2022-05-13T13:58:41-05:00 2021-06-30 264532849 PURK & ASSOCIATES PC 1034 SOUTH BRENTWOOD BLVD STE 2000 SAINT LOUIS MO 63117 990 2020-07-01 431718408 MERCY HEALTH EAST COMMUNITIES MERC 3143643553 645 MARYVILLE CENTRE DRIVE NO 100 ST LOUIS MO 63141 DENISE SCOFFIC VP FINANCE 3142511917 2022-05-11 1 DENISE SCOFFIC 999009999 DOUGLAS G PLEUS CPA P00013488 3148844000 2022-05-11 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z STEVE MACKIN 645 MARYVILLE CENTRE DRIVE NO 100 ST LOUIS MO 63141 86604307 0 X WWW.MERCY.NET X 1995 MO MERCY HEALTH EAST COMMUNITIES ("MHEC") IS A SUPPORTING ORGANIZATION OF MERCY HOSPITALS EAST COMMUNITIES AND MERCY CLINIC EAST COMMUNITIES. MHEC ALSO PROVIDES SUPPORT SERVICES TO MERCY HEALTH FOUNDATION ST. LOUIS AND MERCY HEALTH FOUNDATION WASHINGTON. MHEC IS THE PARENT OF THE MERCY HOSPITALS EAST COMMUNITIES, AND PROVIDES MANAGEMENT AND SUPPORT SERVICES WITHIN THE SYSTEM. 16 14 0 14 0 0 2190 475571 43250100 84840286 1171426 -31218 103016 890158 44526732 86174797 287175 150000 0 0 37119781 47444987 0 0 0 3223115 42754043 40630071 90349030 3896661 -4174233 421838754 429335158 65597626 73338700 356241128 355996458 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 42842655 150000 30489236 MERCY HEALTH EAST COMMUNITIES (""MHEC"") IS EXEMPT FROM FEDERAL INCOME TAX AS AN ORGANIZATION DESCRIBED IN IRC SECTION 501(C)(3) AND QUALIFIES AS A PUBLIC CHARITY UNDER IRC SECTION 509 (A) (3). MHEC IS A SUPPORTING ORGANIZATION OF MERCY HOSPITALS EAST COMMUNITIES AND MERCY CLINIC EAST COMMUNITIES. MHEC ALSO PROVIDES SUPPORT SERVICES TO MERCY HEALTH FOUNDATION ST. LOUIS AND MERCY HEALTH FOUNDATION WASHINGTON. THE SUPPORT SERVICES INCLUDE FUNCTIONS THAT, BUT FOR MHEC, WOULD BE CONDUCTED BY EACH SEPARATE SUPPORTED ORGANIZATION AND INCLUDE, BUT ARE NOT LIMITED TO ADMINISTRATION. MHEC SERVICES ALSO INCLUDE ACO RISK AGREEMENT ACTIVITY 47323338 0 54351050 METRO IMAGING: A DIVISION OF MERCY HEALTH EAST COMMUNITIES PROVIDES DIAGNOSTIC IMAGING SERVICES, INCLUDING MRI, CT SCAN, ULTRASOUND, 3D MAMMOGRAPHY, BONE DENSITY SCANS, AND DIGITAL X-RAYS. INCLUDED ARE IMAGING CENTERS IN THE FOLLOWING ST. LOUIS AREAS: SOUTH COUNTY , ST. PETERS, CREVE COEUR, FLORISSANT, AND RICHMOND HEIGHTS. 90165993 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 16 14 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 X DENISE SCOFFIC 3142511917 645 MARYVILLE CENTERSTE 100 ST LOUIS MO 63141 X CIARAMITA MD JEFF COMMUNITY PRESIDENT - CLINICS & BM 1.00 69.00 X 0 940538 110463 BAIN MD KELLY PHYSICIAN & BOARD MEMBER 1.00 49.00 X 0 389791 24847 ARNOLD MD DON BOARD MEMBER 1.00 0.00 X 0 0 0 BAUER PHD JON BOARD MEMBER 1.00 0.00 X 0 0 0 BOYD MD CRAIG BOARD MEMBER 1.00 0.00 X 0 0 0 BRIGGS MATUSCHKA BOARD MEMBER 1.00 0.00 X 0 0 0 CAREY AARNARIAN BOARD MEMBER 1.00 0.00 X 0 0 0 DENIGAN JANICE BOARD MEMBER 1.00 0.00 X 0 0 0 GANNON DENNIS BOARD MEMBER 1.00 0.00 X 0 0 0 GLOSENGER RSM SR KATHERINE BOARD MEMBER 1.00 3.00 X 0 0 0 GUTOWSKI RSM SR MICHAEL MARY BOARD MEMBER 1.00 0.00 X 0 0 0 HENRY WENDY BOARD MEMBER 1.00 0.00 X 0 0 0 NOLAN RSM SR MIRIAM BOARD MEMBER 1.00 0.00 X 0 0 0 O'CONNOR SUSAN BOARD MEMBER 1.00 0.00 X 0 0 0 PORTER JOHN BOARD MEMBER 1.00 0.00 X 0 0 0 REED III WINTHROP BOARD MEMBER 1.00 0.00 X 0 0 0 MATEJKA CHERYL L CFO & TREASURER 1.00 54.00 X 0 1473058 91021 MACKIN STEPHEN PRESIDENT ST. LOUIS 5.00 55.00 X 0 1023158 95919 RUNGE ANDREW COO CLINICS 55.00 1.00 X 0 818622 83478 YOST DEBRA A REGIONAL VP - HR 20.00 25.00 X 0 517418 47369 SCOFFIC DENISE VP - FINANCE 3.00 49.00 X 0 308929 39503 FRONCZAK THEODORE VP OPERATIONS NORTH COMMUNITY 40.00 0.00 X 0 309252 25012 STIFFLER MARK R VP-OPERATIONS 40.00 0.00 X 0 316659 12611 HASTINGS HEIDI S VP-OPERATIONS 40.00 0.00 X 0 240981 10492 JEWELL LATESHA VP OPERATIONS 20.00 20.00 X 0 222124 16885 DUNGER KERRY EXECUTIVE DIRECTOR - FINANCE 40.00 0.00 X 0 195080 24836 SORENSEN DONN FORMER OFFICER 0.00 60.00 X 0 4469703 120270 JOHNSTON JEFFREY A FORMER OFFICER 0.00 55.00 X 0 4278887 122343 HANNASCH SUSAN FORMER OFFICER 0.00 0.00 X 0 347134 0 KALICAK DONALD FORMER KEY EMPLOYEE 0.00 0.00 X 0 303091 0 HUBERT JOHN FORMER KEY EMPLOYEE 0.00 0.00 X 0 794102 0 0 16948527 825049 0 1 1 0 CANNON DESIGN 1100 CLARK AVE ST LOUIS MO 63102 ENGINEERING & DESIGN FIRM 3178604 ATALIAN US MIDWEST 525 WASHINGTON BLVD 25TH FLOOR JERSEY CITY NJ 07310 HOUSEKEEPING SERVICES 1562536 GUIDEHOUSE 150 N RIVERSIDE PLAZA STE 2100 CHICAGO IL 60606 CONSULTING SERVICES 871942 NORTHSTAR MANAGEMENT CO 10820 SUNSET OFFICE DR STE 302 ST LOUIS MO 63127 DESIGN & CONSTRUCTION CONSULTING 297078 GEORGE A PALETTA ORTHO CONSULTING 2 FRONTENAC CIRCLE FRONTENAC MO 63131 PHYSICIAN SERVICES 232520 14 475571 475571 NET PATIENT SERVICES REVENUE 621110 53191967 53191967 RENTAL FROM AFFILIATED EXEMPT ORG 531120 28922694 28922694 OTHER OPERATING REVENUE 622110 2625625 2625625 CORPORATE & MGMT FEES 561110 100000 100000 84840286 -31218 -31218 1319668 429510 890158 890158 890158 86174797 84840286 0 858940 150000 150000 39302240 33392926 5909314 870873 739932 130941 4769504 4052382 717122 2502370 2126125 376245 10 10 29123722 25455668 3668054 682874 26117 656757 4835297 514728 4320569 39558 39558 22774872 22652145 122727 12153 10612 1541 768653 768653 6658722 6446034 212688 629056 385218 243838 BUILDING IMPAIRMENT - N 6170083 0 6170083 BAD DEBT 3648069 3648069 REPAIRS & MAINTENANCE 2460176 2402647 57529 SHARED SERVICE FEES -36353125 -13450656 -22902469 1303923 805835 498088 90349030 90165993 183037 0 7830695 11280520 2978642 1632890 15 -26879 -214006 352176009 154390227 188942503 197785782 220918 217168 30610111 30610111 191282764 188022678 421838754 429335158 49812362 59026839 160276 120207 15624988 14191654 65597626 73338700 X 356241128 355996458 356241128 355996458 421838754 429335158 X -4174233 3929563 X X 0 1 X 1 1 1 X X 3 MERCY HOSPITALS EAST COMMUNITIES 430653493 3 1 0 0 MERCY CLINIC EAST COMMUNITIES 431771217 10 1 0 0 MERCY HOSPITAL JEFFERSON 430687077 3 1 0 0 3 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 PART I, LINE 11G, COLUMN V MERCY HEALTH CARE EAST COMMUNITIES (MHEC) IS A TYPE I SUPPORTING ORGANIZATION THAT IS OPERATED TO SUPPORT THE OPERATIONS OF ALL ITS RELATED ORGANIZATIONS LISTED ON SCHEDULE A, PART I, LINE 11(G). (MHEC OPERATES SIMILARLY TO MANY TAX-EXEMPT HEALTH CARE ORGANIZATIONS SUPPORTING ORGANIZATIONS, BY OPERATING AS A "PARENT-TYPE" ENTITY, NOT AS A PROVIDER OF MONETARY SUPPORT.) THE AMOUNT OF SUPPORT PROVIDED TO THESE ORGANIZATIONS, REPORTED ON SCHEDULE A, PART I, LINE 11(G)(V), DOES NOT INCLUDED EXPENSES PAID ON BEHALF OF BUT NOT DIRECTLY TO THE ENTITIES MHEC SUPPORTS. THESE EXPENSES TOTALED $31,464,793. PART IV, SECTION A, LINE 1: MHEC IS THE PARENT ORGANIZATION OF THE ST. LOUIS AREA COMMUNITY, MERCY HEALTH EAST COMMUNITIES. THIS IS A HEALTH SYSTEM OF WHICH ALL SUPPORTED ORGANIZATIONS ARE SUBSIDIARIES. MERCY HEALTH, THE MEMBER OF MERCY HEALTH EAST COMMUNITIES, HAS RESERVE POWERS TO APPOINT AND REMOVE ALL DIRECTORS AND OFFICERS FOR MERCY HEALTH EAST COMMUNITIES. THE PURPOSE OF MHEC IS TO PROVIDE, EITHER DIRECTLY OR IN CONJUNCTION WITH OTHER PERSONS OR ORGANIZATIONS, ADMINISTRATION, ACCOUNTS PAYABLE, GENERAL ACCOUNTING, FINANCE AND ANALYSIS, HEALTH INFORMATION SERVICES, MANAGED CARE CONTRACTING, PHYSICIAN REFERRAL SERVICES, PRE-REGISTRATION AND PATIENT SCHEDULING,STRATEGIC PLANNING,PURCHASING, AND REAL ESTATE MANAGEMENT. OTHER SERVICES INCLUDE SUCH SUPPORT SERVICES AND CHARITABLE ACTIVITIES AS DETERMINED NECESSARY BY MHEC FROM TIME TO TIME. MHEC, IN CONJUNCTION WITH ITS SOLE MEMBER, HAS DETERMINED THAT THE SUPPORTED ORGANIZATIONS LISTED ON SCHEDULE A, PART I, LINE 11(G) ALLOW THE CORPORATION TO FULFILL ITS MISSION. PART IV, SECTION B, LINE 1: SEE RESPONSES TO PART I, LINE 11G, COLUMN V AND PART IV, SECTION A, LINE 1 FOR INFORMATION REGARDING THE POWERS AND CONTROL OF MHEC AND THE SUPPORTED ORGANIZATIONS. PART IV, SECTION A, LINE 6: SEE SCHEDULE I FOR INFORMATION REGARDING GRANTS MADE TO CHARITABLE ORGANIZATIONS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 10 0 0 0 10 0 PART II-B, LINE 1: THE FILING ORGANIZATION IS A MEMBER OF AND PAYS DUES TO THE FOLLOWING ASSOCIATION: CATHOLIC HEALTH ASSOCIATION. FOR THE YEAR ENDED JUNE 30, 2021, DUES WERE $272. APPROXIMATELY 3.66% OF CATHOLIC HOSPITAL ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED BY THIS ASSOCIATION. 78186371 78186371 147503415 60351277 87152138 17337401 7003090 10334311 85897770 81265118 4632652 23251052 5770742 17480310 197785782 INVESTMENT IN SUBSIDIARIES 153645995 OTHER LONG TERM ASSETS 1603235 DUE FROM AFFILIATES 32773448 188022678 PART X, LINE 2 FEDERAL INCOME TAX PRIMARILY ALL OF THE MERCY HEALTH ENTITIES ARE RECOGNIZED BY THE INTERNAL REVENUE SERVICE 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. MERCY COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2021 OR 2020. 1 LINDENWOOD UNIVERSITY 209 S KINGSHIGHWAY ST CHARLES MO 63301 430652649 501C3 125000 CHARITABLE SUPPORT ST CHARLES COUNTY ECONOMIC DEVELOPMENT COUNCIL 5988 MID RIVERS CALL DR ST CHARLES MO 63304 431545618 501C4 25000 CHARITABLE SUPPORT 1 1 PART I, LINE 2: GRANTS ARE MADE TO ORGANIZATIONS WHICH HAVE AN ESTABLISHED HISTORY OF PROVIDING HEALTH CARE SUPPORT AND\OR COMMUNITY BENEFIT. IF NECESSARY, PERIODIC REPORTS ARE PROVIDED TO US. GRANTS ARE OFTEN MADE TO RELATED ORGANIZATIONS, WHICH PROVIDE REPORTING ON THE USE OF THE FUNDS AND WORK CLOSELY WITH OUR ORGANIZATION. X X X 1 1 1 1 0 0 0 0 0 0 0 SORENSEN DONN FORMER OFFICER 0 901094 0 1508285 0 2060324 0 110491 0 9779 0 4589973 0 872529 JOHNSTON JEFFREY A FORMER OFFICER 0 787422 0 1022053 0 2469412 0 109598 0 12745 0 4401230 0 694154 MATEJKA CHERYL L CFO & TREASURER 0 536248 0 354237 0 582573 0 77776 0 13245 0 1564079 0 249181 MACKIN STEPHEN PRESIDENT ST. LOUIS 0 654163 0 280040 0 88955 0 83193 0 12726 0 1119077 0 0 CIARAMITA MD JEFF COMMUNITY PRESIDENT - CLINICS & BM 0 751661 0 119398 0 69479 0 97718 0 12745 0 1051001 0 0 RUNGE ANDREW COO CLINICS 0 394813 0 279674 0 144135 0 67132 0 16346 0 902100 0 205345 HUBERT JOHN FORMER KEY EMPLOYEE 0 0 0 0 0 794102 0 0 0 0 0 794102 0 0 YOST DEBRA A REGIONAL VP - HR 0 146638 0 177523 0 193257 0 38584 0 8785 0 564787 0 127089 BAIN MD KELLY PHYSICIAN & BOARD MEMBER 0 357970 0 7268 0 24553 0 18200 0 6647 0 414638 0 0 SCOFFIC DENISE VP - FINANCE 0 266584 0 15101 0 27244 0 32913 0 6590 0 348432 0 0 HANNASCH SUSAN FORMER OFFICER 0 0 0 0 0 347134 0 0 0 0 0 347134 0 0 FRONCZAK THEODORE VP OPERATIONS NORTH COMMUNITY 0 276003 0 14307 0 18942 0 24094 0 918 0 334264 0 0 STIFFLER MARK R VP-OPERATIONS 0 103075 0 0 0 213584 0 12611 0 0 0 329270 0 0 KALICAK DONALD FORMER KEY EMPLOYEE 0 0 0 0 0 303091 0 0 0 0 0 303091 0 0 HASTINGS HEIDI S VP-OPERATIONS 0 79811 0 8631 0 152539 0 9950 0 542 0 251473 0 0 JEWELL LATESHA VP OPERATIONS 0 198639 0 10368 0 13117 0 7062 0 9823 0 239009 0 0 DUNGER KERRY EXECUTIVE DIRECTOR - FINANCE 0 163210 0 5991 0 25879 0 19249 0 5587 0 219916 0 0 PART I, LINE 1A CHARTER TRAVEL IS PROVIDED TO CERTAIN EMPLOYEES AS AND WHEN APPROPRIATE, AND AS DEEMED NECESSARY FOR BUSINESS TRAVEL. AFTER CHARTER TRAVEL APPROVAL HAS BEEN GRANTED IN ACCORDANCE WITH THE FINANCIAL JUSTIFICATION PROCESS, THE APPROVED CHARTER TRAVEL FOR BUSINESS IS A REIMBURSABLE EXPENSE WHICH IS NOT TAXABLE TO THE EMPLOYEES. IN ANY CIRCUMSTANCE IN WHICH CHARTER TRAVEL IS MADE AVAILABLE TO EMPLOYEES AND/OR SPOUSES/GUESTS FOR PERSONAL REASONS, MERCY POLICY REQUIRES TRACKING OF SUCH USE AND TAXATION OF THE EMPLOYEE(S) ACCORDINGLY. TRAVEL FOR COMPANIONS FOR NONBUSINESS REASONS IS PROVIDED IN CERTAIN INSTANCES AND IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. WHERE COMPANION TRAVEL HAS RESULTED IN A TAXABLE EVENT, THE EMPLOYEES ARE TAXED FOR SUCH TRAVEL. SPOUSAL TRAVEL WAS PROVIDED FOR AN OFFICER AND A FORMER OFFICER. LIMITED INSTANCES OF TAX GROSS-UPS OCCURRED WITH RESPECT TO EXECUTIVES. PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAY: DONALD KALICAK $303,091; JOHN HUBERT $794,102; SUSAN HANNASCH $347,134; MARK STIFFLER $169,176; HEIDI HASTINGS $115,450; DEB YOST $147,251 PART I, LINE 4B: MERCY HEALTH, THE ULTIMATE PARENT COMPANY, OFFERS A SUPPLEMENTAL RETIREMENT PLAN TO CERTAIN EXECUTIVES WHICH PROVIDE BENEFITS UPON VESTING DATE BASED ON COMPENSATION, AGE AT THE TIME OF BENEFIT COMMENCEMENT, LENGTH OF SERVICE WITH THE COMPANY AND/OR ITS AFFILIATES, AND LENGTH OF TENURE IN THE PLAN. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE PLAN. JOHNSTON,JEFFREY; SORENSEN,DONN; KALICAK,DON; MATEJKA,CHERYL L; HUBERT,JOHN; HANNASCH,SUSAN; RUNGE,ANDREW; YOST,DEB; CIARIMITA,JEFFREY. THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C). THE AMOUNTS REPORTED FOR JOHNSTON,JEFFREY, SORENSEN,DONN, MATEJKA,CHERYL L, RUNGE,ANDREW, AND YOST,DEB IN COLUMN (F) ARE EITHER INCLUDED IN B(I) BASE COMPENSATION, B(II) AS BONUS AND INCENTIVE COMPENSATION, OR B(III) AS OTHER REPORTABLE COMPENSATION. THESE AMOUNTS ARE A PAYOUT OF THE SUPPLEMENTAL RETIREMENT PLAN AND EXECUTIVE RETENTION PLAN AND WERE INCLUDED IN COLUMN (C) OF PREVIOUSLY FILED FORMS 990. PART I, LINE 3 MERCY HEALTH (PARENT COMPANY) IS RESPONSIBLE FOR ESTABLISHING THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THE FOLLOWING METHODS WERE USED BY MERCY HEALTH TO ESTABLISH COMPENSATION: -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE FORM 990, PART VI, SECTION A, LINE 6 THE MEMBER OF MERCY HEALTH EAST COMMUNITIES IS MERCY HEALTH. FORM 990, PART VI, SECTION A, LINE 7A MERCY HEALTH, THE MEMBER OF MERCY HEALTH EAST COMMUNITIES, HAS RESERVE POWERS TO APPOINT AND REMOVE ALL DIRECTORS AND OFFICERS FOR MERCY HEALTH EAST COMMUNITIES. FORM 990, PART VI, SECTION A, LINE 7B MERCY HEALTH, THE MEMBER OF MERCY HEALTH EAST COMMUNITIES, RESERVES THE FOLLOWING POWERS AND RESPONSIBILIES: -TO APPROVE THE MISSION AND ESTABLISH THE PHILOSOPHY ACCORDING TO WHICH THE CORPORATION OR ANY AFFILIATE SHALL OPERATE; -TO AMEND THE ARTICLES OF INCORPORATION AND BYLAWS AND TO AMEND THE ORGANIZATIONAL AND GOVERNANCE DOCUMENTS OF EACH AFFILIATE; -TO APPROVE OR AMEND THE STRATEGIC PLAN, GOALS AND OBJECTIVES OF THE CORPORATION AND EACH AFFILIATE; -TO APPROVE OR AMEND THE OPERATING, CAPITAL, AND CONSTRUCTION BUDGETS FOR THE CORPORATION AND EACH AFFILIATE; -TO LEASE OR SELL ANY OF THE ASSETS OF THE CORPORATION OR ANY AFFILIATE IN EXCESS OF THREE MILLION DOLLARS ($3,000,000); -TO ENCUMBER ANY OR ALL OF THE ASSETS OF THE CORPORATION AND EACH AFFILIATE CONTROLLED BY THE CORPORATION; -TO AUTHORIZE AND APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION AND EACH AFFILIATE (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 EXECUTY ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; -TO MERGE, DISSOLVE, OR ABANDON THE CORPORATION AND EACH AFFILIATE; AND, -TO APPROVE THE CREATION, OWNERSHIP, OR ACQUISITION OF, OF AFFILIATION WITH, ANY OTHER ORGANIZATION BY THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM, USING INFORMATION PROVIDED BY THE FILING ORGANIZATION. A DRAFT FORM 990 IS REVIEWED BY THE FILING ORGANIZATION'S FINANCE LEADERSHIP. THE DRAFT FORM 990 IS ALSO REVIEWED BY MERCY HEALTH'S TAX DEPARTMENT, TO ENSURE ACCURACY AND CONSISTENCY WITH OTHER RELATED ORGANIZATIONS' FORM 990S. 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, 2021. 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 B, LINE 15B FOR THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS), MERCY HEALTH (PARENT COMPANY) USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT, AND ANNUAL REVIEW/APPROVAL OF COMPENSATION BY THE COMPENSATION COMMITTEE OF THE MERCY HEALTH BOARD. FOR THOSE CLASSIFIED AS KEY EMPLOYEES, THE ORGANIZATION USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, AND REVIEW/APPROVAL OF EXECUTIVE MANAGEMENT. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS, AND A REVIEW WAS COMPLETED DURING THE REPORTING YEAR. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE FROM TIME TO TIME BUT ARE NOT PUBLISHED PUBLICLY; WE ARE NOT REQUIRED TO MAKE THESE DOCUMENTS AVAILABLE TO THE PUBLIC. FINANCIAL RESULTS ARE AVAILABLE VIA REQUEST OF COPY OF FORM 990. FORM 990, PART VII, SECTION A, COLUMN B AVERAGE HOURS PER WEEK THE HOURS PER WEEK DISCLOSED IN PART VII IS THE AVERAGE HOURS THE LISTED PERSON WORKED OR DEVOTED PER WEEK WHILE EMPLOYED OR ASSOCIATED WITH THE FILING ORGANIZATION AND RELATED ORGANIZATIONS (IF APPLICABLE). FORM 990, PART XI, LINE 9: NET TRANSFERS TO/FROM AFFILIATES 3,929,563. PART XII, LINE 2 AUDITED FINANCIAL STATEMENTS THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN THE MERCY HEALTH AND SUBSIDIARIES ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 2021 (THE TAX YEAR CURRENTLY BEING REPORTED). HOWEVER, NO SEPARATE AUDIT OPINION IS 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. 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. THIS AUDIT IS UNDERWAY FOR THE FISCAL YEAR ENDING JUNE 30, 2021 AND WILL BE COMPLETED BY SEPTEMBER 30, 2022. 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, 2021, IT WILL BE INCLUDED ON THE MERCY HEALTH CONSOLIDATED SEFA, AND THEREFORE, ALSO INCLUDED IN THE POPULATION INCLUDED IN THE AUDIT. FORM 990, SCHEDULE R, PART V SYSTEM LIMITATIONS 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. FORM 990, PART V, LINE 2A W-3 FILING SALARIES AND WAGES WITH LIMITED EXCEPTIONS, THE SALARIES AND WAGES REPORTED ON FORM 990, PART IX, LINE 7 REPRESENT AN ALLOCATION OF SALARIES AND WAGES FROM A RELATED ORGANIZATION. MOST EMPLOYEES ARE PAID BY A RELATED ORGANIZATION UNDER A COMMON PAYMASTER ARRANGEMENT. AS SUCH, ALL REQUIRED PAYROLL FILING FOR THESE EMPLOYEES (INCLUDING W-2 AND W-3'S) IS REPORTED UNDER THE RELATED ORGANIZATION, MHM SUPPORT SERVICES,EIN 20-2553101. FORM 990, PART V, QUESTION 1A INDEPENDENT CONTRACTORS INDEPENDENT CONTRACTORS FOR THE FILING ORGANIZATION ARE PAID BY THE MERCY HEALTH (EIN 43-1423050). AS SUCH, ALL REQUIRED FORM 1099 AND FORM 1096 REPORTING IS MADE FOR THE ENTIRE HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN. COVID-19 EARLY IN 2020, THE MERCY HEALTH SYSTEM WAS CALLED TO SERVE AS THE COVID-19 PANDEMIC SWEPT ACROSS THE WORLD. DURING FY 2021, IT CONTINUED TO BE A DIFFICULT TIME FOR ALL HEALTHCARE PROVIDERS. ALL MERCY FACILITIES ADJUSTED OPERATIONS FOR THE IMPACTS OF THE PANDEMIC WHICH MEANT MAKING CHANGES TO PATIENT CARE AREAS AND CANCELLING MOST OF OUR OUTPATIENT PROCEDURES FOR PERIODS OF TIME. 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'S TOTAL SYSTEM NET PATIENT REVENUES WERE REDUCED DURING THE YEAR DUE TO SURGES IN THE COMMUNITIES WE SERVE. MERCY DID RECEIVE FUNDING FROM THE CORONAVIRUS AID RELIEF AND ECONOMIC SECURITY ACT ("CARES ACT"). MERCY RECEIVED CARES ACT FUNDING ACROSS VARIOUS ENTITIES FOR THE YEAR ENDED JUNE 30, 2021 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. THE IMPACT OF COVID-19 WAS SIGNIFICANT TO OUR COMMUNITIES AND COWORKERS AS UNEMPLOYMENT RATES SOARED AND MERCY ACTED QUICKLY TO PROVIDE CONTINUOUS CARE TO PATIENTS AND THE COMMUNITY. 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. 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