Community Benefit Insight - Tax-exempt hospital

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Dimmit Regional Hospital

Dimmit Regional Hospital District

70440 Spiral Drive
Carrizo Springs, TX 78834

Bed count	48	Medicare provider number	450620	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

EIN: 263091251

Display data for year:

Community Benefit Spending- 2016
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

5.55%

Spending by Community Benefit Category- 2016
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2012-2016

Additional data

Community Benefit Expenditures: 2016

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.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 1,118,634 5.19 %
Medicaid as % of operating expenses	$ 0 0 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 77,285 0.36 %
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 expenses Note: 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	$ 2,000 0.01 %
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: 2016

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	$ 6,035,068 27.98 %
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:
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.
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.
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.

Community Health Needs Assessment Activities: 2016

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: 2016

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

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 $ 17027247 including grants of $ 2000) (Revenue $ 17504518)
PROVIDED MEDICAL CARE TO RESIDENTS IN THE DIMMIT COUNTY AREA, INCLUDING 476 OPERATIONS; 9,371 EMERGENCY ROOM VISITS; 950 OBSERVATIONS VISITS AND 2,019 PATIENT DAYS.

4B (Expenses $ 175252 including grants of $ 0) (Revenue $ 1275564)
ONE OF THE HOSPITAL GOALS WAS TO PROVIDE HIGH FLOW OXYGEN THERAPY TO INPATIENTS AND IT HAS BEEN DONE WITH THE PURCHASE OF VAPORTHERM EQUIPMENT. WITH THIS EQUIPMENT, WE ARE NOW ABLE TO PROVIDE OXYGEN THERAPY TO PATIENTS WITH ACUTE CHRONIC RESPIRATORY DISTRESS, HYPOXEMIA, CHF, PNEUMONIA, COPD & ASTHMA. WE ARE ALSO USING MEDICATION DISPENSING UNITS WITH THE HELP OF LUKER PHARMACY SERVICES TO HELP THE STAFF PROVIDE MEDICATION TO INPATIENTS AND E.R. PATIENTS. ANOTHER GOAL WAS TO HAVE OUR NURSERY DESIGNATED AS LEVEL 1 FACILITY(WELL SERVICE) AND WE ACCOMPLISHED THAT. WE ALSO PUT IN PLACE A NEW CALL LIGHT SYSTEM THAT MAKES IT EASIER FOR THE PATIENTS TO REQUEST HELP WHEN NEEDED.

4C (Expenses $ 578503 including grants of $ 0) (Revenue $ 1843455)
"the EMERGENCY ROOM IS DESIGNATED AS A TRAUMA LEVEL 4. DRH HAS A TELEMEDICINE PROJECT WITH METHODIST IN SAN ANTONIO TO PROVIDE STROKE ALERT SERVICES FOR E.R. PATIENTS. AN EPOC BLOOD ANALYSIS SYSTEM IS A PORTABLE BLOOD GAS ANALYZER SYSTEM THAT IS CURRENTLY BEING USED TO PROVIDE QUICK RESULTS ON PATIENTS IN THE E.R. AND INPATIENTS. THE E.R. STAFF HAS ALSO RECEIVED ""START TRIAGE TRAINING"" WHICH HELPS IN TRIAGING PATIENTS AND GETTING THEM SEEN AND TREATED IN A TIMELY MANNER. IN ORDER TO KEEP UP WITH THE VOLUME OF PATIENTS NEEDING PHYSICAL THERAPY SERVICES, THE HOSPITAL HAS OPENED AN OUTPATIENT PHYSICAL THERAPY CLINIC IN CRYSTAL CITY. PHYSICAL THERAPY SERVICES ARE MORE ACCESSIBLE TO PATIENTS NOW THAT WE HAVE TWO CLINICS AVAILABLE. WE STARTED A CAMPAIGN FOR MAMMOGRAPHY SERVICES AND WE WERE ABLE TO ACHIEVE THAT GOAL. WE HAVE NOW OPENed A WOMAN'S IMAGING CENTER THAT PROVIDES MAMMOGRAPHY, BREAST ULTRASOUND AND BONE DENSITY SCREENINGS AVAILABLE TO RESIDENTS IN THIS AREA. BEFORE OUR RESIDENTS HAD TO TRAVEL 35 TO 100 MILES TO GET A MAMMOGRAM AND NOW THEY'RE ABLE TO GET THEM DONE HERE WITH A 3-D STATE-OF-THE-ART MAMMOGRAPHY MACHINE."

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

SCHEDULE H, PART V, SECTION B, LINE 5
Input from the community: The organization conducted interviews and focus groups with business leaders, the chamber executive director, a tax assessor/collector, a sheriff's office representative, the hospital board and district board members, hospital volunteers, the county commissioner, senior citizens and young adults, newspaper owners, and the president of the ministerial alliance.

SCHEDULE H, PART V, SECTION B, LINE 11
IDENTIFIED NEEDS ADDRESSED AND NOT ADDRESSED: THE IMPLEMENTATION PLAN ADDRESSED THE FOLLOWING NEEDS IDENTIFIED IN THE CHNA: 1. PHYSICIAN ACCESS: MANY PARTICIPANTS IN THE FOCUS GROUPS STATED THEY DID NOT KNOW LOCAL PHYSICIANS AND WOULD TRAVEL OUT OF TOWN FOR PRIMARY AND SPECIALTY CARE. THE HOSPITAL IS IN THE PROCESS OF RECRUITING A FAMILY PRACTICE PHYSICIAN AND HAS A GOAL TO HAVE TWO NEW PHYSICIANS SERVING THE COMMUNITY BY 2019. THE HOSPITAL ALSO HAS A CARDIOLOGIST AND PODIATRIST AVAILABLE ON A MONTHLY BASIS. THE GOAL IS TO INCREASE THE NUMBER OF SPECIALTY SERVICES AVAILABLE TO PREVENT PATIENTS HAVING TO TRAVEL FOR CARE. 2. SERVICE NEEDS: THERE IS CONCERN IN THE COMMUNITY FOR ADDRESSING CHRONIC DISEASES IN CARRIZO SPRINGS, INCLUDING DIABETES, HEART DISEASE, CANCER, HYPERTENSION AND MENTAL HEALTH. THE HOSPITAL IS WORKING TO IMPROVE COMMUNITY HEALTH THROUGH THE FACILITATION OF COMMUNITY-BASED PARTICIPATORY RESEARCH AND EDUCATION OUTREACH ACTIVITIES. 3. COMMUNITY OUTREACH: AS MENTIONED IN THE PREVIOUS CHNA AND IMPLEMENTATION PLAN, THE COMMUNITY HAS A NEED FOR INCREASED HEALTH EDUCATION. THE HOSPITAL CONDUCTS AN ANNUAL HEALTH FAIR AND OFFERS OTHER PERIODIC CLASSES. TO EXPAND ON THESE OFFERINGS, THE HOSPITAL PLANS TO TARGET HEALTH LIFESTYLE PROGRAMS, PARTICIPATE IN COMMUNITY WELLNESS EVENTS, AND PROVIDE MAMMOGRAPHY BREAST AND BONE DENSITY SCREENINGS. 4. COMMUNICATION: A FREQUENT TOPIC IN THE FOCUS GROUPS AND INTERVIEWS WAS A NEED TO INCREASE COMMUNICATION BETWEEN THE HOSPITAL AND THE COMMUNITY. TO IMPROVE ON THIS METRIC, THE HOSPITAL PLANS TO PROMOTE PHYSICIANS, NEW TECHNOLOGY, SERVICES AND OTHER HEALTH RELATED NEWS THROUGH SOCIAL MEDIA AND THE COMMUNITY NEWSPAPER. THE CHNA IDENTIFIED A NEED FOR MENTAL HEALTH SERVICES THAT IS BEYOND THE HOSPITALS CURRENT RESOURCES OR CAPABILITIES. THE HOSPITAL MAY LOOK TO PARTNER WITH OTHER ORGANIZATIONS TO HELP ADDRESS THIS NEED IN THE FUTURE.

SCHEDULE H, PART V, SECTION B, LINE 7
AVAILABILITY OF CHNA: THE CHNA IS AVAILABLE UPON REQUEST OR AT THE FOLLOWING ADDRESS: http://www.dimmitregionalhospital.com/getpage.php?name=Community_Health_Ne eds_Assessment&sub=Community+Health+Needs+Assessment SCHEDULE H, PART V, SECTION B, LINE 10A AVAILABILITY OF IMPLEMENTATION STRATEGY: THE HOSPITAL'S IMPLEMENTATION STRATEGY IS AVAILABLE AT THE FOLLOWING ADDRESS: http://www.dimmitregionalhospital.com/getpage.php?name=Implementation_Plan &sub=Implementation+Plan

SCHEDULE H, PART V, SECTION B, LINES 16A, 16B, & 16C
AVAILABILITY OF FINANCIAL ASSISTANCE PROGRAM POLICY: THE FAP, FAP APPLICATION, AND FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY ARE AVAILABLE UPON REQUEST OR AT THE FOLLOWING ADDRESS: http://www.dimmitregionalhospital.com/getpage.php?name=Patient_Financial_S ervices&sub=Patient+Financial+Services

SCHEDULE H, PART V, SECTION B, LINES 18, 19, & 20
BILLING AND COLLECTIONS: NEITHER DIMMIT REGIONAL HOSPITAL, NOR THIRD PARTIES AUTHORIZED BY DIMMIT REGIONAL HOSPITAL, 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 V, SECTION B
COMPLIANCE WITH 501R: DURING A COMPLIANCE REVIEW OF THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY (FAP), MANAGEMENT BECAME AWARE OF A FEW INADVERTANT ERRORS WHICH RESULTED IN NON-COMPLIANCE WITH 501R REGULATIONS. THE FAP MENTIONS THE HOSPITAL USES THE PROSPECTIVE METHOD TO CALCULATE THE AMOUNTS GENERALLY BILLED (AGB), BUT THERE IS ALSO AN ATTACHMENT ON THE HOSPITALS WEBSITE SHOWING THE FISCAL YEAR 2016 CALCULATION USING THE LOOK BACK METHOD. MANAGEMENT IS IN THE PROCESS OF FIXING THIS ERROR TO ONLY SHOW THAT THE LOOK-BACK METHOD IS BEING USED TO CALCULATE AGB. THE HOSPITAL IS ALSO UPDATING THE AGB ATTACHMENT ON THE WEBSITE TO REPORT THE FISCAL YEAR 2017 CALCULATION THAT IS CURRENTLY BEING USED. ANY FAP ELIGIBLE PATIENTS THAT HAVE BEEN CHARGED MORE THAN THE AMOUNT CALCULATED WILL BE IDENTIFIED AND HAVE THEIR BILLS CORRECTED. ADDITIONALLY, A REVIEW OF THE PLAIN LANGUAGE SUMMARY OF THE FAP IDENTIFIED MINOR TECHNICAL OMISSIONS THAT NEED TO BE CORRECTED. MANAGEMENT IS TAKING ACTION TO CORRECT THESE OVERSIGHTS IN ORDER TO BE IN FULL COMPLIANCE WITH ALL 501R REGULATIONS.

Supplemental Information

Schedule H (Form 990) Part VI

SCHEDULE H, PART III, SECTION A, LINE 2
METHODOLOGY TO ESTIMATE BAD DEBT EXPENSE: THE AMOUNT ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS.

SCHEDULE H, PART III, SECTION A, LINE 3
BAD DEBT AS A COMMUNITY BENEFIT: THE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS ELECTED TO LEAVE IT BLANK.

SCHEDULE H, PART III, SECTION A, LINE 4
BAD DEBT FOOTNOTE: 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.

SCHEDULE H, PART III, SECTION B, LINE 8
COSTING METHODOLOGY: 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. IN ADDITION, THE STATE OF TEXAS TREATS MEDICARE SHORTFALL AS COMMUNITY BENEFIT FOR MEETING STATUTORY REQUIREMENTS FOR CHARITY CARE AND COMMUNITY BENEFIT.

SCHEDULE H, PART III, SECTION C, LINE 9B
COLLECTION PRACTICES: THE HOSPITAL HAS AMENDED THEIR COLLECTIONS POLICY TO INCLUDE THE PRACTICES TO BE FOLLOWED FOR PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE. ONCE A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE THE ONLY COLLECTIONS NEEDED ARE THE CO-INSURANCE AND DEDUCTIBLE AMOUNT. ALL OTHER COLLECTIONS WILL CEASE. THIS POLICY IS ON THE WEBSITE ALONG WITH THE OTHER FINANCIAL ASSISTANCE DOCUMENTS.

SCHEDULE H, PART VI, LINE 2
NEEDS ASSESSMENT: COMMUNITY ASSESSMENT IS CONDUCTED THROUGH TELEPHONE AND PERSONAL MEETINGS. COMMUNITY LEADERS, BUSINESS LEADERS AND COMMUNITY MEMBERS ARE INTERVIEWED CONCERNING THE NEEDS OF THE COMMUNITY. THE RESULTS ARE THEN PRESENTED TO THE BOARD OF MANAGERS AND A PLAN IS DEVELOPED TO ADDRESS THOSE NEEDS.

SCHEDULE H, PART VI, LINE 3
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS GIVEN TO ALL PATIENTS. CHARITY CARE APPLICATIONS ARE GIVEN TO E.R. PATIENTS THAT WILL BE SELF PAYING. A LETTER IS MAILED WITH A CHARITY CARE APPLICATION TO THESE PATIENTS. FOLLOW-UP CALLS ARE THEN MADE TO THE PATIENTS THAT WERE SENT APPLICATIONS TO EXPLAIN AND ASK IF THEY NEED HELP IN COMPLETING THESE FORMS. AT REGISTRATION OR ADMISSION, CHARITY CARE APPLICATIONS ARE GIVEN TO INPATIENTS AND OUTPATIENTS THAT WILL BE SELF PAYING. WE ALSO HAVE AVAILABLE AN HFAP COORDINATOR, MONDAY THRU FRIDAY, 8AM TO 5PM, THAT WILL TALK TO THESE PATIENTS AND EXPLAIN WHAT ASSISTANCE WE HAVE AVAILABLE. IF AN APPLICATION IS REQUESTED LATER, IT IS SENT TO THE PATIENT.

SCHEDULE H, PART VI, LINE 4
COMMUNITY INFORMATION: DIMMIT COUNTY'S ESTIMATED POPULATION IS 10,418 WITH A TOTAL SERVICE AREA OF 24,100 PEOPLE. THE GENDER COMPOSITION IS 49% MALE AND 51% FEMALE. THE POVERTY RATE IS 27.6% AND THE MEDIAN INCOME PER HOUSEHOLD IS $38,275.

SCHEDULE H, PART VI, LINE 5
"PROMOTION OF COMMUNITY HEALTH: A SPECIALTY CLINIC WAS STARTED AND CURRENTLY SERVICES PODIATRY, ONCOLOGY, DENTAL AND ENT SERVICES. DIMMIT REGIONAL HOSPITAL (DRH) IS CURRENTLY RECRUITING FOR ORTHOPEDIC AND DERMATOLOGY. THIS WILL HELP ALLEVIATE FINANCIAL STRAIN FOR PATIENTS WHO NEED SPECIALTY CARE AND HAVE TO TRAVEL TO OBTAIN IT. EDUCATION PROGRAMS ARE ALSO PROVIDED TO PROMOTE HEALTHCARE HABITS. ADDITIONALLY, TRAINING IS PROVIDED TO NEW PARENTS ON CAR SAFETY SEATS. HEALTH FAIRS ARE ALSO HELD AND SCHOLARSHIPS ARE AWARDED TO STUDENTS THAT ARE INTERESTED IN NURSING CAREERS. THE HOSPITAL HAS ALSO STARTED A TELEMEDICINE PROJECT WITH METHODIST HOSPITAL IN SAN ANTONIO TO PROVIDE STROKE ALERT SERVICES IN THE EMERGENCY ROOM. DURING THE TAX YEAR, DRH PROVIDED EYE SCREENINGS AND DIABETES EDUCATION AND Conducted A COMMUNITY HEALTH SURVEY TO FIND OUT WHAT THE COMMUNITY'S HEALTH PRIORITY CONCERNS WERE. DRH ALSO PASSED OUT CHILD ABUSE LITERATURE, AND BROCHURES FOR THE E.R. AND Created an ADVICE LINE for HYPERTENSION AND EARLY DETECTION OF PROSTATE CANCER AND BREAST CANCER. DRH Received a DONATION TO PURCHASE 50 SCALES FOR CONGESTIVE HEART FAILURE PATIENTS TO MONITOR THEIR WEIGHT AT HOME. THE HOSPITAL ALSO pARTICIPATED IN ""NATIONAL NIGHT OUT IN CARRIZO SPRINGS"" BY HANDING OUT LITERATURE AND BOOKLETS ON DOING BREAST SELF-EXAMS."

SCHEDULE H, PART VI, LINE 6
AFFILIATED HEALTH CARE SYSTEM: N/A

SCHEDULE H, PART VI, LINE 7
Not applicable for 2016 tax year

SCHEDULE H, PART I, LINE 3C
FACTORS OTHER THAN FPG DETERMINING FREE OR DISCOUNTED CARE: THE HOSPITAL USES THE FOLLOWING CRITERIA TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE: - MEDICAL INDIGENCY - INSURANCE STATUS - UNDERINSURANCE STATUS - RESIDENCY

SCHEDULE H, PART I, LINE 7, COLUMN F
PERCENT OF TOTAL EXPENSE: TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF THE FORM 990 WAS REDUCED BY BAD DEBT EXPENSE, TOTALING $6,035,068.

Operating expenses	$ 21,567,532
Total amount spent on community benefits as % of operating expenses	$ 1,197,919 5.55 %