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Carthage Area Hospital Inc
Carthage, NY 13619
| Bed count | 48 | Medicare provider number | 330263 | 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: 2013
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 $ 46,236,253 Total amount spent on community benefits as % of operating expenses$ 1,989,006 4.30 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 292,394 0.63 %Medicaid as % of operating expenses$ 1,696,612 3.67 %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: 2013
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$ 1,157,480 2.50 %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? 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$ 125,305 10.83 %- 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 Filed lawsuit Not available 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: 2013
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 Did the tax-exempt hospital execute the implementation strategy? YES Did the tax-exempt hospital participate in the development of a community-wide plan? YES
Supplemental Information: 2013
- 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 $ 41432033 including grants of $ 0) (Revenue $ 41009457) CARTHAGE AREA HOSPITAL IS A 78 BED NOT FOR PROFIT HOSPITAL LOCATED IN CARTHAGE, NY AND PROVIDES QUALITY INPATIENT, OUTPATIENT AND SKILLED NURSING HEALTHCARE SERVICES TO THE IMMEDIATE COMMUNITY AS WELL AS TO AREAS WITHIN A FIFTY MILE RADIUS OF THE HOSPITAL. THE HOSPITAL'S 78 BEDS ARE COMPRISED OF 26 MEDICAL SURGICAL BEDS, 8 OBSTETRICAL BEDS, 4 CORONARY CARE BEDS AND 10 REHABILITATION BEDS (NOT IN SERVICE SINCE 2011) AND 30 SKILLED NURSING BEDS. THE HOSPITAL ADMITTED 1,457 INPATIENTS AND PROVIDED 5,363 PATIENT DAYS OF CARE. THE SKILLED NURSING UNIT HAD 39 ADMISSIONS AND PROVIDED 10,052 DAYS OF CARE. THE HOSPITAL HAS AN EXTENSIVE NETWORK OF PRIMARY CARE, SPECIALTY CARE AND SCHOOL BASED CLINICS LOCATED PRIMARILY IN JEFFERSON COUNTY. THE CLINICS, ALONG WITH OTHER ANCILLARY SERVICES PROVIDED AS OUTPATIENT SERVICES AT THE HOSPITAL, SUCH AS GENERAL AND ORTHOPEDIC SURGERIES, LAB TESTS, MEDICAL IMAGING, EMERGENCY ROOM SERVICES AND RESPIRATORY SERVICES, ALLOWED THE HOSPITAL TO SERVE 135,185 OUTPATIENTS DURING 2013.
4B (Expenses $ 90716 including grants of $ 0) (Revenue $ 222787) CARTHAGE AREA HOSPITAL IS PROUD TO OPERATE A FULL-SERVICE SLEEP CENTER. CARTHAGE AREA HOSPITAL SLEEP CENTER OFFERS SLEEP STUDIES FOUR NIGHTS A WEEK AND STAFFS A DEDICATED TEAM OF CLINICIANS AND SLEEP DISORDER EXPERTS. THE STATE-OF-THE-ART SLEEP CENTER WAS BUILT IN 2013 AND BOASTS THE NEWEST TECHNOLOGY IN A COMFORTABLE, NORTH COUNTRY ATMOSPHERE.
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Facility Information
CARTHAGE AREA HOSPITAL INC PART V, SECTION B, LINE 3: THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY INCLUDING DATA FROM PUBLIC HEALTH AND FDRHOP.
CARTHAGE AREA HOSPITAL INC PART V, SECTION B, LINE 4: SAMARITAN MEDICAL CENTERRIVER HOSPITALEJ NOBLECLAXTON MEDICAL CENTER
CARTHAGE AREA HOSPITAL INC PART V, SECTION B, LINE 7: CARTHAGE AREA HOSPITAL DID NOT ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT. A CASE MANAGER POSITION WAS NOT CREATED DUE TO BUDGET CONSTRAINTS.
CARTHAGE AREA HOSPITAL INC PART V, SECTION B, LINE 20D: UTILIZED CHARGE MASTER TO DETERMINE CHARGES FOR THE SERVICES. A PERCENTAGE OF GROSS CHARGES METHODOLOGY IS USED.
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Supplemental Information
PART I, LINE 7: AS PER WORKSHEETS INCLUDED IN INSTRUCTIONS FOR SCHEDULE H
PART I, LN 7 COL(F): AMOUNT OF BAD DEBT EXPENSE INCLUDED IS $1,157,480
PART III, LINE 4: THE ORGANIZATION REVIEWS LARGER, OLDER RECEIVABLE BALANCES TO DETERMINE COLLECTIBILITY AND REVIEWS ACCOUNTS RECEIVABLE AGING TO DETERMINE AMOUNTS THAT ARE NO LONGER COLLECTIBLE. AN ALLOWANCE FOR BAD DEBTS IS ESTIMATED BY MANAGEMENT BASED ON PERIODIC REVIEWS OF COLLECTIBILITY OF ACCOUNTS RECEIVABLE CONSIDERING HISTORICAL EXPERIENCE AND PREVAILING ECONOMIC CONDITIONS.
PART III, LINE 8: ACCORDING TO INFORMATION PROVIDED THROUGH THE CENTRAL NEW YORK HEALTH SYSTEMS AGENCY, APPROXIMATELY 46% OF THE HOSPITAL'S SERVICE POPULATION RESIDES IN LESS THAN 200% OF FEDERAL POVERTY GUIDELINES. IN ADDITION, THE HOSPITAL HAS THIRTEEN OUTPATIENT CLINICS WITHIN A FIFTY MILE RADIUS OF THE HOSPITAL, THE MAJORITY OF WHICH ARE COMMUNITIES WHERE THERE WOULD BE NO READY ACCESS FOR HEALTHCARE IF THESE CLINICS WERE NOT THERE. BECAUSE APPROXIMATELY 20% OF THE HOSPITAL'S GROSS REVENUE IS DERIVED FROM THESE CLINICS AND BECAUSE OF THE HIGH POVERTY IN THESE AREAS AS STATED ABOVE, THE AMOUNT THAT SHOULD BE CONSIDERED AS A COMMUNITY BENEFIT SHOULD BE APPROXIMATELY $2 MILLION.
PART III, LINE 9B: "THE COLLECTION POLICY ACTUALLY REFERS TO THE CHARITY CARE POLICY AS FOLLOWS: ""ANY PATIENT RECEIVING SERVICES FOR WHICH THERE IS NO INSURANCE COVERAGE WILL BE REGISTERED AS SELF PAY AND ALL BALANCES WILL BE DUE FROM THE PATIENT WITH THE EXCEPTION OF CHARITY CARE ADJUSTMENTS AS DETERMINED BY THE FINANCIAL COUNSELOR IN ACCORDANCE WITH THE CARTHAGE AREA HOSPITAL'S CHARITY CARE POLICY""."
PART VI, LINE 2: THE HOSPITAL HAS A GRANT WRITER ON STAFF WHO SELECTS GRANTS BASED ON THE NEEDS OF THE COMMUNITIES SERVED. IN ADDITION, THE HOSPITAL HAS A MISSION SERVICE DEPARTMENT THAT IS IN CONSTANT CONTACT WITH THE COMMUNITIES THAT THE HOSPITAL SERVES AND DETERMINES WHAT NEEDS ARE NOT BEING MET IN REGARDS TO HEALTH CARE. THROUGH THE NETWORK OF CLINICS THAT THE HOSPITAL MAINTAINS, THE ADMINISTRATORS ARE IN COMMUNICATIONS WITH THE COMMUNITY LEADERS AS TO HEALTH NEEDS THAT ARE NOT BEING MET.
PART VI, LINE 3: THE HOSPITAL POSTS ITS CHARITY CARE POLICY, INCLUDING CONTACT INFO FOR THE FINANCIAL COUNSELOR, IN THE ADMISSIONS AREA. IF A PATIENT DOES MEET WITH A FINANCIAL COUNSELOR, OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS ARE ALSO DISCUSSED WITH THE PATIENT.
PART VI, LINE 4: THE HOSPITAL'S SERVICE AREA CONSISTS OF SOCIO-ECONOMICALLY RURAL DEPRIVED POPULATION WITHIN A LARGE GEOGRAPHIC REGION. AS A RESULT OF FORT DRUM, JEFFERSON COUNTY MAINTAINS THE FASTEST PERCENTAGE OF GROWTH IN ANY COUNTY WITHIN NEW YORK STATE; HOWEVER, THE RURAL POVERTY CONTINUES TO GROW. THERE ARE MANY BARRIERS TO THE UNINSURED AND UNDERSERVED POPULATION IN RECEIVING BASIC AND TIMELY HEALTHCARE ACCESS DUE TO THE EXTREME WINTER CONDITIONS (200 INCHES OF SNOW ANNUALLY), A LACK OF PROVIDERS, GROWTH AT FORT DRUM, AND THE HIGHEST RURAL POVERTY WITHIN THE STATE. ACCORDING TO INFORMATION PROVIDED THROUGH THE CENTRAL NEW YORK HEALTH SYSTEMS AGENCY, APPROXIMATELY 46% OF THE HOSPITAL'S SERVICE AREA POPULATION RESIDES IN LESS THAN 200% OF FEDERAL POVERTY GUIDELINES.
PART VI, LINE 5: BECAUSE THE HOSPITAL IS IN A SEVERE PHYSICIAN SHORTAGE AREA, RECRUITING PHYSICIANS IS VITAL TO THE COMMUNITIES SERVED. THERE IS A CONSTANT NEED FOR FAMILY PRACTITIONERS AND CERTAIN SPECIALTIES THAT WOULD NOT BE AVAILABLE WITHOUT CONSTANT AND EFFECTIVE RECRUITING BY THE HOSPITAL.
PART VI, LINE 7, REPORTS FILED WITH STATES NY
