MERCY HOSPITAL OKLAHOMA CITY INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- MERCY HOSPITAL OKLAHOMA CITY INC (EIN 73-0579285)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-13
- IRS object ID
- 202211339349303431
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-13T15:41:11-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 264532849 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PURK & ASSOCIATES PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1034 SOUTH BRENTWOOD BLVD STE 2000 | AddressLine1Txt |
| City | SAINT LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63117 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 730579285 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY HOSPITAL OKLAHOMA CITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MERC | BusinessNameControlTxt |
| Phone | 4057523495 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4300 WEST MEMORIAL ROAD | AddressLine1Txt |
| City | OKLAHOMA CITY | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 73120 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHRISTOPHER HAHNE | PersonNm |
| Person Title | VP FINANCE | PersonTitleTxt |
| Phone | 4059365649 | PhoneNum |
| Signature | 2022-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | CHRISTOPHER | PersonFirstNm |
| Person Last | HAHNE | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DOUGLAS G PLEUS CPA | PreparerPersonNm |
| PTIN | P00013488 | PTIN |
| Phone | 3148844000 | PhoneNum |
| Preparation | 2022-05-12 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JIM GEBHART | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4300 WEST MEMORIAL ROAD | AddressLine1Txt |
| City | OKLAHOMA CITY | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 73120 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $647,296,584 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MERCY.NET | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1992 | FormationYr |
| Legal Domicile State | OK | LegalDomicileStateCd |
| Activity Or Mission | AS 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 Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 167 | TotalVolunteersCnt |
| Total Gross UBI | $386,294 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $832,674 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,913,380 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $572,902,778 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $629,263,001 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,253,430 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,249,508 | CYInvestmentIncomeAmt |
| PY Other Revenue | $7,095,392 | PYOtherRevenueAmt |
| CY Other Revenue | $8,181,896 | CYOtherRevenueAmt |
| PY Total Revenue | $583,084,274 | PYTotalRevenueAmt |
| CY Total Revenue | $646,607,785 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $3,033,056 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $3,731,365 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $192,966,568 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $222,028,505 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $315,254,251 | PYOtherExpensesAmt |
| CY Other Expenses | $358,987,091 | CYOtherExpensesAmt |
| PY Total Expenses | $511,253,875 | PYTotalExpensesAmt |
| CY Total Expenses | $584,746,961 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $71,830,399 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $61,860,824 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $416,764,975 | TotalAssetsBOYAmt |
| Total Assets EOY | $541,395,814 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $159,986,445 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $177,760,456 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $256,778,530 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $363,635,358 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | AS 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 Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $73,773,244 | ExpenseAmt |
| Grant | $15,000 | GrantAmt |
| Revenue | $98,051,980 | RevenueAmt |
| Desc | MERCY HOSPITAL OKLAHOMA CITY 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. MERCY HOSPITAL OKLAHOMA CITY INCLUDES THE MERCY CANCER CENTER WHICH IS ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER. MERCY'S RADIATION ONCOLOGISTS ARE GIVING NEW HOPE TO CANCER PATIENTS WITH CONDITIONS THAT WERE PREVIOUSLY CONSIDERED INACCESSIBLE OR INOPERABLE WITH SPECIALIZED TECHNOLOGY INCLUDING GAMMA KNIFE-CONSIDERED THE "GOLD STANDARD" ALL OVER THE WORLD FOR TREATING CANCER AND NON-MALIGNANT TUMORS AND ILLNESSES OF THE BRAIN; THE TRUEBEAM LINEAR ACCELERATOR-PROVIDES NONINVASIVE RADIOTHERAPY TREATMENT USING 3D IMAGING FOR INCREASED PRECISION LEADING TO FEWER SIDE EFFECTS; AND CALYPSO-UTILIZED TO TRACK PROSTATE MOVEMENT DURING STEREOTACTIC TREATMENTS FOR PROSTATE CANCER. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $66,206,453 | ExpenseAmt |
| Grant | $35,000 | GrantAmt |
| Revenue | $65,642,966 | RevenueAmt |
| Desc | MERCY HOSPITAL OKLAHOMA CITY'S WOMEN AND INFANT SERVICES INCLUDES GYNECOLOGY SERVICES AS WELL AS COMPREHENSIVE MATERNITY CARE, FROM PREGNANCY AND PRENATAL CARE, TO LABOR, DELIVERY AND BIRTH CARE AS WELL AS POSTNATAL, BREASTFEEDING AND LACTATION CARE. IN 2021, MERCY HOSPITAL OKLAHOMA CITY WAS NAMED A BEST MATERNITY HOSPITAL BY NEWSWEEK AND THE LEAPFROG GROUP. IN FISCAL YEAR 2021, MERCY HAD 3,795 BIRTHS. MERCY HOSPITAL OKLAHOMA CITY ALSO OPERATES A LEVEL-III NEONATAL INTENSIVE CARE UNIT (NICU) PROVIDING SPECIALIZED CARE FOR CRITICALLY ILL NEWBORNS. IN FISCAL YEAR 2021, MERCY HAD 8,483 NICU PATIENT DAYS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $48,922,650 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $51,742,037 | RevenueAmt |
| Desc | MERCY HOSPITAL OKLAHOMA CITY OFFERS A COMPREHENSIVE RANGE OF THE LATEST ORTHOPEDIC SURGICAL SERVICES, RANGING FROM MINIMALLY INVASIVE SURGERY TO COMPLEX ARTHROSCOPIC AND RECONSTRUCTIVE ORTHOPEDIC AND PEDIATRIC ORTHOPEDIC SURGERY. IN FISCAL YEAR 2021, MERCY HAD 5,748 ORTHOPEDIC SURGERY CASES. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $267,984,609 | ExpenseAmt |
| Grant | $3,681,365 | GrantAmt |
| Revenue | $417,478,576 | RevenueAmt |
| Desc | MERCY HOSPITAL OKLAHOMA CITY IS A 380-BED HOSPITAL OFFERING MANY SERVICES INCLUDING 24-HOUR EMERGENCY ROOM SERVICES AT 2 LOCATIONS, AWARD-WINNING STROKE TREATMENT SERVICES, INPATIENT SURGERY AT 2 LOCATIONS AND OUTPATIENT SURGERY SERVICES AT 3 LOCATIONS, LAB, RADIOLOGY AND OTHER PATIENT CARE SERVICES. MERCY HAD A TOTAL OF 91,925 INPATIENT DAYS (INCLUDING NICU), 40,418 ER OUTPATIENT VISITS AND 279,912 OTHER OUTPATIENT VISITS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $267,984,609 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $3,681,365 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $417,478,576 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $456,886,956 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | OK | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHRISTOPHER HAHNE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4059365649 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4300 WEST MEMORIAL ROAD | AddressLine1Txt |
| City | OKLAHOMA CITY | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 73120 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| BUENDIA MD JOSEPH | ||||||||||
| PHYSICIAN & BOARD MEMBER | 50.00 | 0.00 | Yes (X) | $0 | $814,253 | $28,926 | ||||
| PRUITT MD JEFFREY N | ||||||||||
| PHYSICIAN & BOARD MEMBER | 1.00 | 49.00 | Yes (X) | $0 | $435,957 | $19,513 | ||||
| ARNALL SUE | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| DOLAN BRENNAN | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| EVEREST TRICIA | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| FULLER BENNETT | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $4,988 | $0 | ||||
| HARVEY MD JOHN | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| HENDRICKS RSM SR REBECCA ANN | ||||||||||
| BOARD MEMBER | 1.00 | 10.00 | Yes (X) | $0 | $0 | $0 | ||||
| LEONARD RYAN | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| LOVE JUDY | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| LYNCH RSM SR DONALD | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| SALMERON PHD LOIS | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| WARD RSM SR CLAUDIA | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| WIENECKE MD ROBERT | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| BROWN KATHY | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| GEBHART JIM | ||||||||||
| PRESIDENT, MERCY HOSPITAL OKLAHOMA CITY | 34.00 | 16.00 | $0 | $2,261,244 | $86,045 | Yes (X) | ||||
| SMITH CHAD | ||||||||||
| VP - MEDICAL AFFAIRS | 49.00 | 1.00 | $0 | $369,295 | $24,906 | Yes (X) | ||||
| HAHNE CHRISTOPHER | ||||||||||
| VP FINANCE | 5.00 | 45.00 | $0 | $196,621 | $24,372 | Yes (X) | ||||
| ARGUETA DAVID | ||||||||||
| CHIEF ADMINISTRATIVE OFFICER | 5.00 | 45.00 | $0 | $526,539 | $64,277 | Yes (X) | ||||
| JAMES KARYL | ||||||||||
| CHIEF NURSING OFFICER | 5.00 | 45.00 | $0 | $394,156 | $56,784 | Yes (X) | ||||
| PINAROC LYNN | ||||||||||
| VP - FINANCE | 45.00 | 5.00 | $0 | $208,687 | $15,555 | Yes (X) | ||||
| DAWSON ZACKARY | ||||||||||
| VP OPERATIONS | 40.00 | 0.00 | $0 | $319,931 | $23,995 | Yes (X) | ||||
| RINKS KEVIN | ||||||||||
| VP OPERATIONS | 40.00 | 0.00 | $0 | $247,625 | $13,886 | Yes (X) | ||||
| YOUNG HOWARD | ||||||||||
| PHYSICIST | 45.00 | 0.00 | $0 | $209,628 | $31,810 | Yes (X) | ||||
| WOOD ROY | ||||||||||
| PHYSICIST | 40.00 | 0.00 | $0 | $207,691 | $21,457 | Yes (X) | ||||
| PARRY CINDY | ||||||||||
| PHYSICIST | 40.00 | 0.00 | $0 | $200,706 | $21,991 | Yes (X) | ||||
| VITIELLO JONATHAN | ||||||||||
| FORMER OFFICER | 0.00 | 0.00 | $0 | $1,992,513 | $93,661 | Yes (X) | ||||
| SMALLEY DIANA L | ||||||||||
| FORMER OFFICER | 0.00 | 0.00 | $0 | $1,440,039 | $23,309 | Yes (X) | ||||
| RAJU GARY | ||||||||||
| FORMER OFFICER | 0.00 | 0.00 | $0 | $567,977 | $48,154 | Yes (X) | ||||
| ENLOE TRACY | ||||||||||
| FORMER OFFICER | 0.00 | 0.00 | $0 | $406,070 | $57,792 | Yes (X) | ||||
| MINDER KEVIN | ||||||||||
| FORMER OFFICER | 0.00 | 0.00 | $0 | $328,961 | $45,811 | Yes (X) | ||||
| STEFFENS AARON L | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 0.00 | $0 | $611,680 | $70,154 | Yes (X) | ||||
| LE BICH-VI | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 50.00 | $0 | $640,252 | $31,773 | Yes (X) | ||||
| EDELSTEIN THOMAS | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 40.00 | $0 | $206,934 | $51,067 | Yes (X) | ||||
| WHITAKER DAVID D | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 40.00 | $0 | $123,494 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $12,715,241 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $855,238 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| QUEST DIAGNOSTICS | |||||
| 500 PLAZA DR | SECAUCUS | NJ | 07094 | LABORATORY SERVICES | $4,788,990 |
| JE DUNN CONSTRUCTION | |||||
| 929 HOLMES | KANSAS CITY | MO | 64106 | CONSTRUCTION SERVICES | $2,788,514 |
| MAYO MEDICAL LABS | |||||
| 200 SW FIRST STREET | ROCHESTER | MN | 55805 | LABORATORY SERVICES | $2,446,860 |
| AMN HEALTHCARE | |||||
| 12400 HIGH BLUFF DR | SAN DIEGO | CA | 92130 | STAFFING SERVICES | $2,052,926 |
| CHAMPION CLEANING SOLUTIONS | |||||
| 6 DONORE SQ | SAN ANTONIO | TX | 78229 | CLEANING SERVICE | $1,728,415 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 82 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $5,572,517 | RelatedOrganizationsAmt |
| All Other Contributions | $340,863 | AllOtherContributionsAmt |
| Total Contributions | $5,913,380 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT SERVICE REVENUE NET | 622110 | $603,406,994 | $603,406,994 | |
| OTHER OPERATING REVENUE | 622110 | $14,532,776 | $14,532,776 | |
| OTHER PREGRAM SERVICE REVENUE | 900099 | $10,863,540 | $10,863,540 | |
| MDT LABORATORY SERVICE | 621500 | $386,294 | $386,294 | |
| MANAGEMENT FEES | 622110 | $73,397 | $73,397 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $629,263,001 | TotalProgramServiceRevenueAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,234,017 | TotalRevenueColumnAmt |
| Exclusion | $3,234,017 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,148,960 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $688,799 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,460,161 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,460,161 | TotalRevenueColumnAmt |
| Exclusion | $2,460,161 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $15,491 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $15,491 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,491 | TotalRevenueColumnAmt |
| Exclusion | $15,491 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CAFETERIA & VENDING | Desc |
| Business | 722210 | BusinessCd |
| Total Revenue Column | $2,069,178 | TotalRevenueColumnAmt |
| Exclusion | $2,069,178 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,652,557 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,652,557 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $5,721,735 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $646,607,785 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $632,529,264 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $386,294 | UnrelatedBusinessRevenueAmt |
| Exclusion | $7,778,847 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,731,365 | TotalAmt |
| Program Services | $3,731,365 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $189,867,230 | TotalAmt |
| Program Services | $170,512,682 | ProgramServicesAmt |
| Management And General | $19,354,548 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,819,185 | TotalAmt |
| Program Services | $3,429,868 | ProgramServicesAmt |
| Management And General | $389,317 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,202,402 | TotalAmt |
| Program Services | $14,550,773 | ProgramServicesAmt |
| Management And General | $1,651,629 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,139,688 | TotalAmt |
| Program Services | $10,902,201 | ProgramServicesAmt |
| Management And General | $1,237,487 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,971 | TotalAmt |
| Management And General | $31,971 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,841 | TotalAmt |
| Management And General | $30,841 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,514,791 | TotalAmt |
| Program Services | $22,208,464 | ProgramServicesAmt |
| Management And General | $10,306,327 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $387,370 | TotalAmt |
| Program Services | $61,267 | ProgramServicesAmt |
| Management And General | $326,103 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,293,685 | TotalAmt |
| Program Services | $4,868,445 | ProgramServicesAmt |
| Management And General | $8,425,240 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142,203 | TotalAmt |
| Program Services | $142,203 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,816,598 | TotalAmt |
| Program Services | $16,140,036 | ProgramServicesAmt |
| Management And General | $676,562 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $831,414 | TotalAmt |
| Program Services | $776,003 | ProgramServicesAmt |
| Management And General | $55,411 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,074,011 | TotalAmt |
| Management And General | $4,074,011 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,661,320 | TotalAmt |
| Program Services | $12,482,422 | ProgramServicesAmt |
| Management And General | $21,178,898 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,615,205 | TotalAmt |
| Program Services | $609,057 | ProgramServicesAmt |
| Management And General | $2,006,148 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DRUGS & MEDICAL EXPENSE | $139,223,417 | $139,334,471 | -$111,054 |
| SHARED SERVICE FEES | $84,650,696 | $31,320,758 | $53,329,938 |
| BAD DEBTS | $24,711,850 | $24,711,850 | $0 |
| REPAIRS & MAINTENANCE | $4,431,884 | $677,431 | $3,754,453 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,569,835 | TotalAmt |
| Program Services | $427,660 | ProgramServicesAmt |
| Management And General | $1,142,175 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $584,746,961 | TotalAmt |
| Program Services | $456,886,956 | ProgramServicesAmt |
| Management And General | $127,860,005 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,863,204 | BOYAmt |
| EOY | $14,458,736 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,350,133 | BOYAmt |
| EOY | $71,588,454 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,930,853 | BOYAmt |
| EOY | $11,861,151 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,413 | BOYAmt |
| EOY | $106,782 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $716,375,777 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $292,342,977 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $326,523,459 | BOYAmt |
| EOY | $424,032,800 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,627,632 | BOYAmt |
| EOY | $6,272,826 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $441,281 | BOYAmt |
| EOY | $13,075,065 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $416,764,975 | BOYAmt |
| EOY | $541,395,814 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,973,280 | BOYAmt |
| EOY | $33,655,875 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $153,577 | BOYAmt |
| EOY | $75,911 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $146,859,588 | BOYAmt |
| EOY | $144,028,670 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $159,986,445 | BOYAmt |
| EOY | $177,760,456 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $256,451,210 | BOYAmt |
| EOY | $363,359,348 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $327,320 | BOYAmt |
| EOY | $276,010 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $256,778,530 | BOYAmt |
| EOY | $363,635,358 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $416,764,975 | BOYAmt |
| EOY | $541,395,814 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $61,860,824 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $44,996,004 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $30,841 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $30,841 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE FILING ORGANIZATION IS A MEMBER OF AND PAYS DUES TO THE OKLAHOMA HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION. FOR THE YEAR ENDED JUNE 30, 2021, DUES WERE $102,1798 AND $38,313, RESPECTIVELY. APPROXIMATELY 20.60% OF OKLAHOMA HOSPITAL ASSOCIATION DUES AND 25.56% OF AMERICAN HOSPITAL ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $46,338,900 | OtherCostOrOtherBasisAmt |
| Book Value | $46,338,900 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $491,458,871 | OtherCostOrOtherBasisAmt |
| Depreciation | $162,077,076 | DepreciationAmt |
| Book Value | $329,381,795 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $596,944 | OtherCostOrOtherBasisAmt |
| Depreciation | $593,215 | DepreciationAmt |
| Book Value | $3,729 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $172,234,336 | OtherCostOrOtherBasisAmt |
| Depreciation | $124,121,761 | DepreciationAmt |
| Book Value | $48,112,575 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,746,726 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,550,925 | DepreciationAmt |
| Book Value | $195,801 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $424,032,800 | TotalBookValueLandBuildingsAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2 | FormAndLineReferenceDesc |
| Explanation | FEDERAL INCOME TAX PRIMARILY ALL OF THE MERCY HEALTH ENTITIES ARE RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS CHARITABLE ORGANIZATIONS QUALIFYING UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), BY VIRTUE OF IRS DETERMINATION LETTERS OR INCLUSION IN THE OFFICIAL CATHOLIC DIRECTORY. MERCY COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2021 OR 2020. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| Most Hospitals Policy | Yes (X) | MostHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $27,220,279 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $27,220,279 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04860 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $55,120,651 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $36,439,405 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,681,246 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03340 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $82,340,930 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $36,439,405 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $45,901,525 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08200 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 29993 | PersonsServedCnt |
| Total Community Benefit Expns | $949,582 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $949,582 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 612 | PersonsServedCnt |
| Total Community Benefit Expns | $210,787 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $210,787 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 147 | PersonsServedCnt |
| Total Community Benefit Expns | $168,897 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $168,897 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 13 | ActivitiesOrProgramsCnt |
| Persons Served | 30752 | PersonsServedCnt |
| Total Community Benefit Expns | $1,329,266 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,329,266 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00240 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 13 | ActivitiesOrProgramsCnt |
| Persons Served | 30752 | PersonsServedCnt |
| Total Community Benefit Expns | $83,670,196 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $36,439,405 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $47,230,791 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08440 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $5,534 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,534 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 900 | PersonsServedCnt |
| Total Community Benefit Expns | $4,910 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,910 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 900 | PersonsServedCnt |
| Total Community Benefit Expns | $10,444 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,444 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $6,763,755 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $160,977,928 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $163,874,663 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,896,735 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY HOSPITAL OKLAHOMA CITY | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4300 WEST MEMORIAL ROAD | AddressLine1Txt |
| City | OKLAHOMA CITY | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 73120 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.MERCY.NET | WebsiteAddressTxt |
| State License | 2295 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY HOSPITAL OKLAHOMA CITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://WWW.MERCY.NET/COMMUNITYBENEFITS | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://WWW.MERCY.NET/COMMUNITYBENEFITS | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://WWW.MERCY.NET/BILLING/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://WWW.MERCY.NET/BILLING/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WWW.MERCY.NET/BILLING/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| MERCY HOSPITAL OKLAHOMA CITY | PART 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 OKLAHOMA CITY | PART V, SECTION B, LINE 5: WHEN CONDUCTING ITS MOST RECENT CHNA, MERCY HOSPITAL OKC WORKED CLOSELY WITH THE FOLLOWING:- OKLAHOMA CITY/COUNTY HEALTH DEPARTMENT, ERIC HOWARD AND SHANNON WELCH- SSM HEALTH, ASHLEY OLIVO AND STACY COLEMAN- INTEGRIS HEALTH, TERESA DUNHAM AND STEVE PETTY- UNITED WAY OF CENTRAL OKLAHOMA, AMANDA TEMPLETON AND CRYSTAL STUHR- OKLAHOMA STATE HEALTH DEPARTMENT, DUSTI BRODERICK AND JAMES ALLEN- HEALTH ALLIANCE FOR THE UNINSURED, PAM REMMELS EXECUTIVE DIRECTOR- LINWOOD ELEMENTARY, SUSAN COMBS, PRINCIPAL- REGIONAL FOOD BANK OF OKLAHOMA, KATIE, EXECUTIVE DIRECTOR- WELLNESS NOW COALITION, CARRIE BLUMERT- TURNING POINT COUNCIL, DANIELLE DILL- OKLAHOMA CITY AREA FREE AND CHARITABLE CLINICS, CLINIC MANAGERS AT EACH SITE- COMMUNITY HEALTH CENTERS, INC., ISABELLA LAWSON, CEOADDITIONALLY, 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.PLEASE REFER TO THE COMMUNITY HEALTH NEEDS ASSESSMENT WHICH CAN BE FOUND AT: WWW/MERCY.NET/COMMUNITY-BENEFITS |
| MERCY HOSPITAL OKLAHOMA CITY | PART V, SECTION B, LINE 6A: SSM HEALTH AND INTEGRIS HEALTH |
| MERCY HOSPITAL OKLAHOMA CITY | PART V, SECTION B, LINE 6B: - OKLAHOMA CITY/COUNTY HEALTH DEPARTMENT, ERIC HOWARD AND SHANNON WELCH- UNITED WAY OF CENTRAL OKLAHOMA, AMANDA TEMPLETON AND CRYSTAL STUHR- OKLAHOMA STATE HEALTH DEPARTMENT, DUSTI BRODERICK AND JAMES ALLEN- HEALTH ALLIANCE FOR THE UNINSURED, PAM REMMELS EXECUTIVE DIRECTOR- LINWOOD ELEMENTARY, SUSAN COMBS, PRINCIPAL- REGIONAL FOOD BANK OF OKLAHOMA, KATIE, EXECUTIVE DIRECTOR- WELLNESS NOW COALITION, CARRIE BLUMERT- TURNING POINT COUNCIL, DANIELLE DILL- OKLAHOMA CITY AREA FREE AND CHARITABLE CLINICS, CLINIC MANAGERS AT EACH SITE- COMMUNITY HEALTH CENTERS, INC., ISABELLA LAWSON, CEO |
| MERCY HOSPITAL OKLAHOMA CITY | PART V, SECTION B, LINE 11: BASED ON THE FINDINGS OF ITS MOST RECENTLY CONDUCTED CHNA, MERCY HOSPITAL OKLAHOMA CITY HAS CHOSEN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS.- ACCESS TO CARE- FOOD INSECURITY- MENTAL/BEHAVIORAL HEALTH- OBESITY/DIABETES- TOBACCO- SENATE BILL 250 PASSED BY THE OKLAHOMA LEGISLATURE IN 2015 REQUIRED THE OKLAHOMA HEALTHCARE AUTHORITY AND OKLAHOMA STATE DEPARTMENT OF HEALTH TO SUBMIT A PLAN OF ACTION BY JANUARY 2017. A DIABETES CAUCUS WAS CREATED TO ASSIST WITH THE ACTION PLAN TO IMPROVE HEALTH OUTCOMES AND TO DECREASE HEALTH CARE COSTS FOR OKLAHOMANS. SUCCESSES TO DATE INCLUDE THAT DIABETES SELF-MANAGEMENT EDUCATION WILL NOW BE COVERED BY MEDICAID AND DIABETES PREVENTION PROGRAM (DPP) WILL BE COVERED BY HEALTHCHOICE MEMBERS WHICH INCLUDES ALL STATE AND GOVERNMENT EMPLOYEES. STAFF OF THE COMMUNITY HEALTH AND ACCESS DEPARTMENT AT MERCY CONTINUE TO BE ACTIVE MEMBERS IN THE CAUCUS. ADDITIONALLY, DPP CLASSES WERE POSTPONED UNTIL AUGUST 2020 DUE TO COVID-19. DPP CLASSES ARE OFFERED IN AN ONLINE SETTING TO SEVEN PARTICIPANTS. AS OF NOVEMBER 2020, THE GROUP HAS AVERAGE 72 MINUTES OF PHYSICAL ACTIVITY WEEKLY, LOST AN AVERAGE OF 3% OF THEIR WEIGHT, AND HAVE ATTENDED 100% OF THEIR SESSIONS.FY2021- MERCY'S FIRST COHORT OF THE DIABETES PREVENTION PROGRAM COMPLETED THE PROGRAM IN LATE JULY 2021. THE PARTICIPANTS TOTAL BODY WEIGHT LOSS WAS 6.98%, 115 POUNDS LOST, AND AN ATTENDANCE RATE OF 94%. TO CONTINUE TO ADDRESS HEALTH DISPARITIES IN OKLAHOMA COUNTY. MERCY OKLAHOMA CITY OFFERED THE DIABETES PREVENTION PROGRAM SECOND COHORT IN SPANISH IN FEBRUARY OF 2021, WITH SEVEN CURRENT ACTIVE PARTICIPANTS AS OF NOVEMBER 2021. PARTICIPANTS IN THE SECOND COHORT HAVE AN AVERAGE WEIGHT LOSS OF 5.5% AND 124 MINUTES OF PHYSICAL ACTIVITY WITH AN ATTENDANCE RATE OF 97%. - GOOD SAMARITAN FREE CLINIC BECAME AN OFFICIAL CLINIC OF MERCY CLINIC AND IS LOCATED CLOSE TO THE MHOCK CAMPUS. DUE TO COVID-19, OPERATING HOURS FOR THE CLINIC TO PROVIDE SERVICES ARE CURRENTLY 8AM TO 11AM MONDAY THROUGH FRIDAY. FY 2021- GOOD SAMARITAN TRANSITIONED BACK TO A FULL-SERVICE CLINIC FOR UNINSURED POPULATIONS. THEIR CURRENT OPERATING HOURS ARE MONDAY THROUGH THURSDAY 8AM TO 4:30PM, AND FRIDAYS 8AM TO NOON. COMMUNITY HEALTH WORKED TO INTEGRATE A COMMUNITY HEALTH WORKER INTO THE CLINIC FEBRUARY 2021. FROM FEB. 2021 TO JUNE 2021, THE COMMUNITY HEALTH WORKER TOTAL UNDUPLICATED PATIENTS SERVED WAS 369, WITH 965 PATIENT ENCOUNTERS. WE ARE WORKING TO RECEIVE APPROVAL TO HIRE AN ADDITIONAL COMMUNITY HEALTH WORKER TO CONTINUE SERVING OUR HIGH NEEDS CLINICS, IDENTIFIED BY THE DEPRIVATION INDEX (N. MAY CLINIC AND BETHANY CLINIC).- COMMUNITY HEALTH WORKERS SERVING IN THE COMMUNITY HEALTH DEPARTMENT ARE ASSIGNED TO WORK DIRECTLY WITH UNINSURED PATIENTS AT MHOKC AND GOOD SAMARITAN CLINIC. EACH CHW PROVIDES CASE MANAGEMENT FOR 50+ UNINSURED PATIENTS WHO FREQUENT THE EMERGENCY ROOM AS A MEANS OF PRIMARY MEDICAL CARE.FY2021- TWO COMMUNITY HEALTH WORKERS WERE TRANSITIONED FROM WORKING AT GOOD SAMARITAN CLINIC, TO BE INTEGRATED INTO MERCY HOSPITAL OKC'S MAIN CAMPUS EMERGENCY DEPARTMENT, DURING FY21. TOTAL UNDUPLICATED PATIENTS SERVED DURING FY21 WAS 216, WITH 847 ENCOUNTERS.COMMUNITY HEALTH WORKER SUCCESS STORY #1:"A 54-YEAR-OLD MALE PATIENT LOST HIS WIFE LAST CHRISTMAS AND LIVED IN MID-WEST CITY ALONE, WAS REFERRED TO ME FROM AN INTEGRIS HOSPITAL SOCIAL WORKER, WHO RECEIVED MY INFORMATION FROM THE GOOD SAMARITAN CLINIC. THE PATIENT WAS UNINSURED, LACKED TRANSPORTATION AND SUFFERED FROM FOOD INSECURITIES. HIS SISTERS AND NIECE ALL LIVE IN FORT WORTH TEXAS, AND THEY WERE DESPERATELY TRYING TO SELL HIS HOUSE, AND COORDINATE THE TRANSFER OF ALL HIS HEALTH CARE TO TEXAS. TO EASE THE BURDEN OF HEALTHCARE COORDINATION FROM THIS FAMILY, I CONTACTED A FORT WORTH HOSPITAL, AND WAS ABLE TO COORDINATE A TEMPORARY PCP, THE MAILING OF A FINANCIAL HARDSHIP APPLICATION TO THE HOME OF HIS SISTER AND CONDUCT A WARM HAND OFF TO A PATIENT ADVOCATE AT THE FORT WORTH HOSPITAL. THIS PATIENT'S FAMILY WAS VERY GRATEFUL, AND I WAS HAPPY THAT I WAS ABLE TO HELP THIS FAMILY." COMMUNITY HEALTH WORKER SUCCESS STORY #2: "THERE WAS A PATIENT I HAD PREVIOUSLY ASSISTED WITH COMMUNITY RESOURCES AND ALSO ASSISTED WITH HELPING HER SON LOOK FOR A JOB. THIS PATIENT WAS GOING THROUGH CHEMO- THERAPY AT THE TIME AND NEED ADDITIONAL RESOURCES SUCH AS FOOD PANTRIES DUE TO NOT BEING ABLE TO AFFORD GROCERIES. I WAS ABLE TO ASSIST HER WITH THAT. AFTER A WHILE, THE PATIENT NO LONGER NEEDED MY SERVICES. A FEW MONTHS LATER, I RECEIVED A PHONE CALL FROM THE PATIENT'S SON. HE STATED THAT HIS MOTHER PASSED AWAY. HE WAS RECEIVING MEDICAL BILLS AND COULD NOT PAY FOR THEM. I WAS ABLE TO CONTACT EMSA AND THEY SAID THAT THE SON WOULDN'T HAVE TO WORRY ABOUT THE BILL. AFTER THAT, I REACHED OUT TO MERCY CHARITY AND THE REST OF THE PATIENT'S MEDICAL BILLS WERE COVERED. THE SON WAS VERY GRATEFUL FOR MY HELP AND I WAS HAPPY TO BE ABLE TO HELP TAKE THE FINANCIAL BURDEN OFF THIS PATIENT'S SON." COMMUNITY HEALTH WORKER SUCCESS STORY #3:"I RECEIVED A REFERRAL FROM THE INPATIENT SOCIAL WORK INFORMING THAT A 61-YEAR-OLD HISPANIC MALE WAS DISCHARGE FROM THE HOSPITAL, AND HE NEEDED A PCP, PRESCRIPTION ASSISTANCE, FOOD AND UTILITY ASSISTANCE. PATIENT WAS IN THE HOSPITAL DUE TO COVID-19, AND RIGHT NOW HE IS AT HOME WITH OXYGEN.WHEN I VISITED PATIENT, I NOTICED THAT HE LIVES ALONE, AND SOLELY DEPENDS ON HIS TWO ADULT CHILDREN FOR TRANSPORTATION. DURING MY FIRST VISIT, I BROUGHT WITH ME AN EMERGENCY FOOD BOX AND FOOD BANK INFORMATION, AND WE APPLIED TOGETHER TO THE COMMUNITY ACTION AGENCY FOR RENT AND UTILITY ASSISTANCE, UNFORTUNATELY, BECAUSE HIS LEGAL STATUS, THE APPLICATION WAS REJECTED. ALSO, PATIENT WAS ABLE TO SCHEDULE A FOLLOW UP APPOINTMENT WITH THE GOOD SAMARITAN CLINIC. I AM CONTINUING TO LOOK FOR RESOURCES THAT CAN ASSIST PATIENT, BUT THE POSITIVE AND REWARDING PART IS BEING ABLE TO GIVE HOPE. HOPE THAT EVERYTHING WILL BE OK, AND GOD NEVER LETS US ALONE."- FOOD INSECURITY IS BEING ADDRESSED THROUGH MERCY'S PARTNERSHIP WITH THE REGIONAL FOOD BANK, TO PROVIDE COVID RELIEF EMERGENCY FOOD BOXES TO CO-WORKERS AND PATIENTS. THIS PROGRAM INVOLVES SCREENING PATIENTS FOR FOOD INSECURITY AT 3 SEPARATE LOCATIONS OF MERCY. A FOOD PANTRY BOX CONSISTING OF 4 MEALS WILL BE GIVEN TO THE PATIENT ALONG WITH NUTRITION INFORMATION AND OTHER COMMUNITY RESOURCES FOR ADDITIONAL FOOD ASSISTANCE.FY21- WE KNOW COVID-19 EXACERBATED SOME OF THE SOCIAL NEEDS OF PATIENTS, INCLUDING FOOD INSECURITY, AND FOR THAT REASON DURING FY21 WE WERE ABLE TO PARTNER WITH THE REGIONAL FOOD BANK TO PROVIDE COVID-19 EMERGENCY FOOD BOXES FOR PATIENTS AS WELL AS CO-WORKERS. DURING FY21, WE'VE BEEN ABLE TO SERVE MORE THAN 110 INDIVIDUALS AND FAMILIES. IN THIS SAME VEIN, TO COMBAT FOOD INSECURITY, MERCY PROVIDED 1200 MEALS TO OUR SENIOR POPULATION AS PART OF "FRIDAY MERCY MEALS", A MOBILE MEALS PROGRAM PROVIDED IN PARTNERSHIP WITH ST. LUKE'S METHODIST CHURCH MEALS ON WHEELS.- THE WELLNESS NOW COALITION IS MADE UP OF OVER 200 STAKEHOLDERS FROM OKLAHOMA COUNTY AND IS ADMINISTERED THROUGH THE OKLAHOMA CITY-COUNTY HEALTH DEPARTMENT. THE COALITION'S MISSION IS TO IMPROVE THE HEALTH AND WELLNESS OF OKLAHOMA COUNTY COMMUNITY. STAFF OF THE COMMUNITY HEALTH AND ACCESS DEPARTMENT ATTEND THE QUARTERLY FULL COALITION MEETINGS AND MONTHLY WORKGROUP MEETINGS FOR TOBACCO USE PREVENTION, NUTRITION AND PHYSICAL ACTIVITY, FAITH-BASED, AND CARE COORDINATION WORKGROUPS. FY21- THE WELLNESS NOW COALITION PLACED A HOLD ON ALL ACTIVITIES DUE TO COVID-19. CURRENTLY IT IS UNDERGOING A RESTRUCTURING TO BETTER ALIGN WITH COMMUNITY NEEDS. MERCY HOSPITAL IS PARTNERED WITH THE WELLNESS NOW COALITION AND THE CITY OF OKC, AS PART OF THE NATIONAL LEADERSHIP ACADEMY FOR THE PUBLIC'S HEALTH FELLOWSHIP; TO SERVE AS THE EQUITY LEADERSHIP COMMITTEE TASKED WITH RESTRUCTURING LEADERSHIP.- MHOKC WAS A FOUNDING PARTNER OF THE HEALTH ALLIANCE FOR THE UNINSURED (HAU), WHICH WAS FORMED TO IMPROVE ACCESS OF SPECIALTY HEALTHCARE FOR THE UNINSURED. THERE ARE 17 CLINICS AFFILIATED WITH THE HAU. A STAFF POSITION SALARY IS SUPPORTED BY MERCY HOSPITAL OKLAHOMA CITY HEALTH ALLIANCE FOR THE UNINSURED' S MISSION IS TO BE A CATALYST FOR IMPROVED HEALTH CARE FOR THOSE WHO WOULD OTHERWISE BE UNABLE TO OBTAIN IT. THROUGH PARTNERSHIP AND COLLABORATION WITH MERCY HOSPITAL, THE HAU CARE CONNECTION PROGRAM COORDINATES DIAGNOSTIC AND SPECIALTY CARE SERVICES, INCLUDING SURGERY, FOR LOWINCOME, UNINSURED PATIENTS OF HAU'S PARTNER SAFETYNET HEALTH CLINICS IN OKLAHOMA COUNTY. REFERRALS ARE REVIEWED FOR MEDICAL NECESSITY AND PATIENT ELIGIBILITY (HOUSEHOLD INCOME AT OR BELOW 200% FEDERAL POVERTY LEVEL, UNINSURED AND NOT ELIGIBLE FOR MEDICARE, MEDICAID, OR OTHER PUBLIC PROGRAMS). FY21- MERCY ALSO PROVIDED FREE RADIOLOGY SERVICES TO 600+ CLIENTS REFERRED FROM THE HEALTH ALLIANCE FOR THE UNINSURED. (CONTINUED) |
| MERCY HOSPITAL OKLAHOMA CITY | PART 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 22 | ELIGIBILITY GUIDELINES FOR CHARITY CARE DISCOUNTS THE FEDERAL POVERTY GUIDELINES FOR INCOME ARE THE BASIS FOR DETERMINING ELIGIBILITY FOR CHARITY CARE DISCOUNTS. FOR EXAMPLE, INDIVIDUALS WITH INCOMES 200% OR BELOW, THE FEDERAL POVERTY GUIDELINES WILL BE ELIGIBLE FOR FREE CARE IN ALL COMMUNITIES EXCEPT JOPLIN, MAUDE NORTON, CARTHAGE AND SOUTHEAST KANSAS. INDIVIDUALS WITH INCOMES GREATER THAN 200% OF THE FEDERAL POVERTY GUIDELINES FOR MOST COMMUNITIES, MAY BE ELIGIBLE FOR CARE AT DISCOUNTED RATES DEPENDING ON THEIR INCOME LEVEL AND/OR THE AMOUNT DUE TO THE HOSPITAL. TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE, THE HOSPITAL FACILITY USES AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE. THE HOSPITAL USES A LOOK BACK METHOD THAT CONSIDERS DISCOUNTS ALLOWED TO MEDICARE AND ALL PRIVATE HEALTH INSURERS. |
| PART V, SECTION B, LINE 11 CONTINUATION | - MHOKC DONATED 250 FREE FLU SHOTS TO UNDERSERVED COMMUNITY MEMBERS AT FREE MEDICAL CLINICS. - MHOKC PROVIDED FREE LAB, RADIOLOGY, PHARMACY, ULTRASOUND, AND CARDIOLOGY SERVICES FOR 1000+ PATIENTS OF LIGHTHOUSE MINISTRIES FREE CLINIC, CROSS AND CROWN FREE CLINIC, GOOD SAMARITAN FREE CLINIC AND ST. CHARLES FREE CLINIC.- PROJECT EARLY DETECTION (PED) CONTINUES TO PROVIDE BREAST CARE SERVICES FOR 242 UNINSURED WOMEN IN THE OKLAHOMA CITY AREA. THEY RECEIVE BREAST HEALTH SERVICES THAT INCLUDE SCREENING MAMMOGRAMS, DIAGNOSTIC MAMMOGRAMS, DIAGNOSTIC PROCEDURES, BIOPSIES, MRI'S AND TREATMENT REFERRALS.- MERCY IN SCHOOLS CALL SAM ADDRESSES BEHAVIORAL HEALTH ISSUES IN THE EDMOND PUBLIC SCHOOL DISTRICT OF THE MHOKC SERVICE AREA. THERE WERE 496 CONTACTS DURING FY21, FOR MEDICAL, SOCIOEMOTIONAL, AND NUTRITIONAL SUPPORT FOR OUR K-12 AND SECONDARY PARTNERSHIPS.- TOBACCO PREVENTION- DURING FY21: OUR COMMUNITY HEALTH AND HEALTHIFICATION DEPARTMENT COLLABORATED TO CREATE AWARENESS OF THE IMPACT OF TOBACCO IN OKLAHOMA, AND PREVENTION STRATEGIES. COMMUNITY HEALTH WORKERS WERE ALSO EDUCATED AND TRAINED ON HOW TO SUBMIT A REFERRAL TO THE TOBACCO QUITLINE.HEALTH NEEDS NOT BEING ADDRESSED BECAUSE THE HOSPITALS HAVE LIMITED RESOURCES, NOT EVERY HEALTH INDICATOR WHICH HAS AN IDENTIFIED NEED FOR IMPROVEMENT WILL BE DIRECTLY ADDRESSED. THOSE COMMUNITY NEEDS IDENTIFIED, BUT NOT "PRIORITIZED" INCLUDED THE FOLLOWING: EDUCATIONDATA COLLECTION OCCURRED AT THE SAME TIME AS THE 2018 OKLAHOMA LEGISLATIVE SESSION WHEN TEACHER PAY RAISES, EDUCATION FUNDING CRISIS, AND A TEACH WALKOUT OCCURRED. THIS MOST LIKELY IMPACTED THE HIGH RATE OF RESPONSES. HEALTH EDUCATION PROGRAMS WERE MENTIONED NUMEROUS TIMES IN COMMUNITY CHAT FEEDBACK. IT IS BELIEVED THAT THROUGH THE FOCUS OF OBESITY, TOBACCO, FOOD ACCESS, MENTAL HEALTH AND HEALTHCARE ACCESS, THESE NEEDS WILL BE INDIRECTLY ADDRESSED.HEALTH INSURANCE/PRESCRIPTION MEDICATIONSTHE HOSPITALS ATTEMPT TO ALLEVIATE THESE ECONOMIC CONSTRAINTS ON A REGULAR BASIS THROUGH THE PROVISION OF CHARITY CARE AND FOUNDATION SUPPORT.POVERTYALTHOUGH POVERTY AS A STANDALONE ITEM WAS NOT CHOSEN AS A PRIORITY, THE HOSPITALS BELIEVE THE SELECTED PRIORITIES WILL POSITIVELY IMPACT POVERTY THROUGH IMPROVED FOOD, HEALTHCARE ACCESS, AND MENTAL HEALTH.SOCIALTHIS VARIABLE INCLUDES COMMENTS FROM CHAT QUESTIONNAIRES PERTAINING TO CLASSES FOR ADULTS, COMMUNITY GATHERING SPACES, AFFORDABLE HOUSING, POLITICAL REPRESENTATION, EMPLOYMENT, FUNDING, PARKS AND RECREATION, TRANSPORTATION ISSUES, ETC. THE HOSPITALS ARE NOT PREPARED TO ADDRESS THESE NEEDS AND RELY ON FEDERAL, STATE, AND LOCAL GOVERNMENT-BASED PROGRAMS TO ADDRESS AND IMPROVE THESE ISSUES.TEEN PREGNANCYTHERE ARE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTHCARE ENTITIES (SSM HEALTH ST ANTHONY AND MERCY HOSPITAL, OKC) THAT LIMIT THE ABILITY AND CAPACITY TO INTERVENE ON THIS ISSUE. THERE ARE SEVERAL ORGANIZATIONS IN OKLAHOMA COUNTY THAT ARE ADDRESSING TEEN PREGNANCY IN THE COMMUNITY INCLUDING THRIVE, VARIETY CARE, AND THE OKLAHOMA CITY/COUNTY HEALTH DEPARTMENT. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 15 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - MERCY EDMOND I-35 | ||||
| 2017 W I-35 FRONTAGE ROAD | EDMOND | OK | 73013 | OUTPATIENT SURGERY,PHARMACY,FITNESS CENTER,PHYSICAL THERAPY,RADIOLOGY, LAB |
| 2 - MERCY COLETTA BUILDING | ||||
| 4401 MCAULEY BLVD STE 2200 | OKLAHOMA CITY | OK | 73120 | CANCER TREATMENT & CARE, BREAST CARE SERVICES,IMAGING & RADIATION SERVICES |
| 3 - MHOKC - HOME HEALTH | ||||
| 4401 W MEMORIAL RD STE 143 | OKLAHOMA CITY | OK | 73134 | HOME HEALTH SERVICES |
| 4 - MHOKC - OUTPATIENT PHYSICAL THERAPY | ||||
| 4401 W MEMORIAL ROAD | OKLAHOMA CITY | OK | 73134 | SPORTS & PHYSICAL THERAPY |
| 5 - MHOKC OUTPATIENT REHAB-QUAILBROOK | ||||
| 4401 W MEMORIAL RD | OKLAHOMA CITY | OK | 73134 | OUPTATIENT REHAB SERVICES |
| 6 - THE OKLAHOMA CITY ASC LLC (AMSURG) | ||||
| 13313 N MERIDIAN BUILDING B | OKLAHOMA CITY | OK | 73120 | ENDOSCOPY SERVICES |
| 7 - MHOKC - HOSPICE | ||||
| 4401 W MEMORIAL RD STE 143 | OKLAHOMA CITY | OK | 73134 | HOSPICE SERVICES |
| 8 - MHOKC - SLEEP DISORDER CENTER | ||||
| 4345 W MEMORIAL ROAD | OKLAHOMA CITY | OK | 73134 | SLEEP DISORDER SERVICES |
| 9 - MHOKC-OUTPATIENT ONCOLOGY INFUSION | ||||
| 4401 MCAULEY BLVD 2ND FLOOR | OKLAHOMA CITY | OK | 73120 | OUTPATIENT ONCOLOGY INFUSION SERVICES |
| 10 - EDMOND OUTPATIENT REHAB | ||||
| 1919 N EASTERN AVE | EDMOND | OK | 73013 | OUTPATIENT RAHAB SERVICES |
| 11 - MHOKC - WOUND CARE CENTER | ||||
| 4140 WEST MEMORIAL RD SUITE 107 | OKLAHOMA CITY | OK | 73120 | WOUND CARE CENTER |
| 12 - MHOKC LAB | ||||
| 4200 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | LABORATORY SERVICES |
| 13 - CANADIAN COUNTY OUTPATIENT REHAB | ||||
| 520 S MUSTANG RD | YUKON | OK | 73099 | SPORTS & PHYSICAL THERAPY & REHAB |
| 14 - MHOKC - CANADIAN COUNTY IMAGING CENTER | ||||
| 520 S MUSTANG RD | YUKON | OK | 73099 | CT & ULTRASOUND SERVICES |
| 15 - MHOKC - ORTHOPEDIC ASSOCIATES | ||||
| 3301 NW 50TH STREET | OKLAHOMA CITY | OK | 73112 | ORTHOPEDIC SERVICES |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LN 7 COL(F): | TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) ARE $584,749,605. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $24,711,850. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $560,037,755. |
| PART I, LINE 6A | COMMUNITY BENEFIT REPORTTHE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS PREPARED BY ITS ULTIMATE PARENT ENTITY, MERCY HEALTH (EIN: 43-1423050). |
| PART II, COMMUNITY BUILDING ACTIVITIES: | MERCY HOSPITAL OKLAHOMA CITY, INC. (MHOKC) COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITIES IN WHICH THEY SERVE. THROUGH ACTIVE PARTICIPATION ON COMMUNITY BOARDS, NEIGHBORHOOD/COMMUNITY MEETINGS, AND INVOLVEMENT IN COMMUNITY-BASED EVENTS, MHOKC 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. A FULL DESCRIPTION OF COMMUNITY 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: | THE TEXT OF THE FOOTNOTE THAT IS INCLUDED IN MERCY HEALTH AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE FOLLOWS: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 HOSPITAL OKLAHOMA CITY THAT 100% OF ANY SHORT FALL 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 OR TAKING LEGAL ACTION 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 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 AND SOUTHEAST KANSAS. THIS PRESUMPTIVE SCREENING PROCESS DETAILS EVALUATIONS THAT TAKE PLACE PRIOR TO PATIENT BILLING AND ADDITIOANLLY PRIOT 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 LEGAL ACTION CONSISTENT WITH MERCY MISSION AND VALUES AFTER SENDING 3 MONTHLY STATEMENTS WITH THE FINAL INCLUDING NOTIFICATION; IF NO RESOLUTION THEY WILL BE TURNED TO COLLECTIONS. ADDITIONALLY, THEY MAY INCLUDE LIENS UPON REAL PROPERTY AND REASONABLE WAGE GARNISHMENTS. LEGAL ACTIONS WILL GENERALLY NOT INCLUDE BANK GARNISHMENTS, REPOSSESSION OF ASSETS OR FORECLOSURES TO ENSURE SATISFACTION OF A LIEN. MERCY HAS POLICIES AND PROCEDURES ESTABLISHED TO ADDRESS THE INITIATION OF LEGAL ACTION AND ANNUALLY REVIEW COMPLIANCE WITH POLICIES BUT ENSURE 120 DAYS OF BILLING AND COLLECTIONS OCCUR PRIOR TO ANY EXTRAORDINARY COLLECTIONS ARE PURSUED. |
| PART VI, LINE 2: | A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED BY INTEGRIS HEALTH, MERCY, SSM HEALTH ST. ANTHONY, ALONG WITH THE OKLAHOMA CITY/COUNTY HEALTH DEPARTMENT, THE OKLAHOMA STATE DEPARTMENT OF HEALTH AND THE UNITED WAY OF CENTRAL OKLAHOMA. METHODS OF COLLECTING AND ANALYZING DATA AND INFORMATION INCLUDED ONLINE SURVEYS, COMMUNITY CHATS, PUBLISHED DATA, AND HOSPITAL SPECIFIC DATA. COMMUNITY CHATS WERE CONDUCTED TO DIALOGUE DIRECTLY WITH LOCAL COMMUNITY MEMBERS. THERE WAS A TARGETED EFFORT TO CONDUCT CHATS WITH AT-RISK POPULATIONS IN LOW SOCIOECONOMIC ZIP CODES AND AT MINORITY HEALTH FAIRS THROUGH OKLAHOMA COUNTY. COMMUNITY PARTNERS THAT ASSISTED IN DATA COLLECTION INCLUDED LINWOOD ELEMENTARY, WELLNESS NOW COALITION, REACHING OUR CITY, AND MEN'S ZION GROUP. COMMUNITY SURVEYS WERE AVAILABLE ONLINE. EACH PARTNER UTILIZED SOCIAL MEDIA TO PUBLICIZE THE SURVEY TO RESIDENTS OF OKLAHOMA COUNTY. PARTNERS ASSISTING IN THE DISSEMINATION OF THE ONLINE SURVEY INCLUDED OKC INDIAN CLINIC, SOUTHERN PLAINS TRIBAL HEALTH BOARD, MEN'S HEALTH UNIVERSITY, HISPANIC INITIATIVE, CROSSINGS COMMUNITY CENTER, AND THE WELLNESS NOW COALITION.PRIMARY DATA INVOLVED AN EFFORT OF COLLABORATION BETWEEN INTEGRIS, MERCY, SSM HEALTH ST. ANTHONY, OCCHD, OSDH, AND UNITED WAY TO GATHER COMMUNITY INPUT FROM OKLAHOMA COUNTY RESIDENTS OF ALL BACKGROUNDS, SOCIOECONOMIC STATUS, AND DEMOGRAPHICS. ADDITIONALLY, THE HOSPITALS PROVIDED INTERNAL DATA FOR ANALYSIS AND CONSIDERATION IN THE CHNA PROCESS.PUBLISHED SECONDARY DATA WAS USED FROM THE COMPILATION OF PUBLIC HEALTH DATA, STATE/NATIONAL DATA, AND COMMUNITY CHATS TO OBTAIN A BROADER VIEW OF THE OVERALL HEALTH STATUS OF THE COUNTY. PLEASE REFER TO THE COMMUNITY HEALTH NEEDS ASSESSMENT WHICH CAN BE FOUND AT: WWW/MERCY.NET/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 ACCOUNTS 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 WHEN PRESENTING IN THE FACILITIES. IN ADDITION TO THE WEB ADDRESS PROVIDING THE APPLICATION, POLICIES, AND EVEN HOW UNINSURED ACCOUNTS ARE HANDLED. LASTLY, THE STATEMENTS (BILLING) INCLUDES MESSAGING TO THE PATIENT THAT MERCY DOES HAVE A FINANCIAL ASSISTANCE PROGRAM AND TO CALL TO SEE IF THEY ARE ELIGIBLE. MERCY STAFFS INTERNAL RESOURCES CERTIFIED TO ASSIST PATIENTS WITH MEDICAID APPLICATIONS AS WELL. |
| PART VI, LINE 4: | THE PRIMARY SERVICE AREA FOR MERCY HOSPITAL OKLAHOMA CITY INCLUDES 106 ZIP CODES ACROSS OKLAHOMA. THE FOLLOWING INFORMATION IS DERIVED FROM THE ADVISORY BOARD DEMOGRAPHICS AND THE OK DEPARTMENT OF HEALTH 2018-2019 ANALYTICS. THE AREA'S POPULATION IS 1,357,047. THE MEDIAN HOUSEHOLD INCOME IS $65,000. 37.6% OF THE POPULATION IS 45 AND OLDER. 89% OF THE POPULATION IS A HIGH SCHOOL GRAD OR GREATER AND THE MEDIAN AGE IS 37. 15.7% OF THE HOUSEHOLDS ARE ON MEDICARE, 18.8% ON MEDICAID, AND 14% UNINSURED. |
| PART VI, LINE 5: | PROMOTION OF COMMUNITY HEALTH MERCY 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 COMMUNITIES. MERCY OFFERS SERVICES AND PROGRAM WHICH FURTHER HEALTH PROMOTION, MAINTENANCE AND CARE TO THE COMMUNITY. PROGRAMS PROVIDED TO MEET THE COMMUNITY INCLUDE SUPPORT GROUPS, OUTREACH EVENTS, BLOOD DRIVES, ETC.MERCY IS GOVERNED BY A BOARD OF DIRECTORS WHICH INCLUDES REPRESENTATION FROM COMMUNITY LEADERS FROM A VARIETY OF SECTORS. ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY. ANY POTENTIAL CONFLICTS OF INTEREST DISCLOSED ARE REVIEWED AND RESOLVED. THIS PROCESS ENSURES THAT PUBLIC, RATHER THAN PRIVATE INTERESTS ARE SERVED BY MERCY.SURPLUS FUND AND UNRESTRICTED ASSETS HELD ARE REINVESTED IN PATIENT CARE, MEDICAL EDUCATION AND RESEARCH INITIATIVES WHICH SUPPORT THE ORGANIZATION'S MISSION TO DELIVER COMPASSIONATE CARE AND EXCEPTIONAL HEALTH CARE SERVICES TO THE COMMUNITIES IT SERVES. |
| 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, 2021, MERCY FACILITIES INCLUDED 30 ACUTE CARE HOSPITALS, 5 HEART HOSPITALS, 5 REHAB HOSPITALS, 2 CHILDREN'S HOSPITALS, 2 ORTHOPEDIC HOSPTIALS, AND 1 VIRTUAL CARE COMMAND CENTER. FOR THE FISCAL YEAR ENDED JUNE 30, 2021, MERCY HAD MORE THAN 10.9 MILLION OUTPATIENT AND PHYSICIAN OFFICE VISITS, APPROXIMATELY 2,300 EMPLOYED PHYSICIANS, AND APPROXIMATELY 43,000 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. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | OK |
| COVID-19 | PLEASE SEE SCHEDULE O FOR INFORMATION RELATED TO COVID-19. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| GREATER OKLAHOMA CITY CHAMBER OF COMMERCE | |||||||
| 123 PARK AVE | OKLAHOMA CITY | OK | 73102 | 730381180 | 501(C)(6) | $7,000 | CHARITABLE DONATION |
| AMERICAN CANCER SOCIETY | |||||||
| 250 WILLIAMS ST NW STE 4B | ATLANTA | GA | 30303 | 131788491 | 501(C)(3) | $10,000 | CHARITABLE DONATION |
| RIVERSPORT FOUNDATION | |||||||
| 725 S LINCOLN BLVD | OKLAHOMA CITY | OK | 73129 | 201837237 | 501(C)(3) | $37,500 | GENERAL SUPPORT |
| MERCY HEALTH FOUNDATION OKLAHOMA CITY | |||||||
| 4300 W MEMORIAL ROAD | OKLAHOMA CITY | OK | 73120 | 463184231 | 501(C)(3) | $1,399,074 | FOUNDATION SUPPORT |
| MERCY HEALTH FOUNDATION OF OKLAHOMA | |||||||
| 4300 W MEMORIAL ROAD | OKLAHOMA CITY | OK | 73120 | 454732301 | 501(C)(3) | $145,924 | FOUNDATION SUPPORT |
| CATHOLIC CHARITIES OF THE ARCHDIOCESE OF OKLAHOMA CITY INC | |||||||
| PO BOX 32180 | OKLAHOMA CITY | OK | 73123 | 730636561 | 501(C)(3) | $43,418 | CHARITABLE DONATION |
| MARCH OF DIMES | |||||||
| 11829 DORSETT RD | MARYLAND HEIGHTS | MO | 63043 | 131846366 | 501(C)(3) | $10,000 | CHARITABLE DONATION |
| LEUKEMIA AND LYMPHOMA SOCIETY | |||||||
| 3 INTERNATIONAL DR STE 200 | RYE BROOK | NY | 10573 | 135644916 | 501(C)(3) | $5,000 | CHARITABLE DONATION |
| OKLAHOMA NURSES ASSOCIATION | |||||||
| 1111 N LEE STE 243 | OKLAHOMA CITY | OK | 73103 | 730563323 | 501(C)(6) | $5,000 | CHARITABLE DONATION |
| OHH RESEARCH FOUNDATION | |||||||
| 4200 W MEMORIAL RD STE 510 | OKLAHOMA CITY | OK | 73120 | 731455900 | 501(C)(3) | $50,000 | CHARITABLE DONATION |
| NATIONAL COWBOY AND WESTERN MUSEUM INC | |||||||
| 1700 NE 63RD STREET | OKLAHOMA CITY | OK | 73111 | 300341029 | 501(C)(3) | $5,000 | CHARITABLE DONATION |
| OKLAHOMA STATE CHAMBER OF COMMERCE AND INDUSTRY INC | |||||||
| 330 NE 10TH STREET | OKLAHOMA CITY | OK | 73104 | 731270209 | 501(C)(6) | $18,937 | CHARITABLE DONATION |
| OKLAHOMA ALLIANCE FOR HEALTHY FAMILIES | |||||||
| PO BOX 6144 | EDMOND | OK | 73083 | 825369006 | 501(C)(3) | $25,000 | GENERAL SUPPORT |
| UNITED WAY OF CENTRAL OKLAHOMA | |||||||
| PO BOX 248919 | OKLAHOMA CITY | OK | 73124 | 730589829 | 501(C)(3) | $50,000 | CHARITABLE DONATION |
| HEALTH ALLIANCE FOR THE UNINSURED INC | |||||||
| 3000 UNITED FOUNDERS BLVD STE 244 | OKLAHOMA CITY | OK | 73112 | 261789292 | 501(C)(3) | $111,959 | CHARITABLE DONATION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 12 | Total501c3OrgCnt |
| Total Other Org | 3 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION USES AN APPROVAL PROCESS TO DETERMINE WHICH ORGANIZATIONS AND INDIVIDUALS WILL RECEIVE GRANTS DURING THE FISCAL YEAR. THE FUNDS ARE THEN GIVEN DIRECTLY TO THE NONPROFIT ORGANIZATIONS AND INDIVIDUALS. GRANTS ARE FREQUENTLY MADE TO RELATED ORGANIZATIONS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | Yes (X) | FirstClassOrCharterTravelInd |
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GEBHART JIM | ||||||||||||||
| PRESIDENT, MERCY HOSPITAL OKLAHOMA C | $0 | $515,926 | $0 | $766,982 | $0 | $978,336 | $0 | $74,813 | $0 | $11,232 | $0 | $2,347,289 | $0 | $543,897 |
| 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 |
| BUENDIA MD JOSEPH | ||||||||||||||
| PHYSICIAN & BOARD MEMBER | $0 | $758,514 | $0 | $15,929 | $0 | $39,810 | $0 | $13,169 | $0 | $15,757 | $0 | $843,179 | $0 | $0 |
| STEFFENS AARON L | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $329,721 | $0 | $208,194 | $0 | $73,765 | $0 | $55,052 | $0 | $15,102 | $0 | $681,834 | $0 | $149,400 |
| 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 |
| 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 |
| ARGUETA DAVID | ||||||||||||||
| CHIEF ADMINISTRATIVE OFFICER | $0 | $447,141 | $0 | $78,918 | $0 | $480 | $0 | $48,627 | $0 | $15,650 | $0 | $590,816 | $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 |
| PRUITT MD JEFFREY N | ||||||||||||||
| PHYSICIAN & BOARD MEMBER | $0 | $401,953 | $0 | $14,314 | $0 | $19,690 | $0 | $9,800 | $0 | $9,713 | $0 | $455,470 | $0 | $0 |
| JAMES KARYL | ||||||||||||||
| CHIEF NURSING OFFICER | $0 | $218,872 | $0 | $130,569 | $0 | $44,715 | $0 | $42,132 | $0 | $14,652 | $0 | $450,940 | $0 | $86,498 |
| SMITH CHAD | ||||||||||||||
| VP - MEDICAL AFFAIRS | $0 | $331,038 | $0 | $18,396 | $0 | $19,861 | $0 | $9,800 | $0 | $15,106 | $0 | $394,201 | $0 | $0 |
| MINDER KEVIN | ||||||||||||||
| FORMER OFFICER | $0 | $227,903 | $0 | $32,229 | $0 | $68,829 | $0 | $39,307 | $0 | $6,504 | $0 | $374,772 | $0 | $0 |
| DAWSON ZACKARY | ||||||||||||||
| VP OPERATIONS | $0 | $286,974 | $0 | $13,991 | $0 | $18,966 | $0 | $8,804 | $0 | $15,191 | $0 | $343,926 | $0 | $0 |
| RINKS KEVIN | ||||||||||||||
| VP OPERATIONS | $0 | $94,251 | $0 | $10,497 | $0 | $142,877 | $0 | $8,419 | $0 | $5,467 | $0 | $261,511 | $0 | $0 |
| EDELSTEIN THOMAS | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $182,830 | $0 | $9,599 | $0 | $14,505 | $0 | $39,333 | $0 | $11,734 | $0 | $258,001 | $0 | $0 |
| YOUNG HOWARD | ||||||||||||||
| PHYSICIST | $0 | $163,027 | $0 | $640 | $0 | $45,961 | $0 | $17,113 | $0 | $14,697 | $0 | $241,438 | $0 | $0 |
| WOOD ROY | ||||||||||||||
| PHYSICIST | $0 | $191,330 | $0 | $640 | $0 | $15,721 | $0 | $7,018 | $0 | $14,439 | $0 | $229,148 | $0 | $0 |
| PINAROC LYNN | ||||||||||||||
| VP - FINANCE | $0 | $153,055 | $0 | $9,716 | $0 | $45,916 | $0 | $9,489 | $0 | $6,066 | $0 | $224,242 | $0 | $0 |
| PARRY CINDY | ||||||||||||||
| PHYSICIST | $0 | $187,262 | $0 | $640 | $0 | $12,804 | $0 | $6,805 | $0 | $15,186 | $0 | $222,697 | $0 | $0 |
| HAHNE CHRISTOPHER | ||||||||||||||
| VP FINANCE | $0 | $163,975 | $0 | $6,008 | $0 | $26,638 | $0 | $9,200 | $0 | $15,172 | $0 | $220,993 | $0 | $0 |
| WHITAKER DAVID D | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $0 | $0 | $0 | $0 | $123,494 | $0 | $0 | $0 | $0 | $0 | $123,494 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | CHARTER TRAVEL IS PROVIDED TO CERTAIN EMPLOYEES AS AND WHEN APPROPRIATE, AND AS DEEMED NECESSARY FOR BUSINESS TRAVEL. AFTER CHARTER TRAVEL APPROVAL HAS BEEN GRANTED IN ACCORDANCE WITH THE FINANCIAL JUSTIFICATION PROCESS, THE APPROVED CHARTER TRAVEL FOR BUSINESS IS A REIMBURSABLE EXPENSE WHICH IS NOT TAXABLE TO THE EMPLOYEES. IN ANY CIRCUMSTANCE IN WHICH CHARTER TRAVEL IS MADE AVAILABLE TO EMPLOYEES AND/OR SPOUSES/GUESTS FOR PERSONAL REASONS, MERCY POLICY REQUIRES TRACKING OF SUCH USE AND TAXATION OF THE EMPLOYEE(S) ACCORDINGLY. LIMITED INSTANCES OF GROSS-UPS OCCURRED WITH RESPECT TO EXECUTIVES. |
| PART I, LINES 4A-B | THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM A RELATED ORGANIZATION: JONATHAN VITIELLO $403,390; DIANA SMALLEY $393,851; GARY RAJU $206,823; DAVID WHITAKER 123,494; KEVIN RINKS $122,604. SCHEDULE J, PART I, QUESTION 4B 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: DIANA SMALLEY; JIM GEBHART; JONATHAN VITIELLO; BICH-VI LE; AARON STEFFENS; KARYL JAMES; DAVID ARGUETA; TRACY ENLOE; GARY RAJU; KEVIN MINDER 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, JIM GEBHART, JONATHAN VITIELLO, AARON STEFFENS, KARYL JAMES, 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. |
| PART I, LINE 3 | THE FILING ORGANIZATION RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTION 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| OKLAHOMA HEART HOSPITAL LLC | |||
| SEE SCHEDULE O | $407,309 | INDEPENDENT CONTRACTOR | 0 |
| MERCY REHABILITATION HOSPITALLLC | |||
| SEE SCHEDULE O | $458,910 | DISTRIBUTIONS FROM MERCY REHABILITATION HOSPITAL,LLC | 0 |
| MERCY REHABILITATION HOSPITALLLC | |||
| SEE SCHEDULE O | $147,924 | INVESTMENT IN MERCY REHABILITATION HOSPITAL, LLC | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (18 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | MERCY HOSPITAL OKLAHOMA CITY HAS A SOLE CORPORATE MEMBER, MERCY HEALTH OKLAHOMA COMMUNITIES. |
| FORM 990, PART VI, SECTION A, LINE 7A | MERCY HEALTH OKLAHOMA COMMUNITIES MAY APPOINT AND REMOVE MEMBERS OF THE BOARD. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED SOLELY UNTO MERCY HEALTH OKLAHOMA COMMUNITIES: - 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 11B | THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM, USING INFORMATION PROVIDED BY THE FILING ORGANIZATION. A DRAFT FORM 990 IS REVIEWED BY THE FILING ORGANIZATION'S FINANCE 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 PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW; IT IS THEN SIGNED AND FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER DISQUALIFIED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY AND DID SO IN THE NORMAL COURSE FOR THE YEAR ENDED JUNE 30, 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 15B | FOR 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 THE SISTER OF MERCY HEALTH SYSTEM. FOR THOSE CLASSIFIED AS KEY EMPLOYEES, THE ORGANIZATION USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, AND REVIEW/APPROVAL OF EXECUTIVE MANAGEMENT. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS, AND A REVIEW WAS COMPLETED DURING THE REPORTING YEAR. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING 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 B | AVERAGE HOURS PER WEEK THE HOURS PER WEEK DISCLOSED IN PART VII IS THE AVERAGE HOURS THE LISTED PERSON WORKED OR DEVOTED PER WEEK WHILE EMPLOYED OR ASSOCIATED WITH THE FILING ORGANIZATION AND RELATED ORGANIZATIONS (IF APPLICABLE). |
| FORM 990, PART XI, LINE 9: | NET TRANSFERS TO/FROM AFFILIATES 45,210,577. RESTRICTED SPECIFIC PURPOSE EMPLOYEE CRISIS FUND -51,310. TRSF TO OTHERS -163,264. ROUNDING 1. |
| PART XII, LINE 2 | AUDITED FINANCIAL STATEMENTS THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN THE MERCY HEALTH AND SUBSIDIARIES ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 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. |
| PART XII, QUESTION 3A AND 3B | SINGLE 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, PART V, QUESTION 1A | INDEPENDENT CONTRACTORS FOR THE FILING ORGANIZATION ARE PAID BY MERCY HEALTH (EIN 43-1423050). AS SUCH, ALL REQUIRED FORM 1099 AND FORM 1096 REPORTING IS MADE FOR THE ENTIRE HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN. |
| FORM 990, PART V, LINE 2A | W-3 FILING SALARIES AND WAGES WITH LIMITED EXCEPTIONS, THE SALARIES AND WAGES REPORTED ON FORM 990, PART IX, LINE 7 REPRESENT AN ALLOCATION OF SALARIES AND WAGES FROM A RELATED ORGANIZATION. MOST EMPLOYEES ARE PAID BY A RELATED ORGANIZATION UNDER A COMMON PAYMASTER ARRANGEMENT. AS SUCH, ALL REQUIRED PAYROLL FILING FOR THESE EMPLOYEES (INCLUDING W-2 AND W-3'S) IS REPORTED UNDER THE RELATED ORGANIZATION, MHM SUPPORT SERVICES,EIN 20-2553101. |
| FORM 990, SCHEDULE R, PART II | MERCY HOSPITALS EAST COMMUNITIES MERCY HOSPITALS EAST COMMUNITIES CONSISTS OF MERCY HOSPITALS EAST COMMUNITIES ST. LOUIS, EIN 43-0653493, AND MERCY HOSPITALS EAST COMMUNITIES WASHINGTON, EIN 43-1066883. |
| FORM 990, SCHEDULE R, PART V | SYSTEM LIMITATIONS LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY HEALTH SYSTEM, INC. AND SUBSIDIARIES. THE MAJORITY OF THE INTERCOMPANY/RELATED ORGANIZATION TRANSACTIONS ARE PROCESSED THROUGH LAWSON VIA INTERCOMPANY JOURNAL ENTRIES. WITH THE CURRENT DESIGN OF THE ERP SYSTEM, THERE ARE VARIOUS LIMITATIONS ON THE RELATED ORGANIZATION INFORMATION THAT CAN BE EXTRACTED FROM LAWSON. DUE TO THESE LIMITATIONS,MOST OF THE RELATED ORGANIZATION ACTIVITY FOR THE FILING ORGANIZATION HAS BEEN CLASSIFIED ON SCHEDULE R, PART V, IN LINES P AND Q. |
| FORM 990, SCHEDULE L, PART IV | RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION DIANA SMALLEY AND GARY RAJU, FORMER OFFICERS OF THE ORGANIZATION, AND LE, FORMER KEY EMPLOYEE OF THE ORGANIZATION, ARE BOARD MEMBERS OF OKLAHOMA HEART HOSPITAL, LLC |
| FORM 990, SCHEDULE L, PART IV | RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION GEBHART IS AN OFFICER OF THE ORGANIZATION; IS A BOARD MEMBER OF MERCY REHABILITATION HOSPITAL, LLC |
| COVID-19 | EARLY 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
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEUROSCIENCE INSTITUTE SERVICES ORGANIZATION LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4300 W MEMORIAL ROAD | AddressLine1Txt |
| City | OKLAHOMA CITY | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 73120 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 300487934 | EIN |
| Primary Activities | MGD CARE SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | OK | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY HOSPITAL OKLAHOMA CITY | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (71 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CASA DE MISERICORDIA | |||||||||||
| 1000 MIER ST | LAREDO | TX | 78040 | 742912461 | WOMEN'S DOMESTIC VIOLENCE SHELTER | TX | 501C3 | 7 | MERCY MINISTRIES OF LAREDO | Yes (1) | |
| MCAULEY PORTFOLIO MGMT CO | |||||||||||
| 14528 S OUTER FORTY ST 100 | CHESTERFIELD | MO | 63017 | 261708048 | PORTFOLIO MANAGEMENT | MO | 501C3 | 11-II | MERCY HEALTH | Yes (1) | |
| MERCY ACO CLINICAL SERVICES INC | |||||||||||
| 14528 S OUTER FORTY ST 100 | CHESTERFIELD | MO | 63017 | 464504901 | VIRTUAL CARE CENTER | MO | 501C3 | 3 | MERCY HEALTH | Yes (1) | |
| MERCY CLINIC EAST COMMUNITIES | |||||||||||
| 645 MARYVILLE CTR DR STE 100 | ST LOUIS | MO | 63141 | 431771217 | PHYSICIAN GROUP | MO | 501C3 | 9 | MERCY HEALTH EAST COMMUNITIES | Yes (1) | |
| MERCY CLINIC FORT SMITH COMM | |||||||||||
| 7301 ROGERS AVENUE | FORT SMITH | AR | 72917 | 261318597 | PHYSICIAN CLINIC | AR | 501C3 | 9 | MERCY HEALTH FORT SMITH COMM | Yes (1) | |
| MERCY CLINIC OKLAHOMA COMM | |||||||||||
| 4300 W MEMORIAL ROAD | OKLAHOMA CITY | OK | 73120 | 270473057 | PHYSICIAN GROUP | OK | 501C3 | 3 | MERCY HEALTH OK COMMUNITIES | Yes (1) | |
| MERCY CLINIC SPRINGFIELD COMM | |||||||||||
| 1965 FREMONT STREET SUITE 2950 | SPRINGFIELD | MO | 65804 | 431560263 | PHYSICIAN GROUP | MO | 501C3 | 3 | MERCY HEALTH SPRINGFIELD COMM | Yes (1) | |
| MERCY FAMILY CENTER | |||||||||||
| 14528 S OUTER FORTY ST 100 | CHESTERFIELD | MO | 63017 | 721069468 | FAMILY COUNSELING SERVICES | LA | 501C3 | 7 | MERCY HEALTH | Yes (1) | |
| MERCY HEALTH | |||||||||||
| 14528 S OUTER FORTY ST 100 | CHESTERFIELD | MO | 63017 | 431423050 | CORPORATE OFFICE | MO | 501C3 | 1 | 0 | N/A | |
| MERCY HEALTH EAST COMMUNITIES | |||||||||||
| 645 MARYVILLE CTR DR STE 100 | ST LOUIS | MO | 63141 | 431718408 | HEALTH SYSTEM | MO | 501C3 | 11-II | MERCY HEALTH | Yes (1) | |
| MERCY HEALTH FORT SMITH COMM | |||||||||||
| 7301 ROGERS AVENUE | FORT SMITH | AR | 72917 | 261318515 | HOLDING COMPANY | AR | 501C3 | 11-II | MERCY HEALTH | Yes (1) | |
| MERCY HEALTH FOUNDATION | |||||||||||
| 14528 S OUTER FORTY ST 100 | CHESTERFIELD | MO | 63017 | 200901499 | FOUNDATION | MO | 501C3 | 11-II | MERCY HEALTH | Yes (1) | |
| MERCY HEALTH FOUNDATION ADA | |||||||||||
| 430 N MONTE VISTA STREET | ADA | OK | 74820 | 463596274 | FOUNDATION | OK | 501C3 | 11-I | MERCY HOSPITAL ADA | Yes (1) | |
| MERCY HEALTH FOUNDATION ARDMORE | |||||||||||
| 1011 14TH AVENUE NW | ARDMORE | OK | 73401 | 710962525 | FOUNDATION | OK | 501C3 | 11-I | MERCY HOSPITAL ARDMORE | Yes (1) | |
| MERCY HEALTH FOUNDATION BERRYVILLE | |||||||||||
| 214 CARTER STREET | BERRYVILLE | AR | 72616 | 710759301 | FOUNDATION | AR | 501C3 | 11-I | MERCY HOSPITAL BERRYVILLE | Yes (1) | |
| MERCY HEALTH FOUNDATION FT SCOTT | |||||||||||
| 401 WOODLAND HILLS BLVD | FORT SCOTT | KS | 66701 | 481077073 | FOUNDATION | KS | 501C3 | 11-III | MERCY KANSAS COMMUNITIES INC | Yes (1) | |
| MERCY HEALTH FOUNDATION FORT SMITH | |||||||||||
| 7301 ROGERS AVENUE | FORT SMITH | AR | 72917 | 237330425 | FOUNDATION | AR | 501C3 | 7 | MERCY HOSPITAL FORT SMITH | Yes (1) | |
| MERCY HEALTH FOUNDATION LEBANON | |||||||||||
| 100 HOSPITAL DRIVE | LEBANON | MO | 65536 | 822514567 | FOUNDATION | MO | 501C3 | 11-II | MERCY HOSPITAL LEBANON | Yes (1) | |
| MERCY HEALTH FOUNDATION JEFFERSON | |||||||||||
| 1400 US HIGHWAY 61 SOUTH | FESTUS | MO | 63028 | 462797051 | FOUNDATION | MO | 501C3 | 11-II | MERCY HOSPITAL JEFFERSON | Yes (1) | |
| MERCY HEALTH FOUNDATION JOPLIN | |||||||||||
| 100 MERCY WAY | JOPLIN | MO | 64804 | 270906136 | FOUNDATION | MO | 501C3 | 11-I | MERCY HEALTH SW MOKS COMM | Yes (1) | |
| MERCY HEALTH FOUNDATION LINCOLN | |||||||||||
| 1000 EAST CHERRY STREET | TROY | MO | 63379 | 811477159 | FOUNDATION | MO | 501C3 | 11-II | MERCY HEALTH EAST COMMUNITIES | Yes (1) | |
| MERCY HEALTH FOUNDATION NW ARK | |||||||||||
| 2710 RIFE MEDICAL LN | ROGERS | AR | 72858 | 710601687 | FOUNDATION | AR | 501C3 | 11-III | MERCY HOSPITAL ROGERS | Yes (1) | |
| MERCY HEALTH FOUNDATION OF OK | |||||||||||
| 4300 W MEMORIAL ROAD | OKLAHOMA CITY | OK | 73120 | 454732301 | FOUNDATION | OK | 501C3 | 11-I | MERCY HEALTH OK COMMUNITIES | Yes (1) | |
| MERCY HEALTH FOUNDATION OK CITY | |||||||||||
| 4300 W MEMORIAL ROAD | OKLAHOMA CITY | OK | 73120 | 463184231 | FOUNDATION | OK | 501C3 | 11-I | MERCY HEALTH OK COMMUNITIES | Yes (1) | |
| MERCY HEALTH FOUNDATION SPRINGFIELD | |||||||||||
| 1235 E CHEROKEE STREET | SPRINGFIELD | MO | 65804 | 320195818 | FOUNDATION | MO | 501C3 | 11-II | MERCY HEALTH SPRINGFIELD COMM | Yes (1) | |
| MERCY HEALTH FOUNDATION ST FRANCIS | |||||||||||
| 100 W HIGHWAY 60 | MOUNTAIN VIEW | MO | 65548 | 431873914 | FOUNDATION | MO | 501C3 | 11-I | MERCY ST FRANCIS HOSPITAL | Yes (1) | |
| MERCY HEALTH FOUNDATION STL | |||||||||||
| 615 SOUTH NEW BALLAS ROAD | ST LOUIS | MO | 63141 | 562410020 | FOUNDATION | MO | 501C3 | 11-II | MERCY HEALTH EAST COMMUNITIES | Yes (1) | |
| MERCY HEALTH FOUNDATION WASHINGTON | |||||||||||
| 901 E FIFTH STREET | WASHINGTON | MO | 63090 | 562410022 | FOUNDATION | MO | 501C3 | 11-II | MERCY HEALTH EAST COMMUNITIES | Yes (1) | |
| MERCY HEALTH NW ARK COMMUNITIES | |||||||||||
| 2710 RIFE MEDICAL LN | ROGERS | AR | 72758 | 621684203 | PHYSICIAN GROUP | AR | 501C3 | 11-II | MERCY HEALTH | Yes (1) | |
| MERCY HEALTH OK COMMUNITIES | |||||||||||
| 4300 W MEMORIAL ROAD | OKLAHOMA CITY | OK | 73120 | 731453048 | HEALTH SYSTEM | OK | 501C3 | 11-II | MERCY HEALTH | Yes (1) | |
| MERCY HEALTH PLANS OF MISSOURIINC | |||||||||||
| 3265 S NATIONAL AVENUE | SPRINGFIELD | MO | 65807 | 320481419 | HMO | MO | 501C4 | MERCY HEALTH | Yes (1) | ||
| MERCY HEALTH PLANSINC | |||||||||||
| 3265 S NATIONAL AVENUE | SPRINGFIELD | MO | 65807 | 320486150 | PPO | MO | 501C4 | MERCY HEALTH PLANS OF MISSOURIINC | Yes (1) | ||
| MERCY HEALTH SW MOKS COMM | |||||||||||
| 100 MERCY WAY | JOPLIN | MO | 64804 | 300584463 | HEALTH SYSTEM | MO | 501C3 | 11-II | MERCY HEALTH | Yes (1) | |
| MERCY HEALTH SPRINGFIELD COMM | |||||||||||
| 1235 E CHEROKEE STREET | SPRINGFIELD | MO | 65804 | 431856028 | HEALTH SYSTEM | MO | 501C3 | 11-II | MERCY HEALTH | Yes (1) | |
| MERCY HOSPITAL ADA INC | |||||||||||
| 430 N MONTE VISTA STREET | ADA | OK | 74820 | 462288155 | HOSPITAL | OK | 501C3 | 3 | MERCY HEALTH OK COMMUNITIES | Yes (1) | |
| MERCY HOSPITAL ARDMORE | |||||||||||
| 1011 14TH AVENUE NW | ARDMORE | OK | 73401 | 731500629 | HOSPITAL | OK | 501C3 | 3 | MERCY HEALTH OK COMMUNITIES | Yes (1) | |
| MERCY HOSPITAL AURORA | |||||||||||
| 500 PORTER AVENUE | AURORA | MO | 65605 | 431936696 | HOSPITAL | MO | 501C3 | 3 | MERCY HEALTH SPRINGFIELD COMM | Yes (1) | |
| MERCY HOSPITAL BERRYVILLE | |||||||||||
| 214 CARTER STREET | BERRYVILLE | AR | 72616 | 710759299 | HOSPITAL | AR | 501C3 | 3 | MERCY HEALTH NW ARK COMMUNITIES | Yes (1) | |
| MERCY HOSPITAL BOONEVILLE | |||||||||||
| 880 WEST MAIN STREET | BOONEVILLE | AR | 72927 | 463851119 | HOSPITAL | AR | 501C3 | 3 | MERCY HOSPITAL FORT SMITH | Yes (1) | |
| MERCY HOSPITAL CARTHAGE | |||||||||||
| 3125 DR RUSSELL SMITH WAY | CARTHAGE | MO | 64836 | 453808607 | HOSPITAL | MO | 501C3 | 3 | MERCY HEALTH SW MOKS COMM | Yes (1) | |
| MERCY HOSPITAL CASSVILLE | |||||||||||
| 94 MAIN STREET | CASSVILLE | MO | 65625 | 431936699 | HOSPITAL | MO | 501C3 | 3 | MERCY HEALTH SPRINGFIELD COMM | Yes (1) | |
| MERCY HOSPITAL COLUMBUS | |||||||||||
| 220 PENNSYLVANIA AVENUE | COLUMBUS | KS | 66725 | 270842031 | HOSPITAL | MO | 501C3 | 3 | MERCY HEALTH SW MOKS COMM | Yes (1) | |
| MERCY HOSPITAL EL RENO | |||||||||||
| 2115 PARKVIEW DRIVE | EL RENO | OK | 73036 | 272716065 | HOSPITAL - INACTIVE | OK | 501C3 | 3 | MERCY HOSPITAL OKLAHOMA CITY | Yes (1) | |
| MERCY HOSPITAL FORT SMITH | |||||||||||
| 7301 ROGERS AVENUE | FORT SMITH | AR | 72917 | 710240352 | HOSPITAL | AR | 501C3 | 3 | MERCY HEALTH FORT SMITH COMM | Yes (1) | |
| MERCY HOSPITAL HEALDTON INC | |||||||||||
| 3462 HOSPITAL RD | HEALDTON | OK | 73438 | 263173902 | HOSPITAL | OK | 501C3 | 3 | MERCY HOSPITAL ARDMORE INC | Yes (1) | |
| MERCY HOSPITAL JEFFERSON | |||||||||||
| 1400 HIGHWAY 61 SOUTH | FESTUS | MO | 63028 | 430687077 | HOSPITAL | MO | 501C3 | 3 | MERCY HEALTH EAST COMMUNITIES | Yes (1) | |
| MERCY HOSPITAL JOPLIN | |||||||||||
| 100 MERCY WAY | JOPLIN | MO | 64804 | 270814858 | HOSPITAL | MO | 501C3 | 3 | MERCY HEALTH SW MOKS COMM | Yes (1) | |
| MERCY HOSPITAL KINGFISHER INC | |||||||||||
| 1000 HOSPITAL CIRCLE | KINGFISHER | OK | 73750 | 463433074 | HOSPITAL | OK | 501C3 | 3 | MERCY HOSPITAL OKLAHOMA CITY | Yes (1) | |
| MERCY HOSPITAL LEBANON | |||||||||||
| 100 HOSPITAL DRIVE | LEBANON | MO | 65536 | 431767432 | HOSPITAL | MO | 501C3 | 3 | MERCY HEALTH SPRINGFIELD COMM | Yes (1) | |
| MERCY HOSPITAL LINCOLN | |||||||||||
| 1000 EAST CHERRY STREET | TROY | MO | 63379 | 472219204 | HOSPITAL | MO | 501C3 | 3 | MERCY HEALTH EAST COMMUNITIES | Yes (1) | |
| MERCY HOSPITAL LOGAN COUNTY INC | |||||||||||
| 200 SOUTH ACADEMY | GUTHRIE | OK | 73044 | 452998842 | HOSPITAL | OK | 501C3 | 3 | MERCY HOSPITAL OKLAHOMA CITY | Yes (1) | |
| MERCY HOSPITAL OZARK | |||||||||||
| 801 W RIVER STREET | OZARK | AR | 72949 | 710689680 | HOSPITAL | AR | 501C3 | 3 | MERCY HOSPITAL FORT SMITH | Yes (1) | |
| MERCY HOSPITAL PARIS | |||||||||||
| 500 E ACADEMY | PARIS | AR | 72855 | 710655753 | HOSPITAL | AR | 501C3 | 3 | MERCY HOSPITAL FORT SMITH | Yes (1) | |
| MERCY HOSPITAL ROGERS | |||||||||||
| 2710 RIFE MEDICAL LN | ROGERS | AR | 72758 | 710294390 | HOSPITAL | AR | 501C3 | 3 | MERCY HEALTH NW ARK COMMUNITIES | Yes (1) | |
| MERCY HOSPITAL SPRINGFIELD | |||||||||||
| 1235 E CHEROKEE STREET | SPRINGFIELD | MO | 65804 | 440552485 | HOSPITAL | MO | 501C3 | 3 | MERCY HEALTH SPRINGFIELD COMM | Yes (1) | |
| MERCY HOSPITAL TISHOMINGO | |||||||||||
| 1000 SOUTH BYRD | TISHOMINGO | OK | 73460 | 274433830 | HOSPITAL | OK | 501C3 | 3 | MERCY HOSPITAL ADA | Yes (1) | |
| MERCY HOSPITAL WALDRON | |||||||||||
| 1341 W 6TH STREET | WALDRON | AR | 72958 | 710557895 | HOSPITAL | AR | 501C3 | 3 | MERCY HOSPITAL FORT SMITH | Yes (1) | |
| MERCY HOSPITAL WATONGA INC | |||||||||||
| 500 CLARENCE NASH BLVD | WATONGA | OK | 73772 | 455199762 | HOSPITAL | OK | 501C3 | 3 | MERCY HOSPITAL OKLAHOMA CITY | Yes (1) | |
| MERCY HOSPITALS EAST COMM | |||||||||||
| 645 MARYVILLE CTR DR STE 100 | ST LOUIS | MO | 63141 | 430653493 | HOSPITAL | MO | 501C3 | 3 | MERCY HEALTH EAST COMMUNITIES | Yes (1) | |
| MERCY KANSAS COMMUNITIES INC | |||||||||||
| 401 WOODLAND HILLS BLVD | FT SCOTT | KS | 66701 | 480956045 | HOSPITAL | KS | 501C3 | 3 | MERCY HEALTH SW MOKS COMM | Yes (1) | |
| MERCY MINISTRIES OF LAREDO | |||||||||||
| 2500 ZACATECAS | LAREDO | TX | 78043 | 200198462 | OUTREACH | TX | 501C3 | 7 | MERCY HEALTH | Yes (1) | |
| MERCY RESEARCH | |||||||||||
| 524 NORTH BOONEVILLE AVENUE | SPRINGFIELD | MO | 65802 | 870796305 | RESEARCH | MO | 501C3 | 4 | MERCY HEALTH | Yes (1) | |
| MERCY ST FRANCIS HOSPITAL | |||||||||||
| 100 W HIGHWAY 60 | MOUNTAIN VIEW | MO | 65548 | 440607149 | HOSPITAL | MO | 501C3 | 3 | MERCY HEALTH SPRINGFIELD COMM | Yes (1) | |
| MHM SUPPORT SERVICES | |||||||||||
| 14528 S OUTER FORTY ST 100 | CHESTERFIELD | MO | 63017 | 202553101 | CENTRALIZED HEALTH SYSTEM FUNCTIONS | MO | 501C3 | 11-II | MERCY HEALTH | Yes (1) | |
| MISSION CLINICAL SERVICES | |||||||||||
| 300 WERNER STREET | HOT SPRINGS | AR | 71913 | 134239691 | CHILD ADVOCACY CENTER | AR | 501C3 | 9 | MERCY HEALTH | Yes (1) | |
| MERCY HEALTH FOUNDATION SOUTH | |||||||||||
| 10010 KENNERLY ROAD | ST LOUIS | MO | 63128 | 261516789 | FOUNDATION | MO | 501C3 | 11-II | MERCY HOSPITAL SOUTH | Yes (1) | |
| MERCY HOSPITAL SOUTH | |||||||||||
| 10010 KENNERLY ROAD | ST LOUIS | MO | 63128 | 430980256 | HOSPITAL | MO | 501C3 | 3 | MERCY HEALTH EAST COMMUNITIES | Yes (1) | |
| ST ANTHONY'S PHYSICIAN ORGANIZATION | |||||||||||
| 10010 KENNERLY ROAD | ST LOUIS | MO | 63128 | 431784536 | HEALTH CARE | MO | 501C3 | 3 | MERCY HOSPITAL SOUTH | Yes (1) | |
| ST MARYS HOSP ENID OK | |||||||||||
| 14528 S OUTER FORTY ST 100 | CHESTERFIELD | MO | 63017 | 730614655 | INACTIVE | OK | 501C3 | 3 | MERCY HEALTH OK COMMUNITIES | Yes (1) | |
| UNITY AMBULATORY CARE | |||||||||||
| 14528 S OUTER FORTY ST 100 | CHESTERFIELD | MO | 63017 | 431861745 | INACTIVE | MO | 501C3 | 11-III | MERCY HEALTH EAST COMMUNITIES | Yes (1) | |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS | |||||||||||
| 1619 W 7TH STREET | GALENA | KS | 66739 | 843730625 | HOSPITAL | KS | 501C3 | 3 | MERCY HEALTH SW MOKS COMM | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|---|
| PLAZA SURGERY SERVICES COMPANY LLC | ||||||||||
| 12700 SOUTHFORK ROAD | ST LOUIS | MO | 63128 | 204709312 | INACTIVE | MO | MERCY HOSPITAL SOUTH | N/A | 0 | 0 |
| MERCY AMBULATORY SURGERY CENTER LLC | ||||||||||
| 7301 ROGERS AVENUE | FORT SMITH | AR | 72917 | 710827721 | AMBULATORY SURGERY CENTER | AR | MERCY HOSPITAL FORT SMITH | N/A | 0 | 0 |
| FORT SMITH EMERGENCY MEDICAL SERVICES | ||||||||||
| 1701 SOUTH GREENWOOD | FORT SMITH | AR | 72901 | 710416615 | EMERGENCY MEDICAL SERVICES | AR | MERCY HOSPITAL FORT SMITH | N/A | 0 | 0 |
| ST EDWARD MERCY MC M-P OFFICE BLDG | ||||||||||
| 7301 ROGERS AVENUE | FORT SMITH | AR | 72903 | 710554050 | OFFICE BUILDING | AR | MERCY HOSPITAL FORT SMITH | N/A | 0 | 0 |
| PLATINUM CPS HOLDINGS LLC | ||||||||||
| 14528 S OUTER FORTY SUITE 100 | CHESTERFIELD | MO | 63017 | 842493007 | MERCY HEALTH | MO | MERCY MANAGED CARE CORPMERCY HEALTH | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FRONTENAC PROPERTIES INC | |||||||||||||||||
| 14528 S OUTER FORTY SUITE 100 | CHESTERFIELD | MO | 63017 | 521914421 | HOLDS ANCILLARY ASSETS & OWNS AIRCRAFT | DE | MERCY HEALTH | C | 0 | ||||||||
| INVENO HEALTH INC | |||||||||||||||||
| 1235 E CHEROKEE STREET | SPRINGFIELD | MO | 65804 | 264509571 | TECHNOLOGY TRANSFER COMPANY | MO | MERCY HEALTH SPRINGFIELD COMM | C | 0 | ||||||||
| UNITY SUPPORT SERVICES INC | |||||||||||||||||
| 645 MARYVILLE CENTRE DRIVE SUITE 10 | ST LOUIS | MO | 63141 | 431797042 | INACTIVE | MO | MERCY HEALTH EAST COMMUNITIES | C | 0 | ||||||||
| UH L CORP INC | |||||||||||||||||
| 645 MARYVILLE CENTRE DRIVE SUITE 10 | ST LOUIS | MO | 63141 | 742499535 | HOLDING COMPANY | MO | MERCY HEALTH SERVICES LLC | C | 0 | ||||||||
| MERCY HEALTH CENTER CONDOMINIUM INC | |||||||||||||||||
| 4300 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | 680640970 | ADMINISTRATOR OF CERTAIN REAL PROPERTY AND IMPROVEMENTS | OK | MERCY HOSPITAL OKLAHOMA CITYINC | C | 0 | $404,269 | $180,126 | 0.88000 | |||||
| MERCY MANAGED CARE CORPORATION | |||||||||||||||||
| 4300 W MEMORIAL ROAD | OKLAHOMA CITY | OK | 73120 | 731441665 | HOLDING COMPANY | OK | MERCY HEALTH | C | 0 | ||||||||
| MERCY COMMERCIAL SERVICES INC | |||||||||||||||||
| 14528 SOUTH OUTER FORTY SUITE 100 | CHESTERFIELD | MO | 63017 | 464953543 | CORP PARENT OF VCC TAXABLE COMMERCIALIZ SVCS | OK | MHN INC AND MHNSR INC | C | 0 | ||||||||
| ST ANTHONY'S PHYSICIAN ORGANIZATION OF ILLINOIS | |||||||||||||||||
| 10010 KENNERLY ROAD | ST LOUIS | MO | 63128 | 320457168 | HEALTH CARE | MO | MERCY HOSPITAL SOUTH | C | 0 | ||||||||
| MCAULEY INSURANCE COMPANY LTD | |||||||||||||||||
| INACTIVE | MERCY HEALTH | C | 0 | AON HOUSE 30 WOODBOURNE AVENUE | PEMBROKE | BD | HM 08 | BD | |||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (26 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MERCY HEALTH FOUNDATION OF OKLAHOMA | ||
| B | $145,924 | FMV |
| MERCY HEALTH FOUNDATION OKLAHOMA CITY | ||
| B | $1,399,074 | FMV |
| MERCY HEALTH FOUNDATION OKLAHOMA CITY | ||
| C | $5,572,517 | FMV |
| MERCY ACO CLINICAL SERVICES | ||
| Q | $2,079,137 | FMV |
| MERCY CLINIC EAST COMMUNITIES | ||
| Q | $7 | FMV |
| MERCY CLINIC FORT SMITH COMMUNITIES | ||
| P | $4,881 | FMV |
| MERCY CLINIC OKLAHOMA COMMUNITIES INC | ||
| P | $5,634,173 | FMV |
| MERCY CLINIC SPRINGFIELD COMMUNITIES | ||
| Q | $987,395 | FMV |
| MERCY HEALTH EAST COMMUNITIES | ||
| Q | $463,520 | FMV |
| MERCY HEALTH FOUNDATION OF OKLAHOMA | ||
| Q | $7,698 | FMV |
| MERCY HEALTH FOUNDATION OKLAHOMA CITY | ||
| Q | $322,271 | FMV |
| MERCY HEALTH OKLAHOMA COMMUNITIES | ||
| Q | $47,755,204 | FMV |
| MERCY HEALTH SPRINGFIELD COMMUNITIES | ||
| Q | $392,644 | FMV |
| MERCY HOSPITAL ADA INC | ||
| P | $972,246 | FMV |
| MERCY HOSPITAL ARDMORE | ||
| P | $1,639,877 | FMV |
| MERCY HOSPITAL FORT SMITH | ||
| Q | $57,120 | FMV |
| MERCY HOSPITAL JEFFERSON | ||
| Q | $10,024 | FMV |
| MERCY HOSPITAL KINGFISHER INC | ||
| P | $192,454 | FMV |
| MERCY HOSPITAL LOGAN COUNTY INC | ||
| P | $120,137 | FMV |
| MERCY HOSPITAL ROGERS | ||
| P | $1,635,259 | FMV |
| MERCY HOSPITAL SOUTH | ||
| P | $45 | FMV |
| MERCY HOSPITAL SPRINGFIELD | ||
| Q | $3,235 | FMV |
| MERCY HOSPITAL TISHOMINGO | ||
| P | $91 | FMV |
| MERCY HOSPITAL WATONGA INC | ||
| P | $70,678 | FMV |
| MERCY HOSPITALS EAST COMMUNITIES | ||
| Q | $60,870 | FMV |
| MHM SUPPORT SERVICES | ||
| Q | $253,864,609 | FMV |