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Russellville Hospital Inc
Russellville, AL 35653
| Bed count | 100 | Medicare provider number | 010158 | 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: 2020
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 $ 26,540,914 Total amount spent on community benefits as % of operating expenses$ 4,867,741 18.34 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 1,420,372 5.35 %Medicaid as % of operating expenses$ 3,444,386 12.98 %Costs of other means-tested government programs as % of operating expenses$ 0 0 %Health professions education as % of operating expenses$ 2,299 0.01 %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.$ 684 0.00 %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: 2020
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$ 11,569,611 43.59 %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:
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? NO
Community Health Needs Assessment Activities: 2020
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: 2020
- 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 $ 21737271 including grants of $ 0) (Revenue $ 21877505) Seeks to improve the delivery of healthcare services in rural America by giving local healthcare organizations an alternative to for-profit hospital companies or health systems. Seeks to make the community healthier.
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Facility Information
Russellville Hospital, Inc. Pt V Line 5 The goal of establishing the community health committee was to solicit input from residents of the community and to promote the broad interest of those served by the hospital. Community members of the committee are as follows: Bill Foster, Leah Youm, Maria Macias, Thomas Uptain, and Dr. Wayne Ray. The committee met to ultimately identify the top health issues facing the community and the development of the hospital's implementation strategy to address the findings of the CHNA. An online survey was the primary means to determine public perception about the needs of the community. Input was requested regarding demographics and health status. In order to receive input from the medically underserved, chronically ill and low-income individuals, and to ensure data from the overall population, the survey was advertised by various community partners. These partners also helped distribute through their email list services. The survey was available to the public through RussellvilleHospital.com for a five-week period.
Russellville Hospital, Inc. Pt V Line 20e Responsible parties are provided a written notice about extraordinary collection action and a plain language summary of the FAP at least 30 days before action is taken. A reasonable effort is made to orally notify responsible parties about the FAP and the FAP application process.
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Supplemental Information
Pt III Line 2 Accounts are evaluated for collectability on a monthly basis using aged payor account classifications and historical collection experience.
Pt III Line 3 Accounts are evaluated for collectability on a monthly basis using aged payor account classifications and historical collection experience.
Pt III Line 8 As a non-profit organization, the hospital accepts all patients without regard to insurance or ability to pay. Amounts are based on the Medicare Cost Report.
Pt III Line 9b Russellville Hospital offers financial assistance to patients and guarantors through a charity policy based on the current federal poverty guidelines (FPG). Those approved for financial assistance are eligible for discounts applied to balances owed after insurance. Self-pay balances remaining after the uninsured discount are also eligible for financial assistance.If the family income of the patient is between 0% and 200% of the FPG, a 100% discount may be applied (charity care). If the family income of the patient is between 201% and 250% of the FPG, a 60% discount may be applied (financial assistance). If the family income of the patient is between 251% and 300% of the FPG, a 40% discount may be applied (financial assistance). This policy is publicized in patient registration areas, included in billing statements, and is available on the hospital's web site. Patients with a balance remaining after application of discounts are sent statements and/or collection letters every 30 days until the balance is paid or payment arrangements are made. Accounts that do not have sufficient payment arrangements established are eligible to be referred to outside collections. All patients are notified of possible collection assignment at least 30 days before an assignment is made. If a request for financial assistance is made after statements are sent, the account is placed on hold until a determination of eligibility is made.
Pt VI Line 2 The hospital performs outreach services and health education opportunities for the community. Feedback from these services as well as evaluation of the patients served are used to assess the community's health care needs.
Pt VI Line 3 Both inpatient and outpatient services are eligible for financial assistance or charity upon application by the patient or guarantor. There is signage in registration areas, information included in monthly statments,and information on the hospital website with the phone number to call for financial assistance.
Pt III Line 4 Russellville Hospital primarily serves residents of Russellville, Alabama and Franklin County, Alabama. Russellville is a rural community with population of just below 10,000 and approximately 22% of the population is below poverty level. The most recent census indicates the population is 73% caucasian.
Pt VI Line 5 The hospital has a volunteer Board of Directors and is served by an open medical staff. The hospital actively recruits primary care physicians and specialists to meet medical needs in the community. The hospital also performs outreach services and provides health education opportunities for the community.
