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 Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
MERCY MEDICAL CENTER - CLINTON INC
 
Employer identification number

42-1336618
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
Yes
 
%
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
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used 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) . . .
1 863 1,026,059   1,026,059 1.100 %
b Medicaid (from Worksheet 3, column a) . . . . . 2 13,638 17,472,116 17,677,883 -205,767 0 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . . 3 14,501 18,498,175 17,677,883 820,292 1.100 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4). 20 3,515 375,077 16,877 358,200 0.380 %
f Health professions education (from Worksheet 5) . . .            
g Subsidized health services (from Worksheet 6) . . . . 13 8,505 2,806,476 1,419,953 1,386,523 1.490 %
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . . 14 4,437 48,454   48,454 0.050 %
j Total. Other Benefits . . 47 16,457 3,230,007 1,436,830 1,793,177 1.920 %
k Total. Add lines 7d and 7j . 50 30,958 21,728,182 19,114,713 2,613,469 3.020 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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            
2 Economic development 1 1 21,026   21,026 0.020 %
3 Community support 1 76 701   701 0 %
4 Environmental improvements            
5 Leadership development and training for community members 1 150 4,609   4,609 0 %
6 Coalition building            
7 Community health improvement advocacy 1 9 23,362   23,362 0.030 %
8 Workforce development            
9 Other 2 9 27,150   27,150 0.030 %
10 Total 6 245 76,848   76,848 0.080 %
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
 
No
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
2,846,318
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
34,470,000
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
37,705,548
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-3,235,548
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 %
11 CLINTON IMAGING SERVICES LLC
 
MRI SERVICES 65.000 %   35.000 %
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 MERCY MEDICAL CENTER - CLINTON
1410 N 4TH STREET
CLINTON,IA52732
WWW.MERCYCLINTON.COM
230056H
X X         X   LAB, RADIOLOGY  
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 - CLINTON
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................... 1 Yes  
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 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 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 14
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................. 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 14
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SCHEDULE H, PART V, SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)?............................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

MERCY MEDICAL CENTER - CLINTON
Name of hospital facility or letter of facility reporting group  
Financial Assistance Policy (FAP) Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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 individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

MERCY MEDICAL CENTER - CLINTON
Name of hospital facility or letter of facility reporting group  
Financial Assistance Policy (FAP) Yes No
19 Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 During the tax year, did the hospital facility charge any FAP-eligible individual 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? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
MERCY MEDICAL CENTER - CLINTON 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.
MERCY MEDICAL CENTER - CLINTON 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.
MERCY MEDICAL CENTER - CLINTON 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.
MERCY MEDICAL CENTER - CLINTON 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.
MERCY MEDICAL CENTER - CLINTON 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.
MERCY MEDICAL CENTER - CLINTON 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.
MERCY MEDICAL CENTER - CLINTON PART V, SECTION B, LINE 15E: THE HOSPITAL PROVIDES ASSISTANCE WITH SIGNING UP FOR MEDICARE OR MEDICAID
MERCY MEDICAL CENTER - CLINTON PART V, SECTION B, LINE 20E: IF INDIVIDUAL REGISTERS AS SELF-PAY HE/SHE MEETS WITH A FINANCIAL COUNSELOR.
MERCY MEDICAL CENTER - CLINTON 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.
MERCY MEDICAL CENTER - CLINTON - PART V, SECTION B, LINE 7A: HTTP://WWW.MERCYCLINTON.COM/WORKFILES/COMMUNITY%20HEALTH%20NEEDS%20ASSESSMENT%20FY%202016-2018%20(3).PDF
MERCY MEDICAL CENTER - CLINTON - PART V, SECTION B, LINE 10A: HTTP://WWW.MERCYCLINTON.COM//WORKFILES/CHNA%20IMPLEMENTATION%20STRATEGY%202016-2018.PDF
PART V, SECTION B, LINE 16 FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY
MERCY MEDICAL CENTER - CLINTON PART V, SECTION B, LINE 16A WEBSITE: WWW.MERCYCLINTON.COM/FINANCIAL-SERVICES
MERCY MEDICAL CENTER - CLINTON PART V, SECTION B, LINE 16B WEBSITE: WWW.MERCYCLINTON.COM/FINANCIAL-SERVICES
MERCY MEDICAL CENTER - CLINTON PART V, SECTION B, LINE 16C WEBSITE: WWW.MERCYCLINTON.COM/FINANCIAL-SERVICES
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

Section D. 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?1
Name and address Type of Facility (describe)
1 MERCY LIVING CENTER - NORTH
600 14TH AVE NORTH
CLINTON,IA52732
LONG TERM CARE
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.
Form and Line Reference Explanation
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 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, MERCY MEDICAL CENTER - 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, $2,846,318 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 II, COMMUNITY BUILDING ACTIVITIES: THE COMMUNITY BUILDING PROGRAMS SUPPORTED BY MERCY MEDICAL CENTER - 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 MEDICAL CENTER SUPPORTS THE CHAMBER OF COMMERCE, CLINTON REGIONAL DEVELOPMENT CORPORATION AND CLINTON ROTARY. MERCY MEDICAL CENTER - CLINTON ALSO PROVIDES LEADERSHIP SUPPORT AND PARTICIPATION IN COMMUNITY DEVELOPMENT ACTIVITIES, AND PROVIDES IN-KIND AND FINANCIAL SUPPORT TO UNITED WAY, IN ORDER TO SUPPORT ITS EFFORTS TO ADDRESS THE CHALLENGES IN OUR COMMUNITY AT THE ROOT OF MANY HEALTH PROBLEMS. OTHER COMMUNITY BUILDING ACTIVITIES ARE LISTED BELOW:CLINTON SCHOOLS: PROVIDES SUPPORT AS REQUESTED FOR CAREER DEVELOPMENT PROGRAMS. ADVOCACY - BROADER COMMUNITY: LEADERSHIP AND ASSOCIATES ARE ACTIVELY ENGAGED IN ADVOCACY EFFORTS TO IMPROVE MEDICAL ACCESS AND COVERAGE FOR ALL. ADVOCACY EFFORTS ARE TARGETED AT IMPROVING CARE FOR THE UNINSURED AND UNDERINSURED IN OUR COMMUNITY.IN-KIND BOARD MEMBER: OFFERS IN-KIND TIME SPENT AS A BOARD MEMBER ON CLINTON PUBLIC LIBRARY BOARD OF DIRECTORS, CHAMBER OF COMMERCE, THE CHAMBER FOUNDATION AND GOVERNMENT RELATIONS COMMITTEE, CLINTON REGIONAL DEVELOPMENT CORPORATION, AND THE YWCA.
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: MERCY MEDICAL CENTER - CLINTON USES A PREDICTIVE MODEL THAT INCORPORATES THREE DISTINCT VARIABLES IN COMBINATION TO PREDICT WHETHER A PATIENT QUALIFIES FOR CHARITY: (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, MERCY MEDICAL CENTER - CLINTON IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, MERCY MEDICAL CENTER - 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: MERCY MEDICAL CENTER-CLINTON IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTE FROM PAGE 15 OF THOSE STATEMENTS: "THE CORPORATION RECOGNIZES A SIGNIFICANT AMOUNT OF PATIENT SERVICE REVENUE AT THE TIME THE SERVICES ARE RENDERED EVEN THOUGH THE CORPORATION DOES NOT ASSESS THE PATIENT'S ABILITY TO PAY AT THAT TIME. AS A RESULT, THE PROVISION FOR BAD DEBTS IS PRESENTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL PROVISIONS AND DISCOUNTS). FOR UNINSURED AND UNDERINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE CORPORATION ESTABLISHES AN ALLOWANCE TO REDUCE THE CARRYING VALUE OF SUCH RECEIVABLES TO THEIR ESTIMATED NET REALIZABLE VALUE. THIS ALLOWANCE IS ESTABLISHED BASED ON THE AGING OF ACCOUNTS RECEIVABLE AND THE HISTORICAL COLLECTION EXPERIENCE BY THE HEALTH MINISTRIES AND FOR EACH TYPE OF PAYOR. A SIGNIFICANT PORTION OF THE CORPORATION'S PROVISION FOR DOUBTFUL ACCOUNTS RELATES TO SELF-PAY PATIENTS, AS WELL AS CO-PAYMENTS AND DEDUCTIBLES OWED TO THE CORPORATION BY PATIENTS WITH INSURANCE."
PART III, LINE 8: MERCY MEDICAL CENTER - 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 HEALTHCARE 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 - MERCY MEDICAL CENTER-CLINTON ASSESSES THE HEALTH STATUS OF ITS COMMUNITY IN THE NORMAL COURSE OF OPERATIONS AND IN THE CONTINUOUS EFFORTS TO IMPROVE PATIENT CARE. IN THE ASSESSMENT, THE HOSPITAL MAY USE PATIENT DATA, ANNUAL COUNTY HEALTH RANKINGS, 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 - MERCY MEDICAL CENTER-CLINTON IS COMMITTED TO:- PROVIDING ACCESS TO QUALITY HEALTHCARE SERVICES WITH COMPASSION, DIGNITY AND RESPECT FOR THOSE WE SERVE, PARTICULARLY THE POOR AND THE UNDERSERVED IN OUR COMMUNITIES- CARING FOR ALL PERSONS, REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES- ASSISTING PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE CARE THEY RECEIVE - BALANCING NEEDED FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH BROADER FISCAL RESPONSIBILITIES IN ORDER TO SUSTAIN VIABILITY AND PROVIDE THE QUALITY AND QUANTITY OF SERVICES FOR ALL WHO MAY NEED CARE IN A COMMUNITYIN ACCORDANCE WITH AMERICAN HOSPITAL ASSOCIATION RECOMMENDATIONS, MERCY MEDICAL CENTER-CLINTON HAS ADOPTED THE FOLLOWING GUIDING PRINCIPLES WHEN HANDLING THE BILLING, COLLECTION AND FINANCIAL SUPPORT FUNCTIONS FOR OUR PATIENTS: - PROVIDE EFFECTIVE COMMUNICATIONS WITH PATIENTS REGARDING HOSPITAL BILLS- MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE FINANCIAL SUPPORT PROGRAMS- OFFER FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS- IMPLEMENT POLICIES FOR ASSISTING LOW-INCOME PATIENTS IN A CONSISTENT MANNER- IMPLEMENT FAIR AND CONSISTENT BILLING AND COLLECTION PRACTICES FOR ALL PATIENTS WITH PATIENT PAYMENT OBLIGATIONSMERCY MEDICAL CENTER-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 AND EXTERNAL 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 HEALTHCARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. FINANCIAL ASSISTANCE APPLICATIONS WILL BE ACCEPTED UNTIL ONE YEAR AFTER THE FIRST BILLING STATEMENT TO THE PATIENT. MERCY MEDICAL CENTER-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 SPANISH, REFLECTING OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITAL. MERCY MEDICAL CENTER-CLINTON HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. MERCY MEDICAL CENTER-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 - MERCY MEDICAL CENTER-CLINTON SERVES A 16 ZIP CODE AREA ALONG THE MISSISSIPPI RIVER IN EASTERN IOWA AND WESTERN ILLINOIS. ITS PRIMARY AND SECONDARY SERVICE AREAS HAVE A TOTAL POPULATION OF APPROXIMATELY 72,500, WHICH IS PROJECTED TO DECLINE SLIGHTLY BY 2% BETWEEN 2011 AND 2015. WHILE THE OVERALL POPULATION IS DECLINING, THE NUMBER OF RESIDENTS 65 YEARS OF AGE AND OLDER WILL INCREASE. THE ETHNICITY OF MERCY'S SERVICE AREA IS PRIMARILY WHITE (94.7%), WITH SMALL BLACK AND HISPANIC COMMUNITIES (1.8% EACH). THE AVERAGE HOUSEHOLD INCOME FOR THE SERVICE AREA IS $53,450 WITH THE STATE AVERAGE BEING $61,960 AND US AVERAGE OF $71,071.THE MEDICAL CENTER CONSISTS OF AN ACUTE CARE HOSPITAL AND A STRONG CONTINUUM OF SERVICES FOR SENIORS (TWO NURSING HOMES, A DEMENTIA UNIT, TRANSITIONAL CARE BEDS, IRU, HOME CARE AND HOSPICE).
PART VI, LINE 5: OTHER INFORMATION - MERCY MEDICAL CENTER-CLINTON HAS AN OPEN MEDICAL STAFF. AS A SOLE COMMUNITY PROVIDER, WE OFFER MANY SERVICES TO THE COMMUNITY THAT WOULD OTHERWISE BE UNAVAILABLE. IN ADDITION TO TRADITIONAL ACUTE CARE SERVICES, WE OFFER EMERGENCY SERVICES REGARDLESS OF PAYMENT SOURCE, RADIATION ONCOLOGY, RENAL DIALYSIS, HOME CARE, HOSPICE CARE, WOUND CARE AND INPATIENT BEHAVIORAL HEALTH. WE ALSO HAVE A COMMUNITY IRB, WHICH APPROVES ANY MEDICAL-RELATED RESEARCH REQUESTS. MERCY MEDICAL CENTER-CLINTON OFFERS MANY OPPORTUNITIES FOR STUDENTS PURSUING MEDICAL-RELATED CAREERS TO GAIN CLINICAL EXPERIENCE. THIS INCLUDES, BUT IS NOT LIMITED TO, PHYSICIANS, NURSING, LAB, EEG, RADIOLOGY, PHARMACY AND RESPIRATORY THERAPY.WE PROMOTE THE HEALTH OF THE COMMUNITIES WE SERVE IN MANY WAYS. TO CREATE GREATER ACCESS TO CARE FOR THE UNDERSERVED MERCY MEDICAL CENTER - CLINTON IN CONJUNCTION WITH THE SISTERS OF ST. FRANCIS ARE HELPING TO SUBSIDIZE THE OPENING A FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER SATELLITE CLINIC IN CLINTON. MMC-CLINTON ALSO HAS A VERY ACTIVE AND EXPANSIVE VOLUNTEER PROGRAM, WHICH OFFERS OPPORTUNITIES ACROSS THE CONTINUUM, FROM ACUTE CARE TO LONG-TERM CARE AND HOSPICE. MAJOR COMMUNITY BENEFIT PROGRAMS ARE LISTED BELOW ALONG WITH THE DESCRIPTION OF THEIR IMPACT ON IMPROVING HEALTH IN THE COMMUNITY.PRENATAL EDUCATION: PROVIDES EDUCATION TO LOW INCOME FAMILIES TO PROMOTE HEALTHY OUTCOMES FOR MOTHER AND BABY. THE MAJORITY OF DELIVERIES AT OUR HOSPITAL ARE WITH MOTHERS 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: PROVIDES TRANSPORTATION FOR ADDITIONAL MEDICAL CARE OR TRANSPORTATION HOME. ACCESS TO CARE CONTINUES TO BE A GAP IN OUR COMMUNITY. MANY PATIENTS ARRIVE IN OUR ER AND DO NOT HAVE TRANSPORTATION AVAILABLE TO RETURN HOME. DRUG ENDANGERED CHILD TASK FORCE: WORKS ON REDUCING THE RISK FOR DRUG-ENDANGERED CHILDREN BORN IN OUR FACILITY. THIS WAS IDENTIFIED AS PART OF THE GOALS/STRATEGIES FOR THE CLINTON COUNTY HEALTH IMPROVEMENT PLAN FOR 2011-2015.SUBSIDIZED PROGRAMS: BRIDGEVIEW MENTAL HEALTH: PROVIDES FINANCIAL SUBSIDY TO THE PROGRAM, WHICH PROVIDES MENTAL HEALTH SERVICES TO COUNTY FUNDED AND OTHER LOW INCOME AND/OR UNINSURED PATIENTS IN OUR COMMUNITY. SPECIALTY CLINIC SUBSIDY: PROVIDES GI AND ENT SERVICES TO PATIENTS IN THE COMMUNITY, OPERATING AT A LOSS, DUE IN PART TO ACCEPTANCE OF MEDICAID AND CHARITY CARE PATIENTS. THE PREGNANCY CENTER: ASSISTS WITH SUPPORT FOR MOTHERS WITH UNWANTED PREGNANCIES. ALSO PROMOTES AND PROVIDES EDUCATION ON HEALTHY RELATIONSHIPS. REDUCING THE NUMBER OF SUBSEQUENT PREGNANCIES IN YOUNG WOMEN UNDER 20 IS ONE OF THE GOALS/STRATEGIES FOR THE CLINTON COUNTY HEALTH IMPROVEMENT PLAN FOR 2011-2015.CERTIFIED DIABETES CENTER: PROVIDES EDUCATION AND MEDICAL MANAGEMENT FOR DIABETIC PATIENTS IN OUR COMMUNITY.
PART VI, LINE 6: MERCY MEDICAL CENTER-CLINTON IS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH ANNUALLY REQUIRES THAT ALL REGIONAL HEALTH MINISTRIES DEFINE - AND ACHIEVE - COMMUNITY BENEFIT GOALS THAT INCLUDE IMPLEMENTING NEEDED SERVICES OR EXPANDING ACCESS TO SERVICES FOR LOW-INCOME INDIVIDUALS. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITY THROUGH PROGRAMS SERVING THOSE WHO ARE POOR AND UNINSURED, HELPING MANAGE CHRONIC CONDITIONS LIKE DIABETES, PROVIDING HEALTH EDUCATION, PROMOTING WELLNESS AND REACHING OUT TO UNDERSERVED POPULATIONS. ANNUALLY, THE ORGANIZATION INVESTS MORE THAN $800 MILLION IN SUCH COMMUNITY BENEFITS AND WORKS TO ENSURE THAT ITS MEMBER HOSPITALS AND OTHER ENTITIES/AFFILIATES ENHANCE THE OVERALL HEALTH OF THE COMMUNITIES THEY SERVE BY ADDRESSING EACH COMMUNITY'S SPECIFIC NEEDS. FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG.
Schedule H (Form 990) 2014
Additional Data


Software ID:  
Software Version: