4A (Expenses $ 329343073 including grants of $ 10528954) (Revenue $ 388563580)
THE HOSPITAL PROVIDES MEDICAL HEALTH CARE, INCLUDING 24 HOURS A DAY, SEVEN DAYS A WEEK TRAUMA CENTER SERVICE, TO ALL PATIENTS ACCESSING THE SYSTEM, REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT BY REFERENCE TO CERTAIN ESTABILISHED POLICIES OF THE HOSPITAL. ESSENTIALLY, THESE POLICIES DEFINE CHARITY SERVICES AS THOSE SERVICES FOR WHICH NO OR NOMINAL PAYMENT IS ANTICIPATED. ADDITIONALLY, EACH HOSPITAL DEPARTMENT ACCEPTS ALL PATIENTS WHO ARE COVERED BY GOVERNMENTAL INDIGENT PROGRAMS. SUCH INDIGENT PROGRAMS TYPICALLY REMIT AMOUNTS SUBSTANTIALLY LESS THAN CHARGES. THE FOLLOWING SUMMARIZES THE HOSPITAL'S CARE OF THE UNINSURED AND UNDERINSURED. COSTS IN EXCESS OF MEDICARE REIMBURSEMENT (COSTS OF PROVIDING THE SERVICES LESS THE AMOUNTS RECEIVED FROM MEDICARE) - $28,080,000; OTHER COMMUNITY BENEFITS (INCLUDES SUBSIDIZED HEALTH SERVICES, FINANCIAL CONTRIBUTIONS) - $2,298,000; FREE SERVICE (TO PATIENTS WHO MEET MERCY'S FREE-SERVICE GUIDELINES) - $4,990,000; COSTS IN EXCESS OF MEDICAID REIMBURSEMENT (COSTS OF PROVIDING THE SERVICES LESS THE AMOUNTS RECEIVED FROM MEDICAID) - $12,580,000, PHYSICIAN EDUCATION - $(1,119,000). IN ADDITION, CHARITY CARE AND COMMUNITY SERVICE ARE PROVIDED THROUGH MANY REDUCED-PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR. THESE PROGRAMS PROVIDE A BONA FIDE COMMUNITY HEALTH NEED, INCLUDING: A. PUBLIC AND PROFESSIONAL EDUCATIONAL SEMINAR ARE OFFERED ON A VARIETY OF TOPICS INCLUDING JOINT REPLACEMENT SURGERY, PRENATAL EDUCATION, DIABETES, MENTAL HEALTH DISORDERS, AND NUMEROUS OTHER MEDICAL CONDITIONS OF MEDICAL AND PSYCHOSOCIAL NATURE. SPECIALIZED CANCER SEMINARS ARE ALSO OFFERED. B. HOSPITAL MEETING FACILITIES WHICH ARE FREQUENTLY USED WITHOUT CHARGE BY SUCH GROUPS AS THE AMERICAN HEART ASSOCIATION, IOWA BREAST CANCER FOUNDATION, HEALTHY LINN NETWORK ADVISORY COMMITTEE, OVEREATERS ANONYMOUS, CATHOLIC LAYMEN, UNITED WAY, CATHERINE MCAULEY CENTER FOR WOMEN, THE AMERICAN CANCER SOCIETY. M.S. SUPPORT GROUP, EASTERN IOWA ONCOLOGY NURSES SOCIETY, THE IOWA CANCER CONSORTIUM, THE PARENT EDUCATION CONSORTIUM, ARC OF EAST CENTRAL IOWA, AND SEVERAL OTHER GROUPS. C. CONTRIBUTIONS OF APPROXIMATELY 76,185 HOURS TOWARD THE COMMON PURPOSE OF SERVING THE HEALTH CARE OF THE COMMUNITY. THE VALUE OF THESE CONTRIBUTIONS WAS APPROXIMATELY $1,106,244 AND WAS GIVEN BACK TO THE COMMUNITY THROUGH LOWER COSTS.

MERCY MEDICAL CENTER
"PART V, SECTION B, LINE 5: THE 2021 ITERATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS FACILITATED BY LINN COUNTY PUBLIC HEALTH WITH OVERSIGHT PROVIDED BY THE TOGETHER! HEALTHY LINN STEERING COMMITTEE. THE CHNA AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) INCLUDE PARTNERSHIPS WITH A MULTITUDE OF COMMUNITY STAKEHOLDERS, INCLUDING MERCY MEDICAL CENTER, UNITYPOINT HEALTH - ST. LUKE'S HOSPITAL, AND EASTERN IOWA HEALTH CENTER. THE ALIGNMENT OF THE CHA AND CHIP FOR ALL FOUR ENTITIES IN LINN COUNTY MINIMIZES DUPLICATION AND MAXIMIZES IMPACT, AS ALL AFOREMENTIONED ORGANIZATIONS ARE REQUIRED UNDER LAW, OR BY FUNDERS, TO ASSESS THE HEALTH OF THE COMMUNITY AND DEVELOP AN IMPLEMENTATION PLAN FOR MEETING IDENTIFIED COMMUNITY NEEDS.THE TOGETHER! HEALTHY LINN STEERING COMMITTEE CONSISTS OF THE FOLLOWING PARTNERS: ABBEHEALTH, BETHANY LUTHERAN CHURCH, CEDAR RAPIDS CITY COUNCIL, CEDAR RAPIDS COMMUNITY SCHOOL DISTRICT, CITY OF CEDAR RAPIDS, CITY OF MARION POLICE DEPARTMENT, EASTERN IOWA HEALTH CENTER, GREATER CEDAR RAPIDS COMMUNITY FOUNDATION, IOWA STATE UNIVERSITY EXTENSION & OUTREACH, KIRKWOOD COMMUNITY COLLEGE, LINN COUNTY BOARD OF SUPERVISORS, LINN COUNTY PUBLIC HEALTH, MERCY MEDICAL CENTER, STATE OF IOWA REPRESENTATIVE, STATE OF IOWA SENATOR, UNITED WAY OF EAST CENTRAL IOWA, AND UNITYPOINT HEALTH - ST. LUKE'S HOSPITAL.IN ADDITION, MERCY MEDICAL CENTER CONTACTED THE SECONDARY SERVICE AREA PUBLIC HEALTH DEPARTMENTS TO BETTER UNDERSTAND THEIR COUNTY'S NEEDS THROUGH UTILIZING THEIR MOST RECENT CHNA.THE TOGETHER! HEALTHY LINN COLLABORATIVE USES THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) FRAMEWORK TO GUIDE THE CHA AND CHIP PROCESS. MAPP IS A NATIONALLY RECOGNIZED FRAMEWORK FOR CONDUCTING COMMUNITY-WIDE STRATEGIC PLANNING TO IMPROVE COMMUNITY HEALTH. THIS FRAMEWORK BALANCES QUANTITATIVE DATA ABOUT HEALTH TRENDS WITH THE EXPERIENCES OF COMMUNITY MEMBERS AND INSIGHT FROM CONTENT EXPERTS IN THE AGENCIES WITHIN THE LOCAL PUBLIC HEALTH SYSTEM. MAPP CURRENTLY CONSISTS OF SIX PHASES AND EMPHASIZES SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY AS KEY FACTORS THAT INFLUENCE THE OVERALL HEALTH OF THE COMMUNITY.THE COMMUNITY HEALTH STATUS ASSESSMENT (CHSA) IS A QUANTITATIVE ANALYSIS THAT ANSWERS THE QUESTIONS, ""HOW HEALTHY IS OUR COMMUNITY? AND ""WHAT DOES THE HEALTH STATUS OF OUR COMMUNITY LOOK LIKE?"" RESULTS OF THE CHSA PROVIDE AN UNDERSTANDING OF THE COMMUNITY'S HEALTH STATUS AND ENSURE THAT THE COMMUNITY'S PRIORITIES CONSIDER SPECIFIC HEALTH STATUS ISSUES, SUCH AS RATES OF INCREASING CHRONIC DISEASE, SEXUALLY TRANSMITTED INFECTIONS, AND HEALTH INEQUITIES.LINN COUNTY CONDUCTED THE COMMUNITY THEMES AND STRENGTHS ASSESSMENT (CTSA) BETWEEN MAY AND NOVEMBER OF 2021. THE CTSA IS A QUALITATIVE ANALYSIS OF PERCEPTIONS, THOUGHTS, AND OPINIONS COMMUNITY MEMBERS HAVE REGARDING HEALTH. OF PARTICULAR INTEREST WAS IDENTIFYING NEEDS OF THE COMMUNITY, PERCEIVED QUALITY OF LIFE, AND ASSETS AVAILABLE THAT MAY BE USED TO IMPROVE COMMUNITY HEALTH. THE ASSESSMENT PROCESS WAS GUIDED BY A CTSA SUBCOMMITTEE WITH REPRESENTATION FROM MULTIPLE ENTITIES AND ORGANIZATIONS WITHIN THE LOCAL PUBLIC HEALTH SYSTEM AND IS ASSOCIATED WITH THE LARGER TOGETHER! HEALTHY LINN STEERING COMMITTEE. THE TARGET AUDIENCE FOR THIS ASSESSMENT IS COMMUNITY MEMBERS WHO WORK, RESIDE, WORSHIP, GO TO SCHOOL, OR SEEK ENTERTAINMENT IN LINN COUNTY. AN INITIAL SUBCOMMITTEE MEETING WAS HELD ON OCTOBER 15, 2020, TO PLAN THE ASSESSMENT. OVERALL, IT WAS DECIDED THAT THE ASSESSMENT SHOULD HAVE A GREATER EMPHASIS ON UNDERLYING FACTORS OF POOR HEALTH RATHER THAN A FOCUS ON HEALTH CONDITIONS, AS WELL AS A NEED TO REACH THOSE PREVIOUSLY MISSED THROUGH TRADITIONAL SURVEYING. THE GROUP DECIDED TO MOVE FORWARD WITH DEVELOPING A COMMUNITY HEALTH SURVEY AS THE PRIMARY METHOD FOR COLLECTING COMMUNITY INPUT, STICKER BOARDS FOR QUICKLY ENGAGING COMMUNITY MEMBERS IN COMMON SPACES WHERE SOCIAL DISTANCING COULD STILL OCCUR AND FOCUS GROUPS TO TARGET POPULATIONS NOT CAPTURED THROUGH THE BROADER SURVEY. IN ADDITION, THE ASSESSMENT INCLUDED TARGETED QUESTIONS EVALUATING THE CURRENT HEALTH PRIORITIES THAT WERE SELECTED IN THE 2019-2023 CHIP INCLUDING MENTAL HEALTH, OBESITY, AND COMMUNITY SAFETY. THIS WILL HELP THE TOGETHER! HEALTHY LINN COLLABORATIVE DIG DEEPER INTO THESE ISSUES AS WELL AS IDENTIFY THE NEED FOR CONTINUED PRIORITIZATION.ASSESSMENT ACTIVITIES TOOK PLACE BETWEEN MAY AND DECEMBER OF 2021. AFTER PRELIMINARY ASSESSMENT OF THE SURVEY RESULTS, POPULATIONS THAT WERE UNDERREPRESENTED IN THE SURVEY WERE IDENTIFIED, INCLUDING THOSE 65 YEARS AND OLDER, IMMIGRANT/REFUGEES, COMMUNITIES OF COLOR, LOW TO MIDDLE INCOME, AND RURAL RESIDENTS. THROUGH AN IDENTIFIED NEED TO HOLD FOCUS GROUPS, THE MAPP CORE TEAM COLLABORATED WITH THE COMMUNITY IMPACT ASSESSMENT TEAM FROM UNITED WAY TO HOLD JOINT FOCUS GROUPS. OVERALL, THREE FOCUS GROUPS AND ONE INFORMANT INTERVIEW WAS HELD TO GAIN ADDITIONAL INFORMATION FROM THE UNDERREPRESENTED POPULATIONS. FOCUS GROUPS INCLUDED MEMBERS FROM THE YOUNG PARENTS NETWORK, NATIONAL ASSOCIATION FOR THE ADVANCEMENT OF COLORED PEOPLE (NAACP), AND THE AFRICAN AMERICAN MEN'S GROUP. AN ADDITIONAL INFORMANT INTERVIEW WAS CONDUCTED WITH LEADERSHIP FROM UNITED WE MARCH FORWARD, TO CAPTURE THE NEEDS AND PERSPECTIVES OF IMMIGRANT AND REFUGEE RESIDENTS. DATA OBTAINED THROUGH THIS COMPREHENSIVE COMMUNITY ASSESSMENT WERE SYNTHESIZED INTO A SINGLE REPORT AND BROKEN DOWN INTO LOGICAL CATEGORIES TO RELAY ASSESSMENT FINDINGS. THE 2021 COMMUNITY HEALTH ASSESSMENT IDENTIFIED MENTAL HEALTH, LIFESTYLE BARRIERS, INCLUDING ACCESS TO FOOD AND EQUITABLE OPPORTUNITIES TO BE ACTIVE; COMMUNITY SAFETY; SAFE AND AFFORDABLE HOUSING; ACCESS TO HEALTHCARE; CHRONIC DISEASE; SEXUALLY TRANSMITTED INFECTIONS; AND SUBSTANCE USE. SINCE THE DEVELOPMENT OF THE 2019-2021 CHIP, LINN COUNTY HAS EXPERIENCED SIGNIFICANT CHANGES; INCREASED LEVELS OF STRESS, ANXIETY, DEPRESSION, AND SUICIDAL IDEATION WERE DESCRIBED FOLLOWING THE ONSET OF THE COVID-19 PANDEMIC AND THE 2020 DERECHO. LIKEWISE, THESE EVENTS EXACERBATED THE ACCESSIBILITY OF HEALTHY AND AFFORDABLE FOODS, PARTICULARLY FOR MIDDLE TO LOW-INCOME RESIDENTS, AND THE DERECHO PLACED AN EMPHASIS ON AN ALREADY STRUGGLING SYSTEM OF SAFE AND AFFORDABLE HOUSING.DURING THE LAST ROUND OF THE CHA IN 2018, THE TOGETHER! HEALTHY LINN STEERING COMMITTEE USED A SERIES OF PRIORITIZATION TOOLS IN COMBINATION WITH DATA REFLECTION; ASSET AND COMMUNITY MAPPING; SMALL AND LARGE GROUP DISCUSSION; AND AN AGREED UPON SET OF PRIORITIZATION CRITERIA TO DETERMINE WHICH THREE ISSUES NEEDED TO BE ADDRESSED BEFORE THE COMMUNITY VISION COULD BE REALIZED. THE STEERING COMMITTEE WAS LIMITED TO THE TOP THREE ISSUES TO MAINTAIN A REALISTIC, FOCUSED SCOPE OF WORK. THE PRIORITIZATION CRITERIA FOR STRATEGIC ISSUES WERE: -THE ISSUE IS DATA DRIVEN, APPEARING IN TWO OR MORE OF THE ASSESSMENTS -ADDRESSING THE ISSUE REQUIRES A COLLABORATIVE, MULTI-SECTOR APPROACH -ALIGNMENT WITH THE TOGETHER! HEALTHY LINN VISION -ASSETS ARE AVAILABLE WITHIN THE LOCAL PUBLIC HEALTH SYSTEM TO AFFECT THE ISSUE -THE ISSUE REFLECTS A NEED THAT TOGETHER! HEALTHY LINN CAN INFLUENCE THE SIZE AND SIGNIFICANCE OF THE ISSUE HAS SIGNIFICANT IMPACTAT THE END OF THIS PRIORITIZATION SESSION, THREE BROAD ISSUES WERE IDENTIFIED IN RANK ORDER: MENTAL HEALTH, OBESITY, AND SAFETY. USING DATA FROM THE MID-CYCLE ASSESSMENT CONDUCTED IN 2021, THE TOGETHER! HEALTHY LINN STEERING COMMITTEE CONVENED ON MARCH 10, 2022, TO REVIEW RESULTS OF THE ASSESSMENT AND EVALUATE WHAT ADJUSTMENTS, IF ANY, SHOULD BE APPLIED TO THE EXTENDED 2019-2023 COMMUNITY HEALTH IMPROVEMENT PLAN. FOLLOWING REVIEW OF THE ASSESSMENT FINDINGS, THE MAPP CORE TEAM PRESENTED SOME RECOMMENDATIONS FOR THE STEERING COMMITTEE TO CONSIDER FOR MODIFICATIONS, INCLUDING EXTENDING THE 2019-2021 PLAN TO 2023; HONE IN ON THE UNDERLYING FACTORS DRIVING THE ISSUES OF OBESITY AND SAFETY; GATHER ADDITIONAL DATA TO TARGET PLANNED STRATEGIES, POPULATIONS IMPACTED AND GEOGRAPHIC LOCATION; AND MAKE MODIFICATIONS TO THE PLAN BASED ON THE ADDITIONAL DATA FINDINGS. RECOMMENDATIONS WERE UNANIMOUSLY ACCEPTED FOR CONTINUATION AND ADJUSTMENT OF THE COMMUNITY HEALTH IMPROVEMENT PLAN. THE PRIORITIZED SIGNIFICANT NEEDS FOR THE 2021 LINN COUNTY CHA ARE MENTAL HEALTH, LIFESTYLE BARRIERS (INCLUDING ACCESS TO FOOD AND OPPORTUNITIES TO BE ACTIVE), COMMUNITY SAFETY, AND SAFE AND AFFORDABLE HOUSING."

MERCY MEDICAL CENTER
PART V, SECTION B, LINE 6A: LINN COUNTY PUBLIC HEALTH FACILITATED A COMMUNITY HEALTH NEEDS ASSESSMENT FOR UNITYPOINT HEALTH - ST. LUKE'S HOSPITAL AND MERCY MEDICAL CENTER. BOTH HOSPITALS ARE LOCATED IN CEDAR RAPIDS, IA.

MERCY MEDICAL CENTER
PART V, SECTION B, LINE 6B: THE 2021 ITERATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS FACILITATED BY LINN COUNTY PUBLIC HEALTH WITH OVERSIGHT PROVIDED BY THE TOGETHER! HEALTHY LINN STEERING COMMITTEE. THE CHA AND CHIP INCLUDE PARTNERSHIPS WITH A MULTITUDE OF COMMUNITY STAKEHOLDERS, INCLUDING MERCY MEDICAL CENTER, UNITYPOINT HEALTH - ST. LUKE'S HOSPITAL, AND EASTERN IOWA HEALTH CENTER. THE TOGETHER! HEALTHY LINN STEERING COMMITTEE CONSISTS OF THE FOLLOWING PARTNERS: ABBEHEALTH, BETHANY LUTHERAN CHURCH, CEDAR RAPIDS CITY COUNCIL, CEDAR RAPIDS COMMUNITY SCHOOL DISTRICT, CITY OF CEDAR RAPIDS, CITY OF MARION POLICE DEPARTMENT, EASTERN IOWA HEALTH CENTER, GREATER CEDAR RAPIDS COMMUNITY FOUNDATION, IOWA STATE UNIVERSITY EXTENSION & OUTREACH, KIRKWOOD COMMUNITY COLLEGE, LINN COUNTY BOARD OF SUPERVISORS, LINN COUNTY PUBLIC HEALTH, MERCY MEDICAL CENTER, STATE OF IOWA REPRESENTATIVE, STATE OF IOWA SENATOR, UNITED WAY OF EAST CENTRAL IOWA, AND UNITYPOINT HEALTH - ST. LUKE'S HOSPITAL.ADDITIONALLY, MERCY MEDICAL CENTER REQUESTED INPUT FROM THE PUBLIC HEALTH DEPARTMENTS OF BENTON, BUCHANAN, CEDAR, DELAWARE, IOWA, JOHNSON, JONES, AND TAMA COUNTIES REGARDING HEALTH PRIORITIES IN THEIR AREA.

MERCY MEDICAL CENTER
PART V, SECTION B, LINE 11: MERCY MEDICAL CENTER IS ADDRESSING THE FOUR PRIORITIZED SIGNIFICANT NEEDS IDENTIFIED IN THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN A VARIETY OF WAYS. MERCY MEDICAL CENTER IS ADDRESSING THE SIGNIFICANT HEALTH NEED OF MENTAL HEALTH BY EXPLORING OPTIONS FOR MORE PSYCHIATRIC CONSULTATIVE ROLES WITHIN MERCYCARE CLINICS, PROVIDING AREA SCHOOL DISTRICTS WITH MENTAL HEALTH SERVICES, OFFERING TELEHEALTH MENTAL HEALTH APPOINTMENTS, PARTICIPATING IN THE STEERING COMMITTEE OF THE LINN COUNTY MENTAL HEALTH ACCESS CENTER, INCREASING EARLY INTERVENTION SERVICES FOR SUICIDE THROUGH A SCREENING TOOL AND CREATION OF SAFETY PLAN/INTERVENTIONS AND PROVIDING SCREENING, ONGOING SUPPORT, AND TREATMENT AT SEDLACEK TREATMENT CENTER.MERCY IS ADDRESSING THE SIGNIFICANT HEALTH NEED OF FOOD INSECURITY BY PROVIDING NUTRITION EDUCATION AND COUNSELING, PROVIDING A WELLNESS PROGRAM FOR EMPLOYEES, PURCHASING AND OFFERING LOCAL FRESH PRODUCE FOR PATIENTS, VISITORS AND STAFF, SCREENING PATIENTS FOR FOOD INSECURITY AND PARTNERING WITH HACAP FOOD RESERVOIR TO PROVIDE SHORT AND LONG TERM SUPPORTS, PROVIDING FOOD RESOURCES AT CATHERINE'S CUPBOARD FOR EMPLOYEES AND VOLUNTEERS, AND PROVIDING IN-KIND SPACE TO METRO CATHOLIC OUTREACH, A FOOD PANTRY IN ONE OF MERCY'S BUILDINGS FOR $1 RENT/YEAR. MERCY IS ADDRESSING THE SIGNIFICANT HEALTH NEED OF COMMUNITY SAFETY BY ENHANCING MERCY'S ANTI-HUMAN TRAFFICKING EFFORTS, PARTICIPATING IN COMMUNITY EFFORTS TO REDUCE GUN VIOLENCE, INCLUDING RESTORATIVE JUSTICE PROGRAMMING AT A LOCAL SCHOOL, ASSESSING PATIENTS FOR ABUSE OR ASSAULT AND CONNECTING TO COMMUNITY RESOURCES, IMPLEMENTING PHYSICAL ENVIRONMENT SAFETY IMPROVEMENTS HOSPITAL-WIDE, AND OFFERING TRAINING RELATED TO SAFETY BOTH INTERNALLY AND EXTERNALLY TO MERCY MEDICAL CENTER. MERCY IS ADDRESSING THE SIGNIFICANT HEALTH NEED OF SAFE AND AFFORDABLE HOUSING THROUGH PARTICIPATING IN COMMUNITY INITIATIVES FOCUSED ON AFFORDABLE HOUSING AND EXPLORING OPTIONS TO FURTHER SUPPORT THESE EFFORTS. ADDITIONALLY, MERCY IS SCREENING FOR HOUSING NEEDS AND PARTNERING WITH COMMUNITY-BASED ORGANIZATIONS TO PROVIDE HOUSING ASSISTANCE. WHEN APPROPRIATE, MERCY OCCUPATIONAL THERAPY DEPARTMENTS COMPLETES A SAFETY ASSESSMENT AT HOME FOR PATIENTS. HISTORICALLY, MERCY HAS INCREASED ACCESS TO AND PROVIDED SUPPORT OF AFFORDABLE HOUSING COMMUNITY DEVELOPMENT INITIATIVES, INCLUDING THE PROCUREMENT OF PROPERTY AND/OR PROVIDING FINANCIAL ASSISTANCE IN THE DEVELOPMENT OF LOW-INCOME HOUSING. MERCY MEDICAL CENTER DESCRIBES IN ITS MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY HOW IT IS ADDRESSING OTHER NEEDS IDENTIFIED IN THE CHNA. THESE INCLUDE ACCESS TO HEALTH CARE, A CHRONIC DISEASE, NATURAL ENVIRONMENT, SEXUAL HEALTH, SUBSTANCE USE, AND TRANSPORTATION.

MERCY MEDICAL CENTER
PART V, SECTION B, LINE 13B: PATIENTS THAT EXCEED 400% OF FPL TABLE ARE ELIGIBLE FOR DISCOUNTS ON ALL BALANCES IN EXCESS OF 10% OF GROSS PERSONAL EARNINGS PER CALENDAR YEAR.

SCHEDULE H, PART V, SECTION B, LINE 5, CONTINUED:
"FOR THE FULL COMMUNITY HEALTH ASSESSMENT REPORTS PREPARED BY LINN COUNTY PUBLIC HEALTH, PLEASE VISIT: HTTP://WWW.LINNCOUNTY.ORG/613/REPORTS-AND-PUBLICATIONS. MERCY MEDICAL CENTER DID NOT RECEIVE ANY WRITTEN COMMENTS ON THE HOSPITAL FACILITY'S MOST RECENTLY CONDUCTED CHNA OR IMPLEMENTATION STRATEGY. HOWEVER, ON THE CHNA AND IMPLEMENTATION STRATEGY WEBPAGE OF THE MERCY WEBSITE, THERE IS A ""QUESTIONS?"" FORM THAT CAN BE FILLED OUT BY ANY INDIVIDUAL. THE SUBMITTED ONLINE FORM GOES TO MERCY'S MARKETING DEPARTMENT AND WOULD BE FORWARDED TO MERCY'S COMMUNITY BENEFIT OFFICE. ANY MAILED WRITTEN COMMENTS WOULD BE FORWARDED TO THE COMMUNITY BENEFIT OFFICE."

SCHEDULE H, PART V, SECTION B, LINE 7A:
HTTPS://WWW.MERCYCARE.ORG/ABOUT/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/

SCHEDULE H, PART V, SECTION B, LINE 10A:
HTTPS://WWW.MERCYCARE.ORG/ABOUT/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/

PART I, LINE 3C:
DISCOUNTED CARE IS AVAILABLE TO ALL MERCY MEDICAL CENTER PATIENTS WHO DO NOT HAVE ACTIVE MEDICAL INSURANCE COVERAGE, NOT JUST THOSE WITHIN A FEDERAL POVERTY GUIDELINE FAMILY INCOME LIMIT. IF PATIENTS STILL FIND THEMSELVES UNABLE TO PAY, THEY MAY APPLY FOR ADDITIONAL FINANCIAL ASSISTANCE.

PART I, LINE 6A:
NOT APPLICABLE

PART I, LINE 7:
MERCY MEDICAL CENTER UTILIZED WORKSHEET 2 TO CALCULATE ITS COST-TO-CHARGE RATIO, AND THIS RATIO WAS USED IN COMPUTING THE INFORMATION REPORTED IN PART I, LINE 7.

PART I, LINE 7G:
NO COSTS ASSOCIATED WITH A PHYSICIAN CLINIC WERE REPORTED IN SUBSIDIZED HEALTH SERVICES.

PART I, LN 7 COL(F):
BAD DEBT EXPENSE WAS NOT INCLUDED IN THE DENOMINATOR BECAUSE IT WAS REPORTED ON LINE 2D OF PART VIII, STATEMENT OF REVENUE. THE ORGANIZATION'S TOTAL COMMUNITY BENEFIT EXPENSE AS A PERCENTAGE OF TOTAL EXPENSES IS 25.49%. THIS PERCENTAGE INCREASES TO 71.46% IF MEDICARE ALLOWABLE COSTS ARE INCLUDED IN THE TOTAL COMMUNTY BENEFIT EXPENSE.

PART II, COMMUNITY BUILDING ACTIVITIES:
MERCY MEDICAL CENTER PARTICIPATED IN COMMUNITY BUILDING ACTIVITIES THAT PROMOTED THE HEALTH OF THE COMMUNITIES MERCY SERVES. THIS INCLUDED MERCY STAFF REPRESENTATION ON COALITIONS, COMMITTEES, AND BOARDS SUCH AS BIG BROTHERS BIG SISTERS OF CEDAR RAPIDS. MERCY MADE CASH CONTRIBUTIONS TO NON-PROFIT ORGANIZATIONS THAT SUPPORT COMMUNITY-BUILDING EFFORTS THROUGH THEIR MENTOR, EDUCATIONAL, OR AFTER SCHOOL PROGRAMMING FOR YOUTH.

PART III, LINE 2:
THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF THESE AMOUNTS, THEY ARE NOT REPORTED AS REVENUE IN THE AUDITED FINANCIAL STATEMENTS. THEREFORE, NO BAD DEBT EXPENSE IS RECOGNIZED FOR UNCOLLECTED AMOUNTS ON PATIENT ACCOUNTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.

PART III, LINE 3:
NOT APPLICABLE

PART III, LINE 4:
SEE PAGE 11 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS FOR A DESCRIPTION OF BAD DEBT EXPENSE.

PART III, LINE 8:
THE COSTS SHOWN FOR THE MEDICARE SHORTFALL ARE BASED ON TOTAL CHARGES OF ALL MEDICARE AND MEDICARE REPLACEMENT (PART C) PATIENTS. THE SHORTFALL IS CALCULATED BY MULTIPLYING THE TOTAL CHARGES BY THE COST TO CHARGE RATIO CALCULATED ON WORKSHEET 2, LESS PAYMENTS WE RECEIVED FOR THESE SERVICES.THE MEDICARE COST REPORT IS NOT AN APPROPRIATE SOURCE TO DETERMINE THE COSTS FOR THESE PATIENTS. MANY ITEMS, INCLUDING ALL OUTPATIENT SERVICES FOR PATIENTS WHO ARE COVERED BY A MEDICARE REPLACEMENT PLAN (PART C) AND MANY SERVICES SUCH AS LABORATORY, PHYSICAL AND OCCUPATIONAL THERAPY, AND OTHERS PAID ON A FEE FOR SERVICE BASIS, ARE NOT INCLUDED ON THE MEDICARE COST REPORT. IN ADDITION, HOSPICE, HOME HEALTH, AND DIALYSIS SERVICES, ALTHOUGH INCLUDED IN MEDICARE COST REPORT, DO NOT SHOW THE COSTS AND PAYMENTS ASSOCIATED WITH THESE SERVICES FOR MEDICARE BENEFICIARIES. FOR MERCY MEDICAL CENTER, THE VAST MAJORITY OF OUR GROSS CHARGES ARE GENERATED BY PATIENTS WITH MEDICARE AND MEDICARE REPLACEMENT (PART C) COVERAGE OR MEDICAID. NEITHER GOVERNMENT PROGRAM HAS HISTORICALLY REIMBURSED ENOUGH TO COVER THE COSTS OF THE SERVICES PROVIDED TO THESE PATIENTS. IF WE DID NOT SERVE THESE PATIENT POPULATIONS, ANOTHER FACILITY WOULD HAVE TO PROVIDE THE SERVICE.

PART III, LINE 9B:
MERCY MEDICAL CENTER UNDERSTANDS PATIENTS MAY NOT HAVE THE ABILITY TO PAY FOR SERVICES NOR RECOGNIZE THE OPPORTUNITY THEY MAY HAVE TO RECEIVE FINANCIAL ASSISTANCE. TO AID IN THIS PROCESS, MERCY MEDICAL CENTER HAS IMPLEMENTED A PRESUMPTIVE CHARITY ELIGIBILITY PROGRAM (PCEP). PATIENTS WHO QUALIFY FOR THIS PROGRAM DO NOT COMPLETE PAPERWORK. MERCY MEDICAL CENTER UTILIZES AN OUTSIDE VENDOR TO ASSIST IN DETERMINING A PATIENT'S FINANCIAL RISK. MERCY MEDICAL CENTER USES BILLING AND COLLECTION RECOMMENDATIONS FROM THE IOWA HOSPITAL ASSOCIATION. THESE RECOMMENDATIONS INCLUDE: - MERCY MEDICAL CENTER WILL PROVIDE THE SAME INFORMATION CONCERNING SERVICES AND CHARGES TO ALL PATIENTS. - MERCY MEDICAL CENTER WILL NOT KNOWINGLY SEND A PATIENT'S BILL TO A COLLECTION AGENCY BEFORE INITIAL FINANCIAL ELIGIBILITY ASSISTANCE DETERMINATION HAS BEEN MADE. - MERCY MEDICAL CENTER WILL REVIEW THE PATIENT'S RECORD TO DETERMINE IF REASONABLE EFFORTS WERE UNDERTAKEN TO ENSURE THAT FINANCIAL ASSISTANCE WAS OFFERED AND/OR IF FINANCIAL ASSISTANCE IS APPROPRIATE BEFORE ANY COLLECTION AGENCY ASSIGNMENT.

PART VI, LINE 2:
MERCY MEDICAL CENTER UNDERSTANDS THE NEED FOR ONGOING ASSESSMENT AND USES DATA AND INFORMATION OBTAINED FROM COMPLETED SOCIAL DETERMINANT OF HEALTH SCREENINGS ON PATIENTS, THE COMMUNITY FREE CLINICS, COMMUNITY COALITIONS, COMMUNITY-BASED ORGANIZATIONS, AND THE LOCAL PUBLIC HEALTH DEPARTMENTS TO MODIFY CURRENT ACTIVITIES AND CREATE INNOVATIVE PROGRAMS TO ADDRESS HEALTH NEEDS. ADDITIONALLY, MERCY MEDICAL CENTER RECEIVES REQUESTS FROM LOCAL NON-PROFIT ORGANIZATIONS FOR FINANCIAL AND IN-KIND SUPPORT TO ADDRESS COMMUNITY NEEDS FOR WHICH THEY PROVIDE PROGRAMS AND SERVICES. MERCY MEDICAL CENTER UTILIZES ALL THIS INFORMATION, IN ADDITION TO THE CHNA TO COMPLETE A COMMUNITY BENEFIT PLAN FOR THE HOSPITAL.

PART VI, LINE 3:
EDUCATION: MERCY MEDICAL CENTER POSTS SIGNAGE AND PROVIDES BROCHURES REGARDING FINANCIAL ASSISTANCE INFORMATION AT ALL POINTS OF ENTRY. THERE IS A NOTIFICATION ON THE BACK OF ALL STATEMENTS INDICATING THAT FINANCIAL ASSISTANCE IS AVAILABLE TO ASSIST QUALIFYING PATIENTS. TRAINING: MERCY MEDICAL CENTER HAS EDUCATED AND TRAINED STAFF MEMBERS AT ALL REGISTRATION LOCATIONS ABOUT OUR FINANCIAL ASSISTANCE POLICY AND LISTENING TO INDIVIDUALS THAT MAY NEED ASSISTANCE. OUR EMERGENCY DEPARTMENT STAFF IS TRAINED ON MEDICAID APPLICATIONS. MERCY HAS HIRED PATIENT MATTERS TO ASSIST PATIENTS WITH THE MEDICAID APPLICATION PROCESS. PATIENT MATTERS AND OUR FINANCIAL ADVOCATE TEAM KEEP IN COMMUNICATION TO ENSURE PATIENT NEEDS ARE MET.

PART VI, LINE 7, REPORTS FILED WITH STATES
IA

PART VI, LINE 4:
MERCY MEDICAL CENTER SERVES A PRIMARY SERVICE AREA (PSA) OF LINN COUNTY AND A SECONDARY SERVICE AREA (SSA) OF EIGHT COUNTIES (BENTON, BUCHANAN, CEDAR, DELAWARE, IOWA, JOHNSON, JONES AND TAMA). THE MAJORITY OF MERCY'S PATIENTS FOR BOTH INPATIENT AND OUTPATIENT SERVICES LIVE IN LINN COUNTY. THE COMMUNITY ADDITIONALLY INCLUDES THOSE COUNTIES ADJACENT TO LINN COUNTY AND WITHIN A REASONABLE DRIVING TIME TO THE HOSPITAL. THE TOTAL POPULATION OF LINN COUNTY IN 2020 WAS 230,299. THE TOTAL POPULATION OF BOTH PRIMARY AND SECONDARY SERVICE AREAS WAS 519,749. DEMOGRAPHICS FOR THE COMBINED SERVICE AREA ARE AS FOLLOWS: 50.1% MALE, 49.9% FEMALE 93.3% CAUCASIAN 2.3% AFRICAN AMERICAN 1.2% NATIVE AMERICAN 1.0% ASIAN/PACIFIC 1.6% TWO OR MORE RACES 3.6% HISPANIC 18.5% OF PERSONS LIVING IN MERCY'S COMBINED SERVICE AREA ARE AGE 65 OR OLDER 93.6% ARE HIGH SCHOOL GRADUATES WHILE 24.7% HOLD A BACHELOR'S DEGREE OR HIGHER THE MEDIAN HOUSEHOLD INCOME IS $62,954 THE PERCENTAGE OF PEOPLE LIVING BELOW POVERTY LEVEL IS 9.0% AS COMPARED TO 10.2% FOR ALL OF IOWA 13% OF MERCY'S PATIENTS USE MEDICAID AND THE NUMBER OF UNINSURED INDIVIDUALS UNDER AGE 65 IN IOWA IS 6.0% ACCORDING TO THE US CENSUS BUREAUS THE AVERAGE PERSONS PER HOUSEHOLD ARE 2.43 FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS ARE PRESENT IN BENTON, BUCHANAN, DELAWARE, IOWA, JONES, LINN AND TAMA COUNTIES (HTTPS://DATAWAREHOUSE.HRSA.GOV/TOOLS/ANALYZERS/MUAFIND.ASPX)AS OF DECEMBER 2021, THE UNEMPLOYMENT RATE FOR LINN COUNTY IS 3.3%. THE EIGHT CONTIGUOUS UNEMPLOYMENT RATES RANGE FROM 2.3-4.3%. LINN COUNTY FEATURES A DIVERSE EMPLOYER BASE INCLUDING MANUFACTURING, TRADE, EDUCATION, SERVICE, FINANCE, AND AGRICULTURE.UNITYPOINT HEALTH - ST. LUKE'S HOSPITAL IS IN LINN COUNTY AND SERVES A SIMILAR GEOGRAPHIC SERVICE AREA AS MERCY MEDICAL CENTER. ADDITIONALLY, THE UNIVERSITY OF IOWA AND MERCY IOWA CITY ARE IN JOHNSON COUNTY, REGIONAL MEDICAL CENTER IS IN DELAWARE COUNTY, UNITYPOINT HEALTH - JONES REGIONAL MEDICAL CENTER IS IN JONES COUNTY, AND VIRGINIA GAY HOSPITAL IS IN BENTON COUNTY.

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"MERCY MEDICAL CENTER'S BOARD OF TRUSTEES IS MADE UP OF VOLUNTEERS, THE MAJORITY OF WHOM ARE RESIDENTS WITHIN THE PRIMARY SERVICE AREA. THE BOARD CONSISTS OF 23 MEMBERS WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION. THE CEO OF THE CORPORATION AND THE PRESIDENT OF THE MEDICAL STAFF ADDITIONALLY SERVE AS EX-OFFICIO, VOTING MEMBERS. IN THE EVENT THAT THE PRESIDENT OF THE MEDICAL STAFF IS ALSO AN EMPLOYEE OF THE ORGANIZATION, HE OR SHE WILL SERVE AS AN EX-OFFICIO, NON-VOTING MEMBER. THE GOVERNANCE STRUCTURE ENSURES THAT COMMUNITY INTERESTS ARE REPRESENTED IN DECISION-MAKING FOR THE ORGANIZATION. IN ADDITION, THREE SEATS ARE ALLOCATED TO WOMEN RELIGIOUS WHO ENSURE THE ORGANIZATION REMAINS TRUE TO ITS CHARITABLE MISSION. THERE ARE CURRENTLY FOUR WOMEN RELIGIOUS SERVING ON THE BOARD.MERCY MEDICAL CENTER MAINTAINS AN OPEN MEDICAL STAFF, AS PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS.FOLLOWING IN THE FOOTSTEPS OF THE SISTERS OF MERCY, MERCY MEDICAL CENTER IS COMMITTED TO ADDRESSING THE NEEDS THAT IMPACT THE HEALTH OF POOR AND VULNERABLE INDIVIDUALS IN OUR COMMUNITY. MERCY ACKNOWLEDGES THE HEALTH OF EVERY INDIVIDUAL IS INFLUENCED BY THE CONDITIONS IN THE PLACES WHERE INDIVIDUALS LIVE, LEARN, WORK AND AGE, ALONG WITH THEIR SOCIOECONOMIC STATUS AND RACE. IN FEBRUARY 2022, MERCY'S CHNA AND STRATEGIC PLAN WAS SHARED WITH THE PLANNING COMMITTEE OF MERCY'S BOARD OF TRUSTEES. MERCY'S COMMITMENT TO ADDRESSING SOCIAL DETERMINANTS OF HEALTH AND ADVANCING HEALTH EQUITY WAS REVIEWED. FOR THE REMAINDER OF 2022 AND INTO 2023, MERCY PLANS TO WORK TO UNDERSTAND ON A DEEPER LEVEL THE AVAILABLE COMMUNITY DATA AND MAKE A CONCERTED EFFORT TO LISTEN TO COMMUNITY MEMBERS IN THE AREAS MERCY SERVES. THESE STEPS WILL INFORM OUR NEXT ACTIONS RELATED TO HEALTH EQUITY.TO ADVANCE HEALTH EQUITY, IN 2022, MERCY ESTABLISHED THE HEALTH EQUITY FUND AND PROVIDED SUPPORT TO EIGHT LOCAL NONPROFIT ORGANIZATIONS WITH INITIATIVES FOCUSED ON ADDRESSING ACCESS TO BEHAVIORAL HEALTH SERVICES, FOOD INSECURITY, AND SAFE AND AFFORDABLE HOUSING. MERCY EXPANDED SCREENING TO ASSESS PATIENTS FOR NONMEDICAL NEEDS, SUCH AS FOOD, TRANSPORTATION, AND HOUSING. PATIENTS WHO IDENTIFY AS HAVING A NEED ARE CONNECTED TO RESOURCES WITHIN THE COMMUNITY.MERCY PARTNERED WITH HACAP FOOD RESERVOIR. PATIENTS ARE SCREENED FOR FOOD INSECURITY DURING VISITS WITH HEALTHCARE PROVIDERS. PATIENTS WHO SCREEN POSITIVE ARE PROVIDED A FOOD BOX AND CONNECTED TO OTHER COMMUNITY RESOURCES.IN PARTNERSHIP WITH THE CATHERINE MCAULEY CENTER AND LINN COUNTY PUBLIC HEALTH, MERCY PARTICIPATES IN NEW REFUGEE'S INITIAL HEALTH ASSESSMENT BY COLLECTING LABS AND RADIOLOGY SERVICES.MERCY PROVIDED IN-KIND LAB, RADIOLOGY, AND PROVIDERS TO THE COMMUNITY HEALTH FREE CLINIC (CHFC). THE NUMBER OF PATIENTS SEEN BY A MERCY PROVIDER AT THE CLINIC FROM JULY 2021 TO JUNE 2022 WAS 4,085. ADDITIONALLY, MERCY PARTNERED WITH CHFC TO OFFER OUTREACH AND SCREENINGS FOR PROSTATE CANCER, COLON CANCER, AND BREAST CANCER.MERCY FAMILY COUNSELING PARTNERS WITH LINN-MAR AND PRAIRIE SCHOOL DISTRICTS TO PLACE STUDENTS ON THE FAST TRACK TO MENTAL HEALTH SUPPORTS. MERCY OFFERS EPIC TO THE CEDAR RAPIDS COMMUNITY SCHOOL DISTRICT'S METRO CARE CONNECTION SCHOOL-BASED HEALTH CENTERS AND THE EPIC TRAINING ENVIRONMENT TO KIRKWOOD COMMUNITY COLLEGE FOR THEIR NURSING PROGRAMS.DURING MISSION WEEK, MERCY STAFF DONATED THREE LINEN CARTS AND SIX FLAT BEDS FULL OF SUPPLIES, AS WELL AS ALMOST $2,000 IN MONETARY DONATIONS TO ST. JOHN OF THE CROSS CATHOLIC WORKER HOUSE, WAYPOINT, AND WILLIS DADY HOMELESS SERVICES. THIS INCLUDED ITEMS THAT EACH OF THE SHELTERS RELY ON HEAVILY TO HELP THEIR CLIENTS LIVE EACH DAY. ITEMS INCLUDED TOILET PAPER, PAPER TOWELS, CLEANING SUPPLIES, HYGIENE PRODUCTS, LAUNDRY SOAP, AND BEDDING.IN JANUARY 2022, MERCY HOSTED A ""HEAD, SHOULDERS, KNEES & TOES"" DRIVE IN PARTNERSHIP WITH OLIVET NEIGHBORHOOD MISSION AND THE EASTERN IOWA HEALTH CENTER TO COLLECT ITEMS TO HELP THE GROWING NUMBER OF HOMELESS INDIVIDUALS IN OUR COMMUNITY GET THROUGH THE WINTER. ALTOGETHER, MERCY STAFF AND VOLUNTEERS DONATED FIVE LINEN CARTS OF WINTER GEAR.SISTER ORGANIZATIONS MOUNT MERCY UNIVERSITY, THE CATHERINE MCAULEY CENTER AND MERCY CONTINUED THE TRADITION OF SPREADING MERCY IN OUR COMMUNITY WITH CIRCLE THE CITY WITH MERCY - A ONE-DAY COMMUNITY SERVICE PROJECT. IN JULY 2021, MEMBERS OF EACH ORGANIZATION PUT TOGETHER A COMBINED 500 SHOE COVERINGS AND DONATED TO OLIVET NEIGHBORHOOD MISSION. THE SHOE COVERINGS KEEP FEET DRY FROM THE ELEMENTS OF WEATHER AND ARE MADE FROM BLUE WRAPS FROM MERCY'S SURGICAL AREAS, WHERE THEY ARE USED TO WRAP STERILE INSTRUMENT TRAYS. THE FAMILY CAREGIVERS CENTER OF MERCY HAS HAD CONTACT WITH 1,661 FAMILY CAREGIVERS: 1,291 FEMALE CAREGIVERS AND 370 MALE CAREGIVERS. OUT OF OUR CAREGIVERS, 937 OF THEM ARE CARING FOR SOMEONE LIVING WITH DEMENTIA AND 235 ARE CARING FOR SOMEONE WITH MULTIPLE HEALTH ISSUES. THE CENTER SUPPORTS 767 SPOUSAL CAREGIVERS; 743 ARE ADULT CHILDREN CARING FOR THEIR PARENTS.MERCY MEDICAL CENTER PROVIDES REPRESENTATION ON COMMUNITY BOARDS, COALITIONS AND COMMITTEES ADDRESSING HEALTH NEEDS. EXAMPLES INCLUDE: -THE ARC OF EAST CENTRAL IOWA BOARD -COMMUNITY HEALTH FREE CLINIC BOARD -FOUR OAKS -HAWKEYE AREA COMMUNITY ACTION PROGRAM -HERITAGE AREA AGENCY ON AGINGMERCY EMPLOYEES HAVE PARTICIPATED IN THE TRAINING OF HEALTH CARE PROFESSIONS STUDENTS, PROVIDING HEALTH EDUCATION TO THE COMMUNITY, OFFERING SUPPORT OF HEALTH PREVENTION AND PROMOTION ACTIVITIES, THROUGH SCREENINGS AND SUPPORT GROUPS, PROVIDING IN-KIND PRINTING TO MULTIPLE NONPROFITS, AND COORDINATING ACTIVITIES TO SUPPORT LOCAL NONPROFITS.THE ESPECIALLY FOR YOU RACE AGAINST BREAST CANCER SUPPORTS FREE MAMMOGRAMS, AS WELL AS BREAST-CARE AND GYNECOLOGICAL SERVICES, FOR AREA INDIVIDUALS IN NEED THROUGH THE ESPECIALLY FOR YOU FUND. THE EFY RACE MARKED ITS 31ST YEAR WITH A RACE HELD IN OCTOBER 2021 WITH 12,806 REGISTRANTS FROM 483 CITIES IN 37 STATES, RAISING MORE THAN $385,000.SR. MARY LAWRENCE HALLAGAN COMMUNITY CENTER PROVIDES SIX NON-PROFITS WITH SPACE FOR THEIR SERVICES. TENANTS INCLUDE GEMS OF HOPE; KIDS FIRST LAW CENTER; YOUNG PARENTS NETWORK AND BOYS & GIRLS CLUB; CATHOLIC CHARITIES; AND METRO CATHOLIC OUTREACH. THESE AGENCIES SHARE MERCY'S VISION TO ENHANCE THE HEALTH AND WELL-BEING OF OUR COMMUNITY. MERCY LEASES THE SPACE FOR $1 PER YEAR, PLUS THE COST OF MONTHLY UTILITIES.MERCY SUPPORTS THE CEDAR RAPIDS MEDICAL SELF-SUPPORTED MUNICIPAL IMPROVEMENT DISTRICT - THE MEDICAL QUARTER REGIONAL MEDICAL DISTRICT (MEDQUARTER) TO ENHANCE OUR COMMUNITY'S NATIONALLY RECOGNIZED REPUTATION FOR HIGH-QUALITY, LOW-COST CARE WITH A CONCENTRATED AREA OF MEDICAL SERVICES THAT ARE EASILY ACCESSIBLE. MERCY MEDICAL CENTER HAS COMMITTED A FULL-TIME EQUIVALENT TO THE ROLE OF DIRECTOR OF COMMUNITY BENEFIT AND GIFT SHOP SERVICES. THE POSITION REPORTS TO THE VICE PRESIDENT OF MISSION INTEGRATION & PASTORAL CARE, WHO REPORTS TO THE PRESIDENT & CHIEF EXECUTIVE OFFICER (CEO)."