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 730579285 MERCY HOSPITAL OKLAHOMA CITY MERC 4057523495 4300 WEST MEMORIAL ROAD OKLAHOMA CITY OK 73120 LYNN PINAROC VP FINANCE 4057523536 2021-05-11 1 DOUGLAS G PLEUS CPA P00013488 3148844000 2021-05-11 2019 2022-09-23 18:48:47Z DONN SORENSEN 4300 WEST MEMORIAL ROAD OKLAHOMA CITY OK 73120 583928153 0 0928 X WWW.MERCY.NET X 1992 OK AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. 15 12 0 307 303127 0 5068372 832674 585557340 572902778 3694751 2253430 6438394 7095392 600758857 583084274 2959460 3033056 0 0 189913254 192966568 0 0 0 322767070 315254251 515639784 511253875 85119073 71830399 288348887 416764975 10765197 159986445 277583690 256778530 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 408357863 3033056 575108457 MERCY HOSPITAL OKLAHOMA CITY ("MERCY") PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. DURING FY2020, MERCY PROVIDED SERVICES TO 19,089 INPATIENTS, 41,675 EMERGENCY DEPARTMENT PATIENTS, AND 295,226 OTHER OUTPATIENTS. SERVICES ARE PROVIDED THROUGH A COMMUNITY-BASED, ACUTE CARE HOSPITAL, AND A REHABILITATION CENTER. OUR OUTPATIENT SERVICES INCLUDE A HOME HEALTH AGENCY, OUTPATIENT SURGERY AND DIAGNOSTICS AND VARIOUS PRIMARY PHYSICIAN CLINICS/SERVICES. THE INSTITUTION CONTINUES TO FOCUS ON THE PROVISION OF PRIMARY HEALTH SERVICES THROUGH THE PURCHASE OF PRIMARY CLINICS AND EDUCATION TO THE COMMUNITY, REGARDLESS OF THEIR MEANS TO PAY FOR THESE SERVICES. MERCY 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 MERCY'S COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITY, MERCY PROVIDES; (I) FREE CARE AND/OR SUBSIDIZED CARE, (II) CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST, (III) HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY, (IV) HEALTH EDUCATION PROGRAMS, AND (V) A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. AMONG THE COMMUNITY SUPPORT ACTIVITIES OFFERED BY MERCY ARE THE FOLLOWING:1) COMMUNITY EDUCATION AND WELLNESS PROGRAMS 2) SUPPORT GROUP MEETINGS3) HEALTH FAIRS, SCREENINGS, AND FREE CLINICS 4) SUBSIDIZED HEALTH SERVICES INCLUDING HOSPICE, HOME HEALTH SERVICES, AND DISASTER READINESS, AND COMMUNITY HEALTH RESEARCH5) CASH AND IN-KIND DONATIONS FOR EVENTS AND FUND-RAISING6) COMMUNITY BUILDING ACTIVITIES, IN PARTNERSHIP WITH OTHER COMMUNITY ORGANIZATIONS7) PRE-NATAL AND WELL BABY CARE TO THE POOR MERCY PROVIDES CARE TO PATIENTS WHO LACK FINANCIAL RESOURCES AND ARE DEEMED TO BE MEDICALLY INDIGENT AND DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE. IN ADDITION, MERCY 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. RELIEF FOR THE FINANCIAL BURDEN OF HEALTH CARE SERVICES RENDERED TO THE INDIGENT TOTALED $32,265,292 IN FY2020.MERCY CONTINUES TO BE A STRONG LEADER AND PARTNER IN COMMUNITY COLLABORATIONS IN OKLAHOMA. THESE INCLUDE HEALTH EDUCATION PROGRAMS/CLASSES, SUPPORT GROUPS, CLINICAL SERVICES, IN-KIND DONATIONS, CONFERENCES, AND MANY COMMUNITY BUILDING ACTIVITIES. SOME OF THE HIGHLIGHTS INCLUDE "PROJECT EARLY DETECTION" WHICH PROVIDES BREAST HEALTH SERVICES FOR UNINSURED WOMEN AND "DIABETES WELLNESS PROJECT" WHICH SERVES DIABETIC CLIENTS WHO ATTEND A FREE CLINIC. THIS PROJECT OFFERS DIABETES EDUCATION, FOOT CARE, BLOOD GLUCOSE MONITORING SKILLS AND SUPPLIES, HEALTHY LUNCHES, GROCERY SHOPPING TIPS, EXERCISE ACTIVITIES, AND JOURNALING. MERCY HAS ALSO ADOPTED A LOW-INCOME ELEMENTARY SCHOOL AND PROVIDES WEEKLY TUTORS, AN ANNUAL HEALTH FAIR, AND OTHER SUPPORT. A WIDE VARIETY OF SUPPORT GROUPS IS OFFERED EACH MONTH. LAB SERVICES ARE PROVIDED FOR THREE FREE CLINICS IN THE COMMUNITY.MERCY HOSPITAL OKLAHOMA CITY'S EXEMPT PURPOSE ACHIEVEMENTS ARE EXPANDED UPON IN VARIOUS SECTIONS OF SCHEDULE H. 408357863 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 1 0 0 0 0 1 1 1 1 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 1 1 OK X LYNN PINAROC 4057523536 4300 WEST MEMORIAL ROAD OKLAHOMA CITY OK 73120 X BUENDIA MD JOSEPH PHYSICIAN & BOARD MEMBER 60.00 0.00 X 0 847904 28948 BONE TERRI-ANNE CHIEF QUALITY OFFICER - WEST & BOARD MEMBER 30.00 30.00 X 0 235041 44272 ARNALL SUE BOARD MEMBER 1.00 0.00 X 0 0 0 DOLAN BRENNAN BOARD MEMBER 1.00 0.00 X 0 0 0 EVEREST TRICIA BOARD MEMBER 1.00 0.00 X 0 0 0 FULLER BENNETT BOARD MEMBER 1.00 0.00 X 0 9195 0 HARVEY MD JOHN BOARD MEMBER 1.00 0.00 X 0 0 0 HENDRICKS RSM SR REBECCA ANN BOARD MEMBER 1.00 14.00 X 0 0 0 LEONARD RYAN BOARD MEMBER 1.00 0.00 X 0 0 0 LOVE JUDY BOARD MEMBER 1.00 0.00 X 0 0 0 LYNCH RSM SR DONALD BOARD MEMBER 1.00 0.00 X 0 0 0 SALMERON PHD LOIS BOARD MEMBER 1.00 0.00 X 0 0 0 WARD RSM SR CLAUDIA BOARD MEMBER 1.00 0.00 X 0 0 0 WIENECKE MD ROBERT BOARD MEMBER 1.00 0.00 X 0 0 0 PRUITT MD JEFFREY N PHYSICIAN & BOARD MEMBER 1.00 59.00 X 0 387986 19639 BROWN KATHY BOARD MEMBER 1.00 0.00 X 0 0 0 VITIELLO JONATHAN CFO 2.00 58.00 X 0 1161374 120902 GEBHART JIM PRESIDENT, MERCY HOSPITAL OKLAHOMA CITY 44.00 16.00 X 806214 0 87735 SMITH CHAD VP - MEDICAL AFFAIRS 30.00 30.00 X 0 345618 25473 MINDER KEVIN VP - COMMUNITY HEALTH 30.00 30.00 X 0 216344 12342 WHITAKER DAVID D CHIEF ADMINISTRATIVE OFFICER 30.00 30.00 X 0 723402 12568 LE BICH-VI REGIONAL VP - GENERAL COUNSEL 5.00 55.00 X 0 387893 64268 JAMES KARYL CHIEF NURSING OFFICER 59.00 1.00 X 331143 0 56750 PINAROC LYNN VP - FINANCE 35.00 25.00 X 208334 0 15902 ARGUETA DAVID CHIEF ADMINISTRATIVE OFFICER 40.00 20.00 X 530467 0 68144 RINKS KEVIN VP OPERATIONS 60.00 0.00 X 289715 0 8920 DAWSON ZACKARY VP OPERATIONS 60.00 0.00 X 277596 0 11945 SMITH MD RICHARD MEDICAL DIRECTOR 20.00 40.00 X 230187 0 19429 RAHHAL DONALD K EXEC DIRECTOR, REGIONAL PERIOP SERVICE 60.00 0.00 X 223698 0 18024 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 STEFFENS AARON L FORMER KEY EMPLOYEE 0.00 60.00 X 0 500689 66767 EDELSTEIN THOMAS FORMER KEY EMPLOYEE 0.00 60.00 X 0 219366 51264 2897354 7405577 849910 154 1 1 0 MAYO MEDICAL LABS 200 SW FIRST STREET ROCHESTER MN 55805 LABORATORY SERVICES 2306177 EXOS COMMUNITY HEALTH 25 HANOVER RD BLDG A FLORHAM PARK NJ 07932 FITNESS & MANAGEMENT SERVICES 1657156 OK LABORISTS AND WOMENS SERV 4140 W MEMORIAL RD STE 321 OKLAHOMA CITY OK 73120 PHYSICIAN SERVICES 1302730 JE DUNN CONSTRUCTION 929 HOLMES KANSAS CITY MO 64106 CONSTRUCTION SERVICES 1173355 OKLAHOMA ACUTE SERVICES PO BOX 749959 LOS ANGELES CA 90074 MEDICAL SERVICES 1137048 52 822680 9994 832674 PATIENT SERVICE REVENUE NET 622110 560247653 560247653 OTHER OPERATING REVENUE 622110 12131930 12131930 MDT LABORATORY SVC 621500 303127 303127 MANAGEMENT FEES 622110 169481 169481 CAPITATION BONUS 622110 50587 50587 572902778 2361654 2361654 3199295 735655 2463640 2463640 2463640 108224 -108224 -108224 -108224 CAFETERIA & VENDING 722210 2426073 2426073 2205679 2205679 4631752 583084274 574805330 303127 7143143 3033056 3033056 1497329 1497329 525403 525403 159592653 139832321 19760332 3451325 3010506 440819 16640879 14599086 2041793 11258979 9880760 1378219 5000 5000 19520 19520 44961 44961 20041675 14401290 5640385 380719 13358 367361 16410485 8009217 8401268 140126 137026 3100 6325641 1880448 4445193 1008830 882264 126566 357 357 358729 358729 17760456 9913905 7846551 2484433 554293 1930140 DRUGS & MEDICAL EXPENSE 134912142 134647950 264192 SHARED SERVICE FEES 79278695 34882626 44396069 BAD DEBTS 29423576 29423576 REPAIRS & MAINTENANCE 5632690 582870 5049820 1026216 650222 375994 511253875 408357863 102896012 0 13074170 12863204 9143 67928544 59350133 8903818 10930853 123726 28413 583342158 256818699 164093489 326523459 8439408 6627632 25776589 441281 288348887 416764975 10477553 12973280 100172 153577 187472 146859588 10765197 159986445 X 277434500 256451210 149190 327320 277583690 256778530 288348887 416764975 X 71830399 -92635559 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 44961 0 0 0 44961 0 PART II-B, LINE 1: 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, 2020, DUES WERE $92,890 AND $37,849, RESPECTIVELY. APPROXIMATELY 38.90% OF OKLAHOMA HOSPITAL ASSOCIATION DUES AND 23.32% OF AMERICAN HOSPITAL ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED. 40348900 40348900 377961754 138995646 238966108 596944 573270 23674 159092015 112149969 46942046 5342545 5099814 242731 326523459 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 1 X 1 X 1 X 1 1 1 0 1 1 20481977 20481977 0.04250 41847577 30064262 11783315 0.02450 62329554 30064262 32265292 0.06700 8 3330 1025148 1025148 0.00210 3 0 273122 273122 0.00060 4 75 97514 97514 0.00020 15 3405 1395784 1395784 0.00290 15 3405 63725338 30064262 33661076 0.06990 8800 8800 0.00000 624 11123 11123 0.00000 70606 70606 0.00010 3659 3659 0.00000 624 94188 94188 0.00010 1 7931242 0 148947054 149810943 -863889 X 1 1 1 1 MERCY HOSPITAL OKLAHOMA CITY 4300 WEST MEMORIAL ROAD OKLAHOMA CITY OK 73120 WWW.MERCY.NET/ABOUT 2295 X X X MERCY HOSPITAL OKLAHOMA CITY 1 0 0 1 X X X X X X X X X 19 1 1 1 1 X HTTPS://WWW.MERCY.NET/COMMUNITYBENEFITS X 1 19 1 HTTPS://WWW.MERCY.NET/COMMUNITYBENEFITS 0 1 X 200.000000000000 300.000000000000 X 1 1 X X X 1 X HTTPS://WWW.MERCY.NET/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.MERCY.NET/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.MERCY.NET/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/ X X X X X X 1 X 0 X X X X X 1 X 0 0 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. 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.- 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. - 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. FOOD INSECURITY IS BEING ADDRESSED THROUGH MERY'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.- 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. - 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). MERCY ALSO PROVIDED FREE RADIOLOGY SERVICES TO 800+ CLIENTS REFERRED FROM THE HEALTH ALLIANCE FOR THE UNINSURED. - FRIDAY MERCY MEALS PREPARES AND DELIVERS A MEAL EACH WEEK TO 13 CLIENTS ENROLLED IN THE MEALS ON WHEELS OF OKLAHOMA COUNTY. THERE ARE 30 MHOKC CO-WORKERS PARTICIPATING IN THIS ENDEAVOR ON A ROTATING BASIS.- THE GOOD SHEPHERD CATHOLIC SCHOOL AT MERCY IS A COLLABORATIVE PARTNERSHIP BETWEEN MHOKC, THE UNIVERSITY OF CENTRAL OKLAHOMA AND THE ARCHDIOCESE OF OKLAHOMA CITY. IT PROVIDES EDUCATIONAL AND BEHAVIORAL SERVICES FOR 3-9 YEAR OLD CHILDREN WHO HAVE BEEN DIAGNOSED WITH AUTISTIC SPECTRUM AND SIMILAR NEUROLOGICAL DISORDERS. THE SCHOOL HAS GROWN FROM TO SERVE 21 STUDENTS. FIVE STUDENTS HAVE GRADUATED FROM THE SCHOOL TO BE MAINSTREAMED INTO PUBLIC SCHOOL SETTINGS. - MHOKC DONATED 500 FREE FLU SHOTS TO UNDERSERVED COMMUNITY MEMBERS AT FREE MEDICAL CLINICS. - MHOKC PROVIDED FREE LAB, RADIOLOGY, PHARMACY, ULTRASOUND AND CARDIOLOGY SERVICES FOR 900+ 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 400+ 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 400+ CONTACTS THIS YEAR.- THE TOBACCO FREE MERCY PROGRAM WAS IMPLEMENTED IN MERCY CLINIC FOR PATIENTS NEEDING TOBACCO CESSATION RESOURCES. IN 2015 IT WENT LIVE FOR MHOKC PATIENTS AND HAS ALSO AT THE FOUR NORTHERN RURAL OKLAHOMA HOSPITALS. NEARLY 5000 PATIENTS HAVE BEEN HELPED THROUGH THE TOBACCO FREE MERCY PROGRAM, SINCE 2015.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/COUNT HEALTH DEPARTMENT. 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. INDIVIDUALS WITH INCOMES GREATER THAN 200% OF THE FEDERAL POVERTY GUIDELINES MAY BE ELIGIBLE FOR CARE AT DISCOUNTED RATES DEPENDING ON THEIR INCOME LEVEL AND/OR THE AMOUNT DUE TO THE HOSPITAL. 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. 15 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 PART I, LN 7 COL(F): TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) ARE $511,253,875. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $29,423,576. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $481,830,299. 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. PATIENT ACCOUNTS 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 ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, ANDOTHER 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 AS OF THE REPORTING DATE WITH CONSIDERATION OF THE HISTORICAL PAYMENTAND 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 FROMINSURANCE, THE HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING PAST-DUE 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. 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. FOR A PORTION OF THE FISCAL YEAR, 7/1/19 - 10/13/19, MERCY UTILIZED THE SAME TOOL TO QUALIFY ACCOUNTS PER THE PRACTICE OF PRESUMPTIVE CHARITY PRIOR TO BAD DEBT PLACEMENT FOR BALANCES IN EXCESS OF $6,500. ALL ACCOUNT BALANCES RELATING TO ACCOUNTS IDENTIFIED BY THE HIGHER BALANCES WILL BE CONSIDERED AND FLAGGED FOR CHARITY IF THERE IS AN INABILITY TO PAY AFTER A RETURN FROM THE COLLECTION AGENCY AT APPROXIMATELY 120 DAYS. STARTING ON 10/14/19, MERCY IMPLEMENTED PRESUMPTIVE CHARITY FOR ALL BALANCES, IRREGARDLESS OF ACCOUNT BALANCE, WHERE THE EVALUATION TOOK PLACE PRIOR TO PATIENT BILLING AND ADDITIONALLY PRIOR TO BAD DEBT PLACEMENT. THE PRESUMPTIVE SCREENING WAS PER ENCOUNTER AND DID NOT PROMOTE ANY LOOK-BACK ADJUSTMENTS. PRIOR TO GO-LIVE ON 10/14/19, MERCY DID A ONE TIME EVALUTION OF ALL BAD DEBT ACCOUNTS BILLED IN THE LAST 240 DAYS THAT MET NEW PRESUMPTIVE CRITIERA AND ADJUSTED PER A TERMINAL PRESUMPTIVE ADJUSTMENT.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, PATIENT 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 2019 IBM/WATSON'S DEMOGRAPHICS AND FY19 CLARIVATE ANALYTICS INSURANCE COVERAGE ESTIMATES. THE AREA'S POPULATION IS 1,342,647. 38% OF THE POPULATION'S AVERAGE HOUSEHOLD INCOME IS OVER $75,000. 38% OF THE POPULATION IS 45 AND OLDER. 16% OF THE HOUSEHOLDS ARE ON MEDICARE, 16% ON MEDICAID, AND 13% UNINSURED. PART VI, LINE 5: 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, AND CO-WORKER WORK DAYS.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.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 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, 2020, MERCY FACILITIES INCLUDED 29 ACUTE CARE HOSPITALS, 4 HEART HOSPITALS, 2 CHILDREN'S HOSPITALS, 2 ORTHOPEDIC HOSPITALS AND 3 REHAB HOSPITALS. FOR THE FISCAL YEAR ENDED JUNE 30, 2020, MERCY HAD MORE THAN 10.8 MILLION OUTPATIENT AND PHYSICIAN OFFICE VISITS, APPROXIMATELY 2,400 EMPLOYED PHYSICIANS, AND APPROXIMATELY 44,000 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. 1 GREATER OKLAHOMA CITY CHAMBER OF COMMERCE 123 PARK AVE OKLAHOMA CITY OK 73102 730381180 501(C)(6) 51760 EDUCATIONAL ENDOWMENT AMERICAN CANCER SOCIETY 250 WILLIAMS ST NW STE 4B ATLANTA GA 30303 731788491 501(C)(3) 10000 GENERAL SUPPORT OKC BOATHOUSE FOUNDATION 725 S LINCOLN BLVD OKLAHOMA CITY OK 73129 201837237 501(C)(3) 37500 GENERAL SUPPORT CRISTO REY OKLAHOMA CITY 900 N PORTLAND OKLAHOMA CITY OK 73107 475521087 501(C)(3) 22500 GENERAL SUPPORT ALLIED ARTS 1015 N BROADWAY STE 200 OKLAHOMA CITY OK 73102 730804291 501(C)(3) 15000 GENERAL SUPPORT MERCY HEALTH FOUNDATION OKLAHOMA CITY 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 463184231 501(C)(3) 746541 GENERAL SUPPORT MERCY HEALTH FOUNDATION OF OKLAHOMA 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 454732301 501(C)(3) 160443 GENERAL SUPPORT ARCHDIOCESE OF OKLAHOMA CITY PO BOX 32180 OKLAHOMA CITY OK 73123 730636561 501(C)(3) 5000 GENERAL SUPPORT SUSAN G KOMEN FOR THE CURE 101 PARK AVE STE 225 OKLAHOMA CITY OK 73102 752854974 501(C)(3) 7500 GENERAL SUPPORT MARCH OF DIMES 11829 DORSETT RD MARYLAND HEIGHTS MO 63043 131846366 501(C)(3) 5000 GENERAL SUPPORT EDMOND AREA CHAMBER OF COMMERCE 825 E 2ND STREET 100 EDMOND OK 73034 730544087 501(C)(6) 8250 GENERAL SUPPORT OKLAHOMA HALL OF FAME 1400 CLASSEN DR OKLAHOMA CITY OK 73106 730784696 501(C)(3) 5000 GENERAL SUPPORT LEUKEMIA AND LYMPHOMA SOCIETY 3 INTERNATIONAL DR STE 200 RYE BROOK NY 10573 135644916 501(C)(3) 20000 GENERAL SUPPORT OKLAHOMA NURSES ASSOCIATION 1111 N LEE STE 243 OKLAHOMA CITY OK 73103 730563323 501(C)(6) 5000 GENERAL SUPPORT OHH RESEARCH FOUNDATION 4200 W MEMORIAL RD STE 510 OKLAHOMA CITY OK 73120 731455900 501(C)(3) 52000 GENERAL SUPPORT FIELDS AND FUTURES FOUNDATION 7001 NW 164TH EDMOND OK 73103 464569055 501(C)(3) 7500 GENERAL SUPPORT SOUTH OKC CHAMBER OF COMMERCE 701 SW 74TH OKLAHOMA CITY OK 73139 730172385 501(C)(6) 6570 GENERAL SUPPORT 13 4 PART I, LINE 2: 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. X X X 1 1 1 1 0 0 0 0 0 0 0 BUENDIA MD JOSEPH PHYSICIAN & BOARD MEMBER 0 748737 0 60627 0 38540 0 12917 0 16031 0 876852 0 0 BONE TERRI-ANNE CHIEF QUALITY OFFICER - WEST & BOARD 0 183751 0 36159 0 15131 0 29288 0 14984 0 279313 0 0 PRUITT MD JEFFREY N PHYSICIAN & BOARD MEMBER 0 341770 0 26949 0 19267 0 9625 0 10014 0 407625 0 0 VITIELLO JONATHAN CFO 0 610068 0 478788 0 72518 0 104541 0 16361 0 1282276 0 0 GEBHART JIM PRESIDENT, MERCY HOSPITAL OKLAHOMA C 477129 0 306188 0 22897 0 76207 0 11528 0 893949 0 0 0 SMITH CHAD VP - MEDICAL AFFAIRS 0 288862 0 37440 0 19316 0 9625 0 15848 0 371091 0 0 MINDER KEVIN VP - COMMUNITY HEALTH 0 159020 0 22911 0 34413 0 6869 0 5473 0 228686 0 0 WHITAKER DAVID D CHIEF ADMINISTRATIVE OFFICER 0 102399 0 185570 0 435433 0 9625 0 2943 0 735970 0 0 LE BICH-VI REGIONAL VP - GENERAL COUNSEL 0 270330 0 79090 0 38473 0 48465 0 15803 0 452161 0 0 JAMES KARYL CHIEF NURSING OFFICER 212413 0 63554 0 55176 0 41622 0 15128 0 387893 0 0 0 PINAROC LYNN VP - FINANCE 142951 0 19384 0 45999 0 9635 0 6267 0 224236 0 0 0 ARGUETA DAVID CHIEF ADMINISTRATIVE OFFICER 402735 0 127344 0 388 0 52240 0 15904 0 598611 0 0 0 RINKS KEVIN VP OPERATIONS 188035 0 41702 0 59978 0 0 0 8920 0 298635 0 0 0 DAWSON ZACKARY VP OPERATIONS 216717 0 45786 0 15093 0 0 0 11945 0 289541 0 0 0 SMITH MD RICHARD MEDICAL DIRECTOR 228531 0 0 0 1656 0 8303 0 11126 0 249616 0 0 0 RAHHAL DONALD K EXEC DIRECTOR, REGIONAL PERIOP SERVI 198698 0 0 0 25000 0 11099 0 6925 0 241722 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 STEFFENS AARON L FORMER KEY EMPLOYEE 0 307160 0 168675 0 24854 0 50907 0 15860 0 567456 0 0 EDELSTEIN THOMAS FORMER KEY EMPLOYEE 0 173247 0 31130 0 14989 0 39510 0 11754 0 270630 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 TWO HIGHLY COMPENSATED EMPLOYEES. HOUSING BENEFITS ARE PROVIDED THROUGH A RELOCATION PROGRAM IN ACCORDANCE WITH COMPANY POLICY. SUCH BENEFITS ARE SUBJECT TO TAX TO A HIGHLY COMPENSATED EMPLOYEE. 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. LIMITED INSTANCES OF GROSS-UPS OCCURRED WITH RESPECT TO EXECUTIVES. PART I, LINES 4A-B DAVID WHITAKER RECEIVED SEVERANCE PAY OF $367,164 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; TERRI-ANNE BONE; KEVIN MINDER THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C). DIANA SMALLEY RECEIVED PAYMENT FROM RETIREMENT PLAN(S) DURING THE YEAR FROM A RELATED ORGANIZATION. THE AMOUNT REPORTED FOR DIANA SMALLEY IN COLUMN (F) IS INCLUDED IN COLUMN B (I) AS BASE COMPENSATION. THIS PAYOUT WAS 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. OKLAHOMA HEART HOSPITAL LLC SEE SCHEDULE O 599171 INDEPENDENT CONTRACTOR 0 MERCY REHABILITATION HOSPITALLLC SEE SCHEDULE O 4469567 DISTRIBUTIONS FROM MERCY REHABILITATION HOSPITAL,LLC 0 NESTOR PINAROC FAMILY MEMBER OF KEY EMPLOYEE LYNN PINAROC 488958 EMPLOYMENT 0 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, 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 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 -92,888,119. RESTRICTED SPECIFIC PURPOSE EMPLOYEE CRISIS FUND 178,130. UNRESTRICTED DONATED PROPERTY 74,430. 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, 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, 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. 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. NEUROSCIENCE INSTITUTE SERVICES ORGANIZATION LLC 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 300487934 MGD CARE SERVICES OK 0 0 MERCY HOSPITAL OKLAHOMA CITY 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 OKLAHOMA COMM 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 270473057 PHYSICIAN GROUP OK 501C3 3 MERCY HEALTH OK COMMUNITIES 1 MERCY CLINIC 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72758 621684203 PHYSICIAN GROUP AR 501C3 11-II MERCY HEALTH 1 MERCY HEALTH OK COMMUNITIES 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 731453048 HEALTH SYSTEM OK 501C3 11-II MERCY HEALTH 1 MERCY HEALTH PLANS OF MISSOURIINC 3265 S NATIONAL AVENUE SPRINGFIELD MO 65807 320481419 HMO MO 501C4 MERCY HEALTH 1 MERCY HEALTH PLANSINC 3265 S NATIONAL AVENUE SPRINGFIELD MO 65807 320486150 PPO MO 501C4 MERCY HEALTH PLANS OF MISSOURIINC 1 MERCY HEALTH SW MOKS COMM 100 MERCY WAY JOPLIN MO 64804 300584463 HEALTH SYSTEM MO 501C3 11-II MERCY HEALTH 1 MERCY HEALTH SPRINGFIELD COMM 1235 E CHEROKEE STREET SPRINGFIELD MO 65804 431856028 HEALTH SYSTEM MO 501C3 11-II MERCY HEALTH 1 MERCY HOME HEALTH BERRYVILLE 804 W FREEMAN SUITE 4 BERRYVILLE AR 72616 870781247 HOME HEALTH AND HOSPICE OPERATIONS AR 501C3 11-III MERCY HOSPITAL SPRINGFIELD 1 MERCY HOSPITAL ADA INC 430 N MONTE VISTA STREET ADA OK 74820 462288155 HOSPITAL OK 501C3 3 MERCY HEALTH OK COMMUNITIES 1 MERCY HOSPITAL ARDMORE 1011 14TH AVENUE NW ARDMORE 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AR 72917 710240352 HOSPITAL AR 501C3 3 MERCY HEALTH FORT SMITH COMM 1 MERCY HOSPITAL HEALDTON INC 3462 HOSPITAL RD HEALDTON OK 73438 263173902 HOSPITAL OK 501C3 3 MERCY HOSPITAL ARDMORE INC 1 MERCY HOSPITAL JEFFERSON 1400 HIGHWAY 61 SOUTH FESTUS MO 63028 430687077 HOSPITAL MO 501C3 3 MERCY HEALTH EAST COMMUNITIES 1 MERCY HOSPITAL JOPLIN 100 MERCY WAY JOPLIN MO 64804 270814858 HOSPITAL MO 501C3 3 MERCY HEALTH SW MOKS COMM 1 MERCY HOSPITAL KINGFISHER INC 1000 HOSPITAL CIRCLE KINGFISHER OK 73750 463433074 HOSPITAL OK 501C3 3 MERCY HOSPITAL OKLAHOMA CITY 1 MERCY HOSPITAL LEBANON 100 HOSPITAL DRIVE LEBANON MO 65536 431767432 HOSPITAL MO 501C3 3 MERCY HEALTH SPRINGFIELD COMM 1 MERCY HOSPITAL LINCOLN 1000 EAST CHERRY STREET TROY MO 63379 472219204 HOSPITAL MO 501C3 3 MERCY HEALTH EAST COMMUNITIES 1 MERCY HOSPITAL LOGAN COUNTY INC 200 SOUTH ACADEMY GUTHRIE OK 73044 452998842 HOSPITAL OK 501C3 3 MERCY HOSPITAL OKLAHOMA CITY 1 MERCY HOSPITAL OZARK 801 W RIVER STREET OZARK AR 72949 710689680 HOSPITAL AR 501C3 3 MERCY HOSPITAL FORT SMITH 1 MERCY HOSPITAL PARIS 500 E ACADEMY PARIS AR 72855 710655753 HOSPITAL AR 501C3 3 MERCY HOSPITAL FORT SMITH 1 MERCY HOSPITAL ROGERS 2710 RIFE MEDICAL LN ROGERS AR 72758 710294390 HOSPITAL AR 501C3 3 MERCY HEALTH NW ARK COMMUNITIES 1 MERCY HOSPITAL SPRINGFIELD 1235 E CHEROKEE STREET SPRINGFIELD MO 65804 440552485 HOSPITAL MO 501C3 3 MERCY HEALTH SPRINGFIELD COMM 1 MERCY HOSPITAL TISHOMINGO 1000 SOUTH BYRD TISHOMINGO OK 73460 274433830 HOSPITAL OK 501C3 3 MERCY HOSPITAL ADA 1 MERCY HOSPITAL WALDRON 1341 W 6TH STREET WALDRON AR 72958 710557895 HOSPITAL AR 501C3 3 MERCY HOSPITAL FORT SMITH 1 MERCY HOSPITAL WATONGA INC 500 CLARENCE NASH BLVD WATONGA OK 73772 455199762 HOSPITAL OK 501C3 3 MERCY HOSPITAL OKLAHOMA CITY 1 MERCY HOSPITALS EAST COMM 645 MARYVILLE CTR DR STE 100 ST LOUIS MO 63141 430653493 HOSPITAL MO 501C3 3 MERCY HEALTH EAST COMMUNITIES 1 MERCY KANSAS COMMUNITIES INC 401 WOODLAND HILLS BLVD FT SCOTT KS 66701 480956045 HOSPITAL KS 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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 277539 371063 0.88000 0 MERCY MANAGED CARE CORPORATION 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 731441665 HOLDING COMPANY OK MERCY HEALTH C 0 MERCY HEALTH NETWORK INC 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 731381689 HOLDING COMPANY; DISSOLVED 9/15/18 OK MERCY MANAGED CARE CORP 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 AON HOUSE 30 WOODBOURNE AVENUE PEMBROKE BD HM 08 INACTIVE BD MERCY HEALTH C 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 MERCY HEALTH FOUNDATION OF OKLAHOMA B 160443 FMV MERCY HEALTH FOUNDATION 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