SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public Inspection
Name of the organization
NOLAND HEALTH SERVICES INC
 
Employer identification number

63-0308739
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
 
No
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

 

No
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
 
No
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
 
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		    932,049   932,049 0.650 %
b Medicaid (from Worksheet 3, column a) . . . . .     48,579,477 40,355,967 8,223,510 5.710 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     49,511,526 40,355,967 9,155,559 6.360 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).            
f Health professions education (from Worksheet 5) . . .            
g Subsidized health services (from Worksheet 6) . . . .            
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .            
j Total. Other Benefits . .            
k Total. Add lines 7d and 7j .     49,511,526 40,355,967 9,155,559 6.360 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and
training for community members		            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
 
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
707,083
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
1,530,851
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
37,021,800
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
33,086,118
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
3,935,682
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?5Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 NOLAND HOSPITAL BIRMINGHAM II LLC
50 MEDICAL PARK DRIVE 8TH FLOOR
BIRMINGHAM,AL35235 		X               LTACH A
2 NOLAND HOSPITAL DOTHAN II LLC
1108 ROSS CLARK CIRCLE 4TH FLOOR
DOTHAN,AL36301 		X               LTACH A
3 NOLAND HOSPITAL MONTGOMERY II LLC
1725 PINE STREET 5TH 6TH FLOORS
MONTGOMERY,AL36106 		X               LTACH A
4 NOLAND HOSPITAL TUSCALOOSA II LLC
809 UNIVERSITY BOULEVARD EAST 4TH
FLOOR
TUSCALOOSA,AL35401 		X               LTACH A
5 NOLAND HOSPITAL ANNISTON II LLC
400 EAST TENTH STREET 4TH FLOOR
ANNISTON,AL36202 		X               LTACH A
Schedule H (Form 990) 2020
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Schedule H (Form 990) 2020
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
FACILITY REPORTING GROUP A
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 19
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): WWW.NOLANDHEALTH.COM
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2020
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Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
FACILITY REPORTING GROUP A
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
 
b
HTTP://NOLANDHOSPITALS.COM/NOLAND-HEALTH-SERVICES-FINANICAL-ASSISTANCE-PLAN
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
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Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
FACILITY REPORTING GROUP A
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21   No
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2020
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Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
FACILITY REPORTING GROUP A
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2020
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Schedule H (Form 990) 2020
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
PART V, SECTION B FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: NOLAND HOSPITAL BIRMINGHAM II, LLC, - FACILITY 2: NOLAND HOSPITAL DOTHAN II, LLC, - FACILITY 3: NOLAND HOSPITAL MONTGOMERY II, LLC, - FACILITY 4: NOLAND HOSPITAL TUSCALOOSA II, LLC, - FACILITY 5: NOLAND HOSPITAL ANNISTON II, LLC
GROUP A-FACILITY 1 -- NOLAND HOSPITAL BIRMINGHAM II, LLC PART V, SECTION B, LINE 5: THE CHNA TOOK INTO ACCOUNT INPUT FROM EXPERTS IN THE FIELD OF PUBLIC HEALTH, LONG TERM CARE, HOSPITAL ADMINISTRATION, MEDICINE, AND CASE MANAGEMENT.
GROUP A-FACILITY 1 -- NOLAND HOSPITAL BIRMINGHAM II, LLC PART V, SECTION B, LINE 6A: THE COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDED THE FOLLOWING HOSPITAL FACILITIES ALL OF WHICH ARE REPORTED UNDER NOLAND HEALTH SERVICES, INC:NOLAND HOSPITAL ANNISTON II, LLCNOLAND HOSPITAL BIRMINGHAM II, LLCNOLAND HOSPITAL DOTHAN II, LLCNOLAND HOSPITAL MONTGOMERY II, LLCNOLAND HOSPITAL TUSCALOOSA II, LLC
GROUP A-FACILITY 1 -- NOLAND HOSPITAL BIRMINGHAM II, LLC PART V, SECTION B, LINE 11: THE HOSPITAL FACILITY ORGANIZED SPECIFIC STRATEGIES AND ACTION STEPS TO ADDRESS EACH HEALTH NEED. IN ADDRESSING THESE NEEDS, THE HOSPITAL FACILITY WILL WORK WITH COMMUNITY PARTNERS AND HEALTH ISSUE EXPERTS TO IDENTIFY WHAT LOCAL ORGANIZATIONS ARE DOING TO ADDRESS PRIORITIZED HEALTH NEEDS. MEASURABLE GOALS AND DETAILED WORK PLANS WILL ALSO BE CREATED TO ENSURE THE EFFECTIVENESS OF THE STRATEGIES AND ACTION STEPS CREATED. A MONITORING METHOD WILL BE DEVELOPED TO PROVIDE STATUS AND RESULTS OF THESE EFFORTS TO IMPROVE THE COMMUNITY'S OVERALL HEALTH. NOLAND HEALTH CONTINUES TO PLAY A LEADING ROLE IN ADDRESSING THE HEALTH NEEDS NOT SPECIFICALLY ADDRESSED IN THE CHNA. COMMUNITY BENEFIT PLANNING IS INTEGRATED INTO THE HOSPITAL'S ANNUAL PLANNING AND BUDGETING PROCESSES.
GROUP A-FACILITY 1 -- NOLAND HOSPITAL BIRMINGHAM II, LLC PART V, SECTION B, LINE 13H: THE UNINSURED DISCOUNT IS THE LOWEST AMOUNT CHARGED TO INDIVIDUALS WITH INSURANCE.
GROUP A-FACILITY 1 -- NOLAND HOSPITAL BIRMINGHAM II, LLC PART V, SECTION B, LINE 16J: PATIENTS ARE INFORMED OF THE CHARITY CARE POLICY THROUGH POSTINGS ON THE ORGANIZATION'S WEBSITE, BILLING STATEMENTS, AND POSTED NOTICES IN FACILITY REGISTRATION AREAS.
GROUP A-FACILITY 1 -- NOLAND HOSPITAL BIRMINGHAM II, LLC PART V, SECTION B, LINE 21D: THE ORGANIZATION OPERATES FIVE LTACH HOSPITALS THAT DO NOT OPERATE EMERGENCY DEPARTMENTS. THE ORGANIZATION THEREFORE DOES NOT MAINTAIN SUCH A POLICY.
GROUP A-FACILITY 2 -- NOLAND HOSPITAL DOTHAN II, LLC PART V, SECTION B, LINE 11: THE HOSPITAL FACILITY ORGANIZED SPECIFIC STRATEGIES AND ACTION STEPS TO ADDRESS EACH HEALTH NEED. IN ADDRESSING THESE NEEDS, THE HOSPITAL FACILITY WILL WORK WITH COMMUNITY PARTNERS AND HEALTH ISSUE EXPERTS TO IDENTIFY WHAT LOCAL ORGANIZATIONS ARE DOING TO ADDRESS PRIORITIZED HEALTH NEEDS. MEASURABLE GOALS AND DETAILED WORK PLANS WILL ALSO BE CREATED TO ENSURE THE EFFECTIVENESS OF THE STRATEGIES AND ACTION STEPS CREATED. A MONITORING METHOD WILL BE DEVELOPED TO PROVIDE STATUS AND RESULTS OF THESE EFFORTS TO IMPROVE THE COMMUNITY'S OVERALL HEALTH. NOLAND HEALTH CONTINUES TO PLAY A LEADING ROLE IN ADDRESSING THE HEALTH NEEDS NOT SPECIFICALLY ADDRESSED IN THE CHNA. COMMUNITY BENEFIT PLANNING IS INTEGRATED INTO THE HOSPITAL'S ANNUAL PLANNING AND BUDGETING PROCESSES.
GROUP A-FACILITY 2 -- NOLAND HOSPITAL DOTHAN II, LLC PART V, SECTION B, LINE 13H: THE UNINSURED DISCOUNT IS THE LOWEST AMOUNT CHARGED TO INDIVIDUALS WITH INSURANCE.
GROUP A-FACILITY 2 -- NOLAND HOSPITAL DOTHAN II, LLC PART V, SECTION B, LINE 16J: PATIENTS ARE INFORMED OF THE CHARITY CARE POLICY THROUGH POSTINGS ON THE ORGANIZATION'S WEBSITE, BILLING STATEMENTS, AND POSTED NOTICES IN FACILITY REGISTRATION AREAS.
GROUP A-FACILITY 2 -- NOLAND HOSPITAL DOTHAN II, LLC PART V, SECTION B, LINE 21D: THE ORGANIZATION OPERATES FIVE LTACH HOSPITALS THAT DO NOT OPERATE EMERGENCY DEPARTMENTS. THE ORGANIZATION THEREFORE DOES NOT MAINTAIN SUCH A POLICY.
GROUP A-FACILITY 3 -- NOLAND HOSPITAL MONTGOMERY II, LLC PART V, SECTION B, LINE 11: THE HOSPITAL FACILITY ORGANIZED SPECIFIC STRATEGIES AND ACTION STEPS TO ADDRESS EACH HEALTH NEED. IN ADDRESSING THESE NEEDS, THE HOSPITAL FACILITY WILL WORK WITH COMMUNITY PARTNERS AND HEALTH ISSUE EXPERTS TO IDENTIFY WHAT LOCAL ORGANIZATIONS ARE DOING TO ADDRESS PRIORITIZED HEALTH NEEDS. MEASURABLE GOALS AND DETAILED WORK PLANS WILL ALSO BE CREATED TO ENSURE THE EFFECTIVENESS OF THE STRATEGIES AND ACTION STEPS CREATED. A MONITORING METHOD WILL BE DEVELOPED TO PROVIDE STATUS AND RESULTS OF THESE EFFORTS TO IMPROVE THE COMMUNITY'S OVERALL HEALTH. NOLAND HEALTH CONTINUES TO PLAY A LEADING ROLE IN ADDRESSING THE HEALTH NEEDS NOT SPECIFICALLY ADDRESSED IN THE CHNA. COMMUNITY BENEFIT PLANNING IS INTEGRATED INTO THE HOSPITAL'S ANNUAL PLANNING AND BUDGETING PROCESSES.
GROUP A-FACILITY 3 -- NOLAND HOSPITAL MONTGOMERY II, LLC PART V, SECTION B, LINE 13H: THE UNINSURED DISCOUNT IS THE LOWEST AMOUNT CHARGED TO INDIVIDUALS WITH INSURANCE.
GROUP A-FACILITY 3 -- NOLAND HOSPITAL MONTGOMERY II, LLC PART V, SECTION B, LINE 16J: PATIENTS ARE INFORMED OF THE CHARITY CARE POLICY THROUGH POSTINGS ON THE ORGANIZATION'S WEBSITE, BILLING STATEMENTS, AND POSTED NOTICES IN FACILITY REGISTRATION AREAS.
GROUP A-FACILITY 3 -- NOLAND HOSPITAL MONTGOMERY II, LLC PART V, SECTION B, LINE 21D: THE ORGANIZATION OPERATES FIVE LTACH HOSPITALS THAT DO NOT OPERATE EMERGENCY DEPARTMENTS. THE ORGANIZATION THEREFORE DOES NOT MAINTAIN SUCH A POLICY.
GROUP A-FACILITY 4 -- NOLAND HOSPITAL TUSCALOOSA II, LLC PART V, SECTION B, LINE 11: THE HOSPITAL FACILITY ORGANIZED SPECIFIC STRATEGIES AND ACTION STEPS TO ADDRESS EACH HEALTH NEED. IN ADDRESSING THESE NEEDS, THE HOSPITAL FACILITY WILL WORK WITH COMMUNITY PARTNERS AND HEALTH ISSUE EXPERTS TO IDENTIFY WHAT LOCAL ORGANIZATIONS ARE DOING TO ADDRESS PRIORITIZED HEALTH NEEDS. MEASURABLE GOALS AND DETAILED WORK PLANS WILL ALSO BE CREATED TO ENSURE THE EFFECTIVENESS OF THE STRATEGIES AND ACTION STEPS CREATED. A MONITORING METHOD WILL BE DEVELOPED TO PROVIDE STATUS AND RESULTS OF THESE EFFORTS TO IMPROVE THE COMMUNITY'S OVERALL HEALTH. NOLAND HEALTH CONTINUES TO PLAY A LEADING ROLE IN ADDRESSING THE HEALTH NEEDS NOT SPECIFICALLY ADDRESSED IN THE CHNA. COMMUNITY BENEFIT PLANNING IS INTEGRATED INTO THE HOSPITAL'S ANNUAL PLANNING AND BUDGETING PROCESSES.
GROUP A-FACILITY 4 -- NOLAND HOSPITAL TUSCALOOSA II, LLC PART V, SECTION B, LINE 13H: THE UNINSURED DISCOUNT IS THE LOWEST AMOUNT CHARGED TO INDIVIDUALS WITH INSURANCE.
GROUP A-FACILITY 4 -- NOLAND HOSPITAL TUSCALOOSA II, LLC PART V, SECTION B, LINE 16J: PATIENTS ARE INFORMED OF THE CHARITY CARE POLICY THROUGH POSTINGS ON THE ORGANIZATION'S WEBSITE, BILLING STATEMENTS, AND POSTED NOTICES IN FACILITY REGISTRATION AREAS.
GROUP A-FACILITY 4 -- NOLAND HOSPITAL TUSCALOOSA II, LLC PART V, SECTION B, LINE 21D: THE ORGANIZATION OPERATES FIVE LTACH HOSPITALS THAT DO NOT OPERATE EMERGENCY DEPARTMENTS. THE ORGANIZATION THEREFORE DOES NOT MAINTAIN SUCH A POLICY.
GROUP A-FACILITY 5 -- NOLAND HOSPITAL ANNISTON II, LLC PART V, SECTION B, LINE 11: THE HOSPITAL FACILITY ORGANIZED SPECIFIC STRATEGIES AND ACTION STEPS TO ADDRESS EACH HEALTH NEED. IN ADDRESSING THESE NEEDS, THE HOSPITAL FACILITY WILL WORK WITH COMMUNITY PARTNERS AND HEALTH ISSUE EXPERTS TO IDENTIFY WHAT LOCAL ORGANIZATIONS ARE DOING TO ADDRESS PRIORITIZED HEALTH NEEDS. MEASURABLE GOALS AND DETAILED WORK PLANS WILL ALSO BE CREATED TO ENSURE THE EFFECTIVENESS OF THE STRATEGIES AND ACTION STEPS CREATED. A MONITORING METHOD WILL BE DEVELOPED TO PROVIDE STATUS AND RESULTS OF THESE EFFORTS TO IMPROVE THE COMMUNITY'S OVERALL HEALTH. NOLAND HEALTH CONTINUES TO PLAY A LEADING ROLE IN ADDRESSING THE HEALTH NEEDS NOT SPECIFICALLY ADDRESSED IN THE CHNA. COMMUNITY BENEFIT PLANNING IS INTEGRATED INTO THE HOSPITAL'S ANNUAL PLANNING AND BUDGETING PROCESSES.
GROUP A-FACILITY 5 -- NOLAND HOSPITAL ANNISTON II, LLC PART V, SECTION B, LINE 13H: THE UNINSURED DISCOUNT IS THE LOWEST AMOUNT CHARGED TO INDIVIDUALS WITH INSURANCE.
GROUP A-FACILITY 5 -- NOLAND HOSPITAL ANNISTON II, LLC PART V, SECTION B, LINE 16J: PATIENTS ARE INFORMED OF THE CHARITY CARE POLICY THROUGH POSTINGS ON THE ORGANIZATION'S WEBSITE, BILLING STATEMENTS, AND POSTED NOTICES IN FACILITY REGISTRATION AREAS.
GROUP A-FACILITY 5 -- NOLAND HOSPITAL ANNISTON II, LLC PART V, SECTION B, LINE 21D: THE ORGANIZATION OPERATES FIVE LTACH HOSPITALS THAT DO NOT OPERATE EMERGENCY DEPARTMENTS. THE ORGANIZATION THEREFORE DOES NOT MAINTAIN SUCH A POLICY.
   
   
   
Schedule H (Form 990) 2020
Page 9
Schedule H (Form 990) 2020
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?10
Name and address Type of Facility (describe)
1 1 - EAST GLEN LLC
53 MEDICAL PARK EAST
BIRMINGHAM,AL35235 		SKILLED NURSING FACILITY
2 2 - GREENBRIAR AT THE ALTAMONT LLC
2831 HIGHLAND AVENUE
BIRMINGHAM,AL35205 		RETIREMENT COMMUNITY
3 3 - NOLAND EASTERN SHORE LLC
101 VILLA DRIVE
DAPHNE,AL36526 		SKILLED NURSING FACILITY
4 4 - OAKS ON PARKWOOD LLC
2651 LAUREL OAK DRIVE
BESSEMER,AL35022 		RETIREMENT COMMUNITY
5 5 - SYLACAUGA HEALTH AND REHAB SERVICES LLC
1007 WEST FORT WILLIAMS STREET
SYLACAUGA,AL35150 		RETIREMENT COMMUNITY
6 6 - VILLAGE AT COOK SPRINGS LLC
415 COOK SPRINGS ROAD
COOK SPRINGS,AL35052 		RETIREMENT COMMUNITY
7 7 - ANNISTON HEALTH AND REHAB SERVICES LLC
500 LEIGHTON AVENUE
ANNISTON,AL36207 		SKILLED NURSING FACILITY
8 8 - NOLAND MANAGEMENT SERVICES LLC
735 SOUTH WASHINGTON AVENUE
MOBILE,AL36603 		SKILLED NURSING FACILITY
9 9 - KEMP MEADOWS ASSISTED LIVING
652 TAHOE ROAD
WINFIELD,AL35594 		RETIREMENT COMMUNITY
10 10 - FAIRHOPE HEALTH AND REHAB LLC
108 SOUTH CHURCH STREET
FAIRHOPE,AL36532 		SKILLED NURSING FACILITY
Schedule H (Form 990) 2020
Page 10
Schedule H (Form 990) 2020
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
PART I, LINE 3C: REGARDLESS OF INCOME OR ASSETS, THE DISCOUNT IS THE LOWEST AMOUNT CHARGED TO INDIVIDUALS WITH INSURANCE.
PART I, LINE 7: THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $1,806,289.
PART III, LINE 4: ADEQUATE ALLOWANCES ARE PROVIDED FOR DOUBTFUL ACCOUNTS. CREDIT LOSSES HAVE HISTORICALLY BEEN WITHIN MANAGEMENT'S EXPECTATIONS. ALLOWANCES FOR DOUBTFUL ACCOUNTS ARE ESTIMATED BASED ON HISTORICAL WRITE-OFF PERCENTAGES AND REVIEW OF LARGE BALANCE SELF-PAY ACCOUNTS. DOUBTFUL ACCOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE AFTER ADEQUATE COLLECTION EFFORT IS EXHAUSTED AND RECORDED AS RECOVERIES OF BAD DEBTS IF SUBSEQUENTLY COLLECTED. LINE 4 - COSTS OF BAD DEBTS WERE CALCULATED USING COST TO CHARGE RATIOS. LINE 4 IS THE COST OF BAD DEBTS FOR PATIENTS WHO WERE ELIGIBLE FOR MEDICAID.
PART III, LINE 8: THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED ON PART III, LINE 6 IS THE COST TO CHARGE RATIO.
PART III, LINE 9B: ONCE INDIGENCE IS DETERMINED, A DEBT MAY BE DETERMINED UNCOLLECTIBLE AND WRITTEN OFF.
PART VI, LINE 2: THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVICES BY EVALUATING DISEASE AND HEALTH DATA OF PATIENTS THAT ARE SERVED IN EACH HEALTH CARE FACILITY. IN ADDITION, THE ORGANIZATION CONSIDERS INFORMATION PROVIDED BY LOCAL HEALTH OFFICIALS, THE CENTER FOR DISEASE CONTROL, AND OTHER NATIONAL AND STATE HEALTH CARE GROUPS.
PART VI, LINE 3: PATIENTS ARE INFORMED OF THE CHARITY CARE POLICY THROUGH POSTINGS ON THE ORGANIZATION'S WEBSITE, INFORMATION ON BILLING STATEMENTS, AND POSTED NOTICES IN FACILITY REGISTRATION AREAS.
PART VI, LINE 4: NOLAND HEALTH SERVICES OPERATES FIVE LONG-TERM CARE HOSPITALS (LTACHS) AND FIVE RETIRMENT COMMUNITIES LOCATED IN VARIOUS AREAS THROUGHOUT THE STATE OF ALABAMA. NOLAND HAS A LONG AND RICH HISTORY OF PROVIDING HEALTH CARE SERVICES TO THE CITIZENS OF ALABAMA AND SURROUNDING STATES. ALSO, NOLAND HAS BEEN A PIONEER IN THE DEVELOPMENT OF PROGRAMS AND SERVICES FOR THE ELDERLY AND CHRONICALLY ILL.
PART VI, LINE 6: NOLAND HEALTH SERVICES IS THE DOMINANT OPERATOR OF FIVE LONG-TERM ACUTE CARE HOSPITALS (LTACH) IN THE STATE OF ALABAMA, OPERATING 5 OF THE 8 LTACHS IN THE STATE. THE VAST MAJORITY OF LTACH SERVICES PROVIDED ARE FOR THE ELDERLY. NOLAND OPERATES EACH HOSPITAL WITH AN OPEN MEDICAL STAFF AND HAS A BOARD COMPRISED PRIMARILY OF COMMUNITY MEMBERS. NOLAND'S RETIREMENT COMMUNITIES OPERATE IN VARIOUS COMMUNITIES IN ALABAMA WITH THE PURPOSE OF IMPROVING THE TOTAL HEALTH STATUS OF THE COMMUNITY THROUGH PROGRAMS THAT SUPPORT AND BENEFIT THE HEALTH AND WELFARE OF THE ELDERLY AND UNDERSERVED. NOLAND'S FACILITIES SERVE AS THE CLINICAL SITE FOR NUMEROUS EDUCATIONAL INSTITUTIONS TO IMPROVE THE QUALITY AND QUANTITY OF HEALTH MANPOWER IN ALABAMA.
Schedule H (Form 990) 2020
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