2014-05-14T12:21:03-05:00 2013-06-30 562632458 PLEUS AND COMPANY LLC 14323 S OUTER FORTY STE 310N CHESTERFIELD MO 63017 990 2012-07-01 730579285 MERCY HOSPITAL OKLAHOMA CITY MERC 4057523495 4300 WEST MEMORIAL ROAD OKLAHOMA CITY OK 73120 JON VITIELLO 4057523724 2014-05-14 1 DOUGLAS G PLEUS P00013488 3143179916 2012 2015-11-30 17:44:51Z DIANA SMALLEY 4300 WEST MEMORIAL ROAD OKLAHOMA CITY OK 73120 393118598 0 0928 X WWW.MERCY.NET/OKLAHOMACITYOK X 1992 OK TO CARRY OUT THE HEALING MINISTRY OF JESUS BY PROMOTING HEALTH AND WELLNESS THROUGH OUR COMMUNITIES, TO PROVIDE QUALITY HEALTH SERVICES THROUGH A WISE USE OF RESOURCES AND EXCEPTIONAL MERCY SERVICE. 15 10 3115 268 8937871 0 798547 441398 360385259 384717656 1016030 6910124 15955383 -235247 378155219 391833931 793934 1303609 0 0 132772633 130329435 0 0 0 201927923 208376577 335494490 340009621 42660729 51824310 250242995 298420029 23456883 26743738 226786112 271676291 X 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. 0 0 246233838 1303609 370013843 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. 246233838 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 1 1 0 0 0 0 1 1 1 1 0 0 1 0 0 3115 1 1 1 0 0 0 0 0 0 0 0 0 X 15 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 1 1 OK X PATRICIA ROBERTSON 4057523495 4300 WEST MEMORIAL ROAD OKLAHOMA CITY OK 73120 EVEREST TRICIA 1.00 0.00 X 0 0 0 GRANT RSM SR BARBARA 1.00 0.00 X 0 0 0 HARKESS MD JOHN 1.00 0.00 X 0 0 0 HARTSUCK MD JAMES 1.00 1.00 X 0 0 0 HENDRICKS RSM SR REBECCA ANN 1.00 12.00 X 0 0 0 HIEKE MD KENNETH 1.00 59.00 X 0 411231 5899 KOELSCH RSM SR CABRINI 1.00 40.00 X 0 0 0 LEONARD RYAN 1.00 0.00 X 0 0 0 NELSON GARY 1.00 0.00 X 0 0 0 O'NEAL MIKE E 1.00 0.00 X 0 0 0 RAHHAL MD DONALD K 16.00 34.00 X 0 377216 18736 SALMERON EDD LOIS 1.00 0.00 X 0 0 0 SCOTT MD BROOK D 1.00 0.00 X 0 0 0 WARD RSM SR CLAUDIA 1.00 40.00 X 0 0 0 SMALLEY DIANA L 10.00 50.00 X X 0 671252 200438 GEBHART JIM R 55.00 5.00 X 0 475761 68518 VITIELLO JONATHAN 12.00 48.00 X 0 493118 64006 EDELSTEIN THOMAS 38.00 12.00 X 175371 0 31403 FANNING LINDA T 50.00 1.00 X 235462 0 24135 JOHNSON MARK C 50.00 2.00 X 421376 0 53001 LE BICH-VI 5.00 55.00 X 0 240502 36699 PAYTON BECKY J 5.00 55.00 X 0 294127 40333 ROBERTSON PATRICIA 45.00 15.00 X 219318 0 4554 STEFFENS AARON L 40.00 10.00 X 248707 0 20895 BAUMEISTER JERRY 40.00 0.00 X 220576 0 36349 MADISON KEITH 20.00 20.00 X 164016 0 13739 CARMICHAEL CINDY 5.00 55.00 X 241487 0 13233 ENLOE TRACY 22.00 18.00 X 273623 6633 18497 GARBER MARY 5.00 55.00 X 173255 0 4886 HAHNE CHRISTOPHER 10.00 50.00 X 168804 0 15070 ROGERS WILLIAM KENT 10.00 50.00 X 274864 0 21502 JOHNSTON JEFFREY A 0.00 60.00 X 0 652475 186039 AKINS JULIA 0.00 60.00 X 0 457487 35333 DIXSON JAMES D 0.00 60.00 X 0 595783 76546 FJONE LOREN 0.00 60.00 X 0 247503 24035 2816859 4923088 1013846 69 1 1 0 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 45 441398 441398 PATIENT SERVICE REVENUE NET 622110 371926962 371926962 MDT LABORATORY SVC 621500 6510285 6510285 PHARMACY 446110 6280409 4660710 1619699 384717656 -89876 -89876 5055546 1284667 3770879 3770879 3770879 7000000 0 7000000 7000000 7000000 CAFETERIA & VENDING 722210 1759816 1759816 -5765942 -6573829 807887 -4006126 391833931 370013843 8937871 12440819 1180109 1180109 123500 123500 1513039 1513039 243139 243139 102793025 89864261 12928764 4571299 3996275 575024 13582362 11520501 2061861 7626571 6445215 1181356 -7923 8875 -16798 3113 3113 12749342 10600875 2148467 112223 93312 18911 8017234 6666203 1351031 22066 20677 1389 5438114 4521705 916409 511010 334605 176405 128 128 13962350 7496349 6466001 1529428 10026 1519402 DRUGS & MEDICAL EXPENSE 88903348 73921720 14981628 SHARED SERVICE FEES 46044693 154155 45890538 BAD DEBTS 20314403 20314403 0 REPAIRS & MAINTENANCE 6109181 5079687 1029494 4667867 3881257 786610 340009621 246233838 93775783 0 47340700 71246821 -49869 -43565 47573689 54701785 5998425 7246827 290133 554372 360658501 252130046 103386636 108528455 2005080 8045923 43698201 48139411 250242995 298420029 21842448 22769340 30249 2244956 1614435 1699193 23456883 26743738 X 226786112 271676291 226786112 271676291 250242995 298420029 X 51824310 -6934131 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 19297 0 0 0 19297 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: THE FILING ORGANIZATION IS A MEMBER OF AND PAYS DUES TO THE OKLAHOMA HOSPITAL ASSOCIATION, CATHOLIC HOSPITAL ASSOCIATION, AND AMERICAN HOSPITAL ASSOCIATION. FOR THE YEAR ENDED JUNE 30, 2013, DUES WERE $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. 1602629 11170270 12772899 92361640 50647452 41714188 2182752 641050 1541702 237941816 196156937 41784879 15399394 4684607 10714787 108528455 OTHER ASSETS 5474968 DUE FROM TAX EXEMPT AFFILIATES 42664443 48139411 OTHER LIABILITIES 1699193 1699193 THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF MERCY HEALTH AND AFFILIATES DO NOT INCLUDE A FOOTNOTE TO REPORT THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX PROVISIONS UNDER ASC 740, AS THEY ARE DEEMED IMMATERIAL FOR DISCLOSURE. 1 1 X 1 X 1 X 1 1 0 1 1 10821334 10821334 0.03380 37710181 26249209 11460972 0.03580 48531515 26249209 22282306 0.06960 1821003 1821003 0.00570 489043 489043 0.00150 642317 642317 0.00200 261335 261335 0.00080 3213698 3213698 0.01000 51745213 26249209 25496004 0.07960 240506 240506 0.00080 53804 53804 0.00020 1760 1760 0.00000 489304 489304 0.00150 411738 411738 0.00130 1197112 1197112 0.00380 1 6654176 0 98313816 106259813 -7945997 X 1 1 1 1 MERCY HOSPITAL OKLAHOMA CITY

4300 WEST MEMORIAL ROAD OKLAHOMA CITY OK 73120

WWW.MERCY.NET/OKLAHOMACITYOK X X X MERCY HOSPITAL OKLAHOMA CITY 1 1 X X X X X X X X X 12 1 0 1 X X X X X 1 0 1 1 100.000000000000 1 400.000000000000 1 X X X 1 1 X X X X 1 0 1 X 0 0 12 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 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. MERCY HOSPITAL OKLAHOMA CITY 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. 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. NEEDS ASSESSMENT (CONTINUED) PART VI, QUESTION 2 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. 1 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 6 3 TUITION SCHOLARSHIPS 43 123500 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: 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. X X X X 1 1 0 1 0 0 0 0 0 1 0 HIEKE MD KENNETH 0 380716 0 0 0 30515 0 0 0 5899 0 417130 0 0 RAHHAL MD DONALD K 0 345156 0 0 0 32060 0 6218 0 12518 0 395952 0 0 SMALLEY DIANA L 0 459480 0 202287 0 9485 0 182822 0 17616 0 871690 0 0 GEBHART JIM R 0 312193 0 145456 0 18112 0 52209 0 16309 0 544279 0 0 VITIELLO JONATHAN 0 294647 0 102118 0 96353 0 47736 0 16270 0 557124 0 0 EDELSTEIN THOMAS 126921 0 34152 0 14298 0 16618 0 14785 0 206774 0 0 0 FANNING LINDA T 159503 0 43150 0 32809 0 22475 0 1660 0 259597 0 0 0 JOHNSON MARK C 333522 0 80462 0 7392 0 45223 0 7778 0 474377 0 0 0 LE BICH-VI 0 136596 0 57951 0 45955 0 21562 0 15137 0 277201 0 0 PAYTON BECKY J 0 195331 0 71727 0 27069 0 28314 0 12019 0 334460 0 0 ROBERTSON PATRICIA 149588 0 40969 0 28761 0 3444 0 1110 0 223872 0 0 0 STEFFENS AARON L 181053 0 61469 0 6185 0 5699 0 15196 0 269602 0 0 0 BAUMEISTER JERRY 124344 0 40182 0 56050 0 29889 0 6460 0 256925 0 0 0 MADISON KEITH 126616 0 12228 0 25172 0 7409 0 6330 0 177755 0 0 0 CARMICHAEL CINDY 167114 0 46394 0 27979 0 6523 0 6710 0 254720 0 0 0 ENLOE TRACY 148247 5985 39646 0 85730 648 6892 0 11122 483 291637 7116 0 0 GARBER MARY 121895 0 32245 0 19115 0 3661 0 1225 0 178141 0 0 0 HAHNE CHRISTOPHER 127340 0 21624 0 19840 0 777 0 14293 0 183874 0 0 0 ROGERS WILLIAM KENT 198622 0 53814 0 22428 0 5982 0 15520 0 296366 0 0 0 JOHNSTON JEFFREY A 0 410525 0 190493 0 51457 0 168505 0 17534 0 838514 0 0 AKINS JULIA 0 228393 0 136922 0 92172 0 22879 0 12454 0 492820 0 0 DIXSON JAMES D 0 432621 0 115069 0 48093 0 64027 0 12519 0 672329 0 0 FJONE LOREN 0 179600 0 39682 0 28221 0 17451 0 6584 0 271538 0 0 PART I, LINE 1A CHARTER TRAVEL IS PROVIDED TO CERTAIN EMPLOYEES AS AND WHEN APPROPRIATE, AND AS DEEMED NECESSARY FOR BUSINESS TRAVEL. AFTER CHARTER TRAVEL APPROVAL HAS BEEN GRANTED IN ACCORDANCE WITH THE FINANCIAL JUSTIFICATION PROCESS, THE APPROVED CHARTER TRAVEL FOR BUSINESS IS A REIMBURSABLE EXPENSE WHICH IS NOT TAXABLE TO THE EMPLOYEES. TRAVEL FOR COMPANIONS IS PROVIDED IN RARE INSTANCES AND IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. WHERE COMPANION TRAVEL HAS RESULTED IN A TAXABLE EVENT, THE EMPLOYEES ARE TAXED FOR SUCH TRAVEL. SPOUSAL TRAVEL WAS PROVIDED FOR 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. SUPPLEMENTAL INFORMATION PART III PART I, LINE 3: THE FILING ORGANIZATION RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTION 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS. 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 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. CHANGES IN NET ASSETS OR FUND BALANCES: 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. AUDITED FINANCIAL STATEMENTS PART XII, LINE 2 THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN THE MERCY HEALTH AND SUBSIDIARIES ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 2013 (THE TAX YEAR CURRENTLY BEING REPORTED). HOWEVER, NO SEPARATE AUDIT OPINION IS ISSUED ON THE FINANCIAL STATEMENTS OF THE FILING ORGANIZATION. THE ULTIMATE RESPONSIBILITY FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE EXTERNAL AUDITOR LIES WITH THE STEWARDSHIP COMMITTEE (FORMERLY FINANCE, AUDIT, AND COMPLIANCE COMMITTEE) OF THE MERCY HEALTH BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE. SINGLE AUDIT ACT AND OMB CIRCULAR A-133 PART XII, LINE 3 THE CONSOLIDATED GROUP OF MERCY HEALTH IS REQUIRED TO UNDERGO AN AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133. THE SINGLE AUDIT WAS CONDUCTED ON A CONSOLIDATED BASIS. FORM 990, PART V, 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. MERCY HOSPITALS EAST COMMUNITIES FORM 990, SCHEDULE R, PART II MERCY HOSPITALS EAST COMMUNITIES CONSISTS OF MERCY HOSPITALS EAST COMMUNITIES ST. LOUIS, EIN 43-0653493, AND MERCY HOSPITALS EAST COMMUNITIES WASHINGTON, EIN 43-1066883. SYSTEM LIMITATIONS FORM 990, SCHEDULE R, PART V LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY HEALTH AND SUBSIDIARIES. THE MAJORITY OF THE INTERCOMPANY/RELATED ORGANIZATION TRANSACTIONS ARE PROCESSED THROUGH LAWSON VIA INTERCOMPANY JOURNAL ENTRIES. WITH THE CURRENT DESIGN OF THE ERP SYSTEM, THERE ARE VARIOUS LIMITATIONS ON THE RELATED ORGANIZATION INFORMATION THAT CAN BE EXTRACTED FROM LAWSON. DUE TO THESE LIMITATIONS, MOST OF THE RELATED ORGANIZATION ACTIVITY FOR THE FILING ORGANIZATION HAS BEEN CLASSIFIED ON SCHEDULE R, PART V, IN LINES P AND Q. RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION 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 NEUROSCIENCE INSTITUTE SERVICES ORGANIZATION LLC 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 300487934 MGD CARE SERVICES OK 0 3688876 MERCY HOSPITAL OKLAHOMA CITY CASA DE MISERICORDIA 1602 MCCLELLAND STREET LAREDO TX 78044 742912461 WOMEN'S DOMESTIC VIOLENCE SHELTER TX 501C3 7 MERCY MINISTRIES OF LAREDO 1 JEFFERSON LAND COMPANY INC 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 431330360 TITLE HOLDING COMPANY MO 501C2 MERCY HOSPITAL JEFFERSON 1 LAREDO MEDICAL GROUP 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 742764726 INACTIVE TX 501C3 9 MERCY HEALTH SYSTEM TX 1 MCAULEY PORTFOLIO MGMT CO 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 261708048 PORTFOLIO MANAGEMENT MO 501C3 11-II MERCY HEALTH 1 MERCY CLINIC EAST COMMUNITIES 645 MARYVILLE CTR DR STE 100 ST LOUIS MO 63141 431771217 PHYSICIAN GROUP MO 501C3 9 MERCY HEALTH EAST COMMUNITIES 1 MERCY CLINIC FORT SMITH COMM 7301 ROGERS AVENUE FORT SMITH AR 72917 261318597 PHYSICIAN CLINIC AR 501C3 9 MERCY HEALTH FORT SMITH COMM 1 MERCY CLINIC HOT SPRINGS COMM 1 MERCY LANE HOT SPRINGS AR 71913 261125131 PHYSICIAN CLINIC AR 501C3 9 MERCY HEALTH HOT SPRINGS COMM 1 MERCY CLINIC OKLAHOMA COMM 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 270473057 PHYSICIAN GROUP/CLINIC OK 501C3 9 MERCY HEALTH OK COMMUNITIES 1 MERCY CLINIC SPRINGFIELD COMM 1965 FREMONT STREET SUITE 2950 SPRINGFIELD MO 65804 431560263 PHYSICIAN GROUP MO 501C3 3 MERCY HEALTH SPRINGFIELD COMM 1 MERCY FAMILY CENTER 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 721069468 FAMILY COUNSELING SERVICES MO 501C3 7 MERCY HEALTH 1 MERCY FDTN HEALTH INNOV 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 200901499 FOUNDATION MO 501C3 11-II MERCY HEALTH 1 MERCY HEALTH 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 431423050 HEALTH SYSTEM - CORPORATE OFFICE MO 501C3 1 N/A 0 MERCY HEALTH EAST COMMUNITIES 645 MARYVILLE CTR DR STE 100 ST LOUIS MO 63141 431718408 HEALTH SYSTEM MO 501C3 11-II MERCY HEALTH 1 MERCY HEALTH EAST COMMUNITIES - SR 645 MARYVILLE CTR DR STE 100 ST LOUIS MO 63141 461412322 HEALTH SYSTEM MO 501C3 11-II MERCY HEALTH EAST COMMUNITIES 1 MERCY HEALTH FORT SMITH COMM 7301 ROGERS AVENUE FORT SMITH AR 72917 261318515 HOLDING COMPANY AR 501C3 11-II MERCY HEALTH 1 MERCY HEALTH FOUNDATION ARDMORE 1011 14TH AVENUE NW ARDMORE OK 73401 710962525 FOUNDATION OK 501C3 11-I MERCY HOSPITAL ARDMORE 1 MERCY HEALTH FOUNDATION BERRYVILLE 214 CARTER STREET BERRYVILLE AR 72616 710759301 FOUNDATION AR 501C3 11-I MERCY HOSPITAL BERRYVILLE 1 MERCY HEALTH FOUNDATION FT SCOTT 401 WOODLAND HILLS BLVD FORT SCOTT KS 66701 481077073 FOUNDATION KS 501C3 11-III MERCY KANSAS COMMUNITIES INC 1 MERCY HEALTH FOUNDATION FT SMITH 7301 ROGERS AVENUE FORT SMITH AR 72917 237330425 FOUNDATION AR 501C3 7 MERCY HOSPITAL FORT SMITH 1 MERCY HEALTH FOUNDATION HOT SPRINGS 300 WERNER STREET HOT SPRINGS AR 71913 710804718 FOUNDATION AR 501C3 11-II MERCY HOSPITAL HOT SPRINGS 1 MERCY HEALTH FOUNDATION INDEPENDENCE 800 W MYRTLE INDEPENDENCE KS 67301 481079981 FOUNDATION KS 501C3 11-I MERCY KANSAS COMMUNITIES INC 1 MERCY HEALTH FOUNDATION JEFFERSON 1400 US HIGHWAY 61 SOUTH FESTUS MO 63028 462797051 FOUNDATION MO 501C3 11-II MERCY HEALTH EAST COMMUNITIES - SR 1 MERCY HEALTH FOUNDATION JOPLIN 2817 ST JOHNS BLVD JOPLIN MO 64804 270906136 FOUNDATION MO 501C3 11-I MERCY HEALTH SW MOKS COMM 1 MERCY HEALTH FOUNDATION NW ARK 2710 RIFE MEDICAL LN ROGERS AR 72858 710601687 FOUNDATION AR 501C3 11-III MERCY HOSPITAL ROGERS 1 MERCY HEALTH FOUNDATION OK CITY 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 731593024 FOUNDATION OK 501C3 11-I MERCY HOSPITAL OKLAHOMA CITY 1 MERCY HEALTH FOUNDATION OF OK 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 454732301 FOUNDATION OK 501C3 11-I MERCY HEALTH OK COMMUNITIES 1 MERCY HEALTH FOUNDATION SPRINGFIELD 1235 E CHEROKEE STREET SPRINGFIELD MO 65804 320195818 FOUNDATION MO 501C3 11-II MERCY HEALTH SPRINGFIELD COMM 1 MERCY HEALTH FOUNDATION STL 615 SOUTH NEW BALLAS ROAD ST LOUIS MO 63141 562410020 FOUNDATION MO 501C3 11-II MERCY HEALTH EAST COMMUNITIES 1 MERCY HEALTH FOUNDATION WASHINGTON 901 E FIFTH STREET WASHINGTON MO 63090 562410022 FOUNDATION MO 501C3 11-II MERCY HEALTH EAST COMMUNITIES 1 MERCY HEALTH HOT SPRINGS COMM 300 WERNER STREET HOT SPRINGS AR 71913 261125064 HOLDING COMPANY AR 501C3 11-II MERCY HEALTH 1 MERCY HEALTH NW ARK COMMUNITIES 2710 RIFE MEDICAL LN ROGERS AR 72758 621684203 PHYSICIAN GROUP AR 501C3 11-II MERCY HEALTH 1 MERCY HEALTH OK COMMUNITIES 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 731453048 HOLDING COMPANY OK 501C3 11-II MERCY HEALTH 0 MERCY HEALTH SW MOKS COMM 2817 ST JOHNS BLVD JOPLIN MO 64804 300584463 HEALTH SYSTEM MO 501C3 11-II MERCY HEALTH 1 MERCY HEALTH SPRINGFIELD COMM 1235 E CHEROKEE STREET SPRINGFIELD MO 65804 431856028 HOLDING COMPANY MO 501C3 11-II MERCY HEALTH 1 MERCY HEALTH SYSTEM TX 14528 S OUTER FORTY ST 100 CHESTERFIELD MO 63017 742764727 INACTIVE TX 501C3 11-II MERCY HEALTH 1 MERCY HOME HEALTH BERRYVILLE 804 W FREEMAN SUITE 4 BERRYVILLE AR 72616 870781247 HOME HEALTH AND HOSPICE OPERATIONS. AR 501C3 11-III MERCY HOSPITAL SPRINGFIELD 1 MERCY HOSPITAL ADA INC 430 N MONTE VISTA STREET ADA OK 74820 462288155 HOSPITAL OK 501C3 3 MERCY HEALTH OK COMMUNITIES 1 MERCY HOSPITAL ARDMORE 1011 14TH AVENUE NW ARDMORE OK 73401 731500629 HOSPITAL OK 501C3 3 MERCY HEALTH OK COMMUNITIES 1 MERCY HOSPITAL AURORA 500 PORTER AVENUE AURORA MO 65605 431936696 OPERATING CO FOR LEASED HOSP MO 501C3 3 MERCY HEALTH SPRINGFIELD COMM 1 MERCY HOSPITAL BERRYVILLE 214 CARTER STREET BERRYVILLE AR 72616 710759299 HOSPITAL AR 501C3 3 MERCY HEALTH SPRINGFIELD COMM 1 MERCY HOSPITAL CARTHAGE 3125 DR RUSSELL SMITH WAY CARTHAGE MO 64836 453808607 HOSPITAL MO 501C3 3 MERCY HEALTH SW MOKS COMM 1 MERCY HOSPITAL CASSVILLE 94 MAIN STREET CASSVILLE MO 65625 431936699 OPERATING CO FOR LEASED HOSP MO 501C3 3 MERCY HEALTH SPRINGFIELD COMM 1 MERCY HOSPITAL COLUMBUS 220 PENNSYLVANIA AVENUE COLUMBUS KS 66725 270842031 CRITICAL ACCESS HOSPITAL MO 501C3 9 MERCY HEALTH SW MOKS COMM 1 MERCY HOSPITAL EL RENO 2115 PARKVIEW DRIVE EL RENO OK 73036 272716065 OPERATING CO FOR LEASED HOSP OK 501C3 3 MERCY HEALTH OK COMMUNITIES 1 MERCY HOSPITAL FORT SMITH 7301 ROGERS AVENUE FORT SMITH AR 72917 710240352 HOSPITAL AR 501C3 3 MERCY HEALTH FORT SMITH COMM 1 MERCY HOSPITAL HEALDTON INC 918 SOUTH 8TH STREET HEALDTON OK 73438 263173902 OPERATING CO FOR HOSP OK 501C3 3 MERCY HOSPITAL ARDMORE INC 1 MERCY HOSPITAL HOT SPRINGS 300 WERNER STREET HOT SPRINGS AR 71913 710236913 HOSPITAL AR 501C3 3 MERCY HEALTH HOT SPRINGS COMM 1 MERCY HOSPITAL JEFFERSON 1400 HIGHWAY 61 SOUTH FESTUS MO 63028 430687077 HOSPITAL MO 501C3 3 MERCY HEALTH EAST COMMUNITIES - SR 1 MERCY HOSPITAL JOPLIN 2817 ST JOHNS BLVD JOPLIN MO 64804 270814858 HOSPITAL MO 501C3 9 MERCY HEALTH SW MOKS COMM 1 MERCY HOSPITAL LEBANON 100 HOSPITAL DRIVE LEBANON MO 65536 431767432 HOSPITAL MO 501C3 3 MERCY HEALTH SPRINGFIELD COMM 1 MERCY HOSPITAL 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 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 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 -48532 1306314 0.88000 1 MERCY MANAGED CARE CORPORATION 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 731441665 HOLDING COMPANY OK MERCY HEALTH C 0 MERCY HEALTH NETWORK INC 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 731381689 HOLDING COMPANY OK MERCY MANAGED CARE CORP C 0 APOTHECARY SERVICES INC PO BOX 350 CRYSTAL CITY MO 63019 431627267 RETAIL PHARMACY MO MERCY HOSPITAL JEFFERSON C 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 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