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MERCY HOSPITAL OKLAHOMA CITY INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MERCY HOSPITAL OKLAHOMA CITY INC (EIN 73-0579285)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-14
IRS object ID
201301349349307255
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-14T16:46:13-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN562632458EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PLEUS AND COMPANY LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line114323 S OUTER FORTY STE 310NAddressLine1
CityCHESTERFIELDCity
StateMOState
ZIP Code63017ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN730579285EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MERCY HOSPITAL OKLAHOMA CITYBusinessNameLine1
Business Name Line2F/K/A MERCY HEALTH CENTER INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlMERCNameControl
Phone4057523724Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line14300 WEST MEMORIAL ROADAddressLine1
CityOKLAHOMA CITYCity
StateOKState
ZIP Code73120ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJON VITIELLOName
TitleCFOTitle
Phone4057523724Phone
Date Signed2013-05-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
PTINP00013488PTIN
Phone3143179916Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDIANA SMALLEYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14300 WEST MEMORIAL ROADAddressLine1
CityOKLAHOMA CITYCity
StateOKState
ZIP Code73120ZIPCode
FieldValueIRS element (for citing)
Gross Receipts379580066GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.MERCY.NET/OKLAHOMACITYOKWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1992YearFormation
State Legal DomicileOKStateLegalDomicile
Activity Or Mission DescriptionTO 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees3170TotalNbrEmployees
Total Nbr Volunteers241TotalNbrVolunteers
Total Gross UBI8517867TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2431152ContributionsGrantsPriorYear
Contributions Grants Current Year798547ContributionsGrantsCurrentYear
Program Service Revenue Prior Year307737621ProgramServiceRevenuePriorYear
Program Service Revenue CY360385259ProgramServiceRevenueCY
Investment Income Prior Year267464InvestmentIncomePriorYear
Investment Income Current Year1016030InvestmentIncomeCurrentYear
Other Revenue Prior Year26834790OtherRevenuePriorYear
Other Revenue Current Year15955383OtherRevenueCurrentYear
Total Revenue Prior Year337271027TotalRevenuePriorYear
Total Revenue Current Year378155219TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year937121GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY793934GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year132623808SalariesEtcPriorYear
Salaries Etc Current Year132772633SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year181243899OtherExpensePriorYear
Other Expenses Current Year201927923OtherExpensesCurrentYear
Total Expenses Prior Year314804828TotalExpensesPriorYear
Total Expenses Current Year335494490TotalExpensesCurrentYear
Revenues Less Expenses Prior Year22466199RevenuesLessExpensesPriorYear
Revenues Less Expenses CY42660729RevenuesLessExpensesCY
Total Assets BOY207020771TotalAssetsBOY
Total Assets EOY250242995TotalAssetsEOY
Total Liabilities BOY22988954TotalLiabilitiesBOY
Total Liabilities EOY23456883TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY184031817NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY226786112NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionMERCY 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense243768901Expense
Grants793934Grants
Revenue362337391Revenue
DescriptionMERCY HOSPITAL OKLAHOMA CITY ("MERCY") PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. DURING FY2012, MERCY PROVIDED SERVICES TO 20,089 INPATIENTS, 50,635 EMERGENCY DEPARTMENT PATIENTS, AND 390,301 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 $11,791,217 IN FY2012.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.Description
Total Program Service Expense243768901TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees3170NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledOKStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JON VITIELLOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4057523724TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14300 WEST MEMORIAL ROADAddressLine1
CityOKLAHOMA CITYCity
StateOKState
ZIP Code73120ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (34 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
HARKESS MD JOHN
BOARD MEMBER1.00X000
HARTSUCK MD JAMES
BOARD MEMBER1.00X000
HENDRICKS RSM SR REBECCA ANN
BOARD MEMBER1.00X000
HIEKE MD KENNETH
BOARD MEMBER1.00X000
KOELSCH RSM SR CABRINI
BOARD MEMBER1.00X000
LAMBERT LINDA P
BOARD MEMBER1.00X000
NOONAN RSM SR MARY JEANETTE
BOARD MEMBER1.00X000
O'NEAL MIKE E
BOARD MEMBER1.00X000
RAHHAL MD DONALD K
BOARD MEMBER1.00X000
SCOTT MD BROOK D
BOARD MEMBER1.00X000
WARD RSM SR CLAUDIA
BOARD MEMBER1.00X000
WELSH RSM SR ROSEMARY
BOARD MEMBER1.00X000
SMALLEY DIANA L
CEO, MERCY OKLAHOMA40.00X0556630199937X
GEBHART JIM R
PRESIDENT, MERCY HOSPITAL OKC40.00042219962695X
VITIELLO JONATHAN
CFO, MERCY OKLAHOMA40.00043976761898X
BAUMEISTER JERRY B
VP-OPERATIONS40.00182592029364X
FANNING LINDA T
CHIEF NURSING OFFICER40.00191739023388X
JOHNSON MARK C
CHIEF MEDICAL OFFICER40.00358349062823X
LE BICH-VI
REGIONAL VP-GENERAL COUNSEL40.00186283025644X
MADISON KEITH L
DIRECTOR, PHARMACY SERVICES40.00150183012983X
PAYTON BECKY J
VP-HR MERCY OKLAHOMA40.00257355039603X
STEFFENS AARON L
VP-OPERATIONS40.00209322020406X
TEW DAVID
COO, MERCY OKLAHOMA40.00042684069452X
EDELSTEIN THOMAS
VP-MISSION & ETHICS40.00147770029820X
CARMICHAEL CINDY
VP-RURAL DEV, MERCY OK40.00201466011770X
ROGERS WILLIAM KENT
CEO, RURAL HOSPITAL40.00275092015942X
TALLANT BARBARA
ADMIN,M EL RENO (THRU 11/23/11)40.0017605808288X
GEIGER MARILYN
REGIONAL VP-PHILANTHROPY40.0017241307003X
NEWMAN JAMES
FORMER OFFICER0.0001943773063X
JOHNSTON JEFFREY A
FORMER OFFICER40.000547151253913X
DIXSON JAMES D
FORMER KEY EMPLOYEE40.00050677040125X
AKINS JULIA
FORMER KEY EMPLOYEE40.00035489033363X
FJONE LOREN
FORMER KEY EMPLOYEE40.00022626922181X
FOSTER PAUL A
FORMER HCE0.0021147708228X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2720099TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3674893TotalReportableCompFrmRltdOrgs
Total Other Compensation1041889TotalOtherCompensation
Number Individuals GT100 K71NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
VARIAN MED SYS
70140 NETWORK PLACECHICAGOIL60673CONSTRUCTION3748074
JE DUNN CONSTRUCTION
929 HOLMESKANSAS CITYMO64106CONSTRUCTION2835085
AFFILIATED ANESTHESIOLOGISTS
4200 W MEMORIAL RD STE 703OKLAHOMA CITYOK73120MEDICAL SERVICES905960
LINEN KING
1521 W 36TH PLACETULSAOK74107LINEN SERVICES875389
GK FINANCING
4 EMBARDCADERO CTR STE 3700SAN FRANCISCOCA94111MEDICAL SERVICES862174
FieldValueIRS element (for citing)
Number Of Contractors GT100 K51NumberOfContractorsGT100K
Related Organizations798547RelatedOrganizations
Total Contributions798547TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUDescription
Business Code622110BusinessCode
Total Revenue Column360385259TotalRevenueColumn
Related Or Exempt Function Income360385259RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue360385259TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column995780TotalRevenueColumn
Exclusion$995,780ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real5090604Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1424847Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real3665757Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column3665757TotalRevenueColumn
Exclusion$3,665,757ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other20250Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other20250Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column20250TotalRevenueColumn
Exclusion$20,250ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
PHARMACY446110680617650554361750740
MDT LABORATORY SVC62150059592405959240
CAFETERIA & VENDING7222101819627$1,819,627

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column-2295417TotalRevenueColumn
Related Or Exempt Function Income-3103304RelatedOrExemptFunctionIncome
Unrelated Business Revenue807887UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue12289626TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column378155219TotalRevenueColumn
Related Or Exempt Function Income362337391RelatedOrExemptFunctionIncome
Unrelated Business Revenue8517867UnrelatedBusinessRevenue
Exclusion$6,501,414ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total727234Total
Program Services727234ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total66700Total
Program Services66700ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1755101Total
Management And General1755101ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total104423035Total
Program Services87289994ProgramServices
Management And General17133041ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total4674416Total
Program Services4204403ProgramServices
Management And General470013ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total14654800Total
Program Services12763865ProgramServices
Management And General1890935ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7265281Total
Program Services6301905ProgramServices
Management And General963376ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total48946Total
Program Services26143ProgramServices
Management And General22803ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total9270Total
Management And General9270ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total14868419Total
Program Services12165811ProgramServices
Management And General2702608ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total79033Total
Program Services64667ProgramServices
Management And General14366ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1936752Total
Program Services1584712ProgramServices
Management And General352040ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total12823Total
Program Services12510ProgramServices
Management And General313ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total8392549Total
Program Services6867049ProgramServices
Management And General1525500ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total452097Total
Program Services335651ProgramServices
Management And General116446ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total19203Total
Program Services15713ProgramServices
Management And General3490ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total232Total
Program Services232ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total12786123Total
Program Services6515327ProgramServices
Management And General6270796ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1924363Total
Management And General1924363ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES894987977323074616268051
SHARED SERVICE FEES3979636186227638934085
BAD DEBTS2457144024571440
REPAIRS & MAINTENANCE26615162177737483779

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total4869999Total
Program Services3984786ProgramServices
Management And General885213ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total335494490Total
Program Services243768901ProgramServices
Management And General91725589ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY22798744BOY
EOY47340700EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY-49869EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY44489256BOY
EOY47573689EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY29973BOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY5261129BOY
EOY5998425EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY81186BOY
EOY290133EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis341814169LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec238427533LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY94532815BOY
EOY103386636EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY73876BOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY1949360BOY
EOY2005080EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY37804432BOY
EOY43698201EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY207020771BOY
EOY250242995EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY22664372BOY
EOY21842448EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY324582BOY
EOY1614435EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY22988954BOY
EOY23456883EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY184031817BOY
EOY226786112EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY184031817BOY
EOY226786112EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY207020771BOY
EOY250242995EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses42660729ReconcilationRevenueExpenses
Reconcilation Other Changes93566ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$15,624GrantsOtherOrganizationsAmount
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB15624TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationTHE 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, 2012, DUES WERE $75,713, $53,496, AND $24,582, RESPECTIVELY. APPROXIMATELY 9.0% OF OKLAHOMA HOSPITAL ASSOCIATION DUES, 5.15% OF CATHOLIC HOSPITAL ASSOCIATION DUES, AND 24.6% OF AMERICAN HOSPITAL ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1602629InvestmentCostOrOtherBasis
Other Cost Or Other Basis11013257OtherCostOrOtherBasis
Book Value12615886BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis88151646OtherCostOrOtherBasis
Depreciation46599919Depreciation
Book Value41551727BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis436229OtherCostOrOtherBasis
Depreciation382645Depreciation
Book Value53584BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis231093854OtherCostOrOtherBasis
Depreciation186881386Depreciation
Book Value44212468BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9516554OtherCostOrOtherBasis
Depreciation4563583Depreciation
Book Value4952971BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings103386636TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
OTHER ASSETS4940146
DUE FROM TAX EXEMPT AFFILIATES38758055
FieldValueIRS element (for citing)
Total Book Value Other Assets43698201TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionOTHER LIABILITIESDescription
Amount$1,614,435Amount
FieldValueIRS element (for citing)
Total Of Amounts1614435TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF MERCY HEALTH AND SUBSIDIARIES DO NOT INCLUDE A FOOTNOTE TO REPORT THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX PROVISIONS UNDER FIN 48, AS THEY ARE DEEMED IMMATERIAL FOR DISCLOSURE.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense10192264TotalCommunityBenefitExpense
Net Community Benefit Expense10192264NetCommunityBenefitExpense
Percent Of Total Expense0.03280PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense10170851TotalCommunityBenefitExpense
Direct Offsetting Revenue8571898DirectOffsettingRevenue
Net Community Benefit Expense1598953NetCommunityBenefitExpense
Percent Of Total Expense0.00510PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense20363115TotalCommunityBenefitExpense
Direct Offsetting Revenue8571898DirectOffsettingRevenue
Net Community Benefit Expense11791217NetCommunityBenefitExpense
Percent Of Total Expense0.03790PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense2021683TotalCommunityBenefitExpense
Net Community Benefit Expense2021683NetCommunityBenefitExpense
Percent Of Total Expense0.00650PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense353817TotalCommunityBenefitExpense
Net Community Benefit Expense353817NetCommunityBenefitExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense467060TotalCommunityBenefitExpense
Net Community Benefit Expense467060NetCommunityBenefitExpense
Percent Of Total Expense0.00150PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense2842560TotalCommunityBenefitExpense
Net Community Benefit Expense2842560NetCommunityBenefitExpense
Percent Of Total Expense0.00910PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense23205675TotalCommunityBenefitExpense
Direct Offsetting Revenue8571898DirectOffsettingRevenue
Net Community Benefit Expense14633777NetCommunityBenefitExpense
Percent Of Total Expense0.04700PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense165624TotalCommunityBuildingExpense
Net Community Building Expense165624NetCommunityBuildingExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Total Community Building Expense54627TotalCommunityBuildingExpense
Net Community Building Expense54627NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense3657TotalCommunityBuildingExpense
Net Community Building Expense3657NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense184556TotalCommunityBuildingExpense
Net Community Building Expense184556NetCommunityBuildingExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense408464TotalCommunityBuildingExpense
Net Community Building Expense408464NetCommunityBuildingExpense
Percent Of Total Expense0.00130PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$8,023,214BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare99019269AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare105783978CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-6764709MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1MERCY HOSPITAL OKLAHOMA CITYBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line14300 WEST MEMORIAL ROADAddressLine1
CityOKLAHOMA CITYCity
StateOKState
ZIP Code73120ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MERCY HOSPITAL OKLAHOMA CITYBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent100.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent400.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities12NumberOfOtherFacilities

Other Facilities OtherFacilities (12 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
MHOKC - OUTPATIENT PHYSICAL THERAPY
4401 W MEMORIAL ROADOKLAHOMA CITYOK73120SPORTS & PHYSICAL THERAPY
MHOKC - OUTPATIENT RADIATION ONCOLOGY
4205 MCAULEY BLVD LOWER LEVELOKLAHOMA CITYOK73120OUTPATIENT RADIATION SERICES
MHOKC - WOMEN'S CENTER
4300 MCAULEY BLVDOKLAHOMA CITYOK73120WOMEN'S CENTER, IMAGING, ETC
SPINE CENTER OUTPATIENT REHAB
13301 N MERIDIAN AVE STE 704OKLAHOMA CITYOK73120SPINE CENTER SERVICES & REHAB
EDMOND OUTPATIENT REHAB
1919 N EASTERN AVEEDMONDOK73013OUTPATIENT RAHAB SERVICES
MHOKC - SLEEP DISORDER CENTER
4345 W MEMORIAL ROADOKLAHOMA CITYOK73120SLEEP DISORDER SERVICES
THE OKLAHOMA CITY ASC LLC (AMSURG)
13313 N MERIDIAN BUILDING BOKLAHOMA CITYOK73120ENDOSCOPY SERVICES
MHOKC - WOUND CARE CENTER
4140 WEST MEMORIAL RD SUITE 107OKLAHOMA CITYOK73120WOUND CARE CENTER
MHOKC - OUTPATIENT IMAGING
1705 RENAISSANCE BLVD 135EDMONDOK73013IMAGING CENTER, MRI, CT, ULTRASOUND
CANADIAN COUNTY OUTPATIENT REHAB
520 S MUSTANG RDYUKONOK73099SPORTS & PHYSICAL THERAPY & REHAB
NEUROSCIENCE INSTITUTE SERVICES ORGLLC
4120 W MEMORIAL ROADOKLAHOMA CITYOK73120MANAGED CARE SERVICES
MHOKC - CANADIAN COUNTY IMAGING CENTER
520 S MUSTANG RDYUKONOK73099CT & ULTRASOUND SERVICES

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

ExplanationExplanationIdentifierIdentifier
PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 24571440.
PART II: 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 FROM MERCY HOSPITAL OKLAHOMA CITY IS ASSIGNED TO THE HAU AND THE VICE-PRESIDENT OF MISSION/ETHICS SERVES ON THE EXECUTIVE BOARD OF DIRECTORS.- DIABETES WELLNESS PROJECT (DWP) PROVIDES DIABETES EDUCATION, FOOT CARE, BLOOD GLUCOSE MONITORING SKILLS AND SUPPLIES TO UNINSURED DIABETICS IN THE COMMUNITY. A TOTAL OF SIX SESSIONS WERE PRESENTED ACROSS THE MERCY SERVICE AREA TO THOSE IN NEED.- 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 AND AN ANNUAL NEIGHBORHOOD HEALTH FAIR.- PROJECT EARLY DETECTION (PED) PROVIDES BREAST CARE SERVICES FOR UNINSURED WOMEN IN THE OKLAHOMA CITY AREA.- HEALTHTEACHER, A COMPREHENSIVE K-12 CURRICULUM THAT PROMOTES LIFELONG HEALTH WAS PRESENTED TO EACH SCHOOL DISTRICT IN THE MERCY SERVICE AREA.- MHOKC LINKS WITH OUR COMMUNITY THROUGH ACTIVE PARTICIPATION ON COMMUNITY BOARDS AND COMMUNITY EVENTS SUCH AS: ELDER LAW DAY, CAREGIVER SURVIVAL SKILLS CONFERENCE, OKLAHOMA TURNING POINT COUNCIL, LINWOOD NEIGHBORHOOD HEALTH FAIR, ANNUAL FLU SHOTS FOR THE UNDERSERVED.- 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.- THROUGH ONGOING COLLABORATION WITH COMMUNITY PARTNERS AND AGENCIES TO MEET THE NEEDS OF THE POOR AND UNINSURED, MERCY DEMONSTRATES ITS ONGOING COMMITMENT TO THE COMMUNITY. THE PRESIDENT OF MHOKC SERVES ON THE TOBACCO SETTLEMENT ENDOWMENT TRUST (TSET) WHICH FUNDS INITIATIVES THAT ADDRESS HEALTH/WELLNESS IMPROVEMENTS ACROSS OKLAHOMA. THE STAFF OF COMMUNITY OUTREACH DEPARTMENT COLLABORATES WITH COMMUNITY HEALTH AGENCIES WHICH SERVE THE POOR AND UNDERSERVED.
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." 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. THE FILING ORGANIZATION DETERMINED THAT THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THEORGANIZATION'S CHARITY CARE POLICY IS $0. ALTHOUGH THE CHARITY CAREPOLICY REQUIRES THE PARTICIPATION OF THE PATIENT REQUESTING ASSISTANCE, WE HAVE A PROCESS UNDER PRESUMPTIVE CHARITY (REFER TODISCLOSURE FOR PART III, #9B) TO ADDRESS ACCOUNTS FOR PATIENTS WHO DONOT PROVIDE THE INFORMATION. WE BELIEVE THAT OUR CHARITY POLICY ISCOMPREHENSIVE ENOUGH TO CAPTURE ALMOST ALL PATIENTS WHO QUALIFY FORCHARITY CARE.
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 CHARGESNET OF THE COST TO CHARGE RATIO LESS ANY PAYMENTS, DEDUCTIONS ORREIMBURSEMENTS 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 WILLGENERALLY 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 V, SECTION B, LINE 19D: EACH HOSPITAL FACILITY USED THE AVERAGE DISCOUNT OF THE HIGHEST (BEST PAYING) THREE COMMERCIAL MANAGED CARE PAYERS AS THE BASIS FOR ESTABLISHING UNINSURED DISCOUNT RATES FOR FAP ELIGIBLE INDIVIDUALS. UNDER NO CIRCUMSTANCES, WILL THIS UNINSURED DISCOUNT BE LESS THAN 15%.MERCY HOSPITAL OKLAHOMA CITY
PART VI, LINE 2: MERCY HOSPITAL OKLAHOMA CITY, INC. CONDUCTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. OUR NEEDS ASSESSMENT PROCESS INVOLVED THE FOLLOWING FIVE STEPS USING BOTH QUANTITATIVE AND QUALITATIVE INFORMATION TO ATTAIN THE FULL SCOPE OF OUR COMMUNITY'S NEEDS.1. EXAMINING EXISTING COMMUNITY HEALTH NEEDS ASSESSMENTS. THE NEEDS ASSESSMENT EXAMINATION PROCESS INCLUDED THE COLLECTION AND ANALYSIS OF QUANTITATIVE DATA AVAILABLE IN COMMUNITY/PUBLIC HEALTH RESOURCES.- OKLAHOMA HEALTH IMPROVEMENT PLAN (OHIP) THIS IS A COMPREHENSIVE PLAN TO IMPROVE THE HEALTH OF ALL OKLAHOMANS DEVELOPED BY THE OKLAHOMA STATE BOARD OF HEALTH, 2010-2014.- WELLNESS NOW COMMUNITY HEALTH ASSESSMENT, 2011 OKLAHOMA CITY AND COUNTYTHIS ASSESSMENT WAS COMPLETED BY THE OKLAHOMA CITY-COUNTY HEALTH DEPARTMENT'S DATA ANALYSIS SECTION IN 2010. THIS NINE-MONTH PROCESS INCLUDES A COMMUNITY HEALTH STATUS ASSESSMENT, A COMMUNITY STRENGTHS AND THEMES ASSESSMENT, AND A LOCAL PUBLIC HEALTH SYSTEMS ASSESSMENT.- WELLNESS NOW-COMMUNITY HEALTH IMPROVEMENT PLAN-2011-2012 OKLAHOMA CITY/COUNTYTHIS COMMUNITY HEALTH IMPROVEMENT INITIATIVE ADDRESSES SCHOOL HEALTH, OBESITY, TOBACCO USE PREVENTION, SENIOR HEALTH, MENTAL HEALTH, AND OBSTACLES TO HEALTH. IT IS DESIGNED TO POOL COMMUNITY RESOURCES AND EXPAND PARTNERSHIPS TO TARGETED AREAS WITH THE MOST NEEDS AS A UNITED FORCE AND ACHIEVE REAL RESULTS.- DATA FROM MERCY'S HEALTH INFORMATION SYSTEMS DEPARTMENTDATA FROM MERCY'S OWN RECORDS WAS USED TO ASSESS THE NEEDS OF THE COMMUNITY. - 2011 STATE OF THE STATE HEALTH REPORTTHIS REPORT REVIEWS MULTIPLE INDICATORS THAT CONTRIBUTE TO OKLAHOMA'S OVERALL HEALTH STATUS. IT SUMMARIZES OKLAHOMA HEALTH AS A WHOLE AND IDENTIFIES COUNTY SPECIFIC TRENDS.- OKLAHOMA TURNING POINTTURNING POINT STARTS AT THE LOCAL LEVEL, BUILDING BROAD COMMUNITY SUPPORT AND PARTICIPATION IN PUBLIC HEALTH PRIORITY SETTING AND ACTION, ENGAGING AND LINKING AFFECTED PEOPLE AT THE LOCAL LEVEL. LOCAL FIELD CONSULTANTS IN EACH COUNTY OF OKLAHOMA PROVIDE LEADERSHIP IN ASSESSING LOCAL PUBLIC HEALTH NEEDS AND IDENTIFYING KEY PRIORITIES.2. CONDUCT ROUNDTABLE DISCUSSION WITH COMMUNITY MEMBERS. COMMUNITY INDIVIDUALS AS WELL AS EXPERTS IN THE PUBLIC HEALTH ARENA WERE INVITED TO ATTEND COMMUNITY ROUND TABLES FOR INPUT ON NEEDS OF THE COMMUNITY. MERCY HELD COMMUNITY ROUNDTABLE EVENTS TO DIALOGUE DIRECTLY WITH LOCAL COMMUNITY MEMBERS REGARDING THEIR NEEDS, IDEAS, AND CONCERNS RELATED TO HEALTHCARE.3. ANALYZED AND SUMMARIZED THE DATA TO PRIORITIZE NEEDS. AFTER CAREFUL ANALYSIS OF THE DATA, THE FOLLOWING COMMUNITY HEALTH NEEDS WERE IDENTIFIED: DIABETES, OBESITY, TOBACCO PREVENTION, CARDIAC, SCHOOL HEALTH, ACCESS TO CARE. TO SET PRIORITIES, MERCY HOSPITAL, OKLAHOMA CITY WILL FOCUS ON: DIABETES, ACCESS TO CARE, SCHOOL HEALTH, RESPIRATORY DISEASE, AND WELLNESS.4. REVIEW CURRENT COMMUNITY BENEFIT ACTIVITIES IN PLACE. USING LYON SOFTWARE'S CBISA TOOL, A REVIEW WAS CONDUCTED OF CURRENT COMMUNITY BENEFIT ACTIVITIES AND WHAT MERCY WAS PRESENTLY DOING TO MEET THE IDENTIFIED PRIORITIES.5. CREATE AN ACTION PLAN. IN COLLABORATION WITH OTHER MERCY DEPARTMENTS AND COMMUNITY ORGANIZATION, PROGRAMS ARE BEING CREATED AND IMPLEMENTED BASED ON THE RESULTS OF THE NEEDS ASSESSMENT. THE COMMUNITY HEALTH NEEDS ASSESSMENT IS UPDATED ON AN ONGOING BASIS AS ANNUAL COMMUNITY/PUBLIC HEALTH DATA IS RELEASED.
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. SPECIFIC INFORMATION PROVIDED: FINANCIAL ASSISTANCE INFORMATION AS 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 DISCOUNTS A 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) MUST FIRST FIND OUT IF THEY ARE ELIGIBLE FOR MEDICAID BEFORE APPLYING FOR FINANCIAL ASSISTANCE. PATIENTS DENIED MEDICAID ELIGIBILITY THEN MUST PROVIDE CERTAIN INFORMATION TO SHOW FINANCIAL NEED. 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. 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, ADJUSTED TO CONSIDER AVAILABILITY OF OTHER ASSETS THAT COULD BE USED TOWARD MAKING PAYMENTS.
PART VI, LINE 4: MERCY HOSPITAL OKLAHOMA CITY, INC. IS LOCATED IN NORTHWEST OKLAHOMA CITY. MERCY HOSPITAL OKLAHOMA CITY, INC. PRIMARILY SERVES THOSE IN URBAN/SUBURBAN OKLAHOMA CITY AND A SIX-COUNTY AREA WITH A 1.4 MILLION POPULATION; OKLAHOMA, CANADIAN, CLEVELAND, KINGFISHER, LINCOLN AND LOGAN COUNTIES.- OKC SUMMARY: 16% OF POPULATION ARE UNINSURED, 16% MEDICAID, AND 14% MEDICARE- OKLAHOMA COUNTY COMPARES UNFAVORABLY TO COUNTIES OF SIMILAR POPULATION COMPOSITION AND DEMOGRAPHIC MAKE-UP ON 16 OF 22 COMMUNITY HEALTH INDICATORS.- HIGHER DEATH RATE THAN THE US RATE- OKLAHOMA COUNTY COMPARES UNFAVORABLY TO COUNTIES OF SIMILAR POPULATION COMPOSITION AND DEMOGRAPHIC MAKE-UP ON 16 OF 22 COMMUNITY HEALTH INDICATORS.- LEADING CAUSE OF DEATH ATTRIBUTED TO INJURIES FOR RESIDENTS UNDER AGE 45 WITH CANCER AND HEART DISEASE FOR THOSE AGE 45+.- RISK FACTORS THAT CONTRIBUTE TO PREMATURE DEATH ARE HIGH BLOOD PRESSURE, SMOKING, AND ADULT OBESITY.- IDENTIFIED HEALTH NEEDS: SCHOOL HEALTH INITIATIVE, ACCESS TO HEALTH SERVICES, PREVENTION, TOBACCO, OBESITYADDITIONAL DEMOGRAPHICS FOR THE OKLAHOMA COUNTY AREA ARE BELOW. ALL INFORMATION IS BASED ON 2011 DATA:BREAKDOWN OF AGE GROUPS WITH THE PERCENTAGE OF THE POPULATION THEY COMPRISE:0-5 8%6-17 25%18-64 55%65+ 12%FEMALE PERSONS 51%MEDIAN HOUSEHOLD INCOME: $44,413PERSONS BELOW POVERTY LEVEL: 17.3%RACE/ETHNICITY:WHITE PERSONS NOT HISPANIC: 60%HISPANIC: 16%BLACK: 16%AMERICAN INDIAN: 4%ASIAN: 3%ADULT EDUCATION LEVEL:HIGH SCHOOL GRADUATE OR HIGHER: 85.8%BACHELOR'S DEGREE OR HIGHER: 29.1%
PART VI, LINE 5: MERCY HOSPITAL OKLAHOMA CITY, INC. (MHOKC) PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. MHOKC 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. IN KEEPING WITH MHOKC'S COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITIES IT SERVES, MHOKC PROVIDES QUALITY MEDICAL HEALTH CARE TO PATIENTS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. AS DEFINED BY THE INSTITUTION'S CHARITY POLICY, MHOKC DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY FOR CHARITY CARE. IN ADDITION, MHOKC PROVIDES SERVICES TO OTHER PATIENTS UNDER THE MEDICARE PROGRAM AND VARIOUS STATE MEDICAID PROGRAMS. SUCH PROGRAMS PAY PROVIDERS AMOUNTS THAT ARE SUBSTANTIALLY LESS THAN BILLED CHARGES, AND FREQUENTLY LESS THAN THE COST, OF THE SERVICES PROVIDED TO THE RECIPIENTS.MHOKC OFFERS OTHER SERVICES AND PROGRAMS WHICH FURTHER HEALTH PROMOTION, MAINTENANCE AND CARE TO THE COMMUNITY. PROGRAMS PROVIDED TO MEET THE COMMUNITY NEEDS THIS TAX YEAR INCLUDE SUPPORT GROUPS FOR RESPIRATORY CARE, FREE CLINICS FOR LAB & MEDICAL SERVICES, A PROGRAM TO PROVIDE INFORMATION AND SUPPORT TO CANCER SURVIVORS AND THEIR FAMILIES AND AN EARLY DETECTION PROGRAM OUTREACH FOR CANCER DETECTION. DIABETES WELLNESS OUTREACH PROGRAMS PROVIDE SUPPLIES AND CONSULTATION. MHOKC ALSO CONDUCTED SEVERAL BLOOD DRIVES WHICH SERVE THE COMMUNITY BLOOD BANK. MHOKC CONTINUED FUNDING OF GRADUATE MEDICAL EDUCATION PROGRAM PROVIDES RESIDENCY TRAINING IN NURSING, RESPIRATORY AND PHARMACY.MHOKC 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 SCREENED BY GENERAL COUNSEL AND REVIEWED BY THE BOARD CHAIRPERSON AND CEO. THIS PROCESS ENSURES THAT PUBLIC, RATHER THAN PRIVATE, INTERESTS ARESERVED BY MHOKC.SURPLUS FUNDS AND UNRESTRICTED ASSETS HELD BY MHOKC 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. EXAMPLES INCLUDE THE FOLLOWING:- DEVELOPMENT OF WOUND CARE CENTER WITH HYPERBARIC CHAMBERS AND SPECIALIZED WOUND CARE STAFF TO CARE FOR PATIENTS WITH DIFFICULT WOUND ISSUES.- ACQUISITION AND INSTALLATION OF KEY DIAGNOSTIC IMAGING EQUIPMENT TO AID IN THE ACCURATE AND TIMELY DIAGNOSIS OF DISEASE SUCH AS PET CT AND MRI.- PURCHASE AND INSTALLATION OF CANCER TREATMENT INFUSION THERAPY SERVICES AND STATE-OF-THE-ART RADIATION TREATMENT (TRUBEAM LINEAR ACCELERATOR) PROVIDING SERVICES THAT HAVE NOT BEEN AVAILABLE WITH PREVIOUS TECHNOLOGY.- UPDATING AND EXPANSION OF EMERGENCY ROOM FACILITIES, EQUIPMENT AND STAFF TO BETTER MEET THE HEALTH CARE NEEDS OF OUR COMMUNITY. - CONTINUING CONVERSION TO THE EPIC ELECTRONIC HEALTH RECORD SYSTEM. THIS PLATFORM ALLOWS CONTINUITY OF PATIENT MEDICAL RECORD ACCESS BY PROVIDERS THROUGHOUT THE MERCY SYSTEM (ONE PATIENT, ONE RECORD) AND ALSO ALLOWS THE PATIENT TO ACCESS INFORMATION FROM THEIR OWN RECORDS, ALLOWING MORE COMPLETE AND MEANINGFUL COMMUNICATION, INFORMATION AND HEALTH EDUCATION FOR THE COMMUNITY. INVESTMENT IS CURRENTLY BEING MADE TO ADD HOME CARE AND HOSPICE RECORDS TO THIS PLATFORM.- RENOVATION AND UPGRADES TO THE MEDICAL EQUIPMENT IN THE OPERATING ROOMS, OUTPATIENT DIAGNOSTIC SUITE AND INFUSION THERAPY SERVICES TO MEET THE TECHNOLOGICAL AND CLINICAL ADVANCES, CONTINUING TO PROVIDE THE HIGHEST QUALITY OF CARE TO SUPPORT THE NEEDS OF THE POPULATION SERVED MY MHOKC AND ITS STAFF PHYSICIANS.
PART VI, LINE 6: 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, 2012, MERCY FACILITIES INCLUDED 26 ACUTE CARE HOSPITALS, 5 MANAGED HOSPITALS, 3 HEART HOSPITALS, 2 CHILDREN'S HOSPITALS AND 1 REHAB HOSPITAL WITH 3,864 ACUTE LICENSED BEDS. FOR THE FISCAL YEAR ENDED JUNE 30, 2012, MERCY HAD 4.8 MILLION PROVIDER VISITS AND 2.7 MILLION OUTPATIENT VISITS, MORE THAN 1,600 EMPLOYED PHYSICIANS, AND APPROXIMATELY 38,000 FULL-TIME EQUIVALENT EMPLOYEES, MAKING MERCY THE SIXTH 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, 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

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
OK STATE CHAMBER
330 NE 10TH STOKLAHOMA CITYOK73104731270209501(C)(6)35000ECONOMIC DEVELOPMENT
EDMOND AREA CHAMBER OF COMMERCE
825 E 2ND ST SUITE 100EDMONDOK73034730544087501(C)(6)16250ECONOMIC DEVELOPMENT
MARCH OF DIMES
5100 BROOKLINE STE 270OKLAHOMA CITYOK73102131846366501(C)(3)46500NICU FAMILY SUPPORT
GREATER OKLAHOMA CITY CHAMBER OF COMMERCE
123 PARK AVEOKLAHOMA CITYOK73102730381180501(C)(6)10050EDUCATIONAL ENDOWMENT
UNITED WAY OF CENTRAL OKLAHOMA
PO BOX 837OKLAHOMA CITYOK73105730589829501(C)(3)30000COMMUNITY CAMPAIGN
OKLAHOMA CHRISTIAN UNIVERSITY
2501 E MEMORIAL RDEDMONDOK73013730555460501(C)(3)5000CHARITABLE DONATION
PROS FOR AFRICA
211 N ROBINSON SUITE 1350OKLAHOMA CITYOK73102271674673501(C)(3)5000CHARITABLE DONATION
OKLAHOMA HOSP EDUCATION RSCH FDTN TRUST
4000 LINCOLN BOULEVARDOKLAHOMA CITYOK73105736111625501(C)(3)13000RESEARCH
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants5TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations3TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantTUITION SCHOLARSHIPSTypeOfGrant
Number Of Recipients23NumberOfRecipients
Amount Of Cash Grant66700AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: THE ORGANIZATION USES AN APPROVAL PROCESS TO DETERMINE WHICH ORGANIZATIONS WILL RECEIVE GRANTS DURING THE FISCAL YEAR. THE FUNDS ARE THEN GIVEN DIRECTLY TO THE NONPROFIT ORGANIZATION.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (22 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
SMALLEY DIANA L
04326830114881090660184144015793075656700
GEBHART JIM R
0318247086368017584046560016135048489400
VITIELLO JONATHAN
0278936069300091531046475015423050166500
BAUMEISTER JERRY B
120728010509051355023009063550211956000
FANNING LINDA T
157261011569022909021784016040215127000
JOHNSON MARK C
317949033086073140506960121270421172000
LE BICH-VI
1330430174170358230106430150010211927000
MADISON KEITH L
1215360403702461006768062150163166000
PAYTON BECKY J
1874060417240282250278190117840296958000
STEFFENS AARON L
164742033285011295054680149380229728000
TEW DAVID
0323301069230034309053898015554049629200
EDELSTEIN THOMAS
124340090240144060151680146520177590000
CARMICHAEL CINDY
16568801232402345405165066050213236000
ROGERS WILLIAM KENT
19763309403068056024540134880291034000
TALLANT BARBARA
11915901022204667702677056110184346000
GEIGER MARILYN
1362020956202664901613053900179416000
NEWMAN JAMES
000001943770306300019744000
JOHNSTON JEFFREY A
03561250947470962790237156016757080106400
DIXSON JAMES D
0377662083701045407027760012365054689500
AKINS JULIA
0207498070634076758021600011763038825300
FJONE LOREN
018028701746002852201558506596024845000
FOSTER PAUL A
2710300018437404493037350219705000

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 1ACHARTER 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. SPOUSAL TRAVEL WAS PROVIDED FOR THE FOLLOWING: JERRY BAUMEISTER; LINDA FANNING. 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 EMPLOYEE, WILLIAM K ROGERS. 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-BJAMES NEWMAN RECEIVED $194,377 OF SEVERANCE COMPENSATION FROM MERCY HEALTH. PAUL FOSTER RECEIVED $157,896 OF SEVERANCE COMPENSATION FROM MERCY HOSPITAL OKLAHOMA CITY. SCHEDULE J, PART I, QUESTION 4B MERCY HEALTH, THE PARENT COMPANY, OFFERS SUPPLEMENTAL RETIREMENT PLANS TO CERTAIN EXECUTIVES WHICH PROVIDE BENEFITS UPON RETIREMENT 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; JEFFREY JOHNSTON THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL MANAGEMENT RETIREMENT PLAN: LINDA FANNING; MARK JOHNSON; JEFFREY JOHNSTON; BECKY PAYTON; JONATHAN VITIELLO; JIM GEBHART; BICH-VI LE; DAVID TEW 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 7THE 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 2012 (JULY 1, 2011 - JULY 30, 2012) PAYMENT OF ALL OR PART OF THE BONUS WAS CONTINGENT UPON ATTAINMENT OF CERTAIN FINANCIAL TARGETS. 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 GOALS ARE REVIEWED BY THE EXECUTIVE COMPENSATION COMMITTEE OF MERCY HEALTH AND ARE THEN TAKEN INTO ACCOUNT WHEN ANALYZING EXECUTIVE COMPENSATION FOR REASONABLENESS.
PART IIIPART 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.SUPPLEMENTAL INFORMATION

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1OKLAHOMA HEART HOSPITAL LLCBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipSEE SCHEDULE ORelationship
Amount Of Transaction649085AmountOfTransaction
Description Of TransactionINDEPENDENT CONTRACTORDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (16 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6MERCY HOSPITAL OKLAHOMA CITY HAS A SOLE CORPORATE MEMBER, MERCY HEALTH OKLAHOMA COMMUNITIES.
FORM 990, PART VI, SECTION A, LINE 7AMERCY HEALTH OKLAHOMA COMMUNITIES MAY APPOINT AND REMOVE MEMBERS OF THE BOARD.
FORM 990, PART VI, SECTION A, LINE 7BTHE 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 11THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM, USING INFORMATION PROVIDED BY THE FILING ORGANIZATION. A DRAFT FORM 990 IS REVIEWED BY THE FILING ORGANIZATION'S FINANCE TEAM. THE DRAFT FORM 990 IS ALSO REVIEWED BY THE MERCY HEALTH 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 FOR REVIEW. ONCE REVIEWED AND APPROVED BY THE FILING ORGANIZATION'S LEADERSHIP TEAM, THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW; IT IS THEN SIGNED AND FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12COFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER DISQUALIFIED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY AND DID SO IN THE NORMAL COURSE FOR THE YEAR ENDED JUNE 30, 2012. 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 FINANCE, AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15AFOR 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 EXECUTIVE 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 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE FROM TIME TO TIME BUT ARE NOT PUBLISHED PUBLICLY.
FORM 990, PART XI, LINE 5:TRANSFERS TO AFFILIATES 131,531. CONTRIBUTIONS ADJUSTMENTS -37,965. TOTAL TO FORM 990, PART XI, LINE 5: 93,566.CHANGES IN NET ASSETS OR FUND BALANCES:
PART XI, LINE 2THE 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 2012 (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 FINANCE, AUDIT, AND COMPLIANCE COMMITTEE OF THE MERCY HEALTH BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE.AUDITED FINANCIAL STATEMENTS
PART XI, LINE 3THE 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.SINGLE AUDIT ACT AND OMB CIRCULAR A-133
FORM 990, SCHEDULE L, PART IVDIANA SMALLEY, BOARD MEMBER, AND MARK JOHNSON, OFFICERS OF THE ORGANIZATION, ARE ALL BOARD MEMBERS OF OKLAHOMA HEART HOSPITAL, LLCRELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION
FORM 990, SCHEDULE R, PART IIMERCY HOSPITALS EAST COMMUNITIES CONSISTS OF MERCY HOSPITALS EAST COMMUNITIES ST. LOUIS, EIN 43-0653493, AND MERCY HOSPITALS EAST COMMUNITIES WASHINGTON, EIN 43-1066883.MERCY HOSPITALS EAST COMMUNITIES
FORM 990, SCHEDULE RLAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY SISTERS OF MERCY HEALTH SYSTEM, INC. AND SUBSIDIARIES. THE MAJORITY OF THE INTERCOMPANY/RELATED ORGANIZATION TRANSACTIONS ARE PROCESSED THROUGH LAWSON VIA INTERCOMPANY JOURNAL ENTRIES. WITH THE CURRENT DESIGN OF THE ERP SYSTEM, THERE ARE VARIOUS LIMITATIONS ON THE RELATED ORGANIZATION INFORMATION THAT CAN BE EXTRACTED FROM LAWSON. DUE TO THESE LIMITATIONS, MOST OF THE RELATED ORGANIZATION ACTIVITY FOR THE FILING ORGANIZATION HAS BEEN CLASSIFIED ON SCHEDULE R, PART V, IN LINES O AND P.
FORM 990, PART VIISEVERAL INDIVIDUALS ARE DISCLOSED AS OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ON MULTIPLE FORM 990S THAT ARE FILED BY ORGANIZATIONS INCLUDED IN THE MERCY HEALTH OKLAHOMA COMMUNITIES SYSTEM. THE AVERAGE HOURS PER WEEK REPORTED INCLUDES HOURS WORKED FOR ALL OF THESE ORGANIZATIONS.HOURS PER WEEK
FORM 990, PART V, QUESTION 1AINDEPENDENT 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 O DISCLOSURE FORM 990, HEADING, BOX BDURING THE TAX YEAR ENDED JUNE 30, 2012, SISTERS OF MERCY HEALTH SYSTEM ("MERCY HEALTH") BEGAN A SYSTEM-WIDE REBRANDING INITIATIVE TO HELP PATIENTS, PHYSICIANS, CO-WORKERS, AND THE PUBLIC BETTER UNDERSTAND THE FULL SCOPE AND LOCATIONS OF MERCY HEALTH'S SERVICES. SEVERAL OF THE MERCY HEALTH AFFILIATES HAVE CHANGED OR ARE IN THE PROCESS OF CHANGING LEGAL NAMES. PRIOR TO FILING THE 2011 FORMS 990 (DUE MAY 15, 2013), MERCY HEALTH NOTIFIED THE IRS OF THESE NAME CHANGES, THEREFORE BOX B "NAME CHANGE" HAS NOT BEEN CHECKED ON THIS FORM 990.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1NEUROSCIENCE INSTITUTE SERVICES ORGANIZATION LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14300 W MEMORIAL ROADAddressLine1
CityOKLAHOMA CITYCity
StateOKState
ZIP Code73120ZIPCode
FieldValueIRS element (for citing)
EIN300487934EIN
Primary ActivitiesMGD CARE SERVICESPrimaryActivities
Legal Domicile StateOKLegalDomicileState
Total Income0TotalIncome
EOY Assets3835069EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MERCY HOSPITAL OKLAHOMA CITYBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (67 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
ADVANCE CARE HOSPITAL
300 WERNER ST 3RD FLOORHOT SPRINGSAR71913710816634LONG TERM ACUTE-CARE HOSPITALAR501C33MERCY HEALTH0
CASA DE MISERICORDIA
1602 MCCLELLAND STREETLAREDOTX78044742912461WOMEN'S DOMESTIC VIOLENCE SHELTERTX501C37MERCY MINISTRIES OF LAREDO0
LAREDO MEDICAL GROUP
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017742764726INACTIVETX501C39MERCY HEALTH SYSTEM TX0
MCAULEY PORTFOLIO MGMT CO
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017261708048PORTFOLIO MANAGEMENTMO501C311-IIMERCY HEALTH0
MERCY CLINIC EAST COMMUNITIES
645 MARYVILLE CTR DR STE 100ST LOUISMO63141431771217PHYSICIAN GROUPMO501C39MERCY HEALTH EAST COMMUNITIES0
MERCY CLINIC FORT SMITH COMM
7301 ROGERS AVENUEFORT SMITHAR72917261318597PHYSICIAN CLINICAR501C39MERCY HEALTH FORT SMITH COMM0
MERCY CLINIC HOT SPRINGS COMM
1 MERCY LANEHOT SPRINGSAR71913261125131PHYSICIAN CLINICAR501C39MERCY HEALTH HOT SPRINGS COMM0
MERCY CLINIC OKLAHOMA COMM
4300 W MEMORIAL ROADOKLAHOMA CITYOK73120270473057PHYSICIAN GROUP/CLINICOK501C39MERCY HEALTH OK COMMUNITIES0
MERCY CLINIC SPRINGFIELD COMM
1965 FREMONT STREET SUITE 2950SPRINGFIELDMO65804431560263PHYSICIAN GROUPMO501C33MERCY HEALTH SPRINGFIELD COMM0
MERCY FAMILY CENTER
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017721069468FAMILY COUNSELING SERVICESMO501C37MERCY HEALTH0
MERCY FDTN HEALTH INNOV
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017200901499FOUNDATIONMO501C311-IIMERCY HEALTH0
MERCY HEALTH
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017431423050HEALTH SYSTEM - CORPORATE OFFICEMO501C310N/A
MERCY HEALTH EAST COMMUNITIES
645 MARYVILLE CTR DR STE 100ST LOUISMO63141431718408HEALTH SYSTEMMO501C311-IIMERCY HEALTH0
MERCY HEALTH FORT SMITH COMM
7301 ROGERS AVENUEFORT SMITHAR72917261318515HOLDING COMPANYAR501C311-IIMERCY HEALTH0
MERCY HEALTH FOUNDATION ARDMORE
1011 14TH AVENUE NWARDMOREOK73401710962525FOUNDATIONOK501C311-IMERCY HOSPITAL ARDMORE0
MERCY HEALTH FOUNDATION BERRYVILLE
214 CARTER STREETBERRYVILLEAR72616710759301FOUNDATIONAR501C311-IMERCY HOSPITAL BERRYVILLE0
MERCY HEALTH FOUNDATION FT SCOTT
401 WOODLAND HILLS BLVDFORT SCOTTKS66701481077073FOUNDATIONKS501C311-IIIMERCY KANSAS COMMUNITIES INC0
MERCY HEALTH FOUNDATION HOT SPRINGS
300 WERNER STREETHOT SPRINGSAR71913710804718FOUNDATIONAR501C311-IIMERCY HOSPITAL HOT SPRINGS0
MERCY HEALTH FOUNDATION INDEPENDENCE
800 W MYRTLEINDEPENDENCEKS67301481079981FOUNDATIONKS501C311-IMERCY KANSAS COMMUNITIES INC0
MERCY HEALTH FOUNDATION JOPLIN
2817 ST JOHNS BLVDJOPLINMO64804270906136FOUNDATIONMO501C311-IMERCY HEALTH SW MOKS COMM0
MERCY HEALTH FOUNDATION NW ARK
2710 RIFE MEDICAL LNROGERSAR72858710601687FOUNDATIONAR501C311-IIIMERCY HOSPITAL ROGERS0
MERCY HEALTH FOUNDATION OK CITY
4300 W MEMORIAL ROADOKLAHOMA CITYOK73120731593024FOUNDATIONOK501C311-IMERCY HOSPITAL OKLAHOMA CITY0
MERCY HEALTH FOUNDATION OF OK
4300 W MEMORIAL ROADOKLAHOMA CITYOK73120454732301FOUNDATIONOK501C311-IMERCY HEALTH OK COMMUNITIES0
MERCY HEALTH FOUNDATION SPRINGFIELD
1235 E CHEROKEE STREETSPRINGFIELDMO65804320195818FOUNDATIONMO501C311-IIMERCY HEALTH SPRINGFIELD COMM0
MERCY HEALTH FOUNDATION STL
615 SOUTH NEW BALLAS ROADST LOUISMO63141562410020FOUNDATIONMO501C311-IIMERCY HEALTH EAST COMMUNITIES0
MERCY HEALTH FOUNDATION WASHINGTON
901 E FIFTH STREETWASHINGTONMO63090562410022FOUNDATIONMO501C311-IIMERCY HEALTH EAST COMMUNITIES0
MERCY HEALTH HOT SPRINGS COMM
300 WERNER STREETHOT SPRINGSAR71913261125064HOLDING COMPANYAR501C311-IIMERCY HEALTH0
MERCY HEALTH NW ARK COMMUNITIES
2710 RIFE MEDICAL LNROGERSAR72758621684203PHYSICIAN GROUPAR501C311-IIMERCY HEALTH0
MERCY HEALTH OK COMMUNITIES
4300 W MEMORIAL ROADOKLAHOMA CITYOK73120731453048HOLDING COMPANYOK501C311-IIMERCY HEALTH0
MERCY HEALTH SW MOKS COMM
2817 ST JOHNS BLVDJOPLINMO64804300584463HEALTH SYSTEMMO501C311-IIMERCY HEALTH0
MERCY HEALTH SPRINGFIELD COMM
1235 E CHEROKEE STREETSPRINGFIELDMO65804431856028HOLDING COMPANYMO501C311-IIMERCY HEALTH0
MERCY HEALTH SYSTEM TX
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017742764727INACTIVETX501C311-IIMERCY HEALTH0
MERCY HOME HEALTH BERRYVILLE
804 W FREEMAN SUITE 4BERRYVILLEAR72616870781247HOME HEALTH AND HOSPICE OPERATIONS.AR501C311-IIIMERCY HOSPITAL SPRINGFIELD0
MERCY HOSPITAL ARDMORE
1011 14TH AVENUE NWARDMOREOK73401731500629HOSPITALOK501C33MERCY HEALTH OK COMMUNITIES0
MERCY HOSPITAL AURORA
500 PORTER AVENUEAURORAMO65605431936696OPERATING CO FOR LEASED HOSPMO501C33MERCY HEALTH SPRINGFIELD COMM0
MERCY HOSPITAL BERRYVILLE
214 CARTER STREETBERRYVILLEAR72616710759299HOSPITALAR501C33MERCY HEALTH SPRINGFIELD COMM0
MERCY HOSPITAL CARTHAGE
3125 DR RUSSELL SMITH WAYCARTHAGEMO64836453808607HOSPITALMO501C33MERCY HEALTH SW MOKS COMM0
MERCY HOSPITAL CASSVILLE
94 MAIN STREETCASSVILLEMO65625431936699OPERATING CO FOR LEASED HOSPMO501C33MERCY HEALTH SPRINGFIELD COMM0
MERCY HOSPITAL COLUMBUS
220 PENNSYLVANIA AVENUECOLUMBUSKS66725270842031CRITICAL ACCESS HOSPITALMO501C39MERCY HEALTH SW MOKS COMM0
MERCY HOSPITAL EL RENO
2115 PARKVIEW DRIVEEL RENOOK73036272716065OPERATING CO FOR LEASED HOSPOK501C33MERCY HEALTH OK COMMUNITIES0
MERCY HOSPITAL FORT SMITH
7301 ROGERS AVENUEFORT SMITHAR72917710240352HOSPITALAR501C33MERCY HEALTH FORT SMITH COMM0
MERCY HOSPITAL HEALDTON
918 SOUTH STREETHEALDTONOK73438263173902HOSPITALOK501C33MERCY HOSPITAL ARDMORE0
MERCY HOSPITAL HOT SPRINGS
300 WERNER STREETHOT SPRINGSAR71913710236913HOSPITALAR501C33MERCY HEALTH HOT SPRINGS COMM0
MERCY HOSPITAL JOPLIN
2817 ST JOHNS BLVDJOPLINMO64804270814858HOSPITALMO501C39MERCY HEALTH SW MOKS COMM0
MERCY HOSPITAL LEBANON
100 HOSPITAL DRIVELEBANONMO65536431767432HOSPITALMO501C33MERCY HEALTH SPRINGFIELD COMM0
MERCY HOSPITAL LOGAN COUNTY INC
200 SOUTH ACADEMYGUTHRIEOK73044452998842HOSPITALOK501C33MERCY HEALTH OK COMMUNITIES0
MERCY HOSPITAL OF LAREDO
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017741189682INACTIVETX501C33MERCY HEALTH SYSTEM TX0
MERCY HOSPITAL OZARK
801 W RIVER STREETOZARKAR72949710689680HOSPITALAR501C33MERCY HOSPITAL FORT SMITH0
MERCY HOSPITAL PARIS
500 E ACADEMYPARISAR72855710655753HOSPITALAR501C33MERCY HOSPITAL FORT SMITH0
MERCY HOSPITAL ROGERS
2710 RIFE MEDICAL LNROGERSAR72758710294390HOSPITALAR501C33MERCY HEALTH NW ARK COMMUNITIES0
MERCY HOSPITAL SPRINGFIELD
1235 E CHEROKEE STREETSPRINGFIELDMO65804440552485HOSPITALMO501C33MERCY HEALTH SPRINGFIELD COMM0
MERCY HOSPITAL TISHOMINGO
1000 SOUTH BYRDTISHOMINGOOK73460274433830HOSPITALOK501C33MERCY HOSPITAL ARDMORE0
MERCY HOSPITAL WALDRON
1341 W 6TH STREETWALDRONAR72958710557895HOSPITALAR501C33MERCY HOSPITAL FORT SMITH0
MERCY HOSPITAL WATONGA INC
500 CLARENCE NASH BLVDWATONGAOK73772455199762LEASED HOSPITALOK501C33MERCY HEALTH OK COMMUNITIES0
MERCY HOSPITALS EAST COMM
645 MARYVILLE CTR DR STE 100ST LOUISMO63141430653493HOSPITALMO501C33MERCY HEALTH EAST COMMUNITIES0
MERCY KANSAS COMMUNITIES INC
401 WOODLAND HILLS BLVDFT SCOTTKS66701480956045HOSPITAL;RURAL HEALTH CLINICSKS501C33MERCY HEALTH SW MOKS COMM0
MERCY MEDICAL RESEARCH INST
1235 E CHEROKEE STREETSPRINGFIELDMO65804870796305RESEARCH - CLINICAL TRIALSMO501C34MERCY HEALTH SPRINGFIELD COMM0
MERCY MINISTRIES OF LAREDO
2500 ZACATECASLAREDOTX78043200198462HEALTHCARE, OUTREACH,FOOD PANTRY.TX501C37MERCY HEALTH0
MERCY ST FRANCIS HOSPITAL
100 W HIGHWAY 60MOUNTAIN VIEWMO65548440607149HOSPITALMO501C33MERCY HEALTH SPRINGFIELD COMM0
MERCY SUPPORT SERVICES
615 S NEW BALLAS ROADST LOUISMO63141431677952INACTIVEMO501C311-IIIMERCY HOSPITALS EAST COMM0
MHM SUPPORT SERVICES
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017202553101CENTRALIZED HEALTH SYSTEM FUNCTIONSMO501C311-IIMERCY HEALTH0
MISSION CLINICAL SERVICES
300 WERNER STREETHOT SPRINGSAR71913134239691PHYSICIAN CLINICSAR501C39MERCY HEALTH HOT SPRINGS COMM0
ST EDWARD MERCY FOUNDATION
PO BOX 17000FORT SMITHAR72917237330425FOUNDATIONAR501C37MERCY HOSPITAL FORT SMITH0
ST JOHNS CHILDRENS HOSP
1235 E CHEROKEE STREETSPRINGFIELDMO65804INACTIVEMO501C33MERCY HEALTH SPRINGFIELD COMM0
ST MARYS HOSP ENID OK
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017730614655INACTIVEOK501C33MERCY HEALTH OK COMMUNITIES0
THE SR M CORNELIA BLASKO FN
100 W HIGHWAY 60MOUNTAIN VIEWMO65548431873914FOUNDATIONMO501C311-IMERCY ST FRANCIS HOSPITAL0
UNITY AMBULATORY CARE
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017431861745INACTIVEMO501C311-IIIMERCY HEALTH EAST COMMUNITIES0

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
SOUTHERN OKLAHOMA DIAG CTR LLC
1011 FOURTEENTH AVENUE NWARDMOREOK73401431971232MRI SERVICESOKMERCY HOSPITAL ARDMORE INCN/A00
RESOURCE OPTIMIZ & INNOVLLC
645 MARYVILLE CTR DRSTE 200ST LOUISMO63141460468368CENTRAL DISTRIBUTION CENTERMOMHN INC - MHNSR INCN/A00
MERCY AMBULATORY SURGERY CENTER LLC
7301 ROGERS AVENUEFORT SMITHAR72917710827721AMBULATORY SURGERY CENTERARMERCY HOSPITAL FORT SMITHN/A00
FORT SMITH EMERGENCY MEDICAL SERVICES
1701 SOUTH GREENWOODFORT SMITHAR72901710416615EMERGENCY MEDICAL SERVICESARMERCY HOSPITAL FORT SMITHN/A00
ST EDWARD MERCY MC M-P OFFICE BLDG
7301 ROGERS AVENUEFORT SMITHAR72903710554050OFFICE BUILDINGARMERCY HOSPITAL FORT SMITHN/A00

Form990 Schedule R Part IV Form990ScheduleRPartIV (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
MERCY COMM SERVICES INC
401 WOODLAND HILLS BLVDFORT SCOTTKS66701481078101RETAIL PHARMACYKSMERCY KANSAS COMM INCC
FRONTENAC PROPERTIES INC
14528 S OUTER FORTY SUITE 100CHESTERFIELDMO63017521914421HOLDS ANCILLARY ASSETS & OWNS AIRCRAFTDEMERCY HEALTHC
INVENO HEALTH INC
1235 E CHEROKEE STREETSPRINGFIELDMO65804264509571TECHNOLOGY TRANSFER COMPANYMOMERCY HEALTH SPRINGFIELD COMMC
UNITY SUPPORT SERVICES INC
645 MARYVILLE CENTRE DRIVE SUITE 10ST LOUISMO63141431797042INACTIVEMOMERCY HEALTH EAST COMMUNITIESC
UH L CORP INC
645 MARYVILLE CENTRE DRIVE SUITE 10ST LOUISMO63141742499535HOLDING COMPANYMOMERCY HEALTH SERVICES LLCC
MHN OF THE SOUTHERN REGION INC
1011 14TH AVENUE NWARDMOREOK73401731580607HOLDING COMPANYOKMERCY MANAGED CARE CORPC
MERCY HEALTH CENTER CONDOMINIUM INC
4300 W MEMORIAL RDOKLAHOMA CITYOK73120680640970ADMINISTRATOR OF CERTAIN REAL PROPERTY AND IMPROVEMENTSOKMERCY HOSPITAL OKLAHOMA CITYINCC83581514712800.88000
MERCY MANAGED CARE CORPORATION
4300 W MEMORIAL ROADOKLAHOMA CITYOK73120731441665HOLDING COMPANYOKMERCY HEALTHC
MERCY HEALTH NETWORK INC
4300 W MEMORIAL ROADOKLAHOMA CITYOK73120731381689HOLDING COMPANYOKMERCY MANAGED CARE CORPC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (17 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
MERCY CLINIC OKLAHOMA COMMUNITIES INC
N409641
MERCY CLINIC OKLAHOMA COMMUNITIES INC
O109813269
MERCY HEALTH
P199833
MERCY HEALTH FOUNDATION OKLAHOMA CITY
O488133
MERCY HEALTH NETWORK INC
P143786
MERCY HEALTH OKLAHOMA COMMUNITIES INC
O15919016
MERCY HOSPITAL ARDMORE
O131334424
MERCY HOSPITAL EL RENO INC
O12222305
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