4A (Expenses $ 130698062 including grants of $ 0) (Revenue $ 178230558)
MERCY HOSPITAL OKLAHOMA CITY 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 OKLAHOMA CITY PROVIDES A WIDE VARIETY OF SERVICES IN THEIR 349 BED FACILITY AND IN FY22, HAD 317,802 TOTAL CASES. AT MERCY HOSPITAL OKLAHOMA CITY, CANCER CARE IS ABOUT MORE THAN PROVIDING CLINICAL TREATMENTS. MERCY HOSPITAL OKLAHOMA CITY ALSO OFFERS SUPPORT SERVICES TO HELP YOU MAINTAIN YOUR PHYSICAL, MENTAL AND EMOTIONAL HEALTH. MERCY'S CANCER SPECIALISTS CARE FOR ALMOST EVERY TYPE OF CANCER AND PARTICIPATE IN CLINICAL RESEARCH TO BRING YOU THE MOST ADVANCED CANCER TREATMENT AVAILABLE. IN FY22, MERCY HOSPITAL OKLAHOMA CITY HAD 26,386 CASES AND 3,934 PATIENT DAYS FOR THIS SERVICE LINE.

4B (Expenses $ 108003936 including grants of $ 0) (Revenue $ 147282992)
MERCY HOSPITAL OKLAHOMA CITY HAS A GASTROENTEROLOGY TEAM EXPERIENCED IN DIAGNOSING AND TREATING ALL TYPES OF ILLNESSES AFFECTING THE GASTROINTESTINAL TRACT. MERCY'S TEAM CAN ALLEVIATE YOUR SYMPTOMS AND REDUCE OR ELIMINATE DISCOMFORT NO MATTER WHERE IT MAY APPEAR IN YOUR DIGESTIVE SYSTEM, FROM YOUR ESOPHAGUS AND STOMACH TO YOUR SMALL AND LARGE INTESTINES, AS WELL AS THE LIVER, GALLBLADDER AND PANCREAS. IN FY22, MERCY HOSPITAL OKLAHOMA CITY HAD 20,392 CASES AND 11,366 PATIENT DAYS FOR THIS SERVICE LINE.

4C (Expenses $ 83593768 including grants of $ 0) (Revenue $ 113995293)
MERCY HOSPITAL OKLAHOMA CITY'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 OKLAHOMA CITY HAD 70,149 CASES FOR THIS SERVICE LINE.

4D (Expenses $ 160877006 including grants of $ 3425788) (Revenue $ 219385031)
IN ADDITION TO THE PROGRAM SERVICES DESCRIBED ABOVE, MERCY HOSPITAL OKLAHOMA CITY ALSO SERVES PATIENTS IN ADDITIONAL SERVICE LINES, INCLUDING BUT NOT LIMITED TO THE FOLLOWING AREAS: EMERGENCY ROOM; LAB; ORTHOPEDICS; PEDIATRICS; REHABILITATION.

MERCY HOSPITAL OKLAHOMA CITY
PART V, SECTION B, LINE 3J: THE HOSPITAL FACILITY DID INCLUDE A PRIORITIZED LIST OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS IN ITS MOST RECENT CHNA REPORT.THE CHNA HAS ALL THE SECTIONS REFERENCED ABOVE AND INCLUDES AN EXECUTIVE SUMMARY, POTENTIALLY AVAILABLE RESOURCES, EVALUATION OF IMPACT, REFERENCES, AND APPENDICES.

MERCY HOSPITAL OKLAHOMA CITY
PART V, SECTION B, LINE 5: THE TEAM USED THE FOLLOWING METHODS TO ENGAGE THE COMMUNITY AND UNDERSTAND THE COMMUNITY HEALTH NEEDS: STAKEHOLDER MEETINGS - ASSEMBLED A GROUP OF 65 COMMUNITY STAKEHOLDERS REPRESENTING 45 ORGANIZATIONS INCLUDING THOSE THAT SERVE POPULATIONS EXPERIENCING HEALTH INEQUITIES.SECONDARY DATA RESEARCH - SHARED AND DISCUSSED INFORMATION RELATED TO THE CURRENT STATE OF OUR COMMUNITY'S ECONOMIC, SOCIAL, AND HEALTH STATUS PUBLISHED BY ESTABLISHED SOURCES.COMMUNITY SURVEY - A SURVEY OF THE GENERAL PUBLIC WAS PROVIDED TO COMMUNITY RESIDENTS, TO BETTER UNDERSTAND WHAT THEY VIEW AS THE MOST SIGNIFICANT HEALTH ISSUES. COMMUNITY CHATS - DISCUSSIONS WITH COMMUNITY MEMBERS AND COMMUNITY CHAMPIONS TO DELVE DEEPER INTO INDIVIDUAL EXPERIENCES WITH HEALTH-RELATED ISSUES.INFORMATIONAL INTERVIEWS - WITH KEY COMMUNITY LEADERS TO GAIN INSIGHTS INTO THEIR PRIORITIES AND PLANS TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH. THIS PROCESS LED TO THE IDENTIFICATION OF FOUR PRIORITY AREAS. ALTHOUGH THERE IS NO SINGLE FACTOR THAT PREDICTS A HEALTH OUTCOME, THE AREAS IDENTIFIED AS PRIORITY FOR OKLAHOMA COUNTY, BY THE HOSPITAL SYSTEMS AND COMMUNITY STAKEHOLDERS, INCLUDE: - ACCESS TO EDUCATION - ACCESS TO MEANINGFUL EMPLOYMENT - ACCESS TO HEALTHY FOOD - ACCESS TO HEALTHCARE

MERCY HOSPITAL OKLAHOMA CITY
PART V, SECTION B, LINE 6A: - SSM HEALTH- INTEGRIS HEALTH- OU MEDICINE

MERCY HOSPITAL OKLAHOMA CITY
PART V, SECTION B, LINE 6B: WHEN CONDUCTING ITS MOST RECENT CHNA, MERCY HOSPITAL OKC WORKED CLOSELY WITH THE FOLLOWING:STAKEHOLDER MEETING PARTICIPANTS: ALLIANCE FOR ECONOMIC DEVELOPMENT OF OKLAHOMA CITY, AREAWIDE AGING AGENCY, BUTTERFIELD FOUNDATION, CENTENNIAL HEALTH, CITY COUNCILWOMAN, WARD 7, CITY OF OKLAHOMA CITY, COUNTY COMMISSIONER, DISTRICT 1, CROSSINGS COMMUNITY CLINIC, DENTISTS FOR THE DISABLED AND ELDERLY IN NEED OF TREATMENT (D-DENT), EL LATINO NEWS, EMBARK OKC (TRANSPORTATION), GOODWILL INDUSTRIES OF CENTRAL OKLAHOMA, GREATER OKLAHOMA CITY CHAMBER OF COMMERCE, GREATER OKC HISPANIC CHAMBER OF COMMERCE, HOMELESS ALLIANCE, HEALTH ALLIANCE FOR THE UNINSURED, HUNGER FREE OKLAHOMA, INASMUCH FOUNDATION, LANGSTON UNIVERSITY, LATINO COMMUNITY DEVELOPMENT AGENCY, LYNN INSTITUTE METAFUND (CDFI), METROTECH, MILLWOOD PUBLIC SCHOOLS, OKC BLACK EATS, OKLAHOMA CENTER FOR NONPROFITS, OKLAHOMA CHILDREN'S HOSPITAL AT OU HEALTH, OKLAHOMA CITY BLACK CHAMBER, OKLAHOMA CITY-COUNTY HEALTH DEPARTMENT, OKLAHOMA CITY INDIAN CLINIC, OKLAHOMA CITY INNOVATION DISTRICT, OKLAHOMA DENTAL FOUNDATION, OKLAHOMA DEPARTMENT OF HUMAN SERVICES, OKLAHOMA DEPARTMENT OF HUMAN SERVICES, AGING SERVICES, OKLAHOMA HEALTH CARE AUTHORITY (MEDICAID), OKLAHOMA HOSPITAL ASSOCIATION, OKLAHOMA STATE UNIVERSITY, OKLAHOMA TOBACCO SETTLEMENT ENDOWMENT TRUST (TSET), POTTS FAMILY FOUNDATION, REGIONAL FOOD BANK, RESTORE OKC, ST. LUKE'S UNITED METHODIST CHURCH (MEALS ON WHEELS), STATE REPRESENTATIVE, DISTRICT 99, SUNBEAM FAMILY SERVICES, UNITED WAY OF CENTRAL OKLAHOMA, UNIVERSITY OF OKLAHOMA COLLEGE OF NURSING, VARIETYCARE (FQHC) COMMUNITY CHAT HOSTS & PARTNERS: CROSSINGS COMMUNITY CLINIC, GOOD SHEPHERD CLINIC, GOODWILL INDUSTRIES OF CENTRAL OKLAHOMA, HEALTH ALLIANCE FOR THE UNINSURED, HILLTOP CLINIC, LYNN INSTITUTE, MARY MAHONEY MEMORIAL HEALTH CENTER (FQHC), MILLWOOD PUBLIC SCHOOLS, SKYLINE URBAN MINISTRY, STANLEY HUPFELD ACADEMYINFORMATIONAL INTERVIEW PARTICIPANTS: CHOCTAW CHAMBER OF COMMERCE, GREATER OKC HISPANIC CHAMBER OF COMMERCE, HEALTH ALLIANCE FOR THE UNINSURED, LATINO COMMUNITY DEVELOPMENT AGENCY, LYNN INSTITUTE

MERCY HOSPITAL OKLAHOMA CITY
"PART V, SECTION B, LINE 11: IN CONJUNCTION WITH THE CHNA, MERCY HOSPITAL OKLAHOMA CITY'S BOARD ADOPTED AN IMPLEMENTATION STRATEGY IN FY23 RELATED TO THE 2021 CHNA. THE MERCY HOSPITAL OKLAHOMA CITY WILL ADDRESS THE FOLLOWING COMMUNITY HEALTH NEEDS BEGINNING IN FY23:- ACCESS TO EDUCATION - ACCESS TO MEANINGFUL EMPLOYMENT - ACCESS TO HEALTHY FOOD - ACCESS TO HEALTHCAREHEALTH NEEDS NOT BEING ADDRESSED: BECAUSE THE HOSPITALS HAVE LIMITED RESOURCES, NOT EVERY HEALTH INDICATOR WHICH HAS AN IDENTIFIED NEED FOR IMPROVEMENT WILL BE DIRECTLY ADDRESSED. THOSE COMMUNITY NEEDS IDENTIFIED, BUT NOT ""PRIORITIZED"" INCLUDED THE FOLLOWING: POVERTYALTHOUGH POVERTY AS A STANDALONE ITEM WAS NOT CHOSEN AS A PRIORITY, THE HOSPITALS BELIEVE THE SELECTED PRIORITIES WILL POSITIVELY IMPACT POVERTY THROUGH IMPROVED FOOD, HEALTHCARE ACCESS, AND MENTAL HEALTH.SOCIALTHIS VARIABLE INCLUDES COMMENTS FROM CHAT QUESTIONNAIRES PERTAINING TO CLASSES FOR ADULTS, COMMUNITY GATHERING SPACES, AFFORDABLE HOUSING, POLITICAL REPRESENTATION, EMPLOYMENT, FUNDING, PARKS AND RECREATION, TRANSPORTATION ISSUES, ETC. THE HOSPITALS ARE NOT PREPARED TO ADDRESS THESE NEEDS AND RELY ON FEDERAL, STATE, AND LOCAL GOVERNMENT-BASED PROGRAMS TO ADDRESS AND IMPROVE THESE ISSUES.TEEN PREGNANCYTHERE ARE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTHCARE ENTITIES (SSM HEALTH ST ANTHONY AND MERCY HOSPITAL, OKC) THAT LIMIT THE ABILITY AND CAPACITY TO INTERVENE ON THIS ISSUE. THERE ARE SEVERAL ORGANIZATIONS IN OKLAHOMA COUNTY THAT ARE ADDRESSING TEEN PREGNANCY IN THE COMMUNITY INCLUDING THRIVE, VARIETY CARE, AND THE OKLAHOMA CITY/COUNTY HEALTH DEPARTMENT."

MERCY HOSPITAL OKLAHOMA CITY
PART V, SECTION B, LINE 20E: OTHER AREAS FROM A NOTICE PERSPECTIVE: FAP IS POSTED IN ALL REGISTRATION AREAS, FULL POLICY AND PLAIN LANGUAGE DOCUMENT POSTED ON WEBSITE, PLAIN LANGUAGE DOCUMENT IS AVAILABLE WHEN REQUESTED, THERE IS A NOTICE ON STATEMENT, AND ALL PATIENTS GET THREE STATEMENTS BEFORE THEY CAN GO TO A COLLECTION AGENCY.

FORM 990, SCHEDULE H, PART V, SECTION B, LINE 7A
HTTPS://WWW.MERCY.NET/CONTENT/DAM/MERCY/EN/PDF/CHNA/OKLAHOMA-CITY-CHNA-2022.PDF

FORM 990, SCHEDULE H, PART V, SECTION B, LINE 10A
HTTPS://WWW.MERCY.NET/CONTENT/DAM/MERCY/EN/PDF/CHIP/MERCY-OKLAHOMA-CITY-CHIP-2023.PDF

FORM 990, SCHEDULE H, PART V, SECTION B, LINE 22
ELIGIBILITY GUIDELINES FOR CHARITY CARE DISCOUNTS THE FEDERAL POVERTY GUIDELINES FOR INCOME ARE THE BASIS FOR DETERMINING ELIGIBILITY FOR CHARITY CARE DISCOUNTS. FOR EXAMPLE, INDIVIDUALS WITH INCOMES 200% OR BELOW, THE FEDERAL POVERTY GUIDELINES WILL BE ELIGIBLE FOR FREE CARE. INDIVIDUALS WITH INCOMES GREATER THAN 200% OF THE FEDERAL POVERTY GUIDELINES FOR MOST COMMUNITIES, MAY BE ELIGIBLE FOR CARE AT DISCOUNTED RATES DEPENDING ON THEIR INCOME LEVEL AND/OR THE AMOUNT DUE TO THE HOSPITAL. TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE, THE HOSPITAL FACILITY USES AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE. THE HOSPITAL USES A LOOK BACK METHOD THAT CONSIDERS DISCOUNTS ALLOWED TO MEDICARE AND ALL PRIVATE HEALTH INSURERS.

PART I, LN 7 COL(F):
TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) ARE $626,257,119. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $34,995,237. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $591,261,882.

PART I, LINE 6A
COMMUNITY BENEFIT REPORTTHE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS PREPARED BY ITS ULTIMATE PARENT ENTITY, MERCY HEALTH (EIN: 43-1423050).

PART II, COMMUNITY BUILDING ACTIVITIES:
"MERCY HOSPITAL OKLAHOMA CITY, INC. (MHOKC) COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITIES IN WHICH THEY SERVE. THROUGH ACTIVE PARTICIPATION ON COMMUNITY BOARDS, NEIGHBORHOOD/COMMUNITY MEETINGS, AND INVOLVEMENT IN COMMUNITY-BASED EVENTS, MHOKC DEMONSTRATES ITS ONGOING COMMITMENT TO THE COMMUNITY.COMMUNITY BUILDING ACTIVITIES SERVE AS A LINK TO ENGAGE MERCY COWORKERS TO LOOK BEYOND THE WALLS OF THE FACILITIES IN WHICH THEY SERVE. SOME OF THE COMMUNITY BUILDING ACTIVITIES IN WHICH MHOKC SERVES ARE:- FY2021- MERCY'S FIRST COHORT OF THE DIABETES PREVENTION PROGRAM COMPLETED THE PROGRAM IN LATE JULY 2021. THE PARTICIPANTS TOTAL BODY WEIGHT LOSS WAS 6.98%, 115 POUNDS LOST, AND AN ATTENDANCE RATE OF 94%. TO CONTINUE TO ADDRESS HEALTH DISPARITIES IN OKLAHOMA COUNTY. MERCY OKLAHOMA CITY OFFERED THE DIABETES PREVENTION PROGRAM SECOND COHORT IN SPANISH IN FEBRUARY OF 2021, WITH SEVEN CURRENT ACTIVE PARTICIPANTS AS OF NOVEMBER 2021. PARTICIPANTS IN THE SECOND COHORT HAVE AN AVERAGE WEIGHT LOSS OF 5.5% AND 124 MINUTES OF PHYSICAL ACTIVITY WITH AN ATTENDANCE RATE OF 97%. OUR INITIAL DDP LIFESTYLE COACH, TRANSITIONED OUT OF MERCY IN DECEMBER 2021, AND HAVE NOW RECRUITED AND TRAINED TWO OTHER CO-WORKERS, WHO WILL PROVIDE THE CLASSES STARTING IN FY23.- FY 2022- GOOD SAMARITAN HAS TRANSITIONED BACK TO A FULL-SERVICE CLINIC FOR UNINSURED POPULATIONS. THEIR CURRENT OPERATING HOURS ARE MONDAY THROUGH THURSDAY 8AM TO 4:30PM, AND FRIDAYS 8AM TO NOON. HOSPITAL CLINIC PARTNERSHIP STRENGTHENED, BY INTEGRATING A COMMUNITY HEALTH WORKER (CHW) IN FEBRUARY 2021. FY22- COMMUNITY HEALTH AND CLINIC PARTNERSHIP EXPANDED TO HIRE AN ADDITIONAL CHW TO SERVE CLINICS IN HIGH NEED AREAS (N. MAY AND BETHANY CLINIC), BASED ON THE AREA DEPRIVATION INDEX. DURING FY22, THE CLINIC CHWS SERVED AN UNDUPLICATED 478 PATIENTS, WITH 1,634 PATIENT ENCOUNTERS. THIS WORK WILL CONTINUE TO EXPAND INTO RURAL COMMUNITIES IN FY23.- FY2021- TWO COMMUNITY HEALTH WORKERS WERE TRANSITIONED FROM WORKING AT GOOD SAMARITAN CLINIC, TO BE INTEGRATED INTO MERCY HOSPITAL OKC'S MAIN CAMPUS EMERGENCY DEPARTMENT, DURING FY21. TOTAL UNDUPLICATED PATIENTS SERVED DURING FY21 WAS 216, WITH 847 ENCOUNTERS. IN FY2022 CHWS TRANSITED INTO ADVANCED POSITIONS. MERCY HIRED AND ONBOARDED TWO NEW CHWS TO SUPPORT THE EFFORT. AT THE END OF FY22, CHWS IN THE HOSPITAL ED SERVED 423 PATIENTS, WITH 563 PATIENT ENCOUNTERS.COMMUNITY HEALTH WORKERS HAVE ALSO BEEN TRAINED IN SCREENING PATIENTS FOR CHARITY CARE AND SOONERCARE, TO GET THE ENROLLED AND APPROVED SO THEY DO NOT HAVE TO GO WITHOUT FUNDING TO RECEIVE THE APPROPRIATE CARE THEY NEED.- TOBACCO PREVENTION- DURING FY21: OUR COMMUNITY HEALTH AND HEALTHIFICATION DEPARTMENT COLLABORATED TO CREATE AWARENESS OF THE IMPACT OF TOBACCO IN OKLAHOMA, AND PREVENTION STRATEGIES. COMMUNITY HEALTH WORKERS WERE ALSO EDUCATED AND TRAINED ON HOW TO SUBMIT A REFERRAL TO THE TOBACCO QUITLINE. FY22, DUE TO CO-WORKER HIRING AND ONBOARDING WE WILL TRAIN NEW CHWS IN THE PROCESS, TO PROVIDE REFERRALS IN FY23.COMMUNITY HEALTH WORKER SUCCESS STORY #1:""A 54-YEAR-OLD MALE PATIENT LOST HIS WIFE LAST CHRISTMAS AND LIVED IN MID-WEST CITY ALONE, WAS REFERRED TO ME FROM AN INTEGRIS HOSPITAL SOCIAL WORKER, WHO RECEIVED MY INFORMATION FROM THE GOOD SAMARITAN CLINIC. THE PATIENT WAS UNINSURED, LACKED TRANSPORTATION AND SUFFERED FROM FOOD INSECURITIES. HIS SISTERS AND NIECE ALL LIVE IN FORT WORTH TEXAS, AND THEY WERE DESPERATELY TRYING TO SELL HIS HOUSE, AND COORDINATE THE TRANSFER OF ALL HIS HEALTH CARE TO TEXAS. TO EASE THE BURDEN OF HEALTHCARE COORDINATION FROM THIS FAMILY, I CONTACTED A FORT WORTH HOSPITAL, AND WAS ABLE TO COORDINATE A TEMPORARY PCP, THE MAILING OF A FINANCIAL HARDSHIP APPLICATION TO THE HOME OF HIS SISTER AND CONDUCT A WARM HAND OFF TO A PATIENT ADVOCATE AT THE FORT WORTH HOSPITAL. THIS PATIENT'S FAMILY WAS VERY GRATEFUL, AND I WAS HAPPY THAT I WAS ABLE TO HELP THIS FAMILY."" COMMUNITY HEALTH WORKER SUCCESS STORY #2: ""THERE WAS A PATIENT I HAD PREVIOUSLY ASSISTED WITH COMMUNITY RESOURCES AND ALSO ASSISTED WITH HELPING HER SON LOOK FOR A JOB. THIS PATIENT WAS GOING THROUGH CHEMO- THERAPY AT THE TIME AND NEED ADDITIONAL RESOURCES SUCH AS FOOD PANTRIES DUE TO NOT BEING ABLE TO AFFORD GROCERIES. I WAS ABLE TO ASSIST HER WITH THAT. AFTER A WHILE, THE PATIENT NO LONGER NEEDED MY SERVICES. A FEW MONTHS LATER, I RECEIVED A PHONE CALL FROM THE PATIENT'S SON. HE STATED THAT HIS MOTHER PASSED AWAY. HE WAS RECEIVING MEDICAL BILLS AND COULD NOT PAY FOR THEM. I WAS ABLE TO CONTACT EMSA AND THEY SAID THAT THE SON WOULDN'T HAVE TO WORRY ABOUT THE BILL. AFTER THAT, I REACHED OUT TO MERCY CHARITY AND THE REST OF THE PATIENT'S MEDICAL BILLS WERE COVERED. THE SON WAS VERY GRATEFUL FOR MY HELP AND I WAS HAPPY TO BE ABLE TO HELP TAKE THE FINANCIAL BURDEN OFF THIS PATIENT'S SON."" COMMUNITY HEALTH WORKER SUCCESS STORY #3:""I RECEIVED A REFERRAL FROM THE INPATIENT SOCIAL WORK INFORMING THAT A 61-YEAR-OLD HISPANIC MALE WAS DISCHARGE FROM THE HOSPITAL, AND HE NEEDED A PCP, PRESCRIPTION ASSISTANCE, FOOD AND UTILITY ASSISTANCE. PATIENT WAS IN THE HOSPITAL DUE TO COVID-19, AND RIGHT NOW HE IS AT HOME WITH OXYGEN.WHEN I VISITED PATIENT, I NOTICED THAT HE LIVES ALONE, AND SOLELY DEPENDS ON HIS TWO ADULT CHILDREN FOR TRANSPORTATION. DURING MY FIRST VISIT, I BROUGHT WITH ME AN EMERGENCY FOOD BOX AND FOOD BANK INFORMATION, AND WE APPLIED TOGETHER TO THE COMMUNITY ACTION AGENCY FOR RENT AND UTILITY ASSISTANCE, UNFORTUNATELY, BECAUSE HIS LEGAL STATUS, THE APPLICATION WAS REJECTED. ALSO, PATIENT WAS ABLE TO SCHEDULE A FOLLOW UP APPOINTMENT WITH THE GOOD SAMARITAN CLINIC. I AM CONTINUING TO LOOK FOR RESOURCES THAT CAN ASSIST PATIENT, BUT THE POSITIVE AND REWARDING PART IS BEING ABLE TO GIVE HOPE. HOPE THAT EVERYTHING WILL BE OK, AND GOD NEVER LETS US ALONE.""MHOKC WAS A FOUNDING PARTNER OF THE HEALTH ALLIANCE FOR THE UNINSURED (HAU), WHICH WAS FORMED TO IMPROVE ACCESS OF SPECIALTY HEALTHCARE FOR THE UNINSURED. THERE ARE 17 CLINICS AFFILIATED WITH THE HAU. A STAFF POSITION SALARY IS SUPPORTED BY MERCY HOSPITAL OKLAHOMA CITY HEALTH ALLIANCE FOR THE UNINSURED' S MISSION IS TO BE A CATALYST FOR IMPROVED HEALTH CARE FOR THOSE WHO WOULD OTHERWISE BE UNABLE TO OBTAIN IT. THROUGH PARTNERSHIP AND COLLABORATION WITH MERCY HOSPITAL, THE HAU CARE CONNECTION PROGRAM COORDINATES DIAGNOSTIC AND SPECIALTY CARE SERVICES, INCLUDING SURGERY, FOR LOWINCOME, UNINSURED PATIENTS OF HAU'S PARTNER SAFETYNET HEALTH CLINICS IN OKLAHOMA COUNTY. REFERRALS ARE REVIEWED FOR MEDICAL NECESSITY AND PATIENT ELIGIBILITY (HOUSEHOLD INCOME AT OR BELOW 200% FEDERAL POVERTY LEVEL, UNINSURED AND NOT ELIGIBLE FOR MEDICARE, MEDICAID, OR OTHER PUBLIC PROGRAMS). FY22- MERCY ALSO PROVIDED FREE RADIOLOGY SERVICES TO 300+ CLIENTS REFERRED FROM THE HEALTH ALLIANCE FOR THE UNINSURED.MHOKC DONATED 200 FREE FLU SHOTS TO UNDERSERVED COMMUNITY MEMBERS AT FREE MEDICAL CLINICS. PROJECT EARLY DETECTION (PED) CONTINUES TO PROVIDE BREAST CARE SERVICES FOR UNINSURED WOMEN IN THE OKLAHOMA CITY AREA. THEY RECEIVE BREAST HEALTH SERVICES THAT INCLUDE SCREENING MAMMOGRAMS, DIAGNOSTIC MAMMOGRAMS, DIAGNOSTIC PROCEDURES, BIOPSIES, MRI'S AND TREATMENT REFERRALS.EDUCATION- FY22 WE ARE CONTINUING TO STRENGTHEN OUR PARTNERSHIPS WITH SCHOOL DISTRICTS TO INCREASE CO-WORKER ENGAGEMENT AND SUPPORT. LOOKING AT THE DATA AND IDENTIFYING THAT THE PC SCHOOL DISTRICT IS TRENDING IN A NEGATIVE DIRECTION, WE HAVE PARTNERED WITH THE PUTNAM CITY SCHOOLS FOUNDATION TO SEE HOW WE CAN INTERVENE EARLY, SO THAT IT DOES NOT BECOME A DISTRICT WITH THE POOREST/ WORST HEALTH OUTCOMES.MERCY IN SCHOOLS CALL SAM ADDRESSES BEHAVIORAL HEALTH ISSUES IN THE EDMOND PUBLIC SCHOOL DISTRICT OF THE MHOKC SERVICE AREA. THERE WERE 500 CONTACTS DURING FY21, FOR MEDICAL, SOCIOEMOTIONAL, AND NUTRITIONAL SUPPORT FOR OUR K-12 AND SECONDARY PARTNERSHIPS.FOOD INSECURITY IS BEING ADDRESSED THROUGH MERCY'S PARTNERSHIP WITH THE REGIONAL FOOD BANK, TO PROVIDE COVID RELIEF EMERGENCY FOOD BOXES TO CO-WORKERS AND PATIENTS. THIS PROGRAM INVOLVES SCREENING PATIENTS FOR FOOD INSECURITY AT 3 SEPARATE LOCATIONS OF MERCY. A FOOD PANTRY BOX CONSISTING OF 4 MEALS WILL BE GIVEN TO THE PATIENT ALONG WITH NUTRITION INFORMATION AND OTHER COMMUNITY RESOURCES FOR ADDITIONAL FOOD ASSISTANCE. IN FY22 THIS PROGRAM HAS EXPANDED TO PROVIDE FRESH PRODUCE AND HAVE SERVED OVER 1500 COMMUNITY RESIDENTS.IN THIS SAME VEIN, TO COMBAT FOOD INSECURITY, MERCY PROVIDED 1200 MEALS TO OUR SENIOR POPULATION AS PART OF ""FRIDAY MERCY MEALS"", A MOBILE MEALS PROGRAM PROVIDED IN PARTNERSHIP WITH ST. LUKE'S METHODIST CHURCH MEALS ON WHEELS.A FULL DESCRIPTION OF COMMUNITY BUILDING ACTIVITIES CAN BE FOUND AT: HTTPS://WWW.MERCY.NET/ABOUT/COMMUNITY-BENEFITS/"

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

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

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

PART III, LINE 8:
IT IS THE POSITION OF MERCY HOSPITAL OKLAHOMA CITY THAT 100% OF ANY SHORT FALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS AMOUNT REPRESENTS COST OF PROVIDING SERVICES THAT REMAIN UNCOMPENSATED TO THE PROVIDER. THE UNREIMBURSED COSTS OF MEDICARE IS CALCULATED BY THE GROSS CHARGES NET OF THE COST TO CHARGE RATIO LESS ANY PAYMENTS, DEDUCTIONS OR REIMBURSEMENTS USING THE ANNUAL MEDICARE COST REPORT (CMS FORM 2552-96)

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

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THE PRIMARY SERVICE AREA FOR MERCY HOSPITAL OKLAHOMA CITY INCLUDES 106 ZIP CODES ACROSS OKLAHOMA. THE FOLLOWING INFORMATION IS DERIVED FROM THE ADVISORY BOARD DEMOGRAPHICS AND THE OK DEPARTMENT OF HEALTH 2021-2022 ANALYTICS. THE AREA'S POPULATION IS 1,372,481. THE MEDIAN HOUSEHOLD INCOME IS $62,000. 37.0% OF THE POPULATION IS 45 AND OLDER. 89% OF THE POPULATION IS A HIGH SCHOOL GRAD OR GREATER AND THE MEDIAN AGE IS 36. 15.9% OF THE HOUSEHOLDS ARE ON MEDICARE, 25.1% ON MEDICAID, AND 12.6% UNINSURED.

PART VI, LINE 7, REPORTS FILED WITH STATES
OK

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

PART VI, LINE 2:
"THE 2022 OKLAHOMA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPRESENTS AN IMPORTANT AND POWERFUL COLLABORATION BETWEEN FOUR NONPROFIT HEALTH SYSTEMS: INTEGRIS HEALTH, MERCY HOSPITAL OKLAHOMA CITY, OU HEALTH, AND SSM HEALTH ST. ANTHONY. INTEGRIS HEALTH, MERCY AND SSM HEALTH ST. ANTHONY HAVE HELD NONPROFIT STATUS FOR DECADES, AND OU HEALTH BECAME A NONPROFIT HOSPITAL SYSTEM ON FEBRUARY 1, 2018, WHEN A NEWLY FORMED NONPROFIT GROUP, OU MEDICINE INC., OFFICIALLY COMPLETED ITS TAKEOVER OF THE OU MEDICAL SYSTEM FROM HOSPITAL CORPORATION OF AMERICA. INTEGRIS HEALTH, MERCY, AND SSM HEALTH ST. ANTHONY CONDUCTED A JOINT CHNA FOR THE FIRST TIME IN 2018 AND COLLABORATED TO IMPLEMENT CERTAIN COMMUNITY HEALTH IMPROVEMENT STRATEGIES THROUGHOUT 2019 - 2021, UNDER THE NAME, ""CENTRAL OKLAHOMA HEALTH IMPACT TEAM OR COHIT. OU HEALTH JOINED THE COMMUNITY HEALTH COLLABORATIVE IN 2019 AFTER THEY TRANSITIONED TO NONPROFIT STATUS. TODAY, COHIT CONSISTS OF THE FOUR NONPROFIT HEALTH SYSTEMS AND THE OKLAHOMA CITY- COUNTY HEALTH DEPARTMENT (OCCHD). THE OKLAHOMA CITY COMMUNITY FOUNDATION SERVES AS THE NEUTRAL CONVENER FOR COHIT. IN LOOKING AT THE COMMUNITY POPULATION SERVED BY THE FOUR SYSTEMS' HOSPITALS, IT WAS CLEAR THAT ALL FOUR HEALTH SYSTEMS DEFINE THEIR COMMUNITY AS OKLAHOMA COUNTY. SIMILAR TO THE HOSPITAL CHNAS, LOCAL AND STATE HEALTH DEPARTMENTS MUST SEEK ACCREDITATION THROUGH THE PUBLIC HEALTH ACCREDITATION BOARD (""PHAB"") BY COMPLETING A COMPREHENSIVE HEALTH ASSESSMENT (""CHA"") AND A CORRESPONDING COMMUNITY HEALTH IMPROVEMENT PLAN (""CHIP""). THE CHNA INCLUDES BOTH QUALITATIVE AND QUANTITATIVE DATA TO PROVIDE INSIGHTS ABOUT THE BIGGEST AND MOST PRESSING HEALTH NEEDS AFFECTING PEOPLE IN OKLAHOMA COUNTY. WE BEGAN THE CHNA PROCESS WITH A REVIEW OF THE PREVIOUS CHNA REPORT AND GATHERED FEEDBACK FROM INTERNAL AND EXTERNAL STAKEHOLDERS. THE SECONDARY DATA INDICATORS INCLUDED IN THIS CHNA WERE BASED ON THE TOP HEALTH PRIORITY AREAS IDENTIFIED BY THE 2021 OKLAHOMA CITY-COUNTY WELLNESS SCORE COMPLETED BY THE OKLAHOMA CITY-COUNTY HEALTH DEPARTMENT. THROUGHOUT THE ITERATIVE PROCESS, INDICATORS WERE ALSO INCLUDED IF THEY RELATED TO ONE OF THE FOUR MAIN PRIORITY AREAS OR THEMES IDENTIFIED THROUGH THE QUALITATIVE DATA FROM THE STAKEHOLDER MEETINGS AND COMMUNITY CHATS. DATA REPRESENTING THE MOST RECENT YEAR AVAILABLE ARE REPORTED FOR ALL SOURCES. WE REVIEWED APPROXIMATELY 100 INDICATORS INCLUDING HEALTH OUTCOMES AND ASSOCIATED HEALTH FACTORS FOR OKLAHOMA COUNTY RESIDENTS. INDICATORS INCLUDED DEMOGRAPHIC DATA, MORTALITY DATA, ECONOMIC AND SOCIAL FACTORS, EDUCATION, BUILT ENVIRONMENT, AND HEALTH CARE ACCESS AND QUALITY. ALL INDICATORS WERE ASSESSED THROUGH THE LENS OF HEALTH EQUITY, KEEPING IN MIND THE SOCIAL DETERMINANTS OF HEALTH. WE ASSEMBLED A GROUP OF 65 COMMUNITY STAKEHOLDERS REPRESENTING 45 ORGANIZATIONS INCLUDING HEALTH CARE PROVIDERS, SOCIAL SERVICE PROVIDERS, FOUNDATIONS, CHAMBERS OF COMMERCE, COMMUNITY DEVELOPMENT AND FINANCE ORGANIZATIONS, EDUCATION AND EMPLOYMENT TRAINING SERVICES, GOVERNMENT SERVICES, TRANSPORTATION SERVICES, FOOD AND FOOD SECURITY SERVICES, AND ELECTED OFFICIALS. POPULATIONS EXPERIENCING HEALTH INEQUITIES WERE REPRESENTED THROUGHOUT THE VARIOUS STAKEHOLDER ORGANIZATIONS INVOLVED. WE PRESENTED A COMPREHENSIVE OVERVIEW OF HEALTH INDICATOR FINDINGS FOR OKLAHOMA COUNTY AND USED A ""REAL TIME"" SURVEY PROCESS TO ENGAGE STAKEHOLDERS AND ASSESS THEIR VIEWS ON THE GREATEST FACTORS FOR POOR HEALTH OUTCOMES IN OKLAHOMA COUNTY. FOUR MAIN HEALTH TOPICS EMERGED FROM THIS PROCESS: ACCESS TO MEANINGFUL EMPLOYMENT, ACCESS TO EDUCATION, ACCESS TO HEALTHY FOOD, AND ACCESS TO HEALTHCARE. WE DIVIDED THE STAKEHOLDERS INTO DISCUSSION GROUPS FOR EACH PROBLEM AREA. EACH GROUP FURTHER DEFINED THE PROBLEM USING THE ""FIVE WHYS EXERCISE"" IN ORDER TO DETERMINE THE ROOT CAUSES OF EACH PROBLEM. WE USED THE FINDINGS FROM THE STAKEHOLDER MEETING TO CREATE A COMMUNITY SURVEY TO COLLECT INFORMATION FROM OKLAHOMA COUNTY RESIDENTS. TO CREATE THE COMMUNITY SURVEY, WE CONTACTED THE ROBERT WOOD JOHNSON FOUNDATION FOR EXAMPLES OF SURVEYS FROM OTHER STATES THAT WERE SUCCESSFUL IN GATHERING INFORMATION RELATED TO SOCIAL DETERMINANTS OF HEALTH. WE ALSO CONSIDERED QUESTIONS FROM THE BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY AND OTHER SURVEYS. THROUGH OUR PARTNERSHIP WITH THE OKLAHOMA CITY- COUNTY HEALTH DEPARTMENT, WE UTILIZED COVID-19 VACCINATION EVENTS TO COLLECT SURVEYS. IN ADDITION, WE ENLISTED THE HELP OF OUR STAKEHOLDERS TO SEND TARGETED EMAILS TO SPECIFIC POPULATION GROUPS. SURVEYS WERE MADE AVAILABLE IN ENGLISH AND SPANISH. AFTER EXCLUSION OF INCOMPLETE SURVEYS AND THOSE WITH A ZIP CODE OUTSIDE OF OKLAHOMA COUNTY, WE HAD A FINAL SAMPLE SIZE OF 956. ALTHOUGH THIS WAS NOT A PROBABILITY SAMPLE, THE DEMOGRAPHICS OF THE SURVEY RESPONDENTS ARE COMPARABLE TO THAT OF OKLAHOMA COUNTY WITH A FEW EXCEPTIONS. TO MAKE THE RESULTS MORE GENERALIZABLE TO OKLAHOMA COUNTY, WE USED POST-STRATIFICATION WEIGHTING. WE USED THE AMERICAN COMMUNITY SURVEY TO CREATE BENCHMARK TOTALS FOR THE FOLLOWING VARIABLES: AGE, SEX, AND RACE. EACH HOSPITAL WAS RESPONSIBLE FOR COMMUNITY CHATS RELATED TO ONE OF THE FOLLOWING PRIORITY AREAS: EDUCATION, EMPLOYMENT, FOOD ACCESS, HEALTH CARE ACCESS. EACH COMMUNITY CHAT WAS MODERATED BY A STAFF MEMBER FROM ONE OF THE PARTNER HOSPITALS AND RECORDED FOR TRANSCRIPTION. WE FACILITATED SIXTEEN ""COMMUNITY CHATS"" IN THE FORM OF GUIDED COMMUNITY CHATS TO DELVE DEEPER INTO HOW PEOPLE EXPERIENCE EACH OF THE FOUR PRIORITY TOPIC AREAS. WE CREATED FACILITATION GUIDES FOR EACH PRIORITY TOPIC TO COLLECT INFORMATION ON PERSONAL EXPERIENCES, BARRIERS TO ACCESS, COMMUNITY PERCEPTIONS, AND OPPORTUNITIES TO IMPROVE CONDITIONS IN THE COMMUNITY. EACH COMMUNITY CHAT WAS MODERATED BY A STAFF MEMBER FROM ONE OF THE PARTNER HEALTH SYSTEMS. AS AN EXPRESSION OF THIS CHNA'S EMPHASIS ON HEALTH EQUITY, WE USED INTENTIONAL RECRUITING STRATEGIES TO ENSURE COMMUNITY CHAT PARTICIPANTS WERE REPRESENTATIVE OF UNDERSERVED MEMBERS OF THE COMMUNITY. THESE STRATEGIES INCLUDED PARTNERING WITH CHARITY CLINICS TO RECRUIT AND HOST THE CONVERSATIONS USING A PURPOSIVE, SNOWBALL SAMPLING APPROACH TO RECRUIT PARTICIPANTS, AND PROVIDING SMALL GIFT-CARD INCENTIVES FOR PARTICIPATION. OUR PARTNERS IN RECRUITMENT INCLUDED THE OKLAHOMA CITY AND MILLWOOD PUBLIC SCHOOL DISTRICTS, GOOD SHEPHERD CLINIC, CROSSINGS COMMUNITY CLINIC, HILLTOP CLINIC, MARY MAHONEY HEALTH CENTER, AND THE HEALTH ALLIANCE FOR THE UNINSURED.WE WERE INTENTIONAL ABOUT INVITING COMMUNITY HEALTH WORKERS, FRONTLINE PUBLIC HEALTH WORKERS WHO ARE TRUSTED MEMBERS OF THE COMMUNITY, AND THOSE WITH LIVED AND/OR SHARED EXPERIENCES OF THE UNDERSERVED POPULATIONS IN OKLAHOMA COUNTY. BETWEEN MAY 23 AND JUNE 30, 2021, 111 PARTICIPANTS ENGAGED IN 16 COMMUNITY CHATS: 4 ON HEALTH CARE ACCESS, 4 ON FOOD ACCESS, 3 ON EDUCATION AND 5 ON EMPLOYMENT. ALL SESSIONS WERE RECORDED, AND AUDIO FILES WERE ANONYMOUSLY TRANSCRIBED TO TEXT DOCUMENTS. TEXT DOCUMENTS WERE UPLOADED TO THE QUALITATIVE DATA ANALYSIS SOFTWARE TOOL ""DEDOOSE"" FOR CODING. DEDOOSE IS A WEB-BASED PROGRAM THAT ALLOWED THE RESEARCHERS TO ORGANIZE AND ANALYZE RESEARCH DATA INTO TEXT FORMATS FOR QUANTITATIVE AND QUALITATIVE DATA AND FACILITATED MIXED METHODS RESEARCH OUTPUT."

PART VI, LINE 3:
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.

PART VI, LINE 5:
PROMOTION OF COMMUNITY HEALTHMERCY PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. MERCY IS A CATHOLIC HEALTH CARE CORPORATION THAT, PURSUANT TO THE ORGANIZATIONAL CORE BELIEF, THAT HEALTH CARE SERVICES ARE A VITAL AND INTEGRAL PART OF THE CHURCH'S HEALING MISSION, ENGAGES IN A MINISTRY WHICH PROVIDES GENERAL ACUTE CARE, AMBULATORY, LONG-TERM AND HOME CARE HEALTH SERVICES TO INDIVIDUALS AND FAMILIES IN ITS COMMUNITIES. MERCY OFFERS SERVICES AND PROGRAMS WHICH FURTHER HEALTH PROMOTION, MAINTENANCE AND CARE TO THE COMMUNITY. PROGRAMS PROVIDED TO MEET THE COMMUNITY INCLUDE SUPPORT GROUPS, OUTREACH EVENTS, BLOOD DRIVES, AND CO-WORKER WORKDAYS. MERCY IS GOVERNED BY A BOARD OF DIRECTORS WHICH INCLUDES REPRESENTATION FROM COMMUNITY LEADERS FROM A VARIETY OF SECTORS. ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY. ANY POTENTIAL CONFLICTS OF INTEREST DISCLOSED ARE REVIEWED AND RESOLVED. THIS PROCESS ENSURES THAT PUBLIC, RATHER THAN PRIVATE INTERESTS ARE SERVED. SURPLUS FUND AND UNRESTRICTED ASSETS HELD ARE REINVESTED IN PATIENT CARE, MEDICAL EDUCATION AND RESEARCH INITIATIVES WHICH SUPPORT THE ORGANIZATION'S MISSION TO DELIVER COMPASSIONATE CARE AND EXCEPTIONAL HEALTH CARE SERVICES TO THE COMMUNITIES IT SERVES.

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