2025-05-15T17:30:30-05:00 2024-06-30 390859910 BAKER TILLY ADVISORY GROUP LP 500 MIDLAND COURT PO BOX 8130 JANESVILLE WI 535478130 990 2023-07-01 362167945 MERCYHEALTH VISITING NURSES ASSOCIATION INC MERC 8159715000 8201 E RIVERSIDE BLVD ROCKFORD IL 61114 JAVON BEA PRESIDENT/CEO 8159715000 2025-05-15 1 1 TROY MARINE CPA P00187863 6087525835 2025-05-15 2023 2025-03-06 01:10:19Z X MERCYHEALTH AT HOME JAVON BEA 8201 E RIVERSIDE BLVD ROCKFORD IL 61114 10788962 0 X WWW.MERCYHEALTHSYSTEM.ORG X 1920 IL TO IMPROVE AND PROTECT THE HEALTH AND WELFARE OF THE COMMUNITY IN ACCORDANCE WITH OUR MISSION, THE MISSION OF VNA 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. 8 6 144 26 0 0 859544 40279 9832566 10676133 0 0 86153 72893 10778263 10789305 0 0 0 0 8999153 9031966 0 0 0 2119707 2622156 11118860 11654122 -340597 -864817 15118462 17391819 3636209 5297616 11482253 12094203 X THE MISSION OF THE MERCYHEALTH VISITING NURSES ASSOCIATION, INC. (VNA) 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. 0 1 6132761 7661740 VNA OFFERS SPECIALIZED ASSISTANCE THROUGH THE HOSPICE PROFESSIONALS, AND 17 TRAINED VOLUNTEERS CARED FOR 271 TERMINALLY ILL PATIENTS AND THEIR FAMILIES IN 2024. SUPPORT AND COMFORT IS PROVIDED TO THE PATIENT AS WELL AS THE PATIENT'S ENTIRE FAMILY, INCLUDING TWELVE MONTHS OF BEREAVEMENT FOLLOW-UP AFTER THEIR LOVED ONE'S DEATH. SPECIALLY TRAINED THERAPY DOGS ARE ALSO A PART OF THE SERVICE PROVIDING COMFORT THROUGH PET THERAPY. DURING 2024, HOSPICE STAFF PROVIDED 23,363 DAYS CARING FOR PHYSICAL AND EMOTIONAL NEEDS OF PATIENTS IN THEIR HOMES, IN NURSING FACILITIES, AND IN HOSPITALS. OLDER ADULT CARE SERVICES AND OTHER ADULT SERVICES SUCH AS MONEY MANAGEMENT ARE TO HELP PEOPLE LIVE IN THEIR OWN HOMES AND PREVENT INSTITUTIONALIZATION INTO NURSING HOMES. OVER 7,100 CLIENTS WERE PROVIDED A VARIETY OF SERVICES DURING 2024. NEARLY 2,700 ELDERLY RECEIVED SOCIAL CASE MANAGEMENT SERVICES INCLUDING AN INITIAL ASSESSMENT TO DETERMINE NEEDS AND THEN ASSISTANCE WITH ARRANGING FOR ANY AND ALL SERVICES FROM THE COMMUNITY TO HELP SUPPORT THEM IN THEIR HOME. OTHER SERVICES INCLUDE A PROGRAM TO SERVE ELDERLY WHO HAVE BEEN NEGLECTED, ABUSED, AND/OR FINANCIALLY EXPLOITED. THE "MONEY MANAGEMENT" PROGRAM SUPPORTS SENIORS WHO HAVE DIFFICULTY IN MANAGING THEIR BILLS, AND "MONEY FOLLOWS THE PERSON" PROGRAM PROVIDES SUPPORT TO HELP MOVE ELDERLY FROM NURSING HOMES BACK TO LIVING IN THEIR OWN HOME. SUPPORT AND TRAINING IS PROVIDED FOR CARETAKERS. NUMEROUS VOLUNTEERS ARE UTILIZED TO SUPPORT MANY OF THESE UNDERFUNDED SERVICES. 2920532 3087286 VNA HAS BEEN PROVIDING HOME HEALTH SERVICES SINCE IT WAS ESTABLISHED IN 1920. THESE SERVICES HAVE EVOLVED BASED ON COMMUNITY NEEDS. A COMMUNITY VOLUNTARY BOARD OF DIRECTORS PROVIDES AN ANNUAL EVALUATION OF SERVICES BASED ON COMMUNITY NEEDS. HOME HEALTH IS A CORE SERVICE AND HAS BECOME CRITICALLY IMPORTANT WITH HELPING TO KEEP PEOPLE IN THEIR HOMES AND OUT OF INSTITUTIONS WHERE COSTS ARE SIGNIFICANTLY GREATER. THE HOME HEALTH CARE STAFF PROVIDED 986 PATIENTS WITH OVER 15,100 VISITS BY NURSES, THERAPISTS (PT, ST, OT) AND NURSE AIDES IN 2024. 9053293 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 17 0 1 144 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 6 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 IL X JOE MALAS 8159716738 8201 E RIVERSIDE BLVD ROCKFORD IL 61114 TODD ANDERSON VP/CFO (TERM 01/2025) 1.00 62.00 X 0 890535 87531 KIMBERLY SCACCIA VP - REVENUE CYCLE 1.00 62.00 X 0 545085 60588 MARK L GOELZER MD DIRECTOR/PHYSICIAN 1.00 45.00 X 0 481051 33521 ROBERT WALTERS EXECUTIVE DIRECTOR 40.00 0.00 X 402559 0 57159 RAYLENE WINTERLAND RN HOME HEALTH HOSPICE ADVANCED CERTIFIED 40.00 0.00 X 144425 0 29471 DEBRA A ROLF DIRECTOR OF HOMECARE AND H 40.00 0.00 X 156408 0 13577 DAWN GILE RN FOR HOME HEALTH/HOSPICE 40.00 0.00 X 127438 0 19265 NGOZI EZEANI RN FOR HOME HEALTH/HOSPICE 40.00 0.00 X 114576 0 6727 HENRI HAFALLA HOME HEALTH THERAPY SUPERVISOR 40.00 0.00 X 114088 0 25551 JAVON R BEA PRESIDENT/CEO (SEE PAGES 36-41) 1.00 67.00 X X 0 16001686 6756093 ROWLAND J MCCLELLAN CHAIR & DIRECTOR 1.00 7.00 X X 0 23157 0 WESLEY M JOST DIRECTOR 1.00 7.00 X 0 13858 0 KATHERINE A SCHACK DIRECTOR 1.00 7.00 X 0 13663 0 THOMAS R POOL VICE CHAIR & DIRECTOR 1.00 7.00 X X 0 13500 0 THOMAS D BUDD SECRETARY & TREASURER 1.00 7.00 X X 0 13500 0 DAVE L SYVERSON DIRECTOR 1.00 7.00 X 0 12932 0 1059494 18008967 7089483 13 0 1 0 0 40279 40279 MEDICARE/MEDICAID PAYM 621610 6073384 6073384 GOVERNMENT CONTRACTS 621610 3056778 3056778 COMMERCIAL/SELF PAY 621610 1545971 1545971 10676133 -343 343 343 MISCELLANEOUS 900099 72550 72550 72550 10789305 10749026 0 0 459718 385164 74554 7328910 6140352 1188558 61384 61384 616382 27045 589337 565572 482858 82714 4163 4163 51111 39021 12090 38608 38608 100395 44798 55597 195100 20991 174109 1200802 981697 219105 298671 295316 3355 2848 535 2313 19248 19248 18340 18340 MEDICAL SUPPLIES 490200 487299 2901 MISCELLANEOUS 202670 148217 54453 11654122 9053293 2600829 0 7559450 9483757 655225 907687 2579820 1882655 22459 22917 2554508 2248698 323157 305810 3978351 4788993 15118462 17391819 1280137 459451 40848 62520 2315224 4775645 3636209 5297616 X 11009359 11621309 472894 472894 11482253 12094203 15118462 17391819 X -864817 1476767 X 0 1 X 1 1 1 X 256167 17035 14590 859544 40279 1187615 17835147 17489605 16625490 10218697 10676133 72845072 18091314 17506640 16640080 11078241 10716412 74032687 0 2375053 2243780 2152623 2625674 2524803 11921933 2375053 2243780 2152623 2625674 2524803 11921933 62110754 11050 108242 68106 61634 72550 321582 18102364 17614882 16708186 11139875 10788962 74354269 0.83530 0.85120 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 4163 4163 0 PART II-B, LINE 1: TOTAL LOBBYING FOR FY2024 OF $4,163 INCLUDED THE FOLLOWING: $33 OR 1.2% OF THE NHPCO DUES OF $2,798. $1,496 OR 17% OF THE ILLINOIS HOMECARE OF $8,800. $2,634 OR 23% OF THE NAHC DUES OF $11,450. 5869222 1410639 599097 -900 6681664 3367553 2501970 2539 -2238 5869222 3696049 -296948 31180 368 3367553 3084834 200 656475 45132 328 3696049 2839116 37162 214551 5588 407 3084834 0.38590 0.31620 0.29790 0 1 1 143986 143986 1452070 1333746 118324 79029 66763 12266 879423 848189 31234 305810 INTEREST IN BENEFICIAL TRUST 4529984 LEASE RIGHT OF USE 253600 DUE FROM MERCYHEALTH DEVELOPMENT FOUNDATION 148 DUE FROM MERCY HEALTH CORPORATION 1132 FORWARD ACCRUAL 4129 4788993 DUE TO JAVON BEA HOSPITAL 1048441 DUE TO MERCY HEALTH 1320043 DUE TO MERCY ASSISTED CARE 799991 DUE TO MERCY HARVARD HOSPITAL 6461 DUE TO ROCKFORD HEALTH PHYSICIANS 10563 LEASE LIABILITY 176540 COST STMT SETTLEMENT-MEDICARE 1061000 POST RETIREMENT ACCRUAL RESERVE 309159 MISCELLANEOUS 43447 4775645 PART V, LINE 4: FUNDS WERE USED TO PROVIDE A LECTURE SERIES, FOR CONTINUING EDUCATION FOR EMPLOYEES WANTING TO IMPROVE THEIR CREDENTIAL OR TO FOCUS ON A NEW SKILL OR SOME TECHNOLOGY NOT CURRENTLY AVAILABLE IN THE ROCKFORD COMMUNITY. THERE WERE ALSO MISCELLANEOUS PROJECTS DESIGNATED BY THE FOUNDATION BOARD IN ACCORDANCE WITH THE SPECIFIC ENDOWMENT. ALL FUNDS WERE EXPENDED PER THE SPECIFIC DIRECTION OF EACH ENDOWMENT. 0 1 0 0 0 0 0 0 0 TODD ANDERSON VP/CFO (TERM 01/2025) 0 583582 0 298099 0 8854 0 49833 0 37698 0 978066 0 0 KIMBERLY SCACCIA VP - REVENUE CYCLE 0 364549 0 174918 0 5618 0 28911 0 31677 0 605673 0 0 MARK L GOELZER MD DIRECTOR/PHYSICIAN 0 246712 0 227923 0 6416 0 15657 0 17864 0 514572 0 0 ROBERT WALTERS EXECUTIVE DIRECTOR 262984 0 136162 0 3413 0 19817 0 37342 0 459718 0 0 0 RAYLENE WINTERLAND RN HOME HEALTH HOSPICE ADVANCED CERTIFIED 119100 0 16200 0 9125 0 3949 0 25522 0 173896 0 0 0 DEBRA A ROLF DIRECTOR OF HOMECARE AND H 130699 0 20174 0 5535 0 4784 0 8793 0 169985 0 0 0 JAVON R BEA PRESIDENT/CEO (SEE PAGES 36-41) 0 1816003 0 0 0 14185683 0 6738431 0 17662 0 22757779 0 12669012 PART I, LINE 3 COMPENSATION FOR EXECUTIVES, INCLUDING THE TOP MANAGEMENT OFFICIAL, IS GOVERNED BY THE MHC BOARD OF DIRECTORS (A RELATED ORGANIZATION AND SOLE CORPORATE MEMBER OF VNA). THE MHC BOARD HAS ESTABLISHED A TOTAL COMPENSATION PHILOSOPHY THAT DIRECTS THE COMPENSATION PRACTICES FOR ALL EXECUTIVES FROM ALL RELATED ENTITIES (INCLUDING VNA) THIS BOARD HAS ESTABLISHED A COMPENSATION COMMITTEE TO ESTABLISH AND REVIEW ALL EXECUTIVE COMPENSATION ANNUALLY BASED ON THE ESTABLISHED PHILOSOPHY. AN INDEPENDENT EXTERNAL EXECUTIVE COMPENSATION FIRM PROVIDES CONSULTING ON MHC (INCLUDING VNA) SALARY RANGES AND COMPENSATION PHILOSOPHY. THE APPROPRIATE PEER GROUP FOR COMPENSATION COMPARISON PURPOSES IS OTHER NOT-FOR-PROFIT HEALTHCARE SYSTEMS SIMILAR IN SIZE AND COMPLEXITY. MHC GENERALLY CONDUCTS AN ANALYSIS OF TOTAL COMPENSATION EVERY THREE YEARS BUT MAY CHOOSE TO VARY FROM THIS SCHEDULE AS DETERMINED BY THE COMPENSATION COMMITTEE. THE VNA BOARD OF DIRECTORS CONCEDES THE AUTHORITY TO SET COMPENSATION TO MHC AS THE SOLE CORPORATE MEMBER THIS PROCESS WAS LAST COMPLETED IN 2023. PART I, LINE 4B INCENTIVE PLAN DISTRIBUTION: JAVON R. BEA - $8,510,830 PART II, LINE 1: JAVON R. BEA DEFERRED COMPENSATION PAYMENT MR. BEA HAS BEEN EMPLOYED BY MHSC AS PRESIDENT AND CEO OVER THE PAST 36 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 89 FACILITIES IN 50 COMMUNITIES THROUGHOUT SOUTHERN WISCONSIN AND NORTHERN ILLINOIS, INCREASING GROSS REVENUE FROM $33 MILLION TO OVER $4.1 BILLION IN FY2024. THIS HAS ALLOWED THE HEALTH SYSTEM TO GO FROM SERVING 89,000 PATIENTS IN 1989 TO OVER 1.9 MILLION PATIENTS TODAY WORKING TOGETHER WITH OVER 7,500+ PARTNERS IN HEALTH CARE AND OVER 800 EMPLOYED PHYSICIANS. 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 FROM THE PRESIDENT OF THE UNITED STATES, 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. FORM 990, PART III, LINE 3 MEDICAL EQUIPMENT AND RESPIRATORY SERVICES ARE NO LONGER PROVIDED BY VNA BUT NOW PROVIDED BY MERCY ASSISTED CARE (MAC), A RELATED ORGANIZATION. THESE SERVICES PROVIDED BY MAC ARE STILL TO THE PATIENTS IN THEIR HOMES TO ASSIST THEM IN LIVING INDEPENDENTLY. FORM 990, PART VI, SECTION A, LINE 1A THE VOTING MEMBERS OF THE EXECUTIVE COMMITTEE CONSIST OF SEVEN INDIVIDUALS, EACH OF WHOM SHALL HAVE A VOTE, INCLUDING THE CEO, CHAIRMAN, VICE-CHAIRMAN, IMMEDIATE PAST CHAIRMAN, TREASURER, AND TWO 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 6 MERCY HEALTH CORPORATION (MHC) IS THE SOLE CORPORATE MEMBER OF MERCYHEALTH VISITING NURSES, INC. (VNA). THE SOLE MEMBER SHALL HAVE 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. FORM 990, PART VI, SECTION A, LINE 7A SEE NARRATIVE FOR FORM 990 , PART VI, LINE 6 FORM 990, PART VI, SECTION A, LINE 7B SEE NARRATIVE FOR FORM 990 , 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 2024, WHEN THE QUESTIONNAIRES WERE SENT TO ADDRESS ANY 2023 CONFLICTS IDENTIFIED. MHC AND JBH 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 C, LINE 19 NO DOCUMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9: UNRESTRICTED FUNDS - MHDF -2,343,815. POST RETIREMENT MEDICAL BENEFIT ADJUSTMENT 3,811,824. TEMPORARILY RESTRICTED FUNDS 8,758. JAVON BEA HOSPITAL 8201 E RIVERSIDE BLVD ROCKFORD IL 61114 362167847 HEALTHCARE IL 501(C)(3) LINE 3 MERCY HEALTH CORPORATION 0 MERCYHEALTH DEVELOPMENT FOUNDATION 8201 E RIVERSIDE BLVD ROCKFORD IL 61114 363197918 SUPPORT OF HEALTHCARE IL 501(C)(3) LINE 12A, I MERCY HEALTH CORPORATION 0 ROCKFORD HEALTH PHYSICIANS 8201 E RIVERSIDE BLVD ROCKFORD IL 61114 363907436 HEALTHCARE IL 501(C)(3) LINE 3 MERCY HEALTH CORPORATION 0 MERCY HEALTH SYSTEM ASSOCIATION OF VOLUNTEERS 1000 MINERAL POINT JANESVILLE WI 53548 390912682 SUPPORT OF HEALTHCARE WI 501(C)(3) LINE 12C, III-FI MERCY HEALTH SYSTEM CORPORATION 0 MERCY HEALTH SYSTEM CORPORATION PO BOX 5003 1000 MINERAL POINT JANESVILLE WI 535475003 390816848 HEALTHCARE WI 501(C)(3) LINE 3 MERCY HEALTH CORPORATION 0 MERCY ASSISTED CARE INC 901 MINERAL POINT AVE JANESVILLE WI 53548 391035110 HEALTHCARE WI 501(C)(3) LINE 10 MERCY HEALTH CORPORATION 0 MERCY HARVARD HOSPITAL INC 901 GRANT STREET HARVARD IL 60033 311551871 HEALTHCARE IL 501(C)(3) LINE 3 MERCY HEALTH CORPORATION 0 MERCY CRYSTAL LAKE HOSPITAL AND MEDICAL CENTER 875 S ROUTE 31 CRYSTAL LAKE IL 60014 201673011 HEALTHCARE IL 501(C)(3) LINE 3 MERCY HEALTH CORPORATION 0 MERCY HEALTH CORPORATION 8201 E RIVERSIDE BLVD ROCKFORD IL 61114 472158680 SUPPORT OF HEALTHCARE IL 501(C)(3) LINE 12B, II N/A 0 ROCKFORD HEALTH INSURANCE LTD WELLESLEY HOUSE SO 2ND FL PEMBROKE HM BD INSURANCE BD N/A C 0 JANESVILLE MEDICAL CENTER INC 1000 MINERAL POINT AVE JANESVILLE WI 53548 391520130 MANAGEMENT OF UNION EMPLOYEES WI N/A C 0 MERCYCARE INSURANCE COMPANY 580 N WASHINGTON ST JANESVILLE WI 53546 391768192 INSURANCE WI N/A C 0 MERCYCARE HMO INC - CONSOLIDATED WITH MERCYCARE INSURANCE CO 580 N WASHINGTON ST JANESVILLE WI 53546 201482553 INSURANCE WI N/A C 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0