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Jmhc Inc
Carlisle, KY 40311
| Bed count | 18 | Medicare provider number | 181303 | Member of the Council of Teaching Hospitals | NO | Children's hospital | NO |
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of total functional expenses)
Community Benefit Expenditures: 2012
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.
Operating expenses $ 7,791,087 Total amount spent on community benefits as % of operating expenses$ 53,873 0.69 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 406,931 5.22 %Medicaid as % of operating expenses$ -353,058 -4.53 %Costs of other means-tested government programs as % of operating expenses$ 0 0 %Health professions education as % of operating expenses$ 0 0 %Subsidized health services as % of operating expenses$ 0 0 %Research as % of operating expenses$ 0 0 %Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 0 0 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 0 0 %Community building*
as % of operating expenses$ 0 0 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? Not available 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) 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 Community building expense
as % of operating expenses$ 0 0 %Physical improvements and housing as % of community building expenses$ 0 Economic development as % of community building expenses$ 0 Community support as % of community building expenses$ 0 Environmental improvements as % of community building expenses$ 0 Leadership development and training for community members as % of community building expenses$ 0 Coalition building as % of community building expenses$ 0 Community health improvement advocacy as % of community building expenses$ 0 Workforce development as % of community building expenses$ 0 Other as % of community building expenses$ 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: 2012
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$ 277,234 3.56 %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$ 0 0 %- 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:
Reported to credit agency YES Filed lawsuit YES Placed liens on residence Not available Issue body attachments? (an order by the court commanding a sheriff or other official to physically bring before the court a person who is guilty of contempt of court) Not available 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.
After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid? YES 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.
If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines? Not available 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.
Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute? NO
Community Health Needs Assessment Activities: 2012
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? NO Did the CHNA define the community served by the tax-exempt hospital? Not available Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital? Not available Did the tax-exempt hospital make the CHNA widely available (i.e. post online)? Not available Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA? Not available Did the tax-exempt hospital execute the implementation strategy? Not available Did the tax-exempt hospital participate in the development of a community-wide plan? Not available
Supplemental Information: 2012
- 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 $ 6710000 including grants of $ 0) (Revenue $ 6805103) PROVIDED HEALTH CARE- AREAS INCLUDE HOSPITAL, OUTPATIENT, AND SKILLED NURSING SERVICES TO THE CITIZENS OF NICHOLAS COUNTY, KENTUCKY AND THE SURROUNDING COUNTIES. IN 2012, THE ORGANIZATION PROVIDED $1,096,141 OF CARE TO PERSONS UNABLE TO AFFORD HEALTHCARE.
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Supplemental Information
PART I, LINE 3C: JMHC'S CHARITY CARE POLICY IS DETERMINED BY DSH GUIDELINES, THUS, JMHC PROVIDES FREE CARE BASED ON DSH ELIGIBILITY AND DOES NOT PROVIDE DISCOUNTED CARE.
PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 670123.
PART III, LINE 4: THE AMOUNT OF BAD DEBT EXPENSES REPORTED ON LINE 2 IS THE AMOUNT OF BAD DEBT EXPENSE PER THE FINANCIAL STATEMENTS, MULTIPLIED BY THE COST-TO-CHARGE RATIO. BAD DEBT AMOUNTS ON THE FINANCIAL STATEMENTS REPRESENT UNPAID MEDICARE COINSURANCE AND DEDUCTIBLES AND ALL SELF PAY ACCOUNTS THAT GO UNPAID. AMOUNTS ARE NOT WRITTEN OFF UNTIL JMHC KNOWS THEY WILL NOT BE PAID AND JMHC DOES NOT PROVIDE DISCOUNTS, SO THERE IS NO NEED TO ACCOUNT FOR DISCOUNTS AND PAYMENTS IN DETERMINING BAD DEBT EXPENSE. FOR LINE 3, ANY AMOUNTS THAT COULD BE LISTED WOULD BE NEGLIGIBLE AND THUS ARE NOT ESTIMATED. JMHC HAS A POLICY OF PROVIDING CHARITY CARE TO PATIENTS WHO ARE UNABLE TO PAY. SUCH PATIENTS ARE IDENTIFIED BASED ON FINANCIAL INFORMATION OBTAINED FROM THE PATIENT AND SUBSEQUENT ANALYSIS. SINCE JMHC DOES NOT EXPECT PAYMENT. ESTIMATED CHARGES FOR CHARITY CARE ARE NOT REPORTED IN REVENUE. AND THUS WOULD NOT BE WRITTEN OFF TO BAD DEBT EXPENSE. THERE ARE NO AUDITED FINANCIAL STATEMENTS THIS YEAR. AND THUS NO FOOTNOTE REGARDING BAD DEBT EXPENSE, ACCOUNTS RECEIVABLE, ALLOWANCE FOR DOUBTFUL ACCOUNTS OR SIMILAR DESIGNATIONS.
PART III, LINE 8: THIS HOSPITAL IS A CRITICAL ACCESS HOSPITAL. LINE 6 COSTS REPRESENT MEDICARE CHARGES MULTIPLIED BY A CALCULATED PER DIEM AMOUNT FOR ROUTINE SERVICES. LINE 5 REVENUES REPRESENT 101% OF MEDICARE COSTS. EXCEPT WHEN THE HOSPITAL HAS A SKILLED NURSING FACILITY (SNF). THIS HOSPITAL HAS A SNF. REVENUES FOR A SNF ARE CALCULATED BY A PER DIEM RATE FOR SERVICES PROVIDED.
PART III, LINE 9B: FOR ANY PATIENT WHO MAY OR IS KNOWN TO QUALIFY FOR SERVICES UNDER CHARITY CARE. THE COLLECTION POLICY PROVIDES THAT THE HOSPITAL SHOULD GATHER SUPPORTING DOCUMENTATION AND DETERMINE WHETHER THE PATIENT NEEDS TO PAY. JMHC REQUESTS THAT PAYMENT BE MADE AT THE TIME OF SERVICE AND THEN JMHC WOULD GENERATE REFUNDS ONCE THE PATIENT IS QUALIFIED FOR DSH OR CHARITY CARE.
NICHOLAS COUNTY HOSPITAL PART V, SECTION B, LINE 3: WITH ASSISTANCE OF THE COMMUNITY STEERING COMMITTEE, INPUT FROM THE COMMUNITY WAS COLLECTED THROUGH FOCUS GROUP DISCUSSIONS AND SURVEYS. THE COMMUNITY STEERING COMMITTEE REPRESENTED ORGANIZATIONS AND AGENCIES FROM THE SERVICE AREA.
NICHOLAS COUNTY HOSPITAL PART V, SECTION B, LINE 5C: THE CHNA WAS PERFORMED IN 2013 AND CAN BE FOUND ON THE HOSPITAL WEBSITE @ WWW.JOHNSONMATHERS.ORG
NICHOLAS COUNTY HOSPITAL PART V, SECTION B, LINE 10: YES - SAME AS PART I LINE 3A
NICHOLAS COUNTY HOSPITAL PART V, SECTION B, LINE 11: JMHC'S CHARITY CARE POLICY IS DETERMINED BY DSH GUIDELINES, THUS, JMHC PROVIDES FREE CARE BASED ON DSH ELIGIBILITY AND DOES NOT PROVIDE DISCOUNTED CARE.
NICHOLAS COUNTY HOSPITAL PART V, SECTION B, LINE 20D: SENT TO FINANCIAL COUNSELOR
PART VI, LINE 2: THE COMMUNITY'S NEEDS ARE ASSESSED BY FOLLOWING EMERGING MEDICAL PRACTICE NEEDS AS A WHOLE ACROSS THE NATION AND TRYING TO PROVIDE THOSE TO THE COMMUNITY AS RESOURCES PERMIT. THE ORGANIZATION IS COMMITTED TO PROVIDING QUALITY CARE TO THE CITIZENS OF NICHOLAS AND THE SURROUNDING COUNTIES WITH OVER 215 SKILLED EMPLOYEES. JMHC CONTINUES TO ASSURE THE NEEDS OF ITS PATIENTS AND THE COMMUNITY ARE MET IN A HIGH QUALITY AND COST EFFECTIVE MANNER BY ADDING NEW SERVICES, IMPROVING TECHNOLOGY, AND BRINGING ADDITIONAL MEDICAL PROFESSIONALS INTO THE COMMUNITY.
PART VI, LINE 3: AT THE TIME OF PATIENT REGISTRATION, WE INFORM THE PATIENTS THEY MAY BE ELIGIBLE FOR THE DSH PROGRAM AND REQUEST THEY FILL OUT THE APPROPRIATE FORMS TO SEE IF THEY QUALIFY FOR ASSISTANCE. THIS POLICY IS USED AS A BLANKET APPLICATION TO DETERMINE IF THEY QUALIFY FOR FREE CARE.
PART VI, LINE 4: ACCORDING TO THE KENTUCKY POSTSECONDARY EDUCATION 2011 COUNTY PROFILES, THE TOTAL POPULATION OF NICHOLAS COUNTY IN 2011 WAS 7,071. OF THE WHOLE NICHOLAS COUNTY POPULATION, 51% OF THE POPULATION IS FEMALE, AND 51% OF THE REGISTERED VOTERS ARE FEMALE. RACE IS 96.7% WHITE. KENTUCKY WORKFORCE KENTUCKY LABOR MARKET INFORMATION INDICATED THAT IN 2011, NICHOLAS COUNTY HAD AN UNEMPLOYMENT RATE OF 10.3%. RETAIL TRADE HAS THE MOST ADDRESSES IN THE COUNTY, WITH GROCERY STORES MOST NUMEROUS. NICHOLAS COUNTY HAS ABOUT TWENTY-FIVE RETAIL OUTLETS SELLING GIFTS, PRESCRIPTIONS AND MEDICATIONS, GROCERIES, GAS, FURNITURE, FARM SUPPLIES, TOBACCO AND LIQUOR, AND GENERAL MERCHANDISE. CORPORATE RETAIL TRADE EMPLOYERS INCLUDE SHELL, IGA, DOLLAR GENERAL, AND FAMILY DOLLAR. ALTHOUGH RETAIL HAS THE MOST OUTLETS, IT EMPLOYS FEWER WORKERS THAN THE SERVICES INDUSTRY. THE HEALTH CARE INDUSTRY ROUNDS OUT THE TOP THREE SECTORS IN THE COUNTY WITH NINE CARLISLE/NICHOLAS COUNTY ADDRESSES INCLUDING A HOSPITAL AND A NURSING HOME. IN 2011, THE PER CAPITA INCOME IN NICHOLAS COUNTY WAS $39,025. IN 2011, 30.6% OF NICHOLAS COUNTY CHILDREN WERE BELOW POVERTY LEVEL. BETWEEN 10 AND 28% OF RESIDENTS WERE ELIGIBLE FOR MEDICAID. NICHOLAS COUNTY HAD 21.9%. APPROXIMATELY 23% OF THE TOTAL POPULATION OVER 5 YEARS OF AGE HAS A DISABILITY.
PART VI, LINE 5: OUR MISSION IS TO STRIVE TO PROVIDE QUALITY CARE THAT EXCEEDS THE PERSONAL EXPECTATIONS OF THOSE WE SERVE AND ENDEAVOR TO ENHANCE THE HEALTH AND WELL- BEING OF THE COMMUNITIES WE SERVE. WE STRIVE TO PROVIDE QUALITY SERVICE AND REINVEST ANY PROFITS BACK INTO OPERATIONS TO CONTINUE TO PROVIDE QUALITY AFFORDABLE HEALTH CARE TO OUR PATIENTS .
PART VI, LINE 6: N/A
REPORTS FILED WITH STATES PART VI, LINE 7 KY
