2019-03-18T10:14:15-05:00 2018-06-30 BKD LLP 14241 DALLAS PARKWAY STE 1100 DALLAS TX 75254 990 2017-07-01 720995809 Union General Hospital % WILLIAM ADCOCK UNIO 3183689751 PO Box 398 Farmerville LA 71241 WILLIAM ADCOCK CFO 3183687096 2019-05-15 true Jeanette Verrelli P00742631 9727028262 167.68.126.162 70234720190775000000 2019-03-18 P ACBA2431EF37DEF71821A9057AFD5F2E9C389335 ACBA2431EF37DEF71821A9057AFD5F2E9C389335 2017 2019-02-21 02:37:17Z EVALYN ORMOND PO BOX 398 FARMERVILLE LA 71241 16803636 false X WWW.UNIONGEN.ORG X 1983 LA TO PROVIDE ACUTE CARE HOSPITAL SERVICES IN THE FARMERVILLE AREA. IT IS OUR GOAL TO DELIVER THE BEST POSSIBLE HEALTH CARE AVAILABLE AND SERVE THE DEDICATED PEOPLE OF...(SEE SCH.O) 7 7 161 7 0 0 3429839 486340 14582322 16208826 16771 26361 106359 75946 18135291 16797473 69355 98881 0 0 6029125 6259100 0 0 0 8113931 8574944 14212411 14932925 3922880 1864548 12494062 14518273 912525 1072188 11581537 13446085 IT IS THE MISSION OF UNION GENERAL HOSPITAL TO PROVIDE QUALITY SERVICE WITH COMPASSIONATE CARE. false false 12167380 98881 16249497 PROVIDED ACUTE CARE HOSPITAL SERVICES TO INDIVIDUALS IN THE FARMERVILLE AREA; INDIVIDUALS SERVED AMOUNTED TO 1,849 PATIENT DAYS AND 7,637 EMERGENCY ROOM VISITS. THE LABORATORY PERFORMED 48,553 TESTS AND 35,603 ECG, RADIOLOGY, ULTRASOUND, CT, OT, RT, ST, AND PT PROCEDURES WERE PERFORMED. THE RURAL HEALTH CLINICS LOGGED 10,151 VISITS. 12167380 true true false true false false false false false false true false false false true false true false false false false false false false false false true true false false true false false false false false false false false false false false false false false false false false true 113 0 161 true false false false false false false false false false false X 7 7 false true false false false false false true true false false true true true true true true true true false X X WILLIAM ADCOCK 3183687096 901 JAMES AVE FARMERVILLE LA 71241 X ALLYSON CROW DIRECTOR 1.0 0.0 X 0 0 0 BESSIE WARREN SECRETARY 1.0 0.0 X X 0 0 0 DANIEL HUNTER JR VICE PRESIDENT 1.0 0.0 X X 0 0 0 DANNY SMITH DIRECTOR 1.0 0.0 X 0 0 0 JOHN ELLIS DIRECTOR 1.0 0.0 X 0 0 0 RALPH KELLEY DIRECTOR 1.0 0.0 X 0 0 0 TIM TETTLETON PRESIDENT 1.0 0.0 X X 0 0 0 EVALYN ORMOND CEO 40.0 0.0 X 0 0 0 DARRA JUNG DIRECTOR OF NURSING 40.0 0.0 X 126419 0 6882 DIANNE DAVIDSON COO 40.0 0.0 X 98563 0 1711 WILLIAM ADCOCK CFO 40.0 0.0 X 174376 0 7477 CONNIE GINN ER DIRECTOR/EDUCATION DIRECTOR 40.0 0.0 X 104139 0 5577 SHEREE HICKS PHARMACY DIRECTOR 40.0 0.0 X 188843 0 6906 LYNETTE WADE Nurse Practitioner 40.0 0.0 X 136319 0 6967 828659 0 35520 5 false true false CORRECT CARE INC 111 N CAUSEWAY BLVD MANDEVILLE LA 70471 ER PHYS STAFFING 1197702 OMEGA DIAGNOSTICS LLC 1 ST MARY PL SHREVEPORT LA 71101 LABORATORY 1226578 LEGACY REHABILITATION 1817 NORTHPOINTE LANE RUSTON LA 71273 THERAPY SERVICES 985966 MEDHOST OF TENNESSEE INC 6550 CAROTHERS PKWY 100 FRANKLIN TN 37067 IT SERVICES 292274 GE HEALTHCARE PO BOX 96483 CHICAGO IL 60693 equip service/maint. 690153 5 447788 38552 486340 NET PATIENT SERVICE REVENUE 621110 16134212 16134212 EHR INCENTIVE REVENUE 900099 8565 8565 Pharmacy Revenue 446110 66049 66049 16208826 32524 32524 0 0 0 0 0 6163 -6163 -6163 -6163 0 0 0 0 0 0 0 0 0 CAFETERIA AND VENDING MACHINE 722514 35275 35275 Medical Records 561000 9699 9699 UTILITY DISTRICT REIMBURSEMENT 900099 1810 1810 29162 29162 75946 16797473 16249497 61636 X 98881 98881 0 0 0 415428 324146 91282 0 5037174 3980739 1056435 56390 56390 347887 274926 72961 402221 317864 84357 0 48447 48447 74054 74054 0 0 0 4452953 3887927 565026 71169 8772 62397 267557 91242 176315 207154 207154 0 301475 252703 48772 63361 50242 13119 0 96622 28134 68488 736 736 0 629850 629850 128927 68350 60577 BAD DEBT EXPENSE 1249158 1249158 MEDICAL SUPPLIES 903298 903298 DUES & SUBSCRIPTIONS 28202 801 27401 COLLECTIONS 47574 73 47501 4407 274 4133 14932925 12167380 2765545 0 4874672 6547459 887283 1080762 0 0 920223 1467564 0 0 0 0 0 0 197290 206323 72193 53754 15852775 11052136 5206727 4800639 0 0 0 0 0 0 0 0 335674 361772 12494062 14518273 812423 919901 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100102 152287 912525 1072188 X 11449872 13283515 131665 162570 0 0 11581537 13446085 12494062 14518273 1864548 X false true X true false X false false false false false false false false true 3930 3930 false SCHEDULE C, PART II-B, LINE 1I OTHER ACTIVITIES FOR LOBBYING PURPOSES: THE HOSPITAL PAID DUES TO ORGANIZATIONS, A PORTION OF WHICH IS DESIGNATED FOR LOBBYING EXPENSES. DUES %LOBBYING $LOBBYING RURAL HOSPITAL COALITION $ 7,046 15% $1,057 LA HOSPITAL ASSOCIATION 10,354 23% 2,382 NATIONAL RURAL HEALTH ASSOC 1,225 5% 61 CAH Coalition 4,300 10% 430 -------------------------------------- TOTAL $22,925 $3,930 186090 186090 7851650 3985460 3866190 7665488 6928093 737395 149547 138583 10964 4800639 0 Capital Lease Obligation 19062 Estimated self-insurance costs 40750 EST DUE TO THIRD PARTY PAYERS 92475 152287 15252719 -1249158 -1249158 16501877 295596 295596 16797473 13683767 13683767 1249158 1249158 14932925 SCHEDULE D, PART XI, LINE 2D RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: BAD DEBT EXPENSE $(1,249,158) SCHEDULE D, PART XI, LINE 4B RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: CONTRIBUTIONS FOR ACQUISITION OF PROPERTY AND EQUIPMENT $212,096 CONTRIBUTIONS RECEIVED IN TEMPORARILY RESTRICTED NET ASSETS 83,500 ------------------- TOTAL $295,596 SCHEDULE D, PART XII, LINE 4B RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS WITH RETURN: BAD DEBT EXPENSE $1,249,158 SCHEDULE D, PART X, LINE 2 ASC 740 FOOTNOTE: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. true true X true X 250. false true true false false 4808 4808 0.00040 4561874 5119976 4566682 5119976 4808 0.00040 3625 61517 61517 0.00450 5583 134250 134250 0.00980 9208 195767 195767 0.01430 9208 4762449 5119976 200575 0.01470 2059 19265 19265 0.00140 657 7850 8938 2716 27115 8938 19265 0.00140 true 1249158 5486472 5569035 -82563 X true true 1 1 UNION GENERAL HOSPITAL 901 JAMES AVE FARMERVILLE LA 71241 WWW.UNIONGEN.ORG 146 X X X UNION GENERAL HOSPITAL false false true X X X X X X X X X 17 true false false true X SEE PART V, SECTION C X true 17 true SEE PART V, SECTION C false true X 250. 0. X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X true X false X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 REPRESENTATIVES FROM THE COMMUNITY: The hospital gathered information from community meetings, stakeholder interviews, discussions with the hospital leadership team, review of demographic and health status, and hospital utilization data, to prioritze the health needs of the population. The hospitals Chief Executive Officer developed a hospital steering committee. The CEO appointed the following individuals as participants on this committee: Evalyn Ormond Chief Executive Officer Dianne Davidson Chief Operating Officer William Adcock Chief Financial Officer Julie Duty Compliance/HIPAA Officer Claudia Wade Community Development Manager, Grant Writer Darra Jung Director of Nurses Brittany Smith Dietary Director The committee identified 8 stakeholders for individual interviews. Below is a list of the organizations represented by the key stakeholders. Intensive Outpatient Program Union Parish Health Department Union General Hospital City of Farmerville Union Parish School System Public Health Nurse, Union Parish Health Department Childrens Coalition Medicaid Representative/Financial Counselor SCHEDULE H, PART V, SECTION B, LINE 11 IDENTIFIED NEEDS ADDRESSED AND NOT ADDRESSED: The most recent CHNA found that many of the needs identified in the 2015 CHNA are still a priority. The needs identified in the most recent CHNA by the steering committee are: - CANCER: Union General Hospital offered free mammograms to the community in 2018 in partnership with Susan G Komen. The hospital formed a partnership with Martin Luther King Health Center and Pharmacy in Shreveport expanding its mammogram screening Program and the Health Center offers transportation to the patients to come to their appointments at Union General Hospital for Mammogram Screenings. Free screening mammograms are being offered to any patient that qualifies in and out of state. The hospital offers continuing breast cancer Education to the community. Also, in partnership with Omega Labs, Union General Hospital is offering free colon cancer screenings to the community. We offer the kits at local fairs or anyone can stop by the hospital and request one. The kit and the test are free. - ADOLESCENT BEHAVIORS: The hospital continues its partnership with the School District under the 21st Century Grant After School Program and offers "It's a Girl Thing, making Proud Choices", the hospital's STD/HIV Pregnancy Prevention Program. The hospital educates 6th through 8th grade girls every week for an hour. The new enrollments have continued to increase the number of girls attending the monthly meeting and the interest of the parents in having their girls enrolled has also increased. The hospital also offers education to the High School girls every other week at the school and once a month at the hospital. 37 meetings were conducted at the hospital, local churches and schools in 2018 making a total of 188 meetings since the program started in 2013. "It's a Girl Thing, Making Proud Choices" won a national award from the Department of Health and Hospital for integrating Mental Health into Primary Care in 2018 and was recognized again by the Rural Health Information Hub in 2018. The hospital has reinforced mental health, alcohol and drug prevention and suicide prevention in all three of the adolescence health hospitals programs. We develop the programs in partnership with other organizations. Union General Hospital has increased the Network in the community and the hospital has gotten the attention and recognition of other hospitals and community organizations in and out of State. The hospital has continued with the Anti Bullying Program: Union Parish "Together, we can be bully free", the program was recognized by the Rural Health Information Hub in 2018. Over 3,000 students have participated in the anti-bullying program: 500 students the first year, 600 the second year, and over 1,000 the following years. Students have learned how to recognize, report, and react to bullying. As a result, reports of bullying incidents to the Union Parish Sheriffs Office have decreased. The number of suicide attempts has also decreased. Thanks to a grant received from the SHIP/Flex Supplemental program we were able to establish a Teen Drug Prevention Program for our community. The program began in March of 2018 at the Union Parish Junior High School and Downsville Community Charter School. We met with 6th through 12th graders during 2018. We were able to enroll over 300 students. The meetings take place at the schools on Thursdays and Fridays every week. The educators are two mental health professionals trained in Drug Prevention and one of them is a Registered Nurse. Drug Prevention, Suicide and Anti Bullying are tied together in our programs. We have seen the rates of suicide reduced since we began the implementation of our first Community Health Needs Assessment. Substance abuse can result in increased illegal activities as well as physical and social health consequences, such as poor academic performance, poorer health status, changes in brain structure, and increased risk of death from overdose and suicide. The hospital has maintained its collaboration with the School District, Law Enforcement, Childrens Coalition, Health Unit, local churches, health care providers and other civic and business organizations in the area. - CARDIOVASCULAR: Union General Hospital has increased access to education and awareness for early prevention of heart disease and stroke in partnership with Ochsner Health System. we are now an Emergency Level 3 Stroke Center. Stroke patients at Union General Hospital have immediate access to highly specialized vascular neurologists as the result of a partnership between Union General and Ochsner Clinic Foundation in New Orleans. We have also participated in health fairs promoting healthy habits and nutrition, and invited the community for nutrition classes at the hospital. Union General Hospital is partnering with the American Heart Association-Go Red for Women and educating the community about cardiovascular disease. The hospital offers FREE Healthy Lifestyle Workshop once or twice a month in partnership with LSU AgCenter. - OBESITY AND DIABETES: The hospital participated in several health fairs in 2017: Da de la Familia at the DArbonne State Park, Back to School Bashes in town in partnership with Zion Hill Baptist Church and Beulah Baptist Church and other Health Fairs in partnership with LSU AgCenter, TRIAD of Union Parish, School Board and the Council on Aging. The employees have continued with the Biggest Loser Program and the Walking Challenge. The hospital is building a walking trail on hospital grounds to encourage healthy habits and exercise in the community. SCHEDULE H, PART V, SECTION B, LINE 13H OTHER ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE: ANY PATIENTS WITH MEDICAID COVERAGE THAT HAVE NON-COVERED CHARGES WILL NOT REQUIRE ANY ADDITIONAL SCREENING TO QUALIFY FOR FINANCIAL ASSISTANCE. SCHEDULE H, PART V, SECTION B, LINE 16J NOTIFICATION OF FINANCIAL ASSISTANCE POLICY: DURING THE SCREENING PROCESS, PATIENTS THAT MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOTIFIED OF THE POLICY. SCHEDULE H, PART V, SECTION B, LINES 7 & 10a Community Health Needs Assessment & Implementation Strategy: The hospitals CHNA and Implementation strategy are available upon request and at the following website: http://uniongen.org/community/ SCHEDULE H, PART V, SECTION B, LINES 16A, 16B & 16C FAP DOCUMENTS AVAILABLE TO THE PUBLIC: THE FINANCIAL ASSISTANCE POLICY, APPLICATION, AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE UPON REQUEST AND AT THE FOLLOWING WEBSITE: http://uniongen.org/patient-info/financial-assistance/ SCHEDULE H, PART V, SECTION B, LINES 18, 19 & 20 ACTIONS FOR NON-PAYMENT: NEITHER UNION GENERAL HOSPITAL, NOR THIRD PARTIES AUTHORIZED BY UGH, TAKE ANY ACTIONS UPON NON-PAYMENT FROM A PATIENT BEFORE MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR THE FACILITY'S FINANCIAL ASSISTANCE POLICY. SCHEDULE H, PART I, LINE 3C FACTORS OTHER THAN FPG DETERMINING FREE OR DISCOUNTED CARE: THE HOSPITAL USES THE FOLLOWING CRITERIA TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE: -INSURANCE STATUS -MEDICAID COVERAGE SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT EXPENSE: WE USE AN AGING APPROACH TO RESERVE AMOUNTS FOR BAD DEBT BY FINANCIAL CLASS. WHEN AN ACCOUNT REACHES THE STATUS THAT WE'VE DETERMINED THEM TO BE UNCOLLECTIBLE, THE ACCOUNT IS WRITTEN OFF AS A BAD DEBT. ALL APPROPRIATE DISCOUNTS AND PAYMENTS ARE APPLIED TO AN ACCOUNT, WHICH REDUCES ANY BAD DEBT WRITE-OFFS FOR THAT ACCOUNT. THE AMOUNT REPORTED ON LINE 2 IS THE BAD DEBT EXPENSE REPORTED ON THE AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, SECTION A, LINE 3 BAD DEBT AS A COMMUNITY BENEFIT: THE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS ELECTED TO LEAVE IT BLANK. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT FOOTNOTE: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER 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 HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS 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 DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS 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 NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. The Hospitals allowance for doubtful accounts was approximately 86% and 87% of self-pay patients receivable at June 30, 2018 and 2017, respectively. In addition, the Hospitals write-offs decreased approximately $312,000 from approximately $1,294,000 for the year ended June 30, 2017, to approximately $982,000 for the year ended June 30, 2018. The decrease in the write-offs is primarily the result of positive changes in the age and payer mix of accounts receivable at June 30, 2018 as compared to June 30, 2017. SCHEDULE H, PART III, SECTION B, LINE 8 COSTING METHODOLOGY AND MEDICARE SHORTFALL: THE HOSPITAL USED MEDICARE COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS BASED ON MEDICAID OR MEDICARE DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. IN ADDITION, THE ORGANIZATION PROVIDES CARE TO ALL PATIENTS REGARDLESS OF SOURCE OF PAYMENT; THEREFORE, COSTS TO PROVIDE CARE TO MEDICARE PATIENTS SHOULD BE CONSIDERED A COMMUNITY BENEFIT TO THE EXTENT COSTS EXCEED MEDICARE REIMBURSEMENT. SCHEDULE H, PART III, SECTION C, LINE 9B PROVISIONS ON COLLECTION PRACTICES: ONCE A PATIENT IS BELIEVED TO BE INDIGENT, THEY MUST COMPLETE AN APPLICATION FOR CHARITY CARE ASSISTANCE FOR UGH TO DETERMINE THE PATIENT'S ELIGIBILITY FOR ITS CHARITY CARE PROGRAM. TO BE ELIGIBLE, A PATIENT/FAMILY'S INCOME SHALL BE COMPARED TO 250% OF THE FEDERAL POVERTY GUIDELINES. THEIR INCOME MUST BE AT OR BELOW THE CORRESPONDING AMOUNT BASED ON FAMILY SIZE. IF A PATIENT WITH MEDICAID COVERAGE HAS NON-COVERED CHARGES, NO ADDITIONAL SCREENING WILL BE REQUIRED TO QUALIFY FOR CHARITY CARE. THE HOSPITAL MAY CONSIDER OTHER FINANCIAL ASSETS AND LIABILITIES OF THE PERSON WHEN DETERMINING ELIGIBILITY. THE SCREENING PROCESS TO DETERMINE A PATIENT'S ELIGIBILITY FOR THE HOSPITAL'S CHARITY CARE PROGRAM WILL BEGIN AS SOON AS POSSIBLE FOLLOWING ADMISSION TO UGH. ONCE A PATIENT HAS BEEN DETERMINED TO QUALIFY FOR UGH'S CHARITY CARE PROGRAM, NO ADDITIONAL COLLECTION EFFORTS WILL BE MADE ON THAT ACCOUNT. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: THE HOSPITAL HAS WORKED WITH OTHER COMMUNITY ORGANIZATIONS TO ASSESS THE HEALTHCARE NEEDS OF THE COMMUNITY. THE HOSPITAL HAS COMPLETED A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT WITH ASSISTANCE FROM AN OUTSIDE FIRM. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: ALL PATIENTS WITHOUT THIRD PARTY INSURANCE RECEIVE INFORMATION WHILE AT UGH REGARDING GOVERNMENTAL ASSISTANCE AND ARE ADVISED TO MAKE AN APPOINTMENT WITH A CERTIFIED MEDICAID ENROLLMENT CENTER TO DETERMINE THEIR ELIGIBILITY FOR MEDICAID ASSISTANCE. THOSE PATIENTS ARE INFORMED THAT THEY MAY BE ELIGIBLE FOR THE HOSPITAL'S CHARITY CARE PROGRAM. ALSO, ALL INPATIENTS WITHOUT THIRD PARTY COVERAGE ARE VISITED DURING THEIR HOSPITAL STAY AND SENT INFORMATION. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: UNION GENERAL IS LOCATED IN UNION PARISH, A LARGE SPRAWLING RURAL COMMUNITY MADE UP OF 905 SQUARE MILES OF ROLLING HILLS AND TALL PINE TREES. 28% OF THE POPULATION IS BELOW 200% OF THE FEDERAL POVERTY GUIDELINES. THERE IS NO PUBLIC TRANSPORTATION IN THE PARISH AND THE TOTAL PARISH POPULATION IS 22,571 (2017 ESTIMATE). UNION PARISH IS A FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREA (MUA) AND A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA). MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $37,049 (2017 ESTIMATE). THE COMMUNITY'S MORTALITY RATE IS NEARLY TWICE THE NATIONAL RATE DUE TO THE LACK OF EDUCATION PROGRAMS, THE HIGH RATE OF UNDIAGNOSED DISEASE, AS WELL AS POVERTY AND ISOLATION ASSOCIATED WITH THE RURAL UNDERSERVED PARISH POPULATIONS. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: UNION GENERAL HOSPITAL SERVES AS A MEDICAID ENROLLMENT CENTER FOR UNION PARISH, PROVIDES FLU SHOT CLINICS TO THE COMMUNITY AND PARTICIPATES IN HEALTH FAIRS LOCALLY. THE HOSPITAL ALSO PARTICIPATES IN CAREER FAIRS AT LOCAL COLLEGES FOR HEALTHCARE STUDENTS, REACHING OVER 200 STUDENTS, AS WELL AS SERVING AS A CLINICAL SITE FOR LPNS, RADIOLOGY, PHLEBOTOMY AND NURSE PRACTITIONERS. UGH IS INVOLVED WITH LOCAL BUSINESSES AND CHURCHES TO BRING AWARENESS AND SCREENING TO THE PUBLIC THROUGH RELAY FOR LIFE, AHA'S GO RED CAMPAIGN, UNITED WAY FUNDRAISER, SUSAN G KOMEN FUNDRAISER AND RACE FOR THE CURE, AND BY HOSTING AN ANNUAL BREAST CANCER AWARENESS DAY FOR THE COMMUNITY. UGH PARTNERS WITH SUSAN G KOMEN TO PROVIDE FREE MAMMOGRAMS AND COLON SCREENING FOR THE SERVICE AREA. THE HOSPITAL PROVIDED HAND WASHING INSTRUCTION FOR ELEMENTARY SCHOOL KIDS AND FOR NURSING HOME STAFF AND RESIDENTS, AS WELL AS PROVIDED BLOOD SUGAR AND BLOOD PRESSURE SCREENING FOR THE COMMUNITY. UGH PARTICIPATED IN THE TOWN OF FARMERVILLE'S TOY DRIVE FOR NEEDY CHILDREN, ALONG WITH ANTI BULLYING AND TEEN PREGNANCY PREVENTION SESSIONS AT THE HOSPITAL AND ALL THE SCHOOLS. UGH EMPLOYEES ARE VERY INVOLVED WITH LOCAL ORGANIZATIONS, SUCH AS ALZHEIMER'S SUPPORT GROUP, COUNCIL ON AGING, NURSING HOME COUNCILS, AND OTHERS. ALL PROPERTY OWNED BY UNION GENERAL HOSPITAL IS DESIGNATED TOBACCO-FREE. UGH OPERATES UNDER A BOARD OF DIRECTORS, WHICH IS COMPRISED OF REPRESENTATIVE MEMBERS OF THE COMMUNITY. IT MAINTAINS AN OPEN MEDICAL STAFF AND OPERATES A 24/7 EMERGENCY ROOM STAFFED WITH ON-SITE PHYSICIANS. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: N/A SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: N/A SCHEDULE H, PART I, LINE 7, COLUMN F PERCENT OF TOTAL EXPENSE: BAD DEBT EXPENSE OF $1,249,158 WAS INCLUDED ON FORM 990, PART IX LINE 25 IN TOTAL EXPENSES. HOWEVER, THIS AMOUNT WAS EXCLUDED FOR PURPOSES OF CALCULATING THE PERCENTAGE OF PATIENT CARE COST TO CHARGES. SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES: The Hospital has identified issues in our community through our CHNA, that include a lack of education and monitoring of adolescent behavior with alcohol and drug use prevention. A Teen Drug Prevention Program was established at two of our local schools to meet with 6th-12th grade students twice a week to discuss ways to deal with drugs and substance abuse. We participated in local health fairs to help people in the community identify potential health issues, and to help educate them on ways to help avoid those issues. We host nutrition workshops at the hospital to help teach people in the community ways to try to deal with obesity, diabetes, and other health-related issues through a proper diet. We host and participate in flu drives to encourage residents of the community to get their annual flu shot, in order to avoid preventable illness. We have partnered with the LSU AgCenter to provide Health Lifestyle Workshops on a regular basis to provide education and awareness for early prevention of cardiovascular disease. X X false false false false false false false false false SHEREE HICKS PHARMACY DIRECTOR 183400 0 0 0 5443 0 3420 0 3486 0 195749 0 0 0 WILLIAM ADCOCK CFO 159777 0 10000 0 4599 0 2903 0 4574 0 181853 0 0 0 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED MEDICAL SERVICES TOTAL FEES:3066128 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:1173718 FORM 990 PART IX LINE 11G DESCRIPTION:MAINTENANCE AGREEMENTS TOTAL FEES:208729 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN RECRUITING TOTAL FEES:115 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:4263