2011-05-13T09:56:22-05:00 2010-06-30 ERNST & YOUNG US LLP 190 CARONDELET PLAZA SUITE 1300 CLAYTON MO 63105 990 2009-07-01 431936696 St John's Aurora Inc STJO 4176782122 500 Porter Ave Aurora MO 65605 Scott R Reynolds 2011-05-06 3142901000 2009 2016-02-24 21:20:13Z St John's Hospital - Aurora Sherry Clouse-Day 500 Porter Ave Aurora MO 65605 22816773 false 0928 X N/A X 2001 MO ROOTED IN THE MISSION OF JESUS AND THE HEALING MINISTRY OF THE CHURCH, OUR MISSION IS TO PROVIDE HIGH QUALITY, COMPASSIONATE HEALTH CARE SERVICES IN A PERSONALIZED CHRISTIAN ENVIRONMENT. 9 4 256 86 0 0 66864 38033 21831591 22726986 0 21187 10955 30567 21909410 22816773 2161 10503 0 0 10834884 10587511 0 0 14933 8184083 7884061 19021128 18482075 2888282 4334698 10929014 9125910 3910628 4080033 7018386 5045877 ROOTED IN THE MISSION OF JESUS AND THE HEALING MINISTRY OF THE CHURCH, OUR MISSION IS TO PROVIDE HIGH QUALITY, COMPASSIONATE HEALTH CARE SERVICES IN A PERSONALIZED CHRISTIAN ENVIRONMENT. WE SEEK TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF COMMUNITIES WE SERVE, WITH PARTICULAR CONCERN FOR PEOPLE WHO ARE ECONOMICALLY POOR. false false 13475753 10503 22726986 ST. JOHN'S HEALTH SYSTEM AND ITS SUBSIDIARIES PROVIDE HIGH-QUALITY, COMPASSIONATE, FAITH-BASED HEALTH CARE IN A VARIETY OF TRADITIONAL MEDICAL SETTINGS. THIS ORGANIZATION, AS PART OF ST. JOHN'S HEALTH SYSTEM, PROVIDES SERVICES TO THE COMMUNITIES WE SERVE, WITH PARTICULAR CONCERN FOR THE ECONOMICALLY POOR, IN THE WAY OF INPATIENT HOSPITAL SERVICES, OUTPATIENT SERVICES, EMERGENCY ROOM CARE, HOME HEALTH SERVICES, AND PHYSICIAN CLINIC OFFICE VISITS. 13475753 true false false true false false false false false true false true false false false false false false false false true false true true false false false false false false false false false false false false false true true false false true 0 0 true 256 true false false false false false false false false false 9 4 false false false false true true true true true false false true true true true true true true true false X Sherry Clouse-Day VP of Finan 4176787827 500 Porter Ave Aurora MO 65605 Michele M Schaefer 40.0 X 0 428075 59810 David O Barbe 40.0 X 0 371322 76001 Connie L Butler 40.0 X 0 356751 20887 Michael Collison 40.0 X 0 290362 43657 Gale Pate 1.0 X 0 0 0 John Rice 1.0 X 0 0 0 Marcia Sadler 1.0 X 0 0 0 Mike McCracken 1.0 X X 0 0 0 Benjamin Leavitt 40.0 X 204182 0 32227 Sherry L Clouse Day 40.0 X 0 144381 12187 Gary W Jordan 40.0 X 0 201101 27729 Jon D Swope 40.0 X 0 644028 215997 Scott R Reynolds 40.0 X 0 257702 37022 Kenton Stringer 40.0 X 281561 0 35086 Paul Andelin 40.0 X 257127 0 36873 John Forsyth 40.0 X 237022 0 29682 Brian Adkison 40.0 X 215205 0 8714 William Finfrock 40.0 X 196264 0 4332 1391361 2693722 640204 13 false true false JE DUNN CONSTRUCTION COMPANY 929 HOLMES KANSAS CITY MO 64106 CONSTRUCTION SVCS 914217 1 38033 38033 Patient Service Revenue 622110 22567092 22567092 RELATED ORG RENT 531120 11850 11850 Other Operating Revenue 900099 148044 148044 22726986 14661 14661 0 0 6526 0 6526 6526 6526 0 0 0 VENDING REVENUE 900099 7702 7702 MISCELLANEOUS REVENUE 900099 22865 22865 30567 22816773 22726986 51754 3003 3003 7500 7500 0 0 217479 182020 35459 0 8356295 7077927 1278368 419351 419351 988463 2098 986365 605923 3634 602289 381923 381923 0 0 0 0 0 828407 568070 260337 24684 427 24257 1703803 1548538 153243 2022 39385 39385 0 377228 1775 375453 52905 28138 24767 0 45169 28212 16957 0 0 691973 388400 303573 83144 83144 Bad Debt Expense 3613131 3613131 MISCELLANEOUS 42309 22880 6518 12911 18482075 13475753 4991389 14933 4475566 1695355 2087022 1479847 99643 91643 76989 68083 0 13921 11860908 6702347 4083264 5158561 46510 0 60020 618500 10929014 9125910 3909527 4080033 1101 0 3910628 4080033 X 7018386 5045877 7018386 5045877 10929014 9125910 X false true true X false X false false false false false false false false true 6266 6266 false Description of Other Lobbying Activities Schedule C, Part II-B The filing organization is a member of and pays dues to the following hospital associations: American Hospital Association, Missouri Hospital Association, and Catholic Health Association. For the year ended June 30, 2010, dues were $4,896, $16,551, and $2,399, respectively. Approximately 25% of American Hospital Association dues, 30% of Missouri Hospital Association dues, and 5% of Catholic Health Association dues were attributable to lobbying activities performed by these associations. 43591 43591 7111737 3767613 3344124 4699301 2934734 1764567 6279 6279 5158561 MISC. RECEIVABLES 371874 DUE FROM AFFILIATES 58939 INTEREST IN FOUNDATION ASSETS 187687 618500 0 0 FIN 48 FOOTNOTE The consolidated audited financial statements of the Sisters of Mercy Health System, Inc. 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. true true X true X true X true true true false true true 183198 183198 0.01230 4587986 5395999 -808013 0.05430 4771184 5395999 -624815 0.04200 9934 990 8944 0.00060 23450 23450 0.00160 33384 990 32394 0.00220 4804568 5396989 -592421 0.03980 668 668 2152 2152 0.00010 2820 2820 0.00010 true 1967072 0 5279144 5231900 47244 X true true St John's Aurora Inc

500 Porter Ave Aurora MO 65605

X X X X Our organization uses Federal Poverty Guidelines (FPG) as the criteria for determining eligibility for free or discounted care. Free care is provided at 0-100% of the FPG. Discounted care is provided up to 300% of FPG. An asset test that does not include the applicant's primary residence is included in the application process for charity care. The organization's community benefit report is prepared by its parent entity, St. John's Health System. N/A N/A Total expenses from Form 990, Part IX, Line 25, Column (A) are $18,482,075. Included in this amount was is bad debt expense of $3,613,131. Expenses for the purpose of calculating Line 7, Column (f) are $14,868,944. The text of the footnote that is included in the Sisters of Mercy Health System, Inc. and Subsidiaries audited financial statements that describes bad debt expense follows: "Patient accounts that are uncollected, including those placed with collection agencies, are initially charged against the allowance for uncollectible accounts in accordance with collections policies of the Health System and, in certain cases, are reclassified to charity care if deemed to otherwise meet the health system's charity care policy. The provision for uncollectible receivables is based on management's assessment of historical and expected net collections considering business and economic conditions, trends in healthcare coverage, and other collection indicators. Periodically throughout the year, management assess the adequacy of the allowance for uncollectible receivables based upon the payor composition and aging of receivables as of the reporting date with consideration of the historical payment and write-off experience by payor category. The results of these reviews are then used to make any modifications to the provision for uncollectible receivables to establish an appropriate allowance for uncollectible receivables. After satisfaction of amounts due from insurance, the health system follows established guidelines for placing past-due balances with collection agencies." To determine the amount of bad debt expense, at cost, bad debt expense attributable to patient accounts was multiplied by a ratio of cost to charges. The ratio of cost to charges used was based on detailed cost accounting, where available. Where cost accounting is not available, cost report cost to charge ratios were utilized. The filing organization determined that the estimated amount of bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy is $0. Although the charity care policy requires the participation of the patient requesting assistance, we have a process under presumptive charity (refer to disclosure for Part III, #9b) to address accounts for patients who do not provide the information. We believe that our charity policy is comprehensive enough to capture almost all patients who qualify for charity care. The Medicare shortfall was computed using the annual Medicare Cost Report (CMS Form 2552-96). It is the position of the filing organization that 100% of the short fall should be treated as community benefit. This amount represents cost of providing services that remain uncompensated to the provider. Presumptive Charity Mercy will utilize the Search America tool to enhance our ability to determine charity qualification. Presumptive charity will be granted in situations where we have been unable to obtain information from our patients or the information provided is not complete enough to make a charity determination. Mercy will utilize presumptive charity prior to bad debt placement for charity adjustments in excess of $10,000. In these cases, Mercy will utilize the Search American report status of "probable charity" as the basis for the assigning the charity level. Mercy will pursue appropriate means in the collection of delinquent accounts from patients with an established ability to pay or an unwillingness to cooperate in validating eligibility for financial assistance, including legal action consistent with Mercy mission and values, which may include liens upon real property and reasonable wage garnishments. Legal actions will generally not include bank garnishment, repossession of assets or foreclosures to enforce satisfaction of lien. Mercy has policies and procedures established to address the initiation of legal action. Mercy annually reviews collection agency compliance with all policies. N/A *Springfield Community Focus Report 2009 *Buxton/Sg2 Community and Organizational Assessment 2010 *County Health Rankings 2010 *Missouri Hospital Association Southwest Region Assessing the Health of our Communities Report 2010 *Springfield Health Commission Report 2010 *Missouri Information for Community Assessment (MICA) *Community Roundtable/Event Information 2010. Our organization hosted community roundtables to ask our community what they perceive as needs in the community and to listen to what they thought we needed to be doing as a health care organization. The filing organization has printed material available at each point of registration in our facility, in addition to electronically availability at our web site. Specific information provided: Financial Assistance Information As a part of our healing ministry, the filing organization is committed to providing quality healthcare services to patients regardless of their financial situation. We offer payment assistance for those who do not have insurance or who are in financial need. Uninsured Patient Discounts A discount from the hospital's regular billed charges will be provided to patients who do not have insurance. This includes patients whose financial situation normally would not otherwise qualify them for charity care discounts. Patients without insurance whose financial situation qualifies them for charity care discounts (see Eligibility Guidelines below) must first find out if they are eligible for Medicaid before applying for financial assistance. Patients denied Medicaid eligibility then must provide certain information to show financial need. Applications for charity care discounts will be reviewed for eligibility based on the applicant's income, family size, amount of payment due and availability of other assets or resources. Please note that care must be medically necessary to be considered eligible for uninsured patient discounts. Eligibility Guidelines for Charity Care Discounts The Federal Poverty Guidelines for income are the basis for determining eligibility for charity care discounts. For example, individuals with incomes below 100% of the Federal Poverty Guidelines will be eligible for free care. Individuals with incomes greater than 100% of the Federal Poverty Guidelines may be eligible for care at discounted rates depending on their income level and/or the amount due to the hospital. Additional Financial Assistance After appropriate discounts have been applied, arrangements may be made for an interest-free monthly payment plan. Generally, no patient's financial responsibility will be greater than 10% of annual household income, adjusted to consider availability of other assets that could be used toward making payments. *The primary service area for St. John's Springfield is comprised of 13 counties with a population of 694,000. The city of Springfield has two major not-for-profit health systems, St. John's and CoxHealth. Our community also has one Federally Qualified Health Center (Jordan Valley), one Free Clinic (the Kitchen Clinic), and one small hospital (Ozark Community Health Center). *St. John's includes 6 acute care hospitals, 72 clinics, and 8 urgent care sites. Collectively, we serve 40 communities in Missouri and Arkansas. *Leading cause of death is attributed to injuries for residents under age 45 and cancer and heart disease for residents over age 45. Tobacco use and obesity are prevalent health concerns in our community. *In 2008, Greene County had 15.9% of the population living at or below the federal poverty level. This was above the national average of 13.4 for Missouri and 12.7 for the U.S *According to the Greene County Health Department, the city of Springfield has approximately 40,000 individuals currently without insurance. *Isabel's House - Greene County has a high child abuse rate. Isabel's House is dedicated to the prevention of child abuse and neglect and to strengthening families. It provides immediate refuge for children from birth to 12 whose families are in crisis. St. John's works with other community partners to support this community need. *The Kitchen Clinic - The Kitchen Clinic is Springfield's only Free Clinic. It serves individuals at or below 133% FPL with needed health care, medications, and some dental care. St. John's provides financial, in-kind, and administrative support to the Kitchen Clinic. St. John's physicians and nurses also volunteer their services at the Kitchen Clinic. *St. John's developed a program called "Project Access". This program provides health care and primary preventions services to individuals without insurance. These individuals qualify for our charity care, but we wanted to make sure that they were receiving comprehensive care, rather that fragmented Emergency Care visits for non-emergent needs. This program is being replicated in other parts of Mercy and has been shared with individuals at CoxHealth. *One Air Alliance - St. John's is part of a community collaborative effort to address smoking and clean air in our community. *St. Jude's affiliation - St. John's Children's Hospital is Southwest Missouri's only comprehensive Children's Hospital. The formal affiliation with St. Jude's Children's Hospital in Memphis and the recruitment of the region's first pedicatric Hematologic/oncology physician are part of ongoing efforts to continue to grow and collaborate regionally and nationally. St. John's Health System and its subsidiaries (SJHS) is a Catholic health care corporation that, pursuant to the organizational core belief that health care services are a vital and integral part of the Church's healing mission, engages in a ministry which provides general acute care, ambulatory, long-term and home care health services to individuals and families in its service communities. In keeping with SJHS's commitment to serve all members of the communities it serves, SJHS provides care to patients regardless of ability to pay. As defined by the institution's charity policy, SJHS does not pursue collection of amounts determined to qualify for charity care. In addition, SJHS provides services to other patients under the Medicare Program and various state Medicaid programs. Such programs pay providers amounts that are substantially less than billed charges, and frequently less than the cost, of the services provided to the recipients. SJHS is governed by a Board of Directors which includes representation from community leaders in the organization's primary service areas. All board members are required to complete an annual Conflict of Interest survey. Any potential conflicts of interest disclosed by board members are screened by general counsel and reviewed by the board chairperson and CEO. This process ensures that public, rather than private, interests are served by SJHS. Surplus funds and unrestricted assets held by SJHS are reinvested in patient care, medical education and research initiatives which support the organization's mission to deliver compassionate care and exceptional health care services to the communities it serves. The filing organization is part of the Sisters of Mercy Health System ("Mercy"). Mercy is a Missouri non-profit corporation with its headquarters ("ministry office") in St. Louis, Missouri. Mercy provides health care services in four states - Arkansas, Kansas, Missouri, and Oklahoma - and has outreach ministries located in Louisiana, Mississippi, and Texas. Mercy's mission is "As the Sisters of Mercy before us, we bring life to the healing ministry of Jesus through our compassionate care and exceptional service." As of June 30, 2010, Mercy facilities included 28 hospitals with 3,718 acute licensed beds (3,300 acute available beds). Mercy facilities offer a wide range of health care services across the system, including inpatient and outpatient care, rehabilitation services, cancer care, trauma care, burn care, skilled nursing, home health and hospice, sports medicine, and neonatal and pediatric intensive care. For the fiscal year ended June 30, 2010, Mercy had more than 6.3 million outpatient visits, more than 1,200 employed physicians, and approximately 28,000 employees, making Mercy the eighth largest Catholic health system in the United States based on net patient service revenue. Mercy is sponsored by Mercy Health Ministry, which is governed by members that include Sisters of Mercy. Many services that are essential to fulfilling Mercy's mission are centralized at the Ministry Office. Such centralized services include Treasury, Information Technology, Clinical Quality Management, Legal and Compliance Counsel, Compensation and Benefits, Consulting, Performance Management, Revenue Management, Capital Management, Clinical Engineering, and Clinical Safety. The centralization of such support services enables Mercy to ensure that each of its communities, whether large or small, has the services it needs. AR MO OK true SCHOLARSHIPS 7 7500 Form 990, Schedule I Description of Organization's Procedures for Monitoring the Use of Grants CONTRACTS ARE SIGNED BY SCHOLARSHIP RECIPIENTS, AND LETTERS ARE SENT EACH SEMESTER TO THE RECIPIENTS. false true false false false false false false false Michele M Schaefer 0 305069 0 79980 0 43026 0 51147 0 8663 0 487885 0 0 David O Barbe 0 225470 0 104535 0 41317 0 66415 0 9586 0 447323 0 0 Connie L Butler 0 292094 0 18310 0 46347 0 9546 0 11341 0 377638 0 0 Michael Collison 0 206803 0 41170 0 42389 0 34666 0 8991 0 334019 0 0 Sherry L Clouse Day 0 99418 0 20474 0 24489 0 3405 0 8782 0 156568 0 0 Gary W Jordan 0 153746 0 29926 0 17429 0 15292 0 12437 0 228830 0 0 Jon D Swope 0 412287 0 181699 0 50042 0 201960 0 14037 0 860025 0 0 Kenton Stringer 237639 0 42630 0 1292 0 28324 0 6762 0 316647 0 0 0 Paul Andelin 177694 0 73843 0 5590 0 21200 0 15673 0 294000 0 0 0 John Forsyth 175118 0 50766 0 11138 0 6811 0 22871 0 266704 0 0 0 Brian Adkison 191232 0 23804 0 170 0 4528 0 4186 0 223919 0 0 0 Benjamin Leavitt 145464 0 48543 0 10175 0 5569 0 26658 0 236409 0 0 0 Scott R Reynolds 0 160660 0 52929 0 44113 0 30862 0 6160 0 294724 0 0 William Finfrock 170952 0 23585 0 1727 0 0 4332 0 200596 0 0 0 SUPPLEMENTAL INFORMATION SCHEDULE J, PART I, LINE 3 The filing organization relies on a related organization; refer to Schedule O, Part VI, question 15a and 15b for the process the related organization follows. SCHEDULE J, PART I, QUESTION 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SISTERS OF MERCY HEALTH SYSTEM 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 INDIVIDUALS REPORTABLE ON THIS RETURN WHO PARTICIPATE IN THE SUPPLEMENTAL RETIREMENT PLANS INCLUDE: MICHELE SCHAeFER, DAVID BARBE, AND JON SWOPE. NO ONE RECEIVED PAYMENTS UNDER THE PLANS DURING THE CALENDAR YEAR ENDING DURING THE TAX YEAR. THE AMOUNT OF ALL ACCRUED BENEFITS ARE INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C). SUPPLEMENTAL INFORMATION FORM 990, PART V, QUESTION 1A Vendors for the filing organization are paid by the Sisters of Mercy Health System (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 SMHS EIN. FORM 990, PART VI, QUESTIONS 6, 7A, & 7B THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, ST. JOHN'S HEALTH SYSTEM, INC. SUBJECT TO CONSULTATION WITH THE BOARD OF DIRECTORS, THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED SOLELY TO THE CORPORATE MEMBER: -TO APPROVE THE MISSION AND ESTABLISH THE PHILOSOPHY ACCORDING TO WHICH THE CORPORATION SHALL OPERATE; -TO ADOPT OR AMEND THE ARTICLES OF INCORPORATION AND BYLAWS IN ACCORDANCE WITH ARTICLES XII OF THESE BYLAWS; -TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, A MEMBER OF THE BOARD OF DIRECTORS OF THE CORPORATION; -TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, THE PRESIDENT/CHIEF OPERATING OFFICER OF THE CORPORATION; -TO APPROVE OR AMEND THE OVERALL STRATEGIC, LONG RANGE, AND HEALTH MANPOWER DEVELOPMENT PLANS, GOALS AND OBJECTIVES OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; -TO APPROVE OR AMEND THE CONSOLIDATED OPERATING, CAPITAL, AND CONSTRUCTION BUDGETS FOR THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION AND CHANGES IN BUDGETS IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY SMHS; -TO AUTHORIZE AND APPROVE THE LEASE OR SALE OF ANY OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE CORPORATE MEMBER; -TO AUTHORIZE AND APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION (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 OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION, SUBJECT TO APPROVAL BY THE BOARD AS REQUIRED PURSUANT TO CHAPTER 355 OF THE REVISED STATUTES OF MISSOURI FOR GENERAL NOT-FOR-PROFIT CORPORATIONS ("THE ACT"); -TO APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION CONTROLLED BY THE CORPORATION; AND, -TO APPROVE CONTRACTS IN WHICH THE CORPORATION ASSUMES FINANCIAL RISK, INCLUDING BUT NOT LIMITED TO MANAGED CARE CONTRACTS. FORM 990, PART VI, QUESTION 11A DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 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 team, including the Controller and the Vice-President of Finance. The draft Form 990 is also reviewed by the Sisters of Mercy Health System'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, QUESTION 12C DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST THE PURPOSE OF THE CONFLICT OF INTEREST POLICY IS TO PROTECT THE INTERESTS OF ST. JOHN'S HEALTH SYSTEM, INC. AND ALL OF ITS SUBSIDIARY CORPORATIONS (COLLECTIVELY REFERRED TO AS "SJHS") WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF A CO-WORKER, A MEMBER OF MANAGEMENT OR BOARD MEMBER OF SJHS. THE PRESIDENT OF EACH CORPORATION AND SUB-DIVISION SHALL BE RESPONSIBLE FOR ADMINISTERING THE ANNUAL STATEMENTS OF DISCLOSURE FOR THEIR BOARD MEMBERS AND EXECUTIVE LEADERSHIP TEAM. THE SJHS VICE-PRESIDENT OF HUMAN RESOURCES OR HIS/HER DESIGNEE SHALL BE RESPONSIBLE FOR ADMINISTERING ANNUAL STATEMENTS OF DISCLOSURE FOR SYSTEM SENIOR MANAGEMENT AND ADMINISTRATIVE COUNCIL. TO ENSURE THAT SJHS OPERATES IN A MANNER CONSISTENT WITH THE CHARITABLE PURPOSES AND THAT IT DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX, PERIODIC REVIEWS SHALL BE CONDUCTED. FORM 990, PART VI, QUESTIONS 15A & 15B OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FOR THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS), THE ORGANIZATION RELIES UPON SISTERS OF MERCY HEALTH SYSTEM, WHICH 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 BOARD OF THE SISTERS OF MERCY HEALTH SYSTEM. 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, LINE 19 PUBLIC AVAILABILITY OF GOVERNING POLICIES Governing documents, conflict of interest policy, and financial statements have been made available from time to time but are not published publicly. FORM 990, PART VII, SECTION A AVERAGE HOURS PER WEEK AVERAGE HOURS PER WEEK DEVOTED TO ST. JOHN'S HEALTH SYSTEM AND ITS SUBSIDIARIES IS DETERMINED TO BE 40.0 FOR EMPLOYEE BOARD MEMBERS AND 1.0 FOR NON-EMPLOYEE BOARD MEMBERS, UNLESS STATED OTHERWISE. FORM 990, PART XI, QUESTION 2C OVERSIGHT OR SELECTION PROCESS The filing organization's financial statements were included in the Sisters of Mercy Health System, Inc. and Subsidiaries annual financial statement audit. The Sisters of Mercy Health System, Inc. and Subsidiaries received an unqualified opinion from the external auditors for fiscal 2010 (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 Sisters of Mercy Health System Board of Directors. Audit results are communicated to this committee. FORM 990, SCHEDULE R, PART V SUPPLEMENTAL INFORMATION LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY SISTERS OF 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 O AND P. Advance Care Hospital 300 Werner St 3rd Floor Hot Springs AR 71913 710816634 Hospital AR 501(C)(3) 3 SMHS Breech Regional Medical Center 100 Hospital Drive Lebanon MO 65536 431767432 Hospital MO 501(C)(3) 3 St Johns HS Carroll Health Foundation 214 Carter Street Berryville AR 72616 710759301 Foundation AR 501(C)(3) 11a Ozark RG HS Casa de Misericordia 1602 McClelland Street Laredo TX 78044 742912461 Shelter TX 501(C)(3) 7 MM Laredo Healdton Mercy Hospital Corporation 918 South Street Healdton OK 73438 263173902 Hospital OK 501(C)(3) 3 MMHC Laredo Medical Group 14528 S Outer Forty Ste 100 Chesterfield MO 63017 742764726 Inactive TX 501(C)(3) 9 MHS-TX McAuley Portfolio Management Company 14528 S Outer Forty Ste 100 Chesterfield MO 63017 261708048 Invst Mgmt MO 501(C)(3) 11b SMHS Mercy El Reno Hospital Corporation 2115 Parkview Drive El Reno OK 73036 736617948 LEASED HOSPT OK 501(C)(3) 3 MHS Mercy Emergency Medical Services Inc 4300 W Memorial Road Oklahoma City OK 73120 810627035 Inactive OK 501(C)(3) 9 MHC Mercy Foundation for Health Innovation 14528 S Outer Forty Ste 100 Chesterfield MO 63017 200901499 Foundation MO 501(C)(3) 11b SMHS Mercy Health Center Foundation 401 Woodland Hills Blvd Fort Scott KS 66701 481077073 Foundation KS 501(C)(3) 11c MHS-KS Mercy Health Center Foundation Inc 4300 W Memorial Road Oklahoma City OK 73120 731593024 Foundation OK 501(C)(3) 11a MHC Mercy Health Center Inc 4300 W Memorial Road Oklahoma City OK 73120 730579285 Hospital OK 501(C)(3) 3 MHS Mercy Health MHMCH Inc 220 Pennsylvania Avenue Columbus KS 66725 270842031 Hospital MO 501(C)(3) 9 MHS-Joplin Mercy Health of Joplin Foundation 2727 McClelland Blvd Joplin MO 64804 270906136 Foundation MO 501(C)(3) 11a MHS-Joplin Mercy Health of Joplin Inc 2727 McClelland Blvd Joplin MO 64804 270814858 Hospital MO 501(C)(3) 9 MHS-Joplin Mercy Health Services Inc 4300 W Memorial Road Oklahoma City OK 73120 141838609 DISV 6/30/10 OK 501(C)(3) 9 MHC Mercy Health System-Joplin Inc 2727 McClelland Blvd Joplin MO 64804 300584463 Hlth System MO 501(C)(3) 11b SMHS Mercy Health System of Kansas Inc 401 Woodland Hills Blvd Ft Scott KS 66701 480956045 Hospital KS 501(C)(3) 3 MHS-JOPLIN Mercy Health System Northwest Arkansas 2710 Rife Medical Drive Rogers AR 72758 621684203 Phys Group AR 501(C)(3) 11b SMHS Mercy Health System of Texas Inc 14528 S Outer Forty Ste 100 Chesterfield MO 63017 742764727 Inactive TX 501(C)(3) 11b SMHS Mercy Health System Inc 4300 W Memorial Road Oklahoma City OK 73120 731453048 Holding co. OK 501(C)(3) 11b SMHS Mercy Hosp Foundation of Independence 800 W Myrtle Independence KS 67301 481079981 Foundation KS 501(C)(3) 11a MHS-KS Mercy Hospital of Laredo 14528 S Outer Forty Ste 100 Chesterfield MO 63017 741189682 Inactive TX 501(C)(3) 3 MHS-TX Mercy Medical Group 645 Maryville Centre Dr St 100 St Louis MO 63141 431771217 Phys Group MO 501(C)(3) 9 ST JOHN MHC Mercy Memorial Health Center Foundation 1011 14th Avenue NW Ardmore OK 73401 710962525 Foundation OK 501(C)(3) 11a MMHC Mercy Memorial Health Center Inc 1011 14th Avenue NW Ardmore OK 73401 731500629 Hospital OK 501(C)(3) 3 MHS Mercy Ministries of Laredo 2500 Zacatecas Laredo TX 78043 200198462 Outreach TX 501(C)(3) 7 SMHS Mercy Physicians of Oklahoma Inc 4300 W Memorial Road Oklahoma City OK 73120 270473057 Phys Group OK 501(C)(3) 9 MHS MHM Support Services 14528 S Outer Forty Ste 100 Chesterfield MO 63017 202553101 Sup Hlth Sys MO 501(C)(3) 11b SMHS Mission Clinical Services 300 Werner Street Hot Springs AR 71913 134239691 Phys Group AR 501(C)(3) 9 ST JOS MHS Ozarks Regions Health Systems Inc 214 Carter Street Berryville AR 72616 710759299 Hospital AR 501(C)(3) 3 ST JOHNS HS Sisters of Mercy Health System 14528 S Outer Forty Ste 100 Chesterfield MO 63017 431423050 Sup Hlth Sys MO 501(C)(3) 1 NA Sisters of Mercy Ministries 14528 S Outer Forty Ste 100 Chesterfield MO 63017 721069468 Outreach MO 501(C)(3) 7 SMHS St Edward Hlth Fac-Franklin Co 801 W River Street Ozark AR 72949 710689680 Hospital AR 501(C)(3) 3 SEMMC St Edward Hlth Fac-Logan Co 500 E Academy Paris AR 72855 710655753 Hospital AR 501(C)(3) 3 SEMMC St Edward Hlth Fac-Scott Co 1341 W 6th Street Waldron AR 72958 710557895 Hospital AR 501(C)(3) 3 SEMMC St Edward Mercy Clinic Inc 7301 Rogers Avenue Fort Smith AR 72917 261318597 Phys Clinic AR 501(C)(3) 9 SEMHS St Edward Mercy Foundation PO Box 17000 Fort Smith AR 72917 237330425 Foundation AR 501(C)(3) 7 SEMMC St Edward Mercy Health System Inc 7301 Rogers Avenue Fort Smith AR 72917 261318515 Holding Co. AR 501(C)(3) 11b SMHS St Edward Mercy Medical Center 7301 Rogers Avenue Fort Smith AR 72917 710240352 Hospital AR 501(C)(3) 3 SEMHS St Francis Hospital 100 W Highway 60 Mountain View MO 65548 440607149 Hospital MO 501(C)(3) 3 ST JOHNS HS St John's Cassville Inc 94 Main Street Cassville MO 65625 431936699 Lease Hosp MO 501(C)(3) 3 St Johns HS St John's Children's Hospital Inc 1235 E Cherokee Street Springfield MO 65804 Inactive MO 501(C)(3) 3 St Johns HS St John's Clinic Inc 1965 Fremont Street Ste 2950 Springfield MO 65804 431560263 Phys Group MO 501(C)(3) 9 St Johns HS St John's Foundation for Community Hlth 1235 E Cherokee Street Springfield MO 65804 320195818 Foundation MO 501(C)(3) 11b St Johns HS St John's Health System Inc 1235 E Cherokee Street Springfield MO 65804 431856028 Holding Co MO 501(C)(3) 11b SMHS St John's Home Care of Berryville Inc 214 Carter Street Berryville AR 72616 870781247 Home Health AR 501(C)(3) 11c ST JOHN RHC St John's Medical Research Institute 1235 E Cherokee Street Springfield MO 65804 870796305 Research MO 501(C)(3) 4 ST JOHNS HS St John's Mercy Foundation 645 Maryville Centre Dr St 100 St Louis MO 63141 562410020 Foundation MO 501(C)(3) 11b ST JOHN MHC St John's Mercy Health Care 645 Maryville Centre Dr St 100 St Louis MO 63141 431718408 Hlth System MO 501(C)(3) 11b SMHS St John's Mercy Health System 645 Maryville Centre Dr St 100 St Louis MO 63141 430653493 Hospital MO 501(C)(3) 3 ST JOHN MHC St John's Mercy Hospital Foundation 901 E Fifth Street Washington MO 63090 562410022 Foundation MO 501(C)(3) 11b ST JOHN MHC St John's Mercy Support Services 615 S New Ballas Road St Louis MO 63141 431677952 Inactive MO 501(C)(3) 11c ST JOHN MHS St John's Regional Health Center 1235 E Cherokee Street Springfield MO 65804 440552485 Hospital MO 501(C)(3) 3 St Johns HS St Joseph's Mercy Clinic Inc 1 Mercy Lane Hot Springs AR 71913 261125131 Phys Clinic AR 501(C)(3) 9 ST JOS MHS St Joseph's Mercy Health Center 300 Werner Street Hot Springs AR 71913 710236913 Hospital AR 501(C)(3) 3 ST JOS MHS St Joseph's Mercy Health Foundation 300 Werner Street Hot Springs AR 71913 710804718 Foundation AR 501(C)(3) 11b ST JOS MHC St Joseph's Mercy Health System Inc 300 Werner Street Hot Springs AR 71913 261125064 Holding Co AR 501(C)(3) 11b SMHS St Mary-Rogers Memorial Hospital Inc 2710 Rife Medical Lane Rogers AR 72758 710294390 Hospital AR 501(C)(3) 3 MHS-NWA St Mary's Hospital Foundation 2710 Rife Medical Lane Rogers AR 72858 710601687 Foundation AR 501(C)(3) 11c ST MARY RMC St Mary's Hospital of Enid Oklahoma I 14528 S Outer Forty Ste 100 Chesterfield MO 63017 730614655 Inactive OK 501(C)(3) 3 MHS The Sister M Cornelia Blasko Foundation 100 W Highway 60 Mountain View MO 65548 431873914 Foundation MO 501(C)(3) 11a ST FRAN HOS Unity Ambulatory Care 645 Maryville Centre Dr St 100 St Louis MO 63141 431861745 Inactive MO 501(C)(3) 11c ST JOHN MHC HOT SPRINGS EQUIP 300 Werner Street Hot Springs AR 71913 204340915 DISSOLVED 9/30/09 AR NA Hot Springs MRI 100 Ridgeway Place Hot Springs AR 72901 710675196 DISSOLVED 8/5/09 AR NA Merc Ambu Surg CTR 7301 Rogers Avenue Fort Smith AR 72903 710827721 AMBULATORY S. CTR AR NA RES OPT & INNOV 645 Maryville Centre Drive Suite St Louis MO 63141 460468368 CENTRAL DIST. CTR MO NA SO OK DIAG CTR 1011 Fourteeth Avenue NW Ardmore OK 73401 431971232 MRI Services OK NA Fort Smith Emergency Medical Services 1701 South Greenwood Fort Smith AR 72901 710416615 Emergency Med SEV AR NA Southern Oklahoma PHO LLC 1011 Fourteeth Avenue NW Ardmore OK 73401 731462104 DISSLV 12/31/09 OK NA HORIZONTAL PROPERTY 7301 Rogers Avenue Fort Smith AR 72903 710554050 Office Building AR NA Consolidated Logistics Inc 2710 Rife Medical Lane Rogers AR 72758 710474406 DISSOLVED 8/4/09 AR C-Corp Frontenac Properties Inc 14528 S Outer Forty Suite 100 Chesterfield MO 63017 521914421 HOLDING COMP DE C-Corp Inveno Health Inc 1235 E Cherokee Street Springfield MO 65804 264509571 IT SERVICES MO C-Corp Mercy Community Services Inc 401 Woodland Hills Blvd Fort SCOTT KS 66701 481078101 CATERING KS C-Corp Mercy Health Center Condominium Inc 4300 W Memorial Rd Oklahoma City OK 73120 680640970 REAL ESTATE OK C-Corp Mercy Health Network of the Southern Reg 1011 14th Avenue NW Ardmore OK 73401 731580607 HEALTH CARE OK C-Corp Mercy Health Network Inc 4300 W Memorial Road Oklahoma City OK 73120 731381689 HEALTH CARE OK C-Corp Mercy Managed Care Corporation 4300 W Memorial Road Oklahoma City OK 73120 731441665 HOLDING COMP OK C-Corp Mercy Medical Services Inc 14528 S Outer Forty Suite 300 Chesterfield MO 63017 710641246 DISSOLVED 7/1/09 MO C-Corp MHP Inc 14528 S Outer Forty Suite 300 Chesterfield MO 63017 431697084 HOLDING COMP DE C-Corp St Edward Medical Services Inc 7301 Rogers Avenue Fort Smith AR 72903 202965518 DISSOLVED 5/5/10 AR C-Corp UH L Corp Inc 645 Maryville Centre Drive Suite 1 St Louis MO 63141 742499535 HOLDING COMP MO C-Corp Unity Support Services Inc 645 Maryville Centre Drive Suite 1 St Louis MO 63141 431797042 MANAGEMENT MO C-Corp false false false false false false false false false false false false false true true true false false MHM SUPPORT SERVICES O 704051 MHP INC O 52188 MHP INC P 368965 RESOURCE OPTIMIZATION & INNOVATION LLC O 435791 ST JOHN'S CLINIC INC N 69217 ST JOHN'S CLINIC INC O 206624 ST JOHN'S REGIONAL HEALTH CENTER O 4212519 ST JOHN'S REGIONAL HEALTH CENTER P 9100960