2015-05-14T12:58:16-05:00 2014-06-30 562632458 PLEUS AND COMPANY LLC 14323 S OUTER FORTY STE 310N CHESTERFIELD MO 63017 990 2013-07-01 731453048 MERCY HEALTH OKLAHOMA COMMUNITIES MERC 4057523495 4300 WEST MEMORIAL ROAD OKLAHOMA CITY OK 73120 JON VITIELLO CFO 4057523724 2015-05-14 1 DOUGLAS G PLEUS P00013488 3143179916 2013 2016-02-25 16:41:14Z DIANA SMALLEY 4300 WEST MEMORIAL ROAD OKLAHOMA CITY OK 73120 29338046 0 X WWW.MERCY.NET/OKLAHOMACITYOK X 1994 OK TO CARRY OUT THE HEALING MINISTRY OF JESUS BY PROMOTING HEALTH AND WELLNESS THROUGH OUR COMMUNITIES. TO PROVIDE QUALITY HEALTH SERVICES THROUGH A WISE USE OF RESOURCES AND EXCEPTIONAL MERCY SERVICE. 11 9 0 0 0 0 0 0 32596856 29107125 335474 230921 0 0 32932330 29338046 458923 537705 0 0 15557438 14823802 0 0 0 3148342 3849970 19164703 19211477 13767627 10126569 77613622 86801532 2943615 3225264 74670007 83576268 X MERCY HEALTH OKLAHOMA COMMUNITIES 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 HEALTH OKLAHOMA COMMUNITIES IMPLEMENTS AND ADVOCATES FOR INNOVATIVE HEALTH AND SOCIAL SERVICES TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF COMMUNITIES SERVED, WITH PARTICULAR CONCERN FOR PEOPLE WHO ARE ECONOMICALLY POOR.IN SERVING OTHERS WE MAKE A DIFFERENCE BY TOUCHING THEIR LIVES WITH COMPASSION AND EXCEPTIONAL MERCY SERVICE. 0 0 4598431 537705 29107125 MERCY HEALTH OKLAHOMA COMMUNITIES ("MHOC") IS EXEMPT FROM FEDERAL INCOME TAX AS AN ORGANIZATION DESCRIBED IN IRC SECTION 501(C)(3) AND QUALIFIES AS A PUBLIC CHARITY UNDER IRC SECTION 509(A)(3).MHOC IS A SUPPORTING ORGANIZATION OF MERCY HOSPITAL OKLAHOMA CITY AND MERCY HOSPITAL ARDMORE. MHEC ALSO PROVIDES SUPPORT SERVICES TO OTHER MEMBERS OF THE MERCY OKLAHOMA COMMUNITY. THE SUPPORT SERVICES INCLUDE FUNCTIONS THAT, BUT FOR MHOC, WOULD BE CONDUCTED BY EACH SEPARATE SUPPORTED ORGANIZATION. MERCY HEALTH OKLAHOMA COMMUNITIES SUPPORTS MERCY HOSPITAL OKLAHOMA CITY AND MERCY HOSPITAL ARDMORE IN A LEADERSHIP ROLE AS AN ADVOCATE FOR RESPONSIBLE HEALTHCARE SERVICES IN THE COMMUNITY. AMONG THE COMMUNITY SUPPORT ACTIVITIES OFFERED BY MERCY ARE:-HEALTH EDUCATION AND WELLNESS PROGRAMS AND OTHER SUPPORT GROUP MEETINGS OFFERED TO THE COMMUNITY-HEALTH SERVICES SUCH AS HEALTH FAIRS, SCREENINGS, AND FREE CLINICS, PRE-NATAL AND WELL BABY CARE-EDUCATION IS PROVIDED TO HEALTH PROFESSIONALS, INCLUDING OPPORTUNITIES FOR CLINICAL INTERNSHIPS-SUBSIDIZED HEALTH SERVICES INCLUDING HOSPICE, HOME HEALTH SERVICES, AND DISASTER READINESS -COMMUNITY HEALTH RESEARCH -CASH AND IN-KIND DONATIONS FOR EVENTS AND FUND RAISING-COMMUNITY BUILDING ACTIVITIES, IN PARTNERSHIP WITH OTHER COMMUNITY ORGANIZATIONSMERCY HEALTH OKLAHOMA COMMUNITIES HAS A 45.3% INTEREST IN OKLAHOMA HEART HOSPITAL, WHICH IS DEVOTED TO CARDIAC CARE. IT IS DEDICATED TO FOCUSING ON THE PREVENTION, INTERVENTION, AND TREATMENT OF HEART DISEASE. 4598431 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 11 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 OK X CHRISTOPHER HAHNE 4059365649 4300 WEST MEMORIAL ROAD OKLAHOMA CITY OK 73120 ANOATUBBY CHRISTOPHER BOARD MEMBER 1.00 0.00 X 0 0 0 DAVIDSON CURTIS BOARD MEMBER 1.00 1.00 X 0 0 0 DUNLAP THOMAS F BOARD MEMBER 1.00 2.00 X 0 0 0 FARZANEH JALAL BOARD MEMBER 1.00 1.00 X 0 0 0 HENDRICKS RSM SR REBECCA ANN BOARD MEMBER 1.00 14.00 X 0 0 0 LUONG BA BOARD MEMBER 1.00 1.00 X 0 0 0 SMITH MD RICHARD MEDICAL DIRECTOR & BOARD MEMBER 1.00 59.00 X 0 93721 14268 VINCENT MD MICHAEL BOARD MEMBER 1.00 1.00 X 0 0 0 WHITE MD BENJAMIN BOARD MEMBER 1.00 1.00 X 0 0 0 WOOD STEVEN BOARD MEMBER 1.00 1.00 X 0 0 0 SMALLEY DIANA L PRESIDENT, WEST COMMUNITIES 40.00 20.00 X X 0 690264 225458 VITIELLO JONATHAN CHIEF FINANCIAL OFFICER 2.00 58.00 X 0 533310 75851 CARMICHAEL CINDY VP-RURAL DEVELOPMENT 50.00 10.00 X 0 240767 19087 ENLOE TRACY VP-FINANCIAL OPERATIONS 5.00 37.00 X 0 216014 25302 LE BICH-VI REGIONAL VP-GENERAL COUNSEL 20.00 40.00 X 0 231306 46984 PAYTON BECKY J VP-HUMAN RESOURCES 30.00 30.00 X 0 290334 49970 ROGERS WILLIAM KENT CHIEF EXECUTIVE OFFICER,RURAL HOSPITAL 10.00 50.00 X 0 282339 25368 TEW DAVID CHIEF OPERATING OFFICER 36.00 24.00 X 0 483765 81249 0 3061820 563537 0 0 1 0 M MODAL 9009 CAROTHERS PARKWAY SUITE C2 FRANKLIN TN 37067 STAFF SERVICES 196825 THOMPSON COBURN LLP ONE US BANK PLAZA ST LOUIS MO 63101 LEGAL SERVICES 128946 BUSINESS IMAGING SYSTEMS PO BOX 20007 OKLAHOMA CITY OK 73156 IMAGING SERVICES 117709 3 MANAGEMENT FEE REVENUE 561110 17592684 17592684 INCOME - OHH K-1 900099 9880937 9880937 INCOME - OHH SOUTH K-1 900099 1414971 1414971 OTHER REVENUE 622110 218533 218533 29107125 230921 230921 29338046 29107125 0 230921 537705 537705 11798135 2914324 8883811 713317 176189 537128 1473445 363941 1109504 838905 207210 631695 512058 512058 127983 127983 558196 21660 536536 12668 492 12176 475064 18434 456630 16571 16571 1121458 43516 1077942 140844 18081 122763 1451 1451 123958 123958 247270 14143 233127 SHARED SERVICE FEES 228053 118588 109465 BAD DEBTS 142053 142053 REPAIR & MAINTENANCE 58340 2264 56076 DRUGS & MEDICAL EXPENSE 812 32 780 83191 3228 79963 19211477 4598431 14613046 0 230395 0 37500 23037 8814030 7593980 1455253 1220050 42465110 42355631 33425364 43202814 77613622 86801532 2943615 1438806 1786458 2943615 3225264 X 74670007 83576268 74670007 83576268 77613622 86801532 X 10126569 -1220308 X X 0 1 X 1 1 1 X X X 0 0 0 MERCY HOSPITAL OKLAHOMA CITY 730579285 03 1 1 1 0 MERCY HOSPITAL ARDMORE 731500629 03 1 1 1 0 MERCY HOSPITAL HEALDTON 263173902 03 0 1 1 0 MERCY HOSPITAL EL RENO 272716065 03 0 1 1 0 MERCY HOSPITAL TISHOMINGO 274433830 03 0 1 1 0 MERCY HOSPITAL LOGAN COUNTY INC 452998842 03 0 1 1 0 MERCY HOSPITAL WATONGA INC 455199762 03 0 1 1 0 MERCY CLINIC OKLAHOMA COMMUNITIES 270473057 03 0 1 1 0 MERCY HOSPITAL ADA 462288155 03 0 1 1 0 MERCY HOSPITAL KINGFISHER 463433074 03 0 1 1 0 10 0 799554 303670 495884 111717 23012 88705 7842736 7267298 575438 60023 60023 1220050 INVESTMENT IN OHH, LLC 39799309 C INVESTMENT IN OHH SOUTH, LLC 2556322 C 42355631 DUE FROM TAX-EXEMPT AFFILIATES 43069693 OTHER LONG TERM ASSETS 133121 43202814 PART X, LINE 2 THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF THE MERCY HEALTH AND AFFILIATES DO NOT INCLUDE A FOOTNOTE TO REPORT THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX PROVISIONS UNDER ASC 740, AS THEY ARE DEEMED IMMATERIAL FOR DISCLOSURE. 1 ALLIED ARTS 1015 N BROADWAY STE 200 OKLAHOMA CITY OK 73102 730804291 501(C)(3) 15000 SUPPORT CHARITABLE CAUSE ARCHDIOCESE OF OKLAHOMA PO BOX 32180 OKLAHOMA CITY OK 73123 730632924 501(C)(3) 25855 SUPPORT CHARITABLE CAUSE MISSION OF HOPE PO BOX 60004 FT MYERS FL 33906 134207776 501(C)(3) 5500 SUPPORT CHARITABLE CAUSE MOUNT ST MARY HIGH SCHOOL 2801 S SHARTEL OKLAHOMA CITY OK 73109 730605969 501(C)(3) 11600 SUPPORT CHARITABLE CAUSE OKLAHOMA FOUNDATION FOR CARDIOVASCULAR RESEARCH 4200 W MEMORIAL RD SUITE 510 OKLAHOMA CITY OK 73120 731455900 501(C)(3) 50000 SUPPORT CHARITABLE CAUSE OKLAHOMA AMATEUR WRESTLING 2140 CEDAR RIDGE DR CASHION OK 73016 731559509 501(C)(3) 5000 SUPPORT CHARITABLE CAUSE OKLAHOMA CITY ALL SPORTS 211 N ROBINSON SUITE 250 OKLAHOMA CITY OK 73102 736082918 501(C)(3) 5000 SUPPORT CHARITABLE CAUSE PARKINSON FOUNDATION OF OKLAHOMA 720 W WILSHIRE BLVD STE 101C OKLAHOMA CITY OK 73116 800557716 501(C)(3) 5000 SUPPORT CHARITABLE CAUSE VALLEY VIEW FOUNDATION INC 430 N MONTA VISTA ADA OK 74820 201964563 501(C)(3) 5000 SUPPORT CHARITABLE CAUSE AMERICAN INDIAN CULTURAL CENTER MUSEUM 900 N BROADWAY AVE OKLAHOMA CITY OK 73102 731554119 501(C)(3) 200000 SUPPORT CHARITABLE CAUSE HEIFER INTERNATIONAL 1 WORLD AVE LITTLE ROCK AR 72202 351019477 501(C)(3) 5000 SUPPORT CHARITABLE CAUSE OKLAHOMA HERITAGE ASSOCIATION 1400 CLASSEN DR OKLAHOMA CITY OK 73106 730784696 501(C)(3) 5000 SUPPORT CHARITABLE CAUSE 12 0 PART I, LINE 2: GRANTS ARE MADE TO ORGANIZATIONS WHICH HAVE AN ESTABLISHED HISTORY OF PROVIDING HEALTH CARE SUPPORT ANDOR COMMUNITY BENEFIT. IF NECESSARY, PERIODIC REPORTS ARE PROVIDED TO US. 0 1 0 0 0 0 0 0 0 SMALLEY DIANA L PRESIDENT, WEST COMMUNITIES 0 501629 0 178441 0 10194 0 206897 0 18561 0 915722 0 0 VITIELLO JONATHAN CHIEF FINANCIAL OFFICER 0 318639 0 85619 0 129052 0 58801 0 17050 0 609161 0 0 CARMICHAEL CINDY VP-RURAL DEVELOPMENT 0 174393 0 39910 0 26464 0 11926 0 7161 0 259854 0 0 ENLOE TRACY VP-FINANCIAL OPERATIONS 0 157631 0 38011 0 20372 0 13006 0 12296 0 241316 0 0 LE BICH-VI REGIONAL VP-GENERAL COUNSEL 0 144261 0 49152 0 37893 0 30986 0 15998 0 278290 0 0 PAYTON BECKY J VP-HUMAN RESOURCES 0 204799 0 57827 0 27708 0 37214 0 12756 0 340304 0 0 ROGERS WILLIAM KENT CHIEF EXECUTIVE OFFICER,RURAL HOSPIT 0 204286 0 57320 0 20733 0 8922 0 16446 0 307707 0 0 TEW DAVID CHIEF OPERATING OFFICER 0 348746 0 98693 0 36326 0 63959 0 17290 0 565014 0 0 PART I, LINE 1A CHARTER TRAVEL IS PROVIDED TO CERTAIN EMPLOYEES AS AND WHEN APPROPRIATE, AND AS DEEMED NECESSARY FOR BUSINESS TRAVEL. AFTER CHARTER TRAVEL APPROVAL HAS BEEN GRANTED IN ACCORDANCE WITH THE FINANCIAL JUSTIFICATION PROCESS, THE APPROVED CHARTER TRAVEL FOR BUSINESS IS A REIMBURSABLE EXPENSE WHICH IS NOT TAXABLE TO THE EMPLOYEES. TRAVEL FOR COMPANIONS IS PROVIDED IN RARE INSTANCES AND IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. WHERE COMPANION TRAVEL HAS RESULTED IN A TAXABLE EVENT, THE EMPLOYEES ARE TAXED FOR SUCH TRAVEL. LIMITED INSTANCES OF TAX GROSS-UPS MAY HAVE OCCURRED WITH RESPECT TO EXECUTIVES. HOUSING BENEFITS ARE PROVIDED THROUGH A RELOCATION PROGRAM IN ACCORDANCE WITH COMPANY POLICY. SUCH BENEFITS ARE SUBJECT TO TAX TO THE EMPLOYEE OF A RELATED ORGANIZATION, JONATHAN VITIELLO, FOR PURPOSES OF THIS 990. 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 FOLLOWING INDIVIDUAL PARTICIPATED IN A SUPPLEMENTAL MANAGEMENT RETIREMENT PLAN: JONATHAN VITIELLO; DAVID TEW; BECKY PAYTON; 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 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 7 THE RELATED ORGANIZATION WHICH EMPLOYS THOSE INDIVIDUALS LISTED ON PART VII PROVIDES A NON-FIXED BONUS PLAN FOR WHICH CERTAIN TIERS OF ITS EMPLOYEES ARE ELIGIBLE. FOR FISCAL YEAR 2014 (JULY 1, 2013 - JULY 30, 2014) PAYMENT OF ALL OR PART OF THE BONUS WAS CONTINGENT UPON ATTAINMENT OF CERTAIN FINANCIAL TARGETS AND NON-FINANCIAL GOALS DEEMED NECESSARY BY MERCY. PAYMENTS ARE MADE ANNUALLY IN OCTOBER FOLLOWING (I) THE CONCLUSION OF THE FISCAL YEAR AND (II) DETERMINATION OF GOAL ACHIEVEMENT. BONUS OPPORTUNITIES ARE TIERED PERCENTAGES AND ARE DEPENDENT UPON THE LEADERSHIP LEVEL AND ATTAINMENT PERCENTAGE. MERCY'S ATTAINMENT OF FINANCIAL TARGETS AND NON-FINANCIAL GOALS IS REVIEWED BY THE COMPENSATION COMMITTEE OF MERCY HEALTH AND IS TAKEN INTO ACCOUNT WHEN ANALYZING EXECUTIVE COMPENSATION FOR REASONABLENESS. SCHEDULE J, PART I, LINE 3 THE FILING ORGANIZATION RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTION 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS. OKLAHOMA HEART HOSPITALLLC SMALLEY,VITIELLO OFFICERS OF THE ORG.ALL BOARD MEMBERS OF OHH,LLC 10416000 DISTRIBUTIONS FROM OHH, LLC 0 OKLAHOMA HEART HOSPITAL SOUTHLLC SMALLEY,OFFICER & LE CARMICHAEL KE OF THE ORG.ALL BOARD MEMBERS OF OHHS,LLC 0 INVESTMENT IN OHHS, LLC 0 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS MERCY HEALTH. FORM 990, PART VI, SECTION A, LINE 7A MERCY HEALTH (THE MEMBER) MAY APPOINT OR REMOVE MEMBERS OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 7B MERCY HEALTH HAS THE FOLLOWING POWERS AND RESPONSIBILTIES: -TO APPROVE THE MISSION AND ESTABLISH THE PHILOSOPHY ACCORDING TO WHICH THE CORPORATION AND OF ANY CORPORATION CONTROLLED BY THE CORPORATION SHALL OPERATE; -TO AMEND AND APPROVE THE ARTICLES OF INCORPORATION AND BYLAWS AND TO AMEND AND APPROVE THE ARTICLES OF INCORPORATION AND BYLAWS OF ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO APPOINT AND REMOVE THE CHIEF EXECUTIVE OFFICER OF THE SSU; -TO APPROVE OR AMEND THE STRATEGIC PLAN, GOALS AND OBJECTIVES OF THE CORPORATION AND OF ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO APPROVE OR AMEND THE OPERATING, CAPITAL, AND CONSTRUCTION BUDGETS FOR THE CORPORATION AND OF ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO LEASE OR SELL ANY OF THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION IN EXCESS OF THREE MILLION DOLLARS ($3,000,000); -TO ENCUMBER ANY OR ALL OF THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO AUTHORIZE AND APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTY ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; -TO MERGE, DISSOLVE, OR ABANDON THE CORPORATION AND ANY CORPORATION CONTROLLED BY THE CORPORATION; AND, -TO APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION BY THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM, USING INFORMATION PROVIDED BY THE FILING ORGANIZATION. A DRAFT FORM 990 IS REVIEWED BY THE FILING ORGANIZATION'S FINANCE TEAM. 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 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, 2014. 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 XI, LINE 9: NET LOSS ON OHH-NET COMP 701,301. OKLAHOMA HEART HOSPITAL EARNINGS ADJUSTMENT -1,921,609. PART XII, LINE 2 AUDITED FINANCIAL STATEMENTS THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN THE MERCY HEALTH AND SUBSIDIARIES ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 2014 (THE TAX YEAR CURRENTLY BEING REPORTED). HOWEVER, NO SEPARATE AUDIT OPINION IS ISSUED ON THE FINANCIAL STATEMENTS OF THE FILING ORGANIZATION. THE ULTIMATE RESPONSIBILITY FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE EXTERNAL AUDITOR LIES WITH THE STEWARDSHIP COMMITTEE (FORMERLY FINANCE, AUDIT, AND COMPLIANCE COMMITTEE) OF THE MERCY HEALTH BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE. PART XII, LINE 3 SINGLE AUDIT ACT AND OMB CIRCULAR A-133 THE CONSOLIDATED GROUP OF MERCY HEALTH IS REQUIRED TO UNDERGO AN AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133. THE SINGLE AUDIT WAS CONDUCTED ON A CONSOLIDATED BASIS. FORM 990, PART V, LINE 2A SALARIES AND WAGES THE SALARIES AND WAGES REPORTED ON FORM 990, PART IX, LINE 7 REPRESENT AN ALLOCATION OF SALARIES AND WAGES FROM A RELATED ORGANIZATION. EMPLOYEES ARE PAID BY A RELATED ORGANIZATION UNDER A COMMON PAYMASTER ARRANGEMENT. AS SUCH, ALL REQUIRED PAYROLL FILING (INCLUDING W-2 AND W-3'S) WAS REPORTED UNDER THE RELATED ORGANIZATION'S EIN. FORM 990, SCHEDULE R, PART II MERCY HOSPITALS EAST COMMUNITIES MERCY HOSPITALS EAST COMMUNITIES CONSISTS OF MERCY HOSPITALS EAST COMMUNITIES ST. LOUIS, EIN 43-065393, AND MERCY HOSPITALS EAST COMMUNITIES WASHINGTON, EIN 43-1066883. FORM 990, SCHEDULE R, PART V SYSTEM LIMITATIONS LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY HEALTH 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 P & Q. FORM 990, PART V, LINE 1A INDEPENDENT CONTRACTORS INDEPENDENT CONTRACTORS FOR THE FILING ORGANIZATION ARE PAID BY MERCY HEALTH (EIN 43-1423050). AS SUCH, ALL REQUIRED FORM 1099 AND FORM 1096 REPORTING IS MADE FOR THE ENTIRE HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN. MERCY HLTH SVCS OF SOUTH REGLLC 1011 14TH NW ARDMORE OK 73401 371504728 DISSOLVED 6/3/2014 OK 0 0 MERCY HEALTH OKLAHOMA COMMUNITIES CASA DE MISERICORDIA 1602 MCCLELLAND STREET LAREDO TX 78044 742912461 WOMEN'S DOMESTIC VIOLENCE SHELTER TX 501C3 7 MERCY MINISTRIES OF LAREDO 1 JEFFERSON LAND COMPANY INC 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 431330360 TITLE HOLDING COMPANY MO 501C2 MERCY HOSPITAL JEFFERSON 1 LAREDO MEDICAL GROUP 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 742764726 DISSOLVED 5/5/2014 TX 501C3 9 MERCY HEALTH SYSTEM TX 1 MCAULEY PORTFOLIO MGMT CO 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 261708048 PORTFOLIO MANAGEMENT MO 501C3 11-II MERCY HEALTH 1 MERCY ACO CLINICAL SERVICES INC 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 464504901 VIRTUAL CARE CENTER MO 501C3 3 MERCY HEALTH 1 MERCY CLINIC EAST COMMUNITIES 645 MARYVILLE CTR DR STE 100 ST LOUIS MO 63141 431771217 PHYSICIAN GROUP MO 501C3 9 MERCY HEALTH EAST COMMUNITIES 1 MERCY CLINIC FORT SMITH COMM 7301 ROGERS AVENUE FORT SMITH AR 72917 261318597 PHYSICIAN CLINIC AR 501C3 9 MERCY HEALTH FORT SMITH COMM 1 MERCY CLINIC HOT SPRINGS COMM 1 MERCY LANE HOT SPRINGS AR 71913 261125131 SOLD TO CHI 3/31/2014 AR 501C3 9 MERCY HEALTH HOT SPRINGS COMM 1 MERCY CLINIC OKLAHOMA COMM 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 270473057 PHYSICIAN GROUP OK 501C3 9 MERCY HEALTH OK COMMUNITIES 1 MERCY CLINIC SPRINGFIELD COMM 1965 FREMONT STREET SUITE 2950 SPRINGFIELD MO 65804 431560263 PHYSICIAN GROUP MO 501C3 3 MERCY HEALTH SPRINGFIELD COMM 1 MERCY FAMILY CENTER 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 721069468 FAMILY COUNSELING SERVICES MO 501C3 7 MERCY HEALTH 1 MERCY FDTN HEALTH INNOV 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 200901499 FOUNDATION MO 501C3 11-II MERCY HEALTH 1 MERCY HEALTH 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 431423050 CORPORATE OFFICE MO 501C3 1 N/A 0 MERCY HEALTH CENTER FOUNDATION INC 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 731593024 DISSOLVED 5/20/2014 OK 501C3 11-I MERCY HOSPITAL OKLAHOMA CITY 1 MERCY HEALTH EAST COMMUNITIES 645 MARYVILLE CTR DR STE 100 ST LOUIS MO 63141 431718408 HEALTH SYSTEM MO 501C3 11-II MERCY HEALTH 1 MERCY HEALTH EAST COMMUNITIES - SR 645 MARYVILLE CTR DR STE 100 ST LOUIS MO 63141 461412322 HEALTH SYSTEM MO 501C3 11-II MERCY HEALTH EAST COMMUNITIES 1 MERCY HEALTH FORT SMITH COMM 7301 ROGERS AVENUE FORT SMITH AR 72917 261318515 HOLDING COMPANY AR 501C3 11-II MERCY HEALTH 1 MERCY HEALTH FOUNDATION ADA 430 N MONTE VISTA STREET ADA OK 74820 453596274 FOUNDATION OK 501C3 11-I MERCY HOSPITAL ADA 1 MERCY HEALTH FOUNDATION ARDMORE 1011 14TH AVENUE NW ARDMORE OK 73401 710962525 FOUNDATION OK 501C3 11-I MERCY HOSPITAL ARDMORE 1 MERCY HEALTH FOUNDATION BERRYVILLE 214 CARTER STREET BERRYVILLE AR 72616 710759301 FOUNDATION AR 501C3 11-I MERCY HOSPITAL BERRYVILLE 1 MERCY HEALTH FOUNDATION FT SCOTT 401 WOODLAND HILLS BLVD FORT SCOTT KS 66701 481077073 FOUNDATION KS 501C3 11-III MERCY KANSAS COMMUNITIES INC 1 MERCY HEALTH FOUNDATION HOT SPRINGS 300 WERNER STREET HOT SPRINGS AR 71913 710804718 FOUNDATION AR 501C3 11-II MISSION CLINICAL SERVICES 1 MERCY HEALTH FOUNDATION INDEPENDENCE 800 W MYRTLE INDEPENDENCE KS 67301 481079981 FOUNDATION KS 501C3 11-I MERCY KANSAS COMMUNITIES INC 1 MERCY HEALTH FOUNDATION JEFFERSON 1400 US HIGHWAY 61 SOUTH FESTUS MO 63028 462797051 FOUNDATION MO 501C3 11-II MERCY HEALTH EAST COMMUNITIES - SR 1 MERCY HEALTH FOUNDATION JOPLIN 100 MERCY WAY JOPLIN MO 64804 270906136 FOUNDATION MO 501C3 11-I MERCY HEALTH SW MOKS COMM 1 MERCY HEALTH FOUNDATION NW ARK 2710 RIFE MEDICAL LN ROGERS AR 72858 710601687 FOUNDATION AR 501C3 11-III MERCY HOSPITAL ROGERS 1 MERCY HEALTH FOUNDATION OF OK 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 454732301 FOUNDATION OK 501C3 11-I MERCY HEALTH OK COMMUNITIES 1 MERCY HEALTH FOUNDATION OK CITY 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 463184231 FOUNDATION OK 501C3 11-I MERCY HOSPITAL OKLAHOMA CITY 1 MERCY HEALTH FOUNDATION SPRINGFIELD 1235 E CHEROKEE STREET SPRINGFIELD MO 65804 320195818 FOUNDATION MO 501C3 11-II MERCY HEALTH SPRINGFIELD COMM 1 MERCY HEALTH FOUNDATION STL 615 SOUTH NEW BALLAS ROAD ST LOUIS MO 63141 562410020 FOUNDATION MO 501C3 11-II MERCY HEALTH EAST COMMUNITIES 1 MERCY HEALTH FOUNDATION WASHINGTON 901 E FIFTH STREET WASHINGTON MO 63090 562410022 FOUNDATION MO 501C3 11-II MERCY HEALTH EAST COMMUNITIES 1 MERCY HEALTH HOT SPRINGS COMM 300 WERNER STREET HOT SPRINGS AR 71913 261125064 SOLD TO CHI 3/31/2014 AR 501C3 11-II MERCY HEALTH 1 MERCY HEALTH NW ARK COMMUNITIES 2710 RIFE MEDICAL LN ROGERS AR 72758 621684203 PHYSICIAN GROUP AR 501C3 11-II MERCY HEALTH 1 MERCY HEALTH SW MOKS COMM 100 MERCY WAY JOPLIN MO 64804 300584463 HEALTH SYSTEM MO 501C3 11-II MERCY HEALTH 1 MERCY HEALTH SPRINGFIELD COMM 1235 E CHEROKEE STREET SPRINGFIELD MO 65804 431856028 HOLDING COMPANY MO 501C3 11-II MERCY HEALTH 1 MERCY HEALTH SYSTEM TX 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 742764727 DISSOLVED 5/15/2014 TX 501C3 11-II MERCY HEALTH 1 MERCY HOME HEALTH BERRYVILLE 804 W FREEMAN SUITE 4 BERRYVILLE AR 72616 870781247 HOME HEALTH AND HOSPICE OPERATIONS AR 501C3 11-III MERCY HOSPITAL SPRINGFIELD 1 MERCY HOSPITAL ADA INC 430 N MONTE VISTA STREET ADA OK 74820 462288155 HOSPITAL OK 501C3 3 MERCY HEALTH OK COMMUNITIES 1 MERCY HOSPITAL ARDMORE 1011 14TH AVENUE NW ARDMORE OK 73401 731500629 HOSPITAL OK 501C3 3 MERCY HEALTH OK COMMUNITIES 1 MERCY HOSPITAL AURORA 500 PORTER AVENUE AURORA MO 65605 431936696 HOSPITAL MO 501C3 3 MERCY HEALTH SPRINGFIELD COMM 1 MERCY HOSPITAL BERRYVILLE 214 CARTER STREET BERRYVILLE AR 72616 710759299 HOSPITAL AR 501C3 3 MERCY HEALTH SPRINGFIELD COMM 1 MERCY HOSPITAL BOONEVILLE 880 WEST MAIN STREET BOONEVILLE AR 72927 463851119 HOSPITAL AR 501C3 3 MERCY HOSPITAL FORT SMITH 1 MERCY HOSPITAL CARTHAGE 3125 DR RUSSELL SMITH WAY CARTHAGE MO 64836 453808607 HOSPITAL MO 501C3 3 MERCY HEALTH SW MOKS COMM 1 MERCY HOSPITAL CASSVILLE 94 MAIN STREET CASSVILLE MO 65625 431936699 HOSPITAL MO 501C3 3 MERCY HEALTH SPRINGFIELD COMM 1 MERCY HOSPITAL COLUMBUS 220 PENNSYLVANIA AVENUE COLUMBUS KS 66725 270842031 HOSPITAL MO 501C3 9 MERCY HEALTH SW MOKS COMM 1 MERCY HOSPITAL EL RENO 2115 PARKVIEW DRIVE EL RENO OK 73036 272716065 HOSPITAL OK 501C3 3 MERCY HEALTH OK COMMUNITIES 1 MERCY HOSPITAL FORT SMITH 7301 ROGERS AVENUE FORT SMITH AR 72917 710240352 HOSPITAL AR 501C3 3 MERCY HEALTH FORT SMITH COMM 1 MERCY HOSPITAL HEALDTON INC 918 SOUTH 8TH STREET HEALDTON OK 73438 263173902 HOSPITAL OK 501C3 3 MERCY HOSPITAL ARDMORE INC 1 MERCY HOSPITAL HOT SPRINGS 300 WERNER STREET HOT SPRINGS AR 71913 710236913 SOLD TO CHI 3/31/2014 AR 501C3 3 MERCY HEALTH HOT SPRINGS COMM 1 MERCY HOSPITAL JEFFERSON 1400 HIGHWAY 61 SOUTH FESTUS MO 63028 430687077 HOSPITAL MO 501C3 3 MERCY HEALTH EAST COMMUNITIES - 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MHNSR INC N/A 0 0 MERCY AMBULATORY SURGERY CENTER LLC 7301 ROGERS AVENUE FORT SMITH AR 72917 710827721 AMBULATORY SURGERY CENTER AR MERCY HOSPITAL FORT SMITH N/A 0 0 FORT SMITH EMERGENCY MEDICAL SERVICES 1701 SOUTH GREENWOOD FORT SMITH AR 72901 710416615 EMERGENCY MEDICAL SERVICES AR MERCY HOSPITAL FORT SMITH N/A 0 0 ST EDWARD MERCY MC M-P OFFICE BLDG 7301 ROGERS AVENUE FORT SMITH AR 72903 710554050 OFFICE BUILDING AR MERCY HOSPITAL FORT SMITH N/A 0 0 MERCY COMM SERVICES INC 401 WOODLAND HILLS BLVD FORT SCOTT KS 66701 481078101 RETAIL PHARMACY KS MERCY KANSAS COMM INC C 0 FRONTENAC PROPERTIES INC 14528 S OUTER FORTY SUITE 100 CHESTERFIELD MO 63017 521914421 HOLDS ANCILLARY ASSETS & OWNS AIRCRAFT DE MERCY HEALTH C 0 INVENO HEALTH INC 1235 E CHEROKEE STREET SPRINGFIELD MO 65804 264509571 TECHNOLOGY TRANSFER COMPANY MO MERCY HEALTH SPRINGFIELD COMM C 0 UNITY SUPPORT SERVICES INC 645 MARYVILLE CENTRE DRIVE SUITE 10 ST LOUIS MO 63141 431797042 INACTIVE MO MERCY HEALTH EAST COMMUNITIES C 0 UH L CORP INC 645 MARYVILLE CENTRE DRIVE SUITE 10 ST LOUIS MO 63141 742499535 HOLDING COMPANY MO MERCY HEALTH SERVICES LLC C 0 MHN OF THE SOUTHERN REGION INC 1011 14TH AVENUE NW ARDMORE OK 73401 731580607 HOLDING COMPANY OK MERCY MANAGED CARE CORP C 0 MERCY HEALTH CENTER CONDOMINIUM INC 4300 W MEMORIAL RD OKLAHOMA CITY OK 73120 680640970 ADMINISTRATOR OF CERTAIN REAL PROPERTY AND IMPROVEMENTS OK MERCY HOSPITAL OKLAHOMA CITYINC C 0 MERCY MANAGED CARE CORPORATION 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 731441665 HOLDING COMPANY OK MERCY HEALTH C 0 MERCY HEALTH NETWORK INC 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 731381689 HOLDING COMPANY OK MERCY MANAGED CARE CORP C 0 APOTHECARY SERVICES INC PO BOX 350 CRYSTAL CITY MO 63019 431627267 RETAIL PHARMACY MO MERCY HOSPITAL JEFFERSON C 0 MERCY COMMERCIAL SERVICES INC 14528 SOUTH OUTER FORTY SUITE 100 CHESTERFIELD MO 63017 464953543 CORP PARENT OF VCC TAXABLE COMMERCIALIZ SVCS OK MHN INC AND MHNSR INC C 0 ST JOHNS MERCY MAIL ORDER INC 645 MARYVILLE CENTRE DRIVE SUITE 10 ST LOUIS MO 63141 431014222 INACTIVE MO UH HOLDINGS INC C 0 ST JOHNS MERCY PBM INC 645 MARYVILLE CENTRE DRIVE SUITE 10 ST LOUIS MO 63141 743089567 INACTIVE MO UH L CORP INC C 0 UH HOLDINGS INC 645 MARYVILLE CENTRE DRIVE SUITE 10 ST LOUIS MO 63141 431845682 INACTIVE MO UH L CORP INC C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 MERCY CLINIC OKLAHOMA COMMUNITIES INC Q 3404075 FMV MERCY HEALTH P 703527 FMV MERCY HOSPITAL ADA Q 1664861 FMV MERCY HOSPITAL KINGFISHER Q 215616 FMV MERCY HOSPITAL OKLAHOMA CITY INC Q 10953072 FMV MERCY HOSPITAL ROGERS Q 67627 FMV MERCY KANSAS COMMUNITIES Q 65445 FMV MHM SUPPORT SERVICES P 3729319 FMV OKLAHOMA HEART HOSPITAL 4050 WEST MEMORIAL ROAD OKLAHOMA CITY OK 73120 731575187 HEART HOSPITAL OK RELATED 0 10511541 124961106 0 0 0.45300