Community Benefit Insight - Tax-exempt hospital

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Trigg County Hospital

Trigg County Hospital

Main Street Hwy 68
Cadiz, KY 42211

Bed count	25	Medicare provider number	181304	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

EIN: 610471581

Display data for year:

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

0.06%

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	$ 0 0 %
Medicaid as % of operating expenses	$ 0 0 %
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 expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 12,463 0.06 %
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: 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	$ 2,262,996 10.41 %
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:
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 $ 20336529 including grants of $ 1618) (Revenue $ 22920493)
OUR MISSION IS TO PROVIDE QUALITY HEALTHCARE SERVICES IN A CARING AND COST-EFFECTIVE MANNER. IN ACHIEVING OUR MISSION, WE PLEDGE TO MEET STANDARDS OF EXCELLENCE WHILE CONTINUOUSLY IMPROVING THE VALUE OF OUR SERVICE. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO PATIENTS IN THE TRIGG COUNTY, KENTUCKY AREA.

Facility Information

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

TRIGG COUNTY HOSPITAL, INC.
PART V, SECTION B, LINE 5: IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENTED THE COMMUNITY IT SERVED, INCLUDING THOSE WITH SPECIAL KNOWLEDGE, THROUGH FOCUS GROUP DISCUSSIONS AND SURVEYS. A STEERING COMMITTEE COMPRISED OF INDIVIDUALS WHO REPRESENTED ORGANIZATIONS AND AGENCIES FROM THE SERVICE AREA AND IN PARTICULAR, THE INDIVIDUALS WHO WERE WILLING TO VOLUNTEER, ENABLED THE HOSPITAL TO GET INPUT FROM POPULATIONS THAT WERE OFTEN NOT ENGAGED IN CONVERSATIONS ABOUT THEIR HEALTH NEEDS. THESE POPULATIONS CONSISTED OF THE SENIOR AND UNDERSERVED POPULATION, AS WELL AS CHILDREN, YOUTH, AND FAMILIES. THE FOLLOWING ORGANIZATIONS/AGENCIES WERE REPRESENTED ON THE STEERING COMMITTEE:TRIGG COUNTY HOSPITAL AUXILIARYTRIGG COUNTY HEALTH DEPARTMENTLOCAL PROFESSIONALS AND BUSINESS OWNERSTRIGG COUNTY JUDGE EXECUTIVETRIGG COUNTY SCHOOLSMAYOR TRIGG COUNTY SENIOR CITIZENS CENTERTRIGG COUNTY BOARD OF EDUCATIONTRIGG COUNTY HOUSING AUTHORITYTRIGG COUNTY SEASON BEHAVIORAL HEALTH

TRIGG COUNTY HOSPITAL, INC.
PART V, SECTION B, LINE 7D: HTTP://WWW.TRIGGHOSPITAL.ORG/GETPAGE.PHP?NAME=NEWS-COMMUNITY_HEALTH_NEEDS_ASSESSMENT&SUB=COMMUNITY+HEALTH+NEEDS+ASSESSMENT

TRIGG COUNTY HOSPITAL, INC.
"PART V, SECTION B, LINE 11: THE NEEDS IDENTIFIED IN THE 2019 CHNA ARE AS FOLLOWS: GOAL: INCREASE AVAILABILITY OF MENTAL HEALTH SERVICES. IMPLEMENT STRATEGIC GOALS FOR TRIGG COUNTY PRIMARY CARE TO BEGIN OFFERING BEHAVIORAL HEALTH SERVICES. IMPLEMENT STRATEGIC GOALS FOR TRIGG COUNTY HOSPITAL SEASON'S BEHAVIORAL HEALTH TO EXPAND BEHAVIORAL HEALTH SERVICES THROUGH STRUCTURED OUTPATIENT PROGRAM. HOST PERIODIC SUPPORT GROUP ACTIVITIES IN COMMUNITY (I.E. AT SENIOR CITIZENS). FINISH AGREEMENTS WITH TRICARE INSURANCE SO THAT BEHAVIORAL HEALTH CAN PROVIDE SERVICES TO VETERANS AND THEIR FAMILIES.GOAL: INCREASE COMMUNITY PHARMACY HOURS ON WEEKENDS. REACH OUT TO LOCAL PHARMACIES WITH INFORMATION ON PATIENT NEED DURING WEEKEND HOURS. COLLABORATE WITH LOCAL PHARMACIES TO ENCOURAGE WEEKEND HOURS FOR SHORT WINDOWS OF TIME AND PROMOTE THESE HOURS WITH CLINIC AND ED PATIENTS.GOAL: ADDRESS CHRONIC HEALTH CONDITIONS TO INCLUDE OBESITY, HIGH BLOOD PRESSURE, AND LACK OF PHYSICAL ACTIVITY. FOCUS TO BE PLACED ON MORE EDUCATIONAL PROGRAMS AND REVIVED COMMUNITY PARTNERSHIPS FOR LARGE ACTIVITIES. PARTNER WITH LOCAL LARGER BUSINESSES TO HOST HEALTH FAIRS. DEVELOP, IMPLEMENT AND PROMOTE HEALTH PLUS PROGRAM ROLL OUT IN HOSPITAL AND WITH INTERESTED BUSINESSES. EXPAND NUMBER OF FREE SCREENINGS AND EDUCATIONAL EVENTS AT HOSPITAL (CONTINUE EXISTING ACTIVITIES SKIN CANCER, COLON CANCER SCREENINGS, PINK-OUT ACTIVITIES). HOST HEALTHY EATING ACTIVITIES/COUNSELING. HOST FINANCIAL ASSISTANCE SUPPORT AND INFORMATION TO INCLUDE PATIENT EDUCATION ON NEEDED RESOURCES AVAILABLE TO THEM. UTILIZE CDC INFORMATION ON SIX KEY HEALTH TOPICS TO ADDRESS AND BUILD THIS INTO EDUCATIONAL CLASSES/EVENTS. RESTART AND PROMOTE TRIGG WELLNESS GROUP AGAIN PARTNERING WITH DIFFERENT COMMUNITY GROUPS/AGENCIES TO HELP DEVELOP AND IMPLEMENT PLAN. HOST WALK-A-THON, PARTICIPATE IN RELAY FOR LIFE, HOST BIGGEST LOSER EVENT YEARLY. PARTNER WITH THE SCHOOL SYSTEM AND SENIOR CITIZENS TO EDUCATE PEOPLE AND PROMOTE HEALTHIER LIFESTYLES. HOST COMPETITION WITH STUDENTS ON STEPS TAKEN, UTILIZING PHONES TO HELP TRACK. CONTINUE TO HOST MONTHLY SENIOR CITIZENS DANCES WITH EDUCATIONAL ACTIVITIES TO PROMOTE HEALTHIER LIFESTYLE. MORE AGGRESSIVELY USE SOCIAL MEDIA TO SHARE SUCCESS STORIES AND INFORMATION IN EFFORT TO REACH OTHERS AND ATTRACT NEW PARTICIPANTS.GOAL: RECRUIT AND RETAIN PRIMARY CARE PHYSICIANS. HOSPITAL STAFF WILL EXPLORE OPPORTUNITIES THROUGH HRSA FOR LOAN FORGIVENESS/REIMBURSEMENT AND USE THIS AS A RECRUITMENT TOOL. HOSPITAL STAFF WILL ASSESS THE NEED FOR AN ADDITIONAL PHYSICIAN WITH TRIGG COUNTY PRIMARY CARE (ASSESSING COST, POTENTIAL FOR PATIENT GROWTH, ETC.). HOSPITAL STAFF WILL LEARN MORE ABOUT INTERNSHIP/RESIDENCY OPTIONS THAT CAN BE PROVIDED THROUGH HOSPITAL IN ORDER TO GAIN MORE EXPOSURE TO POTENTIAL PCP'S. HOSPITAL STAFF WILL EXPLORE PART-TIME OPTIONS FOR INTERESTED PCP'S. HOSPITAL STAFF WILL RECRUIT PCP TO BE HOUSED IN MEDICAL ARTS, SEPARATE FROM TCPC.GOAL: EXPAND SPECIALTY MEDICAL SERVICES PROVIDED IN ASSOCIATION WITH HOSPITAL TO INCLUDE INCREASED PROMOTION OF EXITING SPECIALTY CLINICS (AND ANY NEW SPECIALTIES ADDED). CONTINUE TO MAKE ""COLD CALLS"" TO PHYSICIANS TO MAKE THEM AWARE OF OUR CLINIC SPACE AVAILABLE AND INTEREST IN PARTNERING WITH THEM. VISIT TO PHYSICIAN OFFICES TO ENSURE THEY KNOW WE ARE INTERESTED IN PARTNERING WITH THEM. UTILIZE CURRENT PHYSICIANS TO REACH OUT TO OTHER PHYSICIANS ABOUT OUR HOSPITAL AND TEAM.GOAL: AS A LOCAL EMPLOYER, TCH PARTICIPATES AND PARTNERS WITH ONGOING DEVELOPMENT EFFORTS. ATTEND CHAMBER OF COMMERCE LUNCH AND LEARN ACTIVITIES EVERY OTHER MONTH TO ENSURE HOSPITAL IS INVOLVED IN COMMUNITY DEVELOPMENT AND UNDERSTANDS SURROUNDING AREA. CONTINUED PARTICIPATION IN PURCHASE AREA DEVELOPMENT DISTRICT BOARD. REACH OUT TO THE ECONOMIC DEVELOPMENT COMMISSION FOR OUR AREA AND ENSURE THEY KNOW THE HOSPITAL IS AVAILABLE AND READY TO SUPPORT THEM."

TRIGG COUNTY HOSPITAL:
SCHEDULE H, PART V, LINE 16A:HTTP://WWW.TRIGGHOSPITAL.ORG/GETPAGE.PHP?NAME=PATIENT_FINANCIAL_INFORMATION&SUB=PATIENT+FINANCIAL+INFORMATIONSCHEDULE H, PART V, LINE 16B:HTTP://WWW.TRIGGHOSPITAL.ORG/GETPAGE.PHP?NAME=PATIENT_FINANCIAL_INFORMATION&SUB=PATIENT+FINANCIAL+INFORMATIONSCHEDULE H, PART V, LINE 16C:HTTP://WWW.TRIGGHOSPITAL.ORG/GETPAGE.PHP?NAME=PATIENT_FINANCIAL_INFORMATION&SUB=PATIENT+FINANCIAL+INFORMATION

Supplemental Information

Schedule H (Form 990) Part VI

PART I, LINE 3C:
IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, TRIGG COUNTY HOSPITAL USES ASSET LEVEL AND INSURANCE STATUS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE.

PART I, LINE 7:
TRIGG COUNTY HOSPITAL, INC. USES THE IRS WORKSHEETS PROVIDED IN THE INSTRUCTIONS FOR FORM 990, SCHEDULE H TO CALCULATE A SINGLE COST TO CHARGE RATIO WHICH IS APPLIED TO THE CHARGES FOR FINANCIAL ASSISTANCE AND OTHER BENEFITS TO PROVIDE AMOUNTS AT COST.

PART II, COMMUNITY BUILDING ACTIVITIES:
TRIGG COUNTY HOSPITAL, INC. PROVIDED SIGNIFICANT COVID-19 TESTING AND WAS THE MAIN PROVIDER OF VACCINES IN THEIR COUNTY.

PART III, LINE 2:
THE HOSPITAL'S ANALYSIS AND ASSESSMENT OF THE BAD DEBT EXPENSE IS BASED UPON THE REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS.

PART III, LINE 3:
THE HOSPITAL DOES NOT ATTRIBUTE ANY BAD DEBT EXPENSE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. THEREFORE, NO PORTION OF BAD DEBT IS CONSIDERED A COMMUNITY BENEFIT.

PART III, LINE 4:
FINANCIAL STATEMENT FOOTNOTE: NET PATIENT SERVICE REVENUE IS REPORTED AT ESTIMATED RETROACTIVE REVENUE ADJUSTMENTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS. RETROACTIVE ADJUSTMENTS ARE CONSIDERED IN THE RECOGNITION OF REVENUE ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND SUCH ESTIMATED AMOUNTS ARE REVISED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN.

PART III, LINE 8:
THE SOURCE USED TO DETERMINE THE AMOUNT OF MEDICARE ALLOWABLE COSTS REPORTED FOR PART III, SECTION B, MEDICARE HAS BEEN PROVIDED FROM THE YEAR ENDED APRIL 30, 2022: HOSPITAL STATEMENT OF REIMBURSABLE COST.

PART III, LINE 9B:
THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE OR FINANCIAL ASSISTANCE.

PART VI, LINE 2:
NEEDS ASSESSED:IN ADDITION TO COMPLETING A CHNA EVERY THREE YEARS, THE HOSPITAL IS ALWAYS WILLING AND AVAILABLE TO MEET THE NEEDS OF THE COMMUNITY AS THEY ARISE. THE HOSPITAL ASSISTS OTHER AGENCIES, AS NEEDED, TO MEET THE HEALTH AND WELFARE NEEDS OF THE COMMUNITY.

PART VI, LINE 3:
PATIENT EDUCATION:UNINSURED AND UNDERINSURED PATIENTS ARE PROVIDED WITH INFORMATION ABOUT THE CHARITY CARE PROGRAM. THE HOSPITAL CONTRACTS WITH DISABILITY MEDICAL CONSULTANTS TO CONTACT EACH OF THESE IDENTIFIED PATIENTS AND PROVIDES THEM WITH INFORMATION ON HOW TO GET QUALIFIED FOR MEDICAID OR HOW TO ENROLL IN INSURANCE PROGRAMS AVAILABLE THROUGH THE AFFORDABLE CARE ACT.

PART VI, LINE 4:
COMMUNITY INFORMATION:THE HOSPITAL IS A RURAL COMMUNITY LOCATED IN WESTERN KENTUCKY WITH AN ESTIMATED POPULATION OF 14,444. APPROXIMATELY, 22.2% OF THE COUNTY RESIDENTS ARE AGE 65 AND OLDER. TRIGG COUNTY HAS BEEN DESIGNED AS A HEALTH PROFESSIONAL SHORTAGE AREA AND MEDICALLY UNDERSERVED AREA. THE MEDIAN HOUSEHOLD INCOME IS $47,963 AND ABOUT 8% OF THE COUNTY POPULATION IS UNINSURED.

PART VI, LINE 5:
TRIGG COUNTY HOSPITAL STRIVES TO SERVE OUR COMMUNITY BY PROVIDING GREATER ACCESSIBILITY TO CARE, PROVIDING INFORMATION AND TEACHING OUR COMMUNITY ABOUT THE RISKS AND SYMPTOMS OF DISEASES, AND ENSURING WE ARE PROVIDING THE NEEDED RESOURCES THE COMMUNITY IS REQUESTING. THE HOSPITAL HAS EXPANDED THE PATIENT-CENTERED EXPERIENCE WITH AN EMPHASIS ON EXPANDING THE SPECIALTY SERVICES AND PROVIDING A SURGICAL UNIT THAT WILL IMPACT THE UNIQUE NEEDS OF OUR COMMUNITY. WHILE MAINTAINING OUR COLLABORATIVE RELATIONSHIPS WITH LONGSTANDING SUPPORTIVE COMMUNITY PARTNERS AND MEDICAL STAFF, THE HOSPITAL CONTINUES TO RECRUIT PHYSICIANS, SERVICES, AND RESOURCES SO OUR LOCAL PATIENTS DO NOT HAVE TO TRAVEL OUTSIDE THE AREA TO RECEIVE NEEDED CARE. THE HOSPITAL IS COMMITTED AND LOOKS FORWARD TO FUTURE GROWTH DUE TO OUR PROMOTION OF HEALTH IN THE COMMUNITY.

PART VI, LINE 6:
TRIGG COUNTY HOSPITAL, INC. (HOSPITAL) IS AN ACUTE CARE HOSPITAL LOCATED IN CADIZ, KENTUCKY (CITY). THE HOSPITAL IS A COMPONENT UNIT OF TRIGG COUNTY, KENTUCKY (COUNTY) AND THE TRIGG COUNTY FISCAL COURT APPOINTS MEMBERS TO THE BOARD OF DIRECTORS OF THE HOSPITAL. THE HOSPITAL PRIMARILY EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES TO PATIENTS IN THE TRIGG COUNTY AREA.TRIGG COUNTY PUBLIC HOSPITAL CORPORATION (TCPHC) IS A RELATED ORGANIZATION, WHICH IS JOINTLY CONTROLLED BY THE TRIGG COUNTY FISCAL COURT AND CADIZ CITY COUNCIL. TCPHC ISSUED BONDS IN 1966, 1999, 2014 AND 2015 AND HAS TITLE TO SUBSTANTIALLY ALL REAL ESTATE AND FIXED EQUIPMENT WHICH IS OPERATED BY THE HOSPITAL.

Operating expenses	$ 21,731,919
Total amount spent on community benefits as % of operating expenses	$ 12,463 0.06 %