Community Benefit Insight - Tax-exempt hospital

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Mercy Hospital Inc

Mercy Hospital Inc

218 E Pack
Moundridge, KS 67107

Bed count	21	Medicare provider number	170075	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

EIN: 480663711

Display data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

18.95%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2021

Additional data

Community Benefit Expenditures: 2021

All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 84,670 1.62 %
Medicaid as % of operating expenses	$ 216,323 4.14 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 0 0 %
Subsidized health services as % of operating expenses	$ 683,913 13.09 %
Research as % of operating expenses	$ 0 0 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 4,719 0.09 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 329 0.01 %
Community building* as % of operating expenses	$ 0 0 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	Not available
Number of activities or programs (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Persons served (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Community building expense as % of operating expenses	$ 0 0 %
Physical improvements and housing as % of community building expenses	$ 0
Economic development as % of community building expenses	$ 0
Community support as % of community building expenses	$ 0
Environmental improvements as % of community building expenses	$ 0
Leadership development and training for community members as % of community building expenses	$ 0
Coalition building as % of community building expenses	$ 0
Community health improvement advocacy as % of community building expenses	$ 0
Workforce development as % of community building expenses	$ 0
Other as % of community building expenses	$ 0
Direct offsetting revenue	$ 0
Physical improvements and housing	$ 0
Economic development	$ 0
Community support	$ 0
Environmental improvements	$ 0
Leadership development and training for community members	$ 0
Coalition building	$ 0
Community health improvement advocacy	$ 0
Workforce development	$ 0
Other	$ 0

Other Useful Tax-exempt Hospital Information: 2021

In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt as % of operating expenses	$ 147,298 2.82 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	NO

Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

Does the organization have a written financial assistance (charity care) policy?	YES
Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?	YES
Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy as % of operating expenses	$ 65,874 44.72 %

Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

Community Health Needs Assessment Activities: 2021

The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

Did the tax-exempt hospital report that they had conducted a CHNA?	YES
Did the CHNA define the community served by the tax-exempt hospital?	YES
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	YES
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	YES
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	YES

Supplemental Information: 2021

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.

4A (Expenses $ 4217832 including grants of $ 10000) (Revenue $ 3125377)
MERCY HOSPITAL, INC., HAS CONTINUED TO SERVE THE MOUNDRIDGE COMMUNITY SINCE 1944, WITH ACUTE CARE, SWING BED AND RESPITE SERVICES, LAB, RADIOLOGY, AND SURGERY, INPATIENT AND OUTPATIENT PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY, AND 24-HOUR EMERGENCY ROOM. OUR MEDICAL STAFF CONSISTS OF SIX FAMILY-PRACTICE PHYSICIANS AND FOUR PHYSICIAN ASSISTANTS. SCHEDULE O FOR CONTINUATION.

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

SCHEDULE H, PART V, SECTION B, LINE 5
SURVEY FORMS WERE DISTRIBUTED TO THE GENERAL PUBLIC THROUGH AN ONLINE SURVEY PLATFORM, AND ALSO MADE AVAILABLE IN PAPER FORM AT PUBLIC LOCATIONS SUCH AS THE SENIOR CENTER, THE HOSPITAL, AND THE LOCAL CLINICS. SURVEYS WERE LINKED ON THE HOSPITAL WEBSITE FOR ANY MEMBER OF THE COMMUNITY TO ACCESS. FOLLOWING THE INITIAL COMMUNITY SURVEY, A FOLLOW-UP WORKGROUP WAS HELD, HOSTED BY THE MCPHERSON COUNTY HEALTH DEPARTMENT AND MCPHERSON HOSPITAL. PHYSICIANS FROM THE CONTRIBUTING HOSPITALS, AS WELL AS THE COUNTY HEALTH DIRECTOR WERE IN ATTENDENCE, AND PROVIDED THEIR INSIGHT AND EXPERTISE. MEMBERS OF THE COMMUNITY, INCLUDING REPRESENTATIVES FROM COUNTY EMERGENCY SERVICES, DIASABILITY SUPPORT AND SOCIAL PROGRAMS (INCLUDING THE COUNTY FOODBANK) AS WELL AS OTHER INDIVIDUALS WERE ALSO IN ATTENDENCE AND CONTRIBUTED THEIR INPUT. FOLLOWING THE COUNTY-WIDE MEETING, MERCY HOSPITAL HOSTED A MOUNDRIDGE-SPECIFIC TOWN-HALL MEEITNG WITH MEMBERS OF OUR COMMUNITY TO DRILL INTO COMMUNITY-SPECIFIC DATA AND NEEDS. THE RESULTS OF BOTH OF THESE EFFORTS WERE USED TO COMPILE THE CHNA REPORT. THOSE IN ATTENDANCE AT THE TOWN-HALL INCLUDED CITY LEADERSHIP, SCHOOL DISTRICT LEADERSHIP, CITY EMS, LOCAL LTC LEADERS, COMMUNITY MEMBERS AT LARGE, HOSPITAL BOARD MEMBERS, HOSPITAL EXECUTIVES, COMMUNITY FOUNDATION BOARD MEMBERS, MOUNDRIDGE POLICE CHIEF, REPRESENTATIVES FROM THE FAITH-BASED COMMUNITY AND LOCAL COMMUNITY MENTAL HEALTH CENTER REPRESENTATIVES.

SCHEDULE H, PART V, SECTION B, LINE 6A
MCPHERSON HOSPITAL, LINDSBORG COMMUNITY HOSPITAL

SCHEDULE H, PART V, SECTION B, LINE 6B
MCPHERSON COUNTY HEALTH DEPARTMENT

SCHEDULE H, PART V, SECTION B, LINE 7A
WWW.MERCYH.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/

SCHEDULE H, PART V, SECTION B, LINE 10A
WWW.MERCYH.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/

SCHEDULE H, PART V, SECTION B, LINE 11
MERCY HOSPITAL IS PARTNERING WITH PIFC AND OTHER COMMUNITY ORGANIZATIONS TO INCREASE ACCESS TO HEALTHCARE SPECIALTY SERVICES. THIS WAS IDENTIFIED AS A NEED DURING THE CHNA. MERCY IS ACTIVELY DEVELOPING A WALK-IN CLINIC TO OPEN LATER IN 2023. ACCESS TO URGENT CARE SERVICES WAS A NEED IDNETIFIED DURING THE CHNA. HEALTH INSURANCE EDUCATION, AN IDENTIFIED NEED, WILL BE ADDRESSED AT A FREE INSURANCE WORKSHOP MERCY IS HOSTING IN OCTOBER 2023 WITH A LOCAL MEDICARE EXPERT. ALL COMMUNITY MEMBERS WILL BE INVITED. THE HOSPITAL CONTINUES TO GROW DISTIBUTION OF OUR FREE NEWSLETTER TO OUR COMMUNITY. THIS IS PUBLISHED QUARTERLY AND DISTRUBUTED BY MAIL AND DIRECT DELIVERY TO OVER 2,100 HOUSEHOLDS WITHIN OUR SERVICE AREA. THIS PUBLICATION OFFERS HEALTHY LIFESTYLE INFORMATION ON A RANGE OF ISSUES IDENTIFIED IN THE LAST CHNA INCLUDING OBESITY, MENTAL HEALTH AND SUBSTANCE ABUSE. WE ARE CONNECTING PATIENTS TO RESOURCES THAT WILL HELP THEM LIVE MORE WHOLESOME LIVES. MERCY CONTINUES PROVIDING FREE BLOOD PRESSURE CHECKS MONTHLY AT THE LOCAL SENIOR CENTER. MERCY IS WORKING ALONGSIDE PRAIRIE VIEW MENTAL HEALTH TO PROVIDE OPTIMAL EMERGENT MENTAL HEALTH SCREENINGS AND CRISIS INTERVENTION TREATMENT WHERE NEEDED. OBESITY TREATMENT AND HEALTHY LIVING TOPICS ARE ADDRESSED IN THE NEWSLETTER, BUT ARE NOT PART OF MERCY'S CORE TREATMENT SERVICES. WE PARTNER WITH LOCAL HEALTHCARE PROVIDERS TO CONNECT PATIENTS TO THESE SERVICES. MERCY HOSPITAL IS COMMITTED TO FOCUSING OUR RESOURCES AND EFFORTS ON ADDRESSING THESE PRIORITIES THOUGH 2023 AND BEYOND, TO MEET THE COMMUNITY'S HEALTH NEEDS.

SCHEDULE H, PART V, SECTION B, LINES 16A, 16B, AND 16C
WWW.MERCYH.ORG/FINANCIAL-ASSISTANCE/

Supplemental Information

Schedule H (Form 990) Part VI

SCHEDULE H, PART I, LINE 3C
IN ADDITION TO FPG CONSIDERATIONS, THE HOSPITAL ALSO USES ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, AND UNDERINSURANCE STATUS TO DETERMINE WHETHER INDIVIDUALS ARE FAP ELIGIBLE. HOSPITAL ONLY PROVIDES 100% CHARITY CARE TO ELIGIBLE INDIVIDUALS. NO SLIDING SCALE IS USED TO DETERMINE DISCOUNTED CARE. ALL FAP ELIGIBLE INDIVIDUALS RECEIVE 100% FREE CARE. SCHEDULE H, PART I, LINE 7 THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS IN THE TABLE OF PART I, LINE 7, OF SCHEDULE H IS THE COST TO CHARGE RATIO FROM THE ORGANIZATION'S 9/30/2022 MEDICARE COST REPORT. SCHEDULE H, PART I, LINE 7, COLUMN F NOT APPLICABLE DUE TO ADOPTION OF ASC 606 REVENUE CONTRACTS WITH CUSTOMERS.

SCHEDULE H, PART III, SECTION A, LINE 2
ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND CO-PAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED, IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE AMOUNT REPORTED IS THE INCREASE OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS, BASED ON THE EXPENSES INCURRED IN TAX YEAR 2022.

SCHEDULE H, PART III, SECTION A, LINE 3
THE HOSPITAL'S BAD DEBT EXPENSE WAS MUCH HIGHER IN THIS TAX YEAR. THIS WAS DUE TO HIGH SELF-PAY ACCOUNTS-RECIEVABLE CARRYOVER FROM THE PREVIOUS YEAR. THERE WAS SOME CLEAN-UP OF OLD ACCOUNTS FROM THE PREVIOUS YEAR, WHICH RESULTED IN A HIGHER VOLUME. THERE IS A CERTAIN PERCENTAGE OF INDIVIDUALS EVERY YEAR WHO, DUE TO BEING IN THE HOSPITAL A SHORT TIME, ONLY INTERACTING WITH HOSPITAL STAFF IN THE ER SETTING (I.E. ONLY FOR SHORT PERIODS OF TIME WITH NO OPPORTUNITY TO COLLECT THE NECESSARY INFORMATION), OR DUE TO INSTABILITY IN THEIR LIVING ARRANGEMENTS, ARE UNABLE TO PROVIDE THE REQUIRED INFORMATION FOR A CHARITY CARE APPLICATION TO BE PROCESSED. WE SAW A DECREASE IN PATIENT PAYMENTS ON ACCOUNTS WHICH IS BELIEVED TO BE DUE TO LOWER PATIENT CASH-IN-HAND AND MEDICAL DEBTS NOT BEING FIRST PRIORITY. WE WERE SERVED SEVERAL BANKRUPTCY PAPERS DURING FY 2022 WHICH LED TO THOSE ACCOUNTS BEING DISCHARGED AS BAD DEBT.

SCHEDULE H, PART III, SECTION A, LINE 4
NOT APPLICABLE DUE TO ADOPTION OF ASC 606 REVENUE CONTRACTS WITH CUSTOMERS.

SCHEDULE H, PART III, SECTION B, LINE 8
WE PROVIDE OUTPATIENT SERVICES AS A BENEFIT TO OUR COMMUNITY, ALLOWING OUR LOCAL CITIZENS TO RECEIVE CARE CLOSE TO HOME AND WITHIN TIMEFRAMES WHEN THEIR CONDITION CAN BE TREATED. STATISTICS SHOW THAT WHEN AN EMERGENCY ROOM CLOSES IN A COMMUNITY, THE MORTALITY RATE INCREASES BY 6 PERCENTAGE POINTS DUE TO REDUCTION IN ACCESS TO CARE. THE OUTPATIENT CARE WE PROVIDE IS REIMBURSED AT WELL BELOW COST FROM BOTH MEDICARE AND MEDICAID. THE COST TO CHARGE RATIO FROM THE MOST-RECENTLY FILED MEDICARE COST REPORT WAS USED TO DETERMINE MEDICARE-ALLOWABLE COSTS FOR THE ASSOCIATED PAYMENTS, LESS AMOUNTS REPORTED AS COMMUNITY BENEFIT UNDER PART I SECTION 7. EXPENSES WERE UP SIGNIFICANTLY FOR MERCY HOSPITAL IN 2022 AND DUE TO LOWER PATIENT VOLUMES, THE CORRESPONDING REVENUE WAS NOT THERE TO OFSET THE COST INCREASES.

SCHEDULE H, PART III, SECTION C, LINE 9B
ANY SELF-PAY ACCOUNT THAT HAS BEEN SELF-PAY FOR 90 DAYS WITH NO ACTION SHALL BE CONSIDERED DELINQUENT. THESE ACCOUNTS WITH BALANCES OVER $50.00 ARE PASSED ON TO OUR INTERNAL COLLECTIONS DEPARTMENT, TO ATTEMPT CONTACT WITH THE GUARANTOR TO ESTABLISH A PAYMENT PLAN. THIS METHOD INCLUDES MAILINGS AND PHONE CALLS. BANKRUPTCIES WILL HAVE ALL COLLECTIONS EFFORTS STOPPED UPON RECEIPT OF BANKRUPTCY NOTICE. ALL ACCOUNTS BEING WORKED BY OUR INTERNAL COLLECTIONS DEPARTMENT ARE OFFERED THE HOSPITAL'S ESTABLISHED FINANCIAL ASSISTANCE POLICY AND APPLICATION. ANY PATIENT ACCOUNTS WHICH QUALIFY ARE HANDLED ACCORDING TO THAT POLICY. FUTURE ACCOUNTS FOR A GUARANTOR WHO IS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE MAY BE AWARDED CHARITY CARE BASED ON ADMINISTRATIVE DECISION. ALL FINANCIAL ASSISTANCE APPLICATIONS ARE SUBJECT TO PERIODIC AND ANNUAL REVIEW TO ENSURE THE GUARANTOR'S CURRENT FINANCIAL SITUATION IS TAKEN INTO CONSIDERATION.

SCHEDULE H, PART VI, LINE 4
MERCY HOSPITAL IS LOCATED IN MOUNDRIDGE, KS AND SERVES AN DENSELY-SETTLED RURAL AREA THAT ALSO INCLUDES INDIVIDUALS FROM FOUR SURROUNDING COMMUNITIES. MOUNDRIDGE AND THE SURROUNDING RURAL SPACE HAS A POPULATION OF APPROXIMATELY 6,500 PEOPLE. BENEFICIARIES ARE FROM FARMING AND SOME MANUFACTURING ORGANIZATIONS IN THE APPROXIMATE 30-MILE RADIUS OF THE HOSPITAL. THERE ARE TWO OTHER HOSPITALS WITHIN A 20-MILE RADIUS ALSO SERVING THE AREA.

SCHEDULE H, PART VI, LINE 5
THE HOSPITAL HAS AN ACTIVE PATIENT AND FAMILY ENGAGEMENT COMMITTEE THAT MEETS AT LEAST QUARTERLY. THIS GROUP IS COMPRISED OF VOLUNTEER COMMUNITY MEMBERS WHO HAVE BEEN PATIENTS IN THE HOSPITAL. THESE INDIVIDUALS SERVE AS ADVISORS FOR THE BOARD AND MEDICAL STAFF TO PROVIDE INSIGHT FROM THE COMMUNITY TO INFLUENCE HOSPITAL POLICY AND DECISIONS. MEDICAL STAFF IS COMPOSED OF COURTESY AND CONSULTING PHYSICIANS WHO MEET QUARTERLY. TOPICS RELATING TO COMMUNITY HEALTH MAY BE DISCUSSED IN MEDICAL STAFF MEETINGS. THE HOSPITAL'S BOARD IS COMPRISED OF 12 VOLUNTEER MEMBERS FROM VARIOUS REGIONS OF THE SERVICE AREA.

SCHEDULE H, PART VI, LINE 6
N/A

SCHEDULE H, PART VI, LINE 7
N/A

SCHEDULE H, PART VI, LINE 2
IN 2022, A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT WAS PERFORMED WITH TWO OTHER AREA HOSPITALS, IN CONJUNCTION WITH THE COUNTY HEALTH DEPARTMENT. RESIDENTS WERE ASKED TO COMPLETE ONLINE OR PAPER SURVEYS REGARDING HEALTH CONCERNS AND OPPORTUNITIES. AFTER INITIAL HEALTH ISSUES WERE IDENTIFIED, A WORKGROUP WAS FORMED REPRESENTING A CROSS SECTION OF SURVEY RESPONDENTS ALONG WITH COMMUNITY HEALTH EXPERTS AND RESOURCES. THIS WORKGROUP PRIORITIZED THE ISSUES AFFECTING THE COMMUNITY USING PUBLIC HEALTH DATA TO CONFIRM ADDITIONAL FACTORS. MERCY HOSPITAL HOSTED A TOWN-HALL MEETING WITH COMMUNITY RESIDENTS AND TOWN LEADERS TO FURTHER DRILL DOWN INTO NEEDS AND SURVEY THE POPULATION. ALL THIS INFORMATION WAS COMPILED INTO A REPORT WHICH HAS BEEN PUBLISHED ON OUR WEBSITE. MERCY HOSPITAL IDENTIFIED SOLUTIONS TO THESE IDENTIFIED HEALTH CONCERNS AND RELEASED A FACILITY-SPECIFIC IMPLEMENTATION PLAN, WHICH IS BEING CARRIED OUT STARTING IN 2023 THROUGH THE END OF 2025. ALL THESE DOCUMENTS ARE REVIEWED AND DISCUSSED WITH THE HOSPITAL'S PATIENT AND FAMILY ENGAGEMENT COMMITTEE CHOSEN FROM THE PATIENT POPULATION IN THE COMMUNITY. THESE INDIVIDUALS HELP TO DETERMINE THE WORTHINESS AND EFFICACY OF THE HOSPITAL'S EFFORTS.

SCHEDULE H, PART VI, LINE 3
COMMUNICATION OF THE FINANCIAL ASSISTANCE AVAILABLE FROM MERCY HOSPITAL, INC. SHALL BE DISSEMINATED BY VARIOUS MEANS, WHICH MAY INCLUDE, BUT ARE NOT LIMITED TO, THE PUBLICATION OF NOTICES IN PATIENT BILLS AND BY POSTING NOTICES IN EMERGENCY ROOMS, REGISTRATION, PATIENT FINANCIAL SERVICES AND AT OTHER PUBLIC PLACES AS MERCY HOSPITAL, INC. MAY ELECT. INFORMATION SHALL ALSO BE INCLUDED ON THE FACILITY WEBSITE AND IN THE CONDITIONS OF ADMISSION FORM. REFERRAL OF PATIENTS FOR FINANCIAL ASSISTANCE MAY BE MADE BY ANY MEMBER OF THE MERCY HOSPITAL, INC. STAFF OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL SERVICES STAFF, SOCIAL WORKER AND CASE MANAGER. A REQUEST FOR FINANCIAL ASSISTANCE MAY BE MADE BY THE PATIENT OR A FAMILY MEMBER, CLOSE FRIEND OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS.

Operating expenses	$ 5,223,566
Total amount spent on community benefits as % of operating expenses	$ 989,954 18.95 %