2014-05-14T09:20:47-05:00 2013-06-30 562632458 PLEUS AND COMPANY LLC 14323 S OUTER FORTY STE 310N CHESTERFIELD MO 63017 990 2012-07-01 431771217 MERCY CLINIC EAST COMMUNITIES MERC 3143643731 645 MARYVILLE CENTRE DRIVE STE 100 ST LOUIS MO 63141 CHERYL MATEJKA 3143643532 2014-05-13 1 DOUGLAS G PLEUS P00013488 3143179916 2012 2015-11-30 17:44:51Z JOHN HUBERT 645 MARYVILLE CENTRE DRIVE STE 100 ST LOUIS MO 63141 229546856 0 X WWW.MERCY.NET/STLOUISMO X 1994 MO MERCY CLINIC EAST COMMUNITIES ("MCEC") COORDINATES PHYSICIAN-RELATED ASPECTS OF HEALTH CARE WITHIN THE MERCY HEALTH EAST COMMUNITIES INTEGRATED HEALTH CARE DELIVERY SYSTEM. 25 0 2183 0 99294 -8019 0 47094 134406586 227739939 59567 623478 4785 1136345 134470938 229546856 0 7000 0 0 146261763 231999777 0 0 0 46129145 66867847 192390908 298874624 -57919970 -69327768 51178114 125002460 46714254 76507138 4463860 48495322 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 281838263 7000 228378376 THE PRIMARY PURPOSE OF MERCY CLINIC EAST COMMUNITIES ("CLINIC") IS TO COORDINATE PHYSICIAN-RELATED ASPECTS OF HEALTH CARE WITHIN MERCY HEALTH EAST COMMUNITIES INTEGRATED HEALTH CARE DELIVERY SYSTEM. THESE PHYSICIAN-RELATED ACTIVITIES INCLUDE:1. DELIVERY OF HEALTH CARE SERVICES TO THE PUBLIC; INCLUDING, BUT NOT LIMITED TO PHYSICIAN SERVICES, CONTRACTING FOR PHYSICIAN SERVICES WITH LOCAL NETWORKS, HEALTH MAINTENANCE ORGANIZATIONS, OTHER PROVIDER GROUPS, AND HOSPITALS AND OTHER HEALTH CARE FACILITIES, AND EMPLOYING THE NECESSARY STAFF OF PHYSICIANS AND OTHER PERSONNEL NECESSARY TO DELIVER SUCH HEALTH CARE SERVICES AND CARRY OUT OTHER PURPOSES OF THE CLINIC. THE CLINIC ALSO PROVIDES SERVICES (OVER $27,450,000) TO A LARGE NUMBER (OVER 131,000 ENCOUNTERS) OF MEDICAID AND CHARITY CARE PATIENTS IN ITS SERVICE TO THE COMMUNITY.2. FURTHERING SCIENTIFIC RESEARCH TO BENEFIT THE PUBLIC THROUGH PARTICIPATION IN CLINICAL DRUG STUDIES.THE PHYSICIAN DIRECTORS AND EMPLOYEES OF THE CLINIC CARRY OUT SUCH ACTIVITIES INDIVIDUALLY AND AS A CORPORATION THROUGH COMMITTEES, TASK FORCES, AND OTHER GROUPS, TO FURTHER THE CHARITABLE PURPOSES OF THE CLINIC.THE COORDINATION OF SERVICES BY AND BETWEEN MERCY HEALTH EAST COMMUNITIES AND THE CLINIC ENABLES MERCY HEALTH EAST COMMUNITIES INTEGRATED HEALTH CARE DELIVERY SYSTEM TO PROVIDE MORE EFFECTIVE AND COST EFFICIENT SERVICES BY ALLOWING EACH PART OF THE SYSTEM TO FOCUS ON ITS AREA OF EXPERTISE, AVOID DUPLICATION OF SERVICES, AND PROVIDE INTEGRATED DELIVERY OF HEALTH CARE SERVICES.THE CLINIC OPERATES EXCLUSIVELY FOR THE BENEFIT OF OR TO ESTABLISH AND MAINTAIN ONE OR MORE MEDICAL PRACTICES AS INSTITUTIONS WITH PERMANENT HEALTH SERVICE FACILITIES FOR THE DIAGNOSIS AND TREATMENT OF PATIENTS AND TO PROVIDE SUCH MEDICAL SERVICES AS MAY BE REQUIRED BY PATIENTS; TO CONDUCT EDUCATIONAL ACTIVITIES RELATED TO CARE OF THE SICK AND INJURED OR TO THE PROMOTION OF HEALTH; TO DEVELOP EFFICIENT AND PRACTICAL ARRANGEMENTS FOR PROVIDING HEALTH SERVICES; TO FOSTER THE TEACHING AND RESEARCH FUNCTIONS AT ITS FACILITIES IN COOPERATION WITH OTHER HEALTH SERVICES AND EDUCATIONAL INSTITUTIONS; AND TO PROVIDE ORIENTATION AND IN-SERVICE TRAINING PROGRAMS TO PERSONNEL EMPLOYED AT ITS FACILITIES IN ORDER TO MAINTAIN THEIR SKILLS AND TO MAKE THEM AWARE OF DEVELOPMENTS IN THE HEALTH SERVICES FIELD.AMONG THE COMMUNITY SUPPORT ACTIVITIES OFFERED BY THE CLINIC WERE THE FOLLOWING: HEALTH FAIRS AND SCREENINGS- CLINIC PHYSICIANS AND CO-WORKERS STAFFED "ASK THE DOCTOR" BOOTHS AND/OR PROVIDED FREE HEALTH SCREENINGS AND HEALTH INFORMATION AT VARIOUS NONPROFIT AND COMMUNITY EVENTS- IN ADDITION, CLINIC PHYSICIANS STAFFED BOOTHS OR PROVIDED SCREENINGS AT EMPLOYEE HEALTH FAIRS FOR AREA CORPORATIONSPROVISION OF FREE HEALTH INFORMATION- CLINIC PHYSICIANS SHARED THEIR KNOWLEDGE WITH THE ST. LOUIS COMMUNITY THROUGH VARIOUS MEDIA INTERVIEWS ON SPECIFIC HEALTH TOPICS.- CLINIC PHYSICIANS PROVIDED TALKS TO THE COMMUNITY ON VARIOUS HEALTH RELATED TOPICS- SEVERAL CLINIC PHYSICIANS SERVE AS CONSULTING PHYSICIANS FOR ST. LOUIS AREA SCHOOL DISTRICTS, BOY SCOUTS, AND ATHLETIC TEAMSCHARITABLE OUTREACH- CO-WORKERS OF CLINIC PRACTICES COLLECTED CANNED GOODS AND PANTRY ITEMS TO DONATE TO LOCAL FOOD PANTRIES, AND BOXED UP DONATIONS OF FOOD FOR FAMILIES SERVED BY AREA CATHOLIC CHURCHES- DURING THE HOLIDAYS, CLINIC CO-WORKERS SPONSORED RAFFLES AND DRESS-DOWN DAYS TO RAISE FUNDS TO SUPPORT FAMILIES IN NEED. CO-WORKERS DONATED CASH, WRAPPING PAPER, AND SUPPLIES; SHOPPED FOR AND WRAPPED GIFTS; AND DELIVERED THE ITEMS TO FAMILY MEMBERS, WHO WERE REFERRED BY MERCY NEIGHBORHOOD MINISTRY AND MISSION SERVICES SUPPORT OF COMMUNITY PROGRAMS- IN ADDITION TO ORGANIZATION-WIDE SUPPORT FOR THE AMERICAN HEART ASSOCIATION, THE SUSAN G. KOMEN FOUNDATION RACE FOR THE CURE, THE ST. LOUIS ZOO'S "BOO AT THE ZOO," AND THE UNITED WAY OF GREATER ST. LOUIS, INDIVIDUAL PHYSICIANS AND CO-WORKERS VOLUNTEERED THEIR TIME AS WORKERS AND/OR HEALTH CARE PROVIDERS, AND/OR PARTICIPATED IN FUNDRAISING ACTIVITIESMEDICAL EDUCATION PROGRAMS- CLINIC PHYSICIANS AND CO-WORKERS MENTORED INTERNS AND NEW ENTRANTS TO THE HEALTH CARE FIELD, AND SERVED AS PRECEPTORS FOR MEDICAL, PHARMACY, AND NURSE PRACTITIONER STUDENTS- SEVERAL CLINIC PHYSICIANS TAUGHT RESIDENTS AND STAFF THROUGH WEEKLY GRAND ROUNDS AND LECTURES FOR MEDICAL DEPARTMENTS AT MERCY HOSPITAL ST. LOUIS 281838263 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 0 0 1 2183 1 1 1 0 0 0 0 0 0 0 0 0 X 25 0 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 X KERRY DUNGER 3143643731 645 MARYVILLE CENTRE DRIVE STE 100 ST LOUIS MO 63141 CASSAT JAMES 51.00 0.00 X 265342 0 6405 CHALK MD DAVID 50.00 0.00 X X 287742 0 8457 CRAIG TODD 52.00 0.00 X 199985 0 26219 DUMONIER GARY 51.50 1.50 X 164051 0 8152 HACK MD RICHARD 52.00 0.00 X 192651 0 29246 HILTON MD STEVEN 51.00 0.00 X 324556 0 30991 HRUSKA MD LINDY 52.00 1.00 X 247314 215000 4675 HUBERT MD JOHN W 50.00 10.00 X X 728432 69933 91757 KLUESNER GRETCHEN 51.00 0.00 X 218866 0 1067 LIMPERT JONATHAN 51.00 0.00 X 374211 0 14497 LONG TIM 51.00 0.00 X 214152 0 6016 MARBARGER MD JOHN 60.00 0.00 X 612228 0 29670 MERBAUM MD MARC 60.00 0.00 X 368211 0 28724 MILLER MD DONNA 52.00 0.00 X 150659 0 29515 MOORE JOHN 51.00 0.00 X 536044 0 24145 REHM MD CHARLES 20.00 40.00 X 82991 440321 72113 REINBERG JASON 1.00 0.00 X 371431 0 8434 SANDERS MD STEPHEN 52.00 0.00 X 389001 0 33999 SEECK BRIAN 51.00 0.00 X 506626 0 8783 SENGUPTA MD ALOK 3.00 50.00 X 339265 0 28512 SORENSEN DONN 5.00 59.00 X 0 867151 103661 SPIVEY MD JOHN 50.00 0.00 X 412705 0 24650 TIEFENBRUNN MATT 51.00 0.00 X 394740 0 8499 WASSERMAN MD GARY 53.00 0.00 X 550136 0 15334 WEICK MD RAYMOND 1.00 51.00 X 347934 0 12134 CANTALIN JEANNE 15.00 45.00 X 0 288674 36875 GOODWIN KEVIN 65.00 0.00 X 171976 90989 20844 MATEJKA CHERYL L 10.00 50.00 X 0 441668 66163 RUNGE ANDREW 35.00 25.00 X 0 359413 27028 BAIN KELLY 60.00 0.00 X 249415 0 837 CORT DAVID 66.00 0.00 X 599258 0 19106 HALSTED ROBERT 55.00 1.00 X 288438 0 8075 KAHN MD JOSEPH 5.00 55.00 X 531119 0 28207 MARCRANDER MARGARET 60.00 0.00 X 592993 0 23917 MEINERS DAVID 52.00 1.00 X 662817 0 8052 MOHART JOHN 48.00 0.00 X 465320 0 8622 PETITO MD SALLY 30.00 30.00 X 295099 0 15251 SCHEER JENNIFER 48.00 0.00 X 314281 0 28777 SCHLANSKY HOWARD 50.00 0.00 X 308006 0 15164 ZALEWSKI JOHN 64.00 0.00 X 484118 0 49265 BANDI SOMASEKHAR R 50.00 0.00 X 801000 0 17988 KUNST EDWARD 55.00 0.00 X 1452497 0 30048 PALAGIRI ANAND V 55.00 0.00 X 768117 0 18263 REICHERT PHILLIP 50.00 0.00 X 974338 0 31463 TIRIVEEDHI KIRANMAYE 55.00 0.00 X 925302 0 21196 COMBS RANDALL 0.00 60.00 X 0 971989 334676 HALE MD PHD THOMAS 0.00 60.00 X 0 759657 102891 MCCURRY MICHAEL 0.00 60.00 X 0 1544172 512735 FARON MD MARK 53.60 0.00 X 514326 0 33183 KALICAK DONALD 5.00 55.00 X 0 342022 90182 PIEPER STEPHEN 60.00 0.00 X 571457 0 27375 19249150 6390989 2231838 516 1 1 0 LAND DYNAMICS INC 7800 FORSYTH BLVD SUITE 800 ST LOUIS MO 63105 CONSTRUCTION 1238387 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 PHYSICIAN WAGES 387736 GH VOSS CO INC 210 OLD DORSETT RD MARYLAND HEIGHTS MO 63043 CONSTRUCTION 353608 MEDICAL EMPLOYMENT DIRECTORY 11701 BORMAN DR STE 280 ST LOUIS MO 63146 TEMPORARY AGENCY 253378 NEXTGEN HEALTHCARE INFORMATION 795 HORSHAM RD HORSHAM PA 91044 MISC CONTRACT SERVICES 198622 9 47094 47094 NET PATIENT REVENUE 621110 191765669 191765669 OTHER OPERATING REVENUE 621110 33629017 33629017 RESEARCH REVENUE 621500 2326887 2326887 COMMERCIAL RESEARCH 621500 18366 18366 227739939 623478 623478 3495 0 3495 3495 3495 CAFE & VENDING 722210 476047 80928 395119 656803 656803 1132850 229546856 228378376 99294 1022092 7000 7000 16639093 16639093 861667 861667 182793158 173353061 9440097 6587634 6247609 340025 15725623 14957470 768153 9392602 8947532 445070 2220438 2198324 22114 143752 142320 1432 4238677 4196462 42215 255907 253358 2549 17315534 17143082 172452 604134 598117 6017 150 149 1 3283580 2428662 854918 6081885 6021313 60572 DRUGS & MEDICAL EXPENSE 16962551 16793614 168937 SHARED SERVICE FEES 9765377 5077996 4687381 BAD DEBTS 3543085 3543085 REPAIRS & MAINTENANCE 483405 478591 4814 1969372 1949758 19614 298874624 281838263 17036361 0 11204904 11619265 11019167 28695592 2100723 4542911 18477 5 1040233 3785359 29509283 16070957 7115398 13438326 5495866 6083090 132000 38751652 13051346 18086260 51178114 125002460 26802141 38928305 3620 3620 19908493 37575213 46714254 76507138 X 4463860 48495322 4463860 48495322 51178114 125002460 X -69327768 113359230 X X 0 1 X 1 1 1 X 47094 47094 87688320 89606051 106440302 134263372 228378376 646376421 87688320 89606051 106440302 134263372 228425470 646423515 0 0 0 646423515 -502244 655450 850274 64352 626973 1694805 -502244 655450 850274 64352 626973 1694805 109838 10081 40193 143214 99294 402620 87295914 90271582 107330769 134470938 229151737 648520940 0.99680 0.99760 0.00260 0.00170 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 640 0 0 0 640 0 EXPLANATION OF LOBBYING ACTIVITIES: 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, 2013, DUES WERE $21,323. APPROXIMATELY 3.00% OF CATHOLIC HOSPITAL ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED BY THESE ASSOCIATIONS. 12221731 7481161 4740570 15220928 8589796 6631132 2066624 2066624 13438326 DEFERRED COMPENSATION 17427510 OTHER ASSETS 658750 18086260 DEFERRED COMPENSATION 17427510 INTERCOMPANY PAYABLE 19585383 OTHER LIABILITIES 562320 37575213 THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF MERCY HEALTH AND AFFILIATES DO NOT INCLUDE A FOOTNOTE TO REPORT THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX PROVISIONS UNDER ASC 740, AS THEY ARE DEEMED IMMATERIAL FOR DISCLOSURE. 1 THE PUJOLS FAMILY FOUNDATION INC 111 WESTPORT PLAZA NO 255 ST LOUIS MO 63146 202272546 501(C)(3) 5000 CASH GENERAL SUPPORT 1 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: GRANTS ARE MADE TO ORGANIZATIONS WHICH HAVE AN ESTABLISHED HISTORY OF PROVIDING HEALTH CARE SUPPORT ANDOR COMMUNITY BENEFIT. IF NECESSARY, PERIODIC REPORTS ARE PROVIDED TO US. X X 1 1 0 1 0 0 0 0 0 1 0 CASSAT JAMES 156314 0 100000 0 9028 0 0 0 6405 0 271747 0 0 0 CHALK MD DAVID 257037 0 0 0 30705 0 0 0 8457 0 296199 0 0 0 CRAIG TODD 182957 0 0 0 17028 0 10800 0 15419 0 226204 0 0 0 DUMONIER GARY 157098 0 0 0 6953 0 0 0 8152 0 172203 0 0 0 HACK MD RICHARD 165153 0 3923 0 23575 0 14030 0 15216 0 221897 0 0 0 HILTON MD STEVEN 236308 0 53072 0 35176 0 14663 0 16328 0 355547 0 0 0 HRUSKA MD LINDY 226172 0 0 215000 21142 0 0 0 4675 0 251989 215000 0 0 HUBERT MD JOHN W 518787 68386 159131 0 50514 1547 80070 0 10545 1142 819047 71075 0 0 KLUESNER GRETCHEN 105108 0 100000 0 13758 0 0 0 1067 0 219933 0 0 0 LIMPERT JONATHAN 341427 0 15000 0 17784 0 6151 0 8346 0 388708 0 0 0 LONG TIM 104029 0 100000 0 10123 0 0 0 6016 0 220168 0 0 0 MARBARGER MD JOHN 502497 0 58793 0 50938 0 16678 0 12992 0 641898 0 0 0 MERBAUM MD MARC 349946 0 0 0 18265 0 12332 0 16392 0 396935 0 0 0 MILLER MD DONNA 126458 0 0 0 24201 0 15547 0 13968 0 180174 0 0 0 MOORE JOHN 500203 0 0 0 35841 0 7338 0 16807 0 560189 0 0 0 REHM MD CHARLES 76815 318419 0 98812 6176 23090 0 58751 2705 10657 85696 509729 0 0 REINBERG JASON 245590 0 100000 0 25841 0 0 0 8434 0 379865 0 0 0 SANDERS MD STEPHEN 358158 0 0 0 30843 0 17407 0 16592 0 423000 0 0 0 SEECK BRIAN 388729 0 100000 0 17897 0 0 0 8783 0 515409 0 0 0 SENGUPTA MD ALOK 285269 0 52097 0 1899 0 12167 0 16345 0 367777 0 0 0 SORENSEN DONN 0 521255 0 246031 0 99865 0 91947 0 11714 0 970812 0 0 SPIVEY MD JOHN 258033 0 132054 0 22618 0 8498 0 16152 0 437355 0 0 0 TIEFENBRUNN MATT 275697 0 100000 0 19043 0 0 0 8499 0 403239 0 0 0 WASSERMAN MD GARY 506850 0 0 0 43286 0 7416 0 7918 0 565470 0 0 0 WEICK MD RAYMOND 321220 0 7728 0 18986 0 9374 0 2760 0 360068 0 0 0 CANTALIN JEANNE 0 195767 0 71459 0 21448 0 27145 0 9730 0 325549 0 0 GOODWIN KEVIN 100972 81756 41002 0 30002 9233 5452 0 7790 7602 185218 98591 0 0 MATEJKA CHERYL L 0 290655 0 113413 0 37600 0 49859 0 16304 0 507831 0 0 RUNGE ANDREW 0 207842 0 78732 0 72839 0 11458 0 15570 0 386441 0 0 BAIN KELLY 140055 0 100000 0 9360 0 0 0 837 0 250252 0 0 0 CORT DAVID 504568 0 50000 0 44690 0 2302 0 16804 0 618364 0 0 0 HALSTED ROBERT 160227 0 100000 0 28211 0 0 0 8075 0 296513 0 0 0 KAHN MD JOSEPH 368210 0 130641 0 32268 0 14877 0 13330 0 559326 0 0 0 MARCRANDER MARGARET 574952 0 0 0 18041 0 7354 0 16563 0 616910 0 0 0 MEINERS DAVID 412369 0 215000 0 35448 0 0 0 8052 0 670869 0 0 0 MOHART JOHN 347075 0 100000 0 18245 0 0 0 8622 0 473942 0 0 0 PETITO MD SALLY 213113 0 30048 0 51938 0 12818 0 2433 0 310350 0 0 0 SCHEER JENNIFER 254237 0 40878 0 19166 0 12976 0 15801 0 343058 0 0 0 SCHLANSKY HOWARD 273244 0 5000 0 29762 0 14541 0 623 0 323170 0 0 0 ZALEWSKI JOHN 407152 0 30078 0 46888 0 36040 0 13225 0 533383 0 0 0 BANDI SOMASEKHAR R 765669 0 0 0 35331 0 7222 0 10766 0 818988 0 0 0 KUNST EDWARD 247690 0 1163848 0 40959 0 18819 0 11229 0 1482545 0 0 0 PALAGIRI ANAND V 568333 0 179524 0 20260 0 1941 0 16322 0 786380 0 0 0 REICHERT PHILLIP 954930 0 0 0 19408 0 13395 0 18068 0 1005801 0 0 0 TIRIVEEDHI KIRANMAYE 445582 0 444164 0 35556 0 6466 0 14730 0 946498 0 0 0 COMBS RANDALL 0 609387 0 331326 0 31276 0 325845 0 8831 0 1306665 0 0 HALE MD PHD THOMAS 0 472487 0 197658 0 89512 0 89642 0 13249 0 862548 0 0 MCCURRY MICHAEL 0 747251 0 767776 0 29145 0 498397 0 14338 0 2056907 0 0 FARON MD MARK 464919 0 0 0 49407 0 18661 0 14522 0 547509 0 0 0 KALICAK DONALD 0 198521 0 98708 0 44793 0 78335 0 11847 0 432204 0 0 PIEPER STEPHEN 493324 0 35669 0 42464 0 10492 0 16883 0 598832 0 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. TRAVEL FOR COMPANIONS IS PROVIDED IN RARE 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 THE FOLLOWING EMPLOYEES OF RELATED ORGANIZATIONS: MICHAEL MCCURRY; JEANNE CANTALIN. LIMITED INSTANCES OF TAX GROSS-UPS MAY HAVE OCCURRED WITH RESPECT TO EXECUTIVES. HOUSING BENEFITS ARE PROVIDED THROUGH A RELOCATION PROGRAM IN ACCORDANCE WITH COMPANY POLICY. SUCH BENEFITS ARE SUBJECT TO TAX TO THE EMPLOYEE OF A RELATED ORGANIZATION, ANDREW RUNGE. PAYMENT BY THE COMPANY OF COSTS FOR TEMPORARY HOUSING BY EMPLOYEES FOR THE CONVENIENCE OF THE COMPANY IS MADE IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. AS A REIMBURSABLE EXPENSE, THIS TYPE OF LODGING IS NOT TAXABLE TO THE EMPLOYEE. PART I, LINE 4B PART I, LINE 4B: MERCY HEALTH, THE ULTIMATE PARENT COMPANY, OFFERS SUPPLEMENTAL RETIREMENT PLANS TO CERTAIN EXECUTIVES WHICH PROVIDE BENEFITS UPON RETIREMENT 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 FOLLOWING PLANS. THERE WERE NO PAYMENTS FOR THE FISCAL YEAR ENDED 6/30/2013. SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) COMBS,RANDALL;SORENSEN,DONN; MCCURRY,MICHAEL SUPPLEMENTAL MANAGEMENT RETIREMENT PLAN (SMRP) MATEJKA,CHERYL L; KALICAK,DONALD; ZALEWSKI,JOHN; CANTALIN,JEANNE; HUBERT,JOHN; HALE MD PHD,THOMAS; CHALK MD,DAVID; KAHN MD,JOSEPH; REHM MD,CHARLES H; RUNGE,ANDREW D; SORENSEN,DONN THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C). PART I, LINE 7 THE RELATED ORGANIZATION WHICH EMPLOYS THOSE INDIVIDUALS LISTED ON PART VII, AND THE FILING ORGANIZATION PROVIDES A NON-FIXED BONUS PLAN FOR WHICH CERTAIN TIERS OF ITS EMPLOYEES ARE ELIGIBLE. FOR FISCAL YEAR 2013 (JULY 1, 2012 - JULY 30, 2013) PAYMENT OF ALL OR PART OF THE BONUS WAS CONTINGENT UPON ATTAINMENT OF CERTAIN FINANCIAL TARGETS. PAYMENTS ARE MADE ANNUALLY IN OCTOBER FOLLOWING (I) THE CONCLUSION OF THE FISCAL YEAR AND (II) DETERMINATION OF GOAL ACHIEVEMENT. BONUS OPPORTUNITIES ARE TIERED PERCENTAGES AND ARE DEPENDENT UPON THE LEADERSHIP LEVEL AND ATTAINMENT PERCENTAGE. MERCY'S ATTAINMENT OF FINANCIAL GOALS ARE REVIEWED BY THE EXECUTIVE COMPENSATION COMMITTEE OF MERCY HEALTH AND ARE THEN TAKEN INTO ACCOUNT WHEN ANALYZING EXECUTIVE COMPENSATION FOR REASONABLENESS. SUPPLEMENTAL INFORMATION PART III 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 MERCY CLINIC EAST COMMUNITIES USES A WRITTEN EMPLOYMENT CONTRACT. JAN DUMONTIER FAMILY MEMBER OF GARY DUMONTIER, BOARD MEMBER 31113 EMPLOYMENT ARRANGEMENT, MERCY CLINIC EAST COMMUNITIES 0 HOLLY HUTCHINGS FAMILY MEMBER OF JOHN ZALEWSKI, KEY EMPLOYEE 27607 EMPLOYMENT ARRANGEMENT, MERCY CLINIC EAST COMMUNITIES 0 GAIL WEICK FAMILY MEMBER OF RAY WEICK, BOARD MEMBER 64729 EMPLOYMENT ARRANGEMENT, MERCY CLINIC EAST COMMUNITIES 0 ERIKA KLUESNER FAMILY MEMBER OF GRETCHEN KLUESNER, BOARD MEMBER 28976 EMPLOYMENT ARRANGEMENT, MERCY CLINIC EAST COMMUNITIES 0 PATRICK LONG FAMILY MEMBER OF TIM LONG, BOARD MEMBER 82150 EMPLOYMENT ARRANGEMENT, MERCY CLINIC EAST COMMUNITIES 0 ANN MOHART FAMILY MEMBER OF JOHN MOHART, KEY EMPLOYEE 230323 EMPLOYMENT ARRANGEMENT, MERCY CLINIC EAST COMMUNITIES 0 GINA MOHART FAMILY MEMBER OF JOHN MOHART, KEY EMPLOYEE 296727 EMPLOYMENT ARRANGEMENT, MERCY CLINIC EAST COMMUNITIES 0 SARAH SEECK FAMILY MEMBER OF BRIAN SEECK, BOARD MEMBER 100041 EMPLOYMENT ARRANGEMENT, MERCY CLINIC EAST COMMUNITIES 0 FORM 990, PART VI, SECTION A, LINE 6 THE MEMBER OF MERCY CLINIC EAST COMMUNITIES IS MERCY HEALTH EAST COMMUNITIES, A SUPPORTING ORGANIZATION UNDER SECTION 509(A)(3). THE MEMBER OF MERCY HEALTH EAST COMMUNITIES IS MERCY HEALTH. FORM 990, PART VI, SECTION A, LINE 7A MERCY HEALTH EAST COMMUNITIES HAS RESERVE POWERS TO: -APPOINT DIRECTORS PURSUANT TO THE PROCESS SET FORTH IN THE BYLAWS; -REMOVE UP TO TWO DIRECTORS DURING ANY FISCAL YEAR WITHOUT CAUSE AND OTHERWISE REMOVE DIRECTORS FOR CAUSE; AND -REMOVE THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION WITH OR WITHOUT CAUSE, AFTER CONSULTATION WITH THE BOARD. FORM 990, PART VI, SECTION A, LINE 7B MERCY HEALTH EAST COMMUNITIES HAS RESERVE POWERS TO: -ADOPT OR AMEND THE CORPORATION'S MISSION AND PHILOSOPHY; -ADOPT OR AMEND THE CORPORATION'S STRATEGIC PLANS, GOALS, AND OBJECTIVES; -ADOPT OR AMEND THE CORPORATION'S BUDGETS; -AUTHORIZE OR APPROVE THE ASSIGNMENT, TRANSFER, SALE OR LEASE OF ANY OF THE CORPORATION'S ASSETS OR INTEREST THEREIN IN EXCESS OF $1,000,000; -AUTHORIZE OR APPROVE THE GRANT OF ANY PLEDGE, LIEN, ENCUMBRANCE, MORTGAGE, DEED OF TRUST OR OTHER SECURITY INTEREST IN ANY OR ALL OF THE CORPORATION'S ASSETS; -AUTHORIZE OR APPROVE THE INCURRENCE OF DEBT (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) BY THE CORPORATION AND 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; -MERGE, DISSOLVE OR ABANDON THE CORPORATION; -AMEND THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION, SUBJECT TO THE APPROVAL OF THE MERCY HEALTH EAST COMMUNITIES BOARD; -ESTABLISH COMPENSATION AND BENEFIT TERMS FOR PHYSICIANS AND OTHER MEDICAL PROFESSIONALS EMPLOYED OR OTHERWISE RETAINED BY THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11 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 THE MERCY HEALTH 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 FOR REVIEW. ONCE REVIEWED AND APPROVED BY THE FILING ORGANIZATION'S LEADERSHIP TEAM, 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, 2013. THIS PROCESS IS ADMINISTERED AT THE MERCY HEALTH LEVEL BY MERCY'S BUSINESS RISK (INTERNAL AUDIT) 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 (FORMERLY FINANCE, AUDIT AND COMPLIANCE COMMITTEE) OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15A FOR THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS), MERCY HEALTH (ULTIMATE PARENT COMPANY) 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 EXECUTIVE COMPENSATION COMMITTEE OF THE MERCY HEALTH BOARD. FOR THOSE CLASSIFIED AS KEY EMPLOYEES, THE FOLLOWING ARE USED TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, AND REVIEW/APPROVAL OF EXECUTIVE MANAGEMENT OF MERCY HEALTH EAST COMMUNITIES. 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CAPITAL FUNDING 73,488,872. TRANSFER FROM MERCY 39,870,358. AUDITED FINANCIAL STATEMENTS PART XII, LINE 2 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 2013 (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 (FORMERLY FINANCE, AUDIT, AND COMPLIANCE COMMITTEE) OF THE MERCY HEALTH BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE. SINGLE AUDIT ACT AND OMB CIRCULAR A-133 PART XII, LINE 3 THE CONSOLIDATED GROUP OF MERCY HEALTH IS REQUIRED TO UNDERGO AN AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133. THE SINGLE AUDIT WAS CONDUCTED ON A CONSOLIDATED BASIS. SYSTEM LIMITATIONS FORM 990, SCHEDULE R, PART V LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY HEALTH 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. INDEPENDENT CONTRACTORS FORM 990, PART V, QUESTION 1A INDEPENDENT CONTRACTORS 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 HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN. MERCY HOSPITALS EAST COMMUNITIES FORM 990, SCHEDULE R, PART II MERCY HOSPITALS EAST COMMUNITIES CONSISTS OF MERCY HOSPITALS EAST COMMUNITIES ST. LOUIS, EIN 43-0653493, AND MERCY HOSPITALS EAST COMMUNITIES WASHINGTON, EIN 43-1066883. 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