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Barnes-kasson County Hospital
Susquehanna, PA 18847
| Bed count | 25 | Medicare provider number | 391309 | 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 $ 21,291,676 Total amount spent on community benefits as % of operating expenses$ 1,600,524 7.52 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 52,249 0.25 %Medicaid as % of operating expenses$ 1,539,240 7.23 %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.$ 9,035 0.04 %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: 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$ 1,710,127 8.03 %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? 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: 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 $ 16419416 including grants of $ 0) (Revenue $ 18821284) BARNES-KASSON COUNTY HOSPITAL PROVIDES HEALTH CARE SERVICES TO THE POPULATION OF RURAL SUSQUEHANNA COUNTY AND SURROUNDING AREAS. OUR FACILITY PROVIDES AN ARRAY OF HEALTH CARE SERVICES, INCLUDING EMERGENCY CARE, RADIOLOGY, LABORATORY, PHYSICAL AND OCCUPATIONAL THERAPY, AND SKILLED NURSING. OUR FACILITY'S RURAL HEALTH CLINIC PROVIDES PRIMARY/SPECIALTY PHYSICIAN AND DENTAL SERVICES. THE DENTISTRY SERVICE PROVIDED IN THE RURAL HEALTH CLINIC IS THE ONLY DENTISTRY SERVICE IN THE IMMEDIATE AREA THAT PROVIDES SERVICE TO MEDICAID BENEFICIARIES. DURING THE 2022 FISCAL YEAR, WE HAD 481 INPATIENT ADMISSIONS. OF THOSE, 253 WERE MEDICARE RECIPIENTS AND 37 WERE MEDICAID RECIPIENTS. THE SKILLED NURSING FACILITY PROVIDED 17,144 DAYS OF SERVICE.
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Facility Information
BARNES-KASSON COUNTY HOSPITAL PART V, SECTION B, LINE 5: A COMMITTEE OF HEALTH PROFESSIONALS AND ADMINISTRATIVE PROFESSIONALS WAS FORMED, AT BARNES-KASSON, TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY. AFTER LOOKING AT THE DEMOGRAPHICS OF OUR SERVICE AREA, A SURVEY WAS CREATED THAT WE DETERMINED WOULD HELP ASSESS THE COMMUNITY'S HEALTH NEEDS. IN TODAY'S TECHNOLOGICALLY ADVANCED WORLD, WE DECIDED TO MAKE OUR SURVEY AVAILABLE ONLINE WITH THE USE OF AN ONLINE SURVEY BUILDING WEBSITE CALLED SURVEYMONKEY.COM. THIS WEBSITE ALLOWED US TO CREATE OUR SURVEY EXACTLY AS WE WANTED, AS WELL AS KEEPING TRACK OF THE RESPONSES AND COMPILING THE RESULTS ONCE WE REMOVED THE SURVEY. THE SURVEY WAS ADVERTISED ON OUR WEBSITE, FACEBOOK PAGE, AND LOCAL NEWSPAPER, THE SUSQUEHANNA COUNTY INDEPENDENT. IT WAS MADE AVAILABLE FOR ONE MONTH. THE LOCAL SCHOOL DISTRICTS WERE ALSO CONTACTED AND ENCOURAGED TO HAVE THEIR EMPLOYEES AND STAFF PARTICIPATE IN THE SURVEY. THE SURVEY WAS ALSO GIVEN TO MANY SENIOR CITIZENS THAT TAKE ADVANTAGE OF THE ACTIVE LIVING CENTERS IN THE COUNTY.
BARNES-KASSON COUNTY HOSPITAL PART V, SECTION B, LINE 11: AS WITH MOST HEATH CARE FACILITIES, WE HAVE LIMITED FINANCIAL RESOURCES TO ADDRESS ALL ISSUES IDENTIFIED IN THE CHNA.
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Supplemental Information
PART I, LINE 7: A COST-TO-CHARGE RATIO CALCULATED FROM WORKSHEET 2, RATIO OF PATIENT CARE COSTS-TO-CHARGES IS THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNTS REPORTED ON PART I, LINE 7.
PART I, LN 7 COL(F): THE BAD DEBT EXPENSE OF 1,710,127 INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN A WAS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE OF TOTAL EXPENSES.
PART III, LINE 4: ACCOUNTS ARE WRITTEN OFF WHEN THEY WERE DETERMINED TO BE UNCOLLECTABLE, BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS.A COST-TO-CHARGE RATIO CALCULATED FROM WORKSHEET 2, RATIO OF PATIENT CARE COSTS-TO-CHARGES IS THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNTS REPORTED ON LINES 2 AND 3 OF PART III.
PART III, LINE 8: A COST-TO-CHARGE RATIO CALCULATED FROM WORKSHEET 2, RATIO OF PATIENT CARE COSTS-TO-CHARGES IS THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNTS REPORTED ON PART III, LINE 6.
PART III, LINE 9B: WHEN AN ACCOUNT IS REGISTERED AS A CASH ACCOUNT AND IS DEEMED THE RESPONSIBILITY OF THE PATIENT, THE ACCOUNT IS CROSS REFERENCED WITH THE HOSPITAL CHARITY CARE PROGRAM TO BE SURE THAT ANY ADJUSTMENT DUE HAS BEEN CORRECTLY TAKEN. IF THE PATIENT IS NOT INCLUDED IN THE ROSTER, A CASH LETTER IS THEN MAILED TO THE PATIENT WITH THE INITIAL BILLING. THIS LETTER ASKS THAT THE PATIENT CONTACT THE OFFICE REGARDING ANY AVAILABLE INSURANCE INFORMATION NOT GIVEN AT TIME OF SERVICE AND POSSIBLE COMPLETION OF APPLICATION FOR MEDICAL ASSISTANCE AND ANY BARNES- KASSON PROGRAMS SUCH AS CHARITY CARE.
PART VI, LINE 2: THE COMMUNITY THAT THE HOSPITAL SERVES IS SUSQUEHANNA COUNTY, PA AND CONTIGUOUS AREAS OF WAYNE COUNTY, PA, AND BROOME AND DELAWARE COUNTIES, NY. A LARGE MAJORITY OF THE SERVICES PROVIDED ARE FOR GOVERNMENT MEDICALLY ASSISTED HEALTH CARE NEEDS AND ARE DISCUSSED AT MONTHLY MEDICAL STAFF AND DEPARTMENT HEAD MEETINGS. IN ATTENDANCE ARE HOSPITAL, SKILLED AND FAMILY HEALTH CLINIC ADMINISTRATORS, PHYSICIANS, NURSES, AND DEPARTMENT HEADS OF THE HOSPITAL. NEEDS ARE ASSESSED BASED UPON EXPERIENCE, EDUCATION, OBSERVATION, RESEARCH, AND KNOWLEDGE AND UNDERSTANDING OF PATIENTS' NEEDS. THE BOARD OF DIRECTORS' MEETING HELD ONCE A MONTH IS ALSO A FORUM FOR COMMUNITY NEEDS DISCUSSION. THERE IS A PUBLIC MEETING OFFERED ONCE A YEAR AND ADVERTISED INVITING COMMUNITY ATTENDANCE.
PART VI, LINE 3: WHEN OUT-PATIENT SERVICES ARE REGISTERED, IF A PATIENT DOES NOT HAVE INSURANCE THEY ARE ASKED TO COMPLETE AN APPLICATIONS FOR BOTH MEDICAL ASSISTANCE AND CHARITY CARE. THEY ARE THEN REFERRED TO A BARNES-KASSON SOCIAL WORKER. SOCIAL SERVICES SPEAKS TO IN-PATIENTS AT DISCHARGE AND EVALUATES THE ABOVE MENTIONED CRITERIA.
PART VI, LINE 4: THE COMMUNITY THAT THE HOSPITAL SERVES IS SUSQUEHANNA COUNTY, PA AND CONTIGUOUS AREAS OF WAYNE COUNTY, PA, AND BROOME AND DELAWARE COUNTIES, NY. ACCORDING TO THE 2002 PENNSYLVANIA ABSTRACT OF THE US CENSUS REPORTING, SUSQUEHANNA COUNTY'S MEDIAN FAMILY INCOME RANKED 43RD POOREST OUT OF 67 COUNTIES. IN THE 2004 CENSUS, MEDIAN HOUSEHOLD INCOME IS $36,104. THIS MAKES THE AVERAGE HOUSEHOLD INCOME APPROXIMATELY 196% OF POVERTY.
PART VI, LINE 5: COMBINING HOMETOWN QUALITY WITH NEW TECHNOLOGY, BARNES-KASSON HOSPITAL OFFERS A WIDE RANGE OF MEDICAL, SURGICAL, DIAGNOSTIC AND REFERRAL SERVICES, AS WELL AS FAMILY-CENTERED CARE, CORONARY/INTENSIVE CARE, OUTPATIENT REHABILITATION (INCLUDING PHYSICAL AND OCCUPATIONAL THERAPY AND SPORTS MEDICINE), A 58-BED SKILLED-NURSING FACILITY, AND 24-HOUR EMERGENCY CARE. THE HOSPITAL ALSO OPERATES THREE RURAL HEALTH CLINICS. THE RURAL HEALTH CLINICS ARE PHYSICIAN OFFICES OFFERING A WIDE VARIETY OF PRIMARY AND SPECIALTY CARE SERVICES. SOME OF THE SERVICES AVAILABLE ARE INTERNAL MEDICINE, FAMILY MEDICINE, DENTAL, CARDIOLOGY, DERMATOLOGY, PSYCHOLOGY, UROLOGY, NEUROLOGY, AND ORTHOPEDICS. THE HOSPITAL IMPLEMENTED THE FIRST COUNTY-BASED HOME HEALTH SERVICE. THE HOSPITAL MAINTAINS STRONG TIES WITH OTHER LOCAL BUSINESSES AND DEVELOPS EFFECTIVE PROGRAMS TO MEET THEIR NEEDS THOUGH ITS INDUSTRIAL HEALTH SERVICES PROGRAM. BARNES-KASSON COUNTY HOSPITAL IS AN ACTIVE HEALTH INFORMATION AND EDUCATION RESOURCE FOR THE ENTIRE COUNTY.
