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Palacios Community Medical Center
Palacios, TX 77465
| Bed count | 17 | Medicare provider number | 451332 | 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: 2018
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 $ 6,094,682 Total amount spent on community benefits as % of operating expenses$ 120,225 1.97 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 120,225 1.97 %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$ 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$ 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: 2018
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$ 612,080 10.04 %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$ 986,573 161.18 %- 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: 2018
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: 2018
- 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 $ 4502089 including grants of $ 0) (Revenue $ 5332573) THE ORGANIZATION IS A COMMUNITY OWNED HOSPITAL DEDICATED TO PROVIDING ACCESSBILE QUALITY HEALTHCARE TO THE CITIZENS OF PALACIOS, TEXAS AND THE SURROUNDING AREA. IT OFFERS 24-HOUR EMERGENCY ROOM SERVICES AND IS A 17 BED CRITICAL ACCESS HOSPITAL PROVIDING INPATIENT AND OUTPATIENT SERVICES INCLUDING LABORATORY, RADIOLOGY, PHYICAL THERAPY, SOCIAL, AND PHARMACY SERVICES. DURING 2018, IT PROVIDED 244 INPATIENT DAYS OF CARE, 229 SWING BED DAYS OF CARE AND 96 OBSERVATION DAYS OF CARE. IT HAD 6,711 OUTPATIENT VISITS.
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Facility Information
PALACIOS COMMUNITY MEDICAL CETNER PART V, SECTION B, LINE 3J: THE BOARD OF DIRECTORS HAS DETERMINED THE FOLLOWING HEALTH NEEDS IDENTIFIED BY THE CHNA SHOULD BE ADDRESSED THROUGH THE IMPLEMENTATION STRATEGY NOTED FOR EACH IDENTIFIED NEED: PHYSICIAN RECURITMENT, PHYSICIAN ASSISTANT RECRUITMENT, CHRONIC DISEASE MANAGEMENT, COMMUNITY PARTNERSHIPS, AND SPACE AND EQUIPMENT ASSESSMENT.
PALACIOS COMMUNITY MEDICAL CETNER PART V, SECTION B, LINE 5: THE ASSESSMENT COMPLETED FOR THE HOSPITAL INCLUDED INTERVIEWS AND FOCUS GROUPS WITH REPRESENTATIVE OF THE FOLLOWING CONSITUENCIES BUSINESS LEADERS, VIETNAMESE COMMUNITY, HISPANIC COMMUNITY, SCHOOL DISTRICT, HOSPITAL AUZILIARY, CITY GOVENMENT LEADERS, FORMER BOARD MEMBERS, HOSPITAL CEO AND MATAGORDA COUNTY HEALTH DISTRICT. INTERVIEWS WERE HELD WITH TWO BOARD MEMBERS, FORMER PATIENTS AND THE HOSPITAL CEO.
PALACIOS COMMUNITY MEDICAL CETNER PART V, SECTION B, LINE 13H: CHARITY CARE WILL NOT EXCEED $10,000 FOR ANY HOUSE HOLD FOR THE CALENDAR YEAR. ONCE CHARITY CARE IS GRANTED FOR THE HOUSEHOLD, THEY CANNOT BE CONSIDERED FOR ADDITIONAL CHARITY CARE FOR THE REMAINDER OF THE YEAR. THE CHARITY CARE GRANTED IS FOR THE APPROVED DATE AND PRIOR DATES OF SERVICE. IT DOES NOT APPLY FOR FUTURE DATES OF SERVICE. THE PERSON APPLYING CHARITY CARE MUST BE A US CITIZEN AND A MATAGORDA COUNTY, TEXAS RESIDENT. A DEPSOIT IS REQUIRED AS GOOD FAITH TOWARDS THE FINANCIAL ASSISTANCE PROGRAM. THE AMOUNT OF THE DEPOSIT SHOULD BE AT LEAST 10% OF THE BALANCE(S) OR APPROVED BY THE HOSPITAL ADMINISTRATOR. EACH POTENTIAL FINANCIAL ASSISTANCE APPLICANT MUST FIRST APPLY FOR MEDICAID AND THE MRMC MAP PROGRAMS AND HAVE RECEIVED A DOCUMENTED DENIAL BEFORE THE APPLICANT WOULD BE CONSIDERED FOR FINANCIAL ASSISTANCE. THE ORGANIZATION WILL NOT CONSIDER A FINANCIAL ASSISTANCE APPLICATION FOR REVIEW WITHOUT DENIAL FROM MEDICAID AND/OR MRMC MAP PROGRAM. NO PATIENT WITH PRIOR BAD DEBT ACCOUNTS WILL BE CONSIDERED FOR THIS PROGRAM.
PALACIOS COMMUNITY MEDICAL CETNER PART V, SECTION B, LINE 16J: THE ORGANIZATIONS MAKES THE POLICY AVAILABLE TO MEMBER OF THE COMMUNITY THROUGH ITS BUSINESSS OFFICE AND ITS WEBSITE. IT ENCOURAGES THEM TO CONTACT A FINANCIAL COUNCELOR TO OBBTAIN FURTHER INFORMATION REGARDING THE POLICY. THE ORGANIZATION HAS REPRESENTATIVES AVAILABLE TO TRANSLATE THE POLICY, POLICY SUMMARY AND APPLICATION TRANSLATED INTO SPANISH AND VIETNAMESE.
PALACIOS COMMUNITY MEDICAL CETNER PART V, SECTION B, LINE 20E: THE HOSPITAL DOCUMENTED ITS DETERMINATION OF WHETHER OR NOT AN INDIVIDUAL WHO APPLIED FOR FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY QUALIFIED FOR FINANCIAL ASSISTANCE.
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Supplemental Information
PART III, LINE 2: RATIO OF COST TO CHARGES
PART III, LINE 8: PHYSICIAN AND EMERGENCY ROOM SERVICES PROVIDED TO MEDICARE PATIENTS ARE VITAL TO THE WELL-BEING OF THE COMMUNITY THE ORGANIZATION SERVES. THESE COSTS AND SHORTFALLS SHOULD ALSO BE CONSIDERED AN ADDITIONAL BENEFIT THE ORGANIZATION PROVIDES.
PART III, LINE 9B: UNDER THE ORGANIZATION'S SELF PAY BALANCE AND COMMUNITY CARE POLICIES, THE ORGANIZATION MAKES EVERY ATTEMPT TO INDENTIFY AND PROMOTE CHARITY CARE TO PATIENTS. THE ORGANIZATION'S COMMUNITY CARE POLICY NOTES THAT PATIENTS MAY QUALIFY FOR CHARITY CARE BY COMPLETING AN APPLICATION. DURING THE PATIENT ACCOUNT COLLECTION PROCESS, THE ORGANIZATION INFORMS THE SELF PAY PATIENTS OF THE ORGANIZATION'S COLLECTIONS POLICIES AS WELL AS THE CHARITY CARE PROBRAM TO ALLOW THE PATIENTS THE OPPORTUNITY TO COMPLET THE APPRORIATE FORMS TO SEE IF THEY QUALIFY UNDER THE PROGRAM.
