MERCY HOSPITAL ARDMORE INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: MERCY HOSPITAL ARDMORE INC (EIN 73-1500629)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-06-25
IRS object ID: 202041779349301414
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 C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-06-25T11:57:40-05:00	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	731500629	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MERCY HOSPITAL ARDMORE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MERC	BusinessNameControlTxt
Phone	5802206620	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1011 14TH AVENUE NW	AddressLine1Txt
City	ARDMORE	CityNm
State Abbreviation	OK	StateAbbreviationCd
ZIP	73401	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	11:57:33	IPTm
IP Timezone	CD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	D6D028B83EC7BAE48696A0FE418AC7215527A94E	AtSubmissionCreationDeviceId
At Submission Filing Device Id	10DBDE78D88D9177EE19B17DBA986A17B1D29D69	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-09-23 17:36:50Z	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	1011 14TH AVENUE NW	AddressLine1Txt
City	ARDMORE	CityNm
State Abbreviation	OK	StateAbbreviationCd
ZIP	73401	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$182,672,158	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MERCY.NET	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1996	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	12	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	64	TotalVolunteersCnt
Total Gross UBI	$49,620	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$25,078	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$266,975	PYContributionsGrantsAmt
CY Contributions Grants	$1,646,684	CYContributionsGrantsAmt
PY Program Service Revenue	$168,727,243	PYProgramServiceRevenueAmt
CY Program Service Revenue	$180,158,809	CYProgramServiceRevenueAmt
PY Investment Income	$0	PYInvestmentIncomeAmt
CY Investment Income	$0	CYInvestmentIncomeAmt
PY Other Revenue	$309,174	PYOtherRevenueAmt
CY Other Revenue	$702,166	CYOtherRevenueAmt
PY Total Revenue	$169,303,392	PYTotalRevenueAmt
CY Total Revenue	$182,507,659	CYTotalRevenueAmt
PY Grants And Similar Paid	$545,771	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$548,344	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$63,211,415	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$65,496,533	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$99,808,998	PYOtherExpensesAmt
CY Other Expenses	$102,683,974	CYOtherExpensesAmt
PY Total Expenses	$163,566,184	PYTotalExpensesAmt
CY Total Expenses	$168,728,851	CYTotalExpensesAmt
PY Revenues Less Expenses	$5,737,208	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$13,778,808	CYRevenuesLessExpensesAmt
Total Assets BOY	$92,633,983	TotalAssetsBOYAmt
Total Assets EOY	$90,836,492	TotalAssetsEOYAmt
Total Liabilities BOY	$2,588,633	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,877,678	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$90,045,350	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$87,958,814	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	$136,140,819	ExpenseAmt
Grant	$548,344	GrantAmt
Revenue	$180,158,809	RevenueAmt
Desc	MERCY HOSPITAL ARDMORE ("MERCY") PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. DURING FY2019, MERCY PROVIDED SERVICES TO 7,014 INPATIENTS, 31,988 EMERGENCY DEPARTMENT PATIENTS, AND 95,587 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 ENHANCEMENT 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) HEALTH EDUCATION AND WELLNESS PROGRAMS AND OTHER SUPPORT GROUP MEETINGS OFFERED TO THE COMMUNITY.2) HEALTH SERVICES SUCH AS HEALTH FAIRS AND SCREENINGS, FREE CLINICS, PRE-NATAL AND WELL BABY CARE. 3) HEALTH PROFESSIONALS ARE PROVIDED EDUCATION, INCLUDING OPPORTUNITIES FOR CLINICAL INTERNSHIPS.4) SUBSIDIZED HEALTH SERVICES INCLUDING HOSPICE, HOME HEALTH SERVICES, AND DISASTER READINESS.5) COMMUNITY HEALTH RESEARCH6) CASH AND IN-KIND DONATIONS FOR EVENTS AND FUND-RAISING7) COMMUNITY BUILDING ACTIVITIES, IN PARTNERSHIP WITH OTHER COMMUNITY ORGANIZATIONS 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 $7,083,189 IN FY2019.THE ABOVE AMOUNT DOES NOT REFLECT THE COST OF HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY HEALTH EDUCATION PROGRAMS AND OTHER COMMUNITY SUPPORT ACTIVITIES. THE SERVICES PROVIDED BY MERCY, 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.MERCY HOSPITAL ARDMORE'S EXEMPT PURPOSE ACHIEVEMENTS ARE EXPANDED UPON IN VARIOUS SECTIONS OF SCHEDULE H.	Desc
Total Program Service Expenses	$136,140,819	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
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	0	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	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	0	EmployeeCnt
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	OK	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TAMMI HARMONING	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5802206239	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1011 14TH AVENUE NW	AddressLine1Txt
City	ARDMORE	CityNm
State Abbreviation	OK	StateAbbreviationCd
ZIP	73401	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 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
BLACKMON WARREN
BOARD MEMBER	1.00	1.00	Yes (X)	$0	$0	$0
HENDRICKS RSM SR REBECCA ANN
BOARD MEMBER	1.00	14.00	Yes (X)	$0	$0	$0
KIRBY SUMMER
PHYSICIAN & BOARD MEMBER	60.00	0.00	Yes (X)	$0	$551,948	$25,550
MURTHY MD GIRISH
HOSPITALIST & BOARD MEMBER	30.00	30.00	Yes (X)	$0	$421,954	$16,418
RAMIREZ MD HENRY
BOARD MEMBER	1.00	0.00	Yes (X)	$0	$0	$0
SMALLEY ALISON
BOARD MEMBER	1.00	0.00	Yes (X)	$0	$0	$0
SPOHN MENDY
BOARD MEMBER	1.00	0.00	Yes (X)	$0	$0	$0
VEAZEY JOHN S
BOARD MEMBER	1.00	0.00	Yes (X)	$0	$0	$0
VERNER NATHAN
BOARD MEMBER	1.00	0.00	Yes (X)	$0	$0	$0
VOSS DARYLE
PRESIDENT, MERCY HOSPITAL ARDMORE & BOARD MEMBER	47.00	4.00	Yes (X)	$505,334	$0	$68,830	Yes (X)
WELSH RSM SR ROSEMARY
BOARD MEMBER	1.00	0.00	Yes (X)	$0	$0	$0
WILKINSON MARIA E
BOARD MEMBER	1.00	0.00	Yes (X)	$0	$0	$0
ENLOE TRACY
CFO THRU MARCH 31	4.00	56.00		$0	$358,704	$69,181	Yes (X)
SORENSEN DONN
EXECUTIVE VP - OPERATIONS	5.00	55.00		$0	$1,590,030	$140,796	Yes (X)
VITIELLO JONATHAN
CFO AS OF MARCH 31	5.00	55.00		$0	$982,465	$115,819	Yes (X)
FARRELL DARIN
VP - OPERATIONS	60.00	0.00		$198,043	$0	$17,875		Yes (X)
LE BICH-VI
REGIONAL VP-GENERAL COUNSEL	5.00	55.00		$0	$353,258	$64,721		Yes (X)
LEBOFSKY MELINDA
REGIONAL VP HR - WEST	60.00	0.00		$0	$185,660	$6,624		Yes (X)
PENDER DEBRA J
VP-NURSING/CNO	60.00	0.00		$212,891	$0	$13,309		Yes (X)
CRAIG CAROL E
HOUSE SUPERVISOR	60.00	0.00		$160,541	$0	$21,332			Yes (X)
CRUMB ARLENE R
REGISTERED NURSE III	60.00	0.00		$192,878	$0	$6,611			Yes (X)
GLENN MARK P
DIRECTOR - PHARMACY SERVICES	60.00	0.00		$160,826	$0	$8,516			Yes (X)
LEWELLEN JUDY
INFUSION NURSE - TEAM LEAD	60.00	0.00		$163,913	$0	$26,193			Yes (X)
WELCH KRISTI
STAFFING COORDINATOR RN	60.00	0.00		$155,651	$0	$13,938			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	$1,750,077	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,355,408	TotReportableCompRltdOrgAmt
Total Other Compensation	$650,762	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	69	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
AMN HEALTHCARE
12400 HIGH BLUFF DR	SAN DIEGO	CA	92130	STAFFING SERVICES	$1,417,831
GREAT PLAINS ANESTHESIA PLLC
1012 14TH AVE NW	ARDMORE	OK	73401	MEDICAL SERVICES	$1,140,018
JE DUNN CONSTRUCTION
929 HOLMES	KANSAS CITY	MO	64106	CONSTRUCTION SERVICES	$1,075,942
DAVITA (TOTAL RENAL CARE)
PO BOX 781607	PHILADELPHIA	PA	19178	DIALYSIS	$352,747
LINEN KING
1521 W 36TH PLACE	TULSA	OK	74107	LINEN SERVICES	$348,620

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	24	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,644,530	RelatedOrganizationsAmt
All Other Contributions	$2,154	AllOtherContributionsAmt
Total Contributions	$1,646,684	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	622110	$178,387,428	$178,387,428
RENT REVENUE FROM RELATED ORGANIZ	531120	$967,735	$967,735
OTHER OPERATING REVENUE	622110	$394,026	$394,026
MANAGEMENT FEES	622110	$360,000	$360,000
LABORATORY SERVICE	621500	$49,620		$49,620

Field	Value	IRS element (for citing)
Total Program Service Revenue	$180,158,809	TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$316,903	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$164,499	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$152,404	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$152,404	TotalRevenueColumnAmt
Exclusion	$152,404	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	CAFETERIA	Desc
Business	722210	BusinessCd
Total Revenue Column	$549,762	TotalRevenueColumnAmt
Exclusion	$549,762	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$549,762	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$182,507,659	TotalRevenueColumnAmt
Related Or Exempt Func Income	$180,109,189	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$49,620	UnrelatedBusinessRevenueAmt
Exclusion	$702,166	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$548,344	TotalAmt
Program Services	$548,344	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,503,907	TotalAmt
Program Services	$2,503,907	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$9,285	TotalAmt
Program Services	$9,285	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$52,181,095	TotalAmt
Program Services	$44,932,391	ProgramServicesAmt
Management And General	$7,248,704	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,996,778	TotalAmt
Program Services	$1,711,197	ProgramServicesAmt
Management And General	$285,581	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$5,418,678	TotalAmt
Program Services	$4,688,210	ProgramServicesAmt
Management And General	$730,468	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,386,790	TotalAmt
Program Services	$2,936,120	ProgramServicesAmt
Management And General	$450,670	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$50,000	TotalAmt
Management And General	$50,000	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$11,900	TotalAmt
Management And General	$11,900	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$15,110	TotalAmt
Management And General	$15,110	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$7,155,361	TotalAmt
Program Services	$5,530,320	ProgramServicesAmt
Management And General	$1,625,041	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$26,452	TotalAmt
Program Services	$11,216	ProgramServicesAmt
Management And General	$15,236	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,599,891	TotalAmt
Program Services	$2,755,291	ProgramServicesAmt
Management And General	$1,844,600	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$68,569	TotalAmt
Program Services	$68,569	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,324,218	TotalAmt
Program Services	$192,589	ProgramServicesAmt
Management And General	$3,131,629	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$179,741	TotalAmt
Program Services	$135,300	ProgramServicesAmt
Management And General	$44,441	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$103	TotalAmt
Program Services	$103	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$6,092,572	TotalAmt
Program Services	$2,665,601	ProgramServicesAmt
Management And General	$3,426,971	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$820,824	TotalAmt
Program Services	$235,872	ProgramServicesAmt
Management And General	$584,952	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
DRUGS & MEDICAL EXPENSE	$29,791,112	$29,748,197	$42,915
BAD DEBTS	$25,738,527	$25,738,527
SHARED SERVICE FEES	$23,432,665	$11,482,006	$11,950,659
REPAIRS & MAINTENANCE	$1,148,712	$89,814	$1,058,898

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$228,217	TotalAmt
Program Services	$157,960	ProgramServicesAmt
Management And General	$70,257	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$168,728,851	TotalAmt
Program Services	$136,140,819	ProgramServicesAmt
Management And General	$32,588,032	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,588,923	BOYAmt
EOY	$3,810,690	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$15,814,228	BOYAmt
EOY	$17,269,413	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$365,701	BOYAmt
EOY	$138,057	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,251,158	BOYAmt
EOY	$3,064,281	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$57,638	BOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$193,274,145	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$126,839,637	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$68,024,466	BOYAmt
EOY	$66,434,508	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,531,869	BOYAmt
EOY	$119,543	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$92,633,983	BOYAmt
EOY	$90,836,492	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$2,014,700	BOYAmt
EOY	$2,516,925	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$5,455	BOYAmt
EOY	$5,455	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$568,478	BOYAmt
EOY	$355,298	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,588,633	BOYAmt
EOY	$2,877,678	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$90,013,264	BOYAmt
EOY	$87,919,563	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$32,086	BOYAmt
EOY	$39,251	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$90,045,350	BOYAmt
EOY	$87,958,814	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$92,633,983	BOYAmt
EOY	$90,836,492	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$13,778,808	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$15,865,344	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 C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$15,110	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$15,110	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	THE FILING ORGANIZATION IS A MEMBER OF AND PAYS DUES TO THE OKLAHOMA HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION. FOR THE YEAR ENDED JUNE 30, 2019, DUES WERE $43,718 AND $16,086, RESPECTIVELY. APPROXIMATELY 26.20% OF OKLAHOMA HOSPITAL ASSOCIATION DUES AND 22.73% OF AMERICAN HOSPITAL ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,941,458	OtherCostOrOtherBasisAmt
Book Value	$2,941,458	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$126,471,542	OtherCostOrOtherBasisAmt
Depreciation	$73,646,799	DepreciationAmt
Book Value	$52,824,743	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,073	OtherCostOrOtherBasisAmt
Depreciation	$15,073	DepreciationAmt
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$61,130,715	OtherCostOrOtherBasisAmt
Depreciation	$51,184,117	DepreciationAmt
Book Value	$9,946,598	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,715,357	OtherCostOrOtherBasisAmt
Depreciation	$1,993,648	DepreciationAmt
Book Value	$721,709	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$66,434,508	TotalBookValueLandBuildingsAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2	FormAndLineReferenceDesc
Explanation	FEDERAL INCOME TAX PRIMARILY ALL OF THE MERCY HEALTH ENTITIES ARE RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS CHARITABLE ORGANIZATIONS QUALIFYING UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), BY VIRTUE OF IRS DETERMINATION LETTERS OR INCLUSION IN THE OFFICIAL CATHOLIC DIRECTORY. MERCY COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2019 OR 2018.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,679,251	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,679,251	NetCommunityBenefitExpnsAmt
Total Expense	0.03970	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,100,992	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,685,941	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$415,051	NetCommunityBenefitExpnsAmt
Total Expense	0.00290	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,780,243	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,685,941	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,094,302	NetCommunityBenefitExpnsAmt
Total Expense	0.04260	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$149,495	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$149,495	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$342,622	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,966	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$335,656	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$515,737	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,001	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$503,736	NetCommunityBenefitExpnsAmt
Total Expense	0.00350	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,007,854	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,967	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$988,887	NetCommunityBenefitExpnsAmt
Total Expense	0.00680	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,788,097	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,704,908	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,083,189	NetCommunityBenefitExpnsAmt
Total Expense	0.04940	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,260	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,260	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,353	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,353	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$516	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$516	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,048	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$24,048	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$52,750	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$52,750	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$87,927	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$87,927	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$6,420,196	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$67,834,764	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$67,234,748	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$600,016	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MERCY HOSPITAL ARDMORE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1011 14TH AVENUE NW	AddressLine1Txt
City	ARDMORE	CityNm
State Abbreviation	OK	StateAbbreviationCd
ZIP	73401	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.MERCY.NET/ABOUT	WebsiteAddressTxt
State License	2230	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MERCY HOSPITAL ARDMORE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.MERCY.NET/ABOUT/COMMUNITY-BENEFITS	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.MERCY.NET/ABOUT/COMMUNITY-BENEFITS	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.MERCY.NET/PATIENTS/BILLING/FINANCIAL-ASSISTANCE/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.MERCY.NET/PATIENTS/BILLING/FINANCIAL-ASSISTANCE/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.MERCY.NET/PATIENTS/BILLING/FINANCIAL-ASSISTANCE/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
MERCY HOSPITAL ARDMORE	PART V, SECTION B, LINE 5: WHEN CONDUCTING ITS MOST RECENT CHNA MERCY HOSPITAL, ARDMORE WORKED CLOSELY WITH THE FOLLOWING:- CARTER COUNTY/COUNTY HEALTH DEPARTMENT, MENDY SPOHN, DIRECTOR- GOOD SHEPHERD COMMUNITY CLINIC, TERESA MYERS, EXECUTIVE DIRECTOR- REGIONAL FOOD BANK OF OKLAHOMA, RODNEY BIVENS, EXECUTIVE DIRECTOR- ARDMORE BEHAVIORAL HEALTH COLLABORATION, ASHLEY GODWIN, DIRECTOR- PARTNERS IN EDUCATION, ARDMORE CHAMBER OF COMMERCE FOUNDATION, MITA BATES, DIRECTORADDITIONALLY, 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 ARDMORE	PART V, SECTION B, LINE 11: BASED ON THE FINDINGS OF ITS MOST RECENTLY CONDUCTED CHNA, MERCY HOSPITAL ARDMORE HAS CHOSEN TO ADDRESS THE FOLLOWING TWO SIGNIFICANT HEALTH NEEDS.- BEHAVIORAL HEALTH- ACCESS TO CARESOME HIGHLIGHTS OF COMMUNITY PROGRAMS BEING ADDRESSED THROUGH THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) ARE:- MERCY HOSPITAL ARDMORE PROVIDES SUPPORT TO THE GOOD SHEPHERD COMMUNITY CLINIC (GSCC) THROUGH LABORATORY AND PHARMACEUTICAL SERVICES AND MEMBERSHIP ON THE BOARD OF DIRECTORS. GSCC HAS A PATIENT BASE THAT IS 80% DIABETIC. BOARD OF DIRECTORS MEMBERSHIP INSURES MERCY HOSPITAL ARDMORE'S ONGOING PARTICIPATION IN THE CLINIC AND THE OPPORTUNITY TO ADDRESS OPPORTUNITIES IN CARE ON A TIMELY BASIS. MERCY ARDMORE CLINIC PHYSICIANS AND PROVIDERS WORK CLOSELY WITH THE PROVIDERS OF THE GSCC TO PROVIDE EXCELLENCE IN CONTINUITY OF CARE. MERCY PROJECT ACCESS IS ALSO ENGAGED WITH GSCC TO ASSIST IN CARING FOR COMPLEX PATIENTS. IN COLLABORATION WITH GOOD SHEPHERD COMMUNITY CLINIC AND THE SOUTHERN OKLAHOMA MEMORIAL FOUNDATION, MAMMOGRAMS ARE OFFERED TO WOMEN WHO ARE UNINSURED AND WITHOUT ABILITY TO PAY FOR THIS SERVICE. MERCY HOSPITAL ARDMORE ALSO INSURES FOLLOW-UP IS PROVIDED FOR THOSE PATIENTS NEEDING FURTHER TESTING AND TREATMENT.- "SHAPE YOUR MENU: SCHOOL CAFETERIA REENGINEERING PROJECT" IS A COLLABORATIVE EFFORT BETWEEN MERCY HOSPITAL ARDMORE, MERCY FOUNDATION, TURNING POINT COALITION, SOUTHERN OKLAHOMA MEMORIAL FOUNDATION, CARTER COUNTY HEALTH DEPARTMENT, OKLAHOMA STATE UNIVERSITY EXTENSION OFFICE AND AREA SCHOOL DISTRICTS. THE PURPOSE OF THE PROJECT IS TO EDUCATE AND EMPOWER SCHOOL CAFETERIA STAFF WITH THE KNOWLEDGE AND SKILLS TO POSITIVELY IMPACT CHILDHOOD NUTRITION AND REDUCE CHILDHOOD OBESITY. CURRENTLY, MERCY PARTNERS WITH 10 SCHOOL DISTRICTS AND 4 COMMUNITY CENTERS TO PROVIDE FOOD SERVICE CONSULTATION, NUTRITION EDUCATION, STUDENT NUTRITION INTERVENTION AND ONGOING PROFESSIONAL TRAINING. TO DATE, OVER 10,000 STUDENTS ARE IMPACTED BY THIS PROGRAM. MERCY CONTINUES TO EMPLOY A REGISTERED DIETITIAN WITH THE SOLE PURPOSE OF WORKING IN CHILD NUTRITION.- MHARD IS AN INTEGRAL PART OF THE ARDMORE BEHAVIORAL HEALTH COLLABORATIVE (ABHC), WHICH ALSO INCLUDES REPRESENTATIVES FROM THE FOLLOWING: CARTER COUNTY HEALTH DEPARTMENT, DHS, ARDMORE INSTITUTE OF HEALTH, A LOCAL FOUNDATION, MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES OF SOUTHERN OKLAHOMA, GOOD SHEPHERD COMMUNITY CLINIC, GRACE DAY CENTER, GLORIA AINSWORTH CHILDCARE CENTER, CHILDREN'S SHELTER, OFFICE OF VETERANS AFFAIRS AND ARBUCKLE LIFE SOLUTIONS. PARTICIPATION IN THE COLLABORATIVE CONTINUES TO GROW AND IS NOW WORKING CLOSELY WITH THE NATIONAL COUNCIL ON BEHAVIORAL HEALTH. THE GOAL IS TO ASSESS GAPS AND ASSETS IN OUR COMMUNITY RELATED TO BEHAVIORAL HEALTH WHILE IMPROVING TRAUMA INFORMED UNDERSTANDING ACROSS OUR COMMUNITY. THE ASSESSMENT WILL LEAD TO A COMPREHENSIVE PLAN TO ADDRESS BEHAVIORAL HEALTH SERVICES AND OUTCOMES. THIS CURRENT TWO YEAR PLAN IS BEING FUNDED BY A $450,000 GRANT.- MHARD BEGAN THE PROCESS IN 2017 OF BEING RECOGNIZED AS A DIABETES PREVENTION PROGRAM. MHARD HAS TWO DIABETES EDUCATORS WHO HAVE SUCCESSFULLY COMPLETED LIFE COACH TRAINING. TO DATE, 24 PARTICIPANTS COMPLETED THE FIRST COHORT. IN DECEMBER OF 2018, ARDMORE DPPP GAINED FULL RECOGNITION BY THE CDC.- A BETTER BREATHERS PROGRAM WAS BEGUN TO PROVIDE RESPIRATORY EDUCATIONAL PROGRAMMING. INFORMATION WAS ALSO DISTRIBUTED AT LOCAL HEALTH FAIRS TO BRING AWARENESS OF THIS CHRONIC CONDITION IN OUR COMMUNITY.- MERCY SERVES IN A COLLABORATIVE ROLE WITH THE OKLAHOMA TURNING POINT COALITION SERVING THE SOUTHERN OKLAHOMA COUNTIES. TURNING POINT COALITION HAS AS ITS GOAL TO IDENTIFY COMMUNITY PRIORITIES AND WORK TOWARD LOCAL SOLUTIONS. THIS PROCESS INVOLVES EDUCATING COMMUNITY MEMBERS ON HEALTH AND WELLNESS ISSUES AND INVITING THEM TO SERVE ON TASK FORCES ADDRESSING THE IDENTIFIED ISSUES.- MHARD CONTRIBUTES TO LEGAL AID SERVICES SO THAT THEY CAN PROVIDE LEGAL ASSISTANCE TO PATIENTS IN NEED OF THAT SERVICE. - MHARD PARTICIPATED WITH THE OKLAHOMA BLOOD INSTITUTE IN BLOOD DRIVES DURING THE YEAR.- MERCY HOSPITAL ARDMORE CONTRIBUTED TO C/SARA FOUNDATION, MVP READING MENTOR PROGRAM, AMERICAN CANCER SOCIETY, CROSS TIMBERS HOSPICE, MARCH OF DIMES, REGIONAL FOOD BANK OF OKLAHOMA, CITIES IN SCHOOLS, THE MORE FOUNDATION, YMCA ARDMORE, OHH RESEARCH FOUNDATION, ALZHEIMER'S ASSOCIATIONCHILD HEALTH WILL NOT BE ADDRESSED AS A SEPARATE PRIORITY FOR MERCY HOSPITAL, ARDMORE. CHILD HEALTH IS A WORKGROUP OF SHAPE OUR MENU - SHAPE OUR YOUTH, A GRANT FUNDED PROGRAM THROUGH MERCY HOSPITAL ARDMORE TO ADDRESS CHILD HEALTH AND NUTRITION IN OUR SERVICE AREA. STAFF OF COMMUNITY OUTREACH ATTENDS THE FULL COALITION MEETINGS.PLEASE REFER TO THE COMMUNITY HEALTH IMPROVEMENT PLAN AT: HTTPS://WWW.MERCY.NET/ABOUT/COMMUNITY-BENEFITS/
MERCY HOSPITAL ARDMORE	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.

Field	Value	IRS element (for citing)
Facility	6	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - MERCY HEALTH ARDMORE CANCER CENTER
1220 HALL PLACE	ARDMORE	OK	73401	CANCER TREATMENT
2 - MHARD INPATIENT & OUTPATIENT REHAB
1012 14TH NW	ARDMORE	OK	73401	REHAB SERVICES
3 - MHARD WOUND CARE
1012 14TH NW	ARDMORE	OK	73401	WOUND CARE CENTER
4 - MHARD SLEEP LAB
1012 14TH NW	ARDMORE	OK	73401	SLEEP DISORDER SERVICES
5 - MHARD PAIN MANAGEMENT
731 12TH AVE NW	ARDMORE	OK	73401	PAIN MANAGEMENT SERVICES
6 - MHARD VEIN CENTER CLINIC
731 12TH AVE NW	ARDMORE	OK	73401	VEIN CLINIC

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7G:	SUBSIDIZED HEALTH SERVICESTHE PHYSICIAN CLINICS ARE INCLUDED AS A NET AMOUNT (INCOME LESS EXPENSES) ALLOCATED BY THE CLINICAL SERVICE LINE IN THE INDIRECT COST.
PART I, LN 7 COL(F):	TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) ARE $168,728,851. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $25,738,527. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $6,420,196.
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:	COMMUNITY BUILDING ACTIVITIES ADDRESS ROOT CAUSES OF HEALTH-RELATED PROBLEMS. MULTIDISCIPLINARY COMMUNITY PARTNERSHIPS AND COLLABORATIONS ADDRESS SYSTEMIC MALFUNCTIONS AND THE ROOT CAUSES OF ISSUES SUCH AS POVERTY, VIOLENCE, AND HOMELESSNESS. THEY STRENGTHEN THE COMMUNITY'S ABILITY TO PROMOTE HEALTH AND WELL-BEING. MERCY HOSPITAL ARDMORE, INC. (MHARD) COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITIES IN WHICH THEY SERVE. THROUGH ACTIVE PARTICIPATION IN COMMUNITY BOARDS, NEIGHBORHOOD COMMUNITY MEETINGS AND INVOLVEMENT IN COMMUNITY-BASED EVENTS, MHARD 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. MERCY CO WORKERS PARTICIPATE AS BOARD MEMBERS, VOLUNTEERS GIVING HOURS OF HANDS-ON ASSISTANCE, PROGRAM DEVELOPMENT AND FUND RAISING.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 UNCOLLECTED, INCLUDING THOSE PLACED WITH COLLECTION AGENCIES, ARE INITIALLY CHARGED AGAINST THE ALLOWANCE FORUNCOLLECTIBLE ACCOUNTS IN ACCORDANCE WITH COLLECTION POLICIES OF THEHEALTH SYSTEM AND, IN CERTAIN CASES, ARE RECLASSIFIED TO CHARITY CAREIF DEEMED TO OTHERWISE MEET THE HEALTH SYSTEM'S CHARITY CARE POLICY.THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES IS BASED ON MANAGEMENT'SASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERINGBUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, ANDOTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR,MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLERECEIVABLES BASED UPON THE PAYOR COMPOSITION AND AGING OF RECEIVABLESAS OF THE REPORTING DATE WITH CONSIDERATION OF THE HISTORICAL PAYMENTAND WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESEREVIEWS ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FORUNCOLLECTIBLE RECEIVABLES TO ESTABLISH AN APPROPRIATE ALLOWANCE FORUNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROMINSURANCE, THE HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FORPLACING PAST-DUE BALANCES WITH COLLECTION AGENCIES.
PART III, LINE 8:	IT IS THE POSITION OF MERCY HOSPITAL ARDMORE THAT 100% OF ANY SHORT FALL, WHEN APPLICABLE, 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'S; INCLUDING MEDICAID. IN THE EVENT AN ACCOUNT IS TURNED TO COLLECTIONS, AND IS IDENTIFIED IN NEED OF FINANCIAL ASSISTANCE DUE TO CIRCUMSTANCE CHANGES, OR 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 THIRD PARTY TOOL TO ENHANCE THE ABILITY TO DETERMINE THE CHARITY QUALIFICATION PRIOR TO TURNING TO BAD DEBT, A PROCESS KNOWN AS PRESUMPTIVE CHARITY; USING HOUSEHOLD SIZE AND INCOME. 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. IN ADDITION, MERCY UTILIZES THE SAME TOOL TO QUALIFY ACCOUNTS PER THE PRACTICE OF PRESUMPTIVE CHARITY PRIOR TO BAD DEBT PLACEMENT FOR BALANCES IN EXCESS OF $6500. 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. 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 A 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 OCCURS PRIOR TO ANY EXTRAORDINARY COLLECTIONS ARE PURSUED.
PART VI, LINE 2:	THE CARTER COUNTY/COUNTY HEALTH DEPARTMENT AND GOOD SHEPHERD COMMUNITY CLINIC AS WELL AS THE OKLAHOMA STATE HEALTH DEPARTMENT, AND THE ARDMORE BEHAVIORAL HEALTH COLLABORATIVE SERVES AS PRIMARY PARTNERS FOR MERCY HOSPITAL, ARDMORE IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. OTHER COMMUNITY PARTNERS INCLUDE: FREE AND CHARITABLE MEDICAL CLINICS AND OTHER COMMUNITY GROUPS WHO STRIVE TO IMPROVE THE HEALTH OF OKLAHOMANS. METHODS OF COLLECTING AND ANALYZING DATA AND INFORMATION INCLUDE: SURVEYS, COMMUNITY CHATS, PUBLISHED DATA, AND HOSPITAL SPECIFIC DATA. THIS WORK WAS CONDUCTED FOR 9 MONTHS BETWEEN 2017-2018. MERCY WORKED WITH LOCAL COMMUNITY CHURCHES TO REACH THE UNDERSERVED POPULATIONS AS WELL AS OUR HISPANIC POPULATION. 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) 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:	MERCY HOSPITAL ARDMORE'S PRIMARY SERVICE AREA INCLUDES SIX COUNTIES IN SOUTHERN OKLAHOMA, BORDERING TEXAS. THESE COUNTIES INCLUDE CARTER, JEFFERSON, JOHNSTON, LOVE, MARSHALL AND MURRAY. THE FOLLOWING INFORMATION IS DERIVED FROM 2018 IBM/WATSTON'S DEMOGRAPHICS AND FY2018 DECISION RESOURCE GROUP'S INSURANCE COVERAGE ESTIMATES. THE AREA'S POPULATION IS 137,730. 27% OF THE POPULATION'S AVERAGE HOUSEHOLD INCOME IS OVER $75,000. 44% OF THE POPULATION IS 45 AND OLDER. 20% OF THE HOUSEHOLDS IS ON MEDICARE, 19% ON MEDICAID, AND 15% 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 SYSTEM: THE 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, 2019, 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, 2019, MERCY HAD MORE THAN 10.2 MILLION OUTPATIENT AND PHYSICIAN OFFICE VISITS, APPROXIMATELY 2,400 EMPLOYED PHYSICIANS, AND APPROXIMATELY 45,000 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

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVE	DALLAS	TX	75231	135613797	501(C)(3)	$11,520	CHARITABLE SUPPORT
MERCY HEALTH FOUNDATION ARDMORE
1011 14TH AVENUE NW	ARDMORE	OK	73401	710962525	501(C)(3)	$375,100	GENERAL SUPPORT
GOOD SHEPHERD COMMUNITY CLINIC
20 12TH AVE NW	ARDMORE	OK	73401	731509801	501(C)(3)	$48,000	GENERAL SUPPORT
ARDMORE MAIN STREET AUTHORITY
203 W MAIN STREET	ARDMORE	OK	73401		501(C)(3)	$10,000	CHARITABLE SUPPORT
ARDMORE CHAMBER OF COMMERCE FOUNDATION INC
410 W MAIN STREET	ARDMORE	OK	73402	731372215	501(C)(3)	$10,180	CHARITABLE SUPPORT
MERCY HEALTH FOUNDATION OF OKLAHOMA
4300 W MEMORIAL ROAD	OKLAHOMA CITY	OK	73120	454732301	501(C)(3)	$61,661	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	6	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION USES AN APPROVAL PROCESS TO DETERMINE WHICH ORGANIZATIONS AND INDIVIDUALS WILL RECEIVE GRANTS DURING THE FISCAL YEAR. THE FUNDS ARE THEN GIVEN DIRECTLY TO THE NONPROFIT ORGANIZATIONS AND INDIVIDUALS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
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 (17 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
KIRBY SUMMER
PHYSICIAN & BOARD MEMBER	$0	$489,157	$0	$43,811	$0	$18,980	$0	$12,150	$0	$13,400	$0	$577,498	$0	$0
MURTHY MD GIRISH
HOSPITALIST & BOARD MEMBER	$0	$368,251	$0	$35,381	$0	$18,322	$0	$9,450	$0	$6,968	$0	$438,372	$0	$0
VOSS DARYLE
PRESIDENT, MERCY HOSPITAL ARDMORE &	$312,413	$0	$186,000	$0	$6,921	$0	$51,709	$0	$17,121	$0	$574,164	$0	$0	$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
EXECUTIVE VP - OPERATIONS	$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
FARRELL DARIN
VP - OPERATIONS	$167,158	$0	$19,408	$0	$11,477	$0	$1,946	$0	$15,929	$0	$215,918	$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
LEBOFSKY MELINDA
REGIONAL VP HR - WEST	$0	$92,344	$0	$25,000	$0	$68,316	$0	$0	$0	$6,624	$0	$192,284	$0	$0
PENDER DEBRA J
VP-NURSING/CNO	$167,674	$0	$26,088	$0	$19,129	$0	$12,159	$0	$1,150	$0	$226,200	$0	$0	$0
CRAIG CAROL E
HOUSE SUPERVISOR	$143,528	$0	$290	$0	$16,723	$0	$12,182	$0	$9,150	$0	$181,873	$0	$0	$0
CRUMB ARLENE R
REGISTERED NURSE III	$179,697	$0	$40	$0	$13,141	$0	$6,611	$0	$0	$0	$199,489	$0	$0	$0
GLENN MARK P
DIRECTOR - PHARMACY SERVICES	$139,007	$0	$7,251	$0	$14,568	$0	$7,428	$0	$1,088	$0	$169,342	$0	$0	$0
LEWELLEN JUDY
INFUSION NURSE - TEAM LEAD	$146,227	$0	$2,440	$0	$15,246	$0	$19,741	$0	$6,452	$0	$190,106	$0	$0	$0
WELCH KRISTI
STAFFING COORDINATOR RN	$147,802	$0	$290	$0	$7,559	$0	$13,363	$0	$575	$0	$169,589	$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. HOUSING BENEFITS ARE PROVIDED THROUGH A RELOCATION PROGRAM IN ACCORDANCE WITH COMPANY POLICY. SUCH BENEFITS ARE TAXED TO THE EMPLOYEE, MELINDA LEBOFSKY. 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: JONATHAN VITIELLO; BICH-VI LE; DIANA SMALLEY; DARYLE VOSS; TRACY ENLOE; 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 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.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	KALEIGH PENDER	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	FAMILY MEMBER OF DEBRA PENDER, KEY EMPLOYEE	RelationshipDescriptionTxt
Transaction	$79,549	TransactionAmt
Transaction	EMPLOYMENT ARRANGEMENT	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 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 HAS THE FOLLOWING POWERS AND RESPONSIBILITIES: -TO APPROVE THE MISSION AND ESTABLISH THE PHILOSOPHY ACCORDING TO WHICH THE CORPORATION SHALL OPERATE; -TO AMEND AND APPROVE THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION AND TO AMEND AND APPROVE THE ARTICLES OF INCORPORATION AND BYLAWS OF ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO APPOINT AND REMOVE THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION; -TO APPROVE OR AMEND THE STRATEGIC PLAN, GOALS AND OBJECTIVES OF THE CORPORATION; -TO APPROVE OR AMEND THE OPERATING, CAPITAL, AND CONSTRUCTION BUDGETS FOR THE CORPORATION; -TO LEASE OR SELL ANY OF THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION IN EXCESS OF ONE MILLION DOLLARS ($1,000,000); -TO ENCUMBER ANY OR ALL OF THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO AUTHORIZE AND APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTY ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; -TO MERGE, DISSOLVE, OR ABANDON THE CORPORATION; AND, -TO APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION BY THE CORPORATION.
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, 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 AFFILATES -15,865,344.
PART XI, 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, 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 HEALTH SYSTEM CONSISTS OF MERCY HOSPITALS EAST COMMUNITIES ST. LOUIS, EIN 43-065393, 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, 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 R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (71 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
CASA DE MISERICORDIA
1000 MIER ST	LAREDO	TX	78040	742912461	WOMEN'S DOMESTIC VIOLENCE SHELTER	TX	501C3	7	MERCY MINISTRIES OF LAREDO	Yes (1)
MCAULEY PORTFOLIO MGMT CO
14528 S OUTER FORTY ST 100	CHESTERFIELD	MO	63017	261708048	PORTFOLIO MANAGEMENT	MO	501C3	11-II	MERCY HEALTH	Yes (1)
MERCY ACO CLINICAL SERVICES INC
14528 S OUTER FORTY ST 100	CHESTERFIELD	MO	63017	464504901	VIRTUAL CARE CENTER	MO	501C3	3	MERCY HEALTH	Yes (1)
MERCY CLINIC EAST COMMUNITIES
645 MARYVILLE CTR DR STE 100	ST LOUIS	MO	63141	431771217	PHYSICIAN GROUP	MO	501C3	9	MERCY HEALTH EAST COMMUNITIES	Yes (1)
MERCY CLINIC FORT SMITH COMM
7301 ROGERS AVENUE	FORT SMITH	AR	72917	261318597	PHYSICIAN CLINIC	AR	501C3	9	MERCY HEALTH FORT SMITH COMM	Yes (1)
MERCY CLINIC OKLAHOMA COMM
4300 W MEMORIAL ROAD	OKLAHOMA CITY	OK	73120	270473057	PHYSICIAN GROUP	OK	501C3	3	MERCY HEALTH OK COMMUNITIES	Yes (1)
MERCY CLINIC SPRINGFIELD COMM
1965 FREMONT STREET SUITE 2950	SPRINGFIELD	MO	65804	431560263	PHYSICIAN GROUP	MO	501C3	3	MERCY HEALTH SPRINGFIELD COMM	Yes (1)
MERCY FAMILY CENTER
14528 S OUTER FORTY ST 100	CHESTERFIELD	MO	63017	721069468	FAMILY COUNSELING SERVICES	LA	501C3	7	MERCY HEALTH	Yes (1)
MERCY HEALTH
14528 S OUTER FORTY ST 100	CHESTERFIELD	MO	63017	431423050	CORPORATE OFFICE	MO	501C3	1		0	N/A
MERCY HEALTH EAST COMMUNITIES
645 MARYVILLE CTR DR STE 100	ST LOUIS	MO	63141	431718408	HEALTH SYSTEM	MO	501C3	11-II	MERCY HEALTH	Yes (1)
MERCY HEALTH FORT SMITH COMM
7301 ROGERS AVENUE	FORT SMITH	AR	72917	261318515	HOLDING COMPANY	AR	501C3	11-II	MERCY HEALTH	Yes (1)
MERCY HEALTH FOUNDATION
14528 S OUTER FORTY ST 100	CHESTERFIELD	MO	63017	200901499	FOUNDATION	MO	501C3	11-II	MERCY HEALTH	Yes (1)
MERCY HEALTH FOUNDATION ADA
430 N MONTE VISTA STREET	ADA	OK	74820	463596274	FOUNDATION	OK	501C3	11-I	MERCY HOSPITAL ADA	Yes (1)
MERCY HEALTH FOUNDATION ARDMORE
1011 14TH AVENUE NW	ARDMORE	OK	73401	710962525	FOUNDATION	OK	501C3	11-I	MERCY HOSPITAL ARDMORE	Yes (1)
MERCY HEALTH FOUNDATION BERRYVILLE
214 CARTER STREET	BERRYVILLE	AR	72616	710759301	FOUNDATION	AR	501C3	11-I	MERCY HOSPITAL BERRYVILLE	Yes (1)
MERCY HEALTH FOUNDATION FT SCOTT
401 WOODLAND HILLS BLVD	FORT SCOTT	KS	66701	481077073	FOUNDATION	KS	501C3	11-III	MERCY KANSAS COMMUNITIES INC	Yes (1)
MERCY HEALTH FOUNDATION FORT SMITH
7301 ROGERS AVENUE	FORT SMITH	AR	72917	237330425	FOUNDATION	AR	501C3	7	MERCY HOSPITAL FORT SMITH	Yes (1)
MERCY HEALTH FOUNDATION LEBANON
100 HOSPITAL DRIVE	LEBANON	MO	65536	822514567	FOUNDATION	MO	501C3	11-II	MERCY HOSPITAL LEBANON	Yes (1)
MERCY HEALTH FOUNDATION JEFFERSON
1400 US HIGHWAY 61 SOUTH	FESTUS	MO	63028	462797051	FOUNDATION	MO	501C3	11-II	MERCY HOSPITAL JEFFERSON	Yes (1)
MERCY HEALTH FOUNDATION JOPLIN
100 MERCY WAY	JOPLIN	MO	64804	270906136	FOUNDATION	MO	501C3	11-I	MERCY HEALTH SW MOKS COMM	Yes (1)
MERCY HEALTH FOUNDATION LINCOLN
1000 EAST CHERRY STREET	TROY	MO	63379	811477159	FOUNDATION	MO	501C3	11-II	MERCY HEALTH EAST COMMUNITIES	Yes (1)
MERCY HEALTH FOUNDATION NW ARK
2710 RIFE MEDICAL LN	ROGERS	AR	72858	710601687	FOUNDATION	AR	501C3	11-III	MERCY HOSPITAL ROGERS	Yes (1)
MERCY HEALTH FOUNDATION OF OK
4300 W MEMORIAL ROAD	OKLAHOMA CITY	OK	73120	454732301	FOUNDATION	OK	501C3	11-I	MERCY HEALTH OK COMMUNITIES	Yes (1)
MERCY HEALTH FOUNDATION OK CITY
4300 W MEMORIAL ROAD	OKLAHOMA CITY	OK	73120	463184231	FOUNDATION	OK	501C3	11-I	MERCY HEALTH OK COMMUNITIES	Yes (1)
MERCY HEALTH FOUNDATION SPRINGFIELD
1235 E CHEROKEE STREET	SPRINGFIELD	MO	65804	320195818	FOUNDATION	MO	501C3	11-II	MERCY HEALTH SPRINGFIELD COMM	Yes (1)
MERCY HEALTH FOUNDATION ST FRANCIS
100 W HIGHWAY 60	MOUNTAIN VIEW	MO	65548	431873914	FOUNDATION	MO	501C3	11-I	MERCY ST FRANCIS HOSPITAL	Yes (1)
MERCY HEALTH FOUNDATION STL
615 SOUTH NEW BALLAS ROAD	ST LOUIS	MO	63141	562410020	FOUNDATION	MO	501C3	11-II	MERCY HEALTH EAST COMMUNITIES	Yes (1)
MERCY HEALTH FOUNDATION WASHINGTON
901 E FIFTH STREET	WASHINGTON	MO	63090	562410022	FOUNDATION	MO	501C3	11-II	MERCY HEALTH EAST COMMUNITIES	Yes (1)
MERCY HEALTH NW ARK COMMUNITIES
2710 RIFE MEDICAL LN	ROGERS	AR	72758	621684203	PHYSICIAN GROUP	AR	501C3	11-II	MERCY HEALTH	Yes (1)
MERCY HEALTH OK COMMUNITIES
4300 W MEMORIAL ROAD	OKLAHOMA CITY	OK	73120	731453048	HEALTH SYSTEM	OK	501C3	11-II	MERCY HEALTH	Yes (1)
MERCY HEALTH PLANS OF MISSOURIINC
3265 S NATIONAL AVENUE	SPRINGFIELD	MO	65807	320481419	HMO	MO	501C4		MERCY HEALTH	Yes (1)
MERCY HEALTH PLANSINC
3265 S NATIONAL AVENUE	SPRINGFIELD	MO	65807	320486150	PPO	MO	501C4		MERCY HEALTH PLANS OF MISSOURIINC	Yes (1)
MERCY HEALTH SW MOKS COMM
100 MERCY WAY	JOPLIN	MO	64804	300584463	HEALTH SYSTEM	MO	501C3	11-II	MERCY HEALTH	Yes (1)
MERCY HEALTH SPRINGFIELD COMM
1235 E CHEROKEE STREET	SPRINGFIELD	MO	65804	431856028	HEALTH SYSTEM	MO	501C3	11-II	MERCY HEALTH	Yes (1)
MERCY 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 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	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	Predominant Income TypePredominantIncomeTypeTxt
PLAZA SURGERY SERVICES COMPANY LLC
12700 SOUTHFORK ROAD	ST LOUIS	MO	63128	204709312	INACTIVE	MO	MERCY HOSPITAL SOUTH	0	0
RESOURCE OPTIMIZ & INNOVLLC
645 MARYVILLE CTR DRSTE 200	ST LOUIS	MO	63141	460468368	CENTRAL DISTRIBUTION CENTER	MO	MERCY MANAGED CARE CORP	0	0	N/A
MERCY AMBULATORY SURGERY CENTER LLC
7301 ROGERS AVENUE	FORT SMITH	AR	72917	710827721	AMBULATORY SURGERY CENTER	AR	MERCY HOSPITAL FORT SMITH	0	0	N/A
FORT SMITH EMERGENCY MEDICAL SERVICES
1701 SOUTH GREENWOOD	FORT SMITH	AR	72901	710416615	EMERGENCY MEDICAL SERVICES	AR	MERCY HOSPITAL FORT SMITH	0	0	N/A
ST EDWARD MERCY MC M-P OFFICE BLDG
7301 ROGERS AVENUE	FORT SMITH	AR	72903	710554050	OFFICE BUILDING	AR	MERCY HOSPITAL FORT SMITH	0	0	N/A

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	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (28 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MERCY HEALTH FOUNDATION ARDMORE
B	$375,100	FMV
MERCY HEALTH FOUNDATION OF OKLAHOMA
B	$61,661	FMV
MERCY HEALTH FOUNDATION ARDMORE
C	$1,644,530	FMV
MHM SUPPORT SERVICES
Q	$55,660,293	FMV
MERCY HEALTH EAST COMMUNITIES
Q	$176,405	FMV
MERCY HOSPITALS EAST COMMUNITIES
P	$5,048	FMV
MERCY HOSPITAL JEFFERSON
P	$55	FMV
MERCY HOSPITAL ROGERS
Q	$213	FMV
MERCY HEALTH SPRINGFIELD COMMUNITIES
Q	$24,502	FMV
MERCY HOSPITAL AURORA
Q	$49	FMV
MERCY HOSPITAL SPRINGFIELD
Q	$2,679	FMV
MERCY CLINIC SPRINGFIELD COMMUNITIES
Q	$13,125	FMV
MERCY HEALTH OKLAHOMA COMMUNITIES
Q	$56,096,363	FMV
MERCY HEALTH FOUNDATION OKLAHOMA CITY
Q	$436,761	FMV
MERCY HEALTH FOUNDATION ARDMORE
P	$1,618,574	FMV
MERCY HEALTH FOUNDATION OF OKLAHOMA
Q	$2,923	FMV
MERCY HOSPITAL OKLAHOMA CITY
Q	$624,884	FMV
MERCY HOSPITAL LOGAN COUNTY INC
P	$363,398	FMV
MERCY HOSPITAL WATONGA INC
P	$202,738	FMV
MERCY HOSPITAL ADA INC
Q	$2,301,749	FMV
MERCY HOSPITAL KINGFISHER INC
P	$242,747	FMV
MERCY HOSPITAL HEALDTON
P	$43,241	FMV
MERCY HOSPITAL EL RENO
P	$171,592	FMV
MERCY HOSPITAL TISHOMINGO
P	$86,056	FMV
MERCY CLINIC OKLAHOMA COMMUNITIES INC
Q	$627,122	FMV
MERCY HOSPITAL JOPLIN
Q	$121	FMV
MERCY ACO CLINICAL SERVICES
Q	$914,493	FMV
MERCY RESEARCH
Q	$286	FMV