2021-08-16T08:13:43-05:00 2020-12-31 454084437 WARREN AVERETT LLC 2500 ACTON ROAD BIRMINGHAM AL 35243 990 2020-01-01 711045290 HOUSTON HOSPITALS INC HOUS 4785427959 1601 WATSON BOULEVARD WARNER ROBINS GA 31093 SEAN WHILDEN CFO 4785427959 2021-08-12 1 SEAN WHILDEN 999009999 MEGAN RANDOLPH P00989558 2059794100 2021-08-12 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z CHARLES BRISCOE 1601 WATSON BOULEVARD WARNER ROBINS GA 31093 559404593 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 3097 125 0 0 38989 26645361 242986788 240895867 19162328 21429419 983149 1547821 263171254 290518468 161454 150000 0 0 131338842 137567324 0 0 0 121551358 127257800 253051654 264975124 10119600 25543344 375079475 420264140 111898820 128024659 263180655 292239481 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 241833315 150000 242481293 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 14,300 ADULT AND PEDIATRIC ADMISSIONS, 70,483 PATIENT DAYS, 1,897 BIRTHS, AND 62,996 EMERGENCY ROOM VISITS. THE HOSPITALS ALSO PROVIDED 13,748 SURGICAL SERVICES TO PATIENTS WHICH INCLUDED 1,909 INPATIENTS, 5,558 OUTPATIENTS, AND 6,281 ENDOSCOPY PATIENTS. 1221161 318497 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. 243054476 1 1 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 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 1 405 0 1 3097 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 DIRECTOR 0.00 0.00 X 0 0 0 VIRGLE W MCEVER III DIRECTOR 0.00 0.00 X 0 0 0 CHARLES G BRISCOE PRESIDENT & CEO 45.00 5.00 X 439016 0 21887 SEAN S WHILDEN VP & CFO 45.00 5.00 X 282144 0 17681 LARRY D STEWART MD VP & CMO 45.00 0.00 X 352216 0 16254 CHRISTOHPER C BEASLEY CIO 45.00 5.00 X 174942 0 15473 MELINDA HARTLEY COO 45.00 5.00 X 212120 0 8119 SHELLISA HOUSTON-MARTIN CNO 45.00 0.00 X 201742 0 4111 MICHAEL O'HARA VP HUMAN RESOURCES 45.00 5.00 X 208625 0 16633 TODD EDENFIELD ADMINISTRATOR PH (TERM BEG. 2020) 45.00 0.00 X 151868 0 9487 JUAN G VELAZQUEZ PHYSICIAN 45.00 0.00 X 269442 0 21745 LATOYA D JACKSON PHYSICIAN 45.00 0.00 X 364489 0 10079 PATRICE DANIELS PHARMACIST 45.00 0.00 X 176637 0 13723 PHILLIP GILBERT PHARMACIST 45.00 0.00 X 170913 0 9934 KELLY LANGDON PHARMACIST 45.00 0.00 X 169634 0 3241 3173788 0 168367 111 0 1 0 AMERISOURCE BERGEN PO BOX 978526 DALLAS TX 75397 DRUG SUPPLIER 14891155 QUEST DIAGNOSTICS 4380 FEDERAL DRIVE SUITE 100 GREENSBORO NC 27410 LABORATORY SERVICES 9272340 MEDLINE INDUSTRIES DEPT CH 14400 PALATINE IL 600554400 MEDICAL SUPPLY SUPPLIER 7028337 AVANT HEALTHCARE PO BOX 744544 ATLANTA GA 303744554 EMPLOYMENT AGENCY 3994918 ROBINS ANESTHESIA 212 HOSPITAL DRIVE SUITE J WARNER ROBINS GA 31088 ANESTHESIA SERVICES 3114278 184 X 26643745 1616 26645361 NET PATIENT REVENUE 621300 238135530 238135530 GA PHYSICIAN WORKFORCE 621110 1327857 1327857 EMPLOYEE PHARMACY 446110 178707 178707 EHR INCENTIVE 621300 6036 6036 1247737 1247737 240895867 6058906 6058906 317605 673707 -356102 -356102 -356102 283582931 268133318 79100 15449613 -79100 15370513 15370513 ALLOCATION OF OVERHEAD 621300 1903923 1903923 1903923 290518468 242799790 0 21073317 X 150000 150000 1959896 536226 1423670 108276862 101784493 6492369 3586249 3310531 275718 14872919 14872919 8871398 8228917 642481 1506424 1506424 128575 128575 39686335 35246272 4440063 395441 22443 372998 4289842 4180863 108979 5643996 3521705 2122291 1043540 1043422 118 60078 39350 20728 2446749 2446749 9405264 9405264 1630957 1438535 192422 MEDICAL SUPPLIES & PHAR 39217387 39159006 58381 EQUIPMENT MAINTENANCE 9367453 8383669 983784 RISK MANAGEMENT 3812118 3812118 PROVIDER TAX 3151587 3151587 5472054 5471994 60 264975124 243054476 21920648 0 5431659 11289653 23070423 44582905 303910 1122358 3302416 4627402 3040179 3008640 303186496 198132392 106325577 105054104 227274687 242211919 1142215 1714131 5188409 6653028 375079475 420264140 26988716 50631222 64781142 59859901 20128962 17533536 111898820 128024659 X 263180655 292239481 263180655 292239481 375079475 420264140 X 25543344 3692314 -176832 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 19206 19206 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 181633912 110818072 70815840 106906083 84623173 22282910 6162782 2691147 3471635 105054104 ACCRUED PENSION LIABILITY 4955439 SELF-INSURANCE RESERVES 12578097 17533536 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, 2020 AND 2019 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 0 10859254 4208093 6651161 0.02530 15573 32499259 27227200 5272059 0.01990 0 0 0 15573 43358513 31435293 11923220 0.04520 45 7039 1522887 45567 1477320 0.00560 5 618 2748860 2836194 0 0.00000 2 0 3865047 0 3865047 0.01460 0 0 0 0 4 2310 430776 0 430776 0.00160 56 9967 8567570 2881761 5773143 0.02180 56 25540 51926083 34317054 17696363 0.06700 0 0 0 0 1 20 4548 0 4548 0.00000 1 0 52347 0 52347 0.00020 1 0 368 0 368 0.00000 0 0 0 0 1 0 236 0 236 0.00000 0 0 0 0 1 0 87582 0 87582 0.00030 0 0 0 0 5 20 145081 145081 0.00050 0 30963539 0 63690776 71114505 -7423729 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 17 1 1 0 1 X WWW.HHC.ORG X X 1 18 0 1 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 2017, FROM WHICH THE 2018, 2019 AND 2020 PLANS WERE DEVELOPED. THIS 2017 CHNA BY PRC INCORPORATED QUALITATIVE AND QUANTITATIVE DATA SOURCES. QUALITATIVE DATA INCLUDED RESEARCH GATHERED FROM AN ONLINE KEY INFORMANT SURVEY GROUP, WITH PARTICIPANTS FROM PUBLIC HEALTH, ALONG WITH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND BUSINESS AND COMMUNITY LEADERS. 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 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 BOARD 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: 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 GIVEN TO 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 COUNTY LEADERSHIP PROGRAM- LEADERSHIP WARNER ROBINS. THIS GROUP REPRESENTS VARIOUS INDUSTRIES AND ORGANIZATIONS THROUGHOUT HOUSTON COUNTY AND IS SEEN AS A LEADER 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. FACILITY REPORTING GROUP A PART V, SECTION B, LINE 11: THE MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN 2017 BY PRC. THE RELATED IMPLEMENTATION STRATEGY PLAN WENT INTO EFFECT IN TAX YEAR 2018, CONTINUING FOR 2019 AND 2020 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. THE 2017 PRC ASSESSMENT (CHNA) INCLUDED A LIST OF "AREAS OF OPPORTUNITY OR IDENTIFIED HEALTH NEEDS. THE FOCUS AREAS FOR HOUSTON HEALTHCARE'S 2018 IMPLEMENTATION PLAN ADDRESSED THESE NEEDS AND ALL WERE ADDRESSED DIRECTLY BY HOUSTON HEALTHCARE INITIATIVES WITH THE EXCEPTION OF THE FOLLOWING FOUR NEEDS: (1) BEHAVIORAL HEALTH AND SUBSTANCE ABUSE- IS ADDRESSED IN PARTNERSHIP WITH PHOENIX BEHAVIORAL CENTER AND THE SUICIDE PREVENTION COALITION OF HOUSTON COUNTY AS WELL AS OTHERS WHO LEAD THESE EFFORTS. (2) SEXUALLY TRANSMITTED DISEASES-TREATMENT AND PREVENTION EDUCATION ARE LED BY HOUSTON COUNTY HEALTH DEPARTMENT ALONG WITH DISTRICT PUBLIC HEALTH. (3)TRANSPORTATION TO HEALTHCARE SERVICES- IS PROVIDED BY PRIVATE COMPANIES, CHURCHES, LOGISTICARE FOR MEDICAID RECIPIENTS, PERRY VOLUNTEER OUTREACH, AND THE AMERICAN CANCER SOCIETY FOR PERSONS DIAGNOSED WITH CANCER. WARNER ROBINS ADDED A PUBLIC TRANSPORTATION SERVICE IN JANUARY 2016 THAT IS STILL IN PLACE. (4) ACCIDENT PREVENTION/SAFETY- EFFORTS ON CHILD SAFETY ARE LED BY HOUSTON COUNTY SAFEKIDS. 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. 8 1 - THE SURGERY CENTER 1647 WATSON BOULEVARD WARNER ROBINS GA 31093 HOSPITAL-BASED OUTPATIENT SURGERY CENTER 2 - HOUSTON LAKE MED-STOP 2510 HIGHWAY 127 KATHLEEN GA 31047 HOSPITAL-BASED URGENT CARE FACILITY 3 - HOUSTON LAKE REHAB 2510 HIGHWAY 127 KATHLEEN GA 31047 HOSPITAL-BASED OUTPATIENT REHAB FACILITY 4 - PAVILION MED-STOP 233 N HOUSTON ROAD SUITE 140 WARNER ROBINS GA 31093 HOSPITAL-BASED URGENT CARE FACILITY 5 - PAVILION REHAB 233 N HOUSTON ROAD SUITE 140 WARNER ROBINS GA 31093 HOSPITAL-BASED OUTPATIENT REHAB FACILITY 6 - PAVILION DIAGNOSTIC CENTER 233 N HOUSTON ROAD SUITE 140 WARNER ROBINS GA 31093 HOSPITAL-BASED OUTPATIENT IMAGING CENTER 7 - LAKE JOY MED-STOP 1118 HIGHWAY 96 WEST KATHLEEN GA 31047 HOSPITAL-BASED URGENT CARE FACILITY 8 - 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 2019 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. THE 2020 WRITTEN ANNUAL REPORT IS CURRENTLY IN PROGRESS AND WILL BE ON THE WEBSITE AND DISTRIBUTED TO THE PUBLIC MID-YEAR. 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 PROVIDE AND PARTICIPATE IN NUMEROUS COMMUNITY BUILDING ACTIVITIES. SOME EXAMPLES INCLUDE: SERVING ON THE 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 AND AMERICAN CANCER SOCIETY.COMMUNITY PHYSICAL IMPROVEMENTS- HOUSTON HEALTHCARE PURCHASED THE OLD HOUSTON MALL AND IS 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. MOST RECENT PHYSICIAN PRACTICES INCLUDE BEHAVIORAL HEALTH, PRIMARY CARE, ENT, UROLOGY, VASCULAR, DIABETES & ENDOCRINOLOGY. 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 AND 'THE WALK AT SANDY RUN' TRAIL IN WARNER ROBINS. 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 TO INCLUDE EXPANSIONS PLANS FOR WARNER ROBINS PARKS AND RECREATION DEPARTMENT AND A NEW PARK IN CENTERVILLE.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. HEALTH RELATED EDUCATIONAL CLASSES ARE ALSO PROVIDED TO GRACE VILLAGE IN PERRY FOR LOW INCOME CLIENTS TRANSITIONING BACK INTO THE COMMUNITY FROM PRISON. HOUSTON HEALTHCARE STAFF SERVE ON THE HUMAN NEEDS COALITION THAT ADDRESSES THE ISSUE OF THE HOMELESS, AND COLLABORATES WITH OTHER COMMUNITY PARTNERS AND THE VECTR CENTER TO IMPROVE NEIGHBORHOOD HOUSING.COMMUNITY SUPPORT- 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. AT THE BEGINNING OF THE COVID PANDEMIC, HOUSTON HEALTHCARE'S INCIDENT COMMAND/HOSPITAL COMMAND CENTER WAS IMPLEMENTED ON MARCH 13, 2020 THREE DAYS BEFORE THE PRESIDENT MADE THE RECOMMENDATION TO ACTIVATE. IN ADDITION, PLANNING AND PREPARATION EFFORTS WERE ONGOING 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. IN DECEMBER, THE COVID VACCINE CLINIC WAS IMPLEMENTED WITH PLANS MADE FOR IT TO CONTINUE INTO 2021.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. LEADERSHIP DEVELOPMENT AND TRAINING- HOUSTON HEALTHCARE PARTICIPATES IN ROBINS REGIONAL AND PERRY AREA CHAMBER OF COMMERCE ADULT LEADERSHIP PROGRAMS WHICH ALSO INCLUDES YOUTH LEADERSHIP PROGRAMS. HOUSTON HEALTHCARE STAFF SERVE ON REGIONAL AND CITY CHAMBER OF COMMERCE BOARDS, WHICH FOCUS ON BUSINESS DEVELOPMENT, EDUCATION, AS WELL AS 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. 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 MATERNAL SUPPORT. THIS COALITION WAS RECOGNIZED IN 2016 BY GEORGIA HOSPITAL ASSOCIATION WITH A STATE AWARD FOR ADDRESSING THE NEEDS OF LOW INCOME AND UNINSURED PREGNANT WOMEN. IN MARCH 2017, HOUSTON HEALTHCARE RECEIVED A STATE AWARD FOR INNOVATED PROGRAMS FROM VIZIENT FOR WORK DONE WITH THIS COALITION.HOUSTON HEALTHCARE STAFF MEMBERS ALSO SERVE ON NUMEROUS COMMUNITY COALITIONS WITH EXAMPLES THAT INCLUDE:*FAMILY CONNECTION BOARD OF TRUSTEES AND COALITION- HOUSTON HEALTHCARE STAFF SERVE AS MEMBERS OF THE BOARD OF TRUSTEES 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.*RAINBOW HOUSE BOARD OF TRUSTEES- ONE HOUSTON HEALTHCARE STAFF SERVES ON THIS BOARD WHICH PROVIDES EDUCATION AND ACTIVITIES TO PREVENT CHILD ABUSE.*SUICIDE PREVENTION BOARD AND COALITION- TWO HOUSTON HEALTHCARE STAFF PERSONS SERVE ON THIS BOARD WHICH FOCUSES ON 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 AND HAS ONE STAFF MEMBER SERVING ON THIS COALITION. THE COALITION WORKS COLLABORATIVELY TO IDENTIFY NEEDS AND PLAN ACTIVITIES. (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 AND PROVIDE SAFETY EDUCATION TO 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.*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. PART II LINE 8: WORKFORCE DEVELOPMENT- RECRUITMENT EFFORTS WERE MADE IN 2020 DUE TO PHYSICIAN SHORTAGES IN SPECIALTY AREAS AND PRIMARY CARE. EXAMPLES OF TARGETED AREAS INCLUDE: FAMILY MEDICINE (FACULTY FOR RESIDENCY PROGRAM), FAMILY MEDICINE (TRADITIONAL & OUTPATIENT), OTOLARYNGOLOGY, UROLOGY, INTERNAL MEDICINE, PEDIATRIC URGENT CARE, OB/GYN, GASTROENTEROLOGY, AND ANESTHESIOLOGY. EFFORTS MADE IN 2020 WERE AFFECTED BY THE COVID PANDEMIC.HOUSTON HEALTHCARE PROVIDED DONATIONS IN 2020 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 FULFILL A NEED FOR PRIMARY CARE PHYSICIANS IN THE MIDDLE GEORGIA AREA AND IMPROVE ACCESS TO HEALTHCARE FOR THE COMMUNITY WE SERVE. PART III, LINE 2: BAD DEBT IS TREATED AS A DEDUCTION FROM REVENUE AND INCLUDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. BAD DEBT IS NOT INCLUDED IN TOTAL EXPENSES FOR BOOK OR TAX PURPOSES. THE ALLOWANCE FOR BAD DEBTS IS CALCULATED ON OUTSTANDING ACCOUNTS RECEIVABLE (NET OF PAYMENTS AND DISCOUNTS) AND CONSIDERS HISTORICAL COLLECTION RATES, THE INSURED STATUS. PART III, LINE 3: HOUSTON HOSPITALS USES PRESUMPTIVE ELIGIBILITY TO IDENTIFY PATIENTS ELIGIBLE FOR FREE CARE; THEREFORE, WE ESTIMATED $0.00 OF THE BAD DEBT EXPENSE IS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY. PART III, LINE 8: SECTION B, LINES 5-7 ARE CALCULATED USING WORKSHEET A, PROVIDED IN THE SCHEDULE H INSTRUCTIONS, AND THE 2020 AS-FILED MEDICARE COST REPORTS. 100% OF THE HOSPITAL'S MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFITS SINCE THE ORGANIZATION PROVIDES HEALTHCARE ACCESS FOR MEDICARE PATIENTS AND ACCEPTS PAYMENT BELOW COST BENEFITING OUR COMMUNITY LARGELY MADE UP OF MEDICARE BENEFICIARIES. PART III, LINE 9B: THE BAD DEBT COLLECTION PRACTICES POLICY FOR HOUSTON HOSPITALS STATES THAT COLLECTIONS ARE CEASED UPON THE PATIENT'S APPROVAL FOR INDIGENT OR CHARITY CARE. THE PATIENT LIABILITY BILLING AND COLLECTION POLICY PROVIDED THE GUIDELINE FOR THE COLLECTION OF PATIENT LIABILITY. COLLECTION EFFORT SHOULD ONLY BE CONDUCTED FOR THE PATIENT LIABILITY. THE POLICY DEFINES THE PATIENT LIABILITY AS THE AMOUNT OWED BY THE PATIENT AND /OR GUARANTOR AFTER APPLICATION OF ALL INSURANCE BENEFITS AND FINANCIAL ASSISTANCE POLICY DISCOUNTS. IF THE PERSON IS A 100% SELF-PAY PATIENT AND DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE, THEN IT IS THE ENTIRE BALANCE LESS ANY DISCOUNTS. THE FINANCIAL ASSISTANCE POLICY PROVIDES GUIDELINES TO QUALIFY FOR FREE OR DISCOUNTED FINANCIAL ASSISTANCE. PART VI, LINE 2: IN ADDITION TO THE CHNA - COMPLETED IN LATE 2017, 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 FOCUS 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 WERE CONDUCTED WITH SOME EXAMPLES INCLUDING: *GA KIDS COUNT DATA 2016 SNAPSHOT BIRTH TO 21 GA FAMILY CONNECTION PARTNERSHIP *2016 GA DEPARTMENT OF PUBLIC HEALTH, NORTH CENTRAL HEALTH DISTRICT, HOUSTON COUNTY, HEALTH IMPROVEMENT PLAN 2016-2020*2015 COUNTY HEALTH RANKINGS AND ROADMAPS- ROBERT WOOD JOHNSON FOUNDATION*MARCH OF DIMES 2016 PREMATURE BIRTH RATE FOR GEORGIA*HEALTHY PEOPLE 2020 *SENIOR CARE SURVEY NOVEMBER 2017 *COMMUNITY EDUCATION SURVEYS 2017REVIEW/EVALUATION OF PAST YEAR COMMUNITY BENEFIT OUTCOMES ALSO CONTRIBUTED TO THE TOTAL ASSESSMENT. OUR PROCESS INCLUDES THE COMPLETION OF THE 2017 COMMUNITY HEALTH NEEDS ASSESSMENT WITH PRIORITIES, AND IMPLEMENTATION PLAN FOR THESE PAST THREE YEARS. (2018-2020) 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 THEIR 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 OPERATION AND ACTIVITIES FOR THE HOUSTON HEALTHCARE SYSTEM.DEMOGRAPHICS- MEETING 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 THE MEDIAN AGE IS 35.1. (US CENSUS BUREAU 2013-2017 AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATES) BETWEEN 2000 AND 2010, ACCORDING TO THE US CENSUS, THE POPULATION OF HOUSTON COUNTY INCREASED BY 26.3 % WITH THE NUMBER OF HISPANIC RESIDENTS INCREASING BY 158.2 %. HOUSTON HEALTHCARE'S DIVERSE POPULATION SERVED INCLUDES: 61.7% CAUCASIAN, 29.9 % AFRICAN AMERICAN, 6.6% HISPANIC AND 2.2% OTHER. (US CENSUS BUREAU AMERICAN COMMUNITY SURVEY 5- YEAR ESTIMATES 2013-2017) WITH OVER 2,300 EMPLOYEES, HOUSTON HEALTHCARE REMAINS THE 3RD 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 3,916 TEACHERS AND STAFF. PERDUE FARMS, WITH OVER 2,520 POULTRY WORKERS, MANY OF WHOM ARE HISPANIC, IS THE 4TH LARGEST AND FRITO-LAY, PRODUCER OF SNACK FOOD WITH OVER 1,500 WORKERS IS THE 5TH LARGEST. (HOUSTON DEVELOPMENT AUTHORITY) POPULATION OF HOUSTON COUNTY IS ESTIMATED BY THE CENSUS REPORT AT 155,469 IN 2018 WHICH INCLUDES PERRY WITH A POPULATION OF 17,377 AND WARNER ROBINS WITH A POPULATION OF 75,797. PERRY'S MEDIAN HOUSEHOLD INCOME IS $43,421 PER YEAR WITH 18.9 % OF INDIVIDUALS LIVING BELOW THE FEDERAL POVERTY LEVEL; WARNER ROBIN'S MEDIAN HOUSEHOLD INCOME IS $50,954 PER YEAR WITH 19.2 % OF INDIVIDUALS LIVING BELOW POVERTY LEVEL. (US CENSUS BUREAU AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATES 2014-2018) THE LATEST CENSUS ESTIMATE SHOWS 34.7 % OF HOUSTON COUNTY RESIDENTS LIVE BELOW 200% OF THE FEDERAL POVERTY LEVEL. (COMMUNITY COMMONS, RETRIEVED APRIL 2017/US CENSUS BUREAU AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATES 2011-2015)THE THREE LEADING CAUSES OF DEATH INCLUDE CARDIOVASCULAR DISEASE, CANCER AND STROKE. THE PRC COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS THAT AN AVERAGE OF 14% OF PERSONS IN HOUSTON COUNTY ARE DIAGNOSED WITH DIABETES WHICH IS AN INCREASING NUMBER. GEORGIA ALSO CONTINUES WITH HIGHER RATES OF PRE-TERM BIRTHS (LESS THAN 37 WEEKS) AND LOW BIRTH NEWBORNS THAN THE AVERAGE FOR THE US. HOUSTON COUNTY'S OVERALL RATE OF TOBACCO USAGE IS LOWER THAN THE STATE AVERAGE BUT REMAINS HIGH AMONG THE LOWER INCOME POPULATION. THE OBESITY RATE IN CENTRAL GEORGIA RESIDENTS IS 36.2 PERCENT. 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 CHAMPUS 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 LAB AND RADIOLOGY.ADVOCACY INITIATIVES ARE ONGOING TO IMPROVE HEALTH AND INCREASE ACCESS THROUGH LOCAL PARTNERSHIPS WITH OTHERS IN THE COMMUNITY INCLUDING PUBLIC HEALTH AND RAFB. 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 N/A N/A NURSING EDUCATION CENTRAL GEORGIA TECHNICAL COLLEGE FOUNDATION 3300 MACON TECH DRIVE MACON GA 31206 581923671 501(C)(3) 75000 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 410809 0 0 0 28207 0 5700 0 17994 0 462710 0 0 0 SEAN S WHILDEN VP & CFO 256470 0 0 0 25674 0 5638 0 13850 0 301632 0 0 0 LARRY D STEWART MD VP & CMO 349100 0 0 0 3116 0 5235 0 12415 0 369866 0 0 0 CHRISTOHPER C BEASLEY CIO 168667 0 0 0 6275 0 3339 0 13818 0 192099 0 0 0 MELINDA HARTLEY COO 207043 0 0 0 5077 0 3380 0 5564 0 221064 0 0 0 SHELLISA HOUSTON-MARTIN CNO 187126 0 0 0 14616 0 4111 0 1717 0 207570 0 0 0 MICHAEL O'HARA VP HUMAN RESOURCES 188540 0 0 0 20085 0 3267 0 13973 0 225865 0 0 0 TODD EDENFIELD ADMINISTRATOR PH (TERM BEG. 2020) 136301 0 0 0 15567 0 3003 0 7410 0 162281 0 0 0 JUAN G VELAZQUEZ PHYSICIAN 244442 0 25000 0 0 0 5559 0 17946 0 292947 0 0 0 LATOYA D JACKSON PHYSICIAN 288179 0 46400 0 29910 0 5700 0 5512 0 375701 0 0 0 PATRICE DANIELS PHARMACIST 176637 0 0 0 0 0 3118 0 12265 0 192020 0 0 0 PHILLIP GILBERT PHARMACIST 169555 0 1358 0 0 0 596 0 10795 0 182304 0 0 0 KELLY LANGDON PHARMACIST 160187 0 0 0 9447 0 3241 0 658 0 173533 0 0 0 A HOSPITAL AUTHORITY OF HOUSTON COUNTY 580833515 442042DL8 2016-11-01 17792249 REFUNDING SERIES '13 BONDS 0 0 0 B HOSPITAL AUTHORITY OF HOUSTON COUNTY 580833515 442042DM6 2016-11-01 62733826 ADVANCE REFUNDING SERIES '07 BONDS 0 0 0 A 17753184 381567 72000 2016 0 0 1 1 B 62606460 62449287 281000 2016 0 1 1 1 A 0 0 0 0 0.00050 0.00050 0 0 1 B 0 0 0 0 0.00050 0.00050 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 SCHEDULE K, PART IV, ARBITRAGE, LINE 2C: DURING 2016, '07 BONDS SERIES WAS CALLED AND PAID OFF. THERE WAS NO ARBITRAGE REBATE DUE BASED ON THE REBATE COMPUTATION PERFORMED ON 8/23/17 AND FINAL 10/1/17. BRIAN GRAHAM FAMILY MEMBER OF BOARD MEMBER 62634 EMPLOYMENT 0 AMY DAWSON FAMILY MEMBER OF BOARD MEMBER 63487 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 VIII, LINE 1E: THE ORGANIZATION RECEIVED A GRANT FROM THE HHS GRANT STIMULUS PROGRAM IN THE AMOUNT OF $26,643,745 TO BE USED FOR COVID RELATED EXPENSES OR LOSS IN REVENUE DUE TO COVID. UNDER GUIDANCE OF THE AMERICAN INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS, THE GRANT FUNDS ARE TO BE RECOGNIZED AS INCOME ONCE ALL CONDITIONS OF THE GRANT ARE SUBSTANTIALLY MET OR EXPLICITLY WAIVED. AT DECEMBER 31, 2020, THE ORGANIZATION HAD SUBSTANTIALLY MET ALL CONDITIONS OF THE GRANT AND RECORDED THE PROCEEDS AS GRANT INCOME ON THE INCOME STATEMENT. FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 35,246,272. MANAGEMENT AND GENERAL EXPENSES 4,440,063. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 39,686,335. FORM 990, PART XI, LINE 9: CHANGE IN PENSION OBLIGATION -176,832. FORM 990, PART XII, LINE 2C: THERE HAS BEEN NO CHANGE IN EITHER THE OVERSIGHT OR SELECTION PROCESS. HOUSTON HEALTHCARE SYSTEM INC PO BOX 2886 WARNER ROBINS GA 31099 711045299 PARENT GA 501(C)(3) LINE 12C, III-FI N/A 0 HOUSTON HEALTHCARE EMS INC PO BOX 2886 WARNER ROBINS GA 31099 263941348 AMBULANCE SERVICE GA 501(C)(3) LINE 10 HOUSTON HEALTHCARE SYSTEM INC 0 HOUSTON HEALTHCARE PROPERTIES INC PO BOX 2886 WARNER ROBINS GA 31099 270174397 REAL ESTATE MANAGEMENT GA 501(C)(2) HOUSTON HEALTHCARE SYSTEM INC 0 PATIENT SELECT LLC 1601 WATSON BOULEVARD WARNER ROBINS GA 31093 582345231 MSO GA HOUSTON HEALTHCARE SYSTEM INC N/A 0 0 HOUSTON HEALTH VENTURES INC 1601 WATSON BOULEVARD WARNER ROBINS GA 31093 272814306 PATIENT SERVICES GA HOUSTON HEALTCARE SYSTEM INC C 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 HOUSTON HEALTHCARE EMS INC R 1598457 CASH HOUSTON HEALTHCARE PROPERTIES INC R 1568072 CASH HOUSTON HEALTHCARE PROPERTIES INC K 583419 CASH HOUSTON HEALTHCARE SYSTEM INC R 8348487 CASH HOUSTON HEALTH VENTURES INC R 150 CASH