Community Benefit Insight - Tax-exempt hospital

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Newman Memorial Hospital Inc

Newman Memorial Hospital

905 South Main Street
Shattuck, OK 73858

Bed count	79	Medicare provider number	370007	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

EIN: 730570773

Display data for year:

Community Benefit Spending- 2015
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

4.98%

Spending by Community Benefit Category- 2015
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2015

Additional data

Community Benefit Expenditures: 2015

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.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 16,796 0.17 %
Medicaid as % of operating expenses	$ 461,719 4.80 %
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 expenses Note: 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: 2015

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	$ 1,287,896 13.39 %
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	$ 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:
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.
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.
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.

Community Health Needs Assessment Activities: 2015

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: 2015

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

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 $ 7631302 including grants of $ 0) (Revenue $ 6288822)
NEWMAN MEMORIAL HOSPITAL PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, DISABILITY, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF NEWMAN MEMORIAL HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. OUR MISSION IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. THEREFORE, IN KEEPING WITH THIS HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, FREE CARE AND/OR SUBSIDIZED CARE, CARE PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST, HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY WILL BE CONSIDERED WHERE THE NEED AND/OR AN INDIVIDUAL'S INABILITY TO PAY COEXISTS. THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, SPECIAL PROGRAMS FOR THE ELDERLY, DISABLED, MEDICALLY UNDER SERVED, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. NEWMAN MEMORIAL HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST. RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO MEDICARE AND MEDICAID PATIENTS. TO THE EXTENT REIMBURSEMENT IS BELOW COST, NEWMAN MEMORIAL HOSPITAL RECOGNIZES THESE AMOUNTS AS CHARITY CARE IN MEETING ITS MISSION TO THE ENTIRE COMMUNITY. CHARITY CARE IS ALSO PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES WHICH NEWMAN MEMORIAL HOSPITAL BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED. THESE INCLUDE: -BEING CALLED UPON TO SPEAK BEFORE COMMUNITY ORGANIZATIONS ON A VARIETY OF HEALTHCARE TOPICS -PROVIDING ASSISTANCE TO EDUCATORS THROUGH OUR WORK WITH STUDENT NURSES, AND -PROVIDING MEETING FACILITIES FOR THE MINISTERIAL ALLIANCE. FACILITIES ARE USED FOR THIS PURPOSE ONCE A MONTH. DURING 2015, THEY ALSO PROVIDED NURSING SCHOLARSHIPS TO AREA STUDENTS AND FREE FINGER BLOOD STICK SUGARS AND BLOOD PRESSURE CHECKS TO SENIOR CITIZEN CENTERS.

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

SCHEDULE H, PART V, SECTION B, LINE 5
CHNA INPUT FROM REPRESENTATIVES OF THE COMMUNITY: A SURVEY WAS DESIGNATED TO GAUGE HOSPITAL USAGE, SATISFACTION AND COMMUNITY HEALTH NEEDS. THE SURVEYS WERE DISTRIBUTED AT THE HOSPITAL AND DURING THE FIRST COMMUNITY MEETING ON AUGUST 21, 2013. COMMUNITY MEMBERS PRESENT AT THE HOSPITAL EACH TOOK A SURVEY. A TOTAL OF 162 SURVEYS WERE COMPLETED. THE HOSPITAL ALSO HOSTED FOUR COMMUNITY MEETINGS FROM AUGUST 21, 2013 THRU OCTOBER 24, 2013. COMMUNITY MEMBERS IN ATTENDANCE AT THESE MEETINGS INCLUDED FROM THE FOLLOWING ORGANIZATIONS OR PROFESSIONS: NEWMAN MEMORIAL HOSPITAL REPRESENTATIVES, ELLIS COUNTY COOPERATIVE EXTENSION SERVICE, PHARMACISTS, LOCAL MINISTERS, COUNSELORS, BANKERS, RANCHERS, LOCAL EMS, FUNERAL DIRECTORS, DENTISTS, RETIRED INDIVIDUALS, AND THE LOCAL ECONOMIC DEVELOPMENT ORGANIZATION. THE MEETINGS ALLOWED THOSE IN ATTENDANCE TO DISCUSS THE HEALTH NEEDS OF THE HOSPITAL'S COMMUNITY.

SCHEDULE H, PART V, SECTION B, LINES 7A & 10A
AVAILABILITY OF CHNA & IMPLEMENTATION STRATEGY: THE HOSPITALS MOST RECENT CHNA AND IMPLEMENTATION STRATEGY CAN BE FOUND AT THE FOLLOWING ADDRESS: http://www.newmanmemorialhospital.org/getpage.php?name=chna&sub=About+Us

SCHEDULE H, PART V, SECTION B, LINE 11
IDENTIFIED NEEDS ADDRESSED AND NOT ADDRESSED: THERE WERE SEVERAL HEALTH NEEDS IDENTIFIED THRU THE SURVEY PROCESS AND THE COMMUNITY MEETINGS. NEWMAN MEMORIAL IDENTIFIED SEVERAL KEY HEALTH CONCERNS IN ITS SERVICE AREA INCLUDING: -LACK OF DOCTORS/SPECIALISTS -DIFFICULTY TO GET AN APPOINTMENT -QUALITY OF CARE AND LACK OF SERVICES -DISTANCE TO SERVICES -TRAFFIC ACCIDENTS AND FATALITIES -TEENAGE DRINKING -MENTAL HEALTH -INCREASING SHARE OF UNINSURED CHILDREN -PAIN MANAGEMENT THE MOST COMMONLY IDENTIFIED ADDITIONAL SERVICE NEEDED WAS THE OFFERING OF A SPECIALIST; THE SPECIALISTS MOST ASKED FOR THROUGH THE PROCESS APPEAR TO BE ORTHOPEDISTS AND DERMATOLOGISTS. THE OTHER TOP HEALTH CONCERNS TO BE ADDRESSED WERE: -TRAFFIC ACCIDENTS AND FATALITIES: THERE IS A VERY INCREASED CONCERN FOR CONTINUED ACCIDENTS RESULTING IN FATALITIES DUE IN PART TO ROAD CONDITIONS AND CELL PHONE USAGE/INATTENTIVE DRIVING. THE DEPARTMENT OF TRANSPORTATION HAS PLANS TO IMPROVE ROAD CONDITIONS IN THEIR CURRENT 8 YEAR PLAN. THERE IS ALSO A PROGRAM THAT FOCUSES ON YOUTH DRIVING AS A PARTNERSHIP WITH THE COUNTY SHERIFFS OFFICE. -TEENAGE DRINKING: THE PREVALENCE OF ALCOHOL USAGE AMONG MINORS IS A CONCERN ALONG WITH A LACK OF ACTIVITIES FOR WHICH YOUTH CAN PARTICIPATE. THE ROLE OF STRONG YOUTH PROGRAMS AT CHURCHES WAS NOTED AS A PLAN TO PROVIDE MORE ACTIVITIES. -MENTAL HEALTH: THE LIMITED AMOUNT OF SERVICES RELATED TO MENTAL HEALTH IS A CONCERN ALONG WITH THE LINKAGE BETWEEN MENTAL HEALTH, SUBSTANCE ABUSE, AND PRISON ENTRY. THE HOSPITAL IS COMMITTED TO EXAMINING MORE OPTIONS OF AVAILABILITY TO SEE MENTAL HEALTH PROFESSIONALS. -PAIN MANAGEMENT: THE COMMUNITY WISHES TO ADDRESS WITH ISSUE WITH MORE THAN SIMPLY WRITING PRESCRIPTIONS. THE HOSPITAL CONTRACTED A CRNA WITH PAIN MANAGEMENT EXPERIENCE IN 2013. WHILE SERVICES ARE STILL LIMITED, THIS AVAILABILITY WILL HELP PATIENTS WITH DIFFICULTIES WITH PAIN MANAGEMENT. WHILE NOT ALL NEEDS IDENTIFIED WITHIN THE CHNA WERE ADDRESSED, THE HOSPITAL FEELS THE TOP HEALTH NEEDS OF THE COMMUNITY WERE INCLUDED IN THE CURRENT IMPLEMENTATION STRATEGY.

SCHEDULE H, PART V, SECTION B, LINE 15E
METHOD FOR APPLYING FINANCIAL ASSISTANCE: THE PATIENTS ARE PROVIDED LITERATURE AT TIME OF REGISTRATION AND THEN ARE CONTACTED BY THE FINANCIAL COUNSELOR AFTER THEY RECEIVE A STATEMENT.

Supplemental Information

Schedule H (Form 990) Part VI

SCHEDULE H, PART III, SECTION A, LINE 2
BAD DEBT EXPENSE: THE AMOUNT REPORTED ON LINE 2 IS BASED ON ACTUAL ACCOUNTS WRITTEN OFF AND AN ESTIMATED AMOUNT FOR ACCOUNTS OVER 180 DAYS OLD. SCHEDULE H, PART III, SECTION A, LINE 3 BAD DEBT AS A COMMUNITY BENEFIT: THE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS ELECTED TO LEAVE IT BLANK. BAD DEBT EXPENSE SHOULD BE CONSIDERED COMMUNITY BENEFIT BECAUSE THIS IS UNCOMPENSATED HEALTHCARE PROVIDED TO RESIDENTS OF THE COMMUNITY. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT FOOTNOTE: The Hospital reports patient accounts receivable for services rendered at net realizable amounts due from patients, third-party payers and others. The Hospital provides an allowance for uncollectible accounts based upon a review of outstanding receivables, historical collection information and existing economic conditions.

SCHEDULE H, PART III, SECTION B, LINE 8
COSTING METHODOLOGY: THE HOSPITAL USES MEDICARE COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS BASED ON MEDICARE OR MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. THE HOSPITAL HAS A MEDICARE SHORTFALL OF $994,443, AND IT SHOULD BE TREATED AS A COMMUNITY BENEFIT IN THAT THE HOSPITAL TREATS PATIENTS REGARDLESS OF THE REIMBURSEMENT BY MEDICARE. SCHEDULE H, PART III, SECTION B, LINE 9B COLLECTION POLICY: ONCE A PATIENT HAS BEEN DETERMINED TO QUALIFY FOR THE HOSPITALS CHARITY ASSISTANCE POLICY, NO ADDITIONAL COLLECTION EFFORTS WILL BE MADE ON THAT ACCOUNT.

SCHEDULE H, PART VI, LINE 2
NEEDS ASSESSMENT: THE HOSPITAL PROVIDES ALL THE SERVICES THAT IT IS CAPABLE OF PROVIDING. THERE IS A PACKET ABOUT SERVICES AND PROGRAMS THE HOSPITAL OFFERS. ONE BROCHURE IS AN APPLICATION FOR CHARITY CARE FOR PATIENTS TO FILL OUT. THE COLLECTION CLERK ALSO CONTACTS ALL SELF-PAY PATIENTS TO SET UP PAYMENT ARRANGEMENTS. IF THE PATIENT FEELS THEY CAN NOT PAY, THEY ARE ADVISED OF THE HOSPITAL CHARITY CARE AND APPLICATIONS ARE MAILED AT THAT TIME.

SCHEDULE H, PART VI, LINE 3
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: THE PATIENTS ARE PROVIDED LITERATURE AT TIME OF REGISTRATION AND THAN ARE CONTACTED BY THE FINANCIAL COUNSELOR AFTER THEY RECEIVE A STATEMENT. THE HEALTH CARE NEEDS OF ALL INDIVIDUALS RESIDING IN THE IMMEDIATE AND ADJACENT COMMUNITIES ARE CONSIDERED. NO INDIVIDUAL WILL BE DEPRIVED OF EMERGENCY OR CRITICAL CARE BECAUSE OF THEIR INABILITY TO PAY; HOWEVER, EVERY EFFORT WILL BE MADE TO COLLECT FUNDS OWED TO THE HOSPITAL FOR ELECTIVE CARE SINCE THE ABILITY TO CONTINUE TO PROVIDE AND IMPROVE SERVICES TO THE COMMUNITIES SERVED DEPENDS ON FINANCIAL STABILITY.

SCHEDULE H, PART VI, LINE 4
COMMUNITY INFORMATION: SHATTUCK IS A VERY RURAL TOWN APPROXIMATELY 3 HOURS FROM ANY METROPOLITAN AREA WITH A POPULATION OF APPROXIMATELY 1,385. THE MEDIAN INCOME IN THE TOWN IS APPROXIMATELY $44,750 FOR A HOUSEHOLD. ABOUT 22.9% OF THE POPULATION IS BELOW THE POVERTY LINE.

SCHEDULE H, PART VI, LINE 5
PROMOTION OF COMMUNITY HEALTH: NEWMAN MEMORIAL HOSPITAL PROVIDES HEALTH COUNCILING AT AS MANY LOCAL HEALTH FAIRS AS POSSIBLE. THE HOSPITAL PARTICIPATES IN VARIOUS COMMUNITY ACTIVITIES TO INCREASE THEIR PRESENCE IN THE COMMUNITY, INCLUDING THE FOLLOWING: CHRISTMAS PARADE, MARCH OF DIMES, COUNTY STOCK SHOWS, NATIONAL WEAR RED DAY, NATIONAL DOCTORS DAY, VOLUNTEER APPRECIATION WEEK, ANNUAL PIE & CAKE AUCTION NEWMAN MEMORIAL HOSPITAL RUNS 3 BLOOD DRIVES DURING THE YEAR. THEY ALSO HELD 4 FLU SHOT CLINICS, WITH 3 BEING AT LOCAL SENIOR CITIZEN CENTERS. IN ADDITION TO CLINICS AND EVENTS, THE HOSPITAL ALSO PLACES NOTICES AND ADVERTISEMENTS IN THE LOCAL YEARBOOKS, FOOTBALL PROGRAMS, SOCIAL MEDIA, AND PHYSICIAN SCHEDULES IN THE COUNTY NEWSPAPERS.

SCHEDULE H, PART VI, LINE 6
AFFILIATED HEALTH CARE SYSTEM: N/A

SCHEDULE H, PART VI, LINE 7
STATE FILING OF COMMUNITY BENEFIT REPORT: THE HOSPITAL HAS NOT FILED A COMMUNITY BENEFIT REPORT FOR THE CURRENT YEAR.

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, OF THE FORM 990 WAS REDUCED BY BAD DEBT EXPENSE, TOTALING $1,287,896.

SCHEDULE H, PART I, LINE 3C
FACTORS OTHER THAN FPG DETERMINING FREE OR DISCOUNTED CARE: THE HOSPITAL USES THE FOLLOWING FACTORS IN ITS DETERMINATION: - ASSET LEVEL - MEDICARE INDIGENCY - INSURANCE STATUS - UNDERINSURANCE STATUS - RESIDENCY

Operating expenses	$ 9,615,000
Total amount spent on community benefits as % of operating expenses	$ 478,515 4.98 %