2025-05-14T09:41:51-05:00 2024-06-30 346565596 ERNST & YOUNG US LLP 221 EAST 4TH STREET CINCINNATI OH 45202 990 2024-01-01 430654874 SOUTHEAST HOSPITAL SOUT 3145796100 1701 LACEY STREET CAPE GIRARDEAU MO 63701 KRISTA BERRY CHIEF FINANCIAL OFFICER 3145796100 2025-05-14 1 1 JULIE L SPARKS P01268401 5136121400 2023 2025-03-06 01:10:19Z MERCY HOSPITAL SOUTHEAST ERIC AMMONS 1701 LACEY STREET CAPE GIRARDEAU MO 63701 208795060 0 X WWW.MERCY.NET X 1926 MO AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. 17 10 0 62 1128663 0 6255928 1799963 380195373 201079195 2102811 2476756 -605452 1457612 387948660 206813526 1356541 184385 0 0 196212557 115483569 0 0 0 334766610 117425621 532335708 233093575 -144387048 -26280049 267173625 252794144 249967241 259643558 17206384 -6849414 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 24210523 30107193 MERCY HOSPITAL SOUTHEAST PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY BY OFFERING ESSENTIAL HEALTH SERVICES TO ITS COMMUNITY. IN ACTIVE PURSUIT OF THIS MISSION, MERCY HOSPITAL SOUTHEAST PROVIDES A WIDE VARIETY OF SERVICES IN THEIR 245 BED FACILITY AND IN FY24, HAD 182,107 TOTAL CASES. AT MERCY HOSPITAL SOUTHEAST, CANCER CARE IS ABOUT MORE THAN PROVIDING CLINICAL TREATMENTS. MERCY HOSPITAL SOUTHEAST ALSO OFFERS SUPPORT SERVICES TO HELP YOU MAINTAIN YOUR PHYSICAL, MENTAL AND EMOTIONAL HEALTH. MERCY'S CANCER SPECIALISTS CARE FOR ALMOST EVERY TYPE OF CANCER AND PARTICIPATE IN CLINICAL RESEARCH TO BRING YOU THE MOST ADVANCED CANCER TREATMENT AVAILABLE. IN FY24, MERCY HOSPITAL SOUTHEAST HAD 17,352 CASES AND 490 PATIENT DAYS FOR THIS SERVICE LINE. 16651971 25232674 MERCY HOSPITAL SOUTHEAST OFFERS COMPREHENSIVE HEART AND VASCULAR SERVICES, A WIDE VARIETY OF TREATMENT OPTIONS AND ADVANCED TECHNOLOGIES TO DIAGNOSE AND TREAT A FULL RANGE OF CONDITIONS. MERCY HOSPITAL SOUTHEAST ALSO PROVIDES A FULL COMPLEMENT OF CARDIAC REHABILITATION, THERAPY AND EDUCATION SERVICES. IN FY24, MERCY HOSPITAL SOUTHEAST HAD 6,418 CASES AND 3,565 PATIENT DAYS FOR THIS SERVICE LINE. 9448355 18438714 MERCY HOSPITAL SOUTHEAST USES THE LATEST TECHNOLOGY AND RESEARCH TO FIND ANSWERS FOR THE MANY DISEASES AND CONDITIONS THAT AFFECT THE BRAIN AND ITS ABILITY TO CONTROL THE BODY. MERCY HOSPITAL SOUTHEAST OFFERS THE HIGHEST LEVEL OF NEUROLOGICAL TREATMENT WITH THE PERSONAL ATTENTION, CARE AND RESPECT YOU DESERVE. MERCY'S TEAM OF NEUROSURGEONS DIAGNOSE AND TREAT DISORDERS OF THE ENTIRE NERVOUS SYSTEM, INCLUDING THE BRAIN, SPINAL CORD, SPINAL COLUMN, SKULL AND PERIPHERAL NERVES. IN FY24, MERCY HOSPITAL SOUTHEAST HAD 1,485 CASES AND 2,579 PATIENT DAYS FOR THIS SERVICE LINE. 127761979 184385 128320987 IN ADDITION TO THE PROGRAM SERVICES DESCRIBED ABOVE, MERCY HOSPITAL SOUTHEAST ALSO SERVES PATIENTS IN ADDITIONAL SERVICE LINES, INCLUDING BUT NOT LIMITED TO THE FOLLOWING AREAS: EMERGENCY ROOM; GASTROENTEROLOGY; ORTHOPEDICS; RADIOLOGY; REHABILITATION. 127761979 184385 128320987 178072828 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 X 177 0 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 X 17 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X KRISTA BERRY 5733316028 1701 LACEY STREET CAPE GIRARDEAU MO 63701 X AGARWAL MD NARESH CHIEF MEDICAL OFFICER & BM 45.00 5.00 X 0 0 0 AMMONS CARL E ERIC REGIONAL PRESIDENT, SE MISSOURI & BM 15.00 40.00 X X 0 0 0 AVILA GEORGE VP - MISSION INTEGRATION & BM 40.00 5.00 X 0 0 0 BATEMAN KENNETH CEO & BOARD MEMBER (THRU 4/30/2024) 50.00 5.00 X X 0 0 0 BUCHHEIT CURT BOARD MEMBER 1.00 2.00 X 0 0 0 CRADER STANLEY BOARD MEMBER & TREASURER 1.00 1.00 X X 0 0 0 DUCHARME FREDERICK BOARD MEMBER 1.00 0.00 X 0 0 0 DUFEK JAMES BOARD MEMBER & CHAIR 1.00 1.00 X X 0 0 0 EDELSTEIN THOMAS VP, MISSION & BM (THRU 4/22/24) 40.00 0.00 X 0 0 0 GREEN STEVEN BOARD MEMBER 1.00 0.00 X 0 0 0 KINDER FRANK BOARD MEMBER 1.00 0.00 X 0 0 0 KOHLFIELD MICHAEL BOARD MEMBER 1.00 0.00 X 0 0 0 KRUSE CHARLES BOARD MEMBER & SECRETARY 1.00 1.00 X X 0 0 0 LEWIS BENJAMIN BOARD MEMBER 1.00 0.00 X 0 0 0 MACKEY-ROSS CHRISTINE BOARD MEMBER (THRU 4/29/24) 1.00 0.00 X 0 0 0 MOORE ANDREW PHYSICIAN & BOARD MEMBER 50.00 0.00 X 0 0 0 RICHEY WADE ER PHYSICIAN & BOARD MEMBER 50.00 0.00 X 0 0 0 RUNGE ANDREW COO, MERCY HOSPITAL ST. LOUIS & BM 15.00 30.00 X 0 0 0 UMFLEET ANGELA BOARD MEMBER & VICE CHAIR 1.00 1.00 X X 0 0 0 WIBBENMEYER CHRISTOPHER ADMINISTRATOR & BOARD MEMBER 20.00 30.00 X 0 0 0 FORD KEVIN BOARD MEMBER (THRU 1/4/24) 1.00 0.00 X 0 0 0 GEIB RYAN C PRESIDENT, MERCY SE COMMUNITIES 5.00 45.00 X 0 0 0 BERRY KRISTA CFO 47.00 3.00 X 0 0 0 0 0 0 0 0 0 0 0 1714514 85449 1799963 NET PATIENT SERVICE REVENUE 622110 197410649 197410649 OTHER OPERATING REVENUE 900099 2548435 2519235 29200 LAB REVENUE 621500 908280 908280 PHARMACY REVENUE 456110 191183 191183 RENTAL INCOME FROM RELATED ORGS 531120 20648 20648 201079195 1870809 1870809 294189 287481 6708 6708 6708 2300000 1694053 605947 605947 605947 TUITION INCOME 900099 1020373 1020373 CAFE & VENDING 722514 430531 430531 1450904 206813526 200970905 1128663 2913995 184385 184385 480449 392527 87922 306924 242077 64847 100249960 82355871 17894089 1089755 890369 199386 7118478 5827194 1291284 6238003 5096673 1141330 5622 5622 265136 265136 16876 16876 12242186 7456690 4785496 651961 8161 643800 3587946 640726 2947220 5413777 970861 4442916 2868946 642687 2226259 218839 152137 66702 3664743 2429 3662314 7289000 3824784 3464216 2624191 1731212 892979 DRUGS & MEDICAL EXPENSE 48210765 48210765 BAD DEBT 16291249 16291249 RESTRUCTURING 8858560 8858560 REPAIRS & MAINTENANCE 3969070 2453660 1515410 1246754 698371 548383 233093575 178072828 55020747 0 5445665 39732458 40260048 24297881 48814373 47338973 8220966 7690119 4566193 3948914 394202593 298504737 97546088 95697856 46232225 4302995 26808617 5451703 104150 259270 6229219 7020056 267173625 252794144 52225219 52560531 8377 42301 172039593 154915685 9429171 14433204 16230957 37725761 249967241 259643558 X 11754681 -6849414 5451703 0 17206384 -6849414 267173625 252794144 X -26280049 191571 2032680 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 16876 16876 0 PART II-B, LINE 1: THE FILING ORGANIZATION IS A MEMBER OF AND PAYS DUES TO THE FOLLOWING HOSPITAL ASSOCIATION: MISSOURI HEALTH ASSOCIATION. FOR THE YEAR ENDED JUNE 30, 2024, DUES WERE $52,085. APPROXIMATELY 32.40% OF MISSOURI HEALTH ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED BY THIS ASSOCIATION. 23674500 23674500 151304291 100060830 51243461 177416 127855 49561 203746147 192863722 10882425 15300239 5452330 9847909 95697856 ST INVEST PROJECT FUND 2012 20218049 C DEBT SERVICE FUND 4903215 C DSR 1192303 C ST INV WORKERS COMP 495050 C 26808617 OTHER LIABILITIES 1570559 DUE TO RELATED PARTY 36155202 37725761 FORM 990, SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE PRIMARILY ALL OF THE HEALTH SYSTEM ENTITIES ARE RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS CHARITABLE ORGANIZATIONS QUALIFYING UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), BY VIRTUE OF IRS DETERMINATION LETTERS OR INCLUSION IN THE OFFICIAL CATHOLIC DIRECTORY. THE HEALTH SYSTEM COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED ON THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2024 OR 2023. 1 1 X 1 X 1 X 1 0 1 1 820534 820534 0.00380 30734284 24578537 6155747 0.02840 31554818 24578537 6976281 0.03220 1908062 2367993 0 0.00000 6287247 4269691 2017556 0.00930 8195309 6637684 2017556 0.00930 39750127 31216221 8993837 0.04150 1 16291624 2248244 40645807 49241781 -8595974 X 1 1 3 1 SOUTHEAST HOSPITAL 1701 LACEY ST CAPE GIRARDEAU MO 63701 WWW.MERCY.NET 80 X X X X A 2 SOUTHEAST HEALTH OF STODDARD COUNTY 1200 NORTH ONE MILE ROAD DEXTER MO 63841 WWW.MERCY.NET 526 X X X A 3 SOUTHEAST BEHAVIORAL HOSPITAL 639 SOUTH SILVER SPRINGS ROAD CAPE GIRARDEAU MO 63703 WWW.SOUTHEASTBEHAVIORAL.COM 564 X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 22 1 1 1 1 X SEE PART V, SECTION C X 1 22 1 SEE PART V, SECTION C 0 1 X 200.000000000000 300.000000000000 X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: SOUTHEAST HOSPITAL , - FACILITY 2: SOUTHEAST HEALTH OF STODDARD COUNTY, - FACILITY 3: SOUTHEAST BEHAVIORAL HOSPITAL FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5: THE INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY INCLUDED INVOLVING PEOPLE FROM THE FOLLOWING ORGANIZATIONS WHEN THE PRIMARY RESEARCH WAS CONDUCTED:- BOLLINGER COUNTY HEALTH CENTER- DEXTER CHAMBER OF COMMERCE- SALVATION ARMY- BOLLINGER COUNTY PUBLIC LIBRARY- DEXTER PUBLIC SCHOOLS- SCOTT COUNTY HEALTH DEPARTMENT- BOOTHEEL COUNSELING SERVICES- FERGUSON MEDICAL GROUP- SEMO HEALTH NETWORK- CAPE GIRARDEAU COUNTY COMMISSIONER- GIBSON RECOVERY CENTER- SIKESTON DPS- CAPE GIRARDEAU CO PUBLIC HEALTH CTR- AGING MATTERS ASSOCIATION- SOUTH SCOTT CO. AMBULANCE DIST.- CAPE GIRARDEAU POLICE DEPARTMENT- JACKSON CHAMBER OF COMMERCE- SOUTHEAST HOSPITAL- CAPE GIRARDEAU SCHOOL DISTRICT- JACKSON MANOR- SOUTHEAST MISSOURI FOOD BANK- CATHOLIC CHARITIES- JACKSON POLICE DEPARTMENT- SOUTHEAST MISSOURI STATE UNIVERSITY- CITY OF CAPE GIRARDEAU- JACKSON R-2 SCHOOL DISTRICT- SOUTHEAST CONVENIENT CARE - JACKSON- CITY OF DEXTER- MO BOOTHEEL REGIONAL CONSORTIUM- SOUTHEAST HEALTH CENTER - STODDARD CO- CITY OF JACKSON- MO DELTA MEDICAL CENTER/CLINICS- ST. MARY CATHEDRAL/CATHOLIC- SOCIAL MINISTRIES FOOD PANTRY- MO DHSS- STODDARD COUNTY PUBLIC HEALTH CENTER- COMMUNITY CARING COUNCIL- OAK RIDGE K-11 SCHOOL DISTRICT- UNITED WAY OF SEMO- CROSS TRAILS MEDICAL CENTER- REGIONAL HEALTHCARE FOUNDATION- UNIVERSITY OF MISSOURI EXTENSION- DAUGHTERS OF SUNSET/CITY COUNCIL- SAINT FRANCIS MEDICAL CENTER- YMCA OF SEMOEFFORTS WERE MADE TO INCLUDE AT-RISK, TARGETED POPULATIONS AND PRINCIPAL SPECIALTY AREAS THAT ARE SERVED BY THE HOSPITAL AND PRESENT WITHIN THE COMMUNITY, SUCH AS THE MEDICALLY UNDERSERVED, LOW INCOME PERSONS, MINORITY GROUPS, AND THOSE WITH CHRONIC DISEASE NEEDS.SOUTHEAST'S PLANNING & RESEARCH TEAM TOOK EXTENSIVE TIME IN IDENTIFYING PARTNERS AND INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SOUTHEASTHEALTH PERFORMED THE PRIMARY DATA COLLECTION OF THE ASSESSMENT. THE CAPE GIRARDEAU COUNTY PUBLIC HEALTH CENTER WAS ALSO A PARTNER FOR THE CAPE GIRARDEAU COUNTY PORTION OF THE ASSESSMENT. SOUTHEASTHEALTH ADMINISTERED SURVEYS AND WORKED WITH A FOCUS GROUP MODERATOR FROM SOUTHEAST MISSOURI STATE UNIVERSITY FACULTY. THIS INDIVIDUAL TEACHES PRIMARY MARKET RESEARCH.QUANTITATIVE ANALYSIS- EPIDEMIOLOGIC AND SOCIO-DEMOGRAPHIC ANALYSIS, AIMED AT IDENTIFYING AREAS OF HEIGHTENED RELATIVE RISK THROUGH COMPARISONS OF COUNTY DATA WITH STATE AND NATIONAL DATA. SOME AREAS THAT WERE RESEARCHED INCLUDE:*DEMOGRAPHICS*SOCIO-ECONOMIC CHARACTERISTICS*PHYSICAL & BUILT ENVIRONMENT*HEALTH BEHAVIORS*HEALTH OUTCOMES -MORTALITY & MORBIDITY*HEALTH CARE RESOURCES & PROVIDERSQUALITATIVE ASSESSMENT- INPUT FROM COMMUNITIES AND AGENCIES LOCATED IN THE SOUTHEAST HOSPITAL SERVICE AREA.- A SURVEY WAS ADMINISTERED IN MULTIPLE SETTINGS OVER A PERIOD OF SEVERAL WEEKS THAT WAS AVAILABLE ONLINE VIA JOTFORM AS WELL AS IN PAPER FORMAT FOR CIRCUMSTANCES WHERE THE ONLINE FORMAT COULD NOT BE USED- A TOTAL OF 292 SURVEYS WERE COMPLETED BY RESIDENTS FROM THE 4 PRIMARY COUNTIES:BOLLINGER (26), CAPE GIRARDEAU (171), SCOTT (47) AND STODDARD (48)- EIGHT FOCUS GROUPS WERE HELD IN THE FOUR COUNTIES ON VARIOUS DATES AND IN VARIOUS LOCATIONS- ONE FOCUS GROUP EACH WAS HELD IN DEXTER, SIKESTON, AND MARBLE HILL- FIVE FOCUS GROUPS WERE HELD IN CAPE GIRARDEAU COUNTY; 1 IN JACKSON, 3 AT THE CAPE GIRARDEAU PUBLIC HEALTH CENTER, AND 1 AT SOUTHEASTHEALTH WITH THE TRANSITIONS OF CARE AND CHRONIC DISEASE SELF-MANAGEMENT TEAMS FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A: THE CHNA PROCESS WAS CONDUCTED WITH SOUTHEASTHEALTH'S REGIONAL HOSPITAL FACILITIES, INCLUDING HOSPITAL FACILITY #2 SOUTHEAST HEALTH CENTER OF STODDARD COUNTY. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6B: CAPE GIRARDEAU COUNTY PUBLIC HEALTH CENTER WAS ALSO A PARTNER IN CONDUCTING THIS COMMUNITY HEALTH NEEDS ASSESSMENT. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 7D: IN ADDITION TO THE HOSPITAL'S WEBSITE, THE ORGANIZATION SHARED COPIES OF THE EXECUTIVE SUMMARY AND THE COMPLETE REPORT WITH THE LOCAL MEDIA OUTLETS. THE ORGANIZATION ALSO SHARED COPIES OF THE REPORT TO THE MISSOURI HOSPITALS ASSOCIATION'S DIABETES SHARED LEARNING NETWORK GROUP. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11: IN RESPONSE TO THE COMMUNITY HEALTH NEEDS ASSESSMENT, THE SOUTHEASTHEALTH CHNA TEAM REVIEWED AND COMPILED A LIST OF RESOURCES AND SERVICES ALREADY AVAILABLE IN THE COMMUNITY THAT ADDRESS THE PRIORITY NEEDS THAT SURFACED. THE TEAM THEN MET WITH THE TRANSITIONS OF CARE COMMITTEE WHICH IS COMPRISED OF INDIVIDUALS FROM VARIOUS DEPARTMENTS THROUGHOUT SOUTHEASTHEALTH, INCLUDING: QUALITY MANAGEMENT, CASE MANAGEMENT, EDUCATION, HOME HEALTH, PATIENT EXPERIENCE, AND CLINICAL AREAS SUCH AS THE EMERGENCY DEPARTMENT, CARDIOVASCULAR SERVICES, PERIOPERATIVE SERVICES, BEHAVIORAL HEALTH SERVICES, TO DETERMINE WHAT ADDITIONAL ACTIONS SHOULD TAKE PLACE TO ADDRESS THESE ISSUES. FROM THOSE DISCUSSIONS, THE FOLLOWING IMPROVEMENT STRATEGIES AND ACTIONS WERE DEVELOPED. THIS COMMUNITY HEALTH NEEDS ASSESSMENT WAS PRESENTED TO THE EXECUTIVE TEAM, HOSPITAL BOARD OF DIRECTORS ON THURSDAY, OCTOBER 27 AND THE REGIONAL BOARD OF DIRECTORS ON MONDAY, NOVEMBER 21, 2022, WHICH RECEIVED FINAL APPROVAL.THE TEAM IS FOCUSED ON THREE KEY OBJECTIVES FOR IMPROVING THE AREAS OF IDENTIFIED NEEDS:- ACCESS AND SCREEN PATIENTS- WORK TO ENSURE PATIENTS HAVE GOOD ACCESS TO CARE- OFFER ONGOING PATIENT EDUCATION ABOUT DISEASE STATE, PREVENTION AND OVERALL WELLNESS. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 20E: OTHER AREAS FROM A NOTICE PERSPECTIVE: FAP IS POSTED IN ALL REGISTRATION AREAS, FULL POLICY AND PLAIN LANGUAGE DOCUMENT POSTED ON WEBSITE, PLAIN LANGUAGE DOCUMENT IS AVAILABLE WHEN REQUESTED, THERE IS A NOTICE ON STATEMENT, AND ALL PATIENTS GET THREE STATEMENTS BEFORE THEY CAN GO TO A COLLECTION AGENCY. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 7A HTTPS://WWW.MERCY.NET/CONTENT/DAM/MERCY/EN/PDF/2022-SOUTHEASTHEALTH-CHNA.PDF FORM 990, SCHEDULE H, PART V, SECTION B, LINE 10A HTTPS://WWW.MERCY.NET/CONTENT/DAM/MERCY/EN/PDF/2022-SOUTHEASTHEALTH-IMPLEMENTATION-PLAN.PDF FORM 990, SCHEDULE H, PART V, SECTION B, LINES 16A, 16B, & 16C THE FINANCIAL ASSISTANCE POLICY, APPLICATION AND A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY ARE AVAILABLE ONLINE AT HTTPS://WWW.MERCY.NET/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/ 54 1 - MERCY CANCER CENTER 789 S MT AUBURN RD CAPE GIRARDEAU MO 63703 OUTPATIENT MEDICAL SERVICES 2 - MERCY PRIMARY CARE 817 S MT AUBURN RD CAPE GIRARDEAU MO 63703 RURAL HEALTH CLINIC 3 - MERCY CLINIC PHYSICAL MED & REHAB 2126 INDEPENDENCE ST SUITE B CAPE GIRARDEAU MO 63701 OUTPATIENT REHAB SERVICES 4 - MERCY CLINIC PHYSICAL MED & REHAB 410 W MAIN ST DOOR B JACKSON MO 63755 OUTPATIENT REHAB SERVICES 5 - MERCY HYPERBARIC & WOUND CARE 310 S SILVER SPRINGS RD CAPE GIRARDEAU MO 63703 OUTPATIENT MEDICAL SERVICES 6 - MERCY LABORATORY SERVICES -BROADWAY 1723 BROADWAY SUITE 130 CAPE GIRARDEAU MO 63701 OUTPATIENT LABORATORY SERVICES 7 - MERCY FITNESS CENTER - HEALTHPOINT CAPE G 2126 INDEPENDENCE ST CAPE GIRARDEAU MO 63701 FITNESS CENTER 8 - MERCY PHARMACY - BROADWAY 1723 BROADWAY SUITE 110 CAPE GIRARDEAU MO 63701 RETAIL PHARMACY 9 - MERCY PEDIATRICS - DOCTORS PARK 25 DOCTORS PARK CAPE GIRARDEAU MO 63703 RURAL HEALTH CLINIC 10 - MERCY PEDIATRICS- SIKESTON 522 VIRGINA ST SIKESTON MO 63801 RURAL HEALTH CLINIC 11 - MERCY PHARMACY - S MOUNT AUBURN 817 S MT AUBURN RD SUITE 130 CAPE GIRARDEAU MO 63701 RETAIL PHARMACY 12 - MERCY CLINIC ENDOCRINOLOGY 15 DOCTORS PARK CAPE GIRARDEAU MO 63703 OUTPATIENT MEDICAL SERVICES 13 - MERCY CLINIC PULMONOLGY - BROADVIEW 371 S BROADVIEW ST CAPE GIRARDEAU MO 63703 PHYSICIAN CLINIC 14 - MERCY IMAGING SERVICES 817 S MT AUBURN RD CAPE GIRARDEAU MO 63701 OUTPATIENT IMAGING SERVICES 15 - MERCY CLINIC OCCUPATIONAL MEDICINE 2126 INDEPENDENCE DOOR B CAPE GIRARDEAU MO 63701 PHYSICIAN CLINIC 16 - MERCY FITNESS CENTER - HEALTHPOINT JACKSON 410 W MAIN ST JACKSON MO 63755 FITNESS CENTER 17 - CLINIC - WALMART OPERATED BY MERCY 2025 W BUSINESS HIGHWAY 60 DEXTER MO 63841 RURAL HEALTH CLINIC 18 - MERYC CLINIC ENDOCRINOLOGY 15 DOCTORS PARK CAPE GIRARDEAU MO 63703 PHYSICIAN CLINIC 19 - MERCY PRIMARY CARE - STODDARD 1200 N ONE MILE RD DEXTER MO 63841 RURAL HEALTH CLINIC 20 - MERCY PRIMARY CARE -BLOOMFIELD 1003 N HWY 25 BLOOMFIELD MO 63825 RURAL HEALTH CLINIC 21 - MERCY PRIMARY CARE - MALDEN 500 N DOUGLASS MALDEN MO 63863 RURAL HEALTH CLINIC 22 - MERYC PRIMARY CARE - BERNIE 810 N WALNUT ST BERNIE MO 63822 RURAL HEALTH CLINIC 23 - MERCY PRIMARY CARE - POPLAR BLUFF 2002 KANELL BOULEVARD SUITE 103 POPLAR BLUFF MO 63901 RURAL HEALTH CLINIC 24 - MERCY CLINIC HEART & VASC - BROADVIEW 371 S BROADVIEW ST CAPE GIRARDEAU MO 63703 PHYSICIAN CLINIC 25 - MERCY PHARMACY - POPLAR BLUFF 2002 KANELL BOULEVARD SUITE 102 POPLAR BLUFF MO 63901 RETAIL PHARMACY 26 - MERCY CONVENIENT CARE - JACKSON 2432 E MAIN ST JACKSON MO 63755 PHYSICIAN CLINIC 27 - MERCY CLINIC - EAR NOSE & THROAT 1723 BROADWAY SUITE 205 CAPE GIRARDEAU MO 63701 PHYSICIAN CLINIC 28 - MERCY HOSPICE 1701 LACEY ST CAPE GIRARDEAU MO 63701 HOSPITAL BASED HHA 29 - MERCY CLINIC RHEUMATOLOGY 1723 BROADWAY SUITE 310 CAPE GIRARDEAU MO 63701 PHYSICIAN CLINIC 30 - MERCY AUDIOLOGY 1723 BROADWAY SUITE 205 CAPE GIRARDEAU MO 63701 PHYSICIAN CLINIC 31 - MERCY CLINIC PRIMARY CARE - JACKSON 2600 E MAIN ST JACKSON MO 63755 PHYSICIAN CLINIC 32 - MERCY DIAGNOSTIC CARDIOLOGY SERVICES 371 S BROADVIEW ST CAPE GIRARDEAU MO 63703 OUTPATIENT IMAGING SERVICES 33 - MERCY CARDIOPULMONARY REHABILITATION 1708 LACEY ST CAPE GIRARDEAU MO 63703 OUTPATIENT REHAB SERVICES 34 - MERCY CARDIOPULMONARY REHABILITATION 1200 N ONE MILE RD DEXTER MO 63841 OUTPATIENT REHAB SERVICES 35 - MERCY CLINIC AT SE MO UNIV 725 N PACIFIC CRISP HALL SUITE 108 CAPE GIRARDEAU MO 63701 CAMPUS HEALTH CLINIC 36 - MERCY CLINIC PRIMARY CARE - PERRYVILLE 624 OLD SAINT MARYS ROAD PERRYVILLE MO 63775 PHYSICIAN CLINIC 37 - MERCY IMAGING SERVICES - POPLAR BLUFF 2002 KANELL BLVD SUITE 104 POPLAR BLUFF MO 63901 OUTPATIENT IMAGING SERVICES 38 - MERCY LABORATORY SERVICES - POPLAR BLUFF 2002 KANELL BLVD SUITE 105 POPLAR BLUFF MO 63901 OUTPATIENT LABORATORY SERVICES 39 - MERCY PRIMARY CARE -NEW MADRID 800 US HWY 61 NEW MADRID MO 63869 RURAL HEALTH CLINIC 40 - MERCY PRIMARY CARE -SIKESTON 522 VIRGINA ST SIKESTON MO 63801 RURAL HEALTH CLINIC 41 - MERCY IMAGING SERVICES - BROADWAY 1723 BROADWAY SUITE 130 CAPE GIRARDEAU MO 63701 OUTPATIENT IMAGING SERVICES 42 - MERCY IMAGING SERVICES - JACKSON 2600 E MAIN ST JACKSON MO 63755 OUTPATIENT IMAGING SERVICES 43 - MERCY PHARMACY - JACKSON 2600 E MAIN ST JACKSON MO 63755 RETAIL PHARMACY 44 - MERCY LABORATORY SERVICES - S MT AUBURN 650 S MT AUBURN RD SUITE 100B CAPE GIRARDEAU MO 63703 OUTPATIENT LABORATORY SERVICES 45 - MERCY BREAST CENTER 650 S MT AUBURN RD SUITE 100 CAPE GIRARDEAU MO 63703 PHYSICIAN CLINIC 46 - MERCY CLINIC WOMENS HEALTH 650 S MT AUBURN RD SUITE 200 CAPE GIRARDEAU MO 63703 PHYSICIAN CLINIC 47 - MERCY CLINIC - BREAST SURGERY 650 S MT AUBURN RD SUITE 100A CAPE GIRARDEAU MO 63703 PHYSICIAN CLINIC 48 - MERCY CLINIC ORTHOPEDICS & SPORTS MEDICINE 650 S MT AUBURN SUITE 101 CAPE GIRARDEAU MO 63703 PHYSICIAN CLINIC 49 - MERCY CLINIC INFECTIOUS DISEASE 1723 BROADWAY SUITE 120 CAPE GIRARDEAU MO 63701 PHYSICIAN CLINIC 50 - MERCY CLINIC NEUROLOGY 1723 BROADWAY SUITE 205 CAPE GIRARDEAU MO 63701 PHYSICIAN CLINIC 51 - MERCY CLINIC GASTROENTEROLOGY 1723 BROADWAY SUITE 315 CAPE GIRARDEAU MO 63701 PHYSICIAN CLINIC 52 - MERCY CLINIC HEART AND VASC SIEKSTON 1008 N MAIN ST SIKESTON MO 63801 PHYSICIAN CLINIC 53 - MERCY CLINIC GASTRO - STODDARD 1300 N ONE MILE RD SUITE 5 DEXTER MO 63841 PHYSICIAN CLINIC 54 - MERCY CLINIC HEART & VASCULAR 1300 N ONE MILE RD SUITE 1 DEXTER MO 63841 PHYSICIAN CLINIC PART I, LINE 6A: THE HOSPITAL FACILITY BEING REPORTED IN SCHEDULE H WAS ACQUIRED BY MERCY DURING THE TAX YEAR, AND IS NOW OPERATING AS PART OF THE MERCY HEALTH SYSTEM WITHIN THE SOUTHEAST COMMUNITY, AND THE POLICIES DESCRIBED HEREIN ARE ALSO APPLICABLE TO MERCY HOSPITAL SOUTHEAST. GOING FORWARD THE ORGANIZATION'S COMMUNITY BENEFIT REPORT WILL BE PREPARED BY ITS ULTIMATE PARENT ENTITY, MERCY HEALTH (EIN: 43-1423050). PART I, LINE 7: TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) ARE $233,093,575. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $16,291,249. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $216,802,326. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICESTHE PHYSICIAN CLINICS ARE INCLUDED AS A NET AMOUNT (INCOME LESS EXPENSES) ALLOCATED BY THE CLINICAL SERVICE LINE IN THE INDIRECT COST. PART III, LINE 2: THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HEALTH SYSTEM DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HEALTH SYSTEM'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2024. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. PART III, LINE 3: SOUTHEAST HOSPITAL ESTIMATES THAT APPROXIMATELY 13.8% OF THE PATIENT ACCOUNTS WRITTEN OFF TO BAD DEBTS MAY QUALIFY FOR CHARITY CARE OR OTHER ASSISTANCE BUT CHOSE NOT TO APPLY. THEREFORE, THE BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED USING 13.8% OF THE AMOUNT REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. PART III, LINE 4: IN MAY 2014, THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) AND INTERNATIONAL ACCOUNTING STANDARDS BOARD ISSUED ACCOUNTING STANDARDS UPDATE (ASU) 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606). THE HEALTH SYSTEM ADOPTED ASU 2014-09 ON JULY 1, 2018 USING A FULL RETROSPECTIVE BASIS. UPON ADOPTION, THE MAJORITY OF WHAT WAS PREVIOUSLY CLASSIFIED AS PROVISION FOR UNCOLLECTIBLE ACCOUNTS AND PRESENTED AS A REDUCTION TO PATIENT SERVICE REVENUE ON THE CONSOLIDATED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS IS TREATED A PRICE CONCESSION THAT REDUCES THE TRANSACTION PRICE, WHICH IS REPORTED AS PATIENT SERVICE REVENUE. AS SUCH, BAD DEBT EXPENSE IS NOT REFERENCED IN MERCY HEALTH AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS.BAD DEBT EXPENSE IS TRACKED FOR FORM 990 REPORTING AS FOLLOWS: PATIENT ACCOUNTS RECEIVABLE THAT ARE DEEMED UNCOLLECTIBLE, INCLUDING THOSE PLACED WITH COLLECTION AGENCIES, ARE INITIALLY CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN ACCORDANCE WITH COLLECTION POLICIES OF THE HEALTH SYSTEM AND, IN CERTAIN CASES, ARE RECLASSIFIED TO CHARITY CARE IF DEEMED TO OTHERWISE MEET THE HEALTH SYSTEM'S CHARITY CARE POLICY. THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES BASED UPON THE PAYOR COMPOSITION AND AGING OF RECEIVABLES WITH CONSIDERATION OF THE HISTORICAL PAYMENT AND WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES. PART III, LINE 8: IT IS THE POSITION OF MERCY THAT 100% OF ANY SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS AMOUNT REPRESENTS COST OF PROVIDING SERVICES THAT REMAIN UNCOMPENSATED TO THE PROVIDER. THE UNREIMBURSED COSTS OF MEDICARE IS CALCULATED BY THE GROSS CHARGES NET OF THE COST TO CHARGE RATIO LESS ANY PAYMENTS, DEDUCTIONS OR REIMBURSEMENTS USING THE ANNUAL MEDICARE COST REPORT (CMS FORM 2552-96). PART III, LINE 9B: MERCY'S COLLECTION POLICY PROVIDES THAT MERCY WILL PERFORM A REASONABLE COMMUNICATION AND/OR REVIEW OF PATIENT ACCOUNTS AS IT RELATES TO ANY SERVICE PROVIDED AT OUR FACILITIES BEFORE TURNING THE ACCOUNT TO BAD DEBT FOR NONPAYMENT. MERCY ACTIVELY SCRUBS ACCOUNTS FOR PAYOR PLAN COVERAGE, INCLUDING MEDICAID. IN THE EVENT AN ACCOUNT IS TURNED TO COLLECTIONS AND IS IDENTIFIED IN NEED OF FINANCIAL ASSISTANCE DUE TO CIRCUMSTANCE CHANGES, OR PATIENT IS NOW REQUESTING ASSISTANCE, THE ACCOUNTS ARE RETURNED BY THE AGENCY AND CONSIDERED FOR CHARITY IF THE PATIENT PROVIDES THE REQUESTED INFORMATION. IF THE PATIENT FAILS TO RETURN THE INFORMATION, THE ACCOUNT WILL QUALIFY FOR COLLECTIONS.MERCY UTILIZES THE EXPERIAN TOOL TO ENHANCE THE ABILITY TO DETERMINE THE CHARITY QUALIFICATION PRIOR TO TURNING TO BAD DEBT, A PROCESS KNOWN AS PRESUMPTIVE CHARITY FOR ALL COMMUNITIES EXCEPT JOPLIN, MAUDE NORTON, CARTHAGE, SOUTHEAST KANSAS, CAPE GIRARDEU AND STODDARD. THIS PRESUMPTIVE SCREENING PROCESS DETAILS EVALUATIONS THAT TAKE PLACE PRIOR TO PATIENT BILLING AND ADDITIONALLY PRIOR TO BAD DEBT PLACEMENT. THE PRESUMPTIVE SCREENING WAS PER ENCOUNTER AND DID NOT PROMOTE ANY LOOK-BACK ADJUSTMENTS.MERCY WILL GRANT CHARITY IN SITUATIONS WHERE THERE HAS BEEN AN INABILITY TO OBTAIN INFORMATION FROM PATIENTS OR THE INFORMATION PROVIDED IS NOT COMPLETE ENOUGH TO MAKE A CHARITY DETERMINATION WHEN A PATIENT HAS SUBMITTED AN APPLICATION.MERCY WILL PURSUE APPROPRIATE MEANS IN THE COLLECTION OF DELINQUENT ACCOUNTS FROM PATIENTS WITH AN ESTABLISHED ABILITY TO PAY OR AN UNWILLINGNESS TO COOPERATE IN VALIDATING ELIGIBILITY FOR FINANCIAL ASSISTANCE. THESE APPROPRIATE MEANS MAY INCLUDE PLACEMENT WITH A COLLECTION AGENCY CONSISTENT WITH MERCY MISSION AND VALUES. THIS OCCURS AFTER 3 MONTHLY STATEMENTS HAVE BEEN SENT WITH THE FINAL STATEMENT INCLUDING NOTIFICATION OF PLACEMENT WITH A COLLECTION AGENCY. WHILE MERCY USES THE COLLECTION FOLLOW-UP SERVICES OF COLLECTION AGENCIES, MERCY WILL NOT UTILIZE ANY TYPE OF EXTRAORDINARY COLLECTION ACTIVITY. THE DEFINITION OF EXTRAORDINARY COLLECTION ACTIVITY IS TAKEN FROM THE 501(R) DESCRIPTION. PART VI, LINE 2: MERCY SOUTHEAST HOSPITAL'S STARTING POINT IS PRIORITY SETTING:THE HEIGHTENED RISKS AND RISK FACTORS, UNMET NEEDS FOR CARE, ACCESS BARRIERS, AND OTHER FINDINGS THAT AFFECT THE HEALTH STATUS OF THE COMMUNITY.SOUTHEAST HOSPITAL CONTINUES TO PLAY AN INTEGRAL PART TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY AND IMPLEMENT STRATEGIES TO IMPROVE COMMUNITY HEALTH, CONSIDERING CRITERIA SUCH AS:- SEVERITY OF THE ISSUE, AS REPRESENTED BY SOME OR ALL OF THE FOLLOWING: HIGHLY ACUTE, AFFECTS A LARGE NUMBER OF PEOPLE, HAS SIGNIFICANT ECONOMIC AND/OR OPPORTUNITY COST, GROWING OR WORSENING OVER TIME.- AVAILABILITY OF KNOWN, FEASIBLE INTERVENTIONS, WITH MEASURABLE IMPACT, THAT ARE LIKELY TO ACHIEVE RESULTS AND IMPROVE THE COMMUNITY'S QUALITY OF LIFE AND HEALTH IN A REASONABLE TIME FRAME.- UNADDRESSED OR UNDER-ADDRESSED ISSUE: NO/FEW ORGANIZATIONS OR (INSUFFICIENT) RESOURCES FOCUSING ON IT EFFECTIVELY AT PRESENT.- SOUTHEASTHEALTH SYNERGIES: SPECIAL EXPERTISE, STRATEGIC PRIORITY, AND/OR PROGRAMS IN PLACE TO SERVE AS BUILDING BLOCKS. PART VI, LINE 3: MERCY INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY THROUGH SEVERAL MEANS. IF AT ANY TIME A PATIENT EXPRESSES HARDSHIP AND INABILITY TO PAY, THE ACCOUNT IS PLACED FOR REVIEW. IN ADDITION, PATIENTS HAVE SIGNAGE ABOUT THE POLICY AT THE ACCESS POINTS, AND ALL STAFF WORKING WITH THE PATIENT AT POINT OF SERVICE, SCHEDULING, CUSTOMER SERVICE, AND EVEN THROUGH THE MEDICAID ELIGIBILITY SCREENING HAVE THE MEANS TO SEND THE ACCOUNT FOR REVIEW. THERE IS THE PLAIN LANGUAGE SUMMARY THAT IS BEING PROVIDED TO ALL WHOM EXPRESS HARDSHIP, IN ADDITION TO THE WEB ADDRESS PROVIDING THE APPLICATION, POLICIES, AND EVEN HOW UNINSURED ACCOUNTS ARE HANDLED. LASTLY, THE STATEMENTS MESSAGE TO THE PATIENT THAT MERCY DOES HAVE A FINANCIAL ASSISTANCE PROGRAM AND TO CALL TO SEE IF THEY ARE ELIGIBLE. MERCY STAFF'S INTERNAL RESOURCES CERTIFIED TO ASSIST PATIENTS WITH MEDICAID APPLICATIONS AS WELL. PART VI, LINE 4: MERCY HOSPITAL SOUTHEAST INCLUDES MERCY HOSPITAL SOUTHEAST AND MERCY HOSPITAL STODDARD. THE PRIMARY SERVICE AREA FOR MERCY HOSPITAL SOUTHEAST INCLUDES 44 ZIP CODES ACROSS MISSOURI. THE FOLLOWING INFORMATION IS DERIVED FROM THE ADVISORY BOARD DEMOGRAPHICS, AHA ANALYTICS, AND U.S. CENSUS INFORMATION. THE AREA'S POPULATION IS 162,822. THE MEDIAN HOUSEHOLD INCOME IS $49,000. 89% OF THE POPULATION IS A HIGH SCHOOL GRAD OR GREATER AND THE MEDIAN AGE IS 35. 21.5% OF THE HOUSEHOLDS ARE ON MEDICARE, 23.9% ON MEDICAID, AND 10.5% UNINSURED. THE PRIMARY SERVICE AREA FOR MERCY HOSPITAL STODDARD IS A RURAL COMMUNITY THAT INCLUDES STODDARD COUNTY, MISSOURI. THE AREA'S POPULATION IS 28,397 AND 21.0% OF THE POPULATION IS 65 AND OLDER. 82.4% OF THE POPULATION IS A HIGH SCHOOL GRAD OR GREATER AND THE MEDIAN AGE IS 35. THE MEDIAN HOUSEHOLD INCOME IS $54,067. 13.7% OF THE POPULATION IS IN POVERTY. PART VI, LINE 5: SOUTHEAST HOSPITAL HAS ESTABLISHED AND WORKED WITH A COMMUNITY COALITION TO HELP FILL THE GAP IN HEALTH AND WELLNESS NEED IN THE FOUR COUNTIES THAT ARE IDENTIFIED IN SOUTHEAST HOSPITAL'S PRIMARY SERVICE AREA.WE CONDUCT FREE EVENTS WITH VARIOUS LINES TO HELP WITH COMMUNITY HEALTH:- SKIN CANCER SCREENING- TOBACCO CESSATION CLASSES- KIDS' DIABETES CAMP- VASCULAR SCREENINGS (REDUCED COST)EACH YEAR THE SOUTHEAST MISSOURI HOSPITAL FOUNDATION SUPPORTS OUR PATIENTS MOST IN NEED THROUGH DONATIONS. WE PROVIDE $30,000 ANNUALLY IN MEDICATIONS, TRANSPORTATION AND EMERGENCY SUPPORT TO OVER 900 LOW-INCOME PATIENTS. WE PROVIDE $30,000 ANNUALLY IN CRISIS FUNDS TO OVER 170 EMPLOYEES. WE PROVIDE OVER $35,000 ANNUALLY TO OVER 1,000 CANCER PATIENTS IN CRISIS INCLUDING TRANSPORTATION, PHARMACEUTICALS AND UTILITY BILLS.THE FOUNDATION PROVIDES MEDICATIONS TO THOSE WHO CANNOT AFFORD THEM. OUR NEWLY DIAGNOSED CANCER PATIENTS ARE PROVIDED A WEEKEND RETREAT -FREE OF CHARGE. OUR KIDS WITH DIABETES ARE WELCOMED TO A CAMP WHERE THERE ARE OTHER KIDS LIKE THEM. WE PROVIDE BEREAVEMENT COUNSELING TO THOSE WHO HAVE RECENTLY SUFFERED A LOSS. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEMTHE FILING ORGANIZATION IS PART OF MERCY HEALTH ("MERCY"). MERCY IS A MISSOURI NON-PROFIT CORPORATION WITH ITS HEADQUARTERS ("MINISTRY OFFICE") IN ST. LOUIS, MISSOURI. MERCY PROVIDES HEALTH CARE SERVICES IN FOUR STATES - ARKANSAS, KANSAS, MISSOURI, AND OKLAHOMA - AND HAS OUTREACH MINISTRIES LOCATED IN ARKANSAS, LOUISIANA, MISSISSIPPI, AND TEXAS. MERCY'S MISSION IS "AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE." AS OF JUNE 30, 2024, MERCY FACILITIES INCLUDED 32 ACUTE CARE HOSPITALS, 5 HEART HOSPITALS, 7 REHAB HOSPITALS, 2 CHILDREN'S HOSPITALS, 3 ORTHOPEDIC HOSPITALS, AND 1 VIRTUAL CARE COMMAND CENTER. FOR THE FISCAL YEAR ENDED JUNE 30, 2024, MERCY HAD MORE THAN 11.9 MILLION CLINIC AND OUTPATIENT VISITS, APPROXIMATELY 2,600 EMPLOYED PHYSICIANS, AND APPROXIMATELY 52,000 FULL-TIME EQUIVALENT EMPLOYEES, MAKING MERCY THE SIXTH LARGEST CATHOLIC HEALTH SYSTEM IN THE UNITED STATES. MERCY IS SPONSORED BY MERCY HEALTH MINISTRY, WHICH IS GOVERNED BY MEMBERS THAT INCLUDE SISTERS OF MERCY. MANY SERVICES THAT ARE ESSENTIAL TO FULFILLING MERCY'S MISSION ARE CENTRALIZED AT THE MINISTRY OFFICE. SUCH CENTRALIZED SERVICES INCLUDE: FINANCE (INCLUDING TREASURY, FINANCIAL ACCOUNTING AND REPORTING, REVENUE MANAGEMENT, INTERNAL AUDIT, ACCOUNTS PAYABLE AND PAYROLL OPERATIONS, ANALYTICS AND DECISION SUPPORT); ENVIRONMENTAL SERVICES SUPPORT; CLINICAL INTEGRATION; CARE MANAGEMENT; CLINICAL PERFORMANCE ACCELERATION; CLINICAL ENGINEERING; CLINICAL QUALITY MANAGEMENT; COMPLIANCE; GRANTS AND RESEARCH SERVICES; LEGAL AND COMPLIANCE COUNSEL; MARKETING AND COMMUNICATIONS; PLANNING, DESIGN AND CONSTRUCTION; PRODUCT DEVELOPMENT INFORMATICS; REAL ESTATE; SUPPLY CHAIN MANAGEMENT; MANAGED CARE STRATEGY SUPPORT; HUMAN RESOURCES (INCLUDING COMPENSATION, BENEFITS AND RECRUITING); MISSION SERVICES AND ETHICS; PHILANTHROPY SUPPORT; INFORMATION TECHNOLOGY; AND, COMMUNITY RELATIONS. THE CENTRALIZATION OF SUCH SUPPORT SERVICES ENABLES MERCY TO ENSURE THAT EACH OF ITS COMMUNITIES, WHETHER LARGE OR SMALL, HAS THE SERVICES IT NEEDS. FORM 990, SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: MO 1 PELL GRANTS 69 184385 PART I, LINE 2: THE COLLEGE ADHERES TO THE FEDERAL STUDENT AID HANDBOOK PUBLISHED BY THE DEPARTMENT OF EDUCATION WHEN ADMINISTERING TITLE IV FUNDING. A SEE PART VI 431193901 139404FK8 2016-03-16 21930000 SEE PART VI 0 0 0 B SEE PART VI 431282203 86149AAA2 2016-03-16 16880000 SEE PART VI 0 0 0 C SEE PART VI 431193901 139404GT8 2017-08-24 94510782 SEE PART VI 0 0 0 D SEE PART VI 431282203 86149UAB0 2017-08-24 6707250 SEE PART VI 0 0 0 A 7655000 21985915 673723 12600 379131 3025513 17910771 2019 1 0 1 1 B 3085000 16884536 518580 925 256150 4980152 11140908 2018 1 0 1 1 C 21265000 94697311 653571 14990029 79053711 2019 1 0 1 1 D 6716939 102990 6613601 348 2018 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 0 1 0 0 0 0 1 A 1 B 1 C 1 D 1 PART I, LINES A AND C, COLUMN (A) THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE COUNTY OF CAPE GIRARDEAU, MISSOURI PART I, LINES B AND D, COLUMN (A) THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE STODDARD COUNTY, MISSOURI PART I, LINE A, COLUMN (A) THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE COUNTY OF CAPE GIRARDEAU, MISSOURI PART I, LINE A, COLUMN (F) THE BONDS WERE ISSUED TO REFUND THE SERIES 2013A BONDS, WHICH WERE ORIGINALLY ISSUED ON 10/17/2013, AND TO ACQUIRE, CONSTRUCT, RENOVATE AND EQUIP VARIOUS SOUTHEAST HOSPITAL HEALTHCARE FACILITIES. PART I, LINE B, COLUMN (F) THE BONDS WERE ISSUED TO REFUND THE SERIES 2013B BONDS, WHICH WERE ORIGINALLY ISSUED ON 10/17/2013, AND TO ACQUIRE, CONSTRUCT, RENOVATE AND EQUIP VARIOUS SOUTHEAST HOSPITAL HEALTHCARE FACILITIES. PART I, LINE C, COLUMN (F) THE BONDS WERE ISSUED TO REFUND THE SERIES 2007 BONDS, WHICH WERE ORIGINALLY ISSUED ON 4/12/2007, AND TO ACQUIRE, CONSTRUCT, RENOVATE AND EQUIP VARIOUS SOUTHEAST HOSPITAL HEALTHCARE FACILITIES. PART I, LINE D, COLUMN (F) ACQUIRE, CONSTRUCT, RENOVATE AND EQUIP VARIOUS SOUTHEAST HOSPITAL HEALTHCARE FACILITIES. PART I, LINE A, COLUMN (F) ACQUIRE, CONSTRUCT, RENOVATE AND EQUIP VARIOUS SOUTHEAST HOSPITAL HEALTHCARE FACILITIES. PART II, COLUMN A, LINE 3 AMOUNT IS NOT EQUAL TO ISSUE PRICE DUE TO INVESTMENT EARNINGS EARNED DURING THE PROJECT PERIOD. PART II, COLUMN A, LINE 11 AMOUNT OF BOND PROCEEDS USED TO REFUND THE SERIES 2013A BONDS. PART II, COLUMN B, LINE 3 AMOUNT IS NOT EQUAL TO ISSUE PRICE DUE TO INVESTMENT EARNINGS EARNED DURING THE PROJECT PERIOD. PART II, COLUMN B, LINE 11 AMOUNT OF BOND PROCEEDS USED TO REFUND THE SERIES 2013B BONDS PLUS UNSPENT INVESTMENT PROCEEDS FROM THE PROJECT FUND OF $41.73. PART II, COLUMN C, LINE 3 AMOUNT IS NOT EQUAL TO ISSUE PRICE DUE TO INVESTMENT EARNINGS EARNED DURING THE PROJECT PERIOD. PART II, COLUMN C, LINE 11 AMOUNT OF BOND PROCEEDS USED TO REFUND THE SERIES 2007 BONDS. PART II, COLUMN D, LINE 3 AMOUNT IS NOT EQUAL TO ISSUE PRICE DUE TO INVESTMENT EARNINGS EARNED DURING THE PROJECT PERIOD. PART II, COLUMN D, LINE 11 AMOUNT OF UNSPENT INVESTMENT PROCEEDS FROM THE PROJECT FUND OF $348.27. PART II, COLUMN A, LINE 3 AMOUNT IS NOT EQUAL TO ISSUE PRICE DUE TO INVESTMENT EARNINGS EARNED DURING THE PROJECT PERIOD. PART II, COLUMN A, LINE 12 AMOUNT OF UNSPENT INVESTMENT PROCEEDS ON DEPOSIT IN THE PROJECT FUND AS FISCAL YEAR END 06/30/2024. PART IV, COLUMN A, LINE 2C ARBITRAGE REBATE ANALYSIS PREPARED AS OF 03/01/2021. PART IV, COLUMN A, LINE 2C ARBITRAGE REBATE ANALYSIS PREPARED AS OF 03/01/2021. PART IV, COLUMN C, LINE 2C ARBITRAGE REBATE ANALYSIS PREPARED AS OF 08/01/2020. PART IV, COLUMN D, LINE 2C ARBITRAGE REBATE ANALYSIS PREPARED AS OF 08/01/2020. A SEE PART VI 431193901 139404HT7 2021-05-25 66068649 SEE PART VI 0 0 0 A 68062933 1076975 46767910 20218049 0 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 1 1 A 1 PARKER KOHLFIELD FAMILY MEMBER OF BOARD MEMBER 205177 EMPLOYMENT 0 PETER KINDER FAMILY MEMBER OF BOARD MEMBER 73945 EMPLOYMENT 0 JACOB DUFEK FAMILY MEMBER OF BOARD MEMBER 27803 EMPLOYMENT 0 FORM 990, PART V, QUESTION 1A FORM 1099/1096 FILING VENDORS FOR THE FILING ORGANIZATION ARE PAID BY SOUTHEAST HOSPITAL (EIN 43-0654874). REQUIRED FORM 1099 AND FORM 1096 REPORTING IS MADE (WITH LIMITED EXCEPTIONS) UNDER THE SOUTHEAST HOSPITAL EIN. FORM 990, PART V, QUESTION 2A W-3 FILING MOST EMPLOYEES ARE PAID BY A RELATED ORGANIZATION UNDER A COMMON PAYMASTER ARRANGEMENT. AS SUCH, REQUIRED PAYROLL FILING (INCLUDING W-2 AND W-3'S) IS REPORTED UNDER THE RELATED ORGANIZATION, MHM SUPPORT SERVICES, EIN 20-2553101. FORM 990, PART VI, SECTION A, LINE 6 THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, SOUTHEASTHEALTH SYSTEM, INC. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE CORPORATE MEMBER HAS THE AUTHORITY TO: -APPOINT AND REMOVE MEMBERS OF THE BOARD OF THE CORPORATION (AS PROVIDED IN SECTION 5.2 AND SECTION 5.10 OF THE BYLAWS) AND ANY AFFILIATE OF THE CORPORATION; AND -APPOINT AND REMOVE THE PRESIDENT OF THE CORPORATION AND ANY AFFILIATE OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING GOVERNANCE DECISIONS ARE RESERVED TO THE SOLE CORPORATE MEMBER: -REVISIONS TO THE MISSION, PHILOSOPHY, VISION AND OPERATING VALUES PURSUANT TO WHICH THE CORPORATION OPERATES; -SUBJECT TO ARTICLE XII, ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION AND THESE BYLAWS AND ANY AMENDMENTS TO THE CORPORATE DOCUMENTS OF ANY AFFILIATE OF THE CORPORATION; -ADOPTION OF THE STRATEGIC PLAN, GOALS, AND OBJECTIVES OF THE CORPORATION AND ANY AFFILIATE OF THE CORPORATION; -ADOPTION OF THE OPERATING, CAPITAL, CONSTRUCTION AND ALL OTHER BUDGETS FOR THE CORPORATION AND ANY AFFILIATE OF THE CORPORATION; -ASSIGNMENT, TRANSFER, SALE OR LEASE OF ANY OF THE ASSETS OF THE CORPORATION OR ANY AFFILIATE OF THE CORPORATION IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE CORPORATE MEMBER; -INCURRENCE OF DEBT BY THE CORPORATION OR ANY AFFILIATE OF THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTE ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; -ANY ACTION WHICH MAY BE REQUIRED TO CAUSE MERCY HEALTH OR THE CORPORATION TO COMPLY WITH THE TERMS AND CONDITIONS OF THE MASTER TRUST INDENTURE DATED AS OF NOVEMBER 15, 1995 BETWEEN SISTERS OF MERCY HEALTH SYSTEM, ST. LOUIS, INC. AND MERCANTILE BANK OF ST. LOUIS NATIONAL ASSOCIATION (AND THEIR RESPECTIVE SUCCESSORS AND ASSIGNS) AND ANY PRIOR OR SUBSEQUENT SUPPLEMENTS, AMENDMENTS, REPLACEMENTS, RESTATEMENTS OR SUCCESSOR INDENTURES THERETO; -ADOPTION OF A PLAN OF MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION OR ANY AFFILIATE OF THE CORPORATION; -LEASE, MANAGEMENT OR PURCHASE OF, OR AFFILIATION WITH, ANOTHER HOSPITAL OR HOSPITAL SYSTEM, OR HEALTH CARE FACILITY OR HEALTH CARE SYSTEM BY THE CORPORATION OR ANY AFFILIATE OF THE CORPORATION; -EXPENDITURES NOT AUTHORIZED BY, OR INCLUDED WITHIN BUDGETS APPROVED BY, THE CORPORATE MEMBER WHICH ARE IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE CORPORATE MEMBER. -ENTERING INTO ANY CONTRACT NOT INCLUDED WITHIN BUDGETS APPROVED BY, OR WITHIN GUIDELINES ESTABLISHED FROM TIME TO TIME BY, THE CORPORATE MEMBER. -THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION CONTROLLED DIRECTLY OR INDIRECTLY BY THE CORPORATION; AND -OVERSEE, APPROVE AND MONITOR HUMAN RESOURCE PROGRAMS, WHICH SHALL PROMOTE AN ORGANIZATIONAL ENVIRONMENT THAT: -PROVIDES FOR THE RECRUITMENT AND RETENTION OF CO-WORKERS WHO ARE SERVICE ORIENTATED, COMPASSIONATE, ENGAGED, AND WHO FIND MEANING AND PURPOSE IN WORKING IN A FAITH-BASED ORGANIZATION; -ENABLES PEOPLE TO RELATE TO ONE ANOTHER WITH RESPECT AND ACCEPTANCE IN A SPIRIT OF COMMUNITY; -PROMOTES CO-WORKER PARTICIPATION AND VOICE IN THEIR WORK LIVES; -GIVES CO-WORKERS A FAIR OPPORTUNITY TO DEVELOP THEIR SKILLS AND TALENTS, AND A MEANS BY WHICH THEIR CONTRIBUTIONS ARE RECOGNIZED; -PROVIDES CO-WORKERS WITH THE MATERIALS AND EQUIPMENT TO PROPERLY DO THEIR WORK; AND -ENSURES CO-WORKER SAFETY AND WELL-BEING. FORM 990, PART VI, SECTION B, LINE 11B DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 THE FORM 990 IS PREPARED BY MERCY HEALTH'S TAX DEPARTMENT, USING INFORMATION PROVIDED BY THE FILING ORGANIZATION. A DRAFT FORM 990 IS REVIEWED BY THE FILING ORGANIZATION'S FINANCE TEAM, INCLUDING THE DIRECTOR OF FINANCE AND THE CHIEF FINANCIAL OFFICER. THE DRAFT FORM 990 IS ALSO REVIEWED BY MERCY HEALTH'S TAX DEPARTMENT AND AN INDEPENDENT ACCOUNTING FIRM, TO ENSURE ACCURACY AND CONSISTENCY WITH OTHER RELATED ORGANIZATIONS' FORMS 990. AFTER QUESTIONS ARISING FROM THE VARIOUS REVIEWS ARE ADDRESSED AND INCORPORATED INTO THE FORM 990, A REVISED DRAFT IS PROVIDED TO THE FILING ORGANIZATION'S LEADERSHIP TEAM, INCLUDING THE CFO AND CEO, FOR REVIEW. ONCE REVIEWED AND APPROVED BY THE FILING ORGANIZATION'S LEADERSHIP TEAM, THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW; IT IS THEN SIGNED AND FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER DISQUALIFIED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY AND DID SO IN THE NORMAL COURSE FOR THE YEAR ENDED JUNE 30, 2024. THIS PROCESS IS ADMINISTERED AT THE MERCY HEALTH LEVEL BY MERCY'S CORPORATE COMPLIANCE DEPARTMENT. THE CONFLICTS AND THEIR RESPECTIVE RESOLUTIONS ARE SHARED AT THE MERCY LEVEL WITH A TEAM INCLUDING MERCY'S SENIOR VICE PRESIDENT OF FINANCIAL OPERATIONS & PLANNING, CHIEF COMPLIANCE OFFICER AND OTHER MEMBERS OF FINANCE, LEGAL AND HR. THE QUESTIONNAIRES ARE THEN REVIEWED WITH LEADERSHIP AT THE LOCAL LEVEL AND POTENTIAL CONFLICTS DISCUSSED AND RESOLVED. SUMMARY RESULTS ARE REVIEWED WITH MERCY'S STEWARDSHIP COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 DATA FROM TWO ORGANIZATIONS (MO HOSPITAL ASSOCIATION AND ANOTHER INDEPENDENT AGENCY) ARE USED FOR COMPARISON. RECOMMENDATIONS ARE MADE FROM THAT INFORMATION TO THE BOARD OF TRUSTEES, WHO THEN DETERMINE THE COMPENSATION FOR THE CEO. THE BOARD COMPLETES THIS REVIEW ANNUALLY. THE CEO AND VICE PRESIDENTS DETERMINE COMPENSATION FOR APPLICABLE KEY EMPLOYEES AND OTHER OFFICERS. HUMAN RESOURCES COMPILES EXTERNAL DATA FOR COMPARABLE AMOUNTS TO CONFIRM RATES ARE ADEQUATE. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST BUT ARE NOT PUBLISHED PUBLICLY. FORM 990, PART XI, LINE 9: NET TRANSFERS (TO)/FROM AFFILIATES -17,222,152. MISC NON-OPERATING (ACQUISITION ITEMS) 18,715,461. GAIN IN INVESTMENT IN UHS JOINT VENTURE 348,902. GAIN ON ASSET DISPOSAL 190,469. FORM 990, PART XII, QUESTION 2C AUDIT OF FINANCIAL STATEMENTS THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN MERCY HEALTH AND SUBSIDIARIES ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 2024 (THE TAX YEAR CURRENTLY BEING REPORTED). HOWEVER, NO SEPARATE AUDIT OPINION WAS ISSUED ON THE FINANCIAL STATEMENTS OF THE FILING ORGANIZATION. THE ULTIMATE RESPONSIBILITY FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE EXTERNAL AUDITOR LIES WITH THE STEWARDSHIP COMMITTEE OF THE MERCY HEALTH BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE. FORM 990, PART XII, QUESTION 3A AND 3B SINGLE AUDIT ACT AND 2 CFR 200 AUDIT MERCY HEALTH UNDERGOES A CONSOLIDATED 2 CFR 200 AUDIT EVERY YEAR AND THIS AUDIT WAS COMPLETED FOR THE FISCAL YEAR ENDING JUNE 30, 2024 BY DECEMBER 13, 2024. EACH ENTITY THAT RECEIVES FEDERAL FUNDS DURING THE YEAR IS INCLUDED ON THE SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS (SEFA) AND IS ALSO INCLUDED IN THE POPULATION INCLUDED IN THE AUDIT. IF THE FILING ENTITY RECEIVED FEDERAL FUNDS DURING THE YEAR ENDED JUNE 30, 2024, IT WILL BE INCLUDED ON THE MERCY HEALTH CONSOLIDATED SEFA, AND THEREFORE, ALSO INCLUDED IN THE POPULATION INCLUDED IN THE AUDIT. 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 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 261708048 PORTFOLIO MANAGEMENT. MO 501(C)(3) LINE 12B, II MERCY HEALTH 1 MERCY ACO CLINICAL SERVICES INC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 464504901 VIRTUAL CARE CENTER MO 501(C)(3) LINE 3 MERCY HEALTH 1 MERCY CLINIC EAST COMMUNITIES 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 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 S FREMONT SUITE 200 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 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 431423050 CORPORATE OFFICE MO 501(C)(3) LINE 1 N/A 0 MERCY HEALTH EAST COMMUNITIES 15740 SOUTH OUTER 40 RD 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 15740 SOUTH OUTER 40 RD 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 US 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 615 SOUTH NEW BALLAS ROAD ST LOUIS MO 63141 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 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 HOSPITAL OK 501(C)(3) LINE 3 MERCY HEALTH OKLAHOMA COMMUNITIES INC 1 MERCY HOSPITAL AURORA 500 PORTER AVENUE AURORA MO 65605 431936696 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH SPRINGFIELD COMMUNITIES 1 MERCY HOSPITAL BERRYVILLE 214 CARTER STREET BERRYVILLE AR 72616 710759299 HOSPITAL AR 501(C)(3) LINE 3 MERCY HEALTH NW ARK COMMUNITIES 1 MERCY HOSPITAL BOONEVILLE 880 WEST MAIN STREET BOONEVILLE AR 72927 463851119 HOSPITAL AR 501(C)(3) LINE 3 MERCY HOSPITAL FORT SMITH 1 MERCY HOSPITAL CARTHAGE 3125 DR RUSSELL SMITH WAY CARTHAGE MO 64836 453808607 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH SW MOKS COMMUNITIES 1 MERCY HOSPITAL CASSVILLE 94 MAIN STREET CASSVILLE MO 65625 431936699 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH SPRINGFIELD COMMUNITIES 1 MERCY HOSPITAL COLUMBUS 220 PENNSYLVANIA AVENUE COLUMBUS KS 66725 270842031 HOSPITAL KS 501(C)(3) LINE 3 MERCY HEALTH SW MOKS COMMUNITIES 1 MERCY HOSPITAL EL RENO INC 2115 PARKVIEW DRIVE EL RENO OK 73036 272716065 HOSPITAL OK 501(C)(3) LINE 3 MERCY HOSPITAL OKLAHOMA CITY INC 1 MERCY HOSPITAL FORT SMITH 7301 ROGERS AVENUE FORT SMITH AR 72903 710240352 HOSPITAL AR 501(C)(3) LINE 3 MERCY HEALTH FORT SMITH COMMUNITIES 1 MERCY HOSPITAL HEALDTON INC 3462 HOSPITAL RD HEALDTON OK 73438 263173902 HOSPITAL OK 501(C)(3) LINE 3 MERCY HOSPITAL ARDMORE INC 1 MERCY HOSPITAL JEFFERSON 1400 HIGHWAY 61 SOUTH FESTUS MO 63028 430687077 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH EAST COMMUNITIES 1 MERCY HOSPITAL JOPLIN 100 MERCY WAY JOPLIN MO 64804 270814858 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH SW MOKS COMMUNITIES 1 MERCY HOSPITAL KINGFISHER INC 1000 KINGFISHER REGIONAL HOSPITAL C KINGFISHER OK 73750 463433074 HOSPITAL OK 501(C)(3) LINE 3 MERCY HOSPITAL OKLAHOMA CITY INC 1 MERCY HOSPITAL LEBANON 100 HOSPITAL DRIVE LEBANON MO 65536 431767432 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH SPRINGFIELD COMMUNITIES 1 MERCY HOSPITAL LINCOLN 1000 EAST CHERRY STREET TROY MO 63379 472219204 HOSPITAL MO 501(C)(3) LINE 3 MERCY HOSPITALS EAST COMMUNITIES 1 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 72958 710557895 HOSPITAL AR 501(C)(3) LINE 3 MERCY HOSPITAL FORT SMITH 1 MERCY HOSPITAL WATONGA INC 500 CLARENCE NASH BLVD WATONGA OK 73772 455199762 HOSPITAL OK 501(C)(3) LINE 3 MERCY HOSPITAL OKLAHOMA CITY INC 1 MERCY HOSPITALS EAST COMMUNITIES 615 S NEW BALLAS ROAD ST LOUIS MO 63141 430653493 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH EAST COMMUNITIES 1 MERCY KANSAS COMMUNITIES INC 401 WOODLAND HILLS BLVD FT SCOTT KS 66701 480956045 HOSPITAL KS 501(C)(3) LINE 3 MERCY HEALTH SW MOKS COMMUNITIES 1 MERCY MINISTRIES OF LAREDO 2500 ZACATECAS ST LAREDO TX 78046 200198462 OUTREACH TX 501(C)(3) LINE 7 MERCY HEALTH 1 MERCY RESEARCH 524 NORTH BOONEVILLE AVENUE SPRINGFIELD MO 65802 870796305 RESEARCH MO 501(C)(3) LINE 4 MERCY HEALTH 1 MERCY ST FRANCIS HOSPITAL 100 W US HIGHWAY 60 MOUNTAIN VIEW MO 65548 440607149 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH SPRINGFIELD COMMUNITIES 1 MHM SUPPORT SERVICES 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 202553101 CENTRALIZED HEALTH SYSTEM FUNCTIONS MO 501(C)(3) LINE 12A, I MERCY HEALTH 1 MISSION CLINICAL SERVICES 216 MCAULEY COURT HOT SPRINGS AR 71913 134239691 CHILD ADVOCACY CENTER AR 501(C)(3) LINE 3 MERCY HEALTH 1 MERCY HEALTH FOUNDATION SOUTH 10010 KENNERLY ROAD ST LOUIS MO 63128 261516789 FUNDRAISING MO 501(C)(3) LINE 12A, I MERCY HOSPITAL SOUTH 1 MERCY HOSPITAL SOUTH 10010 KENNERLY ROAD ST LOUIS MO 63128 430980256 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH EAST COMMUNITIES 1 ST ANTHONY'S PHYSICIAN ORGANIZATION 10010 KENNERLY ROAD ST LOUIS MO 63128 431784536 HEALTH CARE MO 501(C)(3) LINE 3 MERCY HOSPITAL SOUTH 1 MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS 1619 W 7TH STREET GALENA KS 66739 843730625 HOSPITAL KS 501(C)(3) LINE 3 MERCY HEALTH SW MOKS COMMUNITIES 1 MERCY HOSPITAL PERRY 434 N WEST STREET PERRYVILLE MO 63775 923065473 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH EAST COMMUNITIES 1 SOUTHEAST HEALTH CENTER OF RIPLEY COUNTY 1701 LACEY STREET CAPE GIRARDEAU MO 63701 273868479 HOSPITAL MO 501(C)(3) LINE 3 SOUTHEAST HOSPITAL 1 SOUTHEASTHEALTH SYSTEM 1701 LACEY STREET CAPE GIRARDEAU MO 63701 474890906 HEALTH SYSTEM MO 501(C)(3) LINE 12C, III-FI MERCY HEALTH 1 SOUTHEAST MISSOURI HOSPITAL FOUNDATION 1849 BROADWAY CAPE GIRARDEAU MO 63701 431122759 FOUNDATION MO 501(C)(3) LINE 7 SOUTHEAST HOSPITAL 1 PLAZA SURGERY SERVICES COMPANY LLC 12700 SOUTHFORK ROAD ST LOUIS MO 63128 204709312 INACTIVE MO MERCY HOSPITAL SOUTH 0 0 ST EDWARD MERCY MC M-P OFFICE BLDG 7301 ROGERS AVENUE FORT SMITH AR 72903 710554050 OFFICE BUILDING AR MERCY HOSPITAL FORT SMITH 0 0 PLATINUM CPS HOLDINGS LLC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 842493007 HOLDING COMPANY MO MERCY MANAGED CARE CORP MERCY HEALTH 0 0 FRONTENAC PROPERTIES INC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 521914421 HOLDING COMPANY DE MERCY HEALTH C 0 MERCY HEALTH CENTER CONDOMINIUMS INC 4300 W MEMORIAL RD OKLAHOMA CITY OK 73120 680640970 REAL ESTATE OK MERCY HOSPITAL OKLAHOMA CITY INC C 0 MERCY MANAGED CARE CORPORATION 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 731441665 HOLDING COMPANY OK MERCY HEALTH C 0 UHL CORP INC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 742499535 HOLDING COMPANY MO MERCY HOSPITALS EAST COMMUNITIES C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 MERCY HEALTH P 35387215 FMV MHM SUPPORT SERVICES Q 32005217 FMV MERCY HEALTH EAST COMMUNITIES Q 251093 FMV MERCY HOSPITAL PERRY Q 236827 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.