2024-05-10T16:03:28-05:00 2023-06-30 990 2022-07-01 463596274 MERCY HEALTH FOUNDATION ADA MERC 3145796100 430 N MONTE VISTA STREET ADA OK 74820 CHRISTOPHER HAHNE CHIEF FINANCIAL OFFICER 3145796100 2024-05-10 CHRISTOPHER HAHNE 999009999 1 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z TODD ESSARY 430 N MONTE VISTA STREET ADA OK 74820 12715594 0 0928 X WWW.MERCY.NET X 2013 OK AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. 21 20 0 21 0 0 614238 12704071 0 0 110 189 20430 7857 634778 12712117 274626 651250 0 0 208276 172193 0 0 85933 41753 25968 524655 849411 110123 11862706 2404149 14703874 46058 123115 2358091 14580759 AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. 0 0 651250 651250 MERCY HEALTH FOUNDATION ADA HELPED LIVE MERCY'S MISSION TO PROVIDE CARE TO EVERYONE WHO NEEDED IT BY SUPPORTING CHARITY CARE AND COMMUNITY OUTREACH SERVICES. DONATIONS SUPPORTED THE PROVISION OF CHARITY CARE AT MERCY FACILITIES, CAPITAL NEEDS, AND PROGRAMS IDENTIFIED TO BENEFIT PATIENTS CARED FOR AT MERCY HOSPITALS AND OUTREACH LOCATIONS. 651250 1 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 21 20 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 OK X CHRISTOPHER HAHNE 4059365649 4300 WEST MEMORIAL ROAD OKLAHOMA CITY OK 73120 X BABB MARANDA BOARD MEMBER 1.00 0.00 X 0 0 0 BRODERICK MEGAN BOARD MEMBER 1.00 0.00 X 0 0 0 CLARK LUCAS BOARD MEMBER 1.00 0.00 X 0 0 0 CRISWELL JAMES BOARD MEMBER 1.00 0.00 X 0 0 0 EMERSON SCOTT BOARD MEMBER 1.00 0.00 X 0 0 0 ESSARY TODD EXEC DIRECTOR PHILANTROPHY & BD MEMBER 15.00 45.00 X X 0 118422 12366 ESTES CALEB BOARD MEMBER 1.00 0.00 X 0 0 0 FLOYD DELISA BOARD MEMBER 1.00 0.00 X 0 0 0 HOWARD KENNY BOARD MEMBER 1.00 0.00 X 0 0 0 MANKIN TAMMY BOARD MEMBER 1.00 0.00 X 0 0 0 MCELROY ALLYSON BOARD MEMBER 1.00 0.00 X 0 0 0 PATTON VICKI BOARD MEMBER 1.00 0.00 X 0 0 0 STONECIPHER ALLEN BOARD MEMBER 1.00 0.00 X 0 0 0 WOOD SHANA BOARD MEMBER 1.00 0.00 X 0 0 0 ADAMS DREW BOARD MEMBER 1.00 0.00 X 0 0 0 FARRELL TERENCE BOARD MEMBER 1.00 0.00 X 0 0 0 MATHENY CYNTHIA BOARD MEMBER 1.00 0.00 X 0 0 0 MORRIS BUD BOARD MEMBER 1.00 0.00 X 0 0 0 NYEKO FATHER ROBERT BOARD MEMBER 1.00 0.00 X 0 0 0 SPENCE CLINT BOARD MEMBER 1.00 0.00 X 0 0 0 TULANE SCOTT BOARD MEMBER 1.00 0.00 X 0 0 0 WILLIAMS JEFF BOARD MEMBER 1.00 0.00 X 0 0 0 BROWN MORRIS EXECUTIVE DIRECTOR, FINANCE 1.00 49.00 X 0 154850 17912 CUMMINS LORI VP - DEVELOPMENT 10.00 30.00 X 0 210610 25360 ENLOE TRACY FORMER OFFICER 0.00 0.00 X 0 653251 39779 0 1137133 95417 0 1 1 0 0 X 48323 196828 12458920 19789 12704071 189 189 11334 48323 3477 7857 7857 12712117 0 0 8046 651250 651250 139499 73934 65565 3 2 1 32691 17326 15365 3048 3048 1000 1000 2550 2550 2861 2861 5217 2765 2452 ALLOCATED FOUNDATION EX 6453 6453 4839 4839 849411 651250 112228 85933 130282 53060 11789 12034496 264 1815 2261814 2614503 2404149 14703874 2256 970 21001 4300 22801 117845 46058 123115 X 402846 392098 1955245 14188661 2358091 14580759 2404149 14703874 X 11862706 130916 229046 X X 0 1 X 1 1 1 X X 1 MERCY HOSPITAL ADA 462288155 3 1 607104 0 1 607104 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 TEMP REST SPEC PURP INVST 2074495 F LT INVEST FUND-MIF SMHS 459438 F RESTRICTED CASH 80570 F 2614503 DUE TO TAX-EXEMPT AFFILIATED ORGANIZATIONS 117845 117845 FORM 990, SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE PRIMARILY ALL OF THE HEALTH SYSTEM ENTITIES ARE RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS CHARITABLE ORGANIZATIONS QUALIFYING UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), BY VIRTUE OF IRS DETERMINATION LETTERS OR INCLUSION IN THE OFFICIAL CATHOLIC DIRECTORY. THE HEALTH SYSTEM COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED ON THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2023 OR 2022. GOLF 23415 19685 3730 84 2243 TASTE OF ITALY 9085 8985 100 650 2 27157 19653 7504 500 59657 48323 11334 84 3393 3477 7857 1 MERCY HOSPITAL ADA 430 N MONTE VISTA STREET ADA OK 74820 462288155 501 (C) (3) 607104 0 CAPITAL SUPPORT 1 0 PART I, LINE 2: THE ASSISTANCE PROVIDED IS INTENDED TO BE USED FOR THE GENERAL OPERATING PURPOSES OF THE DONEES. THE USE OF GRANT FUNDS IS NOT MONITORED AFTER GRANTS ARE GIVEN. HOWEVER, THE GRANTEE IS PART OF MERCY HEALTH AND THEREFORE RELATED ORGANIZATIONS TO MERCY HEALTH FOUNDATION ADA. LEADERSHIP OF THE FOUNDATION AND THE GRANTEE COMMUNICATE ON HOW FUNDS ARE USED, ALTHOUGH THERE IS NO FORMAL MONITORING PROCESS. 0 0 0 0 0 0 0 0 0 ENLOE TRACY FORMER OFFICER 0 316175 0 296761 0 40315 0 21314 0 18465 0 693030 0 90300 CUMMINS LORI VP - DEVELOPMENT 0 166259 0 20711 0 23640 0 7331 0 18029 0 235970 0 0 BROWN MORRIS EXECUTIVE DIRECTOR, FINANCE 0 116598 0 11293 0 26959 0 4921 0 12991 0 172762 0 0 FORM 990, SCHEDULE J, PART I, QUESTION 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. FORM 990, SCHEDULE J, PART II THE AMOUNTS REPORTED FOR TRACY ENLOE IN COLUMN (F) ARE EITHER INCLUDED IN B(I) BASE COMPENSATION, B(II) AS BONUS AND INCENTIVE COMPENSATION, OR B(III) AS OTHER REPORTABLE COMPENSATION. THESE AMOUNTS ARE A PAYOUT OF THE SUPPLEMENTAL RETIREMENT PLAN AND EXECUTIVE RETENTION PLAN AND WERE INCLUDED IN COLUMN (C) OF PREVIOUSLY FILED FORMS 990. FORM 990, PART V, QUESTION 1A FORM 1099/1096 FILING VENDORS FOR THE FILING ORGANIZATION ARE PAID BY MERCY HEALTH (EIN 43-1423050). AS SUCH, ALL REQUIRED FORM 1099 AND FORM 1096 REPORTING IS MADE FOR THE ENTIRE MERCY HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN. FORM 990, PART V, QUESTION 2A W-3 FILING MOST EMPLOYEES ARE PAID BY A RELATED ORGANIZATION UNDER A COMMON PAYMASTER ARRANGEMENT. AS SUCH, REQUIRED PAYROLL FILING (INCLUDING W-2 AND W-3'S) IS REPORTED UNDER THE RELATED ORGANIZATION, MHM SUPPORT SERVICES, EIN 20-2553101. FORM 990, PART VI, SECTION A, LINE 6 MERCY HOSPITAL ADA IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE MERCY HOSPITAL ADA BOARD OF DIRECTORS MAY APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B MERCY HOSPITAL ADA RESERVES THE FOLLOWING POWERS AND RESPONSIBILITIES: -TO APPROVE AND ESTABLISH THE MISSION AND PHILOSOPHY ACCORDING TO WHICH THE CORPORATION AND ALL ORGANIZATIONS CONTROLLED BY THE CORPORATION SHALL OPERATE; -TO ADOPT OR AMEND THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION IN ACCORDANCE WITH ARTICLES IX AND X OF THESE BYLAWS AND TO AMEND THE ORGANIZATIONAL DOCUMENTS OF ANY ORGANIZATION CONTROLLED BY THE CORPORATION; -TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, THE EXECUTIVE DIRECTOR OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; -TO APPROVE OR AMEND THE OVERALL STRATEGIC, LONG RANGE, BUSINESS PLANS, GOALS AND OBJECTIVES OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; -TO APPROVE OR AMEND THE CONSOLIDATED OPERATING AND CAPITAL BUDGETS FOR THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION AND CHANGES IN BUDGETS IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY MERCY; -TO AUTHORIZE AND APPROVE THE LEASE OR SALE OF ANY OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY MERCY; -TO ENCUMBER ANY OR ALL OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION 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 IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTE ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; AND, -TO MERGE, DISSOLVE, OR ABANDON THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION, SUBJECT TO APPROVAL BY THE BOARD AS REQUIRED PURSUANT TO THE OKLAHOMA GENERAL CORPORATION ACT. FORM 990, PART VI, SECTION B, LINE 11B DSCR THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 THE FORM 990 IS PREPARED BY MERCY HEALTH'S TAX DEPARTMENT, USING INFORMATION PROVIDED BY THE FILING ORGANIZATION. A DRAFT FORM 990 IS REVIEWED BY THE FILING ORGANIZATION'S FINANCE TEAM, INCLUDING THE DIRECTOR OF FINANCE AND THE CHIEF FINANCIAL OFFICER. THE DRAFT FORM 990 IS ALSO REVIEWED BY MERCY HEALTH'S TAX DEPARTMENT, TO ENSURE ACCURACY AND CONSISTENCY WITH OTHER RELATED ORGANIZATIONS' FORMS 990. 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, INCLUDING THE CFO AND CEO, FOR REVIEW. ONCE REVIEWED AND APPROVED BY THE FILING ORGANIZATION'S LEADERSHIP TEAM, THE FORM 990 IS THEN SIGNED AND FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER DISQUALIFIED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY AND DID SO IN THE NORMAL COURSE FOR THE YEAR ENDED JUNE 30, 2023. THIS PROCESS IS ADMINISTERED AT THE MERCY HEALTH LEVEL BY MERCY'S CORPORATE COMPLIANCE DEPARTMENT. THE CONFLICTS AND THEIR RESPECTIVE RESOLUTIONS ARE SHARED AT THE MERCY LEVEL WITH A TEAM INCLUDING MERCY'S SENIOR VICE PRESIDENT OF FINANCIAL OPERATIONS & PLANNING, CHIEF COMPLIANCE OFFICER AND OTHER MEMBERS OF FINANCE, LEGAL AND HR. THE QUESTIONNAIRES ARE THEN REVIEWED WITH LEADERSHIP AT THE LOCAL LEVEL AND POTENTIAL CONFLICTS DISCUSSED AND RESOLVED. SUMMARY RESULTS ARE REVIEWED WITH MERCY'S STEWARDSHIP COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST BUT ARE NOT PUBLISHED PUBLICLY. FORM 990, PART VI, SECTION B, LINE 15A-15B FOR THE TOP MANAGEMENT OFFICIALS, THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS) AND KEY EMPLOYEES, THE ORGANIZATION RELIES UPON MERCY HEALTH, WHICH USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT, AND REVIEW/APPROVAL OF COMPENSATION BY THE COMPENSATION COMMITTEE OF THE BOARD OF MERCY HEALTH. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS AND A REVIEW WAS COMPLETED DURING THE REPORTING YEAR. FORM 990, PART VII, SECTION A FORMER EMPLOYEE COMPENSATION IS REPORTED FOR THE CALENDAR YEAR ENDING WITHIN THE ORGANIZATION'S FISCAL YEAR WHILE AVERAGE HOURS ARE BASED ON THE FISCAL YEAR PERIOD FROM JULY 1, 2022 THROUGH JUNE 30, 2023. FORM 990, PART VIII IMPACT OF COVID-19 PANDEMIC EARLY IN 2020, THE MERCY HEALTH SYSTEM WAS CALLED TO SERVE AS THE COVID-19 PANDEMIC SWEPT ACROSS THE WORLD. DURING FY 2023, THE IMPACT OF COVID-19 AND INFLATION HAS BEEN AND STILL IS SIGNIFICANT TO OUR COMMUNITIES WITH CHANGES IN PATIENT CARE REVENUES DUE TO SURGES, INCREASING THE COSTS OF SALARIES AND AGENCY LABOR, AND SUPPLY CHAIN IMPACTS. ALL MERCY FACILITIES ADJUSTED OPERATIONS FOR THE IMPACTS OF THE PANDEMIC. IN ADDITION, MERCY FOUNDATIONS AND OUTREACH MINISTRIES EXPERIENCED LIMITATIONS IN FUNDRAISING FOR PROGRAM AND CAPITAL SUPPORT EFFORTS THAT ASSIST THE UNDERSERVED IN OUR COMMUNITIES. MERCY DID RECEIVE FUNDING FROM THE CORONAVIRUS AID RELIEF AND ECONOMIC SECURITY ACT ("CARES ACT"). MERCY RECEIVED CARES ACT FUNDING FOR THE PAST FOUR FISCAL YEARS ACROSS VARIOUS ENTITIES AND RECOGNIZED A PORTION OF THIS FUNDING IN OTHER OPERATING REVENUE. THESE FUNDS HELPED TO OFFSET REVENUE LOSSES AND ADDITIONAL EXPENSES INCURRED DUE TO THE PANDEMIC; HOWEVER, THESE FUNDS FELL SHORT OF THE SYSTEM LOSSES EXPERIENCED SINCE THE START OF THE PANDEMIC. MERCY CONTINUES TO MONITOR THE IMPACTS OF THE PANDEMIC BOTH TO THE HEALTH SYSTEM AND THE COMMUNITIES SERVED AS WE CONTINUE TO PROVIDE ASSISTANCE AND MAINTAIN ACCESS TO CARE WITHIN OUR COMMUNITIES. FORM 990, PART XI, LINE 9: PLEDGES ALLOWANCES/DISCOUNTS -1,264,738. TRANSFERS (TO)/FROM AFFILIATES 1,493,784. FORM 990, PART XII, QUESTION 2C AUDIT OF FINANCIAL STATEMENTS THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN MERCY HEALTH AND SUBSIDIARIES ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 2023 (THE TAX YEAR CURRENTLY BEING REPORTED). HOWEVER, NO SEPARATE AUDIT OPINION WAS ISSUED ON THE FINANCIAL STATEMENTS OF THE FILING ORGANIZATION. THE ULTIMATE RESPONSIBILITY FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE EXTERNAL AUDITOR LIES WITH THE STEWARDSHIP COMMITTEE OF THE MERCY HEALTH BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE. FORM 990, PART XII, QUESTION 3A AND 3B SINGLE AUDIT ACT AND 2 CFR 200 AUDIT MERCY HEALTH UNDERGOES A CONSOLIDATED 2 CFR 200 AUDIT EVERY YEAR AND THIS AUDIT WAS COMPLETED FOR THE FISCAL YEAR ENDING JUNE 30, 2023 BY MARCH 31, 2024. EACH ENTITY THAT RECEIVES FEDERAL FUNDS DURING THE YEAR IS INCLUDED ON THE SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS (SEFA) AND IS ALSO INCLUDED IN THE POPULATION INCLUDED IN THE AUDIT. IF THE FILING ENTITY RECEIVED FEDERAL FUNDS DURING THE YEAR ENDED JUNE 30, 2023, IT WILL BE INCLUDED ON THE MERCY HEALTH CONSOLIDATED SEFA, AND THEREFORE, ALSO INCLUDED IN THE POPULATION INCLUDED IN THE AUDIT. CASA DE MISERICORDIA 1000 MIER ST LAREDO TX 78040 742912461 WOMEN'S DOMESTIC VIOLENCE SHELTER TX 501(C)(3) LINE 7 MERCY MINISTRIES OF LAREDO 1 MCAULEY PORTFOLIO MANAGEMENT COMPANY 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 261708048 PORTFOLIO MANAGEMENT. MO 501(C)(3) LINE 12B, II MERCY HEALTH 1 MERCY ACO CLINICAL SERVICES INC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 464504901 VIRTUAL CARE CENTER MO 501(C)(3) LINE 3 MERCY HEALTH 1 MERCY CLINIC EAST COMMUNITIES 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 431771217 PHYSICIAN GROUP MO 501(C)(3) LINE 10 MERCY HEALTH EAST COMMUNITIES 1 MERCY CLINIC FORT SMITH COMMUNITIES 7301 ROGERS AVENUE FORT SMITH AR 72903 261318597 PHYSICIAN CLINIC AR 501(C)(3) LINE 3 MERCY HEALTH FORT SMITH COMMUNITIES 1 MERCY CLINIC OKLAHOMA COMMUNITIES INC 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 270473057 PHYSICIAN GROUP OK 501(C)(3) LINE 3 MERCY HEALTH OKLAHOMA COMMUNITIES INC 1 MERCY CLINIC SPRINGFIELD COMMUNITIES 1965 FREMONT STREET SUITE 200 SPRINGFIELD MO 65804 431560263 PHYSICIAN GROUP MO 501(C)(3) LINE 3 MERCY HEALTH SPRINGFIELD COMMUNITIES 1 MERCY FAMILY CENTER 110 VETERANS BLVD METAIRIE LA 70005 721069468 FAMILY COUNSELING SERVICE LA 501(C)(3) LINE 7 MERCY HEALTH 1 MERCY HEALTH 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 431423050 CORPORATE OFFICE MO 501(C)(3) LINE 1 N/A 0 MERCY HEALTH EAST COMMUNITIES 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 431718408 HEALTH SYSTEM MO 501(C)(3) LINE 12A, I MERCY HEALTH 1 MERCY HEALTH FORT SMITH COMMUNITIES 7301 ROGERS AVENUE FORT SMITH AR 72917 261318515 HOLDING COMPANY AR 501(C)(3) LINE 12B, II MERCY HEALTH 1 MERCY HEALTH FOUNDATION 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 200901499 FOUNDATION MO 501(C)(3) LINE 12B, II MERCY HEALTH 1 MERCY HEALTH FOUNDATION ARDMORE 1011 14TH AVENUE NW ARDMORE OK 73401 710962525 FOUNDATION OK 501(C)(3) LINE 12A, I MERCY HOSPITAL ARDMORE INC 1 MERCY HEALTH FOUNDATION BERRYVILLE 214 CARTER STREET BERRYVILLE AR 72616 710759301 FOUNDATION AR 501(C)(3) LINE 12A, I MERCY HOSPITAL BERRYVILLE 1 MERCY HEALTH FOUNDATION FORT SCOTT 401 WOODLAND HILLS BLVD FORT SCOTT KS 66701 481077073 FOUNDATION KS 501(C)(3) LINE 7 MERCY KANSAS COMMUNITIES INC 1 MERCY HEALTH FOUNDATION FORT SMITH 7301 ROGERS AVENUE FORT SMITH AR 72917 237330425 FOUNDATION AR 501(C)(3) LINE 7 MERCY HEALTH FORT SMITH COMMUNITIES 1 MERCY HEALTH FOUNDATION JEFFERSON 1400 US HIGHWAY 61 SOUTH FESTUS MO 63028 462797051 FOUNDATION MO 501(C)(3) LINE 12B, II MERCY HOSPITAL JEFFERSON 1 MERCY HEALTH FOUNDATION JOPLIN 100 MERCY WAY JOPLIN MO 64804 270906136 FOUNDATION MO 501(C)(3) LINE 7 MERCY HEALTH SW MOKS COMMUNITIES 1 MERCY HEALTH FOUNDATION LEBANON 100 HOSPITAL DRIVE LEBANON MO 65536 822514567 FOUNDATION MO 501(C)(3) LINE 12B, II MERCY HOSPITAL LEBANON 1 MERCY HEALTH FOUNDATION LINCOLN 1000 EAST CHERRY STREET TROY MO 63379 811477159 FOUNDATION MO 501(C)(3) LINE 12B, II MERCY HOSPITALS EAST COMMUNITIES 1 MERCY HEALTH FOUNDATION NORTHWEST ARKANSAS 2710 RIFE MEDICAL LANE ROGERS AR 72758 710601687 FOUNDATION AR 501(C)(3) LINE 7 MERCY HOSPITAL ROGERS 1 MERCY HEALTH FOUNDATION OF OKLAHOMA 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 454732301 FOUNDATION OK 501(C)(3) LINE 12A, I MERCY HEALTH OKLAHOMA COMMUNITIES INC 1 MERCY HEALTH FOUNDATION OKLAHOMA CITY 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 463184231 FOUNDATION OK 501(C)(3) LINE 12A, I MERCY HOSPITAL OKLAHOMA CITY INC 1 MERCY HEALTH FOUNDATION SPRINGFIELD 1235 E CHEROKEE STREET SPRINGFIELD MO 65804 320195818 FOUNDATION MO 501(C)(3) LINE 12B, II MERCY HEALTH SPRINGFIELD COMMUNITIES 1 MERCY HEALTH FOUNDATION ST FRANCIS 100 W HIGHWAY 60 MOUNTAIN VIEW MO 65548 431873914 FOUNDATION MO 501(C)(3) LINE 12A, I MERCY ST FRANCIS HOSPITAL 1 MERCY HEALTH FOUNDATION ST LOUIS 615 SOUTH NEW BALLAS ROAD ST LOUIS MO 63141 562410020 FOUNDATION MO 501(C)(3) LINE 12B, II MERCY HEALTH EAST COMMUNITIES 1 MERCY HEALTH FOUNDATION WASHINGTON 901 E FIFTH STREET WASHINGTON MO 63090 562410022 FOUNDATION MO 501(C)(3) LINE 12B, II MERCY HEALTH EAST COMMUNITIES 1 MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES 2710 RIFE MEDICAL LANE ROGERS AR 72758 621684203 PHYSICIAN GROUP AR 501(C)(3) LINE 10 MERCY HEALTH 1 MERCY HEALTH OKLAHOMA COMMUNITIES INC 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 731453048 HEALTH SYSTEM OK 501(C)(3) LINE 12A, I MERCY HEALTH 1 MERCY HEALTH SOUTHWEST MISSOURIKANSAS COMMUNITIES 100 MERCY WAY JOPLIN MO 64804 300584463 HEALTH SYSTEM MO 501(C)(3) LINE 12B, II MERCY HEALTH 1 MERCY HEALTH SPRINGFIELD COMMUNITIES 1235 E CHEROKEE STREET SPRINGFIELD MO 65804 431856028 HEALTH SYSTEM MO 501(C)(3) LINE 12B, II MERCY HEALTH 1 MERCY HOSPITAL ADA INC 430 N MONTE VISTA STREET ADA OK 74820 462288155 HOSPITAL OK 501(C)(3) LINE 3 MERCY HEALTH OKLAHOMA COMMUNITIES INC 1 MERCY HOSPITAL ARDMORE INC 1011 14TH AVENUE NW ARDMORE OK 73401 731500629 HOSPITAL OK 501(C)(3) LINE 3 MERCY HEALTH OKLAHOMA COMMUNITIES INC 1 MERCY HOSPITAL AURORA 500 PORTER AVENUE AURORA MO 65605 431936696 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH SPRINGFIELD COMMUNITIES 1 MERCY HOSPITAL BERRYVILLE 214 CARTER STREET BERRYVILLE AR 72616 710759299 HOSPITAL AR 501(C)(3) LINE 3 MERCY HEALTH NW ARK COMMUNITIES 1 MERCY HOSPITAL BOONEVILLE 880 WEST MAIN STREET BOONEVILLE AR 72927 463851119 HOSPITAL AR 501(C)(3) LINE 3 MERCY HOSPITAL FORT SMITH 1 MERCY HOSPITAL CARTHAGE 3125 DR RUSSELL SMITH WAY CARTHAGE MO 64836 453808607 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH SW MOKS COMMUNITIES 1 MERCY HOSPITAL CASSVILLE 94 MAIN STREET CASSVILLE MO 65625 431936699 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH SPRINGFIELD COMMUNITIES 1 MERCY HOSPITAL COLUMBUS 220 PENNSYLVANIA AVENUE COLUMBUS KS 66725 270842031 HOSPITAL KS 501(C)(3) LINE 3 MERCY HEALTH SW MOKS COMMUNITIES 1 MERCY HOSPITAL EL RENO INC 2115 PARKVIEW DRIVE EL RENO OK 73036 272716065 HOSPITAL OK 501(C)(3) LINE 3 MERCY HOSPITAL OKLAHOMA CITY INC 1 MERCY HOSPITAL FORT SMITH 7301 ROGERS AVENUE FORT SMITH AR 72903 710240352 HOSPITAL AR 501(C)(3) LINE 3 MERCY HEALTH FORT SMITH COMMUNITIES 1 MERCY HOSPITAL HEALDTON INC 3462 HOSPITAL RD HEALDTON OK 73438 263173902 HOSPITAL OK 501(C)(3) LINE 3 MERCY HOSPITAL ARDMORE INC 1 MERCY HOSPITAL JEFFERSON 1400 HIGHWAY 61 SOUTH FESTUS MO 63028 430687077 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH EAST COMMUNITIES 1 MERCY HOSPITAL JOPLIN 100 MERCY WAY JOPLIN MO 64804 270814858 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH SW MOKS COMMUNITIES 1 MERCY HOSPITAL KINGFISHER INC 1000 KINGFISHER REGIONAL HOSPITAL C KINGFISHER OK 73750 463433074 HOSPITAL OK 501(C)(3) LINE 3 MERCY HOSPITAL OKLAHOMA CITY INC 1 MERCY HOSPITAL LEBANON 100 HOSPITAL DRIVE LEBANON MO 65536 431767432 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH SPRINGFIELD COMMUNITIES 1 MERCY HOSPITAL LINCOLN 1000 EAST CHERRY STREET TROY MO 63379 472219204 HOSPITAL MO 501(C)(3) LINE 3 MERCY HOSPITALS EAST COMMUNITIES 1 MERCY HOSPITAL LOGAN COUNTY INC 200 SOUTH ACADEMY GUTHRIE OK 73044 452998842 HOSPITAL OK 501(C)(3) LINE 3 MERCY HOSPITAL OKLAHOMA CITY INC 1 MERCY HOSPITAL OKLAHOMA CITY INC 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 730579285 HOSPITAL OK 501(C)(3) LINE 3 MERCY HEALTH OKLAHOMA COMMUNITIES INC 1 MERCY HOSPITAL OZARK 801 W RIVER STREET OZARK AR 72949 710689680 HOSPITAL AR 501(C)(3) LINE 3 MERCY HOSPITAL FORT SMITH 1 MERCY HOSPITAL PARIS 500 E ACADEMY PARIS AR 72855 710655753 HOSPITAL AR 501(C)(3) LINE 3 MERCY HOSPITAL FORT SMITH 1 MERCY HOSPITAL ROGERS 2710 RIFE MEDICAL LANE ROGERS AR 72758 710294390 HOSPITAL AR 501(C)(3) LINE 3 MERCY HEALTH NW ARK COMMUNITIES 1 MERCY HOSPITAL SPRINGFIELD 1235 E CHEROKEE STREET SPRINGFIELD MO 65804 440552485 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH SPRINGFIELD COMMUNITIES 1 MERCY HOSPITAL TISHOMINGO INC 1000 SOUTH BYRD TISHOMINGO OK 73460 274433830 HOSPITAL OK 501(C)(3) LINE 3 MERCY HOSPITAL ADA INC 1 MERCY HOSPITAL WALDRON 1341 W 6TH STREET WALDRON AR 72958 710557895 HOSPITAL AR 501(C)(3) LINE 3 MERCY HOSPITAL FORT SMITH 1 MERCY HOSPITAL WATONGA INC 500 CLARENCE NASH BLVD WATONGA OK 73772 455199762 HOSPITAL OK 501(C)(3) LINE 3 MERCY HOSPITAL OKLAHOMA CITY INC 1 MERCY HOSPITALS EAST COMMUNITIES 615 S NEW BALLAS ROAD ST LOUIS MO 63141 430653493 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH EAST COMMUNITIES 1 MERCY KANSAS COMMUNITIES INC 401 WOODLAND HILLS BLVD FT SCOTT KS 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INC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 521914421 HOLDING COMPANY DE MERCY HEALTH C 0 MERCY COMMERCIAL SERVICES INC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 464953543 CORP PARENT OF VCC TAXABLE COMMERCIALIZ SVCS MO MERCY HEALTH C 0 MERCY HEALTH CENTER CONDOMINIUM INC 4300 W MEMORIAL RD OKLAHOMA CITY OK 73120 680640970 REAL ESTATE OK MERCY HOSPITAL OKLAHOMA CITY INC C 0 MERCY MANAGED CARE CORPORATION 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 731441665 HOLDING COMPANY OK MERCY HEALTH C 0 ST ANTHONY'S PHYSICIAN ORGANIZATION OF ILLINOIS 10010 KENNERLY ROAD ST LOUIS MO 63128 320457168 HEALTH CARE MO MERCY HOSPITAL SOUTH C 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 MERCY HOSPITAL ADA B 607104 FMV MERCY HOSPITAL ADA C 196828 FMV FORM 990, SCHEDULE R, PART II MERCY HOSPITALS EAST COMMUNITIES MERCY HOSPITALS EAST COMMUNITIES CONSISTS OF MERCY HOSPITAL ST. LOUIS, EIN 43-0653493, AND MERCY HOSPITAL WASHINGTON, EIN 43-1066883. FORM 990, SCHEDULE R, PART V LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY 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 P AND Q.