4A (Expenses $ 17145811 including grants of $ 50799) (Revenue $ 21363348)
TO BE THE LEADING PROVIDER OF QUALITY, COST EFFECTIVE, PATIENT-CENTERED HEALTH CARE SERVICES TO ALL RESIDENTS OF SOUTHWEST GEORGIA. PWMC PURSUES ITS MISSION THROUGH A PATIENT-CENTERED ENVIRONMENT OF CARE REFLECTING HIGH STANDARDS AND PROMOTING A BALANCE OF PROFESSIONAL PREPARATION AND SERVICE, CONTINUOUS IMPROVEMENT BASED ON OUR CORE VALUES OF PEOPLE, RELATIONSHIPS, REPUTATION, EXCELLENCE, EFFICIENCY AND COMMITMENT. FOR FURTHER INFORMATION, PLEASE SEE SCHEDULE H PART VI COMMUNITY INFORMATION SECTION. AS A RESULT OF THE COVID PANDEMIC, PWMC RECORDED THE VALUE OF DONATED SERVICES IN THE AMOUNT OF 80,288, AMOUNTS WHICH ARE NOT RECOGNIZED IN THE STATEMENT OF REVENUES OR STATEMENT OF FUNCTIONAL EXPENSES FOR TAX PURPOSES.

FACILITY 1, PHOEBE WORTH MEDICAL CENTER, INC. - PART V, LINE 3E
PHOEBE WORTH MEDICAL CENTER (PWMC) CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN COMPLIANCE WITH THE PROVISIONS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (ACA). THAT LAW REQUIRES ALL NON-PROFIT HOSPITALS IN THE UNITED STATES TO CONDUCT A CHNA EVERY THREE YEARS TO IDENTIFY HEALTH PRIORITIES AND ADOPT AN IMPLEMENTATION STRATEGY TO MEET THE IDENTIFIED COMMUNITY HEALTH NEEDS. THE ASSESSMENT PROCESS REQUIRES HOSPITALS TO GATHER AND UTILIZE INPUT FROM INDIVIDUALS WHO REPRESENT A BROAD INTEREST OF THE COMMUNITY SERVED, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH. THIS WORK RESULTED IN IDENTIFYING THREE PRIORITIES THAT WERE APPROVED BY THE PWMC BOARD OF DIRECTORS AT THEIR MEETING ON JULY 28, 2022. THOSE PRIORITIES ARE: 1. MENTAL HEALTH & MENTAL DISORDERS 2. DIABETES MANAGEMENT AND PREVENTION 3. ACCESS TO & QUALITY OF HEALTHCARE SERVICES

FACILITY 1, PHOEBE WORTH MEDICAL CENTER, INC. - PART V, LINE 5
TO ENSURE THE PERSPECTIVES OF COMMUNITY MEMBERS WERE CONSIDERED, INPUT WAS COLLECTED FROM THE SERVICE AREA COUNTY OF PHOEBE WORTH. PRIMARY DATA USED IN THIS ASSESSMENT CONSISTED OF AN ONLINE COMMUNITY SURVEY, FOCUS GROUP, AND KEY INFORMANT INTERVIEWS. THE FINDINGS FROM THIS DATA EXPANDED UPON INFORMATION GATHERED FROM THE SECONDARY DATA ANALYSIS TO INFORM THIS COMMUNITY HEALTH NEEDS ASSESSMENT. COMMUNITY INPUT WAS COLLECTED VIA AN ONLINE COMMUNITY SURVEY AVAILABLE IN ENGLISH AND SPANISH, AS WELL AS PAPER COPIES AVAILABLE, FROM MAY 2022 THROUGH JUNE 2022. THE SURVEY CONSISTED OF 56 QUESTIONS RELATED TO TOP HEALTH NEEDS IN THE COMMUNITY, INDIVIDUALS PERCEPTION OF THEIR OVERALL HEALTH, INDIVIDUALS ACCESS TO HEALTHCARE SERVICES, AS WELL AS SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH. THE SURVEY WAS SHARED VIA HEALTH SYSTEMS WEBSITES, SOCIAL MEDIA, EMAIL DISTRIBUTION, AND OTHER LOCAL COMMUNITY PARTNERS. PAPER COPIES WERE ALSO DISTRIBUTED AT SEVERAL COMMUNITY OUTREACH EVENTS AND DIRECTLY TO PATIENTS AT PHOEBE HEALTH SYSTEM VIA QR CODE OR CARE COORDINATION TEAM MEMBERS. A TOTAL OF 428 RESPONSES WERE COLLECTED. WORTH COUNTY HAD 35 SURVEY RESPONDENTS. THE PROJECT TEAM DEVELOPED A FOCUS GROUP GUIDE MADE UP OF A SERIES OF QUESTIONS AND PROMPTS ABOUT THE HEALTH AND WELL-BEING OF RESIDENTS IN THE PHOEBE WORTH SERVICE AREA. THE GUIDE CAN BE FOUND IN APPENDIX B OF THE CHNA. ALL PARTICIPANTS VOLUNTEERED. PARTICIPANTS WERE ASKED TO SPEAK TO BARRIERS AND ASSETS TO THEIR HEALTH AND ACCESS TO HEALTHCARE. A TOTAL OF 15 PARTICIPANTS TOOK PART IN THE KEY LEADER FOCUS GROUP, WHICH EACH LASTED APPROXIMATELY 45-60 MINUTES. FACILITATORS IMPLEMENTED TECHNIQUES TO ENSURE THAT EVERYONE WAS ABLE TO PARTICIPATE IN THE DISCUSSIONS. HCI CONSULTANTS CONDUCTED KEY INFORMANT INTERVIEWS TO COLLECT COMMUNITY INPUT. INTERVIEWEES WHO WERE ASKED TO PARTICIPATE WERE RECOGNIZED AS HAVING EXPERTISE IN PUBLIC HEALTH, SPECIAL KNOWLEDGE OF COMMUNITY HEALTH NEEDS, AND/ OR REPRESENTED THE BROAD INTEREST OF THE COMMUNITY SERVED BY THE HOSPITALS AND HEALTH DEPARTMENTS, AND/OR COULD SPEAK TO THE NEEDS OF MEDICALLY UNDERSERVED OR VULNERABLE POPULATIONS. A TOTAL OF 18 KEY INFORMANT INTERVIEWS WERE CONDUCTED DURING APRIL 2022-MAY 2022. SECONDARY DATA USED FOR THIS ASSESSMENT WERE COLLECTED AND ANALYZED WITH THE CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) COMMUNITY DASHBOARD A WEB-BASED COMMUNITY HEALTH PLATFORM DEVELOPED BY CONDUENT COMMUNITY HEALTH SOLUTIONS. THE COMMUNITY DASHBOARD BRINGS DATA, LOCAL RESOURCES, AND A WEALTH OF INFORMATION TO ONE ACCESSIBLE, USER-FRIENDLY LOCATION. IT INCLUDES OVER 300 COMMUNITY INDICATORS COVERING MORE THAN 25 TOPICS IN THE AREAS OF HEALTH, DETERMINANTS OF HEALTH, AND QUALITY OF LIFE. THE DATA ARE PRIMARILY DERIVED FROM STATE AND NATIONAL PUBLIC SECONDARY DATA SOURCES. THE VALUE FOR EACH OF THESE INDICATORS IS COMPARED TO OTHER COMMUNITIES, NATIONALLY OR LOCALLY SET TARGETS, AND TO PREVIOUS TIME PERIODS.

FACILITY 1, PHOEBE WORTH MEDICAL CENTER, INC. - PART V, LINE 11
THE CHNA RESULTED IN THE IDENTIFICATION OF THREE PRIORITIES THAT WERE APPROVED BY THE PWMC BOARD OF DIRECTORS AT THEIR MEETING ON JULY 28TH, 2022. THOSE PRIORITIES ARE: 1. MENTAL HEALTH & MENTAL DISORDERS 2. DIABETES MANAGEMENT AND PREVENTION 3. ACCESS TO & QUALITY OF HEALTHCARE SERVICES A DETAILED DISCUSSION OF EACH SIGNIFICANT HEALTH NEED CAN BE FOUND BEGINNING ON PAGE 40 OF THE 2022 CHNA. THE FOLLOWING SIGNIFICANT HEALTH NEEDS, PRESENTED IN ALPHABETICAL ORDER, EMERGED FROM A REVIEW OF THE PRIMARY AND SECONDARY DATA. HOWEVER, PHOEBE WORTH WILL NOT FOCUS DIRECTLY ON THESE TOPICS IN THEIR IMPLEMENTATION STRATEGY/COMMUNITY HEALTH IMPROVEMENT PLANS. THE BOARD DETERMINED TO FOCUS ON THE 3 AREAS NAMED ABOVE WHERE THE HOSPITAL COULD HAVE THE BEST IMPACT WITH THE RESOURCES AVAILABLE. 1) HEART DISEASE AND STROKE 2) MATERNAL AND CHILD HEALTH 3) NUTRITION AND HEALTHY EATING SEVERAL OF THE NON-PRIORITIZED NEEDS ARE RELATED TO THE THREE PRIMARY PRIORITY AREAS, AND IMPLEMENTATION OF ACTIVITIES UNDER THOSE PRIORITIES WILL HAVE AN INDIRECT IMPACT ON MANY OF THESE NEEDS. KEY THEMES FROM COMMUNITY INPUT ARE INCLUDED WHERE RELEVANT FOR EACH NON-PRIORITIZED HEALTH NEED ALONG WITH THE SECONDARY DATA SCORE AND WARNING INDICATORS.

FACILITY 1, PHOEBE WORTH MEDICAL CENTER, INC. - PART V, LINE 20E
WRITTEN NOTICE OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IS INCLUDED ON HOSPITAL PATIENT STATEMENTS, AND ON WRITTEN COMMUNICATIONS SENT BY CONTRACTED THIRD PARTY COLLECTION AGENCIES. THESE AGENCIES MAY REFER ACCOUNTS FOR REPORTING TO MAJOR CREDIT BUREAUS, AFTER A SERIES OF STATEMENTS AND LETTERS ARE SENT THROUGHOUT MULTIPLE COLLECTION CYCLES.

SCHEDULE H, PART I, LINE 7, COLUMN (F)
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 21,156,910 ADD: EXPENSES REPORTED IN PART VIII 31,210 DENOMINATOR FOR COLUMN (F) 21,188,120

SCHEDULE H, PART I, LINE 7
THE COST WAS CALCULATED USING THE COST-TO-CHARGE RATIO AS CALCULATED USING WORKSHEET 2 FROM THE IRS FORM 990 INSTRUCTIONS. THE COST ON LINE 7I WAS GENERATED FROM THE ORGANIZATION'S ACCOUNTING RECORDS.

SCHEDULE H, PART III, LINE 2
THE BAD DEBT EXPENSE (OR PRICE CONCESSION) AMOUNT REPRESENTS THE DIFFERENCE BETWEEN AMOUNTS BILLED AND THE ESTIMATED CONSIDERATION THE HOSPITAL EXPECTS TO RECEIVE FROM PATIENTS, WHICH ARE DETERMINED BASED ON HISTORICAL COLLECTION EXPERIENCE, CURRENT MARKET CONDITIONS, AND OTHER FACTORS. CONSISTENT WITH THE HOSPITAL'S MISSION, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THEREFORE, THE HOSPITAL HAS DETERMINED IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER UNINSURED BALANCES (FOR EXAMPLE, COPAYS AND DEDUCTIBLES.)

SCHEDULE H, PART III, LINE 4
SEE FOOTNOTE 2 PAGES 10-15 ON THE ACCOMPANYING AUDITED FINANCIAL STATEMENTS FOR THE DISCUSSION OF IMPLICIT PRICE CONCESSIONS, BAD DEBT EXPENSE, AND UNINSURED PATIENTS.

SCHEDULE H, PART III, LINE 8
MEDICARE ALLOWABLE COSTS ARE COMPUTED IN ACCORDANCE WITH COST REPORTING METHODOLOGIES UTILIZED ON THE MEDICARE COST REPORT AND IN ACCORDANCE WITH RELATED REGULATIONS. INDIRECT COSTS ARE ALLOCATED TO DIRECT SERVICE AREAS USING THE MOST APPROPRIATE STATISTICAL BASIS.

SCHEDULE H, PART III, LINE 9B
THE ORGANIZATION PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS FINANCIAL ASSISTANCE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. THE ORGANIZATION WRITES OFF PATIENT ACCOUNTS RECEIVABLE BALANCES FOR PATIENTS QUALIFYING FOR CHARITY CARE OR FINANCIAL ASSISTANCE AND DOES NOT MAKE FURTHER COLLECTION EFFORTS.

SCHEDULE H, PART VI, LINE 2
NEEDS ASSESSMENTS HAVE TRADITIONALLY LED TO THE CREATION OF COMMUNITY-BASED DELIVERY SYSTEMS THAT EXPAND ACCESS TO HEALTH CARE, MEET THE NEEDS OF THE PEOPLE AND BUILD HEALTHY COMMUNITIES IN THE BROADEST SENSE BY IMPACTING MAJOR DETERMINANTS, SUCH AS ECONOMIC DEVELOPMENT, EMPLOYMENT, CHILDREN'S SAFETY, EDUCATION AND ADEQUATE HOUSING. THE ORGANIZATION CONDUCTS REGULAR NEEDS ASSESSMENT THROUGH FORMAL AND INFORMAL SURVEYS AND PROCESSES, INCLUDING COLLABORATIONS WITH PUBLIC AND COMMUNITY AGENCIES. THROUGH STRATEGIC PLANNING AND COMMUNITY INTERVIEWS, THE ORGANIZATION DEVELOPS PROGRAMS AND SERVICES THAT CONSIDER THE ECONOMIC IMPERATIVES OF THE REGION, THE EFFECT OF LEGISLATION AND THE INVOLVEMENT OF OTHER COMMUNITY-BASED ORGANIZATIONS AND PARTNERS. THE ORGANIZATION REGULARLY CONDUCTS FOCUS GROUPS IN THE COMMUNITY TO UNDERSTAND ISSUES AFFECTING ITS PATIENTS, AND HAS CREATED PROGRAMS IN RESPONSE TO HEALTH DISPARITIES PREVALENT IN THE AREA. THE ORGANIZATION ALSO COLLECTS HEALTH NEEDS INFORMATION FROM NURSES, WHO PROVIDE DIRECT CARE TO STUDENTS AND STAFF AND WHO COLLABORATE WITH OTHER AGENCIES TO DEVELOP HEALTH AWARENESS AND DISEASE PREVENTION PROGRAMS. THE ORGANIZATION ALSO CONDUCTS REGULAR PHYSICIAN WORKFORCE STUDIES THROUGH ITS STRATEGIC PLANNING ARM TO DETERMINE UNMET PHYSICIAN NEEDS AND BARRIERS TO ACCESSING CARE. THE ORGANIZATION MEASURES THE SUCCESS OF ITS COMMITMENT BY HOW WELL IT KEEPS PEOPLE HEALTHY AND HOW WELL IT IMPACTS THE SOCIAL/CULTURAL BONDS THAT WILL SECURE THE COMMUNITIES OF THE FUTURE. THE HOSPITAL LAST CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2022. A COMPLETE COPY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, COMMUNITY PRIORITIES, AND IMPLEMENTATION PLAN CAN BE FOUND AT HTTPS://WWW.PHOEBEHEALTH.COM/MEDIA/FILE/PHOEBEWORTH/CHNA_PWMC2022.PDF

SCHEDULE H, PART VI, LINE 3
THE BOARD HAS CLEARLY WRITTEN FINANCIAL ASSISTANCE POLICY THAT IS AVAILABLE ON THE ORGANIZATION'S WEB SITE AND THROUGH THE BUSINESS OFFICE. SIGNS ARE PROMINENTLY POSTED ON THE AVAILABILITY OF FREE AND CHARITY CARE. PATIENT EDUCATION ON THE ORGANIZATION'S FINANCIAL ASSISTANCE IS CONDUCTED DURING PRE-REGISTRATION, THROUGH FLOOR VISITS BY BUSINESS OFFICE REPRESENTATIVES FOR PATIENTS THAT STRESS CONCERN IN MEETING THE FINANCIAL OBLIGATIONS FOR THEIR SERVICES, AND THROUGH OUR CUSTOMER SERVICE DEPARTMENT. BROCHURES ARE PROMINENTLY DISPLAYED AT EACH REGISTRATION BOOTH. THE BUSINESS OFFICE CONTINUOUSLY PROVIDES UPDATED MATERIAL TO PHYSICIAN OFFICES FOR ISSUANCE TO THEIR PATIENTS THAT HIGHLIGHT THE FINANCIAL ASSISTANCE PROGRAM AND POLICIES. THE PATIENT STATEMENTS HIGHLIGHT THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY AND ENCOURAGES PATIENTS TO CALL FOR FINANCIAL ASSISTANCE.

SCHEDULE H, PART VI, LINE 4
WORTH COUNTY IS PHOEBE WORTH'S PRIMARY SERVICE AREA. WORTH COUNTY HAS AN ESTIMATED POPULATION SIZE OF 20,554 IN 2021. THIS REPRESENTS A DECREASE OF 4% SINCE 2020. WORTH COUNTY POPULATION CONSISTS OF 68% CAUCASIAN, 28% AFRICAN AMERICAN, 2% HISPANIC/LATINO, AND 2% OTHER. THE OVERALL COUNTY'S HOUSEHOLD MEDIAN INCOME IS 50,913, WHICH IS BELOW BOTH THE GEORGIA AND US VALUES. LIKEWISE, THERE IS SIGNIFICANT PER CAPITA INCOME DIFFERENCE BETWEEN WORTH COUNTY (26,533) AND BOTH THE GEORGIA (32,427) AND US (35,384) VALUE.

SCHEDULE H, PART VI, LINE 7
GEORGIA

SCHEDULE H, PART VI, LINE 5
"THE ORGANIZATION AND ITS VOLUNTEER BOARD IS COMPOSED OF COMMUNITY MEMBERS WITH DIVERSE PROFESSIONAL AND COMMUNITY SERVICE BACKGROUNDS, AS WELL AS PHYSICIAN MEMBERS. THE ORGANIZATION'S EMERGENCY CENTER IS OPERATED 24/7 AND OPEN TO ALL PERSONS, REGARDLESS OF ABILITY TO PAY. THE BOARD MAINTAINS OPEN MEDICAL STAFF POLICIES WITH PRIVILEGES AVAILABLE TO ALL QUALIFYING PHYSICIANS. THE BOARD HAS A CLEARLY WRITTEN FINANCIAL ASSISTANCE POLICY THAT IS AVAILABLE ON THE ORGANIZATION'S WEB SITE AND THROUGH THE BUSINESS OFFICE. SIGNS ARE PROMINENTLY POSTED ON THE AVAILABILITY OF FREE AND CHARITY CARE. THE ORGANIZATION HAS A MULTI-PRONGED APPROACH TO IMPROVING THE HEALTH OF THE COMMUNITIES IT SERVES: INCREASING ACCESS, BUILDING CAPACITY, INVESTING IN ""UPSTREAM"" PROGRAMS THAT GET AT THE CAUSE OF DISEASE AND ILLNESS, BUILDING COMMUNITY PARTNERSHIPS, ADVOCATING CHANGE, AND DEVELOPING LEADERSHIP. SURPLUS FUNDS ARE REINVESTED IN RESOURCES TO IMPROVE THE DELIVERY OF MEDICAL AND HEALTH CARE SERVICES. PRIMARY CARE IS FIRST AND CREATES A PROFOUND IMPACT ON THE COMMUNITIES 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."

SCHEDULE H, PART VI, LINE 6
PHOEBE PUTNEY HEALTH SYSTEM, INC. (PPHS) IS THE NOT-FOR-PROFIT PARENT COMPANY OF PHOEBE PUTNEY MEMORIAL HOSPITAL, INC. (PPMH), A NOT-FOR-PROFIT ENTITY, PHOEBE PUTNEY HEALTH VENTURES, INC. (PPHV), A FOR-PROFIT CORPORATION, PHOEBE PHYSICIAN GROUP, INC. (PPG), A NOT-FOR-PROFIT CORPORATION, PHOEBE WORTH MEDICAL CENTER, INC. (PWMC), A NOT-FOR-PROFIT ENTITY, PHOEBE SUMTER MEDICAL CENTER, INC. (PSMC), A NOT-FOR-PROFIT ENTITY, AND PHOEBE FOUNDATION, INC. (PF), A NOT-FOR-PROFIT ENTITY. PPMH IS LOCATED IN ALBANY, GEORGIA, IS AN ACUTE CARE HOSPITAL, WHICH OPERATES SATELLITE CLINICS IN THE SURROUNDING COUNTIES. IT PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES FOR RESIDENTS OF SOUTHWEST GEORGIA. ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCAL AREA. PPHV ENGAGES IN HEALTHCARE AND RELATED ACTIVITIES IN FURTHERANCE OF THE EXEMPT PURPOSES OF PPHS AND PPMH. PWMC, LOCATED IN SYLVESTER, GEORGIA, IS A 25 BED RURAL CRITICAL ACCESS HOSPITAL. IT PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR RESIDENTS OF WORTH COUNTY, GEORGIA. PSMC, LOCATED IN AMERICUS, GEORGIA, IS AN ACUTE CARE HOSPITAL. IT PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES FOR RESIDENTS OF SUMTER COUNTY, GEORGIA. PPG WAS ESTABLISHED TO ORGANIZE AND OPERATE MEDICAL PRACTICES EXCLUSIVELY FOR THE BENEFIT OF PPMH, PWMC, AND PSMC. PF WAS ESTABLISHED TO RAISE FUNDS OF ANY KIND OR CHARACTER TO BE USED EXCLUSIVELY FOR CHARITABLE, MEDICAL, EDUCATIONAL AND SCIENTIFIC PURPOSES AT OR IN CONNECTION WITH EACH AND EVERY NON-PROFIT ORGANIZATION OF WHICH PPHS IS THE SOLE MEMBER, AND ANY OTHER NON-PROFIT HOSPITAL WHICH IS MANAGED OR CONTROLLED BY PPHS WHETHER THROUGH OWNERSHIP, MANAGEMENT CONTRACT OR OTHERWISE.

SCHEDULE H, PART VI
SERVICE TO THE COMMUNITY PHOEBE WORTH MEDICAL CENTER (PWMC) IS A NOT-FOR-PROFIT HEALTH CARE ORGANIZATION THAT EXISTS TO SERVE THE COMMUNITY. PWMC HAS NO STOCKHOLDERS OR OWNERS, AND IS PART OF THE NOT-FOR-PROFIT PHOEBE PUTNEY HEALTH SYSTEM, INC. AFTER OPERATING EXPENSES ARE COVERED, ANY REMAINING REVENUES ARE REINVESTED IN THE OPERATION OF PWMC IN ORDER TO ENHANCE OUR ABILITY TO CARRY OUT OUR LOCAL MISSION OF TAKING CARE OF OUR COMMUNITIES' CITIZENS. THE HOSPITAL PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS WHICH COVER MANY GEORGIANS HEALTH CARE NEEDS, AND BY SO DOING, FOREGOES SOME CHARGES AND HAS UNREIMBURSED EXPENSES. THE HOSPITAL ALSO OFFERS FINANCIAL ASSISTANCE TO INDIVIDUALS UNABLE TO PAY FOR THEIR HEALTHCARE SERVICES. INDIGENT FINANCIAL ASSISTANCE, OR FREE CARE, IS OFFERED TO PATIENTS WHOSE HOUSEHOLD INCOME IS AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES. PATIENTS WHOSE INCOME LEVEL IS BETWEEN 201% - 400% OF THE FEDERAL POVERTY LEVELS WILL BE CLASSIFIED AS CHARITY AND RECEIVE THEIR NEEDED HEALTHCARE SERVICES AT A DISCOUNTED RATE. THE FOLLOWING TABLE SUMMARIZES THE AMOUNTS OF CHARGES FORGONE (I.E., CONTRACTUAL ADJUSTMENTS) AND ESTIMATES THE LOSSES INCURRED BY THE HOSPITAL DUE TO INADEQUATE PAYMENTS BY THESE PROGRAMS AND FOR INDIGENT/CHARITY SERVICES. THE HOSPITAL ALSO OPERATES A RURAL HEALTH CLINIC (RHC) WHICH ALSO FOREGOES SOME CHARGES AND HAS COSTS NOT REIMBURSED THROUGH PATIENTS QUALIFYING FOR THESE SAME INDIGENT AND CHARITY PROGRAMS. THE AMOUNTS LISTED BELOW ARE ALL INCLUSIVE OF BOTH HOSPITAL AND CLINIC ACTIVITIES. ESTIMATED CHARGES UNREIMBURSED FOREGONE COST MEDICARE 11,000,000 4,000,000 MEDICAID 6,000,000 2,000,000 INDIGENT/CHARITY CARE 6,000,000 2,000,000 TOTALS 23,000,000 8,000,000 THE FOLLOWING IS A SUMMARY OF THE COMMUNITY BENEFIT ACTIVITIES AND HEALTH IMPROVEMENT SERVICES OFFERED BY THE HOSPITAL AND ILLUSTRATES THE ACTIVITIES AND DONATIONS DURING FISCAL YEAR 2022. I. FINANCIAL AND IN-KIND SUPPORT THE HOSPITAL SUPPORTS THE COMMUNITY THROUGH PROVIDING SPACE TO THE WORTH COUNTY BOARD OF COMMISSIONERS. THE COUNTY UTILIZES THE SPACE AS ONE OF THE COUNTY'S EMERGENCY MANAGEMENT SERVICE (EMS) LOCATIONS. THE 2,710 SQUARE FEET OF SPACE INCLUDES A GARAGE/BAY, HOUSING AREA AND STORAGE SPACE. THE FAIR MARKET VALUE OF THE HOSPITAL'S CONTRIBUTION OF SPACE TOTALS 17,615 PER YEAR. THE HOSPITAL SUPPORTS THE COMMUNITY THROUGH PROVIDING OFFICE SPACE FOR ASPIRE BEHAVIORAL HEALTH SO THAT THEY ARE ABLE TO OFFER MORE BEHAVIORAL HEALTH SERVICES TO THE CITIZENS OF WORTH COUNTY. THE SUPPORT PROVIDES MUCH NEEDED MENTAL HEALTH SERVICES AS DETERMINED BY OUR COMMUNITY HEALTH NEEDS ASSESSMENT. THE FAIR MARKET VALUE OF THE HOSPITAL'S CONTRIBUTION OF SPACE TOTALS 490 PER YEAR. THE HOSPITAL SUPPORTS THE HEALTH DEPARTMENT THROUGH CONTRIBUTIONS TOWARDS THEIR PROGRAMS DIRECTED AT EDUCATING, SCREENING, TREATING, AND ASSISTING WITH THE COSTS OF SUPPLIES AND MEDICATIONS FOR LOW INCOME INDIVIDUALS BATTLING HIGH BLOOD PRESSURE AND DIABETES. THE FINANCIAL SUPPORT ENABLES THE HEALTH DEPARTMENT TO OPERATE ITS STROKE AND HEART ATTACK PREVENTION (SHAPP) AND DIABETES PROGRAM. THE HOSPITAL'S CONTRIBUTION TOTALED 45,619. THE HOSPITAL SUPPORTS THE VILLAGE COMMUNITY GARDEN (GARDEN) IN MULTIPLE CAPACITIES. THE GARDEN IS A BRIGHT SPOT TO OUR SYLVESTER/WORTH COUNTY RESIDENTS AND PROVIDES A UNIQUE FOOD AND EDUCATION EXPERIENCE. THE GARDEN IS FULL YEAR-ROUND WITH A SUPPLY OF SEASONAL PRODUCE. THE HOSPITAL SUPPORTS ALL THE VARIOUS SEASONS BY SUPPLYING VEGETABLE SIGNAGE WHICH IDENTIFIES THE PRODUCE AND EXPLAINS THE HEALTH BENEFITS OF THE VEGETABLE. THE HOSPITAL ALSO PARTNERED WITH THE GARDEN TO ERECT GAZEBOS LOCATED ON THE PROPERTY AS WELL AS INSTALLING A HOOD VENT FOR THE OUTDOOR FIRE PIT. ADDITIONALLY, DURING THE FISCAL YEAR, THE HOSPITALS DIVERSITY COUNCIL ADOPTED THE GARDEN AS THEIR PROJECT FOCUS. THROUGH THIS PROJECT, EMPLOYEES VOLUNTEERED ON A MONTHLY BASIS TO WORK IN THE GARDEN ASSISTING WITH GENERAL CARE AND MAINTENANCE. THE VALUE OF THE HOSPITALS CONTRIBUTIONS TO THE GARDEN TOTALED 10,660. THE HOSPITAL ENGAGES WITH THE COMMUNITY IN VARIOUS OTHER WAYS AS WELL, INCLUDING PARTICIPATION IN LOCAL EVENTS RANGING FROM THE LOCAL LAW ENFORCEMENT NIGHT OUT AGAINST CRIME TO THE ANNUAL COMMUNITY PEANUT FESTIVAL. THE HOSPITAL ACTS AS CORPORATE SPONSORS TO ENSURE THE COMMUNITY CAN OFFER THESE TYPES OF EVENTS. THE HOSPITAL ALSO PROVIDES STAFFING FOR THE INFORMATIONAL TENTS, WHICH INFORM THE COMMUNITY ABOUT THE SERVICE OFFERINGS AT THE HOSPITAL. THE HOSPITAL PARTICIPATES IN LOCAL CIVIC CLUBS AND SUPPORTS LEADERSHIP IN THEIR ROLES ON THE LOCAL CHAMBER BOARDS AND OTHER COMMUNITY CLUBS.