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Carnegie Tri-County Municipal Hospital Management Incorporated
Carnegie, OK 73015
| Bed count | 21 | Medicare provider number | 371334 | 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 $ 3,818,701 Total amount spent on community benefits as % of operating expenses$ 226,587 5.93 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 2,105 0.06 %Medicaid as % of operating expenses$ 183,060 4.79 %Costs of other means-tested government programs as % of operating expenses$ 41,422 1.08 %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$ 690,028 18.07 %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: 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 $ 2884554 including grants of $ 600) (Revenue $ 3495260) The Hospital managed by this corporation provided care both on an inpatient and outpatient basis, including home health services (managed by this corporation) and clinic services.
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Facility Information
Schedule H, Part V, Line 5 The hospital facility took into account input from persons who represent the community. The hospital hosted four community meetings. Community members in attendance at those meetings included: Hospital representatives, Carnegie Senior Center, Carnegie Public Schools, Home Health & Hospice, Local Funeral Home, Banker, Local Physician, and Retired Individuals. Also, the general public were invited to attend the meetings thru Facebook posts and various public notices.
Schedule H, Part V, line 7 & 10 The organization's community health needs assessment and implementation strategy can be found on the Oklahoma Rural Health Works website at http://www.okruralhealthworks.org/PDFWEB/AE-14116.pdf.
Schedule H, Part V, Line 11 The needs of the community were identified and then prioritized. Due to recommendations of the hospital representatives and community members, the top 3 health priorities will be addressed. According to the Community Health Needs Assessment, the top healthcare concerns include the availability of providers, the possibility of losing the providers, the quality of care, and the care in the emergency room. To address these issues we have first, and foremost entered into a management agreement with First Physicians to insure that we will be able to keep the hospital open. To address the concerns of the lacking of availability of providers, we have added more providers, including mid-level providers. These include male and female providers to reach more demographics. To further address the concerns of the quality of care, we implemented SQSS. This is a Strategic Quality Support System to help monitor and track performance and quality initiatives. The employees tracked progress through tasks in the system and department heads met quarterly to discuss performance. For the emergency room, plans have been made to place an ER Director over the department to bring this department up to a new level of excellence. We are also looking at the addition of another clinical provider to expand the hours of the clinic and give patients more access to providers. The items not addressed include cancer rates, dialysis for local patients, lack of prenatal care, and pain management. These will not be addressed because of the lack of resources.
Schedule H, Part V, Line 6b The hospital facility's CHNA was conducted with the Oklahoma Office of Rural Health.
Schedule H, Part V, Section B, Line 22d For non-insured patients, the hospital charges 80% of amounts of charges. Those that qualify under the FAP would then have the discounts applied to this amount.
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Supplemental Information
Schedule H, Part III, Lines 2 & 3 The amount reported on line 2 is what is reported in the organization's financial statements as bad debt expense. A portion of the bad debt expense is probably attributable to patients eligible under the organization's financial assistance policy. However, the hospital is unable to determine an estimate of how much that amount would be. Any amounts that would be considered eligible would be treated as charity care and that should be considered a community benefit.
Schedule H, Part III, Line 8 The hospital used Medicare Cost Report methodology, which apportions routine costs based on Medicaid or Medicare days to total days and apportions ancillary costs based on program charges to total charges.
Schedule H, Part VI, Line 2 The hospital is a critical access hospital in Carnegie, Oklahoma. The hospital serves patients in the Caddo County area and operates physician clinics and an ambulance service in the same geographic area. The hospital assesses the needs of the communities it serves on an ongoing basis by getting input from its board and other community members.
Schedule H, Part VI, Line 4 The hospital is located in Carnegie, Oklahoma and serves patients in the Caddo County area. There are 29,600 people that live in the county. The median income for a household in the county is around $40,170 according to the 2010 Census.
Schedule H, Part VI, Line 5 The hospital is a critical access hospital and has a board made up of community members. The hospital also has an open medical staff.
Schedule H, Part III, Section C, Line 9b Those that qualify for financial assistance need to complete a Charity Care application. The application will be used to determine if patient qualifies. If patient qualifies, then the applicable discount will apply and no further collections will be taken on that amount. The unpaid amount after eligible amounts will still be pursued under the hospital's collection policy.
Schedule H, Part VI, Line 3 The hospital educates its patients on the financial assistance policy by providing the policy upon admission, upon request, and includes the copy of the policy in the patient's bill.
Schedule H, Part III Line 4 The Hospital reports patient accounts receivable for services rendered at net realizable amounts from third-party payers, patients and others. The Hospital provides an allowance for uncollectible accounts based upon a review of outstanding receivables, historical collection information and existing economic conditions. As a service to its patients, the Hospital bills third-party payers directly and bills the patient when the patient's liability is determined. Patient accounts receivable are due in full when billed. Patient accounts are considered delinquent and subsequently written off as bad debts on individual credit evaluation and specific circumstances of the account.
Schedule H, Part VI, Line 6 N/A
Schedule H, Part VI, Line 7 N/A
