4A (Expenses $ 3608427 including grants of $ 0) (Revenue $ 4448085)
MERCY HOSPITAL KINGFISHER 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 KINGFISHER PROVIDES A WIDE VARIETY OF SERVICES IN THEIR 25 BED FACILITY AND IN FY22, HAD 10,728 TOTAL CASES. MERCY HOSPITAL KINGFISHER'S PULMONOLOGISTS ARE EXPERIENCED IN DIAGNOSING AND TREATING BREATHING DISORDERS, FROM ASTHMA TO LUNG CANCER TO SLEEP DISORDERS. MERCY'S TEAM OF PULMONOLOGISTS WILL WORK WITH YOU TO MEASURE YOUR LUNG FUNCTION, MAKE AN ACCURATE DIAGNOSIS AND DETERMINE THE RESPIRATORY TREATMENT THAT'S RIGHT FOR YOU. ADDITIONAL RESPIRATORY CONDITIONS MERCY TREATS INCLUDE COPD, PNEUMONIA, AND OBSTRUCTIVE SLEEP APNEA. IN FY22, MERCY HOSPITAL KINGFISHER HAD 194 CASES AND 1,606 PATIENT DAYS FOR THIS SERVICE LINE.

4B (Expenses $ 3303253 including grants of $ 0) (Revenue $ 4071900)
MERCY HOSPITAL KINGFISHER 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 KINGFISHER'S EMEGENCY 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 KINGFISHER HAD 3,494 CASES FOR THIS SERVICE LINE.

4C (Expenses $ 2295150 including grants of $ 0) (Revenue $ 2829218)
MERCY HOSPITAL KINGFISHER HAS A TEAM THAT SPECIALIZES IN THE DIAGNOSIS AND TREATMENT OF DISEASES OF THE URINARY SYSTEM IN MEN AND WOMEN, AND DISORDERS OF THE MALE REPRODUGIVE SYSTEM. MERCY'S UROLOGISTS TREAT ISSUES THAT MAY APPEAR IN YOUR KIDNEYS, BLADDER, ADRENAL GLANDS, URETERS AND URETHRA. MERCY'S NETWORK OF SPECIALISTS COLLABORATES TO OFFER THE FULL SPECTRUM OF CARE IN UROLOGY, ONCOLOGY, CANCER TREATMENT AND RECONSTRUCTIVE SURGERY. IN FY22, MERCY HOSPITAL KINGFISHER HAD 140 CASES AND 1,008 PATIENT DAYS FOR THIS SERVICE LINE.

4D (Expenses $ 3263243 including grants of $ 53574) (Revenue $ 4022579)
IN ADDITION TO THE PROGRAM SERVICES DESCRIBED ABOVE, MERCY HOSPITAL KINGFISHER ALSO SERVES PATIENTS IN ADDITIONAL SERVICE LINES, INCLUDING BUT NOT LIMITED TO THE FOLLOWING AREAS: GASTROENTEROLOGY; NEUROSCIENCE; RADIOLOGY; REHABILIATION; WOMEN & INFANTS.

MERCY HOSPITAL KINGFISHER, INC.
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 KINGFISHER, INC.
PART V, SECTION B, LINE 5: DUE TO THE UNPRECEDENTED COVID-19 PANDEMIC, MERCY HOSPITAL KINGFISHER WAS NOT ABLE TO HOST THREE COMMUNITY MEETINGS TO SEEK FEEDBACK FROM KEY STAKEHOLDERS. IN AN EFFORT TO PROMOTE SOCIAL DISTANCING AND FOLLOWING RECOMMENDATIONS OUTLINED THE CDC'S WEBSITE, THE HOSPITAL COLLABORATED WITH THE KINGFISHER COUNTY COLLABORATIVE TO PARTICIPATE IN ONE MEETING TO GATHER COMMUNITY FEEDBACK. THE MEETING WAS HELD ON MARCH 14, 2022. THIS SPECIFIC GROUP WAS SELECTED DUE TO THEIR EXPERTISE OF PUBLIC HEALTH NEEDS AND THEIR VAST REPRESENTATION OF THE COMMUNITY. STAKEHOLDERS INCLUDE THOSE THAT REPRESENT OR WORK CLOSELY WITH LOW INCOME AND RACIALLY DIVERSE POPULATIONS.

MERCY HOSPITAL KINGFISHER, INC.
PART V, SECTION B, LINE 6B: COMMUNITY MEMBERS WHO WERE INCLUDED TO PROVIDE INPUT: - OKLAHOMA OFFICE OF RURAL HEALTH, OSU CENTER FOR RURAL HEALTH- RED ROCK BEHAVIORAL - KINGFISHER PUBLIC SCHOOLS- KINGFISHER COUNTY COOPERATIVE EXTENSION - KINGFISHER COMMUNITY COLLABORATIVE - TSET - KINGFISHER COUNTY HEALTH DEPARTMENT - SOONER SUCCESS

MERCY HOSPITAL KINGFISHER, INC.
PART V, SECTION B, LINE 11: IN CONJUNCTION WITH THE CHNA, MERCY HOSPITAL KINGFISHER'S BOARD ADOPTED AN IMPLEMENTATION STRATEGY IN FY23 RELATED TO THE 2021 CHNA. MERCY HOSPITAL KINGFISHER WILL ADDRESS THE FOLLOWING COMMUNITY HEALTH NEEDS BEGINNING IN FY23:- OBESITY - THE HOSPITAL PLANS TO COLLABORATE WITH THE LOCAL CHAMBER OF COMMERCE AND KINGFISHER COMMUNITY COLLABORATIVE TO HOST A WALKING COLLABORATION. - THE HOSPITAL ALSO PLANS TO CONTINUE TO COLLABORATE WITH THE COMPASSION CLINIC TO PROVIDE SERVICES AND RESOURCES TO THE PATIENTS OF THE CLINIC. THESE PATIENTS ARE OFTEN THE LOW-INCOME AND/OR UNINSURED RESIDENTS IN THE COMMUNITY. THIS PARTNERSHIP INCLUDES PROVIDING CARE AS WELL AS MAKING REFERRALS AS NEEDED AND LINKING PATIENTS TO RESOURCES. - MENTAL HEALTH - MERCY HOSPITAL KINGFISHER IS WORKING TO PARTNER WITH AN ORGANIZATION TO PROVIDE AN OUTPATIENT GEROPSYCH PROGRAM THAT ENCOURAGES ENGAGEMENT AND SOCIALIZATION FOR PARTICIPANTS. - EMERGENCY DEPARTMENT SCREENINGS/ASSESSMENTS - MERCY HOSPITAL KINGFISHER ADMINISTERS A SCREENING QUESTIONNAIRE TO ALL PATIENTS SEEN THROUGH THE EMERGENCY DEPARTMENT TO DETERMINE MENTAL HEALTH NEEDS. FROM THERE, PATIENTS WHO ARE IDENTIFIED AS NEEDING SERVICES OR CARE ARE THEN REFERRED TO THE APPROPRIATE PROVIDER OR FACILITY. THE HOSPITAL PLANS TO CONTINUE A STRONG COLLABORATION WITH THE COMPASSION CLINIC TO PROVIDE CARE AND RESOURCES TO PATIENTS AS NEEDED. MERCY HOSPITAL KINGFISHER RECOGNIZES THE IMPORTANCE OF THE COMPASSION CLINIC AND THE STRAIN POVERTY HAS ON THE MEDICAL SERVICE AREA. THEREFORE, THESE ITEMS ARE INCORPORATED INTO THE PRIORITIES IDENTIFIED AND IN THE IMPLEMENTATION OF PROGRAMMING TO ADDRESS THESE PRIORITIES.

MERCY HOSPITAL KINGFISHER, INC.
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/KINGFISHER-CHNA-2022.PDF

FORM 990, SCHEDULE H, PART V, SECTION B, LINE 10A
HTTPS://WWW.MERCY.NET/CONTENT/DAM/MERCY/EN/PDF/CHNA/KINGFISHER-CHNA-2022.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 $15,846,332. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $1,662,193. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $14,184,139.

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 KINGFISHER (MHK) COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITIES IN WHICH THEY SERVE. THROUGH PARTICIPATION IN NEIGHBORHOOD/COMMUNITY MEETINGS, COMMUNITY BOARDS, AND INVOLVEMENT IN COMMUNITY-BASED EVENTS, MHK 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 MHK PARTICIPATES/SERVES ARE:- PROVIDED SUPPORT FOR COVID-19 COMMUNITY VACCINE CLINICS- SUPPORTING COUNT HEALTH FAIR- HEALTH FAIR FOR SCHOOLS- CONDUCTING COMMUNITY BLOOD DRIVES- PARTICIPATING IN RELAY FOR LIFE- TOY LAND FOR DHW- FOOD BANK FOR KINGFISHER- SUPPORT OF LOCAL AMBUCS CHAPTER- MEALS ON WHEELS- KINGFISHER CHAMBER MEMBER- THANKSGIVING MEAL ADOPTION- CHRISTMAS GIFT ADOPTIONA FULL DESCRIPTION OF THE COMMUNITY'S 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 IS AS 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 KINGFISHER 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).

PART VI, LINE 4:
THE PRIMARY SERVICE AREA FOR MERCY HOSPITAL KINGFISHER INCLUDES KINGFISHER COUNTY, 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 16,664. THE MEDIAN HOUSEHOLD INCOME IS $68,000. 41.2% OF THE POPULATION IS 45 AND OLDER. 79% OF THE POPULATION IS A HIGH SCHOOL GRAD OR GREATER AND THE MEDIAN AGE IS 39.

PART VI, LINE 7, REPORTS FILED WITH STATES
OK

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

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

PART VI, LINE 2:
THE KINGFISHER COMMUNITY COLLABORATIVE IN PARTNERSHIP WITH THE OKLAHOMA OFFICE OF RURAL HEALTH CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT DURING 2021 ALONG WITH A COMMUNITY HEALTH IMPROVEMENT PLAN. THIS THROUGH ASSESSMENT IDENTIFIED CONCERNS IN THE COMMUNITY. THIS PROCESS AND FINDINGS WERE USED AS THE BASELINE DATA FOR THE CHNA FOR MERCY HOSPITAL, KINGFISHER. THE KINGFISHER COMMUNITY COLLABORATIVE IS A LOCAL HEALTH COALITION AND A CERTIFIED HEALTH IMPROVEMENT ORGANIZATION THAT MEETS QUARTERLY. THIS GROUP IS COMPOSED OF REPRESENTATIVES FROM SERVICE PROVIDERS, HEALTHCARE PROVIDERS, EDUCATION, SAFETY, FAITH-BASED GROUPS, AND COMMUNITY MEMBERS WHO ALL HAVE THE SAME DESIRE TO IMPROVE THE QUALITY OF LIFE IN THE COMMUNITY. MERCY HOSPITAL, KINGFISHER IS AN ACTIVE AND ENGAGED MEMBER OF THE COALITION. DUE TO THE UNPRECEDENTED COVID-19 PANDEMIC, MERCY HOSPITAL KINGFISHER WAS NOT ABLE TO HOST THREE COMMUNITY MEETINGS TO SEEK FEEDBACK FROM KEY STAKEHOLDERS. IN AN EFFORT TO PROMOTE SOCIAL DISTANCING AND FOLLOWING RECOMMENDATIONS OUTLINED THE CDC'S WEBSITE, THE HOSPITAL COLLABORATED WITH THE KINGFISHER COUNTY COLLABORATIVE TO PARTICIPATE IN ONE MEETING TO GATHER COMMUNITY FEEDBACK. THE MEETING WAS HELD ON MARCH 14, 2022. OKLAHOMA OFFICE OF RURAL HEALTH FACILITATED THE GATHERING OF THE SECONDARY DATA, THE COMPLETION OF THE SURVEY, AND THE HYBRID COMMUNITY MEETING. STEPS TAKEN TO CONDUCT A CHNA FOR MERCY HOSPITAL, KINGFISHER BEGAN WITH A DESCRIPTION OF THE HOSPITAL'S MEDICAL SERVICE AREA, INCLUDING A DEMOGRAPHIC ANALYSIS AND A SUMMARY OF THE COMMUNITY MEETING. THE CHNA PROCESS IS FACILITATED BY STAFF OF THE OKLAHOMA OFFICE OF RURAL HEALTH AND MERCY HOSPITAL, KINGFISHER. THE OKLAHOMA OFFICE OF RURAL HEALTH WORKED CLOSELY WITH THE HOSPITAL AND COMMUNITY MEMBERS TO DEVELOP AN ECONOMIC IMPACT OF THE LOCAL HEALTH SECTOR, DEVELOP AND ANALYZE A LOCAL HEALTH SERVICES SURVEY, AND GATHER AND ANALYZE LOCAL HEALTH DATA. THE COMMUNITY MEETINGS WERE FACILITATED BY THE OKLAHOMA OFFICE OF RURAL HEALTH. AFTER THE MEETINGS CONCLUDED, THE OKLAHOMA OFFICE OF RURAL HEALTH ASSISTED THE HOSPITAL IN DEVELOPING THEIR IMPLEMENTATION STRATEGY. AFTER IMPLEMENTATION, THE OKLAHOMA OFFICE OF RURAL HEALTH WILL ASSIST IN EVALUATION OF THE STRATEGIES IMPLEMENTED AND PROVIDE CONTINUED ASSISTANCE WITH DATA AND RESOURCES. COMMUNITY MEMBERS PRESENT REPRESENTED A CROSS SECTION OF THE COMMUNITY. THIS SPECIFIC GROUP WAS SELECTED DUE TO THEIR EXPERTISE OF PUBLIC HEALTH NEEDS AND THEIR VAST REPRESENTATION OF THE COMMUNITY. STAKEHOLDERS INCLUDE THOSE THAT REPRESENT OR WORK CLOSELY WITH LOW INCOME AND RACIALLY DIVERSE POPULATIONS. ALL STAKEHOLDERS RECEIVED ALL OF THE TYPICAL PRIMARY AND SECONDARY DATA PRIOR TO THEIR RESPECTIVE MEETINGS. THEY PROVIDE GREAT INSIGHT INTO THE NEEDS OF THE COMMUNITY. A SURVEY WAS DESIGNED TO GAUGE HOSPITAL USAGE, SATISFACTION, AND COMMUNITY HEALTH NEEDS FROM DECEMBER 13, 2021 THROUGH JANUARY 21,2022. A TOTAL OF 100 SURVEYS WERE COMPLETED. OF THOSE SURVEYS, 99 WERE ELECTRONIC RESPONSES.

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."