Community Benefit Insight - Tax-exempt hospital

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Lanier Health Services Inc

Louis Smith Memorial Hospital

116 West Thigpen Avenue
Lakeland, GA 31635

Bed count	25	Medicare provider number	111326	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

EIN: 582018658

Display data for year:

Community Benefit Spending- 2013
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

-0.72%

Spending by Community Benefit Category- 2013
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2013

Additional data

Community Benefit Expenditures: 2013

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	$ 63,232 0.86 %
Medicaid as % of operating expenses	$ -186,712 -2.53 %
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	$ 70,163 0.95 %
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	$ 1,101 0.01 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	YES
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	$ 1,101 0.01 %
Physical improvements and housing as % of community building expenses	$ 0 0 %
Economic development as % of community building expenses	$ 0 0 %
Community support as % of community building expenses	$ 1,101 100 %
Environmental improvements as % of community building expenses	$ 0 0 %
Leadership development and training for community members as % of community building expenses	$ 0 0 %
Coalition building as % of community building expenses	$ 0 0 %
Community health improvement advocacy as % of community building expenses	$ 0 0 %
Workforce development as % of community building expenses	$ 0 0 %
Other as % of community building expenses	$ 0 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: 2013

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	$ 1,429,166 19.36 %
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:

Reported to credit agency	Not available
Filed lawsuit	Not available
Placed liens on residence	Not available
Issue body attachments? (an order by the court commanding a sheriff or other official to physically bring before the court a person who is guilty of contempt of court)	Not available

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: 2013

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
Did the tax-exempt hospital execute the implementation strategy?	YES
Did the tax-exempt hospital participate in the development of a community-wide plan?	Not available

Supplemental Information: 2013

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 $ 6259242 including grants of $ 0) (Revenue $ 6983754)
LANIER HEALTH SERVICES, UNTIL ITS TERMINATION, OPERATED LOUIS SMITH HOSPITAL A 25 BED CRITICAL ACCESS HOSPITAL THAT PROVIDED NURSING AND PROFESSIONAL CARE ON A SHORT TERM BASIS. A TOTAL OF 255 PATIENTS WERE ADMITTED AND THERE WERE 2,099 PATIENT DAYS IN PERIOD ENDING APRIL 30, 2014. LANIER HEALTH SERVICES ALSO OPERATED LAKELAND VILLA CONVALESCENT CENTER, A 62 BED SKILLED NURSING FACILITY THAT PROVIDED LONG-TERM CARE FOR THE ELDERLY. SNF OCCUPANCY PERCENTAGE FOR PERIOD ENDING APRIL 30, 2014 WAS 97.14%.

Facility Information

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

FACILITY 1, LOUIS SMITH MEMORIAL HOSPITAL - PART V, LINE 3
INITIALLY, THE COMMUNITY ADVISORY COMMITTEE WAS SELECTED, ITS 16 MEMBERS REPRESENTING A CROSS-SECTION OF THE TARGET AREA, INCLUDING LOCAL CLERGY, EDUCATORS, BUSINESSMEN, HEALTHCARE WORKERS, AND OTHER COMMUNITY MEMBERS. COMMUNITY-BASED SURVEYS AND FOCUS GROUPS PROVIDED A WIDE ARRAY OF COMMUNITY INPUT.

FACILITY 1, LOUIS SMITH MEMORIAL HOSPITAL - PART V, LINE 4
THE COLLEGE OF PUBLIC HEALTH, GEORGIA SOUTHERN UNIVERSITY WAS GRANTED FUNDING BY THE DEPARTMENT OF COMMUNITY HEALTH TO PROVIDE TECHNICAL ASSISTANCE TO 18 NONPROFIT HOSPITALS IN COMPLETING THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AS MANDATED BY THE IRS. HOSPITALS INCLUDED IN THE CHNA PROJECT INCLUDED: BACON REGIONAL HOSPITAL CHATUGE REGIONAL HOSPITAL CLINCH COUNTY HOSPITAL EVANS MEMORIAL HOSPITAL JASPER MEMORIAL HOSPITAL JEFF DAVIS HOSPITAL JEFFERSON HOSPITAL MILLER COUNTY HOSPITAL MONROE COUNTY HOSPITAL MORGAN MEMORIAL HOSPITAL PHOEBE WORTH MEDICAL CENTER TAYLOR REGIONAL HOSPITAL UNION GENERAL HOSPITAL WASHINGTON COUNTY MEDICAL CENTER MEMORIAL HOSPITAL & MANOR MEADOWS REGIONAL MEDICAL CENTER STEPHENS COUNTY HOSPITAL LOUIS SMITH MEMORIAL HOSPITAL

FACILITY 1, LOUIS SMITH MEMORIAL HOSPITAL - PART V, LINE 7
LSMH PROVIDES MANY COMMUNITY BENEFIT PROGRAMS THAT ADDRESS THE HEALTH AND SOCIAL DETERMINANTS OF HEALTH THROUGHOUT LANIER COUNTY AND THE SURROUNDING COMMUNITIES. LANIER COUNTY IS FORTUNATE TO HAVE A LARGE NUMBER OF HEALTH AND SOCIAL SERVICE AGENCIES WHO WORK INDIVIDUALLY AND COLLECTIVELY TO PROVIDE SERVICES PROGRAMS AND SUPPORT FOR THE COUNTY RESIDENTS. TO THAT END, LSMH WILL NOT ADDRESS SOME OF THE NEEDS IDENTIFIED IN THE 2013 ASSESSMENT BECAUSE: (1) LSMH ADDRESSES THE NEED, BUT CURRENTLY HAS NO PLANS TO EXPAND SERVICES, 2) OTHER PROVIDERS ARE ALREADY ADDRESSING THE NEEDS AND (3) THE NEED IDENTIFIED IS BEYOND THE SCOPE OF LSMH.

Supplemental Information

Schedule H (Form 990) Part VI

PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION
THIS SECTION INCLUDES A PHYSICIAN'S OFFICE WHICH PROVIDES CARE TO THE COMMUNITY REGARDLESS OF ABILITY TO PAY. THE ORGANIZATION'S SERVICE AREA IS A FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREA.

PART I, LINE 7, COLUMN (F) - EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE
IN DERIVING THE DENOMINATOR TO BE USED FOR COLUMN (F), THE FOLLOWING ADJUSTMENTS WERE MADE TO THE TOTAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25: FORM 990, PART IX, LINE 25 7,383,798 ADD: EXPENSES REPORTED IN PART VIII 33,491 ADD: REVENUES REPORTED IN PART IX 11,288 DENOMINATOR FOR COLUMN (F) 7,361,595

PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION
COSTS FOR PART I, LINE 7A AND 7B WERE CALCULATED USING THE RCC CALCULATED IN WORKSHEET 2. OTHER COSTS WERE OBTAINED FROM THE ORGANIZATION'S ACCOUNTING RECORDS.

PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY
AMOUNTS INCLUDED ON PART III LINE 2 REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE AFTER REASONABLE ATTEMPTS TO COLLECT, AND WRITTEN OFF TO BAD DEBT EXPENSE.

BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS
ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE COMPANY ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE COMPANY ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD- PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLES AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE COMPANY RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE COMPANY DID NOT HAVE A MATERIAL CHANGE IN THE ALLOWANCE PERCENTAGE FOR MEDICARE, MEDICAID OR SELF-PAY PATIENTS. THE ALLOWANCE DISCLOSED ON THE BALANCE SHEET REPRESENTS THE ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS WITH THIRD-PARTY PAYORS, AS WELL AS THE ESTIMATED ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE COMPANY HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING FISCAL YEARS 2013 OR 2012.

PART III, LINE 8 - MEDICARE EXPLANATION
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.

PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION
LHS DOES NOT PERFORM THE FUNCTIONS OF BILLING AND COLLECTION. THAT SERVICE IS PROVIDED UNDER THE MANAGEMENT CONTRACT WITH THE HOSPITAL AUTHORITY OF VALDOSTA/LOWNDES COUNTY DBA SOUTH GEORGIA MEDICAL CENTER (SGMC). SGMC STAFF ADHERE TO THE WRITTEN DEBT COLLECTION POLICIES FOR THE HOSPITAL AUTHORITY. SELF-PAY PATIENTS ARE GIVEN A PATIENT ACCOUNT PAYMENT AGREEMENT AT THE TIME OF ADMISSION. THEY ARE ALSO GIVEN INFORMATION THROUGH A BROCHURE REGARDING INDIGENT AND CHARITY CARE TO DETERMINE IF THEY WOULD QUALIFY.

PART VI, LINE 2 - NEEDS ASSESSMENT
"THE ORGANIZATION CONDUCTS REGULAR NEEDS ASSESSMENT THROUGH FORMAL AND INFORMAL SURVEYS AND PROCESSES, INCLUDING COLLABORATIONS WITH PUBLIC AND COMMUNITY AGENCIES. THE HOSPITAL ADMINISTRATOR SERVES ON THE HEALTH DEPARTMENT BOARD; THEREFORE, THE ORGANIZATION IS AWARE OF NEEDS AND HELPS AVOID DUPLICATION OF SERVICES. THE ORGANIZATION IS ALSO INVOLVED IN THE CHAMBER OF COMMERCE AND OTHER COMMUNITY AND CIVIC ORGANIZATIONS AND PARTICIPATES IN CITY AND COUNTY GOVERNMENT MEETINGS WITH REPRESENTATIVES FROM EMS. IN 2013, THE ORGANIZATION, WITH THE ASSISTANCE OF GEORGIA SOUTHERN UNIVERSITY AND STATE FUNDING, CONDUCTED ITS FIRST FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT. THIS DOCUMENT CAN BE FOUND AT HTTPS://WWW.SGMC.ORG/SITES/WWW/UPLOADS/FILES/LANIER%20CAMPUS/LANIER %20CHNA.PDF. ADDITIONALLY, THE COMMUNITY HEALTH NEEDS IMPLEMENTATION PLAN IS LOCATED AT HTTPS://WWW.SGMC.ORG/SITES/WWW/UPLOADS/FILES/LANIER %20CAMPUS/LANIER%20CHNA%20IMPLEMENTATION.PDF. PROGRESS TOWARDS GOALS SET FOR 2013 CHNA IMPLEMENTATION PLAN: SGMC LANIER CAMPUS (FORMALLY LOUIS SMITH MEMORIAL HOSPITAL ESTABLISHED IN 1950) RECEIVED A GRANT FROM GEORGIA SOUTHERN UNIVERSITY AND STATE OFFICE OF RURAL HEALTH TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT. THE DISCOVERIES FROM THIS REPORT IDENTIFIED UNMET COMMUNITY HEALTH NEEDS IN LANIER COUNTY. ON JULY 30, 2013, A CHNA STEERING COMMITTEE AND COMMUNITY ADVISORY COMMITTEE WERE ASSEMBLED TO DEVELOP A PLAN OF ACTION TO ADDRESS THE NEEDS THAT WERE IDENTIFIED. LSMH AND COMMUNITY HEALTH PARTNERS COLLABORATED TO COMBAT THOSE NEEDS. THE FOLLOWING HEALTH NEEDS WERE CHOSEN: ""CHRONIC DISEASE CONDITIONS ""SOCIAL AND BEHAVIORAL ISSUES ""PEDIATRIC HEALTH SGMC LANIER CAMPUS HAS CHOSEN TO WORK WITH SEVERAL PARTNERS TO ADDRESS THE HEALTH NEEDS IN THEIR COMMUNITY. PLAN UPDATE, OUTLINED BELOW, DOCUMENTS THE OUTCOMES AND PROGRESS OF THOSE PROGRAMS. CHRONIC DISEASE MANAGEMENT CANCER SCREENINGS AND SMOKING CESSATION CLASSES WERE HELD DURING THE FISCAL YEAR RESULTING IN 12 SCREENINGS AND APPROXIMATELY 30 IN TOTAL ATTENDANCE. SGMC LANIER CAMPUS PARTICIPATED IN THE RELAY FOR LIFE SPONSORED BY THE AMERICAN CANCER SOCIETY SPONSORING A TEAM IN THE MIDST OF 200 PARTICIPANTS. FOR DIABETES MANAGEMENT, THE ORGANIZATION SPONSORED A LUNCH & LEARN FOR 20 ATTENDEES WHILE EDUCATION DURING TWO SEPARATE HEALTH AND WELLNESS SEMINARS REACHED APPROXIMATELY 100 PARTICIPANTS. EDUCATIONAL SESSIONS FOR HEART DISEASE AND STROKE WERE HELD DURING ONE OF THE HEALTH AND WELLNESS SEMINARS REACHING APPROXIMATELY 50 ATTENDEES. ADDITIONALLY, FREE BLOOD PRESSURE CHECKS WERE GIVEN TO APPROXIMATELY 40 COMMUNITY MEMBERS AND MORE THAN 200 INFORMATIONAL BROCHURES WERE DISTRIBUTED DURING COMMUNITY EVENTS. SOCIAL AND BEHAVIORAL ISSUES SUICIDE AWARENESS WAS THE SUBJECT OF A SESSION DURING ONE OF THE HEALTH AND WELLNESS SEMINARS REACHING APPROXIMATELY 50 ATTENDEES. HEALTHY NUTRITION LECTURES AND INFORMATION REACHED APPROXIMATELY 400 ATTENDEES DURING THE HEALTH AND WELLNESS SEMINARS AND THROUGH A BOOTH SET UP DURING A FLATLANDERS EVENT. ADD/ADHD WAS THE SUBJECT OF COMMUNITY EDUCATION SESSIONS WHICH SERVED APPROXIMATELY 30 COMMUNITY MEMBERS. SMOKING CESSATION INFORMATION WAS AVAILABLE DURING THE GREAT AMERICAN SMOKE OUT AT WHICH 22 COMMUNITY MEMBERS WERE IN ATTENDANCE, 6 OF WHICH WERE SCREENED FOR CANCER. STRESS MANAGEMENT WAS THE SUBJECT OF A COMMUNITY WIDE EDUCATION SESSION WHICH SAW 18 PARTICIPANTS. EDUCATIONAL SESSIONS ON SENIOR RESOURCES ASSISTED 50 INTERESTED COMMUNITY MEMBERS. PEDIATRIC HEALTH THE ORGANIZATION USED THEIR FOOTHOLD IN THE FLATLANDERS EVENT INFORMATION BOOTH AND PLATFORM DURING THE HEALTH AND WELLNESS EVENT TO EDUCATE INTERESTED INDIVIDUALS ON HEALTHY NUTRITION FOR THE YOUNG REACHING OUT TO APPROXIMATELY 350 ATTENDEES. STRESSING PEDIATRIC HEALTH, ADD/ADHD WAS THE SUBJECT OF COMMUNITY EDUCATION SESSIONS WHICH SERVED APPROXIMATELY 30 COMMUNITY MEMBERS. PRENATAL HEALTH WAS THE CONCERN IN OFFERING FREE BLOOD PRESSURE SCREENINGS AT HEALTH FAIRS ATTENDED BY APPROXIMATELY 210 COMMUNITY MEMBERS, OF WHICH APPROXIMATELY 30 INDIVIDUALS WERE SCREENED FOR HIGH BLOOD PRESSURE."

PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE
PATIENTS ARE EDUCATED ON ELIGIBILITY FOR ASSISTANCE ON SERVICES AT TIME OF ADMISSION. SELF-PAY PATIENTS RECEIVE INFORMATION REGARDING INDIGENT AND CHARITY POLICY AND INFORMATION REQUIRED TO BE SUBMITTED TO DETERMINE IF ELIGIBLE. ONCE PATIENTS RECEIVE THEIR STATEMENT, THEY CAN CONTACT CUSTOMER SERVICE REGARDING PAYMENT ARRANGEMENTS AND ASSISTANCE THAT IS AVAILABLE.

PART VI, LINE 4 - COMMUNITY INFORMATION
THE ORGANIZATION IS LOCATED IN LAKELAND, GEORGIA WHICH IS LOCATED 20 MILES FROM VALDOSTA, GEORGIA. THE HOUSEHOLD INCOME IS ABOUT HALF OF THE STATE AVERAGE AND THE UNEMPLOYMENT RATE IS SLIGHTLY BELOW THE STATE AVERAGE. BASED ON 2010 DATA, 36.6% OF HOUSEHOLDS ARE LIVING IN POVERTY. THE REGION'S CITIZENS EXPERIENCE HIGH LEVELS OF DIABETES AND OBESITY RATES ARE ABOVE THE STATE AVERAGE.

PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH
PROVIDING QUALITY CARE TO THE PATIENTS, RESIDENTS, AND MEMBERS OF THE COMMUNITY IS THE CORE OF LANIER HEALTH SERVICES' MISSION. LHS PROVIDES MANY COMMUNITY BENEFITS IN ORDER TO REACH OUT TO THOSE IN NEED AND SERVE THE COMMUNITY. PRIMARY CARE IS A FIRST PRIORITY AND HAS A PROFOUND IMPACT ON THE INDIVIDUALS SERVED. PRIMARY CARE SERVICES ARE ESTABLISHED IN AREAS WHERE RESIDENTS ARE MOST LIKELY TO SUFFER FROM SEVERE MANPOWER SHORTAGES, HIGH POVERTY LEVELS AND A LACK OF ACCESS TO CARE. LHS MAINTAINS AN EMS PROGRAM THAT SERVICES THE AREA AND PROVIDES IMMEDIATE CARE TO THOSE IN NEED. LHS COLLABORATES WITH THE AMERICAN CANCER SOCIETY, THE AMERICAN HEART ASSOCIATION, AND OTHER NON-PROFIT ORGANIZATIONS TO PROVIDE FREE LUNCH N' LEARNS TO THE COMMUNITY TO OFFER HEALTH AND WELLNESS, NUTRITION, AND OTHER HEALTHY LIFESTYLE INFORMATION. LHS COORDINATES WITH THE AMERICAN RED CROSS TO HOST BLOOD DRIVES AS WELL AS THE AMERICAN CANCER SOCIETY TO OFFER SMOKING CESSATION CLASSES. EMPLOYEES OF LHS ALSO TEACH CPR AND FIRST AID CLASSES TO THE COMMUNITY, AND THE HOSPITAL SPONSORS THE ANNUAL RELAY FOR LIFE EVENT FOR LANIER COUNTY. EMPLOYEES OF LHS PARTICIPATE IN CIVIC AND SOCIAL FUNCTIONS SUCH AS THE CHAMBER OF COMMERCE, BOARD OF COMMISSIONERS, LION'S CLUB, AND FAMILY CONNECTION IN AN EFFORT TO FURTHER SUPPORT AND SERVE THE COMMUNITY. LHS HOSTS AN ANNUAL COMMUNITY DAY EVENT WHERE MEMBERS OF THE COMMUNITY CAN COME TO RECEIVE SERVICES SUCH A BLOOD PRESSURE AND WEIGHT CHECKS FREE OF CHARGE AND HAVE ACCESS TO INFORMATION REGARDING SERVICES THAT ARE AVAILABLE TO THEM IN THE COMMUNITY. AT THIS TIME MEMBERS OF THE COMMUNITY HAVE ACCESS TO A FOOD DRIVE AND SCHOOL SUPPLIES FOR THEIR CHILDREN. THE HOSPITAL ALSO HOSTS AN ANNUAL HALLOWEEN EVENT WHERE CHILDREN CAN COME TO HAVE A SAFE PLACE TO PLAY AND TRICK OR TREAT AND PARENTS CAN MEET REPRESENTATIVES OF THE HOSPITAL THAT WILL PROVIDE INFORMATION ABOUT THE HOSPITAL. LANIER HEALTH SERVICES, INC. WORKS DILIGENTLY TO PROVIDE SERVICES TO THE COMMUNITY AND SERVE THOSE IN NEED BY PROVIDING SUPPORT AND QUALITY CARE.

PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM
LANIER HEALTH SERVICES, INC. D/B/A LOUIS SMITH MEMORIAL HOSPITAL IS PART OF AN AFFILIATED HEALTH CARE SYSTEM THAT INCLUDES LAKELAND VILLA CONVALESCENT CENTER AND LANIER HEALTH SERVICES FOUNDATION, INC. LOUIS SMITH MEMORIAL HOSPITAL IS A NOT-FOR-PROFIT ACUTE CARE HOSPITAL WHICH WAS REDESIGNATED EFFECTIVE JULY 1, 2002, AS A CRITICAL ACCESS HOSPITAL. LANIER HEALTH SERVICES FOUNDATION, INC. PROMOTES HEALTHCARE IN LANIER COUNTY AND SURROUNDING COUNTIES AND SPECIFICALLY PROMOTES LOUIS SMITH MEMORIAL HOSPITAL. LAKELAND VILLA CONVALESCENT CENTER IS A NOT-FOR-PROFIT LONG-TERM CARE SKILLED NURSING FACILITY. BECAUSE OF THE EXISTENCE OF COMMON TRUSTEES AND OTHER FACTORS, LANIER HEALTH SERVICES, INC. AND THE HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY, GEORGIA (AUTHORITY) ARE RELATED PARTIES. THE AUTHORITY OWNS AND OPERATES SOUTH GEORGIA MEDICAL CENTER (SGMC), A 501 (C)(3) ACUTE CARE HOSPITAL LOCATED IN VALDOSTA, GA; AND TWO OTHER ACUTE CARE HOSPITALS, SMITH NORTHVIEW (SN) AND BERRIEN COUNTY HOSPITAL (BCH). SGMC AND SN SERVE THE RESIDENTS OF LOWNDES COUNTY AND OTHER SURROUNDING AREAS PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES. BCH, LOCATED IN NASHVILLE, GA, PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES FOR RESIDENTS OF BERRIEN COUNTY. AS OF MIDNIGHT ON APRIL 30, 2014, LANIER HEALTH SERVICES, INC., (LESSEE) AND THE HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY, GEORGIA, (LESSOR) ENTERED INTO AN AGREEMENT TO TERMINATE THE LEASE AGREEMENT OF LOUIS SMITH MEMORIAL HOSPITAL IN LAKELAND, GEORGIA DATED JANUARY 24, 1995 AND ALL AMENDMENTS THERETO. ALL REAL PROPERTY AND RELATED ASSETS SUBJECT TO THE LEASE AGREEMENT REVERTED BACK TO THE LESSOR FREE AND CLEAR OF ALL CLAIMS OF THE LESSEE.

PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT
GEORGIA

Operating expenses	$ 7,383,798
Total amount spent on community benefits as % of operating expenses	$ -53,317 -0.72 %