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Pawhuska Hospital Inc
Pawhuska, OK 74056
| Bed count | 25 | Medicare provider number | 371309 | 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: 2021
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 $ 28,345,470 Total amount spent on community benefits as % of operating expenses$ 1,148,318 4.05 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 94,864 0.33 %Medicaid as % of operating expenses$ 896,755 3.16 %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$ 156,699 0.55 %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: 2021
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$ 9,903,722 34.94 %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? 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? NO
Community Health Needs Assessment Activities: 2021
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: 2021
- 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 $ 23624689 including grants of $ 8283) (Revenue $ 25686877) PAWHUSKA HOSPITAL, INC. IS A 25-BED CRITICAL ACCESS HOSPITAL AND RURAL HEALTH CLINIC LOCATED IN PAWHUSKA, OKLAHOMA, AND PROVIDES MEDICAL SERVICES TO PAWHUSKA AND SURROUNDING AREA. THE HOSPITAL AND CLINIC IS MANAGED THROUGH AN AGREEMENT WITH COHESIVE HEALTHCARE MANAGEMENT AND CONSULTING. THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES.
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Facility Information
SCHEDULE H, PART V, SECTION B, LINE 5 PERSONS WHO REPRESENT THE COMMUNITY: A NEW CHNA WAS PERFORMED FOR THE 2022 FISCAL YEAR. THE HOSPITAL HOSTED A COMMUNITY MEETING ON JULY 13, 2022 WITH THE ASSISTANCE OF THE OKLAHOMA OFFICE OF RURAL HEALTH. THE INDIVIDUALS ATTENDING THESE MEETINGS INCLUDED, BUT WERE NOT LIMITED TO, INDIVIDUALS FROM THE FOLLOWING ORGANIZATIONS: PAWHUSKA HOSPITAL BOARD MEMBERS, Pawhuska Family Medical Clinic, AND Cohesive Healthcare. ADDITIONAL INPUT CAME FROM targeted interviews RESPONSES FROM VARIOUS key stakeholders OF THE COMMUNITY. THE targeted interviews WERE DISTRIBUTED through email to included participants from the Osage County Health Department and Osage County Department of Human Services.
SCHEDULE H, PART V, SECTION B, LINE 11 NEEDS ADDRESSED AND NOT ADDRESSED IN CHNA: PAWHUSKA HOSPITAL PARTNERED WITH THE OKLAHOMA OFFICE OF RURAL HEALTH TO COMPLETE A CHNA DURING THE 2022 FISCAL YEAR. THROUGH THIS PROCESS, SECONDARY DATA WAS GATHERED, target interviews Were COMPLETED, AND KEY COMMUNITY PARTNERS INCLUDING PUBLIC HEALTH WERE SOLICITED FOR INPUT. THE FOLLOWING IDENTIFIES EACH PRIORITY, IMPLEMENTATION TAKEN, AND AN EVALUATION OR IMPACT OF THE IMPLEMENTATION. Priority: Expansion of services The hospital is currently working to expand space to provide outpatient physical therapy and exploring the option to also include speech therapy. This is in the early stages of exploration. Priority: Life skills The hospital is working to partner with the Osage Nation's TANF program to provide an employment pipeline for beneficiaries to gain skills for employment at the hospital. The hospital will also be working with some of their tribal members enrolled in the physical therapy program to host some of their clinical rotations. PRIORITY: SUBSTANCE ABUSE The hospital and clinic will continue to expand the chronic care management program and continue to look for partners and resources in this area.
SCHEDULE H, PART V, SECTION B, LINE 6B CHNA CONDUCTED WITH OTHER ORGANIZATIONS: THE HOSPITAL COMPLETED THE CHNA IN PARTNERSHIP WITH THE OKLAHOMA OFFICE OF RURAL HEALTH. THE OFFICE OF RURAL HEALTH ASSISTED WITH GATHERING DATA AND ANALYZING THE LOCAL HEALTH DATA, AS WELL AS ASSISTED WITH DEVELOPING THE IMPLEMENTATION STRATEGY.
SCHEDULE H, PART V, SECTION B, LINES 16A, 16B & 16C FINANCIAL ASSISTANCE POLICY AVAILABILITY: THE FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE UPON REQUEST AND AT THE FOLLOWING WEBSITE: https://pawhuskahospital.com/financial-services/
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Supplemental Information
SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT EXPENSE: PATIENTS ACCOUNTS ARE WRITTEN OFF TO BAD DEBT AFTER EVERY EFFORT IS MADE TO COLLECT THE BALANCE AND PATIENTS ARE GIVEN OPPORTUNITIES TO COMPLETE CHARITY CARE APPLICATIONS OR SET UP PAYMENT PLANS. ALL DISCOUNTS AND CONTRACTUAL ADJUSTMENTS ARE APPLIED TO ACCOUNTS BEFORE THEY ARE WRITTEN OFF TO BAD DEBT. CURRENT PAYMENTS ON ACCOUNTS PREVIOUSLY WRITTEN OFF AS BAD DEBT REDUCES BAD DEBT EXPENSE.
SCHEDULE H, PART III, SECTION A, LINE 3 BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY: THE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS ELECTED TO LEAVE IT BLANK.
SCHEDULE H, PART III, SECTION B, LINE 8 COSTING METHODOLOGY: THE HOSPITAL USES 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.
SCHEDULE H, PART III, SECTION C, LINE 9B COLLECTION POLICY: ALL COLLECTION EFFORTS CEASE WHEN A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE. NORMAL COLLECTIONS EFFORTS CONTINUE ON ANY PERSONAL AMOUNT OWED BY THE PATIENT.
SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: ADMINISTRATION, MEDICAL STAFF AND THE GOVERNING BOARD REGULARLY DISCUSS THE HEALTH CARE NEEDS OF THE LOCAL COMMUNITY DURING GOVERNING BOARD MEETINGS AS WELL AS IN THE BIMONTHLY MEETINGS OF THE MEDICAL STAFF. THE OKLAHOMA OFFICE OF RURAL HEALTH AND PAWHUSKA HOSPITAL DEVELOPED A COMMUNITY NEEDS ASSESSMENT DURING FISCAL YEAR 2022. PAWHUSKA HOSPITAL IMPLEMENTED STRATEGIES FOR EACH HEALTH PRIORITY IDENTIFIED THROUGH THE NEEDS ASSESSMENT. IN ADDITION, WHEN LOOKING AT THE POTENTIAL OF ADDING NEW SERVICES, THE HOSPITAL RESEARCHES HOW SUCH SERVICES WILL MEET AND ADDRESS THE NEEDS OF THE COMMUNITY. THE HOSPITAL IS PLANNING ON DEVELOPING FUTURE PROGRAMS THAT ALLOW OPPORTUNITIES TO GATHER A LARGER COMMUNITY AUDIENCE THAT CAN EXPRESS THE ISSUES THAT ARE IMPORTANT TO THE COMMUNITY. FOCUS GROUPS WILL ENABLE THE HOSPITAL TO FURTHER EDUCATE TO MEET THE NEEDS OF THE COMMUNITY. THE NEXT CHNA WILL BE COMPLETED IN FY2025.
SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: PAWHUSKA HOSPITAL, INC PROVIDES A LETTER TO PATIENTS UPON ADMISSION THAT STATES THE HOSPITAL PROVIDES ASSISTANCE TO THOSE PATIENTS WITH LIMITED INCOME TO HELP PAY FOR HOSPITAL EXPENSES. THE LETTER INDICATES THAT CHARITY CARE APPLICATIONS ARE AVAILABLE TO ALL PATIENTS AND CAN BE PICKED UP AT THE TIME OF SERVICE OR AT A LATER DATE. THE CHARITY CARE APPLICATION GIVES AN OVERVIEW OF THE CHARITY CARE POLICY AND NOTES THAT MEDICARE AND OTHER STATE PROGRAMS ARE ALSO AVAILABLE TO PATIENTS THAT MEET INCOME REQUIREMENTS. THE HOSPITAL STAFF IS AVAILABLE TO OFFER PATIENTS ASSISTANCE IN COMPLETING THE CHARITY CARE AND MEDICAID APPLICATIONS IF NEEDED.
SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: PAWHUSKA HOSPITAL, INC. PRIMARILY SERVES THE CITIZENS OF THE COMMUNITY OF PAWHUSKA, OKLAHOMA AND THE SURROUNDING AREA. PAWHUSKA SERVES AS THE COUNTY SEAT OF OSAGE COUNTY, OKLAHOMA AND IS ALSO THE CAPITAL OF THE OSAGE NATION. THE HOSPITAL IS ONE OF TWO FACILITIES LOCATED IN OSAGE COUNTY. OSAGE COUNTY IS A RURAL AREA WITH A POPULATION OF 45,839 FROM THE 2022 U.S. CENSUS. THE PER CAPITA INCOME FOR THE COUNTY WAS $27,562. ABOUT 12.3% OF THE POPULATION WERE BELOW THE POVERTY LINE, WITH A 5.5% UNEMPLOYMENT RATE. THE HOSPITAL IS A FEDERALLY DESIGNATED UNDERSERVED AREA FOR PRIMARY CARE HEALTH PROFESSIONALS, MENTAL HEALTH PROFESSIONALS AND DENTAL CARE HEALTH PROFESSIONALS.
SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: PAWHUSKA HOSPITAL'S GOVERNING BODY IS COMPRISED OF VOLUNTEER MEMBERS WHO RESIDE IN THE COMMUNITY. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. SURPLUS FUNDS ARE REINVESTED IN FACILITIES TO IMPROVE PATIENT CARE. THE HOSPITAL OPERATES AN EMERGENCY ROOM THAT IS AVAILABLE TO ALL REGARDLESS OF A PATIENT'S ABILITY TO PAY.
SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: N/A
SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: not applicable for 2022 fISCAL YEAR
SCHEDULE H, PART I, LINE 3C FACTORS OTHER THAN FPG DETERMINING FREE OR DISCOUNTED CARE: THE HOSPITAL USES THE FOLLOWING CRITERIA TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE: -ASSET LEVEL -MEDICAL INDIGENCY -INSURANCE STATUS -UNDERINSURANCE STATUS
SCHEDULE H, PART I, line 7, col (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 $9,903,722.
Schedule H, Part III, Section A, Line 4 BAD DEBT EXPENSE FOOTNOTE: THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS CAN BE FOUND ON PAGE 10 & PAGE 11 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY FOR COMMUNITY BENEFIT COSTS: THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. THE RATIO WAS COMPUTED FROM THE MEDICARE COST REPORT. THE COST COMPUTED ON WORKSHEET 8 WERE FROM THE HOSPITAL'S INCOME STATEMENT AND GRANT SCHEDULE.
