2022-03-03T06:21:32-08:00 2021-04-30 990 2020-05-01 581911751 SOUTHEAST GEORGIA HEALTH SYSTEM INC SOUT 9124667058 2415 Parkwood Dr Brunswick GA 31520 John A Milazzo III Vice President & CFO 2022-03-03 John A Milazzo III 999009999 2 AAL1 IAL1 FAL1 2020 2022-09-23 18:48:47Z Michael DScherneckPresCEO 563582307 false X http://www.sghs.org X 1990 GA Southeast Georgia Health System,Inc., will provide safe, quality, accessible, and cost-effective care to meet the health needs of the people and communities it serves. 12 9 3145 155 0 10361213 20691194 354231652 384245391 -8477442 11127168 5294760 4784096 361410183 420847849 591234 520198 0 140859806 141800981 0 0 192464247 216673508 333915287 358994687 27494896 61853162 685414399 747425632 369216399 373551632 316198000 373874000 Southeast Georgia Health System,Inc., will provide safe, quality, accessible, and cost-effective care to meet the health needs of the people and communities it serves. false false 340065955 520198 384258112 Effective May 1, 2015, the Authority undertook a corporate restructuring and executed a lease and transfer agreement with Southeast Georgia Health System, Inc. (the System), a Georgia not-for-profit corporation, (formerly Kings Bay Community Hospital, Inc.58-1911751), which assumed substantially all of the operations, assets and liabilities of the Authority and agreed to operate the facilities thereof as a community healthcare provider and to perform and abide by all covenants, agreements, and restrictions thereof for an initial period of forty years. Under the agreement, the System makes nominal lease payments to the Authority plus amounts sufficient to make debt service payments on Authority conduit debt obligations as they come due and assumes all operational, financial, indigent care, and community responsibilities. In connection with the restructuring, the Authority and the System entered into an employee lease agreement whereby the Authority leased all of its employees to the System from January 1, 2016 through December 31, 2016, at cost. All leased Authority employees were converted to System employment effective January 1, 2017. 340065955 true true false true false false false false false false true false false false false true false true false false false false false false false false true true true true true false false false false false false false false false false false false false true true true false false true 188 0 true 3145 true false false false false false false false 0 false false false false false false false X 12 9 false false false false true true true true true false false true true true true true true true true true true GA X X John A Milazzo III VPCFO 9124667058 2415 Parkwood Dr Brunswick GA 31520 Michael D Scherneck President & CEO 40.00 14.00 X 665018 0 145438 Stephen Chitty MD Board Member 40.00 0.00 X 675736 0 39243 Alan K Brown MD Vice President & CMO 40.00 0.00 482367 0 39243 Christy D Jordan Esq VP-Gen Counsel 40.00 2.00 X 374106 0 92984 Shirley Wilson MD Board Member 40.00 0.00 X 407623 0 34482 John A Milazzo III Vice Pres & CFO 40.00 0.00 X 354594 0 76313 Howard Sepp (Former) VP, Asst Adminstrator 0.00 0.00 298273 0 33245 Delria Baisden VP, Ancillary Svcs 40.00 0.00 250316 0 53398 Kelli Reale Director, HR 40.00 0.00 252300 0 46048 Kathleen Wood VP, Phys Practices 40.00 0.00 253422 0 37644 Judith Henson (Former)VP,Patient Care Services 0.00 0.00 261298 0 21791 David Mcnally Mgr,Chief Med Phys 40.00 0.00 247592 0 27012 Sanford Stephens III VP, Support Svcs 40.00 0.00 207502 0 41640 Marjorie Mathieu (Former)VP, Support Services 0.00 0.00 210971 0 19533 Mirchell T Jones MD Board Member 40.00 0.00 X 97565 0 5594 Roosevelt Harris Board Member 0.00 0.00 X 0 0 0 Thomas Headlee Board Member 0.00 0.00 X 0 0 0 Angela Angie Heys CPA Board Member 0.00 0.00 X 0 0 0 Robert C Turner Board Member 0.00 0.00 X 0 0 0 Milton HWoody Woodside Board Member 0.00 0.00 X 0 0 0 Kay Hampton RN Chairman 0.00 0.00 X 0 0 0 James B Jim Loomis Vice Chair 0.00 0.00 X 0 0 0 Michael D Hodges Secretary 0.00 0.00 X 0 0 0 Valerie A Hepburn PhD Treasurer 0.00 0.00 X 0 0 0 5038683 713608 271 true true false HHS LLC P O Box 826 San Antonio TX 782930826 Environmental Services 5346269 Morrison Management Specialists P O Box 102289 Atlanta GA 30368 Cafeteria Management 4699632 Medical Solutions LLC PO Box 310737 Des Moines IA 503310737 Contract Nursing 3444471 Fastaff LLC PO Box 911452 Denver CO 802911452 Contract Nursing 3410279 Davita Inc 2930 Springdale Rd Brunswick GA 31520 Dialysis 1447208 35 3641712 15290430 1759052 20691194 Net Patient Svc Revenue 621400 384245391 384245391 384245391 4257516 4257516 0 0 4302576 524942 3777634 3777634 3777634 148866468 212700 142070203 139313 6796265 73387 6869652 6869652 0 0 0 Laundry Revenue 621990 329297 329297 Other Revenue 900099 301638 301638 Utility Income 621400 142152 142152 233375 233375 1006462 420847849 384245391 15911264 X 499298 499298 20900 20900 0 0 2540450 2540450 0 106916585 102507227 4409358 4950558 4666445 284113 19524683 18404161 1120522 7868705 7417120 451585 0 1531546 1531546 240000 240000 0 0 0 77079617 72167512 4912105 1583767 363628 1220139 87765779 85634639 2131140 0 0 6470332 6450526 19806 140387 128609 11778 0 0 4464091 4464091 0 21167158 21167158 2077541 2077541 Provider Taxes 8446523 8446523 Liability Expense 4170774 4170774 Employee Recruiting 1077347 1077347 Postage and Shipping 193319 141753 51566 265327 260703 4624 358994687 340065955 18928732 0 0 66229413 61065593 0 52182121 64529871 0 0 0 11400109 12270405 3802551 5296908 583979007 242497537 306820821 341481470 223498449 235061810 0 8995866 10466314 39523 39523 12445546 17213738 685414399 747425632 60295214 66778332 45962482 51471416 251297256 245570788 11661447 9731096 369216399 373551632 X 316198000 373874000 316198000 373874000 685414399 747425632 X 61853162 33521660 -37698822 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 99493 false false 99493 false false Part II-B, Line 1i - Other Activities Description Southeast Georgia Health System,Inc is a member of the Georgia Hospital Association. A portion of the dues paid to that industry organization is deemed to be attributed to the lobbying efforts of those organizations on behalf of all hospitals throughout the state of Georgia. In addition, Southeast Georgia Health System, Inc has engaged Hurt Norton, GeorgiaLink and Joe Tanner & Associates as well as Terry Coleman Consulting, LLC to represent the Southeast Georgia Health System, Inc on issues and appropriation opportunities that are specific to the hospitals operated by the Southeast Georgia Health System, Inc and the communities which it serves. 28915015 28915015 336441584 132329774 204111810 4246018 2908616 1337402 140732152 92183280 48548872 73644238 15075867 58568371 341481470 X Part X : FIN48 Footnote The Southeast Georgia Health System, Inc (the System) has been recognized as tax-exempt pursuant to Section 501(c)(3) of the Internal Revenue Code. Accordingly, no provision for state or federal income taxes has been presented in the accompanying consolidated financial statements. The System recognizes the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by taxing authorities based on the technical merits of the position. The System has determined that it does not have any material unrecognized tax benefits or obligations. true true X true X 125.000000000 true X true true true false true true 19391886 6143924 13247962 0.03690 30254211 25110777 5143434 0.01430 893209 362998 530211 0.00150 50539306 31617699 18921607 0.05270 509050 509050 0.00140 181667 181667 0.00050 4587105 4587105 0.01280 5277822 5277822 0.01470 55817128 31617699 24199429 0.06740 true 14952996 2722903 100958189 83502694 17455495 X true false SE GA Cyberknife CenterLLC Cancer Care Services 0.51000 0.49000 Renue Plastic Surgery Ctr Plastic Surgery Services 0.15000 0.85000 2 1 SE GA Health System - Camden 200 Dan Proctor Dr St Marys GA 31558 http://www.sghs.org 020-472 X X X 2 SE GA Health System -Brunswick 2415 Parkwood Dr Brunswick GA 31520 http://www.sghs.org 063-707 X X X SE GA Health System - Camden 1 false false true X X X X X X X X X 19 true false false true X https://www.sghs.org/About-Us/Community- X true 19 true https://www.sghs.org/documents/Camden-Campus-Implementation- false false true X 125.0000 300.0000 X X X true true X X X X true X www.sghs.org/about/financialassistance X www.sghs.org/about/financialassistance X www.sghs.org/about/financialassistance X X X X X X true X false X X X X true X false false SE GA Health System -Brunswick 2 false false true X X X X X X X X X 19 true false false true X https://www.sghs.org/About-Us/Community- X true 19 true https://www.sghs.org/documents/Brunswick-Campus-Implementati false false true X 125.0000 300.0000 X X X true true X X X X true X www.sghs.org/about/financialassistance X www.sghs.org/about/financialassistance X www.sghs.org/about/financialassistance X X X X X X true X false X X X X true X false false Facility: SE GA Health System - Camden - Part V, Section B, Line 5 PART V, LINE 5-HOW INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY WAS TAKEN INTO ACCOUNT:SGHS engaged College of Coastal Georgia Professor Mary Eleanor Wickersham, PhD, an expert in public health, to assist in collecting and analyzing data, as well as to conduct focus groups and interviews throughout the community. Multiple focus groups were conducted to receive input from persons representing the community, including:(1)Camden Focus Group Participants-Camden Family Connections March 21, 2019: Michelle Yarbrough, Camden Family Connection; Heather Bryant, Coastal Georgia Area Community Action Authority; Lena B. Brathwaite Bell, Innovative Prevention Education; Rebecca McKinzie Thornwell, Building Families; Kristy Gowen, Camden County Health Department; Melissa Perkins, Camden County Health Department, Briana Duckworth, Camden County Health Department; Donald Petrine, Coastal Re-Entry Vets Coalition; Bonnie Gramling, Department of Juvenile Justice; Lavena Fisette, Tree of Life Doula Services; Neal Ligon, Life, Inc., Bill Garlen, College of Coastal Georgia; Dalphine Ponder, Camden House; Vernal Morrison, Delta Sigma Theta Sorority, Tonya Harvey, City of Kingsland; Shannon Stack, Gateway Community Service Board; Rachel Baldwin, Retired Educator and Administrator; Emmy Shroeder, Camden Chamber of Commerce; Elizabeth Rogg, The Salvation Army; Mary Beckman, Coastal Re-Entry & Vets, Inc.; Nelson Cummings, Coastal Re-Entry & Vets, Inc.; Clainetta T. Jefferson, U.S. Navy, Child and Youth Programs, Sheila Sapp, Camden Family Connection; Agnes Abdullah, United Way of Camden County; Waldron Hamilton, Camden Family Connection; Dana OQuinn, Camden Family Connection; Ashley Cooper-Health Camden Family Connection; Mary Eleanor Wickersham, Facilitator. (2)Charlton Focus Group Participants -Charlton Family Connections March 20, 2019: Daniel Underwood, Folkston United Methodist Church; Heather Harrison, Charlton County Health Department; Carla Rodeffer, Coordinator, Charlton County Family Connection; Mary Eleanor Wickersham, Facilitator. (3)Brantley Focus Group Participants -Promises and Multi-Disciplinary Task Force Meeting March 20, 2019: John Simpson, Brantley County Sheriffs Office; Jason A. Lee, Brantley County Sheriffs Office; Victoria Rowe, Brantley County DFCS; Kathy Chesser, Brantley County Schools; Erin Thrift, Unison Behavioral Health; Elizabeth Rowel, District Attorneys Office; Latoshia Kirksey, Satilla Advocacy Services; Mark Stone, Brantley County Sheriffs Department; Lyn Jacobs,National Park Service; Lora Harvard, Brantley County Schools, Hoboken Elementary School; Cathy Jacobs, Brantley County Health Department; Renee Mumford, Georgia Department of Juvenile Justice; Terry Anderson, Satilla Advocacy; Tammy Boyett, Nahunta Elementary School, Atkinson Elementary School; Mary Eleanor Wickersham; Facilitator.Camden CHNA Steering Committee Members:Southeast Georgia Health System April 18, 2019 participants included:Michael D. Scherneck, President & Chief Executive Officer; Christy D. Jordan, Chief Operating Officer & General Counsel; Howard W. Sepp, Jr., FACHE, Vice President/Administrator Camden Campus; DelRia Baisden, Vice President, Ancillary Services; Marjorie Mathieu, Vice President, Support Services; Katie Wood, Vice President, Physician Practices; LaJoy Johnson, Manager, Resource Manager; Brendan Hunt, Manager, Health Promotion & Wellness; Lecia Albright, Director, Quality Improvement; Adam Brown, Director-Physician Practices; Stephanie Sinopoli, Director, Cancer Care Center; Glenn Gann, Director- Emergency Care Center; Mary Eleanor Wickersham, Facilitator Facility: SE GA Health System -Brunswick - Part V, Section B, Line 5 SGHS engaged College of Coastal Georgia Professor Mary Eleanor Wickersham, PhD, an expert in public health, to assist in collecting and analyzing data, as well as to conduct focus groups and interviews throughout the community. Appendix A:Brunswick Campus Community Focus Group Meeting Attendee Lists(1)Camden Focus Group Participants Camden Family Connections March 21, 2019: Michelle Yarbrough, Camden Family Connection; Heather Bryant, Coastal Georgia Area Community Action Authority; Lena B. Brathwaite Bell,IPE; Rebecca McKinzie Thornwell-Building Families; Kristy Gowen, Camden County Health Department; Melissa Perkins, Camden County Health Department; Briana Duckworth, Camden County Health Department; Donald Petrine, Coastal Re-Entry Vets Coalition; Bonnie Gramling, Department of Juvenile Justice; Lavena Fisette, Tree of Life Doula Services; Neal Ligon, Life, Inc.; Bill Garlen, College of Coastal Georgia; Dalphine Ponder, Camden House; Vernal Morrison, Delta Sigma Theta Sorority; Tonya Harvey, City of Kingsland; Shannon Stack, Gateway Community Service Board; Rachel Baldwin, Retired Educator and Administrator; Emmy Shroeder, Camden Chamber of Commerce; Elizabeth Rogg, The Salvation Army; Mary Beckman, Coastal Re-Entry & Vets, Inc.; Nelson Cummings, Coastal Re-Entry & Vets, Inc.; Clainetta T. Jefferson, U.S. Navy, Child and Youth Programs; Sheila Sapp, Camden Family Connection; Agnes Abdullah, United Way of Camden County; Waldron Hamilton, Camden Family Connection; Dana OQuinn, Camden Family Connection; Ashley Cooper-Health, Camden Family Connection; Mary Eleanor Wickersham, Facilitator. (2)Brantley Focus Group Participants -Promises and Multi-Disciplinary Task Force Meeting March 20, 2019John Simpson, Brantley County Sheriffs Office; Jason A. Lee, Brantley County Sheriffs Office; Victoria Rowe, Brantley County DFCS; Kathy Chesser, Brantley County Schools; Erin Thrift, Unison Behavioral Health; Elizabeth Rowell, District Attorneys Office; Latoshia Kirksey, Satilla Advocacy Services; Mark Stone, Brantley County Sheriffs Department; Lyn Jacobs, National Park Service; Lora Harvard, Brantley County Schools, Hoboken Elementary School; Cathy Jacobs, Brantley County Health Department; Renee Mumford, Georgia Department of Juvenile Justice; Terry Anderson,Satilla Advocacy; Tammy Boyett,Nahunta Elementary School, Atkinson Elementary School; Mary Eleanor Wickersham, Facilitator.(3)Charlton Focus Group Participants -Charlton Family Connections March 20, 2019: Daniel Underwood, Folkston United Methodist Church; Heather Harrison, Charlton County Health Department; Carla Rodeffer, Coordinator, Charlton County Family Connection,; Mary Eleanor Wickersham, Facilitator.(4)Glynn Focus Group Participants -Glynn Family ConnectionsMarch 22, 2019: Brandi Fisher, Coastal Georgia Community Action Authority; Leslie Scarboro, Glynn County Schools; Shamaia Thomas, Coastal Georgia Area Community Action Authority, Melinda Ennis-Roughton, Family Connection Glynn; Kalista Morton, Second Harvest; Joselyn Logan, Teen Empowering Network; Dominique Mack, Coastal Georgia Community Action Authority; Trina Kelley, Southeast Georgia Health System; Zerik Samples, Coastal Georgia Community Action Authority.(5)McIntosh Focus Group Participants -McIntosh County Family Connection Collaborative March 19, 2019: Jackie Mull, Chamber of Commerce Board Chair; Jasmine Black, University of Georgia Extension Service; Diane Martin, Family Connection member, former chair; Sharon Brandt, FC Secretary/McIntosh Co. Ministerial Association; Lee Brandt, Coastal Worship Center; Mandy Harrison, McIntosh Chamber of Commerce President; Genevieve Wynegar, Executive Director- McIntosh County Family Connection; Eunice Moore, McIntosh Grass Roots; Mark Deverger, McIntosh County Fire Department Chief Bob Mucha, Business person; Melissa Williams, McIntosh Schools; Mary Eleanor Wickersham, Facilitator.(6) Wayne Focus Group Participants - Wayne County Family Connection March 18, 2019: Lana Wright, Family Connection Collaborative; Dexter Newby, Pineland; Jeannine Watts, Pineland; Ansleigh Godwin, Safe Harbor; Susan Delegal, Web Electronics; Shauna Mattingly, Anchored in Wellness; Helen Raczkowski, Skylark Sexual Health Care Clinic; Ted Buford, Department of Labor-Retired;Mary Eleanor Wickersham, Facilitator.Steering Committee Members:Southeast Georgia Health System April 18, 2019Michael D. Scherneck, President & Chief Executive Officer;Christy D. Jordan, Chief Operating Officer & General Counsel;Howard W. Sepp, Jr., FACHE ,Vice President/Administrator Camden Campus;DelRia Baisden,Vice President, Ancillary Services;Marjorie Mathieu, Vice President, Support Services;Katie Wood, Vice President, Physician Practices;LaJoy Johnson,Manager, Resource Manager;Brendan Hunt, Manager, Health Promotion & Wellness;Lecia Albright, Director, Quality Improvement;Adam Brown, Director, Physician Practices;Stephanie Sinopoli,Director, Cancer Care Center;Glenn Gann, Director, Emergency Care Center;Mary Eleanor Wickersham, Facilitator Facility: SE GA Health System - Camden - Part V, Section B, Line 11 Camden - Explanation of how significant identified needs are being addressed and needs not addressed; The Process of Prioritizing Needs When Needs Are Great:In order to achieve the greatest impact with its Implementation Strategy, Southeast Georgia Health Systems Camden Campus focuses on the high need, high feasibility priorities that are part of the hospitals core mission and that were identified first by local community groups and confirmed by the Steering Committee. (That process is described in detail in the Community Health Needs Assessment, which is available online on the hospitals website.)The selection of highest need and highest feasibility areas for focus for the Implementation Strategy does not imply the absence of other significant needs in the community. These are described in detail in the CHNA, along with specific county needs. The idea of low feasibility reflects not a lack of a concern about these problems but rather the intractable nature of larger, societal problems that may be upstream causes of poorer health outcomes and those that are not a part of the service mission of the hospital. While many of these needs are not specifically addressed in the Implementation Strategy, as part of its role as a major health leader in the service area, Southeast Georgia Health System will continue to contribute staff time, resources, and expertise as it works with other community groups to address the types of community health problems that fall within a broad description as the social determinants of health. The high need, low feasibility areas identified include improved access to substance abuse treatment; expanded transportation options to improve access to health care; and increased availability of health coverage resources to reduce the proportion of uninsured in our communities. These broad issues and others that surfaced in community group discussions, including poverty, reflect regional, state, and even national challenges and cannot be addressed or ameliorated by any one organization. The cooperation of multiple area organizations in different sectors is essential to create real impact for sustainable change. Describing the social determinant and other community problems as high need, low feasibility points to the necessity for collaboration across the community, from the hospital to schools and health organizations to business and industry. By identifying these more global problems, the CHNA report spells out locally identified opportunities and challenges that assist the broader community focus on the difficult factors that can, in the long term, create these upstream changes that can lead to a healthier community. Southeast Georgia Health System is committed to working collaboratively with others to address the social determinants of health in the service area.For purposes of the Implementation Strategy, this report includes six primary goals identified as high need, high feasibility areas. Most goals will include a multi-pronged approached for change. In the following sections prioritized needs, goals, the related objectives and activities the hospital intends to pursue to address identified health needs priorities, and a plan for evaluation of each strategy to monitor progress are outlined. Priority Needs and Goals as Defined by the Steering Committee: Using information from focus groups in the Camden Campus service area counties, the Steering Committee identified priority needs in two domains: High Need, High Feasibility and High Need, Lower Feasibility. (A description of the full process and reports from county focus groups and area summary reports are available in the CHNA.)Using the higher needs, higher feasibility findings identified by the Steering Committee in the chart above, final goals for the Implementation Strategy were created to establish a formal means of addressing these important regional issues with a plan of implementation.Goal 1:Increase access to primary care. Goal 2: Provide targeted health education and screenings in areas of high need. Goal 3 Work collaboratively with other community providers to improve maternal and neonatal health outcomes. Goal 4 Assist in locating resources for recently discharged patients to support successful and stable transitions home Goal 5 Collaborate with local mental health providers, emergency medical services, and law enforcement about available resources for mental health care treatment as part of the effort to improve access to mental health services Goal 6 Identify and recruit specialty physicians in areas of high needEvaluation of the Implementation Strategy: The Implementation Strategy is a plan of action to address high needs areas where SGHS and its partner organizations can make a difference in the community. As in any strategic planning process, measurement of performance is essential. The 2019 Community Health Needs Assessment describes in detail outcomes for the 2016 Implementation Strategy. Between 2019 and 2022, SGHS will continually review, collect data, and evaluate this plan of action - the Implementation Strategy - to assess the progress made by the Health System to achieve its identified goals by 2022, the time of the next CHNA and Implementation Strategy. The following tables describe the Implementation Strategy and include planned actions, the rationale for those actions, resources required, potential partners, and how progress will be measured. Goal 1: Increase access to primary care: Community Input: Professionals participating in the survey and interviews identified lack of primary care resources as a barrier to care. Community groups and survey respondents were focused on lack of access to primary care caused by financial hardship or lack of insurance. Half of the counties in the service area said that lack of access to care is a priority issue in their communitiesGoal 2: Provide targeted health education and screenings in areas of high need: Community Input: The professional survey conducted in 2019 found lack of health education as a barrier to good health. Health professionals cited lack of education and health knowledge necessary for self-care and appropriate use of health resources, also referencing the need for education in diabetes management, nutrition, and the importance of adherence to medication regimens. Community focus groups recognized the lack of diabetes education as a primary cause of high prevalence and poor outcomes for diabetes, also focusing on the need for education in the areas of obesity and nutrition. Survey respondents listed health education as one of four priority health needs, also specifying issues that are amenable to health education that put the communitys health at risk (in order) drug abuse, alcohol abuse, tobacco use/smoking, and being overweight. Goal 3: Work collaboratively with other community providers to improve maternal and neonatal health outcomes.Community Input: Experts and community groups expressed concern about high teen birth rates. Background: Public data indicates high rates of low birthweights, high rates of both fetal and infant mortality, and a high percentage of women with fewer than five prenatal visits. In most service area counties, there are high birth rates to mothers without a high school education and births to unmarried mothers. Lower educational levels may play a role in lack of prenatal care, which results in poorer outcomes. Little data is available in the region on maternal mortality, although this issue has been identified as an area of concern by the State of Georgia.Goal 4: Assist in locating resources for recently discharged patients to support successful and stable transitions home. Community Input: Community members and experts referenced lack of resources for vulnerable patients, including those without means to pay. Hospital staff expressed concerns over hospital readmissions that are expensive in time and money to the patient and family, that negatively affect patient outcomes, use resources that might be better put to use in other ways, and that could be prevented or reduced with additional supportive services for at-risk patients. Goal 5: Collaborate with local mental health providers, emergency medical services, and law enforcement about available resources for mental health care treatment as part of the effort to improve access to mental health services.Community Input: Lack of awareness of available mental health services and resources may limit the ability of patients to access needed mental health care. In the wider SGHS service area, four of six county focus groups identified mental health/mental health awareness/mental health treatment as a priority need. Professionals (physicians, nurse practitioners, physician assistants, and public health leaders) identified high rates of mental illness and lack of resources for treatment as a priority area. While there are some services, those without insurance or who have certain payment types may not find s Facility: SE GA Health System -Brunswick - Part V, Section B, Line 11 Brunswick - How significant identified needs are being addressed and needs not addressed:The Process of Prioritizing Needs When Needs Are Great-In order to achieve the greatest impact with its Implementation Strategy:In order to achieve the greatest impact with its Implementation Strategy, Southeast Georgia Health Systems Brunswick Campus focuses on the high need, high feasibility priorities that are part of the hospitals core mission and that were identified first by local community groups and confirmed by the Steering Committee. (That process is described in detail in the Community Health Needs Assessment, which is available online on the hospitals website.)The selection of highest need and highest feasibility areas for focus for the Implementation Strategy does not imply the absence of other significant needs in the community. These are described in detail in the CHNA, along with specific county needs. The idea of low feasibility reflects not a lack of a concern about these problems but rather the intractable nature of larger, societal problems that may be upstream causes of poorer health outcomes and those that are not a part of the service mission of the hospital. While many of these needs are not specifically addressed in the Implementation Strategy, as part of its role as a major health leader in the service area, Southeast Georgia Health System will continue to contribute staff time, resources, and expertise as it works with other community groups to address the types of community health problems that fall within a broad description as the social determinants of health. The high need, low feasibility areas identified include improved access to substance abuse treatment; expanded transportation options to improve access to health care; and increased availability of health coverage resources to reduce the proportion of uninsured in our communities. These broad issues and others that surfaced in community group discussions, including poverty, reflect regional, state, and even national challenges and cannot be addressed or ameliorated by any one organization. The cooperation of multiple area organizations in different sectors is essential to create real impact for sustainable change. Describing the social determinant and other community problems as high need, low feasibility points to the necessity for collaboration across the community, from the hospital to schools and health organizations to business and industry. By identifying these more global problems, the CHNA report spells out locally identified opportunities and challenges that assist the broader community focus on the difficult factors that can, in the long term, create these upstream changes that can lead to a healthier community. Southeast Georgia Health System is committed to working collaboratively with others to address the social determinants of health in the service area. For purposes of the Implementation Strategy, this report includes six primary goals identified as high need, high feasibility areas. Most goals will include a multi-pronged approached for change. In the following sections prioritized needs, goals, the related objectives and activities the hospital intends to pursue to address identified health needs priorities, and a plan for evaluation of each strategy to monitor progress are outlined. Priority Needs and Goals as Defined by the Steering Committee: Using information from focus groups in the Brunswick Campus service area counties, the Steering Committee identified priority needs in two domains: High Need, High Feasibility and High Need, Lower Feasibility. (A description of the full process and reports from county focus groups and area summary reports are available in the CHNA.)Using the higher needs, higher feasibility findings identified by the Steering Committee in the chart above, final goals for the Implementation Strategy were created to establish a formal means of addressing these important regional issues with a plan of implementation. Work collaboratively with other community providers to improve maternal and neonatal health outcomes.Goal 4 Assist in locating resources for recently discharged patients to support successful and stable transitions home.Goal 5 Collaborate with local mental health providers, emergency medical services, and law enforcement about available resources for mental health care treatment as part of the effort to improve access to mental health services.Goal 6 Identify and recruit specialty physicians in areas of high need.Evaluation of the Implementation StrategyThe Implementation Strategy is a plan of action to address high needs areas where SGHS and its partner organizations can make a difference in the community. As in any strategic planning process, measurement of performance is essential. The 2019 Community Health Needs Assessment describes in detail outcomes for the 2016 Implementation Strategy. Between 2019 and 2022, SGHS will continually review, collect data, and evaluate this plan of action - the Implementation Strategy - to assess the progress made by the Health System to achieve its identified goals by 2022, the time of the next CHNA and Implementation Strategy. The following tables describe the Implementation Strategy and include planned actions, the rationale for those actions, resources required, potential partners, and how progress will be measured. Goal 1. Increase access to primary care.Community Input: Professionals participating in the survey and interviews identified lack of primary care resources as a barrier to care. Community groups and survey respondents were focused on lack of access to primary care caused by financial hardship or lack of insurance. Half of the counties in the service area said that lack of access to care is a priority issue in their communities.Goal 2. Provide targeted health education and screenings in areas of high need. Community Input: The professional survey conducted in 2019 found lack of health education as a barrier to good health. Health professionals cited lack of education and health knowledge necessary for self-care and appropriate use of health resources, also referencing the need for education in diabetes management, nutrition, and the importance of adherence to medication regimens. Community focus groups recognized the lack of diabetes education as a primary cause of high prevalence and poor outcomes for diabetes, also focusing on the need for education in the areas of obesity and nutrition. Survey respondents listed health education as one of four priority health needs, also specifying issues that are amenable to health education that put the communitys health at risk (in order) drug abuse, alcohol abuse, tobacco use/smoking, and being overweight.Goal 3. Work collaboratively with other community providers to improve maternal and neonatal health outcomes.Community Input: Experts and community groups expressed concern about high teen birth rates. Goal 4. Assist in locating resources for recently discharged patients to support a successful and stable transition.Community Input: Community members and experts referenced lack of resources for vulnerable patients, including those without means to pay. Hospital staff expressed concerns over hospital readmissions that are expensive in time and money to the patient and family, that negatively affect patient outcomes, use resources that might be better put to use in other ways, and that could be prevented or reduced with additional supportive services for at-risk patients.Goal 5. Collaborate with local mental health providers, emergency medical services, and law enforcement about available resources for mental health care treatment as part of the effort to improve access to mental health services. Community Input: Lack of awareness of available mental health services and resources may limit the ability of patients to access needed mental health care. Four of six county focus groups identified mental health/mental health awareness/mental health treatment as a priority need. Professionals (physicians, nurse practitioners, physician assistants, and public health leaders) identified high rates of mental illness and lack of resources for treatment as a priority area. While there are some services, those without insurance or who have certain payment types may not find services accessible. The 2019 community survey identified mental health treatment as a top health need, tied with urgent care, more doctors, and affordable care. Goal 6. Identify and recruit specialty providers in areas of high need.Community Input/Background: Experts surveyed for the 2019 CHNA identified the need for certain high-demand specialty providers, including rheumatology, pulmonology, and endocrinology. Survey respondents also expressed the need for additional specialists as related to their ability to get timely appointments. Like all hospitals, SGHS is competing with other hospitals for these sought-after specialists, although recruitment is con Senior Care Center - Brunswick 2611 Wildwood Dr Brunswick GA 31520 Skilled Nursing Facility Senior Care Center - St Marys 805 Dilworth St St Marys GA 31558 Skilled Nursing Facility Part III, Line 4 - Bad Debt Expense Net patient service revenue is reported at the estimated net realizable amounts from patients, third-party payors, and others as services are rendered, including estimated retroactive adjustments under reimbursement agreements with third-party payors, and provision for bad debts. Retroactive third-party payor settlements and bad debt adjustments are accrued on an estimated basis in the period the related services are rendered and adjusted in future periods as final settlements are determined. The cost value of Bad Debts was determined by multiplying Bad Debt measured on a gross charge basis by the overall cost to charge ratio developed on the Medicare Cost Report. The amount estimated to have been elibible for financial assistance was determined by multiplying Bad Debt Expense,(at cost), by the poverty rate for Glynn County and Camden County, Georgia. Part VI, Line 2 - Needs Assessment At both Southeast Georgia Health System-Camden Campus and Southeast Georgia Health System-Brunswick Campus, our goal is to strengthen the health and well-being of our patients and neighbors, as well as the broader community. Southeast Georgia Health System-Camden Campus and Southeast Georgia Health System-Brusnwick Campus, provided over $24.2 million in community benefits, which is more important to building the vitality of our community than ever. The services we provide are essential to not only the community's overall health, but also to the quality of life of every resident. This belief is ingrained in our culture, from our volunteer Southeast Georgia Health System, Inc. Board of Directors, to our physicians and nurses, staff, auxiliary volunteers, and our Southeast Georgia Health System Foundation.We participate in informal community needs assessments regularly, collaborating with local agencies, schools, and community groups. The results help us determine our short- and long-term priorities as well as strategies for improving community health. Our leadership team is involved with several community activities and on boards. These range from the Rotaries to the International Seafarers program to the local federally qualified Health Centers which serve the under-insured and uninsured in our community and beyond. Part VI, Line 3 - Patient Education of Eligibility for Assistance *Southeast Georgia Health System, Inc's Financial Assistance Program (Indigent/Charity Policy) is advertised by signage in Admissions, the Emergency Care Center and the Business Office. Program information is also contained periodically in Southeast Georgia Health System, Inc's healthcare magazine which is distributed throughout the community.*The standard registration packet for all patients contains a printed form describing the Financial Assistance Program and the application process. The Financial Assistance process is further explained to the patients by the Registrars during the registration process. Additionally, patients being admitted as an inpatient are provided an information booklet which further details the Financial Assistance Program relating to the inability to pay for medical costs.*Financial Counselors in Admissions engage patients/financially responsible persons and investigate repayment options for medical costs incurred by patients being admitted to an inpatient status who display no identifiable means of paying for medical services through a third party insurer or other source. Contract staff are available to assist patients with United States Social Security Disability and/or Supplemental Income programs. Financial Counselors will assist patients in the application process for other federal and state public assistance programs and if ineligible, will promote Southeast Georgia Health System's internal financial assistance program as an additional option.*All billing statements address the patient's potential inability to pay for medical services by advertising Southeast Georgia Health System's Financial Assistance Program on the front and back of each statement mailer.*Business Office reception and telephone inquiry staff educate and promote Southeast Georgia Health System's Financial Assistance Program and distribute applications when a patient has indicated financial hardship, unemployment or the need for a low monthly repayment plan.*Financial Assistance Program information is contained on Southeast Georgia Health System's website with the ability for the patient to print an application for their use.*Financial Assistance Program information and applications are also provided by collection staff and collection subcontractors upon indication of a patient's financial need or inability to pay for medical services. Federal and state public assistance programs are suggested as well. Part VI, Line 4 - Community Information The Southeast Georgia Health System-Camden Campus is located in St.Marys, Georgia. The primary service area for the Southeast Georgia Health System, Inc.'s Camden Campus is Camden County which had an approximate population of 53,044 according to the U.S. Census Bureau estimates for 2017. Southeast Georgia Health System-Camden Campus, derived approximately 88.1% of its discharges from Camden County. The Southeast Georgia Health System-Camden Campus secondary service area includes Charlton and Brantley Counties in Georgia with a combined population of 31,446 according to the U.S. Census Bureau estimates for 2017. Southeast Georgia Health System-Camden Campus, is the only hospital in Camden County. Other hospitals in the secondary service area Baptist Medical Center, Nassau, a 54 bed primary care hospital located in Fernandina Beach, Florida.The Southeast Georgia Health System-Brunswick Campus is located within the city limits of Brunswick in Glynn County, Georgia. St.Simons Island, Sea Island and Jekyll Island are other residential areas in the county. The primary service area includes Glynn, Brantley, McIntosh and Camden Counties. There are approximately 171,163 residents in the primary service area year-round according to U.S. Census bureau estimates for 2017 and approximately 20,000 additional temporary residents during the tourist season. The Southeast Georgia Health System-Brunswick Campus's secondary and broader service area; consists of counties adjacent to Glynn County along with counties located within a 50-mile radius of Brunswick. These counties include Charlton and Wayne Counties in Georgia. The approximate population for the secondary service area is 42,532 residents according to the U.S. Census Bureau estimates for 2017.The Southeast Georgia Health System-Brunswick Campus derived approximately 87% of its discharges from its primary service area with approximately 71% of such discharges from Glynn County. Approximately 4% of the Brunswick Campus's discharges were from the secondary service area. The remaining approximately 7% of admissions originated from other parts of Georgia and other states.The Southeast Georgia Health System-Brunswick Campus is the only hospital located in Glynn County and there are no other hospitals within a 35 mile radius. The only other hospitals in the secondary service area are Southeast Georgia Health System-Camden Campus, a 40 bed affiliated hospital located in St. Marys, Georgia and Wayne Memorial Hospital, an 84 bed hospital located in Jesup, Georgia in Wayne County. Part VI, Line 4 - Community Building Activities Our community efforts resulted in patients being served by our Wellness on Wheels (WOW) mobile health vehicle which provides free screening (mammography, dexascan, blood pressure and blood sugar, hearing, vaccinations), and Community Care Center, a pediatric center that is dedicated to the health care needs of our Medicaid population. These programs and many others form the foundation of our commitment to community health improvement.Wellness on Wheels (WOW) mobile health vehicle is our mobile "health care on wheels" that travels and delivers care throughout the six county region. The WOW operates mostly Monday through Saturday and some Sunday's, as requested and serves a different location each week.. Staffed by our expert providers; the WOW provides a broad range of free services: mammography, dexascan, blood pressure and blood sugar, hearing, cholesterol screenings to basic health care check-ups, medical exams, and vaccinations. In addition to providing medical care, our financial counselor assist patients in applying for a variety of community assistance programs. Our financial counselors work with individuals to understand their unique needs and assist them in applying for federal, state, and local programs they may qualify for, including Medicaid and pharmaceutical assistance, food stamps, and the Women, Infants and Children (WIC) program. Our community partners are critical to helping us improve the health and well-being of the greater coastal Georgia region. Together, we can combine resources and strengths, positively impacting the greatest number of people. By working closely with community leaders, we also build a greater sense of community and a shared commitment toward our common goal of improving the community's health. We're proud of our partners.Community partners include, but are not limited to:Coastal Health DistrictCoastal Coalition of ChildrenGolden Isles Child Advocacy CenterCoastal Community Health ServicesMcKinney Medical CenterCoastal Area Agency on AgingCollege of Coastal GeorgiaUnited WayFamily ConnectionsLocal School SystemsOur vice president responsible for ancillary services coordinates with area high schools to offer an Explorer Post program that brings awareness to high school students of the job opportunities in the health care field. Our director of volunteer services also coordinates and works with area high school students on a shadowing program and promote health careers at their annual information fairs at the local high schools. Employees in the CommunityEvery year, Southeast Georgia Health System, Inc. unites around corporate-wide efforts: Ringing bells for the Salvation Army; fundraising for the American Cancer Society, participating in our local United Way Campaign and so much more.At Southeast Georgia Health System,Inc., it's important to us to give back to our community. In addition to team member United Way donations and volunteer time at Relay For Life and other sponsored events, our team members participate in a variety of community service initiatives, from Habitat for Humanity to the Boys and Girls Club of Southeast Georgia to local student mentoring programs. Part VI, Line 7 - States Filing of Community Benefit Report GA true American Cancer Society 3011 Hampton Ave Ste 361 Brunswick GA 31520 131788491 501(c)(3) 5500 0 Primary Exempt Acitivy Boy Scouts of America 1325 WWalnut Hill Lane Irving TX 75038 221576300 501(c)(3) 11000 0 Primary Exempt Activity Coastal Community Health Svcs 106 Shoppers Way Brunswick GA 31525 461859206 501(c)(3) 33750 0 Primary Exempt Activity Coastal Symphony of GA PO Box 21733 St Simons Islan GA 31522 581637768 501(c)(3) 6000 0 Primary Exempt Activity Davis Love III Foundation PO Box 20344 St Simons Isl GA 31522 202920597 501(c)(3) 10000 0 Primary Exempt Activity Golden Isles FCA 8701 Leeds Rd Kansas City MO 64129 440610626 501(c)(3) 6000 0 Primary Exempt Activity SE GA Health Sys Foundation 2415 Parkwood Dr Brunswick GA 31520 582125644 501(c)(3) 337465 0 Operation Expense of Foundation United Way of Coastal Georgia PO Box 877 Brunswick GA 31521 580671327 501(c)(3) 6326 0 Primary Exempt Acitivy 7 1 Employee Catastophic Funds 22 10900 Patient Assistance from Donations 100 10000 Grantmaker's Description of How Grants are Used It is the policy of Southeast Georgia Health System, Inc. that scholarship assistance is provided based on criteria established and approved by the Administrative Council's Scholarship Committee (Scholarship Committee) as appointed by the Vice President, Human Resources and for identified, critically needed positions. Critically needed positions are those which have been identified as in short supply regionally or nationally and/or are specialized. A scholarship fund is established and budgeted for at the beginning of each Southeast Georgia Health System,Inc., fiscal year.Scholarships are provided to assist students while supplying an additional employment stream to the Health System. The intent of the scholarship is for the student to work with the Health System following graduation from the accredited program or to repay the monies granted (principal plus interest) in accordance with the procedures outlined in this policy.Scholarship assistance is typically provided to allied health or nursing school students who are willing to commit to at least one (1) year of fulltime employment in goal position with Southeast Georgia Health System,Inc., in exchange for one year of scholarship assistance. X X X X X X true true false false false true true false false Alan K Brown MD Vice President & CMO 243729 221067 17571 17100 22143 521610 Christy D Jordan Esq VP-Gen Counsel 335609 3248 35249 70690 22294 467090 David Mcnally Mgr,Chief Med Phys 216233 3156 28203 13290 13722 274604 Delria Baisden VP, Ancillary Svcs 195284 2000 53032 36016 17382 303714 Howard Sepp (Former) VP, Asst Adminstrator 246007 2689 49577 16531 16714 331518 24184 John A Milazzo III Vice Pres & CFO 325352 2000 27242 59104 17209 430907 Judith Henson (Former)VP,Patient Care Services 233841 3500 23957 14916 6875 283089 Kathleen Wood VP, Phys Practices 222395 2000 29027 37644 291066 Kelli Reale Director, HR 237398 2000 12902 39287 6761 298348 Marjorie Mathieu (Former)VP, Support Services 210971 12658 6875 230504 Michael D Scherneck President & CEO 538080 126938 128056 17382 810456 94080 Sanford Stephens III VP, Support Svcs 185623 2000 19879 33005 8635 249142 Shirley Wilson MD Board Member 345847 21851 39925 17100 17382 442105 Stephen Chitty MD Board Member 393410 262016 20310 17100 22143 714979 Part I, Line 6b: Explanation of organization compensation contingent on net earnings from related or Compensation contingent on Net Earnings of the organization: Certain members of Management participate in a Management Incentive Plan which is based on a variety of managerial, quality and financial performance indicators. However, compensation is provided under that plan only if a certain net earnings threshold is met. Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Effective September 1, 2015, Coastal Community Health, Inc. (Coastal) is the sole corporate member of Southeast Georgia Health System, Inc. pursuant to the Affiliation agreement, amended November 30, 2018, between Southeast Georgia Health System, Inc,and Baptist Health System, Inc., a Florida not-for-profit corporation, (collectively, the Health Systems.) Under the affiliation agreement, the Coastal governing board maintains certain reserved powers which could influence specific operational and governance matters of the Health Systems. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body At least one-third of the Board of Directors shall be composed of members of the governing board of the Glynn-Brunswick Memorial Hospital Authority. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders Effective September 1, 2015,and amended November 30, 2018, the System entered into the Coastal Community Health, Inc. (Coastal) Affiliation Agreement with Baptist Health System, Inc., a Florida not-for-profit corporation, in order to pursue potential operational efficiencies in areas such as supply chain management, information systems, and care coordination in the southeast Georgia and northeast Florida regions that the Health Systems serve. The Coastal governing board consists of seven individuals,three of whom are appointed by the Systems Board of Directors. Under the affiliation agreement, the Coastal governing board maintains certain reserved powers which could influence specific operational and governancematters of the Health Systems. Form 990, Part VI, Line 11b: Form 990 Review Process An electronic copy of Form 990 was provided to the members of the Board of Directors prior to being filed with the Internal Revenue Service. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts Southeast Georgia Health System, Inc., has in place conflict-of-interest, whistleblower, and document retention and destruction policies. Under the conflict-of-interest policy, the Compliance Department requires all members of the Board of Directors, officers and key employees to report any potential conflicts on an annual basis. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees As employees of Southeast Georgia Health System, Inc., the compensation amounts paid to the individual serving in the capacity as Chief Executive Officer, Executive Director and/or other top management officials and officers are determined based on comparative survey/market data compiled by an independent consulting firm specializing in executive and employee compensation matters. The findings and recommendation of the consultant are reviewed with the Compensation Committee of Southeast Georgia Health System, Inc., which in turn makes recommendations to the full Board of Southeast Georgia Health System, Inc.,which ultimately approves those compensation amounts. In addition, the compensation amounts for those key employees included on Schedule J who receive compensation directly from the organization are determined based on comparative survey/market data compiled by an independent consulting firm specializing in executive and employee compensation matters. The findings and recommendation of the consultant are reviewed with the Compensation Committee of Southeast Georgia Health System, Inc., which in turn makes recommendations to the full Board of Southeast Georgia Health System, Inc.,which ultimately approves those compensation amounts. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Except through the normal I.R.S/ Form 990 inspection process, Southeast Georgia Helath System, Inc.,has not established a standard process for making its governing documents, conflict of interest policy and financial statements available to the public. Any of these documents are available to the pulic upon request. Other Changes In Net Assets Or Fund Balances - Other Increases Change in Pension Liability = $210821 Other Changes In Net Assets Or Fund Balances - Other Decreases Distributions = -$1878448 Other Changes In Net Assets Or Fund Balances - Other Decreases Net Gain/-Loss from Subsidiary Activity CHSI-Found = -$35660184 Other Changes In Net Assets Or Fund Balances - Other Decreases Plan 457B = -$371011 Form 990, Part XII, Line 2: Change of Oversight or Selection Process This process has not changed from the prior year. Cooperative Healthcare Svcs Inc 2415 Parkwood Dr Brunswick GA 31520 010594994 Physician and Immediate Care Facilities GA 501(c)(3) 12 Southeast Georgia Health System Inc true SE Georgia Health System Foundation Inc 2415 Parkwood Dr Brunswick GA 31520 582125644 Charitable Foundation GA 501(c)(3) 12 Southeast Georgia Health System Inc true Glynn-Brunswick Mem Hosp Authority 2415 Parkwood Dr Brunswick GA 31520 586000498 Leased Employees GA 501(c)(3) 3 N/A false Coastal Community Health Inc 3563 Philips Hwy Bld F Ste 608 Jacksonville FL 32207 471322041 Regional Affiliation of 501(c)(3) orgs FL 501(c)(3) 3 N/A false SE GA Cyberknife Center LLC 2500 Starling St Ste 107 Brunswick GA 31520 273316081 Medical Services GA N/A Exempt 2432245 -595307 false false 0.51000 Glynco LLC 3010 W White River Blvd Muncie IL 47304 593762931 Real Estate Leasing IL N/A Unrelated false false 0.55000 Thomas & Mildred Beach Foundation C/O Amsouth Bank PO Box 11426 Birmingham AL 35202 Charitable Remainder Trust AL N/A Trust false false true true false false false false false false true false false false false true false true false false Cooperative Healthcare Svcs Inc j 3528985 Cooperative Healthcare Svcs Inc o 75570303 Cooperative Healthcare Svcs Inc q 2485896 SE Georgia Health System Foundation Inc b 337465 SE Georgia Health System Foundation Inc c 3620029