STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

MERCY HOSPITAL ARDMORE INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
MERCY HOSPITAL ARDMORE INC (EIN 73-1500629)
Tax period
2023-07-01 to 2024-06-30
Filed
2025-05-12
IRS object ID
202521329349302872
Schema version
2023v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-05-12T11:32:54-05:00ReturnTs
Tax Period End2024-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2023-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN731500629EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MERCY HOSPITAL ARDMOREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMERCBusinessNameControlTxt
Phone3145796100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11011 14TH AVENUE NWAddressLine1Txt
CityARDMORECityNm
State AbbreviationOKStateAbbreviationCd
ZIP73401ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHRISTOPHER HAHNEPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone3145796100PhoneNum
Signature2025-05-12SignatureDt
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDARYLE VOSSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11011 14TH AVENUE NWAddressLine1Txt
CityARDMORECityNm
State AbbreviationOKStateAbbreviationCd
ZIP73401ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$202,615,292GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MERCY.NETWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1996FormationYr
Legal Domicile StateOKLegalDomicileStateCd
Activity Or MissionAS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers44TotalVolunteersCnt
Total Gross UBI$12,147TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$782,702PYContributionsGrantsAmt
CY Contributions Grants$1,143,086CYContributionsGrantsAmt
PY Program Service Revenue$175,555,534PYProgramServiceRevenueAmt
CY Program Service Revenue$200,586,865CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$579,823PYOtherRevenueAmt
CY Other Revenue$685,917CYOtherRevenueAmt
PY Total Revenue$176,918,059PYTotalRevenueAmt
CY Total Revenue$202,415,868CYTotalRevenueAmt
PY Grants And Similar Paid$276,984PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$302,692CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$78,772,582PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$83,101,058CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$96,569,798PYOtherExpensesAmt
CY Other Expenses$102,470,085CYOtherExpensesAmt
PY Total Expenses$175,619,364PYTotalExpensesAmt
CY Total Expenses$185,873,835CYTotalExpensesAmt
PY Revenues Less Expenses$1,298,695PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$16,542,033CYRevenuesLessExpensesAmt
Total Assets BOY$92,800,528TotalAssetsBOYAmt
Total Assets EOY$95,187,420TotalAssetsEOYAmt
Total Liabilities BOY$9,278,920TotalLiabilitiesBOYAmt
Total Liabilities EOY$8,661,683TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$83,521,608NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$86,525,737NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$24,263,205ExpenseAmt
Revenue$33,166,095RevenueAmt
DescMERCY HOSPITAL ARDMORE PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY BY OFFERING ESSENTIAL HEALTH SERVICES TO ITS COMMUNITY. IN ACTIVE PURSUIT OF THIS MISSION, MERCY HOSPITAL ARDMORE PROVIDES A WIDE VARIETY OF SERVICES IN THEIR 190 BED FACILITY AND IN FY24, HAD 176,868 TOTAL CASES. MERCY HOSPITAL ARDMORE HAS A TEAM OF EXPERT DOCTORS, NURSES AND TECHNICIANS THAT BLEND COMPASSIONATE CARE WITH THE LATEST, MOST ADVANCED DIAGNOSTIC AND TREATMENT RESOURCES IN PROVIDING EMERGENCY CARE. MERCY HOSPITAL ARDMORE'S EMERGENCY DEPARTMENT IS READY 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS A YEAR WITH FAST, EXPERIENCED AND PROFESSIONAL CARE. IN FY24, MERCY HOSPITAL ARDMORE HAD 67,976 CASES FOR THIS SERVICE LINE.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$14,728,262ExpenseAmt
Revenue$20,132,499RevenueAmt
DescAT MERCY HOSPITAL ARDMORE, CANCER CARE IS ABOUT MORE THAN PROVIDING CLINICAL TREATMENTS. MERCY HOSPITAL ARDMORE ALSO OFFERS SUPPORT SERVICES TO HELP YOU MAINTAIN YOUR PHYSICAL, MENTAL AND EMOTIONAL HEALTH. MERCY'S CANCER SPECIALISTS CARE FOR ALMOST EVERY TYPE OF CANCER AND PARTICIPATE IN CLINICAL RESEARCH TO BRING YOU THE MOST ADVANCED CANCER TREATMENT AVAILABLE. IN FY24, MERCY HOSPITAL ARDMORE HAD 5,994 CASES AND 516 PATIENT DAYS FOR THIS SERVICE LINE.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$9,579,591ExpenseAmt
Revenue$13,094,628RevenueAmt
DescMERCY HOSPITAL ARDMORE'S ORTHOPEDIC PHYSICIANS SHARE A PASSION FOR PROTECTING AND PRESERVING YOUR MOBILITY AND STRENGTH AND CAN CARE FOR NEARLY ANY MEDICAL CONDITION OR INJURY THAT AFFECTS THE MUSCULOSKELETAL SYSTEM. MERCY'S ORTHOPEDIC SPECIALISTS AND SURGEONS TREAT EVERYTHING FROM ACHY JOINTS AND SPORTS INJURIES TO HAND INJURIES AND TRAUMA. IN FY24, MERCY HOSPITAL ARDMORE HAD 2,714 CASES AND 1,419 PATIENT DAYS FOR THIS SERVICE LINE.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$98,171,578ExpenseAmt
Grant$302,692GrantAmt
Revenue$134,193,643RevenueAmt
DescIN ADDITION TO THE PROGRAM SERVICES DESCRIBED ABOVE, MERCY HOSPITAL ARDMORE ALSO SERVES PATIENTS IN ADDITIONAL SERVICE LINES, INCLUDING BUT NOT LIMITED TO THE FOLLOWING AREAS: CARDIOVASCULAR; GASTROENTEROLOGY; PULMONARY; NEUROSCIENCE; WOMEN & INFANTS.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$98,171,578TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$302,692TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$134,193,643TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$146,742,636TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldOKStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHRISTOPHER HAHNEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4059365649PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14300 WEST MEMORIAL ROADAddressLine1Txt
CityOKLAHOMA CITYCityNm
State AbbreviationOKStateAbbreviationCd
ZIP73120ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
VOSS DARYLE
PRESIDENT, MERCY HOSPITAL ARDMORE & BM10.0035.00Yes (X)Yes (X)$0$789,884$81,535
HENDRICKS RSM SR REBECCA ANN
BOARD MEMBER1.009.00Yes (X)$0$0$0
HENRY ALICIA
BOARD MEMBER1.000.00Yes (X)$0$0$0
MOORE LISA
BOARD MEMBER1.000.00Yes (X)$0$0$0
SPOHN MENDY
BOARD MEMBER1.000.00Yes (X)$0$0$0
STEELE DARYL
BOARD MEMBER1.000.00Yes (X)$0$0$0
VERNER NATHAN
BOARD MEMBER1.000.00Yes (X)$0$0$0
WARD ERIC
BOARD MEMBER1.000.00Yes (X)$0$0$0
WASHINGTON TERRICK
BOARD MEMBER1.000.00Yes (X)$0$0$0
WELSH RSM SR ROSEMARY
BOARD MEMBER1.0039.00Yes (X)$0$0$0
WILSON LINDSAY
PHYSICIAN AND BM1.0039.00Yes (X)$0$588,567$27,204
BROWN MORRIS
EXECUTIVE DIRECTOR, FINANCE (THRU 12/2023)5.0045.00Yes (X)$0$188,671$15,250
BRUNER MARCUS
EXEC DIRECTOR, FINANCE (START 1/24)5.0045.00Yes (X)$0$0$0
IQBAL ASIF
HOSPITALIST50.000.00$0$585,481$22,710Yes (X)
MURTHY GIRISH
HOSPITALIST50.000.00$0$609,019$8,030Yes (X)
OBI EMMANUEL
HOSPITALIST50.000.00$0$532,931$10,239Yes (X)
OLUSANYA OLUDAYO
HOSPITALIST50.000.00$0$457,767$4,153Yes (X)
PATEL VISHAL
HOSPITALIST50.000.00$0$723,919$24,993Yes (X)
ENLOE TRACY
FORMER OFFICER0.000.00$0$585,221$34,153Yes (X)
LE BICH-VI
FORMER KEY EMPLOYEE0.0050.00$0$543,662$36,602Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$5,605,122TotReportableCompRltdOrgAmt
Total Other Compensation$264,869TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
HEALTH TRUST WORKFORCE SOLUTIONS
5429 LYNDON B JOHNSON FWY STE 425DALLASTX75240STAFFING SERVICES$8,510,087
GREAT PLAINS ANESTHESIA PLLC
1012 14TH AVE NWARDMOREOK73401ANESTHESIA SERVICES$2,131,100
LOCUMSMART
PO BOX 736389DALLASTX75373PHYSICIAN SERVICES$1,332,689
JE DUNN CONSTRUCTION
4 E SHERIDIAN AVE STE 200OKLAHOMA CITYOK73104CONSTRUCTION SERVICES$707,442
O'GRADY PEYTON INTERNATIONAL
2999 OLYMPUS BLVDDALLASTX75019STAFFING SERVICES$652,793
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K33CntrctRcvdGreaterThan100KCnt
Related Organizations$1,068,086RelatedOrganizationsAmt
All Other Contributions$75,000AllOtherContributionsAmt
Total Contributions$1,143,086TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE622110$198,631,534$198,631,534
RENTAL INCOME FROM RELATED ORGANI531120$1,273,268$1,273,268
MANAGEMENT FEES622110$651,849$651,849
OTHER OPERATING REVENUE622110$18,067$18,067
LABORATORY SERVICE621500$12,147$12,147
FieldValueIRS element (for citing)
Total Program Service Revenue$200,586,865TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$168,151RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$199,424RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$31,273RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$31,273TotalRevenueColumnAmt
Exclusion-$31,273ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescCAFE & VENDINGDesc
Business722514BusinessCd
Total Revenue Column$717,190TotalRevenueColumnAmt
Exclusion$717,190ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$717,190OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$202,415,868TotalRevenueColumnAmt
Related Or Exempt Func Income$200,574,718RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$12,147UnrelatedBusinessRevenueAmt
Exclusion$685,917ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$302,692TotalAmt
Program Services$302,692ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$70,839,634TotalAmt
Program Services$63,119,361ProgramServicesAmt
Management And General$7,720,273ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,262,526TotalAmt
Program Services$811ProgramServicesAmt
Management And General$2,261,715ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,848,239TotalAmt
Program Services$591,401ProgramServicesAmt
Management And General$5,256,838ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,150,659TotalAmt
Program Services$55,717ProgramServicesAmt
Management And General$4,094,942ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$21,789TotalAmt
Management And General$21,789ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$9,479,556TotalAmt
Program Services$8,937,603ProgramServicesAmt
Management And General$541,953ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,823TotalAmt
Program Services$964ProgramServicesAmt
Management And General$1,859ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,253,515TotalAmt
Program Services$2,629,871ProgramServicesAmt
Management And General$1,623,644ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$35,607TotalAmt
Program Services$35,607ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,429,533TotalAmt
Program Services$3,157,838ProgramServicesAmt
Management And General$1,271,695ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$145,803TotalAmt
Program Services$80,306ProgramServicesAmt
Management And General$65,497ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,647TotalAmt
Management And General$1,647ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$6,074,703TotalAmt
Program Services$6,056,900ProgramServicesAmt
Management And General$17,803ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,060,108TotalAmt
Program Services$284,748ProgramServicesAmt
Management And General$775,360ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DRUGS & MEDICAL EXPENSE$33,895,682$33,895,682
SHARED SERVICE FEES$22,440,612$7,405,402$15,035,210
BAD DEBT$15,975,505$15,975,505
REPAIRS & MAINTENANCE$4,133,475$3,692,501$440,974

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$519,727TotalAmt
Program Services$519,727ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$185,873,835TotalAmt
Program Services$146,742,636ProgramServicesAmt
Management And General$39,131,199ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,189,467BOYAmt
EOY$4,455,250EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$20,804,109BOYAmt
EOY$24,049,026EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$7,646BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,831,691BOYAmt
EOY$4,855,101EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$820BOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$210,782,106LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$149,032,691LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$63,822,869BOYAmt
EOY$61,749,415EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$143,926BOYAmt
EOY$78,628EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$92,800,528BOYAmt
EOY$95,187,420EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$9,273,465BOYAmt
EOY$8,649,657EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$5,455BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$12,026EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,278,920BOYAmt
EOY$8,661,683EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$83,521,608BOYAmt
EOY$86,525,737EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$83,521,608BOYAmt
EOY$86,525,737EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$92,800,528BOYAmt
EOY$95,187,420EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$16,542,033ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$13,537,904OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$21,789GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$21,789TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE FILING ORGANIZATION IS A MEMBER OF AND PAYS DUES TO THE FOLLOWING HOSPITAL ASSOCIATIONS: AMERICAN HOSPITAL ASSOCIATION, CATHOLIC HEALTH ASSOCIATION, AND OKLAHOMA HOSPITAL ASSOCIATION. FOR THE YEAR ENDED JUNE 30, 2024, DUES WERE $22,394, $23,585, AND $61,437, RESPECTIVELY. APPROXIMATELY 32.00% OF AMERICAN HOSPITAL ASSOCIATION DUES, 3.65% OF CATHOLIC HEALTH ASSOCIATION DUES, AND 22.40% OF OKLAHOMA HOSPITAL ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED BY THESE ASSOCIATIONS.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,072,854OtherCostOrOtherBasisAmt
Book Value$3,072,854BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$135,587,559OtherCostOrOtherBasisAmt
Depreciation$89,422,736DepreciationAmt
Book Value$46,164,823BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$341,465OtherCostOrOtherBasisAmt
Depreciation$40,673DepreciationAmt
Book Value$300,792BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$69,211,304OtherCostOrOtherBasisAmt
Depreciation$57,257,329DepreciationAmt
Book Value$11,953,975BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,568,924OtherCostOrOtherBasisAmt
Depreciation$2,311,953DepreciationAmt
Book Value$256,971BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$61,749,415TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO AFFILIATESDesc
Amt$12,026Amt
FieldValueIRS element (for citing)
Total Liability$12,026TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE D, PART X, LINE 2FormAndLineReferenceDesc
ExplanationASC 740 FOOTNOTE PRIMARILY ALL OF THE HEALTH SYSTEM ENTITIES ARE RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) 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. THE HEALTH SYSTEM COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED ON THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2024 OR 2023.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,416,169TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,416,169NetCommunityBenefitExpnsAmt
Total Expense0.02380TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$31,423,030TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$32,018,378DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$35,839,199TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$32,018,378DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,416,169NetCommunityBenefitExpnsAmt
Total Expense0.02380TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served186PersonsServedCnt
Total Community Benefit Expns$124,945TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$124,945NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served283PersonsServedCnt
Total Community Benefit Expns$325,133TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$325,133NetCommunityBenefitExpnsAmt
Total Expense0.00170TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served120PersonsServedCnt
Total Community Benefit Expns$10,320TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$10,320NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs10ActivitiesOrProgramsCnt
Persons Served589PersonsServedCnt
Total Community Benefit Expns$460,398TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$460,398NetCommunityBenefitExpnsAmt
Total Expense0.00250TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs10ActivitiesOrProgramsCnt
Persons Served589PersonsServedCnt
Total Community Benefit Expns$36,299,597TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$32,018,378DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,876,567NetCommunityBenefitExpnsAmt
Total Expense0.02630TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served200PersonsServedCnt
Total Community Benefit Expns$25,953TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$25,953NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served10PersonsServedCnt
Total Community Benefit Expns$1,144TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,144NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$209TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$209NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$23,125TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$23,125NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served210PersonsServedCnt
Total Community Benefit Expns$50,431TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$50,431NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$3,068,353BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$58,757,433ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$52,366,787CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$6,390,646MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MERCY HOSPITAL ARDMOREBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11011 14TH AVENUE NWAddressLine1Txt
CityARDMORECityNm
State AbbreviationOKStateAbbreviationCd
ZIP73401ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.MERCY.NETWebsiteAddressTxt
State License2230StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MERCY HOSPITAL ARDMOREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
OtherYes (X)OtherInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
MERCY HOSPITAL ARDMOREPART V, SECTION B, LINE 3J: THE HOSPITAL FACILITY DID INCLUDE A PRIORITIZED LIST OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS IN ITS MOST RECENT CHNA REPORT.THE CHNA HAS ALL THE SECTIONS REFERENCED ABOVE AND INCLUDES AN EXECUTIVE SUMMARY, POTENTIALLY AVAILABLE RESOURCES, EVALUATION OF IMPACT, REFERENCES, AND APPENDICES.
MERCY HOSPITAL ARDMOREPART V, SECTION B, LINE 5: WHEN CONDUCTING ITS MOST RECENT CHNA MERCY HOSPITAL ARDMORE WORKED CLOSELY WITH THE FOLLOWING:- CARTER COUNTY HEALTH DEPARTMENT, CHRIS MUNN, REGIONAL DIRECTOR- GOOD SHEPHERD COMMUNITY CLINIC, TERESA MYERS, EXECUTIVE DIRECTOR- FOOD AND RESOURCE CENTER OF SOUTHERN OKLAHOMA, JAMES ROSSON, DIRECTOR- ARDMORE BEHAVIORAL HEALTH COLLABORATION, ELLEN ROBERTS, DIRECTORADDITIONALLY, STAFF OF THE COMMUNITY OUTREACH DEPARTMENT IS FOCUSED ON IDENTIFYING UNMET NEEDS AND GAPS IN SERVICES, MAKING CONNECTIONS AND REFERRALS, DEVELOPING PARTNERSHIPS, IMPROVING COMMUNITY HEALTH, AND ADVOCATING FOR THE MOST VULNERABLE.
MERCY HOSPITAL ARDMOREPART V, SECTION B, LINE 11: IN CONJUNCTION WITH THE CHNA, MERCY HOSPITAL ARDMORE'S BOARD ADOPTED AN IMPLEMENTATION STRATEGY AND ADDRESSED THE FOLLOWING COMMUNITY HEALTH NEEDS:- BEHAVIORAL HEALTH- ACCESS TO CARE- FOOD INSECURITY
MERCY HOSPITAL ARDMOREPART V, SECTION B, LINE 20E: OTHER AREAS FROM A NOTICE PERSPECTIVE: FAP IS POSTED IN ALL REGISTRATION AREAS, FULL POLICY AND PLAIN LANGUAGE DOCUMENT POSTED ON WEBSITE, PLAIN LANGUAGE DOCUMENT IS AVAILABLE WHEN REQUESTED, THERE IS A NOTICE ON STATEMENT, AND ALL PATIENTS GET THREE STATEMENTS BEFORE THEY CAN GO TO A COLLECTION AGENCY.
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 7AHTTPS://WWW.MERCY.NET/CONTENT/DAM/MERCY/EN/PDF/CHNA/ARDMORE-CHNA-2022.PDF
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 10AHTTPS://WWW.MERCY.NET/CONTENT/DAM/MERCY/EN/PDF/CHIP/MERCY-ARDMORE-CHIP-2023
FORM 990, SCHEDULE H, PART V, SECTION B, LINES 16A, 16B, & 16CTHE FINANCIAL ASSISTANCE POLICY, APPLICATION AND A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY ARE AVAILABLE ONLINE AT HTTPS://WWW.MERCY.NET/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/
FieldValueIRS element (for citing)
Facility6FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - MERCY HEALTH ARDMORE CANCER CENTER
1220 HALL PLACEARDMOREOK73401CANCER TREATMENT
2 - MHARD INPATIENT & OUTPATIENT REHAB
1012 14TH NWARDMOREOK73401REHAB SERVICES
3 - MHARD WOUND CARE
1012 14TH NWARDMOREOK73401WOUND CARE CENTER
4 - MHARD SLEEP LAB
1012 14TH NWARDMOREOK73401SLEEP DISORDER SERVICES
5 - MHARD PAIN MANAGEMENT
731 12TH AVE NWARDMOREOK73401PAIN MANAGEMENT SERVICES
6 - MHARD VEIN CENTER CLINIC
731 12TH AVE NWARDMOREOK73401VEIN CLINIC

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 6A:THE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS PREPARED BY ITS ULTIMATE PARENT ENTITY, MERCY HEALTH (EIN: 43-1423050).
PART I, LINE 7:TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) ARE $185,873,835. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $15,975,505. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $169,898,330.
PART II, COMMUNITY BUILDING ACTIVITIES:COMMUNITY BUILDING ACTIVITIES ADDRESS ROOT CAUSES OF HEALTH-RELATED PROBLEMS. MULTIDISCIPLINARY COMMUNITY PARTNERSHIPS AND COLLABORATIONS ADDRESS SYSTEMIC MALFUNCTIONS AND THE ROOT CAUSES OF ISSUES SUCH AS POVERTY, VIOLENCE, AND HOMELESSNESS. THEY STRENGTHEN THE COMMUNITY'S ABILITY TO PROMOTE HEALTH AND WELL-BEING. MERCY HOSPITAL ARDMORE, INC. (MHARD) COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITIES IN WHICH THEY SERVE. THROUGH ACTIVE PARTICIPATION IN COMMUNITY BOARDS, NEIGHBORHOOD COMMUNITY MEETINGS AND INVOLVEMENT IN COMMUNITY-BASED EVENTS, MHARD DEMONSTRATES ITS ONGOING COMMITMENT TO THE COMMUNITY. COMMUNITY BUILDING ACTIVITIES SERVE AS A LINK TO ENGAGE MERCY COWORKERS TO LOOK BEYOND THE WALLS OF THE FACILITIES IN WHICH THEY SERVE. MERCY COWORKERS PARTICIPATE AS BOARD MEMBERS, VOLUNTEERS GIVING HOURS OF HANDS-ON ASSISTANCE, PROGRAM DEVELOPMENT AND FUND RAISING.THE COMMUNITY OUTREACH DEPARTMENT, ALONG WITH THE COMMUNITY HEALTH WORKERS, HAVE BEEN ATTENDING MULTIPLE COMMUNITY EVENTS TO SPREAD AWARENESS ON RESOURCES AVAILABLE FOR THE UNDERINSURED POPULATION. THIS INCLUDES ATTENDING HEALTH FAIRS LIKE THE CARTER COUNTY HEALTHY LIVING HEALTH EXTRAVAGANZA, WHERE PEOPLE FROM THE COMMUNITY WERE GIVEN INFORMATION ON HEALTHY RESOURCES, AS WELL AS HELP IN APPLYING FOR MEDICAID.SOME OF THE COMMUNITY BUILDING ACTIVITIES IN WHICH MHARD SERVES ARE:- MERCY HOSPITAL ARDMORE IS COLLABORATING WITH THE CITY OF ARDMORE, HFV WILSON COMMUNITY CENTER, CARTER COUNTY HEALTH DEPARTMENT, GOOD SHEPHERD COMMUNITY CLINIC, AND THE MERCY CLINIC TO CREATE COMMUNITY POP-UP CLINICS IN OUR MOST UNDERSERVED LOCATIONS IN ARDMORE. THE COLLABORATION HAS BEEN NAMED "HEALTHCARE HFV AND STRIVES TO BRING SERVICES TO THE EAST SIDE OF TOWN, AS WELL AS ECONOMICALLY POOR AREAS IN ARDMORE. MHARD WILL BE HELPING COLLABORATE IN THEIR OWN NEEDS ASSESSMENT BY PROVIDING INPUT AND SUPPORT.- MHARD IS AN INTEGRAL PART OF THE ARDMORE BEHAVIORAL HEALTH COLLABORATIVE (ABHC), WHICH ALSO INCLUDES REPRESENTATIVES FROM THE FOLLOWING: CARTER COUNTY HEALTH DEPARTMENT, DHS, ARDMORE INSTITUTE OF HEALTH, A LOCAL FOUNDATION, MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES OF SOUTHERN OKLAHOMA, GOOD SHEPHERD COMMUNITY CLINIC, GRACE DAY CENTER, GLORIA AINSWORTH CHILDCARE CENTER, CHILDREN'S SHELTER, OFFICE OF VETERANS AFFAIRS AND ARBUCKLE LIFE SOLUTIONS. PARTICIPATION IN THE COLLABORATIVE CONTINUES TO GROW AND IS NOW WORKING CLOSELY WITH THE NATIONAL COUNCIL ON BEHAVIORAL HEALTH. THE GOAL IS TO ASSESS GAPS AND ASSETS IN OUR COMMUNITY RELATED TO BEHAVIORAL HEALTH WHILE IMPROVING TRAUMA INFORMED UNDERSTANDING ACROSS OUR COMMUNITY. THE ASSESSMENT WILL LEAD TO A COMPREHENSIVE PLAN TO ADDRESS BEHAVIORAL HEALTH SERVICES AND OUTCOMES. MERCY CONTRIBUTES TO THE SALARY OF THE ABHC DIRECTOR ($3,000 PER MONTH) SO THAT OTHER ABHC FUNDING SOURCES, SUCH AS GRANTS, GO COMPLETELY TO PROGRAMMING. MHARD LEADERSHIP SERVES ON THEIR BOARD SINCE 2016.- THOUGH DIABETES CONTINUES TO BE A SIGNIFICANT HEALTH NEED, AFTER WORKING ON DIABETES FOR THE LAST TWO CYCLES, WITH INPUT FROM THE COMMUNITY COMMITTEE OF THE BOARD, WE DECIDED THAT THE EFFORTS THAT ARE UNDERWAY ON THIS TOPIC ARE VERY WELL ESTABLISHED. THE DIABETES PREVENTION PROGRAM IN OUR DIABETES CLINIC IS FULLY RECOGNIZED BY THE CENTERS OF DISEASE CONTROL (CDC). MERCY WILL CONTINUE TO FUND THESE PROGRAMS, BUT OUR FOCUS MOVING FORWARD WILL BE TOWARD THE EXPANSION OF ACCESS TO CARE, BEHAVIORAL HEALTH, AND FOOD INSECURITY. MHARD BEGAN THE PROCESS IN 2017 OF BEING CDC RECOGNIZED AS A DIABETES PREVENTION PROGRAM. MHARD HAS ONE DIABETES EDUCATOR WHO HAVE SUCCESSFULLY COMPLETED LIFE COACH TRAINING. TO DATE, ABOUT 30 PARTICIPANTS COMPLETED THE FIRST COHORT. IN DECEMBER OF 2018, ARDMORE DPP GAINED FULL RECOGNITION BY THE CDC. WE ARE NOW IN THE PROCESS OF CERTIFYING AT LEAST ONE COMMUNITY HEALTH WORKER AS A DIABETES LIFE COACH, TO BE ABLE TO AID IN MORE DPP COHORTS IN THE UPCOMING YEAR.- A BETTER BREATHERS PROGRAM WAS BEGUN TO PROVIDE RESPIRATORY EDUCATIONAL PROGRAMMING. IT IS CURRENTLY STILL IN HIATUS SINCE THE COVID-19 PANDEMIC. INFORMATION CONTINUES TO BE DISTRIBUTED AT LOCAL HEALTH FAIRS TO BRING AWARENESS OF THIS CHRONIC CONDITION IN OUR COMMUNITY. REFERRALS TO THE SMOKING CESSATION HOTLINES CONTINUE TO BE MADE BY PROVIDERS.- MERCY SERVES IN A COLLABORATIVE ROLE WITH THE CARTER COUNTY HEALTHY LIVING COMMITTEE. THIS GROUP INVOLVES EDUCATING COMMUNITY MEMBERS ON HEALTH AND WELLNESS ISSUES AND INVITING THEM TO ADDRESS THE IDENTIFIED ISSUES. THEY UTILIZE TSET FUNDS TO CREATE AND UPDATE POLICIES REGARDING HEALTHY HABITS IN SCHOOLS, BUSINESSES, RESTAURANTS, AND GOVERNMENT AGENCIES.- MHARD CONTRIBUTES TO LEGAL AID SERVICES SO THAT THEY CAN PROVIDE LEGAL ASSISTANCE TO PATIENTS IN NEED OF THAT SERVICE. PATIENTS AND COWORKERS ARE REFERRED TO LEGAL AID SERVICES AS NEEDED.- MHARD PARTICIPATED WITH THE OKLAHOMA BLOOD INSTITUTE IN MULTIPLE BLOOD DRIVES DURING THE YEAR.-MHARD PARTICIPATED FOR A WEEK AT THE SOUP KITCHEN TWICE, SERVING MORE THAN 100 PATRONS EACH TIME.- MERCY HOSPITAL ARDMORE CONTRIBUTED TO C/SARA FOUNDATION (SARA'S PROJECT), MVP READING MENTOR PROGRAM, AMERICAN CANCER SOCIETY, CROSS TIMBERS HOSPICE, REGIONAL FOOD BANK OF OKLAHOMA, CITIES IN SCHOOLS, THE MORE FOUNDATION, YMCA ARDMORE, OHH RESEARCH FOUNDATION, ALZHEIMER'S ASSOCIATION, AND AMERICAN HEART ASSOCIATION.- A COMMUNITY HEALTH WORKER (CHW) HAS BEEN HIRED TO WORK IN THE EMERGENCY DEPARTMENT TO AID SELF-PAY PATIENTS, AS WELL AS THOSE WITH SOCIAL NEEDS. THEY HELP PATIENTS WITH TRANSPORTATION, FOOD INSECURITY, HOUSING, AS WELL AS INSURANCE APPLICATIONS LIKE MEDICAID. A SECOND CHW HAS BEEN HIRED TO WORK IN THE PRIMARY CARE CLINIC. A THIRD CHW WAS HIRED TO FOCUS ON THE INPATIENT DUAL-ELIGIBLE POPULATION AS PART OF THE HEALTH EQUITY INITIATIVE. THEY WILL CONNECT PATIENTS THAT HAVE BOTH MEDICARE AND MEDICAID TO RESOURCES TO HELP WITH THE SOCIAL NEEDS. THEY HELP PATIENTS WITH NAVIGATING HEALTHCARE AND PROVIDING THEM WITH RESOURCES AVAILABLE IN THE COMMUNITY. MHARD COMMUNITY HEALTH WORKERS WERE ABLE TO SIGN UP 102 PREVIOUSLY UNINSURED PATIENTS INTO MEDICAID IN FY24.- MHARD SUPPORTS HEALTH PROFESSIONS STUDENT EDUCATION- NURSING, IMAGING, THERAPY, PHARMACY, MEDICINE, LAB, EMERGENCY MEDICAL TECHNICIAN, AND ADVANCED PRACTICE NURSING. DOZENS OF STUDENTS DO CLINICAL ROTATIONS EVERY SEMESTER. DURING THE SUMMER 5 HIGH SCHOOL STUDENTS PARTICIPATED IN THE TEEN SHADOWING PROGRAM, WHERE THEY WERE ABLE TO SHADOW MORE THAN 10 OF OUR DEPARTMENTS IN THE HOSPITAL. MHARD ALSO PARTICIPATED IN THE LARGE LOCAL CAREER DAY FOR ALL HIGH SCHOOL STUDENTS IN THE AREA. - MHARD HAS BEEN SUPPORTING THE BRIDGES OUT OF POVERTY INITIATIVE, LED BY THE ARDMORE BEHAVIORAL HEALTH COLLABORATIVE, WHICH HOPES TO BRING THE PROGRAM TO OUR AREA IN THE UPCOMING YEAR. THIS PROGRAM STRIVES TO GIVE PEOPLE LIVING IN POVERTY THE TOOLS AND CONNECTIONS NECESSARY TO BE ABLE TO BREAK THE CYCLE OF POVERTY IN THEIR HOMES. MHARD HAS COWORKERS IN THEIR STEERING COMMITTEE AND WILL CONTINUE TO PROVIDE SUPPORT TO BRING THIS INITIATIVE INTO FRUITION BY 2025.- THE DISPENSARY OF HOPE PROGRAM WAS APPROVED TO BE FUNDED AND WAS LAUNCHED IN NOVEMBER 2023. THIS PROGRAM PROVIDES UNINSURED PATIENTS WITH FREE LIFE SAVING MEDICATIONS THROUGH OUR RETAIL PHARMACY. THIS INCLUDES PATIENTS NEEDING MEDICATION FOR CHRONIC CONDITIONS SUCH AS DIABETES AND HEART DISEASE AMONG OTHERS.A FULL DESCRIPTION OF THE COMMUNITY'S BUILDING ACTIVITIES CAN BE FOUND AT: HTTPS://WWW.MERCY.NET/ABOUT/COMMUNITY-BENEFITS/
PART III, LINE 2: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 ACCOUNT, WHERE AVAILABLE. WHERE COST ACCOUNTING IS NOT AVAILABLE, COST REPORT COST TO CHARGE RATIOS WERE UTILIZED.
PART III, LINE 3: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 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.
PART III, LINE 4:IN MAY 2014, THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) AND INTERNATIONAL ACCOUNTING STANDARDS BOARD ISSUED ACCOUNTING STANDARDS UPDATE (ASU) 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606). THE HEALTH SYSTEM ADOPTED ASU 2014-09 ON JULY 1, 2018 USING A FULL RETROSPECTIVE BASIS. UPON ADOPTION, THE MAJORITY OF WHAT WAS PREVIOUSLY CLASSIFIED AS PROVISION FOR UNCOLLECTIBLE ACCOUNTS AND PRESENTED AS A REDUCTION TO PATIENT SERVICE REVENUE ON THE CONSOLIDATED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS IS TREATED A PRICE CONCESSION THAT REDUCES THE TRANSACTION PRICE, WHICH IS REPORTED AS PATIENT SERVICE REVENUE. AS SUCH, BAD DEBT EXPENSE IS NOT REFERENCED IN MERCY HEALTH AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS.BAD DEBT EXPENSE IS TRACKED FOR FORM 990 REPORTING AS FOLLOWS: PATIENT ACCOUNTS RECEIVABLE THAT ARE DEEMED UNCOLLECTIBLE, INCLUDING THOSE PLACED WITH COLLECTION AGENCIES, ARE INITIALLY CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN ACCORDANCE WITH COLLECTION 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 UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES BASED UPON THE PAYOR COMPOSITION AND AGING OF RECEIVABLES 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 PATIENT BALANCES WITH COLLECTION AGENCIES.
PART III, LINE 8:IT IS THE POSITION OF MERCY THAT 100% OF ANY SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS AMOUNT REPRESENTS COST OF PROVIDING SERVICES THAT REMAIN UNCOMPENSATED TO THE PROVIDER. THE UNREIMBURSED COSTS OF MEDICARE IS CALCULATED BY THE GROSS CHARGES NET OF THE COST TO CHARGE RATIO LESS ANY PAYMENTS, DEDUCTIONS OR REIMBURSEMENTS USING THE ANNUAL MEDICARE COST REPORT (CMS FORM 2552-96).
PART III, LINE 9B:MERCY'S COLLECTION POLICY PROVIDES THAT MERCY WILL PERFORM A REASONABLE COMMUNICATION AND/OR REVIEW OF PATIENT ACCOUNTS AS IT RELATES TO ANY SERVICE PROVIDED AT OUR FACILITIES BEFORE TURNING THE ACCOUNT TO BAD DEBT FOR NONPAYMENT. MERCY ACTIVELY SCRUBS ACCOUNTS FOR PAYOR PLAN COVERAGE, INCLUDING MEDICAID. IN THE EVENT AN ACCOUNT IS TURNED TO COLLECTIONS AND IS IDENTIFIED IN NEED OF FINANCIAL ASSISTANCE DUE TO CIRCUMSTANCE CHANGES, OR PATIENT IS NOW REQUESTING ASSISTANCE, THE ACCOUNTS ARE RETURNED BY THE AGENCY AND CONSIDERED FOR CHARITY IF THE PATIENT PROVIDES THE REQUESTED INFORMATION. IF THE PATIENT FAILS TO RETURN THE INFORMATION, THE ACCOUNT WILL QUALIFY FOR COLLECTIONS.MERCY UTILIZES THE EXPERIAN TOOL TO ENHANCE THE ABILITY TO DETERMINE THE CHARITY QUALIFICATION PRIOR TO TURNING TO BAD DEBT, A PROCESS KNOWN AS PRESUMPTIVE CHARITY FOR ALL COMMUNITIES EXCEPT JOPLIN, MAUDE NORTON, CARTHAGE, SOUTHEAST KANSAS, CAPE GIRARDEU AND STODDARD. THIS PRESUMPTIVE SCREENING PROCESS DETAILS EVALUATIONS THAT TAKE PLACE PRIOR TO PATIENT BILLING AND ADDITIONALLY PRIOR TO BAD DEBT PLACEMENT. THE PRESUMPTIVE SCREENING WAS PER ENCOUNTER AND DID NOT PROMOTE ANY LOOK-BACK ADJUSTMENTS.MERCY WILL GRANT CHARITY IN SITUATIONS WHERE THERE HAS BEEN AN INABILITY TO OBTAIN INFORMATION FROM PATIENTS OR THE INFORMATION PROVIDED IS NOT COMPLETE ENOUGH TO MAKE A CHARITY DETERMINATION WHEN A PATIENT HAS SUBMITTED AN APPLICATION.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. THESE APPROPRIATE MEANS MAY INCLUDE PLACEMENT WITH A COLLECTION AGENCY CONSISTENT WITH MERCY MISSION AND VALUES. THIS OCCURS AFTER 3 MONTHLY STATEMENTS HAVE BEEN SENT WITH THE FINAL STATEMENT INCLUDING NOTIFICATION OF PLACEMENT WITH A COLLECTION AGENCY. WHILE MERCY USES THE COLLECTION FOLLOW-UP SERVICES OF COLLECTION AGENCIES, MERCY WILL NOT UTILIZE ANY TYPE OF EXTRAORDINARY COLLECTION ACTIVITY. THE DEFINITION OF EXTRAORDINARY COLLECTION ACTIVITY IS TAKEN FROM THE 501(R) DESCRIPTION.
PART VI, LINE 2:THE CARTER COUNTY/COUNTY HEALTH DEPARTMENT AND GOOD SHEPHERD COMMUNITY CLINIC AS WELL AS THE OKLAHOMA STATE HEALTH DEPARTMENT, AND THE ARDMORE BEHAVIORAL HEALTH COLLABORATIVE SERVES AS PRIMARY PARTNERS FOR MERCY HOSPITAL ARDMORE IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. OTHER COMMUNITY PARTNERS INCLUDE OTHER COMMUNITY GROUPS WHO STRIVE TO IMPROVE THE HEALTH OF OKLAHOMANS. MERCY HOSPITAL ARDMORE CONDUCTED ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) BY COLLECTING AND ANALYZING A SIGNIFICANT QUANTITY OF PRIMARY AND SECONDARY DATA. PRIMARY DATA WAS OBTAINED UTILIZING THE ARDMORE COMMUNITY HEALTH SURVEY, AS WELL AS KEY COMMUNITY CHATS THAT SERVED AS FOCUS GROUPS IN OUR AREA. SECONDARY DATA WAS COLLECTED FROM PUBLICLY AVAILABLE DATA SOURCES AND FROM INTERNAL MERCY DATA. THIS WORK WAS CONDUCTED BETWEEN JUNE 2021 TO APRIL 2022. THE THOUGHTS AND OPINIONS OF PEOPLE WITHIN MERCY'S SERVICE AREA OF SOUTHERN OKLAHOMA WERE CENTRAL TO THE HEALTH NEEDS ASSESSMENT PROCESS. THE COMMUNITY COMMITTEE OF THE MERCY HOSPITAL ARDMORE BOARD OF DIRECTORS HELPED GUIDE THE CHNA PROCESS. MERCY WORKED WITH LOCAL COMMUNITY CHURCHES TO REACH THE UNDERSERVED POPULATIONS AS WELL AS OUR HISPANIC POPULATION.PLEASE REFER TO THE COMMUNITY HEALTH NEEDS ASSESSMENT WHICH CAN BE FOUND AT: HTTPS://WWW.MERCY.NET/ABOUT/COMMUNITY-BENEFITS/
PART VI, LINE 3:MERCY INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY THROUGH SEVERAL MEANS. IF AT ANY TIME A PATIENT EXPRESSES HARDSHIP AND INABILITY TO PAY, THE ACCOUNT IS PLACED FOR REVIEW. IN ADDITION, PATIENTS HAVE SIGNAGE ABOUT THE POLICY AT THE ACCESS POINTS, AND ALL STAFF WORKING WITH THE PATIENT AT POINT OF SERVICE, SCHEDULING, CUSTOMER SERVICE, AND EVEN THROUGH THE MEDICAID ELIGIBILITY SCREENING HAVE THE MEANS TO SEND THE ACCOUNT FOR REVIEW. THERE IS THE PLAIN LANGUAGE SUMMARY THAT IS BEING PROVIDED TO ALL WHOM EXPRESS HARDSHIP, IN ADDITION TO THE WEB ADDRESS PROVIDING THE APPLICATION, POLICIES, AND EVEN HOW UNINSURED ACCOUNTS ARE HANDLED. LASTLY, THE STATEMENTS MESSAGE TO THE PATIENT THAT MERCY DOES HAVE A FINANCIAL ASSISTANCE PROGRAM AND TO CALL TO SEE IF THEY ARE ELIGIBLE. MERCY STAFF'S INTERNAL RESOURCES CERTIFIED TO ASSIST PATIENTS WITH MEDICAID APPLICATIONS AS WELL.
PART VI, LINE 4:THE PRIMARY SERVICE AREA FOR MERCY HOSPITAL ARDMORE INCLUDES 41 ZIP CODES ACROSS OKLAHOMA AND TEXAS. THE FOLLOWING INFORMATION IS DERIVED FROM THE ADVISORY BOARD DEMOGRAPHICS AND AHA ANALYTICS. THE AREA'S POPULATION IS 104,388. THE MEDIAN HOUSEHOLD INCOME IS $51,000. 86% OF THE POPULATION IS A HIGH SCHOOL GRAD OR GREATER AND THE MEDIAN AGE IS 40. 22.4% OF THE HOUSEHOLDS ARE ON MEDICARE, 29.1% ON MEDICAID, AND 15.8% UNINSURED.
PART VI, LINE 5:PROMOTION OF COMMUNITY HEALTHMERCY PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. MERCY 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.MERCY OFFERS SERVICES AND PROGRAMS WHICH FURTHER HEALTH PROMOTION, MAINTENANCE AND CARE TO THE COMMUNITY. PROGRAMS PROVIDED TO MEET THE COMMUNITY NEEDS INCLUDE SUPPORT GROUPS FOR VARIOUS SITUATIONS, OUTREACH PROGRAMS, BLOOD DRIVES, ETC.MERCY 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 REVIEWED AND RESOLVED. THIS PROCESS ENSURES THAT PUBLIC, RATHER THAN PRIVATE, INTERESTS ARE SERVED BY MERCY.SURPLUS FUNDS AND UNRESTRICTED ASSETS HELD BY MERCY 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 COMMUNITY IT SERVES.
PART VI, LINE 6:AFFILIATED HEALTH CARE SYSTEMTHE FILING ORGANIZATION IS PART OF MERCY HEALTH ("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 ARKANSAS, LOUISIANA, MISSISSIPPI, AND TEXAS. MERCY'S MISSION IS "AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE." AS OF JUNE 30, 2024, MERCY FACILITIES INCLUDED 32 ACUTE CARE HOSPITALS, 5 HEART HOSPITALS, 7 REHAB HOSPITALS, 2 CHILDREN'S HOSPITALS, 3 ORTHOPEDIC HOSPITALS, AND 1 VIRTUAL CARE COMMAND CENTER. FOR THE FISCAL YEAR ENDED JUNE 30, 2024, MERCY HAD MORE THAN 11.9 MILLION CLINIC AND OUTPATIENT VISITS, APPROXIMATELY 2,600 EMPLOYED PHYSICIANS, AND APPROXIMATELY 52,000 FULL-TIME EQUIVALENT EMPLOYEES, MAKING MERCY THE SIXTH LARGEST CATHOLIC HEALTH SYSTEM IN THE UNITED STATES. 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: FINANCE (INCLUDING TREASURY, FINANCIAL ACCOUNTING AND REPORTING, REVENUE MANAGEMENT, INTERNAL AUDIT, ACCOUNTS PAYABLE AND PAYROLL OPERATIONS, ANALYTICS AND DECISION SUPPORT); ENVIRONMENTAL SERVICES SUPPORT; CLINICAL INTEGRATION; CARE MANAGEMENT; CLINICAL PERFORMANCE ACCELERATION; CLINICAL ENGINEERING; CLINICAL QUALITY MANAGEMENT; COMPLIANCE; GRANTS AND RESEARCH SERVICES; LEGAL AND COMPLIANCE COUNSEL; MARKETING AND COMMUNICATIONS; PLANNING, DESIGN AND CONSTRUCTION; PRODUCT DEVELOPMENT INFORMATICS; REAL ESTATE; SUPPLY CHAIN MANAGEMENT; MANAGED CARE STRATEGY SUPPORT; HUMAN RESOURCES (INCLUDING COMPENSATION, BENEFITS AND RECRUITING); MISSION SERVICES AND ETHICS; PHILANTHROPY SUPPORT; INFORMATION TECHNOLOGY; AND, COMMUNITY RELATIONS. THE CENTRALIZATION OF SUCH SUPPORT SERVICES ENABLES MERCY TO ENSURE THAT EACH OF ITS COMMUNITIES, WHETHER LARGE OR SMALL, HAS THE SERVICES IT NEEDS.
FORM 990, SCHEDULE H, PART VI, LINE 7STATE FILING OF COMMUNITY BENEFIT REPORT: OK

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
MERCY HEALTH FOUNDATION ARDMORE
1011 14TH AVENUE NWARDMOREOK73401710962525501(C)(3)$188,582$0FOUNDATION SUPPORT
LIGHTHOUSE BEHAVORIAL WELLNESS
PO BOX 189ARDMOREOK73402730618672501(C)(3)$36,000$0GENERAL SUPPORT
THE GODDARD CENTER
PO BOX 1624ARDMOREOK73402731144122501(C)(3)$10,000$0PLEDGE FOR CHILDREN'S ART ROOM
AMERICAN HEART ASSOCIATION
1234 N LAMAR BLVD STE 200AUSTINTX78753135613797501(C)(3)$7,500$0HEART WALK SPONSOR
FieldValueIRS element (for citing)
Total501c3 Org4Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ASSISTANCE PROVIDED IS INTENDED TO BE USED FOR THE GENERAL OPERATING PURPOSES OF THE DONEES. THE USE OF GRANT FUNDS IS NOT MONITORED AFTER GRANTS ARE GIVEN. HOWEVER, ONE GRANTEE IS PART OF MERCY HEALTH AND THEREFORE RELATED ORGANIZATIONS TO MERCY HOSPITAL ARDMORE. LEADERSHIP OF THE HOSPITAL AND THE GRANTEE COMMUNICATE ON HOW FUNDS ARE USED, ALTHOUGH THERE IS NO FORMAL MONITORING PROCESS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
VOSS DARYLE
PRESIDENT, MERCY HOSPITAL ARDMORE &$0$325,902$0$434,030$0$29,952$0$62,319$0$19,216$0$871,419$0$134,191
PATEL VISHAL
HOSPITALIST$0$639,784$0$38,595$0$45,540$0$6,407$0$18,586$0$748,912$0$0
ENLOE TRACY
FORMER OFFICER$0$311,960$0$242,457$0$30,804$0$15,482$0$18,671$0$619,374$0$0
MURTHY GIRISH
HOSPITALIST$0$543,930$0$42,080$0$23,009$0$6,863$0$1,167$0$617,049$0$0
WILSON LINDSAY
PHYSICIAN AND BM$0$477,478$0$71,114$0$39,975$0$8,533$0$18,671$0$615,771$0$0
IQBAL ASIF
HOSPITALIST$0$522,910$0$39,531$0$23,040$0$3,240$0$19,470$0$608,191$0$0
LE BICH-VI
FORMER KEY EMPLOYEE$0$365,759$0$104,548$0$73,355$0$17,861$0$18,741$0$580,264$0$0
OBI EMMANUEL
HOSPITALIST$0$447,493$0$39,910$0$45,528$0$3,050$0$7,189$0$543,170$0$0
OLUSANYA OLUDAYO
HOSPITALIST$0$369,896$0$50,000$0$37,871$0$0$0$4,153$0$461,920$0$0
BROWN MORRIS
EXECUTIVE DIRECTOR, FINANCE (THRU 12$0$115,035$0$25,852$0$47,784$0$1,906$0$13,344$0$203,921$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3MERCY HOSPITAL ARDMORE, INC. RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTIONS 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS.
FORM 990, SCHEDULE J, PART IITHE AMOUNT REPORTED FOR DARYLE VOSS IN COLUMN (F) IS EITHER INCLUDED IN B(I) BASE COMPENSATION, B(II) AS BONUS AND INCENTIVE COMPENSATION, OR B(III) AS OTHER REPORTABLE COMPENSATION. THIS AMOUNT IS A PAYOUT OF THE SUPPLEMENTAL RETIREMENT PLAN AND EXECUTIVE RETENTION PLAN AND WAS INCLUDED IN COLUMN (C) OF PREVIOUSLY FILED FORMS 990.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART V, QUESTION 1AFORM 1099/1096 FILING VENDORS 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 MERCY HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN.
FORM 990, PART V, QUESTION 2AW-3 FILING MOST EMPLOYEES ARE PAID BY A RELATED ORGANIZATION UNDER A COMMON PAYMASTER ARRANGEMENT. AS SUCH, REQUIRED PAYROLL FILING (INCLUDING W-2 AND W-3'S) IS REPORTED UNDER THE RELATED ORGANIZATION, MHM SUPPORT SERVICES, EIN 20-2553101.
FORM 990, PART VI, SECTION A, LINE 6MERCY HEALTH OKLAHOMA COMMUNITIES IS THE SOLE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7AMERCY HEALTH OKLAHOMA COMMUNITIES (THE MEMBER) MAY APPOINT OR REMOVE MEMBERS OF THE BOARD OF DIRECTORS AT ANY TIME AT THE MEMBER'S DISCRETION.
FORM 990, PART VI, SECTION A, LINE 7BMERCY HEALTH OKLAHOMA COMMUNITIES HAS THE FOLLOWING POWERS AND RESPONSIBILITIES: -TO APPROVE THE MISSION AND ESTABLISH THE PHILOSOPHY ACCORDING TO WHICH THE CORPORATION SHALL OPERATE; -TO AMEND AND APPROVE THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION AND TO AMEND AND APPROVE THE ARTICLES OF INCORPORATION AND BYLAWS OF ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO APPOINT AND REMOVE THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION; -TO APPROVE OR AMEND THE STRATEGIC PLAN, GOALS AND OBJECTIVES OF THE CORPORATION; -TO APPROVE OR AMEND THE OPERATING, CAPITAL, AND CONSTRUCTION BUDGETS FOR THE CORPORATION; -TO LEASE OR SELL ANY OF THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION IN EXCESS OF ONE MILLION DOLLARS ($1,000,000); -TO ENCUMBER ANY OR ALL OF THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION; -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 EXECUTE 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, -TO APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION BY THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11BDSCR THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 THE FORM 990 IS PREPARED BY MERCY HEALTH'S TAX DEPARTMENT, USING INFORMATION PROVIDED BY THE FILING ORGANIZATION. A DRAFT FORM 990 IS REVIEWED BY THE FILING ORGANIZATION'S FINANCE TEAM, INCLUDING THE DIRECTOR OF FINANCE AND THE CHIEF FINANCIAL OFFICER. THE DRAFT FORM 990 IS ALSO REVIEWED BY MERCY HEALTH'S TAX DEPARTMENT, TO ENSURE ACCURACY AND CONSISTENCY WITH OTHER RELATED ORGANIZATIONS' FORMS 990. 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 12COFFICERS, 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, 2024. THIS PROCESS IS ADMINISTERED AT THE MERCY HEALTH LEVEL BY MERCY'S CORPORATE COMPLIANCE DEPARTMENT. THE CONFLICTS AND THEIR RESPECTIVE RESOLUTIONS ARE SHARED AT THE MERCY LEVEL WITH A TEAM INCLUDING MERCY'S SENIOR VICE PRESIDENT OF FINANCIAL OPERATIONS & PLANNING, CHIEF COMPLIANCE OFFICER AND OTHER MEMBERS OF FINANCE, LEGAL AND HR. THE QUESTIONNAIRES ARE THEN REVIEWED WITH LEADERSHIP AT THE LOCAL LEVEL AND POTENTIAL CONFLICTS DISCUSSED AND RESOLVED. SUMMARY RESULTS ARE REVIEWED WITH MERCY'S STEWARDSHIP COMMITTEE OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY EMPLOYEES FOR THE TOP MANAGEMENT OFFICIALS, THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS) AND KEY EMPLOYEES, THE ORGANIZATION RELIES UPON MERCY HEALTH, WHICH USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, AND ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT. FOR CERTAIN EXECUTIVES AND PHYSICIANS THE COMPENSATION IS REVIEWED/APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF MERCY HEALTH. FOR ALL OTHER CAREGIVERS COMPENSATION IS REVIEWED/APPROVED BY THE TOTAL REWARDS OVERSIGHT COMMITTEE. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS AND REVIEW WAS COMPLETED DURING THE REPORTING YEAR.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST BUT ARE NOT PUBLISHED PUBLICLY.
FORM 990, PART VII, SECTION AFORMER EMPLOYEE COMPENSATION IS REPORTED FOR THE CALENDAR YEAR ENDING WITHIN THE ORGANIZATION'S FISCAL YEAR WHILE AVERAGE HOURS ARE BASED ON THE FISCAL YEAR PERIOD FROM JULY 1, 2023 THROUGH JUNE 30, 2024.
FORM 990, PART VII, SECTION BIT IS POSSIBLE THAT A PORTION OF THE AMOUNTS REPORTED FOR JE DUNN CONSTRUCTION WERE RELATED TO MATERIALS IN ADDITION TO AMOUNTS PAID FOR SERVICES. HOWEVER, THE AMOUNTS ARE NOT DISTINGUISHABLE.
FORM 990, PART XI, LINE 9:NET TRANSFERS (TO)/FROM AFFILIATES -13,468,359. SAFETY SECURITY GRANT -75,000. FY17 HPP ACTIVITY 5,455.
FORM 990, PART XII, QUESTION 2CAUDIT OF FINANCIAL STATEMENTS THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN MERCY HEALTH AND SUBSIDIARIES ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 2024 (THE TAX YEAR CURRENTLY BEING REPORTED). HOWEVER, NO SEPARATE AUDIT OPINION WAS 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, PART XII, QUESTION 3A AND 3BSINGLE AUDIT ACT AND 2 CFR 200 AUDIT MERCY HEALTH UNDERGOES A CONSOLIDATED 2 CFR 200 AUDIT EVERY YEAR AND THIS AUDIT WAS COMPLETED FOR THE FISCAL YEAR ENDING JUNE 30, 2024 BY DECEMBER 13, 2024. EACH ENTITY THAT RECEIVES FEDERAL FUNDS DURING THE YEAR IS INCLUDED ON THE SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS (SEFA) AND IS ALSO INCLUDED IN THE POPULATION INCLUDED IN THE AUDIT. IF THE FILING ENTITY RECEIVED FEDERAL FUNDS DURING THE YEAR ENDED JUNE 30, 2024, IT WILL BE INCLUDED ON THE MERCY HEALTH CONSOLIDATED SEFA, AND THEREFORE, ALSO INCLUDED IN THE POPULATION INCLUDED IN THE AUDIT.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (72 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
CASA DE MISERICORDIA
1000 MIER STLAREDOTX78040742912461WOMEN'S DOMESTIC VIOLENCE SHELTERTX501(C)(3)LINE 7MERCY MINISTRIES OF LAREDOYes (1)
MCAULEY PORTFOLIO MANAGEMENT COMPANY
15740 SOUTH OUTER 40 RDCHESTERFIELDMO63017261708048PORTFOLIO MANAGEMENT.MO501(C)(3)LINE 12B, IIMERCY HEALTHYes (1)
MERCY ACO CLINICAL SERVICES INC
15740 SOUTH OUTER 40 RDCHESTERFIELDMO63017464504901VIRTUAL CARE CENTERMO501(C)(3)LINE 3MERCY HEALTHYes (1)
MERCY CLINIC EAST COMMUNITIES
15740 SOUTH OUTER 40 RDCHESTERFIELDMO63017431771217PHYSICIAN GROUPMO501(C)(3)LINE 10MERCY HEALTH EAST COMMUNITIESYes (1)
MERCY CLINIC FORT SMITH COMMUNITIES
7301 ROGERS AVENUEFORT SMITHAR72903261318597PHYSICIAN CLINICAR501(C)(3)LINE 3MERCY HEALTH FORT SMITH COMMUNITIESYes (1)
MERCY CLINIC OKLAHOMA COMMUNITIES INC
4300 W MEMORIAL ROADOKLAHOMA CITYOK73120270473057PHYSICIAN GROUPOK501(C)(3)LINE 3MERCY HEALTH OKLAHOMA COMMUNITIES INCYes (1)
MERCY CLINIC SPRINGFIELD COMMUNITIES
1965 S FREMONT SUITE 200SPRINGFIELDMO65804431560263PHYSICIAN GROUPMO501(C)(3)LINE 3MERCY HEALTH SPRINGFIELD COMMUNITIESYes (1)
MERCY FAMILY CENTER
110 VETERANS BLVDMETAIRIELA70005721069468FAMILY COUNSELING SERVICELA501(C)(3)LINE 7MERCY HEALTHYes (1)
MERCY HEALTH
15740 SOUTH OUTER 40 RDCHESTERFIELDMO63017431423050CORPORATE OFFICEMO501(C)(3)LINE 10N/A
MERCY HEALTH EAST COMMUNITIES
15740 SOUTH OUTER 40 RDCHESTERFIELDMO63017431718408HEALTH SYSTEMMO501(C)(3)LINE 12A, IMERCY HEALTHYes (1)
MERCY HEALTH FORT SMITH COMMUNITIES
7301 ROGERS AVENUEFORT SMITHAR72917261318515HOLDING COMPANYAR501(C)(3)LINE 12B, IIMERCY HEALTHYes (1)
MERCY HEALTH FOUNDATION
15740 SOUTH OUTER 40 RDCHESTERFIELDMO63017200901499FOUNDATIONMO501(C)(3)LINE 12B, IIMERCY HEALTHYes (1)
MERCY HEALTH FOUNDATION ADA
430 N MONTE VISTA STREETADAOK74820463596274FOUNDATIONOK501(C)(3)LINE 12A, IMERCY HOSPITAL ADA INCYes (1)
MERCY HEALTH FOUNDATION ARDMORE
1011 14TH AVENUE NWARDMOREOK73401710962525FOUNDATIONOK501(C)(3)LINE 12A, IMERCY HOSPITAL ARDMORE INCYes (1)
MERCY HEALTH FOUNDATION BERRYVILLE
214 CARTER STREETBERRYVILLEAR72616710759301FOUNDATIONAR501(C)(3)LINE 12A, IMERCY HOSPITAL BERRYVILLEYes (1)
MERCY HEALTH FOUNDATION FORT SCOTT
401 WOODLAND HILLS BLVDFORT SCOTTKS66701481077073FOUNDATIONKS501(C)(3)LINE 7MERCY KANSAS COMMUNITIES INCYes (1)
MERCY HEALTH FOUNDATION FORT SMITH
7301 ROGERS AVENUEFORT SMITHAR72917237330425FOUNDATIONAR501(C)(3)LINE 7MERCY HEALTH FORT SMITH COMMUNITIESYes (1)
MERCY HEALTH FOUNDATION JEFFERSON
1400 US HIGHWAY 61 SOUTHFESTUSMO63028462797051FOUNDATIONMO501(C)(3)LINE 12B, IIMERCY HOSPITAL JEFFERSONYes (1)
MERCY HEALTH FOUNDATION JOPLIN
100 MERCY WAYJOPLINMO64804270906136FOUNDATIONMO501(C)(3)LINE 7MERCY HEALTH SW MOKS COMMUNITIESYes (1)
MERCY HEALTH FOUNDATION LEBANON
100 HOSPITAL DRIVELEBANONMO65536822514567FOUNDATIONMO501(C)(3)LINE 12B, IIMERCY HOSPITAL LEBANONYes (1)
MERCY HEALTH FOUNDATION LINCOLN
1000 EAST CHERRY STREETTROYMO63379811477159FOUNDATIONMO501(C)(3)LINE 12B, IIMERCY HOSPITALS EAST COMMUNITIESYes (1)
MERCY HEALTH FOUNDATION NORTHWEST ARKANSAS
2710 RIFE MEDICAL LANEROGERSAR72758710601687FOUNDATIONAR501(C)(3)LINE 7MERCY HOSPITAL ROGERSYes (1)
MERCY HEALTH FOUNDATION OF OKLAHOMA
4300 W MEMORIAL ROADOKLAHOMA CITYOK73120454732301FOUNDATIONOK501(C)(3)LINE 12A, IMERCY HEALTH OKLAHOMA COMMUNITIES INCYes (1)
MERCY HEALTH FOUNDATION OKLAHOMA CITY
4300 W MEMORIAL ROADOKLAHOMA CITYOK73120463184231FOUNDATIONOK501(C)(3)LINE 12A, IMERCY HOSPITAL OKLAHOMA CITY INCYes (1)
MERCY HEALTH FOUNDATION SPRINGFIELD
1235 E CHEROKEE STREETSPRINGFIELDMO65804320195818FOUNDATIONMO501(C)(3)LINE 12B, IIMERCY HEALTH SPRINGFIELD COMMUNITIESYes (1)
MERCY HEALTH FOUNDATION ST FRANCIS
100 W US HIGHWAY 60MOUNTAIN VIEWMO65548431873914FOUNDATIONMO501(C)(3)LINE 12A, IMERCY ST FRANCIS HOSPITALYes (1)
MERCY HEALTH FOUNDATION ST LOUIS
615 SOUTH NEW BALLAS ROADST LOUISMO63141562410020FOUNDATIONMO501(C)(3)LINE 12B, IIMERCY HEALTH EAST COMMUNITIESYes (1)
MERCY HEALTH FOUNDATION WASHINGTON
901 E FIFTH STREETWASHINGTONMO63090562410022FOUNDATIONMO501(C)(3)LINE 12B, IIMERCY HEALTH EAST COMMUNITIESYes (1)
MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES
2710 RIFE MEDICAL LANEROGERSAR72758621684203PHYSICIAN GROUPAR501(C)(3)LINE 10MERCY HEALTHYes (1)
MERCY HEALTH OKLAHOMA COMMUNITIES INC
4300 W MEMORIAL ROADOKLAHOMA CITYOK73120731453048HEALTH SYSTEMOK501(C)(3)LINE 12A, IMERCY HEALTHYes (1)
MERCY HEALTH SOUTHWEST MISSOURIKANSAS COMMUNITIES
100 MERCY WAYJOPLINMO64804300584463HEALTH SYSTEMMO501(C)(3)LINE 12B, IIMERCY HEALTHYes (1)
MERCY HEALTH SPRINGFIELD COMMUNITIES
1235 E CHEROKEE STREETSPRINGFIELDMO65804431856028HEALTH SYSTEMMO501(C)(3)LINE 12B, IIMERCY HEALTHYes (1)
MERCY HOSPITAL ADA INC
430 N MONTE VISTA STREETADAOK74820462288155HOSPITALOK501(C)(3)LINE 3MERCY HEALTH OKLAHOMA COMMUNITIES INCYes (1)
MERCY HOSPITAL AURORA
500 PORTER AVENUEAURORAMO65605431936696HOSPITALMO501(C)(3)LINE 3MERCY HEALTH SPRINGFIELD COMMUNITIESYes (1)
MERCY HOSPITAL BERRYVILLE
214 CARTER STREETBERRYVILLEAR72616710759299HOSPITALAR501(C)(3)LINE 3MERCY HEALTH NW ARK COMMUNITIESYes (1)
MERCY HOSPITAL BOONEVILLE
880 WEST MAIN STREETBOONEVILLEAR72927463851119HOSPITALAR501(C)(3)LINE 3MERCY HOSPITAL FORT SMITHYes (1)
MERCY HOSPITAL CARTHAGE
3125 DR RUSSELL SMITH WAYCARTHAGEMO64836453808607HOSPITALMO501(C)(3)LINE 3MERCY HEALTH SW MOKS COMMUNITIESYes (1)
MERCY HOSPITAL CASSVILLE
94 MAIN STREETCASSVILLEMO65625431936699HOSPITALMO501(C)(3)LINE 3MERCY HEALTH SPRINGFIELD COMMUNITIESYes (1)
MERCY HOSPITAL COLUMBUS
220 PENNSYLVANIA AVENUECOLUMBUSKS66725270842031HOSPITALKS501(C)(3)LINE 3MERCY HEALTH SW MOKS COMMUNITIESYes (1)
MERCY HOSPITAL EL RENO INC
2115 PARKVIEW DRIVEEL RENOOK73036272716065HOSPITALOK501(C)(3)LINE 3MERCY HOSPITAL OKLAHOMA CITY INCYes (1)
MERCY HOSPITAL FORT SMITH
7301 ROGERS AVENUEFORT SMITHAR72903710240352HOSPITALAR501(C)(3)LINE 3MERCY HEALTH FORT SMITH COMMUNITIESYes (1)
MERCY HOSPITAL HEALDTON INC
3462 HOSPITAL RDHEALDTONOK73438263173902HOSPITALOK501(C)(3)LINE 3MERCY HOSPITAL ARDMORE INCYes (1)
MERCY HOSPITAL JEFFERSON
1400 HIGHWAY 61 SOUTHFESTUSMO63028430687077HOSPITALMO501(C)(3)LINE 3MERCY HEALTH EAST COMMUNITIESYes (1)
MERCY HOSPITAL JOPLIN
100 MERCY WAYJOPLINMO64804270814858HOSPITALMO501(C)(3)LINE 3MERCY HEALTH SW MOKS COMMUNITIESYes (1)
MERCY HOSPITAL KINGFISHER INC
1000 KINGFISHER REGIONAL HOSPITAL CKINGFISHEROK73750463433074HOSPITALOK501(C)(3)LINE 3MERCY HOSPITAL OKLAHOMA CITY INCYes (1)
MERCY HOSPITAL LEBANON
100 HOSPITAL DRIVELEBANONMO65536431767432HOSPITALMO501(C)(3)LINE 3MERCY HEALTH SPRINGFIELD COMMUNITIESYes (1)
MERCY HOSPITAL LINCOLN
1000 EAST CHERRY STREETTROYMO63379472219204HOSPITALMO501(C)(3)LINE 3MERCY HOSPITALS EAST COMMUNITIESYes (1)
MERCY HOSPITAL LOGAN COUNTY INC
200 SOUTH ACADEMYGUTHRIEOK73044452998842HOSPITALOK501(C)(3)LINE 3MERCY HOSPITAL OKLAHOMA CITY INCYes (1)
MERCY HOSPITAL OKLAHOMA CITY INC
4300 W MEMORIAL ROADOKLAHOMA CITYOK73120730579285HOSPITALOK501(C)(3)LINE 3MERCY HEALTH OKLAHOMA COMMUNITIES INCYes (1)
MERCY HOSPITAL OZARK
801 W RIVER STREETOZARKAR72949710689680HOSPITALAR501(C)(3)LINE 3MERCY HOSPITAL FORT SMITHYes (1)
MERCY HOSPITAL PARIS
500 E ACADEMYPARISAR72855710655753HOSPITALAR501(C)(3)LINE 3MERCY HOSPITAL FORT SMITHYes (1)
MERCY HOSPITAL ROGERS
2710 RIFE MEDICAL LANEROGERSAR72758710294390HOSPITALAR501(C)(3)LINE 3MERCY HEALTH NW ARK COMMUNITIESYes (1)
MERCY HOSPITAL SPRINGFIELD
1235 E CHEROKEE STREETSPRINGFIELDMO65804440552485HOSPITALMO501(C)(3)LINE 3MERCY HEALTH SPRINGFIELD COMMUNITIESYes (1)
MERCY HOSPITAL TISHOMINGO INC
1000 SOUTH BYRDTISHOMINGOOK73460274433830HOSPITALOK501(C)(3)LINE 3MERCY HOSPITAL ADA INCYes (1)
MERCY HOSPITAL WALDRON
1341 W 6TH STREETWALDRONAR72958710557895HOSPITALAR501(C)(3)LINE 3MERCY HOSPITAL FORT SMITHYes (1)
MERCY HOSPITAL WATONGA INC
500 CLARENCE NASH BLVDWATONGAOK73772455199762HOSPITALOK501(C)(3)LINE 3MERCY HOSPITAL OKLAHOMA CITY INCYes (1)
MERCY HOSPITALS EAST COMMUNITIES
615 S NEW BALLAS ROADST LOUISMO63141430653493HOSPITALMO501(C)(3)LINE 3MERCY HEALTH EAST COMMUNITIESYes (1)
MERCY KANSAS COMMUNITIES INC
401 WOODLAND HILLS BLVDFT SCOTTKS66701480956045HOSPITALKS501(C)(3)LINE 3MERCY HEALTH SW MOKS COMMUNITIESYes (1)
MERCY MINISTRIES OF LAREDO
2500 ZACATECAS STLAREDOTX78046200198462OUTREACHTX501(C)(3)LINE 7MERCY HEALTHYes (1)
MERCY RESEARCH
524 NORTH BOONEVILLE AVENUESPRINGFIELDMO65802870796305RESEARCHMO501(C)(3)LINE 4MERCY HEALTHYes (1)
MERCY ST FRANCIS HOSPITAL
100 W US HIGHWAY 60MOUNTAIN VIEWMO65548440607149HOSPITALMO501(C)(3)LINE 3MERCY HEALTH SPRINGFIELD COMMUNITIESYes (1)
MHM SUPPORT SERVICES
15740 SOUTH OUTER 40 RDCHESTERFIELDMO63017202553101CENTRALIZED HEALTH SYSTEM FUNCTIONSMO501(C)(3)LINE 12A, IMERCY HEALTHYes (1)
MISSION CLINICAL SERVICES
216 MCAULEY COURTHOT SPRINGSAR71913134239691CHILD ADVOCACY CENTERAR501(C)(3)LINE 3MERCY HEALTHYes (1)
MERCY HEALTH FOUNDATION SOUTH
10010 KENNERLY ROADST LOUISMO63128261516789FUNDRAISINGMO501(C)(3)LINE 12A, IMERCY HOSPITAL SOUTHYes (1)
MERCY HOSPITAL SOUTH
10010 KENNERLY ROADST LOUISMO63128430980256HOSPITALMO501(C)(3)LINE 3MERCY HEALTH EAST COMMUNITIESYes (1)
ST ANTHONY'S PHYSICIAN ORGANIZATION
10010 KENNERLY ROADST LOUISMO63128431784536HEALTH CAREMO501(C)(3)LINE 3MERCY HOSPITAL SOUTHYes (1)
MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS
1619 W 7TH STREETGALENAKS66739843730625HOSPITALKS501(C)(3)LINE 3MERCY HEALTH SW MOKS COMMUNITIESYes (1)
MERCY HOSPITAL PERRY
434 N WEST STREETPERRYVILLEMO63775923065473HOSPITALMO501(C)(3)LINE 3MERCY HEALTH EAST COMMUNITIESYes (1)
SOUTHEAST HOSPITAL DBA MERCY HOSPITAL SOUTHEAST
1701 LACEY STREETCAPE GIRARDEAUMO63701430654874HOSPITALMO501(C)(3)LINE 3SOUTHEASTHEALTH SYSTEMYes (1)
SOUTHEAST HEALTH CENTER OF RIPLEY COUNTY
1701 LACEY STREETCAPE GIRARDEAUMO63701273868479HOSPITALMO501(C)(3)LINE 3SOUTHEAST HOSPITALYes (1)
SOUTHEASTHEALTH SYSTEM
1701 LACEY STREETCAPE GIRARDEAUMO63701474890906HEALTH SYSTEMMO501(C)(3)LINE 12C, III-FIMERCY HEALTHYes (1)
SOUTHEAST MISSOURI HOSPITAL FOUNDATION
1849 BROADWAYCAPE GIRARDEAUMO63701431122759FOUNDATIONMO501(C)(3)LINE 7SOUTHEAST HOSPITALYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
PLAZA SURGERY SERVICES COMPANY LLC
12700 SOUTHFORK ROADST LOUISMO63128204709312INACTIVEMOMERCY HOSPITAL SOUTH00
ST EDWARD MERCY MC M-P OFFICE BLDG
7301 ROGERS AVENUEFORT SMITHAR72903710554050OFFICE BUILDINGARMERCY HOSPITAL FORT SMITH00
PLATINUM CPS HOLDINGS LLC
15740 SOUTH OUTER 40 RDCHESTERFIELDMO63017842493007HOLDING COMPANYMOMERCY MANAGED CARE CORP MERCY HEALTH00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
FRONTENAC PROPERTIES INC
15740 SOUTH OUTER 40 RDCHESTERFIELDMO63017521914421HOLDING COMPANYDEMERCY HEALTHC0
MERCY HEALTH CENTER CONDOMINIUMS INC
4300 W MEMORIAL RDOKLAHOMA CITYOK73120680640970REAL ESTATEOKMERCY HOSPITAL OKLAHOMA CITY INCC0
MERCY MANAGED CARE CORPORATION
15740 SOUTH OUTER 40 RDCHESTERFIELDMO63017731441665HOLDING COMPANYOKMERCY HEALTHC0
UHL CORP INC
15740 SOUTH OUTER 40 RDCHESTERFIELDMO63017742499535HOLDING COMPANYMOMERCY HOSPITALS EAST COMMUNITIESC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MHM SUPPORT SERVICES
Q$171,058,750FMV
MERCY HEALTH OKLAHOMA COMMUNITIES
Q$72,781,541FMV
MERCY HOSPITAL OKLAHOMA CITY
Q$25,541,540FMV
MERCY CLINIC OKLAHOMA COMMUNITIES INC
P$1,213,559FMV
MERCY HEALTH FOUNDATION ARDMORE
C$1,068,086FMV
MERCY HEALTH FOUNDATION ARDMORE
B$188,582FMV
MERCY HOSPITAL JEFFERSON
Q$95,508FMV
MERCY HOSPITALS EAST COMMUNITIES
Q$93,650FMV
MERCY HEALTH EAST COMMUNITIES
P$58,087FMV

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE R, PART IIMERCY HOSPITALS EAST COMMUNITIES MERCY HOSPITALS EAST COMMUNITIES CONSISTS OF MERCY HOSPITAL ST. LOUIS, EIN 43-0653493, AND MERCY HOSPITAL WASHINGTON, EIN 43-1066883.
FORM 990, SCHEDULE R, PART VLAWSON 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.