Community Benefit Insight - Tax-exempt hospital

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Tift Regional Health System Inc

Tift Regional Medical Center

901 East 18th Street
Tifton, GA 31793

Bed count	176	Medicare provider number	110095	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

EIN: 453072990

Display data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

6.2%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2018-2021

Additional data

Community Benefit Expenditures: 2021

All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 21,894,906 4.64 %
Medicaid as % of operating expenses	$ 5,868,374 1.24 %
Costs of other means-tested government programs as % of operating expenses	$ 63,162 0.01 %
Health professions education as % of operating expenses	$ 0 0 %
Subsidized health services as % of operating expenses	$ 0 0 %
Research as % of operating expenses	$ 0 0 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 1,427,185 0.30 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 0 0 %
Community building* as % of operating expenses	$ 0 0 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	Not available
Number of activities or programs (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Persons served (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Community building expense as % of operating expenses	$ 0 0 %
Physical improvements and housing as % of community building expenses	$ 0
Economic development as % of community building expenses	$ 0
Community support as % of community building expenses	$ 0
Environmental improvements as % of community building expenses	$ 0
Leadership development and training for community members as % of community building expenses	$ 0
Coalition building as % of community building expenses	$ 0
Community health improvement advocacy as % of community building expenses	$ 0
Workforce development as % of community building expenses	$ 0
Other as % of community building expenses	$ 0
Direct offsetting revenue	$ 0
Physical improvements and housing	$ 0
Economic development	$ 0
Community support	$ 0
Environmental improvements	$ 0
Leadership development and training for community members	$ 0
Coalition building	$ 0
Community health improvement advocacy	$ 0
Workforce development	$ 0
Other	$ 0

Other Useful Tax-exempt Hospital Information: 2021

In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt as % of operating expenses	$ 73,970,919 15.68 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	NO

Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

Does the organization have a written financial assistance (charity care) policy?	YES
Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?	YES
Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy as % of operating expenses	$ 0 0 %

Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

Community Health Needs Assessment Activities: 2021

The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

Did the tax-exempt hospital report that they had conducted a CHNA?	YES
Did the CHNA define the community served by the tax-exempt hospital?	YES
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	YES
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	YES
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	YES

Supplemental Information: 2021

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.

4A (Expenses $ 2029746 including grants of $ 0) (Revenue $ 0)
TIFT REGIONAL HEALTH SYSTEM (TRHS) IS A GROWING, NOT-FOR-PROFIT HOSPITAL SYSTEM. ITS MAIN CAMPUS SERVES 12 COUNTIES IN SOUTH CENTRAL GEORGIA. TRHS OFFERS MORE THAN 135 PHYSICIANS WITH EXPERTISE IN OVER 30 SPECIALTIES. TRHS PROVIDES A WIDE RANGE OF CARE, INCLUDING SIGNATURE SERVICES IN SURGERY, ONCOLOGY, CARDIOVASCULAR CARE, WOMEN'S HEALTH, NEURODIAGNOSTICS, GERIATRIC PSYCHIATRIC CARE, RADIOLOGY AND MORE. THE MAIN CAMPUS IS TIFT REGIONAL MEDICAL CENTER (TRMC), A 181-BED REGIONAL REFERRAL HOSPITAL LOCATED IN TIFTON AT 901 EAST 18TH STREET. TRMC'S WEST CAMPUS, LOCATED IN TIFTON AT 2225 HIGHWAY 41 NORTH, IS AN OUTPATIENT FACILITY WHICH HOUSES VARIOUS DIAGNOSTIC SERVICES AND THE REGION'S LARGEST MULTI-SPECIALTY PRACTICE. A 3RD CAMPUS OF TRMC IS IN ADEL, GA. SOUTHWELL MEDICAL IS A 60-BED HOSPITAL (THAT IS NOT SEPARATELY LICENSED) INCLUDING A 12-BED GERIATRIC PSYCHIATRIC UNIT. A 95-BED SKILLED NURSING FACILITY, SOUTHWELL HEALTH & REHABILITATION, ALSO IS LOCATED ON THE SOUTHWELL MEDICAL CAMPUS.

4D (Expenses $ 366907945 including grants of $ 43643) (Revenue $ 0)

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

FACILITY 1, TIFT REGIONAL MEDICAL CENTER - PART V, LINE 3E
THE ADVISORY COMMITTEE REVIEWED THE PRIORITIZED LIST OF COMMUNITY NEEDS, WHICH WAS UPDATED FROM THE PREVIOUS CHNA BASED ON THE FOCUS GROUP DISCUSSIONS, COMMUNITY SURVEY, AND ONE-ON- ONE INTERVIEWS. DURING A THREE- STAGE PROCESS, PARTICIPANTS PRIORITIZED THE NEEDS BASED ON THE DEGREE OF NEED WITHIN THE COMMUNITY, RESOURCE REQUIREMENTS, AND LONG-TERM VERSUS SHORT-TERM OBJECTIVES. THE 2020 NEEDS FALL INTO THREE CATEGORIES: ACCESS TO CARE, CARE COORDINATION SERVICES, AND SYSTEM CAPACITY. ALTHOUGH 53 NEEDS WERE IDENTIFIED AND PRIORITIZED, THE TOP 10 NEEDS ARE SHOWN BELOW. PRIORITIZED 2020 COMMUNITY NEEDS DOMAIN AND RANK HEALTH NEED ACCESS TO CARE: 1 TRANSPORTATION SERVICES FOR PEOPLE NEEDING TO GO TO DOCTORS APPOINTMENTS OR THE HOSPITAL 2 ACCESS TO HEALTHFUL FOOD 3 AFFORDABLE PRESCRIPTION MEDICATIONS 9 WELLNESS INITIATIVES FOR ADULTS EXERCISE AND NUTRITION 10 OBESITY EDUCATION AND PREVENTION CARE COORDINATION SERVICES: 4 SENIORS HEALTH SERVICES CARE COORDINATION 5 SUBSTANCE ABUSE SCREENING, INTERVENTION, TREATMENT, CARE COORDINATION SYSTEM CAPACITY: 6 SENIORS HEALTH SERVICES DIAGNOSTIC AND TREATMENT 7 SENIORS HEALTH SERVICES DEMENTIA SPECTRUM SERVICES FOR ALZHEIMERS, ETC. 8 BEHAVIORAL HEALTH SERVICES FOR ADULTS FOR DEPRESSION, ANXIETY, OR OTHER MENTAL HEALTH CONDITIONS OTHER THAN SUBSTANCE ABUSE ULTIMATELY, THE HOSPITAL FOCUSED ON ADOPTING IMPLEMENTATION STRATEGIES FOR THE TOP 5 COMMUNITY HEALTH NEEDS.

FACILITY 1, TIFT REGIONAL MEDICAL CENTER - PART V, LINE 5
TIFT REGIONAL HEALTH SYSTEM INCLUDED AN EXPANSIVE AND HIGHLY DIVERSE GROUP OF INDIVIDUALS TO PARTICIPATE IN ITS CHNA ADVISORY COMMITTEE AND TO CONTRIBUTE INSIGHT FROM COMMUNITY SERVICE ORGANIZATIONS. EACH MEMBER WAS INVITED TO PROVIDE PROJECT INSIGHT, FEEDBACK REGARDING PERCEPTIONS OF AREA HEALTH NEEDS, DATA EVALUATION, AND OTHER GUIDANCE THROUGHOUT THE CHNA PROCESS. THESE INDIVIDUALS HAD A BREADTH OF COMMUNITY HEALTH VISION, KNOWLEDGE, AND POWER TO IMPACT THE WELL-BEING OF THE SERVICE AREA. THE CHNA ADVISIORY COMMITTEE HEALTH SYSTEM AND COMMUNITY PARTICIPANTS ARE IDENTIFIED ON PAGES 7 AND 8 OF THE CHNA. TRHS CONTACTED PHYSICIANS FROM ACROSS MEDICAL SPECIALTIES TO PARTICIPATE IN ITS RESEARCH FOR THE MEDICAL STAFF DEVELOPMENT PLAN AND TO CONTRIBUTE INSIGHT FOR THE CHNA. EACH MEMBER WAS INVITED TO PROVIDE FEEDBACK REGARDING PERCEPTIONS OF PATIENT ACUITY CHANGES, QUANTITY OF PROVIDERS OF VARIOUS SPECIALTIES, RETIREMENT PLANS, AND AREA HEALTH NEEDS. THESE INDIVIDUALS HAD A BREADTH OF COMMUNITY HEALTH VISION, KNOWLEDGE, AND POWER TO IMPACT THE WELL-BEING OF THE SERVICE AREA. THE MEDICAL STAFF DEVELOPMENT PLAN PARTICIPANTS ARE IDENTIFIED ON PAGE 10 OF THE CHNA. THE CHNA METHODOLOGY UTILIZED BOTH QUANTITATIVE AND QUALITATIVE RESEARCH METHODS IN ORDER TO EVALUATE PERSPECTIVES AND OPINIONS OF AREA STAKEHOLDERS AND HEALTHCARE CONSUMERS, ESPECIALLY THOSE REPRESENTING UNDERSERVED POPULATIONS. THIS METHODOLOGY HELPED TO PRIORITIZE THE NEEDS AND ESTABLISH A BASIS FOR CONTINUED COMMUNITY ENGAGEMENT, IN ADDITION TO SIMPLY DEVELOPING A BROAD, COMMUNITY-BASED LIST OF NEEDS. THE MAJOR SECTIONS OF THE METHODOLOGY INCLUDE THE FOLLOWING: STRATEGIC SECONDARY RESEARCH AND DATA ANALYSIS QUALITATIVE DISCUSSION GROUPS WITH SOUTHWELL/ TRHS LEADERS, ADVISORY COMMITTEE MEMBERS, OTHER COMMUNITY LEADERS AND SERVICE PROVIDERS, MEMBERS OF UNDERSERVED POPULATIONS, AND OTHER HEALTHCARE CONSUMERS IN THE PRIMARY SERVICE AREA (PSA) AND SECONDARY SERVICE AREA (SSA) ONE-ON-ONE INTERVIEWS WITH SOUTHWELL/ TRHS LEADERS, ADVISORY COMMITTEE MEMBERS, OTHER COMMUNITY LEADERS AND SERVICE PROVIDERS, AND HEALTHCARE CONSUMERS IN THE PRIMARY SERVICE AREA (PSA) AND SECONDARY SERVICE AREA (SSA) COMMUNITY SURVEYS - TO RECEIVE INPUT FROM LOCAL RESIDENTS, SOUTHWELL/ TRHS CONDUCTED A COMMUNITY HEALTH NEEDS SURVEY BETWEEN APPROXIMATELY OCTOBER 26, 2020 AND NOVEMBER 23, 2020, AMONG ADULTS (AGE 18+) IN THE PRIMARY SERVICE AREA. THE HEALTH SYSTEM CREATED A SUCCESSFUL MARKETING CAMPAIGN TO ENCOURAGE THE COMMUNITY TO PARTICIPATE IN THE ONLINE SURVEY, INCLUDING A PRINT AD IN THREE PUBLICATIONS (TIFTON GAZETTE, ADEL NEWS TRIBUNE, AND WIREGRASS FARMER), PRINTED FLYERS, AN EMAIL BLAST, WEB COMMUNICATIONS, AND SOCIAL MEDIA. RESIDENTS WITHOUT INTERNET ACCESS HAD THE OPTION OF HAVING A PAPER SURVEY MAILED TO THEM ALONG WITH A SELF- ADDRESSED AND SELF- STAMPED RETURN ENVELOPE. AS AN INCENTIVE FOR PARTICIPATION, ALL THOSE SURVEYED WERE ENTERED INTO A DRAWING FOR EITHER A 200 VISA GIFT CARD, A 100 WALMART GIFT CARD, OR A 50 DARDEN RESTAURANT GIFT CARD. THERE WERE 998 TOTAL PARTICIPANTS IN THE SURVEY. IN ADDITION, THE SURVEY WAS TRANSLATED INTO SPANISH AND 8 INDIVIDUALS PARTICIPATED. THE SURVEY INCLUDED REPRESENTATION ACROSS THE PSA COUNTIES AND A DIVERSE MIX OF ECONOMIC STRATA AND EDUCATIONAL ATTAINMENT LEVELS. IN ADDITION, A THREE-PART PRIORITIZATION SURVEY WAS CONDUCTED WITH THE ADVISORY COMMITTEE IN ORDER TO NARROW DOWN THE LARGE LIST OF NEEDS AND GAPS IDENTIFIED DURING THE QUALITATIVE AND QUANTITATIVE RESEARCH PROCESS. THE ADVISORY COMMITTEE FIRST RECEIVED A LIST OF THE 53 IDENTIFIED NEEDS AND WERE ASKED TO RATE THEM ON A SEVEN-POINT SCALE AND PROVIDE A SHORT COMMENT REGARDING THE RATIONALE FOR THE RATING. DURING THE SECOND ROUND, THE ADVISORY COMMITTEE RECEIVED THE SAME LIST OF 53 PRIORITIZED NEEDS, AS WELL AS THE RATINGS AND COMMENTS FROM THE FIRST ROUND. THEY WERE THEN ASKED TO RE-RATE THE LIST BASED ON THE NEW INFORMATION. THE FINAL ROUND INCLUDED A VIRTUAL MEETING WHERE THE RESULTS WERE PRESENTED AND PARTICIPANTS HAD THE OPPORTUNITY TO DISCUSS THE RESULTS, MAKE COMMENTS, AND DETERMINE IF ANY CHANGES TO THE PRIORITIZED LIST WERE NEEDED.

FACILITY 1, TIFT REGIONAL MEDICAL CENTER - PART V, LINE 11
FIVE PRIORITIZED NEEDS WERE IDENTIFIED IN THE IMPLEMENTATION STRATEGY REPORT: 1) TRANSPORTATION SERVICES (ACCESS TO CARE) 2) AFFORDABLE PRESCRIPTION MEDICATIONS (ACCESS TO CARE) 3) SENIOR HEALTH SERVICES (CARE COORDINATION AND SYSTEM CAPACITY) 4) BEHAVIORAL HEALTH SERVICES (CARE COORDINATION AND SYSTEM CAPACITY) 5) HEALTH AND WELLNESS ENHANCEMENT (ACCESS TO CARE). THE SPECIFIC IMPLEMENTATION STRATEGIES ARE DISCUSSED BEGINNING ON PAGE 5 OF THE REPORT. NEEDS NOT ADDRESSED IN THE IMPLEMENTATION STRATGY REPORT WERE NOT CONSIDERED TO BE AS HIGH A PRIORITY. RESOURCE LIMITATIONS, ABILITY TO IMPACT AND OTHER CONSIDERATIONS WERE INFLUENCED THIS DECISION.

Supplemental Information

Schedule H (Form 990) Part VI

SCHEDULE H, PART I, LINE 7
A COST-TO-CHARGE RATIO IS CALCULATED USING WORKSHEET 2 INCLUDED IN THE FORM 990, SCHEDULE H INSTRUCTIONS.

SCHEDULE H, PART III, LINE 2
CHANGES IN CREDIT ISSUES THAT ARE NOT ADDRESSED AT THE DATE OF SERVICE ARE RECOGNIZED AS BAD DEBT EXPENSE AND ARE INCLUDED AS A COMPONENT OF OPERATING EXPENSES. CREDIT ISSUES THAT ARE ADDRESSED AT THE DATE OF SERVICE ARE TREATED AS PRICE CONCESSIONS THAT REDUCE THE TRANSACTION PRICE, WHICH ARE REPORTED AS A REDUCTION OF NET PATIENT SERVICE REVENUE. THERE WERE NO BAD DEBTS RECORDED IN OPERATING EXPENSES DURING THE FISCAL YEAR. BASED ON MANAGEMENT'S JUDGEMENT AND EXPERIENCE, 100% OF SELF-PAY ACCOUNT BALANCES ARE RECORDED AS PRICE CONCESSIONS.

SCHEDULE H, PART III, LINE 4
SOUTHWELL HAS ARRANGEMENTS WITH THIRD-PARTY PAYORS THAT PROVIDE FOR PAYMENTS TO SOUTHWELL AT AMOUNTS DIFFERENT FROM ESTABLISHED RATES. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, SOUTHWELL RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES, SUBJECT TO CERTAIN DISCOUNTS AND IMPLICIT PRICE CONCESSIONS AS DETERMINED BY SOUTHWELL. SOUTHWELL DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD- PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED PATIENTS IN ACCORDANCE WITH SOUTHWELL'S POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED TO UNINSURED PATIENTS. IMPLICIT PRICE CONCESSIONS REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED AND THE ESTIMATED CONSIDERATION SOUTHWELL EXPECTS TO RECEIVE FROM PATIENTS, WHICH ARE DETERMINED BASED ON HISTORICAL COLLECTION EXPERIENCE, CURRENT MARKET CONDITIONS, AND OTHER FACTORS. SOUTHWELL DETERMINES ITS ESTIMATES OF CONTRACTUAL ADJUSTMENTS AND DISCOUNTS BASED ON CONTRACTUAL AGREEMENTS, DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE. SEE FOOTNOTES 2 AND 3 IN THE ATTACHED AUDITED FINANCIAL STATEMENTS FOR ADDITIONAL INFORMATION REGARDING UNCOMPENSATED CARE.

SCHEDULE H, PART III, LINE 8
MEDICARE ALLOWABLE COSTS ARE COMPUTED IN ACCORDANCE WITH COST REPORTING METHODOLOGIES UTILIZED ON THE MEDICARE COST REPORT AND IN ACCORDANCE WITH RELATED REGULATIONS. INDIRECT COSTS ARE ALLOCATED TO DIRECT SERVICE AREAS USING THE MOST APPROPRIATE STATISTICAL BASIS. THE FULL AMOUNT OF THE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT. MEDICARE IS A FEDERAL PROGRAM WHICH DICTATES PAYMENT RATES AND CONDITIONS OF PARTICIPATION FOR SERVING CERTAIN ELDERLY AND DISABLED MEMBERS OF THE COMMUNITY. SERVING THE NEEDS OF OUR RESIDENTS AT BELOW MEDICARE'S COMPUTATION OF COSTS PROVIDES NECESSARY LOCAL CARE FOR A SEGMENT OF THE POPULATION THAT CONSTITUTES A CHARITABLE CLASS.

SCHEDULE H, PART III, LINE 9B
"PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY (""FAP"") RECIEVE A 100% DISCOUNT. THERE ARE NO COLLECTION ACTIVITIES FOR QUALIFYING FAP-ELIGIBLE PATIENTS."

SCHEDULE H, PART VI, LINE 2
AS A GOVERNMENTAL ORGANIZATION OPERATED PURSUANT TO GEORGIA HOSPITAL AUTHORITIES LAW PRIOR TO MARCH 1, 2019, THE HOSPITAL WAS NOT SUBJECT TO THE PROVISIONS OF INTERNAL REVENUE CODE SECTION 501(R). NEVERTHELESS, THE HOSPITAL AUTHORITY CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2014 AN 2017 FOR ITS TIFTON CAMPUS. IN ADDITION, AS PART OF THE STRATEGIC PLANNING PROCESS FOR EACH CAMPUS, COMMUNITY INPUT RELATED TO HEALTH NEEDS IS RECEIVED FROM A VARIETY OF SOURCES, INCLUDING PHYSICIANS, NURING STAFF AND COMMUNITY MEMBERS.

SCHEDULE H, PART VI, LINE 3
"THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY (""FAP""), PLAIN LANGUAGE SUMMARY AND FINANCIAL ASSISTANCE APPLICATION ARE AVAILABLE ONLINE AND UPON REQUEST AT THE 2 HOSPITAL CAMPUSES (TRMC AND SOUTHWELL MEDICAL). A PLAIN LANGUAGE SUMMARY OF THE FAP IS OFFERED TO EACH PATIENT UPON ADMISSION AND SIGNAGE IS POSTED THROUGHOUT BOTH CAMPUSES REGARDING THE FAP."

SCHEDULE H, PART VI, LINE 4
TIFT REGIONAL HEALTH SYSTEM, INC. SERVES A 12-COUNTY AREA OF SOUTHWEST GEORGIA WHICH HAS A TOAL POPULATION IN EXCESS OF A QUARTER OF A MILLION RESIDENTS. THE POPULATION FOR THE COUNTIES IN THE PRIMARY SERVICE AREA ACCORDING TO THE 2020 CENSUS ARE - TIFT COUNTY (41,344), TURNER COUNTY (9,006) AND COOK COUNTY (17,229). THE 9 COUNTIES IN THE SECONDARY SERVICE AREA INCLUDE ATKINSON, BENHILL, BERRIEN, COFFEE, COLQUITT, CRISP, IRWIN, WILCOX, AND WORTH COUNTIES WHICH HAVE A TOTAL POPULATION OF 191,974. THIS AREA OF GEORGIA HAS MEDIAN AGE SIMILAR TO THE STATE AVERAGE, BUT LOWER MEDIAN HOUSEHOLD INCOMES, LOWER EDUCATIONAL ATTAINEMENT LEVELS AND HIGHER DISABILITY RATES.

SCHEDULE H, PART VI, LINE 5
"TIFT REGIONAL HEALTH SYSTEM, INC. IS GOVERNED BY AN INDEPENDENT BOARD OF DIRECTORS COMPRISED OF COMMUNITY REPRESENTATIVES. THE ORGANIZATION IS A NOT-FOR-PROFIT ORGANIZATION UNDER GEORGIA LAW AND A TAX-EXEMPT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ANY EXCESS REVENUES OVER EXPENSES ARE REINVESTED INTO SERVING THE HEALTHCARE NEEDS OF THE COMMUNITY. TIFT REGIONAL MEDICAL CENTER (""TRMC"") IS 181-BED REGIONAL REFERRAL HOSPITAL THAT OPERATES AN EMERGENCY ROOM 24/7/365. SOUTHWELL MEDICAL IS A NON-SEPARATELY LICENSED 60-BED HOSPITAL CAMPUS OF TRMC. THIS FACILITY INCLUDES 12 GERIATRIC PSYCHIATRIC BEDS. A 95-BED SKILLED NURSING FACILITY (SOUTHWELL HEALTH & REHABILITATION) IS ALSO LOCATED ON THIS CAMPUS. TRMC, SOUTHWELL MEDICAL AND SOUTHWELL HEALTH & REHABILITATION PARTICIPATE IN THE MEDICARE AND MEDICAID PROGRAMS. TIFT REGIONAL HEALTH SYSTEM TREATS ALL PATIENTS IN A NONDISCRIMINATORY MANNER WITHOUT REGARD TO THEIR ABILITY TO PAY FOR ANY EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. THE MEDICAL STAFF OF THE HOSPITAL IS OPEN TO ALL PROPERLY CREDENTIALED QUALIFIED PHYSICIANS."

SCHEDULE H, PART VI, LINE 7
GEORGIA

SCHEDULE H, PART VI, LINE 6
TIFT REGIONAL HEALTH SYSTEM, INC. OPERATES TIFT REGIONAL MEDICAL CENTER, A 181-BED REGIONAL REFERRAL HOSPITAL LOCATED IN TIFTON, GEORGIA, AND SOUTHWELL MEDICAL (FORMERLY COOK MEDICAL CENTER), A 60-BED NONSEPARATELY LICENSED HOSPITAL CAMPUS OF TRMC (INCLUDING 12 GERIATRIC PSYCHIATRIC BEDS) AND A 95-BED SKILLED NURSING FACILITY. TIFT REGIONAL MEDICAL CENTER FOUNDATION, INC. IS A TAX-EXEMPT ORGANIZATION RESPONSIBLE FOR FUNDRAISING EFFORTS BENEFITTING TIFT REGIONAL HEALTH SYSTEM, INC. SOUTHWELL AMBULATORY, INC. IS A NONPROFIT ORGANIZATION THAT PROVIDES SPECIALTY PHYSICIAN AND OTHER MEDICAL SERVICES. ITS EXEMPTION APPLICATION IS PENDING IRS APPROVAL. SOUTHWELL, INC. SERVES AS THE PARENT ORGANIZATION. IT IS A TAX-EXEMPT ORGANIZATION RESPONSIBLE FOR STRATEGIC AND FINANCIAL PLANNING FOR THE VARIOUS MEMBERS OF THE MULTI-ENTITY HEALTHCARE PROVIDER SYSTEM. TIFT ENTERPRISES, INC. IS A FOR-PROFIT SUBSIDIARY OF SOUTHWELL, INC. IT SERVES AS A HOLDING COMPANY FOR CERTAIN INVESTMENTS AND PROVIDES LIMITED MANAGEMENT SERVICES.

Operating expenses	$ 471,879,728
Total amount spent on community benefits as % of operating expenses	$ 29,253,627 6.20 %