2023-05-10T21:02:44-05:00 2022-06-30 990 2021-07-01 200198462 MERCY MINISTRIES OF LAREDO MERC 3145796100 2500 ZACATECAS ST LAREDO TX 78046 ELIZABETH CASSO PRESIDENT 3145796100 2023-05-10 ELIZABETH CASSO 999009999 0 AAL1 IAL1 2021 2023-04-26 12:10:37Z ELIZABETH CASSO 2500 ZACATECAS STREET LAREDO TX 78046 2022410 0 0928 X WWW.MERCY.NET X 2003 TX AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. 20 18 0 181 0 0 1759252 1645583 244749 337287 228 3187 8183 29672 2012412 2015729 305887 306887 0 0 2209765 2312040 0 0 158624 942832 862435 3458484 3481362 -1446072 -1465633 34657328 35209852 251855 438111 34405473 34771741 X AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. 0 0 2248378 280805 311158 MERCY MINISTRIES OF LAREDO PROVIDES INTEGRATED PRIMARY HEALTHCARE AND BEHAVIORAL HEALTH SERVICES TO LOW INCOME AND UNINSURED FAMILIES OF WEBB COUNTY, TEXAS. SERVICES ARE PROVIDED AT MERCY CLINIC LOCATED AT 2500 ZACATECAS STREET AND AT TEN OUTREACH SITES THROUGHOUT WEBB COUNTY VIA A MEDICAL MOBILE CLINIC. MERCY MOBILE CLINIC DELIVERS SERVICES TO COLONIAS (UNINCORPORATED AREAS), INNER CITY AND OUTLYING AREAS WHERE MEDICAL HELP IS INACCESSIBLE. THE MAIN PROGRAMS ARE PRIMARY AND BEHAVIORAL HEALTH SERVICES, OUTREACH AND EDUCATION, ADULT DENTAL SERVICES AND MEDICATION ASSISTANCE PROGRAM. A TOTAL OF 1,771 UNDUPLICATED PATIENTS WERE SERVED IN FISCAL YEAR 2022.PRIMARY & BEHAVIORAL HEALTHCARE: THE PRIMARY AND BEHAVIORAL HEALTH PROGRAMS ARE STAFFED WITH FAMILY NURSE PRACTITIONERS, WOMEN'S HEALTH NURSE PRACTITIONERS AND LICENSED PROFESSIONAL COUNSELORS. THE PRACTITIONERS HAD OVER 8,089 MEDICAL ENCOUNTERS DURING THE FISCAL YEAR. BEHAVIORAL HEALTH COUNSELING AND SCREENING HAS BEEN INTEGRATED INTO THE PRIMARY HEALTHCARE PROGRAM TO AID PATIENTS WITH BEHAVIOR MODIFICATION AND CONTROL OF ANXIETY AND DEPRESSION. THERE WERE 1,507 COUNSELING ENCOUNTERS DURING THE YEAR. ALL PATIENTS ARE SCREENED FOR ANXIETY AND DEPRESSION AT THEIR ANNUAL WELLNESS EXAM. THE PRIMARY HEALTHCARE PROGRAM FOCUSES ON PREVENTION AND EDUCATION. IT INCLUDES ANNUAL PHYSICAL AND WELLNESS EXAMS WITH SCREENINGS FOR DIABETES, HYPERTENSION AND HEART DISEASE. THE PROGRAM ALSO INCLUDES SCREENINGS FOR BREAST, CERVICAL, COLON AND PROSTATE CANCER. THERE WERE 1,265 CANCER SCREENING TESTS PERFORMED IN FISCAL YEAR 2022. FOUR PATIENTS WERE DIAGNOSED DURING THE YEAR WITH SOME FORM OF CANCER AND WERE REFERRED TO SPECIALISTS FOR TREATMENT. MERCY CLINIC COLLABORATES WITH LOCAL ONCOLOGISTS AND DIAGNOSTICIANS TO ASSIST PATIENTS WITH EXPENSES FOR TREATMENT. ALL CASES ARE FOLLOWED BY CASE MANAGERS. CASE MANAGERS AND SOCIAL WORKERS PLAY A CRITICAL ROLE IN THE PRIMARY HEALTHCARE PROGRAM. MID-LEVEL PRACTITIONERS REFER PATIENTS TO PHYSICIANS AND/OR SPECIALTY PHYSICIANS WHEN NECESSARY. THE CASE MANAGERS GUIDE PATIENTS THROUGH THE MEDICAL SYSTEM AND MAKE ALL SPECIALTY AND FOLLOW UP REFERRALS. OVER 690 PATIENTS WERE REFERRED TO MEDICAL SPECIALISTS FOR CARE. SOCIAL WORKERS AND CASE MANAGERS HAD OVER 8,229 PATIENT ENCOUNTERS DURING FISCAL YEAR 2022. DIABETIC AND PRE-DIABETIC PATIENTS ARE MONITORED CLOSELY BY THE CLINIC. EDUCATION, COUNSELING, NUTRITION AND EXERCISE CLASSES ARE PROVIDED IN AN EFFORT TO AID PATIENTS CONTROL THEIR DISEASE. A TOTAL OF 535 UNDUPLICATED DIABETIC PATIENTS WERE SEEN THROUGH THE PROGRAM. 118989 OUTREACH & EDUCATION: A CRITICAL PART OF MERCY'S PROGRAM IS REACHING OUT TO PEOPLE WHO LIVE IN REMOTE AREAS. THE OUTREACH PROGRAM SEEKS TO EDUCATE PATIENTS ON THE NEED FOR A MEDICAL HOME AND REGULAR PHYSICAL EXAMS. OUTREACH PROVIDES MEDICAL SERVICES VIA THE MERCY MEDICAL MOBILE CLINIC TO PATIENTS AT FOURTEEN LOCATIONS THROUGHOUT WEBB COUNTY TEXAS. DUE TO THE COVID PANDEMIC THESE OUTREACH EFFORTS WERE SEVERELY RESTRICTED DURING THE FISCAL YEAR. COMMUNITY HEALTH WORKERS WERE ABLE TO PROVIDE 44 EDUCATIONAL SESSIONS REACHING 1,754 PARTICIPANTS. 373489 26082 26129 MERCY MINISTRIES OF LAREDO'S OTHER PROGRAMS INCLUDE MEDICATION ASSISTANCE AND AN ADULT DENTAL CLINIC. THE MEDICATION ASSISTANCE PROGRAM GUIDES PATIENTS THROUGH THE PROCESS OF SECURING FREE OR LOW-COST MEDICATIONS THROUGH PHARMACEUTICAL COMPANIES. THE PHARMACEUTICAL COMPANIES PROVIDED $1,328,786 OF MEDICATIONS FOR CLINIC PATIENTS DURING FISCAL YEAR 2022. MERCY MINISTRIES ALSO COLLABORATES WITH LOCAL PHARMACIES TO HELP PATIENTS OBTAIN ANTIBIOTICS AND OTHER MEDICATIONS NECESSARY FOR THEIR CARE. THE DENTAL PROGRAM PROVIDES SERVICES TO ADULT CLINIC PATIENTS. THE CLINIC IS OPEN THREE DAYS PER WEEK AND IS STAFFED BY LOCAL DENTISTS AND MERCY EMPLOYEES. DURING FISCAL YEAR 2022, 2,067 PROCEDURES WERE PERFORMED VALUED AT $187,277. THE DENTAL CLINIC SAW 320 UNDUPLICATED PATIENTS ACCOUNTING FOR 1,593 DENTAL VISITS FOR THE YEAR. 2740856 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 36 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 20 18 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X LAURA MCCOY 9567217411 2500 ZACATECAS STREET LAREDO TX 78046 X CASSO ELIZABETH PRESIDENT 39.00 1.00 X X 0 144804 11420 BAZAN JULIE BOARD MEMBER 1.00 1.00 X 0 0 0 GOMEZ LIZ BOARD MEMBER 1.00 0.00 X 0 0 0 GONZALEZ JESSE BOARD MEMBER 1.00 0.00 X 0 0 0 GUTIERREZ JUDITH BOARD MEMBER 1.00 0.00 X 0 0 0 HARTMAN RSM SR DONELLA BOARD MEMBER 1.00 0.00 X 0 0 0 HAYNES RAMIREZ CYNTHIA BOARD MEMBER 1.00 0.00 X 0 0 0 HEARD GUILLERMO BOARD MEMBER 1.00 0.00 X 0 0 0 HORNEDO GRACIELA BOARD MEMBER 1.00 0.00 X 0 0 0 LEAL JORGE BOARD MEMBER 1.00 0.00 X 0 0 0 MARTINEZ SERGIO BOARD MEMBER 1.00 0.00 X 0 0 0 PALACIOS ROSANNE BOARD MEMBER 1.00 0.00 X 0 0 0 REYES RAUL BOARD MEMBER 1.00 0.00 X 0 0 0 SANCHEZ-VILLASENOR FERNANDO BOARD MEMBER 1.00 0.00 X 0 0 0 SAUSVILLE RSM SR DENISE BOARD MEMBER 1.00 0.00 X 0 0 0 VARELA OLIVIA BOARD MEMBER 1.00 0.00 X 0 0 0 VERA RSM SR MARIA LUISA BOARD MEMBER & CEO 39.00 1.00 X X 0 0 0 WALKER SUSAN BOARD MEMBER 1.00 0.00 X 0 0 0 ZEPEDA GUADALUPE BOARD MEMBER 1.00 0.00 X 0 0 0 ZUNIGA JOSE O BOARD MEMBER 1.00 0.00 X 0 0 0 0 144804 11420 0 0 1 0 LAREDO MEDICAL CENTER PO BOX 849076 DALLAS TX 752849076 DIAGNOSTIC AND SURGICAL SERVICES 171177 LABCORP PO BOX 12140 BURLINGTON NC 272162140 LAB SERVICES 167333 TULIO A ALVARADO DDS 2605 BURGUNDY LOOP LAREDO TX 78045 DENTAL SERVICES 124475 3 X 34750 116703 1494130 1645583 NET PATIENT SERVICE REVENUE 337287 337287 337287 187 187 4500 0 4500 4500 4500 3000 0 3000 3000 3000 1200 1000 200 200 30493 5681 24812 24812 ALL OTHER REVENUE 160 160 160 2015729 337287 0 32859 X 106213 106213 200674 200674 1872383 1332366 409112 130905 94302 61868 25102 7332 221280 183562 29350 8368 124075 96468 20318 7289 23000 23000 511102 511102 45186 34202 9249 1735 2429 2429 101714 60798 39463 1453 310 260 50 51160 41440 8698 1022 7921 7921 DRUGS & MEDICAL EXPENSE 64249 64249 ALL OTHER EXPENSES 30555 23167 7138 250 REPAIRS & MAINTENANCE 24809 22058 2481 270 3481362 2740856 581882 158624 323090 347606 215791 228491 944 5767 328 300 3688575 3005944 642105 682631 33475070 33945057 34657328 35209852 246855 438111 5000 251855 438111 X 34206460 34524832 199013 246909 34405473 34771741 34657328 35209852 -1465633 1831901 0 X X 0 1 X 1 1 1 X 1942389 1292784 1721358 1759252 1645583 8361366 1942389 1292784 1721358 1759252 1645583 8361366 1477472 6883894 5575 6830 6004 4728 4687 27824 321 225 226 162 160 1094 8390284 1415124 0.82050 0.81720 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: FEES FOR COPYING MED RECORDS - 2017 AMOUNT: $ 321. 2018 AMOUNT: $ 225. 2019 AMOUNT: $ 226. 2020 AMOUNT: $ 162. 2021 AMOUNT: $ 160. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 259229 259229 2715571 2386061 329510 691454 605180 86274 22321 14703 7618 682631 FORM 990, SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE PRIMARILY ALL OF THE HEALTH SYSTEM ENTITIES ARE RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS CHARITABLE ORGANIZATIONS QUALIFYING UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), BY VIRTUE OF IRS DETERMINATION LETTERS OR INCLUSION IN THE OFFICIAL CATHOLIC DIRECTORY. THE HEALTH SYSTEM COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED ON THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2022 OR 2021. 13525 5681 0 16968 0 30493 5681 5681 24812 TX 1 0 1 0 0.56000 0.44000 ELIZABETH CASSO PO BOX 6184 LAREDO TX 78042 0 ELIZABETH CASSO 1000 COORDINATE CHARITABLE BINGO AND RAFFLE IN COMPLIANCE WITH TEXAS LAW AND REQUIREMENTS. X 0 1 CASA DE MISERICORDIA 1000 MIER ST LAREDO TX 78040 742912461 501 (C) (3) 106213 0 PAID TO DOMESTIC VIOLENCE SHELTER 1 MEDICATION ASSISTANCE 262 26082 SURGICAL ASSISTANCE 50 47154 PHYSICIAN FEES 466 127438 PART I, LINE 2: DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS ASSISTANCE IS PROVIDED TO CLINIC PATIENTS FOR FOOD, TRANSPORTATION, MEDICATION AND SURGERIES AND RELATED PHYSICIAN FEES. GROCERY STORE GIFT CARDS ARE GIVEN TO PATIENTS BASED ON THE ASSESSMENTS OF CLINIC COMMUNITY OUTREACH WORKERS WITH THE APPROVAL OF THE DIRECTOR OF OUTREACH AND EDUCATION. ASSESSMENTS ARE BASED ON ACTUAL HOME VISITS AND PATIENT INTERVIEWS. MEDICATIONS FOR CHRONIC ILLNESSES ARE PROVIDED TO CLINIC PATIENTS BASED ON THE RECOMMENDATION OF THE NURSE PRACTITIONER WITH THE APPROVAL OF THE CLINIC DIRECTOR. SOME CLINIC PATIENTS ARE ASSISTED WITH THE COST OF SPECIAL SURGERIES AND PROCEDURES. THE AMOUNT OF ASSISTANCE IS BASED ON THE RECOMMENDATION OF THE SOCIAL WORKER/CASE MANAGER, CLINIC DIRECTOR AND PRESIDENT OF THE CLINIC. THE USE OF GRANT FUNDS IS NOT MONITORED AFTER GRANTS ARE GIVEN. MERCY MINISTRIES MANAGEMENT DESIGNATES A PERCENTAGE OF UNRESTRICTED DONATIONS IN SUPPORT OF CASA DE MISERICORDIA. THESE DONATIONS ARE APPROVED BY THE PRESIDENT OF MERCY MINISTRIES. 0 0 0 0 0 0 0 0 0 CASSO ELIZABETH PRESIDENT 0 96124 0 23421 0 25259 0 5423 0 5997 0 156224 0 0 FORM 990, SCHEDULE J, PART I, QUESTION 3 MERCY MINISTRIES OF LAREDO RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTIONS 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS. FORM 990, PART V, QUESTION 2A W-3 FILING MOST EMPLOYEES ARE PAID BY A RELATED ORGANIZATION UNDER A COMMON PAYMASTER ARRANGEMENT. AS SUCH, REQUIRED PAYROLL FILING (INCLUDING W-2 AND W-3'S) IS REPORTED UNDER THE RELATED ORGANIZATION, MHM SUPPORT SERVICES, EIN 20-2553101. FORM 990, PART VI, SECTION A, LINE 6 THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH. FORM 990, PART VI, SECTION A, LINE 7A MERCY HEALTH (THE SOLE CORPORATE MEMBER) HAS THE AUTHORITY TO: -APPOINTMENT AND REMOVAL OF MEMBERS OF THE BOARD; -APPOINTMENT AND REMOVAL OF THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B MERCY HEALTH (THE SOLE CORPORATE MEMBER) HAS RESERVED SOLELY THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES: -APPROVAL OF THE ADOPTION OF AND ANY REVISIONS TO THE MISSION, VISION AND OPERATING VALUES PURSUANT TO WHICH THE CORPORATION WILL OPERATE; -APPROVAL OF ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION AND THESE BYLAWS AND ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE CORPORATION AND BYLAWS OF ANY AFFILIATE OF THE CORPORATION; -ADOPTION OF BUDGETS FOR THE CORPORATION; -TO LEASE OR SELL ANY OF THE ASSETS OF THE CORPORATION, OR ANY AFFILIATE OF THE CORPORATION, IN EXCESS OF ONE MILLION DOLLARS ($1,000,000); -AUTHORIZATION AND APPROVAL OF ANY INCURRENCE OF DEBT BY THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS OR SERVICES ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) OR THE GRANT OF SECURITY INTERESTS, PLACEMENT OF ENCUMBRANCES, ENTERING INTO COVENANTS, EXECUTION OF ANY DOCUMENTS AND TAKING OF ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; -TO MERGE, DISSOLVE, OR ABANDON THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B DSCR THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 THE FORM 990 IS PREPARED BY MERCY HEALTH'S TAX DEPARTMENT, USING INFORMATION PROVIDED BY THE FILING ORGANIZATION. A DRAFT FORM 990 IS REVIEWED BY THE FILING ORGANIZATION'S FINANCE TEAM, INCLUDING THE DIRECTOR OF FINANCE AND THE VICE-PRESIDENT OF FINANCE. THE DRAFT FORM 990 IS ALSO REVIEWED BY MERCY HEALTH'S TAX DEPARTMENT, TO ENSURE ACCURACY AND CONSISTENCY WITH OTHER RELATED ORGANIZATIONS' FORMS 990. AFTER QUESTIONS ARISING FROM THE VARIOUS REVIEWS ARE ADDRESSED AND INCORPORATED INTO THE FORM 990, A REVISED DRAFT IS PROVIDED TO THE FILING ORGANIZATION'S LEADERSHIP TEAM, INCLUDING THE CFO AND CEO, FOR REVIEW. ONCE REVIEWED AND APPROVED BY THE FILING ORGANIZATION'S LEADERSHIP TEAM, THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW; IT IS THEN SIGNED AND FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER DISQUALIFIED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY AND DID SO IN THE NORMAL COURSE FOR THE YEAR ENDED JUNE 30, 2022. THIS PROCESS IS ADMINISTERED AT THE MERCY HEALTH LEVEL BY MERCY'S CORPORATE COMPLIANCE DEPARTMENT. THE QUESTIONNAIRES ARE REVIEWED WITH LEADERSHIP AT THE LOCAL LEVEL AND POTENTIAL CONFLICTS DISCUSSED AND RESOLVED. THE CONFLICTS AND THEIR RESPECTIVE RESOLUTIONS ARE SHARED AT THE MERCY LEVEL WITH A TEAM INCLUDING MERCY'S CHIEF FINANCIAL OFFICER, CHIEF COMPLIANCE OFFICER AND OTHER MEMBERS OF FINANCE, LEGAL AND HR. SUMMARY RESULTS ARE REVIEWED WITH MERCY'S STEWARDSHIP COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMT TO GEN PUBLIC GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST BUT ARE NOT PUBLISHED PUBLICLY. FORM 990, PART VI, QUESTIONS 15A & 15B OFFICERS & POSITIONS FOR WHICH PROCESS WAS USED & YEAR PROCESS WAS BEGUN FOR THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS), THE ORGANIZATION RELIES UPON MERCY HEALTH, WHICH USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT, AND REVIEW/APPROVAL OF COMPENSATION BY THE COMPENSATION COMMITTEE OF THE BOARD OF MERCY HEALTH. FORM 990, PART VII, SECTION A SR. MARIA LUISA VERA, RSM, DOES NOT TAKE COMPENSATION FOR HER ROLE AS CEO OF MERCY MINISTRIES OF LAREDO. HER COMPENSATION IS PAID DIRECTLY TO THE RELIGIOUS ORDER, AS SHE HAS TAKEN A VOW OF POVERTY. FORM 990, PART VIII IMPACT OF COVID-19 PANDEMIC EARLY IN 2020, THE MERCY HEALTH SYSTEM WAS CALLED TO SERVE AS THE COVID-19 PANDEMIC SWEPT ACROSS THE WORLD. DURING FY22, THE IMPACT OF COVID-19 AND INFLATION HAS BEEN AND STILL IS SIGNIFICANT TO OUR COMMUNITIES WITH CHANGES IN PATIENT CARE REVENUES DUE TO SURGES, INCREASING THE COSTS OF SALARIES AND AGENCY LABOR, AND SUPPLY CHAIN IMPACTS. ALL MERCY FACILITIES ADJUSTED OPERATIONS FOR THE IMPACTS OF THE PANDEMIC. IN ADDITION, MERCY FOUNDATIONS AND OUTREACH MINISTRIES EXPERIENCED LIMITATIONS IN FUNDRAISING FOR PROGRAM AND CAPITAL SUPPORT EFFORTS THAT ASSIST THE UNDERSERVED IN OUR COMMUNITIES. MERCY DID RECEIVE FUNDING FROM THE CORONAVIRUS AID RELIEF AND ECONOMIC SECURITY ACT ("CARES ACT"). MERCY RECEIVED CARES ACT FUNDING FOR THE PAST THREE YEARS ACROSS VARIOUS ENTITIES AND RECOGNIZED A PORTION OF THIS FUNDING IN OTHER OPERATING REVENUE. THESE FUNDS HELPED TO OFFSET REVENUE LOSSES AND ADDITIONAL EXPENSES INCURRED DUE TO THE PANDEMIC; HOWEVER, THESE FUNDS FELL SHORT OF THE SYSTEM LOSSES EXPERIENCED SINCE THE START OF THE PANDEMIC. MERCY CONTINUES TO MONITOR THE IMPACTS OF THE PANDEMIC BOTH TO THE HEALTH SYSTEM AND THE COMMUNITIES SERVED AS WE CONTINUE TO PROVIDE ASSISTANCE AND MAINTAIN ACCESS TO CARE WITHIN OUR COMMUNITIES. FORM 990, PART IX, LINE 11G LAB & DIAGNOSTIC TESTING: PROGRAM SERVICE EXPENSES 300,497. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 300,497. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 210,125. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 210,125. SECURITY COMPANY: PROGRAM SERVICE EXPENSES 480. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 480. FORM 990, PART XII, QUESTION 2C AUDIT OF FINANCIAL STATEMENTS THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN MERCY HEALTH AND SUBSIDIARIES ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 2022 (THE TAX YEAR CURRENTLY BEING REPORTED). HOWEVER, NO SEPARATE AUDIT OPINION WAS ISSUED ON THE FINANCIAL STATEMENTS OF THE FILING ORGANIZATION. THE ULTIMATE RESPONSIBILITY FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE EXTERNAL AUDITOR LIES WITH THE STEWARDSHIP COMMITTEE OF THE MERCY HEALTH BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE. FORM 990, PART XII, QUESTION 3A AND 3B SINGLE AUDIT ACT AND 2 CFR 200 AUDIT MERCY HEALTH UNDERGOES A CONSOLIDATED 2 CFR 200 AUDIT EVERY YEAR AND THIS AUDIT WAS COMPLETED FOR THE FISCAL YEAR ENDING JUNE 30, 2022 BY MARCH 31, 2023. EACH ENTITY THAT RECEIVES FEDERAL FUNDS DURING THE YEAR IS INCLUDED ON THE SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS (SEFA) AND IS ALSO INCLUDED IN THE POPULATION INCLUDED IN THE AUDIT. IF THE FILING ENTITY RECEIVED FEDERAL FUNDS DURING THE YEAR ENDED JUNE 30, 2022, IT WILL BE INCLUDED ON THE MERCY HEALTH CONSOLIDATED SEFA, AND THEREFORE, ALSO INCLUDED IN THE POPULATION INCLUDED IN THE AUDIT. CASA DE MISERICORDIA 1000 MIER ST LAREDO TX 78040 742912461 WOMEN'S DOMESTIC VIOLENCE SHELTER TX 501(C)(3) LINE 7 MERCY MINISTRIES OF LAREDO 1 MCAULEY PORTFOLIO MANAGEMENT COMPANY 14528 S OUTER FORTY SUITE 100 CHESTERFIELD MO 63017 261708048 PORTFOLIO MANAGEMENT. MO 501(C)(3) LINE 12B, II MERCY HEALTH 1 MERCY ACO CLINICAL SERVICES INC 14528 S OUTER FORTY SUITE 100 CHESTERFIELD MO 63017 464504901 VIRTUAL CARE CENTER MO 501(C)(3) LINE 3 MERCY HEALTH 1 MERCY CLINIC EAST COMMUNITIES 645 MARYVILLE CENTRE DRIVE SUITE 10 ST LOUIS MO 63141 431771217 PHYSICIAN GROUP MO 501(C)(3) LINE 10 MERCY HEALTH EAST COMMUNITIES 1 MERCY CLINIC FORT SMITH COMMUNITIES 7301 ROGERS AVENUE FORT SMITH AR 72903 261318597 PHYSICIAN CLINIC AR 501(C)(3) LINE 3 MERCY HEALTH FORT SMITH COMMUNITIES 1 MERCY CLINIC OKLAHOMA COMMUNITIES INC 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 270473057 PHYSICIAN GROUP OK 501(C)(3) LINE 3 MERCY HEALTH OKLAHOMA COMMUNITIES INC 1 MERCY CLINIC SPRINGFIELD COMMUNITIES 1965 FREMONT STREET SUITE 2950 SPRINGFIELD MO 65804 431560263 PHYSICIAN GROUP MO 501(C)(3) LINE 3 MERCY HEALTH SPRINGFIELD COMMUNITIES 1 MERCY FAMILY CENTER 110 VETERANS BLVD METAIRIE LA 70005 721069468 FAMILY COUNSELING SERVICE LA 501(C)(3) LINE 7 MERCY HEALTH 1 MERCY HEALTH 14528 S OUTER FORTY SUITE 100 CHESTERFIELD MO 63017 431423050 CORPORATE OFFICE MO 501(C)(3) LINE 1 N/A 0 MERCY HEALTH EAST COMMUNITIES 14528 S OUTER FORTY SUITE 100 CHESTERFIELD MO 63017 431718408 HEALTH SYSTEM MO 501(C)(3) LINE 12A, I MERCY HEALTH 1 MERCY HEALTH FORT SMITH COMMUNITIES 7301 ROGERS AVENUE FORT SMITH AR 72917 261318515 HOLDING COMPANY AR 501(C)(3) LINE 12B, II MERCY HEALTH 1 MERCY HEALTH FOUNDATION 14528 S OUTER FORTY SUITE 100 CHESTERFIELD MO 63017 200901499 FOUNDATION MO 501(C)(3) LINE 12B, II MERCY HEALTH 1 MERCY HEALTH FOUNDATION ADA 430 N MONTE VISTA STREET ADA OK 74820 463596274 FOUNDATION OK 501(C)(3) LINE 12A, I MERCY HOSPITAL ADA INC 1 MERCY HEALTH FOUNDATION ARDMORE 1011 14TH AVENUE NW ARDMORE OK 73401 710962525 FOUNDATION OK 501(C)(3) LINE 12A, I MERCY HOSPITAL ARDMORE INC 1 MERCY HEALTH FOUNDATION BERRYVILLE 214 CARTER STREET BERRYVILLE AR 72616 710759301 FOUNDATION AR 501(C)(3) LINE 12A, I MERCY HOSPITAL BERRYVILLE 1 MERCY HEALTH FOUNDATION FORT SCOTT 401 WOODLAND HILLS BLVD FORT SCOTT KS 66701 481077073 FOUNDATION KS 501(C)(3) LINE 7 MERCY KANSAS COMMUNITIES INC 1 MERCY HEALTH FOUNDATION FORT SMITH 7301 ROGERS AVENUE FORT SMITH AR 72917 237330425 FOUNDATION AR 501(C)(3) LINE 7 MERCY HEALTH FORT SMITH COMMUNITIES 1 MERCY HEALTH FOUNDATION JEFFERSON 1400 US HIGHWAY 61 SOUTH FESTUS MO 63028 462797051 FOUNDATION MO 501(C)(3) LINE 12B, II MERCY HOSPITAL JEFFERSON 1 MERCY HEALTH FOUNDATION JOPLIN 100 MERCY WAY JOPLIN MO 64804 270906136 FOUNDATION MO 501(C)(3) LINE 7 MERCY HEALTH SW MOKS COMMUNITIES 1 MERCY HEALTH FOUNDATION LEBANON 100 HOSPITAL DRIVE LEBANON MO 65536 822514567 FOUNDATION MO 501(C)(3) LINE 12B, II MERCY HOSPITAL LEBANON 1 MERCY HEALTH FOUNDATION LINCOLN 1000 EAST CHERRY STREET TROY MO 63379 811477159 FOUNDATION MO 501(C)(3) LINE 12B, II MERCY HOSPITALS EAST COMMUNITIES 1 MERCY HEALTH FOUNDATION NORTHWEST ARKANSAS 2710 RIFE MEDICAL LANE ROGERS AR 72758 710601687 FOUNDATION AR 501(C)(3) LINE 7 MERCY HOSPITAL ROGERS 1 MERCY HEALTH FOUNDATION OF OKLAHOMA 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 454732301 FOUNDATION OK 501(C)(3) LINE 12A, I MERCY HEALTH OKLAHOMA COMMUNITIES INC 1 MERCY HEALTH FOUNDATION OKLAHOMA CITY 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 463184231 FOUNDATION OK 501(C)(3) LINE 12A, I MERCY HOSPITAL OKLAHOMA CITY INC 1 MERCY HEALTH FOUNDATION SPRINGFIELD 1235 E CHEROKEE STREET SPRINGFIELD MO 65804 320195818 FOUNDATION MO 501(C)(3) LINE 12B, II MERCY HEALTH SPRINGFIELD COMMUNITIES 1 MERCY HEALTH FOUNDATION ST FRANCIS 100 W HIGHWAY 60 MOUNTAIN VIEW MO 65548 431873914 FOUNDATION MO 501(C)(3) LINE 12A, I MERCY ST FRANCIS HOSPITAL 1 MERCY HEALTH FOUNDATION ST LOUIS 14528 S OUTER FORTY SUITE 100 CHESTERFIELD MO 63017 562410020 FOUNDATION MO 501(C)(3) LINE 12B, II MERCY HEALTH EAST COMMUNITIES 1 MERCY HEALTH FOUNDATION WASHINGTON 901 E FIFTH STREET WASHINGTON MO 63090 562410022 FOUNDATION MO 501(C)(3) LINE 12B, II MERCY HEALTH EAST COMMUNITIES 1 MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES 2710 RIFE MEDICAL LANE ROGERS AR 72758 621684203 PHYSICIAN GROUP AR 501(C)(3) LINE 10 MERCY HEALTH 1 MERCY HEALTH OKLAHOMA COMMUNITIES INC 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 731453048 HEALTH SYSTEM OK 501(C)(3) LINE 12A, I MERCY HEALTH 1 MERCY HEALTH PLANS OF MISSOURI INC 3265 S NATIONAL AVENUE SPRINGFIELD MO 65807 320481419 HMO MO 501(C)(4) MERCY HEALTH 1 MERCY HEALTH PLANS INC 3265 S NATIONAL AVENUE SPRINGFIELD MO 65807 320486150 PPO MO 501(C)(4) MERCY HEALTH PLANS OF MISSOURI INC 1 MERCY HEALTH SOUTHWEST MISSOURIKANSAS COMMUNITIES 100 MERCY WAY JOPLIN MO 64804 300584463 HEALTH SYSTEM MO 501(C)(3) LINE 12B, II MERCY HEALTH 1 MERCY HEALTH SPRINGFIELD COMMUNITIES 1235 E CHEROKEE STREET SPRINGFIELD MO 65804 431856028 HEALTH SYSTEM MO 501(C)(3) LINE 12B, II MERCY HEALTH 1 MERCY HOSPITAL ADA INC 430 N MONTE VISTA STREET ADA OK 74820 462288155 HOSPITAL OK 501(C)(3) LINE 3 MERCY HEALTH OKLAHOMA COMMUNITIES INC 1 MERCY HOSPITAL ARDMORE INC 1011 14TH AVENUE NW ARDMORE OK 73401 731500629 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MERCY HOSPITAL LOGAN COUNTY INC 200 SOUTH ACADEMY GUTHRIE OK 73044 452998842 HOSPITAL OK 501(C)(3) LINE 3 MERCY HOSPITAL OKLAHOMA CITY INC 1 MERCY HOSPITAL OKLAHOMA CITY INC 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 730579285 HOSPITAL OK 501(C)(3) LINE 3 MERCY HEALTH OKLAHOMA COMMUNITIES INC 1 MERCY HOSPITAL OZARK 801 W RIVER STREET OZARK AR 72949 710689680 HOSPITAL AR 501(C)(3) LINE 3 MERCY HOSPITAL FORT SMITH 1 MERCY HOSPITAL PARIS 500 E ACADEMY PARIS AR 72855 710655753 HOSPITAL AR 501(C)(3) LINE 3 MERCY HOSPITAL FORT SMITH 1 MERCY HOSPITAL ROGERS 2710 RIFE MEDICAL LANE ROGERS AR 72758 710294390 HOSPITAL AR 501(C)(3) LINE 3 MERCY HEALTH NW ARK COMMUNITIES 1 MERCY HOSPITAL SPRINGFIELD 1235 E CHEROKEE STREET SPRINGFIELD MO 65804 440552485 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH SPRINGFIELD COMMUNITIES 1 MERCY HOSPITAL TISHOMINGO INC 1000 SOUTH BYRD TISHOMINGO OK 73460 274433830 HOSPITAL OK 501(C)(3) LINE 3 MERCY HOSPITAL ADA INC 1 MERCY HOSPITAL WALDRON 1341 W 6TH STREET WALDRON AR 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INSURANCE COMPANY LTD AON HOUSE 30 WOODBOURNE AVENUE PEMBROKE HM 08 BD 000000000 INACTIVE BD MERCY HEALTH C 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 MHM SUPPORT SERVICES Q 1838463 FMV CASA DE MISERICORDIA B 106213 FMV FORM 990, SCHEDULE R, PART II MERCY HOSPITALS EAST COMMUNITIES MERCY HOSPITALS EAST COMMUNITIES CONSISTS OF MERCY HOSPITAL ST. LOUIS, EIN 43-0653493, AND MERCY HOSPITAL WASHINGTON, EIN 43-1066883. FORM 990, SCHEDULE R, PART V LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY HEALTH SYSTEM, INC. AND SUBSIDIARIES. THE MAJORITY OF THE INTERCOMPANY/RELATED ORGANIZATION TRANSACTIONS ARE PROCESSED THROUGH LAWSON VIA INTERCOMPANY JOURNAL ENTRIES. WITH THE CURRENT DESIGN OF THE ERP SYSTEM, THERE ARE VARIOUS LIMITATIONS ON THE RELATED ORGANIZATION INFORMATION THAT CAN BE EXTRACTED FROM LAWSON. DUE TO THESE LIMITATIONS, MOST OF THE RELATED ORGANIZATION ACTIVITY FOR THE FILING ORGANIZATION HAS BEEN CLASSIFIED ON SCHEDULE R, PART V, IN LINES P AND Q.