4A (Expenses $ 907120424 including grants of $ 69069547) (Revenue $ 751622774)
SEE SCHEDULE H

PART V, SECTION B, LINE 2:
CLIVE BEHAVIORAL HEALTH OPENED FEBRUARY 22, 2021. THE FACILITY IS A PARTNERSHIP BETWEEN UNIVERSAL HEALTH SERVICES (UHS) AND MERCYONE.

PART V, SECTION B, LINE 3E:
THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.

PART V, SECTION B, LINE 5:
INPUT WAS COLLECTED FROM PERSONS WHO REPRESENT THE COMMUNITY THROUGH SURVEYS CONDUCTED VIA TELEPHONE (LANDLINE AND CELL PHONE), AS WELL AS THROUGH ONLINE QUESTIONNAIRES. IN ALL, 537 AREA ADULTS COMPLETED THE COMMUNITY HEALTH SURVEY. TO SOLICIT INPUT FROM INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS IMPLEMENTED AS PART OF THIS PROCESS. IN ALL, 66 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY. PARTICIPANTS INCLUDED TWO (2) PHYSICIANS, SIX (6) PUBLIC HEALTH REPRESENTATIVES (INCLUDING DALLAS COUNTY HEALTH DEPARTMENT, POLK COUNTY HEALTH DEPARTMENT, AND WARREN COUNTY PUBLIC HEALTH), FOUR (4) SOCIAL SERVICES PROVIDERS, 48 COMMUNITY LEADERS, AND SIX (6) OTHER HEALTH PROVIDERS. THROUGH THIS PROCESS, INPUT WAS GATHERED FROM SEVERAL INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW INCOME, MINORITY, OR OTHER MEDICALLY UNDERSERVED POPULATIONS. A COMPLETE LIST OF PARTICIPANTS IS AVAILABLE ON PAGE 10 OF THE CHNA.

PART V, SECTION B, LINE 6A:
MERCYONE DES MOINES MEDICAL CENTER, MERCYONE CLIVE REHABILITATION HOSPITAL, CLIVE BEHAVIORAL HEALTH, BROADLAWNS MEDICAL CENTER, AND UNITYPOINT HEALTH-DES MOINES COLLABORATED ON A JOINT CHNA.

PART V, SECTION B, LINE 6B:
THE ASSESSMENT WAS CONDUCTED WITH POLK COUNTY HEALTH DEPARTMENT, DALLAS COUNTY HEALTH DEPARTMENT, WARREN COUNTY HEALTH SERVICES, UNITED WAY OF CENTRAL IOWA, EVERYSTEP, AND MID IOWA HEALTH FOUNDATION.

PART V, LINE 7A, CHNA WEBSITE:
HTTPS://WWW.MERCYONE.ORG/ABOUT-US/COMMUNITY-HEALTH-AND-WELL-BEING/HTTPS://CLIVEBEHAVIORAL.COM/ABOUT-US/HTTPS://WWW.MERCYREHABDESMOINES.COM/PATIENT-EXPERIENCE/COMMUNITY-HEALTH-NEEDS-ASSESSMENT

PART V, SECTION B, LINE 11:
THE SIGNIFICANT HEALTH NEEDS IDENTIFIED, IN ORDER OF PRIORITY INCLUDE: 1) MENTAL HEALTH, 2) RESPIRATORY DISEASE, 3) NUTRITION, PHYSICAL ACTIVITY, AND WEIGHT, 4) SUBSTANCE ABUSE, 5) HEART DISEASE AND STROKE, 6) ACCESS TO HEALTH CARE SERVICES, 7) INFANT HEALTH AND FAMILY PLANNING, 8) INJURY AND VIOLENCE, 9) DISABILITY AND CHRONIC PAIN, 10) SEXUAL HEALTH, 11) CANCER. MERCYONE - DES MOINES MEDICAL CENTER, MERCYONE CLIVE REHABILITATION HOSPITAL, AND CLIVE BEHAVIORAL HEALTH, IN COLLABORATION WITH HOUSE OF MERCY AND COMMUNITY PARTNERS, ARE FOCUSING ON DEVELOPING AND/OR SUPPORTING INITIATIVES TO IMPROVE THE FOLLOWING HEALTH NEEDS:1. MENTAL HEALTH: CLIVE BEHAVIORAL HEALTH IS ADDING AND EXPANDING OUTPATIENT BEHAVIORAL HEALTH PROGRAMS. FOR EXAMPLE, CLIVE BEHAVIORAL HEALTH HAS INCREASED CAPACITY FOR THEIR ADOLESCENT INTENSIVE OUTPATIENT PROGRAM TO APPROXIMATELY 30 ADOLESCENTS. 2. ACCESS TO HEALTH CARE: MERCYONE - DES MOINES IS LEVERAGING TECHNOLOGY TO MAKE CARE MORE ACCESSIBLE. FOR EXAMPLE, MERCYONE HAS LAUNCHED A REMOTE PATIENT MONITORING PROGRAM FOR PEOPLE WITH CHRONIC HEALTH CONDITIONS, LAUNCHED A SYMPTOM CHECKER AIDING PATIENTS IN ACCESSING THE RIGHT LEVEL OF CARE, AND WILL SOON BE IMPLEMENTING A PATIENT ACTIVATION SURVEY TO BETTER STRATIFY PATIENTS' HEALTH LITERACY. MERCYONE - DES MOINES IS ALSO MAKING STRIDES IN IDENTIFYING AND REMOVING TRANSPORTATION AND MEDICATION COST BARRIERS. FOR EXAMPLE, MERCYONE - DES MOINES MEDICAL CENTER IS SCREENING FOR HEALTH RELATED SOCIAL NEEDS IN BOTH THEIR DES MOINES AND WEST DES MOINES EMERGENCY DEPARTMENT LOCATIONS AND COMMUNITY HEALTH WORKERS ARE EMBEDDED IN EACH LOCATION TO ASSIST PATIENTS IN NAVIGATING COMMUNITY RESOURCES AND PUBLIC ASSISTANCE PROGRAMS. 3. SUBSTANCE ABUSE: HOUSE OF MERCY AND CLIVE BEHAVIORAL HEALTH ARE DEVELOPING NEW ACCESS POINTS AND EXPANDING SERVICES FOR SUBSTANCE USE DISORDER (SUD) TREATMENT. FOR EXAMPLE, CLIVE BEHAVIORAL HEALTH LAUNCHED AN ADULT SUD PROGRAM WITH CAPACITY FOR APPROXIMATELY 30-40 PATIENTS. HOUSE OF MERCY IS ALSO TAKING STEPS TO INCREASE THE NUMBER OF COUNSELORS TRAINED AND CERTIFIED TO PROVIDE EVIDENCE-BASED COUNSELING AND THERAPEUTIC TECHNIQUES. FIVE (5) COUNSELORS HAVE BEEN TRAINED ON DIALECTICAL BEHAVIORAL THERAPY (DBT), THREE (3) ADDITIONAL CLINICIANS WILL BE TRAINED THIS MONTH, AND THREE (3) CLINICIANS HAVE BEEN TRAINED IN CHILD PARENT PSYCHOTHERAPY, TWO (2) ADDITIONAL CLINICIANS WILL BE TRAINED. ADDITIONALLY, HOUSE OF MERCY HAS EXPANDED MENTAL HEALTH ACCESS POINTS BY PROVIDING A THERAPIST TO SEE STUDENTS AT FOUR CATHOLIC SCHOOLS. 4. INFANT HEALTH AND FAMILY PLANNING: MERCYONE MEDICAL CENTER IS WORKING TO REDUCE STILLBIRTH RATES AMONG WOMEN OF COLOR. FOR EXAMPLE, A COMMUNITY HEALTH WORKER DEDICATED TO THE OBSTETRIC EMERGENCY DEPARTMENT WAS HIRED IN DECEMBER 2022 TO ASSIST PATIENTS IN NAVIGATING COMMUNITY RESOURCES, APPLYING FOR PUBLIC ASSISTANCE PROGRAMS, AND IDENTIFYING A MEDICAL HOME THAT MEETS THE PATIENT'S PRENATAL CARE NEEDS AND PREFERENCES. 5. HEART DISEASE AND STROKE: MERCYONE CLIVE REHABILITATION HOSPITAL IS COMPLETING A GAP ANALYSIS TO IDENTIFY POPULATIONS WHO MAY BENEFIT FROM PHYSICAL MEDICINE AND REHABILITATION PROGRAMS BUT ARE NOT CURRENTLY ABLE TO BE CARED FOR AT THE HOSPITAL. FOR EXAMPLE, THE HOSPITAL ADDED THE ABILITY TO CARE FOR PATIENTS WITH A LEFT VENTRICULAR ASSIST DEVICE THROUGH AN EMPLOYEE EDUCATION PROGRAM AND ARE CURRENTLY PROVIDING EDUCATION TO IMPROVE THAT ABILITY TO TREAT PATIENTS WITH THROMBOSIS. THE HOSPITAL IS ALSO WORKING TOWARDS A STROKE CERTIFICATION THROUGH THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES (CARF).MERCYONE - DES MOINES MEDICAL CENTER, MERCYONE CLIVE REHABILITATION HOSPITAL, AND CLIVE BEHAVIORAL HEALTH ACKNOWLEDGE THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS AND DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON ONLY THOSE HEALTH NEEDS WHICH ARE THE MOST PRESSING, UNDER- ADDRESSED AND WITHIN ITS ABILITY TO INFLUENCE. MERCYONE - DES MOINES MEDICAL CENTER, MERCYONE CLIVE REHABILITATION HOSPITAL, AND CLIVE BEHAVIORAL HEALTH DO NOT INTEND TO ADDRESS THE FOLLOWING HEALTH NEEDS:- RESPIRATORY DISEASE (COVID-19) - THIS NEED WAS NOT SELECTED TO ADDRESS DUE TO THE EVOLVING NATURE OF THE COVID-19 PANDEMIC. MERCYONE WILL CONTINUE TO WORK COLLABORATIVELY WITH STATE AND PUBLIC HEALTH OFFICIALS TO CONTINUE TO RESPOND TO THE EVOLVING COMMUNITY HEALTH NEEDS OF THE COVID-19 PANDEMIC. - NUTRITION, PHYSICAL ACTIVITY, AND WEIGHT - COMMUNITY STAKEHOLDERS WHO RATED THIS DOMAIN AS A MAJOR PROBLEM PRIMARILY SHARED CONCERNS AROUND ACCESS AND AFFORDABILITY OF HEALTHY FOOD OPTIONS AS WELL AS SAFE OUTDOOR SPACES. MERCYONE WILL CONTINUE TO COLLABORATE WITH THE COMMUNITY ORGANIZATIONS WHO ARE ALREADY LEADING INITIATIVES TO ADDRESS THIS NEED. - INJURY AND VIOLENCE - THIS NEED WAS NOT SELECTED AS IT WAS RANKED AS A LOWER PRIORITY BY COMMUNITY STAKEHOLDERS. - DISABILITY AND CHRONIC PAIN - THIS NEED WAS NOT SELECTED AS IT WAS RANKED AS A LOWER PRIORITY BY COMMUNITY STAKEHOLDERS. - SEXUAL HEALTH - THIS NEED WAS NOT SELECTED AS IT WAS RANKED AS A LOWER PRIORITY BY COMMUNITY STAKEHOLDERS. - CANCER - THIS NEED WAS NOT SELECTED AS IT WAS RANKED AS A LOWER PRIORITY BY COMMUNITY STAKEHOLDERS.

PART V, SECTION B, LINE 13H:
THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF TEN DOLLARS ($10.00) WITH THE COMMONSPIRIT HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW TEN DOLLARS ($10.00) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS. THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION. PATIENT COOPERATION STANDARDS - A PATIENT MUST COOPERATE WITH THE HOSPITAL FACILITY IN PROVIDING THE INFORMATION AND DOCUMENTATION NECESSARY TO DETERMINE ELIGIBILITY. SUCH COOPERATION INCLUDES COMPLETING ANY REQUIRED APPLICATIONS OR FORMS. THE PATIENT IS RESPONSIBLE FOR NOTIFYING THE HOSPITAL FACILITY OF ANY CHANGE IN FINANCIAL SITUATION THAT WOULD IMPACT THE ASSESSMENT OF ELIGIBILITY. A PATIENT MUST EXHAUST ALL OTHER PAYMENT OPTIONS, INCLUDING PRIVATE COVERAGE, FEDERAL, STATE AND LOCAL MEDICAL ASSISTANCE PROGRAMS, AND OTHER FORMS OF ASSISTANCE PROVIDED BY THIRD PARTIES PRIOR TO BEING APPROVED. AN APPLICANT FOR FINANCIAL ASSISTANCE IS RESPONSIBLE FOR APPLYING TO PUBLIC PROGRAMS FOR AVAILABLE COVERAGE. HE OR SHE IS ALSO EXPECTED TO PURSUE PUBLIC OR PRIVATE HEALTH INSURANCE PAYMENT OPTIONS FOR CARE PROVIDED BY A COMMONSPIRIT HOSPITAL ORGANIZATION WITHIN A HOSPITAL FACILITY. A PATIENT'S AND, IF APPLICABLE, ANY GUARANTOR'S COOPERATION IN APPLYING FOR APPLICABLE PROGRAMS AND IDENTIFIABLE FUNDING SOURCES, INCLUDING COBRA COVERAGE (A FEDERAL LAW ALLOWING FOR A TIME-LIMITED EXTENSION OF EMPLOYEE HEALTHCARE BENEFITS), SHALL BE REQUIRED. IF A HOSPITAL FACILITY DETERMINES THAT COBRA COVERAGE IS POTENTIALLY AVAILABLE, AND THAT A PATIENT IS NOT A MEDICARE OR MEDICAID BENEFICIARY, THE PATIENT OR GUARANTOR SHALL PROVIDE THE HOSPITAL FACILITY WITH INFORMATION NECESSARY TO DETERMINE THE MONTHLY COBRA PREMIUM FOR SUCH PATIENT, AND SHALL COOPERATE WITH HOSPITAL FACILITY STAFF TO DETERMINE WHETHER HE OR SHE QUALIFIES FOR HOSPITAL FACILITY COBRA PREMIUM ASSISTANCE, WHICH MAY BE OFFERED FOR A LIMITED TIME TO ASSIST IN SECURING INSURANCE COVERAGE. A HOSPITAL FACILITY SHALL MAKE AFFIRMATIVE EFFORTS TO HELP A PATIENT OR PATIENT'S GUARANTOR APPLY FOR PUBLIC AND PRIVATE PROGRAMS.

PART V, LINE 16A, FAP WEBSITE:
HTTPS://WWW.MERCYONE.ORG/DESMOINES/FOR-PATIENTS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE

PART V, LINE 16B, FAP APPLICATION WEBSITE:
HTTPS://WWW.MERCYONE.ORG/DESMOINES/FOR-PATIENTS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE

PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:
HTTPS://WWW.MERCYONE.ORG/DESMOINES/FOR-PATIENTS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE

PART I, LINE 3C:
UNLESS ELIGIBLE FOR PRESUMPTIVE FINANCIAL ASSISTANCE, THE FOLLOWING ELIGIBILITY CRITERIA MUST BE MET IN ORDER FOR A PATIENT TO QUALIFY FOR FINANCIAL ASSISTANCE:- THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF TEN DOLLARS ($10.00) WITH THE COMMONSPIRIT HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW TEN DOLLARS ($10.00) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS.- THE PATIENT MUST COMPLY WITH PATIENT COOPERATION STANDARDS.- THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION (FAA).FOR PATIENTS AND GUARANTORS WHO ARE UNABLE TO PROVIDE REQUIRED DOCUMENTATION, A HOSPITAL FACILITY MAY GRANT PRESUMPTIVE FINANCIAL ASSISTANCE BASED ON INFORMATION OBTAINED FROM OTHER RESOURCES. IN PARTICULAR, PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE:- RECIPIENT OF STATE-FUNDED PRESCRIPTION PROGRAMS;- HOMELESS OR ONE WHO RECEIVED CARE FROM A HOMELESS OR FREE CARE CLINIC;- PARTICIPATION IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC);- FOOD STAMP ELIGIBILITY;- ELIGIBILITY OR REFERRALS FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS (E.G., MEDICAID);- LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS; OR- PATIENT IS DECEASED WITH NO KNOWN SPOUSE OR KNOWN ESTATE.

PART I, LINE 7:
"COMMONSPIRIT HEALTH HOSPITALS USE A COST ACCOUNTING SYSTEM OR AN ADJUSTED COST TO CHARGE RATIO CALCULATED IN A MANNER CONSISTENT WITH WORKSHEET 2 FOR EACH REPORTING FACILITY, TO DERIVE THE REPORTED COSTS OF FINANCIAL ASSISTANCE, MEDICAID AND OTHER MEANS-TESTED PROGRAMS. WORKSHEET 3 OR THE EQUIVALENT IN THE COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY (""CBISA"") SOFTWARE ARE USED TO CALCULATE EXPENSE AND REVENUE, INCLUDING WHERE APPLICABLE MEDICAID PROVIDER FEES AND PAYMENTS FROM UNCOMPENSATED CARE PROGRAMS. ACTUAL OR ESTIMATED COST AND ANY DIRECT OFFSETTING REVENUE IS REPORTED, AND SCHEDULE H WORKSHEETS OR THEIR EQUIVALENTS ARE USED, FOR OTHER COMMUNITY BENEFIT ACTIVITIES SUCH AS COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH, AND CASH AND IN-KIND DONATIONS."

PART III, LINE 2:
THE AMOUNT OF THE ORGANIZATION'S BAD DEBT AT COST IS DETERMINED BY APPLYING THE COST TO CHARGE RATIO TO PATIENT CHARGES THAT ARE DEEMED TO BE UNCOLLECTIBLE. THIS AMOUNT REPRESENTS THE COST OF SERVICES PROVIDED TO PATIENTS WHO ARE UNABLE OR REFUSE TO PAY THEIR BILLS AND DO NOT QUALIFY FOR FREE OR DISCOUNTED CARE, GOVERNMENT SPONSORED PROGRAMS OR OTHER PAYMENT ASSISTANCE, AND ARE OTHERWISE UNINSURED.THE FILING ORGANIZATION PROVIDES FREE CARE TO ANY PATIENT WHOSE FAMILY INCOME IS AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL, OR DISCOUNTED CARE TO UNINSURED OR UNDER-INSURED INDIVIDUALS WHOSE FAMILY INCOME IS ABOVE 201% BUT LOWER THAN 400% OF THE FEDERAL POVERTY LEVEL. THE FILING ORGANIZATION ALSO PROVIDES OPTIONS FOR PROMPT PAY DISCOUNTS, AND INTEREST-FREE EXTENDED PAYMENT PLANS FOR PATIENTS WHO HAVE DEMONSTRATED GOOD FAITH AND ARE COOPERATING IN RESOLVING THEIR HOSPITAL BILLS. ALL ACCOUNTS FOR ELIGIBLE UNINSURED PATIENTS AT ALL FACILITIES RECEIVE AN AUTOMATIC UNINSURED DISCOUNT. THE EXPECTED PATIENT PAYMENT AMOUNT ON THE PATIENT'S BILL REFLECTS THIS DISCOUNT. DISCOUNTS ARE ACCOUNTED FOR AS DEDUCTIONS FROM REVENUE, NOT AS BAD DEBT EXPENSE.

PART III, LINE 3:
CATHOLIC HEALTH INITIATIVES - IOWA CORP MAKES EVERY EFFORT TO DETERMINE IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UPON ADMISSION. CATHOLIC HEALTH INITIATIVES - IOWA CORP'S FINANCIAL ASSISTANCE POLICY IS COMMUNICATED TO PATIENTS UPON ADMISSION AND IS AVAILABLE IN THE LANGUAGES PRIMARILY SPOKEN IN THE COMMUNITY. IT IS ALSO POSTED IN VARIOUS COMMON AREAS OF THE HOSPITAL, SUCH AS EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL BUSINESS OFFICES LOCATED ON FACILITY CAMPUSES, AND OTHER PUBLIC PLACES, AND IS PROVIDED UPON BILLING IF ELIGIBILITY IS NOT PREVIOUSLY DETERMINED. ELIGIBILITY IS REEVALUATED AS NEEDED AND AMOUNTS ARE CLASSIFIED AS CHARITY AS SOON AS ELIGIBILITY IS KNOWN. CATHOLIC HEALTH INITIATIVES - IOWA CORP ALSO UTILIZES A PAYMENT ASSISTANCE RANK ORDERING (PARO) SCORING SYSTEM TO ASSIST IN DETERMINING IF AN UNINSURED PATIENT MAY QUALIFY FOR PAYMENT ASSISTANCE EVEN THOUGH THEY HAVE NOT APPLIED FOR IT. PARO IS A METHODOLOGY THAT APPLIES CONSISTENT SCREENING AND APPLICATION STANDARDS TO ALL UNINSURED PATIENTS UTILIZING HISTORICAL DATA TO DEVELOP A PREDICTIVE MODEL FOR HEALTHCARE PAYMENT ASSISTANCE. IN ITS DEVELOPMENT, SPECIAL ATTENTION WAS PAID TO THOSE SOCIOECONOMIC FACTORS THAT MIGHT ADVERSELY AFFECT THOSE PATIENTS DESERVING THE MOST ATTENTION. OTHER CRITERIA ARE ALSO UTILIZED TO ENSURE THAT SERVICES THAT HAVE QUALIFIED AS FINANCIAL ASSISTANCE ARE NOT REPORTED AS BAD DEBT. AS SUCH, CATHOLIC HEALTH INITIATIVES - IOWA CORP DOES NOT BELIEVE THAT ANY AMOUNTS INCLUDED IN PART III, LINE 2, ARE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S PAYMENT ASSISTANCE POLICY, AND THEREFORE, NO PORTION OF BAD DEBT EXPENSE IS INCLUDED AS COMMUNITY BENEFIT EXPENSE.

PART III, LINE 4:
"CATHOLIC HEALTH INITIATIVES - IOWA CORP DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF COMMONSPIRIT HEALTH. THE FOLLOWING IS AN EXCERPT FROM COMMONSPIRIT'S CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2022, RELATED TO PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT REVENUE. THE ENTIRE FOOTNOTE CAN BE VIEWED IN THE ATTACHED COMMONSPIRIT CONSOLIDATED FINANCIAL STATEMENTS ON PAGES 12-13.""PATIENT SERVICE REVENUE IS REPORTED AT THE AMOUNTS THAT REFLECT THE CONSIDERATION COMMONSPIRIT EXPECTS TO BE PAID IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING HEALTH INSURERS AND GOVERNMENT PROGRAMS), AND OTHERS, AND INCLUDE CONSIDERATION FOR RETROACTIVE REVENUE ADJUSTMENTS DUE TO SETTLEMENT OF AUDITS AND REVIEWS. GENERALLY, PERFORMANCE OBLIGATIONS FOR PATIENTS RECEIVING INPATIENT ACUTE CARE SERVICES AND OUTPATIENT SERVICES ARE RECOGNIZED OVER TIME AS SERVICES ARE PROVIDED. NET PATIENT REVENUE IS PRIMARILY COMPRISED OF HOSPITAL AND PHYSICIAN SERVICES."""

PART III, LINE 8:
COMMONSPIRIT HEALTH HOSPITALS PREPARE MEDICARE COST REPORTS IN A MANNER THAT COMPORTS WITH PROVIDER REIMBURSEMENT MANUAL (PRM) 15-1 AND PRM 15-2 CHAPTER 40 (TRANSMITTAL 13). AS SUCH, THE FOLLOWING LANGUAGE PER PRM 15-1 DESCRIBES THE COMPUTATION OF COSTS PER THE MEDICARE COST REPORT: TOTAL ALLOWABLE COSTS OF A PROVIDER ARE APPORTIONED BETWEEN PROGRAM BENEFICIARIES AND OTHER PATIENTS SO THAT THE SHARE BORNE BY THE PROGRAM IS BASED UPON ACTUAL SERVICES RECEIVED BY PROGRAM BENEFICIARIES. THE RATIO OF COVERED BENEFICIARY CHARGES TO TOTAL PATIENT CHARGES FOR THE SERVICES OF EACH ANCILLARY DEPARTMENT IS APPLIED TO THE COST OF THE DEPARTMENT. ADDED TO THIS AMOUNT IS THE COST OF ROUTINE SERVICES FOR PROGRAM BENEFICIARIES, DETERMINED ON THE BASIS OF A SEPARATE AVERAGE COST PER DIEM FOR ALL PATIENTS FOR GENERAL ROUTINE PATIENT CARE AREAS. ANOTHER FACTOR CONSIDERED IS A SEPARATE AVERAGE COST PER DIEM FOR EACH INTENSIVE CARE UNIT, CORONARY CARE UNIT, AND OTHER SPECIAL CARE INPATIENT HOSPITAL UNITS. COMMONSPIRIT HEALTH AND ITS SUBORDINATE CORPORATIONS BELIEVE THAT THE ENTIRE MEDICARE SHORTFALL FOR THE CONSOLIDATED ENTITIES CONSTITUTES COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY COMMONSPIRIT HEALTH HOSPITALS IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITIES. THE HOSPITALS PROVIDE CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVE THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. CATHOLIC HEALTH INITIATIVES - IOWA CORP'S SHORTFALL, AS REPORTED ON PART III, SECTION B, LINE 7, OF $ 39,658,990 REPRESENTS THE FILING ORGANIZATION'S MEDICARE COST REPORTS.

PART III, LINE 9B:
COMMONSPIRIT HEALTH ENSURES THAT PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. COMMONSPIRIT HEALTH'S BILLING AND COLLECTION POLICY CONTAINS PROVISIONS THAT PROHIBIT THE COLLECTION OF AMOUNTS DUE FROM PATIENTS WHO THE ORGANIZATION KNOWS QUALIFY FOR FINANCIAL ASSISTANCE. ACCOUNTS WITH INCORRECT OR INCOMPLETE DEMOGRAPHIC INFORMATION ARE ASSIGNED TO A COLLECTION AGENCY IF THE COMMONSPIRIT HEALTH FACILITY, OR BILLING COMPANY RETAINED BY COMMONSPIRIT HEALTH, IS UNABLE TO OBTAIN AN UPDATED ADDRESS THROUGH SKIP TRACING OR OTHER MEANS. FOR PATIENTS WHO HAVE AN APPLICATION PENDING FOR EITHER GOVERNMENT-SPONSORED ASSISTANCE OR FOR ASSISTANCE UNDER COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE POLICY, OR WHERE THE PATIENT IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL WITH THE FACILITY VIA PAYMENT PLANS, COMMONSPIRIT HEALTH WILL NOT KNOWINGLY SEND THAT PATIENT'S BILL TO AN OUTSIDE COLLECTION AGENCY. ON SELF-PAY ACCOUNTS THAT DO NOT MEET THE CRITERIA NOTED ABOVE, THE INITIAL DETERMINATION OF ASSIGNMENT TO A COLLECTION AGENCY WILL VARY DEPENDING ON THE NATURE OF THE ACCOUNT WITH THE FINAL DECISION BEING AT THE DISCRETION OF THE BILLING COMPANY RETAINED BY COMMONSPIRIT HEALTH. UPON ASSIGNMENT OF SUCH A PATIENT ACCOUNT TO A COLLECTION AGENCY, COMMONSPIRIT HEALTH REQUIRES THE AGENCY TO COMPLY WITH THE FAIR DEBT COLLECTION PRACTICES ACT.

PART VI, LINE 2:
MERCYONE IS SCREENING FOR HEALTH RELATED SOCIAL NEEDS IN PRIMARY CARE, PEDIATRICS, AND THE EMERGENCY DEPARTMENT TO ASSESS THE SOCIAL DETERMINANTS OF HEALTH IN THE COMMUNITIES WE SERVE (E.G. FOOD INSECURITY, HOUSING INSTABILITY, TRANSPORTATION NEEDS). MERCYONE IS ALSO PARTICIPATING IN A COMMUNITY ENGAGEMENT COLLABORATIVE WITH HEALTH CARE AND PAYER PARTNERS THAT UTILIZE COMMUNITY RESOURCE DIRECTORIES POWERED BY THE SAME VENDOR. AS A COLLABORATIVE WE REVIEW WHAT RESOURCE DOMAINS ARE SEARCHED IN OUR COVERAGE AREA (E.G. FOOD, HOUSING, GOODS, TRANSIT, HEALTH, MONEY, CARE, ETC.) AND WHICH COMMUNITY BASED ORGANIZATIONS SEEKERS ARE INTERACTING WITH MOST ON THE COMMUNITY RESOURCE DIRECTORY. WORKING WITH NEARLY THIRTY COMMUNITY-BASED ORGANIZATIONS, MERCY MEDICAL CENTER - DES MOINES JOINED IN AN IN-DEPTH EVALUATION OF THE HEALTH OF OUR COMMUNITY. DESIGNED TO IDENTIFY NEEDS AND DEVELOP IMPROVEMENT STRATEGIES, THE PROCESS ENGAGED THOUSANDS OF RESIDENTS AND VESTED LEADERS IN THIS VALUABLE DISCUSSION.MANY SERVICES PROVIDED BY MERCY CONTINUE TO SURFACE ARE AREAS OF GREATEST NEED. ACCESS TO A MEDICAL HOME, NEED FOR COORDINATED SPECIALTY CARE AND FINANCIAL ASSISTANCE FOR THE UNINSURED AND UNDERSERVED WERE IDENTIFIED BY THE PARTICIPANTS. THESE BARRIERS, COMBINED WITH NEEDED ACCESS TO HEALTHY FOOD, SAFE HOUSING AND PUBLIC TRANSPORTATION, HAVE GUIDED THE COMMUNITY-BASED ACTIVITIES FOR MERCY.

PART VI, LINE 3:
INFORMATION ABOUT COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE PROGRAM AND A CONTACT NUMBER ARE MADE AVAILABLE TO PATIENTS AND THE PUBLIC. PATIENTS ARE INFORMED OF COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE PROGRAM VIA SIGNAGE IN ALL ADMITTING AREAS AND IN VARIOUS COMMON AREAS OF THE HOSPITAL. FINANCIAL ASSISTANCE PROGRAM INFORMATION NOTICES ARE POSTED IN THE EMERGENCY AND ADMITTING DEPARTMENTS AND AT OTHER PUBLIC PLACES AS EACH FACILITY MAY ELECT. SUCH INFORMATION IS PROVIDED IN THE PRIMARY LANGUAGES SPOKEN IN THE COMMUNITIES COMMONSPIRIT HEALTH SERVES. THE SIGNAGE INCLUDES NOTIFICATION THAT FURTHER DISCOUNTS MAY BE PROVIDED UPON THE COMPLETION AND SUBMISSION OF A FINANCIAL ASSISTANCE APPLICATION AND HOW TO REACH STAFF THAT CAN ASSIST WITH ANSWERING QUESTIONS AND GUIDE PATIENTS THROUGH THE APPLICATION PROCESS. INFORMATION CAN ALSO BE FOUND ON THE FACILITY WEBSITES. IF FINANCIAL ASSISTANCE ELIGIBILITY IS NOT DETERMINED PRIOR TO BILLING, INITIAL BILLING STATEMENTS TO PATIENTS INCLUDE A REQUEST TO THE PATIENT TO PROVIDE ANY INSURANCE INFORMATION THAT WAS VALID FOR THE DATES OF SERVICE BILLED AND A STATEMENT INFORMING PATIENTS HOW TO CONTACT US REGARDING FINANCIAL ASSISTANCE. ADDITIONALLY, CONTRACT TERMS WITH COLLECTION VENDORS WORKING ON BEHALF OF COMMONSPIRIT HEALTH REQUIRE THEY FOLLOW COMMONSPIRIT HEALTH FINANCIAL ASSISTANCE POLICY. ALSO, REFERRAL OF PATIENTS FOR FINANCIAL ASSISTANCE MAY BE MADE BY ANY MEMBER OF THE COMMONSPIRIT HOSPITAL ORGANIZATION NON-MEDICAL OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL COUNSELORS, SOCIAL WORKERS, CASE MANAGERS, CHAPLAINS, AND RELIGIOUS SPONSORS. A REQUEST FOR ASSISTANCE MAY BE MADE BY THE PATIENT OR A FAMILY MEMBER, CLOSE FRIEND OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS.

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THE SERVICES AREA FOR THE CHNA INCLUDES POLK, WARREN, AND DALLAS COUNTIES IN IOWA. THIS COMMUNITY DEFINITION WAS DETERMINED BASED ON THE ZIP CODES OF RESIDENCE OF MERCYONE PATIENTS AS WELL AS THE PATIENTS AND CLIENTS OF COLLABORATING HOSPITALS AND ORGANIZATIONS. POLK, WARREN, AND DALLAS COUNTIES TOGETHER ENCOMPASS 1,730.37 SQUARE MILES AND HOUSE A TOTAL POPULATION OF 616,787 RESIDENTS, ACCORDING TO LATEST CENSUS ESTIMATES. IN THE SERVICE AREA, 25.4% OF THE POPULATION ARE CHILDREN AGE 0-17; ANOTHER 61.7% ARE AGE 18 TO 64, WHILE 12.9% ARE AGE 65 AND OLDER. IN LOOKING AT RACE INDEPENDENT OF ETHNICITY (HISPANIC OR LATINO ORIGIN), 85.9% OF RESIDENTS ARE WHITE AND 5.6% ARE BLACK. A TOTAL OF 7.6% OF RESIDENTS ARE HISPANIC OR LATINO. TWO IN THREE TOTAL SERVICE AREA ADULTS AGE 18 TO 64 (66.3%) REPORT HAVING HEALTH CARE COVERAGE THROUGH PRIVATE INSURANCE. ANOTHER 28.9% REPORT COVERAGE THROUGH A GOVERNMENT-SPONSORED PROGRAM (E.G., MEDICAID, MEDICARE, MILITARY BENEFITS). AMONG ADULTS AGE 18 TO 64, 4.8% REPORT HAVING NO INSURANCE COVERAGE FOR HEALTH CARE EXPENSES. THE LATEST CENSUS ESTIMATE SHOWS 9.5% OF THE SERVICE AREA POPULATION LIVE BELOW THE FEDERAL POVERTY LEVEL. AMONG THE SERVICE AREA POPULATION AGE 25 AND OLDER, AN ESTIMATED 7.6% DO NOT HAVE A HIGH SCHOOL EDUCATION, WHICH IS WELL BELOW THE NATIONAL PERCENTAGE. MERCY MEDICAL CENTER - DES MOINES IS A REGIONAL HOSPITAL, WITH A PRIMARY SERVICE AREA OF THREE COUNTIES AND A SECONDARY REACH TO THE SURROUNDING SIX COUNTIES. THE POPULATION SERVED INCLUDES BOTH URBAN AND RURAL COMMUNITIES, WITH A GROWING NUMBER OF PEOPLE RESIDING IN THE 3-COUNTY PRIMARY SERVICE AREA (POLK, DALLAS AND WARREN.) THESE RESIDENTS HAVE A MEDIAN HOUSEHOLD INCOME OF $61,721, WITH ROUGHLY 8 PERCENT OF PERSONS LIVING BELOW THE POVERTY LEVEL. OF THOSE WHO LIVE BELOW THE POVERTY LEVEL, 52 PERCENT ARE SINGLE-PARENT HOMES WITH CHILDREN UNDER 5 YEARS OF AGE. WITH AN INCREASING IMMIGRANT AND REFUGEE POPULATION RELOCATING TO IOWA, APPROXIMATELY 10 PERCENT OF OUR 3-COUNTY AREA SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. THE LARGEST NON-NATIVE POPULATION HAS HISPANIC ORIGIN. ANOTHER DEMOGRAPHIC FACTOR IMPACTING IOWA'S DEMAND FOR HEALTH CARE SERVICE IS OUR ELDERLY, WITH 14.9 PERCENT OF OUR RESIDENTS BEING OVER 65 YEARS OF AGE. THE UNINSURED POPULATION OF OUR 3-COUNTY SERVICE AREA IS APPROXIMATELY EIGHT PERCENT. MEDICARE AND MEDICAID COVER 22 PERCENT OF OUR POPULATION.MERCY IS ONE OF TWO LARGE HEALTH CARE SYSTEMS IN OUR COMMUNITY. IN ADDITION, POLK AND DALLAS COUNTIES EACH HAVE A COUNTY HOSPITAL.

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THE ORGANIZATION IS AFFILIATED WITH COMMONSPIRIT HEALTH. COMMONSPIRIT HEALTH WAS CREATED BY THE ALIGNMENT OF CATHOLIC HEALTH INITIATIVES AND DIGNITY HEALTH IN EARLY 2019. COMMONSPIRIT HEALTH, A NONPROFIT, FAITH-BASED HEALTH SYSTEM IS COMMITTED TO BUILDING HEALTHIER COMMUNITIES, ADVOCATING FOR THOSE WHO ARE POOR AND VULNERABLE, AND INNOVATING HOW AND WHERE HEALING CAN HAPPEN - BOTH INSIDE ITS HOSPITALS AND OUT IN THE COMMUNITY. COMMONSPIRIT HEALTH OWNS AND OPERATES HEALTH CARE FACILITIES IN 21 STATES AND IS THE SOLE CORPORATE MEMBER (PARENT CORPORATION) OF OTHER PRIMARILY NONPROFIT CORPORATIONS THAT ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES. AS OF JUNE 30, 2022, COMMONSPIRIT HEALTH IS COMPRISED OF APPROXIMATELY 2,200 CARE SITES, CONSISTING OF 142 HOSPITALS, INCLUDING ACADEMIC HEALTH CENTERS, MAJOR TEACHING HOSPITALS, AND CRITICAL ACCESS FACILITIES, COMMUNITY HEALTH SERVICES ORGANIZATIONS, ACCREDITED NURSING COLLEGES, HOME HEALTH AGENCIES, LIVING COMMUNITIES, A MEDICAL FOUNDATION AND OTHER AFFILIATED MEDICAL GROUPS, AND OTHER FACILITIES AND SERVICES THAT SPAN THE INPATIENT AND OUTPATIENT CONTINUUM OF CARE. IN FISCAL YEAR 2022, COMMONSPIRIT HEALTH PROVIDED MORE THAN $3.16 BILLION IN FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT FOR PROGRAMS AND SERVICES FOR THE POOR, FREE CLINICS, EDUCATION AND RESEARCH. FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT TOTALED MORE THAN $4.89 BILLION WITH THE INCLUSION OF THE UNPAID COSTS OF MEDICARE. THE HEALTH SYSTEM, WHICH GENERATED OPERATING REVENUES OF $33.9 BILLION IN FISCAL YEAR 2022, HAS TOTAL ASSETS OF APPROXIMATELY $50.31 BILLION.COMMONSPIRIT HEALTH PROVIDES STRATEGIC PLANNING AND MANAGEMENT SERVICES AS WELL AS CENTRALIZED SERVICES FOR ITS DIVISIONS. THE PROVISION OF CENTRALIZED MANAGEMENT AND SHARED SERVICES INCLUDING AREAS SUCH AS ACCOUNTING, HUMAN RESOURCES, PAYROLL AND SUPPLY CHAIN PROVIDES ECONOMIES OF SCALE AND PURCHASING POWER TO THE DIVISIONS. THE COST SAVINGS ACHIEVED THROUGH COMMONSPIRIT HEALTH'S CENTRALIZATION ENABLE DIVISIONS TO DEDICATE ADDITIONAL RESOURCES TO HIGH-QUALITY HEALTH CARE AND COMMUNITY OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR SOCIETY.

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THE ORGANIZATION'S HOSPITAL FACILITY(IES) PROMOTE HEALTH FOR THE BENEFIT OF THE COMMUNITY. MEDICAL STAFF PRIVILEGES IN THE HOSPITAL ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA, CONSISTENT WITH THE SIZE AND NATURE OF ITS FACILITIES. THE ORGANIZATION'S HOSPITAL FACILITY(IES) HAVE AN OPEN MEDICAL STAFF. ITS BOARD OF TRUSTEES REPRESENTS DIVERSE PROFESSIONAL EXPERTISE AND LIFE EXPERIENCE IN THE COMMUNITY. EXCESS FUNDS ARE GENERALLY APPLIED TO EXPANSION AND REPLACEMENT OF EXISTING FACILITIES AND EQUIPMENT, AMORTIZATION OF INDEBTEDNESS, IMPROVEMENT IN PATIENT CARE, AND MEDICAL TRAINING, EDUCATION, AND RESEARCH. THE FACILITY(IES) TREAT PERSONS PAYING THEIR BILL WITH THE AID OF PUBLIC PROGRAMS LIKE MEDICARE AND MEDICAID. ALL PATIENTS PRESENTING AT THE HOSPITAL FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE ARE TREATED REGARDLESS OF THEIR ABILITY TO PAY FOR SUCH TREATMENT. MERCY MEDICAL CENTER - DES MOINES IS AN 802-BED ACUTE CARE, NOT-FOR-PROFIT CATHOLIC HOSPITAL SITUATED ON THREE CAMPUSES. FOUNDED BY THE SISTERS OF MERCY IN 1893, MERCY IS DES MOINES' LONGEST CONTINUALLY OPERATING HOSPITAL AND ONE OF THE LARGEST EMPLOYERS IN THE STATE, WITH MORE THAN 6,300 EMPLOYEES AND A MEDICAL STAFF OF MORE THAN 950 PHYSICIANS AND ALLIED HEALTH PROFESSIONALS. AS THE FIRST CATHOLIC HOSPITAL TO SERVE THE COMMUNITY, MERCY EMBRACED THE MISSION OF THE FOUNDING RELIGIOUS CONGREGATION, WHICH HAS SINCE JOINED WITH OTHER RELIGIOUS CONGREGATIONS TO FORM CATHOLIC HEALTH INITIATIVES. COMMONSPIRIT HEALTH WAS CREATED BY THE ALIGNMENT OF CATHOLIC HEALTH INITIATIVES AND DIGNITY HEALTH AS A SINGLE MINISTRY IN EARLY 2019.OUR COMMITMENT TO SERVE THE COMMON GOOD IS DELIVERED THROUGH THE DEDICATED WORK OF THOUSANDS OF PHYSICIANS, ADVANCED PRACTICE CLINICIANS, NURSES, AND STAFF; THROUGH CLINICAL EXCELLENCE DELIVERED ACROSS A SYSTEM OF 140 HOSPITALS AND MORE THAN 1,500 CARE CENTERS SERVING 21 STATES; AND THROUGH MORE THAN $5 BILLION ANNUALLY IN CHARITY CARE, COMMUNITY BENEFITS, AND GOVERNMENT PROGRAM SERVICES.WITH A LARGE GEOGRAPHIC FOOTPRINT REPRESENTING DIVERSE POPULATIONS ACROSS THE U.S. AND A MISSION TO SERVE THE MOST VULNERABLE, COMMONSPIRIT IS A LEADER IN ADVANCING THE SHIFT FROM SICK CARE TO WELL CARE, AND ADVOCATING FOR SOCIAL JUSTICE.COMMONSPIRIT HEALTH ALSO SUPPORTS A RANGE OF COMMUNITY HEALTH PROGRAMS, RESEARCH PROGRAMS, VIRTUAL CARE SERVICES, AND HOME HEALTH PROGRAMS ADDRESSING THE ROOT CAUSES OF POOR HEALTH SUCH AS ACCESS TO QUALITY CARE AND HEALTH EQUITY, AFFORDABLE HOUSING, SAFE NEIGHBORHOODS, AND A HEALTHY ENVIRONMENT.MERCY IS ONE OF THE MIDWEST'S LARGEST REFERRAL CENTERS, OFFERING A VARIETY OF SPECIALTY SERVICES THAT ARE UNIQUE TO IOWA AND THE REGION. IN ADDITION, A 24-HOUR EMERGENCY ROOM IS OPEN TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. WHILE A PARTICIPANT IN MEDICARE AND MEDICAID, MERCY ALSO DEPLOYS A ROBUST FINANCIAL ASSISTANCE PROGRAM FOR THE UNINSURED AND UNDERSERVED, MEETING THE NEEDS OF ALL SEEKING CARE.DEDICATED TO SERVING OUR ENTIRE COMMUNITY, MERCY IS ENRICHED BY A BOARD OF DIRECTORS COMPRISED OF CIVIC-MINDED LEADERS. WORKING IN CONJUNCTION WITH THIS ESTEEMED TEAM, MERCY'S LEADERSHIP EVALUATES AND DEDICATES RESOURCES TO THE PROMOTION OF A HEALTHY COMMUNITY AND AN IMPROVEMENT IN THE LIVES OF THOSE WE SERVE. ONE EXAMPLE OF MERCY'S COMMITMENT TO UNMET NEEDS EXISTS IN THE HOUSE OF MERCY. INITIALLY DEVELOPED TO PROVIDE SAFE AND SUPPORTIVE HOUSING FOR VULNERABLE WOMEN AND THEIR CHILDREN, THE HOUSE OF MERCY IS NOW ONE OF IOWA'S LARGEST PROVIDERS OF TRANSITIONAL HOUSING AND CLINICAL SERVICES FOR PARENTING WOMEN WITH ADDICTION. THE HOUSE OF MERCY IS DEDICATED TO ASSISTING PREGNANT, PARENTING/NON-PARENTING, AND ADOLESCENT/ADULT WOMEN IN DEVELOPING PERSONAL RESPONSIBILITY AND INDEPENDENCE THROUGH COUNSELING, EDUCATION, AND MEDICAL CARE IN COLLABORATION WITH OTHER CARING INDIVIDUALS. IT IS HOME TO 11 VITAL HUMAN SERVICE AND HEALTH CARE RELATED PROGRAMS AND, ON AVERAGE, HOUSES NEARLY 170 WOMEN AND CHILDREN IN THE RESIDENTIAL TREATMENT PROGRAM. DURING THEIR STAY, WOMEN GAIN THE SKILLS THEY NEED TO LIVE INDEPENDENTLY, DEAL WITH ADDICTION, OVERCOME THE EFFECTS OF TRAUMA AND EFFECTIVELY PARENT THEIR CHILDREN. MERCYONE MEDICAL CENTER - DES MOINES IS INCLUDED IN THE OFFICIAL CATHOLIC DIRECTORY AS A TAX-EXEMPT HOSPITAL.