Community Benefit Insight - Tax-exempt hospital

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Hegg Memorial Hospital D/b/a Hegg Health Center

Hegg Memorial Health Center

1202 21st Avenue
Rock Valley, IA 51247

Bed count	25	Medicare provider number	161336	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

EIN: 420932564

Display data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

2.69%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2021

Additional data

Community Benefit Expenditures: 2021

All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 37,000 0.14 %
Medicaid as % of operating expenses	$ 354,398 1.38 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 7,688 0.03 %
Subsidized health services as % of operating expenses	$ 211,171 0.82 %
Research as % of operating expenses	$ 0 0 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 22,210 0.09 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 58,104 0.23 %
Community building* as % of operating expenses	$ 7,622 0.03 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	YES
Number of activities or programs (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Persons served (optional)	148
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	48
Coalition building	0
Community health improvement advocacy	0
Workforce development	100
Other	0
Community building expense as % of operating expenses	$ 7,622 0.03 %
Physical improvements and housing as % of community building expenses	$ 0 0 %
Economic development as % of community building expenses	$ 3,272 42.93 %
Community support as % of community building expenses	$ 1,325 17.38 %
Environmental improvements as % of community building expenses	$ 0 0 %
Leadership development and training for community members as % of community building expenses	$ 530 6.95 %
Coalition building as % of community building expenses	$ 2,383 31.26 %
Community health improvement advocacy as % of community building expenses	$ 0 0 %
Workforce development as % of community building expenses	$ 112 1.47 %
Other as % of community building expenses	$ 0 0 %
Direct offsetting revenue	$ 0
Physical improvements and housing	$ 0
Economic development	$ 0
Community support	$ 0
Environmental improvements	$ 0
Leadership development and training for community members	$ 0
Coalition building	$ 0
Community health improvement advocacy	$ 0
Workforce development	$ 0
Other	$ 0

Other Useful Tax-exempt Hospital Information: 2021

In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt as % of operating expenses	$ 158,114 0.62 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	NO

Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

Does the organization have a written financial assistance (charity care) policy?	YES
Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?	YES
Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy as % of operating expenses	$ 10,436 6.60 %

Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

Community Health Needs Assessment Activities: 2021

The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

Did the tax-exempt hospital report that they had conducted a CHNA?	YES
Did the CHNA define the community served by the tax-exempt hospital?	YES
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	YES
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	YES
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	YES

Supplemental Information: 2021

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.

4A (Expenses $ 21588819 including grants of $ 18385) (Revenue $ 24957716)
HEGG HEALTH CENTER (HHC) OPERATED A 25-BED ACUTE CARE HOSPITAL, A 60-BED NURSING HOME, AND A MEDICAL CLINIC. HHC'S PURPOSE IS TO PROVIDE ACUTE INPATIENT AND OUTPATIENT SERVICES, AS WELL AS RESIDENTIAL NURSING HOME SERVICES. THE AMOUNT OF CARE PROVIDED WAS 1,028 INPATIENT DAYS OF CARE, 20,535 NURSING HOME DAYS OF CARE, 30,442 OUTPATIENT VISITS WHICH INCLUDES 6,350 HOME HEALTH VISITS, 2,375 HOME ASSIST VISITS, AND 17,459 CLINIC VISITS. HHC ALSO PROVIDES 24 HOUR EMERGENCY CARE THAT PROVIDES CARE REGARDLESS OF THE PATIENTS' ABILITY TO PAY. THERE WERE 1,901 ER VISITS IN FISCAL YEAR 2022.

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

HEGG HEALTH CENTER
PART V, SECTION B, LINE 5: HEGG HEALTH CENTER, ALONG WITH COMMUNITY HEALTH PARTNERS OF SIOUX COUNTY, SIOUX CENTER HEALTH, ORANGE CITY HEALTH SYSTEM, PROMISE COMMUNITY HEALTH CENTER AND HAWARDEN REGIONAL HEALTHCARE, GATHERED QUANTITATIVE AND QUALITATIVE DATA TO DETERMINE THE BEST SUITABLE HEALTH INITIATIVES THAT WILL MAKE A LASTING IMPACT FOR OUR COMMUNITIES. THE DATA GATHERED INCLUDES DEMOGRAPHIC (POPULATION, RACE, SEX, AGE AND HOUSEHOLD) INFORMATION AS WELL AS IN-DEPTH ASSESSMENTS FROM COMMUNITY STAKEHOLDERS THROUGH FOCUS GROUP INTERVIEWS.

HEGG HEALTH CENTER
PART V, SECTION B, LINE 6A: SIOUX CENTER HOSPITALORANGE CITY HEALTH SYSTEMHAWARDEN REGIONAL HEALTHCAREPROMISE COMMUNITY HEALTH CENTER

HEGG HEALTH CENTER
PART V, SECTION B, LINE 6B: COMMUNITY HEALTH PARTNERS OF SIOUX COUNTYPROMISE COMMUNITY HEALTH CENTER

HEGG HEALTH CENTER
PART V, SECTION B, LINE 7D: THE CHNA REPORT IS AVAILABLE AT HTTPS://WWW.HEGGHC.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-SIOUX-COUNTY/

HEGG HEALTH CENTER
"PART V, SECTION B, LINE 11: THE FOLLOWING NEEDS WERE IDENTIFIED IN THE CHNA COMPLETED DURING FY22: HEALTHCARE ACCESS, CONNECTING PATIENTS TO PROVIDERS, RECRUITING LONG TERM CARE EMPLOYEES, HEART DISEASE PREVENTION, MELANOMA (POTENTIAL CONNECTION TO AGRICULTURAL WORK), MENTAL HEALTH ACCESS, SOCIAL DETERMINANT (ASSESSING AND ADDRESSING ON AN ONGOING BASIS), CANCER SCREENINGS, DENTAL SERVICES FOR MEDICAID, EXERCISE AND NUTRITION, SUBSTANCE USE/ABUSE, ROUTINE SCREENINGS, AND SOCIAL DETERMINANTS (DAYCARE, HOUSING, TRANSPORTATION). THIS LIST WAS NARROWED DOWN TO A ""PRIORITY LIST"" WHICH INCLUDES MENTAL HEALTH, SOCIAL DETERMINANTS OF HEALTH, HEART DISEASE, AND HEALTHCARE ACCESS.HEGG HEALTH CENTER BELIEVES WE ARE ADDRESSING ALL OF THE PRIORITIZED NEEDS CONTAINED WITHIN OUR 2022 COMMUNITY HEALTH NEEDS ASSESSMENT.DURING FY22, THE FACILITY PERFORMED THE FOLLOWING ACTIVITIES TO MEET THE NEEDS IDENTIFIED IN THE MOST RECENT CHNA.MENTAL HEALTH - HEGG HEALTH CENTER WORKS IN COLLABORATION WITH COMMUNITY HEALTH PARTNERS AND OTHER MENTAL HEALTH PROFESSIONALS TO PROMOTE MENTAL HEALTH AND RESOURCE AWARENESS IN SIOUX COUNTY. THE FACILITY ENSURES THAT CURRENT SOCIAL SERVICES AND COMMUNITY EDUCATION STAFF ARE SUPPORTED AND EDUCATED ROUTINELY ON THE CURRENT AVAILABLE RESOURCES AND PROGRAMS SO THAT THEY CAN REFER PATIENTS APPROPRIATELY.THE FACILITY HOSTED SUPPORT GROUPS FOR PATIENTS AND FAMILY MEMBERS GRIEVING THE LOSS OF A LOVED ONE, MEMORY LOSS, AND PARKINSON'S DISEASE. THE ANNUAL LADIES NIGHT OUT PLACED AN EMPHASIS ON MENTAL WELL-BEING. THE FACILITY ALSO CONTINUES TO EDUCATE PATIENTS AND INCREASE AWARENESS OF ADVERSE CHILDHOOD EXPERIENCES BY HAVING EDUCATIONAL MATERIALS POSTED IN PATIENT ROOMS THROUGHOUT THE CAMPUS.THE COMMUNITY EDUCATION DEPARTMENT CREATED NUMEROUS BLOG POSTS THAT WERE ADDED TO THE FACILITY WEBSITE WHICH CONTAINED EDUCATIONAL MATERIAL WITH REGARDS TO MENTAL HEALTH. BLOG POSTS THIS YEAR INCLUDED: ""CAN ANXIETY AND STRESS CAUSE STOMACH PAIN?,"" ""WEEK 5 MINI CHALLENGE: MINDFULNESS,"" ""SIX HEALTHY COPING STRATEGIES (AND SOME UNHEALTHY ONES TO AVOID), AND ""TIPS FOR TAKING CARE OF YOUR MENTAL HEALTH.""HEART DISEASE - THE FACILITY PROGRESSIVELY DEVELOPED AND EXPANDED CARDIO FITNESS CLASSES AVAILABLE AT THE HEGG WELLNESS CENTER. THE FACILITY ALSO PARTNERED WITH COMMUNITY HEALTH PARTNERS, ORANGE CITY AREA HEALTH SYSTEM, HAWARDEN REGIONAL HEALTHCARE, AND SIOUX CENTER HEALTH TO IMPLEMENT ""PREVENT DIABETES NORTHWEST IOWA"". THIS IS A LIFESTYLE PROGRAM PROVEN TO PREVENT OR DELAY TYPE 2 DIABETES AND INCLUDES SESSIONS WITH TRAINED LIFESTYLE COACHES WHO HELP EDUCATE THE PARTICIPANT ON MAKING SMALL CHANGES TO HELP HIM/HER LIVE A HEALTHIER LIFE. DURING THE MONTH OF FEBRUARY, FOR HEART MONTH, THE FACILITY SENT OUT EXTENSIVE MESSAGES EDUCATING ABOUT HEART DISEASE AND HEART HEALTH. THE COMMUNITY EDUCATION DEPARTMENT CREATED NUMEROUS BLOG POSTS THAT WERE ADDED TO THE FACILITY WEBSITE WHICH CONTAINED EDUCATIONAL MATERIAL WITH REGARDS TO HEARTH HEALTH. BLOG POSTS THIS YEAR INCLUDED: ""BE NICE TO YOUR HEART IT'S THE ONLY ONE YOU HAVE,"" ""MORE STEPS FOR A HEALTHY HEART,"" KNOW WHAT YOUR BLOOD PRESSURE NUMBERS MEAN, AND ""HEART DISEASE: TAKE STEPS TO LOWER YOUR RISK.""HEALTHCARE ACCESS - THE FACILITY CONTINUES TO INCREASE BILINGUAL STAFF. THE FACILITY HAS ALSO INCREASED ITS RECRUITING INCENTIVES IN ORDER TO MAINTAIN STAFFING LEVELS TO ENSURE THAT PATIENTS CAN OBTAIN THE CARE THAT THEY NEED. THE FACILITY ENROLLS IN AVAILABLE INSURANCE PROGRAMS. THE FACILITY IS ALSO DEVELOPING CARE COORDINATION PROGRAMS AND DESIGNATING STAFF TO HELP WITH THIS, WHICH INCLUDES THE RECENT INSTALLATION OF AN ON-CAMPUS DIABETES & DIETARY EDUCATOR TO RUN THE DIABETES ED PROGRAM WHICH IS DESIGNED TO HELP PREVENT DIABETES AND HEART DISEASE. THE HEGG MEDICAL CLINIC HIRED A HEALTH COACH TO HELP CLEARLY AND EFFECTIVELY INFORM PATIENTS ON THEIR UNIQUE HEALTH JOURNEYS. WITH THE ADDITION OF A NEW PHYSICIAN TO OUR PROVIDER NETWORK, THE CLINIC CAPACITY AND APPOINTMENT AVAILABILITY HAS INCREASED SIGNIFICANTLY.THE COMMUNITY EDUCATION DEPARTMENT ALSO CREATED NUMEROUS BLOG POSTS THAT WERE ADDED TO THE FACILITY WEBSITE WHICH CONTAINED EDUCATIONAL MATERIAL WITH REGARDS TO ACCESSING HEALTHCARE. BLOG POSTS THIS YEAR INCLUDED: ""EMERGENCY ROOM VS. AFTER-HOURS CARE, AND ""OCCUPATIONAL HEALTH AT HEGG HEALTH CENTER."

HEGG HEALTH CENTER
PART V, SECTION B, LINE 13H: PRESUMPTIVE ELIGIBILITY MAY BE USED AS A LAST RESORT TO DETERMINE IF PATIENTS QUALIFY FOR FINANCIAL ASSISTANCE.

HEGG HEALTH CENTER
PART V, SECTION B, LINE 16J: SUMMARY OF THE POLICY AND CONTACT INFORMATION IS LOCATED ON EACH BILL/STATEMENT AND A CARD WITH CONTACT INFORMATION IS GIVEN WITH EACH BILL.FAP AND SUMMARY ARE LOCATED ON THE WEBSITE AND ARE HANDED OUT TO PATIENTS THAT STATE THEIR INABILITY TO PAY OR MAKE PAYMENTS.COMMUNITY HEALTH PARTNERS OF SIOUX COUNTY IS AWARE OF HEGG HEALTH CENTER'S FINANCIAL ASSISTANCE POLICY AND THAT WE PROVIDE THIS TO OUR PATIENTS.

HEGG HEALTH CENTER
PART V, SECTION B, LINE 20E: PROCEDURES HAVE BEEN IMPLEMENTED GIVING OUTPATIENT SERVICE PATIENTS THE CAPABILITY TO APPLY FOR FINANCIAL ASSISTANCE PRIOR TO HAVING SERVICES COMPLETED. A SIGN IS POSTED AT THE ADMISSIONS DESK.

HEGG HEALTH CENTER
PART V, SECTION B, LINE 24: THE HOSPITAL FINANCIAL ASSISTANCE POLICY DOES NOT COVER ELECTIVE PROCEDURES. THE HOSPITAL MAY HAVE CHARGED FAP ELIGIBLE PATIENTS GROSS CHARGES FOR SERVICES THAT ARE NOT COVERED UNDER THE FINANCIAL ASSISTANCE POLICY.

Supplemental Information

Schedule H (Form 990) Part VI

PART I, LINE 3C:
HEGG HEALTH CENTER (HHC) UTILIZES FPG AND AN ASSET TEST, AND CONSIDERS MEDICAL INDIGENCY, INSURANCE STATUS, AND UNDERINSURANCE STATUS IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. PRESUMPTIVE ELIGIBILITY MAY BE USED AS A LAST RESORT TO DETERMINE IF PATIENTS QUALIFY FOR FINANCIAL ASSISTANCE.

PART I, LINE 6A:
THE COMMUNITY BENEFIT REPORT IS AVAILABLE THROUGH THE ORGANIZATIONS' WEBSITE AND REQUESTED MAILING AND IS FILED WITH THE CATHOLIC HEALTH ASSOCIATION. HHC ALSO REPORTS TO THE IOWA HOSPITAL ASSOCIATION (IHA) FOR THE STATE'S REPORTING ON COMMUNITY BENEFITS, AND FILES THEIR OWN COMMUNITY BENEFIT REPORT. FOR THE FISCAL YEAR ENDED JUNE 30, 2022, THE COMMUNITY BENEFIT REPORT IS IN PROCESS AND WILL BE POSTED TO HHC'S WEBSITE.

PART I, LINE 7:
CHARITY CARE EXPENSE WAS CONVERTED TO COST ON LINE 7A BASED ON AN OVERALL COST-TO-CHARGE RATIO ADDRESSING ALL PATIENT SEGMENTS. LINE 7B WAS DETERMINED USING THE RATIO OF PATIENT CARE COSTS TO CHARGES CALCULATED IN IRS WORKSHEET 2. LINES 7E, 7F AND 7I WERE OBTAINED UTILIZING THE ACTUAL GENERAL LEDGER SYSTEM. LINE 7G WAS OBTAINED FROM THE MEDICARE COST REPORT.

PART II, COMMUNITY BUILDING ACTIVITIES:
HEGG HEALTH CENTER'S EMPLOYEES ARE INVOLVED IN THE COMMUNITY THROUGH THE CHAMBER OF COMMERCE BOARDS/COMMITTEES, THE COUNTY COALITION BUILDING COMMITTEES, AND TRAINING/EDUCATING OF MEMBERS IN THE COMMUNITY. HEGG HEALTH CENTER ALSO SUPPORTS THE LOCAL SCHOOLS AND DAYCARE THROUGH FUNDRAISERS, SPONSORSHIPS, DONATIONS, ETC. THESE ACTIVITIES HELP TO DEVELOP A BETTER TOWN, A BETTER COMMUNITY, AND CREATE LEADERSHIP AND SKILLS IN THE CHILDREN FOR THE FUTURE.

PART III, LINE 2:
THE AMOUNT ON LINE 2 REPRESENTS IMPLICIT PRICE CONCESSIONS. THE ORGANIZATION DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSION BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THIS CLASS OF PATIENTS.

PART III, LINE 3:
HEGG HEALTH CENTER ESTIMATES THAT APPROXIMATELY 6.6% OF IMPLICIT PRICE CONCESSION COULD BE REASONABLY ATTRIBUTABLE TO PATIENTS WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IF SUFFICIENT INFORMATION HAD BEEN AVAILABLE TO THE FACILITY TO MAKE A DETERMINATION OF THEIR ELIGIBILITY.

PART III, LINE 4:
THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES IMPLICIT PRICE CONCESSION IS LOCATED IN THE AUDITED FINANCIAL STATEMENT ON PAGES 14-15.

PART III, LINE 8:
MEDICAL SERVICES ARE PROVIDED TO PATIENTS WITH MEDICARE COVERAGE REGARDLESS OF WHETHER OR NOT A SURPLUS OR DEFICIT IS REALIZED. PROVIDING MEDICARE SERVICES PROMOTES ACCESS TO HEALTHCARE SERVICES WHICH ARE VITALLY NEEDED BY OUR COMMUNITY. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES.MEDICARE ALLOWABLE COST OF CARE WAS CALCULATED FROM THE MEDICARE COST REPORT FOR FISCAL YEAR ENDING 6/30/2022. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY THE CENTERS FOR MEDICAID AND MEDICARE SERVICES.

PART III, LINE 9B:
PERSONS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE DO NOT ENTER INTO COLLECTIONS UNLESS THE AMOUNT OWED AFTER FINANCIAL ASSISTANCE IS NOT PAID. IF, DURING THE COLLECTION PROCESS, IT IS DETERMINED THAT A PATIENT MAY QUALIFY FOR FINANCIAL ASSISTANCE, THE COLLECTION AGENCY IS DIRECTED TO REFER THE PATIENT BACK TO HEGG HEALTH CENTER TO ASSESS FINANCIAL ASSISTANCE ELIGIBILITY. IF THE PATIENT IS DEEMED TO QUALIFY FOR FINANCIAL ASSISTANCE, THE COLLECTION AGENCY WILL CEASE COLLECTION EFFORTS AND SEND THE ACCOUNT BACK TO THE HEALTH CENTER.

PART VI, LINE 2:
IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT, THE BOARD OF DIRECTORS, ADMINISTRATION, AND PHYSICIANS HOLD STRATEGIC PLANNING SESSIONS EVERY THREE YEARS IN AN EFFORT TO IDENTIFY COMMUNITY NEEDS AND DETERMINE HOW THE FACILITY CAN BEST MEET THOSE NEEDS. THE ORGANIZATION ALSO SENDS OUT PATIENT SATISFACTION SURVEYS TO DETERMINE HOW WELL THEY ARE DOING BASED ON THE PATIENT'S PERSPECTIVE.

PART VI, LINE 3:
ALL PATIENTS RECEIVE A STATEMENT THAT INDICATES IF THE PATIENT MEETS CERTAIN INCOME REQUIREMENTS THE PATIENT MAY BE ELIGIBLE FOR A GOVERNMENT-SPONSORED PROGRAM OR FINANCIAL ASSISTANCE FROM THE ORGANIZATION. THEY ALSO RECEIVE A STATEMENT THAT PROVIDES THE PATIENT WITH AN ORGANIZATION CONTACT RESOURCE FOR GUIDANCE ON HOW TO OBTAIN INFORMATION ON THE FINANCIAL ASSISTANCE POLICY AND HOW TO APPLY. NOTICES AND CONTACT INFORMATION IS ALSO PRINTED ON THE BILLING STATEMENTS THAT ARE SENT OUT TO THE PATIENT STATING THERE IS FINANCIAL ASSISTANCE AND WHO TO CONTACT. HHC ALSO CONTACTS THE PATIENT REGARDING PAYMENT CONCERNS (UNLESS THE ORGANIZATION IS CONTACTED BY THE PATIENT) RELATED TO THEIR ABILITY TO MAKE REQUIRED PAYMENTS. PAYMENT OPTIONS, FINANCIAL ASSISTANCE AND GOVERNMENTAL BENEFITS ARE DISCUSSED WITH THE PATIENT BY PHONE, MAIL, OR IN PERSON. A FINANCIAL ASSISTANCE POLICY AND APPLICATION FORM IS MAILED OUT (UPON REQUEST), PICKED UP BY THE PATIENT, OR ACCESSED ONLINE. HHC DISCUSSES THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS WITH THE PATIENT, AND ASSISTS THE PATIENT WITH QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE. INFORMATION REGARDING OUR PAYMENT POLICY, WHICH INCLUDES APPLYING FOR FINANCIAL ASSISTANCE, IS STATED ON THE BACK OF EACH HOSPITAL STATEMENT. A CARD IS INSERTED IN EVERY PATIENT STATEMENT THAT INFORMS THE PATIENT THAT WE HAVE A FINANCIAL ASSISTANCE POLICY, WHERE TO LOCATE IT, AND WHO TO CONTACT FOR MORE INFORMATION. HHC ALSO HAS POSTED SIGNS TO INFORM THE PATIENT WHEN THEY ARE IN THE FACILITY.

PART VI, LINE 4:
ROCK VALLEY IS A RURAL COMMUNITY LOCATED IN SIOUX COUNTY, IOWA. AGRICULTURE AND MANUFACTURING ARE THE PRIMARY INDUSTRIES IN THIS COMMUNITY. ROCK VALLEY'S POPULATION IS 3,858. ROCK VALLEY POPULATION IS PRIMARILY WHITE BUT INCREASING IN THE HISPANIC/LATINO RACE WITH THE 2020 AMERICAN COMMUNITY SURVEY AT 18.5%. THE MEDIAN AGE IS 34.8. AN ESTIMATE OF 86.6% OF THE POPULATION HAS A HIGH SCHOOL DIPLOMA OR HIGHER EDUCATION. THE MEDIAN HOUSEHOLD INCOME (IN 2020 DOLLARS) IS $62,121 WITH AN ESTIMATE OF 6.6% OF INDIVIDUALS REPORTED BELOW POVERTY LEVEL. THE UNEMPLOYMENT RATE IS AT 3.5%. AN ESTIMATE OF 6.0% OF CIVILIANS HAS NO HEALTH INSURANCE COVERAGE. (INFORMATION FROM THE UNITED STATES CENSUS BUREAU 2020 AMERICAN COMMUNITY SURVEY).

PART VI, LINE 7, REPORTS FILED WITH STATES
IA

PART VI, LINE 5:
HEGG HEALTH CENTER FEELS THAT THE HEALTH AND WELLNESS OF ITS SERVICE AREA/COMMUNITY ARE OF UTMOST IMPORTANCE. AS THE LARGEST HEALTHCARE PROVIDER IN THE COMMUNITY, HHC IS A CENTRALIZED RESOURCE THAT NOT ONLY PROVIDES COMPASSIONATE PATIENT CARE, BUT ALSO OFFERS LIFE SKILLS CLASSES AND HEALTH EDUCATION WEBINARS FOR THE COMMUNITY.HEGG COMMUNITY EDUCATION DEPARTMENT COVERS PROGRAMS FOR ALL AGES IN THE COMMUNITY. PHYSICIANS, NURSES AND HOSPITAL STAFF PRESENTED EDUCATIONAL OPPORTUNITIES FOR 5TH GRADE BOYS AND GIRLS IN THE ROCK VALLEY AND SURROUNDING AREAS THAT DEALT WITH PUBERTY, ANATOMY AND SELF-ESTEEM ISSUES. A WOMEN'S NIGHT OUT IS HELD ANNUALLY IN THE FALL WITH MORE THAN 200 WOMEN FROM THE COMMUNITY AND SURROUNDING AREAS IN ATTENDANCE. THIS EVENT FOCUSES ON THE EMOTIONAL WELL-BEING OF WOMEN. EDUCATION OF OTHERS IN HEALTH CAREERS IS VERY IMPORTANT TO HEGG HEALTH CENTER. WE PROVIDE AN ANNUAL DONATION TO NCC (NORTHWEST IOWA COMMUNITY COLLEGE) TO SUPPORT THEIR HEALTH PROGRAMS, WELCOME INTERNS/STUDENTS/SHADOWS OF ALL AREAS FROM NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS, PRE-MED DEGREES, PHYSICAL/OCCUPATIONAL THERAPISTS, NURSING AND OTHER AREAS IN THE OFFICE FIELDS OF HEALTHCARE.HEGG HEALTH CENTER ENCOURAGES EMPLOYEE PARTICIPATION IN CHAMBER ACTIVITIES, ROTARY, AND KIWANIS TO SHARE INFORMATION WITH THE COMMUNITY AND TO HELP WITHIN THE COMMUNITY IN THE ACTIVITIES OF THESE CLUBS/ORGANIZATIONS.HEGG HEALTH CENTER HAS GIVEN SENIOR CITIZENS FIRST PRIORITY ACCESS TO THE SENIOR CENTER OVER THE PAST 14 YEARS. COMMUNITY HEALTH SCREENINGS THAT FOCUS ON CHOLESTEROL MANAGEMENT AS WELL AS DIABETES SCREENING WERE OFFERED TO COMMUNITY MEMBERS AT A REDUCED RATE. MANY OTHER EVENTS TOUCH ON TEACHING THE BASICS OF CERTAIN HEALTH RELATED ISSUES THAT MAY EITHER NEGATIVELY OR POSITIVELY AFFECT THE LIVES OF THE COMMUNITY MEMBERS THAT WE SERVE. HEGG HEALTH CENTER ALSO PROMOTES HEALTH AND WELLNESS THROUGH 1K/5K/10K RUN/WALK AND PROGRAMS THAT FOCUS ON NUTRITION AND OBESITY PREVENTION.CPR AND FIRST AID CLASSES ARE OFFERED TO HEALTH CARE WORKERS, DAYCARE PROVIDERS, FOSTER/ADOPTIVE PARENTS, AND THE GENERAL PUBLIC AT A REDUCED COST.THE COMMUNITY EDUCATION DEPARTMENT STRIVES TO OFFER A WIDE ARRAY OF SERVICES AT A FREE OR REDUCED RATE. THE GOAL OF THE DEPARTMENT IS TO FURTHER THE MISSION OF THE HEALTH CENTER THROUGH CARING FOR OTHERS, BODY, MIND, AND SOUL.HHC HAS A NINE MEMBER BOARD COMPRISED OF CITIZENS THAT LIVE IN THE PRIMARY SERVICE AREA. HHC EXTENDS PRIVILEGES TO PHYSICIANS IN THE IMMEDIATE AREA. HHC USES SURPLUS FUNDS TO FUND BUILDING IMPROVEMENTS TO ENHANCE SERVICES TO OUR PATIENTS.HHC OFFERS A 24/7 EMERGENCY DEPARTMENT THAT IS AVAILABLE TO THE COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY.

PART VI, LINE 6:
"HEGG HEALTH CENTER (HHC) IS A MANAGED FACILITY OF AVERA HEALTH. AVERA HEALTH AND HHC WORK COOPERATIVELY TO ENHANCE HEALTHCARE THROUGHOUT THE COMMUNITY SERVED BY HHC.HHC ALSO HAS ACCESS TO ""BACK OFFICE"" SUPPORT SERVICES, SUCH AS LEGAL CONSULTATION, QUALITY BENCHMARKING, CODING, COMPUTER SERVICES, CONTRACT NEGOTIATIONS, ADMINISTRATIVE CONSULTATION, GROUP PURCHASING, HUMAN RESOURCE ASSISTANCE AND MANY OTHER SERVICES. AVERA HEALTH IS ABLE TO PROVIDE THESE SERVICES TO HHC AT A COST BELOW THAT WHICH HHC COULD OTHERWISE ACHIEVE. IN TURN, LOCAL CAREGIVERS ARE ABLE TO DEVOTE MORE RESOURCES TO PATIENT AND RESIDENT CARE.AVERA HEALTH AND HHC DEDICATE RESOURCES TO ENDEAVORS THAT MAKE A POSITIVE DIFFERENCE TO IMPROVE THE HEALTH OF THE COMMUNITIES THEY SERVE. THESE ACTIVITIES INCLUDE LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS, ECONOMIC DEVELOPMENT, PHYSICAL IMPROVEMENTS IN THE COMMUNITY, CONTRIBUTIONS TO NON-PROFIT COMMUNITY ORGANIZATIONS, NON-PROFIT EVENT SPONSORSHIPS, DONATED MEDICAL SUPPLIES, COMMUNITY HEALTH EDUCATION AND SUPPORT GROUPS, HEALTH SCREENINGS, FLU-SHOT CLINICS, AND VARIOUS OTHER ACTIVITIES."

Operating expenses	$ 25,675,051
Total amount spent on community benefits as % of operating expenses	$ 690,571 2.69 %