2026-05-12T11:30:15-05:00 2025-06-30 562632458 PLEUS AND COMPANY LLC 2200 WEST PORT PLAZA DR STE 203 ST LOUIS MO 63146 990 2024-07-01 463184231 MERCY HEALTH FOUNDATION OKLAHOMA CITY MERC 3145796100 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 CHRISTOPHER HAHNE CHIEF FINANCIAL OFFICER 3145796100 2026-05-12 1 1 DOUGLAS G PLEUS CPA P00013488 3143178900 2024 2025-03-06 01:10:19Z LORI CUMMINS 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 4741320 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. 16 13 0 19 0 0 6181281 4664446 0 0 0 0 -140366 -221602 6040915 4442844 651238 46184687 0 0 1092069 1054137 0 0 547514 456995 352142 2200302 47590966 3840613 -43148122 60584459 18533502 19149 5855 60565310 18527647 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 46184687 46184687 MERCY HEALTH FOUNDATION OKLAHOMA CITY 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. 46184687 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1 1 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 16 13 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 CUMMINS LORI VP, DEVELOPMENT & BOARD MEMBER 1.00 39.00 X X 0 302143 32851 BROWN KATHY BOARD MEMBER 1.00 1.00 X 0 0 0 BUENDIA GINA BOARD MEMBER 1.00 0.00 X 0 0 0 COOPER TERRI BOARD MEMBER 1.00 0.00 X 0 0 0 DAVENPORT PATTY BOARD MEMBER 1.00 0.00 X 0 0 0 DELL'OSSO NICOLE BOARD MEMBER & SECRETARY 1.00 0.00 X 0 0 0 DOBBINS NICOLE BOARD MEMBER & VICE CHAIR 1.00 0.00 X 0 0 0 DRAKE SUSAN BOARD MEMBER 1.00 0.00 X 0 0 0 DUNCAN ROBERT BOARD MEMBER 1.00 0.00 X 0 0 0 FULLER BENNETT BOARD MEMBER 1.00 0.00 X 0 0 0 IKARD CAROLINE BOARD MEMBER 1.00 0.00 X 0 0 0 LEICHTER CATHY BOARD MEMBER 1.00 0.00 X 0 0 0 RECORDS MARISA BOARD MEMBER 1.00 39.00 X 0 0 0 SANDERS MIKE BOARD MEMBER 1.00 0.00 X 0 0 0 CAMPBELL MD JESSE REGIONAL PHYSICIAN EXECUTIVE & BOARD MEMBER 1.00 49.00 X 0 1168366 128107 MOORE MD IMARI PHYSICIAN & BOARD MEMBER 1.00 39.00 X 0 368208 21983 HAHNE CHRISTOPHER CFO & TREASURER 5.00 45.00 X 0 358529 72594 GEISTER BENNETT PRESIDENT, MERCY OKLAHOMA CITY COMMUNITIES 5.00 45.00 X 0 374274 12058 0 2571520 267593 0 0 1 0 0 852232 1384758 2427456 21520 4664446 76874 852232 298476 -221602 -221602 4442844 0 0 -221602 46166306 46166306 18381 18381 854790 478682 376108 199347 111634 87713 2284 1279 1005 6148 3443 2705 60639 33958 26681 118092 66132 51960 1261 706 555 1789 1002 787 ALLOCATED FOUNDATION EX 100499 100499 BAD DEBT 1 1 61429 61429 47590966 46184687 858765 547514 487759 713296 8258142 3915458 18829415 13812377 33009143 92371 60584459 18533502 6042 5855 13107 0 19149 5855 X 4664356 4846628 55900954 13681019 60565310 18527647 60584459 18533502 X -43148122 1399441 -288982 X X 0 1 X 1 1 1 X X 1 MERCY HOSPITAL OKLAHOMA CITY 730579285 3 1 46050116 0 1 46050116 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 PART IV, SECTION A, LINE 6 IN ADDITION TO THE SUPPORT PROVIDED TO MERCY HOSPITAL OKLAHOMA CITY (THE SUPPORTED ORGANIZATION), MERCY HEALTH FOUNDATION OKLAHOMA CITY PROVIDED ASSISTANCE TO OTHER LOCAL 501(C)(3) ORGANIZATIONS, IN SUPPORT OF THE MISSION OF THESE ORGANIZATIONS, WHO PROVIDE ESSENTIAL SERVICES TO THE POPULATION SERVED BY MERCY HEALTH'S COMMUNITIES. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 TEMP REST SPEC PURP INVST 6373539 F LT INVEST FUND-MIF SMHS 4046845 F RESTRICTED CASH 3272442 F PERM REST ENDOWMENT FUND 109574 F PERM REST NON MIF INVST 9977 F 13812377 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, 2025 OR 2024. GALA 929106 852232 76874 4118 85541 13993 178438 16386 929106 852232 76874 4118 85541 13993 178438 16386 298476 -221602 1 MERCY HOSPITAL OKLAHOMA CITY 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 730579285 501(C)(3) 46050116 0 CAPITAL SUPPORT MERCY CLINIC OKLAHOMA COMMUNITIES 4300 W MEMORIAL ROAD OKLAHOMA CITY OK 73120 270473057 501(C)(3) 64192 0 CAPITAL SUPPORT MERCY HOSPITAL LOGAN COUNTY 200 S ACADEMY ROAD GUTHRIE OK 73044 452998842 501(C)(3) 25047 0 CAPITAL SUPPORT MERCY HOSPITAL KINGFISHER 1000 HOSPITAL DRIVE KINGFISHER OK 73750 463433074 501(C)(3) 23879 0 CAPITAL SUPPORT 4 0 PATIENT TRANSPORT 73 2881 PATIENT GAS CARDS 580 14500 SCHOLARSHIPS 1 1000 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 GRANTEES ARE PART OF MERCY HEALTH AND THEREFORE RELATED ORGANIZATIONS TO MERCY HEALTH FOUNDATION OKLAHOMA CITY. LEADERSHIP OF THE FOUNDATION AND THE GRANTEES COMMUNICATE ON HOW FUNDS ARE USED, ALTHOUGH THERE IS NO FORMAL MONITORING PROCESS. WHEN PATIENT CARE STAFF IDENTIFY PATIENTS NEEDING TRANSPORTATION ASSISTANCE, GAS CARDS OR TAXI RIDES ARE PROVIDED TO THE PATIENT, WITH THE FOUNDATION COVERING THE COSTS OF THE GAS CARDS AND TAXI FARES. THEREFORE, NO FURTHER MONITORING RELATED TO THE USE OF THE FUNDS IS NEEDED. AFTER THE SCHOLARSHIP APPLICATIONS ARE RECEIVED, THE APPLICATIONS ARE REVIEWED AND RANKED BY A COMMITTEE. THE RANKING SHEETS ARE TALLIED TO DETERMINE THE RECIPIENT. SCHOLARSHIP FUNDS ARE PROVIDED DIRECTLY TO THE INSTITUTION ON BEHALF OF THE INDIVIDUAL, THEREFORE NO FURTHER MONITORING RELATED TO THE USE OF THE FUND IS NEEDED. 0 0 0 0 0 0 0 0 0 CAMPBELL MD JESSE REGIONAL PHYSICIAN EXECUTIVE & BOARD 0 584877 0 477783 0 105706 0 106592 0 21515 0 1296473 0 217851 HAHNE CHRISTOPHER CFO & TREASURER 0 235295 0 84324 0 38910 0 51359 0 21235 0 431123 0 0 MOORE MD IMARI PHYSICIAN & BOARD MEMBER 0 288210 0 33610 0 46388 0 14850 0 7133 0 390191 0 0 GEISTER BENNETT PRESIDENT, MERCY OKLAHOMA CITY COMMU 0 285323 0 38110 0 50841 0 0 0 12058 0 386332 0 0 CUMMINS LORI VP, DEVELOPMENT & BOARD MEMBER 0 215873 0 62986 0 23284 0 12494 0 20357 0 334994 0 0 PART I, LINE 3 MERCY HEALTH FOUNDATION OKLAHOMA CITY RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTIONS 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS. FORM 990, SCHEDULE J, PART II THE AMOUNT REPORTED FOR DR. JESSE CAMPBELL IN COLUMN (F) IS EITHER INCLUDED IN B(I) BASE COMPENSATION, B(II) AS BONUS AND INCENTIVE COMPENSATION, OR B(III) AS OTHER REPORTABLE COMPENSATION. THIS AMOUNT IS A PAYOUT OF THE SUPPLEMENTAL RETIREMENT PLAN AND EXECUTIVE RETENTION PLAN AND WAS 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 OKLAHOMA CITY IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A MERCY HOSPITAL OKLAHOMA CITY (THE MEMBER) MAY APPOINT OR REMOVE MEMBERS OF THE BOARD OF DIRECTORS AT ANY TIME AT THE MEMBER'S DISCRETION. FORM 990, PART VI, SECTION A, LINE 7B MERCY HOSPITAL OKLAHOMA CITY RESERVES THE FOLLOWING POWERS AND RESPONSIBILITIES: -FROM TIME TO TIME, THE BOARD OF TRUSTEES OF MERCY HOSPITAL OKLAHOMA CITY MAY DESIGNATE ONE OR MORE PERSONS, WHO HAVE DEMONSTRATED SIGNIFICANT SUPPORT FOR THE PROGRAMS AND MISSION OF THE CORPORATION, AS HONORARY DIRECTORS OF THE CORPORATION. HONORARY DIRECTORS SHALL HAVE NO RESPONSIBILITY TO ATTEND MEETINGS OR PROVIDE COUNSEL TO THE CORPORATION AND SHALL BE WITHOUT VOTING POWER. -THE POWER TO APPROVE AMENDMENTS TO THE CERTIFICATE OF INCORPORATION AND TO AMEND THE BYLAWS OF THE CORPORATION; -THE POWER TO APPROVE AND DETERMINE WHAT CONSTITUTES A SIGNIFICANT GIFT OF THE CORPORATION; AND, -TO AUTHORIZE THE CORPORATION TO BORROW MONEY AND INCUR INDEBTEDNESS. FORM 990, PART VI, SECTION B, LINE 11B DESCRIBE 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 AND AN INDEPENDENT ACCOUNTING FIRM, 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, 2025. 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 B, LINE 15 PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY EMPLOYEES 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, AND ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT. FOR CERTAIN EXECUTIVES AND PHYSICIANS THE COMPENSATION IS REVIEWED/APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF MERCY HEALTH. FOR ALL OTHER CAREGIVERS COMPENSATION IS REVIEWED/APPROVED BY THE TOTAL REWARDS OVERSIGHT COMMITTEE. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS AND REVIEW WAS COMPLETED DURING THE REPORTING YEAR. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST BUT ARE NOT PUBLISHED PUBLICLY. FORM 990, PART XI, LINE 9: PLEDGE ALLOWANCES -223,025. FUND TRANSFER -75,000. NET ASSET TRANSFERS 9,043. 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 2025 (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, 2025 BY MARCH 31, 2026. 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, 2025, 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 S FREMONT 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 ADA 430 N MONTE VISTA STREET ADA OK 74820 463596274 FOUNDATION OK 501(C)(3) LINE 12A, I MERCY HOSPITAL ADA INC 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 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 US 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 66701 480956045 HOSPITAL KS 501(C)(3) LINE 3 MERCY HEALTH SW MOKS COMMUNITIES 1 MERCY MINISTRIES OF LAREDO 2500 ZACATECAS ST LAREDO TX 78046 200198462 OUTREACH TX 501(C)(3) LINE 7 MERCY HEALTH 1 MERCY RESEARCH 524 NORTH BOONEVILLE AVENUE SPRINGFIELD MO 65802 870796305 RESEARCH MO 501(C)(3) LINE 4 MERCY HEALTH 1 MERCY ST FRANCIS HOSPITAL 100 W US HIGHWAY 60 MOUNTAIN VIEW MO 65548 440607149 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH SPRINGFIELD COMMUNITIES 1 MHM SUPPORT SERVICES 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 202553101 CENTRALIZED HEALTH SYSTEM FUNCTIONS MO 501(C)(3) LINE 12A, I MERCY HEALTH 1 MISSION CLINICAL SERVICES 216 MCAULEY COURT HOT SPRINGS AR 71913 134239691 CHILD ADVOCACY CENTER AR 501(C)(3) LINE 3 MERCY HEALTH 1 MERCY HEALTH FOUNDATION SOUTH 10010 KENNERLY ROAD ST LOUIS MO 63128 261516789 FUNDRAISING MO 501(C)(3) LINE 12A, I MERCY HOSPITAL SOUTH 1 MERCY HOSPITAL SOUTH 10010 KENNERLY ROAD ST LOUIS MO 63128 430980256 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH EAST COMMUNITIES 1 ST ANTHONY'S PHYSICIAN ORGANIZATION 10010 KENNERLY ROAD ST LOUIS MO 63128 431784536 HEALTH CARE MO 501(C)(3) LINE 3 MERCY HOSPITAL SOUTH 1 MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS 1619 W 7TH STREET GALENA KS 66739 843730625 HOSPITAL KS 501(C)(3) LINE 3 MERCY HEALTH SW MOKS COMMUNITIES 1 MERCY HOSPITAL PERRY 434 N WEST STREET PERRYVILLE MO 63775 923065473 HOSPITAL MO 501(C)(3) LINE 3 MERCY HEALTH EAST COMMUNITIES 1 SOUTHEAST HOSPITAL DBA MERCY HOSPITAL SOUTHEAST 1701 LACEY STREET CAPE GIRARDEAU MO 63701 430654874 HOSPITAL MO 501(C)(3) LINE 3 SOUTHEASTHEALTH SYSTEM 1 SOUTHEAST HEALTH CENTER OF RIPLEY COUNTY 1701 LACEY STREET CAPE GIRARDEAU MO 63701 273868479 HOSPITAL MO 501(C)(3) LINE 3 SOUTHEAST HOSPITAL 1 SOUTHEASTHEALTH SYSTEM 1701 LACEY STREET CAPE GIRARDEAU MO 63701 474890906 HEALTH SYSTEM MO 501(C)(3) LINE 12C, III-FI MERCY HEALTH 1 SOUTHEAST MISSOURI HOSPITAL FOUNDATION 1849 BROADWAY CAPE GIRARDEAU MO 63701 431122759 FOUNDATION MO 501(C)(3) LINE 7 SOUTHEAST HOSPITAL 1 MERCY HOSPITAL PITTSBURG INC 1 MT CARMEL WAY PITTSBURG KS 66762 991489524 HOSPITAL KS 501(C)(3) LINE 3 MERCY HEALTH SW MOKS COMMUNITIES 1 PLAZA SURGERY SERVICES COMPANY LLC 12700 SOUTHFORK ROAD ST LOUIS MO 63128 204709312 INACTIVE MO MERCY HOSPITAL SOUTH 0 0 ST EDWARD MERCY MC M-P OFFICE BLDG 7301 ROGERS AVENUE FORT SMITH AR 72903 710554050 OFFICE BUILDING AR MERCY HOSPITAL FORT SMITH 0 0 PLATINUM CPS HOLDINGS LLC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 842493007 HOLDING COMPANY MO MERCY MANAGED CARE CORP MERCY HEALTH 0 0 FRONTENAC PROPERTIES INC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 521914421 HOLDING COMPANY DE MERCY HEALTH C 0 MERCY HEALTH CENTER CONDOMINIUMS 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 UHL CORP INC 15740 SOUTH OUTER 40 RD CHESTERFIELD MO 63017 742499535 HOLDING COMPANY MO MERCY HOSPITALS EAST COMMUNITIES C 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 MERCY HOSPITAL OKLAHOMA CITY B 46050116 FMV MERCY HOSPITAL OKLAHOMA CITY C 1384758 FMV MERCY CLINIC OKLAHOMA COMMUNITIES B 64192 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.