MERCY HOSPITAL ARDMORE INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: MERCY HOSPITAL ARDMORE INC (EIN 73-1500629)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-05-15
IRS object ID: 201701359349301825
Schema version: 2015v3.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-05-15T08:32:33-05:00	ReturnTs
Tax Period End	2016-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	562632458	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PLEUS AND COMPANY LLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	14500 S OUTER 40 SUITE 201A	AddressLine1Txt
City	CHESTERFIELD	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63017	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	731500629	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	TRACY ENLOE	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	4057523161	PhoneNum
Signature	2017-05-10	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DOUGLAS G PLEUS	PreparerPersonNm
PTIN	P00013488	PTIN
Phone	3143179916	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DARYLE VOSS	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$155,130,434	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MERCY.NET/ARDMOREOK	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1996	FormationYr
Legal Domicile State	OK	LegalDomicileStateCd
Activity Or Mission	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.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	52	TotalVolunteersCnt
Total Gross UBI	$42,529	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$9,453	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$82,948	PYContributionsGrantsAmt
CY Contributions Grants	$455,517	CYContributionsGrantsAmt
PY Program Service Revenue	$148,182,040	PYProgramServiceRevenueAmt
CY Program Service Revenue	$151,638,203	CYProgramServiceRevenueAmt
PY Investment Income	$1,719	PYInvestmentIncomeAmt
CY Investment Income	$2,386	CYInvestmentIncomeAmt
PY Other Revenue	-$2,879,078	PYOtherRevenueAmt
CY Other Revenue	$3,034,328	CYOtherRevenueAmt
PY Total Revenue	$145,387,629	PYTotalRevenueAmt
CY Total Revenue	$155,130,434	CYTotalRevenueAmt
PY Grants And Similar Paid	$660,634	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$703,001	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$50,537,403	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$61,550,682	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$87,836,610	PYOtherExpensesAmt
CY Other Expenses	$86,088,785	CYOtherExpensesAmt
PY Total Expenses	$139,034,647	PYTotalExpensesAmt
CY Total Expenses	$148,342,468	CYTotalExpensesAmt
PY Revenues Less Expenses	$6,352,982	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$6,787,966	CYRevenuesLessExpensesAmt
Total Assets BOY	$140,504,799	TotalAssetsBOYAmt
Total Assets EOY	$96,720,814	TotalAssetsEOYAmt
Total Liabilities BOY	$4,954,995	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$5,345,830	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$135,549,804	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$91,374,984	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	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.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$119,193,359	ExpenseAmt
Grant	$703,001	GrantAmt
Revenue	$153,999,953	RevenueAmt
Desc	MERCY HOSPITAL ARDMORE ("MERCY") PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. DURING FY2016, MERCY PROVIDED SERVICES TO 7,509 INPATIENTS, 31,464 EMERGENCY DEPARTMENT PATIENTS, AND 103,875 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 $12,947,266 IN FY2016.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	$119,193,359	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	OK	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	5802206239	PhoneNum

US Address USAddress

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

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

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
BLACKMON WARREN
BOARD MEMBER	1.00	0.00	Yes (X)	$0	$0	$0
BUCKNER WILLIAM
BOARD MEMBER	1.00	0.00	Yes (X)	$0	$0	$0
BURNS GLEN C
BOARD MEMBER	1.00	0.00	Yes (X)	$0	$0	$0
HENDRICKS RSM SR REBECCA ANN
BOARD MEMBER	1.00	13.00	Yes (X)	$0	$0	$0
RAMIREZ MD HENRY
BOARD MEMBER	1.00	0.00	Yes (X)	$0	$0	$0
ROTHER MD JEFFREY
PHYSICIAN & BOARD MEMBER	5.00	55.00	Yes (X)	$0	$584,209	$29,385
SMALLEY ALISON
BOARD MEMBER	1.00	0.00	Yes (X)	$0	$0	$0
WELSH RSM SR ROSEMARY
BOARD MEMBER	1.00	59.00	Yes (X)	$0	$0	$0
WILSON DVM CADE
BOARD MEMBER	1.00	0.00	Yes (X)	$0	$0	$0
WISIAN AMY
BOARD MEMBER	1.00	0.00	Yes (X)	$0	$0	$0
SMALLEY DIANA L
PRESIDENT, WEST COMMUNITIES	2.00	58.00	Yes (X)	$0	$795,366	$104,962	Yes (X)
VOSS DARYLE
PRESIDENT, MERCY HOSPITAL ARDMORE	45.00	6.00	Yes (X)	$0	$437,435	$160,424	Yes (X)
RAJU GARY
CHIEF FINANCIAL OFFICER	8.00	52.00		$0	$318,634	$14,207	Yes (X)
CARMICHAEL CINDY
CHIEF OPERATING OFFICER	34.00	26.00		$303,374	$0	$19,798		Yes (X)
GARBER MARY
VP-FINANCE	22.00	32.00		$0	$196,748	$9,340		Yes (X)
LE BICH-VI
REGIONAL VP-GENERAL COUNSEL	5.00	55.00		$0	$265,794	$56,054		Yes (X)
MINNIS KEITH
REGIONAL VP-HR	5.00	55.00		$0	$241,056	$49,788		Yes (X)
PAYTON BECKY J
REGIONAL VP-OPERATIONS	5.00	55.00		$0	$323,496	$58,659		Yes (X)
PENDER DEBRA J
VP-NURSING/CNO	60.00	0.00		$203,881	$0	$11,988		Yes (X)
ABBEY KATHRYN A
VP-MISSION & ETHICS	60.00	0.00		$139,228	$0	$10,236			Yes (X)
CHAPAGAIN BIKASH
REGISTERED NURSE TFP I	60.00	0.00		$180,156	$0	$3,237			Yes (X)
GLENN MARK P
DIRECTOR, PHARMACY SERVICES	60.00	0.00		$148,376	$0	$8,845			Yes (X)
HARMON LARRY D
INFORMATICS PHARMACIST	60.00	0.00		$150,268	$0	$29,753			Yes (X)
RIDLEY KAREN R
CHARGE RN II	60.00	0.00		$142,387	$0	$16,803			Yes (X)
JOBE RANDY
FORMER OFFICER	0.00	0.00		$0	$223,200	$16,120				Yes (X)
VITIELLO JONATHAN
FORMER OFFICER	0.00	60.00		$0	$716,408	$103,683				Yes (X)
TEW DAVID
FORMER KEY EMPLOYEE	0.00	0.00		$0	$308,704	$11,700				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,267,670	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,411,050	TotReportableCompRltdOrgAmt
Total Other Compensation	$714,982	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	46	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
NABHOLZ CONSTRUCTION
PO BOX 2090	CONWAY	AR	72033	CONSTRUCTION SERVICES - GEROPSYCHIATRIC	$2,562,628
ARDMORE ANESTHESIA INC
PO BOX 1983	ARDMORE	OK	73402	MEDICAL SERVICES	$1,177,527
JE DUNN CONSTRUCTION
929 HOLMES	KANSAS CITY	MO	64106	CONSTRUCTION SERVICES - SPRINKLER INSTAL	$1,128,375
GREAT PLAINS ANESTHESIA PLLC
1012 14TH AVE NW	ARDMORE	OK	73401	MEDICAL SERVICES	$895,758
AMN HEALTHCARE
12400 HIGH BLUFF DR	SAN DIEGO	CA	92130	STAFFING SERVICES	$589,198

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	20	CntrctRcvdGreaterThan100KCnt
Related Organizations	$446,914	RelatedOrganizationsAmt
Government Grants	$8,603	GovernmentGrantsAmt
Total Contributions	$455,517	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	622110	$151,648,876	$151,648,876
LABORATORY SERVICE	621500	$42,529		$42,529
JOINT VENTURE INCOME	900099	-$53,202	-$53,202

Field	Value	IRS element (for citing)
Total Program Service Revenue	$151,638,203	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,386	TotalRevenueColumnAmt
Exclusion	$2,386	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$81,047	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$81,047	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$81,047	TotalRevenueColumnAmt
Exclusion	$81,047	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA	722210	$591,531	$591,531
PHARMACY REVENUE	622110	$298,242		$298,242

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,063,508	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,063,508	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,953,281	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$155,130,434	TotalRevenueColumnAmt
Related Or Exempt Func Income	$153,957,424	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$42,529	UnrelatedBusinessRevenueAmt
Exclusion	$674,964	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$635,001	TotalAmt
Program Services	$635,001	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$68,000	TotalAmt
Program Services	$68,000	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$501,955	TotalAmt
Management And General	$501,955	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$92,278	TotalAmt
Management And General	$92,278	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$49,862,655	TotalAmt
Program Services	$44,631,503	ProgramServicesAmt
Management And General	$5,231,152	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,194,326	TotalAmt
Program Services	$1,946,553	ProgramServicesAmt
Management And General	$247,773	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$5,689,040	TotalAmt
Program Services	$5,017,765	ProgramServicesAmt
Management And General	$671,275	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,210,428	TotalAmt
Program Services	$2,821,966	ProgramServicesAmt
Management And General	$388,462	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$34,384	TotalAmt
Management And General	$34,384	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$505	TotalAmt
Management And General	$505	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$5,084,808	TotalAmt
Program Services	$2,925,547	ProgramServicesAmt
Management And General	$2,159,261	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$39,534	TotalAmt
Program Services	$22,746	ProgramServicesAmt
Management And General	$16,788	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,489,097	TotalAmt
Program Services	$2,007,454	ProgramServicesAmt
Management And General	$1,481,643	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$165,611	TotalAmt
Program Services	$165,586	ProgramServicesAmt
Management And General	$25	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,406,436	TotalAmt
Program Services	$1,384,544	ProgramServicesAmt
Management And General	$1,021,892	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$143,223	TotalAmt
Program Services	$109,910	ProgramServicesAmt
Management And General	$33,313	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$35	TotalAmt
Management And General	$35	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$6,909,102	TotalAmt
Program Services	$2,466,443	ProgramServicesAmt
Management And General	$4,442,659	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$888,249	TotalAmt
Program Services	$244,920	ProgramServicesAmt
Management And General	$643,329	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
DRUGS & MEDICAL EXPENSE	$28,765,699	$28,769,269	-$3,570
SHARED SERVICE FEES	$23,492,560	$12,216,131	$11,276,429
BAD DEBTS	$12,540,275	$12,540,275
REPAIRS & MAINTENANCE	$1,679,305	$966,189	$713,116

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$449,962	TotalAmt
Program Services	$253,557	ProgramServicesAmt
Management And General	$196,405	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$148,342,468	TotalAmt
Program Services	$119,193,359	ProgramServicesAmt
Management And General	$29,149,109	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,170,908	BOYAmt
EOY	$3,523,503	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$5,500	BOYAmt
EOY	$550	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$15,914,727	BOYAmt
EOY	$14,327,927	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$336,337	BOYAmt
EOY	$492,634	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,871,521	BOYAmt
EOY	$3,236,038	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$128,711	BOYAmt
EOY	$59,102	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$200,248,579	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$125,908,000	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$77,432,564	BOYAmt
EOY	$74,340,579	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$40,644,531	BOYAmt
EOY	$740,481	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$140,504,799	BOYAmt
EOY	$96,720,814	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$4,629,634	BOYAmt
EOY	$4,997,640	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	-$13,808	BOYAmt
EOY	-$8,787	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$339,169	BOYAmt
EOY	$356,977	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,954,995	BOYAmt
EOY	$5,345,830	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$135,549,804	BOYAmt
EOY	$91,374,984	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$135,549,804	BOYAmt
EOY	$91,374,984	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$140,504,799	BOYAmt
EOY	$96,720,814	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$6,787,966	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$50,962,786	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$11,153	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$11,153	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	THE FILING ORGANIZATION IS A MEMBER OF AND PAYS DUES TO THE OKLAHOMA HOSPITAL ASSOCIATION, CATHOLIC HOSPITAL ASSOCIATION, AND AMERICAN HOSPITAL ASSOCIATION. FOR THE YEAR ENDED JUNE 30, 2016, DUES WERE $41,603, $19,910, AND $15,272, RESPECTIVELY. APPROXIMATELY 17.20% OF OKLAHOMA HOSPITAL ASSOCIATION DUES, 3.11% OF CATHOLIC HOSPITAL ASSOCIATION DUES, AND 22.12% OF AMERICAN HOSPITAL ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,858,514	OtherCostOrOtherBasisAmt
Book Value	$2,858,514	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$103,991,853	OtherCostOrOtherBasisAmt
Depreciation	$47,420,477	DepreciationAmt
Book Value	$56,571,376	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,073	OtherCostOrOtherBasisAmt
Depreciation	$7,788	DepreciationAmt
Book Value	$7,285	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$90,642,394	OtherCostOrOtherBasisAmt
Depreciation	$76,754,788	DepreciationAmt
Book Value	$13,887,606	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,740,745	OtherCostOrOtherBasisAmt
Depreciation	$1,724,947	DepreciationAmt
Book Value	$1,015,798	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$74,340,579	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	OTHER LONG TERM LIABILITIES	Desc
Amt	$356,977	Amt

Field	Value	IRS element (for citing)
Total Liability	$356,977	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2	FormAndLineReferenceDesc
Explanation	FEDERAL INCOME TAX PRIMARILY ALL OF THE MERCY HEALTH ENTITIES ARE RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS CHARITABLE ORGANIZATIONS QUALIFYING UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), BY VIRTUE OF IRS DETERMINATION LETTERS OR INCLUSION IN THE OFFICIAL CATHOLIC DIRECTORY. MERCY COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2016 OR 2015.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	0	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,431,560	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,431,560	NetCommunityBenefitExpnsAmt
Total Expense	0.06950	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,547,071	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,031,364	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,515,707	NetCommunityBenefitExpnsAmt
Total Expense	0.02590	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$27,978,631	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,031,364	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,947,267	NetCommunityBenefitExpnsAmt
Total Expense	0.09540	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$188,090	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$188,090	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$801,004	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,290	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$791,714	NetCommunityBenefitExpnsAmt
Total Expense	0.00580	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$183,654	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$183,654	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$160,590	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$160,590	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,333,338	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,290	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,324,048	NetCommunityBenefitExpnsAmt
Total Expense	0.00980	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$29,311,969	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,040,654	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,271,315	NetCommunityBenefitExpnsAmt
Total Expense	0.10520	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$75,149	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$75,149	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,187	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,187	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$59,452	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$59,452	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$139,788	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$139,788	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$3,408,447	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$62,904,010	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$60,325,831	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$2,578,179	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.MERCY.NET/ABOUT/COMMUNITY-BENEFITS	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.MERCY.NET/ABOUT/COMMUNITY-BENEFITS	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.MERCY.NET	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.MERCY.NET	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.MERCY.NET	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
MERCY HOSPITAL ARDMORE	PART V, SECTION B, LINE 5: WHEN CONDUCTING ITS MOST RECENT CHNA MERCY HOSPITAL, ARDMORE WORKED CLOSELY WITH THE FOLLOWING:- CARTER COUNTY/COUNTY HEALTH DEPARTMENT, MENDY SPOHN, DIRECTOR- 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/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: THE STRUCTURE OF THIS CHIP REVOLVES AROUND THE KEY STRATEGIES OF EDUCATION, PREVENTION, AND COLLABORATION. THE HEALTH NEEDS THAT HAVE BEEN PRIORITIZED IN THIS CHIP ARE:CHRONIC LOWER RESPIRATORY DISEASE: AWARENESS/EDUCATION/EARLY DETECTION/TREATMENTS- COLLABORATE WITH LOCAL COMMUNITY AND BUSINESS LEADERS TO PROMOTE CLRD EDUCATION AND AWARENESS, PARTNER WITH COMMUNITY MEMBERS TO CREATE A COMMUNITY CLRD RESOURCE GUIDE AND MAKE AVAILABLE TO THE PUBLIC, PROVIDE FREE SCREENINGS AT LOCAL EVENTS TO INCREASE EARLY DETECTION OF CLRD.- EXPAND THE PULMONARY REHAB TREATMENT PROGRAM AND PROVIDE SUPPORT AND EDUCATION TO CLRD PATIENTS AND CAREGIVERS. - DECREASE RATE OF CLRD READMISSIONS WITH A FOCUS ON COPD.DIABETES: AWARENESS/PREVENTION/TREATMENT/MANAGEMENT- OKLAHOMA DIABETES CAUCUS: CONTINUED ENGAGEMENT TO ADDRESS THE AWARENESS OF DIABETES MANAGEMENT AND CONTROL, AND PREVENTION OF DIABETES DEVELOPMENT.- PARTICIPATE IN EVENTS TO PROVIDE DIABETES RESOURCES AND/OR EDUCATION- ESTABLISH A DIABETES PREVENTION PROGRAM AVAILABLE TO THE COMMUNITY. WE ARE FIRST WORKING WITH CO-WORKERS WITH THE HOPES OF GAINING RECOGNITION SO THAT WE CAN PROVIDE THE PROGRAM TO THE COMMUNITY. - IMPROVE DIABETES PATIENT CARE MANAGEMENT WITHIN MERCY AND PARTNERING PATIENT CARE LOCATIONS. BEHAVIORAL HEALTH: COLLABORATE/AWARENESS/PREVENTION/SERVICE- MERCY HOSPITAL, ARDMORE IS A MEMBER OF THE ARDMORE BEHAVIORAL HEALTH COLLABORATIVE WHICH IS FOCUSED ON IMPROVING BEHAVIORAL HEALTH AWARENESS, PREVENTION, SERVICES AND OVERALL OUTCOMES IN CARTER COUNTY.- DETERMINED AREAS OF IMPROVEMENT WITHIN MERCY FOR THE DELIVERY OF TRAUMA-INFORMED CARE, ESTABLISHED A CORE TEAM TO ADDRESS TIC.- WORKING WITH THE NATIONAL COUNCIL ON BEHAVIORAL HEALTH TO IMPLEMENT CHANGES BASED ON OUR ORGANIZATIONAL SELF-ASSESSMENT.- PROVIDING TRAUMA-INFORMED CARE TRAINING TO OUR MERCY CO-WORKERS. FIRST WITH OUR FRONTLINE CO-WORKERS AND THEN SPREADING IT THROUGHOUT THE HOSPITAL. PLEASE REFER TO THE COMMUNITY HEALTH NEEDS ASSESSMENT WHICH CAN BE FOUND AT: WWW/MERCY.NET/COMMUNITY-BENEFITS
MERCY HOSPITAL ARDMORE	PART V, SECTION B, LINE 22D: ELIGIBILITY GUIDELINES FOR CHARITY CARE DISCOUNTS THE FEDERAL POVERTY GUIDELINES FOR INCOME ARE THE BASIS FOR DETERMINING ELIGIBILITY FOR CHARITY CARE DISCOUNTS. FOR EXAMPLE, INDIVIDUALS WITH INCOMES BELOW 100% OF THE FEDERAL POVERTY GUIDELINES WILL BE ELIGIBLE FOR FREE CARE. INDIVIDUALS WITH INCOMES GREATER THAN 100% OF THE FEDERAL POVERTY GUIDELINES MAY BE ELIGIBLE FOR CARE AT DISCOUNTED RATES DEPENDING ON THEIR INCOME LEVEL AND/OR THE AMOUNT DUE TO THE HOSPITAL. TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE, THE HOSPITAL FACILITY USES AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE. THE HOSPITAL USES A LOOK BACK METHOD THAT CONSIDERS DISCOUNTS ALLOWED TO MEDICARE AND ALL PRIVATE HEALTH INSURERS.ADDITIONAL FINANCIAL ASSISTANCE AFTER APPROPRIATE DISCOUNTS HAVE BEEN APPLIED, ARRANGEMENTS MAY BE MADE FOR AN INTEREST-FREE MONTHLY PAYMENT PLAN. GENERALLY, NO PATIENT'S FINANCIAL RESPONSIBILITY WILL BE GREATER THAN 20% OF ANNUAL HOUSEHOLD INCOME. IT IS OUR GOAL TO WORK WITH OUR PATIENTS ON THEIR REMAINING LIABILITY.

Field	Value	IRS element (for citing)
Facility	6	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

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

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7G:	SUBSIDIZED HEALTH SERVICESTHE ORGANIZATION DID NOT INCLUDE ANY PHYSICIAN CLINIC COSTS ON LINE 7G.
PART I, LN 7 COL(F):	TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) ARE $148,342,468. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $12,540,275. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $3,408,447.
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:	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. SOME OF THE COMMUNITY BUILDING ACTIVITIES IN WHICH MHARD SERVES 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 SERVED OVER 400 PATIENTS IN 2015, WITH 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 EMPLOYEES 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 OF BEING RECOGNIZED AS A DIABETES PREVENTION PROGRAM. MHARD HAS TWO DIABETES EDUCATORS WHO HAVE SUCCESSFULLY COMPLETED LIFE COACH TRAINING. - TWO COWORKERS GRADUATED FROM THE MERCY HOSPITAL ARDMORE MEDICAL LABORATORY SCIENCE PROGRAM. THE SCHOOL IS ONE OF ONLY FOUR IN THE STATE OF OKLAHOMA PROVIDING THE FINAL CLINICAL YEAR OF EDUCATION FOR A BACHELOR OF SCIENCE DEGREE. - 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 ASSOCIATION
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; KNOWN AS PRESUMPTIVE CHARITY. 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/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, IN ADDITION TO THE WEB ADDRESS PROVIDING THE APPLICATION, POLICIES, AND EVEN HOW UNINSURED ACCOUNTS ARE HANDLED. LASTLY, THE STATEMENTS MESSAGE 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 2016 SG2 ANALYTICS DATA AND SG2 INSURANCE COVERAGE ESTIMATES. THE AREA'S POPULATION IS 107,078. 26% OF THE POPULATION'S AVERAGE HOUSEHOLD INCOME IS OVER $75,000. 44% OF THE POPULATION IS 45 AND OLDER. 29% OF THE HOUSEHOLDS IS ON MEDICARE, 16% ON MEDICAID, AND 11% 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 LIFE TO THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE." AS OF JUNE 30, 2016, MERCY FACILITIES INCLUDED 33 ACUTE CARE HOSPITALS, 3 MANAGED HOSPITALS, 4 HEART HOSPITALS, 2 CHILDREN'S HOSPITALS, 2 ORTHOPEDIC HOSPITALS AND 3 REHAB HOSPITALS. FOR THE FISCAL YEAR ENDED JUNE 30, 2016, MERCY HAD MORE THAN 9.2 MILLION OUTPATIENT AND PHYSICIAN OFFICE VISITS, APPROXIMATELY 2,100 EMPLOYED PHYSICIANS, AND APPROXIMATELY 40,000 FULL-TIME EQUIVALENT EMPLOYEES, MAKING MERCY THE FIFTH 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 TREASURY, INFORMATION TECHNOLOGY, CLINICAL QUALITY MANAGEMENT, LEGAL AND COMPLIANCE COUNSEL, COMPENSATION AND BENEFITS, CONSULTING, PERFORMANCE MANAGEMENT, REVENUE MANAGEMENT, INTERNAL AUDIT, ACCOUNTING AND REPORTING, CAPITAL MANAGEMENT, CLINICAL ENGINEERING, AND CLINICAL SAFETY. 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

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

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVE	DALLAS	TX	75231	135613797	501(C)(3)	$8,000	CHARITABLE SUPPORT
MERCY HEALTH FOUNDATION ARDMORE
1011 14TH AVENUE NW	ARDMORE	OK	73401	710962525	501(C)(3)	$474,596	GENERAL SUPPORT
MERCY HEALTH FOUNDATION OF OKLAHOMA
4300 W MEMORIAL ROAD	OKLAHOMA CITY	OK	73120	454732301	501(C)(3)	$131,572	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	TUITIONS SCHOLARSHIPS	GrantTypeTxt
Recipient	15	RecipientCnt
Cash Grant	$68,000	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ROTHER MD JEFFREY
PHYSICIAN & BOARD MEMBER	$0	$504,475	$0	$50,267	$0	$29,467	$0	$10,494	$0	$18,891	$0	$613,594	$0	$0
SMALLEY DIANA L
PRESIDENT, WEST COMMUNITIES	$0	$544,835	$0	$241,632	$0	$8,899	$0	$85,731	$0	$19,231	$0	$900,328	$0	$0
VOSS DARYLE
PRESIDENT, MERCY HOSPITAL ARDMORE	$0	$298,147	$0	$137,736	$0	$1,552	$0	$141,831	$0	$18,593	$0	$597,859	$0	$0
RAJU GARY
CHIEF FINANCIAL OFFICER	$0	$198,469	$0	$44,196	$0	$75,969	$0	$9,898	$0	$4,309	$0	$332,841	$0	$0
CARMICHAEL CINDY
CHIEF OPERATING OFFICER	$217,026	$0	$79,828	$0	$6,520	$0	$11,979	$0	$7,819	$0	$323,172	$0	$0	$0
GARBER MARY
VP-FINANCE	$0	$148,607	$0	$30,985	$0	$17,156	$0	$7,861	$0	$1,479	$0	$206,088	$0	$0
LE BICH-VI
REGIONAL VP-GENERAL COUNSEL	$0	$188,135	$0	$50,580	$0	$27,079	$0	$38,260	$0	$17,794	$0	$321,848	$0	$0
MINNIS KEITH
REGIONAL VP-HR	$0	$173,079	$0	$46,842	$0	$21,135	$0	$32,158	$0	$17,630	$0	$290,844	$0	$0
PAYTON BECKY J
REGIONAL VP-OPERATIONS	$0	$233,237	$0	$61,975	$0	$28,284	$0	$44,676	$0	$13,983	$0	$382,155	$0	$0
PENDER DEBRA J
VP-NURSING/CNO	$152,155	$0	$32,236	$0	$19,490	$0	$9,505	$0	$2,483	$0	$215,869	$0	$0	$0
CHAPAGAIN BIKASH
REGISTERED NURSE TFP I	$174,628	$0	$40	$0	$5,488	$0	$956	$0	$2,281	$0	$183,393	$0	$0	$0
GLENN MARK P
DIRECTOR, PHARMACY SERVICES	$120,485	$0	$9,069	$0	$18,822	$0	$6,625	$0	$2,220	$0	$157,221	$0	$0	$0
HARMON LARRY D
INFORMATICS PHARMACIST	$106,853	$0	$40	$0	$43,375	$0	$22,813	$0	$6,940	$0	$180,021	$0	$0	$0
RIDLEY KAREN R
CHARGE RN II	$135,795	$0	$40	$0	$6,552	$0	$10,059	$0	$6,744	$0	$159,190	$0	$0	$0
JOBE RANDY
FORMER OFFICER	$0	$74,711	$0	$30,589	$0	$117,900	$0	$7,203	$0	$8,917	$0	$239,320	$0	$0
VITIELLO JONATHAN
FORMER OFFICER	$0	$420,946	$0	$233,293	$0	$62,169	$0	$84,728	$0	$18,955	$0	$820,091	$0	$0
TEW DAVID
FORMER KEY EMPLOYEE	$0	$0	$0	$0	$0	$308,704	$0	$11,700	$0	$0	$0	$320,404	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	CHARTER TRAVEL IS PROVIDED TO CERTAIN EMPLOYEES AS AND WHEN APPROPRIATE, AND AS DEEMED NECESSARY FOR BUSINESS TRAVEL. AFTER CHARTER TRAVEL APPROVAL HAS BEEN GRANTED IN ACCORDANCE WITH THE FINANCIAL JUSTIFICATION PROCESS, THE APPROVED CHARTER TRAVEL FOR BUSINESS IS A REIMBURSABLE EXPENSE WHICH IS NOT TAXABLE TO THE EMPLOYEES. TRAVEL FOR COMPANIONS FOR NONBUSINESS REASONS IS PROVIDED IN CERTAIN INSTANCES AND IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. WHERE COMPANION TRAVEL HAS RESULTED IN A TAXABLE EVENT, THE EMPLOYEES ARE TAXED FOR SUCH TRAVEL. LIMITED INSTANCES OF TAX GROSS-UPS MAY HAVE OCCURRED WITH RESPECT TO EXECUTIVES. 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, LINES 4A-B	DAVID TEW RECEIVED $308,704 OF SEVERANCE COMPENSATION FROM A RELATED ORGANIZATION. RANDY JOBE RECEIVED $80,779 OF SEVERANCE COMPENSATION FROM A RELATED ORGANIZATION. PART I, LINE 4B: MERCY HEALTH, THE PARENT COMPANY, OFFERS SUPPLEMENTAL RETIREMENT PLANS 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 PLANS ARE CLOSED TO NEW ENTRANTS. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL MANAGEMENT RETIREMENT PLAN: JONATHAN VITIELLO; BICH-VI LE; BECKY PAYTON; DAVID TEW THE INDIVIDUALS LISTED ABOVE DID NOT RECEIVE PAYMENTS FROM THE SUPPLEMENTAL MANAGEMENT RETIREMENT PLAN DURING THE YEAR FROM THE FILING ORGANIZATION OR RELATED ORGANIZATIONS. THE FOLLOWING INDIVIDUAL PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN: DIANA SMALLEY (DC); DARYLE VOSS (DC) THE INDIVIDUAL LISTED ABOVE DID NOT RECEIVE PAYMENTS FROM THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN DURING THE YEAR FROM THE FILING ORGANIZATION OR RELATED ORGANIZATIONS. THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C).
PART I, LINE 3	THE FILING ORGANIZATION RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTION 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
KALEIGH PENDER
FAMILY MEMBER OF DEBRA PENDER, KEY EMPLOYEE	$75,942	EMPLOYMENT ARRANGEMENT	0
MELVIN ROBERTSON
FAMILY MEMBER OF MARY GARBER, KEY EMPLOYEE	$16,336	EMPLOYMENT ARRANGEMENT	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	MERCY HEALTH OKLAHOMA COMMUNITIES IS THE SOLE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A	MERCY HEALTH OKLAHOMA COMMUNITIES (THE MEMBER) MAY APPOINT OR REMOVE MEMBERS OF THE BOARD OF DIRECTORS AT ANY TIME AT THE MEMBER'S DISCRETION.
FORM 990, PART VI, SECTION A, LINE 7B	MERCY HEALTH OKLAHOMA COMMUNITIES HAS THE FOLLOWING POWERS AND RESPONSIBILITIES: -TO APPROVE THE MISSION AND ESTABLISH THE PHILOSOPHY ACCORDING TO WHICH THE CORPORATION SHALL OPERATE; -TO AMEND AND APPROVE THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION AND TO AMEND AND APPROVE THE ARTICLES OF INCORPORATION AND BYLAWS OF ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO APPOINT AND REMOVE THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION; -TO APPROVE OR AMEND THE STRATEGIC PLAN, GOALS AND OBJECTIVES OF THE CORPORATION; -TO APPROVE OR AMEND THE OPERATING, CAPITAL, AND CONSTRUCTION BUDGETS FOR THE CORPORATION; -TO LEASE OR SELL ANY OF THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION IN EXCESS OF ONE MILLION DOLLARS ($1,000,000); -TO ENCUMBER ANY OR ALL OF THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO AUTHORIZE AND APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTY ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; -TO MERGE, DISSOLVE, OR ABANDON THE CORPORATION; AND, -TO APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION BY THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11	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, INCLUDING THE MANAGER OF ACCOUNTING AND THE VICE-PRESIDENT OF FINANCE. 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, 2016. THIS PROCESS IS ADMINISTERED AT THE MERCY HEALTH LEVEL BY MERCY'S BUSINESS RISK (INTERNAL AUDIT) 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 (FORMERLY FINANCE, AUDIT AND COMPLIANCE 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:	INCOME FROM JOINT VENTURE 53,202. UNRESTRICTED DONATED PROPERTY 219,509. NET TRANSFERS TO/FROM AFFILATES -51,235,495. ROUNDING -2.
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 2016 (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 (FORMERLY FINANCE, AUDIT, AND COMPLIANCE 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 MERCY HEALTH (MERCY) HAS MANY LEGAL ENTITIES WITHIN ITS STRUCTURE. LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY AND THE MAJORITY OF THE INTERCOMPANY/RELATED ORGANIZATION TRANSACTIONS ARE PROCESSED THROUGH LAWSON. WITH THE CURRENT DESIGN OF THE ERP SYSTEM, THERE ARE VARIOUS LIMITATIONS ON EXTRACTING THE RELATED ORGANIZATION INFORMATION FROM LAWSON. DUE TO THESE LIMITATIONS, MOST OF THE RELATED ORGANIZATION ACTIVITY FOR THE FILING ORGANIZATION HAS BEEN CLASSIFIED ON SCHEDULE R, PART V, IN LINES P AND Q AND THE INFORMATION INCLUDES RELATED PARTY TRANSACTIONS FOR ALL OF MERCY, RATHER THAN ONLY THE FILING ENTITY.
FORM 990, PART V, LINE 1A	INDEPENDENT CONTRACTORS INDEPENDENT CONTRACTORS FOR THE FILING ORGANIZATION ARE PAID BY MERCY HEALTH (EIN 43-1423050). AS SUCH, ALL REQUIRED FORM 1099 AND FORM 1096 REPORTING IS MADE FOR THE ENTIRE HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (71 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
CASA DE MISERICORDIA
1602 MCCLELLAND STREET	LAREDO	TX	78044	742912461	WOMEN'S DOMESTIC VIOLENCE SHELTER	TX	501C3	7	MERCY MINISTRIES OF LAREDO	Yes (1)
JEFFERSON LAND COMPANY INC
14528 S OUTER FORTY ST 100	CHESTERFIELD	MO	63017	431330360	HOLDING COMPANY	MO	501C2		MERCY HOSPITAL JEFFERSON	Yes (1)
MCAULEY PORTFOLIO MGMT CO
14528 S OUTER FORTY ST 100	CHESTERFIELD	MO	63017	261708048	PORTFOLIO MANAGEMENT	MO	501C3	11-II	MERCY HEALTH	Yes (1)
MERCY ACO CLINICAL SERVICES INC
14528 S OUTER FORTY ST 100	CHESTERFIELD	MO	63017	464504901	VIRTUAL CARE CENTER	MO	501C3	3	MERCY HEALTH	Yes (1)
MERCY CLINIC EAST COMMUNITIES
645 MARYVILLE CTR DR STE 100	ST LOUIS	MO	63141	431771217	PHYSICIAN GROUP	MO	501C3	9	MERCY HEALTH EAST COMMUNITIES	Yes (1)
MERCY CLINIC FORT SMITH COMM
7301 ROGERS AVENUE	FORT SMITH	AR	72917	261318597	PHYSICIAN CLINIC	AR	501C3	9	MERCY HEALTH FORT SMITH COMM	Yes (1)
MERCY CLINIC OKLAHOMA COMM
4300 W MEMORIAL ROAD	OKLAHOMA CITY	OK	73120	270473057	PHYSICIAN GROUP	OK	501C3	3	MERCY HEALTH OK COMMUNITIES	Yes (1)
MERCY CLINIC SPRINGFIELD COMM
1965 FREMONT STREET SUITE 2950	SPRINGFIELD	MO	65804	431560263	PHYSICIAN GROUP	MO	501C3	3	MERCY HEALTH SPRINGFIELD COMM	Yes (1)
MERCY FAMILY CENTER
14528 S OUTER FORTY ST 100	CHESTERFIELD	MO	63017	721069468	FAMILY COUNSELING SERVICES	MO	501C3	7	MERCY HEALTH	Yes (1)
MERCY HEALTH FOUNDATION
14528 S OUTER FORTY ST 100	CHESTERFIELD	MO	63017	200901499	FOUNDATION	MO	501C3	11-II	MERCY HEALTH	Yes (1)
MERCY HEALTH
14528 S OUTER FORTY ST 100	CHESTERFIELD	MO	63017	431423050	CORPORATE OFFICE	MO	501C3	1		0	N/A
MERCY HEALTH EAST COMMUNITIES
645 MARYVILLE CTR DR STE 100	ST LOUIS	MO	63141	431718408	HEALTH SYSTEM	MO	501C3	11-II	MERCY HEALTH	Yes (1)
MERCY HEALTH EAST COMMUNITIES - SR
645 MARYVILLE CTR DR STE 100	ST LOUIS	MO	63141	461412322	HEALTH SYSTEM	MO	501C3	11-II	MERCY HEALTH EAST COMMUNITIES	Yes (1)
MERCY HEALTH FORT SMITH COMM
7301 ROGERS AVENUE	FORT SMITH	AR	72917	261318515	HOLDING COMPANY	AR	501C3	11-II	MERCY HEALTH	Yes (1)
MERCY HEALTH FOUNDATION ADA
430 N MONTE VISTA STREET	ADA	OK	74820	463596274	FOUNDATION	OK	501C3	11-I	MERCY HOSPITAL ADA	Yes (1)
MERCY HEALTH FOUNDATION ARDMORE
1011 14TH AVENUE NW	ARDMORE	OK	73401	710962525	FOUNDATION	OK	501C3	11-I	MERCY HOSPITAL ARDMORE	Yes (1)
MERCY HEALTH FOUNDATION BERRYVILLE
214 CARTER STREET	BERRYVILLE	AR	72616	710759301	FOUNDATION	AR	501C3	11-I	MERCY HOSPITAL BERRYVILLE	Yes (1)
MERCY HEALTH FOUNDATION FT SCOTT
401 WOODLAND HILLS BLVD	FORT SCOTT	KS	66701	481077073	FOUNDATION	KS	501C3	11-III	MERCY KANSAS COMMUNITIES INC	Yes (1)
MERCY HEALTH FOUNDATION HOT SPRINGS
300 WERNER STREET	HOT SPRINGS	AR	71913	710804718	FOUNDATION	AR	501C3	11-II	MISSION CLINICAL SERVICES	Yes (1)
MERCY HEALTH FOUNDATION INDEPENDENCE
800 W MYRTLE	INDEPENDENCE	KS	67301	481079981	FOUNDATION	KS	501C3	11-I	MERCY KANSAS COMMUNITIES INC	Yes (1)
MERCY HEALTH FOUNDATION JEFFERSON
1400 US HIGHWAY 61 SOUTH	FESTUS	MO	63028	462797051	FOUNDATION	MO	501C3	11-II	MERCY HEALTH EAST COMMUNITIES - SR	Yes (1)
MERCY HEALTH FOUNDATION JOPLIN
100 MERCY WAY	JOPLIN	MO	64804	270906136	FOUNDATION	MO	501C3	11-I	MERCY HEALTH SW MOKS COMM	Yes (1)
MERCY HEALTH FOUNDATION LINCOLN
1000 EAST CHERRY STREET	TROY	MO	63379	811477159	FOUNDATION	MO	501C3	11-II	MERCY HEALTH EAST COMMUNITIES	Yes (1)
MERCY HEALTH FOUNDATION NW ARK
2710 RIFE MEDICAL LN	ROGERS	AR	72858	710601687	FOUNDATION	AR	501C3	11-III	MERCY HOSPITAL ROGERS	Yes (1)
MERCY HEALTH FOUNDATION OF OK
4300 W MEMORIAL ROAD	OKLAHOMA CITY	OK	73120	454732301	FOUNDATION	OK	501C3	11-I	MERCY HEALTH OK COMMUNITIES	Yes (1)
MERCY HEALTH FOUNDATION OK CITY
4300 W MEMORIAL ROAD	OKLAHOMA CITY	OK	73120	463184231	FOUNDATION	OK	501C3	11-I	MERCY HEALTH OK COMMUNITIES	Yes (1)
MERCY HEALTH FOUNDATION SPRINGFIELD
1235 E CHEROKEE STREET	SPRINGFIELD	MO	65804	320195818	FOUNDATION	MO	501C3	11-II	MERCY HEALTH SPRINGFIELD COMM	Yes (1)
MERCY HEALTH FOUNDATION STL
615 SOUTH NEW BALLAS ROAD	ST LOUIS	MO	63141	562410020	FOUNDATION	MO	501C3	11-II	MERCY HEALTH EAST COMMUNITIES	Yes (1)
MERCY HEALTH FOUNDATION WASHINGTON
901 E FIFTH STREET	WASHINGTON	MO	63090	562410022	FOUNDATION	MO	501C3	11-II	MERCY HEALTH EAST COMMUNITIES	Yes (1)
MERCY HEALTH NW ARK COMMUNITIES
2710 RIFE MEDICAL LN	ROGERS	AR	72758	621684203	PHYSICIAN GROUP	AR	501C3	11-II	MERCY HEALTH	Yes (1)
MERCY HEALTH OK COMMUNITIES
4300 W MEMORIAL ROAD	OKLAHOMA CITY	OK	73120	731453048	HEALTH SYSTEM	OK	501C3	11-II	MERCY HEALTH	Yes (1)
MERCY HEALTH PLANS OF MISSOURIINC
3265 S NATIONAL AVENUE	SPRINGFIELD	MO	65807	320481419	HMO	MO	501C4		MERCY HEALTH	Yes (1)
MERCY HEALTH PLANSINC
3265 S NATIONAL AVENUE	SPRINGFIELD	MO	65807	320486150	PPO	MO	501C4		MERCY HEALTH PLANS OF MISSOURIINC	Yes (1)
MERCY HEALTH SW MOKS COMM
100 MERCY WAY	JOPLIN	MO	64804	300584463	HEALTH SYSTEM	MO	501C3	11-II	MERCY HEALTH	Yes (1)
MERCY HEALTH SPRINGFIELD COMM
1235 E CHEROKEE STREET	SPRINGFIELD	MO	65804	431856028	HEALTH SYSTEM	MO	501C3	11-II	MERCY HEALTH	Yes (1)
MERCY HOME HEALTH BERRYVILLE
804 W FREEMAN SUITE 4	BERRYVILLE	AR	72616	870781247	HOME HEALTH AND HOSPICE OPERATIONS	AR	501C3	11-III	MERCY HOSPITAL SPRINGFIELD	Yes (1)
MERCY HOSPITAL ADA INC
430 N MONTE VISTA STREET	ADA	OK	74820	462288155	HOSPITAL	OK	501C3	3	MERCY HEALTH OK COMMUNITIES	Yes (1)
MERCY HOSPITAL AURORA
500 PORTER AVENUE	AURORA	MO	65605	431936696	HOSPITAL	MO	501C3	3	MERCY HEALTH SPRINGFIELD COMM	Yes (1)
MERCY HOSPITAL BERRYVILLE
214 CARTER STREET	BERRYVILLE	AR	72616	710759299	HOSPITAL	AR	501C3	3	MERCY HEALTH SPRINGFIELD COMM	Yes (1)
MERCY HOSPITAL BOONEVILLE
880 WEST MAIN STREET	BOONEVILLE	AR	72927	463851119	HOSPITAL	AR	501C3	3	MERCY HOSPITAL FORT SMITH	Yes (1)
MERCY HOSPITAL CARTHAGE
3125 DR RUSSELL SMITH WAY	CARTHAGE	MO	64836	453808607	HOSPITAL	MO	501C3	3	MERCY HEALTH SW MOKS COMM	Yes (1)
MERCY HOSPITAL CASSVILLE
94 MAIN STREET	CASSVILLE	MO	65625	431936699	HOSPITAL	MO	501C3	3	MERCY HEALTH SPRINGFIELD COMM	Yes (1)
MERCY HOSPITAL COLUMBUS
220 PENNSYLVANIA AVENUE	COLUMBUS	KS	66725	270842031	HOSPITAL	MO	501C3	3	MERCY HEALTH SW MOKS COMM	Yes (1)
MERCY HOSPITAL EL RENO
2115 PARKVIEW DRIVE	EL RENO	OK	73036	272716065	HOSPITAL	OK	501C3	3	MERCY HOSPITAL OKLAHOMA CITY	Yes (1)
MERCY HOSPITAL FORT SMITH
7301 ROGERS AVENUE	FORT SMITH	AR	72917	710240352	HOSPITAL	AR	501C3	3	MERCY HEALTH FORT SMITH COMM	Yes (1)
MERCY HOSPITAL HEALDTON INC
3462 HOSPITAL RD	HEALDTON	OK	73438	263173902	HOSPITAL	OK	501C3	3	MERCY HOSPITAL ARDMORE INC	Yes (1)
MERCY HOSPITAL JEFFERSON
1400 HIGHWAY 61 SOUTH	FESTUS	MO	63028	430687077	HOSPITAL	MO	501C3	3	MERCY HEALTH EAST COMMUNITIES - SR	Yes (1)
MERCY HOSPITAL JOPLIN
100 MERCY WAY	JOPLIN	MO	64804	270814858	HOSPITAL	MO	501C3	3	MERCY HEALTH SW MOKS COMM	Yes (1)
MERCY HOSPITAL KINGFISHER INC
1000 HOSPITAL CIRCLE	KINGFISHER	OK	73750	463433074	HOSPITAL	OK	501C3	3	MERCY HOSPITAL OKLAHOMA CITY	Yes (1)
MERCY HOSPITAL LEBANON
100 HOSPITAL DRIVE	LEBANON	MO	65536	431767432	HOSPITAL	MO	501C3	3	MERCY HEALTH SPRINGFIELD COMM	Yes (1)
MERCY HOSPITAL LINCOLN
1000 EAST CHERRY STREET	TROY	MO	63379	472219204	HOSPITAL	MO	501C3	3	MERCY HEALTH EAST COMMUNITIES	Yes (1)
MERCY HOSPITAL LOGAN COUNTY INC
200 SOUTH ACADEMY	GUTHRIE	OK	73044	452998842	HOSPITAL	OK	501C3	3	MERCY HOSPITAL OKLAHOMA CITY	Yes (1)
MERCY HOSPITAL OKLAHOMA CITY
4300 W MEMORIAL ROAD	OKLAHOMA CITY	OK	73120	730579285	HOSPITAL	OK	501C3	3	MERCY HEALTH OK COMMUNITIES	Yes (1)
MERCY HOSPITAL OZARK
801 W RIVER STREET	OZARK	AR	72949	710689680	HOSPITAL	AR	501C3	3	MERCY HOSPITAL FORT SMITH	Yes (1)
MERCY HOSPITAL PARIS
500 E ACADEMY	PARIS	AR	72855	710655753	HOSPITAL	AR	501C3	3	MERCY HOSPITAL FORT SMITH	Yes (1)
MERCY HOSPITAL ROGERS
2710 RIFE MEDICAL LN	ROGERS	AR	72758	710294390	HOSPITAL	AR	501C3	3	MERCY HEALTH NW ARK COMMUNITIES	Yes (1)
MERCY HOSPITAL SPRINGFIELD
1235 E CHEROKEE STREET	SPRINGFIELD	MO	65804	440552485	HOSPITAL	MO	501C3	3	MERCY HEALTH SPRINGFIELD COMM	Yes (1)
MERCY HOSPITAL TISHOMINGO
1000 SOUTH BYRD	TISHOMINGO	OK	73460	274433830	HOSPITAL	OK	501C3	3	MERCY HOSPITAL ARDMORE	Yes (1)
MERCY HOSPITAL WALDRON
1341 W 6TH STREET	WALDRON	AR	72958	710557895	HOSPITAL	AR	501C3	3	MERCY HOSPITAL FORT SMITH	Yes (1)
MERCY HOSPITAL WATONGA INC
500 CLARENCE NASH BLVD	WATONGA	OK	73772	455199762	HOSPITAL	OK	501C3	3	MERCY HOSPITAL OKLAHOMA CITY	Yes (1)
MERCY HOSPITALS EAST COMM
645 MARYVILLE CTR DR STE 100	ST LOUIS	MO	63141	430653493	HOSPITAL	MO	501C3	3	MERCY HEALTH EAST COMMUNITIES	Yes (1)
MERCY KANSAS COMMUNITIES INC
401 WOODLAND HILLS BLVD	FT SCOTT	KS	66701	480956045	HOSPITAL	KS	501C3	3	MERCY HEALTH SW MOKS COMM	Yes (1)
MERCY RESEARCH
1235 E CHEROKEE STREET	SPRINGFIELD	MO	65804	870796305	RESEARCH - CLINICAL TRIALS	MO	501C3	4	MERCY HEALTH SPRINGFIELD COMM	Yes (1)
MERCY MINISTRIES OF LAREDO
2500 ZACATECAS	LAREDO	TX	78043	200198462	OUTREACH	TX	501C3	7	MERCY HEALTH	Yes (1)
MERCY ST FRANCIS HOSPITAL
100 W HIGHWAY 60	MOUNTAIN VIEW	MO	65548	440607149	HOSPITAL	MO	501C3	3	MERCY HEALTH SPRINGFIELD COMM	Yes (1)
MHM SUPPORT SERVICES
14528 S OUTER FORTY ST 100	CHESTERFIELD	MO	63017	202553101	CENTRALIZED HEALTH SYSTEM FUNCTIONS	MO	501C3	11-II	MERCY HEALTH	Yes (1)
MISSION CLINICAL SERVICES
300 WERNER STREET	HOT SPRINGS	AR	71913	134239691	CHILD ADVOCACY CENTER	AR	501C3	9	MERCY HEALTH	Yes (1)
ST EDWARD MERCY FOUNDATION
7301 ROGERS AVENUE	FORT SMITH	AR	72917	237330425	FOUNDATION	AR	501C3	7	MERCY HOSPITAL FORT SMITH	Yes (1)
ST MARYS HOSP ENID OK
14528 S OUTER FORTY ST 100	CHESTERFIELD	MO	63017	730614655	INACTIVE	OK	501C3	3	MERCY HEALTH OK COMMUNITIES	Yes (1)
THE SR M CORNELIA BLASKO FN
100 W HIGHWAY 60	MOUNTAIN VIEW	MO	65548	431873914	FOUNDATION	MO	501C3	11-I	MERCY ST FRANCIS HOSPITAL	Yes (1)
UNITY AMBULATORY CARE
14528 S OUTER FORTY ST 100	CHESTERFIELD	MO	63017	431861745	INACTIVE	MO	501C3	11-III	MERCY HEALTH EAST COMMUNITIES	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
SOUTHERN OKLAHOMA DIAG CTR LLC
1011 FOURTEENTH AVENUE NW	ARDMORE	OK	73401	431971232	MRI SERVICES - DISSOLVED 12/2015	OK	MERCY HOSPITAL ARDMORE INC	RELATED	-$53,202	0	0	0.51000
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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
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

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

Transactions Related Org TransactionsRelatedOrgGrp (16 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MERCY HEALTH FOUNDATION ARDMORE INC
B	$474,596	FMV
MERCY HEALTH FOUNDATION ARDMORE INC
C	$446,914	FMV
MERCY HEALTH FOUNDATION OF OKLAHOMA
B	$131,572	FMV
MERCY CLINIC OKLAHOMA COMMUNITIES INC
Q	$44,145,545	FMV
MERCY HEALTH
P	$88,842	FMV
MERCY HEALTH FOUNDATION OKLAHOMA
Q	$131,600	FMV
MERCY HEALTH FOUNDATION ARDMORE
Q	$170,848	FMV
MERCY HOSPITAL EL RENO INC
Q	$1,833,081	FMV
MERCY HOSPITAL TISHOMINGO INC
Q	$314,284	FMV
MERCY HOSPITAL ADA INC
Q	$2,039,925	FMV
MERCY HOSPITAL KINGFISHER INC
Q	$430,556	FMV
MERCY HOSPITAL OKLAHOMA CITY INC
P	$15,868,642	FMV
MHM SUPPORT SERVICES
P	$22,519,810	FMV
MERCY ACO CLINICAL SERVICES INC
P	$747,037	FMV
MERCY HEALTH OKLAHOMA COMMUNITIES INC
Q	$5,695,495	FMV
RESOURCE OPTIMIZATION & INNOVATION LLC
P	$4,462,321	FMV