MERCY MEDICAL CENTER - CLINTON
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PART V, SECTION B, LINE 5: MERCY MEDICAL CENTER-CLINTON (MMC-CLINTON) WORKING IN CONJUNCTION WITH THE GENESIS VISITING NURSES ASSOCIATION (VNA), WHOM CLINTON COUNTY CONTRACTS WITH FOR MOST PUBLIC HEALTH FUNCTIONS, AND GENESIS MEDICAL CENTER-DEWITT HELD A SERIES OF MEETINGS WITH VARIOUS COMMUNITY AGENCIES AND ELECTED OFFICIALS TO REVIEW DATA AND PRIORITIZE LOCAL HEALTH ISSUES. THE VNA IS THE AGENCY THAT CLINTON COUNTY IOWA CONTRACTS WITH TO HANDLE MOST OF ITS PUBLIC HEALTH FUNCTIONS. AS A RESULT, THE HEALTH ISSUES IDENTIFIED AS A PART OF THIS PROCESS WILL ALSO BECOME THE PRIORITIES FOR CLINTON COUNTY; THE GEOGRAPHIC AREA WHERE MOST OF THE POPULATION THAT MMC-CLINTON SERVES RESIDE. THE COMMUNITY HEALTH ASSESSMENT PROCESS WAS CONDUCTED DURING THREE MEETINGS WHICH OCCURRED ON SEPTEMBER 17, 2014, NOVEMBER 5, 2014 AND MARCH 4, 2015. INPUT FROM THE SURROUNDING COUNTIES OF JACKSON, CARROLL AND WHITESIDE WAS INCORPORATED BY REVIEWING COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT MATERIAL. DOWNLOAD OF INFORMATION OCCURRED DURING DECEMBER OF 2014.MMC-CLINTON RETAINED THE SERVICES OF VERNON RESEARCH TO CONDUCT FOCUS GROUP RESEARCH WITH THE POOR TO MAKE SURE THEIR VOICES WERE HEARD AS A PART OF THIS PROCESS. HOWEVER, DUE TO THE DIFFICULTY OF GETTING THIS GROUP TO ATTEND A FOCUS GROUP THE PROCESS EVENTUALLY TURNED INTO A SERIES OF TELEPHONE INTERVIEWS. ACTUAL SURVEYING OCCURRED DURING THE MONTH OF OCTOBER 2014 WITH THE FINAL REPORT BEING RECEIVED ON NOVEMBER 14, 2014. MMC-CLINTON ALSO CONDUCTED FOCUS GROUPS WITH HISPANIC AND AFRICAN AMERICAN REPRESENTATIVES WITHIN THE COMMUNITY. A LOCAL CATHOLIC PARISH HELPED TO IDENTIFY POTENTIAL INDIVIDUALS TO INTERVIEW. REPRESENTATIVES OF THE MARTIN LUTHER KING CELEBRATION COMMITTEE; ASSOCIATED WITH CLINTON COMMUNITY COLLEGE, HELPED IDENTIFY INDIVIDUALS FOR THE AFRICAN AMERICAN FOCUS GROUP. THE HISPANIC FOCUS GROUP MET ON DECEMBER 17, 2014. THE AFRICAN AMERICAN GROUP MEETING WAS HELD ON FEBRUARY 23, 2015.
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MERCY MEDICAL CENTER - CLINTON
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PART V, SECTION B, LINE 6A: THE EXECUTIVE DIRECTOR OF THE VISITING NURSES ASSOCIATION (VNA) SAT ON THE STEERING COMMITTEE. THE VNA SERVES AS THE CLINTON COUNTY PUBLIC HEALTH DEPARTMENT AND IS OWNED BY GENESIS HEALTH SYSTEM (MEDICAL CENTER) OUT OF DAVENPORT AND DEWITT, IOWA.
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MERCY MEDICAL CENTER - CLINTON
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PART V, SECTION B, LINE 6B: CLINTON COUNTY COMMUNITY FOCUS GROUP: AS A WAY TO GAIN INSIGHT INTO UNDERSERVED POPULATIONS, GENESIS VNA AND MMC-CLINTON CONVENED A SERIES OF MEETINGS WITH REPRESENTATIVES FROM VARIOUS ORGANIZATIONS WITHIN THE SERVICE AREA INCLUDING: BRIDGEVIEW COMMUNITY MENTAL HEALTH CENTER, CLINTON COUNTY BOARD OF HEALTH, CLINTON COUNTY BOARD OF SUPERVISORS, CLINTON COUNTY EARLY CHILDHOOD OF IOWA PROGRAM, CLINTON COUNTY MEDICAL SOCIETY, EASTERN IOWA COMMUNITY COLLEGE - CLINTON, GATEWAY IMPACT (SUBSTANCE ABUSE) COUNCIL, GENESIS VNA, GENESIS MEDICAL CENTER-DEWITT, HYVEE GROCERY STORE, IOWA STATE EXTENSION SERVICE, IOWA STATE SENATE OFFICE, LUTHERAN SOCIAL SERVICES, UNITED WAY OF CLINTON COUNTY, VISITING NURSES OF IOWA (I-SMILE) DENTAL PROGRAM, AND THE YWCA.
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MERCY MEDICAL CENTER - CLINTON
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PART V, SECTION B, LINE 7D: THE FOLLOWING ARE ADDITIONAL WAYS MMC-CLINTON COMMUNICATED ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO THE BROADER COMMUNITY: 1.) DISTRIBUTION OF COPIES TO INDIVIDUALS WHO SERVED ON OUR CHNA STEERING COMMITTEE 2.) INDIVIDUALS WHO PARTICIPATED IN THE SOCIAL SERVICES FOCUS GROUP 3.) THROUGH ARTICLES IN THE HOSPITAL'S NEWSLETTERS.
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MERCY MEDICAL CENTER - CLINTON
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PART V, SECTION B, LINE 11: MAJOR PRIORITIES (IN ORDER OF PRIORITY):ACCESS TO CARE: THERE ARE TWO WAYS THAT MMC-CLINTON PLANS TO SUPPORT IMPROVED ACCESS TO CARE. FIRST, MMC-CLINTON THROUGH A GRANT FROM TRINITY HEALTH, THE HOSPITAL'S PARENT ORGANIZATION, HAS COMMITTED $150,000 A YEAR FOR TWO YEARS TO ASSIST COMMUNITY HEALTHCARE, INC. OPEN A SATELLITE FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER CLINIC IN CLINTON. THE HOSPITAL IS ALSO EXPLORING WAYS TO HELP ITS PATIENTS WHO HAVE FINANCIAL NEEDS PAY FOR TRANSPORTATION TO AND FROM THE HOSPITAL OR TO OTHER REFERRAL CENTERS. MENTAL HEALTH SERVICE: THE HOSPITAL PLANS TO CONTINUE ITS SUPPORT FOR BRIDGEVIEW COMMUNITY MENTAL HEALTH CENTER'S OUTPATIENT BEHAVIORAL HEALTH SERVICES AND ITS OWN INPATIENT MENTAL HEALTH UNIT. MAINTAINING AN INPATIENT UNIT WAS SEEN AS CRITICAL SINCE THE NEXT NEAREST UNIT IS OVER 35 MILES AWAY AND MANY OF THE CHRONICALLY MENTALLY ILL HAVE TRANSPORTATION ISSUES. THE ANNUAL RENT SUBSIDY THAT MMC-CLINTON OFFERS BRIDGEVIEW RANGES IN VALUE FROM ABOUT $100,000 TO $500,000 PER YEAR DEPENDING UPON WHETHER MARKET RATE RENT OR MEDICARE COST REPORT COSTS ARE USED TO CALCULATE THE VALUE OF THE HOSPITAL'S SUPPORT. THE ESTIMATED ANNUAL SUBSIDY TO MAINTAIN THE INPATIENT MENTAL HEALTH UNIT IS ABOUT $400,000. HALF OF THIS SUBSIDY REPRESENTS SUPPORT FOR THE ACTUAL INPATIENT UNIT AND THE OTHER HALF SUPPORT FOR THE INPATIENT PHYSICIAN TELE-PSYCH SERVICE. PRESCRIPTION ASSISTANCE: DURING FISCAL 2015, MMC-CLINTON INITIATED THE "FIRST FILL" PROGRAM. THE FOCUS OF THE PROGRAM WAS ON MAKING SURE THAT CONGESTIVE HEART FAILURE PATIENTS DISCHARGED FROM THE HOSPITAL HAD THEIR NEEDED PRESCRIPTIONS WHEN THEY LEFT THE HOSPITAL. STARTING IN FISCAL 2016 MMC-CLINTON PLANS TO EXPAND THE PROGRAM TO A BROADER RANGE OF INPATIENTS THAT HAVE TROUBLE AFFORDING THEIR PRESCRIPTIONS. THE ESTIMATED ANNUAL COST FOR THIS PROGRAM IS $15,000. THE NEW FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER, WHICH IS TO OPEN THE SUMMER OF 2015, WILL OFFER REDUCED COST PRESCRIPTIONS FOR ITS PATIENTS AND SHOULD HAVE A SIGNIFICANT IMPACT ON THE ABILITY FOR LOW INCOME AMBULATORY PATIENTS TO AFFORD THEIR PRESCRIPTIONS. DIABETES: DIABETES IS CLEARLY A SIGNIFICANT ISSUE FOR OUR SERVICE AREA RESIDENTS. THERE ARE SEVERAL WAYS THAT MMC-CLINTON PLANS TO ADDRESS THIS ISSUE. FIRST, THE HOSPITAL HAS RECENTLY FORMED AN ACCOUNTABLE CARE ORGANIZATION/CLINICALLY INTEGRATE NETWORK (ACO/CIN) IN CONJUNCTION WITH MEDICAL ASSOCIATES, THE MAJOR MULTISPECIALTY MEDICAL PROVIDER IN THE REGION. IT IS ALSO INTENDED THAT MEMBERSHIP IN THIS ORGANIZATION WILL BE EXPANDED TO INCLUDE OTHER AREA PRIMARY CARE PROVIDERS. ONE OF THE FIRST CLINICAL AREAS OF FOCUS FOR THIS NEW ORGANIZATION WILL BE THE USE OF HEALTH COACHES TO BETTER MANAGE THE HEALTH OF THESE PATIENTS. ADDITIONALLY, MMC-CLINTON'S COMMUNITY HEALTH AND WELLNESS DEPARTMENT PLANS TO INCREASE THE AMOUNT OF COMMUNITY EDUCATION IT WILL PROVIDE ON THIS NEED. WEIGHT LOSS AND PHYSICAL ACTIVITY: BASED ON THE RWJ FOUNDATION COUNTY HEALTH RANKINGS, CLINTON COUNTY HAS INCREASED IN ADULT OBESITY FROM 28% IN 2010 TO 30% IN 2014. CLINTON COUNTY WENT FROM A RANKING OF 90 OUT OF 99 COUNTIES IN HEALTH BEHAVIORS TO 96 IN 2014. THE HOSPITAL IS ADDRESSING WEIGHT LOSS AND PHYSICAL ACTIVITY THROUGH ITS EFFORTS IN THE LOCAL HEALTHY LIFESTYLE COALITION, WORKING IN AREA SCHOOLS ON NUTRITION AND PHYSICAL ACTIVITY PROGRAMS, AND PATIENT DIABETES EDUCATION. SECONDARY PRIORITIES: WHILE NOT THE TOP AREAS OF FOCUS FOR MMC-CLINTON'S COMMUNITY BENEFIT PROGRAM, THE HOSPITAL ALSO PLANS TO WORK ON A VARIETY OF OTHER HEALTH ISSUES INCLUDING: TOBACCO USE, LOW FOOD ACCESS, MINORITY HEALTH INSURANCE ENROLLMENT, EXERCISE, HEART DISEASE/HIGH BLOOD PRESSURE, SENIOR SERVICES, CANCER AWARENESS/PREVENTION AND LOW BIRTH WEIGHT BABIES. ISSUES NOT TO BE ADDRESSED BY MMC-CLINTON: MMC-CLINTON CANNOT REALISTICALLY DIRECTLY IMPACT ALL OF THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE CHNA. THE REMAINING NEEDS ARE THOUGHT TO BE BETTER ADDRESSED THROUGH OTHER ORGANIZATIONS IN THE COMMUNITY. LISTED BELOW ARE THE REMAINING ISSUES AND THE CORRESPONDING ALTERNATIVE PROVIDER. ALCOHOL/SUBSTANCE ABUSE: SINCE MMC-CLINTON DOES NOT CURRENTLY OFFER TREATMENT IN THESE AREAS, GATEWAY IMPACT COALITION AND THE CLINTON SUBSTANCE ABUSE AND PREVENTION COUNCIL HAVE MORE EXPERIENCE AND CAPACITY TO ADDRESS THIS NEED. MERCY DOES PROVIDE THE GATEWAY IMPACT COALITION WITH FINANCIAL ASSISTANCE. AIR QUALITY AND ASTHMA: SINCE MMC-CLINTON DOES NOT EMPLOY PRIMARY CARE PHYSICIANS, IT WAS FELT BEST TO LEAVE THIS ISSUE TO BE HANDLED BY LOCAL CLINICIANS. THE ADDITION OF A NEW FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER IN TOWN SHOULD ALSO REDUCE ANY ACCESS ISSUES LOW INCOME INDIVIDUALS MIGHT HAVE SEEKING TREATMENT.DENTAL: ALTHOUGH NOT DIRECTLY ADDRESSING DENTAL CARE, THE OPENING OF THE NEW FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER, WHICH INCLUDES DENTAL FACILITIES, WILL GO A LONG WAY TO ADDRESS THIS ISSUE.DOMESTIC VIOLENCE: MMC-CLINTON IS AN ACTIVE REPORTER OF DOMESTIC VIOLENCE PARTICULARLY OF VICTIMS SEEN IN THE HOSPITAL'S EMERGENCY DEPARTMENT. THE YMCA HAS BEEN THE MAJOR PROVIDER OF HOUSING FOR DOMESTIC VIOLENCE VICTIMS IN MMC-CLINTON'S SERVICE AREA FOR A LONG TIME. IMMUNIZATION: THIS WAS FELT TO BE AN EDUCATIONAL EFFORT BEST HANDLED BY PUBLIC HEALTH AND LOCAL PROVIDERS.LANGUAGE: THE LANGUAGE NEEDS IDENTIFIED WERE PRIMARILY RELATED TO PHYSICIAN OFFICES. SINCE MMC-CLINTON OWNS FEW PHYSICIAN PRACTICES, LANGUAGE NEEDS WOULDN'T REALISTICALLY BE IMPACTED. THE PHYSICIAN PRACTICES THAT THE HOSPITAL DOES OWN ARE LOCATED IN THE HOSPITAL AND TAKE ADVANTAGE OF THE HOSPITAL'S LANGUAGE SUPPORT SYSTEMS.LEAD POISONING: THIS IS VIEWED AS A PUBLIC HEALTH ISSUE, WHICH THE VNA/COUNTY HEALTH IS PREPARED TO ADDRESS. RADON: THIS WAS ALSO VIEWED AS A PUBLIC HEALTH ISSUE THAT IS BEST ADDRESSED BY THE VNA/COUNTY HEALTH.SEXUALLY TRANSMITTED DISEASES: WOMEN'S HEALTH SERVICES PROVIDES SIGNIFICANT EDUCATION IN THE HIGH SCHOOL ON THIS NEED. BOTH WOMEN'S HEALTH AND VNA/COUNTY HEALTH ALSO OFFER TESTING.TEEN BIRTHS: IT IS OUT OF THE SCOPE OF MMC-CLINTON'S EXPERTISE TO PREVENT TEEN BIRTHS, HOWEVER MMC-CLINTON PLANS TO FOCUS ITS EFFORTS MORE ON WORKING WITH SUPPORTING YOUNG WOMEN AFTER THEY BECOME PREGNANT. EFFORTS HERE INCLUDE THE PROVISION OF AFFORDABLE PRENATAL EDUCATION, PARTICIPATION IN A STATE OF IOWA PILOT PROGRAM TO REDUCE INFANT DEATHS THROUGH THE PROVISION OF FREE CRIBS, AND FINANCIALLY SUPPORTING THE LOCAL CRISIS PREGNANCY CENTER WHICH PROVIDES COUNSELING, RESOURCES AND MENTORING TO TEEN MOMS. WATER QUALITY: THIS ISSUE WAS IDENTIFIED THROUGH THE LOW- INCOME RESIDENT SURVEYS. UPON CHECKING PUBLIC HEALTH DATA, THE WATER QUALITY APPEARED NORMAL. MMC-CLINTON DOES NOT PLAN TO ADDRESS.
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MERCY MEDICAL CENTER - CLINTON
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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 HEALTHCARE 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.
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MERCY MEDICAL CENTER - CLINTON
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PART V, SECTION B, LINE 15E: THE HOSPITAL PROVIDES ASSISTANCE WITH SIGNING UP FOR MEDICARE OR MEDICAID
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MERCY MEDICAL CENTER - CLINTON
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PART V, SECTION B, LINE 20E: IF INDIVIDUAL REGISTERS AS SELF-PAY HE/SHE MEETS WITH A FINANCIAL COUNSELOR.
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MERCY MEDICAL CENTER - CLINTON
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PART V, SECTION B, LINE 22D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. ACUTE CARE PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE ACUTE CARE CONTRACTUAL ADJUSTMENT FOR MEDICARE. AMBULATORY PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE PHYSICIAN CONTRACTUAL ADJUSTMENT FOR MEDICARE. THE ACUTE AND PHYSICIAN AVERAGE CONTRACTUAL ADJUSTMENT AMOUNTS FOR MEDICARE ARE CALCULATED UTILIZING THE LOOK BACK METHODOLOGY OF CALCULATING THE SUM OF PAID CLAIMS DIVIDED BY THE TOTAL GROSS CHARGES FOR THOSE CLAIMS ANNUALLY USING TWELVE MONTHS OF PAID CLAIMS WITH A 30 DAY LAG FROM REPORT DATE TO THE MOST RECENT DISCHARGE DATE.
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MERCY MEDICAL CENTER - CLINTON - PART V, SECTION B, LINE 7A:
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HTTP://WWW.MERCYCLINTON.COM/WORKFILES/COMMUNITY%20HEALTH%20NEEDS%20ASSESSMENT%20FY%202016-2018%20(3).PDF
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MERCY MEDICAL CENTER - CLINTON - PART V, SECTION B, LINE 10A:
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HTTP://WWW.MERCYCLINTON.COM//WORKFILES/CHNA%20IMPLEMENTATION%20STRATEGY%202016-2018.PDF
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PART V, SECTION B, LINE 16
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FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY
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MERCY MEDICAL CENTER - CLINTON PART V, SECTION B, LINE 16A WEBSITE:
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WWW.MERCYCLINTON.COM/FINANCIAL-SERVICES
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MERCY MEDICAL CENTER - CLINTON PART V, SECTION B, LINE 16B WEBSITE:
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WWW.MERCYCLINTON.COM/FINANCIAL-SERVICES
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MERCY MEDICAL CENTER - CLINTON PART V, SECTION B, LINE 16C WEBSITE:
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WWW.MERCYCLINTON.COM/FINANCIAL-SERVICES
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