SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
MERCY MEDICAL CENTER INC
 
Employer identification number

93-0386868
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
 
No
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
 
No
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) .. 		  16,249 3,944,557   3,944,557 2.800 %
b Medicaid (from Worksheet 3,
column a) .... 		  39,907 19,868,320 18,826,109 1,042,211 0.740 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) . 		        0 0 %
d Total Financial Assistance
and Means-Tested
Government Programs . 		0 56,156 23,812,877 18,826,109 4,986,768 3.540 %
Other Benefits
 21 1,239 39,719   39,719 0.030 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) .. 		        0 0 %
g Subsidized health services
(from Worksheet 6) .. 		        0 0 %
h Research (from Worksheet 7)         0 0 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8) 		14 8 110,490   110,490 0.080 %
j Total. Other Benefits .. 35 1,247 150,209 0 150,209 0.110 %
k Total. Add lines 7d and 7j . 35 57,403 23,963,086 18,826,109 5,136,977 3.650 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing         0 0 %
2 Economic development 1   720   720 0 %
3 Community support         0 0 %
4 Environmental improvements         0 0 %
5 Leadership development and training for community members         0 0 %
6 Coalition building 3   1,764   1,764 0 %
7 Community health improvement advocacy 2   680,476   680,476 0.450 %
8 Workforce development         0 0 %
9 Other         0 0 %
10 Total 6 0 682,960 0 682,960 0.460 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
9,150,262
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
0
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
46,306,249
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
48,184,659
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-1,878,410
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?1
Name, address, and primary website address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 MERCY MEDICAL CENTER INC
2700 STEWART PARKWAY
ROSEBURG,OR97471
WWW.MERCYROSE.ORG 		X X         X      
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
MERCY MEDICAL CENTER INC
Name of hospital facility or facility reporting group  
For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A) 1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If “Yes,” indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 12
3 In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................ 4   No
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If “Yes,” indicate how the CHNA report was made widely available (check all that apply):
a
b
c
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10   No
If "Yes," indicate the FPG family income limit for eligibility for free care:   %
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11   No
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 17   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If “No,” indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individuals to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If “Yes,” explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?9
Name and address Type of Facility (describe)
1 MERCY OUTPATIENT IMAGING
1813 W HARVARD AVE SUITE 411
ROSEBURG,OR97471 		OUTPATIENT IMAGING SERVICES
2 HOME HEALTH & HOSPICE
2400 NW STEWART PARKWAY 200
ROSEBURG,OR97471 		HOME CARE
3 MERCY INSTITUTE OF REHABILITATION
2400 NW STEWART PARKWAY 200
ROSEBURG,OR97471 		OUTPATIENT THERAPY SERVICES
4 MERCY SLEEP LAB
2400 STEWART PARKWAY SUITE 300
ROSEBURG,OR97471 		SLEEP TESTING SERVICES
5 MERCY OUTPATIENT LABORATORY
2480 STEWART PARKWAY
ROSEBURG,OR97471 		OUTPATIENT LABORATORY DRAWING CENTER
6 MERCY MEDICAL CENTER - CCC LAB DRAW SITE
2880 NW STEWART PARKWAY
ROSEBURG,OR97471 		OUTPATIENT LABORATORY DRAWING CENTER
7 MERCY MEDICAL CENTER - MYRTLE CREEK DRAW SITE
861 OLD HWY 99 SOUTH
MYRTLE CREEK,OR97457 		OUTPATIENT LABORATORY DRAWING CENTER
8 MERCY UMPQUA ORTHOPEDIC RADIOLOGY
277 MEDICAL LOOP
ROSEBURG,OR97471 		OUTPATIENT IMAGING SERVICES
9 MERCY MEDICAL CENTER OUTPATIENT IMAGING & LAB AT EVERGREEN FAMILY MEDICINE
2570 NW EDENBOWER
ROSEBURG,OR97471 		OUTPATIENT IMAGING SERVICES AND OUTPATIENT LABORATORY DRAWING SITE
10
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
8 Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
Identifier ReturnReference Explanation
Eligibility criteria for free or discounted care Schedule H, Part I, Line 3c WHEN CATHOLIC HEALTH INITIATIVES (THE ULTIMATE PARENT ORGANIZATION TO MERCY MEDICAL CENTER, INC) ESTABLISHED ITS FINANCIAL ASSISTANCE POLICY IT WAS DETERMINED THAT ESTABLISHING A HOUSEHOLD INCOME SCALE BASED ON THE HUD VERY LOW INCOME GUIDELINES MORE ACCURATELY REFLECTS THE SOCIOECONOMIC DISPERSIONS AMONG URBAN AND RURAL COMMUNITIES IN 17 STATES SERVED BY CHI HOSPITALS AND HEALTH CARE FACILITIES. IN COMPARING HUD GUIDELINES TO THE FEDERAL POVERTY GUIDELINES ("FPG"), WE FIND THAT ON AVERAGE HUD GUIDELINES COMPUTE TO APPROXIMATELY 200% TO 250% (AND SOMETIMES 300%) OF FPG. MERCY MEDICAL CENTER, INC BASES ITS FINANCIAL ASSISTANCE ELIGIBILITY ON HUD'S 130% OF VERY LOW INCOME GUIDELINES BASED ON GEOGRAPHY, AND AFFORDS THE UNINSURED AND UNDERINSURED THE ABILITY TO OBTAIN FINANCIAL ASSISTANCE WRITE-OFFS, BASED ON A SLIDING SCALE, RANGING FROM 25%-100% OF CHARGES. AN INDIVIDUAL'S INCOME UNDER THE HUD GUIDELINES IS A SIGNIFICANT FACTOR IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, IN DETERMINING WHETHER TO EXTEND DISCOUNTED OR FREE CARE TO A PATIENT, THE PATIENT'S ASSETS MAY ALSO BE TAKEN INTO CONSIDERATION. FOR EXAMPLE, A PATIENT SUFFERING A CATASTROPHIC ILLNESS MAY HAVE A REASONABLE LEVEL OF INCOME, BUT A LOW LEVEL OF LIQUID ASSETS SUCH THAT THE PAYMENT OF MEDICAL BILLS WOULD BE SERIOUSLY DETRIMENTAL TO THE PATIENT'S BASIC FINANCIAL (AND ULTIMATELY PHYSICAL) WELL-BEING AND SURVIVAL. SUCH A PATIENT MAY BE EXTENDED DISCOUNTED OR FREE CARE BASED UPON THE FACTS AND CIRCUMSTANCES.
PREPARES ITS OWN ANNUAL WRITTEN COMMUNITY BENEFIT REPORT SCHEDULE H, PART I, LINE 6A MERCY MEDICAL CENTER, INC PREPARES ITS OWN ANNUAL WRITTEN COMMUNITY BENEFIT REPORT. ITS COMMUNITY BENEFIT REPORT IS NOT CONTAINED IN THAT OF A RELATED ORGANIZATION.
Costing Methodology used to calculate financial assistance Schedule H, Part I, Line 7 A COST ACCOUNTING SYSTEM WAS NOT USED TO COMPUTE AMOUNTS IN THE TABLE; RATHER COSTS IN THE TABLE WERE COMPUTED USING THE ORGANIZATION'S COST-TO-CHARGE RATIO. THE COST-TO-CHARGE RATIO COVERS ALL PATIENT SEGMENTS. THE COST-TO-CHARGE RATIO FOR THE YEAR ENDED 6/30/13 WAS COMPUTED USING THE FOLLOWING FORMULA: OPERATING EXPENSE (BEFORE RESTRUCTURING, IMPAIRMENT AND OTHER LOSSES) DIVIDED BY GROSS PATIENT REVENUE. BASED ON THAT FORMULA, $134,653,893 / $456,235,794 RESULTS IN A 29.51% COST-TO-CHARGE RATIO. WORKSHEET 2 WAS NOT USED TO DERIVE THE COST-TO-CHARGE RATIO.
Bad Debt Expense excluded from financial assistance calculation Schedule H, Part I, Line 7, column(f) 9,150,262
Bad debt expense - methodology used to estimate amount Schedule H, Part III, Line 2 COSTING METHODOLOGY FOR AMOUNTS REPORTED ON LINE 2 IS DETERMINED USING THE ORGANIZATION'S COST/CHARGE RATIO OF 29.51%. WHEN DISCOUNTS ARE EXTENDED TO SELF-PAY PATIENTS, THESE PATIENT ACCOUNT DISCOUNTS ARE RECORDED AS A REDUCTION IN REVENUE, NOT AS BAD DEBT EXPENSE.
Bad debt expense - methodology used to estimate amount as community benefit Schedule H, Part III, Line 3 MERCY MEDICAL CENTER INC DOES NOT BELIEVE THAT ANY PORTION OF BAD DEBT EXPENSE COULD REASONABLY BE ATTRIBUTED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE SINCE AMOUNTS DUE FROM THOSE INDIVIDUALS' ACCOUNTS WILL BE RECLASSIFIED FROM BAD DEBT EXPENSE TO CHARITY CARE WITHIN 30 DAYS FOLLOWING THE DATE THAT THE PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE.
Bad debt expense - financial statement footnote Schedule H, Part III, Line 4 MERCY MEDICAL CENTER INC DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TAKING INTO CONSIDERATION HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. MANAGEMENT ROUTINELY ASSESSES THE ADEQUACY OF THE ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE USED TO MODIFY, AS NECESSARY, THE PROVISION FOR BAD DEBTS AND TO ESTABLISH APPROPRIATE ALLOWANCES FOR UNCOLLECTIBLE NET PATIENT ACCOUNTS RECEIVABLE. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, CHI FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY EACH FACILITY. IN ACCORDANCE WITH ACCOUNTING STANDARDS UPDATE (ASU) NO. 2011 07 PRESENTATION AND DISCLOSURE OF PATIENT SERVICES REVENUE, PROVISION FOR BAD DEBTS, AND ALLOWANCES FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTH ENTITIES, THE PROVISION FOR BAD DEBTS IS PRESENTED ON THE CONSOLIDATED STATEMENT OF OPERATIONS AS A DEDUCTION FROM PATIENT SERVICES REVENUES (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) SINCE CHI ACCEPTS AND TREATS ALL PATIENTS WITHOUT REGARD TO THE ABILITY TO PAY.
Community benefit & methodology for determining medicare costs Schedule H, Part III, Line 8 USING ESSENTIALLY THE SAME MEDICARE COST REPORT PRINCIPLES AS TO THE ALLOCATION OF GENERAL SERVICES COSTS AND "APPORTIONMENT" METHODS, THE "CHI WORKBOOK" CALCULATES A PAYERS' GROSS ALLOWABLE COSTS BY SERVICE (SO AS TO FACILITATE A CORRESPONDING COMPARISON BETWEEN GROSS ALLOWABLE COSTS AND ULTIMATE PAYMENTS RECEIVED). THE TERM "GROSS ALLOWABLE COSTS" MEANS COSTS BEFORE ANY DEDUCTIBLES OR CO-INSURANCE ARE SUBTRACTED. MERCY MEDICAL CENTER, INC'S ULTIMATE REIMBURSEMENT WILL BE REDUCED BY ANY APPLICABLE COPAYMENT/ DEDUCTIBLE. WHERE MEDICARE IS THE SECONDARY INSURER, AMOUNTS DUE FROM THE INSURED'S PRIMARY PAYER WERE NOT SUBTRACTED FROM MEDICARE ALLOWABLE COSTS BECAUSE THE AMOUNTS ARE TYPICALLY IMMATERIAL. ALTHOUGH NOT PRESENTED ON THE MEDICARE COST REPORT, IN ORDER TO FACILITATE A MORE ACCURATE UNDERSTANDING OF THE "TRUE" COST OF SERVICES (FOR "SHORTFALL" PURPOSES) THE CHI WORKBOOK ALLOWS A HEALTH CARE FACILITY NOT TO OFFSET COSTS THAT MEDICARE CONSIDERS TO BE NON-ALLOWABLE, BUT FOR WHICH THE FACILITY CAN LEGITIMATELY ARGUE ARE RELATED TO THE CARE OF THE FACILITY'S PATIENTS. IN ADDITION, ALTHOUGH NOT REPORTABLE ON THE MEDICARE COST REPORT, THE CHI WORKBOOK INCLUDES THE COST OF SERVICES THAT ARE PAID VIA A SET FEE-SCHEDULE RATHER THAN BEING REIMBURSED BASED ON COSTS (E.G. OUTPATIENT CLINICAL LABORATORY). FINALLY, THE CHI WORKBOOK ALLOWS A FACILITY TO INCLUDE OTHER HEALTH CARE SERVICES PERFORMED BY A SEPARATE FACILITY (SUCH AS A PHYSICIAN PRACTICE) THAT ARE MAINTAINED ON SEPARATE BOOKS AND RECORDS (AS OPPOSED TO THE MAIN FACILITY'S BOOKS AND RECORDS WHICH HAS ITS COSTS OF SERVICE INCLUDED WITHIN A COST REPORT). TRUE COSTS OF MEDICARE COMPUTED USING THIS METHODOLOGY: TOTAL MEDICARE REVENUE: $54,497,281 TOTAL MEDICARE COSTS: $50,591,449 SURPLUS OR SHORTFALL $ 3,905,832 MERCY MEDICAL CENTER, INC BELIEVES THAT EXCLUDING MEDICARE LOSSES FROM COMMUNITY BENEFIT MAKES THE OVERALL COMMUNITY BENEFIT REPORT MORE CREDIBLE FOR THESE REASONS: UNLIKE SUBSIDIZED AREAS SUCH AS BURN UNITS OR BEHAVIORAL-HEALTH SERVICES, MEDICARE IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS. IN FACT, FOR-PROFIT HOSPITALS FOCUS ON ATTRACTING PATIENTS WITH MEDICARE COVERAGE, ESPECIALLY IN THE CASE OF WELL-PAID SERVICES THAT INCLUDE CARDIAC AND ORTHOPEDICS. SIGNIFICANT EFFORT AND RESOURCES ARE DEVOTED TO ENSURING THAT HOSPITALS ARE REIMBURSED APPROPRIATELY BY THE MEDICARE PROGRAM. THE MEDICARE PAYMENT ADVISORY COMMISSION (MEDPAC), AN INDEPENDENT CONGRESSIONAL AGENCY, CAREFULLY STUDIES MEDICARE PAYMENT AND THE ACCESS TO CARE THAT MEDICARE BENEFICIARIES RECEIVE. THE COMMISSION RECOMMENDS PAYMENT ADJUSTMENTS TO CONGRESS ACCORDINGLY. THOUGH MEDICARE LOSSES ARE NOT INCLUDED BY CATHOLIC HOSPITALS AS COMMUNITY BENEFIT, THE CATHOLIC HEALTH ASSOCIATION GUIDELINES ALLOW HOSPITALS TO COUNT AS COMMUNITY BENEFIT SOME PROGRAMS THAT SPECIFICALLY SERVE THE MEDICARE POPULATION. FOR INSTANCE, IF HOSPITALS OPERATE PROGRAMS FOR PATIENTS WITH MEDICARE BENEFITS THAT RESPOND TO IDENTIFIED COMMUNITY NEEDS, GENERATE LOSSES FOR THE HOSPITAL, AND MEET OTHER CRITERIA, THESE PROGRAMS CAN BE INCLUDED IN THE CHA FRAMEWORK IN CATEGORY C AS "SUBSIDIZED HEALTH SERVICES." MEDICARE LOSSES ARE DIFFERENT FROM MEDICAID LOSSES, WHICH ARE COUNTED IN THE CHA COMMUNITY BENEFIT FRAMEWORK, BECAUSE MEDICAID REIMBURSEMENTS GENERALLY DO NOT RECEIVE THE LEVEL OF ATTENTION PAID TO MEDICARE REIMBURSEMENT. MEDICAID PAYMENT IS LARGELY DRIVEN BY WHAT STATES CAN AFFORD TO PAY, AND IS TYPICALLY SUBSTANTIALLY LESS THAN WHAT MEDICARE PAYS
Collection practices for patients eligible for financial assistance Schedule H, Part III, Line 9b MERCY MEDICAL CENTER, INC'S DEBT COLLECTION POLICY PROVIDES THAT MERCY MEDICAL CENTER, INC WILL PERFORM A REASONABLE REVIEW OF EACH INPATIENT ACCOUNT PRIOR TO TURNING AN ACCOUNT OVER TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT, TO ASSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (E.G. MEDICAID) AND DO NOT QUALIFY FOR COVERAGE THROUGH MERCY MEDICAL CENTER, INC COMMUNITY ASSISTANCE POLICY. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY PATIENT ACCOUNT THAT IS SUBSEQUENTLY DETERMINED TO MEET THE MERCY MEDICAL CENTER, INC COMMUNITY ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO MERCY MEDICAL CENTER, INC FOR APPROPRIATE FOLLOW-UP. MERCY MEDICAL CENTER, INC REQUIRES ITS THIRD-PARTY COLLECTION AGENTS TO INCLUDE A MESSAGE ON ALL STATEMENTS INDICATING THAT IF A PATIENT OR PATIENT GUARANTOR MEETS CERTAIN STIPULATED INCOME REQUIREMENTS, THE PATIENT OR PATIENT GUARANTOR MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. ALL OF CATHOLIC HEALTH INITIATIVES' HOSPITALS' CONTRACTS WITH THIRD PARTY COLLECTION AGENCIES INCLUDE THE FOLLOWING STANDARDS: *NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL REQUEST BENCH OR ARREST WARRANTS AS A RESULT OF NON-PAYMENT; *NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL SEEK LIENS THAT WOULD REQUIRE THE SALE OR FORECLOSURE OF A PRIMARY RESIDENCE; AND *NO CATHOLIC HEALTH INITIATIVES' COLLECTION AGENCY MAY SEEK COURT ACTION WITHOUT HOSPITAL APPROVAL. FINALLY, COLLECTION AGENCIES ARE TRAINED ON THE CATHOLIC HEALTH INITIATIVES MISSION, CORE VALUES AND STANDARD OF CONDUCT TO MAKE SURE ALL PATIENTS ARE TREATED WITH DIGNITY AND RESPECT.
Community Served by Needs Assessment Schedule H, Part V Section B, Line 3 (1) MERCY MEDICAL CENTER, INC. - THE ASSESSMENT PROCESS HAS TAKEN PLACE OVER THE LAST TWO YEARS, AND WAS LED BY MERCY MEDICAL CENTER STAFF IN PARTNERSHIP WITH COMMUNITY STAKEHOLDERS. TO ENSURE BROAD INPUT FROM COMMUNITY RESIDENTS AND PARTNERS, OUT-REACH WAS CONDUCTED VIA A COMMUNITY PERCEPTION PHONE SURVEY, A COMMUNITY ENGAGEMENT FORUM; ONE-ON-ONE INTERVIEWS WITH KEY COMMUNITY LEADERS AND RESIDENTS; AND A SURVEY MONKEY WAS PROVIDED ELECTRONICALLY TO APPROXIMATELY 200 NOT-FOR-PROFIT AND HUMAN SERVICES ORGANIZATIONS. IN ADDITION, RESULTS FROM MERCY'S 2012 PATIENT SURVEY REGARDING ACCESS TO AND USAGE OF HEALTHCARE SERVICES WERE USED IN DETERMINING THE PRIORITY TOPICS. ONE-ON-ONE INTERVIEWS INCLUDED REPRESENTATIVES FROM ADAPT SUBSTANCE ABUSE TREATMENT PROGRAM, DOUGLAS COUNTY HEALTH AND HUMAN SERVICE DEPARTMENT, AND OREGON HELATH SCIENCES UNIVERSITY OFFICE OF RURAL HEALTH.;
Needs not addressed in Needs Assessment Schedule H, Part V Section B, Line 7 (1) MERCY MEDICAL CENTER, INC. - FROM THE SURVEY PROCESS THE LARGEST COMMUNITY NEED NOT BEING ADDRESSED BY MERCY IS MOTOR VEHICLE SAFETY, INCLUDING SPEEDING, DUI OCCURRENCES, MOTOR VEHICLE CRASH MORTALITY. WHILE MERCY RECOGNIZES THE SERIOUSNESS OF THIS ISSUE, WE BELIEVE THAT OUR RESOURCES CAN BE MORE EFFECTIVELY USED TO IMPACT HEALTH NEEDS CURRENTLY IN PLACE. WE ARE COMMITTED TO SUPPORTING LOCAL GOVERNMENT EFFORTS TO IMPROVE MOTOR VEHICLE SAFETY, AND WILL PARTNER IN INITIATIVES WHEN POSSIBLE, MERCY IS NOT IN A POSITION TO LEAD THIS EFFORT AT THIS TIME.;
Used federal poverty guidelines (FPG) to determine eligibility Schedule H, Part V Section B, Line 10 (1) MERCY MEDICAL CENTER, INC. - HUD LOW INCOME GUIDELINES USED;
Used FPG to determine eligibility for providing discounted care criteria Schedule H, Part V Section B, Line 11 (1) MERCY MEDICAL CENTER, INC. - HUD LOW INCOME GUIDELINES USED;
LINES 2, 4, & 5: COMMUNITY BENEFIT NARRATIVE AND NEEDS ASSESSMENT SCHEDULE H, PART VI FOR OVER THE LAST TWO YEARS, MERCY MEDICAL CENTER, INC. HAS LED A COMMUNITY WIDE NEEDS ASSESSMENT, GATHERING INPUT ON HEALTHCARE NEEDS AND PRIORITIES FROM COMMUNITY RESIDENTS AND PARTNERS. OUTREACH WAS CONDUCTED VIA A COMMUNITY PERCEPTION PHONE SURVEY, A COMMUNITY ENGAGEMENT FORUM AND ONE-ON-ONE INTERVIEWS WITH KEY COMMUNITY LEADERS AND RESIDENTS , AS WELL AS A SURVEY MONKEY WAS PROVIDED ELECTRONICALLY TO APPROXIMATELY 200 NOT-FOR-PROFIT AND HUMAN SERVICES ORGANIZATIONS. IN ADDITION, MERCY MEDICAL CENTER, INC. CONDUCTED A PATIENT SURVEY REGARDING ACCESS AND USAGE OF HEALTHCARE SERVICES. THE COMMUNITY ENGAGEMENT FORUM WAS FACILITATED TO REVIEW THE RESULTS OF THE SURVEYS ABOVE, AND PRIORITIZE THE NEEDS. A FULL REPORT FROM THE PROCESS WAS AVAILABLE BY JUNE 21, 2013. MERCY MEDICAL CENTER, INC. IS A SOLE COMMUNITY PROVIDER IN DOUGLAS COUNTY, OREGON. DOUGLAS COUNTY COVERS AN EXPANSIVE 5,071 SQUARE MILES FROM THE PACIFIC OCEAN TO WELL INTO THE CASCADE MOUNTAINS AND INCLUDES 12 INCORPORATED CITIES. DOUGLAS COUNTY INCLUDES THE ENTIRE UMPQUA RIVER WATERSHED AND A LARGE PORTION OF THE UMPQUA NATIONAL FOREST. IT IS PRIMARILY RURAL AND FORESTED AREA, AND THE FEDERAL GOVERNMENT OWNS APPROXIMATELY HALF OF THE LAND IN THE COUNTY. THE LATEST CENSUS PLACES THE POPULATION OF DOUGLAS COUNTY AT 107,490, WITH NEARLY 70% OF THE RESIDENTS LIVE NEAR THE I-5 CORRIDOR THAT RUNS THROUGH THE COUNTY. THE LARGEST CITY IS THE COUNTY SEAT OF ROSEBURG WHERE MOST OF THE HEALTH SERVICES ARE PROVIDED. DOUGLAS COUNTY FACES CHALLENGES FROM AN AGING POPULATION AND HIGH RATES OF UNEMPLOYMENT AND POVERTY. FEW EDUCATIONAL OPPORTUNITIES, HIGH RATES OF TOBACCO AND OTHER DRUG USE, AND FEW LOCAL RESOURCES TO ADDRESS THESE ISSUES ADD TO THE CHALLENGES. AS A LARGE COUNTY WITH MANY RURAL COMMUNITIES, THE SOCIO-ECONOMIC PROFILE IS LIKE THAT OF APPALACHIAN AMERICA. PER THE 2011 AMERICAN COMMUNITY SURVEY, 16.1% OF COUNTY RESIDENTS HAVE A BACHELOR'S DEGREE OR HIGHER COMPARED TO THE OREGON STATE AVERAGE OF 28.8%. THE MEDIAN HOUSEHOLD INCOME IS $38,502 COMPARED WITH THE OREGON STATE AVERAGE OF $46,876. 17% OF ALL RESIDENTS AND 25.3% OF CHILDREN UNDER 18 LIVE IN POVERTY, AND 17.9% OF RESIDENTS DO NOT HAVE HEALTH INSURANCE. 68% OF CHILDREN IN SCHOOLS LOCATED OUTSIDE OF ROSEBURG ARE ON THE FREE AND REDUCED LUNCH PROGRAM. DOUGLAS COUNTY HAS BEEN DESIGNATED AS A FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREA. ORGANIZATION'S MISSION, VISION, AND TAX-EXEMPT PURPOSE: SINCE IT WAS FOUNDED MORE THAN 100 YEARS AGO, MERCY MEDICAL CENTER HAS ALWAYS BEEN COMMITTED TO PROVIDING THE HIGHEST QUALITY HEALTH AND WELLNESS TO OUR COMMUNITY. OUR COMMITMENT URGES US TOWARDS COMPASSIONATE SUPPORT, GREATLY ENHANCING THE HEALTH CARE EXPERIENCE OF OUR PATIENTS AND THEIR FAMILIES. FROM COMMUNITY HEALTH AND HEALTH CARE EDUCATION TO PROVIDING ESSENTIAL HEALTH SERVICES, GIVING BACK TO OUR COMMUNITY IS AN ESSENTIAL PART OF WHAT WE DO. MERCY MEDICAL CENTER, FOUNDED IN 1909, IS A NOT-FOR-PROFIT HOSPITAL LOCATED IN ROSEBURG, OR. MERCY MEDICAL CENTER ("MMC") IS A 174-BED FACILITY WITH A LEVEL III TRAUMA DESIGNATION, INCLUDING TWO SPECIALTY UNITS AND AN ADULT AND ADOLESCENT INTENSIVE CARE. AS A NOT-FOR-PROFIT ORGANIZATION, MMC SERVES ALL PERSONS IN THE COMMUNITY ON A NONDISCRIMINATORY BASIS REGARDLESS OF ABILITY TO PAY SERVING ALL OF DOUGLAS COUNTY. FROM INCEPTION, MERCY MEDICAL CENTER EMBRACED THE MISSION OF THE FOUNDING CATHOLIC CONGREGATION, AND HAS JOINED WITH OTHER CONGREGATIONS TO FORM CATHOLIC HEALTH INITIATIVES. THE MISSION OF MERCY MEDICAL CENTER IS TO PROVIDE EXCELLENT, COMPASSIONATE CARE FOR THE PEOPLE OF OUR COMMUNITY. IT ALSO HAS A BOARD OF DIRECTORS THAT IS COMPRISED OF INDEPENDENT COMMUNITY REPRESENTATIVES. IN ADDITION TO PROVIDING MEDICAL SERVICES, MERCY MEDICAL CENTER PROVIDES MANY COMMUNITY-BASED SERVICES, DESIGNED TO PROMOTE HEALTHIER COMMUNITIES. TO ENHANCE THE HEALTH STATUS OF THE POPULATION, WE FOCUS ON HOLISTIC CARE INCLUDING SPIRITUAL, EMOTIONAL AND PHYSICAL WELL-BEING. MERCY MEDICAL CENTER OPERATES A 24-HOUR EMERGENCY ROOM 365 DAYS PER YEAR. THAT EMERGENCY ROOM IS OPEN TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. MERCY MEDICAL CENTER PARTICIPATES IN MEDICARE AND MEDICAID, AND HAS AN ACTIVE CHARITY CARE PROGRAM. MERCY MEDICAL CENTER HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. IT ALSO ENGAGES IN TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS. MERCY MEDICAL CENTER IS INCLUDED IN THE OFFICIAL CATHOLIC DIRECTORY AS A TAX-EXEMPT HOSPITAL. II. COMMUNITY BENEFIT APPROACH: SINCE 1909, MERCY MEDICAL CENTER HAS BEEN SERVING THE MEDICAL NEEDS OF DOUGLAS COUNTY. IN FACT, 2013 MARKS 104 YEARS OF SERVICE TO OUR COMMUNITY. OVER THE YEARS, OUR FOCUS HAS REMAINED ON MEETING THE DIVERSE HEALTH CARE NEEDS OF OUR COUNTY'S RESIDENTS. WITH A POPULATION OF GREATER THAN 100,000; DOUGLAS COUNTY HAS HIGHER THAN AVERAGE UNEMPLOYMENT AND POVERTY. THROUGH COLLABORATION WITH COMMUNITY AGENCIES, MERCY AND MERCY FOUNDATION HAVE BEEN INSTRUMENTAL IN INCREASING HEALTHCARE SERVICES FOR FAMILIES WITH ILL CHILDREN. IN 2007, THE FOUNDATION LAUNCHED THE HEALTHY KIDS OUTREACH PROGRAM, WHICH BRINGS WELLNESS NURSES AND RESOURCES TO THE MOST UNDERSERVED SCHOOLS IN THE COMMUNITY. IN AN EFFORT TO BRING NEW AND NEEDED SERVICES TO TOWN, MERCY ADDED A CORONARY INTERVENTION PROGRAM IN 2007 TO OUR SHAW HEART AND VASCULAR CENTER. BY HAVING THIS SERVICE LOCALLY FOR THE FIRST TIME, PATIENTS HAD ACCESS TO STATE-OF-THE-ART ANGIOPLASTY SERVICES WITHOUT HAVING TO TRAVEL. REALIZING THE STRONG CONNECTION THAT PHYSICIAN ACCESS HAS TO BUILDING OVERALL COMMUNITY HEALTH, MERCY HAS BEEN ACTIVE IN HELPING TO RECRUIT AN IMPRESSIVE NUMBER OF NEW PHYSICIANS. THESE NEW PHYSICIANS INCLUDE INTERNISTS AND SPECIALISTS, WHO CONTINUE TO ENHANCE DOUGLAS COUNTY RESIDENTS' ACCESS TO CARE. II. UNCOMPENSATED CARE: MERCY MEDICAL CENTER PROVIDES A SIGNIFICANT LEVEL OF FREE CARE EACH YEAR. IN FY 2013, THE COST OF CHARITY CARE PROVIDED BY THE ORGANIZATION WAS $3,944,557. MERCY MEDICAL CENTER ALSO INCURRED $3,752,165 IN UN-REIMBURSED COSTS FOR SERVICES PROVIDED TO MEDICARE AND MEDICAID PATIENTS, WHICH REPRESENT OVER 65% OF THE PATIENTS SERVED BY MERCY MEDICAL CENTER. FREQUENTLY, THE COST OF PROVIDING SERVICES TO MEDICARE AND MEDICAID PATIENTS IS GREATER THAN THE PAYMENTS MERCY MEDICAL CENTER RECEIVES FROM THE GOVERNMENT/STATE. QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT: I. COMMUNITY OUTREACH FOR THE POOR: FOOD DONATIONS TO MISSION: MERCY MEDICAL CENTER HELPS TO ALLEVIATE HUNGER IN THE COMMUNITY BY DONATING EXCESS FOOD PREPARED BY THE HOSPITAL KITCHEN TO THE ROSEBURG RESCUE MISSION AND UMPQUA COMMUNITY ACTION NETWORK (UCAN) (FOODBANK). ADDITIONALLY MERCY MEDICAL CENTER, INC. PARTICIPATES IN UCAN'S "MARCH AGAINST HUNGER" ANNUAL EVENT, ENCOURAGING STAFF TO ASSIST IN THE PLANNING AND IMPLEMENTATION. COMMUNITY EDUCATION: MERCY'S COMMUNITY EDUCATION PROGRAM IS DESIGNED SPECIFICALLY TO PROVIDE THE COMMUNITY WITH PREVENTIVE AND HEALTH EDUCATION SERVICES. MERCY'S COMMUNITY EDUCATION PROGRAMS ARE FREE TO THE PUBLIC AND DESIGNED TO PROVIDE INSTRUCTION TO HELP ACHIEVE THE HEALTHIEST POSSIBLE LIFESTYLES. DURING FISCAL YEAR 2013 MERCY MEDICAL CENTER, INC. CONTRIBUTED $464,731 TO COMMUNITY HEALTH IMPROVEMENT AND EDUCATION PROGRAMS. DIABETES EDUCATION: THE AMERICAN DIABETES ASSOCIATION CERTIFIES MERCY'S DIABETES EDUCATION. MERCY'S OUTPATIENT DIABETES LEARNING CENTER PROVIDE INFORMATION, RESOURCES AND CONFIDENCE TO HELP PEOPLE WITH DIABETES CONTROL THEIR CONDITION AND ENJOY A FULL, HEALTHY LIFE. ONE-ON-ONE EDUCATION IS PROVIDED BY DIABETES CERTIFIED REGISTERED NURSE AND DIETITIAN. IN ADDITION, WE OFFER INDIVIDUAL AND GROUP CLASSES FOR DIABETES EDUCATION. CHILDBIRTH EDUCATION: MERCY MEDICAL CENTER'S FAMILY BIRTHPLACE PROVIDES CLASSES THAT MEET EVERY WEEK THROUGHOUT THE YEAR, AND INCLUDE PRENATAL EDUCATION, BREASTFEEDING, GIFT OF MOTHERHOOD AND CHILDBIRTH CLASSES. THESE CLASSES COVER ALL KINDS OF ISSUES SURROUNDING CHILDBIRTH AND PARENTING. UNITED WAY DAY OF CARING: EACH YEAR, THE UNITED WAY HOSTS A "DAY OF CARING" EVENT. UNITED WAY AGENCIES SUBMIT REQUESTS FOR VOLUNTEERS TO PAINT, PLANT, OR CLEAN AT THEIR FACILITY. EACH AGENCY IS ASSIGNED VOLUNTEERS WHO HELP MEET THE NEEDS OF THE DIFFERENT AGENCIES. EXAMPLES OF PAST DAY OF CARING PROJECTS INCLUDE SPRUCING UP A UNITED WAY FUNDED DAY CARE CENTER, HELPING WITH THE KIDS ON THE BLOCK FESTIVAL, PAINTING INTERIOR AND EXTERIOR FACILITIES, CLEANING, AND GARDENING. MERCY MEDICAL CENTER'S EMPLOYEES HAVE PARTICIPATED IN SEVERAL DAY OF CARING PROJECTS. (SEE CONTINUATION #1)
LINES 2, 4, & 5: COMMUNITY BENEFIT NARRATIVE AND NEEDS ASSESSMENT SCHEDULE H, PART VI (CONTINUATION #1) DISEASE PREVENTION AND AWARENESS: MERCY MEDICAL CENTER COLLABORATES WITH LOCAL PARTNERS TO RAISE AWARENESS AND HELP FUND PREVENTION OF DISEASES SUCH AS CANCER, DIABETES, CYSTIC FIBROSIS, MUSCULAR DYSTROPHY AND AIDS. MERCY MEDICAL CENTER DONATED TO LOCAL ORGANIZATIONS SPONSORING PROMOTIONS IN PRESENTATION FORMATS, COVERING TOPICS SUCH AS HEART DISEASE, DIABETES, STROKE, AND BREAST CANCER AWARENESS. STRATEGIC PLANNING AND RECRUITING COSTS: DOUGLAS COUNTY HAS BEEN DESIGNATED AS A PHYSICIAN UNDERSERVED AREA. THERE IS A NEED FOR SIGNIFICANT PHYSICIAN RECRUITMENT TO THE AREA, TO MEET THE CURRENT NEEDS FOR CARE FOR THE COUNTY RESIDENTS AS WELL AS AN INCREASED NEED FOR FUTURE DEMAND FOR PATIENT MEDICAL CARE. MERCY HAS SUPPORTED RESEARCH INTO COUNTY NEEDS BY TYPE OF PHYSICIAN, AND ALSO HAS SUPPORTED RECRUITMENT OF NEW PHYSICIANS IN THE AREA IN CONJUNCTION WITH OTHER COMMUNITY MEDICAL PROVIDERS. HEALTH FAIRS AND SCREENINGS: MERCY MEDICAL CENTER PROVIDES CHOLESTEROL SCREENINGS, GLUCOSE SCREENING, BLOOD PRESSURE CHECKS, AND FLU SHOTS TO THE COMMUNITY. THESE FREE SCREENINGS REACHED A LARGE PORTION OF THE COUNTY. SUPPORT GROUPS: MERCY MEDICAL CENTER PROVIDES A LOCATION FOR OVER 15 SUPPORT GROUPS TO MEET, AND ADVERTISES MEETING LOCATIONS AND TIMES IN SEVERAL DIFFERENT PUBLICATIONS: BOARD ACTIVITIES: MERCY MEDICAL CENTER EMPLOYEES ARE ENCOURAGED TO BE INVOLVED IN COMMUNITY LEADERSHIP. EMPLOYEES SERVE IN A VARIETY OF LEADERSHIP CAPACITIES IN THE COMMUNITY INCLUDING SERVING ON BOARDS SUCH AS BATTERED PERSONS ADVOCACY, CHAMBER OF COMMERCE, COBB STREET BOARD, COUNCIL ON AGING, ECONOMIC DEVELOPMENT COMMITTEE, FUTURE 1ST CITIZEN, PROJECT LEADERSHIP AND THE UNITED WAY. AGENCIES SUPPORTED: MERCY MEDICAL CENTER PROVIDED CASH DONATIONS TO NUMEROUS AGENCIES SUCH AS THE BOYS AND GIRLS CLUB, CAMP MILLENNIUM, ROSEBURG CHAMBER OF COMMERCE, ROTARY FOUNDATION, UNITED WAY, WISH, COBB ST, DCCAPS, UMPQUA COMMUNITY HEALTH CLINIC AND VARIOUS HIGH SCHOOLS IN DOUGLAS COUNTY. IN ALL, MERCY MEDICAL CENTER HAD EXPENSES THAT EXCEEDED $683,000 IN COMMUNITY BUILDING ACTIVITIES. CONTRIBUTIONS: MERCY MEDICAL CENTER RECEIVES SOME COMMUNITY SUPPORT FROM DONATIONS THAT HELPS FUND RESEARCH AND EDUCATION, CAPITAL EXPANSION AND RENOVATION, INDIGENT CARE, NEW EQUIPMENT AND OPERATING COSTS. THE VALUE OF THIS COMMUNITY SUPPORT IS RETURNED TO THE COMMUNITY THROUGH LOWER COSTS IN PATIENT PROGRAMS AND COMMUNITY SERVICES DESCRIBED THROUGHOUT THIS DOCUMENT.
Patient education of eligibility for assistance. Schedule H, Part VI, Line 3 MERCY MEDICAL CENTER, INC., ALONG WITH ITS AFFILIATED OUTPATIENT FACILITIES, ARE PART OF CATHOLIC HEALTH INITIATIVES (CHI). CHI HAS A WRITTEN POLICY (STEWARDSHIP POLICY NO. 15) GOVERNING THE PROCEDURES FOR DETERMINING AND INFORMING PATIENTS ABOUT THE ENTITY'S FINANCIAL ASSISTANCE POLICY. ALL HOSPITAL FACILITIES INCLUDED IN THE FILING ORGANIZATION HAVE ADOPTED THE POLICY. THE POLICY STATES THE ORGANIZATION WILL INCLUDE INFORMATION CONCERNING ITS FINANCIAL ASSISTANCE POLICY ON ITS WEBSITE. IN ADDITION, MERCY MEDICAL CENTER, INC. PROMINENTLY DISPLAYS ITS FINANCIAL ASSISTANCE POLICY IN BOTH ENGLISH AND SPANISH IN OBVIOUS LOCATIONS THROUGHOUT THE HOSPITALS, INCLUDING THE EMERGENCY ROOMS AND OTHER PATIENT INTAKE AREAS, AS WELL AS IN MERCY MEDICAL CENTER, INC. OUTPATIENT FACILITIES. IN ADDITION, MERCY MEDICAL CENTER, INC. REGISTRATION CLERKS ARE TRAINED TO PROVIDE CONSULTATION TO THOSE WHO HAVE NO INSURANCE OR POTENTIALLY INADEQUATE INSURANCE CONCERNING THEIR FINANCIAL OPTIONS INCLUDING APPLICATION FOR MEDICAID AND FOR FINANCIAL ASSISTANCE UNDER MERCY MEDICAL CENTER INC.'S FINANCIAL ASSISTANCE POLICY. UPON REGISTRATION (AND ONCE ALL EMTALA REQUIREMENTS ARE MET), PATIENTS WHO ARE IDENTIFIED AS UNINSURED (AND NOT COVERED BY MEDICARE OR MEDICAID) ARE PROVIDED WITH A PACKET OF INFORMATION THAT ADDRESSES THE FINANCIAL ASSISTANCE POLICY AND PROCEDURES INCLUDING AN APPLICATION FOR ASSISTANCE. MERCY MEDICAL CENTER, INC. REGISTRATION CLERKS READ THE ORGANIZATION'S MEDICAL ASSISTANCE POLICY TO THOSE WHO APPEAR TO BE INCAPABLE OF READING, AND PROVIDE TRANSLATORS FOR NON ENGLISH-SPEAKING INDIVIDUALS. MERCY MEDICAL CENTER, INC.'S STAFF WILL ALSO ASSIST THE PATIENT GARANTOR WITH APPLYING FOR OTHER AVAILABLE COVERAGE (SUCH AS MEDICAID), IF NECESSARY. COUNSELORS ASSIST MEDICARE ELIGIBLE PATIENTS IN ENROLLMENT BY PROVIDING REFERRALS TO THE APPROPRIATE GOVERNMENT AGENCIES.
Affiliated health care system Schedule H, Part VI, Line 6 MERCY MEDICAL CENTER, INC, ALONG WITH ITS AFFILIATED OUTPATIENT FACILITIES ARE PART OF CATHOLIC HEALTH INITIATIVES. CATHOLIC HEALTH INITIATIVES (CHI) IS A NATIONAL FAITH-BASED NONPROFIT HEALTH CARE ORGANIZATION WITH HEADQUARTERS IN ENGLEWOOD, COLORADO. CHI'S EXEMPT PURPOSE IS TO SERVE AS AN INTEGRAL PART OF ITS NATIONAL SYSTEM OF HOSPITALS AND OTHER CHARITABLE ENTITIES, WHICH ARE DESCRIBED AS MARKET-BASED ORGANIZATIONS, OR MBOS. AN MBO IS A DIRECT PROVIDER OF CARE OR SERVICES WITHIN A DEFINED MARKET AREA THAT MAY BE AN INTEGRATED HEALTH SYSTEM AND/OR A STAND-ALONE HOSPITAL OR OTHER FACILITY OR SERVICE PROVIDER. CHI SERVES AS THE PARENT CORPORATION OF ITS MBOS WHICH ARE COMPRISED OF 73 HOSPITALS; 40 LONG-TERM CARE, ASSISTED- AND RESIDENTIAL-LIVING FACILITIES; TWO COMMUNITY HEALTH-SERVICES ORGANIZATIONS; TWO ACCREDITED NURSING COLLEGES; AND HOME HEALTH AGENCIES. TOGETHER, THESE FACILITIES PROVIDED $762 MILLION IN CHARITY CARE AND COMMUNITY BENEFIT IN THE 2013 FISCAL YEAR, INCLUDING SERVICES FOR THE POOR, FREE CLINICS, EDUCATION AND RESEARCH. CHI PROVIDES STRATEGIC PLANNING AND MANAGEMENT SERVICES AS WELL AS CENTRALIZED "SHARED SERVICES" FOR THE MBOS. 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 MBOS. THE COST SAVINGS ACHIEVED THROUGH CHI'S CENTRALIZATION ENABLE MBOS TO DEDICATE ADDITIONAL RESOURCES TO HIGH-QUALITY HEALTH CARE AND COMMUNITY OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR SOCIETY. MERCY MEDICAL CENTER, INC OPERATES WITH ITS WHOLLY OWNED AFFILIATES AND COMMUNITY PARTNERS, ALONG WITH ITS FUNDRAISING ARM, THE MERCY FOUNDATION, INC, TO SERVE THE HEALTH CARE NEEDS OF THE DOUGLAS COUNTY, OREGON COMMUNITIES.
State filing of community benefit report Schedule H, Part VI, Line 7 OR
Schedule H (Form 990) 2012
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