2023-09-28T08:45:24-05:00 2022-12-31 454084437 WARREN AVERETT LLC 2500 ACTON ROAD BIRMINGHAM AL 35243 990 2022-01-01 711045290 HOUSTON HOSPITALS INC HOUS 4785427959 1601 WATSON BOULEVARD WARNER ROBINS GA 31093 SEAN WHILDEN CFO 4785427959 2023-09-27 1 SEAN WHILDEN 999009999 1 MEGAN RANDOLPH P00989558 2059794100 2023-09-27 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z CHARLES BRISCOE 1601 WATSON BOULEVARD WARNER ROBINS GA 31093 383763426 0 X WWW.HHC.ORG X 2009 GA TO IMPROVE THE HEALTHCARE OF THE COMMUNITIES WE SERVE BY PROVIDING PATIENT-FOCUSED, HIGH-QUALITY, COST-EFFECTIVE SERVICES WHILE PROMOTING HEALTH AND WELLNESS. 7 6 3119 125 -2119758 0 7723308 0 282367350 262184938 21786025 4780660 -1958417 -2075286 309918266 264890312 150000 150000 0 0 155660041 156229520 0 0 0 138196258 146934056 294006299 303313576 15911967 -38423264 374033073 356336563 56248980 61874445 317784093 294462118 TO IMPROVE THE HEALTHCARE OF THE COMMUNITIES WE SERVE BY PROVIDING PATIENT-FOCUSED, HIGH-QUALITY, COST-EFFECTIVE SERVICES WHILE PROMOTING HEALTH AND WELLNESS. 0 0 280034262 150000 261841012 THE HOSPITALS' PRIMARY PROGRAM ACTIVITY IS THE PROVISION OF PATIENT CARE. THE HOSPITALS PROVIDED NURSING CARE IN THE AREAS OF MEDICAL, POST-SURGICAL, PSYCHIATRIC, CRITICAL CARE, INTERMEDIATE CARE, LABOR AND DELIVERY, POST PARTUM, NURSERY, PEDIATRICS, AND WOUND OSTOMY CARE. THE UTILIZATION DATA INCLUDES 13,886 ADULT AND PEDIATRIC ADMISSIONS, 65,881 PATIENT DAYS, 1,954 BIRTHS, AND 66,038 EMERGENCY ROOM VISITS. THE HOSPITALS ALSO PROVIDED 14,773 SURGICAL SERVICES TO PATIENTS WHICH INCLUDED 2,038 INPATIENTS, 7,015 OUTPATIENTS, AND 6,428 ENDOSCOPY PATIENTS. 1414061 343926 EDUCARE, THE COMMUNITY EDUCATION DEPARTMENT OF HOUSTON HOSPITALS PROVIDED HEALTH FAIRS, SENIOR CARE LUNCHEONS, BLOOD PRESSURE SCREENINGS, AND EXERCISE CLASSES. EDUCARE ALSO PROVIDED EDUCATION CLASSES AND SUPPORT GROUPS FOR THE FOLLOWING HEALTH ISSUES AND TOPICS: ALZHEIMERS, ARTHRITIS, BREAST CANCER, BREASTFEEDING, CARDIAC HEALTH, CHILDBIRTH, COOKING, DIABETES, DIET, DIVORCE, HYPERTENSION, LUPUS, MULTIPLE SCLEROSIS, PREGNANCY, SIBLINGS, STRESS MANAGEMENT, TOBACCO CESSATION, WALKING, AND WEIGHT LOSS. 281448323 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 1 359 0 1 3119 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 6 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 GA X X SEAN WHILDEN 4785427959 1601 WATSON BOULEVARD WARNER ROBBINS GA 31093 FRED GRAHAM CHAIRMAN 0.00 0.00 X 0 0 0 LARRY WARNOCK TRUSTEE 0.00 0.00 X 0 0 0 ED DYSON TRUSTEE 0.00 0.00 X 0 0 0 SHAWN CARPENTER TRUSTEE 0.00 0.00 X 0 0 0 TOMMY STALNAKER VICE CHAIRMAN 0.00 0.00 X 0 0 0 ROBERT TUGGLE TRUSTEE 0.00 0.00 X 0 0 0 VIRGLE W MCEVER III TRUSTEE 0.00 0.00 X 0 0 0 CHARLES G BRISCOE PRESIDENT & CEO 45.00 5.00 X 435969 0 21235 SEAN S WHILDEN VP & CFO (INTERIM COO BEG 2/2022) 45.00 5.00 X 306693 0 24532 MELINDA HARTLEY COO (END 2/2022) 45.00 5.00 X 88992 0 1757 LARRY D STEWART MD VP & CMO 45.00 5.00 X 361175 0 15020 SIGISMUND D TETTEH VP CIO 45.00 0.00 X 190009 0 21578 SHELLISA HOUSTON-MARTIN VP PATIENT CARE SERVICES 45.00 5.00 X 197826 0 3956 TODD EDENFIELD VP ADMINISTRATOR PH 45.00 5.00 X 162187 0 8562 KEVIN ROWLEY VP MARKETING & BUSINESS DEVELOPMENT 45.00 0.00 X 166019 0 12842 PETER IZZO PHYSICIAN 45.00 0.00 X 304165 0 18806 JACINTA TRAN PHYSICIAN 45.00 0.00 X 279517 0 17807 PHILLIP GILBERT DIRECTOR PHARMACY 45.00 0.00 X 180939 0 18754 JULIET WHITTEN ASSOCIATED DIRECTOR PHARMACY 45.00 0.00 X 164810 0 3296 KELLY LANGDON ANALYST APPLICATION PHARMACIST 45.00 0.00 X 154986 0 3100 2993287 0 171245 106 0 1 0 HWL 2655 NORTHWINDS PARKWAY ALPHARETTA GA 30009 NURSING AGENCY 15644089 QUEST DIAGNOSTICS 4380 FEDERAL DRIVE SUITE 100 GREENSBORO NC 27410 LABORATORY SERVICES 8779808 MEDLINE INDUSTRIES DEPT CH 14400 PALATINE IL 600554400 MEDICAL SUPPLY SUPPLIER 6521636 MCKESSON FILE 57256 LOS ANGELES CA 900747526 DRUGS 4416740 ROBINS ANESTHESIA 212 HOSPITAL DRIVE SUITE J WARNER ROBINS GA 31088 ANESTHESIA SERVICES 4057406 191 NET PATIENT REVENUE 621300 259435551 259435551 GA PHYSICIAN WORKFORCE 621110 1509205 1509205 EMPLOYEE PHARMACY 456110 168525 168525 EHR INCENTIVE 621300 -14073 -14073 1085730 1085730 262184938 6282939 6282939 836298 791826 44472 44472 44472 116579009 118059765 21523 -1480756 -21523 -1502279 -1502279 HOUSTON ASC, LLC 900003 -2119758 -2119758 -2119758 264890312 262184938 -2119758 4825132 X 150000 150000 1908870 559001 1349869 125727996 118689072 7038924 3197387 3074776 122611 16004496 16004496 9390771 8753612 637159 1421645 1421645 738599 738599 42485027 38905719 3579308 395662 44928 350734 3835890 3590637 245253 6051435 4159024 1892411 1024534 1024534 99337 80411 18926 184286 184286 8844633 8844633 2520432 2289983 230449 MEDICAL SUPPLIES & PHAR 41118352 41059653 58699 ALLOCATION OF OVERHEAD 14785903 14785903 EQUIPMENT MAINTENANCE 9860325 8999747 860578 RISK MANAGEMENT 3761263 3761263 9806733 6486645 3320088 303313576 281448323 21865253 0 5817331 2011361 60075615 97469245 641660 1499126 4904366 4331490 3640281 4004531 318361936 214927878 105530301 103434058 170535199 125471419 1158330 4935161 21729990 13180172 374033073 356336563 39237738 44395376 17011242 17479069 56248980 61874445 X 317784093 294462118 317784093 294462118 374033073 356336563 X -38423264 23224272 -8122983 X X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 65985 65985 0 PART II-B, LINE 1: A PORTION OF DUES PAID TO MEMBERSHIP ORGANIZATIONS (SUCH AS THE GEORGIA HOSPITAL ASSOCIATION) IS ALLOCATED TO LOBBYING. 8483719 8483719 185841548 118727954 67113594 118026453 93349488 24676965 6010216 2850436 3159780 103434058 SELF-INSURANCE RESERVES 17479069 17479069 X PART X, LINE 2: HOUSTON HOSPITALS, INC. IS PART OF THE HOUSTON HEALTHCARE SYSTEM, INC. THE FOLLOWING IS A FOOTNOTE FROM THE COMBINED FINANCIAL STATEMENTS: THE SYSTEM APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE COMBINED FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE SYSTEM ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THIS POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSE. BASED ON THE RESULTS OF MANAGEMENT'S EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING COMBINED BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF DECEMBER 31, 2022 AND 2021 OR FOR THE YEARS THEN ENDED. THE SYSTEM'S TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINE OF THESE RETURNS. 1 1 X 1 X 125.000000000000 1 X 1 1 1 0 1 1 19331 10880921 5068872 5812049 0.01920 20554 40680876 30115690 10565186 0.03480 0 0 39885 51561797 35184562 16377235 0.05400 41 13916 1093246 56592 1036654 0.00340 6 1433 2964795 3350408 0 0.00000 2 0 4178362 0 4178362 0.01380 0 0 0 0 4 590 507096 0 507096 0.00170 53 15939 8743499 3407000 5722112 0.01890 53 55824 60305296 38591562 22099347 0.07290 0 0 0 0 1 36 6997 0 6997 0.00000 1 7 27034 0 27034 0.00010 1 0 1090 0 1090 0.00000 0 0 0 0 1 0 1386 0 1386 0.00000 0 0 0 0 1 0 123140 0 123140 0.00040 0 0 0 0 5 43 159647 159647 0.00050 0 28015605 0 58455025 63366498 -4911473 X 1 1 2 1 HOUSTON MEDICAL CENTER 1601 WATSON BOULEVARD WARNER ROBINS GA 31093 WWW.HHC.ORG 076-656 X X X X A 2 PERRY HOSPITAL 1120 MORNINGSIDE DRIVE PERRY GA 31069 WWW.HHC.ORG 076-655 X X X A FACILITY REPORTING GROUP A 0 0 1 X X X X X X X X X 20 1 1 0 1 X WWW.HHC.ORG X X 1 20 1 WWW.HHC.ORG 0 1 X 125.000000000000 300.000000000000 X 1 1 X X X 1 X WWW.HHC.ORG X WWW.HHC.ORG X WWW.HHC.ORG X X X X X 1 X 0 X 1 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: HOUSTON MEDICAL CENTER, - FACILITY 2: PERRY HOSPITAL FACILITY REPORTING GROUP A PART V, SECTION B, LINE 5: PROFESSIONAL RESEARCH CONSULTANTS (PRC) A NATIONALLY RECOGNIZED HEALTHCARE CONSULTING FIRM CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT FOR HOUSTON HEALTHCARE IN 2020, FROM WHICH THE 2021, 2022 AND 2023 PLAN WAS DEVELOPED. THIS CHNA, A FOLLOW UP TO SIMILAR STUDIES CONDUCTED IN 2011, 2014, AND 2017 IS A SYSTEMATIC, DATA DRIVEN APPROACH TO DETERMINING THE HEALTH STATUS, BEHAVIORS, AND NEEDS OF RESIDENTS IN THE COMMUNITY WE SERVE. THIS 2020 CHNA BY PRC INCORPORATED DATA FROM MULTIPLE SOURCES, INCLUDING PRIMARY RESEARCH (THROUGH THE COMMUNITY HEALTH SURVEY AND PRC ONLINE KEY INFORMANT SURVEY) AS WELL AS SECONDARY RESEARCH (VITAL STATISTICS AND OTHER EXISTING HEALTH RELATED DATA). THIS ALSO INCLUDED QUALITATIVE AND QUANTITATIVE DATA SOURCES. QUALITATIVE DATA INCLUDED RESEARCH GATHERED FROM THE ONLINE KEY INFORMANT SURVEY GROUP, WITH PARTICIPANTS FROM PUBLIC HEALTH, ALONG WITH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND BUSINESS AND COMMUNITY LEADERS. THROUGHOUT THIS PROCESS, INPUT WAS GATHERED FROM INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW INCOME, MINORITY, OR OTHER MEDICALLY UNDERSERVED POPULATIONS. SECONDARY DATA SOURCES WERE ALSO CONSULTED TO COMPLEMENT THE RESEARCH QUALITY OF THE CHNA. THE ASSESSMENT ALSO INCORPORATED COMMUNITY TELEPHONE INTERVIEWS OF 200 INDIVIDUALS AGE 18 AND OLDER. INFORMATION CAME FROM LOCAL SURVEYS, PARTICIPANTS AT COMMUNITY EVENTS, AS WELL AS INPUT FROM VARIOUS COALITIONS. SEVERAL PRESENTATIONS OF THE CHNA WERE GIVEN, WHICH INCLUDED THE DISCUSSION OF PRIORITY AREAS. FACILITY REPORTING GROUP A PART V, SECTION B, LINE 6A: HOUSTON HEALTHCARE INCLUDES BOTH HOUSTON MEDICAL CENTER AND PERRY HOSPITAL, WITH BOTH FACILITIES UNDER THE SAME BOARDS AND LEADERSHIP. BOTH HOSPITAL FACILITIES ARE LOCATED IN HOUSTON COUNTY AND SERVE THE SAME POPULATIONS. RESIDENTS CAN AND OFTEN DO UTILIZE BOTH FACILITIES ALONG WITH THE OTHER RESOURCES PROVIDED THROUGH HOUSTON HEALTHCARE. FACILITY REPORTING GROUP A PART V, SECTION B, LINE 7D: D- A COPY OF THE CHNA WAS SHARED INTERNALLY WITH EXECUTIVE LEADERSHIP AND BOARDS AND IS POSTED ON THE HOUSTON HEALTHCARE WEBSITE. (WWW.HHC.ORG) PRESENTATIONS ON THE CHNA WERE SHARED WITH EXECUTIVE LEADERSHIP, THE COMMUNITY BENEFIT WORK GROUP, OTHER STAFF, COMMUNITY COALITIONS AND COMMUNITY GROUPS. PRESENTATIONS REGARDING COMMUNITY EDUCATION SERVICES AND THE COMMUNITY BENEFIT PROGRAM WERE MADE TO THE CHAMBER OF COMMERCE LEADERSHIP PROGRAMS, WHICH REPRESENT VARIOUS INDUSTRIES AND ORGANIZATIONS THROUGHOUT HOUSTON COUNTY THAT ARE SEEN AS LEADERS IN OUR COMMUNITY. IN ADDITION, AN ARTICLE ABOUT THE CHNA WAS PLACED IN HOUSTON HEALTHCARE'S EXTERNAL PUBLICATION, "HOUSECALLS", WHICH WAS MAILED OUT TO OVER 25,000 HOUSEHOLDS IN MIDDLE GEORGIA AND IS AVAILABLE ONLINE AT HHC.ORG. FACILITY REPORTING GROUP A PART V, SECTION B, LINE 11: A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS COMPLETED IN 2020 BY PRC. THE RELATED IMPLEMENTATION STRATEGY PLAN WAS ADOPTED IN NOVEMBER OF 2020 AND WENT INTO EFFECT IN TAX YEAR 2021, CONTINUING FOR 2021, 2022 AND 2023 AND INCLUDES AN ANNUAL WORK PLAN WITH GOALS, OBJECTIVES, EXPECTED OUTCOMES AS WELL AS ACTUAL OUTCOMES FOR THE YEAR. A THREE-YEAR SCORE CARD WAS CREATED TO MEASURE LONG-TERM PROGRESS IN MEETING THE GOALS AND OBJECTIVES. THIS 2020 PRC ASSESSMENT (CHNA) INCLUDED A LIST OF "AREAS OF OPPORTUNITY OR IDENTIFIED HEALTH NEEDS. THE FOCUS AREAS FOR HOUSTON HEALTHCARE'S IMPLEMENTATION PLAN ADDRESSED THESE NEEDS AND ALL ARE ADDRESSED DIRECTLY BY HOUSTON HEALTHCARE INITIATIVES. THE EXCEPTION OF THE FOLLOWING FOUR NEEDS ARE ADDRESSED BY OTHER COMMUNITY AGENCIES:(1) BEHAVIORAL HEALTH AND SUBSTANCE ABUSE- IS ADDRESSED WITH MIDDLE FLINT BEHAVIORAL HEALTH CENTER, DISTRICT PUBLIC HEALTH, ROBINS AIR FORCE BASE FAMILY SERVICES, MIDDLE GEORGIA RESCUE MISSION, THE SUICIDE PREVENTION COALITION OF HOUSTON COUNTY AS WELL AS OTHERS WHO LEAD THESE EFFORTS.(2) SEXUALLY TRANSMITTED DISEASES-TREATMENT AND PREVENTION EDUCATION IS LED BY THE HOUSTON COUNTY HEALTH DEPARTMENT ALONG WITH DISTRICT PUBLIC HEALTH.(3)TRANSPORTATION TO HEALTHCARE SERVICES- IS PROVIDED BY PRIVATE COMPANIES, AS WELL AS SOME CHURCHES PROVIDING ASSISTANCE, ALONG WITH LOGISTICARE FOR MEDICAID RECIPIENTS, PERRY VOLUNTEER OUTREACH, AND THE AMERICAN CANCER SOCIETY FOR PERSONS DIAGNOSED WITH CANCER. WARNER ROBINS HAS A PUBLIC TRANSPORTATION SERVICE IN PLACE AND HOUSTON HEALTHCARE'S "POPULATION HEALTH" INITIATIVE PROVIDES TAXI VOUCHERS TO AT RISK PATIENTS.(4) ACCIDENT PREVENTION/SAFETY- HOUSTON COUNTY SAFE KIDS LEADS THE EFFORTS ON CHILD SAFETY FOR ISSUES SUCH AS INFANT/CHILD CAR SEAT SAFETY, MEDICATION SAFETY, FIRE AND WATER SAFETY AND CPR AND AED USE. DRIVING SAFETY CLASSES FOR ADULTS ARE PROVIDED BY AARP. FACILITY REPORTING GROUP A PART V, SECTION B, LINE 16J: ALTHOUGH THE ORGANIZATION'S WRITTEN POLICY DOES NOT INDICATE THE MEASURES TAKEN TO PUBLICIZE THE FACILITY'S POLICY WITHIN THE COMMUNITY SERVED, IT DOES PUBLICIZE AS REQUIRED BY THE STATE'S INDIGENT CARE TRUST FUND (ICTF) POLICY. THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS POSTED ON THE FACILITY'S WEBSITE ALONG WITH THE INDIGENT AND CHARITY CARE GUIDELINES. A NOTICE IS PRINTED ON THE PATIENTS' BILLS, IN COMMUNITY NEWSPAPERS TWICE A YEAR, POSTED ON THE WALLS AT ALL ADMISSION AREAS, CARDS ARE AVAILABLE ON THE COUNTERS IN BOTH ENGLISH AND SPANISH, AND THE POLICY AND INDIGENT APPLICATIONS ARE AVAILABLE UPON REQUEST. HOUSTON HEALTHCARE INFORMS AND EDUCATES THE COMMUNITY ABOUT THE AVAILABILITY AND ELIGIBILITY FOR FINANCIAL ASSISTANCE BY PROVIDING THESE CARDS AT COMMUNITY EVENTS, HEALTH FAIRS AND EDUCATION SEMINARS. THE CARDS AND SIGNAGE ARE PROVIDED IN ENGLISH AND SPANISH. INFORMATION IS ALSO GIVEN OUT REGARDING AVAILABILITY AND ELIGIBILITY FOR FINANCIAL SERVICES IN ENGLISH AND SPANISH AT NUMEROUS COMMUNITY EVENTS SUCH AS HEALTH FAIRS. FACILITY REPORTING GROUP A PART V, SECTION B, LINE 20E: DURING 2015 HOUSTON HOSPITALS BEGAN USING PRESUMPTIVE ELIGIBILITY TO IDENTIFY PATIENTS ELIGIBLE FOR FREE CARE. THE FINANCIAL ASSISTANCE POLICY DETAILS PRESUMPTIVE ELIGIBILITY AS FOLLOWS: PRIOR TO THE ISSUANCE OF THE FIRST POST DISCHARGE BILLING STATEMENT, ALL UNINSURED PATIENT ACCOUNTS WILL BE REVIEWED USING PREDICTIVE ANALYTICS TO ESTIMATE THE HOUSEHOLD INCOME OF THE PATIENT/GUARANTOR. IF THE ESTIMATED HOUSEHOLD INCOME IS EQUAL TO, OR LESS THAN OR EQUAL TO, 125% OF FEDERAL POVERTY GUIDELINES, THE PATIENT SHALL NOT BE REQUIRED TO PAY FOR THEIR CARE. PRESUMPTIVE ELIGIBILITY DETERMINATIONS ARE BASED UPON PUBLICLY AVAILABLE INFORMATION FROM CREDIT BUREAUS, US CENSUS DATA, US POSTAL SERVICE, INSURANCE DATABASES, STATE AND LOCAL PUBLIC RECORDS, TELEPHONE COMPANY DATABASES AND THE WHITE PAGES. 7 1 - HOUSTON LAKE MED-STOP 2510 HIGHWAY 127 KATHLEEN GA 31047 HOSPITAL-BASED URGENT CARE FACILITY 2 - HOUSTON LAKE REHAB 2510 HIGHWAY 127 KATHLEEN GA 31047 HOSPITAL-BASED OUTPATIENT REHAB FACILITY 3 - PAVILION MED-STOP 233 N HOUSTON ROAD SUITE 140 WARNER ROBINS GA 31093 HOSPITAL-BASED URGENT CARE FACILITY 4 - PAVILION REHAB 233 N HOUSTON ROAD SUITE 140 WARNER ROBINS GA 31093 HOSPITAL-BASED OUTPATIENT REHAB FACILITY 5 - PAVILION DIAGNOSTIC CENTER 233 N HOUSTON ROAD SUITE 140 WARNER ROBINS GA 31093 HOSPITAL-BASED OUTPATIENT IMAGING CENTER 6 - LAKE JOY MED-STOP 1118 HIGHWAY 96 WEST KATHLEEN GA 31047 HOSPITAL-BASED URGENT CARE FACILITY 7 - HOUSTON HEALTHCARE IMAGING SERVICES 114 SUTHERLIN DRIVE WARNER ROBINS GA 31088 HOSPITAL-BASED OUTPATIENT IMAGING CENTER PART I, LINE 6A: THE ORGANIZATION PREPARED A WRITTEN (ANNUAL) REPORT IN 2022 THAT DESCRIBES HOUSTON HEALTHCARE'S PROGRAMS AND SERVICES THAT PROMOTE THE HEALTH OF THE COMMUNITY. THIS ANNUAL REPORT REMAINS AVAILABLE ON THE HOUSTON HEALTHCARE WEBSITE AND WAS DISTRIBUTED TO THE PUBLIC. PART I, LINE 7: HOUSTON HEALTHCARE PROVIDES THE FREE STANDING FACILITY FOR THE HOUSTON COUNTY VOLUNTEER MEDICAL CLINIC. THIS CLINIC IS AN INTEGRAL PART OF OUR COMMUNITY HEALTHCARE SYSTEM AND PROVIDES FREE MEDICAL AND PHARMACEUTICAL HELP FOR THOSE CITIZENS OF HOUSTON COUNTY THAT HAVE AN EMPLOYED FAMILY MEMBER IN THEIR HOUSEHOLD BUT DO NOT HAVE HEALTH INSURANCE. THE TOTAL INCOME FOR THE HOUSEHOLD MUST BE LESS THAN 200% OF THE IDENTIFIED POVERTY LEVEL. IN ADDITION TO PROVIDING THE BUILDING, HOUSTON HEALTHCARE STAFF MEMBERS INCLUDING THE PERRY HOSPITAL ADMINISTRATOR SERVED ON THE BOARD OF TRUSTEES FOR THE FREE HEALTH CLINIC. HOUSTON HEALTHCARE ALSO PROVIDES THE SECRETARY FOR THE BOARD WHO TAKES MINUTES, AND COORDINATES MEETING PLANS AS WELL AS OTHER COMMUNICATION FOR THE BOARD MEETINGS. IN ADDITION, HOUSTON HEALTHCARE PROVIDES CHRONIC DISEASE MANAGEMENT CLASSES, DIAGNOSTIC TESTING, SERVES AS A REFERRAL SOURCE FOR PATIENTS SEEN AT THE FREE CLINIC AND ASSISTS WITH OBTAINING GRANTS AND OTHER FUNDING. WORKSHEET 2 FROM THE SCHEDULE H INSTRUCTIONS WAS USED TO DETERMINE THE CCR; LINE 7A WAS CALCULATED BY APPLYING THE COST-TO-CHARGE RATIO TO THE TOTAL CHARITY CARE CHARGES; LINE 7B WAS CALCULATED USING WORKSHEET 3 AND THE COST-TO-CHARGE RATIO; LINE 7C: N/A; LINE 7E IS A COMPILATION OF COST RELATED TO THE PROGRAMS AND ACTIVITIES REPORTED IN WORKSHEET 4. LABOR COST PLUS ANY SUPPLIES PURCHASED LESS ANY REVENUE GENERATED BY THE ACTIVITY; LINE 7F COSTS ARE TRACKED BY OUR COMMUNITY BENEFIT CBISA SOFTWARE; LINE 7G IS A SUMMARY OF PAYMENTS MADE TO BEHAVIORAL HEALTH PHYSICIANS FOR SEEING OUR UNINSURED AND MEDICAID BEHAVIORAL HEALTH POPULATION (AS REPORTED ON WORKSHEET 6); LINE 7H: N/A; LINE 7I IS A SUMMARY OF CASH PAYMENTS REPORTED ON WORKSHEET 8. PART II, COMMUNITY BUILDING ACTIVITIES: HOUSTON HEALTHCARE STAFF MEMBERS PROVIDE AND PARTICIPATE IN NUMEROUS COMMUNITY BUILDING ACTIVITIES. SOME EXAMPLES INCLUDE: SERVING ON THE ROBINS REGIONAL AND PERRY CHAMBER OF COMMERCE BOARDS, WITH FOCUS ON EDUCATION, BUSINESS DEVELOPMENT AND COMMUNITY AND GOVERNMENT AFFAIRS. HOUSTON HEALTHCARE ALSO WORKS DILIGENTLY TO RECRUIT NEEDED PHYSICIANS TO THE AREA. EACH YEAR, STAFF MEMBERS PROMOTE AND RAISE FUNDS FOR ORGANIZATIONS SUCH AS UNITED WAY OF CENTRAL GEORGIA. COMMUNITY PHYSICAL IMPROVEMENTS- HOUSTON HEALTHCARE PURCHASED THE OLD HOUSTON MALL AND CONTINUES TO BE IN THE PROCESS OF REPAIRING AND REMODELING IT WHICH IS A PHYSICAL IMPROVEMENT FOR THE COUNTY AS WELL AS MUCH NEEDED SPACE FOR HEALTH RELATED SERVICES, COMMUNITY EDUCATION, SUPPORT GROUPS AND OTHER TRAINING. RECENT PHYSICIAN PRACTICES INCLUDE BEHAVIORAL HEALTH, PRIMARY CARE, ENT, UROLOGY, AND VASCULAR. NEW PHYSICIAN PRACTICES ADDED DURING 2022 WERE OB/GYN AND INTERNAL MEDICINE. A HOUSTON HEALTHCARE STAFF PERSON SERVES AS A BOARD MEMBER OF THE WORRALL FOUNDATION WHICH HAS THE GOAL OF PURCHASING LAND TO CREATE ADDITIONAL OUTDOOR PARKS IN THE AREA IN ORDER TO ENCOURAGE FAMILIES TO BECOME MORE PHYSICALLY ACTIVE. MOST RECENTLY COMPLETED PARKS AND TRAILS INCLUDE: HERITAGE PARK IN PERRY, 'THE WALK AT SANDY RUN' TRAIL IN WARNER ROBINS, CENTER PARK IN CENTERVILLE AND UPGRADES AND RENOVATIONS TO TED WRIGHT PARK AND MEMORIAL PARK. THERE HAVE ALSO BEEN RECENT UPGRADES TO SEVERAL PARK PLAYGROUNDS IN THE COUNTY. THERE ARE PLANS FOR MORE PARKS AND FITNESS TRAILS IN THE NEAR FUTURE. A NEW RECREATION/SPORTS COMPLEX (NORTH HOUSTON SPORTS COMPLEX) OPENED IN 2022.ECONOMIC DEVELOPMENT- HOUSTON HEALTHCARE WORKS DIRECTLY WITH THE WARNER ROBINS HOUSING AUTHORITY WHO PROVIDES LOWER COST HOUSING FOR RESIDENTS WITH LIMITED INCOMES BY PROVIDING HEALTH RELATED EDUCATIONAL CLASSES FOR THE RESIDENTS. HOUSTON HEALTHCARE STAFF SERVE ON THE FAMILY CONNECTIONS COALITION THAT ADDRESSES THE ISSUE OF HOMELESS, AND COLLABORATES WITH OTHER COMMUNITY PARTNERS AND THE VECTR CENTER TO IMPROVE NEIGHBORHOOD HOUSING.COMMUNITY SUPPORT: DISASTER READINESS BEYOND WHAT IS REQUIRED BY ACCREDITING BODIES- DISASTER READINESS PREPAREDNESS PROVIDED BY HOUSTON HEALTHCARE IS OVER AND ABOVE LICENSURE REQUIREMENTS AND INCLUDES COMMUNICATION AWARENESS EVENTS AND GENERAL EDUCATION AS WELL AS EFFORTS ABOVE LICENSURE RELATED TO THE COVID PANDEMIC. HOUSTON HEALTHCARE'S INCIDENT COMMAND/HOSPITAL COMMAND CENTER THAT WAS IMPLEMENTED AT THE BEGINNING OF THE COVID PANDEMIC IN 2020 CONTINUED FOR CALENDAR YEAR 2022 AND INCLUDED PLANNING AND PREPARATION EFFORTS RELATED TO THE PANDEMIC AND PROVIDING CARE. A FEW OF THESE EFFORTS INCLUDED A CHANGE IN BED CAPACITY, IMPLEMENTING PROCEDURES SURGE, FOR EXAMPLE CONVERTING PACU INTO AN ICU WARD. THE TRAVELING COVID VACCINE CLINIC IMPLEMENTED BY HOUSTON HEALTHCARE IN DECEMBER 2020 CONTINUED THROUGHOUT 2022.OTHER EFFORTS ABOVE LICENSURE INCLUDE THE ARES (AMATEUR RADIO EMERGENCY SERVICES) PROGRAM, WHICH PROVIDES SUPPORT TO THE GENERAL PUBLIC AND OTHER HEALTHCARE PARTNERS IN THE AREA OF EMERGENCY COMMUNICATION IN THE EVENT OF A COMMUNITY DISASTER AS WELL AS DETECTION OF SEVERE WEATHER CONDITIONS THROUGH THE USE OF COMMUNICATION WEATHER SPOTTERS TRAINED BY THE NATIONAL WEATHER SERVICE VIA AMATEUR RADIO OPERATORS WITHIN THE COMMUNITY. THIS IS PROVIDED AND INSTALLED WITHIN HOUSTON HEALTHCARE- AS A FREE ACCESS COMMUNICATION USE REPORTER FOR PUBLIC USE.HOUSTON MEDICAL CENTER, HAS BEEN OFFICIALLY APPROVED AS A 'STORM READY' LOCATION BY THE NATIONAL WEATHER SERVICE, BECOMING JUST THE 5TH "COMMERCIAL" SITE IN THE STATE OF GEORGIA. STORM READY ENCOURAGES COMMUNITIES TO TAKE A PROACTIVE APPROACH TO IMPROVING LOCAL HAZARDOUS WEATHER OPERATIONS AND PUBLIC AWARENESS IN PARTNERSHIP WITH THEIR LOCAL NATIONAL WEATHER SERVICE OFFICE.HOUSTON HEALTHCARE IS ALSO A CHEMPACK CONTAINER SITE, ONE OF 47 LOCATIONS IN THE STATE, IN COOPERATION WITH THE CDC CHEMPACK PROGRAM, GEORGIA DIVISION OF PUBLIC HEALTH THAT PROVIDES FIRST RESPONDERS AND FIRST RECEIVERS THE RESOURCES THEY NEED TO RAPIDLY RESPOND TO LARGE SCALE NERVE AGENT OR ORGANOPHOSPHATE PESTICIDE RELEASES. HOUSTON HEALTHCARE RECOGNIZES THAT PREPAREDNESS AND EMERGENCY MANAGEMENT EXTEND BEYOND THE LIMITS OF THE ORGANIZATION. THEREFORE PLANNING AND COORDINATION WILL CONTINUE WITH PARTNERS INCLUDING, BUT NOT LIMITED TO, HOUSTON COUNTY EMERGENCY MANAGEMENT AGENCY (HEMA), THE GEORGIA HOSPITAL ASSOCIATION AND THE GEORGIA DEPARTMENT OF PUBLIC HEALTH. LEADERSHIP DEVELOPMENT AND TRAINING-HOUSTON HEALTHCARE PARTICIPATES IN ROBINS REGIONAL AND PERRY AREA CHAMBER OF COMMERCE ADULT LEADERSHIP PROGRAMS AND YOUTH LEADERSHIP PROGRAMS. HOUSTON HEALTHCARE STAFF SERVE ON REGIONAL AND CITY CHAMBER OF COMMERCE BOARDS WHICH FOCUS ON BUSINESS DEVELOPMENT, EDUCATION, AND COMMUNITY AND GOVERNMENT AFFAIRS. HOUSTON HEALTHCARE HAS VOLUNTEER CHAPLAINS FOR HOUSTON MEDICAL CENTER AND PERRY HOSPITAL WHO ARE COMMUNITY MEMBERS. COALITION BUILDING- COALITIONS INITIATED AND LED BY HOUSTON HEALTHCARE: 1. FAITH COMMUNITY NURSES- THIS COALITION IS MADE UP OF VOLUNTEER REGISTERED NURSES SERVING CHURCHES IN THE CENTRAL GEORGIA AREA. HOUSTON HEALTHCARE PROVIDES AN ORIENTATION PROGRAM AS WELL AS MONTHLY MEETINGS AND TRAINING FOR THIS GROUP. DURING 2022 THERE WERE LIMITED IN PERSON MEETINGS DUE TO THE PAST PANDEMIC, BUT COMMUNICATION AMONG MEMBERS WAS MAINTAINED TO SHARE UPDATES AND OFFER SERVICES. THE FAITH COMMUNITY NURSES PROVIDE HEALTH EDUCATION AND SCREENINGS, AS WELL AS LINK PERSONS TO HEALTH RESOURCES. THIS GROUP SERVES AREA CHURCHES AND THEIR SURROUNDING NEIGHBORHOODS. IN ADDITION, THE GROUP ADDRESSES SOCIAL CONCERNS. (PROVIDING FOOD BANKS, CLOTHING CLOSETS, SOUP KITCHENS, ETC.) HOUSTON HEALTHCARE SERVES AS THE RESOURCE CENTER AND PARTNER FOR THESE ACTIVITIES. 2. CENTRAL GEORGIA PERINATAL COALITION - THIS HOUSTON HEALTHCARE LED COALITION INCLUDES PUBLIC HEALTH, SCHOOL COUNSELORS, RAINBOW HOUSE, DISTRICT PUBLIC HEALTH, LOCAL OB/GYN REPRESENTATIVES AND OTHERS. IT SEEKS TO PROVIDE OPTIMAL SERVICES FOR PREGNANT WOMEN AND DECREASE RATES OF PRE-TERM BIRTHS AND OTHER POOR BIRTH OUTCOMES. THE COALITION ADDRESSES ACCESS TO CARE FOR ALL PREGNANT WOMEN, FOCUSES AND PROVIDES ADDITIONAL SERVICES/RESOURCES FOR WOMEN WHO ARE LOWER INCOME AND UNINSURED, AS WELL AS FOR WOMEN WHO HAVE A MEDICAL CONDITION THAT COMPLICATES THEIR PREGNANCY. INCREASED FOCUS IS ALSO ON THE IMPORTANCE OF BREASTFEEDING AND INCREASING POST-PARTUM MATERNAL SUPPORT. (DURING 2022, THE GROUP COMMUNICATED PRIMARILY THROUGH EMAIL AND CONTINUES TO SHARE RESOURCES AND DATA.)HOUSTON HEALTHCARE STAFF MEMBERS SERVE ON NUMEROUS COMMUNITY COALITIONS WITH EXAMPLES THAT INCLUDE:*FAMILY CONNECTION BOARD OF TRUSTEES AND COALITION-HOUSTON HEALTHCARE STAFF SERVE AS MEMBERS OF THIS COALITION TO IMPROVE THE HEALTH OF CHILDREN AND FAMILIES. THIS COALITION HAS TWO STRATEGY TEAMS: 1) HEALTH OF CHILDREN AND FAMILIES AND 2) YOUTH SUCCESS IN SCHOOLS.*WORRALL FOUNDATION BOARD: HOUSTON HEALTHCARE STAFF SERVE ON THE WORRALL FOUNDATION BOARD WHICH HAS A GOAL OF IMPROVING THE HEALTH OF HOUSTON COUNTY RESIDENTS WITH FOCUS ON CREATING PARKS TO INCREASE AND PROMOTE PHYSICAL ACTIVITIES. THE LACK OF NUMBER OF PARKS PER RESIDENTS WAS NOTED AS A NEED IN THE LATEST CHNA.*SUICIDE PREVENTION BOARD AND COALITION- HOUSTON HEALTHCARE HOSTS MEETINGS WHICH INCLUDE VARIOUS ORGANIZATIONS THAT ADDRESS SUICIDE IN OUR COMMUNITY. THE FOCUS OF THIS GROUP INCLUDES SUICIDE PREVENTION, COMMUNITY EDUCATION AND ASSISTANCE WITH OTHER BEHAVIORAL HEALTH ISSUES. A TOP PRIORITY IS SUICIDE PREVENTION AND COMMUNITY EDUCATION.*SAFE KIDS COALITION- HOUSTON HEALTHCARE PARTNERS WITH SAFE KIDS TO PREVENT INJURIES AND PROMOTE SAFE PRACTICES FOR CHILDREN. TWO STAFF MEMBERS SERVE ON THIS COALITION, WHICH WORKS COLLABORATIVELY TO IDENTIFY NEEDS AND PLAN ACTIVITIES SUCH AS (DISTRIBUTION/ FITTING OF BIKE HELMETS, DISTRIBUTION OF SMOKE DETECTORS, CAR SEAT SAFETY, POISON PREVENTION AND WATER SAFETY). THE COALITION WORKS CLOSELY WITH THE DEPARTMENT OF FAMILY & CHILDREN SERVICES AND PUBLIC HEALTH TO PROVIDE SAFETY EDUCATION TO HOUSTON HEALTHCARE'S MATERNITY RELATED CLASSES AS WELL AS COMMUNITY EDUCATION AT LOCAL SCHOOLS AND CHILD CARE CENTERS.*HUMAN NEEDS COALITION- THIS COALITION ADDRESSES THE ISSUE OF PERSONS WHO ARE HOMELESS. HOUSTON HEALTHCARE STAFF SERVE ON THE COALITION ALONG WITH LOCAL CHURCHES, VETERANS ASSOCIATION, HOUSING AUTHORITY, FOOD BANKS AND OTHERS. THIS GROUP CONSOLIDATED WITH FAMILY CONNECTIONS IN 2022 TO STRENGTHEN RESOURCES, EFFORTS AND SERVICES.*CHIP (COMMUNITY HEALTH IMPROVEMENT PLAN)-THE GEORGIA DEPARTMENT OF PUBLIC HEALTH'S NORTH CENTRAL HEALTH DISTRICT LEADS THIS GROUP WHICH INCLUDES 13 COUNTIES IN THE NORTH CENTRAL AREA OF GEORGIA. A REPRESENTATIVE FROM HOUSTON HEALTHCARE SERVES ON THE PLANNING AND IMPLEMENTATION OF THE HEALTH IMPROVEMENT INITIATIVE FOR CHIP. (MEETINGS HAVE NOT RESUMED SINCE COVID.) PART II LINE 8: WORKFORCE DEVELOPMENT- RECRUITMENT EFFORTS WERE MADE IN 2022 DUE TO PHYSICIAN SHORTAGES IN SPECIALTY AREAS AND PRIMARY CARE. EXAMPLES OF TARGETED AREAS INCLUDE: FAMILY MEDICINE (TRADITIONAL & OUTPATIENT), OTOLARYNGOLOGY, UROLOGY, INTERNAL MEDICINE, GASTROENTEROLOGY, URGENT CARE, GENERAL SURGERY, PSYCHIATRY, AND ANESTHESIOLOGY. EFFORTS MADE INCLUDE ADDING ANOTHER OTOLARYNGOLOGIST, A NEW INTERNAL MEDICINE PRACTICE, AND A NEW OB/GYN PRACTICE.HOUSTON HEALTHCARE PROVIDED DONATIONS IN 2022 TO ASSIST WITH COSTS OF INSTRUCTORS FOR HEALTH PROFESSIONAL TRAINING AT CENTRAL GEORGIA TECHNICAL COLLEGE AND MIDDLE GEORGIA STATE COLLEGE AND SERVES AS A CLINICAL SITE FOR SEVERAL HEALTH PROFESSIONS TO INCLUDE NURSING, PHARMACY, RADIOLOGY, RESPIRATORY THERAPY, PHYSICAL THERAPY AND OCCUPATIONAL THERAPY.HOUSTON HEALTHCARE OFFERS A FAMILY MEDICINE RESIDENCY PROGRAM, WHICH PROVIDES CLINICAL AS WELL AS HANDS-ON PATIENT TRAINING TO PHYSICIANS ENTERING THE FIELD OF FAMILY MEDICINE, WHILE HELPING TO FILL A NEED FOR PRIMARY CARE PHYSICIANS IN THE MIDDLE GEORGIA AREA AND IMPROVE ACCESS TO HEALTHCARE FOR THE COMMUNITY WE SERVE. PART VI, LINE 2: IN ADDITION TO THE CHNA - COMPLETED IN 2020, OTHER METHODS UTILIZED IN OBTAINING HEALTH NEEDS OF THE COMMUNITY INCLUDED:*KEY INFORMANT SURVEY GROUP- THE FOCUS GROUP PARTICIPANTS INCLUDED KEY INFORMANTS-INCLUDING PHYSICIANS, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND BUSINESS AND COMMUNITY LEADERS. A LIST OF RECOMMENDED PARTICIPANTS FOR THE GROUP WAS PROVIDED BY HOUSTON HEALTHCARE, WITH POTENTIAL PARTICIPANTS CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS THE COMMUNITY OVERALL. PARTICIPANTS INCLUDED A REPRESENTATIVE OF PUBLIC HEALTH, AS WELL AS SEVERAL INDIVIDUALS WHO WORK WITH LOW-INCOME, MINORITY AND OTHER MEDICALLY UNDERSERVED POPULATIONS.*COMMUNITY HEALTH SURVEY- THIS SURVEY WAS BASED LARGELY ON THE CENTERS FOR DISEASE CONTROL AND PREVENTION BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM AS WELL AS OTHER PUBLIC HEALTH SURVEYS AND CUSTOMIZED QUESTIONS ADDRESSING GAPS IN INDICATOR DATA RELATIVE TO HEALTH PROMOTION AND DISEASE PREVENTION OBJECTIVES. THE FINAL SURVEY INSTRUMENT WAS DEVELOPED BY HOUSTON HEALTHCARE AND PRC. THE STUDY AREA FOR THE SURVEY INCLUDED EACH OF THE ZIP CODES DEFINING HOUSTON COUNTY AND INCLUDED A RANDOM SAMPLE OF 200 INDIVIDUALS AGE 18 AND OLDER IN HOUSTON COUNTY. *COMMUNITY COALITIONS INPUT -SEVERAL COALITIONS WERE ASKED FOR THEIR INPUT IN IDENTIFYING COMMUNITY HEALTH NEEDS. FEEDBACK FROM COALITIONS WAS CONSIDERED IMPORTANT BECAUSE THIS INFORMATION WAS FROM PEOPLE WORKING DIRECTLY WITH A CERTAIN POPULATION. IT WAS NOTED THAT THE NUMBER ONE PRIORITY WAS DIFFERENT, DEPENDING ON WHICH GROUP OR COALITION PROVIDED INFORMATION, BUT OVERALL THE SAME CONCERNS WERE SHARED. EACH COALITION WAS ASKED TO LIST THE TOP FIVE HEALTH NEEDS. COALITIONS PARTICIPATING IN THE DISCUSSIONS INCLUDED: 1-PERINATAL COALITION, 2-FAITH COMMUNITY NURSES, 3-FAMILY CONNECTION COALITION, 4-SAFE KIDS COALITION 5-COMMUNITY BENEFIT WORK TEAM.RESOURCES FROM OTHER ORGANIZATIONS WERE REVIEWED TO PREVENT DUPLICATION OF SERVICES AND ENHANCE RESOURCES. RESOURCES OF OTHER ORGANIZATIONS WERE ALSO REVIEWED TO ENSURE IDENTIFIED NEEDS WERE MET.REVIEW OF OTHER COMMUNITY SURVEYS OR ASSESSMENTS CONDUCTED, WITH SOME EXAMPLES INCLUDING:*2019 GA KIDS COUNT DATA*GA DEPARTMENT OF PUBLIC HEALTH, NORTH CENTRAL HEALTH DISTRICT, HOUSTON COUNTY, HEALTH STATUS REPORT AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) *2020 COUNTY HEALTH RANKINGS AND ROADMAPS- ROBERT WOOD JOHNSON FOUNDATION *2022 MARCH OF DIMES - PREMATURE BIRTH RATE FOR GEORGIA AND 2022 REPORT CARD*HEALTHY PEOPLE 2030*WARNER ROBINS COMMUNITY TRANSFORMATION PLAN - HOUSING DEVELOPMENT*SENIOR CARE SURVEYS 2022*COMMUNITY EDUCATION SURVEYS 2022 REVIEW/EVALUATION OF THE PAST YEAR COMMUNITY BENEFIT OUTCOMES ALSO CONTRIBUTED TO THE TOTAL ASSESSMENT. OUR PROCESS INCLUDES THE COMPLETION OF THE 2020 CHNA (COMMUNITY HEALTH NEEDS ASSESSMENT) WITH PRIORITIES, AS WELL AS THE IMPLEMENTATION PLAN. IN ORDER TO EVALUATE OUR PROGRESS, HOUSTON HEALTHCARE DEVELOPED AN ANNUAL WORK PLAN WITH GOALS, OBJECTIVES, EXPECTED OUTCOMES AND ACTUAL OUTCOMES. THERE ALSO IS A THREE-YEAR SCORE CARD THAT COMPARES LONGER-TERM OUTCOMES. PART VI, LINE 3: INFORMATION REGARDING THE INDIGENT CARE TRUST FUND IS AVAILABLE AT EACH OF OUR REGISTRATION AREAS AND DISPLAYED WITH SIGNAGE AND CARDS. WE ALSO INFORM OUR PATIENTS AND FAMILIES OF OUR FINANCIAL ASSISTANCE POLICY DURING THE INPATIENT AND OUTPATIENT ADMISSION PROCESS. OUR SYSTEM WEBSITE PROVIDES INFORMATION ON OUR PATIENT FINANCIAL SERVICES, WHICH INCLUDES BILLING, INSURANCE, AND OUR INDIGENT AND CHARITY CARE GUIDELINES AND POLICY. THE FIRST BILLING STATEMENT SENT OUT TO PATIENTS ALSO ADDRESSES THIS PROCESS WITH SPECIFIC INSTRUCTIONS. THESE CARDS WITH FINANCIAL INFORMATION ARE AVAILABLE AT COMMUNITY EVENTS, HEALTH FAIRS AND EDUCATION SEMINARS. THE CARDS AND SIGNAGE ARE PROVIDED IN ENGLISH AND SPANISH. PART VI, LINE 4: GEOGRAPHIC SERVICE AREA- HOUSTON HEALTHCARE SERVES THE MEDICAL NEEDS OF RESIDENTS IN THE CENTRAL GEORGIA AREA WITH THE PRIMARY SERVICE AREA BEING HOUSTON AND PEACH COUNTIES. RESIDENTS IN SURROUNDING COUNTIES ALSO TURN TO HOUSTON HEALTHCARE FOR MEDICAL SERVICES, WITH THESE COUNTIES INCLUDING BLECKLEY, CRAWFORD, DODGE, DOOLY, MACON, PULASKI, TAYLOR, TWIGGS AND BIBB COUNTY, WHICH ARE CONSIDERED OUR SECONDARY SERVICE AREA. ALL HOUSTON HEALTHCARE FACILITIES ARE LOCATED IN HOUSTON COUNTY AND ARE GOVERNED BY TWO BOARDS OF TRUSTEES. THE EXECUTIVE TEAM ALSO OVERSEES ALL OPERATIONS AND ACTIVITIES FOR THE HOUSTON HEALTHCARE SYSTEM.DEMOGRAPHICS- MEETING THE DIVERSE HEALTH NEEDS OF HOUSTON COUNTY RESIDENTS IS AN ONGOING CHALLENGE. HOUSTON COUNTY HAS A YOUNGER POPULATION THAN THE STATE AND THE NATION IN THAT 32% ARE UNDER THE AGE OF 18. (US CENSUS BUREAU QUICK FACTS 2022) BETWEEN 2010 AND 2020, ACCORDING TO THE US CENSUS, THE POPULATION OF HOUSTON COUNTY INCREASED BY 14.5% WITH THE NUMBER OF HISPANIC RESIDENTS INCREASING BY 158.2% (PRC 2020). HOUSTON HEALTHCARE'S DIVERSE POPULATION SERVED INCLUDES: 59.1% CAUCASIAN, 33.8% AFRICAN AMERICAN, AND 6.9% HISPANIC (US CENSUS BUREAU) WITH 1,943 EMPLOYEES, HOUSTON HEALTHCARE IS THE 4TH LARGEST EMPLOYER IN HOUSTON COUNTY. ROBINS AIR FORCE BASE IS THE LARGEST WITH OVER 24,500 CONTRACTORS, CIVIL SERVICE AND MILITARY STAFF, FOLLOWED BY HOUSTON COUNTY BOARD OF EDUCATION WITH 5,500 TEACHERS AND STAFF. PERDUE FARMS, WITH OVER 2,520 POULTRY WORKERS, MANY OF WHOM ARE HISPANIC, IS THE 3RD LARGEST AND FRITO-LAY, PRODUCER OF SNACK FOOD WITH OVER 1,500 WORKERS IS THE 5TH LARGEST. (HOUSTON DEVELOPMENT AUTHORITY).THE POPULATION OF HOUSTON COUNTY IS ESTIMATED BY THE CENSUS REPORT AT 166,829 IN 2021, WHICH INCLUDES PERRY WITH A POPULATION OF 22,029, AND WARNER ROBINS WITH A POPULATION OF 81,446. PERRY'S MEDIAN HOUSEHOLD INCOME IS $62,789 PER YEAR WITH 13.9% OF INDIVIDUALS LIVING BELOW THE FEDERAL POVERTY LEVEL; WARNER ROBINS' MEDIAN HOUSEHOLD INCOME IS $58,379 PER YEAR WITH 12.4% OF INDIVIDUALS LIVING BELOW POVERTY LEVEL. (US CENSUS BUREAU QUICK FACTS 2021) THE LATEST CENSUS ESTIMATE SHOWS 22.3% (OR 8,528) OF HOUSTON COUNTY CHILDREN LIVE BELOW THE FEDERAL POVERTY LEVEL. (PRC 2020).THE THREE LEADING CAUSES OF DEATH INCLUDE HEART DISEASE/STROKE, CANCER, AND CHRONIC LOWER RESPIRATORY DISEASES. THE PRC COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS THAT AN AVERAGE OF 17.3% OF PERSONS IN HOUSTON COUNTY ARE DIAGNOSED WITH DIABETES, WHICH IS AN INCREASING NUMBER, AND 10% ARE DIAGNOSED WITH PRE-DIABETES. GEORGIA ALSO CONTINUES WITH HIGHER RATES OF PRE-TERM BIRTHS, 10.1% (LESS THAN 37 WEEKS) AND LOW BIRTH NEWBORNS MORE THAN THE AVERAGE FOR THE US.HOUSTON COUNTY'S OVERALL RATE OF TOBACCO USAGE IS LOWER THAN THE STATE AVERAGE, BUT VAPING CONTINUES TO BE HIGH AMONG THE LOWER INCOME POPULATION. THE OBESITY RATE IN CENTRAL GEORGIA RESIDENTS HAS INCREASED TO 50.1% (BMI<30) AND OVERWEIGHT (BMI<25) 81.7%. THESE FACTS DEMONSTRATE THE NEED FOR EDUCATION ON LIFESTYLE CHANGES RELATED TO NUTRITION, EXERCISE AND TOBACCO AVOIDANCE. THESE STATS AND OTHERS PROMPTED OUR DEDICATION TO IMPROVING THE COMMUNITY WE SERVE BY ESTABLISHING AN IMPLEMENTATION PLAN THAT INCLUDES PRIORITY AREAS, MEASURABLE GOALS AND OBJECTIVES ALONG WITH COLLABORATION AMONG HOUSTON HEALTHCARE LEADERSHIP AND OTHER COMMUNITY LEADERS.OTHER HOSPITALS SERVING THE COMMUNITY- THERE ARE NO OTHER HOSPITALS WITHIN HOUSTON COUNTY BESIDES HOUSTON HEALTHCARE; HOWEVER SOME COMMUNITY MEMBERS UTILIZE HOSPITALS OUTSIDE OF OUR COUNTY.NUMBER OF FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS- IN OUR SERVICE AREA, CRAWFORD, PEACH, TWIGGS AND MACON COUNTIES ARE UNDERSERVED BY PRIMARY HEALTH PROFESSIONALS, ACCORDING TO THE STATE OFFICE OF RURAL HEALTH, GENERALLY MEANING MORE THAN 3,000 PEOPLE PER DOCTOR. BIBB AND HOUSTON COUNTIES CONTINUE TO HAVE POCKETS OF UNDERSERVED POPULATIONS. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH- HOUSTON HEALTHCARE BOARD MEMBERS ARE ACTIVE COMMUNITY MEMBERS, EMPLOYED OR RETIRED FROM VARIOUS COMMUNITY ORGANIZATIONS SUCH AS LOCAL SCHOOLS, LOCAL AND STATE GOVERNMENT, PHYSICIAN PRACTICES, LAW FIRMS AND INSURANCE AGENCIES. THEIR EDUCATION, EXPERIENCE AND COMMUNITY INVOLVEMENT ENABLE OUR ORGANIZATION TO PROVIDE MUCH NEEDED SERVICES AND BENEFITS TO MEET COMMUNITY NEEDS. AN OPEN MEDICAL STAFF ENABLES THE ORGANIZATION TO PROVIDE THE SERVICES NEEDED BY THE COMMUNITY AND ALLOWS NEEDED ACCESS TO THE INDIGENT, AS WELL AS MEDICARE, MEDICAID AND TRICARE POPULATIONS.HOUSTON HEALTHCARE SUPPORTS THE VOLUNTEER MEDICAL CLINIC BY PROVIDING A BUILDING FOR THE FREE CLINIC AS WELL AS ACCEPTING REFERRALS FROM THE CLINIC FOR REQUIRED SERVICES SUCH AS RADIOLOGY AND LAB.ADVOCACY INITIATIVES ARE ONGOING TO IMPROVE HEALTH AND INCREASE ACCESS THROUGH LOCAL PARTNERSHIPS WITH OTHERS IN THE COMMUNITY INCLUDING PUBLIC HEALTH AND ROBINS AIR FORCE BASE. HOUSTON HEALTHCARE COLLABORATES WITH ROBINS AIR FORCE BASE THROUGH RELAY HEALTH (ACCESS MEDICAL RECORDS), MENTAL HEALTH COLLABORATION EFFORTS TO IMPROVE TRANSITION OF CARE, PHYSICIAN GRAND ROUNDS, EDUCATIONAL TRAINING CLASSES AND MOU FOR PHYSICAL THERAPY TECHNICIANS. PART VI, LINE 6: HOUSTON HEALTHCARE IS NOT AFFILIATED WITH ANY OTHER HEALTH CARE SYSTEM. PART VI, LINE 7, REPORTS FILED WITH STATES GA 1 MIDDLE GEORGIA STATE UNIVERSITY FOUNDATION 100 UNIVERSITY PARKWAY MACON GA 31206 237066010 501(C)(3) 75000 0 N/A N/A NURSING EDUCATION CENTRAL GEORGIA TECHNICAL COLLEGE FOUNDATION 3300 MACON TECH DRIVE MACON GA 31206 581923671 501(C)(3) 75000 0 N/A N/A NURSING EDUCATION 2 0 PART I, LINE 2: THE ORGANIZATION HAS GUIDELINES IN PLACE THAT ARE USED IN REVIEWING THE ELIGIBILITY AND APPROPRIATENESS OF GRANTEES AND CONTRIBUTION RECIPIENTS. GRANTS ARE NOT MADE TO INDIVIDUALS OR POLITICAL ORGANIZATIONS, BUT TO CHARITIES AND RELATED ORGANIZATIONS THAT COMPLEMENT AND/OR FURTHER THE MISSION OF HOUSTON HEALTHCARE AND REFLECT POSITIVELY ON OUR ORGANIZATION. EACH GRANT IS MADE ON AN ANNUAL BASIS. ALL GRANTS REQUIRE WRITTEN DOCUMENTATION OF APPROVAL. X X X X X 0 0 0 0 0 0 0 0 0 CHARLES G BRISCOE PRESIDENT & CEO 395658 0 0 0 40311 0 6100 0 17012 0 459081 0 0 0 SEAN S WHILDEN VP & CFO (INTERIM COO BEG 2/2022) 263173 0 0 0 43520 0 5614 0 20747 0 333054 0 0 0 LARRY D STEWART MD VP & CMO 358175 0 0 0 3000 0 5499 0 10979 0 377653 0 0 0 SIGISMUND D TETTEH VP CIO 190009 0 0 0 0 0 2953 0 20374 0 213336 0 0 0 SHELLISA HOUSTON-MARTIN VP PATIENT CARE SERVICES 197826 0 0 0 0 0 3956 0 1465 0 203247 0 0 0 TODD EDENFIELD VP ADMINISTRATOR PH 156187 0 0 0 6000 0 3124 0 6470 0 171781 0 0 0 KEVIN ROWLEY VP MARKETING & BUSINESS DEVELOPMENT 166019 0 0 0 0 0 3320 0 10852 0 180191 0 0 0 PETER IZZO PHYSICIAN 250249 0 27620 0 26296 0 3671 0 17012 0 324848 0 0 0 JACINTA TRAN PHYSICIAN 242219 0 30000 0 7298 0 2672 0 16239 0 298428 0 0 0 PHILLIP GILBERT DIRECTOR PHARMACY 180939 0 0 0 0 0 3619 0 16870 0 201428 0 0 0 JULIET WHITTEN ASSOCIATED DIRECTOR PHARMACY 161488 0 0 0 3322 0 3296 0 737 0 168843 0 0 0 KELLY LANGDON ANALYST APPLICATION PHARMACIST 154986 0 0 0 0 0 3100 0 714 0 158800 0 0 0 BRIAN GRAHAM FAMILY MEMBER OF BOARD MEMBER 61715 EMPLOYMENT 0 AMY DAWSON FAMILY MEMBER OF BOARD MEMBER 68363 EMPLOYMENT 0 SCHEDULE L, PART V: ALL TRANSACTIONS ARE AT FAIR MARKET VALUE. FORM 990, PART VI, SECTION A, LINE 6 THE BOARD OF DIRECTORS OF HOUSTON HEALTHCARE SYSTEM, INC., A RELATED 501(C)(3) ORGANIZATION, APPOINTS THE BOARD OF DIRECTORS OF HOUSTON HOSPITALS, INC. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS OF HOUSTON HEALTHCARE SYSTEM, INC., A RELATED 501(C)(3) ORGANIZATION, APPOINTS THE BOARD OF DIRECTORS OF HOUSTON HOSPITALS, INC. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN ACTIONS OF THE BOARD OF DIRECTORS OF HOUSTON HOSPITALS, INC. MUST BE APPROVED BY THE BOARD OF DIRECTORS OF HOUSTON HEALTHCARE SYSTEM, INC., A RELATED 501(C)(3) ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF THE FORM 990 IS PREPARED BY AN INDEPENDENT TAX ACCOUNTANT AND SENT TO THE OFFICERS FOR REVIEW. AFTER REVIEW AND COMMENTS FROM THE OFFICERS, THE RETURN IS FINALIZED. PRIOR TO FILING, A COPY OF THE FINALIZED RETURN IS PROVIDED TO THE ORGANIZATION'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS, BOARD MEMBERS COMPLETE A CONFLICT OF INTEREST STATEMENT DISCLOSING ANY POTENTIAL CONFLICTS. THE STATEMENTS ARE REVIEWED BY MANAGEMENT FOR DISCLOSURES. FORM 990, PART VI, SECTION B, LINE 15 A COMPREHENSIVE REVIEW OF THE CEO'S TOTAL COMPENSATION IS CONDUCTED BY THE BENEFITS AND COMPENSATION COMMITTEE OF HOUSTON HEALTHCARE SYSTEM, INC. MINUTES REFLECTING THE DELIBERATIONS OF THE COMMITTEE ARE RECORDED AND FILED. THE COMMITTEE IS COMPRISED OF THREE MEMBERS OF THE BOARD OF DIRECTORS. IN CONSIDERING AN ADJUSTMENT TO THE COMPENSATION PACKAGE FOR THE CEO, VARIOUS STUDIES ARE CONSIDERED AND FACTORED INTO THE FINAL DECISION, INCLUDING GA VHA EXECUTIVE COMPENSATION SURVEY, THE GHA SURVEY OF COMPENSATION SURVEY, AND AN EXECUTIVE SALARY SURVEY CONDUCTED HR ADVANTAGE, A COMPENSATION CONSULTANT WITH NATION-WIDE REACH. ALL OF THE ENTITIES AND INDIVIDUALS PROVIDED COMPENSATION DATA INDEPENDENT OF THE OTHERS. SUBSEQUENT TO THE REVIEW, A RECOMMENDATION REGARDING THE CEO'S COMPENSATION IS REVIEWED AND MODIFIED/APPROVED BY THE BOARD OF DIRECTORS OF HOUSTON HEALTHCARE SYSTEM, INC. A SIMILAR PROCESS IS EMPLOYED FOR THE COO AND CFO. THE REVIEWS ARE PERFORMED ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND ANNUAL FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 38,905,719. MANAGEMENT AND GENERAL EXPENSES 3,579,308. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 42,485,027. FORM 990, PART XI, LINE 9: CHANGE IN PENSION OBLIGATION -8,122,983. FORM 990, PART XII, LINE 2C: THERE HAS BEEN NO CHANGE IN EITHER THE OVERSIGHT OR SELECTION PROCESS. 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