4A (Expenses $ 603612715 including grants of $ 1646735) (Revenue $ 665762379)
ANMED HEALTH IS A HEALTHCARE SYSTEM PROVIDING A FULL RANGE OF ACUTE CARE SERVICES FOR MEDICAL, SURGICAL, PEDIATRIC, OBSTETRIC, PSYCHIATRIC, AND REHABILITATION PATIENTS, AS WELL AS SPECIALIZED CARE IN ITS INTENSIVE CARE AND CORONARY CARE UNITS. TO SUPPORT THESE INPATIENT SERVICES, ANMED HEALTH OFFERS A NORMAL COMPLEMENT OF DIAGNOSTIC AND ANCILLARY SERVICES. TWO SEPARATELY LICENSED FACILITIES ARE OPERATED BY ANMED HEALTH: 1) ANMED HEALTH MEDICAL CENTER IS A 461 BED FACILITY THAT OFFERS THE LATEST IN MEDICAL AND SURGICAL SERVICES. A MEDICAL STAFF OF OVER 400 PHYSICIANS PROVIDES HIGH QUALITY CARE TO THE PATIENTS AT THE MEDICAL CENTER. OPEN HEART SURGERY, VASCULAR SURGERY, GENERAL SURGERY, EMERGENCY/TRAUMA MEDICINE, A NEUROLOGICAL/STROKE CENTER, THE LATEST IN DIAGNOSTIC MRI, CT AND LABORATORY MEDICINE ARE AVAILABLE. 2) ANMED HEALTH WOMEN'S AND CHILDREN'S HOSPITAL IS A 72 BED ALL-PRIVATE ROOM FACILITY OFFERING INPATIENT CARE FOR LABOR/DELIVERY, WOMEN'S ELECTIVE SURGERY AND CHILDREN. THIS HOSPITAL INCLUDES DEDICATED UNITS FOR LABOR/DELIVERY, MOTHER/BABY, WOMEN'S ELECTIVE SURGERY AND PEDIATRICS. ON THE FIRST FLOOR, PHYSICIAN'S OFFICES, A LEARNING CENTER, CAFE, COMMUNITY MEETING ROOMS AND RETAIL SHOPS MAKE VISITORS FEEL WELCOME WITH A WEALTH OF RESOURCES. TO SUPPORT THESE INPATIENT SERVICES, ANMED HEALTH OFFERS A NORMAL COMPLEMENT OF DIAGNOSTIC AND ANCILLARY SERVICES.ADDITIONALLY, ANMED HEALTH OFFERS OUTPATIENT SERVICES AT D.K. OGLESBY CENTER AT THE ANMED HEALTH NORTH CAMPUS AND HAS SEVERAL CLINICS LOCATED IN ANDERSON, IVA, CLEMSON, HONEA PATH, PENDLETON, PIEDMONT, WILLIAMSTON AND WREN, SOUTH CAROLINA AND IN HARTWELL , GEORGIA.

PART V, SECTION B
FACILITY REPORTING GROUP A

FACILITY REPORTING GROUP A CONSISTS OF:
- FACILITY 1: ANMED HEALTH MEDICAL CENTER, - FACILITY 2: ANMED HEALTH WOMEN'S & CHILDREN'S HOSPIT

GROUP A-FACILITY 1 -- ANMED HEALTH MEDICAL CENTER PART V, SECTION B, LINE 5:
IN 2021, ANMED HEALTH CONDUCTED A FOURTH CHNA TO UPDATE DATA, LOOK AT PROGRESS TOWARD GOALS, AND ACCESS THE MOST CURRENT HEALTH LANDSCAPE. LIKE THE 2018 ASSESSMENT, THE UPDATED STUDY WILL BE UTILIZED FOR PLANNING, PRIORITIZING, AND LINKING NEEDS TO COMMUNITY BENEFIT EFFORTS OF THE HOSPITAL. ANMED HEALTH LEADERSHIP GROUPS ANMED HEALTH BOARD ANMED HEALTH COMMUNITY HEALTH IMPROVEMENT COMMITTEEPUBLIC HEALTH OFFICIALS - SC DEPT. OF HEALTH AND ENVIRONMENTAL CONTROL - PUBLIC HEALTH DEPT - REGION 1*MISTY LEECOMMUNITY SYSTEMS TEAMRESEARCH TEAMMICHAL CUNNINGHAM ANMED HEALTHVICE PRESIDENT, ADVANCEMENTJACKIE MCCALL ANMED HEALTHINJURY PREVENTION COORDINATORSAFE KIDS ANDERSON COUNTY COORDINATORSHANNON OWEN CHNA CONSULTANTADY MATNEY - INDEPENDENT CONSULTANTTM PUBLIC RELATIONS AND GOVERNMENTAL AFFAIRSNIKKI SAYLORSCLEMSON UNIVERSITY GRADUATE STUDENT , MPA

GROUP A-FACILITY 1 -- ANMED HEALTH MEDICAL CENTER PART V, SECTION B, LINE 6A:
THE ORGANIZATION CONDUCTED ITS CHNA WITH ANMED HEALTH WOMEN'S AND CHILDREN HOSPITAL AND ANMED HEALTH CANNON A RELATED ORGANIZATION.

GROUP A-FACILITY 1 -- ANMED HEALTH MEDICAL CENTER PART V, SECTION B, LINE 11:
"CHNA IMPLEMENTATION STRATEGIES:MENTAL AND BEHAVIORAL HEALTH - ANMED HEALTH (AH) WILL WORK TOWARD THE ESTABLISHMENT OF AN INTENSIVE OUTPATIENT PROGRAM, PROMOTE AWARENESS AND USE OF THE ANDERSON OCONEE PICKENS MENTAL HEALTH CRISIS RESPONSE TEAM, CONTINUE THE USE OF TELEPSYCH SERVICES AND EXPLORE EXPANDING UTILIZATION, CONTINUE TO OFFER MENTAL HEALTH FIRST AID TO ANMED TEAMS AND THE COMMUNIYT, CONTINUE TO WORK WITH AND SUPPORT THE SAFELY NET COUNCIL, RESEARCH A COMUNITY-BASED CARE COORDINATION SOFTWARE, EXPLORE WITH AOP MENTAL HEALTH CENTER AND AO BHS POTENTIALS AROUND SHARED CARE COORDINATION, EXPLORE OPPORTUNITIES TO EXPAND THE CAPABILITIES AND ACCESS TO FAVOR SERVICES IN ANDERSON, EXPLORE MENTAL HEALTH HOURSING OPTIONS WITH COMMUNITY PARTNERS AND, AND TRANSITION SOME MENTAL AND BEHAVORIAL HEALTH SERVICES TO ANMED WOMEN'S AND CHILDREN'S HOSPITAL.SUBSTANCE ABUSE- AH WILL EXPLORE ESTABLISHING A SBIRT MODEL IN ANDERSON, EXPLORE OPPORTUNITIES TO EXPAND THE CAPABILITIES AND ACCESS TO FAVOR SERVICES IN ANDERSON, PROMOTE EDUCATION/AWARENESS/RISK EDUCATION IN THE COMMUNITY THROUGH COMUNITY EDUCATION AND EVENTS, THROUGH DOCLINK PROVIDE SUBSTANCE ABUSE PREVENTION IN ELEMENTARY, MIDDLE , AND HIGH SCHOOLS, IDENTIFY ANDERSON-SPECIFIC RESOURCES FOR SUBSTANCE ABUSE TREATMENT.DIABETES - ANMED HELATH WILL INCORPORATE DIABETES EDUCATION/SCREENING INTO COMMUNITY WELLNESS ACTIVITY, PROVIDE COMMUNITY CLASSES ON DIABETES MANAGEMENT, EXPLORE WAYS TO ASSIST PROVIDERS TO PROVIDE CULTURALLY APPROPRIATE EDUCATION TO DIABETIC PATIENTS AND INCREASE ACCESS TO DIABETIC MANAGEMENT INFORMATION FOR DIABETIC PATIENTS.COMMUNITY EDUCATION AH WILL ALIGN AND FOCUS COMMUNITY OUTREACH AND EDUCATION EFFORTS ON OBESITY PREVENTION, SUCH AS MEDICAL COMMUNITY OUTREACH SCREENINGS; HEALTH FAIRS; DIABETES, AC1 TESTING BMI, HEART & VASCULAR SCREENING, AND PROGRAMS, PROMOTE WALKING TRAIL, RECREATION FACILITIES, AND FARMER'S MARKETS IN THE COMMUNITY, CONTINUE ""MOVE IT EVENTS"" IN THE COMMUNITY IN PARTNERSHIP WITH THE LIBRARY, EXPLORE USE OF EPIC AND PRIMARY CARE PROCESSES ON DEVELOPING ""FLAGS"" FOR PROVIDING EDUCATION MATERIAL TO PATIENTS WHO ARE AT RISK FOR OBESITY, CONTINUE EMPLOYEE WELLNESS PROGRAMMING WITH ANMED STAFF, PROMOTE CONTINUED USE OF PHYSICIAN TOOLKIT FOR CHILDHOOD OBESITY, PARTICIPATE IN/SUPPORT COMMUNITY-LED EFFORTS, WORK THE HEALTH DEPARTMENT TO INCREASE AWARENESS OF AND PROMOTE STD SCREENINGS, PREVENTION RESOURCES, IMMUNIZATIONS, ETC, AND COORDINATE WITH DOCLINK TO PROVIDE VAPING PREVENTION AND CESSATION EDUCATION IN ELEMENTARY, MIDDLE, AND HIGH SCHOOLS LOCALLY. SOCIAL DETERMINANTS OF HEALTH AH WILL IMPLEMENT/EXPAND ACCESS HEALTH, INCREASE THE NUMBER OF PRIMARY CARE PATIENTS, INCREASE NUMBER OF PRIMARY CARE PROVIDERS, CONTINUE AND EXPAND THE HEALTHY OUTCOMES PLAN (HOP), RESEARCH A COMMUNITY- BASED CARE COORDINATION SOFTWARE, CONTINUE TO EXPLORE EXPANDING PRIMARY CARE SAME DAY APPOINTMENT OPTIONS, AND E-VISIT OPTIONS HEALTH SYSTEM WIDE, INCREASE ACCESS TO MEDICAL INFORMATION AND TIMELY PROVIDER MESSAGING BY INCREASING MYCHART UTILIZATION, CONTINUE TO SUPPORT AND PARTICIPATE IN THE ANDERSON COUNTY SAFETY NET COUNCIL TO INCREASE AWARENESS OF AVAILABLE RESOURCES AND TO BETTER COORDINATE SERVICES AND CARE ACROSS SOCIAL DETERMINANTS OF HEALTH AREAS, EXPLORE LOCAL RESOURCES AVAILABLE AND PROMOTE TO PATIENTS AND IN THE COMMUNITY,WORK WITH PARENTING PLACE AND OTHER APPROPRIATE PARTNERS TO SUPPORT ACES TRAINING TO APPROPRIATE GROUPS IN THE COMMUNITY, EXPLORE RESOURCES AND PARTNERSHIP FOR AFFORDABLE, SAFE HOUSING, AND EXPLORE HEALTH CARE FOR THE HOMELESS PROGRAM IN COORDINATION WITH FQHCS AND HEALTH CARE OPTIONS."

GROUP A-FACILITY 1 -- ANMED HEALTH MEDICAL CENTER PART V, SECTION B, LINE 13H:
FPG ARE USED (ALONGSIDE OTHER PARAMETERS) TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. WE TAKE THE 50% SELF-PAY DISCOUNT OFF FIRST THEN ADJUST THE REST OF THE CHARGES ACCORDINGLY (BASED ON CHARITY APPROVAL %). ALL UNINSURED PATIENTS ARE ELIGIBLE FOR A STANDING 50% DISCOUNT EFFECTIVE FOR SERVICES RENDERED FROM 3/14/16 FORWARD. PRIOR TO 3/14/16, ANMED HEALTH OFFERED ALL UNINSURED PATIENTS A PROMPT PAY DISCOUNT OF 50%.

GROUP A-FACILITY 1 -- ANMED HEALTH MEDICAL CENTER PART V, SECTION B, LINE 16J:
FINANCIAL COUNSELORS MAKE THIS AVAILABLE WHEN INTERVIEWING INPATIENT UNINSURED PATIENTS. THE POLICY IS AVAILABLE IN SPANISH AND ENGLISH. ALL PATIENT REGISTRATION AREAS HAVE COPIES OF THE FINANCIAL APPLICATION FORMS AVAILABLE TO GIVE TO PATIENTS WHO MAY INQUIRE. THE WEBSITE GIVES INFORMATION REGARDING WHERE AND HOW TO APPLY FOR FINANCIAL ASSISTANCE.

GROUP A-FACILITY 1 -- ANMED HEALTH MEDICAL CENTER PART V, SECTION B, LINE 19E:
ANMED HEALTH DOES NOT CHARGE PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE. ANMED HEALTH ADJUSTS 100% OF THE BILLED CHARGES.

GROUP A-FACILITY 2 -- ANMED HEALTH WOMEN & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 5:
IN 2021, ANMED HEALTH CONDUCTED A FOURTH CHNA TO UPDATE DATA, LOOK AT PROGRESS TOWARD GOALS, AND ACCESS THE MOST CURRENT HEALTH LANDSCAPE. LIKE THE 2018 ASSESSMENT, THE UPDATED STUDY WILL BE UTILIZED FOR PLANNING, PRIORITIZING, AND LINKING NEEDS TO COMMUNITY BENEFIT EFFORTS OF THE HOSPITAL. ANMED HEALTH LEADERSHIP GROUPS ANMED HEALTH BOARD ANMED HEALTH COMMUNITY HEALTH IMPROVEMENT COMMITTEEPUBLIC HEALTH OFFICIALS - SC DEPT. OF HEALTH AND ENVIRONMENTAL CONTROL - PUBLIC HEALTH DEPT - REGION 1*MISTY LEECOMMUNITY SYSTEMS TEAMRESEARCH TEAMMICHAL CUNNINGHAM ANMED HEALTHVICE PRESIDENT, ADVANCEMENTJACKIE MCCALL ANMED HEALTHINJURY PREVENTION COORDINATORSAFE KIDS ANDERSON COUNTY COORDINATORSHANNON OWEN CHNA CONSULTANTADY MATNEY - INDEPENDENT CONSULTANTTM PUBLIC RELATIONS AND GOVERNMENTAL AFFAIRSNIKKI SAYLORSCLEMSON UNIVERSITY GRADUATE STUDENT , MPA

GROUP A-FACILITY 2 -- ANMED HEALTH WOMEN & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 6A:
THE ORGANIZATION CONDUCTED ITS CHNA WITH ANMED HEALTH CANNON A RELATED ORGANIZATION.

GROUP A-FACILITY 2 -- ANMED HEALTH WOMEN & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 11:
"CHNA IMPLEMENTATION STRATEGIES:MENTAL AND BEHAVIORAL HEALTH - ANMED HEALTH (AH) WILL WORK TOWARD THE ESTABLISHMENT OF AN INTENSIVE OUTPATIENT PROGRAM, PROMOTE AWARENESS AND USE OF THE ANDERSON OCONEE PICKENS MENTAL HEALTH CRISIS RESPONSE TEAM, CONTINUE THE USE OF TELEPSYCH SERVICES AND EXPLORE EXPANDING UTILIZATION, CONTINUE TO OFFER MENTAL HEALTH FIRST AID TO ANMED TEAMS AND THE COMMUNIYT, CONTINUE TO WORK WITH AND SUPPORT THE SAFELY NET COUNCIL, RESEARCH A COMUNITY-BASED CARE COORDINATION SOFTWARE, EXPLORE WITH AOP MENTAL HEALTH CENTER AND AO BHS POTENTIALS AROUND SHARED CARE COORDINATION, EXPLORE OPPORTUNITIES TO EXPAND THE CAPABILITIES AND ACCESS TO FAVOR SERVICES IN ANDERSON, EXPLORE MENTAL HEALTH HOURSING OPTIONS WITH COMMUNITY PARTNERS AND, AND TRANSITION SOME MENTAL AND BEHAVORIAL HEALTH SERVICES TO ANMED WOMEN'S AND CHILDREN'S HOSPITAL.SUBSTANCE ABUSE- AH WILL EXPLORE ESTABLISHING A SBIRT MODEL IN ANDERSON, EXPLORE OPPORTUNITIES TO EXPAND THE CAPABILITIES AND ACCESS TO FAVOR SERVICES IN ANDERSON, PROMOTE EDUCATION/AWARENESS/RISK EDUCATION IN THE COMMUNITY THROUGH COMUNITY EDUCATION AND EVENTS, THROUGH DOCLINK PROVIDE SUBSTANCE ABUSE PREVENTION IN ELEMENTARY, MIDDLE , AND HIGH SCHOOLS, IDENTIFY ANDERSON-SPECIFIC RESOURCES FOR SUBSTANCE ABUSE TREATMENT.DIABETES - ANMED HELATH WILL INCORPORATE DIABETES EDUCATION/SCREENING INTO COMMUNITY WELLNESS ACTIVITY, PROVIDE COMMUNITY CLASSES ON DIABETES MANAGEMENT, EXPLORE WAYS TO ASSIST PROVIDERS TO PROVIDE CULTURALLY APPROPRIATE EDUCATION TO DIABETIC PATIENTS AND INCREASE ACCESS TO DIABETIC MANAGEMENT INFORMATION FOR DIABETIC PATIENTS.COMMUNITY EDUCATION AH WILL ALIGN AND FOCUS COMMUNITY OUTREACH AND EDUCATION EFFORTS ON OBESITY PREVENTION, SUCH AS MEDICAL COMMUNITY OUTREACH SCREENINGS; HEALTH FAIRS; DIABETES, AC1 TESTING BMI, HEART & VASCULAR SCREENING, AND PROGRAMS, PROMOTE WALKING TRAIL, RECREATION FACILITIES, AND FARMER'S MARKETS IN THE COMMUNITY, CONTINUE ""MOVE IT EVENTS"" IN THE COMMUNITY IN PARTNERSHIP WITH THE LIBRARY, EXPLORE USE OF EPIC AND PRIMARY CARE PROCESSES ON DEVELOPING ""FLAGS"" FOR PROVIDING EDUCATION MATERIAL TO PATIENTS WHO ARE AT RISK FOR OBESITY, CONTINUE EMPLOYEE WELLNESS PROGRAMMING WITH ANMED STAFF, PROMOTE CONTINUED USE OF PHYSICIAN TOOLKIT FOR CHILDHOOD OBESITY, PARTICIPATE IN/SUPPORT COMMUNITY-LED EFFORTS, WORK THE HEALTH DEPARTMENT TO INCREASE AWARENESS OF AND PROMOTE STD SCREENINGS, PREVENTION RESOURCES, IMMUNIZATIONS, ETC, AND COORDINATE WITH DOCLINK TO PROVIDE VAPING PREVENTION AND CESSATION EDUCATION IN ELEMENTARY, MIDDLE, AND HIGH SCHOOLS LOCALLY. SOCIAL DETERMINANTS OF HEALTH AH WILL IMPLEMENT/EXPAND ACCESS HEALTH, INCREASE THE NUMBER OF PRIMARY CARE PATIENTS, INCREASE NUMBER OF PRIMARY CARE PROVIDERS, CONTINUE AND EXPAND THE HEALTHY OUTCOMES PLAN (HOP), RESEARCH A COMMUNITY- BASED CARE COORDINATION SOFTWARE, CONTINUE TO EXPLORE EXPANDING PRIMARY CARE SAME DAY APPOINTMENT OPTIONS, AND E-VISIT OPTIONS HEALTH SYSTEM WIDE, INCREASE ACCESS TO MEDICAL INFORMATION AND TIMELY PROVIDER MESSAGING BY INCREASING MYCHART UTILIZATION, CONTINUE TO SUPPORT AND PARTICIPATE IN THE ANDERSON COUNTY SAFETY NET COUNCIL TO INCREASE AWARENESS OF AVAILABLE RESOURCES AND TO BETTER COORDINATE SERVICES AND CARE ACROSS SOCIAL DETERMINANTS OF HEALTH AREAS, EXPLORE LOCAL RESOURCES AVAILABLE AND PROMOTE TO PATIENTS AND IN THE COMMUNITY,WORK WITH PARENTING PLACE AND OTHER APPROPRIATE PARTNERS TO SUPPORT ACES TRAINING TO APPROPRIATE GROUPS IN THE COMMUNITY, EXPLORE RESOURCES AND PARTNERSHIP FOR AFFORDABLE, SAFE HOUSING, AND EXPLORE HEALTH CARE FOR THE HOMELESS PROGRAM IN COORDINATION WITH FQHCS AND HEALTH CARE OPTIONS."

GROUP A-FACILITY 2 -- ANMED HEALTH WOMEN & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 13H:
FPG ARE USED (ALONGSIDE OTHER PARAMETERS) TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. WE TAKE THE 50% SELF-PAY DISCOUNT OFF FIRST THEN ADJUST THE REST OF THE CHARGES ACCORDINGLY (BASED ON CHARITY APPROVAL %). ALL UNINSURED PATIENTS ARE ELIGIBLE FOR A STANDING 50% DISCOUNT EFFECTIVE FOR SERVICES RENDERED FROM 3/14/16 FORWARD. PRIOR TO 3/14/16, ANMED HEALTH OFFERED ALL UNINSURED PATIENTS A PROMPT PAY DISCOUNT OF 50%.

GROUP A-FACILITY 2 -- ANMED HEALTH WOMEN & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 16J:
FINANCIAL COUNSELORS MAKE THIS AVAILABLE WHEN INTERVIEWING INPATIENT UNINSURED PATIENTS. THE POLICY IS AVAILABLE IN SPANISH AND ENGLISH. ALL PATIENT REGISTRATION AREAS HAVE COPIES OF THE FINANCIAL APPLICATION FORMS AVAILABLE TO GIVE TO PATIENTS WHO MAY INQUIRE. THE WEBSITE GIVES INFORMATION REGARDING WHERE AND HOW TO APPLY FOR FINANCIAL ASSISTANCE.

PART V, SECTION B, LINE 7A
THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE AT THIS WEB ADDRESS:HTTPS://ANMED.ORG/SITES/DEFAULT/FILES/2022-08/ANMED%20HEALTH%20CHNA%202021%20FINAL%20%201.3.22.PDF

PART I, LINE 3C:
SELF PAY DISCOUNT OF 50% IS AVAILABLE TO ALL UNINSURED PATIENTS.

PART I, LINE 6A:
SOUTH CAROLINA DOES NOT REQUIRE HOSPITALS TO FILE A COMMUNITY BENEFIT REPORT. EACH YEAR, ANMED HEALTH HAS PARTICIPATED IN THE SC HOSPITAL ASSOCIATION'S (SCHA) COMMUNITY BENEFIT SURVEY PROCESS. SCHA CONTRACTS WITH THE MICHIGAN HOSPITAL ASSOCIATION FOR USE OF THE COMMUNITY BENEFIT TRACKER SOFTWARE. IN EACH PARTICIPATION YEAR, ANMED HEALTH HAS REPORTED ITS COMMUNITY BENEFIT INFORMATION TO SCHA, USING THE TRACKER SURVEY INSTRUMENT.

PART I, LINE 7:
ANMED HEALTH'S COST ACCOUNTING SYSTEM WAS USED TO COMPUTE A COST-TO-CHARGE RATIO USED TO CALCULATE COMMUNITY BENEFIT EXPENSE AT COST FOR USE IN PART I, LINE 7.

PART I, LINE 7G:
SUBSIDIZED HEALTH SERVICES INCLUDES AN OUTPATIENT CLINIC AND A PSYCHIATRIC INPATIENT CLINIC OPERATED BY THE ORGANIZATION. EACH CLINIC RUNS AT A FINANCIAL LOSS BUT IS NECESSARY FOR THE BENEFIT OF THE COMMUNITIES SERVED.

PART I, LN 7 COL(F):
THE AMOUNT OF TOTAL EXPENSE ON FORM 990, PART IX, LINE 25 CONTAINS BAD DEBT EXPENSE OF $ 73,025,276 THAT WAS REMOVED FROM THE CALCULATION OF CHARITY CARE ON PART I, LINE 7.

PART II, COMMUNITY BUILDING ACTIVITIES:
COMMUNITY SUPPORT - VOLUNTEERS SERVED AT 10 EVENTS THAT SHARED A GOAL OF PROVIDING SUPPORT TO THE COMMUNITY BY ADDRESSING COMMUNITY CONCERNS SUCH AS HOMELESSNESS, SPORTS INJURIES, AND INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES. THESE EVENTS SERVED 832 INDIVIDUALS AND CONTRIBUTED $365 TOWARD THE TOTAL COMMUNITY BENEFIT EXPENSE IN SUPPLIES AND THE AVERAGE LABOR COST OF $40.04 PER HOUR. LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS - ONE OF ANMED HEALTH'S STAFF MEMBERS MENTORED A LOCAL HIGH SCHOOL STUDENT THROUGH THE LEAD HIGHER TO INSPIRE PROGRAM.COALITION BUILDING - LAND WAS GIVEN FREE TO CHARGE TO THE CITY FIRE STATION.WORKFORCE DEVELOPMENT - OVER 300 LOCAL STUDENTS WERE SERVED BY ANMED HEALTH STAFF THROUGH THEIR PARTICIPATION IN CAREER DEVELOPMENT ACTIVITIES.

PART III, LINE 2:
THE ORGANIZATION IS REPORTING ITS GROSS BAD DEBT FOR PURPOSES OF SCHEDULE H PART III.

PART III, LINE 4:
THE ORGANIZATION'S FINANCIAL STATEMENTS INCLUDE A FOOTNOTE THAT DESCRIBES THE PROVISION FOR BAD DEBT AS AMOUNTS BILLED OR BILLABLE WHERE THE ULTIMATE COLLECTION OF THESE AMOUNTS CANNOT BE DETERMINED AT THE TIME PATIENT SERVICES ARE RENDERED.

PART III, LINE 8:
THE MEDICARE COST REPORT WAS USED TO COMPUTE MEDICARE ALLOWABLE COST OF CARE RELATED TO MEDICARE PAYMENT.ADDITIONAL ACTIVITIES FROM MEDICARE MANAGED CARE AND PHYSICIAN PRACTICES NOT REPORTED IN THE MEDICARE COST REPORT:TOTAL REVENUE FROM OTHER MEDICARE PROGRAMS: $143,130,667COST OF CARE RELATED TO THE PAYMENTS : $197,010,787SHORTFALL OF OTHER MEDICARE SERVICES: ($53,880,120)ANMED HEALTH TREATS MEDICARE PATIENTS AT A LOSS AND BELIEVES THIS SHOULD BE INCLUDED IN COMMUNITY BENEFIT. ANMED HEALTH TREATS ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. WITHOUT THE MEDICARE PROGRAM, A PERCENTAGE OF THE POPULATION RECEIVING MEDICARE WOULD QUALIFY FOR FINANCIAL ASSISTANCE, WHILE OTHERS WOULD FAIL TO PAY AND BE WRITTEN OFF AS BAD DEBT EXPENSE. ALTERNATIVELY, SOME WOULD HAVE COMMERCIAL INSURANCE AND ANMED HEALTH WOULD RECEIVE MORE THAN ANMED HEALTH DOES FROM MEDICARE. BECAUSE OF THESE FACTORS, THE ORGANIZATION TAKES THE POSITION THAT THE ENTIRETY OF THE MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT.

PART III, LINE 9B:
ONCE APPROVED FOR THE FINANCIAL ASSISTANCE POLICY, NO ADDITIONAL COLLECTION EFFORTS ARE MADE OR BILLS SENT BY THE ORGANIZATION, AND THE HOSPITAL SYSTEM WOULD ONLY EXPECT PAYMENT IF THE PATIENT RECEIVED MONEY FROM AN INSURANCE CLAIM.

PART VI, LINE 2:
IN THE SPRING OF 2021, ANMED HEALTH BEGAN A FORMAL PROCESS OF REASSESSING THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. USING THE GUIDELINES PUBLISHED IN THE INITIAL IRS GUIDELINE, ANMED HEALTH ENGAGED A LOCAL CONSULTANT TO ASSIST IN THIS ASSESSMENT, WHICH CONSISTED OF DATA COLLECTION AND LOCAL FOCUS GROUPS. THIS PROCESS CULMINATED WITH THE DEVELOPMENT OF AN ANMED HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT DOCUMENT, WHICH WAS ULTIMATELY ADOPTED AND APPROVED BY ANMED HEALTH BOARD OF TRUSTEES . THERE WERE FIVE PRIORITIES THAT WERE SELECTED FOR STRATEGY DEVELOPMENT AND ACTION PLANS FOR 2022: MENTAL AND BEHAVIORAL HEALTH; SUBSTANCE ABUSE; DIABETES; COMMUNITY EDUCATION; AND SOCIAL DETERMINANTS OF HEALTH.

PART VI, LINE 3:
"ALL SELF PAY INPATIENTS ARE VISITED BY A FINANCIAL COUNSELOR DURING HIS OR HER STAY OR ARE CONTACTED AT HOME IF DISCHARGED PRIOR TO THEIR INTERVIEW. THE FINANCIAL COUNSELOR COMPLETES A FINANCIAL ASSESSMENT TO DETERMINE IF THE PATIENT MIGHT QUALIFY FOR OUTSIDE ASSISTANCE (MEDICAID, SOCIAL SECURITY, DISABILITY, VICTIMS ASSISTANCE, MIAP, ETC.). APPLICATIONS FOR THESE PROGRAMS ARE COMPLETED. A COVERAGE ASSISTANCE AND FINANCIAL ASSISTANCE (""CAFA"") FORM IS COMPLETED AT THAT TIME IN THE EVENT THEY DO NOT QUALIFY FOR ANY OTHER ASSISTANCE AND ARE ELIGIBLE FOR THE FINANCIAL ASSISTANCE PROGRAM. ANMED HEALTH HAS ENLISTED AN OUTSIDE VENDOR PARTNER TO ASSIST WITH THE OUTPATIENT UNINSURED POPULATION. THIS PARTNER PROVIDES TWO FULL TIME EMPLOYEES WHO WORK IN THE EMERGENCY DEPARTMENT TO ASSIST PATIENTS IN DETERMINING IF THEY MAY QUALIFY FOR OUTSIDE ASSISTANCE (MEDICAID, SOCIAL SECURITY, DISABILITY, VICTIMS ASSISTANCE, MIAP, ETC.). APPLICATIONS FOR THESE PROGRAMS ARE COMPLETED. A CAFA FORM IS COMPLETED AT THAT TIME IN THE EVENT THEY DO NOT QUALIFY FOR ANY OTHER ASSISTANCE AND ARE ELIGIBLE FOR OUR FINANCIAL ASSISTANCE PROGRAM. ANMED HEALTH ALSO ELECTRONICALLY SENDS FILES TO THE VENDOR PARTNER ON OTHER OUTPATIENT ACCOUNTS WHERE PATIENTS ARE CONTACTED BY PHONE TO DETERMINE IF THEY MAY QUALIFY FOR OUTSIDE ASSISTANCE. ADDITIONALLY, FLYERS ARE LOCATED AT ALL ADMITTING AND REGISTRATION AREAS THAT INCLUDE INFORMATION ON AVAILABLE COVERAGE AND ASSISTANCE (SC PATIENT ATTESTATION), AND CONTACT INFORMATION (PLAIN LANGUAGE SUMMARY) FOR THE FINANCIAL COUNSELORS. WHEN A PATIENT RECEIVES A BILL, THE WEBSITE, WHICH HAS THE FINANCIAL ASSISTANCE POLICY, IS LISTED AS WELL AS A PHONE NUMBER PATIENTS CAN CALL TO REQUEST ASSISTANCE."

PART VI, LINE 7, REPORTS FILED WITH STATES
SC

PART VI, LINE 4:
ANMED HEALTH INCLUDES ANDERSON COUNTY, OCONEE COUNTY, PICKENS COUNTY, AND ABBEVILLE COUNTY IN SOUTH CAROLINA, AS WELL AS HART AND ELBERT COUNTIES IN NORTHEAST GEORGIA AS SERVICE AREAS. ANDERSON COUNTY, THE PRIMARY COMMUNITY SERVED BY ANMED HEALTH IS AN URBAN COMMUNITY THAN ENCOMPASSES APPROXIMATELY 206,908 RESIDENTS. THE POPULATION OF ANDERSON COUNTY IS EXPECTED TO GROW AT JUST OVER 1% PER YEAR. THE MEDIAN HOUSEHOLD INCOME IN THE COUNTY WAS $53,598. THE PER CAPITA INCOME FOR THE COUNTY WAS $28,931 WITH APPROXIMATELY 14.0% OF COMMUNITY RESIDENTS HAVING INCOMES BELOW THE FEDERAL POVERTY GUIDELINE. THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES DESIGNATED SIX MEDICALLY UNDERSERVED AREAS IN ANDERSON COUNTY. FROM THE SOUTH CAROLINA PRIMARY HEALTH CARE ASSOCIATION, REGARDING MEDICALLY UNDERSERVED AREAS IN ANDERSON COUNTY, THE AREAS ARE AS FOLLOWS IN THE ASSOCIATED CENSUS TRACTS: ANDERSON COUNTY 03093 - CT 0005.00, CT 0006.00, CT 0007.00 AND BELTON DIVISION SERVICE AREA 03099 - MCD (90221) BELTON CCD, MCD (91170 FORK CCD, MCD (93224) STARR CCD. FOR 2021, 3.0% WERE UNEMPLOYED. AS OF MAY 2022, 2.8% WERE UNEMPLOYED. APPROXIMATELY 68% OF ANDERSON COUNTY RESIDENTS WHO ARE UNINSURED OR MEDICAID RECIPIENTS COME TO ANMED HEALTH FOR THEIR INPATIENT MEDICAL CARE.

PART VI, LINE 5:
ANMED HEALTH (AH) PROVIDES, SUPPORTS, PROMOTES, AND / OR SPONSORS A BROAD SCOPE OF COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS THAT PROMOTE GOOD HEALTH, WELLNESS / PREVENTION, AND ACCESS TO HEALTH CARE SERVICES. EXAMPLES OF COMMUNITY OUTREACH EVENTS INCLUDE DIABETES AND HEART HEALTH EDUCATION AT MULTIPLE HEALTH FAIRS SERVING OVER 5,700 PEOPLE; EDUCATION ON MAKING HEALTHY DECISIONS FOR OVER 6,800 STUDENTS; PROVISION OF HEALTH INFORMATION AND EDUCATION TO OVER 1,600 SENIORS; AND HEALTH INFORMATION AND BLOOD PRESSURE SCREENINGS FOR OVER 2,900 EMPLOYEES AT THEIR PLACE OF EMPLOYMENT. ADDITIONALLY, OVER 1,810 COMMUNITY MEMBERS WERE CONNECTED THROUGH SUPPORT GROUPS FOR OUTPATIENT MANAGEMENT OF DIABETES, HOW TO EMBRACE A HEALTHY LIFESTYLE AFTER SURGICAL WEIGHT LOSS, AND HOW TO SURVIVE THE CANCER JOURNEY; AS WELL AS CANCER FIGHTERS & SURVIVORS DAY, A CELEBRATION OF THOSE SURVIVING A CANCER DIAGNOSIS. ANDERSON COUNTY SAFE KIDS PROGRAM TAUGHT MORE THAN 3,300 PARENTS AND CHILDREN BIKE AND WATER SPORTS SAFETY, FIRE SAFETY, SLEEP SAFETY, AND PROPER CAR SEAT USE. AN EXAMPLE OF COMMUNITY-BASED CLINICAL SERVICES PROVIDED AT NO CHARGE DURING THE YEAR IS THAT MORE THAN 1,000 PERSONS WERE SCREENED FOR SYMPTOMS SUCH AS CHRONIC ELEVATED BLOOD PRESSURE, CHOLESTEROL AND BLOOD SUGAR, THROUGH COMMUNITY OUTREACH SCREENINGS. FREE GENETIC COUNSELING WAS PROVIDED TO HIGH-RISK CANCER PATIENTS. FOR LOW-INCOME COMMUNITY MEMBERS, MEDICAL STAFF VOLUNTEERED THEIR TIME AND RESOURCES TO SERVE OVER 1,300 PEOPLE THROUGH THE HEALTHY OUTCOMES PROGRAM AND AT LOCAL FREE CLINICS AND STAFF VOLUNTEERED TO PROVIDE FOOD FOR 375 CHILDREN THROUGH THE UNITED WAY SNACK PACK PROGRAM. OVER 23,700 MEALS WERE PROVIDED AT NO-COST TO PATIENTS IN THE EMERGENCY DEPARTMENT. ANMED HEALTH PROVIDED OVER $292,000 IN SPONSORSHIPS AND OVER $191,000 THROUGH IN-KIND LAND LEASES TO LOCAL ORGANIZATIONS WHO SHARE OUR VISION OF FOSTERING A HEALTHY COMMUNITY, SUCH AS THE ANDERSON FREE CLINIC, UNITED WAY OF ANDERSON COUNTY, ANDERSON CANCER ASSOCIATION, AND THE ANDERSON AREA YMCA. HEALTH PROFESSIONS EDUCATION PROGRAMS SERVED OVER 600 STUDENTS THROUGH: A FAMILY MEDICINE RESIDENCY PROGRAM, MEDICAL STUDENT EDUCATION PROGRAM, NURSING TRAINING AND MENTORING, A RADIOLOGY TECHNOLOGY PROGRAM, THERAPY INTERNSHIPS, AND PHARMACY STUDENT ROTATIONS. AN ONCOLOGY RESEARCH PROGRAM WORKS WITH PHYSICIANS AND PATIENTS TO IDENTIFY AVAILABLE STUDIES AND TRIALS OF INVESTIGATIONAL MEDICATIONS AND REGIMENS FOR CANCER TREATMENT. ANMED HEALTH EMPLOYEES VOLUNTEERED OVER 1,600 HOURS SERVING ON VARIOUS COMMITTEES THROUGH LOCAL, REGIONAL, AND STATEWIDE HEALTH AND CIVIC ORGANIZATIONS.