TY 2021 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) CIARAMITA MD JEFFREY...................................................................... SVP CHIEF PHYSICIAN EXECUTIVE & BM	1.00 ................. 54.00	X					1,375,830	127,049
(2) MOHART MD JOHN...................................................................... PRESIDENT, MERCY COMMUNITIES & CHAIRMAN OF BOARD	1.00 ................. 59.00	X					827,557	86,789
(3) SOCK SHANNON...................................................................... EVP - CSO & COO, BM	1.00 ................. 49.00	X					2,422,966	291,392
(4) ECKHARDT CHRISTIE...................................................................... VP, CHIEF OPERATIONS COUNSEL & SECRETARY	1.00 ................. 57.00		X				330,556	21,872
(5) GEBHART JIM...................................................................... PRESIDENT, MERCY HOSPITAL OKLAHOMA CITY	0.00 ................. 50.00		X				1,225,667	101,372
(6) HAHNE CHRISTOPHER...................................................................... VP FINANCE	0.00 ................. 50.00		X				232,168	23,114
(7) ARGUETA DAVID...................................................................... CHIEF ADMINISTRATIVE OFFICER	10.00 ................. 40.00			X			645,312	73,226
(8) JAMES KARYL...................................................................... CHIEF NURSING OFFICER	25.00 ................. 25.00			X			370,557	51,407
(9) PINAROC LYNN...................................................................... VP - FINANCE	1.00 ................. 49.00			X			253,445	10,047
(10) BELL ANTHONY...................................................................... HOUSE SUPERVISOR III	40.00 ................. 0.00				X		210,993	11,388
(11) DAWSON ZACKARY...................................................................... VP OPERATIONS	40.00 ................. 0.00				X		421,944	23,439
(12) KIM OK...................................................................... FACILITY FLOAT POOL RN	40.00 ................. 0.00				X		232,714	18,724
(13) NORMAN JANELLE...................................................................... PHYSICAL THERAPIST	0.00 ................. 0.00				X		217,355	19,460
(14) TONKUMOH AGNES...................................................................... CHARGE RN III	40.00 ................. 0.00				X		212,574	23,167
(15) ENLOE TRACY...................................................................... FORMER OFFICER	0.00 ................. 0.00					X	515,964	27,283
(16) MINDER KEVIN...................................................................... FORMER OFFICER	0.00 ................. 45.00					X	536,650	59,353
(17) SMITH CHAD...................................................................... FORMER OFFICER	0.00 ................. 50.00					X	486,941	24,419

(A) Name and business address	(B) Description of services	(C) Compensation
AMN HEALTHCARE 12400 HIGH BLUFF DR SAN DIEGO,CA92130	STAFFING SERVICES	11,632,868
HEALTH TRUST WORKFORCE SOLUTIONS 5429 LYNDON B JOHNSON FWY STE 425 DALLAS,TX75240	STAFFING SERVICES	5,440,375
REES ASSOCIATES 9211 LAKE HEFNER PARKWAY OKLAHOMA CITY,OK73120	CONSTRUCT/ARCHITECT DESIGN SERVICES	3,069,410
JE DUNN CONSTRUCTION 929 HOLMES KANSAS CITY,MO64106	CONSTRUCTION SERVICES	2,237,561
CHAMPION CLEANING SOLUTIONS 6 DONORE SQ SAN ANTONIO,TX78229	CLEANING SERVICE	2,107,264
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 59

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

MERCY HOSPITAL OKLAHOMA CITY

Employer identification number

73-0579285

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2021

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2021 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2021. If the organization did not check the box on line 13, and line 14 is 33 1/3 % or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2020. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2020. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2021

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2021 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2020 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2021 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2020 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2021. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2020. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2021

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2021

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2021

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2021

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2021 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2021	(iii) Distributable Amount for 2021
1 Distributable amount for 2021 from Section C, line 6
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2021:
a From 2016.......
b From 2017.......
c From 2018.......
d From 2019.......
e From 2020.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2021 distributable amount
i Carryover from 2016 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2021 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2021 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2021, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2021. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2022. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2017.....
b Excess from 2018.....
c Excess from 2019.....
d Excess from 2020.....
e Excess from 2021.....

Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Name of the organization

MERCY HOSPITAL OKLAHOMA CITY

Employer identification number

73-0579285

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (2021)

Schedule B (Form 990) (2021) Page 2

Name of organization MERCY HOSPITAL OKLAHOMA CITY

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2021)

Schedule B (Form 990) (2021)

Page 3

Name of organization MERCY HOSPITAL OKLAHOMA CITY		Employer identification number 73-0579285

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2021)

Schedule B (Form 990) (2021)

Page 4


Name of organization MERCY HOSPITAL OKLAHOMA CITY			Employer identification number 73-0579285
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2021)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

MERCY HOSPITAL OKLAHOMA CITY

Employer identification number

73-0579285

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2021

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2021

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Yes

35,891

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

35,891

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	THE FILING ORGANIZATION IS A MEMBER OF AND PAYS DUES TO THE OKLAHOMA HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION. FOR THE YEAR ENDED JUNE 30, 2022, DUES WERE $112,396 AND $46,422, RESPECTIVELY. APPROXIMATELY 21.00% OF OKLAHOMA HOSPITAL ASSOCIATION DUES AND 26.47% OF AMERICAN HOSPITAL ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED.

Schedule C (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

MERCY HOSPITAL OKLAHOMA CITY

Employer identification number

73-0579285

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2021

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	41,029,423		41,029,423
b	Buildings ....	493,970,977	182,116,465	311,854,512
c	Leasehold improvements	596,944	596,944	0
d	Equipment ....	206,195,867	135,354,529	70,841,338
e	Other .....	5,746,726	5,589,351	157,375
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				423,882,648

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2021

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

PART X, LINE 2

FEDERAL INCOME TAX PRIMARILY ALL OF THE MERCY HEALTH ENTITIES ARE RECOGNIZED BY THE INTERNAL REVENUE SERVICE 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. MERCY COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2022 OR 2021.

Schedule D (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

MERCY HOSPITAL OKLAHOMA CITY

Employer identification number

73-0579285

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .			12,327,218		12,327,218	2.080 %
b	Medicaid (from Worksheet 3, column a) . . . . .			80,833,237	52,868,534	27,964,703	4.730 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .			93,160,455	52,868,534	40,291,921	6.810 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	5	176	761,596		761,596	0.130 %
f	Health professions education (from Worksheet 5) . . .	3	500	241,109		241,109	0.040 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	2	162	63,960		63,960	0.010 %
j	Total. Other Benefits . .	10	838	1,066,665		1,066,665	0.180 %
k	Total. Add lines 7d and 7j .	10	838	94,227,120	52,868,534	41,358,586	6.990 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2021

Schedule H (Form 990) 2021

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	1		624	624	0 %
2	Economic development
3	Community support	1	1,250	7,601	7,601	0 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total	2	1,250	8,225	8,225	0 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

9,211,465

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

150,899,872

Enter Medicare allowable costs of care relating to payments on line 5.....

158,912,026

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-8,012,154

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2021

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	MERCY HOSPITAL OKLAHOMA CITY 4300 WEST MEMORIAL ROAD OKLAHOMA CITY,OK73120 WWW.MERCY.NET 2295	X	X	X

Schedule H (Form 990) 2021

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	MERCY HOSPITAL OKLAHOMA CITY
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 21

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V, SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE PART V, SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2021

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	MERCY HOSPITAL OKLAHOMA CITY
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 300.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

HTTPS://WWW.MERCY.NET/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/

The FAP application form was widely available on a website (list url):

HTTPS://WWW.MERCY.NET/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/

A plain language summary of the FAP was widely available on a website (list url):
HTTPS://WWW.MERCY.NET/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2021

Page 6

Part VFacility Information (continued)

Billing and Collections

	MERCY HOSPITAL OKLAHOMA CITY
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2021

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	MERCY HOSPITAL OKLAHOMA CITY
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2021

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
MERCY HOSPITAL OKLAHOMA CITY	PART V, SECTION B, LINE 3J: THE HOSPITAL FACILITY DID INCLUDE A PRIORITIZED LIST OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS IN ITS MOST RECENT CHNA REPORT.THE CHNA HAS ALL THE SECTIONS REFERENCED ABOVE AND INCLUDES AN EXECUTIVE SUMMARY, POTENTIALLY AVAILABLE RESOURCES, EVALUATION OF IMPACT, REFERENCES, AND APPENDICES.
MERCY HOSPITAL OKLAHOMA CITY	PART V, SECTION B, LINE 5: THE TEAM USED THE FOLLOWING METHODS TO ENGAGE THE COMMUNITY AND UNDERSTAND THE COMMUNITY HEALTH NEEDS: STAKEHOLDER MEETINGS - ASSEMBLED A GROUP OF 65 COMMUNITY STAKEHOLDERS REPRESENTING 45 ORGANIZATIONS INCLUDING THOSE THAT SERVE POPULATIONS EXPERIENCING HEALTH INEQUITIES.SECONDARY DATA RESEARCH - SHARED AND DISCUSSED INFORMATION RELATED TO THE CURRENT STATE OF OUR COMMUNITY'S ECONOMIC, SOCIAL, AND HEALTH STATUS PUBLISHED BY ESTABLISHED SOURCES.COMMUNITY SURVEY - A SURVEY OF THE GENERAL PUBLIC WAS PROVIDED TO COMMUNITY RESIDENTS, TO BETTER UNDERSTAND WHAT THEY VIEW AS THE MOST SIGNIFICANT HEALTH ISSUES. COMMUNITY CHATS - DISCUSSIONS WITH COMMUNITY MEMBERS AND COMMUNITY CHAMPIONS TO DELVE DEEPER INTO INDIVIDUAL EXPERIENCES WITH HEALTH-RELATED ISSUES.INFORMATIONAL INTERVIEWS - WITH KEY COMMUNITY LEADERS TO GAIN INSIGHTS INTO THEIR PRIORITIES AND PLANS TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH. THIS PROCESS LED TO THE IDENTIFICATION OF FOUR PRIORITY AREAS. ALTHOUGH THERE IS NO SINGLE FACTOR THAT PREDICTS A HEALTH OUTCOME, THE AREAS IDENTIFIED AS PRIORITY FOR OKLAHOMA COUNTY, BY THE HOSPITAL SYSTEMS AND COMMUNITY STAKEHOLDERS, INCLUDE: - ACCESS TO EDUCATION - ACCESS TO MEANINGFUL EMPLOYMENT - ACCESS TO HEALTHY FOOD - ACCESS TO HEALTHCARE
MERCY HOSPITAL OKLAHOMA CITY	PART V, SECTION B, LINE 6A: - SSM HEALTH- INTEGRIS HEALTH- OU MEDICINE
MERCY HOSPITAL OKLAHOMA CITY	PART V, SECTION B, LINE 6B: WHEN CONDUCTING ITS MOST RECENT CHNA, MERCY HOSPITAL OKC WORKED CLOSELY WITH THE FOLLOWING:STAKEHOLDER MEETING PARTICIPANTS: ALLIANCE FOR ECONOMIC DEVELOPMENT OF OKLAHOMA CITY, AREAWIDE AGING AGENCY, BUTTERFIELD FOUNDATION, CENTENNIAL HEALTH, CITY COUNCILWOMAN, WARD 7, CITY OF OKLAHOMA CITY, COUNTY COMMISSIONER, DISTRICT 1, CROSSINGS COMMUNITY CLINIC, DENTISTS FOR THE DISABLED AND ELDERLY IN NEED OF TREATMENT (D-DENT), EL LATINO NEWS, EMBARK OKC (TRANSPORTATION), GOODWILL INDUSTRIES OF CENTRAL OKLAHOMA, GREATER OKLAHOMA CITY CHAMBER OF COMMERCE, GREATER OKC HISPANIC CHAMBER OF COMMERCE, HOMELESS ALLIANCE, HEALTH ALLIANCE FOR THE UNINSURED, HUNGER FREE OKLAHOMA, INASMUCH FOUNDATION, LANGSTON UNIVERSITY, LATINO COMMUNITY DEVELOPMENT AGENCY, LYNN INSTITUTE METAFUND (CDFI), METROTECH, MILLWOOD PUBLIC SCHOOLS, OKC BLACK EATS, OKLAHOMA CENTER FOR NONPROFITS, OKLAHOMA CHILDREN'S HOSPITAL AT OU HEALTH, OKLAHOMA CITY BLACK CHAMBER, OKLAHOMA CITY-COUNTY HEALTH DEPARTMENT, OKLAHOMA CITY INDIAN CLINIC, OKLAHOMA CITY INNOVATION DISTRICT, OKLAHOMA DENTAL FOUNDATION, OKLAHOMA DEPARTMENT OF HUMAN SERVICES, OKLAHOMA DEPARTMENT OF HUMAN SERVICES, AGING SERVICES, OKLAHOMA HEALTH CARE AUTHORITY (MEDICAID), OKLAHOMA HOSPITAL ASSOCIATION, OKLAHOMA STATE UNIVERSITY, OKLAHOMA TOBACCO SETTLEMENT ENDOWMENT TRUST (TSET), POTTS FAMILY FOUNDATION, REGIONAL FOOD BANK, RESTORE OKC, ST. LUKE'S UNITED METHODIST CHURCH (MEALS ON WHEELS), STATE REPRESENTATIVE, DISTRICT 99, SUNBEAM FAMILY SERVICES, UNITED WAY OF CENTRAL OKLAHOMA, UNIVERSITY OF OKLAHOMA COLLEGE OF NURSING, VARIETYCARE (FQHC) COMMUNITY CHAT HOSTS & PARTNERS: CROSSINGS COMMUNITY CLINIC, GOOD SHEPHERD CLINIC, GOODWILL INDUSTRIES OF CENTRAL OKLAHOMA, HEALTH ALLIANCE FOR THE UNINSURED, HILLTOP CLINIC, LYNN INSTITUTE, MARY MAHONEY MEMORIAL HEALTH CENTER (FQHC), MILLWOOD PUBLIC SCHOOLS, SKYLINE URBAN MINISTRY, STANLEY HUPFELD ACADEMYINFORMATIONAL INTERVIEW PARTICIPANTS: CHOCTAW CHAMBER OF COMMERCE, GREATER OKC HISPANIC CHAMBER OF COMMERCE, HEALTH ALLIANCE FOR THE UNINSURED, LATINO COMMUNITY DEVELOPMENT AGENCY, LYNN INSTITUTE
MERCY HOSPITAL OKLAHOMA CITY	PART V, SECTION B, LINE 11: IN CONJUNCTION WITH THE CHNA, MERCY HOSPITAL OKLAHOMA CITY'S BOARD ADOPTED AN IMPLEMENTATION STRATEGY IN FY23 RELATED TO THE 2021 CHNA. THE MERCY HOSPITAL OKLAHOMA CITY WILL ADDRESS THE FOLLOWING COMMUNITY HEALTH NEEDS BEGINNING IN FY23:- ACCESS TO EDUCATION - ACCESS TO MEANINGFUL EMPLOYMENT - ACCESS TO HEALTHY FOOD - ACCESS TO HEALTHCAREHEALTH NEEDS NOT BEING ADDRESSED: BECAUSE THE HOSPITALS HAVE LIMITED RESOURCES, NOT EVERY HEALTH INDICATOR WHICH HAS AN IDENTIFIED NEED FOR IMPROVEMENT WILL BE DIRECTLY ADDRESSED. THOSE COMMUNITY NEEDS IDENTIFIED, BUT NOT "PRIORITIZED" INCLUDED THE FOLLOWING: POVERTYALTHOUGH POVERTY AS A STANDALONE ITEM WAS NOT CHOSEN AS A PRIORITY, THE HOSPITALS BELIEVE THE SELECTED PRIORITIES WILL POSITIVELY IMPACT POVERTY THROUGH IMPROVED FOOD, HEALTHCARE ACCESS, AND MENTAL HEALTH.SOCIALTHIS VARIABLE INCLUDES COMMENTS FROM CHAT QUESTIONNAIRES PERTAINING TO CLASSES FOR ADULTS, COMMUNITY GATHERING SPACES, AFFORDABLE HOUSING, POLITICAL REPRESENTATION, EMPLOYMENT, FUNDING, PARKS AND RECREATION, TRANSPORTATION ISSUES, ETC. THE HOSPITALS ARE NOT PREPARED TO ADDRESS THESE NEEDS AND RELY ON FEDERAL, STATE, AND LOCAL GOVERNMENT-BASED PROGRAMS TO ADDRESS AND IMPROVE THESE ISSUES.TEEN PREGNANCYTHERE ARE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTHCARE ENTITIES (SSM HEALTH ST ANTHONY AND MERCY HOSPITAL, OKC) THAT LIMIT THE ABILITY AND CAPACITY TO INTERVENE ON THIS ISSUE. THERE ARE SEVERAL ORGANIZATIONS IN OKLAHOMA COUNTY THAT ARE ADDRESSING TEEN PREGNANCY IN THE COMMUNITY INCLUDING THRIVE, VARIETY CARE, AND THE OKLAHOMA CITY/COUNTY HEALTH DEPARTMENT.
MERCY HOSPITAL OKLAHOMA CITY	PART V, SECTION B, LINE 20E: OTHER AREAS FROM A NOTICE PERSPECTIVE: FAP IS POSTED IN ALL REGISTRATION AREAS, FULL POLICY AND PLAIN LANGUAGE DOCUMENT POSTED ON WEBSITE, PLAIN LANGUAGE DOCUMENT IS AVAILABLE WHEN REQUESTED, THERE IS A NOTICE ON STATEMENT, AND ALL PATIENTS GET THREE STATEMENTS BEFORE THEY CAN GO TO A COLLECTION AGENCY.
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 7A	HTTPS://WWW.MERCY.NET/CONTENT/DAM/MERCY/EN/PDF/CHNA/OKLAHOMA-CITY-CHNA-2022.PDF
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 10A	HTTPS://WWW.MERCY.NET/CONTENT/DAM/MERCY/EN/PDF/CHIP/MERCY-OKLAHOMA-CITY-CHIP-2023.PDF
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 22	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 200% OR BELOW, THE FEDERAL POVERTY GUIDELINES WILL BE ELIGIBLE FOR FREE CARE. INDIVIDUALS WITH INCOMES GREATER THAN 200% OF THE FEDERAL POVERTY GUIDELINES FOR MOST COMMUNITIES, MAY BE ELIGIBLE FOR CARE AT DISCOUNTED RATES DEPENDING ON THEIR INCOME LEVEL AND/OR THE AMOUNT DUE TO THE HOSPITAL. TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE, THE HOSPITAL FACILITY USES AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE. THE HOSPITAL USES A LOOK BACK METHOD THAT CONSIDERS DISCOUNTS ALLOWED TO MEDICARE AND ALL PRIVATE HEALTH INSURERS.

Schedule H (Form 990) 2021

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?12
Name and address		Type of Facility (describe)
1	1 - MERCY EDMOND I-35 2017 W I-35 FRONTAGE ROAD EDMOND,OK73013	OUTPATIENT SURGERY,PHARMACY,FITNESS CENTER,PHYSICAL THERAPY,RADIOLOGY, LAB
2	2 - MERCY COLETTA BUILDING 4401 MCAULEY BLVD STE 2200 OKLAHOMA CITY,OK73120	CANCER TREATMENT & CARE, BREAST CARE SERVICES,IMAGING & RADIATION SERVICES
3	3 - MHOKC - HOME HEALTH 4401 W MEMORIAL RD STE 143 OKLAHOMA CITY,OK73134	HOME HEALTH SERVICES
4	4 - MHOKC - OUTPATIENT PHYSICAL THERAPY 4401 W MEMORIAL ROAD OKLAHOMA CITY,OK73134	SPORTS & PHYSICAL THERAPY
5	5 - MHOKC OUTPATIENT REHAB-QUAILBROOK 4401 W MEMORIAL RD OKLAHOMA CITY,OK73134	OUPTATIENT REHAB SERVICES
6	6 - MHOKC - HOSPICE 4401 W MEMORIAL RD STE 143 OKLAHOMA CITY,OK73134	HOSPICE SERVICES
7	7 - MHOKC - SLEEP DISORDER CENTER 4345 W MEMORIAL ROAD OKLAHOMA CITY,OK73134	SLEEP DISORDER SERVICES
8	8 - MHOKC-OUTPATIENT ONCOLOGY INFUSION 4401 MCAULEY BLVD 2ND FLOOR OKLAHOMA CITY,OK73120	OUTPATIENT ONCOLOGY INFUSION SERVICES
9	9 - MHOKC - WOUND CARE CENTER 4140 WEST MEMORIAL RD SUITE 107 OKLAHOMA CITY,OK73120	WOUND CARE CENTER
10	10 - CANADIAN COUNTY OUTPATIENT REHAB 520 S MUSTANG RD YUKON,OK73099	SPORTS & PHYSICAL THERAPY & REHAB
11	11 - MHOKC - CANADIAN COUNTY IMAGING CENTER 520 S MUSTANG RD YUKON,OK73099	CT & ULTRASOUND SERVICES
12	12 - HOME HEALTH YUKON 520 S MUSTANG RD YUKON,OK73099	HOME HEALTH SERVICES

Schedule H (Form 990) 2021

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LN 7 COL(F):	TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) ARE $626,257,119. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $34,995,237. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $591,261,882.
PART I, LINE 6A	COMMUNITY BENEFIT REPORTTHE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS PREPARED BY ITS ULTIMATE PARENT ENTITY, MERCY HEALTH (EIN: 43-1423050).
PART II, COMMUNITY BUILDING ACTIVITIES:	MERCY HOSPITAL OKLAHOMA CITY, INC. (MHOKC) COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITIES IN WHICH THEY SERVE. THROUGH ACTIVE PARTICIPATION ON COMMUNITY BOARDS, NEIGHBORHOOD/COMMUNITY MEETINGS, AND INVOLVEMENT IN COMMUNITY-BASED EVENTS, MHOKC DEMONSTRATES ITS ONGOING COMMITMENT TO THE COMMUNITY.COMMUNITY BUILDING ACTIVITIES SERVE AS A LINK TO ENGAGE MERCY COWORKERS TO LOOK BEYOND THE WALLS OF THE FACILITIES IN WHICH THEY SERVE. SOME OF THE COMMUNITY BUILDING ACTIVITIES IN WHICH MHOKC SERVES ARE:- FY2021- MERCY'S FIRST COHORT OF THE DIABETES PREVENTION PROGRAM COMPLETED THE PROGRAM IN LATE JULY 2021. THE PARTICIPANTS TOTAL BODY WEIGHT LOSS WAS 6.98%, 115 POUNDS LOST, AND AN ATTENDANCE RATE OF 94%. TO CONTINUE TO ADDRESS HEALTH DISPARITIES IN OKLAHOMA COUNTY. MERCY OKLAHOMA CITY OFFERED THE DIABETES PREVENTION PROGRAM SECOND COHORT IN SPANISH IN FEBRUARY OF 2021, WITH SEVEN CURRENT ACTIVE PARTICIPANTS AS OF NOVEMBER 2021. PARTICIPANTS IN THE SECOND COHORT HAVE AN AVERAGE WEIGHT LOSS OF 5.5% AND 124 MINUTES OF PHYSICAL ACTIVITY WITH AN ATTENDANCE RATE OF 97%. OUR INITIAL DDP LIFESTYLE COACH, TRANSITIONED OUT OF MERCY IN DECEMBER 2021, AND HAVE NOW RECRUITED AND TRAINED TWO OTHER CO-WORKERS, WHO WILL PROVIDE THE CLASSES STARTING IN FY23.- FY 2022- GOOD SAMARITAN HAS TRANSITIONED BACK TO A FULL-SERVICE CLINIC FOR UNINSURED POPULATIONS. THEIR CURRENT OPERATING HOURS ARE MONDAY THROUGH THURSDAY 8AM TO 4:30PM, AND FRIDAYS 8AM TO NOON. HOSPITAL CLINIC PARTNERSHIP STRENGTHENED, BY INTEGRATING A COMMUNITY HEALTH WORKER (CHW) IN FEBRUARY 2021. FY22- COMMUNITY HEALTH AND CLINIC PARTNERSHIP EXPANDED TO HIRE AN ADDITIONAL CHW TO SERVE CLINICS IN HIGH NEED AREAS (N. MAY AND BETHANY CLINIC), BASED ON THE AREA DEPRIVATION INDEX. DURING FY22, THE CLINIC CHWS SERVED AN UNDUPLICATED 478 PATIENTS, WITH 1,634 PATIENT ENCOUNTERS. THIS WORK WILL CONTINUE TO EXPAND INTO RURAL COMMUNITIES IN FY23.- FY2021- TWO COMMUNITY HEALTH WORKERS WERE TRANSITIONED FROM WORKING AT GOOD SAMARITAN CLINIC, TO BE INTEGRATED INTO MERCY HOSPITAL OKC'S MAIN CAMPUS EMERGENCY DEPARTMENT, DURING FY21. TOTAL UNDUPLICATED PATIENTS SERVED DURING FY21 WAS 216, WITH 847 ENCOUNTERS. IN FY2022 CHWS TRANSITED INTO ADVANCED POSITIONS. MERCY HIRED AND ONBOARDED TWO NEW CHWS TO SUPPORT THE EFFORT. AT THE END OF FY22, CHWS IN THE HOSPITAL ED SERVED 423 PATIENTS, WITH 563 PATIENT ENCOUNTERS.COMMUNITY HEALTH WORKERS HAVE ALSO BEEN TRAINED IN SCREENING PATIENTS FOR CHARITY CARE AND SOONERCARE, TO GET THE ENROLLED AND APPROVED SO THEY DO NOT HAVE TO GO WITHOUT FUNDING TO RECEIVE THE APPROPRIATE CARE THEY NEED.- TOBACCO PREVENTION- DURING FY21: OUR COMMUNITY HEALTH AND HEALTHIFICATION DEPARTMENT COLLABORATED TO CREATE AWARENESS OF THE IMPACT OF TOBACCO IN OKLAHOMA, AND PREVENTION STRATEGIES. COMMUNITY HEALTH WORKERS WERE ALSO EDUCATED AND TRAINED ON HOW TO SUBMIT A REFERRAL TO THE TOBACCO QUITLINE. FY22, DUE TO CO-WORKER HIRING AND ONBOARDING WE WILL TRAIN NEW CHWS IN THE PROCESS, TO PROVIDE REFERRALS IN FY23.COMMUNITY HEALTH WORKER SUCCESS STORY #1:"A 54-YEAR-OLD MALE PATIENT LOST HIS WIFE LAST CHRISTMAS AND LIVED IN MID-WEST CITY ALONE, WAS REFERRED TO ME FROM AN INTEGRIS HOSPITAL SOCIAL WORKER, WHO RECEIVED MY INFORMATION FROM THE GOOD SAMARITAN CLINIC. THE PATIENT WAS UNINSURED, LACKED TRANSPORTATION AND SUFFERED FROM FOOD INSECURITIES. HIS SISTERS AND NIECE ALL LIVE IN FORT WORTH TEXAS, AND THEY WERE DESPERATELY TRYING TO SELL HIS HOUSE, AND COORDINATE THE TRANSFER OF ALL HIS HEALTH CARE TO TEXAS. TO EASE THE BURDEN OF HEALTHCARE COORDINATION FROM THIS FAMILY, I CONTACTED A FORT WORTH HOSPITAL, AND WAS ABLE TO COORDINATE A TEMPORARY PCP, THE MAILING OF A FINANCIAL HARDSHIP APPLICATION TO THE HOME OF HIS SISTER AND CONDUCT A WARM HAND OFF TO A PATIENT ADVOCATE AT THE FORT WORTH HOSPITAL. THIS PATIENT'S FAMILY WAS VERY GRATEFUL, AND I WAS HAPPY THAT I WAS ABLE TO HELP THIS FAMILY." COMMUNITY HEALTH WORKER SUCCESS STORY #2: "THERE WAS A PATIENT I HAD PREVIOUSLY ASSISTED WITH COMMUNITY RESOURCES AND ALSO ASSISTED WITH HELPING HER SON LOOK FOR A JOB. THIS PATIENT WAS GOING THROUGH CHEMO- THERAPY AT THE TIME AND NEED ADDITIONAL RESOURCES SUCH AS FOOD PANTRIES DUE TO NOT BEING ABLE TO AFFORD GROCERIES. I WAS ABLE TO ASSIST HER WITH THAT. AFTER A WHILE, THE PATIENT NO LONGER NEEDED MY SERVICES. A FEW MONTHS LATER, I RECEIVED A PHONE CALL FROM THE PATIENT'S SON. HE STATED THAT HIS MOTHER PASSED AWAY. HE WAS RECEIVING MEDICAL BILLS AND COULD NOT PAY FOR THEM. I WAS ABLE TO CONTACT EMSA AND THEY SAID THAT THE SON WOULDN'T HAVE TO WORRY ABOUT THE BILL. AFTER THAT, I REACHED OUT TO MERCY CHARITY AND THE REST OF THE PATIENT'S MEDICAL BILLS WERE COVERED. THE SON WAS VERY GRATEFUL FOR MY HELP AND I WAS HAPPY TO BE ABLE TO HELP TAKE THE FINANCIAL BURDEN OFF THIS PATIENT'S SON." COMMUNITY HEALTH WORKER SUCCESS STORY #3:"I RECEIVED A REFERRAL FROM THE INPATIENT SOCIAL WORK INFORMING THAT A 61-YEAR-OLD HISPANIC MALE WAS DISCHARGE FROM THE HOSPITAL, AND HE NEEDED A PCP, PRESCRIPTION ASSISTANCE, FOOD AND UTILITY ASSISTANCE. PATIENT WAS IN THE HOSPITAL DUE TO COVID-19, AND RIGHT NOW HE IS AT HOME WITH OXYGEN.WHEN I VISITED PATIENT, I NOTICED THAT HE LIVES ALONE, AND SOLELY DEPENDS ON HIS TWO ADULT CHILDREN FOR TRANSPORTATION. DURING MY FIRST VISIT, I BROUGHT WITH ME AN EMERGENCY FOOD BOX AND FOOD BANK INFORMATION, AND WE APPLIED TOGETHER TO THE COMMUNITY ACTION AGENCY FOR RENT AND UTILITY ASSISTANCE, UNFORTUNATELY, BECAUSE HIS LEGAL STATUS, THE APPLICATION WAS REJECTED. ALSO, PATIENT WAS ABLE TO SCHEDULE A FOLLOW UP APPOINTMENT WITH THE GOOD SAMARITAN CLINIC. I AM CONTINUING TO LOOK FOR RESOURCES THAT CAN ASSIST PATIENT, BUT THE POSITIVE AND REWARDING PART IS BEING ABLE TO GIVE HOPE. HOPE THAT EVERYTHING WILL BE OK, AND GOD NEVER LETS US ALONE."MHOKC WAS A FOUNDING PARTNER OF THE HEALTH ALLIANCE FOR THE UNINSURED (HAU), WHICH WAS FORMED TO IMPROVE ACCESS OF SPECIALTY HEALTHCARE FOR THE UNINSURED. THERE ARE 17 CLINICS AFFILIATED WITH THE HAU. A STAFF POSITION SALARY IS SUPPORTED BY MERCY HOSPITAL OKLAHOMA CITY HEALTH ALLIANCE FOR THE UNINSURED' S MISSION IS TO BE A CATALYST FOR IMPROVED HEALTH CARE FOR THOSE WHO WOULD OTHERWISE BE UNABLE TO OBTAIN IT. THROUGH PARTNERSHIP AND COLLABORATION WITH MERCY HOSPITAL, THE HAU CARE CONNECTION PROGRAM COORDINATES DIAGNOSTIC AND SPECIALTY CARE SERVICES, INCLUDING SURGERY, FOR LOWINCOME, UNINSURED PATIENTS OF HAU'S PARTNER SAFETYNET HEALTH CLINICS IN OKLAHOMA COUNTY. REFERRALS ARE REVIEWED FOR MEDICAL NECESSITY AND PATIENT ELIGIBILITY (HOUSEHOLD INCOME AT OR BELOW 200% FEDERAL POVERTY LEVEL, UNINSURED AND NOT ELIGIBLE FOR MEDICARE, MEDICAID, OR OTHER PUBLIC PROGRAMS). FY22- MERCY ALSO PROVIDED FREE RADIOLOGY SERVICES TO 300+ CLIENTS REFERRED FROM THE HEALTH ALLIANCE FOR THE UNINSURED.MHOKC DONATED 200 FREE FLU SHOTS TO UNDERSERVED COMMUNITY MEMBERS AT FREE MEDICAL CLINICS. PROJECT EARLY DETECTION (PED) CONTINUES TO PROVIDE BREAST CARE SERVICES FOR UNINSURED WOMEN IN THE OKLAHOMA CITY AREA. THEY RECEIVE BREAST HEALTH SERVICES THAT INCLUDE SCREENING MAMMOGRAMS, DIAGNOSTIC MAMMOGRAMS, DIAGNOSTIC PROCEDURES, BIOPSIES, MRI'S AND TREATMENT REFERRALS.EDUCATION- FY22 WE ARE CONTINUING TO STRENGTHEN OUR PARTNERSHIPS WITH SCHOOL DISTRICTS TO INCREASE CO-WORKER ENGAGEMENT AND SUPPORT. LOOKING AT THE DATA AND IDENTIFYING THAT THE PC SCHOOL DISTRICT IS TRENDING IN A NEGATIVE DIRECTION, WE HAVE PARTNERED WITH THE PUTNAM CITY SCHOOLS FOUNDATION TO SEE HOW WE CAN INTERVENE EARLY, SO THAT IT DOES NOT BECOME A DISTRICT WITH THE POOREST/ WORST HEALTH OUTCOMES.MERCY IN SCHOOLS CALL SAM ADDRESSES BEHAVIORAL HEALTH ISSUES IN THE EDMOND PUBLIC SCHOOL DISTRICT OF THE MHOKC SERVICE AREA. THERE WERE 500 CONTACTS DURING FY21, FOR MEDICAL, SOCIOEMOTIONAL, AND NUTRITIONAL SUPPORT FOR OUR K-12 AND SECONDARY PARTNERSHIPS.FOOD INSECURITY IS BEING ADDRESSED THROUGH MERCY'S PARTNERSHIP WITH THE REGIONAL FOOD BANK, TO PROVIDE COVID RELIEF EMERGENCY FOOD BOXES TO CO-WORKERS AND PATIENTS. THIS PROGRAM INVOLVES SCREENING PATIENTS FOR FOOD INSECURITY AT 3 SEPARATE LOCATIONS OF MERCY. A FOOD PANTRY BOX CONSISTING OF 4 MEALS WILL BE GIVEN TO THE PATIENT ALONG WITH NUTRITION INFORMATION AND OTHER COMMUNITY RESOURCES FOR ADDITIONAL FOOD ASSISTANCE. IN FY22 THIS PROGRAM HAS EXPANDED TO PROVIDE FRESH PRODUCE AND HAVE SERVED OVER 1500 COMMUNITY RESIDENTS.IN THIS SAME VEIN, TO COMBAT FOOD INSECURITY, MERCY PROVIDED 1200 MEALS TO OUR SENIOR POPULATION AS PART OF "FRIDAY MERCY MEALS", A MOBILE MEALS PROGRAM PROVIDED IN PARTNERSHIP WITH ST. LUKE'S METHODIST CHURCH MEALS ON WHEELS.A FULL DESCRIPTION OF COMMUNITY BUILDING ACTIVITIES CAN BE FOUND AT: HTTPS://WWW.MERCY.NET/ABOUT/COMMUNITY-BENEFITS/
PART III, LINE 2:	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 ACCOUNT, WHERE AVAILABLE. WHERE COST ACCOUNTING IS NOT AVAILABLE, COST REPORT COST TO CHARGE RATIOS WERE UTILIZED.
PART III, LINE 3:	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 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.
PART III, LINE 4:	THE TEXT OF THE FOOTNOTE THAT IS INCLUDED IN MERCY HEALTH AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE FOLLOWS:IN MAY 2014, THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) AND INTERNATIONAL ACCOUNTING STANDARDS BOARD ISSUED ACCOUNTING STANDARDS UPDATE (ASU) 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606). THE HEALTH SYSTEM ADOPTED ASU 2014-09 ON JULY 1, 2018 USING A FULL RETROSPECTIVE BASIS. UPON ADOPTION, THE MAJORITY OF WHAT WAS PREVIOUSLY CLASSIFIED AS PROVISION FOR UNCOLLECTIBLE ACCOUNTS AND PRESENTED AS A REDUCTION TO PATIENT SERVICE REVENUE ON THE CONSOLIDATED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS IS TREATED A PRICE CONCESSION THAT REDUCES THE TRANSACTION PRICE, WHICH IS REPORTED AS PATIENT SERVICE REVENUE. AS SUCH, BAD DEBT EXPENSE IS NOT REFERENCED IN MERCY HEALTH AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS. BAD DEBT EXPENSE IS TRACKED FOR FORM 990 REPORTING AS FOLLOWS: PATIENT ACCOUNTS RECEIVABLE THAT ARE DEEMED UNCOLLECTIBLE, INCLUDING THOSE PLACED WITH COLLECTION AGENCIES, ARE INITIALLY CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN ACCORDANCE WITH COLLECTION 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 UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES BASED UPON THE PAYOR COMPOSITION AND AGING OF RECEIVABLES 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 PATIENT BALANCES WITH COLLECTION AGENCIES.
PART III, LINE 8:	IT IS THE POSITION OF MERCY HOSPITAL OKLAHOMA CITY THAT 100% OF ANY SHORT FALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS AMOUNT REPRESENTS COST OF PROVIDING SERVICES THAT REMAIN UNCOMPENSATED TO THE PROVIDER. THE UNREIMBURSED COSTS OF MEDICARE IS CALCULATED BY THE GROSS CHARGES NET OF THE COST TO CHARGE RATIO LESS ANY PAYMENTS, DEDUCTIONS OR REIMBURSEMENTS USING THE ANNUAL MEDICARE COST REPORT (CMS FORM 2552-96)
PART III, LINE 9B:	MERCY'S COLLECTION POLICY PROVIDES THAT MERCY WILL PERFORM A REASONABLE COMMUNICATION AND/OR REVIEW OF PATIENT ACCOUNTS AS IT RELATES TO ANY SERVICE PROVIDED AT OUR FACILITIES BEFORE TURNING THE ACCOUNT TO BAD DEBT OR TAKING LEGAL ACTION FOR NONPAYMENT. MERCY ACTIVELY SCRUBS ACCOUNTS FOR PAYOR PLAN COVERAGE, INCLUDING MEDICAID. IN THE EVENT AN ACCOUNT IS TURNED TO COLLECTIONS AND IS IDENTIFIED IN NEED OF FINANCIAL ASSISTANCE DUE TO CIRCUMSTANCE CHANGES, OR IS NOW REQUESTING ASSISTANCE, THE ACCOUNTS ARE RETURNED BY THE AGENCY AND CONSIDERED FOR CHARITY IF THE PATIENT PROVIDES THE REQUESTED INFORMATION. IF THE PATIENT FAILS TO RETURN THE INFORMATION, THE ACCOUNT WILL QUALIFY FOR COLLECTIONS. MERCY UTILIZES THE EXPERIAN TOOL TO ENHANCE THE ABILITY TO DETERMINE THE CHARITY QUALIFICATION PRIOR TO TURNING TO BAD DEBT, A PROCESS KNOWN AS PRESUMPTIVE CHARITY FOR ALL COMMUNITIES EXCEPT JOPLIN, MAUDE NORTON, CARTHAGE AND SOUTHEAST KANSAS. THIS PRESUMPTIVE SCREENING PROCESS DETAILS EVALUATIONS THAT TAKE PLACE PRIOR TO PATIENT BILLING AND ADDITIOANLLY PRIOT TO BAD DEBT PLACEMENT. THE PRESUMPTIVE SCREENING WAS PER ENCOUNTER AND DID NOT PROMOTE ANY LOOK-BACK ADJUSTMENTS.MERCY WILL GRANT CHARITY IN SITUATIONS WHERE THERE HAS BEEN AN INABILITY TO OBTAIN INFORMATION FROM PATIENTS OR THE INFORMATION PROVIDED IS NOT COMPLETE ENOUGH TO MAKE A CHARITY DETERMINATION WHEN A PATIENT HAS SUBMITTED AN APPLICATION. MERCY WILL PURSUE APPROPRIATE MEANS IN THE COLLECTION OF DELINQUENT ACCOUNTS FROM PATIENTS WITH AN ESTABLISHED ABILITY TO PAY OR AN UNWILLINGNESS TO COOPERATE IN VALIDATING ELIGIBILITY FOR FINANCIAL ASSISTANCE. THESE APPROPRIATE MEANS MAY INCLUDE LEGAL ACTION CONSISTENT WITH MERCY MISSION AND VALUES AFTER SENDING 3 MONTHLY STATEMENTS WITH THE FINAL INCLUDING NOTIFICATION; IF NO RESOLUTION THEY WILL BE TURNED TO COLLECTIONS. ADDITIONALLY, THEY MAY INCLUDE LIENS UPON REAL PROPERTY AND REASONABLE WAGE GARNISHMENTS. LEGAL ACTIONS WILL GENERALLY NOT INCLUDE BANK GARNISHMENTS, REPOSSESSION OF ASSETS OR FORECLOSURES TO ENSURE SATISFACTION OF A LIEN. MERCY HAS POLICIES AND PROCEDURES ESTABLISHED TO ADDRESS THE INITIATION OF LEGAL ACTION AND ANNUALLY REVIEW COMPLIANCE WITH POLICIES BUT ENSURE 120 DAYS OF BILLING AND COLLECTIONS OCCUR PRIOR TO ANY EXTRAORDINARY COLLECTIONS ARE PURSUED.
PART VI, LINE 2:	THE 2022 OKLAHOMA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPRESENTS AN IMPORTANT AND POWERFUL COLLABORATION BETWEEN FOUR NONPROFIT HEALTH SYSTEMS: INTEGRIS HEALTH, MERCY HOSPITAL OKLAHOMA CITY, OU HEALTH, AND SSM HEALTH ST. ANTHONY. INTEGRIS HEALTH, MERCY AND SSM HEALTH ST. ANTHONY HAVE HELD NONPROFIT STATUS FOR DECADES, AND OU HEALTH BECAME A NONPROFIT HOSPITAL SYSTEM ON FEBRUARY 1, 2018, WHEN A NEWLY FORMED NONPROFIT GROUP, OU MEDICINE INC., OFFICIALLY COMPLETED ITS TAKEOVER OF THE OU MEDICAL SYSTEM FROM HOSPITAL CORPORATION OF AMERICA. INTEGRIS HEALTH, MERCY, AND SSM HEALTH ST. ANTHONY CONDUCTED A JOINT CHNA FOR THE FIRST TIME IN 2018 AND COLLABORATED TO IMPLEMENT CERTAIN COMMUNITY HEALTH IMPROVEMENT STRATEGIES THROUGHOUT 2019 - 2021, UNDER THE NAME, "CENTRAL OKLAHOMA HEALTH IMPACT TEAM OR COHIT. OU HEALTH JOINED THE COMMUNITY HEALTH COLLABORATIVE IN 2019 AFTER THEY TRANSITIONED TO NONPROFIT STATUS. TODAY, COHIT CONSISTS OF THE FOUR NONPROFIT HEALTH SYSTEMS AND THE OKLAHOMA CITY- COUNTY HEALTH DEPARTMENT (OCCHD). THE OKLAHOMA CITY COMMUNITY FOUNDATION SERVES AS THE NEUTRAL CONVENER FOR COHIT. IN LOOKING AT THE COMMUNITY POPULATION SERVED BY THE FOUR SYSTEMS' HOSPITALS, IT WAS CLEAR THAT ALL FOUR HEALTH SYSTEMS DEFINE THEIR COMMUNITY AS OKLAHOMA COUNTY. SIMILAR TO THE HOSPITAL CHNAS, LOCAL AND STATE HEALTH DEPARTMENTS MUST SEEK ACCREDITATION THROUGH THE PUBLIC HEALTH ACCREDITATION BOARD ("PHAB") BY COMPLETING A COMPREHENSIVE HEALTH ASSESSMENT ("CHA") AND A CORRESPONDING COMMUNITY HEALTH IMPROVEMENT PLAN ("CHIP"). THE CHNA INCLUDES BOTH QUALITATIVE AND QUANTITATIVE DATA TO PROVIDE INSIGHTS ABOUT THE BIGGEST AND MOST PRESSING HEALTH NEEDS AFFECTING PEOPLE IN OKLAHOMA COUNTY. WE BEGAN THE CHNA PROCESS WITH A REVIEW OF THE PREVIOUS CHNA REPORT AND GATHERED FEEDBACK FROM INTERNAL AND EXTERNAL STAKEHOLDERS. THE SECONDARY DATA INDICATORS INCLUDED IN THIS CHNA WERE BASED ON THE TOP HEALTH PRIORITY AREAS IDENTIFIED BY THE 2021 OKLAHOMA CITY-COUNTY WELLNESS SCORE COMPLETED BY THE OKLAHOMA CITY-COUNTY HEALTH DEPARTMENT. THROUGHOUT THE ITERATIVE PROCESS, INDICATORS WERE ALSO INCLUDED IF THEY RELATED TO ONE OF THE FOUR MAIN PRIORITY AREAS OR THEMES IDENTIFIED THROUGH THE QUALITATIVE DATA FROM THE STAKEHOLDER MEETINGS AND COMMUNITY CHATS. DATA REPRESENTING THE MOST RECENT YEAR AVAILABLE ARE REPORTED FOR ALL SOURCES. WE REVIEWED APPROXIMATELY 100 INDICATORS INCLUDING HEALTH OUTCOMES AND ASSOCIATED HEALTH FACTORS FOR OKLAHOMA COUNTY RESIDENTS. INDICATORS INCLUDED DEMOGRAPHIC DATA, MORTALITY DATA, ECONOMIC AND SOCIAL FACTORS, EDUCATION, BUILT ENVIRONMENT, AND HEALTH CARE ACCESS AND QUALITY. ALL INDICATORS WERE ASSESSED THROUGH THE LENS OF HEALTH EQUITY, KEEPING IN MIND THE SOCIAL DETERMINANTS OF HEALTH. WE ASSEMBLED A GROUP OF 65 COMMUNITY STAKEHOLDERS REPRESENTING 45 ORGANIZATIONS INCLUDING HEALTH CARE PROVIDERS, SOCIAL SERVICE PROVIDERS, FOUNDATIONS, CHAMBERS OF COMMERCE, COMMUNITY DEVELOPMENT AND FINANCE ORGANIZATIONS, EDUCATION AND EMPLOYMENT TRAINING SERVICES, GOVERNMENT SERVICES, TRANSPORTATION SERVICES, FOOD AND FOOD SECURITY SERVICES, AND ELECTED OFFICIALS. POPULATIONS EXPERIENCING HEALTH INEQUITIES WERE REPRESENTED THROUGHOUT THE VARIOUS STAKEHOLDER ORGANIZATIONS INVOLVED. WE PRESENTED A COMPREHENSIVE OVERVIEW OF HEALTH INDICATOR FINDINGS FOR OKLAHOMA COUNTY AND USED A "REAL TIME" SURVEY PROCESS TO ENGAGE STAKEHOLDERS AND ASSESS THEIR VIEWS ON THE GREATEST FACTORS FOR POOR HEALTH OUTCOMES IN OKLAHOMA COUNTY. FOUR MAIN HEALTH TOPICS EMERGED FROM THIS PROCESS: ACCESS TO MEANINGFUL EMPLOYMENT, ACCESS TO EDUCATION, ACCESS TO HEALTHY FOOD, AND ACCESS TO HEALTHCARE. WE DIVIDED THE STAKEHOLDERS INTO DISCUSSION GROUPS FOR EACH PROBLEM AREA. EACH GROUP FURTHER DEFINED THE PROBLEM USING THE "FIVE WHYS EXERCISE" IN ORDER TO DETERMINE THE ROOT CAUSES OF EACH PROBLEM. WE USED THE FINDINGS FROM THE STAKEHOLDER MEETING TO CREATE A COMMUNITY SURVEY TO COLLECT INFORMATION FROM OKLAHOMA COUNTY RESIDENTS. TO CREATE THE COMMUNITY SURVEY, WE CONTACTED THE ROBERT WOOD JOHNSON FOUNDATION FOR EXAMPLES OF SURVEYS FROM OTHER STATES THAT WERE SUCCESSFUL IN GATHERING INFORMATION RELATED TO SOCIAL DETERMINANTS OF HEALTH. WE ALSO CONSIDERED QUESTIONS FROM THE BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY AND OTHER SURVEYS. THROUGH OUR PARTNERSHIP WITH THE OKLAHOMA CITY- COUNTY HEALTH DEPARTMENT, WE UTILIZED COVID-19 VACCINATION EVENTS TO COLLECT SURVEYS. IN ADDITION, WE ENLISTED THE HELP OF OUR STAKEHOLDERS TO SEND TARGETED EMAILS TO SPECIFIC POPULATION GROUPS. SURVEYS WERE MADE AVAILABLE IN ENGLISH AND SPANISH. AFTER EXCLUSION OF INCOMPLETE SURVEYS AND THOSE WITH A ZIP CODE OUTSIDE OF OKLAHOMA COUNTY, WE HAD A FINAL SAMPLE SIZE OF 956. ALTHOUGH THIS WAS NOT A PROBABILITY SAMPLE, THE DEMOGRAPHICS OF THE SURVEY RESPONDENTS ARE COMPARABLE TO THAT OF OKLAHOMA COUNTY WITH A FEW EXCEPTIONS. TO MAKE THE RESULTS MORE GENERALIZABLE TO OKLAHOMA COUNTY, WE USED POST-STRATIFICATION WEIGHTING. WE USED THE AMERICAN COMMUNITY SURVEY TO CREATE BENCHMARK TOTALS FOR THE FOLLOWING VARIABLES: AGE, SEX, AND RACE. EACH HOSPITAL WAS RESPONSIBLE FOR COMMUNITY CHATS RELATED TO ONE OF THE FOLLOWING PRIORITY AREAS: EDUCATION, EMPLOYMENT, FOOD ACCESS, HEALTH CARE ACCESS. EACH COMMUNITY CHAT WAS MODERATED BY A STAFF MEMBER FROM ONE OF THE PARTNER HOSPITALS AND RECORDED FOR TRANSCRIPTION. WE FACILITATED SIXTEEN "COMMUNITY CHATS" IN THE FORM OF GUIDED COMMUNITY CHATS TO DELVE DEEPER INTO HOW PEOPLE EXPERIENCE EACH OF THE FOUR PRIORITY TOPIC AREAS. WE CREATED FACILITATION GUIDES FOR EACH PRIORITY TOPIC TO COLLECT INFORMATION ON PERSONAL EXPERIENCES, BARRIERS TO ACCESS, COMMUNITY PERCEPTIONS, AND OPPORTUNITIES TO IMPROVE CONDITIONS IN THE COMMUNITY. EACH COMMUNITY CHAT WAS MODERATED BY A STAFF MEMBER FROM ONE OF THE PARTNER HEALTH SYSTEMS. AS AN EXPRESSION OF THIS CHNA'S EMPHASIS ON HEALTH EQUITY, WE USED INTENTIONAL RECRUITING STRATEGIES TO ENSURE COMMUNITY CHAT PARTICIPANTS WERE REPRESENTATIVE OF UNDERSERVED MEMBERS OF THE COMMUNITY. THESE STRATEGIES INCLUDED PARTNERING WITH CHARITY CLINICS TO RECRUIT AND HOST THE CONVERSATIONS USING A PURPOSIVE, SNOWBALL SAMPLING APPROACH TO RECRUIT PARTICIPANTS, AND PROVIDING SMALL GIFT-CARD INCENTIVES FOR PARTICIPATION. OUR PARTNERS IN RECRUITMENT INCLUDED THE OKLAHOMA CITY AND MILLWOOD PUBLIC SCHOOL DISTRICTS, GOOD SHEPHERD CLINIC, CROSSINGS COMMUNITY CLINIC, HILLTOP CLINIC, MARY MAHONEY HEALTH CENTER, AND THE HEALTH ALLIANCE FOR THE UNINSURED.WE WERE INTENTIONAL ABOUT INVITING COMMUNITY HEALTH WORKERS, FRONTLINE PUBLIC HEALTH WORKERS WHO ARE TRUSTED MEMBERS OF THE COMMUNITY, AND THOSE WITH LIVED AND/OR SHARED EXPERIENCES OF THE UNDERSERVED POPULATIONS IN OKLAHOMA COUNTY. BETWEEN MAY 23 AND JUNE 30, 2021, 111 PARTICIPANTS ENGAGED IN 16 COMMUNITY CHATS: 4 ON HEALTH CARE ACCESS, 4 ON FOOD ACCESS, 3 ON EDUCATION AND 5 ON EMPLOYMENT. ALL SESSIONS WERE RECORDED, AND AUDIO FILES WERE ANONYMOUSLY TRANSCRIBED TO TEXT DOCUMENTS. TEXT DOCUMENTS WERE UPLOADED TO THE QUALITATIVE DATA ANALYSIS SOFTWARE TOOL "DEDOOSE" FOR CODING. DEDOOSE IS A WEB-BASED PROGRAM THAT ALLOWED THE RESEARCHERS TO ORGANIZE AND ANALYZE RESEARCH DATA INTO TEXT FORMATS FOR QUANTITATIVE AND QUALITATIVE DATA AND FACILITATED MIXED METHODS RESEARCH OUTPUT.
PART VI, LINE 3:	MERCY INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY THROUGH SEVERAL MEANS. IF AT ANY TIME A PATIENT EXPRESSES HARDSHIP AND INABILITY TO PAY, THE ACCOUNT IS PLACED FOR REVIEW. IN ADDITION, PATIENTS HAVE SIGNAGE ABOUT THE POLICY AT THE ACCESS POINTS, AND ALL STAFF WORKING WITH THE PATIENT AT POINT OF SERVICE, SCHEDULING, CUSTOMER SERVICE, AND EVEN THROUGH THE MEDICAID ELIGIBILITY SCREENING HAVE THE MEANS TO SEND THE ACCOUNT FOR REVIEW. THERE IS THE PLAIN LANGUAGE SUMMARY THAT IS BEING PROVIDED TO ALL WHOM EXPRESS HARDSHIP, IN ADDITION TO THE WEB ADDRESS PROVIDING THE APPLICATION, POLICIES, AND EVEN HOW UNINSURED ACCOUNTS ARE HANDLED. LASTLY, THE STATEMENTS MESSAGE TO THE PATIENT THAT MERCY DOES HAVE A FINANCIAL ASSISTANCE PROGRAM AND TO CALL TO SEE IF THEY ARE ELIGIBLE. MERCY STAFF'S INTERNAL RESOURCES CERTIFIED TO ASSIST PATIENTS WITH MEDICAID APPLICATIONS AS WELL.
PART VI, LINE 4:	THE PRIMARY SERVICE AREA FOR MERCY HOSPITAL OKLAHOMA CITY INCLUDES 106 ZIP CODES ACROSS OKLAHOMA. THE FOLLOWING INFORMATION IS DERIVED FROM THE ADVISORY BOARD DEMOGRAPHICS AND THE OK DEPARTMENT OF HEALTH 2021-2022 ANALYTICS. THE AREA'S POPULATION IS 1,372,481. THE MEDIAN HOUSEHOLD INCOME IS $62,000. 37.0% OF THE POPULATION IS 45 AND OLDER. 89% OF THE POPULATION IS A HIGH SCHOOL GRAD OR GREATER AND THE MEDIAN AGE IS 36. 15.9% OF THE HOUSEHOLDS ARE ON MEDICARE, 25.1% ON MEDICAID, AND 12.6% UNINSURED.
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTHMERCY PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. MERCY 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 COMMUNITIES. MERCY OFFERS SERVICES AND PROGRAMS WHICH FURTHER HEALTH PROMOTION, MAINTENANCE AND CARE TO THE COMMUNITY. PROGRAMS PROVIDED TO MEET THE COMMUNITY INCLUDE SUPPORT GROUPS, OUTREACH EVENTS, BLOOD DRIVES, AND CO-WORKER WORKDAYS. MERCY IS GOVERNED BY A BOARD OF DIRECTORS WHICH INCLUDES REPRESENTATION FROM COMMUNITY LEADERS FROM A VARIETY OF SECTORS. ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY. ANY POTENTIAL CONFLICTS OF INTEREST DISCLOSED ARE REVIEWED AND RESOLVED. THIS PROCESS ENSURES THAT PUBLIC, RATHER THAN PRIVATE INTERESTS ARE SERVED. SURPLUS FUND AND UNRESTRICTED ASSETS HELD 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.
PART VI, LINE 6:	AFFILIATED HEALTH CARE SYSTEMTHE FILING ORGANIZATION IS PART OF MERCY HEALTH ("MERCY"). MERCY IS A MISSOURI NON-PROFIT CORPORATION WITH ITS HEADQUARTERS ("MINISTRY OFFICE") IN ST. LOUIS, MISSOURI. MERCY PROVIDES HEALTH CARE SERVICES IN FOUR STATES - ARKANSAS, KANSAS, MISSOURI, AND OKLAHOMA - AND HAS OUTREACH MINISTRIES LOCATED IN ARKANSAS, LOUISIANA, MISSISSIPPI, AND TEXAS. MERCY'S MISSION IS "AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE." AS OF JUNE 30, 2022, MERCY FACILITIES INCLUDED 30 ACUTE CARE HOSPITALS, 5 HEART HOSPITALS, 5 REHAB HOSPITALS, 2 CHILDREN'S HOSPITALS, 2 ORTHOPEDIC HOSPTIALS, AND 1 VIRTUAL CARE COMMAND CENTER. FOR THE FISCAL YEAR ENDED JUNE 30, 2022, MERCY HAD MORE THAN 10.4 MILLION OUTPATIENT AND PHYSICIAN OFFICE VISITS, APPROXIMATELY 2,300 EMPLOYED PHYSICIANS, AND APPROXIMATELY 42,000 FULL-TIME EQUIVALENT EMPLOYEES, MAKING MERCY THE SIXTH LARGEST CATHOLIC HEALTH SYSTEM IN THE UNITED STATES. 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: FINANCE (INCLUDING TREASURY, FINANCIAL ACCOUNTING AND REPORTING, REVENUE MANAGEMENT, INTERNAL AUDIT, ACCOUNTS PAYABLE AND PAYROLL OPERATIONS, ANALYTICS AND DECISION SUPPORT); ENVIRONMENTAL SERVICES SUPPORT; CLINICAL INTEGRATION; CARE MANAGEMENT; CLINICAL PERFORMANCE ACCELERATION; CLINICAL ENGINEERING; CLINICAL QUALITY MANAGEMENT; COMPLIANCE; GRANTS AND RESEARCH SERVICES; LEGAL AND COMPLIANCE COUNSEL; MARKETING AND COMMUNICATIONS; PLANNING, DESIGN AND CONSTRUCTION; PRODUCT DEVELOPMENT INFORMATICS; REAL ESTATE; SUPPLY CHAIN MANAGEMENT; MANAGED CARE STRATEGY SUPPORT; HUMAN RESOURCES (INCLUDING COMPENSATION, BENEFITS AND RECRUITING); MISSION SERVICES AND ETHICS; PHILANTHROPY SUPPORT; INFORMATION TECHNOLOGY; AND, COMMUNITY RELATIONS. THE CENTRALIZATION OF SUCH SUPPORT SERVICES ENABLES MERCY TO ENSURE THAT EACH OF ITS COMMUNITIES, WHETHER LARGE OR SMALL, HAS THE SERVICES IT NEEDS.
PART VI, LINE 7, REPORTS FILED WITH STATES	OK
COVID-19	PLEASE SEE SCHEDULE O FOR INFORMATION RELATED TO COVID-19.

Schedule H (Form 990) 2021

Additional Data

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- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization
MERCY HOSPITAL OKLAHOMA CITY

Employer identification number
73-0579285

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) MERCY HEALTH FOUNDATION OKLAHOMA CITY 4300 W MEMORIAL ROAD OKLAHOMA CITY,OK73120	46-3184231	501(C)(3)	2,085,304	FOUNDATION SUPPORT
(2) MERCY HEALTH FOUNDATION OKLAHOMA CITY- GIFT SHOP 4300 W MEMORIAL RD OKLAHOMA CITY,OK73120	46-3184231	501(C)(3)	127,919	CHARITABLE DONATION
(3) MERCY HEALTH FOUNDATION OF OKLAHOMA 4300 W MEMORIAL RD OKLAHOMA CITY,OK73120	26-1789292	501(C)(3)	176,557	CHARITABLE DONATION
(4) ARCHDIOCESE OF OKLAHOMA PO BOX 32180 OKLAHOMA CITY,OK73123	73-0636561	501(C)(3)	42,411	GENERAL SUPPORT
(5) SALVATION ARMY 1001 N PENNSYLVANIA AVE OKLAHOMA CITY,OK73107	73-0579266	501(C)(3)	6,122	CHARITABLE DONATION
(6) HEALTH ALLIANCE FOR THE UNINSURED INC 3000 UNITED FOUNDERS BLVD STE 244 OKLAHOMA CITY,OK73112	26-1789292	501(C)(3)	114,754	CHARITABLE DONATION
(7) HEARTS FOR HEALING 11500 PORTLAND AVE OKLAHOMA CITY,OK73120	58-2670613	501(C)(3)	10,000	CHARITABLE DONATION
(8) FIRST AMERICANS MUSEUM OKLAHOMA AMERICAN INDIAN CULTURAL CENTER FOUNDATIO 659 FIRST AMERICANS BLVD OKLAHOMA CITY,OK73129	73-1554119	501(C)(3)	25,000	CHARITABLE DONATION
(9) CRISTO REY OKLAHOMA CITY HIGH SCHOOL 900 N PORTLAND AVE OKLAHOMA CITY,OK73107	47-5521087	501(C)(3)	15,750	CHARITABLE DONATION

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2021

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
PART I, LINE 2:	THE ORGANIZATION USES AN APPROVAL PROCESS TO DETERMINE WHICH ORGANIZATIONS AND INDIVIDUALS WILL RECEIVE GRANTS DURING THE FISCAL YEAR. THE FUNDS ARE THEN GIVEN DIRECTLY TO THE NONPROFIT ORGANIZATIONS AND INDIVIDUALS. GRANTS ARE FREQUENTLY MADE TO RELATED ORGANIZATIONS.

Schedule I (Form 990) 2021

Additional Data

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

MERCY HOSPITAL OKLAHOMA CITY

Employer identification number

73-0579285

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2021

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1SOCK SHANNON EVP - CSO & COO, BM	(i) (ii)	0 ------------- 1,012,948	0 ------------- 1,236,543	0 ------------- 173,475	0 ------------- 276,456	0 ------------- 14,936	0 ------------- 2,714,358	0 ------------- 0
2CIARAMITA MD JEFFREY SVP CHIEF PHYSICIAN EXECUTIVE & BM	(i) (ii)	0 ------------- 765,459	0 ------------- 415,086	0 ------------- 195,285	0 ------------- 112,113	0 ------------- 14,936	0 ------------- 1,502,879	0 ------------- 0
3GEBHART JIM PRESIDENT, MERCY HOSPITAL OKLAHOMA C	(i) (ii)	0 ------------- 536,090	0 ------------- 472,975	0 ------------- 216,602	0 ------------- 88,203	0 ------------- 13,169	0 ------------- 1,327,039	0 ------------- 172,468
4MOHART MD JOHN PRESIDENT, MERCY COMMUNITIES & CHAIR	(i) (ii)	0 ------------- 122,146	0 ------------- 658,499	0 ------------- 46,912	0 ------------- 69,335	0 ------------- 17,454	0 ------------- 914,346	0 ------------- 0
5SMALLEY DIANA L FORMER OFFICER	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 800,010	0 ------------- 0	0 ------------- 0	0 ------------- 800,010	0 ------------- 0
6ARGUETA DAVID CHIEF ADMINISTRATIVE OFFICER	(i) (ii)	0 ------------- 438,512	0 ------------- 189,203	0 ------------- 17,597	0 ------------- 55,648	0 ------------- 17,578	0 ------------- 718,538	0 ------------- 0
7MINDER KEVIN FORMER OFFICER	(i) (ii)	0 ------------- 279,154	0 ------------- 224,083	0 ------------- 33,413	0 ------------- 51,984	0 ------------- 7,369	0 ------------- 596,003	0 ------------- 0
8STEFFENS AARON L FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 318,649	0 ------------- 155,750	0 ------------- 46,022	0 ------------- 54,503	0 ------------- 17,298	0 ------------- 592,222	0 ------------- 11,008
9ENLOE TRACY FORMER OFFICER	(i) (ii)	0 ------------- 316,520	0 ------------- 172,610	0 ------------- 26,834	0 ------------- 9,745	0 ------------- 17,538	0 ------------- 543,247	0 ------------- 0
10LE BICH-VI FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 349,840	0 ------------- 117,337	0 ------------- 52,407	0 ------------- 4,159	0 ------------- 17,578	0 ------------- 541,321	0 ------------- 0
11SMITH CHAD FORMER OFFICER	(i) (ii)	0 ------------- 355,098	0 ------------- 96,150	0 ------------- 35,693	0 ------------- 6,855	0 ------------- 17,564	0 ------------- 511,360	0 ------------- 0
12DAWSON ZACKARY VP OPERATIONS	(i) (ii)	0 ------------- 318,458	0 ------------- 83,668	0 ------------- 19,818	0 ------------- 6,144	0 ------------- 17,295	0 ------------- 445,383	0 ------------- 0
13JAMES KARYL CHIEF NURSING OFFICER	(i) (ii)	0 ------------- 226,142	0 ------------- 103,775	0 ------------- 40,640	0 ------------- 37,844	0 ------------- 13,563	0 ------------- 421,964	0 ------------- 0
14ECKHARDT CHRISTIE VP, CHIEF OPERATIONS COUNSEL & SECRE	(i) (ii)	0 ------------- 237,476	0 ------------- 77,869	0 ------------- 15,211	0 ------------- 7,250	0 ------------- 14,622	0 ------------- 352,428	0 ------------- 0
15EDELSTEIN THOMAS FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 182,080	0 ------------- 59,037	0 ------------- 14,162	0 ------------- 21,131	0 ------------- 13,235	0 ------------- 289,645	0 ------------- 0
16VITIELLO JONATHAN FORMER OFFICER	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 269,178	0 ------------- 4,238	0 ------------- 0	0 ------------- 273,416	0 ------------- 0
17PINAROC LYNN VP - FINANCE	(i) (ii)	0 ------------- 169,116	0 ------------- 49,551	0 ------------- 34,778	0 ------------- 3,292	0 ------------- 6,755	0 ------------- 263,492	0 ------------- 0
18HAHNE CHRISTOPHER VP FINANCE	(i) (ii)	0 ------------- 165,799	0 ------------- 31,060	0 ------------- 35,309	0 ------------- 6,001	0 ------------- 17,113	0 ------------- 255,282	0 ------------- 0
19KIM OK FACILITY FLOAT POOL RN	(i) (ii)	0 ------------- 208,165	0 ------------- 2,000	0 ------------- 22,549	0 ------------- 6,360	0 ------------- 12,364	0 ------------- 251,438	0 ------------- 0
20NORMAN JANELLE PHYSICAL THERAPIST	(i) (ii)	0 ------------- 179,318	0 ------------- 2,000	0 ------------- 36,037	0 ------------- 6,948	0 ------------- 12,512	0 ------------- 236,815	0 ------------- 0
21TONKUMOH AGNES CHARGE RN III	(i) (ii)	0 ------------- 192,765	0 ------------- 2,250	0 ------------- 17,559	0 ------------- 6,424	0 ------------- 16,743	0 ------------- 235,741	0 ------------- 0
22BELL ANTHONY HOUSE SUPERVISOR III	(i) (ii)	0 ------------- 181,319	0 ------------- 3,426	0 ------------- 26,248	0 ------------- 5,056	0 ------------- 6,332	0 ------------- 222,381	0 ------------- 0
23RAJU GARY FORMER OFFICER	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 136,710	0 ------------- 0	0 ------------- 0	0 ------------- 136,710	0 ------------- 0

Schedule J (Form 990) 2021

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 1A	CHARTER TRAVEL IS PROVIDED TO CERTAIN EMPLOYEES AS AND WHEN APPROPRIATE, AND AS DEEMED NECESSARY FOR BUSINESS TRAVEL. AFTER CHARTER TRAVEL APPROVAL HAS BEEN GRANTED IN ACCORDANCE WITH THE FINANCIAL JUSTIFICATION PROCESS, THE APPROVED CHARTER TRAVEL FOR BUSINESS IS A REIMBURSABLE EXPENSE WHICH IS NOT TAXABLE TO THE EMPLOYEES. TRAVEL FOR COMPANIONS FOR NONBUSINESS REASONS IS PROVIDED IN CERTAIN INSTANCES AND IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. WHERE COMPANION TRAVEL HAS RESULTED IN A TAXABLE EVENT, THE EMPLOYEES ARE TAXED FOR SUCH TRAVEL. SPOUSAL TRAVEL WAS PROVIDED FOR A BOARD MEMBER. LIMITED INSTANCES OF GROSS-UPS OCCURRED WITH RESPECT TO EXECUTIVES.
PART I, LINES 4A-B	THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM A RELATED ORGANIZATION: JONATHAN VITIELLO $269,178; DIANA SMALLEY $800,010; GARY RAJU $136,710 SCHEDULE J, PART I, QUESTION 4B MERCY HEALTH, THE PARENT COMPANY, OFFERS A SUPPLEMENTAL RETIREMENT PLAN TO CERTAIN EXECUTIVES WHICH PROVIDE BENEFITS UPON VESTING DATE 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 THE PLAN: JIM GEBHART; SHANNON SOCK; AARON STEFFENS THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C). THE AMOUNTS REPORTED FOR JIM GEBHART AND AARON STEFFENS 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.
PART I, LINE 3	THE FILING ORGANIZATION RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTION 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS.

Schedule J (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

MERCY HOSPITAL OKLAHOMA CITY

Employer identification number

73-0579285

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990) 2021

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) OKLAHOMA HEART HOSPITAL LLC	SEE SCHEDULE O	592,041	INDEPENDENT CONTRACTOR		No
(2) MERCY REHABILITATION HOSPITALLLC	SEE SCHEDULE O	9,662,740	DISTRIBUTIONS FROM MERCY REHABILITATION HOSPITAL,LLC		No
(3) MERCY REHABILITATION HOSPITALLLC	SEE SCHEDULE O	7,742,067	INVESTMENT IN MERCY REHABILITATION HOSPITAL, LLC		No
(4) OKLAHOMA HEART HOSPITAL SOUTH LLC	SEE SCHEDULE O	319,880	INDEPENDENT CONTRACTOR		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

MERCY HOSPITAL OKLAHOMA CITY

Employer identification number

73-0579285

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 6	MERCY HOSPITAL OKLAHOMA CITY HAS A SOLE CORPORATE MEMBER, MERCY HEALTH OKLAHOMA COMMUNITIES.
FORM 990, PART VI, SECTION A, LINE 7A	MERCY HEALTH OKLAHOMA COMMUNITIES MAY APPOINT AND REMOVE MEMBERS OF THE BOARD.
FORM 990, PART VI, SECTION A, LINE 7B	THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED SOLELY UNTO MERCY HEALTH OKLAHOMA COMMUNITIES: - ADOPT OR AMEND THE MISSION AND PHILOSOPHY OF THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - ADOPT OR AMEND THE STRATEGIC PLANS, GOALS, AND OBJECTIVES OF THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - ADOPT OR AMEND THE OPERATING AND CAPITAL BUDGETS OF THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION AND ANY CHANGES IN SUCH BUDGETS IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE MEMBER; - REVIEW AND APPROVE ANY CAPITAL EXPENDITURES OR RECOMMENDATIONS NOT PREVIOUSLY APPROVED AS PART OF THE CORPORATION'S BUDGETS; - AUTHORIZE OR APPROVE THE ASSIGNMENT, TRANSFER, SALE OR LEASE OF ANY OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION OR INTEREST THEREIN IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE MEMBER; - AUTHORIZE OR APPROVE THE GRANT OF ANY PLEDGE, LIEN, ENCUMBRANCE, MORTGAGE, DEED OF TRUST OR OTHER SECURITY INTEREST IN ANY OR ALL OF THE ASSETS OF THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - AUTHORIZE OR APPROVE THE INCURRENCE OF DEBT (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) BY THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION AND THE GRANT ANY SECURITY INTERESTS, THE PLACEMENT OF ANY ENCUMBRANCES, THE ENTERING INTO ANY COVENANTS, AND THE EXECUTION OF ANY DOCUMENTS AND THE TAKING OF ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; - MERGE, DISSOLVE OR ABANDON THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - AMEND THE CERTIFICATE OF INCORPORATION AND BYLAWS OF THE CORPORATION AND ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - ESTABLISH ALL COMPENSATION AND BENEFIT TERMS FOR PHYSICIANS AND OTHER MEDICAL PROFESSIONALS EMPLOYED OR OTHERWISE RETAINED BY THE CORPORATION; - APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION CONTROLLED BY THE CORPORATION; - APPROVE CONTRACTS IN WHICH THE CORPORATION ASSUMES FINANCIAL RISK, INCLUDING BUT NOT LIMITED TO MANAGED CARE CONTRACTS, SUBJECT TO CONSULTATION WITH THE MANAGED CARE CONTRACTING COMMITTEE OF THE MEMBER; - APPROVE THE CLINIC'S MANPOWER PLAN; - THROUGH THE SOLE ACTION OF THE PRESIDENT OF THE MEMBER (WITH THE APPROVAL OF THE PRESIDENT OF MERCY, APPOINT AND REMOVE THE PRESIDENT OF THE CORPORATION; AND - AUTHORIZE AND AMEND THE CHARITY CARE POLICY OF THE CLINIC.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM, USING INFORMATION PROVIDED BY THE FILING ORGANIZATION. A DRAFT FORM 990 IS REVIEWED BY THE FILING ORGANIZATION'S FINANCE TEAM. THE DRAFT FORM 990 IS ALSO REVIEWED BY MERCY HEALTH'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, INCLUDING THE CFO AND CEO, FOR REVIEW. ONCE REVIEWED AND APPROVED BY THE FILING ORGANIZATION'S LEADERSHIP TEAM, THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW; IT IS THEN SIGNED AND FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	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, 2022. THIS PROCESS IS ADMINISTERED AT THE MERCY HEALTH LEVEL BY MERCY'S CORPORATE COMPLIANCE DEPARTMENT. THE QUESTIONNAIRES ARE REVIEWED WITH LEADERSHIP AT THE LOCAL LEVEL AND POTENTIAL CONFLICTS DISCUSSED AND RESOLVED. THE CONFLICTS AND THEIR RESPECTIVE RESOLUTIONS ARE SHARED AT THE MERCY LEVEL WITH A TEAM INCLUDING MERCY'S CHIEF FINANCIAL OFFICER, CHIEF COMPLIANCE OFFICER AND OTHER MEMBERS OF FINANCE, LEGAL AND HR. SUMMARY RESULTS ARE REVIEWED WITH MERCY'S STEWARDSHIP COMMITTEE OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15B	FOR THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS), THE ORGANIZATION USES THE FOLLOWING TO ESTABLISH COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT, AND REVIEW/APPROVAL OF COMPENSATION BY THE COMPENSATION COMMITTEE OF THE BOARD OF THE SISTER OF MERCY HEALTH SYSTEM. FOR THOSE CLASSIFIED AS KEY EMPLOYEES, THE ORGANIZATION USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, AND REVIEW/APPROVAL OF EXECUTIVE MANAGEMENT. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS, AND A REVIEW WAS COMPLETED DURING THE REPORTING YEAR.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE FROM TIME TO TIME BUT ARE NOT PUBLISHED PUBLICLY.
FORM 990, PART VII, SECTION A, COLUMN B	AVERAGE HOURS PER WEEK THE HOURS PER WEEK DISCLOSED IN PART VII IS THE AVERAGE HOURS THE LISTED PERSON WORKED OR DEVOTED PER WEEK WHILE EMPLOYED OR ASSOCIATED WITH THE FILING ORGANIZATION AND RELATED ORGANIZATIONS (IF APPLICABLE).
FORM 990, PART XI, LINE 9:	NET TRANSFERS TO/FROM AFFILIATES -73,671,803. RESTRICTED SPECIFIC PURPOSE EMPLOYEE CRISIS FUND -276,010. ROUNDING 2.
PART XII, LINE 2	AUDITED FINANCIAL STATEMENTS THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN THE MERCY HEALTH AND SUBSIDIARIES ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 2022 (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 STEWARDSHIP COMMITTEE OF THE MERCY HEALTH BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE.
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, 2022 BY MARCH 31, 2023. 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, 2022, IT WILL BE INCLUDED ON THE MERCY HEALTH CONSOLIDATED SEFA, AND THEREFORE, ALSO INCLUDED IN THE POPULATION INCLUDED IN THE AUDIT.
FORM 990, PART V, QUESTION 1A	INDEPENDENT CONTRACTORS FOR THE FILING ORGANIZATION ARE PAID BY MERCY HEALTH (EIN 43-1423050). AS SUCH, ALL REQUIRED FORM 1099 AND FORM 1096 REPORTING IS MADE FOR THE ENTIRE HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN.
FORM 990, PART V, LINE 2A	W-3 FILING SALARIES AND WAGES WITH LIMITED EXCEPTIONS, THE SALARIES AND WAGES REPORTED ON FORM 990, PART IX, LINE 7 REPRESENT AN ALLOCATION OF SALARIES AND WAGES FROM A RELATED ORGANIZATION. MOST EMPLOYEES ARE PAID BY A RELATED ORGANIZATION UNDER A COMMON PAYMASTER ARRANGEMENT. AS SUCH, ALL REQUIRED PAYROLL FILING FOR THESE EMPLOYEES (INCLUDING W-2 AND W-3'S) IS REPORTED UNDER THE RELATED ORGANIZATION, MHM SUPPORT SERVICES,EIN 20-2553101.
FORM 990, SCHEDULE R, PART II	MERCY HOSPITALS EAST COMMUNITIES MERCY HOSPITALS EAST COMMUNITIES CONSISTS OF MERCY HOSPITALS EAST COMMUNITIES ST. LOUIS, EIN 43-0653493, AND MERCY HOSPITALS EAST COMMUNITIES WASHINGTON, EIN 43-1066883.
FORM 990, SCHEDULE R, PART V	SYSTEM LIMITATIONS 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.
FORM 990, SCHEDULE L, PART IV	RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION DIANA SMALLEY AND GARY RAJU, FORMER OFFICERS OF THE ORGANIZATION, AND LE, FORMER KEY EMPLOYEE OF THE ORGANIZATION, ARE BOARD MEMBERS OF OKLAHOMA HEART HOSPITAL, LLC DIANA SMALLEY AND GARY RAJU, FORMER OFFICERS OF THE ORGANIZATION, AND LE, FORMER KEY EMPLOYEE OF THE ORGANIZATION, ARE BOARD MEMBERS OF OKLAHOMA HEART HOSPITAL SOUTH, LLC
FORM 990, SCHEDULE L, PART IV	RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION GEBHART IS AN OFFICER OF THE ORGANIZATION; IS A BOARD MEMBER OF MERCY REHABILITATION HOSPITAL, LLC
COVID-19	EARLY IN 2020, THE MERCY HEALTH SYSTEM WAS CALLED TO SERVE AS THE COVID-19 PANDEMIC SWEPT ACROSS THE WORLD. DURING FY 2022, 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 THREE 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.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

MERCY HOSPITAL OKLAHOMA CITY

Employer identification number

73-0579285

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) NEUROSCIENCE INSTITUTE SERVICES ORGANIZATION LLC 4300 W MEMORIAL ROAD OKLAHOMA CITY,OK73120 30-0487934	MGD CARE SERVICES	OK	0	0	MERCY HOSPITAL OKLAHOMA CITY

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)CASA DE MISERICORDIA 1000 MIER ST LAREDO,TX78040 74-2912461	WOMEN'S DOMESTIC VIOLENCE SHELTER	TX	501C3	7	MERCY MINISTRIES OF LAREDO	Yes
(2)MCAULEY PORTFOLIO MGMT CO 14528 S OUTER FORTY ST 100 CHESTERFIELD,MO63017 26-1708048	PORTFOLIO MANAGEMENT	MO	501C3	12B	MERCY HEALTH	Yes
(3)MERCY ACO CLINICAL SERVICES INC 14528 S OUTER FORTY ST 100 CHESTERFIELD,MO63017 46-4504901	VIRTUAL CARE CENTER	MO	501C3	3	MERCY HEALTH	Yes
(4)MERCY CLINIC EAST COMMUNITIES 645 MARYVILLE CTR DR STE 100 ST LOUIS,MO63141 43-1771217	PHYSICIAN GROUP	MO	501C3	10	MERCY HEALTH EAST COMMUNITIES	Yes
(5)MERCY CLINIC FORT SMITH COMM 7301 ROGERS AVENUE FORT SMITH,AR72917 26-1318597	PHYSICIAN CLINIC	AR	501C3	3	MERCY HEALTH FORT SMITH COMM	Yes
(6)MERCY CLINIC OKLAHOMA COMM 4300 W MEMORIAL ROAD OKLAHOMA CITY,OK73120 27-0473057	PHYSICIAN GROUP	OK	501C3	3	MERCY HEALTH OK COMMUNITIES	Yes
(7)MERCY CLINIC SPRINGFIELD COMM 1965 FREMONT STREET SUITE 2950 SPRINGFIELD,MO65804 43-1560263	PHYSICIAN GROUP	MO	501C3	3	MERCY HEALTH SPRINGFIELD COMM	Yes
(8)MERCY FAMILY CENTER 110 VETERANS BLVD METAIRIE,LA70005 72-1069468	FAMILY COUNSELING SERVICES	LA	501C3	7	MERCY HEALTH	Yes
(9)MERCY HEALTH 14528 S OUTER FORTY ST 100 CHESTERFIELD,MO63017 43-1423050	CORPORATE OFFICE	MO	501C3	1	N/A		No
(10)MERCY HEALTH EAST COMMUNITIES 645 MARYVILLE CTR DR STE 100 ST LOUIS,MO63141 43-1718408	HEALTH SYSTEM	MO	501C3	12A	MERCY HEALTH	Yes
(11)MERCY HEALTH FORT SMITH COMM 7301 ROGERS AVENUE FORT SMITH,AR72917 26-1318515	HOLDING COMPANY	AR	501C3	12B	MERCY HEALTH	Yes
(12)MERCY HEALTH FOUNDATION 14528 S OUTER FORTY ST 100 CHESTERFIELD,MO63017 20-0901499	FOUNDATION	MO	501C3	12B	MERCY HEALTH	Yes
(13)MERCY HEALTH FOUNDATION ADA 430 N MONTE VISTA STREET ADA,OK74820 46-3596274	FOUNDATION	OK	501C3	12A	MERCY HOSPITAL ADA	Yes
(14)MERCY HEALTH FOUNDATION ARDMORE 1011 14TH AVENUE NW ARDMORE,OK73401 71-0962525	FOUNDATION	OK	501C3	12A	MERCY HOSPITAL ARDMORE	Yes
(15)MERCY HEALTH FOUNDATION BERRYVILLE 214 CARTER STREET BERRYVILLE,AR72616 71-0759301	FOUNDATION	AR	501C3	12A	MERCY HOSPITAL BERRYVILLE	Yes
(16)MERCY HEALTH FOUNDATION FT SCOTT 401 WOODLAND HILLS BLVD FORT SCOTT,KS66701 48-1077073	FOUNDATION	KS	501C3	7	MERCY KANSAS COMMUNITIES INC	Yes
(17)MERCY HEALTH FOUNDATION FORT SMITH 7301 ROGERS AVENUE FORT SMITH,AR72917 23-7330425	FOUNDATION	AR	501C3	7	MERCY HOSPITAL FORT SMITH	Yes
(18)MERCY HEALTH FOUNDATION LEBANON 100 HOSPITAL DRIVE LEBANON,MO65536 82-2514567	FOUNDATION	MO	501C3	12B	MERCY HOSPITAL LEBANON	Yes
(19)MERCY HEALTH FOUNDATION JEFFERSON 1400 US HIGHWAY 61 SOUTH FESTUS,MO63028 46-2797051	FOUNDATION	MO	501C3	12B	MERCY HOSPITAL JEFFERSON	Yes
(20)MERCY HEALTH FOUNDATION JOPLIN 100 MERCY WAY JOPLIN,MO64804 27-0906136	FOUNDATION	MO	501C3	7	MERCY HEALTH SW MOKS COMM	Yes
(21)MERCY HEALTH FOUNDATION LINCOLN 1000 EAST CHERRY STREET TROY,MO63379 81-1477159	FOUNDATION	MO	501C3	12B	MERCY HEALTH EAST COMMUNITIES	Yes
(22)MERCY HEALTH FOUNDATION NW ARK 2710 RIFE MEDICAL LN ROGERS,AR72858 71-0601687	FOUNDATION	AR	501C3	12B	MERCY HOSPITAL ROGERS	Yes
(23)MERCY HEALTH FOUNDATION OF OK 4300 W MEMORIAL ROAD OKLAHOMA CITY,OK73120 45-4732301	FOUNDATION	OK	501C3	12A	MERCY HEALTH OK COMMUNITIES	Yes
(24)MERCY HEALTH FOUNDATION OK CITY 4300 W MEMORIAL ROAD OKLAHOMA CITY,OK73120 46-3184231	FOUNDATION	OK	501C3	12A	MERCY HEALTH OK COMMUNITIES	Yes
(25)MERCY HEALTH FOUNDATION SPRINGFIELD 1235 E CHEROKEE STREET SPRINGFIELD,MO65804 32-0195818	FOUNDATION	MO	501C3	12B	MERCY HEALTH SPRINGFIELD COMM	Yes
(26)MERCY HEALTH FOUNDATION ST FRANCIS 100 W HIGHWAY 60 MOUNTAIN VIEW,MO65548 43-1873914	FOUNDATION	MO	501C3	12A	MERCY ST FRANCIS HOSPITAL	Yes
(27)MERCY HEALTH FOUNDATION STL 615 SOUTH NEW BALLAS ROAD ST LOUIS,MO63141 56-2410020	FOUNDATION	MO	501C3	12B	MERCY HEALTH EAST COMMUNITIES	Yes
(28)MERCY HEALTH FOUNDATION WASHINGTON 901 E FIFTH STREET WASHINGTON,MO63090 56-2410022	FOUNDATION	MO	501C3	12B	MERCY HEALTH EAST COMMUNITIES	Yes
(29)MERCY HEALTH NW ARK COMMUNITIES 2710 RIFE MEDICAL LN ROGERS,AR72758 62-1684203	PHYSICIAN GROUP	AR	501C3	10	MERCY HEALTH	Yes
(30)MERCY HEALTH OK COMMUNITIES 4300 W MEMORIAL ROAD OKLAHOMA CITY,OK73120 73-1453048	HEALTH SYSTEM	OK	501C3	12A	MERCY HEALTH	Yes
(31)MERCY HEALTH PLANS OF MISSOURIINC 3265 S NATIONAL AVENUE SPRINGFIELD,MO65807 32-0481419	HMO	MO	501C4		MERCY HEALTH	Yes
(32)MERCY HEALTH PLANSINC 3265 S NATIONAL AVENUE SPRINGFIELD,MO65807 32-0486150	PPO	MO	501C4		MERCY HEALTH PLANS OF MISSOURIINC	Yes
(33)MERCY HEALTH SW MOKS COMM 100 MERCY WAY JOPLIN,MO64804 30-0584463	HEALTH SYSTEM	MO	501C3	12B	MERCY HEALTH	Yes
(34)MERCY HEALTH SPRINGFIELD COMM 1235 E CHEROKEE STREET SPRINGFIELD,MO65804 43-1856028	HEALTH SYSTEM	MO	501C3	12B	MERCY HEALTH	Yes
(35)MERCY HOSPITAL ADA INC 430 N MONTE VISTA STREET ADA,OK74820 46-2288155	HOSPITAL	OK	501C3	3	MERCY HEALTH OK COMMUNITIES	Yes
(36)MERCY HOSPITAL ARDMORE 1011 14TH AVENUE NW ARDMORE,OK73401 73-1500629	HOSPITAL	OK	501C3	3	MERCY HEALTH OK COMMUNITIES	Yes
(37)MERCY HOSPITAL AURORA 500 PORTER AVENUE AURORA,MO65605 43-1936696	HOSPITAL	MO	501C3	3	MERCY HEALTH SPRINGFIELD COMM	Yes
(38)MERCY HOSPITAL BERRYVILLE 214 CARTER STREET BERRYVILLE,AR72616 71-0759299	HOSPITAL	AR	501C3	3	MERCY HEALTH NW ARK COMMUNITIES	Yes
(39)MERCY HOSPITAL BOONEVILLE 880 WEST MAIN STREET BOONEVILLE,AR72927 46-3851119	HOSPITAL	AR	501C3	3	MERCY HOSPITAL FORT SMITH	Yes
(40)MERCY HOSPITAL CARTHAGE 3125 DR RUSSELL SMITH WAY CARTHAGE,MO64836 45-3808607	HOSPITAL	MO	501C3	3	MERCY HEALTH SW MOKS COMM	Yes
(41)MERCY HOSPITAL CASSVILLE 94 MAIN STREET CASSVILLE,MO65625 43-1936699	HOSPITAL	MO	501C3	3	MERCY HEALTH SPRINGFIELD COMM	Yes
(42)MERCY HOSPITAL COLUMBUS 220 PENNSYLVANIA AVENUE COLUMBUS,KS66725 27-0842031	HOSPITAL	MO	501C3	3	MERCY HEALTH SW MOKS COMM	Yes
(43)MERCY HOSPITAL EL RENO 2115 PARKVIEW DRIVE EL RENO,OK73036 27-2716065	HOSPITAL - INACTIVE	OK	501C3	3	MERCY HOSPITAL OKLAHOMA CITY	Yes
(44)MERCY HOSPITAL FORT SMITH 7301 ROGERS AVENUE FORT SMITH,AR72917 71-0240352	HOSPITAL	AR	501C3	3	MERCY HEALTH FORT SMITH COMM	Yes
(45)MERCY HOSPITAL HEALDTON INC 3462 HOSPITAL RD HEALDTON,OK73438 26-3173902	HOSPITAL	OK	501C3	3	MERCY HOSPITAL ARDMORE INC	Yes
(46)MERCY HOSPITAL JEFFERSON 1400 HIGHWAY 61 SOUTH FESTUS,MO63028 43-0687077	HOSPITAL	MO	501C3	3	MERCY HEALTH EAST COMMUNITIES	Yes
(47)MERCY HOSPITAL JOPLIN 100 MERCY WAY JOPLIN,MO64804 27-0814858	HOSPITAL	MO	501C3	3	MERCY HEALTH SW MOKS COMM	Yes
(48)MERCY HOSPITAL KINGFISHER INC 1000 HOSPITAL CIRCLE KINGFISHER,OK73750 46-3433074	HOSPITAL	OK	501C3	3	MERCY HOSPITAL OKLAHOMA CITY	Yes
(49)MERCY HOSPITAL LEBANON 100 HOSPITAL DRIVE LEBANON,MO65536 43-1767432	HOSPITAL	MO	501C3	3	MERCY HEALTH SPRINGFIELD COMM	Yes
(50)MERCY HOSPITAL LINCOLN 1000 EAST CHERRY STREET TROY,MO63379 47-2219204	HOSPITAL	MO	501C3	3	MERCY HEALTH EAST COMMUNITIES	Yes
(51)MERCY HOSPITAL LOGAN COUNTY INC 200 SOUTH ACADEMY GUTHRIE,OK73044 45-2998842	HOSPITAL	OK	501C3	3	MERCY HOSPITAL OKLAHOMA CITY	Yes
(52)MERCY HOSPITAL OZARK 801 W RIVER STREET OZARK,AR72949 71-0689680	HOSPITAL	AR	501C3	3	MERCY HOSPITAL FORT SMITH	Yes
(53)MERCY HOSPITAL PARIS 500 E ACADEMY PARIS,AR72855 71-0655753	HOSPITAL	AR	501C3	3	MERCY HOSPITAL FORT SMITH	Yes
(54)MERCY HOSPITAL ROGERS 2710 RIFE MEDICAL LN ROGERS,AR72758 71-0294390	HOSPITAL	AR	501C3	3	MERCY HEALTH NW ARK COMMUNITIES	Yes
(55)MERCY HOSPITAL SPRINGFIELD 1235 E CHEROKEE STREET SPRINGFIELD,MO65804 44-0552485	HOSPITAL	MO	501C3	3	MERCY HEALTH SPRINGFIELD COMM	Yes
(56)MERCY HOSPITAL TISHOMINGO 1000 SOUTH BYRD TISHOMINGO,OK73460 27-4433830	HOSPITAL	OK	501C3	3	MERCY HOSPITAL ADA	Yes
(57)MERCY HOSPITAL WALDRON 1341 W 6TH STREET WALDRON,AR72958 71-0557895	HOSPITAL	AR	501C3	3	MERCY HOSPITAL FORT SMITH	Yes
(58)MERCY HOSPITAL WATONGA INC 500 CLARENCE NASH BLVD WATONGA,OK73772 45-5199762	HOSPITAL	OK	501C3	3	MERCY HOSPITAL OKLAHOMA CITY	Yes
(59)MERCY HOSPITALS EAST COMM 645 MARYVILLE CTR DR STE 100 ST LOUIS,MO63141 43-0653493	HOSPITAL	MO	501C3	3	MERCY HEALTH EAST COMMUNITIES	Yes
(60)MERCY KANSAS COMMUNITIES INC 401 WOODLAND HILLS BLVD FT SCOTT,KS66701 48-0956045	HOSPITAL	KS	501C3	3	MERCY HEALTH SW MOKS COMM	Yes
(61)MERCY MINISTRIES OF LAREDO 2500 ZACATECAS LAREDO,TX78043 20-0198462	OUTREACH	TX	501C3	7	MERCY HEALTH	Yes
(62)MERCY RESEARCH 524 NORTH BOONEVILLE AVENUE SPRINGFIELD,MO65802 87-0796305	RESEARCH	MO	501C3	4	MERCY HEALTH	Yes
(63)MERCY ST FRANCIS HOSPITAL 100 W HIGHWAY 60 MOUNTAIN VIEW,MO65548 44-0607149	HOSPITAL	MO	501C3	3	MERCY HEALTH SPRINGFIELD COMM	Yes
(64)MHM SUPPORT SERVICES 14528 S OUTER FORTY ST 100 CHESTERFIELD,MO63017 20-2553101	CENTRALIZED HEALTH SYSTEM FUNCTIONS	MO	501C3	12A	MERCY HEALTH	Yes
(65)MISSION CLINICAL SERVICES 300 WERNER STREET HOT SPRINGS,AR71913 13-4239691	CHILD ADVOCACY CENTER	AR	501C3	3	MERCY HEALTH	Yes
(66)MERCY HEALTH FOUNDATION SOUTH 10010 KENNERLY ROAD ST LOUIS,MO63128 26-1516789	FOUNDATION	MO	501C3	12A	MERCY HOSPITAL SOUTH	Yes
(67)MERCY HOSPITAL SOUTH 10010 KENNERLY ROAD ST LOUIS,MO63128 43-0980256	HOSPITAL	MO	501C3	3	MERCY HEALTH EAST COMMUNITIES	Yes
(68)ST ANTHONY'S PHYSICIAN ORGANIZATION 10010 KENNERLY ROAD ST LOUIS,MO63128 43-1784536	HEALTH CARE	MO	501C3	3	MERCY HOSPITAL SOUTH	Yes
(69)MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS 1619 W 7TH STREET GALENA,KS66739 84-3730625	HOSPITAL	KS	501C3	3	MERCY HEALTH SW MOKS COMM	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2021

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) FORT SMITH EMERGENCY MEDICAL SERVICES 1701 SOUTH GREENWOOD FORT SMITH,AR72901 71-0416615	EMERGENCY MEDICAL SERVICES	AR	MERCY HOSPITAL FORT SMITH	N/A				No			No
(2) ST EDWARD MERCY MC M-P OFFICE BLDG 7301 ROGERS AVENUE FORT SMITH,AR72903 71-0554050	OFFICE BUILDING	AR	MERCY HOSPITAL FORT SMITH	N/A				No			No
(3) PLATINUM CPS HOLDINGS LLC 14528 S OUTER FORTY SUITE 100 CHESTERFIELD,MO63017 84-2493007	HOLDING COMPANY	MO	MERCY MANAGED CARE CORPMERCY HEALTH	N/A				No			No
(4) MARYVILLE CANCER CENTER LLC 2227 VADALABENE DRIVE MARYVILLE,IL62062 81-3385885	OUTPATIENT CENTER	IL	MERCY HEALTH EAST COMMUNITIES	N/A				No			No
(5) PLAZA SURGERY SERVICES COMPANY LLC 12700 SOUTHFORK ROAD ST LOUIS,MO63128 20-4709312	INACTIVE	MO	MERCY HOSPITAL SOUTH	N/A				No			No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) FRONTENAC PROPERTIES INC 14528 S OUTER FORTY SUITE 100 CHESTERFIELD,MO63017 52-1914421	HOLDS ANCILLARY ASSETS & OWNS AIRCRAFT	DE	MERCY HEALTH	C					No
(2) MERCY HEALTH CENTER CONDOMINIUM INC 4300 W MEMORIAL RD OKLAHOMA CITY,OK73120 68-0640970	ADMINISTRATOR OF CERTAIN REAL PROPERTY AND IMPROVEMENTS	OK	MERCY HOSPITAL OKLAHOMA CITYINC	C	291,628	471,755	88.000 %		No
(3) MERCY MANAGED CARE CORPORATION 4300 W MEMORIAL ROAD OKLAHOMA CITY,OK73120 73-1441665	HOLDING COMPANY	OK	MERCY HEALTH	C					No
(4) MERCY COMMERCIAL SERVICES INC 14528 SOUTH OUTER FORTY SUITE 100 CHESTERFIELD,MO63017 46-4953543	CORP PARENT OF VCC TAXABLE COMMERCIALIZ SVCS	OK	MHN INC AND MHNSR INC	C					No
(5) ST ANTHONY'S PHYSICIAN ORGANIZATION OF ILLINOIS 10010 KENNERLY ROAD ST LOUIS,MO63128 32-0457168	HEALTH CARE	MO	MERCY HOSPITAL SOUTH	C					No
(6) MCAULEY INSURANCE COMPANY LTD AON HOUSE 30 WOODBOURNE AVENUE PEMBROKE HM 08 BD	INACTIVE	BD	MERCY HEALTH	C					No

Schedule R (Form 990) 2021

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) MERCY HEALTH FOUNDATION OKLAHOMA CITY	C	203,701	FMV
(2) MERCY HEALTH FOUNDATION OKLAHOMA CITY	B	2,085,304	FMV
(3) MERCY HEALTH FOUNDATION OKLAHOMA CITY-GIFT SHOP	B	127,919	FMV
(4) MERCY HEALTH FOUNDATION OF OKLAHOMA	B	176,557	FMV
(5) MERCY ACO CLINICAL SERVICES	Q	1,003,317	FMV
(6) MERCY CLINIC EAST COMMUNITIES	P	159	FMV
(7) MERCY CLINIC FORT SMITH COMMUNITIES	P	5,061	FMV
(8) MERCY CLINIC OKLAHOMA COMMUNITIES INC	P	6,260,575	FMV
(9) MERCY HEALTH EAST COMMUNITIES	Q	455,230	FMV
(10) MERCY HEALTH FOUNDATION OF OKLAHOMA	Q	838	FMV
(11) MERCY HEALTH FOUNDATION OKLAHOMA CITY	Q	5,649	FMV
(12) MERCY HEALTH OKLAHOMA COMMUNITIES	Q	47,505,789	FMV
(13) MERCY HEALTH SPRINGFIELD COMMUNITIES	Q	96,497	FMV
(14) MERCY HOSPITAL ADA INC	P	4,165,767	FMV
(15) MERCY HOSPITAL ARDMORE	P	12,546,274	FMV
(16) MERCY HOSPITAL AURORA	P	58	FMV
(17) MERCY HOSPITAL BERRYVILLE	P	29	FMV
(18) MERCY HOSPITAL BOONEVILLE	P	58	FMV
(19) MERCY HOSPITAL CARTHAGE	Q	32,252	FMV
(20) MERCY HOSPITAL CASSVILLE	P	58	FMV
(21) MERCY HOSPITAL FORT SMITH	Q	120	FMV
(22) MERCY HOSPITAL JEFFERSON	P	131	FMV
(23) MERCY HOSPITAL JOPLIN	Q	2,046	FMV
(24) MERCY HOSPITAL KINGFISHER INC	P	259,054	FMV
(25) MERCY HOSPITAL LEBANON	Q	1,625	FMV
(26) MERCY HOSPITAL LOGAN COUNTY INC	P	572,893	FMV
(27) MERCY HOSPITAL ROGERS	P	264,367	FMV
(28) MERCY HOSPITAL SOUTH	P	1,181	FMV
(29) MERCY HOSPITAL SPRINGFIELD	Q	13,988	FMV
(30) MERCY HOSPITAL TISHOMINGO	P	343,312	FMV
(31) MERCY HOSPITAL WATONGA INC	P	253,748	FMV
(32) MERCY HOSPITALS EAST COMMUNITIES	Q	125,778	FMV
(33) MERCY RESEARCH	P	47,422	FMV
(34) MERCY ST FRANCIS HOSPITAL	P	17	FMV
(35) MHM SUPPORT SERVICES	Q	108,669,247	FMV

Schedule R (Form 990) 2021

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2021

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2021

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	3
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	0
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	0
6	Total number of volunteers (estimate if necessary) .............	6	159
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	305,742
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	5,913,380	206,955
9	Program service revenue (Part VIII, line 2g) .........	629,263,001	656,482,704
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	3,249,508	3,895,221
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	8,181,896	7,063,458
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	646,607,785	667,648,338
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	3,731,365	3,425,788
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	222,028,505	252,339,414
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	358,987,091	370,491,917
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	584,746,961	626,257,119
19	Revenue less expenses. Subtract line 18 from line 12.......	61,860,824	41,391,219
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	541,395,814	554,353,978
21	Total liabilities (Part X, line 26).............	177,760,456	223,275,212
22	Net assets or fund balances. Subtract line 21 from line 20.....	363,635,358	331,078,766

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 130,698,062 including grants of $ ) (Revenue $ 178,230,558 )
	MERCY HOSPITAL OKLAHOMA CITY PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY BY OFFERING ESSENTIAL HEALTH SERVICES TO ITS COMMUNITY. IN ACTIVE PURSUIT OF THIS MISSION, MERCY HOSPITAL OKLAHOMA CITY PROVIDES A WIDE VARIETY OF SERVICES IN THEIR 349 BED FACILITY AND IN FY22, HAD 317,802 TOTAL CASES. AT MERCY HOSPITAL OKLAHOMA CITY, CANCER CARE IS ABOUT MORE THAN PROVIDING CLINICAL TREATMENTS. MERCY HOSPITAL OKLAHOMA CITY ALSO OFFERS SUPPORT SERVICES TO HELP YOU MAINTAIN YOUR PHYSICAL, MENTAL AND EMOTIONAL HEALTH. MERCY'S CANCER SPECIALISTS CARE FOR ALMOST EVERY TYPE OF CANCER AND PARTICIPATE IN CLINICAL RESEARCH TO BRING YOU THE MOST ADVANCED CANCER TREATMENT AVAILABLE. IN FY22, MERCY HOSPITAL OKLAHOMA CITY HAD 26,386 CASES AND 3,934 PATIENT DAYS FOR THIS SERVICE LINE.

4b	(Code: ) (Expenses $ 108,003,936 including grants of $ ) (Revenue $ 147,282,992 )
	MERCY HOSPITAL OKLAHOMA CITY HAS A GASTROENTEROLOGY TEAM EXPERIENCED IN DIAGNOSING AND TREATING ALL TYPES OF ILLNESSES AFFECTING THE GASTROINTESTINAL TRACT. MERCY'S TEAM CAN ALLEVIATE YOUR SYMPTOMS AND REDUCE OR ELIMINATE DISCOMFORT NO MATTER WHERE IT MAY APPEAR IN YOUR DIGESTIVE SYSTEM, FROM YOUR ESOPHAGUS AND STOMACH TO YOUR SMALL AND LARGE INTESTINES, AS WELL AS THE LIVER, GALLBLADDER AND PANCREAS. IN FY22, MERCY HOSPITAL OKLAHOMA CITY HAD 20,392 CASES AND 11,366 PATIENT DAYS FOR THIS SERVICE LINE.

4c	(Code: ) (Expenses $ 83,593,768 including grants of $ ) (Revenue $ 113,995,293 )
	MERCY HOSPITAL OKLAHOMA CITY'S RADIOLOGISTS USE THE LATEST TECHNOLOGIES TO PRODUCE PRECISE IMAGES AND EXACTING TEST RESULTS. MERCY OFFERS A FULL RANGE OF DIAGNOSTIC IMAGING SERVICES FOR ADULTS AND CHILDREN. MERCY RADIOLOGISTS GIVE MORE INSIGHT INTO YOUR CONDITION, SO YOU RECEIVE AN ACCURATE DIAGNOSIS AND THE MOST EFFECTIVE TREATMENT. IN FY22, MERCY HOSPITAL OKLAHOMA CITY HAD 70,149 CASES FOR THIS SERVICE LINE.

	(Code: ) (Expenses $ 160,877,006 including grants of $ 3,425,788 ) (Revenue $ 219,385,031 )
	IN ADDITION TO THE PROGRAM SERVICES DESCRIBED ABOVE, MERCY HOSPITAL OKLAHOMA CITY ALSO SERVES PATIENTS IN ADDITIONAL SERVICE LINES, INCLUDING BUT NOT LIMITED TO THE FOLLOWING AREAS: EMERGENCY ROOM; LAB; ORTHOPEDICS; PEDIATRICS; REHABILITATION.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 160,877,006 including grants of $ 3,425,788 ) (Revenue $ 219,385,031 )
4e	Total program service expenses483,172,772

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)		(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) RAJU GARY........................................................................ FORMER OFFICER	0.00 .......................0.00	X	0	136,710	0
(19) SMALLEY DIANA L........................................................................ FORMER OFFICER	0.00 .......................0.00	X	0	800,010	0
(20) VITIELLO JONATHAN........................................................................ FORMER OFFICER	0.00 .......................0.00	X	0	269,178	4,238
(21) EDELSTEIN THOMAS........................................................................ FORMER KEY EMPLOYEE	0.00 .......................40.00	X	0	255,279	34,366
(22) LE BICH-VI........................................................................ FORMER KEY EMPLOYEE	0.00 .......................50.00	X	0	519,584	21,737
(23) STEFFENS AARON L........................................................................ FORMER KEY EMPLOYEE	0.00 .......................0.00	X	0	520,421	71,801

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	0	13,020,375	1,125,643

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	206,955

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		206,955

		Business Code
2a	PATIENT SERVICE REVENUE NET	622110	634,027,354	634,027,354
b	OTHER PROGRAM SERVICE REVENUE	900099	11,583,540	11,583,540
c	OTHER OPERATING REVENUE	622110	10,516,268	10,516,268
d	MDT LABORATORY SERVICE	621500	305,742		305,742
e	MANAGEMENT FEES	622110	49,800	49,800
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		656,482,704

3 Investment income (including dividends, interest, and othersimilar amounts) ......			4,127,147			4,127,147
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		3,032,653	6a
b	Less: rental expenses		794,244	6b
c	Rental income or (loss)		2,238,409	6c
d	Net rental income or (loss).......			2,238,409			2,238,409
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	68,685		7a
b	Less: cost or other basis and sales expenses	300,611		7b
c	Gain or (loss)	-231,926		7c
d	Net gain or (loss).........			-231,926			-231,926
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	CAFETERIA & VENDING		722210	2,413,879			2,413,879
b
c
d	All other revenue ....			2,411,170	2,411,170
e	Total. Add lines 11a–11d ......			4,825,049
12	Total revenue. See instructions.....			667,648,338	658,588,132	305,742	8,547,509

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	3,425,788	3,425,788
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	213,095,369	188,946,053	24,149,316
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	8,452,120		8,452,120
9	Other employee benefits .......	16,610,787	2,662,265	13,948,522
10	Payroll taxes ...........	14,181,138		14,181,138
11	Fees for services (non-employees):
a	Management ......
b	Legal .........
c	Accounting ...........	31,927		31,927
d	Lobbying ...........	35,891		35,891
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	26,184,096	17,920,964	8,263,132
12	Advertising and promotion ....	472,255	2,800	469,455
13	Office expenses .......	14,276,696	5,427,262	8,849,434
14	Information technology ......	140,072	140,072
15	Royalties ..
16	Occupancy ...........	16,133,263	5,464,615	10,668,648
17	Travel ............	727,841	635,838	92,003
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	750		750
20	Interest ...........	4,150,411	4,150,411
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	31,762,081	28,362,768	3,399,313
23	Insurance ...	2,297,700		2,297,700
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	DRUGS & MEDICAL EXPENSE	154,376,291	153,981,207	395,084
b	SHARED SERVICE FEES	77,074,921	31,600,718	45,474,203
c	BAD DEBTS	34,955,237	34,955,237
d	REPAIRS & MAINTENANCE	6,724,413	4,730,402	1,994,011
e	All other expenses	1,148,072	766,372	381,700
25	Total functional expenses. Add lines 1 through 24e	626,257,119	483,172,772	143,084,347	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			14,458,736	1	14,949,761
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			71,588,454	4	84,114,514
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			11,861,151	8	12,647,266
9	Prepaid expenses and deferred charges ......			106,782	9	106,782
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	747,539,937
b	Less: accumulated depreciation	10b	323,657,289	424,032,800	10c	423,882,648
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			6,272,826	14	5,947,587
15	Other assets. See Part IV, line 11 ...........			13,075,065	15	12,705,420
16	Total assets. Add lines 1 through 15 (must equal line 33)...			541,395,814	16	554,353,978

17	Accounts payable and accrued expenses .....	33,655,875	17	83,042,659
18	Grants payable ...		18
19	Deferred revenue .........	75,911	19	59,201
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	144,028,670	23	140,173,352
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D		25
26	Total liabilities. Add lines 17 through 25..	177,760,456	26	223,275,212

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	363,359,348	27	331,078,766
28	Net assets with donor restrictions ...........	276,010	28	0
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	363,635,358	32	331,078,766
33	Total liabilities and net assets/fund balances ........	541,395,814	33	554,353,978