Civic Intelligence

Mhm Support Services

990 • Fiscal year 2022 • EIN 20-2553101

Jul 01, 2021 to Jun 30, 2022 • Filed on May 11, 2023

Refreshing map…

14528 South Outer Forty Rd Ste 100Chesterfield, MO 63017

(314) 579-6100

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

99th percentile

2.06x

Higher debt load relative to assets than 99% of similar nonprofits.

2022 filings • 501(c)3 • $1B+ nonprofits • Source year 2022

Liabilities / Revenue

76th percentile

1.16x

Higher debt load relative to revenue than 76% of similar nonprofits.

2022 filings • 501(c)3 • $1B+ nonprofits • Source year 2022

Net Margin

14th percentile

-3.1%

Higher net margin than 14% of similar nonprofits.

2022 filings • 501(c)3 • $1B+ nonprofits • Source year 2022

Top Officer Pay

82nd percentile

$4,863,989

Higher top officer pay than 82% of similar nonprofits.

Top officer pay equals 0.4% of source-year revenue.

2022 filings • 501(c)3 • $1B+ nonprofits • Source year 2022

Asset Growth

89th percentile

12%

Faster asset growth than 89% of similar nonprofits.

2022 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2021 to 2022

Revenue Growth

23rd percentile

-4.8%

Faster revenue growth than 23% of similar nonprofits.

2022 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2021 to 2022

Assets

Up

$689,585,405

Up $74,925,798 (+12%) from 2021

Net Assets

Up

-$730,140,968

Up $530,264,088 (+42%) from 2021

Liabilities

Down

$1,419,726,373

Down $455,338,290 (-24%) from 2021

Revenue

Down

$1,227,902,351

Down $61,901,155 (-4.8%) from 2021

Expenses

Up

$1,266,030,520

Up $143,899,526 (+13%) from 2021

Net Income

Down

-$38,128,169

Down $205,800,681 (-123%) from 2021

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$2.0B$1.0B$0-$1.0B-$2.0BAssets 2010: $398,396,796Liabilities 2010: $306,510,000Net Assets 2010: $91,886,7962010Assets 2011: $571,497,942Liabilities 2011: $400,569,236Net Assets 2011: $170,928,7062011Assets 2012: $497,713,976Liabilities 2012: $359,238,431Net Assets 2012: $138,475,5452012Assets 2013: $414,961,144Liabilities 2013: $584,564,566Net Assets 2013: -$169,603,4222013Assets 2014: $398,836,597Liabilities 2014: $636,924,415Net Assets 2014: -$238,087,8182014Assets 2015: $356,920,995Liabilities 2015: $630,484,094Net Assets 2015: -$273,563,0992015Assets 2016: $402,586,876Liabilities 2016: $579,847,076Net Assets 2016: -$177,260,2002016Assets 2017: $317,823,920Liabilities 2017: $634,571,833Net Assets 2017: -$316,747,9132017Assets 2018: $383,759,637Liabilities 2018: $708,403,517Net Assets 2018: -$324,643,8802018Assets 2019: $376,241,500Liabilities 2019: $895,507,263Net Assets 2019: -$519,265,7632019Assets 2020: $863,957,773Liabilities 2020: $1,773,261,492Net Assets 2020: -$909,303,7192020Assets 2021: $614,659,607Liabilities 2021: $1,875,064,663Net Assets 2021: -$1,260,405,0562021Assets 2022: $689,585,405Liabilities 2022: $1,419,726,373Net Assets 2022: -$730,140,9682022Assets 2023: $801,938,139Liabilities 2023: $1,229,932,034Net Assets 2023: -$427,993,8952023

Highlighted filing

2022

Assets$689,585,405
Liabilities$1,419,726,373
Net Assets-$730,140,968

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$1.5B$1.0B$500M$0-$500MExpenses 2010: $365,636,3642010Expenses 2011: $429,483,7532011Expenses 2012: $552,761,4942012Expenses 2013: $593,991,9882013Revenue 2014: $616,461,935Expenses 2014: $666,523,549Net Income 2014: -$50,061,6142014Revenue 2015: $665,816,955Expenses 2015: $699,534,667Net Income 2015: -$33,717,7122015Revenue 2016: $644,374,341Expenses 2016: $700,813,252Net Income 2016: -$56,438,9112016Revenue 2017: $715,118,639Expenses 2017: $693,955,228Net Income 2017: $21,163,4112017Revenue 2018: $867,709,519Expenses 2018: $866,715,868Net Income 2018: $993,6512018Revenue 2019: $965,404,009Expenses 2019: $1,050,087,426Net Income 2019: -$84,683,4172019Revenue 2020: $1,018,170,808Expenses 2020: $1,105,061,927Net Income 2020: -$86,891,1192020Revenue 2021: $1,289,803,506Expenses 2021: $1,122,130,994Net Income 2021: $167,672,5122021Revenue 2022: $1,227,902,351Expenses 2022: $1,266,030,520Net Income 2022: -$38,128,1692022Revenue 2023: $1,376,481,170Expenses 2023: $1,453,247,210Net Income 2023: -$76,766,0402023

Highlighted filing

2022

Revenue$1,227,902,351
Expenses$1,266,030,520
Net Income-$38,128,169
Jump To
Filing Snapshot
Filing Period
Jul 1, 2021 to Jun 30, 2022
Signed
May 11, 2023
Return Version
2021v4.2
Gross Receipts
$1,227,902,351
Mission and Program Overview

Mission

As the sisters of mercy before us, we bring to life the healing ministry of jesus through our compassionate care and exceptional service.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$225,501,156$240,079,662▲ $14,578,506
Prepaid Expenses and Deferred Charges$42,884,211$60,096,267▲ $17,212,056
Inventories for Sale or Use$32,804,648$36,612,040▲ $3,807,392
Accounts Receivable$33,372,553$22,367,940▼ $11,004,613
Cash and Non-Interest-Bearing Accounts$1,036,772$19,113,553▲ $18,076,781
Intangible Assets$2,600,060$2,600,060→ $0
Pledges and Grants Receivable$800$0▼ $800
Savings and Temporary Cash Investments$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Loans From Officers Directors$0$0→ $0
Total Assets$614,659,607$689,585,405▲ $74,925,798
Other Assets Total$276,459,407$308,715,883▲ $32,256,476
Liabilities
Accounts Payable and Accrued Expenses$1,090,981,656$928,494,230▼ $162,487,426
Other Liabilities$681,723,311$402,660,158▼ $279,063,153
Mortgage Notes Payable Secured by Investment Property$102,224,436$88,144,601▼ $14,079,835
Grants Payable$135,260$427,384▲ $292,124
Total Liabilities$1,875,064,663$1,419,726,373▼ $455,338,290
Net Assets / Fund Balance
Net Assets With Donor Restrictions$162,107$162,107→ $0
Net Assets Without Donor Restrictions$-1,260,567,163$-730,303,075▲ $530,264,088
Total Net Assets Fund Balance$-1,260,405,056$-730,140,968▲ $530,264,088
Total Liabilities and Net Assets / Fund Balance$614,659,607$689,585,405▲ $74,925,798

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$170,000,273$887,122,614$1,057,122,887
Buildings$34,857,705$47,545,475$82,403,180
Land$30,559,050-$30,559,050
Leasehold Improvements$2,444,075$17,424,899$19,868,974
Other Land Buildings$2,218,559$12,631,930$14,850,489
Other Assets Org$4,161,255--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
-President, Mercy Health CEO (THRU 4/22)PT$1,357,528$3,506,461$4,863,989
-EVP - CSO, COO, & Treasurer-$1,012,948$1,701,410$2,714,358
-Chief Physician ExecutiveFT$359,810$2,323,646$2,683,456
-EVP - OperationsPT$893,699$1,589,253$2,482,952
-EVP - Community OperationsPT$805,383$1,671,906$2,477,289
-SR VP/General Counsel & SEC-$690,646$1,074,705$1,765,351
-EVP, Chief Administrative OfficerPT$685,934$1,046,147$1,732,081
-EVP, Digital Transformation & Business Development OfficerPT$650,737$998,879$1,649,616
-PRESIDENT, MERCY HEALTH CEO (Beg 4/2022)PT$719,607$909,692$1,629,299
-Consultant - Clinical Services & PresidentPT$396,087$1,112,698$1,508,785
-SVP - Population HealthFT$556,641$947,406$1,504,047
-SVP Chief Physician ExecutivePT$765,459$737,420$1,502,879
-Chief Financial OfficerPT$533,667$667,988$1,201,655
-SVP System Clinical OperationsFT$536,128$654,660$1,190,788
-Pres-Amb Care & Chief Clin OffFT$70,926$931,842$1,002,768
-President Mercy KidsPT$504,285$460,672$964,957
-VP - Ministry Emergency ServicesFT$425,178$501,373$926,551
-Senior VP & Chief Clinical OfficerPT$122,146$792,200$914,346
-Chief Nursing Opt OfficerPT$396,138$456,738$852,876
-Board Member & SVP Financial Operations & PlanningFT$403,843$309,927$713,770
-SVP - Strategic FinanceFT$392,574$276,783$669,357
-SVP - Chief Strategic Ventures OfficerPT$417,828$229,120$646,948
-Senior VP, Mission & Community HealthFT$279,154$316,849$596,003
-Former Key Employee-$449,417$175,481$175,481

Highest Paid Contractors

ContractorServicesLocationCompensation
Ge Precision HealthcareMaintenancePO Box 843553, Dallas, TX 75284$31,913,429
World Wide TechnologyHardware & Maintenance1 World Wide Way, Maryland Heights, MO 63146$13,938,234
Bernhard MccEngineering & Contracting ServicesPO Box 7460, Metairie, LA 70010$10,932,365
Xtend HealthcareCollection Services500 W Main St, Hendersonville, TN 37075$9,801,091
In Record TimeMedical Coding Services1901 S E 4th Avenue, Ft Lauderdale, FL 33316$7,367,076
Revenue and Support

Revenue Composition

Contributions and Grants
$450,088
Program Service Revenue
$1,184,720,022
Investment Income
$3,503,132
Other Revenue
$39,229,109
All Other Contributions
$244,110
Change in Net Assets
$-38,128,169
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$813,424,841
Salaries, Compensation, and Employee Benefits$451,030,458
Grants and Similar Amounts Paid$1,575,221
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$351,726,284--$351,726,284
Information Technology$146,728,936--$146,728,936
Fees for Services Other$129,292,031$0$0$129,292,031
Office Expenses$50,383,170--$50,383,170
Depreciation Depletion$41,733,321--$41,733,321
All Other Expenses$34,999,217$0$0$34,999,217
Other Employee Benefits$33,822,672--$33,822,672
Occupancy$32,774,108--$32,774,108
Current Officers, Directors, Trustees, and Key Employees$32,129,120--$32,129,120
Payroll Taxes$22,647,431--$22,647,431
Pension Plan Contributions$10,656,875--$10,656,875
Fees for Services Legal$9,534,962--$9,534,962
Advertising$9,073,228--$9,073,228
Insurance$6,536,584--$6,536,584
Travel$4,540,652--$4,540,652
Fees for Services Accounting$2,557,015--$2,557,015
Grants to Domestic Orgs$1,549,221--$1,549,221
Interest$733,869--$733,869
Fees for Services Lobbying$238,762--$238,762
Comp Disqual Persons$48,076--$48,076
Conferences and Meetings$37,112--$37,112
Grants to Domestic Individuals$26,000--$26,000
Other Expenses$-821,061--$-821,061
Total Functional Expenses$1,266,030,520$0$0$1,266,030,520
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
ConcordanceSt Louis, MO501c3Support mission$210,000
Stl Symphony OrchestraSt Louis, MO501c3Support mission$106,000
Mercy Ministries of LaredoLaredo, TX501c3Support mission$45,330
Casa De MisericordiaLaredo, TX501c3Support mission$32,500
Mercy Hlth Found StlSt Louis, MO501c3Support mission$30,000
Alliance of Sw MoJoplin, MO501c3Support mission$26,500
Ifm Comm Med Inst Family MedSt Louis, MO501c3Support mission$26,000
Archdiocese Stl Catholic ChariSt Louis, MO501c3Support mission$25,000
Invest in StlccSt Louis, MO501c3Support mission$25,000
Key Youth CtrTroy, MO501c3Support mission$25,000
Mercy Conference and RetreatSt Louis, MO501c3Support mission$25,000
Mercy Family CtrMetairie, LA501c3Support mission$25,000
Mercy Hlth Found SpfldSpringfield, MO501c3Support mission$25,000
Samaritan House Comm CtrRogers, AR501c3Support mission$25,000
St Lukes Meals on Wheels OkcOklahoma City, OK501c3Support mission$25,000
Stl Crisis NurserySt Louis, MO501c3Support mission$25,000
Urban League of Metro StlSt Louis, MO501c3Support mission$25,000
L Life Food Bank PantryLebanon, MO501c3Support mission$24,000
Watered Gardens MissionJoplin, MO501c3Support mission$21,500
Beyond HousingSt Louis, MO501c3Support mission$20,000
Call in the River ValleyParis, AR501c3Support mission$20,000
Childrens Safety CtrSpringdale, AR501c3Support mission$20,000
Coca Ctr of Creative ArtsSt Louis, MO501c3Support mission$20,000
Compassion Outreach CtrAda, OK501c3Support mission$20,000
Cooper Anthony Child AdvocacyHot Springs, AR501c3Support mission$20,000
Wfstl Womens Found Greater StlBrentwood, MO501c3Support mission$20,000
Nmss Natl Multiple SclerosisNew York, NY501c3Support mission$16,000
Childrens Adv Ctr of ArtLittle Rock, AR501c3Support mission$15,000
United Way of Ft Smith AreaFt Smith, AR501c3Support mission$15,000
Mercy Hlth Found OkcOklahoma City, OK501c3Support mission$12,000
Hsh Homless MinistryIndependence, KS501c3Support mission$10,330
Mercy EndeavorsNew Orleans, LA501c3Support mission$10,330
St Alphonsus SchlNew Orleans, LA501c3Support mission$10,330
Alive and Well CommSt Louis, MO501c3Support mission$10,000
All Africa Conference Sr to SrBronx, NY501c3Support mission$10,000
Drew Lewis FoundSpringfield, MO501c3Support mission$10,000
Found for Franklin CntyWashington, MO501c3Support mission$10,000
Impact ArdmoreArdmore, OK501c3Support mission$10,000
Indep CtrSt Louis, MO501c3Support mission$10,000
Jewish Comm Ctr Senior OlympicSt Louis, MO501c3Support mission$10,000
Mercy Crest Assisted LivingBarling, AR501c3Support mission$10,000
Mercy Hlth Found WashingtonWashington, MO501c3Support mission$10,000
Radio Arts FoundSt Louis, MO501c3Support mission$10,000
Saras Project C Sara FoundArdmore, OK501c3Support mission$10,000
Stl Aquarium Union Statn FoundSt Louis, MO501c3Support mission$10,000
Mercy Prof ServSt Louis, MO501c3Support mission$9,340
St Scholastica Hesychia HouseFt Smith, AR501c3Support mission$9,340
NpowerBrooklyn, NY501c3Support mission$9,000
Echo Eureka Christian Hlth OutEureka Springs, AR501c3Support mission$8,000
Girl Scouts of Eastern MoSt Louis, MO501c3Support mission$7,500
Mha Mental Hlth Amer East MoSt Louis, MO501c3Support mission$7,500
Ywca Metro Stl Young Womens ChSt Louis, MO-Support mission$6,050
Forest Park ForeverSt Louis, MO501c3Support mission$6,000
Sr of Mercy Mid Atlantic CommMerion Station, PA501c3Support mission$6,000
Doorways Interfaith ResidenceSt Louis, MO501c3Support mission$5,000
English Tutoring ProjectSt Louis, MO501c3Support mission$5,000
Marian Middle SchlSt Louis, MO501c3Support mission$5,000
Thompson Found for AutismSt Louis, MO501c3Support mission$5,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-Family member of key employeeEmploymentNo$38,656

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Lease Liabilities$169,533,595
Insurance Reserves$133,584,756
Other Reserves$46,421,301
Short Term Reserve$27,196,794
Long Term Incentive Plans$25,923,712
Workers Compensation Reserve-
Other Non Current Liabilities-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
Yes
Business relationship with family members
Yes
Business relationship with organization members
Yes
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 15A PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL

For those classified as officers (and thus disqualified persons), the organization relies upon mercy health, which uses the following to establish the compensation: external market salary surveys, external market salary studies, engagement of an independent compensation consultant, and review/approval of compensation by the compensation committee of the board of mercy health. Compensation reviews are completed on an annual basis and a review was completed during the reporting year.

Form 990, Part VI, Line 6 Classes of members or stockholders

The filing organization has a sole corporate member, mercy health.

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

The sole corporate member has the authority to: -to appoint or remove, with or without cause, the president of the corporation or any organization controlled by the corporation; and, -to appoint or remove, with or without cause, any member of the board of directors of the corporation.

Form 990, Part VI, Line 7B Decisions requiring approval by members or stockholders

The following corporate powers and responsibilities are reserved solely to the sole corporate member: -to approve and establish the mission and philosophy according to which the corporation and all organizations controlled by the corporation shall operate; -to adopt or amend the articles of incorporation and bylaws of the corporation in accordance with articles ix and x of these bylaws and to amend the organizational documents of any organization controlled by the corporation; -to approve or amend the overall strategic, long range, business plans, goals, and objectives of the corporation or any organization controlled by the corporation; -to approve or amend the consolidated operating and capital budgets for the corporation or any organization controlled by the corporation and changes in budgets in excess of an amount established from time to time by mercy health; -to authorize and approve the lease or sale of any of the assets of the corporation or any organization controlled by the corporation in excess of an amount established from time to time by mercy health; -to encumber any or all of the assets of the corporation or any organization controlled by the corporation; -to authorize and approve the incurrence of debt by the corporation or any organization controlled by the corporation (other than debt incurred for the acquisition of goods 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; and -to merge, dissolve, or ab ndon the corporation or any organization controlled by the corporation, subject to approval by the board as required pursuant to the missouri nonprofit corporation act.

Form 990, Part VI, Line 11B Review of form 990 by governing body

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 team, including the director of finance and the vice-president of finance. The draft form 990 is also reviewed by mercy health's tax department, to ensure accuracy and consistency with other related organizations' forms 990. After questions arising from the various reviews are addressed and incorporated into the form 990, a revised draft is made available to both the filing organization's leadership team and the board of directors for their review. The form 990 is then signed and filed with the irs.

Form 990, Part VI, Line 12C Conflict of interest policy

Officers, directors, key employees and other disqualified persons are required to complete a conflict of interest questionnaire annually and did so in the normal course for the year ended june 30, 2022. This process is administered at the mercy health level by mercy's corporate compliance department. The questionnaires are reviewed with leadership at the local level and potential conflicts discussed and resolved. The conflicts and their respective resolutions are shared at the mercy level with a team including mercy's chief financial officer, chief compliance officer and other members of finance, legal and hr. Summary results are reviewed with mercy's stewardship committee of the board of directors.

Form 990, Part VI, Line 15B Process to establish compensation of other employees

For those classified as key employees, the organization relies upon mercy health, which 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, Line 19 Required documents available to the public

Governing documents, conflict of interest policy, and financial statements are made available upon request but are not published publicly.

Form 990, Part VIII, Line 2F Other Program Service Revenue

- Total Revenue: 8762, Related or Exempt Function Revenue: 8762, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;

Form 990, Part VIII, Line 11D Other Miscellaneous Revenue

ROi-M - Total Revenue: 4210186, Related or Exempt Function Revenue: 4210186, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; REGISTRATION FEES INCOME - Total Revenue: 84984, Related or Exempt Function Revenue: 84984, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; CREDENTIALING FEES - Total Revenue: -880, Related or Exempt Function Revenue: -880, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;

Form 990, Part VII, Section A

Former employee compensation is reported for the calendar year ending within the organization's fiscal year while average hours are based on the fiscal year period from july 1, 2021 through june 30, 2022.

Form 990, Part VII, Section B

It is possible that a portion of the amounts reported for world wide technology were related to materials in addition to amounts paid for services. However, the amounts are not distinguishable.

Filing and Contact Details

Filer

Filer Name
MHM Support Services
EIN
20-2553101
Phone
3145796100
Address
14528 SOUTH OUTER FORTY RD STE 100, CHESTERFIELD, MO 63017

Signing Officer

Name
Shannon Sock
Title
Senior VP & CFO
Phone
3145796100
Signed
2023-05-11
Discuss with paid preparer
Yes

Organization Details

Formed
2004
Legal Domicile
Mo
Voting Board Members
3
Independent Board Members
0
Employees
50,106
Volunteers
3

Preparer

Firm
Ernst & Young US Llp
Address
7676 FORSYTH BOULEVARD SUITE 2600, CLAYTON, MO 63105
Preparer
Jennifer Richter
Phone
3142901000
Supplemental Narrative

Additional Explanations

Form 990, Part V, Line 1A FORM 1099/1096 FILING

Vendors for the filing organization are paid by mercy health (ein 43-1423050). As such, all required form 1099 and form 1096 reporting is made for the entire mercy health system (with limited exceptions) under the mercy health ein.

Form 990, Part IX, Line 11G Other Fees

Purchased Services - Total Expense: 36487545, Program Service Expense: 36487545, Management and General Expenses: , Fundraising Expenses: ; Consulting Fees - Total Expense: 21294060, Program Service Expense: 21294060, Management and General Expenses: , Fundraising Expenses: ; Misc. Contract Services - Total Expense: 19507245, Program Service Expense: 19507245, Management and General Expenses: , Fundraising Expenses: ; Other - Total Expense: 52003181, Program Service Expense: 52003181, Management and General Expenses: , Fundraising Expenses: ;

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

TRANSFERS TO/FROM AFFILIATES - XXX-XX-XXXX; Unfunded Pension Losses - 5062292;

Form 990, Part XII, Line 2C AUDIT OF FINANCIAL STATEMENTS

The filing organization's financial statements were included in mercy health and subsidiaries annual financial statement audit. Mercy health and subsidiaries received an unqualified opinion from the external auditors for fiscal 2022 (the tax year currently being reported). However, no separate audit opinion was issued on the financial statements of the filing organization. The ultimate responsibility for oversight of the financial statement audit and selection of the external auditor lies with the stewardship committee of the mercy health board of directors. Audit results are communicated to this committee.

Form 990, Part XII, Line 3A AND 3B

Single audit act and 2 cfr 200 audit mercy health undergoes a consolidated 2 cfr 200 audit every year and this audit was completed for the fiscal year ending june 30, 2022 by march 31, 2023. Each entity that receives federal funds during the year is included on the schedule of expenditures of federal awards (sefa) and is also included in the population included in the audit. If the filing entity received federal funds during the year ended june 30, 2022, it will be included on the mercy health consolidated sefa, and therefore, also included in the population included in the audit.

Impact of Covid-19 Pandemic

Early in 2020, the mercy health system was called to serve as the covid-19 pandemic swept across the world. During fy22, the impact of covid-19 and inflation has been and still is significant to our communities with changes in patient care revenues due to surges, increasing the costs of salaries and agency labor, and supply chain impacts. All mercy facilities adjusted operations for the impacts of the pandemic. In addition, mercy foundations and outreach ministries experienced limitations in fundraising for program and capital support efforts that assist the underserved in our communities. Mercy did receive funding from the coronavirus aid relief and economic security act ("cares act"). Mercy received cares act funding for the past three years across various entities and recognized a portion of this funding in other operating revenue. These funds helped to offset revenue losses and additional expenses incurred due to the pandemic; however, these funds fell short of the system losses experienced since the start of the pandemic. Mercy continues to monitor the impacts of the pandemic both to the health system and the communities served as we continue to provide assistance and maintain access to care within our communities.

General

As the Sisters of Mercy before us, listening and responding to the needs of the community with particular attention to persons who are economically poor or underserved is part of our faith-based heritage. Mercy hospitals, physician clinics and ambulatory care sites are committed to improving the quality of life in each of our locations through provision of uncompensated care, outreach, health related activities and leadership improving in the community.

Financial Statement Notes

Schedule D, Part X, Line 2 ASC 740 FOOTNOTE

Asc 740 footnote primarily all of the health system entities are recognized by the internal revenue service (irs) as exempt from federal income tax under section 501(a) of the internal revenue code as charitable organizations qualifying under internal revenue code section 501(c)(3), by virtue of irs determination letters or inclusion in the official catholic directory. The health system completed an analysis of its tax positions in accordance with applicable accounting guidance and determined that no amounts were required to be recognized on the consolidated financial statements at june 30, 2022 or 2021.

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IRS990/Form990PartVIISectionAGrp/TitleTxt16Chief Physician Executive
IRS990/Form990PartVIISectionAGrp/TitleTxt17PRESIDENT, MERCY HEALTH CEO (Beg 4/2022)
IRS990/Form990PartVIISectionAGrp/TitleTxt18Pres-Amb Care & Chief Clin Off
IRS990/Form990PartVIISectionAGrp/TitleTxt19VP - Ministry Emergency Services
IRS990/Form990PartVIISectionAGrp/TitleTxt20President Mercy Kids
IRS990/Form990PartVIISectionAGrp/TitleTxt21Consultant - Clinical Services & President
IRS990/Form990PartVIISectionAGrp/TitleTxt22SVP System Clinical Operations
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