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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-14T12:21:03-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 562632458 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLEUS AND COMPANY LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14323 S OUTER FORTY STE 310N | AddressLine1 |
| City | CHESTERFIELD | City |
| State | MO | State |
| ZIP Code | 63017 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 730579285 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY HOSPITAL OKLAHOMA CITY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MERC | NameControl |
| Phone | 4057523495 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4300 WEST MEMORIAL ROAD | AddressLine1 |
| City | OKLAHOMA CITY | City |
| State | OK | State |
| ZIP Code | 73120 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JON VITIELLO | Name |
| Title | CFO | Title |
| Phone | 4057523724 | Phone |
| Date Signed | 2014-05-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DOUGLAS G PLEUS | Name |
| PTIN | P00013488 | PTIN |
| Phone | 3143179916 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DIANA SMALLEY | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4300 WEST MEMORIAL ROAD | AddressLine1 |
| City | OKLAHOMA CITY | City |
| State | OK | State |
| ZIP Code | 73120 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 393118598 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MERCY.NET/OKLAHOMACITYOK | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1992 | YearFormation |
| State Legal Domicile | OK | StateLegalDomicile |
| Activity Or Mission Description | TO CARRY OUT THE HEALING MINISTRY OF JESUS BY PROMOTING HEALTH AND WELLNESS THROUGH OUR COMMUNITIES, TO PROVIDE QUALITY HEALTH SERVICES THROUGH A WISE USE OF RESOURCES AND EXCEPTIONAL MERCY SERVICE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 3115 | TotalNbrEmployees |
| Total Nbr Volunteers | 268 | TotalNbrVolunteers |
| Total Gross UBI | 8937871 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 798547 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 441398 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 360385259 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 384717656 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1016030 | InvestmentIncomePriorYear |
| Investment Income Current Year | 6910124 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 15955383 | OtherRevenuePriorYear |
| Other Revenue Current Year | -235247 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 378155219 | TotalRevenuePriorYear |
| Total Revenue Current Year | 391833931 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 793934 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1303609 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 132772633 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 130329435 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 201927923 | OtherExpensePriorYear |
| Other Expenses Current Year | 208376577 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 335494490 | TotalExpensesPriorYear |
| Total Expenses Current Year | 340009621 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 42660729 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 51824310 | RevenuesLessExpensesCY |
| Total Assets BOY | 250242995 | TotalAssetsBOY |
| Total Assets EOY | 298420029 | TotalAssetsEOY |
| Total Liabilities BOY | 23456883 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 26743738 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 226786112 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 271676291 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | MERCY 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 Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 246233838 | Expense |
| Grants | 1303609 | Grants |
| Revenue | 370013843 | Revenue |
| Description | MERCY 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 Expense | 246233838 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 3115 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | OK | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PATRICIA ROBERTSON | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4057523495 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4300 WEST MEMORIAL ROAD | AddressLine1 |
| City | OKLAHOMA CITY | City |
| State | OK | State |
| ZIP Code | 73120 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (35 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|---|
| EVEREST TRICIA | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | X | 0 | 0 | 0 | ||||
| GRANT RSM SR BARBARA | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | X | 0 | 0 | 0 | ||||
| HARKESS MD JOHN | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | X | 0 | 0 | 0 | ||||
| HARTSUCK MD JAMES | ||||||||||
| BOARD MEMBER | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| HENDRICKS RSM SR REBECCA ANN | ||||||||||
| BOARD MEMBER | 1.00 | 12.00 | X | 0 | 0 | 0 | ||||
| HIEKE MD KENNETH | ||||||||||
| BOARD MEMBER | 1.00 | 59.00 | X | 0 | 411231 | 5899 | ||||
| KOELSCH RSM SR CABRINI | ||||||||||
| BOARD MEMBER | 1.00 | 40.00 | X | 0 | 0 | 0 | ||||
| LEONARD RYAN | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | X | 0 | 0 | 0 | ||||
| NELSON GARY | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | X | 0 | 0 | 0 | ||||
| O'NEAL MIKE E | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | X | 0 | 0 | 0 | ||||
| RAHHAL MD DONALD K | ||||||||||
| BOARD MEMBER | 16.00 | 34.00 | X | 0 | 377216 | 18736 | ||||
| SALMERON EDD LOIS | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | X | 0 | 0 | 0 | ||||
| SCOTT MD BROOK D | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | X | 0 | 0 | 0 | ||||
| WARD RSM SR CLAUDIA | ||||||||||
| BOARD MEMBER | 1.00 | 40.00 | X | 0 | 0 | 0 | ||||
| SMALLEY DIANA L | ||||||||||
| CHIEF EXECUTIVE OFFICER | 10.00 | 50.00 | X | 0 | 671252 | 200438 | X | |||
| GEBHART JIM R | ||||||||||
| PRESIDENT, MERCY HEALTH CENTER | 55.00 | 5.00 | 0 | 475761 | 68518 | X | ||||
| VITIELLO JONATHAN | ||||||||||
| CHIEF FINANCIAL OFFICER | 12.00 | 48.00 | 0 | 493118 | 64006 | X | ||||
| EDELSTEIN THOMAS | ||||||||||
| VP-MISSION & ETHICS | 38.00 | 12.00 | 175371 | 0 | 31403 | X | ||||
| FANNING LINDA T | ||||||||||
| CHIEF NURSING OFFICER | 50.00 | 1.00 | 235462 | 0 | 24135 | X | ||||
| JOHNSON MARK C | ||||||||||
| CHIEF MEDICAL OFFICER | 50.00 | 2.00 | 421376 | 0 | 53001 | X | ||||
| LE BICH-VI | ||||||||||
| REGIONAL VP-GENERAL COUNSEL | 5.00 | 55.00 | 0 | 240502 | 36699 | X | ||||
| PAYTON BECKY J | ||||||||||
| VP-HUMAN RESOURCES | 5.00 | 55.00 | 0 | 294127 | 40333 | X | ||||
| ROBERTSON PATRICIA | ||||||||||
| VP-FINANCE | 45.00 | 15.00 | 219318 | 0 | 4554 | X | ||||
| STEFFENS AARON L | ||||||||||
| CHIEF OPERATING OFFICER | 40.00 | 10.00 | 248707 | 0 | 20895 | X | ||||
| BAUMEISTER JERRY | ||||||||||
| VP-OPERATIONS | 40.00 | 0.00 | 220576 | 0 | 36349 | X | ||||
| MADISON KEITH | ||||||||||
| DIRECTOR-PHARMACY SERVICES | 20.00 | 20.00 | 164016 | 0 | 13739 | X | ||||
| CARMICHAEL CINDY | ||||||||||
| VP-RURAL DEVELOPMENT | 5.00 | 55.00 | 241487 | 0 | 13233 | X | ||||
| ENLOE TRACY | ||||||||||
| VP-FINANCIAL OPERATIONS | 22.00 | 18.00 | 273623 | 6633 | 18497 | X | ||||
| GARBER MARY | ||||||||||
| VP-FINANCE (ADA) | 5.00 | 55.00 | 173255 | 0 | 4886 | X | ||||
| HAHNE CHRISTOPHER | ||||||||||
| EXECUTIVE DIRECTOR-FINANCE | 10.00 | 50.00 | 168804 | 0 | 15070 | X | ||||
| ROGERS WILLIAM KENT | ||||||||||
| CHIEF EXECUTIVE OFFICER, RURAL HOSPITAL | 10.00 | 50.00 | 274864 | 0 | 21502 | X | ||||
| JOHNSTON JEFFREY A | ||||||||||
| FORMER OFFICER | 0.00 | 60.00 | 0 | 652475 | 186039 | X | ||||
| AKINS JULIA | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 60.00 | 0 | 457487 | 35333 | X | ||||
| DIXSON JAMES D | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 60.00 | 0 | 595783 | 76546 | X | ||||
| FJONE LOREN | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 60.00 | 0 | 247503 | 24035 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2816859 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 4923088 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1013846 | TotalOtherCompensation |
| Number Individuals GT100 K | 69 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| JE DUNN CONSTRUCTION | |||||
| 929 HOLMES | KANSAS CITY | MO | 64106 | CONSTRUCTION | 1906825 |
| GK FINANCING | |||||
| 4 EMBARDCADERO CTR STE 3700 | SAN FRANCISCO | CA | 94111 | MEDICAL SERVICES | 1285682 |
| AFFILIATED ANESTHESIOLOGISTS | |||||
| 4200 W MEMORIAL RD STE 703 | OKLAHOMA CITY | OK | 73120 | MEDICAL SERVICES | 1207460 |
| LAB CORP OF AMERICA HOLDINGS | |||||
| PO BOX 12140 | BURLINGTON | NC | 27216 | LAB SERVICES | 969690 |
| LINEN KING | |||||
| 1521 W 36TH PLACE | TULSA | OK | 74107 | LINEN SERVICES | 861634 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 45 | NumberOfContractorsGT100K |
| Related Organizations | 441398 | RelatedOrganizations |
| Total Contributions | 441398 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT SERVICE REVENUE NET | 622110 | 371926962 | 371926962 | |
| MDT LABORATORY SVC | 621500 | 6510285 | 6510285 | |
| PHARMACY | 446110 | 6280409 | 4660710 | 1619699 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 384717656 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -89876 | TotalRevenueColumn |
| Exclusion | -$89,876 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 5055546 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1284667 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 3770879 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3770879 | TotalRevenueColumn |
| Exclusion | $3,770,879 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 7000000 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 7000000 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7000000 | TotalRevenueColumn |
| Exclusion | $7,000,000 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | CAFETERIA & VENDING | Description |
| Business Code | 722210 | BusinessCode |
| Total Revenue Column | 1759816 | TotalRevenueColumn |
| Exclusion | $1,759,816 | ExclusionAmount |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -5765942 | TotalRevenueColumn |
| Related Or Exempt Function Income | -6573829 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 807887 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | -4006126 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 391833931 | TotalRevenueColumn |
| Related Or Exempt Function Income | 370013843 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 8937871 | UnrelatedBusinessRevenue |
| Exclusion | $12,440,819 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1180109 | Total |
| Program Services | 1180109 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 123500 | Total |
| Program Services | 123500 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1513039 | Total |
| Management And General | 1513039 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 243139 | Total |
| Management And General | 243139 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 102793025 | Total |
| Program Services | 89864261 | ProgramServices |
| Management And General | 12928764 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4571299 | Total |
| Program Services | 3996275 | ProgramServices |
| Management And General | 575024 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13582362 | Total |
| Program Services | 11520501 | ProgramServices |
| Management And General | 2061861 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7626571 | Total |
| Program Services | 6445215 | ProgramServices |
| Management And General | 1181356 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -7923 | Total |
| Program Services | 8875 | ProgramServices |
| Management And General | -16798 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3113 | Total |
| Management And General | 3113 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12749342 | Total |
| Program Services | 10600875 | ProgramServices |
| Management And General | 2148467 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 112223 | Total |
| Program Services | 93312 | ProgramServices |
| Management And General | 18911 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8017234 | Total |
| Program Services | 6666203 | ProgramServices |
| Management And General | 1351031 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22066 | Total |
| Program Services | 20677 | ProgramServices |
| Management And General | 1389 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5438114 | Total |
| Program Services | 4521705 | ProgramServices |
| Management And General | 916409 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 511010 | Total |
| Program Services | 334605 | ProgramServices |
| Management And General | 176405 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 128 | Total |
| Program Services | 128 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13962350 | Total |
| Program Services | 7496349 | ProgramServices |
| Management And General | 6466001 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1529428 | Total |
| Program Services | 10026 | ProgramServices |
| Management And General | 1519402 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| DRUGS & MEDICAL EXPENSE | 88903348 | 73921720 | 14981628 |
| SHARED SERVICE FEES | 46044693 | 154155 | 45890538 |
| BAD DEBTS | 20314403 | 20314403 | 0 |
| REPAIRS & MAINTENANCE | 6109181 | 5079687 | 1029494 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4667867 | Total |
| Program Services | 3881257 | ProgramServices |
| Management And General | 786610 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 340009621 | Total |
| Program Services | 246233838 | ProgramServices |
| Management And General | 93775783 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47340700 | BOY |
| EOY | 71246821 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -49869 | BOY |
| EOY | -43565 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47573689 | BOY |
| EOY | 54701785 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5998425 | BOY |
| EOY | 7246827 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 290133 | BOY |
| EOY | 554372 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 360658501 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 252130046 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 103386636 | BOY |
| EOY | 108528455 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2005080 | BOY |
| EOY | 8045923 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43698201 | BOY |
| EOY | 48139411 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 250242995 | BOY |
| EOY | 298420029 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21842448 | BOY |
| EOY | 22769340 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 30249 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 2244956 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1614435 | BOY |
| EOY | 1699193 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23456883 | BOY |
| EOY | 26743738 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 226786112 | BOY |
| EOY | 271676291 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 226786112 | BOY |
| EOY | 271676291 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 250242995 | BOY |
| EOY | 298420029 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 51824310 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -6934131 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 1 | GrantsOtherOrganizations |
| Grants Other Organizations | $19,297 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 19297 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | THE FILING ORGANIZATION IS A MEMBER OF AND PAYS DUES TO THE OKLAHOMA HOSPITAL ASSOCIATION, CATHOLIC HOSPITAL ASSOCIATION, AND AMERICAN HOSPITAL ASSOCIATION. FOR THE YEAR ENDED JUNE 30, 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 1602629 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 11170270 | OtherCostOrOtherBasis |
| Book Value | 12772899 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 92361640 | OtherCostOrOtherBasis |
| Depreciation | 50647452 | Depreciation |
| Book Value | 41714188 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2182752 | OtherCostOrOtherBasis |
| Depreciation | 641050 | Depreciation |
| Book Value | 1541702 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 237941816 | OtherCostOrOtherBasis |
| Depreciation | 196156937 | Depreciation |
| Book Value | 41784879 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 15399394 | OtherCostOrOtherBasis |
| Depreciation | 4684607 | Depreciation |
| Book Value | 10714787 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 108528455 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| OTHER ASSETS | 5474968 |
| DUE FROM TAX EXEMPT AFFILIATES | 42664443 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 48139411 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER LIABILITIES | Description |
| Amount | $1,699,193 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1699193 | TotalOfAmounts |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF MERCY HEALTH AND AFFILIATES DO NOT INCLUDE A FOOTNOTE TO REPORT THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX PROVISIONS UNDER ASC 740, AS THEY ARE DEEMED IMMATERIAL FOR DISCLOSURE. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10821334 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 10821334 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03380 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 37710181 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 26249209 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11460972 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03580 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 48531515 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 26249209 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 22282306 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06960 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1821003 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1821003 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00570 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 489043 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 489043 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00150 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 642317 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 642317 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00200 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 261335 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 261335 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3213698 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3213698 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01000 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 51745213 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 26249209 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 25496004 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07960 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 240506 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 240506 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 53804 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 53804 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1760 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1760 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 489304 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 489304 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00150 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 411738 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 411738 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00130 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1197112 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1197112 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00380 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $6,654,176 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 98313816 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 106259813 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -7945997 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY HOSPITAL OKLAHOMA CITY | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4300 WEST MEMORIAL ROAD | AddressLine1 |
| City | OKLAHOMA CITY | City |
| State | OK | State |
| ZIP Code | 73120 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.MERCY.NET/OKLAHOMACITYOK | WebsiteAddress |
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY HOSPITAL OKLAHOMA CITY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 0 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 1 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 100.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 400.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 12 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (12 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| MHOKC - OUTPATIENT PHYSICAL THERAPY | ||||
| 4401 W MEMORIAL ROAD | OKLAHOMA CITY | OK | 73120 | SPORTS & PHYSICAL THERAPY |
| MHOKC - OUTPATIENT RADIATION ONCOLOGY | ||||
| 4205 MCAULEY BLVD LOWER LEVEL | OKLAHOMA CITY | OK | 73120 | OUTPATIENT RADIATION SERICES |
| MHOKC - WOMEN'S CENTER | ||||
| 4300 MCAULEY BLVD | OKLAHOMA CITY | OK | 73120 | WOMEN'S CENTER, IMAGING, ETC |
| SPINE CENTER OUTPATIENT REHAB | ||||
| 13301 N MERIDIAN AVE STE 704 | OKLAHOMA CITY | OK | 73120 | SPINE CENTER SERVICES & REHAB |
| EDMOND OUTPATIENT REHAB | ||||
| 1919 N EASTERN AVE | EDMOND | OK | 73013 | OUTPATIENT RAHAB SERVICES |
| MHOKC - SLEEP DISORDER CENTER | ||||
| 4345 W MEMORIAL ROAD | OKLAHOMA CITY | OK | 73120 | SLEEP DISORDER SERVICES |
| THE OKLAHOMA CITY ASC LLC (AMSURG) | ||||
| 13313 N MERIDIAN BUILDING B | OKLAHOMA CITY | OK | 73120 | ENDOSCOPY SERVICES |
| MHOKC - WOUND CARE CENTER | ||||
| 4140 WEST MEMORIAL RD SUITE 107 | OKLAHOMA CITY | OK | 73120 | WOUND CARE CENTER |
| MHOKC - OUTPATIENT IMAGING | ||||
| 1705 RENAISSANCE BLVD 135 | EDMOND | OK | 73013 | IMAGING CENTER, MRI, CT, ULTRASOUND |
| CANADIAN COUNTY OUTPATIENT REHAB | ||||
| 520 S MUSTANG RD | YUKON | OK | 73099 | SPORTS & PHYSICAL THERAPY & REHAB |
| NEUROSCIENCE INSTITUTE SERVICES ORGLLC | ||||
| 4120 W MEMORIAL ROAD | OKLAHOMA CITY | OK | 73120 | MANAGED CARE SERVICES |
| MHOKC - CANADIAN COUNTY IMAGING CENTER | ||||
| 520 S MUSTANG RD | YUKON | OK | 73099 | CT & ULTRASOUND SERVICES |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| ExplanationExplanation | IdentifierIdentifier | Return 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (9 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| CATHOLIC CHARITIES | |||||||
| 1501 N CLASSEN BLVD | OKLAHOMA CITY | OK | 73106 | 730636561 | 501(C)(3) | 6000 | GENERAL SUPPORT |
| EDMOND AREA CHAMBER OF COMMERCE | |||||||
| 825 E 2ND ST SUITE 100 | EDMOND | OK | 73034 | 730544087 | 501(C)(6) | 13750 | ECONOMIC DEVELOPMENT |
| MARCH OF DIMES | |||||||
| 5100 BROOKLINE STE 270 | OKLAHOMA CITY | OK | 73102 | 131846366 | 501(C)(3) | 46000 | NICU FAMILY SUPPORT |
| GREATER OKLAHOMA CITY CHAMBER OF COMMERCE | |||||||
| 123 PARK AVE | OKLAHOMA CITY | OK | 73102 | 730381180 | 501(C)(6) | 35900 | EDUCATIONAL ENDOWMENT |
| UNITED WAY OF CENTRAL OKLAHOMA | |||||||
| PO BOX 837 | OKLAHOMA CITY | OK | 73105 | 730589829 | 501(C)(3) | 25500 | COMMUNITY CAMPAIGN |
| OKLAHOMA ACADEMY OF FAMILY PHYSICIANS | |||||||
| 1900 NW EXPRESSWAY SUITE 501 | OKLAHOMA CITY | OK | 73112 | 730612930 | 501(C)(6) | 5000 | GENERAL SUPPORTCHARITABLE DONATION |
| OKLAHOMA HOSP EDUCATION RSCH FDTN TRUST | |||||||
| 4000 LINCOLN BOULEVARD | OKLAHOMA CITY | OK | 73105 | 736111625 | 501(C)(3) | 13000 | RESEARCH |
| OKLAHOMA CITY UNIVERSITY | |||||||
| 2501 N BLACKWELDER | OKLAHOMA CITY | OK | 73106 | 730579265 | 501(C)(3) | 10000 | GENERAL SUPPORT |
| OKLAHOMA SPEAKERS BALANCE | |||||||
| PO BOX 720308 | OKLAHOMA CITY | OK | 73172 | 202018083 | 501(C)(3) | 10000 | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 6 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 3 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | TUITION SCHOLARSHIPS | TypeOfGrant |
| Number Of Recipients | 43 | NumberOfRecipients |
| Amount Of Cash Grant | 123500 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | X | FirstClassOrCharterTravel |
| Travel For Companions | X | TravelForCompanions |
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Housing Allowance Or Residence | X | HousingAllowanceOrResidence |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (23 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HIEKE MD KENNETH | ||||||||||||||
| BOARD MEMBER | 0 | 380716 | 0 | 0 | 0 | 30515 | 0 | 0 | 0 | 5899 | 0 | 417130 | 0 | 0 |
| RAHHAL MD DONALD K | ||||||||||||||
| BOARD MEMBER | 0 | 345156 | 0 | 0 | 0 | 32060 | 0 | 6218 | 0 | 12518 | 0 | 395952 | 0 | 0 |
| SMALLEY DIANA L | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | 0 | 459480 | 0 | 202287 | 0 | 9485 | 0 | 182822 | 0 | 17616 | 0 | 871690 | 0 | 0 |
| GEBHART JIM R | ||||||||||||||
| PRESIDENT, MERCY HEALTH CENTER | 0 | 312193 | 0 | 145456 | 0 | 18112 | 0 | 52209 | 0 | 16309 | 0 | 544279 | 0 | 0 |
| VITIELLO JONATHAN | ||||||||||||||
| CHIEF FINANCIAL OFFICER | 0 | 294647 | 0 | 102118 | 0 | 96353 | 0 | 47736 | 0 | 16270 | 0 | 557124 | 0 | 0 |
| EDELSTEIN THOMAS | ||||||||||||||
| VP-MISSION & ETHICS | 126921 | 0 | 34152 | 0 | 14298 | 0 | 16618 | 0 | 14785 | 0 | 206774 | 0 | 0 | 0 |
| FANNING LINDA T | ||||||||||||||
| CHIEF NURSING OFFICER | 159503 | 0 | 43150 | 0 | 32809 | 0 | 22475 | 0 | 1660 | 0 | 259597 | 0 | 0 | 0 |
| JOHNSON MARK C | ||||||||||||||
| CHIEF MEDICAL OFFICER | 333522 | 0 | 80462 | 0 | 7392 | 0 | 45223 | 0 | 7778 | 0 | 474377 | 0 | 0 | 0 |
| LE BICH-VI | ||||||||||||||
| REGIONAL VP-GENERAL COUNSEL | 0 | 136596 | 0 | 57951 | 0 | 45955 | 0 | 21562 | 0 | 15137 | 0 | 277201 | 0 | 0 |
| PAYTON BECKY J | ||||||||||||||
| VP-HUMAN RESOURCES | 0 | 195331 | 0 | 71727 | 0 | 27069 | 0 | 28314 | 0 | 12019 | 0 | 334460 | 0 | 0 |
| ROBERTSON PATRICIA | ||||||||||||||
| VP-FINANCE | 149588 | 0 | 40969 | 0 | 28761 | 0 | 3444 | 0 | 1110 | 0 | 223872 | 0 | 0 | 0 |
| STEFFENS AARON L | ||||||||||||||
| CHIEF OPERATING OFFICER | 181053 | 0 | 61469 | 0 | 6185 | 0 | 5699 | 0 | 15196 | 0 | 269602 | 0 | 0 | 0 |
| BAUMEISTER JERRY | ||||||||||||||
| VP-OPERATIONS | 124344 | 0 | 40182 | 0 | 56050 | 0 | 29889 | 0 | 6460 | 0 | 256925 | 0 | 0 | 0 |
| MADISON KEITH | ||||||||||||||
| DIRECTOR-PHARMACY SERVICES | 126616 | 0 | 12228 | 0 | 25172 | 0 | 7409 | 0 | 6330 | 0 | 177755 | 0 | 0 | 0 |
| CARMICHAEL CINDY | ||||||||||||||
| VP-RURAL DEVELOPMENT | 167114 | 0 | 46394 | 0 | 27979 | 0 | 6523 | 0 | 6710 | 0 | 254720 | 0 | 0 | 0 |
| ENLOE TRACY | ||||||||||||||
| VP-FINANCIAL OPERATIONS | 148247 | 5985 | 39646 | 0 | 85730 | 648 | 6892 | 0 | 11122 | 483 | 291637 | 7116 | 0 | 0 |
| GARBER MARY | ||||||||||||||
| VP-FINANCE (ADA) | 121895 | 0 | 32245 | 0 | 19115 | 0 | 3661 | 0 | 1225 | 0 | 178141 | 0 | 0 | 0 |
| HAHNE CHRISTOPHER | ||||||||||||||
| EXECUTIVE DIRECTOR-FINANCE | 127340 | 0 | 21624 | 0 | 19840 | 0 | 777 | 0 | 14293 | 0 | 183874 | 0 | 0 | 0 |
| ROGERS WILLIAM KENT | ||||||||||||||
| CHIEF EXECUTIVE OFFICER, RURAL HOSPI | 198622 | 0 | 53814 | 0 | 22428 | 0 | 5982 | 0 | 15520 | 0 | 296366 | 0 | 0 | 0 |
| JOHNSTON JEFFREY A | ||||||||||||||
| FORMER OFFICER | 0 | 410525 | 0 | 190493 | 0 | 51457 | 0 | 168505 | 0 | 17534 | 0 | 838514 | 0 | 0 |
| AKINS JULIA | ||||||||||||||
| FORMER KEY EMPLOYEE | 0 | 228393 | 0 | 136922 | 0 | 92172 | 0 | 22879 | 0 | 12454 | 0 | 492820 | 0 | 0 |
| DIXSON JAMES D | ||||||||||||||
| FORMER KEY EMPLOYEE | 0 | 432621 | 0 | 115069 | 0 | 48093 | 0 | 64027 | 0 | 12519 | 0 | 672329 | 0 | 0 |
| FJONE LOREN | ||||||||||||||
| FORMER KEY EMPLOYEE | 0 | 179600 | 0 | 39682 | 0 | 28221 | 0 | 17451 | 0 | 6584 | 0 | 271538 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART I, LINE 1A | CHARTER TRAVEL IS PROVIDED TO CERTAIN EMPLOYEES AS AND WHEN APPROPRIATE, AND AS DEEMED NECESSARY FOR BUSINESS TRAVEL. AFTER CHARTER TRAVEL APPROVAL HAS BEEN GRANTED IN ACCORDANCE WITH THE FINANCIAL JUSTIFICATION PROCESS, THE APPROVED CHARTER TRAVEL FOR BUSINESS IS A REIMBURSABLE EXPENSE WHICH IS NOT TAXABLE TO THE EMPLOYEES. TRAVEL FOR COMPANIONS IS PROVIDED IN RARE INSTANCES AND IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. WHERE COMPANION TRAVEL HAS RESULTED IN A TAXABLE EVENT, THE EMPLOYEES ARE TAXED FOR SUCH TRAVEL. SPOUSAL TRAVEL WAS PROVIDED FOR 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 4B | SCHEDULE J, PART I, QUESTION 4B MERCY HEALTH, THE PARENT COMPANY, OFFERS SUPPLEMENTAL RETIREMENT PLANS TO CERTAIN EXECUTIVES WHICH PROVIDE BENEFITS UPON RETIREMENT BASED ON COMPENSATION, AGE AT THE TIME OF BENEFIT COMMENCEMENT, LENGTH OF SERVICE WITH THE COMPANY AND/OR ITS AFFILIATES, AND LENGTH OF TENURE IN THE PLAN. THE INDIVIDUALS REPORTABLE ON THIS RETURN WHO PARTICIPATE IN THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS INCLUDE: DIANA SMALLEY; JEFFREY JOHNSTON; 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 7 | THE 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 III | PART I, LINE 3: THE FILING ORGANIZATION RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTION 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS. | SUPPLEMENTAL INFORMATION |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| OKLAHOMA HEART HOSPITAL LLC | |||
| SEE SCHEDULE O | 210800 | INDEPENDENT CONTRACTOR | 0 |
| MARY GARBER | |||
| FAMILY MEMBER OF BECKY PAYTON, KEY EMPLOYEE | 183322 | EMPLOYMENT ARRANGEMENT | 0 |
| SARASUE HIEKE | |||
| FAMILY MEMBER OF KENNETH HIEKE, BOARD MEMBER | 59817 | EMPLOYMENT ARRANGEMENT | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (14 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | MERCY HOSPITAL OKLAHOMA CITY HAS A SOLE CORPORATE MEMBER, MERCY HEALTH OKLAHOMA COMMUNITIES. | |
| FORM 990, PART VI, SECTION A, LINE 7A | MERCY HEALTH OKLAHOMA COMMUNITIES MAY APPOINT AND REMOVE MEMBERS OF THE BOARD. | |
| FORM 990, PART VI, SECTION A, LINE 7B | THE 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 11 | THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM, USING INFORMATION PROVIDED BY THE FILING ORGANIZATION. A DRAFT FORM 990 IS REVIEWED BY THE FILING ORGANIZATION'S FINANCE TEAM. THE DRAFT FORM 990 IS ALSO REVIEWED BY THE MERCY HEALTH TAX DEPARTMENT, TO ENSURE ACCURACY AND CONSISTENCY WITH OTHER RELATED ORGANIZATIONS' FORM 990S. AFTER QUESTIONS ARISING FROM THE VARIOUS REVIEWS ARE ADDRESSED AND INCORPORATED INTO THE FORM 990, A REVISED DRAFT IS PROVIDED TO THE FILING ORGANIZATION'S LEADERSHIP TEAM FOR REVIEW. ONCE REVIEWED AND APPROVED BY THE FILING ORGANIZATION'S LEADERSHIP TEAM, THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW; IT IS THEN SIGNED AND FILED WITH THE IRS. | |
| FORM 990, PART VI, SECTION B, LINE 12C | OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER DISQUALIFIED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY AND DID SO IN THE NORMAL COURSE FOR THE YEAR ENDED JUNE 30, 2013. THIS PROCESS IS ADMINISTERED AT THE MERCY HEALTH LEVEL BY MERCY'S BUSINESS RISK (INTERNAL AUDIT) DEPARTMENT. THE QUESTIONNAIRES ARE REVIEWED WITH LEADERSHIP AT THE LOCAL LEVEL AND POTENTIAL CONFLICTS DISCUSSED AND RESOLVED. THE CONFLICTS AND THEIR RESPECTIVE RESOLUTIONS ARE SHARED AT THE MERCY LEVEL WITH A TEAM INCLUDING MERCY'S CHIEF FINANCIAL OFFICER, CHIEF COMPLIANCE OFFICER AND OTHER MEMBERS OF FINANCE, LEGAL AND HR. SUMMARY RESULTS ARE REVIEWED WITH MERCY'S STEWARDSHIP COMMITTEE (FORMERLY FINANCE, AUDIT AND COMPLIANCE COMMITTEE) OF THE BOARD OF DIRECTORS. | |
| FORM 990, PART VI, SECTION B, LINE 15A | FOR THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS), THE ORGANIZATION USES THE FOLLOWING TO ESTABLISH COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT, AND REVIEW/APPROVAL OF COMPENSATION BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF 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 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE FROM TIME TO TIME BUT ARE NOT PUBLISHED PUBLICLY. | |
| FORM 990, PART XI, LINE 9: | 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 2 | THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN THE MERCY HEALTH AND SUBSIDIARIES ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 2013 (THE TAX YEAR CURRENTLY BEING REPORTED). HOWEVER, NO SEPARATE AUDIT OPINION IS ISSUED ON THE FINANCIAL STATEMENTS OF THE FILING ORGANIZATION. THE ULTIMATE RESPONSIBILITY FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE EXTERNAL AUDITOR LIES WITH THE STEWARDSHIP COMMITTEE (FORMERLY FINANCE, AUDIT, AND COMPLIANCE COMMITTEE) OF THE MERCY HEALTH BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE. | AUDITED FINANCIAL STATEMENTS |
| PART XII, LINE 3 | THE CONSOLIDATED GROUP OF MERCY HEALTH IS REQUIRED TO UNDERGO AN AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133. THE SINGLE AUDIT WAS CONDUCTED ON A CONSOLIDATED BASIS. | SINGLE AUDIT ACT AND OMB CIRCULAR A-133 |
| FORM 990, PART V, QUESTION 1A | INDEPENDENT CONTRACTORS FOR THE FILING ORGANIZATION ARE PAID BY MERCY HEALTH (EIN 43-1423050). AS SUCH, ALL REQUIRED FORM 1099 AND FORM 1096 REPORTING IS MADE FOR THE ENTIRE HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN. | |
| FORM 990, SCHEDULE R, PART II | MERCY HOSPITALS EAST COMMUNITIES CONSISTS OF MERCY HOSPITALS EAST COMMUNITIES ST. LOUIS, EIN 43-0653493, AND MERCY HOSPITALS EAST COMMUNITIES WASHINGTON, EIN 43-1066883. | MERCY HOSPITALS EAST COMMUNITIES |
| FORM 990, SCHEDULE R, PART V | LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY HEALTH AND SUBSIDIARIES. THE MAJORITY OF THE INTERCOMPANY/RELATED ORGANIZATION TRANSACTIONS ARE PROCESSED THROUGH LAWSON VIA INTERCOMPANY JOURNAL ENTRIES. WITH THE CURRENT DESIGN OF THE ERP SYSTEM, THERE ARE VARIOUS LIMITATIONS ON THE RELATED ORGANIZATION INFORMATION THAT CAN BE EXTRACTED FROM LAWSON. DUE TO THESE LIMITATIONS, MOST OF THE RELATED ORGANIZATION ACTIVITY FOR THE FILING ORGANIZATION HAS BEEN CLASSIFIED ON SCHEDULE R, PART V, IN LINES P AND Q. | SYSTEM LIMITATIONS |
| FORM 990, SCHEDULE L, PART IV | DIANA SMALLEY, BOARD MEMBER, AND MARK JOHNSON, OFFICERS OF THE ORGANIZATION, ARE ALL BOARD MEMBERS OF OKLAHOMA HEART HOSPITAL, LLC | RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEUROSCIENCE INSTITUTE SERVICES ORGANIZATION LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4300 W MEMORIAL ROAD | AddressLine1 |
| City | OKLAHOMA CITY | City |
| State | OK | State |
| ZIP Code | 73120 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 300487934 | EIN |
| Primary Activities | MGD CARE SERVICES | PrimaryActivities |
| Legal Domicile State | OK | LegalDomicileState |
| Total Income | 0 | TotalIncome |
| EOY Assets | 3688876 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY HOSPITAL OKLAHOMA CITY | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (71 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CASA DE MISERICORDIA | |||||||||||
| 1602 MCCLELLAND STREET | LAREDO | TX | 78044 | 742912461 | WOMEN'S DOMESTIC VIOLENCE SHELTER | TX | 501C3 | 7 | MERCY MINISTRIES OF LAREDO | 1 | |
| JEFFERSON LAND COMPANY INC | |||||||||||
| 14528 S OUTER FORTY ST 100 | CHESTERFIELD | MO | 63017 | 431330360 | TITLE HOLDING COMPANY | MO | 501C2 | MERCY HOSPITAL JEFFERSON | 1 | ||
| LAREDO MEDICAL GROUP | |||||||||||
| 14528 S OUTER FORTY ST 100 | CHESTERFIELD | MO | 63017 | 742764726 | INACTIVE | TX | 501C3 | 9 | MERCY HEALTH SYSTEM TX | 1 | |
| MCAULEY PORTFOLIO MGMT CO | |||||||||||
| 14528 S OUTER FORTY ST 100 | CHESTERFIELD | MO | 63017 | 261708048 | PORTFOLIO MANAGEMENT | MO | 501C3 | 11-II | MERCY HEALTH | 1 | |
| MERCY CLINIC EAST COMMUNITIES | |||||||||||
| 645 MARYVILLE CTR DR STE 100 | ST LOUIS | MO | 63141 | 431771217 | PHYSICIAN GROUP | MO | 501C3 | 9 | MERCY HEALTH EAST COMMUNITIES | 1 | |
| MERCY CLINIC FORT SMITH COMM | |||||||||||
| 7301 ROGERS AVENUE | FORT SMITH | AR | 72917 | 261318597 | PHYSICIAN CLINIC | AR | 501C3 | 9 | MERCY HEALTH FORT SMITH COMM | 1 | |
| MERCY CLINIC HOT SPRINGS COMM | |||||||||||
| 1 MERCY LANE | HOT SPRINGS | AR | 71913 | 261125131 | PHYSICIAN CLINIC | AR | 501C3 | 9 | MERCY HEALTH HOT SPRINGS COMM | 1 | |
| MERCY CLINIC OKLAHOMA COMM | |||||||||||
| 4300 W MEMORIAL ROAD | OKLAHOMA CITY | OK | 73120 | 270473057 | PHYSICIAN GROUP/CLINIC | OK | 501C3 | 9 | MERCY HEALTH OK COMMUNITIES | 1 | |
| MERCY CLINIC SPRINGFIELD COMM | |||||||||||
| 1965 FREMONT STREET SUITE 2950 | SPRINGFIELD | MO | 65804 | 431560263 | PHYSICIAN GROUP | MO | 501C3 | 3 | MERCY HEALTH SPRINGFIELD COMM | 1 | |
| MERCY FAMILY CENTER | |||||||||||
| 14528 S OUTER FORTY ST 100 | CHESTERFIELD | MO | 63017 | 721069468 | FAMILY COUNSELING SERVICES | MO | 501C3 | 7 | MERCY HEALTH | 1 | |
| MERCY FDTN HEALTH INNOV | |||||||||||
| 14528 S OUTER FORTY ST 100 | CHESTERFIELD | MO | 63017 | 200901499 | FOUNDATION | MO | 501C3 | 11-II | MERCY HEALTH | 1 | |
| MERCY HEALTH | |||||||||||
| 14528 S OUTER FORTY ST 100 | CHESTERFIELD | MO | 63017 | 431423050 | HEALTH SYSTEM - CORPORATE OFFICE | MO | 501C3 | 1 | 0 | N/A | |
| MERCY HEALTH EAST COMMUNITIES | |||||||||||
| 645 MARYVILLE CTR DR STE 100 | ST LOUIS | MO | 63141 | 431718408 | HEALTH SYSTEM | MO | 501C3 | 11-II | MERCY HEALTH | 1 | |
| MERCY HEALTH EAST COMMUNITIES - SR | |||||||||||
| 645 MARYVILLE CTR DR STE 100 | ST LOUIS | MO | 63141 | 461412322 | HEALTH SYSTEM | MO | 501C3 | 11-II | MERCY HEALTH EAST COMMUNITIES | 1 | |
| MERCY HEALTH FORT SMITH COMM | |||||||||||
| 7301 ROGERS AVENUE | FORT SMITH | AR | 72917 | 261318515 | HOLDING COMPANY | AR | 501C3 | 11-II | MERCY HEALTH | 1 | |
| MERCY HEALTH FOUNDATION ARDMORE | |||||||||||
| 1011 14TH AVENUE NW | ARDMORE | OK | 73401 | 710962525 | FOUNDATION | OK | 501C3 | 11-I | MERCY HOSPITAL ARDMORE | 1 | |
| MERCY HEALTH FOUNDATION BERRYVILLE | |||||||||||
| 214 CARTER STREET | BERRYVILLE | AR | 72616 | 710759301 | FOUNDATION | AR | 501C3 | 11-I | MERCY HOSPITAL BERRYVILLE | 1 | |
| MERCY HEALTH FOUNDATION FT SCOTT | |||||||||||
| 401 WOODLAND HILLS BLVD | FORT SCOTT | KS | 66701 | 481077073 | FOUNDATION | KS | 501C3 | 11-III | MERCY KANSAS COMMUNITIES INC | 1 | |
| MERCY HEALTH FOUNDATION FT SMITH | |||||||||||
| 7301 ROGERS AVENUE | FORT SMITH | AR | 72917 | 237330425 | FOUNDATION | AR | 501C3 | 7 | MERCY HOSPITAL FORT SMITH | 1 | |
| MERCY HEALTH FOUNDATION HOT SPRINGS | |||||||||||
| 300 WERNER STREET | HOT SPRINGS | AR | 71913 | 710804718 | FOUNDATION | AR | 501C3 | 11-II | MERCY HOSPITAL HOT SPRINGS | 1 | |
| MERCY HEALTH FOUNDATION INDEPENDENCE | |||||||||||
| 800 W MYRTLE | INDEPENDENCE | KS | 67301 | 481079981 | FOUNDATION | KS | 501C3 | 11-I | MERCY KANSAS COMMUNITIES INC | 1 | |
| MERCY HEALTH FOUNDATION JEFFERSON | |||||||||||
| 1400 US HIGHWAY 61 SOUTH | FESTUS | MO | 63028 | 462797051 | FOUNDATION | MO | 501C3 | 11-II | MERCY HEALTH EAST COMMUNITIES - SR | 1 | |
| MERCY HEALTH FOUNDATION JOPLIN | |||||||||||
| 2817 ST JOHNS BLVD | JOPLIN | MO | 64804 | 270906136 | FOUNDATION | MO | 501C3 | 11-I | MERCY HEALTH SW MOKS COMM | 1 | |
| MERCY HEALTH FOUNDATION NW ARK | |||||||||||
| 2710 RIFE MEDICAL LN | ROGERS | AR | 72858 | 710601687 | FOUNDATION | AR | 501C3 | 11-III | MERCY HOSPITAL ROGERS | 1 | |
| MERCY HEALTH FOUNDATION OK CITY | |||||||||||
| 4300 W MEMORIAL ROAD | OKLAHOMA CITY | OK | 73120 | 731593024 | FOUNDATION | OK | 501C3 | 11-I | MERCY HOSPITAL OKLAHOMA CITY | 1 | |
| MERCY HEALTH FOUNDATION OF OK | |||||||||||
| 4300 W MEMORIAL ROAD | OKLAHOMA CITY | OK | 73120 | 454732301 | FOUNDATION | OK | 501C3 | 11-I | MERCY HEALTH OK COMMUNITIES | 1 | |
| MERCY HEALTH FOUNDATION SPRINGFIELD | |||||||||||
| 1235 E CHEROKEE STREET | SPRINGFIELD | MO | 65804 | 320195818 | FOUNDATION | MO | 501C3 | 11-II | MERCY HEALTH SPRINGFIELD COMM | 1 | |
| MERCY HEALTH FOUNDATION STL | |||||||||||
| 615 SOUTH NEW BALLAS ROAD | ST LOUIS | MO | 63141 | 562410020 | FOUNDATION | MO | 501C3 | 11-II | MERCY HEALTH EAST COMMUNITIES | 1 | |
| MERCY HEALTH FOUNDATION WASHINGTON | |||||||||||
| 901 E FIFTH STREET | WASHINGTON | MO | 63090 | 562410022 | FOUNDATION | MO | 501C3 | 11-II | MERCY HEALTH EAST COMMUNITIES | 1 | |
| MERCY HEALTH HOT SPRINGS COMM | |||||||||||
| 300 WERNER STREET | HOT SPRINGS | AR | 71913 | 261125064 | HOLDING COMPANY | AR | 501C3 | 11-II | MERCY HEALTH | 1 | |
| MERCY HEALTH NW ARK COMMUNITIES | |||||||||||
| 2710 RIFE MEDICAL LN | ROGERS | AR | 72758 | 621684203 | PHYSICIAN GROUP | AR | 501C3 | 11-II | MERCY HEALTH | 1 | |
| MERCY HEALTH OK COMMUNITIES | |||||||||||
| 4300 W MEMORIAL ROAD | OKLAHOMA CITY | OK | 73120 | 731453048 | HOLDING COMPANY | OK | 501C3 | 11-II | MERCY HEALTH | 0 | |
| MERCY HEALTH SW MOKS COMM | |||||||||||
| 2817 ST JOHNS BLVD | JOPLIN | MO | 64804 | 300584463 | HEALTH SYSTEM | MO | 501C3 | 11-II | MERCY HEALTH | 1 | |
| MERCY HEALTH SPRINGFIELD COMM | |||||||||||
| 1235 E CHEROKEE STREET | SPRINGFIELD | MO | 65804 | 431856028 | HOLDING COMPANY | MO | 501C3 | 11-II | MERCY HEALTH | 1 | |
| MERCY HEALTH SYSTEM TX | |||||||||||
| 14528 S OUTER FORTY ST 100 | CHESTERFIELD | MO | 63017 | 742764727 | INACTIVE | TX | 501C3 | 11-II | MERCY HEALTH | 1 | |
| MERCY HOME HEALTH BERRYVILLE | |||||||||||
| 804 W FREEMAN SUITE 4 | BERRYVILLE | AR | 72616 | 870781247 | HOME HEALTH AND HOSPICE OPERATIONS. | AR | 501C3 | 11-III | MERCY HOSPITAL SPRINGFIELD | 1 | |
| MERCY HOSPITAL ADA INC | |||||||||||
| 430 N MONTE VISTA STREET | ADA | OK | 74820 | 462288155 | HOSPITAL | OK | 501C3 | 3 | MERCY HEALTH OK COMMUNITIES | 1 | |
| MERCY HOSPITAL ARDMORE | |||||||||||
| 1011 14TH AVENUE NW | ARDMORE | OK | 73401 | 731500629 | HOSPITAL | OK | 501C3 | 3 | MERCY HEALTH OK COMMUNITIES | 1 | |
| MERCY HOSPITAL AURORA | |||||||||||
| 500 PORTER AVENUE | AURORA | MO | 65605 | 431936696 | OPERATING CO FOR LEASED HOSP | MO | 501C3 | 3 | MERCY HEALTH SPRINGFIELD COMM | 1 | |
| MERCY HOSPITAL BERRYVILLE | |||||||||||
| 214 CARTER STREET | BERRYVILLE | AR | 72616 | 710759299 | HOSPITAL | AR | 501C3 | 3 | MERCY HEALTH SPRINGFIELD COMM | 1 | |
| MERCY HOSPITAL CARTHAGE | |||||||||||
| 3125 DR RUSSELL SMITH WAY | CARTHAGE | MO | 64836 | 453808607 | HOSPITAL | MO | 501C3 | 3 | MERCY HEALTH SW MOKS COMM | 1 | |
| MERCY HOSPITAL CASSVILLE | |||||||||||
| 94 MAIN STREET | CASSVILLE | MO | 65625 | 431936699 | OPERATING CO FOR LEASED HOSP | MO | 501C3 | 3 | MERCY HEALTH SPRINGFIELD COMM | 1 | |
| MERCY HOSPITAL COLUMBUS | |||||||||||
| 220 PENNSYLVANIA AVENUE | COLUMBUS | KS | 66725 | 270842031 | CRITICAL ACCESS HOSPITAL | MO | 501C3 | 9 | MERCY HEALTH SW MOKS COMM | 1 | |
| MERCY HOSPITAL EL RENO | |||||||||||
| 2115 PARKVIEW DRIVE | EL RENO | OK | 73036 | 272716065 | OPERATING CO FOR LEASED HOSP | OK | 501C3 | 3 | MERCY HEALTH OK COMMUNITIES | 1 | |
| MERCY HOSPITAL FORT SMITH | |||||||||||
| 7301 ROGERS AVENUE | FORT SMITH | AR | 72917 | 710240352 | HOSPITAL | AR | 501C3 | 3 | MERCY HEALTH FORT SMITH COMM | 1 | |
| MERCY HOSPITAL HEALDTON INC | |||||||||||
| 918 SOUTH 8TH STREET | HEALDTON | OK | 73438 | 263173902 | OPERATING CO FOR HOSP | OK | 501C3 | 3 | MERCY HOSPITAL ARDMORE INC | 1 | |
| MERCY HOSPITAL HOT SPRINGS | |||||||||||
| 300 WERNER STREET | HOT SPRINGS | AR | 71913 | 710236913 | HOSPITAL | AR | 501C3 | 3 | MERCY HEALTH HOT SPRINGS COMM | 1 | |
| MERCY HOSPITAL JEFFERSON | |||||||||||
| 1400 HIGHWAY 61 SOUTH | FESTUS | MO | 63028 | 430687077 | HOSPITAL | MO | 501C3 | 3 | MERCY HEALTH EAST COMMUNITIES - SR | 1 | |
| MERCY HOSPITAL JOPLIN | |||||||||||
| 2817 ST JOHNS BLVD | JOPLIN | MO | 64804 | 270814858 | HOSPITAL | MO | 501C3 | 9 | MERCY HEALTH SW MOKS COMM | 1 | |
| MERCY HOSPITAL LEBANON | |||||||||||
| 100 HOSPITAL DRIVE | LEBANON | MO | 65536 | 431767432 | HOSPITAL | MO | 501C3 | 3 | MERCY HEALTH SPRINGFIELD COMM | 1 | |
| MERCY HOSPITAL LOGAN COUNTY INC | |||||||||||
| 200 SOUTH ACADEMY | GUTHRIE | OK | 73044 | 452998842 | HOSPITAL | OK | 501C3 | 3 | MERCY HEALTH OK COMMUNITIES | 1 | |
| MERCY HOSPITAL OF LAREDO | |||||||||||
| 14528 S OUTER FORTY ST 100 | CHESTERFIELD | MO | 63017 | 741189682 | INACTIVE | TX | 501C3 | 3 | MERCY HEALTH SYSTEM TX | 1 | |
| MERCY HOSPITAL OZARK | |||||||||||
| 801 W RIVER STREET | OZARK | AR | 72949 | 710689680 | HOSPITAL | AR | 501C3 | 3 | MERCY HOSPITAL FORT SMITH | 1 | |
| MERCY HOSPITAL PARIS | |||||||||||
| 500 E ACADEMY | PARIS | AR | 72855 | 710655753 | HOSPITAL | AR | 501C3 | 3 | MERCY HOSPITAL FORT SMITH | 1 | |
| MERCY HOSPITAL ROGERS | |||||||||||
| 2710 RIFE MEDICAL LN | ROGERS | AR | 72758 | 710294390 | HOSPITAL | AR | 501C3 | 3 | MERCY HEALTH NW ARK COMMUNITIES | 1 | |
| MERCY HOSPITAL SPRINGFIELD | |||||||||||
| 1235 E CHEROKEE STREET | SPRINGFIELD | MO | 65804 | 440552485 | HOSPITAL | MO | 501C3 | 3 | MERCY HEALTH SPRINGFIELD COMM | 1 | |
| MERCY HOSPITAL TISHOMINGO | |||||||||||
| 1000 SOUTH BYRD | TISHOMINGO | OK | 73460 | 274433830 | HOSPITAL | OK | 501C3 | 3 | MERCY HOSPITAL ARDMORE | 1 | |
| MERCY HOSPITAL WALDRON | |||||||||||
| 1341 W 6TH STREET | WALDRON | AR | 72958 | 710557895 | HOSPITAL | AR | 501C3 | 3 | MERCY HOSPITAL FORT SMITH | 1 | |
| MERCY HOSPITAL WATONGA INC | |||||||||||
| 500 CLARENCE NASH BLVD | WATONGA | OK | 73772 | 455199762 | LEASED HOSPITAL | OK | 501C3 | 3 | MERCY HEALTH OK COMMUNITIES | 1 | |
| MERCY HOSPITALS EAST COMM | |||||||||||
| 645 MARYVILLE CTR DR STE 100 | ST LOUIS | MO | 63141 | 430653493 | HOSPITAL | MO | 501C3 | 3 | MERCY HEALTH EAST COMMUNITIES | 1 | |
| MERCY KANSAS COMMUNITIES INC | |||||||||||
| 401 WOODLAND HILLS BLVD | FT SCOTT | KS | 66701 | 480956045 | HOSPITAL;RURAL HEALTH CLINICS | KS | 501C3 | 3 | MERCY HEALTH SW MOKS COMM | 1 | |
| MERCY MEDICAL RESEARCH INST | |||||||||||
| 1235 E CHEROKEE STREET | SPRINGFIELD | MO | 65804 | 870796305 | RESEARCH - CLINICAL TRIALS | MO | 501C3 | 4 | MERCY HEALTH SPRINGFIELD COMM | 1 | |
| MERCY MINISTRIES OF LAREDO | |||||||||||
| 2500 ZACATECAS | LAREDO | TX | 78043 | 200198462 | HEALTHCARE, OUTREACH,FOOD PANTRY | TX | 501C3 | 7 | MERCY HEALTH | 1 | |
| MERCY ST FRANCIS HOSPITAL | |||||||||||
| 100 W HIGHWAY 60 | MOUNTAIN VIEW | MO | 65548 | 440607149 | HOSPITAL | MO | 501C3 | 3 | MERCY HEALTH SPRINGFIELD COMM | 1 | |
| MERCY SUPPORT SERVICES | |||||||||||
| 615 S NEW BALLAS ROAD | ST LOUIS | MO | 63141 | 431677952 | INACTIVE | MO | 501C3 | 11-III | MERCY HOSPITALS EAST COMM | 1 | |
| MHM SUPPORT SERVICES | |||||||||||
| 14528 S OUTER FORTY ST 100 | CHESTERFIELD | MO | 63017 | 202553101 | CENTRALIZED HEALTH SYSTEM FUNCTIONS | MO | 501C3 | 11-II | MERCY HEALTH | 1 | |
| MISSION CLINICAL SERVICES | |||||||||||
| 300 WERNER STREET | HOT SPRINGS | AR | 71913 | 134239691 | PHYSICIAN CLINICS | AR | 501C3 | 9 | MERCY HEALTH HOT SPRINGS COMM | 1 | |
| ST JOHNS CHILDRENS HOSP | |||||||||||
| 1235 E CHEROKEE STREET | SPRINGFIELD | MO | 65804 | INACTIVE | MO | 501C3 | 3 | MERCY HEALTH SPRINGFIELD COMM | 1 | ||
| ST MARYS HOSP ENID OK | |||||||||||
| 14528 S OUTER FORTY ST 100 | CHESTERFIELD | MO | 63017 | 730614655 | INACTIVE | OK | 501C3 | 3 | MERCY HEALTH OK COMMUNITIES | 1 | |
| THE SR M CORNELIA BLASKO FN | |||||||||||
| 100 W HIGHWAY 60 | MOUNTAIN VIEW | MO | 65548 | 431873914 | FOUNDATION | MO | 501C3 | 11-I | MERCY ST FRANCIS HOSPITAL | 1 | |
| UNITY AMBULATORY CARE | |||||||||||
| 14528 S OUTER FORTY ST 100 | CHESTERFIELD | MO | 63017 | 431861745 | INACTIVE | MO | 501C3 | 11-III | MERCY HEALTH EAST COMMUNITIES | 1 | |
Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|---|
| SOUTHERN OKLAHOMA DIAG CTR LLC | ||||||||||
| 1011 FOURTEENTH AVENUE NW | ARDMORE | OK | 73401 | 431971232 | MRI SERVICES | OK | MERCY HOSPITAL ARDMORE INC | N/A | 0 | 0 |
| RESOURCE OPTIMIZ & INNOVLLC | ||||||||||
| 645 MARYVILLE CTR DRSTE 200 | ST LOUIS | MO | 63141 | 460468368 | CENTRAL DISTRIBUTION CENTER | MO | MHN INC - MHNSR INC | N/A | 0 | 0 |
| MERCY AMBULATORY SURGERY CENTER LLC | ||||||||||
| 7301 ROGERS AVENUE | FORT SMITH | AR | 72917 | 710827721 | AMBULATORY SURGERY CENTER | AR | MERCY HOSPITAL FORT SMITH | N/A | 0 | 0 |
| FORT SMITH EMERGENCY MEDICAL SERVICES | ||||||||||
| 1701 SOUTH GREENWOOD | FORT SMITH | AR | 72901 | 710416615 | EMERGENCY MEDICAL SERVICES | AR | MERCY HOSPITAL FORT SMITH | N/A | 0 | 0 |
| ST EDWARD MERCY MC M-P OFFICE BLDG | ||||||||||
| 7301 ROGERS AVENUE | FORT SMITH | AR | 72903 | 710554050 | OFFICE BUILDING | AR | MERCY HOSPITAL FORT SMITH | N/A | 0 | 0 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (10 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MERCY COMM SERVICES INC | ||||||||||||
| 401 WOODLAND HILLS BLVD | FORT SCOTT | KS | 66701 | 481078101 | RETAIL PHARMACY | KS | MERCY KANSAS COMM INC | C | 0 | |||
| FRONTENAC PROPERTIES INC | ||||||||||||
| 14528 S OUTER FORTY SUITE 100 | CHESTERFIELD | MO | 63017 | 521914421 | HOLDS ANCILLARY ASSETS & OWNS AIRCRAFT | DE | MERCY HEALTH | C | 0 | |||
| INVENO HEALTH INC | ||||||||||||
| 1235 E CHEROKEE STREET | SPRINGFIELD | MO | 65804 | 264509571 | TECHNOLOGY TRANSFER COMPANY | MO | MERCY HEALTH SPRINGFIELD COMM | C | 0 | |||
| UNITY SUPPORT SERVICES INC | ||||||||||||
| 645 MARYVILLE CENTRE DRIVE SUITE 10 | ST LOUIS | MO | 63141 | 431797042 | INACTIVE | MO | MERCY HEALTH EAST COMMUNITIES | C | 0 | |||
| UH L CORP INC | ||||||||||||
| 645 MARYVILLE CENTRE DRIVE SUITE 10 | ST LOUIS | MO | 63141 | 742499535 | HOLDING COMPANY | MO | MERCY HEALTH SERVICES LLC | C | 0 | |||
| MHN OF THE SOUTHERN REGION INC | ||||||||||||
| 1011 14TH AVENUE NW | ARDMORE | OK | 73401 | 731580607 | HOLDING COMPANY | OK | MERCY MANAGED CARE CORP | C | 0 | |||
| MERCY HEALTH CENTER CONDOMINIUM INC | ||||||||||||
| 4300 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | 680640970 | ADMINISTRATOR OF CERTAIN REAL PROPERTY AND IMPROVEMENTS | OK | MERCY HOSPITAL OKLAHOMA CITYINC | C | 1 | -48532 | 1306314 | 0.88000 |
| MERCY MANAGED CARE CORPORATION | ||||||||||||
| 4300 W MEMORIAL ROAD | OKLAHOMA CITY | OK | 73120 | 731441665 | HOLDING COMPANY | OK | MERCY HEALTH | C | 0 | |||
| MERCY HEALTH NETWORK INC | ||||||||||||
| 4300 W MEMORIAL ROAD | OKLAHOMA CITY | OK | 73120 | 731381689 | HOLDING COMPANY | OK | MERCY MANAGED CARE CORP | C | 0 | |||
| APOTHECARY SERVICES INC | ||||||||||||
| PO BOX 350 | CRYSTAL CITY | MO | 63019 | 431627267 | RETAIL PHARMACY | MO | MERCY HOSPITAL JEFFERSON | C | 0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (20 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| MERCY CLINIC OKLAHOMA COMMUNITIES INC | ||
| P | 111080806 | FMV |
| MERCY HEALTH | ||
| P | 348882 | FMV |
| MERCY HEALTH FOUNDATION OKLAHOMA | ||
| P | 104801 | FMV |
| MERCY HEALTH FOUNDATION OKLAHOMA CITY | ||
| P | 926948 | FMV |
| MERCY HEALTH HOT SPRINGS COMMUNITIES | ||
| Q | 320781 | FMV |
| MERCY HEALTH NETWORK OF THE SOUTHERN REGION INC | ||
| P | 1442782 | FMV |
| MERCY HEALTH NETWORK INC | ||
| P | 1688369 | FMV |
| MERCY HEALTH OKLAHOMA COMMUNITIES INC | ||
| P | 16534776 | FMV |
| MERCY HOSPITAL ARDMORE | ||
| P | 102694506 | FMV |
| MERCY HOSPITAL AURORA | ||
| Q | 52739 | FMV |
| MERCY HOSPITAL COLUMBUS | ||
| Q | 148172 | FMV |
| MERCY HOSPITAL EL RENO INC | ||
| P | 7649095 | FMV |
| MERCY HOSPITAL HEALDTON INC | ||
| P | 4719631 | FMV |
| MERCY HOSPITAL LOGAN COUNTY INC | ||
| P | 9618195 | FMV |
| MERCY HOSPITAL TISHOMINGO INC | ||
| P | 4780070 | FMV |
| MERCY HOSPITAL WATONGA | ||
| P | 4991683 | FMV |
| MERCY HOSPITALS EAST COMMUNITIES | ||
| P | 904039 | FMV |
| MHM SUPPORT SERVICES | ||
| P | 55666648 | FMV |
| RESOURCE OPTIMIZATION & INNOVATION LLC | ||
| P | 11256791 | FMV |
| MERCY HEALTH FOUNDATION OKLAHOMA CITY | ||
| C | 441398 | FMV |