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Nh Legacy Inc
Roaring Spring, PA 16673
| Bed count | 42 | Medicare provider number | 390062 | 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 $ 19,968,901 Total amount spent on community benefits as % of operating expenses$ 1,110,041 5.56 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 311,538 1.56 %Medicaid as % of operating expenses$ 787,853 3.95 %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.$ 10,650 0.05 %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? NO 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$ 524,561 2.63 %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 YES 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 $ 13388986 including grants of $ 0) (Revenue $ 9544321) Nason Hospital provides a full range of community healthcare services including Obstetnc Medical / Surgical Inpatient, Intensive Care, Outpatient diagnostic testing, Outpatient Surgery Emergency Room (24 x 7),Wound Care, Home Health and Hospice
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Facility Information
Nason Hospital, Part V, Section B, Line 5, The Blair County Needs Assessment Steenng Committee consists of representatives from Nason Hospital, Altoona Regional Health System (UPMC Altoona), Tyrone Hospital, United Way of Blair County, Blair County Human Services Office, Blair County Commissioners Office, Pennsylvania Office of Attorney General, Operation Our Town, Altoona Campus of Pennsylvania State University, Altoona Area School Distnct, Altoona Blair County Development Corporation, Blair County Drug and Alcohol Program, Inc , Blair County Library System, Sheetz, Inc Members
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Supplemental Information
Part lil Line 2, Bad Debt Charges wntten off multiplied by ratio calculated in Worksheet 2 Part lil Line 4, There is no specific footnote to the organizations financial statements that descnbed bad debt expense The Hospital reports patient accounts receivable for services rendered at net realizable amounts from third-party payers, patients and others. An allowance for doubtful accounts is calculated based upon a review of outstanding receivables, historical collection information and existing economic conditions Patient balances are from pnmary liability and for insurance deductibles and copayments and are due when billed Accounts are considered delinquent and subsequently wntten off asbad debts based on individual credit evaluation and specific circurnstances of the account Cost of bad debt expense is calculated by taking bad debt charges multiplied by the cost lcharge ratio Part lil Line 8, Nason Hospital considers 100% of the Medicare shortfall to be a community benefit Costing methodology is based on the Medicare Cost Report Part lil Line 9b, Patients who have previously qualified for chanty or assistance are automatically granted it again within a six month penod of the initial qualification Otherwise, patients must apply to become newly eligible for chanty or assistance
Part VI Line 2, Nason Hospital along with its parent Nason Foundation assesses the health care needs of its communities through CEO Meetings with area employers, participation in community volunteer organizations, meetings and discussions with medical staff members regarding services and specialties that are difficult to refer patients to A Community Health Needs Assessment was completed with other regional providers in September 2013 and is in the implementation and execution stages
Part VI Line 3, Nason Hospital informs its patients of the availability of Medicaid and other subsidized health insurance programs, and its Chanty Care Policy through a brochure available in the Hospital, posting in patient registration and waiting areas, penodic notifications in the local newspaper, through in person and telephone consultations with patients, and communications in patient billing and collection activity
Part VI Line 4, Nason Hospital pnmanly serves the communities in southern Blair and northern Bedford Counties along with the surrounding areas Patients are of all ages from newborns to the elderly There are several skilled nursing and personal care facilities within the service area
Part VI Line 5, Nason Hospital is governed by a volunteer Board of Directors who reside in the communities it serves All income generated is reinvested in the hospital through equipment purchases and upgrades, addition of new services, and recruitment of needed providrs to the community
Part VI Line 6, Nason Hospital was not affiliated with another health care system dunng this reporting penod, Nason Hospital became a member of the Conemaugh Health System with the sale of assets to Lifepoint Hospitals as reference in Schedule O
