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Leo N Levi Memorial Hospital Association
Hot Springs, AR 71901
| Bed count | 50 | Medicare provider number | 040132 | 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 $ 9,317,094 Total amount spent on community benefits as % of operating expenses$ 0 0 %- 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 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$ 74,147 0.80 %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$ 48,590 65.53 %- 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 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 $ 6215389 including grants of $ 0) (Revenue $ 0) LEVI HAS A GREAT FORMULA FOR SUCCESS THAT USES THE LATEST IN THERAPY EQUIPMENT AND A TEAM OF DEDICATED PROFESSIONALS, BOTH VETERANS AND NEWLY LICENSED, WHOSE SOLE PURPOSE IS TO BRING PATIENTS TO THEIR HIGHEST LEVEL OF FUNCTIONAL INDEPENDENCE. LEVI HOSPITALS INPATIENT AND OUTPATIENT PSYCHIATRIC PROGRAMS OPERATE WITH A HIGH STANDARD OF CARE AND STRIVE TO CONTINUE TO IMPROVE THE WELLBEING THOSE WE SERVE.
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Facility Information
Facility: - Part V, Section B, Line 5 THROUGH THE USE OF FOUR TOOLS; SECONDARY DATA, COMMUNITY FOCUS GROUPS, PERSONAL INTERVIEWS, AND A COMMUNITY HEALTH SURVEY.
Facility: - Part V, Section B, Line 7d OVER 200 PAPER COPIES DISTRIBUTED TO COMMUNITY MEMBERS AND ORGANIZATIONS.
Facility: - Part V, Section B, Line 11 ATTACHED DOCUMENTATION REPORTS ALL ONGOING EFFORTS TO ADDRESS EACH IMPLEMENTATION STRATEGY ASSOCIATED WITH THE IDENTIFIED SIGNIFICANT HEALTH NEES.
Facility: - Part V, Section B, Line 13b NO INCOME BASED CRITERIA IS USED
Facility: - Part V, Section B, Line 16j PLACING INFORMATION ON PATIENT STATEMENTS
Facility: - Part V, Section B, Line 19e GARNISHMENTS
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Supplemental Information
Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES SURROUNDING THE ACCOUNT.
Part III, Line 4 - Bad Debt Expense SEE FOOTNOTE ON PAGE 9 REGARDING PATIENT ACCOUNTS RECEIVABLE AND FOOTNOTE ON PAGE 10 REGARDING NET PATIENT SERVICE REVENUE IN THE ATTACHED AUDITED FINANCIAL STATEMENTS.
Part III, Line 9b - Provisions On Collection Practices For Qualified Patients PATIENTS ARE INFORMED OF CHARITY CARE PROGRAM
Part VI, Line 2 - Needs Assessment UTILIZES ANNUAL STATISTICAL REPORT WITH DEMOGRAPHIC INFORMATION FROM DHS AS WELL AS REPORTS SHOWING PERCENT OF COMMUNITY BY PAYOR SOURCE.
Part VI, Line 3 - Patient Education of Eligibility for Assistance INFORMS PATIENTS UPON ADMISSION AND POSTS NOTICES IN CONSPICUOUS AREAS.
Part VI, Line 4 - Community Information URBAN SETTING, PREDOMINANTLY INDUSTRIAL BASE. AVERAGE INCOME AT OR BELOW FEDERAL POVERTY GUIDELINES. PREDOMINANTLY CAUCASIAN, HIGH SCHOOL EDUCATED AND GERIATRIC IN NATURE.
Part VI, Line 4 - Community Building Activities THE HOSPITAL ENGAGED IN THE FOLLOWING COMMUNITY BUILDING ACTIVITIES DURING THE YEAR: FALL PREVENTION TESTING, GRIP STRENGTH TESTING, FREE TRAINING FOR CLINICAL INTERNS, CPR TRAINING FOR COMMUNITY, COMMUNITY DISASTER PREPAREDNESS TRAINING, SPORTS MEDICINE INJURY TRAINING FOR EMT(S) ANDEMERGENCY ROOM PERSONNEL, SPORTS MEDICINE TRAINING FOR SCHOOL COACHES, PHYSICALSFOR STUDENT ATHLETES, HEALTH FAIRS, PUBLIC SPEAKING AT CIVIC CLUBS, PROVIDE SPACEFOR HEALTH SUPPORT GROUPS AND SPONSORSHIP OF COMMUNITY ORGANIZATIONS.
Part VI, Line 5 - Promotion of Community Health LEVI HOSPITAL OFFERS OUTPATIENT REHAB SERVICES AT THE PROSPECT AVENUE AND SECTION LINE LOCATIONS. THE PROSPECT LOCATION HOUSES A 3,000 SQUARE FT. GYM AND A 50' X 20' POOL FILLED WITH THERMAL WATERS FROM HOT SPRINGS NATIONAL PARK. THE SECTION LINE LOCATION FEATURES A LIFT SYSTEM TO TREAT PATIENTS WITH AMBULATION ISSUES. REHABILITATION AIDS PATIENTS INRECOVERY FROM STROKES, SURGERY, ACCIDENTS AND SPORTS-RELATED INJURIES. REHABILITATION IS A TREATMENT FOR VARIOUS DISEASES INCLUDING ARTHRITIS, OSTEOPOROSIS, LUPUS AND FIBROMYALGIA. THE LEVI SPORTS MEDICINE PROGRAM UTILIZES PHYSICAL THERAPISTS AND ATHLETIC TRAINERS TO PROVIDE INJURY PREVENTION SERVICES, ENDURANCE TRAINING AND INJURY TREATMENT AT SEVERAL LOCAL HIGH SCHOOLS. LEVI HOSPITAL ESTABLISHED THE FIRST HOSPICE IN GARLAND COUNTY FIFTEEN YEARS AGO AND CURRENTLY ENGAGES IN A JOINT VENTURE WITH HOSPICE OF CENTRAL ARKANSAS TO PROVIDE HOSPICE SERVICES TO THE COMMUNITY. LEVI'S ADULT PSYCHIATRY PROGRAM PROVIDES INPATIENT TREATMENT FOR ADULTS 18 YEARS OF AGE AND OLDER WITH BEHAVIORAL HEALTH DISORDERS. IN ADDITION TO INPATIENT PSYCHIATRIC TREATMENT, LEVI PROVIDES OUTPATIENT PSYCHIATRIC SERVICES TO PATIENTS NEEDING NON-ACUTE BEHAVIORAL HEALTH TREATMENT. THESE SERVICES PROVIDE A VALUABLE BENEFIT TO OUR COMMUNITY BY HELPING OUR LOVED ONES CONQUER THEIR ANXIETY, DEPRESSION, PTSD AND OTHER DEBILITATING DISORDERS.
