4A (Expenses $ 386062126 including grants of $ 1051428) (Revenue $ 398324989)
Effective May 1, 2015, the Authority undertook a corporate restructuring and executed a lease and transfer agreement with Southeast Georgia Health System, Inc. (the System), a Georgia not-for-profit corporation, (formerly Kings Bay Community Hospital, Inc.58-1911751), which assumed substantially all of the operations, assets and liabilities of the Authority and agreed to operate the facilities thereof as a community healthcare provider and to perform and abide by all covenants, agreements, and restrictions thereof for an initial period of forty years. Under the agreement, the System makes nominal lease payments to the Authority plus amounts sufficient to make debt service payments on Authority conduit debt obligations as they come due and assumes all operational, financial, indigent care, and community responsibilities. In connection with the restructuring, the Authority and the System entered into an employee lease agreement whereby the Authority leased all of its employees to the System from January 1, 2016 through December 31, 2016, at cost. All leased Authority employees were converted to System employment effective January 1, 2017.

Facility: - Part V, Section B, Line 5
PART V, LINE 5-HOW INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY WAS TAKEN INTO ACCOUNT: Mary Eleanor Wickersham, DPA, is Associate Professor Emerita of Public Affairs at College of Coastal Georgia. She is now retired from full-time teaching but continues to do a limited amount of consulting. Working with the hospital and local communities and individuals, she completed the CHNA in 2016, 2019, and again in 2022. Community Partners Who Supported this Effort:It is with great appreciation that we acknowledge the help of the many organizations and individuals that encouraged their members to participate in the 2022 CHNA survey, those that provided information through surveys and questionnaires, and those that set up focus groups in each county to help prioritize the list of concerns derived from public resources and surveys. Thanks go to the following:Family Connection Collaboratives in Brantley, Camden, Charlton, Glynn, McIntosh, and Wayne. These groups hosted focus groups to discuss priority needs for their communities. Appreciation to: Laura Kelly and Dawn Deen Brantley; April Jeans Camden; Carla Rodeffer Charlton; Alneata Kemp Glynn; Genevieve Wynegar McIntosh; and Lana Wright Wayne.Thanks to Public Health departments and McKinney FQHC for their help in answering questions about their communities. Appreciation to Terra Sowell of Brantley, Melissa Perkins of Camden, Jeanna Thrift of Charlton, Adam Sanchez of Glynn, Brooke Deverger of McIntosh, and Stacie Drew of Wayne. Helping out from McKinney Medical was Deidre Durance. LaTanya Austin of Coastal Community Health Services helped share the survey.A special thanks to Nina Hunter Bryant of Coastal Area Community Action Authoritys Head Start who helped recruit people to take the survey and made a significant difference in ensuring a more representative sample.Our medical professionals are busy, but 50 took time to take the survey. Shout out to the doctors, nurse practitioners and PAs who participated in the anonymous survey.Thanks to school superintendents in the region who helped share the survey: Dr. Scott Spence, Glynn County; Dr. John Tucker, Camden County; and Dr. Thomas Tilley, Charlton County. Appreciation to Dr. Michelle Johnston, College of Coastal Georgia, for helping us share the survey with faculty and students. There might be others, but Im listing only those who responded. Chambers of Commerce also shared information about the survey. Thanks to Dana OQuinn of the Charlton Chamber, to Alison Shores of the Camden Chamber, and to the Brunswick Golden Isles Chamber.Regina McDuffie and the City of Brunswick were extremely helpful in encouraging people to take the survey.Thanks to Damia Mia Jones, a student in the Public Management major at College of Coastal Georgia, for her help in compiling this report as part of her internship.Appendix A: Community InputCounty Focus Group Attendee ListsBrantley County March 24, 2022Dawn Deen, Brantley County Family Connection CollaborativeGregory Rosso CenteneKristi Hames, South Georgia Regional CommissionTraci Carter, Brantley County DFCSZina Ponsell, Retired, Chair of Brantley County Family Connection CollaborativeMichelle Lee, Brantley County EMACamden County March 23, 2022April Jeans, Family Connection CamdenDeondra Lightfoot, Safe Harbor CamdenMerrisa York, Coastal Counseling CenterJannRonn Bradford, Parent and Graduate StudentMallory Rutledge, Camden ConnectionJohn Haigler, Coastal Community Behavioral HealthCharlton County March 24, 2022 Carla Rodeffer, Charlton County Family ConnectionJeanna Thrift, Charlton County Health DepartmentAshley Floyd, Fulton Park Rehabilitation and Nursing StudentBruce Young, Charlton, EMA/EMSAnna McKinney, Charlton County Sheriffs OfficeSteering Committee Attendee ListTina ThomasLaJoy JohnsonLecia AlbrightChristine KippAdam BrownJohn A. MilazzoBilly CarrScott RaynesChristy JordanShannon WebbGina CopelandJohnnie WilliamsIleane DonnellyKatie WoodGlenn GannMary Eleanor Wickersham, ContractorBrendan Hunt

Facility: - Part V, Section B, Line 5
PART V, LINE 5-HOW INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY WAS TAKEN INTO ACCOUNT:Mary Eleanor Wickersham, DPA, is Associate Professor Emerita of Public Affairs at College of Coastal Georgia. She is retired from full-time teaching but continues to do a limited amount of consulting for nonprofits, healthcare, and local government. Working with SGHS and local communities and individuals, she completed the CHNA in 2016, 2019, and again in 2022. Community Partners Who Supported This Effort:It is with great appreciation that we acknowledge the help of the many organizations and individuals that encouraged their members to participate in the 2022 CHNA survey, those that provided information through surveys and questionnaires, and those that set up focus groups in each county to help prioritize the list of concerns derived from public resources and surveys. Thanks go to the following:Family Connection Collaboratives in Brantley, Camden, Charlton, Glynn, McIntosh, and Wayne. These groups hosted focus groups to discuss priority needs for their communities. Appreciation to: Laura Kelly and Dawn Deen Brantley; April Jeans Camden; Carla Rodeffer Charlton; Alneata Kemp Glynn; Genevieve Wynegar McIntosh; and Lana Wright Wayne.Public Health departments and McKinney FQHC for their help in answering questions about their communities. Appreciation to Terra Sowell of Brantley, Melissa Perkins of Camden, Jeanna Thrift of Charlton, Adam Sanchez of Glynn, Brooke Deverger of McIntosh, and Stacie Drew of Wayne. Helping out from McKinney Medical was Deidre Durance. LaTanya Austin of Coastal Community Health Services helped share the survey.A special thanks to Nina Hunter Bryant of Head Start, who helped recruit people to take the survey and made a significant difference in ensuring a more representative sample.Our medical professionals are busy, but 50 took time to take the survey. Shout out to the doctors, nurse practitioners and PAs who participated in the anonymous survey.Thanks to school superintendents in the region who helped share the survey: Dr. Scott Spence, Glynn County; Dr. John Tucker, Camden County; and Dr. Thomas Tilley, Charlton County. Appreciation to Dr. Michelle Johnston, College of Coastal Georgia, for helping us share the survey with faculty and students. There may have been others, but these are the ones who responded with a yes. Chambers of Commerce also shared information about the survey. Thanks to Dana OQuinn of the Charlton Chamber, to Alison Shores of the Camden Chamber, and to the Brunswick Golden Isles Chamber.Regina McDuffie and the City of Brunswick were extremely helpful in encouraging people to take the survey.Thanks to Damia Mia Jones, a student in the Public Management major at College of Coastal Georgia, for her help in compiling this report as part of her internship.Appendix A: Focus GroupsCounty Focus Group Attendee ListsBrantley County March 24, 2022Dawn Deen, Brantley County Family Connection CollaborativeGregory Rosso CenteneKristi Hames, South Georgia Regional CommissionTraci Carter, Brantley County DFCSZina Ponsell, Retired, Chair of Brantley County Family Connection CollaborativeMichelle Lee, Brantley County EMACamden County March 23, 2022April Jeans, Family Connection CamdenDeondra Lightfoot, Safe Harbor CamdenMerrisa York, Coastal Counseling CenterJannRonn Bradford, Parent and Graduate StudentMallory Rutledge, Camden ConnectionJohn Haigler, Coastal Community Behavioral HealthCharlton County March 24, 2022 Carla Rodeffer, Charlton County Family ConnectionJeanna Thrift, Charlton County Health DepartmentAshley Floyd, Fulton Park Rehabilitation and Nursing StudentBruce Young, Charlton, EMA/EMSAnna McKinney, Charlton County Sheriffs OfficeGlynn County March 23, 2022Alneata Kemp, Glynn Family Connection CollaborativeKeith Fenton, Safe HarborJulia Martin, Faithful LoveKendall Shaw, Empowerment ChurchMcIntosh County March 25, 2022Genevieve Wynegar, McIntosh Family ConnectionHugh Hodge, Darien MayorBrooke Deverger, Nurse Manager, McIntosh County Health DepartmentMandy Harrison, McIntosh Clerk of CourtsJoye Hanrahan, BusinesswomanWayne County - March 25, 2022Lana Wright, Wayne Family ConnectionRenee Bolin, Wayne County RecoveryKate Nichols, Wayne Memorial HospitalSusan Delegal, Businesswoman, Family ConnectionDarren Deal, Wayne County RecoverySteering Committee Attendee ListTina ThomasLaJoy JohnsonLecia AlbrightChristine KippAdam BrownJohn A. MilazzoBilly CarrScott RaynesChristy JordanShannon WebbGina CopelandJohnnie WilliamsIleane DonnellyKatie WoodGlenn GannMary Eleanor Wickersham, ContractorBrendan Hunt

Facility: - Part V, Section B, Line 11
Brunswick - How significant identified needs are being addressed and needs not addressed:The Process of Prioritizing Needs When Needs Are Great-Appendix F: Impact of Actions Taken as of Result of FY 2019 CHNAAs a result of its FY 2019 CHNA and associated Implementation Strategy, the Health System identified the following six goals: (1) increase access to primary care; (2) provide targeted health education and screening in areas of high need; (3) work collaboratively with community providers to improve material and neonatal health outcomes; (4) assist in locating resources for recently discharged patients to support successful and stable transitions home; (5) collaborate with local mental health providers, emergency medical services, and law enforcement about available resources for mental health care treatment as part of the effort to improve access to mental health services; and (6) identify and recruit specialty physicians in areas of high need. In connection with this CHNA, the Health System undertook an evaluation of the impact of the actions it took to address these needs. Its findings are set forth below. As noted throughout this summary, the COVID-19 pandemic which began less than six months after the 2019 Implementation Strategy was finalized impacted progress on some of the goals established.Goal 1: Increase Access to Primary Care In its FY 2019 CHNA, the Health System set a goal to increase the total number of primary care physicians in its service area counties as compared to the number of primary care physicians available in 2019.SGHS Recruited Primary Care Physicians. For its fiscal years 2020, 2021 and 2022 (May 1, 2019, to April 30, 2022), the Health System recruited 16 primary care providers into its service area to its wholly-owned physician group Southeast Georgia Physician Associates (SGPA), including 13 primary care physicians and 3 primary care Advanced Practice Providers. Primary Care Provider Visits. The COVID-19 pandemic significantly impacted primary care patient visits through the primary care SGPA practices in fiscal years 2020 and 2021. Despite increased offerings of telehealth visits during COVID-19 peaks, some patients chose to delay care. As compared to the base year of fiscal year 2019, when SGPA primary care practices performed 218,205 primary care office visits, 204,295 visits were provided in fiscal year 2020 and 211,124 visits were provided in fiscal year 2021. Due in part to vaccine availability and innovative ways to provide care, primary care visits have markedly increased for fiscal year 2022, with 231,588 visits performed.County Health Rankings. County Health Rankings data demonstrates modest improvement in the number of primary care physicians per population member in only one service area county Wayne County. All other service area counties demonstrated a modest decline in the number of primary care physicians per population member and all are less than the State of Georgia average of 1,510:1 as of 2021. 2021 results indicated a ratio of 6,300:1 for Brantley County; 3,580:1 for Camden County; 3,240:1 for Charlton County; 1,980:1 for Glynn County; data was not provided for McIntosh County; and 2,480:1 in Wayne County.The Health System also sought to work with the federally qualified health centers (FQHCs) in its service area to increase primary care provider access to uninsured, underinsured and Medicaid patients and to others who do not have an identified primary care physician.In furtherance of this goal, SGHS partners with McKinney Medical Center, the FQHC serving Brantley, Charlton and Camden counties, among others, and Coastal Community Health Services, the FQHC serving Glynn and McIntosh counties, to provide uninsured patients without a primary care home who present in its emergency rooms and other points of entry a referral for primary care. SGHS partners with the FQHCs to provide needed specialty physician services through its employed physician group at discounted or no cost.To encourage future workforce development, the Health System offered Health Careers Explorer posts for local high school students. At the Brunswick Campus, 32 students participated in 2019, and 15 students participated in 2020. At the Camden Campus, 18 students participated in 2019, and 20 students participated in 2020. The program was suspended in March 2020 due to the COVID-19 pandemic; it will resume for the 2022-23 school year. In addition, teenagers are offered an opportunity to volunteer at the Health System to learn more about health careers. At the Brunswick Campus, 42 students provided 1,345 hours of service in fiscal year 2019, and 5 students provided 98 hours of service in fiscal year 2022. At the Camden Campus, 15 students provided 355.25 hours of service in fiscal year 2019, and 9 students provided 180 hours of service in fiscal year 2022. Due to the COVID-19 pandemic, no services were provided during fiscal year 2021 and volunteer opportunities were limited in fiscal year 2022.Finally, to educate the health care workforce of tomorrow, the Health System offered extensive clinical experiences to health profession students. In its 2020 fiscal year, the Health System provided clinical experiences to 267 students, including 127 medical students and 132 nursing students. In fiscal year 2021, 381 students participated in clinical experiences, including 128 medical students and 159 nursing students. Finally, in fiscal year 2022, clinical experiences were provided to 395 students, including 135 medical students and 151 nursing students.Goal 2: Provide Targeted Health Education and Screening In Areas of High Need: Through its Marketing & Public Relations department, as well as its Health Promotion & Wellness department, the Health System provided extensive awareness and educational initiatives throughout its service area to increase health awareness, healthy lifestyles, and access to health care services. While its typical health fairs and screening activities were limited beginning in March 2020 due to the COVID-19 pandemic, the Health System continued to provide extensive community health information and sponsor health events. Specifically, the Health System:Organized a comprehensive health fair in Brunswick and Camden counties in fiscal year 2019 to include, among other things, education on common diseases and no-cost screenings for skin cancer, prostate cancer and bone density.Outside of its organized health fairs, provided bone density screenings at 5 events in fiscal year 2020 and 2 events in fiscal year 2021. Prostate cancer screenings were provided at 3 events in fiscal year 2020 and 1 event in fiscal year 2021. Due to the COVID-19 pandemic, many screening activities were postponed in fiscal years 2021 and 2022. The Health System looks forward to resuming its community-wide screening efforts in fiscal year 2023.In addition to those activities outlined above, blood pressure screenings were provided at an additional 27 events in fiscal year 2020 and 1 even in fiscal year 2022. Due to the COVID-19 pandemic, many screening activities were postponed in fiscal years 2021 and 2022. The Health System looks forward to resuming its community-wide screening efforts in fiscal year 2023. Additionally, the Health Systems marketing and education efforts focused on the following health based initiatives in fiscal years 2020, 2021 and 2022: Breast Cancer Awareness,Bridge Run, Cervical Cancer Awareness, Colon Cancer Awareness, Community Health Fair, CamdenCOVID-19 Awareness (Masks, Vaccines), Diabetes Education, Flu Awareness, Heart Health Awareness, Lung Cancer Awareness, Prostate Cancer Screening, Sensory Santa (Autism/Special Needs), Stroke AwarenessWellness on Wheels Mobile Mammograms and Health ScreeningsIn addition to these efforts, the Health System continues to support, maintain and promote the indoor walking trail at the Glynn Place Mall and the walking trail on St. Simons Island.The Health System sponsored its Bridge Run in 2020 to engage the community and encourage exercise. Because of the COVID-19 pandemic, the 2021 and 2022 Bridge Runs were canceled due to concerns for participant safety.Goal 3: Work Collaboratively with other Community Providers to Improve Maternal and Neonatal Health OutcomesThe Health System offers free monthly prenatal classes at its Brunswick Campus and its Camden Campus, which are taught by qualified registered nurses. The Health System engages three certified lactation consultants to provide breastfeeding support to its patients. Support is started in the inpatient setting and is available on an outpatient basis as well. Additionally, the Health System offers a weekly post-partum support group at the Brunswick Campus and the Camden Campus, referred to as Moms Connection. The group provides support with feeding (both bottle and breast), socialization, parenting best practices and health information. Goal 4: Assist in Locating Resources for Recently Discharged Patients to Support

Facility: - Part V, Section B, Line 11
Camden - Explanation of how significant identified needs are being addressed and needs not addressed;Condensed for inputAs a result of its FY 2019 CHNA and associated Implementation Strategy, the Health System identified the following six goals: (1) increase access to primary care; (2) provide targeted health education and screening in areas of high need; (3) work collaboratively with community providers to improve material and neonatal health outcomes; (4) assist in locating resources for recently discharged patients to support successful and stable transitions home; (5) collaborate with local mental health providers, emergency medical services, and law enforcement about available resources for mental health care treatment as part of the effort to improve access to mental health services; and (6) identify and recruit specialty physicians in areas of high need. In connection with this CHNA, the Health System undertook an evaluation of the impact of the actions it took to address these needs. Its findings are set forth below. As noted throughout this summary, the COVID-19 pandemic which began less than six months after the 2019 Implementation Strategy was finalized impacted progress on some of the goals established.Goal 1: Increase Access to Primary Care In its FY 2019 CHNA, the Health System set a goal to increase the total number of primary care physicians in its service area counties as compared to the number of primary care physicians available in 2019.SGHS Recruited Primary Care Physicians. For its fiscal years 2020, 2021 and 2022 (May 1, 2019, to April 30, 2022), the Health System recruited 16 primary care providers into its service area to its wholly-owned physician group Southeast Georgia Physician Associates (SGPA), including 13 primary care physicians and 3 primary care Advanced Practice Providers. Primary Care Provider Visits. The COVID-19 pandemic significantly impacted primary care patient visits through the primary care SGPA practices in fiscal years 2020 and 2021. Despite increased offerings of telehealth visits during COVID-19 peaks, some patients chose to delay care. As compared to the base year of fiscal year 2019, when SGPA primary care practices performed 218,205 primary care office visits, 204,295 visits were provided in fiscal year 2020 and 211,124 visits were provided in fiscal year 2021. Due in part to vaccine availability and innovative ways to provide care, primary care visits have markedly increased for fiscal year 2022, with 231,588 visits performed.County Health Rankings. County Health Rankings data demonstrates modest improvement in the number of primary care physicians per population member in only one service area county Wayne County. All other service area counties demonstrated a modest decline in the number of primary care physicians per population member and all are less than the State of Georgia average of 1,510:1 as of 2021. 2021 results indicated a ratio of 6,300:1 for Brantley County; 3,580:1 for Camden County; 3,240:1 for Charlton County; 1,980:1 for Glynn County; data was not provided for McIntosh County; and 2,480:1 in Wayne County.The Health System also sought to work with the federally qualified health centers (FQHCs) in its service area to increase primary care provider access to uninsured, underinsured and Medicaid patients and to others who do not have an identified primary care physician.In furtherance of this goal, SGHS partners with McKinney Medical Center, the FQHC serving Brantley, Charlton and Camden counties, among others, and Coastal Community Health Services, the FQHC serving Glynn and McIntosh counties, to provide uninsured patients without a primary care home who present in its emergency rooms and other points of entry a referral for primary care. SGHS partners with the FQHCs to provide needed specialty physician services through its employed physician group at discounted or no cost.To encourage future workforce development, the Health System offered Health Careers Explorer posts for local high school students. At the Brunswick Campus, 32 students participated in 2019, and 15 students participated in 2020. At the Camden Campus, 18 students participated in 2019, and 20 students participated in 2020.In addition, teenagers are offered an opportunity to volunteer at the Health System to learn more about health careers. At the Brunswick Campus, 42 students provided 1,345 hours of service in fiscal year 2019, and 5 students provided 98 hours of service in fiscal year 2022. At the Camden Campus, 15 students provided 355.25 hours of service in fiscal year 2019, and 9 students provided 180 hours of service in fiscal year 2022. Due to the COVID-19 pandemic, no services were provided during fiscal year 2021 and volunteer opportunities were limited in fiscal year 2022.Finally, to educate the health care workforce of tomorrow, the Health System offered extensive clinical experiences to health profession students. In its 2020 fiscal year, the Health System provided clinical experiences to 267 students, including 127 medical students and 132 nursing students. In fiscal year 2021, 381 students participated in clinical experiences, including 128 medical students and 159 nursing students. Finally, in fiscal year 2022, clinical experiences were provided to 395 students, including 135 medical students and 151 nursing students.Goal 2: Provide Targeted Health Education and Screening In Areas of High Need Through its Marketing & Public Relations department, as well as its Health Promotion & Wellness department, the Health System provided extensive awareness and educational initiatives throughout its service area to increase health awareness, healthy lifestyles, and access to health care services. While its typical health fairs and screening activities were limited beginning in March 2020 due to the COVID-19 pandemic, the Health System continued to provide extensive community health information and sponsor health events. The Health System also pivoted to provide extensive information campaigns regarding COVID-19 safety and provided multiple venues for testing and vaccination over the course of the pandemic. Specifically, the Health System:?Organized a comprehensive health fair in Brunswick and Camden counties in fiscal year 2019 to include, among other things, education on common diseases and no-cost screenings for skin cancer, prostate cancer and bone density.?Outside of its organized health fairs, provided bone density screenings at 5 events in fiscal year 2020 and 2 events in fiscal year 2021. Prostate cancer screenings were provided at 3 events in fiscal year 2020 and 1 event in fiscal year 2021. Due to the COVID-19 pandemic, many screening activities were postponed in fiscal years 2021 and 2022. The Health System looks forward to resuming its community-wide screening efforts in fiscal year 2023.?In addition to those activities outlined above, blood pressure screenings were provided at an additional 27 events in fiscal year 2020 and 1 even in fiscal year 2022. Due to the COVID-19 pandemic, many screening activities were postponed in fiscal years 2021 and 2022. The Health System looks forward to resuming its community-wide screening efforts in fiscal year 2023. Until the COVID-19 pandemic, free weekly blood pressure screenings were available on each hospital campus.Additionally, the Health Systems marketing and education efforts focused on the following health based initiatives in fiscal years 2020, 2021 and 2022:Breast Cancer Awareness,Bridge Run,Cervical Cancer Awareness,Colon Cancer Awareness,Community Health Fair: Brunswick,Community Health Fair: Camden,COVID 19 Awareness,Diabetes Education,Flu Awareness,Heart Health Awareness,Lung Cancer Awareness,Prostate Cancer Screening,Sensory Santa,Stroke Awareness,Wellness on Wheels Mobile Mammo & ScreeningsIn addition to these efforts, the Health System continues to support, maintain and promote the indoor walking trail at the Glynn Place Mall and the walking trail on St. Simons Island.The Health System sponsored its Bridge Run in 2020 to engage the community and encourage exercise. Because of the COVID-19 pandemic, the 2021 and 2022 Bridge Runs were canceled due to concerns for participant safety.Goal 3: Work Collaboratively with other Community Providers to Improve Maternal and Neonatal Health Outcomes. The Health System offers free monthly prenatal classes at its Brunswick Campus and its Camden Campus, which are taught by qualified registered nurses. The Health System engages three certified lactation consultants to provide breastfeeding support to its patients. Support is started in the inpatient setting and is available on an outpatient basis as well. Goal 4: Assist in Locating Resources for Recently Discharged Patients to Support a Successful and Stable Transition.The Health System has several initiatives in place to assist recently discharged patients. Through its Transitional Care Management Services Program, the Health System employs an Ad

Part III, Line 4 - Bad Debt Expense
Net patient service revenue is reported at the estimated net realizable amounts from patients, third-party payors, and others as services are rendered, including estimated retroactive adjustments under reimbursement agreements with third-party payors, and provision for bad debts. Retroactive third-party payor settlements and bad debt adjustments are accrued on an estimated basis in the period the related services are rendered and adjusted in future periods as final settlements are determined. The cost value of Bad Debts was determined by multiplying Bad Debt measured on a gross charge basis by the overall cost to charge ratio developed on the Medicare Cost Report. The amount estimated to have been elibible for financial assistance was determined by multiplying Bad Debt Expense,(at cost), by the poverty rate for Glynn County and Camden County, Georgia.

Part VI, Line 2 - Needs Assessment
At both Southeast Georgia Health System-Camden Campus and Southeast Georgia Health System-Brunswick Campus, our goal is to strengthen the health and well-being of our patients and neighbors, as well as the broader community. Southeast Georgia Health System-Camden Campus and Southeast Georgia Health System-Brunswick Campus, provided over $19.7 million in community benefits, which is more important to building the vitality of our community than ever. The services we provide are essential to not only the community's overall health, but also to the quality of life of every resident. This belief is ingrained in our culture, from our volunteer Southeast Georgia Health System, Inc. Board of Directors, to our physicians and nurses, staff, auxiliary volunteers, and our Southeast Georgia Health System Foundation.We participate in informal community needs assessments regularly, collaborating with local agencies, schools, and community groups. The results help us determine our short- and long-term priorities as well as strategies for improving community health. Our leadership team is involved with several community activities and on boards. These range from the Rotaries to the International Seafarers program to the local federally qualified Health Centers which serve the under-insured and uninsured in our community and beyond.

Part VI, Line 3 - Patient Education of Eligibility for Assistance
*Southeast Georgia Health System, Inc's Financial Assistance Program (Indigent/Charity Policy) is advertised by signage in Admissions, the Emergency Care Center and the Business Office. Program information is also contained periodically in Southeast Georgia Health System, Inc's healthcare magazine which is distributed throughout the community.*The standard registration packet for all patients contains a printed form describing the Financial Assistance Program and the application process. The Financial Assistance process is further explained to the patients by the Registrars during the registration process. Additionally, patients being admitted as an inpatient are provided an information booklet which further details the Financial Assistance Program relating to the inability to pay for medical costs.*Financial Counselors in Admissions engage patients/financially responsible persons and investigate repayment options for medical costs incurred by patients being admitted to an inpatient status who display no identifiable means of paying for medical services through a third party insurer or other source. Contract staff are available to assist patients with United States Social Security Disability and/or Supplemental Income programs. Financial Counselors will assist patients in the application process for other federal and state public assistance programs and if ineligible, will promote Southeast Georgia Health System's internal financial assistance program as an additional option.*All billing statements address the patient's potential inability to pay for medical services by advertising Southeast Georgia Health System's Financial Assistance Program on the front and back of each statement mailer.*Business Office reception and telephone inquiry staff educate and promote Southeast Georgia Health System's Financial Assistance Program and distribute applications when a patient has indicated financial hardship, unemployment or the need for a low monthly repayment plan.*Financial Assistance Program information is contained on Southeast Georgia Health System's website with the ability for the patient to print an application for their use.*Financial Assistance Program information and applications are also provided by collection staff and collection subcontractors upon indication of a patient's financial need or inability to pay for medical services. Federal and state public assistance programs are suggested as well.

Part VI, Line 4 - Community Information
The Southeast Georgia Health System-Camden Campus is located in St.Marys, Georgia. The primary service area for the Southeast Georgia Health System, Inc.'s Camden Campus is Camden County which had an approximate population of 53,044 according to the U.S. Census Bureau estimates for 2017. Southeast Georgia Health System-Camden Campus, derived approximately 88.1% of its discharges from Camden County. The Southeast Georgia Health System-Camden Campus secondary service area includes Charlton and Brantley Counties in Georgia with a combined population of 31,446 according to the U.S. Census Bureau estimates for 2017. Southeast Georgia Health System-Camden Campus, is the only hospital in Camden County. Other hospitals in the secondary service area Baptist Medical Center, Nassau, a 54 bed primary care hospital located in Fernandina Beach, Florida.The Southeast Georgia Health System-Brunswick Campus is located within the city limits of Brunswick in Glynn County, Georgia. St.Simons Island, Sea Island and Jekyll Island are other residential areas in the county. The primary service area includes Glynn, Brantley, McIntosh and Camden Counties. There are approximately 171,163 residents in the primary service area year-round according to U.S. Census bureau estimates for 2017 and approximately 20,000 additional temporary residents during the tourist season. The Southeast Georgia Health System-Brunswick Campus's secondary and broader service area; consists of counties adjacent to Glynn County along with counties located within a 50-mile radius of Brunswick. These counties include Charlton and Wayne Counties in Georgia. The approximate population for the secondary service area is 42,532 residents according to the U.S. Census Bureau estimates for 2017.The Southeast Georgia Health System-Brunswick Campus derived approximately 87% of its discharges from its primary service area with approximately 71% of such discharges from Glynn County. Approximately 4% of the Brunswick Campus's discharges were from the secondary service area. The remaining approximately 7% of admissions originated from other parts of Georgia and other states.The Southeast Georgia Health System-Brunswick Campus is the only hospital located in Glynn County and there are no other hospitals within a 35 mile radius. The only other hospitals in the secondary service area are Southeast Georgia Health System-Camden Campus, a 40 bed affiliated hospital located in St. Marys, Georgia and Wayne Memorial Hospital, an 84 bed hospital located in Jesup, Georgia in Wayne County.

Part VI, Line 4 - Community Building Activities
"Our community efforts resulted in patients being served by our Wellness on Wheels (WOW) mobile health vehicle which provides free screening (mammography, dexascan, blood pressure and blood sugar, hearing, vaccinations), and Community Care Center, a pediatric center that is dedicated to the health care needs of our Medicaid population. These programs and many others form the foundation of our commitment to community health improvement.Wellness on Wheels (WOW) mobile health vehicle is our mobile ""health care on wheels"" that travels and delivers care throughout the six county region. The WOW operates mostly Monday through Saturday and some Sunday's, as requested and serves a different location each week.. Staffed by our expert providers; the WOW provides a broad range of free services: mammography, dexascan, blood pressure and blood sugar, hearing, cholesterol screenings to basic health care check-ups, medical exams, and vaccinations. In addition to providing medical care, our financial counselor assist patients in applying for a variety of community assistance programs. Our financial counselors work with individuals to understand their unique needs and assist them in applying for federal, state, and local programs they may qualify for, including Medicaid and pharmaceutical assistance, food stamps, and the Women, Infants and Children (WIC) program. Our community partners are critical to helping us improve the health and well-being of the greater coastal Georgia region. Together, we can combine resources and strengths, positively impacting the greatest number of people. By working closely with community leaders, we also build a greater sense of community and a shared commitment toward our common goal of improving the community's health. We're proud of our partners.Community partners include, but are not limited to:Coastal Health DistrictCoastal Coalition of ChildrenGolden Isles Child Advocacy CenterCoastal Community Health ServicesMcKinney Medical CenterCoastal Area Agency on AgingCollege of Coastal GeorgiaUnited WayFamily ConnectionsLocal School SystemsOur vice president responsible for ancillary services coordinates with area high schools to offer an Explorer Post program that brings awareness to high school students of the job opportunities in the health care field. Our director of volunteer services also coordinates and works with area high school students on a shadowing program and promote health careers at their annual information fairs at the local high schools. Employees in the CommunityEvery year, Southeast Georgia Health System, Inc. unites around corporate-wide efforts: Ringing bells for the Salvation Army; fundraising for the American Cancer Society, participating in our local United Way Campaign and so much more.At Southeast Georgia Health System,Inc., it's important to us to give back to our community. In addition to team member United Way donations and volunteer time at Relay For Life and other sponsored events, our team members participate in a variety of community service initiatives, from Habitat for Humanity to the Boys and Girls Club of Southeast Georgia to local student mentoring programs."

Part VI, Line 7 - States Filing of Community Benefit Report
GA