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Heart Of Texas Healthcare System
Brady, TX 76825
| Bed count | 25 | Medicare provider number | 451348 | 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: 2019
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 $ 18,058,923 Total amount spent on community benefits as % of operating expenses$ 1,847,100 10.23 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 1,847,100 10.23 %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: 2019
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$ 1,192,805 6.61 %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? NO (Some hospitals use other acceptable methods for calculating when to provide discounted or free care.) 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$ 3,184,190 266.95 %- 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 YES 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: 2019
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: 2019
- 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 $ 15872829 including grants of $ 0) (Revenue $ 27136945) HEART OF TEXAS HEALTHCARE SYSTEM IS DEDICATED TO PROVIDING ACCESSIBLE HEALTHCARE SERVICES TO THE CITIZENS OF MCCULLOCH COUNTY, TEXAS AND SURROUNDING AREAS. THE SYSTEM IS A 25-BED CRITICAL ACCESS HOSPITAL OFFERING COMPREHENSIVE HEALTHCARE. THE HOSPITAL HAD 1014 ACUTE DAYS AND 81 SWING BED DAYS IN FISCAL YEAR 2015.
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Facility Information
HEART OF TEXAS MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: THE HOSPITAL ADMINISTRATION CONDUCTED THE LATEST CHNA REPORT. THE ADMINISTRATION IDENTIFIED THE COMMUNITY HEALTH NEEDS THROUGH QUESTIONAIRS, DISCUSSIONS WITH PHYSICIANS AND OTHER HEALTHCARE PROVIDERS, RESIDENTS AND EMPLOYERS.
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Supplemental Information
PART I, LINE 3C: 1. FAMILY INCOME IS INDEXED TO CURRENT FEDERAL POVERTY LEVELS.2. CHARITY WILL DEAL PRIMARILY WITH THE WORKING POOR WHO ARE UNABLE TO AFFORD HEALTH INSURANCE. FAMILIES WHO HAVE AN INCOME BUT WHOSE MEDICAL COSTS ARE GREATER THAN THEY CAN PAY, OVER A FOUR-YEAR PERIOD, WILL BE CONSIDERED POTENTIALLY ELIGIBLE FOR CHARITY ASSISTANCE.3. PATIENTS MAY BECOME ELIGIBLE THROUGH DOCTOR REFERRALS. THE PHYSICIAN MAY NEED TO CONTINUE CARE AND DOES NOT WANT THE PATIENT TO BE BARRED FROM MAKING APPOINTMENTS.4. PAYMENT AGREEMENTS ARE BASED ON ABILITY TO PAY. TO BE ELIGIBLE, PATIENTS ARE REQUIRED TO COMPLETE AND SUBMIT A FINANCIAL STATEMENT WITH DOCUMENTATION INCLUDING PROOF OF INCOME, COPIES OF BILLS AND A COPY OF LAST YEAR'S TAX RETURN. A FINANCIAL ANALYSIS WILL BE CONDUCTED WITH MONTHLY REPAYMENT BASED ON THIS INFORMATION. THE TERM FOR PAYMENT USUALLY EXTENDS FOR FOUR YEARS; HOWEVER, IT MAY BE EXTENDED IF FULL PAYMENT CANNOT BE OBTAINED WITHIN THAT PERIOD OF TIME.5. CHARITY WRITE-OFFS ARE BASED ON PAYMENT ARRANGEMENTS. FOR EXAMPLE, IF THE BILL IS $5,000 AND THE PATIENT IS CAPABLE OF PAYING $50.00 PER MONTH FOR FOUR YEARS ($2,400). THE DIFFERENCE OF $2,600 IS WRITTEN OFF TO CHARITY. THE CHARITY LEVEL IS DETERMINED BY ABILITY TO PAY AND THE AMOUNT OF THE BILL.6. ASSETS THAT ARE AVAILABLE TO HELP PAY WILL BE TAKEN INTO CONSIDERATION. IF THE PATIENT HAS DEPOSITS THAT CAN BE UTILIZED THAN A PORTION IS REQUESTED WITH PAYMENT ARRANGEMENTS MADE ON THE BALANCE.7. REFERRALS ARE OBTAINED FROM ADMISSIONS, COLLECTIONS, PHYSICIANS, AND OTHER NON-SPECIFIED SOURCES.8. THE PATIENT IS OFFERED COUNSELING ON FAMILY BUDGETS AND FINANCIAL MATTERS.
PART III, LINE 2: RATIO OF COSTS TO CHARGES
PART III, LINE 3: RATIO OF COSTS TO CHARGES
PART III, LINE 4: THE ALLOWANCE FOR ESTIMATED UNCOLLECTIBLE PATIENT ACCOUNTS RECEIVABLE IS MAINTAINED AT A LEVEL WHICH, IN MANAGEMENT'S JUDGMENT, IS ADEQUATE TO ABSORB PATIENT ACCOUNT BALANCE WRITE-OFFS INHERENT IN THE BILLING PROCESS. THE AMOUNT OF THE ALLOWANCE IS BASED ON MANAGEMENT'S EVALUATION OF THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, INCLUDING THE NATURE OF THE ACCOUNTS, CREDIT CONCENTRATIONS, HISTORICAL WRITE-OFF TRENDS, SPECIFIC IMPAIRED ACCOUNTS, AND ECONOMIC CONDITIONS. ALLOWANCES FOR UNCOLLECTIBLE AND CONTRACTUALS ARE GENERALLY DETERMINED BY APPLYING HISTORICAL PERCENTAGES TO FINANCIAL CLASSES WITHIN ACCOUNTS RECEIVABLE. THE ALLOWANCES ARE INCREASED BY A PROVISION FOR BAD DEBT EXPENSES AND CONTRACTUAL ADJUSTMENTS, AND REDUCED BY WRITE-OFFS, NET OF RECOVERIES.
PART III, LINE 8: SHORTFALL IS CALCULATED USING THE ORGANIZATION'S COST TO CHARGE RATIO. 100% OF THE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT.
