2021-05-14T12:58:16-05:00 2020-06-30 264532849 PURK & ASSOCIATES PC 1034 SOUTH BRENTWOOD BLVD STE 2000 SAINT LOUIS MO 63117 990 2019-07-01 270473057 MERCY CLINIC OKLAHOMA COMMUNITIESINC MERC 4057523495 4300 W MEMORIAL RD OKLAHOMA CITY OK 731208304 CHRISTOPHER HAHNE EXEC DIRECTOR FINANCE 4059365649 2021-05-11 1 DOUGLAS G PLEUS CPA P00013488 3148844000 2021-05-10 2019 2022-09-23 18:48:47Z DONN SORENSEN 4300 W MEMORIAL RD OKLAHOMA CITY OK 731208304 159530643 0 X WWW.MERCY.NET X 2009 OK AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. 10 0 366 1 0 0 39867 175775 166680358 158924355 -188389 49079 539093 374855 167070929 159524064 10000 17250 0 0 168226896 170262750 0 0 0 65233883 62522620 233470779 232802620 -66399850 -73278556 48594791 24963921 19411202 11869375 29183589 13094546 X AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. 0 0 187012809 17250 159295231 MERCY CLINIC OKLAHOMA COMMUNITIES ("MCOC") PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. DURING FISCAL YEAR END JUNE 30, 2020, MCOC PROVIDED SERVICES TO OVER 1,100,000 PATIENTS. SERVICES ARE PROVIDED THROUGH PHYSICIAN CLINICS AND PRACTICES, AND RELATED FACILITIES. MCOC RECOGNIZES THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES AND, FURTHER, THAT PART OF OUR MISSION IS TO PROVIDE HEALTH CARE SERVICES AND HEALTH CARE EDUCATION TO THE COMMUNITIES IN WHICH OUR FACILITIES ARE LOCATED. IN KEEPING WITH MCOC'S COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITY, MCOC PROVIDES; (I) FREE CARE AND/OR SUBSIDIZED CARE, (II) CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST. MCOC PROVIDES CARE TO PATIENTS WHO LACK FINANCIAL RESOURCES AND ARE DEEMED TO BE MEDICALLY INDIGENT. MCOC DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE. IN ADDITION, MCOC PROVIDES SERVICES TO OTHER PATIENTS UNDER THE MEDICARE PROGRAM AND VARIOUS STATE MEDICAID PROGRAMS. SUCH PROGRAMS PAY PROVIDERS AMOUNTS THAT ARE LESS THAN BILLED CHARGES OF THE SERVICES PROVIDED TO THE RECIPIENTS. CARE IS PROVIDED TO THOSE WITH LIMITED OR NO ABILITY TO PAY. THE SERVICES PROVIDED BY MCOC, AS WELL AS THE AMOUNT OF CHARITY CARE PROVIDED, DEMONSTRATES THE ONGOING COMMITMENT OF THE ORGANIZATION TO SERVE IN A LEADERSHIP ROLE AS AN ADVOCATE FOR RESPONSIVE HEALTHCARE SERVICES FOR THE COMMUNITY, WITH A DEEP COMMITMENT AND SENSITIVITY TO MEETING THE NEEDS OF THE POOR. 187012809 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 0 0 366 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 0 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 1 0 OK X CHRISTOPHER HAHNE 4059365649 4300 WEST MEMORIAL ROAD OKLAHOMA CITY OK 73120 X GRAY MD SYLVIA S PHYSICIAN & BOARD MEMBER 60.00 0.00 X 1021673 0 25656 THOMAS RALPH C CULLEN PRESIDENT, MPO & BOARD MEMBER 60.00 0.00 X X 1007331 0 14012 KESTER MD BRANSON PHYSICIAN & BOARD MEMBER 60.00 0.00 X 639949 0 25186 VARGHESE SONIA PHYSICIAN AND BOARD MEMER 60.00 0.00 X 615864 0 11084 PICKETT MD STEPHANIE PHYSICIAN & BOARD MEMBER 60.00 0.00 X 510564 0 11259 WRIGHT MATT COO 60.00 0.00 X 388075 0 61635 MURTHY GIRISH HOSPITALIST & BOARD MEMBER 30.00 30.00 X 422769 0 20118 MANKIN MD ALICE PHYSICIAN & BOARD MEMBER 60.00 0.00 X 403759 0 22289 KRODEL JOHN PHYSICIAN AND BOARD MEMER 60.00 0.00 X 382250 0 33618 DOWELL DO MATTHEW PHYSICIAN & BOARD MEMBER 60.00 0.00 X 356275 0 28334 MINDER KEVIN VP - COMMUNITY HEALTH & BOARD MEMBER 30.00 30.00 X 0 216344 12342 HAHNE CHRISTOPHER EXECUTIVE DIRECTOR, CLINIC FINANCE & BOARD MEMBER 60.00 0.00 X 196022 0 24007 GREENWAY CLAUDETTE VP - CLINICAL OPS & BOARD MEMBER 60.00 0.00 X 214886 0 1833 SCHREIBER MARTIN VP MISSIONS & BOARD MEMBER 1.00 59.00 X 0 182454 22486 FOSTER KRISTIE VP - CLINICAL OPS & BOARD MEMBER 60.00 0.00 X 168003 0 3923 KIEHN MICHAEL BOARD MEMBER 1.00 0.00 X 0 0 0 THOMPSON PHILLIP VP MISSION AND BOARD MEMBER 60.00 0.00 X 0 64385 3126 SORENSEN DONN EXECUTIVE VP-OPERATONS 10.00 50.00 X 0 1655506 133861 VITIELLO JONATHAN CFO 2.00 58.00 X 0 1161374 120902 CAMPBELL MD JESSE CHIEF ADMINISTRATIVE OFFICER 60.00 0.00 X 731886 0 97571 LE BICH-VI REGIONAL VP - GENERAL COUNSEL 5.00 55.00 X 0 387893 64268 GOFF MD DARREN W PHYSICIAN 60.00 0.00 X 1284956 0 31156 PEERY DO DERECK A PHYSICIAN 60.00 0.00 X 1257321 0 28406 CURRY MICHAEL PHYSICIAN 60.00 0.00 X 1159628 0 24825 MOLLET MD TODD W PHYSICIAN 60.00 0.00 X 1091340 0 25225 SAVAGE MD ADAM M PHYSICIAN 60.00 0.00 X 1021460 0 25036 SMALLEY DIANA L FORMER OFFICER 0.00 0.00 X 0 1232512 28742 RAJU GARY FORMER OFFICER 0.00 60.00 X 0 738517 19159 ENLOE TRACY FORMER OFFICER 0.00 60.00 X 0 399736 68717 12874011 6038721 988776 398 1 1 0 FLINTCO 2302 S PROSPECT AVE OKLAHOMA CITY OK 73129 CONSTRUCTION SERVICES 14816349 OKLAHOMA HEART HOSPITAL 4050 WEST MEMORIAL RD 3RD FLOOR OKLAHOMA CITY OK 73120 MEDICAL SERVICES 2812788 JE DUNN CONSTRUCTION 929 HOLMES KANSAS CITY MO 64106 CONSTRUCTION SERVICES 1758208 REES ASSOCIATES 9211 LAKE HEFNER PARKWAY STE 300 OKLAHOMA CITY OK 73120 ARCHITECTURE SERVICES 454046 OHH PHYSICIANS PO BOX 268919 OKLAHOMA CITY OK 73126 MEDICAL SERVICES 451920 16 175775 175775 PATIENT SERVICE REVENUE 621110 153401951 153401951 OTHER OPERATING REVENUE 621110 3454016 3454016 CAPITATION BONUS 621110 2068388 2068388 158924355 47079 47079 10558 6579 3979 3979 3979 2000 0 2000 2000 2000 OUTSIDE PAY REVENUE 621110 331079 331079 OTHER PROFESSIONAL REVENUE 621110 34752 34752 5045 5045 370876 159524064 159295231 0 53058 17250 17250 8088223 8088223 40731 40731 141287651 116399813 24887838 2550840 2080321 470519 11562667 9607528 1955139 6732638 5608124 1124514 6460 6460 1900 1900 4225259 3617267 607992 235683 139971 95712 1576530 960272 616258 133881 133881 12122422 9916566 2205856 211812 111932 99880 80314 42758 37556 3499957 2425315 1074642 2465987 1902588 563399 DRUGS & MEDICAL EXPENSE 16490810 13857729 2633081 SHARED SERVICE FEE 15546304 6840374 8705930 BAD DEBT 4878254 4878254 REPAIRS & MAINTENANCE 382224 175334 206890 664823 168578 496245 232802620 187012809 45789811 0 15258 16009 14680941 10852524 318244 0 28526758 14431370 33285749 14095388 294599 0 48594791 24963921 10339919 8276701 575693 9071283 3016981 19411202 11869375 X 29183589 13094546 29183589 13094546 48594791 24963921 X -73278556 57189513 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2683174 1534013 1149161 7521872 3274279 4247593 18262894 9582408 8680486 58818 40670 18148 14095388 DUE TO TAX-EXEMPT AFFILIATES 3016981 3016981 PART X, LINE 2 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, 2020 OR 2019. 1 OKLAHOMA CITY BALLET 6800 N CLASSEN BLVD OKLAHOMA CITY OK 73116 237024262 501C3 10000 CHARITABLE SUPPORT 1 0 PART I, LINE 2: GRANTS ARE MADE TO ORGANIZATIONS WHICH HAVE AN ESTABLISHED HISTORY OF PROVIDING HEALTH CARE SUPPORT AND\OR COMMUNITY BENEFIT. IF NECESSARY, PERIODIC REPORTS ARE PROVIDED TO US. X X X X 1 1 1 1 0 0 0 0 0 0 0 GRAY MD SYLVIA S PHYSICIAN & BOARD MEMBER 913283 0 69850 0 38540 0 9625 0 16031 0 1047329 0 0 0 THOMAS RALPH C CULLEN PRESIDENT, MPO & BOARD MEMBER 426785 0 324122 0 256424 0 6326 0 7686 0 1021343 0 116449 0 KESTER MD BRANSON PHYSICIAN & BOARD MEMBER 548538 0 52926 0 38485 0 12375 0 12811 0 665135 0 0 0 VARGHESE SONIA PHYSICIAN AND BOARD MEMER 566251 0 30296 0 19317 0 9625 0 1459 0 626948 0 0 0 PICKETT MD STEPHANIE PHYSICIAN & BOARD MEMBER 445392 0 26707 0 38465 0 9625 0 1634 0 521823 0 0 0 WRIGHT MATT COO 308543 0 66837 0 12695 0 46837 0 14798 0 449710 0 0 0 MURTHY GIRISH HOSPITALIST & BOARD MEMBER 365354 0 38824 0 18591 0 9625 0 10493 0 442887 0 0 0 MANKIN MD ALICE PHYSICIAN & BOARD MEMBER 345714 0 31184 0 26861 0 12377 0 9912 0 426048 0 0 0 KRODEL JOHN PHYSICIAN AND BOARD MEMER 311559 0 27300 0 43391 0 17875 0 15743 0 415868 0 0 0 DOWELL DO MATTHEW PHYSICIAN & BOARD MEMBER 310901 0 27975 0 17399 0 12884 0 15450 0 384609 0 0 0 MINDER KEVIN VP - COMMUNITY HEALTH & BOARD MEMBER 0 159020 0 22911 0 34413 0 6869 0 5473 0 228686 0 0 HAHNE CHRISTOPHER EXECUTIVE DIRECTOR, CLINIC FINANCE & 155522 0 12172 0 28328 0 9142 0 14865 0 220029 0 0 0 GREENWAY CLAUDETTE VP - CLINICAL OPS & BOARD MEMBER 180171 0 14913 0 19802 0 1444 0 389 0 216719 0 0 0 SCHREIBER MARTIN VP MISSIONS & BOARD MEMBER 0 148369 0 16917 0 17168 0 7392 0 15094 0 204940 0 0 FOSTER KRISTIE VP - CLINICAL OPS & BOARD MEMBER 94953 0 0 0 73050 0 0 0 3923 0 171926 0 0 0 SORENSEN DONN EXECUTIVE VP-OPERATONS 0 867782 0 758598 0 29126 0 123637 0 10224 0 1789367 0 0 VITIELLO JONATHAN CFO 0 610068 0 478788 0 72518 0 104541 0 16361 0 1282276 0 0 CAMPBELL MD JESSE CHIEF ADMINISTRATIVE OFFICER 516932 0 157346 0 57608 0 81538 0 16033 0 829457 0 0 0 LE BICH-VI REGIONAL VP - GENERAL COUNSEL 0 270330 0 79090 0 38473 0 48465 0 15803 0 452161 0 0 GOFF MD DARREN W PHYSICIAN 1157738 0 99896 0 27322 0 15125 0 16031 0 1316112 0 0 0 PEERY DO DERECK A PHYSICIAN 1124793 0 93988 0 38540 0 12375 0 16031 0 1285727 0 0 0 CURRY MICHAEL PHYSICIAN 1054045 0 86097 0 19486 0 9625 0 15200 0 1184453 0 0 0 MOLLET MD TODD W PHYSICIAN 971381 0 81473 0 38486 0 9625 0 15600 0 1116565 0 0 0 SAVAGE MD ADAM M PHYSICIAN 926200 0 75774 0 19486 0 9625 0 15411 0 1046496 0 0 0 SMALLEY DIANA L FORMER OFFICER 0 767644 0 394548 0 70320 0 16963 0 11779 0 1261254 0 94548 RAJU GARY FORMER OFFICER 0 296634 0 409457 0 32426 0 9625 0 9534 0 757676 0 0 ENLOE TRACY FORMER OFFICER 0 282794 0 86401 0 30541 0 53271 0 15446 0 468453 0 0 PART I, LINE 1A CHARTER TRAVEL IS PROVIDED TO CERTAIN EMPLOYEES AS AND WHEN APPROPRIATE, AND AS DEEMED NECESSARY FOR BUSINESS TRAVEL. AFTER CHARTER TRAVEL APPROVAL HAS BEEN GRANTED IN ACCORDANCE WITH THE FINANCIAL JUSTIFICATION PROCESS, THE APPROVED CHARTER TRAVEL FOR BUSINESS IS A REIMBURSABLE EXPENSE WHICH IS NOT TAXABLE TO THE EMPLOYEES. 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. TRAVEL FOR COMPANIONS FOR NONBUSINESS REASONS IS PROVIDED IN CERTAIN INSTANCES AND IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. WHERE COMPANION TRAVEL HAS RESULTED IN A TAXABLE EVENT, THE EMPLOYEES ARE TAXED FOR SUCH TRAVEL. SPOUSAL TRAVEL WAS PROVIDED FOR THREE BOARD MEMBERS AND AN OFFICER. LIMITED INSTANCES OF TAX GROSS-UPS OCCURRED WITH RESPECT TO EXECUTIVES. HOUSING BENEFITS ARE PROVIDED THROUGH A RELOCATION PROGRAM IN ACCORDANCE WITH COMPANY POLICY. SUCH BENEFITS ARE SUBJECT TO TAX TO A BOARD MEMBER PAYMENT BY THE COMPANY OF COSTS FOR TEMPORARY HOUSING BY EMPLOYEES FOR THE CONVENIENCE OF THE COMPANY IS MADE IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. AS A REIMBURSABLE EXPENSE, THIS TYPE OF LODGING IS NOT TAXABLE TO THE EMPLOYEE. PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAY: JAMES DIXSON $104,167 AND RALPH THOMAS $178,503 MERCY HEALTH, THE PARENT COMPANY, OFFERS A SUPPLEMENTAL RETIREMENT PLAN TO CERTAIN EXECUTIVES WHICH PROVIDE BENEFITS UPON VESTING DATE BASED ON COMPENSATION, AGE AT THE TIME OF BENEFIT COMMENCEMENT, LENGTH OF SERVICE WITH THE COMPANY AND/OR ITS AFFILIATES, AND LENGTH OF TENURE IN THE PLAN. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE PLAN: RALPH THOMAS; JONATHAN VITIELLO; BICH-VI LE; JAMES DIXSON; DIANA SMALLEY; TRACY ENLOE; JESSE CAMPBELL; GARY RAJU; DONN SORENSEN; KEVIN MINDER; MATT WRIGHT THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C). DIANA SMALLEY, JAMES DIXSON, AND RALPH THOMAS RECEIVED PAYMENTS FROM RETIRMENT PLAN(S) DURING THE YEAR. THE AMOUNTS REPORTED FOR DIANA SMALLEY, JAMES DIXSON, AND RALPH THOMAS IN COLUMN (F) IS INCLUDED IN COLUMN B (I) AS BASE COMPENSATION. THIS PAYOUT WAS INCLUDED IN COLUMN (C) OF PREVIOUSLY FILED FORMS 990. SCHEDULE J, PART I, LINE 3 THE FILING ORGANIZATION RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTION 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS. KESTER JENNIFER FAMILY MEMBER OF BOARD MEMBER BRANSON KESTER 39077 EMPLOYMENT ARRANGEMENT, MERCY CLINIC OKLAHOMA COMMUNITIES 0 FORM 990, PART VI, SECTION A, LINE 6 MERCY HEALTH OKLAHOMA COMMUNITIES IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A MERCY HEALTH OKLAHOMA COMMUNITIES (THE MEMBER) MAY APPOINT OR REMOVE MEMBERS OF THE BOARD OF DIRECTORS AT ANY TIME AT THE MEMBER'S DISCRETION. FORM 990, PART VI, SECTION A, LINE 7B MERCY HEALTH OKLAHOMA COMMUNITIES MAY: - ADOPT OR AMEND THE MISSION AND PHILOSOPHY OF THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - ADOPT OR AMEND THE STRATEGIC PLANS, GOALS, AND OBJECTIVES OF THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - ADOPT OR AMEND THE OPERATING AND CAPITAL BUDGETS OF THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION AND ANY CHANGES IN SUCH BUDGETS IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE MEMBER; - REVIEW AND APPROVE ANY CAPITAL EXPENDITURES OR RECOMMENDATIONS NOT PREVIOUSLY APPROVED AS PART OF THE CORPORATION'S BUDGETS; - AUTHORIZE OR APPROVE THE ASSIGNMENT, TRANSFER, SALE OR LEASE OF ANY OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION OR INTEREST THEREIN IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE MEMBER; - AUTHORIZE OR APPROVE THE GRANT OF ANY PLEDGE, LIEN, ENCUMBRANCE, MORTGAGE, DEED OF TRUST OR OTHER SECURITY INTEREST IN ANY OR ALL OF THE ASSETS OF THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - AUTHORIZE OR APPROVE THE INCURRENCE OF DEBT (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) BY THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION AND THE GRANT ANY SECURITY INTERESTS, THE PLACEMENT OF ANY ENCUMBRANCES, THE ENTERING INTO ANY COVENANTS, AND THE EXECUTION OF ANY DOCUMENTS AND THE TAKING OF ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; - MERGE, DISSOLVE OR ABANDON THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - AMEND THE CERTIFICATE OF INCORPORATION AND BYLAWS OF THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - ESTABLISH ALL COMPENSATION AND BENEFIT TERMS FOR PHYSICIANS AND OTHER MEDICAL PROFESSIONALS EMPLOYED OR OTHERWISE RETAINED BY THE CORPORATION; - APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION CONTROLLED BY THE CORPORATION; - APPROVE CONTRACTS IN WHICH THE CORPORATION ASSUMES FINANCIAL RISK, INCLUDING BUT NOT LIMITED TO MANAGED CARE CONTRACTS, SUBJECT TO CONSULTATION WITH THE MANAGED CARE CONTRACTING COMMITTEE OF THE MEMBER; - APPROVE THE CLINIC'S MANPOWER PLAN; - THROUGH THE SOLE ACTION OF THE PRESIDENT OF THE MEMBER (WITH THE APPROVAL OF THE PRESIDENT OF MERCY, APPOINT AND REMOVE THE PRESIDENT OF THE CORPORATION; AND - AUTHORIZE AND AMEND THE CHARITY CARE POLICY OF THE CLINIC. FORM 990, PART VI, SECTION B, LINE 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 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, 2020. 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 MERCY HEALTH. FOR THOSE CLASSIFIED AS KEY EMPLOYEES, THE ORGANIZATION USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, AND REVIEW/APPROVAL OF EXECUTIVE MANAGEMENT. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS, AND A REVIEW WAS COMPLETED DURING THE REPORTING YEAR. FORM 990, PART VI, SECTION C, LINE 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 57,189,513. 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 2020 (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, 2020 AND WILL BE COMPLETED BY JUNE 30, 2021. 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, 2020, IT WILL BE INCLUDED ON THE MERCY HEALTH CONSOLIDATED SEFA, AND THEREFORE, ALSO INCLUDED IN THE POPULATION INCLUDED IN THE AUDIT. FORM 990, SCHEDULE R, PART 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 R, PART II MERCY HOSPITALS EAST COMMUNITIES MERCY HOSPITALS EAST COMMUNITIES CONSISTS OF MERCY HOSPITALS EAST COMMUNITIES ST. LOUIS, EIN 43-065393, AND MERCY HOSPITALS EAST COMMUNITIES WASHINGTON, EIN 43-1066883. FORM 990, PART V, LINE 1A INDEPENDENT CONTRACTORS INDEPENDENT CONTRACTORS FOR THE FILING ORGANIZATION ARE PAID BY MERCY HEALTH (EIN 43-1423050). AS SUCH, ALL REQUIRED FORM 1099 AND FORM 1096 REPORTING IS MADE FOR THE ENTIRE HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN. SCHEDULE A, PART I, LINE 3 PUBLIC CHARITY STATUS THE ORGANIZATION MEETS THE DEFINITION FOR PUBLIC CHARITY STATUS BOX 3 ON PART I OF SCHEDULE A, BUT DOES NOT MEET THE DEFINITION OF A HOSPITAL FOR SCHEDULE H. THEREFORE, SCHEDULE H WAS NOT COMPLETED FOR THIS ORGANIZATION. FORM 990, PART V, QUESTION 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. COVID-19 EARLY IN 2020, THE MERCY HEALTH SYSTEM WAS CALLED TO SERVE AS THE COVID-19 PANDEMIC SWEPT ACROSS THE WORLD. THIS CONTINUES 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 REVENUES WERE REDUCED BY OVER $550 MILLION DOLLARS DURING THE FOUR MONTHS ENDING JUNE 30, 2020, AND THIS FIGURE DOES NOT INCLUDE THE IMPACT OF ANY CORONAVIRUS AID RELIEF AND ECONOMIC SECURITY ACT ("CARES ACT") FUNDING. MERCY RECEIVED CARES ACT FUNDING ACROSS VARIOUS ENTITIES FOR THE YEAR ENDED JUNE 30, 2020 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 IN THESE MONTHS DUE TO 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. MERCY CARE LLC 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 271304342 URGENT CARE CLINIC OPERATIONS OK 0 0 MERCY CLINIC OKLAHOMA COMMUNITIES MEMORIAL MEDICAL GROUP EMERGENCY PHYSICIANSLLC 1011 14TH NW ARDMORE OK 73401 260261710 PHYSICIAN SERVICES OK 3231320 0 MERCY CLINIC OKLAHOMA COMMUNITIES CASA DE MISERICORDIA 1000 MIER ST LAREDO TX 78040 742912461 WOMEN'S DOMESTIC VIOLENCE SHELTER TX 501C3 7 MERCY MINISTRIES OF LAREDO 1 MCAULEY PORTFOLIO MGMT CO 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 261708048 PORTFOLIO MANAGEMENT MO 501C3 11-II MERCY HEALTH 1 MERCY ACO CLINICAL SERVICES INC 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 464504901 VIRTUAL CARE CENTER MO 501C3 3 MERCY HEALTH 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 1 MERCY CLINIC FORT SMITH COMM 7301 ROGERS AVENUE FORT SMITH AR 72917 261318597 PHYSICIAN CLINIC AR 501C3 9 MERCY HEALTH FORT SMITH COMM 1 MERCY CLINIC 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3 MERCY HEALTH EAST COMMUNITIES 1 MERCY KANSAS COMMUNITIES INC 401 WOODLAND HILLS BLVD FT SCOTT KS 66701 480956045 HOSPITAL KS 501C3 3 MERCY HEALTH SW MOKS COMM 1 MERCY MINISTRIES OF LAREDO 2500 ZACATECAS LAREDO TX 78043 200198462 OUTREACH TX 501C3 7 MERCY HEALTH 1 MERCY RESEARCH 524 NORTH BOONEVILLE AVENUE SPRINGFIELD MO 65802 870796305 RESEARCH MO 501C3 4 MERCY HEALTH 1 MERCY ST FRANCIS HOSPITAL 100 W HIGHWAY 60 MOUNTAIN VIEW MO 65548 440607149 HOSPITAL MO 501C3 3 MERCY HEALTH SPRINGFIELD COMM 1 MHM SUPPORT SERVICES 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 202553101 CENTRALIZED HEALTH SYSTEM FUNCTIONS MO 501C3 11-II MERCY HEALTH 1 MISSION CLINICAL SERVICES 300 WERNER STREET HOT SPRINGS AR 71913 134239691 CHILD ADVOCACY CENTER AR 501C3 9 MERCY HEALTH 1 MERCY HEALTH FOUNDATION SOUTH 10010 KENNERLY ROAD ST LOUIS MO 63128 261516789 FOUNDATION MO 501C3 11-II MERCY HOSPITAL SOUTH 1 MERCY HOSPITAL SOUTH 10010 KENNERLY ROAD ST LOUIS MO 63128 430980256 HOSPITAL MO 501C3 3 MERCY HEALTH 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