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The Health Care Authority Of The City Of Anniston
Anniston, AL 36202
(click a facility name to update Individual Facility Details panel)
| Bed count | 323 | Medicare provider number | 010078 | Member of the Council of Teaching Hospitals | YES | Children's hospital | NO |
The Health Care Authority Of The City Of AnnistonDisplay data for year:
(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 $ 269,974,261 Total amount spent on community benefits as % of operating expenses$ 18,405,693 6.82 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 7,560,980 2.80 %Medicaid as % of operating expenses$ 401,456 0.15 %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$ 9,573,339 3.55 %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.$ 745,777 0.28 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 124,141 0.05 %Community building*
as % of operating expenses$ 124,601 0.05 %- * = 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) 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$ 124,601 0.05 %Physical improvements and housing as % of community building expenses$ 0 0 %Economic development as % of community building expenses$ 0 0 %Community support as % of community building expenses$ 0 0 %Environmental improvements as % of community building expenses$ 0 0 %Leadership development and training for community members as % of community building expenses$ 8,796 7.06 %Coalition building as % of community building expenses$ 0 0 %Community health improvement advocacy as % of community building expenses$ 0 0 %Workforce development as % of community building expenses$ 115,805 92.94 %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$ 35,309,288 13.08 %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$ 4,671,419 13.23 %- 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? NO 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? YES 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 $ 248770857 including grants of $ 237430) (Revenue $ 256217881) "DURING THE YEAR, THE AUTHORITY SERVED AS A INPATIENT FACILITY FOR BOTH ADULT AND PEDIATRIC ADMISSIONS, 2,008 NEWBORN ADMISSIONS AND SERVED PATIENTS THROUGH AMBULATORY CARE INCLUDING: 2,612 OBSERVATION PATIENTS, 52,245 EMERGENCY DEPARTMENT PATIENTS, 6,037 SAME DAY SURGERY PATIENTS, 126,661 OTHER OUTPATIENT VISITS.THE AUTHORITY IS ALSO INVOLVED IN EDUCATION, RESEARCH, AND COMMUNITY BENEFIT ACTIVITIES DESIGNATED TO PROVIDE HEALTH AND WELLNESS. THE AUTHORITY HOLDS DESIGNATIONS FOR THE FOLLOWING: ""BABY-FRIENDLY"" HOSPITAL DESIGNATION FROM THE WORLD HEALTH ORGANIZATION (WHO); ALABAMA STATEWIDE CANCER REGISTRY (ASCR) GOLD STANDARD AWARD; BLUE CROSS/BLUE SHIELD BLUE DISTINCTION PLUS DESIGNATION FOR MATERNITY CARE SERVICES; BLUE CROSS/BLUE SHIELD BLUE DISTINCTION DESIGNATION FOR BARIATRIC CARE; BARIATRIC CENTER OF EXCELLENCE FROM THE AMERICAN COLLEGE OF SURGEONS MBSAQIP PROGRAM; ORTHOPEDIC PROGRAM RECOGNIZED BY BCBS OF ALABAMA AS A BLUE DISTINCTION CENTER FOR KNEE AND HIP REPLACEMENT; ACHIEVEMENT AWARD BY THE COMMISSION ON CANCER (COC) OF THE AMERICAN COLLEGE OF SURGEONS (ACS); AND JOINT COMMISSION ACCREDITATION."
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Facility Information
PART V, SECTION B FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: NORTHEAST ALABAMA REGIONAL MEDICAL CTR, - FACILITY 2: STRINGFELLOW MEMORIAL HOSPITAL
GROUP A-FACILITY 1 -- NORTHEAST ALABAMA REGIONAL MEDICAL CTR PART V, SECTION B, LINE 5: THE AUTHORITY'S CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. THE INTERVIEW PROCESS TOOK INTO ACCOUNT INPUT FROM PERSONS, BASED ON RECOMMENDATIONS FROM THE HOSPITAL'S MANAGEMENT TEAM, WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL INCLUDING HOSPITAL MANAGEMENT, HOSPITAL BOARD, HOSPITAL MEDICAL STAFF / COMMUNITY PHYSICIANS, LOCAL AGENCIES AND PROVIDERS, AND COMMUNITY LEADERS. COLLECTIVELY, THE COMMUNITY MEMBERS SURVEYED REPRESENT HUNDREDS OF YEARS OF LIVING EXPERIENCE IN THE PRIMARY SERVICE AREA OF THE HOSPITAL AND THEREFORE PROVIDE HIGH PROBABILITY THAT RESPONDENTS KNOW AND UNDERSTAND THE COMMUNITY DYNAMICS AND ISSUES OF THE PRIMARY SERVICE AREA.
GROUP A-FACILITY 1 -- NORTHEAST ALABAMA REGIONAL MEDICAL CTR PART V, SECTION B, LINE 6A: NORTHEAST ALABAMA REGIONAL MEDICAL CENTER AND STRINGFELLOW MEMORIAL HOSPITAL.
GROUP A-FACILITY 1 -- NORTHEAST ALABAMA REGIONAL MEDICAL CTR PART V, SECTION B, LINE 11: THE ORGANIZATION PRIORITIZED THE HEALTH NEEDS ADDRESSED BASED ON FIVE CONSIDERATIONS: 1) CONSISTENCY WITH THE ORGANIZATION'S MISSION, 2) QUALITY CONSIDERATIONS, 3)GOVERNANCE AND ORGANIZATION STRUCTURE ISSUES, 4)FINANCIAL OPERATIONS IMPACTS, 5)AND RISK.
GROUP A-FACILITY 2 -- STRINGFELLOW MEMORIAL HOSPITAL PART V, SECTION B, LINE 2: THE HOSPITAL FACILITY WAS ACQUIRED ON MAY 1, 2017.
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Supplemental Information
PART I, LINE 3C: THE FINANCIAL ASSISTANCE POLICY PROVIDES A FULL TO PARTIAL WRITE-OFF BASED UPON THE INCOME LEVEL COMPARED TO THE FEDERAL POVERTY GUIDELINES.
PART I, LINE 7G: THE ORGANIZATION PROVIDES CERTAIN SERVICES TO THE COMMUNITY AT A LOSS TO ENSURE THAT THESE SERVICES ARE AVAILABLE. THESE SERVICES INCLUDE: EMERGENCY DEPARTMENTS, OP CHEMOTHERAPY AND INPATIENT PSYCH.
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 $ 35,184,045.
PART III, LINE 2: ACTUAL BAD DEBTS WRITTEN OFF OF $35,309,288
PART III, LINE 3: THE ORGANIZATION ESTIMATES THAT APPROXIMATELY 13% OF ITS BAD DEBT WOULD QUALIFY AS CHARITY CARE. WHICH IS THE ORGANIZATIONS COST FOR THE BAD DEBT BASED ON ITS COST TO CHARGE RATIO.
PART III, LINE 4: BAD DEBT EXPENSE AT COST WAS CALCULATED BY MULTIPLYING TOTAL BAD DEBT EXPENSE BY THE HOSPITAL'S COST TO CHARGE RATIO. THE COST TO CHARGE RATIO WAS CALCULATED USING WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS BY DIVIDING TOTAL OPERATING COSTS INTO TOTAL CHARGES.
PART III, LINE 8: MEDICARE ALLOWABLE COSTS OF CARE WAS DERIVED FROM THE MEDICARE COST REPORT.
PART III, LINE 9B: THE FINANCIAL ASSISTANCE POLICY STATES:THE ORGANIZATION WILL NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS BEFORE IT MAKES A REASONABLE EFFORT TO DETERMINE WHETHER A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE. COLLECTION ACTIVITY WILL PROCEED BASED UPON A SEPARATE COLLECTION POLICY.
PART VI, LINE 2: OUR ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF OUR COMMUNITY IN SEVERAL WAYS, WHICH INCLUDES THE COMPLETION OF A COMMUNITY HEALTH NEEDS ASSESEMENT ONCE EVERY THREE YEARS (WITH THE MOST RECENT ASSESSMENT COMPLETED IN DECEMBER 2020), AND THE COMPLETION OF AN ANNUAL UPDATE OF OUR MEDICAL STAFF DEVELOPMENT PLAN. THERE ARE SEVERAL COMPONENTS TO THIS PLAN, INCLUDING THE OVERALL POPULATION WITHIN OUR SERVICE AREA, THE AGE OF THE CURRENT MEMBERS OF OUR MEDICAL STAFF, AND PROJECTED PHYSICIAN NEEDS USING CALCULATIONS PROVIDED BY THE AMERICAN MEDICAL ASSOCIATION'S PHYSICIAN CHARACTERISTICS AND DISTRIBUTION IN THE U.S.
PART VI, LINE 3: ALL PATIENT BILLS INCLUDE A STATEMENT THAT CHARITY CARE IS AVAILABLE TO QUALIFYING INDIVIDUALS, ALONG WITH INFORMATION ON HOW TO CONTACT PERSONNEL AT THE HOSPITAL IF THE PATIENT IS INTERESTED IN DETERMINING IF THEY QUALIFY FOR FINANCIAL ASSISTANCE. SIGNS ARE ALSO POSTED IN ALL REGISTRATION AREAS, AND INFORMATION ON OUR FINANCIAL ASSISTANCE POLICY IS ALSO PROVIDED ON THE HOSPITAL'S WEBSITE.
PART VI, LINE 4: OUR PRIMARY SERVICE AREA IS COMPRISED OF THREE COUNTIES WITH A TOTAL POPULATION OF 157,418. FORTY-ONE PERCENT (41%) OF THIS POPULATION IS COMPRISED OF LOW-INCOME INDIVIDUALS (INCOMES EQUAL TO OUR LESS THAN 200% OF THE FEDERAL POVERTY LEVEL)
PART VI, LINE 5: THE AUTHORITY HAS ATTEMPTED TO PROVIDE OUTREACH AND EXTEND ITS SERVICE OFFERINGS INTO RURAL COMMUNITIES. OUR TOTAL GEOGRAPHIC AREA IS EXPANSIVE AND IN MANY PARTS PATIENTS HAVE LIMITED ACCESS TO HEALTHCARE OTHER THAN THE SERVICES PROVIDED BY THE AUTHORITY.THE AUTHORITY UTILIZES SURPLUS FUNDS PRIMARILY TO PURCHASE NEW AND REPLACEMENT MEDICAL EQUIPMENT, AND TO PERFORM NEEDED RENOVATIONS ON ITS PLANT. OTHER USES OF SURPLUS FUNDS MIGHT INVOLVE FUNDING EDUCATIONAL OPPORTUNITIES FOR CLINICAL STAFF AND WHEN ALLOWED, MEMBERS OF ITS MEDICAL STAFF.
PART VI, LINE 6: THE ORGANIZATION IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.
