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Orleans Community Health
Medina, NY 14103
| Bed count | 71 | Medicare provider number | 330053 | 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: 2014
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 $ 34,435,114 Total amount spent on community benefits as % of operating expenses$ 210,338 0.61 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 23,179 0.07 %Medicaid as % of operating expenses$ 187,159 0.54 %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: 2014
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$ 2,585,274 7.51 %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$ 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? YES
Community Health Needs Assessment Activities: 2014
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: 2014
- 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 $ 27169002 including grants of $ 0) (Revenue $ 31714937) PATIENT SERVICES - THE HOSPITAL PROVIDES ACUTE INPATIENT, LONG-TERM SKILLED NURSING FACILITY AND OUTPATIENT CARE TO PATIENTS WHO RESIDE PRIMARILY IN THE LOCAL GEOGRAPHIC REGION. THE HOSPITAL ACCEPTS ALL PATIENTS, REGARDLESS OF ABILITY TO PAY. THE POLICY ESTABLISHED BY THE HOSPITAL DFINES CHARITY SERVICES AS THOSE SERVICES FOR WHICH NO PAYMENT IS ANTICIPATED.
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Facility Information
SCHEDULE H, PART V, SECTION B, LINE 5 COMMUNITY INPUT WAS OBTAINED THROUGH COMMUNITY HEALTH ASSESSMENT SURVEYS. THESE SURVEYS WERE USED TO HELP ACCESS THE COMMUNITY'S PERCEPTION OF HEALTH NEEDS. A SURVEY INSTRUMENT FOR USE IN ORLEANS, GENESEE AND WYOMING COUNTIES WAS DEVELOPED COLLABORATIVELY BY A GROUP OF LOCAL AGENCIES THAT INCLUDED THREE COUNTY HEALTH DEPARTMENTS (ORLEANS, GENESEE, WYOMING), ORLEANS COUNTY HEALTH, THE HEALTHY ORLEANS NETWORK, ORLEANS COMMUNITY HEALTH - CEO, DIRECTOR OF RESOURCE DEVELOPMENT, DIRECTOR OF HEALTH EDUCATION, WELLNESS AND OUTREACH, ORLEANS COUNTY PUBLIC HEALTH FOR ORLEANS AND GENESEE, DIRECTOR OF COMMUNITY ACTION OF ORLEANS AND GENESEE, DIRECTOR OF THE OFFICE FOR THE AGING, DIRECTOR OF ORLEANS COUNTY MENTAL HEALTH, LOCAL SCHOOL REPRESENTATION, ORLEANS COUNTY LEGISLATURE, YMCA FITNESS COORDINATOR, CEO OF OAK ORCHARD, DIRECTOR OF INDEPENDENT LIVING OF ORLEANS AND GENESEE, UNITED MEMORIAL MEDICAL CENTER, AND WYOMING COUNTY HOSPITAL. THE GOAL WAS TO DEVELOP ONE INSTRUMENT FOR ALL COUNTIES.
SCHEDULE H, PART V, SECTION B, LINE 6A UNITED MEMORIAL MEDICAL CENTER AND WYOMING COUNTY HOSPITAL
SCHEDULE H, PART V, SECTION B, LINE 11 THE COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED TWO PRIORITY AREAS. THE FIRST PRIORITY OF PREVENTING CHRONIC DISEASE WILL BE ADDRESSED BY INCREASING SCREENING RATES FOR CARDIOVASCULAR DISEASE, DIABETES AND CERTAIN CANCERS, ESPECIALLY AMONG DISPARATE POPULATIONS. ALL CANCER SERVICES CLIENTS WILL BE EVALUATED FOR APPROPRIATE SCREENINGS. GRANT OPPORTUNITIES WILL BE RESEARCHED. AS FUNDING ALLOWS, THE DIABETES PREVENTION PROGRAM, THE CHRONIC DISEASE SELF-MANAGEMENT PROGRAM AND THE GET FIT PROGRAM WILL BE IMPLEMENTED. PROMOTING MENTAL HEALTH AND PREVENTING SUBSTANCE ABUSE WAS THE SECOND PRIORITY IDENTIFIED. THE HOSPITAL WILL INCREASE PUBLIC AWARENESS OF THE MENTAL HEALTH SERVICES AVAILABLE IN THE TRI-COUNTY AREA.
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Supplemental Information
SCHEDULE H, PART I, LINE 7 THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS CONTAINED IN THE TABLE OF PART I, LINE 7, OF SCHEDULE H, IS A COST TO CHARGE RATIO CALCULATION IN WORKSHEET 2. SCHEDULE H, 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 $2,585,274. SCHEDULE H, PART III, LINE 2 IT IS AN ACCUMULATION OF 3% OF GROSS CHARGES ESTIMATED AS BAD DEBT, ACTUAL AMOUNTS WRITTEN OFF AS BAD DEBT, BAD DEBT RECOVERIES AND ADJUSTMENTS TO RESERVES.
SCHEDULE H, PART III, LINE 4 THE RECEIVABLES ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF THE PATIENT ACCOUNTS THE SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF THE MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBT. MANAGEMENT REGULARLY REVIEWS DATA FOR THESE MAJOR PAYERS TO EVALUATE THE SUFFICIENT ALLOWANCES ARE MADE. FOR SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD PARTY COVERAGE THE SYSTEM ANALYZES THE CONTRACTUALS DUE AMOUNTS PROVIDES AND ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBT. THE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR BAD DEBT IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE WHICH INDICATES THAT MANY PATIENTS ARE UNABLE AND UNWILLING TO PAY THE PORTION OF THEIR BILL WHICH THEY ARE FINANCIALLY RESPONSIBLE FOR.
SCHEDULE H, PART III, LINE 8 THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COST REPORTED IN THE HOSPITAL'S MEDICARE COST REPORT IS COST TO CHARGE RATIO.
SCHEDULE H, PART VI, LINE 2 THE HOSPITAL ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY THROUGH PATIENT SATISFACTION SURVEYS, FOCUS GROUPS OF COMMUNITY MEMBERS, BOARD OF DIRECTORS, AND EMPLOYEES, AND SPECIFIC HEALTH-RELATED PRIORITIES AS THEY ARISE.
SCHEDULE H, PART VI, LINE 3 PATIENTS ARE INFORMED OF THE HOSPITAL'S CHARITY CARE POLICY AND GIVEN THE OPPORTUNITY TO APPLY. ELIGIBILITY REQUIREMENTS FOR MEDICAID AND RELATED GOVERNMENT ASSISTANCE PROGRAMS ARE ALSO SHARED WITH PATIENTS.
SCHEDULE H, PART VI, LINE 4 ORLEANS COMMUNITY HEALTH IS THE ONLY FULL SERVICE ACUTE CARE SYSTEM IN ORLEANS COUNTY, WITH THE ONLY 24 HOUR A DAY, PHYSICIAN STAFFED EMERGENCY DEPARTMENT, SERVING APPROXIMATELY 43,000 RESIDENTS IN ORLEANS, EASTERN NIAGARA, AND NORTHERN GENESEE COUNTIES.
SCHEDULE H, PART VI, LINE 5 ORLEANS COMMUNITY HEALTH OPERATES A 24 HOUR EMERGENCY ROOM WITH SERVICES ALSO INCLUDING A LICENSED LONG TERM HOME HEALTH CARE AGENCY OPERATING IN ORLEANS AND NIAGARA COUNTIES, TWO OUTPATIENT DIALYSIS CENTERS; ONE LOCATED IN MEDINA, NY, AND THE OTHER IN BATAVIA, NY, NINE CARF (COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES) ACCREDITED ACUTE PHYSICAL REHABILITATION BEDS, THIRTY HOSPITAL BASED SKILLED NURSING HOME BEDS, A NEWLY OPENED PRIMARY CARE CENTER IN ALBION, FOCUSING ON PREVENTIVE CARE FOR THE COMMUNITY, AND OUTPATIENT/AMBULATORY SERVICES IN MEDINA.
SCHEDULE H, PART VI, LINE 6 N/A
SCHEDULE H, PART VI, LINE 7 N/A
