Mercy Regional Home Medical Services LLC

“Many of the persons listed on Part VII have a "business relationship" with each other by virtue of employment by related Via Christi Health, Inc. related entities.”

“Mercy Regional Home Medical Services, LLC has two corporate members, Mercy Regional Health Center, Inc. and Via Christi Health Partners, Inc.”

“Mercy Regional Home Medical Services, LLC has two corporate members, Mercy Regional Health Center, Inc. and Via Christi Health Partners, Inc., who have the ability to elect members to the governing body of Mercy Regional Home Medical Services, LLC.”

“All decisions that have a material impact to Mercy Regional Home Medical Services, LLC financial information or corporation as a whole are subject to approval by its two corporate members, Mercy Regional Health Center, Inc. and Via Christi Health Partners, Inc.”

“Management, including certain officers, work diligently to complete the Form 990 and attached schedules in a thorough manner. Prior to filing the return, all Board Members are provided the Form 990 and management team members are available to answer any Board Members' questions.”

“The organization's Conflict of Interest Policy is monitored as part of the system-wide procedures and not at the organizational level. The system-wide procedures are as follows: 1 - At time of appointment and annually thereafter, all interested persons, including board and committee members, complete a disclosure statement which addresses actual or potential conflicts of interest; 2 - The disclosure statement is done electronically and the return of the completed statement is a condition of continued appointment, employment, or participation with the organization; 3 - All actual or potential conflicts are reviewed, investigated, and resolved by the chief governance officer and the corporate responsibility officer, with the results shared with the chief executive of the organization; and 4 - Periodic reviews are conducted by governance, compliance, and internal audit to ensure the organization is operating consistent with the policy and enforcing the policy's terms.”

“Mercy Regional Home Medical Services, LLC uses the policies established by Via Christi Health, Inc. (VCH). VCH has established a common philosophy, strategy, and processes for executive compensation. Through the oversight of the VCH Executive Compensation Committee, executive compensation is competitively positioned at its stated market position when compared to the compensation paid by relevant organizations (comparably-sized health systems, hospitals, and long-term care providers). VCH recognizes its responsibility to ensure that its executive compensation program is appropriate in view of its mission and tax-exempt status and that its compensation levels and expenditures are reasonable and not excessive. To ensure these ends, the VCH Executive Compensation Committee has established and approved the executive compensation philosophy for VCH and all related entities. It will also approve all changes in the compensation package for VCH executives in advance. On an annual basis, the Committee conducts a comprehensive review of total compensation for all executives. It also reviews and approves "off-cycle" compensation transactions as needed. In their review, the Committee considers the following factors: - Market data from independent compensation surveys and sources that reflect comparable positions in organizations of similar size and scope; - Difficulties in recruiting and retaining executives; - Skills, experience and performance history of individual executives; - Critical business or strategic issues that the organization may face; and - Market position for total compensation. The adequacy, competitiveness, and cost of the VCH total executive compensation program are reviewed on an ongoing basis and changes are made as the Committee determines appropriate. The executive compensation program will be maintained such that it will fall within the safe harbor guidelines established by the intermediate sanctions regulations. The Committee also employs the services of an independent compensation consultant to prepare market analysis to aid and support the Committee's actions, provide documentation of market trends for budget setting purposes, review annual compensation changes to ensure "reasonableness" and provide attestation, and provide consultation on all executive compensation issues. The Committee also relies on third-party validation of performance measures used in the determination of compensation.”

“Mercy Regional Home Medical Services, LLC's governing documents and Conflict of Interest Policy are available to the public upon request.”

“COMMUNITY BENEFIT REPORT As a part of Via Christi Health, a Catholic health system, we share this Mission: "Inspired by the Gospel and our Catholic tradition, we serve as a healing presence with special concern for our neighbors who are vulnerable." Via Christi Health's history extends back over 100 years and today, along with our sponsoring organization, Ascension Health, we continue to respond to community needs in Kansas and northeastern Oklahoma. The obligation to reach out to those in need and improve community health flows directly from our identity as a faith-based healing ministry. As a mission-driven organization, we provide community benefit because we are committed to our core values of: - Service of the Poor - Generosity of spirit, especially for persons most in need - Reverence - Respect and compassion for the dignity and diversity of life - Integrity - Inspiring trust through personal leadership - Wisdom - Integrating excellence and stewardship - Creativity - Courageous innovation - Dedication - Affirming the hope and joy of our ministry Mercy Regional Home Medical Services, LLC provides high quality, cost effective health care equipment and services to members of the Manhattan, Kansas community and surrounding area, regardless of the ability to pay. Via Christi Health has policies and programs in place to ensure that billing and collection processes for uninsured/underinsured persons reflect our commitment to human dignity and meet the financial and local needs in the communities in which we operate. All ministries operated by Mercy Regional Home Medical Services, LLC utilize the VCH policy and review the financial condition of uninsured/underinsured patients/clients to determine their qualification of charity care. Financial surpluses are used to fulfill our charitable purpose. Mercy Regional Home Medical Services offers free and/or discounted care to persons without adequate financial means to pay for such services. This includes the participation in Medicaid, Medicare, CHAMPUS, Tricare, and/or other government-sponsored health care programs. In addition, Mercy Regional Home Medical Services employees assist with: - Fundraising for other area not-for-profits through the annual One Community Campaign and Mercy Community Health Foundation - Donating supplies and medical equipment to the Flint Hills Community Clinic and Will of Stone Foundation (children with special needs program) The financial information in this report was prepared in accordance with the Catholic Health Association's community benefit reporting guidelines. These guidelines recommend the following: - Report charity care at cost, not charges - Do not include bad debt, contractual allowances, and quick pay discounts as part of charity care expense. - Do not count Medicare shortfall as a community benefit - Report the net expense for community benefit services (e.g. the total community benefit expense minus any associated revenue from patients, payers and other external sources.) The CHA reporting guidelines reflect a conservative approach to reporting quantifiable community benefit. The goal of the reporting guidelines is to produce community benefit financial reports that reflect true costs and that describe community benefit activities that increase access to health care and improve community health. For Fiscal Year Ended June 30, 2014 1) Charity Care (at cost) $ 10,992 2) Government Sponsored Health Care - net expense $ -32,154 (Unpaid cost of public indigent care programs Includes Medicaid, SCHIP, other safety net programs, does not include Medicare shortfall) 3) Community Benefit Programs - net expense $ 0 Total Quantifiable Community Benefit Expenses $ -21,162”

“Change in Pension Account 3,681. Distribution -110,250. Noncontrolling Distribution -114,750.”