4A (Expenses $ 26887267 including grants of $ 0) (Revenue $ 29227013)
TAYLOR REGIONAL HOSPITAL IS A 49-BED, GENERAL, ACUTE-CARE HEALTH INSTITUTION OFFERING A WIDE RANGE OF SPECIALIZED SERVICES AND PROGRAMS. SERVICES AND PROGRAMS INCLUDE ACUTE MEDICAL/SURGICAL, INTENSIVE CARE, MAGNETIC RESONANCE IMAGING, OB/GYN, OUTPATIENT SURGERY CENTER, PHARMACY, DIAGNOSTIC RADIOLOGY, 24-HOUR EMERGENCY SERVICE, SURGERY, PHYSICAL THERAPY, POST-OPERATIVE RECOVERY ROOM, RESPIRATORY SERVICES, PEDIATRIC RURAL HEALTH CLINIC, 102-BED LONG TERM CARE FACILITY AND HOME CARE SERVICES.

FACILITY 1, TAYLOR REGIONAL HOSPITAL - PART V, LINE 3E
BY TRIANGULATING FINDINGS ACROSS PRIMARY AND SECONDARY DATA SOURCES, THE CHNA TEAM CREATED A COMMUNITY HEALTH PROFILE FOR THE SERVICE AREA OF THE HOSPITAL. THE COMMUNITY PROFILE HIGHLIGHTED MAJOR HEALTH ISSUES IN THE COMMUNITY, BARRIERS TO ACCESSING CARE AND TO MANAGING HEALTH CONDITIONS, IMPORTANT AREAS TO IMPROVE THE HEALTH OF THE COMMUNITY, AND ADDITIONAL SERVICES NEEDED. BASED ON THE FINDINGS, COMMUNITY MEMBERS IDENTIFIED MENTAL HEALTH, HYPERTENSION, DIABETES, OVERWEIGHT/OBESITY, CANCER AND AGING RELATED HEALTH ISSUES AS MAJOR HEALTH PROBLEMS IN THE COMMUNITY. COMMUNITY MEMBERS EXPRESSED THE NEED FOR SPECIALTY CARE SERVICES SUCH AS MENTAL HEALTH SERVICES, OB-GYN, DERMATOLOGIST, AND IMPROVED ACCESS TO CARE. COMMUNITY MEMBERS ALSO HIGHLIGHTED THE NEED FOR ADDITIONAL SERVICES, MOST OFTEN REQUESTING REPAIR AND OPENING OF THE POOL AT THE WELLNESS CENTER, RECRUITMENT AND RETENTION OF DOCTORS AND OPERATING TAYLOR EXPRESS OUTSIDE OF THE WORKING HOURS.

FACILITY 1, TAYLOR REGIONAL HOSPITAL - PART V, LINE 5
A CHNA TEAM WAS FORMED, COMPRISING OF A UGA COP FACULTY, A GRADUATE STUDENT AND A UGA ARCHWAY PUBLIC SERVICE AND OUTREACH (PSO) PROFESSIONAL, WHO WORKED IN THE COMMUNITY. IN ORDER TO ENGAGE STAKEHOLDERS, A CHNA STEERING COMMITTEE AND A COMMUNITY ADVISORY COMMITTEE WERE FORMED. THE CHNA STEERING COMMITTEE SERVED AS THE GUIDE FOR THE ENTIRE CHNA PROCESS AND LED EFFORTS TO ENCOURAGE COMMUNITY'S PARTICIPATION AND ENGAGEMENT IN THE CHNA PROCESS. THE COMMUNITY ADVISORY COMMITTEE WAS RESPONSIBLE FOR RECRUITING PARTICIPANTS FOR SURVEY AND FOCUS GROUPS AND PROVIDING FEEDBACK ON THE DATA COLLECTED. THE CONTRIBUTION FROM THE TWO COMMITTEES AND THE UGA ARCHWAY PSO PROFESSIONAL FOSTERED COLLABORATION BETWEEN COMMUNITY MEMBERS AND THE UGA COP TEAM TO CONDUCT THE CHNA. THE CHNA TEAM EMPLOYED THE FIVE-STEP PROCESS IN COMPLETING THE CHNA. IN THE FIRST STEP, THE COMMUNITY, OR SERVICE AREA FOR TAYLOR REGIONAL HOSPITAL WAS IDENTIFIED AND IT INCLUDED THE COUNTIES OF PULASKI, BLECKLEY, DOOLY, AND WILCOX. AFTER DEFINING THE COMMUNITY, PRIMARY AND SECONDARY DATA WAS COLLECTED. THE CHNA TEAM PULLED COUNTY LEVEL DATA FOR THE FOUR COUNTIES WITHIN THE IDENTIFIED SERVICE AREA. SOURCES FOR SECONDARY DATA INCLUDED THE GEORGIA COUNTY HEALTH RANKINGS, U.S. CENSUS BUREAU, GEORGIA DEPARTMENT OF PUBLIC HEALTH'S ONLINE ANALYTICAL STATISTICAL INFORMATION SYSTEM (OASIS), AND THE ANNIE E. CASEY FOUNDATION KIDS COUNT DATA. SECONDARY DATA WAS EXPORTED INTO EXCEL FOR COUNTY LEVEL AND STATE LEVEL COMPARISONS. SUMMARIES WERE CREATED FOR EACH COUNTY WHICH GENERATED A COUNTY HEALTH PROFILE AND COMPARED HEALTH OUTCOMES TO OTHER COUNTIES, GEORGIA, AND NATIONAL STATISTICS IN ORDER TO IDENTIFY POTENTIAL AREAS FOR IMPROVEMENT. FOLLOWING THE COLLECTION OF SECONDARY DATA, THE CHNA TEAM COLLECTED PRIMARY DATA FROM COMMUNITY MEMBERS. SIX FOCUS GROUPS WERE CONDUCTED WITH TWENTY- FOUR COMMUNITY STAKEHOLDERS TO GAIN AN IN-DEPTH UNDERSTANDING OF OVERALL COMMUNITY HEALTH STATUS AND NEEDS, HEALTH BEHAVIORS, HOSPITAL USE, AND COVID-19 IMPACT. FOCUS GROUP PARTICIPANTS VARIED IN EXPERTISE AND REPRESENTED DIVERSE COMMUNITY VIEWS. ALL FOCUS GROUPS WERE RECORDED AND TRANSCRIBED BY THE CHNA TEAM. THE CHNA TEAM SUMMARIZED THE RESPONSES FROM THE FOCUS GROUPS AND IDENTIFIED KEY THEMES. IN ADDITION TO THE QUALITATIVE DATA COLLECTION,THE CHNA TEAM DEVELOPED A COMMUNITY SURVEY TO IDENTIFY INDIVIDUAL HEALTH STATUS, COVID-19 DIAGNOSIS, HEALTH BEHAVIORS, HOSPITAL USE, AND VIEWS ON OVERALL COMMUNITY HEALTH STATUS AND NEEDS. BOTH ONLINE AND PAPER SURVEYS WERE USED TO COLLECT DATA FROM THE PARTICIPANTS. AN ONLINE SURVEY LINK AND QR CODE WERE SENT BY THE PSO PROFESSIONAL VIA EMAIL TO THE COMMUNITY MEMBERS. PAPER SURVEYS WERE MADE AVAILABLE IF PARTICIPANTS PREFERRED THE PAPER SURVEY TO THE ELECTRONIC SURVEY. SURVEY RESULTS WERE ANALYZED TO PRODUCE DESCRIPTIVE STATISTICS AND CROSS-TABULATIONS WERE RUN TO EXAMINE RELATIONSHIPS BETWEEN SELECTED DEMOGRAPHICS AND HEALTH OUTCOMES.

FACILITY 1, TAYLOR REGIONAL HOSPITAL - PART V, LINE 11
THE ORGANIZATION PROVIDES MANY COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THE HEALTH AND SOCIAL DETERMINANTS OF HEALTH THROUGHOUT THE COUNTY AND SURROUNDING COMMUNITIES. SOME OF THE NEEDS IDENTIFIED IN THE 2022 CHNA, SUCH AS PROVIDING MENTAL HEALTH TREATMENTS AND OTHER SPECIALTY SERVICES, ARE BEYOND THE FINANCIAL RESOURCES AND/OR SCOPE OF SERVICES OF THE HOSPITAL. COLLABORATION WITH OTHER PROVIDERS WILL SEEK IMPROVEMENT STRATEGIES FOR MENTAL HEALTH AND OTHER SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY. PROVIDING TRANSPORTATION IS ALSO BEYOND THE FINANCIAL ABILITY OF THE HOSPITAL, BUT THE HOSPITAL WILL SERVE AS A RESOURCE TO INCREASE COMMUNITY KNOWLEDGE OF AVAILABLE ALTERNATIVES.

SCHEDULE H, PART I, LINE 7G
PART I, LINE 7G - ACTUAL CHARGES FOR EACH PHYSICIAN CLINIC ARE TRACED AND REPORTED USING THE ORGANIZATION'S ACCOUNTING SYSTEM. THE COSTS FOR THESE CLINICS TOTALED 7,177,786 FOR THE FISCAL YEAR. THE REPORTED SUBSIDY INCLUDES MEDICAID REVENUES FROM PATIENTS RECEIVING CARE IN A CLINIC. THE AMOUNT REPORTED ON LINE 7B EXCLUDES THE REVENUES (AND COSTS) FROM MEDICAID PATIENTS RECEIVING CARE IN A CLINIC.

SCHEDULE H, PART I, LINE 7
"THE DATA REPORTED IN THIS AREA OF SCHEDULE H IS REPORTED AS INSTRUCTED BY THE CATHOLIC HEALTH ASSOCIATION'S ""A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS, 2008"". THE COSTS FOR PART I, LINE 7A, 7B AND 7C WERE CALCULATED USING THE RATIO OF COSTS TO CHARGES CALCULATED USING WORKSHEET 2 IN THE IRS INSTRUCTIONS TO THE FORM 990 FOR HOSPITAL ONLY COSTS. THE COST TO CHARGE RATIO AND THE MEDICAID SHORTFALL CALCULATIONS ARE ADJUSTED FOR HOSPITAL BASED PROVIDER TAXES AND UPL REVENUES. THE SUBSIDIZED HEALTH SERVICES WERE CALCULATED USING COSTS IDENTIFIED THROUGH THE ORGANIZATION'S COST ACCOUNTING SYSTEM."

SCHEDULE H, PART III, LINE 2
AMOUNTS INCLUDED ON PART III LINE 2 REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE. PURSUANT TO ASU NO. 2014-09 (TOPIC 606)DISCUSSED IN MORE DETAIL BELOW, THE AMOUNT IDENTIFIED AS BAD DEBT ON SCHEDULE H, PART II, LINE 2 PRIMARILY REPRESENTS AMOUNTS ESTIMATED AT THE TRANSACTION DATE THAT ARE CONSIDERED A PRICE CONCESSION.

SCHEDULE H, PART III, LINE 4
IN 2021, THE HOSPITAL ADOPTED ASU NO. 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606), WHICH IS A NEW COMPREHENSIVE REVENUE RECOGNITION STANDARD. UPON ADOPTION, THE MAJORITY OF WHAT WAS PREVIOUSLY CLASSIFIED AS PROVISION FOR BAD DEBTS AND PRESENTED AS A REDUCTION TO NET PATIENT SERVICE REVENUE ON THE STATEMENT OF OPERATIONS IS NOW TREATED AS A PRICE CONCESSION THAT REDUCES THE TRANSACTION PRICE, WHICH IS REPORTED AS NET PATIENT SERVICE REVENUE. CHANGES IN CREDIT ISSUES NOT ASSESSED AT THE DATE OF SERVICE, ARE RECOGNIZED AS BAD DEBT EXPENSE AND INCLUDED AS A COMPONENT OF OPERATING EXPENSES ON THE STATEMENT OF OPERATIONS. THE NEW STANDARD ALSO REQUIRES ENHANCED DISCLOSURES RELATED TO THE DISAGGREGATION OF REVENUE AND SIGNIFICANT JUDGMENTS MADE IN MEASUREMENT AND RECOGNITION. THE ADOPTION OF THIS GUIDANCE DID NOT MATERIALLY IMPACT TOTAL OPERATING REVENUES, EXCESS REVENUES (EXPENSES), OR NET ASSETS. PLEASE SEE FOOTNOTE 2 FOR A DETAILED DISCUSSION OF NET PATIENT SERVICE REVENUE WHICH INCLUDES A DISCUSSION OF PRICES CONCESSIONS, BAD DEBTS AND OTHER REVENUE ADUSTMENTS. SEE NOTE 3 FOR A SUMMARY OF REVENUE ADJUSTMENTS (INCLUDING CHARITY CARE AND UNINSURED DISCOUNTS) BY TYPE.

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 MEDICARE PROGRAM PAYS AT AMOUNTS WHICH ARE LESS THAN THE COST OF PROVIDING SERVICES. ANY COST NOT REIMBURSED BY MEDICARE IS BORNE BY HOSPITAL WHICH EASES THE BURDEN TO THE GOVERNMENT FOR THE PROVISION OF HEALTHCARE UNDER THE MEDICARE PROGRAM.

SCHEDULE H, PART III, LINE 9B
INITIAL SCREENINGS OF ALL INPATIENT, EMERGENCY, AND SURGERY ENCOUNTERS, AS WELL AS MOST OUTPATIENT VISITS, ARE CONDUCTED BY PATIENT ACCESS SERVICES IN ORDER TO IDENTIFY ANY AVAILABLE INSURANCE OR OTHER COVERAGE FOR EACH PATIENT. PATIENT ACCESS SERVICES EXPLAINS AND PROVIDES THE NECESSARY CHARITY CARE PROGRAM'S APPLICATION WITH THE PATIENT AND THEIR FAMILY. PATIENTS WITH TOTAL CHARGES EXCEEDING 1,500 ARE REFERRED TO TAYLOR'S CONTRACTED COUNSELOR. COUNSELOR ASSISTS THE PATIENT/FAMILY WITH IDENTIFYING ANY PROGRAMS FOR WHICH THE PATIENT/SERVICE MAY QUALIFY (INCLUDING MEDICAID, STATE CHILDREN'S HEALTH INSURANCE PROGRAM (SCHIP), PRIVATE OR GOVERNMENT INSURANCE COVERAGE, AND CHARITY ASSISTANCE). IF THE FAMILY CANNOT BE TIMELY LOCATED OR IS UNCOOPERATIVE, RELATED ACCOUNTS ARE TRANSFERRED TO AN INTERNAL COLLECTION DEPARTMENT FOR FURTHER ATTEMPTS TO OBTAIN PAYMENT OR, IF THE PATIENT MAY QUALIFY FOR ASSISTANCE, TO SECURE A FINANCIAL ASSISTANCE APPLICATION. THE ORGANIZATION'S DEBT COLLECTION POLICY AND PROCEDURES PROHIBIT ANY COLLECTION EFFORTS FOR THE PORTION OF A PATIENT ACCOUNT BALANCE THAT QUALIFIES FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S CHARITY CARE POLICY. THE RESULTS OF BEING APPROVED FOR CHARITY ALSO PREVENTS THE PATIENT FROM ANY POTENTIAL ADVERSE EFFECT ON THEIR CREDIT.

SCHEDULE H, PART VI, LINE 2
THE ORGANIZATION CONDUCTS REGULAR NEEDS ASSESSMENTS THROUGH FORMAL AND INFORMAL SURVEYS AND PROCESSES. TAYLOR REGIONAL HAS ONGOING COLLABORATIONS WITH BOTH PUBLIC AND COMMUNITY AGENCIES IN DEVELOPMENT OF A COMMUNITY ASSESSMENT. BASED UPON FEEDBACK FROM TELEPHONE SATISFACTION SURVEYS AND PAPER SURVEYS, OUR TEAM DEVELOPS PLANS TO MEET THE NEEDS OF OUR COMMUNITY. TAYLOR REGIONAL HOSPITAL CONTRIBUTES BOTH FINANCIALLY AND WITH PERSONNEL TO THE ANNUAL RELAY FOR LIFE CANCER PROGRAM. THE HOSPITAL BOARD MEMBERS ARE ACTIVE RESIDENTS IN THE COMMUNITY REPRESENTING VARIOUS WALKS OF LIFE INCLUDING LOCAL BUSINESS OWNERS, AGRICULTURISTS, AND RETIRED PHYSICIANS. BOARD MEMBERS REPRESENT THE COMMUNITY, PROVIDING FEEDBACK AND RECOMMENDATIONS BASED UPON NEEDS. TAYLOR REGIONAL HOSPITAL ACTIVELY PARTICIPATES WITH ARCHWAY PARTNERSHIP, A COMMUNITY PROGRAM FROM THE UNIVERSITY SYSTEM OF GEORGIA. AS A COMMUNITY PARTNER WORKING WITH ARCHWAY IN HAWKINSVILLE-PULASKI COUNTY, THE HOSPITAL INTERACTS WITH OTHER REPRESENTATIVES INCLUDING: PULASKI COUNTY GOVERNMENT, THE HAWKINSVILLE CITY COMMISSION, PULASKI TOMORROW, THE BOARD OF EDUCATION, AND OTHER LOCAL BUSINESSES. AMONG THE ISSUES THE COMMUNITY WILL TAKE ON AS PART OF ARCHWAY ARE EDUCATION, LEADERSHIP DEVELOPMENT, COMMUNITY HEALTH, WORKFORCE HOUSING, GOVERNMENT SERVICE DELIVERY, AND ECONOMIC DEVELOPMENT. OUR CHNA MAY BE FOUND ON OUR WEBSITE AT: HTTPS://TAYLORREGIONAL.ORG/CHNA.HTML

SCHEDULE H, PART VI, LINE 7
GEORGIA

SCHEDULE H, PART VI
SPECIFIC WEBSITE URLS - FAP - HTTPS://TAYLORREGIONAL.ORG/ASSETS/FILES/TRH-FAP.PDF CHNA/IMPEMENTATION STRATEGY REPORTS - HTTPS://TAYLORREGIONAL.ORG/CHNA.HTML

SCHEDULE H, PART VI, LINE 3
WHEN AN UNINSURED PATIENT IS ADMITTED TO TAYLOR REGIONAL HOSPITAL, CASE MANAGEMENT AND/OR REGISTRATION NOTIFIES THE FINANCIAL COUNSELOR. THE FINANCIAL COUNSELOR MEETS WITH THE PATIENT TO EXPLAIN OUR FINANCIAL ASSISTANCE POLICY AND REFERS THE PATIENT TO DECO (MEDICAID ELIGIBILITY CONSULTANTS). TAYLOR REGIONAL HOSPITAL IS CONTRACTED WITH DECO WHICH ASSISTS THE PATIENTS WITH COMPLETION OF APPLICATIONS FOR STATE AND FEDERAL ASSISTANCE PROGRAMS. IF NEEDED BY THE PATIENT, DECO WILL ACCOMPANY THE PATIENTS TO DOOLY COUNTY DIVISION OF FAMILY AND CHILDREN SERVICES. IF THE PATIENT IS DENIED FOR ASSISTANCE THROUGH ALL LOCAL, STATE, AND FEDERAL PROGRAMS AND RESIDES IN PULASKI, DOOLY, WILCOX, OR BLECKLEY COUNTY, AN INDIGENT CARE APPLICATION IS PROCESSED ACCORDING TO THE FEDERAL POVERTY GUIDELINES. SIGNAGE THROUGHOUT THE HOSPITAL FACILITY NOTIFIES PATIENTS OF THE HOSPITAL'S FIANCIAL ASSISTANCE POLICY. THE FAP, APPLICATION AND A PLAIN LANGUAGE SUMMARY ARE AVAILABLE ON THE HOSPITAL'S WEBSITE. A COPY OF THE PLAIN LANGUAGE SUMMARY IS OFFERED TO EACH PATIENT PRIOR TO DISCHARGE. IF THE PATIENT DOES NOT QUALIFY FOR ANY OF THE FINANCIAL ASSISTANCE, THE BUSINESS OFFICE WORKS WITH THE PATIENT TO SET UP MONTHLY PAYMENTS.

SCHEDULE H, PART VI, LINE 4
TAYLOR REGIONAL HOSPITAL REACHES A PATIENT BASE OF OVER 189,000 AND PROVIDES PATIENTS WITH ACCESS TO OVER 94 CREDENTIALED PHYSICIANS REPRESENTING 25 MAJOR SPECIALTIES. COMPRISED OF A HOME HEALTH AGENCY, DURABLE MEDICAL EQUIPMENT AND OUTREACH PHYSICIAN CLINICS, THE ORGANIZATION HAS A PRIMARY SERVICE AREA REACHING: PULASKI COUNTY, WILCOX COUNTY, BLECKLEY COUNTY, AND DOOLY COUNTY. TAYLOR REGIONAL HOSPITALS PRIMARY SERVICE AREA IS A RURAL COMMUNITY. THE MAJORITY OF THE POPULATION IS WHITE (64%), WHILE AFRICAN-AMERICANS CONSTITUTE THE LARGEST MINORITY (30%). MEDIAN HOUSEHOLD INCOME, PROPORTION WITH AT LEAST A HIGH SCHOOL DIPLOMA AND PERCENTAGE WITHOUT HEALTH INSURANCE LAG BEHIND THE STATE AVERAGES. THE AREA HAS A HIGHER PROPORTION OF OLDER ADULTS AND FEWER INDIVIDUALS AGED 20-44 THAN THE STATE AVERAGE.

SCHEDULE H, PART VI, LINE 5
SERVING AN AGING POPULATION, THE ORGANIZATION PARTICIPATES WITH THE SILVER SNEAKERS PROGRAM TO ASSIST OUR COMMUNITY MEMBERS WITH A MEANS OF ENHANCING WELLNESS THROUGH EXERCISE AND FELLOWSHIP WITH OTHER PARTICIPANTS OF THE PROGRAM. TAYLOR REGIONAL SUPPORTS THE FIGHT AGAINST CANCER BY CONTRIBUTING BOTH FINANCIALLY AND WITH PERSONNEL TO THE ANNUAL RELAY FOR LIFE CANCER PROGRAM. THE HOSPITAL BOARD MEMBERS ARE ACTIVE RESIDENTS IN THE COMMUNITY REPRESENTING VARIOUS WALKS OF LIFE INCLUDING LOCAL BUSINESS OWNERS, AGRICULTURISTS, AND RETIRED PHYSICIANS. BOARD MEMBERS REPRESENT THE COMMUNITY, PROVIDING FEEDBACK AND RECOMMENDATIONS BASED UPON NEEDS. THE MEDICAL STAFF AND VARIOUS HOSPITAL STAFF MEMBERS PARTICIPATE IN COMMUNITY HEALTH FAIRS, PROVIDING EDUCATION AND SCREENINGS TO THE PUBLIC. TAYLOR REGIONAL HOSPITAL HAS AN EMERGENCY ROOM OPEN 24/7/365, AN OPEN MEDICAL STAFF, A COMMUNITY BASED BOARD OF DIRECTORS AND THE HOSPITAL REINVESTS ANY SURPLUS FUNDS TO IMPROVE PATIENT CARE TO THE COMMUNITY.