MERCY HOSPITAL ARDMORE INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: MERCY HOSPITAL ARDMORE INC (EIN 73-1500629)
Tax period: 2010-07-01 to 2011-06-30
Filed: 2012-05-11
IRS object ID: 201211329349300226
Schema version: 2010v3.4
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	2012-05-11T08:21:33-05:00	Timestamp
Tax Period End Date	2011-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

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	2010-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	731500629	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MERCY MEMORIAL HEALTH CENTER INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MERC	NameControl
Phone	4057523655	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1011 14TH AVENUE NW	AddressLine1
City	ARDMORE	City
State	OK	State
ZIP Code	73401	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JON VITIELLO	Name
Title	CFO	Title
Phone	4057523724	Phone
Date Signed	2012-05-11	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	3143179916	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	MALINDA BURDICK	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1011 14TH AVENUE NW	AddressLine1
City	ARDMORE	City
State	OK	State
ZIP Code	73401	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	131663252	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	WWW.MERCY.NET/ARDMOREOK	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1996	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	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	1346	TotalNbrEmployees
Total Nbr Volunteers	64	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	6376712	ContributionsGrantsPriorYear
Contributions Grants Current Year	6933916	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	125972889	ProgramServiceRevenuePriorYear
Program Service Revenue CY	121890600	ProgramServiceRevenueCY
Investment Income Prior Year	-134101	InvestmentIncomePriorYear
Investment Income Current Year	24514	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2493332	OtherRevenuePriorYear
Other Revenue Current Year	2171271	OtherRevenueCurrentYear
Total Revenue Prior Year	134708832	TotalRevenuePriorYear
Total Revenue Current Year	131020301	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	123334	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	235607	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	51535535	SalariesEtcPriorYear
Salaries Etc Current Year	49123121	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	69879666	OtherExpensePriorYear
Other Expenses Current Year	74593727	OtherExpensesCurrentYear
Total Expenses Prior Year	121538535	TotalExpensesPriorYear
Total Expenses Current Year	123952455	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	13170297	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	7067846	RevenuesLessExpensesCY
Total Assets BOY	117006157	TotalAssetsBOY
Total Assets EOY	115393489	TotalAssetsEOY
Total Liabilities BOY	23193513	TotalLiabilitiesBOY
Total Liabilities EOY	14457370	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	93812644	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	100936119	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	MERCY MEMORIAL HEALTH CENTER 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 MEMORIAL HEALTH CENTER 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	85852549	Expense
Grants	235607	Grants
Revenue	123456991	Revenue
Description	MERCY MEMORIAL HEALTH CENTER, INC. ("MERCY") PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. DURING FY2011, MERCY PROVIDED SERVICES TO 8,538 INPATIENTS, 37,622 EMERGENCY DEPARTMENT PATIENTS, AND 111,186 OUTPATIENTS. SERVICES ARE PROVIDED THROUGH A COMMUNITY-BASED, ACUTE CARE HOSPITAL, A SKILLED NURSING CENTER, AND A REHABILITATION CENTER AND A BEHAVIORAL MEDICINE 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 ENHANCEMENT 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) HEALTH EDUCATION AND WELLNESS PROGRAMS AND OTHER SUPPORT GROUP MEETINGS OFFERED TO THE COMMUNITY.2) HEALTH SERVICES SUCH AS HEALTH FAIRS AND SCREENINGS, FREE CLINICS, PRE-NATAL AND WELL BABY CARE. 3) HEALTH PROFESSIONALS ARE PROVIDED EDUCATION, INCLUDING OPPORTUNITIES FOR CLINICAL INTERNSHIPS.4) SUBSIDIZED HEALTH SERVICES INCLUDING HOSPICE, HOME HEALTH SERVICES, AND DISASTER READINESS.5) COMMUNITY HEALTH RESEARCH6) CASH AND IN-KIND DONATIONS FOR EVENTS AND FUND-RAISING7) COMMUNITY BUILDING ACTIVITIES, IN PARTNERSHIP WITH OTHER COMMUNITY ORGANIZATIONS 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 $9,862,690 IN FY2011.THE ABOVE AMOUNT DOES NOT REFLECT THE COST OF HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY HEALTH EDUCATION PROGRAMS AND OTHER COMMUNITY SUPPORT ACTIVITIES. THE SERVICES PROVIDED BY MERCY, AS WELL AS THE AMOUNT OF CHARITY CARE PROVIDED, DEMONSTRATES THE ONGOING COMMITMENT OF THE ORGANIZATION TO SERVE IN A LEADERSHIP ROLE AS AN ADVOCATE FOR RESPONSIVE HEALTHCARE SERVICES FOR THE COMMUNITY, WITH A DEEP COMMITMENT AND SENSITIVITY TO MEETING THE NEEDS OF THE POOR.	Description
Total Program Service Expense	85852549	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
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	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	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	0	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	0	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	1	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1346	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
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	11	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	JON VITIELLO	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	4057523724	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 (24 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
ALLEN DUBEA
TRUSTEE	1.00	X	0	0	0
SISTER RICHARD MARY BURKE
TRUSTEE	1.00	X	0	0	0
SISTER REBECCA ANN HENDRICKS RSM
TRUSTEE	1.00	X	0	0	0
CLAYTON LODES
TRUSTEE	1.00	X	0	0	0
BARBARA E HISEY
TRUSTEE	1.00	X	0	0	0
DAVID A WOERZ
TRUSTEE	1.00	X	0	0	0
DIANA SMALLEY
CEO	40.00	X	0	600864	183577	X
DAVID J BRENNER
TRUSTEE	1.00	X	0	0	0
JOHN L MOORE
TRUSTEE	1.00	X	0	0	0
JEFFREY CUMMING
TRUSTEE	1.00	X	0	0	0
JEFFREY ROTHER
TRUSTEE	1.00	X	0	0	0
JAMES NEWMAN
CFO, THRU 8/31/10	40.00		0	468970	86659	X
JONATHAN VITIELLO
CFO, BEGINNING 2/1/11	40.00		0	375238	49437	X
MALINDA BURDICK
PRESIDENT	40.00		0	429306	50702		X
RICHARD BARKER
ADMINISTRATOR, LOVE COUNTY	40.00		155583	0	17069		X
RYAN BARNARD
VP-OPERATIONS	40.00		185118	0	22003		X
RHONDA J HANAN
VICE PRESIDENT NURSING	40.00		184761	0	23632		X
ROY S CRAM
INFORMATICS PHARMACIST	40.00		147233	0	22796			X
LYNN A LEVERTON
INFORMATICS PHARMACIST	40.00		130284	0	13770			X
MARK P GLENN
DIRECTOR,PHARMACY SERVICES	40.00		129458	0	3266			X
DEBORAH J KIFER
EXEC DIRECTOR-QUALITY MGMT	40.00		126229	0	19330			X
PATRICIA R LONG
SR BUSINESS DEVELOPMENT SPECIALIST	40.00		125617	0	17540			X
CINDY CARMICHAEL
FORMER KEY EMPLOYEE	40.00		0	220510	12398				X
JAY JOHNSON
FORMER KEY EMPLOYEE	40.00		0	146733	34128				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1184283	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2241621	TotalReportableCompFrmRltdOrgs
Total Other Compensation	556307	TotalOtherCompensation
Number Individuals GT100 K	38	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
NABHOLZ CONSTRUCTION
1120 E RENO AVENUE	OKLAHOMA CITY	OK	73117	CONSTRUCTION	10604509
FASTAFF INC
DEPT 1452	DENVER	CO	80291	NURSING SERVICES	2500104
ARDMORE ANESTHESIA INC
PO BOX 1983	ARDMORE	OK	73402	MEDICAL SERVICES	1016899
CYMETRIX
2875 MICHELLE DRIVE STE 250	IRVINE	CA	92606	COLLECTION AGENCY	558973
EXECUTIVE HEALTH RESOURCES
15 CAMPUS BOULEVARD	NEWTOWN SQUARE	PA	19073	HEALTHCARE CONSULTING	403591

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	21	NumberOfContractorsGT100K
Related Organizations	6933916	RelatedOrganizations
Total Contributions	6933916	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	NET PATIENT REVENUE	Description
Business Code	621300	BusinessCode
Total Revenue Column	121890600	TotalRevenueColumn
Related Or Exempt Function Income	121890600	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	121890600	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	24514	TotalRevenueColumn
Exclusion	$24,514	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	649131	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	642951	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	6180	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	6180	TotalRevenueColumn
Exclusion	$6,180	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
OTHER REVENUE	900099	1440644	1440644
CAFETERIA	722210	598700		$598,700
JOINT VENTURE INCOME	900099	125747	125747

Field	Value	IRS element (for citing)
Total Other Revenue	2165091	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	131020301	TotalRevenueColumn
Related Or Exempt Function Income	123456991	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$629,394	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	235607	Total
Program Services	235607	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	564622	Total
Management And General	564622	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	38935013	Total
Program Services	32495812	ProgramServices
Management And General	6439201	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	1333776	Total
Program Services	1097676	ProgramServices
Management And General	236100	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	5756026	Total
Program Services	4683440	ProgramServices
Management And General	1072586	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	2533684	Total
Program Services	2084730	ProgramServices
Management And General	448954	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	9093304	Total
Program Services	646765	ProgramServices
Management And General	8446539	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	49407	Total
Management And General	49407	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	298061	Total
Management And General	298061	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	5341694	Total
Program Services	3897239	ProgramServices
Management And General	1444455	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	477	Total
Program Services	579	ProgramServices
Management And General	-102	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	160635	Total
Program Services	116559	ProgramServices
Management And General	44076	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	6112937	Total
Program Services	76440	ProgramServices
Management And General	6036497	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	3085796	Total
Program Services	444580	ProgramServices
Management And General	2641216	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	223691	Total
Program Services	172092	ProgramServices
Management And General	51599	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	8365522	Total
Program Services	1731714	ProgramServices
Management And General	6633808	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	565080	Total
Management And General	565080	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	16466865	16444317	22548
BAD DEBT	14725892	14725892
PHARMACEUTICALS	4624927	4613420	11507
RECRUITING EXPENSE	697338		697338

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	4782101	Total
Program Services	2385687	ProgramServices
Management And General	2396414	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	123952455	Total
Program Services	85852549	ProgramServices
Management And General	38099906	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	17674	BOY
EOY	531131	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	16966167	BOY
EOY	15769404	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	631843	BOY
EOY	130182	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1851328	BOY
EOY	1921570	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	238996	BOY
EOY	73936	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	191003587	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	94173571	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	97162899	BOY
EOY	96830016	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	137250	BOY
EOY	137250	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	117006157	BOY
EOY	115393489	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	10456027	BOY
EOY	7569855	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	201164	BOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	12536322	BOY
EOY	6887515	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	23193513	BOY
EOY	14457370	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	93812644	BOY
EOY	100936119	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	93812644	BOY
EOY	100936119	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	117006157	BOY
EOY	115393489	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	7067846	ReconcilationRevenueExpenses
Reconcilation Other Changes	55629	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
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
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	$5,530	GrantsOtherOrganizationsAmount
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	5530	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	PART IV, SUPPLEMENTAL INFORMATION:	Identifier
Explanation	THE ORGANIZATION IS A MEMBER OF AND PAYS DUES TO THE OKLAHOMA HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION. FOR THE YEAR ENDED JUNE 30, 2011, DUES WERE $38,618 AND $13,101 RESPECTIVELY. APPROXIMATELY 8.79% OF OKLAHOMA HOSPITAL ASSOCIATION DUES AND 16.3% OF AMERICAN HOSPITAL ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED.	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2849325	OtherCostOrOtherBasis
Book Value	2849325	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	96471889	OtherCostOrOtherBasis
Depreciation	28954933	Depreciation
Book Value	67516956	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	83118833	OtherCostOrOtherBasis
Depreciation	64095832	Depreciation
Book Value	19023001	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	8563540	OtherCostOrOtherBasis
Depreciation	1122806	Depreciation
Book Value	7440734	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	96830016	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
MEDICARE SETTLEMENTS	$677,113
DUE TO AFFILIATES	$6,210,402

Field	Value	IRS element (for citing)
Total Of Amounts	6887515	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	Identifier
Return Reference	PART X:	ReturnReference
Explanation	THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF MERCY HEALTH AND SUBSIDIARIES DO NOT INCLUDE A FOOTNOTE TO REPORT THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX PROVISIONS UNDER FIN 48, 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
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
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	5286039	TotalCommunityBenefitExpense
Net Community Benefit Expense	5286039	NetCommunityBenefitExpense
Percent Of Total Expense	0.04840	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4576651	TotalCommunityBenefitExpense
Net Community Benefit Expense	4576651	NetCommunityBenefitExpense
Percent Of Total Expense	0.04190	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9862690	TotalCommunityBenefitExpense
Net Community Benefit Expense	9862690	NetCommunityBenefitExpense
Percent Of Total Expense	0.09030	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	24916	TotalCommunityBenefitExpense
Net Community Benefit Expense	24916	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	119128	TotalCommunityBenefitExpense
Net Community Benefit Expense	119128	NetCommunityBenefitExpense
Percent Of Total Expense	0.00110	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	73260	TotalCommunityBenefitExpense
Net Community Benefit Expense	73260	NetCommunityBenefitExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	217304	TotalCommunityBenefitExpense
Net Community Benefit Expense	217304	NetCommunityBenefitExpense
Percent Of Total Expense	0.00200	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	10079994	TotalCommunityBenefitExpense
Net Community Benefit Expense	10079994	NetCommunityBenefitExpense
Percent Of Total Expense	0.09230	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	2031	TotalCommunityBuildingExpense
Net Community Building Expense	2031	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	24814	TotalCommunityBuildingExpense
Net Community Building Expense	24814	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	3601	TotalCommunityBuildingExpense
Net Community Building Expense	3601	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	1157	TotalCommunityBuildingExpense
Net Community Building Expense	1157	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Total Community Building Expense	15973	TotalCommunityBuildingExpense
Net Community Building Expense	15973	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	47576	TotalCommunityBuildingExpense
Net Community Building Expense	47576	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$4,267,799	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	48444936	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	55277857	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-6832921	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 ARDMORE	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	1011 14TH AVENUE NW	AddressLine1
City	ARDMORE	City
State	OK	State
ZIP Code	73401	ZIPCode

Field	Value	IRS element (for citing)
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	NOT REQUIRED	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)

ExplanationExplanation
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 $ 14725892.
PART II: MERCY HOSPITAL ARDMORE (MHA) 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, MHA 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. MERCY CO-WORKERS PARTICIPATE AS BOARD MEMBERS, VOLUNTEERS GIVING HOURS OF HANDS-ON ASSISTANCE, PROGRAM DEVELOPMENT AND FUND RAISING. SOME OF THE COMMUNITY BUILDING ACTIVITIES IN WHICH MHA SERVES ARE:- SOUP KITCHEN AND GOOD SHEPHERD CLINIC.- YMCA, GRACE CENTER, BOYS AND GIRLS CLUB, ADULT DAY CENTER, C-SARA FOUNDATION AND RELAY FOR LIFE.- UNITED WAY, CROSS TIMBERS HOSPICE, MARCH OF DIMES, TURNING POINT AND TOBACCO COALITION.THROUGH THESE PROGRAMS THOSE IN NEED RECEIVE DAY CARE AT REDUCED RATES, THOSE WITHOUT HEALTHCARE INSURANCE OR GOVERNMENTAL SUPPORT RECEIVE CARE AND ADULTS AND CHILDREN RECEIVE EDUCATION AND MENTORING TO ACHIEVE HEALTH AND IMPROVED LIFE QUALITY. PROGRAMS ARE FUNDED WHICH PROMOTE POSITIVE LIFESTYLE CHOICES.
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 COLLECTIONS POLICIES OF THEHEALTH SYSTEMS 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 ASSESS 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 ARDMORE 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 CHARGES NET OF THE COST TO CHARGE RATIO LESS ANY PAYMENTS, DEDUCTIONS OR REIMBURSMENTS USING THE ANNUAL MEDICARE COST REPORT (CMS FORM 2552-96)
PART III, LINE 9B: MERCY HOSPITAL ARDMORE ("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 $10,000.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 CONSISTENTWITH MERCY MISSION AND VALUES. ADDITIONALLY THEY MAY INCLUDE LIENS UPONREAL PROPERTY AND REASONABLE WAGE GARNISHMENTS. LEGAL ACTIONS WILLGENERALLY NOT INCLUDE BANK GARNISHMENT, REPOSSESSION OF ASSETS ORFORECLOSURES TO ENFORCE SATISFACTION OF A LIEN. MERCY HAS POLICIES ANDPROCEDURES ESTABLISHED TO ADDRESS THE INITIATION OF LEGAL ACTION ANDANNUALLY REVIEWS COMPLIANCE WITH ALL POLICIES.
PART VI, LINE 2: ONE STEP IN THE NEEDS ASSESSMENT PROCESS INCLUDED RECEIVING AND ASSESSING INFORMATION FROM THE TURNING POINT COALITION WHICH REPRESENTS CARTER COUNTY AND THE SURROUNDING COUNTIES AS WELL. THROUGH THIS COALITION MERCY HOSPITAL ARDMORE STAYS APPRISED OF CURRENT NEEDS AND WORKS BOTH INDEPENDENTLY AND COLLABORATIVELY TO MEET THESE NEEDS. ADDITIONALLY, COMMUNITY ROUNDTABLE MEETINGS WERE HELD IN ARDMORE, WHICH ARE LOCATED IN THE MERCY HOSPITAL ARDMORE SERVICE AREA. PARTICIPANTS SHARED THEIR VIEWS ON BOTH THE CURRENT AND FUTURE STATE OF HEALTH IN THEIR COMMUNITIES.
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. 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) MUST FIRST FIND OUT IF THEY ARE ELIGIBLE FOR MEDICAID BEFORE APPLYING FOR FINANCIAL ASSISTANCE. PATIENTS DENIED MEDICAID ELIGIBILITY THEN MUST PROVIDE CERTAIN INFORMATION TO SHOW FINANCIAL NEED. APPLICATIONS FOR CHARITY CARE DISCOUNTS WILL BE REVIEWED FOR ELIGIBILITY BASED ON THE APPLICANT'S INCOME, FAMILY SIZE, AMOUNT OF PAYMENT DUE AND AVAILABILITY OF OTHER ASSETS OR RESOURCES. PLEASE NOTE THAT CARE MUST BE MEDICALLY NECESSARY TO BE CONSIDERED ELIGIBLE FOR UNINSURED PATIENT DISCOUNTS. ELIGIBILITY GUIDELINES FOR CHARITY CARE DISCOUNTS THE FEDERAL POVERTY GUIDELINES FOR INCOME ARE THE BASIS FOR DETERMINING ELIGIBILITY FOR CHARITY CARE DISCOUNTS. FOR EXAMPLE, INDIVIDUALS WITH INCOMES BELOW 100% OF THE FEDERAL POVERTY GUIDELINES WILL BE ELIGIBLE FOR FREE CARE. INDIVIDUALS WITH INCOMES GREATER THAN 100% OF THE FEDERAL POVERTY GUIDELINES MAY BE ELIGIBLE FOR CARE AT DISCOUNTED RATES DEPENDING ON THEIR INCOME LEVEL AND/OR THE AMOUNT DUE TO THE HOSPITAL. ADDITIONAL FINANCIAL ASSISTANCE AFTER APPROPRIATE DISCOUNTS HAVE BEEN APPLIED, ARRANGEMENTS MAY BE MADE FOR AN INTEREST-FREE MONTHLY PAYMENT PLAN. GENERALLY, NO PATIENT'S FINANCIAL RESPONSIBILITY WILL BE GREATER THAN 10% OF ANNUAL HOUSEHOLD INCOME, ADJUSTED TO CONSIDER AVAILABILITY OF OTHER ASSETS THAT COULD BE USED TOWARD MAKING PAYMENTS.
PART VI, LINE 4: MERCY HOSPITAL ARDMORE IS LOCATED IN ARDMORE, OKLAHOMA. MERCY HOSPITAL ARDMORE PRIMARILY SERVES THOSE IN URBAN/SUBURBAN ARDMORE AND THE CARTER COUNTY AREA. ARDMORE IS A COMMUNITY OF APPROXIMATELY 30,000 PEOPLE, AND IS THE CENTER OF BUSINESS AND TRADE FOR SOUTHERN OKLAHOMA. SURROUNDING TOWNS AND RURAL HOMES BRING THE TOTAL POPULATION OF CARTER COUNTY INCLUDING ARDMORE CLOSE TO 50,000.- A REVIEW OF THE COMMUNITY HEALTH STATUS FOR CARTER COUNTY FOUND ISSUES RELATED TO POVERTY AND THE UNINSURED RATE; DRUG AND ALCOHOL ABUSE; CHILD NEGLECT AND ABUSE; INJURIES RELATING TO FALLS AND WORK-RELATED ACTIVITIES ARE ALL PRESENT.- RISK FACTORS THAT CONTRIBUTE TO PREMATURE DEATH ARE HIGH BLOOD PRESSURE, SMOKING, DIABETES AND ADULT OBESITY.- IDENTIFIED HEALTH NEEDS: TOBACCO USE IS HIGH, INCREASING POPULATION IS OVERWEIGHT, HEALTH INSURANCE COVERAGE IS LOW, CHRONIC DISEASE RATES ARE HIGH AND CANCER SCREENING RATES ARE LOW.
PART VI, LINE 6: MERCY HOSPITAL ARDMORE (MHA) 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 MHA'S COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITIES IT SERVES, MHA PROVIDES CARE TO PATIENTS REGARDLESS OF ABILITY TO PAY. AS DEFINED BY THE INSTITUTION'S CHARITY POLICY, MHA DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY FOR CHARITY CARE. IN ADDITION, MHA 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.MHA 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 MHA.SURPLUS FUNDS AND UNRESTRICTED ASSETS HELD BY MHA 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. EXAMPLES INCLUDE THE FOLLOWING: - CONVERSION TO THE EPIC ELECTRONIC HEALTH RECORD SYSTEM. THIS PLATFORM ALLOWS CONTINUITY OF PATIENT MEDICAL RECORD ACCESS BY PROVIDERS THROUGHOUT THE MERCY SYSTEM AND ALSO ALLOWS THE PATIENT TO ACCESS INFORMATION FROM THEIR OWN RECORDS, ALLOWING MORE COMPLETE AND MEANINGFUL COMMUNICATION, INFORMATION AND HEALTH EDUCATION FOR THE COMMUNITY. - OPENING OF MHA'S NEW 180,000-SQUARE-FOOT PATIENT TOWER WITH 158 PRIVATE ROOMS WHICH DOUBLED THE NUMBER AND SIZE OF THE CURRENT PRIVATE ROOMS. THE $60 MILLION PATIENT TOWER HOUSES PRIVATE ROOMS, A WOMEN'S HEALTH CENTER AND AN IMPROVED INTENSIVE CARE UNIT.
PART VI, LINE 7: 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, 2011, MERCY FACILITIES INCLUDED 31 HOSPITALS WITH 3,822 ACUTE LICENSED BEDS (3,393 ACUTE AVAILABLE BEDS). FOR THE FISCAL YEAR ENDED JUNE 30, 2011, MERCY HAD 4.4 MILLION PROVIDER VISITS AND 2.4 MILLION OUTPATIENT VISITS, MORE THAN 1,300 EMPLOYED PHYSICIANS, AND APPROXIMATELY 29,000 FULL-TIME EQUIVALENT EMPLOYEES, MAKING MERCY THE EIGHTH 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.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
OKLAHOMA NURSES ASSOCIATION
6414 N SANTA FE SUITE A	OKLAHOMA CITY	OK	73116	730563323	501(C)(3)	5000	GENERAL OPERATIONS
ARDMORE CHAMBER OF COMMERCE
PO BOX 1585	ARDMORE	OK	73402	730130860	501(C)(6)	13500	GENERAL OPERATIONS

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	1	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	TUITIONS SCHOLARSHIPS	TypeOfGrant
Number Of Recipients	20	NumberOfRecipients
Amount Of Cash Grant	65085	AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	OTHER INFORMATION:	Identifier
Return Reference	PART IV:	ReturnReference
Explanation	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)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Severance Payment	1	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 (10 entries)

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
DIANA SMALLEY
0	411753	0	180335	0	8776	0	169434	0	14143	0	784441	0	0
JAMES NEWMAN
0	167633	0	114755	0	186582	0	77196	0	9463	0	555629	0	0
JONATHAN VITIELLO
0	260553	0	108343	0	6342	0	35784	0	13653	0	424675	0	0
MALINDA BURDICK
0	273565	0	128400	0	27341	0	43345	0	7357	0	480008	0	0
RICHARD BARKER
122369	0	19405	0	13809	0	15830	0	1239	0	172652	0	0	0
RYAN BARNARD
145838	0	23483	0	15797	0	8869	0	13134	0	207121	0	0	0
RHONDA J HANAN
147135	0	24837	0	12789	0	10411	0	13221	0	208393	0	0	0
ROY S CRAM
121512	0	0	0	25721	0	13796	0	9000	0	170029	0	0	0
CINDY CARMICHAEL
0	183774	0	28141	0	8595	0	6081	0	6317	0	232908	0	0
JAY JOHNSON
0	90810	0	0	0	55923	0	26371	0	7757	0	180861	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
PART I, LINE 1A	CHARTER TRAVEL IS PROVIDED TO ALL EMPLOYEES AS DEEMED NECESSARY FOR BUSINESS TRAVEL AND PURSUANT TO THE APPROVAL BY THE FINANCE DEPARTMENT. 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 UNDER LIMITED CIRCUMSTANCES IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. WHERE COMPANION TRAVEL HAS RESULTED IN A TAXABLE EVENT, THE EMPLOYEES ARE TAXED FOR SUCH TRAVEL. LIMITED INSTANCES OF TAX GROSS-UPS MAY HAVE OCCURRED WITH RESPECT TO EXECUTIVES. HOUSING BENEFITS ARE PROVIDED THROUGH A RELOCATION PROGRAM IN ACCORDANCE WITH COMPANY POLICY. SUCH BENEFITS ARE SUBJECT TO TAX TO THE EMPLOYEE. 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, LINES 4A-B	JAMES NEWMAN RECEIVED $95,142 OF SEVERANCE COMPENSATION FROM MERCY HEALTH. PART I, LINE 4B: MERCY HEALTH, THE PARENT COMPANY, OFFERS SUPPLEMENTAL RETIREMENT PLANS TO CERTAIN EXECUTIVES WHICH PROVIDE BENEFITS UPON RETIREMENT BASED ON COMPENSATION, AGE AT THE TIME OF BENEFIT COMMENCEMENT, LENGTH OF SERVICE WITH THE COMPANY AND/OR ITS AFFILIATES, AND LENGTH OF TENURE IN THE PLAN. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL MANAGEMENT RETIREMENT PLAN: MINDY BURDICK JAMES NEWMAN JONATHAN VITIELLO THE INDIVIDUALS LISTED ABOVE DID NOT RECEIVE PAYMENTS FROM THE SUPPLEMENTAL MANAGEMENT RETIREMENT PLAN DURING THE YEAR FROM THE FILING ORGANIZATION OR RELATED ORGANIZATIONS. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN: DIANA SMALLEY THE INDIVIDUAL LISTED ABOVE DID NOT RECEIVE PAYMENTS FROM THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN DURING THE YEAR FROM THE FILING ORGANIZATION OR RELATED ORGANIZATIONS. THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C).
PART I, LINE 7	THE RELATED ORGANIZATION WHICH EMPLOYS THOSE INDIVIDUALS LISTED ON PART VII, AND THE FILING ORGANIZATION WHEN APPLICABLE, PROVIDES A NON-FIXED BONUS PLAN FOR WHICH CERTAIN TIERS OF ITS EMPLOYEES ARE ELIGIBLE. FOR FISCAL YEAR 2011 (JULY 1, 2010 - JULY 30, 2011) 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	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

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	ARDMORE SURGICAL MANAGEMENT (ASM)	BusinessNameLine1

Field	Value	IRS element (for citing)
Relationship	PAMELA L. KIMBROUGH IS A BOARD MEMBER OF THE ORGANIZATION & ASM SHAREHOLDER	Relationship
Amount Of Transaction	236652	AmountOfTransaction
Description Of Transaction	INDEPENDENT CONTRACTOR - AMOUNT IS BASED ON FORM 1099 AMOUNT AND NOT FISCAL YEAR	DescriptionOfTransaction
Sharing Of Revenues	0	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (15 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 6	MERCY HEALTH OKLAHOMA COMMUNITIES IS THE SOLE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A	MERCY HEALTH OKLAHOMA COMMUNITIES (THE MEMBER) MAY APPOINT OR REMOVE MEMBERS OF THE BOARD OF DIRECTORS AT ANY TIME AT THE MEMBER'S DISCRETION.
FORM 990, PART VI, SECTION A, LINE 7B	MERCY HEALTH OKLAHOMA COMMUNITIES HAS THE FOLLOWING POWERS AND RESPONSIBILITIES: -TO APPROVE THE MISSION AND ESTABLISH THE PHILOSOPHY ACCORDING TO WHICH THE CORPORATION SHALL OPERATE; -TO AMEND AND APPROVE THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION AND TO AMEND AND APPROVE THE ARTICLES OF INCORPORATION AND BYLAWS OF ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO APPOINT AND REMOVE THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION; -TO APPROVE OR AMEND THE STRATEGIC PLAN, GOALS AND OBJECTIVES OF THE CORPORATION; -TO APPROVE OR AMEND THE OPERATING, CAPITAL, AND CONSTRUCTION BUDGETS FOR THE CORPORATION; -TO LEASE OR SELL ANY OF THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION IN EXCESS OF ONE MILLION DOLLARS ($1,000,000); -TO ENCUMBER ANY OR ALL OF THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO AUTHORIZE AND APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTY ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; -TO MERGE, DISSOLVE, OR ABANDON THE CORPORATION; AND, -TO APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION BY THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11	THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM, USING INFORMATION PROVIDED BY THE FILING ORGANIZATION. A DRAFT FORM 990 IS REVIEWED BY THE FILING ORGANIZATION'S FINANCE TEAM. THE DRAFT FORM 990 IS ALSO REVIEWED BY THE MERCY HEALTH TAX DEPARTMENT, TO ENSURE ACCURACY AND CONSISTENCY WITH OTHER RELATED ORGANIZATIONS' FORM 990S. AFTER QUESTIONS ARISING FROM THE VARIOUS REVIEWS ARE ADDRESSED AND INCORPORATED INTO THE FORM 990, A REVISED DRAFT IS PROVIDED TO THE FILING ORGANIZATION'S LEADERSHIP TEAM FOR REVIEW. ONCE REVIEWED AND APPROVED BY THE FILING ORGANIZATION'S LEADERSHIP TEAM, THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW; IT IS THEN SIGNED AND FILED WITH THE IRS.
	THE BOARD ANNUALLY RECEIVES A CONFLICT OF INTEREST QUESTIONAIRE. THE ORGANIZATION HAS A COMPLIANCE DEPARTMENT TO MONITOR AND ENFORCE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY.	FORM 990, PART VI, SECTION B, LINE 12C
	FOR THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS), THE ORGANIZATION USES THE FOLLOWING TO ESTABLISH COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT, AND REVIEW/APPROVAL OF COMPENSATION BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF MERCY HEALTH. FOR THOSE CLASSIFIED AS KEY EMPLOYEES, THE ORGANIZATION USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, AND REVIEW/APPROVAL OF EXECUTIVE MANAGEMENT. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS, AND A REVIEW WAS COMPLETED DURING THE REPORTING YEAR.	FORM 990, PART VI, SECTION B, LINE 15A
	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS HAVE BEEN MADE AVAILABLE FROM TIME TO TIME BUT ARE NOT PUBLISHED PUBLICLY.	FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:	AWARDS FROM MH FOUNDATION ARDMORE ADJUSTMENT -13,603. TRANSFERS TO/FROM MCS 22,396. PRIOR YEAR UNALLOCATED INCOME 172,583. INCOME FROM JOINT VENTURE -125,747. TOTAL TO FORM 990, PART XI, LINE 5: 55,629.	FORM 990, PART XI, LINE 5:
AUDITED FINANCIAL STATEMENTS	THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN THE MERCY HEALTH AND SUBSIDIARIES ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 2011 (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 FINANCE, AUDIT, AND COMPLIANCE COMMITTEE OF THE MERCY HEALTH BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE.	PART XI, LINE 2
SINGLE AUDIT ACT AND OMB CIRCULAR A-133	THE CONSOLIDATED GROUP OF MERCY HEALTH IS REQUIRED TO UNDERGO AN AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133. THE SINGLE AUDIT WAS CONDUCTED ON A CONSOLIDATED BASIS.	PART XI, LINE 3
MERCY HOSPITALS EAST COMMUNITIES	MERCY HOSPITALS EAST COMMUNITIES HEALTH SYSTEM CONSISTS OF MERCY HOSPITALS EAST COMMUNITIES ST. LOUIS, EIN 43-065393, AND MERCY HOSPITALS EAST COMMUNITIES WASHINGTON, EIN 43-1066883.	FORM 990, SCHEDULE R, PART II
SYSTEM LIMITATIONS	LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY HEALTH AND SUBSIDIARIES. THE MAJORITY OF THE INTERCOMPANY/RELATED ORGANIZATION TRANSACTIONS ARE PROCESSED THROUGH LAWSON VIA INTERCOMPANY JOURNAL ENTRIES. WITH THE CURRENT DESIGN OF THE ERP SYSTEM, THERE ARE VARIOUS LIMITATIONS ON THE RELATED ORGANIZATION INFORMATION THAT CAN BE EXTRACTED FROM LAWSON. DUE TO THESE LIMITATIONS, MOST OF THE RELATED ORGANIZATION ACTIVITY FOR THE FILING ORGANIZATION HAS BEEN CLASSIFIED ON SCHEDULE R,PART V, IN LINES O & P.	FORM 990, SCHEDULE R, PART V
HOURS PER WEEK	SEVERAL INDIVIDUALS ARE DISCLOSED AS OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ON MULTIPLE FORM 990S THAT ARE FILED BY ORGANIZATIONS INCLUDED IN THE MERCY HEALTH OKLAHOMA COMMUNITIES SYSTEM. THE AVERAGE HOURS PER WEEK REPORTED INCLUDES HOURS WORKED FOR ALL OF THESE ORGANIZATIONS.	FORM 990, PART VII
INDEPENDENT CONTRACTORS	INDEPENDENT CONTRACTORS FOR THE FILING ORGANIZATION ARE PAID BY MERCY HEALTH (EIN 43-1423050). AS SUCH, ALL REQUIRED FORM 1099 AND FORM 1096 REPORTING IS MADE FOR THE ENTIRE HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN.	FORM 990, PART V, LINE 1A
	DURING THE TAX YEAR ENDED JUNE 30, 2012, SISTERS OF MERCY HEALTH SYSTEM ("MERCY HEALTH") BEGAN A SYSTEM-WIDE REBRANDING INITIATIVE TO HELP PATIENTS, PHYSICIANS, CO-WORKERS, AND THE PUBLIC BETTER UNDERSTAND THE FULL SCOPE AND LOCATIONS OF MERCY HEALTH'S SERVICES. SEVERAL OF THE MERCY HEALTH AFFILIATES HAVE CHANGED OR ARE IN THE PROCESS OF CHANGING LEGAL NAMES. PRIOR TO FILING THE 2010 FORMS 990 (DUE MAY 15, 2012), MERCY HEALTH NOTIFIED THE IRS OF THESE NAME CHANGES, THEREFORE BOX B "NAME CHANGE" HAS NOT BEEN CHECKED ON THIS FORM 990. REFER TO SCHEDULE R, PART VII FOR A LIST OF THE NAME CHANGES.	SCHEDULE O DISCLOSURE FORM 990, HEADING, BOX B

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (64 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
ADVANCE CARE HOSPITAL
300 WERNER ST 3RD FLOOR	HOT SPRINGS	AR	71913	710816634	LONG TERM ACUTE-CARE HOSPITAL	AR	501C3	3	MERCY HEALTH	0
CASA DE MISERICORDIA
1602 MCCLELLAND STREET	LAREDO	TX	78044	742912461	WOMEN'S DOMESTIC VIOLENCE SHELTER	TX	501C3	9	MERCY MINISTRIES OF LAREDO	0
LAREDO MEDICAL GROUP
14528 S OUTER FORTY ST 100	CHESTERFIELD	MO	63017	742764726	INACTIVE	TX	501C3	9	MERCY HEALTH SYSTEM TX	0
MCAULEY PORTFOLIO MGMT CO
14528 S OUTER FORTY ST 100	CHESTERFIELD	MO	63017	261708048	PORTFOLIO MANAGEMENT	MO	501C3	11-II	MERCY HEALTH	0
MERCY CLINIC EAST COMMUNITIES
645 MARYVILLE CTR DR STE 100	ST LOUIS	MO	63141	431771217	PHYSICIAN GROUP	MO	501C3	9	MERCY HEALTH EAST COMMUNITIES	0
MERCY CLINIC FORT SMITH COMM
7301 ROGERS AVENUE	FORT SMITH	AR	72917	261318597	PHYSICIAN CLINIC	AR	501C3	3	MERCY HEALTH FORT SMITH COMM	0
MERCY CLINIC HOT SPRINGS COMM
1 MERCY LANE	HOT SPRINGS	AR	71913	261125131	PHYSICIAN CLINIC	AR	501C3	9	MERCY HEALTH HOT SPRINGS COMM	0
MERCY CLINIC OKLAHOMA COMM
4300 W MEMORIAL ROAD	OKLAHOMA CITY	OK	73120	270473057	PHYSICIAN GROUP/CLINIC	OK	501C3	9	MERCY HEALTH OK COMMUNITIES	0
MERCY CLINIC SPRINGFIELD COMM
1965 FREMONT STREET SUITE 2950	SPRINGFIELD	MO	65804	431560263	PHYSICIAN GROUP	MO	501C3	3	MERCY HEALTH SPRINGFIELD COMM	0
MERCY EMERGENCY MED SRVS
4300 W MEMORIAL ROAD	OKLAHOMA CITY	OK	73120	810627035	INACTIVE	OK	501C3	9	MERCY HOSPITAL OKLAHOMA CITY	0
MERCY FDTN HEALTH INNOV
14528 S OUTER FORTY ST 100	CHESTERFIELD	MO	63017	200901499	FOUNDATION	MO	501C3	11-II	MERCY HEALTH	0
MERCY HEALTH
14528 S OUTER FORTY ST 100	CHESTERFIELD	MO	63017	431423050	HEALTH SYSTEM - CORPORATE OFFICE	MO	501C3	11-II		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	0
MERCY HEALTH FORT SMITH COMM
7301 ROGERS AVENUE	FORT SMITH	AR	72917	261318515	HOLDING COMPANY	AR	501C3	11-II	MERCY HEALTH	0
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	0
MERCY HEALTH FOUNDATION FT SCOTT
401 WOODLAND HILLS BLVD	FORT SCOTT	KS	66701	481077073	FOUNDATION	KS	501C3	11-III	MERCY KANSAS COMMUNITIES INC	0
MERCY HEALTH FOUNDATION HOT SPRINGS
300 WERNER STREET	HOT SPRINGS	AR	71913	710804718	FOUNDATION	AR	501C3	11-II	MERCY HOSPITAL HOT SPRINGS	0
MERCY HEALTH FOUNDATION INDEPENDENCE
800 W MYRTLE	INDEPENDENCE	KS	67301	481079981	FOUNDATION	KS	501C3	11-I	MERCY KANSAS COMMUNITIES INC	0
MERCY HEALTH FOUNDATION JOPLIN
2727 MCCLELLAND BLVD	JOPLIN	MO	64804	270906136	FOUNDATION	MO	501C3	11-I	MERCY HEALTH SW MOKS COMM	0
MERCY HEALTH FOUNDATION NW ARK
2710 RIFE MEDICAL LN	ROGERS	AR	72858	710601687	FOUNDATION	AR	501C3	11-III	MERCY HOSPITAL ROGERS	0
MERCY HEALTH FOUNDATION OK CITY
4300 W MEMORIAL ROAD	OKLAHOMA CITY	OK	73120	731593024	FOUNDATION	OK	501C3	11-I	MERCY HOSPITAL OKLAHOMA CITY	0
MERCY HEALTH FOUNDATION SPRINGFIELD
1235 E CHEROKEE STREET	SPRINGFIELD	MO	65804	320195818	FOUNDATION	MO	501C3	11-II	MERCY HEALTH SPRINGFIELD COMM	0
MERCY HEALTH FOUNDATION STL
615 SOUTH NEW BALLAS ROAD	ST LOUIS	MO	63141	562410020	FOUNDATION	MO	501C3	11-II	MERCY HEALTH EAST COMMUNITIES	0
MERCY HEALTH FOUNDATION WASHINGTON
901 E FIFTH STREET	WASHINGTON	MO	63090	562410022	FOUNDATION	MO	501C3	11-II	MERCY HEALTH EAST COMMUNITIES	0
MERCY HEALTH HOT SPRINGS COMM
300 WERNER STREET	HOT SPRINGS	AR	71913	261125064	HOLDING COMPANY	AR	501C3	11-II	MERCY HEALTH	0
MERCY HEALTH NW ARK COMMUNITIES
2710 RIFE MEDICAL LN	ROGERS	AR	72758	621684203	PHYSICIAN GROUP	AR	501C3	11-II	MERCY HEALTH	0
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
2727 MCCLELLAND BLVD	JOPLIN	MO	64804	300584463	HEALTH SYSTEM	MO	501C3	11-II	MERCY HEALTH	0
MERCY HEALTH SPRINGFIELD COMM
1235 E CHEROKEE STREET	SPRINGFIELD	MO	65804	431856028	HOLDING COMPANY	MO	501C3	11-II	MERCY HEALTH	0
MERCY HEALTH SYSTEM TX
14528 S OUTER FORTY ST 100	CHESTERFIELD	MO	63017	742764727	INACTIVE	TX	501C3	11-II	MERCY HEALTH	0
MERCY HOME HEALTH BERRYVILLE
214 CARTER STREET	BERRYVILLE	AR	72616	870781247	HOME HEALTH AND HOSPICE OPERATIONS.	AR	501C3	11-III	MERCY HOSPITAL SPRINGFIELD	0
MERCY HOSPITAL AURORA
500 PORTER AVENUE	AURORA	MO	65605	431936696	OPERATING CO FOR LEASED HOSP	MO	501C3	3	MERCY HEALTH SPRINGFIELD COMM	0
MERCY HOSPITAL BERRYVILLE
214 CARTER STREET	BERRYVILLE	AR	72616	710759299	HOSPITAL	AR	501C3	3	MERCY HEALTH SPRINGFIELD COMM	0
MERCY HOSPITAL CASSVILLE
94 MAIN STREET	CASSVILLE	MO	65625	431936699	OPERATING CO FOR LEASED HOSP	MO	501C3	3	MERCY HEALTH SPRINGFIELD COMM	0
MERCY HOSPITAL COLUMBUS
220 PENNSYLVANIA AVENUE	COLUMBUS	KS	66725	270842031	CRITICAL ACCESS HOSPITAL	MO	501C3	9	MERCY HEALTH SW MOKS COMM	0
MERCY HOSPITAL EL RENO
2115 PARKVIEW DRIVE	EL RENO	OK	73036	736617948	OPERATING CO FOR LEASED HOSP	OK	501C3	3	MERCY HEALTH OK COMMUNITIES	0
MERCY HOSPITAL FORT SMITH
7301 ROGERS AVENUE	FORT SMITH	AR	72917	710240352	HOSPITAL	AR	501C3	3	MERCY HEALTH FORT SMITH COMM	0
MERCY HOSPITAL HEALDTON
918 SOUTH STREET	HEALDTON	OK	73438	263173902	HOSPITAL	OK	501C3	3	MERCY HOSPITAL ARDMORE	1
MERCY HOSPITAL HOT SPRINGS
300 WERNER STREET	HOT SPRINGS	AR	71913	710236913	HOSPITAL	AR	501C3	3	MERCY HEALTH HOT SPRINGS COMM	0
MERCY HOSPITAL JOPLIN
2727 MCCLELLAND BLVD	JOPLIN	MO	64804	270814858	HOSPITAL	MO	501C3	9	MERCY HEALTH SW MOKS COMM	0
MERCY HOSPITAL LEBANON
100 HOSPITAL DRIVE	LEBANON	MO	65536	431767432	HOSPITAL	MO	501C3	3	MERCY HEALTH SPRINGFIELD COMM	0
MERCY HOSPITAL OF LAREDO
14528 S OUTER FORTY ST 100	CHESTERFIELD	MO	63017	741189682	INACTIVE	TX	501C3	3	MERCY HEALTH SYSTEM TX	0
MERCY HOSPITAL OKLAHOMA CITY
4300 W MEMORIAL ROAD	OKLAHOMA CITY	OK	73120	730579285	HOSPITAL	OK	501C3	3	MERCY HEALTH OK COMMUNITIES	0
MERCY HOSPITAL OZARK
801 W RIVER STREET	OZARK	AR	72949	710689680	HOSPITAL	AR	501C3	3	MERCY HOSPITAL FORT SMITH	0
MERCY HOSPITAL PARIS
500 E ACADEMY	PARIS	AR	72855	710655753	HOSPITAL	AR	501C3	3	MERCY HOSPITAL FORT SMITH	0
MERCY HOSPITAL ROGERS
2710 RIFE MEDICAL LN	ROGERS	AR	72758	710294390	HOSPITAL	AR	501C3	3	MERCY HEALTH NW ARK COMMUNITIES	0
MERCY HOSPITAL SPRINGFIELD
1235 E CHEROKEE STREET	SPRINGFIELD	MO	65804	440552485	HOSPITAL	MO	501C3	3	MERCY HEALTH SPRINGFIELD COMM	0
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	0
MERCY HOSPITALS EAST COMM
645 MARYVILLE CTR DR STE 100	ST LOUIS	MO	63141	430653493	HOSPITAL	MO	501C3	3	MERCY HEALTH EAST COMMUNITIES	0
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	0
MERCY MEDICAL RESEARCH INST
1235 E CHEROKEE STREET	SPRINGFIELD	MO	65804	870796305	RESEARCH - CLINICAL TRIALS	MO	501C3	3	MERCY HEALTH SPRINGFIELD COMM	0
MERCY MINISTRIES OF LAREDO
2500 ZACATECAS	LAREDO	TX	78043	200198462	HEALTHCARE, OUTREACH,FOOD PANTRY.	TX	501C3	3	MERCY HEALTH	0
MERCY ST FRANCIS HOSPITAL
100 W HIGHWAY 60	MOUNTAIN VIEW	MO	65548	440607149	HOSPITAL	MO	501C3	3	MERCY HEALTH SPRINGFIELD COMM	0
MERCY SUPPORT SERVICES
615 S NEW BALLAS ROAD	ST LOUIS	MO	63141	431677952	INACTIVE	MO	501C3	11-III	MERCY HOSPITALS EAST COMM	0
MHM SUPPORT SERVICES
14528 S OUTER FORTY ST 100	CHESTERFIELD	MO	63017	202553101	CENTRALIZED HEALTH SYSTEM FUNCTIONS	MO	501C3	11-II	MERCY HEALTH	0
MISSION CLINICAL SERVICES
300 WERNER STREET	HOT SPRINGS	AR	71913	134239691	PHYSICIAN CLINICS	AR	501C3	11-II	MERCY HEALTH HOT SPRINGS COMM	0
SISTERS OF MERCY MINISTRIES
14528 S OUTER FORTY ST 100	CHESTERFIELD	MO	63017	721069468	FAMILY COUNSELING;SOCIAL JUSTICE ADVOCACY	MO	501C3	9	MERCY HEALTH	0
ST EDWARD MERCY FOUNDATION
PO BOX 17000	FORT SMITH	AR	72917	237330425	FOUNDATION	AR	501C3	3	MERCY HOSPITAL FORT SMITH	0
ST JOHNS CHILDRENS HOSP
1235 E CHEROKEE STREET	SPRINGFIELD	MO	65804		INACTIVE	MO	501C3	3	MERCY HEALTH SPRINGFIELD COMM	0
ST MARYS HOSP ENID OK
14528 S OUTER FORTY ST 100	CHESTERFIELD	MO	63017	730614655	INACTIVE	OK	501C3	3	MERCY HEALTH OK COMMUNITIES	0
THE SR M CORNELIA BLASKO FN
100 W HIGHWAY 60	MOUNTAIN VIEW	MO	65548	431873914	FOUNDATION	MO	501C3	11-I	MERCY ST FRANCIS HOSPITAL	0
UNITY AMBULATORY CARE
645 MARYVILLE CTR DR STE 100	ST LOUIS	MO	63141	431861745	INACTIVE	MO	501C3	11-III	MERCY HEALTH EAST COMMUNITIES	0

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner
SOUTHERN OKLAHOMA DIAG CTR LLC
1011 FOURTEENTH AVENUE NW	ARDMORE	OK	73401	431971232	MRI SERVICES	OK	N/A	RELATED	125747	531510	0	0
RESOURCE OPTIMIZ & INNOVLLC
645 MARYVILLE CTR DRSTE 200	ST LOUIS	MO	63141	460468368	CENTRAL DISTRIBUTION CENTER	MO	N/A	N/A			0	0
MERCY AMBULATORY SURGERY CENTER LLC
7301 ROGERS AVENUE	FORT SMITH	AR	72917	710827721	AMBULATORY SURGERY CENTER	AR	N/A	N/A			0	0
FORT SMITH EMERGENCY MEDICAL SERVICES
1701 SOUTH GREENWOOD	FORT SMITH	AR	72901	710416615	EMERGENCY MEDICAL SERVICES	AR	N/A	N/A			0	0
ST EDWARD MERCY MC M-P OFFICE BLDG
7301 ROGERS AVENUE	FORT SMITH	AR	72903	710554050	OFFICE BUILDING	AR	N/A	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	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity
MERCY COMM SERVICES INC
401 WOODLAND HILLS BLVD	FORT SCOTT	KS	66701	481078101	CATERING OPERATIONS	KS	N/A	C
FRONTENAC PROPERTIES INC
14528 S OUTER FORTY SUITE 100	CHESTERFIELD	MO	63017	521914421	HOLDS ANCILLARY ASSETS & OWNS AIRCRAFT	DE	N/A	C
MHP INC
14528 S OUTER FORTY SUITE 300	CHESTERFIELD	MO	63017	431697084	HOLDING COMPANY SOLD 10/1/10	DE	N/A	C
INVENO HEALTH INC
1235 E CHEROKEE STREET	SPRINGFIELD	MO	65804	264509571	TECHNOLOGY TRANSFER COMPANY	MO	N/A	C
UNITY SUPPORT SERVICES INC
645 MARYVILLE CENTRE DRIVE SUITE 10	ST LOUIS	MO	63141	431797042	INACTIVE	MO	N/A	C
UH L CORP INC
645 MARYVILLE CENTRE DRIVE SUITE 10	ST LOUIS	MO	63141	742499535	HOLDING COMPANY	MO	N/A	C
MHN OF THE SOUTHERN REGION INC
1011 14TH AVENUE NW	ARDMORE	OK	73401	731580607	EMPLOYED PHYSICIANS, PHYSICIAN ASSISTANTS, AND NURSE PRACTITIONERS	OK	N/A	C
MERCY HEALTH CENTER CONDOMINIUM INC
4300 W MEMORIAL RD	OKLAHOMA CITY	OK	73120	680640970	ADMINISTRATOR OF CERTAIN REAL PROPERTY AND IMPROVEMENTS	OK	N/A	C
MERCY MANAGED CARE CORPORATION
4300 W MEMORIAL ROAD	OKLAHOMA CITY	OK	73120	731441665	HOLDING COMPANY	OK	N/A	C
MERCY HEALTH NETWORK INC
4300 W MEMORIAL ROAD	OKLAHOMA CITY	OK	73120	731381689	EMPLOYED PHYSICIANS, PHYSICIAN ASSISTANTS, AND NURSE PRACTITIONERS	OK	N/A	C

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
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 (10 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
MHM SUPPORT SERVICES
O	21161196	CASH TRANSFER
MERCY HOSPITALS EAST COMMUNITIES
P	66454	CASH TRANSFER
MERCY CLINIC SPRINGFIELD COMMUNITIES
O	54267	CASH TRANSFER
RESOURCE OPTIMIZATION & INNOVATION LLC
O	5060898	CASH TRANSFER
MERCY HEALTH FOUNDATION ARDMORE
O	183775	CASH TRANSFER
MERCY HOSPITAL OKLAHOMA CITY
P	124487414	CASH TRANSFER
MERCY HOSPITAL HEALDTON
P	120406	CASH TRANSFER
MERCY HOSPITAL TISHOMINGO
P	208753	CASH TRANSFER
MERCY HEALTH NETWORK OF THE SOUTHERN REGION INC
P	87936	CASH TRANSFER
MERCY HEALTH FOUNDATION ARDMORE
C	6930847	CASH TRANSFER

Form990 Schedule R Part VII Form990ScheduleRPartVII

Field	Value	IRS element (for citing)
Identifier	PART II:	Identifier
Return Reference	SCHEDULE R, PART VII DISCLOSURE NAME CHANGES DUE TO MERCY HEALTH REBRANDING	ReturnReference
Explanation	MERCY MEDICAL GROUP IS NOW MERCY CLINIC EAST COMMUNITIES ST. EDWARD MERCY CLINIC, INC. IS NOW MERCY CLINIC FORT SMITH COMMUNITIES ST. JOSEPH'S MERCY CLINIC, INC. IS NOW MERCY CLINIC HOT SPRINGS COMMUNITIES MERCY PHYSICIANS OF OKLAHOMA, INC. IS NOW MERCY CLINIC OKLAHOMA COMMUNITIES ST. JOHN'S CLINIC, INC. IS NOW MERCY CLINIC SPRINGFIELD COMMUNITIES SISTERS OF MERCY HEALTH SYSTEM IS NOW MERCY HEALTH ST. JOHN'S MERCY HEALTH CARE IS NOW MERCY HEALTH EAST COMMUNITIES ST. EDWARD MERCY HEALTH SYSTEM, INC. IS NOW MERCY HEALTH FORT SMITH COMMUNITIES MERCY MEMORIAL HEALTH CENTER FOUNDATION IS NOW MERCY HEALTH FOUNDATION ARDMORE CARROLL HEALTH FOUNDATION IS NOW MERCY HEALTH FOUNDATION BERRYVILLE MERCY HEALTH CENTER FOUNDATION IS NOW MERCY HEALTH FOUNDATION FORT SCOTT ST. JOSEPH'S MERCY HEALTH FOUNDATION IS NOW MERCY HEALTH FOUNDATION HOT SPRINGS MERCY HOSPITAL FOUNDATION OF INDEPENDENCE, INC. IS NOW MERCY HEALTH FOUNDATION INDEPENDENCE MERCY HEALTH OF JOPLIN FOUNDATION IS NOW MERCY HEALTH FOUNDATION JOPLIN ST. MARY'S HOSPITAL FOUNDATION IS NOW MERCY HEALTH FOUNDATION NORTHWEST ARKANSAS MERCY HEALTH CENTER FOUNDATION, INC. IS NOW MERCY HEALTH FOUNDATION OKLAHOMA CITY ST. JOHN'S FOUNDATION FOR COMMUNITY HEALTH INC. IS NOW MERCY HEALTH FOUNDATION SPRINGFIELD ST. JOHN'S MERCY FOUNDATION IS NOW MERCY HEALTH FOUNDATION ST. LOUIS ST. JOHN'S MERCY HOSPITAL FOUNDATION IS NOW MERCY HEALTH FOUNDATION WASHINGTON ST. JOSEPH'S MERCY HEALTH SYSTEM, INC. IS NOW MERCY HEALTH HOT SPRINGS COMMUNITIES MERCY HEALTH SYSTEM OF NORTHWEST ARKANSAS, INC. IS NOW MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES MERCY HEALTH SYSTEM, INC. IS NOW MERCY HEALTH OKLAHOMA COMMUNITIES MERCY HEALTH SYSTEM-JOPLIN, INC. IS NOW MERCY HEALTH SOUTHWEST MISSOURI/KANSAS COMMUNITIES ST. JOHN'S HEALTH SYSTEM, INC. IS NOW MERCY HEALTH SPRINGFIELD COMMUNITIES ST. JOHN'S HOME CARE OF BERRYVILLE, INC. IS NOW MERCY HOME HEALTH BERRYVILLE MERCY MEMORIAL HEALTH CENTER, INC. IS NOW MERCY HOSPITAL ARDMORE ST. JOHN'S AURORA, INC. IS NOW MERCY HOSPITAL AURORA OZARKS REGIONS HEALTH SYSTEM, INC. IS NOW MERCY HOSPITAL BERRYVILLE ST. JOHN'S CASSVILLE, INC. IS NOW MERCY HOSPITAL CASSVILLE MERCY HEALTH MHMCH, INC. IS NOW MERCY HOSPITAL COLUMBUS MERCY EL RENO HOSPITAL CORPORATION IS NOW MERCY HOSPITAL EL RENO ST. EDWARD MERCY MEDICAL CENTER IS NOW MERCY HOSPITAL FORT SMITH HEALDTON MERCY HOSPITAL CORPORATION IS NOW MERCY HOSPITAL HEALDTON ST. JOSEPH'S MERCY HEALTH CENTER IS NOW MERCY HOSPITAL HOT SPRINGS MERCY HEALTH OF JOPLIN, INC. IS NOW MERCY HOSPITAL JOPLIN BREECH REGIONAL MEDICAL CENTER IS NOW MERCY HOSPITAL LEBANON MERCY HEALTH CENTER, INC. IS NOW MERCY HOSPITAL OKLAHOMA CITY ST. EDWARD HEALTH FACILITIES OF FRANKLIN COUNTY IS NOW MERCY HOSPITAL OZARK ST. EDWARD HEALTH FACILITIES OF LOGAN COUNTY IS NOW MERCY HOSPITAL PARIS ST. EDWARD HEALTH FACILITIES OF SCOTT COUNTY IS NOW MERCY HOSPITAL WALDRON ST. MARY-ROGERS MEMORIAL HOSPITAL,INC. IS NOW MERCY HOSPITAL ROGERS ST. JOHN'S REGIONAL HEALTH CENTER IS NOW MERCY HOSPITAL SPRINGFIELD MERCY TISHOMINGO HOSPITAL CORPORATION IS NOW MERCY HOSPITAL TISHOMINGO ST. JOHN'S MERCY HEALTH SYSTEM IS NOW MERCY HOSPITALS EAST COMMUNITIES ST. JOHN'S MERCY MEDICAL CENTER IS NOW MERCY HOSPITAL ST LOUIS ST. JOHN'S MERCY HOSPITAL IS NOW MERCY HOSPITAL SPRINGFIELD MERCY HEALTH SYSTEM OF KANSAS, INC. IS NOW MERCY KANSAS COMMUNITIES MERCY HEALTH CENTER, INC. IS NOW MERCY HOSPITAL FORT SCOTT MERCY HOSPITAL IS NOW MERCY HOSPITAL INDEPENDENCE ST. JOHN'S MEDICAL RESEARCH INSTITUTE, INC. IS NOW MERCY MEDICAL RESEARCH INSTITUTE ST. FRANCIS HOSPITAL, MOUNTAIN VIEW, MISSOURI IS NOW MERCY ST. FRANCIS HOSPITAL ST. JOHN'S MERCY SUPPORT SERVICES IS NOW MERCY SUPPORT SERVICES	Explanation