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MERCY CLINIC OKLAHOMA COMMUNITIES: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
MERCY CLINIC OKLAHOMA COMMUNITIES (EIN 27-0473057)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-13
IRS object ID
202201339349308260
Schema version
2020v4.2
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)
Return2022-05-13T16:01:23-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN264532849PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PURK & ASSOCIATES PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11034 SOUTH BRENTWOOD BLVD STE 2000AddressLine1Txt
CitySAINT LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63117ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN270473057EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MERCY CLINIC OKLAHOMA COMMUNITIESINCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMERCBusinessNameControlTxt
Phone4057523495PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14300 W MEMORIAL RDAddressLine1Txt
CityOKLAHOMA CITYCityNm
State AbbreviationOKStateAbbreviationCd
ZIP731208304ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHRISTOPHER HAHNEPersonNm
Person TitleVP FINANCEPersonTitleTxt
Phone4059365649PhoneNum
Signature2022-05-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstCHRISTOPHERPersonFirstNm
Person LastHAHNEPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDOUGLAS G PLEUS CPAPreparerPersonNm
PTINP00013488PTIN
Phone3148844000PhoneNum
Preparation2022-05-12PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJESSE CAMPBELL MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14300 W MEMORIAL RDAddressLine1Txt
CityOKLAHOMA CITYCityNm
State AbbreviationOKStateAbbreviationCd
ZIP731208304ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$164,290,727GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MERCY.NETWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2009FormationYr
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 Body8VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee333TotalEmployeeCnt
Total Volunteers1TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$175,775PYContributionsGrantsAmt
CY Contributions Grants$2,796CYContributionsGrantsAmt
PY Program Service Revenue$158,924,355PYProgramServiceRevenueAmt
CY Program Service Revenue$163,983,527CYProgramServiceRevenueAmt
PY Investment Income$49,079PYInvestmentIncomeAmt
CY Investment Income$6,772CYInvestmentIncomeAmt
PY Other Revenue$374,855PYOtherRevenueAmt
CY Other Revenue$231,537CYOtherRevenueAmt
PY Total Revenue$159,524,064PYTotalRevenueAmt
CY Total Revenue$164,224,632CYTotalRevenueAmt
PY Grants And Similar Paid$17,250PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$170,262,750PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$160,558,531CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$62,522,620PYOtherExpensesAmt
CY Other Expenses$55,501,713CYOtherExpensesAmt
PY Total Expenses$232,802,620PYTotalExpensesAmt
CY Total Expenses$216,062,244CYTotalExpensesAmt
PY Revenues Less Expenses-$73,278,556PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$51,837,612CYRevenuesLessExpensesAmt
Total Assets BOY$24,963,921TotalAssetsBOYAmt
Total Assets EOY$23,973,848TotalAssetsEOYAmt
Total Liabilities BOY$11,869,375TotalLiabilitiesBOYAmt
Total Liabilities EOY$13,954,065TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$13,094,546NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$10,019,783NetAssetsOrFundBalancesEOYAmt
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$169,645,489ExpenseAmt
Grant$2,000GrantAmt
Revenue$164,211,350RevenueAmt
DescMERCY CLINIC OKLAHOMA COMMUNITIES ("MCOC") PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. DURING FISCAL YEAR END JUNE 30, 2021, MCOC PROVIDED SERVICES TO APPROXIMATELY 1,100,000 PATIENTS. SERVICES ARE PROVIDED THROUGH PHYSICIAN CLINICS AND PRACTICES, AND RELATED FACILITIES.MCOC RECOGNIZES THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES AND, FURTHER, THAT PART OF OUR MISSION IS TO PROVIDE HEALTH CARE SERVICES AND HEALTH CARE EDUCATION TO THE COMMUNITIES IN WHICH OUR FACILITIES ARE LOCATED. IN KEEPING WITH MCOC'S COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITY, MCOC PROVIDES: (I) FREE CARE AND/OR SUBSIDIZED CARE, (II) CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST.MCOC PROVIDES CARE TO PATIENTS WHO LACK FINANCIAL RESOURCES AND ARE DEEMED TO BE MEDICALLY INDIGENT. MCOC DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE. IN ADDITION, MCOC PROVIDES SERVICES TO OTHER PATIENTS UNDER THE MEDICARE PROGRAM AND VARIOUS STATE MEDICAID PROGRAMS. SUCH PROGRAMS PAY PROVIDERS AMOUNTS THAT ARE LESS THAN BILLED CHARGES OF THE SERVICES PROVIDED TO THE RECIPIENTS. CARE IS PROVIDED TO THOSE WITH LIMITED OR NO ABILITY TO PAY.THE SERVICES PROVIDED BY MCOC, AS WELL AS THE AMOUNT OF CHARITY CARE PROVIDED, DEMONSTRATES THE ONGOING COMMITMENT OF THE ORGANIZATION TO SERVE IN A LEADERSHIP ROLE AS AN ADVOCATE FOR RESPONSIVE HEALTHCARE SERVICES FOR THE COMMUNITY, WITH A DEEP COMMITMENT AND SENSITIVITY TO MEETING THE NEEDS OF THE POOR.Desc
Total Program Service Expenses$169,645,489TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
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 Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
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 MemYes (1)BusinessRlnWithFamMemInd
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
Employee333EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
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 Members8GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
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 Body0Form990ProvidedToGvrnBodyInd
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 OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldOKStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCHRISTOPHER HAHNEPersonNm
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 (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
KIEHN MD MICHAEL
PHYSICIAN & BOARD MEMBER45.000.00Yes (X)$1,048,101$0$33,457
GRAY MD SYLVIA S
PHYSICIAN & BOARD MEMBER45.000.00Yes (X)$1,001,397$0$25,651
VARGHESE MD SONIA
PHYSICIAN AND BOARD MEMBER1.0044.00Yes (X)$618,960$0$10,967
KESTER MD BRANSON
PHYSICIAN & BOARD MEMBER45.000.00Yes (X)$518,574$0$27,605
PICKETT MD STEPHANIE
PHYSICIAN & BOARD MEMBER50.000.00Yes (X)$481,969$0$11,037
MANKIN MD ALICE
PHYSICIAN & BOARD MEMBER45.000.00Yes (X)$456,760$0$22,156
WRIGHT MATT
COO10.0040.00Yes (X)$0$393,081$55,692
KRODEL MD JOHN
PHYSICIAN AND BOARD MEMER45.000.00Yes (X)$360,112$0$33,276
DOWELL DO MATTHEW
PHYSICIAN & BOARD MEMBER45.000.00Yes (X)$335,089$0$28,215
FOSTER KRISTIE
VP - CLINICAL OPS & BOARD MEMBER45.000.00Yes (X)$0$257,960$11,387
HAHNE CHRISTOPHER
VP FINANCE & BOARD MEMBER5.0045.00Yes (X)$0$196,621$24,372
THOMPSON PHILLIP
VP - MISSION & BOARD MEMBER5.0045.00Yes (X)$0$186,663$12,505
SCHREIBER MARTIN
VP - MISSION & BOARD MEMBER5.0045.00Yes (X)$0$102,941$12,939Yes (X)
GREENWAY CLAUDETTE
VP - CLINICAL OPS & BOARD MEMBER45.000.00Yes (X)$0$228,572$14,320
CAMPBELL MD JESSE
COMMUNITY PRESIDENT CLINIC50.000.00$0$724,815$94,575Yes (X)
GOFF MD DARREN W
PHYSICIAN50.000.00$1,265,229$0$31,157Yes (X)
PEERY DO DERECK A
PHYSICIAN50.000.00$1,245,382$0$31,157Yes (X)
MOLLET MD TODD W
PHYSICIAN50.000.00$1,081,745$0$24,788Yes (X)
KAZENSKE MD FAUSTINO
PHYSICIAN50.000.00$1,046,167$0$28,105Yes (X)
BRANTLEY MD STEVEN
PHYSICIAN50.000.00$1,031,382$0$27,605Yes (X)
THOMAS RALPH C CULLEN
FORMER OFFICER0.000.00$0$627,610$0Yes (X)
SORENSEN DONN
FORMER OFFICER0.000.00$0$4,469,703$120,270Yes (X)
VITIELLO JONATHAN
FORMER OFFICER0.000.00$0$1,992,513$93,661Yes (X)
SMALLEY DIANA L
FORMER OFFICER0.000.00$0$1,440,039$23,309Yes (X)
RAJU GARY
FORMER OFFICER0.000.00$0$567,977$48,154Yes (X)
ENLOE TRACY
FORMER OFFICER0.000.00$0$406,070$57,792Yes (X)
LE BICH-VI
FORMER KEY EMPLOYEE0.0050.00$0$640,252$31,773Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$10,490,867TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$12,234,817TotReportableCompRltdOrgAmt
Total Other Compensation$935,925TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K302IndivRcvdGreaterThan100KCnt
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
OKLAHOMA HEART HOSPITAL
4050 WEST MEMORIAL RD 3RD FLOOROKLAHOMA CITYOK73120MEDICAL SERVICES$1,450,624
FLINTCO
2302 S PROSPECT AVEOKLAHOMA CITYOK73129CONSTRUCTION SERVICES$1,446,199
JE DUNN CONSTRUCTION
929 HOLMESKANSAS CITYMO64106CONSTRUCTION SERVICES$1,216,635
OHH PHYSICIANS
PO BOX 268919OKLAHOMA CITYOK73126MEDICAL SERVICES$772,121
CARESTREAM HEALTH
150 VERONA STROCHESTERNY14608IMAGING SERVICES$489,597
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K11CntrctRcvdGreaterThan100KCnt
All Other Contributions$2,796AllOtherContributionsAmt
Total Contributions$2,796TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE621110$150,301,504$150,301,504
OTHER OPERATING REVENUE621110$9,365,536$9,365,536
CAPITATION BONUS621110$4,316,487$4,316,487
FieldValueIRS element (for citing)
Total Program Service Revenue$163,983,527TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,807TotalRevenueColumnAmt
Exclusion$21,807ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$6,222RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$2,508RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$3,714RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,714TotalRevenueColumnAmt
Exclusion$3,714ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$48,552OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$63,587OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$15,035OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$15,035TotalRevenueColumnAmt
Exclusion-$15,035ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
OUTSIDE PAY REVENUE621110$220,434$220,434
OTHER PROFESSIONAL REVENUE621110$7,389$7,389
FieldValueIRS element (for citing)
Other Revenue Total$227,823OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$164,224,632TotalRevenueColumnAmt
Related Or Exempt Func Income$164,211,350RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$10,486ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,000TotalAmt
Program Services$2,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$5,076,526TotalAmt
Program Services$5,076,526ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$43,543TotalAmt
Program Services$43,543ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$137,238,827TotalAmt
Program Services$109,537,384ProgramServicesAmt
Management And General$27,701,443ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,462,709TotalAmt
Program Services$1,974,548ProgramServicesAmt
Management And General$488,161ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,532,398TotalAmt
Program Services$7,656,575ProgramServicesAmt
Management And General$1,875,823ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,204,528TotalAmt
Program Services$4,995,996ProgramServicesAmt
Management And General$1,208,532ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total-$5,760TotalAmt
Management And General-$5,760ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$5,316TotalAmt
Management And General$5,316ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,187,705TotalAmt
Program Services$3,769,801ProgramServicesAmt
Management And General$417,904ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$134,843TotalAmt
Program Services$107,159ProgramServicesAmt
Management And General$27,684ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,239,085TotalAmt
Program Services$745,923ProgramServicesAmt
Management And General$493,162ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$75,370TotalAmt
Program Services$75,370ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$12,056,742TotalAmt
Program Services$9,817,331ProgramServicesAmt
Management And General$2,239,411ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$122,155TotalAmt
Program Services$88,389ProgramServicesAmt
Management And General$33,766ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$52,766TotalAmt
Program Services$43,794ProgramServicesAmt
Management And General$8,972ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,798,342TotalAmt
Program Services$2,234,876ProgramServicesAmt
Management And General$563,466ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,994,713TotalAmt
Program Services$1,574,592ProgramServicesAmt
Management And General$420,121ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DRUGS & MEDICAL EXPENSE$16,684,535$14,120,940$2,563,595
SHARED SERVICE FEE$12,313,924$4,556,152$7,757,772
BAD DEBT$3,009,830$3,009,830$0
REPAIRS & MAINTENANCE$439,679$115,965$323,714

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$392,468TotalAmt
Program Services$98,795ProgramServicesAmt
Management And General$293,673ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$216,062,244TotalAmt
Program Services$169,645,489ProgramServicesAmt
Management And General$46,416,755ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$16,009BOYAmt
EOY$15,345EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$10,852,524BOYAmt
EOY$12,382,028EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$322,470EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$27,458,750LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$16,204,745LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$14,095,388BOYAmt
EOY$11,254,005EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$24,963,921BOYAmt
EOY$23,973,848EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$8,276,701BOYAmt
EOY$12,850,905EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$575,693BOYAmt
EOY$1,094,682EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,016,981BOYAmt
EOY$8,478EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,869,375BOYAmt
EOY$13,954,065EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,094,546BOYAmt
EOY$10,019,783EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,094,546BOYAmt
EOY$10,019,783EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$24,963,921BOYAmt
EOY$23,973,848EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$51,837,612ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$48,762,849OtherChangesInNetAssetsAmt
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 D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,791,471OtherCostOrOtherBasisAmt
Depreciation$1,701,560DepreciationAmt
Book Value$1,089,911BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,522,684OtherCostOrOtherBasisAmt
Depreciation$4,126,176DepreciationAmt
Book Value$3,396,508BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,980,073OtherCostOrOtherBasisAmt
Depreciation$10,225,192DepreciationAmt
Book Value$6,754,881BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$164,522OtherCostOrOtherBasisAmt
Depreciation$151,817DepreciationAmt
Book Value$12,705BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$11,254,005TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescOTHER ASSETSDesc
Amt$8,478Amt
FieldValueIRS element (for citing)
Total Liability$8,478TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2FormAndLineReferenceDesc
ExplanationFEDERAL INCOME TAX PRIMARILY ALL OF THE MERCY HEALTH ENTITIES ARE RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS CHARITABLE ORGANIZATIONS QUALIFYING UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), BY VIRTUE OF IRS DETERMINATION LETTERS OR INCLUSION IN THE OFFICIAL CATHOLIC DIRECTORY. MERCY COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2021 OR 2020.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
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 (26 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
SORENSEN DONN
FORMER OFFICER$0$901,094$0$1,508,285$0$2,060,324$0$110,491$0$9,779$0$4,589,973$0$872,529
VITIELLO JONATHAN
FORMER OFFICER$0$246,208$0$770,882$0$975,423$0$86,998$0$6,663$0$2,086,174$0$441,629
SMALLEY DIANA L
FORMER OFFICER$0$407,399$0$400,221$0$632,419$0$16,676$0$6,633$0$1,463,348$0$100,221
GOFF MD DARREN W
PHYSICIAN$1,212,961$0$23,946$0$28,322$0$15,400$0$15,757$0$1,296,386$0$0$0
PEERY DO DERECK A
PHYSICIAN$1,192,022$0$24,004$0$29,356$0$15,400$0$15,757$0$1,276,539$0$0$0
MOLLET MD TODD W
PHYSICIAN$1,020,880$0$21,379$0$39,486$0$9,800$0$14,988$0$1,106,533$0$0$0
KIEHN MD MICHAEL
PHYSICIAN & BOARD MEMBER$976,380$0$24,979$0$46,742$0$18,200$0$15,257$0$1,081,558$0$0$0
KAZENSKE MD FAUSTINO
PHYSICIAN$1,006,127$0$20,000$0$20,040$0$12,600$0$15,505$0$1,074,272$0$0$0
BRANTLEY MD STEVEN
PHYSICIAN$981,268$0$30,074$0$20,040$0$12,600$0$15,005$0$1,058,987$0$0$0
GRAY MD SYLVIA S
PHYSICIAN & BOARD MEMBER$924,347$0$37,510$0$39,540$0$12,600$0$13,051$0$1,027,048$0$0$0
CAMPBELL MD JESSE
COMMUNITY PRESIDENT CLINIC$0$552,637$0$105,456$0$66,722$0$78,818$0$15,757$0$819,390$0$0
LE BICH-VI
FORMER KEY EMPLOYEE$0$354,608$0$155,045$0$130,599$0$16,451$0$15,322$0$672,025$0$0
VARGHESE MD SONIA
PHYSICIAN AND BOARD MEMBER$586,922$0$12,080$0$19,958$0$9,800$0$1,167$0$629,927$0$0$0
THOMAS RALPH C CULLEN
FORMER OFFICER$0$0$0$0$0$627,610$0$0$0$0$0$627,610$0$0
RAJU GARY
FORMER OFFICER$0$99,783$0$159,624$0$308,570$0$42,431$0$5,723$0$616,131$0$102,659
KESTER MD BRANSON
PHYSICIAN & BOARD MEMBER$449,177$0$9,996$0$59,401$0$12,600$0$15,005$0$546,179$0$0$0
PICKETT MD STEPHANIE
PHYSICIAN & BOARD MEMBER$438,264$0$4,222$0$39,483$0$9,800$0$1,237$0$493,006$0$0$0
MANKIN MD ALICE
PHYSICIAN & BOARD MEMBER$421,618$0$7,295$0$27,847$0$12,602$0$9,554$0$478,916$0$0$0
ENLOE TRACY
FORMER OFFICER$0$321,136$0$64,894$0$20,040$0$42,686$0$15,106$0$463,862$0$0
WRIGHT MATT
COO$0$315,001$0$49,745$0$28,335$0$40,840$0$14,852$0$448,773$0$0
KRODEL MD JOHN
PHYSICIAN AND BOARD MEMER$326,058$0$7,171$0$26,883$0$18,200$0$15,076$0$393,388$0$0$0
DOWELL DO MATTHEW
PHYSICIAN & BOARD MEMBER$310,588$0$6,786$0$17,715$0$13,134$0$15,081$0$363,304$0$0$0
FOSTER KRISTIE
VP - CLINICAL OPS & BOARD MEMBER$0$181,344$0$9,328$0$67,288$0$5,978$0$5,409$0$269,347$0$0
GREENWAY CLAUDETTE
VP - CLINICAL OPS & BOARD MEMBER$0$196,569$0$12,893$0$19,110$0$7,469$0$6,851$0$242,892$0$0
HAHNE CHRISTOPHER
VP FINANCE & BOARD MEMBER$0$163,975$0$6,008$0$26,638$0$9,200$0$15,172$0$220,993$0$0
THOMPSON PHILLIP
VP - MISSION & BOARD MEMBER$0$124,596$0$5,570$0$56,497$0$1,603$0$10,902$0$199,168$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINES 4A-BTHE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAY: RALPH THOMAS $627,610; JONATHAN VITIELLO $403,490; DIANA SMALLEY $393,851; GARY RAJU $206,823 MERCY HEALTH, THE PARENT COMPANY, OFFERS A SUPPLEMENTAL RETIREMENT PLAN TO CERTAIN EXECUTIVES WHICH PROVIDE BENEFITS UPON VESTING DATE BASED ON COMPENSATION, AGE AT THE TIME OF BENEFIT COMMENCEMENT, LENGTH OF SERVICE WITH THE COMPANY AND/OR ITS AFFILIATES, AND LENGTH OF TENURE IN THE PLAN. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE PLAN: RALPH THOMAS; JONATHAN VITIELLO; BICH-VI LE; DIANA SMALLEY; TRACY ENLOE; JESSE CAMPBELL; GARY RAJU; DONN SORENSEN; MATT WRIGHT THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C). THE AMOUNTS REPORTED FOR DIANA SMALLEY, DONN SORENSEN, JONATHAN VITIELLO, AND GARY RAJU IN COLUMN (F) ARE EITHER INCLUDED IN B(I) BASE COMPENSATION, B(II) AS BONUS AND INCENTIVE COMPENSATION, OR B(III) AS OTHER REPORTABLE COMPENSATION. THESE AMOUNTS ARE A PAYOUT OF THE SUPPLEMENTAL RETIREMENT PLAN AND EXECUTIVE RETENTION PLAN AND WERE INCLUDED IN COLUMN (C) OF PREVIOUSLY FILED FORMS 990.
SCHEDULE J, PART I, LINE 3THE 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 L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonKESTER JENNIFERPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionFAMILY MEMBER OF BOARD MEMBER BRANSON KESTERRelationshipDescriptionTxt
Transaction$33,541TransactionAmt
TransactionEMPLOYMENT ARRANGEMENT, MERCY CLINIC OKLAHOMA COMMUNITIESTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
COMMUNITY BENEFITMERCY CLINIC OKLAHOMA COMMUNITIES, INC. PROVIDES FINANCIAL ASSISTANCE TO PATIENTS IN THE FORM OF CHARITY CARE AND THE UNPAID COSTS OF MEDICAID. THIS ASSISTANCE IS BASED ON THE FINANCIAL ASSISTANCE POLICY IN PLACE AT HOSPITALS IN THE HEALTH SYSTEM. DURING FY21, MERCY CLINIC OKLAHOMA COMMUNITIES, INC. REPORTED APPROXIMATELY $5.1 MILLION OF CHARITY CARE AND $5.9 MILLION OF UNPAID COSTS OF MEDICAID WHICH WERE A BENEFIT TO THE PATIENTS SERVED IN ITS COMMUNITY.
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 MAY: - ADOPT OR AMEND THE MISSION AND PHILOSOPHY OF THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - ADOPT OR AMEND THE STRATEGIC PLANS, GOALS, AND OBJECTIVES OF THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - ADOPT OR AMEND THE OPERATING AND CAPITAL BUDGETS OF THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION AND ANY CHANGES IN SUCH BUDGETS IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE MEMBER; - REVIEW AND APPROVE ANY CAPITAL EXPENDITURES OR RECOMMENDATIONS NOT PREVIOUSLY APPROVED AS PART OF THE CORPORATION'S BUDGETS; - AUTHORIZE OR APPROVE THE ASSIGNMENT, TRANSFER, SALE OR LEASE OF ANY OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION OR INTEREST THEREIN IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE MEMBER; - AUTHORIZE OR APPROVE THE GRANT OF ANY PLEDGE, LIEN, ENCUMBRANCE, MORTGAGE, DEED OF TRUST OR OTHER SECURITY INTEREST IN ANY OR ALL OF THE ASSETS OF THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - AUTHORIZE OR APPROVE THE INCURRENCE OF DEBT (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) BY THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION AND THE GRANT ANY SECURITY INTERESTS, THE PLACEMENT OF ANY ENCUMBRANCES, THE ENTERING INTO ANY COVENANTS, AND THE EXECUTION OF ANY DOCUMENTS AND THE TAKING OF ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; - MERGE, DISSOLVE OR ABANDON THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - AMEND THE CERTIFICATE OF INCORPORATION AND BYLAWS OF THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - ESTABLISH ALL COMPENSATION AND BENEFIT TERMS FOR PHYSICIANS AND OTHER MEDICAL PROFESSIONALS EMPLOYED OR OTHERWISE RETAINED BY THE CORPORATION; - APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION CONTROLLED BY THE CORPORATION; - APPROVE CONTRACTS IN WHICH THE CORPORATION ASSUMES FINANCIAL RISK, INCLUDING BUT NOT LIMITED TO MANAGED CARE CONTRACTS, SUBJECT TO CONSULTATION WITH THE MANAGED CARE CONTRACTING COMMITTEE OF THE MEMBER; - APPROVE THE CLINIC'S MANPOWER PLAN; - THROUGH THE SOLE ACTION OF THE PRESIDENT OF THE MEMBER (WITH THE APPROVAL OF THE PRESIDENT OF MERCY, APPOINT AND REMOVE THE PRESIDENT OF THE CORPORATION; AND - AUTHORIZE AND AMEND THE CHARITY CARE POLICY OF THE CLINIC.
FORM 990, PART VI, SECTION B, LINE 11BTHE 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. THE DRAFT FORM 990 IS ALSO REVIEWED BY MERCY HEALTH'S TAX DEPARTMENT, TO ENSURE ACCURACY AND CONSISTENCY WITH OTHER RELATED ORGANIZATIONS' FORM 990S. AFTER QUESTIONS ARISING FROM THE VARIOUS REVIEWS ARE ADDRESSED AND INCORPORATED INTO THE FORM 990, A REVISED DRAFT IS PROVIDED TO THE FILING ORGANIZATION'S LEADERSHIP TEAM, INCLUDING THE CFO AND CEO, FOR REVIEW. ONCE REVIEWED AND APPROVED BY THE FILING ORGANIZATION'S LEADERSHIP TEAM, THE FORM 990 IS THEN SIGNED AND FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 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, 2021. THIS PROCESS IS ADMINISTERED AT THE MERCY HEALTH LEVEL BY MERCY'S CORPORATE COMPLIANCE DEPARTMENT. THE QUESTIONNAIRES ARE REVIEWED WITH LEADERSHIP AT THE LOCAL LEVEL AND POTENTIAL CONFLICTS DISCUSSED AND RESOLVED. THE CONFLICTS AND THEIR RESPECTIVE RESOLUTIONS ARE SHARED AT THE MERCY LEVEL WITH A TEAM INCLUDING MERCY'S CHIEF FINANCIAL OFFICER, CHIEF COMPLIANCE OFFICER AND OTHER MEMBERS OF FINANCE, LEGAL AND HR. SUMMARY RESULTS ARE REVIEWED WITH MERCY'S STEWARDSHIP COMMITTEE OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15BFOR THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS), THE ORGANIZATION USES THE FOLLOWING TO ESTABLISH COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT, AND REVIEW/APPROVAL OF COMPENSATION BY THE COMPENSATION COMMITTEE OF THE BOARD OF MERCY HEALTH. FOR THOSE CLASSIFIED AS KEY EMPLOYEES, THE ORGANIZATION USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, AND REVIEW/APPROVAL OF EXECUTIVE MANAGEMENT. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS, AND A REVIEW WAS COMPLETED DURING THE REPORTING YEAR.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE FROM TIME TO TIME BUT ARE NOT PUBLISHED PUBLICLY.
FORM 990, PART VII, SECTION A, COLUMN BAVERAGE HOURS PER WEEK THE HOURS PER WEEK DISCLOSED IN PART VII IS THE AVERAGE HOURS THE LISTED PERSON WORKED OR DEVOTED PER WEEK WHILE EMPLOYED OR ASSOCIATED WITH THE FILING ORGANIZATION AND RELATED ORGANIZATIONS (IF APPLICABLE).
FORM 990, PART XI, LINE 9:NET TRANSFERS TO/FROM AFFILIATES 48,762,822. NONOPERATING REVENUE EXPENSE 25. ROUNDING 2.
PART XII, LINE 2AUDITED FINANCIAL STATEMENTS THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN THE MERCY HEALTH, AND SUBSIDIARIES ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 2021 (THE TAX YEAR CURRENTLY BEING REPORTED). HOWEVER, NO SEPARATE AUDIT OPINION IS ISSUED ON THE FINANCIAL STATEMENTS OF THE FILING ORGANIZATION. THE ULTIMATE RESPONSIBILITY FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE EXTERNAL AUDITOR LIES WITH THE STEWARDSHIP COMMITTEE OF THE MERCY HEALTH BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE.
FORM 990, PART XII, LINE 3A AND 3BSINGLE AUDIT ACT AND 2 CFR 200 AUDIT MERCY HEALTH UNDERGOES A CONSOLIDATED 2 CFR 200 AUDIT EVERY YEAR. THIS AUDIT IS UNDERWAY FOR THE FISCAL YEAR ENDING JUNE 30, 2021 AND WILL BE COMPLETED BY SEPTEMBER 30, 2022. 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, 2021, IT WILL BE INCLUDED ON THE MERCY HEALTH CONSOLIDATED SEFA, AND THEREFORE, ALSO INCLUDED IN THE POPULATION INCLUDED IN THE AUDIT.
FORM 990, SCHEDULE R, PART VSYSTEM LIMITATIONS LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY HEALTH SYSTEM, INC. AND SUBSIDIARIES. THE MAJORITY OF THE INTERCOMPANY/RELATED ORGANIZATION TRANSACTIONS ARE PROCESSED THROUGH LAWSON VIA INTERCOMPANY JOURNAL ENTRIES. WITH THE CURRENT DESIGN OF THE ERP SYSTEM, THERE ARE VARIOUS LIMITATIONS ON THE RELATED ORGANIZATION INFORMATION THAT CAN BE EXTRACTED FROM LAWSON. DUE TO THESE LIMITATIONS,MOST OF THE RELATED ORGANIZATION ACTIVITY FOR THE FILING ORGANIZATION HAS BEEN CLASSIFIED ON SCHEDULE R, PART V, IN LINES P AND Q.
FORM 990, SCHEDULE R, PART IIMERCY HOSPITALS EAST COMMUNITIES MERCY HOSPITALS EAST COMMUNITIES CONSISTS OF MERCY HOSPITALS EAST COMMUNITIES ST. LOUIS, EIN 43-065393, AND MERCY HOSPITALS EAST COMMUNITIES WASHINGTON, EIN 43-1066883.
FORM 990, PART V, LINE 1AINDEPENDENT CONTRACTORS INDEPENDENT CONTRACTORS FOR THE FILING ORGANIZATION ARE PAID BY MERCY HEALTH (EIN 43-1423050). AS SUCH, ALL REQUIRED FORM 1099 AND FORM 1096 REPORTING IS MADE FOR THE ENTIRE HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN.
SCHEDULE A, PART I, LINE 3PUBLIC CHARITY STATUS THE ORGANIZATION MEETS THE DEFINITION FOR PUBLIC CHARITY STATUS BOX 3 ON PART I OF SCHEDULE A, BUT DOES NOT MEET THE DEFINITION OF A HOSPITAL FOR SCHEDULE H. THEREFORE, SCHEDULE H WAS NOT COMPLETED FOR THIS ORGANIZATION.
FORM 990, PART V, QUESTION 2AW-3 FILING SALARIES AND WAGES WITH LIMITED EXCEPTIONS, THE SALARIES AND WAGES REPORTED ON FORM 990, PART IX, LINE 7 REPRESENT AN ALLOCATION OF SALARIES AND WAGES FROM A RELATED ORGANIZATION. MOST EMPLOYEES ARE PAID BY A RELATED ORGANIZATION UNDER A COMMON PAYMASTER ARRANGEMENT. AS SUCH, ALL REQUIRED PAYROLL FILING FOR THESE EMPLOYEES (INCLUDING W-2 AND W-3'S) IS REPORTED UNDER THE RELATED ORGANIZATION, MHM SUPPORT SERVICES,EIN 20-2553101.
COVID-19EARLY IN 2020, THE MERCY HEALTH SYSTEM WAS CALLED TO SERVE AS THE COVID-19 PANDEMIC SWEPT ACROSS THE WORLD. DURING FY 2021, IT CONTINUED TO BE A DIFFICULT TIME FOR ALL HEALTHCARE PROVIDERS. ALL MERCY FACILITIES ADJUSTED OPERATIONS FOR THE IMPACTS OF THE PANDEMIC WHICH MEANT MAKING CHANGES TO PATIENT CARE AREAS AND CANCELLING MOST OF OUR OUTPATIENT PROCEDURES FOR PERIODS OF TIME. IN ADDITION, MERCY FOUNDATIONS AND OUTREACH MINISTRIES EXPERIENCED LIMITATIONS IN FUNDRAISING FOR PROGRAM AND CAPITAL SUPPORT EFFORTS THAT ASSIST THE UNDERSERVED IN OUR COMMUNITIES. MERCY'S TOTAL SYSTEM NET PATIENT REVENUES WERE REDUCED DURING THE YEAR DUE TO SURGES IN THE COMMUNITIES WE SERVE. MERCY DID RECEIVE FUNDING FROM THE CORONAVIRUS AID RELIEF AND ECONOMIC SECURITY ACT ("CARES ACT"). MERCY RECEIVED CARES ACT FUNDING ACROSS VARIOUS ENTITIES FOR THE YEAR ENDED JUNE 30, 2021 AND RECOGNIZED A PORTION OF THIS FUNDING IN OTHER OPERATING REVENUE. THESE FUNDS HELPED TO OFFSET REVENUE LOSSES AND ADDITIONAL EXPENSES INCURRED DUE TO THE PANDEMIC; HOWEVER, THESE FUNDS FELL SHORT OF THE SYSTEM LOSSES EXPERIENCED SINCE THE START OF THE PANDEMIC. THE IMPACT OF COVID-19 WAS SIGNIFICANT TO OUR COMMUNITIES AND COWORKERS AS UNEMPLOYMENT RATES SOARED AND MERCY ACTED QUICKLY TO PROVIDE CONTINUOUS CARE TO PATIENTS AND THE COMMUNITY. MERCY CONTINUES TO MONITOR THE IMPACTS OF THE PANDEMIC BOTH TO THE HEALTH SYSTEM AND THE COMMUNITIES SERVED AS WE CONTINUE TO PROVIDE ASSISTANCE AND MAINTAIN ACCESS TO CARE WITHIN OUR COMMUNITIES.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MERCY CARE LLC
4300 W MEMORIAL ROADOKLAHOMA CITYOK73120271304342URGENT CARE CLINIC OPERATIONSOK$0$0MERCY CLINIC OKLAHOMA COMMUNITIES
MEMORIAL MEDICAL GROUP EMERGENCY PHYSICIANSLLC
1011 14TH NWARDMOREOK73401260261710PHYSICIAN SERVICESOK$2,461,770$0MERCY CLINIC OKLAHOMA COMMUNITIES

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (71 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 SHELTERTX501C37MERCY MINISTRIES OF LAREDOYes (1)
MCAULEY PORTFOLIO MGMT CO
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017261708048PORTFOLIO MANAGEMENTMO501C311-IIMERCY HEALTHYes (1)
MERCY ACO CLINICAL SERVICES INC
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017464504901VIRTUAL CARE CENTERMO501C33MERCY HEALTHYes (1)
MERCY CLINIC EAST COMMUNITIES
645 MARYVILLE CTR DR STE 100ST LOUISMO63141431771217PHYSICIAN GROUPMO501C39MERCY HEALTH EAST COMMUNITIESYes (1)
MERCY CLINIC FORT SMITH COMM
7301 ROGERS AVENUEFORT SMITHAR72917261318597PHYSICIAN CLINICAR501C39MERCY HEALTH FORT SMITH COMMYes (1)
MERCY CLINIC SPRINGFIELD COMM
1965 FREMONT STREET SUITE 2950SPRINGFIELDMO65804431560263PHYSICIAN GROUPMO501C33MERCY HEALTH SPRINGFIELD COMMYes (1)
MERCY FAMILY CENTER
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017721069468FAMILY COUNSELING SERVICESLA501C37MERCY HEALTHYes (1)
MERCY HEALTH
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017431423050CORPORATE OFFICEMO501C310N/A
MERCY HEALTH EAST COMMUNITIES
645 MARYVILLE CTR DR STE 100ST LOUISMO63141431718408HEALTH SYSTEMMO501C311-IIMERCY HEALTHYes (1)
MERCY HEALTH FORT SMITH COMM
7301 ROGERS AVENUEFORT SMITHAR72917261318515HOLDING COMPANYAR501C311-IIMERCY HEALTHYes (1)
MERCY HEALTH FOUNDATION
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017200901499FOUNDATIONMO501C311-IIMERCY HEALTHYes (1)
MERCY HEALTH FOUNDATION ADA
430 N MONTE VISTA STREETADAOK74820463596274FOUNDATIONOK501C311-IMERCY HOSPITAL ADAYes (1)
MERCY HEALTH FOUNDATION ARDMORE
1011 14TH AVENUE NWARDMOREOK73401710962525FOUNDATIONOK501C311-IMERCY HOSPITAL ARDMOREYes (1)
MERCY HEALTH FOUNDATION BERRYVILLE
214 CARTER STREETBERRYVILLEAR72616710759301FOUNDATIONAR501C311-IMERCY HOSPITAL BERRYVILLEYes (1)
MERCY HEALTH FOUNDATION FT SCOTT
401 WOODLAND HILLS BLVDFORT SCOTTKS66701481077073FOUNDATIONKS501C311-IIIMERCY KANSAS COMMUNITIES INCYes (1)
MERCY HEALTH FOUNDATION FORT SMITH
7301 ROGERS AVENUEFORT SMITHAR72917237330425FOUNDATIONAR501C37MERCY HOSPITAL FORT SMITHYes (1)
MERCY HEALTH FOUNDATION LEBANON
100 HOSPITAL DRIVELEBANONMO65536822514567FOUNDATIONMO501C311-IIMERCY HOSPITAL LEBANONYes (1)
MERCY HEALTH FOUNDATION JEFFERSON
1400 US HIGHWAY 61 SOUTHFESTUSMO63028462797051FOUNDATIONMO501C311-IIMERCY HOSPITAL JEFFERSONYes (1)
MERCY HEALTH FOUNDATION JOPLIN
100 MERCY WAYJOPLINMO64804270906136FOUNDATIONMO501C311-IMERCY HEALTH SW MOKS COMMYes (1)
MERCY HEALTH FOUNDATION LINCOLN
1000 EAST CHERRY STREETTROYMO63379811477159FOUNDATIONMO501C311-IIMERCY HEALTH EAST COMMUNITIESYes (1)
MERCY HEALTH FOUNDATION NW ARK
2710 RIFE MEDICAL LNROGERSAR72858710601687FOUNDATIONAR501C311-IIIMERCY HOSPITAL ROGERSYes (1)
MERCY HEALTH FOUNDATION OF OK
4300 W MEMORIAL ROADOKLAHOMA CITYOK73120454732301FOUNDATIONOK501C311-IMERCY HEALTH OK COMMUNITIESYes (1)
MERCY HEALTH FOUNDATION OK CITY
4300 W MEMORIAL ROADOKLAHOMA CITYOK73120463184231FOUNDATIONOK501C311-IMERCY HEALTH OK COMMUNITIESYes (1)
MERCY HEALTH FOUNDATION SPRINGFIELD
1235 E CHEROKEE STREETSPRINGFIELDMO65804320195818FOUNDATIONMO501C311-IIMERCY HEALTH SPRINGFIELD COMMYes (1)
MERCY HEALTH FOUNDATION ST FRANCIS
100 W HIGHWAY 60MOUNTAIN VIEWMO65548431873914FOUNDATIONMO501C311-IMERCY ST FRANCIS HOSPITALYes (1)
MERCY HEALTH FOUNDATION STL
615 SOUTH NEW BALLAS ROADST LOUISMO63141562410020FOUNDATIONMO501C311-IIMERCY HEALTH EAST COMMUNITIESYes (1)
MERCY HEALTH FOUNDATION WASHINGTON
901 E FIFTH STREETWASHINGTONMO63090562410022FOUNDATIONMO501C311-IIMERCY HEALTH EAST COMMUNITIESYes (1)
MERCY HEALTH NW ARK COMMUNITIES
2710 RIFE MEDICAL LNROGERSAR72758621684203PHYSICIAN GROUPAR501C311-IIMERCY HEALTHYes (1)
MERCY HEALTH OK COMMUNITIES
4300 W MEMORIAL ROADOKLAHOMA CITYOK73120731453048HEALTH SYSTEMOK501C311-IIMERCY HEALTHYes (1)
MERCY HEALTH PLANS OF MISSOURIINC
3265 S NATIONAL AVENUESPRINGFIELDMO65807320481419HMOMO501C4MERCY HEALTHYes (1)
MERCY HEALTH PLANSINC
3265 S NATIONAL AVENUESPRINGFIELDMO65807320486150PPOMO501C4MERCY HEALTH PLANS OF MISSOURIINCYes (1)
MERCY HEALTH SW MOKS COMM
100 MERCY WAYJOPLINMO64804300584463HEALTH SYSTEMMO501C311-IIMERCY HEALTHYes (1)
MERCY HEALTH SPRINGFIELD COMM
1235 E CHEROKEE STREETSPRINGFIELDMO65804431856028HEALTH SYSTEMMO501C311-IIMERCY HEALTHYes (1)
MERCY HOSPITAL ADA INC
430 N MONTE VISTA STREETADAOK74820462288155HOSPITALOK501C33MERCY HEALTH OK COMMUNITIESYes (1)
MERCY HOSPITAL ARDMORE
1011 14TH AVENUE NWARDMOREOK73401731500629HOSPITALOK501C33MERCY HEALTH OK COMMUNITIESYes (1)
MERCY HOSPITAL AURORA
500 PORTER AVENUEAURORAMO65605431936696HOSPITALMO501C33MERCY HEALTH SPRINGFIELD COMMYes (1)
MERCY HOSPITAL BERRYVILLE
214 CARTER STREETBERRYVILLEAR72616710759299HOSPITALAR501C33MERCY HEALTH NW ARK COMMUNITIESYes (1)
MERCY HOSPITAL BOONEVILLE
880 WEST MAIN STREETBOONEVILLEAR72927463851119HOSPITALAR501C33MERCY HOSPITAL FORT SMITHYes (1)
MERCY HOSPITAL CARTHAGE
3125 DR RUSSELL SMITH WAYCARTHAGEMO64836453808607HOSPITALMO501C33MERCY HEALTH SW MOKS COMMYes (1)
MERCY HOSPITAL CASSVILLE
94 MAIN STREETCASSVILLEMO65625431936699HOSPITALMO501C33MERCY HEALTH SPRINGFIELD COMMYes (1)
MERCY HOSPITAL COLUMBUS
220 PENNSYLVANIA AVENUECOLUMBUSKS66725270842031HOSPITALMO501C33MERCY HEALTH SW MOKS COMMYes (1)
MERCY HOSPITAL EL RENO
2115 PARKVIEW DRIVEEL RENOOK73036272716065HOSPITAL - INACTIVEOK501C33MERCY HOSPITAL OKLAHOMA CITYYes (1)
MERCY HOSPITAL FORT SMITH
7301 ROGERS AVENUEFORT SMITHAR72917710240352HOSPITALAR501C33MERCY HEALTH FORT SMITH COMMYes (1)
MERCY HOSPITAL HEALDTON INC
3462 HOSPITAL RDHEALDTONOK73438263173902HOSPITALOK501C33MERCY HOSPITAL ARDMORE INCYes (1)
MERCY HOSPITAL JEFFERSON
1400 HIGHWAY 61 SOUTHFESTUSMO63028430687077HOSPITALMO501C33MERCY HEALTH EAST COMMUNITIESYes (1)
MERCY HOSPITAL JOPLIN
100 MERCY WAYJOPLINMO64804270814858HOSPITALMO501C33MERCY HEALTH SW MOKS COMMYes (1)
MERCY HOSPITAL KINGFISHER INC
1000 HOSPITAL CIRCLEKINGFISHEROK73750463433074HOSPITALOK501C33MERCY HOSPITAL OKLAHOMA CITYYes (1)
MERCY HOSPITAL LEBANON
100 HOSPITAL DRIVELEBANONMO65536431767432HOSPITALMO501C33MERCY HEALTH SPRINGFIELD COMMYes (1)
MERCY HOSPITAL LINCOLN
1000 EAST CHERRY STREETTROYMO63379472219204HOSPITALMO501C33MERCY HEALTH EAST COMMUNITIESYes (1)
MERCY HOSPITAL LOGAN COUNTY INC
200 SOUTH ACADEMYGUTHRIEOK73044452998842HOSPITALOK501C33MERCY HOSPITAL OKLAHOMA CITYYes (1)
MERCY HOSPITAL OKLAHOMA CITY
4300 W MEMORIAL ROADOKLAHOMA CITYOK73120730579285HOSPITALOK501C33MERCY HEALTH OK COMMUNITIESYes (1)
MERCY HOSPITAL OZARK
801 W RIVER STREETOZARKAR72949710689680HOSPITALAR501C33MERCY HOSPITAL FORT SMITHYes (1)
MERCY HOSPITAL PARIS
500 E ACADEMYPARISAR72855710655753HOSPITALAR501C33MERCY HOSPITAL FORT SMITHYes (1)
MERCY HOSPITAL ROGERS
2710 RIFE MEDICAL LNROGERSAR72758710294390HOSPITALAR501C33MERCY HEALTH NW ARK COMMUNITIESYes (1)
MERCY HOSPITAL SPRINGFIELD
1235 E CHEROKEE STREETSPRINGFIELDMO65804440552485HOSPITALMO501C33MERCY HEALTH SPRINGFIELD COMMYes (1)
MERCY HOSPITAL TISHOMINGO
1000 SOUTH BYRDTISHOMINGOOK73460274433830HOSPITALOK501C33MERCY HOSPITAL ADAYes (1)
MERCY HOSPITAL WALDRON
1341 W 6TH STREETWALDRONAR72958710557895HOSPITALAR501C33MERCY HOSPITAL FORT SMITHYes (1)
MERCY HOSPITAL WATONGA INC
500 CLARENCE NASH BLVDWATONGAOK73772455199762HOSPITALOK501C33MERCY HOSPITAL OKLAHOMA CITYYes (1)
MERCY HOSPITALS EAST COMM
645 MARYVILLE CTR DR STE 100ST LOUISMO63141430653493HOSPITALMO501C33MERCY HEALTH EAST COMMUNITIESYes (1)
MERCY KANSAS COMMUNITIES INC
401 WOODLAND HILLS BLVDFT SCOTTKS66701480956045HOSPITALKS501C33MERCY HEALTH SW MOKS COMMYes (1)
MERCY MINISTRIES OF LAREDO
2500 ZACATECASLAREDOTX78043200198462OUTREACHTX501C37MERCY HEALTHYes (1)
MERCY RESEARCH
524 NORTH BOONEVILLE AVENUESPRINGFIELDMO65802870796305RESEARCHMO501C34MERCY HEALTHYes (1)
MERCY ST FRANCIS HOSPITAL
100 W HIGHWAY 60MOUNTAIN VIEWMO65548440607149HOSPITALMO501C33MERCY HEALTH SPRINGFIELD COMMYes (1)
MHM SUPPORT SERVICES
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017202553101CENTRALIZED HEALTH SYSTEM FUNCTIONSMO501C311-IIMERCY HEALTHYes (1)
MISSION CLINICAL SERVICES
300 WERNER STREETHOT SPRINGSAR71913134239691CHILD ADVOCACY CENTERAR501C39MERCY HEALTHYes (1)
MERCY HEALTH FOUNDATION SOUTH
10010 KENNERLY ROADST LOUISMO63128261516789FOUNDATIONMO501C311-IIMERCY HOSPITAL SOUTHYes (1)
MERCY HOSPITAL SOUTH
10010 KENNERLY ROADST LOUISMO63128430980256HOSPITALMO501C33MERCY HEALTH EAST COMMUNITIESYes (1)
ST ANTHONY'S PHYSICIAN ORGANIZATION
10010 KENNERLY ROADST LOUISMO63128431784536HEALTH CAREMO501C33MERCY HOSPITAL SOUTHYes (1)
ST MARYS HOSP ENID OK
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017730614655INACTIVEOK501C33MERCY HEALTH OK COMMUNITIESYes (1)
UNITY AMBULATORY CARE
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017431861745INACTIVEMO501C311-IIIMERCY HEALTH EAST COMMUNITIESYes (1)
MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS
1619 W 7TH STREETGALENAKS66739843730625HOSPITALKS501C33MERCY HEALTH SW MOKS COMMYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
PLAZA SURGERY SERVICES COMPANY LLC
12700 SOUTHFORK ROADST LOUISMO63128204709312INACTIVEMOMERCY HOSPITAL SOUTHN/A00
MERCY AMBULATORY SURGERY CENTER LLC
7301 ROGERS AVENUEFORT SMITHAR72917710827721AMBULATORY SURGERY CENTERARMERCY HOSPITAL FORT SMITHN/A00
FORT SMITH EMERGENCY MEDICAL SERVICES
1701 SOUTH GREENWOODFORT SMITHAR72901710416615EMERGENCY MEDICAL SERVICESARMERCY HOSPITAL FORT SMITHN/A00
ST EDWARD MERCY MC M-P OFFICE BLDG
7301 ROGERS AVENUEFORT SMITHAR72903710554050OFFICE BUILDINGARMERCY HOSPITAL FORT SMITHN/A00
PLATINUM CPS HOLDINGS LLC
14528 S OUTER FORTY SUITE 100CHESTERFIELDMO63017842493007HOLDING COMPANYMOMERCY MANAGED CARE CORPMERCY HEALTHN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
FRONTENAC PROPERTIES INC
14528 S OUTER FORTY SUITE 100CHESTERFIELDMO63017521914421HOLDS ANCILLARY ASSETS & OWNS AIRCRAFTDEMERCY HEALTHC0
INVENO HEALTH INC
1235 E CHEROKEE STREETSPRINGFIELDMO65804264509571TECHNOLOGY TRANSFER COMPANYMOMERCY HEALTH SPRINGFIELD COMMC0
UNITY SUPPORT SERVICES INC
645 MARYVILLE CENTRE DRIVE SUITE 10ST LOUISMO63141431797042INACTIVEMOMERCY HEALTH EAST COMMUNITIESC0
UH L CORP INC
645 MARYVILLE CENTRE DRIVE SUITE 10ST LOUISMO63141742499535HOLDING COMPANYMOMERCY HEALTH SERVICES LLCC0
MERCY HEALTH CENTER CONDOMINIUM INC
4300 W MEMORIAL RDOKLAHOMA CITYOK73120680640970ADMINISTRATOR OF CERTAIN REAL PROPERTY AND IMPROVEMENTSOKMERCY HOSPITAL OKLAHOMA CITYINCC0
MERCY MANAGED CARE CORPORATION
4300 W MEMORIAL ROADOKLAHOMA CITYOK73120731441665HOLDING COMPANYOKMERCY HEALTHC0
MERCY COMMERCIAL SERVICES INC
14528 SOUTH OUTER FORTY SUITE 100CHESTERFIELDMO63017464953543CORP PARENT OF VCC TAXABLE COMMERCIALIZ SVCSOKMHN INC AND MHNSR INCC0
ST ANTHONY'S PHYSICIAN ORGANIZATION OF ILLINOIS
10010 KENNERLY ROADST LOUISMO63128320457168HEALTH CAREMOMERCY HOSPITAL SOUTHC0
MCAULEY INSURANCE COMPANY LTD
INACTIVEMERCY HEALTHC0AON HOUSE 30 WOODBOURNE AVENUEPEMBROKEBDHM 08BD
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
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 SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (12 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MERCY ACO CLINICAL SERVICES
Q$102,870FMV
MERCY HEALTH EAST COMMUNITIES
Q$231,228FMV
MERCY HEALTH OKLAHOMA COMMUNITIES
Q$4,587,398FMV
MERCY HEALTH SPRINGFIELD COMMUNITIES
Q$853,802FMV
MERCY HOSPITAL ADA INC
Q$72,846FMV
MERCY HOSPITAL ARDMORE
Q$1,083,249FMV
MERCY HOSPITAL JOPLIN
Q$82FMV
MERCY HOSPITAL KINGFISHER INC
Q$43,878FMV
MERCY HOSPITAL LOGAN COUNTY INC
Q$167,283FMV
MERCY HOSPITAL OKLAHOMA CITY
Q$5,634,173FMV
MERCY HOSPITALS EAST COMMUNITIES
Q$59,441FMV
MHM SUPPORT SERVICES
Q$35,917,047FMV