4A (Expenses $ 6919024 including grants of $ 0) (Revenue $ 9435246)
MERCY HOSPITAL LINCOLN 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 LINCOLN PROVIDES A WIDE VARIETY OF SERVICES IN THEIR 9 BED FACILITY AND IN FY22, HAD 57,616 TOTAL CASES. MERCY HOSPITAL LINCOLN'S RADIOLOGISTS USE THE LATEST TECHNOLOGIES TO PRODUCE PRECISE IMAGES AND EXACTING TEST RESULTS. MERCY OFFERS A FULL RANGE OF DIAGNOSTIC IMAGING SERVICES FOR ADULTS AND CHILDREN. MERCY RADIOLOGISTS GIVE MORE INSIGHT INTO YOUR CONDITION, SO YOU RECEIVE AN ACCURATE DIAGNOSIS AND THE MOST EFFECTIVE TREATMENT. IN FY22, MERCY HOSPITAL LINCOLN HAD 16,050 CASES FOR THIS SERVICE LINE.

4B (Expenses $ 4975232 including grants of $ 0) (Revenue $ 6784561)
MERCY HOSPITAL LINCOLN 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 LINCOLN HAD 490 CASES AND 1,592 PATIENT DAYS FOR THIS SERVICE LINE.

4C (Expenses $ 3902379 including grants of $ 0) (Revenue $ 5321546)
MERCY HOSPITAL LINCOLN'S 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 LINCOLN HAD 461 CASES AND 1,266 PATIENT DAYS FOR THIS SERVICE LINE.

4D (Expenses $ 25621628 including grants of $ 32992) (Revenue $ 34939393)
IN ADDITION TO THE PROGRAM SERVICES DESCRIBED ABOVE, MERCY HOSPITAL LINCOLN ALSO SERVES PATIENTS IN ADDITIONAL SERVICE LINES, INCLUDING BUT NOT LIMITED TO THE FOLLOWING AREAS: EMERGENCY ROOM; NEUROSCIENCE; ORTHOPEDICS; REHABILITATION; WOMEN & INFANTS.

MERCY HOSPITAL LINCOLN
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 LINCOLN
PART V, SECTION B, LINE 5: THE VOICES OF THE PEOPLE OF LINCOLN COUNTY WERE CENTRAL TO THE HEALTH NEEDS ASSESSMENT PROCESS. MERCY HOSPITAL LINCOLN (MHL) EMPLOYED THE FOLLOWING COMMUNICATION MODES TO GATHER THOUGHTS AND CONCERNS ABOUT HEALTH CARE IN THE COMMUNITY:1. MERCY COMMUNITY HEALTH NEEDS SURVEYS2. COMMUNITY STAKEHOLDERS FOCUS GROUP3. COMMUNITY COALITION MEMBERSHIPS AND ENGAGEMENTMERCY COMMUNITY HEALTH NEEDS SURVEYS A TOTAL OF 106 INDIVIDUALS WHO STATED THEY RECEIVE THEIR HEALTH CARE IN LINCOLN COUNTY COMPLETED THE SURVEY OVER A 3-MONTH TIMEFRAME (FEBRUARY 2022 APRIL 2022). MOST PARTICIPANTS (67%) WERE RESIDENTS OF LINCOLN, WITH 22% RESIDING IN ST. CHARLES COUNTY, AND 11% FROM WARREN COUNTY.COMMUNITY STAKEHOLDERS FOCUS GROUP MERCY HOSPITAL LINCOLN INVITED COMMUNITY STAKEHOLDERS FROM THE AREA DISCUSSIONS AND HAD MULTIPLE COMMUNITY LEADERS AND MEMBERS PARTICIPATE IN THESE DISCUSSIONS. ATTENDEES INCLUDED LINCOLN COUNTY HEALTH DEPARTMENT WORKERS, REPRESENTATIVES FROM OTHER HEALTH CARE SERVICES IN THE AREA, BANKERS, CHURCH LEADERS, FARMERS, AND OTHER COMMUNITY MEMBERS. COMMUNITY COALITION MEMBERSHIPS AND ENGAGEMENT MERCY COMMUNITY HEALTH LEADER FACILITATED THE COMMUNITY HEALTH COUNCIL WHICH ENGAGED VARIOUS SOCIAL SERVICE LEADERS. IN ADDITION, COUNTY-WIDE COALITIONS WERE USED TO FOR DISSEMINATING THE IMPORTANT INFORMATION OF CHNA DEVELOPMENT. SECONDARY DATA RESEARCH UTILIZATION OF EXTERNAL SOURCES OF PUBLISHED DATA FROM REPUTABLE SOURCES INCLUDING U.S. CENSUS BUREAU AND ROBERT WOOD JOHNSON FOUNDATION THAT HIGHLIGHT DISEASE STATUS, AVAILABLE SERVICES AND OTHER IMPORTANT INFORMATION. MERCY HOSPITAL LINCOLN FOCUSES ON IDENTIFYING UNMET NEEDS AND GAPS IN HEALTH CARE, DEVELOPING PARTNERSHIPS WITH HEALTH AND SOCIAL SERVICE AGENCIES, INCREASING KNOWLEDGE OF AVAILABLE RESOURCES, MAKING CONNECTIONS AND REFERRALS, AND ADVOCATING FOR THOSE MOST VULNERABLE IN THE COMMUNITY. PARTNERING AGENCIES AND TASK FORCES IN WHICH THE CHNA WAS DEVELOPED INCLUDE:- LINCOLN COUNTY HEALTH DEPARTMENT (LCHD) JENNIFER HARRIS, DIRECTOR OF PROGRAMS- LINCOLN COUNTY HEALTHY COMMUNITIES COALITION GLENDA KEETEMAN, COMMUNITY HEALTH WORKER- LINCOLN COUNTY RESOURCE BOARD CHERI WINCHESTER, DIRECTOR, LINCOLN COUNTY KIDS- LINCOLN COUNTY COUNCIL ON AGING KELLY HARDCASTLE, EXECUTIVE DIRECTOR- LINCOLN COUNTY AND PIKE COUNTY SCHOOL DISTRICTSTHROUGH CONTINUOUS DAILY NETWORKING AND COLLABORATION, MERCY REMAINS CLOSELY ENGAGED WITH COMMUNITY PARTNERS AND INFORMED ON THE NEEDS OF THE COMMUNITIES IT SERVES.

MERCY HOSPITAL LINCOLN
"PART V, SECTION B, LINE 11: IN CONJUNCTION WITH THE CHNA, MERCY HOSPITAL LINCOLN'S BOARD ADOPTED AN IMPLEMENTATION STRATEGY IN FY23 RELATED TO THE 2021 CHNA. MERCY HOSPITAL LINCOLN WILL ADDRESS THE FOLLOWING COMMUNITY HEALTH NEEDS BEGINNING IN FY23:- BEHAVIORAL HEALTH- HOUSING INSTABILITY- TRANSPORTATION ACCESSTHESE NEEDS ARE BEING ADDRESSED IN THE HOSPITAL'S COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP), WHICH CAN BE ACCESSED HERE: HTTPS://WWW.MERCY.NET/FORMS/COMMUNITY-BENEFITS/. ACTIVITIES AND PROGRAMS WILL BE WELL DOCUMENTED IN ORDER TO PRODUCE MEASURABLE OUTCOMES. SOME NOTABLE ACHIEVEMENTS DURING 2021 INCLUDE:- 2021 PATIENTS SEEN IN THE MHL EMERGENCY DEPARTMENT AND URGENT CARE CENTER WHO HAD NOT SEEN A PRIMARY CARE PROVIDER IN RECENT YEARS OR WERE UNINSURED WERE REFERRED TO THE COMMUNITY HEALTH WORKER PROGRAM (CHW), A PARTNERSHIP WITH THE LINCOLN COUNTY HEALTH DEPARTMENT. THE CHW HELPED THE PATIENTS ESTABLISH A ""MEDICAL HOME AND/OR ADDRESSED SOCIAL DETERMINANT OF HEALTH ISSUES AND WERE SCREENED AND ASSISTED WITH APPLYING FOR MEDICAID, MARKET PLACE INSURANCE, DISABILITY OR HOSPITAL CHARITY CARE.- 2021 VIRTUAL BEHAVIORAL HEALTH PROGRAM DEVELOPED FOR URGENT ACUTE NEEDS AND ASSESSMENTS WITHIN BOTH THE EMERGENCY DEPARTMENT AND INPATIENT AREAS. THIS HELPS IN PROVIDING REAL-TIME BEHAVIORAL HEALTH SERVICES TO PATIENTS IN-NEED AND AT-RISK OF CRISIS.- 2021 MERCY BROUGHT IN ORTHOPEDIC SERVICES TO EXTEND ACCESS TO KEY JOINT AND OTHER HEALTHCARE SERVICES THAT WERE NOT WITHIN THE COMMUNITY. ESTABLISHING CARE WITH ANY SPECIALISTS INCLUDING ORTHOPEDICS TOOK EXTENDED PERIOD OF TIME. - 2021 MERCY PARTICIPATED IN THE EMERGENCY ROOM ENHANCEMENT PROJECTS (ERE) IN PARTNERSHIP WITH AREA MENTAL HEALTH PROVIDERS AND BEHAVIOR HEALTH NETWORK TO ADDRESS MENTAL HEALTH PATIENTS WHO ARE HIGH UTILIZERS OF EMERGENCY ROOMS. ERE STREAMLINES THE PROCESS FOR PATIENTS IN OBTAINING THE APPROPRIATE LEVEL OF BEHAVIORAL HEALTH CARE SERVICES NEEDED AND REDUCES PREVENTABLE HOSPITAL READMISSIONS FOR MENTAL HEALTH SERVICES.- 2021 MERCY PARTICIPATED IN THE ENGAGING PATIENTS IN CARE COORDINATION (EPICC) IN PARTNERSHIP WITH AREA SUBSTANCE USE TREATMENT PROVIDERS AND BEHAVIORAL HEALTH NETWORK TO EXPEDITE THE INITIATION OF REHABILITATION AND ACCESS TO MEDICATION-ASSISTED TREATMENT, COUNSELING, BEHAVIORAL THERAPY AND A PEER-SUPPORT SPECIALIST. PATIENTS WHO HAVE BEEN BROUGHT TO MHL EMERGENCY DEPARTMENT FROM AN OPIOID OVERDOSE ARE OFFERED THIS SERVICE AT NO CHARGE. RECOGNIZING THE ONGOING ECONOMIC HARDSHIP, STRESS AND EMOTIONAL TRAUMA THAT THE COVID-19 PANDEMIC CONTINUES TO BRING TO INDIVIDUALS AND FAMILIES AND UNDERSTANDING THAT IT IS OFTEN THE MOST VULNERABLE THAT ARE IMPACTED THE MOST IN TIMES OF CRISIS, MERCY CONTINUED TO ENGAGE WITH COMMUNITY PARTNERS IN COVID-19. 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 LINCOLN, THE COMMUNITY HEALTH LEADER COLLABORATED WITH LOCAL SOCIAL SERVICE AND HOMELESS SERVING AGENCIES AND HEALTHCARE PROVIDERS IN ORDER TO SUCCESSFULLY ENACT A PLAN THAT ALIGNS LOCAL RESOURCES WITH REGIONAL PROTOCOLS. OTHER COMMUNITY SERVICES OFFERED BY MERCY HOSPITAL ST. LOUIS DURING THE COVID-19 PANDEMIC INCLUDE COMMUNITY COVID-19 TESTING SITES, GASOLINE ASSISTANCE FOR CO-WORKERS, COVID-10 VACCINATION SITES AND OTHER COMMUNITY RESOURCES.MANY OF THE COMMUNITY COMMENTS OR CONCERNS WE HEARD WERE ASKING TO BRING MORE HEALTH CARE SERVICES TO LINCOLN COUNTY, SUCH AS OB/GYN, SPECIALTY CARE AND PHARMACIES. LINCOLN COUNTY WAS DECLARED A HEALTH PROFESSIONAL SHORTAGE AREA BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES IN 2015 WHICH ENCOMPASSES PRIMARY CARE, DENTAL/ORAL CARE, AND MENTAL HEALTH SERVICES. ADVANCEMENTS IN SCIENCE AND TECHNOLOGY ARE MAKING TELE-HEALTH A REALITY AND MORE READILY AVAILABLE TO THOSE IN RURAL COMMUNITIES.MHL WILL CONTINUE TO SUPPORT, COLLABORATE AND PARTNER WITH COMMUNITY AGENCIES TO ADDRESS THESE ADDITIONAL COMMUNITY NEEDS: - ACCIDENTAL INJURIES/VIOLENCE: DOMESTIC, ELDERLY, CHILD ABUSE, AND TRAFFICKINGMHL WORKS CLOSELY WITH DOMESTIC VIOLENCE, SEX TRAFFICKING AND FAMILY SERVICES AGENCIES, SUCH AS BRIDGEWAY BEHAVIORAL HEALTH WOMEN'S SHELTER, LINCOLN COUNTY RESOURCE BOARD, TURNING POINT AND LOCAL LAW ENFORCEMENT TO ENSURE PATIENTS ARE GIVEN SAFE CHOICES WHILE IN A HOSPITAL SETTING. MERCY HAS BEGUN SAFETY AWARENESS AND EDUCATIONAL CAMPAIGNS WHICH INCLUDES INTERNAL TRAINING VIDEOS, RESTROOM RESOURCE POSTERS, AND THE INCORPORATION OF A SAFETY SCREENING/REFERRAL QUESTION WHICH CUES UP IN EACH PATIENT'S MERCY'S ELECTRONIC MEDICAL RECORD (EMR).- HEALTHY LIFESTYLES: HEART DISEASE, HIGH BLOOD PRESSURE, OBESITY/POOR NUTRITION/PHYSICAL INACTIVITYMERCY HAS PRIORITIZED IMPROVING HEALTHY LIFESTYLES AMONG ITS 10,000+ COWORKERS IN THE EAST COMMUNITY. THE HEALTHIFICATION PROGRAM IS A ROBUST INITIATIVE THAT PROVIDES COMPREHENSIVE HEALTH EVALUATION, SCREENING, EDUCATION, AND INCENTIVES TO INCREASE HEALTHY BEHAVIORS AND IMPROVE HEALTH AMONG MERCY COWORKERS. MERCY CLINIC ALSO OFFERS A VARIETY OF PROGRAMS AND SERVICES TO ADDRESS CHRONIC CONDITIONS AND A HEALTHY LIFESTYLE.- CANCERS: COLON, RECTUM AND LUNGCOMMUNITY CANCER SCREENINGS AND EDUCATION CONTINUE TO BE OFFERED REGIONALLY. EFFORTS TO ADDRESS TOBACCO CESSATION WILL CONTINUE THROUGH MERCY'S CERTIFIED HEALTH AND WELLNESS COACH/MERCY ROAD TO FREEDOM PROGRAM THROUGH MERCY'S CARDIOPULMONARY REHAB AREA. ADDITIONALLY, MERCY WILL CONTINUE TO ADVOCATE AROUND MEASURES THAT PROMOTE TOBACCO CESSATION. ST. LOUIS CITY AND COUNTY HAVE LEGALLY RAISED THE AGE TO PURCHASE TOBACCO PRODUCTS TO AGE 21. MHL WILL LOOK FOR OPPORTUNITIES TO EXPAND THIS LEGISLATION TO LINCOLN COUNTY WHERE THE AGE IS 18. ADDITIONAL NEEDS NOT BEING ADDRESSED AND WHY- PHYSICAL ENVIRONMENT: AIR/WATER QUALITY AND HOUSINGIN THE CATEGORY OF PHYSICAL ENVIRONMENT, MHL HAS CHOSEN TRANSPORTATION, UNDER THE ACCESS TO CARE PRIORITY, BUT NOT AIR/WATER OR HOUSING ISSUES DIRECTLY. COLLABORATION WITH LOCAL COALITIONS ADDRESSING HOMELESSNESS AND HOUSING WILL CONTINUE AS WILL MERCY'S SUPPORT OF INDUSTRY, GOVERNMENT, NON-GOVERNMENTAL ORGANIZATIONS AND THE PUBLIC IN ADDRESSING AIR AND WATER QUALITY IN OUR AREA. IN 2018, MERCY OPENED THEIR DOORS TO BE AN EMERGENCY OVERNIGHT WINTER SHELTER TO PREVENT THOSE IN NEED FROM FREEZING TO DEATH."

MERCY HOSPITAL LINCOLN
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/LINCOLN-CHNA-2022.PDF

FORM 990, SCHEDULE H, PART V, SECTION B, LINE 10A
HTTPS://WWW.MERCY.NET/CONTENT/DAM/MERCY/EN/PDF/CHIP/MERCY-LINCOLN-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, LN 7 COL(F):
TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) ARE $47,472,493. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $5,225,281. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $42,247,212.

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 LINCOLN (MHL) WAS ACQUIRED FROM LINCOLN COUNTY MEDICAL CENTER IN MARCH 2015 AS A CRITICAL ACCESS HOSPITAL. OUR COMMUNITY BUILDING ACTIVITIES HAVE CONTINUED TO PROMOTE THE HEALTH, WELLNESS AND SAFETY OF THE COMMUNITY IN WHICH 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. MERCY HOSPITAL LINCOLN PARTNERS WITH ORGANIZATIONS, CHURCHES, SCHOOLS AND AREA BUSINESSES TO CONTINUALLY STRIVE TO IMPROVE THE OVERALL HEALTH AND STRENGTH OF THE COMMUNITIES THEY SERVE WITH SPECIAL FOCUS ON THOSE WHO ARE POOR. SOME OF THESE COMMUNITY BUILDING PARTNERSHIPS AND COMMUNITY ENGAGEMENT ACTIVITIES INCLUDE:- LINCOLN COUNTY HEALTH DEPARTMENT- LINCOLN COUNTY RESOURCE BOARD- LINCOLN COUNTY COUNCIL ON AGING/SENIOR TASK FORCE- STS. JOACHIM & ANN CARE SERVICE- TROY AREA CHAMBER OF COMMERCEIN ADDITION, MHL ACTIVELY PARTICIPATES IN COALITIONS THAT ALIGN WITH THE HOSPITAL'S CHNA TOP HEALTH PRIORITIES OF ACCESS TO CARE AND SUBSTANCE USE, SUCH AS:- LINCOLN COUNTY HEALTHY COMMUNITIES- D.A.R.T. DRUG ALCOHOL REDUCTION TEAM TASK FORCE- ST. CHARLES, WARREN & LINCOLN COUNTY CONTINUUM OF CARE FOR ENDING HOMELESSNESSCASH/IN-KIND DONATIONSMERCY PROVIDES CASH AND IN-KIND DONATIONS ALL YEAR LONG 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 2021, CASH DONATIONS WERE GIVEN TO ORGANIZATIONS THROUGHOUT THE COMMUNITY THAT INCLUDED:- LINCOLN COUNTY COUNCIL ON AGING - MOSCOW MILLS LIONS CLUB- TROY BUCHANAN HIGH SCHOOL- TROY FUTURE FARMERS OF AMERICAA FULL DESCRIPTION OF OUR COMMUNITY BUILDING ACTIVITIES CAN BE FOUND ATWWW.MERCY.NET/ABOUT/COMMUNITY-BENEFITS.

PART III, LINE 2:
TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE, AT COST, BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENT ACCOUNTS WAS MULTIPLIED BY A RATIO OF COST TO CHARGES. THE RATIO OF COST TO CHARGES USED WAS BASED ON DETAILED COST ACCOUNT, WHERE AVAILABLE. WHERE COST ACCOUNTING IS NOT AVAILABLE, COST REPORT COST TO CHARGE RATIOS WERE UTILIZED.

PART III, LINE 3:
THE FILING ORGANIZATION DETERMINED THAT THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS $0. ALTHOUGH THE CHARITY CARE POLICY REQUIRES THE PARTICIPATION OF THE PATIENT REQUESTING ASSISTANCE, WE HAVE A PROCESS UNDER PRESUMPTIVE CHARITY TO ADDRESS ACCOUNTS FOR PATIENTS WHO DO NOT PROVIDE THE INFORMATION. WE BELIEVE THAT OUR CHARITY POLICY IS COMPREHENSIVE ENOUGH TO CAPTURE ALMOST ALL PATIENTS WHO QUALIFY FOR CHARITY CARE.

PART III, LINE 4:
THE TEXT OF THE FOOTNOTE THAT IS INCLUDED IN MERCY HEALTH AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE FOLLOWS:IN MAY 2014, THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) AND INTERNATIONAL ACCOUNTING STANDARDS BOARD ISSUED ACCOUNTING STANDARDS UPDATE (ASU) 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606). THE HEALTH SYSTEM ADOPTED ASU 2014-09 ON JULY 1, 2018 USING A FULL RETROSPECTIVE BASIS. UPON ADOPTION, THE MAJORITY OF WHAT WAS PREVIOUSLY CLASSIFIED AS PROVISION FOR UNCOLLECTIBLE ACCOUNTS AND PRESENTED AS A REDUCTION TO PATIENT SERVICE REVENUE ON THE CONSOLIDATED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS IS TREATED A PRICE CONCESSION THAT REDUCES THE TRANSACTION PRICE, WHICH IS REPORTED AS PATIENT SERVICE REVENUE. AS SUCH, BAD DEBT EXPENSE IS NOT REFERENCED IN MERCY HEALTH AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS. BAD DEBT EXPENSE IS TRACKED FOR FORM 990 REPORTING AS FOLLOWS: PATIENT ACCOUNTS RECEIVABLE THAT ARE DEEMED UNCOLLECTIBLE, INCLUDING THOSE PLACED WITH COLLECTION AGENCIES, ARE INITIALLY CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN ACCORDANCE WITH COLLECTION POLICIES OF THE HEALTH SYSTEM AND, IN CERTAIN CASES, ARE RECLASSIFIED TO CHARITY CARE IF DEEMED TO OTHERWISE MEET THE HEALTH SYSTEM'S CHARITY CARE POLICY. THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES BASED UPON THE PAYOR COMPOSITION AND AGING OF RECEIVABLES WITH CONSIDERATION OF THE HISTORICAL PAYMENT AND WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES.

PART III, LINE 8:
IT IS THE POSITION OF MERCY HOSPITALS EAST COMMUNITIES 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 LINCOLN INCLUDES 14 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 68,080. THE MEDIAN HOUSEHOLD INCOME IS $57,000. 40.2% OF THE POPULATION IS 45 AND OLDER. 89% OF THE POPULATION IS A HIGH SCHOOL GRAD OR GREATER AND THE MEDIAN AGE IS 37.

PART VI, LINE 7, REPORTS FILED WITH STATES
MO

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

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:
"COMMUNITY HEALTH NEEDS ASSESSMENT PROCESSIN MARCH OF 2022, MERCY HOSPITAL LINCOLN (MHL) BEGAN PLANNING FOR ITS 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA).A COMMUNITY HEALTH COUNCIL (CHC), LED BY THE ADMINISTRATOR OF MERCY HOSPITAL LINCOLN, WAS FORMED AND GUIDED THE NEEDS ASSESSMENT PROCESS. THE COUNCIL CONVENES QUARTERLY AND IS ACCOUNTABLE FOR ENSURING THAT COMMUNITY BENEFIT ACTIVITIES MEET MISSION COMPLIANCE AND IRS GUIDELINES. IT CONSISTS OF MERCY LEADERS FROM VARIOUS DEPARTMENTS, SUCH AS BEHAVIORAL HEALTH, FINANCE, CARE MANAGEMENT, PHILANTHROPY, ETC., IN ADDITION TO A HOSPITAL BOARD MEMBER. THE COUNCIL DETERMINES WHICH HEALTH INITIATIVES WILL BE PUT FORTH IN THE HOSPITAL'S THREE-YEAR COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP).CO-WORKERS IN MERCY'S COMMUNITY HEALTH & ACCESS DEPARTMENT SERVED ON THE COUNCIL AND WERE THE PRIMARY LEADS OF THE 2022 CHNA. LINCOLN COUNTY HEALTH DEPARTMENT PROVIDED SUPPORT BY COLLECTING AND REVIEWING DATA FROM VARIOUS SOURCES. THESE INCLUDED SURVEYS, FOCUS GROUPS, PUBLISHED DATA, AND HOSPITAL-SPECIFIC DATA.THE VOICES OF THE PEOPLE OF LINCOLN COUNTY WERE CENTRAL TO THE HEALTH NEEDS ASSESSMENT PROCESS. MHL GATHERED COMMUNITY INPUT THROUGH:- SURVEYS - ONLINE AND PRINTED (FOR THOSE WITH NO COMPUTER ACCESS)- COMMUNITY FOCUS GROUP- SECONDARY DATA RESEARCHEXTERNAL SOURCES OF PUBLISHED DATA AREA AS FOLLOWS:1. COUNTY HEALTH RANKINGS 2020WWW.COUNTYHEALTHRANKINGS.ORGTHIS RESOURCE PROVIDES COUNTY-LEVEL DATA ON IMPORTANT HEALTH INDICATORS UPDATED ANNUALLY BY THE UNIVERSITY OF WISCONSIN-POPULATION HEALTH INSTITUTE AND THE ROBERT WOOD JOHNSON FOUNDATION.2. CDC COMMUNITY HEALTH STATUS INDICATOR REPORTHTTP://WWWN.CDC.GOV/COMMUNITYHEALTH/PROFILE/CURRENTPROFILE/MO/LINCOLN/COMMUNITY HEALTH STATUS INDICATORS (CHSI) 2020 IS AN ONLINE WEB APPLICATION THAT PRODUCES HEALTH STATUS PROFILES FOR EACH OF THE 3,143 COUNTIES IN THE UNITED STATES AND THE DISTRICT OF COLUMBIA. SUMMARY COMPARISON REPORTS PROVIDE AN ""AT A GLANCE"" SUMMARY OF HOW THE SELECTED COUNTY COMPARES WITH PEER COUNTIES ON THE FULL SET OF PRIMARY INDICATORS. (APPENDIX D)3. MISSOURI DEPARTMENT OF HEALTH & SENIOR SERVICES BUREAU OF HEALTH INFORMATION AND MICA (MISSOURI INFORMATION FOR COMMUNITY ASSESSMENT)HTTP://HEALTH.MO.GOV/DATA/COMMUNITYDATAPROFILES/INDEX.HTMLTHIS RESOURCE PROVIDES COMMUNITY HEALTH ASSESSMENT PLANNING TOOLS AND COMMUNITY DATA PROFILES ON THIRTY HEALTH INDICATORS ON ALL 115 OF MISSOURI'S COUNTIES.4. COMMUNITY COMMONSHTTP://WWW.COMMUNITYCOMMONS.ORG/THIS RESOURCE IS DESIGNED TO ASSIST HOSPITALS AND OTHER ORGANIZATIONS SEEKING TO BETTER UNDERSTAND THE NEEDS AND ASSETS OF THEIR COMMUNITIES, AND TO ENCOURAGE COLLABORATION TO MAKE MEASURABLE IMPROVEMENTS IN COMMUNITY HEALTH AND WELL-BEING.PRIORITIZED SIGNIFICANT COMMUNITY HEALTH NEEDS THE NOMINAL GROUP TECHNIQUE WAS USED IN THE PRIORITY SETTING PROCESS. THE MERCY HOSPITAL LINCOLN COMMUNITY HEALTH 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 HOSPITALS 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 HOSPITAL AND IN THE COMMUNITY, THE FOLLOWING PRIORITIES WERE SELECTED: - HOUSING INSTABILITY- SUBSTANCE USE / MENTAL HEALTH- OBESITYTHE COMMUNITY HEALTH COUNCILS THEN CREATED COMMUNITY HEALTH IMPROVEMENT PLANS (CHIP) FOR THEIR HOSPITAL, IDENTIFYING SPECIFIC INITIATIVES RELATED TO IMPROVING EACH OF THESE HEALTH PRIORITIES. THE CHIPS WERE DESIGNED WITH REALISTIC, MEASURABLE, AND ATTAINABLE GOALS THAT ALIGN WITH THE MISSION AND STRATEGY OF THE ORGANIZATIONS."

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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) INCLUDES 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 HEALTHMERCY PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. MERCY IS A CATHOLIC HEALTH CARE CORPORATION THAT, PURSUANT TO THE ORGANIZATIONAL CORE BELIEF, THAT HEALTH CARE SERVICES ARE A VITAL AND INTEGRAL PART OF THE CHURCH'S HEALING MISSION, ENGAGES IN A MINISTRY WHICH PROVIDES GENERAL ACUTE CARE, AMBULATORY, LONG-TERM AND HOME CARE HEALTH SERVICES TO INDIVIDUALS AND FAMILIES IN ITS COMMUNITIES. MERCY OFFERS SERVICES AND PROGRAMS WHICH FURTHER HEALTH PROMOTION, MAINTENANCE AND CARE TO THE COMMUNITY. PROGRAMS PROVIDED TO MEET THE COMMUNITY INCLUDE SUPPORT GROUPS, OUTREACH EVENTS, BLOOD DRIVES, AND CO-WORKER WORKDAYS. MERCY IS GOVERNED BY A BOARD OF DIRECTORS WHICH INCLUDES REPRESENTATION FROM COMMUNITY LEADERS FROM A VARIETY OF SECTORS. ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY. ANY POTENTIAL CONFLICTS OF INTEREST DISCLOSED ARE REVIEWED AND RESOLVED. THIS PROCESS ENSURES THAT PUBLIC, RATHER THAN PRIVATE INTERESTS ARE SERVED. SURPLUS FUND AND UNRESTRICTED ASSETS HELD ARE REINVESTED IN PATIENT CARE, MEDICAL EDUCATION AND RESEARCH INITIATIVES WHICH SUPPORT THE ORGANIZATION'S MISSION TO DELIVER COMPASSIONATE CARE AND EXCEPTIONAL HEALTH CARE SERVICES TO THE COMMUNITIES IT SERVES.OPEN MEDICAL STAFFMEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR NEARLY ALL OF OUR DEPARTMENTS. MERCY HOSPITAL LINCOLN HAS EXCLUSIVE CONTRACTS WITH PHYSICIAN GROUPS FOR THE FOLLOWING SERVICES: RADIOLOGY AND PATHOLOGY. THIS MEANS THAT GREATER THAN 90% OF THE PHYSICIANS ON STAFF ARE IN CATEGORIES THAT ARE OPEN TO QUALIFIED PHYSICIANS IN THE COMMUNITY.COMMUNITY BOARDS - 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 SHORT MERCY HOSPITAL LINCOLN FY22 BOARD MEMBERSSARAH BURKEMPERDON KALICAKJOHN KELLYBRADLEY MASSEY, DODR. MARK PENNYDR. TIM RELLERHARVEY RHOADSSR. CLAUDIA WARD RSM USE OF SURPLUS FUNDSSURPLUS FUNDS AND UNRESTRICTED ASSETS HELD BY MERCY HOSPITAL LINCOLN 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:- MERCY HOSPITAL AND MERCY CLINICS IN LINCOLN CONTINUED OPERATIONS ON EPIC, OUR ELECTRONIC HEALTH RECORD SYSTEM. BESIDES CONNECTING THE LINCOLN HOSPITAL WITH MERCY HOSPITALS AND 300 OUTPATIENT FACILITIES ACROSS ARKANSAS, KANSAS, MISSOURI AND OKLAHOMA, THE ELECTRONIC HEALTH RECORD ALSO SERVES AS A CENTRAL STORAGE POINT FOR MEDICAL INFORMATION. THIS ""ONE PATIENT, ONE RECORD"" CONCEPT MAKES HEALTH CARE EASIER, SAFER AND MORE EFFECTIVE.- OPENED A NEW ORTHOPEDIC OFFICE ON SITE THAT SEES PATIENTS FROM THE LOCAL PRIMARY CARE OFFICES AS WELL AS THE URGENT CARE AND EMERGENCY DEPARTMENT. OFTEN TIMES THEY CAN BE SEEN THE SAME DAY. - CONTINUED EXPANSION OF PRIMARY CARE AND SPECIALTY CARE PHYSICIANS TO THE MERCY HOSPITAL LINCOLN SERVICE AREA WITH A FOCUS TO REACH THE UNDERSERVED POPULATIONS CLOSER TO THEIR HOMES- 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- CONTINUED PARTNERING WITH THE LINCOLN COUNTY RESOURCE BOARD TO ADDRESS THE BEHAVIORAL HEALTH NEEDS OF THE COUNTYADDITIONAL COMMUNITY HEALTH INITIATIVE/INFORMATIONCURRENTLY NOT INCLUDED THROUGH THE REPORTING OF COMMUNITY BENEFIT OR COMMUNITY BUILDING ACTIVITIES ARE:IN KEEPING WITH MHL'S COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITY, MHL PROVIDES:- 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.NUMEROUS COLLECTION DRIVES BY CO-WORKERS ARE HELD THROUGHOUT THE YEAR AND THE ITEMS, SUCH AS FOOD, CLOTHING, PERSONAL CARE ITEMS, GAS CARDS, SCHOOL SUPPLIES AND OTHER CRITICAL ITEMS ARE DONATED TO NON-PROFIT AGENCIES TO DISTRIBUTE TO THEIR CLIENTS. MERCY NEIGHBORHOOD MINISTRY (MNM)MERCY NEIGHBORHOOD MINISTRY IS A DEPARTMENT THAT SUPPORTS THE SERVICE AREAS OF MERCY HOSPITALS LINCOLN, ST. LOUIS, WASHINGTON, JEFFERSON AND THE SURROUNDING COUNTIES. IT FOCUSES ON CONNECTING THE ECONOMICALLY UNDERSERVED WITH APPROPRIATE HEALTH AND SOCIAL SERVICES AS WELL AS OVERALL COMMUNITY HEALTH AND ACCESS THROUGH PROMOTION AND EDUCATION OF AVAILABLE PROGRAMS. MNM PARTNERS WITH OVER 100 COMMUNITY HEALTH AND SOCIAL SERVICE AGENCIES, CLINICS, CHURCHES AND SCHOOLS. NEARLY HALF OF ITS ANNUAL EXPENSES ARE OFFSET THROUGH MERCY FOUNDATION. MANY OF THE PROGRAMS MENTIONED BELOW ARE PART OF OUR CURRENT COMMUNITY HEALTH IMPACT PLAN (CHIP). THESE ARE INDICATED BY ASTERISKS.ACCESS TO CAREMERCY ELIGIBILITY PROGRAM*SINCE THE BEGINNING OF OPEN ENROLLMENT THROUGH THE AFFORDABLE CARE ACT IN AUGUST 2013, MERCY HAS HELPED THOSE IN NEED OF AFFORDABLE HEALTH INSURANCE TO ENROLL IN PLANS AND/OR EDUCATE THEM ABOUT THEIR OPTIONS. ENROLLMENTS TO-DATE TOTAL OVER 1,000 COVERED LIVES AND ATTENDED EVENTS RESULTING IN EDUCATIONAL OPPORTUNITIES IN UNDERSTANDING THE TERMINOLOGY AND USAGE OF HEALTH INSURANCE.BEHAVIORAL HEALTH SUBSTANCE USEPDMP*AS MISSOURI IS THE ONLY STATE IN THE UNION WITHOUT A PRESCRIPTION DRUG MONITORING PROGRAM, ADVOCACY EFFORTS CONTINUE TO APPEAL TO THE STATE. PROVIDER EDUCATION CONTINUES TO PROMOTE USING THE ST. LOUIS COUNTY/MULTI-COUNTY SYSTEM IN PLACE. NARCAN TRAINING*MERCY HOSPITAL WASHINGTON ENTERED INTO PARTNERSHIP TO TRAIN FIRST RESPONDERS IN SEVERAL COUNTIES ON THE USE OF NARCAN (NALOXONE) WHICH REVERSES THE EFFECTS OF AN OPIOID OVERDOSE AND STORE THE NALOXONE AT MERCY. LINCOLN COUNTY AND MERCY HOSPITAL LINCOLN WERE PART OF THE PARTNERSHIP.MERCY ROAD TO FREEDOMTHIS PROGRAM WAS OFFERED TO THE COMMUNITY AND MERCY CO-WORKERS AS A TELEPHONIC, ONE-ON-ONE SUPPORT SYSTEM WITH A SPECIALTY TRAINED COUNSELOR TO STOP USING TOBACCO PRODUCTS. SINCE 2013, OVER 100 PEOPLE HAVE KICKED THE HABIT.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."