4A (Expenses $ 216179794 including grants of $ 80585) (Revenue $ 269353435)
OPERATION OF AN ACUTE CARE HOSPITAL TOTALING 327 BEDS WITH 11,582 PATIENT ADMISSIONS, 54,381 PATIENT DAYS, AND 124,891 OUTPATIENT VISITS IN THE CURRENT YEAR.

TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH
PART V, SECTION B, LINE 5: TEXAS HEALTH HUGULEY, INC. (THH OR THE HOSPITAL) OPERATES A 327-BED ACUTE-CARE HOSPITAL FACILITY IN BURLESON, TEXAS IN THE FORT WORTH, TEXAS AREA. THE MEMBERSHIP OF THH IS HELD BY TEXAS HEALTH RESOURCES (51%) AND ADVENTIST HEALTH SYSTEM/SUNBELT, INC. (49%), BOTH ORGANIZATIONS ARE EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(C)(3).BECAUSE THH'S SERVICE COVERS PORTIONS OF JOHNSON AND TARRANT COUNTIES, THH PARTICIPATED IN BOTH COLLABORATIVE REGIONAL CHNAS CONDUCTED BY TEXAS HEALTH RESOURCES' (THR'S) AFFILIATED HOSPITALS. THE DESCRIPTION OF BOTH CHNAS ARE PROVIDED BELOW. THE SOUTHERN REGION 2019 CHNA WAS A COLLABORATIVE PROCESS UTILIZING QUALITATIVE AND QUANTITATIVE METHODS TO ASSESS THE HEALTH NEEDS OF PERSONS WITHIN THE SERVICE AREAS CONSISTING OF ERATH, JOHNSON, ELLIS & KAUFMAN COUNTIES. THE 2019 CHNA WAS CONDUCTED AT THE REGIONAL LEVEL TO GENERATE COMMUNITY-DRIVEN SOLUTIONS FOR BETTER INTEGRATION IN ADDRESSING THE CLINICAL AND SOCIAL NEEDS OF INDIVIDUALS LIVING IN NORTH TEXAS. BETWEEN APRIL 2018 AND AUGUST 2018, THE COMMUNITIES' HEALTH NEEDS WERE ASSESSED THROUGH KEY INFORMANT INTERVIEWS, SECONDARY DATA ANALYSIS, A WINDSHIELD SURVEY SERVING TO ASSIST ASSET-MAPPING THROUGH COMMUNITY OBSERVATION, AND FOCUS GROUPS. KEY INFORMANTS AND FOCUS GROUP PARTICIPANTS INCLUDED, BUT WERE NOT LIMITED TO FAITH COMMUNITY REPRESENTATIVES, PUBLIC HEALTH OFFICIALS, LAY COMMUNITY MEMBERS, SCHOOL OFFICIALS AND CITY ADMINISTRATION. THE ORGANIZATION ENGAGED 138 COMMUNITY MEMBERS WITH INTERESTS SPECIFIC TO THE HEALTH OF INDIVIDUALS IN THE SOUTHERN REGION COUNTIES IN THE CHNA DEVELOPMENT PROCESS. ONE HUNDRED TWENTY-THREE OF THESE COMMUNITY MEMBERS WERE ENGAGED ACROSS SIX SEPARATE FOCUS GROUPS HELD IN ZIP-CODES THAT WERE IDENTIFIED AS UNDERSERVED AREAS. FIFTEEN SERVED AS KEY INFORMANTS, AND THE WINDSHIELD SURVEY WAS CONDUCTED BY TWO TEXAS HEALTH GRADUATE FELLOWS AND FOUR COMMUNITY HEALTH MANAGERS. TO GAIN A COMPREHENSIVE UNDERSTANDING OF THE HEALTH NEEDS AND PRIORITIES OF INDIVIDUALS IN THIS REGION, TEXAS HEALTH USED FOCUS GROUP SESSIONS AND KEY INFORMANT INTERVIEWS TO ENGAGE THE MEDICALLY UNDERSERVED, LOW-INCOME OR MINORITY POPULATIONS ALONG WITH REPRESENTATIVES FROM THE FOLLOWING COMMUNITY ORGANIZATIONS: CAIN & ASSOCIATES; CITY OF CLEBURNE; COMPASSION COUNSELING CENTER; CORNERSTONE ASSEMBLY OF GOD; ELMO CRIME WATCH; ELMO WATER DEPARTMENT; H-E-B GROCERY; HOOD COUNTY COMMITTEE ON AGING; HOPE MEDICAL CLINIC; KAUFMAN CHAMBER OF COMMERCE; LIGHTHOUSE CENTER FOR LEARNING; OAKDALE & HANNIBAL UNITED METHODIST CHURCHES; RUTH'S PLACE; SENIOR CONNECT; SOUTHWEST ADVENTIST UNIVERSITY; SPECIALIZED FLEET SERVICES; TARLETON STATE UNIVERSITY; TEXAS DEPARTMENT OF STATE HEALTH SERVICES; TEXAS VETERANS COMMISSION; AND TRI COUNTY FORD.FINDINGS FROM ALL DATA SOURCES (SECONDARY DATA, INTERVIEWS AND FOCUS GROUPS, AND THE WINDSHIELD SURVEY/OBSERVATIONAL ASSET MAPPING) WERE COMPARED. RECURRING THEMES WERE PULLED AND ANALYZED TO STRATIFY THE TOP MEDICAL AND SOCIAL DETERMINANT OF HEALTH NEEDS. THE OUTLINED NEEDS/BARRIERS WILL INFORM THE DEVELOPMENT OF THE 2020 CHNA IMPLEMENTATION PLAN, WHICH WILL LEVERAGE INTEGRATED STRATEGIES ACROSS THR'S INTERNAL AND EXTERNAL STAKEHOLDERS TO ENHANCE ITS SERVICE AND PROGRAM DELIVERY IN THE TARGET COMMUNITIES.THE TARRANT/PARKER COUNTIES REGION 2019 CHNA WAS A COLLABORATIVE PROCESS UTILIZING QUALITATIVE AND QUANTITATIVE METHODS TO ASSESS THE HEALTH NEEDS OF PERSONS WITHIN THE SERVICE AREAS WITHIN THESE COUNTIES. THE 2019 CHNA WAS CONDUCTED AT THE TARRANT/PARKER COUNTIES REGIONAL LEVEL TO GENERATE COMMUNITY-DRIVEN SOLUTIONS FOR BETTER INTEGRATION IN ADDRESSING THE CLINICAL AND SOCIAL NEEDS OF INDIVIDUALS LIVING IN NORTH TEXAS. BETWEEN APRIL 2018 AND AUGUST 2018, THE COMMUNITIES' HEALTH NEEDS WERE ASSESSED THROUGH KEY INFORMANT INTERVIEWS, SECONDARY DATA ANALYSIS, A WINDSHIELD SURVEY SERVING TO ASSIST ASSET-MAPPING THROUGH COMMUNITY OBSERVATION, AND FOCUS GROUPS. KEY INFORMANTS AND FOCUS GROUP PARTICIPANTS INCLUDED, BUT WERE NOT LIMITED TO FAITH COMMUNITY REPRESENTATIVES, PUBLIC HEALTH OFFICIALS, LAY COMMUNITY MEMBERS, SCHOOL OFFICIALS AND CITY ADMINISTRATION. THE ORGANIZATION ENGAGED 159 COMMUNITY MEMBERS WITH INTERESTS SPECIFIC TO THE HEALTH OF INDIVIDUALS IN THE TARRANT/PARKER COUNTIES REGION IN THE CHNA DEVELOPMENT PROCESS. ONE HUNDRED FORTY-NINE OF THESE COMMUNITY MEMBERS WERE ENGAGED ACROSS ELEVEN SEPARATE FOCUS GROUPS HELD IN ZIP-CODES THAT WERE IDENTIFIED AS UNDERSERVED AREAS. TEN SERVED AS KEY INFORMANTS, AND THE WINDSHIELD SURVEY WAS CONDUCTED BY TWO TEXAS HEALTH GRADUATE FELLOWS AND FIVE COMMUNITY HEALTH MANAGERS. TO GAIN A COMPREHENSIVE UNDERSTANDING OF THE HEALTH NEEDS AND PRIORITIES OF INDIVIDUALS IN THIS REGION, TEXAS HEALTH USED FOCUS GROUP SESSIONS AND KEY INFORMANT INTERVIEWS TO ENGAGE THE MEDICALLY UNDERSERVED, LOW-INCOME OR MINORITY POPULATIONS ALONG WITH REPRESENTATIVES FROM THE FOLLOWING COMMUNITY ORGANIZATIONS: AZLE ISD; BROADIE'S AIRCRAFT; CITY OF BEDFORD; EMERGENCY MEDICINE CONSULTANT LTD.; FT WORTH SOUTH, INC.; HIGGINBOTHAM INSURANCE AGENCY; HIGHER PRAISE FAMILY CHURCH; KPMG; PRIVATE WEALTH SOLUTIONS INC.; PARKER COUNTY HOSPITAL DISTRICT; TARRANT COUNTY COLLEGE; TARRANT TRANSIT ALLIANCE; THE ABBEY CHURCH; THOS. S. BYRNE, INC.; UNITED WAY OF TARRANT COUNTY; URBAN THEORY; AND Z'S CAFE & CATERING. FINDINGS FROM ALL DATA SOURCES (SECONDARY DATA, INTERVIEWS AND FOCUS GROUPS, AND THE WINDSHIELD SURVEY/OBSERVATIONAL ASSET MAPPING) WERE COMPARED. RECURRING THEMES WERE PULLED AND ANALYZED TO STRATIFY THE TOP MEDICAL AND SOCIAL DETERMINANT OF HEALTH NEEDS. THE OUTLINED NEEDS/BARRIERS WILL INFORM THE DEVELOPMENT OF THE 2020 CHNA IMPLEMENTATION PLAN, WHICH WILL LEVERAGE INTEGRATED STRATEGIES ACROSS THR'S INTERNAL AND EXTERNAL STAKEHOLDERS TO ENHANCE ITS SERVICE AND PROGRAM DELIVERY IN THE TARGET COMMUNITIES.

TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH
PART V, SECTION B, LINE 6A: THE 2019 CHNA FOR THE SOUTHERN REGION WAS DONE IN COLLABORATION WITH TEXAS HEALTH CLEBURNE (THC), TEXAS HEALTH STEPHENVILLE (THS), TEXAS HEALTH KAUFMAN (THK), AND TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH(THH).THE 2019 CHNA FOR THE TARRANT/PARKER COUNTIES REGION WAS CONDUCTED IN COLLABORATION WITH TEXAS HEALTH ALLIANCE (THAL), TEXAS HEALTH ARLINGTON MEMORIAL (THAM), TEXAS HEALTH FORT WORTH (THFW), TEXAS HEALTH SPECIALTY HOSPITAL (THSH), TEXAS HEALTH SOUTHWEST FORT WORTH (THSW), TEXAS HEALTH HEB (THHEB), TEXAS HEALTH AZLE (THAZ), AMH CATH LABS (AMHH), TEXAS HEALTH SOUTHLAKE (THSL), USMD AT ARLINGTON (USMD-ARL), USMD AT FORT WORTH (USMD-FW), AND TEXAS HEALTH HUGULEY (THH).

TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH
PART V, SECTION B, LINE 7D: THE HOSPITAL HAS ADOPTED A POLICY THAT ADDRESSES THE PUBLIC POSTING REQUIREMENTS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. UNDER THIS POLICY, THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS MUST BE POSTED ON THE HOSPITAL'S WEBSITE AT LEAST UNTIL THE DATE THE HOSPITAL FACILITY HAS MADE WIDELY AVAILABLE ON ITS WEBSITE ITS TWO SUBSEQUENT COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS. THE HOSPITAL WILL ALSO MAKE A PAPER COPY OF ITS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST AND WITHOUT CHARGE, AT LEAST UNTIL THE DATE THE HOSPITAL FACILITY HAS MADE AVAILABLE FOR PUBLIC INSPECTION ITS TWO SUBSEQUENT COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.

TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH
"PART V, SECTION B, LINE 11: TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH, D/B/A TEXAS HEALTH HUGULEY WILL BE REFERRED TO IN THIS DOCUMENT AS TEXAS HEALTH HUGULEY OR ""THE HOSPITAL"". TEXAS HEALTH HUGULEY IS PART OF THE MULTI-STATE DIVISION OF ADVENTHEALTH. THE DIVISION INCLUDES 17 HOSPITAL FACILITIES.THIS IS THE SECOND-YEAR UPDATE FOR TEXAS HEALTH HUGULEY'S 2020-2022 COMMUNITY HEALTH PLAN/IMPLEMENTATION STRATEGY. TEXAS HEALTH HUGULEY DEVELOPED THIS PLAN AND POSTED IT BY MAY 2020 AS PART OF ITS 2019 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS.FOR THE DEVELOPMENT OF BOTH THE COMMUNITY HEALTH NEEDS ASSESSMENT AND THE COMMUNITY HEALTH PLAN/IMPLEMENTATION STRATEGY, TEXAS HEALTH HUGULEY WORKED TO DEFINE AND ADDRESS THE NEEDS OF LOW-INCOME, MINORITY AND UNDERSERVED POPULATIONS IN OUR SERVICE AREA. THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT USED PRIMARY DATA INTERVIEWS AND SURVEYS; SECONDARY DATA FROM LOCAL, REGIONAL AND NATIONAL HEALTH-RELATED SOURCES; AND HOSPITAL PREVALENCE DATA TO HELP THE HOSPITAL DETERMINE THE HEALTH NEEDS OF THE COMMUNITY WE SERVE. ONCE THE DATA WAS GATHERED, THE PRIMARY ISSUES IDENTIFIED IN THE NEEDS ASSESSMENT WERE PRIORITIZED BY COMMUNITY AND HOSPITAL STAKEHOLDERS, WHO THEN SELECTED KEY ISSUES FOR THE HOSPITAL TO ADDRESS IN ITS 2020-2022 COMMUNITY HEALTH PLAN. THE SECOND-YEAR PROGRESS ON THE COMMUNITY HEALTH PLAN IS NOTED BELOW. THE NARRATIVE DESCRIBES THE ISSUES IDENTIFIED IN 2019 AND GIVES AN UPDATE ON THE STRATEGIES ADDRESSING THOSE ISSUES. THERE IS ALSO A DESCRIPTION OF THE IDENTIFIED ISSUES THAT THE HOSPITAL DID NOT ADDRESS.TEXAS HEALTH HUGULEY CHOSE THREE PRIORITIES FOR ITS 2020-2022 COMMUNITY HEALTH PLAN: 1. CHRONIC DISEASE PREVENTION AND MANAGEMENT2. BEHAVIORAL HEALTH 3. AWARENESS, HEALTH LITERACY, NAVIGATION PRIORITY 1: CHRONIC DISEASE PREVENTION AND MANAGEMENT 2019 DESCRIPTION OF THE ISSUE:CHRONIC DISEASES ARE THE MAJOR CAUSES OF ILLNESS, DISABILITY AND DEATH IN TEXAS AND ACCOUNT FOR OVER 50% OF ALL DEATHS PER YEAR. THERE IS EVIDENCE THAT THE SOCIAL CONTEXT OF A PERSON'S LIFE DETERMINES THEIR RISK OF EXPOSURE, DEGREE OF SUSCEPTIBILITY AND THE COURSE AND OUTCOME OF CHRONIC DISEASES. CHRONIC CONDITIONS ARE DEVASTATING FOR QUALITY OF LIFE AND ARE COSTLY CONDITIONS TO TREAT AND MANAGE. IN 2014, TEXAS REPORTED OVER $34 BILLION IN HOSPITAL CHARGES RELATED TO JUST THREE CHRONIC DISEASES: HEART DISEASE, CANCER AND STROKE. THERE IS MOUNTING EVIDENCE THAT FOCUSING INTERVENTIONS, POLICIES AND INVESTMENTS ON ADDRESSING STRUCTURAL INEQUITIES CAN IMPROVE THE HEALTH STATUS AND OUTCOMES OF VULNERABLE POPULATIONS, THEREBY REDUCING HEALTH DISPARITIES. TEXAS HEALTH HUGULEY BEGAN OFFERING THE CHRONIC DISEASE SELF-MANAGEMENT PROGRAM (CDSMP) IN COLLABORATION WITH LOCAL COMMUNITY PARTNERS IN 2013 TO ADDRESS THE CHRONIC DISEASE PRIORITY IDENTIFIED BY TEXAS HEALTH HUGULEY IN THE TEXAS HEALTH RESOURCES SYSTEM-WIDE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THIS NATIONALLY RECOGNIZED PROGRAM AIMS TO ENABLE INDIVIDUALS TO BUILD THE SELF-CONFIDENCE AND MOTIVATION THEY NEED TO MANAGE THE CHALLENGES OF LIVING WITH A CHRONIC DISEASE. PARTICIPANTS ARE ADULTS EXPERIENCING CHRONIC HEALTH CONDITIONS SUCH AS HYPERTENSION, ARTHRITIS, HEART DISEASE, STROKE, LUNG DISEASE AND DIABETES. THE PROGRAM PROVIDES EDUCATIONAL INFORMATION AND SKILL-BUILDING PRACTICE OVER SIX WEEKS. INITIALLY, THE PROGRAM WORKSHOPS WERE EXCLUSIVELY IN-PERSON.TEXAS HEALTH RESOURCES (THR) MISSION IS TO ""IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE"". THR TAKES ITS RESPONSIBILITY TO ITS COMMUNITIES VERY SERIOUSLY AND INVESTS CHARITABLE RESOURCES TO PROMOTE GOOD HEALTH AND PREVENT DISEASE. THR PROVIDES HEALTHCARE TO THOSE WHO DO NOT HAVE THE MEANS TO PAY. ITS HOSPITALS ALSO CONDUCT A VARIETY OF PROGRAMS DESIGNED TO IMPROVE HEALTH AND PREVENT ILLNESS IN THE COMMUNITY. THR'S COMMUNITY HEALTH IMPROVEMENT STRATEGIES ARE DRIVEN BY THE COMMUNITY HEALTH NEEDS AND ARE COMMUNITY-BASED.THE HOSPITAL COMMUNITY BENEFIT STRATEGY INCLUDES CONFRONTING HEALTH PROBLEMS AT ITS SOURCE AND EMPHASIZES HEALTH PROMOTION, DISEASE PREVENTION AND EARLY DETECTION AND TREATMENT OF ILLNESS. THE HOSPITAL PROVIDED FREE SCREENINGS AND SUPPORT CLASSES FOR CHRONIC CONDITIONS SUCH AS DIABETES AND CANCER TO IMPROVE THE CHANCES OF EARLY DETECTION AND TREATMENT OF THESE CONDITIONS. SPECIFICALLY, THE HOSPITAL PROVIDED 30 DIABETES SUPPORT CLASSES AND LOGGED EIGHT VOLUNTEER HOURS FOR DIABETES SCREENINGS. ADDITIONALLY, THE HOSPITAL PROVIDED 45 MAMMOGRAMS, THREE COLONOSCOPIES, EIGHT HOURS OF SERVICE AT COMMUNITY EVENTS AND SIX SUPPORT CLASSES FOR COMMUNITY MEMBERS. THR HOSPITALS ALSO PROVIDE FREE CHILDHOOD AND FLU IMMUNIZATIONS TO THE UNINSURED AND HIGH-RISK POPULATIONS, IN ADDITION TO CHILD AUTO PASSENGER SAFETY SEATS TO NEW PARENTS. 2021 UPDATE: WHEN THE CORONAVIRUS PANDEMIC IMPACTED TEXAS, TEXAS HEALTH HUGULEY TOOK PROACTIVE MEASURES TO MINIMIZE THE RISK OF EXPOSURE TO ITS PARTICIPANTS AND STAFF BY MOVING CLASSES AND WORKSHOPS TO A VIRTUAL FORMAT WITH THE COLLABORATING PARTNERS' SUPPORT. AS A RESULT, THR AND ITS COLLABORATING AGENCIES PROVIDED 15 CDSMP WORKSHOPS SERVING 25 INDIVIDUALS IN THE HOSPITAL'S SERVICE AREA IN 2021, OF WHICH 30% WERE RESIDENTS IN HIGH NEED ZIP CODES, AS IDENTIFIED IN THE 2019 CHNA. DESPITE THE CHALLENGES OF WORKING WITH THE DISTANCE LEARNING FORMATS, 80% OF THE PARTICIPANTS GRADUATED (ATTENDED FOUR OR MORE OF THE SIX SESSIONS), YIELDING A 20% INCREASE IN THE GRADUATION RATE FROM THE PRIOR YEAR.BEFORE THE ONSET OF COVID-19, TEXAS HEALTH HUGULEY PLANNED TO ADDRESS CHRONIC DISEASE PREVENTION AND MANAGEMENT THROUGH SEVERAL AVENUES. THESE AVENUES INCLUDE FREE COMMUNITY EDUCATION EVENTS (DIABETES, HEART ATTACK AND STROKE) AND COMMUNITY EDUCATION ON ANNUAL SCREENINGS FOR CANCER PREVENTION (BREAST, LUNG, COLON). MOREOVER, TEXAS HEALTH HUGULEY PLANNED FOR LOCAL SPEAKING ENGAGEMENTS WITH PHYSICIANS RELEVANT TO EACH AREA OF OPPORTUNITY (SCHOOLS, CHURCHES, CITY EVENTS, ETC.). THESE ENGAGEMENTS AND INITIATIVES CHANGED DUE TO THE CIRCUMSTANCES OF THE PANDEMIC. IN 2020, TEXAS HEALTH HUGULEY PIVOTED MANY OF ITS COMMUNITY PROGRAMMING AND RESOURCES TO FOCUS ON THE COVID-19 PANDEMIC. EFFORTS INCLUDED SAFETY GUIDANCE FOR COMMUNITY BUSINESSES, LOCAL SCHOOLS, SIGNAGE AND SUPPLY DONATIONS, FREE COVID-19 TESTING SITES, AND VACCINE CLINICS TO PREVENT THE SPREAD OF THE DISEASE. ADDITIONAL EFFORTS INCLUDED COVID-19 EDUCATION AND SPREADING VACCINATION AWARENESS THROUGHOUT THE HOSPITAL'S SERVICE AREAS. TEXAS HEALTH HUGULEY PARTNERED WITH THE CITY OF BURLESON AND BURLESON FIRE DEPARTMENT TO ADMINISTER OVER 15,000 COVID-19 TESTS. IN PARTNERSHIP WITH THE CITY OF BURLESON, TEXAS HEALTH HUGULEY OPENED A COMMUNITY VACCINATION CLINIC AND ADMINISTERED OVER 32,000 COVID-19 VACCINES. THE HOSPITAL SUPPLIED AN ESTIMATED 3,000 OF THE ADMINISTERED VACCINES. THE TEXAS HEALTH HUGULEY HOSPITAL COMMUNITY HEALTH PLAN HAS ONE DESIRED GOAL STATEMENT UNDER THE CHRONIC DISEASE PREVENTION AND MANAGEMENT PRIORITY. 1. INTEGRATE AND STRENGTHEN THE DELIVERY SYSTEMS MECHANISM TO DECREASE HEALTH DISPARITIES AND IMPROVE HEALTH OUTCOMES IN TARGET COMMUNITIESGOAL 1: INTEGRATE AND STRENGTHEN THE DELIVERY SYSTEMS MECHANISM TO DECREASE HEALTH DISPARITIES AND IMPROVE HEALTH OUTCOMES IN TARGET COMMUNITIESOBJECTIVE 1: THE FIRST OBJECTIVE ADDRESSES THE PRIORITY OF CHRONIC DISEASE MANAGEMENT TO INCREASE THE VISIBILITY OF THR'S COMMUNITY HEALTH IMPROVEMENT (CHI) INTERVENTIONS AMONG INTERNAL AND EXTERNAL STAKEHOLDERS TO CREATE OPPORTUNITIES FOR COLLABORATION AND INTEGRATION AT THE DEPARTMENTAL AND SYSTEM LEVELS. THE INITIATIVE IS CONDUCTED THROUGH THE HOSPITAL AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE INITIATIVE PROVIDES MORE VISIBILITY, WHICH WILL INCREASE THE ABILITY OF THE HOSPITAL TO PROVIDE SERVICES IN THE COMMUNITY. THE HOSPITAL MET ITS SET GOAL OF REACHING 300,000 COMMUNITY MEMBERS BY PROVIDING EDUCATION AND AWARENESS FOR CHRONIC DISEASE RESULTING IN ABOUT 320,000 COMMUNITY MEMBERS REACHED. THE SECOND GOAL FOR THE OBJECTIVE WAS MET BY INCREASING THE NUMBER OF PARTNERSHIPS AND COLLABORATIONS ESTABLISHED. TEXAS HEALTH HUGULEY WAS ABLE TO REACH THE 320,000 INDIVIDUALS WITHIN OUR SERVICE AREA THROUGH COLLABORATING WITH THE BELOW MENTIONED PARTNERS TO PROVIDE HEALTH EDUCATION ON SCREENINGS, HEART HEALTH, DIABETES AND OTHER CHRONIC DISEASE AREAS. THE HOSPITAL WAS ABLE TO ESTABLISH OR FURTHER RELATIONSHIPS WITH THE FOLLOWING ORGANIZATIONS: CITY OF BURLESON, BURLESON FIRE DEPARTMENT, AMERICAN CANCER SOCIETY, ATHENA SOCIETY OF BURLESON AND SOUTHWESTERN ADVENTIST UNIVERSITY. *** SEE CONTINUATION OF PART V, SECTION B, LINE 11"

TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH
PART V, SECTION B, LINE 13H: EFFECTIVE MARCH 1, 2020, THE FILING ORGANIZATION'S HOSPITAL FACILITY (OR FACILITIES) AUGMENTED THEIR FINANCIAL ASSISTANCE POLICY WITH A COVID-19 FINANCIAL GRACE ADDENDUM. PURSUANT TO THE COVID-19 FINANCIAL GRACE ADDENDUM, UNINSURED PATIENTS TREATED FOR COVID-19 RELATED EVALUATIONS ARE TO RECEIVE FREE OR DISCOUNTED CARE DEPENDING ON THE PATIENT'S COOPERATION IN SUBMITTING NECESSARY FINANCIAL ASSISTANCE INFORMATION. INSURED PATIENTS TESTED FOR COVID-19 ARE NOT EXPECTED TO HAVE OUT-OF-POCKET EXPENSES BASED ON INSURANCE COMMUNITY RESPONSE TO WAIVE PATIENT FINANCIAL RESPONSIBILITY. IF A PAYER UNEXPECTEDLY FAILS TO WAIVE PATIENT RESPONSIBILITY FOR COVID-19 RELATED TESTING, THE FILING ORGANIZATION WILL NOT BALANCE BILL PATIENTS FOR ANY OUT-OF-POCKET EXPENSES RELATED TO COVID-19. IN ADDITION, PATIENTS WITH EXISTING PAYMENT PLANS ARE PROVIDED OPPORTUNITIES FOR REDUCING THEIR MONTHLY PAYMENTS.

PART V, SECTION B, LINES 7A AND 10A:
LINE 7A. HOSPITAL FACILITY CHNA WEBSITE:WWW.TEXASHEALTHHUGULEY.ORG/HOSPITAL-AND-EMERGENCY-ROOMS/TEXAS-HEALTH-HUGULEY-HOSPITAL-FORT-WORTH-SOUTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS LINE 10A. COMMUNITY HEALTH PLAN (IMPLEMENATION STRATEGIES):WWW.TEXASHEALTHHUGULEY.ORG/HOSPITAL-AND-EMERGENCY-ROOMS/TEXAS-HEALTH-HUGULEY-HOSPITAL-FORT-WORTH-SOUTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS

PART V, SECTION B, LINE 16A, 16B, AND 16C:
16A. FAP WEBSITE:WWW.TEXASHEALTHHUGULEY.ORG/HOSPITAL-AND-EMERGENCY-ROOMS/TEXAS-HEALTH-HUGULEY-HOSPITAL-FORT-WORTH-SOUTH/BILLING-AND-FINANCIAL-SERVICES 16B. FAP APPLICATION WEBSITE:WWW.TEXASHEALTHHUGULEY.ORG/HOSPITAL-AND-EMERGENCY-ROOMS/TEXAS-HEALTH-HUGULEY-HOSPITAL-FORT-WORTH-SOUTH/BILLING-AND-FINANCIAL-SERVICES 16C. PLAIN LANGUAGE SUMMARY OF FAP WEBSITE:WWW.TEXASHEALTHHUGULEY.ORG/HOSPITAL-AND-EMERGENCY-ROOMS/TEXAS-HEALTH-HUGULEY-HOSPITAL-FORT-WORTH-SOUTH/BILLING-AND-FINANCIAL-SERVICES

*** CONTINUATION OF PART V, SECTION B, LINE 11:
"THE CITY OF BURLESON IS A LOCAL GOVERNING BODY THAT COLLABORATES WITH THE BURLESON FIRE DEPARTMENT, WHICH HAS A MISSION TO IMPROVE THE QUALITY OF LIFE AND SAFETY OF THE CITIZENS THROUGH FIRE PREVENTION AND EMERGENCY RESPONSE. THE AMERICAN CANCER SOCIETY IS A NON-PROFIT ORGANIZATION THAT PROMOTES A HEALTHY LIFESTYLE TO HELP PREVENT CANCER. THE ATHENA SOCIETY OF BURLESON IS A NON-PROFIT ORGANIZATION COMPRISED OF WOMEN WITH A MISSION TO CONTRIBUTE TO THEIR COMMUNITY TO IMPROVE THE QUALITY OF LIFE FOR OTHERS. THE SOUTHWESTERN ADVENTIST UNIVERSITY HAS A MISSION TO INSPIRE KNOWLEDGE, FAITH AND SERVICE CENTERED THROUGH CHRIST-CENTERED EDUCATION. OBJECTIVE 2: THE SECOND OBJECTIVE, WHICH ADDRESSES THE PRIORITY OF CHRONIC DISEASE MANAGEMENT, IS TO FINALIZE SUSTAINABILITY PLANS AND COLLECTIVELY SUPPORT STRATEGIES THAT INCREASE RESOURCES, FUNDING AND COLLABORATION OPPORTUNITIES THAT STRENGTHEN THR'S COMMUNITY HEALTH IMPROVEMENT INTERVENTIONS. THE INITIATIVE IS FUNDED AND DEPLOYED THROUGH THE HOSPITAL AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE INITIATIVE PROVIDES RESOURCES, AWARENESS, MONETARY DONATIONS AND EDUCATION TO COMMUNITY ORGANIZATIONS THAT PRESENT OPPORTUNITIES FOR HEALTH IMPROVEMENTS. THE HOSPITAL MET ITS SET GOAL OF DONATING FUNDS IN THE FORM OF SPONSORSHIPS TO OVER 30 COMMUNITY ORGANIZATIONS. TEXAS HEALTH HUGULEY PROVIDED $85,750 TO ORGANIZATIONS LIKE MEALS ON WHEELS ($2,750), CRAZY8 MINISTRIES ($4,000), HARVEST HOUSE ($500), AMERICAN CANCER SOCIETY ($1,000), CASA OF JOHNSON COUNTY ($2,000), COMMUNITY HOSPICE OF TEXAS ($2,500), ONE SAFE PLACE ($500), NEXT STEP WOMEN'S CENTER ($2,500) AND OTHER NON-PROFIT ORGANIZATIONS THAT TOTAL THE AMOUNT OF $70,000. THESE DONATIONS WERE GIVEN TO EACH OF THE ABOVE ORGANIZATIONS TO SUPPORT SPECIFIC EVENTS OR INITIATIVES THAT RELATED TO THE PRIORITY CHRONIC DISEASE PREVENTION. THE HOSPITAL ALSO COLLABORATED WITH 15 OF THE 30 NON-PROFIT ORGANIZATIONS TO PROVIDE FOOD, MEDICAL SCREENINGS (CANCER, DIABETES, HEART HEALTH, BEHAVIORAL HEALTH), VOLUNTEER HOURS AND HEALTH EDUCATION MATERIALS (PRINT COLLATERAL, PROMOTIONAL ITEMS AND SPEAKING ENGAGEMENTS) TO AID THESE ORGANIZATIONS IN IMPROVING THE HEALTH OF THE COMMUNITY AND MANAGING OR PREVENTING CHRONIC DISEASE. OBJECTIVE 3:THE THIRD OBJECTIVE, WHICH ADDRESSES THE PRIORITY OF CHRONIC DISEASE MANAGEMENT, IS TO DEMONSTRATE INNOVATION AT THE DEPARTMENTAL OR SYSTEM-LEVEL FOCUSED ON IMPROVING THE DELIVERY OF HEALTH SERVICES TO OUR TARGET POPULATION/COMMUNITIES. THE INITIATIVE IS CONDUCTED THROUGH THE HOSPITAL AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE INITIATIVE USES THE TEXAS HEALTH HUGULEY'S MOBILE HEALTH BUS TO PROVIDE SERVICES TO THOSE UNABLE TO ACCESS HEALTHCARE DUE TO A LACK OF TRANSPORTATION OR ADEQUATE FINANCIAL RESOURCES. SERVICES INCLUDE IMMUNIZATIONS, WELL WOMEN EXAMS, REGULAR AND SPORTS PHYSICALS, EKG, TB TESTING, FLU SHOTS, SKIN CANCER SCREENING, HEPATITIS A & B VACCINES, BLOOD PRESSURE SCREENINGS AND LAB WORK. THE HOSPITAL MET ITS SET GOAL OF DELIVERING ACCESS TO POPULATIONS IN NINE UNDERPRIVILEGED ZIP CODES OF FAMILIES WHICH INCLUDE ADULTS AND CHILDREN THAT WERE REACHED. DURING THE COURSE OF 2021, 50,000+ COVID VACCINES WERE ADMINISTERED IN OUR COMMUNITY. FROM MAY - OCTOBER OF 2021 THE MOBILE HEALTH BUS WAS ENGAGING IN ITS REGULAR SCHEDULE, VISITING TARGETED ZIP CODES WITHIN OUR PSA TO PROVIDE IMMUNIZATIONS, WELL WOMEN EXAMS, REGULAR AND SPORTS PHYSICALS, EKG, TB TESTING, FLU SHOTS, SKIN CANCER SCREENING, HEPATITIS A & B VACCINES, BLOOD PRESSURE SCREENINGS, LAB WORK , MEDICATIONS AND TREATMENT OPTIONS FOR ADULTS AND CHILDREN RESIDING IN THESE AREAS. DURING THIS TIME THE BUS WAS AVAILABLE 59 TIMES, SERVING 708 PATIENTS. DUE TO MECHANICAL ISSUES WITH THE BUS, ADDITIONAL COMMUNITY OUTREACH WAS ENGAGED IN BY THE STAFF DURING NOVEMBER AND DECEMBER. ACTIVITY INCLUDED SCREENINGS AND IMMUNIZATIONS FOR 300 FAMILIES AT THE CROWLEY HOUSE OF HOPE'S BACK TO SCHOOL FAIR; FOUR SEPARATE FLU CLINICS WHERE 630 FLU SHOTS WERE ADMINISTERED; 9 COMMUNITY CPR CLASSES EDUCATING 35 INDIVIDUALS.PRIORITY 2: BEHAVIORAL HEALTH 2019 DESCRIPTION OF THE ISSUE:BEHAVIORAL HEALTH CONDITIONS AFFECT NEARLY ONE IN FIVE AMERICANS AND OFTEN GOES UNDETECTED AND UNTREATED DUE TO THE FRAGMENTED BEHAVIORAL AND PHYSICAL HEALTH SYSTEMS. IF LEFT UNTREATED, UNCONTROLLED BEHAVIORAL HEALTH CAN LEAD TO HIGH UTILIZATION OF PREVENTABLE HOSPITALIZATION, WHICH IN TURN LEADS TO HIGH HEALTH EXPENSES FOR MANY PATIENTS AND HEALTH CARE SYSTEMS. ACCORDING TO THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA), THE COST OF CARE IS 75 PERCENT HIGHER FOR PEOPLE WITH CO-MORBID BEHAVIORAL AND PHYSICAL HEALTH CONDITIONS. LIMITED HEALTH CARE ACCESS AND UNSAFE ENVIRONMENTS ARE POTENTIAL RISK FACTORS FOR BEHAVIORAL HEALTH DISORDERS. ALSO, EXPOSURES TO VIOLENCE, SOCIAL ISOLATION AND DISCRIMINATION ARE SOURCES OF TOXIC STRESS THAT SIGNIFICANTLY CONTRIBUTE TO THE DEVELOPMENT AND EXACERBATION OF BEHAVIORAL HEALTH DISORDERS. IT IS IMPORTANT TO EMPOWER INDIVIDUALS WITH THE SKILLS AND RESOURCES TO ACCESS AND UTILIZE APPROPRIATE BEHAVIORAL HEALTH SERVICES.2021 UPDATE: IN SEPTEMBER 2020, TEXAS HEALTH HUGULEY LAUNCHED AN ADOLESCENT BEHAVIORAL HEALTH PROGRAM TO MEET THE NEEDS OF YOUTH IN JOHNSON/TARRANT COUNTY SUFFERING FROM MENTAL HEALTH DISABILITIES. THE TIMING OF THE COVID-19 OUTBREAK ALLOWED TEXAS HEALTH HUGULEY TO BECOME A ""HUB"" FOR ADOLESCENTS STRUGGLING AS THEIR FAMILIES NAVIGATED THE CHALLENGES OF THE PANDEMIC INCLUDING THE TRANSITION TO VIRTUAL LEARNING, INCREASES IN DOMESTIC VIOLENCE, ETC. THE ""HUB"" FOR THESE SERVICES ENTAILED PROVIDING FREE WALK-IN OR VIRTUAL ASSESSMENT FOR THOSE WHO ARE CLINICALLY IDENTIFIED AS MENTALLY OR EMOTIONALLY UNSTABLE. THIS WOULD ALSO INCLUDE PROVIDING FREE OF COST THERAPY OR TREATMENT TO THOSE WHO NEED ADDITIONAL RESOURCES TO COPE WITH THE BEHAVIORAL HEALTH ISSUES THAT HAVE BEEN IDENTIFIED FOR EACH INDIVIDUAL. THE ""HUB"" ALSO ENTAILS PROVIDING COUNSELING AND GUIDANCE FREE OF CHARGE TO PARENTS AND FAMILY MEMBERS ON HOW TO ADDRESS THE ISSUES AT HOME. WHILE LAUNCHING THIS PROGRAM, TEXAS HEALTH HUGULEY'S BEHAVIORAL HEALTH DEPARTMENT WAS ABLE TO OFFER FREE SERVICES IN SUPPORT OF COMMUNITY BENEFIT AND MEET THE MENTAL HEALTH NEEDS OF ADULTS IN BOTH AN INPATIENT AND OUTPATIENT SETTING. THE TEXAS HEALTH HUGULEY, COMMUNITY HEALTH PLAN HAS ONE DESIRED GOAL STATEMENTS UNDER THE BEHAVIORAL HEALTH PRIORITY. 1. INTEGRATE AND STRENGTHEN THE DELIVERY SYSTEMS MECHANISM TO DECREASE HEALTH DISPARITIES AND IMPROVE HEALTH OUTCOMES IN TARGET COMMUNITIESGOAL 1: INTEGRATE AND STRENGTHEN THE DELIVERY SYSTEMS MECHANISM TO DECREASE HEALTH DISPARITIES AND IMPROVE HEALTH OUTCOMES IN TARGET COMMUNITIESOBJECTIVE 1: THE FIRST OBJECTIVE, WHICH ADDRESSES THE PRIORITY OF BEHAVIORAL HEALTH, IS TO INCREASE THE VISIBILITY OF THR'S COMMUNITY HEALTH IMPROVEMENT (CHI) INTERVENTIONS AMONG INTERNAL AND EXTERNAL STAKEHOLDERS TO CREATE OPPORTUNITIES FOR COLLABORATION AND INTEGRATION AT THE DEPARTMENTAL AND SYSTEM LEVELS. THE INITIATIVE IS CONDUCTED THROUGH THE HOSPITAL AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. INTERNAL STAKEHOLDERS FROM OUR BEHAVIORAL HEALTH DEPARTMENT WORKED WITH SCHOOL COUNSELORS TO OFFER FREE THERAPY CLASSES AND ASSESSMENTS TO SCHOOL-AGED ADOLESCENTS. THESE SERVICES WERE ALSO OFFERED FREE OF CHARGE TO BEHAVIORAL-HEALTH RELATED NETWORKING GROUPS (BURLESON INDEPENDENT SCHOOL DISTRICT, UNITED WAY, PRIVATE PRACTICES, ADULT AND ADOLESCENT THERAPISTS). THERE WERE 103 ADOLESCENTS SERVED THROUGH THIS EFFORT IN 2021. IN ADDITION, 390 ADULTS WERE PROVIDED WITH FREE MENTAL HEALTH ASSESSMENT SERVICES.OBJECTIVE 2: THE SECOND OBJECTIVE, WHICH ADDRESSES THE PRIORITY OF BEHAVIORAL HEALTH, IS TO FINALIZE SUSTAINABILITY PLANS AND COLLECTIVELY SUPPORT STRATEGIES THAT INCREASE RESOURCES, FUNDING AND COLLABORATION OPPORTUNITIES THAT STRENGTHEN THR'S COMMUNITY HEALTH IMPROVEMENT INTERVENTIONS. THE INITIATIVE IS FUNDED AND DEPLOYED THROUGH TEXAS HEALTH RESOURCES AND THE REPORTING HOSPITAL. THE HOSPITAL MET ITS SET GOAL FOR THE ABOVE OBJECTIVE THROUGH TEXAS HEALTH RESOURCES SYSTEM INVOLVEMENT TOUCHING OUR PRIMARY SERVICE AREA ZIP CODES IN JOHNSON AND SOUTHWEST TARRANT COUNTIES. WITH THE LAUNCH OF THE ADOLESCENT BEHAVIORAL HEALTH PROGRAM IN SEPTEMBER 2020, THE HOSPITAL HAS HAD THE OPPORTUNITY TO GREATLY EXPAND BEHAVIORAL SERVICES FOR THIS POPULATION. IN 2021, 300 ADOLESCENTS WERE SERVED IN THE PROGRAM. THE TEXAS HEALTH HUGULEY BEHAVIORAL HEALTH PROGRAM HAS ALSO CREATED PARTNERSHIPS WITH LOCAL ORGANIZATIONS LIKE UNITED WAY, CENTER FOR AUTISTIC SPECTRUM DISORDER (ASD) AND LOCAL INDEPENDENT SCHOOL DISTRICTS (ISDS) TO OFFER SERVICES AND SPREAD AWARENESS. AN ADDITIONAL 1,929 ADULTS WERE PROVIDED WITH MENTAL HEALTH ASSESSMENT AND TREATMENT DURING 2021. *** SEE CONTINUATION OF PART V, SECTION B, LINE 11"

*** CONTINUATION OF PART V, SECTION B, LINE 11:
TEXAS HEALTH HUGULEY AWARDED $125,000 FROM THE HOSPITAL SYSTEM BUDGET TO THE FOLLOWING COMMUNITY ORGANIZATIONS: BURLESON OPPORTUNITY FUND, CASA OF JOHNSON COUNTY, CRAZY 8 MINISTRIES, HARVEST HOUSE, MEALS ON WHEELS, NEXT STEP WOMEN'S CENTER AND ONE SAFE PLACE. THE AIM OF THIS INITIATIVE WAS TO ADVANCE THE PREVENTION AND MANAGEMENT OF SOCIAL, PHYSICAL, AND BEHAVIORAL HEALTH IN UNDERSERVED COMMUNITIES, WITH THE GOAL OF REDUCING HEALTH DISPARITIES AND IMPROVING HEALTH EQUITY. THE INITIATIVE CALLS ON AGENCIES FROM DIFFERENT SECTORS EDUCATION, HEALTH CARE, GOVERNMENT, GRASSROOTS ORGANIZATIONS, AND OTHERS TO UNITE AGAINST IDENTIFIED ISSUES.PRIORITY 3: AWARENESS, HEALTH LITERACY, NAVIGATION 2019 DESCRIPTION OF THE ISSUE:APPROXIMATELY 80 MILLION ADULTS IN THE UNITED STATES HAVE LIMITED HEALTH LITERACY, WHICH ADVERSELY AFFECTS THE QUALITY AND COST OF HEALTHCARE. EVIDENCE SHOWS THAT POOR HEALTH LITERACY IS ASSOCIATED WITH HIGHER HOSPITALIZATIONS, GREATER USE OF EMERGENCY CARE, LOWER RECEIPTS OF SCREENINGS AND VACCINES, REDUCED ABILITY TO DEMONSTRATE MEDICATION ADHERENCE AND POOR OVERALL HEALTH STATUS AND HIGHER MORTALITY RATES. INDIVIDUALS OR GROUPS THAT LACK ECONOMIC RESOURCES, RESIDE IN NEIGHBORHOODS WITH HIGH CONDITIONS OF CRIME, HAVE LIMITED GREEN SPACE AND GROCERY STORES ARE AT RISK FOR ADVERSE HEALTH OUTCOMES. THERE IS EVIDENCE THAT A PERSON'S ZIP CODE HAS POWERFUL INFLUENCES ON THEIR HEALTH STATUS, ACCESS TO RESOURCES, AND THE ABILITY TO NAVIGATE THOSE RESOURCES.2021 UPDATE: IN 2021, TEXAS HEALTH HUGULEY WAS ABLE TO ADDRESS THIS ISSUE OF AWARENESS, HEALTH LITERACY AND NAVIGATION THROUGH SEVERAL DIFFERENT AVENUES. TEXAS HEALTH HUGULEY'S COMMUNITY CARE CLINIC WAS ABLE TO PROVIDE POST-ACUTE PRIMARY CARE FOLLOW UP FOR UNINSURED INDIVIDUALS UPON BEING DISCHARGED FROM OUR EMERGENCY DEPARTMENT OR AT THE CONCLUSION OF AN INPATIENT STAY. SERVICES INCLUDE OFFICE VISITS, MEDICATION MANAGEMENT, MONETARY ASSISTANCE FOR MEDICATION, HELP WITH NEEDED DME AND GLUCOSE MONITORING DEVICES. CARE CLINIC ASSISTANCE PROVIDED RESOURCES (FUNDING, MEDICATION, REFERRALS) FOR THOSE WITH HIGH BLOOD PRESSURE, DIABETES, HEART DISEASE AND MANY OTHER CHRONIC HEALTH ISSUES. ASSISTANCE RESULTED IN A MONETARY PROVISION OF OVER $1,500 IN PRESCRIPTION MEDICATIONS PLUS ADDITIONAL LAB, X-RAY OR RADIOLOGY SERVICES FOR EACH PATIENT BASED ON INCOME, EMPLOYMENT, INSURANCE STATUS AND OTHER CRITERIA. TEXAS HEALTH HUGULEY'S MOBILE HEALTH BUS WAS ABLE TO AID SURROUNDING JOHNSON/TARRANT COUNTY RESIDENTS THROUGH GIVING VACCINATIONS, PHYSICAL EXAMS, PAP SMEARS, PASSING OUT FREE MAMMOGRAM VOUCHERS AND MEETING MANY OTHER MEDICAL NEEDS. SERVICE AREAS FOCUSED ON THE TOWNS OF EVERMAN, CROWLEY, BURLESON, JOSHUA, GODLEY AND SOUTH FORT WORTH. TO ALLOW PATIENTS TO BETTER NAVIGATE HEALTH ISSUES, TEXAS HEALTH HUGULEY HAS ADDED SEVERAL CLINICAL NAVIGATOR ROLES TO SERVICES INCLUDING ONCOLOGY, ORTHOPEDICS AND SPINE. THESE ROLES ARE NOT ONLY USED TO NAVIGATE PATIENTS WITHIN THE SERVICE LINES BUT ARE REQUIRED TO PARTICIPATE IN FINDING OUTSIDE COMMUNITY BENEFIT OPPORTUNITIES TO SERVICE THOSE WHO NEED ACCESS TO THESE SERVICES BUT CANNOT AFFORD THEM. ADDITIONAL EDUCATOR ROLES HAVE BEEN ADDED TO DEPARTMENTS LIKE WOMEN'S SERVICES AND CRITICAL CARE TO MAKE EACH PATIENT'S JOURNEY AS STREAMLINED AS POSSIBLE AND PROVIDE ADDITIONAL EDUCATION NEEDED FREE OF CHARGE.THE HOSPITAL IS A PART OF SEVERAL COMMUNITY COLLABORATIONS THAT WORKED ON CONTRIBUTING TO THIS PRIORITY, INCLUDING: CRAZY 8 MINISTRIES, PARTNERSHIPS WITH LOCALS ISDS, NEXT STEP WOMEN'S CENTER, ONE SAFE PLACE AND THE BURLESON AREA CHAMBER OF COMMERCE. THE EFFORTS DESCRIBED ARE FOR THE INDIVIDUAL FACILITY, TEXAS HEALTH HUGULEY, TO ADDRESS THIS ISSUE IS PROVIDING CONSISTENT EDUCATIONAL OPPORTUNITIES, AS WELL AS STAFFING AND MATERIALS FOR THE MOBILE HEALTH BUS AND OFFERING COMMUNITY EDUCATION AND SUPPORT CLASSES DURING A PANDEMIC.THE COMMUNITY HEALTH PLAN HAS ONE DESIRED GOAL STATEMENTS UNDER THE AWARENESS, HEALTH LITERACY, NAVIGATION PRIORITY. 1. INTEGRATE AND STRENGTHEN THE DELIVERY SYSTEMS MECHANISM TO DECREASE HEALTH DISPARITIES AND IMPROVE HEALTH OUTCOMES IN TARGET GOAL 1: INTEGRATE AND STRENGTHEN THE DELIVERY SYSTEMS MECHANISM TO DECREASE HEALTH DISPARITIES AND IMPROVE HEALTH OUTCOMES IN TARGET OBJECTIVE 1: THE FIRST OBJECTIVE WHICH ADDRESSES THE PRIORITY OF AWARENESS, HEALTH LITERACY AND NAVIGATION, IS TO INCREASE THE VISIBILITY OF THR'S COMMUNITY HEALTH IMPROVEMENT (CHI) INTERVENTIONS AMONG INTERNAL AND EXTERNAL STAKEHOLDERS TO CREATE OPPORTUNITIES FOR COLLABORATION AND INTEGRATION AT THE DEPARTMENTAL AND SYSTEM LEVELS. THE INITIATIVE IS CONDUCTED THROUGH TEXAS HEALTH HUGULEY AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THIS INITIATIVE WILL AIM TO PROVIDE WAYS TO MAKE IT EASIER FOR THE TARGET POPULATION TO ACCESS HEALTH EDUCATION, SUPPLIES AND SERVICES THEY NEED TO CARE FOR THEMSELVES AND THEIR FAMILIES. THE HOSPITAL MET ITS SET GOAL OF REACHING INDIVIDUALS IN PRIMARY SERVICE AREA ZIP CODES (76133, 76123, 76140, 76036 TARRANT, 76028, 76058, 76059, 76031, 76009 JOHNSON) THROUGH EDUCATION PROGRAMS SUCH AS DIABETES EDUCATION PROGRAM, COLLABORATIONS WITH ORGANIZATIONS, SPEAKING ENGAGEMENTS AND DISTRIBUTING MATERIALS AT COMMUNITY EVENTS. SPECIFICALLY, THE HOSPITAL PROVIDED A MOBILE HEALTH SERVICES CLINIC, COMMUNITY CARE CLINIC, BEHAVIORAL HEALTH PROGRAM, PARTNERSHIPS AND COLLABORATIONS WITH VARIOUS ORGANIZATIONS AND STAKEHOLDERS THAT AID IN ACCESS AND LITERACY AND AWARENESS (I.E. MEALS ON WHEELS, HARVEST HOUSE, ETC.).OBJECTIVE 2: THE SECOND OBJECTIVE WHICH ADDRESSES THE PRIORITY OF AWARENESS, HEALTH LITERACY AND NAVIGATION, IS TO FINALIZE SUSTAINABILITY PLANS AND COLLECTIVELY SUPPORT STRATEGIES THAT INCREASE RESOURCES, FUNDING AND COLLABORATION OPPORTUNITIES THAT STRENGTHEN THR'S COMMUNITY HEALTH IMPROVEMENT INTERVENTIONS.THE INITIATIVE IS CONDUCTED THROUGH TEXAS HEALTH HUGULEY AND TEXAS HEALTH RESOURCES AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE INITIATIVE TO FINALIZE SUSTAINABILITY AND STRATEGY PLANS IS TO CONTINUE TO OFFER SERVICES IN OUR AREA THAT PROVIDE EDUCATION, AWARENESS, LITERACY AND ACCESS TO HEALTH SERVICES AND SUPPLIES FOR THE TARGET POPULATIONS. THIS WILL BE ACCOMPLISHED THROUGH COLLABORATING WITH COMMUNITY STAKEHOLDERS AND LOCAL ORGANIZATIONS TO ATTEND COMMUNITY EVENTS, OFFER EDUCATION THROUGH SPEAKING ENGAGEMENTS AND CONTINUE DISTRIBUTING MATERIALS.THE HOSPITAL MET IT'S SET METRIC OF REACHING 330,000 INDIVIDUALS IN THE HOSPITAL'S SERVICE AREA THAT BENEFITED FROM EDUCATION, SUPPLIES OR SERVICES THAT TEXAS HEALTH HUGULEY WAS ABLE TO OFFER. THIS WAS DONE THROUGH COMMUNITY ENGAGEMENTS AND EVENTS, CLINICIAN EDUCATION SESSIONS AND SPEAKING EVENTS AS WELL AS NON-PAID SOCIAL AND EMAIL CAMPAIGNS TO EDUCATE INDIVIDUALS. ADDITIONALLY, THE HOSPITAL CONTINUED TO WORK WITH INTERNAL DEPARTMENTS TO CREATE STRATEGIES AND PLANS TO FURTHER REACH OUR COMMUNITY TO MEET THIS NEED. FOUR EXAMPLES OF THIS INCLUDE OUR FAITH COMMUNITY COMMITTEE IN COLLABORATION WITH BEHAVIORAL HEALTH, COMMUNITY STRATEGY COMMITTEE IN PARTNERSHIP WITH KEY STAKEHOLDERS IN OUR COMMUNITY, AND NEW INITIATIVES WITH BOTH OUR BEHAVIORAL HEALTH AND PASTORAL CARE DEPARTMENTS THAT OFFER EDUCATION AND SERVICES ON GRIEF AND MENTAL HEALTH. OBJECTIVE 3:THE THIRD OBJECTIVE WHICH ADDRESSES THE PRIORITY OF AWARENESS, HEALTH LITERACY AND NAVIGATION, IS TO DEMONSTRATE INNOVATION AT THE DEPARTMENTAL OR SYSTEM-LEVEL FOCUSED ON IMPROVING THE DELIVERY OF HEALTH SERVICES TO OUR TARGET POPULATION/COMMUNITIES. THE INITIATIVE IS CONDUCTED THROUGH TEXAS HEALTH RESOURCES AND TEXAS HEALTH HUGULEY AND ALL OUTCOMES ARE SPECIFIC TO THE REPORTING HOSPITAL. THE INITIATIVE PROVIDES ACCESS TO HEALTH CARE AND THE KNOWLEDGE OF HEALTH CARE THROUGH STRATEGIC PLANNING AND INNOVATION TO REACH TARGETED AUDIENCES. THE HOSPITAL MET ITS SET METRIC OF CREATING TWO NEW, INNOVATIVE WAYS TO STRATEGICALLY DECIDE HOW TO MEET THE NEEDS OF OUR POPULATION. THIS METRIC WAS MET BY IMPLEMENTING THE COMMUNITY STRATEGY COMMITTEE AND FAITH COMMUNITY COMMITTEE. THESE COMMITTEES INCLUDE DEPARTMENT REPRESENTATIVES, EXECUTIVES AND KEY STAKEHOLDERS IN THE COMMUNITY THAT GET TOGETHER MONTHLY TO ASSESS AND PLAN WHERE HOSPITAL STAFF TIME AND EFFORTS ARE BEING SPENT AND SHOULD BE FOCUSED. IN THESE MEETINGS, INDIVIDUALS ARE TASKED WITH RELATIONSHIP BUILDING AND FINDING WAYS FOR THE HOSPITAL TO PROMOTE HEALTH SERVICES AND EDUCATE THE COMMUNITY BETTER. *** SEE CONTINUATION OF PART V, SECTION B, LINE 11

*** CONTINUATION OF PART V, SECTION B, LINE 11:
COMMUNITY NEEDS NOT CHOSEN BY TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH:THE PRIMARY AND SECONDARY DATA IN THE COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED MULTIPLE COMMUNITY ISSUES. THE HOSPITAL AND COMMUNITY STAKEHOLDERS USED THE FOLLOWING CRITERIA TO NARROW THE LARGER LIST TO THE PRIORITY AREAS NOTED ABOVE:1. HOW ACUTE IS THE NEED? (BASED ON DATA AND COMMUNITY CONCERN)2. WHAT IS THE TREND? IS THE NEED GETTING WORSE?3. DOES THE HOSPITAL PROVIDE SERVICES THAT RELATE TO THE PRIORITY? 4. IS SOMEONE ELSE - OR MULTIPLE GROUPS - IN THE COMMUNITY ALREADY WORKING ON THIS ISSUE? 5. IF THE HOSPITAL WERE TO ADDRESS THIS ISSUE, ARE THERE OPPORTUNITIES TO WORK WITH COMMUNITY PARTNERS? BASED ON THIS PRIORITIZATION PROCESS, THE HOSPITAL DID NOT CHOOSE THE FOLLOWING COMMUNITY ISSUES:1. TRANSPORTATION: A POOR TRANSPORTATION SYSTEM PREVENTS THOSE WHO DO NOT OWN A CAR OR HAVE RELIABLE TRANSPORTATION FROM ACCESSING HEALTH CARE. TRANSPORTATION BARRIERS LEAD TO RESCHEDULED OR MISSED APPOINTMENTS, DELAYED CARE AND MISSED OR DELAYED MEDICATION USE. 2. HEART DISEASE & STROKE: THOUGH NOT A PRIORITIZED AREA, THE HOSPITAL HAS CERTIFICATIONS IN STROKE AND CHEST PAIN. THE HOSPITAL WILL PROMOTE HEART HEALTH EDUCATION IN THE COMMUNITY ON EACH TOPIC AND PARTNER WITH COMMUNITY ORGANIZATIONS AS NECESSARY.3. CANCER: CANCER IS THE SECOND LEADING CAUSE OF DEATH IN THE U.S. WITH OVER 100 TYPES. MANY ARE PREVENTABLE AND RESEARCH ADVANCES IN DETECTION AND TREATMENT HAVE GREATLY IMPROVED SURVIVAL RATES. THE HOSPITAL WILL CONTINUE TO PARTICIPATE BY SUPPORTING REFERRALS FROM SUSAN G. KOMEN FOUNDATION AND MONCRIEF CANCER INSTITUTE TO PROVIDE MAMMOGRAPHY, CLINICAL BREAST EXAMINATIONS AND PAP SMEARS.

PART I, LINE 7:
THE AMOUNTS OF COSTS REPORTED IN THE TABLE IN LINE 7 OF PART I OF SCHEDULE H WERE DETERMINED BY UTILIZING A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, CONTAINED IN THE SCHEDULE H INSTRUCTIONS.

PART III, LINE 2:
THE AMOUNT OF BAD DEBT EXPENSE REPORTED ON LINE 2 OF SECTION A OF PART III IS RECORDED IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED AS ADJUSTMENTS TO REVENUE, NOT BAD DEBT EXPENSE.

PART III, LINE 3:
METHODOLOGY FOR DETERMINING THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE THAT MAY REPRESENT PATIENTS WHO COULD HAVE QUALIFIED UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY:SELF-PAY PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE BY COMPLETING A FINANCIAL ASSISTANCE APPLICATION FORM (FAA FORM). IF AN INDIVIDUAL DOES NOT SUBMIT A COMPLETE FAA FORM WITHIN 240 DAYS AFTER THE FIRST POST-DISCHARGE BILLING STATEMENT IS SENT TO THE INDIVIDUAL, AN INDIVIDUAL MAY BE CONSIDERED FOR PRESUMPTIVE ELIGIBILITY BASED UPON A SCORING TOOL THAT IS DESIGNED TO CLASSIFY PATIENTS INTO GROUPS OF VARYING ECONOMIC MEANS. THE SCORING TOOL USES ALGORITHMS THAT INCORPORATE DATA FROM CREDIT BUREAUS, DEMOGRAPHIC DATABASES, AND HOSPITAL SPECIFIC DATA TO INFER AND CLASSIFY PATIENTS INTO RESPECTIVE ECONOMIC MEANS CATEGORIES. INDIVIDUALS WHO EARN A CERTAIN SCORE ON THE SCORING TOOL ARE CONSIDERED TO QUALIFY AS ELIGIBLE FOR THE MOST GENEROUS FINANCIAL ASSISTANCE UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. AS DETERMINED BY THE FILING ORGANIZATION, A NOMINAL AMOUNT OF SUCH A PATIENT'S BILL IS WRITTEN OFF AS BAD DEBT EXPENSE, WHILE THE REMAINING PORTION OF THE PATIENT'S BILL IS CONSIDERED NON-STATE CHARITY. THE AMOUNT WRITTEN OFF AS BAD DEBT EXPENSE FOR THOSE PATIENTS WHO POTENTIALLY QUALIFY AS NON-STATE CHARITY USING THE SCORING TOOL IS THE AMOUNT SHOWN ON LINE 3 OF SECTION A OF PART III. RATIONALE FOR INCLUDING CERTAIN BAD DEBTS IN COMMUNITY BENEFIT:THE FILING ORGANIZATION IS DEDICATED TO THE VIEW THAT MEDICALLY NECESSARY HEALTH CARE FOR EMERGENCY AND NON-ELECTIVE PATIENTS SHOULD BE ACCESSIBLE TO ALL, REGARDLESS OF AGE, GENDER, GEOGRAPHIC LOCATION, CULTURAL BACKGROUND, PHYSICIAN MOBILITY, OR ABILITY TO PAY. THE FILING ORGANIZATION TREATS EMERGENCY AND NON-ELECTIVE PATIENTS REGARDLESS OF THEIR ABILITY TO PAY OR THE AVAILABILITY OF THIRD-PARTY COVERAGE. BY PROVIDING HEALTH CARE TO ALL WHO REQUIRE EMERGENCY OR NON-ELECTIVE CARE IN A NON-DISCRIMINATORY MANNER, THE FILING ORGANIZATION IS PROVIDING HEALTH CARE TO THE BROAD COMMUNITY IT SERVES. AS A 501(C)(3) HOSPITAL ORGANIZATION, THE FILING ORGANIZATION MAINTAINS A 24/7 EMERGENCY ROOM PROVIDING CARE TO ALL WHOM PRESENT. WHEN A PATIENT'S ARRIVAL AND/OR ADMISSION TO THE FACILITY BEGINS WITHIN THE EMERGENCY DEPARTMENT, TRIAGE AND MEDICAL SCREENING ARE ALWAYS COMPLETED PRIOR TO REGISTRATION STAFF PROCEEDING WITH THE DETERMINATION OF A PATIENT'S SOURCE OF PAYMENT. IF THE PATIENT REQUIRES ADMISSION AND CONTINUED NON-ELECTIVE CARE, THE FILING ORGANIZATION PROVIDES THE NECESSARY CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY. THE FILING ORGANIZATION'S OPERATION OF A 24/7 EMERGENCY DEPARTMENT THAT ACCEPTS ALL INDIVIDUALS IN NEED OF CARE PROMOTES THE HEALTH OF THE COMMUNITY THROUGH THE PROVISION OF CARE TO ALL WHOM PRESENT. CURRENT INTERNAL REVENUE SERVICE GUIDANCE THAT TAX-EXEMPT HOSPITALS MAINTAIN SUCH EMERGENCY ROOMS WAS ESTABLISHED TO ENSURE THAT EMERGENCY CARE WOULD BE PROVIDED TO ALL WITHOUT DISCRIMINATION. THE TREATMENT OF ALL AT THE FILING ORGANIZATION'S EMERGENCY DEPARTMENT IS A COMMUNITY BENEFIT. UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, EVERY EFFORT IS MADE TO OBTAIN A PATIENT'S NECESSARY FINANCIAL INFORMATION TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, NOT ALL PATIENTS WILL COOPERATE WITH SUCH EFFORTS AND A FINANCIAL ASSISTANCE ELIGIBILITY DETERMINATION CANNOT BE MADE BASED UPON INFORMATION SUPPLIED BY THE INDIVIDUAL. IN THIS CASE, A PATIENT'S PORTION OF A BILL THAT REMAINS UNPAID FOR A CERTAIN STIPULATED TIME PERIOD IS WHOLLY OR PARTIALLY CLASSIFIED AS BAD DEBT. BAD DEBTS ASSOCIATED WITH PATIENTS WHO HAVE RECEIVED CARE THROUGH THE FILING ORGANIZATION'S EMERGENCY DEPARTMENT SHOULD BE CONSIDERED COMMUNITY BENEFIT AS CHARITABLE HOSPITALS EXIST TO PROVIDE SUCH CARE IN PURSUIT OF THEIR PURPOSE OF MEETING THE NEED FOR EMERGENCY MEDICAL CARE SERVICES AVAILABLE TO ALL IN THE COMMUNITY.

PART III, LINE 4:
FINANCIAL STATEMENT FOOTNOTE RELATED TO ACCOUNTS RECEIVABLE AND ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS:THE FINANCIAL INFORMATION OF THE FILING ORGANIZATION IS INCLUDED IN A CONSOLIDATED AUDITED FINANCIAL STATEMENT FOR THE CURRENT YEAR.THE APPLICABLE FOOTNOTE FROM THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ADDRESSES ACCOUNTS RECEIVABLE, THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS, AND THE PROVISION FOR BAD DEBTS CAN BE FOUND ON PAGES 6 THROUGH 8.

PART VI, LINE 7, REPORTS FILED WITH STATES
TX

PART III, LINE 8:
COSTING METHODOLOGY: MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST-TO-CHARGE RATIO.RATIONALE FOR INCLUDING A MEDICARE SHORTFALL AS COMMUNITY BENEFIT:AS A 501(C)(3) ORGANIZATION, THE FILING ORGANIZATION PROVIDES EMERGENCY AND NON-ELECTIVE CARE TO ALL REGARDLESS OF ABILITY TO PAY. ALL HOSPITAL SERVICES ARE PROVIDED IN A NON-DISCRIMINATORY MANNER TO PATIENTS WHO ARE COVERED BENEFICIARIES UNDER THE MEDICARE PROGRAM. AS A PUBLIC INSURANCE PROGRAM, MEDICARE PROVIDES A PRE-ESTABLISHED REIMBURSEMENT RATE/AMOUNT TO HEALTH CARE PROVIDERS FOR THE SERVICES THEY PROVIDE TO PATIENTS. IN SOME CASES, THE REIMBURSEMENT AMOUNT PROVIDED TO A HOSPITAL MAY EXCEED ITS COSTS OF PROVIDING A PARTICULAR SERVICE OR SERVICES TO A PATIENT. IN OTHER CASES, THE MEDICARE REIMBURSEMENT AMOUNT MAY RESULT IN THE HOSPITAL EXPERIENCING A SHORTFALL OF REIMBURSEMENT RECEIVED OVER COSTS INCURRED. IN THOSE CASES WHERE AN OVERALL SHORTFALL IS GENERATED FOR PROVIDING SERVICES TO ALL MEDICARE PATIENTS, THE SHORTFALL AMOUNT SHOULD BE CONSIDERED AS A BENEFIT TO THE COMMUNITY. TAX-EXEMPT HOSPITALS ARE REQUIRED TO ACCEPT ALL MEDICARE PATIENTS REGARDLESS OF THE PROFITABILITY, OR LACK THEREOF, WITH RESPECT TO THE SERVICES THEY PROVIDE TO MEDICARE PATIENTS. THE POPULATION OF INDIVIDUALS COVERED UNDER THE MEDICARE PROGRAM IS SUFFICIENTLY LARGE SO THAT THE PROVISION OF SERVICES TO THE POPULATION IS A BENEFIT TO THE COMMUNITY AND RELIEVES THE BURDENS OF GOVERNMENT. IN THOSE SITUATIONS WHERE THE PROVISION OF SERVICES TO THE TOTAL MEDICARE PATIENT POPULATION OF A TAX-EXEMPT HOSPITAL DURING ANY YEAR RESULTS IN A SHORTFALL OF REIMBURSEMENT RECEIVED OVER THE COST OF PROVIDING CARE, THE TAX-EXEMPT HOSPITAL HAS PROVIDED A BENEFIT TO A CLASS OF PERSONS BROAD ENOUGH TO BE CONSIDERED A BENEFIT TO THE COMMUNITY. DESPITE A FINANCIAL SHORTFALL, A TAX-EXEMPT HOSPITAL MUST AND WILL CONTINUE TO ACCEPT AND CARE FOR MEDICARE PATIENTS. TYPICALLY, TAX-EXEMPT HOSPITALS PROVIDE HEALTH CARE SERVICES BASED UPON AN ASSESSMENT OF THE HEALTH CARE NEEDS OF THEIR COMMUNITY AS OPPOSED TO THEIR TAXABLE COUNTERPARTS WHERE PROFITABILITY OFTEN DRIVES DECISIONS ABOUT PATIENT CARE SERVICES THAT ARE OFFERED. PATIENT CARE PROVIDED BY TAX-EXEMPT HOSPITALS THAT RESULTS IN MEDICARE SHORTFALLS SHOULD BE CONSIDERED AS PROVIDING A BENEFIT TO THE COMMUNITY AND RELIEVING THE BURDENS OF GOVERNMENT.

PART III, LINE 9B:
THE HOSPITAL FILING ORGANIZATION'S COLLECTION PRACTICES ARE IN CONFORMITY WITH THE REQUIREMENTS SET FORTH IN THE 2014 FINAL REGULATIONS REGARDING THE REQUIREMENTS OF INTERNAL REVENUE CODE SECTION 501(R)(4) - (R)(6). NO EXTRAORDINARY COLLECTION ACTIONS (ECA'S) ARE INITIATED BY THE HOSPITAL FILING ORGANIZATION IN THE 120-DAY PERIOD FOLLOWING THE DATE AFTER THE FIRST POST-DISCHARGE BILLING STATEMENT IS SENT TO THE INDIVIDUAL (OR, IF LATER, THE SPECIFIED DEADLINE GIVEN IN A WRITTEN NOTICE OF ACTIONS THAT MAY BE TAKEN, AS DESCRIBED BELOW). INDIVIDUALS ARE PROVIDED WITH AT LEAST ONE WRITTEN NOTICE (NOTICE OF ACTIONS THAT MAY BE TAKEN) AND A COPY OF THE FILING ORGANIZATION'S PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY THAT INFORMS THE INDIVIDUAL THAT THE HOSPITAL FILING ORGANIZATION MAY TAKE ACTIONS TO REPORT ADVERSE INFORMATION TO CREDIT REPORTING AGENCIES/BUREAUS IF THE INDIVIDUAL DOES NOT SUBMIT A FINANCIAL ASSISTANCE APPLICATION FORM (FAA FORM) OR PAY THE AMOUNT DUE BY A SPECIFIED DEADLINE. THE SPECIFIED DEADLINE IS NOT EARLIER THAN 120 DAYS AFTER THE FIRST POST-DISCHARGE BILLING STATEMENT IS SENT TO THE INDIVIDUAL AND IS AT LEAST 30 DAYS AFTER THE NOTICE IS PROVIDED. A REASONABLE ATTEMPT IS ALSO MADE TO ORALLY NOTIFY AN INDIVIDUAL ABOUT THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY AND HOW THE INDIVIDUAL MAY OBTAIN ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. IF AN INDIVIDUAL SUBMITS AN INCOMPLETE FAA FORM DURING THE 240-DAY PERIOD FOLLOWING THE DATE ON WHICH THE FIRST POST-DISCHARGE BILLING STATEMENT WAS SENT TO THE INDIVIDUAL, THE HOSPITAL FILING ORGANIZATION SUSPENDS ANY REPORTING TO CONSUMER CREDIT REPORTING AGENCIES/BUREAUS (OR CEASES ANY OTHER ECA'S) AND PROVIDES A WRITTEN NOTICE TO THE INDIVIDUAL DESCRIBING WHAT ADDITIONAL INFORMATION OR DOCUMENTATION IS NEEDED TO COMPLETE THE FAA FORM. THIS WRITTEN NOTICE CONTAINS CONTACT INFORMATION INCLUDING THE TELEPHONE NUMBER AND PHYSICAL LOCATION OF THE HOSPITAL FACILITY'S OFFICE OR DEPARTMENT THAT CAN PROVIDE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY, AS WELL AS CONTACT INFORMATION OF THE HOSPITAL FACILITY'S OFFICE OR DEPARTMENT THAT CAN PROVIDE ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS OR, ALTERNATIVELY, A NONPROFIT ORGANIZATION OR GOVERNMENTAL AGENCY THAT CAN PROVIDE ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS IF THE HOSPITAL FACILITY IS UNABLE TO DO SO. IF AN INDIVIDUAL SUBMITS A COMPLETE FAA FORM WITHIN A REASONABLE TIME-PERIOD AS SET FORTH IN THE NOTICE DESCRIBED ABOVE, THE HOSPITAL FILING ORGANIZATION WILL SUSPEND ANY ADVERSE REPORTING TO CONSUMER CREDIT REPORTING AGENCIES/BUREAUS UNTIL A FINANCIAL ASSISTANCE POLICY ELIGIBILITY DETERMINATION CAN BE MADE.

SUPPLEMENTAL SCHEDULE TO SCHEDULE H, PART III, SECTION B, LINE 8
RECONCILIATION OF SCHEDULE H REPORTED MEDICARE SURPLUS/(SHORTFALL) TO UNREIMBURSED MEDICARE COSTS ASSOCIATED WITH THE PROVISION OF SERVICESTO ALL MEDICARE BENEFICIARIES:THE MEDICARE REVENUE AND ALLOWABLE COSTS OF CARE REPORTED IN SECTION B OF PART III OF SCHEDULE H ARE BASED UPON THE AMOUNTS REPORTED IN THE FILING ORGANIZATION'S MEDICARE COST REPORT IN ACCORDANCE WITH THE IRS INSTRUCTIONS FOR SCHEDULE H. ON AN ANNUAL BASIS, THE FILING ORGANIZATION ALSO DETERMINES ITS TOTAL UNREIMBURSED COSTS ASSOCIATED WITH PROVIDING SERVICES TO ALL MEDICARE PATIENTS. UNREIMBURSED COSTS ARE CONSIDERED A COMMUNITY BENEFIT TO THE ELDERLY AND ARE COMBINED INTO AN ANNUAL COMMUNITY BENEFIT STATEMENT PREPARED BY ADVENTHEALTH.THE PRIMARY RECONCILING ITEMS BETWEEN THE MEDICARE SURPLUS/(SHORTFALL) SHOWN ON LINE 7 OF SECTION B OF PART III OF SCHEDULE H AND THE FILING ORGANIZATION'S UNREIMBURSED COSTS OF SERVICES PROVIDED TO MEDICARE PATIENTS AS REPORTED IN THE AHS COMMUNITY BENEFIT REPORT ARE AS FOLLOWS:- MEDICARE SURPLUS/(SHORTFALL) SHOWN ON LINE 7 OF SECTION B OF SCHEDULE H: $ 1,422,287- DIFFERENCE IN COSTING METHODOLOGY: (2,000,821)- UNREIMBURSED COSTS INCURRED FOR SERVICES PROVIDED TO MEDICARE PATIENTS THAT ARE NOT INCLUDED IN THE ORGANIZATION'S MEDICARE COST REPORT: (11,095,412) -------------TOTAL UNREIMBURSED COSTS OF SERVING ALL MEDICARE PATIENTS PER THE FILING ORGANIZATION'S COMMUNITY BENEFIT REPORTING: $(11,673,946) AS INDICATED ABOVE, THE PRIMARY DIFFERENCES BETWEEN THE MEDICARE SURPLUS/(SHORTFALL) REPORTED ON SCHEDULE H, PART III, SECTION B, LINE 7 AND THE FILING ORGANIZATION'S PORTION OF THE COMPANY'S ANNUAL COMMUNITY BENEFIT STATEMENT IS DUE TO A DIFFERENCE IN THE COSTING METHODOLOGY AND DIFFERENCES IN THE POPULATION OF MEDICARE PATIENTS WITHIN THE CALCULATION. THE COST METHODOLOGY UTILIZED IN CALCULATING ANY MEDICARE SURPLUS/(SHORTFALL) FOR PURPOSES OF THE ANNUAL COMMUNITY BENEFIT REPORTING IS BASED UPON THE COST-TO-CHARGE RATIO OUTLINED IN WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS. THE SAME COST-TO-CHARGE RATIO IS USED TO DETERMINE THE COSTS ASSOCIATED WITH SERVICES PROVIDED TO CHARITY CARE PATIENTS AND MEDICAID PATIENTS AS REPORTED IN SCHEDULE H, PART I, LINE 7. IN ADDITION, THE MEDICARE COST REPORT EXCLUDES SERVICES PROVIDED TO MEDICARE PATIENTS FOR PHYSICIAN SERVICES, SERVICES PROVIDED TO PATIENTS ENROLLED IN MEDICARE HMOS, AND CERTAIN SERVICES PROVIDED BY OUTPATIENT DEPARTMENTS OF THE FILING ORGANIZATION THAT ARE REIMBURSED ON A FEE SCHEDULE. THE COMPANY'S OWN COMMUNITY BENEFIT STATEMENT CAPTURES THE UNREIMBURSED COST OF PROVIDING SERVICES TO ALL MEDICARE BENEFICIARIES THROUGHOUT THE ORGANIZATION.

PART VI, LINE 2:
THE HOSPITAL CONDUCTS COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) EVERY THREE YEARS. ITS 2019 CHNA WAS ADOPTED BY ITS GOVERNING BOARD BY DECEMBER 31, 2019, THE END OF THE HOSPITAL'S TAXABLE YEAR IN WHICH IT CONDUCTED THE CHNA. THE HOSPITAL'S 2019 CHNA COMPLIED WITH THE GUIDANCE SET FORTH BY THE IRS IN FINAL REGULATION SECTION 1.501(R)-3. IN ADDITION TO THE CHNA DISCUSSED ABOVE, A VARIETY OF PRACTICES AND PROCESSES ARE IN PLACE TO ENSURE THAT THE FILING ORGANIZATION IS RESPONSIVE TO THE HEALTH NEEDS OF ITS COMMUNITY.SUCH PRACTICES AND PROCESSES INVOLVE THE FOLLOWING:1. A HOSPITAL OPERATING/COMMUNITY BOARD COMPOSED OF INDIVIDUALS BROADLY REPRESENTATIVE OF THE COMMUNITY, COMMUNITY LEADERS, AND THOSE WITH SPECIALIZED MEDICAL TRAINING AND EXPERTISE;2. POST-DISCHARGE PATIENT FOLLOW-UP RELATED TO THE ON-GOING CARE AND TREATMENT OF PATIENTS WHO SUFFER FROM CHRONIC DISEASES; 3. SPONSORSHIP AND PARTICIPATION IN COMMUNITY HEALTH AND WELLNESS ACTIVITIES THAT REACH A BROAD SPECTRUM OF THE FILING ORGANIZATION'S COMMUNITY; AND 4. COLLABORATION WITH OTHER LOCAL COMMUNITY GROUPS TO ADDRESS THE HEALTH CARE NEEDS OF THE FILING ORGANIZATION'S COMMUNITY.

PART VI, LINE 3:
THE FINANCIAL ASSISTANCE POLICY (FAP), FINANCIAL ASSISTANCE APPLICATION FORM (FAA FORM), AND THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY (PLS) OF THE FILING ORGANIZATION'S HOSPITAL FACILITY ARE TRANSPARENT AND AVAILABLE TO ALL INDIVIDUALS SERVED AT ANY POINT IN THE CARE CONTINUUM. THE FAP, FAA FORM, PLS, AND CONTACT INFORMATION FOR THE HOSPITAL FACILITY'S FINANCIAL COUNSELORS ARE PROMINENTLY AND CONSPICUOUSLY POSTED ON THE FILING ORGANIZATION'S HOSPITAL FACILITY'S WEBSITE. THE WEBSITE INDICATES THAT A COPY OF THE FAP, FAA FORM, AND PLS IS AVAILABLE AND HOW TO OBTAIN SUCH COPIES IN THE PRIMARY LANGUAGES OF ANY POPULATIONS WITH LIMITED PROFICIENCY IN ENGLISH THAT CONSTITUTE THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE MEMBERS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY (REFERRED TO BELOW AS LEP DEFINED POPULATIONS). SIGNAGE IS DISPLAYED IN PUBLIC LOCATIONS OF THE FILING ORGANIZATION'S HOSPITAL FACILITY, INCLUDING AT ALL POINTS OF ADMISSION AND REGISTRATION AND THE EMERGENCY DEPARTMENT. THE SIGNAGE CONTAINS THE HOSPITAL FACILITY'S WEBSITE ADDRESS WHERE THE FAP, FAA FORM, AND PLS CAN BE ACCESSED AND THE TELEPHONE NUMBER AND PHYSICAL LOCATION THAT INDIVIDUALS CAN CALL OR VISIT TO OBTAIN COPIES OF THE FAP, FAA FORM AND PLS OR TO OBTAIN MORE INFORMATION ABOUT THE HOSPITAL FACILITY'S FAP, FAA FORM AND PLS. PAPER COPIES OF THE HOSPITAL FACILITY'S FAP, FAA FORM AND PLS ARE AVAILABLE UPON REQUEST AND WITHOUT CHARGE, BOTH IN PUBLIC LOCATIONS IN THE HOSPITAL FACILITY AND BY MAIL. PAPER COPIES ARE MADE AVAILABLE IN ENGLISH AND IN THE PRIMARY LANGUAGES OF ANY LEP DEFINED POPULATIONS. THE FILING ORGANIZATION'S HOSPITAL FACILITY'S FINANCIAL COUNSELORS SEEK TO PROVIDE PERSONAL FINANCIAL COUNSELING TO ALL INDIVIDUALS ADMITTED TO THE HOSPITAL FACILITY WHO ARE CLASSIFIED AS SELF-PAY DURING THE COURSE OF THEIR HOSPITAL STAY OR AT TIME OF DISCHARGE TO EXPLAIN THE FAP AND FAA FORM AND TO PROVIDE INFORMATION CONCERNING OTHER SOURCES OF ASSISTANCE THAT MAY BE AVAILABLE, SUCH AS MEDICAID. A PAPER COPY OF THE HOSPITAL FACILITY'S PLS WILL BE OFFERED TO EVERY PATIENT AS A PART OF THE INTAKE OR DISCHARGE PROCESS. A CONSPICUOUS WRITTEN NOTICE IS INCLUDED ON ALL BILLING STATEMENTS SENT TO PATIENTS THAT NOTIFIES AND INFORMS RECIPIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE UNDER THE FILING ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, INCLUDING THE FOLLOWING: 1) THE TELEPHONE NUMBER OF THE HOSPITAL FACILITY'S OFFICE OR DEPARTMENT THAT CAN PROVIDE INFORMATION ABOUT THE FAP AND THE FAA FORM; AND 2) THE WEBSITE ADDRESS WHERE COPIES OF THE FAP, FAA FORM AND PLS MAY BE OBTAINED. REASONABLE ATTEMPTS ARE MADE TO INFORM INDIVIDUALS ABOUT THE HOSPITAL FACILITY'S FAP IN ALL ORAL COMMUNICATIONS REGARDING THE AMOUNT DUE FOR THE INDIVIDUAL'S CARE. COPIES OF THE PLS ARE DISTRIBUTED TO MEMBERS OF THE COMMUNITY IN A MANNER REASONABLY CALCULATED TO REACH THOSE MEMBERS OF THE COMMUNITY WHO ARE MOST LIKELY TO REQUIRE FINANCIAL ASSISTANCE.

PART VI, LINE 4:
THE FILING ORGANIZATION CURRENTLY OPERATES TEXAS HEALTH HUGULEY (THH) A 327-BED ACUTE-CARE HOSPITAL IN BURLESON, TEXAS. BURLESON, TEXAS IS LOCATED IN JOHNSON COUNTY AND THH SERVES THE SOUTH FORT WORTH AREA. THE HOSPITAL INCLUDES A MEDICAL INTENSIVE CARE UNIT, A CARDIOVASCULAR CRITICAL CARE UNIT, A PROGRESSIVE CARE UNIT, OPEN HEART SURGERY CENTER AND BEHAVIORAL HEALTH. THH ALSO HAS AN ACCREDITED BONE AND JOINT PROGRAM, AN ACCREDITED CHEST PAIN CENTER, AND AN AWARD WINNING EMERGENCY DEPARTMENT AVAILABLE 24 HOURS A DAY, SEVEN DAYS A WEEK. MORE THAN 400 PRIMARY CARE AND SPECIALTY PHYSICIANS PROVIDE A WIDE RANGE OF INPATIENT AND OUTPATIENT SERVICES. PART OF THH'S PRIMARY SERVICE AREA INCLUDES A NUMBER OF SMALLER COMMUNITIES WITH LIMITED ACCESS TO HEALTHCARE SERVICES. TO MEET THE NEEDS OF THESE RESIDENTS, THH HAS A SUBSIDIARY THAT OPERATES MULTIPLE PRIMARY CARE CLINICS THROUGHOUT ITS PRIMARY SERVICE AREA. IN ADDITION, THE MOBILE HEALTH SERVICES BUS PROVIDES HEALTH SCREENINGS AND WELLNESS EDUCATION SERVICES THROUGHOUT TARRANT AND JOHNSON COUNTIES. DURING 2021, THE HOSPITAL'S PATIENT PERCENTAGE POPULATION WAS MADE UP OF THE BELOW PAYORS WITH THE REMAINING PERCENTAGE OF THE PATIENTS BEING COVERED UNDER COMMERCIAL INSURANCE. IN 2021, ABOUT 71.90% OF THE HOSPITAL'S IN-PATIENTS WERE ADMITTED THROUGH THE HOSPITAL'S EMERGENCY DEPARTMENT. - MEDICARE PATIENTS 47.5% - MEDICAID PATIENTS 11.1% - SELF-PAY PATIENTS 8.0% THE DEMOGRAPHIC MAKEUP OF THE HOSPITAL'S COMMUNITY IS AS FOLLOWS: - POPULATION (APPROXIMATELY) 300,000 - POVERTY (BELOW 100% FPL) 14.6% - UNEMPLOYMENT RATE 6.3% - VIOLENT CRIME RATE (PER 100,000 POP.) 334.6 - POP. AGE 25+ WITH NO HIGH SCHOOL DIPLOMA 16.7% - UNINSURED ADULTS 21.6% - UNINSURED CHILDREN 10.8% - FOOD INSECURITY RATE 15.2% - POP. WITH LOW FOOD ACCESS 32.4%

PART VI, LINE 5:
"THE PROVISION OF COMMUNITY BENEFIT IS CENTRAL TO TEXAS HEALTH HUGULEY'S MISSION OF SERVICE AND COMPASSION. RESTORING AND PROMOTING THE HEALTH AND QUALITY OF LIFE OF THOSE IN THE COMMUNITIES SERVED BY THE FILING ORGANIZATION IS A FUNCTION OF ""EXTENDING THE HEALING MINISTRY OF CHRIST AND EMBODIES THE FIING ORGANIZATION'S COMMITMENT TO ITS VALUES AND PRINCIPLES. THE FILING ORGANIZATION COMMITS SUBSTANTIAL RESOURCES TO PROVIDE A BROAD RANGE OF SERVICES TO BOTH THE UNDERPRIVILEGED AS WELL AS THE BROADER COMMUNITY. IN ADDITION TO THE COMMUNITY BENEFIT AND COMMUNITY BUILDING INFORMATION PROVIDED IN PARTS I, II AND III OF THIS SCHEDULE H, THE HOSPITAL CAPTURES AND REPORTS THE BENEFITS PROVIDED TO ITS COMMUNITY THROUGH FAITH-BASED CARE. EXAMPLES OF SUCH BENEFITS INCLUDE THE COST ASSOCIATED WITH CHAPLAINCY CARE PROGRAMS AND MISSION PEER REVIEWS AND MISSION CONFERENCES. DURING THE CURRENT YEAR, THE FILING ORGANIZATION PROVIDED $456,714 OF BENEFIT WITH RESPECT TO THE FAITH-BASED AND SPIRITUAL NEEDS OF THE COMMUNITY. THE FILING ORGANIZATION ALSO PROVIDES BENEFITS TO ITS COMMUNITY'S INFRASTRUCTURE BY INVESTING IN CAPITAL IMPROVEMENTS TO ENSURE THAT FACILITIES AND TECHNOLOGY PROVIDE THE BEST POSSIBLE CARE TO THE COMMUNITY. DURING THE CURRENT YEAR, THE FILING ORGANIZATION EXPENDED $26,401,036 IN NEW CAPITAL IMPROVEMENTS. AS A FAITH-BASED MISSION-DRIVEN COMMUNITY HOSPITAL, THE FILING ORGANIZATION IS CONTINUALLY INVOLVED IN MONITORING ITS COMMUNITY, IDENTIFYING UNMET HEALTH CARE NEEDS AND DEVELOPING SOLUTIONS AND PROGRAMS TO ADDRESS THOSE NEEDS. IN ACCORDANCE WITH ITS CONSERVATIVE APPROACH TO FISCAL RESPONSIBILITY, SURPLUS FUNDS OF THE HOSPITAL ARE CONTINUALLY BEING INVESTED IN RESOURCES THAT IMPROVE THE AVAILABILITY AND QUALITY OF DELIVERY OF HEALTH CARE SERVICES AND PROGRAMS TO ITS COMMUNITY."

PART VI, LINE 6:
AS EXPLAINED IN OUR RESPONSE TO FORM 990, PART VI, SECTION A, LINE 6, TEXAS HEALTH HUGULEY, INC. (THH OR THE HOSPITAL) HAS TWO MEMBERS. THE MEMBERS ARE TEXAS HEALTH RESOURCES AND ADVENTIST HEALTH SYSTEM/SUNBELT, INC. (AHSSI). AHSSI IS A WHOLLY-OWNED SUBSIDIARY OF ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION. THH IS ABLE TO DRAW UPON THE EXPERTISE AND LEADERSHIP OF BOTH ITS HEALTH SYSTEM MEMBERS IN ITS EFFORT TO CREATE EXCELLENT PATIENT EXPERIENCES AND OFFER A BROAD SPECTRUM OF HEALTH SERVICES NEEDED IN ITS COMMUNITY.DURING ITS CURRENT TAX YEAR, THH WAS MANAGED BY ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC). AHSSHC IS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). AHSSHC AND ITS SUBSIDIARY ORGANIZATIONS OPERATE 48 HOSPITALS THROUGHOUT THE U.S., PRIMARILY IN THE SOUTHEASTERN PORTION OF THE U.S. AHSSHC AND ITS SUBSIDIARIES ALSO OPERATE 10 NURSING HOME FACILITIES AND OTHER ANCILLARY HEALTH CARE PROVIDER FACILITIES, SUCH AS AMBULATORY SURGERY CENTERS AND DIAGNOSTIC IMAGING CENTERS. PURSUANT TO A MANAGEMENT SERVICES AGREEMENT, AHSSHC PROVIDES MANAGEMENT AND CERTAIN CONSULTING SERVICES TO TEXAS HEALTH HUGULEY. MANAGEMENT AND CONSULTING SERVICES INCLUDE PERSONNEL ADMINISTRATION, PROCUREMENT, HEALTH INFORMATION MANAGEMENT, MAINTENANCE AND SECURITY, CONTRACTS, FINANCIAL ACCOUNTING SYSTEMS AND BUDGET DEVELOPMENT.THE READER OF THIS FORM 990 SHOULD KEEP IN MIND THAT THIS REPORTING ENTITY MAY DIFFER IN CERTAIN AREAS FROM THAT OF A STAND-ALONE HOSPITAL ORGANIZATION DUE TO ITS INCLUSION IN A LARGER SYSTEM OF HEALTHCARE ORGANIZATIONS. AS A PART OF A SYSTEM OF HOSPITAL AND OTHER HEALTH CARE ORGANIZATIONS, THE FILING ORGANIZATION BENEFITS FROM REDUCED COSTS DUE TO SYSTEM EFFICIENCIES, SUCH AS LARGE GROUP PURCHASING DISCOUNTS, AND THE AVAILABILITY OF INTERNAL RESOURCES SUCH AS INTERNAL LEGAL COUNSEL. EACH ADVENTHEALTH SUBSIDIARY PAYS A MANAGEMENT FEE TO AHSSHC FOR THE INTERNAL SERVICES PROVIDED BY AHSSHC. AS A RESULT, MANAGEMENT FEE EXPENSE REPORTED BY AN ADVENTHEALTH SUBSIDIARY ORGANIZATION MAY APPEAR GREATER IN RELATION TO MANAGEMENT FEE EXPENSE THAT MAY BE REPORTED BY A SINGLE STAND-ALONE HOSPITAL. THE SINGLE STAND-ALONE HOSPITAL WOULD LIKELY REPORT COSTS ASSOCIATED WITH MANAGEMENT AND OTHER PROFESSIONAL SERVICES ON VARIOUS EXPENSE LINE ITEMS IN ITS STATEMENT OF REVENUE AND EXPENSE AS OPPOSED TO REPORTING SUCH COSTS IN ONE OVERALL MANAGEMENT FEE EXPENSE. AS THE REPORTING OF THE FORM 990 IS DONE ON AN ENTITY BY ENTITY BASIS, THERE IS NO SINGLE FORM 990 THAT CAPTURES THE PROGRAMS AND OPERATIONS OF ADVENTHEALTH AS A WHOLE. THE READER IS DIRECTED TO VISIT THE WEB-SITE OF ADVENTHEALTH AT WWW.ADVENTHEALTH.COM TO LEARN MORE ABOUT THE MISSION AND OPERATIONS OF ADVENTHEALTH.