPTIONS INCLUDING MHS' FINANCIAL ASSISTANCE PROGRAM. PATIENTS MUST APPLY FOR FINANCIAL ASSISTANCE AND SUPPLY MERCY WITH THE NECESSARY FINANCIAL AND OTHER INFORMATION REQUIRED. PATIENTS WHO QUALIFY FOR COMMUNITY CARE BENEFITS WILL RECEIVE A REDUCTION IN THE BALANCE OWED, EXTENDED PAYMENT TERMS, OR BOTH. THE AMOUNT OF THE FINANCIAL ASSISTANCE BENEFIT WILL BE BASED ON THE PATIENT'S ABILITY TO PAY AND THE SIZE OF THE OUTSTANDING BALANCE.
SCHEDULE H, PART V, LINE 22D:	MHTC AND ALL OF MERCYHEALTH WILL NOT CHARGE PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY MORE THAN THE AMOUNTS GENERALLY BILLED (AGB) TO INSURED PATIENTS FOR EMERGENCY MEDICAL CARE OR MEDICALLY NECESSARY CARE. TO CALCULATE THE AGB, MERCYHEALTH USES THE "LOOK-BACK" METHOD DESCRIBED IN SECTION 4(B)(2) OF THE IRS AND TREASURY'S 501(R) FINAL RULE.IN THIS METHOD, MERCYHEALTH USES DATA BASED ON CLAIMS SENT TO MEDICARE'S FEE-FOR-SERVICE PROGRAM AND ALL PRIVATE COMMERCIAL INSURERS FOR EMERGENCY MEDICAL CARE AND MEDICALLY NECESSARY CARE OVER THE PAST YEAR TO DETERMINE THE PERCENTAGE OF GROSS CHARGES THAT IS TYPICALLY ALLOWED BY THESE INSURERS. MERCYHEALTH USES DATA FOR A 12-MONTH PERIOD BEGINNING APRIL 1 THROUGH MARCH 31 AND WILL ADJUST THE AGB PERCENTAGE YEARLY, EFFECTIVE EACH JULY 1. THE CURRENT AGB FOR EACH HOSPITAL IS LISTED IN THE FINANCIAL ASSISTANCE SUPPORTING INFORMATION ON OUR WEBSITE AT WWW.MERCYHEALTHSYSTEM.ORG OR AVAILABLE FREE OF CHARGE.MERCYHEALTH WILL NOT CHARGE PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS POLICY MORE THAN THE AMOUNTS GENERALLY BILLED (AGB) TO INSURED PATIENTS FOR EMERGENCY MEDICAL CARE OR MEDICALLY NECESSARY CARE.
PART VI, LINE 2:	IN ADDITION TO THE HEALTH NEEDS ASSESSMENT - MERCYHEALTH IS WORKING TO: WORK WITH OTHER COMMUNITY SERVICES AND THROUGH MEDICARE ACO TO PROACTIVELY MANAGE AND IMPROVE THE CHRONIC DISEASE STATE OF OUR PATIENTS, AND TO CONTINUE MEDICARE ACO WELLNESS VISITS TO PROACTIVELY MANAGE THE HEALTH OF MEDICARE PATIENTS. MAINTAIN CLINICAL TEAMS TO WORK WITH SELECTED NURSING HOME PATIENTS TO ENSURE APPROPRIATE TRANSITIONAL CARE AND MANAGE AND PROVIDE INTERVENTIONS AS NECESSARY FOR VARIOUS ACUTE AND CHRONIC DISEASES. IN ADDITION, SUB ACUTE CARE WAS ADDED TO ALLOW PATIENTS TO TRANSITION AFTER A MAJOR ILLNESS OR INJURY AND MAINTAIN A HEALTHY LIFESTYLE.MAINTAIN MULTIDISCIPLINARY PALLIATIVE CARE SERVICES FOR ADULTS TO FORMULATE PLANS OF CARE, IDENTIFY RESOURCES, AND PROVIDE SUPPORT FOR BOTH PATIENTS AND FAMILIES FOR VARIOUS CHRONIC AND ACUTE DISEASES.IMPROVE THE HEALTH OF PATIENTS WITH SPECIFIC NEEDS, INCLUDING GERIATRIC HEALTH NEEDS AND SUBSTANCE ABUSE BY OFFERING A WIDE ARRAY OF COMMUNITY EDUCATIONAL HEALTH & SCREENING PROGRAMS.REDUCE THE LIKELIHOOD OF OPIOID ADDICTION BEGINNING OR CONTINUING BY MONITORING OPIOID PRESCRIPTIONS AMONG PHYSICIANS, OFFERING PROVIDER EDUCATION AND OFFERING ADDICTION COUNSELING.MHTC CONTINUES TO PARTICIPATE IN PROJECT SEARCH, A 10- MONTH SCHOOL-TO-WORK TRANSITION PROGRAM FOR STUDENTS WITH DISABILITIES THAT TAKES PLACE ENTIRELY IN THE WORKPLACE. PROJECT SEARCH STUDENTS WORK IN THREE INTERNSHIPS SUPPORTED BY AN ONSITE SKILLS TRAINER AND SUPERVISED BY A MERCYHEALTH MANAGER. THROUGH PARTICIPATION IN PROJECT SEARCH, STUDENTS ACQUIRE COMPETITIVE AND TRANSFERABLE JOB SKILLS, AS WELL AS INCREASED INDEPENDENCE, CONFIDENCE, AND SELF-ESTEEM.PROVIDE JOB TRAINING AND EMPLOYMENT OPPORTUNITIES TO DISABLED YOUNG ADULT COMMUNITY MEMBERS IN COLLABORATION WITH RAMP AND THE ILLINOIS DEPARTMENT OF HUMAN SERVICES BY ESTABLISHING PROJECT SEARCH.RONALD MCDONALD CARE MOBILE: THE MOBILE UNIT PROVIDES FREE MEDICAL CARE TO UNINSURED AND UNDERINSURED CHILDREN IN FIVE NORTHERN ILLINOIS COUNTIES. SINCE ITS INCEPTION IN 2003, IT HAS PROVIDED $3.2 MILLION IN FREE CARE TO MORE THAN 10,380 CHILDREN. THE CARE MOBILE IS COMPLETELY FUNDED BY PHILANTHROPY FROM THE MERCYHEALTH DEVELOPMENT FOUNDATION, JAVON BEA HOSPITAL AUXILIARY, AND THE RONALD MCDONALD CHARITIES OF MADISON.HEALTHNET FREE CLINIC IN JANESVILLE, WISCONSIN; FAMILY HEALTH PARTNERSHIP CLINIC AND WELL CHILD CLINIC IN WOODSTOCK, IL; HARVARD FREE CLINIC IN MCHENRY COUNTY, ILLINOIS; AND THE BRIDGE CLINIC OF ROCKFORD, ILLINOIS, ARE SOME OF THE VENUES FOR UNINSURED OR UNDERINSURED INDIVIDUALS TO RECEIVE CARE. MANY MERCYHEALTH PHYSICIANS AND OTHER HEALTH CARE PROVIDERS VOLUNTEER THEIR SERVICES AT THESE CLINICS.ROCKFORD RESCUE MISSION: MERCYHEALTH RESIDENTS VOLUNTEER THEIR TIME TO PROVIDE CARE AT THE ROCKFORD RESCUE MISSION HOMELESS SHELTER.JAVON BEA HOSPITAL PARTNERS WITH A SILVER LINING FOUNDATION TO PROVIDE SCREENING MAMMOGRAMS AND OTHER BREAST RELATED SERVICES FOR UNINSURED OR UNDERINSURED WOMEN.ROCK RIVER VALLEY BLOOD CENTER AND THE RED CROSS: MERCYHEALTH HOSTS REGULAR BLOOD DRIVES AND PARTNERS IN COOPERATIVE VOLUNTEER EFFORTS.UNITED WAY: MERCYHEALTH HOSTS AN ANNUAL GIVING FUNDRAISING CAMPAIGN TO RAISE MONEY FOR UNITED WAY IN ALL ITS COUNTIES.AREA POLICE AND FIRE DEPARTMENTS: PROVIDE FREE OR REDUCED-COST PARAMEDIC/EMT EDUCATIONAL OPPORTUNITIES.EMPLOYEE PARTICIPATION ON COMMUNITY BOARDS, SUCH AS THE ROCKFORD PARK DISTRICT AND COMMUNITY ACTION, INC., A NOT-FOR-PROFIT ORGANIZATION OFFERING PROGRAMS TO FIGHT POVERTY IN ROCK AND WALWORTH COUNTIES.
PART VI, LINE 3:	ALL UNINSURED PATIENTS ARE NOTIFIED OF MHSS FINANCIAL ASSISTANCE POLICY UPON REGISTRATION. INFORMATION IS ALSO AVAILABLE AT THE MHS WEBSITE, AND IN THE EMERGENCY ROOMS, FINANCIAL ASSISTANCE OFFICES, AND WITH THE PATIENT FINANCIAL COUNSELORS. APPROPRIATE PERSONNEL HAVE BEEN TRAINED ON HOW TO INTERACT WITH PATIENTS ABOUT FINANCIAL AID AVAILABILITY, AND HOW TO DIRECT PATIENTS TO APPROPRIATE FINANCIAL AID STAFF. THE HOSPITALS AND CLINICS HAVE TRANSLATION SERVICES AVAILABLE AS NEEDED.
PART VI, LINE 4:	MHS OFFERS COMPREHENSIVE ACUTE INPATIENT SERVICES AT ITS JANESVILLE AND WALWORTH LOCATIONS. MERCYHEALTH, THE INTEGRATED DELIVERY SYSTEM THAT MHS IS A PART OF, DEVELOPS SERVICES THAT SUPPORT THE HOSPITAL AND ITS PATIENTS, INCLUDING A LARGE AMBULATORY NETWORK CONSISTING OF PRIMARY CARE, SPECIALTY CARE, AND URGENT CARE SERVICES. THE COMMUNITY SERVED BY MHS IS DEFINED AS SOUTHERN WISCONSIN INCLUDING ROCK AND WALWORTH COUNTIES WISCONSIN, AS WELL AS NORTHERN ILLINOIS COUNTIES INCLUDING WINNEBAGO AND BOONE COUNTY.
PART VI, LINE 5:	MHTC PARTICIPATES IN THE HEALTH EQUITY ALLIANCE OF ROCK COUNTY (HEAR), A COALITION SUPPORTED AND FACILITATED BY THE ROCK COUNTY PUBLIC HEALTH DEPARTMENT AND COMPRISED OF HEALTH SYSTEMS, COMMUNITY-BASED ORGANIZATIONS, AND GOVERNMENT AGENCIES. OTHER ORGANIZATIONS PARTICIPATING IN HEAR INCLUDE SSM HEALTH, BELOIT HEALTH SYSTEM, HEALTH NET, COMMUNITY HEALTH SYSTEMS, INC., HEAD START, SCHOOL DISTRICT OF BELOIT, COMMUNITY ACTION, AND BUILDING A SAFER EVANSVILLE. TOGETHER, THESE ORGANIZATIONS REPRESENT MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS INCLUDING UNINSURED AND UNDERINSURED PATIENTS, CHILDREN IN LOW-INCOME FAMILIES, UNHOUSED INDIVIDUALS, AND AT-RISK YOUTH. FOR ROCK COUNTY, HEAR HELPS GUIDE THE COMMUNITY HEALTH ASSESSMENT (CHA) AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP), AND IMPLEMENTS STRATEGIES TO MEET THE GOALS SET FORTH IN THE IMPROVEMENT PLAN. REPRESENTATIVES FROM MHTC PARTICIPATED IN HEAR THROUGHOUT THIS ANALYSIS AND OBTAINED INPUT FROM HEAR MEMBERS ABOUT RESOURCES AVAILABLE TO ADDRESS HEALTH ISSUES IN ROCK COUNTY. IN LATE 2022, MHTC SOLICITED AND RECEIVED INPUT FROM THE ROCK COUNTY DEPARTMENT OF PUBLIC HEALTH SPECIFICALLY REGARDING SURVEY DESIGN AND KEY INFORMANT INTERVIEWS. THE ROCK COUNTY DEPARTMENT OF PUBLIC HEALTH SHARED FINDINGS FROM FOCUS GROUPS AND KEY INFORMANT INTERVIEWS CONDUCTED AS PART OF THE COUNTY'S 2021 CHA. FOR PURPOSES OF COMPARISON WITH DATA COLLECTED FOR ROCK COUNTY'S CHA, MHTC ADDED SURVEY QUESTIONS SPECIFICALLY FOCUSED ON MENTAL HEALTH AND ACCESS TO CARE, THE TWO FOCUS AREAS FOR ROCK COUNTY'S 2022 CHIP. MHTC ALSO CONDUCTED A KEY INFORMANT INTERVIEW WITH THE ROCK COUNTY DEPARTMENT OF PUBLIC HEALTH'S PUBLIC HEALTH STRATEGIST/HEAR COORDINATOR.
PART VI, LINE 6:	MERCY HEALTH SYSTEM CORPORATION PROVIDES ACUTE CARE INCLUDING INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO RESIDENTS OF JANESVILLE, WALWORTH AND THE SURROUNDING COMMUNITIES. IT IS PART OF A LARGER INTEGRATED HEALTH CARE SYSTEM AND IS AFFILIATED WITH OTHER SEPARATELY REPORTED ORGANIZATIONS KNOWN COLLECTIVELY AS "MERCYHEALTH". MERCY HEALTH CORPORATION IS THE PARENT COMPANY OF MERCY HEALTH SYSTEM CORPORATION, MERCY ASSISTED CARE INC., MERCY HARVARD HOSPITAL, INC., MERCY CRYSTAL LAKE HOSPITAL AND MEDICAL CENTER INC., JAVON BEA HOSPITAL, ROCKFORD HEALTH PHYSICIANS, AND MERCYHEALTH VISITING NURSES ASSOCIATION INC.MERCY HEALTH SYSTEM CORPORATION OPERATES TWO HOSPITALS AND HAS COMMUNITY CLINICS LOCATED THROUGHOUT SIX COUNTIES OF WISCONSIN AND ILLINOIS. MERCY ASSISTED CARE ALONG WITH MERCYHEALTH VISITING NURSES ASSOCIATION, INC. PROVIDES HOME HEALTH SERVICES, HOSPICE, AND DURABLE MEDICAL EQUIPMENT SERVICES; THUS, PROVIDING CONTINUATION OF CARE. ROCKFORD HEALTH PHYSICIANS PROVIDES PHYSICIAN AND AMBULATORY CARE SERVICES AT SEVERAL ILLINOIS SITES.MERCYHEALTH WORKS WITH MERCYHEALTH DEVELOPMENT FOUNDATION, INC. TO OPERATE A HOMELESS SHELTER IN JANESVILLE, WISCONSIN. THE HOUSE OF MERCY HOMELESS CENTER PROVIDES SHELTER, SUPPORT, AND TRAINING TO WOMEN, CHILDREN, AND FAMILIES TO HELP FIGHT HOMELESSNESS. IT OPENED IN 1996 AND PROVIDED MORE THAN 10,000 SHELTER NIGHTS TO MORE THAN 300 INDIVIDUALS THROUGH FY2025. MERCYHEALTH VOLUNTEER ASSOCIATION IN ROCKFORD, PART OF JAVON BEA HOSPITAL, VOLUNTEERS FOR THE SYSTEM GIFT SHOP, RESALE SHOP AND OTHER SERVICES FOR MERCYHEALTH. THE VOLUNTEERS NUMBERED 197 IN CALENDAR YEAR 2025 AND PROVIDED MORE THAN 16,000 HOURS OF COMMUNITY SERVICES. MERCY HEALTH VOLUNTEERS IN WISCONSIN NOT ONLY SUPPORTS MERCYHEALTH'S SERVICES BUT PROVIDES BENEFITS TO THE COMMUNITY AS A WHOLE. IN CONJUNCTION WITH MERCY HEALTH SYSTEM CORPORATION'S MEAL PREPARATION, THE VOLUNTEERS PARTICIPATE IN AND OVERSEE A MEALS -ON- WHEELS PROGRAM: PARTICIPANT/NUTRITION- SPECIFIC MEALS ARE PREPARED AND DELIVERED TO THE ELDERLY NEEDING ASSISTANCE IN JANESVILLE. THE VOLUNTEER ASSOCIATION RUNS A HOSPITALITY HOUSE IN WHICH FAMILY MEMBERS OF PATIENTS ARE OFFERED FREE HOUSING DURING THEIR LOVED ONES EXTENDED HOSPITAL STAY AND REHABILITATION.
PART VI, LINE 7, REPORTS FILED WITH STATES	WI,IL

Schedule H (Form 990) 2024

Additional Data

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Schedule I
(Form 990)
(Rev. January 2025)

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 instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization
MERCY HEALTH SYSTEM CORPORATION

Employer identification number
39-0816848

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) AMERICAN HEARTH ASSOCIATION 2850 DAIRY DR SUITE 130 MADISON,WI53718	13-5613797	501(C)(3)	10,000	PROGRAM SUPPORT
(2) BLACKHAWK TECHNICAL COLLEGE FOUNDATION 6004 S COUNTY RD G JANESVILLE,IL53547	39-1391659	501(C)(3)	10,000	PROGRAM SUPPORT
(3) BOYS & GIRLS CLUB OF JANESVILLE 200 W COURT STREET JANESVILLE,WI53548	39-1645796	501(C)(3)	12,500	PROGRAM SUPPORT
(4) DOWNTOWN JANESVILLE INC 20 S MAIN ST JANESVILLE,WI53547	38-3672455	501(C)(3)	15,000	PROGRAM SUPPORT
(5) ELKHORN AREA CHAMBER OF COMMERCE 203 E WALWORTH ST ELKHORN,WI53121	39-1191473	501(C)(3)	9,375	PROGRAM SUPPORT
(6) FORWARD JANESVILLE INC 14 S JACKSON ST STE 200 JANESVILLE,WI53548	39-0212060	501(C)(3)	9,850	PROGRAM SUPPORT
(7) HEALTHNET OF ROCK COUNTY 113 S FRANKLIN ST JANESVILLE,WI53548	39-1778804	501(C)(3)	10,000	PROGRAM SUPPORT
(8) ROCK COUNTY CANCER COALITION ONE PARKER PL SUITE 320 JANESVILLE,WI53545	26-4573984	501(C)(3)	20,000	PROGRAM SUPPORT
(9) SCHOOL DISTRICT OF MILTON 114 WEST HIGH STREET MILTON,WI53563	39-6031414	501(C)(3)	25,000	PROGRAM SUPPORT
(10) SIDE EFFECTS INC DBA POWER AD 29 INDUSTRIAL DR FRANKLIN,OH45005	99-4506836	501(C)(3)	10,000	PROGRAM SUPPORT
(11) UNITED WAY OF BLACKHAWK REGION 205 N MAIN ST JANESVILLE,WI53545	39-6006734	501(C)(3)	10,000	PROGRAM SUPPORT
(12) UNIVERSITY OF WISCONSIN WHITEWATER 800 W MAIN ST WHITEWATER,WI53190	39-6081189	501(C)(3)	20,000	PROGRAM SUPPORT
(13) WISCONSIN HOCKEY PARTNERS LLC 20 E MILWAUKEE ST STE 304 JANESVILLE,WI53545	26-4681648	501(C)(3)	20,000	PROGRAM SUPPORT
(14) YMCA NORTHERN ROCK COUNTY 221 DODGE ST JANESVILLE,WI53548	39-0806368	501(C)(3)	12,500	PROGRAM 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) Rev. 1-2025

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) CHARITY CARE (GROSS CHARGES) - MERCY HEALTH SYSTEM CORPORATION	7541	8,832,713
(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

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

Return Reference	Explanation
PART I, LINE 2:	THE HOSPITAL ASSISTS INDIVIDUALS WHO ARE UNINSURED OR UNDERINSURED BY PROVIDING CHARITY CARE. THIS IS APPLIED BY FOLLOWING THE HOSPITAL'S CHARITY CARE POLICY. THIS POLICY IS ADMINISTERED THROUGH THE PATIENT FINANCIAL SERVICE AND PATIENT ACCESS DEPARTMENTS OF THE HOSPITAL.

Schedule I (Form 990) Rev. 1-2025

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Schedule J
(Form 990)
(Rev. January 2025)

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

Open to Public Inspection

Name of the organization

MERCY HEALTH SYSTEM CORPORATION

Employer identification number

39-0816848

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? .............

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

Yes

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Cat. No. 50053T

Schedule J (Form 990) (Rev. 1-2025)

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)
1CRAIG LYON PHYSICIAN	(i) (ii)	703,201 ------------- 0	753,901 ------------- 0	1,394,478 ------------- 0	26,885 ------------- 0	30,229 ------------- 0	2,908,694 ------------- 0	0 ------------- 0
2SHAHID SHEKHANI PHYSICIAN	(i) (ii)	270,049 ------------- 0	1,739,465 ------------- 0	24,064 ------------- 0	22,046 ------------- 0	24,363 ------------- 0	2,079,987 ------------- 0	0 ------------- 0
3IMDAD AHMED PHYSICIAN	(i) (ii)	571,212 ------------- 0	1,221,476 ------------- 0	23,540 ------------- 0	39,577 ------------- 0	22,757 ------------- 0	1,878,562 ------------- 0	0 ------------- 0
4DAVID NELSON PHYSICIAN	(i) (ii)	691,073 ------------- 0	800,000 ------------- 0	195,708 ------------- 0	30,460 ------------- 0	17,971 ------------- 0	1,735,212 ------------- 0	0 ------------- 0
5MANISH GHARIA PHYSICIAN	(i) (ii)	886,565 ------------- 0	493,027 ------------- 0	23,860 ------------- 0	22,875 ------------- 0	952 ------------- 0	1,427,279 ------------- 0	0 ------------- 0
6TODD ANDERSON VP/CFO (TERM 01/2025)	(i) (ii)	586,511 ------------- 0	312,052 ------------- 0	36,906 ------------- 0	54,422 ------------- 0	23,208 ------------- 0	1,013,099 ------------- 0	0 ------------- 0
7KIMBERLY SCACCIA VICE-PRESIDENT (TERM 09/2025)	(i) (ii)	322,371 ------------- 0	183,768 ------------- 0	27,394 ------------- 0	32,410 ------------- 0	33,699 ------------- 0	599,642 ------------- 0	0 ------------- 0
8JOANNA BENNING VICE-PRESIDENT	(i) (ii)	334,966 ------------- 0	177,478 ------------- 0	23,935 ------------- 0	33,280 ------------- 0	1,128 ------------- 0	570,787 ------------- 0	0 ------------- 0
9ALIAKBAR ABDULLA OLIA VICE-PRESIDENT	(i) (ii)	286,667 ------------- 0	175,110 ------------- 0	34,403 ------------- 0	25,959 ------------- 0	37,239 ------------- 0	559,378 ------------- 0	0 ------------- 0
10KARA SANKEY VICE-PRESIDENT	(i) (ii)	340,106 ------------- 0	160,403 ------------- 0	4,400 ------------- 0	19,161 ------------- 0	28,887 ------------- 0	552,957 ------------- 0	0 ------------- 0
11MARK L GOELZER MD DIRECTOR/PHYSICIAN	(i) (ii)	83,252 ------------- 0	390,179 ------------- 0	26,885 ------------- 0	20,700 ------------- 0	18,224 ------------- 0	539,240 ------------- 0	0 ------------- 0
12BRADLEY OLSON VICE-PRESIDENT	(i) (ii)	332,401 ------------- 0	135,000 ------------- 0	36,149 ------------- 0	15,854 ------------- 0	16,257 ------------- 0	535,661 ------------- 0	0 ------------- 0
13JENNIFER HALLATT VICE-PRESIDENT	(i) (ii)	296,456 ------------- 0	159,656 ------------- 0	20,187 ------------- 0	18,888 ------------- 0	31,551 ------------- 0	526,738 ------------- 0	0 ------------- 0
14E PATRICK CRANLEY VICE-PRESIDENT	(i) (ii)	268,528 ------------- 0	151,174 ------------- 0	39,916 ------------- 0	24,524 ------------- 0	37,929 ------------- 0	522,071 ------------- 0	0 ------------- 0
15ROB BRINKERHOFF VICE-PRESIDENT (TERM 08/2025)	(i) (ii)	326,991 ------------- 0	105,938 ------------- 0	6,653 ------------- 0	10,800 ------------- 0	3,573 ------------- 0	453,955 ------------- 0	0 ------------- 0
16AMY WHITAKER VICE-PRESIDENT	(i) (ii)	281,863 ------------- 0	123,373 ------------- 0	14,831 ------------- 0	19,528 ------------- 0	1,293 ------------- 0	440,888 ------------- 0	0 ------------- 0
17LADD UDY VICE-PRESIDENT	(i) (ii)	196,616 ------------- 0	102,174 ------------- 0	2,555 ------------- 0	18,203 ------------- 0	29,887 ------------- 0	349,435 ------------- 0	0 ------------- 0
18TYLER KILLPACK VICE-PRESIDENT	(i) (ii)	172,826 ------------- 0	67,500 ------------- 0	2,125 ------------- 0	11,064 ------------- 0	32,251 ------------- 0	285,766 ------------- 0	0 ------------- 0
19JAVON BEA PRESIDENT/CEO (SEE PAGES 66-67)	(i) (ii)	3,006,196 ------------- 0	0 ------------- 0	8,634,628 ------------- 0	4,677,610 ------------- 0	17,719 ------------- 0	16,336,153 ------------- 0	6,584,546 ------------- 0

Schedule J (Form 990) (Rev. 1-2025)

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	THE MHSC COMPENSATION COMMITTEE IS COMPRISED OF THE BOARD CHAIRPERSON, VICE CHAIR, AND SECRETARY/TREASURER. THE COMPENSATION COMMITTEE IS ASSISTED BY INDEPENDENT NATIONAL COMPENSATION CONSULTANT AND INDEPENDENT TAX-EXEMPT EXPERT LEGAL COUNSEL. THE COMPENSATION COMMITTEE, LEGAL COUNSEL, AND THE COMPENSATION CONSULTANT MEET THROUGHOUT THE YEAR AND REPORT DIRECTLY TO THE BOARD OF DIRECTORS ANNUALLY. THIS PROCESS WAS COMPLETED FOR 2024.
PART I, LINE 4B	INCENTIVE PLAN DISTRIBUTION: JAVON R. BEA - $6,584,546 THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457(F) PLAN DURING CALENDAR YEAR 2024. ONLY JAVON BEA RECEIVED A PAYOUT DURING THE YEAR. JAVON BEA TODD ANDERSON JOANNA BENNING E. PATRICK CRANLEY ALIAKBAR ABDULLA OLIA KIMBERLY SCACCIA AMY WHITAKER CRAIG LYON IMDAD AHMED DAVID NELSEN
PART II, LINE 1:	JAVON R. BEA - NO DEFERRED COMPENSATION PAYMENT MR. BEA HAS BEEN EMPLOYED BY MHSC AS PRESIDENT AND CEO OVER THE PAST 37 YEARS. DURING THIS TIME, MR. BEA HAS LED AN INCREDIBLE TRANSFORMATION TAKING A SMALL, SINGLE, STAND-ALONE COMMUNITY HOSPITAL AND CREATING A VERTICALLY INTEGRATED HEALTH SYSTEM WITH 85 FACILITIES IN 50 COMMUNITIES THROUGHOUT SOUTHERN WISCONSIN AND NORTHERN ILLINOIS, INCREASING GROSS REVENUE FROM $33 MILLION TO OVER $4.5 BILLION IN FY2025. THIS HAS ALLOWED THE HEALTH SYSTEM TO GO FROM SERVING 89,000 PATIENTS IN 1989 TO OVER 2.0 MILLION PATIENTS TODAY WORKING TOGETHER WITH OVER 7,500+ PARTNERS IN HEALTH CARE. IN ADDITION, MR. BEA OVERSEES OVER 800 EMPLOYED PHYSICIANS AND SERVES AS THE CEO OVER A WHOLLY OWNED & OPERATED MEDICAL INSURANCE COMPANY. TODAY, MHSC HAS BECOME THE LARGEST EMPLOYER IN SOUTHERN WISCONSIN AND NORTHERN ILLINOIS. THIS GROWTH CAN BE ATTRIBUTED TO MR. BEA'S VISIONARY LEADERSHIP. LEADERSHIP THAT OVER THE YEARS HAS LED TO MHSC RECEIVING NUMEROUS NATIONAL RECOGNIZED AWARDS INCLUDING BEING NAMED THE FIRST FULLY INTEGRATED HEALTH SYSTEM TO RECEIVE THE MALCOLM BALDRIGE NATIONAL QUALITY AWARD, THE MAGNET RECOGNITION AWARD, BEING RANKED #1 AND #2 ON AARP'S TOP 100 BEST PLACES TO WORK FOR WORKERS OVER 50, AND BEING RANKED IN THE TOP 25 ON THE TOP 100 INTEGRATED HEALTHCARE NETWORKS LIST BY MODERN HEALTHCARE. THE TURNAROUND OF MHSC IMPLEMENTED BY MR. BEA IS UNPARALLELED. BY PIONEERING A "PARTNERSHIP MODEL" OF COMPENSATION AND DESIGNING A CUSTOM CULTURE OF EXCELLENCE, MR. BEA IS VITAL TO THE DECADES-LONG AND CONTINUING GROWTH AT MHSC. THIS SUCCESS HAS MADE MR. BEA A HIGHLY SOUGHT AFTER SPEAKER AND CONSULTANT AS HE IS NOW WELL-RENOWNED FOR HIS INNOVATIONS IN THE AREAS OF INTEGRATED HEALTHCARE AND PHYSICIAN PARTNERSHIP MODELS. THE TREMENDOUS SUCCESS OF MHSC UNDER THE LEADERSHIP OF MR. BEA HAS ALLOWED HIM TO RECEIVE PAYOUTS FROM A DEFERRED COMPENSATION PACKAGE WHICH MHSC HAS BEEN PAYING INTO OVER MANY YEARS. THESE PAYMENTS ONLY BECAME PAYABLE IF MHSC ATTAINED CERTAIN DEFINED FINANCIAL AND STRATEGIC GOALS AND THE AMOUNTS ARE AT RISK EVERY SINGLE YEAR. AS INDICATED ABOVE, MANY OF THESE GOALS WERE ACHIEVED WITHIN THE PAST FEW YEARS RESULTING IN A RELEASE OF THESE DEFERRED PAYMENTS WHICH IMPACTED MR. BEA'S COMPENSATION REPORTING. THE SETTING OF THESE GOALS WERE LAID OUT BY THE BOARD OF DIRECTORS IN COOPERATION WITH NATIONALLY RECOGNIZED COMPENSATION ATTORNEYS AND CONSULTANTS TO MAKE SURE ALL FACTORS WERE TAKEN INTO CONSIDERATION. MR. BEA'S COMPENSATION HAS ALSO BEEN SCRUTINIZED BY NUMEROUS OUTSIDE ORGANIZATIONS AND MOST IMPORTANTLY, THE INTERNAL REVENUE SERVICE; AND HAS PASSED INSPECTION IN EACH CASE. TOTAL COMPENSATION IS APPROVED ANNUALLY BY THE BOARD OF DIRECTORS OF MHSC.

Schedule J (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990)
(Rev. January 2025)

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

Open to Public Inspection

Name of the organization

MERCY HEALTH SYSTEM CORPORATION

Employer identification number

39-0816848

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) (Rev. 1-2025)

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) KRISTEN GOELZER	FAMILY MEMBER OF MARK GOELZER, DIRECTOR	584,663	EMPLOYMENT - PHYSICIAN		No
(2) JOANNA BENNING	FAMILY MEMBER OF JAVON BEA, PRESIDENT/CEO	570,787	EMPLOYMENT - VICE PRESIDENT		No

Part V

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

Return Reference	Explanation

Schedule L (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)
(Rev. January 2025)
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 instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization

MERCY HEALTH SYSTEM CORPORATION

Employer identification number

39-0816848

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 1A	THE VOTING MEMBERS OF THE EXECUTIVE COMMITTEE CONSISTS OF EIGHT INDIVIDUALS, EACH OF WHOM SHALL HAVE A VOTE, INCLUDING THE CEO, THE CHAIRMAN, VICE-CHAIRMAN, IMMEDIATE PAST CHAIRMAN, TREASURER, AND THREE ADDITIONAL DIRECTORS OF THE BOARD. AT LEAST ONE MEMBER OF THE EXECUTIVE COMMITTEE SHALL BE A PHYSICIAN. THE EXECUTIVE COMMITTEE SHALL IN ALL INSTANCES BE COMPRISED OF AT LEAST 51% COMMUNITY MEMBERS. IN THE EVENT THAT ONE OR MORE OF THE AFOREMENTIONED VOTING MEMBERS OF THE EXECUTIVE COMMITTEE IS UNABLE TO SERVE IN SUCH CAPACITY, THEN THE CHAIRMAN OF THE CORPORATION SHALL DESIGNATE A REPLACEMENT FROM AMONG THE BOARD MEMBERS. THE EXECUTIVE COMMITTEE SHALL MEET AS NEEDED. WHEN THE BOARD OF DIRECTORS IS NOT IN SESSION, THE EXECUTIVE COMMITTEE SHALL HAVE ALL THE POWERS, DUTIES, RESPONSIBILITIES AND AUTHORITY OF THE BOARD, EXCEPT AS PROHIBITED BY LAW.
FORM 990, PART VI, SECTION A, LINE 2	FAMILY RELATIONSHIP: JAVON R. BEA (FATHER) & JOANNA BEA BENNING (DAUGHTER)
FORM 990, PART VI, SECTION A, LINE 6	MERCY HEALTH CORPORATION (MHC) IS THE SOLE CORPORATE MEMBER OF MERCY HEALTH SYSTEM CORPORATION (MHSC). THE SOLE MEMBER SHALL HAVE THE POWERS AND VOTING RIGHTS TO DO THE FOLLOWING: (A) APPOINT ALL THE DIRECTORS OF THE CORPORATION. (B) NOMINATE TO THE CORPORATION'S BOARD OF DIRECTORS ALL CANDIDATES FOR SELECTION AS THE CORPORATION PRESIDENT. (C) APPROVE EXPRESSLY ALL AMENDMENTS TO THE CORPORATION'S ARTICLES OF INCORPORATION AND BYLAWS. (D) APPROVE ANNUAL BUDGETS, AND STRATEGIC, LONG-RANGE AND HEALTH MANPOWER DEVELOPMENT PLANS OF THE CORPORATION. (E) REQUIRE THE CORPORATION'S BOARD OF DIRECTORS TO TAKE ANY ACTION (INCLUDING AUTHORIZING THE PLEDGE OR TRANSFER OF ASSETS TO MHC OR AS DIRECTED BY MHC, OR THE EXECUTION OF CONTRACTS) WHICH WOULD IMPROVE THE CREDIT WORTHINESS OR OTHERWISE RESULT IN FINANCIAL BENEFIT TO MHC AND ITS TAX-EXEMPT AFFILIATED CORPORATIONS (PROVIDED THAT UNDER NO CIRCUMSTANCES MAY MHC REQUIRE TRANSFER OF ASSETS IN VIOLATION OF LAW OR THE TERMS OF ANY CHARITABLE TRUST OR DONATION). (F) APPROVE ALL CONTRACTS OF INDEBTEDNESS EFFECTIVE FOR LONGER THAN EIGHTEEN MONTHS. (G) APPROVE ALL PLANS OF MERGER OR CONSOLIDATION. (H) APPROVE THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL, THE PROPERTY AND ASSETS OF THE CORPORATION. (I) APPROVE A VOLUNTARY DISSOLUTION OF THE CORPORATION. (J) APPROVE MATERIAL AMENDMENTS TO THE CORPORATION'S STANDARD FORM OF PHYSICIAN EMPLOYMENT AGREEMENT, PROVIDED THE CORPORATION SHALL HAVE THE AUTHORITY TO NEGOTIATE THE TERMS AND CONDITIONS OF INDIVIDUAL PHYSICIAN EMPLOYMENT AGREEMENTS SO LONG AS THE NEGOTIATED TERMS AND CONDITIONS ARE CONSISTENT WITH THE REQUIREMENTS OF APPLICABLE LAW AND THE STRATEGIC, LONG-RANGE AND HEALTH MANPOWER DEVELOPMENT PLANS APPROVED BY MHC. (K) APPROVE MATERIAL AMENDMENTS TO THE STANDARD COMPENSATION SYSTEM USED BY THE CORPORATION TO ESTABLISH INDIVIDUAL PHYSICIAN COMPENSATION. (L) REQUIRE THE CORPORATION'S BOARD OF DIRECTORS TO TAKE ANY ACTION (INCLUDING AMENDING THE ARTICLES OF INCORPORATION OR BYLAWS), OR TO MODIFY OR RESCIND AN ACTION ALREADY TAKEN, IF MHC DETERMINES THAT FAILURE TO TAKE THE ACTION, OR TO MODIFY OR RESCIND AN ACTION ALREADY TAKEN, MAY RESULT IN THE CORPORATIONS FAILURE TO OBTAIN OR MAINTAIN ITS EXEMPTION AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE CODE.
FORM 990, PART VI, SECTION A, LINE 7A	SEE NARRATIVE FOR PART VI, LINE 6
FORM 990, PART VI, SECTION A, LINE 7B	SEE NARRATIVE FOR PART VI, LINE 6
FORM 990, PART VI, SECTION B, LINE 11B	MANAGEMENT REVIEWS THE FORM 990 BEFORE FILING AND IT IS AVAILABLE TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12C	BY WRITTEN POLICY, MHC SENDS OUT, ON AN ANNUAL BASIS, THE CORPORATE CONFLICT AND DUALITY OF INTEREST POLICY TO ALL BOARD MEMBERS, CORPORATE OFFICERS AND OTHER KEY INDIVIDUALS (THOSE HAVING RESPONSIBILITY AND AUTHORITY TO MAKE FINAL DECISIONS REGARDING THE ACQUISITION OF PRODUCTS OR SERVICES). EACH RECIPIENT IS REQUIRED TO COMPLETE A FINANCIAL INTEREST DISCLOSURE STATEMENT, WHICH IS SUBMITTED TO THE MHC COMPLIANCE DEPARTMENT FOR REVIEW. WITH RESPECT TO PHYSICIANS AND MANAGERS WHO ARE KEY INDIVIDUALS, ANY POTENTIAL CONFLICT OF INTEREST IS REVIEWED WITH THE APPROPRIATE EXECUTIVE STAFF MEMBER FOR FOLLOW UP WITH THE DISCLOSING PARTY IN ORDER TO REVIEW THE MATTER IN MORE DETAIL. THIS INCLUDES EMPHASIZING THAT THE DISCLOSING PARTY IS NOT PERMITTED TO PARTICIPATE IN ANY NEGOTIATIONS FOR THE PURCHASE OF ANY PRODUCTS OR SERVICES WHERE THE CONFLICT IS DEEMED MATERIAL OR AUTHORIZE THE SUBSEQUENT PURCHASE OF RELATED GOODS AND SERVICES. THE DISCLOSING PARTY IS ALSO REQUIRED TO IDENTIFY EACH AND EVERY INSTANCE OF A POTENTIAL CONFLICT AS THEY MAY ARISE IN THE ORDINARY COURSE OF BUSINESS. A SIMILAR PROCESS IS FOLLOWED FOR THE BOARD OF DIRECTORS, EXCEPT THAT ANY POTENTIAL CONFLICT IS REVIEWED BY THE BOARD'S GOVERNANCE COMMITTEE. BOARD MEMBERS MAY COMMENT ON TRANSACTIONS WHERE THERE IS A POTENTIAL CONFLICT BUT CANNOT VOTE ON THE RELATED MATTER AND MAY BE REQUIRED TO LEAVE ANY MEETING WHERE THE POTENTIAL CONFLICT IS REVIEWED BY THE BOARD OR WHERE THE BOARD TAKES ACTION TO EITHER APPROVE OR NOT APPROVE THE PROPOSED TRANSACTION. A BOARD MEMBER ALSO HAS A CONTINUING DUTY TO REPORT ANY CONFLICTS AS THEY MAY ARISE IN THE ORDINARY COURSE OF BUSINESS. IN THE EVENT THAT A POTENTIAL CONFLICT OF INTEREST IS REPORTED OR DISCOVERED OUTSIDE THE ESTABLISHED PROCESS, APPROPRIATE REVIEW AND ACTION WOULD BE TAKEN. THIS PROCESS WAS LAST COMPLETED IN 2025, WHEN THE QUESTIONNAIRES WERE SENT TO ADDRESS ANY 2024 CONFLICTS IDENTIFIED. MHC AND MHSC HAVE THE SAME BOARD, AND THEREFORE THE MHC QUESTIONNAIRE IS USED TO ALSO ADDRESS POTENTIAL AND ACTUAL CONFLICTS FOR THE FILING ORGANIZATION. THE MHC CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION B, LINE 15	THE MHCS COMPENSATION COMMITTEE IS COMPRISED OF THE BOARD CHAIRPERSON, VICE CHAIR AND SECRETARY/TREASURER. THE COMPENSATION COMMITTEE IS ASSISTED BY INDEPENDENT LEGAL COUNSEL AND AN INDEPENDENT COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE, LEGAL COUNSEL, AND THE COMPENSATION CONSULTANT MEET THROUGHOUT THE YEAR AND REPORT DIRECTLY TO THE BOARD OF DIRECTORS ANNUALLY. THIS PROCESS WAS COMPLETED FOR 2025.
FORM 990, PART VI, SECTION C, LINE 19	NO DOCUMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9:	OTHER PENSION RELATED CHANGES 2,669,322. POST RETIREMENT CHANGES OTHER THAN NET PERIODIC PENSION COST -3,226,448.

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

Cat. No. 51056K

Schedule O (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)
(Rev. January 2025)

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

Open to Public Inspection

Name of the organization

MERCY HEALTH SYSTEM CORPORATION

Employer identification number

39-0816848

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

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)MERCY HEALTH SYSTEM ASSOCIATION OF VOLUNTEERS 1000 MINERAL POINT AVE JANESVILLE,WI53548 39-0912682	SUPPORT OF HEALTHCARE	WI	501(C)(3)	LINE 12C, III-FI	MERCY HEALTH SYSTEM CORPORATION	Yes
(2)MERCY ASSISTED CARE INC 901 MINERAL POINT AVE JANESVILLE,WI53548 39-1035110	HEALTHCARE	WI	501(C)(3)	LINE 10	MERCY HEALTH CORPORATION		No
(3)MERCY HARVARD HOSPITAL INC 901 GRANT STREET HARVARD,IL60033 31-1551871	HEALTHCARE	IL	501(C)(3)	LINE 3	MERCY HEALTH CORPORATION		No
(4)MERCY CRYSTAL LAKE HOSPITAL AND MEDICAL CENTER 875 S ROUTE 31 CRYSTAL LAKE,IL60014 20-1673011	HEALTHCARE	IL	501(C)(3)	LINE 3	MERCY HEALTH CORPORATION		No
(5)MERCY HEALTH CORPORATION 8201 E RIVERSIDE BLVD ROCKFORD,IL61114 47-2158680	SUPPORT OF HEALTHCARE	IL	501(C)(3)	LINE 12B, II	N/A		No
(6)JAVON BEA HOSPITAL 8201 E RIVERSIDE BLVD ROCKFORD,IL61114 36-2167847	HEALTHCARE	IL	501(C)(3)	LINE 3	MERCY HEALTH CORPORATION		No
(7)MERCYHEALTH DEVELOPMENT FOUNDATION 8201 E RIVERSIDE BLVD ROCKFORD,IL61114 36-3197918	SUPPORT OF HEALTHCARE	IL	501(C)(3)	LINE 12A, I	MERCY HEALTH CORPORATION		No
(8)MERCYHEALTH VISITING NURSES ASSOCIATION 8201 E RIVERSIDE BLVD ROCKFORD,IL61114 36-2167945	HEALTHCARE	IL	501(C)(3)	LINE 10	MERCY HEALTH CORPORATION		No
(9)ROCKFORD HEALTH PHYSICIANS 8201 E RIVERSIDE BLVD ROCKFORD,IL61114 36-3907436	HEALTHCARE	IL	501(C)(3)	LINE 3	MERCY HEALTH CORPORATION		No

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

Cat. No. 50135Y

Schedule R (Form 990) (Rev. 1-2025)

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

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) JANESVILLE MEDICAL CENTER INC 1000 MINERAL POINT AVE JANESVILLE,WI53548 39-1520130	MANAGEMENT OF UNION EMPLOYEES	WI	MERCY HEALTH SYSTEM CORPORATION	C		444,742	100.000 %	Yes
(2) MERCYCARE INSURANCE COMPANY 580 N WASHINGTON ST JANESVILLE,WI53546 39-1768192	INSURANCE	WI	MERCY HEALTH SYSTEM CORPORATION	C	152,168,099	82,267,060	100.000 %	Yes
(3) MERCYCARE HMO INC - CONSOLIDATED WITH MERCYCARE INSURANCE CO 580 N WASHINGTON ST JANESVILLE,WI53546 20-1482553	INSURANCE	WI	MERCY HEALTH SYSTEM CORPORATION	C			100.000 %	Yes
(4) ROCKFORD HEALTH INSURANCE LTD WELLESLEY HOUSE SO 2ND FL PEMBROKE HM BD	INSURANCE	BD	N/A	C					No

Schedule R (Form 990) (Rev. 1-2025)

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 .....................

Yes

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

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

Yes

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

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

Yes

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

Yes

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

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

Yes

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) MERCYCARE INSURANCE COMPANY	Q	8,815,565	COST OF SERVICES PROVIDED
(2) MERCYCARE INSURANCE COMPANY	A	120,773	COST OF PROPERTY PROVIDED

Schedule R (Form 990) (Rev. 1-2025)

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) (Rev. 1-2025)

Page 5

Part VII

Supplemental Information

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

Return Reference	Explanation

Schedule R (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO IMPROVE AND PROTECT THE HEALTH AND WELFARE OF THE COMMUNITY IN ACCORDANCE WITH OUR MISSION, THE MISSION OF MERCY HEALTH SYSTEM CORPORATION IS "EXCEPTIONAL HEALTH CARE SERVICES WITH A PASSION FOR MAKING LIVES BETTER." THE FOUNDATION OF THIS MISSION IS BASED ON A VISION OF QUALITY: EXCELLENCE IN PATIENT CARE; SERVICE: EXCEPTIONAL PATIENT AND CUSTOMER CARE; PARTNERING: BEST PLACE TO WORK; AND COST: COST-EFFECTIVE CARE, ALONG WITH A COMMITMENT TO THE VALUES OF HEALING IN THE BROADEST SENSE, PATIENTS COME FIRST, TREAT EACH OTHER LIKE FAMILY AND ALWAYS SEEK EXCELLENCE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	8
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	6
5	Total number of individuals employed in calendar year 2024 (Part V, line 2a) ......	5	4,976
6	Total number of volunteers (estimate if necessary) .............	6	615
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	9,089,792
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	867,920	3,850,626
9	Program service revenue (Part VIII, line 2g) .........	675,122,333	710,259,087
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	3,137,188	10,727,479
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	43,933,075	44,989,301
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	723,060,516	769,826,493
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	9,069,018
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)	377,834,465	402,131,248
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)....	291,785,305	308,045,618
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	669,619,770	719,245,884
19	Revenue less expenses. Subtract line 18 from line 12.......	53,440,746	50,580,609
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	936,012,324	988,339,269
21	Total liabilities (Part X, line 26).............	382,169,317	384,472,779
22	Net assets or fund balances. Subtract line 21 from line 20.....	553,843,007	603,866,490

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 541,107,243 including grants of $ 9,069,018 ) (Revenue $ 744,595,839 )
	HOSPITAL DISCHARGES 7,132, NURSING HOME ADMISSIONS 201, BIRTHS 698, OUTPATIENT AND INPATIENT SURGERIES 10,805.MHSC CONTINUES ITS TRADITION OF GIVING BACK TO EACH OF THE COMMUNITIES SERVED IN A WIDE VARIETY OF FASHIONS. MHSC CONTRIBUTES TO THE AREA OF PUBLIC HEALTH SERVICES. THIS INCLUDES EXTENSIVE DONATIONS OF TIME AND SUPPLIES TO HEALTHNET OF ROCK COUNTY, A LARGE FREE PRIMARY CARE CLINIC SERVING THE REGION. MORE THAN EIGHTY PERCENT OF THE PHYSICIAN SERVICES PROVIDED AT THE CLINIC ARE SUPPLIED THROUGH MHSC. IN ADDITION, MHSC ASSISTS OPEN ARMS FREE CLINIC, A NOT-FOR-PROFIT THAT SERVES LOW-INCOME RESIDENTS IN WALWORTH COUNTY, WISCONSIN. ADDITIONALLY, MHSC AND ITS AFFILIATES' STAFF PROVIDE HEALTH SCREENING AND RELATED SERVICES AT NUMEROUS EVENTS IN ROCK AND WALWORTH COUNTIES IN WISCONSIN AND MCHENRY, BOONE AND WINNEBAGO COUNTY IN ILLINOIS.MHSC ALSO PROVIDES FINANCIAL AND IN-KIND CONTRIBUTIONS TO OTHER PRIVATE AND NOT FOR PROFIT HEALTH RELATED AGENCIES AND ORGANIZATIONS IN OUR SERVICE AREA. BENEFICIARIES INCLUDED BUT ARE NOT LIMITED TO THE AMERICAN HEART ASSOCIATION, AMERICAN CANCER SOCIETY, UNITED WAY ORGANIZATIONS IN ROCK, WALWORTH, AND MCHENRY COUNTIES, YMCA CARE HOUSE, YMCA, AMERICAN LUNG ASSOCIATION, WALWORTH COUNTY ALLIANCE FOR CHILDREN, TURNING POINT WOMEN'S CENTER IN MCHENRY, OPEN ARMS FREE CLINIC, AND THE RED CROSS, TO NAME JUST A FEW RECIPIENTS. MHSC ALSO ENCOURAGES ITS PARTNERS (EMPLOYEES) TO DONATE THEIR TIME AND ENERGY TO SUPPORT COMMUNITY BASED CAUSES. THOUSANDS OF HOURS EACH YEAR ARE DONATED TO NOT FOR PROFIT AND PUBLIC AGENCIES THROUGHOUT OUR SERVICE AREA. EXAMPLES OF VOLUNTEER ACTIVITIES BEING SUPPORTED INCLUDE NURSING SERVICES AT COMMUNITY AND FREE CLINICS THROUGHOUT THE REGION, MEALS ON WHEELS DELIVERY ACTIVITIES, ACTIVE INVOLVEMENT AS GOVERNING BOARD MEMBERS FOR SUCH ORGANIZATIONS AS UNITED WAY, CRIME STOPPERS, ROTARY BOTANICAL GARDENS, HEALTHNET, AND MANY OTHER ORGANIZATIONS.THE COMMUNITY BENEFIT PRIORITIES FOR MHTC ARE MENTAL HEALTH, MATERNAL AND CHILD HEALTH, AND ACCESS TO CARE. IN FY24 MERCYHEALTH FOCUSED ON RECRUITING NEW PROVIDERS IN PRIMARY CARE AND PSYCHIATRY, EXPANDING SERVICES IN RESPONSE TO COMMUNITY DEMAND FOR AUTISM AND DIALYSIS, AND ADDING NEW MENTAL HEALTH PROGRAMS INCLUDING AN ED BRIDGE CLINIC AND TRANSCRANIAL MAGNETIC STIMULATION. WE LAUNCHED A COMMUNITY HEALTHCARE FINANCIAL LITERACY CAMPAIGN. THE OBSTETRICS DEPARTMENT ADOPTED BIRTH EQUITY INITIATIVES INCLUDING IMPLICIT BIAS TRAINING AND SOCIAL DETERMINANTS OF HEALTH SCREENING FOR ALL PRENATAL PATIENTS.THE COMMUNITY BENEFIT PRIORITIES FOR WALWORTH ARE MENTAL HEALTH AND NUTRITION, PHYSICAL ACTIVITY, AND OBESITY. IN FY24 MERCYHEALTH EXPANDED MENTAL HEALTH SERVICES IN WALWORTH COUNTY BY ADDING NEW PROVIDERS AND AN AUTISM PROGRAM. IN ADDITION, MERCYHEALTH IS INCREASING COMMUNITY AWARENESS OF THE IMPORTANCE OF WEIGHT MANAGEMENT AND CARDIAC REHABILITATION.ANOTHER EXAMPLE OF MHSC'S COMMITMENT TO THE COMMUNITY IS ITS SUPPORT OF THE OPERATIONS THROUGH OFFERING SAFE RESIDENCE TO HOMELESS FAMILIES AT THE HOUSE OF MERCY HOMELESS CENTER. IT OPENED IN 1996 AND SERVES ABOUT 255 INDIVIDUALS A YEAR, MANY WHO ARE CHILDREN. THE CENTER OFFERS A SAFE HARBOR FOR THESE INDIVIDUALS AS WELL AS CASE MANAGEMENT, ASSISTANCE WITH JOB SEARCHES, FINDING PERMANENT HOUSING AND EDUCATION.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses541,107,243

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)		(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) TYLER KILLPACK........................................................................ VICE-PRESIDENT	55.00 .......................0.00		X	242,451	0	43,315
(19) JAVON BEA........................................................................ PRESIDENT/CEO (SEE PAGES 66-67)	60.00 .......................8.00	X	X	11,640,824	0	4,695,329
(20) ROWLAND J MCCLELLAN CHAIR........................................................................ & DIRECTOR (IN MEMORIAM 07/2024)	1.00 .......................7.00	X	X	26,893	0	0
(21) DAVE L SYVERSON........................................................................ DIRECTOR	1.00 .......................7.00	X		15,753	0	0
(22) KATHERINE A SCHACK........................................................................ VICE CHAIR & DIRECTOR	1.00 .......................7.00	X	X	15,370	0	0
(23) WESLEY M JOST........................................................................ DIRECTOR	1.00 .......................7.00	X		15,290	0	0
(24) THOMAS D BUDD........................................................................ SECRETARY & TREASURER	1.00 .......................7.00	X	X	15,182	0	0
(25) THOMAS R POOL........................................................................ CHAIR & DIRECTOR	1.00 .......................7.00	X	X	15,000	0	0
(26) CARLOS S AREVALO........................................................................ DIRECTOR (EFF. 10/2024)	1.00 .......................7.00	X		1,500	0	0

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	27,887,129	0	5,533,363

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	3,571,068
e	Government grants (contributions)		1e	252,393

f	All other contributions, gifts, grants, and similar amounts not included above		1f	27,165

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

h Total. Add lines 1a-1f.......		3,850,626

		Business Code
2a	PATIENT SERVICE REVENU	621110	699,039,272	699,039,272
b	MERCYCARE SERVICES REV	561000	8,815,565		8,815,565
c	340B - EXTERNAL	900099	2,207,330	2,207,330
d
e
f	All other program service revenue.		196,920	196,920
g	Total. Add lines 2a–2f .....		710,259,087

3 Investment income (including dividends, interest, and othersimilar amounts) ......			10,713,524			10,713,524
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	190,929
b	Less: rental expenses	6b	55,462
c	Rental income or (loss)	6c	135,467
d	Net rental income or (loss).......			135,467			135,467
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a		353,616
b	Less: cost or other basis and sales expenses	7b		339,661
c	Gain or (loss)	7c		13,955
d	Net gain or (loss).........			13,955			13,955
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	40,457,473
b	Less: cost of goods sold ..		10b	8,576,689
c	Net income or (loss) from sales of inventory..			31,880,784	31,606,557	274,227

Business Code
11a	MERCYCARE INVEST. EARN		900099	4,638,437	4,638,437
b	PREMIER REBATES		900099	4,182,505	4,182,505
c	MISCELLANEOUS REVENUE		900099	1,666,690	1,666,690
d	All other revenue ....			2,485,418	1,058,128		1,427,290
e	Total. Add lines 11a–11d ......			12,973,050
12	Total revenue. See instructions.....			769,826,493	744,595,839	9,089,792	12,290,236

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	236,305	236,305
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	8,832,713	8,832,713
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 ...........	23,390,755		23,390,755
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	318,519,968	262,750,832	55,769,136
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	11,329,480	44,649	11,284,831
9	Other employee benefits .......	28,818,710	702,481	28,116,229
10	Payroll taxes ...........	20,072,335	14,785,172	5,287,163
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	726,758		726,758
c	Accounting ...........	97,803		97,803
d	Lobbying ...........	28,365		28,365
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)	915,225	17,544	897,681
12	Advertising and promotion ....	1,398,533	8,659	1,389,874
13	Office expenses .......	5,603,458	1,792,027	3,811,431
14	Information technology ......	8,031,672	1,229,125	6,802,547
15	Royalties ..
16	Occupancy ...........	6,894,783	5,454,164	1,440,619
17	Travel ............	1,077,327	596,362	480,965
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	1,053,125	531,006	522,119
20	Interest ...........	7,010,114	5,608,091	1,402,023
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	28,080,639	22,464,511	5,616,128
23	Insurance ...	7,454,170	5,963,336	1,490,834
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	MEDICAL SUPPLIES	142,031,777	141,683,119	348,658
b	BAD DEBTS	43,641,301	43,641,301
c	PURCHASED LABOR & CONTR	24,819,213	14,656,055	10,163,158
d	MERCYCARE EXPENSES	8,815,565		8,815,565
e	All other expenses	20,365,790	10,109,791	10,255,999
25	Total functional expenses. Add lines 1 through 24e	719,245,884	541,107,243	178,138,641	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 ........			24,075	1	24,273
2	Savings and temporary cash investments .........			293,279,687	2	256,466,862
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			45,860,011	4	40,539,127
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 ............			14,105,383	8	14,729,652
9	Prepaid expenses and deferred charges ......			5,724,502	9	5,273,502
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	742,566,878
b	Less: accumulated depreciation	10b	482,503,389	252,902,327	10c	260,063,489
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....			73,031,397	12	83,851,755
13	Investments—program-related. See Part IV, line 11 ..			27,352,490	13	31,990,927
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			223,732,452	15	295,399,682
16	Total assets. Add lines 1 through 15 (must equal line 33)...			936,012,324	16	988,339,269

17	Accounts payable and accrued expenses .....	90,677,657	17	82,989,252
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	291,491,660	25	301,483,527
26	Total liabilities. Add lines 17 through 25..	382,169,317	26	384,472,779

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	553,843,007	27	603,866,490
28	Net assets with donor restrictions ...........		28
	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 ...........	553,843,007	32	603,866,490
33	Total liabilities and net assets/fund balances ........	936,012,324	33	988,339,269