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 731500629 MERCY HOSPITAL ARDMORE MERC 5802206620 1011 14TH AVENUE NW ARDMORE OK 73401 JONATHAN VITIELLO SVP FINANCIAL OPERATIONS 3146283437 2019-05-15 1 DOUGLAS G PLEUS P00013488 3143179916 107.143.156.209 2019-05-15 10:55:34 CD P 2BE301797771FA56319AFE83B3D82A6B47BB15DE 5D794220C68C161820A811785299AFD302F4C684 2017 2019-02-21 02:37:17Z DARYLE VOSS 1011 14TH AVENUE NW ARDMORE OK 73401 171277419 0 0928 X WWW.MERCY.NET/ARDMOREOK X 1996 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. 15 11 0 52 41075 48751 193072 266975 156182883 168727243 72 0 2980545 309174 159356572 169303392 732338 545771 0 0 61740273 63211415 0 0 0 92402658 99808998 154875269 163566184 4481303 5737208 92912669 92633983 2146638 2588633 90766031 90045350 X MERCY 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. 0 0 132937498 545771 169290177 MERCY 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. 132937498 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 X 15 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 OK X TAMMI HARMONING 5802206239 1011 14TH AVENUE NW ARDMORE OK 73401 X BLACKMON WARREN BOARD MEMBER 1.00 0.00 X 0 0 0 BUCKNER WILLIAM BOARD MEMBER 1.00 0.00 X 0 0 0 HENDRICKS RSM SR REBECCA BOARD MEMBER 1.00 13.00 X 0 0 0 KIRBY SUMMER PHYSICIAN & BOARD MEMBER 5.00 55.00 X 0 491733 27574 MURTHY MD GIRISH BOARD MEMBER 1.00 0.00 X 0 0 0 RAMIREZ MD HENRY BOARD MEMBER 1.00 0.00 X 0 0 0 ROTHER MD JEFFREY C PHYSICIAN & BOARD MEMBER 5.00 55.00 X 0 583888 27718 SMALLEY ALISON BOARD MEMBER 1.00 1.00 X 0 0 0 WELSH RSM SR ROSEMARY BOARD MEMBER 1.00 59.00 X 0 0 0 WILKINSON MARIA E BOARD MEMBER 1.00 0.00 X 0 0 0 WILSON DVM CADE BOARD MEMBER 1.00 0.00 X 0 0 0 VEAZEY JOHN S BOARD MEMBER 1.00 0.00 X 0 0 0 VERNER NATHAN BOARD MEMBER 1.00 0.00 X 0 0 0 SMALLEY DIANA L PRESIDENT, WEST COMMUNITIES 2.00 58.00 X X 0 1312329 21455 VOSS DARYLE PRESIDENT, MERCY HOSPITAL ARDMORE 47.00 4.00 X X 497932 0 68703 ENLOE TRACY CHIEF FINANCIAL OFFICER 2.00 58.00 X 0 304562 38269 GARBER MARY VP-FINANCE 22.00 32.00 X 0 199596 9950 LE BICH-VI REGIONAL VP-GENERAL COUNSEL 5.00 55.00 X 0 319588 58019 MINNIS KEITH REGIONAL VP-HR 5.00 55.00 X 0 296901 24994 PAYTON BECKY REGIONAL VP-OPERATIONS 5.00 55.00 X 0 360376 24642 PENDER DEBRA J VP-NURSING/CNO 60.00 0.00 X 206972 0 12676 CHAPAGAIN BIKASH RN TFP I 60.00 0.00 X 194483 0 10415 CRUMB ARLENE R REGISTERED NURSE II 60.00 0.00 X 186549 0 2801 WELCH KRISTI STAFFING COORDINATOR RN 60.00 0.00 X 161606 0 14266 CRAIG CAROL E HOUSE SUPERVISOR 60.00 0.00 X 161063 0 17032 DAVIS DAWN M HOUSE SUPERVISOR 60.00 0.00 X 159069 0 23462 RAJU GARY FORMER OFFICER 0.00 60.00 X 0 423193 40479 VITIELLO JONATHAN FORMER OFFICER 0.00 60.00 X 0 857053 108853 CARMICHAEL CINDY FORMER KEY EMPLOYEE 0.00 60.00 X 273269 0 13396 1840943 5149219 544704 70 1 1 0 GREAT PLAINS ANESTHESIA PLLC 1012 14TH AVE NW ARDMORE OK 73401 MEDICAL SERVICES 1342313 360 DEGREE MEDICINE 800 HWY 248 SUITE 2E BRANSON MO 65616 STAFFING SERVICES 1270828 DAVITA PO BOX 781607 PHILADELPHIA PA 19178 DIALYSIS 360385 LINEN KING 1521 W 36TH PLACE TULSA OK 74107 CLEANING 357435 MAYO MEDICAL LABS 3050 SUPERIOR DR NW ROCHESTER MN 55905 LAB SERVICES 245251 24 186337 80638 266975 NET PATIENT REVENUE 622110 168686168 168686168 LABORATORY SERVICE 621500 41075 41075 168727243 1163666 1974027 -810361 -810361 -810361 CAFETERIA 722210 556601 556601 562934 562934 1119535 169303392 169249102 41075 -253760 545771 545771 1013468 1013468 84427 84427 50748203 45672502 5075701 2247622 2042172 205450 5731941 5086794 645147 3385754 2988266 397488 49683 49683 5300 5300 6401719 3289109 3112610 34863 12216 22647 3316599 1704020 1612579 56211 54055 2156 1588375 816084 772291 149104 111498 37606 1143 41 1102 6209269 2504102 3705167 911974 262968 649006 DRUGS & MEDICAL EXPENSE 29234778 29165653 69125 BAD DEBTS 25885732 25885732 SHARED SERVICE FEES 24230464 12599841 11630623 REPAIRS & MAINTENANCE 1543497 98907 1444590 190287 97767 92520 163566184 132937498 30628686 0 3557792 3588923 14631303 15814228 333543 365701 3152316 3251158 58791 57638 190173208 122148742 70171491 68024466 1007433 1531869 92912669 92633983 1769228 2014700 5455 5455 -3766 0 568478 375721 0 2146638 2588633 X 90766031 90013264 32086 90766031 90045350 92912669 92633983 X 5737208 -6457889 X X 0 1 X 1 0 X 0 0 0 0 0 1 13593 0 0 0 13593 0 PART II-B, LINE 1: THE 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. 2942080 2942080 125927700 70366530 55561170 15073 13817 1256 57813510 49860762 7952748 3474845 1907633 1567212 68024466 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 1 X 1 X 1 X 1 1 0 1 1 3715887 3715887 0.02700 16493934 16755697 0 0.00000 20209821 16755697 3715887 0.02700 166403 166403 0.00120 465771 6966 458805 0.00330 287249 287249 0.00210 400233 24000 376233 0.00270 1319656 30966 1288690 0.00930 21529477 16786663 5004577 0.03630 1931 1931 0.00000 29719 29719 0.00020 12535 12535 0.00010 180 180 0.00000 1198 1198 0.00000 13790 13790 0.00010 3671 3671 0.00000 63024 63024 0.00040 1 5949771 0 65016296 64066367 949929 X 1 1 1 1 MERCY HOSPITAL ARDMORE 1011 14TH AVENUE NW ARDMORE OK 73401 WWW.MERCY.NET/ABOUT 2230 X X X MERCY HOSPITAL ARDMORE 1 0 0 1 X X X X X X X X X 15 1 0 1 1 X WWW.MERCY.NET/ABOUT/COMMUNITY-BENEFITS X 1 15 1 WWW.MERCY.NET/ABOUT/COMMUNITY-BENEFITS 0 1 X 100.000000000000 400.000000000000 X 1 1 X X X 1 X WWW.MERCY.NET/OPEN-PAGES/PAY-MY-BILL/#FINANCIAL-ASSISTANCE/ X WWW.MERCY.NET/OPEN-PAGES/PAY-MY-BILL/#FINANCIAL-ASSISTANCE/ X WWW.MERCY.NET/OPEN-PAGES/PAY-MY-BILL/#FINANCIAL-ASSISTANCE/ X X X X X X 1 X 0 X X X X X 1 X 0 0 MERCY HOSPITAL ARDMORE PART V, SECTION B, LINE 5: WHEN CONDUCTING ITS MOST RECENT CHNA MERCY HOSPITAL, ARDMORE WORKED CLOSELY WITH THE FOLLOWING:- CARTER COUNTY/COUNTY HEALTH DEPARTMENT, MENDY SPOHN, DIRECTOR- 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 ARDMORE PART V, SECTION B, LINE 6B: SEE PART V, SECTION B, LINE 5 RESPONSE MERCY HOSPITAL ARDMORE PART V, SECTION B, LINE 11: BASED ON THE FINDINGS OF ITS MOST RECENTLY CONDUCTED CHNA, MERCY HOSPITAL ARDMORE HAS CHOSEN TO ADDRESS THE FOLLOWING 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 ARDMORE PART V, SECTION B, LINE 20E: OTHER AREAS FROM A NOTICE PERSPECTIVE: FAP IS POSTED IN ALL REGISTRATION AREAS, FULL POLICY AND PLAIN LANGUAGE DOCUMENT POSTED ON WEBSITE, PLAIN LANGUAGE DOCUMENT IS AVAILABLE WHEN REQUESTED, THERE IS A NOTICE ON STATEMENT, AND ALL PATIENTS GET THREE STATEMENTS BEFORE THEY CAN GO TO A COLLECTION AGENCY. 6 1 - MERCY HEALTH ARDMORE CANCER CENTER 1220 HALL PLACE ARDMORE OK 73401 CANCER TREATMENT 2 - MHARD INPATIENT & OUTPATIENT REHAB 1012 14TH NW ARDMORE OK 73401 REHAB SERVICES 3 - MHARD WOUND CARE 1012 14TH NW ARDMORE OK 73401 WOUND CARE CENTER 4 - MHARD SLEEP LAB 1012 14TH NW ARDMORE OK 73401 SLEEP DISORDER SERVICES 5 - MHARD PAIN MANAGEMENT 731 12TH AVE NW ARDMORE OK 73401 PAIN MANAGEMENT SERVICES 6 - MHARD VEIN CENTER CLINIC 731 12TH AVE NW ARDMORE OK 73401 VEIN CLINIC 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 6A COMMUNITY BENEFIT REPORTTHE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS PREPARED BY ITS ULTIMATE PARENT ENTITY, MERCY HEALTH (EIN: 43-1423050). PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING ACTIVITIES ADDRESS ROOT CAUSES OF HEALTH-RELATED PROBLEMS. MULTIDISCIPLINARY COMMUNITY PARTNERSHIPS AND COLLABORATIONS ADDRESS SYSTEMIC MALFUNCTIONS AND THE ROOT CAUSES OF ISSUES SUCH AS POVERTY, VIOLENCE, AND HOMELESSNESS. THEY STRENGTHEN THE COMMUNITY'S ABILITY TO PROMOTE HEALTH AND WELL-BEING. MERCY HOSPITAL ARDMORE, INC. (MHARD) COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITIES IN WHICH THEY SERVE. THROUGH ACTIVE PARTICIPATION IN COMMUNITY BOARDS, NEIGHBORHOOD COMMUNITY MEETINGS AND INVOLVEMENT IN COMMUNITY-BASED EVENTS, MHARD DEMONSTRATES ITS ONGOING COMMITMENT TO THE COMMUNITY. COMMUNITY BUILDING ACTIVITIES SERVE AS A LINK TO ENGAGE MERCY COWORKERS TO LOOK BEYOND THE WALLS OF THE FACILITIES IN WHICH THEY SERVE. MERCY CO WORKERS PARTICIPATE AS BOARD MEMBERS, VOLUNTEERS GIVING HOURS OF HANDS-ON ASSISTANCE, PROGRAM DEVELOPMENT AND FUND RAISING.A FULL DESCRIPTION OF COMMUNITY BUILDING ACTIVITIES CAN BE FOUND AT: HTTPS://WWW.MERCY.NET/ABOUT/COMMUNITY-BENEFITS/ PART III, LINE 2: TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE, AT COST, BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENT ACCOUNTS WAS MULTIPLIED BY A RATIO OF COST TO CHARGES. THE RATIO OF COST TO CHARGES USED WAS BASED ON DETAILED COST ACCOUNT, WHERE AVAILABLE. WHERE COST ACCOUNTING IS NOT AVAILABLE, COST REPORT COST TO CHARGE RATIOS WERE UTILIZED. PART III, LINE 3: THE FILING ORGANIZATION DETERMINED THAT THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS $0. ALTHOUGH THE CHARITY CARE POLICY REQUIRES THE PARTICIPATION OF THE PATIENT REQUESTING ASSISTANCE, WE HAVE A PROCESS UNDER PRESUMPTIVE CHARITY TO ADDRESS ACCOUNTS FOR PATIENTS WHO DO NOT PROVIDE THE INFORMATION. WE BELIEVE THAT OUR CHARITY POLICY IS COMPREHENSIVE ENOUGH TO CAPTURE ALMOST ALL PATIENTS WHO QUALIFY FOR CHARITY CARE. PART III, LINE 4: THE TEXT OF THE FOOTNOTE THAT IS INCLUDED IN MERCY HEALTH AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE FOLLOWS: "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. 1 AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)(3) 15000 CHARITABLE SUPPORT MERCY HEALTH FOUNDATION ARDMORE 1011 14TH AVENUE NW ARDMORE OK 73401 710962525 501(C)(3) 286286 GENERAL SUPPORT COMMUNITY ACTIVITIES INC OF ARDMORE PO BOX 2597 ARDMORE OK 73402 731022203 501(C)(3) 25000 GENERAL SUPPORT GOOD SHEPHERD COMMUNITY CLINIC 20 12TH AVE NW ARDMORE OK 73401 731509801 501(C)(3) 48000 GENERAL SUPPORT YMCA OF ARDMORE 920 15TH NW ARDMORE OK 73401 730603523 501(C)(3) 6000 GENERAL SUPPORT MERCY HEALTH FOUNDATION OF OKLAHOMA 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 454732301 501(C)(3) 90609 GENERAL SUPPORT 6 0 SCHEDULE I, PART I THE ORGANIZATION USES AN APPROVAL PROCESS TO DETERMINE WHICH ORGANIZATIONS AND INDIVIDUALS WILL RECEIVE GRANTS DURING THE FISCAL YEAR. THE FUNDS ARE THEN GIVEN DIRECTLY TO THE NONPROFIT ORGANIZATIONS AND INDIVIDUALS. 0 1 0 0 0 0 0 0 0 KIRBY SUMMER PHYSICIAN & BOARD MEMBER 0 429666 0 43630 0 18437 0 11925 0 15649 0 519307 0 0 ROTHER MD JEFFREY C PHYSICIAN & BOARD MEMBER 0 517625 0 39941 0 26322 0 12024 0 15694 0 611606 0 0 SMALLEY DIANA L PRESIDENT, WEST COMMUNITIES 0 584751 0 641552 0 86026 0 6968 0 14487 0 1333784 0 318363 VOSS DARYLE PRESIDENT, MERCY HOSPITAL ARDMORE 312511 0 176279 0 9142 0 52886 0 15817 0 566635 0 0 0 ENLOE TRACY CHIEF FINANCIAL OFFICER 0 231276 0 54905 0 18381 0 22812 0 15457 0 342831 0 0 GARBER MARY VP-FINANCE 0 168858 0 17785 0 12953 0 9769 0 181 0 209546 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 REGIONAL VP-OPERATIONS 0 256709 0 77801 0 25866 0 13000 0 11642 0 385018 0 0 PENDER DEBRA J VP-NURSING/CNO 162849 0 25896 0 18227 0 11699 0 977 0 219648 0 0 0 CHAPAGAIN BIKASH RN TFP I 188286 0 290 0 5907 0 4837 0 5578 0 204898 0 0 0 CRUMB ARLENE R REGISTERED NURSE II 175316 0 40 0 11193 0 2801 0 0 0 189350 0 0 0 WELCH KRISTI STAFFING COORDINATOR RN 153240 0 40 0 8326 0 14134 0 132 0 175872 0 0 0 CRAIG CAROL E HOUSE SUPERVISOR 145902 0 40 0 15121 0 8284 0 8748 0 178095 0 0 0 DAVIS DAWN M HOUSE SUPERVISOR 153920 0 40 0 5109 0 8175 0 15287 0 182531 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 CARMICHAEL CINDY FORMER KEY EMPLOYEE 221575 0 34281 0 17413 0 7457 0 5939 0 286665 0 0 0 PART I, LINE 1A HOUSING 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 4B MERCY HEALTH, THE PARENT COMPANY, OFFERS A SUPPLEMENTAL RETIREMENT PLAN TO CERTAIN EXECUTIVES WHICH PROVIDE BENEFITS UPON VESTING DATE BASED ON COMPENSATION, AGE AT THE TIME OF BENEFIT COMMENCEMENT, LENGTH OF SERVICE WITH THE COMPANY AND/OR ITS AFFILIATES, AND LENGTH OF TENURE IN THE PLAN. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE PLAN: JONATHAN VITIELLO; BICH-VI LE; DIANA SMALLEY; DARYLE VOSS; TRACY ENLOE THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C). DIANA SMALLEY RECEIVED PAYMENT FROM RETIREMENT PLAN(S) DURING THE YEAR FROM A RELATED ORGANIZATION. THE AMOUNT REPORTED FOR DIANA SMALLEY IN COLUMN (F) IS INCLUDED IN COLUMN B (I) AS BASE COMPENSATION. THIS PAYOUT WAS INCLUDED IN COLUMN (C) OF PREVIOUSLY FILED FORMS 990. PART I, LINE 3 THE FILING ORGANIZATION RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTION 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS. KALEIGH PENDER FAMILY MEMBER OF DEBRA PENDER, KEY EMPLOYEE 65143 EMPLOYMENT ARRANGEMENT 0 MELVIN ROBERTSON FAMILY MEMBER OF MARY GARBER, KEY EMPLOYEE 16020 EMPLOYMENT ARRANGEMENT 0 FORM 990, PART VI, SECTION A, LINE 6 MERCY HEALTH OKLAHOMA COMMUNITIES IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A MERCY HEALTH OKLAHOMA COMMUNITIES (THE MEMBER) MAY APPOINT OR REMOVE MEMBERS OF THE BOARD OF DIRECTORS AT ANY TIME AT THE MEMBER'S DISCRETION. FORM 990, PART VI, SECTION A, LINE 7B MERCY HEALTH OKLAHOMA COMMUNITIES HAS THE FOLLOWING POWERS AND RESPONSIBILITIES: -TO APPROVE THE MISSION AND ESTABLISH THE PHILOSOPHY ACCORDING TO WHICH THE CORPORATION SHALL OPERATE; -TO AMEND AND APPROVE THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION AND TO AMEND AND APPROVE THE ARTICLES OF INCORPORATION AND BYLAWS OF ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO APPOINT AND REMOVE THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION; -TO APPROVE OR AMEND THE STRATEGIC PLAN, GOALS AND OBJECTIVES OF THE CORPORATION; -TO APPROVE OR AMEND THE OPERATING, CAPITAL, AND CONSTRUCTION BUDGETS FOR THE CORPORATION; -TO LEASE OR SELL ANY OF THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION IN EXCESS OF ONE MILLION DOLLARS ($1,000,000); -TO ENCUMBER ANY OR ALL OF THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO AUTHORIZE AND APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTY ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; -TO MERGE, DISSOLVE, OR ABANDON THE CORPORATION; AND, -TO APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION BY THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM, USING INFORMATION PROVIDED BY THE FILING ORGANIZATION. A DRAFT FORM 990 IS REVIEWED BY THE FILING ORGANIZATION'S FINANCE TEAM. THE DRAFT FORM 990 IS ALSO REVIEWED BY MERCY HEALTH'S TAX DEPARTMENT, TO ENSURE ACCURACY AND CONSISTENCY WITH OTHER RELATED ORGANIZATIONS' FORM 990S. AFTER QUESTIONS ARISING FROM THE VARIOUS REVIEWS ARE ADDRESSED AND INCORPORATED INTO THE FORM 990, A REVISED DRAFT IS PROVIDED TO THE FILING ORGANIZATION'S LEADERSHIP TEAM, INCLUDING THE CFO AND CEO, FOR REVIEW. ONCE REVIEWED AND APPROVED BY THE FILING ORGANIZATION'S LEADERSHIP TEAM, THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW; IT IS THEN SIGNED AND FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER DISQUALIFIED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY AND DID SO IN THE NORMAL COURSE FOR THE YEAR ENDED JUNE 30, 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 TRANSFERS TO/FROM AFFILATES -6,569,998. CONTRIBUTIONS ADJUSTMENT 112,109. PART XI, LINE 2 AUDITED FINANCIAL STATEMENTS THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN THE MERCY HEALTH AND SUBSIDIARIES ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 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 HEALTH SYSTEM CONSISTS OF MERCY HOSPITALS EAST COMMUNITIES ST. LOUIS, EIN 43-065393, AND MERCY HOSPITALS EAST COMMUNITIES WASHINGTON, EIN 43-1066883. FORM 990, SCHEDULE R, PART V SYSTEM LIMITATIONS LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY HEALTH SYSTEM, INC. AND SUBSIDIARIES. THE MAJORITY OF THE INTERCOMPANY/RELATED ORGANIZATION TRANSACTIONS ARE PROCESSED THROUGH LAWSON VIA INTERCOMPANY JOURNAL ENTRIES. WITH THE CURRENT DESIGN OF THE ERP SYSTEM, THERE ARE VARIOUS LIMITATIONS ON THE RELATED ORGANIZATION INFORMATION THAT CAN BE EXTRACTED FROM LAWSON. DUE TO THESE LIMITATIONS,MOST OF THE RELATED ORGANIZATION ACTIVITY FOR THE FILING ORGANIZATION HAS BEEN CLASSIFIED ON SCHEDULE R, PART V, IN LINES 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. 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 OK COMMUNITIES 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 731453048 HEALTH SYSTEM OK 501C3 11-II MERCY HEALTH 1 MERCY HEALTH PLANS OF MISSOURIINC 3265 S NATIONAL AVENUE SPRINGFIELD MO 65807 320481419 HMO MO 501C4 MERCY HEALTH 1 MERCY HEALTH PLANSINC 3265 S NATIONAL AVENUE SPRINGFIELD MO 65807 320486150 PPO MO 501C4 MERCY HEALTH PLANS OF MISSOURIINC 1 MERCY HEALTH SW MOKS COMM 100 MERCY WAY JOPLIN MO 64804 300584463 HEALTH SYSTEM MO 501C3 11-II MERCY HEALTH 1 MERCY HEALTH SPRINGFIELD COMM 1235 E CHEROKEE STREET SPRINGFIELD MO 65804 431856028 HEALTH SYSTEM MO 501C3 11-II MERCY HEALTH 1 MERCY HOME HEALTH BERRYVILLE 804 W FREEMAN SUITE 4 BERRYVILLE AR 72616 870781247 HOME HEALTH AND HOSPICE OPERATIONS AR 501C3 11-III MERCY HOSPITAL SPRINGFIELD 1 MERCY HOSPITAL ADA INC 430 N MONTE VISTA STREET ADA OK 74820 462288155 HOSPITAL OK 501C3 3 MERCY HEALTH OK COMMUNITIES 1 MERCY HOSPITAL 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 - SR 1 MERCY HOSPITAL JOPLIN 100 MERCY WAY JOPLIN MO 64804 270814858 HOSPITAL MO 501C3 3 MERCY HEALTH SW MOKS COMM 1 MERCY HOSPITAL KINGFISHER INC 1000 HOSPITAL CIRCLE KINGFISHER OK 73750 463433074 HOSPITAL OK 501C3 3 MERCY HOSPITAL OKLAHOMA CITY 1 MERCY HOSPITAL LEBANON 100 HOSPITAL DRIVE LEBANON MO 65536 431767432 HOSPITAL MO 501C3 3 MERCY HEALTH SPRINGFIELD COMM 1 MERCY HOSPITAL LINCOLN 1000 EAST CHERRY STREET TROY MO 63379 472219204 HOSPITAL MO 501C3 3 MERCY HEALTH EAST COMMUNITIES 1 MERCY HOSPITAL LOGAN COUNTY INC 200 SOUTH ACADEMY GUTHRIE OK 73044 452998842 HOSPITAL OK 501C3 3 MERCY HOSPITAL OKLAHOMA CITY 1 MERCY HOSPITAL OKLAHOMA CITY 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 730579285 HOSPITAL OK 501C3 3 MERCY HEALTH OK COMMUNITIES 1 MERCY HOSPITAL OZARK 801 W RIVER STREET OZARK AR 72949 710689680 HOSPITAL AR 501C3 3 MERCY HOSPITAL FORT SMITH 1 MERCY HOSPITAL PARIS 500 E ACADEMY PARIS AR 72855 710655753 HOSPITAL AR 501C3 3 MERCY HOSPITAL FORT SMITH 1 MERCY HOSPITAL ROGERS 2710 RIFE MEDICAL LN ROGERS AR 72758 710294390 HOSPITAL AR 501C3 3 MERCY HEALTH NW ARK COMMUNITIES 1 MERCY HOSPITAL SPRINGFIELD 1235 E CHEROKEE STREET SPRINGFIELD MO 65804 440552485 HOSPITAL MO 501C3 3 MERCY HEALTH SPRINGFIELD COMM 1 MERCY HOSPITAL TISHOMINGO 1000 SOUTH BYRD TISHOMINGO OK 73460 274433830 HOSPITAL OK 501C3 3 MERCY HOSPITAL ADA 1 MERCY HOSPITAL WALDRON 1341 W 6TH STREET WALDRON AR 72958 710557895 HOSPITAL AR 501C3 3 MERCY HOSPITAL FORT SMITH 1 MERCY HOSPITAL WATONGA INC 500 CLARENCE NASH BLVD WATONGA OK 73772 455199762 HOSPITAL OK 501C3 3 MERCY HOSPITAL OKLAHOMA CITY 1 MERCY HOSPITALS EAST COMM 645 MARYVILLE CTR DR STE 100 ST LOUIS MO 63141 430653493 HOSPITAL MO 501C3 3 MERCY HEALTH EAST COMMUNITIES 1 MERCY KANSAS COMMUNITIES INC 401 WOODLAND HILLS BLVD FT SCOTT KS 66701 480956045 HOSPITAL KS 501C3 3 MERCY HEALTH SW MOKS COMM 1 MERCY MINISTRIES OF LAREDO 2500 ZACATECAS LAREDO TX 78043 200198462 OUTREACH TX 501C3 7 MERCY HEALTH 1 MERCY RESEARCH 524 NORTH BOONEVILLE AVENUE SPRINGFIELD MO 65802 870796305 RESEARCH MO 501C3 4 MERCY HEALTH 1 MERCY ST FRANCIS HOSPITAL 100 W HIGHWAY 60 MOUNTAIN VIEW MO 65548 440607149 HOSPITAL MO 501C3 3 MERCY HEALTH SPRINGFIELD COMM 1 MHM SUPPORT SERVICES 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 202553101 CENTRALIZED HEALTH SYSTEM FUNCTIONS MO 501C3 11-II MERCY HEALTH 1 MISSION CLINICAL SERVICES 300 WERNER STREET HOT SPRINGS AR 71913 134239691 CHILD ADVOCACY CENTER AR 501C3 9 MERCY HEALTH 1 ST ANTHONY'S CHARITABLE FOUNDATION 10010 KENNERLY ROAD ST LOUIS MO 63128 261516789 FOUNDATION MO 501C3 11-II MERCY HOSPITAL SOUTH 1 MERCY HOSPITAL SOUTH 10010 KENNERLY ROAD ST LOUIS MO 63128 430980256 HOSPITAL MO 501C3 3 MERCY HEALTH EAST COMMUNITIES 1 ST ANTHONY'S PHYSICIAN ORGANIZATION 10010 KENNERLY ROAD ST LOUIS MO 63128 431784536 HEALTH CARE MO 501C3 3 MERCY HOSPITAL SOUTH 1 ST MARYS HOSP ENID OK 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 730614655 INACTIVE OK 501C3 3 MERCY HEALTH OK COMMUNITIES 1 UNITY AMBULATORY CARE 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 431861745 INACTIVE MO 501C3 11-III MERCY HEALTH EAST COMMUNITIES 1 PLAZA SURGERY SERVICES COMPANY LLC 12700 SOUTHFORK ROAD ST LOUIS MO 63128 204709312 INACTIVE MO MERCY HOSPITAL SOUTH 0 0 RESOURCE OPTIMIZ & INNOVLLC 645 MARYVILLE CTR DRSTE 200 ST LOUIS MO 63141 460468368 CENTRAL DISTRIBUTION CENTER MO MHN INC - MHNSR INC N/A 0 0 MERCY AMBULATORY SURGERY CENTER LLC 7301 ROGERS AVENUE FORT SMITH AR 72917 710827721 AMBULATORY SURGERY CENTER AR MERCY HOSPITAL FORT SMITH N/A 0 0 FORT SMITH EMERGENCY MEDICAL SERVICES 1701 SOUTH GREENWOOD FORT SMITH AR 72901 710416615 EMERGENCY MEDICAL SERVICES AR MERCY HOSPITAL FORT SMITH N/A 0 0 ST EDWARD MERCY MC M-P OFFICE BLDG 7301 ROGERS AVENUE FORT SMITH AR 72903 710554050 OFFICE BUILDING AR MERCY HOSPITAL FORT SMITH N/A 0 0 MERCY COMM SERVICES INC 401 WOODLAND HILLS BLVD FORT SCOTT KS 66701 481078101 RETAIL PHARMACY KS MERCY KANSAS COMM INC C 0 FRONTENAC PROPERTIES INC 14528 S OUTER FORTY SUITE 100 CHESTERFIELD MO 63017 521914421 HOLDS ANCILLARY ASSETS & OWNS AIRCRAFT DE MERCY HEALTH C 0 INVENO HEALTH INC 1235 E CHEROKEE STREET SPRINGFIELD MO 65804 264509571 TECHNOLOGY TRANSFER COMPANY MO MERCY HEALTH SPRINGFIELD COMM C 0 UNITY SUPPORT SERVICES INC 645 MARYVILLE CENTRE DRIVE SUITE 10 ST LOUIS MO 63141 431797042 INACTIVE MO MERCY HEALTH EAST COMMUNITIES C 0 UH L CORP INC 645 MARYVILLE CENTRE DRIVE SUITE 10 ST LOUIS MO 63141 742499535 HOLDING COMPANY MO MERCY HEALTH SERVICES LLC C 0 MHN OF THE SOUTHERN REGION INC 1011 14TH AVENUE NW ARDMORE OK 73401 731580607 HOLDING COMPANY OK MERCY MANAGED CARE CORP C 0 MERCY HEALTH CENTER CONDOMINIUM INC 4300 W MEMORIAL RD OKLAHOMA CITY OK 73120 680640970 ADMINISTRATOR OF CERTAIN REAL PROPERTY AND IMPROVEMENTS OK MERCY HOSPITAL OKLAHOMA CITYINC C 0 MERCY MANAGED CARE CORPORATION 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 731441665 HOLDING COMPANY OK MERCY HEALTH C 0 MERCY HEALTH NETWORK INC 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 731381689 HOLDING COMPANY OK MERCY MANAGED CARE CORP C 0 MERCY COMMERCIAL SERVICES INC 14528 SOUTH OUTER FORTY SUITE 100 CHESTERFIELD MO 63017 464953543 CORP PARENT OF VCC TAXABLE COMMERCIALIZ SVCS OK MHN INC AND MHNSR INC C 0 ST ANTHONY'S PHYSICIAN ORGANIZATION OF ILLINOIS 10010 KENNERLY ROAD ST LOUIS MO 63128 320457168 HEALTH CARE MO MERCY HOSPITAL SOUTH C 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 MERCY HEALTH FOUNDATION ARDMORE INC B 286286 FMV MERCY HEALTH FOUNDATION OF OKLAHOMA B 90609 FMV MERCY HEALTH FOUNDATION ARDMORE INC C 186337 FMV MERCY HEALTH FOUNDATION OKLAHOMA CITY Q 371895 FMV MERCY HEALTH FOUNDATION ARDMORE P 99456 FMV MERCY HEALTH OKLAHOMA COMMUNITIES INC P 214580 FMV MERCY HOSPITAL ADA INC P 342867 FMV MERCY HOSPITAL LOGAN COUNTY INC Q 55256 FMV MERCY HOSPITAL OKLAHOMA CITY INC P 286871 FMV MHM SUPPORT SERVICES Q 27694225 FMV FMV