4A (Expenses $ 3020991 including grants of $ 0) (Revenue $ 3857659)
MERCY HOSPITAL PARIS 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 PARIS PROVIDES A WIDE VARIETY OF SERVICES IN THEIR 16 BED FACILITY AND IN FY22, HAD 11,555 TOTAL CASES. MERCY HOSPITAL PARIS HAS A TEAM OF EXPERT DOCTORS, NURSES AND TECHNICIANS THAT BLEND COMPASSIONATE CARE WITH THE LATEST, MOST ADVANCED DIAGNOSTIC AND TREATMENT RESOURCES IN PROVIDING EMERGENCY CARE. MERCY HOSPITAL PARIS' EMERGENCY DEPARTMENT IS READY 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS A YEAR WITH FAST, EXPERIENCED AND PROFESSIONAL CARE. IN FY22, MERCY HOSPITAL PARIS HAD 3,656 CASES FOR THIS SERVICE LINE.

4B (Expenses $ 2491425 including grants of $ 0) (Revenue $ 3181429)
MERCY HOSPITAL PARIS' PULMONOLOGISTS ARE EXPERIENCED IN DIAGNOSING AND TREATING BREATHING DISORDERS, FROM ASTHMA TO LUNG CANCER TO SLEEP DISORDERS. MERCY'S TEAM OF PULMONOLOGISTS WILL WORK WITH YOU TO MEASURE YOUR LUNG FUNCTION, MAKE AN ACCURATE DIAGNOSIS AND DETERMINE THE RESPIRATORY TREATMENT THAT'S RIGHT FOR YOU. ADDITIONAL RESPIRATORY CONDITIONS MERCY TREATS INCLUDE COPD, PNEUMONIA, AND OBSTRUCTIVE SLEEP APNEA. IN FY22, MERCY HOSPITAL PARIS HAD 250 CASES AND 1,146 PATIENT DAYS FOR THIS SERVICE LINE.

4C (Expenses $ 2369873 including grants of $ 0) (Revenue $ 3026214)
MERCY HOSPITAL PARIS HAS A TEAM THAT SPECIALIZES IN THE DIAGNOSIS AND TREATMENT OF DISEASES OF THE URINARY SYSTEM IN MEN AND WOMEN, AND DISORDERS OF THE MALE REPRODUGIVE SYSTEM. MERCY'S UROLOGISTS TREAT ISSUES THAT MAY APPEAR IN YOUR KIDNEYS, BLADDER, ADRENAL GLANDS, URETERS AND URETHRA. MERCY'S NETWORK OF SPECIALISTS COLLABORATES TO OFFER THE FULL SPECTRUM OF CARE IN UROLOGY, ONCOLOGY, CANCER TREATMENT AND RECONSTRUCTIVE SURGERY. IN FY22, MERCY HOSPITAL PARIS HAD 271 CASES AND 1,061 PATIENT DAYS FOR THIS SERVICE LINE.

4D (Expenses $ 2777681 including grants of $ 107) (Revenue $ 3546965)
IN ADDITION TO THE PROGRAM SERVICES DESCRIBED ABOVE, MERCY HOSPITAL PARIS ALSO SERVES PATIENTS IN ADDITIONAL SERVICE LINES, INCLUDING BUT NOT LIMITED TO THE FOLLOWING AREAS: CARDIOVASCULAR; GASTROENTEROLOGY; NEUROSCIENCE; RADIOLOGY; REHABILITATION.

MERCY HOSPITAL PARIS
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 PARIS
PART V, SECTION B, LINE 5: IN 2022, THE HOSPITAL GATHERED DATA FOR ITS COMMUNITY HEALTH NEEDS ASSESSMENT. A SURVEY, AVAILABLE IN BOTH HARD COPY AND ON-LINE FORMATS, WAS DESIGNED BY QUALTRICS (DATA COLLECTION SOFTWARE APPLICATION) TO CAPTURE THE PERCEPTIONS AND THOUGHTS OF COMMUNITY MEMBERS REGARDING THEIR COMMUNITY'S HEALTH NEEDS. TO INCLUDE THE VOICES OF THOSE WHO MAY HAVE HAD LIMITED COMPUTER ACCESS, A COMBINED BOONEVILLE/PARIS COMMUNITY FOCUS GROUP LED BY THE COMMUNITY HEALTH AND ACCESS DEPARTMENT WERE CONDUCTED TO DIALOGUE DIRECTLY WITH THE LOCAL COMMUNITY MEMBERS AND LEADERS. THIS WAS A TARGETED EFFORT TO INCLUDE BOTH RURAL COMMUNITY LEADERS AND MEMBERS HAD THE OPPORTUNITY TO ATTEND. INPUT FROM PEOPLE REPRESENTING BROAD INTERESTS OF THE TWO LOCAL COMMUNITIES WAS SOLICITED THROUGH A ROBUST SURVEY PROCESS GUIDED BY A MERCY-LED COMMUNITY COALITION. THE GOAL OF THE SURVEY WAS TO GAIN INSIGHT INTO THE PERCEPTIONS OF COUNTY RESIDENTS ON THE MOST PRESSING HEALTH ISSUES, RISK FACTORS, BARRIERS TO CARE, AND HEALTH SERVICES UTILIZATION. A CONCENTRATED EFFORT WAS MADE TO DISTRIBUTE PRINTED SURVEYS TO BOONEVILLE AND PARIS LOCAL ORGANIZATIONS AND MERCY COWORKERS. MERCY COLLABORATED WITH DIFFERENT COMMUNITY-BASED ORGANIZATIONS TO LISTEN TO CAPTURE THE VOICE OF THE VARIOUS ETHNIC GROUPS THAT WERE NOT REPRESENTED WITHIN THE SURVEY RESULTS. THE PARTICIPANTS WERE SELECTED BY CHURCH LEADERS THAT WERE DEEMED TO BE CIVICALLY ENGAGED MEMBERS OF THE COMMUNITY. THE GOAL OF THE SURVEY WAS TO GAIN INSIGHT INTO THE PERCEPTIONS OF COUNTY RESIDENTS ON THE MOST PRESSING HEALTH ISSUES, RISK FACTORS, BARRIERS TO CARE, AND HEALTH SERVICES UTILIZATION.

MERCY HOSPITAL PARIS
PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED FOR MERCY HOSPITAL PARIS WITH THE ASSISTANCE OF MERCY HOSPITAL FORT SMITH.

MERCY HOSPITAL PARIS
PART V, SECTION B, LINE 11: IN CONJUNCTION WITH THE CHNA, MERCY HOSPITAL PARIS' BOARD ADOPTED AN IMPLEMENTATION STRATEGY IN FY23 RELATED TO THE 2021 CHNA. MERCY HOSPITAL PARIS WILL ADDRESS THE FOLLOWING FOUR SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE PARIS COMMUNITY BEGINNING IN FY23:-OVERWEIGHT/OBESITY-SUBSTANCE USE-ANXIETY/DEPRESSION-TRANSPORTATIONSOME NOTABLE ACHIEVEMENTS IN THE PAST YEAR INCLUDE:-THE COMMUNITY HEALTH WORKER (CHW) PROGRAM, WHICH WAS PILOTED BEGINNING IN 2018, WAS ADOPTED AND EXPANDED ACROSS MERCY HOSPITALS IN 2019. MERCY HOSPITAL PARIS HAS ONE FULL-TIME CHWS WHO ASSISTS IN ALL FOUR CRITICAL ACCESS HOSPITAL TO CONNECT UNINSURED AND UNDERINSURED PATIENTS IN THE EMERGENCY DEPARTMENT TO COMMUNITY RESOURCES FOR SOCIAL NEEDS, ADDRESS SOCIAL DETERMINANTS OF HEALTH ISSUES, AND ASSIST PATIENTS WITH APPLYING FOR MEDICAID, MARKETPLACE INSURANCE, DISABILITY OR HOSPITAL CHARITY CARE. CHWS ALSO COLLABORATE CLOSELY WITH THE CARE MANAGEMENT TEAM, SOCIAL WORKERS AND COMMUNITY REFERRAL COORDINATORS TO ENSURE CONTINUITY OF CARE AND IMPROVE QUALITY OF LIFE.ANALYSIS OF DATA FROM STATE AND NATIONAL SOURCES WAS UTILIZED IN CONJUNCTION WITH LOCAL SURVEYS, FOCUS GROUPS AND STAKEHOLDER MEETINGS. PRIORITIZATION OF NEEDS WAS DETERMINED BY THE MERCY FORT SMITH COMMUNITY HEALTH & ACCESS COWORKERS. THE TOP HEALTH NEEDS TO THE PARIS COMMUNITY ARE: ACCESS TO CARE, BEHAVIORAL HEALTH AND NUTRITION. ACCESS TO CARE: WHILE FACILITATING LOCAL COMMUNITY FOCUS GROUPS WITH OUR MARGINALIZED POPULATION WE DISCOVERED THAT MUCH OF THE COMMUNITY LACKED THE RESOURCES FOR OBTAINING HEALTH CARE SERVICES. THIS REMAINS AN ISSUE DUE TO THE UNDERINSURED OR COMPLETELY UNINSURED STATUS ALONG WITH OTHER OBSTACLES TO CARE LIKE TRANSPORTATION. THE LOGAN COUNTY PRIMARY CARE PHYSICIAN/CITIZEN RATIO OF 4,340:1 FAR EXCEEDS THAT OF THE ARKANSAS RATIO 1,520:1. ACCOMPANYING THE HEALTHCARE COVERAGE ISSUES ARE THE SOCIOECONOMIC BARRIERS. THE $44,030 MEDIAN FAMILY INCOME OF THE LOGAN COUNTY COMMUNITY STANDS ABOUT TEN THOUSAND DOLLARS LESS THAN THE STATE INCOME. BEHAVIORAL HEALTH: LOCAL FOCUS GROUPS, MEETINGS AND SURVEYS ALONG WITH NATIONAL AND STATE DATA HIGHLIGHT THE NEED FOR BEHAVIORAL HEALTH. THERE IS AN INCREASING NUMBER OF YOUTH AND ADULTS IN THE COMMUNITY THAT ARE EXPERIENCING ANXIETY PROBLEMS, SUICIDAL THOUGHTS, AND SUBSTANCE ABUSE. THE STAKEHOLDER FOCUS GROUP DISCUSSION HIGHLIGHTED ACCESS MENTAL HEALTH SERVICES WAS LACKING, WHICH IS SUPPORTED BY THE DESIGNATION OF A MENTAL HEALTH PROVIDER SHORTAGE AREA BY THE HEALTH RESOURCES & SERVICES ADMINISTRATION. THESE COMMUNITY MEMBERS ALSO TALKED ABOUT HOW SUBSTANCE USE REMAINS THE TOP SOCIAL BEHAVIOR IMPACTING THE PARIS REGION. THE SUBSTANCE ABUSE HEALTH CRISIS IS MAGNIFIED BY THE PREVALENCE OF FOSTER CARE AND HIGH RECIDIVISM WITHIN THE COMMUNITY. NUTRITION: THE COMMUNITY VOICE RAISED VARIOUS TIMES THAT NUTRITION REMAINS EXTREMELY IMPACTFUL. BOTH LOCAL SURVEYS AND FOCUS GROUPS PUT THAT POOR EATING HABITS WAS THE TOP RISK BEHAVIOR SEEN IN THEIR COMMUNITY AND HEALTHY COOKING CLASSES BEING UNAVAILABLE TO HELP FIND SOLUTIONS TO THESE HABITS. THE OBESITY AND DIABETES EPIDEMIC HITTING THE REGION HAS VARIOUS CAUSES, ONE OF WHICH IS HEALTHY EATING AND NUTRITION. THE ACCESS TO FAST FOOD AND HIGH-CALORIC/NUTRIENT-POOR OPTIONS ALSO CONTRIBUTES TO THE WEIGHT AND CHRONIC HEALTH CONDITION PREVALENCE IN PARIS.THREE ASSESSED HEALTH ISSUES IDENTIFIED IN THE 2022 CHNA PROCESSCOPD, HOUSING, UNEMPLOYMENTWERE NOT CHOSEN AS PRIORITY FOCUS AREAS FOR DEVELOPMENT OF IMPLEMENTATION STRATEGIES DUE TO MERCY'S CURRENT LACK OF RESOURCES AVAILABLE TO ADDRESS THESE NEEDS. THESE ISSUES WILL BE ADDRESSED INDIRECTLY IN IMPLEMENTATION STRATEGIES DEVELOPED TO MEET THE PRIORITIZED NEEDS IN AREAS THAT MAY OVERLAP. FOR EXAMPLE, EFFORTS TO REDUCE THE INCIDENCE OF OBESITY IN THE COMMUNITY MAY ALSO REDUCE THE INCIDENCE OF CANCER. ADDITIONALLY, RELATED COMMUNITY PARTNERSHIPS, EVIDENCE-BASED PROGRAMMING, AND SOURCES OF FINANCIAL AND OTHER RESOURCES WILL BE EXPLORED DURING THE NEXT THREE-YEAR CHIP CYCLE. MERCY PARIS WILL CONSIDER FOCUSING ON THESE ISSUES SHOULD RESOURCES BECOME AVAILABLE. UNTIL THEN, MERCY PARIS WILL SUPPORT, AS ABLE, THE EFFORTS OF PARTNER AGENCIES AND ORGANIZATIONS CURRENTLY WORKING TO ADDRESS THESE NEEDS WITHIN THE COMMUNITY.

MERCY HOSPITAL PARIS
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/PARIS-CHNA-2022.PDF

FORM 990, SCHEDULE H, PART V, SECTION B, LINE 10A
HTTPS://WWW.MERCY.NET/CONTENT/DAM/MERCY/EN/PDF/CHIP/MERCY-PARIS-CHIP-2023.PDF

FORM 990, SCHEDULE H, PART V, SECTION B, LINES 16A, 16B, & 16C
THE FINANCIAL ASSISTANCE POLICY, APPLICATION AND A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY ARE AVAILABLE ONLINE AT HTTPS://WWW.MERCY.NET/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/

PART I, LINE 6A:
THE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS PREPARED BY ITS ULTIMATE PARENT ENTITY, MERCY HEALTH (EIN: 43-1423050).

PART I, LINE 7:
TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) ARE $12,281,789. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $956,389. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $11,325,400.

PART II, COMMUNITY BUILDING ACTIVITIES:
N/A

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:
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 THAT 100% OF ANY SHORTFALL 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 ADDITIONALLY PRIOR 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:
MERCY HEALTH BELIEVES THAT ITS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS IS COMPREHENSIVE ENOUGH TO CAPTURE SUBSTANTIALLY ALL OF THE COMMUNITY'S NEEDS. THEREFORE, NO OTHER STEPS WERE TAKEN TO IDENTIFY ADDITIONAL NEEDS.

PART VI, LINE 4:
THE PRIMARY SERVICE AREA FOR MERCY HOSPITAL PARIS INCLUDES LOGAN COUNTY, ARKANSAS. THE FOLLOWING INFORMATION IS DERIVED FROM THE ADVISORY BOARD DEMOGRAPHICS. THE AREA'S POPULATION IS 21,644. THE MEDIAN HOUSEHOLD INCOME IS $47,000. 47.6% OF THE POPULATION IS 45 AND OLDER. 87% OF THE POPULATION IS A HIGH SCHOOL GRAD OR GREATER AND THE MEDIAN AGE IS 42.

FORM 990, SCHEDULE H, PART VI, LINE 7
STATE FILING OF COMMUNITY BENEFIT REPORT: N/A

IMPACT OF COVID-19 PANDEMIC
PLEASE SEE SCHEDULE O FOR INFORMATION RELATED TO COVID-19.

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 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 SERVICE COMMUNITIES.MERCY OFFERS SERVICES AND PROGRAMS WHICH FURTHER HEALTH PROMOTION, MAINTENANCE AND CARE TO THE COMMUNITY. PROGRAMS PROVIDED TO MEET THE COMMUNITY NEEDS INCLUDE SUPPORT GROUPS FOR VARIOUS SITUATIONS, OUTREACH PROGRAMS, BLOOD DRIVES, ETC.MERCY IS GOVERNED BY A BOARD OF DIRECTORS WHICH INCLUDES REPRESENTATION FROM COMMUNITY LEADERS IN THE ORGANIZATION'S PRIMARY SERVICE AREAS. ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY. ANY POTENTIAL CONFLICTS OF INTEREST DISCLOSED BY BOARD MEMBERS ARE REVIEWED AND RESOLVED. THIS PROCESS ENSURES THAT PUBLIC, RATHER THAN PRIVATE, INTERESTS ARE SERVED BY MERCY.SURPLUS FUNDS AND UNRESTRICTED ASSETS HELD BY MERCY 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 COMMUNITY 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 HOSPITALS, AND 1 VIRTUAL CARE COMMAND CENTER. FOR THE FISCAL YEAR ENDED JUNE 30, 2022, MERCY HAD MORE THAN 10.4 MILLION CLINIC AND OUTPATIENT 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."