4A (Expenses $ 45558067 including grants of $ 0) (Revenue $ 56159005)
MERCY HOSPITAL JEFFERSON 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 JEFFERSON PROVIDES A WIDE VARIETY OF SERVICES IN THEIR 203 BED FACILITY AND IN FY22, HAD 110,116 TOTAL CASES. MERCY HOSPITAL JEFFERSON 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 JEFFERSON HAD 5,014 CASES AND 4,717 PATIENT DAYS FOR THIS SERVICE LINE.

4B (Expenses $ 42857142 including grants of $ 0) (Revenue $ 52829600)
MERCY HOSPITAL JEFFERSON OFFERS COMPREHENSIVE HEART AND VASCULAR SERVICES, A WIDE VARIETY OF TREATMENT OPTIONS AND ADVANCED TECHNOLOGIES TO DIAGNOSE AND TREAT A FULL RANGE OF CONDITIONS. MERCY HOSPITAL JEFFERSON ALSO PROVIDES A FULL COMPLEMENT OF CARDIAC REHABILITATION, THERAPY AND EDUCATION SERVICES. IN FY22, MERCY HOSPITAL JEFFERSON HAD 10,122 CASES AND 6,190 PATIENT DAYS FOR THIS SERVICE LINE.

4C (Expenses $ 28278020 including grants of $ 0) (Revenue $ 34858052)
MERCY HOSPITAL JEFFERSON 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 JEFFERSON'S EMEGENCY 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 JEFFERSON HAD 25,165 CASES FOR THIS SERVICE LINE.

4D (Expenses $ 65535298 including grants of $ 265244) (Revenue $ 80898365)
IN ADDITION TO THE PROGRAM SERVICES DESCRIBED ABOVE, MERCY HOSPITAL JEFFERSON ALSO SERVES PATIENTS IN ADDITIONAL SERVICE LINES, INCLUDING BUT NOT LIMITED TO THE FOLLOWING AREAS: LAB; NEUROSCIENCE; ONCOLOGY; RADIOLOGY; REHABILITATION.

Mercy Hospital Jefferson
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 Jefferson
Part V, Section B, Line 5: WHEN CONDUCTING ITS MOST RECENT CHNA AND DEVELOPING THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP), MERCY HOSPITAL JEFFERSON WORKED WITH THE JEFFERSON COUNTY HEALTH DEPARTMENT (JCHD), COMMUNITY TREATMENT, INC. (COMTREA), JEFFERSON COUNTY COMMUNITY PARTNERSHIP (JCCP) AND JEFFERSON FRANKLIN COMMUNITY ACTION CORPORATION (JFCAC) AS A PRIMARY COMMUNITY PARTNERS. METHODS OF COLLECTING AND ANALYZING DATA AND INFORMATION INCLUDED COMMUNITY FOCUS GROUPS, SURVEYS, ORGANIZATION-SPECIFIC DATA AND PUBLISHED DATA. BELOW ARE THE PARTNERING AGENCIES AND THE LEADERS WHO SUPPORTED THE COMBINED EFFORTS OF A JOINT CHNA:- COMTREA- SUE CURFMAN- JCCP- TRACY SMITH- JCHD- KELLEY VOLLMAR- JFCAC- DAVID LEAS- MHJ- ERIC AMMONSIN CONDUCTING ITS COMMUNITY HEALTH NEEDS ASSESSMENT, MERCY JEFFERSON COLLECTED AND ANALYZED A SIGNIFICANT QUANTITY OF PRIMARY AND SECONDARY DATA. PRIMARY DATA WAS COLLECTED, AND COMMUNITY INPUT WAS SOLICITED, BY MEANS OF COMMUNITY FOCUS GROUPS, COMMUNITY SURVEY, STAKEHOLDER SURVEY, INTERNAL AGENCY DATA. COMMUNITY FOCUS GROUPS WERE CONDUCTED TO DIALOGUE DIRECTLY WITH LOCAL COMMUNITY MEMBERS. THERE WAS A TARGETED EFFORT TO CONDUCT FOCUS GROUPS IN A VARIETY OF ZIP CODES AND LOCATIONS SO THAT ALL JEFFERSON COUNTY RESIDENTS HAD THE OPPORTUNITY TO ATTEND. COMMUNITY FOCUS GROUPS WERE CONDUCTED TO DIALOGUE DIRECTLY WITH LOCAL COMMUNITY MEMBERS. THERE WAS A TARGETED EFFORT TO CONDUCT FOCUS GROUPS SO THAT ALL JEFFERSON COUNTY RESIDENTS HAD THE OPPORTUNITY TO ATTEND. COMMUNITY PARTNERS THAT ASSISTED IN DATA COLLECTION FOR 4 VIRTUAL COMMUNITY FOCUS GROUPS AS WELL AS SURVEYING PARTICIPANTS & STAFF AT THE HOMELESS CONNECT EVENT. INPUT FROM PEOPLE REPRESENTING BROAD INTERESTS OF THE COMMUNITY 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.

Mercy Hospital Jefferson
Part V, Section B, Line 6b: Jefferson County Health Department (JCHD)Community Treatment, Inc. (COMTREA)Jefferson County Community Partnership (JCCP) Jefferson Franklin Community Action Corporation (JFCAC)

Mercy Hospital Jefferson
Part V, Section B, Line 11: In conjunction with the CHNA, Mercy Hospital Jefferson's board adopted an implementation strategy in FY23 related to the 2021 CHNA. Mercy Hospital Jefferson will address the following community health needs beginning in FY23:- ACCESS TO CARE- MENTAL HEALTH- SUBSTANCE USE- FINANCIAL LITERACYTHESE NEEDS ARE BEING ADDRESSED IN THE HOSPITAL'S COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP), WHICH CAN BE ACCESSED HERE: HTTPS://WWW.MERCY.NET/CONTENT/DAM/MERCY/EN/PDF/CHIP/MERCY-JEFFERSON-CHIP-2023.PDF.SOME NOTABLE ACHIEVEMENTS IN THE PAST YEAR INCLUDE: - THE CRISIS NURSERY OUTREACH CENTER CONTINUED TO ASSIST FAMILIES ON-SITE IN ORDER TO HELP THEM NAVIGATE CRISES AND CREATE A STABLE ENVIRONMENT FOR CHILDREN TO THRIVE. - THROUGH A PARTNERSHIP WITH THE INTEGRATED HEALTH NETWORK, THE COMMUNITY REFERRAL COORDINATOR (CRC) PROGRAM AT MERCY HOSPITAL JEFFERSON PROVIDES PATIENTS WITHOUT A MEDICAL HOME WITH ASSISTANCE IN FINDING A PRIMARY CARE OR SPECIALTY PROVIDER, ALONG WITH SOCIAL SERVICE SUPPORT, AS APPROPRIATE. - IN FY22, THE CRC CONNECTED WITH 1,106 PATIENTS IN 520 PATIENT ENCOUNTERS, WITH OVER HALF BEING SELF-PAY - THE CRC HAD A REFERRAL RATE OF 36.96% AND MAINTAINED A 64.07% TOTAL KEPT APPOINTMENT RATE AT THE FISCAL YEAR END. THIS IS AMONG THE HIGHEST APPOINTMENT KEPT RATE IN THE REGION AND IS AN INCREASE OF 5% FROM FY20.- THE COMMUNITY HEALTH WORKER (CHW) PROGRAM, WHICH WAS PILOTED BEGINNING IN 2018, WAS ADOPTED AND EXPANDED ACROSS MERCY HOSPITALS IN 2019. MERCY HOSPITAL JEFFERSON NO HAS TWO FULL-TIME CHWS 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. - IN FY22, MERCY HOSPITAL JEFFERSON'S CHWS SERVED 1.331 PATIENTS THROUGH 3,887 ENCOUNTERS- MERCY CLINIC SOUTH HEALTH LEADS PROGRAM, WHICH SERVES THE SERVICE AREA OF MERCY HOSPITAL JEFFERSON, SCREENED 33,622 PATIENTS FOR SOCIAL DETERMINANTS OF HEALTH NEEDS IN FY22. - 13% SCREENED POSITIVE FOR URGENT NEEDS INCLUDING PRESCRIPTION ASSISTANCE, FOOD PANTRIES, MEDICAL TRANSPORTATION AND CHARITY CARE - 590 NEEDS SUCCESSFULLY MET OR EQUIPPED FOR 525 CLIENTS- MERCY HOSPITAL JEFFERSON CONTINUED SEVERAL BEHAVIORAL HEALTH PROGRAMS; HOSPITAL COMMUNITY LINKAGES (HCL) PROJECT, THE YOUTH EMERGENCY ROOM ENHANCEMENT PROJECT WHICH MIRRORS THE EMERGENCY ROOM ENHANCEMENT PROJECT FOR ADULTS. THESE PROGRAMS FOCUS ON ENHANCING SUPPORT FOR ADULT AND YOUTH HIGH UTILIZERS OF ER WITH THE PRIMARY GOAL OF REDUCING PREVENTABLE HOSPITAL CONTACTS ACROSS THE REGION BY FOSTERING ENGAGEMENT THROUGH SUPPORT, INTENSIVE OUTREACH AND IMPROVING OUTCOMES THROUGH CONNECTION TO COMMUNITY. MERCY HOSPITAL JEFFERSON ALSO IMPLEMENTED THE ENGAGING PATIENTS IN THE CARE COORDINATION PROGRAM ALSO KNOWN AS EPICC, THIS PROGRAM PROVIDES INTENSIVE REFERRAL AND LINKAGE SERVICES BY RECOVERY COACHES, PEERS WITH LIVED EXPERIENCE, TO IMPACT THOSE WHO HAVE OVERDOSED ON OPIOIDS TO ESTABLISH IMMEDIATE LINKAGES TO SUBSTANCE USE AND MEDICATION ASSISTED TREATMENT SERVICES. ADDITIONAL NEEDS BEING ADDRESSED BY THE HOSPITAL INCLUDE: - COMMUNITY HEALTH IMPROVEMENT SERVICES- HOMELESSNESSMERCY HOSPITAL JEFFERSON IMPLEMENTS AND PARTICIPATES IN THE FOLLOWING PROGRAMS TO WORK TOWARDS COMMUNITY HEALTH IMPROVEMENT- TOBACCO CESSATION- SUPPORT GROUPS FOR BARIATRICS, DIABETES, GRIEF SUPPORT, SUICIDE, PALLIATIVE CARE AND STROKE- HEALTH FAIRS, PRESENTATIONS AND SCREENINGS,- PATIENT BENEFIT ADVISOR- TRANSPORTATION ASSISTANCE PROGRAMS- HEALTH PROFESSIONS EDUCATIONHEALTH PROFESSIONS STUDENT EDUCATION IS OFFERED AT MERCY HOSPITAL JEFFERSON IN THE AREAS OF PHYSICAL THERAPY, DIETARY, SOCIAL WORK, PHARMACY, NURSING AND OTHER HEALTH PROFESSIONALS.- FINANCIAL AND IN-KIND CONTRIBUTIONSMERCY HOSPITAL JEFFERSON CONTINUES TO SUPPORT ORGANIZATIONS THROUGH CASH AND IN-KIND DONATIONS. THOSE INCLUDED BUT NOT LIMITED TO ARE THROUGH BLOOD DRIVES, THE LOCAL FEDERALLY QUALIFIED HEALTH CENTER, A MISSOURI PHYSICIAN HEALTH PROGRAM, AND WILLIAM L WETZEL OSTEOPATHIC FOUNDATION.- COMMUNITY BUILDING ACTIVITIES-WORKFORCE & ECONOMIC DEVELOPMENTIN AN EFFORT TO AID IN WORKFORCE AND ECONOMIC DEVELOPMENT, MERCY HOSPITAL JEFFERSON PARTICIPATES IN THE DISABILITY INCLUSION TASK FORCE, THE TWIN CITY CHAMBER OF COMMERCE AND THE FARMINGTON CHAMBER OF COMMERCE.- COMMUNITY BUILDING ACTIVITIES- COALITION BUILDING & BOARD MEMBERSHIPMERCY HOSPITAL JEFFERSON ALSO PARTICIPATES IN LOCAL COALITION BUILDING AND BOARD MEMBERSHIP FOR THE FOLLOWING AGENCIES: ALIVE AND WELL JEFFERSON COUNTY, PONY BIRD BOARD OF DIRECTORS, JEFFERSON FOUNDATION BOARD, HEAL HEALTHCARE ACCESS WORKGROUP, ST. PIUS X BOARD, ENTERPRISE ADVISORY BOARD, JEFFERSON COUNTY HEALTH NETWORK, INTEGRATED HEALTH NETWORK BOARD AND THE JEFFERSON COUNTY DRUG PREVENTION COALITION BOARD.- COVID-19 PANDEMIC RESPONSEFY20 BROUGHT UNPRECEDENTED CHALLENGES TO OUR NATION WITH THE ONSET OF THE COVID-19 PANDEMIC THAT CONTINUED INTO FY22, AND MERCY'S COMMUNITIES WERE NO EXCEPTION. RECOGNIZING THE ECONOMIC HARDSHIP, STRESS AND EMOTIONAL TRAUMA THAT THE PANDEMIC BROUGHT TO INDIVIDUALS AND FAMILIES, AND UNDERSTANDING THAT IT IS OFTEN THE MOST VULNERABLE THAT ARE IMPACTED THE MOST IN TIMES OF CRISIS, MERCY ENGAGED COMMUNITY PARTNERS IN COVID-19 RESPONSE FROM THE START OF THE PANDEMIC. IN PARTICULAR, INDIVIDUALS EXPERIENCING HOMELESSNESS MAY BE AT INCREASED RISK OF INFECTION AND COMPLICATION FROM THE COVID-19 VIRUS. COMMUNITY HEALTH LEADERS ACROSS MERCY'S HOSPITALS WORKED WITH LOCAL PARTNER AGENCIES TO DEVELOP COMPREHENSIVE PLANS FOR SAFELY DISCHARGING COVID-19 PATIENTS TO A DESIGNATED LOCATION IF THEY DO NOT REQUIRE HOSPITALIZATION BUT LACK HOUSING. AT MERCY HOSPITAL JEFFERSON, THE COMMUNITY HEALTH LEADER CONVENED WITH LOCAL SOCIAL SERVICE AND HOMELESS SERVING AGENCIES AND HEALTHCARE PROVIDERS TO CONTINUE THE WORK OF THE COVID-19 HOMELESSNESS TASK FORCE FOR JEFFERSON AND FRANKLIN COUNTIES. THIS ULTIMATELY TURNED INTO JEFFERSON COUNTY SOCIAL SERVICE AGENCIES MEETING TO WORK ON THE BEGINNING STAGES OF FORMING A HOMELESSNESS COALITION THAT STILL CONTINUES TO ADDRESS THE ISSUE. OTHER COMMUNITY SERVICES OFFERED BY MERCY HOSPITAL JEFFERSON DURING THE COVID-19 PANDEMIC INCLUDE:- COMMUNITY COVID-19 TESTING SITES- ONGOING LOGISTICAL AND PASTORAL SUPPORT FOR SKILLED NURSING FACILITIES AND LONG-TERM CARE FACILITIES IMPACTED BY COVID-19 OUTBREAKS- LOCAL GUIDANCE AND EDUCATION FOR AGENCIES, SCHOOLS, LAW ENFORCEMENT AND FIRE DEPARTMENTS THROUGH ONGOING COMMUNITY MEETINGS- DONATED SUPPLIES, FOR COVID-19 KITS DISTRIBUTED TO HOMELESS SERVING AGENCIES, AND FOOD TO LOCAL PANTRIES- WORKING WITH SOCIAL SERVICE AGENCIES TO UTILIZE CARES ACT FUNDS TO HELP THOSE EXPERIENCING HOMELESSNESS, WHICH WAS EXACERBATED BY COVID-19. THESE FUNDS HELP WITH TEMPORARY SHELTER AND IN STABLE HOUSING PROGRAMS FOR JEFFERSON COUNTY.THE FOLLOWING NEED IS NOT BEING ADDRESSED BY THE HOSPITAL:- ENVIRONMENTAL: AIR/WATER QUALITY MHJ WILL CONTINUE ITS PARTNERSHIP WITH THE JEFFERSON COUNTY HEALTH DEPARTMENT (JCHD) AND WILL COLLABORATE WITH ANY ENVIRONMENTAL INITIATIVES THEY DEVELOP. HOWEVER, IT WAS FELT BY MERCY'S COMMUNITY HEALTH COUNCIL (CHC) THAT WHILE CONTINUED ATTENTION TO THIS ISSUE WAS IMPORTANT, MERCY'S FOCUS REMAINS ON PROVIDING QUALITY HEALTHCARE. THEREFORE, THE ISSUES OF ACCESS, AND THE COMMUNITY'S CRISIS WITH BEHAVIORAL HEALTH AND ADDICTION SHOULD TAKE PRECEDENCE AT THIS TIME.

Mercy Hospital Jefferson
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/jefferson-chna-2022.pdf

Form 990 Form 990, Schedule H, Part V, Section B, Line 10A
https://www.mercy.net/content/dam/mercy/en/pdf/chip/mercy-jefferson-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.

Part I, Line 7g:
SUBSIDIZED HEALTH SERVICESThe physician clinics are included as a net amount (income less expenses) allocated by the Clinical Service line in the Indirect cost.

Part I, Ln 7 Col(f):
TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) ARE $204,930,194. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $12,937,396. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $191,992,798.

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 JEFFERSON'S (MHJ) COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH, WELLNESS, AND SAFETY OF THE COMMUNITY IT SERVES. THROUGH ACTIVE PARTICIPATION ON COMMUNITY BOARDS, NEIGHBORHOOD/COMMUNITY COALITIONS, AND INVOLVEMENT IN COMMUNITY-BASED EVENTS, MERCY BUILDS PARTNERSHIPS TO DEVELOP COLLABORATIVE SOLUTIONS TO ADDRESS COMMUNITY NEEDS. SOME OF THESE COMMUNITY BUILDING PARTNERSHIPS AND COMMUNITY ENGAGEMENT ACTIVITIES INCLUDE: - JEFFERSON COUNTY HEALTH DEPARTMENT- JEFFERSON COUNTY GROWTH ASSOCIATION- JEFFERSON COLLEGE BOARD- JEFFERSON FOUNDATION BOARD- PARTICIPATION IN THE DESOTO, HILLSBORO, TWIN CITY AREA, AND STE. GENEVIEVE CHAMBERS OF COMMERCE ACTIVITIES- KIWANIS CLUB- YMCA BOARD- COMTREA (COMMUNITY TREATMENT, INC.)- MISSOURI HOSPITAL ASSOCIATION BOARD- EASTERN MISSOURI HOSPITAL ASSOCIATION BOARD- ST. PIUS ALUMNI ASSOCIATION- FESTUS PUBLIC LIBRARY BOARD- DISABILITY RESOURCE COUNCIL- JEFFERSON COUNTY GROWTH ASSOCIATION BOTTLENECK BRIDGE RIDE- JEFFERSON COUNTY TOURISM COMMISSION ADVISORY BOARD- GET HEALTHY DESOTO- JEFFERSON- FRANKLIN WORKFORCE DEVELOPMENT BOARD- ACADEMIC ADVISOR WITH BOYS HOPE GIRLS HOPE OF ST. LOUIS- CRYSTAL OAKS NURSING HOME BOARD CHAIR- BEHAVIORAL HEALTH NETWORK ADULT SERVICES ADVISORY BOARDIN ADDITION, MHJ ACTIVELY PARTICIPATES IN SEVERAL COMMUNITY BUILDING COALITIONS THAT ALSO ALIGN WITH THE HOSPITAL'S CHNA TOP HEALTH PRIORITIES, INCLUDING:- JEFFERSON COUNTY DRUG PREVENTION COALITION- ALIVE AND WELL JEFFERSON COUNTY- JEFFERSON COUNTY OPIOID TASK FORCE- JEFFERSON COUNTY DRUG EDUCATION CONFERENCE PLANNING COMMITTEE- MEMBER OF DEVELOPING JEFFERSON COUNTY HOMELESS COALITION- TRANSPORTATION SOLUTIONS COMMITTEE- HEAL HEALTHCARE ACCESS WORKGROUPEFFORTS WITH THESE COALITIONS WILL CONTINUE AS MHJ DETERMINED THAT ACCESS TO CARE, BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE ABUSE) TO BE TOP HEALTH PRIORITIES THROUGH THE 2022-2024 CHNA CYCLE.CASH/IN-KIND DONATIONSMERCY PROVIDES CASH AND IN-KIND DONATIONS THROUGH THE SUPPORT OF CO-WORKER ENGAGEMENT AND COMMUNITY SERVICE ACTIVITIES. THESE COMMUNITY BUILDING ACTIVITIES ALLOW MERCY CO-WORKERS TO LOOK BEYOND THE WALLS OF THE FACILITIES IN WHICH THEY SERVE TO BETTER UNDERSTAND AND ADDRESS THE NEEDS OF THE COMMUNITY.DURING FY22, CASH DONATIONS WERE GIVEN TO ORGANIZATIONS THROUGHOUT THE COMMUNITY THAT INCLUDED:- COMTREA- WILLIAM L WETZEL OSTEOPATHIC FOUNDATION- JEFFERSON COLLEGE FOUNDATION- GET HEALTHY DESOTO- THE MERCY HEALTH FOUNDATION- PERRY COUNTY HEALTH SYSTEM- MISSOURI PHYSICIANS HEALTH PROGRAM- LINCOLN COUNTY RESOURCE BOARDA FULL DESCRIPTION OF OUR COMMUNITY BUILDING ACTIVITIES CAN BE FOUND AT WWW.MERCY.NET/COMMUNITYBENEFITS.

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 IS AS 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 JEFFERSON 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 VI, Line 4:
THE PRIMARY SERVICE AREA FOR MERCY HOSPITAL JEFFERSON INCLUDES 37 ZIP CODES ACROSS MISSOURI. THE FOLLOWING INFORMATION IS DERIVED FROM THE ADVISORY BOARD DEMOGRAPHICS AND MO/HIDI ANALYTICS 2021-2022. THE AREA'S POPULATION IS 304,596. THE MEDIAN HOUSEHOLD INCOME IS $56,000. 43.7% OF THE POPULATION IS 45 AND OLDER. 88% OF THE POPULATION IS A HIGH SCHOOL GRAD OR GREATER AND THE MEDIAN AGE IS 38. 20.2% OF THE HOUSEHOLDS ARE ON MEDICARE, 18.1% ON MEDICAID, AND 9.4% UNINSURED.

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:
IN 2021, MERCY HOSPITAL JEFFERSON (MHJ) BEGAN PLANNING FOR THE 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA). THE HOSPITAL PRESIDENT LED THE CORRESPONDING COMMUNITY HEALTH COUNCIL IN GUIDING THE NEEDS ASSESSMENT PROCESS. THE COUNCIL CONVENES QUARTERLY AND IS ACCOUNTABLE FOR ENSURING THAT COMMUNITY BENEFIT ACTIVITIES MEET MISSION COMPLIANCE AND IRS GUIDELINES. THE COUNCIL CONSISTS OF MERCY LEADERS FROM VARIOUS DEPARTMENTS, SUCH AS BEHAVIORAL HEALTH, FINANCE, CARE MANAGEMENT, PHILANTHROPY, ETC., AND ONE HOSPITAL BOARD MEMBER. THE COUNCILS DETERMINE WHICH HEALTH INITIATIVES WILL BE PUT FORTH IN THE HOSPITAL'S THREE-YEAR COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP).CO-WORKERS IN MERCY JEFFERSON'S COMMUNITY HEALTH & ACCESS DEPARTMENT SERVE ON THE COUNCIL AND WERE PRIMARY LEADS OF THE 2022 CHNAS. THE VOICES OF THE PEOPLE OF JEFFERSON COUNTY WERE CENTRAL TO THE HEALTH NEEDS ASSESSMENT PROCESS. MHJ GATHERED COMMUNITY INPUT DIRECTLY THROUGH:- SURVEYS ONLINE FOR COMMUNITY MEMBERS AND STAKEHOLDERS- COMMUNITY FOCUS GROUPS- COMMUNITY COALITIONS AND STAKEHOLDER MEETINGSEXTERNAL SOURCES OF PUBLISHED DATA ARE AS FOLLOWS:- COUNTY HEALTH RANKINGS 2021: WWW.COUNTYHEALTHRANKINGS.ORG - US CENSUS BUREAU - SMALL AREA HEALTH ESTIMATES: HTTPS://WWW.CENSUS.GOV/PROGRAMS-SURVEYS/SAHIE.HTML - AMERICAN COMMUNITY SURVEY 2019: HTTPS://WWW.CENSUS.GOV/PROGRAMSSURVEYS/ACS/DATA.HTML - 2020 CENSUS RESULTS: HTTPS://WWW.CENSUS.GOV/ - CDC MENTAL HEALTH BASICS, 2021: HTTPS://WWW.CDC.GOV/MENTALHEALTH/LEARN/INDEX.HTM - HEALTHY PEOPLE 2020: - HTTPS://WWW.HEALTHYPEOPLE.GOV/2020/LEADING-HEALTH-INDICATORS/2020-LHITOPICS/MENTAL-HEALTH/DETERMINANTS - HTTPS://WWW.HEALTHYPEOPLE.GOV/2020/LEADING-HEALTH-INDICATORS/2020-LHITOPICS/MENTAL-HEALTH/DATA- ER OPIOID MISUSE RATE MAP: HTTPS://HEALTH.MO.GOV/DATA/OPIOIDS/ER-OPIOID-MISUSE-RATE.PHP- JEFFERSON COUNTY OPIOIDS FACT SHEET, 2019: HTTPS://HEALTH.MO.GOV/DATA/OPIOIDS/PDF/JEFFERSON-COUNTY-OPIOIDSFACT-SHEET-SPRING-2019.PDF- COMMUNITY PROFILE 2021 JEFFERSON COUNTY: HTTPS://DMH.MO.GOV/MEDIA/PDF/COMMUNITY-PROFILE-2021-JEFFERSON-COUNTY - SPARK MAP 2018-2020: HTTPS://SPARKMAP.ORG/REPORT/ PRIORITIZED SIGNIFICANT COMMUNITY HEALTH NEEDS:THE NOMINAL GROUP TECHNIQUE WAS USED IN THE PRIORITY SETTING PROCESS. THE MERCY HOSPITAL JEFFERSON COUNCIL WAS PRESENTED WITH THE QUANTITATIVE AND QUALITATIVE COMMUNITY HEALTH DATA AND MEMBERS WERE ASKED TO RANK THESE HEALTH ISSUES BY LEVEL OF CONCERN AND ABILITY TO COLLABORATE ON THE ISSUE TO PRODUCE RESULTS. THE STRENGTHS AND SERVICES OF THE HOSPITAL ALONG WITH THEIR STRATEGIC PLANS WERE ALSO CONSIDERED. UPON REVIEW AND DISCUSSION OF THE PRIMARY AND SECONDARY DATA GATHERED, THE HOSPITAL'S STRATEGIC PLANS, AND THE RESOURCES AVAILABLE AT THE HOSPITALS AND IN THE COMMUNITIES, THE FOLLOWING PRIORITIES WERE SELECTED:MERCY HOSPITAL JEFFERSON: - ACCESS TO CARE- BEHAVIORAL HEALTH/SUBSTANCE ABUSE- SUBSTANCE USE- FINANCIAL LITERACYTHE COMMUNITY HEALTH COUNCIL THEN CREATED A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR THE HOSPITAL, IDENTIFYING SPECIFIC INITIATIVES RELATED TO IMPROVING EACH OF THESE HEALTH PRIORITIES. THE CHIP WAS DESIGNED WITH REALISTIC, MEASURABLE, AND ATTAINABLE GOALS THAT ALIGN WITH THE MISSION AND STRATEGY OF THE ORGANIZATIONS. MERCY HOSPITAL JEFFERSON ALSO ASSESSES THE NEEDS OF THE COMMUNITY THROUGH REQUESTS BY LOCAL AGENCIES. ACCORDING TO THE CATHOLIC HEALTH ASSOCIATION, A REQUEST FROM A PUBLIC AGENCY OR COMMUNITY GROUP TO INITIATE OR CONTINUE AN ACTIVITY OR PROGRAM MEETS THE REQUIREMENTS FOR A DOCUMENTED COMMUNITY NEED. MERCY JEFFERSON SERVES ON VARIOUS BOARDS AND HAS PARTNERSHIPS THROUGHOUT THE COMMUNITY THAT CAN BE SEEN IN LINE 5.

Part VI, Line 7, Reports Filed With States
MO

COVID-19
Please see Schedule O for information related to COVID-19.

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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 accounts is placed for review. In addition, patient 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 when presenting in the facilities. In addition to the web address providing the application, policies, and even how uninsured accounts are handled. Lastly, the statements (billing) messaging to the patient that Mercy does have a Financial Assistance Program and to call to see if they are eligible. Mercy staffs internal resources certified to assist patients with Medicaid Applications as well.

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"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."

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PROMOTION OF COMMUNITY HEALTH MERCY 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.OPEN MEDICAL STAFFMEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR NEARLY ALL OF OUR DEPARTMENTS. MERCY HOSPITAL JEFFERSON HAS EXCLUSIVE CONTRACTS WITH PHYSICIAN GROUPS FOR THE FOLLOWING SERVICES: RADIOLOGY, PATHOLOGY, ANESTHESIA, AND EMERGENCY MEDICINE. THIS MEANS THAT THE MAJORITY OF THE PHYSICIANS ON STAFF ARE IN CATEGORIES THAT ARE OPEN TO QUALIFIED PHYSICIANS IN THE COMMUNITY.COMMUNITY BOARD FY22 MERCY HEALTH EAST COMMUNITIES FY22 BOARD MEMBERSDON ARNOLD, M.D.KELLY BAIN, M.D.JON BAUER, PHDCRAIG BOYD, MDMATUSKCHKA LINDO-BRIGGSAPOLLO CAREYJANICE DENIGANDENNIS GANNONKATHERINE GLOSENGER, RSMSR. MICHAEL MARY GUTOWSKI, RSMSR. MIRIAM NOLAN, RSMSUSAN O'CONNOR, RSMJOHN PORTERWINTHROP B. REED, IIICHARLES REHM, M.D.KEVIN SHORTMERCY HOSPITAL JEFFERSON FY22 BOARD MEMBERSERIC AMMONS BRICCIO CADIZ, MDSR. JUDY CARRON, RSMCHRISTIE ECKHARDTRICK FRANCISELAINE GANNONDR. KARTHIK IYER, MDERIC KNOLLDENA MCCAFREYBILL MCKENNAJACOB PEYTON, MDTRACY RIORDAN, MDBASSAM ROUKOZ, MDUSE OF SURPLUS FUNDSSURPLUS FUNDS AND UNRESTRICTED ASSETS HELD BY MERCY HOSPITAL JEFFERSON 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. EXAMPLES INCLUDE THE FOLLOWING:- EXPANSION OF PRIMARY CARE AND SPECIALTY CARE PHYSICIANS TO THE MERCY HOSPITAL JEFFERSON SERVICE AREA WITH A FOCUS TO REACH THE UNDERSERVED POPULATIONS CLOSER TO THEIR HOMES.- NEW PRIMARY CARE CLINIC ADDITIONS IN FESTUS/CRYSTAL CITY TO ADD TO THE NEWER BUILDING LOCATIONS IN HILLSBORO AND BARNHART OFFERING SERVICES TO THESE SURROUNDING COMMUNITIES IN JEFFERSON COUNTY.- CONTINUED PARTNERING WITH AREA EDUCATION PROGRAMS TO HELP PROMOTE THE TRAINING OF CRITICALLY NEEDED SERVICES FOR THE COMMUNITY INCLUDING SCHOOLS OF NURSING, RADIOLOGY AND PHARMACY.- GROWING THE NEW INTENSIVE OUTPATIENT THERAPY CENTER IN THE PRIOR YEAR WHICH EXPANDED THE CURRENT ADULT OFFERED SERVICES TO INCLUDE CARE FOR ADOLESCENT PATIENTS AS WELL.- OFFERING OF COMMUNITY COVID VACCINE SERVICES AND TESTING THROUGHOUT THE PANDEMIC TO ENSURE ALL RESIDENTS HAD ACCESS. ADDITIONAL COMMUNITY HEALTH INITIATIVES/INFORMATIONCURRENTLY NOT INCLUDED THROUGH THE REPORTING OF COMMUNITY BENEFIT OR COMMUNITY BUILDING ACTIVITIES ARE:IN KEEPING WITH MHJ'S COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITY, MHJ CLINICS (NOT UNDER HOSPITAL EIN) PROVIDE:- FREE CARE AND/OR SUBSIDIZED CARE- CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST- HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY- HEALTH EDUCATION PROGRAMS, AND- A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES.MANY OF THE PROGRAMS MENTIONED BELOW ARE PART OF OUR CURRENT COMMUNITY HEALTH IMPACT PLAN (CHIP). THESE ARE INDICATED BY ASTERISKS.ACCESS TO CAREHEALTH LEADS*HEALTH LEADS IS A SOCIAL ENTERPRISE THAT ENVISIONS A HEALTHCARE SYSTEM THAT ADDRESSES ALL PATIENTS' BASIC RESOURCE NEEDS AS A STANDARD PART OF QUALITY CARE. IN THE SPRING OF 2016, MERCY HEALTH JOINED THE HEALTH LEADS LEARNING COLLABORATIVE TO BEGIN INTEGRATING THE HEALTH LEADS PROGRAM IN ORDER TO ASSIST PATIENTS WITH HEALTH-RELATED SOCIAL NEEDS THROUGH RESOURCE REFERRAL. THIS PROGRAM IS DESIGNED FOR MERCY CLINIC JEFFERSON PATIENTS AND IS BEING FUNDED THROUGH MERCY CLINICS; THEREFORE, THE TOTAL COMMUNITY BENEFIT OF THIS PROGRAM CANNOT BE REPORTED UNDER THE EIN FOR MERCY HOSPITAL JEFFERSON.MENTAL HEALTHALIVE AND WELL COMMUNITIES*ALIVE AND WELL COMMUNITIES IS A STATE-WIDE EFFORT FORMED LOCALLY BY THE REGIONAL HEALTH COMMISSION THAT FOCUSES ON REDUCING THE IMPACT OF TOXIC STRESS AND TRAUMA ON A PERSON'S HEALTH AND WELL-BEING. MERCY ACTS AS A COMMUNITY PARTNER FOR THIS INITIATIVE AND WORKS TO CREATE A MORE TRAUMA AWARE/INFORMED COMMUNITY THROUGH TRAINING OPPORTUNITIES AND ANALYZING BEST PRACTICES IN THE FIELD OF BEHAVIORAL HEALTH. AS A SUBSET OF ALIVE AND WELL COMMUNITIES, ALIVE AND WELL JEFF CO WAS CREATED SPECIFICALLY TO ADDRESS THE UNIQUE CHALLENGES THAT THE JEFFERSON COUNTY COMMUNITY FACES. MERCY HOSPITAL JEFFERSON'S LOCAL COMMUNITY HEALTH LEADER SERVES ON THE STEERING COMMITTEE FOR ALIVE AND WELL JEFF CO. PHYSICIANSMERCY HEALTH SYSTEM HAS A LARGE NUMBER OF CLINICS, PHYSICIAN OFFICES AND OTHER HEALTHCARE FACILITIES LOCATED IN THE EAST COMMUNITY THAT ARE NOT ASSOCIATED WITH A HOSPITAL EIN. THESE CLINICS AND FACILITIES PROVIDE FINANCIAL ASSISTANCE, PARTICIPATE IN HEALTH PROFESSIONS EDUCATION (I.E. STUDENT SHADOWING) AND PROVIDE IN-KIND CONTRIBUTIONS TO THEIR COMMUNITIES.