2013-05-14T16:47:02-05:00 2012-06-30 562632458 PLEUS AND COMPANY LLC 14323 S OUTER FORTY STE 310N CHESTERFIELD MO 63017 990 2011-07-01 431771217 MERCY CLINIC EAST COMMUNITIES MERC 3143643731 645 MARYVILLE CENTRE DRIVE STE 100 ST LOUIS MO 63141 CHERYL MATEJKA 3143643532 2013-05-14 1 P00013488 3143179916 2011 2016-02-24 21:20:13Z JOHN HUBERT 645 MARYVILLE CENTRE DRIVE STE 100 ST LOUIS MO 63141 134470938 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. 14 0 1551 0 143214 16228 0 0 106480495 134406586 850274 59567 13443 4785 107344212 134470938 0 0 0 0 99895963 146261763 0 0 0 36968240 46129145 136864203 192390908 -29519991 -57919970 37752027 51178114 32086197 46714254 5665830 4463860 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 179832898 134263372 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 $17,950,000) TO A LARGE NUMBER (OVER 96,000 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, INCLUDING THE MERCY HEART-TO-HEART FAIR.- IN ADDITION, CLINIC PHYSICIANS STAFFED BOOTHS OR PROVIDED SCREENINGS AT EMPLOYEE HEALTH FAIRS FOR AREA CORPORATIONS.PROVISION 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: - EATING/COOKING HEALTHY FOR THE HOLIDAYS - CHILD DEVELOPMENT - GENERAL HEALTH AND WELLNESS- SEVERAL CLINIC PHYSICIANS SERVE AS CONSULTING PHYSICIANS FOR ST. LOUIS AREA SCHOOL DISTRICTS, BOY SCOUTS, AND ATHLETIC TEAMS.CHARITABLE 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 ACTIVITIES.MEDICAL 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. 179832898 1 0 0 1 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 1 0 0 1 0 0 1 1551 1 1 1 0 0 0 0 0 0 0 0 0 X 14 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 CHERYL MATEJKA 60.00 X X 0 392530 66012 MARC MERBAUM 60.00 X 373124 0 27732 STEPHEN SANDERS 60.00 X 428012 0 32287 RAYMOND WEICK 60.00 X 344664 0 19466 CHRISTOPHER VEREMAKIS 60.00 X 0 466883 113323 GARY WASSERMAN 60.00 X 385082 0 15059 STEVEN HILTON 60.00 X 335457 0 29279 ALOK SENGUPTA 60.00 X 341856 0 27621 JOSEPH HILGEMAN 60.00 X 381843 0 32599 JOHN MARBARGER 60.00 X 625833 0 28016 JOHN HUBERT 60.00 X X 728947 0 17961 THOMAS RIECHERSMD 65.00 X 0 430463 27514 JEANNE CANTALIN 50.00 X X 0 243185 22809 JOHN SPIVEY MD 50.00 X 296047 0 23687 MICHAEL MCCURRY 60.00 X 0 933189 540015 JOHN ZALEWSKI 64.00 X 491443 0 30587 MARK FARON 60.00 X 394713 0 31854 STEPHEN PIEPER 60.00 X 553376 0 25884 JENNIFER SCHEER 60.00 X 263528 0 26607 SALLY PETITO MD 50.00 X 267295 0 14433 JOSEPH KAHN MD 50.00 X 357856 0 24550 GREGORY POTTS MD 58.00 X 700488 0 23278 PHILLIP REICHERT 55.00 X 1004937 0 30250 JAY PADRATZIKMD 85.00 X 811080 0 29161 ALLA DORFMAN 60.00 X 698746 0 23375 DIANE RADFORD MD 50.00 X 712377 0 15276 THOMAS HALE MD PHD 60.00 X 0 623669 114953 RANDALL COMBS 60.00 X 0 1603412 214513 DONALD KALICAK 60.00 X 0 291455 45583 10496704 4984786 1673684 395 1 1 0 MEDICAL EMPLOYMENT DIRECTORY 11701 BORMAN DR STE 280 ST LOUIS MO 63146 TEMPORARY AGENCY 304314 NAVVIS CONSULTING 15945 CLAYTON ROAD SUITE 360 BALLWIN MO 63011 CONSULTING 198990 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 PHYSICIAN WAGES 149373 NOTIFYMD INC 318 SEABOARD LANE SUITE 310 FRANKLIN TN 37067 ANSWERING SERVICES 102567 4 NET PATIENT REVENUE 621110 125255442 125255442 OTHER OPERATING REVENU 621110 9007930 9007930 COMMERCIAL RESEARCH 621500 143214 143214 134406586 59567 59567 4785 0 4785 4785 4785 134470938 134263372 143214 64352 6869412 6869412 197559 197559 117822877 112662339 5160538 4795740 4597577 198163 10562705 10126246 436459 6013470 5764989 248481 1165144 1068935 96209 264040 242237 21803 1389945 1275173 114772 2430654 2229948 200706 10539827 9669523 870304 405020 371576 33444 173 159 14 1443219 1324048 119171 4498569 4127109 371460 MEDICAL SUPPLIES 13123425 12039786 1083639 SHARED SERVICE FEES 7083121 3683223 3399898 BAD DEBTS 1328185 1328185 REPAIRS & MAINTENANCE 351453 322433 29020 2106370 1932441 173929 192390908 179832898 12558010 0 7102598 11204904 9406837 11019167 2100723 18477 64131 1040233 20585083 13469685 4292514 7115398 5472999 5495866 132000 11412948 13051346 37752027 51178114 2887609 26802141 3620 29198588 19908493 32086197 46714254 X 5665830 4463860 5665830 4463860 37752027 51178114 X -57919970 56718000 X X 0 1 1 X 1 1 X 84833897 87688320 89606051 106440302 134263372 502831942 84833897 87688320 89606051 106440302 134263372 502831942 0 0 0 502831942 -195856 -502244 655450 850274 64352 871976 -195856 -502244 655450 850274 64352 871976 20888 109838 10081 40193 143214 324214 84658929 87295914 90271582 107330769 134470938 504028132 0.99760 0.99580 0.00170 0.00370 X 0 0 0 0 0 1 737 0 0 0 737 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, 2012, DUES WERE $14,312. APPROXIMATELY 5.15% OF CATHOLIC HOSPITAL ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED BY THESE ASSOCIATIONS. 9843906 6279454 3564452 10578016 7190231 3387785 163161 163161 7115398 MH INV FUND 5495866 F 5495866 DEFERRED COMPENSATION 12504211 OTHER ASSETS 547135 13051346 DEFERRED COMPENSATION 12504211 INTERCOMPANY PAYABLE 7404282 19908493 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 0 1 0 0 0 0 0 1 0 CHERYL MATEJKA 0 281624 0 72435 0 38471 0 49820 0 16192 0 458542 0 0 MARC MERBAUM 344539 0 0 0 28585 0 11578 0 16154 0 400856 0 0 0 STEPHEN SANDERS 392484 0 0 0 35528 0 16400 0 15887 0 460299 0 0 0 RAYMOND WEICK 316456 0 0 0 28208 0 8768 0 10698 0 364130 0 0 0 CHRISTOPHER VEREMAKIS 0 334063 0 86626 0 46194 0 97687 0 15636 0 580206 0 0 GARY WASSERMAN 331653 0 0 0 53429 0 6908 0 8151 0 400141 0 0 0 STEVEN HILTON 239117 0 51590 0 44750 0 13794 0 15485 0 364736 0 0 0 ALOK SENGUPTA 268044 0 45627 0 28185 0 11422 0 16199 0 369477 0 0 0 JOSEPH HILGEMAN 352956 0 0 0 28887 0 16911 0 15688 0 414442 0 0 0 JOHN MARBARGER 515149 0 47034 0 63650 0 15708 0 12308 0 653849 0 0 0 JOHN HUBERT 583996 0 82925 0 62026 0 8640 0 9321 0 746908 0 0 0 THOMAS RIECHERSMD 0 317229 0 61760 0 51474 0 11162 0 16352 0 457977 0 0 JEANNE CANTALIN 0 190449 0 39546 0 13190 0 13497 0 9312 0 265994 0 0 JOHN SPIVEY MD 268004 0 0 0 28043 0 7936 0 15751 0 319734 0 0 0 MICHAEL MCCURRY 0 690577 0 215833 0 26779 0 527385 0 12630 0 1473204 0 0 JOHN ZALEWSKI 421396 0 13278 0 56769 0 13997 0 16590 0 522030 0 0 0 MARK FARON 340887 0 0 0 53826 0 17592 0 14262 0 426567 0 0 0 STEPHEN PIEPER 500022 0 7500 0 45854 0 9831 0 16053 0 579260 0 0 0 JENNIFER SCHEER 204223 0 31375 0 27930 0 11663 0 14944 0 290135 0 0 0 SALLY PETITO MD 206500 0 7500 0 53295 0 12041 0 2392 0 281728 0 0 0 JOSEPH KAHN MD 296313 0 7500 0 54043 0 13997 0 10553 0 382406 0 0 0 GREGORY POTTS MD 647197 0 0 0 53291 0 9647 0 13631 0 723766 0 0 0 PHILLIP REICHERT 986078 0 0 0 18859 0 12589 0 17661 0 1035187 0 0 0 JAY PADRATZIKMD 765010 0 0 0 46070 0 12610 0 16551 0 840241 0 0 0 ALLA DORFMAN 652303 0 0 0 46443 0 16030 0 7345 0 722121 0 0 0 DIANE RADFORD MD 659925 0 0 0 52452 0 6734 0 8542 0 727653 0 0 0 THOMAS HALE MD PHD 0 458016 0 110823 0 54830 0 102419 0 12534 0 738622 0 0 RANDALL COMBS 0 556847 0 176943 0 869622 0 203176 0 11337 0 1817925 0 839230 DONALD KALICAK 0 192345 0 56503 0 42607 0 33954 0 11629 0 337038 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; DONALD KALICAK. 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, 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 6/30/2012. SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) COMBS, RANDY; MCCURRY, MICHAEL SUPPLEMENTAL MANAGEMENT RETIREMENT PLAN (SMRP) MATEJKA,CHERYL L; HALE,THOMAS; KALICAK,DONALD; EOLOFF,ERIC; ZALEWSKI,JOHN; VEREMAKIS,CHRISTOPHER; CANTALIN,JEANNE; HUBERT,JOHN 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 2012 (JULY 1, 2011 - JULY 30, 2012) 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. KATHRYN DELL FAMILY MEMBER OF STEPHEN PIEPER, KEY EMPLOYEE 104657 EMPLOYMENT ARRANGEMENT, MERCY CLINIC EAST COMMUNITIES 0 HOLLY HUTCHINGS FAMILY MEMBER OF JOHN ZALEWSKI, KEY EMPLOYEE 32901 EMPLOYMENT ARRANGEMENT, MERCY CLINIC EAST COMMUNITIES 0 GAIL WEICK FAMILY MEMBER OF RAY WEICK, BOARD MEMBER 65112 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, 2012. 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 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 5: CAPITAL FUNDING 56,718,000. TOTAL TO FORM 990, PART XI, LINE 5: 56,718,000. 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 2012 (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 SYSTEM 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. 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 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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