2012-05-11T09:47:38-05:00 2011-06-30 PLEUS AND COMPANY LLC 14323 S OUTER FORTY STE 310N CHESTERFIELD MO 63017 990 2010-07-01 431718408 MERCY HEALTH EAST COMMUNITIES F/K/A ST JOHN'S MERCY HEALTH CARE MERC 3143642400 645 MARYVILLE CENTRE DRIVE NO 100 ST LOUIS MO 63141 CHERYL M MATEJKA 3143643532 2012-05-11 1 3143179916 2010 2016-02-24 21:20:13Z DONN SORENSEN 645 MARYVILLE CENTRE DRIVE NO 100 ST LOUIS MO 63141 192475530 0 X WWW.MERCY.NET/STLOUISMO 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. 15 10 954 10 599614 -59767 71925 198445 176963213 182265803 22159 -181 -1082899 -2348708 175974398 180115359 86621 5000 0 0 61448467 41266280 0 0 0 128355237 148261753 189890325 189533033 -13915927 -9417674 103596309 83365552 60354349 81064846 43241960 2300706 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 1 19709463 5000 182265622 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 FOUNDATION ST. LOUIS AND MERCY 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:ADMINISTRATIONINTERNAL AUDITGENERAL ACCOUNTINGPATIENT ACCOUNTINGACCOUNTS PAYABLEPAYROLL ADMINISTRATIONPHYSICIAN BILLINGREIMBURSEMENTMANAGED CARE CONTRACTINGFINANCE AND ANALYSISINFORMATION SYSTEMSMARKETINGPHYSICIAN REFERRAL SERVICESPRE-REGISTRATION AND PATIENT SCHEDULINGSTRATEGIC PLANNINGPURCHASINGTELECOMMUNICATIONSLEGALCORPORATE COMPLIANCEREAL ESTATE MANAGEMENTHUMAN RESOURCESOTHER SERVICES INCLUDE SUCH SUPPORT SERVICES AS DETERMINED BY MHEC FROM TIME TO TIME.AS OF JANUARY 1, 2011, ALL THE EMPLOYED PHYSICIANS AND PHYSICIAN PRACTICE GROUPS WERE TRANSFERRED OUT OF MHEC, PRIMARILY TO MERCY CLINIC EAST COMMUNITIES, A RELATED TAX-EXEMPT ORGANIZATION CONTROLLED BY MHEC. PRIOR TO JANUARY 1, 2011, THE PHYSICIAN GROUP AS A WHOLE WAS OPERATED UNDER MERCY AFFILIATED PHYSICIANS, LLC ("MAP, LLC"), A SINGLE-MEMBER LLC OF MHEC. 19709463 1 1 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 1 0 1 954 1 1 1 0 0 0 0 0 0 0 0 0 X 15 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 X DENISE SCOFFIC 3143642959 645 MARYVILLE CENTERSTE 100 ST LOUIS MO 63141 JOHN ARNOLD 7.00 X 0 0 0 JOSEPH KAHN 55.00 X 0 316044 29619 GEORGE ROMAN 2.00 X 0 0 0 SR JUDITH ANN CARRON RSM 3.00 X 0 0 0 JACK PURNELL 1.00 X 0 0 0 WILLIAM MILLER SR 1.00 X 0 0 0 KEITH M STARKE MD 75.00 X 0 416025 36396 ROGER STEINBECKER 5.00 X 0 0 0 MICHAEL D MCCURRY 60.00 X X 0 964849 530776 SR MARILYNN WITTENAUER RSM 1.50 X 0 0 0 DENNY MARGARET DENARVAEZ 60.00 X X 0 823913 187978 DAN MARTIN 1.00 X 0 0 0 JOHN KELLY 2.00 X 0 0 0 JOHN HOWARD 60.00 X 405222 0 94270 DENNIS KEITHLY MD 50.00 X 0 296326 78917 MIKE DECOLA 1.00 X 0 0 0 CHERYL L MATEJKA 60.00 X 0 395211 55468 JOHN HUBERT MD 65.00 X 0 701110 24953 DONALD KALICAK 60.00 X 282980 0 92910 CURTIS THOMPSON 52.00 X 0 378866 87340 CHARLES H REHM 70.00 X 0 338821 34371 ANTHONY G ROTHERMICH 50.00 X 152099 32485 15686 KIM ONESKO 60.00 X 263606 0 20849 CYNTHIA ROSBURG 60.00 X 244446 0 21173 ELLEN SAMUELS 60.00 X 221352 0 17346 JEANNE CANTALIN 55.00 X 213530 0 17167 JANICE VESPA 60.00 X 198075 0 31200 RANDALL COMBS X 0 818720 273507 SHERI D BEEKMAN X 0 374719 85593 JOHN HERMANN X 400294 0 90492 FRANCINE D MERENGHI X 167383 0 2941 LYN S HURST X 289862 0 25963 2838849 5857089 1854915 37 1 1 0 THOMPSON COBURN LLP ONE US BANK PLAZA ST LOUIS MO 63101 LEGAL 570615 GH VOSS CO INC 210 OLD DORSETT ROAD MARYLAND HEIGHTS MO 63043 GENERAL CONTRACTOR 484809 EMDEON MEDIFAX EDI PO BOX 572490 MURRAY UT 84127 CONSULTING 355673 LAWLOR CORP 1440 STRASSNER DR ST LOUIS MO 63144 CONSTRUCTION 332098 ARCO CONSTRUCTION CO 1750 S BRENTWOOD BLVD STE 701 ST LOUIS MO 63144 CONSTRUCTION 247968 17 198445 198445 CORPORATE & MGMT FEES 561000 171084452 171084452 NET PATIENT REVENUE 621110 10943566 10943566 OTHER OPERATING REVENU 621110 237785 237785 182265803 9411668 12359990 -2948322 -2948322 -2948322 181 -181 -181 -181 PHYSICIANS EXCHANGE 624100 599614 599614 599614 180115359 182265622 599614 -2948322 5000 5000 1894947 1894947 26447 26447 32741876 14492159 18249717 1969324 411479 1557845 2377779 720404 1657375 2255907 545416 1710491 230988 77525 153463 1060554 1060554 316712 316712 122477725 427640 122050085 44242 16401 27841 348960 182798 166162 15933826 1415064 14518762 245784 34132 211652 3767683 410407 3357276 661999 545813 116186 BAD DEBT EXPENSE 425225 425225 2748055 2748055 189533033 19709463 169823570 0 11322022 1252909 2884975 56201 730489 460897 162865413 105243025 58747547 57622388 29855075 24029358 103596309 83365552 8177318 4905272 270947 14754049 51906084 61405525 60354349 81064846 X 43232667 2291413 9293 9293 43241960 2300706 103596309 83365552 X -9417674 -31523580 X X 0 1 1 X 1 1 X X X 0 0 0 ST JOHNS MERCY HEALTH SYSTEM 430653493 3 1 1 1 0 MERCY MEDICAL GROUP 431771217 9 1 1 1 0 2 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 40441987 40441987 29683155 18518035 11165120 4758594 2128238 2630356 87015525 84566034 2449491 966152 30718 935434 57622388 INVESTMENT IN SUBSIDIARIES 22716696 OTHER LONG TERM ASSETS 730003 DEFERRED COMPENSATION 582659 24029358 PAYROLL ACCRUALS 4774377 LONG TERM OBLIGATIONS 7733723 DEFERRED COMPENSATION 582659 DUE TO AFFILIATES 48314766 61405525 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF MERCY HEALTH AND SUBSIDIARIES DO NOT INCLUDE A FOOTNOTE TO REPORT THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX PROVISIONS UNDER FIN 48, AS THEY ARE DEEMED IMMATERIAL FOR DISCLOSURE. X X 1 1 1 1 0 0 0 0 0 1 0 JOSEPH KAHN 0 254842 0 20000 0 41202 0 18107 0 11512 0 345663 0 0 KEITH M STARKE MD 0 341563 0 40000 0 34462 0 26344 0 10052 0 452421 0 0 MICHAEL D MCCURRY 0 605326 0 332982 0 26541 0 515658 0 15118 0 1495625 0 0 DENNY MARGARET DENARVAEZ 0 337124 0 302934 0 183855 0 180793 0 7185 0 1011891 0 0 JOHN HOWARD 292635 0 80986 0 31601 0 79482 0 14788 0 499492 0 0 0 DENNIS KEITHLY MD 0 277479 0 0 0 18847 0 69447 0 9470 0 375243 0 0 CHERYL L MATEJKA 0 253223 0 104689 0 37299 0 40827 0 14641 0 450679 0 0 JOHN HUBERT MD 0 500174 0 151324 0 49612 0 11853 0 13100 0 726063 0 0 DONALD KALICAK 185313 0 56003 0 41664 0 82054 0 10856 0 375890 0 0 0 CURTIS THOMPSON 0 244774 0 104166 0 29926 0 73646 0 13694 0 466206 0 0 CHARLES H REHM 0 318329 0 15000 0 5492 0 22543 0 11828 0 373192 0 0 ANTHONY G ROTHERMICH 97071 30858 36878 0 18150 1627 14307 0 1032 347 167438 32832 0 0 KIM ONESKO 167432 0 54154 0 42020 0 18093 0 2756 0 284455 0 0 0 CYNTHIA ROSBURG 150267 0 65534 0 28645 0 19518 0 1655 0 265619 0 0 0 ELLEN SAMUELS 151973 0 33678 0 35701 0 10543 0 6803 0 238698 0 0 0 JEANNE CANTALIN 170498 0 31414 0 11618 0 8492 0 8675 0 230697 0 0 0 JANICE VESPA 151968 0 29937 0 16170 0 20638 0 10562 0 229275 0 0 0 RANDALL COMBS 0 505989 0 285391 0 27340 0 259233 0 14274 0 1092227 0 0 SHERI D BEEKMAN 0 243905 0 104948 0 25866 0 83057 0 2536 0 460312 0 0 JOHN HERMANN 65318 0 39313 0 295663 0 86737 0 3755 0 490786 0 0 0 FRANCINE D MERENGHI 0 0 0 0 167383 0 2941 0 0 0 170324 0 0 0 LYN S HURST 62022 0 49036 0 178804 0 25077 0 886 0 315825 0 0 0 PART I, LINE 1A CHARTER TRAVEL IS PROVIDED TO ALL EMPLOYEES AS DEEMED NECESSARY FOR BUSINESS TRAVEL AND PURSUANT TO THE APPROVAL BY THE FINANCE DEPARTMENT. 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 UNDER LIMITED CIRCUMSTANCES 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. 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. 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, LINES 4A-B JOHN HERMANN RECEIVED $232,630 OF SEVERANCE COMPENSATION FROM MERCY HEALTH EAST COMMUNITIES. LYN HURST RECEIVED $151,571 OF SEVERANCE COMPENSATION FROM MERCY HEALTH EAST COMMUNITIES. FRANCINE MERENGHI RECEIVED $167,383 OF SEVERANCE COMPENSATION FROM MERCY HEALTH EAST COMMUNITIES. 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 6/30/2011. SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) COMBS, RANDY; MCCURRY, MICHAEL SUPPLEMENTAL MANAGEMENT RETIREMENT PLAN (SMRP) BEEKMAN, SHERI D; KALICAK, DON; MATEJKA, CHERYL L; THOMPSON, CURTIS; REHM, CHARLES; CANTALIN,JEANNE; STARKE,KEITH; ROSBURG, CYNTHIA 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 WHEN APPLICABLE, PROVIDES A NON-FIXED BONUS PLAN FOR WHICH CERTAIN TIERS OF ITS EMPLOYEES ARE ELIGIBLE. FOR FISCAL YEAR 2011 (JULY 1, 2010 - JULY 30, 2011) 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 -WRITTEN EMPLOYMENT CONTRACT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE ANNA COMBS FAMILY MEMBER OF RANDALL COMBS, FORMER OFFICER 22122 EMPLOYMENT ARRANGEMENT, ST JOHNS MERCY HEALTH CARE 0 CHANGES IN PROGRAM SERVICES FORM 990, PART III, LINE 3 AS OF JANUARY 1, 2011, ALL THE EMPLOYED PHYSICIANS AND PHYSICIAN PRACTICE GROUPS WERE TRANSFERRED OUT OF MHEC, PRIMARILY TO MERCY CLINIC EAST COMMUNITIES, A RELATED TAX-EXEMPT ORGANIZATION CONTROLLED BY MHEC. PRIOR TO JANUARY 1, 2011, THE PHYSICIAN GROUP AS A WHOLE WAS OPERATED UNDER MERCY AFFILIATED PHYSICIANS, LLC ("MAP, LLC"), A SINGLE-MEMBER LLC OF MHEC. THIS RESTRUCTURING WAS COMPLETED IN ORDER TO BETTER COORDINATE THE DELIVERY OF PATIENT SERVICES PROVIDED BY MHEC PHYSICIANS. 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 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, 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 ANNUALLY, THE BUSINESS RISK ASSESSMENT AND COMPLIANCE TEAM DISTRIBUTES A LINK TO A CONFLICT OF INTEREST SURVEY, WHICH MUST BE COMPLETED BY ALL COVERED INDIVIDUALS, INCLUDING MEMBERS OF THE BOARD OF DIRECTORS, SENIOR AND EXECUTIVE LEADERS AND PERSONS WITH SUBSTANTIAL INFLUENCE BY TITLE (SUPERVISORS AND ABOVE) OR FUNCTION. ALL DISCLOSURES OF POTENTIAL CONFLICTS OF INTEREST REPORTED BY CO-WORKERS ARE REVIEWED BY BUSINESS RISK AND THE DIRECTOR OF CORPORATE COMPLIANCE. IF NECESSARY, THE CHIEF FINANCIAL OFFICER, GENERAL COUNSEL, AND/OR CHIEF EXECUTIVE OFFICER MAY BE INVOLVED IN THE REVIEW. CORPORATE COMPLIANCE COORDINATES THE REVIEW AND CONFLICT RESOLUTION WITH THE APPROPRIATE ADMINISTRATIVE VICE PRESIDENT AND WITH THE ADVICE OF THE GENERAL COUNSEL. ALL REPORTED DISCLOSURES OF POTENTIAL CONFLICTS BY THE BOARD OF DIRECTORS ARE SCREENED BY THE GENERAL COUNSEL AND REVIEWED BY THE BOARD CHAIRPERSON AND THE CEO. ALL MATERIAL CONFLICTS REQUIRING CONFLICT RESOLUTION ARE REPORTED AT LEAST ANNUALLY TO THE FINANCE, AUDIT, AND COMPLIANCE COMMITTEE OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 15A 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 EXECUTIVE 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 HAVE BEEN 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 5: ELIMINATE RELATED ORGANIZATION NET INCOME(LOSS) -38,557,710. TRANSFERS FROM MERCY HEALTH 8,220,000. TRNSFR MERCY AFFILIATED PHYSICIANS, LLC TO MERCY CLINIC EAST COMMUNITIES -1,185,870. TOTAL TO FORM 990, PART XI, LINE 5: -31,523,580. AUDITED FINANCIAL STATEMENTS PART XI, 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 2011 (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 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 XI, 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 O AND P. SCHEDULE O DISCLOSURE FORM 990, HEADING, BOX B DURING THE TAX YEAR ENDED JUNE 30, 2012, SISTERS OF MERCY HEALTH SYSTEM ("MERCY HEALTH") BEGAN A SYSTEM-WIDE REBRANDING INITIATIVE TO HELP PATIENTS, PHYSICIANS, CO-WORKERS, AND THE PUBLIC BETTER UNDERSTAND THE FULL SCOPE AND LOCATIONS OF MERCY HEALTH'S SERVICES. SEVERAL OF THE MERCY HEALTH AFFILIATES HAVE CHANGED OR ARE IN THE PROCESS OF CHANGING LEGAL NAMES. PRIOR TO FILING THE 2010 FORMS 990 (DUE MAY 15, 2012), MERCY HEALTH NOTIFIED THE IRS OF THESE NAME CHANGES, THEREFORE BOX B "NAME CHANGE" HAS NOT BEEN CHECKED ON THIS FORM 990. REFER TO SCHEDULE R, PART VII FOR A LIST OF THE NAME CHANGES. HOURS PER WEEK PART VII, SECTION A, COLUMN B SEVERAL INDIVIDUALS ARE DISCLOSED AS OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ON MULTIPLE FORM 990S THAT ARE FILED BY ORGANIZATIONS INCLUDED IN THE MERCY HEALTH EAST COMMUNITIES SYSTEM. THE AVERAGE HOURS PER WEEK REPORTED INCLUDES HOURS WORKED FOR ALL OF THESE ORGANIZATIONS. INDEPENDENT CONTRACTORS FORM 990, PART V, QUESTION 1A 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. 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JOHN'S MERCY CARDIOVASCULAR AND THORACIC SURGERY ASSOCIATES, LLC IS NOW MERCY CLINIC CARDIOVASCULAR AND THORACIC SURGERY ASSOCIATES, LLC MERCY CHILDREN'S SURGERY, LLC IS NOW MERCY CLINIC CHILDRENS SURGERY, LLC ST. JOHN'S MERCY GASTROENTEROLOGY SPECIALISTS, LLC IS NOW MERCY CLINIC GASTROENTEROLOGY, LLC MERCY GERIATRICS, LLC IS NOW MERCY CLINIC GERIATRICS, LLC MERCY GYN ONCOLOGY, LLC IS NOW MERCY CLINIC GYN ONCOLOGY, LLC ST. JOHN'S MERCY HEART AND VASCULAR, LLC IS NOW MERCY CLINIC HEART AND VASCULAR, LLC KIDS PLASTIC SURGERY, LLC IS NOW MERCY CLINIC KIDS PLASTIC SURGERY, LLC MERCY NEUROLOGY, LLC IS NOW MERCY CLINIC NEUROLOGY, LLC MERCY CENTER FOR PALLIATIVE CARE, LLC IS NOW MERCY CLINIC PALLIATIVE CARE, LLC MERCY TRAUMA & SURGERY GROUP, LLC IS NOW MERCY CLINIC TRAUMA AND GENERAL SURGERY, LLC PART II: SCHEDULE R, PART VII DISCLOSURE NAME CHANGES DUE TO MERCY HEALTH REBRANDING MERCY MEDICAL GROUP IS NOW MERCY CLINIC EAST COMMUNITIES ST. EDWARD MERCY CLINIC, INC. IS NOW MERCY CLINIC FORT SMITH COMMUNITIES ST. JOSEPH'S MERCY CLINIC, INC. IS NOW MERCY CLINIC HOT SPRINGS COMMUNITIES MERCY PHYSICIANS OF OKLAHOMA, INC. IS NOW MERCY CLINIC OKLAHOMA COMMUNITIES ST. JOHN'S CLINIC, INC. IS NOW MERCY CLINIC SPRINGFIELD COMMUNITIES SISTERS OF MERCY HEALTH SYSTEM IS NOW MERCY HEALTH ST. JOHN'S MERCY HEALTH CARE IS NOW MERCY HEALTH EAST COMMUNITIES ST. EDWARD MERCY HEALTH SYSTEM, INC. IS NOW MERCY HEALTH FORT SMITH COMMUNITIES MERCY MEMORIAL HEALTH CENTER FOUNDATION IS NOW MERCY HEALTH FOUNDATION ARDMORE CARROLL HEALTH FOUNDATION IS NOW MERCY HEALTH FOUNDATION BERRYVILLE MERCY HEALTH CENTER FOUNDATION IS NOW MERCY HEALTH FOUNDATION FORT SCOTT ST. JOSEPH'S MERCY HEALTH FOUNDATION IS NOW MERCY HEALTH FOUNDATION HOT SPRINGS MERCY HOSPITAL FOUNDATION OF INDEPENDENCE, INC. IS NOW MERCY HEALTH FOUNDATION INDEPENDENCE MERCY HEALTH OF JOPLIN FOUNDATION IS NOW MERCY HEALTH FOUNDATION JOPLIN ST. MARY'S HOSPITAL FOUNDATION IS NOW MERCY HEALTH FOUNDATION NORTHWEST ARKANSAS MERCY HEALTH CENTER FOUNDATION, INC. IS NOW MERCY HEALTH FOUNDATION OKLAHOMA CITY ST. JOHN'S FOUNDATION FOR COMMUNITY HEALTH INC. IS NOW MERCY HEALTH FOUNDATION SPRINGFIELD ST. JOHN'S MERCY FOUNDATION IS NOW MERCY HEALTH FOUNDATION ST. LOUIS ST. JOHN'S MERCY HOSPITAL FOUNDATION IS NOW MERCY HEALTH FOUNDATION WASHINGTON ST. JOSEPH'S MERCY HEALTH SYSTEM, INC. IS NOW MERCY HEALTH HOT SPRINGS COMMUNITIES MERCY HEALTH SYSTEM OF NORTHWEST ARKANSAS, INC. IS NOW MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES MERCY HEALTH SYSTEM, INC. IS NOW MERCY HEALTH OKLAHOMA COMMUNITIES MERCY HEALTH SYSTEM-JOPLIN, INC. IS NOW MERCY HEALTH SOUTHWEST MISSOURI/KANSAS COMMUNITIES ST. JOHN'S HEALTH SYSTEM, INC. IS NOW MERCY HEALTH SPRINGFIELD COMMUNITIES ST. JOHN'S HOME CARE OF BERRYVILLE, INC. IS NOW MERCY HOME HEALTH BERRYVILLE MERCY MEMORIAL HEALTH CENTER, INC. IS NOW MERCY HOSPITAL ARDMORE ST. JOHN'S AURORA, INC. IS NOW MERCY HOSPITAL AURORA OZARKS REGIONS HEALTH SYSTEM, INC. IS NOW MERCY HOSPITAL BERRYVILLE ST. JOHN'S CASSVILLE, INC. IS NOW MERCY HOSPITAL CASSVILLE MERCY HEALTH MHMCH, INC. IS NOW MERCY HOSPITAL COLUMBUS MERCY EL RENO HOSPITAL CORPORATION IS NOW MERCY HOSPITAL EL RENO ST. EDWARD MERCY MEDICAL CENTER IS NOW MERCY HOSPITAL FORT SMITH HEALDTON MERCY HOSPITAL CORPORATION IS NOW MERCY HOSPITAL HEALDTON ST. JOSEPH'S MERCY HEALTH CENTER IS NOW MERCY HOSPITAL HOT SPRINGS MERCY HEALTH OF JOPLIN, INC. IS NOW MERCY HOSPITAL JOPLIN BREECH REGIONAL MEDICAL CENTER IS NOW MERCY HOSPITAL LEBANON MERCY HEALTH CENTER, INC. IS NOW MERCY HOSPITAL OKLAHOMA CITY ST. EDWARD HEALTH FACILITIES OF FRANKLIN COUNTY IS NOW MERCY HOSPITAL OZARK ST. EDWARD HEALTH FACILITIES OF LOGAN COUNTY IS NOW MERCY HOSPITAL PARIS ST. EDWARD HEALTH FACILITIES OF SCOTT COUNTY IS NOW MERCY HOSPITAL WALDRON ST. MARY-ROGERS MEMORIAL HOSPITAL, INC. IS NOW MERCY HOSPITAL ROGERS ST. JOHN'S REGIONAL HEALTH CENTER IS NOW MERCY HOSPITAL SPRINGFIELD MERCY TISHOMINGO HOSPITAL CORPORATION IS NOW MERCY HOSPITAL TISHOMINGO ST. JOHN'S MERCY HEALTH SYSTEM IS NOW MERCY HOSPITALS EAST COMMUNITIES ST. JOHN'S MERCY MEDICAL CENTER IS NOW MERCY HOSPITAL ST LOUIS ST. JOHN'S MERCY HOSPITAL IS NOW MERCY HOSPITAL SPRINGFIELD MERCY HEALTH SYSTEM OF KANSAS, INC. IS NOW MERCY KANSAS COMMUNITIES MERCY HEALTH CENTER, INC. IS NOW MERCY HOSPITAL FORT SCOTT MERCY HOSPITAL IS NOW MERCY HOSPITAL INDEPENDENCE ST. JOHN'S MEDICAL RESEARCH INSTITUTE, INC. IS NOW MERCY MEDICAL RESEARCH INSTITUTE ST. FRANCIS HOSPITAL, MOUNTAIN VIEW, MISSOURI IS NOW MERCY ST. FRANCIS HOSPITAL ST. JOHN'S MERCY SUPPORT SERVICES IS NOW MERCY SUPPORT SERVICES