2026-07-09T12:06:51+00:00 2025-09-30 440160260 Forvis Mazars LLP 1551 N Waterfront Pkwy Ste 300 Wichita KS 672066601 990 2024-10-01 480663711 Mercy Hospital Inc MERC 6203456391 PO Box 180 Moundridge KS 671070180 AARON J HERBEL ADMINISTRATOR AND CFO 6203456391 2026-07-09 true Kevin Ensminger P01310558 3162652811 2026-07-09 2024 2025-03-06 01:10:19Z AARON J HERBEL 218 E PACK ST MOUNDRIDGE KS 67107 7335465 false 1971 X WWW.MERCYH.ORG X 1945 KS TO MEET THE HEALTHCARE NEEDS OF THOSE LIVING IN MOUNDRIDGE, KANSAS AND SURROUNDING RURAL AREAS REGARDLESS OF AGE, RACE, ETHNICITY, OR ECONOMIC STATUS. OUR MISSION STATEMENT IS "BY LOVE SERVE ONE ANOTHER." 12 11 81 21 0 962325 1135587 5468970 6143780 8 551 53288 55310 6484591 7335228 6000 0 0 3942232 3968025 0 9255 2751572 3132562 6699804 7100587 -215213 234641 4170641 3662993 2459263 1716974 1711378 1946019 TO PROVIDE HEALTH CARE SERVICES TO PERSONS IN MOUNDRIDGE, KANSAS AND THE SURROUNDING RURAL AREAS. WE, THE STAFF AT MERCY BELIEVE THAT PAUL'S INJUNCTION: BY LOVE SERVE ONE ANOTHER, SHOULD BE THE BASIS OF OUR SERVICE HERE. false false 5657110 0 6185168 MERCY HOSPITAL, INC., HAS CONTINUED TO SERVE THE MOUNDRIDGE COMMUNITY SINCE 1944. AS A RURAL EMERGENCY HOSPITAL (REH), MERCY HOSPITAL PROVIDES 24-7 EMERGENCY ROOM CARE, OBSERVATION SERVICES, OUTPATIENT LAB, RADIOLOGY, AND SURGERY, OUTPATIENT PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY, AND OUTPATIENT INFUSION SERVICES. OUR MEDICAL STAFF CONSISTS OF EIGHT FAMILY-PRACTICE PHYSICIANS, FIVE APRNS AND FOUR PHYSICIAN ASSISTANTS. THE FOLLOWING STATISTICS ARE OFFERED FOR THE FISCAL YEAR ENDING 9-30-2025: OBSERVATIONS STAYS- 53, EKGS PERFORMED - 214; OUTPATIENT THERAPY - 7,433 INSTANCES OF SERVICE; ER VISITS - 760; CONVENIENT CARE CLINIC VISITS- 607; OUTPATIENT SURGICAL PROCEDURES - 105, OUTPATIENT LAB ENCOUNTERS - 4,025; OUTPATIENT RADIOLOGY ENCOUNTERS - 330 5657110 true true false true false false false false false false true false false false false false false false false false false false false false false false true true false false true false false false false false false false false true false false false false false false true false false false false true 15 0 true 81 true false false false false false false false false false false false false X 12 11 false false true false true true true true true false false false true true true true true false true true false false X AARON HERBEL 6203456391 218 E PACK ST MOUNDRIDGE KS 67107 DAVID LITWILLER BOARD CHAIR 3.0 0.0 X X 0 0 0 STEVE JOHNSON BOARD SECRETARY/TREASURER 3.0 0.0 X X 0 0 0 WAYLAN WIGGERS ASSISTANT BOARD CHAIR 2.0 0.0 X X 0 0 0 DAVID BECKER DIRECTOR 1.0 0.0 X 0 0 0 DONAVON LEE KOEHN DIRECTOR 1.0 0.0 X 0 0 0 DOYLE WIEBE DIRECTOR 1.0 0.0 X 0 0 0 KENDEL KOEHN DIRECTOR 1.0 0.0 X 0 0 0 LONNIE UNRUH DIRECTOR 1.0 0.0 X 0 0 0 MERLE ENSZ DIRECTOR 1.0 0.0 X 0 0 0 MERRILL YOST DIRECTOR 1.0 0.0 X 0 0 0 TERRY ISAAC DIRECTOR 1.0 0.0 X 0 0 0 VINCE KOEHN DIRECTOR 1.0 0.0 X 0 0 0 AARON J HERBEL ADMINISTRATOR and CFO 40.0 0.0 X 96933 0 6638 DEREK PEACHEY ASST. ADMINISTRATOR 40.0 0.0 X 64845 0 3136 CARLA SOMERS REGISTERED NURSE 40.0 0.0 X 93872 0 10606 KATHRYN R HAYES MD PHYSICIAN 36.0 0.0 X 62486 0 11809 ROBERT H WILGERS RADIOLOGY DIRECTOR 40.0 0.0 X 142309 0 9925 460445 0 42114 1 false true false REVIVE THERAPY AND PERFORMANCE 506 WEDGEWOOD CT HESSTON KS 67062 OUTPATIENT THERAPY SERVICES 717902 GREAT PLAINS HEALTH ALLIANCE 250 NORTH ROCK ROAD WICHITA KS 67206 MEDICAL RECORDS 711888 GENESA REIMBURSEMENT GROUP LLC 1097 SCHOOLHOUSE ROAD UNIT 1108 HASLET TX 76052 FINANCIAL CONSULTING SERVICES 191309 WADEL NP LLC 17400 SW 110 AVE ZENDA KS 67159 CONTRACT APRN ER COVERAGE 144243 TAMARA SHAW ARPN 1000 COUNTRY LN NEWTON KS 67114 CONTRACT ER APRN SERVICES 135643 8 38217 550537 546833 1135587 NET PATIENT SERVICE REVENUE 621493 6143780 6143780 0 0 0 0 6143780 51 51 831 831 40858 237 40621 0 40621 40621 500 0 500 500 500 EMPLOYEE/GUEST MEALS 722514 12473 12473 VENDING MACHINE INCOME 900099 618 618 MEDICAL RECORD FEES 621300 767 767 0 0 0 0 13858 7335228 6185168 0 14473 X 185107 9255 166596 9255 17389 17389 3293039 2760404 532635 54114 50793 3321 200671 184191 16480 217705 186503 31202 226165 226165 1320 1320 985983 977174 8809 0 17497 17497 892058 882797 9261 204928 1374 203554 93890 93890 2258 2258 77018 77018 357715 357715 88999 79486 9513 MEDICAL SUPPLIES 3302 3302 FOOD/DIETARY SUPPLIES 41843 41843 EQUIPMENT RENTAL/MAINTENANCE 102932 101495 1437 MISCELLANEOUS 36654 20778 15876 0 0 0 0 7100587 5657110 1434221 9255 37969 271903 1255950 680728 0 0 0 0 208752 214133 24124 26863 7239202 4771663 2642019 2467539 0 1827 1827 0 0 4170641 3662993 357215 386849 0 0 2102048 1330125 0 0 2459263 1716974 X 1707870 1903030 3508 42989 1711378 1946019 4170641 3662993 234641 0 X true X false X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 0 false true 1320 1320 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Lobbying activities reported on Part II-B include the following: Line 1g: Direct contact with legislators is due to presence at KHA and NRHA-sponsored events. No funds were expended expressly for the purpose of interacting with legislators. Line 1i: A portion of the KHA/AHA dues paid annually is used for lobbying purposes. AHA determined that the percentage of dues used for lobbying in 2024 was 36% and KHA indicated the percentage was 12.4% for their dues. This came to a total of $1,320 for the year. 69011 69011 4333713 2649429 1684284 2697687 2070973 626714 138791 51261 87530 2467539 Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. true true X true X false true true true false true true 1 8 59588 0 59588 0.00839 1 394 398656 100170 298486 0.04204 0 0 0 0 0 0.0 2 402 458244 100170 358074 0.05043 4 3142 8078 0 8078 0.00114 0 0 0 0 0 0.0 2 588 2477671 703772 1773900 0.24982 0 0 0 0 0 0.0 2 325 3200 0 3200 0.00045 8 4055 2488949 703772 1785178 0.25141 10 4457 2947193 803941 2143252 0.30184 0 0.0 0 0.0 2 325 3200 0 3200 0.00045 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 2 325 3200 0 3200 0.00045 77891 33493 437458 2200588 -1763130 X true true 1 1 MERCY HOSPITAL INC 218 E PACK STREET MOUNDRIDGE KS 67107 WWW.MERCYH.ORG REH059003 X X X MERCY HOSPITAL INC 1 false false true X X X X X X X X X 24 true true true true X HTTPS://WWW.MERCYH.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ X true 24 true HTTPS://WWW.MERCYH.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ false true X 200.0 0 X X X X true true X X X true X WWW.MERCYH.ORG/FINANCIAL-ASSISTANCE/ X WWW.MERCYH.ORG/FINANCIAL-ASSISTANCE/ X WWW.MERCYH.ORG/FINANCIAL-ASSISTANCE/ X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E THE PATIENTS SERVED BY THE COMMUNITY WERE ACTIVELY INVOLVED IN TOWN HALL MEETINGS WHERE THEY PARTICIPATED IN THE PROCESS OF SELECTING WHICH IDENTIFIED HEALTH NEEDS WOULD BE PRIORITIZED BY THE HOSPITAL IN 2026-2028. MERCY HOSPITAL IDENTIFIED WHICH NEEDS WERE ALREADY BEING MET BY OTHER HEALTHCARE ENTITIES AND PRIORITIZED THOSE NEEDS WHICH WE WERE UNIQUELY SITUATED TO BEST MEET. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - MERCY HOSPITAL INC.. IN EARLY 2025, A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT WAS PERFORMED WITH TWO OTHER AREA HOSPITALS, IN CONJUNCTION WITH THE COUNTY HEALTH DEPARTMENT. RESIDENTS WERE ASKED TO COMPLETE ONLINE SURVEYS (PAPER SURVEYS WERE AVAILABLE ON REQUEST) REGARDING HEALTH CONCERNS AND OPPORTUNITIES. AFTER INITIAL HEALTH ISSUES WERE IDENTIFIED, A WORKGROUP REPRESENTING A CROSS SECTION OF COMMUNITY MEMBERS, SURVEY RESPONDENTS AND COMMUNITY HEALTH EXPERTS AND LEADERS MET TO PRIORITIZE THE ISSUES AFFECTING THE COMMUNITY USING PUBLIC HEALTH DATA TO CONFIRM ADDITIONAL FACTORS. THE THREE HOSPITALS JOINTLY HOSTED THIS TOWN-HALL MEETING ON FEBRUARY 21, 2025, TO FURTHER DRILL DOWN INTO THE NEEDS. PHYSICIANS FROM THE CONTRIBUTING HOSPITALS, AS WELL AS THE COUNTY HEALTH DIRECTOR WERE IN ATTENDANCE, AND PROVIDED THEIR INSIGHT AND EXPERTISE, ALONG WITH REPRESENTATIVES FROM COUNTY EMERGENCY SERVICES, DISABILITY SUPPORT AND SOCIAL PROGRAMS (INCLUDING THE COUNTY FOOD BANK), CITY LEADERSHIP, SCHOOL DISTRICT LEADERSHIP, LONG TERM CARE LEADERS, COMMUNITY MEMBERS AT LARGE, HOSPITAL BOARD MEMBERS, HOSPITAL EXECUTIVES, COMMUNITY FOUNDATION BOARD MEMBERS, LAW ENFORCEMENT, REPRESENTATIVES FROM THE FAITH-BASED COMMUNITY AND LOCAL COMMUNITY MENTAL HEALTH CENTER REPRESENTATIVES. THE RESULTS OF THESE EFFORTS WERE COMPILED INTO THE FINAL CHNA REPORT WHICH WAS PRINTED IN APRIL OF 2025 AND HAS ALSO BEEN PUBLISHED ON OUR WEBSITE. MERCY HOSPITAL IDENTIFIED SOLUTIONS TO THESE IDENTIFIED HEALTH CONCERNS AND RELEASED A FACILITY-SPECIFIC IMPLEMENTATION PLAN, WHICH IS BEING CARRIED OUT STARTING IN 2026 THROUGH THE END OF 2028. ALL THESE DOCUMENTS WERE REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS AND ARE ALSO DISCUSSED PERIODICALLY WITH THE HOSPITAL'S PATIENT AND FAMILY ENGAGEMENT COMMITTEE (PFEC). Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - McPHERSON HOSPITAL. GENERAL ACUTE CARE HOSPITAL WITH ER, OB, AND ICU SERVICES, LOCATED IN THE COUNTY SEAT OF MCPHERSON COUNTY. Schedule H, Part V, Section B, Line 6a Facility , 2 Facility , 2 - LINDSBORG COMMUNITY HOSPITAL. A CRITICAL ACCESS HOSPITAL LOCATED IN LINDSBORG, KS. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - MCPHERSON COUNTY PUBLIC HEALTH DEPARTMENT. COUNTY HEALTH DEPARTMENT Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Mercy Hospital Inc.. 1. Mental Health (Suicide, Providers, Diagnosis and Aftercare): Continue to collaborate with all schools (elementary, middle, and high schools) to educate students on mental health conditions & treatment. De-stigmatize mental health conditions, bullying, suicide prevention and social media bullying. Explore suicide prevention training at area schools, Continue, enhance, and promote 24-hour 988 crisis hotline. Promote and enhance Local Hotline: 620-792-2544 or 800-362-0180; Continue to invite a well known Guest Speaker to come to community to share on de-stigmatize mental health treatment. 2. Insurance (Affordable Coverage): Create a local broker/agent/ BCBS work group to help education public on payment options at the hospital and how to navigate health insurance enrollment. Continue to support enrolling in Medicaid, Acts of Mercy program and enhance CMS Transparency website reporting; Explore debt relief programs in partnership with a local bank or private foundations to assist uninsured patients. Model after Reno County KS. 3. Substance Abuse (Alcohol and Drugs): Continue / promote Discarding Old Prescriptions (with a focus on opioids). Expand take back days (yearly) to quarterly. Continue to monitor prescription drug abuse (Utilizing KTRACS). Create an alert system between physicians and pharmacies for drug abuse. 4. Childcare (Affordable and Accessible): Support the development of part-time, drop-in, and extended-hour childcare options to accommodate parents with non-traditional work schedules. Explore transportation options to childcare. Continue to encourage schools, providers, churches, etc. to offer community child care services (before and after-school programming). Investigate adding infant and toddler and child care. Continue to investigate / seek grants for seed money to fund additional local child care options. 5. Workforce Staffing: Continue to support college and high school students on health care career options. Offer hospital School Scholarship / Internship / Shadowing Program opportunities. Provide guest speakers. Continue Hospital Training Program to build skills with current staff. Build program in partnership with chambers, area colleges/schools and PSA businesses. 6. Obesity (Exercise/Healthy Foods): Explore grants for free education regarding nutrition / physical activity / owning your health. Promote foundation. Develop opportunities for providers to communicate healthy lifestyle information in the Heartbeat Newsletter 7. Housing (Accessible, Affordable, and Safe): Communicate results of the recently completed McPherson housing study to identify areas of improvement. Implement expansion to build Countywide Housing Development Plan that would address affordable / safe housing for residents. Collaborate with private developers to create mixed-income communities that include affordable housing units. Continue to seek grant funding for public / safe housing. If available, designate community lead to work to attain the necessary grant. 1 MERCY HOSPITAL WALK-IN CLINIC 218 E PACK ST MOUNDRIDGE KS 67107 MEDICAL CLINIC Schedule H, Part I, Line 3c Eligibility criteria for free or discounted care MERCY HOSPITAL DOES NOT PROVIDE DISCOUNTED CARE UNDER THE FINANCIAL ASSISTANCE POLICY. INDIVIDUALS WHO QUALIFY ARE PROVIDED 100% CHARITY CARE. Schedule H, Part I, Line 7g Subsidized Health Services Sch H, Part I, Line 7g includes salaries and wages for physicians and APP providers who work in the hospital's walk-in clinic and emergency room. These salaries and wages amounted to $702,911 for the 12-month period ending 9-30-2025. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance Cost to charge ratio from the most recently completed Medicare cost report were used to calculate the costs reported. Schedule H, Part II Community Building Activities THE COSTS REPORTED IN PART II OF SCHEDULE H ARE LARGELY FOR THE ADMINISTRATOR TO ATTEND COMMUNITY HEALTH COALITION MEETINGS AND OTHER COMMUNITY BUILDING EVENTS WHILE BEING PAID BY THE HOSPITAL, AS WELL AS FOR MEETINGS HELD AT THE HOSPITAL WHERE PAID HOSPITAL STAFF WERE INVOLVED. THESE MEETINGS BRING TOGETHER COMMUNITY STAKEHOLDERS TO ENGAGE THEM IN DECISIONS IMPACTING THE HEALTH OF THE COMMUNITY AND HOW THE HOSPITAL ALLOCATES FUNDING TO ADDRESS IDENTIFIED NEEDS, INCLUDING COUNTY HEALTHCARE COALITION MEETINGS, COMMUNITY HEALTH NEEDS ASSESSMENT MEETINGS, PATIENT AND FAMILY ENGAGEMENT MEETINGS, AND COMMUNITY FOUNDATION MEETINGS. MERCY HOSPITAL IS COMMITTED TO BEING A GOOD PARTNER IN THE COMMUNITY AND FURTHERING ACTIVITIES THAT PROMOTE THE HEALTH AND WELLBEING OF OUR COMMUNITY MEMBERS. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND CO-PAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED, IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. Schedule H, Part III, Line 3 Bad Debt Expense Methodology THERE IS A CERTAIN PERCENTAGE OF INDIVIDUALS EVERY YEAR WHO, DUE TO BEING IN THE HOSPITAL A SHORT TIME, ONLY INTERACTING WITH HOSPITAL STAFF IN THE ER SETTING (I.E. ONLY FOR SHORT PERIODS OF TIME WITH NO OPPORTUNITY TO COLLECT THE NECESSARY INFORMATION), OR DUE TO INSTABILITY IN THEIR LIVING ARRANGEMENTS, ARE UNABLE TO PROVIDE THE REQUIRED INFORMATION FOR A CHARITY CARE APPLICATION TO BE PROCESSED. WE SAW A DECREASE IN PATIENT PAYMENTS ON ACCOUNTS WHICH IS BELIEVED TO BE DUE TO LOWER PATIENTS' CASH-ON-HAND AND MEDICAL DEBTS NOT BEING FIRST PRIORITY. MEDICAID RE-DETERMINATIONS MOVED SOME INDIVIDUALS OFF STATE MEDICAID ROLLS AND INTO HIGH DEDUCTIBLE HEALTH PLANS, LEAVING PATIENT BALANCES WHICH THEY WERE UNPREPARED TO PAY. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote DISCUSSION OF PATIENT SERVICE REVENUE AND BAD DEBTS CAN BE FOUND IN NOTE 2 OF THE ATTACHED FINANCIAL STATEMENTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs As a Rural Emergency Hospital (REH) the Medicare program now pays us a fixed facility payment to be open and able to provide emergency care to our community. This Medicare funding helps to offset the losses incurred in other departments of the hospital, to ensure that essential services are retained in the community. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance SELF-PAY ACCOUNTS WITH BALANCES UNPAID OVER 90 DAYS ARE CONSIDERED TO BE DELINQUENT. THE INTERNAL COLLECTIONS DEPARTMENT MAKES MULTIPLE ATTEMPTS TO REACH THESE INDIVIDUALS BY MAIL AND PHONE TO ESTABLISH A PAYMENT PLAN OR OFFER FINANCIAL ASSISTANCE. BANKRUPTCIES WILL HAVE ALL COLLECTIONS EFFORTS STOPPED UPON RECEIPT OF BANKRUPTCY NOTICE. ALL ACCOUNTS BEING WORKED BY OUR INTERNAL COLLECTIONS DEPARTMENT ARE OFFERED THE HOSPITAL'S ESTABLISHED FINANCIAL ASSISTANCE POLICY AND APPLICATION. ANY PATIENT ACCOUNTS WHICH QUALIFY ARE HANDLED ACCORDING TO THAT POLICY. FUTURE ACCOUNTS FOR A GUARANTOR WHO IS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE MAY BE AWARDED CHARITY CARE BASED ON ADMINISTRATIVE DECISION. ALL FINANCIAL ASSISTANCE APPLICATIONS ARE SUBJECT TO PERIODIC AND ANNUAL REVIEW TO ENSURE THE GUARANTOR'S CURRENT FINANCIAL SITUATION IS CONSIDERED. Schedule H, Part V, Section B, Line 16a FAP website - MERCY HOSPITAL INC.: Line 16a URL: WWW.MERCYH.ORG/FINANCIAL-ASSISTANCE/; Schedule H, Part V, Section B, Line 16b FAP Application website - MERCY HOSPITAL INC.: Line 16b URL: WWW.MERCYH.ORG/FINANCIAL-ASSISTANCE/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - MERCY HOSPITAL INC.: Line 16c URL: WWW.MERCYH.ORG/FINANCIAL-ASSISTANCE/; Schedule H, Part VI, Line 2 Needs assessment IN 2025, A COMMUNITY HEALTH NEEDS ASSESSMENT WAS PERFORMED, IN CONJUNCTION WITH THE COUNTY HEALTH DEPARTMENT. RESIDENTS WERE ASKED TO COMPLETE ONLINE OR PAPER SURVEYS REGARDING HEALTH CONCERNS AND OPPORTUNITIES. AFTER INITIAL HEALTH ISSUES WERE IDENTIFIED, A THE HOSPITALS JOINTLY HOSTED A TOWN- HALL MEETING WITH COMMUNITY RESIDENTS AND LOCAL LEADERS AMD EXPERTS TO FURTHER DRILL DOWN INTO NEEDS AND SURVEY THE POPULATION. ALL THIS INFORMATION WAS COMPILED INTO A REPORT WHICH HAS BEEN PUBLISHED ON OUR WEBSITE. MERCY HOSPITAL IDENTIFIED SOLUTIONS TO THESE IDENTIFIED HEALTH CONCERNS AND RELEASED A FACILITY-SPECIFIC IMPLEMENTATION PLAN, WHICH IS BEING CARRIED OUT STARTING IN 2026 THROUGH THE END OF 2028. ALL THESE DOCUMENTS ARE REVIEWED AND DISCUSSED WITH THE HOSPITAL'S BOARD OF DIRECTORS, AND ALSO SHARED WITH THE PATIENT AND FAMILY ENGAGEMENT COMMITTEE CHOSEN FROM THE PATIENT POPULATION IN THE COMMUNITY. THESE INDIVIDUALS HELP TO DETERMINE THE WORTHINESS AND EFFICACY OF THE HOSPITAL'S EFFORTS. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance COMMUNICATION OF THE FINANCIAL ASSISTANCE AVAILABLE FROM MERCY HOSPITAL, INC. SHALL BE DISSEMINATED BY VARIOUS MEANS, WHICH MAY INCLUDE, BUT ARE NOT LIMITED TO, THE PUBLICATION OF NOTICES IN PATIENT BILLS AND BY POSTING NOTICES IN EMERGENCY ROOMS, REGISTRATION, PATIENT FINANCIAL SERVICES AND AT OTHER PUBLIC PLACES AS MERCY HOSPITAL, INC. MAY ELECT. INFORMATION SHALL ALSO BE INCLUDED ON THE FACILITY WEBSITE AND IN THE CONDITIONS OF ADMISSION FORM. REFERRAL OF PATIENTS FOR FINANCIAL ASSISTANCE MAY BE MADE BY ANY MEMBER OF THE MERCY HOSPITAL, INC. STAFF OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL SERVICES STAFF, SOCIAL WORKER AND CASE MANAGER. A REQUEST FOR FINANCIAL ASSISTANCE MAY BE MADE BY THE PATIENT OR A FAMILY MEMBER, CLOSE FRIEND OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS. Schedule H, Part VI, Line 4 Community information MERCY HOSPITAL IS LOCATED IN MOUNDRIDGE, KS AND SERVES A DENSELY-SETTLED RURAL AREA THAT ALSO INCLUDES INDIVIDUALS FROM FOUR SURROUNDING COMMUNITIES. MOUNDRIDGE AND THE SURROUNDING RURAL SPACE HAS A POPULATION OF APPROXIMATELY 8,500 PEOPLE. BENEFICIARIES ARE FROM FARMING AND SOME MANUFACTURING ORGANIZATIONS IN THE APPROXIMATE 30-MILE RADIUS OF THE HOSPITAL. THERE ARE TWO OTHER HOSPITALS WITHIN A 20-MILE RADIUS ALSO SERVING THE AREA. Schedule H, Part VI, Line 5 Promotion of community health THE HOSPITAL BOARD HAS COMMITTED TO USING AS MANY RESOURCES AS POSSIBLE TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITY. OUR COMMUNITY BENEFIT EXPENSE IN THE MOST RECENT FISCAL YEAR EXCEEDED 30% OF TOTAL EXPENSES. THE HOSPITAL HAS AN ACTIVE PATIENT AND FAMILY ENGAGEMENT COMMITTEE (PFEC) THAT MEETS EVERY OTHER MONTH. THIS GROUP IS COMPRISED OF VOLUNTEER COMMUNITY MEMBERS WHO HAVE BEEN PATIENTS IN THE HOSPITAL, OR WHO ARE FAMILY MEMBERS OF PATIENTS. THESE INDIVIDUALS SERVE AS ADVISORS FOR THE BOARD AND MEDICAL STAFF TO PROVIDE INSIGHT FROM THE COMMUNITY TO INFLUENCE HOSPITAL POLICY AND DECISIONS. MEDICAL STAFF IS COMPOSED OF COURTESY AND CONSULTING PHYSICIANS WHO MEET QUARTERLY. TOPICS RELATING TO COMMUNITY HEALTH ARE DISCUSSED IN MEDICAL STAFF MEETINGS. THE HOSPITAL'S BOARD IS COMPRISED OF 12 VOLUNTEER MEMBERS FROM VARIOUS REGIONS OF THE HOSPITAL'S SERVICE AREA. X X X false false false false false false false false false ROBERT H WILGERS RADIOLOGY DIRECTOR 142309 0 0 0 0 0 1608 0 8317 0 152234 0 0 0 BRENDA KOEHN SPOUSE OF A DIRECTOR 17389 SALARIES false Form 990, Part VI, Line 1a Delegate broad authority to a committee ALL MEMBERS OF THE BOARD OF DIRECTORS HAVE THE SAME VOTING PRIVILEGES. THE EXECUTIVE COMMITTEE DOES HAVE AUTHORITY TO ACT ON ANY MATTERS WHICH MAY ARISE BETWEEN REGULAR MEETINGS, SUBJECT TO APPROVAL BY THE FULL BOARD AT THEIR NEXT REGULAR MEETING. THE BOARD EXECUTIVE COMMITTEE INCLUDES THE CHAIRPERSON, THE ASSISTANT CHAIR, AND THE SECRETARY/TREASURER. THESE THREE ARE ELECTED TO THESE POSITIONS ANNUALLY BY THE FULL BOARD AND HAVE AUTHORITY TO ACT ON ALL MATTERS ARISING BETWEEN MEETINGS OF THE BOARD, SUBJECT TO APPROVAL BY THE FULL BOARD AT THEIR NEXT MEETING. Form 990, Part VI, Line 4 Significant changes to organizational documents THE ORGANIZATION'S MEDICAL STAFF BYLAWS WERE REVISED AND APPROVED BY THE MEDICAL STAFF AND BOARD OF DIRECOTRS DURING THE FISCAL YEAR. Form 990, Part VI, Line 6 Classes of members or stockholders MEMBERSHIP IN MERCY HOSPITAL, INC. IS LIMITED TO THE CONGREGATIONS OF THE VARIOUS CHURCHES OF THE CHURCH OF GOD IN CHRIST MENNONITE WITHIN THE AREA SERVED BY THE HOSPITAL. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE VARIOUS CONGREGATIONS, BEING THE MEMBERS OF MERCY HOSPITAL, INC., HAVE THE RIGHT TO ELECT, ADD, OR REMOVE BOARD MEMBERS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE VARIOUS CONGREGATIONS, BEING THE MEMBERS OF MERCY HOSPITAL, INC., HAVE THE RIGHT TO APPROVE THE BYLAWS, ARTICLES OF INCORPORATION, AND APPROVE OR REMOVE BOARD MEMBERS. Form 990, Part VI, Line 11b Review of form 990 by governing body AN INDEPENDENT ACCOUNTING FIRM PREPARES THE FORM 990. THE FORM 990 WITH ALL REQUIRED SCHEDULES IS THEN REVIEWED BY THE ORGANIZATION'S ADMINISTRATOR AND CFO. ANY QUESTIONS OR CONCERNS ARE ADDRESSED AND ANY NECESSARY CHANGES ARE MADE. THE FINAL FORM 990, WITH ALL REQUIRED SCHEDULES, IS PROVIDED TO ALL VOTING MEMBERS OF THE BOARD FOR THEIR REVIEW PRIOR TO FILING THE 990. Form 990, Part VI, Line 12c Conflict of interest policy BOARD MEMBERS AND THE ADMINISTRATOR REVIEW THE CONFLICT OF INTEREST POLICY ANNUALLY. EACH INDIVIDUAL IS RESPONSIBLE FOR DISCLOSING ANY POTENTIAL CONFLICTS. THESE ARE DOCUMENTED WITH SIGNED CONFLICT OF INTEREST STATEMENTS. THE HOSPITAL'S CORPORATE COMPLIANCE COMMITTEE DETERMINES WHETHER A CONFLICT IS PRESENT. IF A CONFLICT OF INTEREST IS PRESENT THE INTERESTED BOARD MEMBER IS EXCUSED FROM THE BOARDROOM DURING THE SUBSEQUENT VOTE. THE COMPLIANCE COMMITTEE IS COMPOSED OF INDIVIDUALS FROM MULTIPLE DEPARTMENTS, AND INCLUDES AARON HERBEL, ADMINISTRATOR AND CFO; FERNETTA PHILLIPS, HR MANAGER, AND HOLLIE BARR, CORPORATE COMPLIANCE OFFICER. Form 990, Part VI, Line 15a Process to establish compensation of top management official AT THE TIME OF HIRE AND ANNUALLY THEREAFTER, THE KHA'S PUBLISHED WAGE SCALE AND AN INFORMAL SURVEY OF AREA COMPENSATION COMPARABLES ARE USED TO ESTABLISH REASONABLE COMPENSATION LEVELS. IN ADDITION, AN ANNUAL PERFORMANCE EVALUATION IS PERFORMED BY THE EXECUTIVE COMMITTEE OF THE HOSPITAL BOARD OF DIRECTORS. THE EVALUATIONS COMPLETED BY THE EXECUTIVE COMMITTEE ARE THEN PRESENTED TO THE BOARD OF DIRECTORS FOR APPROVAL. DOCUMENTATION OF THE APPROVED EVALUATIONS FOR COMPENSATION IS INCLUDED IN THE BOARD MINUTES. SUCH A PROCESS IS COMPLETED FOR THE ADMINISTRATOR (CEO) BY THE BOARD OF DIRECTORS AND WAS LAST CONDUCTED IN JUNE OF 2025. Form 990, Part VI, Line 15b Process to establish compensation of other employees AT THE TIME OF HIRE AND ANNUALLY THEREAFTER, THE KHA'S PUBLISHED WAGE SCALE AND AN INFORMAL SURVEY OF AREA COMPENSATION COMPARABLES ARE USED TO ESTABLISH REASONABLE COMPENSATION LEVELS. IN ADDITION, AN ANNUAL PERFORMANCE EVALUATION IS PERFORMED BY THE EXECUTIVE COMMITTEE OF THE HOSPITAL BOARD OF DIRECTORS. THE EVALUATIONS COMPLETED BY THE EXECUTIVE COMMITTEE ARE THEN PRESENTED TO THE BOARD OF DIRECTORS FOR APPROVAL. DOCUMENTATION OF THE APPROVED EVALUATIONS FOR COMPENSATION IS INCLUDED IN THE BOARD MINUTES. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST TO THE HOSPITAL ADMINISTRATOR. Form 990, Part IX, Line 11g Other Fees PURCHASED MEDICAL SERVICES - Total Expense: 925451, Program Service Expense: 925451, Management and General Expenses: , Fundraising Expenses: ; MAINTENANCE AND ADMINISTRATIVE PURCHASED SERVICES - Total Expense: 60532, Program Service Expense: 51723, Management and General Expenses: 8809, Fundraising Expenses: ; Form 990, Part XII, Line 2c OVERSIGHT PROCESS THE ORGANIZATION'S EXISTING INTERNAL ACCOUNTANT HAS ASSUMED ADDITIONAL RESPONSIBILITIES DURING THE FISCAL YEAR. THE BOARD AS A WHOLE REVIEWS THE FINANCIAL DOCUMENTS PREPARED BY THE CFO, BUT A BOARD MEMBER IS NO LONGER PERSONALLY REQUIRED TO DO DETAILED REVIEW DUE TO ADEQUATE SEGREGATION OF DUTIES. CHURCH OF GOD IN CHRIST MENNONITE 100 AVE C MOUNDRIDGE KS 67107 237022612 CHURCH KS 501(c)(3) 1 NA false false false true false true false false false false false false false true true false false false false false