Search tax-exempt hospitals
for comparison purposes.
Cibola General Hospital Corporation
Grants, NM 87020
| Bed count | 25 | Medicare provider number | 320037 | 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: 2010
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 $ 22,781,502 Total amount spent on community benefits as % of operating expenses$ 2,141,749 9.40 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 655,574 2.88 %Medicaid as % of operating expenses$ 1,294,089 5.68 %Costs of other means-tested government programs as % of operating expenses$ 0 0 %Health professions education as % of operating expenses$ 80,000 0.35 %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.$ 112,086 0.49 %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? NO 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: 2010
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$ 1,374,393 6.03 %Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program? YES - 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? NO (Some hospitals use other acceptable methods for calculating when to provide discounted or free care.) 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$ 50 0.00 %- 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 Filed lawsuit YES Placed liens on residence Not available Issue body attachments? (an order by the court commanding a sheriff or other official to physically bring before the court a person who is guilty of contempt of court) 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? YES
Community Health Needs Assessment Activities: 2010
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? NO Did the CHNA define the community served by the tax-exempt hospital? Not available Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital? Not available Did the tax-exempt hospital make the CHNA widely available (i.e. post online)? Not available Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA? Not available Did the tax-exempt hospital execute the implementation strategy? Not available Did the tax-exempt hospital participate in the development of a community-wide plan? Not available
Supplemental Information: 2010
- 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.
4D (Expenses $ 22781502 including grants of $ 0) (Revenue $ 26963275)
-
Supplemental Information
Additional explanation - Part V Line 11(h) The basic qualification criterion is: Income available after monthly expenses. The process is described more fully above in the explanation provided for line 3c; Part I. Additional explanation - Part V Line 15(e) Outside collections agencies are used. The recovery rates by these agencies are typically under 10%. Additional explanation - Part V Line 18 The Hospital complies with EMTALA laws, and it is our policy to treat all who come to our emergency room without regard to their ability to pay. Additional explanation - Part V Line 19(d) The Hospital will bill the patient based upon its fee schedule. The patient will pay whatever portion of the bill our process determines he or she is liable for (or nothing at all), and the remaining balance will be written off as a charitable write off. The point we emphasize here is that we do not alter the amount of the gross charge - a given charge will be the same across all patients, irrespective of the amount we believe we will collect. Additional explanation - Part V Line 21 Continuing with the explanation immediately above, we distinguish between the gross charge for services rendered, and the amount we expect to receive form a given patient, depending on the expected source of payment. A procedure which bills at market value at $100, may net the Hospital something around $50 if Medicare, or $10 if the patient is approved for financial assistance. The gross amount charged is the same for all.
Quorum Health Resources, the management company of the Hospital, will be assisting us in a comprehensive community needs assessment during the first quarter of 2012. As a locally-owned and operated Hospital, we have a very involved Board, consisting entirely of residents of the area, whose first priority is meeting local health care needs. We are in a designated Medically Underserved area. In addition, we are part of a Health Provider Shortage Area. As part of the Hospital's Strategic Plan, the Board has commissioned numerous studies which have identified the particular medical generalist and specialist physicians that the community lacks. Needs identified include those doctors who specialize in the care of women and children. Recruitment of Physicians to rural areas such as ours is a challenging and very expensive enterprise. The selection process of these doctors involves a lengthy interview process, wherein their opinions in the matter of improvement of community health are a large part of whether they are offered the position. We look to these doctors to help the Board determine, through their input on what they encounter in their practices, what the specific health issues are, and how best to address them. Because of physician input, programs in childbirth and breast feeding education and diabetes nutrition education are active.
At the time of registration for the medical service, the patient or responsible party is questioned as to what sort of insurance coverage is applicable for the visit. If there are two insurances, meaning no other amounts due, the patient is not asked for money that day. If there are copayments or deductibles applicable, the patient will be asked at that point for the money. If it is determined at that time that the patient lacks the ability to pay, then the registration person will present to the patient the information needed for them to apply for Financial Assistance. The patient will be referred to the on staff financial counselors. These financial counselors will make a concerted effort to assist the patient in correctly and completely filling out the paperwork. The Hospital's point of view is that, if a patient truly cannot pay us for a particular service, we would much rather have the non-payment fall into Charity than Bad Debts. This is because Charity Care is, in our estimation, a better barometer of the extent to which we are fulfilling our mission than Bad Debts.
"Cibola General Hospital, Inc. provides medical services in a county that represents 27,000 lives. Our population is 42% White, 1% Black, 41% Native American, 1% Asian, and 15% Other. Our population is impacted significantly by many chronic illnesses including diabetes, hypertension, obesity and cardiovascular disease. According to the website ""County Health Rankings"" Cibola County ranks 29th in Mortality (of 32 counties), and 24st in Health Behaviors. We are encouraged at the relative improvement in our Health Behaviors ranking, which a year ago was 31st of 32 counties. We attribute this to our newer doctors and their skill in working with their patients to focus more on preventative care. The ranking in Mortality is very distressing. Community outreach is the answer to this problem. Financial barriers to outreach success abound, due to a poor-paying mix of patients: The large majority of our community works in the service industry, mostly for hotels and gas stations. These types of jobs do not provide health insurance. Our unemployment rate is around 6% which has improved over the last couple years. Although the improved unemployment rate is a positive thing, our median incomes are lower than all of New Mexico while New Mexico ranks as one of the lowest median incomes within the United States. Cibola General Hospital, Inc. is the sole community provider hospital for our region. The community depends on us to provide access to both primary and specialty care."
We have attempted to describe our Hospital, the philosophy of its governing board, and the area we serve, along with the unique challenges of a service area that is characterized by endemic poverty, low education in matters of health care, a difficult physician recruiting environment, and physical isolation. Most of our community building activities will be driven by the community needs assessment to be conducted in the next two months. The Hospital is strongly positioned to be able to attest to meeting Meaningful Use criteria for electronic health records. We view the advances in this area as an important part of partnering with our patient population: our patients will have better care due to faster access to their records, better understanding of their own health status, and enhanced ability to switch to the best provider for them, due to greater health record portability. The Electronic Health Record serves another strategic purpose - new physicians just out of residency training have been brought up in an electronic environment and would likely not consider a hospital with less modern systems. As mentioned above, the community faces myriad public health challenges. We recruit and bring aboard physicians who understand their patient population and are committed to improving overall community health. The Hospital is very gratified to employ a Pediatrician, a specialty which was not practiced in our county for many years. Demand for his services is very strong.
We have no such affiliations.
Copies of our Form 990 and related schedules, which document our community benefit efforts, are filed annually with the State of New Mexico.
