Community Benefit Insight - Tax-exempt hospital

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Frio Hospital Association

Frio Regional Hospital

200 S Ih 35
Pearsall, TX 78061

Bed count	22	Medicare provider number	451391	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

EIN: 741461220

Display data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

12.04%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2017-2021

Additional data

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.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 3,548,042 11.85 %
Medicaid as % of operating expenses	$ 48,880 0.16 %
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 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	$ 6,893 0.02 %
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	$ 7,544,878 25.20 %
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: 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

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 $ 26236834 including grants of $ 6893) (Revenue $ 25777913)
FRIO HOSPITAL ASSOCIATION (THE ASSOCIATION) OPERATES A NOT-FOR-PROFIT ACUTE CARE HOSPITAL, FRIO REGIONAL HOSPITAL (THE HOSPITAL). THE HOSPITAL PROVIDES INPATIENT AND OUTPATIENT SERVICES AS WELL AS OTHER AFFILIATED SERVICES TO FRIO COUNTY, TEXAS. INPATIENT ADMISSIONS OF 608(3,209 PATIENT DAYS); 10,645 EMERGENCY ROOM VISITS; 88 DELIVERIES; 149 SURGERIES; AND 9,320 OUTPATIENT VISITS (INCLUDING RADIOLOGY).

Facility Information

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

SCHEDULE H, PART V, SECTION B, LINE 5
PERSONS WHO REPRESENT THE COMMUNITY: THE HOSPITAL DETERMINED THE NEEDS OF THE COMMUNITY THROUGH INPUT FROM THE NINE KEY STAKEHOLDER MEETINGS AND A COMMUNITY HEALTH SURVEY INCLUDING REPRESENTATIVES FROM FRIO REGIONAL HOSPITAL, SOCIAL SERVICE AGENCIES AND NON-PROFIT ORGANIZATIONS, PUBLIC HEALTH AGENCIES, OTHER MEDICAL PROVIDERS AND LOCAL ELECTED OFFICIALS. THESE ORGANIZATIONS INCLUDED: -FRIO HOSPITAL ASSOCIATION -FRIO HOSPITAL DISTRICT -WIC -FIRST UNITED METHODIST CHURCH -FRIO COUNTY COMMISSIONER'S COURT -FRIO COUNTY EXTENSION AGENT

SCHEDULE H, PART V, SECTION B, LINE 11
NEEDS ADDRESSED AND NOT ADDRESSED: HEALTH NEEDS WERE IDENTIFIED BASED ON INFORMATION GATHERED AND ANALYZED THROUGH THE 2020 CHNA CONDUCTED BY THE HOSPITAL. THE HOSPITAL WAS ABLE TO USE THE INFORMATION COMPILED BY KEY STAKEHOLDER MEETINGS AND A COMMUNITY HEALTH SURVEY TO DEVELOP AND ADOPT THE IMPLEMENTATION STRATEGY. THE ASSESSMENT IDENTIFIED THE FOLLOWING SIGNIFICANT NEEDS: 1. LACK OF HEALTH KNOWLEDGE/EDUCATION: 2. ADULT OBESITY: 3. LACK OF MENTAL HEALTH PROVIDERS/MENTAL HEALTH CONDITIONS: 4. LACK OF ACCESS TO PRIMARY CARE PHYSICIANS: 5. POVERTY/CHILDREN IN POVERTY: PROVIDE INFORMATION, EDUCATE THE PUBLIC THROUGH HEALTH LITERATURE, PUBLIC FORUMS, HEALTH FAIRS, AND CONTINUED TREATMENT OF AFFECTED PATIENTS THROUGH DIRECT TREATMENT IN COLLABORATION WITH OTHER HEALTH RESOURCES, CIVIC, POLITICAL, NONPROFIT, RELIGIOUS AND BUSINESS ORGANIZATIONS TO ADDRESS THE SIGNIFICANT HEALTH NEEDS. HEALTH CARE RESOURCES THE AVAILABILITY OF HEALTH CARE RESOURCES IS A CRITICAL COMPONENT TO THE HEALTH OF A COUNTY'S RESIDENTS AND A MEASURE OF THE SOUNDNESS OF THE AREA'S HEALTH CARE DELIVERY SYSTEM. AN ADEQUATE NUMBER OF HEALTH CARE FACILITIES AND HEALTH CARE PROVIDERS ARE VITAL FOR SUSTAINING A COMMUNITY'S HEALTH STATUS. FEWER HEALTH CARE FACILITIES AND HEALTH CARE PROVIDERS CAN IMPACT THE TIMELY DELIVERY OF SERVICES. A LIMITED SUPPLY OF HEALTH RESOURCES, ESPECIALLY PROVIDERS, RESULTS IN THE LIMITED CAPACITY OF THE HEALTH CARE DELIVERY SYSTEM TO ABSORB CHARITY AND INDIGENT CARE AS THERE ARE FEWER PROVIDERS UPON WHICH TO DISTRIBUTE THE BURDEN OF INDIGENT CARE. FRIO REGIONAL HOSPITAL THE HOSPITAL HAS 22 ACUTE BEDS. RESIDENTS OF THE COMMUNITY CAN ALSO TAKE ADVANTAGE OF SERVICES PROVIDED BY HOSPITALS IN NEIGHBORING COUNTIES, AS WELL AS SERVICES OFFERED BY OTHER FACILITIES AND PROVIDERS. THERE ARE NO HOSPITALS WITHIN A 30-MILE RADIUS AVAILABLE TO THE RESIDENTS OF CHNA COMMUNITY. RESIDENTS ALSO TRAVEL TO HEALTHCARE FACILITIES IN SAN ANTONIO TO HAVE THEIR HEALTH NEEDS MET. SWING BED PROGRAM AT FRIO REGIONAL HOSPITAL THE GOAL OF THE SWING BED PROGRAM IS TO ASSIST PATIENTS WHO HAVE UNDERGONE SURGERY, AN ILLNESS, OR INJURY, WITH CONTINUED SKILLED CARE SO THEY ARE DISCHARGED WITH A HIGHER LEVEL OF FUNCTIONING AND WELLNESS. PATIENTS MAY STAY IN A SWING BED PROGRAM SO LONG AS THEY ARE MAKING PROGRESS - FOR AS LITTLE AS THREE DAYS, OR AS MANY AS 21 DAYS. FRIO REGIONAL PRIMARY CARE AND URGENT CARE CLINIC SERVICES OFFERED: QUICK, WALK-IN ACCESS, PRIMARY CARE SERVICES, ADULT AND PEDIATRIC SERVICES, EXTENDED HOURS, X-RAYS, LAB SERVICES, PHYSICALS, DISEASE MANAGEMENT, IMMUNIZATIONS, MINOR EMERGENCY TREATMENT, WOMEN'S HEALTH/GYNECOLOGICAL CARE, AND FAMILY PLANNING. FRIO HOSPITAL HOME HEALTH AWARDED A 4.5-STAR RATING FROM MEDICARE HOME HEALTH COMPARE. SOMETIMES YOU NEED A LITTLE HELP AT HOME. MAYBE YOU RECENTLY LEFT THE HOSPITAL WITH A WOUND THAT NEEDS MORE CARE THAN YOUR FAMILY CAN PROVIDE. OR YOU'RE COMING HOME AFTER HAVING HAD HIP OR KNEE REPLACEMENT SURGERY AND COULD BENEFIT FROM PHYSICAL THERAPY. THAT'S WHERE FRIO REGIONAL HOSPITAL'S HOME HEALTH CARE SERVICES COME IN. OUR SKILLED NURSES AND OTHER SPECIALIST CAN PROVIDE A WIDE RANGE OF CARE IN THE COMFORT OF YOUR OWN HOME. WE SERVE THE POPULATION OF FRIO COUNTY AND THE SURROUNDING AREAS, INCLUDING LA SALLE AND MEDINA COUNTIES. FRIO REGIONAL HOSPITAL REHABILITATION SERVICES AT THE FRIO REHABILITATION CENTER, WE UNDERSTAND HOW IMPORTANT IT IS TO GET BACK ON YOUR FEET AS QUICKLY AS POSSIBLE AFTER AN ILLNESS, INJURY, OR SURGERY. OUR NEW-HOSPITAL REHABILITATION GYM MAKES IT EASIER AND EVEN MORE CONVENIENT TO GET BACK TO LIVING A FULL LIFE. IF YOU'RE LIVING WITH A HEALTH PROBLEM THAT MAKES DIFFICULT TO FUNCTION INDEPENDENTLY, WE CAN HELP WITH THAT, TOO. OUR TEAM OF HIGHLY SKILLED REHAB SPECIALIST ARE TRAINED TO HELP YOU RECOVER BY PROVIDING THE HIGHEST QUALITY CARE. WE OFFER: COMPREHENSIVE CARE, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, AND PEDIATRIC THERAPY. HEALTH DEPARTMENT THE HOSPITAL'S CHNA COMMUNITY IS SERVED BY THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES - REGION 8. THE HEALTH SERVICES DEPARTMENT IS RESPONSIBLE FOR WIDE ARRAY OF PUBLIC HEALTH ISSUES. SOME OF THE SERVICES PROVIDED TO THE COUNTIES IT SERVES INCLUDE: EPIDEMIOLOGY, FAMILY AND COMMUNITY HEALTH, HIV/STD PREVENTION, IMMUNIZATIONS, ORAL HEALTH PROGRAMS, TOBACCO PREVENTION AND CONTROL, AND TUBERCULOSIS TREATMENT.

SCHEDULE H, PART V, SECTION B, LINES 16A, 16B, & 16C
FINANCIAL ASSISTANCE DOCUMENTS: THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE UPON REQUEST AND AT THE FOLLOWING WEB ADDRESS: WWW.FRIOREGIONALHOSPITAL.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/

SCHEDULE H, PART V, SECTION B, LINES 7 & 10
CHNA & IMPLEMENTATION STRATEGY: THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY ARE AVAILABLE UPON REQUEST AND AT THE FOLLOWING WEB ADDRESS: www.frioregionalhospital.com/about-us/community-health-needs-assessment/

Supplemental Information

Schedule H (Form 990) Part VI

SCHEDULE H, PART III, SECTION A, LINE 2
BAD DEBT EXPENSE: FOR GENERAL LEDGER PURPOSES, A MONTHLY REPORT CALCULATES ALLOWANCES BASED ON A HISTORICAL PERCENTAGE FOR ALL PATIENTS WITH THIRD-PARTY COVERAGE. FOR ALL PRIVATE PAY PATIENTS, AND AS ALL OTHER ACCOUNTS AGE BEYOND 180 DAYS, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION (95% - 100%) FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF PAST EXPERIENCE.

SCHEDULE H, PART III, SECTION A, LINE 3
BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER FINANCIAL ASSISTANCE POLICY: THE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS ELECTED TO LEAVE IT BLANK. BAD DEBT EXPENSE SHOULD BE CONSIDERED COMMUNITY BENEFIT BECAUSE THIS IS UNCOMPENSATED HEALTHCARE PROVIDED TO RESIDENTS OF THE COMMUNITY.

SCHEDULE H, PART III, SECTION A, LINE 4
BAD DEBT FOOTNOTE: NOT APPLICABLE DUE TO ADOPTION OF ASU 606 REVENUE FROM CONTRACTS WITH CUSTOMERS.

SCHEDULE H, PART III, SECTION B, LINE 8
COSTING METHODOLOGY: THE HOSPITAL USES MEDICARE COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS (ROOM AND BOARD) BASED ON MEDICARE OR MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES.

SCHEDULE H, PART III, SECTION C, LINE 9B
COLLECTION PRACTICES: THE HOSPITAL PAYS FOR OUTSOURCED EARLY OUT COLLECTIONS UP TO 120 DAYS WHERE THE PATIENT PORTION OF THE CHARGES ARE HANDLED BY A THIRD PARTY VENDOR. THOSE WHO QUALIFY FOR CHARITY OR INDIGENT PROGRAMS APPLY FOR THOSE SERVICES WITH HELP OF TWO DEDICATED STAFF MEMBERS. ONCE A PATIENT HAS QUALIFIED FOR THE CHARITY OR INDIGENT PROGRAMS, ALL COLLECTIONS PROCESSES CEASE.

SCHEDULE H, PART VI, LINE 2
NEEDS ASSESSMENT: NEEDS OF THE COMMUNITY ARE ASSESSED BY GEOGRAPHIC INFORMATION AVAILABLE TO THE HOSPITAL, AS WELL AS STATISTICAL INFORMATION THAT THE HOSPITAL CAN USE TO FURTHER ITS BENEFIT TO THE COMMUNITY.

SCHEDULE H, PART VI, LINE 3
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: THERE ARE SEVERAL WAYS THAT THE HOSPITAL EDUCATES THE PUBLIC ABOUT ITS CHARITY CARE PROGRAMS. THE WEBSITE GIVES THE INFORMATION WHERE THE HOSPITAL'S CASEWORKER CAN BE FOUND IN ADDITION TO A STATE EMPLOYEE OF THE DEPARTMENT OF HEALTH AND HUMAN SERVICES ON CAMPUS. THERE ARE ALSO SIGNS IN BOTH ENGLISH AND SPANISH THAT DIRECT PATIENTS TO THE ASSISTANCE THEY COULD QUALIFY FOR. INFORMATION ABOUT FINANCIAL ASSISTANCE IS ALSO PROVIDED TO PATIENTS DURING THE INTAKE AND DISCHARGE PROCESS.

SCHEDULE H, PART VI, LINE 4
COMMUNITY INFORMATION: FRIO HOSPITAL SERVES THE FRIO COUNTY AND SURROUNDING COMMUNITIES INCLUDING LA SALLE COUNTY. THESE CONSIST OF PRIMARILY A HISPANIC POPULATION, 15,279 OR 78.8% OF THE 19,394 PEOPLE LIVING IN FRIO COUNTY AND 6,104 OR 82.4% OF THE 7,409 PEOPLE LIVING IN LA SALLE COUNTY ARE HISPANIC ACCORDING TO THE LATEST CENSUS. FRIO HOSPITAL IS LOCATED IN PEARSALL WHICH IS APPROXIMATELY 55 MILES FROM SAN ANTONIO AND APPROXIMATELY 97 MILES FROM THE MEXICAN BORDER. 8.9% OF THE POPULATION AGE 25 HAD AN BACHELOR'S DEGREE OR HIGHER. HOWEVER, 20.2% OF THE POPULATION IN FRIO COUNTY AND 12.2% OF THE POPULATION IN LA SALLE COUNTY WERE BELOW THE POVERTY LINE. FRIO HOSPITAL HAS ALSO STARTED TO SERVE DILLEY AND COTULLA. THESE CITIES HAVE A TOTAL POPULATION OF 4,401 AND 4,168 RESPECTIVELY. THERE IS A LARGE DISPARITY BETWEEN THESE CITIES WITH DILLEY HAVING PER CAPITA INCOME OF $12,268 AND COTULLA HAVING $26,890 WHICH ARE BOTH WELL BELOW TEXAS AND THE UNITED STATES.

SCHEDULE H, PART VI, LINE 5
PROMOTION OF COMMUNITY HEALTH: FRIO REGIONAL HOSPITAL PROVIDES INFORMATION AND EDUCATES THE PUBLIC THROUGH HEALTH LITERATURE, PUBLIC FORUMS, AND COLLABORATION WITH OTHER HEALTH RESOURCES. THE HOSPITAL REACHES OUT TO CIVIC, POLITICAL, NONPROFIT, RELIGIOUS AND BUSINESS ORGANIZATIONS BY DISTRIBUTING HOSPITAL/HEALTH RELATED MATERIAL, EDUCATIONAL INFORMATION AND FREE SCREENINGS AT VARIOUS LOCAL EVENTS AND LOCATIONS. THE HOSPITAL ALSO ASSISTS AND COLLABORATES WITH COMMUNITY ORGANIZATIONS WITH HEALTH FAIRS, COMMUNITY EVENTS, PARTNERSHIPS AND PROVIDES BOOTH SPONSORSHIPS TO RAISE HEALTH AWARENESS. SEE THE SCHEDULE H, PART V, SECTION B, LINE 11 DISCLOSURE FOR ADDITIONAL INFORMATION IN REGARDS TO THE HOSPITAL'S PROMOTION OF COMMUNITY HEALTH DURING 2021.

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

SCHEDULE H, PART VI, LINE 7
STATE FILING OF COMMUNITY BENEFIT REPORT: THE HOSPITAL HAS NOT FILED A COMMUNITY BENEFIT REPORT FOR THE 2021 TAX YEAR.

SCHEDULE H, PART I, LINE 7
COSTING METHODOLOGY: THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. THE COST COMPUTED ON WORKSHEET 8 WAS FROM THE HOSPITAL'S INCOME STATEMENT.

SCHEDULE H, PART I, LINE 3C
FACTORS OTHER THAN FPG DETERMINING FREE OR DISCOUNTED CARE: THE HOSPITAL USES THE FOLLOWING OTHER CRITERIA TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE: - GROSS FAMILY INCOME - FAMILY SIZE - EMPLOYMENT STATUS AND FUTURE EARNING CAPACITY - OTHER FINANCIAL RESOURCES - OTHER FINANCIAL OBLIGATIONS - THE AMOUNT AND FREQUENCY OF HOSPITAL AND OTHER MEDICAL BILLS - ASSET LEVEL - MEDICAL INDIGENCY - INSURANCE & UNDERINSURANCE STATUS

SCHEDULE H, PART I, LINE 7, COLUMN F
PERCENT OF TOTAL EXPENSES: BAD DEBT EXPENSE OF $7,544,878 WAS INCLUDED IN TOTAL EXPENSE ON FORM 990,PART IX, LINE 25, COLUMN (A), BUT WAS SUBTRACTED FROM TOTAL EXPENSE FOR PURPOSES OF CALCULATING THE PERCENTAGE OF TOTAL EXPENSE IN COLUMN (F).

Operating expenses	$ 29,939,182
Total amount spent on community benefits as % of operating expenses	$ 3,603,815 12.04 %