SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
MERCY HOSPITAL LINCOLN
 
Employer identification number

47-2219204
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
Yes
 
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
 
No
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) . . .
    3,040,082   3,040,082 8.060 %
b Medicaid (from Worksheet 3, column a) . . . . .     1   1 0 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     3,040,083   3,040,083 8.060 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4). 2 80 4,789   4,789 0.010 %
f Health professions education (from Worksheet 5) . . . 2 11 10,292   10,292 0.030 %
g Subsidized health services (from Worksheet 6) . . . .            
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . . 2 183 32   32 0 %
j Total. Other Benefits . . 6 274 15,113   15,113 0.040 %
k Total. Add lines 7d and 7j . 6 274 3,055,196   3,055,196 8.100 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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     318   318 0 %
3 Community support 2,516   3,912   3,912 0.010 %
4 Environmental improvements            
5 Leadership development and
training for community members
           
6 Coalition building 69   3,832   3,832 0.010 %
7 Community health improvement advocacy 259   2,642   2,642 0.010 %
8 Workforce development 260   9,227 1,040 8,187 0.020 %
9 Other            
10 Total 3,104   19,931 1,040 18,891 0.050 %
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 Healthcare 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
1,545,658
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
7,596,377
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
7,611,605
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-15,228
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) 2019
Schedule H (Form 990) 2019
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?1Name, 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 HOSPITAL LINCOLN
1000 EAST CHERRY STREET
TROY,MO63379
WWW.MERCY.NET
539-1
X X     X   X      
Schedule H (Form 990) 2019
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Schedule H (Form 990) 2019
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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 HOSPITAL LINCOLN
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   No
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 19
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  
6 a 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   No
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   No
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 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): HTTPS://WWW.MERCY.NET/COMMUNITYBENEFITS
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
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" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on 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) 2019
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Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
MERCY HOSPITAL LINCOLN
Name of hospital facility or letter of facility reporting group  
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 Was widely publicized 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
HTTPS://WWW.MERCY.NET/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/
b
HTTPS://WWW.MERCY.NET/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
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Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
MERCY HOSPITAL LINCOLN
Name of hospital facility or letter of facility reporting group  
Yes No
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 nonpayment?.................................. 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
f
19 Did the hospital facility or other authorized 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
e
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 19. (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
Schedule H (Form 990) 2019
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Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
MERCY HOSPITAL LINCOLN
Name of hospital facility or letter of facility reporting group  
Yes No
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) 2019
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Schedule H (Form 990) 2019
Page 8
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, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 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 HOSPITAL LINCOLN PART V, SECTION B, LINE 3J: THE HOSPITAL FACILITY DID INCLUDE A PRIORITIZED LIST OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS IN ITS MOST RECENT CHNA REPORT.
MERCY HOSPITAL LINCOLN PART V, SECTION B, LINE 5: THE VOICES OF THE PEOPLE OF LINCOLN COUNTY WERE CENTRAL TO THE HEALTH NEEDS ASSESSMENT PROCESS. MERCY HOSPITAL LINCOLN (MHL) EMPLOYED THE FOLLOWING COMMUNICATION MODES TO GATHER THOUGHTS AND CONCERNS ABOUT HEALTH CARE IN THE COMMUNITY:1. MERCY COMMUNITY HEALTH NEEDS SURVEYS2. COMMUNITY STAKEHOLDERS ROUNDTABLE MEETINGS, INCLUDING:- BRETT SIEFERT, LINCOLN COUNTY HEALTH DEPT.- JAN BRAY, LINCOLN COUNTY COUNCIL ON AGING- JIM & JULIE WALLIS PREFERRED FAMILY HEALTH CARE- AUDREY HENEBRY, LINCOLN COUNTY R-III SCHOOL DISTRICT- MARK CROSS, MAYOR, CITY OF TROY3. MERCY COMMUNITY ADVISORY PANELS4. COMMUNITY COALITION MEMBERSHIPS AND ENGAGEMENT IN LINCOLN COUNTYMERCY COMMUNITY HEALTH NEEDS SURVEYS A TOTAL OF 249 INDIVIDUALS WHO STATED THEY RECEIVE THEIR HEALTH CARE IN LINCOLN COUNTY COMPLETED THE SURVEY OVER A 5-MONTH TIMEFRAME (JULY 2018 NOVEMBER 2018). MOST PARTICIPANTS (52%) WERE RESIDENTS OF TROY, THE CITY IN WHICH MERCY HOSPITAL LINCOLN IS LOCATED.LINCOLN COUNTY HEALTH DEPARTMENT PARTNERED WITH US IN DISTRIBUTING THE SURVEYS AND OBTAINED MANY SURVEY RESPONSES FROM THEIR FAMILIES THAT ARE ENROLLED IN THEIR WOMEN, INFANTS & CHILDREN (WIC) NUTRITION PROGRAM.COMMUNITY STAKEHOLDERS ROUNDTABLE MEETINGS MERCY HOSPITAL LINCOLN INVITED COMMUNITY STAKEHOLDERS FROM THE AREA TO A SERIES OF ROUNDTABLE DISCUSSIONS AND HAD SEVENTY-FIVE COMMUNITY LEADERS PARTICIPATE IN THESE DISCUSSIONS. ATTENDEES INCLUDED LINCOLN COUNTY HEALTH DEPARTMENT WORKERS, REPRESENTATIVES FROM OTHER HEALTH CARE SERVICES IN THE AREA, BANKERS, CHURCH LEADERS, FARMERS, AS WELL AS COMMUNITY LEADERS FROM NEARBY PIKE COUNTY. MERCY COMMUNITY ADVISORY PANELS ON-LINE COMMUNITY ADVISORY PANELS ARE A KEY PART OF MERCY'S ONGOING DIALOGUE WITH THE COMMUNITIES THEY SERVE. INDIVIDUALS, ESPECIALLY THOSE WHO HAVE RECENTLY VISITED A MERCY HEALTH FACILITY, ARE ROUTINELY SURVEYED TO EVALUATE PROGRAMS, SERVICE EXPERIENCE, ASSESS NEED, AND PROVIDE FEEDBACK. COMMUNITY COALITION MEMBERSHIPS AND ENGAGEMENT IN LINCOLN COUNTY MERCY NEIGHBORHOOD MINISTRY (MNM) IS A DEPARTMENT OF MERCY ALSO KNOWN AS THE COMMUNITY HEALTH & ACCESS DEPARTMENT. IT IS DEDICATED TO IMPROVING HEALTH AND ACCESS IN THE COMMUNITIES MERCY SERVES, WITH A PARTICULAR FOCUS ON THE UNDERSERVED POPULATION THROUGH COMMUNITY COALITION MEMBERSHIPS AND ENGAGEMENT. THE MNM COMMUNITY HEALTH OUTREACH COORDINATOR DESIGNATED TO MERCY HOSPITAL LINCOLN FOCUSES ON IDENTIFYING UNMET NEEDS AND GAPS IN HEALTH CARE, DEVELOPING PARTNERSHIPS WITH HEALTH AND SOCIAL SERVICE AGENCIES, INCREASING KNOWLEDGE OF AVAILABLE RESOURCES, MAKING CONNECTIONS AND REFERRALS, AND ADVOCATING FOR THOSE MOST VULNERABLE IN THE COMMUNITY. PARTNERING AGENCIES AND TASK FORCES IN WHICH THE OUTREACH COORDINATOR IS INVOLVED INCLUDE:- LINCOLN COUNTY HEALTH DEPARTMENT (LCHD) JENNIFER HARRIS, DIRECTOR OF PROGRAMS- LINCOLN COUNTY HEALTHY COMMUNITIES COALITION GLENDA KEETEMAN, COMMUNITY HEALTH WORKER- LINCOLN COUNTY RESOURCE BOARD CHERI WINCHESTER, DIRECTOR, LINCOLN COUNTY KIDS- LINCOLN COUNTY SENIOR TASK FORCE - CRIDER HEALTH CENTER/COMPASS HEALTH NETWORK JENNY THOMPSON, HOUSING DIRECTOR- PREFERRED FAMILY HEALTHCARE/BRIDGEWAY BEHAVIORAL HEALTH THE ROBERTSON CENTERTHROUGH CONTINUOUS DAILY NETWORKING AND COLLABORATION, MERCY REMAINS CLOSELY ENGAGED WITH COMMUNITY PARTNERS AND INFORMED ON THE NEEDS OF THE COMMUNITIES IT SERVES.
MERCY HOSPITAL LINCOLN PART V, SECTION B, LINE 11: BASED ON THE FINDINGS OF ITS MOST RECENTLY CONDUCTED CHNA, MERCY HOSPITAL LINCOLN HAS CHOSEN TO ADDRESS THE FOLLOWING TWO SIGNIFICANT HEALTH NEEDS IDENTIFIED IN LINCOLN COUNTY: - ACCESS TO CARE- BEHAVIORAL HEALTHTHESE NEEDS ARE BEING ADDRESSED IN THE HOSPITAL'S COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP), WHICH CAN BE ACCESSED HERE: HTTPS://WWW.MERCY.NET/FORMS/COMMUNITY-BENEFITS/. ACTIVITIES AND PROGRAMS WILL BE WELL DOCUMENTED IN ORDER TO PRODUCE MEASURABLE OUTCOMES. SOME NOTABLE ACHIEVEMENTS DURING 2020 INCLUDE:- 2019 PATIENTS SEEN IN THE MHL EMERGENCY DEPARTMENT AND URGENT CARE CENTER WHO HAD NOT SEEN A PRIMARY CARE PROVIDER IN RECENT YEARS OR WERE UNINSURED WERE REFERRED TO THE COMMUNITY HEALTH WORKER PROGRAM (CHW), A PARTNERSHIP WITH THE LINCOLN COUNTY HEALTH DEPARTMENT. THE CHW HELPED THE PATIENTS ESTABLISH A "MEDICAL HOME AND/OR ADDRESSED SOCIAL DETERMINANT OF HEALTH ISSUES AND WERE SCREENED AND ASSISTED WITH APPLYING FOR MEDICAID, MARKET PLACE INSURANCE, DISABILITY OR HOSPITAL CHARITY CARE.- 2019 VIRTUAL BEHAVIORAL HEALTH PROGRAM DEVELOPED FOR URGENT ACUTE NEEDS AND ASSESSMENTS WITHIN BOTH THE EMERGENCY DEPARTMENT AND INPATIENT AREAS. THIS HELPS IN PROVIDING REAL-TIME BEHAVIORAL HEALTH SERVICES TO PATIENTS IN-NEED AND AT-RISK OF CRISIS.- 2019 MERCY BROUGHT IN ORTHOPEDIC SERVICES TO EXTEND ACCESS TO KEY JOINT AND OTHER HEALTHCARE SERVICES THAT WERE NOT WITHIN THE COMMUNITY. ESTABLISHING CARE WITH ANY SPECIALISTS INCLUDING ORTHOPEDICS TOOK EXTENDED PERIOD OF TIME. - 2019 MERCY PARTICIPATED IN THE EMERGENCY ROOM ENHANCEMENT PROJECTS (ERE) IN PARTNERSHIP WITH AREA MENTAL HEALTH PROVIDERS AND BEHAVIOR HEALTH NETWORK TO ADDRESS MENTAL HEALTH PATIENTS WHO ARE HIGH UTILIZERS OF EMERGENCY ROOMS. ERE STREAMLINES THE PROCESS FOR PATIENTS IN OBTAINING THE APPROPRIATE LEVEL OF BEHAVIORAL HEALTH CARE SERVICES NEEDED AND REDUCES PREVENTABLE HOSPITAL READMISSIONS FOR MENTAL HEALTH SERVICES.- 2019 MERCY PARTICIPATED IN THE ENGAGING PATIENTS IN CARE COORDINATION (EPICC) IN PARTNERSHIP WITH AREA SUBSTANCE USE TREATMENT PROVIDERS AND BEHAVIORAL HEALTH NETWORK TO EXPEDITE THE INITIATION OF REHABILITATION AND ACCESS TO MEDICATION-ASSISTED TREATMENT, COUNSELING, BEHAVIORAL THERAPY AND A PEER-SUPPORT SPECIALIST. PATIENTS WHO HAVE BEEN BROUGHT TO MHL EMERGENCY DEPARTMENT FROM AN OPIOID OVERDOSE ARE OFFERED THIS SERVICE AT NO CHARGE. MANY OF THE COMMUNITY COMMENTS OR CONCERNS WE HEARD WERE ASKING TO BRING MORE HEALTH CARE SERVICES TO LINCOLN COUNTY, SUCH AS OB/GYN, SPECIALTY CARE AND PHARMACIES. LINCOLN COUNTY WAS DECLARED A HEALTH PROFESSIONAL SHORTAGE AREA BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES IN 2015 WHICH ENCOMPASSES PRIMARY CARE, DENTAL/ORAL CARE, AND MENTAL HEALTH SERVICES. ADVANCEMENTS IN SCIENCE AND TECHNOLOGY ARE MAKING TELE-HEALTH A REALITY AND MORE READILY AVAILABLE TO THOSE IN RURAL COMMUNITIES.MHL WILL CONTINUE TO SUPPORT, COLLABORATE AND PARTNER WITH COMMUNITY AGENCIES TO ADDRESS THESE ADDITIONAL COMMUNITY NEEDS: - ACCIDENTAL INJURIES/VIOLENCE: DOMESTIC, ELDERLY, CHILD ABUSE, AND TRAFFICKINGMHL WORKS CLOSELY WITH DOMESTIC VIOLENCE, SEX TRAFFICKING AND FAMILY SERVICES AGENCIES, SUCH AS BRIDGEWAY BEHAVIORAL HEALTH WOMEN'S SHELTER, LINCOLN COUNTY RESOURCE BOARD, TURNING POINT AND LOCAL LAW ENFORCEMENT TO ENSURE PATIENTS ARE GIVEN SAFE CHOICES WHILE IN A HOSPITAL SETTING. MERCY HAS BEGUN SAFETY AWARENESS AND EDUCATIONAL CAMPAIGNS WHICH INCLUDES INTERNAL TRAINING VIDEOS, RESTROOM RESOURCE POSTERS, AND THE INCORPORATION OF A SAFETY SCREENING/REFERRAL QUESTION WHICH CUES UP IN EACH PATIENT'S MERCY'S ELECTRONIC MEDICAL RECORD (EMR).- HEALTHY LIFESTYLES: HEART DISEASE, HIGH BLOOD PRESSURE, OBESITY/POOR NUTRITION/PHYSICAL INACTIVITYMERCY HAS PRIORITIZED IMPROVING HEALTHY LIFESTYLES AMONG ITS 10,000+ COWORKERS IN THE EAST COMMUNITY. THE HEALTHIFICATION PROGRAM IS A ROBUST INITIATIVE THAT PROVIDES COMPREHENSIVE HEALTH EVALUATION, SCREENING, EDUCATION, AND INCENTIVES TO INCREASE HEALTHY BEHAVIORS AND IMPROVE HEALTH AMONG MERCY COWORKERS. MERCY CLINIC ALSO OFFERS A VARIETY OF PROGRAMS AND SERVICES TO ADDRESS CHRONIC CONDITIONS AND A HEALTHY LIFESTYLE.- CANCERS: COLON, RECTUM AND LUNGCOMMUNITY CANCER SCREENINGS AND EDUCATION CONTINUE TO BE OFFERED REGIONALLY. EFFORTS TO ADDRESS TOBACCO CESSATION WILL CONTINUE THROUGH MERCY'S CERTIFIED HEALTH AND WELLNESS COACH/MERCY ROAD TO FREEDOM PROGRAM THROUGH MERCY'S CARDIOPULMONARY REHAB AREA. ADDITIONALLY, MERCY WILL CONTINUE TO ADVOCATE AROUND MEASURES THAT PROMOTE TOBACCO CESSATION. ST. LOUIS CITY AND COUNTY HAVE LEGALLY RAISED THE AGE TO PURCHASE TOBACCO PRODUCTS TO AGE 21. MHL WILL LOOK FOR OPPORTUNITIES TO EXPAND THIS LEGISLATION TO LINCOLN COUNTY WHERE THE AGE IS 18. ADDITIONAL NEEDS NOT BEING ADDRESSED AND WHY- PHYSICAL ENVIRONMENT: AIR/WATER QUALITY AND HOUSINGIN THE CATEGORY OF PHYSICAL ENVIRONMENT, MHL HAS CHOSEN TRANSPORTATION, UNDER THE ACCESS TO CARE PRIORITY, BUT NOT AIR/WATER OR HOUSING ISSUES DIRECTLY. COLLABORATION WITH LOCAL COALITIONS ADDRESSING HOMELESSNESS AND HOUSING WILL CONTINUE AS WILL MERCY'S SUPPORT OF INDUSTRY, GOVERNMENT, NON-GOVERNMENTAL ORGANIZATIONS AND THE PUBLIC IN ADDRESSING AIR AND WATER QUALITY IN OUR AREA. IN 2018, MERCY OPENED THEIR DOORS TO BE AN EMERGENCY OVERNIGHT WINTER SHELTER TO PREVENT THOSE IN NEED FROM FREEZING TO DEATH.
MERCY HOSPITAL LINCOLN PART V, SECTION B, LINE 20E: OTHER AREAS FROM A NOTICE PERSPECTIVE: FAP IS POSTED IN ALL REGISTRATION AREAS, FULL POLICY AND PLAIN LANGUAGE DOCUMENT POSTED ON WEBSITE, PLAIN LANGUAGE DOCUMENT IS AVAILABLE WHEN REQUESTED, THERE IS A NOTICE ON STATEMENT, AND ALL PATIENTS GET THREE STATEMENTS BEFORE THEY CAN GO TO A COLLECTION AGENCY.
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 22 ELIGIBILITY GUIDELINES FOR CHARITY CARE DISCOUNTS THE FEDERAL POVERTY GUIDELINES FOR INCOME ARE THE BASIS FOR DETERMINING ELIGIBILITY FOR CHARITY CARE DISCOUNTS. FOR EXAMPLE, INDIVIDUALS WITH INCOMES 200% OR BELOW, THE FEDERAL POVERTY GUIDELINES WILL BE ELIGIBLE FOR FREE CARE. INDIVIDUALS WITH INCOMES GREATER THAN 200% OF THE FEDERAL POVERTY GUIDELINES MAY BE ELIGIBLE FOR CARE AT DISCOUNTED RATES DEPENDING ON THEIR INCOME LEVEL AND/OR THE AMOUNT DUE TO THE HOSPITAL. TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE, THE HOSPITAL FACILITY USES AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE. THE HOSPITAL USES A LOOK BACK METHOD THAT CONSIDERS DISCOUNTS ALLOWED TO MEDICARE AND ALL PRIVATE HEALTH INSURERS.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2019
Page 9
Schedule H (Form 990) 2019
Page 9
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?6
Name and address Type of Facility (describe)
1 1 - MERCY HOSPITAL LINCOLN FAMILY MEDICINE
1003 EAST CHERRY STREET
TROY,MO63379
HOSPITAL BASED OUTPATIENT DEPTS: FAMILY PRACTICE
2 2 - MERCY HOSPITAL LINCOLN FAMILY MED & PS
900 EAST CHERRY STREET
TROY,MO63379
HOSPITAL BASED OUTPATIENT DEPTS: FAMILY PRACTICE & PSYCH SERVICES
3 3 - MERCY HOSPITAL LINCOLN FAMILY PRAC
1165 EAST CHERRY STREET
TROY,MO63379
HOSPITAL BASED OUTPATIENT DEPTS: FAMILY PRACTICE
4 4 - MERCY CLINIC GENERAL SURGERY
1175 EAST CHERRY STREET
TROY,MO63379
HOSPITAL BASED OUTPATIENT DEPTS: GENERAL SURGERY
5 5 - MERCY HOSPITAL LINCOLN FAM MED ELSBERRY
106 BROADWAY STREET SUITE 3C
ELSBERRY,MO63343
HOSPITAL BASED OUTPATIENT DEPTS: FAMILY PRACTICE
6 6 - MERCY HOSPITAL LINCOLN FAM MED WINFIELD
35 WINFIELD PLAZA
WINFIELD,MO63389
HOSPITAL BASED OUTPATIENT DEPTS: FAMILY PRACTICE
7
8
9
10
Schedule H (Form 990) 2019
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Schedule H (Form 990) 2019
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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, LN 7 COL(F): TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) ARE $42,355,375. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $4,625,148. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $37,730,227.
PART I, LINE 6A COMMUNITY BENEFIT REPORTTHE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS PREPARED BY ITS ULTIMATE PARENT ENTITY, MERCY HEALTH (EIN: 43-1423050).
PART II, COMMUNITY BUILDING ACTIVITIES: MERCY HOSPITAL LINCOLN (MHL) WAS ACQUIRED FROM LINCOLN COUNTY MEDICAL CENTER IN MARCH 2015 AS A CRITICAL ACCESS HOSPITAL. OUR COMMUNITY BUILDING ACTIVITIES HAVE CONTINUED TO PROMOTE THE HEALTH, WELLNESS AND SAFETY OF THE COMMUNITY IN WHICH IT SERVES. THROUGH ACTIVE PARTICIPATION ON COMMUNITY BOARDS, NEIGHBORHOOD/COMMUNITY COALITIONS AND INVOLVEMENT IN COMMUNITY-BASED EVENTS, MERCY BUILDS PARTNERSHIPS TO DEVELOP COLLABORATIVE SOLUTIONS TO ADDRESS COMMUNITY NEEDS. MERCY HOSPITAL LINCOLN PARTNERS WITH ORGANIZATIONS, CHURCHES, SCHOOLS AND AREA BUSINESSES TO CONTINUALLY STRIVE TO IMPROVE THE OVERALL HEALTH AND STRENGTH OF THE COMMUNITIES THEY SERVE WITH SPECIAL FOCUS ON THOSE WHO ARE POOR. SOME OF THESE COMMUNITY BUILDING PARTNERSHIPS AND COMMUNITY ENGAGEMENT ACTIVITIES INCLUDE:- LINCOLN COUNTY HEALTH DEPARTMENT- LINCOLN COUNTY RESOURCE BOARD- LINCOLN COUNTY COUNCIL ON AGING/SENIOR TASK FORCE- STS. JOACHIM & ANN CARE SERVICE- TROY AREA CHAMBER OF COMMERCEIN ADDITION, MHL ACTIVELY PARTICIPATES IN COALITIONS THAT ALIGN WITH THE HOSPITAL'S CHNA TOP HEALTH PRIORITIES OF ACCESS TO CARE AND SUBSTANCE USE, SUCH AS:- LINCOLN COUNTY HEALTHY COMMUNITIES- D.A.R.T. DRUG ALCOHOL REDUCTION TEAM TASK FORCE- ST. CHARLES, WARREN & LINCOLN COUNTY CONTINUUM OF CARE FOR ENDING HOMELESSNESSCASH/IN-KIND DONATIONSMERCY PROVIDES CASH AND IN-KIND DONATIONS ALL YEAR LONG THROUGH THE SUPPORT OF CO-WORKER ENGAGEMENT AND COMMUNITY SERVICE ACTIVITIES. THESE COMMUNITY BUILDING ACTIVITIES ALLOW MERCY CO-WORKERS TO LOOK BEYOND THE WALLS OF THE FACILITIES IN WHICH THEY SERVE TO BETTER UNDERSTAND AND ADDRESS THE NEEDS OF THE COMMUNITY. DURING 2020, CASH DONATIONS WERE GIVEN TO ORGANIZATIONS THROUGHOUT THE COMMUNITY THAT INCLUDED:- LINCOLN COUNTY COUNCIL ON AGING - MOSCOW MILLS LIONS CLUB- TROY BUCHANAN HIGH SCHOOL- TROY FUTURE FARMERS OF AMERICAA FULL DESCRIPTION OF OUR COMMUNITY BUILDING ACTIVITIES CAN BE FOUND AT WWW.MERCY.NET/ABOUT/COMMUNITY-BENEFITS.
PART III, LINE 2: TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE, AT COST, BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENT ACCOUNTS WAS MULTIPLIED BY A RATIO OF COST TO CHARGES. THE RATIO OF COST TO CHARGES USED WAS BASED ON DETAILED COST ACCOUNT, WHERE AVAILABLE. WHERE COST ACCOUNTING IS NOT AVAILABLE, COST REPORT COST TO CHARGE RATIOS WERE UTILIZED.
PART III, LINE 3: THE FILING ORGANIZATION DETERMINED THAT THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS $0. ALTHOUGH THE CHARITY CARE POLICY REQUIRES THE PARTICIPATION OF THE PATIENT REQUESTING ASSISTANCE, WE HAVE A PROCESS UNDER PRESUMPTIVE CHARITY TO ADDRESS ACCOUNTS FOR PATIENTS WHO DO NOT PROVIDE THE INFORMATION. WE BELIEVE THAT OUR CHARITY POLICY IS COMPREHENSIVE ENOUGH TO CAPTURE ALMOST ALL PATIENTS WHO QUALIFY FOR CHARITY CARE.
PART III, LINE 4: THE TEXT OF THE FOOTNOTE THAT IS INCLUDED IN MERCY HEALTH AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE FOLLOWS:IN MAY 2014, THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) AND INTERNATIONAL ACCOUNTING STANDARDS BOARD ISSUED ACCOUNTING STANDARDS UPDATE (ASU) 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606). THE HEALTH SYSTEM ADOPTED ASU 2014-09 ON JULY 1, 2018 USING A FULL RETROSPECTIVE BASIS. UPON ADOPTION, THE MAJORITY OF WHAT WAS PREVIOUSLY CLASSIFIED AS PROVISION FOR UNCOLLECTIBLE ACCOUNTS AND PRESENTED AS A REDUCTION TO PATIENT SERVICE REVENUE ON THE CONSOLIDATED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS IS TREATED A PRICE CONCESSION THAT REDUCES THE TRANSACTION PRICE, WHICH IS REPORTED AS PATIENT SERVICE REVENUE. AS SUCH, BAD DEBT EXPENSE IS NOT REFERENCED IN MERCY HEALTH AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS. PATIENT ACCOUNTS THAT ARE DEEMED UNCOLLECTIBLE, INCLUDING THOSE PLACED WITH COLLECTION AGENCIES, ARE INITIALLY CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN ACCORDANCE WITH COLLECTION POLICIES OF THE HEALTH SYSTEM AND, IN CERTAIN CASES, ARE RECLASSIFIED TO CHARITY CARE IF DEEMED TO OTHERWISE MEET THE HEALTH SYSTEM'S CHARITY CARE POLICY. THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, ANDOTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES BASED UPON THE PAYOR COMPOSITION AND AGING OF RECEIVABLES AS OF THE REPORTING DATE WITH CONSIDERATION OF THE HISTORICAL PAYMENTAND WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROMINSURANCE, THE HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING PAST-DUE BALANCES WITH COLLECTION AGENCIES.
PART III, LINE 8: IT IS THE POSITION OF MERCY HOSPITALS EAST COMMUNITIES THAT 100% OF ANY SHORT FALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS AMOUNT REPRESENTS COST OF PROVIDING SERVICES THAT REMAIN UNCOMPENSATED TO THE PROVIDER. THE UNREIMBURSED COSTS OF MEDICARE IS CALCULATED BY THE GROSS CHARGES NET OF THE COST TO CHARGE RATIO LESS ANY PAYMENTS, DEDUCTIONS OR REIMBURSEMENTS USING THE ANNUAL MEDICARE COST REPORT (CMS FORM 2552-96).
PART III, LINE 9B: MERCY'S COLLECTION POLICY PROVIDES THAT MERCY WILL PERFORM A REASONABLE COMMUNICATION AND/OR REVIEW OF PATIENT ACCOUNTS AS IT RELATES TO ANY SERVICE PROVIDED AT OUR FACILITIES BEFORE TURNING THE ACCOUNT TO BAD DEBT OR TAKING LEGAL ACTION FOR NONPAYMENT. MERCY ACTIVELY SCRUBS ACCOUNTS FOR PAYOR PLAN COVERAGE, INCLUDING MEDICAID. IN THE EVENT AN ACCOUNT IS TURNED TO COLLECTIONS AND IS IDENTIFIED IN NEED OF FINANCIAL ASSISTANCE DUE TO CIRCUMSTANCE CHANGES, OR IS NOW REQUESTING ASSISTANCE, THE ACCOUNTS ARE RETURNED BY THE AGENCY AND CONSIDERED FOR CHARITY IF THE PATIENT PROVIDES THE REQUESTED INFORMATION. IF THE PATIENT FAILS TO RETURN THE INFORMATION, THE ACCOUNT WILL QUALIFY FOR COLLECTIONS. MERCY UTILIZES THE EXPERIAN TOOL TO ENHANCE THE ABILITY TO DETERMINE THE CHARITY QUALIFICATION PRIOR TO TURNING TO BAD DEBT, A PROCESS KNOWN AS PRESUMPTIVE CHARITY. MERCY WILL GRANT CHARITY IN SITUATIONS WHERE THERE HAS BEEN AN INABILITY TO OBTAIN INFORMATION FROM PATIENTS OR THE INFORMATION PROVIDED IS NOT COMPLETE ENOUGH TO MAKE A CHARITY DETERMINATION WHEN A PATIENT HAS SUBMITTED AN APPLICATION. FOR A PORTION OF THE FISCAL YEAR, 7/1/19 - 10/13/19, MERCY UTILIZED THE SAME TOOL TO QUALIFY ACCOUNTS PER THE PRACTICE OF PRESUMPTIVE CHARITY PRIOR TO BAD DEBT PLACEMENT FOR BALANCES IN EXCESS OF $6,500. ALL ACCOUNT BALANCES RELATING TO ACCOUNTS IDENTIFIED BY THE HIGHER BALANCES WILL BE CONSIDERED AND FLAGGED FOR CHARITY IF THERE IS AN INABILITY TO PAY AFTER A RETURN FROM THE COLLECTION AGENCY AT APPROXIMATELY 120 DAYS. STARTING ON 10/14/19, MERCY IMPLEMENTED PRESUMPTIVE CHARITY FOR ALL BALANCES, IRREGARDLESS OF ACCOUNT BALANCE, WHERE THE EVALUATION TOOK PLACE PRIOR TO PATIENT BILLING AND ADDITIONALLY PRIOR TO BAD DEBT PLACEMENT. THE PRESUMPTIVE SCREENING WAS PER ENCOUNTER AND DID NOT PROMOTE ANY LOOK-BACK ADJUSTMENTS. PRIOR TO GO-LIVE ON 10/14/19, MERCY DID A ONE TIME EVALUTION OF ALL BAD DEBT ACCOUNTS BILLED IN THE LAST 240 DAYS THAT MET NEW PRESUMPTIVE CRITIERA AND ADJUSTED PER A TERMINAL PRESUMPTIVE ADJUSTMENT.MERCY WILL PURSUE APPROPRIATE MEANS IN THE COLLECTION OF DELINQUENT ACCOUNTS FROM PATIENTS WITH AN ESTABLISHED ABILITY TO PAY OR AN UNWILLINGNESS TO COOPERATE IN VALIDATING ELIGIBILITY FOR FINANCIAL ASSISTANCE. THESE APPROPRIATE MEANS MAY INCLUDE LEGAL ACTION CONSISTENT WITH MERCY MISSION AND VALUES AFTER SENDING 3 MONTHLY STATEMENTS WITH THE FINAL INCLUDING NOTIFICATION; IF NO RESOLUTION THEY WILL BE TURNED TO COLLECTIONS. ADDITIONALLY, THEY MAY INCLUDE LIENS UPON REAL PROPERTY AND REASONABLE WAGE GARNISHMENTS. LEGAL ACTIONS WILL GENERALLY NOT INCLUDE BANK GARNISHMENTS, REPOSSESSION OF ASSETS OR FORECLOSURES TO ENSURE SATISFACTION OF A LIEN. MERCY HAS POLICIES AND PROCEDURES ESTABLISHED TO ADDRESS THE INITIATION OF LEGAL ACTION AND ANNUALLY REVIEW COMPLIANCE WITH POLICIES BUT ENSURE 120 DAYS OF BILLING AND COLLECTIONS OCCUR PRIOR TO ANY EXTRAORDINARY COLLECTIONS ARE PURSUED.
PART VI, LINE 2: COMMUNITY HEALTH NEEDS ASSESSMENT PROCESSIN MARCH OF 2018, MERCY HOSPITAL LINCOLN (MHL) BEGAN PLANNING FOR ITS 2019-2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA).A COMMUNITY HEALTH COUNCIL (CHC), LED BY THE ADMINISTRATOR OF MERCY HOSPITAL LINCOLN, WAS FORMED AND GUIDED THE NEEDS ASSESSMENT PROCESS. THE COUNCIL CONVENES QUARTERLY AND IS ACCOUNTABLE FOR ENSURING THAT COMMUNITY BENEFIT ACTIVITIES MEET MISSION COMPLIANCE AND IRS GUIDELINES. IT CONSISTS OF MERCY LEADERS FROM VARIOUS DEPARTMENTS, SUCH AS BEHAVIORAL HEALTH, FINANCE, CARE MANAGEMENT, PHILANTHROPY, ETC., IN ADDITION TO A HOSPITAL BOARD MEMBER. THE COUNCIL DETERMINES WHICH HEALTH INITIATIVES WILL BE PUT FORTH IN THE HOSPITAL'S THREE-YEAR COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP).CO-WORKERS IN MERCY'S COMMUNITY HEALTH & ACCESS DEPARTMENT SERVED ON THE COUNCIL AND WERE THE PRIMARY LEADS OF THE 2019 CHNA. LINCOLN COUNTY HEALTH DEPARTMENT PROVIDED SUPPORT BY COLLECTING AND REVIEWING DATA FROM VARIOUS SOURCES. THESE INCLUDED SURVEYS, FOCUS GROUPS, PUBLISHED DATA, AND HOSPITAL-SPECIFIC DATA.THE VOICES OF THE PEOPLE OF LINCOLN COUNTY WERE CENTRAL TO THE HEALTH NEEDS ASSESSMENT PROCESS. MHL GATHERED COMMUNITY INPUT THROUGH:- SURVEYS - ONLINE AND PRINTED (FOR THOSE WITH NO COMPUTER ACCESS)- MERCY COMMUNITY ADVISORY PANELS- COMMUNITY COALITIONS AND STAKEHOLDER MEETINGSEXTERNAL SOURCES OF PUBLISHED DATA AREA AS FOLLOWS:1. COUNTY HEALTH RANKINGS 2019WWW.COUNTYHEALTHRANKINGS.ORGTHIS RESOURCE PROVIDES COUNTY-LEVEL DATA ON IMPORTANT HEALTH INDICATORS UPDATED ANNUALLY BY THE UNIVERSITY OF WISCONSIN-POPULATION HEALTH INSTITUTE AND THE ROBERT WOOD JOHNSON FOUNDATION.2. CDC COMMUNITY HEALTH STATUS INDICATOR REPORTHTTP://WWWN.CDC.GOV/COMMUNITYHEALTH/PROFILE/CURRENTPROFILE/MO/LINCOLN/COMMUNITY HEALTH STATUS INDICATORS (CHSI) 2015 IS AN ONLINE WEB APPLICATION THAT PRODUCES HEALTH STATUS PROFILES FOR EACH OF THE 3,143 COUNTIES IN THE UNITED STATES AND THE DISTRICT OF COLUMBIA. SUMMARY COMPARISON REPORTS PROVIDE AN "AT A GLANCE" SUMMARY OF HOW THE SELECTED COUNTY COMPARES WITH PEER COUNTIES ON THE FULL SET OF PRIMARY INDICATORS. (APPENDIX D)3. MISSOURI DEPARTMENT OF HEALTH & SENIOR SERVICES - BUREAU OF HEALTH INFORMATION AND MICA (MISSOURI INFORMATION FOR COMMUNITY ASSESSMENT)HTTP://HEALTH.MO.GOV/DATA/COMMUNITYDATAPROFILES/INDEX.HTMLTHIS RESOURCE PROVIDES COMMUNITY HEALTH ASSESSMENT PLANNING TOOLS AND COMMUNITY DATA PROFILES ON THIRTY HEALTH INDICATORS ON ALL 115 OF MISSOURI'S COUNTIES.4. COMMUNITY COMMONSHTTP://WWW.COMMUNITYCOMMONS.ORG/THIS RESOURCE IS DESIGNED TO ASSIST HOSPITALS AND OTHER ORGANIZATIONS SEEKING TO BETTER UNDERSTAND THE NEEDS AND ASSETS OF THEIR COMMUNITIES, AND TO ENCOURAGE COLLABORATION TO MAKE MEASURABLE IMPROVEMENTS IN COMMUNITY HEALTH AND WELL-BEING.
PART VI, LINE 3: MERCY 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 THROUGH SEVERAL MEANS. IF AT ANY TIME A PATIENT EXPRESSES HARDSHIP AND INABILITY TO PAY, THE ACCOUNTS IS PLACED FOR REVIEW. IN ADDITION, PATIENT HAVE SIGNAGE ABOUT THE POLICY AT THE ACCESS POINTS, AND ALL STAFF WORKING WITH THE PATIENT AT POINT OF SERVICE, SCHEDULING, CUSTOMER SERVICE, AND EVEN THROUGH THE MEDICAID ELIGIBILITY SCREENING, HAVE THE MEANS TO SEND THE ACCOUNT FOR REVIEW. THERE IS THE PLAIN LANGUAGE SUMMARY THAT IS BEING PROVIDED TO ALL WHOM EXPRESS HARDSHIP WHEN PRESENTING IN THE FACILITIES. IN ADDITION TO THE WEB ADDRESS PROVIDING THE APPLICATION, POLICIES, AND EVEN HOW UNINSURED ACCOUNTS ARE HANDLED. LASTLY, THE STATEMENTS (BILLING) INCLUDES MESSAGING TO THE PATIENT THAT MERCY DOES HAVE A FINANCIAL ASSISTANCE PROGRAM AND TO CALL TO SEE IF THEY ARE ELIGIBLE. MERCY STAFFS INTERNAL RESOURCES CERTIFIED TO ASSIST PATIENTS WITH MEDICAID APPLICATIONS AS WELL.
PART VI, LINE 4: THE PRIMARY SERVICE AREA FOR MERCY HOSPITAL LINCOLN INCLUDES LINCOLN COUNTY IN MISSOURI. THE FOLLOWING INFORMATION IS DERIVED FROM 2019 IBM/WATSON'S DEMOGRAPHICS. THE AREA'S POPULATION IS 66,076. 38% OF THE POPULATION'S AVERAGE HOUSEHOLD INCOME IS OVER $75,000. 40% OF THE POPULATION IS 45 AND OLDER.
PART VI, LINE 5: OPEN MEDICAL STAFFMEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR NEARLY ALL OF OUR DEPARTMENTS. MERCY HOSPITAL LINCOLN HAS EXCLUSIVE CONTRACTS WITH PHYSICIAN GROUPS FOR THE FOLLOWING SERVICES: RADIOLOGY, PATHOLOGY AND ANESTHESIA. THIS MEANS THAT GREATER THAN 90% OF THE PHYSICIANS ON STAFF ARE IN CATEGORIES THAT ARE OPEN TO QUALIFIED PHYSICIANS IN THE COMMUNITY.COMMUNITY BOARDS FY20 MERCY HEALTH EAST COMMUNITIES FY20 BOARD MEMBERSDON ARNOLD, MDJON BAUER, PHDCRAIG BOYD, MDMATUSCHKA LINDO-BRIGGSAPOLLO CAREYJEFF CIARAMITA, MDDENNIS GANNONKATHERINE GLOSENGER, RSMMICHAEL MARY GUTOWSKI, RSMWENDY HENRYJEFF JOHNSTONSUSAN O'CONNOR, RSMCHARLES REHM, MDGEORGE ROMANSTEPHEN SANDERS, MDKEVIN SHORTSTEVEN SWYERSMARIA LUISA VERA, RSMMERCY HOSPITAL LINCOLN FY20 BOARD MEMBERSDAVID EASTERDAY, DODON KALICAKBRADLEY MASSEY, DOANNETTE MEYERDR. MARK PENNYJOHN KELLYJEANETTE NOONAN, RSMDR. TIM RELLERSTEPHEN MACKINDALE COPESTEVEN EMERTHARVEY RHOADSROGER STEINBECKERMARILYN WITTENAUR,RSMUSE OF SURPLUS FUNDSSURPLUS FUNDS AND UNRESTRICTED ASSETS HELD BY MERCY HOSPITAL LINCOLN ARE REINVESTED IN PATIENT CARE, MEDICAL EDUCATION AND RESEARCH INITIATIVES WHICH SUPPORT THE ORGANIZATION'S MISSION TO DELIVER COMPASSIONATE CARE AND EXCEPTIONAL HEALTH CARE SERVICES TO THE COMMUNITIES IT SERVES. EXAMPLES INCLUDE THE FOLLOWING:- MERCY HOSPITAL AND MERCY CLINICS IN LINCOLN CONTINUED OPERATIONS ON EPIC, OUR ELECTRONIC HEALTH RECORD SYSTEM. BESIDES CONNECTING THE LINCOLN HOSPITAL WITH MERCY HOSPITALS AND 300 OUTPATIENT FACILITIES ACROSS ARKANSAS, KANSAS, MISSOURI AND OKLAHOMA, THE ELECTRONIC HEALTH RECORD ALSO SERVES AS A CENTRAL STORAGE POINT FOR MEDICAL INFORMATION. THIS "ONE PATIENT, ONE RECORD" CONCEPT MAKES HEALTH CARE EASIER, SAFER AND MORE EFFECTIVE.- OPENED A NEW ORTHOPEDIC OFFICE ON SITE THAT SEES PATIENTS FROM THE LOCAL PRIMARY CARE OFFICES AS WELL AS THE URGENT CARE AND EMERGENCY DEPARTMENT. OFTEN TIMES THEY CAN BE SEEN THE SAME DAY. - CONTINUED EXPANSION OF PRIMARY CARE AND SPECIALTY CARE PHYSICIANS TO THE MERCY HOSPITAL LINCOLN SERVICE AREA WITH A FOCUS TO REACH THE UNDERSERVED POPULATIONS CLOSER TO THEIR HOMES- CONTINUED PARTNERING WITH AREA EDUCATION PROGRAMS TO HELP PROMOTE THE TRAINING OF CRITICALLY NEEDED SERVICES FOR THE COMMUNITY INCLUDING SCHOOLS OF NURSING, RADIOLOGY AND PHARMACY- CONTINUED PARTNERING WITH THE LINCOLN COUNTY RESOURCE BOARD TO ADDRESS THE BEHAVIORAL HEALTH NEEDS OF THE COUNTYADDITIONAL COMMUNITY HEALTH INITIATIVE/INFORMATIONCURRENTLY NOT INCLUDED THROUGH THE REPORTING OF COMMUNITY BENEFIT OR COMMUNITY BUILDING ACTIVITIES ARE:IN KEEPING WITH MHL'S COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITY, MHL PROVIDES:- FREE CARE AND/OR SUBSIDIZED CARE- CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST- HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY- HEALTH EDUCATION PROGRAMS, AND- A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES.NUMEROUS COLLECTION DRIVES BY CO-WORKERS ARE HELD THROUGHOUT THE YEAR AND THE ITEMS, SUCH AS FOOD, CLOTHING, PERSONAL CARE ITEMS, GAS CARDS, SCHOOL SUPPLIES AND OTHER CRITICAL ITEMS ARE DONATED TO NON-PROFIT AGENCIES TO DISTRIBUTE TO THEIR CLIENTS. MERCY NEIGHBORHOOD MINISTRY (MNM)MERCY NEIGHBORHOOD MINISTRY IS A DEPARTMENT THAT SUPPORTS THE SERVICE AREAS OF MERCY HOSPITALS LINCOLN, ST. LOUIS, WASHINGTON, JEFFERSON AND THE SURROUNDING COUNTIES. IT FOCUSES ON CONNECTING THE ECONOMICALLY UNDERSERVED WITH APPROPRIATE HEALTH AND SOCIAL SERVICES AS WELL AS OVERALL COMMUNITY HEALTH AND ACCESS THROUGH PROMOTION AND EDUCATION OF AVAILABLE PROGRAMS. MNM PARTNERS WITH OVER 100 COMMUNITY HEALTH AND SOCIAL SERVICE AGENCIES, CLINICS, CHURCHES AND SCHOOLS. NEARLY HALF OF ITS ANNUAL EXPENSES ARE OFFSET THROUGH MERCY FOUNDATION. MANY OF THE PROGRAMS MENTIONED BELOW ARE PART OF OUR CURRENT COMMUNITY HEALTH IMPACT PLAN (CHIP). THESE ARE INDICATED BY ASTERISKS.ACCESS TO CAREMERCY ELIGIBILITY PROGRAM*SINCE THE BEGINNING OF OPEN ENROLLMENT THROUGH THE AFFORDABLE CARE ACT IN AUGUST 2013, MERCY HAS HELPED THOSE IN NEED OF AFFORDABLE HEALTH INSURANCE TO ENROLL IN PLANS AND/OR EDUCATE THEM ABOUT THEIR OPTIONS. ENROLLMENTS TO-DATE TOTAL OVER 1,000 COVERED LIVES AND ATTENDED EVENTS RESULTING IN EDUCATIONAL OPPORTUNITIES IN UNDERSTANDING THE TERMINOLOGY AND USAGE OF HEALTH INSURANCE.BEHAVIORAL HEALTH-SUBSTANCE USEPDMP*AS MISSOURI IS THE ONLY STATE IN THE UNION WITHOUT A PRESCRIPTION DRUG MONITORING PROGRAM, ADVOCACY EFFORTS CONTINUE TO APPEAL TO THE STATE. PROVIDER EDUCATION CONTINUES TO PROMOTE USING THE ST. LOUIS COUNTY/MULTI-COUNTY SYSTEM IN PLACE. NARCAN TRAINING*MERCY HOSPITAL WASHINGTON ENTERED INTO PARTNERSHIP TO TRAIN FIRST RESPONDERS IN SEVERAL COUNTIES ON THE USE OF NARCAN (NALOXONE) WHICH REVERSES THE EFFECTS OF AN OPIOID OVERDOSE AND STORE THE NALOXONE AT MERCY. LINCOLN COUNTY AND MERCY HOSPITAL LINCOLN WERE PART OF THE PARTNERSHIP.MERCY ROAD TO FREEDOMTHIS PROGRAM WAS OFFERED TO THE COMMUNITY AND MERCY CO-WORKERS AS A TELEPHONIC, ONE-ON-ONE SUPPORT SYSTEM WITH A SPECIALTY TRAINED COUNSELOR TO STOP USING TOBACCO PRODUCTS. SINCE 2013, OVER 80 PEOPLE HAVE KICKED THE HABIT.PHYSICIANSMERCY HEALTH HAS A LARGE NUMBER OF CLINICS, PHYSICIAN OFFICES AND OTHER HEALTHCARE FACILITIES LOCATED IN THE EAST COMMUNITY THAT ARE NOT ASSOCIATED WITH A HOSPITAL EIN. THESE CLINICS AND FACILITIES PROVIDE FINANCIAL ASSISTANCE, PARTICIPATE IN HEALTH PROFESSIONS EDUCATION (I.E. STUDENT SHADOWING) AND PROVIDE IN-KIND CONTRIBUTIONS TO THEIR COMMUNITIES.
PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEMTHE FILING ORGANIZATION IS PART OF MERCY HEALTH ("MERCY"). MERCY IS A MISSOURI NON-PROFIT CORPORATION WITH ITS HEADQUARTERS ("MINISTRY OFFICE") IN ST. LOUIS, MISSOURI. MERCY PROVIDES HEALTH CARE SERVICES IN FOUR STATES - ARKANSAS, KANSAS, MISSOURI, AND OKLAHOMA - AND HAS OUTREACH MINISTRIES LOCATED IN LOUISIANA, MISSISSIPPI, AND TEXAS. MERCY'S MISSION IS "AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE." AS OF JUNE 30, 2020, MERCY FACILITIES INCLUDED 29 ACUTE CARE HOSPITALS, 4 HEART HOSPITALS, 2 CHILDREN'S HOSPITALS, 2 ORTHOPEDIC HOSPITALS AND 3 REHAB HOSPITALS. FOR THE FISCAL YEAR ENDED JUNE 30, 2020, MERCY HAD MORE THAN 10.8 MILLION OUTPATIENT AND PHYSICIAN OFFICE VISITS, APPROXIMATELY 2,400 EMPLOYED PHYSICIANS, AND APPROXIMATELY 44,000 FULL-TIME EQUIVALENT EMPLOYEES, MAKING MERCY THE SIXTH LARGEST CATHOLIC HEALTH SYSTEM IN THE UNITED STATES. MERCY IS SPONSORED BY MERCY HEALTH MINISTRY, WHICH IS GOVERNED BY MEMBERS THAT INCLUDE SISTERS OF MERCY. MANY SERVICES THAT ARE ESSENTIAL TO FULFILLING MERCY'S MISSION ARE CENTRALIZED AT THE MINISTRY OFFICE. SUCH CENTRALIZED SERVICES INCLUDE: FINANCE (INCLUDING TREASURY, FINANCIAL ACCOUNTING AND REPORTING, REVENUE MANAGEMENT, INTERNAL AUDIT, ACCOUNTS PAYABLE AND PAYROLL OPERATIONS, ANALYTICS AND DECISION SUPPORT); ENVIRONMENTAL SERVICES SUPPORT; CLINICAL INTEGRATION; CARE MANAGEMENT; CLINICAL PERFORMANCE ACCELERATION; CLINICAL ENGINEERING; CLINICAL QUALITY MANAGEMENT; COMPLIANCE; GRANTS AND RESEARCH SERVICES; LEGAL AND COMPLIANCE COUNSEL; MARKETING AND COMMUNICATIONS; PLANNING, DESIGN AND CONSTRUCTION; PRODUCT DEVELOPMENT INFORMATICS; REAL ESTATE; SUPPLY CHAIN MANAGEMENT; MANAGED CARE STRATEGY SUPPORT; HUMAN RESOURCES (INCLUDING COMPENSATION, BENEFITS AND RECRUITING); MISSION SERVICES AND ETHICS; PHILANTHROPY SUPPORT; INFORMATION TECHNOLOGY; AND, COMMUNITY RELATIONS. THE CENTRALIZATION OF SUCH SUPPORT SERVICES ENABLES MERCY TO ENSURE THAT EACH OF ITS COMMUNITIES, WHETHER LARGE OR SMALL, HAS THE SERVICES IT NEEDS.
PART VI, LINE 7, REPORTS FILED WITH STATES MO
COVID-19 PLEASE SEE SCHEDULE O FOR INFORMATION RELATED TO COVID-19.
Schedule H (Form 990) 2019
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