4A (Expenses $ 11645597 including grants of $ 0) (Revenue $ 14587320)
MERCY HOSPITAL CARTHAGE 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 CARTHAGE PROVIDES A WIDE VARIETY OF SERVICES IN THEIR 25 BED FACILITY AND IN FY22, HAD 57,695 TOTAL CASES. MERCY HOSPITAL CARTHAGE'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 CARTHAGE HAD 18,812 CASES FOR THIS SERVICE LINE.

4B (Expenses $ 11358978 including grants of $ 0) (Revenue $ 14228300)
MERCY HOSPITAL CARTHAGE 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 CARTHAGE'S EMERGENCY DEPARTMENT IS READY 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS A YEAR WITH FAST, EXPERIENCED AND PROFESSIONAL CARE. IN FY22, MERCY HOSPITAL CARTHAGE HAD 18,369 CASES FOR THIS SERVICE LINE.

4C (Expenses $ 6596934 including grants of $ 0) (Revenue $ 8263346)
MERCY HOSPITAL CARTHAGE 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 REPRODUCTIVE 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 CARTHAGE HAD 533 CASES AND 2,827 PATIENT DAYS FOR THIS SERVICE LINE.

4D (Expenses $ 17480598 including grants of $ 3800) (Revenue $ 21766313)
IN ADDITION TO THE PROGRAM SERVICES DESCRIBED ABOVE, MERCY HOSPITAL CARTHAGE ALSO SERVES PATIENTS IN ADDITIONAL SERVICE LINES, INCLUDING BUT NOT LIMITED TO THE FOLLOWING AREAS: ORTHOPEDICS; PEDIATRICS; PULMONARY; REHABILITATION; WOMEN & INFANTS.

Schedule H, Part V, Section B, Line 3E
THE HOSPITAL FACILITY DID INCLUDE A PRIORITIZED LIST OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS IN ITS MOST RECENT CHNA REPORT.

Schedule H, Part V, Section B, Line 5 Facility , 1
"Facility , 1 - MERCY HOSPITAL CARTHAGE. THE OZARKS HEALTH COMMISSION (OHC) BUILT ON THE METHODOLOGY DEVELOPED FOR THE PREVIOUS CHNA AND, IN 2021, A VARIETY OF ORGANIZATIONS ACROSS THE OZARKS CAME TOGETHER TO BETTER UNDERSTAND THE HEALTH STATUS, BEHAVIORS AND NEEDS OF THE POPULATIONS THEY SERVE. UNDER THE UMBRELLA OF THE LOCAL OZARKS HEALTH COMMISSION, THIS COLLABORATION IS THE LARGEST IN THE REGION SPANNING THREE STATES - MISSOURI, OKLAHOMA, AND KANSAS - 30 COUNTIES AND THREE HOSPITAL SYSTEMS. THE WORKING GROUP SAW THE VALUE OF USING A SYSTEMATIC, DATA-DRIVEN ASSESSMENT TO INFORM DECISIONS AND GUIDE EFFORTS TO IMPROVE COMMUNITY HEALTH AND WELLNESS ON A REGIONAL LEVEL. THIS LARGER, CONCERTED APPROACH WILL LEVERAGE COMMON STRENGTHS AND STRATEGIES TO MOVE IN THE SAME DIRECTION ON SIGNIFICANT HEALTH CONCERNS. THE FOLLOWING GROUPS TOOK PART IN SOME PHASE OF THE WORK THAT GENERATED JOPLIN'S COMMUNITY HEALTH NEEDS ASSESSMENT: (THE JOPLIN COMMUNITY CONSISTS OF: JOPLIN, MO; CARTHAGE, MO; AND COLUMBUS, KS.) -MERCY COWORKERS WHO SERVED ON TEAMS, ORGANIZED ROUNDTABLES AND DEVELOPED PROGRAMS TO RESPOND TO IDENTIFIED NEEDS. -MERCY HOSPITAL JOPLIN BOARD OF TRUSTEES, AND ITS COMMUNITY BENEFIT SUBCOMMITTEE, WHO REVIEWED AND APPROVED THE PROPOSED INITIATIVES. -THE OZARKS HEALTH COMMISSION, WHICH CONSISTS OF BURRELL BEHAVIORAL HEALTH, CHRISTIAN COUNTY HEALTH DEPT., CITY OF JOPLIN HEALTH DEPT., COX HEALTH, FREEMAN HEALTH SYSTEM, JASPER COUNTY HEALTH DEPT., LAWRENCE COUNTY HEALTH DEPT., MERCY, SPRINGFIELD-GREENE COUNTY HEALTH DEPT., TANEY COUNTY HEALTH DEPT., AND THE VERNON COUNTY HEALTH DEPT. IN 2021, COMMISSION STAKEHOLDERS BEGAN THE RHA PROCESS WITH ANALYSIS OF PUBLICLY AVAILABLE HEALTH DATA (SECONDARY DATA) AND PARTICIPATING HEALTH SYSTEMS' EMERGENCY ROOM UTILIZATION DATA (PRIMARY DATA) TO IDENTIFY HEALTH ISSUES OF GREATEST CONCERN ACROSS THE REGION. THE RESULT WAS A RANKED LIST OF EIGHT OZARKS HEALTH COMMISSION REGION HEALTH ISSUES. A FULL DESCRIPTION OF THE HEALTH ISSUES AND INDICATORS USED CAN BE FOUND IN THE OHC REGIONAL HEALTH ASSESSMENT. TO REPRESENT DIVERSE VIEWS FROM ACROSS THE REGION AND POPULATION, QUALITATIVE DATA WAS GARNERED. ACROSS THE OHC REGION THESE VIEWPOINTS WERE SOLICITED VIA 75 INDIVIDUAL INTERVIEWS, 10 FOCUS GROUPS AND 2,638 SURVEYS. METHODOLOGIES USED FOR THE INITIAL SCORING/RANKING OF THE HEALTH ISSUES AND THE FULL REPORT OF THE QUALITATIVE WORK CAN BE FOUND IN OHC REGIONAL REPORT. THIS PRIORITIZATION INFORMATION CAN BE USED BY ORGANIZATIONS TO DEVELOP COMMUNITY HEALTH IMPROVEMENT PLANS, GUIDE DECISION MAKING, AND FOSTER COLLABORATION ACROSS INITIATIVES. DURING SEPT. AND OCT. 2021, 25 INDIVIDUAL INTERVIEWS AND THREE FOCUS GROUPS WERE CONDUCTED IN THE JOPLIN COMMUNITY. THOSE INTERVIEWED REPRESENTED HEALTH AND SOCIAL SERVICE ORGANIZATIONS, EDUCATION AND COMMUNITY COLLABORATIVES. OF THE 2,628 SURVEY RESPONDENTS FROM THE REGION, 45% INDICATED THEY LIVED IN THE JOPLIN COMMUNITY. RESPONDENTS WERE ASKED TO RANK COMMUNITY NEEDS, AND THE TOP 10 THAT EMERGED WERE: 1.AFFORDABLE, QUALITY CHILDCARE 2.ADOLESCENT AND CHILD MENTAL HEALTH COUNSELING SERVICES 3.ADULT MENTAL HEALTH COUNSELING SERVICES 4.AFFORDABLE HOUSING 5.EMERGENCY MENTAL HEALTH SERVICES 6.SUBSTANCE USE TREATMENT 7.CO-LOCATED MEDICAL AND BEHAVIORAL SERVICES 8.PREVENTION, EDUCATION, AND EARLY INTERVENTION SERVICES FOR SUBSTANCE USE 9.CARE COORDINATION BETWEEN HOSPITALS, CLINICS, AND OTHER HEALTH CARE SETTINGS 10.SOCIAL SERVICES FOR INDIVIDUALS EXPERIENCING HOMELESSNESS THOSE INTERVIEWED REPRESENTED HEALTH AND SOCIAL SERVICE ORGANIZATIONS, EDUCATION AND COMMUNITY COLLABORATIVES. STAKEHOLDERS PARTICIPATING IN INDIVIDUAL INTERVIEWS AND FOCUS GROUPS AGREED WITH SURVEY RESPONDENTS ABOUT AFFORDABLE HOUSING, MENTAL HEALTH SERVICES AND CARE COORDINATION. HOWEVER, IN CONTRAST TO SURVEY RESPONDENTS, THOSE INTERVIEWED RANKED FOOD INSECURITY AND TRANSPORTATION AS TOP CONCERNS. ALSO JUXTAPOSED WAS A LACK OF PRIORITY FOR JOB TRAINING BY THOSE SURVEYED, WHERE THOSE INTERVIEWED FELT FREE TRAINING AND EDUCATION WOULD BE A ""MAGIC WAND"" TO INCREASE QUALITY OF LIFE."

Schedule H, Part V, Section B, Line 6a Facility , 1
Facility , 1 - MERCY HOSPITAL CARTHAGE. THE CHNA WAS CONDUCTED FOR MERCY HOSPITAL JOPLIN, MERCY HOSPITAL CARTHAGE, MERCY HOSPITAL COLUMBUS, AND MERCY SPECIALTY HOSPITAL SE KS. OTHER HOSPITAL FACILITY PARTNERS INCLUDED: CITIZENS MEMORIAL HEALTHCARE, COXHEALTH, AND FREEMAN HEALTH SYSTEM.

Schedule H, Part V, Section B, Line 6b Facility , 1
Facility , 1 - MERCY HOSPITAL CARTHAGE. THE CHNA WAS CONDUCTED IN CONJUNCTION WITH THE FOLLOWING NON-HOSPITAL FACILITIES: BURRELL BEHAVIORAL HEALTH, JASPER COUNTY HEALTH DEPARTMENT, JOPLIN HEALTH DEPARTMENT, POLK COUNTY HEALTH CENTER, SPRINGFIELD-GREENE COUNTY HEALTH DEPARTMENT AND TANEY COUNTY HEALTH DEPARTMENT.

Schedule H, Part V, Section B, Line 11 Facility , 1
Facility , 1 - MERCY HOSPITAL CARTHAGE. IN CONJUNCTION WITH THE CHNA, MERCY HOSPITAL CARTHAGE HOSPITAL'S BOARD ADOPTED AN IMPLEMENTATION STRATEGY IN FY22 RELATED TO THE 2021 CHNA. MERCY HOSPITAL CARTHAGE WILL ADDRESS THE COMMUNITY HEALTH NEEDS IDENTIFIED BEGINNING IN FY23. BASED ON THE FINDINGS OF ITS MOST RECENTLY CONDUCTED CHNA, MERCY HOSPITAL CARTHAGE HAS CHOSEN TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS IDENTIFIED: - LUNG DISEASE: MERCY HOSPITAL CARTHAGE WILL PROVIDE OUTPATIENT TREATMENT SERVICES, AND EDUCATION TO ALL COMMUNITY MEMBERS WHO MAY BE SUFFERING FROM THE EFFECTS OF COVID-19 VIRUS WHICH IS IMPACTING THEIR LUNG DISEASE AS WELL. - CARDIOVASCULAR DISEASE: MERCY HOSPITAL CARTHAGE WILL PROVIDE OUTPATIENT TREATMENT SERVICES, AND EDUCATION TO ALL COMMUNITY MEMBERS WHO MAY BE SUFFERING FROM THE EFFECTS OF COVID-19 VIRUS WHICH IS IMPACTING THEIR CARDIOVASCULAR DISEASE AS WELL. - MENTAL HEALTH: MERCY HOSPITAL CARTHAGE WILL WORK TO IMPROVE ACCESS TO CARE FOR PATIENTS. ADDITIONAL NEEDS NOT BEING ADDRESSED AND WHY: DURING THIS CYCLE OF THE COMMUNITY HEALTH IMPROVEMENT PLAN, MERCY HOSPITAL CARTHAGE WILL NOT BE ADDRESSING THE FOLLOWING IDENTIFIED HEALTH NEEDS: - CANCER: MANY FACTORS RELATED TO THIS DISEASE WILL BE ADDRESSED THROUGH EXISTING COMMUNITY COLLABORATIONS AND PROGRAMS. MERCY'S MOBILE MAMMOGRAPHY UNITY WILL CONTINUE TO PROVIDE SCREENINGS IN THE JOPLIN COMMUNITY. ADDITIONALLY, THIS DISEASE WILL NOT BE RESOLVED AS QUICKLY AS OTHER HEALTH NEEDS THAT ARE CURRENTLY IDENTIFIED IN THE CHIP. - DIABETES: MANY FACTORS RELATED TO THIS DISEASE WILL BE ADDRESSED THROUGH EXISTING COMMUNITY COLLABORATIONS.ADDITIONALLY, THIS DISEASE WILL NOT BE RESOLVED AS QUICKLY AS OTHER HEALTH NEEDS THAT ARE CURRENTLY IDENTIFIED IN THE CHIP.

Schedule H, Part V, Section B, Line 20 Facility , 1
Facility , 1 - MERCY HOSPITAL CARTHAGE. 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.

Schedule H, Part VI, Line 1 FOR SCHEDULE H, PART II
COMMUNITY BUILDING ACTIVITIES ADDRESS ROOT CAUSES OF HEALTH-RELATED PROBLEMS. MULTIDISCIPLINARY COMMUNITY PARTNERSHIPS AND COLLABORATION ADDRESS SYSTEMIC MALFUNCTION AND ROOT CAUSES OF ISSUES LIKE POVERTY, VIOLENCE AND HOMELESSNESS AMONG OTHERS. THEY STRENGTHEN THE COMMUNITY'S ABILITY TO PROMOTE HEALTH AND WELL-BEING. IN THE CARTHAGE COMMUNITY, MERCY HAS A WIDE RANGE OF EXPERTISE TO BRING TO THE TABLE AS EACH COMMUNITY TACKLES THESE SYSTEMIC CHALLENGES. OUR INVOLVEMENT WITH ONE JOPLIN, A COLLABORATIVE OF LOCAL NON-PROFIT ORGANIZATIONS, FOCUSES ON POVERTY, HUMAN SERVICES, AND HEALTH FOR JASPER AND NEWTON COUNTIES. ALSO, A REPRESENTATIVE FROM MERCY CARTHAGE IS INVOLVED IN THE COMMUNITY HEALTH COLLABORATIVE WHICH IS A MONTHLY MEETING CONDUCTED BY LOCAL HEALTH LEADERS TO INITIATE CHANGE AND PROMOTE HEALTH WITHIN THE COMMUNITY. THE CARTHAGE COMMUNITY HAS NOTABLE POVERTY RATES AND HIGH NUMBERS OF CHILDREN WITH REDUCED OR FREE LUNCHES IN OUR SCHOOLS. PAST COMMUNITY NEED DISCUSSIONS CONFIRMED REPEATEDLY THAT A HEALTHY COMMUNITY SUPPORTS WELL-BEING OF RESIDENTS. LIKEWISE, ACCESS TO A FAIR FAMILY WAGE AFFORDS FAMILIES OPPORTUNITIES TO GAIN EDUCATION THAT IN TURN HAS SHOWN TO LEAD TO LEVERAGING HEALTH OPPORTUNITIES. SOLID INFRASTRUCTURE AND A STABLE ECONOMY SET A CONTEXT FOR CITIZENS TO REACH POTENTIAL AND IN TURN CONTRIBUTE TO SOCIETY FOR FUTURE GENERATIONS. COMMUNITY BUILDING ACTIVITY NEEDS TO BE A PRIORITY FOR THIS COMMUNITY. A FULL DESCRIPTION OF OUR COMMUNITY BUILDING ACTIVITIES CAN BE FOUND AT HTTPS://WWW.MERCY.NET/ABOUT/COMMUNITY-BENEFITS/

Schedule H, Part V, Section B, Line 20d
THE FOLLOWING GROUPING OF COMMUNITIES (JOPLIN, CARTHAGE, MAUDE NORTON, SOUTHEAST KANSAS) BETTER KNOWN AS THE SW MO KS REGION, HAVE CHOSEN TO OPT OUT OF PERFORMING PRESUMPTIVE EVALUATION FOR PATIENTS, THAT IS PRACTICED IN OTHER COMMUNITIES. THE DECISION TO NOT INCLUDE THIS AUTOMATED PRESUMPTIVE ASSESSMENT WAS AGREED UPON BY LOCAL OPERATIONAL AND FINANCIAL LEADERS OVERSEEING THE GROUPING OF COMMUNITIES. THE REGION IS COMMITTED TO PROVIDING FINANCIAL ASSISTANCE TO PATIENTS, BASED ON THE FINANCIAL CONVERSATION AT HAND, INCLUDING OFFERING APPROPRIATE DOCUMENTATION AND SHOWING SIGNAGE IN FACILITIES. A PATIENT AT ANY POINT CAN REQUEST FINANCIAL ASSISTANCE WHICH WILL BE REVIEWED PROMPTLY. THIS AFFORDS THE PATIENT TO MAKE THE FINANCIAL ASSISTANCE REQUEST AT ANY POINT; BEFORE CARE IS PROVIDED OR AFTER, TO ENSURE THE REGION IS SUPPORTING THOSE IN FINANCIAL NEED.

Schedule H, Part I, Line 6a Community benefit report prepared by related organization
THE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS PREPARED BY ITS ULTIMATE PARENT ENTITY, MERCY HEALTH (EIN: 43-1423050).

Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance
TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) ARE $57,541,480. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $7,137,863. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $50,403,617.

Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount
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.

Schedule H, Part III, Line 3 Bad Debt Expense Methodology
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.

Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
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.

Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs
IT IS THE POSITION OF MERCY THAT 100% OF ANY SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS AMOUNT REPRESENTS COST OF PROVIDING SERVICES THAT REMAIN UNCOMPENSATED TO THE PROVIDER. THE UNREIMBURSED COSTS OF MEDICARE IS CALCULATED BY THE GROSS CHARGES NET OF THE COST TO CHARGE RATIO LESS ANY PAYMENTS, DEDUCTIONS OR REIMBURSEMENTS USING THE ANNUAL MEDICARE COST REPORT (CMS FORM 2552-96).

Schedule H, Part V, Section B, Line 16a FAP website
- MERCY HOSPITAL CARTHAGE: Line 16a URL: https://www.mercy.net/patients-visitors/billing/financial-assistance/;

Schedule H, Part V, Section B, Line 16b FAP Application website
- MERCY HOSPITAL CARTHAGE: Line 16b URL: https://www.mercy.net/patients-visitors/billing/financial-assistance/;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
- MERCY HOSPITAL CARTHAGE: Line 16c URL: https://www.mercy.net/patients-visitors/billing/financial-assistance/;

Schedule H, Part VI, Line 2 Needs assessment
MERCY CARTHAGE CONTINUES TO PLAY AN INTEGRAL PART IN THE COUNTY COMMUNITY HEALTH COLLABORATIVE (CHC), TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY AND IMPLEMENT STRATEGIES TO IMPROVE COMMUNITY HEALTH. AN EXAMPLE OF THIS COLLABORATION WAS THE NEED TO ADDRESS SHELTER OPTIONS FOR THOSE THAT ARE HOMELESS THAT MIGHT TEST POSITIVE FOR COVID-19. LEADERS FROM MERCY CARTHAGE AND OTHER COMMUNITY LEADERS MET WEEKLY ON A VIRTUAL ON-LINE SETTING, TO RESOLVE THIS ISSUE AND FIND NEEDED RESOURCES WHEN NECESSARY. ALSO, ON A QUARTERLY BASIS, A MERCY CARTHAGE REPRESENTATIVE TAKES PART IN COMMUNITY BENEFIT SUB-COMMITTEE MEETINGS (ROUND TABLE DISCUSSIONS) IN AN EFFORT TO GAIN INPUT FROM COMMUNITY MEMBERS AND PROMOTE COMMUNITY HEALTH AND WELLNESS.

Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
MERCY'S COLLECTION POLICY PROVIDES THAT MERCY WILL PERFORM A REASONABLE COMMUNICATION AND/OR REVIEW OF PATIENT ACCOUNTS AS IT RELATES TO ANY SERVICE PROVIDED AT OUR FACILITIES BEFORE TURNING THE ACCOUNT TO BAD DEBT OR TAKING LEGAL ACTION FOR NONPAYMENT. MERCY ACTIVELY SCRUBS ACCOUNTS FOR PAYOR PLAN COVERAGE, INCLUDING MEDICAID. IN THE EVENT AN ACCOUNT IS TURNED TO COLLECTIONS AND IS IDENTIFIED IN NEED OF FINANCIAL ASSISTANCE DUE TO CIRCUMSTANCE CHANGES, OR IS NOW REQUESTING ASSISTANCE, THE ACCOUNTS ARE RETURNED BY THE AGENCY AND CONSIDERED FOR CHARITY IF THE PATIENT PROVIDES THE REQUESTED INFORMATION. IF THE PATIENT FAILS TO RETURN THE INFORMATION, THE ACCOUNT WILL QUALIFY FOR COLLECTIONS. MERCY UTILIZES THE EXPERIAN TOOL TO ENHANCE THE ABILITY TO DETERMINE THE CHARITY QUALIFICATION PRIOR TO TURNING TO BAD DEBT, A PROCESS KNOWN AS PRESUMPTIVE CHARITY FOR ALL COMMUNITIES EXCEPT JOPLIN, MAUDE NORTON, CARTHAGE AND SOUTHEAST KANSAS. THIS PRESUMPTIVE SCREENING PROCESS DETAILS EVALUATIONS THAT TAKE PLACE PRIOR TO PATIENT BILLING AND ADDITIONALLY PRIOR TO BAD DEBT PLACEMENT. THE PRESUMPTIVE SCREENING WAS PER ENCOUNTER AND DID NOT PROMOTE ANY LOOK-BACK ADJUSTMENTS. MERCY WILL GRANT CHARITY IN SITUATIONS WHERE THERE HAS BEEN AN INABILITY TO OBTAIN INFORMATION FROM PATIENTS OR THE INFORMATION PROVIDED IS NOT COMPLETE ENOUGH TO MAKE A CHARITY DETERMINATION WHEN A PATIENT HAS SUBMITTED AN APPLICATION. MERCY WILL PURSUE APPROPRIATE MEANS IN THE COLLECTION OF DELINQUENT ACCOUNTS FROM PATIENTS WITH AN ESTABLISHED ABILITY TO PAY OR AN UNWILLINGNESS TO COOPERATE IN VALIDATING ELIGIBILITY FOR FINANCIAL ASSISTANCE. THESE APPROPRIATE MEANS MAY INCLUDE LEGAL ACTION CONSISTENT WITH MERCY MISSION AND VALUES AFTER SENDING 3 MONTHLY STATEMENTS WITH THE FINAL INCLUDING NOTIFICATION; IF NO RESOLUTION THEY WILL BE TURNED TO COLLECTIONS. ADDITIONALLY, THEY MAY INCLUDE LIENS UPON REAL PROPERTY AND REASONABLE WAGE GARNISHMENTS. LEGAL ACTIONS WILL GENERALLY NOT INCLUDE BANK GARNISHMENTS, REPOSSESSION OF ASSETS OR FORECLOSURES TO ENSURE SATISFACTION OF A LIEN. MERCY HAS POLICIES AND PROCEDURES ESTABLISHED TO ADDRESS THE INITIATION OF LEGAL ACTION AND ANNUALLY REVIEW COMPLIANCE WITH POLICIES BUT ENSURE 120 DAYS OF BILLING AND COLLECTIONS OCCUR PRIOR TO ANY EXTRAORDINARY COLLECTIONS ARE PURSUED. THESE ACTIONS ONLY IMPACTED THE FOLLOWING COMMUNITIES: JOPLIN, CARTHAGE, MAUDE NORTON AND SOUTHEST KANSAS; OF WHICH ONLY OCCURED FOR A PORTION OF THE FISCAL YEAR. THESE 4 REFERENCED LOCATIONS CEASED THIS ACTIVITY IN 3/31/2022.

Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
MERCY INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY THROUGH SEVERAL MEANS. IF AT ANY TIME A PATIENT EXPRESSES HARDSHIP AND INABILITY TO PAY, THE ACCOUNT IS PLACED FOR REVIEW. IN ADDITION, PATIENTS HAVE SIGNAGE ABOUT THE POLICY AT THE ACCESS POINTS, AND ALL STAFF WORKING WITH THE PATIENT AT POINT OF SERVICE, SCHEDULING, CUSTOMER SERVICE, AND EVEN THROUGH THE MEDICAID ELIGIBILITY SCREENING HAVE THE MEANS TO SEND THE ACCOUNT FOR REVIEW. THERE IS THE PLAIN LANGUAGE SUMMARY THAT IS BEING PROVIDED TO ALL WHOM EXPRESS HARDSHIP, IN ADDITION TO THE WEB ADDRESS PROVIDING THE APPLICATION, POLICIES, AND EVEN HOW UNINSURED ACCOUNTS ARE HANDLED. LASTLY, THE STATEMENTS MESSAGE TO THE PATIENT THAT MERCY DOES HAVE A FINANCIAL ASSISTANCE PROGRAM AND TO CALL TO SEE IF THEY ARE ELIGIBLE. MERCY STAFF'S INTERNAL RESOURCES CERTIFIED TO ASSIST PATIENTS WITH MEDICAID APPLICATIONS AS WELL.

Schedule H, Part VI, Line 4 Community information
THE PRIMARY SERVICE AREA FOR MERCY HOSPITAL CARTHAGE INCLUDES JASPER AND NEWTON COUNTIES IN MISSOURI. THE FOLLOWING INFORMATION IS DERIVED FROM THE ADVISORY BOARD DEMOGRAPHICS AND 2021-2022 MO/HIDI INFORMATION. THE AREA'S POPULATION IS 180,637. THE MEDIAN HOUSEHOLD INCOME IS $56,000. 40.6% OF THE POPULATION IS 45 AND OLDER. 88% OF THE POPULATION IS A HIGH SCHOOL GRAD OR GREATER AND THE MEDIAN AGE IS 37.

Schedule H, Part VI, Line 5 Promotion of community health
TO CONTINUE PROMOTING COMMUNITY HEALTH, MERCY CARTHAGE COLLABORATES WITH COMMUNITY LEADERS INVOLVED IN IDENTIFYING COMMUNITY HEALTH NEEDS TO RESOLVE LOCAL HEALTH CHALLENGES. OUR EFFORTS IN COMMUNITY BENEFIT FOCUSES ON IMPLEMENTING PROGRAMS TO TACKLE UNHEALTHY BEHAVIORS RESULTING IN IMPROVED HEALTH STATUS. MERCY CARTHAGE PROMOTES COMMUNITY HEALTH BY ORGANIZING A HOSPITAL BOARD SUBCOMMITTEE THAT MEETS QUARTERLY TO REVIEW HEALTH INITIATIVES AND PLANS TO IMPLEMENT CHANGE IN COMMUNITY HEALTH INDICATORS. ALSO, THE PROMOTION OF HEALTH AND HEALTH CARE IN THIS COMMUNITY IS PROVIDED BY SERVING ON COMMUNITY BOARDS, HOSPITAL DEPARTMENTAL MEETINGS, DEVELOPING MARKETING MATERIALS, AND THROUGH VARIOUS MEDIA OUTLETS SUCH AS TELEVISION AND RADIO MARKETING. IT IS OUR HOPE THAT THE WORK THAT IS ACCOMPLISHED THROUGH THESE COLLABORATIONS, WILL LEAD TO BETTER HEALTH AND HUMAN SERVICES FOR THE CARTHAGE COMMUNITY. OPEN MEDICAL STAFF: MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR NEARLY ALL OF OUR DEPARTMENTS. MERCY HOSPITAL CARTHAGE HAS EXCLUSIVE CONTRACTS WITH PHYSICIAN GROUPS FOR THE FOLLOWING SERVICES: ANESTHESIOLOGY 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. ADDITIONAL COMMUNITY HEALTH INITIATIVE/INFORMATION IN KEEPING WITH MH CARTHAGE'S COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITY, MHC 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.

Schedule H, Part VI, Line 7 State filing of community benefit report
KS, MO

Schedule H, Part VI, Line 6 Affiliated health care system
"AFFILIATED HEALTH CARE SYSTEM THE FILING ORGANIZATION IS PART OF MERCY HEALTH (""MERCY""). MERCY IS A MISSOURI NON-PROFIT CORPORATION WITH ITS HEADQUARTERS (""MINISTRY OFFICE"") IN ST. LOUIS, MISSOURI. MERCY PROVIDES HEALTH CARE SERVICES IN FOUR STATES - ARKANSAS, KANSAS, MISSOURI, AND OKLAHOMA - AND HAS OUTREACH MINISTRIES LOCATED IN ARKANSAS, LOUISIANA, MISSISSIPPI, AND TEXAS. MERCY'S MISSION IS ""AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE."" AS OF JUNE 30, 2022, MERCY FACILITIES INCLUDED 30 ACUTE CARE HOSPITALS, 5 HEART HOSPITALS, 5 REHAB HOSPITALS, 2 CHILDREN'S HOSPITALS, 2 ORTHOPEDIC HOSPITALS, AND 1 VIRTUAL CARE COMMAND CENTER. FOR THE FISCAL YEAR ENDED JUNE 30, 2022, MERCY HAD MORE THAN 10.4 MILLION CLINIC AND OUTPATIENT VISITS, APPROXIMATELY 2,300 EMPLOYED PHYSICIANS, AND APPROXIMATELY 42,000 FULL-TIME EQUIVALENT EMPLOYEES, MAKING MERCY THE SIXTH LARGEST CATHOLIC HEALTH SYSTEM IN THE UNITED STATES. MERCY IS SPONSORED BY MERCY HEALTH MINISTRY, WHICH IS GOVERNED BY MEMBERS THAT INCLUDE SISTERS OF MERCY. MANY SERVICES THAT ARE ESSENTIAL TO FULFILLING MERCY'S MISSION ARE CENTRALIZED AT THE MINISTRY OFFICE. SUCH CENTRALIZED SERVICES INCLUDE: FINANCE (INCLUDING TREASURY, FINANCIAL ACCOUNTING AND REPORTING, REVENUE MANAGEMENT, INTERNAL AUDIT, ACCOUNTS PAYABLE AND PAYROLL OPERATIONS, ANALYTICS AND DECISION SUPPORT); ENVIRONMENTAL SERVICES SUPPORT; CLINICAL INTEGRATION; CARE MANAGEMENT; CLINICAL PERFORMANCE ACCELERATION; CLINICAL ENGINEERING; CLINICAL QUALITY MANAGEMENT; COMPLIANCE; GRANTS AND RESEARCH SERVICES; LEGAL AND COMPLIANCE COUNSEL; MARKETING AND COMMUNICATIONS; PLANNING, DESIGN AND CONSTRUCTION; PRODUCT DEVELOPMENT INFORMATICS; REAL ESTATE; SUPPLY CHAIN MANAGEMENT; MANAGED CARE STRATEGY SUPPORT; HUMAN RESOURCES (INCLUDING COMPENSATION, BENEFITS AND RECRUITING); MISSION SERVICES AND ETHICS; PHILANTHROPY SUPPORT; INFORMATION TECHNOLOGY; AND, COMMUNITY RELATIONS. THE CENTRALIZATION OF SUCH SUPPORT SERVICES ENABLES MERCY TO ENSURE THAT EACH OF ITS COMMUNITIES, WHETHER LARGE OR SMALL, HAS THE SERVICES IT NEEDS."