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Ccmh Corporation
Carrollton, KY 41008
| Bed count | 25 | Medicare provider number | 181310 | 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: 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.
Operating expenses $ 20,387,781 Total amount spent on community benefits as % of operating expenses$ 4,837,397 23.73 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 0 0 %Medicaid as % of operating expenses$ 4,837,397 23.73 %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: 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$ 1,856,769 9.11 %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 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: 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
- 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 $ 19080426 including grants of $ 0) (Revenue $ 18861154) SERVICED 52,357 PATIENTS THIS YEAR. APPROXIMATELY 7,018 PATIENTS WERE SERVICED IN EMERGENCY ROOMS. ALSO HAD 16,970 PHYSICIAN CLAIMS.PROVIDED MEDICAL CARE FOR THOSE UNABLE TO PAY.PROVIDED RURAL HEALTH CLINIC TO SERVE THE INDIGENT OF THE COMMUNITY.
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Facility Information
CARROLL COUNTY MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: THE COMMUNITY STEERING COMMITTEE IS A VITAL PART TO THE CHNA PROCESS. THESE INDIVIDUALS REPRESENT 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. CEDIK PROVIDED A LIST OF POTENTIAL AGENCIES AND ORGANIZATIONS THAT WOULD FACILITATE BROAD INPUT. THE COMMUNITY STEERING COMMITTEE MET TWICE AS A GROUP AND EACH TIME A HOSPITAL REPRESENTATIVE WELCOMED AND THANKED THE INDIVIDUALS FOR ASSISTING IN THE PROCESS AND THEN EXCUSED THEMSELVES IF FOCUS GROUP DISCUSSION WAS BEING CONDUCTED. CEDIK ASKED THAT HOSPITAL REPRESENTATIVES NOT BE PRESENT DURING ANY FOCUS GROUP DISCUSSIONS OR DEBRIEFING WITH THE COMMUNITY STEERING COMMITTEE.COMMUNITY STEERING COMITTEE MEMBERS:FLOYD BOWLING - CARROLL COUNTY MAGISTRATEGREG GOFF OF FIRST NATIONAL BANK OF KENTUCKYPAT BAKER - DIRECTOR OF HOUSING AUTHORITYDENISE HALL OF DRUG FREE COMMUNITIES/TRIMBLE COUNTYKATHY BEIGER OF CARROLL COUNTY SCHOOOL SYSTEMTRACY MILES OF GALLATIN COUNTY CLERK'S OFFICEJEFF MOORE OF THE NEWS DEMOCRATLISA DRODDY OF INTERIM HEALTH CAREYVONNE POE OF THREE RIVERS DISTRICT HEALTH DEPARTMENT
CARROLL COUNTY MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: MORE PRIMARY CARE PROVIDERS - THE CEO HAS RECENTLY RETAINED A RECRUITING FIRM TO LOOK FOR INTERNAL MEDICINE AND/OR FAMILY PRACTICE FOR CCFP AND WFP. WE ARE REACHING OUT TO PHYSICIANS THROUGH PERSONAL CONTACTS HERE AT THE HOSPITAL THAT MAY BE INTERESTED IN BECOMING A PART OF OUR TEAM. WE PLAN TO BE PROACTIVE INSTEAD OF REACTIVE WITH RECRUITMENT, SUCH AS NOT JUST FILLING GAPS WHEN PHYSICIANS LEAVE OR RETIRE, BUT ALWAYS LOOKING TO ADD MORE PHYSICIANS TO OUR MEDICAL STAFF. WE HIRED A NEW FAMILY MEDICINE PHYSICIAN IN AUGUST 2021 - TO START 7/15/2022. HIRED 2 NEW FAMILY PRACTICE NURSE PRACTITIONERS IN 2021. ALSO HIRED A HIGHLY SKILLED GENERAL SURGEON IN 2021. REHABILITATION PROGRAMS FOR ADDICTION/WITHDRAWAL MANAGEMENT - WE HAVE HIRED A LICENSED PROFESSIONAL CLINICAL COUNSELOR AND HAVE STARTED AN INPATIENT MEDICAL STABILIZATION PROGRAM. THIS PROGRAM WILL BE TO MANAGE WITHDRAWAL SYMPTOMS AND EVALUATE THE PATIENT'S NEEDS FOR FURTHER REHAB/COUNSELING WHEN THE PATIENT HAS BEEN DISCHARGED FROM OUR INPATIENT. THIS IS A THREE TO FIVE DAY PROGRAM. GRANT FUNDING WAS RECEIVED IN 2020 AND THE PROGRAM NAS STARTED. WE AIM TO HAVE A REPRESENTATIVE ON THE COMMUNITY PLANNING COALITION THAT HAS A PLANNING GRANT TO DETERMINE NEED AND RESOURCES FOR ADDRESSING EDUCATION/PREVENTION AND TREATMENT OF SUBSTANCE USE IN YOUTH AND ADULTS. WE PLAN TO DEVELOP THESE COMMUNITY RELATIONSHIPS SO THAT WE POOL OUR RESOURCES TO GET SERVICES TO PATIENTS IN NEED.TRANSPORTATION - WE CURRENTLY HAVE A WELLNESS TRANSIT THAT IS AVAILABLE FROM 8AM TO 4PM MONDAY THROUGH THURSDAY AND 8AM TO 12PM ON FRIDAY. SCHEDULED APPOINTMENTS FOR TRANSFERS ARE TO BE MADE 72 HOURS IN ADVANCE AND ARE ONLY AVAILABLE TO CARROLL COUNTY RESIDENTS. WE WOULD LIKE TO INCREASE THIS SERVICE TO OUT OF TOWN APPOINTMENTS IN THE CITY BY INCREASING THE NUMBER OF PAID AND VOLUNTEER DRIVERS. WE CURRENTLY HAVE THREE VANS FOR TRANSPORT BUT HAVE ORDERED ANOTHER ONE THAT HAS BEEN PAID FOR WITH A GRANT. WE NEED TO REACH OUT TO OUR REGIONAL COUNTY OFFICIALS TO WORK ON WAYS TO EXPAND THIS SERVICE TO THEIR COUNTIES.THE AREAS THAT WERE SUGGESTED AS NEEDS THAT WE DID NOT CHOOSE TO ADDRESS AT THIS TIME WERE:EDUCATION - WE WILL BE INCORPORATING EDUCATIONAL PROGRAMMING INTO THE REHAB FOR ADDICTION/WITHDRAWAL PROGRAMS STRATEGY.CANCER SERVICES (SUPPORT SERVICES) - CANCER TREATMENT IS AVAILABLE WITHIN 25 MILES TO THE SOUTH AND WEST OF THE HOSPITAL. CANCER SERVICES ARE VERY COSTLY TO START UP AND WE HAVE HAD ONE IN THE PAST AND WAS POORLY UTILIZED. THERE ARE SUPPORT SERVICES THAT ARE PROVIDED HERE SUCH AS PORT FLUSHES, BLOOD DRAWS, AND TRANSFUSIONS ON MED/SURG OUTPATIENT AREA. IT IS EVIDENT THAT WE NEED TO ADVERTISE THESE SERVICES AND THEIR AVAILABILITY TO THE COMMUNITY.BASIC LIFE SKILLS - WE WOULD OFFER TO SUPPORT THE SCHOOLS WITH THEIR ENDEAVORS TO PROVIDE THIS EDUCATION AND TRAINING WITH RESOURCES AND STAFF AS NEEDED.
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Supplemental Information
PART I, LINE 7: THE ORGANIZATION USED THE MEDICARE COST TO CHARGE RATIO TO COMPLETE PART I, LINE 7.
PART III, LINE 2: IN DETERMINING THE AMOUNT OF BAD DEBT AT COST, THE ORGANIZATION USED THE MEDICARE COST REPORT (MCR), COST TO CHARGE RATIO OF 36.8%.
PART III, LINE 3: PATIENT ACCOUNTS RECEIVABLE ARE STATED AT NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS AND OTHERS FOR SERVICES RENDERED. THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS, WHICH IS MANAGEMENT'S ESTIMATE BASED UPON HISTORICAL COLLECTION INFORMATION AND OTHER INDUSTRY TRENDS. PATIENT ACCOUNTS RECEIVABLE ARE BILLED UPON DISCHARGE AND ARE OFDINARILY DUE WITHIN 30 DAYS OF BILLING. BALANCES MORE THAN 120 DAYS PAST DUE ARE CONSIDERED DELINQUENT. DELINQUENT RECEIVABLES ARE TURNED OVER TO A COLLECTION AGENCY.
PART III, LINE 4: A SEPARATE FOOTNOTE FOR BAD DEBT EXPENSE IS NOT INCLUDED IN THE AUDITED FINANCIAL STATEMENTS.PATIENT ACCOUNTS RECEIVABLE ARE STATED AT NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS AND OTHERS FOR SERVICES RENDERED. THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS, WHICH IS MANAGEMENT'S ESTIMATE BASED UPON HISTORICAL COLLECTION INFORMATION AND OTHER INDUSTRY TRENDS. PATIENT ACCOUNTS RECEIVABLE ARE BILLED UPON DISCHARGE AND ARE ORDINARILY DUE WITHIN 30 DAYS OF BILLING. BALANCES MORE THAN 120 DAYS PAST DUE ARE CONSIDERED DELINQUENT. DELINQUENT RECEIVABLES ARE TURNED OVER TO A COLLECTION AGENCY. IN DETERMINING THE AMOUNT OF BAD DEBT AT COST, THE ORGANIZATION USED THE MEDICARE COST REPORT (MCR), COST TO CHARGE RATIO OF 36.8%.
PART III, LINE 9B: THE ORGANIZATION'S COLLECTION POLICY STATES THAT ANY PERSON INDICATING AN INABILITY TO PAY WILL BE SCREENED FOR FINANCIAL ASSISTANCE.
PART VI, LINE 2: INPUT FROM COMMUNITY LEADERS, BOARD MEMBERS, EMPLOYEES AND PATIENTS. HOSPITAL ADMINISTRATOR IS A MEMBER OF SEVERAL LOCAL ORGANIZATIONS (ROTARY, ECONOMIC DEVELOPMENT, ETC.).
PART VI, LINE 3: FINANCIAL COUNSELORS ASSIST THOSE WITHOUT INSURANCE INCLUDING THOSE WITH INSURANCE THAT EXPRESS A NEED FOR FINANCIAL ASSISTANCE.
PART VI, LINE 4: THE ORGANIZATION SERVES A LARGELY RURAL POPULATION. COMMERCE IS CENTERED AROUND THE OHIO RIVER AND INDUSTRIES RELATED TO SUCH. THE POPULATION IS GENERALLY POORER THAN THE STATE AVERAGE WITH HIGHER THAN AVERAGE UNEMPLOYMENT.
PART VI, LINE 5: HOSPITAL SPONSORED COMMUNITY HEALTH FAIR OFFERING SCREENINGS, PREVENTATIVE EDUCATION, AND INFORMATION TO PROMOTE GOOD HEALTH. COVID EDUCATION AND BEHAVIORAL HEALTH EDUCATION TO THE COMMUNITY. BOARD OF DIRECTORS REPRESENT THE ENTIRE COMMUNITY AND WORK WITH THE HOSPITAL TO PROMOTE AND PROVIDE HEALTHY COMMUNITY BENEFITS.HOSPITAL WORKS WITH COUNTY HEALTH DEPARTMENT TO PROMOTE HEALTHY LIVING AND PREVENTION.
