Community Benefit Insight - Tax-exempt hospital

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Crisp Regional Hospital Inc

Crisp Regional Hospital Inc

902 7th Street North
Cordele, GA 31015

Bed count	65	Medicare provider number	110104	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

EIN: 582175978

Display data for year:

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

10%

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

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2021

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	$ 651,548 0.55 %
Medicaid as % of operating expenses	$ 1,454,126 1.22 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 0 0 %
Subsidized health services as % of operating expenses	$ 9,829,103 8.24 %
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.	$ 0 0 %
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	$ 30,500,974 25.56 %
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 $ 84436582 including grants of $ 329133) (Revenue $ 114840810)
THE ORGANIZATION OPERATES A HOSPITAL, TWO SNFS & A HHA PROVIDING SHORT-TERM ACUTE CARE FOR INPATIENT & OUTPATIENT SERVICES FOR CRISP COUNTY AND SURROUNDING COUNTIES. TOTAL PATIENT DAYS FOR FYE 6/30/21 WERE 16,386; HHA VISITS FOR WERE 13,117; AND SNF PATIENT DAYS WERE 19,654; CORDELE HEALTH AND REHABILITATION (A FREE-STANDING SNF) PATIENT DAYS TOTAL 18,671, AND RURAL HEALTH CLINIC VISITS TOTALED 16,808.

Facility Information

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

FACILITY 1, CRISP REGIONAL HOSPITAL INC - PART V, LINE 3E
AREAS OF NEED THAT WERE HIGHLIGHTED IN MORE THAN ONE DATA SOURCE INCLUDED PHYSICAL ACTIVITY/EXERCISE, MENTAL HEALTH, RISKY TEEN SEXUAL BEHAVIOR, NUTRITION, PRESCRIPTION COMPLIANCE, TRANSPORTATION AND ACCESS TO CARE, SENIOR CARE, AND PULMONARY HEALTH. AFTER REVIEWING THESE DATA AND CONSIDERING THE HOSPITALS PAST CHNA PLANS AND RELATED INITIATIVES, THE HOSPITAL CHNA STEERING COMMITTEE PRIORITIZED FOUR AREAS FOR THE 2022 IMPLEMENTATION PLAN: 1) MATERNAL AND CHILD HEALTH, 2) MENTAL HEALTH, 3) TRANSPORTATION, AND 4) RISKY TEEN BEHAVIORS. NEXT, THE HOSPITAL CHNA STEERING COMMITTEE WILL DEVELOP AN IMPLEMENTATION PLAN TO ADDRESS THESE PRIORITIZED FOCUS AREAS EFFECTIVELY.

FACILITY 1, CRISP REGIONAL HOSPITAL INC - PART V, LINE 5
THE CENTER FOR PUBLIC HEALTH PRACTICE AND RESEARCH PROJECT TEAM WORKED WITH THE HOSPITAL CHNA STEERING COMMITTEE THROUGHOUT THE PROJECT. THE STEERING COMMITTEE FACILITATED COMPLETION OF A COMMUNITY SURVEY, RECRUITED KEY STAKEHOLDERS FOR FOCUS GROUP DISCUSSIONS, PROVIDED INFORMATION ABOUT THE HOSPITALS ACTIVITIES TO ADDRESS COMMUNITY HEALTH NEEDS SINCE THE LAST CHNA WAS COMPLETED IN 2019, AND PROVIDED THE HEALTHCARE RESOURCE LISTING AT THE END OF THIS REPORT. THE COMMUNITY SURVEY THAT WAS ADMINISTERED AIMED AT ASSESSING LOCAL HEALTH CARE ACCESS AND NEEDS OF THE PEOPLE RESIDING IN THE PRIMARY SERVICE AREA OF CRISP REGIONAL HOSPITAL CRISP COUNTY. THE COMMUNITY SURVEY WAS DISSEMINATED VIA THE HOSPITALS SOCIAL MEDIA WEBPAGES AND EMAIL LISTSERVS, AS WELL AS THOSE OF LOCAL COMMUNITY PARTNERS. FOCUS GROUP PARTICIPANTS WERE ALL KEY STAKEHOLDERS IN MAINTAINING THE OVERALL HEALTH OF THE COMMUNITY. THEIR PERSPECTIVES PROVIDED A WELL-ROUNDED VIEW OF LIFE IN THE COMMUNITY AND THE HEALTH AND HEALTHCARE NEEDS OF THE RESIDENTS. INFORMATION FROM THESE PRIMARY DATA COLLECTION EFFORTS WAS SUPPLEMENTED BY SECONDARY QUANTITATIVE DATA ON THE COMMUNITYS PROFILE, HEALTH CARE ACCESS, AND UTILIZATION. THESE DATA WERE OBTAINED FROM MULTIPLE PUBLICLY AVAILABLE SOURCES INCLUDING THE US CENSUS BUREAU, THE AREA RESOURCE FILE, CENTERS FOR DISEASE CONTROL (CDC) DISEASE AND MORTALITY DATA, GEORGIA POPULATION PROJECTIONS, COUNTY HEALTH RANKINGS, AND THE GEORGIA DEPARTMENT OF HEALTHS ONLINE ANALYTICAL STATISTICAL INFORMATION SYSTEM (OASIS). THE MOST RECENTLY AVAILABLE DATA WERE OBTAINED FROM ALL DATA SOURCES AT THE TIME OF ANALYSIS. FINDINGS FROM ALL THE ABOVE-DESCRIBED PRIMARY AND SECONDARY DATA COLLECTION EFFORTS INFORMED THE IDENTIFICATION AND PRIORITIZATION OF COMMUNITY HEALTH NEEDS BY THE HOSPITAL STEERING COMMITTEE, AS WELL AS PROVIDED SUGGESTED SOLUTIONS TO ADDRESS THESE NEEDS

FACILITY 1, CRISP REGIONAL HOSPITAL INC - PART V, LINE 11
INFORMATION GATHERED FROM THE COMMUNITY MEETING, INTERVIEW, DISCUSSIONS WITH THE HOSPITAL LEADERSHIP TEAM, REVIEW OF DEMOGRAPHIC AND HEALTH STATUS, AND HOSPITAL UTILIZATION DATA WERE USED TO DETERMINE THE PRIORITY HEALTH NEEDS OF THE POPULATION. A VARIETY OF NEEDS WERE IDENTIFIED THAT ARE NOT POSSIBLE FOR THE HOSPITAL TO ADDRESS BY ITSELF, BUT WILL BE ADDRESSED IN COLLABORATION WITH OTHERS WITHIN THE COMMUNITY. THE CHNA AND IMPLEMENTATION STRATEGY CAN BE DOWNLOADED BY VISITING HTTPS://CRISPREGIONAL.ORG

Supplemental Information

Schedule H (Form 990) Part VI

SCHEDULE H, PART I, LINE 7G
THIS SECTION INCLUDES NET ACTUAL COSTS FOR SUBSIDIZED PHYSICIAN AND RURAL HEALTH CLINICS OF 19,024,130.

SCHEDULE H, PART I, LINE 7
COSTS FOR PART I, LINE 7A WERE CALCULATED USING THE RCC CALCULATED IN WORKSHEET 2. PART I, LINE 7B COSTS WERE CALCULATED FROM THE ORGANIZATION'S ACCOUNTING RECORDS. PART I, LINE 7G COSTS WERE CALCULATED FROM THE ORGANIZATION'S ACCOUNTING RECORDS.

SCHEDULE H, PART III, LINE 2
AMOUNTS ON PART III, LINE 2 REPRESENT THE AMOUNT OF NET CHARGES WRITTEN OFF AS UNCOLLECTIBLE AND RECORDED AS BAD DEBT EXPENSE ON THE AUDITED FINANCIAL STATEMENTS.

SCHEDULE H, PART III, LINE 4
SEE THE DISCUSSION REGARDING UNINSURED PATIENTS AND BAD DEBT EXPENSE WITH THE NET PATIENT SERVICE REVENUE FOOTNOTE ON PAGES 14-19 ON THE ACCOMPANYING AUDITED FINANCIAL STATEMENTS.

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.

SCHEDULE H, PART III, LINE 9B
PATIENTS, WHO MEET ALL THE REQUIREMENTS TO BE CLASSIFIED AS MEDICALLY INDIGENT UNDER THE ORGANIZATION'S ICTF POLICY, WILL HAVE THEIR ACCOUNTS WRITTEN OFF ON A SLIDING SCALE FEE (100% OF ACCOUNTS AT 125% OF THE FEDERAL POVERTY SCALE, 7% OF ACCOUNTS WHEN INCOME IS AT 200% OF THE SCALE, UP TO THE MAXIMUM ALLOWED PER PATIENT PER YEAR). ANY AMOUNT NOT ADJUSTED OFF PER POLICY, WOULD FOLLOW THE COLLECTION PRACTICE AS ANY OTHER ACCOUNT.

SCHEDULE H, PART VI, LINE 2
CRISP REGIONAL ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITY BY EVALUATING DISEASE INCIDENCES IN THE POPULATION AS WELL AS ECONOMIC AND DEMOGRAPHIC CHARACTERISTICS OF THE POPULATION IN COMPARISON TO THE UTILIZATION AND AVAILABILITY OF APPLICABLE SERVICES. PRIMARY SOURCE FOR ASSESSMENT INFORMATION IS THE COMMUNITY HEALTH STATUS INDICATORS PUBLISHED BY THE U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES AND INTERNAL INFORMATION PRODUCED BY HOSPITAL RECORDS. CRISP REGIONAL IS CLASSIFIED AS A HEALTH MANPOWER SHORTAGE AREA DUE TO THE DISPROPORTIONALLY LARGE LOW INCOME POPULATION. IN ADDITION, CRISP'S SERVICE HAS A SIGNIFICANT NUMBER OF MIGRANT AND UNDOCUMENTED FARM WORKS THAT PRESENT EPISODIC COMMUNITY HEALTH NEEDS. BOTH OF THE ORGANIZATION'S 2022 AND 2019 COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGY PLANS ARE AVAILABLE FOR DOWNLOAD ON ITS WEBSITE AT HTTPS://CRISPREGIONAL.ORG

SCHEDULE H, PART VI, LINE 3
CRISP REGIONAL HOSPITAL HAS A CLEARLY DEFINED PROCESS FOR ADDRESSING INDIGENT AND/OR SELF-PAY PATIENTS. PATIENTS THAT PRESENT AT THE REGISTRATION DESK AS SELF PAY PATIENTS RECEIVING OUTPATIENT SERVICES ARE DIRECTED TO OUR PATIENT FINANCIAL COUNSELOR FOR ADVISEMENT. AT THIS POINT, A FINANCIAL COUNSELOR REVIEWS THE APPLICATION FOR THE INDIGENT CARE TRUST FUND ASSISTANCE. IF THIS ASSISTANCE APPLIES, THE COUNSELOR WILL ASSIST IN THE APPLICATION PROCESS AND ASSURE COMPLETION OF THE APPLICATION FOR REVIEW. IF THIS ASSISTANCE DOES NOT APPLY, WE REFER TO A LIST OF SERVICES THAT REQUIRE A CERTAIN AMOUNT TO BE PAID BEFORE THE SERVICE IS RENDERED. WE ALSO ASSIST IN SETTING UP A CONTRACT TO INITIATE A MONTHLY PAYMENT PLAN. FOR A PATIENT THAT PRESENTS IN CRISP REGIONAL HOSPITAL AS AN INPATIENT AND IS SELF PAY, THE PATIENT FINANCIAL COUNSELOR GOES TO THE PATIENT'S ROOM TO ASSURE THAT THEY ARE CORRECTLY CLASSIFIED AS A SELF PAY PATIENT. SELF PAY PATIENTS ARE THEN REFERRED TO CHANGE HEALTHCARE TO ASSESS ELIGIBILITY FOR MEDICAID ASSISTANCE. IF NOT ELIGIBLE FOR MEDICAID, WE ASSIST THEM WITH AN APPLICATION FOR INDIGENT CARE TRUST FUND ASSISTANCE. IF NOT ELIGIBLE FOR THE INDIGENT PROGRAM, THEN WE ASSIST WITH A CONTRACT TO START MONTHLY PAYMENTS.

SCHEDULE H, PART VI, LINE 4
CRISP REGIONAL HOSPITAL SERVES CRISP, DOOLY AND WILCOX COUNTIES AS OUR PRIMARY SERVICE AREAS. THESE AREAS ACCOUNT FOR 85.62% OF PATIENT ACTIVITY. THE OTHER FOUR CONTIGUOUS COUNTIES, SUMTER, WORTH, TURNER AND LEE, ARE SECONDARY GEOGRAPHIC MARKET AREAS. CORDELE IS THE ECONOMIC AND MEDICAL HUB OF THIS AREA AND DRAWS ON A POPULATION APPROACHING 135,000. THE MOST RECENTLY AVAILABLE SCHOOL ENROLLMENT IN CRISP COUNTY WAS 6,351. NURSERY SCHOOL AND KINDERGARTEN ENROLLMENT WAS 698 AND ELEMENTARY OR HIGH SCHOOL ENROLLMENT WAS 3,975 CHILDREN. COLLEGE OR GRADUATE SCHOOL ENROLLMENT WAS 1,678. INDUSTRIES: IN 2021, FOR THE EMPLOYED POPULATION 16 YEARS AND OLDER, THE LEADING INDUSTRIES IN CRISP COUNTY WERE HEALTHCARE, SOCIAL ASSISTANCE, EDUCATIONAL SERVICES, MANUFACTURING, AND RETAIL TRADE. INCOME: THE MEDIAN INCOME OF HOUSEHOLDS IN CRISP COUNTY WAS 41,605 IN 2021. 67% OF THE HOUSEHOLDS RECEIVED EARNINGS AND 15% RECEIVED RETIREMENT INCOME OTHER THAN SOCIAL SECURITY. 12% OF THE HOUSEHOLDS RECEIVED SOCIAL SECURITY. THESE INCOME SOURCES ARE NOT MUTUALLY EXCLUSIVE; THAT IS, SOME HOUSEHOLDS RECEIVED INCOME FROM MORE THAN ONE SOURCE. POVERTY AND PARTICIPATION IN GOVERNMENT PROGRAMS: IN 2021, 29.7% OF PEOPLE WERE IN POVERTY. 47.9% OF RELATED CHILDREN UNDER 18 WERE BELOW THE POVERTY LEVEL, COMPARED WITH 16.9% OF PEOPLE 65 YEARS OLD AND OVER. 28% OF ALL FAMILIES AND 68% OF FAMILIES WITH A FEMALE HOUSEHOLDER AND NO HUSBAND PRESENT HAD INCOMES BELOW THE POVERTY LEVEL. FOR PEOPLE REPORTING ONE RACE ALONE, 52% WERE WHITE; 45% WERE BLACK OR AFRICAN AMERICAN; 4% WERE HISPANIC OR LATINO; 1% WAS ASIAN; AND 1% WAS CLASSIFIED AS OTHER RACE. 2% REPORTED TWO OR MORE RACES. HOUSING COSTS: THE MEDIAN MONTHLY HOUSING COSTS FOR MORTGAGED OWNERS WAS 1,099, NON-MORTGAGED OWNERS 420, AND RENTERS 695. 18% OF OWNERS WITH MORTGAGES, 11% OF OWNERS WITHOUT MORTGAGES, AND 27% OF RENTERS IN CRISP COUNTY SPENT 50% OR MORE OF HOUSEHOLD INCOME ON HOUSING. NATIVITY AND LANGUAGE: LESS THAN 1% OF THE PEOPLE LIVING IN CRISP COUNTY IN 2021 WERE FOREIGN BORN. 99% WERE NATIVE, INCLUDING 86% WHO WERE BORN IN GEORGIA. AMONG PEOPLE AT LEAST 5 YEARS OLD LIVING IN CRISP COUNTY IN 2021, 3.4% SPOKE A LANGUAGE OTHER THAN ENGLISH AT HOME.

SCHEDULE H, PART VI
PART I LINE 6A COMMUNITY BENEFIT REPORT THE ORGANIZATION DOES NOT HAVE A FORMALIZED WRITTEN COMMUNITY BENEFIT REPORTING PROCESS, BUT DOES PUBLICIZE A COMMUNITY BENEFIT REPORT.

SCHEDULE H, PART VI, LINE 5
CRISP REGIONAL IS SERVED BY A VOLUNTEER GOVERNING BOARD COMPOSED OF COMMUNITY MEMBERS FROM CRISP AND DOOLY COUNTIES. A PRIMARY FOCUS OF THE BOARD IS TO ADDRESS THE ACCESSIBILITY OF HEALTHCARE SERVICES AND ACCESS TO QUALIFIED HEALTHCARE PROFESSIONALS. THE ORGANIZATION OPERATES A 24HR/7DAY A WEEK EMERGENCY DEPARTMENT THAT SERVES APPROXIMATELY 18,500 PATIENTS ANNUALLY. AS A MEANS TO ALLEVIATE ED OVERCROWDING AND CREATE A MORE APPROPRIATE TREATMENT ENVIRONMENT, THE BOARD ALSO FUNDS FINANCIALLY OPERATING DEFICITS AT THE CRISP CONVENIENT CARE CLINIC. THE ED PATIENT POPULATION INCLUDES 23% THAT ARE CLASSIFIED AS INDIGENT OR NON-INSURED. THE CONVENIENT CARE CLINIC EXPERIENCES NEARLY 22% INDIGENT OR SELF-PAY POPULATION AND REQUIRES 344,000 IN NON- COMPENSATED FUNDING FROM THE ORGANIZATION'S GENERAL FUNDS. CRISP REGIONAL PROMOTES HEALTH AND ADDRESSES HEALTH PROFESSIONAL ACCESS IN SEVERAL COMMUNITY SERVICES. THE HOSPITAL PROVIDES HOUSING WITHOUT COST TO MEDICAL RESIDENTS AND STUDENTS ENGAGED IN CLINICAL EXPERIENCE AT CRISP REGIONAL. THE BOARD FURNISHES THREE APARTMENTS AS A MEANS TO ASSURE MEDICAL STUDENTS AND MEDICAL RESIDENTS ARE EXPOSED TO THE SPECIAL NEEDS OF RURAL POPULATIONS AND AGRICULTURE ECONOMY. IN ADDITION TO THESE SERVICES, CRISP REGIONAL PARTNERS WITH COLLEGES TO OFFER PRACTICAL EXPERIENCE IN A VARIETY OF AREAS THROUGHOUT THE HOSPITAL - FROM PROVIDING BEDSIDE CARE ON PATIENT FLOORS TO THE INTENSIVE CARE UNIT (ICU) AND EMERGENCY DEPARTMENT (ED). DURING THEIR CLINICAL ROTATIONS, STUDENTS CAN DIRECTLY APPLY WHAT THEY ARE LEARNING ABOUT THE CAUSES OF CERTAIN HEALTH CONDITIONS AND HOW TO DIAGNOSE AND TREAT THEM. THROUGH ITS RURAL HEALTH CLINIC PROGRAM, CRISP REGIONAL HEALTH SERVICES OFFERS MEDICAL CARE TO SURROUNDING RURAL COMMUNITIES. TWO RURAL HEALTH CARE CLINICS PROVIDE COVERAGE FOR PRIMARY HEALTH CARE, CHRONIC AND ACUTE ILLNESS, MINOR SUTURING, VARIOUS VACCINATIONS, LAB DRAWINGS AND PHYSICALS. THE PROGRAM ALLOWS RURAL RESIDENTS TO RECEIVE EXCELLENT HEALTH CARE PROVIDED BY HIGH-QUALITY HEALTH CARE PROFESSIONALS CLOSE TO HOME. IT ALSO OFFERS AFFORDABLE HEALTH CARE COVERAGE TO THESE RESIDENTS. LAST YEAR, BOTH CLINICS TREATED A TOTAL OF 19,382 PATIENTS. CRISP REGIONAL HEALTH SERVICES HOSTS FIVE ANNUAL COMMUNITY HEALTH FAIRS, OFFERING INFORMATION, EDUCATION AND BASIC TESTS FOR FREE OR AT DEEPLY- REDUCED COSTS. TESTS INCLUDE BODY MASS INDEX, BLOOD PRESSURE SCREENING, HEIGHT AND WEIGHT CHECKS, BLOOD GLUCOSE, AND PULMONARY LUNG FUNCTION. ALSO INCLUDED IS DIAGNOSTIC LAB WORK, CONSISTING OF LIPID PROFILE, THYROID, PROSTATE AND IRON PANEL SCREENINGS. WE PROVIDE THIS TO OUR COMMUNITY BECAUSE THE IMPORTANCE OF PRE-SCREENING, INCREASED AWARENESS AND EDUCATING THE COMMUNITY CONTRIBUTES TO RESIDENTS' BETTER OVERALL HEALTH. CRISP REGIONAL OFFERS THE WELLNESS WORKS PROGRAM TO PARTNER WITH LOCAL BUSINESSES TO MAINTAIN THE HEALTH OF THEIR EMPLOYEES AND PREVENT ILLNESS TO MAINTAIN A HEALTHY WORKPLACE. THIS PROGRAM INCLUDES SCREENINGS, HEALTH FAIRS, AND EDUCATION TO EMPLOYEES. ATHLETIC TRAINER-CRISP COUNTY SCHOOL SYSTEM SERVING AS AN EXTENSION OF ELITE PHYSICAL THERAPY SERVICES AT CRISP REGIONAL AND WITH A PARTNERSHIP WITH CRISP COUNTY SCHOOL SYSTEM, CRISP COUNTY HIGH SCHOOL BENEFITS BY HAVING AN ONSITE CERTIFIED ATHLETIC TRAINER (ATC) AVAILABLE TO ALL STUDENT ATHLETES PROVIDING FIRST AID AND EMERGENCY CARE DURING SPORTING EVENTS ALONG WITH PHYSICAL THERAPY AS PART OF ATHLETIC TRAINING AND MUSCULOSKELETAL THERAPY. THE ATHLETIC TRAINER CARES FOR STUDENT ATHLETES USING THERAPEUTIC MODALITIES SUCH AS ULTRASOUND, ELECTRICAL STIMULATION, CRYOTHERAPY, SEQUENTIAL COMPRESSION, LASER, THERMAL THERAPY, WHIRLPOOL AND OTHER EQUIPMENT. THE ATHLETIC TRAINER WORKS UNDER THE DIRECT SUPERVISION AND PROTOCOLS OF A SUPERVISING ORTHOPEDIC PHYSICIAN AND IN COLLABORATION WITH OUR PHYSICAL THERAPISTS AND STAFF. STOP THE BLEED- CRISP COUNTY EMS AND CRISP REGIONAL NURSING STAFF PARTNERED WITH THE SCHOOL SYSTEMS TO OFFER LIFE SAVING TRAINING WITH STOP THE BLEED. THROUGH OUR STOP THE BLEED COURSE, OUR COMMUNITY PARTNERS GAIN THE ABILITY TO RECOGNIZE LIFE-THREATENING BLEEDING AND INTERVENE EFFECTIVELY. THIS PROGRAM IS DESIGNED TO ENABLE SCHOOL TEACHERS, NURSES, AND STAFF HOW TO RENDER IMMEDIATE, POTENTIALLY LIFE-SAVING MEDICAL AID TO INJURED STUDENTS OR CO- WORKERS WHILE AWAITING THE ARRIVAL OF PROFESSIONAL RESPONDERS. EACH SCHOOL RECEIVED LIFE SAVING STOP THE BLEED KITS TO HAVE AVAILABLE DURING LIFE SAVING EMERGENCIES. TEEN MAZE- PARTNERING WITH THE CRISP COUNTY SCHOOL SYSTEM AND OTHER PARTNERS, THE TEEN MAZE IS A LIFE-SIZED INTERACTIVE GAME THAT STUDENTS ADVANCE THROUGH BY CHANCE. THE TEEN MAZE IS AN EXPERIENTIAL LEARNING EVENT. THE GOAL OF THE EFFORT IS TO HELP STUDENTS REALIZE THE IMPACT OF MAKING GOOD CHOICES. STUDENTS HAVE NO CONTROL OF THEIR CHOICES DURING THE MAZE, AND ARE PRESENTED CONSEQUENCES OF CHOICES RELATED TO SUBSTANCE ABUSE, UNPROTECTED SEX, TEEN PREGNANCY/PARENTING, FINANCIAL OBLIGATIONS, DATE VIOLENCE, DRINKING/TEXTING AND DRIVING, CRIMINAL ACTIVITY, ETC. THE OVERALL MESSAGE IS THAT MAKING GOOD CHOICES WILL SET STUDENTS ON A SUCCESSFUL PATH TO HIGH SCHOOL GRADUATION. STUDENTS WILL BE ENCOURAGED TO LEARN FROM THEIR PEERS EXPERIENCES IN THE MAZE AND TO DISCUSS THEIR OWN EXPERIENCES WITH THEIR PARENTS. MEDICATION ASSISTANCE CRISP REGIONAL IDENTIFIES PATIENTS DURING THEIR HOSPITAL STAY THAT CAN'T AFFORD THEIR MAINTENANCE AND DISCHARGE MEDICATIONS. ONCE THIS NEED IS DETERMINED, THE HOSPITAL OWNED RETAIL PHARMACY FILLS THESE MEDICATIONS AT NO COST TO THE PATIENT PRIOR TO DISCHARGE TO HELP ENSURE THAT ALL PATIENTS HAVE ACCESS TO THEIR REQUIRED MEDICATIONS TO KEEP THEM HEALTHY AND PREVENT A READMISSION. THE APPROXIMATE COST OF PROVIDING THESE MEDICATIONS WAS 10,000 IN THE 2022 FISCAL YEAR.

SCHEDULE H, PART VI, LINE 6
THE HOSPITAL AUTHORITY OF CRISP COUNTY (AUTHORITY) REORGANIZED AND ESTABLISHED CRISP REGIONAL HEALTH SERVICES, INC. AS THE CONTROLLING COMPANY OF CRISP REGIONAL HOSPITAL, INC., CRISP REGIONAL DEVELOPMENT FOUNDATION, INC., AND CRISP MEDICAL SERVICES, INC. CRISP REGIONAL HOSPITAL, INC. AND CRISP REGIONAL DEVELOPMENT FOUNDATION, INC. ARE NOT-FOR-PROFIT CORPORATIONS. CRISP REGIONAL HOSPITAL, INC. OPERATES CRISP REGIONAL HOSPITAL (ACUTE CARE HOSPITAL), CRISP REGIONAL NURSING AND REHABILITATION CENTER (SKILLED NURSING FACILITY), CARESOUTH OF CRISP REGIONAL HOSPITAL (HOME HEALTH AGENCY), BLACKSHEAR RETIREMENT VILLA (A RETIREMENT FACILITY), AND CORDELE HEALTH AND REHABILITATION CENTER, INC. (SKILLED NURSING FACILITY). IN ADDITION, CRISP REGIONAL HOSPITAL, INC. OPERATES VARIOUS HEALTH CLINICS AND PHYSICIAN PRACTICES. CRISP MEDICAL SERVICES, INC. IS A DORMANT FOR-PROFIT CORPORATION ORGANIZED TO CONDUCT TAXABLE ACTIVITIES.

Operating expenses	$ 119,323,035
Total amount spent on community benefits as % of operating expenses	$ 11,934,777 10.00 %