2016-05-13T15:23:25-05:00 2015-06-30 562632458 PLEUS AND COMPANY LLC 14500 S OUTER 40 SUITE 201A CHESTERFIELD MO 63017 990 2014-07-01 730579285 MERCY HOSPITAL OKLAHOMA CITY MERC 4057523495 4300 WEST MEMORIAL ROAD OKLAHOMA CITY OK 73120 GARY RAJU CFO 4057523924 2016-05-12 1 DOUGLAS G PLEUS P00013488 3143179916 2014 2016-08-17 19:52:53Z DIANA SMALLEY 4300 WEST MEMORIAL ROAD OKLAHOMA CITY OK 73120 445902985 0 0928 X WWW.MERCY.NET/OKLAHOMACITYOK X 1992 OK TO CARRY OUT THE HEALING MINISTRY OF JESUS BY PROMOTING HEALTH AND WELLNESS THROUGH OUR COMMUNITIES, TO PROVIDE QUALITY HEALTH SERVICES THROUGH A WISE USE OF RESOURCES AND EXCEPTIONAL MERCY SERVICE. 16 13 3433 280 9253656 0 1228175 784477 416744246 439639402 2799448 2665993 1136870 1721781 421908739 444811653 1706730 1630205 0 0 134614163 145640200 0 0 0 226583986 254588451 362904879 401858856 59003860 42952797 349504168 393844379 18824016 19825051 330680152 374019328 X MERCY HOSPITAL OKLAHOMA CITY 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 OKLAHOMA CITY IMPLEMENTS AND ADVOCATES FOR INNOVATIVE HEALTH AND SOCIAL SERVICES TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF COMMUNITIES SERVED, WITH PARTICULAR CONCERN FOR PEOPLE WHO ARE ECONOMICALLY POOR.IN SERVING OTHERS WE MAKE A DIFFERENCE BY TOUCHING THEIR LIVES WITH COMPASSION AND EXCEPTIONAL MERCY SERVICE. 0 0 313401301 1630205 435889709 MERCY HOSPITAL OKLAHOMA CITY ("MERCY") PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. DURING FY2015, MERCY PROVIDED SERVICES TO 17,825 INPATIENTS, 49,669 EMERGENCY DEPARTMENT PATIENTS, AND 278,554 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 PURCHASE 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) COMMUNITY EDUCATION AND WELLNESS PROGRAMS 2) SUPPORT GROUP MEETINGS3) HEALTH FAIRS, SCREENINGS, AND FREE CLINICS 4) SUBSIDIZED HEALTH SERVICES INCLUDING HOSPICE, HOME HEALTH SERVICES, AND DISASTER READINESS, AND COMMUNITY HEALTH RESEARCH5) CASH AND IN-KIND DONATIONS FOR EVENTS AND FUND-RAISING6) COMMUNITY BUILDING ACTIVITIES, IN PARTNERSHIP WITH OTHER COMMUNITY ORGANIZATIONS7) PRE-NATAL AND WELL BABY CARE TO THE POOR 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 $27,365,000 IN FY2015.MERCY CONTINUES TO BE A STRONG LEADER AND PARTNER IN COMMUNITY COLLABORATIONS IN OKLAHOMA. THESE INCLUDE HEALTH EDUCATION PROGRAMS/CLASSES, SUPPORT GROUPS, CLINICAL SERVICES, IN-KIND DONATIONS, CONFERENCES, AND MANY COMMUNITY BUILDING ACTIVITIES. SOME OF THE HIGHLIGHTS INCLUDE "PROJECT EARLY DETECTION" WHICH PROVIDES BREAST HEALTH SERVICES FOR UNINSURED WOMEN AND "DIABETES WELLNESS PROJECT" WHICH SERVES DIABETIC CLIENTS WHO ATTEND A FREE CLINIC. THIS PROJECT OFFERS DIABETES EDUCATION, FOOT CARE, BLOOD GLUCOSE MONITORING SKILLS AND SUPPLIES, HEALTHY LUNCHES, GROCERY SHOPPING TIPS, EXERCISE ACTIVITIES, AND JOURNALING. MERCY HAS ALSO ADOPTED A LOW-INCOME ELEMENTARY SCHOOL AND PROVIDES WEEKLY TUTORS, AN ANNUAL HEALTH FAIR, AND OTHER SUPPORT. A WIDE VARIETY OF SUPPORT GROUPS IS OFFERED EACH MONTH. LAB SERVICES ARE PROVIDED FOR THREE FREE CLINICS IN THE COMMUNITY. 313401301 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 1 1 0 0 0 0 1 1 1 1 0 0 1 0 0 3433 1 1 1 0 0 0 0 0 0 0 0 0 X 16 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 1 1 OK X LYNN PINAROC 4057523536 4300 WEST MEMORIAL ROAD OKLAHOMA CITY OK 73120 X EVEREST TRICIA BOARD MEMBER 1.00 0.00 X 0 0 0 HARKESS MD JOHN BOARD MEMBER 1.00 0.00 X 0 0 0 HARTSUCK MD JAMES M BOARD MEMBER 1.00 1.00 X 0 0 0 HENDRICKS RSM SR REBECCA ANN BOARD MEMBER 1.00 13.00 X 0 0 0 HIEKE MD KENNETH BOARD MEMBER 1.00 0.00 X 0 0 0 KOELSCH RSM SR CABRINI BOARD MEMBER 1.00 36.00 X 0 0 0 LEONARD RYAN BOARD MEMBER 1.00 0.00 X 0 0 0 NELSON GARY BOARD MEMBER 1.00 0.00 X 0 0 0 NOLAN RSM SR MIRIAM BOARD MEMBER 1.00 0.00 X 0 0 0 O'NEAL MIKE E BOARD MEMBER 1.00 0.00 X 0 0 0 RAHHAL MD DONALD K PHYSICIAN & BOARD MEMBER 16.00 34.00 X 0 302147 24187 SALMERON PHD LOIS BOARD MEMBER 1.00 0.00 X 0 0 0 SCOTT MD BROOK D BOARD MEMBER 1.00 0.00 X 0 0 0 VISOR MD RICKY BOARD MEMBER 1.00 0.00 X 0 0 0 WARD RSM SR CLAUDIA BOARD MEMBER 1.00 40.00 X 0 0 0 SMALLEY DIANA L PRESIDENT, WEST COMMUNITIES 2.00 58.00 X X 0 708953 356541 GEBHART JIM R PRES MERCY HOSP OKLAHOMA CITY 60.00 0.00 X 0 480730 262744 RAJU GARY CHIEF FINANCIAL OFFICER - START 4/15 10.00 50.00 X 0 0 0 VITIELLO JONATHAN CHIEF FINANCIAL OFFICER - THRU 4/15 8.00 52.00 X 0 517431 114816 EDELSTEIN THOMAS VP-MISSION & ETHICS 38.00 12.00 X 170565 0 39992 ENLOE TRACY VP-FINANCIAL OPERATIONS 35.00 7.00 X 210701 0 25079 FANNING LINDA T CHIEF NURSING OFFICER - THRU 1/15 45.00 1.00 X 253083 0 44742 JOHNSON MARK C CHIEF MEDICAL OFFICER 50.00 1.00 X 555209 0 96699 LE BICH-VI REGIONAL VP-GENERAL COUNSEL 5.00 55.00 X 0 242169 60112 MINNIS KEITH REGIONAL VP-HR 15.00 45.00 X 0 225045 18474 PAYTON BECKY J REGIONAL VP-OPERATIONS 15.00 45.00 X 0 296390 67379 ROBERTSON PATRICIA VP-FINANCE - THRU 7/14 5.00 55.00 X 0 288886 15489 STEFFENS AARON L CHIEF OPERATING OFFICER 40.00 10.00 X 268364 0 60351 CARMICHAEL CINDY CHIEF OPERATING OFFICER (ARDMORE) 5.00 55.00 X 238212 0 19448 HAHNE CHRISTOPHER EXECUTIVE DIRECTOR-FINANCE 10.00 50.00 X 177798 0 22941 OH MOONSEONG PHYSICIST 60.00 0.00 X 167387 0 20106 SANDOVAL LYNN W EXEC DIR-REG PERIOPERATIVE SERVICES 60.00 0.00 X 157790 0 20427 YOUNG HOWARD K PHYSICIST 40.00 0.00 X 177567 0 30629 AKINS JULIA FORMER KEY EMPLOYEE 0.00 60.00 X 0 412356 220317 BAUMEISTER JERRY FORMER KEY EMPLOYEE 0.00 40.00 X 0 244662 40079 DIXSON MD JAMES D FORMER KEY EMPLOYEE 0.00 60.00 X 0 773769 120606 MADISON KEITH FORMER KEY EMPLOYEE 0.00 40.00 X 186759 0 20233 2563435 4492538 1701391 86 1 1 0 JE DUNN CONSTRUCTION 929 HOLMES KANSAS CITY MO 64106 CONSTRUCTION 5862392 MAYO MEDICAL LABS 200 SW FIRST STREET ROCHESTER MN 55805 LABORATORY SERVICES 1636580 FASTAFF 6399 S FIDDLERS GREEN CIRCLE STE 10 GREENWOOD VILLAGE CO 80111 STAFFING SERVICES 1360959 OK LABORISTS AND WOMENS SERV 4140 W MEMORIAL RD SUITE 321 OKLAHOMA CITY OK 73120 PHYSICIAN SERVICES 1165806 AFFILIATED ANESTHESIOLOGISTS 13321 N MERIDIAN AVE STE 402 OKLAHOMA CITY OK 73120 ANESTHESIA SERVICES 1005619 54 781984 2493 784477 PATIENT SERVICE REVENUE NET 622110 424022257 424022257 PHARMACY 446110 8570817 6363489 2207328 MDT LABORATORY SVC 621500 7046328 7046328 439639402 2665993 2665993 4284981 1091332 3193649 3193649 3193649 CAFETERIA & VENDING 722210 2277825 2277825 -3749693 -3749693 -1471868 444811653 426636053 9253656 8137467 1543705 1543705 86500 86500 1899419 1899419 75354 75354 115436994 99396082 16040912 5271803 4552085 719718 14478799 11908787 2570012 8477831 6936561 1541270 541210 541210 3246 3246 16982417 6766392 10216025 366788 146141 220647 11579085 4613514 6965571 1022406 21334 1001072 11305399 4504468 6800931 530657 387682 142975 1001 399 602 -5 -5 16580758 10262110 6318648 1628630 8931 1619699 DRUGS & MEDICAL EXPENSE 103436246 103114609 321637 SHARED SERVICE FEES 53193549 27660645 25532904 BAD DEBTS 27601526 27601526 REPAIRS & MAINTENANCE 7466860 2975059 4491801 2348678 914771 1433907 401858856 313401301 88457555 0 93321094 10050949 -42613 6000 61743106 48448263 88526 77549 7911471 9155765 387314 536200 396430673 277228662 115399552 119202011 7054825 7454384 63640893 198913258 349504168 393844379 14989816 16150339 193399 285860 1852400 1506563 1788401 1882289 18824016 19825051 X 330680152 374019328 330680152 374019328 349504168 393844379 X 42952797 386379 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 22695 0 0 0 22695 0 PART II-B, LINE 1: 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, 2015, DUES WERE $79,172, $52,832, AND $30,826, RESPECTIVELY. APPROXIMATELY 17.80% OF OKLAHOMA HOSPITAL ASSOCIATION DUES, 2.98% OF CATHOLIC HOSPITAL ASSOCIATION DUES, AND 22.80% OF AMERICAN HOSPITAL ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED. 1602629 10971143 12573772 93611329 59056397 34554932 2207797 823996 1383801 258880973 212455100 46425873 29156802 4893169 24263633 119202011 OTHER ASSETS 12491984 DUE FROM TAX EXEMPT AFFILIATES 186421274 198913258 OTHER LIABILITIES 1882289 1882289 PART X, LINE 2 FEDERAL INCOME TAX PRIMARILY ALL OF THE MERCY HEALTH ENTITIES ARE RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS CHARITABLE ORGANIZATIONS QUALIFYING UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), BY VIRTUE OF IRS DETERMINATION LETTERS OR INCLUSION IN THE OFFICIAL CATHOLIC DIRECTORY. MERCY COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2015 OR 2014. 1 1 X 1 X 1 X 1 1 1 0 1 0 10693868 10693868 0.02860 41033952 24363305 16670647 0.04450 51727820 24363305 27364515 0.07310 1664011 55462 1608549 0.00430 1024689 1024689 0.00270 819970 819970 0.00220 3508670 55462 3453208 0.00920 55236490 24418767 30817723 0.08230 298427 298427 0.00080 47779 47779 0.00010 346206 346206 0.00090 1 8049491 0 109222338 119352796 -10130458 X 1 1 1 MERCY REHABILITATION HOSPITALLLC REHABILITATION HOSPITAL FACILITY 0.49500 0.00000 0.00000 1 1 MERCY HOSPITAL OKLAHOMA CITY 4300 WEST MEMORIAL ROAD OKLAHOMA CITY OK 73120 WWW.MERCY.NET/OKLAHOMACITYOK 2295 X X X MERCY HOSPITAL OKLAHOMA CITY 1 0 0 1 X X X X X X X X X 12 1 0 0 1 X WWW.MERCY.NET/ABOUT/COMMUNITY-BENEFITS X 1 14 1 WWW.MERCY.NET/ABOUT/COMMUNITY-BENEFITS 0 0 1 X 100.000000000000 400.000000000000 X X 1 1 X X X 1 X WWW.MERCY.NET X WWW.MERCY.NET X X X 1 X 0 X 1 X 0 0 MERCY HOSPITAL OKLAHOMA CITY PART V, SECTION B, LINE 5: COMMUNITY HEALTH NEEDS ASSESSMENTPLEASE REFER TO THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT WHICH CAN BE FOUND AT WWW.MERCY.NET/COMMUNITY-BENEFITS. MERCY HOSPITAL OKLAHOMA CITY 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. 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 OR 10% OF NET ASSETS (WHICH EVER IS GREATER), ADJUSTED TO CONSIDER AVAILABILITY OF OTHER ASSETS THAT COULD BE USED TOWARD MAKING PAYMENTS. PART V, SECTION B, LINE 16 FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY MERCY HOSPITAL OKLAHOMA CITY PART V, SECTION B, LINE 16A WEBSITE: WWW.MERCY.NET MERCY HOSPITAL OKLAHOMA CITY PART V, SECTION B, LINE 16B WEBSITE: WWW.MERCY.NET 16 MERCY EDMOND I-35 2017 W I-35 FRONTAGE ROAD EDMOND OK 73013 OUTPATIENT SURGERY, PHARMACY, DERMATOLOGY, FITNESS CENTER, PAIN MANAGEMENT, MHOKC - WOMEN'S CENTER 4300 MCAULEY BLVD OKLAHOMA CITY OK 73120 WOMEN'S CENTER, IMAGING, ETC MHOKC - OUTPATIENT RADIATION ONCOLOGY 4205 MCAULEY BLVD LOWER LEVEL OKLAHOMA CITY OK 73120 OUTPATIENT RADIATION SERICES MHOKC - HOME HEALTH 4401 W MEMORIAL RD STE 143 OKLAHOMA CITY OK 73134 HOME HEALTH SERVICES MHOKC - OUTPATIENT PHYSICAL THERAPY 4401 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 SPORTS & PHYSICAL THERAPY MHOKC OUTPATIENT REHAB-QUAILBROOK 4401 W MEMORIAL RD OKLAHOMA CITY OK 73120 OUPTATIENT REHAB SERVICES THE OKLAHOMA CITY ASC LLC (AMSURG) 13313 N MERIDIAN BUILDING B OKLAHOMA CITY OK 73120 ENDOSCOPY SERVICES MHOKC - HOSPICE 4401 W MEMORIAL RD STE 143 OKLAHOMA CITY OK 73134 HOSPICE SERVICES MHOKC - SLEEP DISORDER CENTER 4345 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 SLEEP DISORDER SERVICES MHOKC-OUTPATIENT ONCOLOGY INFUSION 4205 MCAULEY BLVD 4TH FLOOR OKLAHOMA CITY OK 73120 OUTPATIENT ONCOLOGY INFUSION SERVICES EDMOND OUTPATIENT REHAB 1919 N EASTERN AVE EDMOND OK 73013 OUTPATIENT RAHAB SERVICES MHOKC - WOUND CARE CENTER 4140 WEST MEMORIAL RD SUITE 107 OKLAHOMA CITY OK 73120 WOUND CARE CENTER MHOKC LAB 4200 W MEMORIAL RD OKLAHOMA CITY OK 73120 LABORATORY SERVICES CANADIAN COUNTY OUTPATIENT REHAB 520 S MUSTANG RD YUKON OK 73099 SPORTS & PHYSICAL THERAPY & REHAB NEUROSCIENCE INSTITUTE SERVICES ORGLLC 4120 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 MANAGED CARE SERVICES MHOKC - CANADIAN COUNTY IMAGING CENTER 520 S MUSTANG RD YUKON OK 73099 CT & ULTRASOUND SERVICES 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 $401,858,856. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $27,601,526. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $8,049,491. 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 OKLAHOMA CITY, INC. (MHOKC) 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, MHOKC 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. SOME OF THE COMMUNITY BUILDING ACTIVITIES IN WHICH MHOKC SERVES ARE:- MERCY HOSPITAL OKLAHOMA CITY, INC. WAS A FOUNDING PARTNER OF THE HEALTH ALLIANCE FOR THE UNINSURED (HAU), WHICH WAS FORMED TO IMPROVE ACCESS OF HEALTHCARE FOR THE UNINSURED. THERE ARE 17 CLINICS AFFILIATED WITH THE HAU. THE RN CHRONIC DISEASE COORDINATOR SALARY IS SUPPORTED BY MERCY HOSPITAL OKLAHOMA CITY IS AND THE VICE-PRESIDENT OF MISSION/ETHICS SERVES ON THE EXECUTIVE BOARD OF DIRECTORS.- THE HEALTH ALLIANCE FOR THE UNINSURED IS A CATALYST FOR IMPROVED HEALTH CARE SERVICES FOR THOSE WHO OTHERWISE WOULD BE UNABLE TO OBTAIN THEM. HAU AND MERCY COLLABORATIONS INCLUDE SUPER SATURDAYS FOR WOMEN WHICH PROVIDES SPECIALIZED WOMEN'S HEALTH SERVICES. THIS SERVICE MEETS A CRITICAL NEED FOR LOW INCOME UNINSURED WOMEN. THE COOPERATIVE CENTRAL PHARMACY WHICH PROVIDES FREE ON-SITE PRESCRIPTIONS TO THE UNINSURED AS WELL AS MEDICATIONS TO PARTNER CHARITABLE CLINICS IS ANOTHER PARTNERSHIP. THERE WERE FOUR SUPER SATURDAYS FOR WOMEN HELD THIS YEAR. MERCY ALSO PROVIDES FREE RADIOLOGY SERVICES TO THE CLIENTS REFERRED FROM THE HEALTH ALLIANCE FOR THE UNINSURED.- FRIDAY MERCY MEALS IS A PROGRAM THAT PREPARES AND DELIVERS A MEAL EACH WEEK TO 23 CLIENTS ENROLLED IN THE MOBILE MEALS, INC OF OKLAHOMA COUNTY. MERCY CO-WORKERS PARTICIPATE IN THIS ENDEAVOR.- THE GOOD SHEPHERD CATHOLIC SCHOOL AT MERCY IS A COLLABORATIVE PARTNERSHIP BETWEEN MHOKC, THE UNIVERSITY OF CENTRAL OKLAHOMA AND THE ARCHDIOCESE OF OKLAHOMA CITY. IT PROVIDES EDUCATIONAL AND BEHAVIORAL SERVICES FOR 3-9 YEAR OLD CHILDREN WHO HAVE BEEN DIAGNOSED WITH AUTISTIC SPECTRUM AND SIMILAR NEUROLOGICAL DISORDERS.- MERCY HOSPITAL OKLAHOMA CITY WORKS IN PARTNERSHIP WITH LIGHTHOUSE MINISTRIES FREE CLINIC, CROSS AND CROWN FREE CLINIC, GOOD SAMARITAN FREE CLINIC AND ST. CHARLES FREE CLINIC TO PROVIDED FREE LAB, RADIOLOGY, PHARMACY, ULTRASOUND AND CARDIOLOGY SERVICES FOR THEIR PATIENTS.- DIABETES WELLNESS PROJECT (DWP) PROVIDES DIABETES EDUCATION, FOOT CARE, BLOOD GLUCOSE MONITORING SKILLS AND SUPPLIES TO UNINSURED DIABETICS IN THE COMMUNITY. SESSIONS ARE PRESENTED ACROSS THE MERCY SERVICE AREA TO DIABETICS WHO ATTEND A FREE MEDICAL CLINIC.- PROJECT EARLY DETECTION (PED) PROVIDES BREAST CARE SERVICES FOR UNINSURED WOMEN IN THE OKLAHOMA CITY AREA. THEY RECEIVE BREAST HEALTH SERVICES THAT INCLUDE SCREENING MAMMOGRAMS, DIAGNOSTIC MAMMOGRAMS, DIAGNOSTIC PROCEDURES, BIOPSIES, MRI'S AND TREATMENT REFERRALS.- MHOKC CONNECTS WITH OUR SCHOOLS IN THE AREA THROUGH MERCY MENTORS, WHO ARE MERCY EMPLOYEES THAT PROVIDE WEEKLY TUTORING TO LINWOOD ELEMENTARY, AN INNER-CITY, LOW-INCOME ELEMENTARY SCHOOL, AN ANNUAL NEIGHBORHOOD HEALTH FAIR, AND NUTRITION LESSONS.- THE PRESIDENT OF MERCY HOSPITAL, OKLAHOMA CITY CURRENTLY SERVES ON THE TOBACCO SETTLEMENT ENDOWMENT TRUST (TSET) WHICH FUNDS INITIATIVES THAT ADDRESS HEALTH/ WELLNESS IMPROVEMENTS ACROSS OKLAHOMA. THE BETTER BREATHERS SUPPORT GROUP MEETS MONTHLY WITH AN EDUCATIONAL PROGRAM AND LUNCHEON FOR PEOPLE IN THE COMMUNITY WHO HAVE CHRONIC RESPIRATORY CONDITIONS.A FULL DESCRIPTION OF OUR COMMUNITY BUILDING ACTIVITIES CAN BE FOUND AT WWW.MERCY.NET/COMMUNITY-BENEFITS. PART III, LINE 2: TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE, AT COST, BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENT ACCOUNTS WAS MULTIPLIED BY A RATIO OF COST TO CHARGES. THE RATIO OF COST TO CHARGES USED WAS BASED ON DETAILED COST ACCOUNTING, 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 (REFER TO DISCLOSURE FOR PART III, #9B) 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 OKLAHOMA CITY 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 HOSPITAL OKLAHOMA CITY ("MERCY") DEBT COLLECTION POLICY PROVIDES THAT MERCY WILL PERFORM A REASONABLE REVIEW OF EACH INPATIENT ACCOUNT BEFORE TURNING AN ACCOUNT TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT, TO ASSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (E.G., MEDICAID) AND DO NOT QUALIFY FOR COVERAGE THROUGH MERCY'S COMMUNITY ASSISTANCE POLICY. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY PATIENT ACCOUNT THAT IS SUBSEQUENTLY DETERMINED TO MET THE MERCY HOSPITAL COMMUNITY ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO MERCY FOR APROPRIATE FOLLOW-UP. MERCY REQUIRES ITS THIRD-PARTY COLLECTION AGENTS TO INCLUDE A MESSAGE ON ALL STATEMENTS INDICATING THAT IF A PATIENT OR PATIENT GUARANTOR MEETS CERTAIN STIPULATED INCOME REQUIREMENTS, THE PATIENT OR PATIENT GUARANTOR MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. MERCY UTILIZES THE "SEARCH AMERICA" TOOL TO ENHANCE THE ABILITY TO DETERMINE CHARITY QUALIFICATION. PRESUMPTIVE CHARITY WILL BE GRANTED IN SITUATIONS WHERE MERCY HOSPITAL HAS BEEN UNABLE TO OBTAIN INFORMATION FROM PATIENTS OR THE INFORMATION PROVIDED IS NOT COMPLETE ENOUGH TO MAKE A CHARITY DETERMINATION. MERCY UTILITIZES PRESUMPTIVE CHARITY PRIOR TO BAD DEBT PLACEMENT FOR CHARITY ADJUSTMENTS IN EXCESS OF $6,500. IN THESE CASES, MERCY UTILIZES THE SEARCH AMERICA REPORT STATUS OF "PROBABLE CHARITY" AS THE BASIS FOR ASSIGNING THE CHARITY LEVEL. 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. ADDITIONALLY THEY MAY INCLUDE LIENS UPON REAL PROPERTY AND REASONABLE WAGE GARNISHMENTS. LEGAL ACTIONS WILL GENERALLY NOT INCLUDE BANK GARNISHMENT, REPOSSESSION OF ASSETS OR FORECLOSURES TO ENFORCE SATISFACTION OF A LIEN. MERCY HAS POLICIES AND PROCEDURES ESTABLISHED TO ADDRESS THE INITIATION OF LEGAL ACTION AND ANNUALLY REVIEWS COMPLIANCE WITH ALL POLICIES. PART VI, LINE 2: NEEDS ASSESSMENTMERCY HEALTH BELIEVES THAT ITS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS IS COMPREHENSIVE ENOUGH TO CAPTURE SUBSTANTIALLY ALL OF THE COMMUNITY'S NEEDS. THEREFORE NO FURTHER STEPS WERE TAKEN TO IDENTIFY ADDITIONAL NEEDS. PART VI, LINE 3: THE FILING ORGANIZATION HAS PRINTED MATERIAL AVAILABLE AT EACH POINT OF REGISTRATION IN OUR FACILITY, IN ADDITION TO ELECTRONICALLY AVAILABILITY AT OUR WEB SITE AT MERCY.NET ON HOW TO CONTACT CUSTOMER SERVICE FOR FINANCIAL ASSISTANCE. THE STATEMENT ALSO INCLUDES DIRECTION ON HOW TO REACH OUT TO MERCY FOR FINANCIAL ASSISTANCE AS WELL. FINANCIAL ASSISTANCE INFORMATIONAS A PART OF OUR HEALING MINISTRY, THE FILING ORGANIZATION IS COMMITTED TO PROVIDING QUALITY HEALTHCARE SERVICES TO PATIENTS REGARDLESS OF THEIR FINANCIAL SITUATION. WE OFFER PAYMENT ASSISTANCE FOR THOSE WHO DO NOT HAVE INSURANCE OR WHO ARE IN FINANCIAL NEED.UNINSURED PATIENT DISCOUNTSA DISCOUNT FROM THE HOSPITAL'S REGULAR BILLED CHARGES WILL BE PROVIDED TO PATIENTS WHO DO NOT HAVE INSURANCE. THIS INCLUDES PATIENTS WHOSE FINANCIAL SITUATION NORMALLY WOULD NOT OTHERWISE QUALIFY THEM FOR CHARITY CARE DISCOUNTS.PATIENTS WITHOUT INSURANCE WHOSE FINANCIAL SITUATION QUALIFIES THEM FOR CHARITY CARE DISCOUNTS (SEE ELIGIBILITY GUIDELINES BELOW) ARE ASSISTED OR ASKED IN APPLYING FOR MEDICAID BEFORE APPLYING FOR FINANCIAL ASSISTANCE. MERCY WORKS TO EXHAUST ALL EFFORTS TO COORDINATE WITH THE PATIENT TO APPLY FOR MEDICAID, BUT DOES NOT PROHIBIT CHARITY CONSIDERATIONS IF DENIED NOR APPLIED.APPLICATIONS FOR CHARITY CARE DISCOUNTS WILL BE REVIEWED FOR ELIGIBILITY BASED ON THE APPLICANT'S INCOME, FAMILY SIZE, AMOUNT OF PAYMENT DUE AND AVAILABILITY OF OTHER ASSETS OR RESOURCES. PLEASE NOTE THAT CARE MUST BE MEDICALLY NECESSARY TO BE CONSIDERED ELIGIBLE FOR UNINSURED PATIENT DISCOUNTS. PART VI, LINE 4: COMMUNITY INFORMATIONMERCY HOSPITAL OKLAHOMA CITY'S PRIMARY SERVICE AREA INCLUDES SIX COUNTIES IN CENTRAL OKLAHOMA, INCLUDING CANADIAN, CLEVELAND, KINGFISHER, LINCOLN, LOGAN AND OKLAHOMA. THE FOLLOWING INFORMATION IS DERIVED FROM 2015 SG2 ANALYTICS DATA AND SG2 INSURANCE COVERAGE ESTIMATES. THE AREA'S POPULATION IS 1,279,615. 32% OF THE POPULATION'S AVERAGE HOUSEHOLD INCOME IS OVER $75,000. 37% OF THE POPULATION IS 45 AND OLDER. 22% OF THE HOUSEHOLDS IS ON MEDICARE, 14% ON MEDICAID, AND 11% UNINSURED. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHMERCY 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 SERVICE COMMUNITIES.MERCY OFFERS SERVICES AND PROGRAMS WHICH FURTHER HEALTH PROMOTION, MAINTENANCE AND CARE TO THE COMMUNITY. PROGRAMS PROVIDED TO MEET THE COMMUNITY INCLUDE SUPPORT GROUPS FOR VARIOUS SITUATIONS, OUTREACH PROGRAMS, BLOOD DRIVES, ETC.MERCY IS GOVERNED BY A BOARD OF DIRECTORS WHICH INCLUDES REPRESENTATION FROM COMMUNITY LEADERS IN THE ORGANIZATION'S PRIMARY SERVICE AREAS. ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY. ANY POTENTIAL CONFLICTS OF INTEREST DISCLOSED BY BOARD MEMBERS ARE REVIEWED AND RESOLVED. THIS PROCESS ENSURES THAT PUBLIC, RATHER THAN PRIVATE, INTERESTS ARE SERVED BY MERCY.SURPLUS FUNDS AND UNRESTRICTED ASSETS HELD BY MERCY 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, 2015, MERCY FACILITIES INCLUDED 30 ACUTE CARE HOSPITALS, 5 MANAGED HOSPITALS, 4 HEART HOSPITALS, 2 CHILDREN'S HOSPITALS, 2 ORTHOPEDIC HOSPITALS AND 3 REHAB HOSPITALS. FOR THE FISCAL YEAR ENDED JUNE 30, 2015, MERCY HAD MORE THAN 8.7 MILLION OUTPATIENT AND PHYSICIAN OFFICE VISITS, APPROXIMATELY 2,100 EMPLOYED PHYSICIANS, AND APPROXIMATELY 36,000 FULL-TIME EQUIVALENT EMPLOYEES, MAKING MERCY THE SEVENTH LARGEST CATHOLIC HEALTH SYSTEM IN THE UNITED STATES BASED ON NET PATIENT SERVICE REVENUE. 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. 1 ARCHDIOCESE OF OK PO BOX 32180 OKLAHOMA CITY OK 73123 730632924 501(C)(3) 44919 GENERAL SUPPORT EDMOND AREA CHAMBER OF COMMERCE 825 E 2ND SUITE 100 EDMOND OK 73034 730544087 501(C)(6) 25290 GENERAL SUPPORT CATHOLIC CHARITIES 1501 N CLASSEN BLVD OKLAHOMA CITY OK 73106 730636561 501(C)(3) 6000 GENERAL SUPPORT AMERICAN HEART ASSOC 77272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)(3) 17500 GENERAL SUPPORT MARCH OF DIMES 5100 BROOKLINE STE 270 OKLAHOMA CITY OK 73102 131846366 501(C)(3) 48800 NICU FAMILY SUPPORT OHERFT DEPT 96 0298 OKLAHOMA CITY OK 73196 736111625 501(C)(3) 10250 GENERAL SUPPORT GREATER OKLAHOMA CITY CHAMBER OF COMMERCE 123 PARK AVE OKLAHOMA CITY OK 73102 730381180 501(C)(6) 25020 EDUCATIONAL ENDOWMENT UNITED WAY OF CENTRAL OKLAHOMA PO BOX 837 OKLAHOMA CITY OK 73105 730589829 501(C)(3) 26100 COMMUNITY CAMPAIGN OKLAHOMA CITY BALLET 7421 N CLASSEN BLVD OKLAHOMA CITY OK 73116 237003520 501(C)(3) 10000 GENERAL SUPPORT OKLAHOMA SPEAKERS BALL PO BOX 720308 OKLAHOMA CITY OK 73172 202018083 501(C)(4) 10000 GENERAL SUPPORT ST GREGORY UNIVERSITY 1900 W MACARTHUR ST SHAWNEE OK 74804 730685198 501(C)(3) 50000 GENERAL SUPPORT OKLAHOMA CITY MUSEUM OF ART 415 COUCH DR OKLAHOMA CITY OK 73102 730528431 501(C)(3) 6000 GENERAL SUPPORT OKLAHOMA NURSES ASSOC 6414 N SANTA FE SUITE A OKLAHOMA CITY OK 73116 730563323 501(C)(3) 5000 GENERAL SUPPORT PROS FOR AFRICA 211 N ROBINSON SUITE 1350 OKLAHOMA CITY OK 73102 271674673 501(C)(3) 5000 GENERAL SUPPORT OKLAHOMA CITY TOWN HALL PO BOX 20632 OKLAHOMA CITY OK 73156 731314584 501(C)(3) 5000 GENERAL SUPPORT COMMITTEE FOR INAUGURATION OF GOVERNOR MARY FALLIN 2015 119 N ROBINSON AVE STE 250 OKLAHOMA CITY OK 73102 472510741 501(C)(6) 5000 GENERAL SUPPORT MERCY HEALTH FOUNDATION OKLAHOMA CITY 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 463184231 501(C)(3) 627773 GENERAL SUPPORT MERCY HEALTH FOUNDATION OF OKLAHOMA 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 454732301 501(C)(3) 616053 GENERAL SUPPORT 14 4 TUITION SCHOLARSHIPS 23 86500 PART I, LINE 2: 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. X X 1 1 1 1 0 0 0 0 0 1 0 RAHHAL MD DONALD K PHYSICIAN & BOARD MEMBER 0 272571 0 0 0 29576 0 10642 0 13545 0 326334 0 0 SMALLEY DIANA L PRESIDENT, WEST COMMUNITIES 0 528051 0 151275 0 29627 0 337928 0 18613 0 1065494 0 0 GEBHART JIM R PRES MERCY HOSP OKLAHOMA CITY 0 349456 0 105249 0 26025 0 244888 0 17856 0 743474 0 0 VITIELLO JONATHAN CHIEF FINANCIAL OFFICER - THRU 4/15 0 389769 0 91421 0 36241 0 96519 0 18297 0 632247 0 0 EDELSTEIN THOMAS VP-MISSION & ETHICS 138174 0 20033 0 12358 0 27613 0 12379 0 210557 0 0 0 ENLOE TRACY VP-FINANCIAL OPERATIONS 162958 0 29016 0 18727 0 11726 0 13353 0 235780 0 0 0 FANNING LINDA T CHIEF NURSING OFFICER - THRU 1/15 171259 0 30085 0 51739 0 42983 0 1759 0 297825 0 0 0 JOHNSON MARK C CHIEF MEDICAL OFFICER 329134 0 191969 0 34106 0 88231 0 8468 0 651908 0 0 0 LE BICH-VI REGIONAL VP-GENERAL COUNSEL 0 166707 0 41700 0 33762 0 42979 0 17133 0 302281 0 0 MINNIS KEITH REGIONAL VP-HR 0 162869 0 21715 0 40461 0 2371 0 16103 0 243519 0 0 PAYTON BECKY J REGIONAL VP-OPERATIONS 0 219641 0 49132 0 27617 0 53962 0 13417 0 363769 0 0 ROBERTSON PATRICIA VP-FINANCE - THRU 7/14 0 157902 0 49723 0 81261 0 7558 0 7931 0 304375 0 0 STEFFENS AARON L CHIEF OPERATING OFFICER 220272 0 46292 0 1800 0 43040 0 17311 0 328715 0 0 0 CARMICHAEL CINDY CHIEF OPERATING OFFICER (ARDMORE) 181165 0 31964 0 25083 0 11993 0 7455 0 257660 0 0 0 HAHNE CHRISTOPHER EXECUTIVE DIRECTOR-FINANCE 135633 0 16487 0 25678 0 6204 0 16737 0 200739 0 0 0 OH MOONSEONG PHYSICIST 155088 0 0 0 12299 0 3278 0 16828 0 187493 0 0 0 SANDOVAL LYNN W EXEC DIR-REG PERIOPERATIVE SERVICES 109501 0 15142 0 33147 0 10104 0 10323 0 178217 0 0 0 YOUNG HOWARD K PHYSICIST 137589 0 0 0 39978 0 13710 0 16919 0 208196 0 0 0 AKINS JULIA FORMER KEY EMPLOYEE 0 253982 0 65694 0 92680 0 206942 0 13375 0 632673 0 0 BAUMEISTER JERRY FORMER KEY EMPLOYEE 0 53757 0 27198 0 163707 0 36532 0 3547 0 284741 0 0 DIXSON MD JAMES D FORMER KEY EMPLOYEE 0 539874 0 174766 0 59129 0 106569 0 14037 0 894375 0 0 MADISON KEITH FORMER KEY EMPLOYEE 143057 0 17310 0 26392 0 13099 0 7134 0 206992 0 0 0 PART I, LINE 1A CHARTER TRAVEL IS PROVIDED TO CERTAIN EMPLOYEES AS AND WHEN APPROPRIATE, AND AS DEEMED NECESSARY FOR BUSINESS TRAVEL. AFTER CHARTER TRAVEL APPROVAL HAS BEEN GRANTED IN ACCORDANCE WITH THE FINANCIAL JUSTIFICATION PROCESS, THE APPROVED CHARTER TRAVEL FOR BUSINESS IS A REIMBURSABLE EXPENSE WHICH IS NOT TAXABLE TO THE EMPLOYEES. TRAVEL FOR COMPANIONS IS PROVIDED IN RARE 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 SUBJECT TO TAX TO THE EMPLOYEES OF A RELATED ORGANIZATION, GARY RAJU, KEITH MINNIS, AND PATRICIA ROBERTSON. 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 JERRY BAUMEISTER RECEIVED $87,006 OF SEVERANCE COMPENSATION FROM A RELATED ORGANIZATION. SCHEDULE J, PART I, QUESTION 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 INDIVIDUALS REPORTABLE ON THIS RETURN WHO PARTICIPATE IN THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS INCLUDE: DIANA SMALLEY (DC); JIM GEBHART (DC); JULIA AKINS (DC) THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL MANAGEMENT RETIREMENT PLAN: LINDA FANNING; MARK JOHNSON; BECKY PAYTON; JONATHAN VITIELLO; JIM GEBHART; BICH-VI LE; JAMES D DIXSON; JULIA AKINS; AARON STEFFENS THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C). NO PERSONS LISTED ON THIS RETURN RECEIVED PAYMENT UNDER THE PLANS DURING THE TAX YEAR. PART I, LINE 7 THE RELATED ORGANIZATION WHICH EMPLOYS THOSE INDIVIDUALS LISTED ON PART VII, AND THE FILING ORGANIZATION WHEN APPLICABLE, PROVIDES A NON-FIXED BONUS PLAN FOR WHICH CERTAIN TIERS OF ITS EMPLOYEES ARE ELIGIBLE. FOR FISCAL YEAR 2015 (JULY 1, 2014 - JULY 30, 2015) PAYMENT OF ALL OR PART OF THE BONUS WAS CONTINGENT UPON ATTAINMENT OF CERTAIN FINANCIAL TARGETS AND NON-FINANCIAL GOALS DEEMED NECESSARY BY MERCY. PAYMENTS ARE MADE ANNUALLY IN OCTOBER FOLLOWING (I) THE CONCLUSION OF THE FISCAL YEAR AND (II) DETERMINATION OF GOAL ACHIEVEMENT. BONUS OPPORTUNITIES ARE TIERED PERCENTAGES AND ARE DEPENDENT UPON THE LEADERSHIP LEVEL AND ATTAINMENT PERCENTAGE. MERCY'S ATTAINMENT OF FINANCIAL TARGETS AND NON-FINANCIAL GOALS IS REVIEWED BY THE COMPENSATION COMMITTEE OF MERCY HEALTH AND IS TAKEN INTO ACCOUNT WHEN ANALYZING EXECUTIVE COMPENSATION FOR REASONABLENESS. PART I, LINE 3 THE FILING ORGANIZATION RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTION 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS. OKLAHOMA HEART HOSPITAL LLC SEE SCHEDULE O 697340 INDEPENDENT CONTRACTOR 0 MERCY REHABILITATION HOSPITALLLC SEE SCHEDULE O 1976305 DISTRIBUTIONS FROM MERCY REHABILITATION HOSPITAL,LLC 0 DANIELLE ENLOE FAMILY MEMBER OF TRACY ENLOE, KEY EMPLOYEE 45524 EMPLOYMENT ARRANGEMENT 0 SARASUE HIEKE FAMILY MEMBER OF KENNETH HIEKE, BOARD MEMBER 29830 EMPLOYMENT ARRANGEMENT 0 FORM 990, PART VI, SECTION A, LINE 6 MERCY HOSPITAL OKLAHOMA CITY HAS A SOLE CORPORATE MEMBER, MERCY HEALTH OKLAHOMA COMMUNITIES. FORM 990, PART VI, SECTION A, LINE 7A MERCY HEALTH OKLAHOMA COMMUNITIES MAY APPOINT AND REMOVE MEMBERS OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED SOLELY UNTO MERCY HEALTH OKLAHOMA COMMUNITIES: - ADOPT OR AMEND THE MISSION AND PHILOSOPHY OF THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - ADOPT OR AMEND THE STRATEGIC PLANS, GOALS, AND OBJECTIVES OF THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - ADOPT OR AMEND THE OPERATING AND CAPITAL BUDGETS OF THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION AND ANY CHANGES IN SUCH BUDGETS IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE MEMBER; - REVIEW AND APPROVE ANY CAPITAL EXPENDITURES OR RECOMMENDATIONS NOT PREVIOUSLY APPROVED AS PART OF THE CORPORATION'S BUDGETS; - AUTHORIZE OR APPROVE THE ASSIGNMENT, TRANSFER, SALE OR LEASE OF ANY OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION OR INTEREST THEREIN IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE MEMBER; - AUTHORIZE OR APPROVE THE GRANT OF ANY PLEDGE, LIEN, ENCUMBRANCE, MORTGAGE, DEED OF TRUST OR OTHER SECURITY INTEREST IN ANY OR ALL OF THE ASSETS OF THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - AUTHORIZE OR APPROVE THE INCURRENCE OF DEBT (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) BY THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION AND THE GRANT ANY SECURITY INTERESTS, THE PLACEMENT OF ANY ENCUMBRANCES, THE ENTERING INTO ANY COVENANTS, AND THE EXECUTION OF ANY DOCUMENTS AND THE TAKING OF ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; - MERGE, DISSOLVE OR ABANDON THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - AMEND THE CERTIFICATE OF INCORPORATION AND BYLAWS OF THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - ESTABLISH ALL COMPENSATION AND BENEFIT TERMS FOR PHYSICIANS AND OTHER MEDICAL PROFESSIONALS EMPLOYED OR OTHERWISE RETAINED BY THE CORPORATION; - APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION CONTROLLED BY THE CORPORATION; - APPROVE CONTRACTS IN WHICH THE CORPORATION ASSUMES FINANCIAL RISK, INCLUDING BUT NOT LIMITED TO MANAGED CARE CONTRACTS, SUBJECT TO CONSULTATION WITH THE MANAGED CARE CONTRACTING COMMITTEE OF THE MEMBER; - APPROVE THE CLINIC'S MANPOWER PLAN; - THROUGH THE SOLE ACTION OF THE PRESIDENT OF THE MEMBER (WITH THE APPROVAL OF THE PRESIDENT OF MERCY, APPOINT AND REMOVE THE PRESIDENT OF THE CORPORATION; AND - AUTHORIZE AND AMEND THE CHARITY CARE POLICY OF THE CLINIC. 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, 2015. 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 THE SISTER OF MERCY HEALTH SYSTEM. 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: TRANSFERS FROM MCS 386,072. UNRESTRICTED DONATED PROPERTY 308. ROUNDING -1. PART XII, LINE 2 AUDITED FINANCIAL STATEMENTS THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN THE MERCY HEALTH AND SUBSIDIARIES ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 2015 (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. PART XII, LINE 3 SINGLE AUDIT ACT AND OMB CIRCULAR A-133 THE CONSOLIDATED GROUP OF MERCY HEALTH IS REQUIRED TO UNDERGO AN AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133. THE SINGLE AUDIT WAS CONDUCTED ON A CONSOLIDATED BASIS. FORM 990, PART V, QUESTION 1A 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. FORM 990, SCHEDULE R, PART II MERCY HOSPITALS EAST COMMUNITIES MERCY HOSPITALS EAST COMMUNITIES CONSISTS OF MERCY HOSPITALS EAST COMMUNITIES ST. LOUIS, EIN 43-0653493, 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, SCHEDULE L, PART IV RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION DIANA SMALLEY, BOARD MEMBER, JONATHAN VITIELLO, OFFICER, AND VI LE AND MARK JOHNSON, KEY EMPLOYEE OF THE ORGANIZATION, ARE ALL BOARD MEMBERS OF OKLAHOMA HEART HOSPITAL, LLC FORM 990, SCHEDULE L, PART IV RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION GEBHART AND VITIELLO ARE OFFICERS OF THE ORGANIZATION, PAYTON AND JOHNSON ARE KEY EMPLOYEES OF THE ORGANIZATION. ALL ARE BOARD MEMBERS OF MERCY REHABILITATION HOSPITAL,LLC NEUROSCIENCE INSTITUTE SERVICES ORGANIZATION LLC 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 300487934 MGD CARE SERVICES OK 0 3543586 MERCY HOSPITAL OKLAHOMA CITY CASA DE MISERICORDIA 1602 MCCLELLAND STREET LAREDO TX 78044 742912461 WOMEN'S DOMESTIC VIOLENCE SHELTER TX 501C3 7 MERCY MINISTRIES OF LAREDO 1 JEFFERSON LAND COMPANY INC 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 431330360 HOLDING COMPANY MO 501C2 MERCY HOSPITAL JEFFERSON 1 MCAULEY PORTFOLIO MGMT CO 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 261708048 PORTFOLIO MANAGEMENT MO 501C3 11-II MERCY HEALTH 1 MERCY ACO CLINICAL SERVICES INC 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 464504901 VIRTUAL CARE CENTER MO 501C3 3 MERCY HEALTH 1 MERCY CLINIC EAST COMMUNITIES 645 MARYVILLE CTR DR STE 100 ST LOUIS MO 63141 431771217 PHYSICIAN GROUP MO 501C3 9 MERCY HEALTH EAST COMMUNITIES 1 MERCY CLINIC FORT SMITH COMM 7301 ROGERS AVENUE FORT SMITH AR 72917 261318597 PHYSICIAN CLINIC AR 501C3 3 MERCY HEALTH FORT SMITH COMM 1 MERCY CLINIC OKLAHOMA COMM 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 270473057 PHYSICIAN GROUP OK 501C3 3 MERCY HEALTH OK COMMUNITIES 1 MERCY CLINIC SPRINGFIELD COMM 1965 FREMONT STREET SUITE 2950 SPRINGFIELD MO 65804 431560263 PHYSICIAN GROUP MO 501C3 3 MERCY HEALTH SPRINGFIELD COMM 1 MERCY FAMILY CENTER 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 721069468 FAMILY COUNSELING SERVICES MO 501C3 7 MERCY HEALTH 1 MERCY HEALTH FOUNDATION 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 200901499 FOUNDATION MO 501C3 11-II MERCY HEALTH 1 MERCY HEALTH 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 431423050 CORPORATE OFFICE MO 501C3 1 N/A 0 MERCY HEALTH EAST COMMUNITIES 645 MARYVILLE CTR DR STE 100 ST LOUIS MO 63141 431718408 HEALTH SYSTEM MO 501C3 11-II MERCY HEALTH 1 MERCY HEALTH EAST COMMUNITIES - 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