4A (Expenses $ 58066706 including grants of $ 0) (Revenue $ 57307911)
"Navicent Health Baldwin's mission is to provide high quality, safe, compassionate, patient-focused care. The hospital offers a wide range of medical services ""from specialized treatment centers for cancer and wound care"" to advanced imaging technologies that include digital mammography and high-speed CT scanning. In addition to its 24/7 Emergency Department, the hospital also offers a number of outpatient treatment programs, same-day surgery, health education programs, and a state-of-the-art laboratory for diagnostic testing. For inpatient treatment, the hospital is licensed for 140 acute care beds and for 15 beds in it's Skilled Nursing Unit, which serves patients requiring extended care."

Schedule H, Part V, Section B, Line 3E
Prioritization for Navicent Health Baldwin was determined based on a joint, regional prioritization process, along with the other Navicent Health facilities in Central Georgia. On December 17, 2020, Navicent Health convened an online meeting among community stakeholders (representing a cross-section of community based agencies and organizations) to evaluate, discuss and prioritize health issues for community, based on findings of this Community Health Needs Assessment (CHNA). Professional Research Consultants, Inc. (PRC) began the virtual meeting with a presentation of key findings from the CHNA, highlighting the significant health issues identified from the research. Following the data review, PRC answered any questions. Finally, participants were provided an overview of the prioritization exercise that followed. In order to assign priority to the identified health needs, a wireless audience response system was used in which each participant was able to register his/her ratings using a small remote keypad. The participants were asked to evaluate each health issue along two criteria: 1) Scope & Severity 2) Ability to Impact. Individuals' ratings for each criteria were averaged for each tested health issue, and then these composite criteria scores were averaged to produce an overall score. This process yielded the following prioritized list of community health needs: 1. Diabetes 2. Heart Disease & Stroke 3. Nutrition, Physical Activity & Weight 4. Infant Health & Family Planning 5. Access to Health Care Services 6. Sexual Health 7. Mental Health 8. Respiratory Disease 9. Cancer 10. Substance Abuse 11. Injury & Violence 12. Septicemia 13. Oral Health

Schedule H, Part V, Section B, Line 5 Facility , 1
"Facility , 1 - Navicent Health Baldwin. This assessment incorporates data from multiple sources, including primary research (through the PRC Community Health Survey and PRC Online Key Informant Survey), as well as secondary research (vital statistics and other existing health-related data). It also allows for trending and comparison to benchmark data at the state and national levels. The survey instrument used for this study is based largely on the Centers for Disease Control and Prevention (CDC) Behavioral Risk Factor Surveillance System (BRFSS), as well as various other public health surveys and customized questions addressing gaps in indicator data relative to health promotion and disease prevention objectives and other recognized health issues. The final survey instrument was developed by Navicent Health and PRC and is similar to the previous survey used in the region, allowing for data trending. A precise and carefully executed methodology is critical in asserting the validity of the results gathered in the PRC Community Health Survey. Thus, to ensure the best representation of the population surveyed, a telephone interview methodology (one that incorporates both landline and cell phone interviews ) was employed. The primary advantages of telephone interviewing are timeliness, efficiency, and random selection capabilities. The sample design used for this effort consisted of a random sample of 200 individuals age 18 and older in Baldwin County. All administration of the surveys, data collection, and data analysis was conducted by PRC. For statistical purposes, the maximum rate of error associated with a sample size of 200 respondents is +/-6.9% at the 95 percent confidence level. To accurately represent the population studied, PRC strives to minimize bias through application of a proven telephone methodology and random-selection techniques. While this random sampling of the population produces a highly representative sample, it is a common and preferred practice to ""weight"" the raw data to improve this representativeness even further. This is accomplished by adjusting the results of a random sample to match the geographic distribution and demographic characteristics of the population surveyed (post stratification), so as to eliminate any naturally occurring bias. The sample design and the quality control procedures used in the data collection ensure that the sample is representative. Thus, the findings may be generalized to the total population of community members in the defined area with a high degree of confidence. To solicit input from key informants, those individuals who have a broad interest in the health of the community, an Online Key Informant Survey also was implemented as part of this process. A list of recommended participants was provided by Navicent Health; this list included names and contact information for physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders. Potential participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall. Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online; reminder emails were sent as needed to increase participation. In all, 14 community stakeholders took part in the Online Key Informant Survey. Final participation included representatives of these organization: 1) ATC Health Care Services 2) Baldwin County Board of Commissioners 3) Baldwin County Family Connections 4) Baldwin County Health Department 5) Baldwin Medical Center 6) City of Milledgeville 7) Georgia College & State University 8) Oconee Valley Healthcare 9) Riveredge Behavioral Health Services Through this process, input was gathered from several individuals whose organizations work with low income, minority, or other medically underserved populations. In the online survey, key informants were asked to rate the degree to which various health issues are a problem in their own community. Follow-up questions asked them to describe why they identify problem areas as such and how these might better be addressed. Results of their ratings, as well as their verbatim comments, are included throughout this report as they relate to the various other data presented."

Schedule H, Part V, Section B, Line 11 Facility , 1
Facility , 1 - Navicent Health Baldwin. Prioritization for Navicent Health Baldwin was determined based on a joint, regional prioritization process, along with the other Navicent Health facilities in Central Georgia. On December 17, 2020, Navicent Health convened an online meeting among community stakeholders (representing a cross-section of community based agencies and organizations) to evaluate, discuss and prioritize health issues for community, based on findings of this Community Health Needs Assessment (CHNA). Professional Research Consultants, Inc. (PRC) began the virtual meeting with a presentation of key findings from the CHNA, highlighting the significant health issues identified from the research. Following the data review, PRC answered any questions. Finally, participants were provided an overview of the prioritization exercise that followed. In order to assign priority to the identified health needs (i.e., Areas of Opportunity), a wireless audience response system was used in which each participant was able to register his/her ratings using a small remote keypad. The participants were asked to evaluate each health issue along two criteria: 1) Scope & Severity 2) Ability to Impact. Individuals' ratings for each criteria were averaged for each tested health issue, and then these composite criteria scores were averaged to produce an overall score. This process yielded the following prioritized list of community health needs: 1. Diabetes 2. Heart Disease & Stroke 3. Nutrition, Physical Activity & Weight 4. Infant Health & Family Planning 5. Access to Health Care Services 6. Sexual Health 7. Mental Health 8. Respiratory Disease 9. Cancer 10. Substance Abuse 11. Injury & Violence 12. Septicemia 13. Oral Health

Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance
"THE DATA REPORTED IN PART 1, LINE 7 IS REPORTED AS INSTRUCTED BY THE CATHOLIC HEALTH ASSOCIATION'S ""A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS, 2008"". THE COSTS WERE CALCULATED USING THE RATIO OF COSTS TO CHARGES USING WORKSHEET 2 IN THE INSTRUCTIONS TO FORM 990 SCHEDULE H."

Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount
PATIENT CHARGES WRITTEN OFF TO BAD DEBT represent the amount of charges considered uncollectible after reasonable attempts to collect have been made for that portion of a patient's bill that ARE NOT OTHERWISE PAID BY THIRD-PARTY INSURANCE, GOVERNMENT PROGRAMS, PATIENT PAYMENTS OR that do not QUALIFY for writeoff UNDER the HOSPITAL'S Financial Assistance POLICY.

Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
ATRIUM HEALTH ISSUES CONSOLIDATED FINANCIAL STATEMENTS IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES AS PRESCRIBED BY THE GOVERNMENTAL ACCOUNTING STANDARDS BOARD. THERE IS NO COMPREHENSIVE FOOTNOTE THAT ADDRESSES BAD DEBT EXPENSE. PATIENT SERVICE REVENUE IS EXPLAINED IN FOOTNOTE 1(P) ON PAGED 34-35, FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT COSTS ARE DISCUSSED IN FOOTNOTE 15 ON PAGE 107, AND THE USE OF ESTIMATES (WHICH INCLUDES THE USE OF ESTIMATES RELATED TO THE VALUATION OF ACCOUNTS RECEIVABLE, INCLUDING CONTRACTUAL ALLOWANCES AND PROVISIONS FOR BAD DEBTS) IS DISCUSSED IN FOOTNOTE 1(W) ON PAGE 39 OF THE AUDITED FINANCIAL ON STATEMENTS FOR THE CALENDAR YEAR ENDED DECEMBER 31, 2021.

Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs
THE COSTING METHODOLOGY USES THE COSTS INCLUDED IN THE COST REPORT WHICH ARE CALCULATED USING A DEPARTMENTAL SPECIFIC COST TO CHARGE RATIO AS COMPARED TO ACTUAL MEDICARE PAYMENTS. The Medicare cost report does not fully capture all Medicare revenue and costs, including but not limited to physician services and Medicare Part C. Total Medicare losses are $4,575,347.

Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
Patients are notified of the organization's Financial Assistance Policy prior to discharge. Each billing statement contains a conspicuous notice that financial assistance is available to individuals that qualify. Once a patient is determined to qualify for financial assistance, it is noted in the patients financial record and all collection efforts cease. Any amounts previously billed are written-off and any excess amounts collected are refunded as provided in the Financial Assistance Policy. The Assistant Vice President of Revenue Cycle reviews financial activity on accounts to determine if an account should be turned over to collections. If a patient account that is turned over to collections is later determined to qualify for financial assistance, the account is returned to the hospital and promptly written-off.

Schedule H, Part V, Section B, Line 16a FAP website
- Navicent Health Baldwin: Line 16a URL: https://atriumhealth.org/for-patients-visitors/financial-assistance#helpful-docs;

Schedule H, Part V, Section B, Line 16b FAP Application website
- Navicent Health Baldwin: Line 16b URL: https://atriumhealth.org/for-patients-visitors/financial-assistance#helpful-docs;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
- Navicent Health Baldwin: Line 16c URL: https://atriumhealth.org/for-patients-visitors/financial-assistance#helpful-docs;

Schedule H, Part VI, Line 2 Needs assessment
The organization conducted a community health needs assessment in 2020. In addition to the CHNA, the organization routinely solicits feedback on community health needs from a variety of sources including medical staff members, its nursing staff and community leaders.

Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
PATIENTS ARE INFORMED OF AVAILABLE ASSISTANCE BY THE FOLLOWING METHODS: THE PATIENT IS NOTIFIED UPON ADMISSION OF THE FINANCIAL ASSISTANCE POLICY; SIGNAGE AT ALL ACCESS POINTS INTO THE ORGANIZATION NOTIFIES PATIENTS AND GUESTS OF THE POLICY; AND ALL BILLINGS INCLUDE INFORMATION TO CONTACT THE BUSINESS OFFICE TO APPLY FOR ASSISTANCE. WE ALSO IDENTIFY ALL PATIENTS WITHOUT INSURANCE AND WORK WITH THEM TO OBTAIN MEDICAID COVERAGE IF POSSIBLE. THE ORGANIZATION'S WEBSITE NOTIFIES VISITORS OF AVAILABLE FINANCIAL ASSISTANCE. The FAP, the plain language summary and the application for assistance are also available on the organization's website.

Schedule H, Part VI, Line 4 Community information
Navicent Health Baldwin is located in Milledgeville, Georgia which is the county seat of Baldwin County. The hospital serves the 135,493 residents living in the 7 county service area which includes Baldwin, Greene, Hancock, Jasper, Putnam, Washington and Wilkinson Counties.

Schedule H, Part VI, Line 5 Promotion of community health
THE ORGANIZATION IS PART OF A MULTI-ENTITY HEALTHCARE SYSTEM THAT PROVIDES MEDICAL SERVICES TO THE COMMUNITY. THE ORGANIZATION HAS A BOARD COMPRISED OF MEMBERS OF THE COMMUNITY. THE MEDICAL STAFF OF THE HOSPITAL IS OPEN TO ALL QUALIFIED PHYSICIAN APPLICANTS. ANY SURPLUS FUNDS ARE REINVESTED IN THE ORGANIZATION AND USED FOR PROGRAM SERVICES. AN EMERGENCY ROOM OPEN 24/7/365 IS AVAILABLE TO THE COMMUNITY.

Schedule H, Part VI, Line 7 State filing of community benefit report
GA

Schedule H, Part VI, Line 6 Affiliated health care system
THE ORGANIZATION IS PART OF NAVICENT HEALTH, INC. AND is one of several AFFILIATED ENTITIES comprising the MULTI-ENTITY HEALTHCARE SYSTEM. ORGANIZATIONS IN THE SYSTEM INCLUDE: AH Georgia, Inc., a North Carolina non-profit organization, serves as the sole member of the Navicent Health, Inc. NAVICENT HEALTH SERVES AS THE local (Central Georgia based) PARENT ENTITY OF THE HEALTH SYSTEM. IT ALSO OPERATES CENTRAL GEORGIA REHABILITATION HOSPITAL, INC. THE MEDICAL CENTER OF CENTRAL GEORGIA, INC. IS A 637-BED GENERAL SHORT-TERM ACUTE CARE HOSPITAL FACILITY THAT IS DESIGNATED AS A LEVEL 1 TRAUMA CENTER AND MAGNET HOSPITAL FOR NURSING. HEALTH SERVICES OF CENTRAL GEORGIA, INC. PROVIDES FACULTY PHYSICIANS TO THE RESIDENCY TRAINING PROGRAMS OF THE MEDICAL CENTER OF CENTRAL GEORGIA AS WELL AS OTHER PHYSICIANS, NURSE PRACTITIONERS, AND PHYSICIAN ASSISTANTS. CENTRAL GEORGIA SENIOR HEALTH, INC. IS A LIFE PLAN COMMUNITY (CCRC) OFFERING INDEPENDENT LIVING, ASSISTED LIVING, MEMORY SUPPORT AND SKILLED NURSING. NAVICENT HEALTH BALDWIN, INC. IS A 140-LICENSED BED ACUTE CARE HOSPITAL AND 15-BED SKILLED NURSING FACILITY IN NEARBY BALDWIN COUNTY. The Medical Center of Peach County, Inc. is a 25-bed critical access hospital primarily serving the residents of Peach County, Georgia. AH Georgia, Inc. also became the sole member of Floyd Healthcare Management, Inc., a hospital serving portions of Northwest Georgia and Northeast Alabama during 2021.