4A (Expenses $ 283325883 including grants of $ 194185) (Revenue $ 381716928)
COMMUNITY MERCY HEALTH PARTNERS IS COMMITTED TO DELIVERING EXCEPTIONAL CARE AND COMPASSION AS IT SEEKS TO MEET THE HEALTH CARE NEEDS OF ALL PEOPLE, ESPECIALLY THE POOR AND UNDER-SERVED. DURING 2021 COMMUNITY MERCY HEALTH PARTNERS PROVIDED $12,777,608 IN NET COMMUNITY BENEFITS REPRESENTING 3.74% OF TOTAL OPERATING EXPENSES.

Schedule H, Part V, Section B, Line 5 Facility A, 1
"Facility A, 1 - MERCY HEALTH - SPRINGFIELD REGIONAL MEDICAL CENTER. Mercy Health - Springfield Regional Medical Center participated in a regional Community Health Needs Assessment process coordinated by the Clark County CHNA Stakeholder Group (""Stakeholder Group"" or ""Group""). The Stakeholder Group assembled a team which included the Clark County Health District, Mental Health and Recovery Board of Clark, Greene, and Madison Counties, Rocking Horse Center, and Springfield Regional Medical Center. The health district steering committee provided executive oversight. For the collaborative design, the process for gathering primary data, and the process for identifying, collecting, interpreting, and analyzing secondary data, the consultants referenced numerous methods for both qualitative and quantitative data. The consultants sought data that reflected recent as well as emerging issues by people who lived in the hospitals' service areas, with attention to vulnerable populations and social determinants of health. Secondary data provided information about demographics, health conditions, and health-related issues as of 2016. Primary data reflected the opinions and attitudes of individuals and agencies motivated to attend a meeting or complete a survey. Their passion and level of interest is helpful to hospitals who are contemplating future programs that depend on community support. While not designed to be statistically representative of all 3.3 million residents of the region, there was often remarkable alignment among the top 5-10 priorities from meetings, individual surveys, agency surveys, and health departments. In addition to the regional data, the Clark County Combined Health District also held several (6) public information meetings throughout Clark County in the Summer of 2018 where community members could attend and give their feedback on localized health needs. One was conducted by the THC/GDAHA consultants, and five were conducted by the Clark County Combined Health District. 68 people contributed votes to identify a total of 18 priorities. Surveys from individual consumers living in Clark County were also collected between 6/19/18 and 8/3/18. Eight organizations serving County residents, especially vulnerable populations, responded with their priorities. The Stakeholder Group compared secondary data to the information gathered via community meetings, individuals surveyed, organizations surveyed, and the Clark County Combined Health District data. All participants at the Clark County Community Health Steering Committee were asked to brainstorm for 8-10 minutes about what factors and goals they should prioritize in terms of community health. They were asked to write down the ideas, general or specific, onto post it notes and place them under one of three categories on the board: Big Prizes (Health Outcomes), Causal Factors, or Other. These Ideas were then read to the group and a second round of brainstorming allowed for any other additional post-it notes to be added to the board. Suggestions were then rearranged via discussion by the committee into subcategories such as behavioral health, cross-cutting, etc. Post its were then placed categorically on the wall under the County Health Ranking Model. From this list our Significant Health Needs were identified. After our data deep dive with the Clark County Combined Health District, and our partners in the Clark County Community Health Stakeholders Group, our community health and mission stakeholders reviewed the top health needs and looked at areas that we can and should have an impact at Springfield Regional Medical Center."

Schedule H, Part V, Section B, Line 5 Facility A, 2
"Facility A, 2 - MERCY HEALTH - URBANA HOSPITAL. Mercy Health - Urbana Hospital participated in a regional Community Health Needs Assessment (CHNA) process coordinated by the Champaign County CHNA Stakeholder Group (""Stakeholder Group"" or ""Group""). The Stakeholder Group assembled a team which included the Champaign County Health Department, Champaign County YMCA, Champaign County Drug Free Youth Coalition and Mercy Health Urbana Hospital. In May 2018, a community forum and data survey collected input from Community Members regarding the health status and top health needs of the community. For the collaborative design, the process for gathering primary data, and the process for identifying, collecting, interpreting, and analyzing secondary data, the consultants referenced numerous methods for both qualitative and quantitative data. The consultants sought data that reflected recent as well as emerging issues by people who lived in the hospitals' service areas, with attention to vulnerable populations and social determinants of health. Secondary data provided information about demographics, health conditions, and health-related issues as of 2016. Primary data reflected the opinions and attitudes of individuals and agencies motivated to attend a meeting or complete a survey. Their passion and level of interest is helpful to hospitals who are contemplating future programs that depend on community support. While not designed to be statistically representative of all 3.3 million residents of the region, there was often remarkable alignment among the top 5-10 priorities from meetings, individual surveys, agency surveys, and health departments. In partnership, Champaign County Completed a Search Institute Survey - Collecting Youth Data from the schools to identify youth risk. The survey was distributed as a joint effort with the Champaign County Family and Children First Council (CCFCFC). Every other student received the Search Institute Survey. Schools that participated included Triad High School, Triad Middle School, Urbana High School, Urbana Middle School, West Liberty High School and West Liberty Middle School. Champaign County Health Department provided data to identify local health needs from current data: hospital discharge data (ICD10 data grouped into different health topics), demographic data (pulled from Census API), market potential data, food access data, school data, birth data, death data, cancer data and infectious disease data. With the help of the Community Health Leadership committee in Champaign County and at the direction of the Champaign County Health Commissioner we were able to identify 3 top health needs: Chronic Disease, Behavioral Health and Health Risk Prevention. After further review of both the regional data, provided by Greater Dayton Area Hospital Association (GDAHA), and local data pulled by the Champaign County Epidemiologist, it appeared like additional significance should be added to the initial list. As such, Maternal/Infant Health, Healthy Births & Infant Mortality and Access to Care were added to the significant health needs. On May 16, 2018, a community forum and data survey collected input from community members regarding the health status and top health needs of the community. For the top 5 significant needs presently identified, Mercy Health took time to meet with the Champaign County Epidemiologist to review local survey data, regional CHNA data, county, statewide and national data to compare and evaluate where we are in Champaign County, in Comparison. Additionally, we were looking at, and prioritizing cross-cutting measures that are proven contributors to critical community health needs."

Schedule H, Part V, Section B, Line 6a Facility A, 1
Facility A, 1 - MERCY HEALTH - SPRINGFIELD REGIONAL MEDICAL CENTER. MERCY HEALTH - SPRINGFIELD REGIONAL MEDICAL CENTER'S CHNA WAS CONDUCTED, IN PART, WITH MERCY HEALTH - URBANA HOSPITAL.

Schedule H, Part V, Section B, Line 6a Facility A, 2
Facility A, 2 - MERCY HEALTH - URBANA HOSPITAL. MERCY HEALTH - URBANA HOSPITAL'S CHNA WAS CONDUCTED, IN PART, WITH MERCY HEALTH - SPRINGFIELD REGIONAL MEDICAL CENTER.

Schedule H, Part V, Section B, Line 6b Facility A, 1
Facility A, 1 - MERCY HEALTH - SPRINGFIELD REGIONAL MEDICAL CENTER. Clark County Educational Service Center - (City and County Schools) The Springfield Foundation The Rocking Horse Center The Mental Health & Recovery Board The Community Health Foundation Springfield Metropolitan Housing Wittenberg University The City of Springfield Clark County Combined Health District

Schedule H, Part V, Section B, Line 6b Facility A, 2
Facility A, 2 - MERCY HEALTH - URBANA HOSPITAL. Champaign County CHNA Stakeholder Group Champaign County Family and Children First Council (CCFCFC) Champaign County Health District Memorial Health Champaign County YMCA United Way of Clark, Champaign & Madison Counties Early Childhood Education Center Champaign County Suicide Coalition Local Law Enforcement Champaign County Fire & Rescue (& EMS) Champaign County Board of Developmental Disabilities Wright State University TCN Behavioral Health Services

Schedule H, Part V, Section B, Line 11 Facility A, 1
"Facility A, 1 - Mercy Health - Springfield Regional Medical Center. Mercy Health - Springfield Regional Medical Center (SRMC) Mercy Health - Springfield Regional Medical Center and Mercy Health - Urbana Hospital (collectively referred to as ""Mercy Health Springfield"") created a Community Health Oversight Team to review community health needs and create strategies within the Mercy Health system to combat these issues. From there, the team will pull together work groups of individuals with the right core competencies to inform the discussion and decisions around building new programming, supplementing existing programming, supporting new policies and procedures or adjusting old ones. During 2021 this team was combined with local market strategies and has partnered with Population Health & Community Health teams to collaborate on areas highlighted by the CHNA. Access to Care (Social Determinants of Health) Implementation Activities: Goal: Increase the number of individuals with a Primary Care Providers in Clark County; Increase the number of Primary Care Providers in Clark County. 2021 Strategies and Outcomes: * During 2021, SRMC continued their work on increasing access to care in the market area by adding 4 new Primary Care Providers, adding 38 new Specialty Care Providers (with a focus on Cardiology, Oncology, Orthopedics, and Surgery), and adding 121 general practice physicians. Health Behaviors Implementation Activities: Goal: Improve the general wellness of individuals living in Clark County by educating about and reinforcing healthy behaviors. 2021 Strategies and Outcomes: * SRMC continues to create and promote opportunities to celebrate physical wellness as well as create learning opportunities in the areas of overall wellness by partnering with Weight Management and Occupational Health. * While a number of 5Ks and Walks were cancelled or delayed due to Covid-19, SRMC participated in several Community Education & Awareness Events in order to adapt to community needs. In 2021, these events included: - Mercy Health Springfield's regional participation in the Walk to End Alzheimer to promote Alzheimer as a senior health need in the community and raise awareness and connectedness of Body, Mind and Spirit. - Offering free blood pressure checks, Mobile Mammography screenings and Lung Cancer Awareness and Education at the Clark County Fair. - Volunteering to support local community non-profits during the Clark County Service Day. - Creating new programming to promote mental health, spiritual and physical health for the community during the pandemic at the Fall Planting Day. * Starting in April of 2021, Mercy Health Springfield launched their Lunch & Learn Community Education Events which were held virtually and in-person where applicable to educate the community and raise awareness on different health needs. Through the year 7 events were held with guest speakers covering topics from Education on Weight Management, Heart Health, Shoulder/Hip replacement, Women's Health, and Lung Health and Lung Cancer Awareness. * In 2021, SRMC continued their partnership with Second Harvest Food Bank (SHFB). SRMC launched on-site Food Pantries at SRMC, UH and the Cancer Center, developed a ""One Call System"" for SHFB, and held three outreach events at SHFB supported by Mercy Health Med Assist, Mobile Mammography, Mercy REACH, and Lung Cancer Outreach. * During 2021, SRMC started a new partnership with the Clark County Combined Health District (CCCHD), Springfield Fire & EMS, and 5 local faith communities to launch the Faith Community Nursing & Health Ministry Program. This outreach program is focused in faith communities that have a high EMS run rate and high Socio-economic and social determinant of health needs. Throughout 2021, the program hosted Covid-19 testing and vaccination sites at three of the local churches and sent select members from the 5 faith congregations to West Virginia University for Faith Community Nursing & Health Ministry Training. * SRMC continued their collaboration between Community Health, Population Health and the Primary Care Offices on tactics to reduce obesity and improve mind, body and spiritual wellness. During 2021, this partnership collaborated in areas of chronic health needs to do patient follow-ups on patients with higher acuity and chronic diseases to support any additional needs they might have. Additionally, the collaborative developed a means of follow-up for those patients with certain health status like COPD or Congestive Heart Failure. Mental health and Addiction, Including Trauma Implementation Activities: Goal: Better equip our staff with strategies to combat trauma and better treat our patients experiencing mental health and substance abuse by helping to address the core issues involved via program development, partnership or handoff protocols to improve patient outcomes. 2021 Strategies and Outcomes: * Mercy Health Springfield implemented SBIRT and Opiate reporting in 2019 and continues to review and make changes in prescriber practices for opiates and monitoring community opiate burden to ensure this number is continuing to decrease. * In 2021, SRMC continued their partnership with the County Mental Health Taskforces and Trauma Steering Committees and collaborated with the Springfield Police Department to establish warm handoff processes and procedures for those struggling with Mental Health and Drug Addictions. * SRMC and Mercy REACH maintained their on-going partnership with the Clark County ""1 to 1 Clinic"" by promoting addiction support to active addicts. In 2021, the partnership served 8,573 persons for Drug, Alcohol & Smoking Cessation. Chronic Disease Implementation Activities: Goal: Decrease in the number of individuals with chronic disease that require emergency room services or treatment because of their chronic disease; Earlier identification of Cancer, with specific focus on Bronchial, Lung, Colon and Rectum Cancers 2021 Strategies and Outcomes: * Mercy Health Springfield continued its work to expand cardiovascular service line and support services. Mercy Health Springfield evaluates handoff and follow up processes for patients admitted to and discharged from the hospitals with chronic diseases to improve long-term outlooks, and to build on the Transcatheter aortic valve replacement (TAVR) program implemented in 2019. Handoff processes for CHF & COPD were developed with the Walk-in Clinic so patients could be seen if they were not able to get an appointment with their primary care doctor or specialty care cardiologist, additionally, patients diagnosed with Diabetes receive a consult from our dietitian prior to discharge to help with their dietary requirements. On-site food pantries launched in 2021 with Chronic disease friendly foods so food insecure patients can take food home with them upon discharge. * Mercy Health Springfield partnered a chest pain coordinator with the EMS Coordination to offer education to the community and follow-up with the EMS team. Mercy Health Springfield also partnered with the American Heart Association Virtual Panel for Community Education to provide smoking cessation and dietary needs to 72 patients. * SRMC provides education on specific types of cancer (Bronchial, Lung, Colon and Breast) and awareness, and community-based screenings remained a key component of strategic measures to fight chronic disease during 2021. SRMC offered two screening dates in May/June 2021 for Clark and Champaign Counties, two community educational talks, and one awareness event during lung cancer awareness month. * During 2021, SRMC announced a new partnership with the Ohio State University's James Cancer Center for expanded support to the community. * SRMC continued its collaboration with the Springfield Regional Cancer Center (SRCC), the Rocking Horse Center, and the United Senior Services to help with the early detection of cancers and management of chronic disease. During 2021, SRMC wrote a Mission Outreach Grant to benefit the SRMC community. * Through the continued collaboration with SRCC, SRMC expanded its participation on the SRCC's Cancer Committee. * In order to increase SRMC's impact with strategic partners in the chronic disease space, SRMC started new collaborations during 2021 with Primary and Specialty Care Physicians as well as Springfield Regional Weight Management regarding screening interventions and long-term management of chronic disease. Additionally, SRMC expanded its collaborations through Population & Community Health, Care Management, and Mercy Health Physicians."

Schedule H, Part V, Section B, Line 11 Facility A, 2
Facility A, 2 - CONTINUED DESCRIPTION: Mercy Health - Springfield Regional Medical Center. Maternal Health Implementation Activities: Goal: Improve the health and preparation of mothers in Clark County for the arrival of their baby through earlier prenatal care, birthing education and primary care supports for women of child-rearing age; Improve the health and thriving of infants born in Clark County by improving the wellness and preparation of their mothers. 2021 Strategies and Outcomes: * Mercy Health Springfield worked to improve the health and preparation of mothers in Clark County for the arrival of their baby through offering prenatal care, birthing education and primary care supports for women of childbearing/rearing age and improving the health/thriving of infants born in Clark County by improving the wellness and preparation of their mothers. During 2021, Mercy Health Springfield held 11 birthing education classes with 51 attendees, 4 newborn care classes with 16 attendees, and 1 breastfeeding class with 2 attendees. * During 2021, Mercy Health Springfield hired their first OBGYN group and began doing strategic community outreach and planning. Mercy Health Springfield also started community discussion around childbirth, parenting, breastfeeding education, and more to revamp and collaborate better for the community audiences. * Due to the impact of COVID-19, SRMC shifted its focus on building prenatal care points and educational opportunities. All prioritized needs in the hospital CHNA have been addressed.

Schedule H, Part V, Section B, Line 11 Facility A, 3
"Facility A, 3 - MERCY HEALTH - URBANA HOSPITAL. Mercy Health - Urbana Hospital (Urbana) Mercy Health - Springfield Regional Medical Center and Mercy Health - Urbana Hospital (collectively referred to as ""Mercy Health Springfield""), created a Community Health Oversight Team to review community health needs and create strategies within the Mercy Health system to combat these issues. From there, the team will pull together work groups of individuals with the right core competencies to inform the discussion and decisions around building new programming, supplementing existing programming, supporting new policies and procedures or adjusting old ones. During 2021 this team was combined with local market strategies and has partnered with Population Health & Community Health teams to collaborate on areas highlighted by the CHNA. Health Risk Prevention & Health Living Implementation Activities: Goal: Improve the general wellness of individuals living in Champaign County by educating about and reinforcing healthy behaviors. 2021 Strategies and Outcomes: * Urbana continues to create and promote opportunities to celebrate physical wellness as well as create learning opportunities in the areas of overall wellness. * While a number of 5Ks and Walks were cancelled or delayed due to Covid-19, Urbana participated In several community education and awareness events in order to adapt to community needs. In 2021, these events included: - Participated in the Champaign County Fair to offer free blood pressure checks, mobile mammography screenings, and lung cancer awareness and education. - Urbana partnered with Fashions to a Tea to offer education and awareness about breast cancer screenings. - Mercy Health Springfield's regional participation in the Walk to End Alzheimer to promote Alzheimer as a senior health need in the community and raise awareness and connectedness of Body, Mind and Spirit. * In 2021, Mercy Health Springfield continued their partnership with Second Harvest Food Bank (SHFB). On-site Food Pantries were launched at SRMC, UH and the Cancer Center. Urbana also supported the Champaign County Mobile and Drive-through pantries. * Starting in April of 2021, Mercy Health Springfield launched their Lunch & Learn Community Education Events which were held virtually and in-person where applicable to educate the community and raise awareness on different health needs. Through the year 7 events were held with guest speakers covering topics from Education on Weight Management, Heart Health, Shoulder/Hip replacement, Women's Health, and Lung Health and Lung Cancer Awareness. Chronic Disease Implementation Activities: Goal: Decrease in the number of individuals with chronic disease that require emergency room services or treatment because of their chronic disease; Earlier identification of Cancer, with specific focus on Bronchial, Lung, Breast & Prostate Cancers. 2021 Strategies and Outcomes: * Mercy Health Springfield continued its work to expand cardiovascular service line and support services. Mercy Health Springfield evaluates handoff and follow up processes for patients admitted to and discharged from the hospitals with chronic diseases to improve long-term outlooks, and to build on the Transcatheter aortic valve replacement (TAVR) program implemented in 2019. Handoff processes for CHF & COPD were developed with the Walk-in Clinic so patients could be seen if they were not able to get an appointment with their primary care doctor or specialty care cardiologist, additionally, patients diagnosed with Diabetes receive a consult from our dietitian prior to discharge to help with their dietary requirements. On-site food pantries launched in 2021 with Chronic disease friendly foods so food insecure patients can take food home with them upon discharge. * Mercy Health Springfield partnered a chest pain coordinator with the EMS Coordination to offer education to the community and follow-up with the EMS team. Mercy Health Springfield also partnered with the American Heart Association Virtual Panel for Community Education to provide smoking cessation and dietary needs to 72 patients. * Education on specific types of cancer and what to look for remained an area of focus for Urbana during the year with their participation in the Breast Friends Forever program. This program supports cancer education, awareness, screenings and more. * Urbana furthered their community health education during 2021 by offering 3 CPR trainings to the public and hosting a Community Opiate Education session in partnership with Mercy Reach. * Urbana continued its collaboration with the Springfield Regional Cancer Center, the Rocking Horse Center and United Seniors Services to provide community-based screenings for different cancers, to raise awareness, and educate about different cancers. During 2021, Urbana provided 937 screenings regionally with the Mobile Mammography Vehicle and offered additional education to the community for Bronchial and Lung Cancer, Colon Cancer, and Breast Cancer. * Urbana continued their collaboration with the Champaign County Fire/EMS and the Paramedicine program. Since the start of the program in 2020, the Paramedicine program received referrals of 105 patients. Mental Health Implementation Activities: Goal: Better equip our staff with strategies to combat trauma and better treat our patients experiencing mental health and substance abuse by helping to address the core issues involved via program development, partnership or handoff protocols to improve patient outcomes. 2021 Strategies and Outcomes: * Mercy Health Springfield implemented SBIRT and Opiate reporting in 2019 and continues to review and make changes in prescriber practices for opiates and monitoring community opiate burden to ensure this number is continuing to decrease. * Urbana continues to identify community partnership opportunities by meeting with strategic partners in the community to better understand how staff can become better equipped in areas of mental health. In 2021, Urbana facilitated collaboration around Mental Health with the Graham School District, the Wellspring Mental Health Services, and the Mental Health, Drug and Alcohol Services Board of Lorain and Champaign Counties. * During 2021, Urbana supported the Urbana Youth Center and made strategic introductions to youth Mental Health and Prevention Services. * During the year Urbana expanded services with its Outpatient Mental Health Services and Seniors Behavioral Health unit. * Urbana continues to offer a prescription drug disposal box in the Emergency Department and also provides drug disposal bags through our primary care offices. Maternal Health Implementation Activities: Goal: Improve the health and preparation of mothers in Champaign County for the arrival of their baby through earlier prenatal care, birthing education and primary care supports for women of child-rearing age; Improve the health and thriving of infants born in Champaign County by improving the wellness and preparation of their mothers. 2021 Strategies and Outcomes: * During 2021, Mercy Health Springfield reached out to the Sycamore House pregnancy resource center in Urbana and made strategic connections to offer social support programs, such as Med Assist, Mercy Reach, Paramedicine and our Birthing Center. Additionally, Urbana offered direct support and collaboration for Champaign County Moms and Babies. * Throughout the year Urbana held educational classes for pregnant mothers. During 2021, Urbana held 11 childbirth education classes, 4 newborn care classes, and 1 breastfeeding care class. * Due to the impact of COVID-19, SRMC shifted its focus on building prenatal care points and educational opportunities. Access to Care Implementation Activities: Goal: Increase the number of individuals with a Primary Care Providers in Champaign County; Increase the number of Primary Care Providers in Champaign County. 2021 Strategies and Outcomes: * During 2021, Urbana continued their work on increasing access to care in the market area by adding 4 new Primary Care Providers. Additionally, Urbana added 159 new physicians with 38 being specialists. All prioritized needs in the hospital CHNA have been addressed."

Schedule H, Part V, Section B, Line 13 Facility A, 1
Facility A, 1 - Mercy Health - Springfield Regional Medical Center, Mercy Health - Urbana Hospital. BON SECOURS MERCY HEALTH'S FINANCIAL ASSISTANCE POLICY REQUIRES A PATIENT OR FAMILY MEMBER TO COMPLETE AN APPLICATION INCLUDING GROSS INCOME FOR A MINIMUM OF 3 MONTHS (UP TO 12 MONTHS) PRIOR TO THE DATE OF APPLICATION OR DATE OF SERVICE. PROOF OF INCOME IS REQUIRED WITH THE EXCEPTIONS OF PATIENTS WHO QUALIFY FOR PRESUMPTIVE ELIGIBILITY. PROOF OF INCOME IS NOT REQUIRED IF A PATIENT OR FAMILY MEMEBER ATTESTS TO AN INCOME LEVEL THAT QUALIFIES THE APPLICANT FOR DISCOUNTED CARE UNDER OHIO'S HEALTHCARE ASSURANCE PROGRAM (HCAP). THIRD PARTY INCOME SCORING MAY BE USED TO VERIFY INCOME IN SITUATIONS WHERE INCOME VERIFICATION IS UNABLE TO BE OBTAINED THROUGH OTHER METHODS. Patients are presumed to be eligible for financial assistance based on individual life circumstances including but not limited to when the Patient's income is below 200% Federal Poverty Guidelines and considered self-pay, the Patient is discharged to a SNF, the Patient is deceased with no known estate and below 200% Federal Poverty Guidelines, the patient is supported by State-funded prescription programs, the patient is Homeless or received care from a homeless clinic, the patient has Participated in Women, Infants and Children programs (WIC), the patient is eligible for Food stamps, the patient is eligible Subsidized school lunch program, the patient is eligible for other state or local assistance programs that are unfunded (e.g., Medicaid spend-down), the Patient is referred through the National Association of Free Clinics, the patient provides Low income/subsidized housing as a valid address, or Other significant barriers are present.

Schedule H, Part V, Section B, Line 13 Facility A, 1
Facility A, 1 - Mercy Health - Springfield Regional Medical Center, Mercy Health - Urbana Hospital. There are situations where individuals may not have reported income but have significant assets available to pay for healthcare services. In these situations, BON SECOURS MERCY HEALTH may evaluate and require documented proof of any assets that are categorized as convertible to cash and unnecessary for the patient's essential daily living expenses. PATIENTS WHO LIVE IN THE COMMUNITY SERVED BY A BON SECOURS MERCY HEALTH HOSPITAL WILL BE OFFERED HEALTHCARE FINANCIAL ASSISTANCE. FOR THOSE PATIENTS LIVING OUTSIDE OF THE COMMUNITY, EXTENUATING CIRCUMSTANCES MUST BE DOCUMENTED AND APPROVED BY THE PFS MANAGER AND BE MEDICALLY NECESSARY OR EMERGENT IN NATURE. A LIST OF THE ZIP CODES OF THE COMMUNITY SERVED FOR EACH BON SECOURS MERCY HEALTH HOSPITAL IS MAINTAINED IN A SEPARATE DOCUMENT AND READILY AVAILABLE VIA THE CONTACT LIST AT THE END OF THE POLICY LOCATED AT HTTPS://WWW.MERCY.COM/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE AND AT https://www.bonsecours.com/patient-resources/financial-assistance. BON SECOURS MERCY HEALTH'S FINANCIAL ASSISTANCE POLICY REQUIRES A PATIENT TO APPLY FOR HEALTH INSURANCE COVERAGE AND/OR ENTER THE MARKETPLACE/EXCHANGE BEFORE FINANCIAL ASSISTANCE MAY BE EXTENDED. EXCEPTIONS TO THIS POLICY INCLUDE PATIENTS DISCHARGED TO A SKILLED NURSING FACILITY, PATIENTS WHO ARE DECEASED WITH NO ESTATE, AND PATIENTS WHO HAVE DOCUMENTED HOMELESSNESS.

Schedule H, Part I, Line 7e Community Health Improvement Services
CMHP hospitals incurred significant additional costs in responding to the COVID-19 pandemic in 2021. Certain costs associated with health care support services, including executive and other employee time spent planning for and recovering from the public health emergency and for planning for community COVID-19 vaccine services were included as Community Health Improvement Services. These costs were not directly reimbursed by any provider relief funds or other government funding sources.

Schedule H, Part I, Line 6a Community benefit report prepared by related organization
Bon Secours Mercy Health, Inc.

Schedule H, Part I, Line 7g Subsidized Health Services
COMMUNITY MERCY HEALTH PARTNERS (CMHP) OPERATES THE DPM REACH PROGRAM SUBSTANCE ABUSE AND COPD CLINIC. THE AMOUNT OF SUBSIDIZED HEALTH SERVICES ATTRIBUTABLE TO THE PHYSICIAN CLINIC IS $376,073.

Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation
30422523

Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance
Cost of financial assistance at cost was calculated with a cost to charge ratio using worksheet 2. The cost related to Medicaid patients was determined using Bon Secours Mercy Health's cost accounting system and included both inpatients and outpatients for traditional Medicaid and Medicaid managed care plans. For subsidized services Bon Secours Mercy Health's cost accounting system used to determine cost related to the specific service excluding traditional Medicaid and Medicaid managed care patients. Costs for charity and bad debt accounts are deducted using a ration of cost to charge specific to that subsidized service. Costs for other programs reflect the direct and indirect costs of providing those programs.

Schedule H, Part II Community Building Activities
Community Mercy Health Partners (CMHP) addresses various community concerns including health improvement, poverty, workforce development, and access to health care. CMHP hospitals conduct community health education and support groups, health fairs and screenings for the communities served. CMHP hospitals work with state and local leadership to address community needs and provide healthcare services to the poor and underserved. CMHP is committed to addressing the social determinants of health (SDOH) and social needs for patients and communities throughout our footprint. With a deep understanding of both areas, the team is working systematically across the ministry and in our local communities to ensure we respond holistically and impactfully. CMHP addresses SDOH through its Community Health Needs Assessment (CHNA), Community, investment strategy, advocacy/public policy partnerships, and cross sector solutions. CMHP addresses social needs through SDOH patient assessment, health education/promotion programs, capacity building of local community resources, and closed loop referral system. CMHP hospitals provide programs to improve the physical surroundings and housing in the communities served. Inadequate housing has a negative impact on the health of residents in the area by leading to violence in the neighborhoods. A robust economy positively impacts residents covered by health insurance and improves the capacity of the community to support health services. Additional detail regarding CMHP's community building activities and the promotion of health of its communities can be found in the 2021 Community Health Annual Report prepared by Bon Secours Mercy Health available at https://www.mercy.com/about-us/mission/giving-back/community-health-needs-assessment.

Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount
The provision for bad debts is based upon management's assessment of historical and expected net collections considering historical business and economic conditions, trends in health care coverage, and other collection indicators. Net patient accounts are reduced by an allowance for doubtful receivables based upon the hospital's historical collection experience adjusted for current environmental risks and trends for each major payor source. Significant provision is made for self-pay patient accounts in the period of service based on past collection experience. The hospital's concentration of credit risk related to net patient accounts is limited due to the diversity of patients and payors. Net patient accounts consist of amounts due from governmental programs (primarily Medicare and Medicaid), private insurance companies, managed care programs and patients themselves. Net patient service revenue for services provided to patients who have third-party payor coverage is recognized based on contractual rates for services rendered. The hospital recognizes a significant amount of patient service revenue at the time services are rendered even though it does not assess the patient's ability to pay. As a result, the provision for bad debts is presented as a deduction from patient service revenue (net of contractual provisions and discounts). Amounts recognized are subject to adjustment upon review by third-party payors. For uninsured patients that do not qualify for charity care, the hospital recognizes revenue when services are provided. Based on historical experience, a significant portion of the hospital's uninsured patients will be unable or unwilling to pay for services provided. Thus, the hospital records a significant provision for bad debts related to uninsured patients in the period the services are provided. Any discounts applied to self-pay patients would be deemed either Charity or a contractual adjustment. Bad debt would be based on the balance after the charity or contractual adjustment that is deemed uncollectable following a reasonable collection effort.

Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs
"The hospital follows the Catholic Health Association of the United States policy document, Community Benefit Program, A Revised Resource for Social Accountability (""CHA guidelines"") for determining community benefit. The CHA guidelines recommend that hospitals not include Medicare losses as community benefit. The hospital's cost accounting system was used to determine the Medicare amounts in Part III."

Schedule H, Part V, Section B, Line 16a FAP website
A - MERCY HEALTH - SPRINGFIELD REGIONAL MEDICAL CENTER: Line 16a URL: https://www.mercy.com/patient-resources/financial-assistance;

Schedule H, Part V, Section B, Line 16b FAP Application website
A - MERCY HEALTH - SPRINGFIELD REGIONAL MEDICAL CENTER: Line 16b URL: https://www.mercy.com/patient-resources/financial-assistance;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
A - MERCY HEALTH - SPRINGFIELD REGIONAL MEDICAL CENTER: Line 16c URL: https://www.mercy.com/patient-resources/financial-assistance;

Schedule H, Part III, Line 3 Bad Debt Expense Methodology
"The hospital's financial assistance policy does not permit the cost of patients who are uncooperative or unable to be located to be reclassified from bad debt to financial assistance. The hospital's financial assistance policy requires an application and supporting documentation. Therefore, zero dollars are being reported on Part III, Line 3 as amounts included in bad debt that could be attributable to patients eligible under the hospital's financial assistance policy. The hospital follows the Catholic Health Association of the United States policy document, Community Benefit Program, A Revised Resource for Social Accountability (""CHA guidelines"") for determining community benefit. The CHA guidelines recommend that hospitals not include bad debt expense as community benefit."

Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
BON SECOURS MERCY HEALTH'S (BSMH) AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. BSMH ELECTED TO EARLY ADOPT ASU 2011-07. ACCORDINGLY, BAD DEBT EXPENSE IS REFLECTED AS A DEDUCTION FROM REVENUE RATHER THAN AS AN OPERATING EXPENSE. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS, 2. SIGNIFICANT ACCOUNTING POLICIES, (d) NET PATIENT ACCOUNTS AND NET PATIENT SERVICE REVENUE (PAGE 10) STATES Patient receivables are recorded at net realizable value based on certain assumptions determined by payor class. For third party payors including Medicare, Medicaid, and commercial insurance, the net realizable value is based on the estimated contractual reimbursement percentage, which is based on current contract prices or historical paid claims data by payor. For self-pay receivables, which includes patients who are uninsured and the patient responsibility portion for patients with insurance, the net realizable value is determined using estimates of historical collection experience. These estimates are adjusted for estimated conversions of patient responsibility portions, expected recoveries and any anticipated changes in trends.

Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
Patients known to qualify for charity care or financial assistance are not sent to a collection agency. The organization repeatedly offers patients access to financial help during their hospital stays and after, as well as with each billing notice. Bills are sent to a collection agency as a last resort and only: when patients have the ability to pay some portion of their healthcare expenses but refuse to do so; when patients refuse to work with the organization to determine if they qualify for free or discounted care via federal, state, local or hospital assistance programs; when the organization is unable to locate the patient or person responsible for the bill. Patients that are presumed to be eligible for financial assistance based on individual life circumstances will be provided 100% financial assistance. Patients determined to have presumptive financial assistance eligibility will not be required to meet income criteria, asset eligibility criteria, or fill out a financial assistance application. CMHP utilizes available resources (e.g. technology solutions, service organizations, etc.) to obtain information such as credit scores to assist in determining a patient's presumed eligibility.

Schedule H, Part VI, Line 2 Needs assessment
BON SECOURS MERCY HEALTH (BSMH) HOSPITALS, INCLUDING COMMUNITY MERCY HEALTH PARTNERS (CMHP) HOSPITALS, ASSESS AND CONTINUALLY RESPOND TO CHANGING COMMUNITY NEEDS THROUGH THE SERVICES OFFERED. BSMH HOSPITALS JOIN AN EXISTING COMMUNITY-BASED NEEDS ASSESSMENT EVERY THREE YEARS AND UPDATES ARE PROVIDED BETWEEN ASSESSMENTS. BSMH HOSPITALS INCORPORATE PLANNING FOR COMMUNITY BENEFITS AS PART OF ITS ANNUAL BUSINESS AND STRATEGIC PLANNING PROCESSES. BSMH HOSPITALS RECOGNIZE THE HEALTH OF THE COMMUNITY IS INFLUENCED BY SOCIAL, ECONOMIC, AND ENVIRONMENTAL FACTORS, NOT JUST BY DISEASE AND ILLNESS. OUR COMMUNITY BENEFIT INCLUDES BOTH QUALITATIVE AND QUANTITATIVE DATA; DEMOGRAPHICS INCLUDING RACE, AGE, AND ETHNICITY; SOCIOECONOMIC DATA INCLUDING INCOME, EDUCATION, AND HEALTH INSURANCE RATES; PRIMARY CARE AND CHRONIC DISEASE NEEDS OF UNINSURED PERSONS; AND DATA ON HEALTH DISPARITIES IN HEALTH OUTCOMES AMONG MINORITY GROUPS. BSMH HAS A DEDICATED STAFF TO ASSIST IN THE COMMUNITY BENEFIT EFFORT. BSMH'S COMMUNITY BENEFITS COMMITTEES MEET TO PROVIDE OVERSIGHT TO THE ORGANIZATION'S COMMUNITY BENEFITS PROGRAM. BSMH HOSPITALS WORK CLOSELY WITH HEALTH AND HUMAN SERVICE ORGANIZATIONS IN THE AREA, PARTNERING WITH SOME TO PROVIDE SERVICES TO AVOID DUPLICATION.

Schedule H, Part VI, Line 4 Community information
THE COMMUNITY FOR EACH HOSPITAL IN THE BON SECOURS MERCY HEALTH (BSMH) SYSTEM IS DEFINED BOTH BY MISSION AND GEOGRAPHY. THE GEOGRAPHIC COMMUNITY IS DEFINED BY EACH HOSPITAL'S IMMEDIATELY CONTIGUOUS AREAS AS WELL AS BY THE BROADER SURROUNDING COUNTIES/REGIONS WHERE THE MAJORITY OF DISCHARGED PATIENTS RESIDE. ADDITIONALLY, THE COMMUNITY INCLUDES PATIENTS WHO REQUIRE THE EXPERTISE AND SPECIALIZED SERVICES OF A BSMH HOSPITAL. Community Mercy Health Partners' (CMHP) primary service area includes Clark and Champaign counties, which have a total population of approximately 175,350. The residents of the CMHP primary service area are generally older, poorer and have worse health statistics than state and national averages. Unemployment has also risen in our community during the last several years, and we serve a growing number of uninsured and underinsured patients. CMHP owns two of the three hospitals in this geographic area. The third hospital (not owned by CMHP) is a limited-service for-profit hospital that specializes in outpatient and short-stay surgery, and it does not have an emergency department. Springfield City Proper is predominantly a manufacturing community with jobs still rooted in that industry today. The community's primary demographics are comprised of residents who are: White, Non-Hispanic at 84.4%, African American at 8.1%, Hispanic at 3.2% and Two or more races at 3.4%. 48% of our residents are married while 29% have never married or are Divorced at 13%. 45% of our married households have families while 14% are Single, female parent families. 28% of our residents are individuals living alone. Clark County has higher averages of individuals with Disabilities, Sexually Transmitted Diseases and Chronic Diseases. Additionally, babies in Clark County are more likely to be born below average birth weight and pre-term in comparison with the state averages. Nearly 20% of Clark County women who are pregnant smoke during their pregnancy and severely lack 1st Trimester Prenatal Care - only about 57% receive 1st trimester care. The major health problems and/or leading causes of death in our service area are Cardiovascular disease, Dementia, Diabetes and Cancer. The infant mortality rate in the service area is higher than the state and national averages. Most of these are preventable through proper care and maintaining control of the illness/disease, as well as choosing healthier lifestyles.

Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
COMMUNITY MERCY HEALTH PARTNERS (CMHP) HOSPITALS POST THE BON SECOURS MERCY HEALTH (BSMH) CHARITY CARE POLICY, OR A SUMMARY THEREOF, AND FINANCIAL ASSISTANCE CONTACT INFORMATION IN ADMISSIONS AREAS, EMERGENCY DEPARTMENTS AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. CMHP HOSPITALS PROVIDE A COPY OF THE POLICY, OR A SUMMARY THEREOF, AND FINANCIAL ASSISTANCE CONTACT INFORMATION TO PATIENTS AS PART OF THE INTAKE PROCESS AND WITH DISCHARGE MATERIALS. ADDITIONALLY, A COPY OF THE POLICY OR A SUMMARY ALONG WITH FINANCIAL ASSISTANCE CONTACT INFORMATION IS INCLUDED IN PATIENT BILLS. CMHP HOSPITALS DISCUSS WITH THE PATIENT THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND ASSISTS THE PATIENT WITH QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE. THE HOSPITAL ELIGIBILITY LINK PROGRAM (HELP) IS A FREE REFERRAL SERVICE PROVIDED BY CMHP HOSPITALS. THE PURPOSE OF HELP IS TO ASSIST PATIENTS IN OBTAINING MEDICAL BENEFITS THROUGH FEDERAL, STATE, AND HOSPITAL PROGRAMS. HELP REPRESENTATIVES WILL PROVIDE THE FOLLOWING SERVICES AT NO COST TO THE PATIENT: *EXPLORE ELIGIBILITY UNDER PUBLIC ASSISTANCE PROGRAMS *FILE APPLICATIONS ON PATIENT'S BEHALF *SCHEDULE AND ATTEND APPOINTMENTS *PROVIDE TRANSPORTATION WHEN NECESSARY *PROVIDE MEDICAL DOCUMENTATION TO SOCIAL SECURITY ADMINISTRATION FOR DISABILITY CLAIMS. THROUGH HELP, PATIENTS AND THEIR COUNSELORS LOOK AT WHAT OPTIONS ARE AVAILABLE. CMHP HOSPITALS UNDERSTAND THAT NOT EVERYONE CAN PAY FOR HEALTHCARE SERVICES. HELP IS HERE TO OFFER OPTIONS AND ASSISTANCE FOR THOSE WHO ARE UNINSURED OR UNDERINSURED. HELP IS AN EXTENSION OF CMHP'S MISSION TO IMPROVE THE HEALTH OF OUR COMMUNITY WITH EMPHASIS ON THE POOR AND UNDERSERVED. MEETING THE NEEDS OF THOSE WITH LIMITED RESOURCES HAS ALWAYS BEEN THE HEART OF OUR MISSION. CMHP IS PROUD TO MAKE OUR FINANCIAL ASSISTANCE INFORMATION AVAILABLE TO THE PUBLIC THROUGH OUR WEBSITE, WHICH CAN BE FOUND AT: https://www.mercy.com/patient-resources/financial-assistance OTHER PATIENT EDUCATION INFORMATION THAT IS PROVIDED FOR ELIGIBILITY OF ASSISTANCE IS AS FOLLOWS: *BILINGUAL REPRESENTATIVES ARE AVAILABLE IN OUR CUSTOMER SERVICE DEPARTMENTS. *STAFF TRAINING ON HOSPITAL CARE ASSURANCE PROGRAM (HCAP) AND HOSPITAL FINANCIAL ASSISTANCE (HFA) WAS PROVIDED. TRAINING INCLUDED A MANUAL AND IN-DEPTH INFORMATION REGARDING THE PREPARATION OF THE COST REPORT LOGS, ACCURATE COMPLETION OF THE HCAP APPLICATION AS WELL AS AN OVERVIEW OF THE FAQ'S PROVIDED BY THE OHIO HOSPITAL ASSOCIATION. *STAFF TRAINING PROVIDED BY SOCIAL SECURITY ADMINISTRATION TO ASSIST PATIENTS IN OBTAINING DISABILITY BENEFITS. *FINANCIAL ASSISTANCE COUNSELORS WORK WITH CASE MANAGERS TO EXPEDITE THE TRANSFER OF PATIENTS TO EXTENDED CARE FACILITIES. *FEDERAL POVERTY GUIDELINES ARE POSTED ON OUR WEBSITE AS WELL AS A COPY OF OUR CHARITY APPLICATION. *ALL THIRD PARTIES THAT WORK ON BEHALF OF THE ORGANIZATION TO COLLECT FEES (SUCH AS COLLECTION AGENCIES AND LAW FIRMS) ARE REQUIRED TO FOLLOW BSR'S POLICIES REGARDING PATIENT NOTIFICATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. *CONSISTENT REVIEW OF SELF PAY PATIENTS FOR RETROACTIVE MEDICAID COVERAGE. *SERVICES PROVIDED BY VENDOR TO REACH OUT TO PATIENTS IN BAD DEBT TO SCREEN FOR HCAP ELIGIBILITY.

Schedule H, Part VI, Line 5 Promotion of community health
BON SECOURS MERCY HEALTH (BSMH) HOSPITALS, INCLUDING COMMUNITY MERCY HEALTH PARTNERS (CMHP) HOSPITALS, OPERATE EMERGENCY ROOMS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. IN ADDITION TO PROVIDING EMERGENCY SERVICES, BSMH HOSPITALS ALSO PROVIDE MINOR EMERGENCY AND URGENT CARE SERVICES TO ALL REGARDLESS OF ABILITY TO PAY. BSMH HOSPITALS OPERATE TRAUMA SERVICES, AIR AMBULANCE SERVICES, DISEASE MANAGEMENT, WOUND CARE, SPECIALTY CLINICS, DEVELOPMENTAL THERAPY, HOSPICE, HOME CARE, CRISIS INTERVENTION, BEHAVIORAL SERVICES AND SUBSTANCE ABUSE SERVICES. BSMH HOSPITALS HAVE OPEN MEDICAL STAFFS WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. THE MAJORITY OF THE GOVERNING BODY CONSISTS OF INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITIES SERVED BY BSMH HOSPITALS. THE BSMH BOARD AND ITS MARKET GOVERNING BOARDS ARE COMPOSED OF MEMBERS OF THE COMMUNITIES SERVED WHO DIRECT AND GUIDE MANAGEMENT IN CARRYING OUT THE MISSION OF BSMH. BOARD MEMBERS ARE SELECTED ON THE BASIS OF THEIR EXPERTISE AND EXPERIENCE IN A VARIETY OF AREAS BENEFICIAL TO BSMH AND ITS AFFILIATED HOSPITALS IN FULFILLING ITS MISSION OF PROVIDING HEALTHCARE SERVICES TO THE POOR AND UNDER SERVED. BSMH HOSPITALS ENGAGE IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS. BSMH HOSPITALS PROVIDE RESIDENCY PROGRAMS AND OTHER TRAINING PROGRAMS. BSMH HOSPITALS PARTICIPATE IN MEDICAID, MEDICARE, CHAMPUS, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. BSMH HOSPITAL'S EMERGENCY DEPARTMENTS TREAT AN INCREASING NUMBER OF PATIENTS WHO USE THE FACILITY FOR PRIMARY CARE NEEDS. PATIENT DEMOGRAPHICS REFLECT THE CHANGING COMMUNITY. AS IN OTHER COMMUNITIES, SOME AREA PHYSICIANS PLACE LIMITS ON THEIR ACCEPTANCE OF MEDICAID PATIENTS. IN ADDITION, SOME PRIMARY CARE PHYSICIANS REFER PATIENTS WITH AFTER-HOURS NEEDS DIRECTLY TO AREA EMERGENCY ROOMS. COMMUNITY GROUPS AND INDIVIDUALS ARE VERY SUPPORTIVE OF BSMH. BSMH FORGES COLLABORATIVE RELATIONSHIPS WITH THE FEDERALLY QUALIFIED HEALTH CENTERS IN ITS COMMUNITIES.

Schedule H, Part VI, Line 6 Affiliated health care system
"Community Mercy Health Partners (CMHP) is a member of Community Mercy Health Systems. CMHP is sponsored by the Sisters of Mercy and has been an integral part of the community since 1950. CMHP includes an acute care hospital and a critical care access hospital with approximately 641 licensed beds combined. CMHP is a member of Bon Secours Mercy Health, Inc., a Maryland nonprofit, nonstock membership corporation (BSMH), and all of the other entities that are controlled directly or indirectly by BSMH are described collectively as the System. The System was organized in June 1983 to fulfill the healthcare mission of the United States Province of the Congregation of the Sisters of Bon Secours of Paris, a congregation of religious women of the Roman Catholic Church founded in France in 1824. The System's activities are in the states of Ohio, New York, Pennsylvania, Maryland, Virginia, Kentucky, South Carolina, and Florida, each referred to as a local system. The Ministry of BSMH aids those in need, particularly those who are sick and dying, by offering services that include but are not limited to acute inpatient, outpatient, pastoral, palliative, home health, nursing home, rehabilitative, primary and secondary care and assisted living without regard to race, religion, color, gender, age, marital status, national origin, sexual orientation, or disability. As a member of the Catholic health ministry and a member of BSMH, this organization and its related entities are called to continue the healing ministry of Jesus. We exist to benefit the people living in the communities it serves. Through all of the services offered to the community, the mission is ""to bring compassion to health care and to be good help to those in need, especially those who are poor and dying. As a System of caregivers, we commit ourselves to help bring people and communities to health and wholeness as part of the healing ministry of Jesus Christ and the Catholic Church."" This organization and related organizations share the BSMH Vision. BSMH's vision to partner with communities to create a more humane world, build social justice for all and provide exceptional value for those served is implemented through its Strategic Quality Plan which provides focus in four goal areas for the current three year period (2019-2021). - Co-Create Healthy Communities: We recognize that the factors which drive health outcomes extend well beyond the scope of traditional health care services. Thus, we commit to improve the health of communities through partnership and collaboration with a broad range of constituencies including committed community residents - Be Person Centric: We recognize that those whom we serve are increasingly engaged in their own care and are seeking convenience, affordability and reliability. Thus, we commit to anticipate and respond to the changing expectations of health care consumers, and to ensure that we engage each person in an individualized plan for health with a focus on prevention and wellness. - Serve Those Who Are Vulnerable: We recognize, by our Catholic identity, that the struggle for a more humane world is not an option, but an integral part of spreading the gospel. Thus, we commit to serve those who are vulnerable in many ways, addressing health disparities, sustaining global ministries, healing the environment and working to end violence and oppression. - Strengthen Our Culture and Capabilities: We recognize that the health care delivery system is undergoing rapid change with increasing complexity. Thus, we commit to liberate the potential of our people by strengthening individual and collective capabilities with respect to ministry leadership, knowledge, analytics, innovation and finances. Please see Schedule R for listings of the related organizations. Each of the reported entities play a role in achieving the vision of BSMH and the SQP (Strategic Quality Plan). System-wide community benefit for 2021 per the audit footnote is as follows: Total 2021 Community Benefit: $605.3 Million Benefits to the Broader Community: $138.9 million Unreimbursed Care for Those Who Are Poor and Qualify for Medicaid: $371.6 million Cost of Care for Those Who Could Not Afford to Pay: $94.8 million Community Benefit as Percent of Total Expense: 5.7 percent."