A Message of Thanks to the PruittHealth Family
A NOTE
From Our CEO Now that we have closed out the final chapter of 2020, we turn the page to begin writing the story of a new year that shows promise of hope and a return to normalcy. It is important to reflect on the time that challenged us all in ways many did not think possible.
Together, we overcame seemingly insurmountable obstacles in the face of a global pandemic, one that physically separated us from loved ones for extended periods of time while simultaneously bringing us closer to one another. There is no doubt that COVID-19 changed the long-term care profession forever, but I believe it did so in a way that only reinforced our mission, reminding us all that our PruittHealth family is your family and together, we are one family.
In the following pages, we capture the story of a year none of us will soon forget and share it with you, a valued and respected member of the PruittHealth family. We hope you take away from it the multiple lessons of resilience and find the inspiration to lead with compassion and strength as you face the challenges that lie ahead for us all in the months to come.
Sincerely,
Neil L. Pruitt Jr. Chairman & CEO PruittHealth
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Witness Some of These Heroic Efforts in Action
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2020
At a Glance The global pandemic hit the PruittHealth family hard. In 10 months, a total of 5,174 patients battled COVID-19. Thousands recovered, but too many lost their lives. The heroes on the frontlines, our PruittHealth partners, fought valiantly and worked tirelessly to protect the most vulnerable patient populations in the United States. They rose to the occasion to meet the varied needs of patients, families, and colleagues alike, taking the necessary precautions to keep patients and co-workers safe, caring for the sick, connecting loved ones virtually, and providing counsel to worried families, all while remaining the bedrock of their own families at home. In all, 1,904 PruittHealth partners—approximately 15% of the workforce— were diagnosed with COVID-19 last year. In the same time period, the skilled nursing center occupancy rate at PruittHealth decreased by 20%, putting the livelihood of these heroes at risk. Still, with faith top of mind and love in their hearts, PruittHealth partners answered the call of duty.
15%+
1,904 of our partners tested positive last year 3/2 – COVID-19 Work Group 3/16 – First Positive Patient (PruittHealth – Grandview)
MARCH 2020 3/4 – Emergency Operations Center 3/18 – First Positive Partner (PruittHealth – Grandview)
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At a Glance
23,657 PRE-PANDEMIC 22,275 Total patients served
Total patients served
YEAR-END
-1,382
PATIENTS SERVED
PRE-COVID
PruittHealth Skilled Nursing
9,286
PruittHealth Hospice
1,365
PruittHealth @ Home
1,944
SKILLED NURSING PATIENTS – POSITIVE CASES IN 2020 800 754
704
700 622
600 500 400 300
435 356
288 288
200 159
100
142
0 MAY
JUNE
JULY
AUGUST
SEPTEMBER
4/3 – Critical Pay
APRIL 2020
4/6 – Mass Testing of Patients and Partners
OCTOBER
NOVEMBER
DECEMBER
4/14 – Anti-Chamber Installation
4/5 – Smart Air Installation 4/13 – Test Results on Website – 3.2M Gowns Purchased
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14,800 PRE-PANDEMIC 13,000 Number of partners
Number of partners
YEAR-END 2020
LOSS OR GAIN
7,567
-1,719
1,193
-172
2,369
+425
YEAR-END 2020
-1,800
SKILLED NURSING PARTNERS – POSITIVE CASES IN 2020 800 700 600 500 400 325
300 257
183
235
200
247
192
146 128
100 36
0 MAY
JUNE
JULY
AUGUST
SEPTEMBER
4/22 – Infection Preventionists Announcement
OCTOBER
NOVEMBER
DECEMBER
4/30 – Percentage and Partner Testing on Website
4/15 – $6M+ in Supplies 4/27 – PruittCares COVID-19 Fund
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COVID-19
Takes a Toll PruittHealth spared no expense when it came to keeping our patients and partners safe in the fight against COVID-19. In addition to spending $23.3M in environmental and clinical improvements, we spent $2.7M in COVID-19 testing and invested $13M in our partners through retention and quality bonuses and more. During a time when many companies were forced to resort to layoffs, PruittHealth raised the minimum wage for certified nursing assistants (CNAs) to $12 per hour to reward our frontline heroes for their continued Commitment to Caring and established a new partnership with PayActiv to allow partners to tap into earned wages prior to payday. Still, we saw our workforce reduced to approxiately 13,000 partners as a result of COVID-19.
$23.3M INVESTED $2.7M SPENT DEVOTED $13M
in environmental and clinical improvements
on COVID-19 testing
to partner retention
5/5 – NurseRosie Installation 5/8 – Rapid Hire Centers
MAY 2020 5/7 – 10,000 Video Chats
5/19 – Thermal Camera Plan – Public Data on Website in Real-Time – SouthWood Contract for COVID-Only Center – Reopening Plan
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Faced with decreased admissions to skilled nursing centers and chronic Medicaid underfunding totaling $62.5M, our family-run business lost an estimated $137.2M in revenue across our skilled nursing, therapy, pharmacy, and hospice service lines year over year. An independent audit conducted by the highly recognized advisory firm Mauldin & Jenkins found Medicaid underfunded $3.5M in Florida, $27M in Georgia, $7.2M (or $4.8M with addons) in North Carolina, and $24.8M in South Carolina last year. Meanwhile, our family of providers felt the shift of the ever-changing demands of health care consumers who increasingly are looking to keep their loved ones at home, whenever possible, by opting for home health services. In 2020, PruittHealth @ Home saw a nearly 22% increase in patients served.
$7.2M $24.8M $27M
in South Carolina
in Georgia
$3.5M
$4.8M
(or with add-ons) in North Carolina
in Florida
$62.5M TOTAL
Medicaid underfunding
$137.2M TOTAL
estimated revenue lost
6/1 – Visitor Management System (VMS) Plans – Wireless Access Point Installation
JUNE 2020 6/19 – White House Commission Appointment
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See How We Fought Back
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GIVING IT ALL: Our Fight Against COVID-19 At PruittHealth, our approach to the challenges presented by the global pandemic was straightforward: double down on our commitment to quality care and transparent communication. We invested $23.3M in preventive measures, such as air ionization, personal protective equipment, visitor management systems, and more. Additionally, more than 60 infection preventionists joined the PruittHealth family of providers last year, and we plan to hire nearly 40 more in 2021. To ensure the safety of our partners, our technology team went to great lengths to help 800 individuals transition to remote work, keeping essential business operations functioning while Americans quarantined at home.
$23.3M INVESTED
in environmental and clinical improvements
60
INFECTION PREVENTIONISTS
40
hired in 2020
MORE
to be hired in 2021
7/26 – Kronos Go-Live
JULY 2020 7/23 – 20,000 Video Chats 7/28 – Smart Air Installation (SC)
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Watch Our Veterans Reunite With Their Families
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Of equal importance was our ability to communicate with families who had loved ones in our care. Immediately, we activated the PruittHealth alert system, updated our website platform to accommodate public reporting, and opened the Emergency Operations Center—a $500,000 investment. These initiatives proved to be critical resources for disseminating information and answering questions from concerned relatives, patients, and even partners. In 10 months, call center staff scheduled more than 55,700 video chats between patients and their families. That’s nearly 200 video chats per day. Still, we were eager to reunite families as soon as it was safe to do so, and worked to make outdoor visitation a reality. By the end of 2020, the PruittHealth team had successfully reunited hundreds of families with the scheduling of more than 5,000 visits.
$500,000INVESTMENT 55,700+
in the Emergency Operations Center
VIDEO CHATS
5,000+
VISITS
8/24 – Partner Retention Investment
AUGUST 2020 8/18 – Test All Buildings Before End of August
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PruittHealth COVID-19 Review 2020
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TELLING a Different Story In 2020, we introduced ourselves to the world—not only as caregivers on the frontline of the global pandemic, but as compassionate people who live with faith and love in our hearts. In pursuit of our mission, we set out to lift spirits in dark times and caught the attention of local, regional, and national media. We surprised patients with window visits from area shelter dogs and thanked our canine friends for their good deed by finding them forever homes. We honored those affected by COVID-19 with candlelight unity events and celebrated our patients’ and partners’ recoveries from the virus. Together, we set an example for leading with light and positivity in a world with too much despair, and will continue doing so in the future.
9/10 – POC Testing
SEPTEMBER 2020 9/2 – Smart Air Installation Complete 9/28 – Outdoor Visits
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Coronavirus Commission for Safety and Quality in Nursing Homes
Commission Final Report September 2020
Photo was taken after all participants tested negative for COVID-19.
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THE MORAL of the COVID-19 Story If there’s one thing COVID-19 taught us, it is that we are resilient people. In the throes of a global pandemic, 25 experts across the United States, including our Chairman and CEO Neil Pruitt Jr., banded together as members of the Coronavirus Commission for Safety and Quality in Nursing Homes to assess nursing home response and identify best practices in the fight against COVID-19. Their collective efforts resulted in a comprehensive report inclusive of 27 principal recommendations and more than 100 accompanying next steps. With PruittHealth at the table, advocating for the most vulnerable patient population, we extended our 50 years of a Commitment to Caring beyond the halls of our centers. We know our current and future patients will benefit from the learnings of the valuable, shared experiences for years to come.
sites.mitre.org/nhcovidcomm OCTOBER 2020 10/15 – Code Red Bonuses ($3.3M)
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In many ways, the pandemic accelerated the next evolutionary stage of our profession that was, albeit at a much slower pace, already underway, thanks to a shift in health care consumers’ preferences and expectations. In the last year alone, we saw a 22% increase in the number of families choosing PruittHealth @ Home in an effort to keep their loved ones home, whenever possible. And we fully anticipate that number to keep climbing. Without a doubt, the PruittHealth family accomplished more in these past few months than we had in previous years, and we will continue to pursue our Commitment to Caring relentlessly in the years ahead—all for the betterment of our patients’ health and well-being.
22%
INCREASE
in families chooosing home health services over skilled nursing centers
11/1 – PayActiv Partnership Live
NOVEMBER 2020 11/25 – 40,000 Video Chats
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MORE CHANGE on the Horizon The PruittHealth family of providers faces a difficult road ahead, one that is plagued by chronic Medicaid underfunding that totaled $62.5M in Florida, Georgia, North Carolina, and South Carolina last year alone. Though our family-run business is estimated to have lost $137.2M in revenue across our skilled nursing, therapy, pharmacy, and hospice service lines year over year, we will continue to do whatever is necessary to take care of our patients, and we need your help to do so.
$62.5M TOTAL TOTAL $137.2M Medicaid underfunding
estimated revenue lost
12/11 – CNA $12 Minimum Wage
12/28 – First Vaccine Clinic at The Oaks – Limestone – Indoor Visitation for Qualified Skilled Nursing Centers
DECEMBER 2020 12/21 – Vaccine Data on Public Website
12/31 – V accine Incentives for Partners – 55,700+ Video Chats
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HELP US Continue the Fight If we, as a health care organization in service to the community for more than 50 years, are to survive, we need adequate funding that will allow us to once again rise to the occasion and address these challenges head on in 2021. Our first challenge centers on our ability to take a leading role in getting our communities vaccinated while anticipating the ever-changing demands of today’s health care consumers. With your support, this will not be a task we will undertake alone, and our communities will be safer and healthier as a result. Whether consumers ask for more private rooms and amenities that make skilled nursing centers feel like home or they continue opting for home health care whenever possible, the PruittHealth family of providers is uniquely positioned to meet patients and their loved ones wherever and whenever they need us, and we are ready to fulfill our Commitment to Caring for years to come.
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OUR MISSION: Our family, your family, ONE FAMILY. Committed to loving, giving, and caring. United in making a difference.
1626 Jeurgens Court, Norcross, GA 30093 770-279-6200 The PruittHealth Organization complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.