2019-05-15T17:11:29-05:00 2018-06-30 562632458 PLEUS AND COMPANY LLC 14500 SOUTH OUTER 40 RD STE 201A CHESTERFIELD MO 63017 990 2017-07-01 731453048 MERCY HEALTH OKLAHOMA COMMUNITIES MERC 4057523495 4300 WEST MEMORIAL ROAD OKLAHOMA CITY OK 73120 JONATHAN VITIELLO SVP FINANCIAL OPERATIONS 3146283437 2019-05-15 1 DOUGLAS G PLEUS P00013488 3143179916 107.143.156.209 2019-05-15 16:18:16 CD P 2BE301797771FA56319AFE83B3D82A6B47BB15DE 8121CA463AABFA4EFE5158FD2073B628CA1C8F6D 2017 2019-02-21 02:37:17Z DIANA SMALLEY 4300 WEST MEMORIAL ROAD OKLAHOMA CITY OK 73120 32578038 0 X WWW.MERCY.NET/OKLAHOMACITYOK X 1994 OK TO CARRY OUT THE HEALING MINISTRY OF JESUS BY PROMOTING HEALTH AND WELLNESS THROUGH OUR COMMUNITIES. TO PROVIDE QUALITY HEALTH SERVICES THROUGH A WISE USE OF RESOURCES AND EXCEPTIONAL MERCY SERVICE. 12 9 0 8 0 0 0 0 32973789 32578038 -29036 0 0 0 32944753 32578038 637892 441054 0 0 14940149 13079562 0 0 0 4655755 6186470 20233796 19707086 12710957 12870952 151085452 71889827 11819670 14089447 139265782 57800380 X MERCY HEALTH OKLAHOMA COMMUNITIES IS ROOTED IN THE MISSION OF JESUS AND THE HEALING MINISTRY OF THE CHURCH. THIS TRADITION IS MARKED BY VALUES OF JUSTICE, EXCELLENCE, STEWARDSHIP AND RESPECT FOR THE DIGNITY OF EACH PERSON.MERCY HEALTH OKLAHOMA COMMUNITIES IMPLEMENTS AND ADVOCATES FOR INNOVATIVE HEALTH AND SOCIAL SERVICES TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF COMMUNITIES SERVED, WITH PARTICULAR CONCERN FOR PEOPLE WHO ARE ECONOMICALLY POOR.IN SERVING OTHERS WE MAKE A DIFFERENCE BY TOUCHING THEIR LIVES WITH COMPASSION AND EXCEPTIONAL MERCY SERVICE. 0 0 1840297 441054 32578038 MERCY HEALTH OKLAHOMA COMMUNITIES ("MHOC") IS EXEMPT FROM FEDERAL INCOME TAX AS AN ORGANIZATION DESCRIBED IN IRC SECTION 501(C)(3) AND QUALIFIES AS A PUBLIC CHARITY UNDER IRC SECTION 509(A)(3).MHOC IS A SUPPORTING ORGANIZATION OF MERCY HOSPITAL OKLAHOMA CITY AND MERCY HOSPITAL ARDMORE. MHEC ALSO PROVIDES SUPPORT SERVICES TO OTHER MEMBERS OF THE MERCY OKLAHOMA COMMUNITY, INCLUDING MERCY HOSPITAL HEALDTON, MERCY HOSPITAL EL RENO, MERCY HOSPITAL TISHOMINGO, MERCY HOSPITAL LOGAN COUNTY, MERCY HOSPITAL WATONGA, MERCY CLINIC OKLAHOMA COMMUNITIES, MERCY HOSPITAL ADA, AND MERCY HOSPITAL KINGFISHER. THE SUPPORT SERVICES INCLUDE FUNCTIONS THAT, BUT FOR MHOC, WOULD BE CONDUCTED BY EACH SEPARATE SUPPORTED ORGANIZATION. MERCY HEALTH OKLAHOMA COMMUNITIES SUPPORTS MERCY HOSPITAL OKLAHOMA CITY AND MERCY HOSPITAL ARDMORE IN A LEADERSHIP ROLE AS AN ADVOCATE FOR RESPONSIBLE HEALTHCARE SERVICES IN THE COMMUNITY. AMONG THE COMMUNITY SUPPORT ACTIVITIES OFFERED BY MERCY ARE:-HEALTH EDUCATION AND WELLNESS PROGRAMS AND OTHER SUPPORT GROUP MEETINGS OFFERED TO THE COMMUNITY-HEALTH SERVICES SUCH AS HEALTH FAIRS, SCREENINGS, AND FREE CLINICS, PRE-NATAL AND WELL BABY CARE-EDUCATION IS PROVIDED TO HEALTH PROFESSIONALS, INCLUDING OPPORTUNITIES FOR CLINICAL INTERNSHIPS-SUBSIDIZED HEALTH SERVICES INCLUDING HOSPICE, HOME HEALTH SERVICES, AND DISASTER READINESS -COMMUNITY HEALTH RESEARCH -CASH AND IN-KIND DONATIONS FOR EVENTS AND FUND RAISING-COMMUNITY BUILDING ACTIVITIES, IN PARTNERSHIP WITH OTHER COMMUNITY ORGANIZATIONSMERCY HEALTH OKLAHOMA COMMUNITIES HAS A 45% INTEREST IN OKLAHOMA HEART HOSPITAL,LLC AND A 12% INTEREST IN OKLAHOMA HEART HOSPITAL SOUTH, LLC, WHICH ARE DEVOTED TO CARDIAC CARE. BOTH ARE DEDICATED TO FOCUSING ON THE PREVENTION, INTERVENTION, AND TREATMENT OF HEART DISEASE.SEE SCHEDULE A, PART VI SUPPLEMENTAL INFORMATION, FOR ADDITIONAL INFORMATION REGARDING MERCY HEALTH OKLAHOMA COMMUNITIES. 1840297 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 12 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 1 1 OK X JONATHAN VITIELLO 3146283437 4300 WEST MEMORIAL ROAD OKLAHOMA CITY OK 73120 X CARMICHAEL CINDY CHIEF OPERATING OFFICER (ARDMORE) 25.00 35.00 X 0 273269 13396 DAVIDSON CURTIS BOARD MEMBER 1.00 1.00 X 0 0 0 DUNLAP THOMAS F BOARD MEMBER 1.00 1.00 X 0 0 0 FARZANEH JALAL BOARD MEMBER 1.00 1.00 X 0 0 0 HENDRICKS RSM SR REBECCA ANN BOARD MEMBER 1.00 13.00 X 0 0 0 LUONG BA BOARD MEMBER 1.00 1.00 X 0 0 0 SMITH MD RICHARD MEDICAL DIRECTOR & BOARD MEMBER 1.00 59.00 X 0 229502 19681 TRETT JENNY BOARD MEMBER 1.00 1.00 X 0 0 0 VINCENT MD MICHAEL BOARD MEMBER 1.00 1.00 X 0 0 0 WHITE MD BENJAMIN BOARD MEMBER 1.00 1.00 X 0 0 0 WOOD STEVEN BOARD MEMBER 1.00 1.00 X 0 0 0 SMALLEY DIANA L PRESIDENT, WEST COMMUNITIES 40.00 20.00 X X 1312329 0 21455 ENLOE TRACY CHIEF FINANCIAL OFFICER 5.00 55.00 X 304562 0 38269 LE BICH-VI REGIONAL VP-GENERAL COUNSEL 20.00 40.00 X 0 319588 58019 MINNIS KEITH REGIONAL VP-HR 30.00 30.00 X 0 296901 24994 PAYTON BECKY J REGIONAL VP-OPERATIONS 25.00 35.00 X 360376 0 24642 WHITAKER DAVID D CHIEF ADMINISTRATIVE OFFICER 25.00 25.00 X 525123 0 23723 MILES DAVID REGIONAL DIRECTOR, BUSINESS PLANNING 50.00 0.00 X 154399 0 24511 HARRIS RANDY W REGIONAL DIRECTOR I 50.00 0.00 X 141524 0 21572 DIRICKSON COLBY MANAGER, PHARMACY SERVICES 50.00 0.00 X 140412 0 13732 WINN SHEILA C EXEC DIR - PATIENT ACCESS 50.00 0.00 X 125252 0 13645 RAJU GARY FORMER OFFICER 0.00 60.00 X 0 423193 40479 VITIELLO JONATHAN FORMER OFFICER 0.00 60.00 X 0 857053 108853 3063977 2399506 446971 11 1 1 0 JE DUNN CONSTRUCTION 929 HOLMES KANSAS CITY MO 64106 CONSTRUCTION SERVICES 1197994 MY HEALTH ACCESS NETWORK 16 E 16 ST STE 405 TULSA OK 74119 HEALTH IT SERVICES 166412 COORDINATED CARE OKLAHOMA 111 N PETERS AVE SUITE 600 NORMAN OK 73069 MEDICAL RECORD SERVICES 130145 M MODAL 9009 CAROTHERS PARKWAY SUITE C2 FRANKLIN TN 37067 STAFF SERVICES 128629 4 MANAGEMENT FEE REVENUE 561110 20639694 20639694 INCOME - OK HEART HOSP 900099 10000553 10000553 INCOME - OK HEART HOSP SOUTH 900099 1689899 1689899 OTHER REVENUE 622110 247892 247892 32578038 32578038 32578038 0 0 441054 441054 2084944 2084944 9899685 869565 9030120 -1453857 -100909 -1352948 1841057 137758 1703299 707733 51849 655884 -1798 -1798 3900 3900 741480 741480 2513 2513 2017872 2017872 1252 1252 1596763 1596763 90716 81 90635 27089 27089 193982 193982 452950 452950 SHARED SERVICE FEES 834037 433699 400338 DRUGS & MEDICAL EXPENSE 98250 98250 REPAIR & MAINTENANCE 10402 10402 BAD DEBTS 7200 7200 109862 109862 19707086 1840297 17866789 0 22242 19823 2548346 1686341 1152472 862005 43846329 46736566 106064409 24271433 151085452 71889827 11819670 14089447 11819670 14089447 X 139265782 57800380 139265782 57800380 151085452 71889827 X 12870952 -94336354 X X 0 1 X 1 0 X X 10 MERCY HOSPITAL OKLAHOMA CITY 730579285 3 1 0 0 MERCY HOSPITAL ARDMORE 731500629 3 1 0 0 MERCY HOSPITAL HEALDTON 263173902 3 0 0 0 MERCY HOSPITAL EL RENO 272716065 3 0 0 0 MERCY HOSPITAL TISHOMINGO 274433830 3 0 0 0 MERCY HOSPITAL LOGAN COUNTY INC 452998842 3 0 0 0 MERCY HOSPITAL WATONGA INC 455199762 3 0 0 0 MERCY CLINIC OKLAHOMA COMMUNITIES 270473057 3 0 0 0 MERCY HOSPITAL ADA 462288155 3 0 0 0 MERCY HOSPITAL KINGFISHER 463433074 3 0 0 0 10 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 PART I, LINE 11G, COLUMN V MERCY HEALTH OKLAHOMA COMMUNITIES (MHOC) IS A TYPE I SUPPORTING ORGANIZATION THAT IS OPERATED TO SUPPORT THE OPERATIONS OF ALL ITS RELATED ORGANIZATIONS LISTED ON SCHEDULE A, PART I, LINE 11(G). (MHOC OPERATES SIMILARLY TO MANY TAX-EXEMPT HEALTH CARE ORGANIZATIONS SUPPORTING ORGANIZATIONS, BY OPERATING AS A "PARENT-TYPE" ENTITY, NOT AS A PROVIDER OF MONETARY SUPPORT.) THE AMOUNT OF SUPPORT PROVIDED TO THESE ORGANIZATIONS, REPORTED ON SCHEDULE A, PART I, LINE 11(G)(V), DOES NOT INCLUDED EXPENSES PAID ON BEHALF OF BUT NOT DIRECTLY TO THE ENTITIES MHOC SUPPORTS. THESE EXPENSES TOTALED $19,707,086. PART IV, SECTION A, LINE 1: MHOC IS THE PARENT ORGANIZATION OF THE OKLAHOMA AREA COMMUNITY, MERCY HEALTH WEST COMMUNITIES. THIS IS A HEALTH SYSTEM OF WHICH ALL SUPPORTED ORGANIZATIONS ARE SUBSIDIARIES. MERCY HEALTH, THE MEMBER OF MERCY HEALTH OKLAHOMA COMMUNITIES, HAS RESERVE POWERS TO APPOINT AND REMOVE ALL DIRECTORS AND OFFICERS FOR MERCY HEALTH WEST COMMUNITIES. THE PURPOSE OF MHOC IS TO PROVIDE, EITHER DIRECTLY OR IN CONJUNCTION WITH OTHER PERSONS OR ORGANIZATIONS, ADMINISTRATION, ACCOUNTS PAYABLE, GENERAL ACCOUNTING, FINANCE AND ANALYSIS, HEALTH INFORMATION SERVICES, MANAGED CARE CONTRACTING, PHYSICIAN REFERRAL SERVICES, PRE-REGISTRATION AND PATIENT SCHEDULING,STRATEGIC PLANNING,PURCHASING, AND REAL ESTATE MANAGEMENT. OTHER SERVICES INCLUDE SUCH SUPPORT SERVICES AND CHARITABLE ACTIVITIES AS DETERMINED NECESSARY BY MHOC FROM TIME TO TIME. MHOC, IN CONJUNCTION WITH ITS SOLE MEMBER, HAS DETERMINED THAT THE SUPPORTED ORGANIZATIONS LISTED ON SCHEDULE A, PART I, LINE 11(G) ALLOW THE CORPORATION TO FULFILL ITS MISSION. PART IV, SECTION B, LINE 1: SEE RESPONSES TO PART I, LINE 11G, COLUMN V AND PART IV, SECTION A, LINE 1 FOR INFORMATION REGARDING THE POWERS AND CONTROL OF MHOC AND THE SUPPORTED ORGANIZATIONS. PART IV, SECTION A, LINE 6: SEE SCHEDULE I FOR INFORMATION REGARDING GRANTS MADE TO CHARITABLE ORGANIZATIONS. 904865 588291 316574 111717 81151 30566 1412866 1016899 395967 118898 118898 862005 INVESTMENT IN OHH, LLC 42165582 C INVESTMENT IN OHH SOUTH, LLC 4570984 C 46736566 DUE FROM TAX-EXEMPT AFFILIATES 24255282 OTHER LONG TERM ASSETS 16151 24271433 PART X, LINE 2 FEDERAL INCOME TAX PRIMARILY ALL OF THE MERCY HEALTH ENTITIES ARE RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS CHARITABLE ORGANIZATIONS QUALIFYING UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), BY VIRTUE OF IRS DETERMINATION LETTERS OR INCLUSION IN THE OFFICIAL CATHOLIC DIRECTORY. MERCY COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2018 OR 2017. 1 PORTA CAELI HOUSE PO BOX 580460 TULSA OK 74158 465544538 501(C)(3) 100000 SUPPORT CHARITABLE CAUSE ENERGY FC 615 N HUDSON AVE SUITE 100 OKLAHOMA CITY OK 73102 471002877 501(C)(6) 180000 GENERAL SUPPORT ALLIED ARTS 1015 N BROADWAY STE 200 OKLAHOMA CITY OK 73102 730804291 501(C)(3) 15000 SUPPORT CHARITABLE CAUSE HEIFER INTERNATIONAL 1 WORLD AVE LITTLE ROCK AR 72202 351019477 501(C)(3) 5000 SUPPORT CHARITABLE CAUSE STATE CHAMBER OF OK 330 N E 10TH STREET OKLAHOMA CITY OK 73104 731270209 501(C)(6) 25900 SUPPORT CHARITABLE CAUSE EOC PARTNERSHIP PO BOX 987 CHOCTAW OK 73020 900798877 501(C)(6) 7500 SUPPORT CHARITABLE CAUSE MERCY HEALTH FOUNDATION OF OKC 4300 W MEMORIAL RD OKLAHOMA CITY OK 73120 463184231 501(C)(3) 5000 SUPPORT CHARITABLE CAUSE OK HEART HOSPITAL RESEARCH FOUNDATION 4200 W MEMORIAL RD STE 510 OKLAHOMA CITY OK 73120 731455900 501(C)(3) 50000 SUPPORT CHARITABLE CAUSE SOUTH OKC CHAMBER OF 701 SW 74 ST OKLAHOMA CITY OK 73139 730172385 501(C)(3) 13575 SUPPORT CHARITABLE CAUSE CATHOLIC CHARITIES 1501 N CLASSEN BLVD OKLAHOMA CITY OK 73106 730636561 501(C)(3) 5000 SUPPORT CHARITABLE CAUSE OHERI DEPT 96 0298 ACI OKLAHOMA CITY OK 73196 814357118 501(C)(3) 8334 SUPPORT CHARITABLE CAUSE 8 3 PART I, LINE 2: GRANTS ARE MADE TO ORGANIZATIONS WHICH HAVE AN ESTABLISHED HISTORY OF PROVIDING HEALTH CARE SUPPORT ANDOR COMMUNITY BENEFIT. IF NECESSARY, PERIODIC REPORTS ARE PROVIDED TO US. X X X 1 1 0 1 0 0 0 0 0 0 0 CARMICHAEL CINDY CHIEF OPERATING OFFICER (ARDMORE) 0 221575 0 34281 0 17413 0 7457 0 5939 0 286665 0 0 SMITH MD RICHARD MEDICAL DIRECTOR & BOARD MEMBER 0 227846 0 0 0 1656 0 8208 0 11473 0 249183 0 0 SMALLEY DIANA L PRESIDENT, WEST COMMUNITIES 584751 0 641552 0 86026 0 6968 0 14487 0 1333784 0 318363 0 ENLOE TRACY CHIEF FINANCIAL OFFICER 231276 0 54905 0 18381 0 22812 0 15457 0 342831 0 0 0 LE BICH-VI REGIONAL VP-GENERAL COUNSEL 0 224149 0 67743 0 27696 0 42274 0 15745 0 377607 0 0 MINNIS KEITH REGIONAL VP-HR 0 205866 0 66517 0 24518 0 9275 0 15719 0 321895 0 0 PAYTON BECKY J REGIONAL VP-OPERATIONS 256709 0 77801 0 25866 0 13000 0 11642 0 385018 0 0 0 WHITAKER DAVID D CHIEF ADMINISTRATIVE OFFICER 428416 0 66712 0 29995 0 9275 0 14448 0 548846 0 0 0 MILES DAVID REGIONAL DIRECTOR, BUSINESS PLANNING 133744 0 7240 0 13415 0 9168 0 15343 0 178910 0 0 0 HARRIS RANDY W REGIONAL DIRECTOR I 122511 0 6601 0 12412 0 12291 0 9281 0 163096 0 0 0 DIRICKSON COLBY MANAGER, PHARMACY SERVICES 122606 0 40 0 17766 0 8198 0 5534 0 154144 0 0 0 RAJU GARY FORMER OFFICER 0 282885 0 84973 0 55335 0 27365 0 13114 0 463672 0 0 VITIELLO JONATHAN FORMER OFFICER 0 511534 0 303796 0 41723 0 92348 0 16505 0 965906 0 0 PART I, LINE 1A CHARTER TRAVEL IS PROVIDED TO CERTAIN EMPLOYEES AS AND WHEN APPROPRIATE, AND AS DEEMED NECESSARY FOR BUSINESS TRAVEL. AFTER CHARTER TRAVEL APPROVAL HAS BEEN GRANTED IN ACCORDANCE WITH THE FINANCIAL JUSTIFICATION PROCESS, THE APPROVED CHARTER TRAVEL FOR BUSINESS IS A REIMBURSABLE EXPENSE WHICH IS NOT TAXABLE TO THE EMPLOYEES. IN ANY CIRCUMSTANCE IN WHICH CHARTER TRAVEL IS MADE AVAILABLE TO EMPLOYEES AND/OR SPOUSES/GUESTS FOR PERSONAL REASONS, MERCY POLICY REQUIRES TRACKING OF SUCH USE AND TAXATION OF THE EMPLOYEE(S) ACCORDINGLY. HOUSING BENEFITS ARE PROVIDED THROUGH A RELOCATION PROGRAM IN ACCORDANCE WITH COMPANY POLICY. SUCH BENEFITS ARE SUBJECT TO TAX TO THE EMPLOYEE OF A RELATED ORGANIZATION, GARY RAJU. PAYMENT BY THE COMPANY OF COSTS FOR TEMPORARY HOUSING BY EMPLOYEES FOR THE CONVENIENCE OF THE COMPANY IS MADE IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. AS A REIMBURSABLE EXPENSE, THIS TYPE OF LODGING IS NOT TAXABLE TO THE EMPLOYEE. LIMITED INSTANCES OF TAX GROSS-UPS OCCURRED WITH RESPECT TO EXECUTIVES. 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; TRACY ENLOE 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. THE AMOUNT REPORTED FOR DIANA SMALLEY IN COLUMN (F) IS INCLUDED IN COLUMN B (I) AS BASE COMPENSATION. THIS WAS INCLUDED IN COLUMN (C) OF PREVIOUSLY FILED FORMS 990. SCHEDULE J, PART I, LINE 3 THE FILING ORGANIZATION RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTION 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS. OKLAHOMA HEART HOSPITALLLC SEE SCHEDULE O 8172000 DISTRIBUTIONS FROM OHH, LLC 0 OKLAHOMA HEART HOSPITAL SOUTHLLC SEE SCHEDULE O 1200000 DISTRIBUTIONS FROM OHHS, LLC 0 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS MERCY HEALTH. FORM 990, PART VI, SECTION A, LINE 7A MERCY HEALTH (THE MEMBER) MAY APPOINT OR REMOVE MEMBERS OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 7B MERCY HEALTH HAS THE FOLLOWING POWERS AND RESPONSIBILTIES: -TO APPROVE THE MISSION AND ESTABLISH THE PHILOSOPHY ACCORDING TO WHICH THE CORPORATION AND OF ANY CORPORATION CONTROLLED BY THE CORPORATION SHALL OPERATE; -TO AMEND AND APPROVE THE ARTICLES OF INCORPORATION AND BYLAWS 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 SSU; -TO APPROVE OR AMEND THE STRATEGIC PLAN, GOALS AND OBJECTIVES OF THE CORPORATION AND OF ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO APPROVE OR AMEND THE OPERATING, CAPITAL, AND CONSTRUCTION BUDGETS FOR THE CORPORATION AND OF ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO LEASE OR SELL ANY OF THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION IN EXCESS OF THREE MILLION DOLLARS ($3,000,000); -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 CORPORATION 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 ANY CORPORATION CONTROLLED BY 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, 2018. 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 LOSS ON OHH-NET COMP 180,985. NET TRANSFERS TO/FROM AFFILIATES -94,517,339. PART XII, LINE 2 AUDITED FINANCIAL STATEMENTS THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN THE MERCY HEALTH AND SUBSIDIARIES ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 2018 (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 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 B AND C. 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 L, PART IV SMALLEY IS AN OFFICER OF THE ORGANIZATION AND PAYTON IS A KEY EMPLOYEE OF THE ORGANIZATION. ALL ARE BOARD MEMBERS OF OKLAHOMA HEART HOSPITAL,LLC (OHH,LLC). SCHEDULE L, PART IV SMALLEY IS AN OFFICER OF THE ORGANIZATION AND LE IS A KEY EMPLOYEE OF THE ORGANIZATION. ALL ARE BOARD MEMBERS OF OKLAHOMA HEART HOSPITAL SOUTH,LLC (OHHS,LLC). MERCY OKLAHOMA AMBULATORY SERVICES LLC 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 822423575 URGENT CARE OK 0 0 MERCY HEALTH OKLAHOMA COMMUNITIES INC CASA DE MISERICORDIA 1602 MCCLELLAND STREET LAREDO TX 78044 742912461 WOMEN'S DOMESTIC VIOLENCE SHELTER TX 501C3 7 MERCY MINISTRIES OF LAREDO 1 MCAULEY PORTFOLIO MGMT CO 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 261708048 PORTFOLIO MANAGEMENT MO 501C3 11-II MERCY HEALTH 1 MERCY ACO CLINICAL SERVICES INC 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 464504901 VIRTUAL CARE CENTER MO 501C3 3 MERCY HEALTH 1 MERCY CLINIC EAST COMMUNITIES 645 MARYVILLE CTR DR STE 100 ST LOUIS MO 63141 431771217 PHYSICIAN GROUP MO 501C3 9 MERCY HEALTH EAST COMMUNITIES 1 MERCY CLINIC FORT SMITH COMM 7301 ROGERS AVENUE FORT SMITH AR 72917 261318597 PHYSICIAN CLINIC AR 501C3 9 MERCY HEALTH FORT SMITH COMM 1 MERCY CLINIC OKLAHOMA COMM 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 270473057 PHYSICIAN GROUP OK 501C3 3 MERCY HEALTH OK COMMUNITIES 1 MERCY CLINIC SPRINGFIELD COMM 1965 FREMONT STREET SUITE 2950 SPRINGFIELD MO 65804 431560263 PHYSICIAN GROUP MO 501C3 3 MERCY HEALTH SPRINGFIELD COMM 1 MERCY FAMILY CENTER 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 721069468 FAMILY COUNSELING SERVICES MO 501C3 7 MERCY HEALTH 1 MERCY HEALTH 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 431423050 CORPORATE OFFICE MO 501C3 1 N/A 0 MERCY HEALTH EAST COMMUNITIES 645 MARYVILLE CTR DR STE 100 ST LOUIS MO 63141 431718408 HEALTH SYSTEM MO 501C3 11-II MERCY HEALTH 1 MERCY HEALTH EAST COMMUNITIES - SR 645 MARYVILLE CTR DR STE 100 ST LOUIS MO 63141 461412322 HEALTH SYSTEM MO 501C3 11-II MERCY HEALTH EAST COMMUNITIES 1 MERCY HEALTH FORT SMITH COMM 7301 ROGERS AVENUE FORT SMITH AR 72917 261318515 HOLDING COMPANY AR 501C3 11-II MERCY HEALTH 1 MERCY HEALTH FOUNDATION 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 200901499 FOUNDATION MO 501C3 11-II MERCY HEALTH 1 MERCY HEALTH FOUNDATION ADA 430 N MONTE VISTA STREET ADA OK 74820 463596274 FOUNDATION OK 501C3 11-I MERCY HOSPITAL ADA 1 MERCY HEALTH FOUNDATION ARDMORE 1011 14TH AVENUE NW ARDMORE OK 73401 710962525 FOUNDATION OK 501C3 11-I MERCY HOSPITAL ARDMORE 1 MERCY HEALTH FOUNDATION BERRYVILLE 214 CARTER STREET BERRYVILLE AR 72616 710759301 FOUNDATION AR 501C3 11-I MERCY HOSPITAL BERRYVILLE 1 MERCY HEALTH FOUNDATION FT SCOTT 401 WOODLAND HILLS BLVD FORT SCOTT KS 66701 481077073 FOUNDATION KS 501C3 11-III MERCY KANSAS COMMUNITIES INC 1 MERCY HEALTH FOUNDATION FORT SMITH 7301 ROGERS AVENUE FORT SMITH AR 72917 237330425 FOUNDATION AR 501C3 7 MERCY HOSPITAL FORT SMITH 1 MERCY HEALTH FOUNDATION HOT SPRINGS 300 WERNER STREET HOT SPRINGS AR 71913 710804718 FOUNDATION AR 501C3 11-II MISSION CLINICAL SERVICES 1 MERCY HEALTH FOUNDATION INDEPENDENCE 800 W MYRTLE INDEPENDENCE KS 67301 481079981 FOUNDATION; DISSOLVED 6/30/17 KS 501C3 11-I MERCY KANSAS COMMUNITIES INC 1 MERCY HEALTH FOUNDATION JEFFERSON 1400 US HIGHWAY 61 SOUTH FESTUS MO 63028 462797051 FOUNDATION MO 501C3 11-II MERCY HEALTH EAST COMMUNITIES - SR 1 MERCY HEALTH FOUNDATION JOPLIN 100 MERCY WAY JOPLIN MO 64804 270906136 FOUNDATION MO 501C3 11-I MERCY HEALTH SW MOKS COMM 1 MERCY HEALTH FOUNDATION LINCOLN 1000 EAST CHERRY STREET TROY MO 63379 811477159 FOUNDATION MO 501C3 11-II MERCY HEALTH EAST COMMUNITIES 1 MERCY HEALTH FOUNDATION NW ARK 2710 RIFE MEDICAL LN ROGERS AR 72858 710601687 FOUNDATION AR 501C3 11-III MERCY HOSPITAL ROGERS 1 MERCY HEALTH FOUNDATION OF OK 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 454732301 FOUNDATION OK 501C3 11-I MERCY HEALTH OK COMMUNITIES 1 MERCY HEALTH FOUNDATION OK CITY 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 463184231 FOUNDATION OK 501C3 11-I MERCY HEALTH OK COMMUNITIES 1 MERCY HEALTH FOUNDATION SPRINGFIELD 1235 E CHEROKEE STREET SPRINGFIELD MO 65804 320195818 FOUNDATION MO 501C3 11-II MERCY HEALTH SPRINGFIELD COMM 1 MERCY HEALTH FOUNDATION ST FRANCIS 100 W HIGHWAY 60 MOUNTAIN VIEW MO 65548 431873914 FOUNDATION MO 501C3 11-I MERCY ST FRANCIS HOSPITAL 1 MERCY HEALTH FOUNDATION STL 615 SOUTH NEW BALLAS ROAD ST LOUIS MO 63141 562410020 FOUNDATION MO 501C3 11-II MERCY HEALTH EAST COMMUNITIES 1 MERCY HEALTH FOUNDATION WASHINGTON 901 E FIFTH STREET WASHINGTON MO 63090 562410022 FOUNDATION MO 501C3 11-II MERCY HEALTH EAST COMMUNITIES 1 MERCY HEALTH NW ARK COMMUNITIES 2710 RIFE MEDICAL LN ROGERS AR 72758 621684203 PHYSICIAN GROUP AR 501C3 11-II MERCY HEALTH 1 MERCY HEALTH PLANS OF MISSOURIINC 3265 S NATIONAL AVENUE SPRINGFIELD MO 65807 320481419 HMO MO 501C4 MERCY HEALTH 1 MERCY HEALTH PLANSINC 3265 S NATIONAL AVENUE SPRINGFIELD MO 65807 320486150 PPO MO 501C4 MERCY HEALTH PLANS OF MISSOURIINC 1 MERCY HEALTH SW MOKS COMM 100 MERCY WAY JOPLIN MO 64804 300584463 HEALTH SYSTEM MO 501C3 11-II MERCY HEALTH 1 MERCY HEALTH SPRINGFIELD COMM 1235 E CHEROKEE STREET SPRINGFIELD MO 65804 431856028 HEALTH SYSTEM MO 501C3 11-II MERCY HEALTH 1 MERCY HOME HEALTH BERRYVILLE 804 W FREEMAN SUITE 4 BERRYVILLE AR 72616 870781247 HOME HEALTH AND HOSPICE OPERATIONS AR 501C3 11-III MERCY HOSPITAL SPRINGFIELD 1 MERCY HOSPITAL ADA INC 430 N MONTE VISTA STREET ADA OK 74820 462288155 HOSPITAL OK 501C3 3 MERCY HEALTH OK COMMUNITIES 1 MERCY HOSPITAL ARDMORE 1011 14TH AVENUE NW ARDMORE OK 73401 731500629 HOSPITAL OK 501C3 3 MERCY HEALTH OK COMMUNITIES 1 MERCY HOSPITAL AURORA 500 PORTER AVENUE AURORA MO 65605 431936696 HOSPITAL MO 501C3 3 MERCY HEALTH SPRINGFIELD COMM 1 MERCY HOSPITAL BERRYVILLE 214 CARTER STREET BERRYVILLE AR 72616 710759299 HOSPITAL AR 501C3 3 MERCY HEALTH SPRINGFIELD COMM 1 MERCY HOSPITAL BOONEVILLE 880 WEST MAIN STREET BOONEVILLE AR 72927 463851119 HOSPITAL AR 501C3 3 MERCY HOSPITAL FORT SMITH 1 MERCY HOSPITAL CARTHAGE 3125 DR RUSSELL SMITH WAY CARTHAGE MO 64836 453808607 HOSPITAL MO 501C3 3 MERCY HEALTH SW MOKS COMM 1 MERCY HOSPITAL CASSVILLE 94 MAIN STREET CASSVILLE MO 65625 431936699 HOSPITAL MO 501C3 3 MERCY HEALTH SPRINGFIELD COMM 1 MERCY HOSPITAL COLUMBUS 220 PENNSYLVANIA AVENUE COLUMBUS KS 66725 270842031 HOSPITAL MO 501C3 3 MERCY HEALTH SW MOKS COMM 1 MERCY HOSPITAL EL RENO 2115 PARKVIEW DRIVE EL RENO OK 73036 272716065 HOSPITAL OK 501C3 3 MERCY HOSPITAL OKLAHOMA CITY 1 MERCY HOSPITAL FORT SMITH 7301 ROGERS AVENUE FORT SMITH AR 72917 710240352 HOSPITAL AR 501C3 3 MERCY HEALTH FORT SMITH COMM 1 MERCY HOSPITAL HEALDTON INC 3462 HOSPITAL RD HEALDTON OK 73438 263173902 HOSPITAL OK 501C3 3 MERCY HOSPITAL ARDMORE INC 1 MERCY HOSPITAL JEFFERSON 1400 HIGHWAY 61 SOUTH FESTUS MO 63028 430687077 HOSPITAL MO 501C3 3 MERCY HEALTH EAST COMMUNITIES - 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