2013-11-08T10:51:30-06:00 2012-12-31 621517792 PERSHING YOAKLEY & ASSOCIATES P C ONE CHEROKEE MILLS 2220 SUTHERLAND AVE KNOXVILLE TN 379192363 990 2012-01-01 711045290 HOUSTON HOSPITALS INC HOUS 4785427826 1601 WATSON BLVD WARNER ROBINS GA 31093 SEAN WHILDEN 4785427826 2013-11-08 1 SUSAN P CLARK CPAFHFMA P00017549 8656730844 2012 2016-02-24 21:20:13Z CARY MARTIN 1601 WATSON BLVD WARNER ROBINS GA 31093 770781676 0 X WWW.HHC.ORG X 2009 GA TO IMPROVE THE HEALTHCARE OF THE COMMUNITIES WE SERVE BY PROVIDING PATIENT-FOCUSED, HIGH-QUALITY, COST-EFFECTIVE SERVICES WHILE PROMOTING HEALTH AND WELLNESS. 7 4 2877 210 0 0 398168 214361 259532423 267884701 6591631 43922012 174927 193383 266697149 312214457 342064 214612 0 0 110724329 115901557 0 0 0 134541001 142546043 245607394 258662212 21089755 53552245 367712019 390658091 139332850 139221489 228379169 251436602 X TO IMPROVE THE HEALTHCARE OF THE COMMUNITIES WE SERVE BY PROVIDING PATIENT-FOCUSED, HIGH-QUALITY, COST-EFFECTIVE SERVICES WHILE PROMOTING HEALTH AND WELLNESS. 0 0 202355254 214612 267884701 THE HOSPITALS' PRIMARY PROGRAM ACTIVITY IS THE PROVISION OF PATIENT CARE. THE HOSPITALS PROVIDED NURSING CARE IN THE AREAS OF MEDICAL, POST-SURGICAL, PSYCHIATRIC, CRITICAL CARE, INTERMEDIATE CARE, LABOR AND DELIVERY, POST PARTUM, NURSERY, PEDIATRICS AND WOUND OSTOMY CARE. THE UTILIZATION DATA INCLUDES: 15,676 ADULT AND PEDIATRIC ADMISSIONS; 70,730 PATIENT DAYS; 2,134 BIRTHS AND 82,444 EMERGENCY ROOM VISITS. THE HEALTHCARE SYSTEM PROVIDED SURGICAL SERVICES TO 18,592 PATIENTS, WHICH INCLUDED 2,206 INPATIENTS; 6,811 OUTPATIENTS; 2,424 PAIN CLINIC PATIENTS AND 7,151 ENDOSCOPY PATIENTS.THE HEALTHCARE SYSTEM PROVIDED THE FOLLOWING IMAGING SERVICES:85,387 DIAGNOSTIC RADIOLOGY PROCEDURES; 24,529 CT SCANS; 3,239 NUCLEAR MEDICINE PROCEDURES; 6,919 MRI SCANS; AND 10,435 MAMMOGRAMS. EDUCARE, THE COMMUNITY EDUCATION DEPARTMENT OF HOUSTON HEALTHCARE, PROVIDED HEALTH FAIRS, SENIOR CARE LUNCHEONS, BLOOD PRESSURE SCREENINGS AND EXERCISE CLASSSES, AND VARIOUS EDUCATION CLASSES AND SUPPORT GROUPS IN THE FOLLOWING AREAS: ALZHEIMERS, ARTHRITIS, BREAST CANCER, BREASTFEEDING, CARDIAC HEALTH, CHILDBIRTH, COOKING, DIABETES, DIET, DIVORCE, HYPERTENSION, LUPUS, MULTIPLE SCLEROSIS, PREGNANCY, SIBLINGS, STRESS MANAGEMENT, TOBACCO CESSATION, WALKING AND WEIGHT LOSS. 202355254 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 1 266 0 1 2877 1 0 0 0 0 0 0 0 0 0 0 X 7 4 0 0 0 0 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 0 GA X RHONDA KELLEY 4785427826 233 N HOUSTON ROAD SUITE 230 WARNER ROBINS GA 31093 DANIEL DEIGHTON MD 5.00 X 0 0 0 FRED GRAHAM 3.00 X 0 0 0 NANCY SMITH 3.00 X 0 0 0 ED DYSON 3.00 X 0 0 0 HORATIO CABASARES MD 3.00 X 0 0 0 TOMMY STALNAKER 3.00 X 0 0 0 ARTHUR CHRISTIE 3.00 X 0 0 0 CARY MARTIN 50.00 X 347756 0 15318 STEPHEN MACHEN 50.00 X 165738 0 11991 JOHN DAVID CAMPBELL 50.00 X 157766 0 11420 MELINDA HARTLEY 50.00 X 192870 0 20622 ROBERT RHODES 45.00 X 165474 0 20854 HOWARD SOHNEN 50.00 X 118700 0 6561 SEAN WHILDEN 50.00 X 212265 0 20137 JEFFERSON DAVIS 50.00 X 183039 0 9992 ROBERTIENA F FLETCHER 50.00 X 159391 0 22462 MICHAEL O'HARA 45.00 X 165409 0 12869 SANDRA N JOHNSON 43.00 X 160991 0 9431 RITA BANDT 45.00 X 150675 0 4168 WILLIAM WOLLERY 43.00 X 250216 0 1295 FRANK R POWELL 0.00 X 145779 0 0 2576069 0 167120 44 1 1 0 WARREN ASSOCIATES INC 2760 ROFF AVE MACON GA 31204 CONSTRUCTION 2123852 ARAMARK CTS INC 10510 TWIN LAKES PARKWAY CHARLOTTE NC 28269 EVS & BIO-MED 2065013 ROBINS ANESTHESIA SERVICES LLC 212 HOSPITAL DRIVE STE J WARNER ROBINS GA 31069 ANESTHESIA SVCS 1231636 IN COMPASS HEALTH INC 318 MAXWELL ROAD STE 500 ALPHARETTA GA 30009 HOSPITALISTS 1152485 WMA ARCHITECTURE 348 COTTON AVE STE 500 MACON GA 31202 ARCHITECT 1096215 45 105828 108533 214361 NET PATIENT REVENUE 900099 265947712 265947712 EHR INCENTIVE 900099 871391 871391 CAFETERIA 900099 592907 592907 EMPLOYEE PHARMACY 900099 263801 263801 PURCHASE DISCOUNTS 900099 34085 34085 174805 1104 173701 267884701 5718789 5718789 188970 188970 339401 146018 193383 193383 193383 496425404 10050 458387203 33998 38038201 -23948 38014253 38014253 312214457 266854292 0 45145804 214612 214612 2576069 602477 1973592 86438995 80355972 6083023 4724132 4296558 427574 15609115 14196358 1412757 6553246 5960122 593124 178850 178850 157911 157911 21679833 13274128 8405705 604353 604353 7776069 5059384 2716685 3530338 3530338 3101891 3101891 359699 359699 3756415 3756415 14373714 14373714 1321561 1210009 111552 BAD DEBT EXPENSE 36316592 36316592 PATIENT SUPPLIES & PHAR 33246992 33164080 82912 EQUIPMENT MAINTENANCE 8042937 4634755 3408182 RISK MANAGEMENT 2560255 2560255 5538633 3070207 2468426 258662212 202355254 56306958 0 869523 2131030 34498373 33560673 750000 1628711 1322201 1242370 293832 993454 255799774 146951608 111085419 108848166 202406851 231590907 77750 77750 16408070 10585030 367712019 390658091 33666625 21468679 74602523 73544808 31063702 44208002 139332850 139221489 X 228379169 251436602 228379169 251436602 367712019 390658091 X 53552245 -18063207 -12431605 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3840066 3840066 140689834 68738348 71951486 104313100 76731138 27581962 6956774 1482122 5474652 108848166 ACCRUED PENSION LIABILITY 32124061 SELF INSURANCE RESERVES 12083941 44208002 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: HOUSTON HOSPITALS, INC. IS PART OF THE HOUSTON HEALTHCARE SYSTEM, INC. THE SYSTEM IS A NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE SYSTEM APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE COMBINED FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE SYSTEM ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENT'S EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING BALANCE SHEETS FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF DECEMBER 31, 2012 AND 2011 OR FOR THE YEARS THEN ENDED. THE SYSTEM'S OPEN AUDIT PERIODS ARE FOR TAX YEARS ENDED 2009-2011. 1 1 X 1 X 225.000000000000 1 X 1 1 1 0 1 1 7429 11338717 2669027 8669690 0.03900 17012 29301644 24126311 5175333 0.02330 24441 40640361 26795338 13845023 0.06230 63 59032 1198057 16983 1181074 0.00530 7 1639 2225958 182975 2042983 0.00920 1 914 162946 162946 0.00070 4 2625 550502 550502 0.00250 75 64210 4137463 199958 3937505 0.01770 75 88651 44777824 26995296 17782528 0.08000 1 16 140 140 0.00000 1 15743 15743 0.00010 2 410 16278 16278 0.00010 3 132 4497 4497 0.00000 1 0 109667 109667 0.00050 8 558 146325 146325 0.00070 0 10822344 0 58826045 70481257 -11655212 X 1 1 2 1 HOUSTON MEDICAL CENTER

1601 WATSON BLVD WARNER ROBINS GA 31093

X X X X A 2 PERRY HOSPITAL

1120 MORNINGSIDE DR PERRY GA 31069

X X X A FACILITY REPORTING GROUP - A 1 X X X X X X X X X X 11 1 1 1 X X X X X X X X X X X 0 0 1 1 225.000000000000 1 300.000000000000 1 X X X X X X 1 0 1 0 X X X X 1 X 0 0 9 THE SURGERY CENTER

1647 WATSON BLVD WARNER ROBINS GA 31093

HOSPITAL BASED OUTPATIENT SURGERY CENTER HOUSTON LAKE MED-STOP

2510 HIGHWAY 127 KATHLEEN GA 31047

HOSPITAL BASED URGENT CARE FACILITY HOUSTON LAKE REHAB

2510 HIGHWAY 127 KATHLEEN GA 31047

HOSPITAL BASED OUTPATIENT REHAB FACILITY PAVILION MED-STOP

233 N HOUSTON RD STE 140 WARNER ROBINS GA 31093

HOSPITAL BASED URGENT CARE FACILITY PAVILION REHAB

233 N HOUSTON RD STE 140 WARNER ROBINS GA 31093

HOSPITAL BASED OUTPATIENT REHAB FACILITY PAVILION DIAGNOSTIC CENTER

233 N HOUSTON RD STE 140 WARNER ROBINS GA 31093

HOSPITAL BASED OUTPATIENT IMAGING FACILITY LAKE JOY MED-STOP

1118 HIGHWAY 96 WEST KATHLEEN GA 31047

HOSPITAL BASED URGENT CARE FACILITY HOUSTON HEALTHCARE IMAGING SERVICES

114 SOUTHERLAND DRIVE WARNER ROBINS GA 31088

HOSPITAL BASED OUTPATIENT IMAGING FACILITY PAVILION FAMILY MEDICINE PRACTICE

233 N HOUSTON RD STE 140E WARNER ROBINS GA 31093

HOSPITAL BASED FAMILY MEDICINE PRACTICE PART I, LINE 7: WORKSHEETS 1 AND 2 CONTAINED IN THE FORM 990, SCHEDULE H INSTRUCTIONS WERE USED TO DETERMINE THE COST-TO-CHARGE RATIO USED IN CALCULATING THE HOSPITAL'S CHARITY CARE AND MEDICAID COSTS. PART I, LINE 7G: HOUSTON HEALTHCARE PROVIDES THE FACILITIES (FREE STANDING BUILDING) FOR THE HOUSTON COUNTY VOLUNTEER MEDICAL CLINIC. THIS FACILITY PROVIDES FREE MEDICAL/PHARMACEUTICAL HELP FOR THOSE CITIZENS OF HOUSTON COUNTY THAT HAVE AN EMPLOYED FAMILY MEMBER IN THEIR HOUSEHOLD BUT DO NOT HAVE HEALTH INSURANCE. THE TOTAL INCOME FOR THE HOUSEHOLD MUST BE LESS THAN 200% OF THE IDENTIFIED POVERTY LEVEL. THE VOLUNTEER CLINIC IS AN INTEGRAL PART OF OUR COMMUNITY HEALTHCARE SYSTEM.IN ADDITION TO PROVIDING THE BUILDING, TWO HOUSTON HEALTHCARE STAFF MEMBERS, INCLUDING THE ADMINISTRATOR FOR PERRY HOSPITAL AND THE DIRECTOR FOR COMMUNITY EDUCATION AND SERVICES SERVE ON THE BOARD OF TRUSTEES FOR THE HOUSTON COUNTY VOLUNTEER MEDICAL CLINIC. HOUSTON HEALTHCARE PROVIDES THE SECRETARY FOR THE BOARD WHO TAKES MINUTES, AND COORDINATES MEETING PLANS AS WELL AS OTHER COMMUNICATION FOR THE BOARD MEETINGS. HOUSTON HEALTHCARE PROVIDES CHRONIC DISEASE MANAGEMENT CLASSES FOR PATIENTS ATTENDING THE CLINIC, AND ASSIST WITH OBTAINING GRANTS AND OTHER FUNDING FOR THIS FREE CLINIC. HOUSTON HEALTHCARE PROVIDES DIAGNOSTIC TESTING TO INCLUDE LAB AND RADIOLOGY SERVICES FOR PATIENTS SEEN AT THE VOLUNTEER MEDICAL CLINIC. PART I, L7 COL(F): BAD DEBT EXPENSE OF $36,316,592 HAS BEEN REMOVED FROM TOTAL EXPENSE. PART II: COMMUNITY BUILDING ACTIVITIES - HOUSTON HEALTHCARE STAFF PROVIDE AND PARTICIPATE IN NUMEROUS COMMUNITY BUILDING ACTIVITIES. SOME EXAMPLES INCLUDE: SERVING ON THE REGIONAL AND PERRY CHAMBER OF COMMERCE BOARDS, WITH FOCUS ON BUSINESS DEVELOPMENT, EDUCATION, COMMUNITY AFFAIRS AND GOVERNMENT AFFAIRS. THIS ALSO INCLUDES NUMEROUS COMMUNITY EVENTS TAILORED TO BUSINESS AND ECONOMIC DEVELOPMENT. HOUSTON HEALTHCARE HOSTS A NON-PROFIT BUSINESS EXPO AND A COMMUNITY WIDE FAMILY RESOURCE FAIR, BOTH AIMED AT INCREASING THE AWARENESS OF SERVICES AND RESOURCES IN THE AREA. HOUSTON HEALTHCARE ALSO WORKS DILIGENTLY TO RECRUIT NEEDED PHYSICIANS TO THE AREA. EACH YEAR STAFF MEMBERS PROMOTE AND RAISE FUNDS FOR THE UNITED WAY OF CENTRAL GEORGIA.PART II LINE 3 DISASTER READINESS PREPAREDNESS IS PROVIDED BY HOUSTON HEALTHCARE THAT IS OVER AND ABOVE LICENSURE REQUIREMENTS AND INCLUDES COMMUNICATION AWARENESS EVENTS AND GENERAL EDUCATION. THIS ALSO INCLUDES THE ARES (AMATEUR RADIO EMERGENCY SERVICES) PROGRAM, WHICH PROVIDES SUPPORT TO THE GENERAL PUBLIC AND OTHER HEALTHCARE PARTNERS IN THE AREA OF EMERGENCY COMMUNICATION IN THE EVENT OF A COMMUNITY DISASTER AS WELL AS DETECTION OF SEVERE WEATHER CONDITIONS THROUGH THE USE OF COMMUNICATION WEATHER SPOTTERS TRAINED BY THE NATIONAL WEATHER SERVICE VIA AMATEUR RADIO OPERATORS WITHIN THE COMMUNITY. THIS IS PROVIDED AND INSTALLED WITHIN HOUSTON HEALTHCARE AS A FREE ACCESS COMMUNICATION USE REPORTER FOR PUBLIC USE.PART II LINE 5: HOUSTON HEALTHCARE HAS VOLUNTEER CHAPLAINS FOR HOUSTON MEDICAL CENTER AND PERRY HOSPITAL WHO ARE COMMUNITY MEMBERS. TRAINING IS PROVIDED TO THESE CHAPLAINS ON TOPICS SUCH AS CRISIS INTERVENTION.PART II LINE 6 HOUSTON HEALTHCARE SPONSORS THREE COMMUNITY COALITIONS.1- FAITH COMMUNITY NURSES- THIS COALITION IS MADE UP OF VOLUNTEER REGISTERED NURSES SERVING CHURCHES IN THE CENTRAL GEORGIA AREA. HOUSTON HEALTHCARE PROVIDES A MONTHLY MEETING/AND TRAININGS FOR THIS GROUP, AS WELL AS AN ORIENTATION PROGRAM. THE FAITH COMMUNITY NURSES PROVIDE HEALTH EDUCATION, HEALTH SCREENINGS, AS WELL AS LINKING PERSONS TO HEALTH RESOURCES. HOUSTON HEALTHCARE SERVES AS THE RESOURCE CENTER FOR THEIR ACTIVITIES.2- SAFE KIDS COALITION IS LED BY HOUSTON HEALTHCARE TO PREVENT INJURIES AND PROMOTE SAFE PRACTICES FOR CHILDREN. THE COALITION WORKS COLLABORATIVELY TO IDENTIFY NEEDS AND PLAN ACTIVITIES SUCH AS DISTRIBUTION/FITTING KIDS WITH BIKE HELMETS, CAR SEAT SAFETY CHECKS, AND DISTRIBUTION OF SMOKE DETECTORS, POISON PREVENTION AND WATER SAFETY. THE COALITION WORKS CLOSELY WITH DEPARTMENT OF FAMILY AND CHILDREN SERVICES AND PUBLIC HEALTH TO ENSURE LOWER INCOME FAMILIES HAVE ACCESS TO CAR SEATS, SMOKE DETECTORS, AND OTHER SAFETY EQUIPMENT. THE COALITION ALSO PROVIDES SAFETY EDUCATION FOR LOCAL SCHOOLS AND CHILD CARE CENTERS.3- CENTRAL GEORGIA PERINATAL COALITION -THIS HOUSTON HEALTHCARE LED COALITION INCLUDES PUBLIC HEALTH, SCHOOL COUNSELORS, RAINBOW HOUSE, DISTRICT PUBLIC HEALTH, LOCAL OB/GYN REPRESENTATIVES AND OTHERS. THE COALITION SEEKS TO PROVIDE OPTIMAL SERVICES FOR PREGNANT WOMEN AND TO DECREASE RATES OF PRE-TERM BIRTHS, AND OTHER POOR BIRTH OUTCOMES. THE COALITION ADDRESSES ACCESS TO CARE FOR ALL PREGNANT WOMEN, BUT FOCUSES AND PROVIDES ADDITIONAL SERVICES AND RESOURCES FOR WOMEN WHO ARE LOWER INCOME AND UNINSURED, AS WELL AS FOR WOMEN WHO HAVE A MEDICAL CONDITION THAT COMPLICATES THEIR PREGNANCY.HOUSTON HEALTHCARE STAFF MEMBERS ALSO SERVE ON NUMEROUS COMMUNITY COALITIONS WITH EXAMPLES THAT INCLUDE:- KID'S JOURNEY BOARD OF TRUSTEES AND COALITION-A HOUSTON HEALTHCARE STAFF MEMBER CHAIRS THE HEALTH STRATEGY TEAM TO IMPROVE THE HEALTH OF CHILDREN AND FAMILIES.- MIDDLE GEORGIA TECH COLLEGE- HOUSTON HEALTHCARE STAFF SERVE ON THE ADULT ADVISORY BOARD TO ADDRESS ADULT LITERACY, AND MOTIVATE ADULTS TO OBTAIN GED- HIGH SCHOOL, OR OTHER EDUCATION. - HOT SHOTS COALITION- EDUCATION AND PROMOTION OF IMMUNIZATIONS AMONG CHILDREN AND ADULTS. - RAINBOW HOUSE BOARD OF TRUSTEES- RAINBOW HOUSE PROVIDES EDUCATION AND ACTIVITIES TO PREVENT CHILD ABUSE. - SUICIDE PREVENTION COALITION- SUICIDE PREVENTION AND ASSISTANCE WITH OTHER BEHAVIORAL HEALTH ISSUES.PART II, LINE 8: DUE TO PHYSICIAN SHORTAGES IN SPECIALTY AREAS AND PRIMARY CARE, RECRUITMENT EFFORTS WERE INCREASED IN 2012. EXAMPLES OF TARGETED SPECIALTY AREAS INCLUDED ENDOCRINOLOGY, ENT, AND UROLOGY. IN ADDITION HOUSTON HEALTHCARE MADE DONATIONS TO ASSIST WITH COST OF INSTRUCTORS FOR HEALTH PROFESSIONAL TRAINING AT MIDDLE GEORGIA TECHNICAL COLLEGE AND MACON STATE COLLEGE. HOUSTON HEALTHCARE NOW OFFERS A NEW FAMILY MEDICINE RESIDENCY PROGRAM, FOR OSTEOPATHIC PHYSICIANS ENTERING THE FIELD OF FAMILY MEDICINE. THIS PROGRAM HELPS FULFILL A NEED FOR PRIMARY CARE PHYSICIANS IN THE MIDDLE GEORGIA AREA AND IMPROVES ACCESS TO HEALTHCARE FOR THE COMMUNITY WE SERVE. PART III, LINE 4: THE COST OF INDIGENT AND CHARITY CARE FOR PATIENTS WHO QUALIFY UNDER OUR ORGANIZATIONS POLICY IS REPORTED IN PART I, LINE 7 OF THE SCHEDULE H. ALTHOUGH WE CANNOT QUANTIFY THE AMOUNT, WE BELIEVE THERE IS A CONSIDERABLE AMOUNT OF BAD DEBT WHICH CAN BE ATTRIBUTED TO INDIGENT AND CHARITY CARE PATIENTS. PATIENTS ARE OFTEN UNRESPONSIVE TO THE INFORMATION CONCERNING OUR INDIGENT POLICY, WHICH IS PROVIDED TO THEM AT THE TIME OF SERVICE AND THROUGHOUT THE BILLING PROCESS. FREQUENTLY THEY DO NOT SUBMIT AN APPLICATION FOR ASSISTANCE UNTIL THEY ARE CONTACTED BY A COLLECTION AGENCY. THERE IS NO FOOTNOTE IN THE FINANCIAL STATEMENTS CONCERNING BAD DEBTS. WORKSHEET 1, 2, AND 3 CONTAINED IN THE FORM 990, SCHEDULE H INSTRUCTIONS WERE USED TO DETERMINE THE COST-TO-CHARGE RATIO USED TO CALCULATE THE HOSPITALS BAD DEBT AND CHARITY CARE COSTS. BAD DEBTS SHOULD BE TREATED AS A COMMUNITY BENEFIT SINCE THE ORGANIZATION TREATS PATIENTS WITHOUT CONSIDERATION OF THEIR ABILITY TO PAY THEREFORE HAVING TO ABSORB THE EXPENSE OF UNCOLLECTED ACCOUNTS. PART III, LINE 8: 100% OF THE HOSPITAL'S MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFITS SINCE THE ORGANIZATION PROVIDES HEALTHCARE ACCESS FOR MEDICARE PATIENTS AND ACCEPTS PAYMENT BELOW COST BENEFITING OUR COMMUNITY LARGELY MADE UP OF MEDICARE BENEFICIARIES. THE SOURCE OF ALLOWABLE COSTS REPORTED IN LINE 6 WAS THE HOSPITAL'S 2012 MEDICARE COST REPORTS. PART III, LINE 9B: THE BAD DEBT POLICY FOR HOUSTON HOSPITALS STATES THAT COLLECTIONS ARE CEASED UPON THE PATIENT'S APPROVAL FOR INDIGENT OR CHARITY CARE. PER THE ORGANIZATION'S CHARITY CARE POLICY, APPROVAL OF ELIGIBILITY EXPIRES IN 6 MONTHS, AT WHICH TIME, A PATIENT MUST REAPPLY. PART VI, LINE 2: IN ADDITION TO THE CHNA COMPLETED IN LATE 2011, OTHER METHODS UTILIZED IN OBTAINING HEALTH NEEDS OF THE COMMUNITY INCLUDED:A-KEY INFORMANT FOCUS GROUP- THE FOCUS GROUP PARTICIPANTS INCLUDED 18 KEY INFORMANTS, INCLUDING PHYSICIANS, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND BUSINESS AND COMMUNITY LEADERS. A LIST OF RECOMMENDED PARTICIPANTS FOR THE FOCUS GROUP WAS PROVIDED BY HOUSTON HEALTHCARE, WITH POTENTIAL PARTICIPANTS CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS THE COMMUNITY OVERALL. PARTICIPANTS INCLUDED A REPRESENTATIVE OF PUBLIC HEALTH, AS WELL AS SEVERAL INDIVIDUALS WHO WORK WITH LOW-INCOME, MINORITY AND OTHER MEDICALLY-UNDERSERVED POPULATIONS.B- COMMUNITY HEALTH SURVEY- THIS SURVEY WAS BASED LARGELY ON THE CENTERS FOR DISEASE CONTROL AND PREVENTION BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM AS WELL AS OTHER PUBLIC HEALTH SURVEYS AND CUSTOMIZED QUESTIONS ADDRESSING GAPS IN INDICTOR DATA RELATIVE TO HEALTH PROMOTION AND DISEASE PREVENTION OBJECTIVES. THE FINAL SURVEY INSTRUMENT WAS DEVELOPED BY HOUSTON HEALTHCARE AND PRC. THE STUDY AREA FOR THE SURVEY INCLUDED EACH OF THE ZIP CODES DEFINING HOUSTON COUNTY. THE SURVEY INCLUDED A RANDOM SAMPLE OF 200 INDIVIDUALS AGE 18 AND OLDER IN HOUSTON COUNTY. C- COMMUNITY COALITIONS INPUT -SEVERAL COALITIONS WERE ASKED FOR THEIR INPUT IN IDENTIFYING COMMUNITY HEALTH NEEDS. FEEDBACK FROM COALITIONS WAS CONSIDERED IMPORTANT BECAUSE THIS INFORMATION WAS FROM PEOPLE WORKING DIRECTLY WITH A CERTAIN POPULATION. IT WAS NOTED THAT THE NUMBER ONE PRIORITY WAS DIFFERENT, DEPENDING ON WHICH GROUP OR COALITION PROVIDED INFORMATION BUT OVERALL THE SAME CONCERNS WERE SHARED. EACH COALITION WAS ASKED TO LIST THE TOP FIVE HEALTH NEEDS. COALITIONS PARTICIPATING IN THE DISCUSSIONS INCLUDED: 1-PERINATAL COALITION, 2-FAITH COMMUNITY NURSES, 3-KID'S JOURNEY COALITION, 4-SAFE KIDS COALITION 5- COMMUNITY BENEFIT WORK TEAM PART VI, LINE 3: INFORMATION REGARDING THE INDIGENT CARE TRUST FUND IS AVAILABLE AT EACH OF OUR REGISTRATION AREAS AND DISPLAYED WITH SIGNAGE AND CARDS. WE ALSO INFORM OUR PATIENTS AND FAMILIES OF OUR INDIGENT AND CHARITY CARE POLICY DURING THE INPATIENT AND OUTPATIENT ADMISSION PROCESS. OUR SYSTEM WEBSITE PROVIDES INFORMATION ON OUR PATIENT FINANCIAL SERVICES, WHICH INCLUDES BILLING, INSURANCE, AND OUR INDIGENT AND CHARITY CARE GUIDELINES AND POLICY. THE FIRST BILLING STATEMENT SENT OUT TO PATIENTS ALSO ADDRESSES THIS PROCESS WITH SPECIFIC INSTRUCTIONS. THESE CARDS WITH FINANCIAL INFORMATION ARE AVAILABLE AT COMMUNITY EVENTS, HEALTH FAIRS AND EDUCATION SEMINARS. THE CARDS AND SIGNAGE ARE PROVIDED IN ENGLISH AND SPANISH. PART VI, LINE 4: HOUSTON HEALTHCARE SERVES THE MEDICAL NEEDS OF RESIDENTS IN THE CENTRAL GEORGIA AREA WITH THE PRIMARY SERVICE AREA BEING HOUSTON COUNTY. RESIDENTS IN SURROUNDING COUNTIES ALSO TURN TO HOUSTON HEALTHCARE FOR THEIR MEDICAL SERVICES, WITH THESE COUNTIES INCLUDING BLECKLEY, CRAWFORD, PEACH, DODGE, DOOLY, MACON, PULASKI, TAYLOR, TWIGGS AND BIBB COUNTY. THESE AREAS ARE CONSIDERED OUR SECONDARY SERVICE AREA. ALL HOUSTON HEALTHCARE FACILITIES ARE LOCATED IN HOUSTON COUNTY AND ARE GOVERNED BY TWO BOARDS OF TRUSTEES. THE EXECUTIVE TEAM ALSO OVERSEES ALL OPERATION AND ACTIVITIES FOR THE HOUSTON HEALTHCARE SYSTEM.MEETING THE DIVERSE HEALTH NEEDS OF HOUSTON COUNTY RESIDENTS IS AN ONGOING CHALLENGE. THE COMMUNITY INCLUDES AN INCREASING NUMBER OF RETIREES AND ELDERLY LIVING IN OR MOVING TO HOUSTON COUNTY. GEORGIA HAS THE FASTEST GROWING POPULATION OF OLDER PEOPLE, ACCORDING TO GHA IN 2009. IN HOUSTON COUNTY, 19.5 % ARE ON MEDICAID, 12.4% ARE ON PEACH CARE AND ONE IN EVERY FIVE OF GEORGIA'S NON-ELDERLY POPULATION IS UNINSURED. (2010 CENSUS) THE ADULT LITERACY RATE IS ESTIMATED AT 13%. HOUSTON HEALTHCARE'S DIVERSE POPULATION SERVED INCLUDES: 63% CAUCASIAN, 28% AFRICAN AMERICAN, 6% HISPANIC AND 2% OTHER. WITH OVER 2,400 EMPLOYEES, HOUSTON HEALTHCARE IS THE 3RD LARGEST EMPLOYER IN HOUSTON COUNTY. ROBINS AIR FORCE BASE IS THE LARGEST WITH OVER 21,800 EMPLOYEES, FOLLOWED BY HOUSTON COUNTY BOARD OF EDUCATION WITH 3,751 TEACHERS AND STAFF. PERDUE FARMS, WITH OVER 2,000 POULTRY WORKERS, MANY OF WHOM ARE HISPANIC, IS THE 4TH LARGEST AND FRITO-LAY, PRODUCER OF SNACK FOOD WITH OVER 1,300 WORKERS IS THE 5TH LARGEST. (HOUSTON DEVELOPMENT AUTHORITY)POPULATION OF HOUSTON COUNTY IS ESTIMATED BY THE CENSUS REPORT AT 146,000 IN 2012 WHICH INCLUDE PERRY WITH A POPULATION OF 13,839 AND WARNER ROBINS WITH A POPULATION OF 66,558. PERRY'S MEDIAN HOUSEHOLD INCOME IS $49,976 PER YEAR WITH 14 % OF INDIVIDUALS LIVING BELOW POVERTY LEVEL; WARNER ROBIN'S MEDIAN HOUSEHOLD INCOME IS $45,183 PER YEAR WITH A 16.6% OF INDIVIDUALS LIVING BELOW POVERTY LEVEL. (2010 CENSUS AND US DEPT. OF LABOR)THE THREE LEADING CAUSES OF DEATH INCLUDE CARDIOVASCULAR DISEASE, CANCER AND STROKE. THERE ARE ALSO AN INCREASING NUMBER OF PERSONS WITH DIABETES. THE PRC COMMUNITY ASSESSMENT REPORTS AN AVERAGE OF 14% OF PERSONS IN HOUSTON COUNTY ARE DIAGNOSED WITH DIABETES. GEORGIA CONTINUES WITH HIGHER RATES OF PRE-TERM BIRTHS(LESS THAN 37 WEEKS) AND LOW BIRTH NEWBORNS THAN THE AVERAGE FOR THE US. THE DISTRICT 5-2 THAT HOUSTON COUNTY IS IN HAS A SIGNIFICANTLY HIGHER RATE OF TOBACCO USAGE AS WELL AS LUNG CANCER. THE OBESITY RATE IN CENTRAL GEORGIA RESIDENTS IS 31.1 PERCENT. THESE FACTS DEMONSTRATE THE NEED FOR EDUCATION ON LIFESTYLE CHANGES RELATED TO NUTRITION, EXERCISE AND TOBACCO AVOIDANCE. THESE STATS AND OTHERS HAVE PROMPTED OUR DEDICATION TO IMPROVING THE COMMUNITY WE SERVE BY ESTABLISHING AN IMPLEMENTATION PLAN THAT INCLUDES PRIORITY AREAS, MEASURABLE GOALS AND OBJECTIVES ALONG WITH COLLABORATION AMONG HOUSTON HEALTHCARE LEADERSHIP AND OTHER COMMUNITY LEADERS.THERE ARE NO OTHER HOSPITALS WITHIN HOUSTON COUNTY BESIDES HOUSTON HEALTHCARE; HOWEVER SOME COMMUNITY MEMBERS UTILIZE HOSPITALS OUTSIDE OF OUR COUNTY.NUMBER OF FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREAS - IN OUR SERVICE AREA, CRAWFORD, PEACH, TWIGGS AND MACON COUNTIES ARE UNDERSERVED BY PRIMARY HEALTH PROFESSIONALS, ACCORDING TO THE STATE OFFICE OF RURAL HEALTH, GENERALLY MEANING MORE THAN 3,000 PEOPLE PER DOCTOR. BIBB AND HOUSTON COUNTIES HAVE POCKETS OF UNDERSERVED POPULATIONS. PART VI, LINE 5: HOUSTON HOSPITALS, INC. OPERATES TWO LICENSED HOSPITAL FACILITIES WHICH PROVIDE EMERGENCY CARE 24/7.HOUSTON HEALTHCARE BOARD MEMBERS ARE ACTIVE MEMBERS IN OUR COMMUNITY. THEY ARE EMPLOYED OR RETIRED FROM VARIOUS COMMUNITY ORGANIZATIONS SUCH AS LOCAL SCHOOLS, LOCAL AND STATE GOVERNMENT, PHYSICIAN PRACTICES, LAW FIRMS, AND INSURANCE AGENCIES. THEIR EDUCATION, EXPERIENCE AND COMMUNITY INVOLVEMENT ENABLES OUR ORGANIZATION TO PROVIDE NEEDED SERVICES AND BENEFITS TO MEET THE COMMUNITY NEEDS. AN OPEN MEDICAL STAFF ENABLES THE ORGANIZATION TO PROVIDE THE SERVICES NEEDED BY THE COMMUNITY, AND IT ALLOWS NEEDED ACCESS TO THE INDIGENT, AS WELL AS MEDICARE, MEDICAID AND TRICARE POPULATIONS. HOUSTON HEALTHCARE SUPPORTS THE HOUSTON COUNTY VOLUNTEER MEDICAL CLINIC IN SEVERAL WAYS: PROVIDING A BUILDING FOR THE FREE CLINIC, ASSISTING WITH STAFF SALARY COST, AS WELL AS ACCEPTING REFERRALS FROM THE CLINIC FOR REQUIRED SERVICES SUCH AS LAB, RADIOLOGY, ETC.HOUSTON HOSPITALS, INC. EDUCARE DEPARTMENT PROVIDES THREE MEETING FACILITIES TO NOT FOR PROFIT HEALTHCARE AND COMMUNITY ENHANCEMENT ORGANIZATIONS FOR WEEKLY/MONTHLY STAFF MEETINGS AND MEETINGS FOR MEMBERS OF THE HOUSTON COUNTY COMMUNITY. EXAMPLES OF COMMUNITY ORGANIZATIONS THAT USE THESE FACILITIES INCLUDE AARP, AMERICAN HEART ASSOCIATION, SUSAN G. KOMEN FOR THE CURE FOUNDATION, MARCH OF DIMES, ALZHEIMER'S ASSOCIATION, AND SAFEKIDS OF HOUSTON COUNTY. ALL OF THESE ORGANIZATIONS, PLUS SEVERAL OTHERS, USE THESE FACILITIES FREE OF CHARGE EACH WEEK/MONTH. IN ADDITION, HOUSTON HOSPITALS, INC. EDUCARE DEPARTMENT PROVIDES MORE THAN 45 ON-GOING HEALTH AND WELLNESS EDUCATION PROGRAMS AS WELL AS NUMEROUS HEALTH FAIRS/SCREENINGS EACH YEAR THAT SERVES SEVERAL THOUSAND RESIDENTS OF HOUSTON COUNTY. PART VI, LINE 6: HOSPITAL AUTHORITY OF HOUSTON COUNTY, GEORGIA - GOVERNMENTAL AGENCY FROM WHICH HOUSTON HOSPITAL'S INC. LEASES HOUSTON MEDICAL CENTER AND PERRY HOSPITAL. THE AUTHORITY HAS ALSO ENTERED INTO A LONG-TERM LEASE WITH ALL OF ITS FACILITIES AND PROPERTIESHOUSTON HEALTHCARE SYSTEM, INC. - 501(C)(3); PARENT ORGANIZATION WHICH LEASES THE HOSPITALS FROM THE AUTHORITY. HOUSTON HOSPITALS, INC. IS RESPONSIBLE FOR THE DAY-TO-DAY OPERATIONS OF THE HOSPITALS.HOUSTON HEALTHCARE PROPERTIES, INC. - 501(C)(3); ORGANIZATION WHICH IS USED FOR MANAGEMENT OF OTHER PROPERTIES NOT OWED OR USED BY HOUSTON HOSPITALS, INC.HOUSTON HEALTHCARE EMS, INC. - 501(C)(3); PROVIDES AMBULANCES SERVICES FOR HOUSTON HOSPITALS, INC. AND IT'S COMMUNITY.HOUSTON HEALTH VENTURES, INC. - FOR PROFIT ORGANIZATION. PARTNERS WITH OTHER MEDICAL ORGANIZATIONS TO PROVIDE INCREASED HEALTHCARE SERVICES TO THE COMMUNITY.PATIENTSELECT LLC - PHYSICIAN ORGANIZATION FOR WHICH HOUSTON HEALTHCARE SYSTEM, INC HAS PARTNERSHIP INTEREST IN.CHARITABLE GIVING FUND - THIS NON-PROFIT CORPORATION IS SET UP TO RECEIVE CHARITABLE CONTRIBUTIONS AND TO PAY THEM OVER TO OTHER CHARITABLE ORGANIZATIONS OR, TO BE USED IN OTHER CHARITABLE PURPOSES PERMITTED UNDER GEORGIA NONPROFIT CORPORATION CODE, 501(C)(3) CODE, AND AS DETERMINED BY THE BOARD OF TRUSTEES. REPORTS FILED WITH STATES PART VI, LINE 7 GA PART V, LINE 8 FACILITY REPORTING GROUP A SEE BELOW FACILITY 1 -- HOUSTON HOSPITAL & PERRY HOSPITAL PART V, SECTION B, LINE 1J: IN ADDITION TO THE CHNA COMPLETED IN LATE 2011, OTHER METHODS UTILIZED IN OBTAINING HEALTH NEEDS OF THE COMMUNITY INCLUDED:A-KEY INFORMANT FOCUS GROUP- THE FOCUS GROUP PARTICIPANTS INCLUDED 18 KEY INFORMANTS, INCLUDING PHYSICIANS, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND BUSINESS AND COMMUNITY LEADERS. A LIST OF RECOMMENDED PARTICIPANTS FOR THE FOCUS GROUP WAS PROVIDED BY HOUSTON HEALTHCARE, WITH POTENTIAL PARTICIPANTS CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS THE COMMUNITY OVERALL. PARTICIPANTS INCLUDED A REPRESENTATIVE OF PUBLIC HEALTH, AS WELL AS SEVERAL INDIVIDUALS WHO WORK WITH LOW-INCOME, MINORITY AND OTHER MEDICALLY-UNDERSERVED POPULATIONS.B- COMMUNITY HEALTH SURVEY- THIS SURVEY WAS BASED LARGELY ON THE CENTERS FOR DISEASE CONTROL AND PREVENTION BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM AS WELL AS OTHER PUBLIC HEALTH SURVEYS AND CUSTOMIZED QUESTIONS ADDRESSING GAPS IN INDICTOR DATA RELATIVE TO HEALTH PROMOTION AND DISEASE PREVENTION OBJECTIVES. THE FINAL SURVEY INSTRUMENT WAS DEVELOPED BY HOUSTON HEALTHCARE AND PRC. THE STUDY AREA FOR THE SURVEY INCLUDED EACH OF THE ZIP CODES DEFINING HOUSTON COUNTY. THE SURVEY INCLUDED A RANDOM SAMPLE OF 200 INDIVIDUALS AGE 18 AND OLDER IN HOUSTON COUNTY. C- COMMUNITY COALITIONS INPUT - SEVERAL COALITIONS WERE ASKED FOR THEIR INPUT IN IDENTIFYING COMMUNITY HEALTH NEEDS. FEEDBACK FROM COALITIONS WAS CONSIDERED IMPORTANT BECAUSE THIS INFORMATION WAS FROM PEOPLE WORKING DIRECTLY WITH A CERTAIN POPULATION. IT WAS NOTED THAT THE NUMBER ONE PRIORITY WAS DIFFERENT, DEPENDING ON WHICH GROUP OR COALITION PROVIDED INFORMATION BUT OVERALL THE SAME CONCERNS WERE SHARED. EACH COALITION WAS ASKED TO LIST THE TOP FIVE HEALTH NEEDS. COALITIONS PARTICIPATING IN THE DISCUSSIONS INCLUDED:1-PERINATAL COALITION, 2-FAITH COMMUNITY NURSES, 3-KID'S JOURNEY COALITION, 4-SAFE KIDS COALITION 5- COMMUNITY BENEFIT WORK TEAM FACILITY 1 -- HOUSTON HOSPITAL & PERRY HOSPITAL PART V, SECTION B, LINE 3: PROFESSIONAL RESEARCH CONSULTANTS (PRC) A NATIONALLY RECOGNIZED HEALTHCARE CONSULTING FIRM CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT FOR HOUSTON HEALTHCARE. THIS ASSESSMENT BY PRC INCORPORATED QUALITATIVE AND QUANTITATIVE DATA SOURCES. QUALITATIVE DATE INCLUDED RESEARCH GATHERED FROM A KEY INFORMANT FOCUS GROUP, WHICH INCLUDED PARTICIPANTS FROM PUBLIC HEALTH, ALONG WITH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND BUSINESS AND COMMUNITY LEADERS. THE ASSESSMENT ALSO INCORPORATED POPULATION TELEPHONE INTERVIEWS OF 200 INDIVIDUALS AGE 18 AND OLDER. INFORMATION CAME FROM LOCAL SURVEYS SUCH AS THE 8TH GRADE TEEN HEALTH SURVEY AS WELL AS PARTICIPANTS AT COMMUNITY EVENTS. INPUT WAS ALSO RECEIVED FROM VARIOUS COALITIONS. A VARIETY OF SECONDARY DATA SOURCES WERE ALSO CONSULTED TO COMPLEMENT RESEARCH QUALITY OF THE CHNA. SOME OF THE SOURCES WERE CENTER FOR DISEASE CONTROL AND PREVENTION, GEOLYTICS DEMOGRAPHIC ESTIMATES AND PROJECTIONS, NATIONAL CENTER FOR HEALTH STATISTICS, GEORGIA BUREAU OF INVESTIGATION, GEORGIA DEPARTMENT OF PUBLIC HEALTH, US CENSUS BUREAU, US DEPARTMENT OF HEALTH AND HUMAN SERVICES AND US DEPARTMENT OF JUSTICE. THIS SECONDARY DATA REFLECTS COUNT LEVEL DATA. FACILITY 1 -- HOUSTON HOSPITAL & PERRY HOSPITAL PART V, SECTION B, LINE 4: HOUSTON HEALTHCARE INCLUDES BOTH HOUSTON MEDICAL CENTER AND PERRY HOSPITAL, WITH BOTH FACILITIES LOCATED IN HOUSTON COUNTY AND SERVING THE SAME POPULATIONS. RESIDENTS CAN AND OFTEN DO UTILIZE BOTH FACILITIES ALONG WITH THE OTHER RESOURCES PROVIDED THROUGH HOUSTON HEALTHCARE. FACILITY 1 -- HOUSTON HOSPITAL & PERRY HOSPITAL PART V, SECTION B, LINE 5C: THE CHNA WAS SHARED INTERNALLY WITH EXECUTIVE LEADERSHIP AND BOARDS AND IS POSTED ON THE HOUSTON HEALTHCARE WEBSITE. (WWW.HHC.ORG) CHNA INFORMATION WAS ALSO PRESENTED TO COMMUNITY COALITIONS AND COMMUNITY GROUPS, INCLUDING THE FAITH COMMUNITY NURSES. PRESENTATIONS REGARDING COMMUNITY EDUCATION SERVICES AND COMMUNITY BENEFIT PROGRAM WERE MADE WITH THE COUNTY LEADERSHIP PROGRAM- LEADERSHIP WARNER ROBINS. THIS GROUP REPRESENTS VARIOUS INDUSTRIES AND ORGANIZATIONS THROUGHOUT HOUSTON COUNTY AND IS SEEN AS LEADERS IN OUR COMMUNITY. FACILITY 1 -- HOUSTON HOSPITAL & PERRY HOSPITAL PART V, SECTION B, LINE 7: THE PRC ASSESSMENT INCLUDED A LIST OF "AREAS OF OPPORTUNITY" OR IDENTIFIED HEALTH NEEDS. THE FOCUS AREAS FOR HOUSTON HEALTHCARE'S IMPLEMENTATION PLAN ADDRESS THESE NEEDS. ALL WERE ADDRESSED DIRECTLY BY HOUSTON HEALTHCARE INITIATIVES WITH THE EXCEPTION OF SUBSTANCE ABUSE WHICH IS ADDRESSED IN PARTNERSHIP WITH HODAC (HOUSTON DRUG AND ACTION COUNCIL) AND OTHER BEHAVIORAL HEALTH ORGANIZATIONS. THE OTHER ISSUE IDENTIFIED WAS SUICIDE RATES WHICH IS ADDRESSED IN PARTNERSHIP WITH THE SUICIDE PREVENTION COALITION OF HOUSTON COUNTY. IDENTIFIED NEEDS MENTIONED IN FOCUS GROUPS INCLUDED PREVENTION OF CHILD ABUSE, WHICH IS LED BY RAINBOW HOUSE CHILDREN'S RESOURCE CENTER. HOUSTON HEALTHCARE SERVES ON THIS BOARD AND PARTNERS WITH RAINBOW HOUSE IN PARENTING CLASSES AND OTHER ACTIVITIES. LASTLY, POVERTY RELATED ISSUES SUCH AS UNEMPLOYMENT, LOWER INCOME AND HOUSING ISSUES ARE ADDRESSED THROUGH SEVERAL LOCAL AGENCIES. HOUSTON HEALTHCARE WORKS WITH THESE AGENCIES PROVIDING FREE HEALTH SCREENINGS, HEALTH EDUCATION, AND ASSISTANCE TO ACCESS HEALTH SERVICES. HOUSTON HEALTHCARE ALSO COMPLETED A REVIEW OF SERVICES PROVIDED BY OTHER ORGANIZATIONS. FACILITY 1 -- HOUSTON HOSPITAL & PERRY HOSPITAL PART V, SECTION B, LINE 12H: INDIGENCE IS ALSO DETERMINED BY OTHER FACTORS SUCH AS DEATH, IMPRISONMENT, OR QUALIFICATION UNDER GRANTS OR OTHER INDIGENT/CHARITY PROGRAMS, AS LISTED IN THE ORGANIZATIONS POLICY. FACILITY 1 -- HOUSTON HOSPITAL & PERRY HOSPITAL PART V, SECTION B, LINE 14G: ALTHOUGH THE ORGANIZATION'S WRITTEN POLICY DOES NOT INDICATE THE MEASURES TAKEN TO PUBLICIZE THE FACILITY'S POLICY WITHIN THE COMMUNITY SERVED, IT DOES PUBLICIZE AS REQUIRED BY THE STATE'S INDIGENT CARE TRUST FUND (ICTF) POLICY. THE ORGANIZATION'S INDIGENT AND CHARITY CARE POLICY IS POSTED ON THE FACILITIES WEBSITE ALONG WITH THE INDIGENT AND CHARITY CARE GUIDELINES. A NOTICE IS PRINTED ON THE PATIENTS' BILLS, IN COMMUNITY NEWSPAPERS TWICE A YEAR, POSTED ON THE WALLS AT ALL ADMISSION AREAS, CARDS ARE AVAILABLE ON THE COUNTERS IN BOTH ENGLISH AND SPANISH, AND THE POLICY AND INDIGENT APPLICATIONS ARE AVAILABLE UPON REQUEST. HOUSTON HEALTHCARE INFORMS AND EDUCATES THE COMMUNITY ABOUT THE AVAILABILITY AND ELIGIBILITY FOR FINANCIAL ASSISTANCE BY PROVIDING THESE CARDS AT COMMUNITY EVENTS, HEALTH FAIRS AND EDUCATION SEMINARS. THE CARDS AND SIGNAGE ARE PROVIDED IN ENGLISH AND SPANISH. INFORMATION IS ALSO GIVEN OUT REGARDING AVAILABILITY AND ELIGIBILITY FOR FINANCIAL SERVICES IN ENGLISH AND SPANISH AT NUMEROUS COMMUNITY EVENTS SUCH AS HEALTH FAIRS. (BOXES A-G WOULD BE CHECKED) FACILITY 1 -- HOUSTON HOSPITAL & PERRY HOSPITAL PART V, SECTION B, LINE 20D: BALANCES DUE BY THE PATIENT ARE BILLED GROSS CHARGES LESS 10%. THIS IS THE AVERAGE OF OUR 3 LOWEST DISCOUNTED CONTRACTS. 1 MIDDLE GEORGIA STATE COLLEGE 100 COLLEGE STATION DRIVE MACON GA 31206 581028275 GOVERNMENTAL 75000 NURSING PROGRAM SUPPORT MIDDLE GEORGIA TECHNICAL COLLEGE 80 COHEN WALKER DRIVE WARNER ROBINS GA 31088 581727346 GOVERNMENTAL 75000 NURSING PROGRAM SUPPORT MIDDLE GEORGIA COMMUNITY ACTION AGENCY PO BOX 2286 WARNER ROBBINS GA 31099 581192477 501(C)(3) 48000 GENERAL SUPPORT HEALTH CARE CENTRAL GEORGIA INC PO BOX 25 MACON GA 31202 582624455 501(C)(3) 16612 ANNUAL TEEN HEALTH FORUM & PHARMACY PROGRAM FOR THE UNINSURED RENOVATIONS/OPERATIONS SUPPORT 4 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE ORGANIZATION HAS GUIDELINES IN PLACE THAT ARE TO BE USED IN REVIEWING THE ELIGIBILITY OF GRANTEES. ALL GRANTS REQUIRE WRITTEN DOCUMENTATION AND APPROPRIATE LEVELS OF APPROVAL. 1 X X X X X 1 0 0 0 0 0 0 0 0 CARY MARTIN 337856 0 300 0 9600 0 5000 0 10318 0 363074 0 0 0 STEPHEN MACHEN 165438 0 300 0 0 0 3315 0 8676 0 177729 0 0 0 JOHN DAVID CAMPBELL 157466 0 300 0 0 0 2578 0 8842 0 169186 0 0 0 MELINDA HARTLEY 192570 0 300 0 0 0 3737 0 16885 0 213492 0 0 0 ROBERT RHODES 165174 0 300 0 0 0 3190 0 17664 0 186328 0 0 0 SEAN WHILDEN 212265 0 0 0 0 0 0 0 20137 0 232402 0 0 0 JEFFERSON DAVIS 183039 0 0 0 0 0 0 0 9992 0 193031 0 0 0 ROBERTIENA F FLETCHER 159091 0 300 0 0 0 3187 0 19275 0 181853 0 0 0 MICHAEL O'HARA 165109 0 300 0 0 0 3188 0 9681 0 178278 0 0 0 SANDRA N JOHNSON 160691 0 300 0 0 0 2848 0 6583 0 170422 0 0 0 RITA BANDT 150375 0 300 0 0 0 2491 0 1677 0 154843 0 0 0 WILLIAM WOLLERY 250016 0 200 0 0 0 0 0 1295 0 251511 0 0 0 FRANK R POWELL 0 0 0 0 145779 0 0 0 0 0 145779 0 0 0 PART I, LINE 4A SEVERANCE PAYMENT FRANK POWELL RECEIVED SEVERANCE PAY IN THE AMOUNT OF $145,779. A HOSPITAL AUTHORITY OF HOUSTON COUNTY 580833515 442042DK0 2007-08-23 71610473 CONSTRUCT & EQUIP HOSPITAL TOWER. 0 0 0 A 130000 71610473 4894375 3053093 871608 68788545 2009 0 0 1 1 A 0 0 0 0 0.00050 0.00000 0.00050 0 0 1 A 0 0 0 1 0 0 1 CITIGROUP GLOBAL GIC 2.000000000000 1 0 1 A 1 SCHEDULE K PART IV, ARBITRAGE, LINE 2C DATE REBATE COMPUTATION PERFORMED ISSUER NAME: HOSPITAL AUTHORITY OF HOUSTON COUNTY DATE THE REBATE COMPUTATION WAS PERFORMED: 10/03/2012 BRIAN GRAHAM FAMILY MEMBER OF DIRECTOR 46658 BRIAN GRAHAM, SON OF DIRECTOR, FRED GRAHAM, IS EMPLOYED BY HOUSTON HOSPITALS, INC. 0 AMY DAWSON FAMILY MEMBER OF DIRECTOR 45388 AMY DAWSON, DAUGHTER OF DIRECTOR, FRED GRAHAM, IS EMPLOYED BY HOUSTON HOSPITALS, INC. 0 DANIEL DEIGHTON BOARD MEMBER 36948 DR. DEIGHTON IS A BOARD MEMBER OF THE ORGANIZATION. DR. DEIGHTON IS RENTING OFFICE SPACE FROM THE ORGANIZATION. RENT WAS NEGOTIATED AT ARM'S LENGTH AND IS AT FAIR MARKET VALUE. 0 MELANIE L WARREN FAMILY MEMBER OF DIRECTOR 29890 MELANIE L. WARREN, DAUGHTER OF DIRECTOR, TRUDIE WARREN, IS EMPLOYED BY HOUSTON HOSPITALS, INC. 0 LEIGH WOLK FAMILY MEMBER OF DIRECTOR 12051 LEIGH WOLK, DAUGHTER OF DIRECTOR, HORATIO CABASARES, M.D., IS EMPLOYED BY HOUSTON HOSPITALS, INC. 0 WINDIE A RHODES FAMILY MEMBER OF OFFICER 33916 WINDIE A. RHODES, WIFE OF OFFICER, ROBERT RHODES, IS EMPLOYED BY HOUSTON HOSPITALS, INC. 0 FORM 990, PART VI, SECTION A, LINE 6 THE BOARD OF DIRECTORS OF THE HOUSTON HEALTHCARE SYSTEM, INC., A RELATED 501(C)(3) ORGANIZATION, APPOINTS THE BOARD OF HOUSTON HOSPITALS, INC. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS OF THE HOUSTON HEALTHCARE SYSTEM, INC., A RELATED 501(C)(3) ORGANIZATION, APPOINTS THE BOARD OF HOUSTON HOSPITALS, INC. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN ACTIONS OF THE BOARD OF HOUSTON HOSPITAL, INC. MUST BE APPROVED BY THE BOARD OF HOUSTON HEALTHCARE SYSTEM, INC., A RELATED 501(C)(3) ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZER OF THE 990 WAS PREPARED BY THE ORGANIZATION'S CONTROLLER AND PROVIDED TO AN INDEPENDENT TAX ACCOUNTANT. THE ORGANIZER WAS REVIEWED BY THE TAX ACCOUNTANT AND 990 WAS PREPARED. AFTER REVIEW AND COMMENTS FROM THE OFFICERS, THE RETURN WAS FINALIZED. A COPY OF THE FINALIZED FORM WAS PROVIDED TO THE ORGANIZATION'S BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES SIGN CONFLICT OF INTEREST STATEMENTS ON AN ANNUAL BASIS WHICH REQUIRES THEM TO DISCLOSE ANY POTENTIAL CONFLICT. MANAGEMENT ENSURES THAT A STATEMENT IS RECEIVED FROM EVERYONE AND THAT THERE ARE NO CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15 A COMPREHENSIVE REVIEW OF THE PRESIDENT'S TOTAL COMPENSATION WAS CONDUCTED BY THE BENEFITS AND COMPENSATION COMMITTEE OF THE HOUSTON HEALTHCARE SYSTEM, A RELATED ORGANIZATION. MINUTES REFLECTING THE DELIBERATIONS OF THAT COMMITTEE ARE RECORDED AND FILED. THE COMMITTEE IS COMPRISED OF THREE MEMBERS OF THE BOARD OF DIRECTORS. IN CONSIDERING AN ADJUSTMENT IN TOTAL COMPENSATION FOR THE PRESIDENT, VARIOUS STUDIES ARE CONSIDERED AND FACTORED INTO THE FINAL DECISION, INCLUDING THE GEORGIA VHA EXECUTIVE COMPENSATION SURVEY-CHIEF EXECUTIVE OFFICER, THE GEORGIA HOSPITAL ASSOCIATION SURVEY OF EXECUTIVE COMPENSATION AND AN EXECUTIVE SALARY SURVEY OF GEORGIA HOSPITAL EXECUTIVES CONDUCTED ANNUALLY BY HR ADVANTAGE, A COMPENSATION CONSULTANT WITH A NATIONWIDE REACH. ALL OF THE ENTITIES AND INDIVIDUALS PROVIDE COMPENSATION DATA INDEPENDENT OF THE OTHER. SUBSEQUENT TO THE REVIEW, A RECOMMENDATION REGARDING THE PRESIDENT'S COMPENSATION IS REVIEWED AND MODIFIED/APPROVED BY MEMBERS OF THE FULL HOSPITAL BOARD. A SIMILAR PROCESS IS EMPLOYED FOR THE CFO. THE REVIEW IS PERFORMED ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST STATEMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. PART VI, SECTION A, LINE 9 FRANK POWELL IS NO LONGER WITH THE ORGANIZATION. HIS ADDRESS IS 107 SWEET BAY, KATHLEEN, GA 31407. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: RESTRICTED CONTRIBUTIONS 94,050. NET PENSION OBLIGATION -4,731,057. TRANSFERS OF NET ASSETS FROM LIQUIDATION OF MSO -7,794,657. ROUNDING 59. HOUSTON HEALTHCARE SYSTEM INC PO BOX 2886 WARNER ROBINS GA 31093 711045299 HEALTH SYSTEM (PARENT) GA 501(C)(3) LINE 11C, III-FI N/A 0 HOSPITAL AUTHORITY OF HOUSTON COUNTY PO BOX 2886 WARNER ROBINS GA 31093 580833515 HOSPITAL AUTHORITY GA 501(C)(3) LINE 3 N/A 0 HOUSTON HEALTHCARE PROPERTIES INC PO BOX 2886 WARNER ROBINS GA 31093 270174397 PROPERTY MANAGEMENT GA 501(C)(2) N/A HOUSTON HEALTHCARE SYSTEM INC 0 HOUSTON HEALTHCARE EMS INC PO BOX 2886 WARNER ROBINS GA 31093 263941348 EMERGENCY SERVICES GA 501(C)(3) LINE 9 HOUSTON HEALTHCARE SYSTEM INC 0 PATIENT SELECT LLC 1601 WATSON BLVD WARNER ROBINS GA 31093 582345231 MEDICAL SERVICES GA HOUSTON HEALTHCARE SYSTEM INC 0 0 HOUSTON HEALTHCARE COMPLEX MSO INC 1601 WATSON BLVD WARNER ROBINS GA 31093 582242585 ANESTHESIA SERVICES GA N/A C 0 HOUSTON HEALTH VENTURES INC PO BOX 2886 WARNER ROBINS GA 31099 272814306 MEDICAL SERVICES GA N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1