SCHEDULE H, PART I, LINE 7
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THE ORGANIZATION USES THE COST TO CHARGE RATIO USING THE IRS' RECOMMENDED FORMAT IN WORKSHEET 2. OTHER COSTS IN PART I LINES 7E THROUGH 7I WERE OBTAINED FROM THE ORGANIZATION'S ACCOUNTING RECORDS.
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SCHEDULE H, PART III, LINE 2
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AMOUNTS INCLUDED ON PART III LINE 2 REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE AND INCLUDES IMPLICIT PRICE CONCESSIONS. SEE THE DISCUSSION OF IMPLICIT PRICE CONCESSIONS IN FOOTNOTE 2 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
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SCHEDULE H, PART III, LINE 4
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SEE THE DISCUSSION OF PRICE CONCESSIONS AND NET PATIENT SERVICE REVENUE IN FOOTNOTE 2 IN THE ATTACHED AUDITED FINANCIAL STATEMENTS.
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SCHEDULE H, PART III, LINE 8
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MEDICARE ALLOWABLE COSTS ARE COMPUTED IN ACCORDANCE WITH COST REPORTING METHODOLOGIES UTILIZED ON THE MEDICARE COST REPORT AND IN ACCORDANCE WITH RELATED REGULATIONS. INDIRECT COSTS ARE ALLOCATED TO DIRECT SERVICE AREAS USING THE MOST APPROPRIATE STATISTICAL BASIS.
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SCHEDULE H, PART III, LINE 9B
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PATIENTS THAT ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE ARE APPROVED FOR A PERIOD OF 6 MONTHS. THE PATIENTS ARE REQUIRED TO CONTACT THE FINANCIAL ASSISTANCE OFFICE DURING THIS POINT IF THEY INCUR ADDITIONAL CHARGES THAT QUALIFY FOR FINANCIAL ASSISTANCE DURING THIS TIME PERIOD. THE SAME PROCESS IS IN EFFECT FOR THE PATIENTS WHO QUALIFY FOR THE SLIDING FEE DISCOUNT. THIS DISCOUNT WILL LIMIT THE PATIENTS TO AN OUT OF POCKET MAXIMUM AMOUNT IN THE GIVEN TIME PERIOD. WE DO NOT HAVE ANY AUTOMATIC ADJUSTMENTS OR AN AUTOMATED SYSTEM TO TRACK THE PREVIOUSLY APPROVED PATIENTS.
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SCHEDULE H, PART VI, LINE 2
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REVIEW OF ASSESSMENTS OF OTHER ORGANIZATIONS THAT IDENTIFY NEEDS AND HAVE ON-GOING PARTICIPATION WITH THOSE ORGANIZATIONS. COLLECT, REVIEW AND USE PRIMARY, SECONDARY AND QUALITATIVE DATA IN DETERMINING NEEDS. UPDATE COMMUNITY HEALTH STATUS AS LOCAL, STATE AND FEDERAL DATA IS REPORTED. REVIEW INTERNAL DATA SUCH AS SCREENING OUTCOMES AND PATIENT VOLUMES FOR SERVICES. RESPONSE TO REQUESTS FROM COMMUNITY, INPUT FROM A GROUP MEETING OF THE DOUGLASS HIGH SCHOOL ALUMNI ASSOCIATION, SEVERAL WRITTEN SURVEYS AND A TELEPHONE INTERVIEW. THE ORGANIZATION ANALYZES QUANTITATIVE FEDERAL, STATE AND LOCAL DATA AS WELL AS SEEKS QUALITATIVE INPUT FROM MEMBERS OF THE COMMUNITY, ESPECIALLY THE UNDERSERVED. THE ORGANIZATION ALSO ASSESSES THE NEEDS OF THE COMMUNITY THROUGH UTILIZING ASSESSMENTS CONDUCTED BY OTHER COMMUNITY ORGANIZATIONS, REVIEWING INTERNAL DATA ON PATIENT VOLUMES AND SCREENING OUTCOMES, PARTICIPATING IN COMMUNITY ORGANIZATIONS THAT IDENTIFY NEEDS, SPONSORING COMMUNITY EDUCATION TASK FORCES THAT PROVIDE INPUT AND RESPONDING TO SPECIFIC REQUESTS FROM COMMUNITY MEMBERS. COPIES OF THE 2022-2023 CHNA'S AND THE RELATED IMPLEMENTATION PLAN CAN BE FOUND AT THE FOLLOWING WEB ADDRESSES: HTTPS://WWW.ARCHBOLD.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/
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SCHEDULE H, PART VI, LINE 3
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ANNUAL NOTICES ARE PLACED IN THE NEWSPAPERS FOR THE COUNTIES WE SERVE WITH HEALTHCARE. NOTICE OF THE FAP PROGRAM IS CONTAINED IN THE PATIENT HANDBOOK, SIGNS AND BROCHURES OUTLINING THE AVAILABILITY OF THE FAP PROGRAM ARE AVAILABLE AT POINTS OF ACCESS FOR PATIENTS, PAPER APPLICATIONS ARE AVAILABLE AT ALL ADMISSION AREAS AND BUSINESS OFFICES, ELECTRONIC VERSION OF THE APPLICATION CAN BE DOWNLOADED FREE OF CHARGE VIA WEBSITE AND THE ASSISTANCE PROGRAM IS DISCUSSED IN DETAIL DURING COLLECTION CALLS WITH PATIENTS.
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SCHEDULE H, PART VI, LINE 4
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COUNTIES SERVED IN GEORGIA INCLUDE BROOKS, GRADY, MITCHELL, THOMAS. DISPROPORTIONATE HEALTHCARE NEEDS, FEDERALLY DESIGNATED AS MEDICALLY UNDERSERVED AREAS (MUA) OR HEALTH PROFESSIONAL SHORTAGE AREAS (HSPA), LOW INCOME, PUBLIC HOUSING RESIDENTS, SENIORS, MIGRANT WORKERS, UNINSURED, UNDERINSURED, MIXTURE OF ETHNICITIES, ALL AGES, MIXTURE OF EDUCATIONAL LEVELS. BROOKS COUNTY: ESTIMATED POPULATION 16,253, 60.8% WHITE/34% BLACK, MEDIAN HH INCOME 42,263, 25.5% LIVING IN POVERTY, 17.3% UNDER 65 UNINSURED GRADY COUNTY: ESTIMATED POPULATION 26,008, 66.2% WHITE/29.7% BLACK, MEDIAN HH INCOME 51,929, 21.6% LIVING IN POVERTY, 19.5% UNDER 65 UNINSURED MITCHELL COUNTY: ESTIMATED POPULATION 21,116, 50.2% WHITE/46% BLACK, MEDIAN HH INCOME 45,966, 22.7% LIVING IN POVERTY, 17.4% UNDER 65 UNINSURED THOMAS COUNTY: ESTIMATED POPULATION 45,561, 60.6% WHITE/36% BLACK, MEDIAN HH INCOME 55,958, 19.8% LIVING IN POVERTY, 15.4% UNDER 65 UNINSURED INFORMATION OBTAINED FROM WWW.CENSUS.GOV - QUICK FACTS UPDATED 12/14/23
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SCHEDULE H, PART VI, LINE 5
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LIVE BETTER IS THE ARCHBOLD-LED INITIATIVE FOCUSED ON IMPROVING THE HEALTH OF THE CITIZENS OF THOMAS COUNTY. LIVE BETTER WORKS PRIMARILY WITH LOCAL SCHOOL SYSTEMS IN PROVIDING MONTHLY HEALTH EDUCATION MATERIAL TO ALL K-5 STUDENTS IN THOMAS COUNTY. LIVE BETTER ALSO PROVIDES OPPORTUNITIES FOR BOTH KIDS AND ADULTS TO STAY ACTIVE THROUGH ANNUAL 5K AND ONE-MILE FUN RUNS. OUTSIDE OF THE LIVE BETTER INITIATIVE, ARCHBOLD PROVIDES FREE HEALTH SCREENS AND EDUCATIONAL HEALTH TALKS TO THE COMMUNITY THROUGHOUT THE YEAR. OBESITY IS A PREVENTABLE CONDITION, YET THE COMMON RISK FACTOR WITH THE MOST PROMINENT HEALTH ISSUES IN THOMAS COUNTY: HEART DISEASE, HYPERTENSION, STROKE, COPD, VASCULAR DISEASE, DIABETES AND CANCER.
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SCHEDULE H, PART VI, LINE 6
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ARCHBOLD MEDICAL CENTER, INC. AS THE PARENT CORPORATION HAS SOLE CONTROL OVER ITS NONPROFIT SUBSIDIARIES, JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC., ARCHBOLD FOUNDATION, INC., AND ARCHBOLD MEDICAL GROUP, INC. (EFFECTIVE 1/1/2023, ARCHBOLD HEALTH SERVICES, INC., WHICH PROVIDES AMBULATORY HEALTH CARE SERVICES, MERGED WITH AND INTO JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC.) JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC. OPERATES HOSPITALS (ARCHBOLD MEMORIAL, ARCHBOLD GRADY, ARCHBOLD BROOKS, AND ARCHBOLD MITCHELL) AND LONG-TERM CARE FACILITIES ARCHBOLD LIVING THOMASVILLE, ARCHBOLD LIVING CAMILLA, ARCHBOLD LIVING PELHAM, AND ARCHBOLD LIVING CAIRO. ARCHBOLD FOUNDATION, INC. IS A SUPPORT FOUNDATION WITH THE SOLE PURPOSE OF BUILDING AND SUSTAINING A FINANCIAL LEGACY THAT SUPPORTS JOHN D. ARCHBOLD MEMORIAL HOSPITAL AND ITS AFFILIATED ENTITIES. ARCHBOLD MEDICAL GROUP, INC. EMPLOYS PHYSICIANS AND OTHER SUPPORT PERSONNEL TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES ESSENTIAL TO THE PREVENTION AND TREATMENT OF DISEASE FOR THE BENEFIT OF ALL INDIVIDUALS IN THE SERVICE AREA. ARCHBOLD MEDICAL GROUP, INC. ALSO SERVES AS THE SOLE MEMBER OF CCSG, INC. AND AMGIR, INC., BOTH 501(C)(3) ORGANIZATIONS WHICH OPERATE MEDICAL CLINICS.
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