2022-05-16T08:57:38-05:00 2021-06-30 990 2020-07-01 421336618 MERCY MEDICAL CENTER - CLINTON INC MERC 5632445555 1410 NORTH 4TH STREET CLINTON IA 527322940 KIM DUWE REGIONAL VP FINANCE 5632445555 2022-05-16 KIM DUWE 999009999 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z MERCYONE CLINTON MEDICAL CENTER KAY TAKES 1410 NORTH 4TH STREET CLINTON IA 527322940 144299128 0 X WWW.MERCYONE.ORG/CLINTON/ X 1989 DE TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES 5 4 1131 151 225342 82023 7380681 6522397 127603019 127884011 1698710 5369147 2404474 4200451 139086884 143976006 63192 57152 0 0 61369423 68369421 0 0 0 77320895 72270324 138753510 140696897 333374 3279109 151013221 142553090 50444497 36014676 100568724 106538414 X MERCYONE SERVES WITH FIDELITY TO THE GOSPEL AS A COMPASSIONATE, HEALING MINISTRY OF JESUS CHRIST TO TRANSFORM THE HEALTH OF OUR COMMUNITIES. MERCY MEDICAL CENTER - CLINTON IS A MEMBER OF MERCYONE. 0 0 129485581 57152 130193913 MERCY MEDICAL CENTER - CLINTON (MERCYONE CLINTON) IS LOCATED IN CLINTON, IOWA. MERCYONE CLINTON IS A FULL-SERVICE COMMUNITY HEALTH SYSTEM SERVING RESIDENTS IN CLINTON, IOWA AND SURROUNDING COMMUNITIES IN EASTERN IOWA AND NORTHWESTERN ILLINOIS. WITH A HISTORY DATING BACK MORE THAN 130 YEARS, MERCYONE CLINTON IS PROUD TO OFFER THE LATEST IN HEALTH AND MEDICAL SERVICES WITH A CARING, COMPASSIONATE AND PERSONAL TOUCH.MERCYONE CLINTON PROVIDES A BROAD RANGE OF SERVICES TO MEET THE HEALTH CARE NEEDS OF RESIDENTS IN THE BI-STATE AREA. WITH TWO MAIN CAMPUSES, MERCYONE CLINTON OPERATES 163 LICENSED BEDS. SERVICES INCLUDE A RADIATION ONCOLOGY CENTER IN AFFILIATION WITH THE UNIVERSITY OF IOWA HOSPITALS AND CLINICS, TWO CARDIAC CATHETERIZATION LABS, RENAL DIALYSIS AND A TRAUMA CENTER. RESIDENTS ALSO HAVE ACCESS TO THE SKILL OF MERCYONE CLINTON'S HOME HEALTH AND HOSPICE CARE, AS WELL AS QUALITY EQUIPMENT AND SUPPLIES THROUGH MERCY HOME MEDICAL EQUIPMENT. IN FISCAL YEAR 2021 THE HOSPITAL PROVIDED OVER 10,000 PATIENT DAYS OF HEALTH CARE SERVICES TO THE COMMUNITY.RECOGNIZING THE IMPORTANCE OF MAINTAINING HEALTH, MERCYONE CLINTON CREATES OPPORTUNITIES TO PROMOTE WELLNESS AND ASSIST PEOPLE TO TAKE RESPONSIBILITY FOR THEIR OWN HEALTH AND WELL-BEING. IN ADDITION, MERCYONE CLINTON SUPPORTS COMMUNITY PROGRAMS AND ACTIVITIES THAT ENHANCE THE CULTURAL AND ECONOMIC PROSPERITY OF ITS ASSOCIATES AND THE COMMUNITY AT LARGE.PLEASE VISIT SCHEDULE H AND OUR WEBSITE FOR ADDITIONAL INFORMATION ABOUT OUR SERVICES, RECOGNITIONS AND AWARDS: WWW.MERCYONE.ORG/CLINTON/ 129485581 1 1 0 1 0 0 0 0 1 0 1 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 195 0 1 1131 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 5 4 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 X KIM DUWE 5635899977 1410 NORTH 4TH STREET CLINTON IA 527322940 SAADI ALBAGHDADI MD PHYSICIAN, CARDIOLOGY 50.00 0.00 X 1434431 0 24000 LINDA ROSS DIR; CHIEF LEGAL OFFICER TRINITY 1.00 54.00 X 0 912906 75242 QAISER RASHEED MD PHYSICIAN, CARDIOLOGY 50.00 0.00 X 930456 0 54660 MOHAMMED IRSHAD MD PHYSICIAN, GASTROENTEROLOGY 50.00 0.00 X 870310 0 18521 ROBERT MAGNUS MD PHYSICIAN, ORTHOPEDIC SURGERY 50.00 0.00 X 744954 0 49376 RICKY MADDOX MD PHYSICIAN, GENERAL SURGERY 50.00 0.00 X 770600 0 14004 RODNEY SCHLADER FORMER OFFICER; PRES MERCYONE N IOWA 0.00 55.00 X 0 479427 60742 KAY TAKES PRESIDENT EASTERN IOWA REGION 25.00 30.00 X 0 475443 55369 MARCIA SMITH FORMER OFFICER 0.00 0.00 X 0 376806 11775 KIM DUWE VP FINANCE EASTERN IOWA REGION 20.00 30.00 X 0 223130 41333 AMY BERENTES EVP, COO EASTERN IOWA REGION 19.00 31.00 X 0 220976 24112 MARY CORITA HEID RSM DIR;CHAIR AT 1/21;V. CHAIR THR 12/20 1.00 1.00 X X 0 0 0 MILTON AVERY DIRECTOR; CHAIR THROUGH 12/20 1.00 1.00 X X 0 0 0 MAURITA SOUKUP RSM DIRECTOR 1.00 1.00 X 0 0 0 ROBERT RITZ DIRECTOR; REGIONAL PRESIDENT & CEO 1.00 1.00 X 0 0 0 MICHAEL WEGNER TREASURER; REGIONAL CFO 1.00 1.00 X 0 0 0 HEATHER CAMPBELL SEC; CHIEF LEGAL OFFICER MERCYONE 1.00 1.00 X 0 0 0 4750751 2688688 429134 69 1 1 0 GRAHAM CONSTRUCTION 56 16TH AVE SW CEDAR RAPIDS IA 52404 CONSTRUCTION SERVICES 3364731 VARIAN MEDICAL SYSTEMS INC 3100 HANSEN WAY PALO ALTO CA 94304 ONCOLOGY SERVICES 1997182 APOGEE MEDICAL MANAGEMENT 2525 E CAMELBACK RD PHOENIX AZ 85016 HOSPITALISTS 1947376 GENESIS HEALTH GROUP 3200 W KIMBERLY RD DAVENPORT IA 52806 PHYSICIAN SERVICES 1298050 DAIKIN APPLIED 13600 INDUSTRIAL PARK BLVD MINNEAPOLIS MN 55441 AIR CONDITIONING SERVICES 864974 29 1716770 4708910 96717 6522397 NET PATIENT SERVICE REVENUE 622110 127186589 127186589 PHARMACY REVENUE 446110 554832 554832 LABORATORY UBI 621500 142590 142590 127884011 1827360 1827360 267200 101664 165536 165536 165536 3626211 137034 0 221458 3626211 -84424 3541787 3541787 2434504 0 2434504 2372603 61901 CHILDCARE REVENUE 624410 548968 548968 CAFETERIA REVENUE 722514 395871 395871 PROVIDER INCENTIVE REVENUE 622110 79888 79888 575684 554833 20851 1600411 143976006 130193913 225342 7034354 X 15839 15839 41313 41313 57571149 53626165 3944984 1315299 1225170 90129 6077114 5660688 416426 3405859 3384987 20872 232013 232013 2800 2800 102383 102383 14110180 12838680 1271500 425230 4669 420561 1782922 1032759 750163 5061703 3812582 1249121 5078344 5036725 41619 163391 152638 10753 115957 104967 10990 758555 758555 7299285 5861890 1437395 506115 506115 UBI TAXES 15000 15000 MEDICAL SUPPLIES 25054771 25054771 INTERCO. PURCHASED SVCS 5278272 4037066 1241206 BAD DEBT 3566024 3566024 2717379 2531965 185414 140696897 129485581 11211316 0 533593 408452 18340454 18451723 2803753 2968337 481118 300782 146031711 110105793 32420467 35925918 60033363 47251122 23346309 25442912 16971 13037193 11803844 151013221 142553090 7423042 9019417 470661 431 762485 828955 41787878 26166304 50444497 36014676 X 100568724 106538414 100568724 106538414 151013221 142553090 X 3279109 8912330 -6221749 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 12944 0 0 0 12944 0 PART II-B, LINE 1: MERCY MEDICAL CENTER - CLINTON HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES. THESE GRANTS HAVE BEEN IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS, WHERE THE ORGANIZATIONS HAVE PROVIDED MERCY MEDICAL CENTER - CLINTON WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. 0 1 X 955251 955251 57475336 45136622 12338714 277218 114985 162233 82091207 64649952 17441255 5232699 204234 5028465 35925918 COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES 7996344 F HEDGE FUNDS 4361642 F EQUITY METHOD INVESTMENTS 13084926 C 25442912 MISCELLANEOUS RECEIVABLES 429636 INTERCOMPANY RECEIVABLES 608383 INTERCOMPANY LONG-TERM ASSETS 5878063 OPERATING LEASE RIGHT-OF-USE ASSETS 4887762 11803844 OTHER LONG-TERM LIABILITIES 9300 INTERCOMPANY NOTES PAYABLE 16022172 INTERCOMPANY PAYABLES 4268535 ASSET RETIREMENT OBLIGATION 1072824 OPERATING LEASE LIABILITIES 4793473 26166304 PART IV, LINE 2B: MERCY LIVING CENTER, A LONG TERM CARE FACILITY, HAD A CUSTODIAL ACCOUNT THAT WAS FOR LONG TERM CARE RESIDENTS' PERSONAL USE. THIS ACCOUNT WAS CLOSED DURING THE FISCAL YEAR. THE LONG TERM CARE FACILITY CLOSED IN AUGUST 2019. PART V, LINE 4: ENDOWMENTS HELD BY MERCY HEALTHCARE FOUNDATION - CLINTON FOR THE BENEFIT OF MERCY MEDICAL CENTER - CLINTON ARE REPORTED ON THE FORM 990 OF MERCY HEALTHCARE FOUNDATION - CLINTON. 1 1 X 1 X 1 X 1 0 1 1 805657 805657 0.00590 20129234 11544898 8584336 0.06260 20934891 11544898 9389993 0.06850 18 2161 210802 210802 0.00150 6 2987 6902973 3977059 2925914 0.02130 7 13 38358 38358 0.00030 31 5161 7152133 3977059 3175074 0.02310 31 5161 28087024 15521957 12565067 0.09160 2 174 367212 367212 0.00270 3 43 982 982 0.00000 1 16416 16416 0.00010 6 217 384610 384610 0.00280 1 3566024 0 37253555 37077796 175759 X 1 1 1 CLINTON IMAGING SERVICES LLC MRI SERVICES 0.65000 0.35000 1 1 MERCYONE CLINTON MEDICAL CENTER 1410 N 4TH STREET CLINTON IA 52732 WWW.MERCYONE.ORG/CLINTON/ 230056H X X X LAB, RADIOLOGY MERCYONE CLINTON MEDICAL CENTER 1 0 0 1 X X X X X X X X X 20 1 0 1 1 X SEE SCHEDULE H, PART V, SECTION C X X 1 20 1 SEE SCHEDULE H, PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X 1 X 0 X X X X X 1 X 0 0 MERCYONE CLINTON MEDICAL CENTER PART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E:MERCYONE CLINTON MEDICAL CENTER (MERCYONE CLINTON) INCLUDED IN ITS CHNA WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS, WHICH WERE IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE DEEMED TO BE SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS: 1. MENTAL HEALTH2. SUBSTANCE ABUSE3. ACCESS TO HEALTH CARE4. OBESITY5. POVERTY6. ACCESS TO FOOD7. SUICIDE8. CANCER MERCYONE CLINTON MEDICAL CENTER PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS INCLUDED GATHERING BOTH QUALITATIVE AND QUANTITATIVE DATA OVER A THREE-MONTH PERIOD FROM OCTOBER 2020 TO DECEMBER 2020. WHILE MOST OF THIS DATA IS HEALTH SPECIFIC, MERCYONE CLINTON ACKNOWLEDGES THAT MANY FACTORS AFFECT INDIVIDUAL AND POPULATION HEALTH. MOST NOTABLY, THE SOCIAL DETERMINANTS OF HEALTH (POVERTY, EDUCATION, EMPLOYMENT, ETC.) CAN HAVE A SIGNIFICANT IMPACT ON HEALTH STATUS, AND MERCYONE CLINTON COLLECTED A WIDE VARIETY OF DATA THAT REFLECTS THESE INDICATORS. TOGETHER, THE QUALITATIVE AND THE QUANTITATIVE DATA HELPED THE HEALTH SYSTEM MAKE DECISIONS REGARDING SHORT-TERM AND LONG-TERM RESOURCE ALLOCATION. MERCYONE CLINTON USED SURVEY MONKEY TO DISTRIBUTE A SURVEY FROM OCTOBER 19, 2020, THROUGH JANUARY 5, 2021, WHICH WAS PROMOTED TO DIVERSE POPULATIONS INCLUDING ALL LEVELS OF EDUCATION, INCOME, AND RACE. THE STEERING COMMITTEE DEVELOPED ONE SURVEY THAT WAS USED FOR ALL PARTICIPATING ORGANIZATIONS. THE FULL STEERING COMMITTEE REVIEWED THE SURVEY FOR READABILITY, CLARITY OF QUESTIONS, FORMAT, AND OVERALL COMMUNITY HEALTH NEEDS. THE DEMOGRAPHICS OF THE 600 SURVEY RESPONDENTS WERE REFLECTIVE OF MERCYONE CLINTON'S SERVICE AREA. THE SURVEY DEMOGRAPHIC RESULTS CAN BE VIEWED IN THE FULL CHNA REPORT. SURVEYS WERE SENT ELECTRONICALLY TO THE GENERAL POPULATION AND WERE PASSED OUT TO INFORMATION REFERRAL ASSISTANCE AND SERVICE AT A FREE MEAL SITE TO INCLUDE THE VULNERABLE POPULATION THAT DID NOT HAVE ACCESS TO THE ELECTRONIC SURVEY. THE TOP FIVE RESPONSES FROM THE FIVE QUESTIONS LISTED WERE COMPILED INTO A LIST OF 25 POTENTIAL AREAS OF CONCERN. FROM THE LIST OF 25, CLOSELY RELATED RESPONSES WERE GROUPED TOGETHER TO CREATE A BETTER-DEFINED LIST OF 15 AREAS OF CONCERN. AFTER OBTAINING A LIST OF THE AREAS OF CONCERN FROM THE SURVEY, A NEED DIFFERENTIAL WAS CALCULATED FOR EACH AREA, COMPARING QUANTITATIVE DATA INDICATORS FROM THE COUNTY HEALTH RANKINGS IN IOWA AND ILLINOIS. REPRESENTATION FROM THOSE WHO ARE MEDICALLY UNDERSERVED, LOW-INCOME, OR IN RACIAL MINORITY POPULATIONS WAS OBSERVED FROM THE SURVEY. AS A WAY TO GAIN INSIGHT INTO UNDERSERVED POPULATIONS, MERCYONE CLINTON CONVENED A SERIES OF MEETINGS WITH REPRESENTATIVES FROM VARIOUS NON-PROFIT ORGANIZATIONS WITHIN THE SERVICE AREA. IN ADDITION, COMMUNITY SURVEYS WERE COLLECTED FROM MEAL SITES AND SOCIAL SERVICE ORGANIZATIONS TARGETING THE UNDERSERVED POPULATION. MERCYONE CLINTON WAS INTENTIONAL ABOUT SURVEY COLLECTION FROM MINORITY GROUPS, THE UNDERSERVED AND LOW-INCOME POPULATION. THE PERCENTAGE OF SURVEYS COLLECTED FROM RACIAL MINORITY POPULATIONS CLOSELY ALIGNS WITH THE DEMOGRAPHIC MAKE-UP OF THE SERVICE AREA. AS FOCUS GROUPS ARE FORMED FOR ACTION PLANNING, RACIAL MINORITY POPULATIONS WILL BE INCLUDED TO HELP WITH THE DEVELOPMENT OF THE IMPLEMENTATION STRATEGIES. MERCYONE CLINTON MEDICAL CENTER PART V, SECTION B, LINE 6B: ORGANIZATIONS THAT MERCYONE CLINTON CONDUCTED THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT WITH INCLUDED, CLINTON CHAMBER OF COMMERCE, WOMEN'S HEALTH SERVICES, CLINTON COMMUNITY HEALTH CLINIC, BRIDGEVIEW, CLINTON COUNTY PUBLIC HEALTH, CITY OF CLINTON, CITY OF DEWITT, CLINTON FIRE DEPARTMENT, IOWA STATE SENATOR, INFORMATION REFERRAL & SERVICES, UNITED WAY, SISTERS OF SAINT FRANCIS - CANTICLE, ASAC, GATEWAY IMPACT, COMMUNITY PARTNERSHIPS PROTECTING CHILDREN, SCHOOL NURSES - CLINTON, JACKSON, WHITESIDE & CARROLL, FULTON SCHOOLS, WIC, AND CLINTON SCHOOLS. MERCYONE CLINTON MEDICAL CENTER PART V, SECTION B, LINE 7D: IN ADDITION TO MAKING THE CHNA AVAILABLE ONLINE AND IN THE HOSPITAL FACILITY, MERCYONE CLINTON COMMUNICATED ITS CHNA TO THE BROADER COMMUNITY IN THE FOLLOWING WAYS: BY DISTRIBUTING COPIES AT NO CHARGE TO INDIVIDUALS WHO SERVED ON THE CHNA STEERING COMMITTEE, BY DISTRIBUTING COPIES TO INDIVIDUALS WHO PARTICIPATED IN THE SOCIAL SERVICES FOCUS GROUP, AND BY MAKING IT AVAILABLE TO HOSPITAL'S BOARD. MERCYONE CLINTON MEDICAL CENTER PART V, SECTION B, LINE 11: MERCYONE CLINTON CONDUCTED THE CHNA DURING FISCAL YEAR 2021 WHILE SIMULTANEOUSLY TAKING SEVERAL STEPS TO ADDRESS NEEDS THAT WERE IDENTIFIED IN THE FISCAL YEAR 2019-2021 CHNA. FOLLOWING ARE SUMMARIES OF ACTIONS TAKEN AND THE IMPACT THAT WAS MADE ON THE RESPECTIVE HEALTH NEEDS SINCE THE LAST CHNA WAS CONDUCTED:MENTAL HEALTH: ACCORDING TO COUNTYHEALTHRANKINGS.ORG, IN 2021, CLINTON COUNTY HAD AN AVERAGE OF 3.9 MENTALLY UNHEALTHY DAYS IN THE LAST 30 DAYS COMPARED TO 3.5 DAYS FOR THE STATE OF IOWA. JACKSON COUNTY HAD AN AVERAGE OF 3.7 DAYS. THE STATE OF ILLINOIS HAD AN AVERAGE OF 3.8 MENTALLY UNHEALTHY DAYS IN THE LAST 30 DAYS WITH WHITESIDE COUNTY REPORTING AN AVERAGE OF 4.3 DAYS AND CARROLL COUNTY REPORTING 4.5 DAYS. IN FISCAL YEAR 2021, MERCYONE CLINTON HAD 626 EMERGENCY DEPARTMENT INPATIENT AND OUTPATIENT ADMISSIONS. ACTIONS TAKEN BY MERCYONE CLINTON BETWEEN FISCAL YEAR 2019 AND 2021 TO ADDRESS MENTAL HEALTH INCLUDE, ENSURING ALL INPATIENTS DISCHARGED FROM THE BEHAVIORAL HEALTH UNIT ARE GIVEN RESOURCES FOR OUTPATIENT SUPPORT AND ARE SCHEDULED FOR FOLLOW-UP CARE PRIOR TO THEIR DISCHARGE SO THAT THE PATIENT KNOWS WHEN AND WHERE THEY CAN FOLLOW-UP. IF A PATIENT DECLINES OUTPATIENT SERVICES, MERCYONE CLINTON WILL CONNECT THE PATIENT WITH LOCAL COMMUNITY AGENCIES WHO CAN SUPPORT THEIR MENTAL HEALTH NEEDS. THE BEHAVIORAL HEALTH UNIT HAS RESUMED GROUP ACTIVITIES, WHICH WERE PUT ON HOLD DURING COVID-19. PATIENTS CAN PARTICIPATE IN SELF-CARE ACTIVITIES, DISEASE PROCESS EDUCATION, LIFE SKILLS, COPING STRATEGIES, AND/OR SAFETY PLANNING. DURING THE FISCAL YEAR, TELEPSYCH SERVED 351 PATIENTS WITH A NET CONTRIBUTION OF $243,951. SUBSTANCE ABUSE: MERCYONE CLINTON HAS SEEN AN EXPONENTIAL INCREASE IN THE NUMBER OF EMERGENCY DEPARTMENT PATIENTS WITH A DIAGNOSIS CODE OF SUBSTANCE ABUSE. BEGINNING IN FISCAL YEAR 2020, MERCYONE CLINTON BEGAN TRACKING PATIENTS WITH A MENTAL HEALTH AND SUBSTANCE ABUSE DIAGNOSIS. IN FISCAL YEAR 2020, 436 PATIENTS HAD A DIAGNOSIS OF SUBSTANCE ABUSE CITING METHAMPHETAMINE (188) AND ETOH (192). ACCORDING TO THE STRATEGIC INITIATIVES TO PREVENT DRUG OVERDOSES (SIPDO), AMPHETAMINE-RELATED EMERGENCY ROOM VISITS AND HOSPITALIZATIONS IN CLINTON COUNTY ARE AMONG THE HIGHEST IN THE STATE OF IOWA RELATIVE TO ITS POPULATION (IDPH, DIVISION OF BEHAVIORAL HEALTH 2014-2018). ACCORDING TO THE GOVERNOR'S OFFICE OF DRUG CONTROL POLICY (2020) AND IOWA DRUG CONTROL STRATEGY AND DRUG USE PROFILE ANNUAL REPORT, TREATMENT ADMISSIONS WITH METHAMPHETAMINE REPORTED AS THEIR PRIMARY SUBSTANCE IS RISING IN IOWA. ONE OUT OF EVERY FOUR ADULTS ADMITTED FOR SUBSTANCE USE DISORDER TREATMENT IN 2020 REPORTED METHAMPHETAMINE AS THE PRIMARY SUBSTANCE, SURPASSING OPIOIDS AND MARIJUANA. ACTIONS THAT MERCYONE CLINTON SUPPORTED FOR SUBSTANCE ABUSE BETWEEN FISCAL YEAR 2019 AND 2021 INCLUDED A COLLABORATION WITH CLINTON COUNTY AND A NEW CONTRACT WITH LIFE CONNECTIONS WHO WILL BE COMPLETING SUBSTANCE MISUSE EVALUATIONS FOR COURT COMMITMENTS. LIFE CONNECTIONS PERFORMS COURT ORDERED SUBSTANCE ABUSE EVALUATIONS FOR MERCYONE CLINTON PATIENTS. IF SOMEONE IS COMMITTED TO THE BEHAVIORAL HEALTH UNIT UNDER A DUAL COMMITMENT (MENTAL HEALTH AND SUBSTANCE MISUSE), LIFE CONNECTION PERFORMS THE SUBSTANCE ABUSE EVALUATION AND THEN MAKES RECOMMENDATIONS TO THE COURT ON WHAT TREATMENT THE PATIENT QUALIFIES FOR (INPATIENT, OUTPATIENT OR NO TREATMENT NEEDED). IF THE PATIENT IS COMMITTED FOR SUBSTANCE MISUSE ONLY, THEY ARE TRANSPORTED TO THE CENTER FOR ALCOHOL AND DRUG SERVICES FOR AN EVALUATION. MERCYONE CLINTON HAS SERVED 60 PATIENTS AT THE MEDICATION ASSISTED TREATMENT (MAT) CLINIC FOR OPIOID USE DISORDER (OUD) SINCE OPENING IN OCTOBER 2019. A RECENTLY AWARDED GRANT WILL ENABLE EXPANSION IN HOURS AND PROVIDERS FOR OUD TREATMENT AT THE MERCYONE CLINTON MAT CLINIC. IN FISCAL YEAR 2020, THE MAT CLINIC SERVED 38 PATIENTS, 2,290 STAFF HOURS AND A NET CONTRIBUTION OF $115,995. IN FISCAL YEAR 2021, THE MAT CLINIC SERVED 46 PATIENTS, 2,242 STAFF HOURS AND NET CONTRIBUTION OF $119,933.ACCESS TO CARE: ACCESS TO CARE IN 2021, ESPECIALLY PRIMARY CARE, CONTINUES TO BE A CHALLENGE FOR RESIDENTS OF OUR PRIMARY AND SECONDARY SERVICE AREAS. IOWA HAS ONE PRIMARY CARE PROVIDER FOR EVERY 1,360 RESIDENTS. JACKSON COUNTY AND CLINTON COUNTY HAVE A MUCH HIGHER RATIO OF RESIDENTS TO PROVIDERS, AS EVIDENCED BY THE RATIO OF 2,780:1 IN JACKSON COUNTY AND 1,860:1 IN CLINTON COUNTY. ILLINOIS HAS A RATIO OF 1,240:1 WITH CARROLL COUNTY AT A RATIO OF 3,580:1 AND 1,690:1 IN WHITESIDE COUNTY. DUE TO THE PRIMARY CARE NEED IN OUR SERVICE AREA, MERCYONE CLINTON HIRED A PHYSICIAN RECRUITMENT AGENCY TO HELP WITH RECRUITING HEALTH CARE PROVIDERS TO OUR SERVICE AREA. IN FISCAL YEAR 2019, MERCYONE CLINTON CONTRIBUTED $71,307 TOWARDS THIS NEED, IN FISCAL YEAR 2020, $25,900 AND FISCAL YEAR 2021, $16,416. SINCE FISCAL YEAR 2019, MERCYONE CLINTON HAS RECRUITED THE FOLLOWING HEALTH CARE PROVIDERS: THREE FAMILY PRACTICE NURSE PRACTITIONERS, AN INTERNAL MEDICINE PHYSICIAN, A PEDIATRICIAN, A PRN PEDIATRIC NURSE PRACTITIONER, AN URGENT CARE PHYSICIAN ASSISTANT, A CARDIOLOGY NURSE PRACTITIONER, A CARDIOLOGIST, A GASTROENTEROLOGIST, A GENERAL SURGEON, AND AN ORTHOPEDIC NURSE PRACTITIONER. TRANSPORTATION WAS IDENTIFIED AS A BARRIER TO ACCESSING HEALTH CARE. TO ASSIST VULNERABLE PATIENTS TO GET TO AND FROM HEALTH CARE, MERCYONE CLINTON OFFERS A TRANSPORTATION PROGRAM FOR QUALIFYING OR UNINSURED PATIENTS. IN FISCAL YEAR 2021, 389 PATIENTS WERE SERVED WITH A CONTRIBUTION OF $41,313.DUE TO LIMITED TIME, MONEY, AND OTHER RESOURCES, MERCYONE CLINTON CANNOT REALISTICALLY ADDRESS, EITHER DIRECTLY OR INDIRECTLY, ALL THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE CHNA. THEREFORE, OBESITY, POVERTY, ACCESS TO FOOD, SUICIDE, AND CANCER WERE NOT DIRECTLY ADDRESSED IN FISCAL YEAR 2021. HOWEVER, MERCYONE CLINTON DOES LOOK FOR OPPORTUNITIES TO PARTNER WITH, SUPPORT, OR ENCOURAGE OTHER ORGANIZATIONS IN THE COMMUNITY WHO CAN MORE EFFECTIVELY AND/OR TIMELY ADDRESS OTHER HEALTH NEEDS IN THE COMMUNITY. THE IMPLEMENTATION STRATEGY WORKGROUPS HAD THESE NEEDS IN MIND AS THEY DEVELOPED STRATEGIES TO ADDRESS MENTAL HEALTH, SUBSTANCE ABUSE, AND ACCESS TO HEALTH CARE. MERCYONE CLINTON MEDICAL CENTER PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTH CARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS. MERCYONE CLINTON MEDICAL CENTER PART V, SECTION B, LINE 15E: THE HOSPITAL PROVIDES ASSISTANCE WITH SIGNING UP FOR MEDICARE OR MEDICAID. MERCYONE CLINTON MEDICAL CENTER PART V, SECTION B, LINE 20E: IF AN INDIVIDUAL REGISTERS AS SELF-PAY, THEN THEY MEET WITH A FINANCIAL COUNSELOR. MERCYONE CLINTON MEDICAL CENTER - PART V, SECTION B, LINE 7A: WWW.MERCYONE.ORG/CLINTON/ABOUT-US/COMMUNITY-BENEFIT/ PART V, SECTION B, LINE 9: AS PERMITTED IN THE FINAL SECTION 501(R) REGULATIONS, THE HOSPITAL'S IMPLEMENTATION STRATEGY WAS ADOPTED WITHIN 4 1/2 MONTHS AFTER THE FISCAL YEAR END THAT THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE TO THE PUBLIC. MERCYONE CLINTON MEDICAL CENTER - PART V, SECTION B, LINE 10A: WWW.MERCYONE.ORG/CLINTON/ABOUT-US/COMMUNITY-BENEFIT/ MERCYONE CLINTON MEDICAL CENTER, PART V, LINE 16A, FAP WEBSITE: WWW.MERCYONE.ORG/CLINTON/FOR-PATIENTS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE MERCYONE CLINTON MEDICAL CENTER, PART V, LINE 16B, FAP APPLICATION WEBSITE: WWW.MERCYONE.ORG/CLINTON/FOR-PATIENTS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE MERCYONE CLINTON MEDICAL CENTER, PART V, LINE 16C: FAP PLAIN LANGUAGE SUMMARY WEBSITE:WWW.MERCYONE.ORG/CLINTON/FOR-PATIENTS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE 7 1 - MERCY SPECIALTY CLINIC 1410 NORTH 4TH STREET CLINTON IA 52732 OUTPATIENT CLINIC 2 - CLINTON IMAGING SERVICES 1410 NORTH 4TH STREET CLINTON IA 52732 MRI DIAGNOSTIC SERVICES 3 - MERCYONE CLINTON NORTH HEALTH PLAZA 915 13TH AVE NORTH CLINTON IA 52732 OUTPATIENT CLINIC 4 - MERCYONE FULTON FAMILY MEDICINE 1705 16TH AVE FULTON IL 61252 OUTPATIENT CLINIC 5 - MERCYONE DEWITT FAMILY MEDICINE 1021 11TH ST DEWITT IA 52742 OUTPATIENT CLINIC 6 - MERCYONE MORRISON FAMILY MEDICINE 635 E LINCOLNWAY MORRISON IL 61270 OUTPATIENT CLINIC 7 - MERCYONE CLINTON URGENT CARE 2400 LILLIAN WAY CLINTON IA 52732 URGENT CARE CLINIC AND OCCUPATIONAL MEDICINE PART I, LINE 3C: IN ADDITION TO LOOKING AT A MULTIPLE OF THE FEDERAL POVERTY GUIDELINES, OTHER FACTORS ARE CONSIDERED SUCH AS THE PATIENT'S FINANCIAL STATUS AND/OR ABILITY TO PAY AS DETERMINED THROUGH THE ASSESSMENT PROCESS. PART I, LINE 6A: MERCY MEDICAL CENTER - CLINTON (MERCYONE CLINTON) REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH (EIN 35-1443425) IN ITS AUDITED FINANCIAL STATEMENTS, AVAILABLE AT WWW.TRINITY-HEALTH.ORG.IN ADDITION, MERCYONE CLINTON INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. PART I, LINE 7: THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THOSE CATEGORIES. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITAL'S COST ACCOUNTING SYSTEM. PART I, LN 7 COL(F): THE FOLLOWING NUMBER, $3,566,024, REPRESENTS THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN TOTAL FUNCTIONAL EXPENSES IN FORM 990, PART IX, LINE 25. PER IRS INSTRUCTIONS, THIS AMOUNT WAS EXCLUDED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR SCHEDULE H, PART I, LINE 7, COLUMN (F). PART I, LINE 5A: DURING FY21, DUE TO THE COVID-19 PANDEMIC, THE HOSPITAL SUSPENDED ITS TRADITIONAL ANNUAL BUDGET PROCESS AND USED A QUARTERLY PROCESS TO PLAN FOR FREE AND DISCOUNTED CARE UNDER ITS FINANCIAL ASSISTANCE POLICY. THIS CHANGE IN PROCESS DID NOT ALLOW THE HOSPITAL TO BUDGET FOR FINANCIAL ASSISTANCE EXPENSES ON AN ANNUAL BASIS. THE HOSPITAL IMPLEMENTED A NEW ROLLING FORECAST METHOD FOR FINANCIAL PLANNING IN FY22. THE ROLLING FORECAST WILL FACILITATE CONTINUOUS PLANNING, PERFORMANCE ASSESSMENT AND ACCOUNTABILITY. PART II, COMMUNITY BUILDING ACTIVITIES: THE COMMUNITY BUILDING PROGRAMS SUPPORTED BY MERCYONE CLINTON ARE INTENDED TO PROMOTE THE OVERALL HEALTH OF OUR COMMUNITY. MANY ARE AIMED AT IMPROVING THE ROOT CAUSES OF HEALTH PROBLEMS, SUCH AS POVERTY, CHALLENGING FAMILY SITUATIONS, FINANCIAL CHALLENGES, AND ENVIRONMENTAL PROBLEMS. THE FOLLOWING COMMUNITY BUILDING ACTIVITIES OCCURRED IN FISCAL YEAR 2021:COMMUNITY SUPPORT: THE CLINTON COUNTY REGION HAS APPROXIMATELY 1,900 CHILDCARE SPACES AVAILABLE AND 7,800 CHILDREN AGES 0 TO 12. CLINTON IS CONSIDERED A CHILDCARE DESERT; AS A RESULT, MERCYONE CLINTON IS ONE OF FIVE FACILITIES THAT PROVIDES AND SUBSIDIZES CHILDCARE TO SUPPORT THIS COMMUNITY NEED. MERCYONE CLINTON LAUNCHED THE TRINITY HEALTH MILVET PROGRAM INTERNALLY ON OCTOBER 1ST, 2021. ON JUNE 4, 2021, AN INTRODUCTORY MEETING WAS SCHEDULED TO DISCUSS PARTNERSHIPS WITH CLINTON COUNTY VETERANS AFFAIR AND THE AMERICAN LEGION. THIS PARTNERSHIP WILL CONTINUE OVER THE NEXT YEAR TO ESTABLISH COMMUNITY BUILDING STRATEGIES FOR THE VETERAN POPULATION. COALITION BUILDING: IN FISCAL YEAR 2021, MERCYONE CLINTON SERVED ON THE LET'S LIVE HEALTH CLINTON TASK FORCE TO REDUCE THE RISK FOR OBESITY, DIABETES, HUMAN TRAFFICKING, AND SUBSTANCE USE. AS A RESULT, THE LET'S LIVE HEALTH CLINTON TASK FORCE CONTINUES TO WORK TO IMPROVE THE OVERALL HEALTH BY FOCUSING ON EAT WELL, MOVE MORE AND FEEL BETTER. THE CLINTON COLLABORATION COUNCIL IS A COALITION THAT MERCYONE CLINTON PARTNERS WITH TO ADDRESS LICIT AND ILLICIT DRUG DEATHS, STRENGTHEN STATE AND LOCAL CAPACITY TO THE DRUG OVERDOSE CRISIS AND COORDINATE WITH PUBLIC SAFETY AND COMMUNITY-BASED PARTNERS TO RAPIDLY IDENTIFY OVERDOSE THREAT, REVERSE OVERDOSES, LINK PEOPLE TO EFFECTIVE TREATMENT AND REDUCE THE HARMS ASSOCIATED WITH LICIT AND ILLICIT DRUGS. MERCYONE CLINTON WAS ALSO ASKED TO SIT ON AN ANTI-HUMAN TRAFFICKING COALITION IN FISCAL YEAR 2021.WORKFORCE DEVELOPMENT: AS PART OF THE WORKFORCE DEVELOPMENT AND THE CLINTON COUNTY HEALTH RATIO OF PHYSICIANS TO RESIDENTS, PHYSICIAN RECRUITMENT WAS ADDED AS A HIGH NEED TO SUPPORT THE COMMUNITY HEALTH NEED IN CLINTON COUNTY. IN FISCAL 2021, MERCYONE CLINTON CONTRIBUTED $114,782 TO RECRUIT PHYSICIANS IN THE MEDICALLY UNDERSERVED AREA. MERCYONE CLINTON HAS RECRUITED THREE FAMILY MEDICINE NURSE PRACTITIONERS, AN INTERNAL MEDICINE PHYSICIAN, A PEDIATRICIAN, A PRN PEDIATRIC NURSE PRACTITIONER, AN URGENT CARE PHYSICIAN ASSISTANT, A CARDIOLOGY NURSE PRACTITIONER, A CARDIOLOGIST, A GASTROENTEROLOGIST, AND A GENERAL SURGEON. PART III, LINE 2: METHODOLOGY USED FOR LINE 2 - ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS NOT INCLUDED IN BAD DEBT EXPENSE. AS A RESULT OF THE PAYMENT AND ADJUSTMENT ACTIVITY BEING POSTED TO BAD DEBT ACCOUNTS, WE ARE ABLE TO REPORT BAD DEBT EXPENSE NET OF THESE TRANSACTIONS. PART III, LINE 3: MERCYONE CLINTON USES A PREDICTIVE MODEL THAT INCORPORATES THREE DISTINCT VARIABLES IN COMBINATION TO PREDICT WHETHER A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE: (1) SOCIO-ECONOMIC SCORE, (2) ESTIMATED FEDERAL POVERTY LEVEL (FPL), AND (3) HOMEOWNERSHIP. BASED ON THE MODEL, CHARITY CARE CAN STILL BE EXTENDED TO PATIENTS EVEN IF THEY HAVE NOT RESPONDED TO FINANCIAL COUNSELING EFFORTS AND ALL OTHER FUNDING SOURCES HAVE BEEN EXHAUSTED. FOR FINANCIAL STATEMENT PURPOSES, MERCYONE CLINTON IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, MERCYONE CLINTON IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL. PART III, LINE 4: MERCYONE CLINTON IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE PATIENT ACCOUNTS RECEIVABLE, ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS FOOTNOTE FROM PAGE 13 OF THOSE STATEMENTS: "AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO THE PASSAGE OF TIME IS TREATED AS A RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS FOR WHICH THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYERS FOR RETROACTIVE ADJUSTMENTS, ARE RECEIVABLES IF THE RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. FOR PATIENT ACCOUNTS RECEIVABLE, THE ESTIMATED UNCOLLECTABLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT SERVICE REVENUE AND ACCOUNTS RECEIVABLE.THE CORPORATION HAS AGREEMENTS WITH THIRD-PARTY PAYERS THAT PROVIDE FOR PAYMENTS TO THE CORPORATION'S HEALTH MINISTRIES AT AMOUNTS DIFFERENT FROM ESTABLISHED RATES. ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYERS AND OTHER CHANGES IN ESTIMATES ARE INCLUDED IN NET PATIENT SERVICE REVENUE AND ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS, AS FINAL SETTLEMENTS ARE DETERMINED." PART III, LINE 8: MERCYONE CLINTON DOES NOT BELIEVE ANY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS IS SIMILAR TO CATHOLIC HEALTH ASSOCIATION RECOMMENDATIONS, WHICH STATE THAT SERVING MEDICARE PATIENTS IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS AND THAT THE EXISTING COMMUNITY BENEFIT FRAMEWORK ALLOWS COMMUNITY BENEFIT PROGRAMS THAT SERVE THE MEDICARE POPULATION TO BE COUNTED IN OTHER COMMUNITY BENEFIT CATEGORIES.PART III, LINE 8: COSTING METHODOLOGY FOR LINE 6 - MEDICARE COSTS WERE OBTAINED FROM THE FILED MEDICARE COST REPORT. THE COSTS ARE BASED ON MEDICARE ALLOWABLE COSTS AS REPORTED ON WORKSHEET B, COLUMN 27, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT. PART III, LINE 9B: THE HOSPITAL'S COLLECTION POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. CHARITY DISCOUNTS ARE APPLIED TO THE AMOUNTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. COLLECTION PRACTICES FOR THE REMAINING BALANCES ARE CLEARLY OUTLINED IN THE ORGANIZATION'S COLLECTION POLICY. THE HOSPITAL HAS IMPLEMENTED BILLING AND COLLECTION PRACTICES FOR PATIENT PAYMENT OBLIGATIONS THAT ARE FAIR, CONSISTENT AND COMPLIANT WITH STATE AND FEDERAL REGULATIONS. PART VI, LINE 2: NEEDS ASSESSMENT - MERCYONE CLINTON ASSESSES THE HEALTH STATUS OF ITS COMMUNITY, IN PARTNERSHIP WITH COMMUNITY COALITIONS, AS PART OF THE NORMAL COURSE OF OPERATIONS AND CONTINUED EFFORTS TO IMPROVE PATIENT CARE. THE HEALTH OF THE COMMUNITY IS REGULARLY ASSESSED USING HOSPITAL PATIENT DATA, ANNUAL COUNTY HEALTH RANKINGS, IOWA YOUTH SURVEY, MARKET STUDIES AND GEOGRAPHICAL MAPS SHOWING AREAS OF HIGH UTILIZATION FOR EMERGENCY SERVICES, WHICH MAY INDICATE POPULATIONS OF INDIVIDUALS WHO DO NOT HAVE ACCESS TO PREVENTATIVE SERVICES OR ARE UNINSURED. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - MERCYONE CLINTON COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES, FEDERAL, STATE, AND LOCAL GOVERNMENT PROGRAMS, AND OTHER COMMUNITY-BASED CHARITABLE PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY ASSIST THEM IN OBTAINING AND PAYING FOR HEALTH CARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. MERCYONE CLINTON OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. THIS SUPPORT IS AVAILABLE TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE. NOTIFICATION ABOUT FINANCIAL ASSISTANCE, INCLUDING CONTACT INFORMATION, IS AVAILABLE THROUGH PATIENT BROCHURES, MESSAGES ON PATIENT BILLS, POSTED NOTICES IN PUBLIC REGISTRATION AREAS INCLUDING EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, AND OTHER PATIENT FINANCIAL SERVICES OFFICES. SUMMARIES OF HOSPITAL PROGRAMS ARE MADE AVAILABLE TO APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST PEOPLE IN NEED. INFORMATION REGARDING FINANCIAL ASSISTANCE PROGRAMS IS ALSO AVAILABLE ON HOSPITAL WEBSITES. IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN OTHER LANGUAGES AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R), REFLECTING OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITAL. MERCYONE CLINTON HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. MERCYONE CLINTON MAKES EVERY EFFORT TO ADHERE TO THE POLICY AND IS COMMITTED TO IMPLEMENTING AND APPLYING THE POLICY FOR ASSISTING PATIENTS WITH LIMITED MEANS IN A PROFESSIONAL, CONSISTENT MANNER. PART VI, LINE 4: COMMUNITY INFORMATION - MERCYONE CLINTON IS LOCATED IN CLINTON, IOWA AND SERVES 16 ZIP CODES IN FOUR COUNTIES IN IOWA AND ILLINOIS. THE FOUR COUNTIES ARE, CLINTON, IA, JACKSON, IA, WHITESIDE IL, AND CARROLL, IL. OVER 93% OF MERCYONE CLINTON'S PATIENTS RESIDE WITHIN THIS SERVICE AREA. THE THRESHOLD FOR A TRUE SERVICE AREA IS 90%. THE FOUR-COUNTY SERVICE AREA HAS SEEN A CONSISTENT POPULATION DECLINE OVER THE PAST 20 YEARS. MOST RECENTLY, THE SERVICE AREA POPULATION DECLINED FROM 147,772 IN 2015 TO 137,571 IN 2018. APPROXIMATELY 20% OF THE SERVICE AREA'S POPULATION IS 65 YEARS OR OLDER, WHICH IS SUBSTANTIALLY HIGHER THAN THE NATIONAL AVERAGE OF 15%. ALL FOUR COUNTIES WITHIN THE SERVICE AREA HAVE POPULATIONS THAT ARE PREDOMINANTLY WHITE. CLINTON AND JACKSON COUNTIES REPORT 93.8% AND 96.8% OF RESIDENTS, RESPECTIVELY, AS WHITE, WHILE 95.7% OF CARROLL COUNTY RESIDENTS AND 93.4% OF WHITESIDE COUNTY RESIDENTS IDENTIFY AS WHITE. CLINTON COUNTY HAS THE HIGHEST PERCENTAGE OF BLACK OR AFRICAN AMERICAN POPULATION, AT 2.7%. JACKSON, CARROLL, AND WHITESIDE COUNTY ALL REPORTED LESS THAN 2% OF RESIDENTS AS BLACK OR AFRICAN AMERICAN. WHITESIDE COUNTY HAS THE HIGHEST PERCENTAGE OF RESIDENTS WITH A HISPANIC ETHNICITY, AT 11.9%. CLINTON COUNTY REPORTS 3.1%, CARROLL COUNTY REPORTS 3.6%, AND JACKSON COUNTY REPORTS 1.4% HISPANIC OR LATINO.OF THE 21,417 ENROLLED STUDENTS IN CLINTON COUNTY, 48.7% (10,435) WERE ELIGIBLE FOR FREE/REDUCED LUNCH. THE PERCENT ELIGIBLE FOR FREE/REDUCED LUNCH IS SIGNIFICANTLY HIGHER THAN THE IOWA AVERAGE OF 42.5%. ACCORDING TO THE US CENSUS BUREAU, FROM 2014-2018, THE MEDIAN HOUSEHOLD INCOME FOR ILLINOIS AND IOWA WAS $79,747 AND $74,794 RESPECTIVELY. THE MEDIAN HOUSEHOLD INCOME FOR THE UNITED STATES WAS $73,965. WHEN COMPARED TO STATE AND NATIONAL DATA, ALL FOUR COUNTIES IN THE SERVICE AREA HAVE MEDIAN HOUSEHOLD INCOMES THAT ARE SIGNIFICANTLY LOWER. CARROLL COUNTY HAS THE LOWEST HOUSEHOLD INCOME AT $66,164, FOLLOWED BY WHITESIDE COUNTY AT $66,908, CLINTON COUNTY AT $67,549, AND JACKSON COUNTY AT $69,011.THE CITY OF CLINTON HAS A FEDERALLY QUALIFIED HEALTH CARE FACILITY TO PROVIDE SERVICES IN UNDERSERVED URBAN AND RURAL COMMUNITIES. THIS INCLUDES PATIENTS WITH AND WITHOUT HEALTH INSURANCE, MEDICARE AND MEDICAID PATIENTS, VETERANS, HOMELESS PERSONS, AND PRIVATE PAY PATIENTS. PART VI, LINE 5: OTHER INFORMATION - AS A SOLE COMMUNITY PROVIDER, MERCYONE CLINTON OFFERS MANY SERVICES TO THE COMMUNITY THAT WOULD OTHERWISE BE UNAVAILABLE. IN ADDITION TO TRADITIONAL ACUTE CARE SERVICES, EMERGENCY SERVICES, RADIATION ONCOLOGY, RENAL DIALYSIS, HOME CARE, HOSPICE CARE, WOUND CARE, AND INPATIENT BEHAVIORAL HEALTH ARE OFFERED REGARDLESS OF ABILITY TO PAY. MAJOR COMMUNITY BENEFIT PROGRAMS ARE LISTED BELOW ALONG WITH THE DESCRIPTION OF THEIR IMPACT ON IMPROVING HEALTH IN THE COMMUNITY.PRENATAL EDUCATION: MERCYONE CLINTON PROVIDED EDUCATION TO LOW-INCOME FAMILIES TO PROMOTE HEALTHY OUTCOMES FOR MOTHER AND BABY. THE MAJORITY OF DELIVERIES AT OUR HOSPITAL ARE WITH MOTHERS LIVING IN CLINTON WHO ARE AT OR BELOW THE POVERTY LEVEL. EVIDENCE HAS DOCUMENTED THAT EDUCATION HAS AN IMPACT ON HEALTHY PREGNANCIES AND HEALTHY BABIES. AMBULANCE AND CAB SERVICE: MERCYONE CLINTON WORKED WITH LOCAL CAB SERVICES AND AMBULANCE PROVIDERS TO ASSURE TRANSPORTATION FOR MEDICAL CARE OR TRANSPORTATION HOME. ACCESS TO CARE CONTINUES TO BE A GAP IN OUR COMMUNITY. IN FISCAL YEAR 2021, PARATRANSIT WAS PROVIDED FOR PATIENTS IN THE EMERGENCY DEPARTMENT, RENAL DIALYSIS, CARDIAC REHAB, BEHAVIORAL MEDICAL UNIT AND OUTPATIENT NUTRITION EDUCATION AND PEOPLE IN THE COMMUNITY SEEKING HEALTH EDUCATION PROGRAMS. PRESCRIPTION ASSISTANCE: DURING FISCAL YEAR 2021, MERCYONE CLINTON PROVIDED 108 PATIENTS WITH FREE PRESCRIPTIONS WORTH $3,867 TO LOW-INCOME INDIVIDUALS BEING DISCHARGED FROM THE HOSPITAL. WHILE THE INITIAL FOCUS OF THIS PROGRAM WAS ON CONGESTIVE HEART FAILURE PATIENTS, WHICH STARTED IN FISCAL YEAR 2016, MERCYONE CLINTON EXPANDED THE PROGRAM TO INCLUDE A BROADER RANGE OF INPATIENTS. DIABETES & HEALTH EDUCATION: DIABETES IS CLEARLY A SIGNIFICANT ISSUE FOR OUR SERVICE AREA RESIDENTS. THERE ARE SEVERAL WAYS THAT MERCYONE CLINTON ADDRESSED THIS ISSUE IN FISCAL YEAR 2021. MERCYONE CLINTON HAS TWO LIFESTYLE COACHES TO FACILITATE THE PREVENT T2 CLASSES. PREVENT T2 IS A CENTERS FOR DISEASE CONTROL RECOGNIZED DIABETES PREVENTION PROGRAM (DPP). THE CERTIFIED DIABETES EDUCATOR AND COMMUNITY WELLNESS COORDINATOR HAVE PROVIDED THREE YEAR-LONG CLASSES IN FISCAL YEAR 2021. THE PREVENT T2 PROGRAM WAS OFFERED FOR FREE. A PROCESS WAS DEVELOPED WITH THE LOCAL COMMUNITY CLINIC AND PRIMARY CARE PHYSICIANS TO INITIATE REFERRALS FOR THE PREVENT T2 PROGRAM. IN FISCAL YEAR 2021, MERCYONE CLINTON WORKED WITH 31 PARTICIPANTS IN THE CLASSES. SUBSIDIZED PROGRAMS: BRIDGEVIEW MENTAL HEALTH, A FINANCIAL SUBSIDY, PROVIDED MENTAL HEALTH SERVICES TO COUNTY FUNDED AND OTHER LOW INCOME AND/OR UNINSURED PATIENTS IN OUR COMMUNITY. SPECIALTY CLINIC SUBSIDY PROVIDED G.I., E.N.T. AND ORTHOPEDIC SERVICES TO PATIENTS IN THE COMMUNITY, OPERATING AT A LOSS, DUE IN PART TO ACCEPTANCE OF MEDICAID AND CHARITY CARE PATIENTS. COMMUNITY HEALTH TASK FORCE: MERCYONE CLINTON ACTIVELY LED A HEALTHY LIFESTYLE COALITION CALLED LET'S LIVE HEALTHY CLINTON FOCUSING ON EAT WELL, MOVE MORE, AND FEEL BETTER. KEY STAKEHOLDERS ON THE TASK FORCE WERE CLINTON SCHOOLS, PUBLIC HEALTH, CITY OF CLINTON, IOWA STATE EXTENSION OFFICE, YWCA, CLINTON COMMUNITY COLLEGE, CLINTON VISITOR BUREAU, AND HY-VEE. MERCYONE CLINTON SERVED ON THE GATEWAY IMPACT COALITION (ANTI-DRUG) AND CRUSH (COMMUNITY RESOURCES UNITED TO STOP HEROIN). STEPPING ON: DUE TO A HIGH INCIDENCE OF FALLS AND/OR FALL RISKS, MERCYONE CLINTON PROVIDED A PROGRAM FOR PEOPLE 65 AND OLDER CALLED STEPPING ON. THE PROGRAM TEACHES PARTICIPANTS ON FALL PREVENTION BEHAVIORS, STRENGTHENING AND BALANCE EXERCISE. THIS IS AN EVIDENCE-BASED PROGRAM AND IS OFFERED FREE AS A COMMUNITY BENEFIT TO IMPROVE THE FALL RISKS OF THE ELDERLY POPULATION IN OUR COMMUNITY. A MOBILE MEDICAL UNIT (MMU) IS BEING MANUFACTURED THROUGH THE TRINITY HEALTH PRESERVING OUR LEGACY GRANT. THE MMU TEAM IS WORKING TO STAFF THIS UNIT WITH A COMMUNITY HEALTH WORKER, PROVIDERS, NURSES, AND DRIVERS TO MAKE HEALTH CARE MORE ACCESSIBLE TO OUR TARGETED POPULATIONS WITHIN OUR SERVICE AREA WHO ARE POOR AND UNDERSERVED AND BRINGING HEALTH CARE TO THOSE THAT NEED IT. THE MOBILE CLINIC WILL ADDRESS INEQUITIES IN HEALTH CARE ACCESS BY PROVIDING PREVENTATIVE, PRIMARY CARE, AND WELLNESS EDUCATION TO PEOPLE WHO DO NOT CURRENTLY HAVE ACCESS TO HEALTH SCREENINGS AND EDUCATION. THE TEAM WILL CONTINUE TO WORK ON THIS STREET MEDICINE CONCEPT AND ARE HOPEFUL ALTERNATIVE FUNDING STREAMS WILL SECURE THIS CONCEPT TO SUPPORT THIS MUCH NEEDED OUTREACH. MERCYONE CLINTON IS A CERTIFIED BABY FRIENDLY SITE. BABY FRIENDLY HOSPITALS ARE HOSPITALS THAT ARE RECOGNIZED FOR ENCOURAGING BREASTFEEDING AND MOTHER/BABY BONDING, WHICH IS KNOWN TO PROVIDE HEALTH BENEFITS FOR INFANTS, CHILDREN, AND MOTHERS.MERCYONE CLINTON WORKED WITH A WORKGROUP CALLED BREATHE EASY TO COMBAT TOBACCO AND NICOTINE IN THE COMMUNITY. MERCYONE CLINTON CONTINUES TO BE A TOBACCO FREE CAMPUS AND THE CURRENT POLICY STATES THE CAMPUS IS "NICOTINE" FREE, WHICH INCLUDES E-CIGARETTES.IN-KIND BOARD MEMBER: MERCYONE CLINTON OFFERS IN-KIND TIME SPENT ON COMMUNITY BOARDS. SPECIFICALLY, MERCYONE CLINTON EMPLOYEES HAVE A PRESENCE SERVING ON ROTARY, UNITED WAY EXECUTIVE BOARD, CLINTON REGIONAL DEVELOPMENT CORPORATION, CLINTON CHAMBER OF COMMERCE, YWCA, AND RIVER BLUFF COMMUNITY FOUNDATION. IN-KIND DONATIONS AND FINANCIAL SUPPORT: MERCYONE CLINTON PROVIDED FINANCIAL SUPPORT IN FISCAL YEAR 2021 TO GATEWAY IMPACT, INFORMATION REFERRAL AND SERVICES, SUICIDE AWARENESS, AND AMERICAN HEART ASSOCIATION TO ADDRESS THE CHALLENGES IN OUR COMMUNITY AT THE ROOT OF MANY HEALTH PROBLEMS. MERCYONE CLINTON BEGAN WORKING WITH THE POPULATION HEALTH SERVICES ORGANIZATION IN FISCAL YEAR 2020 AND CONTINUES IN FISCAL YEAR 2021 TO IDENTIFY PATIENTS IN NEED OF SOCIAL INFLUENCERS OF HEALTH. CASE MANAGERS ASK PATIENTS QUESTIONS REGARDING FOOD ACCESS, TRANSPORTATION NEEDS, HOUSING, AND ACCESS TO PRIMARY CARE PHYSICIANS. IF A PATIENT IS IDENTIFIED AS NEEDING SOCIAL CARE, THEY ARE REFERRED TO THE COMMUNITY HEALTH AND WELL-BEING DEPARTMENT SO THE PATIENT CAN BE CONNECTED WITH COMMUNITY RESOURCES. MERCYONE CLINTON IS COLLABORATING WITH SERVICE ORGANIZATIONS IN THE COMMUNITY TO SUPPORT PATIENTS IN NEED OF SOCIAL CARE. IN FISCAL YEAR 2021, MERCYONE CLINTON PROVIDED SOCIAL CARE SUPPORT FOR PATIENTS IN NEED OF TRANSPORTATION TO AND FROM DIALYSIS, CARDIAC REHAB, PHYSICAL THERAPY, AND COMMUNITY HEALTH EDUCATION PROGRAMS. PATIENTS IN FINANCIAL NEED LEAVING THE HOSPITAL MAY UTILIZE THE FREE TRANSPORTATION SERVICE THROUGH THE MTA PARATRANSIT PROGRAM. GROCERIES WITH GRACE WAS DESIGNED TO MAKE SURE PATIENTS DO NOT LEAVE OUR FACILITY IN NEED OF FOOD. HIGH NEED AREAS FOR GROCERIES WITH GRACE ARE THE EMERGENCY DEPARTMENT, HOMECARE, BEHAVIORAL MEDICAL UNIT, AND DIABETES AND/OR NUTRITION EDUCATION OUTPATIENTS. SCREENING STATIONS CONTINUE DURING FISCAL YEAR 2021 AT ENTRANCES TO SCREEN COLLEAGUES, PATIENTS, AND VISITORS FOR FEVER AND COVID-19 SYMPTOMS. ALL ENTERING THE MEDICAL CENTER WERE PROVIDED A FACE MASK. AMBASSADORS WERE SCHEDULED TO STAFF THE ENTRANCES WHICH INCLUDED COLLEAGUES FROM ALL DIFFERENT DEPARTMENTS. MERCYONE CLINTON CONTINUES TO PROVIDE COVID-19 TESTING AT AN URGENT CARE CENTER TO SUPPORT VOLUME OF PATIENTS PRESENTING WITH COVID-19 SYMPTOMS. MERCYONE CLINTON CONTINUES WITH TELEHEALTH OPPORTUNITIES IN SEVERAL SERVICE AREAS TO ASSURE THE CONTINUUM OF CARE DURING THE PANDEMIC. DEPARTMENTS THAT PROVIDED THESE SERVICES WERE: CARDIOLOGY, FAMILY PRACTICE, HOSPITALISTS WITH INPATIENTS, INTERNAL MEDICINE, UROLOGY, PODIATRY, AND SURGICAL.MERCYONE CLINTON COLLABORATES WITH KEY COMMUNITY STAKEHOLDERS FOR AN INCIDENT COMMAND CENTER LOCALLY AND REGIONALLY TO DISCUSS STRATEGIES THAT ARE NEEDED WITH CONTINUED COVID-19 SUPPORT. MERCYONE CLINTON CREATED A TRIAGE TEAM OF FIVE ANONYMOUS PHYSICIANS TO TRIAGE SCARCE RESOURCES (VENTILATORS, CRITICAL CARE BEDS, THERAPEUTICS) IN THE EVENT OF A COVID-19 SURGE. THE MISSION LEADER FACILITATED MULTIPLE ZOOM MEETINGS WITH THIS TEAM TO REVIEW TRIAGE GUIDELINES AND SOLIDIFY PROCESS FOR TRIAGING SCARCE RESOURCES IN THE EVENT OF A COVID-19 SURGE. THE CLINICAL INFORMATICS TEAM WORKED DILIGENTLY WITH TRINITY HEALTH INFORMATICS TO CREATE A DISCREET FIELD IN THE ELECTRONIC MEDICAL RECORD TO CHART SEQUENTIAL ORGAN FAILURE ASSESSMENT "SOFA" SCORES, SO TIMELY REPORTS COULD BE GENERATED FOR TRIAGE PHYSICIANS. PART VI, LINE 6: MERCYONE CLINTON IS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH'S COMMUNITY HEALTH AND WELL-BEING (CHWB) STRATEGY PROMOTES OPTIMAL HEALTH FOR THOSE WHO ARE POOR AND VULNERABLE IN THE COMMUNITIES WE SERVE BY CONNECTING SOCIAL AND CLINICAL CARE, ADDRESSING SOCIAL NEEDS, DISMANTLING SYSTEMIC RACISM, AND REDUCING HEALTH INEQUITIES. WE DO THIS BY: 1. INVESTING IN OUR COMMUNITIES 2. ADVANCING SOCIAL CARE3. IMPACTING SOCIAL INFLUENCERS OF HEALTHINVESTING IN OUR COMMUNITIES:TRINITY HEALTH AND ITS MEMBER HOSPITALS ARE COMMITTED TO THE DELIVERY OF PEOPLE-CENTERED CARE AND SERVING AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN THE COMMUNITIES THEY SERVE. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITIES AND IS COMMITTED TO ADDRESSING THE UNIQUE NEEDS OF EACH COMMUNITY. IN FISCAL YEAR 2021, TRINITY HEALTH INVESTED $1.2 BILLION IN COMMUNITY BENEFIT, SUCH AS INITIATIVES SUPPORTING THOSE WHO ARE POOR AND VULNERABLE, HELPING TO MANAGE CHRONIC CONDITIONS LIKE DIABETES, PROVIDING HEALTH EDUCATION, AND MOVING FORWARD POLICY, SYSTEM, AND ENVIRONMENTAL CHANGE. IN RESPONSE TO COVID-19, TRINITY HEALTH MEMBER HOSPITALS REDIRECTED SOME RESOURCES TO ADDRESS THE MOST URGENT SOCIAL AND MEDICAL NEEDS IN OUR COMMUNITIES, INCLUDING FOOD SUPPORT, EDUCATION SUPPORT, AND OUTREACH TO THOSE EXPERIENCING HOMELESSNESS.ADDITIONALLY, THROUGH TRINITY HEALTH'S COMMUNITY HEALTH INSTITUTE, $1.6 MILLION WAS INVESTED IN THE "IT STARTS HERE" COVID-19 VACCINE CAMPAIGN, COUPLING COMMUNITY ENGAGEMENT STRATEGIES AND SOCIAL MEDIA INFLUENCERS. THIS EFFORT DISTRIBUTED $1.1 MILLION IN CHWB GRANTS TO MEMBER HOSPITALS AND COMMUNITY-BASED ORGANIZATIONS IN SUPPORT OF COMMUNITY ENGAGEMENT STRATEGIES FOCUSED IN COMMUNITIES OF COLOR. OVER 80% OF DOLLARS AWARDED SUPPORTED PRIORITIZED COMMUNITIES, DEFINED AS 40% OF THE COMMUNITY BEING BLACK/LATINX AND/OR NATIVE AMERICAN. IT STARTS HERE LAUNCHED IN FEBRUARY, AND IN JUST UNDER FIVE MONTHS, MEMBER HOSPITALS AND THEIR COMMUNITY PARTNERS REACHED NEARLY 615,000 PEOPLE THROUGH OUTREACH AND EDUCATION, ENGAGED OVER 1,150 COMMUNITY CHAMPIONS, AND HELD OVER 700 VACCINE CLINICS THAT PROVIDED OVER 152,000 VACCINATIONS. IN ADDITION TO COMMUNITY EFFORTS, IT STARTS HERE FUNDED SOCIAL MEDIA CAMPAIGNS TO IMPROVE ACCESS TO COVID-19 VACCINATION INFORMATION BY ENGAGING LOCAL SOCIAL MEDIA INFLUENCERS WHO REPRESENT THE CULTURE AND ETHNICITY OF OUR LOCAL COMMUNITIES.BEYOND COVID-19 EFFORTS, TRINITY HEALTH COMMITTED MORE THAN $46 MILLION IN LOANS TO 31 NOT-FOR-PROFIT ORGANIZATIONS FOCUSING ON IMPROVING COMMUNITY CONDITIONS AROUND HOUSING, FACILITIES, EDUCATION, AND ECONOMIC DEVELOPMENT THROUGH OUR COMMUNITY INVESTING PROGRAM. THE PROGRAM MAKES LOW-INTEREST RATE LOANS TO SELECT COMMUNITY PARTNERS AND INTERMEDIARIES TO POSITIVELY IMPACT SOCIAL INFLUENCERS THAT DRIVE HEALTHY OUTCOMES FOR FAMILIES AND RESIDENTS LIVING IN THE COMMUNITIES WE SERVE. ADVANCING SOCIAL CARE:TRINITY HEALTH'S SOCIAL CARE PROGRAM WAS DEVELOPED TO PROMOTE HEALTHY BEHAVIORS WHILE HELPING PATIENTS, COLLEAGUES AND MEMBERS ACCESS ESSENTIAL NEEDS, SUCH AS TRANSPORTATION, CHILDCARE, OR AFFORDABLE MEDICATIONS. COMMUNITY HEALTH WORKERS ARE A KEY COMPONENT OF SOCIAL CARE AND SERVE AS LIAISONS BETWEEN HEALTH AND SOCIAL SERVICES AND THE COMMUNITY TO ADDRESS PATIENTS' SOCIAL NEEDS AND MITIGATE BARRIERS. TRINITY HEALTH'S COMMUNITY HEALTH WORKER HUB DRIVES INTEGRATION AND ASSIGNMENT OF COMMUNITY HEALTH WORKERS THROUGHOUT THE HEALTH SYSTEM. IT INCLUDES A NETWORK OF COMMUNITY HEALTH WORKERS AND COMMUNITY-BASED ORGANIZATIONS THAT TOGETHER, HELP SUPPORT INDIVIDUALS AND FAMILIES IN NEED. BECAUSE OF THEIR LIVED EXPERIENCES, COMMUNITY HEALTH WORKERS ARE TRUSTED MEMBERS OF THE COMMUNITY AND WORK CLOSELY WITH A PATIENT BY ASSESSING THEIR SOCIAL NEEDS, HOME ENVIRONMENT AND OTHER SOCIAL RISK FACTORS, AND ULTIMATELY CONNECT THE INDIVIDUAL TO SERVICES WITHIN THE COMMUNITY. IN FISCAL YEAR 2021, TRINITY HEALTH GREW ITS NETWORK OF COMMUNITY HEALTH WORKERS BY 15%, OVER 90 COMMUNITY HEALTH WORKERS, SPANNING NEARLY EVERY MEMBER HOSPITAL.ADDITIONALLY, WE CREATED THE TRINITY HEALTH COMMUNITY RESOURCE DIRECTORY, WHICH IS AN ONLINE PORTAL CONNECTING THOSE IN NEED TO FREE OR REDUCED-COST HEALTH AND SOCIAL SERVICE RESOURCES WITHIN THE COMMUNITY AND ACROSS ALL TRINITY HEALTH LOCATIONS. IN FISCAL YEAR 2021, THE COMMUNITY RESOURCE DIRECTORY YIELDED NEARLY 50,000 SEARCHES, OVER 1,000 REFERRALS, OVER 70 KEY ORGANIZATIONS CLAIMED THEIR PROGRAMS, AND OVER 900 SOCIAL NEEDS ASSESSMENTS WERE COMPLETED.TRINITY HEALTH CONTINUES TO EXPAND THE NATIONAL DIABETES PREVENTION PROGRAM THROUGH THE SUPPORT OF THE CENTERS FOR DISEASE CONTROL AND PREVENTION. EPIC, TRINITY HEALTH'S ELECTRONIC HEALTH RECORD, IDENTIFIED THE DIABETES PREVENTION PROGRAM AS A BEST PRACTICE FOR IDENTIFICATION OF AT-RISK PATIENTS, REFERRAL, AND BI-DIRECTIONAL COMMUNICATION. ADDITIONALLY, THE AMERICAN MEDICAL ASSOCIATION PRESENTED TRINITY HEALTH'S DIABETES PREVENTION PROGRAM APPROACH TO THEIR BOARD OF DIRECTORS AS A BEST PRACTICE FOR A POPULATION HEALTH, DATA-DRIVEN STRATEGY TO PREVENT DIABETES.IMPACTING SOCIAL INFLUENCERS OF HEALTH:IN PARTNERSHIP WITH THE INTERFAITH CENTER ON CORPORATE RESPONSIBILITY, THE INVESTOR ENVIRONMENTAL HEALTH NETWORK AND INVESTORS FOR OPIOID AND PHARMACEUTICAL ACCOUNTABILITY, TRINITY HEALTH USES ITS OWNERSHIP OF SHARES OF STOCK IN CORPORATIONS TO INFLUENCE CORPORATIONS' POLICIES AND PRACTICES THAT AFFECT SOCIAL INFLUENCERS OF HEALTH, THE LIVING CONDITIONS THAT CAN AFFECT THE HEALTH OF A COMMUNITY, SUCH AS HOUSING, FOOD, EDUCATION, HEALTH CARE, AND ECONOMICS. TRINITY HEALTH TAKES ACTION BY WRITING LETTERS TO COMPANIES, MEETING WITH CORPORATE MANAGEMENT, AND SUBMITTING AND SUPPORTING SHAREHOLDER RESOLUTIONS AS AGENDA ITEMS FOR COMPANIES' ANNUAL MEETINGS OF SHAREHOLDERS.FISCAL YEAR 2021 YIELDED MANY POSITIVE OUTCOMES IN ITS 180 COMPANY ENGAGEMENTS, INCLUDING 50 COMPANY DIALOGUES AND 16 FILED RESOLUTIONS LEADING TO CHANGES IN POLICIES AND PRACTICES AT 18 CORPORATIONS. FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG. 1 CLINTON REGIONAL DEVELOPMENT CORPORATION 144 8TH AVENUE SOUTH CLINTON IA 52732 420738495 501(C)(4) 20000 COMMUNITY SUPPORT GATEWAY IMPACT COALITION 250 20TH AVE NORTH CLINTON IA 52732 421349205 501(C)(3) 10000 COMMUNITY SUPPORT 1 1 TRANSPORTATION ASSISTANCE 330 41313 PART I, LINE 2: DONATIONS MADE BY MERCY MEDICAL CENTER - CLINTON TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE. DONATIONS ARE INCLUDED IN COMMUNITY BENEFITS IN SCHEDULE H IF THE CONTRIBUTION HAS BEEN FORMALLY RESTRICTED TO A COMMUNITY BENEFIT ACTIVITY THAT MEETS THE CRITERIA TO BE REPORTED ON SCHEDULE H. 1 1 0 0 0 0 0 0 0 SAADI ALBAGHDADI MD PHYSICIAN, CARDIOLOGY 1409773 0 0 0 24658 0 21375 0 2625 0 1458431 0 0 0 LINDA ROSS DIR; CHIEF LEGAL OFFICER TRINITY 0 695193 0 0 0 217713 0 12825 0 62417 0 988148 0 0 QAISER RASHEED MD PHYSICIAN, CARDIOLOGY 921015 0 0 0 9441 0 21375 0 33285 0 985116 0 0 0 MOHAMMED IRSHAD MD PHYSICIAN, GASTROENTEROLOGY 863682 0 0 0 6628 0 17100 0 1421 0 888831 0 0 0 ROBERT MAGNUS MD PHYSICIAN, ORTHOPEDIC SURGERY 739410 0 0 0 5544 0 12825 0 36551 0 794330 0 0 0 RICKY MADDOX MD PHYSICIAN, GENERAL SURGERY 766145 0 0 0 4455 0 12825 0 1179 0 784604 0 0 0 RODNEY SCHLADER FORMER OFFICER; PRES MERCYONE N IOWA 0 460059 0 0 0 19368 0 21375 0 39367 0 540169 0 0 KAY TAKES PRESIDENT EASTERN IOWA REGION 0 410437 0 0 0 65006 0 21375 0 33994 0 530812 0 0 MARCIA SMITH FORMER OFFICER 0 0 0 0 0 376806 0 0 0 11775 0 388581 0 362701 KIM DUWE VP FINANCE EASTERN IOWA REGION 0 220175 0 0 0 2955 0 10421 0 30912 0 264463 0 0 AMY BERENTES EVP, COO EASTERN IOWA REGION 0 219603 0 0 0 1373 0 13412 0 10700 0 245088 0 0 PART I, LINE 3 MERCY MEDICAL CENTER - CLINTON IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. MERCY MEDICAL CENTER - CLINTON'S PRESIDENT IS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF MERCY MEDICAL CENTER - CLINTON'S PRESIDENT: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINES 4A-B THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2020. THIS AMOUNT IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: MARCIA SMITH - $362,701 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THIS AMOUNT THAT WAS REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2020. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. BENEFITS FOR PARTICIPANTS VESTED IN A PLAN WERE PAID OUT IN 2020, AND BENEFITS FOR PARTICIPANTS NOT YET VESTED IN A PLAN WERE ACCRUED IN 2020. THE FOLLOWING PAYOUTS FOR 2020 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: LINDA ROSS - $176,852 KAY TAKES - $53,467 THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH RESTORATION PLAN. THE RESTORATION PLAN PROVIDES RETIREMENT BENEFITS FOR CERTAIN TRINITY HEALTH SYSTEM OFFICE EXECUTIVES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($285,000 FOR 2020). THE FOLLOWING PAYOUTS FOR 2020 FOR THIS PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: RODNEY SCHLADER - $4,804 MARCIA SMITH - $2,434 FORM 990, PART I, ITEM C DBA: MERCYONE CLINTON MEDICAL CENTER DBA: MERCY MEDICAL CENTER - CLINTON DBA: MERCY HOME CARE & HOSPICE - CLINTON DBA: MERCY LIVING CENTER - NORTH DBA: MERCY SPECIALTY CLINIC - CLINTON DBA: MERCY HOME MEDICAL EQUIPMENT DBA: MERCY WOUND CARE CENTER DBA: MERCYONE MEDICAL GROUP CLINTON DBA: MERCYONE CLINTON NORTH HEALTH PLAZA DBA: MERCYONE CLINTON SPECIALTY CARE FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS OF MERCY MEDICAL CENTER - CLINTON (MERCYONE CLINTON) ARE MERCY HEALTHCARE FOUNDATION - CLINTON (THE CLASS A MEMBER) AND MERCY HEALTH SERVICES-IOWA CORP. (THE CLASS B MEMBER). SEE LINE 7 FOR ADDITIONAL INFORMATION. FORM 990, PART VI, SECTION A, LINE 7A THE SYSTEM PARENT, TRINITY HEALTH CORPORATION, APPOINTS THE DIRECTORS OF MERCYONE CLINTON. THE BOARD OF DIRECTORS ELECTS THE BOARD OFFICERS. FORM 990, PART VI, SECTION A, LINE 7B MERCY HEALTH SERVICES-IOWA, CLASS B MEMBER, AND TRINITY HEALTH CORPORATION, SYSTEM PARENT, MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. MERCY HEALTH SERVICES-IOWA MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, AND MODIFICATIONS TO GOVERNING DOCUMENTS. AS CLASS A MEMBER, MERCY HEALTHCARE FOUNDATION - CLINTON MUST APPROVE THE SALE OF SUBSTANTIALLY ALL ASSETS TO, OR MERGER OF MERCYONE CLINTON WITH, AN ENTITY NOT AFFILIATED WITH TRINITY HEALTH CORPORATION. MERCY HEALTHCARE FOUNDATION - CLINTON MUST ALSO APPROVE ANY MODIFICATIONS TO GOVERNING DOCUMENTS THAT WOULD CHANGE THE VOTING OR APPROVAL RIGHTS OF THE CLASS A MEMBER. AS THE PARENT OF THE NATIONAL TRINITY HEALTH SYSTEM, CERTAIN POWERS ARE RESERVED TO TRINITY HEALTH CORPORATION. THESE INCLUDE THE AUTHORITY TO ADOPT OR MODIFY THE ORGANIZATION'S GOVERNING DOCUMENTS, TO APPROVE MAJOR CHANGES SUCH AS A MERGER OR DISSOLUTION, AND TO APPROVE SIGNIFICANT FINANCE MATTERS IN EXCESS OF CERTAIN LIMITS ESTABLISHED BY TRINITY HEALTH CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 FOR MERCYONE CLINTON IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE BOARD OF DIRECTORS. EACH MEMBER OF THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C MERCYONE CLINTON HAS ADOPTED TRINITY HEALTH'S GOVERNANCE POLICY NO. 1, WHICH SETS FORTH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND PROCESSES. IT APPLIES TO ALL "INTERESTED PERSONS" OF MERCYONE CLINTON, WHICH INCLUDES DIRECTORS, PRINCIPAL OFFICERS, KEY EMPLOYEES, AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED POWERS. INTERESTED PERSONS ARE EXPECTED TO DISCHARGE THEIR DUTIES IN A MANNER THE PERSON REASONABLY BELIEVES TO BE IN THE BEST INTERESTS OF MERCYONE CLINTON AND TO AVOID SITUATIONS INVOLVING A CONFLICT OF INTEREST. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE PROVIDED TO THE INTEGRITY AND COMPLIANCE OFFICER. IF A POTENTIAL CONFLICT IS IDENTIFIED, THE INTEGRITY AND COMPLIANCE OFFICER SHARES THE DISCLOSURES WITH INTERNAL LEGAL COUNSEL, FROM WHICH LEGAL COUNSEL PREPARES A REPORT FOR THE BOARD CHAIR AND CEO. A SUMMARY OF POTENTIAL CONFLICTS IS REVIEWED WITH THE BOARD OF DIRECTORS OF MERCYONE CLINTON (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO MERCYONE CLINTON OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF MERCYONE CLINTON (OR A DELEGATED COMMITTEE OF THE BOARD) IS RESPONSIBLE FOR THE REVIEW OF TRANSACTIONS TO DETERMINE WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS. IN THE EVENT OF AN ACTUAL CONFLICT, THE BOARD (OR A DELEGATED COMMITTEE OF THE BOARD) WILL EITHER AVOID THE CONFLICT OR APPROPRIATELY SCRUTINIZE THE TRANSACTION TO ENSURE IT IS IN THE BEST INTERESTS OF MERCYONE CLINTON. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE POLICY FURTHER ADDRESSES THE PROPER DOCUMENTATION OF THE PROCEEDINGS AND POTENTIAL DISCIPLINARY AND CORRECTIVE ACTION FOR VIOLATIONS OF THE POLICY. THE POLICY IS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 15 QUESTIONS 15A AND 15B ARE ANSWERED "NO" BECAUSE THE COMPENSATION FOR CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF MERCYONE CLINTON IS ESTABLISHED BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING PRESIDENT AND VICE PRESIDENT FINANCE COMPENSATION, TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF THE PRESIDENT AND VICE PRESIDENT FINANCE OF MERCYONE CLINTON ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS. FOR OTHER EXECUTIVES WHO ARE NOT PART OF THE REBUTTABLE PRESUMPTION PROCESS, TRINITY HEALTH USES A MARKET ANALYSIS TO DETERMINE THE APPROPRIATENESS OF THE EXECUTIVE'S COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 MERCYONE CLINTON IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, MERCYONE CLINTON INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. MERCYONE CLINTON'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACT LABOR: PROGRAM SERVICE EXPENSES 5,191,883. MANAGEMENT AND GENERAL EXPENSES 288,772. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,480,655. MEDICAL SPECIALIST FEES: PROGRAM SERVICE EXPENSES 4,095,183. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,095,183. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 1,726,598. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,726,598. LAUNDRY AND LINEN SERVICES: PROGRAM SERVICE EXPENSES 159,310. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 159,310. MISCELLANEOUS PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,405,139. MANAGEMENT AND GENERAL EXPENSES 981,005. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,386,144. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 88,988. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 88,988. BILLING SERVICES: PROGRAM SERVICE EXPENSES 126,476. MANAGEMENT AND GENERAL EXPENSES 1,723. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 128,199. RECRUITING SERVICES: PROGRAM SERVICE EXPENSES 45,103. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 45,103. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS TO AFFILIATES -6,221,749. FORM 990, PART XII, LINE 2: MERCYONE CLINTON'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY21 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. MERCY-CLINTON ANESTHESIA GROUP LLC 1410 NORTH 4TH STREET CLINTON IA 52732 461906752 ANESTHESIOLOGISTS IA 0 0 MERCY MEDICAL CENTER - CLINTON INC ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP 245 STATE ST SE GRAND RAPIDS MI 49503 272491974 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 TRINITY HEALTH-MICHIGAN 1 ALLEGANY FRANCISCAN MINISTRIES INC 33920 US HIGHWAY 19 NORTH SUITE 269 PALM HARBOR FL 34684 581492325 GRANT MAKING FL 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION 1 ASYLUM HILL FAMILY MEDICINE CENTER INC 114 WOODLAND STREET HARTFORD CT 06105 061450170 HEALTH CARE SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 BAUM HARMON MERCY HOSPITAL 255 NORTH WELCH AVENUE PRIMGHAR IA 51245 421500277 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP 1 BAUM HARMON MERCY HOSPITAL AND CLINICS FOUNDATION 255 NORTH WELCH AVENUE PRIMGHAR IA 51245 262973307 FOUNDATION IA 501(C)(3) LINE 12A, I BAUM HARMON MERCY HOSPITAL 1 BEECHWOOD INC 2212 BURDETT 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