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MERCY HOSPITAL ARDMORE INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
MERCY HOSPITAL ARDMORE INC (EIN 73-1500629)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-05-15
IRS object ID
201931359349312763
Schema version
2017v2.3
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 ReturnHeader

FieldValueIRS element (for citing)
Return2019-05-15T17:11:29-05:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN562632458PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PLEUS AND COMPANY LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line114500 SOUTH OUTER 40 RD STE 201AAddressLine1Txt
CityCHESTERFIELDCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63017ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN731500629EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MERCY HOSPITAL ARDMOREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMERCBusinessNameControlTxt
Phone5802206620PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11011 14TH AVENUE NWAddressLine1Txt
CityARDMORECityNm
State AbbreviationOKStateAbbreviationCd
ZIP73401ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJONATHAN VITIELLOPersonNm
Person TitleSVP FINANCIAL OPERATIONSPersonTitleTxt
Phone3146283437PhoneNum
Signature2019-05-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDOUGLAS G PLEUSPreparerPersonNm
PTINP00013488PTIN
Phone3143179916PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address107.143.156.209IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-05-15IPDt
IP Tm10:55:34IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id2BE301797771FA56319AFE83B3D82A6B47BB15DEAtSubmissionCreationDeviceId
At Submission Filing Device Id5D794220C68C161820A811785299AFD302F4C684AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDARYLE VOSSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11011 14TH AVENUE NWAddressLine1Txt
CityARDMORECityNm
State AbbreviationOKStateAbbreviationCd
ZIP73401ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$171,277,419GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MERCY.NET/ARDMOREOKWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1996FormationYr
Legal Domicile StateOKLegalDomicileStateCd
Activity Or MissionTO 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.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers52TotalVolunteersCnt
Total Gross UBI$41,075TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$48,751NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$193,072PYContributionsGrantsAmt
CY Contributions Grants$266,975CYContributionsGrantsAmt
PY Program Service Revenue$156,182,883PYProgramServiceRevenueAmt
CY Program Service Revenue$168,727,243CYProgramServiceRevenueAmt
PY Investment Income$72PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$2,980,545PYOtherRevenueAmt
CY Other Revenue$309,174CYOtherRevenueAmt
PY Total Revenue$159,356,572PYTotalRevenueAmt
CY Total Revenue$169,303,392CYTotalRevenueAmt
PY Grants And Similar Paid$732,338PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$545,771CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$61,740,273PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$63,211,415CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$92,402,658PYOtherExpensesAmt
CY Other Expenses$99,808,998CYOtherExpensesAmt
PY Total Expenses$154,875,269PYTotalExpensesAmt
CY Total Expenses$163,566,184CYTotalExpensesAmt
PY Revenues Less Expenses$4,481,303PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$5,737,208CYRevenuesLessExpensesAmt
Total Assets BOY$92,912,669TotalAssetsBOYAmt
Total Assets EOY$92,633,983TotalAssetsEOYAmt
Total Liabilities BOY$2,146,638TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,588,633TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$90,766,031NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$90,045,350NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMERCY HOSPITAL ARDMORE 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 HOSPITAL ARDMORE 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$132,937,498ExpenseAmt
Grant$545,771GrantAmt
Revenue$169,290,177RevenueAmt
DescMERCY HOSPITAL ARDMORE ("MERCY") PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. DURING FY2018, MERCY PROVIDED SERVICES TO 7,257 INPATIENTS, 32,181 EMERGENCY DEPARTMENT PATIENTS, AND 123,952 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 $5,004,577 IN FY2018.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.Desc
Total Program Service Expenses$132,937,498TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldOKStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TAMMI HARMONINGBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5802206239PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11011 14TH AVENUE NWAddressLine1Txt
CityARDMORECityNm
State AbbreviationOKStateAbbreviationCd
ZIP73401ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
BLACKMON WARREN
BOARD MEMBER1.000.00Yes (X)$0$0$0
BUCKNER WILLIAM
BOARD MEMBER1.000.00Yes (X)$0$0$0
HENDRICKS RSM SR REBECCA
BOARD MEMBER1.0013.00Yes (X)$0$0$0
KIRBY SUMMER
PHYSICIAN & BOARD MEMBER5.0055.00Yes (X)$0$491,733$27,574
MURTHY MD GIRISH
BOARD MEMBER1.000.00Yes (X)$0$0$0
RAMIREZ MD HENRY
BOARD MEMBER1.000.00Yes (X)$0$0$0
ROTHER MD JEFFREY C
PHYSICIAN & BOARD MEMBER5.0055.00Yes (X)$0$583,888$27,718
SMALLEY ALISON
BOARD MEMBER1.001.00Yes (X)$0$0$0
WELSH RSM SR ROSEMARY
BOARD MEMBER1.0059.00Yes (X)$0$0$0
WILKINSON MARIA E
BOARD MEMBER1.000.00Yes (X)$0$0$0
WILSON DVM CADE
BOARD MEMBER1.000.00Yes (X)$0$0$0
VEAZEY JOHN S
BOARD MEMBER1.000.00Yes (X)$0$0$0
VERNER NATHAN
BOARD MEMBER1.000.00Yes (X)$0$0$0
SMALLEY DIANA L
PRESIDENT, WEST COMMUNITIES2.0058.00Yes (X)$0$1,312,329$21,455Yes (X)
VOSS DARYLE
PRESIDENT, MERCY HOSPITAL ARDMORE47.004.00Yes (X)$497,932$0$68,703Yes (X)
ENLOE TRACY
CHIEF FINANCIAL OFFICER2.0058.00$0$304,562$38,269Yes (X)
GARBER MARY
VP-FINANCE22.0032.00$0$199,596$9,950Yes (X)
LE BICH-VI
REGIONAL VP-GENERAL COUNSEL5.0055.00$0$319,588$58,019Yes (X)
MINNIS KEITH
REGIONAL VP-HR5.0055.00$0$296,901$24,994Yes (X)
PAYTON BECKY
REGIONAL VP-OPERATIONS5.0055.00$0$360,376$24,642Yes (X)
PENDER DEBRA J
VP-NURSING/CNO60.000.00$206,972$0$12,676Yes (X)
CHAPAGAIN BIKASH
RN TFP I60.000.00$194,483$0$10,415Yes (X)
CRUMB ARLENE R
REGISTERED NURSE II60.000.00$186,549$0$2,801Yes (X)
WELCH KRISTI
STAFFING COORDINATOR RN60.000.00$161,606$0$14,266Yes (X)
CRAIG CAROL E
HOUSE SUPERVISOR60.000.00$161,063$0$17,032Yes (X)
DAVIS DAWN M
HOUSE SUPERVISOR60.000.00$159,069$0$23,462Yes (X)
RAJU GARY
FORMER OFFICER0.0060.00$0$423,193$40,479Yes (X)
VITIELLO JONATHAN
FORMER OFFICER0.0060.00$0$857,053$108,853Yes (X)
CARMICHAEL CINDY
FORMER KEY EMPLOYEE0.0060.00$273,269$0$13,396Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,840,943TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$5,149,219TotReportableCompRltdOrgAmt
Total Other Compensation$544,704TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K70IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
GREAT PLAINS ANESTHESIA PLLC
1012 14TH AVE NWARDMOREOK73401MEDICAL SERVICES$1,342,313
360 DEGREE MEDICINE
800 HWY 248 SUITE 2EBRANSONMO65616STAFFING SERVICES$1,270,828
DAVITA
PO BOX 781607PHILADELPHIAPA19178DIALYSIS$360,385
LINEN KING
1521 W 36TH PLACETULSAOK74107CLEANING$357,435
MAYO MEDICAL LABS
3050 SUPERIOR DR NWROCHESTERMN55905LAB SERVICES$245,251
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K24CntrctRcvdGreaterThan100KCnt
Related Organizations$186,337RelatedOrganizationsAmt
All Other Contributions$80,638AllOtherContributionsAmt
Total Contributions$266,975TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE622110$168,686,168$168,686,168
LABORATORY SERVICE621500$41,075$41,075
FieldValueIRS element (for citing)
Total Program Service Revenue$168,727,243TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,163,666RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,974,027RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$810,361RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$810,361TotalRevenueColumnAmt
Exclusion-$810,361ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescCAFETERIADesc
Business722210BusinessCd
Total Revenue Column$556,601TotalRevenueColumnAmt
Exclusion$556,601ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$562,934TotalRevenueColumnAmt
Related Or Exempt Func Income$562,934RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,119,535OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$169,303,392TotalRevenueColumnAmt
Related Or Exempt Func Income$169,249,102RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$41,075UnrelatedBusinessRevenueAmt
Exclusion-$253,760ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$545,771TotalAmt
Program Services$545,771ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,013,468TotalAmt
Management And General$1,013,468ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$84,427TotalAmt
Management And General$84,427ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$50,748,203TotalAmt
Program Services$45,672,502ProgramServicesAmt
Management And General$5,075,701ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,247,622TotalAmt
Program Services$2,042,172ProgramServicesAmt
Management And General$205,450ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,731,941TotalAmt
Program Services$5,086,794ProgramServicesAmt
Management And General$645,147ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,385,754TotalAmt
Program Services$2,988,266ProgramServicesAmt
Management And General$397,488ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$49,683TotalAmt
Management And General$49,683ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$5,300TotalAmt
Management And General$5,300ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,401,719TotalAmt
Program Services$3,289,109ProgramServicesAmt
Management And General$3,112,610ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$34,863TotalAmt
Program Services$12,216ProgramServicesAmt
Management And General$22,647ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,316,599TotalAmt
Program Services$1,704,020ProgramServicesAmt
Management And General$1,612,579ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$56,211TotalAmt
Program Services$54,055ProgramServicesAmt
Management And General$2,156ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,588,375TotalAmt
Program Services$816,084ProgramServicesAmt
Management And General$772,291ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$149,104TotalAmt
Program Services$111,498ProgramServicesAmt
Management And General$37,606ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,143TotalAmt
Program Services$41ProgramServicesAmt
Management And General$1,102ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$6,209,269TotalAmt
Program Services$2,504,102ProgramServicesAmt
Management And General$3,705,167ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$911,974TotalAmt
Program Services$262,968ProgramServicesAmt
Management And General$649,006ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DRUGS & MEDICAL EXPENSE$29,234,778$29,165,653$69,125
BAD DEBTS$25,885,732$25,885,732
SHARED SERVICE FEES$24,230,464$12,599,841$11,630,623
REPAIRS & MAINTENANCE$1,543,497$98,907$1,444,590

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$190,287TotalAmt
Program Services$97,767ProgramServicesAmt
Management And General$92,520ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$163,566,184TotalAmt
Program Services$132,937,498ProgramServicesAmt
Management And General$30,628,686ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,557,792BOYAmt
EOY$3,588,923EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$14,631,303BOYAmt
EOY$15,814,228EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$333,543BOYAmt
EOY$365,701EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,152,316BOYAmt
EOY$3,251,158EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$58,791BOYAmt
EOY$57,638EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$190,173,208LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$122,148,742LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$70,171,491BOYAmt
EOY$68,024,466EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,007,433BOYAmt
EOY$1,531,869EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$92,912,669BOYAmt
EOY$92,633,983EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,769,228BOYAmt
EOY$2,014,700EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$5,455BOYAmt
EOY$5,455EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY-$3,766BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$568,478EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$375,721BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,146,638BOYAmt
EOY$2,588,633EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$90,766,031BOYAmt
EOY$90,013,264EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
EOY$32,086EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$90,766,031BOYAmt
EOY$90,045,350EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$92,912,669BOYAmt
EOY$92,633,983EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$5,737,208ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$6,457,889OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$13,593GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$13,593TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE FILING ORGANIZATION IS A MEMBER OF AND PAYS DUES TO THE OKLAHOMA HOSPITAL ASSOCIATION, CATHOLIC HOSPITAL ASSOCIATION (PAID BY PARENT ORGANIZATION), AND AMERICAN HOSPITAL ASSOCIATION. FOR THE YEAR ENDED JUNE 30, 2018, DUES WERE $43,072 AND $15,293, RESPECTIVELY. APPROXIMATELY 23.40% OF OKLAHOMA HOSPITAL ASSOCIATION DUES, 3.93% OF CATHOLIC HOSPITAL ASSOCIATION DUES, AND 22.98% OF AMERICAN HOSPITAL ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,942,080OtherCostOrOtherBasisAmt
Book Value$2,942,080BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$125,927,700OtherCostOrOtherBasisAmt
Depreciation$70,366,530DepreciationAmt
Book Value$55,561,170BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,073OtherCostOrOtherBasisAmt
Depreciation$13,817DepreciationAmt
Book Value$1,256BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$57,813,510OtherCostOrOtherBasisAmt
Depreciation$49,860,762DepreciationAmt
Book Value$7,952,748BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,474,845OtherCostOrOtherBasisAmt
Depreciation$1,907,633DepreciationAmt
Book Value$1,567,212BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$68,024,466TotalBookValueLandBuildingsAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2FormAndLineReferenceDesc
ExplanationFEDERAL 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.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,715,887TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,715,887NetCommunityBenefitExpnsAmt
Total Expense0.02700TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,493,934TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,755,697DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,209,821TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,755,697DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,715,887NetCommunityBenefitExpnsAmt
Total Expense0.02700TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$166,403TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$166,403NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$465,771TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,966DirectOffsettingRevenueAmt
Net Community Benefit Expns$458,805NetCommunityBenefitExpnsAmt
Total Expense0.00330TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$287,249TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$287,249NetCommunityBenefitExpnsAmt
Total Expense0.00210TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$400,233TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$24,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$376,233NetCommunityBenefitExpnsAmt
Total Expense0.00270TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,319,656TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,966DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,288,690NetCommunityBenefitExpnsAmt
Total Expense0.00930TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,529,477TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,786,663DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,004,577NetCommunityBenefitExpnsAmt
Total Expense0.03630TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,931TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,931NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$29,719TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$29,719NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,535TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$12,535NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$180TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$180NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,198TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,198NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,790TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$13,790NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,671TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,671NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$63,024TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$63,024NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$5,949,771BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$65,016,296ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$64,066,367CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$949,929MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MERCY HOSPITAL ARDMOREBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11011 14TH AVENUE NWAddressLine1Txt
CityARDMORECityNm
State AbbreviationOKStateAbbreviationCd
ZIP73401ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.MERCY.NET/ABOUTWebsiteAddressTxt
State License2230StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MERCY HOSPITAL ARDMOREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.MERCY.NET/ABOUT/COMMUNITY-BENEFITSOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.MERCY.NET/ABOUT/COMMUNITY-BENEFITSStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.MERCY.NET/OPEN-PAGES/PAY-MY-BILL/#FINANCIAL-ASSISTANCE/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.MERCY.NET/OPEN-PAGES/PAY-MY-BILL/#FINANCIAL-ASSISTANCE/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.MERCY.NET/OPEN-PAGES/PAY-MY-BILL/#FINANCIAL-ASSISTANCE/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
MERCY HOSPITAL ARDMOREPART 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- OKLAHOMA STATE HEALTH DEPARTMENT, JON LOWRY, DIRECTOR- GOOD SHEPHERD COMMUNITY CLINIC, TERESA MYERS, EXECUTIVE DIRECTOR- CARTER COUNTY TURNING POINT COALITION- REGIONAL FOOD BANK OF OKLAHOMA, RODNEY BIVENS, EXECUTIVE DIRECTOR- OKLAHOMA INSTITUTE FOR CHILD ADVOCACY- ARDMORE BEHAVIORAL HEALTH COLLABORATION- 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/ABOUT/COMMUNITY-BENEFITS
MERCY HOSPITAL ARDMOREPART V, SECTION B, LINE 6B: SEE PART V, SECTION B, LINE 5 RESPONSE
MERCY HOSPITAL ARDMOREPART V, SECTION B, LINE 11: BASED ON THE FINDINGS OF ITS MOST RECENTLY CONDUCTED CHNA, MERCY HOSPITAL ARDMORE HAS CHOSEN TO ADDRESS THE FOLLOWING THREE SIGNIFICANT HEALTH NEEDS.- DIABETES- BEHAVIORAL HEALTH- CHRONIC LOWER RESPIRATORY DISEASESOME 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.- PROJECT ACCESS PROVIDES PRIMARY CARE, MEDICATION ASSISTANCE AND CARE MANAGEMENT FOR UNINSURED PATIENTS LIVING WITH A CHRONIC DISEASE. THROUGH A TEAM APPROACH PATIENTS RECEIVE REGULAR CARE FROM A PHYSICIAN, NEEDED MEDICATIONS AND HEALTH PROMOTION AND PREVENTION STRATEGIES. WITH THE SUPPORT OF A CASE MANAGER THE PATIENTS BENEFIT FROM A CONTINUUM OF CARE WHICH UTILIZES COMMUNITY RESOURCES. PATIENTS ALSO HAVE ACCESS TO NURSE ON CALL, WHICH IS AVAILABLE 24 HOURS A DAY, SEVEN DAYS A WEEK. PROJECT ACCESS CONTINUES TO SERVE 24 PATIENTS RECEIVING THE FULL SCOPE OF BENEFITS.- "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, 12 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 ARDMOREPART 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.
FieldValueIRS element (for citing)
Facility6FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - MERCY HEALTH ARDMORE CANCER CENTER
1220 HALL PLACEARDMOREOK73401CANCER TREATMENT
2 - MHARD INPATIENT & OUTPATIENT REHAB
1012 14TH NWARDMOREOK73401REHAB SERVICES
3 - MHARD WOUND CARE
1012 14TH NWARDMOREOK73401WOUND CARE CENTER
4 - MHARD SLEEP LAB
1012 14TH NWARDMOREOK73401SLEEP DISORDER SERVICES
5 - MHARD PAIN MANAGEMENT
731 12TH AVE NWARDMOREOK73401PAIN MANAGEMENT SERVICES
6 - MHARD VEIN CENTER CLINIC
731 12TH AVE NWARDMOREOK73401VEIN CLINIC

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 $163,566,182. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $25,885,732. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $5,949,771.
PART I, LINE 6ACOMMUNITY 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: "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 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 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 AS WELL AS THE OKLAHOMA STATE HEALTH DEPARTMENT SERVES AS PRIMARY PARTNERS FOR MERCY HOSPITAL, ARDMORE IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. OTHER COMMUNITY PARTNERS INCLUDE: FREE AND CHARITABLE MEDICAL CLINICS, REGIONAL FOOD BANK OF OKLAHOMA, TURNING POINT COUNCIL, AND OTHER COMMUNITY GROUPS WHO STRIVE TO IMPROVE THE HEALTH OF OKLAHOMANS.METHODS OF COLLECTING AND ANALYZING DATA AND INFORMATION INCLUDE: SURVEYS, FOCUS GROUPS, PUBLISHED DATA, AND HOSPITAL SPECIFIC DATA. A QUALTRICS SURVEY WAS DESIGNED TO ASSESS THE PERCEPTIONS AND THOUGHTS OF COMMUNITY MEMBERS ABOUT THE HEALTH NEEDS IN THEIR COMMUNITY. IT WAS AVAILABLE IN BOTH PAPER AND ON-LINE FORMAT. THERE WERE 337 INDIVIDUALS WHO COMPLETED THE SURVEY OVER THE PAST 9 MONTHS. EFFORTS WERE MADE TO BRING PAPER SURVEYS TO LOCATIONS SERVING POPULATIONS OF UNDERSERVED AND LOW-INCOME INDIVIDUALS WHO ARE LESS LIKELY TO HAVE INTERNET ACCESS, SUCH AS FOOD PANTRIES FLU CLINICS, AND FREE MEDICAL CLINICS. FOCUS GROUP MEETINGS BEGAN IN JULY 2015 WITH THE SPECIFIC PURPOSE OF ADDRESSING BEHAVIORAL HEALTH AND MONTHLY MEETINGS CONTINUED FOR THE FOLLOWING SIX MONTHS. MEETINGS INVOLVED PARTICIPANTS FROM LOCAL SERVICE AGENCIES REPRESENTING A WIDE RANGE OF DEMOGRAPHICS INCLUDING: CHILDREN, ELDERLY, HOMELESS, UNINSURED, THE WORKING POOR AND OTHERS. COMMUNITY COLLABORATIONS, LOCAL COMMUNITY MEETINGS INVOLVING CHARITIES, FOUNDATIONS, COMMUNITY SERVICE ORGANIZATIONS, BUSINESSES AND HEALTHCARE PROFESSIONALS WERE HELD TO DISCUSS WIDESPREAD COMMUNITY NEEDS. INPUT FROM THESE MEETINGS CORROBORATED NATIONAL AND STATE DATA RELATED TO HEALTH AND WELLNESS. A TOTAL OF 18 ORGANIZATIONS WERE REPRESENTED AT MONTHLY MEETINGS THROUGHOUT 2014 AND INTO 2016. REPRESENTED ORGANIZATIONS SERVE IN MANY WAYS INCLUDING HEALTHCARE, ABUSE TREATMENT AND PREVENTION, HOMELESSNESS, EDUCATION, DRUG AND ALCOHOL AWARENESS AND TREATMENT AND ADDRESSING OF VARIOUS SOCIOECONOMIC FACTORS. ONE OF THE SIGNIFICANT OUTCOMES FROM THESE MEETINGS IS THE DEVELOPMENT OF THE ARDMORE BEHAVIORAL HEALTH COLLABORATIVE.PLEASE REFER TO THE COMMUNITY HEALTH NEEDS ASSESSMENT WHICH CAN BE FOUND AT: WWW/MERCY.NET/ABOUT/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 OKLHAHOMA, 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, 2018, MERCY FACILITIES INCLUDED 30 ACUTE CARE HOSPITALS, 5 MANAGED HOSPITALS, 4 HEART HOSPITALS, 2 CHILDREN'S HOSPITALS, 2 ORTHOPEDIC HOSPITALS AND 3 REHAB HOSPITALS. FOR THE FISCAL YEAR ENDED JUNE 30, 2018, MERCY HAD MORE THAN 10.3 MILLION OUTPATIENT AND PHYSICIAN OFFICE VISITS, APPROXIMATELY 2,400 EMPLOYED PHYSICIANS, AND APPROXIMATELY 45,000 FULL-TIME EQUIVALENT EMPLOYEES. BASED ON NPSR, MERCY IS 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.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVEDALLASTX75231135613797501(C)(3)$15,000CHARITABLE SUPPORT
MERCY HEALTH FOUNDATION ARDMORE
1011 14TH AVENUE NWARDMOREOK73401710962525501(C)(3)$286,286GENERAL SUPPORT
COMMUNITY ACTIVITIES INC OF ARDMORE
PO BOX 2597ARDMOREOK73402731022203501(C)(3)$25,000GENERAL SUPPORT
GOOD SHEPHERD COMMUNITY CLINIC
20 12TH AVE NWARDMOREOK73401731509801501(C)(3)$48,000GENERAL SUPPORT
YMCA OF ARDMORE
920 15TH NWARDMOREOK73401730603523501(C)(3)$6,000GENERAL SUPPORT
MERCY HEALTH FOUNDATION OF OKLAHOMA
4300 W MEMORIAL ROADOKLAHOMA CITYOK73120454732301501(C)(3)$90,609GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org6Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART IFormAndLineReferenceDesc
ExplanationTHE 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

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KIRBY SUMMER
PHYSICIAN & BOARD MEMBER$0$429,666$0$43,630$0$18,437$0$11,925$0$15,649$0$519,307$0$0
ROTHER MD JEFFREY C
PHYSICIAN & BOARD MEMBER$0$517,625$0$39,941$0$26,322$0$12,024$0$15,694$0$611,606$0$0
SMALLEY DIANA L
PRESIDENT, WEST COMMUNITIES$0$584,751$0$641,552$0$86,026$0$6,968$0$14,487$0$1,333,784$0$318,363
VOSS DARYLE
PRESIDENT, MERCY HOSPITAL ARDMORE$312,511$0$176,279$0$9,142$0$52,886$0$15,817$0$566,635$0$0$0
ENLOE TRACY
CHIEF FINANCIAL OFFICER$0$231,276$0$54,905$0$18,381$0$22,812$0$15,457$0$342,831$0$0
GARBER MARY
VP-FINANCE$0$168,858$0$17,785$0$12,953$0$9,769$0$181$0$209,546$0$0
LE BICH-VI
REGIONAL VP-GENERAL COUNSEL$0$224,149$0$67,743$0$27,696$0$42,274$0$15,745$0$377,607$0$0
MINNIS KEITH
REGIONAL VP-HR$0$205,866$0$66,517$0$24,518$0$9,275$0$15,719$0$321,895$0$0
PAYTON BECKY
REGIONAL VP-OPERATIONS$0$256,709$0$77,801$0$25,866$0$13,000$0$11,642$0$385,018$0$0
PENDER DEBRA J
VP-NURSING/CNO$162,849$0$25,896$0$18,227$0$11,699$0$977$0$219,648$0$0$0
CHAPAGAIN BIKASH
RN TFP I$188,286$0$290$0$5,907$0$4,837$0$5,578$0$204,898$0$0$0
CRUMB ARLENE R
REGISTERED NURSE II$175,316$0$40$0$11,193$0$2,801$0$0$0$189,350$0$0$0
WELCH KRISTI
STAFFING COORDINATOR RN$153,240$0$40$0$8,326$0$14,134$0$132$0$175,872$0$0$0
CRAIG CAROL E
HOUSE SUPERVISOR$145,902$0$40$0$15,121$0$8,284$0$8,748$0$178,095$0$0$0
DAVIS DAWN M
HOUSE SUPERVISOR$153,920$0$40$0$5,109$0$8,175$0$15,287$0$182,531$0$0$0
RAJU GARY
FORMER OFFICER$0$282,885$0$84,973$0$55,335$0$27,365$0$13,114$0$463,672$0$0
VITIELLO JONATHAN
FORMER OFFICER$0$511,534$0$303,796$0$41,723$0$92,348$0$16,505$0$965,906$0$0
CARMICHAEL CINDY
FORMER KEY EMPLOYEE$221,575$0$34,281$0$17,413$0$7,457$0$5,939$0$286,665$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AHOUSING BENEFITS ARE PROVIDED THROUGH A RELOCATION PROGRAM IN ACCORDANCE WITH COMPANY POLICY. SUCH BENEFITS ARE TAXED 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.
PART I, LINE 4BMERCY 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 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 3THE 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 (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
KALEIGH PENDER
FAMILY MEMBER OF DEBRA PENDER, KEY EMPLOYEE$65,143EMPLOYMENT ARRANGEMENT0
MELVIN ROBERTSON
FAMILY MEMBER OF MARY GARBER, KEY EMPLOYEE$16,020EMPLOYMENT ARRANGEMENT0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6MERCY HEALTH OKLAHOMA COMMUNITIES IS THE SOLE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7AMERCY 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 7BMERCY 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 11BTHE 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 12COFFICERS, 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 15BFOR 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 19GOVERNING 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 BAVERAGE 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 -6,569,998. CONTRIBUTIONS ADJUSTMENT 112,109.
PART XI, LINE 2AUDITED 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 2AW-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 IIMERCY 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 VSYSTEM 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 1AINDEPENDENT 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 (73 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
CASA DE MISERICORDIA
1602 MCCLELLAND STREETLAREDOTX78044742912461WOMEN'S DOMESTIC VIOLENCE SHELTERTX501C37MERCY MINISTRIES OF LAREDOYes (1)
MCAULEY PORTFOLIO MGMT CO
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017261708048PORTFOLIO MANAGEMENTMO501C311-IIMERCY HEALTHYes (1)
MERCY ACO CLINICAL SERVICES INC
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017464504901VIRTUAL CARE CENTERMO501C33MERCY HEALTHYes (1)
MERCY CLINIC EAST COMMUNITIES
645 MARYVILLE CTR DR STE 100ST LOUISMO63141431771217PHYSICIAN GROUPMO501C39MERCY HEALTH EAST COMMUNITIESYes (1)
MERCY CLINIC FORT SMITH COMM
7301 ROGERS AVENUEFORT SMITHAR72917261318597PHYSICIAN CLINICAR501C39MERCY HEALTH FORT SMITH COMMYes (1)
MERCY CLINIC OKLAHOMA COMM
4300 W MEMORIAL ROADOKLAHOMA CITYOK73120270473057PHYSICIAN GROUPOK501C33MERCY HEALTH OK COMMUNITIESYes (1)
MERCY CLINIC SPRINGFIELD COMM
1965 FREMONT STREET SUITE 2950SPRINGFIELDMO65804431560263PHYSICIAN GROUPMO501C33MERCY HEALTH SPRINGFIELD COMMYes (1)
MERCY FAMILY CENTER
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017721069468FAMILY COUNSELING SERVICESMO501C37MERCY HEALTHYes (1)
MERCY HEALTH
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017431423050CORPORATE OFFICEMO501C310N/A
MERCY HEALTH EAST COMMUNITIES
645 MARYVILLE CTR DR STE 100ST LOUISMO63141431718408HEALTH SYSTEMMO501C311-IIMERCY HEALTHYes (1)
MERCY HEALTH EAST COMMUNITIES - SR
645 MARYVILLE CTR DR STE 100ST LOUISMO63141461412322HEALTH SYSTEMMO501C311-IIMERCY HEALTH EAST COMMUNITIESYes (1)
MERCY HEALTH FORT SMITH COMM
7301 ROGERS AVENUEFORT SMITHAR72917261318515HOLDING COMPANYAR501C311-IIMERCY HEALTHYes (1)
MERCY HEALTH FOUNDATION
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017200901499FOUNDATIONMO501C311-IIMERCY HEALTHYes (1)
MERCY HEALTH FOUNDATION ADA
430 N MONTE VISTA STREETADAOK74820463596274FOUNDATIONOK501C311-IMERCY HOSPITAL ADAYes (1)
MERCY HEALTH FOUNDATION ARDMORE
1011 14TH AVENUE NWARDMOREOK73401710962525FOUNDATIONOK501C311-IMERCY HOSPITAL ARDMOREYes (1)
MERCY HEALTH FOUNDATION BERRYVILLE
214 CARTER STREETBERRYVILLEAR72616710759301FOUNDATIONAR501C311-IMERCY HOSPITAL BERRYVILLEYes (1)
MERCY HEALTH FOUNDATION FT SCOTT
401 WOODLAND HILLS BLVDFORT SCOTTKS66701481077073FOUNDATIONKS501C311-IIIMERCY KANSAS COMMUNITIES INCYes (1)
MERCY HEALTH FOUNDATION FORT SMITH
7301 ROGERS AVENUEFORT SMITHAR72917237330425FOUNDATIONAR501C37MERCY HOSPITAL FORT SMITHYes (1)
MERCY HEALTH FOUNDATION HOT SPRINGS
300 WERNER STREETHOT SPRINGSAR71913710804718FOUNDATIONAR501C311-IIMISSION CLINICAL SERVICESYes (1)
MERCY HEALTH FOUNDATION INDEPENDENCE
800 W MYRTLEINDEPENDENCEKS67301481079981FOUNDATION; DISSOLVED 6/30/17KS501C311-IMERCY KANSAS COMMUNITIES INCYes (1)
MERCY HEALTH FOUNDATION JEFFERSON
1400 US HIGHWAY 61 SOUTHFESTUSMO63028462797051FOUNDATIONMO501C311-IIMERCY HEALTH EAST COMMUNITIES - SRYes (1)
MERCY HEALTH FOUNDATION JOPLIN
100 MERCY WAYJOPLINMO64804270906136FOUNDATIONMO501C311-IMERCY HEALTH SW MOKS COMMYes (1)
MERCY HEALTH FOUNDATION LINCOLN
1000 EAST CHERRY STREETTROYMO63379811477159FOUNDATIONMO501C311-IIMERCY HEALTH EAST COMMUNITIESYes (1)
MERCY HEALTH FOUNDATION NW ARK
2710 RIFE MEDICAL LNROGERSAR72858710601687FOUNDATIONAR501C311-IIIMERCY HOSPITAL ROGERSYes (1)
MERCY HEALTH FOUNDATION OF OK
4300 W MEMORIAL ROADOKLAHOMA CITYOK73120454732301FOUNDATIONOK501C311-IMERCY HEALTH OK COMMUNITIESYes (1)
MERCY HEALTH FOUNDATION OK CITY
4300 W MEMORIAL ROADOKLAHOMA CITYOK73120463184231FOUNDATIONOK501C311-IMERCY HEALTH OK COMMUNITIESYes (1)
MERCY HEALTH FOUNDATION SPRINGFIELD
1235 E CHEROKEE STREETSPRINGFIELDMO65804320195818FOUNDATIONMO501C311-IIMERCY HEALTH SPRINGFIELD COMMYes (1)
MERCY HEALTH FOUNDATION ST FRANCIS
100 W HIGHWAY 60MOUNTAIN VIEWMO65548431873914FOUNDATIONMO501C311-IMERCY ST FRANCIS HOSPITALYes (1)
MERCY HEALTH FOUNDATION STL
615 SOUTH NEW BALLAS ROADST LOUISMO63141562410020FOUNDATIONMO501C311-IIMERCY HEALTH EAST COMMUNITIESYes (1)
MERCY HEALTH FOUNDATION WASHINGTON
901 E FIFTH STREETWASHINGTONMO63090562410022FOUNDATIONMO501C311-IIMERCY HEALTH EAST COMMUNITIESYes (1)
MERCY HEALTH NW ARK COMMUNITIES
2710 RIFE MEDICAL LNROGERSAR72758621684203PHYSICIAN GROUPAR501C311-IIMERCY HEALTHYes (1)
MERCY HEALTH OK COMMUNITIES
4300 W MEMORIAL ROADOKLAHOMA CITYOK73120731453048HEALTH SYSTEMOK501C311-IIMERCY HEALTHYes (1)
MERCY HEALTH PLANS OF MISSOURIINC
3265 S NATIONAL AVENUESPRINGFIELDMO65807320481419HMOMO501C4MERCY HEALTHYes (1)
MERCY HEALTH PLANSINC
3265 S NATIONAL AVENUESPRINGFIELDMO65807320486150PPOMO501C4MERCY HEALTH PLANS OF MISSOURIINCYes (1)
MERCY HEALTH SW MOKS COMM
100 MERCY WAYJOPLINMO64804300584463HEALTH SYSTEMMO501C311-IIMERCY HEALTHYes (1)
MERCY HEALTH SPRINGFIELD COMM
1235 E CHEROKEE STREETSPRINGFIELDMO65804431856028HEALTH SYSTEMMO501C311-IIMERCY HEALTHYes (1)
MERCY HOME HEALTH BERRYVILLE
804 W FREEMAN SUITE 4BERRYVILLEAR72616870781247HOME HEALTH AND HOSPICE OPERATIONSAR501C311-IIIMERCY HOSPITAL SPRINGFIELDYes (1)
MERCY HOSPITAL ADA INC
430 N MONTE VISTA STREETADAOK74820462288155HOSPITALOK501C33MERCY HEALTH OK COMMUNITIESYes (1)
MERCY HOSPITAL AURORA
500 PORTER AVENUEAURORAMO65605431936696HOSPITALMO501C33MERCY HEALTH SPRINGFIELD COMMYes (1)
MERCY HOSPITAL BERRYVILLE
214 CARTER STREETBERRYVILLEAR72616710759299HOSPITALAR501C33MERCY HEALTH SPRINGFIELD COMMYes (1)
MERCY HOSPITAL BOONEVILLE
880 WEST MAIN STREETBOONEVILLEAR72927463851119HOSPITALAR501C33MERCY HOSPITAL FORT SMITHYes (1)
MERCY HOSPITAL CARTHAGE
3125 DR RUSSELL SMITH WAYCARTHAGEMO64836453808607HOSPITALMO501C33MERCY HEALTH SW MOKS COMMYes (1)
MERCY HOSPITAL CASSVILLE
94 MAIN STREETCASSVILLEMO65625431936699HOSPITALMO501C33MERCY HEALTH SPRINGFIELD COMMYes (1)
MERCY HOSPITAL COLUMBUS
220 PENNSYLVANIA AVENUECOLUMBUSKS66725270842031HOSPITALMO501C33MERCY HEALTH SW MOKS COMMYes (1)
MERCY HOSPITAL EL RENO
2115 PARKVIEW DRIVEEL RENOOK73036272716065HOSPITALOK501C33MERCY HOSPITAL OKLAHOMA CITYYes (1)
MERCY HOSPITAL FORT SMITH
7301 ROGERS AVENUEFORT SMITHAR72917710240352HOSPITALAR501C33MERCY HEALTH FORT SMITH COMMYes (1)
MERCY HOSPITAL HEALDTON INC
3462 HOSPITAL RDHEALDTONOK73438263173902HOSPITALOK501C33MERCY HOSPITAL ARDMORE INCYes (1)
MERCY HOSPITAL JEFFERSON
1400 HIGHWAY 61 SOUTHFESTUSMO63028430687077HOSPITALMO501C33MERCY HEALTH EAST COMMUNITIES - SRYes (1)
MERCY HOSPITAL JOPLIN
100 MERCY WAYJOPLINMO64804270814858HOSPITALMO501C33MERCY HEALTH SW MOKS COMMYes (1)
MERCY HOSPITAL KINGFISHER INC
1000 HOSPITAL CIRCLEKINGFISHEROK73750463433074HOSPITALOK501C33MERCY HOSPITAL OKLAHOMA CITYYes (1)
MERCY HOSPITAL LEBANON
100 HOSPITAL DRIVELEBANONMO65536431767432HOSPITALMO501C33MERCY HEALTH SPRINGFIELD COMMYes (1)
MERCY HOSPITAL LINCOLN
1000 EAST CHERRY STREETTROYMO63379472219204HOSPITALMO501C33MERCY HEALTH EAST COMMUNITIESYes (1)
MERCY HOSPITAL LOGAN COUNTY INC
200 SOUTH ACADEMYGUTHRIEOK73044452998842HOSPITALOK501C33MERCY HOSPITAL OKLAHOMA CITYYes (1)
MERCY HOSPITAL OKLAHOMA CITY
4300 W MEMORIAL ROADOKLAHOMA CITYOK73120730579285HOSPITALOK501C33MERCY HEALTH OK COMMUNITIESYes (1)
MERCY HOSPITAL OZARK
801 W RIVER STREETOZARKAR72949710689680HOSPITALAR501C33MERCY HOSPITAL FORT SMITHYes (1)
MERCY HOSPITAL PARIS
500 E ACADEMYPARISAR72855710655753HOSPITALAR501C33MERCY HOSPITAL FORT SMITHYes (1)
MERCY HOSPITAL ROGERS
2710 RIFE MEDICAL LNROGERSAR72758710294390HOSPITALAR501C33MERCY HEALTH NW ARK COMMUNITIESYes (1)
MERCY HOSPITAL SPRINGFIELD
1235 E CHEROKEE STREETSPRINGFIELDMO65804440552485HOSPITALMO501C33MERCY HEALTH SPRINGFIELD COMMYes (1)
MERCY HOSPITAL TISHOMINGO
1000 SOUTH BYRDTISHOMINGOOK73460274433830HOSPITALOK501C33MERCY HOSPITAL ADAYes (1)
MERCY HOSPITAL WALDRON
1341 W 6TH STREETWALDRONAR72958710557895HOSPITALAR501C33MERCY HOSPITAL FORT SMITHYes (1)
MERCY HOSPITAL WATONGA INC
500 CLARENCE NASH BLVDWATONGAOK73772455199762HOSPITALOK501C33MERCY HOSPITAL OKLAHOMA CITYYes (1)
MERCY HOSPITALS EAST COMM
645 MARYVILLE CTR DR STE 100ST LOUISMO63141430653493HOSPITALMO501C33MERCY HEALTH EAST COMMUNITIESYes (1)
MERCY KANSAS COMMUNITIES INC
401 WOODLAND HILLS BLVDFT SCOTTKS66701480956045HOSPITALKS501C33MERCY HEALTH SW MOKS COMMYes (1)
MERCY MINISTRIES OF LAREDO
2500 ZACATECASLAREDOTX78043200198462OUTREACHTX501C37MERCY HEALTHYes (1)
MERCY RESEARCH
524 NORTH BOONEVILLE AVENUESPRINGFIELDMO65802870796305RESEARCHMO501C34MERCY HEALTHYes (1)
MERCY ST FRANCIS HOSPITAL
100 W HIGHWAY 60MOUNTAIN VIEWMO65548440607149HOSPITALMO501C33MERCY HEALTH SPRINGFIELD COMMYes (1)
MHM SUPPORT SERVICES
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017202553101CENTRALIZED HEALTH SYSTEM FUNCTIONSMO501C311-IIMERCY HEALTHYes (1)
MISSION CLINICAL SERVICES
300 WERNER STREETHOT SPRINGSAR71913134239691CHILD ADVOCACY CENTERAR501C39MERCY HEALTHYes (1)
ST ANTHONY'S CHARITABLE FOUNDATION
10010 KENNERLY ROADST LOUISMO63128261516789FOUNDATIONMO501C311-IIMERCY HOSPITAL SOUTHYes (1)
MERCY HOSPITAL SOUTH
10010 KENNERLY ROADST LOUISMO63128430980256HOSPITALMO501C33MERCY HEALTH EAST COMMUNITIESYes (1)
ST ANTHONY'S PHYSICIAN ORGANIZATION
10010 KENNERLY ROADST LOUISMO63128431784536HEALTH CAREMO501C33MERCY HOSPITAL SOUTHYes (1)
ST MARYS HOSP ENID OK
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017730614655INACTIVEOK501C33MERCY HEALTH OK COMMUNITIESYes (1)
UNITY AMBULATORY CARE
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017431861745INACTIVEMO501C311-IIIMERCY HEALTH EAST COMMUNITIESYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndPredominant Income TypePredominantIncomeTypeTxt
PLAZA SURGERY SERVICES COMPANY LLC
12700 SOUTHFORK ROADST LOUISMO63128204709312INACTIVEMOMERCY HOSPITAL SOUTH00
RESOURCE OPTIMIZ & INNOVLLC
645 MARYVILLE CTR DRSTE 200ST LOUISMO63141460468368CENTRAL DISTRIBUTION CENTERMOMHN INC - MHNSR INC00N/A
MERCY AMBULATORY SURGERY CENTER LLC
7301 ROGERS AVENUEFORT SMITHAR72917710827721AMBULATORY SURGERY CENTERARMERCY HOSPITAL FORT SMITH00N/A
FORT SMITH EMERGENCY MEDICAL SERVICES
1701 SOUTH GREENWOODFORT SMITHAR72901710416615EMERGENCY MEDICAL SERVICESARMERCY HOSPITAL FORT SMITH00N/A
ST EDWARD MERCY MC M-P OFFICE BLDG
7301 ROGERS AVENUEFORT SMITHAR72903710554050OFFICE BUILDINGARMERCY HOSPITAL FORT SMITH00N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
MERCY COMM SERVICES INC
401 WOODLAND HILLS BLVDFORT SCOTTKS66701481078101RETAIL PHARMACYKSMERCY KANSAS COMM INCC0
FRONTENAC PROPERTIES INC
14528 S OUTER FORTY SUITE 100CHESTERFIELDMO63017521914421HOLDS ANCILLARY ASSETS & OWNS AIRCRAFTDEMERCY HEALTHC0
INVENO HEALTH INC
1235 E CHEROKEE STREETSPRINGFIELDMO65804264509571TECHNOLOGY TRANSFER COMPANYMOMERCY HEALTH SPRINGFIELD COMMC0
UNITY SUPPORT SERVICES INC
645 MARYVILLE CENTRE DRIVE SUITE 10ST LOUISMO63141431797042INACTIVEMOMERCY HEALTH EAST COMMUNITIESC0
UH L CORP INC
645 MARYVILLE CENTRE DRIVE SUITE 10ST LOUISMO63141742499535HOLDING COMPANYMOMERCY HEALTH SERVICES LLCC0
MHN OF THE SOUTHERN REGION INC
1011 14TH AVENUE NWARDMOREOK73401731580607HOLDING COMPANYOKMERCY MANAGED CARE CORPC0
MERCY HEALTH CENTER CONDOMINIUM INC
4300 W MEMORIAL RDOKLAHOMA CITYOK73120680640970ADMINISTRATOR OF CERTAIN REAL PROPERTY AND IMPROVEMENTSOKMERCY HOSPITAL OKLAHOMA CITYINCC0
MERCY MANAGED CARE CORPORATION
4300 W MEMORIAL ROADOKLAHOMA CITYOK73120731441665HOLDING COMPANYOKMERCY HEALTHC0
MERCY HEALTH NETWORK INC
4300 W MEMORIAL ROADOKLAHOMA CITYOK73120731381689HOLDING COMPANYOKMERCY MANAGED CARE CORPC0
MERCY COMMERCIAL SERVICES INC
14528 SOUTH OUTER FORTY SUITE 100CHESTERFIELDMO63017464953543CORP PARENT OF VCC TAXABLE COMMERCIALIZ SVCSOKMHN INC AND MHNSR INCC0
ST ANTHONY'S PHYSICIAN ORGANIZATION OF ILLINOIS
10010 KENNERLY ROADST LOUISMO63128320457168HEALTH CAREMOMERCY HOSPITAL SOUTHC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (11 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MERCY HEALTH FOUNDATION ARDMORE INC
B$286,286FMV
MERCY HEALTH FOUNDATION OF OKLAHOMA
B$90,609FMV
MERCY HEALTH FOUNDATION ARDMORE INC
C$186,337FMV
MERCY HEALTH FOUNDATION OKLAHOMA CITY
Q$371,895FMV
MERCY HEALTH FOUNDATION ARDMORE
P$99,456FMV
MERCY HEALTH OKLAHOMA COMMUNITIES INC
P$214,580FMV
MERCY HOSPITAL ADA INC
P$342,867FMV
MERCY HOSPITAL LOGAN COUNTY INC
Q$55,256FMV
MERCY HOSPITAL OKLAHOMA CITY INC
P$286,871FMV
MHM SUPPORT SERVICES
Q$27,694,225FMV
(no name)
FMV