2024-08-15T13:17:01-05:00 2023-09-30 550538163 SUTTLE & STALNAKER PLLC 501 5TH AVENUE SUITE 1 HUNTINGTON WV 25701 990 2022-10-01 550675666 CABELL HUNTINGTON HOSPITAL INC CABE 3045262000 1340 HAL GREER BOULEVARD HUNTINGTON WV 25701 DAVID M WARD CFO 3045262000 2024-08-14 1 0 WADE NEWELL CPA P01051041 3045250301 2024-08-13 2022 2024-08-08 14:25:15Z TIM MARTIN 1340 HAL GREER BOULEVARD HUNTINGTON WV 25701 978021525 0 X WWW.CABELLHUNTINGTON.ORG X 1986 WV TO MEET LIFETIME HEALTHCARE NEEDS OF THOSE SERVED. TO PROVIDE THE HIGHEST LEVEL OF SERVICE, QUALITY, AND EFFICIENCY. TO ADVANCE HEALTHCARE THROUGH EDUCATION. OUR VISION IS TO BE THE HOSPITAL OF CHOICE FOR THE COMMUNITIES WE SERVE. 18 18 3495 78 1103209 34439 7640077 5993641 681147512 805633331 27078984 5620576 4604692 4396825 720471265 821644373 24961386 34356561 0 0 255459319 261427422 0 0 0 471075328 504348537 751496033 800132520 -31024768 21511853 988370605 965175053 552208601 460547308 436162004 504627745 X TO MEET LIFETIME HEALTHCARE NEEDS OF THOSE SERVED. TO PROVIDE THE HIGHEST LEVEL OF SERVICE, QUALITY, AND EFFICIENCY. TO ADVANCE HEALTHCARE THROUGH EDUCATION. 0 0 586121087 34356561 799585797 IT IS THE MISSION OF CABELL HUNTINGTON HOSPITAL TO PROMOTE HEALTH IN THE REGION THROUGH DEVELOPMENT AND DELIVERY OF A FULL SPECTRUM OF SERVICES THAT IMPROVE THE PHYSICAL, MENTAL, AND SPIRITUAL DIMENSIONS OF LIVES OF THOSE SERVED. THEREFORE, THE PRIMARY PROGRAM SERVICE ACCOMPLISHMENT IS THE INPATIENT AND OUTPATIENT SERVICES PERFORMED. CABELL HUNTINGTON HOSPITAL IS LICENSED FOR 303 BEDS AND STAFFED FOR OVER 3,400 INDIVIDUALS. DURING FISCAL YEAR 2023, IN ADDITION TO ITS ADULT AND PEDIATRIC UNITS, IT OPERATES A COMPREHENSIVE CANCER CENTER, A PEDIATRIC INTENSIVE CARE UNIT, A NEONATAL INTENSIVE CARE UNIT, A BURN INTENSIVE CARE UNIT, A SURGICAL INTENSIVE CARE UNIT, A MEDICAL INTENSIVE CARE UNIT, AND A CORONARY CARE UNIT. THE ORGANIZATION ALSO OPERATES A CHILDREN'S HOSPITAL. THE HOOPS FAMILY CHILDREN'S HOSPITAL HAS 71 BEDS WITH 36 BEDS IN THE LEVEL III NEONATAL INTENSIVE CARE UNIT, 25 BEDS IN THE GENERAL PEDIATRICS UNIT, 10 BEDS IN THE PEDIATRIC INTENSIVE CARE UNIT AND A NEONATAL THERAPEUTIC UNIT. THE HOSPITAL IS GOVERNED BY A VOLUNTARY BOARD OF INDEPENDENT CITIZENS OF THE COMMUNITY. DURING THE FISCAL YEAR 2023, THE HOSPITAL PROVIDED SERVICES TO 16,359 INPATIENTS, WHICH RESULTED IN PROVIDING 92,772 DAYS OF CARE. THE ORGANIZATION ALSO PROVIDED CARE TO 567,059 OUTPATIENTS. THIS INCLUDED 45,430 PATIENT VISITS TO THE EMERGENCY ROOM, WHICH IS OPERATED 24 HOURS AND IS OPEN TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. IT ALSO INCLUDED 18,200 OUTPATIENT SURGICAL PROCEDURES AND 9,922 HOME HEALTH VISITS. 49972220 CABELL HUNTINGTON HOSPITAL IS VERY INVOLVED WITH THE COMMUNITY IT SERVES. DURING THE FISCAL YEAR 2023, IT HELD NUMEROUS EVENTS, INCLUDING FREE OR DISCOUNTED HEALTH SCREENINGS, THERAPY, & EVALUATIONS, EDUCATION OUTREACH, HEALTH FAIRS, AND COMMUNITY TRAINING. OVER 30,138 PEOPLE ATTENDED THESE EVENTS THAT TOOK PLACE BETWEEN OCTOBER 1, 2022 AND SEPTEMBER 30, 2023. THE COST ASSOCIATED WITH THESE ACTIVITIES IS $569,386. THE ORGANIZATION ALSO GIVES BACK TO THE COMMUNITY BY PARTICIPATING IN VARIOUS PROGRAMS THAT PROMOTE HEALTHY AND SAFE LIFESTYLES FOR THE PEOPLE THAT LIVE HERE. THE HOSPITAL GAVE $30,354 FOR THE SUPPORT OF HUNTINGTON'S KITCHEN PROGRAM THAT PROMOTES HEALTHY EATING LIFESTYLES. WE PROVIDE SERVICE TO EBENEZER OUTREACH WHICH IS A CLINIC FOR CITIZENS WITH LOW INCOME $45,837. THE AMOUNT OF $10,000 WAS GIVEN TO THE HUNTINGTON MUSEUM OF ART FOR VARIOUS LOCAL PROGRAMS. AND ANOTHER $5,000 WAS GIVEN TO THE HUNTINGTON MUSEUM OF ART FOR CHILDREN'S MUSEUM ACTIVITIES. THE AMOUNT OF $2,500 WAS GIVEN TO THE HUNTINGTON CITY MISSION FOR THEIR FIGHTING HUNGER PROGRAM. THE AMOUNT OF $7,500 WAS GIVEN TO GOLDEN GIRLS HOME THAT ASSISTS TEENAGE GIRLS WHO HAVE BEEN ABUSED, NEGLECTED, AND ORPHANED. THE AMOUNT OF $26,000 WAS GIVEN TO SUPPORT FAITH HEALTH APPALACHIA WHOSE MISSION IS TO BE A CONDUIT OF TRANSFORMATION THAT CONNECTS COMMUNITY RESOURCES, HOSPITALS, FAITH COMMUNITIES, HEALTH CARE FACILITIES, AND SOCIAL SERVICE PROGRAMS THAT IS BASED ON TRUTH, CARE, AND EDUCATION TO IMPROVE THE TOTAL WELLNESS OF INDIVIDUALS AND COMMUNITY. THE FAITH HEALTH APPALACHIA ORGANIZATION PROVIDES ACUTE INPATIENT AND OUTPATIENT CARE INCLUDING SERVICES THAT ARE REIMBURSED FOR AND NOTED AS CHARITY CARE. ADDITIONALLY, CHH GAVE $52,734 TO VARIOUS OTHER COMMUNITY PROGRAMS SUCH AS COALITION FOR THE HOMELESS, CITY OF HUNTINGTON FOUNDATION, COALFIELD DEVELOPMENT, CONTACT HUNTINGTON, DRWV FOUNDATION, EDUCATION ALLIANCE, FACING HUNGER FOODBANK, HERITAGE FARM FOUNDATION, RIVER CITIES MINISTRY, STEPPING STONES, TEAM FOR WV CHILDREN, UNITED WAY, AND WV MEDICAL PROFESSIONAL HEALTH PROGRAM. $11,236,182 (WHICH IS NETTED AGAINST REVENUES) AND BAD DEBT EXPENSE WAS $49,263,667. THE HOSPITAL CONSIDERS ALL OF THIS A COMMUNITY SERVICE. 28658707 6115185 CABELL HUNTINGTON HOSPITAL IS A TEACHING HOSPITAL THAT IS ASSOCIATED WITH MARSHALL UNIVERSITY SCHOOLS OF MEDICINE, NURSING, AND PHARMACY. THE HOSPITAL IS LEADING THE WAY IN COMMUNITY HEALTH CARE AND WITH THAT COMES THE RESPONSIBILITY OF TRAINING OTHERS TO CONTINUE THE TRADITION OF EXCELLENCE. THE HOSPITAL RESIDENTS AND INTERNS GET THE OPPORTUNITY TO TRAIN WITH SOME OF THE MOST HIGHLY QUALIFIED MEDICAL SPECIALISTS IN THE AREA, SHARING INSIGHT INTO THE LATEST CONCEPTS IN MEDICAL EDUCATION AND PATIENT CARE. DURING THE FISCAL YEAR 2023 , 281 INTERNS, FELLOWS, AND RESIDENTS ROTATED THROUGH THE HOSPITAL. 664752014 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 1 1 0 0 1 148 0 1 3495 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 18 18 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X X DAVID M WARD SENIOR VPCFO 3045262055 1340 HAL GREER BOULEVARD HUNTINGTON WV 25701 CASSIE LANDERS TREASURER/DIRECTOR 2.00 X X 0 0 0 SARAH DENMAN DIRECTOR 2.00 X 0 0 0 RANDIE LAWSON DIRECTOR 2.00 X 0 0 0 DAVID HARRIS DIRECTOR 2.00 X 0 0 0 RANDY MOORE DIRECTOR 2.00 X 0 0 0 KRISTA DENNING MD DIRECTOR 2.00 X 0 0 0 DAN O'HANLON DIRECTOR 2.00 X 0 0 0 PETER RAY MD DIRECTOR 2.00 X 0 0 0 JOE EVANS MD DIRECTOR 2.00 X 0 0 0 GREG WOOTEN DIRECTOR 2.00 X 0 0 0 JOHN LILLER DIRECTOR 2.00 X 0 0 0 JOSEPH SHAPIRO MD DIRECTOR 2.00 X 0 0 0 SANDRA CLEMENTS SECRETARY/DIRECTOR 2.00 X X 0 0 0 MATT STRAUB VICE CHAIR/DIRECTOR 2.00 X X 0 0 0 JOE TOUMA MD DIRECTOR 2.00 X 0 0 0 BOBBY MILLER MD DIRECTOR 2.00 X 0 0 0 EDGAR LANHAM DIRECTOR 2.00 X 0 0 0 JEFF ROWE CHAIR/DIRECTOR 2.00 X X 0 0 0 DAVID M WARD SR. VP, CHIEF FINANCIAL OFFICER 45.00 X 764329 0 23006 PAUL E SMITH VP & CHIEF ADMINISTATIVE OFFIER 45.00 X 566227 0 32015 HOYT BURDICK SR VP, CHIEF MEDICAL OFFICER 45.00 X 517893 0 28360 TIM MARTIN CHIEF OPERATING OFFICER 45.00 X 408252 0 37811 KEVIN YINGLING PRESIDENT & CEO MHN 0.00 45.00 X 0 862472 27019 FRED NOBLIN CEO PLEASANT VALLEY HOSPITAL 45.00 X 302081 0 37811 BRADLEY BURCK VP CHH FOUNDATION 45.00 X 231019 0 37811 KEITH BIDDLE COO 45.00 X 0 0 0 DENNIS LEE VP MHN, CHIEF INFORMATION OFFICER 45.00 X 508010 0 26073 LISA C STUMP VP MHN, CHIEF STRATEGY OFFICER 45.00 X 494254 0 27019 MARIA SUMMERS VP PATIENT SERVICES 45.00 X 228359 0 27019 KENNETH JACKSON VP SUPPORT SERVICES 45.00 X 202496 0 42015 EDUARDO PINO CHIEF MEDICAL INFORMATION OFFICER 45.00 X 160932 0 13509 FAREED AZIZ VP REVENUE CYCLE MANAGEMENT 45.00 X 302387 0 42015 REGINA M CAMPBELL CHIEF NURSING OFFICER 1.00 45.00 X 0 348131 34243 MARK A MORGAN VP PHYSICIANS SERVICES 1.00 45.00 X 0 353192 47801 SUSAN T ROBINSON CHIEF HUMAN RESOURSES OFFICER 1.00 45.00 X 0 476811 48073 AARON BLEVINS CHIEF PHARMACY OFFICER 1.00 45.00 X 0 258870 45210 GHASSAN MOUFARREGE ANESTHESIOLOGIST 45.00 X 441262 0 13509 AHMET OZTURK MD ANESTHESIOLOGIST 45.00 X 577727 0 27019 TIMOTHY DAMRON MD CARDIOLOGIST 45.00 X 497762 0 42015 MACK ARROLIGA MD ANESTHESIOLOGIST 45.00 X 448448 0 24316 KEVIN FRANKS ER PHYSICIAN 45.00 X 412468 0 42015 7063906 2299476 725684 451 0 1 0 UNIVERSITY PHYSICIANS AND SURGEONS INC 1600 MEDICAL CENTER DRIVE HUNTINGTON WV 25701 MEDICAL SERVICES 27171156 QUALIVIS DEPT 3847 PO BOX 123847 DALLAS TX 75312 TRAVEL NURSES 25961980 NORTHSTAR ANESTHESIA OF WV PLLC 6225 N STATE HIGHWAY 161 SUITE 20 IRVING TX 75038 MEDICAL SERVICES 8851325 MARSHALL UNIVERSITY ONE JOHN MARSHALL DRIVE HUNTINGTON WV 25755 MEDICAL SERVICES 7824770 ALKU TECHNOLOGIES LLC PO BOX 4147 WOBURN MA 01888 SPECIALIZED CONSULTING 5347499 5 2110814 831180 3051647 5993641 NET PATIENT SERVICE REVENUE 621990 782121557 782121557 LABORATORY REVENUE 621500 24094024 23927027 166997 AEROMED INCOME 623000 -582250 -582250 805633331 5887682 5887682 434597 43848 390749 390749 390749 156066198 156333304 -267106 -267106 -267106 CAFETERIA 624200 2835216 2835216 OTHER REVENUE 621990 1170860 234648 936212 4006076 821644373 805700982 1103209 8846541 X 34356561 34356561 3243587 1041971 2201616 198073037 167870830 30202207 5861955 4963197 898758 39914545 33794827 6119718 14334298 12148602 2185696 1615831 1615831 228224 228224 1017714 1017714 141246524 112950503 28296021 1094159 280756 813403 9434488 3773795 5660693 31920960 15960480 15960480 10976784 7881957 3094827 1992 1594 398 11690212 9130462 2559750 27180015 17075509 10104506 5470900 4923810 547090 MEDICAL SUPPLIES 143689922 143689922 BAD DEBT 49092729 49092729 PROVIDER TAX 19166800 19166800 MEDICAL EDUCATION 15796085 15796085 34725198 10851624 23873574 800132520 664752014 135380506 0 15283 15171 84755487 39907241 92563725 104856871 9356639 9282582 4037519 8658241 724513510 428239697 268384298 296273813 239233593 188682679 9245713 8791835 3565524 3565524 277212824 305141096 988370605 965175053 116071516 88914583 334950756 327656859 1960183 2579659 99226146 41396207 552208601 460547308 X 436162004 504627745 436162004 504627745 988370605 965175053 X 21511853 15161678 229520 31562690 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 77537 77537 0 PART II-B, LINE 1: THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA), ASSOCIATION OF AMERICAN MEDICAL COLLEGES (AAMC), WEST VIRGINIA HOSPITAL ASSOCIATION (WVHA), AND THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS (NACH) WHICH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF ITS MEMBERS. A PORTION OF THE DUES PAID TO EACH HAVE BEEN ALLOCATED TO LOBBYING ACTIVITIES, WHICH AMOUNTED TO $51,593. THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA), ASSOCIATION OF AMERICAN MEDICAL COLLEGES (AAMC), WEST VIRGINIA HOSPITAL ASSOCIATION (WVHA), AND THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS (NACH) WHICH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF ITS MEMBERS. A PORTION OF THE DUES PAID TO EACH HAVE BEEN ALLOCATED TO LOBBYING ACTIVITIES, WHICH AMOUNTED TO $45,737. THE ASSOCIATIONS PROVIDE BOTH ADVOCACY AND REPRESENTATION FOR ITS MEMBERS. SPECIFIC INFORMATION REGARDING THE ADVOCACY AGENDAS OF THE ASSOCIATIONS CAN BE VIEWED AT THEIR RESPECTIVE WEBSITES, WWW.AAMC.ORG, WWW.WVHA.ORG, AND WWW.CHILDRENSHOSPITALS.ORG. THE ORGANIZATION ALSO ENGAGED PACK GOVERNMENT SOLUTIONS, LLC TO LOBBY THE WEST VIRGINIA LEGISLATURE, MONITOR LEGISLATION, FACILITATE MEETINGS WITH LAWMAKERS, AND FOR GENERAL ADVOCACY FOR THE HOSPITAL INDUSTRY. THESE LOBBYING ACTIVITIES AMOUNTED TO $31,800. 4163622 537676 420672 5121970 3574910 815750 -227038 4163622 630000 2689610 255300 3574910 630000 630000 1.00000 0 1 1 7518842 7518842 315503708 148330158 167173550 342349417 267181986 75167431 59141543 12727553 46413990 296273813 MISCELLANEOUS OTHER ASSETS 17916755 OTHER RECEIVABLES 86251394 ESTIMATED SETTLEMENT THIRD-PAR 19079547 INVESTMENT IN SMMC 174265192 RIGHT OF USE ASSETS 7628208 305141096 ESTIMATED THIRD PARTY SETTLEMENTS 3419235 DERIVATIVE FINANCIAL INSTRUMENTS 1132532 ACCRUED POST RETIREMENT BENEFITS 14802863 ACCRUED PROFESSIONAL LIABILITIES 10114000 LEASE OBLIGATIONS 9165577 DEF GAIN/OTHER LIABILITIES 2762000 41396207 X PART V, LINE 4: THE FOUNDATION'S ENDOWMENT FUND WAS ESTABLISHED FOR THE EXCLUSIVE BENEFIT OF THE HOOPS FAMILY CHILDREN'S HOSPITAL AT CABELL HUNTINGTON HOSPITAL. PART X, LINE 2: MANAGEMENT ANNUALLY REVIEWS ITS TAX PROVISIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS AT SEPTEMBER 30, 2023 AND 2022. 1 1 1 X 0 1 1 0 0 705490 705490 0.00090 196820283 51728919 145091364 0.18130 197525773 51728919 145796854 0.18220 569386 44900 524486 0.00070 28658707 6115185 22543522 0.02820 836417 7890 828527 0.00100 175080 175080 0.00020 30239590 6167975 24071615 0.03010 227765363 57896894 169868469 0.21230 69400 69400 0.00010 110525 110525 0.00010 179925 179925 0.00020 0 14563366 2912673 214973092 285912580 -70939488 X 1 1 1 HUNTINGTON SURGERY PROPERTIES REAL ESTATE/LEASES 0.51000 0.49000 1 1 CABELL HUNTINGTON HOSPITAL INC 1340 HAL GREER BOULEVARD HUNTINGTON WV 25701 CABELLHUNTINGTON.ORG X X X X X CABELL HUNTINGTON HOSPITAL INC 0 0 1 X X X X X X X X X 22 1 1 0 1 X WWW.CABELLHUNTINGTON.ORG X 1 22 1 WWW.CABELLHUNTINGTON.ORG 1 0 1 X 150.000000000000 X X X X X 1 1 X X X 1 X WWW.CABELLHUNTINGTON.ORG X WWW.CABELLHUNTINGTON.ORG X WWW.CABELLHUNTINGTON.ORG X X X X X X 1 X 0 X X X X 1 X 0 0 CABELL HUNTINGTON HOSPITAL, INC. PART V, SECTION B, LINE 5: IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT, CABELL HUNTINGTON HOSPITAL (CHH) SOLICITED INPUT FROM KEY COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTEREST OF THE COMMUNITY, INCLUDING EXPERTS IN PUBLIC HEALTH AND INDIVIDUALS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. CHH CARES FOR PATIENTS THROUGHOUT WEST VIRGINIA, EASTERN KENTUCKY, AND SOUTHERN OHIO. THE HOSPITAL CONSULTED KEY INFORMANTS FROM THE FOLLOWING ORGANIZATIONS:A.D. LEWIS COMMUNITY CENTERAMERICAN HEART ASSOCIATIONAUTISM SERVICE CENTERBIG BROTHERS BIG SISTERS OF THE TRI-STATEBUCKSKIN COUNCILCABELL COUNTY PUBLIC LIBRARYCABELL HOME HEALTHCABELL HUNTINGTON HOSPITALCABELL HUNTINGTON HOSPITAL HOME CARE MEDICINECABELL-HUNTINGTON COALITION FOR THE HOMELESSCARVERCENTER FOR HEALTHY AGINGCENTRAL UNITED METHODIST CHURCHCHRIST EPISCOPAL CHURCHCITY OF HUNTINGTONCITY OF HUNTINGTON FIRE DEPARTMENTCOX LANDING & SUNRISE UNITED METHODIST CHURCHESEDUCATION ALLIANCEEDWARDS COMPREHENSIVE CANCER CENTERFACING HUNGER FOODBANKFAITHHEALTH APPALACHIAGRACE CHRISTIAN FELLOWSHIPHOSPICE OF HUNTINGTONHUNTINGTON 1ST CHURCH OF THE NAZARENEHUNTINGTON CITY COUNCILHUNTINGTON CITY MISSIONHUNTINGTON INTERNAL MEDICINE GROUPINTERVENTIONAL RADIOLOGYIRONTON IN BLOOMKANAWHA-CHARLESTON HEALTH DEPARTMENTKINDRED COMMUNICATIONSLAWRENCE COUNTY CHAMBER OF COMMERCELAWRENCE ECONOMIC DEVELOPMENT CORPORATIONMARSHALL HEALTH AND MARSHALL UNIVERSITY SCHOOL OF MEDICINEMARSHALL HEALTHMARSHALL HEALTH DIVISION OF ADDICTION SCIENCE IN FAMILY AND COMMUNITY MEDICINE-PROACT/PROJECT HOPEMARSHALL UNIVERSITYMARSHALL UNIVERSITY BEHAVIORAL HEALTH CLINICMARSHALL UNIVERSITY OB/GYNMARSHALL UNIVERSITY PEDIATRICSMARSHALL UNIVERSITY JOAN C. EDWARDS SCHOOL OF MEDICINE FAMILY MEDICINEMARSHALL UNIVERSITY SCHOOL OF PHARMACYMARTIN COUNTY HEALTH DEPARTMENTMILDRED MITCHELL BATEMAN HOSPITALMOUNTAIN HEALTH NETWORKMIDLAND BEHAVIORAL HEALTHPATHWAYS, INC.PROACTQUALITY INSIGHTSRADIOLOGY, INC.ROME PRESBYTERIAN CHURCHSOUTHERN WV HEALTH SYSTEMSST. MARY'S MEDICAL CENTERTEAM FOR WEST VIRGINIA CHILDRENTENTH AVENUE CHURCH OF GODTHE CAUSE, INC.THE CENTER - YOUTH OPPORTUNITY HUBTHE HIGHLAWN COMMUNITY ALLIANCETRANSFORMATION COMMUNITY CHURCHTRI-STATE STEM+M EARLY COLLEGE HIGH SCHOOLUNITED WAY OF THE RIVER CITIESVERTICAL HEALTHCAREWEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES/BUREAU OF BEHAVIORAL HEALTHWOMEN INFANTS AND CHILDRENWV FREEYMCA OF HUNTINGTON THESE ORGANIZATIONS WERE REPRESENTED BY PROFESSORS, PHYSICIANS, MID-LEVEL HEALTH CARE PROVIDERS, NURSES, CEOS, CFOS, DIRECTORS OF FACILITIES, PASTORS, AND OTHER CITIZENS OF THE SERVICE AREA. CABELL HUNTINGTON HOSPITAL, INC. PART V, SECTION B, LINE 6A: THE MOST RECENT CHNA WAS CONDUCTED ALONG WITH ST. MARY'S MEDICAL CENTER. BOTH HOSPITALS ARE LOCATED IN HUNTINGTON, WEST VIRGINIA. CABELL HUNTINGTON HOSPITAL, INC. PART V, SECTION B, LINE 11: COMMUNITY-BUILDING ACTIVITIESA THREE-YEAR COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) HAS BEEN DEVELOPED TO GUIDE COMMUNITY BENEFIT AND POPULATION HEALTH IMPROVEMENT ACTIVITIES ACROSS OUR SERVICE AREA. THE CHIP BUILDS UPON PREVIOUS HEALTH IMPROVEMENT ACTIVITIES, WHILE RECOGNIZING NEW HEALTH NEEDS IDENTIFIED IN THE CHNA INCLUDING A CHANGING HEALTH CARE ENVIRONMENT AND THE IMPACT OF THE COVID-19 PANDEMIC. CHIP SEEKS TO ADDRESS NOT ONLY PRIORITY AREAS IDENTIFIED IN THE PAST ASSESSMENTS BUT ALSO TO INCLUDE DISPARITIES IN SOCIAL DETERMINANTS OF HEALTH AND ACCESS TO CARE. THIS IS CONSISTENT WITH A HEALTH EQUITY APPROACH TO LOOK BEYOND THE HEALTH CARE SYSTEM TO BUILD HEALTHIER COMMUNITIES FOR ALL PEOPLE. PRIORITY AREAS FOR CHIP INCLUDE BEHAVIORAL HEALTH, SUBSTANCE USE DISORDER, CHRONIC DISEASE PREVENTION AND MANAGEMENT, AGING POPULATION, AND FOOD INSECURITY. BEHAVIORAL HEALTH & SUBSTANCE USE DISORDER:THE GOAL IS TO SUPPORT SUBSTANCE USE DISORDER (SUD) EFFORTS AND IMPROVED OUTCOMES IN OUR COMMUNITY FOR PEOPLE WITH A BEHAVIORAL HEALTH AND/OR SUBSTANCE USE DISORDER AND THEIR FAMILIES, INCLUDING INFANTS WITH NEONATAL ABSTINENCE SYNDROME (NAS). CONTINUING STRATEGIES: - PROVIDER RESPONSE ORGANIZATION FOR ADDICTION CARE AND TREATMENT (PROACT) PROACT'S GOAL IS TO OFFER INDIVIDUALS AND THEIR FAMILIES A VIABLE SYSTEM THAT PROVIDES POSITIVE OUTCOMES. PARTNER INSTITUTIONS WITHIN PROACT INCLUDE CHH, ST. MARY'S MEDICAL CENTER, MARSHALL HEALTH, AND THOMAS HEALTH. THE PROACT CENTER, WHICH OPENED IN 2018, WAS CREATED TO ADDRESS THE CLINICAL, BEHAVIORAL, SPIRITUAL, AND PROFESSIONAL ISSUES OF THOSE AFFECTED BY SUBSTANCE USE. IT FUNCTIONS AS THE CENTRALIZED HUB FOR TREATMENT, RECOVERY, THERAPY, EDUCATION, RESEARCH, WORKFORCE OPPORTUNITIES, AND SUPPORT FOR THOSE AFFECTED BY ADDICTION. - HOOPS FAMILY CHILDREN'S HOSPITAL CHILD ADVOCACY CENTER (CAC)THE HOOPS FAMILY CHILDREN'S HOSPITAL AT CHH OPENED THE CAC TO OFFER CHILDREN AND FAMILIES COMPASSIONATE CARE TO REDUCE THE TRAUMA OFTEN EXPERIENCED BY CHILDREN WHO ARE VICTIMS OF ABUSE. - HOOPS FAMILY CHILDREN'S HOSPITAL MATERNAL OPIOID MEDICAL SUPPORT (MOMS) PROGRAMTHE MOMS PROGRAM PROVIDES ADDICTION TREATMENT SERVICES FOR MOTHERS WHILE THEIR BABIES RECOVER FROM NEONATAL ABSTINENCE SYNDROME (NAS) IN THE NEONATAL THERAPEUTIC UNIT (NTU). SERVICES PROVIDED INCLUDE MEDICATION-ASSISTED THERAPY, WOMEN'S HEALTH, CONTRACEPTION, INDIVIDUAL AND GROUP COUNSELING, CASE MANAGEMENT AND PASTORAL CARE. - NEONATAL THERAPEUTIC UNIT (NTU)THE NTU AT CHH PROVIDES CARE FOR BABIES BORN PRENATALLY EXPOSED TO SUBSTANCES THAT CAN CAUSE SYMPTOMS OF WITHDRAWAL AFTER BIRTH. THE UNIT IS DEDICATED TO CARING FOR THE ENTIRE FAMILY BY PROVIDING TREATMENT, EDUCATION, AND SUPPORT IN A NON-JUDGMENTAL ENVIRONMENT. THE NTU IS THE FIRST OF ITS KIND IN THE STATE OF WV AND ONE OF THE FIRST IN THE US IN WHICH NEWBORNS EXPERIENCE THE BENEFIT OF QUIET, SUPPORTIVE HOSPITAL SETTING INVOLVING THE PARENTS AND EXTENDED FAMILY IN FORMING HEALTHY HABITS. - PROJECT HOPE FOR WOMEN AND CHILDREN THIS PROGRAM IS LED BY HEALTHY CONNECTIONS, THE HFCH MOMS PROGRAM, AND MARSHALL HEALTH'S MATERNAL ADDICTION RECOVERY CENTER TO SUPPORT MOTHERS AND THEIR FAMILIES ON THE ROAD TO ADDICTION RECOVERY. AS A COMPREHENSIVE TREATMENT FACILITY, PROJECT HOPE PROVIDES ONSITE PEER AND RESIDENTIAL SUPPORT, LIFE SKILLS TRAINING, MENTAL HEALTH SERVICES, EDUCATIONAL SUPPORT SERVICES, CAREER DEVELOPMENT, NUTRITION, EXERCISE SUPPORT, PARENTING, RELATIONSHIP COURSES, SPIRITUAL CARE, AND FINANCIAL EDUCATION. IT CAN HOUSE UP TO 18 FAMILIES AT A TIME IN SINGLE FAMILY UNITS AVERAGING A SIX MONTH STAY. - LILY'S PLACELILY'S PLACE CARES FOR DRUG EXPOSED NEWBORNS AND THEIR FAMILIES. MEDICAL CARE IS PROVIDED TO INFANTS SUFFERING FROM NAS. THEY PROVIDE SUPPORT, EDUCATION, AND COUNSELING SERVICES TO FAMILIES AND CAREGIVERS. DURING THEIR SHORT-TERM CARE, THEY CONNECT FAMILIES WITH RECOVERY GROUPS. TWO FOLLOW-UP CLINICS EACH MONTH, WITH A PEDIATRIC NEUROLOGIST AND SOCIAL WORKER, ARE CONDUCTED FOR PARENTS AND INFANTS WHO GRADUATE FROM THE PROGRAM. - PRESTERA CENTER FOR MENTAL HEALTH SERVICESCHH COORDINATES SERVICES WITH PRESTERA CENTER, WHICH IS A REGIONAL PROVIDER OF SUPPORT AND SERVICES FOR PEOPLE WITH BEHAVIORAL HEALTH AND SUBSTANCE ABUSE NEEDS. PRESTERA CENTER SPECIALIZES IN HELPING INDIVIDUALS WHO HAVE A DUAL DIAGNOSIS FOR MENTAL HEALTH AND SUBSTANCE USE NEEDS. - PROJECT ENGAGETHIS IS A PROGRAM FOR PATIENTS WHO SEEK TREATMENT THROUGH CHH EMERGENCY DEPARTMENT OR ARE ADMITTED AS AN INPATIENT OR TO MOTHER/BABY UNIT. PROJECT ENGAGE IS A PROGRAM THAT UNIFIES POLICIES AND PROTOCOLS TO INCREASE THE LIKELIHOOD THAT PATIENTS WITH SUD WILL BE PREPARED FOR AND CHOOSE LONG-TERM TREATMENT UPON DISCHARGE. - PERINATAL BEREAVEMENT SUPPORT GROUPS A SUPPORT GROUP FOR BEHAVIORAL HEALTH CONDITIONS AND/OR SUBSTANCE USE DISORDERS. SEVEN MONTHLY PERINATAL BEREAVEMENT SUPPORT GROUPS WERE HELD WITH 25 PARTICIPANTS THIS FISCAL YEAR. - FAITHHEALTH APPALACHIA (FHA)BASED ON THE FAITHHEALTH MODEL FIRST DEPLOYED BY THE WAKE FOREST BAPTIST MEDICAL CENTER'S FAITHHEALTH PROGRAM, FAITHHEALTH APPALACHIA'S MISSION IS TO "BE THE BRIDGE," A CONDUIT OF TRANSFORMATION THAT CONNECTS COMMUNITY RESOURCES, HOSPITALS, FAITH COMMUNITIES, HEALTH CARE FACILITIES, AND SOCIAL SERVICE PROGRAMS THAT ARE BASED ON TRUTH, CARE, AND EDUCATION TO IMPROVE THE TOTAL WELLNESS OF INDIVIDUALS AND COMMUNITY. CHH SUPPORTS THE MISSION OF FHA AS A MODEL TO INCREASE ACCESS TO MEDICAL CARE AND OTHER RESOURCES TO LOCAL CONGREGATIONS AND EMPLOYS ITS EXECUTIVE DIRECTOR IN THE CHH PASTORAL CARE/CHAPLAINCY DEPARTMENT. - CABELL-HUNTINGTON HEALTH DEPARTMENT HARM REDUCTION PROGRAM (HRP)CHH, IN CONJUNCTION WITH MARSHALL HEALTH AND ST. MARY'S MEDICAL CENTER, SUPPORTS THE HRP. THE HRP PROVIDES STERILE SYRINGES, COLLECTS NON-STERILE (USED) SYRINGES, OFFERS NALOXONE AND RESCUE BREATHING TRAINING, AND ACTS AS POINTS OF ACCESS TO PREVENTION, TESTING AND TREATMENT FOR BLOOD-BORNE DISEASES AS WELL AS PROVIDING FAMILY PLANNING AND REFERRALS TO MEDICAL TREATMENT, SOCIAL SERVICES, MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES FOR CABELL COUNTY RESIDENTS.- REVERSE THE CYCLE PROJECTTHE HOSPITAL ER, IN CONJUNCTION WITH MOSAIC CONSULTING AND MARSHALL HEALTH ADDICTION MEDICINE DIVISION PROVIDE: A. SCREENING FOR SUBSTANCE ABUSE DISORDER IN ER VISITS WITH PEER RECOVERY SPECIALIST FOLLOW-UP. B. PEER RECOVERY SPECIALIST OUTREACH TO OVERDOSE SURVIVORS.C. PRESCRIBING OR PROVIDING OUTPATIENT NARCAN TO ER PATIENTS PRESENTING WITH OVERDOSE.- HEALTH CONNECTIONSA COALITION OF HEALTH CARE AND SOCIAL SERVICE PROVIDERS DEDICATED TO EVIDENCE BASED AND INTER-AGENCY PROGRAMMING FOR THE TREATMENT OF PREGNANT AND PARENTING FAMILIES WHO ARE STRUGGLING WITH SUD.NEW STRATEGIES:- INCREASE THE AWARENESS AND EDUCATION TO ENCOURAGE TREATMENT AND MANAGEMENT OF BEHAVIORAL HEALTH ISSUES AND SUD BY COLLABORATING WITH COMMUNITY PARTNERS TO SOLICIT FEEDBACK FROM PEOPLE WITH LIVED EXPERIENCE AND THEIR FAMILIES FOR BOTH BEHAVIORAL HEALTH AND SUD SERVICES GAP ANALYSIS. - PROVIDE THE NAVIGATING GRIEF SUPPORT GROUPS, WHICH WAS PREVIOUSLY OFFERED BEFORE COVID. - PROMOTE WELLNESS AND RESILIENCE INITIATIVES THAT PROTECT FROM AND OFFSET RISK FACTORS FOR BEHAVIORAL HEALTH ISSUES AND SUD BY: A. EXPLORING PARTNERSHIPS WITH ARTS AND CULTURAL VENUES TO PROVIDE YOUTH ENGAGEMENT AND SOCIAL CONNECTIVITY OPPORTUNITIES.B. STRENGTHENING AND SUPPORTING COMMUNITY ORGANIZATIONS PROVIDING YOUTH MENTORSHIP, SENIOR PROGRAMMING, RELATIONSHIP-BUILDING, AND SOCIAL EMOTIONAL LEARNING OPPORTUNITIES.C. DEVELOPING ARRANGEMENTS WITH COMMUNITY ORGANIZATIONS TO ENCOURAGE SOCIAL ENGAGEMENT AND SELF-MANAGEMENT SKILLS FOR PEOPLE WITH CHRONIC CONDITIONS, CHRONIC PAIN, OR ADVANCING ILLNESS. - IMPROVE ACCESS TO BEHAVIORAL HEALTH AND SUD SERVICES BY SUPPORTING EFFORTS TO EXPAND TELEHEALTH APPLICATIONS.- INCREASE AWARENESS OF SUD TO REDUCE STIGMA AND FEAR OF SEEKING TREATMENT BY PROVIDING SUD AWARENESS SENSITIVITY TRAINING TO EMPLOYEES.- IMPROVE ACCESS TO SUD TREATMENT AND RECOVERY SERVICES BY: A. EXPLORING MOBILE UNIT OUTREACH FOR SERVICES SUCH AS MOBILE MEDICATION ASSISTED TREATMENT (MAT) AND NARCAN DISTRIBUTIONS.B. EXPLORING COMMUNITY PARTNERSHIPS TO ENHANCE TRANSPORTATION OPTIONS FOR SUD TREATMENT AND RECOVERY SERVICES CLIENTS. CABELL HUNTINGTON HOSPITAL, INC. PART V, SECTION B, LINE 11: CHRONIC DISEASE PREVENTION AND MANAGEMENTTHE GOAL FOR CHRONIC DISEASE PREVENTION AND MANAGEMENT IS TO REDUCE THE BURDEN OF CHRONIC DISEASE THROUGH PREVENTION, DETECTION, AND TREATMENT OF RISK FACTORS, AND IMPROVE QUALITY OF LIFE FOR PEOPLE LIVING WITH CHRONIC DISEASE. EMPHASIS WILL BE GIVEN TO OBESITY/DIABETES, HEART DISEASE, AND TOBACCO USE/LUNG DISEASE. HIGH PRIORITY IS THE EQUITABLE LIFE EXPECTANCY AND QUALITY OF LIFE FOR ALL PEOPLE BY ENSURING RESIDENTS HAVE THE RESOURCES THEY NEED TO MAINTAIN THEIR HEALTH.CONTINUING STRATEGIES- VARIOUS SUPPORT GROUPS AND EDUCATIONAL SEMINARS THESE ARE OFFERED FREE AND IN-PERSON MONTHLY. THE FOLLOWING SUPPORT GROUPS WERE OFFERED IN THIS FISCAL YEAR:A. BREASTFEEDING SUPPORT GROUP WAS OFFERED MONTHLY AND HAD 8 ATTENDEES.B. CHILD BIRTH SUPPORT GROUP WAS OFFERED MONTHLY AND HAD 182 PARTICIPANTS.C. ECCC SISTERS OF HOPE SUPPORT GROUP WAS OFFERED 11 TIMES WITH 107 PARTICIPANTS.D. CENTER FOR SURGICAL WEIGHT CONTROL SUPPORT GROUP WAS AVAILABLE 7 TIMES AND 117 ATTENDEES WERE PRESENT.E. CENTER FOR SURGICAL WEIGHT CONTROL COMMUNITY EDUCATION SEMINAR WAS OFFERED MONTHLY AND 470 PARTICIPANTS ATTENDED.- HOME HEALTH CARECHH HOME CARE MEDICINE, IN PARTNERSHIP WITH MARSHALL HEALTH, PROVIDES PRE- AND POST-ACUTE CARE FOR HOME-BOUND PATIENTS AGES 18 AND OLDER, THROUGHOUT THE TRI-STATE. A PHYSICIAN REFERRAL IS NOT NECESSARY TO RECEIVE SERVICES. CHH HOME CARE MEDICINE OFFERS: PHYSICAL EXAMINATIONS, DISEASE MANAGEMENT, MEDICATION MANAGEMENT, COORDINATION OF LAB AND X-RAY SERVICES AND COORDINATION OF CARE (HOSPICE, HOME HEALTH, AND HOSPITALIZATION). - HUNTINGTON'S KITCHENHUNTINGTON'S KITCHEN IS A COMMUNITY CENTER, WHERE PEOPLE COME TO LEARN, COOK, AND EXPERIENCE EVERYTHING THAT WELL-PREPARED FOOD AND HEALTHY LIVING HAVE TO OFFER. THE FACILITY BOASTS A FULLY EQUIPPED KITCHEN THAT ACCOMMODATES UP TO 16 COOKING STUDENTS WHILE THE CLASSROOM CAN HOLD 75 STUDENTS. THE MISSION OF HUNTINGTON'S KITCHEN IS SIMPLE: TO HELP PREVENT AND REDUCE DIET-RELATED DISEASE THROUGH EDUCATION ABOUT HEALTHY FOOD AND HEALTHY COOKING. OUR GOAL IS TO SHARE INFORMATION WITH EVERYONE, REGARDLESS OF COOKING EXPERIENCE. CLASSES TYPICALLY FEATURE ACTIVITIES RELATED TO COOKING BASICS, RECIPES AND INGREDIENTS, NUTRITION BASICS, USING LOCAL AND SEASONAL FOOD, AND SHOPPING ON A BUDGET.HUNTINGTON'S KITCHEN IS A COMMUNITY OUTREACH PROGRAM OF CABELL HUNTINGTON HOSPITAL. THE KITCHEN IS THE HOME OF MARSHALL UNIVERSITY'S DEPARTMENT OF DIETETICS AND ALSO PARTNERS WITH THE WEST VIRGINIA EXTENSION OFFICE, THE CABELL COUNTY DRUG REHABILITATION COURT, AND FACING HUNGER FOODBANK TO TEACH COMMUNITY MEMBERS HOW TO PREPARE HEALTHY MEALS USING FRESH PRODUCE AND CANNED GOODS TYPICALLY DISTRIBUTED THROUGH FOOD BANKS. THE KITCHEN ALSO PROVIDES HEALTHY COOKING CLASSES FOR COMMUNITY ORGANIZATIONS AND CHILDREN OVER THE AGE OF 12. DURING THE FIRST HALF OF THIS FISCAL YEAR, HUNTINGTON'S KITCHEN HAD 623 IN-PERSON PARTICIPANTS AND 3,736 IN-PERSON COMMUNITY OUTREACH ENCOUNTERS.- CHERTOW DIABETES CENTERCHH COLLABORATES WITH THE CHERTOW DIABETES CENTER AT MARSHALL UNIVERSITY TO PROVIDE PATIENT EDUCATION, A DIABETES SUPPORT GROUP, DIABETES EXERCISE CENTER, AND OTHER RESOURCES FOR DIABETIC PATIENTS. THE CENTER, WHICH IS ACCREDITED BY THE AMERICAN DIABETES ASSOCIATION, IS STAFFED BY A COMPLETE TEAM OF ENDOCRINOLOGISTS, DIABETES EDUCATORS, AND SPECIALTY PERSONNEL WHO TREAT AND MANAGE DIABETES. - COMMUNITY HEALTH SCREENINGSCHH PARTICIPATED IN DISCOUNTED HEALTH SCREENINGS FOR HEALTH ISSUES, SUCH AS CHOLESTEROL, BLOOD SUGAR, DIABETIC FOOT SCREENINGS, AND OSTEOPOROSIS. EDUCATION ABOUT STROKE, JOINT REPLACEMENT SURGERY, AND RISK FACTORS FOR DIABETES AND OTHER HEALTH ISSUES WAS ALSO PROVIDED. CHH ALSO PROVIDED FREE FLU SHOT CLINICS TO THE COMMUNITY.- YOUTH AND SENIOR OPPORTUNITIESA. CHH HELPS PROVIDE YOUTH OPPORTUNITIES FOR PHYSICAL ACTIVITY AND HEALTH EDUCATION THROUGH SUPPORT OF LOCAL PARKS, PLAYGROUNDS, FUN RUNS, AND COMMUNITY ORGANIZATIONS.B. UNITED WAY OF THE RIVER CITIES ENVISIONS A COMMUNITY WHERE EVERYONE HAS THE TOOLS AND OPPORTUNITY TO THRIVE BY CONNECTING OUR COMMUNITY WITH RESOURCES TO REDUCE POVERTY AND IMPROVE LIVES. C. YMCA OF HUNTINGTON OFFERS SENIOR GROUP FITNESS CLASSES, PERSONAL TRAINERS FOR LIGHT-WEIGHTED WORKOUTS, YOGA, AND ZUMBA.D. DEVELOPMENTAL THERAPY CENTER (DTC) ENHANCES THE QUALITY OF LIFE FOR CHILDREN AND ADULTS WITH DISABILITIES IN OUR COMMUNITY REGARDLESS OF AGE, INCOME, OR GEOGRAPHIC LOCATION. THEY PROVIDE ACCESS TO OCCUPATIONAL, PHYSICAL, SPEECH-LANGUAGE THERAPY, AND SPECIAL INSTRUCTIONS SERVICES TO MAXIMIZE DAILY LIVING SKILLS.- EBENEZER MEDICAL OUTREACH (EMO)CHH SUPPORTS THE EFFORTS OF THE FULL-SERVICE MEDICAL CLINIC, EBENEZER MEDICAL OUTREACH WHICH PROVIDES ACCESS TO FREE, COMPREHENSIVE HEALTH CARE, PREVENTATIVE CARE, AND PHARMACEUTICALS TO FINANCIALLY ELIGIBLE CLIENTS SUCH AS THE FAIRFIELD WEST COMMUNITY OF HUNTINGTON AND THE SURROUNDING AREAS. NEW STRATEGIES- REDUCE DISPARITIES IN CHRONIC DISEASE PREVALENCE AND DEATH RATES AND PROMOTE HEALTH EQUITY BY:A. ALIGNING WITH STRATEGIC INITIATIVES BY MHN CENTERS OF EXCELLENCE IN CARDIOVASCULAR AND PEDIATRICS. B. STRENGTHENING AND SUPPORTING COMMUNITY ORGANIZATIONS ADDRESSING KEY SOCIAL DETERMINANTS OF HEALTH BARRIERS, INCLUDING FOOD INSECURITY, HOUSING AND UTILITY INSTABILITY, TRANSPORTATION NEEDS, HEALTH LITERACY, ACCESS TO CARE, DIFFICULTIES IN PAYING FOR CARE AND MEDICATIONS, AND PERSONAL SAFETY.C. SUPPORTING EARLY HEALTH EDUCATION OPPORTUNITIES FOR YOUTH IN PARTNERSHIP WITH AFTERSCHOOL PROGRAMMING AND SCHOOL DISTRICTS.D. PROVIDING LUNG NODULE SCREENINGS FOR EARLIER DETECTION OF LUNG CANCER.- INCREASE ACCESS TO TRADITIONAL AND ALTERNATIVE PLACES PEOPLE CAN ACCESS HEALTH CARE BY: A. EXPANDING NEW PRIMARY CARE SITE LOCATIONS ACROSS THE REGION. B. PARTNERING WITH LOCAL COMMUNITY-BASED ORGANIZATIONS TO CO-LOCATE SOCIAL SERVICES.C. EXPANDING ACCESS TO TELEHEALTH VISITS AND PROVIDE ALTERNATIVE MEANS OF CONNECTION FOR THOSE WITHOUT ACCESS TO BROADBAND OR SMARTPHONE SERVICES. D. EXPLORING PARTNERSHIPS WITH CHURCHES, COMMUNITY CENTERS, AND MOBILE DELIVERY OPTIONS TO BRING HEALTH AND SOCIAL SERVICES TO RURAL COMMUNITIES. E. WORKING WITH PRIMARY CARE OFFICES TO ENCOURAGE AND SCHEDULE INDIVIDUALS WHO DELAYED PREVENTIVE CARE DURING THE PANDEMIC. F. SUPPORTING BROADBAND EFFORTS TO PROVIDE ACCESS TO UNSERVED POPULATIONS.- AGING POPULATIONTHE GOAL IS TO ACHIEVE EQUITABLE LIFE EXPECTANCY AND QUALITY OF LIFE FOR ALL PEOPLE AGED 65+ YEARS BY ENSURING RESIDENTS HAVE THE RESOURCES THEY NEED TO MAINTAIN THEIR HEALTH. INCLUDING THE IMPROVEMENT TO ACCESS TO HEALTH CARE SERVICES.NEW STRATEGIES- PROMOTE WELLNESS AND RESILIENCE INITIATIVES THAT PROTECT FROM AND OFFSET RISK FACTORS FOR SENIORS (65+) FOR BEHAVIORAL HEALTH ISSUES, SUBSTANCE USE DISORDERS, AND CHRONIC HEALTH ISSUES BY: A. EXPLORING PARTNERSHIP WITH SENIOR CENTERS AND OTHER ELDER SERVICE PROVIDERS TO PROVIDE OLDER ADULT ENGAGEMENT, SOCIAL CONNECTIVITY OPPORTUNITIES, BEHAVIORAL HEALTH SERVICES AND SUPPORTS, AND WELLNESS AND SENIOR VITALITY PROGRAMS. B. EXPANDING ACCESS TO TELEHEALTH VISITS AND PROVIDE ALTERNATIVE MEANS OF CONNECTION FOR THOSE WITHOUT ACCESS TO BROADBAND OR SMARTPHONE SERVICES. C. UTILIZE THE ORGANIZATIONS SUCH AS FAITHHEALTH APPALACHIA AND CATHOLIC CHARITIES TO SERVE AS A CONNECTION BETWEEN SOCIAL SERVICES, FAITH-BASED ORGANIZATIONS, MEDICAL FACILITIES, AND OTHER KEY LEADERS TO MEET THE SOCIAL DETERMINANTS OF HEALTH NEEDS OF SENIORS SUCH AS FOOD INSECURITY, MALNUTRITION, HOUSING, TRANSPORTATION NEEDS, AND SOCIAL ISOLATION.- REDUCE DISPARITIES IN CHRONIC DISEASE PREVALENCE AND DEATH RATES BY:A. ALIGNING WITH STRATEGIC INITIATIVES BY THE CENTER FOR HEALTHY AGING.B. EXPLORING AGE-FRIENDLY HEALTH SYSTEMS AND AARP LIVEABLE COMMUNITIES CRITERIA TO ADDRESS THE UNIQUE CARE NEEDS OF OLDER ADULTS.-FOOD INSECURITYTHE GOAL IS TO ENHANCE FOOD SECURITY AND ENCOURAGE AND INCREASE HEALTHY EATING BEHAVIORS ACROSS ALL AGE GROUPS IN THE COMMUNITY.CONTINUING STRATEGIES- EDWARDS COMPREHENSIVE CANCER CENTER (ECCC)ONE OF OUR EMPLOYEES, A REGISTERED DIETITIAN AND NUTRITIONIST, PROVIDES INFORMATION TO COMMUNITY MEMBERS REGARDING NUTRITION AND EDUCATION FOR CANCER PATIENTS AND THEIR FAMILIES. SHE HOSTS A MONTHLY EDUCATIONAL CLASS, OPEN TO THE PUBLIC, CALLED COOKING WITH CANCER (HOSTED AT HUNTINGTON'S KITCHEN). AS A CERTIFIED DIABETES EDUCATOR, SHE ALSO HOLDS NUTRITIONAL CLASSES FOR PATIENTS AND THEIR FAMILIES ON HOW TO PREPARE HEALTHY DIABETIC MEALS. CABELL HUNTINGTON HOSPITAL, INC. PART V, SECTION B, LINE 11: NEW STRATEGIES- INCREASE ACCESS TO HEALTHY FOODS BY:A. UTILIZE THE ORGANIZATIONS SUCH AS FAITHHEALTH APPALACHIA AND CATHOLIC CHARITIES TO SERVE AS A CONNECTION BETWEEN SOCIAL SERVICES, FAITH-BASED ORGANIZATIONS, MEDICAL FACILITIES, AND OTHER KEY LEADERS TO MEET THE SOCIAL DETERMINANTS OF HEALTH NEEDS OF PATIENTS SUCH AS FOOD INSECURITY, MALNUTRITION, HOUSING, TRANSPORTATION NEEDS, AND SOCIAL ISOLATION.B. EXPAND AND ENHANCE USE OF MEDICALLY TAILORED FOOD BOXES AND READY-TO-EAT MEALS WITH FACING HUNGER FOODBANK AND RETAIL FOOD STORES. C. SUPPORTING FARMERS MARKETS AND OTHER FOOD ACCESS INITIATIVES THAT PROVIDE FRESH, LOCALLY GROWN PRODUCE FOR LOW TO MODERATE INCOME UNDERSERVED POPULATIONS.D. STRENGTHENING AND SUPPORTING COMMUNITY ORGANIZATIONS ADDRESSING KEY SOCIAL DETERMINANTS OF HEALTH BARRIERS, INCLUDING FOOD INSECURITY, HOUSING AND UTILITY INSTABILITY, AND ACCESS TO HEALTHY FOODS.E. EXPLORING PARTNERSHIPS WITH GROCERY STORES AND CORPORATIONS TO INCREASE FOOD SUPPLY, HEALTHIER OPTIONS, AND REDUCE FOOD DESSERTS.F. ENCOURAGING MOBILE FOOD DRIVES.G. ENGAGING IN DEMONSTRATION PROJECTS WITH OTHER PROVIDERS AND PAYERS TO DEVELOP INNOVATIVE WAYS TO ADDRESS FOOD INSECURITY THROUGH INCENTIVES AND SUPPLEMENTAL PROGRAMS.H. STRENGTHENING AND SUPPORTING OPPORTUNITIES FOR HEALTHY LIFESTYLES INCLUDING COMMUNITY GARDENS AND COMMUNITY WALKABILITY.I. EXPLORING COMMUNITY ACTIVITIES THAT FOCUS ON GETTING FAMILIES TOGETHER TO LEARN HOW TO IMPROVE QUALITY OF FOOD AND ACTIVITY. J. SUPPORTING WELLNESS AND NUTRITION EDUCATION EVENTS IN PARTNERSHIP WITH COMMUNITY PARTNERS.K. COLLABORATING WITH NUTRITION AND DIETARY RESOURCES WITHIN THE SYSTEM AND COMMUNITY TO INTEGRATE NUTRITION EDUCATION INTO CHRONIC DISEASE MANAGEMENT PROGRAMS INCLUDING TELE-NUTRITION PROGRAMS.L. PARTNERING WITH COMMUNITY ORGANIZATIONS TO ADDRESS UNDERLYING DRIVERS OF HEALTH DISPARITIES THROUGH EDUCATION, OUTREACH, AND CHRONIC DISEASE MANAGEMENT PROGRAMS.VOLUNTEER SERVICE ON COMMUNITY BOARDSCHH LEADERS VOLUNTEERED THEIR TIME TO THEIR COMMUNITIES THROUGH SERVICE ON A NUMBER OF COMMUNITY BOARDS INCLUDING: DIGNITY HOSPICE, SART (SEXUAL ASSAULT RESPONSE TEAM), STOP (DOMESTIC VIOLENCE RESPONSE), VAB (VICTIM ADVISORY BOARD), MDIT (MULTIDISCIPLINARY INVESTIGATIVE TEAM) CABELL & WAYNE COUNTY, GENERATION HUNTINGTON, HUNTINGTON REGIONAL CHAMBER OF COMMERCE, LAWRENCE COUNTY OHIO CHAMBER OF COMMERCE, UNITED WAY OF THE RIVER CITIES, FACING HUNGER FOODBANK, GOODWILL FAMILY SERVICES BOARD, KODA DONATE LIFE EVENTS, AND LITTLE VICTORIES ANIMAL RESCUE, TO NAME A FEW. CABELL HUNTINGTON HOSPITAL, INC. PART V, SECTION B, LINE 13H: A PATIENT WHO DOES NOT QUALIFY FOR INCOME BASED FINANCIAL ASSISTANCE UNDER THE POLICY, BUT IS UNABLE TO PAY FOR THE COST OF MEDICALLY NECESSARY CARE MAY SEEK ASSISTANCE FOR 1) EXCEPTIONAL CIRCUMSTANCES IN WHICH THE PATIENT CERTIFIES THEY ARE UNDERGOING AN EXTREME PERSONAL OR FINANCIAL HARDSHIP, 2) SPECIAL MEDICAL CIRCUMSTANCES IN WHICH THE PATIENTS WHO ARE SEEKING TREATMENT THAT CAN ONLY BE PROVIDED BY THIS HOSPITAL'S MEDICAL STAFF OR WHO WOULD BENEFIT FROM CONTINUED MEDICAL SERVICES FROM THE HOSPITAL FOR CONTINUITY OF CARE, 3) MEDICAID SCREENING WHERE PATIENTS ARE SEEKING CARE MAY BE CONTACTED BY A REPRESENTATIVE TO DETERMINE WHETHER THEY QUALIFY FOR MEDICAID, AND 4) MEDICAID ADJUSTMENTS WHEN A PATIENT QUALIFIES FOR MEDICAID BUT FUNDING IS NOT AVAILABLE TO PAY FOR EMERGENCY SERVICES AND OTHER MEDICALLY NECESSARY CARE. 40 1 - EDWARDS COMPREHENSIVE CANCER CENTER 1400 HAL GREER BLVD HUNTINGTON WV 25701 CANCER CLINIC 2 - CABELL HUNTINGTON SURGERY CENTER 1201 HAL GREER BLVD HUNTINGTON WV 25701 OUTPATIENT SURGERY CENTER 3 - PAIN MGT CENTER 1340 HAL GREER BLVD HUNTINGTON WV 25701 PAIN MANAGEMENT CLINIC 4 - MARSHALL SENIOR PAIN AND WELLNESS CENTER 1115 20TH STREET HUNTINGTON WV 25703 SENIOR PAIN CLINIC 5 - BREAST HEALTH CENTER 1415 HAL GREER BLVD HUNTINGTON WV 25701 DIAGNOSTIC CENTER 6 - SPORTS MEDICINE REHAB SERVICES 2211 3RD AVE HUNTINGTON WV 25703 SPORTS MEDICINE CLINIC 7 - CHH - MH ORTHOPAEDICS 1600 MEDICAL CENTER DRIVE HUNTINGTON WV 25701 ORTHOPAEDICS CLINIC 8 - CENTER FOR SURGICAL WEIGHT CONTROL 1115 20TH STREET HUNTINGTON WV 25701 BARIATRIC CLINIC 9 - CHH - MH FAMILY MEDICINE 1600 MEDICAL CENTER DRIVE HUNTINGTON WV 25701 FAMILY OUTPATIENT CLINIC 10 - CHH - MH CARDIOLOGY 1249 15TH STREET STE 4000 HUNTINGTON WV 25701 CARDIOLOGY CLINIC 11 - CHH - MH NEUROSCIENCE 1600 MEDICAL CENTER DRIVE HUNTINGTON WV 25701 NEUROSCIENCE CLINIC 12 - CHH HUNTINGTON WOMEN'S HEALTH 1115 20TH STREET HUNTINGTON WV 25703 OB-GYN CLINIC 13 - CHH WOMEN'S HEALTH MERRITTS CREEK 104 MEADOW POINTE BARBOURSVILLE WV 25504 OB-GYN CLINIC 14 - OCCUMED URGENT CARE CENTER 2 STONECREST DRIVE HUNTINGTON WV 25701 FAMILY OUTPATIENT CLINIC 15 - SLEEP DISORDERS CENTER MARSHALL HEALTH BUILDING 300 CORPORATE SCOTT DEPOT WV 25560 SLEEP LAB 16 - CHH - MH OBSTETRICS & GYNECOLOGY 1600 MEDICAL CENTER DRIVE HUNTINGTON WV 25701 OB-GYN CLINIC 17 - CHH - MH SURGERY 1600 MEDICAL CENTER DRIVE HUNTINGTON WV 25701 OUTPATIENT SURGERY CLINIC 18 - COUNSELING CENTER 517 NINTH STREET HUNTINGTON WV 25701 COUNSELING SERVICES 19 - CHH - MH PSYCHIATRY & BEHAVIORAL MEDICIN 1115 20TH STREET HUNTINGTON WV 25703 PSYCHOLOGY CLINIC 20 - CHH PROCTORVILLE FAMILY MEDICAL CENTER 7718 COUNTY RD 107 PROCTORVILLE OH 45669 FAMILY OUTPATIENT CLINIC 21 - CHH - MH DERMATOLOGY 1934 11TH AVE HUNTINGTON WV 25701 DERMATOLOGY CLINIC 22 - MARSHALL INTERNAL MEDICINE-HUNTINGTON 1249 15TH STREET HUNTINGTON WV 25701 INTERNAL MEDICINE CLINIC 23 - FAMILY MEDICAL CENTER MERRITTS CREEK 100 MEADOW POINTE BARBOURSVILLE WV 25504 FAMILY OUTPATIENT CLINIC 24 - CANNONSBURG PRIMARY CARE 2028 WINCHESTER AVE ASHLAND KY 41101 FAMILY OUTPATIENT CLINIC 25 - TEAYS VALLEY DERMATOLOGY 300 CORPORATE CENTER DR 3RD FLR SCOTT DEPOT WV 25560 DERMATOLOGY CLINIC 26 - FAMILY MEDICAL CENTER KENOVA 750 OAK STREET KENOVA WV 25430 FAMILY OUTPATIENT CLINIC 27 - CHH FAMILY PRACTICE BARBOURSVILLE 4 CHATEAU LANE BARBOURSVILLE WV 25504 FAMILY OUTPATIENT CLINIC 28 - MARSHALL CENTER FOR HEALTHY AGING 659 CENTRAL AVE REAR BARBOURSVILLE WV 25504 SENIOR CLINIC 29 - WOMEN'S & FAMILY MEDICAL CENTER 1115 20TH STREET HUNTINGTON WV 25701 FAMILY OUTPATIENT CLINIC 30 - THE CHH RECOVERY CENTER 1640 13TH AVE HUNTINGTON WV 25701 RX DRUG ABUSE/PAIN RECOVERY CENTER 32 - TEAYS VALLEY 300 CORPORATE CENTER DR SCOTT DEPOT WV 25560 OUTPATIENT CLINIC 33 - CHH CENTER FOR LUNG HEALTH 1305 ELM ST HUNTINGTON WV 25701 LUNG HEALTH CLINIC 34 - BRUCE CHERTOW DIABETES CENTER 1249 15TH STREET STE 3000 HUNTINGTON WV 25701 DIABETES CLINIC 35 - WOUND CENTER 1600 MEDICAL CENTER DRIVE STE 2500 HUNTINGTON WV 25701 WOUND CENTER CLINIC 36 - CHH - MH UROLOGY 1115 20TH STREET HUNTINGTON WV 25703 UROLOGY CLINIC 37 - CHH - MH PEDIATRICS 1600 MEDICAL CENTER DRIVE HUNTINGTON WV 25701 PEDIATRIC CLINIC 38 - SMART CENTER 1340 HAL GREER BLVD HUNTINGTON WV 25701 THERAPIES-MOVEMENT & REHAB 39 - MARSHALL DENTISTRY & ORAL SURGERY 1215 13TH AVE HUNTINGTON WV 25701 OUTPATIENT ORAL SURGERY CLINIC 42 - WOODLANDS CLINIC 500 BRADLEY FOSTER DRIVE SUITE 267 HUNTINGTON WV 25701 FAMILY OUTPATIENT CLINIC 43 - CHH - MU GERIATRIC CENTER 1249 15TH STREET HUNTINGTON WV 25701 GERIATRIC CLINIC PART I, LINE 3C: IN ADDITION TO THE FEDERAL POVERTY GUIDELINES FACTOR IN DETERMINING CRITERIA FOR FINANCIAL ASSISTANCE, THE PATIENT NEEDS TO BE UNINSURED, A UNITED STATES CITIZEN, AND NOT HAVE ASSETS IN EXCESS OF $50,000. THE $50,000 ASSET LIMITATION EXCLUDES THE PATIENT'S PRIMARY RESIDENCE AND PRIMARY CAR. ADDITIONALLY, PATIENTS WHO EXPERIENCE FINANCIAL OR PERSONAL HARDSHIPS OR SPECIAL MEDICAL CIRCUMSTANCES MAY ALSO QUALIFY FOR FINANCIAL ASSISTANCE. PART I, LINE 7: A COST-TO-CHARGE RATIO WAS CALCULATED USING THE IRS WORKSHEET 2. THE TOTAL OPERATING EXPENSES WERE ADJUSTED FOR NON-PATIENT ACTIVITIES, MEDICAID TAXES, AND COMMUNITY BENEFIT AND BUILDING EXPENSES BEFORE CALCULATING THE RATIO. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN, IS $49,563,366. PART II THE HOSPITAL'S COMMUNITY-BUILDING ACTIVITIES, AS REPORTED IN PART II, PROMOTE THE HEALTH OF THE COMMUNITIES THE ORGANIZATION SERVES. DURING FY 2023, THE HOSPITAL COMMUNITY-BUILDING ACTIVITIES REACHED OUT TO NUMEROUS ORGANIZATIONS THAT SERVE INDIVIDUALS WITHIN THE DIRECT COMMUNITIES SERVED. FUTURE ACTIVITIES ARE DETERMINED BASED UPON THE COMMUNITY HEALTH NEEDS ASSESSMENT, REQUESTS FROM PUBLIC AGENCIES OR COMMUNITY GROUPS, AND OTHER FACTORS. THE HOSPITAL ALSO WELCOMES INPUT FROM THE COMMUNITIES AS TO WHICH EVENTS IT SHOULD PURSUE AND CONTINUE. THE HOSPITAL SEEKS TO PROVIDE OR FUND ACTIVITIES WITH THE FOLLOWING OBJECTIVES: IMPROVING ACCESS TO HEALTH SERVICES, ENHANCING PUBLIC HEALTH, RELIEVING GOVERNMENT BURDEN, MAKING HEALTHCARE AVAILABLE TO THE PUBLIC AND SERVICING LOW-INCOME CONSUMERS, ADDRESSING FEDERAL, STATE, OR LOCAL PUBLIC HEALTH PRIORITIES, AND LEVERAGING OR ENHANCING PUBLIC HEALTH DEPARTMENT ACTIVITIES. SOME OF THE SPECIFIC COMMUNITY BUILDING ACTIVITIES FUNDED BY THE ORGANIZATION INCLUDE: 1) GOLDEN GIRLS GROUP HOME, WHICH IS AN ORGANIZATION THAT ASSISTS ABUSED, NEGLECTED, & ORPHANED TEENAGE GIRLS, 2) HUNTINGTON MUSEUM OF ART PROGRAM FOR CHEMOTHERAPY PATIENTS AT THE HOSPITAL & VARIOUS COMMUNITY ACTIVITIES, 3) EBENEZER MEDICAL OUTREACH PROGRAM TO ASSIST THOSE WHO CANNOT AFFORD NEEDED MEDICATIONS AND TO HELP CONTINUE HOUSING A FREE CLINIC TO SERVE THE COMMUNITY, 4) HUNTINGTON'S KITCHEN CONTINUED OPERATIONS TO PROMOTE HEALTHY EATING HABITS FOR KIDS AND ADULTS IN THE COMMUNITY, 5) HUNTINGTON CITY MISSION FOOD PROGRAM TO HELP PROVIDE FOOD FOR INDIVIDUALS THAT HAVE NO PERMANENT HOME, 6) FAITH HEALTH APPALACHIA, A PROGRAM TO PROMOTE PASSION FOR A HOLISTIC APPROACH TO WELLNESS WHICH FOCUSES ON MIND, BODY, AND SPIRIT THROUGH BRIDGING TOGETHER OF HEALTHCARE, FAITH COMMUNITIES AND COMMUNITY, AND 7) NUMEROUS OTHER SUPPORT FOR THE SAME TYPES OF MISSIONS. PART III, LINE 4: FINANCIAL STATEMENT FOOTNOTE: SEE FOOTNOTE #6 ON PAGE 20 OF THE AUDITED FINANCIAL STATEMENTS. THE METHODOLOGY USED TO DETERMINE THE COST FOR LINE 2 IS THE METHOD SUGGESTED IN THE INSTRUCTIONS FOR WORKSHEET 2, FINANCIAL ASSISTANCE AT COST IN THE INTERNAL REVENUE INSTRUCTIONS FOR FORM 990 SCHEDULE H. THIS METHOD CALCULATES A COST RATIO BY USING TOTAL OPERATING EXPENSES LESS BAD DEBT AND OTHER EXPENSE ADJUSTMENTS DIVIDED BY GROSS PATIENT REVENUES. THE RATIO IS THEN APPLIED TO BAD DEBT EXPENSE TO GET THE ESTIMATED COST. LINE 3 IS A PERCENTAGE DERIVED BY LOOKING AT THE HISTORICAL PERCENTAGES OF UNINSURED AND SELF-INSURED PATIENTS IN THE COMMUNITY SERVED. THERE ARE A NUMBER OF PATIENTS THAT DO NOT APPLY FOR FINANCIAL ASSISTANCE AND ARE DEFINITELY UNABLE TO PAY FOR THEIR OUT-OF-POCKET MEDICAL EXPENSES. IF THESE PATIENTS WENT THROUGH THE FINANCIAL ASSISTANCE PROCESS, THEY WOULD MOST LIKELY QUALIFY. THESE PATIENTS STILL NEED TO BE TREATED AND THIS IS WHY THE ORGANIZATION BELIEVES THIS SHOULD BE TREATED AS A COMMUNITY BENEFIT. PART III, LINE 8: BECAUSE THE HOSPITAL IS A COMMUNITY-BASED TEACHING HOSPITAL AND SERVES THE COMMUNITY WITHOUT REGARD TO ABILITY TO PAY, THIS AMOUNT SHOULD BE CONSIDERED A COMMUNITY BENEFIT. THE EXPENSES ALLOCATED TO THE MEDICARE ARE DERIVED FROM THE MEDICARE COST REPORT AND ARE ALLOCATED TO CARRIER BY GROSS CHARGE RATIO AFTER THEY ARE ADJUSTED FOR COSTS THAT ARE INCLUDED IN PART I, LINE 7F. PART III, LINE 9B: THE HOSPITAL HAS INCLUDED IN ITS FINANCIAL ASSISTANCE POLICY, THE COLLECTION PROCEDURES THAT WILL BE FOLLOWED FOR PATIENTS THAT ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. THE HOSPITAL SEEKS TO DETERMINE WHETHER A PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. IF THE PATIENT HAS NOT BEEN DETERMINED ELIGIBLE FOR FINANCIAL ASSISTANCE PRIOR TO DISCHARGE OR SERVICE, THE HOSPITAL WILL BILL FOR CARE. PATIENTS WILL RECEIVE A SERIES OF BILLING STATEMENTS OVER A 120-DAY PERIOD BEGINNING AFTER THE PATIENT HAS BEEN DISCHARGED DELIVERED TO THE ADDRESS ON RECORD FOR THE PATIENT. THE PATIENT HAS UP TO THIS 120-DAY WINDOW TO HAVE AN APPLICATION PROCESSED OR PENDING. THEY WILL NOT BE SENT TO ANY COLLECTION AGENCIES/LAW FIRMS UNTIL THE APPLICATION IS PROCESSED AND THEN ONLY IF IT IS NOT APPROVED. PART VI, LINE 2 THE HOSPITAL ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES BY CONDUCTING A NEEDS ASSESSMENT AND CONSULTING WITH HEALTHCARE PROVIDERS SUCH AS MARSHALL UNIVERSITY JOAN C. EDWARDS SCHOOL OF MEDICINE AND VARIOUS COMMUNITY AGENCIES. THE 2022 COMMUNITY NEEDS ASSESSMENT WAS CONDUCTED IN SEPTEMBER 2022 ALONG WITH MOUNTAIN HEALTH NETWORK AND ST. MARY'S MEDICAL CENTER ALSO LOCATED IN HUNTINGTON, WV. THE ASSESSMENT REPRESENTS THE COMMUNITY THE HOSPITALS SERVE WHICH INCLUDES 20 COUNTIES THAT SPAN INTO WEST VIRGINIA, OHIO, AND KENTUCKY. THE REPORT INCLUDES A COMPREHENSIVE REVIEW AND ANALYSIS OF DATA REGARDING THE HEALTH ISSUES AND NEEDS OF THESE COUNTIES. THE RESULTS OF THE ASSESSMENT ENABLE THE COUNTY PUBLIC HEALTH DEPARTMENTS, HEALTH SYSTEMS, AND OTHER PROVIDERS TO MORE STRATEGICALLY ESTABLISH PRIORITIES, DEVELOP INTERVENTIONS, AND COMMIT RESOURCES TO IMPROVE THE OVERALL HEALTH OF THESE COMMUNITIES. THE CURRENT NEEDS ASSESSMENT CAN BE FOUND ON THE HOSPITAL WEBSITE, HTTPS://CABELLHUNTINGTON.ORG. PART VI, LINE 3 THE HOSPITAL HAS INFORMATION ABOUT ITS CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES AND APPLICATIONS AVAILABLE IN ALL REGISTRATION AREAS OF THE HOSPITAL AS WELL AS ITS WEBSITE. THE HOSPITAL EMPLOYS FINANCIAL COUNSELORS WHO VISIT INPATIENTS IN ELIGIBLE FINANCIAL CLASSES TO PROVIDE INFORMATION ABOUT CHARITY CARE AND FINANCIAL ASSISTANCE AS WELL AS RESPONDING TO INQUIRIES FROM OUTPATIENTS REGARDING PROVIDING ASSISTANCE WITH THE APPLICATION PROCESS. PATIENTS CAN COMMUNICATE WITH FINANCIAL COUNSELORS IN PERSON OR BY TELEPHONE, MAIL, OR FAX IN ORDER TO LEARN MORE ABOUT THE HOSPITAL'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES AND OBTAIN INFORMATION REGARDING THEIR ELIGIBILITY FOR CHARITY CARE AND FINANCIAL ASSISTANCE. THE HOSPITAL ALSO CONTRACTS WITH MEDICAID ELIGIBILITY SPECIALISTS TO ASSIST THOSE PATIENTS WHO QUALIFY FOR MEDICAID. INFORMATION ABOUT THE HOSPITAL'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES AND PROCESS IS POSTED ON THE HOSPITAL'S WEBSITE, HTTPS://CABELLHUNTINGTON.ORG. PART VI, LINE 4 THE HOSPITAL IS LOCATED IN HUNTINGTON, CABELL COUNTY, WV. CABELL COUNTY IS LOCATED IN THE WESTERN PORTION OF WV AND IS BORDERED ON THE NORTHWEST BY OH AND ON THE SOUTHWEST BY KY (REGION REFERRED TO AS THE TRI-STATE AREA). HUNTINGTON IS ONE OF THE THREE METROPOLITAN CENTERS IN THE TRI-STATE AREA. THE HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREA CONSISTS OF TEN COUNTIES IN WEST VIRGINIA, SIX COUNTIES IN KENTUCKY, AND FOUR COUNTIES IN OHIO, ALL OF WHICH CONTAIN MEDICALLY UNDERSERVED AREAS AS DESIGNATED BY THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES. NINETY-FIVE PERCENT (95%) OF THE TOTAL ADMISSIONS ORIGINATE FROM THIS SERVICE AREA. ACCORDING TO OUR MOST RECENT CHNA, THE MEDIAN AGE IN THIS SERVICE AREA IS 42. THE AVERAGE MEDIAN HOUSEHOLD INCOME FOR THIS SERVICE AREA IS APPROXIMATELY $46,711. NEARLY 27% OF THE CHILDREN AND 1 IN 10 ADULTS IN THIS SERVICE AREA ARE CURRENTLY LIVING IN POVERTY. THE UNEMPLOYMENT RATE IS APPROXIMATELY 4.2%. THE HOSPITAL IS AFFILIATED WITH THE MARSHALL UNIVERSITY JOAN C. EDWARDS SCHOOL OF MEDICINE AND ITS GRADUATE MEDICAL EDUCATION PROGRAMS, WHICH TRAIN PRIMARY CARE AND SPECIALTY PHYSICIANS FOR WV AND THE REGION. THE HOSPITAL'S AFFILIATION ALSO ENABLES IT TO PROVIDE SPECIALIZED HEALTHCARE SERVICES SUCH AS HIGH-RISK OBSTETRICS, NEONATAL INTENSIVE CARE, PEDIATRIC INTENSIVE CARE, COMPREHENSIVE ONCOLOGY CARE, AND BARIATRIC CARE. THE HOSPITAL ALSO SERVES AS A CLINICAL TRAINING SITE FOR A NUMBER OF HEALTH PROFESSION EDUCATION PROGRAMS, INCLUDING NURSING, PHARMACY, PHYSICAL & OCCUPATIONAL THERAPY, AND RADIOLOGICAL TECHNOLOGY. PART VI, LINE 5 THE HOSPITAL IS GOVERNED BY A COMMUNITY-BASED BOARD OF DIRECTORS THAT INCLUDES REPRESENTATIVES OF SMALL BUSINESSES, ORGANIZED LABOR, THE ELDERLY, AND LOWER-INCOME CONSUMERS. A MAJORITY OF THE HOSPITAL'S BOARD OF DIRECTORS IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA, WHO ARE NEITHER EMPLOYEES, FAMILY MEMBERS, ELECTED PUBLIC OFFICIALS, OR EMPLOYED BY THE LOCAL, STATE, OR FEDERAL GOVERNMENT. THE HOSPITAL PROVIDES SPECIALIZED SERVICES NOT OTHERWISE AVAILABLE TO THE COMMUNITY, SUCH AS ITS NEONATAL AND PEDIATRIC SERVICES. THE HOSPITAL OPERATES AN EMERGENCY DEPARTMENT AVAILABLE TO ALL REGARDLESS OF ABILITY TO PAY AS NOTED ABOVE. THE HOSPITAL PARTICIPATES IN THE EDUCATION AND TRAINING OF HEALTHCARE PROFESSIONALS AND PROVIDES SUPPORT FOR MEDICAL RESEARCH CARRIED OUT BY MEDICAL SCHOOL FACULTY AND PHYSICIANS IN TRAINING. THE HOSPITAL PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH PROGRAMS. THE HOSPITAL ALSO EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR ALL DEPARTMENTS. ANY SURPLUS OF FUNDS IS REINVESTED INTO REPLACEMENT OF EQUIPMENT OR NEW EQUIPMENT TO PROVIDE UPDATED SERVICES TO THE HOSPITAL'S PATIENTS OR TO PROVIDING NEW AND EXPANDED HEALTHCARE PROGRAMS. 1 EBENEZER MEDICAL OUTREACH CENTER 1448 TENTH AVENUE HUNTINGTON WV 25701 550745033 501(C)(3) 42920 0 FMV MEDICAL/PHARMACY MARSHALL UNIVERSITY JOAN C EDWARDS SCHOOL OF MEDICINE ONE JOHN MARSHALL DR HUNTINGTON WV 25701 556000789 501(C)(3) 34308641 0 FMV MEDICAL SCHOOL PART I, LINE 2: SCHEDULE I, PART I, LINE 2 THE ORGANIZATION HAS THE FOLLOWING PLAN ESTABLISHED TO MONITOR THE USE OF THE GRANT FUNDS. THE GRANTS AND FINANCIAL ASSISTANCE PROVIDED BY THE HOSPITAL ARE APPROVED BY THE HOSPITAL'S BOARD AND THE PRESIDENT/CEO OR WHOEVER PRESIDENT/CEO DESIGNATES. THEY ARE APPROVED BASED ON THE NEEDS OF THE ORGANIZATION APPLYING FOR THEM AND HOW THEY WILL USE THE FUNDS RELATED TO THE HOSPITAL'S MISSION. THE GRANTS AND ASSISTANCE GIVEN TO MARSHALL UNIVERSITY ARE TO AID IN THE EDUCATIONAL MISSION OF THE HOSPITAL THROUGH THE INTERN AND RESIDENT PROGRAMS. ASSISTANCE IS GIVEN TO A COMMUNITY MEDICAL OUTREACH PROGRAM FOR HEALTH SERVICES. VARIOUS STAFF MEMBERS OF THE HOSPITAL REVIEW THE FINANCIAL INFORMATION GIVEN TO THEM AND REPORT BACK TO THE BOARD AND PRESIDENT/CEO OR WHOEVER PRESIDENT/CEO DESIGNATES. THE FUNDS DISPERSED FOR THIS ASSISTANCE ARE REQUESTED WITH AN INVOICE AND CHECK REQUEST SIGNED BY THE APPROPRIATE HOSPITAL REPRESENTATIVE. SCHEDULE I, PART 1, LINE 1 AND 2 THE ORGANIZATION RESPONDS TO REQUESTS FOR ASSISTANCE FROM LEGITIMATE ORGANIZATIONS IN THE COMMUNITY THAT ARE KNOWN TO THE FILING ORGANIZATION. ELIGIBILITY IS BASED ON THE ORGANIZATIONS' MISSIONS (EDUCATION, HEALTHCARE, OR RELATED COMMUNITY BENEFITS), AND SELECTION IS BASED ON WHETHER THE FILING ORGANIZATION BELIEVES THE NEED FOR THE ASSISTANCE IS RESPONSIVE TO ITS MISSION. 1 X X X X X X 0 1 0 0 0 0 0 0 0 KEVIN YINGLING PRESIDENT & CEO MHN 0 858908 0 0 0 3564 0 0 0 27019 0 889491 0 0 DAVID M WARD SR. VP, CHIEF FINANCIAL OFFICER 721926 0 26030 0 16373 0 0 0 23006 0 787335 0 0 0 AHMET OZTURK MD ANESTHESIOLOGIST 570869 0 0 0 6858 0 0 0 27019 0 604746 0 0 0 PAUL E SMITH VP & CHIEF ADMINISTATIVE OFFIER 538693 0 19896 0 7638 0 0 0 32015 0 598242 0 0 0 HOYT BURDICK SR VP, CHIEF MEDICAL OFFICER 487348 0 22907 0 7638 0 0 0 28360 0 546253 0 0 0 TIMOTHY DAMRON MD CARDIOLOGIST 494198 0 0 0 3564 0 0 0 42015 0 539777 0 0 0 DENNIS LEE VP MHN, CHIEF INFORMATION OFFICER 488096 0 17892 0 2022 0 0 0 26073 0 534083 0 0 0 SUSAN T ROBINSON CHIEF HUMAN RESOURSES OFFICER 0 460448 0 16363 0 0 0 9150 0 38923 0 524884 0 0 LISA C STUMP VP MHN, CHIEF STRATEGY OFFICER 474684 0 17578 0 1992 0 0 0 27019 0 521273 0 0 0 MACK ARROLIGA MD ANESTHESIOLOGIST 444154 0 3808 0 486 0 0 0 24316 0 472764 0 0 0 GHASSAN MOUFARREGE ANESTHESIOLOGIST 435555 0 3385 0 2322 0 0 0 13509 0 454771 0 0 0 KEVIN FRANKS ER PHYSICIAN 404831 0 6827 0 810 0 0 0 42015 0 454483 0 0 0 TIM MARTIN CHIEF OPERATING OFFICER 388174 0 18086 0 1992 0 0 0 37811 0 446063 0 0 0 MARK A MORGAN VP PHYSICIANS SERVICES 0 336868 0 16324 0 0 0 9150 0 38651 0 400993 0 0 REGINA M CAMPBELL CHIEF NURSING OFFICER 0 332389 0 15742 0 0 0 9150 0 25093 0 382374 0 0 FAREED AZIZ VP REVENUE CYCLE MANAGEMENT 302332 0 0 0 55 0 0 0 42015 0 344402 0 0 0 FRED NOBLIN CEO PLEASANT VALLEY HOSPITAL 301271 0 0 0 810 0 0 0 37811 0 339892 0 0 0 AARON BLEVINS CHIEF PHARMACY OFFICER 0 247339 0 11531 0 0 0 7766 0 37444 0 304080 0 0 BRADLEY BURCK VP CHH FOUNDATION 221140 0 8411 0 1468 0 0 0 37811 0 268830 0 0 0 MARIA SUMMERS VP PATIENT SERVICES 225291 0 0 0 3068 0 0 0 27019 0 255378 0 0 0 KENNETH JACKSON VP SUPPORT SERVICES 191876 0 8918 0 1702 0 0 0 42015 0 244511 0 0 0 EDUARDO PINO CHIEF MEDICAL INFORMATION OFFICER 143969 0 14062 0 2901 0 0 0 13509 0 174441 0 0 0 PART I, LINE 3 THE BOARD OF DIRECTORS OF A RELATED ORGANIZATION HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION POLICY SETTING FORTH THE BOARD PHILOSOPHY WITH RESPECT TO THE COMPENSATION OF ITS EXECUTIVES. AN EXECUTIVE COMPENSATION COMMITTEE COMPRISED OF BOARD MEMBERS HAS BEEN DELEGATED THE RESPONSIBILITY FOR ESTABLISHING COMPENSATION OF THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION IN KEEPING WITH THE PHILOSOPHY ESTABLISHED BY THE BOARD. THE COMPENSATION COMMITTEE HAS ENGAGED THE OUTSIDE CONSULTING FIRM OF YAFFE AND ASSOCIATES, A FIRM WHICH SPECIALIZES IN ANALYZING NON-PROFIT EXECUTIVE COMPENSATION. THE OUTSIDE CONSULTING FIRM PERIODICALLY PROVIDES THE COMMITTEE WITH RELEVANT DATA CONCERNING THE COMPENSATION LEVELS OF EXECUTIVES OF HOSPITALS SIMILAR IN SIZE TO THE ORGANIZATION AND IN COMPARABLE GEOGRAPHIC AREAS. THE COMPENSATION COMMITTEE CONSIDERS THIS DATA TOGETHER WITH THE EXTENT TO WHICH PRE-ESTABLISHED GOALS HAVE BEEN ACCOMPLISHED AND THE FINANCIAL PERFORMANCE OF THE HOSPITALS AND ESTABLISHES THE COMPENSATION LEVEL FOR THE CHIEF EXECUTIVE OFFICER. PART I, LINE 4B LINE 4B: THE FOLLOWING PAYMENTS WERE CONTRIBUTED TO A 457(F) PLAN: KEVIN YINGLING, PRESIDENT & CEO MOUNTAIN HEALTH NETWORK $129,300 HOYT BURDICK, SENIOR VP & CMO $60,402 A WV HOSPITAL FINANCE AUTHORITY 621256910 956622YUZ 2008-10-16 48480000 REFUND SERIES 2004B BONDS 0 0 0 B WV HOSPITAL FINANCE AUTHORITY 621256910 956622YVO 2008-10-16 48475000 REFUND SERIES 2004C BONDS 0 0 0 C WV HOSPITAL FINANCE AUTHORITY 621256910 956625540 2018-09-12 256037162 HOSPITAL REFUNDING BONDS 0 0 0 A 19930000 48480000 806255 644009 1 0 1 1 B 20180000 48475000 1 0 1 1 C 10660000 20956296 256037162 2498656 83204024 149378186 1 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 A 0 0 1 0 1 1 CITIBANK 25.800000000000 0 0 0 0 1 B 0 0 1 0 1 1 CITIBANK 25.800000000000 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 PART 2, LINES 7 AND 8, COLUMN B, 1 OF 2 BONDS IN COLUMN A AND COLUMN B WERE ISSUED SIMULTANEOUSLY AND ISSUANCE COSTS WERE FOR BOTH ISSUES. PART 2, LINE 11, "OTHER SPENT PROCEEDS", COLUMN C, 1 OF 2 PURPOSE OF ISSUE WAS TO REFUND TAXABLE DEBT JEFFREY BURDICK FAMILY MEMBER 119537 REPORTABLE COMPENSATION 0 PAUL SMITH OFFICER OFFICER FOR HEALTHNET AND MEMBER MANAGER OF FMS CABELL HUNTINGTON DIALYSIS CENTERS LLC 0 DAVID M WARD OFFICER DIRECTOR FOR HEALTHNET AND MEMBER MANAGER OF FMS CABELL HUNTINGTON DIALYSIS CENTERS LLC 0 FAREED AZIZ KEY EMPLOYEE 14050 CHH USES FAREED'S BUSINESS, STEWARD CONSULTING, FOR CONTRACT STAFFING 0 BRADLEY BURCK DAUGHTER 625 FOUNDATION CONDUCTS BUSINESS WITH FS DATA MANAGEMENT & ACCOUNTING WHICH IS OWNED BY BRADLEY BURCK'S DAUGHTER. 0 PART IV LINE (1): FAMILY MEMBER OF HOYT BURDICK, SR VP & CMO FORM 990, PART VI, SECTION A, LINE 3 MOUNTAIN HEALTH NETWORK, INC 32-0573122 IS A MANAGEMENT COMPANY FOR CABELL HUNTINGTON HOSPITAL, INC. MOUNTAIN HEALTH NETWORK PROVIDES SERVICES AND RESOURCES FOR THE BENEFIT OF OF THE HOSPITAL AND ITS WHOLLY OWNED SUBSIDIARIES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S MANAGEMENT IN CONSULTATION WITH AN INDEPENDENT ACCOUNTING FIRM. THE FINANCIAL REVIEW IS BASED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS FOR THE RELEVANT TIME PERIOD. THE CFO WILL REVIEW THE 990 WITH THE FINANCE/AUDIT COMMITTEE AND THE BOARD OF DIRECTORS AT THE NEXT SCHEDULED BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C AT THE BEGINNING OF EACH YEAR, OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE SENT AN ANNUAL QUESTIONNAIRE ADDRESSING THE CONFLICT-OF-INTEREST POLICY. EACH COMPLETED QUESTIONNAIRE IS REVIEWED BY THE VICE PRESIDENT OVER THE RESPECTIVE INDIVIDUAL'S DEPARTMENT AND GENERAL COUNSEL TO DETERMINE IF A CONFLICT EXISTS. IF A CONFLICT DOES EXIST, AN IN-DEPTH ANALYSIS IS PERFORMED TO DETERMINE ANY IMPACT TO THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS OF A RELATED ORGANIZATION HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION POLICY SETTING FORTH THE BOARD PHILOSOPHY WITH RESPECT TO THE COMPENSATION OF ITS EXECUTIVES. AN EXECUTIVE COMPENSATION COMMITTEE COMPRISED OF BOARD MEMBERS HAS BEEN DELEGATED THE RESPONSIBILITY FOR ESTABLISHING COMPENSATION OF THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION IN KEEPING WITH THE PHILOSOPHY ESTABLISHED BY THE BOARD. THE COMPENSATION COMMITTEE HAS ENGAGED THE OUTSIDE CONSULTING FIRM OF YAFFE AND ASSOCIATES, A FIRM WHICH SPECIALIZES IN ANALYZING NON-PROFIT EXECUTIVE COMPENSATION. THE OUTSIDE CONSULTING FIRM PERIODICALLY PROVIDES THE COMMITTEE WITH RELEVANT DATA CONCERNING THE COMPENSATION LEVELS OF EXECUTIVES OF HOSPITALS SIMILAR IN SIZE TO THE ORGANIZATION AND IN COMPARABLE GEOGRAPHIC AREAS. THE COMPENSATION COMMITTEE CONSIDERS THIS DATA TOGETHER WITH THE EXTENT TO WHICH PRE-ESTABLISHED GOALS HAVE BEEN ACCOMPLISHED AND THE FINANCIAL PERFORMANCE OF THE HOSPITALS AND ESTABLISHES THE COMPENSATION LEVEL FOR THE CHIEF EXECUTIVE OFFICER. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST THROUGH THE IN-HOUSE GENERAL COUNSEL'S OFFICE. THE FINANCIAL STATEMENTS ARE ATTACHED TO FORM 990, AND THUS, CAN BE ALSO FOUND ON GUIDESTAR. FORM 990, PART IX, LINE 11G HEALTHCARE FEES: PROGRAM SERVICE EXPENSES 55,265,696. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 55,265,696. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 32,450,185. MANAGEMENT AND GENERAL EXPENSES 13,700,853. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 46,151,038. OUTSIDE LABOR: PROGRAM SERVICE EXPENSES 25,234,622. MANAGEMENT AND GENERAL EXPENSES 12,999,654. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 38,234,276. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,595,514. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,595,514. FORM 990, PART XI, LINE 9: CHANGE IN PENSION LIABILITY AND INTEREST RATE SWAP 37,964,363. DECREASE IN OPEB BENEFIT -3,972,118. INCREASE IN NET PENSION BENEFIT -857,029. OCCUMED BEGINNING NET ASSETS -1,572,526. FORM 990, PART XII, LINE 2C: THE AUDIT COMMITTEE INTERMITTENTLY PUTS OUT BIDS FOR THE ANNUAL AUDIT AND CHOOSES WHAT FIRM TO GO WITH. DURING THE YEAR AUDITORS MEET WITH THIS COMMITTEE PRIOR TO AUDIT AND AGAIN TO PRESENT AUDIT. THIS PROCESS REMAINS UNCHANGED FROM THE PRIOR YEAR. FORM 990, PART VI, SECTION A, LINE 7A THE CHAIRMAN OF THE BOARD APPOINTS FIFTEEN OF THE EIGHTEEN DIRECTORS FOLLOWING CONSULTATION WITH A NOMINATING COMMITTEE CONSTITUTED AS PROVIDED IN THE GOVERNING BODY BYLAWS AND APPROVED BY A MAJORITY OF THE BOARD OF DIRECTORS. IN DOING THIS, THE BOARD AND CHAIRMAN TAKE INTO ACCOUNT THE REQUIREMENTS OF THE LAWS OF THE STATE OF WEST VIRGINIA RELATING TO THE COMPOSITION OF BOARD OF DIRECTORS OF NONPROFIT HOSPITALS, WHICH PROVIDE THAT AT LEAST 40% OF THE BOARD OF DIRECTORS OF NONPROFIT HOSPITALS SHALL BE COMPOSED OF AN EQUAL PORTION OF CONSUMER REPRESENTATIVES FROM EACH OF THE FOLLOWING FOUR CATEGORIES: SMALL BUSINESSES, ORGANIZED LABOR, ELDERLY PERSONS AND PERSONS WHOSE INCOME IS LESS THAN THE NATIONAL MEDIAN INCOME. 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