Civic Intelligence

Mhm Support Services

990 • Fiscal year 2024 • EIN 20-2553101

Jul 01, 2023 to Jun 30, 2024 • Filed on May 15, 2025

15740 South Outer 40 RdChesterfield, MO 63017-2004

(314) 579-6100

Siviq Scores

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

Liabilities / Assets

99th percentile

1.61x

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

2024 filings • 501(c)3 • $1B+ nonprofits • Source year 2024

Liabilities / Revenue

67th percentile

0.89x

Higher debt load relative to revenue than 67% of similar nonprofits.

2024 filings • 501(c)3 • $1B+ nonprofits • Source year 2024

Net Margin

11th percentile

-6.2%

Higher net margin than 11% of similar nonprofits.

2024 filings • 501(c)3 • $1B+ nonprofits • Source year 2024

Top Officer Pay

84th percentile

$5,580,954

Higher top officer pay than 84% of similar nonprofits.

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

2024 filings • 501(c)3 • $1B+ nonprofits • Source year 2024

Asset Growth

39th percentile

5.9%

Faster asset growth than 39% of similar nonprofits.

2024 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2023 to 2024

Revenue Growth

56th percentile

12%

Faster revenue growth than 56% of similar nonprofits.

2024 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2023 to 2024

Assets

Up

$848,893,022

Up $46,954,883 (+5.9%) from 2023

Net Assets

Down

-$521,116,629

Down $93,122,734 (-22%) from 2023

Liabilities

Up

$1,370,009,651

Up $140,077,617 (+11%) from 2023

Revenue

Up

$1,540,453,031

Up $163,971,861 (+12%) from 2023

Expenses

Up

$1,636,338,957

Up $183,091,747 (+13%) from 2023

Net Income

Down

-$95,885,926

Down $19,119,886 (-25%) from 2023

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: -$427,993,8952023Assets 2024: $848,893,022Liabilities 2024: $1,370,009,651Net Assets 2024: -$521,116,6292024

Highlighted filing

2024

Assets$848,893,022
Liabilities$1,370,009,651
Net Assets-$521,116,629

Operations Trend

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

$2.0B$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: -$76,766,0402023Revenue 2024: $1,540,453,031Expenses 2024: $1,636,338,957Net Income 2024: -$95,885,9262024

Highlighted filing

2024

Revenue$1,540,453,031
Expenses$1,636,338,957
Net Income-$95,885,926
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 15, 2025
Return Version
2023v6.0
Gross Receipts
$1,540,453,031
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$221,550,810$237,469,094▲ $15,918,284
Prepaid Expenses and Deferred Charges$62,616,350$65,011,834▲ $2,395,484
Inventories for Sale or Use$32,532,155$41,211,634▲ $8,679,479
Accounts Receivable$30,574,162$34,483,224▲ $3,909,062
Cash and Non-Interest-Bearing Accounts$112,162,750$12,494,584▼ $99,668,166
Intangible Assets$6,408,846$6,408,846→ $0
Pledges and Grants Receivable$0$307,282▲ $307,282
Savings and Temporary Cash Investments$0$0→ $0
Other Notes and Loans Receivable, Net$0--
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Investments in Publicly Traded Securities$0--
Loans From Officers Directors$0$0→ $0
Total Assets$801,938,139$848,893,022▲ $46,954,883
Other Assets Total$336,093,066$451,506,524▲ $115,413,458
Liabilities
Accounts Payable and Accrued Expenses$740,740,571$836,914,620▲ $96,174,049
Other Liabilities$415,511,534$457,097,636▲ $41,586,102
Mortgage Notes Payable Secured by Investment Property$73,268,147$75,412,807▲ $2,144,660
Grants Payable$411,782$584,588▲ $172,806
Total Liabilities$1,229,932,034$1,370,009,651▲ $140,077,617
Net Assets / Fund Balance
Net Assets With Donor Restrictions$162,107$162,107→ $0
Net Assets Without Donor Restrictions$-428,156,002$-521,278,736▼ $93,122,734
Total Net Assets Fund Balance$-427,993,895$-521,116,629▼ $93,122,734
Total Liabilities and Net Assets / Fund Balance$801,938,139$848,893,022▲ $46,954,883

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$172,943,846$899,094,192$1,072,038,038
Buildings$29,527,313$55,496,863$85,024,176
Land$29,644,823-$29,644,823
Leasehold Improvements$3,553,934$18,535,577$22,089,511
Other Land Buildings$1,799,178$13,981,786$15,780,964
Other Assets Org$5,845,733--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Stephen L MackinPresident, Mercy Health CEOPT$1,801,698$3,779,256$5,580,954
Cynthia MercerEVP, Chief Administrative OfficerPT$362,246$3,659,331$4,021,577
Shannon SockEVP, CSO & COO, PresidentPT$1,235,046$2,213,284$3,448,330
James BrittonFormer Key EmployeePT$1,909,017$897,775$2,806,792
Philip WheelerSVP, General Counsel & Secretary-$754,985$1,482,069$2,237,054
Jeffrey Ciaramita MDPresident, Specialty Service LinesPT$871,442$1,269,853$2,141,295
John Mohart MDPresident, Community OperationsPT$923,254$1,072,480$1,995,734
Joseph KellyEVP, Digital Transformation & Business Development OfficerPT$707,226$1,225,860$1,933,086
John G Helton MDPresident, Primary CareFT$846,768$933,732$1,780,500
Cheryl L MatejkaChief Financial Officer, Mercy HealthPT$710,092$1,023,345$1,733,437
Jacquelynn RichmondSVP, Deputy General CounselFT$529,328$1,130,329$1,659,657
Jeffrey A JohnstonFormer Key Employee-$1,316,754$1,327,575$1,327,575
Dave ThompsonSVP, Population Health & President, Contracted RevenueFT$586,068$715,383$1,301,451
Betty Jo RocchioSVP, Chief Nurse ExecutivePT$475,174$786,662$1,261,836
Brian DaySVP, Financial Ops & Planning & TreasurerFT$475,800$653,732$1,129,532
Matt WrightPresident, Orthopedic Surgery and Sports MedicinePT$383,754$719,637$1,103,391
Kevin MinderSVP, Mission & Community HealthFT$320,099$770,373$1,090,472
Ajay PathakSVP, Chief Strategic Ventures OfficerPT$496,698$463,257$959,955
Andrew RungeCOO, Mercy Hospital St. LouisPT$400,215$474,550$874,765
Joseph Kahn MDPresident Mercy KidsFT$1,996$837,335$839,331
David OttPresident, Commercial ContractingPT$440,210$337,629$777,839
Ron TruloveFormer Key EmployeeFT$414,592$102,833$517,425
Marc GunterFormer Key Employee-$420,659$56,590$477,249
Catherine CodispotiSenior VP, Chief People OfficerPT$43,077$252,407$295,484

Board Members and Trustees

NameTitle
Jennifer BrownSVP & Chief Legal Officer (START 6/12/24)

Highest Paid Contractors

ContractorServicesLocationCompensation
Ge Precision HealthcareMaintenancePO Box 843553, Dallas, TX 75284$40,972,236
World Wide TechnologyHardware & Maintenance1 World Wide Way, Maryland Heights, MO 63146$10,635,383
Xtend HealthcareCollection services500 W Main St Suite 14, Hendersonville, TN 37075$9,877,284
VersalusUtilization, Revenue & Compliance Services17 Campus Blvd 200, Newtown Square, PA 19073$7,279,868
Conroy Media LTDAdvertising services1211 W 22nd St Ste 426, Oak Brook, IL 60523$5,933,000
Revenue and Support

Revenue Composition

Contributions and Grants
$923,878
Program Service Revenue
$1,493,688,371
Investment Income
$8,285,405
Other Revenue
$37,555,377
All Other Contributions
$712,297
Change in Net Assets
$-95,885,926
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,086,685,902
Salaries, Compensation, and Employee Benefits$548,249,031
Grants and Similar Amounts Paid$1,404,024
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$397,224,260--$397,224,260
Information Technology$167,378,163--$167,378,163
Fees for Services Other$147,274,934$0$0$147,274,934
Office Expenses$60,405,849--$60,405,849
All Other Expenses$58,865,375$0$0$58,865,375
Other Employee Benefits$56,865,549--$56,865,549
Current Officers, Directors, Trustees, and Key Employees$49,442,098--$49,442,098
Depreciation Depletion$45,085,942--$45,085,942
Payroll Taxes$29,620,188--$29,620,188
Occupancy$24,924,027--$24,924,027
Advertising$23,703,353--$23,703,353
Fees for Services Legal$15,581,050--$15,581,050
Pension Plan Contributions$15,033,353--$15,033,353
Insurance$6,355,314--$6,355,314
Travel$5,645,256--$5,645,256
Fees for Services Accounting$2,800,000--$2,800,000
Grants to Domestic Orgs$1,224,024--$1,224,024
Interest$775,001--$775,001
Fees for Services Lobbying$391,827--$391,827
Grants to Domestic Individuals$180,000--$180,000
Conferences and Meetings$175,002--$175,002
Comp Disqual Persons$63,583--$63,583
Other Expenses$-911,846--$-911,846
Total Functional Expenses$1,636,338,957$0$0$1,636,338,957
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
LINDENWOOD Educ SysSt Charles, MO501(c)(3)Support Mission$100,000
Coalition for Hlth Ai IncRochester, MN501(c)(6)Support Mission$70,000
Metrobus Bi-state DevelopmentSt Louis, MOMetrobus Bi-state DvSupport Mission$66,667
Crystal Bridges Museum of American Art IncBentonville, AR501(c)(3)Support Mission$50,000
St Louis Symphony OrchestraSt Louis, MO501(c)(3)Support Mission$50,000
Mercy Family CenterMetairie, LA501(c)(3)Support Mission$45,000
Mercy Health Foundation St LouisSt Louis, MO501(c)(3)Support Mission$45,000
Mercy Ministries of LaredoLaredo, TX501(c)(3)Support Mission$45,000
Catholic Char Archdiocese of Ok City IncOklahoma City, OK501(c)(3)Support Mission$35,000
Compassion Outreach Cntr IncAda, OK501(c)(3)Support Mission$35,000
Casa De MisericordiaLaredo, TX501(c)(3)Support Mission$30,000
Mission Clinical ServicesHot Springs, AR501(c)(3)Support Mission$27,500
Found for Franklin Cnty IncWashington, MO501(c)(3)Support Mission$25,000
Heartland ForwardBentonville, AR501(c)(3)Support Mission$25,000
L-life Food PantryLebanon, MO501(c)(3)Support Mission$25,000
Ywca Metro St Louis MissouriSt Louis, MO501(c)(3)Support Mission$25,000
Inst for Research & Education in Family MedSt Louis, MO501(c)(3)Support Mission$22,000
St Louis Crisis NurserySt Louis, MO501(c)(3)Support Mission$22,000
Comm Pship of the Ozarks IncSpringfield, MO501(c)(3)Support Mission$21,000
Burns Recovered Support Group IncSt Louis, MO501(c)(3)Support Mission$20,000
Marian Middle SchoolSt Louis, MO501(c)(3)Support Mission$20,000
Mission Clinical ServicesHot Springs, AR501(c)(3)Support Mission$20,000
Watered GardensJoplin, MO501(c)(3)Support Mission$20,000
City of Ada City UtlAda, OKCity of AdaSupport Mission$18,000
Mercy Health Fnd Nw ArkansasRogers, AR501(c)(3)Support Mission$17,500
Childrens Advocacy Cntr of ArLittle Rock, AR501(c)(3)Support Mission$16,000
Mercy Health Foundation Fort SmithFt Smith, AR501(c)(3)Support Mission$15,500
Amer Cancer Soc Relay for LifeAtlanta, GA501(c)(3)Support Mission$15,000
Archdiocese Stl Catholic ChariSt Louis, MO501(c)(3)Support Mission$15,000
Childrens Haven of Sw MoJoplin, MO501(c)(3)Support Mission$15,000
Leukemia and Lymphoma Society IncRye Brook, NY501(c)(3)Support Mission$15,000
Mercy Health Foundation SpringfieldSpringfield, MO501(c)(3)Support Mission$15,000
Riverview Hope CampusFt Smith, AR501(c)(3)Support Mission$15,000
Samaritan House Comm CntrRogers, AR501(c)(3)Support Mission$15,000
Southeast Missouri Hosp FndCape Girardeau, MO501(c)(3)Support Mission$15,000
Hosp Sisters Mission Outreach CorpSpringfield, IL501(c)(3)Support Mission$12,400
Harbor House Inc of Frt SmithFt Smith, AR501(c)(3)Support Mission$12,000
Comm Green FarmsPittsburg, KS501(c)(3)Support Mission$10,000
Forest Park Forever IncSt Louis, MO501(c)(3)Support Mission$10,000
Grace Cntr of Southern Ok IncArdmore, OK501(c)(3)Support Mission$10,000
Key Youth IncTroy, MO501(c)(3)Support Mission$10,000
Mercy Health Foundation JoplinJoplin, MO501(c)(3)Support Mission$10,000
Mercy Health Foundation WashingtonWashington, MO501(c)(3)Support Mission$10,000
Nat Multiple Sclerosis SocNew York, NY501(c)(3)Support Mission$10,000
Npower IncBrooklyn, NY501(c)(3)Support Mission$10,000
Womens Fnd Greater St LouisBrentwood, MO501(c)(3)Support Mission$10,000
AriseAlamo, TX501(c)(3)Support Mission$8,000
Mercy EndeavorsNew Orleans, LA501(c)(3)Support Mission$8,000
St Johns Catholic SchlHot Springs, AR501(c)(3)Support Mission$8,000
St Peter the Apostle Catholic ChurchJoplin, MO501(c)(3)Support Mission$8,000
Legal Serv of Eastern Mo IncSt Louis, MO501(c)(3)Support Mission$7,250
Mercy Health Foundation BerryvilleBerryville, AR501(c)(3)Support Mission & Fundraising$5,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
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$63,583

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$211,949,293
Other Reserves$149,632,023
Short Term Reserve$55,801,523
Long Term Incentive Plans$24,828,842
Workers Compensation Reserve$14,885,955
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
No
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
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 and 15B

Process to establish compensation of top management officials, other officers and key employees for the top management officials, those classified as officers (and thus disqualified persons) and key employees, 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 abandon 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 chief financial officer. 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, 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, 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 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, 2023 through june 30, 2024.

Form 990, Part VII, Section B, Line 1

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.

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

ALL OTHER REVENUE - Total Revenue: 749448, Related or Exempt Function Revenue: 749448, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;

Filing and Contact Details

Filer

Filer Name
MHM Support Services
EIN
20-2553101
Phone
3145796100
Address
15740 South Outer 40 Rd, CHESTERFIELD, MO 63017-2004

Signing Officer

Name
Shannon Sock
Title
Senior VP & CFO
Phone
3145796100
Signed
2025-05-15
Discuss with paid preparer
Yes

Organization Details

Formed
2004
Legal Domicile
Mo
Voting Board Members
3
Independent Board Members
0
Employees
53,958
Volunteers
1

Preparer

Firm
Ernst & Young US Llp
Address
221 EAST 4TH STREET, CINCINNATI, OH 45202
Preparer
Abbey E Leibel
Phone
5136121400
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 XI, Line 9 Other changes in net assets or fund balances

TRANSFERS TO/FROM AFFILIATES - 2440333; Other Changes in Net Assets - 322859;

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 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, 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, 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.

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, 2024 or 2023.

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IRS990/Form990PartVIISectionAGrp/TitleTxt0SVP, Financial Ops & Planning & Treasurer
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IRS990/Form990PartVIISectionAGrp/TitleTxt2EVP, CSO & COO, President
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IRS990/Form990PartVIISectionAGrp/TitleTxt4SVP, Chief Strategic Ventures Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt5SVP, Chief Nurse Executive
IRS990/Form990PartVIISectionAGrp/TitleTxt6Senior VP, Chief People Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt7Chief Financial Officer, Mercy Health
IRS990/Form990PartVIISectionAGrp/TitleTxt8EVP, Chief Administrative Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt9SVP, Population Health & President, Contracted Revenue
IRS990/Form990PartVIISectionAGrp/TitleTxt10President, Specialty Service Lines
IRS990/Form990PartVIISectionAGrp/TitleTxt11President, Primary Care
IRS990/Form990PartVIISectionAGrp/TitleTxt12President, Community Operations
IRS990/Form990PartVIISectionAGrp/TitleTxt13EVP, Digital Transformation & Business Development Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt14SVP, Mission & Community Health
IRS990/Form990PartVIISectionAGrp/TitleTxt15President, Mercy Health CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt16COO, Mercy Hospital St. Louis
IRS990/Form990PartVIISectionAGrp/TitleTxt17President, Commercial Contracting
IRS990/Form990PartVIISectionAGrp/TitleTxt18SVP, Deputy General Counsel
IRS990/Form990PartVIISectionAGrp/TitleTxt19President Mercy Kids
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IRS990/InfoInScheduleOPartXIInd0X
IRS990/InformationTechnologyGrp/ProgramServicesAmt0167378163
IRS990/InformationTechnologyGrp/TotalAmt0167378163
IRS990/InsuranceGrp/ProgramServicesAmt06355314
IRS990/InsuranceGrp/TotalAmt06355314
IRS990/IntangibleAssetsGrp/BOYAmt06408846
IRS990/IntangibleAssetsGrp/EOYAmt06408846
IRS990/InterestGrp/ProgramServicesAmt0775001
IRS990/InterestGrp/TotalAmt0775001
IRS990/InventoriesForSaleOrUseGrp/BOYAmt032532155
IRS990/InventoriesForSaleOrUseGrp/EOYAmt041211634
IRS990/InvestmentIncomeGrp/ExclusionAmt08323073
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt08285405
IRS990/InvestmentIncomeGrp/UnrelatedBusinessRevenueAmt0-37668
IRS990/InvestmentInJointVentureInd0false
IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt00
IRS990/InvestmentsProgramRelatedGrp/BOYAmt00
IRS990/InvestmentsPubTradedSecGrp/BOYAmt00
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt0987108418
IRS990/LandBldgEquipBasisNetGrp/BOYAmt0221550810
IRS990/LandBldgEquipBasisNetGrp/EOYAmt0237469094
IRS990/LandBldgEquipCostOrOtherBssAmt01224577512
IRS990/LegalDomicileStateCd0MO
IRS990/LessRentalExpensesGrp/RealAmt00
IRS990/LoanOutstandingInd0false

Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$849$1,370$521$1,540$1,636$95.9
2023Summary only. Only limited summary data is available for this year.$802$1,230$428$1,376$1,453$76.8
2022Summary only. Only limited summary data is available for this year.$690$1,420$730$1,228$1,266$38.1
2021Summary only. Only limited summary data is available for this year.$615$1,875$1,260$1,290$1,122$168
2020Summary only. Only limited summary data is available for this year.$864$1,773$909$1,018$1,105$86.9
2019Summary only. Only limited summary data is available for this year.$376$896$519$965$1,050$84.7
2018Summary only. Only limited summary data is available for this year.$384$708$325$868$867$0.99
2017Summary only. Only limited summary data is available for this year.$318$635$317$715$694$21.2
2016Summary only. Only limited summary data is available for this year.$403$580$177$644$701$56.4
2015Summary only. Only limited summary data is available for this year.$357$630$274$666$700$33.7
2014Summary only. Only limited summary data is available for this year.$399$637$238$616$667$50.1
2013Summary only. Only limited summary data is available for this year.$415$585$170$594
2012Summary only. Only limited summary data is available for this year.$498$359$138$553
2011Summary only. Only limited summary data is available for this year.$571$401$171$429
2010Summary only. Only limited summary data is available for this year.$398$307$91.9$366