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 431784536 ST ANTHONYS PHYSICIAN ORGANIZATION STAN 3145251000 10010 KENNERLY ROAD ST LOUIS MO 63128 CHERYL MATEJKA TREASURER 3143643532 2020-08-04 1 DOUGLAS G PLEUS P00013488 3143179916 107.143.157.123 2020-08-04 13:00:09 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 10DBDE78D88D9177EE19B17DBA986A17B1D29D69 2018 2020-09-23 17:36:50Z X CHRISTOPHER BOWE 10010 KENNERLY ROAD ST LOUIS MO 63128 63742967 0 0928 X WWW.MERCY.NET X 1997 MO AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. 9 1 0 8 0 0 0 0 57260772 63384869 0 0 4911196 358098 62171968 63742967 0 7500 0 0 69825580 77249414 0 0 0 13291777 16324600 83117357 93581514 -20945389 -29838547 8877172 9935559 137262109 142149793 -128384937 -132214234 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 89703634 7500 63564689 ST. ANTHONY'S PHYSICIAN ORGANIZATION ("SAPO"), IN CONJUNCTION WITH MERCY HOSPITAL SOUTH, CARRIES OUT ITS HEALING MISSION BY RESONDING TO THE DIVERSE NEEDS OF THE PEOPLE OF OUR COMMUNITY WITH SPECIAL CONCERN FOR THE POOR. SAPO WORKS TO PROMOTE HEALTH AND PROVIDE CARE MARKED WITH EXCELLENCE, RESPONSIBLE USE OF OUR RESOURCES AND RESPECT AND COMPASSION FOR ALL PEOPLE WITHOUT REGARD TO COLOR, RACE, RELIGION, CREED, NATIONAL ORIGIN, SEX, AGE OR HANDICAP. DURING THE YEAR ENDED JUNE 30, 2019, SAPO PROVIDED SERVICES (OVER $4,510,000) TO A LARGE NUMBER (OVER 19,200 VISITS) OF MEDICAID AND CHARITY CARE PATIENTS IN ITS SERVICE TO THE COMMUNITY.IN ADDITION TO PROVIDING OUTPATIENT OFFICE SERVICES, SAPO ASSISTS MERCY HOSPITAL SOUTH WITH OFFERING A WIDE ARRAY OF COMMUNITY HEALTH PROGRAMS AIMED AT KEEPING MEMBERS OF THE COMMUNITY HEALTHY AND WELL INFORMED ABOUT IMPORTANT ISSUES THAT AFFECT THEIR LIVES. SOME OF THESE COMMUNITY PROGRAMS INCLUDE COMMUNITY EDUCATION CLASSES THAT STRESS PREVENTATIVE HEALTH CARE AND THE OVERALL WELL-BEING OF OUR COMMUNITY.THE SERVICES PROVIDED BY SAPO DEMONSTRATE THE ONGOING COMMITMENT OF THE ORGANIZATION TO SERVICNG IN A LEADERSHIP ROLE AS AN ADVOCATE FOR RESPONSIVE HEALTH CARE SERVICES FOR THE COMMUNITY WITH A DEEP COMMITMENT AND SENSITIVITY TO MEETING THE NEEDS OF THE POOR. 89703634 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 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 9 1 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 1 0 X DANIEL ECKENFELS 3145251000 10010 KENNERLY ROAD ST LOUIS MO 63128 X ABDALLA YAZAN BOARD MEMBER 60.00 0.00 X 411698 0 16561 BOWE CHRISTOPHER BOARD MEMBER, PRESIDENT 60.00 0.00 X X 352476 0 0 FOGARTY MARK BOARD MEMBER 60.00 0.00 X 776156 0 32818 HUGO JUSTIN BOARD MEMBER 60.00 0.00 X 284478 0 25263 MCCURRY MIKE BOARD MEMBER 0.25 60.75 X 0 8669700 289495 REED III WINTHROP B BOARD MEMBER 1.00 1.00 X 0 0 0 SANDIDGE ALAN BOARD MEMBER 60.00 0.00 X 455453 0 26575 SIMMONS AMANDA BOARD MEMBER 60.00 0.00 X 229699 0 2086 SNIDER JAMES SECRETARY 40.75 0.00 X X 0 307387 14836 CIARAMITA MD JEFF PHYSICIAN 44.00 20.00 X 0 963426 95757 JOHNSTON JEFFREY A PRESIDENT EAST COMMUNITIES 0.25 59.75 X 0 1154721 135277 BURNS BRYAN PHYSICIAN 40.00 0.00 X 777348 0 1747 CHEN FANGXIANG PHYSICIAN 60.00 0.00 X 1401759 0 2734 HADI BASSAM PHYSICIAN 60.00 0.00 X 1264275 0 17488 YOUNG PAUL PHYSICIAN 59.00 1.00 X 0 752954 2771 SHETTY ATHMARAM PHYSICIAN 60.00 0.00 X 784921 0 2046 SINDELAR DAVID FORMER 0.00 0.00 X 0 996923 0 6738263 12845111 665454 30 1 1 0 CHG COMPANIES INC PO BOX 972651 DALLAS TX 75397 PSYCH PHYSICIAN SERVICES 485014 MBRI MANAGEMENT LLC 10012 KENNERLY RD STE 400 ST LOUIS MO 63128 STAFFING SERVICES 341979 KIDS AND YOUTH LLC 934 OAKGROVE PARK CT ELLISVILLE MO 63021 PSYCH PHYSICIAN SERVICES 288435 CURAS INC 1676 BRYAN RD STE 111 DARDENNE PRAIRIE MO 63368 SOFTWARE SUPPORT 179110 ST LOUIS PSYCHIATRIC ASSOCIATES LLC 1733 STIFEL LN DR CHESTERFIELD MO 63017 PSYCH PHYSICIAN SERVICES 176399 6 PATIENT SERVICE REVENUE 621110 48450746 48450746 CAPITATION BONUS 622110 14214326 14214326 OTHER OPERATING REVENUE 621110 600740 600740 RENTAL INCOME FROM RELATED ORGANI 531120 119057 119057 63384869 178278 0 178278 178278 178278 MEDICAL DIRECTOR REVENUE 621110 179820 179820 179820 63742967 63564689 0 178278 7500 7500 3086636 3086636 65797839 62901501 2896338 1917630 1837001 80629 3808578 3648441 160137 2638731 2527782 110949 1568559 1553498 15061 4924 4877 47 517839 512867 4972 453390 449037 4353 5270028 5219427 50601 55948 55411 537 500 495 5 875005 870595 4410 1292816 1280403 12413 DRUGS & MEDICAL EXPENSE 3485043 3485043 BAD DEBT EXPENSE 1510330 1510330 SHARED SERVICE FEES 940158 460677 479481 REPAIRS & MAINTENANCE 90122 90032 90 259938 202081 57857 93581514 89703634 3877880 0 963547 220781 6375625 5581980 53833 266614 6711612 2845428 1483162 3866184 1005 0 8877172 9935559 6360336 4982556 130901773 137167237 137262109 142149793 X -128384937 -132214234 -128384937 -132214234 8877172 9935559 X -29838547 26009250 X X 0 1 X 1 0 X 175823 19061 156762 2820466 972144 1848322 3715323 1854223 1861100 3866184 DUE TO TAX-EXEMPT AFFILIATES 137167237 137167237 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. 0 1 0 0 0 0 0 0 0 ABDALLA YAZAN BOARD MEMBER 392821 0 0 0 18877 0 0 0 16561 0 428259 0 0 0 BOWE CHRISTOPHER BOARD MEMBER, PRESIDENT 7248 0 0 0 345228 0 0 0 0 0 352476 0 0 0 FOGARTY MARK BOARD MEMBER 752569 0 23587 0 0 0 23193 0 9625 0 808974 0 0 0 HUGO JUSTIN BOARD MEMBER 264489 0 19989 0 0 0 22688 0 2575 0 309741 0 0 0 MCCURRY MIKE BOARD MEMBER 0 900233 0 7645099 0 124368 0 37815 0 251680 0 8959195 0 6539146 SANDIDGE ALAN BOARD MEMBER 436233 0 0 0 19220 0 23898 0 2677 0 482028 0 0 0 SIMMONS AMANDA BOARD MEMBER 215077 0 0 0 14622 0 0 0 2086 0 231785 0 0 0 SNIDER JAMES SECRETARY 0 128350 0 20000 0 159037 0 10475 0 4361 0 322223 0 0 CIARAMITA MD JEFF PHYSICIAN 0 648878 0 274849 0 39699 0 93021 0 2736 0 1059183 0 0 JOHNSTON JEFFREY A PRESIDENT EAST COMMUNITIES 0 665326 0 446065 0 43330 0 117088 0 18189 0 1289998 0 0 BURNS BRYAN PHYSICIAN 742505 0 34843 0 0 0 1747 0 0 0 779095 0 0 0 CHEN FANGXIANG PHYSICIAN 1357517 0 0 0 44242 0 0 0 2734 0 1404493 0 0 0 HADI BASSAM PHYSICIAN 1238533 0 0 0 25742 0 0 0 17488 0 1281763 0 0 0 YOUNG PAUL PHYSICIAN 0 703096 0 0 0 49858 0 0 0 2771 0 755725 0 0 SHETTY ATHMARAM PHYSICIAN 740679 0 0 0 44242 0 0 0 2046 0 786967 0 0 0 SINDELAR DAVID FORMER 0 0 0 0 0 996923 0 0 0 0 0 996923 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 EMPLOYEE OF A RELATED ORGANIZATION: JEFF JOHNSTON LIMITED INSTANCES OF TAX GROSS-UPS OCCURRED WITH RESPECT TO EXECUTIVES. 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. MCCURRY,MICHAEL; CIARAMITA,JEFFREY; JOHNSTON,JEFFREY A THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C). MICHAEL MCCURRY RECEIVED PAYMENT FROM RETIREMENT PLAN(S) DURING THE YEAR FROM A RELATED ORGANIZATION. THE AMOUNT REPORTED FOR THIS INDIVIDUAL 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 ST. ANTHONYS PHYSICIAN ORGANIZATION USES A WRITTEN EMPLOYMENT CONTRACT. FORM 990, PART VI, SECTION A, LINE 6 THE MEMBER OF ST. ANTHONYS PHYSICIAN ORGANIZATION 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 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 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 (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 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. 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: TRANSFERS TO/FROM AFFILIATES 26,009,250. 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, QUESTION 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 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. SCHEDULE A, PART I, LINE 3 PUBLIC CHARITY STATUS THE ORGANIZATION MEETS THE DEFINITION FOR PUBLIC CHARITY STATUS BOX 3 ON PART I OF SCHEDULE A, BUT DOES NOT MEET THE DEFINITION OF A HOSPITAL FOR SCHEDULE H. THEREFORE, SCHEDULE H WAS NOT COMPLETED FOR THIS ORGANIZATION. FORM 990, SCHEDULE R, PART II MERCY HOSPITALS EAST COMMUNITIES MERCY HOSPITALS EAST COMMUNITIES CONSISTS OF MERCY HOSPITALS EAST COMMUNITIES ST. LOUIS, EIN 43-0653493, AND MERCY HOSPITALS EAST COMMUNITIES WASHINGTON, EIN 43-1066883. 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 A BOARD MEMBER. ST ANTHONY'S NEUROSURGERY SERVICES LLC 10010 KENNERLY ROAD ST LOUIS MO 63128 272357247 HEALTH CARE MO 0 0 ST ANTHONY'S PHYSICIAN ORGANIZATION ST ANTHONY'S PHYSICIAN ORGANIZATION HOSPITALIST SERVICES LLC 10010 KENNERLY ROAD ST LOUIS MO 63128 900743550 HEALTH CARE MO 6711835 887169 ST ANTHONY'S PHYSICIAN ORGANIZATION ST ANTHONY'S PHYSICIAN ORGANIZATION PRIVATE PRACTICE LLC 10010 KENNERLY ROAD ST LOUIS MO 63128 263639597 HEALTH CARE MO 0 0 ST ANTHONY'S PHYSICIAN ORGANIZATION ST ANTHONY'S PHYSICIAN ORGANIZATION SPECIALTY SERVICES LLC 10010 KENNERLY ROAD ST LOUIS MO 63128 452471399 HEALTH CARE MO 0 0 ST ANTHONY'S PHYSICIAN ORGANIZATION CASA DE MISERICORDIA 1000 MIER ST LAREDO TX 78040 742912461 WOMEN'S DOMESTIC VIOLENCE SHELTER TX 501C3 7 MERCY MINISTRIES OF LAREDO 1 MCAULEY PORTFOLIO MGMT CO 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 261708048 PORTFOLIO MANAGEMENT MO 501C3 11-II MERCY HEALTH 1 MERCY ACO CLINICAL SERVICES INC 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 464504901 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