2019-05-15T17:11:29-05:00 2018-06-30 562632458 PLEUS AND COMPANY LLC 14500 SOUTH OUTER 40 RD STE 201A CHESTERFIELD MO 63017 990 2017-07-01 431718408 MERCY HEALTH EAST COMMUNITIES MERC 3143642400 645 MARYVILLE CENTRE DRIVE NO 100 ST LOUIS MO 63141 CHERYL MATEJKA CHIEF FINANCIAL OFFICER 3143643532 2019-05-15 1 DOUGLAS G PLEUS P00013488 3143179916 107.143.156.209 2019-05-15 10:48:01 CD P 2BE301797771FA56319AFE83B3D82A6B47BB15DE 5D794220C68C161820A811785299AFD302F4C684 2017 2019-02-21 02:37:17Z JEFF JOHNSTON 645 MARYVILLE CENTRE DRIVE NO 100 ST LOUIS MO 63141 262855948 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. 21 16 0 16 0 0 0 0 272070529 262300083 -506192 555865 55737 0 271620074 262855948 347475 239000 0 0 18780554 19157865 0 0 0 258369648 247813814 277497677 267210679 -5877603 -4354731 361550506 432717326 50596311 70228006 310954195 362489320 X AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. 1 0 150170210 239000 257181953 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. 4778074 0 5118130 ON FEBRUARY 26, 2018, MERCY HEALTH ACQUIRED A COMPANY WHICH 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 154948284 1 0 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 0 0 0 0 0 0 1 1 1 1 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 X 21 16 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 BAUER PHD JON BOARD MEMBER 1.00 1.00 X 0 0 0 BOLSTER MD PATRICIA BOARD MEMBER 1.00 0.00 X 0 0 0 BOYD MD CRAIG BOARD MEMBER 1.00 0.00 X 0 0 0 BUSCH STEVEN BOARD MEMBER 0.50 0.00 X 0 0 0 CAREY AARNARIAN BOARD MEMBER 1.00 0.00 X 0 0 0 CIARAMITA MD JEFF BOARD MEMBER 1.00 53.00 X 0 850711 13278 GLOSENGER RSM SR KATHERINE BOARD MEMBER 1.00 0.00 X 0 0 0 GUTOWSKI RSM SR MICHAEL MARY BOARD MEMBER 1.00 0.00 X 0 0 0 MCKENNA BILL BOARD MEMBER 0.50 1.00 X 0 0 0 O'CONNOR SUSAN BOARD MEMBER 1.00 0.00 X 0 0 0 REEDWINTHROP BOARD MEMBER 1.75 4.25 X 0 0 0 REHM MD CHARLES CAO & BOARD MEMBER 5.00 55.00 X 836834 0 50241 ROMAN GEORGE BOARD MEMBER 1.00 0.00 X 0 0 0 SANDERS MD STEPHEN PHYSICIAN & BOARD MEMBER 1.00 50.00 X 0 473808 46105 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 TRELZ TESSA BOARD MEMBER 0.50 0.00 X 0 0 0 VERA RSM SR MARIA LUISA BOARD MEMBER 1.00 59.00 X 0 0 0 WEICK MD RAYMOND M PHYSICIAN & BOARD MEMBER 5.00 47.00 X 0 536265 17941 JOHNSTON JEFFREY A PRESIDENT, MERCY HEALTH EAST COMM 18.00 42.00 X X 0 974822 125138 HANNASCH SUSAN REGIONAL VP-GENERAL COUNSEL 10.00 50.00 X 0 369067 58669 MATEJKA CHERYL L CHIEF FINANCIAL OFFICER 10.00 50.00 X 574809 0 87213 HUBERT MD JOHN W PRESIDENT, MERCY CLINIC 5.00 55.00 X 1258666 0 29739 KALICAK DONALD VP - BUSINESS DEVELOPMENT & PLANNING 15.00 35.00 X 413389 0 70515 SCOFFIC DENISE VP-FINANCE 25.00 30.00 X 274335 0 31408 YOST DEBRA A REGIONAL VP HR 10.00 40.00 X 0 323328 52404 RUNGE ANDREW COO CLINICS 5.00 45.00 X 521847 0 83776 FRONCZAK THEODORE K VP-OPERATIONS 2.00 55.00 X 291197 0 29514 VESPA JANICE M VP-OPERATIONS 2.00 55.00 X 274111 0 47273 STIFFLER MARK R VP-OPERATIONS 2.00 55.00 X 254611 0 17230 HASTINGS HEIDI S VP-OPERATIONS 2.00 55.00 X 214196 0 7245 DUNGER KERRY A EXEC DIRECTOR-FINANCE 1.00 54.00 X 196147 0 21998 SORENSEN DONN FORMER OFFICER 0.00 60.00 X 0 1214727 129061 PETERSON BILL FORMER KEY EMPLOYEE 0.00 0.00 X 0 145440 1235 5110142 4888168 919983 29 1 1 0 CENTAUR BUILDING SERVICES INC PO BOX 66726 ST LOUIS MO 63166 HOUSEKEEPING SERVICES 1299569 GH VOSS CO 210 OLD DORSETT RD MARYLAND HEIGHTS MO 63043 CONSTRUCTION 810465 HKS PO BOX 731121 DALLAS TX 75373 ARCHITECTUAL FIRM 454149 TKH 121 HUNTER AVENUE SUITE 205 ST LOUIS MO 63124 ARCHITECTUAL FIRM 184367 C AND R MECHANICAL CO 12825 PENNRIDGE DRIVE BRIDGETON MO 63044 CONTRACTING 161000 17 CORPORATE & MGMT FEES 561110 227783095 227783095 RENTAL FROM AFFILIATED EXEMPT ORG 531120 27582287 27582287 NET PATIENT SERVICES REVENUE 621110 5830401 5830401 OTHER OPERATING REVENUE 622110 1104300 1104300 262300083 555865 555865 262855948 262300083 0 555865 239000 239000 4221664 4221664 14697991 8423908 6274083 -2621486 -1831590 -789896 133991 63925 70066 2725705 1804386 921319 399080 399080 9800772 8019881 1780891 511908 418890 93018 4465190 3653824 811366 75485 61769 13716 19388260 15865234 3523026 140199 114724 25475 1364 1116 248 670215 670215 6034083 5985547 48536 373635 305742 67893 SHARED SERVICE FEES 206507226 107383758 99123468 REPAIRS & MAINTENANCE 1937299 1585274 352025 DRUGS AND MEDICAL EXPEN 199506 163254 36252 BAD DEBT 31007 31007 -2721415 -2233244 -488171 267210679 154948284 112262395 0 934573 2382953 1524049 2226160 1820312 322084620 128678322 189253967 193406298 215112 12068935 30600108 157066871 202768494 361550506 432717326 42278906 60132040 280483 240414 8036922 9783624 0 71928 50596311 70228006 X 310954195 362489320 310954195 362489320 361550506 432717326 X -4354731 55889856 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 $256,398,932. 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 1335 0 0 0 1335 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, 2018, DUES WERE $33,391. APPROXIMATELY 3.93% OF CATHOLIC HOSPITAL ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED BY THIS ASSOCIATION. 80196369 80196369 142810720 42754079 100056641 6093409 4271792 1821617 90869126 81525460 9343666 2114996 126991 1988005 193406298 INVESTMENT IN SUBSIDIARIES 152303796 OTHER LONG TERM ASSETS 2793627 DUE FROM AFFILIATES 47671071 202768494 OTHER LIABILITIES 71928 71928 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, 2018 OR 2017. 1 JACKIE JOYNER-KERSEE FOUNDATION AKA HEPTATHLON 101 JACKIE JOYNER-KERSEE CIRCLE EAST ST LOUIS IL 62204 134250914 501(C)(3) 10000 FMV CHARITABLE SUPPORT COMMUNITY COUNCIL OF ST CHARLES 427 SPENCER ROAD SUITE 255 ST PETERS MO 63376 436051722 501(C)(3) 5000 FMV CHARITABLE SUPPORT THE COTTLEVILLE ST PATRICK'S DAY RUN & PARADE FOUNDATION 1385 MOTHERHEAD ROAD ST CHARLES MO 63368 454315179 501(C)(3) 5000 FMV CHARITABLE SUPPORT MAYORS CHARITY BALL INC 200 NORTH 2ND 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 COUNTY ECONOMIC DEVELOPMENT COUNCIL 5988 MID RIVERS MALL DRIVE ST CHARLES MO 63366 431545618 501(C)(3) 40000 FMV CHARITABLE SUPPORT ST CHARLES CITY-COUNTY LIBRARY FOUNDATION 77 BOONE HILLS DR ST PETERS MO 63376 431860793 501(C)(3) 15000 FMV CHARITABLE SUPPORT STS JOACHIM AND ANN CARE SERVICES 4116 MCCLAY ROAD ST CHARLES MO 63304 352203101 501(C)(3) 15000 FMV CHARITABLE SUPPORT CARE TO LEARN 411 N SHERMAN PKWY SPRINGFIELD MO 65802 471494384 501(C)(3) 5000 FMV CHARITABLE SUPPORT THE SPARROW'S NEST MATERNITY HOME 6209 MID RIVERS MALL SUITE 119 ST PETERS MO 63304 273712845 501(C)(3) 8500 FMV CHARITABLE SUPPORT MENTAL HEALTH AMERICA OF EASTERN MISSOURI 1905 S GRAND BLVD ST LOUIS MO 63104 430685341 501(C)(3) 7500 FMV CHARITABLE SUPPORT BOYS AND GIRLS CLUBS OF ST CHARLES COUNTY 1211 LINDENWOOD AVE ST CHARLES MO 63301 430714369 501(C)(3) 5000 FMV CHARITABLE SUPPORT CATCH 22 FOUNDATION 460 OLD WOLFRUM ROAD WELDON SPRING MO 63304 206207435 501(C)(3) 5000 FMV CHARITABLE SUPPORT COTTLEVILLE FIREFIGHTERS COMMUNITY OUTREACH 1385 MOTHERHEAD ROAD COTTLEVILLE MO 63304 262475461 501(C)(3) 10000 FMV CHARITABLE SUPPORT ISAAC BRUCE FOUNDATION 1919 HOMEFIELD ESTATES DRIVE OFALLON MO 63366 208066845 501(C)(3) 20000 FMV CHARITABLE SUPPORT NORTH COUNTY INCORPORATED 350B VILLAGE SQUARE CENTER HAZELWOOD MO 63042 431815260 501(C)(3) 10500 FMV CHARITABLE SUPPORT ST LOUIS SPORTS COMMISSION 308 NORTH 21ST STREET ST LOUIS MO 63103 431646221 501(C)(3) 7500 FMV CHARITABLE SUPPORT VARIETY THE CHILDREN'S CHARITY 11840 WESTLINE INDUSTRIAL DRIVE STE 220 ST LOUIS MO 63146 436078016 501(C)(3) 5000 FMV CHARITABLE SUPPORT ST LOUIS ZOO ASSOCIATION ONE GOVERNMENT DRIVE ST LOUIS MO 63110 431727309 501(C)(3) 5000 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 MERCY HEALTH FOUNDATION ST LOUIS 615 SOUTH NEW BALLAS ROAD ST LOUIS MO 63141 562410020 501(C)(3) 25000 FMV CHARITABLE SUPPORT 21 0 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. GRANTS ARE MADE TO RELATED ORGANIZATIONS, WHICH PROVIDE REPORTING ON THE USE OF THE FUNDS AND WORK CLOSELY WITH OUR ORGANIZATION. X X X 1 1 1 1 0 0 0 0 0 0 0 CIARAMITA MD JEFF BOARD MEMBER 0 714816 0 99355 0 36540 0 0 0 13278 0 863989 0 0 REHM MD CHARLES CAO & BOARD MEMBER 528877 0 248522 0 59435 0 40508 0 9733 0 887075 0 105888 0 SANDERS MD STEPHEN PHYSICIAN & BOARD MEMBER 0 390231 0 54571 0 29006 0 29608 0 16497 0 519913 0 0 WEICK MD RAYMOND M PHYSICIAN & BOARD MEMBER 0 438487 0 76264 0 21514 0 17441 0 500 0 554206 0 0 JOHNSTON JEFFREY A PRESIDENT, MERCY HEALTH EAST COMM 0 590008 0 366004 0 18810 0 108333 0 16805 0 1099960 0 0 HANNASCH SUSAN REGIONAL VP-GENERAL COUNSEL 0 258747 0 84442 0 25878 0 46417 0 12252 0 427736 0 0 MATEJKA CHERYL L CHIEF FINANCIAL OFFICER 394285 0 132151 0 48373 0 70464 0 16749 0 662022 0 0 0 HUBERT MD JOHN W PRESIDENT, MERCY CLINIC 707599 0 449396 0 101671 0 17275 0 12464 0 1288405 0 228503 0 KALICAK DONALD VP - BUSINESS DEVELOPMENT & PLANNING 242886 0 144367 0 26136 0 58414 0 12101 0 483904 0 63269 0 SCOFFIC DENISE VP-FINANCE 191336 0 48277 0 34722 0 25223 0 6185 0 305743 0 0 0 YOST DEBRA A REGIONAL VP HR 0 245245 0 64593 0 13490 0 35837 0 16567 0 375732 0 0 RUNGE ANDREW COO CLINICS 354030 0 112947 0 54870 0 67091 0 16685 0 605623 0 0 0 FRONCZAK THEODORE K VP-OPERATIONS 218328 0 54639 0 18230 0 19897 0 9617 0 320711 0 0 0 VESPA JANICE M VP-OPERATIONS 192830 0 50450 0 30831 0 35085 0 12188 0 321384 0 0 0 STIFFLER MARK R VP-OPERATIONS 184602 0 45781 0 24228 0 11060 0 6170 0 271841 0 0 0 HASTINGS HEIDI S VP-OPERATIONS 161416 0 39667 0 13113 0 6313 0 932 0 221441 0 0 0 DUNGER KERRY A EXEC DIRECTOR-FINANCE 146097 0 25713 0 24337 0 16377 0 5621 0 218145 0 0 0 SORENSEN DONN FORMER OFFICER 0 751394 0 447524 0 15809 0 119186 0 9875 0 1343788 0 0 PETERSON BILL FORMER KEY EMPLOYEE 0 0 0 0 0 145440 0 1235 0 0 0 146675 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: DEBRA YOST; STEPHEN SANDERS; RAYMOND WEICK LIMITED INSTANCES OF TAX GROSS-UPS OCCURRED WITH RESPECT TO EXECUTIVES. PART I, LINES 4A-B WILLIAM PETERSON RECEIVED $145,440 OF SEVERANCE COMPENSATION. 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 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 III, LINE 2 SEE PART III, LINE 4B FOR DETAILS. 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, 2018. 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 55,211,240. MERCY EAST AMBULATORY SERVICES LLC TRANSFERRED BALANCE 678,616. 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 2018 (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 B AND C. 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. 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