2014-05-14T12:21:04-05:00 2013-06-30 562632458 PLEUS AND COMPANY LLC 14323 S OUTER FORTY STE 310N CHESTERFIELD MO 63017 990 2012-07-01 452998842 MERCY HOSPITAL LOGAN COUNTY INC MERC 4057523495 200 S ACADEMY ROAD GUTHRIE OK 73044 JON VITIELLO 4057523495 2014-05-13 1 DOUGLAS G PLEUS P00013488 3143179916 2012 2015-11-30 17:44:51Z DIANA SMALLEY 200 S ACADEMY ROAD GUTHRIE OK 73044 22473203 0 0928 X WWW.MERCY.NET/LOGANOK X 2011 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. 5 0 387 25 0 0 21105 36013 15036411 22323694 776 287 74461 113209 15132753 22473203 799 800 0 0 8601694 12219804 0 0 0 7240827 10351773 15843320 22572377 -710567 -99174 11509655 9324237 1333019 544430 10176636 8779807 MERCY HOSPITAL LOGAN COUNTY 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. 0 0 19048691 800 22370661 MERCY HOSPITAL LOGAN COUNTY PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. DURING FISCAL YEAR END JUNE 30, 2013, LOGAN COUNTY PROVIDED SERVICES TO 835 INPATIENTS, 58,821 OTHER OUTPATIENTS, AND 8,660 EMERGENCY DEPARTMENT PATIENTS. THE AMOUNT OF UNCOMPENSATED CARE FOR FY 2013 WAS $1,988,078.MERCY HOSPITAL LOGAN COUNTY'S EXEMPT PURPOSE ACHIEVEMENTS ARE EXPANDED UPON IN VARIOUS SECTIONS OF SCHEDULE H. 19048691 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 1 0 0 387 1 0 0 0 0 0 0 0 0 0 0 X 5 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 OK X PATRICIA ROBERTSON 4057523495 4300 WEST MEMORIAL ROAD OKLAHOMA CITY OK 73120 JOHNSON MARK 1.00 51.00 X 0 421376 53001 LE BICH-VI 2.00 58.00 X 0 240502 36699 MOUNTFORD DEREK 1.00 58.00 X 0 174693 22261 SMALLEY DIANA L 2.00 58.00 X X 0 671252 200438 VITIELLO JONATHAN 1.00 59.00 X X 0 493118 64006 TUCKER JOSH 49.00 1.00 X 0 167288 19811 PAYTON BECKY J 2.00 58.00 X 0 294127 40333 TEW DAVID 2.00 58.00 X 0 483905 67702 BRYANT MARGARET A 42.00 0.00 X 104355 0 8373 LEUNG KAI G 60.00 0.00 X 139892 0 1173 244247 2946261 513797 2 0 1 0 GUTHRIE EMERGENCY PLLC 211 S 36TH STREET SUITE F MUSKOGEE OK 74401 PHYSICIAN SERVICES 1105523 FASTAFF INC 6399 S FIDDLERS GREEN CIRCLE SUITE GREENWOOD VILLAGE CO 80111 STAFF SERVICES 325971 JAMESONBRETTON 7 CHAMPIONS PLACE STILLWATER OK 74074 PHYSICIAN SERVICES 231668 CPSI PO BOX 850309 MOBILE AL 36685 MISC CONTRACT SERVICES 227504 DIAGNOSTIC HEALTH SERV PO BOX 972288 DALLAS TX 75397 RADIOLOGY SERVICES 224196 7 36013 35000 36013 NET PATIENT REVENUE 622110 22323694 22323694 22323694 287 287 22506 0 22506 22506 22506 CAFE & VENDING 722210 43736 43736 46967 46967 90703 22473203 22370661 0 66529 800 800 9981125 9119693 861432 409333 359886 49447 1215584 1068741 146843 613762 539620 74142 1745487 1422019 323468 15629 12733 2896 768459 626051 142408 10130 10130 316543 257882 58661 39486 28025 11461 -91 -74 -17 1009246 695691 313555 200218 82771 117447 BAD DEBTS 2903827 2903827 DRUGS & MEDICAL EXPENSE 1812590 1476686 335904 SHARED SERVICE FEES 1272761 234439 1038322 REPAIRS & MAINTENANCE 142496 116089 26407 114992 93682 21310 22572377 19048691 3523686 0 613543 91605 -7504 6700 3922420 2631690 309416 326956 77503 30091 7201671 1686229 6294239 5515442 -88789 300038 810542 11509655 9324237 1333019 544430 1333019 544430 X 10176636 8779807 10176636 8779807 11509655 9324237 X -99174 -1297655 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 4149 0 0 0 4149 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: THE FILING ORGANIZATION IS A MEMBER OF AND PAYS DUES TO THE OKLAHOMA HOSPITAL ASSOCIATION, CATHOLIC HOSPITAL ASSOCIATION, AND AMERICAN HOSPITAL ASSOCIATION. FOR THE YEAR ENDED JUNE 30, 2013, DUES WERE $16,181, $3,542, AND $7,427, RESPECTIVELY. APPROXIMATELY 13.98% OF OKLAHOMA HOSPITAL ASSOCIATION DUES, 3.00% OF CATHOLIC HOSPITAL ASSOCIATION DUES, AND 23.98% OF AMERICAN HOSPITAL ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED. 380000 380000 3114220 634406 2479814 3095900 944548 2151352 611551 107275 504276 5515442 OTHER LONG TERM ASSETS 2326 DUE FROM TAX EXEMPT AFFILIATES 808216 810542 THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF 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 1 X 1 X 1 X 1 1 1 0 0 570403 570403 0.02900 3051018 1633343 1417675 0.07210 3621421 1633343 1988078 0.10110 5124 5124 0.00030 2817 2817 0.00010 7941 7941 0.00040 3629362 1633343 1996019 0.10150 6593 6593 0.00030 5675 5675 0.00030 12268 12268 0.00060 1 1501279 0 8382773 8489661 -106888 X 1 1 1 1 MERCY HOSPITAL LOGAN COUNTY

200 SOUTH ACADEMY GUTHRIE OK 73044

WWW.MERCY.NET/LOGANOK X X X X MERCY HOSPITAL LOGAN COUNTY 1 1 X X X X X X X X X 12 1 0 1 X X X X X 1 0 1 1 100.000000000000 1 400.000000000000 1 X X X 1 1 X X X X 1 0 1 X 0 0 2 SOUTH DIVISION CLINIC

2919 S DIVISION GUTHRIE OK 73044

OUTPATIENT CLINIC CRESCENT CLINIC

400 S GRAND CRESCENT OK 73028

OUTPATIENT CLINIC PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 2903827. PART II: MERCY HOSPITAL LOGAN COUNTY (MHLC) COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITIES IN WHICH THEY SERVE. THROUGH PARTICIPATION IN NEIGHBORHOOD/COMMUNITY MEETINGS, COMMUNITY BOARDS, AND INVOLVEMENT IN COMMUNITY-BASED EVENTS, MHLC 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 MHLC PARTICIPATES/SERVES ARE:- PARTICIPATION ON THE LOGAN COUNTY BOARD OF HEALTH-BOARD MEMBER- LOGAN COMMUNITY SERVICES-BOARD MEMBER- PARTICIPATION IN OBI BLOOD DRIVE- VOLUNTARY CONTRIBUTIONS TO THE UNITED WAY- ST. MARY CATHOLIC SCHOOL VOLUNTEER AND PARTICIPANT IN THE ANGEL TREE- CHAPTER OF GUTHRIE ROTARY CLUB- PARTICIPATION IN LOGAN COUNTY MULTIDISCIPLINARY TEAM-DA TASK FORCE- INVOLVED IN THE HANDS OF JESUS ASSOCIATION- BOARD MEMBER FOR LOGAN COUNTY YOUTH AND FAMILY SERVICES- PARTICIPATION IN SUMMER SPORTS CAMP- INVOLVED IN GET FIT GUTHRIE: WALK TO SCHOOL PROGRAM- DIABETES EDUCATION: PHYSICAL FITNESS PRESENTATION- MEMBER OF THE OKLAHOMA STATE STROKE SYSTEMS ADVISORY COMMITTEE- HOPE VOLUNTEER- INVOLVED IN LOGAN COUNTY ECONOMIC DEVELOPMENT COUNCIL- ONE HARVEST FOOD MINISTRY PARTNER- LEPC (LOGAN EMERGENCY PREPAREDNESS COUNCIL)- GUTHRIE CHAMBER BOARD MEMBER PART III, LINE 4: THE TEXT OF THE FOOTNOTE THAT IS INCLUDED IN MERCY HEALTH AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE FOLLOWS: "PATIENT ACCOUNTS THAT ARE UNCOLLECTED, INCLUDING THOSE PLACED WITH COLLECTION AGENCIES, ARE INITIALLY CHARGED AGAINST THE ALLOWANCE FORUNCOLLECTIBLE ACCOUNTS IN ACCORDANCE WITH COLLECTION POLICIES OF THEHEALTH SYSTEM AND, IN CERTAIN CASES, ARE RECLASSIFIED TO CHARITY CAREIF DEEMED TO OTHERWISE MEET THE HEALTH SYSTEM'S CHARITY CARE POLICY.THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES IS BASED ON MANAGEMENT'SASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERINGBUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, ANDOTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR,MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLERECEIVABLES BASED UPON THE PAYOR COMPOSITION AND AGING OF RECEIVABLESAS OF THE REPORTING DATE WITH CONSIDERATION OF THE HISTORICAL PAYMENTAND WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESEREVIEWS ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FORUNCOLLECTIBLE RECEIVABLES TO ESTABLISH AN APPROPRIATE ALLOWANCE FORUNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROMINSURANCE, THE HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FORPLACING PAST-DUE BALANCES WITH COLLECTION AGENCIES." TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE, AT COST, BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENT ACCOUNTS WAS MULTIPLIED BY A RATIO OF COST TO CHARGES. THE RATIO OF COST TO CHARGES USED WAS BASED ON DETAILED COST ACCOUNTING, WHERE AVAILABLE. WHERE COST ACCOUNTING IS NOT AVAILABLE, COST REPORT COST TO CHARGE RATIOS WERE UTILIZED. THE FILING ORGANIZATION DETERMINED THAT THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS $0. ALTHOUGH THE CHARITY CARE POLICY REQUIRES THE PARTICIPATION OF THE PATIENT REQUESTING ASSISTANCE, WE HAVE A PROCESS UNDER PRESUMPTIVE CHARITY (REFER TO DISCLOSURE FOR PART III, #9B) TO ADDRESS ACCOUNTS FOR PATIENTS WHO DO NOT PROVIDE THE INFORMATION. WE BELIEVE THAT OUR CHARITY POLICY IS COMPREHENSIVE ENOUGH TO CAPTURE ALMOST ALL PATIENTS WHO QUALIFY FOR CHARITY CARE. PART III, LINE 8: IT IS THE POSITION OF MERCY HOSPITAL LOGAN COUNTY THAT 100% OF ANY SHORT FALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS AMOUNT REPRESENTS COST OF PROVIDING SERVICES THAT REMAIN UNCOMPENSATED TO THE PROVIDER.THE UNREIMBURSED COSTS OF MEDICARE IS CALCULATED BY THE GROSS CHARGESNET OF THE COST TO CHARGE RATIO LESS ANY PAYMENTS, DEDUCTIONS ORREIMBURSEMENTS USING THE ANNUAL MEDICARE COST REPORT (CMS FORM 2552-96) PART III, LINE 9B: MERCY HOSPITAL LOGAN COUNTY ("MERCY") DEBT COLLECTION POLICY PROVIDES THAT MERCY WILL PERFORM A REASONABLE REVIEW OF EACH INPATIENT ACCOUNT BEFORE TURNING AN ACCOUNT TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT, TO ASSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (E.G., MEDICAID) AND DO NOT QUALIFY FOR COVERAGE THROUGH MERCY'S COMMUNITY ASSISTANCE POLICY. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY PATIENT ACCOUNT THAT IS SUBSEQUENTLY DETERMINED TO MET THE MERCY HOSPITAL COMMUNITY ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO MERCY FOR APROPRIATE FOLLOW-UP. MERCY REQUIRES ITS THIRD-PARTY COLLECTION AGENTS TO INCLUDE A MESSAGE ON ALL STATEMENTS INDICATING THAT IF A PATIENT OR PATIENT GUARANTOR MEETS CERTAIN STIPULATED INCOME REQUIREMENTS, THE PATIENT OR PATIENT GUARANTOR MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. MERCY UTILIZES THE "SEARCH AMERICA" TOOL TO ENHANCE THE ABILITY TO DETERMINE CHARITY QUALIFICATION. PRESUMPTIVE CHARITY WILL BE GRANTED IN SITUATIONS WHERE MERCY HOSPITAL HAS BEEN UNABLE TO OBTAIN INFORMATION FROM PATIENTS OR THE INFORMATION PROVIDED IS NOT COMPLETE ENOUGH TO MAKE A CHARITY DETERMINATION. MERCY UTILITIZES PRESUMPTIVE CHARITY PRIOR TO BAD DEBT PLACEMENT FOR CHARITY ADJUSTMENTS IN EXCESS OF $6,500. IN THESE CASES, MERCY UTILIZES THE SEARCH AMERICA REPORT STATUS OF "PROBABLE CHARITY" AS THE BASIS FOR ASSIGNING THE CHARITY LEVEL. MERCY WILL PURSUE APPROPRIATE MEANS IN THE COLLECTION OF DELINQUENT ACCOUNTS FROM PATIENTS WITH AN ESTABLISHED ABILITY TO PAY OR AN UNWILLINGNESS TO COOPERATE IN VALIDATING ELIGIBILITY FOR FINANCIAL ASSISTANCE. THESE APPROPRIATE MEANS MAY INCLUDE LEGAL ACTION CONSISTENT WITH MERCY MISSION AND VALUES. ADDITIONALLY THEY MAY INCLUDE LIENS UPON REAL PROPERTY AND REASONABLE WAGE GARNISHMENTS. LEGAL ACTIONS WILL GENERALLY NOT INCLUDE BANK GARNISHMENT, REPOSSESSION OF ASSETS OR FORECLOSURES TO ENFORCE SATISFACTION OF A LIEN. MERCY HAS POLICIES AND PROCEDURES ESTABLISHED TO ADDRESS THE INITIATION OF LEGAL ACTION AND ANNUALLY REVIEWS COMPLIANCE WITH ALL POLICIES. MERCY HOSPITAL LOGAN COUNTY PART V, SECTION B, LINE 3: REFER TO PART VI, LINE 2 RESPONSE. MERCY HOSPITAL LOGAN COUNTY PART V, SECTION B, LINE 20D: ELIGIBILITY GUIDELINES FOR CHARITY CARE DISCOUNTS THE FEDERAL POVERTY GUIDELINES FOR INCOME ARE THE BASIS FOR DETERMINING ELIGIBILITY FOR CHARITY CARE DISCOUNTS. FOR EXAMPLE, INDIVIDUALS WITH INCOMES BELOW 100% OF THE FEDERAL POVERTY GUIDELINES WILL BE ELIGIBLE FOR FREE CARE. INDIVIDUALS WITH INCOMES GREATER THAN 100% OF THE FEDERAL POVERTY GUIDELINES MAY BE ELIGIBLE FOR CARE AT DISCOUNTED RATES DEPENDING ON THEIR INCOME LEVEL AND/OR THE AMOUNT DUE TO THE HOSPITAL. ADDITIONAL FINANCIAL ASSISTANCE AFTER APPROPRIATE DISCOUNTS HAVE BEEN APPLIED, ARRANGEMENTS MAY BE MADE FOR AN INTEREST-FREE MONTHLY PAYMENT PLAN. GENERALLY, NO PATIENT'S FINANCIAL RESPONSIBILITY WILL BE GREATER THAN 20% OF ANNUAL HOUSEHOLD INCOME OR 10% OF NET ASSETS (WHICH EVER IS GREATER), ADJUSTED TO CONSIDER AVAILABILITY OF OTHER ASSETS THAT COULD BE USED TOWARD MAKING PAYMENTS. PART VI, LINE 2: MERCY HOSPITAL LOGAN COUNTY PARTNERED WITH THE OKLAHOMA OFFICE OF RURAL HEALTH AND OKLAHOMA COOPERATIVE EXTENSION SERVICE TO CONDUCT ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. A TOTAL OF FOUR COMMUNITY MEETINGS WERE HELD BETWEEN MAY 2, 2013 AND JUNE 18, 2013. THE AVERAGE ATTENDANCE AT THE COMMUNITY MEETINGS WAS 15-20 COMMUNITY MEMBERS. COMMUNITY MEMBERS IN ATTENDANCE WERE SOUGHT OUT DUE TO THEIR EXPERTISE IN PUBLIC HEALTH, DIVERSE INCOME AND RACIAL OUTREACH, AND OVERALL EXPERTISE OF THEIR LOCAL COMMUNITY. GUTHRIE AND CRESCENT CHAMBER OF COMMERCE WERE BOTH CONTACTED TO INFORM THEIR MEMBERS AND THE INDIVIDUALS THEY REACH ABOUT THE COMMUNITY HEALTH NEEDS ASSESSMENT. CHAMBER MEMBERS RECEIVED AN EMAIL INVITATION AND WERE INFORMED OF THE COMMUNITY HEALTH NEEDS ASSESSMENT THROUGH THEIR CHAMBER COFFEES. LOCAL BUSINESS OWNERS WHO ARE ACTIVE IN THE COMMUNITY WERE ALSO INVITED TO SHARE THEIR INPUT. A SURVEY WAS DESIGNED TO GAUGE HOSPITAL USAGE, SATISFACTION, AND COMMUNITY HEALTH NEEDS. THE SURVEY WAS AVAILABLE IN BOTH PAPER AND WEB FORMAT. COMMUNITY MEMBERS IN ATTENDANCE AT THE MAY 2, 2013, MEETING RECEIVED A HARD-COPY OF THE SURVEY TO COMPLETE AT THE MEETING. THE ATTENDEES WERE ALSO EMAILED AN ELECTRONIC LINK TO THE SURVEY AND WERE ENCOURAGED TO SHARE IT WITH OTHERS. THE GUTHRIE CHAMBER OF COMMERCE SENT OUT THE SURVEY LINK TO THEIR MEMBERS. THE SURVEY LINK WAS ALSO SHARED WITH MERCY HOSPITAL LOGAN COUNTY EMPLOYEES, AND THEY WERE ENCOURAGED TO SHARE THE LINK WITHIN THE COMMUNITY. COMMUNITY MEMBERS WERE ASKED TO RETURN THEIR COMPLETED SURVEYS TO MERCY HOSPITAL LOGAN COUNTY. THE SURVEY RAN FROM MAY 2, 2013 TO MAY 17, 2013. A TOTAL OF 66 SURVEYS FROM THE MERCY HOSPITAL LOGAN COUNTY MEDICAL SERVICE AREA WERE COMPLETED. THE SURVEY RESULTS WERE PRESENTED AT THE MAY 24, 2013 COMMUNITY MEETING.MAJOR NEEDS AND HOW PRIORITIES WERE ESTABLISHEDAS A RESULT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT MEETINGS AND DISCUSSION WITH COMMUNITY MEMBERS, MERCY HOSPITAL LOGAN COUNTY IDENTIFIED THE FOLLOWING ISSUES: 1. OBESITY/NUTRITION2. MENTAL HEALTH3. ADULT DAY CARE4. SMOKING5. SEXUALLY TRANSMITTED DISEASES (STDS)6. HEALTH EDUCATION & HEALTHY LIFESTYLES FOR COMMUNITY ENGAGEMENT AND PROMOTION OF WELLNESSDESCRIPTION OF WHAT MERCY HOSPITAL LOGAN COUNTY WILL DO TO ADDRESS COMMUNITY NEEDSACTION PLANS:1. OBESITY/NUTRITIONGUTHRIE PUBLIC SCHOOLS CURRENTLY OFFERS A BACKPACK PROGRAM WHERE IDENTIFIED STUDENTS IN NEED RECEIVE CANNED FOOD ON THE WEEKEND. THE PROGRAM OPERATES THROUGHOUT THE SCHOOL YEAR BUT IS NOT ABLE TO CONTINUE IN THE SUMMER MONTHS BECAUSE OF A LACK OF GETTING THE FOOD TO THE STUDENTS INVOLVED IN THE PROGRAM. MERCY HOSPITAL LOGAN COUNTY WILL WORK WITH THE GUTHRIE PUBLIC SCHOOLS TO DETERMINE HOW THIS PROGRAM CAN BE MAINTAINED AND STRIVE THROUGHOUT THE SUMMER MONTHS. OPTIONS INCLUDE (BUT ARE NOT LIMITED TO) PROVIDING TRANSPORTATION TO DELIVER FOOD TO A CENTRAL LOCATION, MAKING THE HOSPITAL AVAILABLE FOR "AFTER HOURS" PICKUP BY PARENTS, OR DETERMINING THE FEASIBILITY OF TRANSPORTING FOOD TO EACH CHILD'S HOME. WE WILL WORK WITH THE REGIONAL FOOD BANK, LOCAL FOOD PANTRIES, CIVIC GROUPS, COMMUNITY CHURCHES, THE TROLLEY SYSTEM, AND COMMUNITY LEADERS TO DETERMINE THE PROCESS THAT CAN BE BUILT TO ACHIEVE THE BEST OUTCOME FOR THIS ISSUE. MERCY HOSPITAL LOGAN COUNTY WILL ALSO BE WORKING WITH THE COMMUNITY SCHOOLS TO PROVIDE SUPPORT AND EDUCATION TO THE SCHOOLS' DIETARY PROGRAM THROUGH THE USE OF THE HOSPITAL'S REGISTERED DIETICIAN IN ORDER TO ENSURE HEALTHY MEAL OPTIONS ARE AVAILABLE FOR STUDENTS. IN ADDITION, MERCY HOSPITAL LOGAN COUNTY IS EXPLORING WAYS TO SET UP A COMMUNITY WIDE HEALTHY OPTIONS FOOD CO-OP TO PROMOTE HEALTHY FOOD CHOICES. 2. HEALTH EDUCATION & HEALTHY LIFESTYLES FOR COMMUNITY ENGAGEMENT AND PROMOTION OF WELLNESSTHE IMPORTANCE OF EARLY SCREENINGS, DETECTIONS, AND REGULAR DENTAL VISITS WERE NOTED FOR THE LOGAN COUNTY COMMUNITY. IN ADDITION, FINDING NEW WAYS TO ENGAGE THE COMMUNITY TO BE MORE EFFECTIVE IN TERMS OF HEALTH EDUCATION/PREVENTION WERE NOTED. MORE EDUCATION ON PREVENTATIVE CARE/REGULAR CHECK-UPS (DENTAL AND VISION) AND CREATING THE AWARENESS OF THE IMPORTANCE OF HEALTHY LIFESTYLES- ESPECIALLY THE ROLE THAT EMPLOYERS CAN PLAY IN PROMOTING WELLNESS ARE A COMMUNITY NEED. IN ORDER TO ADDRESS THESE CONCERNS, MERCY HOSPITAL LOGAN COUNTY WILL CARRY OUT HEALTH FAIRS FOR THE LOGAN COUNTY COMMUNITY. THESE HEALTH FAIRS (FIRST HELD IN OCTOBER 2013) WILL INVITE HEALTHCARE PROVIDERS IN GUTHRIE, CRESCENT, AND THE SURROUNDING COMMUNITIES TO PRESENT EDUCATIONAL MATERIALS, SCREENINGS, ETC. TO HELP EDUCATION THE PUBLIC. MERCY HOSPITAL LOGAN COUNTY IS WORKING WITH THE LOCAL HEALTH DEPARTMENT TO BECOME THE FIRST EMPLOYER-SPONSORED ORGANIZATION IN LOGAN COUNTY THAT MODELS HEALTH AND WELLNESS FOR THE COMMUNITY AND WILL BE ADVOCATING THEIR PROGRAMS TO ENCOURAGE AND ENGAGE OTHER EMPLOYERS. MERCY'S INTERNAL HEALTH EDUCATION PROGRAM, HEALTHIFICATION, WILL ALSO BE USED FOR WAYS TO ENGAGE EMPLOYERS TO BECOME MORE HEALTH CONSCIOUS IN THEIR BENEFIT PLANS FOR THEIR CO-WORKERS. MERCY WILL BE SETTING UP OUTREACH CLASSES ON VARIOUS TOPICS TO EDUCATE THE COMMUNITY IN AREAS OF CONCERN. MERCY ALSO PROVIDES TO THE LOCAL SCHOOL DISTRICTS A PROGRAM CALLED HEALTH TEACHER, WHICH IS A COMPREHENSIVE K-12 CURRICULUM THAT INTEGRATES HEALTH SKILLS INTO ONLINE LESSON PLANS. MERCY WILL WORK WITH THE LOCAL SCHOOLS TO ENSURE EDUCATION AND TRAINING OF HEALTH TEACHER IS BEING AVAILABLE AND UTILIZED. 3. SMOKINGTOBACCO PREVENTION WILL BE ADDRESSED THROUGH THE TOBACCO CESSATION INITIATIVE FOR OKLAHOMA HOSPITALS. THE PROGRAM SERVICES WILL INCLUDE ASSESSING AND ASSISTING THE ADOPTION AND IMPLEMENTATION OF A SUSTAINABLE SYSTEM FOR PATIENTS AND CO-WORKERS FOR TOBACCO CESSATION. MERCY HOSPITAL LOGAN COUNTY IS A SMOKE-FREE FACILITY AND CAMPUS. MERCY HOSPITAL LOGAN COUNTY IS ENGAGED WITH MERCY WEST COMMUNITY TO BEGIN A SMOKING CESSATION IMPLEMENTATION TEAM TO SERVE THE COMMUNITIES SERVED BY MERCY IN OKLAHOMA. MERCY HOSPITAL LOGAN COUNTY & MERCY CLINICS ARE ALSO INVOLVED IN ASKING PATIENTS ABOUT THEIR SMOKING AND TOBACCO HABITS AND REFERRING THEM TO THE OKLAHOMA TOBACCO HOTLINE TO AID IN STOPPING TOBACCO USE. AS PART OF COMMUNITY OUTREACH AND AWARENESS, MERCY WILL ALSO REACH OUT TO COMMUNITY BUSINESSES THAT WOULD LIKE ONSITE SMOKING CESSATION EDUCATION. PART VI, LINE 3: THE FILING ORGANIZATION HAS PRINTED MATERIAL AVAILABLE AT EACH POINT OF REGISTRATION IN OUR FACILITY, IN ADDITION TO ELECTRONICALLY AVAILABILITY AT OUR WEB SITE AT MERCY.NET. SPECIFIC INFORMATION PROVIDED: FINANCIAL ASSISTANCE INFORMATION AS A PART OF OUR HEALING MINISTRY, THE FILING ORGANIZATION IS COMMITTED TO PROVIDING QUALITY HEALTHCARE SERVICES TO PATIENTS REGARDLESS OF THEIR FINANCIAL SITUATION. WE OFFER PAYMENT ASSISTANCE FOR THOSE WHO DO NOT HAVE INSURANCE OR WHO ARE IN FINANCIAL NEED. UNINSURED PATIENT DISCOUNTS A DISCOUNT FROM THE HOSPITAL'S REGULAR BILLED CHARGES WILL BE PROVIDED TO PATIENTS WHO DO NOT HAVE INSURANCE. THIS INCLUDES PATIENTS WHOSE FINANCIAL SITUATION NORMALLY WOULD NOT OTHERWISE QUALIFY THEM FOR CHARITY CARE DISCOUNTS. PATIENTS WITHOUT INSURANCE WHOSE FINANCIAL SITUATION QUALIFIES THEM FOR CHARITY CARE DISCOUNTS (SEE ELIGIBILITY GUIDELINES BELOW) ARE ASSISTED OR ASKED IN APPLYING FOR MEDICAID BEFORE APPLYING FOR FINANCIAL ASSISTANCE. MERCY WORKS TO EXHAUST ALL EFFORTS TO COORDINATE WITH THE PATIENT TO APPLY FOR MEDICAID, BUT DOES NOT PROHIBIT CHARITY CONSIDERATIONS IF DENIED NOR APPLIED.APPLICATIONS FOR CHARITY CARE DISCOUNTS WILL BE REVIEWED FOR ELIGIBILITY BASED ON THE APPLICANT'S INCOME, FAMILY SIZE, AMOUNT OF PAYMENT DUE AND AVAILABILITY OF OTHER ASSETS OR RESOURCES. PLEASE NOTE THAT CARE MUST BE MEDICALLY NECESSARY TO BE CONSIDERED ELIGIBLE FOR UNINSURED PATIENT DISCOUNTS. ELIGIBILITY GUIDELINES FOR CHARITY CARE DISCOUNTS THE FEDERAL POVERTY GUIDELINES FOR INCOME ARE THE BASIS FOR DETERMINING ELIGIBILITY FOR CHARITY CARE DISCOUNTS. FOR EXAMPLE, INDIVIDUALS WITH INCOMES BELOW 100% OF THE FEDERAL POVERTY GUIDELINES WILL BE ELIGIBLE FOR FREE CARE. INDIVIDUALS WITH INCOMES GREATER THAN 100% OF THE FEDERAL POVERTY GUIDELINES MAY BE ELIGIBLE FOR CARE AT DISCOUNTED RATES DEPENDING ON THEIR INCOME LEVEL AND/OR THE AMOUNT DUE TO THE HOSPITAL. ADDITIONAL FINANCIAL ASSISTANCE AFTER APPROPRIATE DISCOUNTS HAVE BEEN APPLIED, ARRANGEMENTS MAY BE MADE FOR AN INTEREST-FREE MONTHLY PAYMENT PLAN. GENERALLY, NO PATIENT'S FINANCIAL RESPONSIBILITY WILL BE GREATER THAN 20% OF ANNUAL HOUSEHOLD INCOME, ADJUSTED TO CONSIDER AVAILABILITY OF OTHER ASSETS THAT COULD BE USED TOWARD MAKING PAYMENTS. PART VI, LINE 4: MERCY HOSPITAL LOGAN COUNTY'S PRIMARY SERVICE AREA INCLUDES LOGAN COUNTY, OKLAHOMA. BASED ON TRUVEN 2012 DATA, THE AREA'S POPULATION IS 83,043. THE AVERAGE HOUSEHOLD INCOME FOR THE AREA IS $45,664. 14% OF THE POPULATION IS AGE 65 AND OLDER. 15% OF THE POPULATION IS ON MEDICARE, 16% ON MEDICAID, AND 18% UNINSURED, BASED ON 2012 TRUVEN INSURANCE ESTIMATES. PART VI, LINE 5: MERCY HOSPITAL LOGAN COUNTY (MHLC) IS A CATHOLIC HEALTH CARE CORPORATION THAT, PURSUANT TO THE ORGANIZATIONAL CORE BELIEF THAT HEALTH CARE SERVICES ARE A VITAL AND INTEGRAL PART OF THE CHURCH'S HEALING MISSION, ENGAGES IN A MINISTRY WHICH PROVIDES GENERAL ACUTE CARE, AMBULATORY, LONG-TERM AND HOME CARE HEALTH SERVICES TO INDIVIDUALS AND FAMILIES IN ITS SERVICE COMMUNITIES. IN KEEPING WITH MHLC'S COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITIES, MHLC PROVIDES CARE TO PATIENTS REGARDLESS OF ABILITY TO PAY. AS DEFINED BY THE INSTITUTION'S CHARITY POLICY, MHLC DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY FOR CHARITY CARE. IN ADDITION, MHLC PROVIDES SERVICES TO OTHER PATIENTS UNDER THE MEDICARE PROGRAM AND VARIOUS STATE MEDICAID PROGRAMS. SUCH PROGRAMS PAY PROVIDERS AMOUNTS THAT ARE SUBSTANTIALLY LESS THAN BILLED CHARGES, AND FREQUENTLY, LESS THAN THE COST OF THE SERVICES PROVIDED TO THE RECIPIENTS.MHLC HAS AN ADVISORY BOARD WHICH INCLUDES REPRESENTATION FROM COMMUNITY LEADERS IN THE ORGANIZATION'S PRIMARY SERVICE AREAS. ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY. ANY POTENTIAL CONFLICTS OF INTEREST DISCLOSED BY BOARD MEMBERS ARE SCREENED BY GENERAL COUNSEL AND REVIEWED BY THE BOARD CHAIRPERSON AND CEO. THIS PROCESS ENSURES THAT PUBLIC, RATHER THAN PRIVATE INTERESTS ARE SERVED BY MHLC.SURPLUS FUNDS AND UNRESTRICTED ASSETS HELD BY MHLC ARE REINVESTED IN PATIENT CARE, MEDICAL EDUCATION AND RESEARCH INITIATIVES WHICH SUPPORT THE ORGANIZATION'S MISSION TO DELIVER COMPASSIONATE CARE AND EXCEPTIONAL HEALTHCARE SERVICES TO THE COMMUNITIES IT SERVES. AN EXAMPLE INCLUDES CONTINUING CONVERSION TO THE EPIC ELECTRONIC HEALTH RECORD SYSTEM. THIS PLATFORM ALLOWS CONTINUITY OF PATIENT MEDICAL RECORD ACCESS BY PROVIDERS THROUGHOUT THE MERCY SYSTEM AND ALSO ALLOWS THE PATIENT TO ACCESS INFORMATION FROM THEIR OWN RECORDS, ALLOWING MORE COMPLETE AND MEANINGFUL COMMUNICATION, INFORMATION AND HEALTH EDUCATION FOR THE COMMUNITY. PART VI, LINE 6: THE FILING ORGANIZATION IS PART OF MERCY HEALTH ("MERCY"). MERCY IS A MISSOURI NON-PROFIT CORPORATION WITH ITS HEADQUARTERS ("MINISTRY OFFICE") IN ST. LOUIS, MISSOURI. MERCY PROVIDES HEALTH CARE SERVICES IN FOUR STATES - ARKANSAS, KANSAS, MISSOURI, AND OKLAHOMA - AND HAS OUTREACH MINISTRIES LOCATED IN LOUISIANA, MISSISSIPPI, AND TEXAS. MERCY'S MISSION IS "AS THE SISTERS OF MERCY BEFORE US, WE BRING LIFE TO THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE." AS OF JUNE 30, 2013, MERCY FACILITIES INCLUDED 28 ACUTE CARE HOSPITALS, 4 MANAGED HOSPITALS, 4 HEART HOSPITALS, 2 CHILDREN'S HOSPITALS AND 2 REHAB HOSPITALS. FOR THE FISCAL YEAR ENDED JUNE 30, 2013, MERCY HAD 5.5 MILLION PROVIDER VISITS, MORE THAN 1,900 EMPLOYED PHYSICIANS, AND APPROXIMATELY 39,000 FULL-TIME EQUIVALENT EMPLOYEES, MAKING MERCY THE SEVENTH LARGEST CATHOLIC HEALTH SYSTEM IN THE UNITED STATES BASED ON NET PATIENT SERVICE REVENUE. MERCY IS SPONSORED BY MERCY HEALTH MINISTRY, WHICH IS GOVERNED BY MEMBERS THAT INCLUDE SISTERS OF MERCY. MANY SERVICES THAT ARE ESSENTIAL TO FULFILLING MERCY'S MISSION ARE CENTRALIZED AT THE MINISTRY OFFICE. SUCH CENTRALIZED SERVICES INCLUDE TREASURY, INFORMATION TECHNOLOGY, CLINICAL QUALITY MANAGEMENT, LEGAL AND COMPLIANCE COUNSEL, COMPENSATION AND BENEFITS, CONSULTING, PERFORMANCE MANAGEMENT, REVENUE MANAGEMENT, 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. 0 1 0 0 0 0 0 0 0 JOHNSON MARK 0 333522 0 80462 0 7392 0 45223 0 7778 0 474377 0 0 LE BICH-VI 0 136596 0 57951 0 45955 0 21562 0 15137 0 277201 0 0 MOUNTFORD DEREK 0 124474 0 23648 0 26571 0 7437 0 14824 0 196954 0 0 SMALLEY DIANA L 0 459480 0 202287 0 9485 0 182822 0 17616 0 871690 0 0 VITIELLO JONATHAN 0 294647 0 102118 0 96353 0 47736 0 16270 0 557124 0 0 TUCKER JOSH 0 117330 0 22274 0 27684 0 5088 0 14723 0 187099 0 0 PAYTON BECKY J 0 195331 0 71727 0 27069 0 28314 0 12019 0 334460 0 0 TEW DAVID 0 336099 0 116358 0 31448 0 51644 0 16058 0 551607 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. SPOUSAL TRAVEL WAS PROVIDED FOR AN EMPLOYEE OF A RELATED ORGANIZATION, VI LE. 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 JOSHUA TUCKER. 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 RETIREMENT BASED ON COMPENSATION, AGE AT THE TIME OF BENEFIT COMMENCEMENT, LENGTH OF SERVICE WITH THE COMPANY AND/OR ITS AFFILIATES, AND LENGTH OF TENURE IN THE PLAN. THE FOLLOWING INDIVIDUAL PARTICIPATED IN A SUPPLEMENTAL MANAGEMENT RETIREMENT PLAN: JONATHAN VITIELLO; BICH-VI LE; BECKY PAYTON; DAVID TEW THE INDIVIDUALS LISTED ABOVE DID NOT RECEIVE PAYMENTS FROM THE SUPPLEMENTAL MANAGEMENT RETIREMENT PLAN DURING THE YEAR FROM THE FILING ORGANIZATION OR RELATED ORGANIZATIONS. THE FOLLOWING INDIVIDUAL PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN: DIANA SMALLEY 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 2013 (JULY 1, 2012 - JULY 30, 2013) PAYMENT OF ALL OR PART OF THE BONUS WAS CONTINGENT UPON ATTAINMENT OF CERTAIN FINANCIAL TARGETS. PAYMENTS ARE MADE ANNUALLY IN OCTOBER FOLLOWING (I) THE CONCLUSION OF THE FISCAL YEAR AND (II) DETERMINATION OF GOAL ACHIEVEMENT. BONUS OPPORTUNITIES ARE TIERED PERCENTAGES AND ARE DEPENDENT UPON THE LEADERSHIP LEVEL AND ATTAINMENT PERCENTAGE. MERCY'S ATTAINMENT OF FINANCIAL GOALS ARE REVIEWED BY THE EXECUTIVE COMPENSATION COMMITTEE OF MERCY HEALTH AND ARE THEN TAKEN INTO ACCOUNT WHEN ANALYZING EXECUTIVE COMPENSATION FOR REASONABLENESS. SUPPLEMENTAL INFORMATION PART III 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. X 1 35000 FAIR MARKET VALUE 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 MERCY HEALTH OKLAHOMA COMMUNITIES IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A MERCY HEALTH OKLAHOMA COMMUNITIES (THE MEMBER) MAY APPOINT OR REMOVE MEMBERS OF THE BOARD OF DIRECTORS AT ANY TIME AT THE MEMBER'S DISCRETION. FORM 990, PART VI, SECTION A, LINE 7B MERCY HEALTH OKLAHOMA COMMUNITIES HAS THE FOLLOWING POWERS AND RESPONSIBILITIES: -TO APPROVE AND ESTABLISH THE MISSION AND PHILOSOPHY ACCORDING TO WHICH THE CORPORATION AND ALL ORGANIZATIONS CONTROLLED BY THE CORPORATION SHALL OPERATE; -TO ADOPT OR AMEND THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION AND TO AMEND THE ORGANIZATIONAL DOCUMENTS OF ANY ORGANIZATION CONTROLLED BY THE CORPORATION; -TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS OF THE CORPORATION; -TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, THE PRESIDENT/CEO OF THE CORPORATION OR ANY ORGANZIATION CONTROLLED BY THE CORPORATION AFTER CONSULTATION WITH THE SYSTEM; -TO APPROVE OR AMEND THE OVERALL STRATEGIC, LONG RANGE, BUSINESS PLANS, GOALS, AND OBJECTIVES OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; -TO APPROVE OR AMEND THE CONSOLIDATED OPERATING, CAPITAL AND CONSTRUCTION BUDGETS FOR THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION AND CHANGES IN BUDGETS IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY MERCY; -TO AUTHORIZE AND APPROVE THE LEASE OR SALE OF ANY OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION IN EXCESS OF ANY AMOUNT ESTABLISHED FROM TIME TO TIME BY MERCY; -TO AUTHORIZE AND APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS 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; AND -TO MERGE, DISSOLVE, OR ABANDON THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION, SUBJECT TO APPROVAL BY THE BOARD AS REQUIRED PURSUANT TO THE OKLAHOMA NONPROFIT CORPORATION ACT. -TO APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION CONTROLLED BY THE CORPORATION; AND, -TO APPROVE CONTRACTS IN WHICH THE CORPORATION ASSUMES FINANCIAL RISK, INCLUDING BUT NOT LIMITED TO MANAGED CARE CONTRACTS. 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, 2013. 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 15A 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 EXECUTIVE 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: TRANSFERS TO MCS (LOGAN COUNTY PURCHASE) -1,297,655. AUDITED FINANCIAL STATEMENTS PART XII, LINE 2 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 2013 (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. SINGLE AUDIT ACT AND OMB CIRCULAR A-133 PART XII, LINE 3 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. SALARIES AND WAGES FORM 990, PART V, LINE 2A 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. MERCY HOSPITALS EAST COMMUNITIES FORM 990, SCHEDULE R, PART II MERCY HOSPITALS EAST COMMUNITIES CONSISTS OF MERCY HOSPITALS EAST COMMUNITIES ST. LOUIS, EIN 43-0653493, AND MERCY HOSPITALS EAST COMMUNITIES WASHINGTON, EIN 43-1066883. SYSTEM LIMITATIONS FORM 990, SCHEDULE R, PART V 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 AND Q. INDEPENDENT CONTRACTORS FORM 990, PART V, LINE 1A INDEPENDENT CONTRACTORS FOR THE FILING ORGANIZATION ARE PAID BY MERCY HEALTH (EIN 43-1423050). AS SUCH, ALL REQUIRED FORM 1099 AND FORM 1096 REPORTING IS MADE FOR THE ENTIRE HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN. 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 INACTIVE 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 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 PHYSICIAN CLINIC AR 501C3 9 MERCY HEALTH HOT SPRINGS COMM 1 MERCY CLINIC OKLAHOMA COMM 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 270473057 PHYSICIAN GROUP/CLINIC 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 HEALTH SYSTEM - CORPORATE OFFICE MO 501C3 1 N/A 0 MERCY HEALTH EAST COMMUNITIES 645 MARYVILLE CTR DR STE 100 ST LOUIS MO 63141 431718408 HEALTH SYSTEM MO 501C3 11-II MERCY HEALTH 1 MERCY HEALTH EAST COMMUNITIES - 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 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 FT SMITH 7301 ROGERS AVENUE FORT SMITH AR 72917 237330425 FOUNDATION AR 501C3 7 MERCY HOSPITAL FORT SMITH 1 MERCY HEALTH FOUNDATION HOT SPRINGS 300 WERNER STREET HOT SPRINGS AR 71913 710804718 FOUNDATION AR 501C3 11-II MERCY HOSPITAL HOT SPRINGS 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 2817 ST JOHNS BLVD 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 OK CITY 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 731593024 FOUNDATION OK 501C3 11-I MERCY HOSPITAL OKLAHOMA CITY 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 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 HOLDING COMPANY 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 OK COMMUNITIES 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 731453048 HOLDING COMPANY OK 501C3 11-II MERCY HEALTH 0 MERCY HEALTH SW MOKS COMM 2817 ST JOHNS BLVD 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 INACTIVE 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 OPERATING CO FOR LEASED HOSP 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 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 OPERATING CO FOR LEASED HOSP MO 501C3 3 MERCY HEALTH SPRINGFIELD COMM 1 MERCY HOSPITAL COLUMBUS 220 PENNSYLVANIA AVENUE COLUMBUS KS 66725 270842031 CRITICAL ACCESS HOSPITAL MO 501C3 9 MERCY HEALTH SW MOKS COMM 1 MERCY HOSPITAL EL RENO 2115 PARKVIEW DRIVE EL RENO OK 73036 272716065 OPERATING CO FOR LEASED HOSP 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 OPERATING CO FOR HOSP OK 501C3 3 MERCY HOSPITAL ARDMORE INC 1 MERCY HOSPITAL HOT SPRINGS 300 WERNER STREET HOT SPRINGS AR 71913 710236913 HOSPITAL 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 - SR 1 MERCY HOSPITAL JOPLIN 2817 ST JOHNS BLVD JOPLIN MO 64804 270814858 HOSPITAL MO 501C3 9 MERCY HEALTH SW MOKS COMM 1 MERCY HOSPITAL LEBANON 100 HOSPITAL DRIVE LEBANON MO 65536 431767432 HOSPITAL MO 501C3 3 MERCY HEALTH SPRINGFIELD COMM 1 MERCY HOSPITAL OF LAREDO 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 741189682 INACTIVE TX 501C3 3 MERCY HEALTH SYSTEM TX 1 MERCY HOSPITAL OKLAHOMA CITY 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 730579285 HOSPITAL OK 501C3 3 MERCY HEALTH OK COMMUNITIES 1 MERCY HOSPITAL OZARK 801 W RIVER STREET OZARK AR 72949 710689680 HOSPITAL AR 501C3 3 MERCY HOSPITAL FORT SMITH 1 MERCY HOSPITAL PARIS 500 E ACADEMY PARIS AR 72855 710655753 HOSPITAL AR 501C3 3 MERCY HOSPITAL FORT SMITH 1 MERCY HOSPITAL ROGERS 2710 RIFE MEDICAL LN ROGERS AR 72758 710294390 HOSPITAL AR 501C3 3 MERCY HEALTH NW ARK COMMUNITIES 1 MERCY HOSPITAL SPRINGFIELD 1235 E CHEROKEE STREET SPRINGFIELD MO 65804 440552485 HOSPITAL MO 501C3 3 MERCY HEALTH SPRINGFIELD COMM 1 MERCY HOSPITAL TISHOMINGO 1000 SOUTH BYRD TISHOMINGO OK 73460 274433830 HOSPITAL OK 501C3 3 MERCY HOSPITAL ARDMORE 1 MERCY HOSPITAL WALDRON 1341 W 6TH STREET WALDRON AR 72958 710557895 HOSPITAL AR 501C3 3 MERCY HOSPITAL FORT SMITH 1 MERCY HOSPITAL WATONGA INC 500 CLARENCE NASH BLVD WATONGA OK 73772 455199762 LEASED HOSPITAL OK 501C3 3 MERCY HEALTH OK COMMUNITIES 1 MERCY HOSPITALS EAST COMM 645 MARYVILLE CTR DR STE 100 ST LOUIS MO 63141 430653493 HOSPITAL MO 501C3 3 MERCY HEALTH EAST COMMUNITIES 1 MERCY KANSAS COMMUNITIES INC 401 WOODLAND HILLS BLVD FT SCOTT KS 66701 480956045 HOSPITAL;RURAL HEALTH CLINICS KS 501C3 3 MERCY HEALTH SW MOKS COMM 1 MERCY MEDICAL RESEARCH INST 1235 E CHEROKEE STREET SPRINGFIELD MO 65804 870796305 RESEARCH - 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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 INACTIVE, DISSOLVED 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 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 MERCY CLINIC EAST COMMUNITIES Q 159746 FMV MERCY CLINIC HOT SPRINGS COMMUNITIES Q 59653 FMV MERCY CLINIC OKLAHOMA COMMUNITIES INC P 509087 FMV MERCY CLINIC SPRINGFIELD COMMUNITIES Q 247772 FMV MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES Q 64150 FMV MERCY HEALTH OKLAHOMA COMMUNITIES INC P 680193 FMV MERCY HOSPITAL ARDMORE INC P 516319 FMV MERCY HOSPITAL EL RENO INC P 67458 FMV MERCY HOSPITAL HEALDTON INC P 172649 FMV MERCY HOSPITAL OKLAHOMA CITY INC Q 9618195 FMV MERCY HOSPITAL SPRINGFIELD Q 82721 FMV MERCY KANSAS COMMUNITIES INC Q 53416 FMV MHM SUPPORT SERVICES P 3103801 FMV RESOURCE OPTIMIZATION & INNOVATION LLC P 410482 FMV MERCY HEALTH FOUNDATION OF OKLAHOMA C 35000 FMV