MERCY HOSPITAL ARDMORE INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
MERCY HOSPITAL ARDMORE INC (EIN 73-1500629)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-13
IRS object ID
201141339349300944
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-13T13:02:48-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Pleus and Company LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line114323 S Outer Forty Ste 310NAddressLine1
CityChesterfieldCity
StateMOState
ZIP Code63017ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN731500629EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MERCY MEMORIAL HEALTH CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMERCNameControl
Phone4057523655Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11011 14th Avenue NWAddressLine1
CityArdmoreCity
StateOKState
ZIP Code73401ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJon VitielloName
TitleCFOTitle
Phone4057523724Phone
Date Signed2011-05-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone3143179916Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMalinda BurdickNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11011 14th Avenue NWAddressLine1
CityArdmoreCity
StateOKState
ZIP Code73401ZIPCode
FieldValueIRS element (for citing)
Gross Receipts134933878GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501cXOrganization501c
Web Sitewww.mercyok.netWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1996YearFormation
State Legal DomicileOKStateLegalDomicile
Activity Or Mission DescriptionTO CARRY OUT THE HEALING MINISTRY OF JESUS BY PROMOTING HEALTH AND WELLNESS THROUGH OUR COMMUNITIES. TO PROVIDE QUALITY HEALTH SERVICES THROUGH A WISE USE OF RESOURCES AND EXCEPTIONAL MERCY SERVICE.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees1368TotalNbrEmployees
Total Nbr Volunteers8TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year9315142ContributionsGrantsPriorYear
Contributions Grants Current Year6376712ContributionsGrantsCurrentYear
Program Service Revenue Prior Year111121449ProgramServiceRevenuePriorYear
Program Service Revenue CY125972889ProgramServiceRevenueCY
Investment Income Prior Year151457InvestmentIncomePriorYear
Investment Income Current Year-134101InvestmentIncomeCurrentYear
Other Revenue Prior Year1935697OtherRevenuePriorYear
Other Revenue Current Year2493332OtherRevenueCurrentYear
Total Revenue Prior Year122523745TotalRevenuePriorYear
Total Revenue Current Year134708832TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year33136GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY123334GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year48238395SalariesEtcPriorYear
Salaries Etc Current Year51535535SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year51881374OtherExpensePriorYear
Other Expenses Current Year69879666OtherExpensesCurrentYear
Total Expenses Prior Year100152905TotalExpensesPriorYear
Total Expenses Current Year121538535TotalExpensesCurrentYear
Revenues Less Expenses Prior Year22370840RevenuesLessExpensesPriorYear
Revenues Less Expenses CY13170297RevenuesLessExpensesCY
Total Assets BOY94590457TotalAssetsBOY
Total Assets EOY117006157TotalAssetsEOY
Total Liabilities BOY14489943TotalLiabilitiesBOY
Total Liabilities EOY23193513TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY80100514NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY93812644NetAssetsOrFundBalancesEOY
Mission DescriptionMERCY MEMORIAL HEALTH CENTER IS ROOTED IN THE MISSION OF JESUS AND THE HEALING MINISTRY OF THE CHURCH. THIS TRADITION IS MARKED BY VALUES OF JUSTICE, EXCELLENCE, STEWARDSHIP AND RESPECT FOR THE DIGNITY OF EACH PERSON.MERCY MEMORIAL HEALTH CENTER IMPLEMENTS AND ADVOCATES FOR INNOVATIVE HEALTH AND SOCIAL SERVICES TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF COMMUNITIES SERVED, WITH PARTICULAR CONCERN FOR PEOPLE WHO ARE ECONOMICALLY POOR.IN SERVING OTHERS WE MAKE A DIFFERENCE BY TOUCHING THEIR LIVES WITH COMPASSION AND EXCEPTIONAL MERCY SERVICE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense90903221Expense
Grants123334Grants
Revenue126858118Revenue
DescriptionMercy Memorial 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 8,430 inpatients, 39,412 emergency department patients, and 143,072 outpatients. Services are provided through a community-based, acute care hospital, a skilled nursing center, and a rehabilitation center and a behavioral medicine center. Our outpatient services include a home health agency, outpatient surgery and diagnostics and various primary physician clinics/services. The institution continues to focus on the provision of primary health services through the 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) health education and Wellness programs and other support group meetings offered to the community.2) health services such as health fairs and screenings, free clinics, pre-natal and well baby care. 3) health professionals are provided education, including opportunities for clinical internships.4) subsidized health services including hospice, home health services, and disaster readiness.5) Community Health Research6) Cash and in-kind donations for events and fund-raising7) Community building activities, in partnership with other community organizations Mercy provides care to patients who lack financial resources and are deemed to be medically indigent and does not pursue collection of amounts determined to qualify as charity care. In addition, Mercy provides services to other patients under the Medicare Program and various state Medicaid programs. Such programs pay providers amounts that are less than billed charges of the services provided to the recipients. Care is provided to those with limited or no ability to pay. Relief for the financial burden of health care services rendered to the indigent totaled $6,073,037 in FY2010.The above amount does not reflect the cost of Health activities and programs to support the community health education programs and other community support activities. The services provided by Mercy, as well as the amount of charity care provided, demonstrates the ongoing commitment of the organization to serve in a leadership role as an advocate for responsive healthcare services for the community, with a deep commitment and sensitivity to meeting the needs of the poor.Description
Total Program Service Expense90903221TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees1368NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledOKStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Jon VitielloBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4057523724TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Allen Dubea
TRUSTEE1.00X000
JASON T SMOTHERMAN
TRUSTEE1.00X000
SISTER RICHARD MARY BURKE
TRUSTEE1.00X000
CURTIS J DAVIDSON
TRUSTEE1.00X000
THOMAS F DUNLAP
TRUSTEE1.00X000
SISTER REBECCA ANN HENDRICKS RSM
TRUSTEE1.00X000
Clayton Lodes
TRUSTEE1.00X000
BARBARA E HISEY
TRUSTEE1.00X000
PAMELA L KIMBROUGH
TRUSTEE1.00X000
DAN PARROTT
TRUSTEE1.00X000
David A Woerz
TRUSTEE1.00X000
MALINDA BURDICK
PRESIDENT40.00X036785313153X
DIANA SMALLEY
EX-OFFICIO6.00X0541413166553X
DAVID J BRENNER
TRUSTEE1.00X000
DOUGLAS BRITT MORRISDO
TRUSTEE1.00X000
FREDERICK A DORROHMD
TRUSTEE1.00X000
JOHN L MOORE
TRUSTEE1.00X000
JAMES NEWMAN
TREASURER24.00033799987400X
WILLIAM PARSONS
VP - MA40.0031244400X
THOMAS EDELSTEIN
VP - MISSION1.00016692224748X
RYAN BARNARD
VP-ANCILLARY & SUPPORT SVCS40.00166232019490X
CINDY CARMICHAEL
VP - RURAL DEVELOPMENT30.00506351670639733X
RHONDA J HANAN
Vice President Nursing40.001295304945416652X
JAY JOHNSON
COO40.00022643636933X
RICHARD BARKER
Administrator Rural Facilities40.00148201015541X
TAD HALL
CHIEF PHYSICIAN ASSISTANT40.00219134021637X
JOHN T O'CONNOR
PHYSICIAN40.00245030025587X
LARRY D POWELL
Physician40.00161773012579X
VERGIL D SMITH
Physician40.00139888013434X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1572867TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1857140TotalReportableCompFrmRltdOrgs
Total Other Compensation463440TotalOtherCompensation
Number Individuals GT100 K33NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
NABHOLZ CONSTRUCTION
1120 E Reno AvenueOklahoma CityOK73117construction18961020
ARDMORE ANESTHESIA INC
PO BOX 1983ArdmoreOK73402MEDICAL SERVICES629964
ARDMORE SURGICAL MANAGEMENT
1011 14TH NWArdmoreOK73401MEDICAL SERVICES520750
HEALTHCARE FINANCIAL RESOURCES
830 North Meacham RdSchaumburgIL60173COLLECTION SERVICES445731
RCOA IMAGING SERVICES
16110 JOG RD STE 200Delray BeachFL33446MEDICAL SERVICES441010
FieldValueIRS element (for citing)
Number Of Contractors GT100 K22NumberOfContractorsGT100K
Related Organizations6376712RelatedOrganizations
Total Contributions6376712TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT REVENUEDescription
Business Code621300BusinessCode
Total Revenue Column125972889TotalRevenueColumn
Related Or Exempt Function Income125972889RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue125972889TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column90945TotalRevenueColumn
Exclusion$90,945ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real798650Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real798650Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column798650TotalRevenueColumn
Exclusion$798,650ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other225046Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-225046Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-225046TotalRevenueColumn
Related Or Exempt Function Income-225046RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
OTHER REVENUE90009911183831118383
CAFETERIA722210584407$584,407
JOINT VENTURE (LOSS)900099-8108-8108
FieldValueIRS element (for citing)
Total Other Revenue1694682TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column134708832TotalRevenueColumn
Related Or Exempt Function Income126858118RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,474,002ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total123334Total
Program Services123334ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total662843Total
Management And General662843ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total40763781Total
Program Services28461272ProgramServices
Management And General12302509ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1569153Total
Program Services1095583ProgramServices
Management And General473570ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5962123Total
Program Services4162754ProgramServices
Management And General1799369ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2577635Total
Program Services1799705ProgramServices
Management And General777930ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total6133432Total
Management And General6133432ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total45937Total
Management And General45937ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total534863Total
Management And General534863ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5176235Total
Program Services3614047ProgramServices
Management And General1562188ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total53984Total
Program Services37692ProgramServices
Management And General16292ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total244384Total
Program Services170629ProgramServices
Management And General73755ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total5031992Total
Program Services3513337ProgramServices
Management And General1518655ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3079556Total
Program Services2150146ProgramServices
Management And General929410ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total263463Total
Program Services183950ProgramServices
Management And General79513ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4931916Total
Program Services3443464ProgramServices
Management And General1488452ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total928380Total
Program Services648195ProgramServices
Management And General280185ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT1721844817218448
MEDICAL SUPPLIES1565050015650500
PHARMACEUTICALS41041034104103
RECRUITING EXPENSE15569711087077469894

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total4925502Total
Program Services3438985ProgramServices
Management And General1486517ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total121538535Total
Program Services90903221ProgramServices
Management And General30635314ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY448967BOY
EOY17674EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY16862302BOY
EOY16966167EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1984901BOY
EOY631843EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1951435BOY
EOY1851328EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY144312BOY
EOY238996EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis183487499LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec86324600LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY72437150BOY
EOY97162899EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY362296BOY
EOY137250EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY399094BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY94590457BOY
EOY117006157EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY12766831BOY
EOY10456027EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY201164BOY
EOY201164EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1521948BOY
EOY12536322EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY14489943BOY
EOY23193513EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY80100514BOY
EOY93812644EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY80100514BOY
EOY93812644EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY94590457BOY
EOY117006157EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$3,551GrantsOtherOrganizationsAmount
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB3551TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart IV, Supplemental Information:Identifier
ExplanationThe organization is a member of and pays dues to the Oklahoma Hospital Association. For the year ended June 30, 2010, dues were $37,418. Approximately 9.49% of Oklahoma Hospital Association dues were attributable to lobbying activities performed.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2417794OtherCostOrOtherBasis
Book Value2417794BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis39670475OtherCostOrOtherBasis
Depreciation24842251Depreciation
Book Value14828224BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis77784300OtherCostOrOtherBasis
Depreciation60481064Depreciation
Book Value17303236BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis63614930OtherCostOrOtherBasis
Depreciation1001285Depreciation
Book Value62613645BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings97162899TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
MEDICARE SETTLEMENTS$729,432
Due to Affiliates$11,806,890
FieldValueIRS element (for citing)
Total Of Amounts12536322TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart X:Identifier
Return ReferenceDescription of Uncertain Tax Positions Under FIN 48:ReturnReference
ExplanationThe 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

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense5033584TotalCommunityBenefitExpense
Net Community Benefit Expense5033584NetCommunityBenefitExpense
Percent Of Total Expense0.04830PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense1039453TotalCommunityBenefitExpense
Net Community Benefit Expense1039453NetCommunityBenefitExpense
Percent Of Total Expense0.01000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense6073037TotalCommunityBenefitExpense
Net Community Benefit Expense6073037NetCommunityBenefitExpense
Percent Of Total Expense0.05830PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Persons Served1987PersonsServed
Total Community Benefit Expense559890TotalCommunityBenefitExpense
Net Community Benefit Expense559890NetCommunityBenefitExpense
Percent Of Total Expense0.00540PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served96PersonsServed
Total Community Benefit Expense377550TotalCommunityBenefitExpense
Net Community Benefit Expense377550NetCommunityBenefitExpense
Percent Of Total Expense0.00360PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served100PersonsServed
Total Community Benefit Expense61025TotalCommunityBenefitExpense
Net Community Benefit Expense61025NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served13141PersonsServed
Total Community Benefit Expense398742TotalCommunityBenefitExpense
Net Community Benefit Expense398742NetCommunityBenefitExpense
Percent Of Total Expense0.00380PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs11NumberOfActivitiesOrPrograms
Persons Served15324PersonsServed
Total Community Benefit Expense1397207TotalCommunityBenefitExpense
Net Community Benefit Expense1397207NetCommunityBenefitExpense
Percent Of Total Expense0.01340PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs11NumberOfActivitiesOrPrograms
Persons Served15324PersonsServed
Total Community Benefit Expense7470244TotalCommunityBenefitExpense
Net Community Benefit Expense7470244NetCommunityBenefitExpense
Percent Of Total Expense0.07170PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served2120PersonsServed
Total Community Building Expense73834TotalCommunityBuildingExpense
Net Community Building Expense73834NetCommunityBuildingExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served9368PersonsServed
Total Community Building Expense31678TotalCommunityBuildingExpense
Net Community Building Expense31678NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense12759TotalCommunityBuildingExpense
Net Community Building Expense12759NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense6950TotalCommunityBuildingExpense
Net Community Building Expense6950NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served1792PersonsServed
Total Community Building Expense105907TotalCommunityBuildingExpense
Net Community Building Expense105907NetCommunityBuildingExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served13280PersonsServed
Total Community Building Expense231128TotalCommunityBuildingExpense
Net Community Building Expense231128NetCommunityBuildingExpense
Percent Of Total Expense0.00220PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$5,397,760BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare48040366AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare49745642CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-1705276MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1MERCY MEMORIAL HEALTH CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11011 14TH AVENUE NWAddressLine1
CityARDMORECity
StateOKState
ZIP Code73401ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Bad Debt FootnotePart 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 BenefitPart III, Line 8: The Medicare shortfall was computed using the annual Medicare cost report (CMS Form 2552-96). It is the position of Mercy Memorial 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 PolicyPart 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 AssessmentPart VI, Line 2: One step in the needs assessment process included receiving and assessing information from the Turning Point Coalition which represents Carter County and the surrounding counties as well. Through this coalition Mercy Memorial stays apprised of current needs and works both independently and collaboratively to meet these needs.Additionally, Community Roundtable meetings were held in Ardmore, which are located in the Mercy Memorial Health Center, Inc. service area. Participants shared their views on both the current and future state of health in their communities.NeedsAssessment
Patient Education AssistancePart 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 InformationPart VI, Line 4: Mercy Memorial Health Center, Inc. is located in Ardmore, Oklahoma. Mercy Memorial Health Center, Inc. primarily serves those in urban/suburban Ardmore and the Carter County area. Ardmore is a community of approximately 30,000 people, and is the center of business and trade for Southern Oklahoma. Surrounding towns and rural homes bring the total population of Carter County including Ardmore close to 50,000.- A review of the community health status for Carter County found issues related to poverty and the uninsured rate; drug and alcohol abuse; child neglect and abuse; injuries relating to falls and work-related activities are all present.- Risk factors that contribute to premature death are high blood pressure, smoking, and adult obesity.- Identified health needs: Tobacco use is high, increasing population is overweight, health insurance coverage is low, chronic disease rates are high and cancer screening rates are low.CommunityInformation
Community Building ActivitiesPart VI, Line 5: Mercy Memorial Health Center, Inc. (MMHC) 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, MMHC demonstrates its ongoing commitment to the community. Community building activities serve as a link to engage Mercy coworkers to look beyond the walls of the facilities in which they serve. Mercy co-workers participate as board members, volunteers giving hours of hands-on assistance, program development and fund raising. Some of the community building activities in which MMHC serves are:- Gloria Ainsworth Day Care, Soup Kitchen, Good Shepherd Clinic.- YMCA, Grace Center, Boys and Girls Club. - United Way, Cross Timbers Hospice, March of Dimes, Turning Point and Tobacco Coalition.Through these programs those in need receive day care at reduced rates, those without healthcare insurance or governmental support receive care and adults and children receive education and mentoring to achieve health and improved life quality. Programs are funded which promote positive lifestyle choices.CommunityBuildingActivities
Other InformationPart VI, Line 6: Mercy Memorial Health Center, Inc. (MMHC) 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 MMHC's commitment to serve allmembers of the communities it serves, MMHC provides care to patients regardless of ability to pay. As defined by the institution's charity policy, MMHC does not pursue collection of amounts determined to qualify for charity care. In addition, MMHC provides services to other patients under the Medicare Program and various state Medicaid programs. Such programs pay providers amounts that are substantially less than billed charges, and frequently less than the cost, of the services provided to the recipients.MMHC is governed by a Board of Directors which includes representation from community leaders in the organization's primary service areas. All board members are required to complete an annual Conflict of Interest survey. Any potential conflicts of interest disclosed by board members are screened by general counsel and reviewed by the board chairperson and CEO. This process ensures that public, rather than private interests areserved by MMHC.Surplus funds and unrestricted assets held by MMHC are reinvested in patient care, medical education and research initiatives which support the organization's mission to deliver compassionate care and exceptional health care services to the communities it serves. Examples include the following: - Conversion to the EPIC Electronic Health Record system. This platform allows continuity of patient medical record access by providers throughout the Mercy system and also allows the patient to access information from their own records, allowing more complete and meaningful communication, information and health education for the community. - Opening of Mercy Memorial's new 180,000-square-foot patient tower with 158 private rooms which doubled the number and size of the current private rooms. The $60 million patient tower houses private rooms, a women's health center and an improved intensive care unit.OtherInformation
Affiliated Health Care SystemPart 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 StatesOKReportsFiledWithStates

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
CHAMBER OF COMMERCE FOUNDATION
PO BOX 1585ArdmoreOK73402731372214501(c)(3)20000GENERAL OPERATIONS
ARDMORE CHAMBER OF COMMERCE
PO BOX 1585ArdmoreOK73402730130860501(c)(6)12800GENERAL OPERATIONS
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierOther Information:Identifier
Return ReferencePart IV:ReturnReference
ExplanationTHE ORGANIZATION USES AN APPROVAL PROCESS TO DETERMINE WHICH ORGANIZATIONS WILL RECEIVE GRANTS DURING THE FISCAL YEAR. THE FUNDS ARE THEN GIVEN DIRECTLY TO THE NONPROFIT ORGANIZATION.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MALINDA BURDICK
02752160577250349120840404749038100600
DIANA SMALLEY
039730901157740283300151301015252070796600
JAMES NEWMAN
0258143060157019699072747014653042539900
WILLIAM PARSONS
23431603444904367900000312444000
THOMAS EDELSTEIN
0950540711206475601528509463019167000
RYAN BARNARD
135559016128014545079110115790185722000
CINDY CARMICHAEL
4962312552902764210121389204626162534825226017517100
RHONDA J HANAN
832124416521088250025230278937530721856811405015513500
JAY JOHNSON
0167195037565021676025040011893026336900
RICHARD BARKER
117398020326010477014419011220163742000
TAD HALL
20358400015550014771068660240771000
JOHN T O'CONNOR
1026180109744032668016840087470270617000
LARRY D POWELL
10704502500002972807864047150174352000
VERGIL D SMITH
875700005231809469039650153322000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 4aThomas Edelstein received $38,848 in severance pay from St. Johns Mercy Health Care in St. Louis, a related entity. Part I, Line 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 FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL MANAGEMENT RETIREMENT PLAN: MINDY BURDICK JAMES NEWMAN JAY JOHNSON THE INDIVIDUALS LISTED ABOVE DID NOT RECEIVE PAYMENTS FROM THE SUPPLEMENTAL MANAGEMENT RETIREMENT PLAN DURING THE YEAR FROM THE FILING ORGANIZATION OR RELATED ORGANIZATIONS. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN: DIANA SMALLEY THE INDIVIDUAL LISTED ABOVE DID NOT RECEIVE PAYMENTS FROM THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN DURING THE YEAR FROM THE FILING ORGANIZATION OR RELATED ORGANIZATIONS. The amount of all accrued benefits is included in compensation amounts provided in Schedule J, Part II, Column (C).
Part I, Line 7The related organization which employs those individuals listed on Part VII, and the filing organization when applicable, provides a non-fixed bonus plan for which certain tiers of its employees are eligible. For fiscal year 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 IIIThe filing organization relies on a related organization; refer to Schedule O, Part VI, question 15a and 15b for the process the related organization follows.Supplemental Information

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Ardmore Surgical Management (ASM)BusinessNameLine1
FieldValueIRS element (for citing)
RelationshipPamela L. Kimbrough is a board member of the organization and ASMRelationship
Amount Of Transaction498355AmountOfTransaction
Description Of TransactionIndependent contractor - amount is based on Form 1099 amount and not fiscal yearDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 6MERCY HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF THE ORGANIZATION.
Form 990, Part VI, Section A, line 7aMERCY HEALTH SYSTEM, INC. (THE MEMBER) MAY APPOINT OR REMOVE MEMBERS OF THE BOARD OF DIRECTORS AT ANY TIME AT THE MEMBER'S DISCRETION.
Form 990, Part VI, Section A, line 7bMERCY HEALTH SYSTEM, INC. has the following powers and responsibilities: -TO APPROVE THE MISSION AND ESTABLISH THE PHILOSOPHY ACCORDING TO WHICH THE CORPORATION SHALL OPERATE; -TO AMEND AND APPROVE THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION AND TO AMEND AND APPROVE THE ARTICLES OF INCORPORATION AND BYLAWS OF ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO APPOINT AND REMOVE THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION; -TO APPROVE OR AMEND THE STRATEGIC PLAN, GOALS AND OBJECTIVES OF THE CORPORATION; -TO APPROVE OR AMEND THE OPERATING, CAPITAL, AND CONSTRUCTION BUDGETS FOR THE CORPORATION; -TO LEASE OR SELL ANY OF THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION IN EXCESS OF ONE MILLION DOLLARS ($1,000,000); -TO ENCUMBER ANY OR ALL OF THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO AUTHORIZE AND APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTY ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; -TO MERGE, DISSOLVE, OR ABANDON THE CORPORATION; AND, -TO APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION BY THE CORPORATION.
Form 990, Part VI, Section B, line 11The Form 990 is prepared by an independent accounting firm, using information provided by the filing organization. A draft Form 990 is reviewed by the filing organization's finance team. The draft Form 990 is also reviewed by the 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 12cTHE 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 15aFor those classified as officers (and thus disqualified persons), the organization uses the following to establish compensation: external market salary surveys, external market salary studies, engagement of an independent compensation consultant, and review/approval of compensation by the executive compensation committee of the Board of the Sister of Mercy Health System. For those classified as key employees, the organization uses the following to establish the compensation: external market salary surveys, external market salary studies, and review/approval of executive management. Compensation reviews are completed on an annual basis, and a review was completed during the reporting year.
Form 990, Part VI, Section C, line 19Governing documents, conflict of interest policy, and financial statements have been made available from time to time but are not published publicly.
Part XI, Line 2The 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 3The 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 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, PART V SYSTEM LIMITATIONS 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 & P.
FORM 990, PART VIIJAMES NEWMAN DEVOTED AN AVERAGE OF 37 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 10 HOURS PER WEEK TO RELATED ORGANIZATIONS. THOMAS EDELSTEIN DEVOTED AN AVERAGE OF 50 HOURS PER WEEK TO RELATED ORGANIZATIONS.HOURS PER WEEK
FORM 990, PART V, LINE 2ATHE 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.SALARIES AND WAGES
FORM 990, PART V, LINE 1AIndependent 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.Independent Contractors

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (64 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Direct Controlling Entity NADirectControllingEntityNA
Advance Care Hospital
300 Werner St 3rd FloorHot SpringsAR71913710816634Long term acute-care hospitalAR501c33SMHS
Breech Regional Med Ctr
100 Hospital DriveLebanonMO65536431767432HospitalMO501c33ST JOHn's Health System Inc
Carroll Health Foundation
214 Carter StreetBerryvilleAR72616710759301FoundationAR501c311-IOzark Regions Health Systems
Casa de Misericordia
1602 McClelland StreetLaredoTX78044742912461Women's domestic violence shelterTX501c39Mercy Ministries of Laredo
Healdton Mercy Hosp Corp
918 South StreetHealdtonOK73438263173902Operating co for leased hospOK501c33Mercy Memorial Health Ctr Inc
Laredo Medical Group
14528 S Outer Forty St 100ChesterfieldMO63017742764726InactiveTX501c39MHSystem of Texas Inc
McAuley Portfolio Mgmt Co
14528 S Outer Forty St 100ChesterfieldMO63017261708048Portfolio management.MO501c311-IISMHS
Mercy El Reno Hosp Corporation
2115 Parkview DriveEl RenoOK73036736617948Operating co for leased hospOK501c33SMHS
Mercy Emergency Med Srvs
4300 W Memorial RoadOklahoma CityOK73120810627035InactiveOK501c39Mercy Health Center Inc
Mercy Fdtn Health Innov
14528 S Outer Forty St 100ChesterfieldMO63017200901499FoundationMO501c311-IISMHS
Mercy Health Ctr Fdtn
401 Woodland Hills BlvdFort ScottKS66701481077073FoundationKS501c311-IIIMHS of Kansas Inc
Mercy Health Ctr Fdtn Inc
4300 W Memorial RoadOklahoma CityOK73120731593024FoundationOK501c311-IMercy Health Center Inc
Mercy Health Center Inc
4300 W Memorial RoadOklahoma CityOK73120730579285HospitalOK501c33Mercy Health System Inc
Mercy Health MNMCH Inc
220 Pennsylvania AvenueColumbusKS66725270842031Critical Access HospitalMO501c39Mercy Health System-Joplin Inc
Mercy Health of Joplin Found
2727 McClelland BlvdJoplinMO64804270906136FoundationMO501c311-IMercy Health System-Joplin Inc
Mercy Health of Joplin Inc
2727 McClelland BlvdJoplinMO64804270814858HospitalMO501c39Mercy Health System-Joplin Inc
Mercy Health Services
4300 W Memorial RoadOklahoma CityOK73120141838609Urgent Care ClinicsOK501c33Mercy Health Center Inc
Mercy Health System Joplin Inc
2727 McClelland BlvdJoplinMO64804300584463Health SystemMO501c311-IISMHS
Mercy Health System KS
401 Woodland Hills BlvdFt ScottKS66701480956045Hospital;rural health clinicsKS501c33SMHS
Mercy Health System NW Ark Inc
2710 Rife Medical LnRogersAR72758621684203Physician GroupAR501c311-IISMHS
Mercy Health System TX
14528 S Outer Forty St 100ChesterfieldMO63017742764727InactiveTX501c311-IISMHS
Mercy Health System Inc
4300 W Memorial RoadOklahoma CityOK73120731453048Holding companyOK501c311-IISMHS
Mercy Hospital Fdtn Indep
800 W MyrtleIndependenceKS67301481079981FoundationKS501c311-IMHS of Kansas Inc
Mercy Hospital of Laredo
14528 S Outer Forty St 100ChesterfieldMO63017741189682InactiveTX501c33MHSystem of Texas Inc
Mercy Medical Group
645 Maryville Ctr Dr Ste 100St LouisMO63141431771217Physician GroupMO501c39St John's Mercy Health Care
Mercy Memorial Health Ctr Fdtn
1011 14th Avenue NWArdmoreOK73401710962525FoundationOK501c311-IMercy Memorial Health Ctr Inc
Mercy Ministries of Laredo
2500 ZacatecasLaredoTX78043200198462healthcare, outreach,food pantry.TX501c33SMHS
Mercy Physicians Ok
4300 W Memorial RoadOklahoma CityOK73120270473057Physician Group/ClinicOK501c39Mercy Health System Inc
MHM Support Services
14528 S Outer Forty St 100ChesterfieldMO63017202553101Centralized Health System FunctionsMO501c311-IISMHS
Mission Clinical Services
300 Werner StreetHot SpringsAR71913134239691Physician ClinicsAR501c311-IISt Joseph's MHS Inc
Ozarks Regions HS
214 Carter StreetBerryvilleAR72616710759299HospitalAR501c33St John's Health System Inc
Sisters of Mercy Hlth Sys
14528 S Outer Forty St 100ChesterfieldMO63017431423050Health System - Corporate OfficeMO501c311-IIN/A
Sisters of Mercy Ministries
14528 S Outer Forty St 100ChesterfieldMO63017721069468Family counseling;social justice advocacyMO501c39SMHS
St Edward Health Frank Cty
801 W River StreetOzarkAR72949710689680HospitalAR501c33St Edward Mercy Medical Ctr
St Edward Health Log Cty
500 E AcademyParisAR72855710655753HospitalAR501c33St Edward Mercy Medical Ctr
St Edward Health Scott Cty
1341 W 6th StreetWaldronAR72958710557895HospitalAR501c33St Edward Mercy Medical Ctr
St Edward Mercy Clin
7301 Rogers AvenueFort SmithAR72917261318597Physician ClinicAR501c33St Edward MHS Inc
St Edward Mercy Foundation
PO Box 17000Fort SmithAR72917237330425FoundationAR501c33St Edward Mercy Medical Ctr
St Edward Mercy HS Inc
7301 Rogers AvenueFort SmithAR72917261318515Holding CompanyAR501c311-IISMHS
St Edward Mercy Med Ctr
7301 Rogers AvenueFort SmithAR72917710240352HospitalAR501c33St Edward MHS Inc
St Francis Hosp MtView MO
100 W Highway 60Mountain ViewMO65548440607149HospitalMO501c33ST John's Health System Inc
St Johns Aurora Inc
500 Porter AvenueAuroraMO65605431936696Operating co for leased hospMO501c33St John's Health System Inc
St Johns Cassville Inc
94 Main StreetCassvilleMO65625431936699Operating co for leased hospMO501c33St John's Health System Inc
St Johns Childrens Hosp
1235 E Cherokee StreetSpringfieldMO65804INactiveMO501c33ST JOhn's Health System Inc
St Johns Clinic Inc
1965 Fremont Street Suite 2950SpringfieldMO65804431560263Physician GroupMO501c33St John's Health System Inc
St Johns Fdtn Comm Hlth
1235 E Cherokee StreetSpringfieldMO65804320195818FoundationMO501c311-IISt John's Health System Inc
St Johns Health System In
1235 E Cherokee StreetSpringfieldMO65804431856028Holding CompanyMO501c311-IISMHS
St Johns Home Care Berryville
214 Carter StreetBerryvilleAR72616870781247Home Health and Hospice operations.AR501c311-IIISt John's Regional Health Ctr
St Johns Medical Rsch Inst
1235 E Cherokee StreetSpringfieldMO65804870796305Research - Clinical TrialsMO501c33St John's Health System Inc
St Johns Mercy Fdtn
645 Maryville Ctr Dr Ste 100St LouisMO63141562410020FoundationMO501c311-IISt John's Mercy Health Care
St Johns Mercy Health Care
645 Maryville Ctr Dr Ste 100St LouisMO63141431718408Health SystemMO501c311-IISMHS
St Johns Mercy Health System
645 Maryville Ctr Dr Ste 100St LouisMO63141430653493HospitalMO501c33St John's Mercy Health Care
St Johns Mercy Hospital Fdtn
901 E Fifth StreetWashingtonMO63090562410022FoundationMO501c311-IISt John's Mercy Health Care
St Johns Mercy Supp Srv
615 S New Ballas RoadSt LouisMO63141431677952InactiveMO501c311-IIISt John's Mercy Health System
St Johns Reg Hlth Ctr
1235 E Cherokee StreetSpringfieldMO65804440552485HospitalMO501c33St John's Health System Inc
St Josephs Mercy Clin
1 Mercy LaneHot SpringsAR71913261125131Physician ClinicAR501c39St Joseph's MHS Inc
St Josephs Mercy Health Center
300 Werner StreetHot SpringsAR71913710236913HospitalAR501c33St Joseph's MHS Inc
St Josephs Mercy Health Fdtn
300 Werner StreetHot SpringsAR71913710804718FoundationAR501c311-IISt Joseph's Mercy Health Ctr
St Josephs Mercy Health Sys
300 Werner StreetHot SpringsAR71913261125064Holding CompanyAR501c311-IISMHS
St Mary-Rogers Mem Hos
2710 Rife Medical LnRogersAR72758710294390HospitalAR501c33MH S NW Arkansas Inc
St Marys Hospital Foundation
2710 Rife Medical LnRogersAR72858710601687FoundationAR501c311-IIISt Mary-Rogers Mem Hosp Inc
St Marys Hosp Enid Ok
14528 S Outer Forty St 100ChesterfieldMO63017730614655InactiveOK501c33Mercy Health System Inc
The Sr M Cornelia Blasko Fn
100 W Highway 60Mountain ViewMO65548431873914FoundationMO501c311-ISt Francis Hosp Mount View MO
Unity Ambulatory Care
645 Maryville Ctr Dr Ste 100St LouisMO63141431861745InactiveMO501c311-IIISt John's Mercy Health Care

Form990 Schedule R Part III Form990ScheduleRPartIII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
Southern Oklahoma Diag Ctr LLC
1011 Fourteenth Avenue NWARDMOREOK73401431971232MRI ServicesOKN/ARelated928881629900
Resource Optimiz & InnovLLC
645 Maryville Ctr DrSte 200ST LOUISMO63141460468368Central Distribution CenterMON/AN/A00
Mercy Ambulatory Surgery Center LLC
7301 Rogers AvenueFORT SMITHAR72917710827721Ambulatory Surgery CenterARN/AN/A00
Hot Springs Equip Leasing LLC
300 Werner StreetHOT SPRINGSAR71913204340915Inactive, dissolved 9/30/09ARN/AN/A00
Hot Springs MRI Partnership
100 Ridgeway PlaceHOT SPRINGSAR72901710675196Inactive, dissolved 8/5/09ARN/AN/A00
FORT SMITH EMERGENCY MEDICAL SERVICES
1701 SOUTH GREENWOODFORT SMITHAR72901710416615Emergency Medical ServicesARN/AN/A00
Southern Oklahoma PHO LLC
1011 Fourteenth Avenue NWARDMOREOK73401731462104Inactive, dissolved 12/31/09OKN/ARElated01
St Edward Mercy MC M-P Office Bldg
7301 Rogers AvenueFORT SMITHAR72903710554050Office BuildingARN/AN/A00

Form990 Schedule R Part IV Form990ScheduleRPartIV (13 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
St Edward Medical Services Inc
7301 Rogers AvenueFort SmithAR72903202965518Inactive dissolved 5/5/10ARN/AC
Consolidated Logistics Inc
2710 Rife Medical LaneRogersAR72758710474406Inactive dissolved 8/4/09ARN/AC
Mercy Comm Services Inc
401 Woodland Hills BlvdFort ScottKS66701481078101Catering operationsKSN/AC
Frontenac Properties Inc
14528 S Outer Forty Suite 100ChesterfieldMO63017521914421Holds ancillary assets & owns aircraftDEN/AC
MHP Inc
14528 S Outer Forty Suite 300ChesterfieldMO63017431697084Holding company sold 10/1/10DEN/AC
Mercy Medical Services Inc
14528 S Outer Forty Suite 100ChesterfieldMO63017710641246Inactive dissolved 7/1/09MON/AC
Inveno Health Inc
1235 E Cherokee StreetSpringfieldMO65804264509571Technology transfer companyMON/AC
Unity Support Services Inc
645 Maryville Centre Drive Suite 10St LouisMO63141431797042InactiveMON/AC
UH L Corp Inc
645 Maryville Centre Drive Suite 10St LouisMO63141742499535Holding companyMON/AC
MHN of the Southern Region Inc
1011 14th Avenue NWArdmoreOK73401731580607Employed physicians, physician assistants, and nurse practitionersOKN/AC
Mercy Health Center Condominium Inc
4300 W Memorial RdOklahoma CityOK73120680640970Administrator of certain real property and improvementsOKN/AC
Mercy Managed Care Corporation
4300 W Memorial RoadOklahoma CityOK73120731441665Holding companyOKN/AC
Mercy Health Network Inc
4300 W Memorial RoadOklahoma CityOK73120731381689Employed physicians, physician assistants, and nurse practitionersOKN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (15 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Healdton Mercy Hospital Corporation
P109080
Mercy Health Center Inc
O10380376
Mercy Health Center Inc
P116450882
Mercy Health Network of the Southern Region Inc
N86617
Mercy Health Network of the Southern Region Inc
P171540
Mercy Health Network Inc
O107510
Mercy Health network Inc
P421785
Mercy Memorial Health Center Foundation
O139802
MHM Support Services
O13581755
MHP Inc
P1883362
Resource Optimization & Innovation LLC
O6017514
Sisters of Mercy Health System
O618477
Southern Oklahoma PHO LLC
O196972
St John's Mercy Health System
O130308
Mercy Memorial Health Center Foundation
C6376712

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