4A (Expenses $ 16609193 including grants of $ 0) (Revenue $ 18053518)
OUTPATIENT SERVICE: THERE WERE 11,735 OUTPATIENT VISITS. MEDICARE PATIENTS ACCOUNTED FOR 37.6% AND MEDICAID PATIENTS WERE 11.3%.

4B (Expenses $ 2593181 including grants of $ 0) (Revenue $ 2818682)
EMERGENCY SERVICES: TOTAL PATIENTS SEEN IN THE EMERGENCY ROOM WERE 2,687, OF THAT AMOUNT 25.4% OF REVENUE WAS FROM MEDICARE PATIENTS AND 26.1% WAS FROM MEDICAID PATIENTS.

4C (Expenses $ 1090220 including grants of $ 35420) (Revenue $ 1185025)
INPATIENT HOSPITAL CARE: OUR ACUTE CARE AND SWINGBED PROGRAM SAW A TOTAL OF 1,776 PATIENT DAYS. MEDICARE PATIENT DAYS CONSISTED OF 1,144 DAYS OR 64.4% OF TOTAL DAYS. MEDICAID PATIENT DAYS WERE 2.2% OR 39 PATIENT DAYS.

Schedule H, Part V, Section B, Line 3E
The significant health needs of the community are a prioritized description of various factors including: - Mental Health; - Poverty; AND - Obesity These significant health needs are identified through The Community Health Needs Assessment (CHNA).

Schedule H, Part V, Section B, Line 5 Facility , 1
Facility , 1 - Northwest Medical Center Association (Mosaic-Albany). Northwest Medical Center Association (Mosaic-Albany) conducted a Community Health Needs Assessment (CHNA) during tax year 2021 TO DETERMINE SERVICES NEEDED BY THE MEDICALLY UNDERSERVED, LOW INCOME OR MINORITY POPULATIONS. TO ENSURE INPUT WAS TAKEN INTO ACCOUNT FROM PERSONS WHO REPRESENT THE COMMUNITY, Mosaic-Albany UTILIZED AN INDEPENDENT CONSULTING FIRM NAMED CROWE, LLP. THIS FIRM CONDUCTED the key stakeholder interviews. THE FOLLOWING THREE NEEDS WERE CHOSEN TO BE addressed over the next three years. - MENTAL HEALTH - POVERTY - OBESITY Key Stakeholder Interviews: Community input was obtained through one-on-one key stakeholder interviews that were performed with community leaders from eight community organizations/agencies representing public health, senior living facilities, social service organizations and government agencies. To assure the medically underserved were represented in this CHNA, interviews were conducted with representatives from the following organizations: Albany Chamber of Commerce, City of Albany, Missouri, City of Grant City, Missouri, Grand River Regional Ambulance District, Northwest Medical Center, Northwest Medical Center Foundation, Pine View Manor Skilled Nursing and Assisted Living and Tri County Health Department. The key stakeholder Interviews were conducted between November 4th and 5th of 2021. To ensure consistency in the topics covered a semi-structured interview guide was used. All interviews were conducted by Crowe, LLP. Feedback was gathered on pressing health care concerns, access challenges and identification of populations with serious unmet health care needs. Approaches to improve the community's health were also solicited to ensure community benefit programs and resources are focused on significant health needs as perceived by the community at large. This alignment Mosaic-Albany's mission, services and strategic priorities.

Schedule H, Part V, Section B, Line 11 Facility , 1
Facility , 1 - Northwest Medical Center Association (Mosaic-Albany). THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED AND AN IMPLEMENTATION PLAN FOR ADDRESSING THE IDENTIFIED NEEDS WAS ADOPTED IN THE 2021 TAX YEAR. THE THREE PRIMARY HEALTH ISSUES IDENTIFIED WERE: 1) Mental Health; 2) Poverty; AND 3) Obesity TO ADDRESS THE TOP THREE NEEDS IDENTIFIED BY THE COMMUNITY HEALTH NEEDS ASSESSMENT, Northwest Medical Center Association (Mosaic-Albany) ADOPTED THE FOLLOWING ACTION PLAN FOR TAX YEARS 2022, 2023, AND 2024. SIGNIFICANT NEED #1 Mental Health: A) Working to get more mental health providers hired to meet the needs of the region, since there is a significant shortage of providers available to serve this population. B) Collaborate with the Northwest Missouri Cooperative Mental Health Board. C) Expand telehealth visits in the Emergency Department to provide mental health services. D) Work with local schools to have school assemblies and programs to promote mental health, healthy living and healthy family relationships. KEY PARTNERS: - TRI-COUNTY HEALTH DEPARTMENT - MOSAIC LIFE CARE (ST. JOSEPH, MO) - AREA SCHOOLS (ALBANY, WORTH COUNTY, STANBERRY, KING CITY, JEFFERSON) - Northwest Missouri Cooperative Mental Health Board SIGNIFICANT NEED #2 Poverty: A) Provide financial counselors to assist the public in understanding and navigating their coverage options, applying for Medicare or Medicaid if applicable. B) Provide elder fraud education. KEY PARTNERS: - TRI-COUNTY HEALTH DEPARTMENT - BTC Bank SIGNIFICANT NEED #3 Obesity: A) WELLNESS FAIRS/EDUCATION EVENTS FOR PATIENTS WITH DIABETES AND OTHER CHRONIC CONDITIONS. B) HOST ON-SITE WELLNESS PROGRAM IN OUR ON-SITE HOSPITAL FITNESS GYM IN ADDITION TO CARDIOPULMONARY REHAB SERVICES. C) Walk with a Doc with didactic health education session. KEY HEALTH PARTNERS: - MOSAIC LIFE CARE (ST. JOSEPH, MO) - City of Albany THE COMPLETE CHNA WITH IMPLEMENTATION STRATEGY CAN BE FOUND AT: https://www.mymlc.com/General/Community-Health-Needs-Assessment/albany-community-health-needs-assessment/

Schedule H, Part V, Section B, Line 20 Facility , 1
Facility , 1 - Northwest Medical Center Association (Mosaic-Albany). FINANCIAL COUNSELORS ARE AVAILABLE ONSITE TO EXPLAIN AND HELP PATIENTS AND RESPONSIBLE PARTIES WITH THE FINANCIAL ASSISTANCE POLICY. SEE FINANCIAL ASSISTANCE POLICY FOR COMPLETE DESCRIPTION OF EFFORTS MADE BEFORE INITIATING COLLECTION ACTIONS.

Schedule H, Part I, Line 3c
Not Applicable

Schedule H, Part I, Line 6a
Not Applicable

Schedule H, Part I, Line 7f
Northwest Medical Center Association (Mosaic-Albany) did not report bad debt expense as part of operating expenses for health professions education for year ended 06/30/22. NO BAD DEBT EXPENSE IS REPORTED ON FORM 990, PART IX, LINE 25, AS IT IS REPORTED ON FORM 990, PART VIII, LINE 2A IN NET PATIENT SERVICE REVENUE. THE ORGANIZATION'S TOTAL COMMUNITY BENEFIT EXPENSE (SCHEDULE H, PART I, LINE 7, COLUMN (C)) AS A PERCENTAGE OF TOTAL EXPENSES IS 16.83%, AND THE PERCENTAGE INCREASES TO 57.00% IF MEDICARE ALLOWABLE COSTS (SCHEDULE H, PART III, SECTION B, LINE 6) ARE INCLUDED IN TOTAL COMMUNITY BENEFIT EXPENSE.

Schedule H, Part I, Line 7g
On March 11, 2020, the World Health Organization (WHO) declared the novel coronavirus disease (COVID-19) a pandemic. The Center for Disease Control (CDC) confirmed its spread to the United States and it was declared a national public health emergency, followed by state of emergency declarations (including by the Governor of Missouri), and the Centers for Medicare and Medicaid Services (CMS) issuing guidance regarding elective procedures. The COVID-19 pandemic has caused significant disruption to the national economy as well as Mosaic's operations. In 2022, the COVID-19 pandemic continued to impact Mosaic's business as well as patients, communities and employees. With the COVID-19 pandemic Mosaic-Albany has incurred significant increase in expenses related to the following items: 1. Personal Protective Equipment (PPE) 2. Pharmacy Expenses 3. Labor Costs 4. Supplies and various other expenses During FY22, Mosaic-Albany experienced a net increase of $110,000 in Covid-19 expenses, which is reflected in Part I, Line 7g.

Schedule H, Part I, Line 7b
DURING THE YEAR-ENDED 06/30/22, NORTHWEST MEDICAL CENTER ASSOCIATION (MOSAIC-ALBANY) INCREASED THE ESTIMATED MEDICAID FEDERAL REIMBURSEMENT ALLOWANCE PROGRAM LIABILITY RELATED TO PRIOR PROGRAM YEARS BY APPROXIMATELY $470,000, THEREBY DECREASING PATIENT SERVICE REVENUE BY THE SAME AMOUNT. THIS CHANGE IN ESTIMATE WAS THE RESULT OF THE STATE OF MISSOURI PROVIDING MOSAIC FINAL SETTLEMENT NOTIFICATIONS DURING THE YEAR ENDED JUNE 30, 2022. DUE TO THE SUBJECTIVITY INVOLVED IN MAKING THESE ESTIMATES DUE TO THE LACK OF HISTORICAL PRECEDENCE WITH RESPECT TO HOW THE STATE ADMINISTERS THE PROGRAM, THERE IS AT LEAST A REASONABLE POSSIBILITY THAT RECORDED ESTIMATES WILL CHANGE BY A MATERIAL AMOUNT IN THE NEAR TERM.

Schedule H, Part I, Line 7g Subsidized Health Services
CERTAIN COVID-19 COSTS WERE SUBSIDIZED WITH PROVIDER RELIEF FUNDS.

Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance
THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE WAS THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2. FINANCIAL ASSISTANCE AT COST WAS $645,000 AND $483,000 FOR YEARS ENDED 6/30/22 AND 6/30/21, RESPECTIVELY. MEDICAID NET COMMUNITY BENEFIT EXPENSE WAS $470,000 AND $122,000 FOR THE YEARS ENDED 6/30/22 AND 6/30/21, RESPECTIVELY. THE NORTHWEST MEDICAL CENTER ASSOCIATION (MOSAIC-ALBANY) RECEIVES REIMBURSEMENT FROM THE MEDICAID PROGRAM IN RELATION TO THE PERCENTAGE OF MEDICAID AND INDIGENT POPULATION THEY SERVE.

Schedule H, Part II Community Building Activities
Not Applicable

Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount
Northwest Medical Center Association (Mosaic-Albany), calculates bad debt expense at the established rate as reported in patient service revenue in the audited financial statements. Discounts provided by third-party payors on patient accounts are written off as contractual allowances. Payments received on an account previously written off to bad debt expense are credited to a bad debt recovery account.

Schedule H, Part III, Line 3 Bad Debt Expense Methodology
NORTHWEST MEDICAL CENTER ASSOCIATION (MOSAIC-ALBANY) uses a third party to electronically review a patient or the patient's Guarantor information to assess financial need. This review utilizes a healthcare industry-recognized, predictive model that is based on public record databases and does not access the patient or guarantor's credit file. The model's rule set is designed to assess each patient based upon the same standards and is calibrated against historical Financial Assistance approvals by Mosaic-Albany. This enables Mosaic-Albany to assess whether a patient is characteristic of other patients who have historically qualified for Financial Assistance under the traditional application process. When the model is utilized, it will be deployed prior to bad debt assignment or after all other eligibility and payment sources have been exhausted. This allows Mosaic-Albany to screen all patients for Financial Assistance prior to pursuing any extraordinary collection actions. As a result, Mosaic-Albany reported zero dollars for the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's FINANCIAL ASSISTANCE POLICY.

Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
Please see THE ACCOUNTS RECEIVABLE FOOTNOTE ON PAGE 10 and the Patient Service revenue Footnote regarding implicit price concessions on page 16 OF The ATTACHED AUDITED FINANCIAL STATEMENTS. SEE ALSO THE PARAGRAPH IN THE CHARITY CARE FOOTNOTE ON PAGE 18.

Schedule H, Part V, Section B, Line 16a FAP website
- Northwest Medical Center (Mosaic-Albany): Line 16a URL: SEE SCHEDULE O;

Schedule H, Part V, Section B, Line 16b FAP Application website
- Northwest Medical Center (Mosaic-Albany): Line 16b URL: SEE SCHEDULE O;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
- Northwest Medical Center (Mosaic-Albany): Line 16c URL: SEE SCHEDULE O;

Schedule H, Part VI, Line 2 Needs assessment
Northwest Medical Center Association (Mosaic-Albany) HAS A ROBUST APPROACH FOR ASSESSING THE NEEDS OF THE COMMUNITIES IT SERVES. THIS ONGOING COMMITMENT INCLUDES COLLABORATING WITH LOCAL GROUPS, SCHOOL DISTRICTS AND CITY AND COUNTY AGENCIES TO IDENTIFY NEEDS, PROMOTE HEALTHY LIVING, ASSURE THAT AFFORDABLE MEDICAL SERVICES ARE AVAILABLE, DEVELOP STRATEGIES FOR IMPROVING EDUCATION AND ECONOMIC STRENGTH, AND PROVIDING ONGOING SUPPORT.

Schedule H, Part VI, Line 4 Community information
Northwest Medical Center Association (Mosaic-Albany) IS A CRITICAL ACCESS HOSPITAL LOCATED IN ALBANY, MISSOURI, AND OPERATES CLINICS IN ALBANY, GRANT CITY, NEW HAMPTON AND STANBERRY. ITS PRIMARY SERVICE AREA IS PRIMARILY RURAL AND INCLUDES GENTRY AND WORTH COUNTIES LOCATED IN NORTHWEST MISSOURI. ACCORDING TO THE 2019 U.S. CENSUS ESTIMATES, THE POPULATION IN THE TWO COUNTY SERVICE AREA IS APPROXIMATELY 8,643, WHICH INCLUDES A HIGH PERCENTAGE OF LOW INCOME FAMILIES. THE ORGANIZATION SUPPORTS A PAYOR MIX OF APPROXIMATELY 67.76% GOVERNMENTAL OR SELF-PAY PATIENTS.

Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs
THE MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST TO CHARGE RATIO DIRECTLY FROM THE MEDICARE COST REPORT WHICH RESULTS IN A SHORTFALL OF COVERING THE HOSPITAL'S COST OF TREATING MEDICARE PATIENTS. THIS SHORTFALL, IN ADDITION TO NON-PAYMENT BY MEDICARE RECIPIENTS FOR THEIR DEDUCTIBLE AND COINSURANCE AMOUNT INCREASES FINANCIAL ASSISTANCE AND BAD DEBT. Northwest Medical Center Association (Mosaic-Albany) PROVIDES SERVICES TO ALL MEDICARE PATIENTS WITH THE KNOWLEDGE THAT THE COST OF PROVIDING CARE TO THEM MAY EXCEED THE REIMBURSEMENT FROM MEDICARE FOR THE SERVICES PROVIDED. THE SHORTFALL OF COSTS, FINANCIAL ASSISTANCE AND BAD DEBT IS CONSIDERED TO BE A COMMUNITY BENEFIT BECAUSE THE Mosaic-Albany IS ABSORBING THE ADDITIONAL COST OF PROVIDING CARE TO THE ELDERLY AND DISABLED IN THE COMMUNITY. IN ADDITION, THIS COINCIDES WITH THE IRS REVENUE RULING 69-545, WHICH provides general requirements for tax exemption, along with section 501(c)(3).

Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
"THE FINANCIAL ASSISTANCE POLICY CONTAINS PROVISIONS ON COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE ONLY. ACCORDING TO THIS POLICY, FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA ARE BASED ON RESIDENCY, GROSS HOUSEHOLD INCOME & HOUSEHOLD SIZE. APPLYING FOR FINANCIAL ASSISTANCE Patients will be informed of Northwest Medical Center Association (Mosaic-Albany) Financial Assistance Policy and the process for submitting an application. to determine if the patient or guarantor is eligible for financial assistance, Mosaic-Albany asks for the necessary information and documents to prove household size, income, and residency. A completed application for financial assistance should be submitted within 240 days from the date of the first post-discharge billing statement. Mosaic-Albany will make reasonable efforts to explain the Medicaid benefits, the health insurance exchange and coverage, and other public and private coverage that may apply. Mosaic-Albany will also provide the details of these programs and offer to help patients and guarantors apply for them as well as, private programs and COBRA coverage. Once the patient or guarantor is screened to be potentially eligible for any of these programs, public or private, Mosaic-Albany expects him or her to apply. If a patient or guarantor chooses not to apply, he or she may be denied financial assistance. If the patient or guarantor is potentially eligible for any third-party coverage, he or she must provide documentation of approval or denial of that third-party coverage before a Mosaic-Albany financial assistance application will be accepted. Information on the Mosaic-Albany Financial Assistance Policy will be communicated to patients in a culturally appropriate language. Information about the policy will be translated in the most prevalent languages in the Mosaic-Albany primary service area. COLLECTION ACTIONS TAKEN IN EVENT OF NON-PAYMENT No account will be subject to collection actions within 120 days of issuing the first post-discharge statement and without first making reasonable efforts to determine whether the patient is eligible for financial assistance. No extraordinary collection actions will be pursued against a patient if the patient or guarantor has provided documentation showing that an application has been submitted for Medicaid or other publicly sponsored health programs, and that an eligibility determination is still pending. If a statement is sent to a patient or guarantor, and mail is returned as undeliverable, Mosaic-Albany will attempt to find a correct address. If the correct address cannot be found, Mosaic-Albany will attempt to contact the patient or guarantor by telephone at the number listed by the patient or guarantor. If efforts to communicate with the patient or guarantor fail, accounts will be sent to a collection agency. Reasonable efforts to inform patient of financial assistance Prior to sending an account to a collection agency, the patient or guarantor will generally receive a minimum of four written statements (includes the first post-discharge statement and three subsequent statements). These statements will include a telephone number for information on paying patient balances and a notice about financial assistance. If an agreement has not been made to resolve the account, the fourth and final statement will be sent to the patient or guarantor. This statement acts as a notice to the account owner of the amount owed to Mosaic-Albany and that the account will be placed with a third-party collection agency in 30 days. This statement will include a plain language summary and will outline any collection actions that may be taken if a plan is not put in place to settle the account. There are other times when accounts may be placed in collections including when: 1. The patient or guarantor has not made timely payments according to the agreed-upon payment plan 2. The patient or guarantor has received a financial assistance discount but is no longer working with Mosaic-Albany in good faith to pay off the remaining amount owed. Extraordinary collection activities Once an account is with the collection agency, the following actions may be taken to make sure debt for services and care is paid. They are ""Extraordinary Collection Activities:"" 1. Seizing the patient's or guarantor's bank account 2. Civil actions 3. Property liens 4. Garnishing of wages 5. Reporting adverse information to credit bureaus Before ""Extraordinary Collection Activities"" can begin, the account must be reviewed, and approval must be given by Patient Billing Leadership. When one of these actions is to be taken against a patient or guarantor, the patient or guarantor will be given a 30-day written notice of the action to be taken. The patient or guarantor will also be informed of the Financial Assistance Policy and how to apply for it. A plain language summary of the Financial Assistance Policy will be included with the notice. ENFORCEMENT Mosaic-Albany staff are expected to uphold the highest ethical standards. All business must be conducted in the name of the caller or Mosaic-Albany. Everything a staff member says must be true and correct using a professional approach. The staff as well as, all third-party vendors working on behalf of Mosaic-Albany, will uphold and adhere to the Fair Debt Collection Practices Act."

Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
Northwest Medical Center Association (Mosaic-Albany) INFORMS AND EDUCATES PATIENTS AND GUARANTORS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE BEGINNING AT THE REGISTRATION DESK AND CONTINUING WITH FINANCIAL ASSISTANCE INFORMATION BEING INCLUDED ON EVERY BILLING STATEMENT A PATIENT OR GUARANTOR RECEIVES FROM MOSAIC-ALBANY. GUIDELINES FOR THE PROGRAM ARE AVAILABLE AT EACH REGISTRATION DESK AND ARE INCLUDED IN ALL ADMISSION PACKETS. PATIENTS ARE CONTACTED IF THE PATIENT IS EXPECTED TO HAVE A FINANCIAL RESPONSIBILITY FOR THE VISIT. A FINANCIAL COUNSELOR ATTEMPTS TO VISIT THE ROOM OF EVERY UNINSURED PATIENT THAT IS ADMITTED TO OUR FACILITY FOR OBSERVATION OR INPATIENT CARE. THE COUNSELOR DISCUSSES PAYMENT OPTIONS WITH THE PATIENT AND CAN ASSIST THEM WITH VARIOUS OPTIONS THAT INCLUDE, BUT ARE NOT LIMITED TO, MEDICAID APPLICATION, HEALTH CARE EXCHANGE ELIGIBILITY AND ELIGIBILITY UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. COUNSELORS ALSO WORK WITH OUR CARE MANAGEMENT STAFF TO SUPPORT THE DISCHARGE PROCESSES SO THAT FINANCIAL HARDSHIP DOES NOT KEEP THE PATIENT FROM RECEIVING THE APPROPRIATE FOLLOW-UP CARE. THIS ASSISTANCE INCLUDES INSTRUCTIONS FOR SCHEDULING AN APPOINTMENT WITH A FINANCIAL COUNSELOR WHO CAN ASSIST THEM IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION.

Schedule H, Part VI, Line 5 Promotion of community health
"NORTHWEST MEDICAL CENTER ASSOCIATION (MOSAIC-ALBANY) IS A NONPROFIT CRITICAL ACCESS HOSPITAL OPERATING TO SERVE A PUBLIC RATHER THAN A PRIVATE INTEREST AND MEETING THE REQUIREMENTS OF REVENUE RULING 69-545. CONTROL OF THE MOSAIC-ALBANY RESTS WITH ITS BOARD, WHICH IS PRIMARILY COMPOSED OF MEMBERS OF THE COMMUNITY, IN ADDITION TO A FEW SELECT EMPLOYEES OF MOSAIC-ALBANY. MOSAIC-ALBANY ACCEPTS PATIENTS PAYING WITH MEDICAID AND MEDICARE AND OPERATES AN ACTIVE AND GENERALLY ACCESSIBLE EMERGENCY ROOM OPEN TO ALL PATIENTS WITHOUT REGARD TO ABILITY TO PAY. MOSAIC-ALBANY USES SURPLUS FUNDS TO IMPROVE THE QUALITY OF PATIENT CARE, MAINTAIN AND IMPROVE EQUIPMENT AND FACILITIES, EXTEND SERVICE OFFERINGS TO NEW AREAS AND PROVIDE SUPPORT TO THE COMMUNITIES IT SERVICES. MOSAIC-ALBANY PROMOTES HEALTH IN THE ALBANY REGION IN NUMEROUS WAYS. MOSAIC-ALBANY PROVIDED DIRECT FUNDING SUPPORT TO THE COMMUNITY ORGANIZATIONS WITH LIKE MISSIONS INCLUDING COMMUNITY EVENTS AND ACTIVITIES OF LOCAL SCHOOLS AND NURSING HOMES. THE ORGANIZATION OFFERS MANY EDUCATIONAL PROGRAMS THROUGHOUT THE YEAR TO HELP MAINTAIN A HEALTHY LIFESTYLE. SOME OF THE PROGRAMS PROMOTE HEALTH EDUCATION AND PREVENTATIVE CARE AWARENESS AND RESOURCES TO THE COMMUNITY. THIS INCLUDES PROGRAMS ABOUT BREAST CANCER, PROSTATE CANCER, DIABETES, PARKINSON'S DISEASE, AND STROKE AWARENESS WITHIN THE COMMUNITY. THE PROGRAMS ARE WELL-ADVERTISED AND MOST OF THEM ARE FREE OF CHARGE. ONE PROGRAM THAT MOSAIC-ALBANY PROVIDES TO THE COMMUNITY IS TRANSPORTATION FOR PATIENTS TO THE HOSPITALS AND PRIMARY CARE CLINICS FOR THE EXISTING PATIENTS THROUGHOUT THE REGION. IN ADDITION, THIS TRANSPORTATION HAS BEEN USED FOR OTHER COMMUNITY NEEDS BY TAKING AREA RESIDENTS TO OTHER APPOINTMENTS AT OTHER FACILITIES NOT RELATED TO THE ORGANIZATION. ALSO MOSAIC-ALBANY OPERATES A CARE MANAGEMENT PROGRAM THROUGH WHICH A NURSE VISITS PATIENTS WITH CHRONIC CONDITIONS AND/OR SIGNIFICANT BARRIERS TO HEALTH AND WELLNESS. THE CARE MANAGEMENT NURSE ASSISTS WITH COORDINATION OF CARE, ACCESS TO CARE AND PROPER NUTRITION, AMONG OTHER FACTORS. THE 340B DRUG PRICING PROGRAM (""340B PROGRAM"") ENABLES SAFETY NET HEALTHCARE ORGANIZATIONS SERVING UNINSURED, VULNERABLE AND INDIGENT POPULATIONS TO PURCHASE OUTPATIENT PRESCRIPTION DRUGS AT A DISCOUNT. MOSAIC-ALBANY HAS PARTICIPATED IN THIS PROGRAM SINCE 2011. THIS PARTICIPATION HAS GENERATED REVENUE FROM THE CONTRACTED RETAIL PHARMACY RELATIONSHIPS AND HAS REDUCED DRUG PRICING FOR OUTPATIENT MEDICATIONS. THE PROGRAM IS CURRENTLY THREATENED BY LEGISLATIVE CHALLENGES."

Schedule H, Part VI, Line 6 Affiliated health care system
THE ORGANIZATION IS AFFILIATED, THROUGH A PARENT BOARD, WITH A REGIONAL MEDICAL CENTER HOSPITAL, A COMMUNITY FOUNDATION, A LONG-TERM ACUTE CARE HOSPITAL, A CRITICAL ACCESS RURAL HOSPITAL, A RURAL COMMUNITY FOUNDATION AND A GENERAL MEDICAL AND SURGICAL HOSPITAL. ALL OF WHICH COLLABORATE WITH EDUCATIONAL, GOVERNMENTAL AND LOCAL BUSINESS LEADERS TO IMPLEMENT PROGRAMS TO HELP IMPROVE HEALTH HABITS AND, IN THE LONG-TERM, THE HEALTH OF THE COMMUNITIES SERVED BY THE ORGANIZATION. THESE AFFILIATIONS INCLUDE THE HOSPITAL REPORTED ON THIS TAX RETURN. THE PARENT BOARD IS COMPRISED OF COMMUNITY LEADERS WHO REPRESENT THE EDUCATIONAL, MEDICAL, GOVERNMENTAL AND BUSINESS SECTORS IN THE COMMUNITY. THE COMMUNITY FOUNDATION OVERSEES A NUMBER OF PROGRAMS WORKING TO IMPROVE HEALTH AND EDUCATIONAL NEEDS IN THE COMMUNITY. THE REGIONAL MEDICAL CENTER HOSPITAL PROVIDES GENERAL MEDICAL AND SURGICAL NEEDS TO PATIENTS AND PROVIDES BOTH PRIMARY AND SPECIALTY PHYSICIANS, IN ADDITION TO PROVIDING EMERGENT AND OUTPATIENT CLINIC CARE FOR ALL. THE LONG-TERM ACUTE CARE HOSPITAL IS A FACILITY DEDICATED TO THE CARE OF PATIENTS WHO HAVE CHRONIC CONDITIONS REQUIRING A LONGER LENGTH OF STAY THAN IS NORMALLY PROVIDED IN AN ACUTE CARE HOSPITAL. THE GENERAL MEDICAL AND SURGICAL CARE HOSPITAL PROVIDES ACUTE, EMERGENT AND OUTPATIENT CLINIC CARE FOR ALL. THE CRITICAL ACCESS RURAL HOSPITAL PROVIDES ACUTE, EMERGENT AND OUTPATIENT CLINICS ARE FOR THOSE IN THE RURAL COMMUNITY AREA. THE RURAL COMMUNITY FOUNDATION SUPPORTS THE CRITICAL ACCESS RURAL HOSPITAL. ALL HOSPITAL FACILITIES PROVIDE CARE FOR ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. ALL THE HOSPITAL ORGANIZATIONS MAINTAIN AN ONGOING COMMITMENT TO PROVIDE SUPPORT FOR THE BETTERMENT OF THE COMMUNITY.