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HHA149 Encompass Health Home Health

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HHA149 Encompass Health Home Health 2020 Home Health Survey Part A : General Information 1. Identification UID:HHA149 Facility Name: Encompass Health Home Health County: Bibb Street Address: 1760 Bass Road, Suite 201 City: Macon Zip: 31210 Mailing Address: 6688 North 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. Not Applicable 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. 11-7152 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 Middle Georgia, LLC For Profit 03/25/2009 B. Owner's Parent Organization Full Legal Name (Or Not Applicable) Organization Type Effective Date CareSouth Health Systems, Inc. For Profit 03/25/2009 C. Agency Operator Full Legal Name (Or Not Applicable) Organization Type Effective Date CareSouth HHA Holdings of Middle Georgia, LLC For Profit 03/25/2009 D. Operator's Parent Organization Full Legal Name (Or Not Applicable) Organization Type Effective Date CareSouth Health Systems, Inc. For Profit 03/25/2009 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. Warner Robins 106 Byrd Way, Suite 400 Warner Robins Houston 03/25/2009 Page 2 Milledgeville 111 Chase Court NW Milledgeville Baldwin 01/01/2011 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 27,829 200 Physical Therapy 30,910 250 Home Health Aide 218 125 Occupational Therapy 12,867 250 Medical Social Services 451 250 Speech Pathology 2,015 250 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. 589 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). 4462 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 19 Black/African American 1,106 Hispanic/Latino 36 Pacific Islander/Hawaiian 2 White 2,368 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 1,298 Female 2,237 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 2,352 49,418 9,132,716 9,129,242 Medicaid 0 0 0 0 Other Government Payers 0 0 0 0 Managed Care (HMO/PPO) 0 0 0 0 Other Third Party Insurers 1,175 24,803 4,059,637 4,017,336 Self Pay 1 14 2,056 2,034 Other Non Government 7 55 12,400 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. 01/01/2006 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 13,206,809 Medicare Contractual Adjustments 0 Medicaid & Peachcare Contractual Adjustments 0 Other Contractual Adjustments 0 Total Contractual Adjustments 0 Bad Debt 45,797 Indigent Care Gross Charges 12,400 Indigent Care Compensation 0 Uncompensated Indigent Care (Net) 12,400 Charity Care Gross Charges 0 Charity Care Compensation 0 Uncompensated Charity Care (Net) 0 Other Free Care 0 Total Net Patient Revenue 13,148,612 Adjusted Gross Patient Revenue 13,161,012 Other Revenue 0 Total Net Revenue 13,148,612 Total Expenses 10,342,140 Adjusted Gross Revenue 13,161,012 Total Uncompensated I/C Care 12,400 Percent Uncompensated Indigent/Charity Care 0.09% 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. 7 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) 1,460 Physicians 1,276 Other Home Health Agencies 4 All Other Healthcare Providers 795 7. Referral Hospitals Please provide the names of the hospitals above who referred patients during the report year. Hospital Name Patients Referred Coliseum Medical Center 325 Coliseum Northside Hospital 74 Community Health System 1 Crisp Regional Hospital 1 Doctors Hospital Augusta 11 East Georgia Regional Medical Center 1 Fairview Park Hospital 1 Grady Health Systems 13 Gwinett Medical Center 1 Houston Healthcare Houston Medical Center 560 Houston Healthcare Perry Hospital 109 Houston Medical Center 2 387 Phoebe Putney Memorial Hospital 1 Piedmont - Midtown Medical Center 2 Piedmont Athens Regional Medical Center 10 Piedmont Atlanta Hospital 14 Atlanta VA Medical Center 6 Atlanta VA Medical Center - Decatur, GA 1 Augusta Medical Center 2 Augusta University Med Ctr (Geraldine) 1 Augusta University Med Ctr (Tanya) 16 Bleckley Memorial Hospital 6 Brooks Rehabilitation Hospital 1 Cancer Treatment Centers of America - Newnan 1 Candler Hospital 1 Capital Regional Medical Center 1 Page 7 Cartersville Medical Center 1 Charlie Norwood VA Medical Center - Augusta 3 Eastside Medical Center 1 Emory Healthcare Winship Cancer Institute 1 Emory Hospital 17 Emory Midtown Hospital 2 Emory University dba Emory Crawford Long Hospital 5 Emory University Hospital 27 Piedmont Henry Hospital 1 Piedmont Hospital 1 Piedmont Newton Hospital 1 Piedmont Rockdale 1 Putnam General Hospital 26 Regency Hospital -Macon 25 Roosevelt Warm Springs Hospital 1 Saint Josephs Hospital of Atlanta 1 Jack Hughston Memorial Hospital 1 Landmark Hospital 1 Memorial Health University Medical Center 12 Mission Hospital Asheville 2 Monroe County Hospital 8 Navicent Health 250 Navicent Health Baldwin 124 Navicent Health of Peach 25 Northeast Georgia Health System, Inc. 1 Northside Hospital 1 Northside Hospital - Atlanta 1 Peachford Hospital 1 Saint Marys Hospital - Athens 1 Saint Thomas Midtown Hospital 3 Select Specialty Augusta 1 Shepherd Center 2 Southern Regional Medical Center 1 Spalding Regional Hospital 4 St Francis Hospital Wound Care and Hyperbaric Center 1 St Marys Good Samaritan Hospital 1 St Marys Hospital 2 St Francis Hospital Columbus 1 Taylor Regional Hospital 1 The Emory Clinic 2 Tift Regional Medical Center 1 University Health Care System 1 Upson Regional Medical Center 8 VA Medical Center - Uptown Augusta 1 Page 8 Wellstar Kenneston 1 Total 2,120 Page 9 Part F : Agency Workforce Information This information is being collected to support Georgia's healthcare workforce planning activities.
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