MERCY HOSPITAL OKLAHOMA CITY INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- MERCY HOSPITAL OKLAHOMA CITY INC (EIN 73-0579285)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-13
- IRS object ID
- 201111339349303221
- Schema version
- 2009v1.7
- 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 | 2011-05-13T13:02:48-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | 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 | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 730579285 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY 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 | 4300 WEST MEMORIAL ROAD | AddressLine1 |
| City | OKLAHOMA CITY | City |
| State | OK | State |
| ZIP Code | 73120 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Jon Vitiello | Name |
| Title | CFO | Title |
| Phone | 4057523724 | Phone |
| Date Signed | 2011-05-10 | 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 | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Diana Smalley | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4300 WEST MEMORIAL ROAD | AddressLine1 |
| City | OKLAHOMA CITY | City |
| State | OK | State |
| ZIP Code | 73120 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 314531922 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c | X | Organization501c |
| Web Site | www.mercyok.net | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1992 | YearFormation |
| State Legal Domicile | OK | StateLegalDomicile |
| Activity Or Mission Description | TO CARRY OUT THE HEALING MINISTRY OF JESUS BY PROMOTING HEALTH AND WELLNESS THROUGH OUR COMMUNITIES, TO PROVIDE QUALITY HEALTH SERVICES THROUGH A WISE USE OF RESOURCES AND EXCEPTIONAL MERCY SERVICE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 3543 | TotalNbrEmployees |
| Total Nbr Volunteers | 313 | TotalNbrVolunteers |
| Total Gross UBI | 13870721 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -186857 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1645038 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 627287 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 258013887 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 286482348 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 382590 | InvestmentIncomePriorYear |
| Investment Income Current Year | 166746 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 21861790 | OtherRevenuePriorYear |
| Other Revenue Current Year | 25666162 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 281903305 | TotalRevenuePriorYear |
| Total Revenue Current Year | 312942543 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 396612 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 433938 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 130437504 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 132422711 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 131510503 | OtherExpensePriorYear |
| Other Expenses Current Year | 163961721 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 262344619 | TotalExpensesPriorYear |
| Total Expenses Current Year | 296818370 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 19558686 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 16124173 | RevenuesLessExpensesCY |
| Total Assets BOY | 180204734 | TotalAssetsBOY |
| Total Assets EOY | 165291354 | TotalAssetsEOY |
| Total Liabilities BOY | 35387540 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 27573380 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 144817194 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 137717974 | NetAssetsOrFundBalancesEOY |
| Mission Description | MERCY 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 | 219446723 | Expense |
| Grants | 433938 | Grants |
| Revenue | 293665171 | Revenue |
| Description | Mercy Health Center, Inc. ("Mercy") provides quality medical health care regardless of race, creed, sex, national origin, handicap, age, or ability to pay. During FY2010, Mercy provided services to 19,380 inpatients, 48,775 emergency department patients, and 248,436 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 $9,171,425 in FY2010.Mercy continues to be a strong leader and partner in community collaborations in Oklahoma. These include health education programs/classes, support groups, clinical services, in-kind donations, conferences, and many community building activities. Some of the highlights include "Project Early Detection" which provides breast health services for uninsured women and "Diabetes Wellness Project" which serves diabetic clients who attend a free clinic. This project offers diabetes education, foot care, blood glucose monitoring skills and supplies, healthy lunches, grocery shopping tips, exercise activities, and journaling. Mercy has also adopted a low-income elementary school and provides weekly tutors, an annual health fair, and other support. A wide variety of support groups is offered each month. Lab services are provided for three free clinics in the community. | Description |
| Total Program Service Expense | 219446723 | 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 |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| 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 |
| 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 | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 3543 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | 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 | 0 | InvestmentInJointVenture |
| 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 (36 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| DIANA SMALLEY | |||||||||
| PRESIDENT/EX OFFICIO | 6.00 | X | X | 0 | 541413 | 166553 | |||
| DIANNE B GASBARRA MD | |||||||||
| TRUSTEE | 1.00 | X | 0 | 27188 | 0 | ||||
| SISTER REBECCA ANN HENDRICKS RSM | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| LINDA P LAMBERT | |||||||||
| CHAIR | 1.00 | X | 0 | 0 | 0 | ||||
| SISTER MARY JEANETTE NOONAN RSM | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| DONALD K RAHHAL MD | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| BROOK D SCOTT MD | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| RICHARD V SMITH MD | |||||||||
| TRUSTEE | 40.00 | X | 94971 | 0 | 13763 | ||||
| SISTER CABRINI KOELSCH RSM | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| SISTER ROSEMARY WELSH RSM | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| JANE JAYROE GAMBLE | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| MIKE E O'NEAL | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| STEVEN A BURNER MD | |||||||||
| EX OFFICIO/CHIEF OF STAFF | 1.00 | X | 0 | 251828 | 36255 | ||||
| CINDY CARMICHAEL | |||||||||
| TRUSTEE | 1.00 | X | 167063 | 50635 | 9733 | X | |||
| John Harkess MD | |||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||||
| James M Hartsuck MD | |||||||||
| TruSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| Kenneth Hieke MD | |||||||||
| TrusTEE | 1.00 | X | 0 | 0 | 0 | ||||
| JAMES NEWMAN | |||||||||
| TREASURER | 16.00 | X | 0 | 337999 | 87400 | ||||
| MARK JOHNSON | |||||||||
| CMO | 40.00 | X | 391750 | 0 | 101199 | ||||
| JULIA AKINS | |||||||||
| VP - MARKETING | 40.00 | 40460 | 203233 | 29531 | X | ||||
| LINDA FANNING | |||||||||
| CNO | 40.00 | 185485 | 0 | 15392 | X | ||||
| LOREN FJONE | |||||||||
| VP - MANAGED CARE | 40.00 | 231055 | 0 | 26818 | X | ||||
| PAUL FOSTER | |||||||||
| VP - FINANCE | 40.00 | 202008 | 0 | 19794 | X | ||||
| BECKY PAYTON | |||||||||
| VP - HR | 40.00 | 228528 | 0 | 28878 | X | ||||
| JERRY BAUMEISTER | |||||||||
| VP - OPERATIONS | 40.00 | 194941 | 0 | 37778 | X | ||||
| JAMES DIXSON | |||||||||
| Div President-Primary Care | 40.00 | 250324 | 133885 | 72116 | X | ||||
| THOMAS EDELSTEIN | |||||||||
| VP Mission/Ethics | 40.00 | 117350 | 49572 | 24748 | X | ||||
| JIM GEBHART | |||||||||
| President | 40.00 | 0 | 226833 | 10046 | X | ||||
| AARON STEFFENS | |||||||||
| VP Operations | 40.00 | 161774 | 0 | 15256 | X | ||||
| RALPH C THOMAS | |||||||||
| President-MP of OK | 40.00 | 231449 | 0 | 11207 | X | ||||
| ALAN HOLLINGSWORTH | |||||||||
| MEDICAL DIRECTOR | 40.00 | 195100 | 0 | 13354 | X | ||||
| GABRIEL PARDO | |||||||||
| PHYSICIAN | 40.00 | 297030 | 0 | 26438 | X | ||||
| BRENT HOLLIMAN | |||||||||
| Executive Director Ortho | 40.00 | 163525 | 0 | 16282 | X | ||||
| KEITH MADISON | |||||||||
| Director Pharmacy Services | 40.00 | 158126 | 0 | 14243 | X | ||||
| HOWARD YOUNG | |||||||||
| PHYSICIST | 40.00 | 159282 | 0 | 22154 | X | ||||
| JEFF JOHNSTON | |||||||||
| Former COO | 0 | 549160 | 75791 | X | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3470221 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2371746 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 874729 | TotalOtherCompensation |
| Number Individuals GT100 K | 69 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| GK FINANCING | |||||
| 4 EMBARDCADERO CTR STE 3700 | SAN FRANCISCO | CA | 94111 | MEDICAL AND FINANCING SVCS | 1273482 |
| OK HEART HOSPITAL | |||||
| 4050 WEST MEMORIAL ROAD | OKLAHOMA CITY | OK | 73120 | MEDICAL SERVICES | 1236372 |
| HEALTHCARE FINANCIAL RESOURCES | |||||
| 830 N MEACHUM RD | SCHAUMBURG | IL | 60173 | A/R RECOVERY | 852600 |
| AFFILIATED ANESTHESIOLOGISTS | |||||
| 4200 W MEMORIAL RD STE 703 | OKLAHOMA CITY | OK | 73120 | MEDICAL SERVICES | 833500 |
| LINEN KING | |||||
| 14780 S MEMORIAL | BIXBY | OK | 74008 | LINEN SERVICES | 786150 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 60 | NumberOfContractorsGT100K |
| Related Organizations | 627287 | RelatedOrganizations |
| Total Contributions | 627287 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT SERVICE REVENU | Description |
| Business Code | 621300 | BusinessCode |
| Total Revenue Column | 286482348 | TotalRevenueColumn |
| Related Or Exempt Function Income | 286482348 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 286482348 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 157821 | TotalRevenueColumn |
| Exclusion | $157,821 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 4548663 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1589379 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 2959284 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2959284 | TotalRevenueColumn |
| Exclusion | $2,959,284 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 8925 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 8925 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8925 | TotalRevenueColumn |
| Exclusion | $8,925 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| MDT LABORATORY SVC | 621500 | 10214370 | 10214370 | ||
| PHARMACY | 446110 | 8073014 | 2825633 | 5247381 | |
| CAFETERIA | 722210 | 1611969 | $1,611,969 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2807525 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1935442 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 830718 | UnrelatedBusinessRevenue |
| Exclusion | $41,365 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 22706878 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 312942543 | TotalRevenueColumn |
| Related Or Exempt Function Income | 293665171 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 13870721 | UnrelatedBusinessRevenue |
| Exclusion | $4,779,364 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 239938 | Total |
| Program Services | 239938 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 194000 | Total |
| Program Services | 194000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2666926 | Total |
| Management And General | 2666926 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 104132108 | Total |
| Program Services | 76287182 | ProgramServices |
| Management And General | 27844926 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4271169 | Total |
| Program Services | 3129058 | ProgramServices |
| Management And General | 1142111 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14467337 | Total |
| Program Services | 10598771 | ProgramServices |
| Management And General | 3868566 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6885171 | Total |
| Program Services | 5044077 | ProgramServices |
| Management And General | 1841094 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25963924 | Total |
| Management And General | 25963924 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28777 | Total |
| Program Services | 21082 | ProgramServices |
| Management And General | 7695 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1658 | Total |
| Management And General | 1658 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17975543 | Total |
| Program Services | 13168883 | ProgramServices |
| Management And General | 4806660 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 106265 | Total |
| Program Services | 77850 | ProgramServices |
| Management And General | 28415 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 595942 | Total |
| Program Services | 436587 | ProgramServices |
| Management And General | 159355 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 120006 | Total |
| Program Services | 87916 | ProgramServices |
| Management And General | 32090 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7745778 | Total |
| Program Services | 5674557 | ProgramServices |
| Management And General | 2071221 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 483362 | Total |
| Program Services | 354111 | ProgramServices |
| Management And General | 129251 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11367512 | Total |
| Program Services | 8327839 | ProgramServices |
| Management And General | 3039673 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2245487 | Total |
| Program Services | 1645044 | ProgramServices |
| Management And General | 600443 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 43748873 | 43748873 | |
| BAD DEBT | 22257478 | 22257478 | |
| PHARMACEUTICALS | 19475046 | 19475046 | |
| EQUIPMENT RENTAL & MAIN | 2775896 | 2033621 | 742275 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9070174 | Total |
| Program Services | 6644810 | ProgramServices |
| Management And General | 2425364 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 296818370 | Total |
| Program Services | 219446723 | ProgramServices |
| Management And General | 77371647 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26534342 | BOY |
| EOY | 12956047 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45593862 | BOY |
| EOY | 44055396 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1163161 | BOY |
| EOY | 179982 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3857065 | BOY |
| EOY | 4755247 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 619267 | BOY |
| EOY | 549621 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 327231594 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 225551571 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 101826641 | BOY |
| EOY | 101680023 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 70396 | BOY |
| EOY | 755038 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 540000 | BOY |
| EOY | 360000 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 180204734 | BOY |
| EOY | 165291354 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26146764 | BOY |
| EOY | 26897146 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 226176 | BOY |
| EOY | 226176 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9014600 | BOY |
| EOY | 450058 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35387540 | BOY |
| EOY | 27573380 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 144817194 | BOY |
| EOY | 137717974 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 144817194 | BOY |
| EOY | 137717974 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 180204734 | BOY |
| EOY | 165291354 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | $6,873 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 6873 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part II-B, Line 1i: | Identifier |
| Return Reference | Explanation of Other Lobbying Activities: | ReturnReference |
| Explanation | The filing organization is a member of and pays dues to the Oklahoma Hospital Association. For the year ended June 30, 2010, dues were $74,421. Approximately 9.49% of Oklahoma Hospital Association dues were attributable to lobbying activities performed by this association. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 1602629 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 16170270 | OtherCostOrOtherBasis |
| Book Value | 17772899 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 74319998 | OtherCostOrOtherBasis |
| Depreciation | 39947864 | Depreciation |
| Book Value | 34372134 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 425639 | OtherCostOrOtherBasis |
| Depreciation | 146623 | Depreciation |
| Book Value | 279016 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 225721265 | OtherCostOrOtherBasis |
| Depreciation | 180960374 | Depreciation |
| Book Value | 44760891 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8991793 | OtherCostOrOtherBasis |
| Depreciation | 4496710 | Depreciation |
| Book Value | 4495083 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 101680023 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MEDICARE SETTLEMENTS | Description |
| Amount | $450,058 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 450058 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part X: | Identifier |
| Return Reference | Description of Uncertain Tax Positions Under FIN 48: | ReturnReference |
| Explanation | The consolidated audited financial statements of the Sisters of Mercy Health System, Inc. 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 | 6937303 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 6937303 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02530 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2234122 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2234122 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00810 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9171425 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 9171425 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03340 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 6 | NumberOfActivitiesOrPrograms |
| Persons Served | 4446 | PersonsServed |
| Total Community Benefit Expense | 2034531 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2034531 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00740 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 60 | PersonsServed |
| Total Community Benefit Expense | 208340 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 208340 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
| Persons Served | 75 | PersonsServed |
| Total Community Benefit Expense | 2432917 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2432917 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00890 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 463 | PersonsServed |
| Total Community Benefit Expense | 349351 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 349351 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00130 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 14 | NumberOfActivitiesOrPrograms |
| Persons Served | 5044 | PersonsServed |
| Total Community Benefit Expense | 5025139 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 5025139 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01840 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 14 | NumberOfActivitiesOrPrograms |
| Persons Served | 5044 | PersonsServed |
| Total Community Benefit Expense | 14196564 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 14196564 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05180 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 4994 | PersonsServed |
| Total Community Building Expense | 80035 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 80035 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 23748 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 23748 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 1825 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1825 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 55938 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 55938 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 600 | PersonsServed |
| Total Community Building Expense | 22873 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 22873 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 5 | NumberOfActivitiesOrPrograms |
| Persons Served | 5594 | PersonsServed |
| Total Community Building Expense | 184419 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 184419 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $7,368,805 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 79657969 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 110395358 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -30737389 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY HEALTH CENTERINC | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4300 WEST MEMORIAL ROAD | AddressLine1 |
| City | OKLAHOMA CITY | City |
| State | OK | State |
| ZIP Code | 73120 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Footnote | Part III, Line 4: The text of the footnote that is included in the Sisters of Mercy Health System, Inc. 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 for uncollectible accounts in accordance with collections policies of the Health System and, in certain cases, are reclassified to charity care if deemed to otherwise meet the health system's charity care policy. The provision for uncollectible receivables is based on management's assessment of historical and expected net collections considering business and economic conditions, trends in healthcare coverage, and other collection indicators. Periodically throughout the year, management assess the adequacy of the allowance for uncollectible receivables based upon the payor composition and aging of receivables as of the reporting date with consideration of the historical payment and write-off experience by payor category. The results of these reviews are then used to make any modifications to the provision for uncollectible receivables to establish an appropriate allowance for uncollectible receivables. After satisfaction of amounts due from insurance, the health system follows established guidelines for placing past-due balances with collection agencies."To determine the amount of bad debt expense, at cost, bad debt expense attributable to patient accounts was multiplied by a ratio of cost to charges. The ratio of cost to charges used was based on detailed cost accounting, where available. Where cost accounting is not available, cost report cost to charge ratios were utilized.The filing organization determined that the estimated amount of bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy is $0. Although the charity care policy requires the participation of the patient requesting assistance, we have a process under presumptive charity (refer to disclosure for Part III, #9b) to address accounts for patients who do not provide the information. We believe that our charity policy is comprehensive enough to capture almost all patients who qualify for charity care. | BadDebtFootnote |
| Shortfall As Community Benefit | Part III, Line 8: The Medicare shortfall was computed using the annual Medicare cost report (CMS Form 2552-96). It is the position of Mercy Health Center, Inc. that 100% of the shortfall should be treated as community benefit. This amount represents the costs of providing services that remain uncompensated to the provider. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | Part III, Line 9b: Mercy will exhaust all other payment options and avenues to obtain financial assistance and third party payments including, but not limited to, local, state, and federal assistance programs before considering an applicant for Charity/Medical Indigence. Charity/Medical Indigence will only apply to the remaining balance after all third party payments are applied. Applicants are identified as potentially eligible for Medicaid benefits must first make application to Medicaid. Financially Indigent means an uninsured or underinsured patient who is accepted for care with no obligation, or with a discounted obligation, to pay for the services rendered based on a demonstrated inability by, income and family size, to meet their financial obligations. A patient is Medically Indigent when his/her financial responsibility is so significant in relation to their total income and/or assets that payment in full is not likely or equitable. Generally no patient's financial responsibility shall be greater than 20% of the household income, subject to an asset test. Mercy will use financial counseling and point of service activities to identify Charity/Medical Indigence as soon as practical in the intake process toincrease customer satisfaction and reduce costs of operations. In addition to financial counseling, Mercy will provide patient financial services and financial assistance options through signage and brochures at all patient access points and explanations of financial assistance on patient statements. | DebtCollectionPolicy |
| Needs Assessment | Part VI, Line 2: Community Roundtable meetings were held in Oklahoma City and El Reno, which are located in the Mercy Health Center, Inc. service area. Participants shared their views on both the current and future state of health in their communities.A second step in the needs assessment process included review of the Oklahoma Health Improvement Plan (OHIP). This is a comprehensive plan of the Oklahoma State Health Department and its partners to identify health problems in the state.Additional information was received and assessed from the City/County Health Department Wellness scores and the community Health Status Report for 2008. | NeedsAssessment |
| Patient Education Assistance | 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. | PatientEducationAssistance |
| Community Information | Part VI, Line 4: Mercy Health Center, Inc. is located in northwest Oklahoma City. Mercy Health Center, Inc. primarily serves those in urban/suburban Oklahoma City and a six-county area with a 1.09 million population; Oklahoma, Canadian, Cleveland, Kingfisher, Lincoln and Logan counties.- OKC Summary: 16% of population are uninsured, 16% Medicaid, and 14% Medicare- Higher death rate than the US rate- Oklahoma County compares unfavorably to counties of similar population composition and demographic make-up on 16 of 22 community health indicators.- Leading cause of death attributed to injuries for residents under age 45 with cancer and heart disease for those age 45+.- Risk factors that contribute to premature death are high blood pressure, smoking, and adult obesity.- Identified health needs: school health initiative, access to health services, prevention, tobacco, obesity | CommunityInformation |
| Community Building Activities | Part VI, Line 5: Mercy Health Center, Inc. (MHC) 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, MHC 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 MHC serves are:- Diabetes Wellness Project (DWP) provides diabetes education, foot care, blood glucose monitoring skills and supplies to uninsured diabetics.- Mercy Mentors provide weekly tutoring to Linwood Elementary, an inner-city, low- income elementary school.- Project Early Detection (PED) provides breast care services for uninsured women in Oklahoma.- Active participation on community boards.- Community events include: Elder Law Day, Caregiver Survival Skills Conference, Oklahoma Turning Point Council, Linwood Neighborhood Health Fair, annual flu shots for the underserved, - Ongoing collaboration with community partners/agencies to meet the needs of the poor and uninsured.- Mercy Health Center 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 16 clinics affiliated with the HAU. | CommunityBuildingActivities |
| Other Information | Part VI, Line 6: Mercy Health Center, Inc. (MHC) 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 MHC's commitment to serve all members of the communities it serves, MHC provides care to patients regardless of ability to pay. As defined by the institution's charity policy, MHC does not pursue collection of amounts determined toqualify for charity care. In addition, MHC provides services to other patients under the Medicare Program and various state Medicaid programs. Such programs pay providers amounts that are substantially less thanbilled charges, and frequently less than the cost, of the services provided to the recipients.MHC 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 Interestsurvey. 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 MHC.Surplus funds and unrestricted assets held by MHC are reinvested in patient care, medical education and research initiatives which support the organization's mission to deliver compassionate care and exceptionalhealth care services to the communities it serves. Examples include the following: - Expansion of Emergency Room facilities at Mercy Health Center in Oklahoma City to further meet the health care needs of this community. - Renovation and upgrade of the Intensive Care Unit at Mercy Health Center in Oklahoma City to provide the highest quality care of this community.- 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. - Renovation and upgrades to the Operating Room suites to meet the technological and clinical advances, continuing to provide the highest quality of care to support the needs of the population served my MHC and its staff physicians.- Purchase and installation of key diagnostic imaging equipment to aid in the accurate and timely diagnosis of disease. | OtherInformation |
| Affiliated Health Care System | Part VI, Line 7: The filing organization is part of the Sisters of Mercy Health System ("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, 2010, Mercy facilities included 28 hospitals with 3,718 acute licensed beds (3,300 acute available beds). For the fiscal year ended June 30, 2010, Mercy had more than 6.3 million outpatient visits, more than 1,200 employed physicians, and approximately 28,000 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. | AffiliatedHealthCareSystem |
| Reports Filed With States | OK | ReportsFiledWithStates |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| ALLIED ARTS | |||||||
| ONE N HUDSON STE 140 | Oklahoma City | OK | 73102 | 730804291 | 501(c)(3) | 15000 | Community enrichment |
| Edmund Area CHAMBER OF COMMERCE | |||||||
| 825 E 2nd St Suite 100 | Edmund | OK | 73034 | 730544087 | 501(c)(6) | 13750 | Economic development |
| MARCH OF DIMES | |||||||
| 5100 BROOKLINE STE 270 | Oklahoma City | OK | 73102 | 131846366 | 501(c)(3) | 40000 | NICU family support |
| MOUNT ST MARY HIGH SCHOOL | |||||||
| 2801 S SHARTEL AVE | oklahoma City | OK | 73109 | 730605969 | 501(c)(3) | 10000 | Educational endowment |
| UNITED WAY OF CENTRAL OKLAHOMA | |||||||
| PO BOX 837 | oklahoma City | OK | 73105 | 730589829 | 501(c)(3) | 21500 | Community campaign |
| Pros for Africa | |||||||
| 211 NOrth Robinson | Oklahoma City | OK | 73102 | 271674673 | 501(c)(3) | 5000 | charitable donation |
| World Neighbors Inc | |||||||
| 4127 MW 122nd Street | Oklahoma City | OK | 73120 | 730707328 | 501(c)(3) | 5000 | Sponsorship donation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 6 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 1 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | TUITION SCHOLARSHIPS | TypeOfGrant |
| Number Of Recipients | 69 | NumberOfRecipients |
| Amount Of Cash Grant | 194000 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule I, Part I, Line 2: The organization uses an approval process to determine which organizations will receive grants during the fiscal year. The funds are then given directly to the nonprofit organization. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (22 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 | 397309 | 0 | 115774 | 0 | 28330 | 0 | 151301 | 0 | 15252 | 0 | 707966 | 0 | 0 |
| STEVEN A BURNER MD | |||||||||||||
| 0 | 236484 | 0 | 0 | 0 | 15344 | 0 | 21664 | 0 | 14591 | 0 | 288083 | 0 | 0 |
| CINDY CARMICHAEL | |||||||||||||
| 125529 | 49623 | 27642 | 0 | 13892 | 1012 | 4626 | 0 | 3482 | 1625 | 175171 | 52260 | 0 | 0 |
| JAMES NEWMAN | |||||||||||||
| 0 | 258143 | 0 | 60157 | 0 | 19699 | 0 | 72747 | 0 | 14653 | 0 | 425399 | 0 | 0 |
| MARK JOHNSON | |||||||||||||
| 313024 | 0 | 45751 | 0 | 32975 | 0 | 88915 | 0 | 12284 | 0 | 492949 | 0 | 0 | 0 |
| JULIA AKINS | |||||||||||||
| 35753 | 109224 | 0 | 32993 | 4707 | 61016 | 0 | 22858 | 1642 | 5031 | 42102 | 231122 | 0 | 0 |
| LINDA FANNING | |||||||||||||
| 153522 | 0 | 23666 | 0 | 8297 | 0 | 13882 | 0 | 1510 | 0 | 200877 | 0 | 0 | 0 |
| LOREN FJONE | |||||||||||||
| 176012 | 0 | 30329 | 0 | 24714 | 0 | 19974 | 0 | 6844 | 0 | 257873 | 0 | 0 | 0 |
| PAUL FOSTER | |||||||||||||
| 161921 | 0 | 23337 | 0 | 16750 | 0 | 5988 | 0 | 13806 | 0 | 221802 | 0 | 0 | 0 |
| BECKY PAYTON | |||||||||||||
| 176141 | 0 | 28617 | 0 | 23770 | 0 | 17788 | 0 | 11090 | 0 | 257406 | 0 | 0 | 0 |
| JERRY BAUMEISTER | |||||||||||||
| 118793 | 0 | 24642 | 0 | 51506 | 0 | 31287 | 0 | 6491 | 0 | 232719 | 0 | 0 | 0 |
| JAMES DIXSON | |||||||||||||
| 197197 | 129750 | 38815 | 0 | 14312 | 4135 | 59804 | 0 | 8003 | 4309 | 318131 | 138194 | 0 | 0 |
| THOMAS EDELSTEIN | |||||||||||||
| 89666 | 5388 | 7112 | 0 | 20572 | 44184 | 15285 | 0 | 9463 | 0 | 142098 | 49572 | 0 | 0 |
| JIM GEBHART | |||||||||||||
| 0 | 135222 | 0 | 50000 | 0 | 41611 | 0 | 4567 | 0 | 5479 | 0 | 236879 | 0 | 0 |
| AARON STEFFENS | |||||||||||||
| 137421 | 0 | 21527 | 0 | 2826 | 0 | 7228 | 0 | 8028 | 0 | 177030 | 0 | 0 | 0 |
| RALPH C THOMAS | |||||||||||||
| 226732 | 0 | 0 | 0 | 4717 | 0 | 4577 | 0 | 6630 | 0 | 242656 | 0 | 0 | 0 |
| ALAN HOLLINGSWORTH | |||||||||||||
| 173510 | 0 | 11142 | 0 | 10448 | 0 | 2201 | 0 | 11153 | 0 | 208454 | 0 | 0 | 0 |
| GABRIEL PARDO | |||||||||||||
| 268595 | 0 | 0 | 0 | 28435 | 0 | 11498 | 0 | 14940 | 0 | 323468 | 0 | 0 | 0 |
| BRENT HOLLIMAN | |||||||||||||
| 125461 | 0 | 31076 | 0 | 6988 | 0 | 3419 | 0 | 12863 | 0 | 179807 | 0 | 0 | 0 |
| KEITH MADISON | |||||||||||||
| 118624 | 0 | 9635 | 0 | 29867 | 0 | 7899 | 0 | 6344 | 0 | 172369 | 0 | 0 | 0 |
| HOWARD YOUNG | |||||||||||||
| 125872 | 0 | 0 | 0 | 33410 | 0 | 8443 | 0 | 13711 | 0 | 181436 | 0 | 0 | 0 |
| JEFF JOHNSTON | |||||||||||||
| 0 | 328696 | 0 | 123469 | 0 | 96995 | 0 | 61229 | 0 | 14562 | 0 | 624951 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part I, Line 4a | Thomas Edelstein received $38,848 in severance pay from St. Johns Mercy Health Care in St. Louis, a related entity. Schedule J, Part I, Question 4b Sisters of Mercy Health System, 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 The following individuals participated in a supplemental management retirement plan: James Dixson Linda Fanning Mark Johnson Jeffrey Johnston James Newman Becky Payton 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 filing organization provides a non-fixed bonus plan for which certain tiers of its employees are eligible. For fiscal year 2009 (July 1, 2008-June 30, 2009), payment of all or part of the bonus is contingent upon percentage attainment of (I) personal goals and (II) certain financial targets. For fiscal year 2010 (July 1, 2009-June 30, 2010), payment of all or part of the bonus is 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 (applicable only for fiscal year 2009). Bonus opportunities are tiered percentages and are dependent upon the leadership level and attainment percentage. Mercy's attainment of financial goals are validated by an external consulting firm and are then taken into account by the executive compensation committee of Mercy when analyzing executive compensation for reasonableness. | |
| Part III | PART I, LINE 3: The filing organization relies on a related organization; refer to Schedule O, Part VI, question 15a and 15b for the process the related organization follows. | Supplemental Information |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| OKLAHOMA HEART HOSPITAL LLC | |||
| SEE SCHEDULE O | 1236372 | INDEPENDENT CONTRACTOR | 0 |
| OKLAHOMA CARDIO VASCULAR ASSOCIATION | |||
| SEE SCHEDULE O | 213019 | INDEPENDENT CONTRACTOR | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (15 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section A, line 6 | Mercy Health Center Inc. has a sole Corporate member, Mercy Health System, Inc. | |
| Form 990, Part VI, Section A, line 7a | Mercy Health System, Inc. 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 System, Inc.: - 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 Sisters of Mercy Health System's 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 | 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 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 have been made available from time to time but are not published publicly. | |
| Part XI, Line 2 | The filing organization's financial statements were included in the Sisters of Mercy Health System, Inc. and Subsidiaries annual financial statement audit. The Sisters of Mercy Health System, Inc. and Subsidiaries received an unqualified opinion from the external auditors for fiscal 2010 (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 Sisters of Mercy Health System Board of Directors. Audit results are communicated to this committee. | Audited Financial Statements |
| Part XI, Line 3 | The Consolidated Group of Sisters of Mercy Health System is required to undergo an audit as set forth in the single audit act and OMB Circular A-133. The single audit was conducted on a consolidated basis. | Single Audit Act and OMB Circular A-133 |
| FORM 990, SCHedule L, PART IV Relationship between interested person and organization DIANA SMALLEY, BOARD MEMBER, AND JAMES NEWMAN AND MARK JOHNSON, OFFICERS OF THE ORGANIZATION, ARE ALL BOARD MEMBERS OF OKLAHOMA HEART HOSPITAL, LLC BROOK D. SCOTT, MD, IS A BOARD MEMBER OF THE ORGANIZATION AND OKLAHOMA CARDIOVASCULAR ASSOCIATION | ||
| FORM 990, SCHEDULE R, PART II ST JOHNS MERCY HEALTH SYSTEM ST. JOHN'S MERCY HEALTH SYSTEM CONSISTS OF ST. JOHN'S MERCY MEDICAL CENTER, EIN 43-065393, AND ST. JOHN'S MERCY HOSPITAL, EIN 43-1066883. | ||
| Form 990, Schedule R Lawson ERP software is the primary accounting software used by Sisters of Mercy Health System, Inc. 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 and P. | ||
| FORM 990, PART VII | STEVEN BURNER DEVOTED AN AVERAGE OF 40 HOURS PER WEEK TO RELATED ORGANIZATIONS. JAMES NEWMAN DEVOTED AN AVERAGE OF 45 HOURS PER WEEK TO RELATED ORGANIZATIONS. DIANA SMALLEY DEVOTED AN AVERAGE OF 34 HOURS PER WEEK TO RELATED ORGANIZATIONS. CINDY CARMICHAEL DEVOTED AN AVERAGE OF 39 HOURS PER WEEK TO RELATED ORGANIZATIONS. THOMAS EDELSTEIN DEVOTED AN AVERAGE OF 10 HOURS PER WEEK TO RELATED ORGANIZATIONS. | |
| Form 990, Part V, Question 2a | THE SALARIES AND WAGES REPORTED ON FORM 990, PART IX, LINE 7 REPRESENT AN ALLOCATION OF SALARIES AND WAGES FROM A RELATED ORGANIZATION. Employees are paid by a related organization under a common paymaster arrangement. As such, all required payroll filing (including W-2 and W-3's) was reported under the related organization's EIN. | |
| Form 990, Part V, Question 1a | Independent contractors for the filing organization are paid by the Sisters of Mercy Health System (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 SMHS EIN. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEUROSCIENCE INSTITUTE SERVICES ORGANIZATION LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4300 W MEMORIAL ROAD | AddressLine1 |
| City | OKLAHOMA CITY | City |
| State | OK | State |
| ZIP Code | 73120 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 300487934 | EIN |
| Primary Activities | MGD CARE SERVICES | PrimaryActivities |
| Legal Domicile State | OK | LegalDomicileState |
| Total Income | 0 | TotalIncome |
| EOY Assets | 4127956 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY HEALTH CENTER INC | BusinessNameLine1 |
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 | 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 | SMHS | |
| Breech Regional Med Ctr | ||||||||||
| 100 Hospital Drive | Lebanon | MO | 65536 | 431767432 | Hospital | MO | 501c3 | 3 | ST JOHn's Health System Inc | |
| Carroll Health Foundation | ||||||||||
| 214 Carter Street | Berryville | AR | 72616 | 710759301 | Foundation | AR | 501c3 | 11-I | Ozark Regions Health Systems | |
| Casa de Misericordia | ||||||||||
| 1602 McClelland Street | Laredo | TX | 78044 | 742912461 | Women's domestic violence shelter | TX | 501c3 | 9 | Mercy Ministries of Laredo | |
| Healdton Mercy Hosp Corp | ||||||||||
| 918 South Street | Healdton | OK | 73438 | 263173902 | hospital | OK | 501c3 | 3 | Mercy Memorial Health Ctr Inc | |
| Laredo Medical Group | ||||||||||
| 14528 S Outer Forty St 100 | Chesterfield | MO | 63017 | 742764726 | Inactive | TX | 501c3 | 9 | MHSystem of Texas Inc | |
| McAuley Portfolio Mgmt Co | ||||||||||
| 14528 S Outer Forty St 100 | Chesterfield | MO | 63017 | 261708048 | Portfolio management. | MO | 501c3 | 11-II | SMHS | |
| Mercy El Reno Hosp Corporation | ||||||||||
| 2115 Parkview Drive | El Reno | OK | 73036 | 736617948 | Operating co for leased hosp | OK | 501c3 | 3 | SMHS | |
| Mercy Emergency Med Srvs | ||||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 810627035 | Inactive | OK | 501c3 | 9 | Mercy Health Center Inc | |
| Mercy Fdtn Health Innov | ||||||||||
| 14528 S Outer Forty St 100 | Chesterfield | MO | 63017 | 200901499 | Foundation | MO | 501c3 | 11-II | SMHS | |
| Mercy Health Ctr Fdtn | ||||||||||
| 401 Woodland Hills Blvd | Fort Scott | KS | 66701 | 481077073 | Foundation | KS | 501c3 | 11-III | MHS of Kansas Inc | |
| Mercy Health Ctr Fdtn Inc | ||||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 731593024 | Foundation | OK | 501c3 | 11-I | Mercy Health Center Inc | |
| Mercy Health MNMCH Inc | ||||||||||
| 220 Pennsylvania Avenue | Columbus | KS | 66725 | 270842031 | Critical Access Hospital | MO | 501c3 | 9 | Mercy Health System-Joplin Inc | |
| Mercy Health of Joplin Found | ||||||||||
| 2727 McClelland Blvd | Joplin | MO | 64804 | 270906136 | Foundation | MO | 501c3 | 11-I | Mercy Health System-Joplin Inc | |
| Mercy Health of Joplin Inc | ||||||||||
| 2727 McClelland Blvd | Joplin | MO | 64804 | 270814858 | Hospital | MO | 501c3 | 9 | Mercy Health System-Joplin Inc | |
| Mercy Health Services | ||||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 141838609 | dissolved 6/30/10 | OK | 501c3 | 3 | Mercy Health Center Inc | |
| Mercy Health System Joplin Inc | ||||||||||
| 2727 McClelland Blvd | Joplin | MO | 64804 | 300584463 | Health System | MO | 501c3 | 11-II | SMHS | |
| Mercy Health System KS | ||||||||||
| 401 Woodland Hills Blvd | Ft Scott | KS | 66701 | 480956045 | Hospital;rural health clinics | KS | 501c3 | 3 | SMHS | |
| Mercy Health System NW Ark Inc | ||||||||||
| 2710 Rife Medical Ln | Rogers | AR | 72758 | 621684203 | Physician Group | AR | 501c3 | 11-II | SMHS | |
| Mercy Health System TX | ||||||||||
| 14528 S Outer Forty St 100 | Chesterfield | MO | 63017 | 742764727 | Inactive | TX | 501c3 | 11-II | SMHS | |
| Mercy Health System Inc | ||||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 731453048 | Holding company | OK | 501c3 | 11-II | SMHS | |
| Mercy Hospital Fdtn Indep | ||||||||||
| 800 W Myrtle | Independence | KS | 67301 | 481079981 | Foundation | KS | 501c3 | 11-I | MHS of Kansas Inc | |
| Mercy Hospital of Laredo | ||||||||||
| 14528 S Outer Forty St 100 | Chesterfield | MO | 63017 | 741189682 | Inactive | TX | 501c3 | 3 | MHSystem of Texas Inc | |
| Mercy Medical Group | ||||||||||
| 645 Maryville Ctr Dr Ste 100 | St Louis | MO | 63141 | 431771217 | Physician Group | MO | 501c3 | 9 | St John's Mercy Health Care | |
| Mercy Memorial Health Ctr Fdtn | ||||||||||
| 1011 14th Avenue NW | Ardmore | OK | 73401 | 710962525 | Foundation | OK | 501c3 | 11-I | Mercy Memorial Health Ctr Inc | |
| Mercy Memorial Health Ctr Inc | ||||||||||
| 1011 14th Avenue NW | Ardmore | OK | 73401 | 731500629 | Hospital | OK | 501c3 | 3 | Mercy Health System Inc | |
| Mercy Ministries of Laredo | ||||||||||
| 2500 Zacatecas | Laredo | TX | 78043 | 200198462 | healthcare, outreach,food pantry. | TX | 501c3 | 3 | SMHS | |
| Mercy Physicians Ok | ||||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 270473057 | Physician Group/Clinic | OK | 501c3 | 9 | Mercy Health System Inc | |
| MHM Support Services | ||||||||||
| 14528 S Outer Forty St 100 | Chesterfield | MO | 63017 | 202553101 | Centralized Health System Functions | MO | 501c3 | 11-II | SMHS | |
| Mission Clinical Services | ||||||||||
| 300 Werner Street | Hot Springs | AR | 71913 | 134239691 | Physician Clinics | AR | 501c3 | 11-II | St Joseph's MHS Inc | |
| Ozarks Regions HS | ||||||||||
| 214 Carter Street | Berryville | AR | 72616 | 710759299 | Hospital | AR | 501c3 | 3 | St John's Health System Inc | |
| Sisters of Mercy Hlth Sys | ||||||||||
| 14528 S Outer Forty St 100 | Chesterfield | MO | 63017 | 431423050 | Health System - Corporate Office | MO | 501c3 | 11-II | N/A | |
| Sisters of Mercy Ministries | ||||||||||
| 14528 S Outer Forty St 100 | Chesterfield | MO | 63017 | 721069468 | Family counseling;social justice advocacy | MO | 501c3 | 9 | SMHS | |
| St Edward Health Frank Cty | ||||||||||
| 801 W River Street | Ozark | AR | 72949 | 710689680 | Hospital | AR | 501c3 | 3 | St Edward Mercy Medical Ctr | |
| St Edward Health Log Cty | ||||||||||
| 500 E Academy | Paris | AR | 72855 | 710655753 | Hospital | AR | 501c3 | 3 | St Edward Mercy Medical Ctr | |
| St Edward Health Scott Cty | ||||||||||
| 1341 W 6th Street | Waldron | AR | 72958 | 710557895 | Hospital | AR | 501c3 | 3 | St Edward Mercy Medical Ctr | |
| St Edward Mercy Clin | ||||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72917 | 261318597 | Physician Clinic | AR | 501c3 | 3 | St Edward MHS Inc | |
| St Edward Mercy Foundation | ||||||||||
| PO Box 17000 | Fort Smith | AR | 72917 | 237330425 | Foundation | AR | 501c3 | 3 | St Edward Mercy Medical Ctr | |
| St Edward Mercy HS Inc | ||||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72917 | 261318515 | Holding Company | AR | 501c3 | 11-II | SMHS | |
| St Edward Mercy Med Ctr | ||||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72917 | 710240352 | Hospital | AR | 501c3 | 3 | St Edward MHS Inc | |
| St Francis Hosp MtView MO | ||||||||||
| 100 W Highway 60 | Mountain View | MO | 65548 | 440607149 | Hospital | MO | 501c3 | 3 | ST John's Health System Inc | |
| St Johns Aurora Inc | ||||||||||
| 500 Porter Avenue | Aurora | MO | 65605 | 431936696 | Operating co for leased hosp | MO | 501c3 | 3 | St John's Health System Inc | |
| St Johns Cassville Inc | ||||||||||
| 94 Main Street | Cassville | MO | 65625 | 431936699 | Operating co for leased hosp | MO | 501c3 | 3 | St John's Health System Inc | |
| St Johns Childrens Hosp | ||||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | INactive | MO | 501c3 | 3 | ST JOhn's Health System Inc | ||
| St Johns Clinic Inc | ||||||||||
| 1965 Fremont Street Suite 2950 | Springfield | MO | 65804 | 431560263 | Physician Group | MO | 501c3 | 3 | St John's Health System Inc | |
| St Johns Fdtn Comm Hlth | ||||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 320195818 | Foundation | MO | 501c3 | 11-II | St John's Health System Inc | |
| St Johns Health System In | ||||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 431856028 | Holding Company | MO | 501c3 | 11-II | SMHS | |
| St Johns Home Care Berryville | ||||||||||
| 214 Carter Street | Berryville | AR | 72616 | 870781247 | Home Health and Hospice operations. | AR | 501c3 | 11-III | St John's Regional Health Ctr | |
| St Johns Medical Rsch Inst | ||||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 870796305 | Research - Clinical Trials | MO | 501c3 | 3 | St John's Health System Inc | |
| St Johns Mercy Fdtn | ||||||||||
| 645 Maryville Ctr Dr Ste 100 | St Louis | MO | 63141 | 562410020 | Foundation | MO | 501c3 | 11-II | St John's Mercy Health Care | |
| St Johns Mercy Health Care | ||||||||||
| 645 Maryville Ctr Dr Ste 100 | St Louis | MO | 63141 | 431718408 | Health System | MO | 501c3 | 11-II | SMHS | |
| St Johns Mercy Health System | ||||||||||
| 645 Maryville Ctr Dr Ste 100 | St Louis | MO | 63141 | 430653493 | Hospital | MO | 501c3 | 3 | St John's Mercy Health Care | |
| St Johns Mercy Hospital Fdtn | ||||||||||
| 901 E Fifth Street | Washington | MO | 63090 | 562410022 | Foundation | MO | 501c3 | 11-II | St John's Mercy Health Care | |
| St Johns Mercy Supp Srv | ||||||||||
| 615 S New Ballas Road | St Louis | MO | 63141 | 431677952 | Inactive | MO | 501c3 | 11-III | St John's Mercy Health System | |
| St Johns Reg Hlth Ctr | ||||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 440552485 | Hospital | MO | 501c3 | 3 | St John's Health System Inc | |
| St Josephs Mercy Clin | ||||||||||
| 1 Mercy Lane | Hot Springs | AR | 71913 | 261125131 | Physician Clinic | AR | 501c3 | 9 | St Joseph's MHS Inc | |
| St Josephs Mercy Health Center | ||||||||||
| 300 Werner Street | Hot Springs | AR | 71913 | 710236913 | Hospital | AR | 501c3 | 3 | St Joseph's MHS Inc | |
| St Josephs Mercy Health Fdtn | ||||||||||
| 300 Werner Street | Hot Springs | AR | 71913 | 710804718 | Foundation | AR | 501c3 | 11-II | St Joseph's Mercy Health Ctr | |
| St Josephs Mercy Health Sys | ||||||||||
| 300 Werner Street | Hot Springs | AR | 71913 | 261125064 | Holding Company | AR | 501c3 | 11-II | SMHS | |
| St Mary-Rogers Mem Hos | ||||||||||
| 2710 Rife Medical Ln | Rogers | AR | 72758 | 710294390 | Hospital | AR | 501c3 | 3 | MH S NW Arkansas Inc | |
| St Marys Hospital Foundation | ||||||||||
| 2710 Rife Medical Ln | Rogers | AR | 72858 | 710601687 | Foundation | AR | 501c3 | 11-III | St Mary-Rogers Mem Hosp Inc | |
| St Marys Hosp Enid Ok | ||||||||||
| 14528 S Outer Forty St 100 | Chesterfield | MO | 63017 | 730614655 | Inactive | OK | 501c3 | 3 | Mercy Health System Inc | |
| The Sr M Cornelia Blasko Fn | ||||||||||
| 100 W Highway 60 | Mountain View | MO | 65548 | 431873914 | Foundation | MO | 501c3 | 11-I | St Francis Hosp Mount View MO | |
| Unity Ambulatory Care | ||||||||||
| 645 Maryville Ctr Dr Ste 100 | St Louis | MO | 63141 | 431861745 | Inactive | MO | 501c3 | 11-III | St John's Mercy Health Care | |
Form990 Schedule R Part III Form990ScheduleRPartIII (8 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Predominant Income TypePredominantIncomeType | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|---|
| Southern Oklahoma Diag Ctr LLC | ||||||||||
| 1011 Fourteenth Avenue NW | ARDMORE | OK | 73401 | 431971232 | MRI Services | OK | N/A | N/A | 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 |
| Hot Springs Equip Leasing LLC | ||||||||||
| 300 Werner Street | HOT SPRINGS | AR | 71913 | 204340915 | Inactive, dissolved 9/30/09 | AR | N/A | N/A | 0 | 0 |
| Hot Springs MRI Partnership | ||||||||||
| 100 Ridgeway Place | HOT SPRINGS | AR | 72901 | 710675196 | Inactive, dissolved 8/5/09 | 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 |
| Southern Oklahoma PHO LLC | ||||||||||
| 1011 Fourteenth Avenue NW | ARDMORE | OK | 73401 | 731462104 | Inactive, dissolved 12/31/09 | OK | 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 (13 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| St Edward Medical Services Inc | ||||||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72903 | 202965518 | Inactive dissolved 5/5/10 | AR | N/A | C | ||||
| Consolidated Logistics Inc | ||||||||||||
| 2710 Rife Medical Lane | Rogers | AR | 72758 | 710474406 | Inactive dissolved 8/4/09 | AR | N/A | C | ||||
| 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 | ||||
| Mercy Medical Services Inc | ||||||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 710641246 | Inactive dissolved 7/1/09 | MO | 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 | C | MERCY HEALTH CENTERINC | 793293 | 1899005 | 0.88000 | |
| 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 (23 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| Healdton Mercy Hospital Corporation | |
| O | 5407082 |
| Healdton Mercy Hospital Corporation | |
| P | 276373 |
| Mercy Health Ctr Fdtn Inc | |
| O | 74111 |
| Mercy Health Network of the Southern Region Inc | |
| O | 6408956 |
| Mercy Health Network of the Southern Region Inc | |
| P | 351073 |
| Mercy Health Network Inc | |
| N | 785637 |
| Mercy Health Network Inc | |
| O | 36237227 |
| Mercy Health Network Inc | |
| P | 3581016 |
| Mercy Health Services Inc | |
| O | 850352 |
| Mercy Health Services Inc | |
| P | 415883 |
| Mercy Health System Inc | |
| O | 91043 |
| Mercy Memorial Health Center Foundation | |
| O | 58422 |
| Mercy Memorial Health Center Inc | |
| O | 116450882 |
| Mercy Memorial Health Center Inc | |
| P | 10380376 |
| Mercy Physicians of Oklahoma Inc | |
| O | 1281567 |
| Mercy Physicians of Oklahoma Inc | |
| P | 185299 |
| MHM Support Services | |
| O | 33328937 |
| MHP Inc | |
| P | 4664659 |
| Resource Optimization & Innovation LLC | |
| O | 15714849 |
| Sisters of Mercy Health System | |
| O | 1694444 |
| St John's Mercy Health Care | |
| O | 80436 |
| St John's Mercy Health System | |
| O | 356274 |
| Mercy Health Ctr Fdtn Inc | |
| C | 627287 |