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Goodall-witcher Health Care Foundation
Clifton, TX 76634
| Bed count | 40 | Medicare provider number | 450052 | 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: 2011
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 $ 18,812,026 Total amount spent on community benefits as % of operating expenses$ 2,040,775 10.85 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 1,006,944 5.35 %Medicaid as % of operating expenses$ 441,824 2.35 %Costs of other means-tested government programs as % of operating expenses$ 30,266 0.16 %Health professions education as % of operating expenses$ 64,209 0.34 %Subsidized health services as % of operating expenses$ 445,024 2.37 %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.$ 52,508 0.28 %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: 2011
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$ 2,150,515 11.43 %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:
Reported to credit agency Not available Filed lawsuit Not available Placed liens on residence Not available Issue body attachments? (an order by the court commanding a sheriff or other official to physically bring before the court a person who is guilty of contempt of court) 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? YES
Community Health Needs Assessment Activities: 2011
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 Did the tax-exempt hospital execute the implementation strategy? Not available Did the tax-exempt hospital participate in the development of a community-wide plan? YES
Supplemental Information: 2011
- 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 $ 16817663 including grants of $ 0) (Revenue $ 17732164) PROVIDED HEALTHCARE SERVICES THROUGH THE OPERATION OF A HOSPITAL, AN OUTPATIENT CLIENT, A HOME HEALTH AGENCY, A NURSING FACILITY AND A WELLNESS AND FITNESS CENTER. PATIENT DAYS TOTALED 4085; 373 OPERATIONS WERE PERFORMED, 99,829 TESTING PROCEDURES COMPLETED, AND 566 PHYSICIAL/OCCUPATIONAL SPEECH THERAPY VISITS OCCURRED. EMERGENCY ROOM VISITS TOTALED 4594. THE FOUNDATION ALSO PROVIDED CHARITY CARE IN THE AMOUNT OF $2,064,483.
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Supplemental Information
CHARITY CARE ELIGIBILITY CRITERIA SCHEDULE H, PART I, LINE 3C PATIENTS WITHOUT INSURANCE ARE ELIGIBLE FOR A 15% DISCOUNT OF TOTAL CHARGES WHEN THE BALANCE IS PAID IN FULL WITHIN THIRTY DAYS.
BAD DEBT EXPENSE EXCLUDED IN CALCULATION OF PATIENT CARE COST TO CHARGES SCHEDULE H, PART I, LINE 7 COLUMN F BAD DEBT EXPENSE IN THE AMOUNT OF $2,150,515 WAS INCLUDED ON FORM 990, PART IV, LINE 25 IN TOTAL EXPENSES. HOWEVER, THIS AMOUNT WAS EXCLUDED FOR PURPOSES OF CALCULATING THE PERCENTAGE OF PATIENT CARE COST TO CHARGES.
BAD DEBT EXPENSE SCHEDULE H, PART III, SECTION A, 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 DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HOSPITAL BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNT RECEIVABLES ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. THE AMOUNT ON LINE 2 IS THE BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS. THE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS ELECTED TO LEAVE IT BLANK.
COSTING METHODOLOGY SCHEDULE H, PART III, SECTION B, LINE 8 THE MEDICAL CENTER 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.
COLLECTION POLICY SCHEDULE H, PART III, SECTION B, LINE 9B THE ORGANIZATIONS COLLECTION POLICY STATES THAT NO COLLECTION EFFORTS WILL BE PURSUED ON A CHARITY ACCOUNT AFTER SUCH A DETERMINATION IS MADE.
INPUT FROM THE COMMUNITY FOR NEEDS ASSESSMENT SCHEDULE H, PART V, SECTION B, LINE 3 COMMUNITY WAS REPRESENTED BY NURSING FACILITY ADMINISTRATION, TEXAS REGION 7 PUBLIC HEALTH NURSE, BUSINESSES IN THE COMMUNITY, CHAMBER OF COMMERCE, MINISTERIAL ALLIANCE, CHAIRMAN OF HOSPITAL BOARD AND PRESIDENT OF THE CLIFTON PHYSICIANS GROUP.
NEEDS NOT ADDRESSED FROM NEEDS ASSESSMENT SCHEDULE H, PART V, SECTION B, LINE 7 SOME NEEDS WERE NOT ADDRESSED DUE TO BUDGET CONSTRAINTS. MENTAL HEALTH ISSUES WERE NOT ADDRESSED DUE TO STAFFING SHORTAGES.
SCHEDULE H, PART V, SECTION B, LINE 15, 16 & 17 NEITHER GOODALL-WITCHER HEALTH CARE FOUNDATION, NOR THIRD PARTIES AUTHORIZED BY THE GOODALL-WITCHER HEALTH CARE FOUNDATION, TAKE ANY ACTIONS UPON NON-PAYMENT FROM A PATIENT BEFORE MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR THE FACILITY'S FINANCIAL ASSISTANCE POLICY.
DETERMINATION OF AMOUNTS BILLED FOR EMERGENCY CARE SCHEDULE H, PART V, SECTION B, LINE 19 PATIENTS WITHOUT INSURANCE ARE ELIGIBLE FOR A 15% DISCOUNT OF TOTAL CHARGES WHEN THE BALANCE IS PAID IN FULL WITHIN THIRTY DAYS. ELIGIBILTY FOR FREE CARE IS DETERMINED BASED UPON 200% OF FEDERAL POVERTY GUIDELINES.
NEEDS ASSESSMENT SCHEDULE H, PART VI, LINE 2 PERIODIC INPUT FROM THE COMMUNITY IS GATHERED TO IDENTIFY NEEDS. PHYSICIAN RECRUITMENT ATTEMPTS TO ADDRESS COMMUNITY NEEDS WITH HOSPITAL SERVICES.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI, LINE 3 ANNUAL CHARITY AMOUNTS ARE POSTED IN THE LOCAL NEWSPAPER. EACH PATIENT IS GIVEN AN APPLICATION FOR CHARITY CARE UPON ADMISSION.
COMMUNITY INFORMATION SCHEDULE H, PART VI, LINE 4 THE HOSPITAL SERVES THE RURAL AREAS OF BOSQUE COUNTY AND SOME PORTIONS OF CONTIGUOUS COUNTIES.
PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI, LINE 5 THE HOSPITAL PROVIDES MEDICAL ASSISTANCE SERVICES FOR QUALIFYING INDIVIDUALS. A LICENSED DIETICIAN IS ALSO MADE AVAILABLE FOR COUNSELING. THE HOSPITAL ALSO HAS HOSTED MCLENNAN COMMUNITY COLLEGE LVN SCHOOL STUDENTS AS WELL. THE HOSPITAL PARTICIPATED IN RELAY FOR LIFE, SAY NO TO DRUGS SCHOOL INITIATIVE, TRICK OR TREAT MAIN STREET, JUNIOR AND HIGH SCHOOL VOLUNTEER PROGRAMS AND CAREER WEEKS, ALONG WITH MONTHLY HOSTING OF THE MINISTERIAL ALLIANCE. THE HOSPITAL HAS AN OPEN MEDICAL STAFF AND ALL MEMBERS OF THE BOARD OF DIRECTORS RESIDE IN THE COMMUNITY SERVED BY THE HOSPITAL.
AFFILIATED HEALTH CARE SYSTEM SCHEDULE H, PART VI, LINE 6 N/A
STATE FILING OF COMMUNITY BENEFIT REPORT SCHEDULE H, PART VI, LINE 7 TEXAS
