2026-05-12T08:30:39-05:00 2025-06-30 990 2024-07-01 421500277 BAUM HARMON MERCY HOSPITAL BAUM 5153589200 1000 4TH STREET SW MASON CITY IA 50401 TERRI DONOVAN INTERIM VP FINANCE, MERCYONE 5153589200 2026-05-12 1 2024 2025-03-06 01:10:19Z X MERCYONE PRIMGHAR MEDICAL CENTER MICHAEL TAYLOR 411 LAUREL ST 200 DES MOINES IA 50314 1815975 0 X WWW.MERCYONE.ORG X 2000 IA TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES X 4 0 0 3 0 0 341 15786 6726995 1659003 -1812 82139 31939 51949 6757463 1808877 300 0 0 0 3520328 1372816 0 0 0 3301708 1256358 6822336 2629174 -64873 -820297 2781347 403464 810661 213645 1970686 189819 X WE, MERCY HEALTH SERVICES-IOWA AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES.BAUM HARMON MERCY HOSPITAL IS A MEMBER OF MERCY HEALTH SERVICES-IOWA AND TRINITY HEALTH. 0 1 2033281 1709125 IN SEPTEMBER 2024, BAUM HARMON MERCY HOSPITAL (MERCYONE PRIMGHAR) CEASED OPERATIONS. THE ORGANIZATION IS CURRENTLY WINDING DOWN ACTIVITY.PRIOR TO CEASING OPERATIONS, MERCYONE PRIMGHAR PROVIDED QUALITY HEALTH CARE TO THE RESIDENTS OF PRIMGHAR, IOWA AND THE SURROUNDING COMMUNITIES. THE HOSPITAL PROVIDED COMPREHENSIVE CARE FOR ALL FAMILY MEMBERS THROUGH INPATIENT CARE AND EMERGENCY SERVICES. MERCYONE PRIMGHAR HAD 14 ACUTE CARE BEDS AND ALSO OPERATED THREE AFFILIATED MEDICAL CLINICS IN PAULLINA, SUTHERLAND, AND PRIMGHAR.PLEASE SEE SCHEDULE H FOR ADDITIONAL INFORMATION. 2033281 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 1 27 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 4 0 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 0 X SUSAN MCLEAN 5153589200 1000 4TH STREET SW MASON CITY IA 50401 STEVE LOSHMAN DIRECTOR & CHAIR THROUGH 9/24 1.00 0.00 X X 0 0 0 DEE VANDERPOL DIRECTOR & VICE CHAIR THROUGH 9/24 1.00 0.00 X X 0 0 0 JULIE SAMPSON DIRECTOR & SECRETARY THROUGH 9/24 1.00 0.00 X X 0 0 0 HEATHER CAMPBELL DIR 10/24; CHIEF LEGAL OFCR MERCYONE 1.00 49.00 X 0 584069 57759 MELISSA CUNNINGHAM DIRECTOR & CAH DIRECTOR THROUGH 9/24 44.00 1.00 X 0 171813 20162 KELLY POMERENKE DIRECTOR; CLINIC PHYSICIAN 50.00 0.00 X 0 119338 24441 THOMAS CLARK DIR AT 10/24; PRES WEST IOWA REGION 1.00 54.00 X X 0 848031 155119 JESICA HANSON DIR 10/24;VP FIN MERCYONE SIOUXLAND 1.00 49.00 X X 0 434258 49713 NICOLE VOIGT ADVANCED PRACTICE CLINICIAN 50.00 0.00 X 0 152420 43872 BRIDGET DOEDEN ADVANCED PRACTICE CLINICIAN 50.00 0.00 X 0 143594 22777 PATRICK KENT ADVANCED PRACTICE CLINICIAN 50.00 0.00 X 0 138503 25781 BROOKE FIDDELKE ADVANCED PRACTICE CLINICIAN 50.00 0.00 X 0 138514 16191 BRENDA DAY LAB SERVICES COORDINATOR THRU 9/24 40.00 0.00 X 0 102705 17974 DOUGLAS STRONG FRMR OFFCR; CEO HOLY CROSS THR 10/24 0.00 55.00 X 0 770383 23642 0 3603628 457431 0 1 1 0 HALLMARK HEALTH CARE SOLUTIONS INC 20 CITY SQ SUITE 202 CHARLESTOWN MA 02129 HEALTH CARE CONSULTING 403133 THERAPEUTIC HEALTH SERVICES 4675 HWY US 75 MAURICE IA 51036 THERAPY SERVICES 249124 HEALTH CAROUSEL LLC 1700 MADISON RD SUITE 100 CINCINNATI OH 45206 STAFFING SERVICES 210180 TRUBRIDGE INC 54 SAINT EMANUEL ST MOBILE AL 36602 HEALTH CARE SOLUTIONS 196658 SANFORD MEDICAL CENTER 1305 W 18TH STREET SIOUX FALLS SD 57105 PHYSICIAN SERVICES 103184 5 15786 15786 NET PATIENT SVC REV 622110 1659003 1659003 1659003 882 882 2625 6300 2697 4401 -72 1899 1827 1827 81257 0 81257 81257 81257 OTHER RELATED REVENUE 622110 50122 50122 50122 1808877 1709125 0 83966 X 325295 143779 181516 875630 790391 85239 118556 107015 11541 53335 46932 6403 549473 476746 72727 1634 1201 433 76781 15342 61439 176944 13877 163067 143610 130374 13236 1695 1631 64 825 825 533 533 1154 1154 MEDICAL SUPPLIES 139951 139951 HOSPITAL PROVIDER TAX 63908 63908 I/C PURCHASED SERVICES 52226 52226 EQUIPMENT MAINTENANCE 44904 44898 6 2720 2498 222 2629174 2033281 595893 0 173808 501 2447765 284916 143951 15823 118047 2781347 403464 582384 47407 228277 166238 810661 213645 X 1970686 189819 1970686 189819 2781347 403464 X -820297 -960570 X X 0 1 X 1 1 1 X 0 INTERCOMPANY ACCOUNT RECEIVALBLES 117523 MISCELLANEOUS RECEIVABLES 524 118047 INTERCOMPANY ACCOUNTS PAYABLE 122808 ASSET RETIREMENT OBLIGATION 40188 OTHER LONG TERM LIABILITIES 352 OTHER CURRENT LIABILITIES 2890 166238 1 1 X 1 X 1 X 1 1 0 1 1 11 24587 24587 0.00940 183 308429 431416 0 0.00000 194 333016 431416 24587 0.00940 3 10 749 749 0.00030 1 198737 52204 146533 0.05570 4 10 199486 52204 147282 0.05600 4 204 532502 483620 171869 0.06540 1 -38187 0 1170613 1252759 -82146 X 1 1 1 1 MERCYONE PRIMGHAR MEDICAL CENTER 255 N WELCH AVE PRIMGHAR IA 51245 WWW.MERCYONE.ORG 710106H X X X X REHAB, SKILLED NURSING CARE, CLINICS MERCYONE PRIMGHAR MEDICAL CENTER 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X SEE SCHEDULE H, PART V, SECTION C X 1 22 1 SEE SCHEDULE H, PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X 1 X 0 0 MERCYONE PRIMGHAR MEDICAL CENTER PART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E: MERCYONE PRIMGHAR MEDICAL CENTER (MERCYONE PRIMGHAR) INCLUDED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS, WHICH WERE IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS: 1. MENTAL HEALTH AND SUBSTANCE MISUSE2. ACCESS TO PRIMARY CARE AND DENTAL CARE3. SAFE HOUSING AND TRANSPORTATION4. CHILD CARE ACCESS AND AFFORDABILITY5. MATERNAL, INFANT, AND CHILD HEALTH6. ACCESS TO NUTRITIOUS FOODS AND PHYSICAL ACTIVITY OPPORTUNITIES7. LUNG HEALTH MERCYONE PRIMGHAR MEDICAL CENTER PART V, SECTION B, LINE 5: MERCYONE PRIMGHAR COLLECTED COMMUNITY INPUT THROUGH A 32-QUESTION SURVEY. A TOTAL OF 102 RESPONSES WERE COLLECTED BETWEEN JANUARY 20, 2023, AND FEBRUARY 19, 2023. SURVEYS WERE DISTRIBUTED TO COMMUNITY MEMBERS AND ORGANIZATIONS THROUGHOUT O'BRIEN COUNTY, INCLUDING, BUT NOT LIMITED TO, NONPROFIT ORGANIZATIONS, NURSING HOMES, HOSPITALS AND CLINICS, RELIGIOUS ORGANIZATIONS, AND CITY AND COUNTY EMPLOYEES. SURVEY INFORMATION WAS ALSO POSTED AT THE COURTHOUSE AND DISTRIBUTED VIA SOCIAL MEDIA. THE SURVEY WAS AVAILABLE BOTH ELECTRONICALLY AND VIA A PAPER FORM. THE PAPER SURVEY WAS AVAILABLE IN ENGLISH AND SPANISH.BETWEEN FEBRUARY 28, 2023, AND MARCH 13, 2023, REPRESENTATIVES FROM MERCYONE PRIMGHAR, O'BRIEN COUNTY PUBLIC HEALTH, O'BRIEN COUNTY EMERGENCY MANAGEMENT, LOVE INC, AND A MENTAL HEALTH ADVOCATE SERVING O'BRIEN COUNTY PARTICIPATED IN THE PRIORITIZATION PROCESS. MERCYONE PRIMGHAR MEDICAL CENTER PART V, SECTION B, LINE 11: MERCYONE PRIMGHAR ADDRESSED THE FOLLOWING SIGNIFICANT NEEDS IN FY25 BEFORE CLOSING OPERATIONS ON SEPTEMBER 30, 2024:MENTAL HEALTH:MERCYONE PRIMGHAR LED THE O'BRIEN COUNTY MENTAL HEALTH WORKGROUP TO ENHANCE COMMUNITY COLLABORATION AND IDENTIFY ADDITIONAL STRATEGIES TO ENHANCE ACCESS. UPON HOSPITAL CLOSURE, LEADERSHIP OF THIS GROUP WAS TRANSFERRED TO O'BRIEN COUNTY PUBLIC HEALTH. THIS WORKGROUP FOCUSED ON INCREASING AWARENESS OF MENTAL HEALTH RESOURCES AND INCREASING MENTAL HEALTH ACCESS POINTS. MERCYONE PRIMGHAR PARTNERED WITH FLOWSTATE TO PROVIDE TELEHEALTH CRISIS MANAGEMENT SERVICES IN THE EMERGENCY ROOM; SERVICES INCLUDED EVALUATIONS, RECOMMENDATIONS, AND PLACEMENT. MERCYONE PRIMGHAR ALSO PARTNERED WITH ALL THINGS NEW THERAPY SERVICES TO OPERATE A SATELLITE OUTPATIENT MENTAL HEALTH CLINIC AT THE HOSPITAL WHERE THE THERAPIST OFFERED OUTPATIENT TALK THERAPY SERVICES FOR ALL AGES. MERCYONE PRIMGHAR CONTINUED TO REFER PATIENTS TO ADDITIONAL MENTAL HEALTH RESOURCES AS NEEDED & SHARED LOCAL RESOURCES WITH COMMUNITY PARTNERS. ACCESS TO NUTRITIOUS FOODS:MERCYONE PRIMGHAR LED THE O'BRIEN COUNTY FOOD ACCESS WORKGROUP TO ENHANCE COMMUNITY COLLABORATION AND IDENTIFY ADDITIONAL STRATEGIES TO ENHANCE ACCESS. UPON HOSPITAL CLOSURE, LEADERSHIP OF THIS GROUP WAS TRANSFERRED TO O'BRIEN COUNTY PUBLIC HEALTH. THIS WORKGROUP FOCUSED ON INCREASING AWARENESS OF FOOD ASSISTANCE RESOURCES AND MERCYONE PRIMGHAR DISTRIBUTED A LOCAL RESOURCE GUIDE IN ITS HOSPITAL AND CLINICS. THE WORKGROUP ALSO DEVELOPED AND IMPLEMENTED A NEW FOOD ASSISTANCE PROGRAM IN O'BRIEN COUNTY.MERCYONE PRIMGHAR DID NOT DIRECTLY ADDRESS THE BELOW NEEDS IN THIS CHNA CYCLE DUE TO COMPETING PRIORITIES, LACK OF RESOURCES, AND BECAUSE OTHER AGENCIES ARE ALREADY ADDRESSING THESE ISSUES. ADDITIONAL EFFORTS WHILE OPERATIONAL INCLUDE:SUBSTANCE MISUSE: MERCYONE PRIMGHAR CONTINUED TO SCREEN PATIENTS FOR SUBSTANCE MISUSE AND REFER TO SPECIALISTS AS NEEDED. ACCESS TO PRIMARY CARE AND DENTAL CARE: MERCYONE PRIMGHAR PROVIDED PRIMARY CARE SERVICES AT ITS THREE RURAL HEALTH CLINICS. MERCYONE PRIMGHAR ALSO PROVIDED MEDICATION TO PATIENTS FREE OF CHARGE AT DISCHARGE WHEN RETAIL PHARMACY ACCESS WAS UNAVAILABLE. SAFE HOUSING AND TRANSPORTATION: MERCYONE PRIMGHAR REFERRED PATIENTS PRESENTING WITH HOUSING AND TRANSPORTATION NEEDS TO LOCAL AVAILABLE RESOURCES.CHILD CARE ACCESS AND AFFORDABILITY: MERCYONE PRIMGHAR PROVIDED INFORMATION ON LOCAL AVAILABLE CHILDCARE RESOURCES AS NEEDED.MATERNAL, INFANT, AND CHILD HEALTH: MERCYONE PRIMGHAR REFERRED TO OBSTETRIC PROVIDERS AS NEEDED.PHYSICAL ACTIVITY OPPORTUNITIES: MERCYONE PRIMGHAR CONTINUED TO OPERATE A FITNESS CENTER AT THE PRIMGHAR MEDICAL CLINIC. THE FITNESS CENTER PROVIDES AN AFFORDABLE PLACE TO EXERCISE AND REHABILITATE AFTER INJURIES/ILLNESSES. LUNG HEALTH: MERCYONE PRIMGHAR SCREENED ADULTS FOR TOBACCO IDENTIFICATION AND PROVIDED EDUCATION. MERCYONE PRIMGHAR CONTINUED TO REFER PATIENTS TO SPECIALIST CARE AS NEEDED. MERCYONE PRIMGHAR MEDICAL CENTER PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON LIMITED AVAILABLE INFORMATION. WHEN SUCH APPROVAL IS GRANTED, IT IS CLASSIFIED AS "PRESUMPTIVE SUPPORT." EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, HOMELESS PATIENTS, 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 DISADVANTAGED PATIENTS, A THIRD-PARTY MAY BE UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTH CARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY ARE EXHAUSTED, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY DISADVANTAGED PATIENTS. MERCYONE PRIMGHAR MEDICAL CENTER - PART V, SECTION B, LINE 7A: WWW.MERCYONE.ORG/ABOUT-US/COMMUNITY-HEALTH-AND-WELL-BEING MERCYONE PRIMGHAR MEDICAL CENTER - PART V, SECTION B, LINE 10A: WWW.MERCYONE.ORG/ABOUT-US/COMMUNITY-HEALTH-AND-WELL-BEING MERCYONE PRIMGHAR MEDICAL CENTER, PART V, LINE 16A, FAP WEBSITE: WWW.MERCYONE.ORG/FOR-PATIENTS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE-RHM MERCYONE PRIMGHAR MEDICAL CENTER, PART V, LINE 16B, FAP APPLICATION WEBSITE:WWW.MERCYONE.ORG/FOR-PATIENTS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE-RHM MERCYONE PRIMGHAR MEDICAL CENTER, PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:WWW.MERCYONE.ORG/FOR-PATIENTS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE-RHM BAUM HARMON MERCY HOSPITAL - PART V, SECTION B, LINE 9 AS PERMITTED IN THE FINAL SECTION 501(R) REGULATIONS, THE HOSPITAL'S IMPLEMENTATION STRATEGY WAS ADOPTED WITHIN 4 1/2 MONTHS AFTER THE FISCAL YEAR END THAT THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE TO THE PUBLIC. 3 1 - MERCYONE PRIMGHAR FAMILY MEDICINE CLINIC - 240 N RERICK AVE PRIMGHAR IA 51245 OUTPATIENT CLINIC 2 - MERCYONE SUTHERLAND FAMILY MEDICINE CLINIC - 131 W 2ND ST SUTHERLAND IA 51058 OUTPATIENT CLINIC 3 - MERCYONE PAULLINA FAMILY MEDICINE CLINIC - 108 E GROSEBECK ST PAULLINA IA 51046 OUTPATIENT CLINIC 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: BAUM HARMON MERCY HOSPITAL (MERCYONE PRIMGHAR) 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.MERCYONE PRIMGHAR ALSO INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON TRINITY HEALTH'S WEBSITE AT WWW.TRINITY-HEALTH.ORG/OUR-IMPACT/COMMUNITY-HEALTH-AND-WELL-BEING. 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, ($38,187), REPRESENTS THE AMOUNT OF BAD DEBT EXPENSE. 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 III, LINE 2: METHODOLOGY USED FOR LINE 2 - ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS NOT INCLUDED IN BAD DEBT EXPENSE. AS A RESULT OF THE PAYMENT AND ADJUSTMENT ACTIVITY BEING POSTED TO BAD DEBT ACCOUNTS, WE ARE ABLE TO REPORT BAD DEBT EXPENSE NET OF THESE TRANSACTIONS. PART III, LINE 3: MERCYONE PRIMGHAR USES A PREDICTIVE MODEL THAT INCORPORATES THREE DISTINCT VARIABLES IN COMBINATION TO PREDICT WHETHER A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE: (1) SOCIO-ECONOMIC SCORE, (2) ESTIMATED FEDERAL POVERTY LEVEL (FPL), AND (3) HOMEOWNERSHIP. BASED ON THE MODEL, CHARITY CARE CAN STILL BE EXTENDED TO PATIENTS EVEN IF THEY HAVE NOT RESPONDED TO FINANCIAL COUNSELING EFFORTS AND ALL OTHER FUNDING SOURCES HAVE BEEN EXHAUSTED. FOR FINANCIAL STATEMENT PURPOSES, MERCYONE PRIMGHAR IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, MERCYONE PRIMGHAR IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL. PART III, LINE 4: MERCYONE PRIMGHAR IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE PATIENT ACCOUNTS RECEIVABLE, ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS FOOTNOTE FROM PAGE 14 OF THOSE STATEMENTS: "AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO THE PASSAGE OF TIME IS TREATED AS A RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS FOR WHICH THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYERS FOR RETROACTIVE ADJUSTMENTS, ARE RECEIVABLES IF THE RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. FOR PATIENT ACCOUNTS RECEIVABLE, THE ESTIMATED UNCOLLECTABLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT SERVICE REVENUE AND ACCOUNTS RECEIVABLE.THE CORPORATION HAS AGREEMENTS WITH THIRD-PARTY PAYERS THAT PROVIDE FOR PAYMENTS TO THE CORPORATION'S HEALTH MINISTRIES AT AMOUNTS DIFFERENT FROM ESTABLISHED RATES. ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYERS AND OTHER CHANGES IN ESTIMATES ARE INCLUDED IN NET PATIENT SERVICE REVENUE AND ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS, AS FINAL SETTLEMENTS ARE DETERMINED. ESTIMATED RECEIVABLES FROM THIRD-PARTY PAYERS ALSO INCLUDES AMOUNTS RECEIVABLE UNDER STATE MEDICAID PROVIDER TAX PROGRAMS."PART III, LINE 5:TOTAL MEDICARE REVENUE REPORTED IN PART III, LINE 5 HAS BEEN REDUCED BY THE TWO PERCENT SEQUESTRATION REDUCTION. PART III, LINE 8: THE IRS COMMUNITY BENEFIT OBJECTIVES INCLUDE RELIEVING OR REDUCING THE BURDEN OF GOVERNMENT TO IMPROVE HEALTH. TREATING MEDICARE PATIENTS CREATES SHORTFALLS THAT MUST BE ABSORBED BY HOSPITALS, WHICH PROVIDE CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVE THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. THEREFORE, THE HOSPITAL BELIEVES ANY MEDICARE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT. TRINITY HEALTH AND ITS HOSPITALS REPORT AS COMMUNITY IMPACT THE LOSS ON MEDICARE AND A HOST OF MANY OTHER EXPENSES DESIGNED TO SERVE PEOPLE EXPERIENCING POVERTY IN OUR COMMUNITIES. SEE SCHEDULE H, PART VI, LINE 5 FOR MORE INFORMATION. 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 26, 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. THE HOSPITAL HAS IMPLEMENTED BILLING AND COLLECTION PRACTICES FOR PATIENT PAYMENT OBLIGATIONS THAT ARE FAIR, CONSISTENT AND COMPLIANT WITH STATE AND FEDERAL REGULATIONS. PART VI, LINE 2: NEEDS ASSESSMENT - MERCYONE PRIMGHAR ASSESSES THE HEALTH STATUS OF ITS COMMUNITY, IN PARTNERSHIP WITH COMMUNITY COALITIONS, AS PART OF THE NORMAL COURSE OF OPERATIONS AND IN THE CONTINUOUS EFFORTS TO IMPROVE PATIENT CARE AND THE HEALTH OF THE OVERALL COMMUNITY. TO ASSESS THE HEALTH OF THE COMMUNITY, THE HOSPITAL USED PATIENT DATA, PUBLIC HEALTH DATA, ANNUAL COUNTY HEALTH RANKINGS, MARKET STUDIES AND GEOGRAPHICAL MAPS SHOWING AREAS OF HIGH UTILIZATION FOR EMERGENCY SERVICES AND INPATIENT CARE, WHICH MAY INDICATE POPULATIONS OF INDIVIDUALS WHO DO NOT HAVE ACCESS TO PREVENTATIVE SERVICES OR ARE UNINSURED. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - MERCYONE PRIMGHAR COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS OFFERED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HEALTH CARE BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES, FEDERAL, STATE, AND LOCAL GOVERNMENT PROGRAMS, AND OTHER COMMUNITY-BASED CHARITABLE PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY ASSIST THEM IN OBTAINING AND PAYING FOR HEALTH CARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY FOR FINANCIAL SUPPORT PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. MERCYONE PRIMGHAR OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. NOTIFICATION ABOUT FINANCIAL ASSISTANCE AND GOVERNMENT PROGRAMS, 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 AND GOVERNMENT PROGRAMS IS ALSO AVAILABLE ON HOSPITAL WEBSITES. IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN OTHER LANGUAGES AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R), REFLECTING OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITAL. PART VI, LINE 4: COMMUNITY INFORMATION - MERCYONE PRIMGHAR MEDICAL CENTER IS LOCATED IN PRIMGHAR, IOWA, AND THE PRIMARY SERVICE AREA INCLUDES O'BRIEN COUNTY. THE TOTAL POPULATION OF O'BRIEN COUNTY, AS RECORDED ON THE MOST RECENT CENSUS IN 2020, IS 14,182. THE MORE RECENT 2021 ESTIMATE LISTS THE POPULATION AS 14,015. O'BRIEN COUNTY, ALONG WITH OTHER RURAL IOWA COMMUNITIES, IS EXPERIENCING POPULATION DECLINES. THE POPULATION OF O'BRIEN COUNTY DECREASED BY 1.5% BETWEEN 2010 AND 2020. O'BRIEN COUNTY IS APPROXIMATELY 96% WHITE ALONE, 6% HISPANIC OR LATINO, 1.6% BLACK OR AFRICAN AMERICAN ALONE AND 1.2% TWO OR MORE RACES. GAINS IN MINORITY RESIDENTS PARTIALLY OFFSET POPULATION DECLINES IN O'BRIEN COUNTY. POPULATION GROWTH WAS LARGEST IN THE HISPANIC COMMUNITY AT 3.1%, FOLLOWED BY RESIDENTS IDENTIFYING WITH TWO OR MORE RACES (1.3%). THE MEDIAN AGE OF THE COUNTY'S POPULATION IS 40.7, WITH THE MAJORITY OF THE POPULATION 18-64 YEARS OLD (55%). OF THE POPULATION, 24% IS UNDER 18 AND 21% IS 65 AND OLDER.IN O'BRIEN COUNTY, THERE ARE 77.56 PRIMARY CARE PROVIDERS PER 100,000 POPULATION, 28.2 MENTAL HEALTH PROVIDERS PER 100,000 POPULATION, 14.10 ADDICTION/SUBSTANCE USE PROVIDERS PER 100,000 POPULATION AND 58.5 DENTISTS PER 100,000 POPULATION. THESE SHORTAGES ARE ALL MORE SIGNIFICANT THAN STATE AND NATIONAL SHORTAGES. PART VI, LINE 5: OTHER INFORMATION - MERCYONE PRIMGHAR IS A CRITICAL ACCESS HOSPITAL THAT REMAINED FOCUSED ON IMPROVING THE HEALTH OF OUR COMMUNITY. HOSPITAL PROGRAMS INCLUDE ACUTE CARE, SWING BED, RESPITE CARE, 24-HOUR EMERGENCY ROOM, AND AMBULATORY CARE. EMERGENCY SERVICES CONTINUED TO BE AVAILABLE TO ALL REGARDLESS OF THEIR ABILITY TO PAY. THE EMERGENCY ROOM UTILIZED AN E-EMERGENCY TELEMEDICINE SERVICE TO PROVIDE IMMEDIATE SUPPORT AND MAINTAIN HIGH QUALITY CARE. ADDITIONAL PROGRAMS INCLUDE COMMUNITY WELLNESS SCREENINGS, DIABETIC EDUCATION, CARDIAC REHABILITATION, AND COMMUNITY EDUCATION. MERCYONE PRIMGHAR CONTINUED TO OPERATE THREE PROVIDER-BASED RURAL HEALTH CLINICS LOCATED IN PRIMGHAR, SUTHERLAND, AND PAULLINA, IOWA, AND A FITNESS CENTER LOCATED IN THE PRIMGHAR CLINIC. MERCYONE PRIMGHAR CONTINUED TO HAVE AN OPEN MEDICAL STAFF. THE BOARD OF DIRECTORS WAS COMPOSED OF EACH ONE OF THE PRIMARY COMMUNITIES IN OUR SERVICE AREA AND FROM OUR NETWORK HOSPITAL, MERCYONE SIOUXLAND MEDICAL CENTER.MERCYONE PRIMGHAR WAS INVOLVED IN COMMUNITY COLLABORATIONS AND PARTICIPATED ON LOCAL COMMUNITY BOARDS. MERCYONE PRIMGHAR CONTINUED TO PROVIDE ENROLLMENT ASSISTANCE IN GOVERNMENTAL INSURANCE PLANS AND THE HOSPITAL'S CHARITY CARE PROGRAM ALLOWING FOR FREE OR DISCOUNTED CARE. MERCYONE PRIMGHAR CONTINUED TO SPONSOR THE SENIOR HEALTH INSURANCE INFORMATION PROGRAM (SHIIP). SHIIP COUNSELORS OFFERED SESSIONS TO SENIORS TO ACCESS UNBIASED COUNSELING FOR MEDICARE, SUPPLEMENTAL INSURANCE, AND LONG-TERM CARE INSURANCE ENROLLMENT.MERCYONE PRIMGHAR HAD EMPLOYEES SERVE ON THE REGION 3 HOSPITAL PREPAREDNESS PROGRAM STEERING COMMITTEE AS A RESPONSIBILITY RELATED TO THEIR EMPLOYMENT AND PARTICIPATE IN COMMUNITY DRILLS. EMPLOYEES ALSO VOLUNTEERED WITH A WIDE VARIETY OF ORGANIZATIONS INCLUDING THEIR CHURCHES, CHAMBERS OF COMMERCE, SCHOOL BOARDS, AND NUMEROUS SERVICE CLUBS.MERCYONE PRIMGHAR STAFF WORKED CLOSELY WITH O'BRIEN COUNTY EMERGENCY MANAGEMENT AND O'BRIEN COUNTY PUBLIC HEALTH AND OTHER COMMUNITY PARTNERS IN DEVELOPING AND TESTING EMERGENCY RESPONSE PLANS FOR A VARIETY OF POTENTIAL THREATS TO INDIVIDUALS AND COMMUNITIES. ADDITIONALLY, MERCYONE PRIMGHAR AND CLINICS ARE SMOKE-FREE CAMPUSES. CONTINUED EFFORTS OCCURRED TO MAINTAIN HEALTHY VENDING OPTIONS IN THE ONLY VENDING MACHINE AT THE HOSPITAL.MERCYONE PRIMGHAR DONATED FITNESS CENTER AND REHAB DEPARTMENT EXERCISE EQUIPMENT TO THE SOUTH O'BRIEN SCHOOL DISTRICT FOR STUDENT PHYSICAL ACTIVITY USAGE. THE HOSPITAL ALSO DONATED DURABLE MEDICAL EQUIPMENT, SUCH AS CRUTCHES AND WALKERS, TO O'BRIEN COUNTY VETERANS' AFFAIRS.IN FY25, TRINITY HEALTH ASSESSED THE TOTAL IMPACT ITS HOSPITALS HAVE ON COMMUNITY HEALTH. THIS ASSESSMENT INCLUDES TRADITIONAL COMMUNITY BENEFIT AS REPORTED IN PART I, COMMUNITY BUILDING AS REPORTED IN PART II, THE SHORTFALL ON MEDICARE SERVICES AS REPORTED IN PART III, AS WELL AS EXPENSES THAT ARE EXCLUDED FROM THE PART I COMMUNITY BENEFIT CALCULATION BECAUSE THEY ARE OFFSET BY EXTERNAL FUNDING. ALSO INCLUDED ARE ALL COMMUNITY HEALTH WORKERS, INCLUDING THOSE OPERATING IN OUR CLINICALLY INTEGRATED NETWORKS. OUR GOAL IN SHARING THE COMMUNITY IMPACT IS TO DEMONSTRATE HOW OUR CATHOLIC NOT-FOR-PROFIT HEALTH SYSTEM MAKES A DIFFERENCE IN THE COMMUNITIES WE SERVE - FOCUSING ON IMPACTING PEOPLE EXPERIENCING POVERTY - THROUGH FINANCIAL INVESTMENTS.MERCYONE'S REGIONAL COMMUNITY IMPACT IN FY25 TOTALED $357.3 MILLION. PART VI, LINE 6: MERCYONE PRIMGHAR IS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH'S COMMUNITY HEALTH & WELL-BEING (CHWB) STRATEGY PROMOTES OPTIMAL HEALTH FOR PEOPLE EXPERIENCING POVERTY AND OTHER VULNERABILITIES IN THE COMMUNITIES WE SERVE - EMPHASIZING THE NECESSITY TO INTEGRATE CLINICAL AND SOCIAL CARE. TRINITY HEALTH CHWB TEAMS LEAD THE DEVELOPMENT AND IMPLEMENTATION OF TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) AND IMPLEMENTATION STRATEGIES WITH INTENTIONAL FOCUS ON ENGAGING COMMUNITIES AND RESIDENTS EXPERIENCING POVERTY AND OTHER VULNERABILITIES. TO FURTHER OUR COMMITMENT TO ACHIEVING HEALTH EQUITY AND THE COMMON GOOD, THE CHNA AND IMPLEMENTATION STRATEGIES FOSTER COLLECTIVE ACTION TO EQUITABLY ALLOCATE RESOURCES FROM THE HOSPITAL AND OTHER SOURCES TO ADDRESS THESE NEEDS IN COMMUNITIES MOST IMPACTED. TRINITY HEALTH AND ITS MEMBER HOSPITALS ARE COMMITTED TO THE DELIVERY OF PEOPLE-CENTERED CARE AND SERVING AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN THE COMMUNITIES WE SERVE. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITIES AND IS COMMITTED TO ADDRESSING THE UNIQUE NEEDS OF EACH COMMUNITY. IN FISCAL YEAR 2025 (FY25), TRINITY HEALTH CONTRIBUTED NEARLY $1.4 BILLION IN IRS-DEFINED COMMUNITY BENEFIT SPENDING TO AID THOSE WHO ARE EXPERIENCING POVERTY AND OTHER VULNERABILITIES, AND TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES IN WHICH WE SERVE. TRINITY HEALTH FURTHERED ITS COMMITMENT THROUGH AN ADDITIONAL $1.5 BILLION IN PROGRAMS AND INITIATIVES THAT IMPACT OUR COMMUNITIES - YIELDING A TOTAL COMMUNITY IMPACT OF $2.9 BILLION IN FY25.TRINITY HEALTH'S COMMUNITY INVESTING PROGRAM FINISHED FY25 WITH MORE THAN $68 MILLION COMMITTED TO BUILDING VITAL COMMUNITY RESOURCES. THESE FUNDS, IN COLLABORATION WITH 30 PARTNERS, WERE PAIRED WITH OTHER RESOURCES TO GENERATE MORE THAN $1.1 BILLION IN INVESTMENTS THAT SERVED COMMUNITIES WITHIN TRINITY HEALTH'S SERVICE AREAS. BETWEEN 2018 AND APRIL 2025, THESE INVESTMENTS HAVE BEEN INSTRUMENTAL IN CREATING MUCH-NEEDED COMMUNITY RESOURCES FOR THE PEOPLE THAT WE SERVE, NOTABLY:- SUPPORTED THE CREATION OF 15,700 UNITS OF AFFORDABLE HOUSING OVER THE LAST EIGHT YEARS (INCLUDING APPROXIMATELY 380 SUPPORTIVE HOUSING BEDS).- CREATED OR RETAINED AT LEAST 1,300 CHILDCARE SLOTS; 7,600 K-HIGH SCHOOL EDUCATION SLOTS; AND 2,400 EARLY CHILDHOOD EDUCATION SLOTS.- DEVELOPED AT LEAST 9.3 MILLION SQUARE FEET OF GENERAL REAL ESTATE OVER THE LAST EIGHT YEARS.- SINCE 2014, 920 STUDENTS HAVE RECEIVED $2.65 MILLION IN SCHOLARSHIPS THROUGH THE FRESNO STATE AND BOISE STATE SCHOLARSHIPS FUNDS.- APPROXIMATELY 12,900 FULL- AND PART-TIME POSITIONS HAVE BEEN EITHER CREATED OR MAINTAINED THROUGH PARTNER LENDING. IN FY25, OVER ONE MILLION PATIENTS SYSTEM-WIDE WERE SCREENED FOR HEALTH-RELATED SOCIAL NEEDS AT THEIR DOCTOR'S OFFICE. OF THOSE SCREENED, 27.4% IDENTIFIED AT LEAST ONE NEED AND MOST OFTEN IDENTIFIED FOOD ACCESS, FINANCIAL INSECURITY AND SOCIAL ISOLATION. AN ADDITIONAL 137,000 PATIENTS WERE SCREENED FOR SOCIAL NEEDS DURING AN IN-PATIENT HOSPITAL STAY WHERE TOP NEEDS INCLUDED FOOD ACCESS, TRANSPORTATION AND HOUSING.TRINITY HEALTH'S ELECTRONIC HEALTH RECORD (EPIC) INCLUDES A STANDARD SCREENING TOOL FOR PATIENT SOCIAL NEEDS, AND AN INTEGRATED COMMUNITY RESOURCE DIRECTORY THROUGH FINDHELP TO CONNECT PATIENTS TO FREE AND REDUCED COST SUPPORT PROGRAMS. THE COMMUNITY RESOURCE DIRECTORY YIELDED OVER 118,000 SEARCHES, AN INCREASE OF 34% OVER THE PRIOR YEAR. TOP SEARCHES INCLUDED HOUSING, FOOD ACCESS AND HEALTH CARE. BY COMBINING THEIR LIVED EXPERIENCE AND CONNECTIONS TO THE COMMUNITY WITH EFFECTIVE TRAINING AND INCLUSION IN THE CARE TEAM, COMMUNITY HEALTH WORKERS (CHW) PROVIDE PATIENT-CENTERED AND CULTURALLY RESPONSIVE INTERVENTIONS. CHW'S HAVE MANY COMPETENCIES, INCLUDING PATIENT OUTREACH AND ENGAGEMENT, CONDUCTING ASSESSMENTS, RESOURCE CONNECTION, HEALTH AND SOCIAL SERVICES SYSTEM NAVIGATION, GOAL-SETTING AND PROBLEM-SOLVING THROUGH ONGOING EDUCATION, ADVOCACY AND SUPPORT. IN FY25, TRINITY HEALTH'S 162 CHW'S SUCCESSFULLY ADDRESSED OVER 16,300 SOCIAL NEEDS. ONE SOCIAL NEED (SUCH AS ADDRESSING HOUSING OR FOOD NEEDS) CAN OFTEN TAKE MONTHS, OR EVEN A YEAR TO RESOLVE. WITH FUNDING THROUGH THE CENTERS FOR DISEASE CONTROL AND PREVENTION, TRINITY HEALTH WORKED WITH 23 PARTNERS AND 47 CERTIFIED LIFESTYLE COACHES NATIONWIDE TO DELIVER THE NATIONAL DIABETES PREVENTION PROGRAM, AN EVIDENCE-BASED, 12-MONTH LIFESTYLE CHANGE PROGRAM. THE GOAL OF THE PROGRAM IS TO LOSE A PERCENTAGE OF BASELINE WEIGHT, ATTEND SESSIONS REGULARLY, AND ENGAGE IN 150 MINUTES OF PHYSICAL ACTIVITY A WEEK. GROUP SESSIONS ARE FACILITATED BY A CDC CERTIFIED LIFESTYLE COACH AND OFFERED IN-PERSON, REMOTELY, OR VIRTUALLY AT A SELF-PACED RATE. ALL PARTICIPANTS ARE REGULARLY SCREENED FOR HEALTH-RELATED SOCIAL NEEDS AND ARE REFERRED TO A CHW TO ADDRESS IDENTIFIED NEEDS. IN FY25, TRINITY HEALTH CONDUCTED FOCUSED OUTREACH WITH NEARLY 165,000 ELIGIBLE PARTICIPANTS AND ENROLLED 1,074 PARTICIPANTS INTO THE LIFESTYLE CHANGE PROGRAM.FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG. 1 1 0 0 0 0 0 0 0 THOMAS CLARK DIR AT 10/24; PRES WEST IOWA REGION 0 524981 0 303686 0 19364 0 121486 0 33633 0 1003150 0 0 DOUGLAS STRONG FRMR OFFCR; CEO HOLY CROSS THR 10/24 0 732915 0 0 0 37468 0 20425 0 3217 0 794025 0 0 HEATHER CAMPBELL DIR 10/24; CHIEF LEGAL OFCR MERCYONE 0 430194 0 142505 0 11370 0 20425 0 37334 0 641828 0 0 JESICA HANSON DIR 10/24;VP FIN MERCYONE SIOUXLAND 0 314036 0 116973 0 3249 0 16675 0 33038 0 483971 0 0 NICOLE VOIGT ADVANCED PRACTICE CLINICIAN 0 152353 0 0 0 67 0 10492 0 33380 0 196292 0 0 MELISSA CUNNINGHAM DIRECTOR & CAH DIRECTOR THROUGH 9/24 0 136348 0 0 0 35465 0 18672 0 1490 0 191975 0 0 BRIDGET DOEDEN ADVANCED PRACTICE CLINICIAN 0 143551 0 0 0 43 0 7541 0 15236 0 166371 0 0 PATRICK KENT ADVANCED PRACTICE CLINICIAN 0 138432 0 0 0 71 0 6516 0 19265 0 164284 0 0 BROOKE FIDDELKE ADVANCED PRACTICE CLINICIAN 0 138414 0 0 0 100 0 5508 0 10683 0 154705 0 0 PART I, LINE 3 BAUM HARMON MERCY HOSPITAL IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. BAUM HARMON MERCY HOSPITAL'S CEO IS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF BAUM HARMON MERCY HOSPITAL'S CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2024. THESE AMOUNTS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: MELISSA CUNNINGHAM - $35,299 BRENDA DAY - $16,887 IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING SEVERANCE AMOUNTS, WHICH WERE UNPAID AS OF 12/31/24: MELISSA CUNNINGHAM - $10,459 (PAID IN 2025) BRENDA DAY - $1,876 (PAID IN 2025) THE FOLLOWING IS A PARTICIPANT IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2024. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. PARTICIPANTS' VESTED BENEFITS WERE PAID OUT IN 2024, AND THEIR NON-VESTED BENEFITS FOR 2024 WERE ACCRUED. THE FOLLOWING ACCRUAL FOR 2024 IS INCLUDED IN COLUMN C OF SCHEDULE J, PART II: THOMAS CLARK - $101,061 THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH RESTORATION PLAN. THE RESTORATION PLAN PROVIDES RETIREMENT BENEFITS FOR CERTAIN TRINITY HEALTH SYSTEM OFFICE EXECUTIVES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($345,000 FOR 2024). THE FOLLOWING PAYOUTS FOR 2024 FOR THIS PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: HEATHER CAMPBELL - $8,301 JESICA HANSON - $1,645 DOUGLAS STRONG - $0 CASH 2024-09-30 894804 BOOK VALUE 311373080 MERCY HEALTH SERVICES - IOWA 1000 4TH STREET SW MASON CITY IA 50401 501(C)(3) ASSETS AND OPERATIONS OF RURAL HEALTH CLINIC 2024-09-30 65766 BOOK VALUE 421283849 MERCY MEDICAL SERVICES 1000 4TH STREET SW MASON CITY IA 50401 CORPORATION EQUIPMENT 2024-10-04 28140 FMV 420707096 CHEROKEE REGIONAL MEDICAL CTR 300 SIOUX VALLEY DR CHEROKEE IA 51012 501(C)(3) 0 0 0 0 FORM 990, PART I, ITEM C DBA: MERCYONE PRIMGHAR MEDICAL CENTER DBA: MERCYONE PAULLINA FAMILY MEDICINE CLINIC DBA: MERCYONE PRIMGHAR FAMILY MEDICINE CLINIC DBA: MERCYONE SUTHERLAND FAMILY MEDICINE CLINIC FORM 990, PART III, LINE 3 BAUM HARMON MERCY HOSPITAL CEASED OPERATIONS EFFECTIVE SEPTEMBER 30, 2024. THE ORGANIZATION IS IN THE PROCESS OF WINDING DOWN ITS AFFAIRS. THE PHYSICIAN CLINIC IN PAULLINA CLOSED, THE PHYSICIAN CLINIC IN SUTHERLAND WAS SOLD TO AN UNRELATED NONPROFIT ORGANIZATION, AND THE PHYSICIAN CLINIC IN PRIMGHAR IS NOW RUN BY MERCY MEDICAL SERVICES, A RELATED ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF BAUM HARMON MERCY HOSPITAL (MERCYONE PRIMGHAR) IS MERCY HEALTH SERVICES - IOWA (MHS-IA). SEE LINE 7 FOR ADDITIONAL INFORMATION. FORM 990, PART VI, SECTION A, LINE 7A MHS-IA IS THE SOLE MEMBER OF MERCYONE PRIMGHAR. MHS-IA HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF MERCYONE PRIMGHAR. FORM 990, PART VI, SECTION A, LINE 7B AS SOLE MEMBER, MHS-IA MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. MHS-IA MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS AND MODIFICATIONS TO GOVERNING DOCUMENTS. AS THE PARENT OF THE NATIONAL TRINITY HEALTH SYSTEM, CERTAIN POWERS ARE RESERVED TO TRINITY HEALTH CORPORATION. THESE INCLUDE THE AUTHORITY TO ADOPT OR MODIFY THE ORGANIZATION'S GOVERNING DOCUMENTS, TO APPROVE MAJOR CHANGES SUCH AS A MERGER OR DISSOLUTION, AND TO APPROVE SIGNIFICANT FINANCE MATTERS IN EXCESS OF CERTAIN LIMITS ESTABLISHED BY TRINITY HEALTH CORPORATION. FORM 990, PART VI, SECTION A, LINE 8B LINE 8B IS ANSWERED "NO" BECAUSE MERCYONE PRIMGHAR HAD NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 FOR MERCYONE PRIMGHAR IS REVIEWED BY MANAGEMENT. EACH MEMBER OF THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C MERCYONE PRIMGHAR HAS ADOPTED TRINITY HEALTH'S GOVERNANCE POLICY NO. 1, WHICH SETS FORTH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND PROCESSES. IT APPLIES TO ALL "INTERESTED PERSONS" OF MERCYONE PRIMGHAR, WHICH INCLUDES DIRECTORS, PRINCIPAL OFFICERS, AND KEY EMPLOYEES. INTERESTED PERSONS ARE EXPECTED TO DISCHARGE THEIR DUTIES IN A MANNER THE PERSON REASONABLY BELIEVES TO BE IN THE BEST INTERESTS OF MERCYONE PRIMGHAR AND TO AVOID SITUATIONS INVOLVING A CONFLICT OF INTEREST. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE PROVIDED TO THE INTEGRITY AND COMPLIANCE OFFICER, WHO COLLABORATES WITH INTERNAL LEGAL COUNSEL TO ASSESS THE CONFLICT AND IDENTIFY A CONFLICT MANAGEMENT PLAN WHEN NECESSARY. ADDITIONALLY, THE INTEGRITY AND COMPLIANCE OFFICER ALONG WITH LEGAL COUNSEL PREPARES A REPORT FOR THE BOARD CHAIR AND CEO. A SUMMARY OF POTENTIAL CONFLICTS IS REVIEWED WITH THE BOARD OF DIRECTORS OF MERCYONE PRIMGHAR ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO MERCYONE PRIMGHAR OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF MERCYONE PRIMGHAR IS RESPONSIBLE FOR THE REVIEW OF TRANSACTIONS TO DETERMINE WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS. IN THE EVENT OF AN ACTUAL CONFLICT, THE BOARD WILL EITHER AVOID THE CONFLICT OR APPROPRIATELY SCRUTINIZE THE TRANSACTION TO ENSURE IT IS IN THE BEST INTERESTS OF MERCYONE PRIMGHAR. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE POLICY FURTHER ADDRESSES THE PROPER DOCUMENTATION OF THE PROCEEDINGS AND POTENTIAL DISCIPLINARY AND CORRECTIVE ACTION FOR VIOLATIONS OF THE POLICY. THE POLICY IS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 15 QUESTIONS 15A AND 15B ARE ANSWERED "NO" BECAUSE THE COMPENSATION FOR CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF MERCYONE PRIMGHAR IS ESTABLISHED BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING CEO AND VICE PRESIDENT FINANCE COMPENSATION, TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF THE CEO AND VICE PRESIDENT FINANCE OF MERCYONE PRIMGHAR ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS. FORM 990, PART VI, SECTION C, LINE 19 MERCYONE PRIMGHAR IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, MERCYONE PRIMGHAR INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON TRINITY HEALTH'S WEBSITE. MERCYONE PRIMGHAR'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 61,381. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 61,381. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 338,776. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 338,776. MEDICAL SPECIALIST FEES: PROGRAM SERVICE EXPENSES 2,284. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,284. MISC. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 67,346. MANAGEMENT AND GENERAL EXPENSES 52,475. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 119,821. LAUNDRY/LINEN SERVICES: PROGRAM SERVICE EXPENSES 1,971. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,971. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 4,988. MANAGEMENT AND GENERAL EXPENSES 20,225. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,213. BILLING SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 27. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 27. FORM 990, PART IX, LINES 5-9: INDIVIDUALS WHO WORK AT MERYONE PRIMGHAR ARE ON THE PAYROLL OF A RELATED ORGANIZATION. THESE INDIVIDUALS' SALARIES AND BENEFITS ARE ALLOCATED TO MERCYONE PRIMGHAR AND ARE REPORTED ON PART IX, LINES 5-9. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS TO/FROM AFFILIATES -960,570. FORM 990, PART XII, LINE 2: MERCYONE PRIMGHAR'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY25 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP 200 JEFFERSON AVE SE GRAND RAPIDS MI 49503 272491974 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 TRINITY HEALTH-MICHIGAN 1 ALLEGANY FRANCISCAN MINISTRIES INC 33920 US HIGHWAY 19 NORTH SUITE 269 PALM HARBOR FL 34684 581492325 GRANT MAKING FL 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION 1 ASYLUM HILL FAMILY MEDICINE CENTER INC 114 WOODLAND STREET HARTFORD CT 06105 061450170 HEALTH CARE SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 BAUM HARMON MERCY HOSPITAL 1000 4TH STREET SW MASON CITY IA 50401 421500277 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP 0 BAUM HARMON MERCY HOSPITAL AND CLINICS FOUNDATION 1000 4TH STREET SW MASON CITY IA 50401 262973307 FOUNDATION IA 501(C)(3) LINE 12A, I BAUM HARMON MERCY HOSPITAL 1 BEECHWOOD INC 2212 BURDETT AVE TROY NY 12180 141651563 TITLE HOLDING COMPANY NY 501(C)(2) N/A LTC (EDDY) INC 1 BETHLEHEM HAVEN OF PITTSBURGH 905 WATSON STREET PITTSBURGH PA 15219 251436685 HOMELESS SHELTER PA 501(C)(3) LINE 7 PITTSBURGH MERCY HEALTH SYSTEM INC 1 BEVERWYCK INC 40 AUTUMN DRIVE SLINGERLANDS NY 12159 141717028 SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 BRIGHTSIDE INC 114 WOODLAND STREET HARTFORD CT 06105 042182395 HEALTH CARE SERVICES MA 501(C)(3) LINE 10 THE MERCY HOSPITAL INC 1 CAPITAL REGION GERIATRIC CENTER INC 421 WEST COLUMBIA STREET COHOES NY 12047 141701597 LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 CATHERINE MCAULEY HEALTH SERVICE CORP 5315 ELLIOTT DR 102 YPSILANTI MI 48197 382507173 HEALTH CARE SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH-MICHIGAN 1 CATHOLIC HEALTH INITIATIVES - IOWA CORP 1111 6TH AVENUE DES MOINES IA 50314 420680448 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 MERCY HEALTH NETWORK INC 1 CATHOLIC HEALTH MINISTRIES 20555 VICTOR PARKWAY LIVONIA MI 48152 GOVERNANCE AND MANAGEMENT OF TRINITY HEALTH SYSTEM VT 501(C)(3) LINE 1 N/A 0 CENTRAL COMMUNITY HOSPITAL 901 DAVIDSON ST NW 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