MERCY CLINIC OKLAHOMA COMMUNITIES: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- MERCY CLINIC OKLAHOMA COMMUNITIES (EIN 27-0473057)
- Tax period
- 2018-07-01 to 2019-06-30
- Filed
- 2020-06-25
- IRS object ID
- 202031779349301123
- Schema version
- 2018v3.2
- 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 D
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-06-25T11:36:57-05:00 | ReturnTs |
| Tax Period End | 2019-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 562632458 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLEUS AND COMPANY LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14500 SOUTH OUTER 40 RD STE 201A | AddressLine1Txt |
| City | CHESTERFIELD | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63017 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 270473057 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY CLINIC OKLAHOMA COMMUNITIESINC | 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 W MEMORIAL RD | AddressLine1Txt |
| City | OKLAHOMA CITY | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 731208304 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | J DAVID THOMPSON | PersonNm |
| Person Title | SVP STRATEGIC FINANCE | PersonTitleTxt |
| Phone | 4057523161 | PhoneNum |
| Signature | 2020-06-25 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DOUGLAS G PLEUS | PreparerPersonNm |
| PTIN | P00013488 | PTIN |
| Phone | 3143179916 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 107.143.157.123 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-06-25 | IPDt |
| IP Tm | 11:36:52 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 10DBDE78D88D9177EE19B17DBA986A17B1D29D69 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DONN SORENSEN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4300 W MEMORIAL RD | AddressLine1Txt |
| City | OKLAHOMA CITY | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 731208304 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $167,270,280 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MERCY.NET | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2009 | 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 | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 340 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $39,867 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $154,766,124 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $166,680,358 | CYProgramServiceRevenueAmt |
| PY Investment Income | $54,471 | PYInvestmentIncomeAmt |
| CY Investment Income | -$188,389 | CYInvestmentIncomeAmt |
| PY Other Revenue | $71,876 | PYOtherRevenueAmt |
| CY Other Revenue | $539,093 | CYOtherRevenueAmt |
| PY Total Revenue | $154,892,471 | PYTotalRevenueAmt |
| CY Total Revenue | $167,070,929 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $3,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $10,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $154,690,792 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $168,226,896 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $63,279,052 | PYOtherExpensesAmt |
| CY Other Expenses | $65,233,883 | CYOtherExpensesAmt |
| PY Total Expenses | $217,972,844 | PYTotalExpensesAmt |
| CY Total Expenses | $233,470,779 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$63,080,373 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$66,399,850 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $32,625,497 | TotalAssetsBOYAmt |
| Total Assets EOY | $48,594,791 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $17,604,766 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $19,411,202 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $15,020,731 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $29,183,589 | 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 | $187,653,917 | ExpenseAmt |
| Grant | $10,000 | GrantAmt |
| Revenue | $167,215,362 | RevenueAmt |
| Desc | 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, 2019, 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. | Desc |
| Total Program Service Expenses | $187,653,917 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| 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 | Yes (1) | 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 | 0 | OperateHospitalInd |
| 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 | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | 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 | 340 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| 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 | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | 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 | 0 | 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 | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OK | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHRISTOPHER HAHNE | PersonNm |
| 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 (28 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| DIXSON MD JAMES D | ||||||||||
| PHYSICIAN & BOARD MEMBER | 59.00 | 1.00 | Yes (X) | $450,862 | $0 | $62,436 | ||||
| DOWELL DO MATTHEW | ||||||||||
| PHYSICIAN & BOARD MEMBER | 60.00 | 0.00 | Yes (X) | $348,959 | $0 | $29,377 | ||||
| FOSTER KRISTIE | ||||||||||
| VP - CLINICAL OPS & BOARD MEMBER | 60.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| GRAY MD SYLVIA S | ||||||||||
| PHYSICIAN & BOARD MEMBER | 60.00 | 0.00 | Yes (X) | $962,093 | $0 | $26,903 | ||||
| GREENWAY CLAUDETTE | ||||||||||
| VP - CLINICAL OPS & BOARD MEMBER | 60.00 | 0.00 | Yes (X) | $41,305 | $0 | $92 | ||||
| HAHNE CHRISTOPHER | ||||||||||
| EXECUTIVE DIRECTOR, CLINIC FINANCE & BOARD MEMBER | 60.00 | 0.00 | Yes (X) | $197,089 | $0 | $25,288 | ||||
| KAKISH MD WILLIAM | ||||||||||
| PHYSICIAN & BOARD MEMBER | 60.00 | 0.00 | Yes (X) | $661,867 | $0 | $37,681 | ||||
| KESTER MD BRANSON | ||||||||||
| PHYSICIAN & BOARD MEMBER | 60.00 | 0.00 | Yes (X) | $656,789 | $0 | $21,082 | ||||
| MANKIN MD ALICE | ||||||||||
| PHYSICIAN & BOARD MEMBER | 60.00 | 0.00 | Yes (X) | $415,008 | $0 | $22,614 | ||||
| MINDER KEVIN | ||||||||||
| VP - COMMUNITY HEALTH & BOARD MEMBER | 30.00 | 30.00 | Yes (X) | $197,254 | $0 | $11,123 | ||||
| MOUNTFORD DEREK | ||||||||||
| VP-CLINICAL OPERATIONS & BOARD MEMBER | 59.00 | 1.00 | Yes (X) | $128,400 | $0 | $21,537 | ||||
| MURTHY GIRISH | ||||||||||
| HOSPITALIST & BOARD MEMBER | 30.00 | 30.00 | Yes (X) | $421,954 | $0 | $16,418 | ||||
| ORME MD LAURIE | ||||||||||
| PHYSICIAN & BOARD MEMBER | 60.00 | 0.00 | Yes (X) | $225,661 | $0 | $26,214 | ||||
| PICKETT MD STEPHANIE | ||||||||||
| PHYSICIAN & BOARD MEMBER | 60.00 | 0.00 | Yes (X) | $484,592 | $0 | $11,442 | ||||
| SCHREIBER MARTIN | ||||||||||
| VP MISSIONS & BOARD MEMBER | 1.00 | 59.00 | Yes (X) | $0 | $223,259 | $22,814 | ||||
| THOMAS RALPH C CULLEN | ||||||||||
| PRESIDENT, MPO & BOARD MEMBER | 60.00 | 0.00 | Yes (X) | $874,427 | $0 | $18,732 | Yes (X) | |||
| ENLOE TRACY | ||||||||||
| CFO THRU MARCH 31 | 6.00 | 54.00 | $0 | $358,704 | $69,181 | Yes (X) | ||||
| SORENSEN DONN | ||||||||||
| CEO | 5.00 | 55.00 | $0 | $1,590,030 | $140,796 | Yes (X) | ||||
| VITIELLO JONATHAN | ||||||||||
| CFO AS OF MARCH 31 | 6.00 | 54.00 | $0 | $982,465 | $115,819 | Yes (X) | ||||
| CAMPBELL MD JESSE | ||||||||||
| CHIEF ADMINISTRATIVE OFFICER | 60.00 | 0.00 | $701,062 | $0 | $97,913 | Yes (X) | ||||
| LE BICH-VI | ||||||||||
| REGIONAL VP - GENERAL COUNSEL | 15.00 | 45.00 | $0 | $353,258 | $64,721 | Yes (X) | ||||
| CURRY MICHAEL | ||||||||||
| PHYSICIAN | 60.00 | 0.00 | $1,134,145 | $0 | $25,747 | Yes (X) | ||||
| GOFF MD DARREN W | ||||||||||
| PHYSICIAN | 60.00 | 0.00 | $1,317,689 | $0 | $32,303 | Yes (X) | ||||
| MOLLET MD TODD W | ||||||||||
| PHYSICIAN | 60.00 | 0.00 | $1,026,216 | $0 | $26,147 | Yes (X) | ||||
| PEERY DO DERECK A | ||||||||||
| PHYSICIAN | 60.00 | 0.00 | $1,028,380 | $0 | $29,203 | Yes (X) | ||||
| SAVAGE MD ADAM M | ||||||||||
| PHYSICIAN | 60.00 | 0.00 | $1,021,876 | $0 | $25,747 | Yes (X) | ||||
| RAJU GARY | ||||||||||
| FORMER OFFICER | 0.00 | 60.00 | $0 | $651,112 | $11,195 | Yes (X) | ||||
| SMALLEY DIANA L | ||||||||||
| FORMER OFFICER | 0.00 | 60.00 | $0 | $1,260,277 | $23,854 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $12,295,628 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,419,105 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,016,379 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 369 | 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 |
|---|---|---|---|---|---|
| FLINTCO | |||||
| 2302 S PROSPECT AVE | OKLAHOMA CITY | OK | 73129 | CONSTRUCTION SERVICES | $5,466,964 |
| JE DUNN CONSTRUCTION | |||||
| 929 HOLMES | KANSAS CITY | MO | 64106 | CONSTRUCTION SERVICES | $2,307,229 |
| OKLAHOMA HEART HOSPITAL | |||||
| 4050 WEST MEMORIAL RD 3RD FLOOR | OKLAHOMA CITY | OK | 73120 | MEDICAL SERVICES | $2,260,153 |
| OHH PHYSICIANS | |||||
| PO BOX 268919 | OKLAHOMA CITY | OK | 73126 | MEDICAL SERVICES | $584,923 |
| REES ASSOCIATES | |||||
| 9211 LAKE HEFNER PARKWAY STE 300 | OKLAHOMA CITY | OK | 73120 | ARCHITECTURE SERVICES | $559,620 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 18 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $39,867 | RelatedOrganizationsAmt |
| Total Contributions | $39,867 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621110 | $164,637,883 | $164,637,883 |
| CAPITATION BONUS | 621110 | $1,790,488 | $1,790,488 |
| OTHER OPERATING REVENUE | 621110 | $229,058 | $229,058 |
| RENTAL REVENUE FROM RELATED ORG | 531120 | $22,929 | $22,929 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $166,680,358 | TotalProgramServiceRevenueAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,438 | TotalRevenueColumnAmt |
| Exclusion | -$1,438 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $16,489 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $12,400 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,089 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,089 | TotalRevenueColumnAmt |
| Exclusion | $4,089 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $186,951 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$186,951 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$186,951 | TotalRevenueColumnAmt |
| Exclusion | -$186,951 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| OUTSIDE PAY REVENUE | 621110 | $499,445 | $499,445 |
| OTHER PROFESSIONAL REVENUE | 621110 | $31,703 | $31,703 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,856 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,856 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $535,004 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $167,070,929 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $167,215,362 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$184,300 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,000 | TotalAmt |
| Program Services | $10,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,485,772 | TotalAmt |
| Program Services | $14,485,772 | ProgramServicesAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $524,070 | TotalAmt |
| Program Services | $524,070 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $130,369,601 | TotalAmt |
| Program Services | $103,536,834 | ProgramServicesAmt |
| Management And General | $26,832,767 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,485,088 | TotalAmt |
| Program Services | $3,587,896 | ProgramServicesAmt |
| Management And General | $897,192 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,604,370 | TotalAmt |
| Program Services | $9,404,256 | ProgramServicesAmt |
| Management And General | $2,200,114 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,757,995 | TotalAmt |
| Program Services | $5,505,325 | ProgramServicesAmt |
| Management And General | $1,252,670 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16 | TotalAmt |
| Management And General | $16 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,100 | TotalAmt |
| Management And General | $4,100 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,139,125 | TotalAmt |
| Program Services | $5,814,284 | ProgramServicesAmt |
| Management And General | $324,841 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $157,784 | TotalAmt |
| Program Services | $90,101 | ProgramServicesAmt |
| Management And General | $67,683 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,950,958 | TotalAmt |
| Program Services | $1,117,356 | ProgramServicesAmt |
| Management And General | $833,602 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,766 | TotalAmt |
| Program Services | $104,676 | ProgramServicesAmt |
| Management And General | $1,090 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,270,075 | TotalAmt |
| Program Services | $9,258,589 | ProgramServicesAmt |
| Management And General | $2,011,486 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $556,464 | TotalAmt |
| Program Services | $134,949 | ProgramServicesAmt |
| Management And General | $421,515 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,324 | TotalAmt |
| Program Services | $47,193 | ProgramServicesAmt |
| Management And General | $12,131 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,827,695 | TotalAmt |
| Program Services | $2,297,723 | ProgramServicesAmt |
| Management And General | $529,972 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,286,140 | TotalAmt |
| Program Services | $1,832,990 | ProgramServicesAmt |
| Management And General | $453,150 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DRUGS & MEDICAL EXPENSE | $20,146,548 | $17,676,085 | $2,470,463 |
| SHARED SERVICE FEE | $13,913,501 | $6,817,615 | $7,095,886 |
| BAD DEBT | $5,022,196 | $5,022,196 | |
| REPAIRS & MAINTENANCE | $269,426 | $191,384 | $78,042 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $524,765 | TotalAmt |
| Program Services | $194,623 | ProgramServicesAmt |
| Management And General | $330,142 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $233,470,779 | TotalAmt |
| Program Services | $187,653,917 | ProgramServicesAmt |
| Management And General | $45,816,862 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,566 | BOYAmt |
| EOY | $15,258 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,673,667 | BOYAmt |
| EOY | $14,680,941 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $297,541 | BOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $482,424 | BOYAmt |
| EOY | $318,244 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $44,332,672 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $11,046,923 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,944,269 | BOYAmt |
| EOY | $33,285,749 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $212,030 | BOYAmt |
| EOY | $294,599 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,625,497 | BOYAmt |
| EOY | $48,594,791 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,900,612 | BOYAmt |
| EOY | $10,339,919 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,704,154 | BOYAmt |
| EOY | $9,071,283 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,604,766 | BOYAmt |
| EOY | $19,411,202 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,020,731 | BOYAmt |
| EOY | $29,183,589 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,020,731 | BOYAmt |
| EOY | $29,183,589 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,625,497 | BOYAmt |
| EOY | $48,594,791 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$66,399,850 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $80,562,708 | 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 | 0 | FederalGrantAuditRequiredInd |
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 D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,951,811 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,573,289 | DepreciationAmt |
| Book Value | $1,378,522 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,104,673 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,603,649 | DepreciationAmt |
| Book Value | $4,501,024 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $35,223,195 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,830,121 | DepreciationAmt |
| Book Value | $27,393,074 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $52,993 | OtherCostOrOtherBasisAmt |
| Depreciation | $39,864 | DepreciationAmt |
| Book Value | $13,129 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $33,285,749 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO TAX-EXEMPT AFFILIATES | Desc |
| Amt | $9,071,283 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $9,071,283 | TotalLiabilityAmt |
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, 2019 OR 2018. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OKLAHOMA CITY BALLET | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6800 N CLASSEN BLVD | AddressLine1Txt |
| City | OKLAHOMA CITY | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 73116 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 237024262 | RecipientEIN |
| IRC Section | 501C3 | IRCSectionDesc |
| Cash Grant | $10,000 | CashGrantAmt |
| Valuation Method Used | CASH | ValuationMethodUsedDesc |
| Purpose Of Grant | CHARITABLE SUPPORT | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | Yes (X) | FirstClassOrCharterTravelInd |
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Severance Payment | 0 | 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 (25 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DIXSON MD JAMES D | ||||||||||||||
| PHYSICIAN & BOARD MEMBER | $279,097 | $0 | $130,069 | $0 | $41,696 | $0 | $49,729 | $0 | $12,707 | $0 | $513,298 | $0 | $38,058 | $0 |
| DOWELL DO MATTHEW | ||||||||||||||
| PHYSICIAN & BOARD MEMBER | $297,558 | $0 | $34,718 | $0 | $16,683 | $0 | $12,635 | $0 | $16,742 | $0 | $378,336 | $0 | $0 | $0 |
| GRAY MD SYLVIA S | ||||||||||||||
| PHYSICIAN & BOARD MEMBER | $826,688 | $0 | $98,908 | $0 | $36,497 | $0 | $9,450 | $0 | $17,453 | $0 | $988,996 | $0 | $0 | $0 |
| HAHNE CHRISTOPHER | ||||||||||||||
| EXECUTIVE DIRECTOR, CLINIC FINANCE & | $154,310 | $0 | $17,522 | $0 | $25,257 | $0 | $8,902 | $0 | $16,386 | $0 | $222,377 | $0 | $0 | $0 |
| KAKISH MD WILLIAM | ||||||||||||||
| PHYSICIAN & BOARD MEMBER | $565,495 | $0 | $69,550 | $0 | $26,822 | $0 | $20,628 | $0 | $17,053 | $0 | $699,548 | $0 | $0 | $0 |
| KESTER MD BRANSON | ||||||||||||||
| PHYSICIAN & BOARD MEMBER | $561,708 | $0 | $57,605 | $0 | $37,476 | $0 | $12,150 | $0 | $8,932 | $0 | $677,871 | $0 | $0 | $0 |
| MANKIN MD ALICE | ||||||||||||||
| PHYSICIAN & BOARD MEMBER | $343,732 | $0 | $45,880 | $0 | $25,396 | $0 | $12,152 | $0 | $10,462 | $0 | $437,622 | $0 | $0 | $0 |
| MINDER KEVIN | ||||||||||||||
| VP - COMMUNITY HEALTH & BOARD MEMBER | $153,732 | $0 | $23,899 | $0 | $19,623 | $0 | $4,838 | $0 | $6,285 | $0 | $208,377 | $0 | $0 | $0 |
| MURTHY GIRISH | ||||||||||||||
| HOSPITALIST & BOARD MEMBER | $368,251 | $0 | $35,381 | $0 | $18,322 | $0 | $9,450 | $0 | $6,968 | $0 | $438,372 | $0 | $0 | $0 |
| ORME MD LAURIE | ||||||||||||||
| PHYSICIAN & BOARD MEMBER | $182,006 | $0 | $24,854 | $0 | $18,801 | $0 | $9,642 | $0 | $16,572 | $0 | $251,875 | $0 | $0 | $0 |
| PICKETT MD STEPHANIE | ||||||||||||||
| PHYSICIAN & BOARD MEMBER | $398,800 | $0 | $48,365 | $0 | $37,427 | $0 | $9,450 | $0 | $1,992 | $0 | $496,034 | $0 | $0 | $0 |
| SCHREIBER MARTIN | ||||||||||||||
| VP MISSIONS & BOARD MEMBER | $0 | $153,141 | $0 | $20,373 | $0 | $49,745 | $0 | $6,931 | $0 | $15,883 | $0 | $246,073 | $0 | $0 |
| THOMAS RALPH C CULLEN | ||||||||||||||
| PRESIDENT, MPO & BOARD MEMBER | $586,099 | $0 | $272,100 | $0 | $16,228 | $0 | $6,260 | $0 | $12,472 | $0 | $893,159 | $0 | $106,960 | $0 |
| ENLOE TRACY | ||||||||||||||
| CFO THRU MARCH 31 | $0 | $272,952 | $0 | $66,795 | $0 | $18,957 | $0 | $52,494 | $0 | $16,687 | $0 | $427,885 | $0 | $0 |
| SORENSEN DONN | ||||||||||||||
| CEO | $0 | $835,967 | $0 | $711,440 | $0 | $42,623 | $0 | $129,557 | $0 | $11,239 | $0 | $1,730,826 | $0 | $0 |
| VITIELLO JONATHAN | ||||||||||||||
| CFO AS OF MARCH 31 | $0 | $567,172 | $0 | $354,458 | $0 | $60,835 | $0 | $98,030 | $0 | $17,789 | $0 | $1,098,284 | $0 | $0 |
| CAMPBELL MD JESSE | ||||||||||||||
| CHIEF ADMINISTRATIVE OFFICER | $518,971 | $0 | $146,769 | $0 | $35,322 | $0 | $80,456 | $0 | $17,457 | $0 | $798,975 | $0 | $0 | $0 |
| LE BICH-VI | ||||||||||||||
| REGIONAL VP - GENERAL COUNSEL | $0 | $248,763 | $0 | $76,735 | $0 | $27,760 | $0 | $47,787 | $0 | $16,934 | $0 | $417,979 | $0 | $0 |
| CURRY MICHAEL | ||||||||||||||
| PHYSICIAN | $945,653 | $0 | $169,506 | $0 | $18,986 | $0 | $9,450 | $0 | $16,297 | $0 | $1,159,892 | $0 | $0 | $0 |
| GOFF MD DARREN W | ||||||||||||||
| PHYSICIAN | $1,138,959 | $0 | $151,908 | $0 | $26,822 | $0 | $14,850 | $0 | $17,453 | $0 | $1,349,992 | $0 | $0 | $0 |
| MOLLET MD TODD W | ||||||||||||||
| PHYSICIAN | $876,809 | $0 | $111,921 | $0 | $37,486 | $0 | $9,450 | $0 | $16,697 | $0 | $1,052,363 | $0 | $0 | $0 |
| PEERY DO DERECK A | ||||||||||||||
| PHYSICIAN | $968,038 | $0 | $22,802 | $0 | $37,540 | $0 | $12,150 | $0 | $17,053 | $0 | $1,057,583 | $0 | $0 | $0 |
| SAVAGE MD ADAM M | ||||||||||||||
| PHYSICIAN | $913,738 | $0 | $107,652 | $0 | $486 | $0 | $9,450 | $0 | $16,297 | $0 | $1,047,623 | $0 | $0 | $0 |
| RAJU GARY | ||||||||||||||
| FORMER OFFICER | $0 | $298,567 | $0 | $330,021 | $0 | $22,524 | $0 | $9,450 | $0 | $1,745 | $0 | $662,307 | $0 | $0 |
| SMALLEY DIANA L | ||||||||||||||
| FORMER OFFICER | $0 | $668,153 | $0 | $537,906 | $0 | $54,218 | $0 | $10,911 | $0 | $12,943 | $0 | $1,284,131 | $0 | $170,999 |
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. 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 THE FOLLOWING EMPLOYEE: JESSE CAMPBELL 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 EMPLOYEES OF A RELATED ORGANIZATION, KEVIN MINDER, MARTIN SCHREIBER. 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, LINE 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: RALPH THOMAS; JONATHAN VITIELLO; BICH-VI LE; JAMES DIXSON; DIANA SMALLEY; TRACY ENLOE; JESSE CAMPBELL; GARY RAJU; DONN SORENSEN 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. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PINAROC NESTOR | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | FAMILY MEMBER OF KEY EMPLOYEE, LYNN PINAROC | RelationshipDescriptionTxt |
| Transaction | $504,636 | TransactionAmt |
| Transaction | EMPLOYMENT ARRANGEMENT, MERCY CLINIC OKLAHOMA COMMUNITIES | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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, 2019. 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 80,562,708. |
| 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 2019 (THE TAX YEAR CURRENTLY BEING REPORTED). HOWEVER, NO SEPARATE AUDIT OPINION IS ISSUED ON THE FINANCIAL STATEMENTS OF THE FILING ORGANIZATION. THE ULTIMATE RESPONSIBILITY FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE EXTERNAL AUDITOR LIES WITH THE STEWARDSHIP COMMITTEE OF THE MERCY HEALTH BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE. |
| FORM 990, 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. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| MERCY CARE LLC | |||||||||
| 4300 W MEMORIAL ROAD | OKLAHOMA CITY | OK | 73120 | 271304342 | URGENT CARE CLINIC OPERATIONS | OK | $795,778 | $0 | MERCY CLINIC OKLAHOMA COMMUNITIES |
| MEMORIAL MEDICAL GROUP EMERGENCY PHYSICIANSLLC | |||||||||
| 1011 14TH NW | ARDMORE | OK | 73401 | 260261710 | PHYSICIAN SERVICES | OK | $3,372,297 | $0 | MERCY CLINIC OKLAHOMA COMMUNITIES |
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 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 HOME HEALTH BERRYVILLE | |||||||||||
| 804 W FREEMAN SUITE 4 | BERRYVILLE | AR | 72616 | 870781247 | HOME HEALTH AND HOSPICE OPERATIONS | AR | 501C3 | 11-III | MERCY HOSPITAL SPRINGFIELD | 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 | 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 OKLAHOMA CITY | |||||||||||
| 4300 W MEMORIAL ROAD | OKLAHOMA CITY | OK | 73120 | 730579285 | HOSPITAL | OK | 501C3 | 3 | MERCY HEALTH OK COMMUNITIES | 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) | |
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 |
| RESOURCE OPTIMIZ & INNOVLLC | ||||||||||
| 645 MARYVILLE CTR DRSTE 200 | ST LOUIS | MO | 63141 | 460468368 | CENTRAL DISTRIBUTION CENTER | MO | MERCY MANAGED CARE CORP | 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 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 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 |
|---|---|---|---|---|---|---|---|---|---|
| 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 |
| MHN OF THE SOUTHERN REGION INC | |||||||||
| 1011 14TH AVENUE NW | ARDMORE | OK | 73401 | 731580607 | HOLDING COMPANY;DISSOLVED 10/15/18 | OK | MERCY MANAGED CARE CORP | 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 |
| 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 10/15/18 | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | 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 | 0 | 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 | ||
| C | $14,500 | FMV |
| MERCY FOUNDATION ADA | ||
| C | $25,367 | FMV |
| MERCY HEALTH | ||
| P | $731 | FMV |
| MHM SUPPORT SERVICES | ||
| P | $48,357,977 | FMV |
| MERCY HEALTH FOUNDATION | ||
| P | $10,000 | FMV |
| MERCY HEALTH EAST COMMUNITIES | ||
| Q | $310,431 | FMV |
| MERCY HOSPITALS EAST COMMUNITIES | ||
| Q | $28,900 | FMV |
| MERCY HOSPITAL SOUTH | ||
| P | $3,167 | FMV |
| MERCY CLINIC EAST COMMUNITIES | ||
| P | $63 | FMV |
| MERCY HOSPITAL SPRINGFIELD | ||
| Q | $43 | FMV |
| MERCY CLINIC SPRINGFIELD COMMUNITIES | ||
| P | $313,972 | FMV |
| MERCY HEALTH OKLAHOMA COMMUNITIES | ||
| Q | $42,700,755 | FMV |
| MERCY HEALTH FOUNDATION OKLAHOMA CITY | ||
| P | $1,581 | FMV |
| MERCY HEALTH FOUNDATION ARDMORE | ||
| P | $1,774 | FMV |
| MERCY HEALTH FOUNDATION OF OKLAHOMA | ||
| P | $3,058 | FMV |
| MERCY HEALTH FOUNDATION ADA | ||
| P | $24,129 | FMV |
| MERCY HOSPITAL OKLAHOMA CITY | ||
| Q | $10,001,246 | FMV |
| MERCY HOSPITAL ARDMORE | ||
| P | $627,122 | FMV |
| MERCY HOSPITAL LOGAN COUNTY INC | ||
| P | $310,034 | FMV |
| MERCY HOSPITAL WATONGA INC | ||
| P | $24,889 | FMV |
| MERCY HOSPITAL ADA INC | ||
| P | $552,560 | FMV |
| MERCY HOSPITAL KINGFISHER INC | ||
| P | $14,229 | FMV |
| MERCY HOSPITAL HEALDTON | ||
| P | $2,273 | FMV |
| MERCY HOSPITAL EL RENO | ||
| Q | $56,239 | FMV |
| MERCY HOSPITAL TISHOMINGO | ||
| P | $7,035 | FMV |
| MERCY ACO CLINICAL SERVICES | ||
| Q | $10,859 | FMV |