4A (Expenses $ 607280822 including grants of $ 1232032) (Revenue $ 645033874)
PHOEBE PUTNEY MEMORIAL HOSPITAL IS A NOT-FOR-PROFIT HOSPITAL WITH 691 LICENSED BEDS AND HAD PATIENT DAYS OF 121,618 IN THE CURRENT YEAR. INTENSIVE CARE, NEONATAL INTENSIVE CARE, NURSERY, REHAB, AND PSYCHIATRY SERVICES ARE INCLUDED IN THE SERVICES PROVIDED. THE HOSPITAL ALSO OPERATES A HOME HEALTH AGENCY AND A 12 BED HOSPICE. OTHER: 17,317 INPATIENT ADMISSIONS, 1,940 BIRTHS, 59,976 EMERGENCY VISITS, AND 820,637 CLINIC VISITS. SEE SCHEDULE H, PART VI, ADDITIONAL INFORMATION, WHICH INCLUDES DETAILED DISCUSSIONS ON ALL CHARITABLE AND COMMUNITY ACTIVITIES OF THE HOSPITAL. AS A RESULT OF THE COVID PANDEMIC, PPMH RECORDED THE VALUE OF DONATED SERVICES IN THE AMOUNT OF 10,183,529, AMOUNTS WHICH ARE NOT RECOGNIZED IN THE STATEMENT OF REVENUES OR STATEMENT OF FUNCTIONAL EXPENSES FOR TAX PURPOSES.

FACILITY 1, PHOEBE PUTNEY MEMORIAL HOSPITAL INC - PART V, LINE 3E
PHOEBE PUTNEY MEMORIAL HOSPITAL (PPMH) CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN COMPLIANCE WITH THE PROVISIONS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (ACA). THAT LAW REQUIRES ALL NON-PROFIT HOSPITALS IN THE UNITED STATES TO CONDUCT A CHNA EVERY THREE YEARS TO IDENTIFY HEALTH PRIORITIES AND ADOPT AN IMPLEMENTATION STRATEGY TO MEET THE IDENTIFIED COMMUNITY HEALTH NEEDS. THE ASSESSMENT PROCESS REQUIRES HOSPITALS TO GATHER AND UTILIZE INPUT FROM INDIVIDUALS WHO REPRESENT A BROAD INTEREST OF THE COMMUNITY SERVED, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH. THIS WORK RESULTED IN IDENTIFYING FOUR PRIORITIES THAT WERE APPROVED BY THE PPMH BOARD OF DIRECTORS AT THEIR MEETING ON JULY 6TH, 2022. THOSE PRIORITIES ARE: 1. BIRTH OUTCOMES AND REPRODUCTIVE RESPONSIBILITY 2. CANCER PREVENTION AND TREATMENT 3. DIABETES MANAGEMENT AND PREVENTION 4. MENTAL HEALTH, ALCOHOL & DRUG USE AND VIOLENCE AND INJURY PREVENTION

FACILITY 1, PHOEBE PUTNEY MEMORIAL HOSPITAL INC - PART V, LINE 5
TO ENSURE THE PERSPECTIVES OF COMMUNITY MEMBERS WERE CONSIDERED, INPUT WAS COLLECTED FROM ALL SERVICE AREA COUNTIES OF PHOEBE PUTNEY. PRIMARY DATA USED IN THIS ASSESSMENT CONSISTED OF AN ONLINE COMMUNITY SURVEY, FOCUS GROUP, AND KEY INFORMANT INTERVIEWS. THE FINDINGS FROM THIS DATA EXPANDED UPON INFORMATION GATHERED FROM THE SECONDARY DATA ANALYSIS TO INFORM THIS COMMUNITY HEALTH NEEDS ASSESSMENT. COMMUNITY INPUT WAS COLLECTED VIA AN ONLINE COMMUNITY SURVEY AVAILABLE IN ENGLISH AND SPANISH, AS WELL AS PAPER COPIES AVAILABLE, FROM MAY 2022 THROUGH JUNE 2022. THE SURVEY CONSISTED OF 56 QUESTIONS RELATED TO TOP HEALTH NEEDS IN THE COMMUNITY, INDIVIDUALS PERCEPTION OF THEIR OVERALL HEALTH, INDIVIDUALS ACCESS TO HEALTHCARE SERVICES, AS WELL AS SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH. THE SURVEY WAS SHARED VIA HEALTH SYSTEMS WEBSITES, SOCIAL MEDIA, EMAIL DISTRIBUTION, AND OTHER LOCAL COMMUNITY PARTNERS. PAPER COPIES WERE ALSO DISTRIBUTED AT SEVERAL COMMUNITY OUTREACH EVENTS AND DIRECTLY TO PATIENTS AT PHOEBE HEALTH SYSTEM VIA QR CODE OR CARE COORDINATION TEAM MEMBERS. A TOTAL OF 428 RESPONSES WERE COLLECTED - THE COUMMUNITY HEALTH SURVEY HAD 238 RESPONDENTS FROM DOUGHERTY, LEE, WORTH, TERRELL AND MITCHELL COUNTIES. THE PROJECT TEAM DEVELOPED A FOCUS GROUP GUIDE MADE UP OF A SERIES OF QUESTIONS AND PROMPTS ABOUT THE HEALTH AND WELL-BEING OF RESIDENTS IN THE PHOEBE PUTNEY HEALTH SYSTEM SERVICE AREA. ALL PARTICIPANTS VOLUNTEERED. PARTICIPANTS WERE ASKED TO SPEAK TO BARRIERS AND ASSETS TO THEIR HEALTH AND ACCESS TO HEALTHCARE. A TOTAL OF 15 PARTICIPANTS TOOK PART IN THE KEY LEADER FOCUS GROUP, WHICH EACH LASTED APPROXIMATELY 45-60 MINUTES. FACILITATORS IMPLEMENTED TECHNIQUES TO ENSURE THAT EVERYONE WAS ABLE TO PARTICIPATE IN THE DISCUSSIONS. HCI CONSULTANTS CONDUCTED KEY INFORMANT INTERVIEWS TO COLLECT COMMUNITY INPUT. INTERVIEWEES WHO WERE ASKED TO PARTICIPATE WERE RECOGNIZED AS HAVING EXPERTISE IN PUBLIC HEALTH, SPECIAL KNOWLEDGE OF COMMUNITY HEALTH NEEDS, AND/ OR REPRESENTED THE BROAD INTEREST OF THE COMMUNITY SERVED BY THE HOSPITALS AND HEALTH DEPARTMENTS, AND/OR COULD SPEAK TO THE NEEDS OF MEDICALLY UNDERSERVED OR VULNERABLE POPULATIONS. A TOTAL OF 18 KEY INFORMANT INTERVIEWS WERE CONDUCTED DURING APRIL 2022-MAY 2022 SECONDARY DATA ARE HEALTH INDICATOR DATA THAT HAVE BEEN COLLECTED BY OTHER SOURCES, SUCH AS NATIONAL AND STATE LEVEL GOVERNMENT ENTITIES, AND MADE AVAILABLE FOR ANALYSIS.

FACILITY 1, PHOEBE PUTNEY MEMORIAL HOSPITAL INC - PART V, LINE 6B
PHOEBE PUTNEY HEALTH SYSTEM COMMISSIONED CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) TO SUPPORT REPORT PREPARATION FOR ITS 2022 CHNA

FACILITY 1, PHOEBE PUTNEY MEMORIAL HOSPITAL INC - PART V, LINE 11
THE CHNA RESULTED IN THE IDENTIFICATION OF FOUR PRIORITIES THAT WERE APPROVED BY THE PPMH BOARD OF DIRECTORS AT THEIR MEETING ON JULY 6TH, 2022. THOSE PRIORITIES ARE: 1. BIRTH OUTCOMES AND REPRODUCTIVE RESPONSIBILITY 2. CANCER PREVENTION AND TREATMENT 3. DIABETES MANAGEMENT AND PREVENTION 4. MENTAL HEALTH, ALCOHOL & DRUG USE AND VIOLENCE AND INJURY PREVENTION A DETAILED DISCUSSION OF EACH SIGNIFICANT HEALTH NEED CAN BE FOUND BEGINNING ON PAGE 43 OF THE 2022 CHNA. THE FOLLOWING SIGNIFICANT HEALTH NEEDS, PRESENTED IN ALPHABETICAL ORDER, EMERGED FROM A REVIEW OF THE PRIMARY AND SECONDARY DATA. HOWEVER, PHOEBE PUTNEY HEALTH SYSTEM WILL NOT FOCUS DIRECTLY ON THESE TOPICS IN THEIR IMPLEMENTATION STRATEGY/IMPROVEMENT PLANS. THE BOARD DETERMINED TO FOCUS ON THE 4 AREAS NAMED ABOVE WHERE THE HEALTH SYSTEM COULD HAVE THE BEST IMPLACT FOR THE RESOURCES AVAILABLE. 1) HEALTHCARE ACCESS AND QUALITY 2) HEART DISEASE AND STROKE 3) NUTRITION AND HEALTHY EATING 4) WEIGHT STATUS SEVERAL OF THE NON-PRIORITIZED NEEDS ARE RELATED TO THE THREE PRIMARY PRIORITY AREAS, AND IMPLEMENTATION OF ACTIVITIES UNDER THOSE PRIORITIES WILL HAVE AN INDIRECT IMPACT ON MANY OF THESE NEEDS. KEY THEMES FROM COMMUNITY INPUT ARE INCLUDED WHERE RELEVANT FOR EACH NON- PRIORITIZED HEALTH NEED ALONG WITH THE SECONDARY DATA SCORE AND WARNING INDICATORS.

FACILITY 1, PHOEBE PUTNEY MEMORIAL HOSPITAL INC - PART V, LINE 20E
WRITTEN NOTICE OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IS INCLUDED ON HOSPITAL PATIENT STATEMENTS, AND ON WRITTEN COMMUNICATIONS SENT BY CONTRACTED THIRD PARTY COLLECTION AGENCIES. THESE AGENCIES MAY REFER ACCOUNTS FOR REPORTING TO MAJOR CREDIT BUREAUS, AFTER A SERIES OF STATEMENTS AND LETTERS ARE SENT THROUGHOUT MULTIPLE COLLECTION CYCLES.

SCHEDULE H, PART I, LINE 7, COLUMN (F)
IN DERIVING THE DENOMINATOR TO BE USED FOR COLUMN (F), THE FOLLOWING ADJUSTMENTS WERE MADE TO THE TOTAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25: FORM 990, PART IX, LINE 25 756,781,745 ADD: EXPENSES REPORTED IN PART VIII 1,203,217 DENOMINATOR FOR COLUMN (F) 757,984,962

SCHEDULE H, PART I, LINE 7
THE COST OF MEDICAID AND CHARITY CARE WAS CALCULATED USING THE COST-TO- CHARGE RATIO AS CALCULATED USING WORKSHEET 2 FROM THE IRS FORM 990 INSTRUCTIONS. THE COST OF OTHER BENEFITS WAS THE DIRECT COST OF THE SERVICES.

SCHEDULE H, PART III, LINE 2
THE BAD DEBT EXPENSE (OR PRICE CONCESSION) AMOUNT REPRESENTS THE DIFFERENCE BETWEEN AMOUNTS BILLED AND THE ESTIMATED CONSIDERATION PPMH EXPECTS TO RECEIVE FROM PATIENTS, WHICH ARE DETERMINED BASED ON HISTORICAL COLLECTION EXPERIENCE, CURRENT MARKET CONDITIONS, AND OTHER FACTORS. CONSISTENT WITH PPMH'S MISSION, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THEREFORE, PPMH HAS DETERMINED IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER UNINSURED BALANCES (FOR EXAMPLE, COPAYS AND DEDUCTIBLES.)

SCHEDULE H, PART III, LINE 4
SEE FOOTNOTE 2 PAGES 17-22 ON THE ACCOMPANYING AUDITED FINANCIAL STATEMENTS FOR THE DISCUSSION OF IMPLICIT PRICE CONCESSIONS, BAD DEBT EXPENSE, AND UNINSURED PATIENTS.

SCHEDULE H, PART III, LINE 8
THE MEDICARE SHORTFALL WAS CALCULATED USING THE COST-TO-CHARGE RATIO FROM WORKSHEET 2 OF THE IRS FORM 990 INSTRUCTIONS.

SCHEDULE H, PART III, LINE 9B
THE ORGANIZATION PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS FINANCIAL ASSISTANCE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. THE ORGANIZATION WRITES OFF PATIENT ACCOUNTS RECEIVABLE BALANCES FOR PATIENTS QUALIFYING FOR CHARITY CARE OR FINANCIAL ASSISTANCE AND DOES NOT MAKE FURTHER COLLECTION EFFORTS.

SCHEDULE H, PART VI, LINE 2
NEEDS ASSESSMENTS HAVE TRADITIONALLY LED TO THE CREATION OF COMMUNITY-BASED DELIVERY SYSTEMS THAT EXPAND ACCESS TO HEALTH CARE, MEET THE NEEDS OF THE PEOPLE AND BUILD HEALTHY COMMUNITIES IN THE BROADEST SENSE BY IMPACTING MAJOR DETERMINANTS, SUCH AS ECONOMIC DEVELOPMENT, EMPLOYMENT, CHILDREN'S SAFETY, EDUCATION AND ADEQUATE HOUSING. THE ORGANIZATION CONDUCTS REGULAR NEEDS ASSESSMENT THROUGH FORMAL AND INFORMAL SURVEYS AND PROCESSES, INCLUDING COLLABORATIONS WITH PUBLIC AND COMMUNITY AGENCIES. THROUGH STRATEGIC PLANNING AND COMMUNITY INTERVIEWS, THE ORGANIZATION DEVELOPS PROGRAMS AND SERVICES THAT CONSIDER THE ECONOMIC IMPERATIVES OF THE REGION, THE EFFECT OF LEGISLATION AND THE INVOLVEMENT OF OTHER COMMUNITY-BASED ORGANIZATIONS AND PARTNERS. THE ORGANIZATION REGULARLY CONDUCTS FOCUS GROUPS IN THE COMMUNITY TO UNDERSTAND ISSUES AFFECTING ITS PATIENTS, AND HAS CREATED PROGRAMS IN RESPONSE TO HEALTH DISPARITIES PREVALENT IN THE AREA. THE ORGANIZATION, WHICH FUNDS NURSES IN SCHOOLS THROUGHOUT DOUGHERTY COUNTY, ALSO COLLECTS HEALTH NEEDS INFORMATION FROM NURSES, WHO PROVIDE DIRECT CARE TO STUDENTS AND STAFF AND WHO COLLABORATE WITH OTHER AGENCIES TO DEVELOP HEALTH AWARENESS AND DISEASE PREVENTION PROGRAMS. THE ORGANIZATION ALSO CONDUCTS REGULAR PHYSICIAN WORKFORCE STUDIES THROUGH ITS STRATEGIC PLANNING ARM TO DETERMINE UNMET PHYSICIAN NEEDS AND BARRIERS TO ACCESSING CARE. THE ORGANIZATION MEASURES THE SUCCESS OF ITS COMMITMENT BY HOW WELL IT KEEPS PEOPLE HEALTHY AND HOW WELL IT IMPACTS THE SOCIAL/CULTURAL BONDS THAT WILL SECURE THE COMMUNITIES OF THE FUTURE. THE ORGANIZATION COMPLETED THE LATEST COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY PLAN IN 2022. A COMPLETE COPY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, COMMUNITY PRIORITIES, AND IMPLEMENTATION PLAN CAN BE FOUND AT - HTTPS://WWW.PHOEBEHEALTH.COM/MEDIA/FILE/CHNA/CHNA_PPMH2022.PDF

SCHEDULE H, PART VI, LINE 3
THE BOARD HAS CLEARLY WRITTEN FINANCIAL ASSISTANCE POLICY THAT IS AVAILABLE ON THE ORGANIZATION'S WEB SITE AND THROUGH THE BUSINESS OFFICE. SIGNS ARE PROMINENTLY POSTED ON THE AVAILABILITY OF FREE AND CHARITY CARE. PATIENT EDUCATION ON THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAM IS CONDUCTED DURING PRE-REGISTRATION, THROUGH FLOOR VISITS BY BUSINESS OFFICE REPRESENTATIVES FOR PATIENTS THAT STRESS CONCERN IN MEETING THE FINANCIAL OBLIGATIONS FOR THEIR SERVICES, THROUGH THE CUSTOMER SERVICE DEPARTMENT, AND THE FINANCIAL ASSISTANCE DEPARTMENT. BROCHURES ARE PROMINENTLY DISPLAYED AT EACH REGISTRATION BOOTH. THE BUSINESS OFFICE CONTINUOUSLY PROVIDES UPDATED MATERIAL TO PHYSICIAN OFFICES FOR ISSUANCE TO THEIR PATIENTS THAT HIGHLIGHT THE FINANCIAL ASSISTANCE PROGRAM AND POLICIES. THE PATIENT STATEMENTS HIGHLIGHT THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAM AND ENCOURAGE PATIENTS TO CALL FOR FINANCIAL ASSISTANCE.

SCHEDULE H, PART VI, LINE 4
THE ORGANIZATION'S PRIMARY SERVICE AREA INCLUDES DOUGHERTY, LEE, MITCHELL, TERRELL AND WORTH COUNTIES. THE LARGEST COUNTY IS DOUGHERTY COUNTY, WITH A POPULATION OF 84,844 IN 2021. THE SMALLEST COUNTY IS TERRELL COUNTY WITH A POPULATION OF 8,964 IN 2021. LEE COUNTY IS THE ONLY GROWING COUNTY IN THE PRIMARY SERVICE AREA. PRIMARY SERVICE AREA POPULATION CONSISTS OF 53% AFRICAN AMERICAN, 42% CAUCASIAN, 3% HISPANIC/LATINO, AND 2% ALL OTHERS.

SCHEDULE H, PART VI, LINE 5
THE ORGANIZATION AND ALL ITS VOLUNTEER BOARDS ARE COMPOSED OF COMMUNITY MEMBERS WITH DIVERSE PROFESSIONAL AND COMMUNITY SERVICE BACKGROUNDS, AS WELL AS PHYSICIAN MEMBERS. IN ALL FACILITIES, EMERGENCY CENTERS ARE OPERATED 24/7 AND OPEN TO ALL PERSONS, REGARDLESS OF ABILITY TO PAY. THE BOARDS MAINTAIN OPEN MEDICAL STAFF POLICIES WITH PRIVILEGES AVAILABLE TO ALL QUALIFYING PHYSICIANS. THE BOARD HAS CLEARLY WRITTEN INDIGENT AND CHARITY CARE POLICIES THAT ARE AVAILABLE ON THE ORGANIZATION WEB SITE AND THROUGH THE BUSINESS OFFICE. SIGNS ARE PROMINENTLY POSTED ON THE AVAILABILITY OF FREE AND CHARITY CARE. THE ORGANIZATION ALSO UTILIZES SURPLUS FUNDS TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION AND RESEARCH.

SCHEDULE H, PART VI, LINE 7
GEORGIA

SCHEDULE H, PART VI
"SERVICE TO THE COMMUNITY PHOEBE PUTNEY MEMORIAL HOSPITAL, INC. (PPMH) IS A NOT-FOR-PROFIT HEALTH CARE ORGANIZATION THAT EXISTS TO SERVE THE COMMUNITY. PPMH OPENED IN 1911 TO SERVE THE COMMUNITY BY CARING FOR THE SICK REGARDLESS OF ABILITY TO PAY. AS A TAX-EXEMPT HOSPITAL, PPMH HAS NO STOCKHOLDERS OR OWNERS. ALL REVENUE AFTER EXPENSES IS REINVESTED IN THE MISSION TO CARE FOR THE CITIZENS OF THE COMMUNITY - INTO CLINICAL CARE, HEALTH PROGRAMS, STATE-OF-THE-ART TECHNOLOGY AND FACILITIES, RESEARCH, AND TEACHING AND TRAINING OF MEDICAL PROFESSIONALS NOW AND FOR THE FUTURE. PPMH OPERATES AS A CHARITABLE ORGANIZATION CONSISTENT WITH THE REQUIREMENTS OF INTERNAL REVENUE CODE SECTION 501(C)(3) AND THE ""COMMUNITY BENEFIT STANDARD"" OF IRS REVENUE RULING 69-545. PPMH TAKES SERIOUSLY ITS RESPONSIBILITY AS THE COMMUNITY'S SAFETY NET HOSPITAL AND HAS A STRONG RECORD OF MEETING AND EXCEEDING THE CHARITABLE CARE AND THE ORGANIZATIONAL AND OPERATIONAL STANDARDS REQUIRED FOR FEDERAL TAX-EXEMPT STATUS. PPMH DEMONSTRATES A CONTINUED AND EXPANDING COMMITMENT TO MEETING ITS MISSION AND SERVING THE CITIZENS BY PROVIDING COMMUNITY BENEFITS. A COMMUNITY BENEFIT IS A PLANNED, MANAGED, ORGANIZED, AND MEASURED APPROACH TO MEETING IDENTIFIED COMMUNITY HEALTH NEEDS, REQUIRING A PARTNERSHIP BETWEEN THE HEALTHCARE ORGANIZATION AND THE COMMUNITY TO BENEFIT RESIDENTS THROUGH PROGRAMS AND SERVICES THAT IMPROVE HEALTH STATUS AND QUALITY OF LIFE. PPMH IMPROVES THE HEALTH AND WELL-BEING OF SOUTHWEST GEORGIA THROUGH CLINICAL SERVICES, EDUCATION, RESEARCH AND PARTNERSHIPS THAT BUILD HEALTH CAPACITY IN THE COMMUNITY. PPMH PROVIDES COMMUNITY BENEFITS FOR EVERY CITIZEN IN ITS SERVICE AREA AS WELL AS FOR THE MEDICALLY UNDERSERVED. PPMH CONDUCTS COMMUNITY NEEDS ASSESSMENTS AND PAYS CLOSE ATTENTION TO THE NEEDS OF LOW INCOME AND OTHER VULNERABLE PERSONS AND THE COMMUNITY AT LARGE. PPMH OFTEN WORKS WITH COMMUNITY GROUPS TO IDENTIFY NEEDS, STRENGTHEN EXISTING COMMUNITY PROGRAMS AND PLAN NEWLY NEEDED SERVICES. IT PROVIDES A WIDE- RANGING ARRAY OF COMMUNITY BENEFIT SERVICES DESIGNED TO IMPROVE COMMUNITY HEALTH AND THE HEALTH OF INDIVIDUALS AND TO INCREASE ACCESS TO HEALTH CARE, IN ADDITION TO PROVIDING FREE AND DISCOUNTED SERVICES TO PEOPLE WHO ARE UNINSURED AND UNDERINSURED. PPMH'S EXCELLENCE IN COMMUNITY BENEFIT PROGRAMS WAS RECOGNIZED BY THE PRESTIGIOUS FOSTER MCGAW PRIZE AWARDED TO PPMH IN 2003 FOR ITS BROAD-BASED OUTREACH IN BUILDING COLLABORATIVES THAT MAKE MEASURABLE IMPROVEMENTS IN HEALTH STATUS, EXPAND ACCESS TO CARE AND BUILD COMMUNITY CAPACITY, SO THAT PATIENTS RECEIVE CARE CLOSEST TO THEIR OWN NEIGHBORHOODS. DRAWING ON A DYNAMIC AND FLEXIBLE STRUCTURE, THE COMMUNITY BENEFIT PROGRAMS ARE DESIGNED TO RESPOND TO ASSESSED NEEDS AND ARE FOCUSED ON UPSTREAM PREVENTION. AS SOUTHWEST GEORGIA'S LEADING PROVIDER OF COST-EFFECTIVE, PATIENT-CENTERED HEALTH CARE, PPMH IS ALSO THE REGION'S LARGEST EMPLOYER WITH MORE THAN 3,200 MEMBERS OF PPMH FAMILY CARING FOR PATIENTS. PPMH PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS AND IS ONE OF THE LEADING PROVIDERS OF MEDICAID SERVICES IN GEORGIA. THE FOLLOWING TABLE SUMMARIZES THE AMOUNTS OF CHARGES FOREGONE (I.E., CONTRACTUAL ADJUSTMENTS) AND ESTIMATES THE LOSSES (COMPUTED BY APPLYING A TOTAL COST FACTOR TO CHARGES FOREGONE) INCURRED BY PPMH DUE TO INADEQUATE PAYMENTS BY THESE PROGRAMS AND FOR INDIGENT/CHARITY. THIS TABLE DOES NOT INCLUDE DISCOUNTS OFFERED BY PPMH UNDER MANAGED CARE AND OTHER AGREEMENTS: CHARGES ESTIMATED FOREGONE UNREIMBURSED COST MEDICARE 729,000,000 275,000,000 MEDICAID 266,000,000 101,000,000 INDIGENT/CHARITY 149,000,000 56,000,000 1,144,000,000 432,000,000 INDIGENT/CHARITY CARE BY COUNTY PPMH PROVIDED CARE TO A TOTAL OF 13,811 INDIGENT/CHARITY PATIENTS DURING FISCAL YEAR 2022. THESE PATIENTS CAME FROM NUMEROUS COUNTIES THROUGHOUT GEORGIA AND SURROUNDING STATES. THE FOLLOWING TABLE SUMMARIZES THE AMOUNTS OF CHARGES FOREGONE AND ESTIMATES THE LOSSES INCURRED BY PPMH BY COUNTY. CHARGES ESTIMATED COUNTY FOREGONE UNREIMBURSED COST DOUGHERTY 83,000,000 31,000,000 LEE 16,000,000 6,000,000 WORTH 8,000,000 3,000,000 TERRELL 7,000,000 3,000,000 MITCHELL 6,000,000 2,000,000 SUMTER 4,000,000 1,000,000 CALHOUN 3,000,000 1,000,000 CRISP 2,000,000 1,000,000 RANDOLPH 2,000,000 1,000,000 BAKER 2,000,000 1,000,000 OTHER GEORGIA 12,000,000 5,000,000 OUT OF STATE 4,000,000 1,000,000 TOTAL 149,000,000 56,000,000 THE FOLLOWING IS A SUMMARY OF THE COMMUNITY BENEFIT ACTIVITIES AND HEALTH IMPROVEMENT SERVICES OFFERED BY PPMH AND ILLUSTRATES THE ACTIVITIES AND DONATIONS DURING FISCAL YEAR 2022. I. COMMUNITY HEALTH IMPROVEMENT SERVICES A. COMMUNITY HEALTH EDUCATION PPMH PROVIDED HEALTH EDUCATION SERVICES THAT REACHED 3,504 INDIVIDUALS IN 2022 AT A COST OF 297,909. THESE SERVICES INCLUDED THE FOLLOWING FREE CLASSES AND SEMINARS: - TEEN PREGNANCY PREVENTION EDUCATION - TEENAGE PARENTING CLASSES (NETWORK OF TRUST) - CPR TRAINING TO TEACHERS - SAFE SITTER CLASSES - ASTHMA & EPI-PEN EDUCATION - HEALTH EDUCATION AT SUMMER CAMPS - BREAST CANCER PREVENTION EDUCATION - SHOP TALK DISCUSSIONS RELATED TO PROSTATE CANCER AND DIABETES - VARIOUS CANCER PREVENTION LECTURES AND PRESENTATIONS - PRESENTATIONS AND STAKEHOLDERS MEETINGS TO ADDRESS THE OPIOID CRISIS - A MEN'S AND WOMEN'S HEALTH CONFERENCE MEN'S AND WOMEN'S HEALTH CONFERENCES THE MENS AND WOMENS CONFERENCES ATTRACTED A TOTAL OF 665 PARTICIPANTS. THE MENS CONFERENCE WAS AN IN-PERSON EVENT IN JUNE WITH THE HEADLINE OF HEALTHY FATHERS-HEALTHY FAMILIES. THE EVENT WAS STAGED AS A BARBER SHOP WITH TOPICS ON PROSTATE HEALTH AND PREVENTION, HEALTHY EATING AND BEING PHYSICALLY ACTIVE. THE LEADERS OF THE TOPIC AREAS WERE DR. MCGILL, DR. RICHARDSON, DR. RIVERS, AND DR. HEARD (PHOEBE PHYSICIANS GROUP, INC. PPG). THE EVENT WAS HELD IN CONJUNCTION WITH MOREHOUSE SCHOOL OF MEDICINE, PEACH STATE AND THE AMERICAN CANCER SOCIETY. THE WOMENS CONFERENCE WAS HELD IN OCTOBER OF 2021, AND FOCUSED ON BREAST, LUNG, AND COLORECTAL CANCER PREVENTION. THE EVENT WAS SPONSORED BY PEACH STATE, AMBETTER, AND THE AMERICAN CANCER SOCIETY. PRESENTERS INCLUDED DR. JANI, DR. MCAFEE, DR. GRANT, DR. MUNIREDDY, AND DR. KWAYISI. THE TOTAL COST TO THE ORGANIZATION FOR BOTH EVENTS WAS 19,183. NETWORK OF TRUST THIS IS A NATIONALLY RECOGNIZED PROGRAM AIMED AT TEEN MOTHERS TO PROVIDE PARENTING SKILLS, ATTEMPT TO REDUCE REPEAT PREGNANCIES, AND COMPLETE HIGH SCHOOL. THIS PROGRAM ALSO INCLUDES A TEEN FATHER PROGRAM ALONG WITH OTHER TEENAGED CHILDREN PROGRAMS. INTERNAL EVALUATIONS SHOWS TEENS PARTICIPATING IN THE PROGRAM ARE LESS LIKELY TO REPEAT A PREGNANCY PRIOR TO GRADUATION. NETWORK OF TRUST ENROLLED 22 TEEN PARENTS (WITH ZERO REPEAT PREGNANCIES) DURING THE 2021/2022 SCHOOL YEAR AT A COST OF 278,726. PROJECTED RESULTS DEMONSTRATE TEENS THAT GRADUATED FROM THE TWO-SEMESTER PROGRAM ARE LESS LIKELY TO HAVE A SECOND PREGNANCY PRIOR TO AGE 21. FOUR OF NINE NETWORK OF TRUST SENIORS GRADUATED IN 2022. IN ADDITION, NETWORK OF TRUST AND THE SCHOOL NURSE PROGRAM PROVIDED TEEN PREGNANCY PREVENTION PROGRAMMING, ASTHMA AND EPI-PEN EDUCATION AND CONDUCTED HEALTH EDUCATION AT SUMMER CAMPS. B. COMMUNITY BASED CLINICAL SERVICES FLU SHOTS PPMH PROVIDES FREE FLU SHOTS TO VOLUNTEERS, STUDENTS AND HOMELESS SHELTERS. IN 2022, PPMH ADMINISTERED 127 FLU SHOTS AT AN UNREIMBURSED COST OF 2,358. SCHOOL NURSE PROGRAM PPMH PLACES NURSES IN SIXTEEN ELEMENTARY SCHOOLS, SIX MIDDLE SCHOOLS, AND FOUR HIGH SCHOOLS IN DOUGHERTY COUNTY WITH A GOAL OF CREATING ACCESS TO CARE FOR STUDENTS AND STAFF, ASSESSING THE HEALTH CARE STATUS OF EACH POPULATION REPRESENTED AND EFFECTIVELY ESTABLISHING REFERRALS FOR ALL HEALTH CARE NEEDS. NURSES CONDUCTED CPR TRAINING, SAFE SITTER CLASSES, TEEN PREGNANCY PREVENTION EDUCATION, ASTHMA AND EPI-PEN EDUCATION AND HEALTH EDUCATION SUMMER CAMPS. DURING THE 2021/2022 SCHOOL YEAR, THE SCHOOL NURSE PROGRAM COVERED APPROXIMATELY 5,726 STUDENT LIVES. THIS PROGRAM OPERATED AT A COST OF 279,489 IN 2022. MAMMOGRAPHY PPMH PROVIDED 177 MAMMOGRAMS TO THE UNINSURED IN 2021/2022 AT A COST OF 24,780. NURSE FAMILY PARTNERSHIP THE NURSE FAMILY PARTNERSHIP (NFP) IS AN EVIDENCE-BASED COMMUNITY HEALTH PROGRAM THAT SERVES FIRST TIME MOTHERS WHO FACE MAJOR BARRIERS TO ACCESSING RESOURCES AND SUPPORTS THOSE WHO ARE IN NEED TO ACHIEVE THE GREATEST HEALTH AND WELLNESS OUTCOMES. TO ENROLL IN NFP, THE APPLICANT MUST BE A WOMAN WHO: IS PREGNANT WITH HER FIRST CHILD; IS PREGNANT 28 WEEKS OR LESS; IS ELIGIBLE FOR MEDICAID OR WIC; AND WITHIN PPMHS PRIMARY SERVICE AREA. MOMS ENROLLED IN NFP BENEFIT BY GETTING THE CARE AND SUPPORT THEY NEED IN ORDER TO HAVE A HEALTHY PREGNANCY. THE PROGRAM IS A HOME VISITATION PROGRAM WHICH ENABLES FAMILIES TO DEVELOP A CLOSE RELATIONSHIP WITH THE NURSE WHO BECOMES A TRUSTED RESOURCE THEY CAN RELY ON FOR ADVICE ON EVERYTHING FROM SAFELY CARING FOR THEIR CHILD TO TAKING STEPS TO PROVIDE A STABLE, SECURE FUTURE FOR THEIR NEW FAMILY. THE NURSE REMAINS WITH THE FAMILY UNTIL THE CHILDS 2ND BIRTHDAY. IN 2022, THE NFP PROVIDED SERVICES TO 23 FIRST TIM"

SCHEDULE H, PART VI, LINE 6
PHOEBE PUTNEY HEALTH SYSTEM, INC. (PPHS) IS THE NOT-FOR-PROFIT PARENT COMPANY OF PHOEBE PUTNEY MEMORIAL HOSPITAL, INC., A NOT-FOR-PROFIT ENTITY, PHOEBE PUTNEY HEALTH VENTURES, INC., A FOR-PROFIT CORPORATION, PHOEBE PHYSICIAN GROUP, INC., A NOT-FOR-PROFIT CORPORATION, PHOEBE WORTH MEDICAL CENTER, INC., A NOT-FOR-PROFIT ENTITY, PHOEBE SUMTER MEDICAL CENTER, INC., A NOT-FOR-PROFIT ENTITY, PHOEBE PUTNEY INDEMNITY, LTD., A WHOLLY-OWNED SUBSIDIARY, AND PHOEBE FOUNDATION, INC., A NOT-FOR-PROFIT ENTITY. PHOEBE PUTNEY MEMORIAL HOSPITAL, INC. (PPMH), LOCATED IN ALBANY, GEORGIA, IS AN ACUTE CARE HOSPITAL, WHICH OPERATES SATELLITE CLINICS IN THE SURROUNDING COUNTIES. IT PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES FOR RESIDENTS OF SOUTHWEST GEORGIA. ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCAL AREA. PHOEBE PUTNEY HEALTH VENTURES, INC. ENGAGES IN HEALTHCARE AND RELATED ACTIVITIES IN FURTHERANCE OF THE EXEMPT PURPOSES OF PPHS AND PPMH. PHOEBE WORTH MEDICAL CENTER, INC. (PWMC), LOCATED IN SYLVESTER, GEORGIA, IS A 25 BED RURAL CRITICAL ACCESS HOSPITAL. IT PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR RESIDENTS OF WORTH COUNTY, GEORGIA. PHOEBE SUMTER MEDICAL CENTER, INC. (PSMC), LOCATED IN AMERICUS, GEORGIA, IS A 76 BED ACUTE CARE HOSPITAL. IT PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES FOR RESIDENTS OF SUMTER COUNTY, GEORGIA. PHOEBE PHYSICIAN GROUP, INC. WAS ESTABLISHED TO ORGANIZE AND OPERATE MEDICAL PRACTICES EXCLUSIVELY FOR THE BENEFIT OF PPMH, PWMC, AND PSMC. PHOEBE PUTNEY INDEMNITY, LTD. (PPI) WAS INCORPORATED ON NOVEMBER 14, 2018 AS AN EXEMPTED COMPANY UNDER THE COMPANIES LAW OF THE CAYMAN ISLANDS. PPI IS A WHOLLY-OWNED SUBSIDIARY OF PHOEBE PUTNEY HEALTH SYSTEM, INC. ESTABLISHED TO PROVIDE GENERAL LIABILITY, PROFESSIONAL LIABILITY, PERSONAL INJURY LIABILITY, ADVERTISING INJURY LIABILITY, CONTRACTUAL LIABILITY, AND AUTO PHYSICAL DAMAGE COVERAGE TO PHOEBE PUTNEY HEALTH SYSTEM, INC. PHOEBE FOUNDATION, INC. WAS ESTABLISHED TO RAISE FUNDS OF ANY KIND OR CHARACTER TO BE USED EXCLUSIVELY FOR CHARITABLE, MEDICAL, EDUCATIONAL AND SCIENTIFIC PURPOSES AT OR IN CONNECTION WITH PPMH OR THE HOSPITAL AUTHORITY OF ALBANY-DOUGHERTY COUNTY, GEORGIA. THE FOUNDATION ALSO MAY RAISE FUNDS FOR ANY ORGANIZATION FOR WHICH PPHS IS THE SOLE MEMBER.