2020-08-12T09:07:40-05:00 2019-06-30 562632458 PLEUS AND COMPANY LLC 14500 SOUTH OUTER 40 RD STE 201A CHESTERFIELD MO 63017 990 2018-07-01 431718408 MERCY HEALTH EAST COMMUNITIES MERC 3143642400 645 MARYVILLE CENTRE DRIVE NO 100 ST LOUIS MO 63141 CHERYL MATEJKA CHIEF FINANCIAL OFFICER 3143643532 2020-08-04 1 DOUGLAS G PLEUS P00013488 3143179916 107.143.157.123 2020-08-04 11:27:33 CD P 8121CA463AABFA4EFE5158FD2073B628CA1C8F6D 10DBDE78D88D9177EE19B17DBA986A17B1D29D69 2018 2020-09-23 17:36:50Z X JEFFREY JOHNSTON 645 MARYVILLE CENTRE DRIVE NO 100 ST LOUIS MO 63141 83775210 0 X WWW.MERCY.NET X 1995 MO MERCY HEALTH EAST COMMUNITIES ("MHEC") IS A SUPPORTING ORGANIZATION OF MERCY HOSPITALS EAST COMMUNITIES AND MERCY CLINIC EAST COMMUNITIES. MHEC ALSO PROVIDES SUPPORT SERVICES TO MERCY HEALTH FOUNDATION ST. LOUIS AND MERCY HEALTH FOUNDATION WASHINGTON. MHEC IS THE PARENT OF THE MERCY HOSPITALS EAST COMMUNITIES, AND PROVIDES MANAGEMENT AND SUPPORT SERVICES WITHIN THE SYSTEM. 19 15 0 17 0 0 0 0 262300083 83512055 555865 263155 0 0 262855948 83775210 239000 329000 0 0 19157865 33540460 0 0 0 247813814 50586382 267210679 84455842 -4354731 -680632 432717326 423209709 70228006 61678348 362489320 361531361 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 18991932 329000 63633118 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:ADMINISTRATIONACCOUNTS PAYABLEGENERAL ACCOUNTINGFINANCE AND ANALYSISHEALTH INFORMATION SERVICESMANAGED CARE CONTRACTINGPHYSICIAN REFERRAL SERVICESPRE-REGISTRATION AND PATIENT SCHEDULINGSTRATEGIC PLANNINGPURCHASINGREAL ESTATE MANAGEMENTOTHER SERVICES INCLUDE SUCH SUPPORT SERVICES AS DETERMINED NECESSARY BY MHEC FROM TIME TO TIME.ADDITIONALLY, MHEC HAS TWO DIVISIONS THAT PROVIDE HEALTH CARE SOLUTIONS. MERCY HEALTH SYSTEM CONTRACTS DIRECTLY WITH EMPLOYERS TO OFFER QUALITY HEALTH CARE DIRECTLY TO THEIR EMPLOYEES AT A LOWER COST. THE ARRANGEMENT RESEMBLES AN ACCOUNTABLE CARE ORGANIZATION STRUCTURE.ANOTHER DIVISION IS A JOINT VENTURE WITH A NATIONAL URGENT CARE PROVIDER THAT PROVIDES GREATER ACCESS TO INNOVATIVE URGENT CARE THROUGH STATE-OF-THE-ART TECHNOLOGY AND UNIQUE PATIENT ACCESS TOOLS. 18253628 0 19878937 A DIVISION OF MERCY HEALTH EAST COMMUNITIES PROVIDES DIAGNOSTIC IMAGING SERVICES, INCLUDING MRI, CT SCAN, ULTRASOUND, 3D MAMMOGRAPHY, BONE DENSITY SCANS AND DIGITAL X-RAYS. INCLUDED ARE IMAGING CENTERS IN THE FOLLOWING ST. LOUIS AREAS: SOUTH COUNTY, ST PETERS, CREVE COEUR, FLORISSANT, AND RICHMOND HEIGHTS 37245560 1 0 0 1 0 0 0 0 0 0 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 19 15 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 X DENISE SCOFFIC 3143642959 645 MARYVILLE CENTERSTE 100 ST LOUIS MO 63141 X ARNOLD MD DON BOARD MEMBER 1.00 0.00 X 0 0 0 BAUER PHD JON BOARD MEMBER 1.00 1.00 X 0 0 0 BOYD MD CRAIG BOARD MEMBER 1.00 0.00 X 0 0 0 BRIGGS MATUSCHKA BOARD MEMBER 1.00 0.00 X 0 0 0 CAREY AARNARIAN BOARD MEMBER 1.00 0.00 X 0 0 0 CIARAMITA MD JEFF PHYSICIAN & BOARD MEMBER 1.00 53.00 X 0 963426 95757 GANNON DENNIS BOARD MEMBER 1.00 0.00 X 0 0 0 GLOSENGER RSM SR KATHERINE BOARD MEMBER 1.00 1.00 X 0 0 0 GUTOWSKI RSM SR MICHAEL MARY BOARD MEMBER 1.00 0.00 X 0 0 0 HENRY WENDY BOARD MEMBER 1.00 1.00 X 0 0 0 JOHNSTON JEFFREY A PRESIDENT, MERCY HEALTH EAST COMM 18.00 42.00 X X 0 1154721 135277 O'CONNOR SUSAN BOARD MEMBER 1.00 0.00 X 0 0 0 REHM MD CHARLES CAO & BOARD MEMBER 5.00 55.00 X 963076 0 44273 ROMAN GEORGE BOARD MEMBER 1.00 0.00 X 0 0 0 SANDERS MD STEPHEN PHYSICIAN & BOARD MEMBER 1.00 50.00 X 0 472272 45535 SCAIFE SR BRYANT BOARD MEMBER 1.00 0.00 X 0 0 0 SHORT KEVIN BOARD MEMBER 1.00 0.00 X 0 0 0 SWYERS STEVE BOARD MEMBER 1.00 0.00 X 0 0 0 VERA RSM SR MARIA LUISA BOARD MEMBER 1.00 59.00 X 0 0 0 HANNASCH SUSAN REGIONAL VP - GENERAL COUNSEL 4.00 56.00 X 0 442523 64864 MATEJKA CHERYL L CHIEF FINANCIAL OFFICER 10.00 50.00 X 727663 0 90309 HUBERT MD JOHN W PRESIDENT, MERCY CLINIC 5.00 55.00 X 1168109 0 31579 KALICAK DONALD VP - BUSINESS DEVELOPMENT & PLANNING 15.00 35.00 X 400944 0 73543 RUNGE ANDREW COO CLINICS 5.00 45.00 X 604033 0 87084 SCOFFIC DENISE VP - FINANCE 25.00 30.00 X 284404 0 33205 YOST DEBRA A REGIONAL VP - HR 10.00 40.00 X 0 346819 57232 LAUBINGER MARY VP - POPULATION HEALTH CARE NAVIGATION 60.00 0.00 X 167129 0 37412 HASTINGS HEIDI S VP-OPERATIONS 2.00 55.00 X 232509 0 9317 ROONEY ROBERT DIRECTOR - BARIATRIC MEDICINE 60.00 0.00 X 175284 0 30947 STIFFLER MARK R VP-OPERATIONS 2.00 55.00 X 345206 0 18757 STUTZMAN TED A VP-OPERATIONS 50.00 10.00 X 364987 0 22774 SORENSEN DONN FORMER OFFICER 0.00 60.00 X 0 1590030 205206 5433344 4969791 1083071 31 1 1 0 CENTAUR BUILDING SERVICES INC PO BOX 66726 ST LOUIS MO 63166 HOUSEKEEPING SERVICES 1184096 GEORGE A PALETTA JR MD 2 FRONTENAC CIRCLE FRONTENAC MO 63131 CONTRACTED PHYSICIAN SERVICES 270431 ST LOUIS ASPHALT SEALING & STRIPING PO BOX 67 PACIFIC MO 63069 ASPHALT SERVICES 183829 C AND R MECHANICAL CO 12825 PENNRIDGE DRIVE BRIDGETON MO 63044 CONTRACTING 179877 HEALTHCARE FUTURES 300 PARK BOULEVARD SUITE 200 ITASCA IL 60143 MARKET RESEARCH & STRATEGY CONSULTANTS 167084 19 RENTAL FROM AFFILIATED EXEMPT ORG 531120 29613355 29613355 CORPORATE & MGMT FEES 561110 28607502 28607502 NET PATIENT SERVICES REVENUE 621110 24252415 24252415 OTHER OPERATING REVENUE 622110 1038783 1038783 83512055 263155 263155 83775210 83512055 0 263155 329000 329000 6116717 6116717 22638868 16786819 5852049 617446 400849 216597 2619893 2052911 566982 1547536 1226563 320973 1247 1247 10478397 1598603 8879794 835935 127532 708403 4762184 726527 4035657 19730 3010 16720 21057473 3212566 17844907 84234 12851 71383 2175 332 1843 748597 748597 8353581 2457691 5895890 261024 39822 221202 REPAIRS & MAINTENANCE 3371540 514368 2857172 DRUGS AND MEDICAL EXPEN 607182 607182 BAD DEBT 234002 234002 -230919 49618 -280537 84455842 37245560 47210282 0 2382953 4685335 1524049 1660574 1820312 1629850 319996210 133402391 193406298 186593819 215112 226418 30600108 30609936 202768494 197803777 432717326 423209709 60132040 52396628 240414 200345 9783624 9081375 71928 0 70228006 61678348 X 362489320 361531361 362489320 361531361 432717326 423209709 X -680632 -277327 X X 0 1 X 1 0 X X 3 MERCY HOSPITALS EAST COMMUNITIES 430653493 3 1 0 0 MERCY CLINIC EAST COMMUNITIES 431771217 10 1 0 0 MERCY HOSPITAL JEFFERSON 430687077 3 1 0 0 3 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 PART I, LINE 11G, COLUMN V MERCY HEALTH CARE EAST COMMUNITIES (MHEC) IS A TYPE I SUPPORTING ORGANIZATION THAT IS OPERATED TO SUPPORT THE OPERATIONS OF ALL ITS RELATED ORGANIZATIONS LISTED ON SCHEDULE A, PART I, LINE 11(G). (MHEC OPERATES SIMILARLY TO MANY TAX-EXEMPT HEALTH CARE ORGANIZATIONS SUPPORTING ORGANIZATIONS, BY OPERATING AS A "PARENT-TYPE" ENTITY, NOT AS A PROVIDER OF MONETARY SUPPORT.) THE AMOUNT OF SUPPORT PROVIDED TO THESE ORGANIZATIONS, REPORTED ON SCHEDULE A, PART I, LINE 11(G)(V), DOES NOT INCLUDED EXPENSES PAID ON BEHALF OF BUT NOT DIRECTLY TO THE ENTITIES MHEC SUPPORTS. THESE EXPENSES TOTALED $58,386,412. PART IV, SECTION A, LINE 1: MHEC IS THE PARENT ORGANIZATION OF THE ST. LOUIS AREA COMMUNITY, MERCY HEALTH EAST COMMUNITIES. THIS IS A HEALTH SYSTEM OF WHICH ALL SUPPORTED ORGANIZATIONS ARE SUBSIDIARIES. MERCY HEALTH, THE MEMBER OF MERCY HEALTH EAST COMMUNITIES, HAS RESERVE POWERS TO APPOINT AND REMOVE ALL DIRECTORS AND OFFICERS FOR MERCY HEALTH EAST COMMUNITIES. THE PURPOSE OF MHEC IS TO PROVIDE, EITHER DIRECTLY OR IN CONJUNCTION WITH OTHER PERSONS OR ORGANIZATIONS, ADMINISTRATION, ACCOUNTS PAYABLE, GENERAL ACCOUNTING, FINANCE AND ANALYSIS, HEALTH INFORMATION SERVICES, MANAGED CARE CONTRACTING, PHYSICIAN REFERRAL SERVICES, PRE-REGISTRATION AND PATIENT SCHEDULING,STRATEGIC PLANNING,PURCHASING, AND REAL ESTATE MANAGEMENT. OTHER SERVICES INCLUDE SUCH SUPPORT SERVICES AND CHARITABLE ACTIVITIES AS DETERMINED NECESSARY BY MHEC FROM TIME TO TIME. MHEC, IN CONJUNCTION WITH ITS SOLE MEMBER, HAS DETERMINED THAT THE SUPPORTED ORGANIZATIONS LISTED ON SCHEDULE A, PART I, LINE 11(G) ALLOW THE CORPORATION TO FULFILL ITS MISSION. PART IV, SECTION B, LINE 1: SEE RESPONSES TO PART I, LINE 11G, COLUMN V AND PART IV, SECTION A, LINE 1 FOR INFORMATION REGARDING THE POWERS AND CONTROL OF MHEC AND THE SUPPORTED ORGANIZATIONS. PART IV, SECTION A, LINE 6: SEE SCHEDULE I FOR INFORMATION REGARDING GRANTS MADE TO CHARITABLE ORGANIZATIONS. 0 0 0 0 0 1 1247 0 0 0 1247 0 PART II-B, LINE 1: THE FILING ORGANIZATION IS A MEMBER OF AND PAYS DUES TO THE FOLLOWING ASSOCIATION: CATHOLIC HEALTH ASSOCIATION. FOR THE YEAR ENDED JUNE 30, 2019, DUES WERE $35,415. APPROXIMATELY 3.52% OF CATHOLIC HOSPITAL ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED BY THIS ASSOCIATION. 78011493 78011493 144651154 49208143 95443011 5694416 4359092 1335324 91166968 79835156 11331812 472179 472179 186593819 INVESTMENT IN SUBSIDIARIES 152566951 OTHER LONG TERM ASSETS 3106958 DUE FROM AFFILIATES 42129868 197803777 PART X, LINE 2 FEDERAL INCOME TAX PRIMARILY ALL OF THE MERCY HEALTH ENTITIES ARE RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS CHARITABLE ORGANIZATIONS QUALIFYING UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), BY VIRTUE OF IRS DETERMINATION LETTERS OR INCLUSION IN THE OFFICIAL CATHOLIC DIRECTORY. MERCY COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2019 OR 2018. 1 MAYORS CHARITY BALL INC 100 NORTH MAIN STREET ST CHARLES MO 63301 431726611 501(C)(3) 5000 FMV CHARITABLE SUPPORT YOUTH IN NEED 1815 BOONES LICK ROAD ST CHARLES MO 63301 431033862 501(C)(3) 5000 FMV CHARITABLE SUPPORT ST CHARLES CITY-COUNTY 77 BOONE HILLS DR ST PETERS MO 63376 431860793 501(C)(3) 15000 FMV CHARITABLE SUPPORT ISAAC BRUCE FOUNDATION 1919 HOMEFIELD ESTATES DRIVE OFALLON MO 63366 208066845 501(C)(3) 10000 FMV CHARITABLE SUPPORT ST LOUIS SPORTS COMMISSION 308 NORTH 21ST STREET ST LOUIS MO 63103 431646221 501(C)(6) 7500 FMV CHARITABLE SUPPORT ST LOUIS INTEGRATED HEALTH NETWORK 1520 MARKET STREET STE 4034 ST LOUIS MO 63103 203288245 501(C)(3) 25000 FMV CHARITABLE SUPPORT ACHRM 230 KINGS HIGHWAY SUITE 340 HADDONFIELD NJ 08033 454906991 501(C)(3) 5000 CHARITABLE SUPPORT ALZHEIMERS ASSOCIATION 9370 OLIVE BLVD ST LOUIS MO 63132 431237069 501(C)(3) 5000 CHARITABLE SUPPORT BIG RIVER RACE MANAGEMENT 456 SOVEREIGN CT MANCHESTER MO 63011 274174041 501(C)(3) 10000 CHARITABLE SUPPORT CHILD CENTER 989 HERITAGE PARKWAY WENTZVILLE MO 63385 431856223 501(C)(3) 5000 CHARITABLE SUPPORT COMMUNITY COUNCIL PO BOX 219 COTTLEVILLE MO 63338 436051722 501(C)(3) 5000 CHARITABLE SUPPORT COTTLEVILLE FIREFIGHTERS PO BOX 353 COTTLEVILLE MO 63338 262475461 501(C)(3) 5000 CHARITABLE SUPPORT FIRST TEE OF GREATER ST LOUIS PO BOX 15175 ST LOUIS MO 63110 261557647 501(C)(3) 5000 CHARITABLE SUPPORT GATEWAY TO HOPE 425 NORTH NEW BALLAS RD STE 220 ST LOUIS MO 63141 202737792 501(C)(3) 100000 CHARITABLE SUPPORT GO ST LOUIS 300 HUNTER AVE STE 110 ST LOUIS MO 63124 431864732 501(C)(3) 74000 CHARITABLE SUPPORT LEARFIELD IMG COLLEGE PO BOX 843038 KANSAS CITY MO 64184 900776492 501(C)(3) 7500 CHARITABLE SUPPORT MISSOURI SPORTS HALL OF FAME PO BOX 777 BOLIVAR MO 65613 273461037 501(C)(3) 5000 CHARITABLE SUPPORT SEMPER FI SOCIETY OF ST LOUIS PO BOX 1734 BALLWIN MO 63011 273259253 501(C)(3) 5000 CHARITABLE SUPPORT ST CHARLES COMMUNITY COLLEGE 4601 MID RIVERS MALL DRIVE COTTLEVILLE MO 63376 431591959 501(C)(3) 5000 CHARITABLE SUPPORT ST LOUIS POLICE FOUNDATION 9761 CLAYTON RD ST LOUIS MO 63124 260326513 501(C)(3) 5000 CHARITABLE SUPPORT ST LOUIS UNIVERSITY HIGH SCHOOL 4970 OAKLAND AVE ST LOUIS MO 63110 430662506 501(C)(3) 10000 CHARITABLE SUPPORT WENTZVILLE SCHOOL DISTRICT 280 INTERSTATE DRIVE WENTZVILLE MO 63385 431934195 501(C)(3) 5000 CHARITABLE SUPPORT 21 1 PART I, LINE 2: GRANTS ARE MADE TO ORGANIZATIONS WHICH HAVE AN ESTABLISHED HISTORY OF PROVIDING HEALTH CARE SUPPORT AND\OR COMMUNITY BENEFIT. IF NECESSARY, PERIODIC REPORTS ARE PROVIDED TO US. GRANTS ARE MADE TO RELATED ORGANIZATIONS, WHICH PROVIDE REPORTING ON THE USE OF THE FUNDS AND WORK CLOSELY WITH OUR ORGANIZATION. X X X X 1 1 0 1 0 0 0 0 0 0 0 CIARAMITA MD JEFF PHYSICIAN & BOARD MEMBER 0 648878 0 274849 0 39699 0 93021 0 2736 0 1059183 0 0 JOHNSTON JEFFREY A PRESIDENT, MERCY HEALTH EAST COMM 0 665326 0 446065 0 43330 0 117088 0 18189 0 1289998 0 0 REHM MD CHARLES CAO & BOARD MEMBER 548412 0 365531 0 49133 0 41750 0 2523 0 1007349 0 110629 0 SANDERS MD STEPHEN PHYSICIAN & BOARD MEMBER 0 393168 0 52389 0 26715 0 30470 0 15065 0 517807 0 0 HANNASCH SUSAN REGIONAL VP - GENERAL COUNSEL 0 298125 0 109458 0 34940 0 51300 0 13564 0 507387 0 0 MATEJKA CHERYL L CHIEF FINANCIAL OFFICER 430902 0 236247 0 60514 0 72576 0 17733 0 817972 0 0 0 HUBERT MD JOHN W PRESIDENT, MERCY CLINIC 722895 0 386175 0 59039 0 17685 0 13894 0 1199688 0 148949 0 KALICAK DONALD VP - BUSINESS DEVELOPMENT & PLANNING 259368 0 121014 0 20562 0 60386 0 13157 0 474487 0 31823 0 RUNGE ANDREW COO CLINICS 369234 0 201848 0 32951 0 69093 0 17991 0 691117 0 0 0 SCOFFIC DENISE VP - FINANCE 207852 0 43955 0 32597 0 25976 0 7229 0 317609 0 0 0 YOST DEBRA A REGIONAL VP - HR 0 254550 0 82833 0 9436 0 40593 0 16639 0 404051 0 0 LAUBINGER MARY VP - POPULATION HEALTH CARE NAVIGATI 136170 0 18878 0 12081 0 24867 0 12545 0 204541 0 0 0 HASTINGS HEIDI S VP-OPERATIONS 168612 0 51798 0 12099 0 7517 0 1800 0 241826 0 0 0 ROONEY ROBERT DIRECTOR - BARIATRIC MEDICINE 133143 0 19454 0 22687 0 21036 0 9911 0 206231 0 0 0 STIFFLER MARK R VP-OPERATIONS 218442 0 92346 0 34418 0 11542 0 7215 0 363963 0 0 0 STUTZMAN TED A VP-OPERATIONS 252152 0 99713 0 13122 0 5595 0 17179 0 387761 0 0 0 SORENSEN DONN FORMER OFFICER 0 835967 0 711440 0 42623 0 129557 0 75649 0 1795236 0 0 PART I, LINE 1A CHARTER TRAVEL IS PROVIDED TO CERTAIN EMPLOYEES AS AND WHEN APPROPRIATE, AND AS DEEMED NECESSARY FOR BUSINESS TRAVEL. AFTER CHARTER TRAVEL APPROVAL HAS BEEN GRANTED IN ACCORDANCE WITH THE FINANCIAL JUSTIFICATION PROCESS, THE APPROVED CHARTER TRAVEL FOR BUSINESS IS A REIMBURSABLE EXPENSE WHICH IS NOT TAXABLE TO THE EMPLOYEES. IN ANY CIRCUMSTANCE IN WHICH CHARTER TRAVEL IS MADE AVAILABLE TO EMPLOYEES AND/OR SPOUSES/GUESTS FOR PERSONAL REASONS, MERCY POLICY REQUIRES TRACKING OF SUCH USE AND TAXATION OF THE EMPLOYEE(S) ACCORDINGLY. TRAVEL FOR COMPANIONS FOR NONBUSINESS REASONS IS PROVIDED IN CERTAIN INSTANCES AND IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. WHERE COMPANION TRAVEL HAS RESULTED IN A TAXABLE EVENT, THE EMPLOYEES ARE TAXED FOR SUCH TRAVEL. SPOUSAL TRAVEL WAS PROVIDED FOR THE FOLLOWING EMPLOYEES OF A RELATED ORGANIZATION: JEFF JOHNSTON. LIMITED INSTANCES OF TAX GROSS-UPS 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 AN EMPLOYEE, TED STUTZMAN. 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 A SUPPLEMENTAL RETIREMENT PLAN TO CERTAIN EXECUTIVES WHICH PROVIDE BENEFITS UPON VESTING DATE BASED ON COMPENSATION, AGE AT THE TIME OF BENEFIT COMMENCEMENT, LENGTH OF SERVICE WITH THE COMPANY AND/OR ITS AFFILIATES, AND LENGTH OF TENURE IN THE PLAN. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE PLAN. JOHNSTON,JEFFREY; SORENSEN,DONN; KALICAK,DON; MATEJKA,CHERYL L; REHM,CHARLES; HUBERT,JOHN; HANNASCH,SUSAN; RUNGE,ANDREW; YOST,DEB; CIARIMITA,JEFFREY;FRAZIER,DONNA THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C). DONALD KALICAK, CHARLES REHM, AND JOHN HUBERT RECEIVED PAYMENTS FROM RETIREMENT PLAN(S) DURING THE YEAR. THE AMOUNTS REPORTED FOR THESE INDIVIDUALS IN COLUMN (F) IS INCLUDED IN COLUMN B (I) AS BASE COMPENSATION. THIS PAYOUT WAS INCLUDED IN COLUMN (C) OF PREVIOUSLY FILED FORMS 990. PART I, LINE 3 MERCY HEALTH (PARENT COMPANY) IS RESPONSIBLE FOR ESTABLISHING THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THE FOLLOWING METHODS WERE USED BY MERCY HEALTH TO ESTABLISH COMPENSATION: -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE FORM 990, PART VI, SECTION A, LINE 6 THE MEMBER OF MERCY HEALTH EAST COMMUNITIES IS MERCY HEALTH. FORM 990, PART VI, SECTION A, LINE 7A MERCY HEALTH, THE MEMBER OF MERCY HEALTH EAST COMMUNITIES, HAS RESERVE POWERS TO APPOINT AND REMOVE ALL DIRECTORS AND OFFICERS FOR MERCY HEALTH EAST COMMUNITIES. FORM 990, PART VI, SECTION A, LINE 7B MERCY HEALTH, THE MEMBER OF MERCY HEALTH EAST COMMUNITIES, RESERVES THE FOLLOWING POWERS AND RESPONSIBILIES: -TO APPROVE THE MISSION AND ESTABLISH THE PHILOSOPHY ACCORDING TO WHICH THE CORPORATION OR ANY AFFILIATE SHALL OPERATE; -TO AMEND THE ARTICLES OF INCORPORATION AND BYLAWS AND TO AMEND THE ORGANIZATIONAL AND GOVERNANCE DOCUMENTS OF EACH AFFILIATE; -TO APPROVE OR AMEND THE STRATEGIC PLAN, GOALS AND OBJECTIVES OF THE CORPORATION AND EACH AFFILIATE; -TO APPROVE OR AMEND THE OPERATING, CAPITAL, AND CONSTRUCTION BUDGETS FOR THE CORPORATION AND EACH AFFILIATE; -TO LEASE OR SELL ANY OF THE ASSETS OF THE CORPORATION OR ANY AFFILIATE IN EXCESS OF THREE MILLION DOLLARS ($3,000,000); -TO ENCUMBER ANY OR ALL OF THE ASSETS OF THE CORPORATION AND EACH AFFILIATE CONTROLLED BY THE CORPORATION; -TO AUTHORIZE AND APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION AND EACH AFFILIATE (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTY ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; -TO MERGE, DISSOLVE, OR ABANDON THE CORPORATION AND EACH AFFILIATE; AND, -TO APPROVE THE CREATION, OWNERSHIP, OR ACQUISITION OF, OF AFFILIATION WITH, ANY OTHER ORGANIZATION BY THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM, USING INFORMATION PROVIDED BY THE FILING ORGANIZATION. A DRAFT FORM 990 IS REVIEWED BY THE FILING ORGANIZATION'S FINANCE LEADERSHIP. THE DRAFT FORM 990 IS ALSO REVIEWED BY MERCY HEALTH'S TAX DEPARTMENT, TO ENSURE ACCURACY AND CONSISTENCY WITH OTHER RELATED ORGANIZATIONS' FORM 990S. AFTER QUESTIONS ARISING FROM THE VARIOUS REVIEWS ARE ADDRESSED AND INCORPORATED INTO THE FORM 990, A REVISED DRAFT IS PROVIDED TO THE FILING ORGANIZATION'S LEADERSHIP TEAM, INCLUDING THE CFO AND CEO, FOR REVIEW. ONCE REVIEWED AND APPROVED BY THE FILING ORGANIZATION'S LEADERSHIP TEAM, THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW; IT IS THEN SIGNED AND FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER DISQUALIFIED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY AND DID SO IN THE NORMAL COURSE FOR THE YEAR ENDED JUNE 30, 2019. THIS PROCESS IS ADMINISTERED AT THE MERCY HEALTH LEVEL BY MERCY'S CORPORATE COMPLIANCE DEPARTMENT. THE QUESTIONNAIRES ARE REVIEWED WITH LEADERSHIP AT THE LOCAL LEVEL AND POTENTIAL CONFLICTS DISCUSSED AND RESOLVED. THE CONFLICTS AND THEIR RESPECTIVE RESOLUTIONS ARE SHARED AT THE MERCY LEVEL WITH A TEAM INCLUDING MERCY'S CHIEF FINANCIAL OFFICER, CHIEF COMPLIANCE OFFICER AND OTHER MEMBERS OF FINANCE, LEGAL AND HR. SUMMARY RESULTS ARE REVIEWED WITH MERCY'S STEWARDSHIP COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15B FOR THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS), MERCY HEALTH (PARENT COMPANY) USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT, AND ANNUAL REVIEW/APPROVAL OF COMPENSATION BY THE COMPENSATION COMMITTEE OF THE MERCY HEALTH BOARD. FOR THOSE CLASSIFIED AS KEY EMPLOYEES, THE ORGANIZATION USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, AND REVIEW/APPROVAL OF EXECUTIVE MANAGEMENT. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS, AND A REVIEW WAS COMPLETED DURING THE REPORTING YEAR. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE FROM TIME TO TIME BUT ARE NOT PUBLISHED PUBLICLY; WE ARE NOT REQUIRED TO MAKE THESE DOCUMENTS AVAILABLE TO THE PUBLIC. FINANCIAL RESULTS ARE AVAILABLE VIA REQUEST OF COPY OF FORM 990. FORM 990, PART VII, SECTION A, COLUMN B AVERAGE HOURS PER WEEK THE HOURS PER WEEK DISCLOSED IN PART VII IS THE AVERAGE HOURS THE LISTED PERSON WORKED OR DEVOTED PER WEEK WHILE EMPLOYED OR ASSOCIATED WITH THE FILING ORGANIZATION AND RELATED ORGANIZATIONS (IF APPLICABLE). FORM 990, PART XI, LINE 9: NET TRANSFERS TO/FROM AFFILIATES -277,327. PART XII, LINE 2 AUDITED FINANCIAL STATEMENTS THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN THE MERCY HEALTH AND SUBSIDIARIES ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 2019 (THE TAX YEAR CURRENTLY BEING REPORTED). HOWEVER, NO SEPARATE AUDIT OPINION IS ISSUED ON THE FINANCIAL STATEMENTS OF THE FILING ORGANIZATION. THE ULTIMATE RESPONSIBILITY FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE EXTERNAL AUDITOR LIES WITH THE STEWARDSHIP COMMITTEE OF THE MERCY HEALTH BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE. FORM 990, SCHEDULE R, PART V SYSTEM LIMITATIONS LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY HEALTH SYSTEM, INC. AND SUBSIDIARIES. THE MAJORITY OF THE INTERCOMPANY/RELATED ORGANIZATION TRANSACTIONS ARE PROCESSED THROUGH LAWSON VIA INTERCOMPANY JOURNAL ENTRIES. WITH THE CURRENT DESIGN OF THE ERP SYSTEM, THERE ARE VARIOUS LIMITATIONS ON THE RELATED ORGANIZATION INFORMATION THAT CAN BE EXTRACTED FROM LAWSON. DUE TO THESE LIMITATIONS,MOST OF THE RELATED ORGANIZATION ACTIVITY FOR THE FILING ORGANIZATION HAS BEEN CLASSIFIED ON SCHEDULE R, PART V, IN LINES P AND Q. FORM 990, PART V, LINE 2A W-3 FILING SALARIES AND WAGES WITH LIMITED EXCEPTIONS, THE SALARIES AND WAGES REPORTED ON FORM 990, PART IX, LINE 7 REPRESENT AN ALLOCATION OF SALARIES AND WAGES FROM A RELATED ORGANIZATION. MOST EMPLOYEES ARE PAID BY A RELATED ORGANIZATION UNDER A COMMON PAYMASTER ARRANGEMENT. AS SUCH, ALL REQUIRED PAYROLL FILING FOR THESE EMPLOYEES (INCLUDING W-2 AND W-3'S) IS REPORTED UNDER THE RELATED ORGANIZATION, MHM SUPPORT SERVICES,EIN 20-2553101. FORM 990, PART V, QUESTION 1A INDEPENDENT CONTRACTORS INDEPENDENT CONTRACTORS FOR THE FILING ORGANIZATION ARE PAID BY THE MERCY HEALTH (EIN 43-1423050). AS SUCH, ALL REQUIRED FORM 1099 AND FORM 1096 REPORTING IS MADE FOR THE ENTIRE HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN. FORM 990, PAGE 1, B AMENDED RETURN THE FORM 990 IS AMENDED TO REFLECT CHANGES TO PART VII 1A, COLUMN (F), AND SCHEDULE J, PART II, COLUMN (D), WITH RESPECT TO THE FORMER OFFICER. 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