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        <PersonNm>TODD EDENFIELD</PersonNm>
        <TitleTxt>VP ADMINISTRATOR PH</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>5.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>161183</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12677</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CYNTHIA BOOKOUT</PersonNm>
        <TitleTxt>VP HUMAN RESOURCES (UNTIL 11/18/23)</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>158049</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15493</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JACINTA TRAN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>298766</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18466</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PETER IZZO</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>267798</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22074</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LUKE COUCH</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>223938</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7820</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PHILLIP GILBERT</PersonNm>
        <TitleTxt>DIRECTOR PHARMACY</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>176034</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JULIET WHITTEN</PersonNm>
        <TitleTxt>ASSOCIATED DIRECTOR PHARMA</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>170667</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>3407</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2960700</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>188671</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>193</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MCKESSON</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>FILE 57256</AddressLine1Txt>
            <CityNm>LOS ANGELES</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>900747526</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DRUGS</ServicesDesc>
        <CompensationAmt>13590054</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HWL</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2655 NORTHWINDS PARKWAY</AddressLine1Txt>
            <CityNm>ALPHARETTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30009</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>NURSING AGENCY</ServicesDesc>
        <CompensationAmt>13148790</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>QUEST DIAGNOSTICS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4380 FEDERAL DRIVE SUITE 100</AddressLine1Txt>
            <CityNm>GREENSBORO</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>27410</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LABORATORY SERVICES</ServicesDesc>
        <CompensationAmt>8838587</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MEDLINE INDUSTRIES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>DEPT CH 14400</AddressLine1Txt>
            <CityNm>PALATINE</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>600554400</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SUPPLY SUPPLIER</ServicesDesc>
        <CompensationAmt>7672702</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HOUSTON HOSPITALIST GROUP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 740666</AddressLine1Txt>
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            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>303740666</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HOSPITALIST SERVICES</ServicesDesc>
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      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>204</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT REVENUE</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>275388144</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>275388144</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>621110</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>1460741</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>GEORGIA MEDICAID GME</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>817767</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>817767</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>EMPLOYEE PHARMACY</Desc>
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        <RelatedOrExemptFuncIncomeAmt>183362</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>EHR INCENTIVE</Desc>
        <BusinessCd>621300</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>-19188</RelatedOrExemptFuncIncomeAmt>
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      <TotalOthProgramServiceRevGrp>
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        <RelatedOrExemptFuncIncomeAmt>169654</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>278000480</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
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      <GrossRentsGrp>
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      <RentalIncomeOrLossGrp>
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      <NetRentalIncomeOrLossGrp>
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      <GrossAmountSalesAssetsGrp>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>757769</TotalRevenueColumnAmt>
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      <TotalRevenueGrp>
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        <ExclusionAmt>4377784</ExclusionAmt>
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        <ProgramServicesAmt>151500</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
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      <FeesForServicesLobbyingGrp>
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        <ProgramServicesAmt>91442</ProgramServicesAmt>
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      <InterestGrp>
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        <ProgramServicesAmt>540741</ProgramServicesAmt>
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        <ProgramServicesAmt>8451343</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>41339341</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>980743</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>PROVIDER TAX</Desc>
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        <ManagementAndGeneralAmt>3602971</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EQUIPMENT RENTAL</Desc>
        <TotalAmt>1391340</TotalAmt>
        <ProgramServicesAmt>1391340</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>8599045</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>280397426</ProgramServicesAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>2596142</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>17377790</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>77331558</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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      <TotalNetAssetsFundBalanceGrp>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
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      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
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      <FSAuditedBasisGrp>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleC documentId="RetDoc1039700001">
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      <PaidStaffOrManagementInd>0</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>0</DirectContactLegislatorsInd>
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      <OtherActivitiesInd>1</OtherActivitiesInd>
      <OtherActivitiesAmt>111656</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>111656</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>A PORTION OF DUES PAID TO MEMBERSHIP ORGANIZATIONS (SUCH AS THE GEORGIA HOSPITAL ASSOCIATION) IS ALLOCATED TO LOBBYING.</ExplanationTxt>
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    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <BookValueAmt>8483719</BookValueAmt>
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      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>187690090</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>122634576</DepreciationAmt>
        <BookValueAmt>65055514</BookValueAmt>
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      <LeaseholdImprovementsGrp>
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        <DepreciationAmt>2926330</DepreciationAmt>
        <BookValueAmt>463126</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>95511057</DepreciationAmt>
        <BookValueAmt>24913241</BookValueAmt>
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      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>15810122</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2404507</DepreciationAmt>
        <BookValueAmt>13405615</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>112321215</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>SELF-INSURANCE RESERVES</Desc>
        <Amt>17377790</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>17377790</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>HOUSTON HOSPITALS, INC. IS PART OF THE HOUSTON HEALTHCARE SYSTEM, INC. THE FOLLOWING IS A FOOTNOTE FROM THE COMBINED FINANCIAL STATEMENTS: THE SYSTEM APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE COMBINED FINANCIAL STATEMENTS 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 COMBINED BALANCE SHEETS FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF DECEMBER 31, 2023 AND 2022 OR FOR THE YEARS THEN ENDED. THE SYSTEM'S TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <FinancialAssistancePolicyInd>1</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>1</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>1</FPGReferenceFreeCareInd>
      <FreeCareOthPercentageGrp>
        <OtherInd>X</OtherInd>
        <FreeCareOtherPct>125.000000000000</FreeCareOtherPct>
      </FreeCareOthPercentageGrp>
      <FPGReferenceDiscountedCareInd>1</FPGReferenceDiscountedCareInd>
      <Percent300Ind>X</Percent300Ind>
      <FreeCareMedicallyIndigentInd>1</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>1</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>1</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>0</UnableToProvideCareInd>
      <AnnualCommunityBnftReportInd>1</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>1</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <PersonsServedCnt>15400</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>8621031</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>3746</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>8617285</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.02820</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <PersonsServedCnt>20185</PersonsServedCnt>
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      <TotalFinancialAssistanceTyp>
        <PersonsServedCnt>35585</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>50273529</TotalCommunityBenefitExpnsAmt>
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        <NetCommunityBenefitExpnsAmt>22048824</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.07210</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <ActivitiesOrProgramsCnt>41</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>19383</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>1446188</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>67794</DirectOffsettingRevenueAmt>
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      <HealthProfessionsEducationGrp>
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      <TotalOtherBenefitsGrp>
        <ActivitiesOrProgramsCnt>52</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>21396</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>9068611</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>3505403</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>6048773</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01980</TotalExpensePct>
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      <TotalCommunityBenefitsGrp>
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      <EconomicDevelopmentGrp>
        <ActivitiesOrProgramsCnt>1</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>41</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>15637</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>0</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>15637</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00010</TotalExpensePct>
      </EconomicDevelopmentGrp>
      <CommunitySupportGrp>
        <ActivitiesOrProgramsCnt>1</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>10</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>14198</TotalCommunityBenefitExpnsAmt>
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        <NetCommunityBenefitExpnsAmt>14198</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
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      <CoalitionBuildingGrp>
        <ActivitiesOrProgramsCnt>1</ActivitiesOrProgramsCnt>
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        <NetCommunityBenefitExpnsAmt>2218</NetCommunityBenefitExpnsAmt>
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      <WorkforceDevelopmentGrp>
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        <PersonsServedCnt>0</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>180030</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>0</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>180030</NetCommunityBenefitExpnsAmt>
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      <TotalCommuntityBuildingActyGrp>
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      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>0</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>31328282</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>0</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>54985046</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>60107441</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-5122395</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <OtherInd>X</OtherInd>
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      <WrittenDebtCollectionPolicyInd>1</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>1</FinancialAssistancePrvsnInd>
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      <HospitalFacilitiesGrp>
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          <CityNm>WARNER ROBINS</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>31093</ZIPCd>
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        <WebsiteAddressTxt>WWW.HHC.ORG</WebsiteAddressTxt>
        <StateLicenseNum>076-656</StateLicenseNum>
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        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
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      <HospitalFacilitiesGrp>
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        <BusinessName>
          <BusinessNameLine1Txt>HOUSTON HEALTHCARE - PERRY</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1120 MORNINGSIDE DRIVE</AddressLine1Txt>
          <CityNm>PERRY</CityNm>
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          <ZIPCd>31069</ZIPCd>
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        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
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      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>FACILITY REPORTING GROUP A</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FirstLicensedCYOrPYInd>0</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>0</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>1</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>23</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>1</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>1</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>0</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>WWW.HHC.ORG</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <RptAvailableThruOtherMethodInd>X</RptAvailableThruOtherMethodInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>23</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>WWW.HHC.ORG</StrategyWebsiteURLTxt>
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        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
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        <FPGFamilyIncmLmtDscntCarePct>300.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>WWW.HHC.ORG</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>WWW.HHC.ORG</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>WWW.HHC.ORG</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <OtherPublicityInd>X</OtherPublicityInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <OtherActionsTakenInd>X</OtherActionsTakenInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B</FormAndLineReferenceDesc>
        <ExplanationTxt>FACILITY REPORTING GROUP A</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY REPORTING GROUP A CONSISTS OF:</FormAndLineReferenceDesc>
        <ExplanationTxt>- FACILITY 1: HOUSTON HEALTHCARE - WARNER ROBINS, - FACILITY 2: HOUSTON HEALTHCARE - PERRY</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY REPORTING GROUP A PART V, SECTION B, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt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xplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY REPORTING GROUP A PART V, SECTION B, LINE 6A:</FormAndLineReferenceDesc>
        <ExplanationTxt>AS OF 2023, HOUSTON HEALTHCARE INCLUDES TWO LOCATIONS, HOUSTON HEALTHCARE-WARNER ROBINS AND HOUSTON HEALTHCARE-PERRY, WITH BOTH FACILITIES UNDER THE SAME BOARDS AND LEADERSHIP. BOTH HOSPITAL FACILITIES ARE LOCATED IN HOUSTON COUNTY AND SERVE THE SAME POPULATIONS. RESIDENTS CAN, AND OFTEN DO, UTILIZE BOTH FACILITIES ALONG WITH THE OTHER RESOURCES PROVIDED THROUGH HOUSTON HEALTHCARE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY REPORTING GROUP A PART V, SECTION B, LINE 7D:</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE CHNA WAS SHARED INTERNALLY WITH EXECUTIVE LEADERSHIP AND BOARDS AND IS POSTED ON THE HOUSTON HEALTHCARE WEBSITE. (WWW.HHC.ORG) PRESENTATIONS ON THE CHNA WERE SHARED WITH EXECUTIVE LEADERSHIP, THE COMMUNITY BENEFIT WORK GROUP, OTHER STAFF, COMMUNITY COALITIONS AND COMMUNITY GROUPS. PRESENTATIONS REGARDING COMMUNITY EDUCATION SERVICES AND THE COMMUNITY BENEFIT PROGRAM WERE MADE TO THE COUNTY LEADERSHIP PROGRAM, LEADERSHIP WARNER ROBINS, WHICH REPRESENTS VARIOUS INDUSTRIES AND ORGANIZATIONS THROUGHOUT HOUSTON COUNTY THAT ARE SEEN AS LEADERS IN OUR COMMUNITY. IN ADDITION, AN ARTICLE ABOUT THE CHNA WAS PLACED IN HOUSTON HEALTHCARE'S EXTERNAL PUBLICATION, "HOUSECALLS", WHICH WAS MAILED OUT TO OVER 20,000 HOUSEHOLDS IN MIDDLE GEORGIA.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY REPORTING GROUP A PART V, SECTION B, LINE 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS COMPLETED IN 2020 BY PRC. THE RELATED IMPLEMENTATION STRATEGY PLAN WAS ADOPTED IN NOVEMBER OF 2020 AND WENT INTO EFFECT IN TAX YEAR 2021, CONTINUING FOR 2021, 2022 AND 2023 AND INCLUDES AN ANNUAL WORK PLAN WITH GOALS, OBJECTIVES, EXPECTED OUTCOMES AS WELL AS ACTUAL OUTCOMES FOR THE YEAR. A THREE YEAR SCORE CARD WAS CREATED TO MEASURE LONG TERM PROGRESS IN MEETING THE GOALS AND OBJECTIVES OF THE 2020 PRC. A NEW CHNA WAS CONDUCTED IN 2023 WHICH WILL BE THE BASIS OF THE IMPLEMENTATION PLAN FOR 2024, 2025 AND 2026 TAX YEARS. THE FOCUS AREAS FOR HOUSTON HEALTHCARE'S IMPLEMENTATION PLAN ADDRESSED THESE NEEDS AND ALL ARE ADDRESSED DIRECTLY BY HOUSTON HEALTHCARE INITIATIVES EXCLUDING THE FOLLOWING FOUR AREAS OF NEEDS, WHICH ARE ADDRESSED BY OTHER COMMUNITY AGENCIES: (1) BEHAVIORAL HEALTH AND SUBSTANCE ABUSE- IS ADDRESSED WITH MIDDLE FLINT BEHAVIORAL HEALTH, DISTRICT PUBLIC HEALTH, RAFB FAMILY SERVICES, MIDDLE GEORGIA RESCUE MISSION, THE SUICIDE PREVENTION COALITION OF HOUSTON COUNTY AS WELL AS OTHERS WHO LEAD THESE EFFORTS. (2) SEXUALLY TRANSMITTED DISEASES-TREATMENT AND PREVENTION EDUCATION IS LED BY HOUSTON COUNTY HEALTH DEPARTMENT ALONG WITH DISTRICT PUBLIC HEALTH. (3)TRANSPORTATION TO HEALTHCARE SERVICES- IS PROVIDED BY PRIVATE COMPANIES, AS WELL AS SOME CHURCHES PROVIDING ASSISTANCE, ALONG WITH LOGISTICARE FOR MEDICAID RECIPIENTS, PERRY VOLUNTEER OUTREACH, AND THE AMERICAN CANCER SOCIETY FOR PERSONS DIAGNOSED WITH CANCER. HOUSTON HEALTHCARE'S "POPULATION HEALTH" INITIATIVE PROVIDES TAXI VOUCHERS TO AT RISK PATIENTS. (4) ACCIDENT PREVENTION/SAFETY- HOUSTON COUNTY SAFE KIDS LEADS THE EFFORTS ON CHILD SAFETY FOR ISSUES SUCH AS INFANT/CHILD CARE SEAT SAFETY, MEDICATION SAFETY, FIRE AND WATER SAFETY, CPR AND AED USE. A "HANDS-ONLY" CPR TRAINING WAS INITIATED COMMUNITY WIDE IN 2023 BY HOUSTON HEALTHCARE. DRIVING SAFETY CLASSES FOR ADULTS ARE PROVIDED BY AARP.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY REPORTING GROUP A PART V, SECTION B, LINE 16J:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 FINANCIAL ASSISTANCE POLICY IS POSTED ON THE FACILITY'S 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY REPORTING GROUP A PART V, SECTION B, LINE 20E:</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING 2015 HOUSTON HOSPITALS BEGAN USING PRESUMPTIVE ELIGIBILITY TO IDENTIFY PATIENTS ELIGIBLE FOR FREE CARE. THE FINANCIAL ASSISTANCE POLICY DETAILS PRESUMPTIVE ELIGIBILITY AS FOLLOWS: PRIOR TO THE ISSUANCE OF THE FIRST POST DISCHARGE BILLING STATEMENT, ALL UNINSURED PATIENT ACCOUNTS WILL BE REVIEWED USING PREDICTIVE ANALYTICS TO ESTIMATE THE HOUSEHOLD INCOME OF THE PATIENT/GUARANTOR. IF THE ESTIMATED HOUSEHOLD INCOME IS EQUAL TO, OR LESS THAN OR EQUAL TO, 125% OF FEDERAL POVERTY GUIDELINES, THE PATIENT SHALL NOT BE REQUIRED TO PAY FOR THEIR CARE. PRESUMPTIVE ELIGIBILITY DETERMINATIONS ARE BASED UPON PUBLICLY AVAILABLE INFORMATION FROM CREDIT BUREAUS, US CENSUS DATA, US POSTAL SERVICE, INSURANCE DATABASES, STATE AND LOCAL PUBLIC RECORDS, TELEPHONE COMPANY DATABASES AND THE WHITE PAGES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>7</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - HOUSTON LAKE MED-STOP</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2510 HIGHWAY 127</AddressLine1Txt>
            <CityNm>KATHLEEN</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>31047</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL-BASED URGENT CARE FACILITY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>2 - HOUSTON LAKE REHAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2510 HIGHWAY 127</AddressLine1Txt>
            <CityNm>KATHLEEN</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>31047</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL-BASED OUTPATIENT REHAB FACILITY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>3 - PAVILION MED-STOP</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>233 N HOUSTON ROAD SUITE 140</AddressLine1Txt>
            <CityNm>WARNER ROBINS</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>31093</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL-BASED URGENT CARE FACILITY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>4 - PAVILION REHAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>233 N HOUSTON ROAD SUITE 140</AddressLine1Txt>
            <CityNm>WARNER ROBINS</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>31093</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL-BASED OUTPATIENT REHAB FACILITY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>5 - PAVILION DIAGNOSTIC CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>233 N HOUSTON ROAD SUITE 140</AddressLine1Txt>
            <CityNm>WARNER ROBINS</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>31093</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL-BASED OUTPATIENT IMAGING CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>6 - LAKE JOY MED-STOP</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1118 HIGHWAY 96 WEST</AddressLine1Txt>
            <CityNm>KATHLEEN</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>31047</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL-BASED URGENT CARE FACILITY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>7 - HOUSTON HEALTHCARE IMAGING SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>114 SUTHERLIN DRIVE</AddressLine1Txt>
            <CityNm>WARNER ROBINS</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>31088</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL-BASED OUTPATIENT IMAGING CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 6A:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS IN THE PROCESS OF PREPARING A WRITTEN (ANNUAL) REPORT THAT DESCRIBES HOUSTON HEALTHCARE'S PROGRAMS AND SERVICES THAT PROMOTE THE HEALTH OF THE COMMUNITY. THE 2023 ANNUAL REPORT WILL BE AVAILABLE ON THE HOUSTON HEALTHCARE WEBSITE AS WELL AS DISTRIBUTED TO THE PUBLIC MID-YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>HOUSTON HEALTHCARE PROVIDES THE FREE STANDING FACILITY FOR THE HOUSTON COUNTY VOLUNTEER MEDICAL CLINIC. THIS CLINIC IS AN INTEGRAL PART OF OUR COMMUNITY HEALTHCARE SYSTEM AND PROVIDES FREE MEDICAL AND 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. IN ADDITION TO PROVIDING THE BUILDING, A HOUSTON HEALTHCARE STAFF MEMBER SERVES ON THE BOARD OF TRUSTEES FOR THE FREE HEALTH CLINIC. HOUSTON HEALTHCARE PROVIDES A SECRETARY FOR THE BOARD WHO TAKES MINUTES, AND COORDINATES MEETING PLANS AS WELL AS OTHER COMMUNICATION FOR THE BOARD MEETINGS. HOUSTON HEALTHCARE PROVIDES A COMMUNITY EDUCATION DEPARTMENT THAT PROVIDES FREE/LOW COST SERVICES AND EDUCATION FOR CHRONIC DISEASE MANAGEMENT, DISEASE PREVENTION, WELLNESS PROMOTION, AND COMMUNITY HEALTH SCREENINGS AND EDUCATION. THIS DEPARTMENT APPLIES FOR AND MANAGES A GRANT FOR MAMMOGRAPHY/DIAGNOSTIC TESTING AND ASSISTS WITH OBTAINING GRANTS AND OTHER FUNDING AS THEY BECOME AVAILABLE. A PHYSICIAN REFERRAL HOTLINE SERVES AS A CALL CENTER FOR INDIVIDUALS LOOKING FOR SPECIFIC HEALTH AND SUPPORT RELATED RESOURCES AVAILABLE IN THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>HOUSTON HEALTHCARE STAFF PROVIDE AND PARTICIPATE IN NUMEROUS COMMUNITY BUILDING ACTIVITIES. SOME EXAMPLES INCLUDE: 1. SERVING ON THE BOARD OF THE COMMUNITY FOUNDATION OF CENTRAL GEORGIA, WHICH WORKS TO BRING MEANINGFUL CHANGE TO HOUSTON COUNTY THROUGH LOCAL PHILANTHROPY. BOARD MEMBERS ALSO HELP DETERMINE GRANT ALLOCATIONS TO ORGANIZATIONS. 2023 GRANTS WERE PROVIDED TO FIRST CHOICE PRIMARY CARE, THE HALO GROUP, AND KEEP WARNER ROBINS BEAUTIFUL. 2. SERVING ON THE ROBINS REGIONAL CHAMBER OF COMMERCE BOARD, WHICH FOCUSES ON EDUCATION, BUSINESS DEVELOPMENT AND COMMUNITY AND GOVERNMENT AFFAIRS. HOUSTON HEALTHCARE ALSO WORKS DILIGENTLY TO RECRUIT NEEDED PHYSICIANS TO THE AREA AND CONDUCTS A "PHYSICIAN NEEDS ASSESSMENT" EVERY 3 YEARS TO DETERMINE THE GREATEST NEED FOR SPECIFIC HEALTH SERVICES IN HOUSTON COUNTY. THE PRIMARY PURPOSE OF THIS ASSESSMENT IS TO IDENTIFY GAPS IN PHYSICIAN SERVICES, UNDERSTAND THE DISTRIBUTION AND AVAILABILITY OF HEALTHCARE PROVIDERS, AND PLAN FOR THE RECRUITMENT AND RETENTION OF MEDICAL PROFESSIONALS TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITY. THE 2023 ASSESSMENT DETERMINED TARGETED NEEDS FOR PHYSICIANS IN THE AREAS OF URGENT CARE, FAMILY MEDICINE (INCLUDING A FAMILY MEDICINE FACILITY), OB/GYN, GASTROENTEROLOGY, GENERAL SURGERY, ANESTHESIOLOGY, UROLOGY, INTERNAL MEDICINE AND PSYCHIATRY. HOUSTON HEALTHCARE STAFF SERVE ON THE BOARD OF UNITED WAY WHICH WORKS TO ENSURE RESOURCES ARE AVAILABLE TO MEET THE NEEDS OF THE COMMUNITY. EACH YEAR HOUSTON HEALTHCARE EMPLOYEES PROMOTE AND RAISE FUNDS FOR ORGANIZATIONS SUCH AS UNITED WAY OF CENTRAL GEORGIA. COMMUNITY PHYSICAL IMPROVEMENTS- HOUSTON HEALTHCARE DEVELOPED THE OLD HOUSTON MALL WHICH IS A PHYSICAL IMPROVEMENT FOR THE COUNTY AS WELL AS MUCH NEEDED SPACE FOR HEALTH-RELATED SERVICES, COMMUNITY EDUCATION, SUPPORT GROUPS AND OTHER TRAINING, AS WELL AS PHYSICIAN PRACTICES INCLUDING FAMILY MEDICINE, UROLOGY, ENT, BEHAVIORAL HEALTH AND GENERAL SURGERY.HOUSTON HEALTHCARE COLLABORATED WITH THE HOUSTON COUNTY BOARD OF COMMISSIONERS TO PROVIDE FACILITIES THAT HOUSE FIRE, SHERIFF, AND EMS SERVICES FOR THE COMMUNITY. A NEW PUBLIC SAFETY COMPLEX AND MEDICAL OFFICE BUILDING OPENED IN BONAIRE DURING 2023 AND INCLUDES A FIRE STATION, EMS BAY WITH 24 HOUR AMBULANCE SERVICE AND SHERIFF'S OFFICE. THE "HOUSTON HEALTHCARE MEDICAL OFFICE BUILDING" NEXT DOOR HOUSES AN OB/GYN OFFICE AND A FAMILY CARE OFFICE AS WELL AS SPACE FOR FUTURE IMAGING AND LABORATORY SERVICES ON SITE.HOUSTON HEALTHCARE, ALONG WITH ATRIUM HEALTH NAVICENT, PROVIDED LARGE GIFTS TO THE CENTRAL GEORGIA TECHNICAL COLLEGE FOUNDATION AND CENTRAL GEORGIA TECHNICAL COLLEGE (CGTC) FOR A NEW HEALTH AND WELLNESS FACILITY ON THE CGTC WARNER ROBINS CAMPUS. ATRIUM HEALTH FIELD HOUSED AT THE ROY H. "SONNY" WATSON WELLNESS COMPLEX HOSTS A VARIETY OF SPORTS AND STUDENT ACTIVITIES AND BECAME THE FIRST FOOTBALL FIELD ON A TECHNICAL COLLEGE CAMPUS IN GEORGIA. THE COMPLEX AIDS IN LOCAL WORKFORCE DEVELOPMENT AS AN INVESTMENT IN FUTURE HEALTHCARE FOR THE COMMUNITY.A HOUSTON HEALTHCARE STAFF PERSON SERVES AS A BOARD MEMBER OF THE WORRALL FOUNDATION WHICH HAS THE GOAL OF PURCHASING LAND TO CREATE ADDITIONAL OUTDOOR PARKS IN THE AREA IN ORDER TO ENCOURAGE FAMILIES TO BECOME MORE PHYSICALLY ACTIVE. MOST RECENTLY COMPLETED PARKS AND TRAILS INCLUDE: HERITAGE PARK IN PERRY, 'THE WALK AT SANDY RUN' TRAIL IN WARNER ROBINS, CENTER PARK IN CENTERVILLE AND UPGRADES AND RENOVATIONS TO TED WRIGHT PARK AND MEMORIAL PARK. THERE HAVE ALSO BEEN RECENT UPGRADES TO SEVERAL PARK PLAYGROUNDS IN THE COUNTY. THERE ARE PLANS FOR MORE PARKS AND FITNESS TRAILS IN THE NEAR FUTURE. A NEW RECREATION/SPORTS COMPLEX (NORTH HOUSTON SPORTS COMPLEX) OPENED IN 2022.ECONOMIC DEVELOPMENT- HOUSTON HEALTHCARE WORKS DIRECTLY WITH THE WARNER ROBINS HOUSING AUTHORITY WHICH PROVIDES LOWER COST HOUSING FOR RESIDENTS WITH LIMITED INCOMES, BY PROVIDING HEALTH RELATED EDUCATIONAL CLASSES AND HEALTH SCREENINGS FOR THE RESIDENTS. HOUSTON HEALTHCARE STAFF SERVE ON THE FAMILY CONNECTIONS COALITION, WHICH ADDRESSES THE ISSUE OF THE HOMELESS, AND COLLABORATES WITH OTHER COMMUNITY PARTNERS AND THE VECTR CENTER TO IMPROVE NEIGHBORHOOD HOUSING.COMMUNITY SUPPORT: DISASTER READINESS BEYOND WHAT IS REQUIRED BY ACCREDITING BODIES- DISASTER READINESS PREPAREDNESS PROVIDED BY HOUSTON HEALTHCARE IS OVER AND ABOVE LICENSURE REQUIREMENTS AND INCLUDES COMMUNICATION AWARENESS EVENTS AND GENERAL EDUCATION AS WELL AS EFFORTS ABOVE LICENSURE RELATED TO THE COVID PANDEMIC. OTHER EFFORTS ABOVE LICENSURE INCLUDE 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. HOUSTON HEALTHCARE WARNER ROBINS, IS CERTIFIED AS A 'STORM READY' LOCATION BY THE NATIONAL WEATHER SERVICE, BECOMING JUST THE 5TH "COMMERCIAL" SITE IN THE STATE OF GEORGIA. HOUSTON HEALTHCARE PERRY RECEIVED "STORM READY" STATUS IN DECEMBER OF 2023 MAKING IT THE 8TH COMMERCIAL SITE IN GEORGIA. STORM READY ENCOURAGES COMMUNITIES TO TAKE A PROACTIVE APPROACH TO IMPROVING LOCAL HAZARDOUS WEATHER OPERATIONS AND PUBLIC AWARENESS IN PARTNERSHIP WITH THEIR LOCAL NATIONAL WEATHER SERVICE OFFICE. HOUSTON HEALTHCARE IS ALSO A CHEMPACK CONTAINER SITE, ONE OF 47 LOCATIONS IN THE STATE, IN COOPERATION WITH THE CDC CHEMPACK PROGRAM, GEORGIA DIVISION OF PUBLIC HEALTH THAT PROVIDES FIRST RESPONDERS AND FIRST RECEIVERS THE RESOURCES THEY NEED TO RAPIDLY RESPOND TO LARGE SCALE NERVE AGENT OR ORGANOPHOSPHATE PESTICIDE RELEASES. HOUSTON HEALTHCARE RECOGNIZES THAT PREPAREDNESS AND EMERGENCY MANAGEMENT EXTEND BEYOND THE LIMITS OF THE ORGANIZATION, THEREFORE PLANNING AND COORDINATION WILL CONTINUE WITH PARTNERS INCLUDING WITH, BUT NOT LIMITED TO HOUSTON COUNTY EMERGENCY MANAGEMENT AGENCY (HEMA), THE GEORGIA HOSPITAL ASSOCIATION AND THE GEORGIA DEPARTMENT OF PUBLIC HEALTH. LEADERSHIP DEVELOPMENT AND TRAINING- HOUSTON HEALTHCARE PARTICIPATES IN ROBINS REGIONAL AND PERRY AREA CHAMBER OF COMMERCE YOUTH AND ADULT LEADERSHIP PROGRAMS. A YOUTH VOLUNTEEN PROGRAM IS PROVIDED EVERY SUMMER FOR STUDENTS INTERESTED IN PURSUING HEALTH RELATED FIELDS. HOUSTON HEALTHCARE STAFF SERVE ON REGIONAL AREA COMMERCE BOARDS, WHICH FOCUS ON BUSINESS DEVELOPMENT, EDUCATION, AS WELL AS COMMUNITY AND GOVERNMENT AFFAIRS. HOUSTON HEALTHCARE STAFF ALSO SERVE ON BOARDS OF LOCAL COLLEGES AND TECHNICAL SCHOOLS INCLUDING THE HOUSTON COUNTY CAREER ACADEMY, MIDDLE GEORGIA STATE UNIVERSITY, GEORGIA COLLEGE AND STATE UNIVERSITY, AND CENTRAL GEORGIA TECHNICAL COLLEGE. HOUSTON HEALTHCARE PARTNERS WITH THE HOUSTON COUNTY CAREER ACADEMY, CENTRAL GEORGIA TECHNICAL COLLEGE AND THE HOUSTON COUNTY DEVELOPMENT AUTHORITY TO PROVIDE A "MORE THAN SCRUBS" SUMMIT TO 150 HIGH SCHOOL STUDENTS TO TEACH THEM ABOUT DIVERSE CAREERS IN HEALTHCARE. HOUSTON HEALTHCARE PROVIDES AN INTENSIVE 3-YEAR PHYSICIAN RESIDENCY PROGRAM FOR NEW DOCTORS AS WELL AS AN INTERN PROGRAM FOR MEDICAL STUDENTS. HOUSTON HEALTHCARE HAS VOLUNTEER CHAPLAINS FOR HOUSTON HEALTHCARE WARNER ROBINS AND HOUSTON HEALTHCARE PERRY WHO ARE COMMUNITY MEMBERS.COALITION BUILDING- COALITIONS INITIATED AND LED BY HOUSTON HEALTHCARE: FAITH COMMUNITY NURSES- THIS COALITION IS MADE UP OF VOLUNTEER REGISTERED NURSES SERVING CHURCHES IN THE CENTRAL GEORGIA AREA. HOUSTON HEALTHCARE PROVIDES AN ORIENTATION PROGRAM AS WELL AS MONTHLY MEETINGS AND TRAINING FOR THIS GROUP. THE FAITH COMMUNITY NURSES PROVIDE HEALTH EDUCATION AND SCREENINGS, AS WELL AS LINK PERSONS TO HEALTH RESOURCES. THIS GROUP SERVES AREA CHURCHES AND THEIR SURROUNDING NEIGHBORHOODS. IN ADDITION, THE GROUP ADDRESSES SOCIAL CONCERNS. (PROVIDING FOOD BANKS, CLOTHING CLOSETS, SOUP KITCHENS, ETC.) HOUSTON HEALTHCARE SERVES AS THE RESOURCE CENTER AND PARTNER FOR THESE ACTIVITIES.CENTRAL GEORGIA PERINATAL COALITION -THIS HOUSTON HEALTHCARE LED COALITION INCLUDES THE DEPARTMENT OF PUBLIC HEALTH, SCHOOL COUNSELORS, RAINBOW HOUSE, NURSE FAMILY PARTNERSHIP, ROBINS AIR FORCE BASE, LOCAL OB/GYN/MIDWIVES REPRESENTATIVES AND OTHERS. IT SEEKS TO PROVIDE OPTIMAL SERVICES FOR PREGNANT WOMEN AND DECREASE RATES OF PRE-TERM BIRTHS, AND OTHER POOR BIRTH OUTCOMES. THE COALITION ADDRESSES ACCESS TO CARE FOR ALL PREGNANT WOMEN, FOCUSES AND PROVIDES ADDITIONAL SERVICES/RESOURCES FOR WOMEN WHO ARE LOWER INCOME AND UNINSURED, AS WELL AS FOR WOMEN WHO HAVE A MEDICAL CONDITION THAT COMPLICATES THEIR PREGNANCY. INCREASED FOCUS IS ALSO ON THE IMPORTANCE OF BREASTFEEDING AND INCREASING POST-PARTUM MATERNAL SUPPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>WORKFORCE DEVELOPMENT- RECRUITMENT EFFORTS CONTINUE DUE TO PHYSICIAN SHORTAGES IN SPECIALTY AREAS AND PRIMARY CARE. EXAMPLES OF TARGETED AREAS INCLUDE: FAMILY MEDICINE (TRADITIONAL &amp; OUTPATIENT), OTOLARYNGOLOGY, OB/GYN, UROLOGY, INTERNAL MEDICINE, GASTROENTEROLOGY, URGENT CARE, GENERAL SURGERY, PSYCHIATRY, AND ANESTHESIOLOGY. EFFORTS MADE INCLUDE ADDING ANOTHER ENT, GENERAL SURGEON, AND A MENTAL HEALTH PROVIDER, A NEW INTERNAL MEDICINE PRACTICE, AND A NEW OB/GYN PRACTICE. HOUSTON HEALTHCARE PROVIDED DONATIONS IN 2023 TO ASSIST WITH COSTS OF INSTRUCTORS FOR HEALTH PROFESSIONAL TRAINING AT CENTRAL GEORGIA TECHNICAL COLLEGE AND MIDDLE GEORGIA STATE COLLEGE AND SERVES AS A CLINICAL SITE FOR SEVERAL HEALTH PROFESSIONS TO INCLUDE NURSING, PHARMACY, RADIOLOGY, RESPIRATORY THERAPY, PHYSICAL THERAPY AND OCCUPATIONAL THERAPY. HOUSTON HEALTHCARE STAFF OPERATE AS "CLINICAL INSTRUCTORS" TO FILL THE GAP AND MEET NEED OF STUDENT-TO-INSTRUCTOR RATIOS TO COMPLY WITH GEORGIA STANDARDS OF 10:1 FOR CLINICAL ROTATIONS. HOUSTON HEALTHCARE OFFERS A FAMILY MEDICINE RESIDENCY PROGRAM, WHICH PROVIDES CLINICAL AS WELL AS HANDS-ON PATIENT TRAINING TO PHYSICIANS ENTERING THE FIELD OF FAMILY MEDICINE, WHILE HELPING TO FULFILL A NEED FOR PRIMARY CARE PHYSICIANS IN THE MIDDLE GEORGIA AREA AND IMPROVE ACCESS TO HEALTHCARE FOR THE COMMUNITIES WE SERVE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ADDITION TO THE CHNA - OTHER METHODS UTILIZED IN OBTAINING HEALTH NEEDS OF THE COMMUNITY INCLUDED:*KEY INFORMANT SURVEY GROUP- THE FOCUS GROUP PARTICIPANTS INCLUDED KEY INFORMANTS-INCLUDING PHYSICIANS, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND BUSINESS AND COMMUNITY LEADERS. A LIST OF RECOMMENDED PARTICIPANTS FOR THE 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, MINORITIES AND OTHER MEDICALLY UNDERSERVED POPULATIONS.*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 INDICATOR 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 AND INCLUDED A RANDOM SAMPLE OF 200 INDIVIDUALS AGE 18 AND OLDER IN HOUSTON COUNTY. *PHYSICIAN COMMUNITY NEEDS ASSESSMENT- CONDUCTED EVERY 3 YEARS TO DETERMINE THE GREATEST NEED FOR SPECIFIC HEALTH SERVICES IN HOUSTON COUNTY. THE PRIMARY PURPOSE OF THIS ASSESSMENT IS TO IDENTIFY GAPS IN PHYSICIAN SERVICES, UNDERSTAND THE DISTRIBUTION AND AVAILABILITY OF HEALTHCARE PROVIDERS, AND PLAN FOR THE RECRUITMENT AND RETENTION OF MEDICAL PROFESSIONALS TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITY. *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-FAMILY CONNECTION COALITION, 4-SAFE KIDS COALITION 5-COMMUNITY BENEFIT WORK TEAM.RESOURCES FROM OTHER ORGANIZATIONS WERE REVIEWED TO PREVENT DUPLICATION OF SERVICES AND ENHANCE RESOURCES. RESOURCES OF OTHER ORGANIZATIONS WERE ALSO REVIEWED TO ENSURE IDENTIFIED NEEDS WERE MET. REVIEW OF OTHER COMMUNITY SURVEYS OR ASSESSMENTS CONDUCTED, WITH SOME EXAMPLES INCLUDING: *2019 GA KIDS COUNT DATA *GA DEPARTMENT OF PUBLIC HEALTH, NORTH CENTRAL HEALTH DISTRICT, HOUSTON COUNTY, HEALTH STATUS REPORT AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) *2021 COUNTY HEALTH RANKINGS AND ROADMAPS- ROBERT WOOD JOHNSON FOUNDATION*2022 MARCH OF DIMES PREMATURE BIRTH RATE FOR GEORGIA AND 2022 REPORT CARD*HEALTHY PEOPLE 2030*WARNER ROBINS COMMUNITY TRANSFORMATION PLAN - HOUSING DEVELOPMENT*SENIOR CARE SURVEYS 2022*COMMUNITY EDUCATION SURVEYS 2022REVIEW/EVALUATION OF THE PAST YEAR COMMUNITY BENEFIT OUTCOMES ALSO CONTRIBUTED TO THE TOTAL ASSESSMENT. OUR PROCESS INCLUDES THE COMPLETION OF THE 2020 CHNA (COMMUNITY HEALTH NEEDS ASSESSMENT) WITH PRIORITIES, AS WELL AS THE IMPLEMENTATION PLAN. IN ORDER TO EVALUATE OUR PROGRESS, HOUSTON HEALTHCARE DEVELOPED AN ANNUAL WORK PLAN WITH GOALS, OBJECTIVES, EXPECTED OUTCOMES AND ACTUAL OUTCOMES THE ANNUAL WORK PLAN (FOR 2023) WITH ACTUAL IMPACT IS ATTACHED AS AN ADDENDUM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 FINANCIAL ASSISTANCE 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>GEOGRAPHIC SERVICE AREA- HOUSTON HEALTHCARE SERVES THE MEDICAL NEEDS OF RESIDENTS IN THE CENTRAL GEORGIA AREA WITH THE PRIMARY SERVICE AREA BEING HOUSTON AND PEACH COUNTIES. RESIDENTS IN SURROUNDING COUNTIES ALSO TURN TO HOUSTON HEALTHCARE FOR THEIR MEDICAL SERVICES, WITH THESE COUNTIES INCLUDING BLECKLEY, CRAWFORD, DODGE, DOOLY, MACON, PULASKI, TAYLOR, TWIGGS AND BIBB COUNTY WHICH 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 OPERATIONS AND ACTIVITIES FOR THE HOUSTON HEALTHCARE SYSTEM.DEMOGRAPHICS - HOUSTON HEALTHCARE'S DIVERSE POPULATION SERVED INCLUDES: 57.5% WHITE, 35.2% BLACK, AND 7.7% HISPANIC. 51.6% OF THE POPULATION IS FEMALE. 35.1% IS LESS THAN 18 YEARS OF AGE WHILE 14.0% IS 65 YEAR OR OLDER. (US CENSUS BUREAU QUICK FACTS JULY 1, 2023) WITH 2,454 EMPLOYEES, HOUSTON HEALTHCARE IS THE 4TH LARGEST EMPLOYER IN HOUSTON COUNTY. ROBINS AIR FORCE BASE IS THE LARGEST WITH OVER 24,500 CONTRACTORS, CIVIL SERVICE AND MILITARY STAFF, FOLLOWED BY HOUSTON COUNTY BOARD OF EDUCATION WITH 5,500 TEACHERS AND STAFF. PERDUE FARMS, WITH OVER 2,520 POULTRY WORKERS, MANY OF WHOM ARE HISPANIC, IS THE 3RD LARGEST AND FRITO-LAY, PRODUCER OF SNACK FOOD WITH OVER 1,500 WORKERS IS THE 5TH LARGEST. (HOUSTON DEVELOPMENT AUTHORITY) THE POPULATION OF HOUSTON COUNTY IS ESTIMATED BY THE CENSUS REPORT AT 171,974 AS OF JULY 1, 2023, AN INCREASE OF 5.1% FROM THE 2020 CENSUS. THE MEDIAN HOUSEHOLD INCOME IS $76,968 PER YEAR AND A PER CAPITA INCOME OF $35,223 PER YEAR WITH 10.7% OF INDIVIDUALS LIVING BELOW THE FEDERAL POVERTY LEVEL (US CENSUS BUREAU QUICK FACTS JULY 1, 2023). THE LATEST CENSUS ESTIMATE SHOWS 12.8% (OR 5,194) OF HOUSTON COUNTY CHILDREN LIVE BELOW THE FEDERAL POVERTY LEVEL. (PRC 2023)THE FOUR LEADING CAUSES OF DEATH FROM 2020-2023 INCLUDE HEART DISEASE/STROKE, CANCER, COVID-19 AND ALZHEIMER 'S DISEASE. THE PRC COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS THAT AN AVERAGE OF 20% OF PERSONS IN HOUSTON COUNTY ARE DIAGNOSED WITH DIABETES WHICH IS AN INCREASING NUMBER AND 7.2% HAVE BEEN DIAGNOSED WITH PRE-DIABETES. GEORGIA ALSO CONTINUES WITH HIGHER RATES OF PRE-TERM DELIVERIES. HOUSTON COUNTY REPORTED A LOW BIRTH WEIGHT OF 9% FOR NEWBORNS WHICH IS MORE THAN THE 8.2% AVERAGE FOR THE US. HOUSTON COUNTY'S OVERALL RATE OF TOBACCO USAGE IS 12.3% WHICH IS LOWER THAN THE STATE AVERAGE OF 23.9% BUT VAPING CONTINUES TO BE HIGH AT 9.4% AMONG THE LOWER INCOME POPULATION. THE OBESITY RATE IN HOUSTON COUNTY RESIDENTS HAS DECREASED TO 45.8% (BMI&lt;30) AND OVERWEIGHT (BMI&lt;25) 78.5%. THESE FACTS DEMONSTRATE THE NEED FOR EDUCATION ON LIFESTYLE CHANGES RELATED TO NUTRITION, EXERCISE AND TOBACCO AVOIDANCE. THESE STATS AND OTHERS 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.OTHER HOSPITALS SERVING THE COMMUNITY- 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 CONTINUE TO HAVE POCKETS OF UNDERSERVED POPULATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>PROMOTION OF COMMUNITY HEALTH- HOUSTON HEALTHCARE BOARD MEMBERS ARE ACTIVE COMMUNITY MEMBERS, 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 ENABLE OUR ORGANIZATION TO PROVIDE MUCH NEEDED SERVICES AND BENEFITS TO MEET COMMUNITY NEEDS. AN OPEN MEDICAL STAFF ENABLES THE ORGANIZATION TO PROVIDE THE SERVICES NEEDED BY THE COMMUNITY AND ALLOWS NEEDED ACCESS TO THE INDIGENT, AS WELL AS MEDICARE, MEDICAID AND TRICARE POPULATIONS. HOUSTON HEALTHCARE SUPPORTS THE VOLUNTEER MEDICAL CLINIC BY PROVIDING A BUILDING FOR THE FREE CLINIC AS WELL AS ACCEPTING REFERRALS FROM THE CLINIC FOR REQUIRED SERVICES SUCH AS RADIOLOGY AND LAB.ADVOCACY INITIATIVES ARE ONGOING TO IMPROVE HEALTH AND INCREASE ACCESS THROUGH LOCAL PARTNERSHIPS WITH OTHERS IN THE COMMUNITY INCLUDING PUBLIC HEALTH AND ROBINS AIR FORCE BASE. HOUSTON HEALTHCARE COLLABORATES WITH ROBINS AIR FORCE BASE THROUGH RELAY HEALTH (ACCESS MEDICAL RECORDS), MENTAL HEALTH COLLABORATION EFFORTS TO IMPROVE TRANSITION OF CARE, PHYSICIAN GRAND ROUNDS, EDUCATIONAL TRAINING CLASSES AND MOU FOR PHYSICAL THERAPY TECHNICIANS.HOUSTON HEALTHCARE PROVIDES HEALTH EDUCATION THROUGH A SPEAKERS BUREAU WHICH INCLUDES TOPICS THAT ADDRESS HEALTH CONCERNS RELATED TO HEART HEALTH, STROKE, DIABETES, CANCER PREVENTION, BRAIN AND MENTAL HEALTH, AND HEALTH PROMOTION TO ANY GROUP OR ORGANIZATION IN THE COMMUNITY. THE SPEAKERS BUREAU ALSO FACILITATES REQUESTS FOR "HANDS-ONLY CPR", AN INITIATIVE STARTED IN 2022, TO INCREASE POSITIVE OUTCOMES OF OUT-OF-HOSPITAL CARDIAC EVENTS IN THE COMMUNITY. EDUCARE, A DEPARTMENT DESIGNATED BY HOUSTON HEALTHCARE FOR COMMUNITY EDUCATION, PROVIDES CLASSES TO ADDRESS PREVENTION AND MANAGEMENT OF CHRONIC DISEASE, WELLNESS PROMOTION AND HEALTHY LIVING FROM CHILDBIRTH THROUGH SENIOR CARE . THE EDUCARE DEPARTMENT ALSO PROVIDES HEALTH SCREENINGS/HEALTH FAIRS TO LOCAL INDUSTRY, FAITH BASED GROUPS, AS WELL AS VULNERABLE POPULATIONS INCLUDING FOOD PANTRIES/SHELTERS, SENIOR CENTERS AND GROUPS AND MATERNAL SUPPORT ORGANIZATIONS. AN EXTENSIVE SENIOR EXERCISE PROGRAM IS PROVIDED AT NO COST TO PARTICIPANTS. 2023 INCLUDED THE SECOND #HOUSTONHEALTHY 5K/FUN RUN AND WELLNESS EXPO TO ENCOURAGE ACTIVITY AND PROMOTE HEALTHY OPTIONS AVAILABLE IN HOUSTON COUNTY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>HOUSTON HEALTHCARE IS NOT AFFILIATED WITH ANY OTHER HEALTH CARE SYSTEM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7, REPORTS FILED WITH STATES</FormAndLineReferenceDesc>
        <ExplanationTxt>GA</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MIDDLE GEORGIA STATE UNIVERSITY FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>100 UNIVERSITY PARKWAY</AddressLine1Txt>
          <CityNm>MACON</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>31206</ZIPCd>
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        <RecipientEIN>237066010</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>75000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>NURSING EDUCATION</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CENTRAL GEORGIA TECHNICAL COLLEGE FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3300 MACON TECH DRIVE</AddressLine1Txt>
          <CityNm>MACON</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>31206</ZIPCd>
        </USAddress>
        <RecipientEIN>581923671</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>75000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>NURSING EDUCATION</PurposeOfGrantTxt>
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      <Total501c3OrgCnt>2</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS GUIDELINES IN PLACE THAT ARE USED IN REVIEWING THE ELIGIBILITY AND APPROPRIATENESS OF GRANTEES AND CONTRIBUTION RECIPIENTS. GRANTS ARE NOT MADE TO INDIVIDUALS OR POLITICAL ORGANIZATIONS, BUT TO CHARITIES AND RELATED ORGANIZATIONS THAT COMPLEMENT AND/OR FURTHER THE MISSION OF HOUSTON HEALTHCARE AND REFLECT POSITIVELY ON OUR ORGANIZATION. EACH GRANT IS MADE ON AN ANNUAL BASIS. ALL GRANTS REQUIRE WRITTEN DOCUMENTATION OF APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>A COMPREHENSIVE REVIEW OF THE CEO'S TOTAL COMPENSATION IS CONDUCTED BY THE MINUTES REFLECTING THE DELIBERATIONS OF THE COMMITTEE ARE RECORDED AND DIRECTORS. IN CONSIDERING AN ADJUSTMENT TO THE COMPENSATION PACKAGE FOR THE INCLUDING THE GEORGIA VHA EXECUTIVE COMPENSATION SURVEY-CEO, THE GEORGIA BENEFITS AND COMPENSATION COMMITTEE OF HOUSTON HEALTHCARE SYSTEM, INC. FILED. THE COMMITTEE IS COMPRISED OF THREE MEMBERS OF THE BOARD OF CEO, VARIOUS STUDIES ARE CONSIDERED AND FACTORED INTO THE FINAL DECISION, HOSPITAL ASSOCIATION SURVEY OF EXECUTIVE COMPENSATION, AND AN EXECUTIVE SALARY SURVEY OF GEORGIA HOSPITAL EXECUTIVES CONDUCTED ANNUALLY BY HR ADVANTAGE, A COMPENSATION CONSULTANT WITH NATION-WIDE REACH. ALL OF THE ENTITIES AND INDIVIDUALS PROVIDE COMPENSATION DATA INDEPENDENT OF THE OTHERS. SUBSEQUENT TO THE REVIEW, A RECOMMENDATION REGARDING THE CEO'S COMPENSATION IS REVIEWED AND MODIFIED/APPROVED BY THE BOARD OF DIRECTORS OF HOUSTON HOSPITALS, INC. A SIMILAR PROCESS IS EMPLOYED FOR THE CFO. THE REVIEWS ARE PERFORMED ON AN ANNUAL BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>STEPHEN TETTEH</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER OF OFFICER</RelationshipDescriptionTxt>
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        <TransactionDesc>EMPLOYMENT</TransactionDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART V:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL TRANSACTIONS ARE AT FAIR MARKET VALUE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS OF HOUSTON HEALTHCARE SYSTEM, INC., A RELATED 501(C)(3) ORGANIZATION, APPOINTS THE BOARD OF DIRECTORS OF HOUSTON HOSPITALS, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS OF HOUSTON HEALTHCARE SYSTEM, INC., A RELATED 501(C)(3) ORGANIZATION, APPOINTS THE BOARD OF DIRECTORS OF HOUSTON HOSPITALS, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>CERTAIN ACTIONS OF THE BOARD OF DIRECTORS OF HOUSTON HOSPITALS, INC. MUST BE APPROVED BY THE BOARD OF DIRECTORS OF HOUSTON HEALTHCARE SYSTEM, INC., A RELATED 501(C)(3) ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A DRAFT OF THE FORM 990 IS PREPARED BY AN INDEPENDENT TAX ACCOUNTANT AND SENT TO THE OFFICERS FOR REVIEW. AFTER REVIEW AND COMMENTS FROM THE OFFICERS, THE RETURN IS FINALIZED. PRIOR TO FILING, A COPY OF THE FINALIZED RETURN IS PROVIDED TO THE ORGANIZATION'S BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ON AN ANNUAL BASIS, BOARD MEMBERS COMPLETE A CONFLICT OF INTEREST STATEMENT DISCLOSING ANY POTENTIAL CONFLICTS. THE STATEMENTS ARE REVIEWED BY MANAGEMENT FOR DISCLOSURES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>A COMPREHENSIVE REVIEW OF THE CEO'S TOTAL COMPENSATION IS CONDUCTED BY THE BENEFITS AND COMPENSATION COMMITTEE OF HOUSTON HEALTHCARE SYSTEM, INC. MINUTES REFLECTING THE DELIBERATIONS OF THE COMMITTEE ARE RECORDED AND FILED. THE COMMITTEE IS COMPRISED OF THREE MEMBERS OF THE BOARD OF DIRECTORS. IN CONSIDERING AN ADJUSTMENT TO THE COMPENSATION PACKAGE FOR THE CEO, VARIOUS STUDIES ARE CONSIDERED AND FACTORED INTO THE FINAL DECISION, INCLUDING GA VHA EXECUTIVE COMPENSATION SURVEY, THE GHA SURVEY OF COMPENSATION SURVEY, AND AN EXECUTIVE SALARY SURVEY CONDUCTED HR ADVANTAGE, A COMPENSATION CONSULTANT WITH NATION-WIDE REACH. ALL OF THE ENTITIES AND INDIVIDUALS PROVIDED COMPENSATION DATA INDEPENDENT OF THE OTHERS. SUBSEQUENT TO THE REVIEW, A RECOMMENDATION REGARDING THE CEO'S COMPENSATION IS REVIEWED AND MODIFIED/APPROVED BY THE BOARD OF DIRECTORS OF HOUSTON HEALTHCARE SYSTEM, INC. A SIMILAR PROCESS IS EMPLOYED FOR THE COO AND CFO. THE REVIEWS ARE PERFORMED ON AN ANNUAL BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND ANNUAL FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER FEES: PROGRAM SERVICE EXPENSES 37,742,075. MANAGEMENT AND GENERAL EXPENSES 5,429,724. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,171,799.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN PENSION OBLIGATION 6,035,293. BOOK TO TAX DIFFERENCE - HOUSTON ASC 386,054.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE HAS BEEN NO CHANGE IN EITHER THE OVERSIGHT OR SELECTION PROCESS.</ExplanationTxt>
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