4A (Expenses $ 23956645 including grants of $ 0) (Revenue $ 25774372)
HAMPTON REGIONAL MEDICAL CENTER PROVIDES EXTENSIVE COMMUNITY BENEFITS IN MANY FORMS, INCLUDING CHARITY CARE, HEALTH EDUCATION, COMMUNITY SPONSORSHIPS, AND NUMEROUS COMMUNITY OUTREACH PROGRAMS WHICH DIRECTLY BENEFIT THE PEOPLE IN THE SERVICE AREA OF THE HOSPITAL.STRIVING TO CONTINUALLY IMPROVE THE HEALTH OF ALL COMMUNITIES SERVED, HRMC IS ACTIVE IN A VARIETY OF COMMUNITY ORGANIZATIONS, INCLUDING THE REDISCOVER HAMPTON COALITION AND THE HAMPTON COUNTY PURE COALITION. COMPRISED OF VARIOUS STAKEHOLDERS WITHIN HAMPTON COUNTY, THE REDISCOVER HAMPTON COALITION IS DEDICATED TO INCREASING ACCESS TO HEALTHIER FOODS AND SAFE, ACCESSIBLE PLACES FOR PHYSICAL ACTIVITY FOR COMMUNITY RESIDENTS. IN CONTRAST, THE HAMPTON COUNTY PURE (PREVENTING AN UNHEALTHY RURAL ENVIRONMENT) COALITION IS A COLLABORATIVE PARTNERSHIP OF COMMUNITY LEADERS THAT FOCUSES PRIMARILY ON COMBATING ALCOHOL AND SUBSTANCE MISUSE IN THE SERVICE AREA THROUGH PREVENTION AND INTERVENTION. WELLNESS AND SUBSTANCE ABUSE ARE HIGH PRIORITY HEALTHCARE ISSUES IN THE HOSPITAL'S SERVICE AREA. FOCUSED ON BUILDING COMMUNITY PARTNERSHIPS, HRMC SUPPORTS THE LOCAL ROTARY CLUB, LIONS CLUB, FRIENDS OF HOSPICE, LIFE POINT, COUNCIL ON AGING, CHAMBER OF COMMERCE, AND A VARIETY OF OTHER COMMUNITY ORGANIZATIONS. THE HOSPITAL IS AN INTEGRAL PART OF THE HAMPTON COUNTY LEADERSHIP PROGRAM, WHICH IS SPONSORED BY THE USC SALKEHATCHIE LEADERSHIP INSTITUTE.HRMC IS ALSO A KEY MEMBER OF THE HAMPTON COUNTY CHAMBER OF COMMERCE, MAINTAINING AN ACTIVE MEMBERSHIP AS WELL AS PARTICIPATION IN A VARIETY OF ACTIVITIES, INCLUDING SPONSORSHIP OF A QUARTERLY MEETING ON THE HOSPITAL'S CAMPUS EACH YEAR FOR THE CHAMBER MEMBERS.FROM COMPREHENSIVE EDUCATIONAL INITIATIVES TO AWARENESS CAMPAIGNS AND HEALTH FAIRS, THE HOSPITAL PROMOTES A SAFE, AND HEALTHY COMMUNITY THROUGH EDUCATION AND OUTREACH. HRMC SPONSORS A WEEKLY DIABETIC EDUCATIONAL WORKSHOP THAT FOCUSES ON TOPICS RELATED TO DIABETES SELF-CARE. THESE MEETINGS ARE HELD WEEKLY AND ARE FREE OF CHARGE TO ANYONE IN THE COMMUNITY. OUR COMMUNITY HAS A HIGH PREVALENCE OF DIABETES AND RELATED DISEASES, AND THIS HAS BEEN IDENTIFIED AS A HIGH PRIORITY HEALTHCARE ISSUE IN OUR COMMUNITY HEALTH NEEDS ASSESSMENT. EACH JUNE, A HEAT STROKE PREVENTION CAMPAIGN IS ORGANIZED ANNUALLY BY THE HOSPITAL AS A PREVENTATIVE MEASURE AGAINST HEAT ILLNESS DURING THE SUMMER MONTHS. DURING THE TOWN'S WATERMELON FESTIVAL, FREE BOTTLED WATER, EDUCATIONAL MATERIALS, AND OVER 2,000 HAND FANS ARE DISTRIBUTED TO MEMBERS OF THE COMMUNITY BY THE HOSPITAL. THROUGHOUT THE YEAR, THE HOSPITAL PROVIDES FREE PUBLIC HEALTH EDUCATION PROGRAMS ON A VARIETY OF HEALTH TOPICS. WORKING CLOSELY WITH KEY COMMUNITY STAKEHOLDERS, SUCH AS THE COUNCIL ON AGING AND THE LOCAL SCHOOL DISTRICT, HRMC PROVIDES STROKE EDUCATION IN VARIOUS SETTINGS, IN HOPES OF INCREASING AWARENESS OF HOW TO IDENTIFY THE SIGNS AND SYMPTOMS OF STROKE. THE HOSPITAL IS AN ACCREDITED ACUTE STROKE READY HOSPITAL. STROKE READY CERTIFICATION ENABLES US TO ADDRESS THE HIGH PREVALENCE OF STROKES IN OUR AREA. DESIGNATION OF STROKE CERTIFICATION CREATES A CLINICAL CARE TEAM WITH A CONSISTENT APPROACH TO CARE THEREBY REDUCING VARIATION AND DELAY IN CARE WITH ACUTE STROKE PATIENTS. TRADITIONALLY, A HEALTH FAIR IS HELD ANNUALLY OFFERING DISCOUNTED BLOOD TESTS AND RADIOLOGY EXAMS TO THE COMMUNITY. A WIDE RANGE OF ADDITIONAL SERVICES ARE OFFERED INCLUDING FREE DENTAL EXAMS, SKIN CANCER SCREENINGS, AND MORE. NUMEROUS HEALTHCARE VENDORS PARTICIPATE. TO ENSURE THE SAFETY OF OUR PATIENTS, STAFF, AND COMMUNITY, THE ANNUAL HEALTH FAIR WAS SUSPENDED DUE TO COVID-19 AND TO DATE HAS NOT RESUMED.THE HOSPITAL ACTIVELY PARTICIPATES WITH THE LOCAL TECHNICAL COLLEGE AND PROVIDES CLINICAL ROTATIONS FOR NURSING STUDENTS, SURGICAL TECH STUDENTS, AND RADIOLOGY TECH STUDENTS. HRMC ALSO PROVIDES CLINICAL ROTATIONS FOR STUDENTS ENROLLED IN THE UNIVERSITY OF SOUTH CAROLINA'S BACHELOR OF SCIENCE IN NURSING DEGREE PROGRAM. LOCALLY, THE HOSPITAL PARTICIPATES IN CAREER FAIRS AND OTHER SCHOOL-RELATED EVENTS THROUGHOUT THE AREA. AFFILIATED WITH THE ANDREW TAYLOR STILL SCHOOL OF OSTEOPATHIC MEDICINE'S BEAUFORT CAMPUS, HRMC SERVES, AT NO COST, AS A RURAL TRAINING HOSPITAL FOR MEDICAL STUDENTS. HOSPITAL STAFF SPEND HUNDREDS OF HOURS EACH YEAR MENTORING THESE STUDENTS. AN AVID SPONSOR, HRMC PROVIDES HUMAN AND FINANCIAL RESOURCE SUPPORT TO COMMUNITY EVENTS, SUCH AS LOCAL FESTIVALS, AND A LOCAL ADOPT A CHILD PROGRAM. LOCALLY, THE HOSPITAL PLAYS A SIGNIFICANT ROLE IN PROVIDING MUCH-NEEDED SUPPORT TO FAMILIES, INCLUDING HAMPTON COUNTY'S TOYS FOR TOTS CAMPAIGN AND OTHER RELIEF EFFORTS. HRMC PARTICIPATES IN THE LOCAL TOYS FOR TOTS CAMPAIGN BY DONATING AN ASSORTMENT OF TOYS TO LOCAL YOUTH, IN HOPES OF SPREADING HOLIDAY CHEER TO LESS FORTUNATE FAMILIES DURING THE CHRISTMAS SEASON.THE HOSPITAL PROVIDES MEETING ROOMS FOR VARIOUS COMMUNITY ORGANIZATIONS SUCH AS ROTARY, HAMPTON COUNTY LEADERSHIP, ALALA BREAST CANCER CLINIC, AND LOWCOUNTRY COUNCIL OF GOVERNMENTS. MEETING ROOM SPACE IS ALSO PROVIDED TO BE USED AS A DISTANT LEARNING CENTER.

HAMPTON REGIONAL MEDICAL CENTER
PART V, SECTION B, LINE 5: PERSONS REPRESENTING SPECIAL NEEDS GROUPS SUCH AS MEDICAID RECIPIENTS, THE ELDERLY, MINORITIES, LAW ENFORCEMENT, COUNTY GOVERNMENT, AND OTHERS WERE CONSULTED IN PREPARING THE CHNA. MEETINGS, INTERVIEWS, AND SURVEYS WERE OBTAINED FROM MEMBERS REPRESENTING THESE GROUPS.

HAMPTON REGIONAL MEDICAL CENTER
PART V, SECTION B, LINE 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.HAMPTON REGIONAL MEDICAL CENTER ROUTINELY CONDUCTS COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) TO HELP US WORK TOWARDS EXPANDING AND IMPROVING THE SERVICES WE OFFER AND TO BETTER MEET THE HEALTH NEEDS OF THE COMMUNITY WE SERVE. IN RESPONSE TO OUR CHNA, AN IMPLEMENTATION PLAN WAS CREATED TO IDENTIFY SPECIFIC ACTIVITIES AND SERVICES WHICH DIRECTLY IMPACT THE COMMUNITY IN WHICH WE SERVE. YEAR ROUND, WE GAIN INSIGHT INTO THE COUNTY'S UNMET HEALTH NEEDS BY BEING INVOLVED IN COMMUNITY BOARDS, PARTNERSHIPS, AND ADVISORY GROUPS. WE ALSO GATHER DATA THAT INCLUDES POPULATION DEMOGRAPHICS, SOCIO-ECONOMIC FACTORS, AND THE USE OF HEALTH SERVICES. OUR PLAN WAS CREATED BY STUDYING THE HEALTH NEEDS IDENTIFIED THROUGH OUR CHNA AND CONSIDERED HRMC'S OVERALL STRATEGIC PLAN AND THE AVAILABILITY OF RESOURCES WITHIN AND OUTSIDE THE COMMUNITY. HIGH PRIORITY HEALTHCARE ISSUES IDENTIFIED IN THE MOST RECENT CHNA INCLUDE CANCER, HEART DISEASE, HEALTH EDUCATION AND WELLNESS. THE MOST RECENT CHNA WAS CONDUCTED IN 2022. CANCER IS THE LEADING CAUSE OF DEATH IN HAMPTON COUNTY. IN 2019, HRMC RECOGNIZED THIS DISEASE AS THE NUMBER ONE ISSUE TO ADDRESS AND IT CONTINUES TO BE AN IMPORTANT ISSUE. HRMC HAS DEVELOPED AN ONCOLOGY/INFUSION PROGRAM TO ADDRESS THIS ISSUE. ACTIVE PROMOTION AND EDUCATION IN THE COMMUNITY IS ONGOING. HEART DISEASE IS THE SECOND LEADING CAUSE OF DEATH IN HAMPTON COUNTY. HRMC HAS FURTHER DEVELOPED OUR CARDIOLOGY PROGRAM WITH A FULL-TIME CARDIOLOGIST ON SITE. HRMC IS ALSO ABLE TO OFFER MINOR HEART RELATED TESTING AND PROCEDURES. PROMOTING A HEALTHY LIFESTYLE THROUGH EDUCATION, DIET, AND EXERCISE ARE ALSO BEING ADDRESSED FOR BOTH HEART DISEASE AND DIABETES. WELLNESS- UNLIKE CANCER, BOTH DIABETES AND HEART DISEASE(STROKE) CAN BE PREVENTED BY ENCOURAGING A HEALTHY LIFESTYLE THROUGH DIET AND EXERCISE. HRMC CONTINUES TO PROMOTE A HEALTHY LIFESTYLE THROUGH ITS EXISTING RESOURCES, SUCH AS DIETARY EDUCATION, BLOOD SCREENING, AND TAKING THE LEAD ON OUTREACH PROGRAMS. HRMC HAS FOCUSED ITS EFFORTS ON EDUCATION AND DIABETES, BY HOSTING FREE WORKSHOPS ON-SITE TO PROMOTE DIABETES MANAGEMENT. THESE FREE CLASSES ARE HELD WEEKLY AND ARE OPEN TO THE PUBLIC. HRMC ALSO OFFERS ONE-ON-ONE DIABETIC COUNSELING SERVICES.WELLNESS BEGINS EARLY. HRMC BELIEVES THAT ADDRESSING ISSUES EARLY AND TEACHING HEALTHY LIFESTYLES EARLY WILL LEAD TO BETTER OUTCOMES. OUR PEDIATRICIAN PROMOTES HEALTH EDUCATION IN THE OFFICE AND COMMUNITY AT EVENTS THROUGHOUT THE YEAR. HRMC CONTINUES TO WORK ON ACCESS TO CARE AND HAS CONTRACTED WITH A SERVICE TO PAY FOR TRANSPORT OF UNINSURED PATIENTS TO OTHER FACILITIES WHEN ADDITIONAL CARE IS NEEDED. WE ALSO HAVE PLANS UNDERWAY TO GREATLY EXPAND OUR TELEHEALTH PROGRAM AND THE SERVICES AVAILABLE THRU TELEHEALTH. MANY OTHER PROJECTS ARE UNDERWAY, BUT LIMITED RESOURCES IN THE AREA AS WELL AS LIMITED RESOURCES TO IMPLEMENT AND MAINTAIN PROGRAMS CONTINUE TO BE AN ISSUE. THE HOSPITAL IS AN ACCREDITED ACUTE STROKE READY HOSPITAL. STROKE READY CERTIFICATION ENABLES US TO ADDRESS THE HIGH PREVALENCE OF STROKES IN OUR AREA. DESIGNATION OF STROKE CERTIFICATION CREATES A CLINICAL CARE TEAM WITH A CONSISTENT APPROACH TO CARE THEREBY REDUCING VARIATION AND DELAY IN CARE WITH ACUTE STROKE PATIENTS.

HAMPTON REGIONAL MEDICAL CENTER
PART V, SECTION B, LINE 20E: FINANCIAL ASSISTANCE PACKETS ARE ALSO MAILED TO PATIENTS AND HRMC ALSO ATTEMPTS TO CONTACT PATIENTS BY PHONE. PATIENTS ARE SENT NUMEROUS STATEMENTS AND LETTERS BEFORE ANY FURTHER COLLECTION ACTION IS TAKEN.

HAMPTON REGIONAL MEDICAL CENTER:
PART V SECTION B LINE 22D: ANY INDIVIDUAL PRESENTING FOR CARE AT HRMC WITHOUT HEALTH INSURANCE IS GIVEN A 20% ADJUSTMENT REGARDLESS OF THE SERVICE PROVIDED. THIS IS APPLIED AUTOMATICALLY, AND NO ACTION IS REQUIRED BY THE PATIENT TO RECEIVE THIS DISCOUNT. PATIENTS ARE ALSO ELIGIBLE FOR AN ADDITIONAL 10% DISCOUNT IF THEY PAY THE BALANCE IN FULL UPON REQUEST. ADDITIONAL DISCOUNTS ARE ALSO APPLIED BASED ON A SLIDING SCALE.

PART I, LINE 3C:
IN ADDITION TO USING THE FEDERAL POVERTY LEVEL (FPL) TO DETERMINE FREE AND DISCOUNTED CARE, (SEE PART I, LINES 3A AND 3B) THE HOSPITAL ALSO OFFERS A 20% DISCOUNT FOR UNINSURED PATIENTS AND AN ADDITIONAL DISCOUNT FOR PROMPT PAYMENT.

PART II, COMMUNITY BUILDING ACTIVITIES:
COMMUNITY BUILDING ACTIVITIES: DESCRIBE HOW THE ORGANIZATION'S COMMUNITY BUILDING ACTIVITIES, AS REPORTED IN PART II, PROMOTE THE HEALTH OF THE COMMUNITIES WE SERVE. HRMC CONTINUES TO BE A SIGNIFICANT COMMUNITY PARTNER, INVOLVED IN ACTIVITIES SUCH AS ROTARY CLUB, CHAMBER OF COMMERCE, RELAY FOR LIFE, FRIENDS OF HOSPICE, & LOCAL SCHOOLS AND COLLEGES. IN SUPPORTING THESE ORGANIZATIONS WE CAN SUPPORT THE DEVELOPMENT OF OUR COMMUNITY BY BRINGING IN NEW INDUSTRIES AND JOBS, INCREASING THE AVERAGE HOUSEHOLD INCOME, AND IMPROVING LIVING CONDITIONS AND THE OVERALL GENERAL HEALTH OF THE COMMUNITY. TO PROMOTE WORKFORCE DEVELOPMENT, WE PARTICIPATE WITH LOCAL HIGH SCHOOLS IN HOSTING THEIR HEALTH OCCUPATION STUDENTS, PARTICIPATE IN CAREER DAYS, HOST STUDENTS FOR ON THE JOB SHADOWING, AND PARTICIPATE AS A TRAINING SITE FOR SEVERAL COLLEGES. DESPITE THE POOR ECONOMIC CIRCUMSTANCES IN HAMPTON, HRMC HAS GROWN INTO A MODERN, STATE-OF-THE-ART HEALTHCARE FACILITY THAT PROVIDES THE HIGHEST QUALITY CARE TO ITS PATIENTS. BUILT IN 2008, HRMC'S NEW FACILITY REPLACED A CRUMBLING 1950'S FACILITY THAT COULD NOT OFFER THE EXPANDED SERVICES WE ARE NOW CAPABLE OF OFFERING TO THE COMMUNITY. HRMC NOW PROVIDES SERVICES TO THE COMMUNITY THAT WAS ONCE ONLY AVAILABLE IN LARGER FACILITIES 60-80 MILES AWAY. SOME OF THESE SERVICES INCLUDE AN INTENSIVE CARE UNIT (ICU), 24-HOUR EMERGENCY CARE, STATE-OF-THE-ART DIAGNOSTIC IMAGING, AND A FULL-SERVICE LABORATORY. HRMC ALSO PROVIDES INPATIENT DIALYSIS SERVICES, OUTPATIENT ENDOCRINOLOGY SERVICES, AND INPATIENT HOSPITALIST SERVICES VIA TELEHEALTH. THE DEVELOPMENT OF OUR FACILITY NOT ONLY SERVES THE GROWTH IN POPULATION, BUT ALSO IMPROVES THE QUALITY OF PATIENT CARE WITH THE IMPROVED TECHNOLOGY OFFERED. HRMC CONTINUALLY WORKS TO BRING ADDITIONAL HEALTH SERVICES TO THE AREA.

PART III, LINE 2:
THE ORGANIZATION USES WORKSHEET 2 (RATIO OF PATIENT CARE COST TO CHARGES) TO DETERMINE BAD DEBT EXPENSE AT COST. WORKSHEET 2 USES TOTAL OPERATING EXPENSES FROM THE AUDITED FINANCIAL STATEMENTS. GROSS PATIENT REVENUE WAS OBTAINED FROM HOSPITAL RECORDS SINCE ONLY NET PATIENT REVENUE IS LISTED IN THE AUDITED STATEMENTS.

PART III, LINE 3:
TO ESTIMATE THE COST OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR CHARITY CARE POLICY, WE TOOK PATIENT LEVEL DETAIL REPORTS AS OF OUR FYE 9/30/22 AND SORTED THE REPORT BY SELF PAY FINANCIAL CLASS ONLY. WE THEN USED A PERCENTAGE ALLOCATION BASED ON THE PERCENT OF THE POPULATION BELOW THE FEDERAL POVERTY LEVEL IN OUR SERVICE AREA AND THEN MULTIPLIED THIS AMOUNT BY THE COST TO CHARGE RATIO TO REPORT AT COST.

PART III, LINE 4:
IN DETERMINING THE ALLOWANCE FOR DOUBTFUL ACCOUNTS, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD PARTY COVERAGE, THE HOSPITAL REVIEWS CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES, IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED, AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED, IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.

PART III, LINE 8:
THE MEDICARE SHORTFALL SHOULD BE ALLOWED AS A COMMUNITY BENEFIT SINCE PROVIDERS CANNOT NEGOTIATE RATES WITH MEDICARE. MEDICARE WAS 51.7% OF OUR TOTAL REVENUE IN FY 2022, MAKING IT OUR LARGEST PAYER. THE MEDICARE COST REPORT WAS USED TO REPORT COST ON PART III, LINES 5 AND 6.

PART III, LINE 9B:
HAMPTON REGIONAL MEDICAL CENTER (HRMC) MAKES EVERY EFFORT TO IDENTIFY PATIENTS THAT ARE POTENTIALLY ELIGIBLE FOR FINANCIAL ASSISTANCE BY MEETING WITH PATIENTS FACE TO FACE, CONTACTING THEM BY PHONE AND BY MAIL. FINANCIAL ASSISTANCE APPLICATIONS ARE AVAILABLE AT ALL REGISTRATION AREAS WITHIN OUR FACILITY AND ON-LINE. A FULL-TIME STAFF MEMBER IS AVAILABLE M-F FROM 8:30 AM-5 PM TO ASSIST PATIENTS IN COMPLETING THE APPLICATIONS. OUR OUTSOURCED SELF-PAY BILLING AGENCY ALSO HAS APPLICATIONS AVAILABLE TO MAIL PATIENTS WHEN THEY ARE IDENTIFIED AS POTENTIAL CANDIDATES FOR FINANCIAL ASSISTANCE. IN-HOUSE REPORTS ARE ALSO SCREENED TO IDENTIFY PATIENTS THAT MAY QUALIFY FOR ASSISTANCE. IF A PATIENT DOES NOT MEET CHARITY CARE GUIDELINES OR NEGLECTS TO COMPLETE THE REQUIRED CHARITY CARE APPLICATION, THE PATIENT WILL STILL RECEIVE A 20% DISCOUNT OFF TOTAL CHARGES AND WILL ALSO BE ELIGIBLE FOR A 10% PROMPT PAY DISCOUNT. IT IS NOT THE COLLECTION PRACTICE OF HRMC OR ITS AGENTS TO ATTACH LIENS ON PROPERTY OR PURSUE LEGAL ACTION ON THE DEBTS OWED BY OUR PATIENTS.

PART VI, LINE 6:
HRMC IS AFFILIATED WITH MEDICAL UNIVERSITY OF SOUTH CAROLINA (MUSC), LOCATED IN CHARLESTON, SC. THE RELATIONSHIP BETWEEN OUR ORGANIZATIONS CAN BE DESCRIBED AS A NEIGHBOR HELPING A NEIGHBOR. THE AFFILIATION HAS BROUGHT SERVICES NEEDED IN OUR AREA SUCH AS CARDIOLOGY, ORTHOPEDICS, UROLOGY, AND HOSPITALIST SERVICES. MUSC'S MISSION CLOSELY ALIGNS WITH THE MISSION OF HRMC, AND THEY ARE COMMITTED TO BRINGING ADDITIONAL SERVICES TO THE AREA.

PART VI, LINE 2:
HRMC WORKS CONTINUOUSLY TO RECRUIT PHYSICIANS TO THE AREA. HRMC WORKS WITH 3 LOCAL COLLEGES TO PROVIDE CLINICAL ROTATIONS FOR NURSING STUDENTS, SURGICAL TECHS, RADIOLOGY STUDENTS, AND MEDICAL STUDENTS. IN ADDITION, HRMC ALSO COLLECTS EMERGENCY ROOM SURVEY DATA TO DETERMINE NEEDS FROM PATIENTS SEEKING HELP THROUGH THE ER. THIS SURVEY PROCESS CONTINUES TO SHOW PATIENTS NEED A PRIMARY CARE PHYSICIAN, PATIENTS WHO CANNOT AFFORD PRESCRIPTION MEDICATIONS, AND PATIENTS DO NOT HAVE THE FINANCIAL RESOURCES TO BE SEEN IN A PHYSICIAN OFFICE. THE SERVICE AREA HAS ONE CLINIC DESIGNATED AS A FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER (FQHC). RURAL HAMPTON COUNTY IS A MEDICALLY UNDERSERVED AREA AND IS DESIGNATED AS A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA). IN ADDITION TO THIS, HRMC ALSO RELIES ON NATIONAL DATA FOR OTHER OPPORTUNITIES TO SUPPORT THE COMMUNITY SUCH AS OFFERING VARIOUS HEALTH SCREENINGS THROUGHOUT THE YEAR.

PART VI, LINE 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 ORGANIZATIONS CHARITY CARE POLICY. INFORMATION CONCERNING FINANCIAL ASSISTANCE IS AVAILABLE ON OUR HOSPITAL'S WEBSITE, PATIENT INFORMATION PAMPHLETS AND SIGNAGE LOCATED IN REGISTRATION AREAS. PATIENTS ARE ALSO OFFERED ASSISTANCE AT REGISTRATION IF THEY INDICATE THEY CANNOT AFFORD TO PAY THE BILL. PATIENTS ARE REFERRED TO OUR FINANCIAL COUNSELOR FOR ASSISTANCE WITH THE APPLICATIONS AND GUIDANCE ON APPLYING FOR OTHER PROGRAMS THAT MAY BE AVAILABLE. ALL UNINSURED ACCOUNTS ARE REVIEWED DAILY BY THE FINANCIAL COUNSELOR WHO ATTEMPTS TO QUALIFY THE PATIENT FOR A PROGRAM.

PART VI, LINE 4:
COMMUNITY INFORMATION. DESCRIBE THE COMMUNITY THE ORGANIZATION SERVES, TAKING INTO ACCOUNT THE GEOGRAPHIC AREA AND THE DEMOGRAPHIC CONSTITUENTS IT SERVES.HAMPTON REGIONAL MEDICAL CENTER RESIDES IN HAMPTON COUNTY, SC. HRMC HAS BEEN SERVING THE AREA SINCE 1950. IT IS THE ONLY HOSPITAL IN THE COUNTY, AND IT IS THE ONLY FULL-SERVICE ACUTE CARE FACILITY IN A FORTY-MILE RADIUS. HAMPTON COUNTY IS THE PRIMARY SERVICE AREA WITH A POPULATION OF APPROXIMATELY 18,500 RESIDENTS. THIS IS A -12.0% DECREASE IN POPULATION FROM 2010. OF THE 18,500 PEOPLE WHO RESIDE IN HAMPTON, 52% ARE BLACK, 43% ARE WHITE, AND 3% HISPANIC. THE MEDIAN HOUSEHOLD INCOME IS $38,178. TWENTY (20%) OF THE POPULATION IS BELOW THE POVERTY LEVEL. THE PERCENTAGE (%) OF PERSONS 25 YEARS OF AGE OR OLDER WITH A HIGH SCHOOL OR HIGHER EDUCATION LEVEL IS (81%); SIGNIFICANTLY LOWER THAN THE STATE AND NATIONAL AVERAGE (88%). THE PERCENTAGE OF PERSONS HOLDING A BACHELOR OR HIGHER COLLEGE DEGREE IS 11% COMPARED TO THE STATE AND US PERCENTAGE, 29% AND 33% RESPECTIVELY. HAMPTON COUNTY IS A MEDICALLY UNDERSERVED AREA AND A FEDERALLY DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREA (HPSA). HAMPTON COUNTY RANKS IN THE TOP FIVE WITH THE HIGHEST UNEMPLOYMENT RATE IN THE STATE. POVERTY, UNEMPLOYMENT, AND LACK OF HEALTH INSURANCE COVERAGE CONTINUE TO BE AN ISSUE IN THE AREA.

PART VI, LINE 5:
PROMOTION OF COMMUNITY HEALTH: PROVIDE ANY OTHER INFORMATION IMPORTANT TO DESCRIBING HOW THE ORGANIZATION'S HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY (E.G., OPEN MEDICAL STAFF, COMMUNITY BOARD, USE OF SURPLUS FUNDS, ETC.)HRMC CONTINUES TO BE A SIGNIFICANT COMMUNITY PARTNER, INVOLVED IN ACTIVITIES SUCH AS ROTARY CLUB, CHAMBER OF COMMERCE, FRIENDS OF HOSPICE, HAMPTON COUNTY COALITION ON DRUG AND ALCOHOL ABUSE & LOCAL SCHOOLS AND COLLEGES. IN SUPPORTING THESE ORGANIZATIONS, WE CAN SUPPORT THE DEVELOPMENT OF OUR COMMUNITY BY BRINGING IN NEW INDUSTRIES AND JOBS, INCREASING THE AVERAGE HOUSEHOLD INCOME, AND IMPROVING LIVING CONDITIONS AND THE OVERALL GENERAL HEALTH OF THE COMMUNITY. TO PROMOTE WORKFORCE DEVELOPMENT, WE PARTICIPATE WITH LOCAL HIGH SCHOOLS IN HOSTING THEIR HEALTH OCCUPATION STUDENTS, PARTICIPATE IN CAREER DAYS, HOST STUDENTS FOR ON-THE-JOB SHADOWING, AND PARTICIPATE AS A TRAINING SITE FOR SEVERAL COLLEGES. DESPITE THE POOR ECONOMIC CIRCUMSTANCES IN HAMPTON, HRMC HAS GROWN INTO A MODERN, STATE-OF-THE-ART HEALTHCARE FACILITY THAT PROVIDES THE HIGHEST QUALITY CARE TO ITS PATIENTS. BUILT IN 2008, HRMC'S NEW FACILITY REPLACED A CRUMBLING 1950'S FACILITY THAT COULD NOT OFFER THE EXPANDED SERVICES WE ARE NOW CAPABLE OF OFFERING TO THE COMMUNITY. HRMC NOW PROVIDES SERVICES TO THE COMMUNITY THAT WAS ONCE ONLY AVAILABLE IN LARGER FACILITIES 60-80 MILES AWAY. SOME OF THESE SERVICES INCLUDE AN INTENSIVE CARE UNIT (ICU), 24-HOUR EMERGENCY CARE, STATE-OF-THE-ART DIAGNOSTIC IMAGING, AND A FULL-SERVICE LABORATORY. HRMC ALSO PROVIDES INPATIENT DIALYSIS SERVICES, OUTPATIENT ENDOCRINOLOGY SERVICES, AND INPATIENT HOSPITALIST SERVICES VIA TELEHEALTH. THE DEVELOPMENT OF OUR FACILITY NOT ONLY SERVES THE GROWTH IN POPULATION, BUT ALSO IMPROVES THE QUALITY OF PATIENT CARE WITH THE IMPROVED TECHNOLOGY OFFERED. HRMC CONTINUALLY WORKS TO BRING ADDITIONAL HEALTH SERVICES TO THE AREA. HRMC'S MISSION STATEMENT OF PROVIDING COMPASSION, COMMITMENT, AND EXCELLENCE TO EVERY PERSON, EVERY TIME IS ACCOMPLISHED THROUGH PROVIDING QUALITY HEALTH CARE SERVICES TO ALL WHO ARE PRESENT, REGARDLESS OF THEIR ABILITY TO PAY. HRMC ALSO PROMOTES THE HEALTH OF THE COMMUNITY BY PROVIDING VARIOUS COMMUNITY SERVICES THROUGHOUT THE YEAR. SOME OF THESE SERVICES INCLUDE FREE HEALTH SCREENINGS, HEALTH EDUCATION AND HEALTH FAIRS. THE GOVERNING BOARD OF DIRECTORS AT HRMC IS COMPRISED OF CITIZENS WHO RESIDE IN THE PRIMARY AND SECONDARY SERVICE AREA OF THE COMMUNITIES WE SERVE. BOARD MEMBERS ARE ACTIVE PARTICIPANTS IN MANY COMMUNITY PROGRAMS SPONSORED BY THE FACILITY. HRMC EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN OUR COMMUNITY.