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Pemiscot County Memorial Hospital
Hayti, MO 63851
| Bed count | 102 | Medicare provider number | 260070 | 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: 2018
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 $ 42,298,995 Total amount spent on community benefits as % of operating expenses$ 1,648,026 3.90 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 295,398 0.70 %Medicaid as % of operating expenses$ 1,265,829 2.99 %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.$ 86,799 0.21 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 0 0 %Community building*
as % of operating expenses$ 6,359 0.02 %- * = 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$ 6,359 0.02 %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$ 6,106 96.02 %Environmental improvements as % of community building expenses$ 0 0 %Leadership development and training for community members as % of community building expenses$ 0 0 %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$ 253 3.98 %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: 2018
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$ 9,097,294 21.51 %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$ 2,620,021 28.80 %- 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? YES
Community Health Needs Assessment Activities: 2018
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: 2018
- 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 $ 40039165 including grants of $ 0) (Revenue $ 41449917) PROVIDING QUALITY HEALTH CARE TO THE COMMUNITY THROUGH THE OPERATION OF A HOSPITAL, LONG-TERM CARE FACILITY, RURAL HEALTH CLINICS AND ADULT AND GERIATRIC PSYCHIATRIC UNITS.
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Facility Information
SCHEDULE H, PART V, LINE 5 COMMUNITY INPUT: INTERVIEWS WITH STAKEHOLDERS WERE CONDUCTED IN DECEMBER 2016 OVER THE PHONE. STAKEHOLDERS WERE DETERMINED BASED ON THEIR: A) SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH, B) THEIR AFFILIATION WITH LOCAL GOVERNMENT, SCHOOL AND INDUSTRY OR C) THEIR INVOLVEMENT WITH UNDERSERVED AND MINORITY POPULATIONS. ALL INTERVIEWS WERE CONDUCTED USING A STANDARD QUESTIONNAIRE. A COPY OF THE INTERVIEW INSTRUMENT IS INCLUDED IN THE APPENDICES. A SUMMARY OF THEIR OPINIONS IS REPORTED WITHOUT JUDGING THE TRUTHFULNESS OR ACCURACY OF THEIR REMARKS. COMMUNITY LEADERS PROVIDED COMMENTS ON THE FOLLOWING ISSUES: - HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE PRIMARY COMMUNITY IN RELATION TO THE CURRENT STRATEGIES IMPLEMENTED. - THOUGHTS ON HOW CURRENT PROGRAMS ARE IMPROVING HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE PRIMARY COMMUNITY OR IDENTIFYING PROGRAMS DONE BY OTHERS THAT ADDRESS SIMILAR NEEDS. - OPINIONS REGARDING NEW NEEDS OR HEALTH ISSUES THAT AFFECT PEMISCOT COUNTY RESIDENTS AND THE TYPES OF SERVICES THAT ARE IMPORTANT FOR ADDRESSING THESE NEW ISSUES. THIS TECHNIQUE DOES NOT PROVIDE A QUANTITATIVE ANALYSIS OF THE LEADERS' OPINIONS, BUT REVEALS SOME OF THE FACTORS AFFECTING THE VIEWS AND SENTIMENTS ABOUT OVERALL HEALTH AND QUALITY OF LIFE WITHIN THE COMMUNITY. REPRESENTATIVES FROM THE COMMUNITY WHO WERE INCLUDED IN THE KEY INFORMANT INTERVIEW PROCESS WORKED FOR THE VARIOUS TYPES OF ORGANIZATIONS AND AGENCIES (SEE APPENDIX FOR A DETAILED LIFT OF PARTICIPANTS). THESE HEALTH CARE AND NON-HEALTH CARE PROFESSIONALS PROVIDED INSIGHT INTO THE HEALTH STATUS OF THE HOSPITAL THROUGH A SEVEN QUESTION INTERVIEW (REFER TO THE APPENDIX FOR FULL INTERVIEW PROCESS).
SCHEDULE H, PART V, SECTION B, LINES 7A & 10A WEBSITE FOR CHNA AND IMPLEMENTATION STRATEGY: https://www.pemiscot.org/community-health-needs-assessment
SCHEDULE H, PART V, SECTION B, LINE 16A WEBSITE FOR FINANCIAL ASSISTANCE POLICY: https://www.pemiscot.org/copy-of-request-medical-records
SCHEDULE H, PART V, LINE 11 ADDRESSING SIGNIFICANT NEEDS: THE MOST SIGNIFICANT/PREVALENT NEEDS IDENTIFIED IN THE ORGANIZATIONS MOST RECENT CHNA WERE AS FOLLOWS: HEART DISEASE CANCER STROKE LUNG DISEASE PRIMARY CARE PHYSICIANS / PEDIATRICIANS MENTAL HEALTH PROVIDERS LOW-INCOME POPULATION HEALTH CARE TRANSPORTATION / ACCESS TO CARE DRUG OVERDOSE ADULT SMOKING CHILDREN IN POVERTY CHILDREN IN SINGLE-PARENT HOUSEHOLDS ADULT OBESITY DENTISTS PREVENTABLE HOSPITAL STAYS UNINSURED TEEN BIRTH RATE SEXUALLY TRANSMITTED INFECTIONS MAMMOGRAPHY SCREENING ACCESS TO EXERCISE OPPORTUNITIES PHYSICAL INACTIVITY VIOLENT CRIME RATE FOOD ENVIRONMENT INDEX ALCOHOL-IMPAIRED DRIVING DEATHS DIABETIC SCREEN RATE EXCESSIVE DRINKING HOSPITAL LEADERSHIP REVIEWED THE IDENTIFIED NEEDS REPORTED IN THE TABLE ABOVE. THROUGH DISCUSSION AND DEBATE, LEADERSHIP IDENTIFIED PRIORITIES THE HOSPITAL SHOULD FOCUS ON FOR CALENDAR YEARS 2017-2018. AS A RESULT OF THE ANALYSIS ABOVE THE FOLLOWING AREAS WERE IDENTIFIED AS PRIORITY AREAS ON WHICH WE WILL FOCUS. ACCESS TO SERVICES AND HEALTHY LIVING: 1. PRIMARY CARE PHYSICIANS AND PEDIATRICIANS 2. MENTAL HEALTH PROVIDERS 3. LOW-INCOME AND UNINSURED HEALTH CARE SERVICES 4. TRANSPORTATION AND ACCESS TO CARE CHRONIC DISEASE MANAGEMENT AND PREVENTION: 1. HEART DISEASE 2. CANCER 3. STROKE 4. LUNG DISEASE
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Supplemental Information
SCHEDULE H, PART I, LINE 7, COLUMN F PERCENT OF TOTAL EXPENSE: TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25 FOR THE FORM 990, WAS REDUCED BY BAD DEBT EXPENSE OF $9,097,294.
SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY: THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEET 1 AND 6. WORKSHEET 3 USED ACTUAL COST METHODS FROM THE ORGANIZATION'S COST REPORT.
SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES: THE ORGANIZATION PROVIDED COMMUNITY SUPPORT THROUGH AN R-3 PARTY, WHICH CONTRIBUTED TO PEMISCOT COUNTY RESIDENTS WITH CANCER. THE ORGANIZATION PARTICIPATED IN THE LOCAL JOB FAIR TO PROMOTE WORKFORCE DEVELOPMENT. MEMBERS OF THE ORGANIZATION'S MANAGEMENT ARE MEMBERS OF THE HAYTI ROTARY AND THE DUES ASSOCIATED WITH THIS MEMBERSHIP ARE REPORTED AS ECONOMIC DEVELOPMENT.
SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT EXPENSES: LINE 2 WAS CALCULATED USING THE BAD DEBT EXPENSE PER THE REVIEWED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, SECTION A, LINE 3 BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE: THE ORGANIZATION HAS ESTIMATED THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS UNDER THE ORGANIZATION'S CHARITY CARE POLICY FOR LINE 3 BASED ON CENSUS DATA SHOWING 28.8% OF THE POPULATION IN ITS SERVICE AREA FALLING BELOW THE FEDERAL POVERTY GUIDELINES.
SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT EXPENSE FOOTNOTE: A FOOTNOTE TO THE FINANCIAL STATEMENTS READS NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD PARTY PAYERS AND OTHERS FOR SERVICES RENDERED. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS ON THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS FINAL SETTLEMENTS ARE DETERMINED. LAWS AND REGULATIONS GOVERNING THE MEDICARE AND MEDICAID PROGRAMS ARE EXTREMELY COMPLEX AND SUBJECT TO INTERPRETATION; AS A RESULT THERE IS AT LAST A REASONABLE POSSIBILITY THAT RECORDED ESTIMATES WILL CHANGE BY A MATERIAL AMOUNT IN THE NEAR TERM. THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALITY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE.
SCHEDULE H, PART III, SECTION B, LINE 8 COMMUNITY BENEFIT: SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY.
SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: GENERAL NEEDS ASSESSMENT IS PERFORMED BY THE BOARD OF DIRECTORS AND MANAGEMENT, WHO REGULARLY MEET WITH LOCAL PROVIDERS TO ASSESS COMMUNITY NEEDS AND DEVELOP STRATEGIES FOR ADDRESSING THESE NEEDS. APPROPRIATE PROGRAMS ARE IMPLEMENTED AS A RESULT.
SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: PATIENTS ARE ASKED UPON ADMISSION IF THEY WOULD LIKE TO APPLY FOR ASSISTANCE. A CASEWORKER MAKES IN-ROOM VISITS TO THOSE WHO APPLY AND ASSISTS IN ENROLLMENT IN ANY PROGRAMS FOR WHICH THE PATIENT QUALIFIES.
SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: THE HOSPITAL SERVES PEMISCOT, EASTERN DUNKLIN, AND SOUTHERN NEW MADRID COUNTIES OF SOUTHEAST MISSOURI. PEMISCOT COUNTY'S MEDIAN HOUSEHOLD INCOME WAS $39,964 WHEN LAST MEASURED IN 2014, WITH 28.8% PERSONS LIVING BELOW THE POVERTY LEVEL.
SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: THE HOSPITAL SENDS EMPLOYEES TO WORK AT LOCAL HEALTH FAIRS, INCLUDING CHECKING BLOOD PRESSURE AND BASIC LAB WORK. THE HOSPITAL ALSO PROVIDES EMPLOYEES TO ADMINISTER FLU SHOTS.
