SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
MERCY HEALTH EAST COMMUNITIES
 
Employer identification number

43-1718408
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" to 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) MERCY AND AFFILIATES LLC
645 MARYVILLE CENTRE DRIVESTE 100
ST LOUIS,MO63141
43-1693146
INACTIVE MO 0 0 MERCY HEALTH EAST COMMUNITIES
 
(2) MERCY CHILDRENS THERAPY AND DEVELOPMENTLLC
645 MARYVILLE CENTRE DRIVESTE 100
ST LOUIS,ME63141
45-5327629
BILLING ENTITY MO 0 0 MERCY HEALTH EAST COMMUNITIES
 
(3) TEE HOLDINGS LLC
645 MARYVILLE CENTRE DRIVESTE 100
ST LOUIS,MO63141
43-1826833
HOLDING ENTITY FOR R E PROJECTS MO 0 0 MERCY HEALTH EAST COMMUNITIES
 
(4) TRIAX WENTZVILLE LLC
645 MARYVILLE CENTRE DRIVESTE 100
ST LOUIS,MO63141
94-3454461
R E TRANSACTIONS MO 0 11,377,726 MERCY HEALTH EAST COMMUNITIES
 
(5) UPTON PROPERTIES LLC
645 MARYVILLE CENTRE DRIVESTE 100
ST LOUIS,MO63141
45-0562127
R E TRANSACTIONS MO 0 22,566,560 MERCY HEALTH EAST COMMUNITIES
 


Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to 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?
Yes No
(1) CASA DE MISERICORDIA

1602 MCCLELLAND STREET

LAREDO,TX78044
74-2912461
WOMEN'S DOMESTIC VIOLENCE SHELTER TX 501C3 7 MERCY MINISTRIES OF LAREDO
 
Yes
 
(2) JEFFERSON LAND COMPANY INC

14528 S OUTER FORTY ST 100

CHESTERFIELD,MO63017
43-1330360
TITLE HOLDING COMPANY MO 501C2   MERCY HOSPITAL JEFFERSON
 
Yes
 
(3) LAREDO MEDICAL GROUP

14528 S OUTER FORTY ST 100

CHESTERFIELD,MO63017
74-2764726
INACTIVE TX 501C3 9 MERCY HEALTH SYSTEM TX
 
Yes
 
(4) MCAULEY PORTFOLIO MGMT CO

14528 S OUTER FORTY ST 100

CHESTERFIELD,MO63017
26-1708048
PORTFOLIO MANAGEMENT MO 501C3 11-II MERCY HEALTH
 
Yes
 
(5) MERCY CLINIC EAST COMMUNITIES

645 MARYVILLE CTR DR STE 100

ST LOUIS,MO63141
43-1771217
PHYSICIAN GROUP MO 501C3 9 MERCY HEALTH EAST COMMUNITIES
 
Yes
 
(6) MERCY CLINIC FORT SMITH COMM

7301 ROGERS AVENUE

FORT SMITH,AR72917
26-1318597
PHYSICIAN CLINIC AR 501C3 9 MERCY HEALTH FORT SMITH COMM
 
Yes
 
(7) MERCY CLINIC HOT SPRINGS COMM

1 MERCY LANE

HOT SPRINGS,AR71913
26-1125131
PHYSICIAN CLINIC AR 501C3 9 MERCY HEALTH HOT SPRINGS COMM
 
Yes
 
(8) MERCY CLINIC OKLAHOMA COMM

4300 W MEMORIAL ROAD

OKLAHOMA CITY,OK73120
27-0473057
PHYSICIAN GROUP/CLINIC OK 501C3 9 MERCY HEALTH OK COMMUNITIES
 
Yes
 
(9) MERCY CLINIC SPRINGFIELD COMM

1965 FREMONT STREET SUITE 2950

SPRINGFIELD,MO65804
43-1560263
PHYSICIAN GROUP MO 501C3 3 MERCY HEALTH SPRINGFIELD COMM
 
Yes
 
(10) MERCY FAMILY CENTER

14528 S OUTER FORTY ST 100

CHESTERFIELD,MO63017
72-1069468
FAMILY COUNSELING SERVICES MO 501C3 7 MERCY HEALTH
 
Yes
 
(11) MERCY FDTN HEALTH INNOV

14528 S OUTER FORTY ST 100

CHESTERFIELD,MO63017
20-0901499
FOUNDATION MO 501C3 11-II MERCY HEALTH
 
Yes
 
(12) MERCY HEALTH

14528 S OUTER FORTY ST 100

CHESTERFIELD,MO63017
43-1423050
HEALTH SYSTEM - CORPORATE OFFICE MO 501C3 1 N/A
 
No
(13) MERCY HEALTH EAST COMMUNITIES - SR

645 MARYVILLE CTR DR STE 100

ST LOUIS,MO63141
46-1412322
HEALTH SYSTEM MO 501C3 11-II MERCY HEALTH EAST COMMUNITIES
 
Yes
 
(14) MERCY HEALTH FORT SMITH COMM

7301 ROGERS AVENUE

FORT SMITH,AR72917
26-1318515
HOLDING COMPANY AR 501C3 11-II MERCY HEALTH
 
Yes
 
(15) MERCY HEALTH FOUNDATION ARDMORE

1011 14TH AVENUE NW

ARDMORE,OK73401
71-0962525
FOUNDATION OK 501C3 11-I MERCY HOSPITAL ARDMORE
 
Yes
 
(16) MERCY HEALTH FOUNDATION BERRYVILLE

214 CARTER STREET

BERRYVILLE,AR72616
71-0759301
FOUNDATION AR 501C3 11-I MERCY HOSPITAL BERRYVILLE
 
Yes
 
(17) MERCY HEALTH FOUNDATION FT SCOTT

401 WOODLAND HILLS BLVD

FORT SCOTT,KS66701
48-1077073
FOUNDATION KS 501C3 11-III MERCY KANSAS COMMUNITIES INC
 
Yes
 
(18) MERCY HEALTH FOUNDATION FT SMITH

7301 ROGERS AVENUE

FORT SMITH,AR72917
23-7330425
FOUNDATION AR 501C3 7 MERCY HOSPITAL FORT SMITH
 
Yes
 
(19) MERCY HEALTH FOUNDATION HOT SPRINGS

300 WERNER STREET

HOT SPRINGS,AR71913
71-0804718
FOUNDATION AR 501C3 11-II MERCY HOSPITAL HOT SPRINGS
 
Yes
 
(20) MERCY HEALTH FOUNDATION INDEPENDENCE

800 W MYRTLE

INDEPENDENCE,KS67301
48-1079981
FOUNDATION KS 501C3 11-I MERCY KANSAS COMMUNITIES INC
 
Yes
 
(21) MERCY HEALTH FOUNDATION JEFFERSON

1400 US HIGHWAY 61 SOUTH

FESTUS,MO63028
46-2797051
FOUNDATION MO 501C3 11-II MERCY HEALTH EAST COMMUNITIES - SR
 
Yes
 
(22) MERCY HEALTH FOUNDATION JOPLIN

2817 ST JOHNS BLVD

JOPLIN,MO64804
27-0906136
FOUNDATION MO 501C3 11-I MERCY HEALTH SW MOKS COMM
 
Yes
 
(23) MERCY HEALTH FOUNDATION NW ARK

2710 RIFE MEDICAL LN

ROGERS,AR72858
71-0601687
FOUNDATION AR 501C3 11-III MERCY HOSPITAL ROGERS
 
Yes
 
(24) MERCY HEALTH FOUNDATION OK CITY

4300 W MEMORIAL ROAD

OKLAHOMA CITY,OK73120
73-1593024
FOUNDATION OK 501C3 11-I MERCY HOSPITAL OKLAHOMA CITY
 
Yes
 
(25) MERCY HEALTH FOUNDATION OF OK

4300 W MEMORIAL ROAD

OKLAHOMA CITY,OK73120
45-4732301
FOUNDATION OK 501C3 11-I MERCY HEALTH OK COMMUNITIES
 
Yes
 
(26) MERCY HEALTH FOUNDATION SPRINGFIELD

1235 E CHEROKEE STREET

SPRINGFIELD,MO65804
32-0195818
FOUNDATION MO 501C3 11-II MERCY HEALTH SPRINGFIELD COMM
 
Yes
 
(27) MERCY HEALTH FOUNDATION STL

615 SOUTH NEW BALLAS ROAD

ST LOUIS,MO63141
56-2410020
FOUNDATION MO 501C3 11-II MERCY HEALTH EAST COMMUNITIES
 
Yes
 
(28) MERCY HEALTH FOUNDATION WASHINGTON

901 E FIFTH STREET

WASHINGTON,MO63090
56-2410022
FOUNDATION MO 501C3 11-II MERCY HEALTH EAST COMMUNITIES
 
Yes
 
(29) MERCY HEALTH HOT SPRINGS COMM

300 WERNER STREET

HOT SPRINGS,AR71913
26-1125064
HOLDING COMPANY AR 501C3 11-II MERCY HEALTH
 
Yes
 
(30) MERCY HEALTH NW ARK COMMUNITIES

2710 RIFE MEDICAL LN

ROGERS,AR72758
62-1684203
PHYSICIAN GROUP AR 501C3 11-II MERCY HEALTH
 
Yes
 
(31) MERCY HEALTH OK COMMUNITIES

4300 W MEMORIAL ROAD

OKLAHOMA CITY,OK73120
73-1453048
HOLDING COMPANY OK 501C3 11-II MERCY HEALTH
 
Yes
 
(32) MERCY HEALTH SW MOKS COMM

2817 ST JOHNS BLVD

JOPLIN,MO64804
30-0584463
HEALTH SYSTEM MO 501C3 11-II MERCY HEALTH
 
Yes
 
(33) MERCY HEALTH SPRINGFIELD COMM

1235 E CHEROKEE STREET

SPRINGFIELD,MO65804
43-1856028
HOLDING COMPANY MO 501C3 11-II MERCY HEALTH
 
Yes
 
(34) MERCY HEALTH SYSTEM TX

14528 S OUTER FORTY ST 100

CHESTERFIELD,MO63017
74-2764727
INACTIVE TX 501C3 11-II MERCY HEALTH
 
Yes
 
(35) MERCY HOME HEALTH BERRYVILLE

804 W FREEMAN SUITE 4

BERRYVILLE,AR72616
87-0781247
HOME HEALTH AND HOSPICE OPERATIONS. AR 501C3 11-III MERCY HOSPITAL SPRINGFIELD
 
Yes
 
(36) MERCY HOSPITAL ADA INC

430 N MONTE VISTA STREET

ADA,OK74820
46-2288155
HOSPITAL OK 501C3 3 MERCY HEALTH OK COMMUNITIES
 
Yes
 
(37) MERCY HOSPITAL ARDMORE

1011 14TH AVENUE NW

ARDMORE,OK73401
73-1500629
HOSPITAL OK 501C3 3 MERCY HEALTH OK COMMUNITIES
 
Yes
 
(38) MERCY HOSPITAL AURORA

500 PORTER AVENUE

AURORA,MO65605
43-1936696
OPERATING CO FOR LEASED HOSP MO 501C3 3 MERCY HEALTH SPRINGFIELD COMM
 
Yes
 
(39) MERCY HOSPITAL BERRYVILLE

214 CARTER STREET

BERRYVILLE,AR72616
71-0759299
HOSPITAL AR 501C3 3 MERCY HEALTH SPRINGFIELD COMM
 
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
OPERATING CO FOR LEASED HOSP MO 501C3 3 MERCY HEALTH SPRINGFIELD COMM
 
Yes
 
(42) MERCY HOSPITAL COLUMBUS

220 PENNSYLVANIA AVENUE

COLUMBUS,KS66725
27-0842031
CRITICAL ACCESS HOSPITAL MO 501C3 9 MERCY HEALTH SW MOKS COMM
 
Yes
 
(43) MERCY HOSPITAL EL RENO

2115 PARKVIEW DRIVE

EL RENO,OK73036
27-2716065
OPERATING CO FOR LEASED HOSP OK 501C3 3 MERCY HEALTH OK COMMUNITIES
 
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

918 SOUTH 8TH STREET

HEALDTON,OK73438
26-3173902
OPERATING CO FOR HOSP OK 501C3 3 MERCY HOSPITAL ARDMORE INC
 
Yes
 
(46) MERCY HOSPITAL HOT SPRINGS

300 WERNER STREET

HOT SPRINGS,AR71913
71-0236913
HOSPITAL AR 501C3 3 MERCY HEALTH HOT SPRINGS COMM
 
Yes
 
(47) MERCY HOSPITAL JEFFERSON

1400 HIGHWAY 61 SOUTH

FESTUS,MO63028
43-0687077
HOSPITAL MO 501C3 3 MERCY HEALTH EAST COMMUNITIES - SR
 
Yes
 
(48) MERCY HOSPITAL JOPLIN

2817 ST JOHNS BLVD

JOPLIN,MO64804
27-0814858
HOSPITAL MO 501C3 9 MERCY HEALTH SW MOKS COMM
 
Yes
 
(49) MERCY HOSPITAL LEBANON

100 HOSPITAL DRIVE

LEBANON,MO65536
43-1767432
HOSPITAL MO 501C3 3 MERCY HEALTH SPRINGFIELD COMM
 
Yes
 
(50) MERCY HOSPITAL LOGAN COUNTY INC

200 SOUTH ACADEMY

GUTHRIE,OK73044
45-2998842
HOSPITAL OK 501C3 3 MERCY HEALTH OK COMMUNITIES
 
Yes
 
(51) MERCY HOSPITAL OF LAREDO

14528 S OUTER FORTY ST 100

CHESTERFIELD,MO63017
74-1189682
INACTIVE TX 501C3 3 MERCY HEALTH SYSTEM TX
 
Yes
 
(52) MERCY HOSPITAL OKLAHOMA CITY

4300 W MEMORIAL ROAD

OKLAHOMA CITY,OK73120
73-0579285
HOSPITAL OK 501C3 3 MERCY HEALTH OK COMMUNITIES
 
Yes
 
(53) MERCY HOSPITAL OZARK

801 W RIVER STREET

OZARK,AR72949
71-0689680
HOSPITAL AR 501C3 3 MERCY HOSPITAL FORT SMITH
 
Yes
 
(54) MERCY HOSPITAL PARIS

500 E ACADEMY

PARIS,AR72855
71-0655753
HOSPITAL AR 501C3 3 MERCY HOSPITAL FORT SMITH
 
Yes
 
(55) MERCY HOSPITAL ROGERS

2710 RIFE MEDICAL LN

ROGERS,AR72758
71-0294390
HOSPITAL AR 501C3 3 MERCY HEALTH NW ARK COMMUNITIES
 
Yes
 
(56) MERCY HOSPITAL SPRINGFIELD

1235 E CHEROKEE STREET

SPRINGFIELD,MO65804
44-0552485
HOSPITAL MO 501C3 3 MERCY HEALTH SPRINGFIELD COMM
 
Yes
 
(57) MERCY HOSPITAL TISHOMINGO

1000 SOUTH BYRD

TISHOMINGO,OK73460
27-4433830
HOSPITAL OK 501C3 3 MERCY HOSPITAL ARDMORE
 
Yes
 
(58) MERCY HOSPITAL WALDRON

1341 W 6TH STREET

WALDRON,AR72958
71-0557895
HOSPITAL AR 501C3 3 MERCY HOSPITAL FORT SMITH
 
Yes
 
(59) MERCY HOSPITAL WATONGA INC

500 CLARENCE NASH BLVD

WATONGA,OK73772
45-5199762
LEASED HOSPITAL OK 501C3 3 MERCY HEALTH OK COMMUNITIES
 
Yes
 
(60) MERCY HOSPITALS EAST COMM

645 MARYVILLE CTR DR STE 100

ST LOUIS,MO63141
43-0653493
HOSPITAL MO 501C3 3 MERCY HEALTH EAST COMMUNITIES
 
Yes
 
(61) MERCY KANSAS COMMUNITIES INC

401 WOODLAND HILLS BLVD

FT SCOTT,KS66701
48-0956045
HOSPITAL;RURAL HEALTH CLINICS KS 501C3 3 MERCY HEALTH SW MOKS COMM
 
Yes
 
(62) MERCY MEDICAL RESEARCH INST

1235 E CHEROKEE STREET

SPRINGFIELD,MO65804
87-0796305
RESEARCH - CLINICAL TRIALS MO 501C3 4 MERCY HEALTH SPRINGFIELD COMM
 
Yes
 
(63) MERCY MINISTRIES OF LAREDO

2500 ZACATECAS

LAREDO,TX78043
20-0198462
HEALTHCARE, OUTREACH,FOOD PANTRY TX 501C3 7 MERCY HEALTH
 
Yes
 
(64) MERCY ST FRANCIS HOSPITAL

100 W HIGHWAY 60

MOUNTAIN VIEW,MO65548
44-0607149
HOSPITAL MO 501C3 3 MERCY HEALTH SPRINGFIELD COMM
 
Yes
 
(65) MERCY SUPPORT SERVICES

615 S NEW BALLAS ROAD

ST LOUIS,MO63141
43-1677952
INACTIVE MO 501C3 11-III MERCY HOSPITALS EAST COMM
 
Yes
 
(66) MHM SUPPORT SERVICES

14528 S OUTER FORTY ST 100

CHESTERFIELD,MO63017
20-2553101
CENTRALIZED HEALTH SYSTEM FUNCTIONS MO 501C3 11-II MERCY HEALTH
 
Yes
 
(67) MISSION CLINICAL SERVICES

300 WERNER STREET

HOT SPRINGS,AR71913
13-4239691
PHYSICIAN CLINICS AR 501C3 9 MERCY HEALTH HOT SPRINGS COMM
 
Yes
 
(68) ST JOHNS CHILDRENS HOSP

1235 E CHEROKEE STREET

SPRINGFIELD,MO65804
INACTIVE MO 501C3 3 MERCY HEALTH SPRINGFIELD COMM
 
Yes
 
(69) ST MARYS HOSP ENID OK

14528 S OUTER FORTY ST 100

CHESTERFIELD,MO63017
73-0614655
INACTIVE OK 501C3 3 MERCY HEALTH OK COMMUNITIES
 
Yes
 
(70) THE SR M CORNELIA BLASKO FN

100 W HIGHWAY 60

MOUNTAIN VIEW,MO65548
43-1873914
FOUNDATION MO 501C3 11-I MERCY ST FRANCIS HOSPITAL
 
Yes
 
(71) UNITY AMBULATORY CARE

14528 S OUTER FORTY ST 100

CHESTERFIELD,MO63017
43-1861745
INACTIVE MO 501C3 11-III MERCY HEALTH EAST COMMUNITIES
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2012
Page 2
Schedule R (Form 990) 2012
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to 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


Yes No Yes No
(1) SOUTHERN OKLAHOMA DIAG CTR LLC

1011 FOURTEENTH AVENUE NW
ARDMORE,OK73401
43-1971232
MRI SERVICES OK MERCY HOSPITAL ARDMORE INC
 
N/A       No     No  
(2) RESOURCE OPTIMIZ & INNOVLLC

645 MARYVILLE CTR DRSTE 200
ST LOUIS,MO63141
46-0468368
CENTRAL DISTRIBUTION CENTER MO MHN INC - MHNSR INC
 
N/A       No     No  
(3) MERCY AMBULATORY SURGERY CENTER LLC

7301 ROGERS AVENUE
FORT SMITH,AR72917
71-0827721
AMBULATORY SURGERY CENTER AR MERCY HOSPITAL FORT SMITH
 
N/A       No     No  
(4) 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  
(5) ST EDWARD MERCY MED CTR M-P OFF BLDG

7301 ROGERS AVENUE
FORT SMITH,AR72903
71-0554050
OFFICE BUILDING AR MERCY HOSPITAL FORT SMITH
 
N/A       No     No  




Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to 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?
Yes No
(1) MERCY COMM SERVICES INC

401 WOODLAND HILLS BLVD
FORT SCOTT,KS66701
48-1078101
RETAIL PHARMACY KS MERCY KANSAS COMM INC
 
C         No
(2) FRONTENAC PROPERTIES INC

14528 S OUTER FORTY SUITE 100
CHESTERFIELD,MO63017
52-1914421
HOLDS ANCILLARY ASSETS & OWNS AIRCRAFT DE MERCY HEALTH
 
C         No
(3) INVENO HEALTH INC

1235 E CHEROKEE STREET
SPRINGFIELD,MO65804
26-4509571
TECHNOLOGY TRANSFER COMPANY MO MERCY HEALTH SPRINGFIELD COMM
 
C         No
(4) UNITY SUPPORT SERVICES INC

645 MARYVILLE CENTRE DRIVE SUITE 10
ST LOUIS,MO63141
43-1797042
INACTIVE MO MERCY HEALTH EAST COMMUNITIES
 
C     100.000 % Yes  
(5) UH L CORP INC

645 MARYVILLE CENTRE DRIVE SUITE 10
ST LOUIS,MO63141
74-2499535
HOLDING COMPANY MO MERCY HEALTH SERVICES LLC
 
C         No
(6) MHN OF THE SOUTHERN REGION INC

1011 14TH AVENUE NW
ARDMORE,OK73401
73-1580607
HOLDING COMPANY OK MERCY MANAGED CARE CORP
 
C         No
(7) MERCY HEALTH CENTER CONDOMINIUM INC

4300 W MEMORIAL ROAD
OKLAHOMA CITY,OK73120
68-0640970
ADMINISTRATOR OF CERTAIN REAL PROPERTY AND IMPROVEMENTS OK MERCY HOSPITAL OKLAHOMA CITYINC
 
C         No
(8) MERCY MANAGED CARE CORPORATION

4300 W MEMORIAL ROAD
OKLAHOMA CITY,OK73120
73-1441665
HOLDING COMPANY OK MERCY HEALTH
 
C         No
(9) MERCY HEALTH NETWORK INC

4300 W MEMORIAL ROAD
OKLAHOMA CITY,OK73120
73-1381689
HOLDING COMPANY OK MERCY MANAGED CARE CORP
 
C         No
(10) APOTHECARY SERVICES INC

PO BOX 350
CRYSTAL CITY,MO63019
43-1627267
RETAIL PHARMACY MO MERCY HOSPITAL JEFFERSON
 
C         No
Schedule R (Form 990) 2012
Page 3
Schedule R (Form 990) 2012
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" to 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
No
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 . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
Yes
 
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
Yes
 
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
 
No
2
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 other organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) MERCY CLINIC EAST COMMUNITIES

Q 16,028,490 FMV
(2) MERCY CLINIC HOT SPRINGS COMMUNITIES

Q 66,087 FMV
(3) MERCY CLINIC OKLAHOMA COMMUNITIES INC

Q 83,634 FMV
(4) MERCY HEALTH

P 518,750 FMV
(5) MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES

Q 92,351 FMV
(6) MERCY HOSPITAL HOT SPRINGS

Q 60,835 FMV
(7) MERCY HOSPITAL JEFFERSON

P 548,326 FMV
(8) MERCY HOSPITAL JOPLIN

Q 251,555 FMV
(9) MERCY HOSPITAL SPRINGFIELD

P 69,396 FMV
(10) MERCY HOSPITALS EAST COMMUNITIES

P 101,350,922 FMV
(11) MHM SUPPORT SERVICES

Q 108,854,671 FMV
(12) RESOURCE OPTIMIZATION & INNOVATION LLC

Q 156,315 FMV
Schedule R (Form 990) 2012
Page 4
Schedule R (Form 990) 2012
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to 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)
(d)
Predominant income (related, unrelated, excluded from tax under section 512-514)

(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


Yes No Yes No Yes No






























Schedule R (Form 990) 2012
Page 5
Schedule R (Form 990) 2012
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation

Additional Data


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