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Hendrick Medical Center Brownwood
Brownwood, TX 76804
| Bed count | 216 | Medicare provider number | 450587 | 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 $ 90,520,141 Total amount spent on community benefits as % of operating expenses$ 1,497,061 1.65 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 1,304,446 1.44 %Medicaid as % of operating expenses$ 188,587 0.21 %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$ 4,028 0.00 %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$ 29,104,136 32.15 %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$ 1,746,248 6.00 %- 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? 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 $ 78795829 including grants of $ 4028) (Revenue $ 106303875) CHARITY CARE PROGRAM: HENDRICK MEDICAL CENTER BROWNWOOD, IN KEEPING WITH ITS MISSION, VISION, AND VALUES AS A BAPTIST ORGANIZATION, HAS ALWAYS MAINTAINED A GENEROUS CHARITY CARE PROGRAM TO ASSURE THAT THOSE WITH THE INABILITY TO PAY HAVE ACCESS TO THE SERVICES PROVIDED BY HENDRICK. THE CHARITY POLICY IN EFFECT DURING THE PERIOD COVERED BY THIS REPORT PROVIDES THAT FAMILIES WITH INCOMES BELOW 250% OF THE FEDERAL POVERTY GUIDELINES ARE ELIGIBLE FOR SERVICES, WITH NO PERSONAL FINANCIAL RESPONSIBILITY. FAMILIES WITH INCOMES ABOVE 250% OF THE FEDERAL POVERTY GUIDELINES RECEIVE CARE WITH PARTIAL FINANCIAL RESPONSIBILITY INCREASING AS THE FAMILY INCOME EXCEEDS THE FEDERAL POVERTY GUIDELINES. HENDRICK PROVIDES FINANCIAL COUNSELORS AND SOCIAL WORKERS TO HELP PATIENTS WITH HEALTHCARE NEEDS BY IDENTIFYING COMMUNITY RESOURCES AVAILABLE AND BY ASSISTING THEM IN THEIR EFFORTS TO IDENTIFY AND QUALIFY FOR GOVERNMENT-SPONSORED PROGRAMS. PROVIDING GOVERNMENT PROGRAMS BELOW COST: HENDRICK IS ALSO COMMITTED TO PARTICIPATING IN GOVERNMENT FUNDED PROGRAMS SUCH AS MEDICARE, MEDICAID, TRICARE, COUNTY INDIGENCY, ETC. THE COST OF SERVICES OFTEN EXCEEDS THE REIMBURSEMENT PROVIDED BY THESE PROGRAMS.
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Facility Information
SCHEDULE H, PART V, SECTION B, LINES 16A, 16B,& 16C THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE WIDELY AVAILABLE AT THE FOLLOWING WEBSITE: HTTPS://WWW.HENDRICKHEALTH.ORG/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTA NCE/
SCHEDULE H, PART V, SECTION B, LINE 2 HENDRICK MEDICAL CENTER BROWNWOOD (HMCB) WAS FIRST LICENSED AS A HOSPITAL FACILITY DURING THE IMMEDIATELY PRECEDING TAX YEAR. HMCB ALSO RECEIVED DETERMINATION OF EXEMPT STATUS DURING THE IMMEDIATELY PRECEDING TAX YEAR.
SCHEDULE H, PART V, SECTION B, LINE 7A & 10A THE HOSPITAL'S CHNA AND IMPLEMENTATION STRATEGY ARE POSTED AT THE FOLLOWING WEBSITE: WWW.HENDRICKHEALTH.ORG/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/
SCHEDULE H, PART V, SECTION B, LINE 11 ALL NEEDS IDENTIFIED THROUGH THE CHNA ARE BEING ADDRESSED BY THE IMPLEMENTATION STRATEGY. THE COMMUNITY WAS PRESENTED WITH THE CHNA RESULTS AND COMMITTEES HAVE BEEN FORMED WITH COMMUNITY MEMBERS TO ADDRESS NEEDS IDENTIFIED BY THE CHNA.
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Supplemental Information
SCHEDULE H, PART I, LINE 3C IN ADDITION TO USING FEDERAL POVERTY GUIDELINES FOR ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE, HMCB USES MEDICAL INDIGENCY, INSURANCE STATUS, AND RESIDENCY.
SCHEDULE H, PART I, LINE 7 HENDRICK MEDICAL CENTER BROWNWOOD USES A COMBINATION OF COST-TO-CHARGE RATIO AND COST ACCOUNTING SYSTEM FIGURES FOR CALCULATING THE COMMUNITY BENEFIT AMOUNTS REPORTED FOR EACH LINE. THE RATIO CALCULATED IN SCHEDULE H INSTRUCTIONS WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, WAS USED FOR LINES 7A AND 7B. AN INTERNAL COST ACCOUNTING WAS USED FOR LINES 7F AND 7I.
SCHEDULE H, PART III, SECTION A, LINE 2 THE HOSPITAL ADOPTED REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HEALTH SYSTEM DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HEALTH SYSTEM'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED AUGUST 31, 2022. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES WITHIN THE SYSTEM AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2.
SCHEDULE H, PART III, SECTION A, LINE 3 THE ORGANIZATION'S ESTIMATE OF THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO CHARITY CARE PATIENTS IS ESTIMATED AT 6%.
SCHEDULE H, PART III, SECTION A, LINE 4 HENDRICK HAS ELECTED TO APPLY THE OPTIONAL EXEMPTION PROVIDED IN FASB ASC 606-10-50-14(A) AND, THEREFORE, IS NOT REQUIRED TO DISCLOSE THE AGGREGATE AMOUNT OF THE TRANSACTION PRICE ALLOCATED TO PERFORMANCE OBLIGATIONS THAT ARE UNSATISFIED OR PARTIALLY UNSATISFIED AT THE END OF THE REPORTING PERIOD. THE FINANCIAL STATEMENT FOOTNOTE DESCRIBING BAD DEBT IS LOCATED ON PAGES 19-20 OF THE AUDITED FINANCIAL STATEMENT REPORT.
SCHEDULE H, PART III, SECTION B, LINE 8 THE ORGANIZATION HAD A MEDICARE SHORTFALL IN THE AMOUNT OF $2,969,289. THE STATE OF TEXAS TREATS MEDICARE SHORTFALL AS A COMMUNITY BENEFIT FOR MEETING STATUTORY REQUIREMENTS FOR CHARITY CARE AND COMMUNITY BENEFIT.
SCHEDULE H, PART III, SECTION C, LINE 9B NEITHER THE ORGANIZATION, NOR THIRD PARTIES AUTHORIZED BY THE ORGANIZATION, 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.
SCHEDULE H, PART VI, LINE 2 HENDRICK MEDICAL CENTER BROWNWOOD(HENDRICK) CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN JANUARY THROUGH JUNE OF 2022, WITH THE ASSISTANCE OF CRESCENDO CONSULTING GROUP. THE ASSESSMENT DETERMINED THE MOST PRESSING HEALTH NEEDS OF BROWN COUNTY. BASED ON CURRENT LITERATURE AND OTHER GUIDANCE FROM THE TREASURY AND THE IRS, THE FOLLOWING STEPS WERE TAKEN AS PART OF HENDRICK'S CHNA: - THE COMMUNITY SERVED WAS DEFINED UTILIZING INPATIENT DATA REGARDING PATIENT ORIGIN. - POPULATION DEMOGRAPHICS AND SOCIOECONOMIC CHARACTERISTICS OF THE COMMUNITY WERE GATHERED AND REPORTED UTILIZING VARIOUS THIRD PARTIES. - HEALTH STATUS OF THE COMMUNITY WAS REVIEWED. - AN INVENTORY OF HEALTH CARE FACILITIES AND RESOURCES WAS PREPARED. - COMMUNITY INPUT WAS PROVIDED THROUGH KEY INFORMANT INTERVIEWS OF COMMUNITY STAKEHOLDERS. THE INFORMATION GATHERED WAS ANALYZED AND REVIEWED TO IDENTIFY HEALTH ISSUES OF UN-INSURED PERSONS, LOW-INCOME AND UNDERSERVED POPULATIONS, AND THE COMMUNITY AS A WHOLE.
SCHEDULE H, PART VI, LINE 3 HENDRICK PROVIDES MANY OPPORTUNITIES FOR PATIENT EDUCATION ON FINANCIAL ASSISTANCE. THE PROGRAMS ARE OUTLINED ON HENDRICK'S WEBSITE, SIGNS AND BROCHURES ARE AT EVERY REGISTRATION POINT, PRE-ADMIT LETTERS ARE SENT TO SURGERY PATIENTS THAT CONTAIN FINANCIAL ASSISTANCE INFORMATION, AND APPLICATIONS ARE GIVEN TO EVERY UNINSURED TRAUMA CENTER PATIENT.
SCHEDULE H, PART VI, LINE 4 HENDRICK HEALTH SYSTEM IS ACTIVELY DELIVERING CARE FOR A 24 COUNTY SERVICE AREA WITH A BROAD RANGE OF DEMOGRAPHICS. HMCB SERVES PRIMARILY RESIDENTS OF BROWN COUNTY WITH A POPULATION OF ABOUT 38 THOUSAND.
SCHEDULE H, PART VI, LINE 5 THE COMMUNITY BUILDING ACTIVITIES ARE USED TO POSITIVELY IMPACT THE COMMUNITY AND EDUCATE THE COMMUNITY ON HEALTH TOPICS. THESE ARE DESIGNED TO MEET THE SPECIFIC NEEDS OF THE COMMUNITY.
SCHEDULE H, PART VI, LINE 6 HENDRICK MEDICAL CENTER BROWNWOOD IS PART OF AN ORGANIZATION OF AFFILIATED COMPANIES THAT PROVIDE MEDICAL AND OTHER HEALTH CARE RELATED SERVICES TO TAYLOR COUNTY AND SURROUNDING COUNTY SERVICE AREAS. THE PRIMARY BUSINESS AREAS ARE INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES, SUB-ACUTE CARE, INPATIENT AND OUTPATIENT REHABILITATION, LONG-TERM CARE, NURSING HOME CARE, HOME HEALTH CARE, HOSPICE CARE, MEDICAL OFFICE BUILDING LEASING, DURABLE MEDICAL EQUIPMENT SALES AND LEASING, PHYSICIAN PRACTICES AND A REGIONAL HEALTH MAINTENANCE ORGANIZATION. AFFILIATES INCLUDE HENDRICK MEDICAL CENTER FOUNDATION, HENDRICK PROVIDER NETWORK, HENDRICK MEDICAL OFFICE BUILDINGS, LLC, HENDRICK ANESTHESIA NETWORK, HENDRICK HOSPICE CARE, HENDRICK SOUTHWESTERN HEALTH DEVELOPMENT CORPORATION, HENDRICK HEALTH NETWORK, HMC HOSPICE PROPERTIES, HENDRICK DIALYSIS CENTER LLC AND HENDRICK MEDICAL CENTER.
SCHEDULE H, PART VI, LINE 7 TEXAS.
