FURP.ORG / PUBLIC DATA EXPLORER

MERCY HOSPITAL OKLAHOMA CITY INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MERCY HOSPITAL OKLAHOMA CITY INC (EIN 73-0579285)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-14
IRS object ID
201431349349303843
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-14T12:21:03-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN562632458EIN

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line114323 S OUTER FORTY STE 310NAddressLine1
CityCHESTERFIELDCity
StateMOState
ZIP Code63017ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN730579285EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MERCY HOSPITAL OKLAHOMA CITYBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMERCNameControl
Phone4057523495Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameJON VITIELLOName
TitleCFOTitle
Phone4057523724Phone
Date Signed2014-05-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDOUGLAS G PLEUSName
PTINP00013488PTIN
Phone3143179916Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14300 WEST MEMORIAL ROADAddressLine1
CityOKLAHOMA CITYCity
StateOKState
ZIP Code73120ZIPCode
FieldValueIRS element (for citing)
Gross Receipts393118598GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.MERCY.NET/OKLAHOMACITYOKWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1992YearFormation
State Legal DomicileOKStateLegalDomicile
Activity Or Mission DescriptionTO CARRY OUT THE HEALING MINISTRY OF JESUS BY PROMOTING HEALTH AND WELLNESS THROUGH OUR COMMUNITIES, TO PROVIDE QUALITY HEALTH SERVICES THROUGH A WISE USE OF RESOURCES AND EXCEPTIONAL MERCY SERVICE.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees3115TotalNbrEmployees
Total Nbr Volunteers268TotalNbrVolunteers
Total Gross UBI8937871TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year798547ContributionsGrantsPriorYear
Contributions Grants Current Year441398ContributionsGrantsCurrentYear
Program Service Revenue Prior Year360385259ProgramServiceRevenuePriorYear
Program Service Revenue CY384717656ProgramServiceRevenueCY
Investment Income Prior Year1016030InvestmentIncomePriorYear
Investment Income Current Year6910124InvestmentIncomeCurrentYear
Other Revenue Prior Year15955383OtherRevenuePriorYear
Other Revenue Current Year-235247OtherRevenueCurrentYear
Total Revenue Prior Year378155219TotalRevenuePriorYear
Total Revenue Current Year391833931TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year793934GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1303609GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year132772633SalariesEtcPriorYear
Salaries Etc Current Year130329435SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year201927923OtherExpensePriorYear
Other Expenses Current Year208376577OtherExpensesCurrentYear
Total Expenses Prior Year335494490TotalExpensesPriorYear
Total Expenses Current Year340009621TotalExpensesCurrentYear
Revenues Less Expenses Prior Year42660729RevenuesLessExpensesPriorYear
Revenues Less Expenses CY51824310RevenuesLessExpensesCY
Total Assets BOY250242995TotalAssetsBOY
Total Assets EOY298420029TotalAssetsEOY
Total Liabilities BOY23456883TotalLiabilitiesBOY
Total Liabilities EOY26743738TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY226786112NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY271676291NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionMERCY HOSPITAL OKLAHOMA CITY IS ROOTED IN THE MISSION OF JESUS AND THE HEALING MINISTRY OF THE CHURCH. THIS TRADITION IS MARKED BY VALUES OF JUSTICE, EXCELLENCE, STEWARDSHIP AND RESPECT FOR THE DIGNITY OF EACH PERSON.MERCY HOSPITAL OKLAHOMA CITY IMPLEMENTS AND ADVOCATES FOR INNOVATIVE HEALTH AND SOCIAL SERVICES TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF COMMUNITIES SERVED, WITH PARTICULAR CONCERN FOR PEOPLE WHO ARE ECONOMICALLY POOR.IN SERVING OTHERS WE MAKE A DIFFERENCE BY TOUCHING THEIR LIVES WITH COMPASSION AND EXCEPTIONAL MERCY SERVICE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense246233838Expense
Grants1303609Grants
Revenue370013843Revenue
DescriptionMERCY HOSPITAL OKLAHOMA CITY ("MERCY") PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. DURING FY2013, MERCY PROVIDED SERVICES TO 19,178 INPATIENTS, 48,124 EMERGENCY DEPARTMENT PATIENTS, AND 392,020 OTHER OUTPATIENTS. SERVICES ARE PROVIDED THROUGH A COMMUNITY-BASED, ACUTE CARE HOSPITAL, AND A REHABILITATION CENTER. OUR OUTPATIENT SERVICES INCLUDE A HOME HEALTH AGENCY, OUTPATIENT SURGERY AND DIAGNOSTICS AND VARIOUS PRIMARY PHYSICIAN CLINICS/SERVICES. THE INSTITUTION CONTINUES TO FOCUS ON THE PROVISION OF PRIMARY HEALTH SERVICES THROUGH THE PURCHASE OF PRIMARY CLINICS AND EDUCATION TO THE COMMUNITY, REGARDLESS OF THEIR MEANS TO PAY FOR THESE SERVICES. MERCY RECOGNIZES THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES AND, FURTHER, THAT PART OF OUR MISSION IS TO PROVIDE HEALTH CARE SERVICES AND HEALTH CARE EDUCATION TO THE COMMUNITIES IN WHICH OUR FACILITIES ARE LOCATED. IN KEEPING WITH MERCY'S COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITY, MERCY PROVIDES; (I) FREE CARE AND/OR SUBSIDIZED CARE, (II) CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST, (III) HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY, (IV) HEALTH EDUCATION PROGRAMS, AND (V) A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. AMONG THE COMMUNITY SUPPORT ACTIVITIES OFFERED BY MERCY ARE THE FOLLOWING:1) COMMUNITY EDUCATION AND WELLNESS PROGRAMS 2) SUPPORT GROUP MEETINGS3) HEALTH FAIRS, SCREENINGS, AND FREE CLINICS 4) SUBSIDIZED HEALTH SERVICES INCLUDING HOSPICE, HOME HEALTH SERVICES, AND DISASTER READINESS, AND COMMUNITY HEALTH RESEARCH5) CASH AND IN-KIND DONATIONS FOR EVENTS AND FUND-RAISING6) COMMUNITY BUILDING ACTIVITIES, IN PARTNERSHIP WITH OTHER COMMUNITY ORGANIZATIONS7) PRE-NATAL AND WELL BABY CARE TO THE POOR MERCY PROVIDES CARE TO PATIENTS WHO LACK FINANCIAL RESOURCES AND ARE DEEMED TO BE MEDICALLY INDIGENT AND DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE. IN ADDITION, MERCY PROVIDES SERVICES TO OTHER PATIENTS UNDER THE MEDICARE PROGRAM AND VARIOUS STATE MEDICAID PROGRAMS. SUCH PROGRAMS PAY PROVIDERS AMOUNTS THAT ARE LESS THAN BILLED CHARGES OF THE SERVICES PROVIDED TO THE RECIPIENTS. CARE IS PROVIDED TO THOSE WITH LIMITED OR NO ABILITY TO PAY. RELIEF FOR THE FINANCIAL BURDEN OF HEALTH CARE SERVICES RENDERED TO THE INDIGENT TOTALED $17,990,534 IN FY2013.MERCY CONTINUES TO BE A STRONG LEADER AND PARTNER IN COMMUNITY COLLABORATIONS IN OKLAHOMA. THESE INCLUDE HEALTH EDUCATION PROGRAMS/CLASSES, SUPPORT GROUPS, CLINICAL SERVICES, IN-KIND DONATIONS, CONFERENCES, AND MANY COMMUNITY BUILDING ACTIVITIES. SOME OF THE HIGHLIGHTS INCLUDE "PROJECT EARLY DETECTION" WHICH PROVIDES BREAST HEALTH SERVICES FOR UNINSURED WOMEN AND "DIABETES WELLNESS PROJECT" WHICH SERVES DIABETIC CLIENTS WHO ATTEND A FREE CLINIC. THIS PROJECT OFFERS DIABETES EDUCATION, FOOT CARE, BLOOD GLUCOSE MONITORING SKILLS AND SUPPLIES, HEALTHY LUNCHES, GROCERY SHOPPING TIPS, EXERCISE ACTIVITIES, AND JOURNALING. MERCY HAS ALSO ADOPTED A LOW-INCOME ELEMENTARY SCHOOL AND PROVIDES WEEKLY TUTORS, AN ANNUAL HEALTH FAIR, AND OTHER SUPPORT. A WIDE VARIETY OF SUPPORT GROUPS IS OFFERED EACH MONTH. LAB SERVICES ARE PROVIDED FOR THREE FREE CLINICS IN THE COMMUNITY.Description
Total Program Service Expense246233838TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees3115NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledOKStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1PATRICIA ROBERTSONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4057523495TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (35 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
EVEREST TRICIA
BOARD MEMBER1.000.00X000
GRANT RSM SR BARBARA
BOARD MEMBER1.000.00X000
HARKESS MD JOHN
BOARD MEMBER1.000.00X000
HARTSUCK MD JAMES
BOARD MEMBER1.001.00X000
HENDRICKS RSM SR REBECCA ANN
BOARD MEMBER1.0012.00X000
HIEKE MD KENNETH
BOARD MEMBER1.0059.00X04112315899
KOELSCH RSM SR CABRINI
BOARD MEMBER1.0040.00X000
LEONARD RYAN
BOARD MEMBER1.000.00X000
NELSON GARY
BOARD MEMBER1.000.00X000
O'NEAL MIKE E
BOARD MEMBER1.000.00X000
RAHHAL MD DONALD K
BOARD MEMBER16.0034.00X037721618736
SALMERON EDD LOIS
BOARD MEMBER1.000.00X000
SCOTT MD BROOK D
BOARD MEMBER1.000.00X000
WARD RSM SR CLAUDIA
BOARD MEMBER1.0040.00X000
SMALLEY DIANA L
CHIEF EXECUTIVE OFFICER10.0050.00X0671252200438X
GEBHART JIM R
PRESIDENT, MERCY HEALTH CENTER55.005.00047576168518X
VITIELLO JONATHAN
CHIEF FINANCIAL OFFICER12.0048.00049311864006X
EDELSTEIN THOMAS
VP-MISSION & ETHICS38.0012.00175371031403X
FANNING LINDA T
CHIEF NURSING OFFICER50.001.00235462024135X
JOHNSON MARK C
CHIEF MEDICAL OFFICER50.002.00421376053001X
LE BICH-VI
REGIONAL VP-GENERAL COUNSEL5.0055.00024050236699X
PAYTON BECKY J
VP-HUMAN RESOURCES5.0055.00029412740333X
ROBERTSON PATRICIA
VP-FINANCE45.0015.0021931804554X
STEFFENS AARON L
CHIEF OPERATING OFFICER40.0010.00248707020895X
BAUMEISTER JERRY
VP-OPERATIONS40.000.00220576036349X
MADISON KEITH
DIRECTOR-PHARMACY SERVICES20.0020.00164016013739X
CARMICHAEL CINDY
VP-RURAL DEVELOPMENT5.0055.00241487013233X
ENLOE TRACY
VP-FINANCIAL OPERATIONS22.0018.00273623663318497X
GARBER MARY
VP-FINANCE (ADA)5.0055.0017325504886X
HAHNE CHRISTOPHER
EXECUTIVE DIRECTOR-FINANCE10.0050.00168804015070X
ROGERS WILLIAM KENT
CHIEF EXECUTIVE OFFICER, RURAL HOSPITAL10.0050.00274864021502X
JOHNSTON JEFFREY A
FORMER OFFICER0.0060.000652475186039X
AKINS JULIA
FORMER KEY EMPLOYEE0.0060.00045748735333X
DIXSON JAMES D
FORMER KEY EMPLOYEE0.0060.00059578376546X
FJONE LOREN
FORMER KEY EMPLOYEE0.0060.00024750324035X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2816859TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs4923088TotalReportableCompFrmRltdOrgs
Total Other Compensation1013846TotalOtherCompensation
Number Individuals GT100 K69NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
JE DUNN CONSTRUCTION
929 HOLMESKANSAS CITYMO64106CONSTRUCTION1906825
GK FINANCING
4 EMBARDCADERO CTR STE 3700SAN FRANCISCOCA94111MEDICAL SERVICES1285682
AFFILIATED ANESTHESIOLOGISTS
4200 W MEMORIAL RD STE 703OKLAHOMA CITYOK73120MEDICAL SERVICES1207460
LAB CORP OF AMERICA HOLDINGS
PO BOX 12140BURLINGTONNC27216LAB SERVICES969690
LINEN KING
1521 W 36TH PLACETULSAOK74107LINEN SERVICES861634
FieldValueIRS element (for citing)
Number Of Contractors GT100 K45NumberOfContractorsGT100K
Related Organizations441398RelatedOrganizations
Total Contributions441398TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICE REVENUE NET622110371926962371926962
MDT LABORATORY SVC62150065102856510285
PHARMACY446110628040946607101619699
FieldValueIRS element (for citing)
Total Program Service Revenue384717656TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column-89876TotalRevenueColumn
Exclusion-$89,876ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real5055546Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1284667Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real3770879Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column3770879TotalRevenueColumn
Exclusion$3,770,879ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other7000000Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other7000000Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column7000000TotalRevenueColumn
Exclusion$7,000,000ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionCAFETERIA & VENDINGDescription
Business Code722210BusinessCode
Total Revenue Column1759816TotalRevenueColumn
Exclusion$1,759,816ExclusionAmount

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column-5765942TotalRevenueColumn
Related Or Exempt Function Income-6573829RelatedOrExemptFunctionIncome
Unrelated Business Revenue807887UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue-4006126TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column391833931TotalRevenueColumn
Related Or Exempt Function Income370013843RelatedOrExemptFunctionIncome
Unrelated Business Revenue8937871UnrelatedBusinessRevenue
Exclusion$12,440,819ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1180109Total
Program Services1180109ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total123500Total
Program Services123500ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1513039Total
Management And General1513039ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total243139Total
Management And General243139ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total102793025Total
Program Services89864261ProgramServices
Management And General12928764ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total4571299Total
Program Services3996275ProgramServices
Management And General575024ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total13582362Total
Program Services11520501ProgramServices
Management And General2061861ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7626571Total
Program Services6445215ProgramServices
Management And General1181356ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total-7923Total
Program Services8875ProgramServices
Management And General-16798ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total3113Total
Management And General3113ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total12749342Total
Program Services10600875ProgramServices
Management And General2148467ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total112223Total
Program Services93312ProgramServices
Management And General18911ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total8017234Total
Program Services6666203ProgramServices
Management And General1351031ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total22066Total
Program Services20677ProgramServices
Management And General1389ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total5438114Total
Program Services4521705ProgramServices
Management And General916409ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total511010Total
Program Services334605ProgramServices
Management And General176405ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total128Total
Program Services128ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total13962350Total
Program Services7496349ProgramServices
Management And General6466001ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1529428Total
Program Services10026ProgramServices
Management And General1519402ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
DRUGS & MEDICAL EXPENSE889033487392172014981628
SHARED SERVICE FEES4604469315415545890538
BAD DEBTS20314403203144030
REPAIRS & MAINTENANCE610918150796871029494

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total4667867Total
Program Services3881257ProgramServices
Management And General786610ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total340009621Total
Program Services246233838ProgramServices
Management And General93775783ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY47340700BOY
EOY71246821EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY-49869BOY
EOY-43565EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY47573689BOY
EOY54701785EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY5998425BOY
EOY7246827EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY290133BOY
EOY554372EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis360658501LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec252130046LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY103386636BOY
EOY108528455EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY2005080BOY
EOY8045923EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY43698201BOY
EOY48139411EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY250242995BOY
EOY298420029EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY21842448BOY
EOY22769340EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY30249EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
EOY2244956EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1614435BOY
EOY1699193EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY23456883BOY
EOY26743738EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY226786112BOY
EOY271676291EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY226786112BOY
EOY271676291EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY250242995BOY
EOY298420029EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses51824310ReconcilationRevenueExpenses
Reconcilation Other Changes-6934131ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$19,297GrantsOtherOrganizationsAmount
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB19297TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationTHE FILING ORGANIZATION IS A MEMBER OF AND PAYS DUES TO THE OKLAHOMA HOSPITAL ASSOCIATION, CATHOLIC HOSPITAL ASSOCIATION, AND AMERICAN HOSPITAL ASSOCIATION. FOR THE YEAR ENDED JUNE 30, 2013, DUES WERE $76,849, $52,246, AND $29,135, 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.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1602629InvestmentCostOrOtherBasis
Other Cost Or Other Basis11170270OtherCostOrOtherBasis
Book Value12772899BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis92361640OtherCostOrOtherBasis
Depreciation50647452Depreciation
Book Value41714188BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2182752OtherCostOrOtherBasis
Depreciation641050Depreciation
Book Value1541702BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis237941816OtherCostOrOtherBasis
Depreciation196156937Depreciation
Book Value41784879BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis15399394OtherCostOrOtherBasis
Depreciation4684607Depreciation
Book Value10714787BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings108528455TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
OTHER ASSETS5474968
DUE FROM TAX EXEMPT AFFILIATES42664443
FieldValueIRS element (for citing)
Total Book Value Other Assets48139411TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionOTHER LIABILITIESDescription
Amount$1,699,193Amount
FieldValueIRS element (for citing)
Total Of Amounts1699193TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
ExplanationTHE 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.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense10821334TotalCommunityBenefitExpense
Net Community Benefit Expense10821334NetCommunityBenefitExpense
Percent Of Total Expense0.03380PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense37710181TotalCommunityBenefitExpense
Direct Offsetting Revenue26249209DirectOffsettingRevenue
Net Community Benefit Expense11460972NetCommunityBenefitExpense
Percent Of Total Expense0.03580PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense48531515TotalCommunityBenefitExpense
Direct Offsetting Revenue26249209DirectOffsettingRevenue
Net Community Benefit Expense22282306NetCommunityBenefitExpense
Percent Of Total Expense0.06960PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1821003TotalCommunityBenefitExpense
Net Community Benefit Expense1821003NetCommunityBenefitExpense
Percent Of Total Expense0.00570PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense489043TotalCommunityBenefitExpense
Net Community Benefit Expense489043NetCommunityBenefitExpense
Percent Of Total Expense0.00150PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense642317TotalCommunityBenefitExpense
Net Community Benefit Expense642317NetCommunityBenefitExpense
Percent Of Total Expense0.00200PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense261335TotalCommunityBenefitExpense
Net Community Benefit Expense261335NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense3213698TotalCommunityBenefitExpense
Net Community Benefit Expense3213698NetCommunityBenefitExpense
Percent Of Total Expense0.01000PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense51745213TotalCommunityBenefitExpense
Direct Offsetting Revenue26249209DirectOffsettingRevenue
Net Community Benefit Expense25496004NetCommunityBenefitExpense
Percent Of Total Expense0.07960PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense240506TotalCommunityBuildingExpense
Net Community Building Expense240506NetCommunityBuildingExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Total Community Building Expense53804TotalCommunityBuildingExpense
Net Community Building Expense53804NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense1760TotalCommunityBuildingExpense
Net Community Building Expense1760NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense489304TotalCommunityBuildingExpense
Net Community Building Expense489304NetCommunityBuildingExpense
Percent Of Total Expense0.00150PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense411738TotalCommunityBuildingExpense
Net Community Building Expense411738NetCommunityBuildingExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense1197112TotalCommunityBuildingExpense
Net Community Building Expense1197112NetCommunityBuildingExpense
Percent Of Total Expense0.00380PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$6,654,176BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare98313816AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare106259813CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-7945997MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

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

Address Address

FieldValueIRS element (for citing)
Address Line14300 WEST MEMORIAL ROADAddressLine1
CityOKLAHOMA CITYCity
StateOKState
ZIP Code73120ZIPCode
FieldValueIRS element (for citing)
Website AddressWWW.MERCY.NET/OKLAHOMACITYOKWebsiteAddress
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MERCY HOSPITAL OKLAHOMA CITYBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted1CHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into Account1TakeIntoAccount
Other Facilities0OtherFacilities
CHNA Widely Available1CHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs Addressed1AllNeedsAddressed
Organization Incur Excise Tax0OrganizationIncurExciseTax
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent100.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent400.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities12NumberOfOtherFacilities

Other Facilities OtherFacilities (12 entries)

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

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
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 $ 20314403.
PART II: MERCY HOSPITAL OKLAHOMA CITY, INC. (MHOKC) COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITIES IN WHICH THEY SERVE. THROUGH ACTIVE PARTICIPATION IN COMMUNITY BOARDS, NEIGHBORHOOD/COMMUNITY MEETINGS AND INVOLVEMENT IN COMMUNITY-BASED EVENTS, MHOKC DEMONSTRATES ITS ONGOING COMMITMENT TO THE COMMUNITY. COMMUNITY BUILDING ACTIVITIES SERVE AS A LINK TO ENGAGE MERCY COWORKERS TO LOOK BEYOND THE WALLS OF THE FACILITIES IN WHICH THEY SERVE. SOME OF THE COMMUNITY BUILDING ACTIVITIES IN WHICH MHOKC SERVES ARE:- MERCY HOSPITAL OKLAHOMA CITY, INC. WAS A FOUNDING PARTNER OF THE HEALTH ALLIANCE FOR THE UNINSURED (HAU), WHICH WAS FORMED TO IMPROVE ACCESS OF HEALTHCARE FOR THE UNINSURED. THERE ARE 17 CLINICS AFFILIATED WITH THE HAU. THE RN CHRONIC DISEASE COORDINATOR FROM MERCY HOSPITAL OKLAHOMA CITY IS ASSIGNED TO THE HAU AND THE VICE-PRESIDENT OF MISSION/ETHICS SERVES ON THE EXECUTIVE BOARD OF DIRECTORS.- THROUGH ONGOING COLLABORATION WITH COMMUNITY PARTNERS AND AGENCIES TO MEET THE NEEDS OF THE POOR AND UNINSURED, MERCY DEMONSTRATES ITS ONGOING COMMITMENT TO THE COMMUNITY. THE PRESIDENT OF MHOKC SERVES ON THE TOBACCO SETTLEMENT ENDOWMENT TRUST (TSET) WHICH FUNDS INITIATIVES THAT ADDRESS HEALTH/WELLNESS IMPROVEMENTS ACROSS OKLAHOMA. THE STAFF OF COMMUNITY OUTREACH DEPARTMENT COLLABORATES WITH COMMUNITY HEALTH AGENCIES WHICH SERVE THE POOR AND UNDERSERVED.- DIABETES WELLNESS PROJECT (DWP) PROVIDES DIABETES EDUCATION, FOOT CARE, BLOOD GLUCOSE MONITORING SKILLS AND SUPPLIES TO UNINSURED DIABETICS IN THE COMMUNITY. A TOTAL OF SIX SESSIONS WERE PRESENTED ACROSS THE MERCY SERVICE AREA TO 100 DIABETICS WHO ATTEND A FREE MEDICAL CLINIC.- PROJECT EARLY DETECTION (PED) PROVIDES BREAST CARE SERVICES FOR UNINSURED WOMEN IN THE OKLAHOMA CITY AREA. OVER 400 WOMEN RECEIVED BREAST HEALTH SERVICES THAT INCLUDED SCREENING MAMMOGRAMS, DIAGNOSTIC MAMMOGRAMS, DIAGNOSTIC PROCEDURES, BIOPSIES, MRI'S AND TREATMENT REFERRALS.- MHOKC CONNECTS WITH OUR SCHOOLS IN THE AREA THROUGH MERCY MENTORS, WHO ARE MERCY EMPLOYEES THAT PROVIDE WEEKLY TUTORING TO LINWOOD ELEMENTARY, AN INNER-CITY, LOW- INCOME ELEMENTARY SCHOOL, AN ANNUAL NEIGHBORHOOD HEALTH FAIR, AND NUTRITION LESSONS.- HEALTHTEACHER, A COMPREHENSIVE K-12 CURRICULUM THAT PROMOTES LIFELONG HEALTH WAS PRESENTED TO EACH SCHOOL DISTRICT IN THE MERCY SERVICE AREA.- MHOKC LINKS WITH OUR COMMUNITY THROUGH ACTIVE PARTICIPATION ON COMMUNITY BOARDS AND COMMUNITY EVENTS SUCH AS: ELDER LAW DAY, CAREGIVER SURVIVAL SKILLS CONFERENCE, OKLAHOMA TURNING POINT COUNCIL, LINWOOD NEIGHBORHOOD HEALTH FAIR, ANNUAL FLU SHOTS FOR THE UNDERSERVED.- THE GOOD SHEPHERD CATHOLIC SCHOOL AT MERCY IS A COLLABORATIVE PARTNERSHIP BETWEEN MHOKC, THE UNIVERSITY OF CENTRAL OKLAHOMA AND THE ARCHDIOCESE OF OKLAHOMA CITY. IT PROVIDES EDUCATIONAL AND BEHAVIORAL SERVICES FOR 3-9 YEAR OLD CHILDREN WHO HAVE BEEN DIAGNOSED WITH AUTISTIC SPECTRUM AND SIMILAR NEUROLOGICAL DISORDERS.- FRIDAY MERCY MEALS IS A PROGRAM THAT PREPARES AND DELIVERS A MEAL EACH WEEK TO 23 CLIENTS ENROLLED IN THE MOBILE MEALS, INC OF OKLAHOMA COUNTY. THERE ARE 33 MERCY CO-WORKERS THAT PARTICIPATE IN THIS ENDEAVOR.
PART III, LINE 4: THE TEXT OF THE FOOTNOTE THAT IS INCLUDED IN MERCY HEALTH AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE FOLLOWS: "PATIENT ACCOUNTS THAT ARE UNCOLLECTED, INCLUDING THOSE PLACED WITH COLLECTION AGENCIES, ARE INITIALLY CHARGED AGAINST THE ALLOWANCE FORUNCOLLECTIBLE ACCOUNTS IN ACCORDANCE WITH COLLECTION POLICIES OF THEHEALTH SYSTEM AND, IN CERTAIN CASES, ARE RECLASSIFIED TO CHARITY CAREIF DEEMED TO OTHERWISE MEET THE HEALTH SYSTEM'S CHARITY CARE POLICY.THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES IS BASED ON MANAGEMENT'SASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERINGBUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, ANDOTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR,MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLERECEIVABLES BASED UPON THE PAYOR COMPOSITION AND AGING OF RECEIVABLESAS OF THE REPORTING DATE WITH CONSIDERATION OF THE HISTORICAL PAYMENTAND WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESEREVIEWS ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FORUNCOLLECTIBLE RECEIVABLES TO ESTABLISH AN APPROPRIATE ALLOWANCE FORUNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROMINSURANCE, THE HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FORPLACING PAST-DUE BALANCES WITH COLLECTION AGENCIES." TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE, AT COST, BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENT ACCOUNTS WAS MULTIPLIED BY A RATIO OF COST TO CHARGES. THE RATIO OF COST TO CHARGES USED WAS BASED ON DETAILED COST ACCOUNTING, WHERE AVAILABLE. WHERE COST ACCOUNTING IS NOT AVAILABLE, COST REPORT COST TO CHARGE RATIOS WERE UTILIZED. THE FILING ORGANIZATION DETERMINED THAT THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THEORGANIZATION'S CHARITY CARE POLICY IS $0. ALTHOUGH THE CHARITY CAREPOLICY REQUIRES THE PARTICIPATION OF THE PATIENT REQUESTING ASSISTANCE, WE HAVE A PROCESS UNDER PRESUMPTIVE CHARITY (REFER TODISCLOSURE FOR PART III, #9B) TO ADDRESS ACCOUNTS FOR PATIENTS WHO DONOT PROVIDE THE INFORMATION. WE BELIEVE THAT OUR CHARITY POLICY ISCOMPREHENSIVE ENOUGH TO CAPTURE ALMOST ALL PATIENTS WHO QUALIFY FORCHARITY CARE.
PART III, LINE 8: IT IS THE POSITION OF MERCY HOSPITAL OKLAHOMA CITY THAT 100% OF ANY SHORT FALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS AMOUNT REPRESENTS COST OF PROVIDING SERVICES THAT REMAIN UNCOMPENSATED TO THE PROVIDER.THE UNREIMBURSED COSTS OF MEDICARE IS CALCULATED BY THE GROSS CHARGESNET OF THE COST TO CHARGE RATIO LESS ANY PAYMENTS, DEDUCTIONS ORREIMBURSEMENTS USING THE ANNUAL MEDICARE COST REPORT (CMS FORM 2552-96)
PART III, LINE 9B: MERCY HOSPITAL OKLAHOMA CITY ("MERCY") DEBT COLLECTION POLICY PROVIDES THAT MERCY WILL PERFORM A REASONABLE REVIEW OF EACH INPATIENT ACCOUNT BEFORE TURNING AN ACCOUNT TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT, TO ASSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (E.G., MEDICAID) AND DO NOT QUALIFY FOR COVERAGE THROUGH MERCY'S COMMUNITY ASSISTANCE POLICY. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY PATIENT ACCOUNT THAT IS SUBSEQUENTLY DETERMINED TO MET THE MERCY HOSPITAL COMMUNITY ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO MERCY FOR APROPRIATE FOLLOW-UP. MERCY REQUIRES ITS THIRD-PARTY COLLECTION AGENTS TO INCLUDE A MESSAGE ON ALL STATEMENTS INDICATING THAT IF A PATIENT OR PATIENT GUARANTOR MEETS CERTAIN STIPULATED INCOME REQUIREMENTS, THE PATIENT OR PATIENT GUARANTOR MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. MERCY UTILIZES THE "SEARCH AMERICA" TOOL TO ENHANCE THE ABILITY TO DETERMINE CHARITY QUALIFICATION. PRESUMPTIVE CHARITY WILL BE GRANTED IN SITUATIONS WHERE MERCY HOSPITAL HAS BEEN UNABLE TO OBTAIN INFORMATION FROM PATIENTS OR THE INFORMATION PROVIDED IS NOT COMPLETE ENOUGH TO MAKE A CHARITY DETERMINATION. MERCY UTILITIZES PRESUMPTIVE CHARITY PRIOR TO BAD DEBT PLACEMENT FOR CHARITY ADJUSTMENTS IN EXCESS OF $6,500. IN THESE CASES, MERCY UTILIZES THE SEARCH AMERICA REPORT STATUS OF "PROBABLE CHARITY" AS THE BASIS FOR ASSIGNING THE CHARITY LEVEL. MERCY WILL PURSUE APPROPRIATE MEANS IN THE COLLECTION OF DELINQUENT ACCOUNTS FROM PATIENTS WITH AN ESTABLISHED ABILITY TO PAY OR AN UNWILLINGNESS TO COOPERATE IN VALIDATING ELIGIBILITY FOR FINANCIAL ASSISTANCE. THESE APPROPRIATE MEANS MAY INCLUDE LEGAL ACTION CONSISTENT WITH MERCY MISSION AND VALUES. ADDITIONALLY THEY MAY INCLUDE LIENS UPON REAL PROPERTY AND REASONABLE WAGE GARNISHMENTS. LEGAL ACTIONS WILLGENERALLY NOT INCLUDE BANK GARNISHMENT, REPOSSESSION OF ASSETS OR FORECLOSURES TO ENFORCE SATISFACTION OF A LIEN. MERCY HAS POLICIES AND PROCEDURES ESTABLISHED TO ADDRESS THE INITIATION OF LEGAL ACTION AND ANNUALLY REVIEWS COMPLIANCE WITH ALL POLICIES.
PART V, SECTION B, LINE 3: REFER TO PART VI, LINE 2 RESPONSE.MERCY HOSPITAL OKLAHOMA CITY
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.MERCY HOSPITAL OKLAHOMA CITY
PART VI, LINE 2: MERCY HOSPITAL OKLAHOMA CITY, INC. CONDUCTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. OUR NEEDS ASSESSMENT PROCESS INVOLVED THE FOLLOWING FIVE STEPS USING BOTH QUANTITATIVE AND QUALITATIVE INFORMATION TO ATTAIN THE FULL SCOPE OF OUR COMMUNITYS NEEDS.1. EXAMINING EXISTING COMMUNITY HEALTH NEEDS ASSESSMENTS. THE NEEDS ASSESSMENT EXAMINATION PROCESS INCLUDED THE COLLECTION AND ANALYSIS OF QUANTITATIVE DATA AVAILABLE IN COMMUNITY/PUBLIC HEALTH RESOURCES. -OKLAHOMA HEALTH IMPROVEMENT PLAN (OHIP) THIS IS A COMPREHENSIVE PLAN TO IMPROVE THE HEALTH OF ALL OKLAHOMANS DEVELOPED BY THE OKLAHOMA STATE BOARD OF HEALTH, 2010-2014. -WELLNESS NOW COMMUNITY HEALTH ASSESSMENT, 2011 OKLAHOMA CITY AND COUNTY THIS ASSESSMENT WAS COMPLETED BY THE OKLAHOMA CITY-COUNTY HEALTH DEPARTMENT'S DATA ANALYSIS SECTION IN 2010. THIS NINE-MONTH PROCESS INCLUDES A COMMUNITY HEALTH STATUS ASSESSMENT, A COMMUNITY STRENGTHS AND THEMES ASSESSMENT, AND A LOCAL PUBLIC HEALTH SYSTEMS ASSESSMENT. -WELLNESS NOW-COMMUNITY HEALTH IMPROVEMENT PLAN-2011-2012 OKLAHOMA CITY/COUNTY THIS COMMUNITY HEALTH IMPROVEMENT INITIATIVE ADDRESSES SCHOOL HEALTH, OBESITY, TOBACCO USE PREVENTION, SENIOR HEALTH, MENTAL HEALTH, AND OBSTACLES TO HEALTH. IT IS DESIGNED TO POOL COMMUNITY RESOURCES AND EXPAND PARTNERSHIPS TO TARGETED AREAS WITH THE MOST NEEDS AS A UNITED FORCE AND ACHIEVE REAL RESULTS. -DATA FROM MERCY'S HEALTH INFORMATION SYSTEMS DEPARTMENT DATA FROM MERCY'S OWN RECORDS WAS USED TO ASSESS THE NEEDS OF THE COMMUNITY. -2011 STATE OF THE STATE HEALTH REPORT THIS REPORT REVIEWS MULTIPLE INDICATORS THAT CONTRIBUTE TO OKLAHOMA'S OVERALL HEALTH STATUS. IT SUMMARIZES OKLAHOMA HEALTH AS A WHOLE AND IDENTIFIES COUNTY SPECIFIC TRENDS. -OKLAHOMA TURNING POINT TURNING POINT STARTS AT THE LOCAL LEVEL, BUILDING BROAD COMMUNITY SUPPORT AND PARTICIPATION IN PUBLIC HEALTH PRIORITY SETTING AND ACTION, ENGAGING AND LINKING AFFECTED PEOPLE AT THE LOCAL LEVEL. LOCAL FIELD CONSULTANTS IN EACH COUNTY OF OKLAHOMA PROVIDE LEADERSHIP IN ASSESSING LOCAL PUBLIC HEALTH NEEDS AND IDENTIFYING KEY PRIORITIES. 2. CONDUCT ROUNDTABLE DISCUSSION WITH COMMUNITY MEMBERS. COMMUNITY INDIVIDUALS AS WELL AS EXPERTS IN THE PUBLIC HEALTH ARENA WERE INVITED TO ATTEND COMMUNITY ROUND TABLES FOR INPUT ON NEEDS OF THE COMMUNITY. MERCY HELD COMMUNITY ROUNDTABLE EVENTS TO DIALOGUE DIRECTLY WITH LOCAL COMMUNITY MEMBERS REGARDING THEIR NEEDS, IDEAS, AND CONCERNS RELATED TO HEALTHCARE.3. ANALYZED AND SUMMARIZED THE DATA TO PRIORITIZE NEEDS. AFTER CAREFUL ANALYSIS OF THE DATA, THE FOLLOWING COMMUNITY HEALTH NEEDS WERE IDENTIFIED: DIABETES, OBESITY, TOBACCO PREVENTION, CARDIAC, SCHOOL HEALTH, ACCESS TO CARE. TO SET PRIORITIES, MERCY HOSPITAL, OKLAHOMA CITY WILL FOCUS ON: DIABETES, ACCESS TO CARE, SCHOOL HEALTH, RESPIRATORY DISEASE, AND WELLNESS.4. REVIEW CURRENT COMMUNITY BENEFIT ACTIVITIES IN PLACE. USING LYON SOFTWARE'S CBISA TOOL, A REVIEW WAS CONDUCTED OF CURRENT COMMUNITY BENEFIT ACTIVITIES AND WHAT MERCY WAS PRESENTLY DOING TO MEET THE IDENTIFIED PRIORITIES.5. THE COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) WAS CREATED BASED ON THE RESULTS OF THE NEEDS ASSESSMENT. THIS REPORT SUMMARIZES THE PLAN FOR MERCY HOSPITAL OKLAHOMA CITY TO ADDRESS THE IDENTIFIED NEEDS FROM THE FY12 COMMUNITY HEALTH NEEDS ASSESSMENT AND SUSTAIN EXISTING AS WELL AS DEVELOP NEW PROGRAMS THAT RESPOND TO THESE NEEDS. THE COMMUNITY HEALTH NEEDS ASSESSMENT IS UPDATED ON AN ONGOING BASIS AS ANNUAL COMMUNITY/PUBLIC HEALTH DATA IS RELEASED. ACTION PLANS:1. DIABETES: DIABETES WELLNESS PROJECT, DIABETES TREATMENT AND PREVENTION PROGRAM, MERCY CLINIC DIABETESTHE DIABETES WELLNESS PROJECT ADDRESSES THE NEEDS OF THE UNINSURED, ECONOMICALLY POOR PRE-DIABETICS AND DIABETIC CLIENTS. THIS MULTI-SESSION PROGRAM PROVIDES DIABETES MANAGEMENT SKILLS, FOOT CARE RESOURCES, HEALTHY FOOD SELECTION/PREPARATION, FITNESS ACTIVITIES, AND GRATITUDE JOURNALING. PROJECT DESIGN ATTENDS TO THE MIND, BODY, AND SPIRIT OF EACH INDIVIDUAL, WHICH CONTRIBUTES TO IMPROVED HEALTH AND QUALITY OF LIFE. SESSIONS ARE HELD AT FREE/CHARITABLE CLINICS AT NO COST TO THE CLIENT.MERCY HOSPITALS IN THE IDENTIFIED SERVICE AREA WILL RECEIVE A MODIFIED VERSION OF DIABETES WELLNESS PROJECT. THIS WILL BE OFFERED IN A FORMAT THAT CAN BE INDIVIDUALIZED TO MEET THE NEEDS OF EACH COMMUNITY. MERCY HOSPITAL DIABETES TREATMENT AND PREVENTION PROGRAM: THIS PROGRAM OFFERS EDUCATION AND SUPPORT FOR IN-PATIENT AND OUT-PATIENT DIABETICS THAT ARE NEWLY DIAGNOSED OF HAVING DIFFICULTY CONTROLLING THE DISEASE IN A GROUP SETTING OR INDIVIDUAL APPOINTMENTS. MERCY CLINIC IS RECRUITING PHYSICIANS WITH A SPECIALTY IN DIABETES.2. ACCESS TO CARE: HEALTH ALLIANCE FOR THE UNINSURED (HAU), PROJECT EARLY DETECTION, MERCY CLINIC BREAST CANCER THE HEALTH ALLIANCE FOR THE UNINSURED IS A CATALYST FOR IMPROVED HEALTH CARE SERVICES FOR THOSE WHO OTHERWISE WOULD BE UNABLE TO OBTAIN THEM. MERCY HOSPITAL OKLAHOMA CITY SUPPORTS THESE EFFORTS BY ASSIGNING A CHRONIC DISEASE MANAGEMENT COORDINATOR AS A RESOURCE FOR THE FREE CLINICS AND THEIR PATIENTS. THE VICE PRESIDENT OF MISSION/ETHICS SERVES ON THE HAU BOARD OF DIRECTORS AND HOLDS THE POSITION OF TREASURER. HAU AND MERCY COLLABORATIONS INCLUDE SUPER SATURDAYS FOR WOMEN WHICH PROVIDES SPECIALIZED WOMEN'S HEALTH SERVICES. THIS SERVICE MEETS A CRITICAL NEED FOR LOW-INCOME UNINSURED WOMEN. THE COOPERATIVE CENTRAL PHARMACY WHICH PROVIDES FREE ON-SITE PRESCRIPTIONS TO THE UNINSURED AS WELL AS MEDICATIONS TO PARTNER CHARITABLE CLINICS IS ANOTHER PARTNERSHIP.MERCY SERVES THE UNINSURED OR UNDERINSURED WOMEN IN NEED OF BREAST HEALTH SERVICES THROUGH PROJECT EARLY DETECTION. THIS INCLUDES BREAST HEALTH EDUCATION, SCREENINGS, DIAGNOSTIC PROCEDURES AND APPROPRIATE TREATMENT REFERRALS. COMMUNITY PARTNERS INCLUDE SOCIAL SERVICES AGENCIES AND LOCAL NON-PROFITS WHO SERVE THE POOR AND UNINSURED. MERCY HOSPITALS IN THE IDENTIFIED SERVICE AREA WILL BE ABLE TO ACCESS PROJECT EARLY DETECTION SERVICES.MERCY CLINIC PHYSICIANS PROVIDE BREAST CANCER SERVICES FOR ECONOMICALLY CHALLENGED CLIENTS.3. SCHOOL HEALTH: HEALTH TEACHER, LINWOOD PROJECT, MERCY IN SCHOOLS, GOOD SHEPHERD SCHOOL AT MERCY, PROJECT SEARCH.HEALTH TEACHER IS A COMPREHENSIVE K-12 CURRICULUM THAT INTEGRATES HEALTH SKILLS INTO ONLINE LESSON PLANS. TO DATE, THERE ARE 92 OKLAHOMA CITY AREA SCHOOL DISTRICTS WITH 488 SCHOOLS THAT HAVE SIGNED THE LETTER OF PARTICIPATION.LINWOOD PROJECT IS A PARTNERSHIP WITH AN INNER-CITY LOW-INCOME ELEMENTARY SCHOOL. THIS INCLUDES MERCY MENTORS, A TUTORING PROGRAM THAT ALLOWS MERCY CO-WORKERS TO TRAVEL TO THE SCHOOL AND TUTOR DURING WORK HOURS. AN ANNUAL NEIGHBORHOOD HEALTH FAIR IS HELD FOR THE PARENTS AND STUDENTS AS WELL AS ON-GOING SUPPORT/ REFERRAL FOR THOSE IN NEED OF SPECIALTY HEALTH SERVICES. STAFF OF THE COMMUNITY OUTREACH DEPARTMENT SERVES ON THE SMART START COMMUNITY COUNCIL WHICH STRIVES TO PREPARE YOUNG CHILDREN TO ATTEND SCHOOL. MERCY IN SCHOOLS WORKS WITH SCHOOL DISTRICTS TO TAILOR A MODEL WHICH BEST SERVES THE COMMUNITY. THIS PARTNERSHIP INCREASES ACCESS TO MEDICAL SERVICES, PROVIDES HEALTH EDUCATION, AND IMPROVES THE MENTAL WELL-BEING OF STUDENTS AND STAFF. COMPONENTS OF MERCY IN SCHOOLS INCLUDES: CALL SAM, ACCESS TO MEDICAL SERVICES THROUGH THE UCO CAMPUS CLINIC, PHYSICIAN SUPPORT, AND MENTORSHIPS IN MEDICINE. GOOD SHEPHERD CATHOLIC SCHOOL AT MERCY IS A PARTNERSHIP BETWEEN MERCY, UNIVERSITY OF CENTRAL OKLAHOMA, AND THE ARCHDIOCESE OF OKC. IT IS FOCUSED ON SERVING CHILDREN WITH AUTISTIC SPECTRUM AND SIMILAR NEUROLOGICAL DISORDERS. STUDENTS AGED 3-9 RECEIVE INDIVIDUAL BEHAVIORAL TRAINING AND EDUCATION. THE SCHOOL HAS A CAPACITY OF 22 STUDENTS WITH CURRENT ENROLLMENT OF 9 STUDENTS.PROJECT SEARCH, A COLLABORATION OF FRANCIS TUTTLE CAREER TECHNOLOGY CENTER AND MERCY, RECEIVES FREE OFFICE AND CLASSROOM SPACE. THIS PROGRAM STRIVES TO PREPARE DEVELOPMENTALLY CHALLENGED YOUNG ADULTS FOR CAREER OPPORTUNITIES. STUDENTS ROTATE THROUGH A VARIETY OF DEPARTMENTS AT MERCY HOSPITAL.(SEE PART VI, QUESTION 2 CONTINUATION)
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.
PART VI, LINE 4: MERCY HOSPITAL OKLAHOMA'S PRIMARY SERVICE AREA INCLUDES SIX COUNTIES IN CENTRAL OKLAHOMA, INCLUDING CANADIAN, CLEVELAND, KINGFISHER, LINCOLN, LOGAN AND OKLAHOMA. BASED ON TRUVEN 2012 DATA, THE AREA'S POPULATION IS 1,207,614. 25% OF THE POPULATION HAS A HOUSEHOLD AVERAGE INCOME OVER $75,000. 12% OF THE POPULATION IS AGE 65 AND OLDER. 13% OF THE POPULATION IS ON MEDICARE, 16% ON MEDICAID, AND 15% UNINSURED, BASED ON 2012 TRUVEN INSURANCE ESTIMATES.
PART VI, LINE 5: MERCY HOSPITAL OKLAHOMA CITY, INC. (MHOKC) PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. MHOKC IS A CATHOLIC HEALTH CARE CORPORATION THAT, PURSUANT TO THE ORGANIZATIONAL CORE BELIEF THAT HEALTH CARE SERVICES ARE A VITAL AND INTEGRAL PART OF THE CHURCH'S HEALING MISSION, ENGAGES IN A MINISTRY WHICH PROVIDES GENERAL ACUTE CARE, AMBULATORY, LONG-TERM AND HOME CARE HEALTH SERVICES TO INDIVIDUALS AND FAMILIES IN ITS SERVICE COMMUNITIES. IN KEEPING WITH MHOKC'S COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITIES IT SERVES, MHOKC PROVIDES QUALITY MEDICAL HEALTH CARE TO PATIENTS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. AS DEFINED BY THE INSTITUTION'S CHARITY POLICY, MHOKC DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY FOR CHARITY CARE. IN ADDITION, MHOKC PROVIDES SERVICES TO OTHER PATIENTS UNDER THE MEDICARE PROGRAM AND VARIOUS STATE MEDICAID PROGRAMS. SUCH PROGRAMS PAY PROVIDERS AMOUNTS THAT ARE SUBSTANTIALLY LESS THAN BILLED CHARGES, AND FREQUENTLY LESS THAN THE COST, OF THE SERVICES PROVIDED TO THE RECIPIENTS.MHOKC OFFERS OTHER SERVICES AND PROGRAMS WHICH FURTHER HEALTH PROMOTION, MAINTENANCE AND CARE TO THE COMMUNITY. PROGRAMS PROVIDED TO MEET THE COMMUNITY NEEDS THIS TAX YEAR INCLUDE SUPPORT GROUPS FOR RESPIRATORY CARE, FREE CLINICS FOR LAB & MEDICAL SERVICES, A PROGRAM TO PROVIDE INFORMATION AND SUPPORT TO CANCER SURVIVORS AND THEIR FAMILIES AND AN EARLY DETECTION PROGRAM OUTREACH FOR CANCER DETECTION. DIABETES WELLNESS OUTREACH PROGRAMS PROVIDE SUPPLIES AND CONSULTATION. MHOKC ALSO CONDUCTED SEVERAL BLOOD DRIVES WHICH SERVE THE COMMUNITY BLOOD BANK. MHOKC CONTINUED FUNDING OF GRADUATE MEDICAL EDUCATION PROGRAM PROVIDES RESIDENCY TRAINING IN NURSING, RESPIRATORY AND PHARMACY.MHOKC IS GOVERNED BY A BOARD OF DIRECTORS WHICH INCLUDES REPRESENTATION FROM COMMUNITY LEADERS IN THE ORGANIZATION'S PRIMARY SERVICE AREAS. ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY. ANY POTENTIAL CONFLICTS OF INTEREST DISCLOSED BY BOARD MEMBERS ARE SCREENED BY GENERAL COUNSEL AND REVIEWED BY THE BOARD CHAIRPERSON AND CEO. THIS PROCESS ENSURES THAT PUBLIC, RATHER THAN PRIVATE, INTERESTS ARESERVED BY MHOKC.SURPLUS FUNDS AND UNRESTRICTED ASSETS HELD BY MHOKC ARE REINVESTED IN PATIENT CARE, MEDICAL EDUCATION AND RESEARCH INITIATIVES WHICH SUPPORT THE ORGANIZATION'S MISSION TO DELIVER COMPASSIONATE CARE AND EXCEPTIONAL HEALTH CARE SERVICES TO THE COMMUNITIES IT SERVES.
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.
4. RESPIRATORY DISEASES: TOBACCO PREVENTION, BETTER BREATHERS, MERCY CLINIC RESPIRATORY THE BETTER BREATHERS SUPPORT GROUP MEETS MONTHLY WITH AN EDUCATIONAL PROGRAM AND LUNCHEON FOR PEOPLE IN THE COMMUNITY WHO HAVE CHRONIC RESPIRATORY CONDITIONS.TOBACCO 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. THIS WILL BE CHANNELED THROUGH THE HEALTHIFICATION PROCESS AT MERCY WHICH IS AN INTERNAL EMPLOYEE WELLNESS PROGRAM. MERCY HOSPITAL OKLAHOMA CITY IS A SMOKE-FREE FACILITY AND CAMPUS. THE PRESIDENT OF MERCY HOSPITAL, OKLAHOMA CITY CURRENTLY SERVES ON THE TOBACCO SETTLEMENT ENDOWMENT TRUST (TSET) WHICH FUNDS INITIATIVES THAT ADDRESS HEALTH/ WELLNESS IMPROVEMENTS ACROSS OKLAHOMA.RESPIRATORY DISEASES WILL BE ADDRESSED IN THE QUARTERLY OUTREACH NEWSLETTER WITH OPPORTUNITY FOR THE COMMUNITY TO REQUEST FREE PUBLICATIONS.MERCY CLINIC HAS RECRUITED SEVERAL PULMONOLOGISTS.5. WELLNESS: HEALTHIFICATION, DIABETES WELLNESS PROJECT, HEALTH TEACHER, "BATTLING THE SILENT KILLER", MULTIPLE SERVICES/RESOURCES FOR THE COMMUNITY AT LARGE AND ACROSS THE MERCY WEST REGION.OBESITY IS INTEGRATED AND ADDRESSED THROUGH THE DIABETES WELLNESS PROJECT, HEALTH TEACHER, AND HEALTHIFICATION PROGRAMS. HEALTHIFICATION IS THE MINDFUL PURSUIT OF PERSONAL WELL-BEING FOR MERCY CO-WORKERS AND THEIR FAMILIES. IT FOCUSES ON HEALTHY EATING, PHYSICAL ACTIVITY, EMOTIONAL AND SPIRITUAL WELL-BEING, AND TOBACCO CESSATION. "BATTLING THE SILENT KILLER" IS AN INITIATIVE WHICH INCLUDES A FRESH LOOK AT THE IMPORTANCE OF BLOOD PRESSURE AND ITS ROLE IN STROKE, HEART, AND KIDNEY DISEASE PREVENTION. THIS PROGRAM WILL BE OFFERED TO EACH MERCY HOSPITAL IN OKLAHOMA.NEEDS ASSESSMENT (CONTINUED)PART VI, QUESTION 2

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
CATHOLIC CHARITIES
1501 N CLASSEN BLVDOKLAHOMA CITYOK73106730636561501(C)(3)6000GENERAL SUPPORT
EDMOND AREA CHAMBER OF COMMERCE
825 E 2ND ST SUITE 100EDMONDOK73034730544087501(C)(6)13750ECONOMIC DEVELOPMENT
MARCH OF DIMES
5100 BROOKLINE STE 270OKLAHOMA CITYOK73102131846366501(C)(3)46000NICU FAMILY SUPPORT
GREATER OKLAHOMA CITY CHAMBER OF COMMERCE
123 PARK AVEOKLAHOMA CITYOK73102730381180501(C)(6)35900EDUCATIONAL ENDOWMENT
UNITED WAY OF CENTRAL OKLAHOMA
PO BOX 837OKLAHOMA CITYOK73105730589829501(C)(3)25500COMMUNITY CAMPAIGN
OKLAHOMA ACADEMY OF FAMILY PHYSICIANS
1900 NW EXPRESSWAY SUITE 501OKLAHOMA CITYOK73112730612930501(C)(6)5000GENERAL SUPPORTCHARITABLE DONATION
OKLAHOMA HOSP EDUCATION RSCH FDTN TRUST
4000 LINCOLN BOULEVARDOKLAHOMA CITYOK73105736111625501(C)(3)13000RESEARCH
OKLAHOMA CITY UNIVERSITY
2501 N BLACKWELDEROKLAHOMA CITYOK73106730579265501(C)(3)10000GENERAL SUPPORT
OKLAHOMA SPEAKERS BALANCE
PO BOX 720308OKLAHOMA CITYOK73172202018083501(C)(3)10000GENERAL SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants6TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations3TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantTUITION SCHOLARSHIPSTypeOfGrant
Number Of Recipients43NumberOfRecipients
Amount Of Cash Grant123500AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelXFirstClassOrCharterTravel
Travel For CompanionsXTravelForCompanions
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (23 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
HIEKE MD KENNETH
BOARD MEMBER0380716000305150005899041713000
RAHHAL MD DONALD K
BOARD MEMBER03451560003206006218012518039595200
SMALLEY DIANA L
CHIEF EXECUTIVE OFFICER04594800202287094850182822017616087169000
GEBHART JIM R
PRESIDENT, MERCY HEALTH CENTER03121930145456018112052209016309054427900
VITIELLO JONATHAN
CHIEF FINANCIAL OFFICER02946470102118096353047736016270055712400
EDELSTEIN THOMAS
VP-MISSION & ETHICS1269210341520142980166180147850206774000
FANNING LINDA T
CHIEF NURSING OFFICER159503043150032809022475016600259597000
JOHNSON MARK C
CHIEF MEDICAL OFFICER33352208046207392045223077780474377000
LE BICH-VI
REGIONAL VP-GENERAL COUNSEL0136596057951045955021562015137027720100
PAYTON BECKY J
VP-HUMAN RESOURCES0195331071727027069028314012019033446000
ROBERTSON PATRICIA
VP-FINANCE14958804096902876103444011100223872000
STEFFENS AARON L
CHIEF OPERATING OFFICER18105306146906185056990151960269602000
BAUMEISTER JERRY
VP-OPERATIONS124344040182056050029889064600256925000
MADISON KEITH
DIRECTOR-PHARMACY SERVICES12661601222802517207409063300177755000
CARMICHAEL CINDY
VP-RURAL DEVELOPMENT16711404639402797906523067100254720000
ENLOE TRACY
VP-FINANCIAL OPERATIONS1482475985396460857306486892011122483291637711600
GARBER MARY
VP-FINANCE (ADA)12189503224501911503661012250178141000
HAHNE CHRISTOPHER
EXECUTIVE DIRECTOR-FINANCE12734002162401984007770142930183874000
ROGERS WILLIAM KENT
CHIEF EXECUTIVE OFFICER, RURAL HOSPI198622053814022428059820155200296366000
JOHNSTON JEFFREY A
FORMER OFFICER041052501904930514570168505017534083851400
AKINS JULIA
FORMER KEY EMPLOYEE02283930136922092172022879012454049282000
DIXSON JAMES D
FORMER KEY EMPLOYEE04326210115069048093064027012519067232900
FJONE LOREN
FORMER KEY EMPLOYEE017960003968202822101745106584027153800

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 1ACHARTER TRAVEL IS PROVIDED TO CERTAIN EMPLOYEES AS AND WHEN APPROPRIATE, AND AS DEEMED NECESSARY FOR BUSINESS TRAVEL. AFTER CHARTER TRAVEL APPROVAL HAS BEEN GRANTED IN ACCORDANCE WITH THE FINANCIAL JUSTIFICATION PROCESS, THE APPROVED CHARTER TRAVEL FOR BUSINESS IS A REIMBURSABLE EXPENSE WHICH IS NOT TAXABLE TO THE EMPLOYEES. TRAVEL FOR COMPANIONS IS PROVIDED IN RARE INSTANCES AND IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. WHERE COMPANION TRAVEL HAS RESULTED IN A TAXABLE EVENT, THE EMPLOYEES ARE TAXED FOR SUCH TRAVEL. SPOUSAL TRAVEL WAS PROVIDED FOR THE FOLLOWING: CINDY CARMICHAEL; PATRICIA ROBERTSON; WILLIAM KENT ROGERS; MARY GARBER. 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, TRACY ENLOE. 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 4BSCHEDULE J, PART I, QUESTION 4B MERCY HEALTH, THE PARENT COMPANY, OFFERS SUPPLEMENTAL RETIREMENT PLANS TO CERTAIN EXECUTIVES WHICH PROVIDE BENEFITS UPON RETIREMENT BASED ON COMPENSATION, AGE AT THE TIME OF BENEFIT COMMENCEMENT, LENGTH OF SERVICE WITH THE COMPANY AND/OR ITS AFFILIATES, AND LENGTH OF TENURE IN THE PLAN. THE INDIVIDUALS REPORTABLE ON THIS RETURN WHO PARTICIPATE IN THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS INCLUDE: DIANA SMALLEY; JEFFREY JOHNSTON; JIM GEBHART THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL MANAGEMENT RETIREMENT PLAN: LINDA FANNING; MARK JOHNSON; JEFFREY JOHNSTON; BECKY PAYTON; JONATHAN VITIELLO; JIM GEBHART; BICH-VI LE; JAMES D DIXSON; JULIA AKINS THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C). NO PERSONS LISTED ON THIS RETURN RECEIVED PAYMENT UNDER THE PLANS DURING THE TAX YEAR.
PART I, LINE 7THE RELATED ORGANIZATION WHICH EMPLOYS THOSE INDIVIDUALS LISTED ON PART VII, AND THE FILING ORGANIZATION WHEN APPLICABLE, PROVIDES A NON-FIXED BONUS PLAN FOR WHICH CERTAIN TIERS OF ITS EMPLOYEES ARE ELIGIBLE. FOR FISCAL YEAR 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.
PART IIIPART I, LINE 3: THE FILING ORGANIZATION RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTION 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS.SUPPLEMENTAL INFORMATION

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
OKLAHOMA HEART HOSPITAL LLC
SEE SCHEDULE O210800INDEPENDENT CONTRACTOR0
MARY GARBER
FAMILY MEMBER OF BECKY PAYTON, KEY EMPLOYEE183322EMPLOYMENT ARRANGEMENT0
SARASUE HIEKE
FAMILY MEMBER OF KENNETH HIEKE, BOARD MEMBER59817EMPLOYMENT ARRANGEMENT0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6MERCY HOSPITAL OKLAHOMA CITY HAS A SOLE CORPORATE MEMBER, MERCY HEALTH OKLAHOMA COMMUNITIES.
FORM 990, PART VI, SECTION A, LINE 7AMERCY HEALTH OKLAHOMA COMMUNITIES MAY APPOINT AND REMOVE MEMBERS OF THE BOARD.
FORM 990, PART VI, SECTION A, LINE 7BTHE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED SOLELY UNTO MERCY HEALTH OKLAHOMA COMMUNITIES: - ADOPT OR AMEND THE MISSION AND PHILOSOPHY OF THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - ADOPT OR AMEND THE STRATEGIC PLANS, GOALS, AND OBJECTIVES OF THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - ADOPT OR AMEND THE OPERATING AND CAPITAL BUDGETS OF THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION AND ANY CHANGES IN SUCH BUDGETS IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE MEMBER; - REVIEW AND APPROVE ANY CAPITAL EXPENDITURES OR RECOMMENDATIONS NOT PREVIOUSLY APPROVED AS PART OF THE CORPORATION'S BUDGETS; - AUTHORIZE OR APPROVE THE ASSIGNMENT, TRANSFER, SALE OR LEASE OF ANY OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION OR INTEREST THEREIN IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE MEMBER; - AUTHORIZE OR APPROVE THE GRANT OF ANY PLEDGE, LIEN, ENCUMBRANCE, MORTGAGE, DEED OF TRUST OR OTHER SECURITY INTEREST IN ANY OR ALL OF THE ASSETS OF THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - AUTHORIZE OR APPROVE THE INCURRENCE OF DEBT (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) BY THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION AND THE GRANT ANY SECURITY INTERESTS, THE PLACEMENT OF ANY ENCUMBRANCES, THE ENTERING INTO ANY COVENANTS, AND THE EXECUTION OF ANY DOCUMENTS AND THE TAKING OF ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; - MERGE, DISSOLVE OR ABANDON THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - AMEND THE CERTIFICATE OF INCORPORATION AND BYLAWS OF THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - ESTABLISH ALL COMPENSATION AND BENEFIT TERMS FOR PHYSICIANS AND OTHER MEDICAL PROFESSIONALS EMPLOYED OR OTHERWISE RETAINED BY THE CORPORATION; - APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION CONTROLLED BY THE CORPORATION; - APPROVE CONTRACTS IN WHICH THE CORPORATION ASSUMES FINANCIAL RISK, INCLUDING BUT NOT LIMITED TO MANAGED CARE CONTRACTS, SUBJECT TO CONSULTATION WITH THE MANAGED CARE CONTRACTING COMMITTEE OF THE MEMBER; - APPROVE THE CLINIC'S MANPOWER PLAN; - THROUGH THE SOLE ACTION OF THE PRESIDENT OF THE MEMBER (WITH THE APPROVAL OF THE PRESIDENT OF MERCY, APPOINT AND REMOVE THE PRESIDENT OF THE CORPORATION; AND - AUTHORIZE AND AMEND THE CHARITY CARE POLICY OF THE CLINIC.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM, USING INFORMATION PROVIDED BY THE FILING ORGANIZATION. A DRAFT FORM 990 IS REVIEWED BY THE FILING ORGANIZATION'S FINANCE TEAM. THE DRAFT FORM 990 IS ALSO REVIEWED BY THE MERCY HEALTH TAX DEPARTMENT, TO ENSURE ACCURACY AND CONSISTENCY WITH OTHER RELATED ORGANIZATIONS' FORM 990S. AFTER QUESTIONS ARISING FROM THE VARIOUS REVIEWS ARE ADDRESSED AND INCORPORATED INTO THE FORM 990, A REVISED DRAFT IS PROVIDED TO THE FILING ORGANIZATION'S LEADERSHIP TEAM FOR REVIEW. ONCE REVIEWED AND APPROVED BY THE FILING ORGANIZATION'S LEADERSHIP TEAM, THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW; IT IS THEN SIGNED AND FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12COFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER DISQUALIFIED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY AND DID SO IN THE NORMAL COURSE FOR THE YEAR ENDED JUNE 30, 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 15AFOR THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS), THE ORGANIZATION USES THE FOLLOWING TO ESTABLISH COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT, AND REVIEW/APPROVAL OF COMPENSATION BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF THE SISTER OF MERCY HEALTH SYSTEM. FOR THOSE CLASSIFIED AS KEY EMPLOYEES, THE ORGANIZATION USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, AND REVIEW/APPROVAL OF EXECUTIVE MANAGEMENT. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS, AND A REVIEW WAS COMPLETED DURING THE REPORTING YEAR.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE FROM TIME TO TIME BUT ARE NOT PUBLISHED PUBLICLY.
FORM 990, PART XI, LINE 9:TRANSFERS TO AFFILIATES -6,876,512. CONTRIBUTIONS ADJUSTMENTS -117,110. UNRESTRICTED DONATED PROPERTY-MERCY HOSPITAL FDTN 49,491. MISC TRANSFER 10,000.CHANGES IN NET ASSETS OR FUND BALANCES:
PART XII, LINE 2THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN THE MERCY HEALTH AND SUBSIDIARIES ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 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.AUDITED FINANCIAL STATEMENTS
PART XII, LINE 3THE CONSOLIDATED GROUP OF MERCY HEALTH IS REQUIRED TO UNDERGO AN AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133. THE SINGLE AUDIT WAS CONDUCTED ON A CONSOLIDATED BASIS.SINGLE AUDIT ACT AND OMB CIRCULAR A-133
FORM 990, PART V, QUESTION 1AINDEPENDENT CONTRACTORS FOR THE FILING ORGANIZATION ARE PAID BY MERCY HEALTH (EIN 43-1423050). AS SUCH, ALL REQUIRED FORM 1099 AND FORM 1096 REPORTING IS MADE FOR THE ENTIRE HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN.
FORM 990, SCHEDULE R, PART IIMERCY HOSPITALS EAST COMMUNITIES CONSISTS OF MERCY HOSPITALS EAST COMMUNITIES ST. LOUIS, EIN 43-0653493, AND MERCY HOSPITALS EAST COMMUNITIES WASHINGTON, EIN 43-1066883.MERCY HOSPITALS EAST COMMUNITIES
FORM 990, SCHEDULE R, PART VLAWSON 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.SYSTEM LIMITATIONS
FORM 990, SCHEDULE L, PART IVDIANA SMALLEY, BOARD MEMBER, AND MARK JOHNSON, OFFICERS OF THE ORGANIZATION, ARE ALL BOARD MEMBERS OF OKLAHOMA HEART HOSPITAL, LLCRELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14300 W MEMORIAL ROADAddressLine1
CityOKLAHOMA CITYCity
StateOKState
ZIP Code73120ZIPCode
FieldValueIRS element (for citing)
EIN300487934EIN
Primary ActivitiesMGD CARE SERVICESPrimaryActivities
Legal Domicile StateOKLegalDomicileState
Total Income0TotalIncome
EOY Assets3688876EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

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

Form990 Schedule R Part II Form990ScheduleRPartII (71 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
CASA DE MISERICORDIA
1602 MCCLELLAND STREETLAREDOTX78044742912461WOMEN'S DOMESTIC VIOLENCE SHELTERTX501C37MERCY MINISTRIES OF LAREDO1
JEFFERSON LAND COMPANY INC
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017431330360TITLE HOLDING COMPANYMO501C2MERCY HOSPITAL JEFFERSON1
LAREDO MEDICAL GROUP
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017742764726INACTIVETX501C39MERCY HEALTH SYSTEM TX1
MCAULEY PORTFOLIO MGMT CO
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017261708048PORTFOLIO MANAGEMENTMO501C311-IIMERCY HEALTH1
MERCY CLINIC EAST COMMUNITIES
645 MARYVILLE CTR DR STE 100ST LOUISMO63141431771217PHYSICIAN GROUPMO501C39MERCY HEALTH EAST COMMUNITIES1
MERCY CLINIC FORT SMITH COMM
7301 ROGERS AVENUEFORT SMITHAR72917261318597PHYSICIAN CLINICAR501C39MERCY HEALTH FORT SMITH COMM1
MERCY CLINIC HOT SPRINGS COMM
1 MERCY LANEHOT SPRINGSAR71913261125131PHYSICIAN CLINICAR501C39MERCY HEALTH HOT SPRINGS COMM1
MERCY CLINIC OKLAHOMA COMM
4300 W MEMORIAL ROADOKLAHOMA CITYOK73120270473057PHYSICIAN GROUP/CLINICOK501C39MERCY HEALTH OK COMMUNITIES1
MERCY CLINIC SPRINGFIELD COMM
1965 FREMONT STREET SUITE 2950SPRINGFIELDMO65804431560263PHYSICIAN GROUPMO501C33MERCY HEALTH SPRINGFIELD COMM1
MERCY FAMILY CENTER
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017721069468FAMILY COUNSELING SERVICESMO501C37MERCY HEALTH1
MERCY FDTN HEALTH INNOV
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017200901499FOUNDATIONMO501C311-IIMERCY HEALTH1
MERCY HEALTH
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017431423050HEALTH SYSTEM - CORPORATE OFFICEMO501C310N/A
MERCY HEALTH EAST COMMUNITIES
645 MARYVILLE CTR DR STE 100ST LOUISMO63141431718408HEALTH SYSTEMMO501C311-IIMERCY HEALTH1
MERCY HEALTH EAST COMMUNITIES - SR
645 MARYVILLE CTR DR STE 100ST LOUISMO63141461412322HEALTH SYSTEMMO501C311-IIMERCY HEALTH EAST COMMUNITIES1
MERCY HEALTH FORT SMITH COMM
7301 ROGERS AVENUEFORT SMITHAR72917261318515HOLDING COMPANYAR501C311-IIMERCY HEALTH1
MERCY HEALTH FOUNDATION ARDMORE
1011 14TH AVENUE NWARDMOREOK73401710962525FOUNDATIONOK501C311-IMERCY HOSPITAL ARDMORE1
MERCY HEALTH FOUNDATION BERRYVILLE
214 CARTER STREETBERRYVILLEAR72616710759301FOUNDATIONAR501C311-IMERCY HOSPITAL BERRYVILLE1
MERCY HEALTH FOUNDATION FT SCOTT
401 WOODLAND HILLS BLVDFORT SCOTTKS66701481077073FOUNDATIONKS501C311-IIIMERCY KANSAS COMMUNITIES INC1
MERCY HEALTH FOUNDATION FT SMITH
7301 ROGERS AVENUEFORT SMITHAR72917237330425FOUNDATIONAR501C37MERCY HOSPITAL FORT SMITH1
MERCY HEALTH FOUNDATION HOT SPRINGS
300 WERNER STREETHOT SPRINGSAR71913710804718FOUNDATIONAR501C311-IIMERCY HOSPITAL HOT SPRINGS1
MERCY HEALTH FOUNDATION INDEPENDENCE
800 W MYRTLEINDEPENDENCEKS67301481079981FOUNDATIONKS501C311-IMERCY KANSAS COMMUNITIES INC1
MERCY HEALTH FOUNDATION JEFFERSON
1400 US HIGHWAY 61 SOUTHFESTUSMO63028462797051FOUNDATIONMO501C311-IIMERCY HEALTH EAST COMMUNITIES - SR1
MERCY HEALTH FOUNDATION JOPLIN
2817 ST JOHNS BLVDJOPLINMO64804270906136FOUNDATIONMO501C311-IMERCY HEALTH SW MOKS COMM1
MERCY HEALTH FOUNDATION NW ARK
2710 RIFE MEDICAL LNROGERSAR72858710601687FOUNDATIONAR501C311-IIIMERCY HOSPITAL ROGERS1
MERCY HEALTH FOUNDATION OK CITY
4300 W MEMORIAL ROADOKLAHOMA CITYOK73120731593024FOUNDATIONOK501C311-IMERCY HOSPITAL OKLAHOMA CITY1
MERCY HEALTH FOUNDATION OF OK
4300 W MEMORIAL ROADOKLAHOMA CITYOK73120454732301FOUNDATIONOK501C311-IMERCY HEALTH OK COMMUNITIES1
MERCY HEALTH FOUNDATION SPRINGFIELD
1235 E CHEROKEE STREETSPRINGFIELDMO65804320195818FOUNDATIONMO501C311-IIMERCY HEALTH SPRINGFIELD COMM1
MERCY HEALTH FOUNDATION STL
615 SOUTH NEW BALLAS ROADST LOUISMO63141562410020FOUNDATIONMO501C311-IIMERCY HEALTH EAST COMMUNITIES1
MERCY HEALTH FOUNDATION WASHINGTON
901 E FIFTH STREETWASHINGTONMO63090562410022FOUNDATIONMO501C311-IIMERCY HEALTH EAST COMMUNITIES1
MERCY HEALTH HOT SPRINGS COMM
300 WERNER STREETHOT SPRINGSAR71913261125064HOLDING COMPANYAR501C311-IIMERCY HEALTH1
MERCY HEALTH NW ARK COMMUNITIES
2710 RIFE MEDICAL LNROGERSAR72758621684203PHYSICIAN GROUPAR501C311-IIMERCY HEALTH1
MERCY HEALTH OK COMMUNITIES
4300 W MEMORIAL ROADOKLAHOMA CITYOK73120731453048HOLDING COMPANYOK501C311-IIMERCY HEALTH0
MERCY HEALTH SW MOKS COMM
2817 ST JOHNS BLVDJOPLINMO64804300584463HEALTH SYSTEMMO501C311-IIMERCY HEALTH1
MERCY HEALTH SPRINGFIELD COMM
1235 E CHEROKEE STREETSPRINGFIELDMO65804431856028HOLDING COMPANYMO501C311-IIMERCY HEALTH1
MERCY HEALTH SYSTEM TX
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017742764727INACTIVETX501C311-IIMERCY HEALTH1
MERCY HOME HEALTH BERRYVILLE
804 W FREEMAN SUITE 4BERRYVILLEAR72616870781247HOME HEALTH AND HOSPICE OPERATIONS.AR501C311-IIIMERCY HOSPITAL SPRINGFIELD1
MERCY HOSPITAL ADA INC
430 N MONTE VISTA STREETADAOK74820462288155HOSPITALOK501C33MERCY HEALTH OK COMMUNITIES1
MERCY HOSPITAL ARDMORE
1011 14TH AVENUE NWARDMOREOK73401731500629HOSPITALOK501C33MERCY HEALTH OK COMMUNITIES1
MERCY HOSPITAL AURORA
500 PORTER AVENUEAURORAMO65605431936696OPERATING CO FOR LEASED HOSPMO501C33MERCY HEALTH SPRINGFIELD COMM1
MERCY HOSPITAL BERRYVILLE
214 CARTER STREETBERRYVILLEAR72616710759299HOSPITALAR501C33MERCY HEALTH SPRINGFIELD COMM1
MERCY HOSPITAL CARTHAGE
3125 DR RUSSELL SMITH WAYCARTHAGEMO64836453808607HOSPITALMO501C33MERCY HEALTH SW MOKS COMM1
MERCY HOSPITAL CASSVILLE
94 MAIN STREETCASSVILLEMO65625431936699OPERATING CO FOR LEASED HOSPMO501C33MERCY HEALTH SPRINGFIELD COMM1
MERCY HOSPITAL COLUMBUS
220 PENNSYLVANIA AVENUECOLUMBUSKS66725270842031CRITICAL ACCESS HOSPITALMO501C39MERCY HEALTH SW MOKS COMM1
MERCY HOSPITAL EL RENO
2115 PARKVIEW DRIVEEL RENOOK73036272716065OPERATING CO FOR LEASED HOSPOK501C33MERCY HEALTH OK COMMUNITIES1
MERCY HOSPITAL FORT SMITH
7301 ROGERS AVENUEFORT SMITHAR72917710240352HOSPITALAR501C33MERCY HEALTH FORT SMITH COMM1
MERCY HOSPITAL HEALDTON INC
918 SOUTH 8TH STREETHEALDTONOK73438263173902OPERATING CO FOR HOSPOK501C33MERCY HOSPITAL ARDMORE INC1
MERCY HOSPITAL HOT SPRINGS
300 WERNER STREETHOT SPRINGSAR71913710236913HOSPITALAR501C33MERCY HEALTH HOT SPRINGS COMM1
MERCY HOSPITAL JEFFERSON
1400 HIGHWAY 61 SOUTHFESTUSMO63028430687077HOSPITALMO501C33MERCY HEALTH EAST COMMUNITIES - SR1
MERCY HOSPITAL JOPLIN
2817 ST JOHNS BLVDJOPLINMO64804270814858HOSPITALMO501C39MERCY HEALTH SW MOKS COMM1
MERCY HOSPITAL LEBANON
100 HOSPITAL DRIVELEBANONMO65536431767432HOSPITALMO501C33MERCY HEALTH SPRINGFIELD COMM1
MERCY HOSPITAL LOGAN COUNTY INC
200 SOUTH ACADEMYGUTHRIEOK73044452998842HOSPITALOK501C33MERCY HEALTH OK COMMUNITIES1
MERCY HOSPITAL OF LAREDO
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017741189682INACTIVETX501C33MERCY HEALTH SYSTEM TX1
MERCY HOSPITAL OZARK
801 W RIVER STREETOZARKAR72949710689680HOSPITALAR501C33MERCY HOSPITAL FORT SMITH1
MERCY HOSPITAL PARIS
500 E ACADEMYPARISAR72855710655753HOSPITALAR501C33MERCY HOSPITAL FORT SMITH1
MERCY HOSPITAL ROGERS
2710 RIFE MEDICAL LNROGERSAR72758710294390HOSPITALAR501C33MERCY HEALTH NW ARK COMMUNITIES1
MERCY HOSPITAL SPRINGFIELD
1235 E CHEROKEE STREETSPRINGFIELDMO65804440552485HOSPITALMO501C33MERCY HEALTH SPRINGFIELD COMM1
MERCY HOSPITAL TISHOMINGO
1000 SOUTH BYRDTISHOMINGOOK73460274433830HOSPITALOK501C33MERCY HOSPITAL ARDMORE1
MERCY HOSPITAL WALDRON
1341 W 6TH STREETWALDRONAR72958710557895HOSPITALAR501C33MERCY HOSPITAL FORT SMITH1
MERCY HOSPITAL WATONGA INC
500 CLARENCE NASH BLVDWATONGAOK73772455199762LEASED HOSPITALOK501C33MERCY HEALTH OK COMMUNITIES1
MERCY HOSPITALS EAST COMM
645 MARYVILLE CTR DR STE 100ST LOUISMO63141430653493HOSPITALMO501C33MERCY HEALTH EAST COMMUNITIES1
MERCY KANSAS COMMUNITIES INC
401 WOODLAND HILLS BLVDFT SCOTTKS66701480956045HOSPITAL;RURAL HEALTH CLINICSKS501C33MERCY HEALTH SW MOKS COMM1
MERCY MEDICAL RESEARCH INST
1235 E CHEROKEE STREETSPRINGFIELDMO65804870796305RESEARCH - CLINICAL TRIALSMO501C34MERCY HEALTH SPRINGFIELD COMM1
MERCY MINISTRIES OF LAREDO
2500 ZACATECASLAREDOTX78043200198462HEALTHCARE, OUTREACH,FOOD PANTRYTX501C37MERCY HEALTH1
MERCY ST FRANCIS HOSPITAL
100 W HIGHWAY 60MOUNTAIN VIEWMO65548440607149HOSPITALMO501C33MERCY HEALTH SPRINGFIELD COMM1
MERCY SUPPORT SERVICES
615 S NEW BALLAS ROADST LOUISMO63141431677952INACTIVEMO501C311-IIIMERCY HOSPITALS EAST COMM1
MHM SUPPORT SERVICES
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017202553101CENTRALIZED HEALTH SYSTEM FUNCTIONSMO501C311-IIMERCY HEALTH1
MISSION CLINICAL SERVICES
300 WERNER STREETHOT SPRINGSAR71913134239691PHYSICIAN CLINICSAR501C39MERCY HEALTH HOT SPRINGS COMM1
ST JOHNS CHILDRENS HOSP
1235 E CHEROKEE STREETSPRINGFIELDMO65804INACTIVEMO501C33MERCY HEALTH SPRINGFIELD COMM1
ST MARYS HOSP ENID OK
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017730614655INACTIVEOK501C33MERCY HEALTH OK COMMUNITIES1
THE SR M CORNELIA BLASKO FN
100 W HIGHWAY 60MOUNTAIN VIEWMO65548431873914FOUNDATIONMO501C311-IMERCY ST FRANCIS HOSPITAL1
UNITY AMBULATORY CARE
14528 S OUTER FORTY ST 100CHESTERFIELDMO63017431861745INACTIVEMO501C311-IIIMERCY HEALTH EAST COMMUNITIES1

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

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

Form990 Schedule R Part IV Form990ScheduleRPartIV (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrgShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
MERCY COMM SERVICES INC
401 WOODLAND HILLS BLVDFORT SCOTTKS66701481078101RETAIL PHARMACYKSMERCY KANSAS COMM INCC0
FRONTENAC PROPERTIES INC
14528 S OUTER FORTY SUITE 100CHESTERFIELDMO63017521914421HOLDS ANCILLARY ASSETS & OWNS AIRCRAFTDEMERCY HEALTHC0
INVENO HEALTH INC
1235 E CHEROKEE STREETSPRINGFIELDMO65804264509571TECHNOLOGY TRANSFER COMPANYMOMERCY HEALTH SPRINGFIELD COMMC0
UNITY SUPPORT SERVICES INC
645 MARYVILLE CENTRE DRIVE SUITE 10ST LOUISMO63141431797042INACTIVEMOMERCY HEALTH EAST COMMUNITIESC0
UH L CORP INC
645 MARYVILLE CENTRE DRIVE SUITE 10ST LOUISMO63141742499535HOLDING COMPANYMOMERCY HEALTH SERVICES LLCC0
MHN OF THE SOUTHERN REGION INC
1011 14TH AVENUE NWARDMOREOK73401731580607HOLDING COMPANYOKMERCY MANAGED CARE CORPC0
MERCY HEALTH CENTER CONDOMINIUM INC
4300 W MEMORIAL RDOKLAHOMA CITYOK73120680640970ADMINISTRATOR OF CERTAIN REAL PROPERTY AND IMPROVEMENTSOKMERCY HOSPITAL OKLAHOMA CITYINCC1-4853213063140.88000
MERCY MANAGED CARE CORPORATION
4300 W MEMORIAL ROADOKLAHOMA CITYOK73120731441665HOLDING COMPANYOKMERCY HEALTHC0
MERCY HEALTH NETWORK INC
4300 W MEMORIAL ROADOKLAHOMA CITYOK73120731381689HOLDING COMPANYOKMERCY MANAGED CARE CORPC0
APOTHECARY SERVICES INC
PO BOX 350CRYSTAL CITYMO63019431627267RETAIL PHARMACYMOMERCY HOSPITAL JEFFERSONC0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (20 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
MERCY CLINIC OKLAHOMA COMMUNITIES INC
P111080806FMV
MERCY HEALTH
P348882FMV
MERCY HEALTH FOUNDATION OKLAHOMA
P104801FMV
MERCY HEALTH FOUNDATION OKLAHOMA CITY
P926948FMV
MERCY HEALTH HOT SPRINGS COMMUNITIES
Q320781FMV
MERCY HEALTH NETWORK OF THE SOUTHERN REGION INC
P1442782FMV
MERCY HEALTH NETWORK INC
P1688369FMV
MERCY HEALTH OKLAHOMA COMMUNITIES INC
P16534776FMV
MERCY HOSPITAL ARDMORE
P102694506FMV
MERCY HOSPITAL AURORA
Q52739FMV
MERCY HOSPITAL COLUMBUS
Q148172FMV
MERCY HOSPITAL EL RENO INC
P7649095FMV
MERCY HOSPITAL HEALDTON INC
P4719631FMV
MERCY HOSPITAL LOGAN COUNTY INC
P9618195FMV
MERCY HOSPITAL TISHOMINGO INC
P4780070FMV
MERCY HOSPITAL WATONGA
P4991683FMV
MERCY HOSPITALS EAST COMMUNITIES
P904039FMV
MHM SUPPORT SERVICES
P55666648FMV
RESOURCE OPTIMIZATION & INNOVATION LLC
P11256791FMV
MERCY HEALTH FOUNDATION OKLAHOMA CITY
C441398FMV