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Tcrh Inc
Galax, VA 24333
| Bed count | 141 | Medicare provider number | 490115 | Member of the Council of Teaching Hospitals | YES | 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: 2015
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 $ 89,904 Total amount spent on community benefits as % of operating expenses$ 0 0 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 0 0 %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? NO 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: 2015
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$ 0 0 %Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program? YES - 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? Not available Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients? Not available 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? YES
Community Health Needs Assessment Activities: 2015
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: 2015
- 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 $ 89904 including grants of $ 0) (Revenue $ 438850) PATIENT SERVICES PROVIDED IN JOINT VENTURE WITH DLP TWIN COUNTY HOLDING COMPANY, LLC BY A 141 BED HOSPITAL INCLUDING RURAL HEALTH CLINICS, OPERATING ROOM, PHARMACY SERVICES, HOME HEALTH SERVICES, CORONARY CARE, OCCUPATIONAL THERAPY, RESPIRATORY THERAPY, PHYSICAL THERAPY AND HEALTH PROMOTION.
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Facility Information
FACILITY 1, DLP TWIN COUNTY HOLDING COMPANY,LLC - PART V, LINE 5 TWENTY-SIX COMMUNITY MEMBERS, EMPLOYERS, NOT-FOR-PROFIT ORGANIZATIONS, SCHOOL AND GOVERNMENT REPRESENTATIVES PARTICIPATED IN A FOCUS GROUP FOR THEIR PERSPECTIVES ON COMMUNITY HEALTH NEEDS AND ISSUES. 17 PHYSICIANS FROM THE COMMUNITY AND 45 EMPLOYEES OF THE HOSPITAL WERE SURVEYED USING AN ONLINE SURVEY FOR THEIR INPUT INTO THE COMMUNITY'S HEALTH. FACILITY 1, DLP TWIN COUNTY HOLDING COMPANY,LLC - PART V, LINE 24 GROSS CHARGES FOR PROCEDURES ARE USED TO BILL PATIENT. IF THEY MEET ELIGIBILITY FOR CHARITY CARE, THE AMOUNT IS WRITTEN OFF IN FULL.
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Supplemental Information
PART II - COMMUNITY BUILDING ACTIVITIES EXPLANATION: DLP TWIN COUNTY HAS REPRESENTATION OF THE VIRGINIA ASTHMA COALITION, ROANOKE ASTHMA COALITION AND THE TWIN COUNTY COALITION. THE VIRGINIA ASTHMA COALITION AND THE ROANOKE ASTHMA COALTION TARGET VIRGINIA AND SOUTHWEST VIRGINIA, RESPECTIVELY, IN A PROJECT TO IMPROVE ASTHMA EDUCATION FOR THE AREA. OUR CARDIOPULMONARY DEPARTMENT MANAGER HAS WORKED WITH THE ROANOKE BRANCH TO HELP ESTABLISH THE PROJECT IN OUR COUNTIES. THE TWIN COUNTY COALTION WAS ORGANIZED TO PROVIDE OPPORTUNITIES FOR PREVENTION, RECOVERY AND SUPPORT FOR VARIOS HEALTH ISSUES, DRUG PREVENTION, COMMUNITY EDUCATION AND MANY EARLY CHILDHOOD PROGRAMS.
PART VI, LINE 2 - NEEDS ASSESSMENT EXPLANATION: DLP TWIN COUNTY HAS THREE COMMUNITY ADVISORY BOARDS; GALAX CITY ADVISORY BOARD, GRAYSON COUNTY ADVISORY BOARD AND CARROLL COUNTY ADVISORY BOARD. EACH OF THESE GROUPS MEETS QUARTERLY TO DISCUSS THE NEEDS OF THE ARRA'S CITIZENS. GROUPS ARE MADE UP OF TCRH BOARD MEMBERS THAT LIVE IN THE RESPECTIVE ARRA, SOCIAL SERVICES, LOCAL POLICE DEPARTMENTS, LOCAL PHYSICIANS AND OTHER COMMUNITY T.RADERS THAT HAVE BEEN IDENTIFIED. THE GROUPS MAKE SUGGESTIONS OF NEEDED SERVICES, EXPRESS CONCERNS REGARDING HEALTHCARE NEEDS AND POLL THE CITIZENS FOR THEIR OPINIONS.
"PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE EXPLANATION: DLP TWIN COUNTY HAS AN ELIGIBILITY WORKER ON SITE, CASHIERS AND COLLECTION REPRESENTATIVES AVAILABLE TO HELP PATIENTS DETERMINE THEIR ELIGIBILITY FOR MEDICAID, CHARITY CARE OR OTHER PROGRAMS FOR WHICH THEY MEET THE QUALIFICATIONS. CASHIERS AND COLLECTION REPRESENTATIVES ARE ALSO TRAINED TO HELP ESTABLISH PAYMENT PLANS FOR PATIENTS WHO DO NOT QUALIFY FOR OTHER ASSISTANCE. DLP TWIN COUNTY ALSO OFFERS A ""PRE-PAY"" PROGRAM WHICH DISCOUNTS SOME OF THE MOST POPULAR SERVICES OFFERED. BROCHURES ARE AVAILABLE AT LOCAL PHYSICIAN OFFICES AND ENTRY POINTS AT DLP TWIN COUNTY."
PART VI, LINE 4 - COMMUNITY INFORMATION EXPLANATION: GRAYSON AND CARROLL COUNTIES AND THE CITY OF GALAX ARE THE MAIN AREAS WHICH DLP TWIN COUNTY SERVICES. THESE COUNTIES ARE LOCATED IN SOUTHWEST VIRGINIA. WITH POPULATIONS OF 15,793 FOR GRAYSON COUNTY, 29,034 FOR CARROLL COUNTY AND 6,880 FOR GALAX CITY, IT IS A RURAL AREA WITH SEVERAL LOCAL PHYSICIAN OFFICES MEETING THE RURAL HEALTH STATUS. OVER 20% OF GRAYSON COUNTY'S POPULATION IS OVER 65 YEARS OF AGE, 64% OF THE POPULATION IS A HIGH SCHOOL GRADUATE AND MOST CITIZENS HAVE A DAILY COMMUTE TO WORK FOR 30 MINUTES. CARROLL COUNTY HAS 18% OF IT'S POPULATION OVER AGE 65, 64% OF THE POPULATION IS A HIGH SCHOOL GRADUATE AND THE AVERAGE COMMUTE IS 26 MINUTES. GAT.AX CITY HAS A 20% POPULATION OF OVER AGE 65, 60% OF RESIDENTS HAVE A HIGH SCHOOL DEGREE AND HAVE A 15 MINUTE COMMUTE TO WORK. THE UNEMPLOYMENT RATE OF THE TWO COUNTIES IS OVER 10% AND MOST JOBS ARE IN MANUFACTURING AND LOCAL GOVERNMENT. IN THESE COUNTIES, 14.8-19% OF THE POPULATION IS BELOW THE POVERTY LEVEL.
