HHA024 Encompass Health Home Health

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HHA024 Encompass Health Home Health 2020 Home Health Survey Part A : General Information 1. Identification UID:HHA024 Facility Name: Encompass Health Home Health County: Hart Street Address: 600 Chandler Street City: Hartwell Zip: 30643 Mailing Address: 6688 N. Central Expressway, Suite 1300 Mailing City: Dallas Mailing Zip: 75206 Medicaid Provider? Check the box to the right if the agency is a medicaid provider If you indicated yes above, please report the medicaid number below. 000814811Q Medicare Provider? Check the box to the right if the agency is a medicare provider If you indicated yes above, please report the medicare number below. 11-7069 2. Report Period Report Data for the full twelve month period, January 1,2020 - December 31, 2020 (365 days). Do not use a different report period. Check the box to the right if your facility was not operational for the entire year. If your facility was not operational for the entire year, provide the dates the facility was operational. Part B : Survey Contact Information Person authorized to respond to inquiries about the responses to this survey. Contact Name: Julie Jolley Contact Title: Executive Vice President of Home Health and Hospice Operations Page 1 Phone: 214-239-6500 Fax: 214-239-6581 E-mail: [email protected] Part C : Ownership, Operation and Management 1. Ownership, Operation and Management As of the last day of the report period, indicate the operation/management status of the facility and provide the effective date. Using the drop-down menus, select the organization type. If the category is not applicable, the form requires you only to enter Not Applicable in the legal name field. You must enter something for each category. A. Agency Owner Full Legal Name (Or Not Applicable) Organization Type Effective Date CareSouth HHA Holdings of Washington, LLC For Profit 03/01/1998 B. Owner's Parent Organization Full Legal Name (Or Not Applicable) Organization Type Effective Date CareSouth Health Systems, Inc. For Profit 03/01/1998 C. Agency Operator Full Legal Name (Or Not Applicable) Organization Type Effective Date CareSouth HHA Holdings of Washington, LLC For Profit 03/01/1998 D. Operator's Parent Organization Full Legal Name (Or Not Applicable) Organization Type Effective Date CareSouth Health Systems, Inc. For Profit 03/01/1998 E. Management Contractor Full Legal Name (Or Not Applicable) Organization Type Effective Date Not Applicable Not Applicable F. Management's Parent Organization Full Legal Name (Or Not Applicable) Organization Type Effective Date Not Applicable Not Applicable 2. Branch Offices If your agency has a branch office or branch offices please check the box to the right. 3. Branch Office Locations If your agency operates branch offices please provide the following information on branch locations. Branch Office Street Address Street City County Date Est. Watkinsville 1551 Jennings Mill Rd, Suite 2100-AWatkinsville Oconee 03/01/1998 Page 2 Commerce 215 Mercer Place Commerce Jackson 10/23/2007 Augusta 4128 Madeline Drive, Suite A Augusta Richmond 03/01/1998 Eatonton 117 Harmony Crossing, Suite 7 Eatonton Putnam 03/01/1998 Sandersville 601 Ferncrest Drive, Building B Sandersville Washington 05/01/2010 Statesboro 118 Hill Pond Land Statesboro Bulloch 10/15/2012 Page 3 Part D : Agency Utilization and Patient Caseload Information 1. Health-Related Visits Please report the number of health-related visits (not units) during the report period by service/discipline. Also, please provide the per visit rate your agency charges for providing each of the services indicated. Use the blank lines to report other services/disciplines. Service/Discipline Number of Visits Charge per Visit Skilled Nursing 45,813 200 Physical Therapy 45,232 250 Home Health Aide 1,685 125 Occupational Therapy 17,285 250 Medical Social Services 311 250 Speech Pathology 3,299 250 0 0 0 0 0 0 2. Agency Caseload Please report the total number of cases at the end of the business day on December 31,2020. 1043 4. Completed Medicare Episodes of Care Provide the total number of completed Medicare episodes of care during the report year. Include all completed episodes including Low Utilization Payment Adjustments (LUPA). 6975 5. Health-Related Patients by Race/Ethnicity Please report the number of health-related patients during the report period using the following race and ethnicity categories. Race/Ethnicity Number of Patients American Indian/Alaska Native 4 Asian 24 Black/African American 1,490 Hispanic/Latino 22 Pacific Islander/Hawaiian 3 White 3,469 Multi-Racial 0 6. Health-Related Patients by Gender Report the number of health-related patients by gender served during the report period. Gender Number of Patients Male 2,044 Female 2,968 7. Health-Related Visits by Payer Please report the number of Health-Related visits, unduplicated patients, and the gross and net Page 4 patient revenue during the report period by each payer. Please note that gross and net patient revenue totals must balance to those reported in Part E.) Payer Patients Visits Gross Revenue Net Revenue Medicare 3,275 76,728 14,721,565 14,710,276 Medicaid 50 1,030 0 0 Other Government Payers 0 0 0 0 Managed Care (HMO/PPO) 0 0 0 0 Other Third Party Insurers 1,669 35,561 6,038,440 6,014,456 Self Pay 2 88 13,790 13,735 Other Non Government 16 218 45,725 0 Page 5 Part E : Agency Financial Summary, Indigent and Charity Care Provided and Patient Point of Origin 1.Indigent and/or Charity Care Policy Check the box to the right if the agency had a formal written policy or written policies concerning the provision of indigent and/or charity care during 2020. If you indicated yes above, please indicate the effective date of the policy or policies. 11/01/1995 2. Person Responsible Please indicate the name and title or position held by the person most responsible for adherence to or interpretation of the policy or policies you will provide the department. Sarah Feldman, Senior Vice President Regional Operations 3. Charity Care Provision Check the box if the policy or policies included provision for the care that is defined as charity. 4. Financial Table Please complete the following financial table for the 2020 calendar year. Please note that Total Uncompensated Indigent and Charity Care Charges (automatically calculated by the database) should not exceed Gross Indigent and Charity Care Charges. Revenue or Expense Amount Gross Patient Revenue 20,819,520 Medicare Contractual Adjustments 0 Medicaid & Peachcare Contractual Adjustments 0 Other Contractual Adjustments 0 Total Contractual Adjustments 0 Bad Debt 35,328 Indigent Care Gross Charges 45,725 Indigent Care Compensation 0 Uncompensated Indigent Care (Net) 45,725 Charity Care Gross Charges 0 Charity Care Compensation 0 Uncompensated Charity Care (Net) 0 Other Free Care 0 Total Net Patient Revenue 20,738,467 Adjusted Gross Patient Revenue 20,784,192 Other Revenue 0 Total Net Revenue 20,738,467 Total Expenses 18,809,074 Adjusted Gross Revenue 20,784,192 Total Uncompensated I/C Care 45,725 Percent Uncompensated Indigent/Charity Care 0.22% 5. Indigent or Charity Care Cases Page 6 Report the number of home health care patients who were classified as being indigent or charity care cases and for which patient charges were written off to indigent or charity care accounts as reproted in Part E, Question 4 above. 16 6. Patient Point of Origin Report the number of home health care patients who were referred to your agency by each of the following healthcare points of origin Point of Origin Number of Patients Referred Hospitals (via discharge planner) 1,968 Physicians 1,577 Other Home Health Agencies 35 All Other Healthcare Providers 1,432 7. Referral Hospitals Please provide the names of the hospitals above who referred patients during the report year. Hospital Name Patients Referred Atrium Main - Charlotte 1 Augusta Medical Center 1 Augusta University Med Center (Geraldine) 87 Augusta University Med Center (Tanya) 638 Augusta University Surgery CM 5 Blake Medical Center 1 Burke Medical Center 1 Cancer Treatment Centers of America - Newnan 1 Candler Count Hsopital Swing Bed 26 Candler Hospital 8 Cartersville Medical Center 1 Doctors Hospital Augusta 283 East Georgia Regional Medical Center 230 Eastside Inpatient Rehab Center 1 Effingham Hospital 3 Eisenhower Medical Center 27 Elbert Memorial Hospital 104 Emory Medical Center 4 Emory Midtown Hospital 6 Emory Saint Joseph's Hospital 2 Emory St Joseph's Hospital 1 Emory University dba Emory Crawford Long Hospital 1 Emory University Hospital 25 St Marys Scared Heart Hospital 51 St Francis Hospital Columbus 1 St Mary Hospital 1 Page 7 St Marys Hospital 4 Stephens Country Hospital 5 Charlie Norwood VA Medical Center - Augusta 51 Coastal Carolina Hospital 1 Coliseum Medical Center 38 Coliseum Northside Hosptial 1 Collquitt Regional Medical Center 1 Dekalb Medical Center 2 Saint Joseph Hospital Savannah 9 Saint Josephs Hospital of Atlanta 1 Saint Marys Hospital - Athens 3 Select Specialty Augusta 10 Self Regional Healthcare 1 Shepherd Center 3 Sylvan Grove Hospital 1 The Emory Clinic 1 University Health Care System 216 University Hospital - Summerville 15 University Hospital - McDuffie 10 VA Medical Center - Downtown Augusta 3 VA Medical Center - Uptown Augusta 30 VAMC Augusta, GA 3 Washington County Regional Medical Center 35 Wayne Memorial Hospital 1 Wellstar Kenneston 2 Wellstar North Fulton Hospital 1 Wills Memorial 32 Atrium Health - Mercy 2 Aiken Regional Medical Center 2 Anderson Area Medical Center 23 Anmed Health 19 Atlanta VA Medical Center 18 Atlanta VA Medical Center -
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