MERCY HOSPITAL WATONGA INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- MERCY HOSPITAL WATONGA INC (EIN 45-5199762)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-15
- IRS object ID
- 201721359349301822
- Schema version
- 2015v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-15T08:32:33-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 562632458 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLEUS AND COMPANY LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14500 S OUTER 40 SUITE 201A | AddressLine1Txt |
| City | CHESTERFIELD | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63017 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 455199762 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY HOSPITAL WATONGA INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MERC | BusinessNameControlTxt |
| Phone | 4057523495 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 CLARENCE NASH BLVD | AddressLine1Txt |
| City | WATONGA | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 73772 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TRACY ENLOE | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 4057523161 | PhoneNum |
| Signature | 2017-05-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DOUGLAS G PLEUS | PreparerPersonNm |
| PTIN | P00013488 | PTIN |
| Phone | 3143179916 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DIANA SMALLEY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 CLARENCE NASH BLVD | AddressLine1Txt |
| City | WATONGA | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 73772 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $8,366,910 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MERCY.NET/PRACTICE/MERCY-HOSPITAL-WATONGA | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2012 | FormationYr |
| Legal Domicile State | OK | LegalDomicileStateCd |
| Activity Or Mission | TO CARRY OUT THE HEALING MINISTRY OF JESUS BY PROMOTING HEALTH AND WELLNESS THROUGH OUR COMMUNITIES. TO PROVIDE QUALITY HEALTH SERVICES THROUGH A WISE USE OF RESOURCES AND EXCEPTIONAL MERCY SERVICE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 16 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $12,033 | PYContributionsGrantsAmt |
| CY Contributions Grants | $22,845 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $5,697,541 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $7,513,702 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$129 | PYInvestmentIncomeAmt |
| CY Investment Income | $313 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,068,152 | PYOtherRevenueAmt |
| CY Other Revenue | $830,050 | CYOtherRevenueAmt |
| PY Total Revenue | $6,777,597 | PYTotalRevenueAmt |
| CY Total Revenue | $8,366,910 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $9,322 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $7,847 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,222,977 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,606,054 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,444,176 | PYOtherExpensesAmt |
| CY Other Expenses | $2,741,500 | CYOtherExpensesAmt |
| PY Total Expenses | $6,676,475 | PYTotalExpensesAmt |
| CY Total Expenses | $7,355,401 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $101,122 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,011,509 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,872,286 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,189,450 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $460,223 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $448,310 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,412,063 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $741,140 | NetAssetsOrFundBalancesEOYAmt |
| Mission | MERCY HOSPITAL WATONGA 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $6,027,979 | ExpenseAmt |
| Grant | $7,847 | GrantAmt |
| Revenue | $8,328,276 | RevenueAmt |
| Desc | MERCY HOSPITAL WATONGA INC. PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. DURING FISCAL YEAR END JUNE 30, 2016, WATONGA PROVIDED SERVICES TO 241 INPATIENTS, 5,491 OTHER OUTPATIENTS, AND 3,796 EMERGENCY DEPARTMENT PATIENTS. THE AMOUNT OF UNCOMPENSATED CARE FOR FY 2016 WAS $1,084,706.MERCY HOSPITAL WATONGA INC.'S EXEMPT PURPOSE ACHIEVEMENTS ARE EXPANDED UPON IN VARIOUS SECTIONS OF SCHEDULE H. | Desc |
| Total Program Service Expenses | $6,027,979 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 4 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OK | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LYNN PINAROC | PersonNm |
| Phone | 4057523536 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4300 WEST MEMORIAL ROAD | AddressLine1Txt |
| City | OKLAHOMA CITY | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 73120 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| GAUER WILLIAM | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JAMES KARYL | ||||||||||
| CHIEF NURSING OFFICER (OK CITY) & BOARD MEMBER | 1.00 | 59.00 | Yes (X) | $0 | $189,250 | $24,780 | ||||
| LUCAS JOYCE | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| PARHAM LOREN | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| SCHENK MARY | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| TUCKER JOSHUA | ||||||||||
| BOARD MEMBER | 1.00 | 51.00 | Yes (X) | $0 | $165,224 | $24,164 | ||||
| RAJU GARY | ||||||||||
| CHIEF FINANCIAL OFFICER | 1.00 | 59.00 | $0 | $318,634 | $14,207 | Yes (X) | ||||
| SMALLEY DIANA L | ||||||||||
| PRESIDENT, WEST COMMUNITIES | 1.00 | 59.00 | $0 | $795,366 | $104,962 | Yes (X) | ||||
| GEBHART JIM R | ||||||||||
| PRESIDENT, MERCY HOSPITAL OKLAHOMA CITY | 5.00 | 55.00 | $0 | $653,640 | $210,209 | Yes (X) | ||||
| LE BICH-VI | ||||||||||
| REGIONAL VP-GENERAL COUNSEL | 2.00 | 58.00 | $0 | $265,794 | $56,054 | Yes (X) | ||||
| STITT BOBBY J | ||||||||||
| ADMINISTRATOR, RURAL FACILITIES | 40.00 | 0.00 | $114,528 | $0 | $19,699 | Yes (X) | ||||
| VITIELLO JONATHAN | ||||||||||
| FORMER OFFICER | 0.00 | 60.00 | $0 | $716,408 | $103,683 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $114,528 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,104,316 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $557,758 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SHARED IMAGING | |||||
| 801 PHOENIX LAKE AVE | STREAMWOOD | IL | 60107 | RADIOLOGY SERVICES | $126,750 |
| AMN HEALTHCARE | |||||
| 12400 HIGH BLUFF DR | SAN DIEGO | CA | 92130 | STAFFING SERVICES | $102,584 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $22,357 | GovernmentGrantsAmt |
| All Other Contributions | $488 | AllOtherContributionsAmt |
| Total Contributions | $22,845 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENU | Desc |
| Business | 622110 | BusinessCd |
| Total Revenue Column | $7,513,702 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,513,702 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $7,513,702 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $313 | TotalRevenueColumnAmt |
| Exclusion | $313 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| TAX REFUND REVENUE | 622110 | $812,987 | $812,987 | |
| CAFETERIA & VENDING | 722210 | $15,476 | $15,476 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,587 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,587 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $830,050 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,366,910 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,328,276 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $15,789 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,847 | TotalAmt |
| Program Services | $7,847 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,772,523 | TotalAmt |
| Program Services | $3,251,932 | ProgramServicesAmt |
| Management And General | $520,591 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $160,372 | TotalAmt |
| Program Services | $131,826 | ProgramServicesAmt |
| Management And General | $28,546 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $451,226 | TotalAmt |
| Program Services | $370,908 | ProgramServicesAmt |
| Management And General | $80,318 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $221,933 | TotalAmt |
| Program Services | $182,429 | ProgramServicesAmt |
| Management And General | $39,504 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $916 | TotalAmt |
| Management And General | $916 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $385,845 | TotalAmt |
| Program Services | $235,362 | ProgramServicesAmt |
| Management And General | $150,483 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,023 | TotalAmt |
| Program Services | $5,504 | ProgramServicesAmt |
| Management And General | $3,519 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $228,041 | TotalAmt |
| Program Services | $139,103 | ProgramServicesAmt |
| Management And General | $88,938 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,176 | TotalAmt |
| Program Services | $1,613 | ProgramServicesAmt |
| Management And General | $563 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,496 | TotalAmt |
| Program Services | $58,252 | ProgramServicesAmt |
| Management And General | $37,244 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,872 | TotalAmt |
| Program Services | $10,658 | ProgramServicesAmt |
| Management And General | $16,214 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,234 | TotalAmt |
| Program Services | $15,543 | ProgramServicesAmt |
| Management And General | $36,691 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,874 | TotalAmt |
| Management And General | $46,874 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBTS | $859,154 | $859,154 | |
| DRUGS & MEDICAL EXPENSE | $465,360 | $450,438 | $14,922 |
| SHARED SERVICE FEES | $444,327 | $231,050 | $213,277 |
| REPAIRS & MAINTENANCE | $85,022 | $51,863 | $33,159 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,160 | TotalAmt |
| Program Services | $24,497 | ProgramServicesAmt |
| Management And General | $15,663 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,355,401 | TotalAmt |
| Program Services | $6,027,979 | ProgramServicesAmt |
| Management And General | $1,327,422 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $351 | BOYAmt |
| EOY | $351 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,250 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $831,744 | BOYAmt |
| EOY | $807,575 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $111,042 | BOYAmt |
| EOY | $111,939 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,464 | BOYAmt |
| EOY | $6,161 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $355,398 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $149,417 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $373,866 | BOYAmt |
| EOY | $205,981 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $548,569 | BOYAmt |
| EOY | $57,443 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,872,286 | BOYAmt |
| EOY | $1,189,450 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $460,223 | BOYAmt |
| EOY | $349,013 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $99,297 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $460,223 | BOYAmt |
| EOY | $448,310 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,412,063 | BOYAmt |
| EOY | $741,140 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,412,063 | BOYAmt |
| EOY | $741,140 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,872,286 | BOYAmt |
| EOY | $1,189,450 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,011,509 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$1,682,432 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $1,601 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $1,601 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE FILING ORGANIZATION IS A MEMBER OF AND PAYS DUES TO THE OKLAHOMA HOSPITAL ASSOCIATION, CATHOLIC HOSPITAL ASSOCIATION, AND AMERICAN HOSPITAL ASSOCIATION. FOR THE YEAR ENDED JUNE 30, 2016, DUES WERE $6,719, $1,189, AND $1,848, RESPECTIVELY. APPROXIMATELY 17.20% OF OKLAHOMA HOSPITAL ASSOCIATION DUES, 3.11% OF CATHOLIC HOSPITAL ASSOCIATION DUES, AND 22.12% OF AMERICAN HOSPITAL ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED. | ExplanationTxt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,500 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,375 | DepreciationAmt |
| Book Value | $8,125 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $342,898 | OtherCostOrOtherBasisAmt |
| Depreciation | $145,042 | DepreciationAmt |
| Book Value | $197,856 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $205,981 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO TAX-EXEMPT AFFILIATES | Desc |
| Amt | $99,297 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $99,297 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2 | FormAndLineReferenceDesc |
| Explanation | FEDERAL INCOME TAX PRIMARILY ALL OF THE MERCY HEALTH ENTITIES ARE RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS CHARITABLE ORGANIZATIONS QUALIFYING UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), BY VIRTUE OF IRS DETERMINATION LETTERS OR INCLUSION IN THE OFFICIAL CATHOLIC DIRECTORY. MERCY COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2016 OR 2015. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | 0 | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $645,912 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $645,912 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09940 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,440,603 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,001,809 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $438,794 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06750 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,086,515 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,001,809 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,084,706 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.16690 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,644 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,644 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,667 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,667 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,311 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,311 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,092,826 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,001,809 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,091,017 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.16790 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,675 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $18,675 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,093 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,093 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,768 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $19,768 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00310 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $470,355 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $3,352,737 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $3,455,145 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$102,408 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY HOSPITAL WATONGA INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 CLARENCE NASH BLVD | AddressLine1Txt |
| City | WATONGA | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 73772 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.MERCY.NET | WebsiteAddressTxt |
| State License | 2214 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY HOSPITAL WATONGA INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.MERCY.NET/ABOUT/COMMUNITY-BENEFITS | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.MERCY.NET/ABOUT/COMMUNITY-BENEFITS | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.MERCY.NET | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.MERCY.NET | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.MERCY.NET | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| MERCY HOSPITAL WATONGA, INC. | PART V, SECTION B, LINE 5: WHEN CONDUCTING ITS MOST RECENT CHNA, MERCY HOSPITAL WATONGA WORKED CLOSELY WITH THE FOLLOWING:- BLAINE COUNTY HEALTH DEPARTMENT - OPTOMETRIST - CITY COUNCIL MEMBERS- RETIRED COMMUNITY MEMBERS - OPPORTUNITIES, INC. - WATONGA CHAMBER OF COMMERCE- OKLAHOMA STATE UNIVERSITY CENTER FOR RURAL HEALTH STAFF- MERCY HOSPITAL AND MERCY CLINIC WATONGA LEADERSHIP PLEASE REFER TO THE COMMUNITY HEALTH NEEDS ASSESSMENT WHICH CAN BE FOUND AT: WWW/MERCY.NET/COMMUNITY-BENEFITS |
| MERCY HOSPITAL WATONGA, INC. | PART V, SECTION B, LINE 6B: SEE PART V, SECTION B, LINE 5 RESPONSE |
| MERCY HOSPITAL WATONGA, INC. | PART V, SECTION B, LINE 11: THE STRUCTURE OF THIS CHIP REVOLVES AROUND THE KEY STRATEGIES OF EDUCATION, PREVENTION, AND COLLABORATION. THE HEALTH NEEDS THAT HAVE BEEN PRIORITIZED IN THIS CHIP ARE:- SMOKING (PREVENTION)- MORE PHYSICIANS (PRIMARY CARE AND SPECIALISTS)- NURSING HOME OR ASSISTED LIVING - HEALTH EDUCATION IN THE COMMUNITY - DRUG USE/ABUSE PLEASE REFER TO THE COMMUNITY HEALTH IMPLEMENTATION PLAN WHICH CAN BE FOUND AT: WWW/MERCY.NET/COMMUNITY-BENEFITS |
| MERCY HOSPITAL WATONGA, INC. | PART V, SECTION B, LINE 22D: ELIGIBILITY GUIDELINES FOR CHARITY CARE DISCOUNTS THE FEDERAL POVERTY GUIDELINES FOR INCOME ARE THE BASIS FOR DETERMINING ELIGIBILITY FOR CHARITY CARE DISCOUNTS. FOR EXAMPLE, INDIVIDUALS WITH INCOMES BELOW 100% OF THE FEDERAL POVERTY GUIDELINES WILL BE ELIGIBLE FOR FREE CARE. INDIVIDUALS WITH INCOMES GREATER THAN 100% OF THE FEDERAL POVERTY GUIDELINES MAY BE ELIGIBLE FOR CARE AT DISCOUNTED RATES DEPENDING ON THEIR INCOME LEVEL AND/OR THE AMOUNT DUE TO THE HOSPITAL. TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE, THE HOSPITAL FACILITY USES AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE. THE HOSPITAL USES A LOOK BACK METHOD THAT CONSIDERS DISCOUNTS ALLOWED TO MEDICARE AND ALL PRIVATE HEALTH INSURERS.ADDITIONAL FINANCIAL ASSISTANCE AFTER APPROPRIATE DISCOUNTS HAVE BEEN APPLIED, ARRANGEMENTS MAY BE MADE FOR AN INTEREST-FREE MONTHLY PAYMENT PLAN. GENERALLY, NO PATIENT'S FINANCIAL RESPONSIBILITY WILL BE GREATER THAN 20% OF ANNUAL HOUSEHOLD INCOME. IT IS OUR GOAL TO WORK WITH OUR PATIENTS ON THEIR REMAINING LIABILITY. |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7G: | SUBSIDIZED HEALTH SERVICESTHE ORGANIZATION DID NOT INCLUDE ANY PHYSICIAN CLINIC COSTS ON LINE 7G. |
| PART I, LN 7 COL(F): | TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) ARE $7,355,401. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $859,154. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $470,355. |
| 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 WATONGA (MHW) 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, MHW 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 MHW PARTICIPATES/SERVES ARE:- PROVIDES PHYSICALS FOR PUBLIC SCHOOL SYSTEM- MIDDLE SCHOOL MENTORS/TUTORING EACH SEMESTER- PROVIDE BLOOD PRESSURE SCREENING PROGRAMS TO SENIOR CITIZENS- SMOKING CESSATION INFORMATION AND HOTLINE- COMMUNITY EDUCATION PROGRAMS AND YEARLY HEALTH FAIR- VOLUNTARY CONTRIBUTIONS TO THE UNITED WAY- PARTNERED WITH THE LOCAL FOOD PANTRY AND SUPPORT COMMUNITY FOOD DRIVES- ORGANIZED A HOLIDAY SEASON BASKET DRIVE AND COLLECTS FOOD, CLOTHES AND TOYS FOR AREA FAMILIES IN NEED. - HOSTS A NEIGHBORHOOD BLOCK PARTY EACH SUMMER, COMPLETE WITH A BOUNCY HOUSE, FOOD AND GAMES.- THROUGH A PROGRAM CALLED "LIFE WISE," COWORKERS HELP STUDENTS DEVELOP LIFE SKILLS SUCH AS BETTER DECISION-MAKING, COMMUNICATIONS AND RELATIONSHIP-BUILDING.- THE NATIONAL ORGANIZATION OF STATE OFFICES OF RURAL HEALTH (NOSORH) SELECTED MHW AS A "COMMUNITY STAR" FOR ITS COMMITMENT TO AREA RESIDENTS. |
| PART III, LINE 2: | TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE, AT COST, BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENT ACCOUNTS WAS MULTIPLIED BY A RATIO OF COST TO CHARGES. THE RATIO OF COST TO CHARGES USED WAS BASED ON DETAILED COST ACCOUNT, WHERE AVAILABLE. WHERE COST ACCOUNTING IS NOT AVAILABLE, COST REPORT COST TO CHARGE RATIOS WERE UTILIZED. |
| PART III, LINE 3: | THE FILING ORGANIZATION DETERMINED THAT THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS $0. ALTHOUGH THE CHARITY CARE POLICY REQUIRES THE PARTICIPATION OF THE PATIENT REQUESTING ASSISTANCE, WE HAVE A PROCESS UNDER PRESUMPTIVE CHARITY TO ADDRESS ACCOUNTS FOR PATIENTS WHO DO NOT PROVIDE THE INFORMATION. WE BELIEVE THAT OUR CHARITY POLICY IS COMPREHENSIVE ENOUGH TO CAPTURE ALMOST ALL PATIENTS WHO QUALIFY FOR CHARITY CARE. |
| PART III, LINE 4: | THE TEXT OF THE FOOTNOTE THAT IS INCLUDED IN MERCY HEALTH AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE IS AS FOLLOWS: "PATIENT ACCOUNTS THAT ARE UNCOLLECTED, INCLUDING THOSE PLACED WITH COLLECTION AGENCIES, ARE INITIALLY CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN ACCORDANCE WITH COLLECTIONS POLICIES OF THE HEALTH SYSTEM AND, IN CERTAIN CASES, ARE RECLASSIFIED TO CHARITY CARE IF DEEMED TO OTHERWISE MEET THE HEALTH SYSTEM'S CHARITY CARE POLICY. THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES BASED UPON THE PAYOR COMPOSITION AND AGING OF RECEIVABLES AS OF THE REPORTING DATE WITH CONSIDERATION OF THE HISTORICAL PAYMENT AND WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES." |
| PART III, LINE 8: | IT IS THE POSITION OF MERCY HOSPITAL WATONGA THAT 100% OF ANY SHORT FALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS AMOUNT REPRESENTS COST OF PROVIDING SERVICES THAT REMAIN UNCOMPENSATED TO THE PROVIDER. THE UNREIMBURSED COSTS OF MEDICARE IS CALCULATED BY THE GROSS CHARGES NET OF THE COST TO CHARGE RATIO LESS ANY PAYMENTS, DEDUCTIONS OR REIMBURSEMENTS USING THE ANNUAL MEDICARE COST REPORT (CMS FORM 2552-96). |
| PART III, LINE 9B: | MERCY'S COLLECTION POLICY PROVIDES THAT MERCY WILL PERFORM A REASONABLE COMMUNICATION AND/OR REVIEW OF PATIENT ACCOUNTS AS IT RELATES TO ANY SERVICE PROVIDED AT OUR FACILITIES BEFORE TURNING THE ACCOUNT TO BAD DEBT OR TAKING LEGAL ACTION FOR NONPAYMENT. MERCY ACTIVELY SCRUBS ACCOUNTS FOR PAYOR PLAN COVERAGE'S; INCLUDING MEDICAID. IN THE EVENT AN ACCOUNT IS TURNED TO COLLECTIONS, AND IS IDENTIFIED IN NEED OF FINANCIAL ASSISTANCE DUE TO CIRCUMSTANCE CHANGES, OR NOW REQUESTING ASSISTANCE, THE ACCOUNTS ARE RETURNED BY THE AGENCY AND CONSIDERED FOR CHARITY IF THE PATIENT PROVIDES THE REQUESTED INFORMATION. IF THE PATIENT FAILS TO RETURN THE INFORMATION, THE ACCOUNT WILL QUALIFY FOR COLLECTIONS.MERCY UTILIZES THE EXPERIAN TOOL TO ENHANCE THE ABILITY TO DETERMINE THE CHARITY QUALIFICATION PRIOR TO TURNING TO BAD DEBT; KNOWN AS PRESUMPTIVE CHARITY. MERCY WILL GRANT CHARITY IN SITUATIONS WHERE THERE HAS BEEN AN INABILITY TO OBTAIN INFORMATION FROM PATIENTS OR THE INFORMATION PROVIDED IS NOT COMPLETE ENOUGH TO MAKE A CHARITY DETERMINATION WHEN A PATIENT HAS SUBMITTED AN APPLICATION. IN ADDITION, MERCY UTILIZES THE SAME TOOL TO QUALIFY ACCOUNTS PER THE PRACTICE OF PRESUMPTIVE CHARITY PRIOR TO BAD DEBT PLACEMENT FOR BALANCES IN EXCESS OF $6500. ALL ACCOUNT BALANCES RELATING TO ACCOUNTS IDENTIFIED BY THE HIGHER BALANCES WILL BE CONSIDERED AND FLAGGED FOR CHARITY IF THERE IS AN INABILITY TO PAY AFTER A RETURN FROM THE COLLECTION AGENCY AT APPROXIMATELY 120 DAYS. MERCY WILL PURSUE APPROPRIATE MEANS IN THE COLLECTION OF DELINQUENT ACCOUNTS FROM PATIENTS WITH AN ESTABLISHED ABILITY TO PAY OR AN UNWILLINGNESS TO COOPERATE IN VALIDATING ELIGIBILITY FOR FINANCIAL ASSISTANCE. THESE APPROPRIATE MEANS MAY INCLUDE LEGAL ACTION CONSISTENT WITH MERCY MISSION AND VALUES AFTER A SENDING 3 MONTHLY STATEMENTS WITH THE FINAL INCLUDING NOTIFICATION; IF NO RESOLUTION THEY WILL BE TURNED TO COLLECTIONS. ADDITIONALLY, THEY MAY INCLUDE LIENS UPON REAL PROPERTY AND REASONABLE WAGE GARNISHMENTS. LEGAL ACTIONS WILL GENERALLY NOT INCLUDE BANK GARNISHMENTS, REPOSSESSION OF ASSETS OR FORECLOSURES TO ENSURE SATISFACTION OF A LIEN. MERCY HAS POLICIES AND PROCEDURES ESTABLISHED TO ADDRESS THE INITIATION OF LEGAL ACTION AND ANNUALLY REVIEW COMPLIANCE WITH POLICIES BUT ENSURE 120 DAYS OF BILLING AND COLLECTIONS OCCURS PRIOR TO ANY EXTRAORDINARY COLLECTIONS ARE PURSUED. |
| PART VI, LINE 2: | A SURVEY WAS DESIGNED TO GAUGE HOSPITAL USAGE, SATISFACTION, AND COMMUNITY HEALTH NEEDS. THE SURVEY WAS AVAILABLE IN BOTH PAPER AND WEB FORMAT. THE SURVEY WAS MADE AVAILABLE AT THE HOSPITAL AND CLINIC. THE SURVEY WAS ALSO HAND DELIVERED TO BUSINESSES AND PROVIDERS IN WATONGA. THE ELECTRONIC SURVEY LINK WAS EMAILED OUT TO ALL HOSPITAL EMPLOYEES WHO WERE ENCOURAGED TO SHARE THE SURVEY WITH THEIR FRIENDS, FAMILY, AND NEIGHBORS. THE SURVEY LINK WAS ALSO PLACED ON THE MERCY HOSPITAL WATONGA FACEBOOK PAGE. SURVEYS WERE ALSO DISTRIBUTED AT THE FIRST COMMUNITY MEETING ON JULY 16, 2015. THE SURVEY RAN FROM JULY 16, 2015 TO JULY 30, 2015. A TOTAL OF 200 SURVEYS FROM THE MERCY HOSPITAL WATONGA MEDICAL SERVICE AREA WERE COMPLETED. OF THE SURVEYS RETURNED, 129 WERE ELECTRONIC RESPONSES, AND 71 WERE HARD COPY SURVEYS. THE SURVEY RESULTS WERE PRESENTED AT THE AUGUST 6, 2015, COMMUNITY MEETING.MERCY HOSPITAL WATONGA HOSTED FOUR COMMUNITY MEETINGS BETWEEN JULY 16, 2015 AND AUGUST 20, 2015. THE OKLAHOMA OFFICE OF RURAL HEALTH FACILITATED THESE MEETINGS. AVERAGE ATTENDANCE AT THE COMMUNITY MEETINGS WAS 15-20 COMMUNITY MEMBERS. A LETTER WAS SENT OUT TO COMMUNITY MEMBERS INVITING THEM TO BE PARTICIPANTS IN THE COMMUNITY MEETINGS. FOLLOW UP LETTERS WERE ALSO DISTRIBUTED. PERSONAL VISITS WERE ALSO MADE TO SHARE INFORMATION ABOUT THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE HOSPITAL MADE SIGNIFICANT EFFORTS TO REACH A DIVERSE AND REPRESENTATIVE POPULATION OF THE MEDICAL SERVICE AREA AND PATIENTS SERVED INCLUDING LOW INCOME AND RACIALLY DIVERSE POPULATIONS. REPRESENTATIVES FROM THE PUBLIC HEALTH SECTOR AND OPPORTUNITIES, INC. WERE INCLUDED TO PROVIDE INSIGHT INTO WHAT THEY SEE FROM A PUBLIC HEALTH AND UNDERSERVED POPULATION PERSPECTIVE OF COMMUNITY NEEDS.VARIOUS SOURCES OF HEALTH DATA WERE UTILIZED INCLUDING DATA FROM THE COUNTY HEALTH RANKINGS AND ROADMAPS PROGRAM THROUGH THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE, AND THE ROBERT WOODS JOHNSON FOUNDATION AND THE 2014 OKLAHOMA STATE OF THE STATE'S HEALTH REPORT COMPILED BY THE OKLAHOMA STATE DEPARTMENT OF HEALTH.PLEASE REFER TO THE COMMUNITY HEALTH NEEDS ASSESSMENT WHICH CAN BE FOUND AT: WWW/MERCY.NET/COMMUNITY-BENEFITS |
| PART VI, LINE 3: | MERCY INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY THROUGH SEVERAL MEANS. IF AT ANY TIME A PATIENT EXPRESSES HARDSHIP AND INABILITY TO PAY, THE ACCOUNTS IS PLACED FOR REVIEW. IN ADDITION, PATIENT HAVE SIGNAGE ABOUT THE POLICY AT THE ACCESS POINTS, AND ALL STAFF WORKING WITH THE PATIENT AT POINT OF SERVICE, SCHEDULING, CUSTOMER SERVICE, AND EVEN THROUGH THE MEDICAID ELIGIBILITY SCREENING, HAVE THE MEANS TO SEND THE ACCOUNT FOR REVIEW. THERE IS THE PLAIN LANGUAGE SUMMARY THAT IS BEING PROVIDED TO ALL WHOM EXPRESS HARDSHIP, IN ADDITION TO THE WEB ADDRESS PROVIDING THE APPLICATION, POLICIES, AND EVEN HOW UNINSURED ACCOUNTS ARE HANDLED. LASTLY, THE STATEMENTS MESSAGE TO THE PATIENT THAT MERCY DOES HAVE A FINANCIAL ASSISTANCE PROGRAM AND TO CALL TO SEE IF THEY ARE ELIGIBLE. MERCY STAFFS INTERNAL RESOURCES CERTIFIED TO ASSIST PATIENTS WITH MEDICAID APPLICATIONS AS WELL. |
| PART VI, LINE 4: | MERCY HOSPITAL WATONGA'S PRIMARY SERVICE AREA IS BLAINE COUNTY, OKLAHOMA. THE FOLLOWING INFORMATION IS DERIVED FROM 2016 SG2 ANALYTICS DATA AND SG2 INSURANCE COVERAGE ESTIMATES. THE AREA'S POPULATION IS 10,035. 26% OF THE POPULATION'S AVERAGE HOUSEHOLD INCOME IS OVER $75,000. 47% OF THE POPULATION IS 45 AND OLDER. 40% OF THE HOUSEHOLDS IS ON MEDICARE, 12% ON MEDICAID, AND 11% UNINSURED. |
| PART VI, LINE 5: | MERCY PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. MERCY IS A CATHOLIC HEALTH CARE CORPORATION THAT, PURSUANT TO THE ORGANIZATIONAL CORE BELIEF, THAT HEALTH CARE SERVICES ARE A VITAL AND INTEGRAL PART OF THE CHURCH'S HEALING MISSION, ENGAGES IN A MINISTRY WHICH PROVIDES GENERAL ACUTE CARE, AMBULATORY, LONG-TERM AND HOME CARE HEALTH SERVICES TO INDIVIDUALS AND FAMILIES IN ITS COMMUNITIES. MERCY OFFERS SERVICES AND PROGRAM WHICH FURTHER HEALTH PROMOTION, MAINTENANCE AND CARE TO THE COMMUNITY. PROGRAMS PROVIDED TO MEET THE COMMUNITY INCLUDE SUPPORT GROUPS, OUTREACH EVENTS, BLOOD DRIVES, AND CO-WORKER WORK DAYS.MERCY IS GOVERNED BY A BOARD OF DIRECTORS WHICH INCLUDES REPRESENTATION FROM COMMUNITY LEADERS FROM A VARIETY OF SECTORS. ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY. ANY POTENTIAL CONFLICTS OF INTEREST DISCLOSED ARE REVIEWED AND RESOLVED. THIS PROCESS ENSURES THAT PUBLIC, RATHER THAN PRIVATE INTERESTS ARE SERVED.SURPLUS FUND AND UNRESTRICTED ASSETS HELD ARE REINVESTED IN PATIENT CARE, MEDICAL EDUCATION AND RESEARCH INITIATIVES WHICH SUPPORT THE ORGANIZATION'S MISSION TO DELIVER COMPASSIONATE CARE AND EXCEPTIONAL HEALTH CARE SERVICES TO THE COMMUNITIES IT SERVES. |
| PART VI, LINE 6: | AFFILIATED HEALTH CARE SYSTEM: THE FILING ORGANIZATION IS PART OF MERCY HEALTH ("MERCY"). MERCY IS A MISSOURI NON-PROFIT CORPORATION WITH ITS HEADQUARTERS ("MINISTRY OFFICE") IN ST. LOUIS, MISSOURI. MERCY PROVIDES HEALTH CARE SERVICES IN FOUR STATES - ARKANSAS, KANSAS, MISSOURI, AND OKLAHOMA - AND HAS OUTREACH MINISTRIES LOCATED IN LOUISIANA, MISSISSIPPI, AND TEXAS. MERCY'S MISSION IS "AS THE SISTERS OF MERCY BEFORE US, WE BRING LIFE TO THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE." AS OF JUNE 30, 2016, MERCY FACILITIES INCLUDED 33 ACUTE CARE HOSPITALS, 3 MANAGED HOSPITALS, 4 HEART HOSPITALS, 2 CHILDREN'S HOSPITALS, 2 ORTHOPEDIC HOSPITALS AND 3 REHAB HOSPITALS. FOR THE FISCAL YEAR ENDED JUNE 30, 2016, MERCY HAD MORE THAN 9.2 MILLION OUTPATIENT AND PHYSICIAN OFFICE VISITS, APPROXIMATELY 2,100 EMPLOYED PHYSICIANS, AND APPROXIMATELY 40,000 FULL-TIME EQUIVALENT EMPLOYEES, MAKING MERCY THE FIFTH LARGEST CATHOLIC HEALTH SYSTEM IN THE UNITED STATES. MERCY IS SPONSORED BY MERCY HEALTH MINISTRY, WHICH IS GOVERNED BY MEMBERS THAT INCLUDE SISTERS OF MERCY. MANY SERVICES THAT ARE ESSENTIAL TO FULFILLING MERCY'S MISSION ARE CENTRALIZED AT THE MINISTRY OFFICE. SUCH CENTRALIZED SERVICES INCLUDE TREASURY, INFORMATION TECHNOLOGY, CLINICAL QUALITY MANAGEMENT, LEGAL AND COMPLIANCE COUNSEL, COMPENSATION AND BENEFITS, CONSULTING, PERFORMANCE MANAGEMENT, REVENUE MANAGEMENT, INTERNAL AUDIT, ACCOUNTING AND REPORTING, CAPITAL MANAGEMENT, CLINICAL ENGINEERING, AND CLINICAL SAFETY. THE CENTRALIZATION OF SUCH SUPPORT SERVICES ENABLES MERCY TO ENSURE THAT EACH OF ITS COMMUNITIES, WHETHER LARGE OR SMALL, HAS THE SERVICES IT NEEDS. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY HEALTH FOUNDATION OF OKLAHOMA | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4300 W MEMORIAL ROAD | AddressLine1Txt |
| City | OKLAHOMA CITY | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 73120 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 454732301 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $7,847 | CashGrantAmt |
| Valuation Method Used | FMV | ValuationMethodUsedDesc |
| Purpose Of Grant | GENERAL SUPPORT | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JAMES KARYL | ||||||||||||||
| CHIEF NURSING OFFICER (OK CITY) & BO | $0 | $129,666 | $0 | $33,653 | $0 | $25,931 | $0 | $8,394 | $0 | $16,386 | $0 | $214,030 | $0 | $0 |
| TUCKER JOSHUA | ||||||||||||||
| BOARD MEMBER | $0 | $123,198 | $0 | $16,361 | $0 | $25,665 | $0 | $7,857 | $0 | $16,307 | $0 | $189,388 | $0 | $0 |
| RAJU GARY | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $0 | $198,469 | $0 | $44,196 | $0 | $75,969 | $0 | $9,898 | $0 | $4,309 | $0 | $332,841 | $0 | $0 |
| SMALLEY DIANA L | ||||||||||||||
| PRESIDENT, WEST COMMUNITIES | $0 | $544,835 | $0 | $241,632 | $0 | $8,899 | $0 | $85,731 | $0 | $19,231 | $0 | $900,328 | $0 | $0 |
| GEBHART JIM R | ||||||||||||||
| PRESIDENT, MERCY HOSPITAL OKLAHOMA C | $0 | $395,608 | $0 | $183,326 | $0 | $74,706 | $0 | $192,173 | $0 | $18,036 | $0 | $863,849 | $0 | $0 |
| LE BICH-VI | ||||||||||||||
| REGIONAL VP-GENERAL COUNSEL | $0 | $188,135 | $0 | $50,580 | $0 | $27,079 | $0 | $38,260 | $0 | $17,794 | $0 | $321,848 | $0 | $0 |
| VITIELLO JONATHAN | ||||||||||||||
| FORMER OFFICER | $0 | $420,946 | $0 | $233,293 | $0 | $62,169 | $0 | $84,728 | $0 | $18,955 | $0 | $820,091 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | CHARTER TRAVEL IS PROVIDED TO CERTAIN EMPLOYEES AS AND WHEN APPROPRIATE, AND AS DEEMED NECESSARY FOR BUSINESS TRAVEL. AFTER CHARTER TRAVEL APPROVAL HAS BEEN GRANTED IN ACCORDANCE WITH THE FINANCIAL JUSTIFICATION PROCESS, THE APPROVED CHARTER TRAVEL FOR BUSINESS IS A REIMBURSABLE EXPENSE WHICH IS NOT TAXABLE TO THE EMPLOYEES. TRAVEL FOR COMPANIONS FOR NONBUSINESS REASONS IS PROVIDED IN CERTAIN INSTANCES AND IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. WHERE COMPANION TRAVEL HAS RESULTED IN A TAXABLE EVENT, THE EMPLOYEES ARE TAXED FOR SUCH TRAVEL. LIMITED INSTANCES OF TAX GROSS-UPS MAY HAVE OCCURRED WITH RESPECT TO EXECUTIVES. HOUSING BENEFITS ARE PROVIDED THROUGH A RELOCATION PROGRAM IN ACCORDANCE WITH COMPANY POLICY. SUCH BENEFITS ARE TAXED TO THE EMPLOYEE OF A RELATED ORGANIZATION, GARY RAJU. PAYMENT BY THE COMPANY OF COSTS FOR TEMPORARY HOUSING BY EMPLOYEES FOR THE CONVENIENCE OF THE COMPANY IS MADE IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. AS A REIMBURSABLE EXPENSE, THIS TYPE OF LODGING IS NOT TAXABLE TO THE EMPLOYEE. |
| PART I, LINE 4B | MERCY HEALTH, THE PARENT COMPANY, OFFERS SUPPLEMENTAL RETIREMENT PLANS TO CERTAIN EXECUTIVES WHICH PROVIDE BENEFITS UPON VESTING DATE BASED ON COMPENSATION, AGE AT THE TIME OF BENEFIT COMMENCEMENT, LENGTH OF SERVICE WITH THE COMPANY AND/OR ITS AFFILIATES, AND LENGTH OF TENURE IN THE PLAN. THE PLANS ARE CLOSED TO NEW ENTRANTS. THE FOLLOWING INDIVIDUAL PARTICIPATED IN A SUPPLEMENTAL MANAGEMENT RETIREMENT PLAN: JONATHAN VITIELLO; BICH-VI LE; THE INDIVIDUALS LISTED ABOVE DID NOT RECEIVE PAYMENTS FROM THE SUPPLEMENTAL MANAGEMENT RETIREMENT PLAN DURING THE YEAR FROM THE FILING ORGANIZATION OR RELATED ORGANIZATIONS. THE FOLLOWING INDIVIDUAL PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN: DIANA SMALLEY (DC) THE INDIVIDUAL LISTED ABOVE DID NOT RECEIVE PAYMENTS FROM THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN DURING THE YEAR FROM THE FILING ORGANIZATION OR RELATED ORGANIZATIONS. THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C). |
| PART I, LINE 3 | THE FILING ORGANIZATION RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTION 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH OKLAHOMA COMMUNITIES, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | MERCY HEALTH OKLAHOMA COMMUNITIES (THE MEMBER) MAY APPOINT OR REMOVE MEMBERS OF THE BOARD OF DIRECTORS AS PROVIDED BY THE BYLAWS OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED TO THE CORPORATE MEMBER: A. APPROVAL OF REVISIONS TO THE MISSION, VISION AND OPERATING VALUES PURSUANT TO WHICH THE CORPORATION OPERATES; B. APPROVAL OF ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION AND THESE BYLAWS; C. APPOINTMENT AND REMOVAL OF MEMBERS OF THE BOARD, AS PROVIDED IN SECTIONS 5.2 AND 5.9 OF THE BYLAWS; D. APPROVAL OF THE APPOINTMENT AND REMOVAL OF THE ADMINISTRATOR OF THE CORPORATION, AS PROVIDED IN SECTION 6.2.1 OF THE BYLAWS; E. ADOPTION OF THE STRATEGIC PLAN, GOALS, AND OBJECTIVES OF THE CORPORATION; F. ADOPTION OF THE OPERATING, CAPITAL AND ALL OTHER BUDGETS FOR THE CORPORATION; G. APPROVAL OF THE ASSIGNMENT, TRANSFER, SALE OR LEASE OF ANY OF THE ASSETS OF THE CORPORATION IN EXCESS OF ONE MILLION DOLLARS ($1,000,000) IN ANY ONE OR SERIES OF RELATED TRANSACTIONS OCCURRING WITHIN ANY TWELVE (12) MONTH PERIOD; H. AUTHORIZATION AND APPROVAL OF THE INCURRENCE OF DEBT BY THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTE ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; I. APPROVAL OF A PLAN OF MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION; J. APPROVAL OF THE LEASE, MANAGEMENT OR PURCHASE OF, OR AFFILIATION WITH, ANOTHER HOSPITAL OR HOSPITAL SYSTEM, OR HEALTH CARE FACILITY OR HEALTH CARE SYSTEM BY THE CORPORATION; AND, K. APPROVAL OF THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION CONTROLLED BY THE CORPORATION. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM, USING INFORMATION PROVIDED BY THE FILING ORGANIZATION. A DRAFT FORM 990 IS REVIEWED BY THE FILING ORGANIZATION'S FINANCE TEAM, INCLUDING THE MANAGER OF ACCOUNTING AND THE VICE-PRESIDENT OF FINANCE. THE DRAFT FORM 990 IS ALSO REVIEWED BY MERCY HEALTH'S TAX DEPARTMENT, TO ENSURE ACCURACY AND CONSISTENCY WITH OTHER RELATED ORGANIZATIONS' FORM 990S. AFTER QUESTIONS ARISING FROM THE VARIOUS REVIEWS ARE ADDRESSED AND INCORPORATED INTO THE FORM 990, A REVISED DRAFT IS PROVIDED TO THE FILING ORGANIZATION'S LEADERSHIP TEAM, INCLUDING THE CFO AND CEO, FOR REVIEW. ONCE REVIEWED AND APPROVED BY THE FILING ORGANIZATION'S LEADERSHIP TEAM, THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW; IT IS THEN SIGNED AND FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER DISQUALIFIED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY AND DID SO IN THE NORMAL COURSE FOR THE YEAR ENDED JUNE 30, 2016. THIS PROCESS IS ADMINISTERED AT THE MERCY HEALTH LEVEL BY MERCY'S BUSINESS RISK (INTERNAL AUDIT) DEPARTMENT. THE QUESTIONNAIRES ARE REVIEWED WITH LEADERSHIP AT THE LOCAL LEVEL AND POTENTIAL CONFLICTS DISCUSSED AND RESOLVED. THE CONFLICTS AND THEIR RESPECTIVE RESOLUTIONS ARE SHARED AT THE MERCY LEVEL WITH A TEAM INCLUDING MERCY'S CHIEF FINANCIAL OFFICER, CHIEF COMPLIANCE OFFICER AND OTHER MEMBERS OF FINANCE, LEGAL AND HR. SUMMARY RESULTS ARE REVIEWED WITH MERCY'S STEWARDSHIP COMMITTEE (FORMERLY FINANCE, AUDIT AND COMPLIANCE COMMITTEE) OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 15 | FOR THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS), THE ORGANIZATION USES THE FOLLOWING TO ESTABLISH COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT, AND REVIEW/APPROVAL OF COMPENSATION BY THE COMPENSATION COMMITTEE OF THE BOARD OF MERCY HEALTH. FOR THOSE CLASSIFIED AS KEY EMPLOYEES, THE ORGANIZATION USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, AND REVIEW/APPROVAL OF EXECUTIVE MANAGEMENT. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS, AND A REVIEW WAS COMPLETED DURING THE REPORTING YEAR. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE FROM TIME TO TIME BUT ARE NOT PUBLISHED PUBLICLY. |
| FORM 990, PART VII, SECTION A, COLUMN B | AVERAGE HOURS PER WEEK THE HOURS PER WEEK DISCLOSED IN PART VII IS THE AVERAGE HOURS THE LISTED PERSON WORKED OR DEVOTED PER WEEK WHILE EMPLOYED OR ASSOCIATED WITH THE FILING ORGANIZATION AND RELATED ORGANIZATIONS (IF APPLICABLE). |
| FORM 990, PART XI, LINE 9: | NET TRANSFERS TO/FROM AFFILIATES -1,682,432. |
| FORM 990, PART XII, QUESTION 2C | AUDIT OF FINANCIAL STATEMENTS THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN MERCY HEALTH AND SUBSIDIARIES ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 2016 (THE TAX YEAR CURRENTLY BEING REPORTED). HOWEVER, NO SEPARATE AUDIT OPINION WAS ISSUED ON THE FINANCIAL STATEMENTS OF THE FILING ORGANIZATION. THE ULTIMATE RESPONSIBILITY FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE EXTERNAL AUDITOR LIES WITH THE STEWARDSHIP COMMITTEE (FORMERLY FINANCE, AUDIT, AND COMPLIANCE COMMITTEE) OF THE MERCY HEALTH BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE. |
| FORM 990, PART XII, LINE 3 | SINGLE AUDIT ACT AND OMB CIRCULAR A-133 MERCY HEALTH UNDERGOES A CONSOLIDATED A-133 AUDIT EVERY YEAR AND DID SO FOR THE FISCAL YEAR ENDING JUNE 30, 2016. EACH ENTITY THAT RECEIVES FEDERAL FUNDS DURING THE YEAR IS INCLUDED ON THE SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS (SEFA) AND IS ALSO INCLUDED IN THE POPULATION AVAILABLE FOR AUDIT. THE FILING ENTITY RECEIVED FEDERAL FUNDS DURING THE YEAR ENDED JUNE 30, 2016, WAS INCLUDED ON THE MERCY HEALTH CONSOLIDATED SEFA, AND THEREFORE, WAS ALSO INCLUDED IN THE POPULATION AVAILABLE FOR AUDIT. |
| 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, PART V, LINE 2A | W-3 FILING SALARIES AND WAGES WITH LIMITED EXEPTIONS, THE SALARIES AND WAGES REPORTED ON FORM 990, PART IX, LINE 7 REPRESENT AN ALLOCATION OF SALARIES AND WAGES FROM A RELATED ORGANIZATION. MOST EMPLOYEES ARE PAID BY A RELATED ORGANIZATION UNDER A COMMON PAYMASTER ARRANGEMENT. AS SUCH, ALL REQUIRED PAYROLL FILING FOR THESE EMPLOYEES (INCLUDING W-2 AND W-3'S) IS REPORTED UNDER THE RELATED ORGANIZATION, MHM SUPPORT SERVICES,EIN 20-2553101. |
| FORM 990, PART V, QUESTION 1A | FORM 1099/1096 FILING VENDORS 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 MERCY HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN. |
| 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. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (71 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CASA DE MISERICORDIA | |||||||||||
| 1602 MCCLELLAND STREET | LAREDO | TX | 78044 | 742912461 | WOMEN'S DOMESTIC VIOLENCE SHELTER | TX | 501C3 | 7 | MERCY MINISTRIES OF LAREDO | Yes (1) | |
| JEFFERSON LAND COMPANY INC | |||||||||||
| 14528 S OUTER FORTY ST 100 | CHESTERFIELD | MO | 63017 | 431330360 | HOLDING COMPANY | MO | 501C2 | MERCY HOSPITAL JEFFERSON | Yes (1) | ||
| MCAULEY PORTFOLIO MGMT CO | |||||||||||
| 14528 S OUTER FORTY ST 100 | CHESTERFIELD | MO | 63017 | 261708048 | PORTFOLIO MANAGEMENT | MO | 501C3 | 11-II | MERCY HEALTH | Yes (1) | |
| MERCY ACO CLINICAL SERVICES INC | |||||||||||
| 14528 S OUTER FORTY ST 100 | CHESTERFIELD | MO | 63017 | 464504901 | VIRTUAL CARE CENTER | MO | 501C3 | 3 | MERCY HEALTH | Yes (1) | |
| MERCY CLINIC EAST COMMUNITIES | |||||||||||
| 645 MARYVILLE CTR DR STE 100 | ST LOUIS | MO | 63141 | 431771217 | PHYSICIAN GROUP | MO | 501C3 | 9 | MERCY HEALTH EAST COMMUNITIES | Yes (1) | |
| MERCY CLINIC FORT SMITH COMM | |||||||||||
| 7301 ROGERS AVENUE | FORT SMITH | AR | 72917 | 261318597 | PHYSICIAN CLINIC | AR | 501C3 | 9 | MERCY HEALTH FORT SMITH COMM | Yes (1) | |
| MERCY CLINIC OKLAHOMA COMM | |||||||||||
| 4300 W MEMORIAL ROAD | OKLAHOMA CITY | OK | 73120 | 270473057 | PHYSICIAN GROUP | OK | 501C3 | 3 | MERCY HEALTH OK COMMUNITIES | Yes (1) | |
| MERCY CLINIC SPRINGFIELD COMM | |||||||||||
| 1965 FREMONT STREET SUITE 2950 | SPRINGFIELD | MO | 65804 | 431560263 | PHYSICIAN GROUP | MO | 501C3 | 3 | MERCY HEALTH SPRINGFIELD COMM | Yes (1) | |
| MERCY FAMILY CENTER | |||||||||||
| 14528 S OUTER FORTY ST 100 | CHESTERFIELD | MO | 63017 | 721069468 | FAMILY COUNSELING SERVICES | MO | 501C3 | 7 | MERCY HEALTH | Yes (1) | |
| MERCY HEALTH FOUNDATION | |||||||||||
| 14528 S OUTER FORTY ST 100 | CHESTERFIELD | MO | 63017 | 200901499 | FOUNDATION | MO | 501C3 | 11-II | MERCY HEALTH | Yes (1) | |
| MERCY HEALTH | |||||||||||
| 14528 S OUTER FORTY ST 100 | CHESTERFIELD | MO | 63017 | 431423050 | CORPORATE OFFICE | MO | 501C3 | 1 | 0 | N/A | |
| MERCY HEALTH EAST COMMUNITIES | |||||||||||
| 645 MARYVILLE CTR DR STE 100 | ST LOUIS | MO | 63141 | 431718408 | HEALTH SYSTEM | MO | 501C3 | 11-II | MERCY HEALTH | Yes (1) | |
| MERCY HEALTH EAST COMMUNITIES - SR | |||||||||||
| 645 MARYVILLE CTR DR STE 100 | ST LOUIS | MO | 63141 | 461412322 | HEALTH SYSTEM | MO | 501C3 | 11-II | MERCY HEALTH EAST COMMUNITIES | Yes (1) | |
| MERCY HEALTH FORT SMITH COMM | |||||||||||
| 7301 ROGERS AVENUE | FORT SMITH | AR | 72917 | 261318515 | HOLDING COMPANY | AR | 501C3 | 11-II | MERCY HEALTH | Yes (1) | |
| MERCY HEALTH FOUNDATION ADA | |||||||||||
| 430 N MONTE VISTA STREET | ADA | OK | 74820 | 463596274 | FOUNDATION | OK | 501C3 | 11-I | MERCY HOSPITAL ADA | Yes (1) | |
| MERCY HEALTH FOUNDATION ARDMORE | |||||||||||
| 1011 14TH AVENUE NW | ARDMORE | OK | 73401 | 710962525 | FOUNDATION | OK | 501C3 | 11-I | MERCY HOSPITAL ARDMORE | Yes (1) | |
| MERCY HEALTH FOUNDATION BERRYVILLE | |||||||||||
| 214 CARTER STREET | BERRYVILLE | AR | 72616 | 710759301 | FOUNDATION | AR | 501C3 | 11-I | MERCY HOSPITAL BERRYVILLE | Yes (1) | |
| MERCY HEALTH FOUNDATION FT SCOTT | |||||||||||
| 401 WOODLAND HILLS BLVD | FORT SCOTT | KS | 66701 | 481077073 | FOUNDATION | KS | 501C3 | 11-III | MERCY KANSAS COMMUNITIES INC | Yes (1) | |
| MERCY HEALTH FOUNDATION HOT SPRINGS | |||||||||||
| 300 WERNER STREET | HOT SPRINGS | AR | 71913 | 710804718 | FOUNDATION | AR | 501C3 | 11-II | MISSION CLINICAL SERVICES | Yes (1) | |
| MERCY HEALTH FOUNDATION INDEPENDENCE | |||||||||||
| 800 W MYRTLE | INDEPENDENCE | KS | 67301 | 481079981 | FOUNDATION | KS | 501C3 | 11-I | MERCY KANSAS COMMUNITIES INC | Yes (1) | |
| MERCY HEALTH FOUNDATION JEFFERSON | |||||||||||
| 1400 US HIGHWAY 61 SOUTH | FESTUS | MO | 63028 | 462797051 | FOUNDATION | MO | 501C3 | 11-II | MERCY HEALTH EAST COMMUNITIES - SR | Yes (1) | |
| MERCY HEALTH FOUNDATION JOPLIN | |||||||||||
| 100 MERCY WAY | JOPLIN | MO | 64804 | 270906136 | FOUNDATION | MO | 501C3 | 11-I | MERCY HEALTH SW MOKS COMM | Yes (1) | |
| MERCY HEALTH FOUNDATION LINCOLN | |||||||||||
| 1000 EAST CHERRY STREET | TROY | MO | 63379 | 811477159 | FOUNDATION | MO | 501C3 | 11-II | MERCY HEALTH EAST COMMUNITIES | Yes (1) | |
| MERCY HEALTH FOUNDATION NW ARK | |||||||||||
| 2710 RIFE MEDICAL LN | ROGERS | AR | 72858 | 710601687 | FOUNDATION | AR | 501C3 | 11-III | MERCY HOSPITAL ROGERS | Yes (1) | |
| MERCY HEALTH FOUNDATION OF OK | |||||||||||
| 4300 W MEMORIAL ROAD | OKLAHOMA CITY | OK | 73120 | 454732301 | FOUNDATION | OK | 501C3 | 11-I | MERCY HEALTH OK COMMUNITIES | Yes (1) | |
| MERCY HEALTH FOUNDATION OK CITY | |||||||||||
| 4300 W MEMORIAL ROAD | OKLAHOMA CITY | OK | 73120 | 463184231 | FOUNDATION | OK | 501C3 | 11-I | MERCY HEALTH OK COMMUNITIES | Yes (1) | |
| MERCY HEALTH FOUNDATION SPRINGFIELD | |||||||||||
| 1235 E CHEROKEE STREET | SPRINGFIELD | MO | 65804 | 320195818 | FOUNDATION | MO | 501C3 | 11-II | MERCY HEALTH SPRINGFIELD COMM | Yes (1) | |
| MERCY HEALTH FOUNDATION STL | |||||||||||
| 615 SOUTH NEW BALLAS ROAD | ST LOUIS | MO | 63141 | 562410020 | FOUNDATION | MO | 501C3 | 11-II | MERCY HEALTH EAST COMMUNITIES | Yes (1) | |
| MERCY HEALTH FOUNDATION WASHINGTON | |||||||||||
| 901 E FIFTH STREET | WASHINGTON | MO | 63090 | 562410022 | FOUNDATION | MO | 501C3 | 11-II | MERCY HEALTH EAST COMMUNITIES | Yes (1) | |
| MERCY HEALTH NW ARK COMMUNITIES | |||||||||||
| 2710 RIFE MEDICAL LN | ROGERS | AR | 72758 | 621684203 | PHYSICIAN GROUP | AR | 501C3 | 11-II | MERCY HEALTH | Yes (1) | |
| MERCY HEALTH OK COMMUNITIES | |||||||||||
| 4300 W MEMORIAL ROAD | OKLAHOMA CITY | OK | 73120 | 731453048 | HEALTH SYSTEM | OK | 501C3 | 11-II | MERCY HEALTH | Yes (1) | |
| MERCY HEALTH PLANS OF MISSOURIINC | |||||||||||
| 3265 S NATIONAL AVENUE | SPRINGFIELD | MO | 65807 | 320481419 | HMO | MO | 501C4 | MERCY HEALTH | Yes (1) | ||
| MERCY HEALTH PLANSINC | |||||||||||
| 3265 S NATIONAL AVENUE | SPRINGFIELD | MO | 65807 | 320486150 | PPO | MO | 501C4 | MERCY HEALTH PLANS OF MISSOURIINC | Yes (1) | ||
| MERCY HEALTH SW MOKS COMM | |||||||||||
| 100 MERCY WAY | JOPLIN | MO | 64804 | 300584463 | HEALTH SYSTEM | MO | 501C3 | 11-II | MERCY HEALTH | Yes (1) | |
| MERCY HEALTH SPRINGFIELD COMM | |||||||||||
| 1235 E CHEROKEE STREET | SPRINGFIELD | MO | 65804 | 431856028 | HEALTH SYSTEM | MO | 501C3 | 11-II | MERCY HEALTH | Yes (1) | |
| MERCY HOME HEALTH BERRYVILLE | |||||||||||
| 804 W FREEMAN SUITE 4 | BERRYVILLE | AR | 72616 | 870781247 | HOME HEALTH AND HOSPICE OPERATIONS | AR | 501C3 | 11-III | MERCY HOSPITAL SPRINGFIELD | Yes (1) | |
| MERCY HOSPITAL ADA INC | |||||||||||
| 430 N MONTE VISTA STREET | ADA | OK | 74820 | 462288155 | HOSPITAL | OK | 501C3 | 3 | MERCY HEALTH OK COMMUNITIES | Yes (1) | |
| MERCY HOSPITAL ARDMORE | |||||||||||
| 1011 14TH AVENUE NW | ARDMORE | OK | 73401 | 731500629 | HOSPITAL | OK | 501C3 | 3 | MERCY HEALTH OK COMMUNITIES | Yes (1) | |
| MERCY HOSPITAL AURORA | |||||||||||
| 500 PORTER AVENUE | AURORA | MO | 65605 | 431936696 | HOSPITAL | MO | 501C3 | 3 | MERCY HEALTH SPRINGFIELD COMM | Yes (1) | |
| MERCY HOSPITAL BERRYVILLE | |||||||||||
| 214 CARTER STREET | BERRYVILLE | AR | 72616 | 710759299 | HOSPITAL | AR | 501C3 | 3 | MERCY HEALTH SPRINGFIELD COMM | Yes (1) | |
| MERCY HOSPITAL BOONEVILLE | |||||||||||
| 880 WEST MAIN STREET | BOONEVILLE | AR | 72927 | 463851119 | HOSPITAL | AR | 501C3 | 3 | MERCY HOSPITAL FORT SMITH | Yes (1) | |
| MERCY HOSPITAL CARTHAGE | |||||||||||
| 3125 DR RUSSELL SMITH WAY | CARTHAGE | MO | 64836 | 453808607 | HOSPITAL | MO | 501C3 | 3 | MERCY HEALTH SW MOKS COMM | Yes (1) | |
| MERCY HOSPITAL CASSVILLE | |||||||||||
| 94 MAIN STREET | CASSVILLE | MO | 65625 | 431936699 | HOSPITAL | MO | 501C3 | 3 | MERCY HEALTH SPRINGFIELD COMM | Yes (1) | |
| MERCY HOSPITAL COLUMBUS | |||||||||||
| 220 PENNSYLVANIA AVENUE | COLUMBUS | KS | 66725 | 270842031 | HOSPITAL | MO | 501C3 | 3 | MERCY HEALTH SW MOKS COMM | Yes (1) | |
| MERCY HOSPITAL EL RENO | |||||||||||
| 2115 PARKVIEW DRIVE | EL RENO | OK | 73036 | 272716065 | HOSPITAL | OK | 501C3 | 3 | MERCY HOSPITAL OKLAHOMA CITY | Yes (1) | |
| MERCY HOSPITAL FORT SMITH | |||||||||||
| 7301 ROGERS AVENUE | FORT SMITH | AR | 72917 | 710240352 | HOSPITAL | AR | 501C3 | 3 | MERCY HEALTH FORT SMITH COMM | Yes (1) | |
| MERCY HOSPITAL HEALDTON INC | |||||||||||
| 3462 HOSPITAL RD | HEALDTON | OK | 73438 | 263173902 | HOSPITAL | OK | 501C3 | 3 | MERCY HOSPITAL ARDMORE INC | Yes (1) | |
| MERCY HOSPITAL JEFFERSON | |||||||||||
| 1400 HIGHWAY 61 SOUTH | FESTUS | MO | 63028 | 430687077 | HOSPITAL | MO | 501C3 | 3 | MERCY HEALTH EAST COMMUNITIES - SR | Yes (1) | |
| MERCY HOSPITAL JOPLIN | |||||||||||
| 100 MERCY WAY | JOPLIN | MO | 64804 | 270814858 | HOSPITAL | MO | 501C3 | 3 | MERCY HEALTH SW MOKS COMM | Yes (1) | |
| MERCY HOSPITAL KINGFISHER INC | |||||||||||
| 1000 HOSPITAL CIRCLE | KINGFISHER | OK | 73750 | 463433074 | HOSPITAL | OK | 501C3 | 3 | MERCY HOSPITAL OKLAHOMA CITY | Yes (1) | |
| MERCY HOSPITAL LEBANON | |||||||||||
| 100 HOSPITAL DRIVE | LEBANON | MO | 65536 | 431767432 | HOSPITAL | MO | 501C3 | 3 | MERCY HEALTH SPRINGFIELD COMM | Yes (1) | |
| MERCY HOSPITAL LINCOLN | |||||||||||
| 1000 EAST CHERRY STREET | TROY | MO | 63379 | 472219204 | HOSPITAL | MO | 501C3 | 3 | MERCY HEALTH EAST COMMUNITIES | Yes (1) | |
| MERCY HOSPITAL LOGAN COUNTY INC | |||||||||||
| 200 SOUTH ACADEMY | GUTHRIE | OK | 73044 | 452998842 | HOSPITAL | OK | 501C3 | 3 | MERCY HOSPITAL OKLAHOMA CITY | Yes (1) | |
| MERCY HOSPITAL OKLAHOMA CITY | |||||||||||
| 4300 W MEMORIAL ROAD | OKLAHOMA CITY | OK | 73120 | 730579285 | HOSPITAL | OK | 501C3 | 3 | MERCY HEALTH OK COMMUNITIES | Yes (1) | |
| MERCY HOSPITAL OZARK | |||||||||||
| 801 W RIVER STREET | OZARK | AR | 72949 | 710689680 | HOSPITAL | AR | 501C3 | 3 | MERCY HOSPITAL FORT SMITH | Yes (1) | |
| MERCY HOSPITAL PARIS | |||||||||||
| 500 E ACADEMY | PARIS | AR | 72855 | 710655753 | HOSPITAL | AR | 501C3 | 3 | MERCY HOSPITAL FORT SMITH | Yes (1) | |
| MERCY HOSPITAL ROGERS | |||||||||||
| 2710 RIFE MEDICAL LN | ROGERS | AR | 72758 | 710294390 | HOSPITAL | AR | 501C3 | 3 | MERCY HEALTH NW ARK COMMUNITIES | Yes (1) | |
| MERCY HOSPITAL SPRINGFIELD | |||||||||||
| 1235 E CHEROKEE STREET | SPRINGFIELD | MO | 65804 | 440552485 | HOSPITAL | MO | 501C3 | 3 | MERCY HEALTH SPRINGFIELD COMM | Yes (1) | |
| MERCY HOSPITAL TISHOMINGO | |||||||||||
| 1000 SOUTH BYRD | TISHOMINGO | OK | 73460 | 274433830 | HOSPITAL | OK | 501C3 | 3 | MERCY HOSPITAL ARDMORE | Yes (1) | |
| MERCY HOSPITAL WALDRON | |||||||||||
| 1341 W 6TH STREET | WALDRON | AR | 72958 | 710557895 | HOSPITAL | AR | 501C3 | 3 | MERCY HOSPITAL FORT SMITH | Yes (1) | |
| MERCY HOSPITALS EAST COMM | |||||||||||
| 645 MARYVILLE CTR DR STE 100 | ST LOUIS | MO | 63141 | 430653493 | HOSPITAL | MO | 501C3 | 3 | MERCY HEALTH EAST COMMUNITIES | Yes (1) | |
| MERCY KANSAS COMMUNITIES INC | |||||||||||
| 401 WOODLAND HILLS BLVD | FT SCOTT | KS | 66701 | 480956045 | HOSPITAL | KS | 501C3 | 3 | MERCY HEALTH SW MOKS COMM | Yes (1) | |
| MERCY RESEARCH | |||||||||||
| 1235 E CHEROKEE STREET | SPRINGFIELD | MO | 65804 | 870796305 | RESEARCH - CLINICAL TRIALS | MO | 501C3 | 4 | MERCY HEALTH SPRINGFIELD COMM | Yes (1) | |
| MERCY MINISTRIES OF LAREDO | |||||||||||
| 2500 ZACATECAS | LAREDO | TX | 78043 | 200198462 | OUTREACH | TX | 501C3 | 7 | MERCY HEALTH | Yes (1) | |
| MERCY ST FRANCIS HOSPITAL | |||||||||||
| 100 W HIGHWAY 60 | MOUNTAIN VIEW | MO | 65548 | 440607149 | HOSPITAL | MO | 501C3 | 3 | MERCY HEALTH SPRINGFIELD COMM | Yes (1) | |
| MHM SUPPORT SERVICES | |||||||||||
| 14528 S OUTER FORTY ST 100 | CHESTERFIELD | MO | 63017 | 202553101 | CENTRALIZED HEALTH SYSTEM FUNCTIONS | MO | 501C3 | 11-II | MERCY HEALTH | Yes (1) | |
| MISSION CLINICAL SERVICES | |||||||||||
| 300 WERNER STREET | HOT SPRINGS | AR | 71913 | 134239691 | CHILD ADVOCACY CENTER | AR | 501C3 | 9 | MERCY HEALTH | Yes (1) | |
| ST EDWARD MERCY FOUNDATION | |||||||||||
| 7301 ROGERS AVENUE | FORT SMITH | AR | 72917 | 237330425 | FOUNDATION | AR | 501C3 | 7 | MERCY HOSPITAL FORT SMITH | Yes (1) | |
| ST MARYS HOSP ENID OK | |||||||||||
| 14528 S OUTER FORTY ST 100 | CHESTERFIELD | MO | 63017 | 730614655 | INACTIVE | OK | 501C3 | 3 | MERCY HEALTH OK COMMUNITIES | Yes (1) | |
| THE SR M CORNELIA BLASKO FN | |||||||||||
| 100 W HIGHWAY 60 | MOUNTAIN VIEW | MO | 65548 | 431873914 | FOUNDATION | MO | 501C3 | 11-I | MERCY ST FRANCIS HOSPITAL | Yes (1) | |
| UNITY AMBULATORY CARE | |||||||||||
| 14528 S OUTER FORTY ST 100 | CHESTERFIELD | MO | 63017 | 431861745 | INACTIVE | MO | 501C3 | 11-III | MERCY HEALTH EAST COMMUNITIES | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|---|
| SOUTHERN OKLAHOMA DIAG CTR LLC | ||||||||||
| 1011 FOURTEENTH AVENUE NW | ARDMORE | OK | 73401 | 431971232 | MRI SERVICES - DISSOLVED 12/2015 | OK | MERCY HOSPITAL ARDMORE INC | N/A | 0 | 0 |
| RESOURCE OPTIMIZ & INNOVLLC | ||||||||||
| 645 MARYVILLE CTR DRSTE 200 | ST LOUIS | MO | 63141 | 460468368 | CENTRAL DISTRIBUTION CENTER | MO | MHN INC - MHNSR INC | N/A | 0 | 0 |
| MERCY AMBULATORY SURGERY CENTER LLC | ||||||||||
| 7301 ROGERS AVENUE | FORT SMITH | AR | 72917 | 710827721 | AMBULATORY SURGERY CENTER | AR | MERCY HOSPITAL FORT SMITH | N/A | 0 | 0 |
| FORT SMITH EMERGENCY MEDICAL SERVICES | ||||||||||
| 1701 SOUTH GREENWOOD | FORT SMITH | AR | 72901 | 710416615 | EMERGENCY MEDICAL SERVICES | AR | MERCY HOSPITAL FORT SMITH | N/A | 0 | 0 |
| ST EDWARD MERCY MED CTR M-P OFF BLDG | ||||||||||
| 7301 ROGERS AVENUE | FORT SMITH | AR | 72903 | 710554050 | OFFICE BUILDING | AR | MERCY HOSPITAL FORT SMITH | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| MERCY COMM SERVICES INC | |||||||||
| 401 WOODLAND HILLS BLVD | FORT SCOTT | KS | 66701 | 481078101 | RETAIL PHARMACY | KS | MERCY KANSAS COMM INC | C | 0 |
| FRONTENAC PROPERTIES INC | |||||||||
| 14528 S OUTER FORTY SUITE 100 | CHESTERFIELD | MO | 63017 | 521914421 | HOLDS ANCILLARY ASSETS & OWNS AIRCRAFT | DE | MERCY HEALTH | C | 0 |
| INVENO HEALTH INC | |||||||||
| 1235 E CHEROKEE STREET | SPRINGFIELD | MO | 65804 | 264509571 | TECHNOLOGY TRANSFER COMPANY | MO | MERCY HEALTH SPRINGFIELD COMM | C | 0 |
| UNITY SUPPORT SERVICES INC | |||||||||
| 645 MARYVILLE CENTRE DRIVE SUITE 10 | ST LOUIS | MO | 63141 | 431797042 | INACTIVE | MO | MERCY HEALTH EAST COMMUNITIES | C | 0 |
| UH L CORP INC | |||||||||
| 645 MARYVILLE CENTRE DRIVE SUITE 10 | ST LOUIS | MO | 63141 | 742499535 | HOLDING COMPANY | MO | MERCY HEALTH SERVICES LLC | C | 0 |
| MHN OF THE SOUTHERN REGION INC | |||||||||
| 1011 14TH AVENUE NW | ARDMORE | OK | 73401 | 731580607 | HOLDING COMPANY | OK | MERCY MANAGED CARE CORP | C | 0 |
| MERCY HEALTH CENTER CONDOMINIUM INC | |||||||||
| 4300 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | 680640970 | ADMINISTRATOR OF CERTAIN REAL PROPERTY AND IMPROVEMENTS | OK | MERCY HOSPITAL OKLAHOMA CITYINC | C | 0 |
| MERCY MANAGED CARE CORPORATION | |||||||||
| 4300 W MEMORIAL ROAD | OKLAHOMA CITY | OK | 73120 | 731441665 | HOLDING COMPANY | OK | MERCY HEALTH | C | 0 |
| MERCY HEALTH NETWORK INC | |||||||||
| 4300 W MEMORIAL ROAD | OKLAHOMA CITY | OK | 73120 | 731381689 | HOLDING COMPANY | OK | MERCY MANAGED CARE CORP | C | 0 |
| MERCY COMMERCIAL SERVICES INC | |||||||||
| 14528 SOUTH OUTER FORTY SUITE 100 | CHESTERFIELD | MO | 63017 | 464953543 | CORP PARENT OF VCC TAXABLE COMMERCIALIZ SVCS | OK | MHN INC AND MHNSR INC | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (8 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MERCY HEALTH FOUNDATION OF OKLAHOMA | ||
| B | $7,847 | FMV |
| MERCY HOSPITAL ADA INC | ||
| Q | $65,429 | FMV |
| MERCY HOSPITAL OKLAHOMA CITY INC | ||
| P | $1,461,823 | FMV |
| MHM SUPPORT SERVICES | ||
| P | $349,784 | FMV |
| MERCY CLINIC OKLAHOMA COMMUNITIES INC | ||
| Q | $1,481,602 | FMV |
| MERCY HOSPITAL KINGFISHER INC | ||
| Q | $172,782 | FMV |
| MERCY HEALTH OKLAHOMA COMMUNITIES INC | ||
| Q | $171,018 | FMV |
| RESOURCE OPTIMIZATION & INNOVATION LLC | ||
| P | $118,438 | FMV |
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